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1588 Clemson Dr r For Office Use% ' RE e °� E. Permit#: o E AG N APR 2 3 2018 Permit Fee: C 0 3`V( Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsacitvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 03f/ti Site Address: / f (444-1-e7-- .6 Unit#: Name: Al r. t/ ol. ze.4- // r+''Pctr/w•e°K, / Jrx.=lsfJ"e.Rtione: Resident/ Owner Address/City/Zip: Applicant is: Owner IVContractor 77 Description of work: ,1 411/4eA Oi tdtr/ta '«- TYPe of Work let,44-teL /No } Construction Cost:�7 l�G7� Multi-Family Building:(Yes ) Company: /4 r CFl1% ? TT ' / .� '�= Contact: iidGLe!. Contractor Address: /57/? City: 17 4.10 1 c- State:PON/Zip: i7,1 tf Phone: 57' W �tJ7�� Email: ty71;; 577eitc:-err (C7 gr TZ/, License#: �L 22- V1 2- Lead Certificate#: J If the project is exempt from lead certification, please explain why: //trg-li ivew$ 711 ` /971 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: Fire Suppression 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 they are trade secrets:,. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq 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 wor is not to start without a permit; that the work will be in accordance with the approve plan in the case of work which requires a review and approv o plans. x X/! - it . x Applicant's Printed an3e Applicant's Signature pa NOT WRITE BELOW THIS LINEicir.-� �► e 1yz?- SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi) Multi p0 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration — Fire Repair _ Windows _ Demolish Foundation 'e Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation $ /‘TIV .1;?.— Occupancy .1-12 e 3 MCES System Plan Review Code Edition An 24:3/5— SAC Units (25%_ 100% ik) Zoning PD City Water Census Code Stories Booster Pump #of Units Square Feet /D 0 PRV #of Buildings Length /12 ' Fire Suppression Required Type of Construction v 5 Width /O ' REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) tkl Final I No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick,EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill—Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7a� 12;X-110," , Building Inspector RESIDENTIAL FEES (f [ /I g XX• 5 i: 0 , /t<26,7/w.?5 Base Fee Surcharge /3 i�- 4 r9. /74% Plan Review (� MCES SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 7 q,q1 006 ? Site Address Lot 'J ??S -Block m Name _ ?a Address c City _ Name 3 Addre 0 Ciry ; PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) / OF FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE !?l a 3 r? ? BLDG. TYPE Res. Mult Comm. Other WORK DESCRIPTION New Add-o? Repalr FIXTURES ? Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 4? Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlet,a - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: R, `, GRAND TOTAL s 'C ? ? q - vs-- T-4 S . /,l, ? • PERMIT # ` _ PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 RECEIPT # ? 7 y DATE: ?f 1-??'? CONTRACT PRICE PHONE: 454-8100 Site Address - BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New m Name Mult Add-on S Address • Comm. Repair . c City Phone ? Other NO. FIX TURES TOTAL City Phone FEES COMM/IND FEE - 1% OF CONTFaACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF PERMITTEE Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• FOR: CITY OF EAGAN CONTRACT PRICE Site Address - '. Lot Block PERMIT # -LL PLUMBING PERMR RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ounur• e"_ainn m Name m Address c Ciry Phone Name ? .., 3 ?•Address ?1 ? - p City Phone ? FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IMD FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD a.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) I SIGNATURE OF PERMITTEE FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ' Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• ? ' • ' . CI'T'Y OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 aUILD1NG rERMIT PHONE: 454-8100 Receipt # T? " ""a fw Est. Volue Date ? 19 Site Address Erect ? Occupen cy Lot ' Block Sec/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? Length W Name Demolish ? pepth ? Address ? Int Impr. ? Sq. Ft. Cit y Phone Install ? Name Approvals Ftes u'j Address Assessment Permit 0 City Phone Water 8 Sew. Surcharge O ? oc Police Plan Review , ;j ?i Name Firo SAC ;a ?? Addresa Eny. Water Conn Z. City Phone Planner Water Meter Council Road Unit I Fxreby acknowiedfle thot I have reod this opplicarion ond state tfiot g?dg. Off. ?: / ? Tr. PL the inlormotion is torrect and ogree to comply with oll opplicuble Stote of Minnesota Stotutes and City of Eogon Ordinonces. A? Park$ Sipnoture of Pertniftee Var. Date Copies h Bullding Permit is issued to: tal on the e xpress condition ihot all work sholl be done in cccordonte with oll applicable State of Minnesoto Statutes ond Ciry o4 BuildinQ Officfal Eoflon Orairwnces. Pwmit No. Pwmh Holder Dete Tslsphons i? Plumbiny ?i H.VA.C. Electric `j l 1? •1j • ??? ? ? ? . ^? ? ? ? "U Softoar Inspoction Date Insp. Other Footlnys 1 Footinga 11 Foundation Framing Roofing Rouyh Plby. Rough Htp. Insul. • ? ? ` jPlbg '??/F,6 W r 8 Dacribe Loeation: Sewer Pr. Disp. . . w w..-- ` PERMIT # ? ? RECEIPT # DATE A-40'44CL ,?,?..?..•.?. _ J y?0 CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm 3. Total Bid Price Lot '-? Block Sec 6. Contractor (Name) 7. Contractor Phone # _ RESIDENTIAL HEATING - RESIDENTIAL COOLING - MODIFICATIONS/ALTERAl Inst 2. New ?f Add Job Address FEE :? s SD s/ c ?U TOTAL Alter Repair i . , , .: •. _.: . (Streeq (CitY) (ZiP) 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 IONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR CONQ. IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRiG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for ? Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN • ? ?- . t . . ... 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# To be used for Est. Value Qate Site Address OFFICE USE ONLY Lot 81oCk SeclSub. • On Site Sewege _ Occupancy MWCC System _ Zoning Parcel No. On Site Well _ Type of Const City Water (ACtu81) a Name _ (Allowable) W * of Stories ; Address Length ° City Phone Depth F Total S . . , p Name Footprint S.F. 0 ? Address APPROVALS FEES ? City Phone Assessments _ - • ? Pennit ? cc Water/Sewer _ Surcharge F W Name Police _ Plan Review z _- Address Fire _ SAC, City U Engr. _ SAC, MWCC Z ? W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit thattheinformetionisconectandagreetocomplywithallappliCable APC _ TreatmentPl State oi Minnesota Statutes and Ciry of Eagen Ordinances. Variance _ Perks Coples Signature of Permittee TOTAL ? A Building Permit is issued ta on the express condition that all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances. Building Officlal Permit No. Pormit Molder Dete Telephone ft Plumbing H.V.A.C. E lect ric Softener Inspsction Dats Insp. Commenb Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. PERMIT # _ PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 RECEIPT # _ DATE: " - // - BLDG. TYPE WORK DESCRIPTION .va a.wwn vwi.auv ? Res. New ? m Name Mult Add-on ? Address Comm. Repair c City Phone ' Other NO. FIXTURES Ti p City Phone ? lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 194, OF CONTRACT FEE Urinal/Bidet -$3.00 Laundry Tray -$3.00 MINIMJM - RESIDENTIAL FEE _$10.00 Floor Orains -$1.5D MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50 STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 , . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: STATE S/C: ? FOR: GITY OF EAGAN GRAND TOTAL• ' . " , BUILDING PERMiT CITY OF EAGAN ,"? 11036 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Te be wwd Ms Est. Value t?ote ? ,? 19 Site Addresa Erect Q Occupancy > Lot ' Block Sec/Sub. ? Remodel ? Zoning Parcel No. Repair ? Type of Const. . Addition ? No. Stories W Name ` Move li h ? ? Length Ad Demo s Depth ? dress Int. Impr. ? Sq. Ft. City Phone install O =,F Nane u? Addre f cirv Faes Address Phone y 1 Assessmenf _ Water 8 Sew. Police Fire Enp. Plonner Council Permit 11 ul. E+ V 5uroharge 3 0. 5 0 i Plan Revlew i5 & • 0 d? r•?`?.Qd' SAC Water Conn. 500 • 00 water Meter y- 3.00 Road Unit '' d • 00 I hereby acknowledge thut I have reod this opplication ond stofe that gld9, pff. Tr. PI. L i ?•?' ? the informoFion is torrect ond cgree to comply with oll opplicable AP? ??s Stota of Minnesota Stnfutes ond City of Eagon Ordinonces. Var. Date Copies Sipnofure of Permittee Total h Building Permit Is issued ta on the ezprcss candition that all work shofl be done in accordonce wifh all opplioable State of Minnesoto Statutes and City of Ecqan Ordinances. Buildinq Offiaal ? ` PKmit No. Pwmit HoWer Deta Teiephone # Plumbiny p (p a tI.V.A.C. 7S?- Eketric Softemr Intpsction Date Insp. Other Footlnys I _ _W Footlngs II Foundatlon Framiny ,N Rootfd9 k? ? Rough Plbg. .? -? Q? ? j ? •? ! Rough Htg. Insul. Firoplacs - (, . Final Htg. Final Plby. ` Flnal `?/o ?j C*rt/Occ. Water Dew?ibe Loestion: Weli Sewer Pr. Disp. i PERMIT # / RECEIPT DATE ? .?n•?+.?..4s CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.SO MINIMUM COMMERCIAL FEE • $20.00 + $.50 1. Bldg. Type: Res wll? Comm Inst 2. Newk*"' Add FEE ? 7, Sv s/c TOTAL l ?. UU Alter Repair 3. Total d Price 4. Job Address 11) Xd' -Z1 L.C.Gsr??-rr? '?G2? n ? Lot Block ? Sec ? - °! " 5. Owner o ' 6. Contractor ?_• ?_ .,, ... ..__ . . ? • , ? ._..._ ...? i,?. (Neme) ? _. (SlreeU _ . _ o-I (??b1 C1?P1 7. Contractor Phone #_ .? RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. EaChiadditional 50,000 BTU's or fraction -$6.00 - RESIDENTIAL COOLING - Ui -24,000 BTU's -$12.00. Each additional 6,000 BTU's or iraction -$fi.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG. J? RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. r_ Signed: tor Approved Inspections: Date Rough Insp. Date Final Insp. a ? k L) Z QUILDING PERMIT nIn I i037 Receipt # Te M wed fe. Est. Velue ''• .1 ^ r , Dote 19 Site Addreas ' ? ?? ?' ' ' ' • kti Erect ? Occupancy ?. Lot ;.._; Block ? Sec/Sub. Remodel ? `? Zoning Parcel No. Repair Type of Const. Addition ? No. Stories ? W Name '" ?'.N _ ?• ? ?. ;; ' Move ? li h ? D Length • . emo s Depth ; Address 7 I ? t I • , b mpr. n Sq. Ft. City Phone Install Cl of Approvols F*es Nertle tj, n i ;'- Addreu City _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121 PHONE: 454-8100 Phone Name " City Phone Assessment Water 8 Sew. Police Firs Enp. Plonner Council Permit ^, Surcharge Pian Review 1?. SAC 3 1`'. Water Conn. 500 (= C I Water Meter Road Unit 1 hereby acknowledge thot 1 have read this oppiicaNon ond sfate that Bldg. Off. 2?<i Tr. PI. the information is Correcf ond ogree to comply with all opplicoble APC Stah of Minnesoto Stotutes ond City of Ea4an Ordinonces. Parks q I 5ipnaturo of Permittea Var. Date Copies , h Bullding Permit is issued to: I"' •?' 7 t on the express condiNon thotr`U all work sholl be dons in attordance with oll applicoble Stote of Minnesoto Sratutes and City of Eaflon Ordinonces. Bulldirq Officicl Parmk No. Pormk Holdw Daft Telephone ???ing AvA.c. (,, 7 5g • ?? / l ENctric Sokwwr Irspeetion Dsta Intp. Other Footlnps I FooNngsll Foundetlon Frsminy Roofinp ? • ? Rough Plby. Rouph Hty. Insul. ? Firoplacs Final Htg. Final Plby. Ffnal Csrt/Occ. W?•r D?seribe Location: 1A{NI Sevrer Pr. Disp. ? PERMIT CITY OF EAGAN FEE sr?S. SU MECHANICAL PERMIT RECEIPT # / 454-8100 S/? . S L MINIMUM RESIDENTIAL FEE - $70.00 + $.50 TOTAL DATE `??-•? ?a MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ?? Comm Inst 2. New ? Add Alter Repair 3. Total Bi Price 4. ob Address Lot ? Block f Sec ?7r2 5. Owner 6. Contractor C?.,. ; -.. ,._ - , . .. _ . _._ . _ .. . , (Name) (Street) (Clty) {2ip) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTl1's -$24.00. Each additional 50,000 BTU's or fraction -$6.OU RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPIMG PROCESSED PIPING AIR HANO. EQUIP. RtFRIG. _V RES. GA5 PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for -? •?!"LGrEi Approved Inspections: Date Rough Insp. Date Final Insp. Tc•w i ' ClTY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDfNG PERMIT Receipt # Te 6e YMd for Est. Value ' Date 19 Site Address Erect ? Occupancy _ Lot Block Sec/Sub. , Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories Move ? ? Name Length • DemOlish ? Z Address Depth ? Int Impc El City ` Phone ? Sq. Ft. Install Name APprovak O Fees u Address Assessmenf Permit ?- City Phone Water b? $ew. SurChBrge -? ?% ? Police Plan Review ?W Name Firo SAC ?? Address Enp. Water Conn t-' • ? W City Phone Vlonner Water Meter Fi _? . Council Road Unit - ? I heroby otknowledpe thot I how reod this opplication ond srote that 9 Bld Off. ? Tr. PI. fhe information is rnrrect ond cgree to comply with all opplicoble APC Srote of Minnesota Stotutes and City of Eagan Ordinonces. Pgrks Var. Date Sipnoturc of Permittea Copies l t A Bullding Parmif Is issued to: o?? the ex prcss condition thal oll work sholl be dor?a in occordance with all opplicobla Stote of Minnesofo Stotutes ond City of Eoqon Ordinonces. Buildirg Offlcinl - -- - Permit No. Pwnk Holdsr Date Talephone alt Wumbinp 5 7)? ? 1?,--.? r ?..? '/ 'J ?-,?•- ? H.VA.C. Ehmtric . 1 ? lu X4'? Soiewor Infpadion Date Insp. Other Footings 1 Footings 11 Foundstlon 10J? - Frsming to 8 Rooting d(v Rough Plbg. Rouyh Htq. Insul. A-- ' • Flnplace , Final Hty. Final Plbg. Flnal y io ?rE J'jw GrVOcc. Watsr Dftcribe Location: wal Swrer PF. Dlap. PERM?T # • CITY OF EAGAN FEE ?% ISD MECHANICAL PERMIT SU RECEIPT 454-8100 S/C MINIMUM RESIDENTIAL FEE - $70.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst?_ 2. New V' Add Alter Repair 3. TOtal Bid PriCe 4. JOb Addres3 ?'5 _2 Lot Block r Sec??" ?5. Owner 6. Contractor (Name) (5treet) (Ciry) (21p) 7. Contractor Phone # f • `" RESIDENTIAL HEATING - 01-100,000 BTU's -$24.U0. Each additional 50,000 BTU's or fraction - $6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee &-' HEATING VENTILATING HOT WATER STEAM ? AIR COMD. ---AIF PIPING PROCESSED PIPING AIR HANO. EQUIP. RtFRIG. 1-" RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. c:, PLUM81NC4 PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 BLDG. TYPE m Name ? Address c City - City FEES COMM/IND FEE - 146 OF CONTRACT FEE MINIMJM - 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) ?? << I PERMITTEE FOR: CITY OF EAGAN Res. Mult Comm. Other PERMIT # RECEIPT # ? Z -7 `Z DATE: q ` / / " ? WORK DESCRIPTION New Add-on Repair NO. FIXTURES_ TOTAL - Vltater etoaet - $3.U0 -_- - _- -- ?-- - Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Qrains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 i Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• Rapipt ? PLUMBING CITY OF I t No. FN s/c Tot ? 1. Date 2. Installation Cost 3. Job Address .. ?? Lot Blk. Tract 4. Owner 5. Contractor Phone ? ? : i ? 8. 14ddrBiE 7. City State y? Zip 8. Building Type: Residential C7 Commercial ? Institutionsl O 9. Work Description: New ? Add ? Alter ? Repair O 10. Describe 1 11. No. i' Fixtures Water Closet No. Fixtures Ce l/D i field Bath tuba upoo ra n Se ti nk T l.avatory p c a Sohner Shower W ll ' Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Orinkiny Ftn. ? Slop Sink Gas Piping Outlets 12. I hereby certify thet the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signsd : fw Rouph • Final Inspectiarn: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Permit No. Fw ? F1d in numbered wacar S/C TyPe ar Prini lepibJy .. - ' ToL 1, Date - ? 2. Installatlon Cost j 1 3. dob Address --' ! J'' Lot •' 81k. Tract ? 4. Owner _ ; 5. Contractor Phone ; 6. Address 7. City State 2ip 8. 8uilding Type: Residential Q Commercial O Institutionsl 0 9. Work Description: New P Add ? Alter O Repair O 10. Oescrilte 11. No. Fixtures Water Closet No. Fixture pl/D i field Ce Bath tuba sspo ra n Se ti 7 nk Lavatory p c a Svftner Shower W l l ' Kitchen Sink e r Urinal/Bidet Laundry Tray Other ? Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets E 12. 1 hereby certify that the above information is true and carrect, and I agree to comply with all ordinances and codes governiny thia type ot work. Signsd : ' for Rauph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rftqipt i • '4 . PLUMBING PERMIT CITY OF EAGAN Yermit No. . ? FN _.! FiJI in numbared;poces S/C TyPQ or Arinr /epibJy Tot 1. Date '2. Installation Cost 3. Job Addreu ?• ' Lot i Blk. . Tract ? 4. Owner 5. Contractor 6. 7. City: +`• 4 i 8. Building Type: Residential 9. Work Description: New 10. Describe 11. State Commercial D Add 0 Alter O Phone Zip ' Institutional ? Repair ? No. Fixtures Water Closet No. Fix ures l i f C O Bath tuba euppp n ield / ra S i k T Lavatory ept c an $ ft Shower o ner W l l Kitchen Sink e Urinal/Bidet h O Laundry Tray er t Floor Orains Drinking Ftn. Slop Sink Gis Piping Outlets 12. I hereby Certify that the above information is true and correCt, snd 1 agree to comply with all ordinances and codes governing this type of work. Siyned : for Fiouph Final Inapections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?--- Reaipt PLUMBING PERMIT CITY OF EAGAN Penmit No. fiJl in num0ered tpscet S/C TYpe or Print /egiWy Tot ? 1. Date 2. Installation Cost 3. Job Address Lot Bik. ! Tract -,,,;?? , 4. Owner ? 6. Contractor Phone 6. Addre:s i 7. City Stete Zip ' • ' i 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add 0 Alter ? Repair O 10. Describe 11. No, Fixtures Water Closet No. Fixtu?e Ce i fi l/D ld Bath tubs sspoo ra n e Se ti T k Lavetory p c an Soft e Shower r n Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outlsts 12. I hereby cartify that the above information is true and carrect, and I agrae to oomply with all ordinances and codes governing this type of work. Signed' for Rouph Final Inspections: Date Insp. Date tnsp. This is your permit when numbend and approved. Approvad CITY OF EAGAN 4644100 GEO. SEDGWIGK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDRESS ? ?? •- L Ir%?1?S;.il') ?-?i CITY- OCCUPANT- _= tt??; ? Zuw OWNER HEAT LOSS DATE HTG. INST. -? _ SOLD BY BY _ ?- Electrical Work By k51.j ( L 45 17l Gas Line By TYPE OF HEAT GA_ FA -L- HW_ STEAM SPACE HTR. UNIT GAS DESIGN MAKE MAKE OF BURNER Model f .? ? G Model Serial Max. BTU Rating INPUT % MAKE OF FURNACE -L CONTROLS . ?; THERMOSTAT- Heat Plug Valve _ Limit Limit Setting Fan Setting lbU Pilot Type Pilot Make ?<<r Pilot Model '-I ?f [ ? •: ! L. Pilot Timin9 L.W. Cut Off Pressure Percent COZ Input CFH Percent O ? Stack Temp- - ? 2 Percent CO Vent Size _ `-' 1? ? KiNQ OF LINER ? 6;, Smu - NONE Draft Hood RegulaQr ?-l f Filters Size Number / Chimney Location Inside-- ` -?- Outside Chimney Construction f 1[1 ? ; /?? Smoke Bom6 Wiring ? Draft Test Tag Door Pressure ? - lighting Inst. Date Tested ?- Company Testing - ? Name of Tester Form 235 , . GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD .-ADDRESS GITY? OCCUPANT 2, /?- OWNER HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By INSTALLED BY Gas Line By _ TYPE OF HEAT GA_, FA? HW_STEAM SPACE HTR. UNIT GAS DESIGN ? -MIAKE C.RAAKE QF BURNER Modsi 10 • J Model ? Serial Max. BTU Rating -? INPUT MAKE OF FURNACEZ??N -1 -, ,, ,CONTROLS I THERMOSTAT ? Heat Plug Valve Limit Limit Setting Fan Setting Pilot Type _lC' C . Pilot Make u??? iu r Pilot Model cf yC?' Pilot Timing L.W. Cut Off --- .? L) > ?J Pressure t Percent CO 2 - Input CFH _ T Percent O2 Stack Temp. ' - Percent CO Model - /-b Vent Size KIND OF LINER SI2E NONE Draft Hood egulator Filters Size x Number Chimney Locatiort lnside ? Optside Chimney Construction ( /a ., : /?, Smoke Bomb ? Wiring Draft Test Tag Door Pressure ? Lighting Inst. Date Tested <<?>- ? - - , Company Testing ?'- Name of Tester a- P 0/t 3,_J6GCJ Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD ADDR ESS f > 9d C-lP +n `?Jn i CITY OCCUPANT rv' ej, 1!•f OWNER ? HEAT LOSS DATE HTG. INST. SDLD BY L-W INSTALLED BY Electrical Work By Pi-,4' + Gas Line By TYPE OF HEAT GA_ FA 'X( HUU_ STEAM SPACE HTR. UNIT GAS DESIGN 0AKE r MAKE OF BURNER Model Model Serial_ I 1?? r? ?-1 5? 7 Max. BTU Rating INPUT vJUU MAKE OF FURNACE Madel THERMOSTAT Valve Limit limit Setting Fan Setting Pilot Type Pilot A4ake Pilot Model Pilot Timing L.W. Cut Off CONTROLS Heat Plug E,4 V) Y? /y V ?V t r a: r' Pa rv i a v S,v S?ci .v Vent Size + K) KIND OF LINER - 441 ?raft Hood egula,? ? Filters Size Nur?r Chimney Location Inside Outside. Chimney Construction Pressure Percent C02 1 Input CFH Percent 02 2 Stack Temp. ?? 31`L r Percent CO n/ ,6 6?l L Smoke Bomb ? Wiring Draft r Test Tag j Door Pressure - Lighting Inst. Date Tested Company Testing ?' ? -, - •,.f ,? _G ; , < Name of Tester Form 235 .^ GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD"`°? ? ., ? ? ADDRESS CITY ?CQ d /?J OCCUPANT_ OWNER , HEAT LOSS DATE HTG. INST. r. ' SOLD BY INSTALLED BY_ Electrical Work By Gas Line B -H Y TYPE OF HEAT GA_ FA--.Z- HW_ STEAM SiUCE HTR. UNIT GAS DESIGN MAKE ? ? • `! ? I"'-' ? MAKE OF BURNER ~ Model ? ?•? L! C??c c.c,C, Model Serial C) S ? ? ? 29 ? Max. BTU Rating INPUT MAKE OF FURNACE ' 11A-J-1 THERMOST Valve Limit Limit Settinc Fan Setting _ Pilot Type _ Pilot 11Aake _ Pilot Model _ INTROLS _ ' g.? Heat Plug Vent Size t?? `/" Pilot Timing _ !' ?v ?'} . {u f r?-`?--?"'------ L.W. Cut Off Pressure 0 ?G Percent COZ ? Input CFH L Percent 02 Stack Temp. Percent CO KIND OF LINER -A%Sf'LE NONE Draft Hood Regulator Filters Size mber / Chimney Location Inside ^ Outside Chimney Construction ? • ? ? `. `% ??'?? Smoke - Bomb ~ Wiring Draft Test Tag Door Prassure Lighting Inst.. Date Tested Company Testing " ! Name of Tester ? e y? ? ?i?[- ''- CITY OF EAGAN Addition Thoifias owner Ldit3ori 1.ot MR 15 ?elk S / Parcel #10 street 1588 Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8 0 2 5-5-83 STREET RESTOR. GRADING SAN SEW TRUNK 19? *SEWER I.ATERAI 2- 9 .61 -7-52 s 15.05 A032172 5-5- WATERMAIN * WATER LATERAL 1981 ' WATER AREA 136 51 9730 5 4.6 2 5-5-83 STORM SEW TRK ? 412-37 249.91 A0121 2 --8 ? STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC ? PARK CITY OF EAGAN ?,Remarks "?5'?l! y60 D/ Addition ?o?as Lake ue{gtit7/ ?djtinn Lot dg 4?4 eik Parcel 4t10 3-0 OR awner st,eet 1588 B Clemson Drive State Eagan, MN R5122 Improvement Oate Amount Annual Years Payment Receipt Date STREET SURF. ? 279 71 5594 5 111.8 A0121 •2 - -83 STREET RESTOR, GRADING SAN SEW TRUNK 19 73 *SEWERLATERAL 198 37,61 7.52 1.0 A0121 2 -5-0 WATERMAIN * WATER LATERAL 198 WATER AREA 4.61 A03.21 2 5-5 3 STORM SEW TRK 249•91 A012172 5-5 3 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 1035-11038 5AC 25.00 PARK ? CITY OF EAGAN Additign Momas Owner idition Lot s4q slk ?Z Parcel #10 Street 1590 Clemson Drive State Eagan, M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 94 5 1. S A012112 --8 STREET RESTOR. GRADING SAN SEW TRUNK 57 3 a4p(, *SEWERLATERAL 19$1 37.61 7.52 $ 1.0 A012112 5-5-8 WATERMAIN * WATERLATERAL 19H1 WATER AREA 13651 27-40 5 4.6 2 5-5-83 STORM SEW TRK 249.91 A=1 2 --8 , * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, n n RUILDING PER. SAC PARK i ? CITY OF EAGAN Remarks T3gS/ -00.7,* 0 / 14 Addition !Moipas Lake 11P-j ght?G,. A,Idi tin*? Lot t1/2 sik 9 f Parcel #10 Owner st,?t 1590 B Clemson Drive s:ete EaBan, !T 55122 Improvement e A ount Annual Years Payment Receipt Oete STREET SURF. 111.89 AM? 2 5-r?_a3 STREET RESTOR. ' GRADING ; SAN SEW TRUNK * SEWER LA TERAI. 752. I.0 A0121 2 rj-5-83 WATERMAIN * WATER LATERAL 1981 WATER AREA 4.61 A0121 2 --8 STORM SEW TRK 249.91 AM23-72 5-5-83 +t STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500.00 n n BUILOING PER. SAC PAR K CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNES `?5/? {%L DATE 19 Reciiveo FR9M AMOUNT ? a, ooLLwr+s ?oo E]CASH CHECK w ? tAg??,C? FUND CODE ?- aMOUNT C= / ?s ? CITY OF EAGAN 3830 Pfiat K nob Rosd P. 0. Box 21199 Es*an, MN 551 Zonirp: OwrMr: Addliess: Slh /lddnlfr l ' Qs, P1ureber: Mew No..? ? WATPR SERVICE PERW 2?'1? ?t?? PERMIT NO.: ,r DATE: .? N? of Units: ?p 51u: ' R v:`'•• - Acoourvt Deposit: r_ Raode No.; D? N( 56 ? 9 Psrmit Fee: 10•p 1 Nne h aamply vrNM tlr Cihr of Empw 5urcharQe: • 50pd ? orlieewa.. ? Mtac. Chorpss: 132.00pd Tl' Total: 63.?•??!j,?l -„Yr?i By Dote Poid: Dots of insp.: (nsp.: J Thank You -B . N_56475 YVhita-Payers CopY Yellow-Posting CoPY Pink-File CopY Io o00*1y wi16 tiw CITY OF EAGAN -y ;?3?ATER SERWiEE P1RMIT 3830 Pil?it Knob Rosd J`? ,.B P. J. BoK 2119ti PERMIT NO.: Eagan, MI, 551 Z,1 OATE: Zonirq: _ ;__1 No. of Units: ,. ?ea fior zar. ?*- ff1t 111; 1.1+ Addresx toWATER SERVICE PERMR PERMIT NO.: ? 8 • DATE: ' N., Mi 1.,1•.• of Insp.: CITY OF EAGAN SEWER SERVICE PERMIT ? 3830 Pilot Knob Road P. O. Box ;0199 PERMIT NO.: Eagan, MN 55121 DATE: Zonlnp: No. of Unifs: -•?,:; ?:t Owner: Addrew: ?.. S Addross: ' Plumb?sr ` 1 N? N?ew1lr wili liw Cihr of io?¦ Connsctlon Charpe: ;..;? n ?,__.r-? Of+?Mllp?. ACOOllflf Dl?t2 ?1R1?t FN: SUfChO?pe: gy Mttc. Choroex : Dote of Ir?sp.: Total: i 1l.,,s_, DoN Pald: r No.: • !o onoM. r9?- ? . 0t)?-.• meter Torol : Dote Pafd: of Intp.: i I??p.: OF EAGAN SEyNER SERVICE PERMIT Pilot Knob Rosd Box 21193 PERMIT NO.: i, MN 55121 DATE: o: 93 No. of units: ?:-?1ex » Nev :lorizo;i /lddi qrw M?ow?plpr wiN !M G1p of 4?• of insp.: v 1li. ? d : 1D.wpa coount pos( _?r / /? ` .? 6 ?n Pertnff Fee: ' ' ? ? ??1?? wNi? Iy Ckp ?# ??? Su?chorye: Mist. CFa 137.01W _s ConrNCtion ChwrQe: - 4 ? " • ?O?d a w , , ?-T-- ACGOU/1t DEposif: ParRln FN: SYICh01ge: _ Misc. Chorom Totol: Dob Pald: _ I OF EAGAN Pflot Knob Road Box 21199 %,.MN 55121 VI v 7 vr G?vr+.. . 3830 Pilot Knob Rosd P. O. Box 21199 Eagan, MN 551 Zonirg: ' Owner. 'E3 * llddross: Site Nddrass: 159? - Plumbe • '_';.otnr.so s t TM1, CITY OF EAGAN 1' 383C? Pilot Ktwb Rosd 67 F ? 0 Eit(?AfT NO : ° P. O. 6ox 21199 . • Eagan, MN 551?, 1 D = P.., Zoninp:. - ?-?riznn ':ornes Pdew Ownwr: AcW?ess: : . sia /lddrea.: 15c em*;isr1 , i?r e t0r,lpson uzrcj IjF g , . , Plurnber. ? ?r ? G- oG 7? ?er NO.: . ?!n ? _"l . l?6 C ?1t " /?a.?.l? Sixs: Aooourrt Deposit: • P Reade? No.: n Pertnit Fee: 1 pne te aanpl?r wMA !M of la?n Surchnrye: O?IM ? 132 By e of Imp.: p 3- CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21189 ` Eagan, MN 55121 Zonirg: '_•'.3 Owrnr. Ne? `.=c'F'lsot: ;tomi llddress: Site Addrosa: I59'` ?2 emsna Ih" Plumbur xno'mr.$o.) PZt?mbinfi r. - ?_27-25 j? 1 M?M ?'0 OOIw? M? ? ? ? ?gOII Oey MrM` !M ? ? yN¦ CoetrlOGtiOn d101'0!: L? 1 - L I y?N te ? ? r - ??MIIOM. ? ?MwCM. /,CCOt1f1t Dl?fl Petrnk FM: , Surchoryge: gY ".gy Misc. Chorpes: Date of Insp.: ' Date of Insp.: Total: I?: ? •r,ti '*n iztvn nmf-•? - eador No.: p? to ?ae? wi11? Iiw Cihr of lsMn WATER SERVICE PERNUT PERMIT NO.: D/?TE: . No. of Uniri: Cqtnodion Cha?ps: ; 'v?`?` ? QQPO?t: I?1 Par?nit Fee: _ tl?x] Surchoroa: Mit?c. Chorpas: 1 z? ? Qo c? '^F Totat: or Dote Pald: SEWER SERVICE PERMR PERMIT NO.: DATE: _ •. . _ No. of Units: - lex _ WATER SERVICE PE ATE: - - Na of Unlts: .r L t'' ?I ?omas Lk Hts 2n3 . .i ? SbO.Ot)pd onnection Cha?ye: ? ? ? , p< ;--.? Mlac. Chaross: .OOpd Totol: cr3 . c;0?ci v:et.cr Dota Paid: Irnp.: SEWER SERVICE PEIWIR PERMIT NO.: `'.. pATE: 7 s . No. of Units: , R R 1 TF, \rNflnect+O?1 Clqro/: ?. ., 7 _ WAd ACOOWIt DlQOwt: Pef11'1it tiQ7 - ?- Surdwrpr Misc. Charpss: Totol: Dato Poid: ??: Date Paid: REQUEST FOR ELECTRICAL lNSPECTION EB-00001-04 c?^ r? See instructions for completing this form on baek of yellow copy. B "'X" Below Work Covered 6y This Request kw4Addl Rep. Type ot Building Appliances 1Mirsd Equipment Wired M Pee ServiceEntrBnceSize k Fee Feedersl5ubfeeders tt Fee CirCUits 0 to200Ams 0 to30Ams Ot<) 30Am Above 200 qm s 31 to 100 Amps 31 to 100 Amps Swinunin Pool Above 100_Am s Above 100_Am s Transformers rrigation Booms Partial. Other Fee 0 r r Inspector, hereby certify thet the a6ove inspection has been made. Thb roquest void 18 months from 'r F r,r[? _?? ' i"6.? This request void ifnths (rom ( C? / 097707 ,jaLiCensed Electrical Contractor I hereby requeat inspection of above ? Owner alectrical work instal led ar. Str4et Address, Bax or Route No. Citv ? - C Sdrt/ ,? i? AA9W ection . Township Name or No. Range No. Co/unty Occupant IPRINT) ? Phone No. O ?J /• v Power Supplier Z Address /r Electrical Contractor ompany Nam Cnntractor's License No. ' ? D ll / ]MailAddres IContrector or Owner P•?6 Making Instailation) Authorized Sign?ture 4Contractor O r ak ng stallaUOn) Phone Numb er - - q t 93J- 2J21 . MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT Grigqs-Midway Bldg• - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 56104 UNLESS PROPER INSFECTION FEE IS Phone (612) 297-2111 ENCLOSED. RSSIDENTIAL BUILDING PERMIT APPLICATION ? IfS?IO CITY OF EAGAN q3830 PILOT KNOB RD - 55122 651•681•4675 New Consiruction Reuirements • 3 registered site surveys showing sq. ft. of IoL sq. tt. of twuse; antl all roofed areas (20°6 maximum Iot coverage allowed) - . 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservatian Plan i( lot pia8ed after 711l93 . Rim Joist Detail Options selection sheet (61dgs with ) or less uniLs) DATE ? ? JOB SITE ADDR? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? PROPERTY OWNER'4rt O:S60 TYPE OF WORK Tk ° o APPLICANT &V? PSi? ADDRESS PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 11 (check one) - Residential Ventilation Category 1 Worksheet Subi - Energy Envelope Calculations Submitted MINNESOTA RLTLES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbin.- SysCern Includes: _ Water SoFtener Lawn Sprinkler Fee: $90.00 Wa[cr Heater No. of R.I. Bafhs No. of Battis Mechanical Contractor: ? 0 I?'P5/? hone # ???r?"c1 ???''????? n'Icdi.tnical System Includes: Air Conditionmg I'ee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinanc . r d- ? ? Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ?U.CJ?:) ??- 5 j RemodellReuair Reauirements . 2 copies of plan • 1 set o( Energy Calculations fonheated atlditions • 1 site survey for extenor additions & decks VALUATION (EXCLUDING LAND) EPLACE(S) _0 "1 _2 _3 PHONE # - c 12,;Jr? 1 &1ZIP CODE ?E?3 7 Updated 1/01 BUILDING PERMIT Te 6a wad !e. 1 OF 4 PLEX $61,000 N° 11037 Receipt # De}e SEPTEMBER 25 85 SiteAddress- 1590B CLEMSON DR Erect CR Occuvancy R3 Lot 47 Block 1 co,./Sub. THOM LK HTS 2NDRemodel ? 2oning PD Parcel No. Hepair ? Type of Const. 17 Additlon ? No. Stories W Name NEW HORIZON HOMES INC Move ? Length 44 ; P• O. BOX 1367 Demolish ? Depth 27 Address Int Impc ? 5°'F`' b City MPLS Phone 420-3900 I ll t ? ns a m cnwc AVPro•als Fees to Name _ s? Addreas City _ Phone g Nama - D_ GR T SwOr,n IU Address U ?,W City phone 435-7524 I hereby ockrwwledge ihat 1 huve reod this opplication ond state tFwf the informolion is correcf and ogree to camply witM oll opplicoble Stota of Minnewto Statutes City qf Eogon rdinonces. ..-a? Sipnature of Permittes R-+-? A Building Permir is issued ro: NEW HORIZON HOMES oll work shall be done in occordance wirh all appli e Sta e of ! linr Buildirp Officlol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Assessment PerTit S 31 b. U U WoterBSew. Surcharge 30.$0 Police Plan Review 15 ? 0 Fire SAC 525.00 Erg. WaterCOnn. 500.00 Planner WaterMeter 63.00 Council RoadUnit 280•00 aidy.otf. 9/23/$ Tr.PI. 132.00 APC Parks Var. Date Copies rotel 52.004.50 INC on ihe expross cordiNon thoi ?totutes ond City of Eagan Ordironces. _ _....naJUJS - f. CITY OF EAGAN N°_ 1 10 3 8 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagaq MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipf # Te M vwd for 1 OF 4 PLEX Est. Value $61,000 Date SEPTEMBER 25, tQ 85 SiteAddress 1590 CLEMSON DRIVE Erect EX occupancy R Lot 48 Block 1 cec/Sub. THOM LK HTS 2ND Remoeel ? Zoning PD Parcel No. ? Neme NEW HORIZON HOMES INC ; Address P• O. BOX 13 67 b crcv - MPLS pnone 420-3900 0 f? V? r Name SAME AddfC53 Phone Z nlame D. GRISWOLD ?? Address ?W city Pnone 435-7524 Repair ? Type of Const. V Addition ? No. Stories Move ? Leng[h 44- Demolish ? Depth 27 Int impr. ? Sq. Ft. Inatell O ApprovoM1 Faes ilssessment _ Water 8 $ew. Police _ Fira Enp. Planner _ Council _ Permit S 316.00 Surcharge 30.50 Fqan Review 158,_0 0 SAC 525.00 Water Conn. 500.00 waterMeter 63.00 RoadUnit 280.00 I hereby ackrrowledge thof I Mve reod ihis opDlicotion ond stote tiwt Bldg. Off. 9/23/8 5 Tr. PI. 132.00 the {n(ormotion Is torrecf and ogree to comply with all opplicoble AP? Stata of Minr?ewto $tatutes d City o( Eaga?? Ordirwnces. Parks ??^ Sipnoture of PermiMee? Var. Date Copies a^^? ??_ $ ? A Building Permit is iuued ro: NEW AORIZON HOMES Total INC on ths express c?itiOO ?'SO oll work shall be done in oCmrdonce with oll oppfiEoble Sfote ft-gi;n_eWta)S!atutes and City of Eoqon Ordinonces. Buildirp Official - ?=,?V ,B__-4 \ ? ? BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 1 OF 4 PLEX I $61,000 N_ 11036 Receipt # 53_'Z?LL-' Dote SEPTEMBER 251y 85 SittAddresa 1588B CLEMSON DR Lot 46 elock 1 sec/Sub. THOM LK HTS 2ND Parcel No. W Name NEW HORIZON HOMES INC ? Address P- O• BOX 1367 City MPLS Phone 420-3900 Name SAMF. Address City Phona tW Name D. GRISWOLD i? Address ?W City phone 435-7524 1 hereby ackrrowledge ihat 1 hove reod this application ond sfore fhof fhe inlormnlion is torrecf and agree to comply with all opplicoble Stnto of Minnesoto Statute City of Engan dinonces. Slgnoture of Permiffee ° , ?- A Building Permit Is issued ro: NEW HORIZON OMES all work sholl be done in acmrdonce with all applicatm Storo o?f JM` Buildinp Offlciol ?AyL- Erect 50 Occupancy $3 Remodel ? Zoning pn Repair ? Type af conn. )7 Addftion ? No. Stories Move ? Length _44 Demolish ? Depth 27 Int Impc ? $q. Ft. Install ? ADYrovob Faes Assessment Permit-$ 0 0 Woter & Sew. Surcharge 30.50 _ _ Police . 00 Plan Review 1 56 Fira SAC 525.00 Erq. WatarConn. 500.00 Plonner WaterMeter 63.00 Council Roed Unit 280.00 BIdg.Off. 9 Z3 $rj Tr.PI. 132.00 APC Patlcs Vaa Date Copiea 0 INC rotal on t he exprcss condiHOn thol M Stct ond Ciry of Eopon Ordirqnces. CITY OF EAGAN N° 14 0 3 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 ReceiPt #77 4, ? ?. To be used for DECK Est. Value $600 Date AUGUST 12 ? 9 87 Site Address 1588 CLEMSON DR OFFICE USE ONLY Lot 45 Block 1 Sec/Sub. THOM LK HTS 2 On Site Sewage _ Occupancy - MWCCSystem _ Zoning ParoCl NO. On Site Well _ Type of Const Ciry Water _ (ACtual) a Name SARA J. KOLLER (Allowable) 3 Address SAME LenO h Stories ° City Phone 452-8130 Deptn S.F. Total , o Name SAME FootDnnt S.F. s 1- ?a Address APPROVALS FEES ? City Phone Assessments _ Permit $13.70 1-, Water/Sewer _ Surcharge Sn W W NamC Police _ Plan Review zz AddreSS Fire _ SAC,City o= City Phone Engc SAC,MWCC aw Planner _ WeterConn. Council _ Water Meter I hareby acknowled9e ihat I have read ihis application nd state Bldg. Otf. _ Road Unit ihattheinformetioniaconectand reeto plywitha pliceble APC _ TreatmentPl State otld?nnesota Statutes an 'ty f ag Mi s, Variance _ Parks ' Signature of Permitte Copies ? 707nL 14 A Building Permit is issuetl to: SARA J KOLLER on the express condition thet all work shall be done in accordance with all applicable g teof Minnes % a a Stat ut es and City of Eagan Ordinance& , Buflding Official ( ? , // / I /L.t ?.?V This revuest void ,? , ?/, Sl? S? S? Jl 18 nwnffis trom 7 . o 097706 PeGUest Da,e Fire No. Rough-in Insoection J? ' ? ?K R@p rteA? ?" es ? N. ?HeadY Now Wip Notiiy Inspec.- 1or When Reatly x^ Licensed ElecVical Contrac[or 1 hereby request inspec<ion oi above . ? Owner electrical work installad at: S[reet Adtlress, 6ox or Route No. City ( / ' /J C_ V V l p?? ??/ 1 ecUon o. Township Name or No. Range o. County • ? Ocr.upan?ttlPql1/?TI ? Phone n. 1 V WV Powe/r? Su?p?Dlie'}r Atltlress IfJ' ? YV// \ Elec l rical Contracm ICOmpany Namel Cunvacmr's License No. ; J Mailine Add/Jess (C vactor or Owne MakinB Instailationl t ?l?'') (/ / "' Authorized Sipnature (Connacmr Owner aking In tal ation) Phone Num6er 'i . . . , n.,] r MINNESOTA STqTE eDAND OF ELECTqICITV . THIS INSPECTION ftEQUEST WILL NOT Griggs-Midwey Bldg. - Room N-191 gE ACCEP7ED BY THE STATE BOARD 1821 Universitv p.ve., St. Paul, MN 55104 UNLE55 PflOPEft INSPECTION FEE IS Phone 16121297.2111 ENCLOSED. . REQUEST FOR ELECTRICAL INSPECTION oft ee-ocmm_oa j7- y'rJ?ri, Seeinst?uctions for complating this form on beck ot yellow coOY. / -0 ?706 " X" Below Wark Covered by 7his Request •ew1AAd Feo. Tvoe of Builtlin Aooliancas WireE Equipmem Wired EleCtric I I I I Industrial BIAa. 1 PAir Conditioner 1 1 Bulk Milk Tank I /rP N. - Fea Service EntrencaSize N Fee Feeders/SUbfeeders p Fex Circuits 0 to 200 Am s 0 to 30 Am s 091 () to 30 Am s Above 200 qmps 31 to 700 Ainps 31 to 100 A s $winunin Pool Abave 700_Am s Above 100_Amps TransPormers Irrigation Booms Partial%Other Fee Signs Special Inspection TOTA E flemnrks . 00 Fouph-in Dabn ?, ?ha E t' Inspector, hereby ce?liSy Met the abova Final Date insOection hes been ? /? "--16 meda. This reaueat voitl Thisrequestvoid '1?' 78 rt.?nths from tI( B 0 9 7 7 0 5 i-a Req;.sllJate !- Fire No. Rnugh-in Inspeciion Hequvetl? ?YO' ? N„ [:)y?y? Ready Nuw1J(IWill Notity.lnspec- -?lor When ReadV IM Licensed Elec[rical ConVactor I hereby request inspection oi ebove ? Owner electrieel work installad aL Str_et dAress, Box or ure No. . - ? C'tv ll c? ZST"P , C v? sa ? ! / ecUOn o. ownship Name or No. Ranpe No. Cou? .?? `i T'q Occ up am I PR INT„ ,. Phone No. ^ ? , / / ? "'?'? V Powe r $upplier Atltlress n ?fr/ + Elect? nnV ctor (COn any Namel ?'? ?_ Cunir.±cmr's Licnnse No. ?- Mac Maili ng Address ICO vactor or Owner Makinu Inscaflatfon) / ! /' ?l J 9 Auffioriied $ignature Cont actor/Owner aki g Installa[ion) Phone Numher 93? ? MINNESOTA STATE BOAXD OF ELECTqiCITY Griggs-Midwey Blde. - Room N-191 7821 Universi[Y Ave., St. P.O. MN 56109 Phone (6121 297.2111 THIS INSPECTION HEQl1EST WILL NOT BE ACCEPTED BY TME STqTE eOARD UNLESS PROPEX INSPECTION iEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION „ ee.ooooi-oa Sae instructions for completiW this form on back of yellow copy. ?o n ql 7n? X" Below Work Cavered by 7/nis Request ada nen. rvoe ot euuaine noohancns wiree Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. BuilAing Dryer Etectric Heatm Commercial Bldy. Fumace Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tank Farm otne, pecifv Ornerlsnecify! .,. ...,.r .. ?.... t er Succi(y ..__...._ r_ _ .. , Ot er . Other N Fee Service EntrenceSize # fee Fxeders/Subfeeders N Fen -Circults 0 ro 200 qm 5 0 to 30 Am 5 0 to 30 Am ,s Above 200 Amps 31 to 100 Amps 31 to 100 A s Swimming Pool Above 100_Ampy A6ove 100_Am s Trensformers Irrigation Booms Partial."Other Fee Signs Speciai Inspection Nemarks SS ? TOT EE Dar,rr- r/ _..? Nough-in ? ?•. vv ? Date . [ I. th lect 7 & P ?-sPa.,a,, he.eb, Final Da1e certifV thet the sbove insoection has been maa. TiSrBpuesivoialBmonUSfrom {f? A TM1is reques[ volA nths from D- 097704 4 </Bi, Reques[ Uate Fire No. Nouuh-Inzinspeclion OReatly Nuw W?II Nnlity. Insper q rcA l. r When Readv Yas ?Nu Licensed Elecuical Convacmr I hereby request inspection of above oioInilal wnrY instuliad at ? ....???. SVeet Atldress. Box or floute No. ? City p r ? v ecUOn o. Township Name or No. ountv C OccuOant IMINTI Phone No. Aower $upplier Address lri! Cuntracmr's License No. Elecvical onVUCtor IC VanY Namel Mailn'p. Jre s( nt ctor or n r aki g I stailationl / v O 17 I tionl pnae ( on[ractor wner in Authorized - Phone Numbe:r ? ecn??cc Nl1T MINNESOTA STATE BOANO OF ELECTRICITY Griggs•Midwav Bldg. - Aoom N-191 1821 Univaraity Ave.. 51. Peul, MN 56109 Phone !6121 297-2111 BE ACGEPTED BV THE STATE BOARD UNLE55 PHOPEP INSPECTION FEE IS ENCLOSEO. REQUEST fOR ELECTRICAL INSPECTION ee-ooum_oa ' See instruetions lar eompleticg this form on Eack at Vellow eopy. j?r f? n Q77 r? A ••X' RP,oW Work Covered by This Request v FAd R.D. v TyOe oi 9uiltling Appliances Wired - EquiVmenc Wired Home Fange Temporary Service Duplex Water Heater Li?htiny Fixtures Apt. Buildinc? Dryer Electric Heatin Connnercial Bldg. Furnace Si!o Unloader Industria? Bldg. Air Conditioner 8ulk Milk Tank Farm o?ner vec? v ?+ner lsnecifyl t nr Succi y ONer Oih?.?? k Fea Service Entrence5ixe Fanders/5ubleeders Circuils U m 200 q to 30 Am ?s 0 to 30 Am Above 200 qmps 1 to 100 Amps to Swimming Pool Trans*ormers J g Ab've 100_Am s rrigation Booms Sgns pecial Inspection 5 7pT FEE Femarks /.i,' L.. ' Haugh-in ( ate D /- ? I, th ' ' /? ? !// Inspecbr, hereby T wrtify tMt the above Final -?7 / ? 1e inspection hes been '. ) ! / ? / .?1 !.? . / (? /? made. Thla repuest voltl 18 montle trom ? ` This request voiA 18 months hnm ° 0 7 El ? Bequcsl pat ' /? Fire No. Fou h-in Insp cbo/i (iequ"i ? - catlyNUwOWiIlNOlif lns0ec- ? ? / ? ? y ror Whnn q l L a,r y 4?. Lmens d Elecvi (al Con\racror I hereby request inspection ol above ? OwnNr electrical work installed at Strect AdAress, Box or oute No. Y? f:ctmn o. Township Na e or No. R:inga No. Cnuuty Occuoant(PRINT) Phone No. 5?- Power SupPlier Address Ele rical Conv tor ( mpany Name) Cnntrar.tor 's Licensa No. ? / ! MailinB AdJ,e (Contracnr or Owner MakinA Ins[ai ation) 4 Ll d Au[horize -gn Wr IConamct ., wner Making nstallatiunl P me Number 7 ? _SLr MISOTA STqTE BDAflD OF ELECT{ttCITY Gr' gs-Midway BIdO• - poam N-191 1821 University Ave., SL Peu1, MN 55104 Phone (612) 297-2111 REQUEST FOR ELECTRICAL INSPECTION j Sea instmctians far com0lating this form on back of Vellow cnOY. G '"X" Below Work Covered by 7his Request p 7441 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE 90AND UNLESS PROPER INSPECTION FEE IS ENCLOSED. ? ? EB-OWO1-04 ,w G/9?1D Adn neo. rva» oi e.iim'a nvoro.oa. wi.ea e,.iumeoi whred " Homo Fange Ternporary Scrvlce Duplex Water Heater Liyhtiny Fixtures Apt Building Dryer Electric Herrtm Cnmmercial Bitly. Furnar,e Sllo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tnnk Farm O:her uecify Dihe' itioacifvl 11.11 ISUCr,ily Othcr Other Ra IrrcnarNnn haa # ? Fee r5ervice EntrencaSiza n Foe FeeAers/SUbfaxtlers a Fee Circuits U to 200 qmps 0 to 30 Am ps 0 tn 30 Fn! s Above 200 qi»py 31 to 100 Amps 31 to 700 Am s Swimming Pool Above 100-Amps Above 100_Am?s Transrormers Irrigation Boonis Partial.'Other Fee Signs Special h suection $ D?! TOTAL F R m? k i _ ? . r e s .a-se i ?; t t0 Fough-In Dnte 1, the Elect - Insuec<or, here?y carlity thal the ,bove Final inspection has been metle. This repuest voi0 18 monNS irom 2007 "SIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when permits are required for each imit ?.(?,v Date // / /.S~ / 0 -7 SiteAddress /s-90 Unit# Property Owner ?1 ?(J . ???? ? Telephone # 6 / 7J,6 Contractor dURNSVILLE HEATING & AIC, INC. Street Address SLLII2 120 umsui e, State Zip City /? Telephone #(%r4) p G! 7 ?U ?.t Bond #: ?/C c;? Z/ 3 Expires: The Applican[ is _ Owner ? Contractor _ Other Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a bu iiding. Add-on or alteration to eaisGng dwelling unit $ 50.00 ? furnace _Additional ?Replacement _ New air exchanger air conditioner heat pump ather = State Surcharge $ .50 Total $ z?2I,0 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an applica[ion for a permit, and work is not to star[ without a per that [he work e in accordance with the approve lan in ihe case of? k which requires a review and approval of plans. Applicant's Printed Name Appli ant's Signature ` 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ??- ?S O? ? I 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimction Requirements RemodeVReoair Reauiremenls 6ffa?tlse O4 3 registered site surveys shaxing sq. ft. of lat, sq. N, of house; and all roofed areas 2 copies of plan CertoF5urneyReed ??_Y ?N (20% maximum lot coverage allowo 1 se1 of Energy Calculations for heated additions Tt9e Pres PIM Recd i_ 2 copies o( pian showing beam & window sizes; poured found design, etc 1 site survey for addtions 8 decks TrCe P28Rgqm?eti isetofEnergyCalculations Addition - indicateifonsifesepticsystem On5tl95epGs5ysleilt • '_Y _:.;N 3 copies of Tree Preservation Plan if lol platled afler 7/1193 Rim Joist Detail Oplions selection shcet (bldgs wtlh 3 or less units Date8 / SiteAddress Cl / r oli K90 g CLEMS61,1 0R, ConstructionCost' As[(boq? UniUSte # ?escription oF Work Q E PLAa (O x2U Nck' Multi-Family Bldg ? Y _ N Ftireplace(s) _ 0_ 1 _ 2 Property Owner J?1W4T QGG(?tE Telephane #(7(a ) 425-T.4- Contractor &fL?:XT`tR a M M)w+L uan0 Address State ?VtH 't 1•! City N itV N cAA-Lr Zip 5S'}f?l Telephone#(C5l ) 3-22"w7C`7 LET/C? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate?rv 1 Minciesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 2557o plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # I hereby apply for a Residential Building Permit and acknowledge that the infor ktlon is cWe an ccurate; that the work will be in conformance with the ordinances and codes of the City ? Eagan an the Stat of MN Statutes; I understand this is not a permit, but only an application for a permit, ithout 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 kt fW1i Applicant's Printed Name , ,? ? AfZ-/ Applicant's Signature , . • Bui ldi'n 9 -'t / l h Ays, N ? a3b, q?Vti .. 935, 6 n1 D? C .. ? ? 93 93?'./ / ? ? I J W? r ? -r, (936 0) N 3 L< h rt? / ? P ryo L O ^' r93 6. 7 p7 7o3B.E 4 1? c / 00 10 ? ? ? ?'S p`?` ? 4 3 a P ? . q \ o q. P \ A I N ? _?V ? zz 1) 1.00 ? oil 3 ( o o' W l93 5; o? S N 0 N 0 ? m N I ? / i ? I f5; _ I I N 77'38 W°?„ \ ( (936 o)I O Denotes Iron Monume? t ?xZ ° Denotes Wood Stake ? ? X000.0 Denotes Existing Eleva?on Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elev on Proposed Garage Floor Elevation= 937.0 -4- Denotes Direction of Surfa'ce Drainage Proposed Lowest Floor Elevation= 9375 IS8 K tuh`n'-?? 0r`J I hereby certiy that this is a true and correct representation of a survey of the boundaries ot Lots ?SJ 46, 47, and 48, Block 1, THOMAS LAKE HEIGHTS 2ND ADDITI0.1, Dakota County, Minnesota. And ot the location ot all buildings, if any, thereon, and all visible encroachments, ii any, from or on said land. It also showsthe location ot the stakes as set tor a proposed building. As surveyed by me or under my direct supervision this 30th day of August 1985 ? ??? ? ?cri/?ludtT3? Paul A. Johnson ?P ; 45'ac 47 4Yt Land Surveyor, Minn. Reg. No. 10938 _ "i?= ¢o• CERTIFICATE OF I .??E for McCOMBS-KNUTSON ASSOCIATES, INC. COfSYllllli RAUF12 nlE I10. ??.G WMNEYOLR IuITCMlNfOM,wwMEtOTw 4,.3D IVEW ND?P?zoN? & &a4,3 ?'Eq - CP s 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenis RemodeVReoalr Reauiremen4s OHice Use OnN 3 registered site surveys shaxing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20% maximum lot coverage allaved) i set of Energy Calculafions for heated additions Tree Pres Plan Recd _ Y_ N. 2 mpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additbns 8 decks TreePres ?Required _Y _ N lsetofEnergyCalcuWtions Add'NOn - indicateifon-sitesepticsysfem On-siteSepticSystem. _Y._N 3 copies of Tree Preservatlon Plan if lol platted after 717/93 Rim Joisl Defail Options seledion sheet (bldgs with 3 or less unils Date Construction Cost 23300 Site Address ir,?Y A t t? /,f-9o Ai 8 61,e yYl $p nJ ?. UniUSte # Descrip[ion of Work 7e cC' - a{? IZA- S, ? Multi-Family Bldg d Y_ N Ftireplace(s) _ 0_ 1 _ 2 PropertyOwner (?)O;SS2n l;pyyl pQl7lES Telephone#66,-:?) Qao7'SS-75 Contractor Address ?/dr i.?• ?j O J ft State /8!N• Zip -rT Wlr- City MA r Telephone # (S'i1 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventllation Catagory 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submiked Have you previously constructed a building in Eagan with a similar plan? fee appiies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential uilding Pernut and_ac owledge that the information is complete and accurate; that the work will be in confo ` e'w o dmances 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 ofplans. A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted 4.e v <e*4 cT I-A d/ A ApplicanYs Printed Name Applicant's 911ginature ' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan f^?C? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 s r-i C), New Constmction Reauiremenis RemodellReoair Requirements __...... ?ltffcs Use Onbi 3 registered site surveys showing sq. k. of lot, sq. fl. of house; and all roofed areas 2 copies o(plan CertoFSurvgyRecd :',,;:,Y ?N (20%maximumbtcove2geallowed) isetofEnergyCalculationsforheatedadditions IreePtASPfanR0tx4 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks T2€ presReqUUp.d }' T N lsetofEnergyCatculalions Add'Rion - indicate'rfoo-sitesepticsystem CJtrfile3epti?Syslem Y 3 copies af Tree Preservation Plan if lot platted after 711/93 Rim Joist Defail Options selection sheet (bldgs with 3 or less units Q, q Date V /?L` SiteAddress 15bat CLIMSC4tij De ? Construction Cost Sj U? - Unit/Ste # Description of Work QEPL?U bX10 DECV MuIU-Family Bldg ? Y_ N Ftireplace(s) _ 0 _ 1 _ 2 Property Owner :aq) £T Q6gac Telephone # (X3 ) 42??-?'?_ ?p Contractor gE I LYTL4CrC M N1+JiEUA uCc Address !& State M Iv W, ,1H ?sl . City {7 PlU UzA #YA!-• Zip ??f4? Telephone#(C 61)322-!j!j Gy EX"T I COMPLETE THIS AREA ONLY IF Energy Code Category - M1Mesota Rules 7670 Cateeorv 1 _ • Residential Ventilation Category 7 Worksheet (J submission type) Submitted • Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informat?ag iys?mnlPrP an? rate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN 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. MIkE RAk Applicant's Printed Name Applicant's Signature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types ? 01 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 OB-plex X 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yar_ N ? 25 Miscellaneous WorkTypes /vO I ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors X_ 34 Replacement 'Demolition (Entire BIdg) -Give PCA handout to applicant Valuation Census Code ? SAC Units # of Units # of Bidgs Type of Const ? Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Fooungs(new bldg) _ Footings (deck) _ Fooflngs(addilion) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ RI. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. Z( Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: T- v , Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies -? ?20) ? Other Total Bui ldl'n9 # // _ ?+q35 h ? p ?9 936,/ 3ioo77°3g'E 4 - ''- O 0 J W? _r- 1"936,0) ry ? tv m ?f NO (93 6 _ S? ?? 7 a i ('93 i O ? O? J w p` v ? q Z 33 ?' P: Q 0 ? ? zf. ? H O . 77 4 77 / ? 0,131, d ^' a f37 o) d ? ? l 0 ? ? W 6936 0) S N ? o ` 0 N O ? m N I ? ¢ 5) ? (??? ?F =. I \ O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Fbor Elevation= 937.0 4--- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 37, 5 1,5 8 K ujh??0 /\-j 1 hereby certiry that this is a true and correct representation ot a survey of the boundaries ot Lots l45J 46, 47, and 48, Block 1, THOPfAS LAKE HEIGHTS 2ND ADDITION, Dakota Gounty, Minnesota. And of the location ot ail buildings, if any, thereon, and all visible encroachments, it 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 30th day of Augu=t ,1965 Paul A. Johnson 45- ac 7 OiYe Y9/wo?9-/6•8S7 Land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY for McCOMBS-KNUTSON ASSOCIATES, INC. ??,?4 WNSYli1MCWOi11RY[YOFStSI1EPW4[IIS NEWNO?P?zoNfloMES H0;4 ? WMNEMOLRMUTOnWON.Ww?EiOTA 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 V Please complete for. single family dwellings & townhomes/condos when permits are required for each unit a 3o .?50 Date -A-/ Ile_ / tI4 Site Address ( J W ekN\Tr\- br( i? ? Unit # Pro ert Owner ?r)[XrIYA povv e # ( Ifv) ) `lO ? ' 1?3 [ 1,e) T l h p y e ep on Contractor ?4Ir N,Pl' Street Address QS? K Cit 612 W&X/ y T State r y ? I?,I Zip y? Telephone #(?`Q3 ) `I -/??7 Bond #• Expires: The Applicant is _ Owner _ Contractor _ Other Add-oy or alteration to existing dwelling unit $ 30.00 V furnace _Additional _Replacement air exchanger airconditioner _New _ Replacement other State Surcharge $ .50 Tota, ° D $ ? APR 19 2004 I hereby apply for a Residential Mechanicai Pemut and acknowledge that the infom be in conformance with the ordinances and codes of the City oF Eagan and with the permit, but only an application for a pernut, and work is not to start without a per apprlan in the case of work which requires a review and approval of p ns. i Applicant's P inted Name M ax rr». ard• that the work will odes; that I understand this is not a the work will be.i»,accylfdance with the 5b a ? L ---- -?? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OP EAGAN i? 3830 PILOT KNOB RD, EAGAN MN 55122 / 651-681-4675 NewConstruction Renuiremenis RemodellReoairR"euui?????9 • 3 registered site surveys shawing sq.8. of lot, sq. fl. of house; and all rooted areas • 2 copies of plan ? fti 4" (20% maximum lot coverage allowed) • 1 set of Energy Calwlations for heat additions Q?,,? • 2 copies o( plan showing 6eam & window saes; poured found design, etc J • 7 sile survey for exterior additions 8 decks ' • i set of Energy Calculations . Indicate if home served by seplic syslem kr addifions J I • 3 copies of Tree Preservatian Wan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bidgs wBh 3 or less unXs) DATE VALUATION 1000, «' SITEADDRESS I59913 ClC'e%-So,. 1)Q MULTI-FAMILYBLDG ?Y _N TYPE OF WORK //cv d2cp&e ra e a?' FIREPLACE(S) _ 0_ 1_ 2 APPLICANT "N?' 1 STREETADDRESS ?°• 1L), CITYTs/'d',`%A&r STATE/`10-- S-r'c?Y TELEPHONE #01A CELL PHONE # FAX # PROPERTY OWNER TELEPHONE# -------------------------------------------------------------°--------°---------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RULES 7670 CA'1'EGORY l MINNES0'1'A NCJII:S 7fi72 (Jsubmission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing systom includes: Mechanical Contractor. Mcchanical system includes: Sewer/Water Contractor: Phone # Phone # I'ee: $90.00 -----°----------------------------------------------------------------------------------°-------°--------_-------=;1-- I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant OFFICE, USE ONLY _ Watcr Softencr _ _ Watcr Heatcr _ No. of 13aths _ Yhone # Lawn Sprinklcr No. of R.I. I3atlis Air Condilioning I-IeaC Recovery Systcm Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 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 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6R. Alt - SF ? 04 02-plex ? 10 08-plex )< 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation 2K-0-1-e Occupancy A3-mr MC/ES System Census Code 4--tL? Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. ' PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Foorings (deck) -x FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Framing _ Siding SNCCO Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By 71- , Building Inspector -------------- - ----------- --------------------- ??? ????? ?7 c) ? S 1,? aS - COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) sets . Architectural Plans (2) sets • ArchitecWral Plans (2) sets • Civil Plans (2) . SWctu21 Plans (2) • Code Malysis (1) • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) •' . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Malysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 Testlng Schedule " • Cenificate of Survey (1) . Energy CalculaGOns (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"" • Meter size mus[ be established . Meter size must be established • Meter size must be established - if applicable . ProjectSpecs (1) 1 • EnergyCalculations (1) " 1 1 . Electric Power & Lightlng Fortn (t) " j 1 • Master Exit Plan (1) y d . Emergeney Response Site Plan (1) 1 1 • SoilsReport (1) y • MClES SAC determination letter . MC/ES SAC detertninatlon letter • MC/ES SAC detertninadon letter call 651-602-1000 call 651-602-1000 call 651-602-1000 rood 5 beverage or lotlging 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 processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORKTYPE: _ NEW REMODEL CONSTRUCTIONCOST: /S 7? 92 SITEADDRESS: l,5/00 ('o 1411?5,221 ? y- TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK /O /-k- Name: ?Y1 17,1,?/S Phone #: ( 7? PROPERTY Ias[ First OWNER Street Address: 1-7 1 Z_/ 5 ? City: 'm p / State: /?? /z Zip: Company: S G= ? Phone #: ( 6lZ ) 7i??? ?? 7 3 CONTRACTOR ? 6a ? S ? StreetAddress: Y CitY: 4S State: Zip: ARCHITECT/ ENGINEER Company: Name: Street Address: City: State: Zip: Licensed plumber installing new seweNwater service: Phone #: () I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?I Updated 7l02 Phone#: ( r-,r Registration #: „ . THOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS s/sa 4-PLEX 290 Ol 1570/ CLEMSON DR 300 01 1570B/ 310 01 1572B/ 320 01 1572 9i85 a-PtEx 330 01 1574/ CLEMSON DR 340 01 1574B/ 350 01 1576B/ 360 01 1576 9185 a-P[,ex 370 Ol 1578/ CLEMSON DR 380 01 1578B/ 390 01 1580B/ 400 01 1580 sias a-rLEx 410 Ol 1582/ CLEMSON DR 420 01 1582B/ 430 Ol 1584B/ 440 Ol 1584 _-.-- _ ---- -- --- ----._..-- -------- ---------:..>_ 9i85 a-PLEx 450 01 15881 CLEMSON DR 460 01 1588B/ 470 01 1590B/ 480 01 1590 -- ----- - ----- ---- ioiss a-PLEx 490 Ol 1592/ CLEMSON DR 500 01 1592B/ 510 01 1594B/ 520 01 1594 toiss a-rr.Ex 530 01 1596/ CLEMSON DR 540 01 1596B! 550 01 1598B/ 560 01 1598 32 APPROVED 3/85 PAGE 2 OF 5 5 uj 7to I ?-?x ? lL u ?- c UJ LC'k_"- - RESIDENTIAL ? • BUILDING PERMIT APPLICATION ?? CITY OF EAGAN ?? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681•4675 Naw Conswction Renuiremente RemodellRaoair Raauirements • 3 registered site surveys showing sa. R. of'ot, sq. R. of house: and all roofed areas • 2 copies of plan (201o rnaximum lot coverage allowed) • t set af Eneryy Cakulations for heated acoilions • 2 copies o! Oan sfiowing beam 8 winCOw sizes; poured found design, etc.) . i sile survey for exteaor a0ditions & decks . t set of Ene(9y Calculations . Indicate if home served by septic system `or adCitions • 3 copies o( Tree Preservation Plan if lot platled aRer'i V93 . Rim Joist Detail OOtions selection sheet (Cldgs with a or less units) DATE r'9c? :a / ? ao? VALUATION 40?000 SITE ADDRESS l`? L7 O L, lo)qS'OYI ,l//"l^f/.(, MULTI-FAMILY BLDG _Y _N ?., ?-f? TYPE OF WORK ?hSf`fn II Ct a/S L?l?VL' cf Y2vz'f' /t??P FIREPLACE(S) _ 0X 1 2 au? - vun aecL 5` 11`n - / ' ?'r,-syro APPLICANT ?i`n 0Sl?OC e (=dl?l1(??" //)`'jilll eCX l' 11?L Sl??/.7 STREETADDRESS 3S-,51(Z? )? tii.)?1,?5' CITY,???,??STATE?ZIP.?S.?.3 TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER ?lb e- TELEPHONE# SI- ? ? ?2?M COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Ener Code Cate9o ?' .? 1 ?? f? r? 9Y rY _ 11IN\LSO'1'.1 R[;I.F:S 7670 C:\"ft:GORY 1 ?II`it?' RliC.r:S ?679- (Jsubmissionrype) • ResidentialVentila6onCategory lWOrksheetSubmitted • N?w nergyCoae? orksNeet _ • Energy Envelope Caiculations Submitted !? J ??? I " C'-- i --- -- - ----? Plumbing Contractor: Phaie # Plumbing sys[een includes: Water Softener I.acm Sprinklcr Fce: $90.00 Water Heater No. of R.I. Baths No. of Badls Mechanical Contractor: ?r- e pi o tr- Phone # Mcch.uiic.il systcm includcs: :?ir Condiuoniug Pce: :$70A0 -- Elcat 2ccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that.ihe information is correct, ond agree to comply with all appficable Siate of Minnesota Statutes and City of Eagan OrdiprO,ices. A ,-17 J /j , Signature ot Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Update0 4/02 ...-r \ 2. U ? inspections Depariment; Please send a cancel permit and mail refund check for the following permit: 1101 Parkview Lane Permit # EA055694 Please mail the refund check to: Fireside Corner 2700 Fairview Ave N Roseville, MN 55113 If you have any questions please call Elsie or Melissa at (952) 890-0758. Thank You, L? . A,? e 4 Isie Jorgensen 3850 West Highway 13, Burnsville, MN 55337 Phone(952)890-0755 Fax (952) 882-8899 GAS & WOODBURNING FIREPLACES & STOVES • MANTELS • MARBLE • BRICK fl STONE FASCIA • GLASS DOORS • PROFESSIONAL INSTALLATION MN CONTRACTOR LICENSE # 20090911 RESIDENTIAL BUILDING PERMIT APPLICATION r-? ?C) C) CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New ConatrucUon Reauirementa RemodeUReoafr Reauirements • 3 regatered siie surveys shOwirg sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of qan (20°h maximum lot coverage albwed) . 7 set of Energy Calculalions for heated additions . 2 copies o( plan showirg beam 8 windaw sizes; pou2d found design, etc.) . i sde survey br exterior addiGOns & decks • 1 set of Enerqy Calculations . Indicate it home served by septic system tor additions • 3 copies of Tree Preservation Plan if lol platted aRer 711l93 . Rim Joist Detail OpGOris selection sheet (bldgs with 3 or less unAS) DATE VALUATION ? SITE ADDRESS / 5 YP?d.1<, C lPlatSQAI 0/Y'- MULTI-FAMILY BLDG _Y _N TYPE OF WORK /'.! I 1 /'i! C1 aS d! 7 Py 1'V+SP N?' FIREPLACE(S) _ 01/1 _ 2 ? rU?Jo as /h e. n 5x I'?li"C APPLICANT ?iY'PSi'O?P_ LnY-tnPr1!7II i'P?.rl}^Pyl^/?'P STREET ADDRESS 3 ??'' S CJ I? _? U1 r.1 I?_CITY??r"Y'?Svri'?7 STATE?ZIP 33 TELEPHONE #95aX"I0^0 7" CELL PHONE?T FAX # PROPERTY OWNER OC1 f t1 ? ?Q TELEPHONE # COMPCETE FOR "NEW" RESIDENTIAL BUIIDINGS ONLY Energy Code Category _ MINNh:SOTA RliLFS 7670 CATEGORY 1 (J submission type) • Residential Ventilation Category i Worksheet Submitted • Energy Envelope Calculations Submitted PlumOing Contracfor. _ Plumbing system includes: _ Water SoF[ener _ Water Heater No. of Baths Phone # _ Lawn Sprinkler`? _ No. of R.I. Baths Mechanical Contractor: EJ` C'.Sl dE' eO Y'M ej[' Mechaniril system includes: Air Conditioning Heat Recovery Systcin Sewer/Water Contractor: Phone # Phone # A RULCS 7672 e rf;; 1c q ? -' SEP 1 9 2002 D Fee $901 Submitted Fee: $70.00 I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable Stote of Minnesota Statutes and City of Eagan OrVLZ41 nSlgnatureofApplicant---A/ ? --------------- -------- _....------- ------ -""--------- -------- _--__.-------.____--------------- --- - ------------..... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 8ui/di'n9 af- // ? c1?ib 1 q3y 2 E S 0 , A*I . '356 n) VE r ? ' or S 77v nlg? oa 3B.E 4 . (937 0 ' oorN ? p z7•3 - Zz-33 . =? Wa ? .? -r_ (936 a? N ? N p, . ? q= 7.n ,C P.: M ? 1,935,0\ ^ o J m -tV e'93).oq." ? . ? ol p ? ( 7 a p (Y z ?93 (93 zt.4; 5) ¢,?? ?r 3? o0 37O) d 'V77>38i.oo?o ? ? N l9gb o? d O penotes iron Monument ° Denotes Wood Stake X000.0 Oenotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.0 -4-- Denotes Direction ot Surface Drainage Proposed Lowest Flnor Elevation= 9 37. 5 I5 9 K LUNTA*-0 7?%_) 1 hereby cerlify that this is a true and correct represeMation of a survey of the boundaries ot Lots pa5 46, 47, and 48,:'Block 1, THOMAS LAKE HEIsHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, irom or on said land. !t also shows-the location of the stakes as set for a proposetl building. As surveyed by me or under my direct supervision this 30th day of August 1985 Paul A. .Iohnson as ac 7 6fle 991u/oC9-16•20 land Surveyor, Minn. Reg. No. 10938 CERTIFICATE OF SURVEY "i`?= ¢o, ? ?wE - McCOMBS-KNUTSON ASSOCIATES, INC. fior [CMtYU1Mi GGIM[EIIS 0 IYO iV111110[S M SIT[ PUYMERt >f ? NEW NO?P Iz oN yoMES IiMNE?MLK YM MUTCNIMON, WMMEiOTA ! 4 3 0 . CITY OF EAGAN N_ 1 10 3 5 3830 Pilot Knob Road, P.O. Box 27-199, Eagan,'MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt * To be wad 1er 1 OF 4 PLEX Est. Vei.e $61,000 ?„.e SEPTEMBER 25 ?o HS Sitenddress 1588 CLEMSON DR Loe 45 Block 1 sec/sub. THOM LK HTS 2D Parcel No. W Neme NEW HORIZON HOMES INC ? add.m: P• O. BOX 1367 City MPLS phone 420-3900 ? Neme SAME ? Address 3 1- City Phona bw wame D. GRISWOLD i-? , Address 'W c;tv Pne„B 435-7524 1 hereby acknowledge fhot I have read rhis opplication and state thaf fhe intormation is corrett ond ogree to comply with oll cpplicoble Stota of Minnewta $fatut}ey?--Q? n-d- City /of /Ea1gOrdirwnces. Sipnature of Permitte -?r Y-?a--J A Bufldinp Permit is issued to: NEW HORIZON HOMES all work shall be done in xcordance with all applimble of Mir Buildfrp Officiol Erect N Occupancy R3 pRemodel O Zoning PD Repair ? Type of Const. V Addkion ? No. Stories Move ? Lengtn 44 Demolish ? Depth 27 Int Impr. ? $Q. Ft. Install ? ADOroralf Faes ASUSSment - Water & $ew. Police - Fire Erp. Plonner ? Council _ 61dg. Off. 9/23/85 APC Var. Date Permit S 316.00 surcnaree 30.50 Plan Review 158.00 snC 525 _ 00 WaterCOnn. ` Q-00 weterMeter 63.00 Road Unit 280.00 Tr. PI. 132.00 Parks I Copies Total $2. 004.50 _ on the ezprcss conditlon thot and Ciry af Eoyan Ordinancea. ? ? ? • y ?. ? 7'c?„ae ?r s. ? e?? ? ? S r. ?±?' ; w ' .. i y ? ,.> w? s ?? . ?` ` , • l? }? ,??„? 5, ?'. b ? •F' g?;Y ?3 . - ? 1' ? n? ??_ .. • s ? a?+ ?? 1?.'?19 0 c PQMiT aQPiicaTIvx NOTE:? ALL CORTBACTflRS FSUST 8E LICENSED?NZTH THE CITY,i3F £AGA$ `"" ?' ? . . .. a-?..... ?c ; - uN?T _ ? ? . . INCLtiDE 2?,SETS 4F` PLkNS ? ?. '. 3 CERTIfiCaTES_flF SURVEY_ 1 SE3 OF cNERGY CAL£OLP.T.I012S &l?oav; ; : . To °e i;se?? Por; RESIDENCE ?-Yaluaticn: ?` Date9-3- $? ? Si 'le .-".ddress : 15AA? . Q?? "rf ? ' DFFICE OSE ONLY Lot: Block =Sect/Sub ~THOIAp§ lK Erect'?. -?" Occupancy ' HEIGHFS 4 Remodel_ • Zoning ?' Pp Farcel.ft "r.=pair. - Type of Const ;y -. . :_ ? ,- _ - ? Enlarge 0 :of Stories- - Owner. NEW.HORIZOM?HOPIES, ?INC. Ftove -Length-.? - - - - ?molish ? Depth dd: ess . P.D. BoX 1367? - ? - Grade: :. Sq: Ft .- . " . - . .. City/Zip_Cod° ?Mp2s.. minn ., 55440 :'? ' -=---------- -- -- =- -- -- - - ? - Phcr,e . 420-3900 APPROVALS"- Contractor SHmE - Sssess-iEnts Permit . . 31Co, WaverlS-'r=_r" "Sur'charge ? ..d„? ress • .. ' . : _ _.' _ - Po3ioe ` Plan Pev3ew--? tSF?. . _ - - _" - - ' Fire.' City/Zip Code £ngr NaLer Conm_5ob, Planner =.Hater Heter(03 Pnone Council Road=. Unit Bldg Oif 9Y9 zrks _ krch. /Engr. D. GRISiiOLD - - ? - kPC Tre"atnent P3-: T3'Z.. .. . .._ . . . . ? ? ?f _ . . Variance tid::ress ? 7'OTAL . ?? ?7-tS( f J? (7 _.. , . , _ ?City/Zip Code `y ? ?. . .. ...: ^?--?-----?.?? - ? Phone 6 435 7524? •? '"? `' ? ??? ?`::, , .- '. ..?-. .' .... r.- , .. . .,.., _ .. : •. ? .x- ? _., - . ._ . _ . . , . k 2 .. 'C . - .. . y i i... ' _ ? - ?.. . . . . . w . Le ? .. .. . . . . L ., Y • ? .. . ? . _ , .?. ,. . .. _ . ._ R . . - ' . . . ? . ? ? ? . . . . ? ? . ' . ' . ? . . L . . -, • . . : . . - .-: . . .. . .. . . ' . 9 . . .:. . , ,. . . .. ' .. . _ ... . . . . . . - • . - ? ' . . " _ .. . " <, • : . . . . ??? ' ?-?` . . ". : ?. . .. . .. : . . ?-. ..? ..:.', v ,, ., ?:1. ..t . .. . . . _ . . . . x . . ?. •?•`i.: , ? ' _ a. . ? . . ., . .. ' ' ` . , .., . . . ,,. . _ ,._ . ? ._..a_... ._ .. . . _. _ ?.?.._ ... ? e ..... .. t .. _.. _,.c....... _....,h?..__ , a . ' . ? . ? ? ? • ~ y , . .. _ f T.'• -1' F ` t , . . • _ ' ? y. Zl. . ' F i" ?, .? '.4 r "cX?, d. . :+' t . : t t . v _ - " _ • . ... = o ? _ ` . _ . ._ ?4 .'= . ?' Y ^ •. . .. 385 gUILDI2FG PER!!TT 1PPLICATIflH , . , .. . . ._? ,. NOTE. ALL COHTRACTOR3 F3UST SE LZCEHSED WI?'H TF1E CiTY,DF u N 1 T: .9 9 • _ _ - IkLUDEI2 SETS, OF. PL9NS 3 C*_R3'IFICATES OF SURYEY . . "- 7 SET Or ENERGY CALCULATIONS - lop4 to1,oGL?'. .:. . . . . . TcE= Used For: RESIDENCE Valuation: _? Date: Site kddress: I5P?Al? C,?cvtMCM-b'!i OFFICE USE ONLY Lot: ?(p Bloek I' Sect/Sub 7HOmA5 LK .Erect'? ' Ocqupancy- ' HEIGHTS 'emodel. - Zoning - Farcel 8 Repair, '... TSpe-o#' Const Enlarge,. fl of`Stories . Owr,er NEW HORIZON H017ES, INC.- Move" Length Demolish DEpth .. Address P.O. BOX 1367 G: ade Sq'Ft City/Zip Code mpls., IAinn 55440 ------ =-------- =------------------ ' Phcne 420-3900- ' APPROVALS Contractor SqmE Assessments Permit , 1da'er/5<_::er Sur?hsrge Ld3ress "rolice Plen EevieM , Fire ' SAC City/Zip Code Engr- - ldater.Conn'. Planner'. l,later Meter Pnone Council Road llnit _Bldg,Off Parks Arch./Engr. D. GRISWOLO - kPC _eotment P3 • Variance.. kddress • ?'OTAL f - ? City/Zip Code - _ p ? . . . . .. . . . .. .... -. . i:'... . ::.: . , . . . . , .. ?_.. - .., . . . . , . . , f Phone 9-.. 435=7524 . , - .. . . . .. ' .. .. .._ . - .. _ ' . I .i_ [ . .. .. .. - .. . ^ - • .. . 4'. , . - ,. . • . . ' . . ? . . . . . . . - . .. .. - - . .. . ? . .. . _ . . ' . . . C . . . . ' . . . - . . . ? ? .. .... .-. . : _ ? . . . ., .. " . . ^ .. . . . . , .+v. . .-. . . . .. '> ? . ' . .., . .. . .... . . . ._. > a . . . e G . • - .. " - .• . . , .. ? _ . . - _ .. ' . . ... ' -, . . . , , . . . . _. . . . . _ . . ].. . . . . - . " _ . . . . . -. . . ' . . _ . . " . ', . . . ' . ," ' . , . " . . _ _ . . . ' F ' . . . _ . _ .. . ? " _, . . ' . . ' ... ' . ? . . ' - . . ._ . ..... _ . . . >a . .,.. . <__ _. ... ` ..GS r t , , . ? 4 . . . . ._. i,. ?.. . . . z ?, _ ??„?.. ?v - HOTE ALZ-:i'AHTRAGTORS FSIlS3 BE-F;ICEASED,tdI??! T?iE:? 5 '?' - - ? IT? QF EAG6N >' ;-k ; U'N lT cl?( ?n- , ?-c - SNCj UDE 2 S£TS QF_ PL?NS: 11 - ' ,-3.CSRTI:FZCA?'ES OF SUAVEY - - - 1 S£T QF ENERGY. CFLCULAT?dNS - - -? cD F To Pe Lsed r'or: RESIDENCE Naluation Date.: 9:3=a(?. ,. Si:e kddress: s?uf J OFFICE USE DNLY . Lot: ? Block ?- Sect/Sub THOMRS LK nrect;.? _ Ockupancy HEIGHTS Remodei Zoning: ' Parcel.A._:= , ^ .. _ ? . , ;. Type_ of Const ' - - ' £nlarge, "of Sicories - . ? (Taner' NEId HORIZON HOMES, INC 'Move?s? "Len?gth = - " . . ' . - - Demolish `J = Depth"' Address '. P.O. BOX 7367.- -- Gradei? ., SgFt ? `City/Zip Code. Mpls., Plino ; 55440 . `= =-- --------- ---- . ' ' Pnone-. 420-3900 APPROYALS ContracLor SRI7E L.ssess,°.,ents - Fermit ' - l,'aterGS=wer. 'Sur-harge C.ddress . , 'rn7ir.e-`.? Plan.Review ' .. . = - ? > -- ? 03.? fl ? r r -'z :s: hA an^c "?r, '? `' a - ?' ? , r •.i .?.s3i ? ?_2 F`?'if 3- ? ?? ?.m y`?.5^S'?i?".,uL{??+A Hs^ ??r,e ? it!'°' 3 ? 3g85 841ILDT2iG 'Jt3T AYF'LitFRTZ4Ff _ 5 4 17 . . . . ; •.. r j ,?- a ??.'..?..,"?' a- µi.;?'`ae'r^T ,. - ; ?daTE ' ALf. CONTR?lCTbRS 3#qS7 BE -L-3G£ASEDr;S{ZTH 3HE-?iT3"QF EAG&N*- :?.= .,- ? IIiCLUDE?,.2,SETS OF 3'LA13S„ • . • 3,CERTiF3CFTE5 QF SURVEY . . . ,? 1 SET Gf EhfRGY.CALCULFTIOMS . 20 B° Used"For: RESIOENCE Valuation '? Date: q-3'A? Site ._ddress. ' 613 OFFICE US£ ONLY Lot: 1{?- Block SectlSub jH6tAN5 LK Freet'1 _ Occupsncy HEIGHTS Re?odel " Zoning. . ' .. -Farcel Il .: ' ' _ s? ]?.?`,- r".egair- TX1?e'%of Const. ?Enlarge 9' o#' Stora,esl . . -' Owr,er NEW HORIZON HOAIES, ?INC -" ;>? - -'. Nove?-:?• Length ? - -. Dem`ol:ish D'epth ? 4dd; ess P.O. BOX 9367 ? ? ? . .. . . ? Grade...? Sq ?Ft'? '. - _ '. . . . . . . - . ? . ' . . . ? : -. . City/Zip Code f9pls, .17inn 554401 ------ -------- ' Phcne - 420-3900 ? - ? - bPPRDVALS?- Contractor SAPIE Assessmen:s .?Permit . ?? ?+'eter/Se::er Surcharge' ? Address ?olice P3a'n.PevieW • _? ?' , Fire `-. ...: SACi . - " . City/Zip Code' ? - Engr Water. Conn: - ' Planner • 1,'at,er'Yeter Fnone - _ •. ' Council Boad Unit ; `_ . Sidg Offq . ark§ P.rch./Engr. 0. GRISWOLD APC _ Treatnent? Pl, ?. , UariarieQ Address . -. -.• - '' - _ ``.- TOTAL ? - . . . . . . ,_ ,.., .- .? : . ?.. ..".?. ' f :_ ' .. n . ?. " CiLylZi _: - ?Gode , . r 'Fnone $ .. - _ T - ? ` • n'• ? 1? I -S e _ . r . . : ..t.. . . . . ?yi. . . ? ? . : ? . . _ . . . . ....v . .. . S , . .. . . , -?? .- .. ,. 4.. . _ . _ .. " - .. . _ , w?t. . .. ? , . ? . . . . .. .. ? ? .. .._ . . . - - '_. -? .' . . .. . . _r , .. .. i !? ...-: '.. 1 - . . .. ,.. -. ?.? _ ; . . , . ?C . , . _ _ ?F. j_r c?{ 4.„:?,`k ,?.?, `, ? ,? ? .•; ? . . , ?? . _?_ _ . __ , . . . . . _ ?. ..,.,. . .... . _. . . .? n..?. _. .... c ? ? .:? ' ' Nr-, l.d?J' 1 o??, v 2-Vv, i Y131tiG\L Tawt HEA'T LOSS CALCULATIONS 7?, '?----a-? I?!'j/?p? j ? t <a ? .???a:)??'? ? HEATINGBAIR CONDITIOWING CO. MINNEAPOLIS, MINN. Weather5trip6 A.S.H.V.E. Construction No. Insulation Windows Doors Guide Re}erBnCa Out. Wall lat. Well Cailinp Roof Floor Kind How Applied .. Yes-No Ves-Na 19 FI.L?YIN(, ro ARO°'^ Length 'Z,'? Width Height ? FI. MASIM &.y) Room Length 1/. 0 -W+dH+ °"(. Heigh[ Wi ndrnvs a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Are a No. W, N,h of ana Heipht of pane No, 01 li hts Lineal it. of crack Area s, ft. No. Wid,h of ana Hoipht of ane Nn. al ti hts Lmeal IL af c•ack Area sq. ft. 2 4l ? 2 2 1 1 2 21 17 1 ° it R g 2 2 4 ? 1 Coet Btu Coet Btu . inrii«aei«n 3'? I I 33 inni«eti«, 21 3 -791% Glass 2q Glass 11 5 Exp. wall V. ?12 Exp. wall lO X Net exp. wall Net exp. wali 9• 25 O _fTR. w8th 00'r ?k 1l-I 2 u Int. we{I Ceiling .,_Z.-A 1, 2 ?b Ceiling ' 2.00 26 1 Floor Flaor 1.;}/'.. '(z 5 Total Btu. 7 5, Total Btu. Rgquired sq. ft. E.D.R. or sa. ins. W.A. Leader area Raquired sq. ft. E.D.R. or sq. ins. W.A. Leader area FL jM,N(, Haom LenBth { Width Heipht Height FI. ? ?l+l?p(icLOm lenglh ? S Wid[h 10 Wi ndows a nd Dows- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea NO' Width ol ane Heipht of ane No. af II his L,neal h. o1 <rack Aran sa• ft• No' ?y'dth of orw Hxiphti nf ann No. uf b M1b Lineal h. of cr Y Arae s0. }t. . ? g Rr,? 2 2? 2 2 1 Coef Btu Coet Btu Infiltration 224() Infiltration 3 '79 g G1855 GIa55 C' ` Exp. wall ?C Exp. wall Net exp. wall \ Net exp. wall Int, wall Int. wnll Ceiling } X? 1 2.'S CeilinQ 1SQ ?. ? Floor Floor E- 0 d UU Tocal B[u. S Total BW. 2,1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader aren Required sq, ft. E.D.R. or sq. ins. W.A. Leeder area Roan Length 1'Z Width ? HeiBht ? FI. Room Length 1 Width Height YJindows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Area Nn. W?aih ol ane Meiqbt of nne No. ol li hts L,neel h. of creck Area sa• 4. Na. Wrtllh ul ene Hb?plq u? nne No. of b Ms l.neal ft. ol crack Aren e. ??. Coef Btu Coaf Btu- Infiltrelion Inliltrntion ?_ . Glass Glass Exp, wall Exp, wall Net exp. wall Net exp. wall Int. wall Int. wxll Ceiling Ceiling Floor " -'Flaor ---" .?•?= ?n 7utal Btu. Total 8tu. di Nequited Sq. It. E.O.R. or Sq. ins. W.A. Leedar eren 1 O Raquiretl Sq. 1t. E.D.R. or Fq. in5. W.A. L88der Erea 1 ? HEqT LOSS CALCULATIONS veo- HEATING 8 AIR CONDITIONING CO. MINNEAPOLIS, MINN. Wea[herstrips A.S.H.V.E. ConelruCtion No. Insuletion Nrindows poars Guide Neference Dut. Wall Int. Wall Ceiling Roof floor Kind How Applied Yes-No Yes-No 19__ . g FI. Net Q Room Length 1O Width HeigM FI. Room Length Width HeiBht Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Daors- Crecka ge and Are a No. N',dlh ol ana Ne-9h1 OI Dane No. ol li hts lineal N. of c?eck Area sq. h. N?' Width of ana MoiOht Of ane Nn. o/ li his U?eel f1. ol cre<k Area 9p. 11. . ? 2 2 ao i6 coaf ew coa+ . etu inriitre:i«, 31 7[sQ infiroesi«, Glass Glasa Ezp. wall Exp, well Nel exp, wall 2 Q Nei exp. wall Int, wall Int. w911 Ceiling Ceiling . Floor 10 JC (p-7 Floor Total Btu. 3(.A Total 8tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader erea Flequired sq. ft. E.D.R. or sq. ins. W.A. Leader area F1, aoan LenBth )L„ Width I' Height FI. Room LenBth Width Height Ylindows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Ar ea NO' Widih ol ane Heiqht of ane No. of li hte Lineel iL of crack Aren cp. ft. No. W?Nh ol one Hxip?ti o? ann No, o( h hte LinOaI h. of cr ck ArBO s, ft. L ? Y 9 .2 _ e ?3u tD w 9 J?- _ Coef Btu Coef Btu Infiltration ' 117 2223 Infil[ration Gless 0 OOO Glass Exp. wall Exp. wall Net ezp. II Y 9Z .k 1107 Net exp, well ?at?wa?+ f 2 U 22 Int. wall CBlling CBiling Floor LX I 41 . ? % Flaor rotel etu. Total e<u. Nequired sq. tt. E.O.H. or sq. in6. W.A. Leader area Required sq. ft. E.D.R. or sa. ins. W.A. Leader area FI. length 13 Width Height FI. Rpom Length Width HeiBht Windows a nd Doors-Crackage and Area Wi ndows a nd Ooors -Cracka ge and Ar ea Nn. Width ol 8rb Heiqbt O/ OAnB No. of lI Iq4 Lmee1 It. OI CrBCk 4rea Sq. ft. No. Winib Uf A118 M•:?qb? Uf flflC No. nl II hl6 L.neei h. 0l crack Aren 84• ft• Coef Btu Coel Btu- Intiltretipn . infiltrntion I Glass Gless Exp. wall Exp. walt Net exp, wall 7 ]C6 SA Net exp. well Int. wall lnt, wall ceiuna ce+un9 Floor flcwr . Total Btu. ' iotel Btu. Required sq. ft. E.D.R. or sq. ins.W.A. Leader area Roquired sq, f4 E.D.R. or sq. ins. W.A. Leader area ? . - ?•?a-?rtie? ?°f? ,?- ,? ??..? RECORD OF COMPLAINT Date l/ ,z S --JY Complaint taken Type of building Name ? Address L+egal description Phone number -- 141'7` 9y71 Complaint Action taken 6 Comments '14&u-? eio- ?-? Signature .. ?? ? 1987.BIIILDING PERNIIT 9PPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS IPCLIIDE 2 SETS OF PLANS, 3 CERTIFIC9TES OF SURVEY, 7 SET OF ENSRGY C9LCOLATIONS P10TE: 9DDRESSSS FOR CORNEH LOTS - CONTRACTOR/HOMEOiiNEE MQST DESIGAATS WHICH ADDRESS IS DSSIRED. NO CHgidGBS WILL BE 6LLOWED ONCE BIIILDING PERMIT IS ISSIIED. MOLTIPLE DWELLINGS - RESIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS WMMERCIAL RENTAL IINITS FOR S9LE ONITS X OF SDRVEY - CHECP. WITB BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ? ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: ? Valuation: 0 .? Date: g ILO Site Address Ic?ZSZ Lot 7 S Block ? Parcel/Sub ? Owner n(1 Address City/2ip Code Phone Hc-) 02 - On Site Sewage_ ? MWCC System _ On Site Well _ City Water _ Contractor a/4ME AS 6Uv-c_ Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone U 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee Occupaney _ p.'3 Zoning ? Type of Const (Actual) ? (Allowable) ? dl of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 13,'70 Surcharge D.Sd Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL I y, 3 i ---... y ? . 2/84 CITY OF EAGAII APn .LICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOAi . (PLEASE PRINi) _ 1) PP.'JDFRL-v ADDRESS: IMAL DESCERIPTICv: y7 r,?,t J, (IotBlockjSti,utvisicn or Tax Parcei I.D. NL:.zer) ? I'c' :.''LIy '=i, ST°.'C:'L*RE , DlT'`: OF CiZTGi Ai. `u;TT.JL:G _:r:!I: ISS.,rSG: • ? -- .}= =_-• =°?'"; P'=z.T =Trorp.4PO5M tSE: Q R-1 SZ;Qau «:'aLV ' . .. n ? 2 ???z (T•a L?.?:s3 . 0 R-3 2Ct•i-,v7*s-v (THL= + L'C7Z:'S) { Wi ITS) • ? R-4 APA..°W'c`;I'/CwZC.i•tr7Iljni ( [M'PS) ? CGZt!?SE°.CLAL/RE?'-u2?Cc? IC Q -TA%MCSI.RLAI, Q IN'STIZLZ'IC\'?.LICv"C?ti?T 2) APPZSC=.V"P ?J /IPLEASE PAL'Itj aDDREss: , g / v e/3&I, crrr, srAzy, zIP: ? MNE: 3) PLL:IEE.°. ??• ? Q(PLEASE 69 - PoH CI7Y USE O4LY PDnRESS• ZZG ?+itcL??l?, PLJ!!8ER5 IICENSE: ' ?j n ci ? CITY, STATE, ZIP: a. o ve Fxpired PHONE: ????` ?I PLUNB£A LICERSE ll `765 A/ HOt Of RlCOrd ' ' arr nisia 4) OCC.L'PANI'/CJ.JPIEI2 NF14$: ADDRESS: CTTY, STATE, ZIP: PF$}:IE: (PLEASE PRI111) 5) IIdpIGaE :VtiICH PERhLIT IS BEMr, RFQUESTLD: LL...^IEC,TION 'It7 CITY SEPiEft ? Q.^iv".QEX..-TIC:1 ZO CIZY WATE2 ? U•TM (PLS''1SSE D S IBE) c) , 12.uic<;:i C2:c: 7) SIC-m[,'RE- ? PIynSE F?OLD APPPWID PFRtLLT FQR PIa-L's BY Q.7E OF a'1£CA,'E PI.E-SE :•2SL e1PPF2pVED PEv_•lIT 1rJ 1, 2. C3) 4 ABOVE (C'ire^la nna) . DA'PE: /0 - rr::-MIT = ISSUED F..°Es: S b", S ? nvR_w__. ? r-?r.?::.,:. ^ ?uor_-a? s?:•; E.D. r^• (r_t ?..? ..GL) S ? CG S U WATEc2 PET.tPtIT (IP7CL'uDL JURCa:ALZGL) S G?i c u WATER 81ETER/COPPERHORN/OUTSID: REi,DER $ - ' WATER TAP (INCLUDE CORPORAT203I STOP) . ' S S: :VLR TAP $ - J : C=i::._ ?_?052= - ..c..?:2 J ACCOUNT D.F.POSIT - WATER wac sAc . $ T:tL`NK WATER ASSSSS:ty :T S TRli3IK SB[4ER ASSESSME:iT S LAiERnL BE:iEFIT/TP.U:1K Sr.::?R $ LI:ERAL BEVEFIT/TRU::K WAT°_3 - ---._. TdATER TREATMEI3T PLANT SURCHARGE $ - OTHER: _ -, - S TO;AL p,MOL':IT PAID/RECEI?T __ -- a DOES UTILITY CONUECTION REQUIP,E EXC.aVATZON IN PUSLIC RIGi-IT OF WAY? YES IF YES, THE:I ii "PERMIT FOR LdORK WITHIN PUBLIC ROADWAY" AlUST BE ISSUEO BY THE NO ENGINEERING DIVISIQN. LIST A5 A CONDZ- TION. SUEJECT TO THE FOLLOWING CONDITIONS: .•.' APPROVEO BY: TI;LE: ' DATr: .r tia a.s..? ? ?...?. ..c+...t .?? .?i. r? ? w si? ?er? ?t+ ?+ ir rwi? ws? nt.. ???a ?.i? ?..r ?rt? ?a ?.w ?... ? 1_3 ? CITY Or EAGAN 2/84 j ??'_?•? ' / tt?n APo . LICATION FOR PEBMIT SEWER AND/OR WATER CONNECT20Di (PLEASE PRINT). 1) PPO?F3?' AI7DRE55: LEG.aI. DESCRI?TIC'N: f ? ? ? ??'?-°`?--?--??-?/ ??? (Lot/Block/St::Fiivlszon or Tax Parcei I.D. Nu:zer1 -?'- Z'r' .^^..tZ`_'=z ST_°.CG^.?I:tE , DA-T:.' O° Ci2?GMAi. uiILDZ`:G _? •i IS??i-•\C: ` • ?:'.:.: _. :?_rJ P°ST "-^.`mr-/PPAPOS'T GS: ? R-1 S'VQ.: <<=v- Q c'Z-? C•UPL._LY (T''U C^TSS) . L] R-3 2C7NR??C•cr (T:?L= + L?TITS) ? Wi ITS) • p 2-4 APAi=r/CwZa.,rrll:.X ( c1VZ ?) Q CQ?n1EoCT-V,/RE=-/Cc ZG ? I?1'CL'SI?L?L ? .L1STI:LTIC\3L/G.r^C -EpnT-p%T 2) AP?ISC.VT (?PLEdSE PFiJT) ACDRFSS: ,U A . CIT'l, STATE, ZIP: a.E.? - r PhONE: 3) pjl,:L3E°, (P?E"S? HT) fOR CITY IISE OALY NAtME. ADDRESS: PLllY.BERS CICE9SE• " ? = ctive 1 ? CITY, STATE, ZIP: Fxpi d PHOJJE: ? H?icr PLUYBER LFCENSE N , of RecorQ ' arr niua 4) OCCU'PPNf/CS•rTTF;tt NAI-M: ADDRESS: CTTY, STATM , ZIP: PFXkIE: (PIEASE PRINfJ 5) INDICI.TE :qHICH PERtiLiT IS BEItit RFQUFSTID: Q'=mFCI'IOV 2q CITY SES-j'm ?C?\S?IFX.TIG:7 1U CITY IIATM ' ? dilFR (PIFs15E DESCItLSE) . 6) L`UICA:: C::c.: . ?) sYca L?.: ? P*.E?.SE f!OID r1PPPWFD PERti1IT FOR PZCa- • BY Gi;IE OF AEG%'E u r.L=SE `-AIL APPT.20VID PEP'•tiT TJ 1.g-W 4 ABOVE ? (Ci.t e one) ?'??e naxE: /?` ??1 f I I P ' ' • i ? • • ? ? i • • ? i?• , i? . ?. . '71• • • '?? ? •' M ?I? 1 tl • • v • ? 1 ? CITY OF EAGAN APPLICATION FY)R PERMIT SEWEE2 ADID/OR WATEE2 CONNEX.'TION (Please Print) 1) PROPII2TY P,DDRESS: T•FY;AT• DESCRIPTIOfI: (Lot Block Subdivision or Tax Parcel I.D. Number) IF EXISTING STR['C'I4JRE, DATE OF ORIGINAL BL?ILDING PERMCT ISSC'ANCE: (Fbn Year) PRESENT ZONING/PROPOSID OSE: R-1 SINGLE FANIILY R-2 DC?PLEX ('lt,o ['nits) R-3 TOWNHOUSE (Three + C?nits) ( Onits) R-4 APARTMENT/COPIDCMINIOM ( Dnits) COMNIERCIAL/RETAIL/OFFICE IPIDL?STR3AL INSTITUTIONAL/GOVERNMENP 2) ? NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) ' ADDRESS: CITY, STATE, ZIP: PHONE: MASTER LICENSE # For City Use P1LUnbers License C?"1 Active C Ebcpired O Not Recorc St?ial 4) • • ?• ADDRFSS: CITY, STATE, ZIP: PHONE: 5) ?? • ?• • 0 a CONNE',CTION TO CITY SEWER ? CONNECTION 1b CITY WATER p OTHER (Please Describe) ?? • 6) ? PLEASE HOLD APPROVID PERMffT FOR PICK-CP BY ONE OF ABOVE Q PLEASE MAIL APPROVID PERMIT 'IO 1, 2, 3, 4, ABOVE (Circle one) 7) i • Yft -4*91- OR C I T Y U S E ON:,Y PERMIT '-` ISSUED E----::= FEES; S Ah $ /U SU S S $ /. $ / .S c CJ $ $ $ $ $ $ 5 /-??• ? $ $ $ ?? U U SE:jER ?'E?Z*.1Ti (I`ICLi;DY SliRCm4?RGE) WATEcZ PERP4IT (INCL'uDE SiiRCHARGc) WATER METER/COPPEBHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATIO:I STOP) SE:dER TA? ?r?0i::i•T .,?GSI= - o-: ACCOUNT D.F,PpSIT - PJAT.°_R WAC SPC TRliNK WATER ASSESSi4ENT TRliNK SES•7ER ASSESSbIE:iT LATERAL SENEFIT/TRUNK SE:•- ?R LATERAL SENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL AMOLNT PAID/qgC°I2T # &7 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGiIT OF WAY? ? YES IF YES, THEN n"P£RMIT FOR 'AORK WITHIi1 PUBLIC ROADWAY" MUST SE ISSU£D BY THE , O NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT Tp THE FOLLOS4ING CONDITIONS: APPROVED BY: TITLE: ` DATE: /0 ? t ? ? 1 ?--- . , , + ?;Y?:?? ? • 2/84 CITY Or £AGAN (lp1 : APPLICATIGN FOR PEM-IIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHT) , i) PRonMrr ADDuEss: LEG.:%I. DFSGRi_DTIC:l: (LO lock/StiJriivisicn or Tati Parcei I.D_ Numer) I'r' WiIy', SIMlZ^.'L:tE , DA2r OFCL2T_GMAi. c`+.;LDL`:G _EP:=i ZS3Z7r.?C?-: , \ -- ?:???y ?=r?Yl P?r.L'P ?^.:7T?x;/???APOS ? C?S: ? rZ-1 SINGL: :'AMIIY ? R -';-DUPL= (7.i0 L'::I:'S) ? ? ZCl.•RWnTCr M=- - i L:TI:'S) t UINTITS) • p a-a A2:+Rr-m^;!yccac;,.,Tlrwi t cnzTs) I E ? L/REL"'CrF'I? Q CG I? n CL ?. ^ T ? {! ?`?? ? '?''1J1 ?V ? Vr1 11 ? ?W . . . T^ `'*T / T Q Y\J11aU?1U•Y.Ya/l.\/?r?`ZT?T . . . . . .. . .. . _ . . . . _ ... 2) APP?SC=.,T (PLEAJE PRiGi) . NAF1E: ADaRESS • % CZTY, STaT:.', ZZP: ! • Ph'0NE: j) pu-,mER LPLEASE PR1NT) FOR CITY USE OYLY MME: ? PLtlMB A8 ICENSE: ' ADDRFSS: .? _ W ? Active CZTY, STATE, ZIP: MINNIE-l'ONf:A, M1IJN. 55343 L] Exp' d PHQJIE: w'i`° PLUNBER LFCENSE N of Record ?? ?? • rr ni a 4) OC(.'C,'?ALmT/G*•v7`lm NAME: ADDRESS: CITY, STATE, ZIP: PI-i(}:IE: (PLEASE PRitlf) le_-.zl ? 5) INpIC:,TE :JfiICH P£Rt•lIT IS BEING RDQUESTLD: [?CC:uIF.C:ION '10 CITY SDiFR COCN=IC:I TO CITY tqATE.2 ? 07,1:R (PIT<1SE DESC:LIBE) b) 7) SIa-,?IT.c?t^,: / ?J .. ? Pl-v-LSE E?OID APPP.UVID PEFr•tIT FO4 PIGK-UP BY Q:IE OF tlE(3VE ? P=S :•UliL APPROVm PE:'•LIT TJ 1. 2. ?4 F1EC7VE ? /? (Ci_-cle one) DA'iy: / v I rc ?Vf1"1' = 1SSUED . . ? . ? FEES: SELR DyRt1Ti (nIC_I.;:i : SURC::nRGc ) • SIT3TER PERPiIT (Ip7CiuDE sURc::aacL) WATyR METER/COPPERHORN/OUTSID^ RE:,DzR $ ' WATER TAP (INCLQDE CORPORATION STOP) $ S :•.GER TAP S lS 'n : Ccoi:::': ?_?GSI= - a=..E_z ACCOU:IT DEPCISIT - WATiR jo WaC $ ,? ? S rlrl .SaC . S TRLiNK WATER ASSESS:?E':+T . $ TRliN:C SEjiER n5SE55:?E:iT $ Le`•.TEP.AL SE:iEFIT/T.°.UNK SL:':EY $ LA:cRAL BENEFIT/TRUNiC TVATER $ - --- ---- --- ----- " f PLANT SURCHARGE WATER TREATMEA $ - OTHER: $ TO;AL i L°v ? . $ o o p,uOL'ST PAID/qECvZ2T DOES UTZLITY CONNECTION REQUIRE EXCaVATION IN PUSLZC RIGST OF WAY? ? YES IF YES, THEN A"PERMIT FOR LJORK WITHIN . PUBLIC ROADWAY" MUST BE ISSUED SY TAE ? NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION_ SUEJECT TO THE FOLL0WING CONDITIORS: APPROVED BY: - c1 TI.LE: DAT°: ;-- -? .? ss? n+? s? ? sr .t? ?.c.? re ws? w?w wr ? w?-? wr? ?t+ ?t?w w?wi? ws? rc+ ?t ?? ri+ w?+r rrt? aqs"!w.. ? N3 i --... ? + . f :?•'?:? ? - CI _ .,F3 ! 2/84 CITY Or EAGAN APPLICATIOV FOR PE4MIT SEWER AND/OR WATER CONNECTIOAT (PLEASE PRINT) 1) PP.OMU!' ADDRESS: ? rFrAI. DEEGRIn'i'IC:i: (Lo lock/Subdivisicn or TaY Barcei I.D. NL?nei') I'i' W{IS=.v S?'PL'G^L':tE , De?'.?' O° OcZT.GuAL uiII.JT L':G , .. P?z'..L:P ZC'='x:/??IJPOS= L'S: ? R-1 SitiGL : rMILY • ? R/-Z LLTPL.?{ ('T_::'O L^IT:S) . i-ct-3 4avti'FwJ1Sr-_ ('PH-FL- '.- G':TITS) ( '17ZWi T*S) • p tZ-4 tl2AZ?"'`'?'t_?/C=.Ma.trTI1T..I ? UDiITJ) Q CCl?n1E.:CLAL,/RE?.'"?,.TIJCE:'IC p BML'ST.-tLAI, 2) Aa?TSG-%T IPLEASc PR1Nij . NAi•fE: ADD.4ESS: CITY. SP'ATF,', ZIP: ? d PMNE: 3) PrumER (PLEASE PBIHi) FOA CI7Y USE 04LY NNME• PDDRESS: THOMPSCN ?LUPABING CO., (NC. P???e S'LICEYSE: ' active CZTY, STP.TE, ZIP: .. MINNETONKA MWN. 55343 4 E: 'red PH?: >} wb ic? PLUMBER LFCENSE N 1 ot of Record ?? ' arr nicia 4) OCC.L'?PNC/C*.vTlf.i2 UNNE: ADDRFSS: CITY, STATE, ZIP: PhO:IE: (PLEASE PBINf) 9-0 5} LWIG",TE :dHICH PfR% 1IT IS HEIW, RflQUESTt•'D: • --13 :.?.IECTIOY Zt7 CITY SEYiER L0CM0%'N=TI0N ZO CITY [JP,TETt • Q + MR (PLL:ISE DF_SCRIEE) 6? D:DiG,.:: C::E: . ? PT.?1SE E?OID r1PPP,WID PER%+ST fC7R PICi:^L's BY O:IE OF r'16C.,Z,'E 04=,Sc; :•V,IL APPROVE'D PEY:•LiT T'J 1. 2,? %3)4 ABOVE x, , /i (Ci:cle one) 7) sla:n2t.'rZc^.:???/??L.? . DATE: ?Q ? ? rc tt:611'1' = ISSUED I ? FSES: $ /U- ?2 $ /c< 5? $ $ $ $ $ $ S $ S :?:E.°, nER-MrT. (2`ICI..:0'Z JURC:tRGL) WATER PEF2PlST (IP7CiuDE SLiRCHAcZGc) WATER DIETER/COPPERHORN/OUTSIDv- REt,D: R WATER TAP (ZNCLUD: COR?ORATION STOP) S::vLR TAP ACCOUDIT DrPOSIT - WATER wac SAC ' . TRLiVK tIATER ASSLSS:IM:T T4GNK SEWER ASS: SS:•?E3iT Li,TE?.?.L BE:IEFIT/TRUNK SE::'':.'Fc LATc:tr1L BENEFIT/TRU::K NATER -- WATER TREATMEIQT PLANT SURCHARGE $ - OTHER: 5 TOTAL +S ucpittOL';:T PAID/RECEI2T n S?o/?cJ . . - , DOES UTILITY CON.IECTION REQUIRE EXCAV?,TION IN PUBLIC RIGiiT OF WAY? YES IF YES, THEN n"PERMIT FOR-•n10RK WITHIN PUBLIC ROADWAY"'MUST BE ISSUED BY TY.E ? NO ENGINEERZDIG DIVISION. LIST AS A CONDI- TION. ` SUEJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: .. •_:? TI:LE: ' DAT° w fr? a.? s? ? sr .+? ?.c r re ?? ?? ar w sr ww ?e.? ?c+ w iw? ws? ?+ w? r sa ?i? ?e±r rrt.? r? ?+w ? n. ti *-*, 65433 2004 RESIDENTIAL MECHA1vICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: single family dwellings & townhomes/condos when peanits are required for each unit Date o(GJ / C?J / q SiteAddress Unit# Property Owner Telephone # ( ? 56 Contractor Stceet Address (o ( .?1 . J ? ?S? ?? w ' City ? &yl / State 7ap -5,SO&YTelephone p Bond Ezpires: The Applicant is _ Owner -?nhactor _ Other Add-on or alteration to ezistiug dwelting unit $ 30.00 furnace _Add'Rional _Repiacement air exchanger t?r--air conditioner 'IRvacement _New -N-tl other statesurcharge JUL 16 2004 g .50 Total $ I hereby apply for a Residential MecLanical Permit and aclmowledge that the information is complete and accurate; that the work will be in confocmance with the ordinances and codes of the Ciry of Eagan and Mechanical Cades; that I understand tUis is not a pemut, ut only an application for a permit, and work is not to start wi trio it; that the work will be ' accor ce tl? the app ve plan in th? e o 1 rk wtuchs?view and approval o PIMA. ? Applicant's Printed Name Applicant's Signature k6 N 1 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 _Ze 1 ?_ 1 6 ?/ Site Street Address &,rg ?o nzvr,?Jy /QI(i Unit # Property Owner ? Telephone # ((?j ) ?(Y5 - 7?,74, Contractor 47-Y" YQ4-"O-? Telephone #((?51 )Ol0 5-! 3'} 0 Address j to 71) AseQ.eQ.. City ? State `{9/7. Zip $/-L3 The Applicant is: _ Owner ?Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener ? Water Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surchar 7 ? $ ,50 Total ?UN 3 U 20?4 g?? Sd I hereby appl "' ._ . s? ia 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. Mo!Q y 6t ".V ti.° kL5. k_2a .??J ApplicanYs Printed Name ApplicanYs ignature - ,. 1 _ .. \ . ) ) i ) 1 1-3 Use BLUE or BLACK ink I For Office Use I Permit 11 b~ 53 I My of EaI Permit Fee: -70.5o 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: Phone: (651) 675.5675 1 I Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION d Date: Site Address: gS~)^5 S~ 159b.) 5~°0'3 81 ~ ------Un t` : Z Name: J -1 bN- ~ / r t! ~t141, &4'sf'1_ OS --Phone: -Z• 72/-I=d- Resident/ Owner Address / City / Zip: Applicant is: Owner - Contractor Description of work: e mg F * Type; o Work Construction Cost: _ Jot-7 Multi-Family Building: (Yes No Company: 2A_L__0_ 41C 7_/ OAI Contact::~~~ 679 5'/3 Co'ntractor' Address: City: Nl/ht?eQ_~ fiS State: I r l A - Zip: Phone: 612 =L 2- License t^ - 1 Z 0_6 2- Lead Certificate 2 V?'7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? -Yes -No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: _ NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstatsonecall.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 authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X. 1!1i24'be1CA CnM x T Applicant's Printed Name Applicanys' Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137190 Date Issued:06/21/2016 Permit Category:ePermit Site Address: 1588 Clemson Dr Lot:45 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-450 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Angelica Hunt 1588 Clemson Dr Eagan MN 55122 (651) 216-3756 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA150839 Date Issued:07/25/2018 Permit Category:ePermit Site Address: 1588 Clemson Dr Lot:45 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-450 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Katelyn Warburton 1588 Clemson Dr Eagan MN 55122 (712) 320-0636 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature