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1585 Clemson Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA088913 Eagan, MN 55122 . Date Issued: 04/27/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1585 Clemson Dr Lot: 50 Block: 02 Addition: Thomas Lake Heights 2nd PID 10-75951-500-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Ananne M Rise 1920 County Road C West 1585 Clemson Dr Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature ... - , _ ... fr. '. ,. . . . .. . . . . . . ... . . : . ? _ . , . . . ' .. . . . CITY OF EAGAN ? ?57Z MN 55121 3830 Pilot Knob Road P.O. Box 21-199, Eagan , , PHONE: 454-8100 - BUILDING PERM IT Receipt # P l REpIACE $1 ?000 NOV 23 tjt To be used Eor Est. Value Date , 19 Site Ad if ss 1 5$ -? CLEMp DR aFFICE USE ONLY Lot Block Sec/Sub. Parcel No. occupancy - Fees T ERRAME A , Zoning ? 25.00 W Name (?+ctual) Const ? Bldg. Permit . ? o Address (Albwable) - Surcharge z Clty am PhOr1e # ot Srories - P1an Review Length ? o Name Depth SAC, City ;i Q AddFeSS S.F.Total --- SAC MCWCC , ? Clty Phone S.F. Fooiprints - Water Conn On Site Sewage ? ° W Name On Site Well ? Water Meter wul = ? Address MWCC S stem Y ' u Z Cit Wat r Acct. Deposit au + City PhOne y e R d ? S/W Permit P V Require ? I hereby acknowlege th at I have read this application and state that the Booster Pump - SMI Surcharge intormation is correct a nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPHOVALS Road Unit ??? ? ?'HEARK Pianner - A Building Permil is issu ed to: parkDed. on the express conditio n that all work shall Ge done in accordance wilh all Council applicable State o( Minn esota Statutes and City ot Eagan Ordinances. Bldg. Otf. Copies ?a Building Oflicial t ' Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I foundation Framing Raofing Rough Plbg. Rough Htg. lsui. Freplace -? t n[' ? , / v.% ^ Final Ht9. ?- Fnal Plbg. - Z _ Const. NVeter Pibg. Inspector - Notity Plumber Engr./Plan Bldg, Final Deck Ftg. Deck RnaV well Pr. Disp. Ll q, 5 0, S i, S--?- CITY OF EAGAN 3830 Plbt Knob Road, P.O. Box 21-199, Eagan, MN 55121 '• ? PHONE:454-8100 BUILDING PERMIT Receipt # To be used tor 1 OF 4 2L;-jS Est value $61,000 Date r?AY 8 ? Site Address 15 87B C.L.E!•ISOTi DR Erect 13: OcCUpancy Lot 52 Block 2 Sec/Sub. TliUMAs L1KE Remodel ? Zoning .?r Parcel No. IiEIGEiT'S 2hD Repair ? Type of Const?- Addition ? No. Stories W tvame ?1EW fIOit3Z0?,{ H4ASES Move ? Lengtti 44 = P. O,. 130X 13 6 7 Demolish 0' Depth o Address Int Impr. ? Sq. Ft 27 city t4PLS Phone 4 2 0-3 9 0 0 Install ? Sig natu re A Building Pe all work shall Building Offic 8 Permit Plan 119, 1.9 19 66 S 316_00 30,50 Eng. Water Conn. 5Qo - 00 -Phone 935-7524 Planner WaterMeter-6--4.50 Council Road Unit29f) - OU ge that 1 have read this application and state that the gldg. Off. 5/1 1$ 6 Tr. PI. 156- 00 ict and agree to comply with all applicable State of and City of Eag Ordinances. APC Parks ?,. • ?"'?- r. - tee ' i.F Var. Date Copies S 2 0 9.0 0 - - - ? TOtel ` ued to: N2 HORI ZON NOtiiE:S on the express condition that s in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 -- I . I PermH No. I Pwmit Moldw I Dab I Ti1ePhone M I ¦Imwcdon Date I lina. II Commenb 1 i Wbg. Htq. Mly. PIbQ. Disp. "o+ r' MECHANICAL PERMR CITY OF EAGAN 3830 PILOT KNOB ROAD, EACAN, MN 55121 BLDG. T1fPE , Namjtll. ? Address c City - ? Name c Address O Cih+ TYPE OF WORK Forced Air Boiler Unft Heater Alr Cond. Vent Gas Piping Outlets # Other ? M BTU M BTU M BTU M BTU CFM -?_ FEE S/C: TOTAL• Res. ? Mult Comm. Otlier PERMIT # r rno RECEIPT # DATE: WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU - a24.00 ADDITIONAL 50 M BTU - 6.40 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE G FOR: CITY OF EAGAN PERMIT # PIUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE r? Name ? .q Addre c City'_ ? Name c Addre p Ctty L FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN (;4G BLDG. TYPE WORK DESCRIPTION Res. New f Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL ? Water Closet - $3A0 ' Bath Tubs - $3.00 S ' Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ' Laundry Tray - $3.00 ' Floor Drains - $1.50 1 Water Heater - $1.50 Whirlpool - $3.00 1 ' Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ? ? ? `? GRAND TOTAL: PERMIT`# P? MECHANICAL PERMR RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ 7 aite maaress - gLpG, npE WORK I Lot Block SeclSub Res. New _ 4) Name - ?'' trG ' ' ?•n ? Mult Add-on Address L ? '" Comm. Repair . c City Phone 9 yl - O Other ? Name c Addre o CitY - TYPE OF WORK - Forced Air M BTq Boiler M BTU A Unft Heater Air Cond. M BTU M BTU Vent CFM Gas Piping OuUets # Other FEE . ?._?& r S/C: , ' TOTAL: ? ?I ,. ? FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 795 OF CONTHACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE (30ES BEYOND $7,000.00) CITY , ?___ CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 j SITE ADDRESS: 0; ?. : ? I f 04 1-,11 N Ur+ ? PERMIT SUBTYPE: ! 1 t"UI? i ! N(i• ION RECORD PERMIT TYPE: Permit Number: Date Issued: "'' • ' `? ! "' 9b' - f-' 10 ` APPLICANT: tri til??zt f fl(, kNl , ?. ? . ? ?,,• ?;.,?. ? ? TYPE OF WORK: f [ r1R4. F L -1 Permit No. Parmit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOO FINAL BSMT R.I. BSMT FINAL DECK FfG d ? DECK FINA_ rv i ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 N ;coRD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRrzSS: PERMIT SUBTYPE: . ? ? ,. I I 1'i t`I I N fil Dtj{ . APPLICANT: , . is. ; .. i ]i ; , I (yi. I .sr! i I ?- F {Fi12 ) Oql'3-127q1 ? TYPE OF WORK: ;,?. i?aa?rc?r? ., .l i. ! o. r iila f i?a3) FINAI : ? ? {k i ? Permit No. Pertnlt Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUM811JG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL I GYPBOARD FIREPIACE AIRTEST FIREPLAOF ylf,71Q? FINAL PL6G PINAL HTG ? pRSAT 7EST BLDG FINAL 85MT R.I. BSMT FINAL DECK FfG pECK FINAL 4, Sv, S r, CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .? . . :' BUI!.DING'PERMIT PHONE 454-8100 Receipt# -,? L Z To be used for 1 0P 4 p1+EX Est. Value •' ?Z s?- ?' Date Fj Site Address 1587 CI+EI"jSON :)R Erect a' Occupancy R3 Lot SjBlock a Sec/Sub. TEIOMA$ .L."E Remodel ? Zoning R- I Parcel No. HEIGFiT:i ZKD Repair ? Type of Const Addition ? No. Stories W N?B i?IEW HOR i ZUN :?OrlFS Move ? Length 44 = o P.O. BOX 1367 Address Demolish Int. Impr. ? ? Depth_-2? Sq. Ft City I'IpL$ Phone 420-3900 Instau O a o? c ? SAAU nPProvais Name Address Assessment Phone za F W Name D. GRiSWOLD z Address W Citv Phone 435-7524 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eaga,inances, / Signature of Permittee Building Permit is issued to: iIFW HOI:I 2AN HOt•iES work shall be done in accordance with all aoolicable State of Minneso Water & Sew. Police Fire _ Eng. _ Planner Council BIdg.Off. 5/1/86 Var. Date Fees Permit $ 315.00 Surcharge 3U.50 Plan Rewiew156:00 SAC 575.00 Water Conn.S00 :O0 Water Meter6--1-50 Road Unit 290 . 00 Tr. PI. 156_ OU Copies Total $2 ? 089 . 00 on the express condition that and City of Eagan Ordinances. I I PermH No. I PsrmM Noldkr I Dde I Tolephom N I 7 - p. FMW R Oce. :k Fty. ?c Frmp II Disp. } ' . Site Address ' Lot Block y?, r . , . . ? . . ? . .. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN . 1.. 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _ m N8f1'li'!". ???• , ?? ?.,_ .. ,.,. .. ,. ., ..... . . .... __. Address 1''OI X?=';i,?, ,-•.. _, c?,_; , ??, r City fvIlNiVEAPOLIS, t+4L?on?'° ,5 ? Name . c Address 0 City - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Oudets # Other Phone ? M BTU M BTU T M BTU ? M BTU CFM , FEE S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. New ? Muft Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN . PLUMBING PERMIT • GTY OF EAGAN . 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address 1r Lot ? > ?- ? Name '' I L? J L ? Address, c Ciry ? Name 3 Addrg O City ! FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCNARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES EAGAN PERMIT # 7 RECEIPT # DATE: ?BLDG.TYPE NO. FIX Water Closet - $ Bath Tubs - $3.C ! Lavatory - $3.00 ?Shower - $3.00 r Kitchen Sink - $ l Jrinal/RidPt - ,: WORK DESCRIPTION New ? Add-on Repair IES TOTAL S ? , ? J $1.50 > c7 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE - 1 •'.-'U STATE S/C: }'l GRAND TOTAL: Res. Mult Comm. Other A' Slte Address Lot Block ? Name _ ? Address _ c City ? c Name _ A p ddress - City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. ,6%_ r , . ... ?SV PERMIT # ? '10 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE PHONE: 454-8100 For Office Use Only: TYPE B DG O L . W RK DESCRIPTION Sec/Sub Res. New Mult Add-on Comm. Repair Other Phone M BTU M BTU M BTU M BTU CFM # FEE S/C: TOTAL: i II FEES RES. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHM11 COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE A MINIMUM RESIDENTIAL FEE - ALL ADD-1 REMODEL MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES OF EAGAN ? $24.00 ? 6.00 ? ? 1.50 EA. ? ? - 12.00 - 20.00 - .50 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i r I' I 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?.. . ,: ??•i :??ra f jFr i lf; i;, t31114r PERMIT SUBTYPE: TYPE OF WORK: , ,;, . , i':1 j i 4'130 I i Nt,`, I I I I(lVA1. ? ? - ,? ._ - - - -- - - - - PermR No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Inep. Comments FOOTINGS FOUND FRAMING ROOFING RQUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS 5VC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 6?IG_ ? -- - -- - > sa, S i, Sa_ . 3830 Pilot BUILDING PERMIT mmar. ? CITY PHONE: 454-8100 SiteAddress ISSS?'T-Fh'1SQN OR Lot.c',QBlock a SeclSub. L ' Parcel No. - uP ri_n•i"_: 2;Sn W Name NEW AORIZOAI HOMES a Address .?^P^u. BOX 1367 '^A- ? o Name SA''? _ . o ? Address V W W W F = U ? ? W < Eagan, MN 55121 19 ? 6 ? Receipt # (c^??? Date 9 J?3! A , 19.nG Erect LJa( Occupancy ;1.13 Remodel ? Zoning itt Repair ? Type of Const. Addition ? No. Stories ? Move ? Length Demotish ? Depth Int. Impr. ? Sq. Ft Assessment Water 8. Sew. Police Name _ D. GRISWOLD Fire City Phone 435-7524 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ortlinances. A Building Permit is issued to: b all work shall be done in accordance Building Official Statutes and Eng. Planner Council Bldg. Off. 5.41 /A F APC Var. Date Permit ?1,1-61-00 Surcharge _-an?$Q Plan ReviewgR 00 SAC S7 5 00 Water Conn.qOa 04 Water Meter_C.2 50 Road Unit200Tpp Tr. PI. 156 00 Parks Copies Total $2-nt?4-UO j on lhe express condition that ofEagan Ordinances_ I I PermH No. I Pa?mlt Holder I Date I Tsl*phon* k I lfb . Date Plifq. Ht9. FInN Occ. Ftp. Fmtq. Dhp. CITY L ysQ l,S' 830 Pilot Knob R d! P.O. Bo 21??-A 9, Eagan, MN 55121 {• ' T { ? 1Z9.4;7 r PHONE:454-8100 BUALDING PERMIT Receipt 0 To be used for 1 OF 4 PLEX Est value $61,000 Date MAY a , 19 SiteAddress 1585B CLF.M$ON DR Erect ox Occupancy R3 Lot 4 9 Block 2 Sec/5ub. THOI'1AS LAKE Remodel ? Zoning Ri HF;IGIiTS Parcel No 2I4D Repair O Type ot Const . Addition ? No. Stories Move ? Length Ad ? Name ??r:W HORIZON HOM,ES Demolish ? Depth ?'?7 o Address - p-U. ?X 1367 Int Impr. ? Sq. Ft City r"if'YS Pnone 420-3900 Instan ? ? a ggme Approvals raes Z o Name $i 0 Address Assessment Permit 5 31 C. 00 City Phone Water & Sew. Surcharge 3 11- 50 Police Plan Review??00 ? W Name L)• VRiS14OLll Fire SAC 575 _ 04 ,4ddress Eng. Water Conn.5.00-00 i W city Pnone 4?5-75l4 Planner • Water Meterfil - 50 Council Road Unit 290- 00 I hereby acknowledge that I have read this application and statethatthe gldg. Off. 511/8 6 Tr. PI. ? information is correct and agree to comply with all applicable State of p Minnesota Statutes and City of Eaean Ordinances. APC Parks P " ••, ' ?. ? ? ? Var. Date Copies Signature of Permittee il??%' Total $ Z,U 69. Vo A Building Permit is issued to: r1EW fIORI "LDy HO.tilE.S on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City oi Eagan Ordinances. Building Official '- -?---T . . Permlt No. PNmN Holdor Dale TaNphone N Piumbiny L H.V.,?.C. Elsclrk ?? 06. - -' - ?- -?.J - 61 SOIIMN Impeetbn DsN Insp. Commenb Footlnqsl / FooWqs II IFounclation Framinp Rooflny O"Ag Rouyh Plby. p Rouyh Hiq. / r' fLli '?,'• fl, v ..R IFIr9plac* IFInal Hty. FbW Plbg. IBIdg. Final CaA. Occ. ID*ck Ftp. Doek Frmy. wMi Pr. Disp. ??1?. ri•? ':. ^";., .'.. ..'? . -, s ?. ` ,,. . n''.,. . . . ' , , .?.? ' . L',?y..', 7- ? j?J _ j j y? ,,• ` PERMI7 # r ? MECHANICAL PERMIT RECEIPT # qTY OF EAGAN , 3830 PILOT KNOB ROAD. EA(iAN, MN 55121 DATE: :ONTRACT PRICE: PHONE 454-8100 Site Addrflss ' Lot ' Block m Name bt ? Address c City _ BLDG. TYPE WORK DESCRIPTION Res. New '" Mult Add-on Comm. Repair Other Name c Address I p City Phone TYPE OF WORK 5 Forced Air v M BTU L Boiler M BTU Unit Heater M BTU Alr Cond. M BTU Vent CFM Gas Piping Outleb # Other ? FEE: - } • , S/C: TOTAL• ? '- FEES RES, HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CIN OF EAGAN CONTRACT PRICE Site Addr s - Lot Block ? Name I c3 Address c Citv' i i L - Name 3 Address O CitY COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE: - BLDG. TYPE WORK DESCRIPTION Res. x New T Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 x Bath Tubs - $3.00 % Lavatory - $3.00 - ?_ Shower - $3.00 > ?Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 Laundry Tray - $3.00 ' Floor Drains - $1.50 J- Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping Outiets - $1.50 Softener - $5.00 • Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ''j GRAND TOTAL• ? L?'D ? Site Lot. ? Name ? Addre c City 2 L Name c Addre 0 CiH L Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILO T KN06 ROAD, EAGAN, MN 55121 DATE HONE: 454-8100 TYPE WORK DESCRIPTION , BLDG . Sec(Sub R N ew es. M lt Add ? ? ?? ? ? J U u -on i C R r omm. epa W- Phone ? - ah er FEES RES. HVAC 0-100 M BTU - $24.00 Phone 'v ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 -- GAS OUTLETS - 1.50 EA. M BTU COMM/IND FEE - 1%OF CONTRACT FEE M BTU MINIMUM - RESIDENTIAL FEE - 10.00 M BTU MINIMUM - COMM/IND FEE - 20.00 M BTU /, STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES CFM BEYONO $1,000A0) t ' FEE S/C: SIGNATU TOTAL• ? ? " ' FOR: CITY OF EAGAN ? GEO. SEDGWICK HTG. & AIR COND. CO./- ?G, HOUSE HEATING TEST RECDRD -_?-????,??,e AQDRESS f S i;5 C CITY C-a OCCUPANT OWNER ('-JE?-j HEAT LOSS DATE HTG. INST. SOLD BY -- INSTALLED BY Electrical Work By ? %-- '? • ? Gas Line By C-;, : I r % +4 TYPE OF HEAT GA_ FAHW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ??? ! ?•?? -f MAKE OF BURNER ?-' Model Model Serial ?{aA£?qc?'`J3 Max. BTU Rating INPUT j? e) e,) o MAKE OF FURNACE Model iCONTROLS I # THERMOSTAT ` Tg? Heat Plug _It? Vent Size Valve ?`1 (, ?\ ),-- KIND OF LINER SIZE NONE Limit 5 rE?vt C L? Draft Hood Regulator \ r?` Limit Setting aSC? °;;7 Filters Size Number l Fan Setting ic-h° F Chimney Location Inside Outside Pilot Type ??_Ec- e°.1 1 Chimney Construction C L.?? Pilot 141ake SPA(J?K Pilot Model " `?,C ' Smoke Bomb Wiring (;i K Pilot Timing - I lu s T?-1 T Draft Test Tag ?4 L.W. Cut Off -- - Door Pressure Lighting Inst. Pressure :E ? '-? • c ? Percent COz ?L- Date Tested ? Input CFH Percent O 1 C°r- Company Testing 2 Stack Temp. ? 7'S ?P Percent C0 ?1 ??? Name of Tester GEO. SEDGWICK HTG. & AIR COND. HOUSE HEATING TEST RECORD AaDRESS. '72) CITY OCCUPANT Smoke Bomts OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By Gas Line By i,c.iI '.; I c t? TYPE OF HEAT GA_ FA HW_ STEAM_ ., SPACE HTR. UNIT HTR . OTHER GAS DESIGN CONVERSION MAKE \fNf`• MAKE OF BURNER - ---- Model r?4li?/?)?-??c?S • Model Serial Ga P- !r A9&,A 35 Max. BTU Rating ----`? INPUT S? MAKE OF FURNACE CONTRO LS THERMOSTAT I' Heat Plug Vent Size ? Valve KIND OF LINER - - SIZE NONE Limit ?T E i' I C- C' Draft Hood ?NilUCt ? Regulator ?F=`s Limit 5etting Filters Size Number ? Fan Setting Chimney Location lnside ?-` Outside Pilot Type t- LEtT iZ n, " i< Chimney Construction Pifot Make f rA ?i li I C:j1.1ti'io?2 Pilot Model r1 ?-C C- - • - PilotTiming I N'>-T t?N j\?Y _ L.W. Cut Off '------ Pressure 3> t> ?v -C • Percent CO Input CFH N-? Percent 04 2 `7c, Stack Temp. »S? ? Percent CO r'i e- Draft Door Pressure ??---- . --a-,?- ? ?-- Wiring c??K Test Tag Lightinq Mst. ? r'- Date Tested t `? -- ? 7 Campany Testing Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO. 3IS •Z S S HOUSE HEATING TEST RECORD ADDRESS 'I ss'-7 CITY - 4l!? ( OCCUPANT OWNER ?F -? ? ??1 Z-21J F?aI'h?-`- HEAT LOSS -- DATE HTG. IN ST. -"T- SOLD BY ---- INSTALLED BY_ Electrical Work By Gas Line By _ -? _???'? •_. C K TYPE OF NEAT GA_ FA -"e' HW _ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE v-i "? T MAKE OF BURNER ?- ----'- Model 4 (11 v:-, v.t C) ?- --E Model ?`--- Serial O d. 8(d R 4[, k?-1 ! Max. BTU Rating ? --? INPUT `? ?,. c oo MAKE OF FURNACE ? Model CONTROLS „ THERMOSTAT Heat Plug - l` Vent 5ize Valve SN t-- ?5 c• x- : KIND OF LINER S12E NONE Limit -z:;`x c- c- Draft Hood Regulator ?: 6--. S Limit Setting Filters Size Number I Fan Setting 1c' p Chimney Location Inside Outside Pilot Type Z=u-=c-c 0'? oN' C Chimney Construction PilotMake - 54'???K 1<?N,T C?Z Pilot Model N g C? Smoke Bomb ----- Wiring K- Pilot Timing ?/?j 5T Draft Test Tag L.W. Cut Off ?-- Door Pressure Lighting Inst. 'N" Pressure Percent CO 2 a? `J Date Tested 4 `97 Input CFH Percent OZ ??7e, Company Testing cK Stack Temp. Percent CO Niac:!a*= Name of Tester GEO. SEDGWICK HTG. & AIR COND. CO.??y??ig? HOUSE HEATING TEST RECORD ADORESS. c? S-7 ?? C-I-E 9A Sj(-,J L?t? t,Jr_- CITY ?- AG?A t.I . OCCUPANT OWNER ?4F-iA Mo?AE HEAT LOSS DATE HTG. INST. 50LD BY INSTALLED BY ?E "4'C_?- Electrical Work By ?« Gas Line By _ ?cr,I t r. < TYPE OF HEAT GA_ FA2< HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ??Ly PQ'? MAKE OF BURNER -?"--' Model Q 4GJNLv 6_?14C: Model ----'4- Serial A 9&a'4b _ Max. BTU Rating ?- INPUT S?' oL? a MAKE OF FURNACE Model ? CONTROLS THERMOSTATT 4 Heat Plug Vent Size Valve <.X ? 47? r_.,__,r x- ?- KIND OF LINER SIZE NONE Limit +?,) c C) _ Draft Hood irVD uCE: 0 Regulator ?1= S Limit Setting 7,?? cf F Filters Size Number ? Fan Setting 1 bC °F Chimney Location Inside k" Outside Pilot Type G, Lt-L--x P_ c\ r.?k C Chimney Construction Pilot 114ake SpflR K 1C1'Nc??"?_ Pilot Model Smoke Bomb Pilat Timing 1 t%i tz, rkArJT Draft --?-'~ L.W. Cut Off -------? Door Pressure - Wiring t*.N ?C Test Tag Lighting Inst. ? Pressure ?• S ? ? ? ? ? ? • Percent CO 2 Date Tested Input CFH 4t- Percent OZ a% Company Testing ~?IIE?s,.A kC t< R? Stack Temp. 1?? Percent CO ?L?- Name of Tester C ?r: L CITY OF EAGAN Remarks - Addition, ThOIIIhS .alc . H .i ? Addition Lot Rlk ? Parcel #10 Owner street 1585 Clemson Drive State Eagan, Mn 55122 Improvement pate Amount Annual Years Payment Receipt Oate STREETSURF, 111•89 A012172 5-5-83 STREET RESTOR, GRADING SAM SEW TRUNK 1473 ,tSEWER LATERAL lgRl 37; 61 7. 52 15.O?j a0?l'TQ 5?5,.,83 WATERMAIN *WATER LATERAL WATER AREA ? 54.61 A012112 5-5-83 STORM SEW TRK 1S 249.91 A0121'T2 5-5-83 .kSTORM SEW LAT 1981 CURB & GUTTER SIDEWALK I STREET LIGHT WATER CdNN. BUILDING PER. SAC PARK CITY OF EAGAN JW Remarks -- - Addieion_ Thomas Lake Heieh_S,/ Addition Loc ?4Y- eik IL -0- parc.i #10 Owner f street 1585 B Clemson Drive State Eagan, MN 55122 improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ]11.8 AOI.21 2 - -8 STREET RESTOR. GRAOING SAN SEW TRUNK ? ' ,?SEWER LATERAL _ 37.61 7.52 1, .O A0121 2 5-5-83 WATERMAIN *WATER LATERAL lQgl , WATER AREA ' ?i. 61 A41212 - 8? STORM SEW TRK 24. 91 ? A0321'r2 5-5-$3 ,kSTORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUIIDING PER. SAC PARK CITY OF EAGAN owner A[j1t.ion LOL =_A51 iilk Parcel_ #10 n510ra n?.. Av ? street 1587 Clemson Drive state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFIEETSURF. 8 1 279.71 55.94 5 111.8 A0121 2 --8 STREET RESTOR. GRADING I SAN SEW TRUNK 3 197 SEWER LRTERAL • ' `' 15-05 AOZZI 2 S , WATERMAIN *1NATER LATERAL WATER AREA ? 1981 136.51 27,30 3 4.61 A012112 5-5-83 STORMSEWTRK 19$1 312.37 20.82 IS 2-45•91 A0121 2 --8 *STORM SEW LAT i CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. SAC PARK CITY OF EAGAN ? Remarks Addition.711amas L.ake HPights,?Addition Lot ? 5¢-Rik A'- Parcel #10 _ ?? Owner Street 1587 B Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipi Date STREET SURF. ? u1.8 A01212 - -83 STREET RESTOR. GRAD1idG SAN SEW TRUNK ?!f 7 ,SEWER LATERAL 1081 37.61 52 1.0 a0121 2 - 3 WATERMAIN *iNATER LATERAL WATER AREA 1991 136 51 .61 5 A01212 5- S3 - STORM SEW TRK ? 24 , 91 A012l'T2 5-5-83 ,STORM 5EW LAT ? CURB & GUTTER 51DEWALK STREET LIGHT WATER COIVN. 13UILDING PER. SAC PAR K GITY UF EAGAN 1NATER SERVICE PERMR 383(l Pi:ot Knob aoad P. 0. Box ?.'e199 PERMIT NO.: Eagan, MN 55121 D/?TE: '` " h Zoninp: '?. No. of Units: 4-n ,. e:: ova„ew tiorixon ;iemes ress: ???: t 5, ;', Cler?son I3rive 1,49 I?._ '' onas L-,:ts :. i PIUflIblr rROI11p50R 11m g IfAeter N •? I rpe: .`" 0P „ ze. • c - ?, P veo: to oemPy wMM Nw 4vtw? S?u? . n X'P , RE' B ? Oote of i nsp.: _ CITY OF EPv'AN 3830 Pilc: Knob Road , P. O. 3ox-21199 - "'Eagah, MN 55121 Zoniny: Ownlr: llddross: Sit! AddflSf: ?:? CioL"'SOIt Pi PIu1T1be?: !0!rF:80R r'.u`nf` _ Meftr No.. Sine: Readsr No.: I pvw to as?pllr wNb !w Gyr of b"¦ Odimans. By Date of Innp.: Connectian Cl+orgo: [O:i nr}•- ' Accamt Deposit: • ? • , ' • Permit Fee: Surcharpe: /Wsc. Charga: ^ Totol: Date Paid: CITY OF EA "IAN sEWER sERVXE PEMR 3830 Pilo: Krwb Road P. O. Box 21139 PERMIT NO.: Eagan, MN 55121 pATE: ZorWng' No. of Untts: OwrMr: ' r iZ f; n . Addrrss: Site Address: T '- "? ;' ? '?`: .i ?ttsR et 1. - Plumbar. 109100 to een*hr wMA Iy Ckf ei lowa Orang?. By Date of Insp.: )Al?i Tatal. Dota Paid: (rnp.: WATER SERVICE PERMR PERMIT NO.: DATE: No, of Units: m Conneetion Chaege: Aaount Deppdt: Pormit FM: Surdwnpt; Misc. Chorpaa: Totol: DoM Pbid: CITY OF EAGAM 1AfATER SERVtCE PERMR 383C'7ilc,t Knob Road /" P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D/?TE: i Za+(nD: ? No. of Units: '•;i°w ?razon .cmF?3 Owrnr: ! /?ddress: ? ?? ?ddrew ' Plunber _ -TTT3-mrsan um g 1 Nw ro wmptl whb tiw Cihr 0? •-, 'r" p< RF.put4Total: B Data Paid: CITY OF EAGAN _ SEVM MVKE PERM 3820 Pilit Knab Rosd P. C. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE; Zonirp: No. of Units: Owrwr: - ' :t• .. /kfdress: > S7te /lddross: Plumber: _ I y- to ooEW1f wm fV Cilr oi hpa Orrinnnoss. By Date of Irup.: 50 B2 1"hamas 1.!c ::: s II Conr+ection Owroe: Acwurit Depwit: Perrnif FN: Surdwrpe: Misc. Chorysr Totol: Dotr Pold: CITY OF EAGAN WATER SERVICE PERIMR 3890 Pilc` Krwb Road r1 y'j? P. U. Box 21199 '3v PERMIT NO.: Eegan, MN 55121 DATE: ? Zoninp: No. of Units: -? j I OMIMf; AddPlm Sit? llddross: - ., , ?°r:.on ..r ve .. ?`;l'' t} £;O.T i P?wribe?: UM 11`. AA.W No.: a '' • ` P Q Chorqe: S1Zl: "/7O? AewN..?af11?1es RlOAf N0.:0/0 l/ 7,y -?L?1'?? I opI?M tO Mr* N?1 1`! ? ??... Qulq?;: ' BY ? Dote Pb1d: Date of Irtsp.: irop.: - ZD'7 (.. eTe- r CITY OF EAGAN WATER SMVICE PBtMR 3830 Pilot Knob Rosd P. O. Bcx 21199 pERMIT NO.: Eagan, MN 55121 DATE: Zoninp: No. of Units: Ownor: Nddross: Sift /1dd?ess. ! 5 Cl?Sc:t °`r i•; " " T; Plumber. j Drlpxnr' s11T.7; . Meftr No.: Conrwoion Charge; Size: Accourrt Depodt: Reader No.: Permit Fee: 1 MrM h eayy wilh dw Geq oi fMPO Surchorps: 0411mumar. AAlsc CFwrpes: - ey Dote of Insp.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: ; Owrwr. /lddress: ?Slte Addross: Plumber: ToM1: DoM Paid: SEWEIt SMICE PERMR PERMIT NO.: DATE: No. of Units: " Drive LSZ B2 2`Han I MnN te Mop1y wMM W CIIy d M"n ordMIIOM. By Dote of Irop.: Canrotlon Ciwrot: 7.5. 0:: ? A0GD4rlf D6padt: PfR11t Fm: , SNfChOrge: MifC. Ch0f+pQf: Totd: DaM Poid: CITY (?c EAGAN WATER SERVICE PERMIT . ,MPilot Knob Rosd r F. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' Zon(np: ' No. of Units: Owrwr: ';e'., '!?'r' ?,??• `iomes Addrosc Site Addrcss: !)r iv e L,' "'' 'Irti .?r_:a s L k I? t s Plumber. ?.'cat*,?rsOri 711 uioblII Meter No.: 37.2 /•s"a2 0. t?Ope S?ze: 111 •-K 1 ). C?Jpd Reoder No.: 10.5-N 9V9 Z 1;? .;"0 pd _2 W--! 1 Mr« te ee.pip wMM th. pry??W+?L" rd,o • .50,pd OaiMeor. _...? Total: 63. SOnd meter BY Dote Pbid: , Date of In Irnp.: - l8- ? ` CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 71 i99 PERMIT NO.: Eagan, MN 55121 DATE: Zonlnp: No. of Unin: Owrwr ?for. jz?n NOQie R Addrsss: .7 ('pO lt0 /1WIm?. 1.J7B ClemSUn 1Js }wa .. r ,: a. ? : • i: ; v Pluanber. _ ?'tiompson !'ILnbin p AAsftr No.: Connsetion Chams: Size: AooourK peppsit; Rsodsr No.: Pfrmit Fee: ''? i`• -' ; 1Gem to OWN* wNb !w Clti of Eopw Surdhoroe: O?(w?saw. AAtsc. Cfarpn: . TotaL• t • k BY Dots POid: Date of Irap.: Irop.; CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 27199 Eagan, MN 55721 ?., Zaninp: ? Owrnr. '•'ew Ilor:iz..:_ 1lddress: ? Site Addmu: Plurnber: Thomsor, 1eNw te ?I! wllb !V C#yei "Mw ConnocNon C7ho?pr. ; 7500jae OediMwam Account pepow; Pennif Fee: SunJwrpr. BY Misc. CMrpm Date of Irup.: Totol: Insp.: Dote Poid: ? r . :. ? IL9d1 5? G 40142 A FeVuest ale ire N. Rough-in Inspectian h lt ? v Requvetll ie_atly Now ? Wrll Nobfy Inspector ? Yes When Reatly? I?(licensed contractor O owner hereby request inspechon of above electrical work at: Joh Atldrew (Slreet, Bpx or Route No ? rtl"g 1 C er)IS,, &j ve- Ciry t=-45 a-,.-.. Sedion No Township Name or N. Range No Counry Ocaupem (PRINT) Pnone No - ? 11 (-;' (1 1 ,? bS??-g PawerSupplier Atltlress Eiecical Convactor (COmpany Name) / ,, y/ Conlra l cto r's Licenrse N. ?j L j ?i k / ' { ?! P? 1" 1 ?.- r7 Y' ? C d J ? r/-? Mailing Atlarass (Conrcactor or Owner Making lo tailation) Icit1? c?.? iC_ SSa?/s/ AutM1Onza? Si nemre IGonlractor/OwnBr Meking Ins?allaG n? Jc ? ? Phon Number 4 `?C 1- _ ? MINNESOTA STATE 80ARD OF ELECTRICITV THIS INSPECTION REQUEST W ILL NOT Griggg-MlEway Blpq - Room 5413 BE ACCEPTED BV THE SThTE 60AR0 1821 Unlyergity Ave, St Peul, MN 55104 Phone (612) BdI-08pp UNLESS PqOPEP WSPECTION FEE IS ENCLOSEO J1JA190 REQUE3T FOR ELECTRICAL INSPECTION ,°ee-00001-07 ? /? ? See mst?uclions far compla0ng [his form on Daok of yellow copy ?/7/?? 0 40?,-y?2 'X" Below Work Covered by Thls Request ? ew Adtl Rep TypeofBuJdmg ApphancesWiretl EqwpmentWired Home Range 7emporery Sewice Duplex Wa(er Heater Electnc Heating Apt. Bwlding Dryer Other (Specify) Comm /Indusirial Furnace Farm Av Conditioner Olher (spaniy) ConhactorS RemaMa Compute lnspechon Fee 8elow # Other Fee # ServiceEntranceSire Fee # Qrcwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps Above 1 Amps Signs Inspector's Use Onry TOTAL , Irngallon Booms ? ? ?y , J Special Inspechon Alarm/Commurncation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, Ihe Electrical Inspector, hereby cerhiy that the above mspection has Rouqn-in r I oWa been matle ?1° , 6171111.0 ate OFFICE USE ONLY Tnis request void i8 monms hom t_ e- :/ - _ _ This reqoest „oie ?? 5 18 rmnihs t?om 1/9-7 0 2 0 6 31 1 l!9 P.? ., 7'StB?? _ Request UatG ' Pire Np, _. Rouph-?n Insuer.LOn ?p '7 pr ? Repwretl> e atly Now D Will Noufy Insper- /??+ '+ / ?1'es ?$NO ?or When qeadY ??y?.••??? ?"`•,"?, `???0°?101 I herebV reQUest inspection oi abova ? OwnQI BlecV?ewl wn?4 me?al?uA u• Street AdAress, Boz or Route No. B ch /SSS b - City , ; r '? . Ea a.K-. ectwri o. Township Name or No. RanBe No. County ??? -?? OccaG.ni(PRINT) ' Phone No. L25 i:¢&K1 &8/ - o ay9 Power Supuhyr Aadress Electncal ConhK4 yy???rpN?py?jyy?pg? '#'A Cnnvar,?or's Lmense No. 1 CLC4lY<zCi ? b ?( r ' r f ? . eFSGC'n Rd 14C? 01{a'? Mailme Address If?oKW583"mg Ins[ailaLON Phone 448-6819 Authonzed Signature (Conhactor/Owner Making Ins[allavon) Phone Number yy?--? 8/9 minnt5uiq STATE BOAflp OF ELECTNICITY Gnggs-Midway 61Ag. - Room N491 1821 1lmversiN Ave., SL Peul, MN 55104 Phone (612) 642-0800 ini5 INSPECTION NEQUEST WILL NOT BE ACCEPTEO 9Y THE STqTE BOqqD UNLESS PflOPEH INSPECTION FEE IS ENCLOSED. (p?c?/gl 7 REQUEST FOR ELEC7RICAL INSPECTION Sae inylrucbons for complehng thi, lorm on back o( yellow co0v. EB-00001 -O6 "X' Be/ow Work Covered by Ihis Request 020631 1 u'dd R.P. e af Bwltl?n9 Apaliancea Wved - Home En???u?,e-c W„en RTem orar uplHx P Y Service ter Lirhhn, Fixtwes Apt. Bwldm? ? y Eleanc Heatin Commeraal Bldy. Silo Unluader cndustnal BIA9? tioner Bulk Mtlk Tnnk p Fea Se rv¢eEntrance5¢e b Fea F anders?Subleeders N Fee Cvcurts 0 to 200 qm s 0 to 30 qm s Above 200 ? i? 3? ???'s Amps' 37 to 700 q?»ps 31 to 100 Am s Swimming Pool Above 100_ Aninc ..- _. .,.,. ,. _. This requesl aod 18 TOnIhS (!Om ?- ?/??.{ L7' L?J '? (1 f] ? R ! / Yhla/rv?n,;n?,7in.h? . `7 L Fequest ;jale. PireNo. Rnugh-ui Insuer.bnn Fepw?etl? Readv Nuw ? WiII Notrfy Insaec- ?J'?1 1- /'? g / ?yes ?(NO lar When fleadY ?Licensed Electncal Contractor 1 herebyraques< mspecbon ol above 0 Owner electncal work installeC at' SVee;"Address, eox or F ute No. 4? Ciiv t / a ^ . v / D? , d? ? G. ecLOn o. Township Name or No. RanAe No. Covnty Occupant(PRINT) ' Phone No. /yzlY 8l - l0 Power Suppher AddreSs Electnral CoMra?? ELfZ07M I" . Cnnhactor's Licenee N.. , 4655 co. Rd. iao MaOing Atldress IC ITIF"b r g InstailaLOnl one e Authonzed 5i9nTture (Convactor/Owner Makine InstallaLnnl IV.4'1 Klobss __ Phone Number yy8'-los?q T MINNESOTA STATE BOAflD OF ELECTRICITY Crigga-MiCway gldg. - Room N•191 1827 UniversvtvAve..St Peal, MN 55104 Phone (612) 6420600 THIS INSPECTtON REQl1E5T WILL NOT 6E ACCEPTED BY THE STATE 80AFD UNLESS PHOPEN INSPECTION FEE IS ENCLOSED. A ? REQUEST FOR ELECTRICAL INSPF.CTlON ?EyB'-0/0001-06 1 See instrucbons tor comoleling this lorm on beck ol yellow coov ? 2 Q G.3 3 'X'" Selow Work Covered by This Request AAd flev- evoTVD?qoi Apolmnces WireE Eqmu.,ent Wired Home Range Temporary Service Euplex Water Heater Li<ahtiny Fixtwes Apt. 8widing Dryei Electne Heabn Commercial Bldg. Fumace Si!o Unloader Industnal BIAg. Air CondiLOner Bulk Milk Tank Farm ome, oeu v oth, isne..,rvi ?nP. Snau y Oiher n?h?;r c.ompute mspecuon 1-ee uelow k Fee ServiceEntranceSae H Fee Fexders?5ubleeJers b Fea Cvcurts L? ? U to 200 Amps ? ? ? 0 to 30 Amus ?-?? A? ?- ? ?Above 200 qinps?, 31 to 100 Amps 31 to 100 Ainus o.a'o? apeciai inspection Memarks TOT FEE ? f/1 RouBh-in Date 1, the Electncal Inspector, hereby Fnal P 0 te ?? cerLfy that flhe above soection hes been da. 1nlerBqueslvoialtlmon[m rmm - This requesl vo.d 18 mo ths from Q 12347 Peq est Date Fire Np, Rough-?ilnsuecbon RFnuired? eady Now dW,ll Notity Insoer ?K Yes ? No tor When fleadv ?License Elec?nca? ConVactor 1 hereby raquest inspectmn of a0ova ? Owner elecbical work mstalled at Street Addres s, Box ar Raute No City •? eloll o. Townshi0 Na e or No. Range No. County OccvuantlPBINTI Phone No. Power Suopher Address ? Elecvroal Contractor ICOmDany Name) Contrar,tor's License No. Q ? -rr'-a Mailing Address ICOnvact or Owner MakinB Instailauon) -Z 2 5 1- - a i?4 .4 ized Si9nawre IContrac Own¢r Makine Installation) ( Q l Phone Number MINNESOTA STqTE BOAflO OF ELECTRICITY Gnggs-MiAway Bldg. - Noom N-191 1827 Univarsity Ava., SL Peul, MN 55100 Phone 16121 297.2111 THIS INSPECTION flEQUEST WILL NOT BE ACCEPTED BV THE S7ATE eOAND UNLESS PFOPEF INSPECTION FEE IS ENCLOSED. REQUEST FOh ELECTRICAL INSPEC710N EB-OpOpl_pq ? 1 Sea ioshuctions for complatnng this torm on back ol yellow coov. 12347 X' Below Work Covered by Ihis Request V Hdtl PeP. TGPe af Bwltlm ??- s Aooiiarcen wnea E?mU??ent Wed Home Range Ternpprary Servi?e Duplex Water Heater .QPt. Bu(Iding DrY Electnc HeaL er Lighhny Fixturas n Commeraal Bldg. Fumace Industnal Bid Siln Unloader 9. Air Condrtioner Bulk Milk r:.,.? c- Fee ServicaEnbance5ize n r l dar s/Subfe? 0 to 200 to 30 Am s Above 200 0 to 3( to 10D A ps 31 to Sw mm g Pool ?„P t nn o.,,,,,._ erryrks -iVeciai tnspection - SS? TOT ` E Nough-m Oate • Ele Final 7-6 ?^%oector, hereby cartdy D ?hai the above e r ry i^soeouon nes e,an mede. qi? S 10 2006 RESIDENTIAL PLUMBING PeRMir aPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?A 1s.so Date f) 1 kS Site Street Address l5 ` cvr\ a.?. Y Unit # Property Owner A+l't`U,Yvc"Q '1Z i?f. Telephone #(V5t ) 3?,I 0 -'CX;L1l Contrector t"A"eL ,IotU?',, ?1kT{?M c-t A-r arv 44e-lephone # ( j? ) ZZa?? ? Add[ess. ?.? ?OV\du` '[??_gw - City.--.,-zW State MN. Zip 55 rQl:_ - The Applicant is: _ Owner ? Contractor Other Septic System _ New _ Refurbished Suhmit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fxtures. This fee inciudes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water softener and/or water heater, do not complete this section; move to the next sectio n and check the appliance(s) you are installing. _Septic System Abandonment _WaterTurnaround (add $130.00 if a 5!8" meter is required) A?G _Other: j g _ Water Softener ? Water Heater $ 15.00 _ new ? replacement _ Lawn Irrigation _RPZ _pV8 _new _repair _re6uild $ 30.00 State Surcharge $ 50 Total $_ 14..... ? ??..???.,Y aNN?y ,,,, q n=IVC11UGl riumoing rermit ana acKnowletlge that the fnformation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to startwithout a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ?Tc\?e, CAQ,)_1AC,i' U\fj ?x?S1C\?Q U9 ,t."r j ApplicanYs Printed Name ApplicanYs Signature RESIDENTIAI.BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 9 76.,,? e_o-z.ef Vjs-M New Construction Reauirements RemodellReoair Reaui2meMS OKce Use OnN 3 regisle2d site surveys showing sq. ft of lot, sq. ft ot house; and all roofed areas 2 copies of plan Cetl of Survey Real _ Y_ N (20°h maximum lot coverage allowed) 1 set of Eneyy Cakulations for healed additions Tree P2s Plan Recd _ Y_ N 2 copies of plan shovring heam & windax sizes, poured found design, etc. t sfle survey for addiUOns & dedcs Tree Pres Not Reqd _ Y_ N 1 sat of Energy Calculetions AddiNon -lrMkate Aonsife septk system Oo-sife Septic System _Y _ N 3 copies of Tree PreservaUOn Plan if lot platted after 7I7193 Rim Joist Detail Options selec6on shaet (bidgs with 3 or less units Date O ?j /=?/ 20GS' ,?p SiteAddress IS$?g ?EM?+? Df?'` ?a ConstructionCost L? ?o ? iTnit/Ste # 1W73 Description of Work Ih PLACC PtCe k bD(T1G") Multi-Faroily Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor EX7EY? ?oVt iW''j'EN 0) A1CG Address I-I0& W State M1? ?o" S T. Cily Nl1rL APW.Y Zip >?`I )i Telephone k((e7 j) 322- 45G?i ExT ic-l3 COMPLETIE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheat • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan ' a similar plan2 _ Y _ fee applies. ? a d {? ty Licensed Plumber Telephone # ( Mechanical Contractor 11111 1 Telephone #( Sewer/WaterContractor 1 Telephone#( N If so, 25% plan review 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 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. M i ckn EL k9V nN Applicant's Printed Name ?i ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New O 32 Addition O 33 Alteration 413 34 Replacement Valuation -Z?a? ? Census Code ?13 4 SAC Units Nbr. of Units Nbr. of Bldgs Type of Const V ?? Width _ Footings(new bldg) ?o Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test ^ Final Insulation REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Siding Smcco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage O 22 Porch/Addn. (4-sea.) 4 18 Deck A 23 Porch (screen/gazebo) ? 19 Lower Level ? 24 Storm Damage Plbg_Yor_ N ? 25 Miscellaneous f /t L'?viJeS k .? ? 30 AccessoryBldg ? 31 Ext. Alt - Multi ? 33 Eat. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy -? 3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Building Inspector [`fi?v7R,1 e NF 5 H Dc°Q I-- 1`aE! P Ir+ce :mQ,nr THOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS 5/86 4-PLEX 490 02 1585B/ CLEMSON DR ' 500 02 1585/ 510 02 1587/ 520 02 1587B % 5/86 4-PLEX 530 02 1589B/ CLEMSON DR 540 02 1589/ 550 02 1591/ 560 02 1593 6/86 4-PLEX 570 02 1597B/ CLEMSON DR 580 02 1597/ 590 02 1599/ 600 02 1599B 7/86 4-PLEX 610 02 1601 B/ CLEMSON DR 620 02 1601/ 630 02 1603/ 640 02 1603B 7/86 4-PLEX 650 02 1605/ CLEMSON DR 660 02 1607/ 670 02 1607B/ 680 02 1605B APPROVED 3/85 PAGE 5 OF 5 35 . . . O`''o _ N q1 e uJ? ?, IT \ C s y c' ` Ra 0 9?, 4,,?i?"a?e? G ?• a- ?`r 91•? 4' -?01 ?s 0 ? m A 1 ' ? A st l:•.? - _ 9•' O? I s ° '= ?i ? 9 9. ? ?93J5 'O e+= 9y A ?i J ?? 0 '33? Z ??G ? N A, 1 \ 3% s. ? `z ?2 99 _40_ l Ol ca J a.? 0 O:, e~ yy. 3 ?hA, l. ?? ^n 1o` A? ` C93S0) ?Ja6 ,.. ,. ? ' 0 0 Denotes Iron Monument 0 Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundafion Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation- 938.0 -*-- Denotes Direction of Surface Dreinage Proposed Lowest Floor Elevation= 938.5 1 hereby certify that this is a true and correct represerrtation of a survey of the boundaries ot Lots 49,•50, 51 and 52, Block 2, THOMAS LARE HEIGHTS 2ND ADDITION, Dako ounty, Minnesota And of the location of alI buildings, if any, thereon, and ali 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 23rd day of April ? 19 86 4?? Q?_ a Vi:6?v Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY ?•'=40? fior McC teumtmc OMBS-KNUTSON tu?v[roRS ? stri rwASSOCIATES,?t?s F??E wa Vi Y INC. ?w ?¢?f urv f IIVI V I?ES ??3 ? -. e?c?nas ? uue } ?'ti • bMMEwKIUiwNYTb1??pN.WWE[Oi? 7it3O T ?0,70/ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ????es- New Construction Reouirements RemoUeVReoair Reauiremen4s OKce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. N. of house, and all roofed areas 2 copies of plan CeA of Suney ReW Y N (200% maximum lol coverage allowed) 1 set of Eneryy Cakulations for heated additions Tree P2s Plan Rerd _ V_ N 2 copies of pWn showing 6eam & window sizes; poured found desgn, etc i site Survey for additions & dedcs Tree Pres Not Reqd _ Y_ N lseto(EnergyCakulations AddiFion-indicateNon-sifesepticsystem Oo-site5epticSystem _Y _N 3 wpies of Tree Preservation Plan if lot plaHed after 711193 Rim Joisf Defail Ophons selection sheet (bldgs with 3 or less uni5 '. Date Site Address Construction Cost o? 3F .3 U C9 . J? /y f-- /3 G(G,,, 30„ ? r ?m?• Unit/Ste # a Description of Work e o?( 4" .Jei.? 5l'df;0) 0.? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 - 1 _ 2 Property Owner Telephone # ( ) Contractor E-L il?lfrr` r Qa-T Q Address yOs t..?. State !/tiL? lad ?` 5-t'" Zip ssyip City A-PL$ Telephone#(G/?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy COde CategOry , Residential Ventilation Category t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with p similar plan? _ Y - N if so, 25% plan review fee applies. M h???0 L'! ?n Licensed Plumber I II I Telephone #( ) Mechanical Contractor Sewer/Water Confracfor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that Yhe 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 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. k, C„o;.-S/f'r? Applicant's Pnnted Name pplicant's Signatur6 RESIDENTIALBUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 1(?e)-O?D c?Iz? 8'f?? New ConsWCtion Reauirements RemadeVReoair Reauiremenis Office Use Onlv 3 registered site surveys showirtg sq, ft of lot, sq. ft. of house; and all roo(ed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20%ma:imum lotcoverage allowed) t set af Energy Calcula6ons for heated additlons Tree Pres Plan Recd _Y _N 2 copies of plan showiig beam & window skes; poured found design, etc. i sita survey for additions & decks Tree Pres Not Reqd _ Y_ N 1 set of Energy Cakula6ons Add"rtion - mdicete darsRe septic system On-site 5epfic System _Y _ N 3 copies oF Tree PreservaGOn Plan if bt platted afler 711/93 Rim Joist Detail Options selecfwn sheet (bldgs with 3 or less units Date SiteAddress + / Z?0s lsb5 g C1_t:a1S0*1 loQ OG Construction Cost , ooQ? Unit/Ste it «SS Description of W ork QLOLACc` ?Y<+r ? Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owuer Telephone # ( ) Contractor aEl L hTEK1v'p? yY?y???jEn??rJCY C?,D Address State yGS W, (,(j?? ? U City MiN???v%LS Zip >Sy lly Telephone #((,S 1) 322• 4469 VT p3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catecorv 1 Mimmesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (4 submissian type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan fee applies. ,/ Licensed Plumber Y_ N If so, 25% plan review 112003 7Anone #( Mechanical Contractor Sewer/Water Contractor #( Telephone # ( J 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 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. MIrHaeL evfrj Applicant's Printed Name '`? vv A1 Applicant's Signature OFFICE USE ONLY Sub Types ' ? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex )< 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors T%? 34 Replacement *Demolition (Entire Bldg) •giv a awout to appiicant Valuation Occupanry MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS Footings(new bldg) FinaVC.O. ? Footings(deck) ? Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final _ Framing _ _ _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ As Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By T- Z , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total " p1'e-V 0XUC ?- l .:... . ? ..+ ... p.ro_ , st'b`? ? /t4 "!p? ?- p N 'W I C O s o N ?Knn? A? 5z, ? G (93jo) 6 \?O ^yc` -Z2?' i? . _ ,?9- ? • 0 0-f ?O `O \ 1 . . LQ ? . n .! ? `? . ? 1 'Ah L / ?9g7C 1 C.i ? 0 Denotes Iron Monument \ 0 Denotes Wood Stake ? X000.0 Denotes Existing Elevation Proposed Top of Foundatian Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation- 938.0 -o-- Denotes Direction of Surtace Drainage Proposed Lowest Floor Elevation= 938.5 I hereby certity that this is a true and correct represeMation of a survey of the boundaries ot Lots 49, 50, 51 and 52, Block 2, THOMAS I,ARE HEIGHTS 2ND ADDITZON, Dako ounty, Minnesota And of the location of all buildings, if any, thereon, and ali 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 23rd day of April 19 86 Paul A. Johnson Land 5urveyor, Minn. Reg. No. 10938 ao' CERTIFICATE OF SURVEY ? ?? for McCOMBS-KNUTSON ASSOCIATES, INC. ? ?/?? q?? ? ?/???r /? CONSYl1LL?i [1GIkUti ? tAfd tURY[r01t ? DT( ?LU?EtS FILE N0. ? ¦? i(?? wV !rl rIAF \ ?nMNENOl1f w MYTCM?xfON.WMIE[OT? 7430 ? • •?? ••??,• ' ?`??•???`? o,,,o I . p? p?q9g0 s N a. o ? 0 a _ m ^D` ? ?y 60 ?•? 2A? -.0? , 0 O ?, 0 2 ?y4 qM po" `0 l' ? 1 LQ .+` .: V ^ ? ? ny q? L ^ f 1 ?• 1 . ? (93>5? ? . ? vOl o? ?? ?y \ O" 0 Denotes Iron Monument ? ° Denotes Wood Stake XD00.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) penotes Proposed Elevation Proposed Garage Floor Elevation= 938.0 -0-- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 938.5 1 hereby certify that this is a true and correct represerKation of a survey of the boundaries oE Lots\49,•S0, 51 and 52, Block 2, THOMAS LARE HEIGHTS 2ND ADDITION, Dako ounty, Minnesota And of the location of all buildings, if any, thereon, and ali visible encroachments, it any, from or on said land. It aiso shows the location ot the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 23ra day oi Apri ? 19 86 ? McCOMBS-KNUTSON ASSOCtATES, INC. CO?tYIiWi E6IMifNf 2 WO SYllv(i0Nf M LT! fW.L?S h i,y y?yNEM" w WRGIIWON.wWFiOTw ?? a C ?'>' Paul A. Johnson Land Surveyor. Minn. Reg. No. 10938 'i`=4o1 CERTIFICATE OF SURVEY wo1c .wc f0f NE •?f? W HORlZf?N 1-#OMES 743 0 COMMERCIAL 2002 BUILDING PERMIT APPLICATION C?o CITY OF EAGAN 651-681-4675 073 Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) sets . Architectural Plans (2) sets • Architeclural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Malysis (1) • CertificateofSurvey (i) . CivilPlans (2) • ProjectSpecs (1) • CodeMalysis (1) •' . LandscapingPlans (2) • KeyPlan (1) • ProjectSpecs (1) . CodeAnalysis (t)" • Master Exit Plan (1) • Spec. Insp. & Testirtg Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (t) " • Elec. Power & Lightlng Form (1) not aiways" • Meter size must be established . Meter size must 6e established • Meter size must be established - if applicable • Project5pecs (7) ! • EnergyCalculations (1) 1 . ElecVic Power & Lighling Form (1) "• 1 b • Master Exit Plan (1) 1 1 • Emergeney Response Site Plan (1) •" 1 1 • SoilsReport (1) 1 • MC/ES SAC determination letter • MCfES SAC determinatlon letter • MC1ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. Permit for new buildings or additions will not be processad without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORK TYPE: _ NEW 4 REMODEL CONSTRUCTION COST: /?-2- SITE ADDRESS: ? S9-5 L?..?9y7 TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name: 06-17 A , Phone #: ( 7v'3 PROPERTY Last ?Pirsf- OWNER /? StreetAddress: /' o City: ??j? ?/ ? State: ? 6I Zip: Company: Phone #: % Z CONTRACTOR SheetAddress: ?Clj ,ln ? `?57- City: State: /O /, Zip: ,j ARCHITECT/ ENGINEER Company: Phone #: ( ) Name: RegisRation #: Sheet Address: City: State: Zip: Licensed plumber installing rtew sewerlwater service: Phone #: I hereby acknowledge that I have read this application, sfate that the informakion is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant. ?i? ? ` " 1986 BDII.DIIVG PEHIiIi APPLICSTIOB - C13i OF EsGAH , HOiBi ELL COHSRACiOBS MOST HE LICEBSED VI2H THE CTLT OF EAGAa i 3IHQ.8 F6lM.T D3iEL[.IHGS - : - _ - _ - , - . ' - ? ; - - _ _ tu .,. ,:•.:;?, ti • - ` ' ?a?.a=a = - -_ :u . --.'.' .' :"' .: j:, - .:-i ' ., __ -'; .T:: =IHCLODE '2 SEYS OF PLANSj, ?3 CEItTIFICAYBS OF SUBYEfv"?1f SEY OF_ ENERGY CALCQLATIOSTS :• ?"- M[R.iIPLB ?DRELi.IHG3 _ BLSIDEB'fldL •': ?SFB'fAL .II9Ii3 FOE SAI.S ONIi3? , . ? ' .," = ?. - INCLUDE 2 SETS OF PLANSs CEHrZFICAiS OF. SIIEVEi - CHR(7C i1IYH BLDG. DEP2.? 1 SET OF ENERGY CALCOLATIONS . . . CONHEECZ9L . . ..-. - . . , INCLQDE 2 SETS OF 9RCHITECTORAL & STRDCTORAL PLANS, .- 1 SS? OF SPECIFICATIONS AND 7 SET OF ENERCY CALCOLATIONS, $2,000 LANASCAPE BOND ' • . - - _ • C/ ?f? To Be IIsed For: Site Address RESIDENCE Valuation: ?? ?/vcr (?-?"1Y13?/J 1 OFFICE II; Lot ?So - Block o2-- Parcel/Sub THOMAS LAKE HEIGHTS Owner NEW HORIZON HOMES. INC. Address P. 0. BO% 1367 City/Zip Code MPLS. MINN. 55440 Phone 420-3900 -' Contractor SAME Address City/Zip Code Phone Areh./Engr. D. GRISWOLD 9ddress City/Zip Code Date: 0 OZa'"O(.o Erect 6 Occupancy Remodel Zoning ? - Repair 2ppe of Const Additlon # of Stories Move - Length ? Demolish ! Depth - Int.Impr. Sq Ft Install APPSOYAIS . FEFS Assessments Permit ? Water/Sexer Surcharge Police Rlan Reviev Fire ? SAC Engr Water Conn ? Planner y2 Water Meter Council Road Onit Bldg Off__4= L_ ?' Treatment P1 , APC Parks 4ariance Copies SOTAI. Phone # 435-7524 MaoL-e-_4 - R9 . HOTEx 9DDSESSES FOE CORHEB L02S - CON2BACfOR/HOIiEOWNES ltOS! DESIGNATS WHICH ADD8ES4 IS DFSISED. NO CH9PGES 61II,L BE ALLOWED ONCE BQILDiNG PERlffi IS ZSSIIED. 3830 Pilot Knob Roadl P.O. Box 2G-A1 9, Eagan, MN 55121 N2 11919 BUILDING PERMIT PHONE: 454-8100 Receiptu Ta be used for 1 OF 4 PLEX Est. Value $ 61 ,00 0 Date 14AY 8 .19 6 SiteAddress 1587B CLEMSON DR Erect 99 Occupancy R3 Lot SZ Block Z Sec/Sub. THOMAS LAKE Remodel ? Zoninq Rl Parcel No. HEIGHTS W Name NEW HORIZON HOMES 3 Address P.O. BOX 1367 ° CitY MPLS phone 420-3900 o Name SAME r z $ u Address ? Ciry Phone . Fw Name D. GRISWOLD Address a W ciry Phone 435-7524 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica6le State of Minnesota Statutes and Cily of Eapar(i Or inances. Signature of Permiqee A Building Permit is issued to. HORIZON HOMES all work shall be done in accordance with all applica of Minneso Building OBicial Repair ? Type o( Const V}} Addition ? No. Stories Move ? Length da Demohsh ? Depth2T Int. Impr. ? Sq. Ft Insiall ? Approvals Fees Assessment Water & Sew. Police _ Fire - Eng. Planner Council Bldg. Off . 5/1/86 APC Var. Date Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Uni[ 290.00 rr. PI. 156 . 00 Copies?Gyg--.0 0 Total on Ihe ezpress condition thai City of Eagan Ordinances. Y - 1986 suII?n?G reltlar apPlscanoa - crrr oF EsceB , .. r , HOiEs A[l. COHTRACTOBS lIUST BE LICfMSF.D iiIiH 2HE CTIt OF EAGAS ? ., 3IHCd.S FAlr.I D?WELJ?iC•R : -. ?'- ' ` . " • _,. , . QT-? -`• '.'s7::-'-;... Y1_' -. ? •?. . : ,. ! _ • .t .. : f . "?i.` 11??(`.Sg-? ? ??t" yi? "_ , . • .:. i"_ ?.'. -',...s -? . ?'- _. ? . ' _? . ..r J +Y JY?n ? - . - '<wF=.: . . _ . _, . . ?"?. . .y .. ? : ..,1 ;Y }-- ' .. =.INCLITDE 2 SETS OF PLANS?3'CERTIFZCATES OF SOBVEY?-? i SE?,OF ENERGY CALCOLATION.4 . _ ? : : . ... . :. :... :. > .., _ ,. . •. - - .. / . -.MUyTTpLg' mEr"t_rpr_c _ F£SIDEBfIAL ? EENiAI. I1S223' FOESAI.B 0lTITS ? . . • INCLUDE 2 SEfS OF PLANSO CE@iTFICATB OR SOBVEZ - CMMK iiITH BLDG.DEP2.v .- 1 SEf OF SNERGY CALCULATIONS COMMEBCIAt . ' _ . . INCLODE 2 SETS OF 9RCHITECTUR9L 1 SE? OF SPECZFICATIONS AND 7 ENERGY CAI.CQLATIONS, . #2,000 LANDSCAPE BOND , To Se Qsed For: RESIDENCE Site Address Lot 1?7 Block _d__ & STRQCTORAL PG9NS, SET OF Yaluation: ? Parcel/Sub THOMAS LAKE HEIGHTS 1)-? Owner NEW HORIZON HOMES. INC. Address P. 0. BOR 1367 City/2ip Code MPLS. MINN. 55440 Phone 420-3900 ' Contraetor SAME Address City/Zip Code Phone ' Arch./Engr. D. GRISWOLD 9ddress ' City/Zip Code Phone # 435-7524 m od?e. ? 9 9 Erect ? Remodel Repair _ Addition _ Move _ Demolish _ Int.Impr. _ Znstall _ APPEOVAIS Date: Q "_? 4 ' Ol? Oecupancy ?$=3 -- Zoning ' ? Type of Const ? # of Stories Length ? Depth 27_ Sq Ft Assessments -Permit ? Siater/Sever Surcharge Police Rlan Reviev Fire S9C Engr Aater Conn Planner Aater Heter Council Road Qnit Bldg OffT2_Lr ireatment P1 9PC Parks . 4ariance Copies _ TOTAI. SO?E: ADDHESSES FOH CORAEB L02S - CONSRACTOE/HOHEOWBEB IiUSS DESIGN9TS NHICH ADDHESS IS DESZHED. b/0 CHANCFS iiILL BE ALI:WdED ONCE BQILDING PEffiSIT IS ISSIIED. ----- CITY OF EAGAN ! 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11918 PHONE: 454-8100 BUILDING PERMIT ??? ?/? P Recei tp ? To6eusedtor 1 OF 4 PLEX EstValue $61,000 Date MAV R ,?g$(a SiteAddress 1587 CLEMSON DR Erect 11? Occupancy R3 Lot 51 Block 2 Sec/Sub. THOMAS LAKE Remodel ? Zoning R1 Percel No. HEIGHTS 2ND Repair ? Type of Const. vfl ' Addition ? No. Stories W Name NEW HORIZON HOMES nnove ? Length4rd z ; Address P.O. BOX 1367 oemolisn ? I I ? oepth?T S F ° ciry MPLS phone 420-3900 nt m InstallPr ? q. t. ' F Name SAME Approvals Fees i $ ¢ Address Assessment ? ciry phone Water & Sew. ?+a F w D. GRISWOLD Name Police F _z 1fe t? Address a W City Phone 435-7524 Planner 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 E efan O dinanc Signature o( Permitlee ? ? A Bwlding Permit is issued to: EW HORIZON HOMES all work shall be done in accordance with all State Councd aid9. on. 5/1/86 Var. and Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 500. 00 water Meter 63. 50 Road Unit 290.00 rr. PI. 156.00 Parks Copie 2 08 .00 Total , - on the express condition that ot Eagan Ordinances. Building s/s'MG ? ? ' ?!?-?•?rn-..?i J i T • . / ?/ . . " L9. • L`V ?7\ s5 eou,n?c rearsr apr[scarioa - crrr or Esr,ea ? NOriEs ALi, COH'IRdCfOSS MEIST BE LICEBSED YIrH THE CI1T OF EAGAS SIBCdB FAlQ[S DSiE[.LIHG4 '.?-?: `r. ? ,1,;: •: : :° ` ' : • - _ : - - . _ . -- _ „ ,. . _. ? - - . _ . . . _ 4,?4 ?: . a--?:-.:?w.++?*?;,?:,'"y?? ?"- .r.? . "'?r.4` . r .:ii =a`R _ ' ' ' ". 4 •' :,,?,.. : - ?' S"?. ?, ? -: ?i L' ` ' .. ::r; 2?. , '•' • _'=INC[.ODE 2 SETS:AF PLANS_v 3 CERTIFiCA1BS}OF SDEYEi,-. i SE! OF ENERGY CALCULATIONS -:? _-'•"°t?'; . ,, ?:: - -_??:`-.:;=',-.`_?-.. . _, ; - _.. ::. : ., ? , + MULiIPI.S DWE[.LIBG,S - EFSIDEB'f IAL ' rSEN'fAL IIEIITS . ' . FOS SAI.B IIHTf3? ~ . ^ _ •- . . . ' - • INCLODE 2 SETS OF PLANS, CEBTIFICATB OE SQHYE! - CHECK iiITH BLDG.-DEP2.9 7 SET OF ENERGY CALCULATIONS INCLQDE 2 SETS OF 9RCHITECTIIRAL ?"STEOCTORAL PLANSt 1 SE? OF SPECIFICATIONS AHD 1 SET OF ENERGY C9LCOLATIONS, 529000 LANASC9PE BOND ?o Be Dsed For: RESIDENCE Valuation: Site Address ISM- 6tC1y),rD1J4k Lot ?a Hlock ?L- Parcel/Sub THOMAS LAKE HEIGHTS ;1-- Ouner NEW HORIZON HOMES. INC. Address P. 0. BO% 1367 City/Zip Code MPLS. MINN. 55440 Phone 420-3900 ' Coatractor SAME 9ddress ' Citq/2ip Code Phone ' Arch./Eagr. D. GRISWOLD Address ' City/Zip Code Phone # 435-7524 /'Y) 0e(-t2- - 99 Date: Erect ? Occupanep Remodel Zoning Repair _ TYpe of Const Addition # oY Stories Hove Length _ Demolish _ Depth 97_ Int.Impr. _ Sq E't Install 6PPH(1VAI.4 FEFS 9asessments Permit Siater/Sever Surcharge ?b, SO Police Rlaa Reviev Fire SAC rj Engr Aater Conn S?rD Planner ilater Heter G3,_1VV Council Hoad Onit O Hldg OffJ Treatment P1 9PC Parks Yariance Copies PteiIP HO'PE: ADDHESSES FOH CORNEE LOTS - CONTEAC20E/HOHEOifHEB HIISr DESIGNATE TiHICH ADDRESS IS DFSIEED. NO CHS.HGFS {iII.L BE ALLOWED ONCE BDILDING PEHHIS IS ISSIIED. CITY OF EAGAN 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 Na - 11916 I ' PHONE: 454-8100 BUILDING PERMIT Aeceiptu G" To be used for 1 OF 4 PLEX Est. value $ 61 ,0 0 0 Date b1AY 8 19 g 6 I I SiteAddress 1585 CLEMSON DR Erect CK Occupancy R3 ?i Lot 50 siock Z secisub. THOMAS LAKE Remodel ? zonin9 R1 ParcelNO. HEIGHTS 2ND Repair ?? Typeo(Const yiq ? Name NEW HORIZON HOMES ; Address P.O. BOX 1367 ° city MPI'S phone 420-3900 o Name SAME i $ a Address ? Ciry Phone a F W Name D. GRISWOLD a z Address aw Ciry Phone 435-7524 I hereby acknowledge that I have read this appl ication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of E3N n rdinanc Signature of A Building Permit is issued to. NEW HQRIZON HOMES all work shall be done m accordance with all smhc le State ot Mi es --- -------- - Addrtwn No.Stories Move ? Length dd Demolish ? Depth2T Int.lmpr. ? Sq Ft Install ? Assessment Water 8 Sew. Police Fire Planner Council Bldg. Off. 5 1 86 Var. Permit $ 316.00 Surcharge 30.50 Plan Review 158.00 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 RoadUnit 290.00 Tr. PI. 156.00 Parks Copies 7otal $2 ,089•?0 on the express condition that Statutes and Ciry of Eagan Ordinances. Building Otticial l X11 ?.?C?l ' - 7986 HOIILDIHG PEBKI! APPLICA7I01( - CTI! OF EIGAH . HOT6t AIL COHiRSC?0&S MOST BE LICEHSED YIiH 2HE CITt OF EAGAH 3]31= FAlI.T D? '@'' ?' _ ?.?.?:;'' ?•'`:oi=? ?? ? _ ?. ^•:. . < -_ _ Y _. . -- ;a:• '? _,'C:..: .3`°-.:..t wyn`??.?'';,.:...*.-.c3 a??...._ _?,..?,; y "':w- : ., ' .'. .'. •. ?' . r '"-' 'd _ -+. _ -Tr , i.. . '4fi' =, s"' x,v5?th"Aa"-c..:?'-''r."": ?eF'..: . .. .4 . _'• , -e..ye..j .,;r ..r_. .. y : •• ?INCLODE 2 SfiTS OF PLAt7S? 3 CERTIFICASES OF SOHVSi,'' i~SE?.OF ENERGY CALCOL9TI083 . ` . . . -. : . ;Ja?+; J3 ..;'.° -_;., . . . ,.? a., , ... _c? .. .•-, r, ? - TMQt.TIPLE DWE.j.?ag -,$EsIpErrIAL BMAL'UNITS%' '• ', FO8 .5iLi QsI?. . 's• - - • . . . . •,IPCLODE 2 SETS OF PLANS, CEHrIFICATS OR SQE9E! .. CHEC[ WITH BLDG.`DEPS.& - 7 SET OF ENERGY CALCULATiONS .. - :' INGLUDE 2 SETS OF ARCHITECTDRAL & STRUCTORAL PL6N3, _. - •" 1 SET OF SPECIBICATIONS AND 1 SEY OF ENERGY CALCQLATIONS, • #2,000 LANASCAPS _HOND.:. = . To Be Qsed For: RESIDENCE Valuation: Date: Site Address Lot L10- Block cX- Parcel/Sub THOMAS LAKE HEIGHTS a` Owner NEW HORIZON HOMES. INC. 9ddress P. 0. BOX 1367 City/21p Code MPLS. MINN. 55440 Phone 420-3900 " Coatractor = SAME • Address City/Zip Code Phone ' Meh./Engr. D. GRISWOLD 9ddress ' City/Zip Code Phone i 435-7524 m6 e_tj ' 419 Erect Oecupaney 1!2=3 Remodel Zoning 9-T Repair Type of Const ? _ Addition # of Stories Move ' Length Demolish _ Depth Int.Impr. _ Sq Ft Instali APPSOYdIS 9ssessments Permit 3?& _ Aater/Sever Surcharge '_jrwD,50 Police Rlan Reviex $?q Fire SAC J? ? Engr Water Conn L70 ? Flanner Water Meter G3i. Council Road Onit 2 U Bldg OfP,I? Treatment Pl /5(0_ APC Parks Variance _ Cogies TOiAL NOYEs ADDEESSES FOH CORBEH LOiS - CONRRAC?OH/H02lEOWHEE lIQSi DESIGAAiS W$ICH ADDHESS IS DESI$ED. NO CHANGFS WILL BE ALLOHID ONCB BOILDB2G PES?IIi IS ISSDID. A 3830 Pilot Knob Ro dl P.O. Box 2G- 1 g, Eagan, MN 55121 IY 2 11917 BUILDING PERMIT PHONE: 454-81 00 Recsipt # To be used Ior 1 OF 4 PLEX Est. value $ 61 ,0 0 0 D t MAY $ 8 6 a e ,ts_ siteAddress 1585B CLEMSON DR E ? R3 Lot 49 Block 2 Sec/Sub. THOMAS LAKE rect Remodel ? p y Occu anc Zoning Rl Parcel No HEIGHTS ZND Repair ? Type of Const. Vn Atldrtian ? No. Stories W Name NEW HORIZON HOMES Move ? Length 44 o Address P.O. BOX 1367 Demolish ? Depth 97 City MPLS phone 420-3900 Intlmpr. ? Sq.Ft Insiall ? =o Name Sdfi2 Approvals Feea sa Address w Assessment Permit $ 316.00 ciry pnone Water&Sew. Surcharge 30.50 D. GRISWOLD o+ W Name Police PlanReview 158.00 m Z5 Address Fire SAC 575.04 o ?itY Pnone 435-7524 E"9' WaterConn. 500.00 Planner Water Meter 63. 50 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe CoUnCil RoadUnit 290 .0 0 information is correct and agree to comply with all applicable State ot 13ld9. Off. 5 1 86 Tr. PI. 156 . 00 Minnesota Statutes and City of an rcjnances APC Parks Signatwe of Permitt ee ? Var. Date Copie 0 9 Z 4 A Building Permit is issued to'. NEW HQRIZON HOMES , Total • all work shall be done in accordance with all lic State of f yinl condition that v tgsoia Statutes and Cit y ot Eagan O dinances. Budding OryiciaL ,?J T ? 00v'1Z-Ux':k , L S 0 8 -D• GhL - Taus Nlkj4`.,;v__ 1e a,. SG*vi(d HEATIOSSCALCULATIONS HEATBINGBAIR COi11DITBONING b f11tX 2G 17 A CO. MINNEAPOLIS,MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation MTindows Doors Guide Refwence Out. WBII Int. Wall Ceiling Roof Flopr Kind How Applied Yes-No Yes-No 19__ FLL`v1N{, R?^ Length 7.2„ Width I Z Height ? FI. Q(1ASj? ?[}ROOm Length ?y0 W:doh tr Height YJindows and Doors-Crackage and Area Windows and Doors-Crackage a?d Area NO' W,d,p ol ana He1Oht of ene No. of I? h ta Lineel It. o1 r ck Area sG. H. NO' al ane Haiphl ol ene No. ol b Ms L?neal 11. af c,ack Area s4 ??• 1 l WCV 7 7< ? LA 1 ?_ '7 ? 1 17 ? ° g R ? .Z 2 6 1 IQ Coei 6tu Coet Btu Infiltration I 3 Inliltration ? ? 3 ??? ' Glass Glass 1`? S Exp. wall X "? 7 Exp. wall lQ .7? Q °•? Net exp, wall 311 Net exp. well 2' 9- o 25 0 rhT."WBtF 4pr' 1 11'1 222 Int. wall Ceiling Ceiling 1 Flow Floor {?n n <:)( Total Btu. 7,5"117 Total Btu. 32 Reqwred sq, ft. E.D.R. oi sq. ins. W.A. Leader aree Reqwred sq. ft. E.O.R. or Sq. ins. W.N. leader area FI. ININC_ RLength f 3 Width Height FI. E '?''?+41r?qan leng[h I5 Wid[h 1 Q Height i? Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. Wiarh of ane MeiqM ol ane No. of L h[g L?neal fL of crack Aiea +q, fI. N ?' Wid?h ol one HNlpbt of anu No. uf li hts lineal it. of crack A?ee sq. s..r,0 ? a( 2? 1 ?. ?-? Coef Btu Coef Btu Infiltretion 22q0 Infiltration c/ Glass ? 50 i2,43 0 0 Glass ?` ? Exp, wall aC % ?",adD EHp. wall ??'Eo Net exp, wall , Net ezp. wall ??? '7e 32 Int. wall Int. wnll . Ceiling ? x•? 2 CeilinQ ??? ?f'•j ? Floor flow V U Total Btu. S Tolal Btu. ? f 32-7 Required sq. ft. E.D.R. or sq. ins. W.A. leader area- Requrred sq. (t. E,D,R, or sq. ins. W.A. Leader area FI. ',T Rppm Leagth Width ? Heigh[ ? F1, poom Length '' Width ? Height Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea NO' W?ai? ol ane Heiqht of oAna No. uf b Ms l?neal h. af crock A•ea 50• 11• NO' N'?nn ut ane H? qb? ut Tne Nn. ol b h?s Lmenl (t. ol crack Area sa. ??• ? ?- T _ Coef Btu Coef 8tu Infiltrabon Inliitration Glass Glass Exp. wall Exp. wnll Net exp. wall Net exp. wall Int. wall Int. wnll Cailing 12..7(1 ? C) ceuinB - Floor - _ - Flncn Total BW. Total Btu. ReqinFed 5q ft. F.O.P. nr rq, in5. W.A. Lc,tCrr area ??'? Am7uirod dq. ft. E.4,R, or sq. ins. W.A. Leader area ?. • ;-? _ _ • ?, ,s?,? HEAT LOSS CALCULATIONS HEATIWG&AlR CONDITIONING CO. MiNNEAPOUS,MINN. Weatherstrips A.S.H.V,E. Construction No. Insulation Windows poors Guide Ref er enc a Out. Wall Int. Wall Cailing Roo1 Floor Kind How Appiied Yes-NO Yes-Na ?g _ _ $ FI. ' Q Roan Lenqth Width Height FI, Room LenBth Width Height VJi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Are a No. W, eih of enn HeipM of ane No. oi Ii hta Lmael fl, ol ?re k Area e. It. NO' W?d?M1 of ane HoiOht of ene Nn. af h hte Uneal IO af crack A?ea s4• A• 2 2a fb Coef Btu Coet Btu Infiltration 74pa Infiltration Glass Glass Exp. wall X, Exp. wall Nat exp. wall 230 Net axp, wall Int, wall Int. well Ceiling Cailing Floor 1 0 0 1 7. („v1 Floor rotei sm. 3(p raai em. Required sq. Tt. E.D.R. or sq. ins. W.A. Leader area Rqquired sq. 1t. E.D.R. or sq. ins. W.A. Leader area FI. (\yvq? Roorn Leneth )L Width 1 1 HeiBM F1. ' Room Length Width Heiyht Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea No. W, dt? of en¢ Meiqh? of ane No. 0f 1, hta lmeal 1t. a} c,e ck Area aQ. ft. N?' yy???h ol una Hxiqht ?? ann No. uf li hts Lineal N. of C,a k Aeea 8G. f?. Y q J ? Coef Btu Coe1 Btu Infiltreti0n I 117 2223 Infiltre[ion Glass ? QQti Glass Exp, wall Exp. wall Net exp. 11 9132 Net exp. wall lpLy?a{1 ( ? (? 22 Im. wall ? Ceiling CeilinQ floor J-X I -1 1 ? Floor Totel Bta I 6 9'V Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader aree R@quired sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. ? qj Length' ? Width Height FI. Ropn Length Wtdth HeiBht Windows a nd Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea Nn. W, d,n O} d11B Meiqht Of NlIB No. ul l1 hl! Umeal iL Of CrBCk Area s0. ?I. No. W.qio U? 8?12 H, phn V1 flllC Nn, nl Ii ht5 L-neal 11. 0f [fdCk n 4re?,• SV• l T Coet Btu Coef Btu Infiltration Infiltrnti0n Glass Glass Exp. well Exp. wnll Net exp. wall 7X`jj Net exp. wall Int. well Int, wall Ceil-ng Ceilin9 Floor Ii3 t -IT•S -lyaa FICxx Tutal Btu. Total Btu. Required Sq. It. E.O.R, or sy. ins. W.A. Leadar e?ea Roquired 6q. fL E.D.R. or sq. ins. W.A. Lead¢r area ⁉楦楲㈠਍㤱〹䈠䥕䑌义⁇䕐䵒呉䄠偐䥌䅃䥔乏਍䥃奔传⁆䅅䅇ൎ匊义䱇⁅䅆䥍奌䐠䕗䱌义升਍啍呌偉䕌䐠䕗䱌义升਍佃䵍剅䥃䱁਍′䕓協传⁆䱐乁⁓′䕓協传⁆䥐乁⁓′䕓協传⁆剁䡃呉䍅啔䅒ൌ㌊删䝅卉䕔䕒⁄䥓䕔匠剕䕖卙删䝅卉䕔䕒⁄䥓䕔匠剕䕖卙ⴠ☠匠剔䍕啔䅒⁌䱐乁൓ㄊ匠呅传⁆久剅奇䌠䱁啃䅌䥔乏⁓䌨䕈䭃圠呉⁈䱂䝄‮䕄呐⤮ㄠ匠呅传⁆偓䍅䙉䍉呁佉华਍‱䕓⁔䙏䔠䕎䝒⁙䅃䍌䱕呁佉华ㄠ匠呅传⁆久剅奇䌠䱁千਍⍟传⁆䕒呎䱁唠䥎協਍⍟传⁆但⁒䅓䕌唠䥎協਍䕐䅎呌⁙偁䱐䕉⁓䡗久›奔䥐䝎传⁆䕐䵒呉䤠⁓䕒啑卅䕔ⱄ䈠呕丠呏倠䍉䕋⁄偕䈠⁙䅌呓圠剏䥋䝎䐠奁਍䙏䴠乏䡔䤠⁎䡗䍉⁈䕒啑卅⁔卉䴠䑁⹅਍佌⁔䡃乁䕇䤠⁓䕒啑卅䕔⁄乏䕃倠剅䥍⁔卉䤠卓䕕⹄਍低䕔›䑁剄卅䕓⁓但⁒佃乒剅䰠呏⁓‭佃呎䅒呃剄䠯䵏佅乗剅䴠单⁔䕄䥓乇呁⁅䡗䍉⁈䑁剄卅⁓卉਍䕄䥓䕒⹄丠⁏䡃乁䕇⁓䥗䱌䈠⁅䱁佌䕗⁄乏䕃䈠䥕䑌义⁇䕐䵒呉䤠⁓卉啓䑅മ倊佒䕃卓义⁇䥔䕍䘠剏匠坅剅☠圠呁剅倠剅䥍協䤠⁓坔⁏䅄卙传䍎⁅⁁䕐䵒呉䠠十䈠䕅⁎佃偍䕌䕔⹄਍䕐䵒呉䴠单⁔䡓坏䄠䰠䍉久䕓⁄䱐䵕䕂⹒਍潥਍潔䈠⁥獕摥䘠牯›㼿爮倿慒⸼⹴嘠污慵楴湯›㜿扅㼧䐠瑡㩥⠠䤠⸭⸲ⴳ㽓൯匊瑩⁥摁牤獥⁳㕉㠧‷⁚汃睥猬⹯Ⱜ㼠⸭਍潌⁴䈩潬正ⴠ൚倊牡散⽬畓ൢ伊湷牥䔠䱦墢⸮䍊䔮㼠‮㼿⴨䔿㉱ㅮ਍摁牤獥൳䌊瑩⽹楚⁰潃敤䔠㼭愮漮⁪ⵗ㽡ⱊ⁊㔵㈨㞄ഭ倊潨敮℠②㼠ⴠ⠠㐴വ䌊湯牴捡潴൲䄊摤敲獳਍楃祴娯灩䌠摯൥倊潨敮਍牁档⼮湅牧‮ൟ䄊摤敲獳਍楃祴娯灩䌠摯൥倊潨敮⌠਍䙏䥆䕃唠䕓传䱎൙ऊ䕆卅ഉ伊捣灵湡祣उ਍潚楮杮उ਍捁畴污䌠湯瑳䈉摬⹧倠牥業ॴ਍汁潬慷汢॥畓捲慨杲॥〷਍‣景猠潴楲獥倉慬⁮敒楶睥ഉ䰊湥瑧२䅓ⱃ䌠瑩ॹ਍敄瑰२䅓ⱃ䴠䍗ृ਍⹓⹆吠瑯污圉瑡牥䌠湯८਍潆瑯牰湩⁴⹓⹆圉瑡牥䴠瑥牥ഉऊ捁瑣‮敄潰楳ॴ਍湏猠瑩⁥敳慷敧य़⽓⁗敐浲瑩ഉ伊⁮楳整眠汥⁬य़⽓⁗畓捲慨杲॥਍坍䍃匠獹整⁭य़牔慥浴湥⁴ㅐम਍楃祴眠瑡牥张刉慯⁤湕瑩ഉ倊噒张倉牡⁫敄⹤ഉ䈊潯瑳牥倠浵⁰य़潃楰獥ഉऊ啓呂呏䱁ഉ䄊偐佒䅖卌倉湥污祴ഉ倊慬湮牥张吉呏䱁㼉਍潃湵楣६ഉ䈊摬⹧传晦मഉ嘊牡慩据॥ . ?- CITYOFEAGAN No 185?2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ? Receipt u To be used for FIREPLACE Est. Value $1, 000 Site Address 1587-B CLEMSON DR Lot 52 Block Z Sec/SubTHOMAS LAKE HTS Parcel No. 2N? W Name TERRANCE A 0'HEARN 3 Address 1587-B CLEMSON DR ° City EAGAN Phone 681-1445 ,a Name SAME g¢ Address ? Ciry Phone ? ww Name ? ; Address <W City Phone I hereby acknowlege that I have read this application and state ihat Ihe information is correct antl agree to comply with all applicable State of Minnesota Statmes antl City ot Eagan Ordinances. Signature of Permilee A Bmiding Permit is issued lo: TERRANCE A 0' HEARN on the ezpress condihon that all work shall be done in accordanca with all applicable Stale oi Mmnesota Statutes and Ci.ry? ol, IEagan Ordinances. Butldmg Ofhcial ?..R.rpifl? ! 1111 Occupancy Zoning - (Aclual) Const - fAllOwable) - X Oi Stones - Lenglh _ Depth - S.F. Total - S F Foofprints - On Site Sewage - On Site Well _ MWCC System - Cily Waler - PRV Raqwred _ Booster Pump _ APPROVALS Wanner _ CauncA BIEg.Ofl. _ Vanance - OFFICE USE ONLY _ FEFS Bldg Permit 25.00 Surcharge .50 Plan Review SAG Ciry SAC,MCWCC Water Conn Waler Me[er AccL Deposit S/W PermR S/W Surcharge Treatmenl PI Road Unit Park Ded. Copies TOTAL 25.50 r- :-. .T CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number. Date Issued: ere -055 8?/ta BUILDING 027381 65/01/96 SITE ADDRESS: 1587 CLEMSON DR LOT: 51 BLOCK: 2 THOMAS LAKE HEIGHTS 2MD P.I.N.: 10-75951-510-02 DESCRIPTION: &,'?i't9;,?; ?- ap' a? .t W a-- ;? ?. e r m i t T y p e -94-E* q,r?k Type ADD2TION 434 ALT. REBIDENTIAL `§-`?"0 ???*;5 ,u?i:?"j?3 ,u?;?; ??ia`.g ?;u? `?"?" ?;5 ? ? ?? REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 7ota1 Fee $45.50 CONTRACTOR: OWNER: - Applicant - • FAILOR EU6ENE 1587 CLEMSON DR EAGAN MN 56122-1866 (612)405-0459 I f?ereby ecknow??.dt?B„?Pi4'k?' L heue state th infQ'r_ma a?i8 ;a ree ?a c:+sf?P??y W=?CM',,?l;l a;ppllneab?,a 5????:"tlf I??t,? ? ? :- , 3tt : es +'nd #.7[rc?sn?rv?e?t ?.,?. ._?_ ' __??, ; r=.9..?.... . .. . . .....___ m s.. ..___ ..?? URE AP ANT/PERMITEE SIGNATURE ^t_?tl FIGNAT CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 0 I" 1996 BUILDING PERMIT APPUCATION (RESIDENTIAL) 681-4873 (oik? wI ??.? • ai.qu«w w wwd.y. • 2cep.. a vW+ ? i e:vrs a oi.na (kwb. e..n s.?naea .k.s, o&Aedhvidsslgn:•?e.) .: w..ury.ys t@xh"kx.eabon. a a.ac.? • t .n.ryy aaAdero ? t gn«pycaladetlonr +or n?aua aadpkm • 3 mpiu d UM quwwtlon pdn Y lal pNhd dEa 711/i3 r.wjk.a: _ r.. _ Ne pATE: 11 Apr11 1996 CONSTRUCTiON COST: DESCRIPTION OF WORK: AdA -dattin„ai inl in- da u« _ae.a.... ,n. -+^t doaG STREET ADDRESS: '`?7 Clemaon Drive Eaaan MN ?LOT BLOCK ? SUBDJP.I.D. f: 1'7?"^? ??b?-o-?'''? A;`o'r.c? - /? ?foS o-IsS+ PROPERTY N8m@: T A;iOI? ?0'NGT PhonB w3'21 71S467 OWNER ' S?'7Ci?son Drive ? Street Address' ? . Cfty; Ea?an St81B: MN jJp• 5512z-1a66 coNra?CTOrt Company: Z4? G&A?a` FW?•Cv2 Phone #: h??5•0 L9 Street Address: I-T$7 I.icense #• City: E46!f nJ State: /11'4) Zip• .5 ,512 2IJG6 ARCHITECT! Company: None Phone EN(i1NEER Name: Registratlon #• Strost Address- City; State: Zip. ?? & woW licensed pkffnber p/A ponefty applies yyhen oddrew change and lol d?arga m rpusstad ona Pwmit b iaued. t Nraby aeknowbdoe that I hava raW thb appieauon and smte Mat ft applkabN Sfate of Minrnwta Sfatutes and City at Efpan Ordtr+a+ees• OFFICE USE ONLY C•artllla6es of 3urveq Reesivad gipnsptre o( Applieant _ D? tT? a ( B QA? 51"L?,.,c _ Yes No ? Trss Presarvation Pian Recefved ` Yes , No b corted #nd agroa to oorriply with all apR z s 1996 ? ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundafion o 08 Duptex a 02 SF Dweliing o 07 4-plex o 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex n 05 5F Misc. n 10 = plex WORK TYPE u 31 New n 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION a 11 Apt./Lodging ° 0 12 Multi Repair/Rem. o 0 13 GaragelAccessory fl 0 14 Fireplace n ? 15 Deck 0 36 Move ? 37 Demolition T ? ? „r ? "? " ... 16 Basement Finish 17 Swim Pool 20 Public Fac9tity 21 Misceilaneous ConSt (qctuaQ 8asement sq. ft. MCMIS System City Water (Aliowable) Main level sq. ft. Fire Sprinklered UBC Occupancy sq. ft. ft _ pRV Zoning ies f St $q $q ft _ Booster Pump or # o ft Census Code. Length gq Footprint sq. R. gAC Code a ? ? Depth Census Bidg Census Unit 6 APPROVALS Engineering Variance planning Building Permit Fee Surcharge Plan Review License MC/1NS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S!W Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other _ Copies Total: Valuation: $ % SAC SAC Units ` ? o r? ?o-??° - -- ,. y r •? . 1 _ dk? zz? ?°. 0 J% Q J vr ?i= !^~ M1y?' ?re_ . bO Ajb? hRs \ \ Jy'0J 1 , e +0 a (9g?0) le ? ., ?: , .. , . ,., , 1 ? A ? ?9g?SJ i 000-O? . tl`y ..f? ? OR ,J ' o ?Iron Monumerit ° n.note. wooa seake XOOOA Danolss 6cisUnp Elwatlon Proposad 7op of Fourodatlon EMvabon- (OOOA) Denotes Propossd Elavation Proposed Garaps Pioor FJsvalion• 938.0 ?- Dsnotes DI?eetbn of Surfue Dninpe Propoaed Lowest Floor Eisvatlon- 9885 16-6 7 ,0k. I im obr urMlr +hat w. b. uw wia cor?.a ?ea.es.M.oon a a.wv.y m ft eoww.r+.s ot Lots 49, SQ 51 and 52, Slock 2. T80MA5 LARE HEIGHTS 2ND ADDI2ION, Dakota Cou,.cY> liinnesota ? ? And of ihs Iocatbn of all buildlnpa, if any, theraon, and all visible encroaehments. If any, from a on said land. R also ahowa tne beation of the atakea as set for a proposed build'mp. As aurwyed by me or under my direet aupervisan this 23rd day of Avril . 19 86 Psul A. Johnson v Land Surveyw, Minn. Rp. No. 10938 CERTIFICATE OF SURVEY lm'?OMBS-KNUTSON ASSOCIATES, INC. ?Of p?/y?? ???y? mwmnwun8 unmm??aa anruwr ?n ? f ?y?MIILVIr r7V1V?G5 "Ma"Oi ? 1YICMUO.1W=WefA 743 0 0 ?. ., HORIZON HILLS HaME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to the attached copy f your ArchiteCtural Control Application dated ????'j/P_ for the addition/ alteration ct /n,r"? p , approval is granted pending the receipt of a City of Eagan Building Permit. Once you have obtained a City of Each Building Permit, please -? mail a copy of it, along with any applicable drawings as required for the building permit, to: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Hox 21423 Eagan, Minnesota 55121 As stated on your original Application, no work may begin until the Architectural Control Committee has been supplied a copy of your City of Eagan Building Permit. , The approved completion date of this addition/alteration shall be 9-1-9/? . 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 HHAOA completing the addition/alteration project and assessing the costs to you. 70?p Date: Approved by:r:? ]!?ZTIVO ? U . p x a- o White Copy - Homeowner/Canary Copy - Horizon Hills Fil p? /.??? ?D-A, a ?? PERMIT ? --?-,'-CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number. Date Issued: BUILpING 030688 08/25J97 SITE ADDRESS: 1.187 CIEMSqN OR LOT: 51 BLOCK: 2 THOMAS LflKE HEIGNTS 2N0 DESCRIPTION: (GA3) rmit Type FIREPLACE n Type ALTERATION ri f=".-?%' 434 ALT. RESSDENTIAL a?y?"`?? a ?1 M`?sma?,u IL n? l REMARKS: FEE SUMMARY: Base Fee Surcharge 7ota1 Fee ? $5e.00 $50.50 CONTRACTOR: _ Applicant - OWNER: STOVE & FIREPLACE GALLERY 18981174 FAILOR GENE 1278 COUNTY ROAD 42 1587 CLEMSON DR BURNSVILLE MN 55337 EAGNN MN 55122 (612) 898-1174 (612)405-0459 ?.z , c aA a_E. ?km. r?SCt34i?' ew ' f- i zn, i r ¢c3?r(SY a?? 2 yhere6iya?yt?y ksno?a?d4d •.??Q } V- ?t 4?:4.11 !'_e 0;k. I. II y µd.?y+ dt,y? e y}. ?`' i ?y. ?'2yR? }ry J ???gy??YR(?'{typ,Y Lp 3 R L § L^ g. STTF a2rvq?'f f` I? ?]4 gRk'4y ? L tY ?? k [ i?L.?4{fM?i?t ?nW }?{y? 6??AV?+?+?FY1'l W?4J.?wTV?PyY9Y6fl{2.??4?3?[ i?'i £1tIP x536'Y:.YTA tl;tyT'41}E .vY?$t 4? 9"t 8Si 'KK`e??t??.2 4f Yvt f_ _ .....,?..? .. _.c........,..n. , . . ... e _.=? '..mR r sm_ APPLICANT/PERMITEE SIGNATURE -?ou? Rei fL( lYlg ISSUED Y: SIGNAT E 3 CITY OF EACAN ?? - 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 DATE: PERMIT FEE: $50.50 DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ 7AL'I'ERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY? ? /\?) _ OTI'IER: ? Wf7? STREET ADDRESS: Q{rA r?E1v:b 1? LOT BLOCK ?. susn.rn.i.D.#: iirriii.AidT: (circle one oniy) UwivER CGNTRACTUR 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. PROPERTY OWNER FIItEPLACE INSTALLER GAS LINE INSTALLER Name: Phone #: ?? ??c??j Signature: Street Address: City: (-?-C,\ c State: ? Signature: Zip: C-=r - Phone #: ?y-N Street Ad3aess)7", Y, teo Q-& 4-z C..S4- L;cense #: 222:=Z City: State: Company: WG,?? L aA?? Name: Signature: Sueet Address: Zip: Phone 4: ? ? k;?; l? City: ?E«-??A ,l ? State: zip:<;z<-Lrz3 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: 1585 CLEMSON pR LpT: 50 BLOCK: 2 THOMAS LAKE HEI6HTS 2ND p.T.N.: 19-76951-500-02 c.rzo6s7?q BUILDING @27380 04/29/96 DESCRIPTION: srmit Type s?pk T y p e = e?u ? DECK ApDITION 434 ALT. RESIDENTIAI. sw ??tas???,? 1? R,}s,mu % Sr°iw° f AR_•iaj. '+cN?"4- #:€? f?,5a? ?I ? i35 4,y? ?_ d I& Sv?.? ?? ?t #a-:ti.'t??Taxi µy` ?p i_{•,. 5i 3V,?.? ? t ffi ?.?m?- `3iS _ REMARKS: FEE SUMMARY: Base Fee $45.00 5urcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - p;ppiicant - BECKWITH GREGORY 1585 CLEMSON pR EAGAN MN (612)725-5020 T he.r?by ?nk?ida?,?eelgs `GY?a'?? ??`hav? rsad ?fiss 3?zca?far? ar(d sC?'te GFs"?C tkf? , infD rrnatzar5'_?? ?,c?.rr?e?"? ra?j?t agr?? '?fl a??,rnPly ?i?F? st•? appl'C?table ?-tat?e;,-?? s ' -. r. _. , s St8 ?,?E£ aafiC?-:G?",?+,s?4.? . v?..:...? APPLICANT/PERMITEESI NATURE ISSUEDB SI TUR ? CITY OF EAGAN 1?(6 ,SO 3830 PILOT KNOB RD - 55122 'i" J 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) wu 4_n 681-4675 New Construdion Reauiremen[s RemodeVRaoair Reauirartients ? 3 registered aite aurveys ? 2 coples oi plan ? 2 copies ot plans (indude beam & windaiv sizes; poured fnd. design: etc.) ? 2 ske surveys (exterior addkions d dedcs) ? 1 energy eslculatlare ? i anergy calcula6om tor heated addRions ? 3 eopies of hee preservatbn plan H bt plaMed after 7/1/83 requfred: _ Yes _ No _ DATE: 11 npril 1996 CONSTRUCTION COST: DESCRIPTION OF WORK: Add additinnal to+ x jn, dArlf •+{ pr?n-???+ a=,I. STREET ADDRESS: 1585 rlemson Drive Eaean MN LOT So BLOCK ? SUBD./P.I.D. #: ? w-725-5020 PROPERTY Name: BECxwiTTi,. Gregory C. Phone #: x-681-0509 OWNER `"° °"° Street Address, lsss ciemson Drive Clty: Eagan State: mN Zip: UNENN coNTw?c7oR Company: Phone #: soon 5treet Address:License #: City: ? State: _ Zip- ? ARCHrreCTl Company: None Phone #• ENGINEER Name: Registration #- Street Address* City: State: Zip: Sewer 8 water licensed plumber. N/A change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informat' n is correct and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY ???ENED Certificates of Survey Received _ Yes _ No QPR 23 MIS ? Tree Preservation Plan Received Yes No OFFICE U5E ONLY 4lr? „t . BUILDING PERMIT 7YPE ? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. 0 10 = plex z?" Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move ,,5w?2 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length ?? ? • •_? Depth APPROVALS Basement sq. ft. MGWS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump gq, ft, Census Code. Footprint sq. ft. SAC Code Census Bldg Census Unit Planriog . . ?g Brjildirig _ Engineering Variance T 774, y? a/ / D Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units . . .. 4 oD ? O aR 0? s D, -y???? t q ?- ! ao? 'J ? w?' -o?. .o 6 0=' 00 ~p _?,Lq ?7. :?'•? 3?- r 3? ?, J ? ar,- F 1 ? ?6 ?^. p0 L IN %P D . :N ? • _ o ?i• ? o? ?99AO ? G 3'?1 0? i ?. ? y ? % G L ? O1 Q "1,3j49) ? , ._ Y A ? ? ri I 1 I l ol ?y°? . r 'Df • 0 Denotes Iron Monument \ a Oerates Wood Stake ? X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation- (OD0.0) Denotes Propased Elevation Proposed Garage Floor Elevation- 938.0 -? Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation- 938.5 /6-65- I hereby certify that this is a trve and correct represerrtffiion of a survey of the boundaries ot Lots 49, 50 51 and 52, Block 2, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota 4 ? And oi the bcation of all buildings, if any, thereon, and all visible encroachments, if any, trom 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 23ra day of April 19 86 Paul A. Johnson Land Suiveyor. Minn. Reg. No. 10938 i-:?- CERTIFICATE OF SURVEY ? ?? CC,OMBS-KNUTSON ASSOCIATES, INC. fior ?w ??? ???ES rnNioLtut [?artnt ? i,ue tu?rno?? ? m? rwM[o F??E Fy r Yw1E/?/OLYweMtRCX?ItlOM.M11NEfOiA 7430 f c / V' V z C&'41A' ?J HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to the attached cop Application dated ` alteration oi 64 approval is granted pendinq t Building Permit. Once you have obtained a City mail a copy of it, along with for the building permit, to: of your Architectural Control for the addition/ D O . e receipt of a City of Eagan of Each Building Permit, please any applicable drawings as required 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 Architectural 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_/_ 9(10 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 completinq the addition/alteration project and assessing the costs to you. Date: Approved by: 11? ai o x 2 o d9.?) White Copy - Homeowner/Canary Copy - Horizon Hills File / CITY OF EAGAfV APPUCATiON FOR PERMIT SEWER ANO/OR WATER CONNECTION *AT.^ r PAYbff.NP' OF FEE AT TIIME QF APPLICA'lION DOFS D]OT QONSTiNiE APPRUVAL OF PFRNIIT. . xNSencrloN oF SEWM r,ND/Ot tZAM : rErnr.ramrONS WII.L N02 BE SCIHED- ULID UNPIL PERMIT AAS SEQQ APPROVID. ' . . , * _ . -. '?*,r,r*i*,?*w*,?*trirx?*s***w+'s*,?ir::s?.? , ;,, P ease Print , ?1) PROPERTY ADDRE$S: •;-- LEGAL DESCRIPTION: -' ' `;4... .? •^ ...'. . . ',rvr'. ?F ? .. bfYY?49? . _ __ 4.. ... ? r.? • `!k, ' u ..:=Si.J+1? ?? ' S: IF E7QSrING SZRCCI.L'RE. DATE OF ORIGINAI. BIJILDIN3. PERMIT ISSL'ANC E: , i . . . _ ... . ..,.. - - .. , . - ,_ .,,. ? ? • ? . .w . _ _?9_?,v, ?/????p??/?p-/??/??n?? }ypy?? Lr.._?? f?Vl'/11Y?]ICl?VCIJJLN `?i ..... . . , _ _ - .? ? .- <:.y:F... .. . .fC..? ..w..._. .. ' ._ ' e >.?,,,• ' ' .•??4?.YL ? .:4er.. ?i (,'ey;?'? ? ,;.,n.w+. '1.`:•i. ;.. ,. . ?? ..? . - . ???.• '_ . .. ? -.3 ?( VR-1 SIIVGLE FAMILY ? sV.:a ?-,-s•.... r-r nM - ? STRIAL _. ,?„ra.T._ . ..... . _ , , ...<, ... . , -?.. R-?2y DUTLEX (ltao [7nits) ? SNSTI2L*PIOtVAL/GOVEW97T .;.?.?„ R-3"TOWNHO05E (Three + Units) (Units) . - - ?? = - • _ _ . Q R-4 ? ARTNENT/CODIDOMINIi. l. ( " OnitsJ. , fi a, •- 3) • u ?: ?• - 0 For City Use .. ??' Plumbers License: , _ A Active -?CITY. STATEr ZIP: i -'-- . ?-'-? Not recorded PHONE: MASTER LICEN5E# Staff =tlal - 4? •.. • ??+• ? - . .. . . ? - NAME: ADDRESS: ... • ?? .. . . _???. cny. SmE, Zip: ---- PIiONE: •$) ? v ? ? r• • ?• : u • o. - ?? ?. ? ODNDffC'TION 10 CITY SEWII2 ? OONIlVDC.TION 2U CITY F14TER OTFER '. .. ... f • fCircla nnot ' 6) ? v-• r ? PLEASE HOLD APPROVID PERMIT EM PICK- BY ONE OF ABOC1E -`--•- -.. (? PI?F.FISE MA.T.L APPROVID PFItMIT R?D 1, 2. ? 4. AHCnTE : FOR CITY USE ONLY PERMIT # ISSCED ?i ' ? 4'? t?•?". . . . _ .?: ? ' ? ?t/ ', -S ? ?y_- - . g , . , ; . ? , :Pd w/Bldg. Permit FEES: :---.. ...' ? 4??7_ ' . -: •. . .. . ' ? _ . .. $ -- $' .. °,.. ''''... ' ??.,.?. . : ?':'•.: SEWERi PERMYTy.(INCLLDE SURCHARGE) =:=:?_ . s `S,-----• - - _ „ - v^-• ' . ? . ?t?^1 '. / `" 11 ; .?sSSi4;., . WATER ,•, ...??:;.:?ut;?i?,t:???.?-?•:,:'.`?.;`?`a:?:ia??' ,-,e PERMIT ( YNCLIIDE SL?RCHARGE ) . ? . ig'i??SSe1 ..f. ?C..?r, u... `: . $ +^.'?':r':.?M. r? pFr?r,ad?? }.'.. . . `. . WATER . . ..- ...?4.?.2't?'YPvin+Y.?:?wv.., . .i?.F-?ntFYv.y? nr . . " . METER/_GOPPERHORN/OL'TSIDE READER ` ` ? " " ?, y : ? .;'t $'.;- -...?'?s _ ???• A" >.?..:-.,<..?.. ?`?s- p-vF? ? =*WATER $TOP TAP ( INCLL'DE CORPORATION. ) . $. ..,.. ?'i ?i'm.?? $?.s.- .. '.rs_ - :$'- ''' '_h =.: '-M1:ia:,,_; -_ .,.;1/,.. , . . ' .. ?- ?' ' ...,S?llt'i-i ? 1 11 ` i . •' .: ?-?' '??. ! I rT12L1NK WATER ` A'SStSSMENT .....§?: _? _ - . . . ? ` ` ' ? 3 ".4 •C+:i _$ _ ...._ •,?. '?:e_?? '-' `` ?."!:._ . - Y '..+, • .' ; ;? - ITBL'NK.-`SEW,fFR.ASa?E$SMENT .eN. 1: S: ' . ? ?EFYT/?TRIINK LATERA? ? . . SEWER , _ ?. -. •; ' , . ? .. :_ ,;:=, .._:::.._:>?,:..._ ? ? ?-t:..._.-.'.:.. ' ` ?? ?1•..?•? ? •? ? ?.. . ?. _ i• . y..l? : -- Y - . .a .: -:':.?..?.I ..r.. .. ... •• ' ?? - ""?: •? LATERAL BENEFIT/TRLNK - ,. ., ATER ?_. .. ??. , . :.:.o-..:.?.. ? ... 1? ,. ' ? ` `??` Z . ? : - ?. '?'. ,.. . ; .. : ...??.. . .' . L .; ? : r $ • $ YW TREA1'MENT.-FLANT ATER. . SURCHARG ? , . ? .•.ea? .. . . . _. . . . . . , . . s. e .?r?•?'v @ . : i, 4? ..., . . .. , ? ?t ".._ . ? . . . xnrv . __-. . . :-?w-?",???-.-?sa.?; - '?"`_ .,i. :.Y?RR?.:i? f:AlOTHER '•:3.''_ "y,i ?-? _ ?c.??j?:'.'!;?"'j::?".,},? ??r ..+"?•? .Y? ??'..J.1:.F.?'?,.`c;,y?hTia ?'??rx ,_?-?;?`b:k.:tw?;•ip? ?v;:$',:. '??1.>'f/?',..T?"'`c=??.-S':r'S''".+5.?*' ? ??'}-'.'?a.`,='7i??':.,-.? TOTAL<`-:-a•- -?--, .`?..i?w.i'?. , ?&? ?.;:'- ??='_-z°/ ,x?c" ?G?1??;wy?..Y.:.bitiiu?e? w y? .,?;???.?M.?qy...f? 's.:.uL„<.?'vsNr?.f:.x...??;?,:, . ?nq.e. +:Hi`y}'??'`*' ,e?,,ti?,;?• (?.??? ..Ip,_w.1?.. f_-??r 7".?'-S.? ?,,?'- _ _ •/ ?,? iy? ?? ?? <",. . : G ? , .. . ?'.v j;?'??::. T...?{???'.,??h??Ka+? tiakd(ry 'r-?"-'.'?' L . '„,.:...W ?I ?• Y ~ ? ? .''':f?h.4? ?'4..L.. , -hiK r.- . ,.'Y? . , REEEI PT;. - RECEIPT ::*k-:?,-,:?;;-r=?• .a:... c..?.Y.__ . . 4 .-. . _ _.. .,,.?.a. ^-:'. '_. . . ' .. if?'•'K;:d'-w,r?,d vj;[ya ?.:;..:.... . ..,:__?.,........ ,. . . _ . . . . : ..._.+., ,.,,.,. .. ,_.. DOES. -LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? _ . ,_..,.<., . ?.:-.._.. . ..... ?.,, ,. , , .. .. : .: _. .... _:... 'YES 'IF YES, THEN A^PERMIT FOR WORK WITHIN PLBLIC ? ?:? - --- ' ROADWAY" MUST BE ISSUED BY THE ENGINEERZNG ? NO DIVISION. LIST.AS A CONDITION. K- . SUBJECT TO THE FOLLOWING LbNDITIONS: ? . ,_... .. . °? . ? ' ? .. . __ . ,>> ;. . 4_ k„ -.. ?.... ?____.. _ ... ... SEWER: TAP ?,. r:,,•,J? '_.ACCOLNT DEPOSIT - SEWER:; 7' j.,?,qd `ACCOONT DEPOSIT..- WATER,.,o`t:-.:•: 'awAC . . ....?"r?ia1.?3?1?•,4. AFPROVED BY: TIT7 E ' . t L ` . ? , ` ? ? ? - r..°d?- _ .'1. ? i ..?.. ' _ ?_ :,J . ?n '?: - _ ._.k. . " . Y r ? ' ' _ • ,].r • t ... ?DXT$: . • . ' . _ ? - ...5 ?`+ ? ' ' } ' 't3? .. _. ?x. ? t ??['M1' . .,. ' ^ - ?:. ' 1 . . r?• , 4v ?^.??? sYi'?_ dS5ilc ?NA' r.? ._ .?. . . .+ - .v+i.? ' . _? ..... . . . . r • . .. ' ?.r f:aa ? .4 CITY OF EAGAN • . ? APPUCATION FOR PERMiT SEWER AND/OR WATER CONNECTION *IOTF': PAY1KF.tdf' OF FEE AT TIIO OF APPI,ICATION DpFS NC7Y CniVSPIRLTtE APPR()VAL OF PII2MLT. . INSPncriorr oF sEWEx Arm/at M= ILzfAr?mONS WIIS. 610T BE SQH03- ULED ON7.'II. PERL'-ffT AAS BEESI APPRCAJID. ' . +? ^ : * . ?. . ' ' ' »iI*1*ii***#***##tR44f!'R***fYrfaF#'!1N#*1 P ease Print . ?1) PROPERTY ADDRESS: I w, .. . ?- LEGAL DESCRIPT20N: . Lot ? B ock Subdivision or Tax Parce ID ) . _.?:'N,:._ ? . ,: ,. ??'r..i;: `:: ??y, . • g E7Q51'ING STRCY.ZL'RE, DATE OF ORIGINAL HIIII.DING PERMiT'ISSL'ANCE: .. . • . . ; °- - - PRESf . ....?. .._ . . .. . ZONING/PROPOSID LS ; tl : . . , , - lMOn Year _ -- '? . . ? , _. , . •?;i""'?in' ; ::. etY,?Jr E: .. .' P-5:'"r ^ r.x:' ,.??t,`.i.:"..... _?:? .. ..: .. ? , ?. . ». _. ?: .? '?' ?. . • .,. .--ni'.'.?:.?..'?,,- - • . ,. . . . ,,. , . . <,»-. „ •_ - p ? a OFFICE R-1 sn= FAMILY ... -t ? - Q =M=m 0 R-2 DCPLEX (ltao Onits) . . ? .. Q INS1I2S.'TIONAt./GOVFRiZ2t?P? . . . [ ;Z . R-3 ?7IOS?SE (7?ee + Units) ? Lfii.ts, ? . i ; . : . p w: R-4?-APARTMEBTP/CAPIDOMINItT9 ( ihii ts) . • ., , .4. 3? • u?:7• For City Use .. _ . ??° Plumbers License: . _ . '• -y- '_ ._ADDRFSS: Active _ . -- - ` ? Ecpired STBTE, ZIP: Not recorded PHONE: MASTER LICE?ISE# t?fa f?tial •4)-= .•. • . . - NAhE: -- --- :.?_---- _ _ --- = - ? .. iADDRESS: CITY.. S'PA'TE. ZIP: _ PHONE: • -- _ . . .5) ? ?r• ri r. • ?• : o • o• - o, -- . ? CONNECTION TO CITY SEWER ? COMBCrION RO CITY WATER Q OTf?It 6) ? ?? v • ? r ? MR PLEASE HOLD APPR0VID PF.EMT F'nR PICK- BY ONE OF ABOVE w.FnSF HYiiL APPROVID PERMIT 1D 1, 2,? 4. ABOVE .., r rcirclA ,,.,A, ? .. ' _ ? ._ . . = ? - ; -. ° :?•.;.r,??-? - _ , . ._ , -;.: . A FOR CITY USE ONLY -: PERMIT # ISSC'ED .,.; _ " ,•?__, . _ ::•:??. ? ? .: ??::r, ,. - ; ' ?' :.? " ;i :?;' , . . . , . :?-: • ? ? ` ` ag ? [72577 4 S z 3 ?? _ - . .: :;: :-:::: . Y; ?Pd w/Bl dg. Permit FEES: M :. ^ . ' . ? ^$?; SEWER : E ) ` PERMIT V ( INCLODE SURCHARG " ?• $ WATER PERMIT -( INCLLDE ? SC?RCHARGE) . ,. .¢?? _ r_?. P.: - ?.?7??.:_!? '? ? ?A ,??:x -.YS.Yai . ?., n ?, ' , ? , «::d-w?1YC :? a ? f ?? T.? ""' ... ? ?. :o- .. ?.. : i EA'ilr.: ???`? ?? ? ? - ... . ? .?. - ?-aY.A?+??G?s?'?ir?2CPw .? .., t?.?'?K??;ri?:?'?r '?i'.'it?A . ?? ? '?. .?r?..::c. .. ' ? . y . ` $'? ? ' ? .$ - ??? ?• '-' ? ? "'WATER METER%COPPERHORN/OCTSIDE READER . .{4l?????inTL;:i? ± T ° ,..?, y` ? ' -WATER Yt, $ ... STOP CINCLUDE CORPORATION ), `-' TAP' ? .?._. ,.?,F.. , . : ... cutr..,n.?..?, - ^ir?' - ?.?. . ?i?j';":yi? '?::.,3.' F:k?ti.?r .S?A?i•:b'?S' ?>tkti??r' y^ °A:A4?:i'???C_ R? ?t ?Ss.9 w. . ??g; .$? . ,_ .:?`+^n._rat . _ $'._?'. _. °??-e?:# . .?:?;?SEWER: TAP _,...>,3 `-t5?.??v ?-sa' ?- drt-•,r _ x. a?+ ':ti;':ib'titw.. :,??.'v,'N". ??z,??30'c.'',C•y?_a'y 'i'-' ?y?A??C':?j:n Y'°p6j'`.P.}=:`? 'n!`.i7.e'?4'?+'?4?Y?? ..rv.??'??? N G"P ??'?:;?i.? n'? 1 _LL'n.•? .:? ?1.??1? '?,??.'tiy +??'.d?:fiPs3 ?. .; .??:jl -'?.?' ^'?fp:'+..? DEPOS?JIT`-, SEWER ???"'1L'e?7 n ?{,:;., 4 Y ? Y? ? t A .? ...ss.Rt , ?i? "Y' S+,S?? P?'??T?? : . ? ?'!'y i ??It?%??y?'` ??T?'??iF {,????..at S. ??•o $ .. " •%'?i?3??" "ACCOUNT DEPOSITi,'-;. WATERw. • f??' y?,? _ •?='?PfSy?].e"^'??Pj, `1`.. .ry .. y+????"'id .;uy7:.' .. '?''Sn„',;1.:?.G'I:.?:'LG,?y?i"a? ?,'?y?y"iC WAC' . - ? . ?''-"`°-`-", ., .:::a,,,%i` :,9??1;?,d ?::?. 3?.:?.`r'-.: ,1.?• , :.i?iw... ^ , .. .. ... - .:!}w•a";4?isyJ n»:;»'i=?-.7`'v`"a'?"f::"? i?rr:? ' S:i.:.?.:=.:.:.....:.?:. _:f%.,?.- ..-.... .... . ?.. • (;,? ???, ? `? i ? ? ` ?? ? - ':y: ?: •; ?;;? ,.? ?? "?;???,? /P . ? i • . ..4?.rt.- i, _ . c$ ._ _--- . •-''. '' $ ?._ ..?; 1 i=:,: ? T?tLNK SdATER `.ASSESSMENT __+e '? ?."y ?_j ? s G?TRO_NIf-.?$EWF$?;A$rS.gISMENT_ , _ . _ _ ?i=• r'.: .?S'e..--f' .j.?..,?v?,.r`?S:i•i . .., . 7.p:.?C. LATERAL??S?:t?1E?'f??TRL'NKSEWER BENEFIT/.TRUNK? WATER? ' ? ??? i'`4 = i T ?_,`, i?t?t?'7;3 c•..:;i?.. ,.?._i..._?,; :'..._?'.., lve ? ° S''.• -=??`?;" ? ? ,,. ' ? • $ ( ;, ` 'ri':--i ? • .? i?.!QjA"3,'R.1.,''REATMENT.-PLANT'. SURCAARGE 1..::? ?rv ??? .NM - _ r .? ??Y?::? il!e?A. it '•,?t?L-•?.f::?N??Yrv-....???? v ? • -'-.s?'hen .. i S . "'.;J,.. ,....:i,2,+:?? .K.. . ? ? ?., r-6:, u? . *w" .r".`_.? . . . , . . ._._ n S.. L??it'fae'.dbL'?'i?i""'..xa,K?"' Za...Fw.+ ? Yk ? x.?.' w?.: .?'" ?.' '.l:"??: ..t_:.: '_ . ???'?':..4?;.1?'..:?,°'?:Y...F-..?.i.i:.i.ir`?«r?-?•'"?,'??T(?i?L?F•'°.i-`., Z, TOTALi'---?+,:--?.?..'...._..,.3,.?_ 5.??-Pi, ., f' _ ? . . tb' . ?r' .: - ? l?':;• `?? u??y??? a I? ? X/S?LF •i%?+?M1'n-.-?? ?,'• ^,wM+?3". 1?.??='' ?f?'I: ? :.a,?iA.r3•' Y!,Y? ?..? f? . "+jC??. ,RECEIPT RECEIPT \.3'? . .?:: .??'". ??r ti55+'A=1`.=/-'.q `• ? ... ? _ _ ?e=R. . ? ' _. • ., ?,:J.n . - ,.. . . , . . . - ??1i.,i.f O}¢U19{p.; . ,. .. ' ...... ,. .. ,. , . -. DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PCBLIC RIGAT OF?WAY? ?. - . . . ' .... iC?? . ' ? _ . . ? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ' - ROADWAY" MUST BE ISSUED BY THE ENGINEERING ? NO DIVISION. LIST.AS A CONDITION. .:: •' " ;"°'. SUBJECT TO THE FOLLOWING CbNDITIONS: ? APPROVED BY: ,- ` TZT7??? DAT$ : -..,Y, - - C I TY O F E G A i? *:CA•Pj•ATTO?, ? t??m ?? y*. APPROVAL OF PERMIIT. APPLICATION FOR PERMIT * . * INSPFX.TION oF SEWIII2 ADID/OR WA'LE[2 * ruarar.r.ATTONS WII,L NOT SE SQIED- SEWER AND/OR WATER CONNECTION +?r mID UNTIL PER'-UT BAS BEEN APPxovED. ... __________....____ P ease Print ___________________ 1) PROPERTY ADDRESS: '- LEGAL DESCRIPTION: !1-22 Z TW)MAS I A-Lt-?lL 2-, . Lot Block Subdivision or Tax Parce ID ) IF EXISTING SIRLY.ZT.IRE. DATE OE' ORIGINAL BC'ILDING PERMIT ISSL'AD]]CE: . ~' ! FRESENf ZONING/PROPOSID LSE: (Mbn Year) Q CObIIv1ERC2AL/RETAIL/OFFICE ? R-1 SINGLE FAMILY r7 IDIDC'STRIAL 2 DLPLEX ('P.?o C?nits ) INSTITLTIONAL/GOVERI?7p ?R-3 1DWNHOUSE (Three + Units) ( Onits) . ? R-4 APARTmEap/CODIDOMINILTM ( Units) 2) ? r7PME; New Horizan Homes • ADDRESS: 13805 86th Ave. N0. •- CITY, STATE, 2IP: minneapolis, MN 55440 PHONE: 420-3900 3) For C1ty Ose . NAME: Thoppson Plumbing Pltimbers License: ADDRESS: 12201 Minnetonka Blvd ActiVe i CITY. STATE, ZIP: Minnetonka; MN 55343 PHONE: 9s3-1521 MASTER LICE.7SE# 1763M ? FScpired Not zeorded Staff Init-^al 4) ?.• • ? i?• NAME; Same as if2 ADDRESS: CITY, STATE, ZIP: PHONE: • .5) n r ? r: • ?• : a • a• • a? ? CONNECI'ION TO CITy SEWII2 ep CpNNECTION TO CZTY WATER pR'[MR_ ?p PLEASE rL APPROVF9 PERMIT TO 1, 2, ABOVE ? c ? ' .? ?ClrC P nnol 6) °.`? [l PLEASE HOLD APPROVID PERMIT EY)R PICK-UP BY ONE OF ABOVE --'- - FOR CITY USE ONLY PERMIT # ISSUED 7W 7 .sz3l?r4 Pd w/Bldg. Permit • $ FEES: SEWER PERMIT (INCLLDE SURCHARGE) $ $ /O• S U WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLDDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ $ ,/ CCOC?NT DEPOSIT - WATER v $ C7 6 $ WAC $ D $ SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ ?aZ, $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ?..2 $ 57' G d TOTAL . C'z?s'Z ?2- i72- RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RZGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC ? ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWI[VG 60NDITIONS: APPROVED BY: ,Li A,?-u?-IL7 TITLE: DATE : ?A -31A, 4? /5.5o • lj ?? ?? ? 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. )< Date bn- Site Street Address h?rP5 ,a_ ? ?- Unit # Property Owner Telephone # ((,51 ) 160 -7g'3of? Contractor ke!ec.l?-,un)? Telephone # (? 5 /) ?5 -/3 `/d Address?? 9b l`Yi?, C12d, City State_ID Lt Zip _5,2 The Applicant is: _ Owner YContractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 ? Water Softener Water Heater L.? replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _re6uild $ 30.00 State Surcharge $ .50 Total $ ?? 60 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Name1l p? E L? 1? u u L? JUN 14 2004 ? y? ,?..140 ApplicanYs ignature 7 ? (,e 3?0 v ? 2007 RESIDENTIAL MECHANICAL rExNnT ArrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 Please complete for: single famity dwellings & wwnhomeslcondos when perm¢s are mquired for each umt "'T,66 Da[e i Ol) Site Address 1,`7 S--j G?-Q-??6Y\ ?"'? Unit # ?.ooc:ry;Dwne. A r VCtiA'fl.L-?'eaepaonel-fw j ?SPt')S.1 CQ r ?C---- :a'_ec.,?.,.r;::? ?1?3 1 fV"-" _? J! r ?.1?71?`'-- -._- ? SYate Zin ?J ?J ldL Telephone # ( b 5? ) 2'd-9' ? -- I`'?-------- - scant ? - -- -- : . ? ??a?: ?c•?r.ue :??:?a,?. ?uc :?;?uir.•:.?s, iuc:v"!:. :c.. ,;: ee;_apres v _naxre-.r-me nec.ianicai :c;irs i ? . . .:te-:i -.. ., :•.is-.i,y,1w-:.iaq,:-n1 )0 V urnace _Aaditionai j?,? ?epiac?mern _ •?• i _ air exchanger ? air conditioner _ heat pump other r? 2U?5 I, State Surcharge L5 lL ? $ .50 JUL 0 2 2001 $ msc Totei f hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that [he work will be in conformance with [he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, tha[ [he work will be in accordance with the approved plan in the caze of work which requires a review and approval of lans. ?y \ Applicant's Printed Name Applicant's Signature /S$,~ ~C.~.~-~ ~o, ~ 3b'i 10/25/2012 THU 13:59 FAX 14001/003 Use BLUE or BLACK Ink I For Office Use 'T' j Permit -77 - j City of Evan o ~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 j Dale Received: j Phone: (6S1) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ?)S 1. ~~l r I1~1 v. Unit f1: f 1 n .9_..:,. Name: ~v 6 L Phone: Address /City/ Zip: 25 ckmsbyl J)V- unif cm afl 4/v G;ap Applicant is: Owner Contractor ~~fi,, - - Description of work: o _ _ Construction Coost:, . 1 Mufti-Family Buuiild~ijnl Itg:: (Yes / No Company: r W Contact: 1 v t s w - Address: 20~u ft'm ofl to-Y `a A q Co: ' Ul.CJ6-s Slate: _Zip* .C4 Phone: ~I ~_7U~ 1 l l~ License "'7 .O Lead Certificate ly i 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: Phono: Sewer & Water Contractor: Phone: Em. *VAN NA I CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damago. Call 48 hours bofore you intend to dig to receive locales of underground utilities, www,gopherstateonecall.oro I hereby acknowledge that this Information Is complete and accurate; that the work will be in cornforrnance 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 C de must be completed within 180 days o armlt lssuan e - X x Applicant's Printed Nam Applicanfs Signature UV iy cmf Page 1 0l3 Use BLUE or BLACK Ink I For Office Use ~q of Eap I j Permit _AVOIq 4 j Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: JA, 13 _Va Phone: (651) 675-5675 i I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: Site Address: L6154) $ $ 0192, AC_6m~5- un~ Name:I AIrf-2 Z__~ tl T&WL/S_-- Phone: Resident Owner Address / City i Zip: - Applicant is: Owner - Contractor Type of W*rk Description of work: Remo e-r1 - - - Construction Cost: 80 Multi-Family Building: (Yes / No Company: rT Contact: '3:~_L~Gq EMI) Contractor Address: O I"I ti eh~~?k-----city: 1~/_/?_n,°Q/i-S State: Zip: Syd ~ Phone: 612 i-~~ ~ License 2e - 19106 2- Lead Certificate #:_&A - 2 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: flans 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 Cali at (651) 434.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. MM.gonhen tateonecali.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 Cade must be completed within 180 days of permit issuance. X. fi 2a.bP_ 46~n rd! en x Applicants Printed Name 1 Applica s Signature Page 1 of 3 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154086 Date Issued:02/19/2019 Permit Category:ePermit Site Address: 1585 Clemson Dr A Lot:50 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-500 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Robert F Larson 1585 Clemson Dr Eagan MN 55122 (651) 454-8391 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature