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1582 Clemson DriD ?-31 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 PHONE: 454-8100 - BUILDING PERMIT , Rece;pt Te M wfd Me J Esf_ Value U. LtJ?. f1.?. to 'i.. Site Addreas `? ' T `• Erect Ll Occupency Lot Block ? Sec/Sub. i::?'• Remodel ? ? Zoning Parcel No. Repair Type of Conat. Additfon ? No. Stories 1 Move ? Length a 0 Name Demolish ? pepth ; Address .' ). ri`y ? 7 Int Impr. ? Sq. Ft. - C b L ..:... '? --- : ?n. . . .. i? u? Phone Name ; )?-' Add ress Pt,one 435-7ri24 1 hereby acknowledge that 1 hove reod this the intormotion is torrect ond ugree to c Stata of Minnewta Stotutes cnd City of Assessment _ Wofer 3 Sew. Poliu Fira Enp. Plartner Counti I ond stote thaf gldg. Off. ? oll opplicable APC wnces. V D Permit -313 = 00 Surcharge '• G . 0 t) , Plan Revfew SAC . ; Weter Conn. Water Meter Road Unlt Tr.PI. i _.G . .. ar. ate I Copi? Siynoture of Pemnittea Total . A Buildiny Pe?mit Is issued to: ? on the exprcss conditlon thos ? oll work shall be done in accordanu with oll oppficable State of Minnesotn. Statutes and City of Eopon Ordirionces. Buildlnp Official Pwmk No. Psrmit Hulder DoU Tslephone # Plumbtno "j r j-? ? -l J? ??,?? f? _ ci ? 7•? ??> i H.VA.C. ENetric ? Softowr Inspection Date Insp. Other Footings 1 v L,) Footings 11 Foundation Framinp Rootlny a.r Rough PIDg. ?- s'- ?`S ? ,?1??takl /D - y ? Rough Hty. N?? Fc- ai, Inaul. ? Firoplau Flnal Htg. K Final PIb9• CC'AT-C- Ll l,Qf' Finsl Cwt/Occ. Water Dftc ?ibe Location: Wsll Sewer Pr. Dlap. Rapipt PLUMBING PERMIT Permit No. ? CITY OF EA(iAN . ; FN I FiJI in numbsmd wacac S/C ! Type or Prinr /ey/bJy Tot ? 1. Date 2. Installation Cost ? 3. Job Addreu Lot Blk. Tract ? 4. Owner 6. Contnctor 8. Address t.' i 7. City 8. BuildingType: Residential ? 9. Work Description: New ? 10. Describe 11. Phona State ' Zip Commercial O Institutional ? Add ? Altar D Repair O No• Fixtures Water Closet No• Fix ures Cess p l/Or i fiald 8ath tubs p a o n Se tic T nk Lavatory p a h S Shower o ror Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Dnins Orinkiny Ftn. Slop Sink Gas Pipiny Outlets 12. 1 hereby certify that the above infwmation is trus and corroct, and I aprse to comply with all ordinances and codes govarniny this type of work. Signed : for Rouph F {nel Inapactions: Date Insp. Date In:p. This is your permit when numbered and approved. Approvad CIT1f OF EAGAN 464-8100 BUILDING PERMIT Site Addreu. Lot '.:? Pareel No. _ W Name _ ? Address CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ac ?o Name SAE?ii? ?` Address 1 CiN Phnna Name GR I S WQLD 1 hereby acknowledye that I hove rcad this fhe iniormation is correct ond ogree to c Stote of Minnesota Stotutes ond Ciry of Sipnature of Permittes N Buildinq Permit is issued to: oll work s?wll be done in xcordance with and stote that oll upplicable ,., --- of Receipt # Erect 1;a1 Occupency Remodel ? 2oning Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Ini Impr. ? Sq, Ft. Inatall ? Approvols FNi Asstssment Woter a Sew. Pol ice Fire Enq. Plonrw. Counci I Bldg. Off. 5 13 ',,5 APC Var. Date on .soto Stotutes nnd City ol Permit i { _ Ll () Surcharqe 'oi - ? 0 Plen Review i 5 f. _ 5Q SAC `?2 C? -j)O Weter Conn 5 0U. 0 0 We,er Metsr 63.00 Road Unit ?80 . 00 Tr. PL ' - 19 Parks Copies Totai rho exprcss tondition that Eoqon Otdinontes. Buiidinp Official Pamk No. Pamit Holdw Date Telephone ?k Plnmbinp ? ) °7 ) ) ? ? ` ? • ? ? / H.VA.C. ENetric 8oftensr Irapftnion Date Insp. Othtr FooUnqsl Footinys II Foundation Framing Rootlny Jf OrAlyf RoughPlbg. Z}%3S /.3 0 ? -? Rouyh Hty. Insul. 'A S Firoplace Flnal Htg. Flnel Plby. . )- Finsl Cart/Occ. ? Water Dncribe Location: Well Sewer Pr. DIsR Repipt PLUMBING PERMIT CITY OF EAQ/W fill in numbered Wsces Typs or Prin[ kpib/y 1. Date 2. Installation Cost 3. Job Addresa Lot Blk. 4. Ownsr 5. Contractor Permit No. -) FM , S/C Tot. . 1 Tract Phone ' 6. Addreu N li 7. CitY + State Zip ' 8. Building Type: Residential ? 9. Work Oescription: New fr] Commercial O In:titutional ? Add ? Alter ? Repeir O 10. Describe 11. No. Fixtures Watar qoset No. Fix uras Cmpoo1/prainfield Bath tubs Septic Tank Lavatory Sohner Shower Wel I KitMen Sink Urinsl/Bidet pther Laundry Tray Floor Drains Drinkiny Ftn. Slop Sink Gss Piping Outlsts 12. I heraby certify that the above infamation is true and correct, and I spree to oomply with all ordinances and codes 9overning this type of work. Siyr?°d' -' - for Rouph Final Inspections: Date Insp. Dste Insp. This ia your permit when numbered and approvad. Approwd CITY OF EAGAN 454-8100 auiLniHG ' ,!% 1 i 04iJ Receipt #j Site Addreas 15 ? ?? (-- i=; ?`:=: ('Ii 3+' Erect Q Occupancy . 5 Lot ' Btcek SPc/Sub Remodel ? Zoning . Percel No. Repair ? Type of Const. Addltion ? No. Stories Move ? Length . , -• W Name - i • Demolish D Depth • l. ti: ? Address : a . ' . Int ImPr- ? Sq. Ft. Cky ti Phone Install E3 A Name uu 3 Addre F- [:irv Name i' RI ?- v;t7;.D City by ocknowledfle that I have reod fhis application and stote that iiormofion is correct and ogree to comply with oll applicoble of Minnewto Stotutes and City of Eagqn Ordinonces. 5ipnotum of Permiftea R Bullding Pem+it Is luued to: oll work sholl be done in acvordance with all app Buildirq Qffidol CITY OF EAGAN 3830 Pilut Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 Asseument .??,: d Permit ^• 1 n Water 3 Sew. Surcharge Q Police Plan Review Fin 5AC ? 1 S . ' ' Enp. Water Conn - `1 u.[- U Plonner Water Meter r: 3.(; U' Council Road Unit '=0 _ f? d Bldg. Off. Tr. PL 1 i 1 _ !1 0 APC Parks Var. Date Copies TOtel on tta expross condition that twte Statutes and Ci1y o# Eapan Ordinances. Pwmit No. Permk Holder Date Telephona ik Plumbinq U L?` T??-L bl R 19 " Cl 3 H.VA.C. Ebctrio $oftsn?r I?etion Dats 6 Insp• Oth?r Footin?s 1 ?% Footlnys II Foundatlon Framiny Rooflng Rouyh Plbg. -EZ 2 Rouyh Mtg. Insul. S- Firoplace Final Htg. » Final Plbg. Final CKt/Oee. ?al Wat .r Desc?ibe Location: Well Sswsr Pr. Disp. R?aipt ' PLUMBING PIERMIT Parmh No, i CITY OF EAGAN FN ' I Pill in numbered wam S/C _ i ? Type or Prini /eoIdY ? TOL ? 1. Date 2. Irutsllatlon Cost ? l 3. Job Addreu - Lot Blk. Tnct 4. Owne? 5. Contractor , •r' r ' ?? •" `f Phone ? 6. Addrou 7. City. Stste Iip "%--- ?? -5' S. Buildiny Type: Residential ? l Commerciat ? Institutional ? / 6. Wwk Description: NeW -0 Add ? Alter 13 Repair ? 10. Describe 11. . ?C / No. ixtures Water poset No. Fix ures Couppp1/prainfield ' Bath tubs Se tic Tank -` Vvatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Dnins Drinkiny Ftn. ? Slop Sink Gas Pipinp Outlets 12. I hereby certify that the above inforrtqtion i: true and correct, rnd I ayree to oomply with aII ordinances snd codes yoverniny thia type of nrork. Siqned : f or Rouqh Final Inspections: Dau Insp.Date Insp. This is your parmit when numbered and,pproved, Approvsd CITY OF EAQAN 454-8100 --! Receipt PLUMBING PERMIT Parmit No. ? CITY OF EAGAN ? - Fea Fill rn numbered spaces S/C ; Type or Prini /egib/y ? Tot. ? 1. Date 2. Insta?J?tjon Cost ? /5g? ` 3. Job Address Lot Blk. Trac - =;t 4, ? -?.?. 4. Owner 5. Contractor 6. Address Phone 7. City State Zip 8. Building Type: Residential O 9. Work Description: New 0 10. Describe Commercial ? Institutional O Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/drainfield Bath tubs Septic Tank Lavatory Softner ?ower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the ahove information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Site Address Parcel No. Phone 85 Erect I.J d Occupency e - Remodel Zoning Repair ? Type of Const. Addition ? No.Stories Move ? Length 1 Demolish ? 4 Depth Int Impr. ? Sq. Ft. Name ' Zi Address Aporovob Assessment Feas Permit ? City Phone Water & Sew. Suroherye 'll) rc Police Plen Review •? Q ?W Ne?ne flro ? SAC nQ ?? Address Eny. WaterConrt `-' ''v + a;?Zu City Phone 5- 7 `-5 2 4 Plpnner Water Meter . t±U ? Councfl I hereby acknowled9e that I hove read this application ond stote that gldg. Off. I' - I ?- Roed Unit 28G.?) 0 j Tr. Pi. 13?:' . 00 the intormation is tOrrect ond ogree to comply with cll opplicoble A? of Eagcn Ordinonces Stute of Minnesotc Statutes and Cit Parks y . Var. Date Sipnoturo of Permittas Copies 1 . , y . '.)(? Total ? 8uilding Permit is issued to: ??'? on the express condition thoi II work sholl be dons in accordonce wirh otl cppliooble Stote of Minnesota Statutes ond City o4 Eopon Ordinonces. uildinq Officlal 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 'ERMIT Receipt Est. volue ClTY OF EAGAN "? 11039 ? Pamit No. Permit Holda Dm Telephone i? Plu^dA^g IIj h Ig 'J 33a5j H.-NA.C. ENetric Sohsror ImpeMion Dste Insp. Other Footings 1 Footlnqs 11 Foundstlon G ? Framing Roofinq Rouyh Plbg. %S RouQh Hty. 7 S- ;2Z.(," Insul. Fireplaco Ffnal Htg. f /} LUA- Final P1bg. CEVIVIA EM Final CN't/Oca Weter Dowibe Loeation: 1Ah11 8ower Pr. Disp. Roaipt T MECHANICAL PER IT Pennit Na .; • CITY OF EAGAN , ,. FN ' fill in numbered spaces S/C •Typa or Prinr /spiWy Tot. t. Date 2. Installation Cost 3. Job Addreu Lot• Blk. - Tract 4. Ownsr ? ' i ? ; -? ?? 5. Conusctor Pt?one ? . . _ . . _ . . ., _ 8. Addross 7. City State ZiP 8. Building Type: Residential O Commereisl O Institutional O 9. Work Description: New O Add ? Alter O Repair O P 10. Describe Fuel Type IF i 11. No. Equipment BTU - M. Ea. Forced Air No. Equiament CFM Air Handling: Mfg. r . ?- Boilers E h Mfg. Mech. aust x Unit Heater Mfg. Other -? Air Cond. Mfg. . ? Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Raugh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved C1TY OF EAGAN 454-8100 Reaipt ? Pernnit No. FN S/C Tot 1. Date 2. Installation Cost a i 3. Job Addreu " - Lot Blk. Tract 4. Owrwr 5. Phone e. Address 7. City • Stata Zip 8. Buildiny Type: Residential ? Comme?cial ? Institutionsl ? 9. Work Description: New 0 Add O Alter O Repsir D 10. Oesaibe 11. . No. , Fixtures Wster Closet No• Fixturts eapool/Dninfisld C Bath tubs , Septic Tank I.avstary Softnsr Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinkiny Ftn. ' Slop Sink Gss Piping Outleu 12. 1 hercby artify that the above infornwtion is true and oor?ect, and I aWne to oomply with all ordinances and codes governing this type of work. Sign°d ' for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numberod and approved. Approved CITY QF EA(iAN 4644100 GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ?G? AaDRESS QMS?? CITY OCCUPANT OWNER Alw-=A-L'? v`•'? zO^ HEAT LOSS?(? ATE HTG. INST. SOLD BY 4- `11 r? f J l IA,2 n INSTALLED PLY Electrical Work By `'--Gas Line By ?? (? c TYPE OF HEAT GA_ FA_X_ HW_ STEAM SPACE HTR. UNIT ? _. CAAS DESIGN CONVER510N MAKE IS K y " N T MAKE-OF BURNER Model ? 9q G Q "vC*A V OS U Model - - - -- - = J Serial i 54es'As-6K3 s Max. BTU Rating INPUT ? U U o 0 MAKE OF FURJIIACE - ' ? ?"??p? CONTROLS THERMOSTAT?_ Heat Plug ? Valve Limit -5 TE'? ?-a Limit Setting O °I Fan Setting -77 rn Pilot Type 47 1 e c 1', _ S?o r Pilot 114ake QC_-7- r v?- Pilot Model / 90 `/yT Pilot Timing _1? '*7f / yF`'? I L.W. Cut Off - Pressure Percent COZ Input CFH Percent 02 Stack Temp. " Percent CO ? i? Vent Size --? KIND OF LINER SIZE NONE Draft Hood Cs' ? °} Regulator -?S Filters Size Number Chimney Location Inside ? Ou ide Chimney Construction c/d S_S /. ` Smoke Bomb Wiring cn "s- Draft Test Tag 'Ve S Door Pressure Lighting Inst. ?ic Date Tested . S? 9 19 ( _ Company Testing ? p v S' r7 w c Name of Tester L J Y ?,, r.t u ? GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT OWNER NEw or' T-0^ HEAT LOSS SOLD BY Electrical Work By TYPE OF HEAT MAKE Model _ Serial _ INPUT THERMOSTA Valve Limit iNST. Gas Line GA_ FA.)( HW_ STEAM SPACE HTR. UNIT GAS DESIGN Limit Setting v?J v - Fan Setting m Q Pitot Type ? E '? r,' Pilot IUlake F C- Pilot Model ??/ U-/ q S Pilot Timing n'S7 T L.W. Cut Off ?•?`'? ? Percent C02 Pressure Input CFH Percent O ? 2 Stack Temp. °S -SC ?r Percent CO CONVERSION Vent Size KIND OF LINE ?R SIZE NONE Draft Hood Regulator ills S Filters Size N mber Chimney Location Inside O tside Chimney Construction G 0.S S ? Smoke Bomb Wiring ? x Draft Test Tag ? e S Door Pressure " Lighting Inst. OA Date Tested ?R ?j 13 ? 9496 Company Testing _ 73, (-' 0 J ? '?`-1 C 0 Name of Tes* GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ? ; ?7' ? ? c=?n??.? ?.? i`?:- ? ??J ADDRESS CITY o OCCUPANT HEA7 LOSS SOLD BY Electrical Work By DATE H;?G, INST tNSTALLED Gas Line By. OWNER TYPE OF HEAT GA_ FA-'Z- HW_ STEAM SPACE HTR. UNIT HTR. O'I'P1ER GA3 IGN CONVERSION MAKE ? f MAKE OF? Bl7RNEfi?----- Modei `'v? ? ??? U Model ------' Serial ?& 7-4 ?y Max. BTU Rating MAKE OF FURNACE-. - ` - - INPU7 O'n Model --?NTROLS THERMOSTAT?`? ? Heat Plug '-' Valve Limit S T Limit Setting ?-sC) `?/-- Fan Setting r'" (a C? Pilot 7ype s Pilot 114ake S l?' ?' cT ('v Z- Pilot Model 9 U -/9r Pilot Timing 7 Al % L.W. Cut Otf Pressure J ? `?-? ' ? • Percent C02 Input CFH Percent O Stack Temp. -`? v°Percent COZ Q Vent Size -? KIND OF LINER SIZE NONE Draft Hood UFr!? Renulator y? S Filters Sixe Number Chimney Location Inside Ou ide ? Chimney Construction C aSS Smoke Bomh Wiring (0 Draft '-" Test 7ag Door Pressure Lighting Inst. 0? Date Tested Company Testing ?' Q ?° `-'v • ? Name of Tester GEO. SEDGWICK HOUSE HEATI 4 OCCUPANT HEAT LOSS DA SOLD BY L n 3. & AI R COND. CO. ! ?-? TEST RECORD ? /,- - CITY OWNER nr,Z:r,?. Electrical Work By --•-- Gas Line By TYPE OF HEAT GA_ FA-,.?(HW-STEAM SPACE HTR._ ,._., GAS DESIGN HTR. 01'WER_ CONVERSION MAKE 15?Y/S?N ? MAKE OF BURNER Model 3 9 SE (3 4 w o A SF oS ? Mode( ----__ ._-•---___ --- Serial Max. BTU Ratiny. ' -' - - INPUT MAKE flf FURNACE Model - - CONTROLS THERMOSTAT U Heat Plug Vent Size Valve Limit Setting ck a `?/- Fan Setting - ? "'« < Pilot Type e ct,:,1c- Pilot Make S Pc-? cT ;'O Pilot Model Pilot Timing L.W. Cut Off r Pressure Percent C02 5 Input CFH'' Percent 02 70/6, a Stack Temp. Percent CO ? KIND OF LINER S12E NONE Draft Hood ?'• ??-?' '?Q-" `?h Renulat% Filters Size Number Chimney Location Inside ?- , Outside? Chimney Construction ? Smoke Bomb " Wiring IK Draft '- Test Tag Door Pressure -` Lighting Inst. Date Tested ?40-) f ? / '' N ?? Company Testi ng C' e 0 , c- C'l . ?- ' Name of Tester l5U ?? ? Q + Q fu Li'"s CITY OF EAGAN ? Remarks Addition T'10IDS5 Lake HeightsAddition Lot Owner Street 1582 C1E k ? ? Parcel # 1 O 10 state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 94 u1.8g ?121'?2 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK H73 * SEWER LATERAL 1981 - 7.52 5 15•05 A01172 5-5 3 WATERMAIN * WATER LATERAL ],J$j WATER AREA ' S• 1 AO1217'2 S?S? 3 STORM SEW TRK 249.91 A012172 5-5 3 * STORM SEW LAT 1981 - CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN .44 Remarks Addition '1'homrss Lake EleitthtWAddition Lot? Owner . Street 1582 B Clemson ? ? Parcei #lO State Eaga.n, ItiW 55122 Improvement Date Amount Annual Years Peyment Receipt Date STREET SURF, ? 2 • 5-5-8 STREET RESTOR, GRADING SAN SEW TRUNK /1? J-3 * SEWER LATERAL .5 2 5-5-83 WATER MA I N * WATER LATERAL 1981 WATER AREA 4 STORM SEW TRK 43 1981 312.37 20.82 S 24 . 1 AOI21 2 _ 5-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n u BUILDING PER. SAC PAR K CITY OF EAGAN PP4Remarks Addition-TI'10111AS LaIfB KeightsAAddition Lot I Owner • Street 1584 Clemso]1 Drive a,- Eagan, 1rIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, ? STREET RESTOR, i GRADING SAN 5EW TRUNK /97'S * SEWER LATERAL 1981 " 37.61 7.52 $ 5-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA ' STORM SEW TRK 249.91 5-5-83 * STORM SEW LAT 1981 CUR6 & GUTTER SIDEWALK STREET LIGHT ?- $280.00 55819 9/25 85 WATER CONN, 500.00 BUILOING PER. 039-11 SAC 525.00 PARK CITY OF EAGAN Remarks Additioq Thomas Lake Height mdition Owner Street 1584 -0 ? pik , JL Parcel #10 nson Drive _ a8an, Improvement Da4e Amount Annual Years Payment Receipt Date STREET SURF. ? in.89 A0121Z ' - -8 STREET RESTOR. GRADING SAN SEW TRUNK *SEWER LATERAL 37.6.1 . 52 1.0 AOZZI_ 2 --8 WATERMAIN * WATER LATERAL igRi WATER AREA 4.61 A0121 2 - -8 STORM SEW TRK '' - 249.91 /1OM72 5-5-83 ,r STORM SEW LAT 1951 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500.00 BUILOING PER. 1 11039-11042 sAC 525.00 PARK CITY OF EAGAN 383Q Pik,• ::nob Rwd P. O. Boz 21199 Eapn, MN 55121 Zonirq: _ P3 Owrwr: New flc Addrass: Sift /1ddrom 1562 C1ems6F? Dri.v+ Plumber. ? ?ompson F--?,tc .;:.•,, lMeter No.• 3 ' ?o.? _S ?F l ?i i? ? Siu: ReOdK No_: m -7 3 1some N aaaply w11A !IN Cinr ef ayen OrdIN By ^ Dah of I ?-a9-940 WATER SERVICE PEItM -2j PERMIT NO.: DATE: 1Va. of Units: ` Acoounc oepostt: Permit Fee: -t Surcharge: ' - ' F` Mlsc. Charpes: ? ` • • p TotoL• E . 00p d meter Dote Putd: CITY OF EAGAN -?- WATER SERVICE PERMIT 3830 Pilot Kno6 Roed P. O. Box 21199 PERMIT NO.: Esgan. MN 55121 D,,TE: Zoninp: . No. of Untts: _ ? - vwnOf: iip1ZF' ? Addrest: Sft Aa1ea: 2 S?7 r? A(1 ? ? ? i t 7 3 T, • •.4i3••a ti L.[ PlYwblr: _ -:IOL'!T%40'; Pt4v.'?? ,I?: Meftf NO.: COflfllCtkfI Q10?QQ: SiZl: I,CCOUrIt D C it : Op S R°oder No.: Pertnit Fee: - I a!m !o eomply Mrft 11w Citi of 6smw SuRharpe: ordMmm+• Misc. Chorws: `- ? 2.00pd TP Totol: _ f;? . 0t)Lxi mete.t Bv d-j_ OOI'Q Of IRSP.: if ? SEWN SERV PERMIT NO.: KI rum ` DATE: _ Na of Units: Site Addroas: !'' ` 2 i.? Ewsoa ^ur ive I. A. H _ omRS : _ ? .:. ?tr?- Plumbe+t: PlLmhir ' -2? S'5 55)1; ,•,?.?-. - t.pw ro dei.py wiL Nn Qr M ale. Ca,.NCti«, Charps: ,.:, . Ouy?u OraM11CM. ACODNItt DEposif. ' ? 1101V,; PeArAt F!!: • 1 f: SU/'CE10r'Qe: BY MilC. Ch0PQm of Intfr.: Totd: Oah Pold: - ar'. ,aN WATER SERVICE PEIRIV?T, -;3.3? 3830 Knob Road ?U . P. O, ox 21199 PERMIT NO.: Eagsh, MN 55121 D^TE: Zoninp: No. of Units: "??v ii..ziq . omes Ownsr: Addrm: Si» ??: l. $ C ,?sou "five T,477.1 ?- ?•?•as c s _.n Plumbsr. •i'Tl-c^son 5UUd Meter No.. 34-40 Jr/s Connectian Chorpe: .. p . , siu: S/iP" Ro.•A-• Ncoa,nr oeposir: _.._: I .,h0 ft eM* wkh 66 c+h .f E.a.. VI 4i ? -f? ? mp.: Permit Faa: 0.0Op . snpa Surrhorpe: Mlsc. Chorges: _} `' . p Totat: 63.0()pd ^-:eter Date Paid: CITY OF EAGAN WATER SERViCE PERMR 3830 Pilot l?oob Road P. O. Dox 21199 PERMIT NO.: Esgsn, fVIN 55121 OATE: Zoninp: No. of Units: Owrnr: New fioziion Komee' /tiddress: Sltr Addnn: 11.5n 39 C"lemaon F?ri PlNTbef: 1 t le?1L'p8fi?2 F 1?.1!tiF? ?.:' " 9 Lk 8ts MKftr No.: Connection Chorye: . Sl:e: AccouM peposit: Reader No.: Pem+it Fee: 1 Nne h eowolr wilfi Iie Ckp ef EpPa Surchcrgs: OrdiNAaM. Misc. Chorflas: i ? ' . ..? J 7T Totol• 63.O(vd steter BY Date Pald: Date of Insp.: Irnp.: . ? CITY OF EAGAN awn Satm Pumff 3830 Pilvt I.nob Rwd P. O_ 8ox 21199 PERMIT NO.: Eagan, MN 55T91 p,,TE: Zaninp: Na af Units: Ownsr. Address: Sits Addross: - ??r• . YN ,- PIuTblr. ' r OII??fBOA uC;' ., , 9-2/- 5 55 ,-1 -w. I orN IO NM/Iy MrIa !w C*Y of EN"m OediNSea, ey Dote of I rap.: d CorrrcNon Chow; 425.00p /4wurrt Depodt: PomiiF FN: Suridwrge: MFtc. Chorpm Totol: Date Poid: CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, M I N N ESA-'F,A 55121 c_ TE N . AMOUNT y ? cwsH FUND CODE AMOUNT !7 / v? . ? ?7/ dZ? ? 7 ? Thank You , ?---? N° 56281 White-Payers CoPY Yellow-Posting Copy Pink-File Copy =4n, ,.ot Knob Road P. O. Box 21199 Esgan, MN 551,21 Zonirg: Owner. eT4 $o Mdross: Site Addrosr. 1584 C "llr?inpSOA 1NATER SERVICE PE AIT PERlVIIT NO.: DATE: Mster No.: .? T????,?C:?.?A??dctidn'__??5rpe: .. ... ..1,.. ? Size: ?1? " i?ae.4.. JlcoourN Deposir: 15' p Recder No.: / d P?7 2O?o 7 !f Permit Fee: ?• '?" I pwe lo eaeply wilk !IN Cky of Eowa Surcharge: p Mlsc. Choroes: 132.00pd 'iP X Totol: 63.00pd utcter By Dors Poid: Dote of Ins .• Irsp.: I - a9- 86 EAGAN t Knob Road WATER SERVICE PERMR PERMIT NO.: DI1TE: Na. of Units: m MN R7 'Tl No.. No.. !e onaPlp wrNb !iw C'dy oF Ea9s¦ Connection Chorfle: Account Depoait: Permit Fee: Surcharge: .. Misc. Chorfles: . Total: of Insp:: 30 Pilot Knob Road 0. Box 21199 gn i, MN 55121 Dote Poid Intp.:- SEWER SERVICE PERMIT PERMIT NO.: DATE: ' No. of Units: Addross: 15$4 Clpmsgn Dz'ive '.44 `-31 I,k `•'.t:9 ?ber. V.cnnnsan -27--95 .. ro owniPy wbb er. cR, ef l.se. conrmwHonaame: 495 _ :;: ; ; : : Nuas. Accownt Deposft: ' Permit Fea: Surtt?orge: - - -- Misc. CFarpss: of Insp.: Totol: . Dob Poid: CITY OF EAGAN ryAIU SM 3830 Pibt Knob poad ICE PERl1A1T P. O. Box 21199 PERMfT NO.: Esgin, MN 55121 2 DATE: Zonirp: _ .? No. of VWts: + -P . -?Y ';? •.- Horizon Owrnr: Addrom . .I „°•';-•? .., Sit. llddresa: 14 B C-e,-ftsbtl lDriv e ,i _ pmas _. r.q _n7 ? a.?inl'1 ?? ?t7 ?' AAetsr No.. 3 ta.s 5l .?-a??? ??o.tiaetEoir Ci?ol . •' P Sise: C"'1f•o 1t'?&..,4. ~ Acao?mt Deposir: -- • 1500j)(3 ReodN No.: 10_fit 90 6? G Permit Fee: 10 .'v'? n I .r.. ro eoM,y, wMb l1W Ciry Of ri,.. surcha.ys: . ona O? c Misc. CF?orp?s: , ' u? ' Total: 63 00nd r-:e*_er Dott Pbid: DaM of Inap.: ` Irnp.: I-a3-S? CITY OF EAGAN ' 3830 Pilot Knob Road P. O. Sox 21199 Eagsn, MN 56121 Zonirg: _ Owner: /lddross: WATER SERVICE PERMR PERMIT NO.: DATE: - No. of Units: Sir. Address: 'i848 Cl amsan lhim L4 3 Plumbsr. MeMr No.. Slu! - Reods? No.: 1 N? ft aomv4 MMh tw Gfp ei Eyp¦ Odlwonces. By Dote of Irup.: CITY OF EA 3830 Pilot K P. O. Sox 21 Eagan, MN ! Zonirig: Owntr. ^ddr1N• Site Address: Plum COfIRlCtiOfl U1WgQ: AoOOUnt Deposit: Permit Fee: ? Surchorge: Misc. Cho?pes: Total: ;.. ?,?. -. ' ,._,otrar Dote Poid: N Road SEWER SHlVK:E PERMR PERMIT NO.: ? DATE: ' ? No. of Units: ' '-R :w :3orizon liomes 1 ym M eosply wkb 11r CNy d yMn COnrnctlon Owrp: ?".'0rj . onoMAO& Account Depmr PlfiT-d+ FlA: SYIChOI'Q!: By Mlsc. Chorgm Doce of Insp.: Tatal: Insp.: Dote Poid: CASH RECEIPT CITY OF EAGAN EAGAN, ? OLLARf 0 ? CASH ? CK Foe ? o,cl White-Payert Copy Yellow-Posting Copy Pink-File Copy P. O. BOX 21-199 Thank You N_ 56169 44= ,ni= yo,d y? ? ? ? s 18 monU?s fram ? 0 i ? 5 5 q L?I .?-r .-t_ ) ,: ( _-7 )i Request pate Fre No. Nouyh-i Inspecbon t 11-ZZ-1985 I ired+ E]Readv Now]QWill NnbfY tospec- y ? No ?or When Readv .u. ?weimeu oecincei _onvamor I heraby request insoection ot above ? Owncr electncal work mstalled et SVeet Atldress, Boz or Rou[e No. City 1584 B Clemson Drive Eagan .ecUOn o. Township Name or No. Fange No. County nakota Oc,uuant(PRINT) Phone Na. New Horizons Pawer Supplier Atldress Dakota Cty. Electric Farmington Elec[ncal Contractor ICOmPany Name) Gontractoi's Licen,e No. O.B. Thompson Electric Co. A40602 Mailing Address fConttacior or OwnerMaking Installationl 12201 Mtka,B,lvd., Mtka 55343 r Author¢ed Sipnatore IConVactor/Dwner Mak?ny InstallaLOn? Phone Number - • :r,-: =??<, MINNESOTA STATE BOARO OF ELECTRICITV Grrggs-Midwey Bldg. - Poom N-191 1627 Umversdv Ava., St Paul, MN 55106 Phone 16121 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED 6Y THE STATE BOAPp UNLESS PHOPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-o1 r, w 1 ' See inslructwns for completine this torm an back of vellow copy. / a [171559 "'X" Below Work Covered by 7his Request Fdd Aep. Type of BuileinA ApPliances WveO Eqwpment Wired X i Home Range Temporary Service Duplex Water Heater x Lightiny Fixtures Apt. Bwlding Dryer Bectnc Heabn Commercial 81dg Fumace 2,50 Silo Unloader Ini Bldg. AirCondiLOner BuIkMilkTenlc Farm Othai peci y Othei ISUecityl i 9. isG,o"rv X otne, Disp.Dish.5.00 o,no, c.on.pure inspecrion ree veiaw # Fee Seraice Entrance5ize Y. Fae Featlers/Subfeeders ? Fse Crtcw[s ?CD?UG10. (? to 20- Oqmps 0 to 30 Amps UUI ? to 30 Amus ? I A6ove 200 qmos 131 to 100 Amps 1 31 ta 100 AmUS ? Swimming Pool Si gns Speaa I I nspection ,iFE_- ?• Rep?kS $ 43.00 TOT/LLE ? .r? zo.,/.,o I. ( C _/ ,J .f o) qou8h-in '' - OB?e I the Elecvical/ ? P ? ( •}? 1 . Inspecior'he?eb y 442 /7 - cartdy that the a bove Final (Ky_ 1--l'i Ate inspectmn has been meda. Tnis request vold 18 montrts rrom I / /w_ /n./ SO 2 5 6 9 i- a ,46've, z.:..j Repuest Oate Fne No ?- `?? ?? q ? Fouqn-ln Inpseclpon RepurtM Inspenron Otner Than qough-In n'au m ?? s0edor, w N n reaEy) ? Reatly Now ? Will Notify InsOector ? ep ? Date PeaCy I p hcensed contractor ?)owner hereby r equest mspechon of above electncal work at Job Atltlress (SVeet Bos or Rome No ) Ciry c ? Seaion No Township Name or No Range No Gounry ??} ' 1?/ kf Occupanc(PRINT) Pnone No PowerSuppher Atltlress nQ 1 I ? Betlncal ConVactor?Company Name) Conhacror$ Lmense No, Mailing Actlress oGonVact, or Owner Ma[ing InStalla0on, Autnonzea SignaNre ICOnva r Owner Makinq Insialla on) PM1One Number mmne50TA STATE BOARO DF ELECTRIQTY THIS INSPECTION qEOl1EST WILL NOT Gri99s -MiEwaY BIEg. - R.I. 5113 ? 1821 University Ave.. 51 Paul. MN 55100 BE ACCEPTED BV THE STATE BOARD IINLE55 PROPEF INSPECTION FEE IS PMna (612) 642-0800 ? f eNCLoseo (leREQUEST POR ELECTRICAL INSPECTION ee-00001-08 ? See inslrucuons br rompleling ihis brm on back ot yellow copy r 0 - "X" Below Work Covered by This Request 02569 6??ne4`?, ew Add Rep TypeofBmldmg AppliancesWVed EpmpmentWired Home Range Temporary Servica Duplea Water Heater ElectriC Heating ? Apt Buddmg Dryer Load Management Comm llndusirial Fumace Other (Specify) Farm ic- Air Conditwner Otner(suecJy) Conlraclor's Pemarks Compute Inspec6on Fee Below x Other Fee # SermceEntrenceSze Fee # Circmts/Feeders Fee Swimmtng Pool 0 to 200 Amps 0 to 100 Amps Transformers ? Above 200 - Amps Above 100 _ Amps Signs , inspedars use Only TOTAL Irrigation Booms Specialln5pection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, heieby Rougn-in Date cer6fy that the above inspection ha5 been made Finai ata -°? OFFICE USE JNLY TNS repuesi vaia i8 momns tmm This ieques[ vmd (// 19 mon[hs /rom 6? 7 ? D 0 7 7 5 5 8 L ?( Ui? I Fequrst Date Fire No, Fouun-in Insnacbon RryuvPd? I E]flently Now E3?Nill No1ity Inyurr- 11-12-1985 )lff?es ?NO to When Ready 2S LicenseA Electncal ConVxctur- 1 hereby request inspecbon ol above ? Owner electncal work installed et' Sveet Address, Bon or Route No. Citv 1584 Clemson Drive Eagan r.cuon o. Township Namc or No. Range No. County Dakota Occup.int (PRINT) Phmiu No. New Horizons Power Supplier Address Dakota Cty. Electric Farmington Elec[nenl Convactor ICompnny Namel Convaclnr's Lmense No. O.B. Thompson Electric Co. A40602 Mailing Address IConVacinr m Owner Makinp Installatmnl 12201 Mfk?a Blvd., Mtka 55343 Authorvt!A SiB?elore,(Cnntractor Owncr-Making installabon) Phone Number MINNESOTA STATE BOANO OF ELECTRICITY Gr.ens-MI BItlB. - Room N-191 1821 University Ave., St. Paul, MN 55104 Phone (612? 297-2111 THIS INSPEGTION flEQUEST WILL NOT BE ACCEPTED 6Y THE STATE BOAPD UNLE55 PROPER INSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°'-°" ? ? ?4.6 ' Sae mslruchons for compleling this lorm on back ot Vellow copy. p "X" Below Work Covered by This Request (-? j-E) Add A.D. Type of 6wltlmg Apoliaocea WiraA Equrument Wved X X Home flunye Temparery Service Duplex Water Heater XX Lighhny Fixtwes Apt BuflAing Dryer Electnc HeaUn Commercial Bldg. Furnace 2,50 Siln UnIu,lJer Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Othvr SDeei yi Odhcr ?Spcr?tyl 1 p Fee ServiceEntranca5iz0 h Fne FeaAers/Subteetlers b Pee Gircurts 0 G10.00 0 to 200 Am is 0 to 30 qm ps 10 $.QO 0 tn 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transiormers Irngation Boorc?s Partial, Other Fee L 1 1 Jigns I I I Special Inspection 1 S d4 _ (1(1 1 TOTAI F.EE' - -.? .?....,.... H 5 9oueh-in ? Ilkto 1 - tha EtectncaL_-?? L I, ?? ? ??/? ??sP¢ctOq-11¢lebY certify that the above Final msDecAOn has been made. This recues[ vaiE 18 montl¢ irom rnis ,onuasi voia 18 mmoihs from ? 07,7557 Request i.te Rre No. flnueh-i InsVe'tion y?y. ReQUneA? ?ReoAY Nuwti W,II Nobly Inspec- 11-12-1985 ?y?" 0 N„ m, wnP„ aunav ? Licensetl Elertncnl ConVactor I heraby request inspectron ot above ? Owner elaclncel work installed at Sir¢et Atldress, dox m Route No. Crtv 1582 B Clemson Drive Eagan rcvon o. Township Namc or No. ftangc No. Loumy Dakota Occupant IPRIMI Phone No. New 2W3f3FSIfi?S3ilE Horizons Power Supplier Atltlress Dakota Cty. Electric Farmington EleGnwl ConVactor (Company Name) . Cunvartnr's I_icense No. O.B. Thompson Electric A40602 Mailm9 Adclress IConvacmr or Owner Makinu Installauonl 12201 Mtka Blvd., Mtka 55343 ' Authomed Sig??tb?e IContracmr/Owner Makiny Invtaliatlunl Phone Numbcr ?! ? ?> MINNESOTA STATE BOARO OF"ELECTflICITY THIS INSPECTIDN flEQUEST WILL NOT Gnggs-Midway Bldg. - floam N•191 ' BE ACCEPTED BV THE STATE BOARD 1921 UnivnrsitY Ave., St. Paul. MN 55100 UNLESS PROPEP INSPECTION FEE IS Phone 1612) 297_2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' ee-noooi-cu ..• See instmcbons for complating this form on back of vallow copy. / o.?? j. `j ? 7 "X" Be/ow Work Cavered by Tfis Request HAd Rep TyVn ol 8wlainy Appliencxs wiraa Equipment W d Home Range Teinpxary Service Duplex Water Heater X Lightinq Fixtures Apt Bwldmg Dryer ElecUia Heatin Commerciai Bldg. 7f Furnace 2,50 Silo Unloader Industrial Bldg. Air CondiUOner Bulk Milk T6nk Farm o?n,.i CS-G-ifVT? emeF isucnirr: thnr necrty X Otner Dis .D15h.5.00 nth?:r - M Fea ServiceEntranceSixe k ubleeAecs Fe D UG10. 0 00 to 200 Am s m ps 10 5.00 Above 200 Am>s Swmming ol Po re F3oon?s . 0 Signs spection S Remarks _rI?Iouse . 43.00 TOTALIFEE ! , . °. . . , / flou9h.in • Date i " /? ` I th El ? ? , e ectncaJ Inspactor-he?oby Final n•??P cerlity that the ubove ? r mspeci?on ha5 been made. This requrvst voiA ? 18 nionths from o U7- i, Repu?st Uate Fre No, qough-in IntiVectinn (f1 R DReaAVNOw? s f oev ll ?.1-12-19a5 ?N 7?ves `( r When Ready k? Licenyed Electnc.l ConVacror I heraby request mspecfion ot above ? O."ui electncal work mstallad a[: Street Address, Bax or Route No. Citv 1582 Clemson Drive Eagan Nrliun o. Township Name or No. , flanpe. No. (;ounty I I Dakota °ffw°fiorizons Pn°"e "° Power Supulier ArIAresv Dakota Ct . Electric Farmin ton Elei.tiical ConVacror (Company Nxme) Con[ractor's L,cense No. O.B. Thompson Electric Co. A40602 Mailin9 AdJress (ConVactor or Owner Mabnq Instailation) 12201 Mtka Blvd., Mtka 55343 Au[honzed SignaNre (Conhacinr/Owner Makmy InstallaLOn) Phone Numbcr I . .. ? 933-2521 MINNESOTp STATE BOAND OF ELECTHICITY GnB9a-Mi1way eldg. - Room Nd91 1827 University Ave., SL Paul, MN 56109 Phone 16121 297-2117 THIS INSPECTION ftEQUEST WILL NOT eE ACGEPTEO BV THE STqTE BOARD UNLESS PROPEfl INSPECTION FEE IS ENCLOSED. c,?j ? REQUEST FOR ELECTRICAL INSPECTION „r Ee-ooooi-oa [ r See instructions for compleling this form on back of Vellow copy. ?` p n7 ri U "X"' Below Work Covered by 7his Request AdA flep. Type ol Bwldmg Appliancm Wired Enuiument Wved XX Home Range Temporary Servir,e Duplex Water Heater x 4-ightiny Fixtures Api. Bwlding Dryer Bectnc HeaLn Commercial Bldy. x Fumace 2.50 Silo Unloader IndusUial BIAy. Au Condrtioner eulk Milk Tank Farm - othe•r peufv o?ndr (Sno..ifrj t u:r 5-11.?11 11 X OcherDi .DisfL.5.Q0 nihO. k Fee ServiceEntrancaSrse C Fxe F¢eders/Subleeders A FeR Cvcwts UG10. 0 io 200 qm s 0 to 30 Am ps 0 5.00 0 to 30 Am s Tbove 200_qrniry 31 to 100 Ainps 31 to 100 Am s Swimminy Pool Above 100_Amps Above 100_Amps Transiormers Irngation Booms .50 Partial.'Other Fee Sic?ns SpeciallnspecLOn $ \ F Pemarks Hn11RP 4$.OO TOTAL EE Faaeh.in Date I - • ihe?ecVical/ Inspector-ne?eby r Final cerLfy thnt the nbove 'I inspectmn has been made. ? &(?q -? -? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. )5.50 Date Site Street Address ??BY C.? -2:r?So?n ?21u-I1P? Unit # Property Owner lt.f?,v Telephone #ri L)??? - '?J?zi. ? L ri aw GfJ Telephone# (yJ?) Yiy- Sr16 ? Contractor c Address l?ZD? Sr - i a- r-- So City State {j,? Zip S1 The Applicant is: _ Owner L!Contractor _Other Aexistin g dwelling $ 50.00 _ures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 J?f7 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accorda ith the approved plan in the event a plan is required to be reviewed and approve ApplicanYs Printed N me lA cant's Sign tur 6&187 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. /5.s o Date ? I I ??//` Site Street Address (?/ ? es e/U Unit # Property Owne??f -Px-7 - Telephone # W/p? J?A?r Contractor ? le one#¢/a)55??? Addres -" 10,1 S? State 2 J Zip The Applicant is: _ Owner ?/Contractor _Other Alterations to existing dwelling i _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener X Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will e in ac ordan the approved plan in the event a plan is required to be reviewed and approv J"" @ /? ?° ? `' I A icanYs Printed Name ? ApplicanYs Signature ? I h SEP 0 7 2004 I RESIDENTIAL BUII.DING ? -•?Q t ? ? ?j Permit Application ? ? as ? Ci Of Ea an 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodellRepair Reauirements INfice Use OnN 3 registered stte suneys shaxing sq. ft. of lot, sq. R of house; and all rooted areas 2 wpies of plan Cert of Survey Recd _ Y_ N (20% maximum bt ooverage aNowed) t set of Energy Calculahons for heated addifions Tree Pres Plan Real _Y _ N 2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for addNons & decks Tree Pres Reqd _ Y_ N isetofEnergyGalculaUons Addffion-indicateilon-sitesepticsystem On-siteSepticSyslem _Y _N 3 wpies of Tree Preservation Plan'rf lot platted afler 711l93 Rim Joist Defail Options selection sheet (61dgs with 9 ar less units Date t? 7 / 2? a. nstroction Cost ?/ C? ` Co ' Site Address } ?? ?( ? 1? J ,f- iJniUSte # Cj ?n, Description of Work Qf- pLhCI-I jOF(O piCk p09111CW Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ? I\N E t ??GEa k C PQ(3PEF7Y M110&1) Teiepnaoe #r7,C3 ) U z5- 4CZC Con[ractor L 6 EX`f ? Q?def Address V?+? W? ?:Grn $T City NIfWWEqfOr" State ??1 (? Zip fiLl (q Telephone #(6S i) 32 2° 4°rr-li 6PLt 5' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?orv 1 Minnesota Rules 7672 Energy Code Category , Residential VentllaUOn Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _. Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( N If so, 25% plan review ? ( L'1 I hereby apply for a Residential Building Permit and acknowledge ?hat the inforxii-ation is complete and accurate; that the work will be in conformance with the ordinances and codt?Yof theC -_ ily-of-Easari and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. MIGH?Lt- 12v0I1 Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 9 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03•plex ? 11 10-plex 1 ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Adtlition ? 33 Alteration X 34 Replacement Valuation ??O Census Code SAC Units - Nbr. of Units ' Nbr. of Bldgs Type of Const TRI Footings(new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insula[ion ------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 38 ? 36 Move Bldg. ? 42 ? 37 Demolish (Bidg)" ? 43 `Demolition (Entire Bldg) - Give PC Occupancy _A , -1 Zoning IOD Demolish (Interior) ? 44 Demolish (Foundation) ? 45 Reroof ? 46 A handout to applicant MClES System _ City Water _ Stories Booster Pump Sq. Ft. GO PRV Length _/P Fire Sprinklered Width /d Siding Fire Repair Windows/DOOrs REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector ? CITY OF EAGAN POLICY FOR ADDITIONS/DECKS IN EXISTING TOWNHOMES BACKGROUND AND PURPOSE Over the years numerous decks and additions have been constructed over property lines in the Thomas Lake Heights and Thomas Lake Heights 2nd Additions. The Uniform Building Code requires a one-hour wall on each side of a property line when the wall is within three feet of the property line for townhomes. This code requirement is in place to protect neighbors from sustaining damage due to a fire in an adjacent unit. These buildings were platted with property lines within two feet of the foundation of the main buildings. Our platting and subdivision requirements have changed to anticipate future additions while staying within the property lines. BASIS FOR POLICY Buildings over property lines would not cause additionai safety concerns to the users. The danger level is the same for those buildings constructed over property lines as buildings constructed a certain distance from property lines. Implementation of this policy would allow the required separation between adjoining units to remain in effect. It is a policy of the City of Eagan to allow additions and decks to townhouses existing as of November 21, 1995 to be built over the property lines that are parallel to the individual units provided. 10' is maintained to any separate building. `.. 2. The occupant must be part owner in the common property to which the addition or deck is built into. 3. A letter of approval from-the Homeowners Association for fhe proposed plans must be submitted with the building permit application. ,.V Oct 16 03 10:58a 10/16/2883 89:25 Octvbcr 16, 2003 Bob ro vvfimm k may i Pfease be aavise Door Cornpany in HOA to perForm d Associatiar6. The corth'acts. Shoulc via Cetl 612-799-5 1OClpb6P 16, ZOO: JaNot M. Rogge, ProoertY Manasei Association Finan A ^ Y ! T00 IA 6513227973 FSSN FIML MOYT IMC Huisea lfflb HOA Ge Mod.tl? glmndal Mwape=sat Ioa P O IDo= 38138 Mles[apetle? ]YIIY 35420-6158 761546-97I1 ae{ea msfl 763.425-iMS Pz n.ai-L....?..x tnr b 0&5 ?'W4?bMan ^nY(?,? w? M TC/R% N0.0081 P.OOI BEi Exteriar Mairrtenanoe [Dayp gumis} and QeCk & b Haiderichj 2u+e urnder cor+tract with Hotizm Hitls eplaaements at various addresses within the d of Direcxors has approved this project per need any addMonat intormatior,, pleaase oontad rta8 I w+ff be at the qropertY be(ween 11-12:00 todaY uld this requfre an onsite vEsid by tlte City. FiillS FFOA 1tBnC inc_ ? 10/16/03 09:33 1t0IN3Z43 136 PA a(E @i p.2 ? L9S9 199 ZT9 %Y3 56:80 t0/91/Oi Y? 1 to ?P/ V E._..r Q (936,0? ! 935. S? N?SOO.23'ss"E o? • ' !93 s?jooj 0 i. (936,0) / 3 x .73 ? S •?` ,? °/?.?" ? ..P - . r 3 ze `?? (935.5? 0 ? O yu M l9 3 4. 5) .j ,? ? Q p w w p ? ?p y ?`''' ? •?: j `?' z (935,0? ? z:, . ?^,t310 7.D? ? ? 8 3400 ? d N ,23 ++` 1Y?°+7 ?936.0) d ( 934.0 ? ()zCk O penotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation ElevationR (000.0) Derrotes Proposed Elevation Proposed Garege Fbor Elevation= 9 37, o - t- Denotes pirection of Surface Drainage Proposed Lowest Floor ElevaNon= 9 3 7. 5 / s $ 2) (%,e//j7S07L/ i hereby certiy fhat this is a true and eorrect representation ot a survey of Ihe Dpundaries ot Lots Palkota , 42, 43, and 4a, Slock 1, THOMAS LAKE H°IGH?'S 2A*D ADDZTION, County, Minnesota. And of the bcation o( all buildings, if any, thereon, and all visible encroachments, i( any, from or on said land. II also shows lfie location of the stakes as set for a proposed building. Ae surveyed try me or under my direct supervision this 30 th day of Auaust ig 85_ Paul A. Johns v,./s e[.i, 42 f43 l`a 96/WO{gy?,_857 Lend Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY for McCOMBS•KNUTSON ASSOCIATES, INC. ,r»?? p?iuua? e?n?u?? ? we tv?r?reu ? s?re ru?n4 nc ,Rj/ ??yt L.?/? ?'S t0?»?'c.`. rwENnn w wicniwor.wwnor? 7'e?30 ???1 V?? f7N1YG RESIDENTIAL s S?? 7 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 54122 651•681-4675 New ConaWetlon Reauirementc • 3 regislered site surveys showirg sq. R of lot, sq. ft. of house; and au roofed areas (20% mauimum bt coverage allaxed) • 2 copies of plan showifg heam & windmv s¢as; poured found desgn, etc.) • lselotEnergyCalculations • 3 copies of Tree Preserval'an Plan if lot platled after 7/1193 • RM Joist Defad Op4am selettion sheet (bldgs wilh 3 or less unds) DATE 71?7k2 SITE AD TYPE Of APPLICANT ? E? STREET ADDRESS y' ??`? b O?' TELEPHONE # G 1?- -$bk - CELL PHONE # 4a4j ?STATE ?ZIP S S?{ I cj Fax# 1??a- ??t- ba?? PROPERTYOWNER o??O?l2v?7: /S TELEPHONE# ----------------------------°-°------°-------------------------------------------°--------- COMPLETE THIS SECTION FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULFS 7672 (J submission type) • Residential Ventllation Category 1 Workshaet Submitted • New Energy Code Worksheet Submitted • Energy Envelope CalculaUons Submitted Plumbing Contractor: Plumbing system includes: Mechanieal Conhactor: Mechazucal system includcs: Sewer/Water Confractor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 -°-----^°•----°-----------------------------------°-----°------------------------------ I hereby acknowledge that I have read this application, state that the information is correc gree to comply . with all applicable State of Minnesota Statutes and City of Eagan Ord?as gnature of Applicant ` Si OFFICE USE ONLY DRESS I%?- ?-?LJ k9-,F) C 57-,-i &!?__ MULTI-FAMILY BLDG,X Y _ N WORK FIREPLACE(S) _ 0_ 1_ 2 RemodaVReoalr Reauirements • 2 copies of plan . i set of Eneqy Calaladons for heated additions • t sRe survey for exterior additlons & Cecks . Irdipte'rf home served by seplic syslem for additians VALUATION _ Phone # . Iawn Sprinkler No. of R.I. Saths Fee: $90.00 Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 B?? ?d,ng ?t io b' C/ ??Oq ~ `- ?3b h -?q,??1 i. 9?., ? (936,0) ? 935. 5? N? Soo?23 45"E o 13/, f93 3)?a N? <93b,p1 0 22.33 z2.3 ? / 3 1 <935,0) _ ? ? ti' ' tl 20 3 ? ? ? .??-' C935.5? ; h '" /o? , •f V : . p 2 / \ ? j m 4 N ? ` r? t• 1? Iw ? ? ti p?? ? 0 «. ? , q /,?N M t93¢.5? .ti ;-e ~ 0? I ?r No z4'' ? .`*? N (935,0) ? 23.33i / n°i3/,oo 37.0) ? ? / I,y B2-23 3400 d ? .+S•IVn7 1?936,0? d c 93¢.0) 0 Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation -.+- Denotes Direction of Surface Drainage Proposed ToD af Foundation Elevation= Proposed Garage Floor Elevation= 9 37, o - Proposed Lowest Ftoor Elevation= 9 3 7. 5 I hereby certify Mat this is a true and correct representatan of a survey of the boundaries ot Lots Pal'k)ota-tounty, 42;-?43, and 44, Block 1, THOMAS LARE H°IGHmS 2rD ADDZTION, Minnesota. 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 30 th day of Auaus t 19 85 , Paul A. Johns a47'a 42 (93 fa 961N'O{9-16-B5) Land Survevor, Minn. Rep. No. 109 38 CERTIFICATE.OF SURVEY BppR IAGE {Or - McCOMBS-KNUTSON ASSOCIATES, INC. '?`I ?? ?7 ?c coMtmiuc uent[u B wo tuMnroI: S ur[ IuaHus :7L:..?c';t?' rwM[?ro?uwwTwrtaoM.wrw[ooTw 74J? I?Cf¦ . _ /?. . . -. s. . .. : . `- - . _ ;°;: y'", - •?? _ - - . .. ..? _ 19$5.BUILDING Pt,f4'SZ-2.-AFPLICATION `, . - - . . . • • - . _,, - ,. . ,. _ . . , _ . . , , . . . .. , ..... ,, .. . , .. _ . .. ,. - -.>:..;. : :__ NOTE: ? ALL COtiTP.ACTOSS H(352 BE.ZIC£NSED NITH THE_ CI1Y OF'E9GAN' L( f-l I T R? . -- INCLUDE . 2 SETS_ OF PL&NS 3 CERTIPICAT.ES OF SI7RVEY 1 S=-T OF ENERGY CALCULATIOHS I o1=4 6o,oQo _ -' To 3e Used For: RESIOENCE Valuation:, Date: q-3-F3S , . Si*e .'-:odress: OFFICE USfi'ONLY Lot: I'L Block ? Seet/Su6 7HOMRS LK Ereet',_ -bccupancy ._ • HEIGHTb Re,odel Zoning - , Parcel G - -?!(- fie;air _ Type of Const _ Enlarge . 0 of SLories _ O.r,er NEid HORIZON HOMES, INC. ' N,ode L'ength Denolish Depth - Fddr=ss P.D. BOX 1367 Grade _ Sq.Ft - City/Zip Code Mpls.. Minn 55440 ' ---------------I----------------- ,' . _ • . .. I ' . Phone . 420-3900 Centractor SqmE AddreSS • , City/Zip Code Fnone _ xrch./Engr. D. GRISWOLD Address CitylZip Code Phone ? 435-7524 .? _? . APPROVALS .4sszsemen+s ' wat'er/5=::er Pol'ice " Fire Engr Planner - Council Bldg Off? $ APC - Variance ^ rmit rcharee an Review r ' i,er Conn ter.Meter ad Unit . rks eatnent P1 OT9L - ( TOWNHOUSE ) CITY OF EAGAN N°_ 11041 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipf # T. 6a wad fer 1 OF 4 PLEX Est Volue $60, 000 ?,,e SEPTEMBER 25 , 85 SiteAddress 1584 CLEMSON DR Erect LX Occupancy R3 Lot 44 Block 1 Sec/Sub. THOM LK HTS ZNDRemodel ? Zoning pn Parcel No. Repair ? Type of Const. t? AddHion ? No.Stories ' W Name NEW H ORIZON HOMES INC Move ? Lenyth 44 z 2 Address P.O. BOX 1367 Demolish ? Depth 26 b City MPLS phone 420-3900 Intlmpr. ? Sq Ft. Instau p ?g Name SAME AVYroval@ Fass ?? Addreaa `- City Phone GW Name D. GRISWOLD ?W Address w< W City Phone 4 -7 4 1 hereby ocknowledge that I have read this apvlication ond stote that the inlormotwn Is correct ond ogree fo wmply with all opplicoble State of Minnesoro Statu nd Ciry?of Eugon O.dipances. Sipnofure of Pertnitt ?+ A Building Permit Is issued to: W HOR 0 ° S all work sFwll be done in occordonce i I pli le Sto of Mi 8uildirq Official . Asseument Permit -00 Water S Sew, Surcharge 30.00 Folice Plan Review 1 S f> . S 0 Fira SAC SZS.OO Eno• WaterConn 500,Q0 Plonner waterMeter 63 _ 00 Council Road UnR 280 _ 00 BIdg,Off. 9/23/85 Tr.PI. 132.00 APC Parks Var. Date Copies 1? 999 • 50 INC iotal on fhs expreu conditlon that i utes and City of Eoyon Ordirarxes. .. _ .. , :: _ _. ?. .. - , _.. . : . ? ! . , D. • 2'C . - ? J n Y - . . : C.n . . ' „ . _ . a ' ' + ' . - ? -% ? ~?`- • : . ' ". (•`. . ? ' ' {. m . • .. . ' . l l.. '.?. . ' . "? . v?? ? v '•???(? ' 1585 BLILDING PERMIT kPPLICAYIQN - CITY 4F rt GbN:+ . , }tOTE:?RLL CONTRACTORS PFUST BE LICEHSED HITH 'fHE GI 0F EAG11N U F-11 r I24CLUIiE 2 SET.S •{)F PLIi1?S - - 3 C'cRTIFICkTES OF SURVEY ' . . 1 SET OF t EBGY CALCULATIONS I o F? 60, 000 . ' , To B= Used Fer: RESIDENCE Jaluation: D te: 9-3-85 Site Lddress: j?'L -' OFFICE I1SE Lot: 43 31ock I Sect/Sub THOmAS LK Q trect'? HEIGH?S - aemodel - 9 Farcel !t °epair .' -- - ? Erlarge awner NEW HORIZON H017ES, INC. i;ove _ • Denolish T Address P.O. Box 1367 Grade S City/Zip,Code mpls., 173nn 55440 ---------------- Phcne 420-3900 APPROVALS Contrset6rSAmE Sssessments r lcater/se»_r c Address Po3ice P • Fire - ? Citp/Zip Code Engr - 1w Planner Sd Pnone • Council ` E Bldg 0:: q r Arch./Engr. D. GRISWOLD APC T Variaace Address " City/Zip Code . . - '' - Phone'6 435-7524 - cupancy - ning ' - - pe" of Const of Stor.ies ngth pth Ft rmit rchsr3e an °eviex" C tec Conn ter Heter.- ad Unit P1 _ (TOWNHOUSE) CITY OF EAGAN N° 1 10 4 2 3830 Pilot Krrob Road, P.O. Box 21•199, Eagan, MN 55127 PHONE: 4548100 f?'/JI BUILDING PERMIT Receipt # SJ a T. M wad ier 1 OF 9 PLEX Est. Va1ue $60. 000 pafe SEPTEMSER 25 ,y 85 SiteAddress 1584B CLEMSON DR Erect 13 Occupancy R Lat 41_ elock 7 THOM LK HTS Sec/Sub 2ND Remodel ? Zoning PD Parcel No. . Repair ? Type of Conat. V Additlon ? No. Stories W Name NEW HORIZON HOMES INC rotove ? Lenqtn 4 4 . Address P.O. BOX 1367 Demolish ? Depth 26 ? Citv 1NPLS phone 420-3900 Intlmpr. ? ? Sq,Ft. Install o Name SAMF. AVVrorals . Fees g ul Address f Citv Phone ?w I Name D. GRISWOLD W I? Addrass ?W CitY vhone 435-7524 Assessment Permit $ 313.00 Water 8 Sew. Surcharge 30. 00 Police Plan Review 15,6..rJ 0 Fire snc 525 _ 00 En0• Water Conn. 500. ? Q Planner weterlAeter 63.00 Council Rpad Unit 280.00 I here6y ocknowledge tFqf i have read this applicohon ond stafe fhat gldg. Off, 9 23 $5 Tc PI. 132 . 00 the inlormation IS conecl and agree to comply with oll opplicnble APC Smte of Minnesoro Statutes arQ"Gity of Ea?n rdi =ces. Parks i ?T"' Vaa Date SiQnoture of Pertniftea ?????Y^'? ° Copies +51,999.50 A Buildiny Permif Is luued M: NEW HORIZON HOMES INC on the ezprcss condition thol all work sholl be done in occordance with ull opplicob ate of Mi ewta utes ond Ciry o( Eapan Ordirwnces. Buildinq Officfal ?* ? d .` A ON - CITY OF NOl'E: ALL CONTRACTORS MUST BE LICENSED WITH TEiE Ul.ii T rj fo 3 CERTI. ? 7 SET OF EN I O F 4- -s. To Be Used For: /PES.o[vtG Valuation: ? Da Site Address; 1582- 'QanAM OFFICE I Lot: 41 Block _L Sect/Sub 7A0~i L.oEcErect )C Remodel Parcel A Repair _ Enlarge Owner Ap..) //oRiao,? Move _ Demolish Address P.O. gox_13107 Grade , City/Zip Code S,T 6(O ------------• Contractor s,'m o- Address City/Zip Code Phone $ Arch./Engr Q. G R?scJo Ld Address Phone 0 4135-- 75-2 ?/ OF EAGAN SETS OF PLANS TES OF SllRVEY CALCULATIONS 0¢cupancy '9-3 Zoning Type of Const Q NIof Stories Length De th 44 Z? p Sq Ft APPROVALS Assessments Pe mit 31'? Water/SeKer Surcharge 1)0. Police Pl?an Revie w I Slo. S-" Fire SA? 5z5. Engr Walter Conn 500, Planner Water Mete r 103. Council Roed Unit 280. Sldg Offc?'g? ? pai'ks- APC Trl atment Pl 3't., Variance l 7oraL x ? I TOWNHOUSE 4 Q -. BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 Te ba wad fu 1 OF 4 PLEX $60,000 - - ?_ N° 11039 Receipf # 5?11/ SEPTEMBER 25 ,_ 85 Site Address 1582 CLEMSON DR Erect Q{ Occupancy R3 Lot 41 Block 1 SeclSub. THOM LK HTS 2ND Remodel ? Zoning Parcel No. Repair ? Type of Const. Addttlon ? No. Stories V W Name NEW HORIZON HOMES INC MO"e ? _ Leng[h 44 z P.O. BOX 1367 Address oemo?isn ? pepen 26 ?;ty MPLS Pno?e 420 3900 Int Impc ? Sa. Ft. Inatall ? 10 Name 5AME ApPrevay Fos £u qddreaa Assessment vermit S 313.00 City Phone ?Noter & Sew. Surcherge 30 _ 0 0 D. GRISWOLD Name PO11° PlanRevlew ?,50 J ? Firo SAC SZS.OO EX Address City Ph 435-7524 E`?' waterConn. 500.00 one Plonner WeterMeter 63.00 I h CO°^cil lioad Unit 280 0 0 ereb ocknowl Y adge that I Mve reod this upplicahon ond srafe that th i l BId Off 9/ 23/8 . e n ormation is wrrect ond ogree to comply with oll opplicoble q. . Tr. Pl 132 . 00 Sfcte of Minnewfo Stotut ?of Eu O?dinonce s. ?+PC pe?e ? ? Sipnature of PertniHe ( ` Var. Date Coples - A Building Permit Is iuued ro; NEW HORIZON HOMES I NC I 7otel 51.999.50 ali work shall be dorK in oc?prdonce wlth all ali °" t1° °xprcn cordition ?M? p ble State of M F ?Q pm"a Sfatutes und Cify of Eopon Ordirwnces. Buildinp pfftciol a ilv ?/(q Par.Tr.eTrnx _ r NOTE: ALL CONiRACTORS NUS? BE LICENSED HITH THE CITi OF EAGAN 0?-Il7' q(o INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY : 1 SET OF ENERGY CALCULATIONS ( o? ¢ " loo,ocv. I To Be Used For; s,c[vci. Valuation: 56,-M„-, Da le: q-3-gK Site Address: MpjQ,t ('(1a,rn14rn -'Nh, OFFICE USE QNLY Lot: 42. Block Sect/Sub _L Tho..,,.. L.okcErect _ 0¢cupancy A'e'l411-% Remodel Zoning Parcel 0 aff-P Repair _ Type of Const Enlarge O of Stories Owner ?/°"_J /?o?eizo.? Alor,sps Z;oc- Move Length Demolish Depth Address 1?ox.13b7 Grade ? Sq Ft C i ty/ Z i p Cod e?^j? -------------- - Contractor APPROVALS I Address Assessments Petmit Water/Sewer Sutcharge City/Zip Code Police Plan RevieW Fire SAC Phone U Engr Water Conn Planner Water Meter Arch.lEngr p. G RiscooL d Council Ro?ad Unit Bldg Off s arks Address APC Treatment P1 Variance I Phone 0 y3s- 752?/ i07AL TOWNHOUSE BUILDING PERMIT Te 6m ftaed fe1 1 OF 4 PLEX $60,000 N° 11040 Recelpt # grg(/ii Date SEPTEMBER 25 10 85 SireAddreu 1582B - CLEMSON DR Erect ER Occupancy R3 Lot 42 slock 1 Sec/Sub. THOM LK HTS 2NDRemodal ? Zoninq pD Percel No. Repair ? Type of Const. V Addition ? No. Stories ? Neme NEW HORIZON HOMES INC Move ? Lengtn 44 ; Addresa P.O. BOX 1367 Demallsh ? DePth 26 b c;tv MPLS PhOfe 420-3900 Int lmpr. ? ? S°' F`. Install ' Neme SAME APVrovala Fees 1p _ ? Address ? City - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 Phone ?W Name D. GRISWOLD ?? Address m< W City Phone 435-7524 1 hereby ockrwwledge that I hove reod this oDDlication ond stote that the inlormotion is correct and agree to comply wifh oll opplicoble State of Minnewta Storures CitY of Eagojy Ordhranus. -QQd (?a Sipnoturo of Permiftee ? ? /'?A? A Buiiding Perrnit Is issued to: NEW HORIZON HOMES : oli wo.k shall be dona in occordonce with I o icabls St of Mir BuHdlnp Officiol Assessmenl Pertnlt $ 31-1 _ n 0 Warer 8 Sew. Surcharge 30. 00 Police PlanRevlew 156,.?0 Fire snc 525.00 Eno• weterConn. 500.00 Planner WaterMeter 63.00 Council RoadUnit 280.O0 eid9. ort.9/Z3/85 rr. vt 132. 00 APC Perks Var. Dete Copies rotai ' 51.999.50 C on the axprcu conditlon thot wto Statutes and City of Eoqcn Ordirqnces. 1 ? ,-TY.Tovitooilli • C1eu. HEPTIOSSCALCULATIONS HEATINGBAIR $cdgu`cck CONDITIONING CO, ?n,o?o 33,otQa NA7f" 263-754 MINNEAPOIIS, MINN. Weatherstrip8 A.S.H.V.E. Constructlon No. I Insulation MTindows Doors Guide Referenta Out. l Int. Wall Ceiling fbol Floor Kf?d ? How Applied Yes-No Yes-No 79__ I FI.L?vIW(? -QRoom Length 'Z'Z Width) ,Z Height ? FI. M{\5-VM ?EY)poctri length 1-Y1O WiANt WG Height Windows and Doors-Crackage and Area n -y I?I ? Wi ndows ai ul Doors- Cracka ge and Are a NO' WiAth ol ane HaipM of Dane No. ol li hls Lmeel f?. of crack Area 6a. 1[. )/1 1 . NO' Wid?? ot erre Hoipht ol ane Nn.lol ?? hts l?neel lt. o/ c?ack Area sa• ??? 30 et ? 2 6 i 10 ' 1?5 I CoeT Btu I Coef Btu Infiltration Infiltration I Z ? 1 391 ?9B Glass Zq Glass I ? 1 sso Exp. wall ?L Exp. well IO M I L Net exp. wall 91 Net exp. wall ? jLj- 91 25$ ?n?rwatT, oor 1 1t7 222 Int.wall ? - 12 caiiins Zb TL- caiiins ? 2oa I,s ? Floor Floor ? 1Sn ? Total Btu. 7 5*777 Total 8tu. I ? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area I FI. IN?N(> Room length I Width Height FI. ,Le ?+41tfL4an length ?5 Width I? Heiyht Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. Wtl?h of ane Me?qM ol ane No of Ihta Lineal IL of cr ck AreA +0• ??• No' WNh ol ene Hxph(, anu o? No.lof is hts Lineal U. of crack Aree s0• It• , u ^4 p r 2 .Z? I io ^ 6 Z _ 1 I Coef Btu ? COe( Btu lofiltretion 'fol 22q? In/iltrauon ?ci a (aU Glass 'SQ AOp Glass I I? `? c!, .U Exp. wall ?? Net exp. wall Sb 1 Exp. wall ?2. x `dQ Net exp. wall I u?nq .l 1. 32 Int. wall Int. wnll 9 r Ceiling ? X? g? .2.5 CeilinQ?'? R$Q ?• f Floor Flpor Total Btu. S Total Btu. - ?\ r --W Raqwred sq. tt. E.D.R. or sq. ins. W.A. Leader area Requved sa:'fE E.D ?R, 05' '5a. ?• Leader aree ? fl. Rodn Length IZ Width rl Height Rpo?°y L.eng[h , Width Height Windows and Ooas-Crackage and Area W indows a nd Doors -Cra',ck age and Ar ea Nn. Witltn OI dn Heipht Of pTnB No. of II hi9 Lmeal ft. OI Cratk 4rea Sq. It. No. al ? e??e ulFn? N?.j?a of crelck 9,efl. B I I I C081 8lU I COB( Blll Iniiltratron IlIfIIIrPtlplt I Glass? Glase ,I Exp. wall Ezp. wall I Net exp. well Net exp. wall Int. wall Int. wall I Ceil-ng la.aC1 2?Q c eiiine - - Flow - ?.Floor -- ? 5^ f^ Tutal 9tu. Total Btu. I _ AeQuired 6q. ft. E.D.R. or sq. ins. W.A. Leeder erea ' O sa. 1t. E.D.R. or sq. ins. W.A. Leadar erea RopuireA .-: --. 16• Sed"q?,i neNi W-'-b GHLI.ULAlIVNS HEATINGSAIR CONDITIONING CO I MINNtAYULW,MIIVIV. Weatherslrips A.S.H.V.E. ConstruCtion No. I Insulation NTindows Daors Guide Refgre nce Out. Wall Irrt. Wall Ceiling fbof Fioor Ktnd How Appliad Yes-No Ves-No 19_ I ?FI, 0 Room Length FQ Width Height FI, Ropn Length Width HeiBM Ydi ndaws a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a ?ya W?tlrn af ana Hapn1 ol pane No. of h hls Lrnael N. ol tteCk Area sa. It. No' WEtn e1 arw Hmpht o1 ane Nn: DI h h[s Lineal h. o1 Creck Area sQ• ft• ^ I I C09f Btll ? C00I BLU Infiltration In/iltration I Glass &(jJ Glase I Exp. wall 7t ? Ezp. well I Net enp. wall 230 Net exp. wall I Int. wall Int. wall ? Ceiling Ceilin8 ? Floor IU 21- Floor ? Total Btu. 3 iotal Btu. I Required eq. ft. E.D.R. or sq. ins. W.A. Leader area Rgquired gq. ft. E.O.F. or sq. Ins. W.A. Leader area Room Length y Width HeigM FL poan Langth Width Height Windows and Doors-Crackage and Area Wi ndows a nd Ooors- Cracka ge and Ar ea N0. o? ene Meph( 0? dne Na. ol h A[S Lineel ft, ot creck AreN s4• ft. No' WiNh ol One Hxipht; O/ ana No.lol b hi9 linealk. 0/ <rtCk Aree E.$. 1 ? 9 2 I " 3->- -lo I i caei etu I caei ew ?n?i?tration ( 11-7 2223 Inhitration ? Glass Q 31 OQQ Gless I Exp. wall Exp. wall I Net exp. II 232 9.1 1 4 Net exp. wall I ?ptyegµ ( Z ?7U 'j,.Z iM. wall ? Ceiling Ceilinp I Floor '41 Floar ? Totel Btu. ib4l- J Total Btu, I Hequired sq. ft E.D.R. or sq. ins. W.A. Leader area Required eq. h. E.D.R. ar sq. ins. W.A. Leader area FI.?j,R, Langth ?3 Width Height FI. Room Length Width Heigh[ Windows a nd Doors-Crackage and Area W indows a nd Doors -Cra k a9e and Ar ea No' yy Cin of cane Ne,qM ol ane No. ol li hta Lineal h. of erack 4•ea sQ• it• NO' W. mb ul ane M:.pl uf »ne Nn.?ot h hn Lineal fl. of erack AreO 8a• ft• I _ I COBf BIU I COef BLU' InliltraUa+ In/iltration I Glass Glass , I Exp. wall Ezp. wall ? Net exp. wall 7xb S?y q,I 2y?? Net exp. wall _ I Int. wall Irt. well I Ceiling Ceihng '-- Flow 7.:j v] ? -].S -?-? flaor ^ ? Total Btu. ? Taal 8tu. I _ Required sq. (t. E.D.R. or Sq. in6. W.A. Leadar aree Aoquired eq. ft E.O.A. or sq. ins. W.A. Leadar area 1994 MECHANICAL PERMIT (RE: CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLET'E FOR SINGLE FAMILY DWELLINGS. ALSO, CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. A6I5-ON FURNACE FIREPLACE INSERT DATE JUJU ao, lq9y HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OT r. iLL1 O(iaiu;iivii.ivi i L.e.i.i7fi r.t+CH) ADD-ON/REMODEL (Exis'rING CoNS'rRUC!'IOrr) STATE SURCHARGE TOTAL FEES $ 24.Op 6.Ob ?().6 0 srrs 594 TOWNHOMES AND r- Waa 569 lo/ix?f /v d"t? OWNER NAME: AaflCu BCrSE'1'lle0I?P_i TELEPHONE INSTALLER: g rLtc-P S;,t_{'te.F LIS4-a9 3 L CIT'Y: en ?G?n STATE: Z1P CODE: TELEPHONE #: . --------------- 1 2/84 , CITY Or EAGAN APPLICATION FOR PERMIT 1ltN SEWER AND/OR WATER CONNECTIODJ (PIEA59 PRIHi) 1) PP.OPEEtLY ADDRESS: IJO LMaI. DESG4IPTIm ? ?? o-yy?? • ? /? (IOt/Block/Su:w.visicn or Tati Barcei I.D. N ?r1 IF' W{Ir'=-Aj S!'0.C!C?'LT:tE, Ik1'r' 0° Cz2T_GZAi, uiSLDZ`:G TSJI.l+` =: ? • M'ru?ti S??Y? P?_°.,L:T :::^-'TI2x:/?PDPOSEJ L'S': ? R-1 S'Lv=- ^-`_+SLY . ? R-2 DLTP',= ('_^.•:D L^2ITS) . ? i2- TS : ('!':'z? -? - L?]I:'S) [ Wi T'_"S) . 4 p ?CST:tL?.I, - -- Q LNSTT:T.TIC?I.?L/Gv^4?t3? 1T --- - -- ---- ---- 2) A?P?,IC2T (PLEASc PRiNi) NF?d?fE: ACDRESS: c.TT^-. sraxE, zIP: -?p • ( ? PMNE: - _ - ? ? 3) Piz-IBEP (PLE„SE PR1NT) I F08 CITY USE,PHIY t+?,+?: 60 IHC. lg YLUIIINIRwlt - PDD?ESS: 7HOMPSCN . Nj<A I PLt1k8 S- ICE45E: ' Active , CITY STATE ZIP: ? KA, :IIdN. . . E,TON I ? Expir N?l ICr. PFiO:?IE: PlIIYBEN LFCENSE k ?A Of Retord I ' r* n ia - q) O=PpmT/0r.';NM (PLEASE PR14f) ADDRFSS: I CTTY, STATE, ZIP: e PFiO:iE: ' 5) IIVDIG"3'E :JEIICH PERNlIT IS BEI[CG RDQUESI'I:D: "' - 0--c?C:iIECTION 20 CITY SETr7ER El'CO:ti:ti'DCTZCY TC) CITY [dATEZ - ? CJi'EffR (PII'iLE DFSCRIBE) 6) INUZG,= . ? P='%SE fOLD t1PPPC)Vm PERt+ST FO4 PIC1 BY G'JE O F A6(MTE PL=Sc; :AiL APPFtaVED PEP:•1IT TJ Z, 2 3 4 ABOV7E (Ci:cle one) 7) SICa1L?tr c: ? °: PERMIT "- ISSUED $ $ $ . . S $ /S- $ $ $ S $ S $ ? $ - $ SD::LD nER?2rT (I`IC:.::I)E St3?C :??GE) jJ3TER PET.iBIT_T (Ia`ICiuDE SliRC°j.sZG'a) WAT£R METER/COPPERFiORN/OUTSID' REnDER WATER TAP (ZNCLUDE CORPORATIO:I STQP) sEWLR Ta° i=c^i::;'^ ACCOUNT D£POSIT - S•7ATER wac SAC TRlivK NATER ASSE53:L?:+T TRliNK SES•7ER ASS: SS:•IE:+T Le'aTE?.nL BENEFIT/T.°.U:IK St.:•..iz'.Fc I,a;cRaL BE^IEFIT/.TRU:IK SIATER tJATER TREATMEb^f PLANT SL'RCEIARGE OTHER: TOTAL AMOUNT PAID/RECEI?T DOES UTILITY CON:IECTION REQUIP.E EXCAVATION IN PUSLIC RIGiiT OF WAy? C YES IF YES, THE:I n" "PERPIIT FOR 'AORK WITHIN PUSLIC ROADLdAY" MUST_BE ISSUEO BY THE ? NO ENGINEERITIG DIVISION. LIST AS A CONDI- TION. Sli$JECT TO THE FOLLOSJING CONDITIO\S: APPROVED BY: TI:LE: ' DAT°_ : A """ Nrlr w r iankw =i4 F?!a ?k?/ 1! ?.A w r ? ?., . . 1 ti ? CITY OP EAGAN 2/84 7 APPLICATION FOR PE?.IMIT ' Utu SESQER AND/OR WATER CONNECTIOAi (PLEASE PR[Ni ? ? 1) PP?P'.RL"1 ADDRFSS: ,? l A LECiaL DESG4I?TIC^I: (Lct/Block/S-iuiivision or Tac Parcei I.D. NI =ber) I'r' ST0.L'C?.I:2E, DATE O_° CcZ?G.^AL u;ILDL`:G . ??•M?Y ????TI P°S:P :,.;m.7:/.PR0POSm' C•S: ?R-1 SitiGL'-. FMSL° • ? R-2 I:TJPL...?c I^_'.-.'O L^TmM) . E3 cZ-3 1CF•v?KT?' ('i'Y,?.?: ? L-7E':'S) f W I':'c) • ? ?-?1 r,2r1=`:SyC??C.i•LT}]ITwl ( UNI TS) ? WntERCLM./RE^:"-,+'.I?Cr ' ? i Q ?,'CSLRI.?L T? - - -- - Q NTSTI:S,TI'f?t.A;../C.r^S 2) AP?ISG'-.`v'T (P?ElySE PR1Af) NA?tilE: ACDRESS• O . ? I CITY, 5MT3, ZSP: - r PhC??IE: -- 3) PLI.'?BER, t?,'?: rHomPSCN pPLE.SE PR1Ni) I FOR CTTY USE OYLY LU69R(?J? 6 . 9? tc. -Tl'? MIN ADDRESS: MWNr+ N[70NKA BL?JD. I PlU!!BERS lICE95E: ., ? ( AC i e fa{??f ? ? . 55343 CITY, ST:?.TE, 2IP: I , _ v :Pired NJICr. M pHONE: ?? Sz PLUNBEP IFLENSE H /76 VAdl RlCOI'd - ' rr n ia 4) 0CC.L?PNT/C?v1`.TEs2 (PLEASE PRiNI) ADDRESS- CTPY, STATE, ZIP• PFi(kIE: . 5) IWIC'1TE '41-1ICH PMlIT IS BEIIvt+ RDQIJES'TL•D: CL.'^^IF.CTION 'il7 CITY SE*dER C0'.rF7CfI0:I M CITY WATE.TL • 0 UTER (PLFe15E DESCFtiBE) ? 6) IUIG..:. C::r.: ' . ? P*.r1SE F?OID APPPIJVID PM+ST FOR PI Y Q:IE OF A6()VE PIEySc :•<1iL APPROVED P?_•LLT TO 1, Vi ABOVE j e?one) (C 7) SIC:,+TCRE: ? ?GV ? DATE: ° ? ? ? Yr:°?tIT = ISSUED ? , . .. , rr^S: $ Q?S c' nr ?? r?."..L.,. ?^ 5=.::L.v . ??1"T-^?i I_IC JUR?.r?- .ARCG) ' $ /U')L' WATER PET.ZPiT_T {INCiiiDE SuRC°At2Gn'} $ _?oC_ ' WATER D7ETER/COPPE4HORN/OUTSID : RE:-,a :R $ ' WATER TAP (INCLUDE CORPORATI0:1 STOP) $ Sr-:vER TAP $ ..__'=QS2= - _=..E3 $ C, ACCOli\T DEPOSIT - WATER $ wac $ ss ??,u SP.C S TRUVK WATER ASSES3:I.°..:+T S TRliNK SEWER 35S :SS:L;iT S Li,TEP.nL BE:iEFIT/T.°,UNK SE::TE,rc S LATc:2AL BE*7E£IT/TRU::K WATER --- -$ --- -?- - `?'- ' -- ------ - - I1ATER TREATMEiv'T PLANT SURCEIARGE $ - OTHER: S TOTAL Ab'.OL'tiT YAID/RECEI?T DOES UTILITY CON:IECTION REQUIP.E EXC.aVATION IY PUSLIC RIGiiT OF WAY? ? YES IF YES, THEN A"PERMIT FOR •s70Rti WITHIi1 PLIBLIC ROeIDWAY" MUST BE 'ISSUED BY TI?E Q NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWLNG CONDITIONS: APPROVED BY: TI:LE: DATE: me i?? ?+? r? a s? ?+a? re ? ?a w?r ?cr? ? ? ? +?1! wfv ?t+ ?? ly ?wi? ii? ut+ ?e ? !+t ?i? r?w ?k? l.! s? ? s %1_ NV3 .f ?... 4 1) PP.UP&TtLY ADDRc^55: LFG.aI. DESG42PTICV: 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) cl,oyicslocx/SU:Jaivisicn or •rati Yarcet Tr' W:Ir C, Si'°,C:CTLTRrs Q1Z5' O_° OcZT_GuAi, uili.DZ'.G r='•:i: p=r.,L" :.mmr,/n'P!Opos=) t-s: ? --- 1 • ?:'?: :?.. ???rl o z i s-vct.: .ALILY I 0 R-2 ?UP= tT•O L^rMsl P'R-3 zr.x?.;?tsE (Mm= ± L:TI:'S) wrrs) o R-4 AP.AR2m:r/=za.,T1rm ( crvz ?) ? ca?R%ERcL?r.--IVcr_ i? ? =LSZ?I.?L 2) AP?LIC:,'t' k.i,(PIEaSc PRtar) ADD?2ES5: ?v I CITY, STATE, ZIP: ' - I Pm*'m: 3) PLL my. (PLEASE PRIxi) fOR CITY USE 0!iLY NALME: ADD ZESS THO SGN PLUMBING CO„ (NC. PLU"BERS ICENSE: ' : c Active CITY, STr'?'?, Z?; MINNE70NKA, !UIidN. $5343 I Q P? ed pxaNE: abi cr. PLUnBEN LFCENSf t? ' arr ni[tn 4) a.Y.L'2PiVP/CT.'1`.T.P.i2 (PLEASE PR10T) I ADDRESS: I CIZ"!, STATE, ZIP: PHO:TE: I ' 5) IIVOICs%TE WEIZCH PERf•LIT IS BEIm, RE7QUES'I'ID: Q?GL:^IECfIOV 'IO CITY SEF7ER Ej-1C0%VEICfIC,1 'IO CITY i?TATE4 [3 di[ER (PLG3.SE DFSCItISE) 6) I:DZG.::: C.:c: . ? PIMSE F'AID APPP.OVFD PEFr•+.IT £O?2 PTCi".-IIr^ BY o/PL:zE :*'.IIL APPR= P&F:•1IT T:1 1. 26?4 ?? ZD (Circle one) 7) szcaaLRE; Q:7E OF r1EMJE naxE: D ? ? ? r ::?-u r = 1JJUED . .' • J L.D. P..E.R,QTi' MlCL:.iE SURC:.l7CG) WATEZ PEFUtIT (2PICL'uDE SliRC:iARGH) $ We1TER IMETER/COPPERHORN/OUTSZDE REnOER $ • ' WATER TAP (INCLUDE CORPORATIO:I STOP) $ SE?dzR TA ? $ A do =CCOC?:^ =20SZ= - .=_..?R $ ?S J ACCCOUtTT DrPOSIT - [7ATER wac SnC . . ? TRUNK SQATER ASSESS:L='::T $ TRti31K SBIIER ?.SSESS:L:iT $ Lr,:ERlL BENEFIT/TnUDIK Sc:•:?,'R $ I.ATERr1L SEVEFIT/.TRU::K 6TAT°R $ WATER TREATMENT PLANT SiIRCHARGE $ - OTHER: $ TOTAL . P,MOL'\T PAIDIRECEI2T ?T DOES UTSLZTY COtv' VECTION REQUIRE EXCaVATION IN PUSLIC RIGiiT OF WeIY? YES IF YES, THE;i n"PERMIT FOR S40R:C WITHIi7 , PUBLIC ROADWAY" MUST BE ISSUED SY TY.E Q NO ENGINEE RIDIG DIVISION. LIST AS A CONDI- TIQN. SliE7ECT TO THE FOLLOWING CONDITIONS: APPROVED BY: .. . .. TI:Lc: ° DAT-v: ?G w?.s? w?s r.? ? s+ .asn sc e r,k ?? w?.+ w? w?,sf wr? w.++ ut+? ra ?.? ws? nr+ 9r Msa UBZP" Ra rrt+ry iM a, ? ? `cS ?... . • ? mi CITY OF EAGAN 2/84 ? ???? 7 APPLICATI6N FOR PERMIT llut : SES4ER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PP.OPFRTY ADDRESS: rvrai, DESG RI°TIC;I: (Lot/Block/Su:,ciivi.sicn or Tax Parcei I.D. ' I..^rmer) IF Mu- =-? sIMzc =, DaT-P o? cMIcMaL u,-ror:c _EF:-ic: Tss??.: e: PDr,.L^ r.^.;7rivY:/P?DPOST-J L•S: ? R-1 SitiGL-. ^-`L1,II,V • ? c'j?-Z'Bi7PL_..°Y ('T_•U L^:ITS ) . OlcZ-3 2C'f.•.??iS=E (??=--- y MII:S) {Wi ITS) ? R-4 r?a.??:r/c??,_•u ir?i ( cnzTS) ? WnW-CLaL/:tE'"-SI?CFF' i=- p "IML'ST:iLAI, Q 2) A'P?SC:;iT l LeasE Peiar) NPd3E: f?,j ?? ? ACD.RESS: / , CT!"_', SZ7T8, ZIP: ' I PhME: 3) PIVmm (PLEASE PR1Ni) FOR CI USE OVLY NFi'?'IE: I THOMPSCN LUMBING CO INC PLUM LILE9SE• ' ? „ . PDDRESS: 42???'??? Aetiv CZTY, . STA'I'E, 2IP: MINNETONKA, riAI;dN, 55343 I 0 , V' ed • PH(kVE: PIUNBEti LFCENSE N of cord ?r ? • rr nicta (PLEASE PRltIi) I . 4) OCL"[S?Pi?1T/Ct-J-NE'?e NAME : ADDREM: CITY, STATE, ZIP: Ph'(J:IE: ' 5) INDZG".TE WHICH PSR6IIT IS BEIti{; RF7QUES'PLD: ? :SVEC,TION M CITY SEFiER , ?,? ?' CCkti'NF'c'PIC:I 'IO CITY SqATER • ' ? aniER (PLEAs-' D£SCRIEE) ' I 6) U:DLG,:? C:.c: i . . ? P*.-E-\SE E?OID r1PPP,C7Vm PERMlIT £OR PIB Y O;IE OF t16CS'E • ASE APPRWFD P?_•LLT TJ 1, 2 34 I1?Bp?'E ?, (Circ e one) ? ? / 7) SIC..,TL?ti- ? Dr1Z'_°: raz.•tl l= 1JJUEO FEMS: ?` v 5 ,} / $ . . S $ ?5-o? $ S Sa_S',, G s $ $ $ ?•.?? ? ??'-- .. $ ' $ ? $ • ??? . ?NGi 5':4E.°, nrRtlTi (I`IC.T.::P,? SU?C:ir?Gc) S4ATER PERPtZT (Ii7CL'uDE SliRC:iA2Gc) . ?. We1TER METER/COPPE4HORN/OUTSI*JE REi,D£R WATER TAP (INCLUDE CORPORATIOJI STOP) Sc:vzR T?iP a_..=R ACCOU:IT D.F.POSIT - S7ATc:R wac sac ' TRli:7K SJATER ASSESS:L=::T TRtiNK SEt•7ER ASS: SS:d°:iT Ln`TER.aL BE:iEFIT/T.m,UNK SE.::TEFc LAT'cRr1L BENEFIT/TRU::K WAT°a '.JATER TREATMENT PLANT SL'RCHARGE OTHER: ' - TOT?.L AA'.OL'\T PAID j ggCEI?T n DOES UTZLITY CON:IECTION REQUIRE EXC.aVATION I8I PU5LIC RIGciT OF WAY? ? YES ZF YES, THEN A."-PERMIT FOR WORK WITHIN PUBLIC ROeIDWAY" MUST.13E ISSUED BY THE Q NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SliEJEC: TO THE FOLLOT9ING CONDITIONS: APPROVED BY: • ,? . TI:LE: DATE: ? am-" .rs "wi+ go*ss rcm ? ? MECH.AIVICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675- Pleasc complete for: Smgle Family Dwellings Townhomes and Condos when pemilts are requireA for each unit Date 1 0 / -62-L/ ? Site Address J • Unit # I ?- \ Property Owner I r ? r ? a y?? ? ? /U/ / I ? Telephone # (? }'?qC // `7'?S - (//C^? Contractor A U I ? I / ? ?? S? Street Address ?? ? W• City , 6 I N St t Zi Telephone# (? Jf )???' U/CJ?? a e ? p ? The Applicant is Owner ?'.entractor I Other ? _ _ ? Add-on, modification or alteration to existing dwelliug unit $ 30.00 \,C--furnace replacement air exchanger air conditioner other D VU ? ? LVVJ State Surcharge $ .50 By---- ?b5rj Total I hereby apply for a Residential MecLanical Permit and acknowledge that the inf, tion is con be in conformance with the ordinances and codes of the City of Eagan and ith t Mecbanical pe ' ut only an application for a pemilt, and work is not to start wit out rmit; that the appr ve plan in the cas o woFk w'? uires a review and approval of a ? ? Applicant's Printed Name Applicant's Signah and accurate; that the work will s; that I understand this is not a will be in accordapce with the 'i ib3( 2007 RESIDENTIAL BUILDING rERMiT City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conswctlan Reowremenis 3 registered srte surveys showing sq. ft. of iot, sq. ft. M house; antl all roofed areas (20%maeimum lotcoverege allowed) 1 Soils Report d proposetl building ¢ lo be placed on disNrbetl soil 2 copies o( plan showing beam S vrindow sizes; poured found design, etc. i set of Energy Calcula6ons 3 copies of Tree Preservation Plan if lot platted affer 711/93 Rim Joist Dehail Ophons selection sheet (buildmqswith 3 or less units) Minnegasco mechanical ventilaLOn form RemodeUReoair Reouirements 2 copies of plan showing foohngs, beams. 1 set of Energy Calculations for heated ac 1 sRe survey for addilions & decks AddNOn - irtdicafe ilon-sile sephc system Z4? oo CC OKce Use Oniv Cert of Survey Recd _ Y_ N SoilsRepon _Y _N Tree Pra Plan Recd Y= N. Tree Pres Required _Y _ N On-site Seplic System _ Y_ N Planc ara rnncirlarprl nuhlic infnrmatinn unlpss vou SfetE thBV 81'@ tI'8d@ and the reason. . ._.._ _.- ---'----'-- ----------- 2 D Date -------- - q/ I Construction Cost 0'? / Site Address Unit/Ste # - :nryMudas Description of Work ?- ` /M' I Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 2 Owner /' Pro ert Q e ` Telephone # ( ) p y Contractor V LaJ/uk ?.?CIIZG I'?%O/? ? - / / /' Addre b/ ?6?1"N //'D //'/1!'?l' D ss ? / OT Cih' IL / ?r/ L1T A 1ZL ? . ? r State n /Nl S") { 35_ Zip Telephone# 1?)Z-/ZI/ . COMPLETE THIS AREA ONLY IF CONSTRUCTING A Energy Code Category - Minnesota Rules 7670 Cateeorv t - (J submission type) Residential Ventilation Category 1 Worksheet Submitled . Enerqy Envelope Calculations Submitted BUILDING Energy Cotle Worksheet In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and acknowledge that Telephone # ( Telephone # ( Telephone #( that the work will be in conformance with the ordinances and codes of the City o Statutes; I understand this is not a permit, 6ut only anF?pp ' ation for a permit, and permit; that the work will be in accordance with the approved p in the case of woi app al of plans ?, _ Applicant's Printed Name A, t's Signatur )n is complete and accurate; Eagan and the State of MN iork is not to start without a which requires a review and r P 40 1 • Use BLUE or BLACK Ink I For office Use I I ' j Permit#: 1►°~_ 1 t of Evan I .sa 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 Date Received: 0 j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 staff. 2013 RESIDENTIAL BUILDING PERMIT APPLICATION? Date: .16- 1(- 13 Site Address:6 1fga,q.) wig )58 ` ----Unit Name:.#~ ~ ~l _7.64J -AQLM_eS_-_Phone: -2- 72L S't2 L_ Resident;/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Ale_MQ f Construction Cost Multi-Family Building: (Yes No Company: R C0/7 Contact: i Contractor Address:, 3a 1"1 t c?j7Gt,_-- _ City: Mf►fn> axz. State: M Al_ Zip: 5'S~lo Phone: - Z - 5406 - License S t^ - 1 ~ 10 6 Z- - Lead Certificate ~AT--:: 2 I f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: _ Sewer & Water Contractor: - - - Phone: - NOTE. 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.aoohenstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 160 days of permit Issuance. r Applicant's Printed Name L~ Applica f s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146129 Date Issued:10/10/2017 Permit Category:ePermit Site Address: 1582 Clemson Dr Lot:41 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-410 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William E Fennessey 1582 Clemson Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175002 Date Issued:03/07/2022 Permit Category:ePermit Site Address: 1582 Clemson Dr Lot:41 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-410 Use: Description: Sub Type:Water Heater 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 - Jean M Latterner 1582 Clemson Dr Saint Paul MN 55122--480 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature