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1578 Clemson Dr.? , CITY QF EAGAN 10945 3830 Pilot Knob Rosd, P O Box 21-199 Eagan MN 55121 PHONE:454-8100 BUILDING PERMIT Rece+ct # - SiteAddreu 15E0 Ui?YISON liK Erect U? Occupancy ? 11 1Ci'?i ' cpc/Sub Lot Z' GBlock Remodel ? Zoning ?•, ,. . Repalr ? Type of Const. Parcel No. Addition ? No. Stories Name `? W Move li h D ? ? Length ; ? O h emo s .? . ept i Address . t' ?-„'•?• -' z? j Int Impr. ? Sq. Ft. S City 'r,; Phone `" {' `1 Install ? Z? Name ?'•-?" '' u? Address ? Citv Phone Neme •?I' ?'?,?JC:I.,l7 Address I hereby acknowledgs thot I hove reod this application ond stote that the informofion Is tOrrect ond ogree to tomply with oll opplicoble State of Minnesoto Statufea and City of Eo9on Ordinonces. Sipnoture of Pemnittes _ -- ?r?t?' ,'r •,: ." '? ;'O,'t?':: A Building Permlf Is issued to: atl work sholt be done in ocaordante wlth"all oppliooble State of Min Buildinq pifidol Assessment Permlt G 6) Water b Sew. Surcharge 00 Police Plan Review 50 Fin r SAC = y- 00 Enp. ' Water Conn. 00 Plcnner Water Meter h{ - (J0 Countil Road Unit ? A:'1 00 Bldg. Off. 9 3 Q S Tr. PI. 112- 0 0 APC Parks Var. Date Copies ? :Total 79 , 50:' "• ? on ? tM exprosa condition thot asotc Sfatutes ond City oF Eapon OrEinonces. Pwmit No. Permit Ho1dK Date TNephons ? Plum,ing 7- 4132 - ? 5? H.V.n.C. ? a?S ?l aC w ? UC Ehm-t.;a Softw,.. Irapaetion Dats Insp. Other Footlnys I Footlnys 11 FoundaUon FreMiny Roofing 1 ?41 Rough Plbg. Rough Htp. Inwl. Flreplace y L i ?4i? ? ! 6 LU Flnal Htp. , Q Flnal Pibp. Final Csrt/Occ. Watsr D"c?ibe Location: Nhll Sswsr Pr. Olmp. Radipt ' -" , ?i ? ? 1. Date : 3. Job Addrsss _ 4. Owner 5. Contractor ? !ll Tract Phone B. Address i; ±; 1 y ? 7. City i l State Zip 8. Building Type: Residential ? Commercial ? Institutional D 9. Work Description: New 0 Add O Alter O Repair D 10. Describe 11. No• Fixtures Water Gosat No. Fixturss Cess o l/Dr infield Bath tubs p o a Septic Tank Lavatory Softner Shower Wel l Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Orains Drinkinp Ftn. Slop Sink Gas Pipiny Outlets 12. I hereby artify that the above information is true and corract, and I agree to oomply with all ordinancxs and codea governing this type of work. Signed : for fiouqh Final Inspections: Oate Insp. Date Insp. Thia is your permit when numbered and spproved. Approved CITY OF EAGAN 464-6100 PLUMBiNG PERMIT CITY OF EAGAN ? fill in numbered spaces I Type or Prlnr legibly ?. Inatallation Cost Permit No. - FN S/C Tot ; C? 14 r 11 nt Rllr pepipt pAECHANICAL PERMIT Permk No. ,,. 0 ACITY OF EAGAN F« ' fill in numbered spaca S/C Type or Prinr leyib/Y Tot ; . 1. Date 2. Installstion Cost ,. 3. Job Address ' ?i 'g1k. Tract 4. Owner 5. Contrac 6. Address 7. City State Zip 8. Building Type: Residential Q Commercial 0 Institutional O 9. Work Description: New rk}" Add ? Alter 0 Repair ? ? 10. Descxibe Fuel TYPe 1 11. No. Epuioment BTU - M. Ea. Forced Air - No. Eauipment CFM Air Handling: Mfg. Boilers M h E Mfg. ech. aust x Unit Heater Mfg. Other , Air Cond. ? . Mfg. , Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: I,., r._s f:. ,? -4 ;.s-'• - for Rouyh Final Inspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? Fill in numbered spaces S/C Type or Princ /egibty Tot . ? 1. Date 2. Installation Cost 3. Job Address Lot Bik. Tract 4. Owner ? 5. Contractor Phone ? ? 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures ? CesSpoal/Drainfield ? Bath tubs $eptic Tan k ? L.avetory ? Sofiner I Showe r W e I I ? Kitchen Sink Urinal/Bidet Other ' Laundry Tray ? I Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets I 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final InspeCtions: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot KnOb Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . .. .. ?: ? E rtc;i?? r?k ;?? ? .,?? r ? ? i ?? 1M1pIA;, t AF- F HETOHTS 2M0 (6I:° ) 4-''0--66ti4 PERMIT SUBTYPE: TYPE OF WORK: tirW "A-MItlp fiFCK INSPECTION .. . .. ?i ?F L ? Permlt No. PertnR Holder Date Telephone t ELECTRIC PLUMBING HVAC Inspectlon Date Inap. Commente FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG /Al' SF ? DECK FINAL i JJAIN:3C1USE eU1LDING PERMiT T_ L- ...r a. _. , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Re«ipr 4 PIoEX Ske Address Lot Blxk s Sec/Sub. Percel No. W Name ? Address BOX City , o Name r' t--• u? Address ' ? Citv Phone Neme ` :?!-• Phone 435-7 5 i 4 ? ..- ,,.? U J 0 Date ? rq EreCt ? Remodel ? Occupancy Zoning ? Repair ? Type of Const. ? Addklon ? No. Stories ? Move ? Length 4 ,y Demolish ? Depth ` 6 Int Impr. ? Sq. Ft. Assessment _ Water & Sew. Police Firo Enp. Pionner Council Permit -? L' -? • V I I Surcharge 2 B. 00 Plen Revlew 50 SAC 525.nQ Weter Conn. 540-d0 ' Water Meter - . J 0 ' Road Unit 0 I I hereby ockrtowiedye that I hove reod this opplicotion and state that gldg. Off. •'31 ' Tr. PL -.? ? • U U the iniormofion is corred ond ogree to comply with oll applicobte APC P? ' 5tote of Minnewta Srotutea ond City of Eaqon Ordirances. Var. Date C?ies 5ipnoture of Pem+itte* 7otal h Buildiny Permit is issued fo: L'= on the express condidon tha+ all work shall be done in accordonce with oll applicable State of Minnesoto Statutes ond City of Eapon Ordinoncas. 8uildinp Ofiitiol Mrmit No. Pwmit Holder Date Telsphons * ???ing Y, z- Y z 7 H.VA.C. ebetric (a YO Softemr Irapedioe Dau Insp. Other Footlnys I Footlnys II Foundation Framing Roofing Rou9h Plbp• ?- Rouyh Htg. Inwl. Firoplaca ...,. ,rc6l` ??6 ? w Final Htp. Final Plbg. L Flnel Cat/Occ. W??r Doscribe Loeation: W?II 8?w?r Pr. Disp. popipt i' MECHANICAL PERMIT Permit No. f. 0% VITY OF EAGAN F~ ----?- ,-' .. > r; FIlI fn numbrred spsca S/C , Type or Print legib/y Tot. 1. Dats 4• 2. Iristallation Cost 3. Job Address L:ot~ ~tIk. Trect 4. Owner 5. Contrsc .; 6. Addnss 7, City ? 5tate ' 2ip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter Cl Repair ? ? 10. Describe -'-Fuel Type - .:, 11. No, Equioment BTU - M. Ea. Forced Air ??.. No. Equinment CFM Air Handling: Mfg. Boilers h Mfg. Mech. Ex aust Unit Heater Mfg. Other Air Cond. ? Mfg. Gas, Piping Outlef9 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : - '` - - "' for Rouyh Final Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rmaipt PLUM8ING PERMIT Permit No. CITY OF EAGAN FN F/I1 in numbered specas S/C Type or Prin[ IepiWy Tot 1. Data ? 2. Installation Cost ? ? 3. Job Addreas Lot Blk. Tract 4. Owner ? ? 5. Contractor s ; ?, ? i t, ? ' • Phone i ? 6. Addrau _ ' I ? •? ? ? ;, t , t . . ? .. f , 7. City State Zip 8. Buildinp Type: Residential 0 Commercial ? Institutional O 9. Work Descxiption: New 0 Add ? Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank lavatory Softner ? Shower Well i Kitchen Sink Urinal/Bidet Othe T ? Laundry Tray r 1 Floor Drains Drinkin9 Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agres to oomply with all ordinances and codes governing this type of work. Siyned : ? for Rouyh Final Inspections: Oate Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 CITY OF EAGAN ?w? .. 3830 Pilat Knob Road, P.O. Box 21•199, Eagan, MN 55121 PH ON E: 454-8100 QUILDING PERMIT Reuipr ? 5ite Addreu - :>78 CL ?,I .? JlV ;?i? Erect ? OccupancY f.?; TFiOrtilh,`i Lot "? Block l Sec/Sub T.K fi`.i:= JRemodel ? Zoning . Parcel No Repeir ? Type of Const. ? . Additlon ? No. Stories ? '= j- - Move ? Length Q Name ? i; ?? ?? }? _ 1 H• li h ? ? ' Demo s Depth . 6 Address i Int Impc ? F S ? q. t. City Phone 42f) Install ? Z, O Name Z; ?+ u? Addresa ?- City Phone Assessment Permit ? A1,00 ! Woter a Sew. Su?charge 0 Police Plan Review l} Fin SAC 0 eng. wacer conrL G Planner Water Meter 0 Countil Road Unit % ii r` _ 90 Bldg. Off. • ' ? , . ? ? r Tr. PI. V , APC Parks Var. Date Coples - Total . ' ' ' . iU on the expren condition thot esota Statutes ond City of Eapon Ordinonces. ? LC„W I Nerne , t2TSGVOLD a i 1 hereby ocknowledgs thot I hove read this the in(ormotion is correct ond agree to c Stota of Minnesota Statutes and City of Sipnoturo of Permitta h Bullding Permit is issued to: oll work sholl be done in xcordante with and stote thot oll opplicoble 8ulldirq Offkiol Pwmit No. Permit Holder DaW TeIephona ? Plumbino .15 13 7 `:),?'?? ?<rurc.J ?'??'?YS --='.52 / H.VA.C. J U+ w,51(414 (D o ?3 I"lq / y safterw Inapection Date Insp. Other Footinys I ??S?K qr Footings II Foundation - ? Framtng ROOfI11Q Rough Wbg. ?, 10 Rough Htg. // lasul. Finpleca % Final Hty. Final PIDg. Flnal Csrt/Occ. I2 ? Wstar Doscribe loeatlon: WNI Sswer Pr. Disp. Rtpipt PLUMBING PEAMIT Permit No. CITY OF EA(iAN FN fill in numberod spaces S/C ` Type or Pi1nt /eylbly Toe. 1. Date 2. Instatlation Cost • 3. Job Adckess Lot?Blk. / Tract ?4. Ownar 5. Contractor ? Phone //. ' ' "? • 'k 6. 7. City Stete Zip 8. Building Type: Residential ? Commercial ? Institutionel ? 9. Work Description: New 0 Add O Alter O Repair ? 10. Describe 11. No. Fixtures Water qoset No. Fixture Cmpoal/Drainfisld Bath tubs Se tic Tank LaYatorv p Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinkinp Ftn. Slop Sink Gss Pipiny Outlets 12. 1 hereby oertify that the above information is true and correct, and I apree to oomply with all ordinances and codes governiny this type of work. Sign°d ' for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 4ITY OF EAGAN f/ll in numbered apaces Type w Print /eyib/y Permit No. FN .?_ S/C _ Tot. 1. Date 2. Installation Cost 3. Job Address Cot Blk. Tract l C-.,... ., .. .. .. . _ . . , 4. Ovmsr 5. Contractor Phona 6. Addross _ 7. Cty State Zip 8. Building Type: Rasidential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 1^? ype 10. DlSC(IbE Fuel T 1 11. No. Fnuipment 8TU - M. Ea. Forced Air „ No. Equiament CFM Air Handling: Mfg. Boilers M h E Mfg. ech. x aust Unit Heater Mfg. Other Air Cond. Mfg. ,. Gas, Piping OutletS 12. I hereby certify that the above information is true and correct, dnd I agree to comply with all ordinances and codes governing this type of work. Signed : - for Rough Finel Inspect+ons: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 454$100 PERMff # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site A dres s ' ?l ' , - 7 ' " k 1 ' d BLL?G. TYPE WORK DESCRIPTION 2 n ? Lots?-. Block ?- Sec/Sub a? Res. New ? m Name ° ? ? Mult Add-on Address 702 Comm. Repair q - ?ity Nopkins. r,ilrb" `75343 Other 9 -iBEJ FlXTURES TOTAL NO. Name Water Closet -$3 00 $ L c Address . Bath Tubs - $3.00 0 City rr.t Phone ' - b?? Lavatory -$8-00 Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet -$3.00 COMM/INO FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 MINIMVM - RESIDENTIAL FEE _$10,00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE _ 20.00 Water Heater -$1.50 STATE SURCHARGE PER PERMIT _ .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $7.50 BEYOND $1,OU0.00) -A-Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Ati? Rough Openfngs - $1.50 SIGNATt)FiE OF PERMITTEE./ ' FEE: ? - STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• Receipt PLUMBING PEHMIT Permit No. CITY OF EAGAN Fm Fi!l in numbered spaces S/C Type or Prini legib/y Tot. ` ?- 1. Date 2. Installation Cost ? S 7? . , 3. Job Address Lot Blk. Tract 4. Owner _ 5. Contractor Phone 6. Address 7. City State ZiP 8. Building Type: Residential ? Commercial O Institutional ? 1 9. Work Description: New 0 Add 0 Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield 8ath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: ??+ st 0 r rar, 3830 Pilot Knob Road Permit Number. '•` '? 1 K Ea an, Minnesota 55122-1897 ,; :?+ 7 ?'? ? ; 9 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: ? ` ; ;!rit??•, L t.t i {li 2NU { r. l .. 1 4.: 4i 6560 ? PERMIT SUBTYPE: TYPE OF WORK: u E!ic. R I p r 10 w i(fnT I NrqS Nt N fcr'taur1 n 1.1 V I .t f .INA4. Permit No. Permit Holder Data Telephone M ELECTRIC PLUMBING HVAC Inspection Data Insp. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST ItJSUL GYP BOARD FIREPLACE FiREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSM7 R.I. BSMT FlNAL DECK FTG IV6 C? . /N5 e T L DECK FINAL %' T0w1iFV?F34.;P BUILDING PERMtT Receipt # \ SiteAddress 1$$0B CLEMSON DR Erect W Occupancy R3 THOM LR AT Lot 'A 9- Block 1 Sec/Sub S 2 Remodel ? Zoning pn . Parcel No Repair ? Type of Const. ? . Addition ? No. Stories NEW HORIZON AOM Move ? Lengtn 44 ES INC W Na^e BOX 1367 P• 0 Z Demolish ? Depth 2C? Address • ? Int Impr. ? Sq. Ft. City MPLS Phone 420-3900 Instau ? O , S?L,, Name Appro As essme va Is t Fees it 30 P u? ? Address City Phone n s Water 8 Sew. erm Surcharge 28.0 15 5 Police 0 . Plan Review Name _ Address Sipnaturo of Permittee h Building Permit Is issued to: oll work sholl be done in ?rn Bufldlny Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone ad this oppiicdtion ond stote that e to comply with oll applicable ty of Eogan Ordinonces. Enp. - -- Plonner Council 9 3 85 Bidg. Off. SAC -?4-' • vv Water Conn. 500.60 water Meter 03.00 Road Unit 280.00 Tr DI 132.V0 APC I Perks Var. Date Copies Tora?_ $1•979.50 S IT'C on the exprcss condition #hot isota Statutes ond City of Eoflon Ordinances. Psrmit Na. Psrmit Holdar Data Talaphuna # Plumbinq ??,J ? .1?'t 7>L ?.<?-r?? ?`Z i?'j `? ??? -?si? H.VA.C. EMetric 03 Softensr InspOction Date Insp. Other Footinya 1 Footings II Foundation Framing Roofing Rouyh Plby. Rouyh Hty. az/ Insul. Flreplace Final Htg. Final Plbg. 1 9•Y- 3 Final ? Cetrt/Occ. Water aseribe Loenion: Well Sewsr Pr. Disp. Reaipt ' PLUMBING PERMIT CITY OF EAGAN Fil! in numbered anaces Type or Print /egibJy Pormit No. I FN S/C ' T Ir r1 i 6 C?-- : °t 1. Date f - 2. Installation Cost 3. Job Addresa Lot Blk. Trsct 4, Owner 6. Contractur 8. Addross '-7. City 8. Building Type: Residential ? 9. Work Description: New E7 10. Describe 11. . , i 1 2ip Commercial ? Institutional ? Add ? Alter O Repair O No. Fixtures Water Closet No. Fixtures Cetapool/Drainfield BeM tubs tic Tank Se Lavatory p Softner Shower Wel l Kitchen Sink Urinal/Bide2 Other ' Laundry Tray Fluor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hareby certify that the above iniormation is true and correct, and I agree to oomply with all ordinances and codes governing this tYpe of work. Signed : for Rouph Fintl Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approvsd CITY OF EAGAN 4644100 Rocaipt MECHANICAL PERMIT Psrmit No. .,, 4 °ClTY OF EAGAN FN 0 fill in numbertd spacas S/C ' Type w Print /egiWy Tot. 1. Date 1u c, /-4 ' 2. Installation Cost - - 3. Job Addresa ?.?'J i" ..?.'`'- L`ot :?• gik.?. Tract 4. QNmer ? .. . _ .... ..., ?... . . _ . . . 5. Contractor Phone 8. Addrass i 7. City State Zip 8. Building Type: Residential L?" Commercial O Institutional 0 9. Work Description: New CQ Add ? Alter O Repair O I 10. Describe f'?A,,,l,.?r.,+s. E f':".?'`<•?c??--i<,r._?) :Fuel7vPe -?- , ?dl *W . I . No. Eauioment 9TU - M. Ea. Forced Air ?.?•-? No. Enuipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, P'sping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of wark. Signed: for Rough - Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? ?' - J & ? PERMIT # ClTY OF EAGAN- - FEE !d . &z, - ?n MECHANICAL PERMIT S/C " v u RECEIPT 454-8140 " / MINIMUM RESIDENTIAL FEE - $14.00 + ?SO TOTAI f ? . 5 u DATE MINIMUM COMMERCIAL FEE - $20.00 + 50 1. Bldg. Type: Res Le" Comm Inst 2. New Add ? Alter Repair 3. Total Bid Price 4. Job Address Lot ? Block Se?1?'iy?7?? 5. Owner !•? ? 6. Contractor (Name) ($traet) (Ciry) (Zip) 7. Contractor Phone # '?• • ? -?` r - RESIDENTIAL HEATING -41-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.UU RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$fi.00 MODIFICATIONS/ALTERATIONS -$70.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. AIR PIPING PROCESSED PIPING AIR HANO. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM.IIND. RATE - 1% OF TOTAL BID PRICE PLUS $.SU STATE SURCHARGE FOR EACH S1,000 OF FEE. Sign r ??r'i• ? for - p Inspections: Date Rough Insp. Date Final Insp. ? :3 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i 3830 Pilot Knob Road Permit Number: I Eagan, Minnesata 55123 Date Issued: (612) 681-4675 Gontro! No. 1107 ?+tf ; 1 I1i NH 8 # 11'y il i A9/abi/9? SITE ADDRESS: 1.0Y + 39 stoct t APPLICANT: I6e0•78 GLEMSON DR 6RU1EM 4E52@N iBUILO ?N?1Mli1?? ! AK? NE I f3NTS 2N11 ( fs12 ) 991-3976 PERNIT,PUBTYPE: TYPE OF WORK: AnDI;tort ?. y 1?? c????•??s+_--, ?u s 14.X' rA . ,a=T?? P.2?T- S J PermR No. Permit Flolder Date TelsphorN * S/YV PLUMBING HVAC ELEGTRIC ELEGTRIC Inspection Dale Insp. Camments Footings I Foundation Framing Roofing ! Rough Plbg_ Rough Hbg. Freplace Fnal Ntg. Orsat Te&t Final Plbg. Plbg. IrtspeCtor-Noti(y Plumber Const. Meter EngrJPlan Bidg. Finel Deck Fty. Der.k Ffnal Well Pr. C1isp. ? -' G??i.3Et??u•?:?:K?iT?.ts.A1.3..Gi11C7.CU. HOUSE HEATING TEST RECORD - ' ? ADDRESS CITY OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SQLD BY -?u ma INSTALLED BY Electrical Work By Gas Line By _ TYPE OF HEAT GA_ FA? HW_ STEAM SPACE HTR. UNIT -- GAS DESIGN MAKE •'`? r?-'?•'- MAKE OF BURNER Model Model . Serial Max. BTU Rating INPUT ^ c- ? C> C. MAKE OF FURNACE . 1 Model CONTROLS ? THERMOSTAT? n Heat Plug ? Valve Limit -- Limit Setting Fan Setting Pilot Type Pilot ft4ake Pilot Model Pilot Timing ? • ?' ? ?? ? U L.W. Cut Off ` Pressure Percent C02 Input CFH 1? v? •'rl? Percent 02 z Temp. Percent CO ?-? vf Vent Size KIND OF LINEF? DA SIZE NONE Draft Hood ? ? ? 7)c -, _i- Regulator Filters Size Number Chimney Location lnside -K Ou#side Chimney Construction C' /-, s s ? ,? Smoke Bomb Draft Door Wiring Test Tag Lighting Date Tested 19H- Company Testing ? ? ?• -' ?_ ?` ?` Name of Tester ).a r) GEO. SEDGWICK HTG. & AIR COND. CO. ' HOUSE HEATING TEST RECORD ADDRESS !.`D ?.?' `5 ' ? c ' ` ;'? • GTY ' OCCUPANT OWNER HEAT LOSS DATE HTG. IIVST. +. SOLD BY ti? INSTALLED BY Electrical Work By Gas Line By TYPE OF HEAT GA_ FA= HW_ STEAM SPACE HTR. UNIT HTR. OTHER . GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial Max. BTU Rating - INPUT c. _ MAKE OF FURNACE CONTROLS THERMOSTAT - Heat Plug Valve , 4"S c ?C'X Limit Limit Setting FanSetting Pilot Type L --', r? Pilot Make L- Pilot Model 19C, -- Pilot Timing -?!2 = 7 i?+U r L.W. Cut Off - Stack Temp. Y " Percent CO ?Vent Size Pressure - Percent C02 /e, Input CFH Percent 02 G KIND OF LINER 51Z Draft Hood Regulator Filters Size I Chimney Location Inside? Chimney Construction Smoke Bomb Draft Wiring Test Tag AN Door Pressure Lighting Inst. ' Date Tested Company Testing 7 Name of Tester ADDRESS! OCCUPANT ?-e0 C A"7Sc GEU. .,ruGrrltiC r, rU. & A;:, cChD. cO. HOUSE HEATING TEST RECORD , r CITY ` HEAT LOSS SOLD BY OWNER ?: ' • ? . ? :> /1ZA--? Electrical Work By TYPE OF HEAT GA_ FA •'_ HW_ STEAM_ CAS DESIGN MAKE Model Serial q 2 G -?i INPUT CaNTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type Pilot 11Aake 3?? ? 7 Pilot Model Pilot Timing L.W. Cut Off "- Pressure Percent CO Input CFH Percent 02 Stack Temp. S-' ? Percent CO INSTALLED BY - ` ? • - _ ' ? - ` '`? - Gas Line By 'r, SPACE HTR. UNIT HTR. OTHER CONVERSION MAKE OF BURNER _ Max. BTU Rating Vent Size _ KIND OF L Draft Haod Filters NONE Chimney Location Inside , Outside Chimney Construction Smoke Bomb ` Wiring Draft - Test Tag Door Pressure - Lighting Inst Date Tested Company Testing ? ??-•'" Name of Tester 4 ' ' GEO. SEDGWICK HTG. & AIR COND. CO. --, - HOUSE HEATING TEST RECORD C .? ADDRESS CITY OCCUPANT HEAT LOSS SOLD BY _ Electrical Work By INST OWNER INSTALLED Gas Line By. TYPE OF HEAT GA_ FA X HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER F A G_ A. N - Model Model Serial ?'7r`?5.? 6'7f3rf5 Max. BTU Rating - INPUT ? ?- MAKE OF FURNACE .?i CONTROLS THERMOSTAT Heat Plug ? Vent Size " r???^ ? Valve KIND OF LINER SIZE NONE Limit ?. ? Y7 ' Draft Hood Regulator Limit Setting -;k Fan Setting ? Pilot Type Pilot Make Pilot Model Stack Temp. • ' ' Percent CO ? ?Filters Size Number Pilot Timing L.W. Cut Off ' Pressure Percent COZ ? - ? Input CFH `'' Percent OZ Chimney Location Inside ? Outside Chimney Construction c??• s s '- Smoke Bomb Draft Door Pressure ' Wiring ? ? 'k Test Tag Lighting Inst. ? ? - Date Tested 4 Company Testing ' ? ?• ?- r'!A Name of Tester Form 235 CITY OF EAGAN iditien Lot ? i?Z Blk ? I Ps?os4 #10 gt,.t 1578 Clemson Drive sun Eagan, trfi 55122 I Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ' STREET RESTOR. GRADING SAN SEW TRUNK 19 73 czcuCr # SEWER LATERAL 1981 7. SZ 1.0 O 2 5-5-83 , WATERMAIN WATER LATERAL 1981 WATER AREA J? . . STORM 5EW TRK 91 24 . A012I. 2 -5-$ f, * STORM SEYV LAT 1??1 CURB & GUTTER SIDEWALK STREET LIGHT " WATER CONN, 8UtlQING PER. SAC 525.00 PARK CfTY OF EAGAN Add ition !MoMaS Owner ldj.L7.OT1 Lot Rlk A l Parcel #7 n 73250+-55201-412 screet 1578 B Clemson Drive stete Eagan, AMi 55122 Improvement ? Date Amount Annuel Years Payment Receipt Oate STREET SURF, 2']9. 71 55,94 5 STREET RESTOR. GRADING 3 SAN SEW TRUNK * SEWER LATERAL S'] L 1 52 7 5-5 3 ? - WATERMAIN ,t WATER LATERAL 1981 WATER AREA 19$1 136.51 27.30 5 S°TORM SEW TRK 1981 312.37 20.82 15 249.91 A0121 2 --8 * STORM SEYV LAT 19$1 CURB & GUTTEFi SIDEWALK STREET LiGHT WATER CONN. BUILDING PER. 10942-10945 525.00 , PARK I J CITY OF EAGAN ?a Remarks Addition T1anmas Lake fieigbt- Addition Lot z Pa.cei #10 Owner street 1580 Clemson Drive stete Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date srriEEr suaF. 1981 279. 71 55. 4 S g STREET REST'OR. GRADING SAN SEW TRUNK /973 Q4a(,/ *SEWERLATERAL 37.6 2 2 - 4 WATERMAIN * WATER LATERAL 1981 WATER AREA ' 1981 136.51 27.30 5 4 5-5-83 STORM SEW TRK 19$1 312.37 20.82 Z5 249.91 A0121 2 -$ * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROad WATER CONN, 500.00 BUILDING PER. SAC PARIC CITY OF EAGAN ? Remarks I Addition ? Lot Blk Parcel #10 owner Street 1580 B Clemson Drive State Improvement Date Amount Annual Years Payment Receipt date STREETSURF, 8 STR EET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 37. 61 7.52 15.05 5-5-83 WATERMAIN * WATER LATERAL 1991 WATER AREA 19$1 136.51 27.30 5 4.61 STORMSEWTRK 1981 312.37 20,82 15 249.91 A0121 2 -8 5-5 * S70RM SEW LA7 1981 CURB & GUTTER SJDEWALK S7REET LIGHT WATER CONN. 500.00 BUILDING PER. 10 42-10945 SAC 525.00 PARK CITY OF-EAGAN WATER SERVICE PERNUT 3S3J Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 OATE: Zoniny: _ No. of Units: Ownor: T1c 9 . AddI?QES' Sih /lddrcss• ' ?,.. . -'. - s<`r? :iom ? p Plurnber . ? 6 ' 7 eter No.: . 1 AA Conrsection SIZO: `? 0 [ K /?ydQun}` DE"*:1 :. : Reodsr No.: ? Permit Fee: 1 yrr 10 oa?u? ? Iw Cihr of EmyeA Surcharge: OIdIMllpii. MISG. CIlOfQBS: Q? Totol: gy Darte Paid: pote of Insp.: Imp.: D? S ' OF EAGAN Pilot Kwob Road Sox 21199 i, MN 55121 'I _ rxm Q m WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Unlts: - Np -?,? ? y;:s No.. to Gauoiy willi lM City of Eeyaw m ConIRW,on Charge: Acoourrt Deposit: Permit Fee: Surchorge: Misc. Chorpes: _ Totol: DoRe Pbid: TY OF EAGAN SEWER SERVICE PERMIT *0 Pilot Knob Road O. Box 21199 PERMIT NQ.: igan, MN 55121 DATE: r+irq: Na. of Urrits: - mer. Address: - ? F?..? to ae.rolr wilb 116 Cft of i."n of I nsp.: Cor+r+ection Chorps: Acaount Deposit: . P'em+k Fee: Surrharps: Misc. CMrpes: Tatal: Dots Peoid: CITN` OF r4'GAN 3830 Pilot knob Road P. O. Box 21199 Esgsn, MN 55121 2onirg: pN,rwr. i+a-i i;Urizo:l /lddrasa: 5ih ,?,?: 15'75 L Cle ras Plumber. , WATBt SEItViCE PERINIT PERMIT NO.: ? , DATE: " - No. of Units: . plL'X _ - - ,.', • s,+?;. Meur No.: _ .S / y oC o CAnneetion Chwfle. , u i si?: << aCK ?. ?„* ??: ? ??. P i Rsader No.:.157-M 9,/7 ,23- Permit Fee: I Mm to ftmPb wMh 11N Ckp oi Eoom¦ Surchorye: ' p ' Ordhwoam Mtsc. Chorpes: i `.)rTpc's ' Totol: . . ;n'), j ? ? BY Doft hir: ' Dote of Insp.: AL, ' S Inap; :CITY W EAGAN 8830 Pilot Knob Road • • WATR SERVICE PEitN11T P. O. Box 21199 PERMIT NO.: •' EaWn, MN 55121 DATE: Zanirg: . ' No. of Units; Owner: - - it'e$ HOri 2rm YnnQg Addross: Sitf ^ddRff: ' r: M i '- PIuR1be?: .t =? Cl ?• ;, SD'iL ?' 11?;;?3 ?lt ?; Met?r No.: Con ti O ? -- 1 nec on +orge: _ . .. . Size: A t D ' oooLm epoalt. Reoder No.: Permit Fee: i`-' • t=''T" . I "lM ft 00mwly Nk` do Q*y of fqpw $uR.f1Grge: , r i".F., ? QI'J?NDOM. AAIfC. Q'tOfqu: Totol: BY D H P id o c : ; Dote of Insp.: Ins : i p. f TY OF EAGAN S?? S?V? P?R L30 Pilot Knob Road 0. Box 21199 PERMIT NO.: gan, MN 55121 DATE: nina' No, of Unih: is eew'1p wbb !M Cay Of i""¦ of Irop,: CannscHon ampe; Acoounr apoat: Prrmit FM: Suid+orps; Misc. Chorgm Totd: Date Noid: t , ?CITY U:. ??AGAN #= F'Uot Knou Raad . O. Box 11199 agan, MN 55121 WATER SERVICE PERMR PERMiT DATE: . No.: ?'?`.s xs ?JU?3 b ! v-i3ZE:'. I Zonirp: _ O New Finri Zon wner: ? ,?derom Plun*ar. i:;oID}150T1 $?Ut(? s? ' - r No.: ? No.. c? a ?n 917-77 ym te eew/ly whh !M Cih ef Uyer e of I . e 504. DOad ^coount Dapostt: 15.OO?e Pem,ie Fee: Surchorys: Mlx. Chorpes: Totcl: Dote PaFd: CITY OF EAGAN . ryATO SMICE pERM 3830•Pil.,t Knoti Aoad ' P. O. Box 21199 PERMIT NO.: _ Eagan, MN 55121 DATE: C Zoninp: No. of Unitx P": n --- OWM?: M@w ltirr! 70r - ' Addhm Stte llddre?x p ;) r I°"" _..._. r+,•4 t, ; ' 1 ? = ;i ? ??1?.9 : =i? -? t ss ; T Plunbar. •'_rn*Fgan Meftr No.: Conrnction CF+orqe: OCiod Size: Account Deposit: b 5. 0 2- Reader No.: Pe?mit Fee: ' 0 - ;:; - I qrM h?ompll wMb !w Cilf oi 6mMw Surcharos: OrJimaow. Misc. Chnrpss: ' : ' '??^•s ; ? Totol: t,;r tl?n-? °??87 gy Don Pbid: CITY OF EAGAN 3830 P' ?at Knob Rosd PStMIT NO : P. O. Box 21199 Eagun, MN 55121 ??: Zordng; No. of Units: - Owrxr. • ` _ Addrcss: _ , - Site Addross: Plun+ber. i Mm 1e ean?l! wNb IM G!p of 4pa Canneclion Charpe: Acaounf Deposit: ? ? - OAiMWees. Permk Fes: 5urchorpe: gy Misc. CharoeX Dote of Irap.: Totol: 1- Doh Paid: ITY OF EAGAN .WATER SERVICE PERMIT 0 Pilot Knob Road . O. ox 2'1199 PERMIT NO.: an, MN 55121 p^tE:. . y in0: - ..? No.-of Untts! a :?-ElE_. r; i:0"i 2a?7_t'?Ij°:?, flfs. i. _ ". ,. t:• ? <. - .'? ^' ? /1ddress: T k i'. lr S I 1. •? umber: . ::omgsOn 71, 1 6 r t s ._ _ LAVV . ?_ P c: r No.: 36 D Conr+ection Charye: P - : ?'???Account Deposit: ? der No.: (Z.8 Permit Fee: • P ? to eosepy wilh !M Citi of Epea Surcharge: • P Misc. Charflea: ' ` - Tutcl: Dote Pald: of Insp.. Insp.: ? 17•? (o- S CITY OF EAGAN WATER SERVICE PERMR ' ; 3830 Pilot I?nob Road P. O. Box 21199 ` PERMIT NO.: Eagan, MN 55121 D/?TE: ? ZO^'^fl- - No. of Units: Owner, : wra ! : nr i mn 't%cr• n-, i /lddrosa: Site llddress: '' Sstnn ??a,.,? „•y?,, , i i ? PltlfNtJQf: 11li..l?)B.?Il ?'?.it.,•??it ' ... ..? ' ; li Meff NO.: COfN18CtlOI1 CFIOfw; ?•1'?° ??1?'?' SiZCC ACOOlJ11t QCpQSrt: ? Reader No.: Permit Fee: - . , : 1 pm !e eeroy wbb NN CifT of lrgaw Su?tharge: o.dua.o... Mtlac cho = 9 ? , :;.^_•rn3 '?'F , ? BY Date of Insp.: CITY OF EAGAN SEWER SERVICE PFRMIT 3830 Pilot Knob Road P. U. Box 21199 PERMIT NU.: ? Eagan, MN 55127 DATE: Zonirg: Na of Units: ,,i^-• • Owner: ? c:7i '•?{:tt -:ry"' - Address: Site /lddross: Plumber. ,^ - 1 ym ta eemplyr wMb fM Gly ef Eeve¦ Connaction Oharpa: - L25. .'"C11;. I OeJlNwpa Atocunt DepOSif: ?- I Permit Fae: ? I Suroho?pa: ? i ? By Misc. Choroes: :i 4I Dote of I rup.: TotoL• ? t irnp.: Dotr Paid: I ? . rpes, - Totcl: Date Paid: Thic revuest vola !.? -a J/.(/p 7 18 mpnths trom ?V ?? 5 / RF.m,est Date [/? Fire No. - .. r Rouph-in InsVecLOn Faqwred? ? keadY Nuw Q W,II Novfy Insoec- ? ?Yes No to, When Feady ?seo uecvma? t,onvactor 1 hereby request inspection oi apuva Owner elechncal wark inswllwA wt Street Address, Boa or Rovte /No/.? 1590 Uern.Son> ?2 LL C ty ¢y.? ecLOn o. Townshi0 Name or No. R.ange o. Counry /, ?4- 4 OccuUant (PflINT) ?erv Phone No, / ?Sl }0 2 D Power $upplier Adtlress Electncal opnVQacto'r iCompany Name) Convanor's License No. Mailmg AdJress ICOn[ractor or Owner Making Insta'tatmnl /J ? e?^r/ " `^' Author¢e Si [ue mr/ er king Instailabon) Phpne Numb¢r mimm[JOIA STATE eOAND OF ELECTRICITY Griggs-Midway Bldg. - Room N•191 1827 Universi?V Ava., St. Paul, MN 55104 Phone (6121 297-2111 [ni5 irvSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STA7E BOAND UNLESS PpOPEP INSPECTION FEE IS ENCLOSEO. tl-a/-XG REQUE57 FOR ELECTRICAL INSPECTION ' ??/uc?i?4 4 1 See instrucpons for completing this form on h»ck ot yel low copy. ? 1713 5 1(" Belaw Work Covered by This Request ?? I'A ?1?Rep. Typeol Bmldine ? AoDhoncea Wired Equipme-t W'red Home Range Temnorarv Service F,% ter t+pt, owioing Oryer Electric Heahn Commercial Bldy. Fumace Silo Unloader Industnal Bldg, qir Condrtioner Bulk Milk Tenk Farm Otner oecr v oiner ISne t .r Sueufy Other Other om out e Ins nectinn Fca Ralnu. M Fee ServiceEntrenceSize R Fee Feetlars/5ubfeeder, p fee Circu,ls ? to 200 Am s Ahove 200 q`ppy, 0 to 30 Am s 31 to 700 qinps 0 tn 30 Ani S 31 to 100 A s Swimming Pool Above 100_4mps A6ove 100_Nm s TransPormers c. .... Irrigation Booms PartiaL Other F Nerry.ks S TOTAL FEE /O, / n ?J' U uace I, the Elactncal Inspactor, hgraby c r?ify [hat the above ? -PacUOn has been repuest ihig repuest void (s?_ ? 1'b rrwnths (rom ?,/(g CL. JJ' 10-3=1985 ?6--li itred> ---- -- IE]Readv Nuw ill Notify Ingi Yes [? No or When Reetly 70 Licensed Electncal Conirector I hereby request mspecbon ot a0ove El O"'^er electncal work installad at Street Address, Box or Route No. CiTy 1580 Clemson Drive Eagan ecuon o. Township Name or No. ftonge No. Count 1??81€4M Dakota Occupant(PRINTI New Horizons - Phone No. Power Supplier Dakota Cty. Vlffi?'ington Elecvical ConVactor (COmpany Name) C??ntmctor s License No. O.B. Thompson Electric Co. A40602 Mailinp AdJress (Contracmr or Ownet Ma king Instaila[ion) d Mtka 55343 Authonzed SignatUre' (COnvacmr?Own¢r Mak?ny Instadabonl Phone Number ot'? 933-2521 MINNESOTA STATE BOAND OF ELECTRICITY Ily THIS INSPECTION FEQUEST WILL NOT Grigys-Midway eldg. - Hoom N•791 BE ACCEPTED BV THE STqTE BOARD 1821 lJnivers1ty Ave., St Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSEO. REQUEST FOR ELECTRICAL iNSPECTION EB-00001-04 ?y ' See insVUCAens tor compleLng [his form on hack oi yellow copy. 0 O? p1 nn '-X" Re/ow Work Covered by This Reouest 10?-Z6 ? ? X Adtl Rep. Type of Bwltlmq Home AppliancesWned Eqwpmen[ Wired Temporary Service Duplex x Lighting Fixtures Apt Bwlding V;EE Electric HeaLn Commercial Bldg. Silo Unloader ?ndustnal Bldg. Bulk Milk Tanl< Farm o?her Isi?e??ey) ` "` $PO°'?v x Disp.Dish. • orn,., Olp put e Ins nect?nn Foo aal.,?., M Fee ntranceS¢e feeders # Fe,e GrcuvIS D UG qm S 0 2.0 0 ?? 30 Am VAbove200 qm ?y ps = > 31 to 100 qm g Pool bove Amps Am s Above 100 merg n-?s • _ Partial' ctivn / Aemarks S 43.00 TOTAL FEE 'G ? Ho e , ?l} J Roa,n-in Onte ? ? i I, Ma Ela ctn Final ? + ? p e Insp?ctor, hereby cerLfy fhei the above ? Y ` inspection hes bpen ? / mede. Tnisrenuestvoi niamnnm. ..?m , .. This request void 1$ months Irom 5 r `{' _3 o 6 /o-1-85 K? nf; a n,? F L-3-) G r-n?? L lc. ck a-- 4Z?50 ftequasl Date Fire No. Rouuhu-in Insper?inn Rey eA? [:)Re.atly No,A?3W,ll Noufy InsPec- 10-3-1985 7?Yes ?NO far When Ready )[?F LicenSed Electncal Coiriractor I hereby iequast inspection ot above n Dwner elacVmal work installed ab Stree[ AAdress, Box or Route No. City 1578 Clemson Drive &aqan ectmn o. Township Name or No. R?nge No. County Dakota Occupan[ IPRINTI Phone No. New Horizons Power Supplier Address Dakota Cty. Farmington ElecVical Conhactor (Company Name) Cmrtr.?cmr"s Licunse No. O.B. Thompson Electric Co. A40602 Madinp AdJress (ConVnctor or Owner Making Ins[ailauonl 12201 Mtka Blvd., Mtka 55343 Auffior¢ed Sifl^ature IConVavtor Owner Making InstallaLOn) Phune Numbrr 933-2521 MINNESOTA STATE BOAND OF ELECTflICITV Griaas-Midway elde. - poom N-191 1821 Umversi<y Ave., St. Paul, MN 55104 Phone (872) 297-2117 THIS INSPECTION flEQl1EST WIIL NOT BE ACCEPTED BV THE STATE BOARD UNLE55 PROPER INSPECTION FEE IS ENCLDSED 6?.ZOV REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa ? ' Sae instrucbons lor complebn9 this torm on beck of Vellow coDV. ,A1?1 jo.?r Cl C.A (1'Z L; "x" Below Wak Covered by lhis Requesf 6J ? u ?ew AAA Rep. Type ol Bu?lding APpliances Wirod - EquiV??enl WireA Home Range Temrwrary Service Duplex Water Heater X LiGhtiny Fiztures Apt BuilAing Dryer EleCtnc HeaLn Commercial Bldg. N }S Fumace .50 Silo Unloader Industnal 81dg. Air Condrtioner Bulk Milk Tank Fafm Offirvi ,Peui V .ther ISUC, i1V1 ,nP, s????fv ,no, Compute rnspecrion ree ceiaw # Fee ServiceEMrance5ize 9 Fee FxeEets/SUhieetlers, # Pee Cvcuits 0 UG10 C?? to 200 Amps 0 to 30 Amps ?1yLD •?v ? uto su iam s n Ahnva 200 n,.,.,. 31 to 100 Ainps 31 to 100 A s I I gigns 1apeciai inspecuon 1 $ 43 OOI TOTAL F.EE? Rem3rks $OU62/ ??1'C? Rough-in I, ti?;Electncal hereby Inspecl0<< _ itdy Ihat the above finaJ mspectmn has been made. TOUrequealvoi018montnatmm - This reyuest void 18 Rqn[hs (mm I?o?4?n3g1 L k D--, ?rz.sa Request Uate F?re No. Nouph-in InsVer,tion 10-3-1985 Re4mreA? ? Heatly NowUWill NoUfy Inspec- {3Yes ?No tor When ReaAy ?Lrcensed Electncal Contmctor I hereby requast insPeclion ot abovo ? Owner electncal work inslalled et. Sveet Address, Box or Route No. City 1578 B Clemson Drive Eagan ecUOn o. Township Name or No. RanAe No. County Dakota OccuueM (PFINT) Phone No. New Aorizons Power $upplier Address Dakota Cty. Farmi.ngton Electrical Cnntractor (Company Name) Coniractor's license No. O.B. Thompson Electric Co. A40602 Mailine Atldress ICon[ractor or Owner Ma kine lnstxilatfonl - 12201 Mtka Blvd., Mtka 55343 Authorved S?gnature (ConVactor Owner Makiny Instal(atipn) Phnne Number ?- ? J •? 1 y 933-2521 MINNESOTA STATE BOAqD OF ELECTRICITY L? THIS INSPECTION REQUEST WILL NOT Griggs•Midwey Bldg. - Poom N-191 BE ACGEPTED 9Y THE STATE BOAHD I821 Umverefty Ave., St Peul, MN 55100 UNLESS PROPEN INSPECTION FEE IS Phone 18121297-2111 ENCLOSED. 00007-04 REQUEST FOR ELECTRICAL INSPECTION f EB-?- ? , Sae instruchpns for comyle4ng this form on beck ol yellow copy. o!S! r /? ?} ? p (? Rl? ?b n l7 "'X" Be/ow Work Covered by 7his Request New tAtl ReD Type of Bm1Uin9 ApPliantas WirOd Equiymem Wved Home Range Temporery Service ?uple x Water Heater X Lightiny Fixtures Apt Bwlding Dryer Electnc HeTtin Commeraal Bldg. X7f Fumace 2.50 Silo Unloader Industnal 81dg. Air Conditioner Bulk Milk T<ink Farm otn, ocu v tner (sperifvl cm, sun,.irv xx °thor Disp.Dish5.00 ?th<< Compute lnspectron Fee Below # Fee ServiceEnLanceSiza 9 Fee Feeders/Subfeeders # Fne Cvcwts 10 UG 0 0 200 qm s 0 to 30 qm s 0 tn 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 qm s Swimminq Pool t00_Am s Above Above 100_Amps Transiormer5 v Irngaon Booms .50 Partial.bther Fee Signs Special Inspection 5 Ne ?rks H 43.00 TOTALFEE I ? / ou s e . a I, Fou n c ??yh1 ] y?\ ?)t iC.?l-' 'rmal ( O,itn ??e 1, thn Efa?tncal? Inspecloq heroby certdy lhat the nbove sDecqan has been ? fhlerepuestvoitllBmonibairom / ? 7.oP 46 ? This rer?st void ?o-q-z _?1 0 3 9?L3 R15r arl Request pate 10-3--1985 Frte No. I Rnuph -inI nspecuon Re?wred? FeadV Now ?Nill No(ify Inspec- ? aVes ?NO tor When Ready MR Licensed Electncal Con[rec[or I hereby request inspection of above ? Owner electncal work installeA at. SVeet Address, 9ox or Route No. Cily 1580 B Clemson Drive Eagan ecLon o. Township Name or No. qange No, County Dakota Occupant IPRINTI Phone No, New Horizons Po,er Supplier Atldress Dakota Cty. Farmington Elecvical CoMracto, (Company Name) Conhacmr's License No. O.B. Thompson Electric A40602 Mailiny Atldress (ConVactor or Owner Making Instailauon) 12201 Mtka Blvd., Mtka 55343 Authonzed 5n0nature ICOntractor/Owner Making Instaliation) Phone Number .? '" l ? L U r . J ? 'Y A? y ? ? ?I r^ y °?' P}aSC 9 ?3 M L • a f- .C2? S-? ? r .. c [ / - R? . MINNESOTA STATE eOABD Of ELECTFICITY i? THIS INSPECTION HEQIJEST WILI NOT Griggs-Midwey Bldg. - Poom N491 BE ACCEPTED BV THE STATE BOAftO 1821 Univarsity Ave., 5t. Paul, MN 55104 UNLESS PflUPEP INSPECTIpN FEE IS Phone (612) 297-2111 ENCLOSED. 5p'&j BEQUEST FOR ELECTRICAL INSPECTION ee-oooo?_oa ' Sae instructiens for completing this form on beck of yellow copy. IQ?? o? ??j a n? q ""X'" Relow Work Covered by This Request FAtl Rap. TYpe o1 Builtling Applmncea Wired Eqinpmenc Wired X Home Fanc?e Temporary Service Duplex Water Heater x Lightiny Fixtures Apt. Bwlding Dryer Bectnc Heatin Commeraal 81dy. Runace 2.90 Silo Unloader Industnal Bldg Air Condrtioner Bulk Milk Tank Farm orner .nea(v Other Isneciryl ... ,,.,.. .. ?.._ t er Succity ..,.,...__ r_ _ ., , X O"er Dl9 .D1Sk1.rJ.DO Oiher M ce5¢e p Fee Fnaders/SUbteeders ' N Fee Cvmrts 0 ps q?r???y, m 0 to 30 Am s 31 to 100 Amps 1 25,00 0 to 30 Amps 31 to 700 Am m ool Abave 100_Amps Abave 100_amps Irngati?n Booms Speciallnspection -SO $43 0 Partial-'Other Fe e ' \ Re"ks xouse . 0 rorALF?, ?) 1 I I Rough-m oat , ? i, cn1k eiamncaj/ d Inspactor,-herehy Final "1 certrty that the abnve ? e sPectron hes been made . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction ReauiremeMa • 3 registered site surveys slwwirg sq. R ot IoL sq. ft. of hause, and all roofed areas (20% mazimum lot coverage allowed) . 2 copies of plan showing 6eam 8 window s¢es; poured fowd design, etc.) • 7 set of Energy CalcWations • 3 wpies of Tree Preservafion Plan d lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less unb) DATE -7- SITE ADC TYPE OF APPLICANT STREET ADD TELEPHONE ?ULTI-FAMILYBLDG,Y _N FIREPLACE(S) _ 0 _ 1 _ 2 PROPERTY OWNERTELEPHONE # ? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIINNCSOTA RULES 7672 (J submission type) . Residen6al Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet SubmiHed • Energy Envelope Calculatlons 5ubmitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Contractor: Mechanical systein includes: Sewer/Water Contractor: Phone # Phone # ? 01 o ? ?? ? ^1r . 1@UU 2 1. 2rr7 I ? L? l I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicoble State of Minnesota Statutes and City of Eagan Ordinan es. Signafure of Appllcanf --__----- °--------_----------- ---------- ------ --------------- ----------------°---...._ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater _ No. uF Badis _ Phone # Iawn Sprinkler No. of R.I. Baths _ Air Condilioning _ Hcat Recovery Systcm o? RemodeUReoair Reauirements • 2 copres of plan • 1 set af Eneryy Calculations for heated additlons • 1 site survey for exterror addtOns & decks • Indieate if hane served by septic system for addNons VALUATION ? RESIDENTIAL ?<-2 BUILDINC PERMIT APPLICATION ?aCITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Construction Reauiremente • 3 registered site surveys showing sq. ft. of bt sq. ft. of Iwuse; and all roofed areas (20 % maximum lol coverage allowetl) • 2 copies of plan showing beam & window sizes; poured found design, elc ) • 1 set of Energy Calculalions . 3 copies of Tree Preservation Plan if lot platted aher7lU93 • Rim Joist Delail Oplions selection sheet (bidgs wdh 3 or less umts) DATE (D `C)Ct ' Or- RemodellReaair Reauirements . 2 copies of plan • i set of Energy Calalations for heated additions . 7 site survey for eclerior additions & decks . Indicate if home served by septic system faradditions VALUATION SITE ADDRESS 1Sgb C?m?? ?Dr ???. MULTI-FAMILY BLDG _Y _ N TYPE OF WORII C) ` prI+V-1 16? M+k??FIREPLACE(S) _ 0_ 1_ 2 qA APPLICANT STREET ADDRESS _ TELEPHONE # Renewal By Andersen, Ine. ' 1920 Counry Rd. "C" West I Roseville, MN 55113 CE 651-264-4777 I STATE_ZIP I FAX # ,_Uicense # 20130983 _ _ ^ J PROPERflOWNER ?? ?QAIiNA TELEPHONE#IUSI•tdj?.9sro9 Energy Code Category (4 submission type) COMPLETE FOR "NEW" RESIDENTiAL BUILDINGS ONLY _ MINNESOTA RULES 7670 CATF,GORY 1 MINNESOTA RUL1:S 7672 Plumbing Contractor: ____ Plumbing system includes: . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calcutations Submitted Phone # _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heatcr No. of R.I. Baths ? No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor. Air Condiaoning Heat Recovcry System Phone # Tee: $70.00 Phone # I hereby acknowledge that I have read ihis application, state that the' tformation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O inances. ? Signature of Applica OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 cM !OJ U!1 4400 .. Y tml'IKIfAL BY MLKKM re al .? . Jwnot zoo) MY Of Ewa 3836 Pltot gnob Rosd ERM MN ss-1zz Ta wnom u iVfay concern: Elder 7ones is authorizryd to pull bWWing phmits for Rmewal by Mdeasen- Ptease aIIow Sdateldar Joncsboyondto p?vide tHis servicc for us in 8agan. 'ittis muhorl2svan i4 vatid for eny 6/6lOl: to the City. until aWmowal by Andersen mmam cipmsIY revolaae it in wiidng our? bu? this autlio?han be e?ccepted expedi@ously. av W not delay in d?e p?pg af ildinS Po?a anY fiaxthcr. Plcxac cari mc If tLclc aro nay qaeaciana.. I can Ixi contacbed at 763-502-4706. Your immqdiat,c mltcntioa to tbls mattcr is siaoeialy, ond RosKatlatio&nnkMx;Ata.p,r Ranowal by A,ndvrson Corporalian Cr.: Karn-Wder7nnaa °?Q,?. ? WMY*?? : ImUU°a Received Tiroe Jun. )- 1?07Pm -CGEMSoN i9ybo? 9 io Q N??, 3 ?.oo / /z.. a,sJa /µL7o2 Q m`14 '' ??• ?_ A N 9 ?o ?? C3 1?J Y 2 \N -z O s (93 0) ? l ? 0 0 S? a ? ? O v ?\ F u' pl i o lq3 ?? ? i i \ ' 3 1.00 % o E lN yi,o0b.3`1l b N b r ^ Buildrn9 -I*9 O Denotes Iron Monument ° Denotes Wood Stake XOD0.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.0 ?- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9375 1 hereby certify that this is a true and corred representation of a survey of the boundaries ot Lots 37, 38, 39, and 40, Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota Count}, Minnesota And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 27th day of Auevst 119 85 , r?. Paul A. ,7ohnson Land Survevor, Minn. Reg. No. 10438 McCOMBS-KNUTSON ASSOCIATES, INC. CONtYlfWi [RppEFNf 6 11f0 SUIIYFYO11S S LT! fIAIIRRS WMMEYOLR rM 1MCMlHfON.WWELOTA ?- CERTIFICATE OF SURV -1 •??E fior 7430 NM HOWON hCXE$ . 0 / Q y?Z CNG PERMI APP1.iCaT7nN _ i , NOTE: ALL CONiRACTORS HUST BE LICENSED 11ITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS . 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS .? - To Be Osed For: Rrs,ocAcL Valuation: 5(,0 rim Date: 5 ;qo • p,!? --?- Site Address: 15-IR Do?mfum_ OFFICE USE ONLY Lot: 31 Block Sect/Sub ?EcErect _ Occupancy ?'/?1ls*3 Remodel Zoning Parcel U_ Repair Type of Const ' J Enlarge 0 of Stories Owner Nel.) /ZO?Q/20w/ Move _ Length Demolish Depth Address 100. eox _/3b7 Grade _ Sq Ft City/Zip Code zzzels. /l7.Av .o. SS.yfrO ' ----------- ---------------°. Contractor s r-- APPROYALS Address City/Zip Code Phone 0 Td_ Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Arch./Engr V. (>RPsWoLd ?OTAL Lq7 q• sv Council _Rqad Unit Bldg Off q -83 Parks ? ? ? 2 '7D APC Treatment P1 ? Variance- Address Phone # 413,r_ 7-,-2 y TOWNHOUSE . n BUILDING PERMIT SiteAddress 157$ CLEMSON DR Lot 37 elock 1 Sec/Sub. THOMAS LK HTS Parcel No. IN,m, NEW HORIZON HOMES INC = Address P.O. BOX 1367 9 City MPLS phone 420-3900 QQ u uS? f Name $AME City CITY OF EAGAN N°_ 10942 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 C?"J,? Receipt # J ' 4 PLEX Est.yalue $56,000 pate SEPTEMBER ll1y 85 Phone FW Name D. GRISWOLD i? Address ,Z " <W City Phone 435-7524 I hereby acknowledge thof I have read this apDlication ond sfote thot Ihe inlormation is correct and agree to comply with oll applicnble Stafe of Minnesoto Statut d City of fago Ordinonce s. Sipnuture of A Building Pemiir is issued to: NEW HORIZON HOMES m all work sholl be done in accordance with all plioobls Sto e of ' r Buildirp Officiol Erect M Occupancy R3 ZRemodel ? Zoning pD Repair ? Type of Const. V Addl[lon ? No.Stories neove ? Lenytn 44 Demolish ? Dep[h 26 Int Impc ? Sq, Ft. Install ? Avororals Faes Assessment Wnter & Sew. Police Fire Enp. Planner Council Bldq. Off. 9/3/8 5 APC Var. Date INC Statutes ond City ol Permit '7 J V 1. V V Surcherge 28. ?0 PlanReview 150•50 sac 525.00 Water Conn. 500. ? Q WaterMeter 63.00 RoadUnit 280.00 Tr.PI. 132.?0 Parks Copi08 Total 51.979.50 •he express cordition thos Eaqon Ordinonces. . ? _? 1985 BUILDING PERlIIT APPLICATION - CITY OF EAGAN NOTE: ALL COIITRACTORS NI1ST BE LICENSED 1iIiH TEIE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS w - To Be Used For: jPas,o cve.G Valuation: C?y oon Date: , Site Address: 1578B 0004nnrm ? OFFZCE USE ONLY Lot: 3$ Block I_ Sect/Sub o~ tcErect Occupancy A'ell?y3 Remodel Zoning Parcel fi ?r Repair _ Type of Const ? Enlarge 6 of 5tories Owner N? /,loRizc,? /1a,?,pf ?va. Move _ Length ? Demolish Depth p,( Address P p. Bo x _ 13b 7 Grade _ Sq Ft City/Zip Code ??/r. A7„vr• SS.'Y6f0 Contractor Address City/Zip Code Phone U Arch./Engr V. GRrswoLd Address Phone 4 y3s- 7-1r2 y APPROYALS Assessments Permit Water/Sewer Surcharge Police Plan Revieu Fire SAC ?r? Engr Water Conn !5700 Planner Water Meter Council Road Unit ? % Bldg Off?,,? -Parks APC Treatment P1 Y 4-5 Variance _ SO?AL TQWNHOFJSE . CITY OF EAGAN N°_ 10943 3630 Pilot Knob Road, P.O. Bax 21-799, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # 1 OF 4 PLEX $54,000 SEPTEMBER 11 85 Te M wed for____ Est. Value Dote , 19_ SiteAddrew 1578B CLEMSON DR Lot 38 Block 1 Sec/Sub. THOMAS Parcel No. W IN,m, NEW HORIZON HOMES INC ; Address P• 0• BOX 1367 a City MPLS Phone 420-3900 o Name _ u? Address F rirv Phone Eract AJ Occupancy na Remodel ? Zoning PD Repair ? Type ot Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 26 Int Impr. ? Sq. Ft. Install ? Avvrovals Fees Assessment Permit •00 Wa1er8Sew. Surcharge 28-00 I Police 150.50 Plen Review Fire ? SAC 525.00 Erq. WaterConn. 500.00 Plonner WaterMeter ___jk310 0 Council RoadUnit 280-?0 BIdg.Off. 9 3 $rJ Tr.PI.132-OO APC Perks Var. Date CoOies 979.50 $1 qC on , rotal fhe txpre5s tondiflon Ihat FW I Neme D. GRISWOLD i? Address ?W citv Pnone 435-7524 I hereby ocknowledge thot I hnve reod this opplication ond state that the inlormation is correct and agree to wmply with oll applicoble State of Mmnewro St?uCit? f Eagap Ord'rwnces. $ignalure of Permitte o . A euilding Permit is iuued ro: NEW HORIZON HOMES uli work sholl be done in accordance with pl' bls Sfcte of ?r Buildirq Official ? `---?? 3oqc Statutes and Ciry of Eoqan Ordirwnces !• ; ,I?:...?., . o,t? 1985 BUILDIHG PERMI't APPLICATION - CITY OF EAGAN NOTE: ALL CONIRACTORS NUST BE LICENSED WI?H TRE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Rp_SiDEUCL Valuation: G;r„?nno Date: g•30.85 Site Address; irjgo`$ 0Qo,,nnmi ay, OFFICE USE ONLY Lot: 39 Block Sect/Sub ,,,,.f Et.Erect ?'/??fs*3 Remodel Pareel # Repair Enlarge Owner /?/P--? //oRizo,? .?1o.?rs S?e_. Move Demolish Address eox _/3b7 Grade a City/Zip Code zw/f, /J)„r•,, ,r,f,y?f? Contractor s 4L- APPROVALS Address _ Occupancy 45 _ Zoning _ Type of Const Q of Stories _ Length ? _ Depth _ Sq Ft Assessments Permit ? Water/Sewer Police Surcharge Plan Review Fire SAC ?? pO Engr Water Conn Sol7 `O Planner Water Meter Council oad Unit z K-,/) Bldg Off °J? Parks _ APC Treatment P1 Lli- Variance TOTAL City/Zip Code Phone A Arch./Engr P. G2tscJoLd Address Phone 9 y3.T- 7T2?/ TOWNHOU,SE BUILDING PERMIT 7s be wad fer 1 OF 4 PLEX Receipt # ?7_11_ $56,000 DefP SEPTEMBER ll ,0 85 SiteAddress 1580B CLEMSON DR Lot 39 Block 1 sec/sut. THOM LK HTS 2 Parcel No. ? Name NEW HORIZON HOMES INC ; Address P.O. BOX 1367 b City MPLS Phone 420-3900 ? Name SAME Z 8?u Address 1- City Phone GW Name D. GRISWOLD ? ?0 Z Address ?3 City Phone 435-7524 1 hereby ackrawledge thot I hove read fhis opplicution ond stote thaf the inlormotion is corrett ond ogree fo comply with oll applicoble State of Minnewto Statutes and Ci1y of Eog?a/,5 Ordirwnces. SlOnoture of Permitteg&z % A Building Permir Is issued ro: NEW HORIZON HOM all wo? shall be done in occordance wifh licabla ' Stat of L Buildi Officiol CITY OF EAGAN N°_ 10944 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 ? PHONE: 4548100 Erect ? Occupancy R3 Remodel ? Zoning Pn Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depch 26 Int.ImPC ? S9. Ft. Install ? AvPrmals Faes Assessmenf Wo1er & Sew. Police Fira Erq. Plonner Council Bldg. Off. 9/3/85 APC Var. Date i INC on. wt?otutes ond Ciy of Permit ;iiul ?1 U Surcharge 28 . 0 0 PlanReview 150-$0 snc 525.00 Water Conn. 500. 0 0 waterMeter 63.00 Road Unit 280.00 Tr, PI. 132. ?Co Parks Copies rotal 51,979.50 he exprcss cordition Ihot Eapan Ordinances. . / 0 9 %X APPLICATION - CIT4 01 NOiE: ALL CONIRACTORS HUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFZCATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: REs,otucG Valuation: Date: g•3n • S Site Address: ?5p.-, UoM8(-TA "14?, OFFICE USE ONLY Lot: 40 Block _L Sect/Sub o,,,,,,j ?kr-Erect ? Occupancy ?j Parcel 0 Remodel ? D Repair Enlarge Oc+ner Move Demolish Address Box 1367 Grade City/Zip Code Contractor se,,,JL- Address APPROVALS _ Zoning _ Type of Const ? 0 of Stories _ Length ? _ Depth _ Sq Ft Assessments Permit Water/Sewer Surcharge Sv Police Plan Review ? Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off ?Parks APC Treatment P1 Variance rorni. City/Zip Code Phone 0 Arch,/Engr fl. Grc?s.,?oLd Address Phone 0_ y3T- 75-2 yI TOWNHOUSE BUILDING PERMIT Te ye mud fla, 1 OF 4 PLEX Receipt # 1_1_) ?)01- $56, 000 0,,,, SEPTEMBER 11 ,,,85 SiteAddress 1580 CLEMSON DR Lot -40 slock- 1_ cec/sub. THOM LK HTS 2 Parcel No. Neme NEW HORIZON HOMES INC ; Address P•?• $OX 1367 U City MPLS phone `120-3900 Zg Name _ ?? Address • City , Phone FW I nlame D. GRISWOLD u? Address ?W City Phone 435-7524 I hereby ocknowledge thot 1 hove reod this oppliconon ond sfote thot fhe inlormation is correct ond ogree to comply with all opphcable Stote of Minnewto Statu and City of Eag Ordinances. SIOnntum of Perminq?? A Building Permit is issued to: NEW HORIZO HOMES oll work shall be done in accordanc it II opplicable tote o Min Buildlny Officiol CITY OF EAGAN N°_ 10945 3830 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 1V Erect Ck Occupancy R3 Remodel ? Zoning pp Repalr ? Type of Const. V Addition ? No. Stories Move ? Length Q ¢ Demolish ? Depth Z ( Int Impr. ? Sq, Ft. Install ? AOProrals Faes Assessmenl pemit ]_ . 0 0 Woter & Sew. Surcherge 2 8- 0 0 Police Plan Revlew 1 rJ Q. rj 0 Firo SAC 525,0 0 En9. Weter Conn. _LQQ.0 0 Plonner WaterMeter 63_O0 councii Raaa unit ? a n_ n o eia9. orr. 9/3/85 Tr. PI.- 132 .00 APC Perks Var. Date I Copies 1 979 50 INC , . ? 7otal on the exprcn conditlon tMt ewta Smtutes ond Ciry of Eaqan Ordinances. ? - i ._-{---r?.»,?i,?°.? TC?'utB??11DVI`.?_ 06. ., ,4GfI" ? 44 LOSSCALCULA710NS HEATINGBAIR CONDITIONING CO. N?t7f 26 MINNEAPOUS, MINN. Weatherstrips A.S.H.V.E. Con6truction No, , lnaulation NTindow5 DoorS Guida Reference Out. Wall Int. Well Ceiling Ftoof Floor Kind How Appliad Yes-No Yes-No 19_ Length 22 Width ? Z Heipht ? FI. MMI ?,YjROOm Length ?y0 .YNdth Height Wi ndows a nd Doors- Cracka ge and Ar ea ? Windows a nd Ooors- Cracka ge and Are a No. -- N',A,n ot anz Heiph[ ot pana No. of b hIS Lmael fl. oi crack Area sq. IL NO' W ?O, h ot eM Heipht of ene Nn. ol b nM L?neal h. o} crack Area sq. tL w ? e,e •- ?-7 U ? Coe1 Btu Coet Btu Infiltrahon 3 13 IntiHratian ..?? 1 2)R^ Glass 2y Gless Exp. wal I "t 12 Exp. well Net ezp. wall 12 q, i -51 Net exp, wall ? `?• ? a? n +nL:w3TF ?:?Cr { 117 222 Int.wall Ceiling ;.{ t 2 2b Ceiling I? ? 20((7 1-? j 1 S Floor floar Total Btu. 7 S Total Btu. V'S r Repuired sq. fL E.D.R. or sq. ins. W.A. Leader erea Reqwred eq. ft. E.O.R. or sq. ios. W.A. Leader area FL Room Length ? Width Height FI. 4c 2+41t(?qom Length I 5 Width I?.? Heiyht Ydindows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea Nu. h of ane Ne?qht oi ana No. of h hts Lrneal h. o( crack Area ? f1. NO' Wid?h of nne Hx?qht ?f noe Na. ul I? his Leal 11. omf cmck Area s. r1. ? 'i ??•? ri?l? .Z 2? Z ? 1. Coef B W Coef Btu Infiltration 224? Iniiltrabon !, Glass ? SQ /?Orjb Glasa ja E.p. wall zC s? Ezp. wall I-2- -AC Net exp. weil Ili Net exp. wall 7_,1 11 Int. wall Int. Wall Ceiling Ceiling t1C) 2 .'.) Floor Floor t';(, Tutnl Btu. s Total Btu. ? Required sq. f[. E.D.R. or sq. ins. W.A, Leader area Required sq. ft. E.D.R. or sq, ins. W.A. Leader area y Room Length 1'w! Width ? Height ? FI. Room Length I Width 5 Height ?6 Windows and Doors-Crackage and Area Wi ndows a nd Doors -Crack age and Area NO' Width ol ane Haiqh[ of ane No. ot li hta Lmeal N. af crack q•ea sp• h. Na. Wimh uf an ii?nqbl ul nna Nn. of Ir hta lineal (L of tta k /rea eq. h. Coef Btu ' Coef Btu Infiltrat?on Infil[rAtim Glass Glass Exp. wall Exp. wnl l _ Net exp. wall Net exp. wall _ Int. wall Int. wall Ceiling 12, }t, "j a. ? 1Q Ceiling Floor lutal Btw Total Btu. Required sy. ft. E.D.R. or sy. ins. W.A. Leadnr aren 1 Q 6q. IL E.D.R. or Sp•,in5. W.A. LeedeF area Raqu??eA HEAT LOSS CALCULATIONS fw• H EATI111G 8 AIR .Stdq0tc4 CONDITIONING CO. MINNEAPOLIS, MINN. N'ea[herstrips A.S.H.V.E. ConstruCtion No. . Insulatron VTindows Doors Guide Raference Out. Wall Inl. Wall Ceillng Roof Floor Kind How Appliad Yes-No Yes-No 19__ FI, Room Leng[h 1() Width Height FI. Roan Length Width Height _ YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Ooors- Cracka ge and Are a Nu. 'NiAih of ane Herp?? ol ane No. of li ? ?s ?meal 11. ol c rack Area sq. It. NO• Wip?h a1 ane HO?ph( ot a?e Nn. oi I. hta Lineel ?L of aack ?.?ea ip. It. a p y e ? Coef Btu Coef 8tu _ Inhltra[ion 311 7(p13 Infiltret?o? Glass Glesa _ Exp. wall IL Exp. wall Net exp. wall - 2 Q Nat exp. wall ? Int. wall Im wBll _ Ceilmg CeI11n8 Floor Flpor Total Btu. Totel Btu. fleUuited sq. It. E.D.R. or sq. ins. W.A. Leader erea Required sq. 1t. E.D.R. or eq. ins. W.A. Leader erea 717 C.yr•;?,. Room Lenpth -.L Width 1' Heipht FI, Room Length Width Haight Windows and Doors-Grackage and Area ik Wi ndows a nd Doors- Cracka ge and Ar ea No. We?n of ane Haiqht o1 ane No. 01 b hts L?n081 tl. of creck Area sV- ft• No' W??th of ane Hx?pht of anu No. ul b hts lineal II. of cr ck Area sp. ft. Y 9 2 } cD° ? '1 3?- Coel Btu Coef 8[u Infiltra[ion Infiltret?on Glass () QQ Glass _ Exp. wall Exp. wall Net exp. wall 292 9•? ? ? Net exp. wall lpt,.waµ Int, wall _ Ceiling Ceilinp - Floor Floor . iotel Bw. Total Btu. Hequired sq. ft. E.D.R, or sq. ins. W.A. Leader area Required sq. ft. E.O.R. or sq. ins. W.A. Leeder area _ iFI.M :f R5t9 Length t Width Height FI. Roam Length Width Height Wi ndows a nd Doors -Cracka ge and Ar ea Wi ndows and DoOrs -Crack age and Ar ea W?A'n O( d?12 He,qM Of BpB No. of 11 Ilb l.neal h. OI CrdCk A•ea sQ. IL No. U? di18 rUnqbt UT A?1e Nn, oi II h(9 llneal It. O? Gf?L?t 4.ea 6. fS. Coef Btu ' Cvef Btu Inl?ltrat?pn In}iltrAliOn Gtass Glass Exp. wail Exp. wnll Net exP. wall Net exp. wall _ Int. wall Int. well " Cellmg Ceilin9 Floor ;y ?'-? ?'? ? ? ?•S ? flnW 7otal 6W. Tptyl 8N. _ Reqwred 5q. ?t. E.D.R. or sq. in5. W.A. leader area RnquireA ea. ft E.D.R, or sq. ins. W.A. Leader area L d- 2!3 r/ BL CITY USE ONLY p ? RECEIPT#: ?r? SUBD?/ ZCG0r7{,?,?P /? o( ' RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete far: . single family dwellings ? townhomes and condos when permits are required for eaCh unit ? backflow preventer for underground sprinkler system FIXTURES EACH Shawer 3.00 Water Gloset 3.00 Bath Tub 3.00 Lavatory 3.00 Kitchen Sink 3.00 Laundry Tray 3.00 3.00 Water Heater 3.00 Floor rain 3.00 Gas Piping Outlet " minimum - i 3.00 Rough Openings 1.50 Water Softener ' Por dwellings under construction 5.00 Water Softener " for existing dwelling 20.00 U.G.Sprinkler `fordwellingunderconst. 3.00 U.G.Sprinkler 'forexistingdwelling 20.00 Alterations ` to existing residence 20.00 Water Tum Around 20.00 Private Disposal System ' oak Cty iic. 75.00 (new and refurbished systems) Private Disposal Systems " Abandonment 20.00 STATE SURCHARGE TOTAL TOTAL .50 _ So . I hereby adcnowledge that I have read this appliption, sfete Uiat iha informatlon is mrrect, and agree to wmply with all applicable Ciry of Eagan ordinances. It is the applicanYa responsibiliry to notity the property owner that the Ciry of Eegan assumes no liability for any damagee caused by the Clty during ks normal operetional and meiMenance adivities to the facilities constructed under this pertnk withm City property/right-of-way/easement. SITE ADDRESS: /S7 F OWNER NAME: Z -U 1--1 i°w INSTALLER NAME: &?i r STREET ADDRESS: 713 y ? CITY: S?' 41 1,41? ?k'-? S'os-L/ L/Y`. # x x x x x x x x x x x x x ? NO. Z #: .rffy-2>??/ STATE: /L/l ZIp: SIGNATUR F PERMITTEE I ? 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 A51 AR1-4l,75 Date: O ? Description of Work: _ Construct new fireplace _Gas _Masonry _ Alterations to existing _ Install gas insert w:ly Install gas line only _ Other -. slc..l l Q aoJC Job address: I `?, -1:*,) ? A-2WLS0V? \,) [- Lot: 4?) Block: 1 SuUdivision/P.I.D. Applicant (circle one only): Owner Contractor ig- Perniit Fee: $60.50 Name: 4¢4rinq dttA Phone#:(o51-?{?2? ( Z?? PROPERTY ast First O\VNER ?? ?/ Street Address: ?v CNn Ciry State: Zip: Companyef:f? 4- C P ;L PM Phone #: ('21 -?-?? (azea code) FIR£PLACE `> '? /? / ?' .-ry INSTALLER StreetAddress: (?i_'6 ?c? ?d? `1 City ln'?(z l ?Ue S[ate: ?U\__ Zip: ? Company: Phone #: (azea code) GAS LINE INSTALLER Sheet Address: City State: Zip: 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 Minneso tatu ity of F?a?n Ordinances. , ?T n l ? ?CT2?r- I , -?j'CTTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT ? 6UILDTNG PERMITTYPE: e3047e Permit Nu mber: 0 8/@ 7/ 9 7 Date Issued: 1578 CLEhISON DR LOT: 37 BL6CK: 1 THOMAS LAKE HEIGHTS 2ND P.I.N.: 16-75951-370-01 DESCRIPTION: B ,u-"' § n ?. :.?"x =,* i' REBUILD DECK Permit Type DECK ejork Type NEW d.?n. 434 ALT. RESIDENTIAL ?m:?aus?a Ug REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES .75 Surcharge $.50 Total Fee $51.25 Swbtotal $50.50 QQNTMC+TORT'M ?,ejf? nf,?90fL 14206550 QM*M:1 R ROBERT 18511 86TM PL N 1578 CLEMSQN DR MAPLE GROVE MN 55311 EAGAN MN (612) 420-6550 ;Irafd?iliaC?v'tt-i:5 dohi`8'b???#; tatU-ta*`.Aetd City af ,??ga L. o41Iq b,rl ( W -?ISSED B? 5i ATU ?- 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,?Q 42g cinr oF eacaN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauiremenis BemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies af plan • 2 copies of plans (indude beam & window saes; poured fid. design; etc.) • 2 site suneys (ex0erior eddttions & dedcs) • 1 energy calculatlons • 1 errergy celculations for heffied addkions ? 3 copiea of tree preservation plen 'rf bt plaGed after 711193 requiretl: _ Yes _ No • DATE: _Z-I 7- 97 CONSTRUCTION COST DESCRIPTION OF WORK: STREETADDRESS: / - ? LOT BLOCK ? PROPERTY Name: owNeR Street City: vl L a" a /C_ SUBD./P.I.D. #: ? /04- 2? ?.-c.eaeJ u., CONTRACTOR CDmpany: ? Zip: Phone #: L1 7?C ?053_0 Street Address: ??CH E?Z f`' A— License #: City: ??le- C (/ State: Zip: l( ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address: City: Sewer 8 water iicer.sed plumber (new construction only): and lot change are iequested once permit is issued. Zip: Penalty, applies when address change 1 hereby acknowledge that I have read this applicaUon and state that the infortnation is rrect and agree to comply with ail applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY REGEIVED Jl)? Certificates of Survey Received _ Yes _ No i Tree Preservadon Plan Received , Yes _ No _ Not Required ''- -? Phone #: State: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish a 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch a 09 92-plex o 14 Fireplace n 21 Miscelianeous 0 05 SF Misc. ? 10 _-plex ,J!r-15 Deck WORK NPE ? 31 New o 33 Alterations o 36 Move ? 32 Addition ?34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowabie) USC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq.ft. sq.ft. Footprint sq. ft. APPROVALS Planning Building Permit Fee / Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S1W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit i Engineering Variance ? ? Valuation: $ % SAC SAC Units k ! ? o D ? CGEM 5 0N . ? r 0 Denotes Iron Monumerrt ° Denotes Wood Stake X000.0 Denotes Existing Elevation (OOOA) Oenotes Proposed Eievation -+- Denotes Direction of Surtace Drainape Build:n9 ?W9 1S-7 g ?. C1?"mS°?? nC dt)1'LQ ?xST D?? I ? Q 1 O ' ?XISSIN?' - '-?.1 ? •L-gGK w'o Proposed Top of Foundation Elevetion- Proposed Garape Fbor Elevation- 937.0 Proposed Lowest Fbor Elevation- 937. S 1 Ameby certiy that this fs a true and eorraet representation of a wrvey of the boundaries ot ' Lots 37, 38, 39, and 40, Block 1, THOMAS LARE HEIGHTS 2ND ADDITION, Dakota County, Hinnesota And of the bcation of all buildings, ii any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of Me stakes as set for a proposed building. As surveyed by me or under my direct supervision'this Z Lh day o1 Aueust ,19 85 Paul A. Johnson - Land Surveyor, Minn. Ree. No. 30438 CERTIFICATE OF SURVEY MoC nOMBS-KNUT50N ASSOCIATES, INC. ?/'? fi0'??/???{?y??i uourt 1uuuk a tus suartrw 0 w[ nuom ru M rMlaL.?,JI r 1-7?.Ii1/iG?7 m,•?_ rMNFVOte w M?ICMqoM.rrRmTA 7/1 `10 T 7 July, 1997 City ofEagan Eagan, Minnesota To Whom It May Concern: Re: I S ?? ? ???S6b'u z9A- The holder of this letter is hereby authorized to build a deck up to a total area measuring 10x20 on the property owned by Horizon Hills Home Owners Association. The holder of this letter understands that because the deck is built on Association properiy, it becomes the property of the Association, with the unit associated with the deck continuing to exercise their private use exclusions. The Association will ensure the deck is constructed and the cement footing is poured to meet the City of Eagan building requirements and will order the final inspection of such when work is completed. Please feel free to contact me with any questions or concerns. Sincerely, Horizon Hills Home Owners Association 4? -?? Bazbara Koob, CMCA Property Manager, Member-At-Large cc: File P.O. BOX 21423, EAGAN, MN 55121 (612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT Control No. 1107 PERMITTYPE: BulLn=NG Permit Number: 001507 Date Issued: 0 9/ 2 5/ 9 2 SITE ADDRESS: isam-s cLemsoN oR LOT: 34 BLOCK: 1 TWOMAS LAKE WETGHI'S 2ND DESCRIPTION: -Buildi`nq Permit Type 8uilding-Work l"ype UBC Dccupan'cy Buildi.ng Length Buiiding Width. ? REMARKS: ? `. . oaiola UECK AODITION R-3 10 10 ? r, FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Su6total $25.00 COPY $.50 Total Fee $30.50 $.50 $31.00 CONTRACTOR: - Applicant - BROTEN DESIGN & BUILp 18913875 sT. Lz 000576 OWNER: HANSQN CLARENCE 7664 142ND ST W 1580-B CLEMSON DR APPLE VAIIEY MN 55124 EAGAN MN (612) 591-3875 (612)454 -4094 I hereby ecknowledge that I have read this appli cation and state that the information is correct and agree to comply w3th all applicable 5tate of Mn. Statutes and City ofi Eagen Ordin ances. L - - ??? 1' y?- ?- ? ? APPL ANT/PERMITEE SIGNATUFiE IGNA7 RE Y ISSUED PERMIT # REAC TIVkTY~_ LqO q CITY OF EAGAN $?311 0 0 1992 BUILDING PERMIT APPLICATION 681-4675 SEP 2 3 RECo SINGLE B MULTI-FAMILV ? s of plans, 3 registered site surveys, 1 copy of energy f ca cs COMMERCIAL 2 sets of architectural & structural plans, 1 set af specifications, 1 copy of energy calcs. Penalty, applies when typing of permit is requested, but not picked up by last wp rking day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date a, / Valuation of work Site Address:_ /5 - /S S,,A} Q/L . STREET SUIiE N Tenant Name: (commercial only) IAT BLOCK ? SIIBD. ??omA3 ?AKE P.I.D. M HEIG7{L ZNT) !1iswPar.1 /6 - 7595/ -39d -al Descri tion of work: P- The applicant is: O Owner E3 Cantractor O Other (Deseribe) Name t?L?A) L ^' C6= Phor.al5 g= 9c fq Property LAsT F[RST Owner Address E> (f-Lt'YLSc1ti1 f)r2-. STttEET STE A City Zp4(?16 State tM(Q . Zip Company _4_U_0IE/J nES ( C')n) ? !?Jt LO Phone g?l (' 3?7 S Contractor Address 26C. 4 14-;)L'L' !?2( -? License N0c0,1;-7 6 8` Exp. 3 3 City State MN, Zip 5A Company Phone Archttect/ Engineer Name Registration A Address City State Zip Sewer 6 water licensed plumber . Processing time for sewer 6 water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. 0 03 5F Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 O 33 Alterations ? 34 Repair GENERAL INFORMATION ? t R•.,in •eu? ?16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility C] 21 Miscellaneous ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 6arage/Accessary O 14 fireplace ?3 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. ?Allowable) Ist F1. sq. ft. UBC ccupancy R-3 2nd F1. sq. ft. Zoning 5q. Ft. total # of Stories Footprint Sq. ft. Length 1. ` On-site well Depth ,o1 On-site sewage APPROVALS Planning Building Engineering Yariance REGIUIRED INSPECTIONS ? Site ;5-Footing ? Nallboard ?3' Final O Framing ? Draintile O Insulation ? Fireplace Permit Fee oo v.iuacia,: Surcharge . ?? Plan Review icense City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ? Other Total: $ ? 37 Oemolish MWCC System City Water PRV Required Booster Pump fire Sprinkler Census Code SAC Code Assessments -q-3q- SAC % SAC Units HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to the co y of your Architectural Control Application dated?-a ?-9 a--- for the addition/ alteration cf eelL IL1(1)Q-,nS1 e-Y.- ol?I /S?O-rg ??QwrlonR approval is granted pending t e receipt of a City of Eagan Building Permit. Once you have obtained a City of Each Building Permit, please mail a copy oE it, along with any applicable drawings as required for the building permit, to: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Box 21423 Eagan, Minnesota 55121 As stated on your original Application, no work may begin until the Arahitectural Control Committee has been supplied a copy of your City of Eagan Building Permit. The approved completion date of this addition/alteration shall be g'- 3,b -g 2-? . If your project is not completed by this date, please contact the Architectural Committee for an extension request. Failure to obtain an extension by the approved completion date could result in HHHOA completing the addition/alteration project and assessing the costs to you. ?, • - ? . ??e.- s-u?-??-<-h-: -?-o /?'? a,?.,w.--? Date: Approved by: ? ?v , White Copy - Homeowner/Canary Copy - Horizon Hills File #J ' ?_?,• o pkl CLEMS?N ?-? Q -iT oi M? ?• O O S . , ?. ,°d O Derqtes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (OD0.0) Denotes Proposed Elevation f- Denotes Direction of Surface Drainage \ O '. O 9 yti a ? N s, e? n y O? $ o la'' . ?° 5 • a t. , . ? oo?o ? 9' ? tN ?Xts-SiNCY -? `+ •? • . y.GK i0 ? Build;n9 #9 Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation- 937.0 Proposed I.owest Floor Elevation- 9 3 7. 5 1 hereby certiy that tlus is a true and eorreet represerrtation of a survey of the boundaries ot Lots 37, 38, 39, and 40, Block 1, THOMA5 LARE HEIGHTS 2ND ADDITION. Dakots County, MSnnesota And of the bcation of atl buildings, if any, thereon, and all visible encroachments, ii any, from or on said land. It elso shows the location of the stakes as set tor a proposed building. As surveyed by me or under my direct supervision this 27th day ot Au¢ust 19 ,8,5, y' ?G?y" U _ `•Yt. frt+?4.?11. Paul A. Johnson Land Surveyor, Minn. iieg. No. 10438 CERTIFICATE OF SURVEY ? fior - ?-- McCOMBS-KNUTSON ASSOCIATES, INC. ???y? y??? nuwmG Em¦uu a ws ?wn,w ? an wuw a? ??? fMYGS m••?? rwrt*?as.rw?t.eeo?.r?rtserw 743? CITY OF EAGAN 3830 Pilot Knoh Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-75951-400-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1580 CLEMSON DR LOT: 40 BLOCK: 1 THOMAS LAKE HEIGHTS 2ND REBUILD Buildllig-,-Permit Type ;Building Wac.k Type i Census Code 4t f a? DECK pECK NEW 434 ALT. RESIDENTIAL -# _"` ? Qj-? ?f ! ? BUILDING 030477 08/07f97 REMARKS: FEE SUMMARY: Base Fee $50.00 COPIES $.75 5urcharge $.50 Total Fee $51.25 Subtotal $50.50 CONTRACTOR: - ppplicant - OWNER: NELSON, KESTH 14206550 GEHRIMG 7HOMAS 18511 86TH PL N 1580 CLEMSON DR MAPIE GROVE MN 55311 EAGAN MN (6112) 420-6550 I here6y acknowledge that I have read thzs infor,mation is correcI C an•d;-agree_rto comp7.y Statu?es?and `City of 'Eagak? ?'4`rdinaRoee.' ? . PPLICANT/P MITEE SIGNATURE I applicatian and state that the wittr all applicable State, oY Mn. , ISSUED BY?SIG ?A U? ? ? ? 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ?S/ aS ? CITY OF EAGAN 3830 PILQT KNOB RD - 55122 6814675 New Construction Reouiremanta RemodeURepeir ReauiremeMs • 9 registered site surveys • 2 copies M plan • 2 copies of plans (Indude beam & window saes; poured fid. design; atc.) ? 2 site surveys (exterlor atlCitions 8 dacks) • t energy celailaGons ? 1 energy calwlaWne fcr haeted additians ? 3 copies Mtree preservation plan H lot platted after 7/1183 requiretl: _Yes _ No ' DATE: / - J -2 - 97 CONSTRUCTION COST: DESCRIPTION OF WORK: L S STREET ADDRESS: LOT "? BLOCK ? (-6 _ I r-Wq Sewv O tz SUBD./P.I.D. #: 0?, 44 Ile,- 2 J"""-?? Phone PROPERTY Nem2: Ai?t OWNER ? M., Street Address: City: State: Zip: CONTRACTOR Companv: Phone #: Ll 2 0 (-537 Street Address: License City:._fflo/c State: /ylx/ ziP: 3/r ARCHITECT! Company: Phone #: ENGINEER Name: Registration #: Street Address: City: 5tate: Zip: Sewer & water licer.5ed piumber (new construction onty): and lot change arc requested once permit is issued. Penalty applies when address change i hereby acknowledge that I have read this application and state that the informabon is correct and agree to comply with ali applicable Sffite of Minnesota Statutes and Gity of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY RECEIV?? Certificates of Suroey Received _ Yes _ No .?? 7 f y?!7 Tree Preservation Plan Received _ Yes _ No _ Not RequireB? " July, 1997 Re: / S- 10 c?/ E/Y/ Jc?iL/ 'fJ rL City of Eagan Eagan, Minnesota To Whom It May Concern: The holder of this letter is hereby authorized to build a deck up to a total area measuring 103c20 on the property owned by Horizon Hills Home Owners Association. The holder of this letter understands that because the deck is built on Association properiy, it becomes the property of the Association, with the unit associated with the deck continuing to exercise their private use exclusions. The Association will ensure the deck is constructed and the cement footing is poured to meet the City of Eagan building requirements and will order the &nal inspection of such when work is completed. Please feel free to contact me with any questions or concerns. Sincerely, Horizon Hills Home Owners Association Barbara Koob, CMCA Property Manager, Member-At-Large cc: File P.O. BOX 21423, EAGAN, MN 55121 (612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION -? o DRi CCEM S oN _ . ? 1 Sp C1G WSbP o = 0 ? ? N ? ?, • ? v y r o , ? . tsu1ia,ng Wy PE QI)/?? zr'yST D?Z1C ? `q? pl ..?. ?y ?`?ISTINlr tox ti? ? . NGW , 4 ?-ECK 0 Denotes Iron Monument a Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundatiori Elevation- (OOOA) Denotes Proposed Elevation Proposed Garage Fbor Elevation- 937.0 .4- Denotes Direction of Surface Drainape Proposed Lowest Floor Elevation- 937. 5 1 hereby certify tlhat this is a true and eorrect represerMation of a survey of Me boundaries oF. Lots 37, 38, 39, and 40, Block 1, TfiOMAS LARE HEIGHTS 2ND ADDITSON, Dakota County, Ninnesota And of the bcation of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this Z th day o1 Au¢ust 19 85 Paul A. .7ohnson Lsnd Surveyor, Minn. Reg. No. 10438 i%%=4ol CERTIFICATE OF SURVEY ? McCOMBS-KNUTSON ASSOCIATES, INC. fior ' ??a?.y. auoim? utwua ? un ?unnio ? tnt nuna r??? .?^r.V/ {.?? "?? r11MENOls rr MrtCb?1?DM. WNtsDrw 7 /l ? o - ^ ' - ? M ??ON HOWS T W?? i `--v . y i . ? ?+`+•P'? ' ? CITY Or EAGAN 2/84 ' / APa . LICATION FOR PE4MFT SES9ER AND/OR WATER CO(SNECTIODT (PLEASE PPLNi) 1) PROP= ApDRESS: t FraI. DESIPTIC:1: (Lot/Slock/Su^divisicn tJr ati Parcei I.D. LNL:.Ser) Tc' E.YI.:?a. S'S?,L'C:LTRE, Dr1T' O° Gi2TG?AL `'IT_..)T I2:G :.?i _TSr?;C: ' , _ / P?zSc^_T ?^21I:x;/!?P.OPOS=J i'S: G3' R-1 SZVG=- FX-111: « ? R-2 CdJPL...rY (''_'•<O L^Ii:'S) . QR-3 TC7,7v'E?-CU,.?' Ml:-, r+ L?TI:S) f W I?'S) - ? ?-4 A?.P-=^/=o-MIILM ( [J.iI'PS) Q Can1E.:CLm/RE---=?Ce, I= ? ?'CL'SIRML Q INS=TIQ?L?S./?i -- Z) AnPI_SC=..,T (PLEASE PRiAI) NAP7E: L/ ADD_RESS: ? CITY, STaTy, ZIP: J a PfiOiIE_• ?n -- , 3) pLL:?,-'E.? ? (PLEASE FOR LITT USE ONLY ??. PDDRESS 1,22 01 ' PLUeBERS CICEASF: ' : 4 ctive CITY, STATE, ZIP: A Expire pHo: ? PLUxBER LFCENSE H ?Z???1 " I Q t Record . ?t 3 4) OCCC'?cM11TICS4PIM NF1MM: (PLEASE PRtlIfJ ADDRESS: -s,?l?/?„Q <p°'J ? CIT"L, STP.TE, ZIP: PFiC}:IE: 5) INpZCP,TE :VFiICH PERh1IT IS BEIICG RE1QUESTED: ? C0:",VF'rION 10 CITY SESvER ? C0DNFX.TIC:I TO CITY WATE2 • ? U.TER (PLEASE DFS I&E) . 6) II'aZG?:: C::c: . • ? PT.?ASE I?OID r1PPPOVED PEP.MJT FOR PZCK-LP BY C:IE OF r1EM!E .? PI.E7,Sc %';UL APPROVfD PMAiT TJ 1. 263 4 AfiC7VE (Ci.cle one) 7) SIG?'iCRE: _ _vjY??L??,( /? ? DAT°: ? _, . •,7! Ril?liMfirAl? i?l satl?satw aM sl?e?vi-?ra iy as s PFra??:rs a? fr?l4r?ra+??l+s? s? s1 ?e Nsal" ^ • n . FOR CITY USE ONLY ' PERMIT '-` ISSUED ? F`E57 SLR DE'1111Ty (INCLviL SURC:l?GLJ td3TER PE:tPtIT (IPICLL'D£ SL+'CF.hRGS) WATER AIETER/COPPERHORN/OUTSID : REe,D :R $ WATER TAP (INCLUDE COR?ORATZ0N STOP) S SE:YLR T.A? ACCOU:7T D£POSIT - S7ATER wac S .Sa.s?oo SP.C , . S _-- _ TRliNK_.SJATER ASSc',SS:I=:IT --- - ------------ S TRIiN1C SEWER 1SSESS:?E:iT $ Li+TEP.:sL $E:iEFIT/TRU:1K SET.:TE'ct S I,A:ERr1L BENEFIT/TRU:IK S4AT°_R WATER TREATMEI3T PLANT SLRCFIARGE $ -- - OTHER: - _ ' - S TOTAL Ai".OL'NT PAID/RECEI?T n SS?/? DOES UTILITY CON:7ECTION REQUIP.E £XC.IVATION IN PU&LIC RIGiiT OF WAY? ? YES IF YES, THE:I A "PERMIT FOR 'r70RK WITHIN PUBLIC ROADFiAY" MUST BE ISSUED HY THE NO ENGINEERIDIG ?IVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOS9ING CONDITIONS: APPROVED BY: TZ:LE: ° DATr: .e..w ..s... ti ' 1 i . ` :`-'?: ? ?7rj? ? 2/84 f ? CITY Or EAGAI3 ? INN Uui : APPLICATION FOR PE&AIT SEjJER AND/OR WATER CONNECTION {PLEASE PRINi) 1) PF.OP=- ADDRESS: r Fru. D:seuarics: (Lotl8lock/Sucaivisicn or Tat Parcel I.D_ LN4^rber) S'r' S'P?S.•C.'LT:2E , DAT:.' OF Os2T,GI`..A.i. uiI"L,U22:G ' PPrSr T -i::7Tx:1P?APOS=' ME: L? R-1 Sz;GLF. :7LMSI,y • 13 R-2 DUrnI....t'`t f'T_:•U G=SJ . ? R-3 niS:?rcr ?rc.:c?, '. L'cTI'?'S ) ( LNI':'S) • ? R-4 t`,P:+,??:P/C'C:?Ci•r?`IIt'„tii ( 0\i`I?'S) p CCt?nw'CL3i,/RE'"-uE?C'rz'Icz- ? lmmCS=AL C7 .L1'STI':LTIONIUAL/Cx?, EF? : TM'`T ' 2) APPTrIC:+"P (PLEASE P t.1I) NFLtitE: ACD.RESS: P CTTY, 5MTy', ZIP: LJ ? PH0NE: - - ; _ 3) PLL:?ER. (PLEd INT) FDR CITY USE OYLY NALME. ? r RDDRESS: • 2i? PlU!!8 ICENSE: ' Active ' CITY. STATE, ZIP: /V? j C] Esp' ed ' PHONE= ?7y?7 N51cr. ?L`JJ L IL?I PLUHBER LFLENSE # 12LW [,_CE Record ' arr nicia 4) p?,?TpiyT/ayr,.m NAMP_ (PLEASE PRiNT) ADDRESS: ? -?- CIT"l, STATE, ZIP: PhTk`JE: 5} IIVDICs'.TE :Vt1ICH Pm1IT SS BEIi`G, RDQUESTID: 91 GY,.^h?tE',GTI0v n7 CZTY SETrlER ? COiNFX.?TZC.I 'iO CITY [IHTM • ? Oi[mz (PIZ'ASE D£SGTtIBE) 6) INDIG.::: C::t: 7) SIC:,.'IL'rZF,: ? P*.: 15E E?OID APPP,CIVII) pg7,MST FQR PICK-L'2 BX O:IE OF r'16CNE ? PIE-c ?i1i2, p,PPRpVED P??dIT TJ I, 2. 3 4 F?FiC1?lE (Ci_?cle ane) , ??? DATE: ? ?-- ? _, . ?.a.?a??,..?.?. ?... ??:?.,?.,.......?_:..?. ?.......?.??.:..,....?..h....?..,.......?:s-.??.; F O R C I T Y U S E O N L Y ? PcRtitIT °- ISSUED FEES: Sv::EB D°R}'!rT II`iC?.:;D: SU?.C :ARGc) 5 /O Sp WATEB PERPIIT (IP7CL'uDE SliRC:iARGL) S e?7 jUC) ' WATER METER/COPPERHORN/OUTSID : REnD: a2 $ • ' WATER TAP (INCLUDE CORPORATION STdP) $ S::vER TAP -_1?0S2= $ AC.^_OUDIT D.F.PCtiSIT - LdATF..'R wac $ 5 ) -?` n r SP_C $ TRGUK tIIATER ASSESS:ws':iT - -- - -------- - $ TRtiJ1:C SzS7ER ASSE55:?E:iT $ L'nTE?.nL BE:iEFIT/T:;U:IK SL::EY S I,1TcRaL BENEFIT/TRU::K [IATEp ?J WATER TREATMENT PLANT SURQiARGE $ -- OTHER: $ TOTAL ??5-7°U Ar?OCNT PAID/RECEI2T ; DOES UTILITY C0NNECTION REQUIP.E EXCAVATION IY PUBLIC RIGi3T OF WAY? ?. YES IF YES, THEN n"PERMIT FOR WORK WITF2IN PUBLIC ROe1DWAY" MUST BE ISSUED BY THE F= NO ENGINEERING DIVISION. LIST AS A CONDS- TION. SGESECT TO THE FOLLOWING CONDITIONS: APPROVED BY: .. . .. TI:LE: DAT°: w frr 00s0 w r s? .4rr ?c? ?e .?? ?r?+ r? e r? sia wr+ ?c+? ac+ ??ri? sr? ?t+ ?t+ ?a ?i? se±? rt+ a! iw r. .r, r. y ? ?4? i , 2/84 a ? CITY OF EAGAN ; APPLICATTON FOR PER:?SIT SESJER AND/OR WATER CONNECTION (PtEASE PRINi) 1) PP.OPERIY ADDRFSS: , r.Frar. nESCRIPrzcv: 7 71- ?~° / sicii or ati Parcei I.D. Ntam-zr) ST?.CC^,*iE . DATu' 0r CiZTGZAi. E--UMiJ' r:G :.;_-i - , ::. ' .:: _..:e?Yf PP=SL :' "an`mr-/?ROPOS_J L'S: C?rZ-1 Si?;GL: :'?ttIIµ . Q R-2 DUPL= (T:O L^TrI'S) . 0 R-3TGS•.NTw TCF (R?._C? i m7I:5 ) I Wl TrS) ' Q P.-4 F,2:.4M=7/CC:Zi,,.anl=.%1 ( LTV2TS) Q t 'IC..- ? 'CL'ST.tMI, q LZ'ST=TICJ:.?;,/GGG=y: =-%T -- Z) AaPTSC=JT (PLEASc PRlM) ACDRESS: CTTY, ZIP: AAJ K PhU?lE: ?• ???J? - - - 3? pu,???v ASE PRI T) FOR CITY USE O.yLY ?ME• PDDRESS: PtUP.8ER5 C C. - ' CC1YC ' CITY. STATE, ZTP: Espired P??= C PLU!IBEA LFCENSE !1 o Ilecord ' nt 4) OCC(J?AN'f/C?v'pI.FZ NAME: ADDRESS: CIT7, STATE-, ZIp; PFiC7:IE: IvLFncc veinri 5) AVpZG,TE :QHICH PEFi-LiT IS BEIICC, RFQUESTL•ID: EN CL:aIF.CfIODI ZU CITY SESdER ? C==ZC:] 'IO CITY WATE2 • ? U.TER (PITASE DF_SCf2IEE) 63 MUIG,:: C2:c: 7) SICZ1:M-ZE: [] P*.: ASE t?OID APPF',OVEb PEPMIT FOR PTG1-?LP BY QNE OF eIEGZ,'E EM PIE?ASc :AIL pPPROVE'D PM%LIT TJ I. 2.(,s; 4 o1FOV'E (Ci.-cle one) ? /L DaTr: F O R C I T Y U S E ONLY P£°MIT °- ISSUE? FSnS: $ le-So S /? 5 u $ . $ - $ SG? ? s ga.s: ?5 . $ $ $ $ _. S SE?iLA T)ERMTT (I`1C.T,aJL.. JVC.C:,ARJG) W3TEcZ PERrtIT {INCL'uDE SliRC:iAc2Gc'.} W?.TER METER/COPPERHORN/OUTSIDE REnD:R WATv-R TAP (INCLUDE CORPORAT20Jt STOP) S::vER TAP ACCOLT-NT D.F.POSIT - [IATv-R wac sac TRUNK. [OATER ASSESS:IE:ST TRliJIS SESdER ASSESSME:+T L'niERaL BE:iEFI'f/T.°.UD1K Sc.:•:z.':t Ll.^.E:Zr1L BE:IEFIT/TRU.IK SdATER WATER TREATMENT PLANT SURCEIARGE OTHER: TOTAL Aiti'.OC'ST PAID/RECEI2T n DOES UTILITY CO.::IECTIQN REQUIP.E EXC?.VATION IN PUSLIC RIGiiT OF WAY? ? YES ZF YES,- THE*J n"PERMIT FOR 'r10R:i WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TY.E C] NO ENGINEERIDIG DIVISZON. LIST AS A CONDI- TION. StiEJECT TO THE FQLLOWING CONDITIONS: . _' APPROVED BY: - - - TI:LE: DAT_°: /.t7??? - w?w ..s?... ? sr .f,..c ? re w?+ w? w? w+in w?+ R+. ?c+? w?i+ rs? rr+.4.? sa ?.? ?.+o re? r? ?.i+ r? ? y ? . . 2/84 CITY Or EAGAN A PPLICATION FOR PERMIT SESdER AND/OR WATER CONNECTIODS (PLEASE PNINi) 1) PROPF'R't"! ApDRFSS: I ? rFraI. DrSCRIPTIC.V: Z? (lot/Block/Su:ctivisicn r TaY 2arcei I.D. Nu:cer) T'r ={ZS=-ia s'-l7?S,'C:'r:"tE• m7s 0° Cic2T.CimuS, Bu ?.JT I2?.'G -?'•S: s .• P°°SL:?' "-C: m7:/?RpPOS:J L'S: ? R-2 L'iiPF?..`?C ('_T:•? C^?TTS) . Q Z 3 2CdvNEMSE ('I?-??? 1 L':7I:'S) ( WI':S) • Q R-4 F,2A.MM'7yC.^.ZJC,t.lMTruM ( [1.,Z'*S) p CQ?nS.°CrAL/RE--mII?CFFIC= O 'SIRLAL Q L?STI;LTIC%Ai./G^GW'-N:T-E%T -- 2) AP?ISC?%-r (PLEASE PRifi) y NPItlE: ?? !K l/' y? ADD.RF'SS• CIT'!. STaTb' ZIP: , ? PFMIE: - - - 3) Pwmm LEASE P 1Ni) - FOfl CITY USE ALT ??. FDDRESS: L PLUABEflS NSE: " Ac! i ve CITY, STATE, ZIP: ghA C2 Ezp' ed N-? 1 r. ? Of RecorQ ' PHMTE: PlUHBER LFLENSE k ' ar a 4) OCmTp,D1T/C!dP1E.?Z NAM8_ IPLEASE PRLN! J ' ADDRFSS: CITY, STATE, ZIP: PFYkIE: . 5) IIVDZC".TE MICH PMLIT IS BE=, RE7QUESTL•D: III CG:?IEC.TIO.I 'it7 CZTY SD;EK ? Cow'?IF](.TIG:I m CITY S,TATETt • • ? U.'!!ER (PLPASF DFSCRIEE) ' bJ liSJiC:u:. C::[.: 7) SIC.-;TL'Rc,: ? PT.-EASE FOID r1PPP,OVID PER`9IT F'OR PICK-G? SY Q:VE OF RFiGZ,'E ? PIE-,SE :?SL APPBOVm PEM•LLT T'J 1. 2. ?. 4ABt7VE (Ci.'cle one) ? .. DATy': 6 ?, . ^?! fii?,??frJ1 y? i!+? l??ACA ar ?4If o?ra F? ?f ?4 Ri?aaii?:r a! M!!F]?Y?FlJ?1 s? Y? Yl! R?sia?yLi? F O R C I T Y U S E O N L Y 'PER}lIT - ISSUED I F..ES. s lLe'. $ / j+1ATER PERbtIT (Ii7CiuDE SliRCF.ARGc'.) WATER METER/COPPERHORN/OUTSIDE REe.D :iZ $ - ' WATER TAP (INCLUD°. COR?ORATZO:I STOP) 5 S-':':GER Ta? - ? /.J•vG' . .?.?..rJl.?.i ..?=?.C.1? ° J1..'.? ACCOUD:T DrPOSIT - S•IATE?t wac ^ sae ? $ - _THliNK_-LJATER ASScSS:=:T ---- -- --------- S TRli:IK SEtdER ASS: SS:?E:iT S L`nTER.;L BE:±EFIT/T3U:IK SE::':.'Fc S Ll:'cRAL SEVEFIT/TRU::K SIAT°_R $ ? ) WATER TREATMEIdT PLANT SURCEiARGE $ - OTHER: - _ ' -' $ ToTaL ' $ ?7 AMOC::T PAID/R£CEI2T n /?/ - • DOES UT2LZTY CO.:NECTION REQUIP.E EXCAVATION IN PUBLIC RIGiiT OF WAY? • ?. YES IF YES, THE:J A"PERMIT FOR W0RK WITHIN PUBLIC ROADWAY" MUST BE ISSUE? BY TY.E [_] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOSdING CONDITIONS: APPROVED SY: TI:LE: ' DAT°_ : ? is? ars+ w r i? .?? re+? r? ?? w? ?? re ?w-s? ?er? ?+ st.? l? +?i? w!? rt+ *r ? 7e ?.iw ww rrt? l! si+ ?. r ? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knoh Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWC6on Reowremenfs 3 registered site surveys showing sq ft. of lot, sq. fl of house, and all mofed areas (20%maximum lotcoverage allowed) i Soils Report if proposed building is to be placed on disturbed sal 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculallons 3 copies of Tree PreservaUon Plan if lot plattetl afler 111193 Pom Joisi Detail Options selection sheet (buildings with 3 or less units) Mmnegasco mechamcal ventllapon fortn RemodelfRepair Reauirements 2 copies of pian showing foohngs, beams, joists 1 set of Energy Calcula6ons for heated addi5ons 1 site survey for addi6ons & decks Add"Non - irMicate r(oo-site septic syslem I-?. 0 CD CG Office Use Oniv CertWSurveyRecd _Y _N SoiLSRepor! _Y _N 7ree Pres Plan Recd _ Y _ N TreePrpsReqoired _Y _N On-sAe Sep4c Sysfem _ Y _ N Plans are considered nublic informatian unless vou state thev are trade secret and the reason. q Da[e a7 / .20 / O'? / oc (? Construction Cost ? ?(? 3 Site Address ?`,? 1p ?/n sf? i[/6V 116- Unit/Ste # Tnl/!l?d?s Description of Work ?/A/ ?/ /t t /d,ti,G4 &14U rNUrn ? Multi-Family Bldg Y_ N Fireplace(s) _ 0 2 Property Owner Telephone #( ) Contractor 14Im 6_ ? /%d? Addre s s 901 / ` A ,? .Yil?f ? / 1//?/16? Re City ?? AUL ? y State yj // JIYI?/l/C? / ?,, _$d?J Zip Telephone 4 (6SI COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Resitlential Ventilation Category i Worksheet • New Energy Code Worksheet submissianrype) Submitted Submitted . Energy Envelope Calculations Submitted In ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an,aWieatiai] for a permit, and work is not to start without a permit; that the work will be in accordance with the appro/1) of Zk1.1 case of worJc which requires a review and Applicant's Printed Name Appki-69W-s Si ti� J PERMIT City of Eagan Permit Type:Building Permit Number:EA108620 Date Issued:12/21/2012 Permit Category:ePermit Site Address: 1578 Clemson Dr Lot:37 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-370 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Rhonda Steffes 609 West County Rd. E Shoreview, MN 55126 651-203-0149 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - PAMELA V SKOGLAND 1578 Clemson Dr Eagan MN 55122 New Windows for America 609 W County Rd E Shoreview MN 55126 (651) 203-0149 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink I For Office Use l My ~i, 11 j Permit # A-1.615% 1 I agn Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: u,` 1 Phone: (651)675.5675 t I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION B to Date: - i - i 3---- Site Address: _Unitl: Name: r, - Resident/ An ~ t Y4- 4J,0 h r! Phone: - ?2l - r- 'C,(14 Owner' Address / City / Zip: Applicant is: Owner Contractor T . Of Work Description of work: Kemp r- r o~ Tpe Construction Cost:+ 123 '400 Multi-Family Building: (Yes / No • Company: Rae_ Contact: W-- 670exi Address: t' ~z i nVl!? c:liCity: LS State: _L111Zip. Phone: 61,2 2- - ~ License - 1 t Z 0 6 2- Lead Certificate -&Af- 2 V?87 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ - NOTE.- Plans and supporting documents that you submit are considered to be public information. Portions,of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Ali z Applicant's Printed Name Applica s Signature Page 1 of 3 Dale Schoeppner From: Bjorklund, Gary (DU) <Gary.Bjorklund@state.mn.us> Sent: Thursday, August 11, 2016 7:46 AM To: 'permits@arrow-lift.com'; 'permits@arrow-lift.com'; Dale Schoeppner; DU.Elevator.ETrakit Subject: Final Approval for Permit Work at 1578 CLEMSON DR B, EAGAN ARROW LIFT ACCESSIBILITY: The ELV REMOVAL permit work has been completed and approved for the following project: Permit Number: ELV1605 Project Nam-. reg Lobeck Unit Site Loca on: 1578 CLEMSON DR B, EAGAN The Department of Labor and Industry has recently closed\Finaled the permit for the removal of the elevator at the site referenced above. Removal of the elevator is in compliance with the Department rules for elevators. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section 1 Dale Schoeppner From: Bjorklund, Gary (DU) <Gary.Bjorklund@state.mn.us> Sent: Thursday, August 11, 2016 7:47 AM To: 'permits@arrow-lift.com'; 'permits@arrow-lift.com'; Dale Schoeppner; DLI.EIevator.ETrakit Subject: Final Approval for Permit Work at 1578 CLEMSON DR B, EAGAN ARROW LIFT ACCESSIBILITY: The ELV REMOVAL permit work has been completed and approved for the following project: Permit Number: ELV Project Nam • reg Lobeck Unit Site Location 1578 CLEMSON DR B, EAGAIyJ The Department of Labor and Industry has recently closed\Finaled the permit for the removal of the elevator at the site referenced above. Removal of the elevator is in compliance with the Department rules for elevators. NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. CONSTRUCTION CODES & LICENSING DIVISION Elevator Section For Office Use rui.r.i•zr /60 • L �- - . APR 16 2020 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date /f/140!:f & Site Address: /r /g __.CLe/KS' r / e Unit#: rK / iitZt's / / Alti--___f_g Phone Resident' I trTY+r r rr , ''-, " - • -f fl,,'''' d e‘-k Agg4.ZA, .„.lewc,i.', 01^ri ike- -1' r.,4 - ' al Type of WOrK # 'r, 1 \,1, Building ;Yes lii�B d No t .. i.�,~, //eY1Gat..0LacT.rGw40A / e 1.0'pr !etatri"csr--s-ifictum if— L_44,7•,/(ey COtitractor rri, .-: 4h ).- C.s,i- - y yL -,:' , pfki.-6- I4' 5; E 6 1,11.--1, License -- ; DO NOT WRITE BELOW THIS LINE /6 7g C I g IN1SQ V\ p t, / o(/'& --/ SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi )( 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 'AL)DOO (n .) Occupancy 71k-c 1 MCES System Plan Review Code Edition g c7 i S SAC Units (25%_ 100%_) Zoning P1 City Water Census Code 147/ Stories Booster Pump #of Units / Square Feet PRV j #of Buildings Length Fire Suppression Required Type of Construction 513 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: �• A%ASo— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review — MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166106 Date Issued:12/11/2020 Permit Category:ePermit Site Address: 1578 Clemson Dr Lot:37 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-370 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Moustafa Arafa 1578 Clemson Dr Eagan MN 55122 (612) 859-1009 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature