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1592 Clemson Dr? • ' w ' `PERMIT # (1- ? RECEIPT# DATE 4-i CITY OF EAGAN MECHANICAL PERMIT 454-8100 MfNIMIfM RESIDENTIAL FEE - $10.00 } $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res P/ Comm Inst 2. New --5' Add FEE & 5/C TOTAL .; /d G U Alter Repair 3. Tata{ Bid Psice ?l,'- ILJ ? 4. Job AddreSS 22-1t 1r Lot?, ? Block ?._ Sec'?? ?- ?1 ?? ,5. Owner GEO. ?EDGWlCK EA¢iP?a? & , ? r1L 6. Contractor Ep?r.p, (Name) MSNNEAPOLIS, fV1N. S??Slre t) (Clty) (z[p) 7. Contractor Phone # 545-1611 RESIDENTIAL HEATING - 01-100,000 BTU's - S24.00. 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 v AIR COND. ?AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RCFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1"i6 OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACFI $1,000 OF FEE. Signed: r.d for /!7^ Approved Inspections: Date Rough lnsp. Date Final Insp. .? f- ?0?• • , BUILDING PERMIT V' ? ! Receipt # To w wrd fer Est. Volue Dote , 19 Site Addresa Erect ? Occupancy Lot Block Remodel ? SeclSub. 3tL. ? 2oning Parcel No. Repair TypeofConst. Additfon ? No. Stories Move ? Length Z Name Demolish ? Depth t Address ? Int Impr. ?' Sq, Ft. City Phone Install ? t ; Name , ? Address u ? City Phone CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone Assessment _ Water 6 Sew. Police Fire Enp. Planner Council I hereby otknowiedge that I hove reod this applitotion ond stote thot gldg. Off. the inlormation is correct ond ogree fo comply with all epplicoble APC Srate of Minnesoto Stetutes and City of Eegon Ordinonces. V D Permit Surcharge i Plan Review , SAC Water Conn. • ? ' . Water Meter Road Unit Tr. PI. I 5ipnature of Permittee ar, ete COpies Total ? Bulldiny Pertnit Is isswd to: m fM express eonditlon ihas dl work shall be dona in accordorxe with all opplicabla Stote of Minnesota Stotutes ond City of Eopan O?dinonces. ? Pwmit No. Pormk Holdw Ds" Telaphons # Wrmbinq N Q Ff.VA.C. YVL Ehmiric 6q-77q 1; CYL. soft.mr InWoction Dats Insp. Other Footlngs I Footings II Foundation Framiny -t-1-E ?", Roofing S ?4 ? tl Rouyh Pibg. 42 Rou g ,/: ,,, ?? ? • ? Insu + Firo ? Ffnal Htg. 9 Final Plbg. % 4 Finel , Cert/Occ. Water Dowibe Location: Wsll Sewer Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-198, Eagao, MN 55121 ' PHONE: 454-8100 , eUL.DING PERMIT Re«ipt # TO M w"d fw Est. Volur Date Site Addresa ` Erect ? Occupancy n , Lot ak Block ? Sec/Sub. Remodel ? Zoning ,' jT Percel No. ? Name CiF ' ZO',.- . ' •? Address ? - . .. . City Phone Name _ tE U§ Address H r Ir., Phone Name Phone . i ri - 7 h:: ' Repair ? Type of Const. Addition ? No. Stories Move ? Length ? Demolish ? Depth Int Impr. ? $q. Ft. ? Install ? ApRrora N Foas /lssessment _ Water & Sew. Police Fire Eng. Planner Council Permit k A_, i Suroharge Plan Review SAC ? % • ' ' Water Conn. Water Meter Road Unit 1 hereby acknowledpa thof I hcve reod this opplicafion ond sfote that gldg. Off. Tr. PI. the information is oorrect ond ogree to comply with oll opplicable APC State of Minnesoro Statutes ond City of Eogon Ordinonces. ParkB Var. Date Copies Sipnaturo of Permittea , Tot81 A Buildinp Permit Is issued to: on the exprcss tondition 1hal all work shcll be done in atcordante with oll opplicoble Stote of Minnesofo Statutes ond City o! Eopan Ordinonces. Pa mlt No. Pwmit Holdsr Dato TeIsphons # Piumbinp .? ,v H.VA.C. {f(? Ebetric ?S9 7 7 (,Y • °,j ? ? .' SoftNNr Inspaetion Dato Insp. Other Foo:ing. 1 10)3 I?; D r?- Footinys 11 Foundatlon ? Frsminp c,l•?`-? 6 '? ? ?. Rooting 6 . Rougn wbg. Rough Ht9. yiis/j4 t4e., Insul. y/?? f4 ?!l Flroplace o- Flnal Hty. g• -pb a ? ^ ? E ??ia Location: Disp. . .. . r PERMIT # 69 2,3 CITY OF EAGAN • . MECHANICAL PERMIT RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 DATE MINIMUM COMMERCIAL FEE - $20.00 + S-50 1. Bidg. Type: Res Comm Inst 2. New ? Add - 3. Total Bid Price `? ?I L) - 4, Job Address 'FEE cv'_y Sl. s/ c - S? TOTAL Alter Repair Lot S CDBlock Sv- -? ?? 5. Owner GEO. R f,W1CK HE iNG & AN. 6. Contractor (Name) MINNERPOUS, PdiN, (City) (Zip) 7. Contractor Phone # E9-13-l(i . RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. 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 COND. eIR PIPING PROCESSED PIPING AiR HAND. EQUIP. RtFRIG. ? RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGfiOUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. / . i Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # 1 O 0?-- ? ° MECHANICAL PERMIT RECEIPT # CITY OF EAGAN " 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE •.:. •?.? -f CONTRACT PRICE: ? -• ?, ? PHONE: 454-8100 ' ' fte Ad reSS ' •- ;^-? . ' ' , -.'? BLDG. TYPE WORK DESCRIPTION , LotBlock c/Sub Res. New Mult Add-on m Name - - , Comm. Repalr ? Address v., , r Ajr: c ? City Fli iv N;?J?bl? M P' S:i42i; ?? . '•=1; `c.;?n . FEES ? Name RES. HVAC 0-100 M BTU - $24.00 c Address ' ? ADDITIONAL 50 M BTU - 6.00 , p Ciry Phone ' -? (RES. HVAC IMCLUDES A/C ON NEW i CONSTRUCTION) Aln - 1 50 EA tl GAS OUTLETS MINIMUM 1 PER PEki . - i . ( TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLtES TOWNHOUSE 8 CONDOS - RE5. RATE APPLJES - - Boiler M BTU _ MINIMUM RESiGENTfAL FEE - ALL AdDbN 8 Unit Heater M BTU -It ' REMOQELS - 12.00 ? Air Cond. ? M BTU Q MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ ? (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: c . + s,_, <-' t r -- '% ? S/C: SIGN RE P TOTAL: FOR: GITY OF EAGAN 'rt?svrar?.:,.:: . CITY OF EAGAN ' ;1 Q fj g 3830 Pilot Knob Road, P.O. Box 21-199, Eayan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt T* bt rad fw !:.3i- 4 PL(;A Est. Value $61. 00,' p.,rP UCTOBE)< io :. Lot 1, Parcel No. _ W Neme '. ' ',7 ??i : • - r- ? Address ^ ?-? City Phone •:? - J v Name Addre F C:iw Phone W PName ?_• • f 2? ? Address pV[Z City Phone e? J J'750 2 .A I hereby acknowledfle thct I hove read this application ond state that the inlormotion is torrect ond ogree fo tomply with all npplicoble State of Minnesoto Statutes and Ciry of Eagon O?dinonces. Siynotum of Pertnittee A Building Pertnit is issued to: 'R I ;..? all worlc shall be done in occordonce with oll oppllmble State of Minr Remodel ? Repalr ? Addition ? Move ? Demolish ? Int Impr. ? Install ? Nssessment _ Water E Sew. Police Flre Enp. Plonner Occupancy Zoning Type of Const. i No. Stories Length J Depth ?. % Sq. Ft. Permit 00 Surcharge U Plan Review Q snC '- ` .00 Water Conn. 0 Water Meter F? 3 . ? n Road Unit 0 , or Bldg. Off, `? Tr. PI. 1. 32 . 0101 APC Perks Var. Date Copies Total Otj Y • •`) ? on fhe sxprcss condition thoi esota Statutes ond City of Eoqon Ordinonus. " Pamit No. Pwmit Holdw Daft Telephons ?k Plumbillo r, HM.A.C. EMcerie Softww Inspection Date Insp. Other Foot,ng. l Footinps 11 Foundation Framinp Rooflnp Rough Plby. ay_ fb ? ?- Rouyh Htg. y/is,/j Xf,?v Insul. Flreplace `' 4/9 r 7c/?7 r Fln al Hty. Final Plbg. ?o -SG Final 42 Ckt/Occ. Water DncriM Lpcation: ? Wsll ? •?a ?? Swver Pr. Diap. PERMIT # ?. ?S SU CITY OF EAGAN FEE MECHI?NICAL PERMIT RECEIPT # ?s 454-8100 S/C MtNIMUM RESIDENTIAL FEE - S10.00 + $.50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ?,? Comm Inst 2. New ""' Add Alter Repair 3. Total Bid Price ? G J v 4. Job Address / 1?41/ e /211-, Lot ? Black Sec *??rt,? ?AY? 5. Owner EzO. MGM h[ATiAG & AIR C`.'MNI' -'' 6. Contractor (Name) ?? (Crh') RiP) 7. Contractor Phone # rfINNEAPOLIS, MN. 55,d 545-I61?. RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. 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 ?G HEATING _LNENTILATING HOT WATER STEAM ? AIR CONO. nIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF T9TAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ?.? Signed: for !yit-I? Approved ' Inspections: Date Rough Insp. Date Final Insp. . . , - Jr ?1-;y -? PEAMII' #0 CITY OF EAGAN `FEE MECHANICAL PERMIT S • G RECEIPT #- ? 454-8100 S/C , MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL U DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res ? Comm Inst 2. New `-' Add Alter Repair 3. Total Bid Price 4. Job Address ?- .k .,,.:ra n Lot ?12- Block ,? .?;!??,r 5. Owner LU? . II1??U1:? ?, I. ,i.i . 6. Contractor 111o1 XENlA g.b'F ?O ' (Name) MINNEAPOLIS, MiIV. 5'?2? «'?`> (Z'P) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. 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 COND. AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG. _kG RES. GAS PIPING OUTLETS -$1.50 T,ANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ` - ? 3de???- Signed: ?/Ig? for App7oved Inspections: Date Rough Insp. - Date Final Insp. , r- --- -? BUILDiNG PERMIT i% I0+j 11070 Receipt Site Address Erect LJ Occupancy lot ' " Block Sec/Sub. ' , : Remodel air Re ? ? Zonin 9 T f C t Parcel No p ype o ons . . Additlon ? No. Stories Move ? Length ? Z Name Demolish ? Depth Address I t I ? ? n mpr. Sq, Ft. City Phone Install ? Name Phone Name 1% ' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E : 454-8100 Phone ': 3 5 Assessment _ Water & Sew, Police Fire Enp. Planner Council I hereby atknowledgs thot I hove reod this opplication and sfote that gldg. Off. ' S the information is Correct ond ogree to comply with oll applicable APC State of Minnesota Statutes and City of Eoflen Ordinances. F??s Permit / Surcharge Plan Review SAC Water Conn. ?.r Water Meter Road Unit Tr. PI. Parks Var. Date ? C?I? 5iyncture of Permittee Total A 8ulfdiny Pem?it Is isswd to: ' on the exprcss conditlon tha+ oll work shall be done in accordanca with oll applicoble State of Minnesotu Statutes ord City of Eopen O+dinoncea. Buildirp Official PWmk No. Pwmk Holda Daa Taisphone PIumbinq iJ l H.VA.C. r " ENetra 8oftemr Impockion Dats Insp. Other Footings 1 ») ? r Footings 11 Foundation / i Framing Roofiny Rouph Plbp. Rouyh Hty. r6A& ` Inwl. Y?ya.? fui Firoplace S Y 6. ?< Flnsl Hty. 264 Final Plby. Final Cert/Oca Water Dascribe Location: 01 A/i,? y !r SG si e4,+.Sov* eaRI rff /k.F pr Ws11 a ?• a ?+...'ts Sewer Pr. Disp. -I # TOWNHOUSE . dUILDING PERMIT Site Address _ Lot 5 0 Parcel Na _ CITY OF EAGAN N °_ 1 10 b 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? Receipt # 4 PLF.X U_1.._ 561.000 .,_._ OCTOBER 2 ,,.85 ra Name NEW HORISd] = Address P• O. BOX 1. ? MPLS City phone p Remodel ? Repair ? Addition ? Move ? Demolish ? Int Impr. ? inarAu n 2oning PD Type of Const. V No. Stories l.ength 4 4 Depth 2 7 $q, Ft. ? Name SAME wpprovais u? Address Assessment o- City Phone Woter & Sew. Police P! W Name D. GRI SWOLD Fin !? Address Enq. ?W City Phone 435-7524 plonner Council I hereby ocknowledfle thct I have read ihis opplicotion ond state thaf gldg. Off. 9/18/85 the inlormofion is correct ond og?ee to comply with oll opplicable APC State of Minnesota Statutrs_Qnd City of Ea9pn Ordinonces. r ?? •- , ,• f/ . Var. Dete 5ipnature of Pemnitte?. ??---/ L h Building Pertnit Is issucd to: NE oll work sholl be done in accordante with Buildinp Officiul Permit $ 316.00 surcnarge 30.50 Plan Review 158.00 snc 525.00 Water Conn. 500-00 Water Meter 6 3_ 0 0 RoadUnit 280.•CU Tr. PI. 132.00 ....r.... iN S INC Total $2,004.-50 i, on the exprcss condition thoi Stote f eto Statutes ond City of Eagan Ordinancea. Neme D. GRISWOLD 5lynoture of Permittee 41%. A Building Pertnit is issued to: all work shall he done in accordarxe Buildinp pfficfal ofion ond state that with all upplicable Ordi nonces. OCTOBER ,,. ) Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth 27 Int Impr. ? Sq, Ft. Install ? Approrals Feas Assessmenf Permit 9 J1 v. u u Woter 8 Sew. Surcharge 30.50 Police Plan Review 15$. 00 Fire SAC 525.00 Enfl. Water Conn. 500.00 Plonner Watef Meter 63-4 0 Council Road Unit 280.00 BIdg.Off. 9/ 18f SS Tr. PI. 132.00 APC Parks Var. Date CoRies INC $2,004.50 Tmel on the express cmdition lhar esota totures and City o+ Eugan Ordinonces. TCWNIIi0i1SE CITY OF EAGAN N° 1 10 6 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 QUILDING PERMIT Receipt aqt ?..w w r,rr,v tcI nnn 2 85 TOWNHOUSE CITY OF EAGAN N°_ 1 10 6 9 -' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? BUILDING PERMIT PHONE: 454-8100 Receipt * (?LG S I r,, t.. ..." s.,. 1 OF 4 PLEX c.. v.,i,,. $61, 000 .,-._ (3CTaBER 2 ,e85 SiteAddresa 1594B CLEMSON DR Lot 51 Block 1 seclsub, THO Parcel No. W Name lv?rr nvtc?.av?v nvriza ; Address P• O• BOx 1367 b CitY MPLS Phone 420-? ? Name SAME Ou u Address ? City Phone ~W D. GRISWOLD FW Name iZ Address I hereby acknowledga thot I have rec the informction is correct ond ogre Stofa of Minnesoto Statu? t?d Ci Sipnoture of Permittee h Buliding Permit is issued to: atl work sholf be dane in occordonca Bufidinq Official to state thot Erect EK Occupancy R3 ? Remodel ? Zoning PD Repair ? Type of Const. V Addition ? No. Stories Mave ? Length 44 Demolish ? Depth 27 Int Impr. ? Sq. Ft. Assessment Permit _$ 316.00 Woter d, Sew. Surcharge 30.50 Police Plan Review 158.00 Fire SAC 525.00 Eny. WaterConn. 500,..00 Plonner Water Meter 63 _ 00 Council Road Unit 280.00 eid9. orf. 9/18/85 Tc PI. 132 . 00 APC Parks Var. Date Copies Total $2, 004.50 INC on the Express condition thoi mota Statutes and City of Eagnn Ordinances. ( TOWNHO9$E ) ' CITY OF EAGAN N°_ 1 10 7 0 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 6UILDING PERMIT rte«ior # Ts ha Need ier 1 OF 4 PLEX FN vm„. $ 61 , 0 0 0 n„,e OCTOBER 2 10 8 5 Sita Addresa 1594 CLEMSQN DR Eract K1 Occupancy R3 THOM LK HT ot 52 B1cek 1 seclsub l S 2ND Remodel ? Zoning PD . . Parcel No . Repair ? Type of Const. V Addition ? No.Stories NEW HORIZON HOMES INC Move ? Len9th 44 ? Name D i ? ' ?Z P. O. BOX 13 67 emol sh Dcpth 2 ] ? Address 420-3900- MPLS i lnt lmpr. ? sq. Ft. ty phone C Install ? Name SAME Approvals Fees g Address Asussment Permit --i 1 fi - Q Q ? City Phone Water b$ew: Surcharge 30 - 50 Police PlanReview 1.2.8 - 00 ?W Name D. GRISWOLD Fire SAC 525.00 _? Addreu Enp 500.00 Water Conn . . tW City Phone 435-7524 plonner WaterMeter 63.00 Council Road Unit 280.00 I hereby ocknowladge thot I have reod this opplication and state that Bid9. Off. 9/18/85 T, pL 132 . 00 the inlormotion is correct ond ogree to comply with all opplicoble APC 5tote of Minnesota 5tatu and City of E n Ordinances. .°° Parke . ?( Var. Date Coples 5lpnature of Permitt ? &,? e?? rotal $ 2, 0 0 4. 5 0 A 8utlding Permit Is issued to: NEW HORI ZON HOMES INC on the expresy corbdition that I oll work shall be done in occordence with oll oppliy¢ola Stete ok'KiiThy ?esota Statutes ond City of Eoyan Ordinonces. , Buildiny Offitlol CITY OF EAGAN _IRemarks zm 4?b 421 Addition• Lot Blk ? Percel #1? Owner Screet 592 G1 emcon Dri ve Srate Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8 STREET RESTOR. 981 GRADING SAN 5EW TRUNK * SEWER LATERAL 1 52 .0 2 -"8 _ WATERMAIN +t WATER LATERAL WATER AREA 13- 1981 136-51 77 40 5 4 5-5-83 STORM SEW TRK 249.91 AOZPZ P --B * STORM SEW LAT 1981 CURB & GUTTER ' 51DEWALK STREET LIGHT WATER CONN. BUILDING PER, 11 67-11070 SAC PARK C1,7Y 0F EAGAN Remarks Additiorr Thnmac t.ake HP9ghtSA di ti on Lot 10 -50 Bik ;? Parcel #10 Owner / st,eet 1592 B Clemson Drive State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. S STREET RESTOR. GRADING 5AN SEW TRUNK 1973 44'QG *SEWER LATERAL 1981 '..37..61 2 15.05 Q 2 - -8 WATERMAIN * WATER LATERAL 1981 WATER AREA 54.61 2 - -8 STORM SEW TRK 249.91 A0121 2 --83 * STORM 5EW I.AT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 500-00 BUILDING PER. 1100-11070 SAC 00 PAR K CITY OF EAGAN emarks Additiorc Tbnmas i.akP HPi g Q ddi i Oti Lot ? 59?=Blk ? ? Parcel #20 Owner street 1594 Clemson Drive State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, lj],, 8 A03212 --$ STREET RESTOR. GRADING SAN SEW TRUNK 9*73 a,4 *SEWERLATERAL 37.61 7 52 .p A 2112 - _8 ` t WATERMAIN * WATER LATERAL WATER AREA 4.()1 A0121 2 --8 STORM SEW TRK 312.37 20.82 15 24 . 1 A0121 2 - a * S?ORM SEW LAT 1981 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 500.00 n n BUILOING PER. 7_ SAC 525.00 i PARK ? CITY OF EAGAN Remarks 1 Additiort' ThOll1aS Lake Height ddition Lot Pe?cel Owner Street 1594 B Clemson Drive State Eagan, IyN 55122 Improvement Date Amount Annuai Years Payment ReceiQt Date STREETSUflF. 279-71 .8 STREET RESTOR. GRADING SAN 5EW TRUNK /9 7 *SEWERLATERAL 1981 37.61 7.52 1.0 A012112 --8 WATERMAIN * 1AfATEFi LATERAL 1981 WATER AREA 54.61 AO STORM SEW TRK 24 . 1 A0121 2 -•.8 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road ni 56051 10 3 85 WATER CONN, 500.00 BUILDING PER. 1067-11070 SAC PAR K GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD J ? I XDDRESS CITY OCCUPANT 'Uew Vlor, &J+V OWNER HEAT LOSS DATE HTG. INST. SOLD BY -' INSTALLED BY -? P-' w ? Electrical Work Bv Gas Line By r'' TYPE OF HEAT GA_ FA?_ HW_ STEAM SPACE HTR. UNITiHTR. OTHER {GAS DESIGN CONVERSION MAKE n' MAKE OF BURNER _ Model u;,Q??, c_ 91., Model Serial Max. BTU Rating INPUT Su•GGY? MAKE OF FURNACE Model CONTROLS THERPJIOSTAT Heat Pluo Limit Limit Setting Fan Setting Pilot Type ' ?1 r C ? t A•' r Pilot Make Pilot Model Q'Q - Pilot Timing _ ? ?'vS a N ? L.W. Cut Off Pressure Percent CO ?° Input CFH b Percent 02 1 Stack Temp. G' Percent CO ? Vent Size - C7 / NC /( KIND OF LINER SIZE NONE Draft Hood ' I ? L ? Regulator < Filters Size Number Chimney Location Inside Outside Chimney Construction r ? J J( Smoke Bomb Wiring Draft `-? Test Tag ? ? Door Pressure Lighting Inst. 04C Date Tested Company Testing ? " wi ' Name of Tester , M iU ,'0<`• f?S?.?, 13 l ? - & L HQUSE HEATING TEST RECORD L f-J /7 r , • LCDDRESS f?? I C P?rl ';uA, I!K ` CITY OCCUPANT_ i-lv,r- r?t1, pWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLEO BY ?~?• Electrical Work Bv _ A/r Gas Line By TYPE OF HEAT GA_ FA_,?_ HIN_ STEAM SPACE HTR. UNIT HTR. I GAS DESIGN MAKE "?r AIIJ f Model 36L Lci ( f„-, ???i; SJ(l Serial INPUT 3?, CJ?iC? CONTROLS THERMOSTAT - Heat Plug Valve ?.X -3C'? Limit ?h r Limit Setting 1 7Ci ° ? Fan Setting /d U `r Pilot Type Oilot Make & _71-JA-1 ? Pilot Model Pilot Timing U4C? - ?/ ? L,W. Cut Off P ? /U P ressure ercent COZ Input CFH `t Percent 0 Stack Temp. 2 2 `-???°?? Percent CO ?f?? Nt MAKE DF BURNER _ Model Max. BTU Rating - MAICE OF FURNACE Model Vent Size _ CDNVERSION ? KIND OF LINER SIZE IVONE Draft Hood l /1, '4tu i P , Reaulator Filters Size Number ? Chimney Location Inside Outside Chimney Construction ? o < ; fY Smoke Bomb Wiring Draft Test Tag-\4' ?- ? Door Pressure ,-?-- Lighting Inst. _' ?j.f Cf Date Tested Company Testing Name of Tester Form 235 Z 4 11t ?5. ?. dl, . GEO. SEDGWICK HTG. & AIR COND. C0. HOUSE HEATING TEST RECORD ADDRESS CITY OCCUPANT vt ?U/l. OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTAI LFr) RY ?t°O ? E 4 L!J /C Electrical Work By /' 1.1e- Gas Line By TYPE OF HEAT GA_ FA ',_ HW_ STEAM SPACE HTR. UNIT ? G?1S DESIGN MAKE ??t ti f MAKE OF R?JE?? Model Model f1 Serial Max. BTU hw?- INPUT 1 C? oUO MAKE OF? ? Model '- CONTROLS THERMOSTAT??3 y Heat Plug Valve 5?r j4 ,- 1'1/1CT= ? ? Limit Limit Setting - ) 2 b ` Fan Setting Pilot Type 1- ?P di Pilot Make ? ? ? ? • Pilot Model' Pilot Timing .t, L.W. Cut Otf ? - Pressure Percent COZ o;. ? InputCFH y 7 Percent O 2 Stack Temp. Percent C0 ?U1lL? Vent Size ,0 K I N D O _ Draft Hood Filters Size _ Chimney Location Chimney Construction CONVERSION Smoke Bomb '--' Wiring F1 /( Draft '?- Test Tag YC5 Door Pressure --r Lighting Inst. _r-).??? Date Tested Company Testing T, CL? . NameofTester Form 235 R*pipt PLUMBIN(3 PERMIT CITY OF EAGAN FiII in numbered spaces Type or Prini 1egiQlY 1. Date 2. Installation Cost -? Permit No. FN i s/C 1 i Tot ? i 3. Job Address Lot Blk. Tract 4. Owner 6. Contractor ; r Phone 8. Addross 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New O Commercial ? Institutional O Add ? Alter O Repeir ? 10. Dacribe 11. No. Fixtures Water qoset No. Fixtures Cess ol/D infi ld Bath tubs po ra e Se ti T k Lavatory p c an ft S Sttower ner o Well Kitchen Sink Urinal/Bidet Othe laundry Tray r Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outlats 12. I hereby certify that the above information is true and correct, and I aQree to comply with all ordinances and codes governing this type of work. Siyned : for Rouah Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 46"100 Receipt PLUMBING PEAMIT CITY OF EAGAN fill !n numberod t,paces Type or Print lepibly -? Pennit No. , j i FM + S/C ; Tot i 1. Date 2. I?utallation Cost 3. Job Address Lot Blk. Tract .? 4. Owner ; 5. Contractor Phone ' 8. Address 7. City State Zip . ' 8. Building Type: Residential E3 Commercial ? Institutional ? 9. Work Description: New ? 10. Describe 11. Add O Alter ? Repair O No, Fixtures Water Closet No. Fix ures Cesspool/Drainfield Bath tuba $e tic Tank Lavatory p Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Pipinp Outlets 12. I hereby csrtify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : , for Rou9h Final Inspectiona: Date Insp. Date Insp. This is your permit when numbered and spproved. Approverf CITY OF EAGAN 464-8100 Raaipt ? PLUMBING PERM17 CITY OF EAGAN Permft No. ? Fa { fill in numberod;qacea S/C ? Type or Print /egiWy Tot 1. Date 2. Installation Cost 3. Job Addreu r, -L Lot Blk. Trect - r 4. Owner 5. Contractor ' Phone 6. Address 7. City State Zip 8. Building Type: Residential Q Commercial ? Institutional O 9. Work Desaiption: New ? Add ? Alter ? Repair O 10. Describe 11. No, Fixtures Water Closat No. Fixtures l/D i fi Co ld Bath tubs ra mpoo n e Se ti T k Lavatory p c an S f Shower tner o l I W Kitchen 5ink e Urinal/Bidet Other Laundry Tray Floor Drains Orinking Ftn. Slop Sink Gas Piping Outlets 12. I hsreby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for RoupA Finsl Inspactions: Date Inap. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Rsaipt PLUMBING PERMIT Pe?mit No. CITY OF EAGAN • FN f!!I in numberod r,pecea S/C TYPe or Print lagibly Tot - ? 1. Date ,' 2. Installation Cost 3. Job Address Lot Blk. ' Tract ' a4. Owner S. Contractor Phone i6. Address' L. lv ' 7. City State 2ip j 8. Buildiny Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add O Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess oul/Drainfield Bath tubs p Septic Tank Lavatory Softner Shower Wel l Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby osrtify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Siynad . _ ' -- ' for Rouyh F inal Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 4544100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?:'' I 1 r' f NA 3830 Pilot Knob Road Permit Number: i' 30 a 19 Eagan, Minnesota 55122-1897 Date Issued: i / 0 ' '') 7 (612) 681-4675 SITE ADDRESS: !'"9' 1 (' N 0 APPLICANT: +. t? tr 1 ii ? ? ? I`:.'N[l PERMIT SUBTYPE: TYPE OF WORK: r+e u «r:?;r.krt, rinN 14reurtn aEcM INSPECTION .. . D. ? J ???I Permit No. Permlt Holder Date Telephona N ELECTRIC PLUMBING HVAC InapecNon Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST I ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG I FINAL HTG ORSAT TEST BLOG FINAL BSMT R.I. BSMT FINAL DECK FfG a ?'? . //VSP• DECK FINAL L . ?. CITY OF EAGAN WATER SER77? ?? 7 ?3830 Pilat Knob Road PERMIT NO.: P. O. Box 2 1199 , _ ' ? M Eagsn, MN 51 ? DNTE: _?, ex R.. No. of Units: Za+inp: - ew HoYizOn aomes I3 Owrnr: B oma a IF-7-ts-1-1- B C e.mson Dri ;.Sia Mdress:Tilompson P um p - PlLxnber: .00 :Meter $ NO.- . Siza: rmi Reoder No.: I peM te 606VI1? wM6 NM ? Cahwo? 63 , ? Opc, metei Total: . ? & Date Paid: pcih of WO CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Box 21198 pE??T N?.: , Eagan, MN 55121, DATE- • No. of Units: O M111e/: /lddross: Site Addi Plumbsr. nMom-pson 1 MrM te eewl! w11b lM CUT of iMPO OfJiMwoM. ConrwcHa? O+orpe: ' -') - c)C" - - ACaou?+t Deposit: 5 06., Permit Fes: SurcFwrge: Miac. Chorpm Totol: Dob Paid: By Date of Irnp.: CITY QF EAGAN WATER SERVICE ,PERN??.IT 3830 Pilot Knob Rosd PERMIT NO.: P?rO. Box 21,199 ? -? - " -- • , Eagan, MN 55121 DATE: R$v R3 No. of Units: . 4-plex Zonirg: . OwMr: *?ew Horizon Homes Mdross: ???;I594 Cle?:soa T?rive '- Thomas Ll: Hts 2 Plurrfber. T120rit AOn PlU ' . c v SC?O.oOpd AMter N=.: ? ?0 C ?t ? ? 15.900d si?: y?o1 lo.oo a Raoder No.: ?:`y?? .50 d .9m to eoeo* wilh Hw ?t?? 1 1^? r? ? i )a '?'P Miac. Chorges: . ?^ ?l!'n• •CtFI' Total: _BY pate Poid: Dote of Insp.: Intp.: ¦¦ vr L/1%7m111 SEVNER SERVICE PERMR Pilat Knob Road 0. Box 21199 PERMIT NO.: igan, ;IAN 55121 DATE: ' ') • ': - ` , ninp: y? No. of Unita: ...'? - Addross: ft ooaiplp wN6 fw Gft of L"• of Insp.: Connoctton Qwrpr. Acoounr aposit: _ Pemi1t Fee: SurcF?ar+De: Misc. Chorgm Total: Dah Paid: ?;siOf EAGAN Pilot Knob Road f1 WATER SERVICE PERMR • O B ox 2 1 t88 P U .: PERMIT N . Esgan. MN 05121 DATE: Zoninp: No. of Units: Owrnr. _ to oa.oy vuh er. OF EAGAN SEWER SERVICE PERMR Pilot Knob Road Box 21199 PERMIT NO.: MN 55121 DATE: p: No. of Units: Fo oer*l-r wM eM ah? ef Vsen ? BY ? Doft of Irnp.: ?- Irop.. Connmwtlon Qwrps: Account Deposit: PeffMlh FN: SllPCh0rge: Misc. p+orom Totcl: Doh Paid: ? OF EAGAN . WATER SERVICE P '^tKr,)bRoad 21199 PERMIT NO.: ? i 55121 DATE: -n No. of Units: ';t?w ?iorizon Homes ' , /lddress: ? Sitr /lddreas: 15`-'2 Clemsor Drive . :.:or,.as c i s Plumber. 1-1'-ompeo-i P tsm ,??V ? - - Meter 1?q.: 3 7,2 / 7 rv O ; 5 . p.. r f ec_lt Before digging I?b?? ?/????1 w__?__ ?_ . n.Zd U7n(oTG1rD1af1NF• rFi lLLIIY.t 1c. ? 1 yliM to i0w1* N" !hN - r. , o? E ,???, • F 53 . 7Upd nc: cr Total: ? g Dots Poid: Date of Irup.: Infp.: CITY Or EAGAN 3830 Pilct Knob P.oad P. O. Box 21199 Eagan, MN 55121 Zoning: Ownsr: Address: SiTe Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: - - DNTE: No. of Units: '' p1 HOERS Isow h eeupil wllh tlM ?'Jhr of Eowa Connsttion Charqs: OIdIM11OM. ACCOU11t DISpos(t. A Pafrrit Fif: .. , Surcho?qe: By Misc. Cl+orqes: Dote of 1 nsp.: Towl: Irtsp.: DaN Aaid: RESIDENTIAL f BUILDING PERMIT APPLICATION CITY OF EACAN ??6 3 75 3830 PILOT KNOB RD - 55722 857-887-4675 Naw Conatruction ReaulremeMs • 3 registered sik surveys showing sq. R of IoL sq. ft M iause; an?ll roofed areas (20% maximum bl corerage albwed) • 2 mqes of plan shaYing beam 8 window sizes; poured found design, etc.) • 1 set W Energy Cakxtlations • 3 capies of Tree Preservation plan B bl platted afler 7fl193 • Rim Jolst Detail Options seloction sheet (bldgs with 3 or less wifs) DATE JOB SITE ADDRE: IP MULTI-FAMILY PROPERTY OWN TYPE OF WORK_ APPLICANT -G ADDRESS 3Y:-: PAGER # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envebpe CalcuVations Submitted _ MINNE50TA RULES 7672 - New Energy Code Worksheet Su6mitted Plum6ing Contractor. Phone #: Plumbing System Includes: _ Water Softener _ I.awn Sprinkler Fee: Water Heater No. of R.I. Baths No. of Baths Mechanfeal Confractor: , Mechazucal System Indudes: Sewer/Water Confractor. All above information must be submitted prior to processing of applicetion. Phone $90.00 I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable State of Minnesota Statutes and Ci1y of Eagan rdinances. Signafure of Applican ? Certff'icates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 $70. o0 RemodellReoairReaWremenfs ? ???OE r . 2 coPies M plan ? • t set of Energy Cakulatlons for heated additions . lsitesurveyiorexterioradditions8decks 'r_ _ TRY1 VALURION . Irdz? d irome sened by sePtic syslem for addRions IUI¢DING, HOW MANYAUNITS? ?-? T 4l IIP CODE Ss68' ? ??- ? C L FIREPLACE(S) _ 0_ 1_ 2 PHONE(a)31_-? -353-t- CELL PHONE # FAX # Phone # _ Air Conditioning _ Heat Recovery System n ?? ? IU1 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 07 OS-plex O 73 16-plex ? 08 06-plex 0 16 Fireplace 0 09 07-plex ? 17 Garage ? 10 08-plex V18 Deck ? 11 10-plex ? 19 LowerLevei ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous 0. 30 Accessory Bldg O 31 Ext. Alt - Multi ? 33 Ex[. Alt - SF ? 36 Multi ? 37 New ? 35 Int Improvement ? 38 Demolfsh (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to appiicant Valuation aooa m o Occupancy MC/ES System Census Code ? Zoning ? Ciry 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) ? Final/C.O. Footings (deck) _ Footings(addition) Foundation Drain Tile Roof _ Ice & Water Final Otber _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By (?z`{ , Building Inspector Base Fee Surcharge Plan Review MC1ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?j Final/No C.O. _ Plumbing HVAC ? F,9 SEDGWICK HEATING & AIR CONDITIONING CO. "EAriNG JOBNO.'-q6 8910 WENTWORTHAVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD S-?),673 ADDRESS?S OCCUPANT ? ?-UrQ f ? ?/?V ?C SOLD BV LA--) U 0 C C CJJn ?C1 MAKE"'-N/\n3 SERIAL NO. THERMOSTATr] ?I 00 VALVE LIMIT-_?S[?' .x LIMIT SETTING = fAN SETTING - PILOT TVPE _J! IGNITION MODEL PILOT TIMING W ? PERCENT COz ? INPUTCFH lp(n PERCENTOz STACK TEMP. G2:8 5_ PERCENT CC FORM235(eEV 11/89) CITY 2'- P'O\ lq rj INSTALLED BY MODEL INPUT iq 'C)70 ?? VENT SIZE y TYPE OF LINER j?-110V i? .-----? ?..e LWER SIZE .- FlLTERS: 5IZE NUMBER p WIRING ?L.!-taLC.?? ?+`?U % ?C'r,7 ? ? TEST TAG J ? LIGHTING INS7. t?ck" ?-?- ? DATE COMPANV TESTING NAME OF TESTER FORMOISTFIBlITION: WHITECOPY - JOBFILE YELLOWCAW - CITV rnis reauesi voie .,A(, n IG ?? Q 3 u 0h97800 Request Date Fire No. Fough-in Inspection t??° q iretl? I E]Ready Now Will Notify InsPec- ? ?NO or When Ready ?Licensed Elecvical Convactor I hereby request inspaction of above ' n Owner electrical work installed at r flovte No. Street Atldr ss. oa o C'tv q ? / / vG.l- v ! ecLOn o. Township Name or No. ATnpe Nn. Cov1?ry n F x_. A OccuOnmt (PHINT) ? Fhonc No. Power SuD lier ?j? / AdA?ess ? L..J/y?Jh'7 tV ? ElecVical Contrnc[or (Co pany Name) ontracIor's License No. ? V Mailin A d ss I(. ?[ractor or Owr Maki ?p Instailati nl ? Authorized ignal re-(o Nactor Owner ing Ins al ti ) Phone Number . _: .:,3-2527 MINNESOTq STATE BOAXO OF ELECTRIGITY 1MIS irvsvecI iurv neuuest wILL rvui Griggs-Midway Bldg. - Noom N•191 BE ACGEPTED 9Y TME STATE eOAND 1821 University Ava., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 16121 Z97-211? E NC LOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom-na u rySee instrutlions for comoletin9 ihis lorm on back of yellow copy. ry ?i ! Q?11 "X" Be/ow Work Covered by This Request v HeJ R.P. ryoe ot 8uileme Apoliancea wirad En.ipmeN Wired Home Range Temporery Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Hezrtinc Commercial 81dy. Furnace Silo Unloader Industrial BIAy. Air Conditio er Bulk Milk Tank Farm OinA. oecTv Othcr ISpacifvl t er Suf?ify Othor Othcr ? ., N ,?.,..... . F e . .. Servica EnVanceSixe p Fee ; Fentlins/5ubfeetlers b Fae C?«???s U to 200 qmps D to 30 Am s 0 to 30 Am> A6ove 200 Amps, 31 to 100 Amps 31 to 1D0 A s Swimming Pool Above 100-Amps Above 100-Am s Transiormers Irtigytion Boorr?s Partial:'Other Fee Signs SNecial Inspection $ ? ? TOTAL F E r R¢m? rks ? UO J. RouOh-in ( Date ? z? 1• I, tM1e E?e? heroh ??SPBC?OI, V certily thet the above Final , ?'?t??_ ? ??soeclion hes Ceen mede „ . . . Tlkis ropuest void 18 monihs irom , ,,4.ast vo;d _ a Go ?3 3 months ,,om i 09780 =.quest I]ate Fire No. NouPh-in InsUertion ?? ? R q ired? ? CReady Now Will Nnlify, Inspec- J Yes ONO ?or When ReadY Licensed ElecVical Contrec[or I hereby request inspaction ot above ? Owner elechical work installed ac S[reetAddrea, oz or Foute No. City I ecuan Township Name or No. Ranye No. Cn mry Or,cup [ I INT Phone Nkwd 0 /ZDw Pa r 5 pp ie 1 rr / A]e xJ?/ V V / V/ V Elec[n I Co nctor ICOmpany Nam Contrarme's Licens !o. Mail'np A dress ICo Vartm or O ner Makiny Instailati0nl ?? 3 ? % Y Authorizetl SiBnatu e ( nhactodOwn qking ns Il:itionl , Phone Number mumrvesuiq STATE BOAND OF ELECTHIGITY Grie9s-MiAway Bldg. - Poom N-791 1821 University Ave., St. Paul, MN 55100 Phone (612) 297.2111 ini5 INSPEGIION REQUEST WILL NOT 6E AGCEVTED BV THE STATE 6pqpp UNLESS PNOPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION d"Illi e/s-ouoovoa ' Sae instructions for completi`g this torm on back ot Yellow copy. n 1 ""X" Below Work Covered by 7his Request ? HAd Nep: Type•of BuilOing APO?iancee Wired Equipmen[ Wired - "Home Range Temporary Scrvice DuplFx Water Heater Liyhtiny Fixtures Apt. 8uilding Dryer Elec[rIc Heatin Commerciai Bidg. Fumace y Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fdfrtl ihxr . peci y Nxe (Speclfy) t e UecRY Onher Other p ' Fee ^ServiceEnlranceSize p Fae Fanders/5abtaetlers a Foe Circules U ip 200 Am s 0 to 30 Am s 1 0 to 30 Am s Above 200 qm ps 37 ta 100 qmps 31 to 100 q 5 Swinunin Pool Above 100-Amps Above 100_Amps Transtormers - Irrigation 8oon-is Partial,'Dther Fee Signs Speciai Inspection S TOTAL FE K Nemarks -9?U6 nouemm I,theElecVical I ? ? LiV?/?' ? Insp q ecto hereby ras rtify that Ihe above r ? r'nal I ? ?j ..(?13 Date?/ ?l ?? jT ?„spection has been da. zo mie reuuesc This request void 18 nwnths from E 0Q7799 0A -- I Rpques? Uaie?? Fire No. R fZough-in InsVection 3 ? eQu}reR? ?qeady Now Will No?ify Inspec- , ? Ycs ?No «?r When Ready Licensed ElecViwl Contrnc{or 1 herebV repoest inspaction ot above ? Owner - elechical work inatalled at SVeei Address Boz r Route No. 0{tV-n ?- l.d?..= ?• ? V '^ 1 ?"" M ecLOn o. Township Name or No. Range No. Count? .?- ' / f/ Occuodnt IPqINT Phone No. Power Supplier Adtlress ? ? ? Elec[ncal t a c[or (C mpany Neme) Co 1 r' Llcense No. / ? ? v ? C' X Mail'n Address l nVacur or Owner zki g I ? tailation? Authorized ignature 1 r ctor?Owne km Ins IJationl Phnne Number r? MINNESOTA STqTE BOAFD OF ELECTFICITY . TMIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bldg. - Noom N-191 BE ACCEPTED 6Y THE STATE BOAHD 1821 University Ave., St. Peul, MN 55104 UNLE55 PHOPEH INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa E'?I1?7?7' SEe instructions for completing this torm on back of yellow copy. u?? L3 ?7 "'X" Below Work Covered by This Request ?? l U J/!?? °O3 Adtl Pep. Type of 8uilding Appliances Wiree Equipment Wired Home Ranye Temporary Service Duplez Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial 81dg. FumaCe Si!o Unloader Industrial Bldg. Air Conditioner BWk Milk Tank Farm Other SDenfv Othar (SUOCIfyI ther Suecifv Other Other Pough-in Date ^7??{ ? °? ???? I, the ' Inspector, hereby Finai Dale `j cartify thet the ahove f?spBCtion has beBn matle. This reques[ voitl 18 rmnths fmm E ' 42 P,? I....?...;? ..n?e .. _. ? Fire -/?,-?-?';? ? ? Li?ensed Elec?rical Con[ractor ] Owner Street qddress, 9oe or Route No 5ec on o. 1 ?? ?67ZJr?i ownship Na&e m No. iPh- in I nsVection ?-_ ?wred? ?Ready Now ? Will Notity Inspeo- ]1'es Nn [or When FeaAy 1 herehy re0uest^ection of ebavg elecvical work i sf led at' ?- lCJ ? k 'ow¢r Supplier ? Atlaress ?lectrical Coniractor ICOmpany Name.) Harrison Electric Inc. ? Iine dtlress (Contrector r Ownar Making InstailaboN 36 0 Mor n . N Mpls,, MN 55412 utho ze Signat r 1 ra mr/Owne. ? Makiny Installatinnl ^+-nNtSpTp STqTE BOARD OF ELECTqICITY Gr1e9s-Midway Bldg. - poom N491 1821 Univeorsitv Ave.. St Pau1, MN 55104 Phone (612) 642-0800 -/?p ecmr-s Licanse 421867 SZ1-0SZ0 THIS INSPECTION qEQUEST WILL NOT gE ACCEPTEO 6Y TME STqTE BOARD UNLESS VHOPEN INSPECTIpN FEE IS ENCLOSED. :W/jL7 I$Y REQUEST FOR ELECTRICAL INSPECTlON ea-ooooi-os Il, See inshuctions for comp1e11n9 this lorm on beck ol yellow capy. / ???6g ._ "X" Below Wark Cnvered by 7his Request c.dd Rap. Type oi euuaios ncoua.oa. wurae Home Fange Temporary Scroice Duplex Water Heater Liyhtiny Flztu?es Apt BuilAin? Dryer Electric Heavn Commercial Bldg. Fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tank Farm omer Soenfv Oine: IS,ao;tyl t er Suecily. piher pihi,•, M- Fea ServiceEnbenceSize 4 Fea Fyeders/5uEleeders 4 Fee Cir ults U to 200 qm s 0 to 30 qm s J 0 tn 30 Amps Above O Amps?, 31 to 100 qmps 1 to 100 Am s N SwimmiPool A6ove 100_Amps Above 100_Amps Transioers Irrigation Booms Pdrtial."Other Fee SignS Special Inspection Rem3r?w, ? TOT FEE Rou9h-ln Onte I, the ecvicai _ Inspacto , y Final ertity thxt ihe above ? U inspacti Aas been e. 'woea' .o1. ?o 111 oiI U. . F .1i1 / -. ? This reques[ vaid Q?D ? 18 months trom 0- o 97798 4- Re.queate _ I?? Fire No. Fouph-In InsVection '?f q?5 ???'''qyyy ire,d? ?Aeady Nuw WWill Notify Inspec- v?y ?JYes ?NO ? ??or When FeadY ,?Licensed Eleclrical Convactar . f ??ereby request inspaction of abova - n Owner elecGical work inatalled aY SUee Address, Box or Route No. O ecLOn . aship Name or No. 0.anye No. Coury?y ? F-/ OccuDant ?P IN I Phone No. / V J /Y Y V J Power SupUlier Addre j r y Nam e l vactm Compan EIecV 2 C ? ?- C????traQtor's License No. ., ? / , , } ry , Q/?9l?S?/? adin?g ?tlle6s C. [ractor or O ner fv7 ? ak?ng Insiail tionl Auffiorized ign u ti ctoW wne k ng Inst lationl Phune Num b er , . ' ? " p2 2 '? 1 MINNESOTq STqTE BOARD OF ELECT0.ICITY Griggs-Mitlway Bldg. - Room N•191 1821 Universitv Ave., SL Peui, MN 55104 Phana 16121 297.2111 TMIS INSPECTION REQUEST WILL NOT 6E ACGEPTED BV THE STqTE 90APD UNLESS PHOPEH INSPECTION FEE IS ENCLOSEO. REQUE5T FOR ELECTRICAL INSPECTION ee-oouoroo ?j See instrvc[ions for completin9 this torm on back ot Vallow cooV- /,1 7d? 1{ "'Y" Rnlnw Wnrk Covered bY lhis Aequest ? LJ AAd Rep. J V Type of Builtlin9 APPliaOCBS Wired - Equipment Wl?ed Home Range Temporary Service Duplex Water Heater Llghting Fixtures Apt. Building Dryer Electric. Heatin Commercial Bldg. . Fumace Silo Unloader Industrlal Bldg. FBfm Air Conditioner ther pecify Bulk Milk 7enk Other ?SOecifyl t er Su?cify Other Other ' Compute inspecaon ree verow - - qf a Service EntrencaSixa p Fee Featlers/Subfeede1009?j /D iAps 0 to 30 Am s 'f??ove 200 Amns?31 to 100 Amps 1 $ign5 apeciai insNecuon $? TOTAL F flemarks ??? I Fough-in ? U?Le ?ry I I, the Elech? Insoector,hereby • ? ? cartity that the above Final nspection has been _ This repuest void ??_??? 18 months from I? n ? A. n; 9 ? u ?' ) (?, / T_,n Lt ? z io. oD Requesi Dete 1 Fire No. Rouph-in Insper.tion Requiredt Ready Now?EgWi ll Notity osrae- ? 712ves ? N. mr Wnen Readv 3ULicensed Elecvical Convacmr I hereby requast inspection ol above ? Owner elecbical work insralled ai: . StreetAddress, Box or Route No. . Gity 1592 Clemson Dr%ve Eagan ecUOn o. Township Name or Nu. flanpe No. County I I Dakota Occupeni IPflWTI Phone No, New Horizons Power Sopplier Address Dakota Cty. Farmington Elachlcal Gontracio, lCOmpany Nartie) ConVactor s License No. - O.B. Thompson Electric Co. A40602 Mailin0.4dJress (COnVacmr or Owner Making Instailation) 12201 Mtka Blvd., Mtka 55343 tuue?ICoMractor/Owne! Makinp InstallaYion) Authorized Siena Phone Number , :,i. ? ? 933-2521 MINNESOTp STATE80AHDOFELECTRICITY Griggs-Midway 81tlg. - Foom N491 1821 4niversity Ave., SL Paul, MN 55104 Phone 16121 297-2111 THIS INSPECTION NEQUEST Wlll NOT BE ACCEPTED 8Y THE STATE BOARD UNLESS PFOPEH INSPECTION FEE IS ENCLOSED. ? nl'[Ci REQUEST FOR ELECTRICAL INSPECTlON ee-aoooi-oa ,,Jg7al.z? , Sea inslructions for com0leting this torm on hack oi vellow capy. ?: ? ?? ? "X'" Below Work Coveted by This Request v HAd Rep. Type oi Builtling Applinncee WireC Equiua,ent Wired Home Range Temporary Service Duplex water Heater Liyhtiny Fixtures Apt. Bui{ding Dryer Electric Heatm Commercial Bldg. Furnace Si!o Unloader A Industrial Bidy. Air Conditioner gulk Milk Tank i Farm Othei oem y nther (SPeclly) ? er ?Speclfy - Other , 01her p Fee ServiceEntranceSize n Fea Feedere/Subleeders k Fee Circults 0 to 200 Amps 0 to 30 Am?s 0 to 30 Am s A6ove 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Poal Above 100_Amps Above 100-Amps Transtormers Irngation Boorc?s .$0 PdrtiaLOther Fee Signs SUecial Inspection S r --?? TOTAL FEE Rerriarks jQ 10 . Nau h-in Date ? J a P 8 I, the Elecvo'cai 7 pector, hereby e-lify lhat fhe above Final insuection has been ?ae. Thia reauest volC 18 months (rom -..? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? S q Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reouirements RemodeVReoair Requiremen(s OfftGe Use Otdv 3 registered site surveys showing sq. fl, of loi, sq. fl. of house; and all roofed areas 2 copies of plan ceh66 $emxep Recd .,_.1' T M11, (20%mscimum lot coverage allowed) 1 set of Energy Calculations for heated additions TC2eRresAfan RCCd Y N'. 2 copies of plan showing bwm & window sizes; poured found design, etc. 1 site survey for additions & decks TreB ProsRESiUUed 1 sel of Energy Calculations AddRion - indicate'rfons'rfesepticsysfem ?h-s?teSepNcSyslEth Y_N?.. 3 copies of Tree Preservalion Plan if lot plafled afler 7/1193 Rim Joist Detaii Options seleclion sheet (bldgs with 3 or less units j Date?! / 2?(? { Site Address IJIq C LI:(A9C 0 N- ConstructionCost 66 c.a ) D2. Unit/Ste # Deacription of Work 211LA.Ct: 10x 2f) -I)?Ck Multi-Family Bldg ? Y _ N Fireplace(s) _ 0_ 1_ 2 Property Owner Telephone # (U ) y 9- 14C3C Contractor ?-X74?00 ai uflacs Address ?05 W, CG"ll State St. Cit y 1tiuEn&ur Zip Telephone#(65) ) ?322-4crC4clr tAr jG3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDlNG - Minnesota Rules 7670 Ca[egorv 1 Minnesota Rules 7672 Ellergy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N If sa, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information??^?-- that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? 1 kE PvDi-I Applicant's Printed Name Applicant's Signature . ., Buila?ng s? ?2 ^ ? ?S q35.5 • r? o?v x- ?935 ? ? (935,g? ?? ?y ? P S r93 - ?p - 3 op 8'E 1 1 7.3j•0og ? O 3 =2.;3 O ^' i- "; ) J S? 7, o 'D { C936, oN N N \ Q 3 e (936 0 (936.5) .p ?O P 30 ? (N O ? I p, 7. O'l ? L 22, '33 2_j(, N y?, l936. 5? - d N77°3 3/.0 gyYa? ? ?FV 1c?'t??? ,. ?,kTc 1 ( (o • 8S O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Exi5ting Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Fioor Elevation= 9 37. D -*-- Qenotes Direcfion ot Surface Drainage Proposed Lowest Floor Elevation= 937.5 1 hereby certify that this is a true and correct representation of a survey of Me boundaries of. Lots 49, 50, 51, and 52, Block 1, THOA",AS LAKE HEICATS 2ND ADDITION, Dakota County, Minnesota. And of the iocation ot all buildings, if any, thereon, and all visibfe encroachments, if AS any, sutrv yed on said land. It also shows the location ot the stakes as set for a proposed buil$i59- by me or under my direct supervision this 30th day of Auqust_ 19 , Paul A. John?q 10°,38 Land Surveyor, Minn. Reg. No. 40' TIFICATE QF SURVEY CER pppR rAGE fior 7 ?+ McCOMBS-KNUTSON ASSOCIATES, INC. ?? ?? ?_y? ?9 [ONSULLIMG IRIM[[Ili N WO SuIIY[iDt3 B Zltk PWRNS qLF MO. ??jlylsL. ? WXMf??K rM MUTLMIN3pN,WNME[Oi11 7430 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 U New Consiruclion Reouirements RemodeUReoair Reauirements 3 registered site surveys showing sq. ft, of loi, sq. fl. of house; and all roo(ed areas 2 copies of plan (20°k maximum lot cwerage allowed) 1 set of Ewrgy Calculations for heated additions 2 copies of pian showing beam & window sizes; poured found design, etc. , 7 sile survey for addAions & decks 1 set of Energy Celalations Addifion - indicafe 'rf onsite septk system 3 copies of Tree Preserva6on Plan if bi p(aned afler 7l1193 Rim Joist Oetail Opiions seledion sheef (61dgs wtlh 3 or less units .. ? Ofkce:Use{3[i? CEriaF?i.raeX:FieCd, „'Y ?I? I[2dACCSPi9i?:R2?1 _? .??. j?eeAraSRequi?ed ,,,,Y ., P7 Skt-s?{eSepilG?si?n ..:Y _N Date v / 2?, /_2CoL4 Construction Cost Site Address ? is,?`14S C Ltmso?J p12 Unit/Ste # DescriptionofWork X6 oLc k nnIGbJ EQL}V-t- Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Proper[y Owner i C ?..., S Telephoue # Contractor ?? 1 E??EK ICU? MA1 N7 WAW Address `TGK ?+?J (?GtH ?, ? /,? City ''I(NkW'P`L1r State N? 1U Zip Y)W`7 Telephone #((251 )`?Z z- ?Ici 6`7 ?Xf' ?c3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mumesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • 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 _ fee applies. Licensed Plumber U T Telephone #( Mechanical Contractor 11 ? AUG 2 6 2004 7elephone #( Sewer/WaterConhactor l?,. I Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN Statutes; I understand this is not a pemut, but only an applicarion for a pettnit, 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 requ'ues a review and approval of plans. M i kt ?4r) Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types 1. 1 1 ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi ? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn, (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex g 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-pleac ? 11 10-plex ? 19 Lower Leve( ? 24 Storm Damage ? OB 04-pleac ? 12 72-plex Plbg_vor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors )X 34 Replacement ' •Demolitioa (Eotire Bldg) -Give PCA haadout to appt+eaat v- Valuation ? MCES 5ystem Occupancy Census Code Li? Zoning City Water SAC Units Stories BoosfeP Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIIiED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) , K;ST; ng ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Ice & Watu Roof Final _ Pool _ Ftgs _ Air/Gas Tests Final _ _ Framing _ _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ AirTest _ Final _ Windows _ _ Insulation _ Retaining Wa11 Approved By: , Building inspector ---------- - - ---- - - - --- - --- - ----- ---- - -- - - - - --- - --------- - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connedion Charge S&W Permit & Sureharge Treatment Plant License Search Copies Other Total ?ZS' 5 ? 5 ? y (3 3y.5 cl 7k- .. (936,5, -? t ? ?936_p?p M31.op 7- 38 E ! - ?_ ?93>oi'??IN ? C / ? -i,?7•. ? ??. N ^ N O M fN? (93(, ?r1 ,0 J ? ? lo ^'q d Buildjn9 t$ 12 e-?5?? i? ? -"01 yt'\ Z2.;, ? N t7J,% ll? ? 0 0 3 4 ? ? F1 vt J a o 3 N ,. a. ? .: . ' Z ss <93? b (9g,F oJ O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Exis'ting Elevation (000.0) Derrotes Proposed Elevation -e-- Denotes Direction oi Surface Drainage ? y t C n n .y L_ n L y i?a REVf?SycD , ....... 9Y ? OATE ! • ? (o • Pj? Pfoposed Top of Foundation Elevation° Proposed Garage Floor Elevation= 9 37. o Proposed Lowest Floor Elevation= 9 3 7, 5 1 Aereby ceNily ihat Mis is a true and correct representation of a survey of the boundaries ot Lots 49, 50, 51, and 52, Block 1, THON,AS LAKE HEIGHTS 2ND ADDZTION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visibie encroachments, it any, from or on said land. It also shows the IoCation ot the stakes as set for a proposed buiiding. As surveyed by me or under my direct supervision this 30th day of AuQUSt ?19 85 . Paul A. John Land Survevor. Minn. Reg. No. 10438 ""` CERTIFICATE OF SURVEY . ?ac ??- `?0 for . ?? McCOMBS-KNUTSON A5SOCIATES, INC. ?? ? 'w?•) oeXsouui uonce0S 0 wo suMr[raS 0 im run[af . nu ?/a? .lll.?:?'. WMMf?fOl1{rMMtITCNIWON,WIWE[OTA ?T3O Buila?rr9 3t /2 ?3y,ti C? `c?so? ? 3s.5 O ??935.1 .. (935,5? ^53i.oo 38'E . (937.03)/' 0014 ? ?p 22.33 ? O N ?' zZ ;3 f ) N 4 \ ^' ? 36, . ? 3 zo ? 1 l9 ?o V1 N 2 0. ? p tl' S? I N ` m z9. N W .c ti (936, o 1936. O? Q? rQj .. N p7.oohr :?- _ ? , c- -? •o• - zz.a3 ZzC. ^' ?F l936.5? ? 41,3ipa3;.0 3 C !? n !y ? N77e ?i.oqo ? ??i.:.1iN d t (q33o W r? -R £ V 9Y ?43g-,oJ DRTE ? ' ( L? • ?? O Denotes Iron Monument 13 Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 9 37. 0 f- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 3 7, 5 I hereby certify that Mis is a true and correct representation of a survey of Me boundaries ot Lots 49, 50, 51, and 52, Block 1, THO*",AS LAKE HEICHTS 2ND ADDITZOT, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location ot the stakes as set for a proposed building. As surveyed • by me or under my direct supervision this 30th day of Auaust 19 85 ?? Paul A. John 10°,38 Land Surveyor, Minn. Reg. No. swow - kCOMBS-KNUTSON ASSOCIATES, INC. ? ?)????? OgfYtllni IaNMlflli Iu11Y[Y0. { 0 iliF ?? ?? ?? "?"? CERTIFICATE OF SURV Tf r IOI 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 9 3?_T 1 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmclion Reauiremenl5 RemadeUReoair Reauiremenis 6ffice k3se OnN 3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all mofed areas 2 copies of pfan CC0FSwveyRecd" Y N (20% mazimum bt coverage allowed) i set of Energy Calculations for heated additions TreeP[0g PIgnRCtX} 2 copies of plan showing beam 8 window sizes; poured found design, etc. i site survey for additions & decks tree Pres fi?Wir¢d -: Y ?N 1 set of Energy Calculalions Addition - indirafe if ons8e septic system f7tt-Ae Septic5yslem 3 wpies of Tree Preservation Plan if lot platled afler 711f93 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units Date 8 / I / 20Gq ConstructionCost I?Zooaw Site Address IrjM2 S C LL-MSG nJ Die1 UE UniUSte # ?escriptionofWork k'L PLqCE )0 X26 DEC)+' Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner bT L64c- Telephone # (7-3 ) t)2t- 1.I,C?3?_ Contractor IJ?? ExTE.CIoK MNInlC6NA N<6 Address L40 $ St, City MINUeiirrr.r State Zip &&u 4 _ Telephoue #((o?j' ?) 322- a-?`t6°r E kT Ig COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (-V submissiontype) Submitted Submitted • Energy Envelope Calculations Submifted Have you previously constructed a building in Eagan with a similar plan2 _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Confractor N If so, 25% plan review Telephone #( Telephone #( 1116? Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informaigt-ES&fu=-'°`°aRd::agurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. PIK E rtm+ Applicant's Printed Name 42K i4 dK5--, Applicant's Signature q3y,ti 93y.5 l9355' _ r ? P r93?_o?p 0?h31,0p ??36'E J ; r? ?937.o?.DDlr? , ?.. 10 0 ? 1936 ? N ,^? N • t m ? (936, 5? ?p 7 / O 0 X D00.0 (000.0) -E-- Denotes Iran Monument Denotes Wood Stake Denotes Existing Elevation Denotes Proposed Elevation Denotes Direction of Surface Drainage 0 0 N N ,o N (936.0> rn o i N 0 1 Buila'nq ? 14 9'? 5 .1 "y a._, ."7 3'V ti \ ok- WW, , , ?. Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= 937.0 Proposed Lowest Floor Elevation= 9 37, 5 f hereby certify that this is a true and correct representation of a survey of the boundaries of: Lots 49, 50, 51, and 52, Block 1, THOMAS LAKE HEZCHTS 2ND ADDITIOh, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location o1 t kes as set tor a proposed 6uil8i5g. As surveyed by me or under my direct supervision this 30th day of Aua St ,19 . I ? Paul A. John 10338 Land Surveyor, Minn. Reg. No. ? McCOMBS-KNUTSON ASSOCIATES, INC. I [ONSVUIMC ItC1YfUi ? Wp SYI1YR0113 ? SrtF M?YEIIS ?J??....;? WMifAlOL?f W MUTCXIMZON.WMNELOT? ERTIFICATE OF SURVEY fiOf ??HOWONf Ne S 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION / ?- City Of Eagan ?O ?0 ?4? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruclion ReauiremenGs 3 registered site surveys showing sq. ft. of IW, sq. H. of house; and all mofed areas RemodeUReoair Reauiremenis 2 copies of plan f5$ce-fke0?v Certaf SuNOy,:Reetl N (20%maximumlotcoverageallowed) 7setofEnergyCalculalions(orheatedadditions 3'teePtEePI?(IRectl ?Y _N 2 copies of plan showirg beam & window sizes; poured found design, etc. . 7 site survey fw additiom & decks Tt6¢i'3res Reqilual Y ,_..: 14 lsetofEnergyCakulations Pddlfron - indicate'rfon-sitesepticsyslem QtFSitB$ep??c?5y51eM -?•?:Y _..N' 3 copies of Tree Reservation Plan rf lol platted after 7l1193 Rim Jaisl DeWil Opfions selection sheet (bldgs with 3 ar less unils / Date 0 12- 6 / Q y oa? - Construction Cost 4 G,, Site Address 1"94 / T S.L Q jf r 9 y i? / S' 9 V Pi C/z m-V m dl-.. Unit/Ste # Description of Work S-teI / r+ MuIH-Family Bldg X Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner /4 Sf-?,c i>?ia.., F/No nt.?/!?/6a/r Telephone #( 7?'? )??a s 6 y 3 6 Contractor A E..Z E7( Tt-r r•Y -ht'l 04-? Addresa 9'O f 4/ - (O T4 ST City /yO?J State MN . Zip S7(119 Telephone #( 611 )d6/-6.Z Y3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Caze¢orv 1 Minnesota Rules 7672 Energy Code Category , Residential Venfilation Category 1 Worksheet • 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? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( Telephone # ( Telephone #{ I hereby apply for a Residential Building Permit and acknowledge that the informat is coete and acc rate; that the work will be in conformance with the ordinances and codes of the City o MN 5tatutes; I understattd this is not a pernvt, 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. IIA V i?cT / ASo7A Applicant's Printed Name Applicant's lgignature CCTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BIJILDING 030479 08J07/97 SITE ADDRESS: P.I.N.: 10-75951-500-01 DESCRIPTION: 1592 CLEMSON DR LOT: 50 BLOCK: 1 THOMAS LAKE HEIGHTS 2ND REBUILD DECK &uildtng,,,Permit Type DECK <Suilding 4fiirk Type NEW `Census Code rv i4 <' .a zr` t1 F rq UNI7 B 434 ALT. RESIDENTIAL ? y f- t"` a? ? x'=.?;,?'} i(_.. 3•r-?U! i?? r ?( t?? f tli ,:?n7.aL t7L REMARKS: FEE SUMMARY: Base Fee Surcharge Subtotal $50.00 COPIES $.50 Total Fee $50.50 $50.75 CONTRACTOR: - Applicant - OWNER: NELSON, KEITH 14206550 COOK GEORGIA 18511 86TH PL N 1592 CLEMSON DR B JAPLE GROVE MN 55311 EAGAN MN ('612) 420-6550 I herebyaeknowletlg6.that T have'? and:4,sCaGq?'rthaV`the= informaYian 3s correct and agree to camply,;witM all applic'able State o# Mn`."' Statutes and City ofi agan Ordinances. APPLICANT/PE IT SIGNA URE IS EDB :51 ATU E V ? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681 -4675 SO • ZS_' ? 3 rogiatered ske surveys ? 2 copies of plan ? 2 coples of piana (inGude beam & window elxes; poured fid. tleaign; eta) ? 2 ske surveys (exterior additione 8 dedcs) • 1 energy plculationa ? 1 energy calwlations for heated addkions ? 3 eoples of tree presanation plen if lot platted after 711183 requfred: _ Yes _ No - DATE: II- zz CONSTRUCTION COST DESCRIPTION OF WORK: STREET ADDRESS: / LOT S? BLOCK S9-L 1 L--vt S a ? SUBD./P.I.D. #: o"'"'_'y`"''"' li,-? ?* 2-r-? PROPERTY Nan'1e: Phone #: OWNER Street Address: City: State: Zip: CONTRACTOR ARCHRECTI ENGINEER Company: ???NIlv?c.?dY? Phone#: Street Address: License #: CttY:1j"LYAL State: Al IL-1 Zip: 7 / Company: Name: Phone #: Registration #: Street Address: City: Sewer & water cc3r.5ed plumber (new consWcdon only): and lot change arc, equested once permit is issued. Zip: Penalty applies when address change I hereby acknowledge that I have read this application and state that the iMortnation is co ct and agree to compiy with all appliqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No JU ? 1997 Tree Preservation Plan Received - Yes _ No _ Not Required BY• State: ; Bui/airn9 ? - q3(7- ti ) y q Z 6 C? EMSON ? 3s.s C 1??Sd ? D(? . (9355) 40'T r • G ? Q S r93( o - ?p "h3/op 73 . 8 E 1 ? . e"e3?.o?•OOr? z2.33 = 0 ^I ?" ; Z ;3 % ?\ Q C ?T 7 k O t)1 'D ? ^7e j Q \ ry O \ <9?, N -. . o? ? 3 ?, 0 d?N '^ v °' ? o. e? S? I f N`,? z?. ? V? N N ? y m ti(936,0\ I (936, 3 N N J 1F N-_ Cle q 7.0 0? ? .. , zz?3; Zz??N ? (936.5 iX ?? p?Llc. EnS? 113/,p0(93 .O . RE?lp)LO IVLA 12 J"1l,Y d N77 °3g, ° <9 ftfVIEWcD 3?.0) ?fR`S GeJ?? N ? peRuY 9Y ?93¢ oJ oATE 9 • ? c? . ?s O Denotes Iron Monument 0 Denotes Wood Stake X000.0 Denotes Ezisting Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 937.0 -*- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 3 7_ 5 I hereby certify that this is a true and correct reDresentation of a survey of the boundaries ot Lots 49, 50, 51, and 52, Block 1, THO^SAS LAKE HEICHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, ii any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 30 th day of P'u°u-t , 19 85 • Paul A. John Land Survevor. Minn. Reg. No. 10938 op-par ,McCOMBS-KNUTSON ASSOCIATES, INC. ?\ /?? )??J? CO?SUtiuf UCUt[?t ? U?G tu?Y[?O?S ? SI1E ?tA?tqS ?Rl.?. . wNMF/?OL1t w NUttNIMmM,Mllwf[OTA A07iKT30 CERTIFICATE OF SURVEY fior V? ? ?S ?? ? ? ? ?'v , July, 1997 City of Eagan Eagan, Minnesota To Whom It May Concern: Re: )S?'1 zg L' j CmS6 X/ The holder of this letter is hereby authorized to build a deck up to a total azea measuring l Ox20 on the property owned by Horizon Hills Home Owners Association. The holder of this letter understands that because the deck is built on Association property, it becomes the property of the Association, with the unit associated with the deck continuing to exercise their private use exclusions. The Association will ensure the deck is constructed and the cement footing is poured to meet the City of Eagan building requirements and will order the final inspection of such when work is completed. Please feel free to contact me with any questions or concems. Sincerely, Horizon Hills Home Owners Association 13"-." I-10 Barbara Koob, CMCA Property Manager, Member-At-Large cc: File P.O. BOX 21423, EAGAN, MN 55121 (612) 688-0695 HORIZON HILLS HOME OWNERS ASSOCIATION z5t CITY USE ONLY L BL RECEIPT #: I 1, 1 C? V SUBD. RECEIPT DATE: 0- J ?j 7,q PERMIT# 7 6aft 1999 PL[7M$IRe P£RMiT (ftESID£R77lkL) crrYoPimeax 3830 Paor KNos ttu £A8lIA.!!N 5518E (651) 661-"75 Please complete for: ? single famiy dwellings > townhortres and condos when permits are required for each unit D backflow preventer for underground sprinkler system FIXTlIRES EACH III TOTAL R^frp fi ?I+ Q n? ? .. .. :: _ - T r. Floordiain 3.00 x R Gas i in ouifat ' minlmum- t 3A0 x - $ Hot tub/s a 3.00 x - $ Kitchen sink 3.00 x - $ Laund tra 3.00 x = $ Lavato 3.00 x - $ Minimum fee alterations to existin dwellin 30.00 x - $ Private Dis osal S stem new/refurbished ' requires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x - $ RPZ new installatioNre air 30.00 x - $ Rou h o enin 1.50 X - $ Shower 3.00 x - $ Under round s rinkler 'rf dwellin is under consVuction 3.00 x = $ Unde rounds rinkler 'rfexistin dwellin 30.00 x - $ 3.00 x = $ Water heate 3.00 x - $ softener r if awellin untler conswction 5.00 x = $ Water softener 'rf existin dwellin 30.00 x = $ Water tumaround 30.00 x $ State Surchar e .50 -? -> -> $ .50 TOtal _> $ ?- . SZ' ... ..i ..Fto•jHnr?c, i n_ v!.?}p! Ftoa}GK. _ W=}Cr S!?9fIP.rS+. @}C. .. ._. .... _. .?, ?.. . _. ._ ._.. __ . . ? herebY adnroxAadpe thsi i have read this appGCaNai. sfate Ciat tlie in(crmatiai is carecf, and aEpee to oomply wflh ali applkeEle (?y%of F.agen oidinances. It Is the applipnYs responsibility to notify the property owner that the City of£agan assumes rw IWWIity fw any damages pused by tlie City during its normal operstional and maintenance activitles to the faqlWes consWcled under ttils permit within Qlly praperty/rlghGOf-way/easement. SITE ADDRESS: / ` 0 OWNER NAME: : TELEPHONE #: /Yi1 i y ? CODE) INSTALLER NAME:???- TELEPHONE #: 4? r'- STREET ADDRESS: (?? CODE) v CITY: STATE: l ZIP: J S PERMITTEE CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: KCJ Enterprises ADDRESS: 2800 Campus Dr #40 Plymouth MN 55441 LOCATION: 1594 Clemson Dr P.I.DJLEGAL:- L5, Bl, T6omas Lk Hgts 2nd ? RECEIPT #/DATE: 117535/09-28-99 VALUATION:' REASON FOR REFUND: Duplicate permit PERMIT #: 38060 TYPE OF REFUND: t 9001 $ Electrical Permit - 321 Plumbing Permit 3212-9001 $30.00 - Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 $ SAC (City) 3866-9379 $ SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ Account Deposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatrnent 3868-9220 $ Surchazge 2155-9001 $ Utility Acct Overpayment 2250.9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Chazge 371 I-9220 $ Other $ TOTAL $30.00 I declaze under the penalties oF law that this account, claim, or demand is just and that no part of it has been paid. November 22, 1999 I NATUREvN G7 /p DATE ? ? ? arr usE ONLY L BL e SUBD. a VIA 0- 7545 1-5l0-01 RECEIPT #: RECEIPT DATE: /oCA ? PERMIT # ? O?P D 30 ? Please 1999 PLLTjdSINfi PERMiT (RESIDEiV77i4i) crrYorEAem 36M PILOT KlqOB ftD ?euv.x?ssi? Q " (651) se1-4e7s for. D single famity dwellings D townhomes and condos when permits are required for each unft D backflow preventer for underground sprinkler system FIXTURES EACH u v TOTAL Bath tub T z nn g Floor drain ' -- ?-• -- 3.00 x = s Gas i in Outlat • mrnimum _ i - 3.0 x = $ Hot tub/s a . 00 x - $ Kitchen sink 3 .00 x - $ Laund Va 3.00 x - $ Lavato 3.00 x - $ Minimum fee alterations to exi n Uw n 30.00 x - $ Private Dis osal S stem new/refurbished ' r i MPC lic. 75.00 x - $ Private Dis sal S stem abandonment 30.00 x = $ RPZ new installation/r air 30.00 x = $ Rou h o enin 1.60 X = $ $hower 3.00 x - $ Under roun(Frinkler if dwel ' is under construction 3.00 x = $ Under roun(i s rinkler 'rf e' ting dwellin 30.00 x - $ Water closet .00 x = $ Water heater 3. x - $ Water softener if dweuin under consm,crion 5.00 x = $ Water softener 'rf existin dwellin 30.00 - $ Water turnaro d 30.00 x - $ State Surc e .50 $ .50 Total _> S 8'-`:.'.'?.j,+'.'Q? t.y. ?_•a`sc h^.??:e?, ?-e?4Ar Gui?snan, .?d?. I herebY aclvwi?Aedge tfiat ? have iead Ihis applicatlonsfafe tfiat Ifie inforrnaUOn Is corted, aiid e?ee fo oomply wllli all applicalile ' uf Eagsnaidinances. It is the appllcanPs responsibility to notly the propeAy oxmer yiat qre Cig• of Eagan assumes no Iiabflity for any dart?agas ca the City during ifs rrormal operatlonal anC maintenance acMvitles to 1he fadlitles consWded under tlils permit wiMin City propertyhight-of-way/easement. SITE ADDRESS: OWNER NAME: : TELEPHONE #: lv 5/ (AREA CODE) INSTALLER NAME: TELEPHONE #: ? STREET ADORESS: (?A CODE)" - CITY: STATE: ZIP: ? SIGNATUR OF PERMITTEE / y ? 2/84 ! ? ? I 't CITY Or EAGAN ? ?, ? Il?n APPLICATIODI FOR PEM-SIT SESJER AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PF.OPx3rt"! ADDkESS: TFr:%i. D°SC4IPTICN: (Lo lock/Subdivisicn or Ta? Parcei I.D. N=mer7 / IF F.:.'tTr '=i, ST?S:C'^IRE. DaTt.' OP Oi2T.GI`..M u;IT JI;:G B__•i: ZS t . . ?:•:?..?r :.?...?ri P?Z..L:P =Trr6;/??DPOST-J GS: 13 R-1 SitiGL:. ?r_•1?+V • Q? R?-7: CUP=: ('!':'iJ . G^M:'S) ' ' -? ' ' Z . :,*SE ( S) ( GY- -3 TOrvNM-? F'?-=: 1 L?lI2 ! [i.TITS) • Q ?-4 e,P.==:P/=ZC.i.rnlrM ? -- (JNI a) Q Ca%nfE.°CZ3I,/:tEy-,..''L/Cc 'IG 0 12MtiSTRMI. D 'STI?.LTIC%I.WGL'%`?TF'?,T z) APPi.SG=?•iT (PLE Sc PRP1T) . NAidE: %" / ACD.`tESS: CITY, STMS', ZTP: Ph'ONE: Pu7?? (PLEASE PRtNTy FOR C I iX-U SF ORLY nkME- M IN1' ' - ? - - PDDRESS: r. r PNQMP$GN !LUM$IAIG- 12201 MINNETONKA BLYD, PLl1?"RS LI? • •. ' I A[ti / CITY, ST?.TE, ZIP: MINNETONKA, MIWN. ? E i ed PH OJIE: MAbicr. ? PLUrieEH LFGENSE # . Q Rerd L?'?/ ' 3ft fllil3 4) =Tprrr/avrTm N14E: ADDRFSS: C1'I'7, STATE, ZIP; PHO:]E: IPLEASE PR1f1iI 5) IIVDICF.TE '.4FFICH PER6IIT IS BEZh{; REQIIESTLM: L!' C'Cy.^IEC.TZON 'IO CITY SETUE.R Q/CONNF?tIG.?I ZO CZTY jdATE.''2 ? 07=11 IPL.LA-CE DESCRIBEJ 6) I2,DICA.:: C2--- : 7} SIC.,,1L"RE; El.P='?SE F?OID r1PPP,QVED pgZ-1IT Pp:2 PZCa-LP BY O.VE OF P5GVE O PZE-,S :•AIL APP:tqVEb PM'•LIT TJ I. 23 4 AFav7E (Ci.-c2e one) D1T-1: ??-?7 ? rc:i-t11' = 1JbUt? F°ES: $ SJ $ ,. $ $ $ ?- ?S.Od ? $ Soc? d-v $ S $ . 5=::cD niRMrT (I_`1CL.UDs SU?C?.?+?Gc) W3TER PERNtT_: (IPICL'uDE SiiRC:iAc2G%) WATER i7ETER/COPPE4HORN/OUTSIIIv- REe,D: R Wr1TER TAP (ZNCL[7DF. COR?ORATIODI STOP) S::vzR Tzk? AC.^.OUNT D.F.POSIT - 4JATER wac sac . TRU>iK WATER ASSESS:?E:iT TBtiJ1K SES•7ER ASS: SS:7A3iT LAaE?..aL BE;iEFIT/TRUNK SE::TEit LA:cRaL BENEFIT/TRUNK SJAT°R WATER TREATMEIdT PLANT SiTRCHARGE $ - OTHER: $ TOT? L $ ?l't tG AMAII::T PAID/RECEI?T : DOES UTILITY COti:7ECTION REQUIP.E EXC?.VATION IN PUBLIC RIGHT OF WAY? ?YES IF YES, TfiEN-'n "PEftMIT'.FOR=MOFt% WITHIN PUBLIC ROADWAY" MUST'BE TSSUED BY TY.E C? NO ENGINEERIDIG DIVISION. LIST AS A CONDI- TION. SliESECT TO THE FOLLOZQING CONDITIOi S: ApPROVED BY: TI;LE: DAT° : 16 1210- A??? ?rs w? r i? ?Fw 4t ??t +?r w? l? ???.?? wr? ?N? dtwi i! ?wi? wFA ?t+ rF ? fa ?.i?/ ?l.? /!? w! ?J? t? ? 1 t? ! ?---? I 1 ? ?lT., ! Z/OQ CITY Or EAGAN APPLICATION FOR PER:t1IT SEWER AND/OR WATER CONNECTIODI (PIEASE PR[NT) PPOD= ADDRFSS: i.j-y? xj' LEGIAL D:.SCRIPTzCN: ` (Lo lock/Subcuv2.; on or Tae Barcel I.D, h'- .c2r) Tr :..'YI°'=13 STPS.'G^.?I:'?.v , D?.T:,' Oz' Oc'L.TG,'`Ai raiT-4.Dl`:G ` - i :• :_. =="_-1 P-'zSc^_:?' 7:21Ti:1:p?pPOS::J US: Q rZ-1 Szv= :'l-1SLY . ?? ?R?-'-Bi7PL.": ('F:•:O [.^ITM'S} '' . C3 rZ-3 WNI'-SE ( -`'-tit= + L':7ZT5) ( ?`" [J.IITS} • Q c2-4 e,2A.lMf°`:P/CCMC:.MI2yT11 ( IJ,iI TS) Q CCIL?IE.°.CL?I./RE`"-??Cr:IC ? 'CL'STRLM Q 1-%TSTI:LTIC`AL/GGC"zp,?-Z+F'\T_ Z) A-P?TSC v'T (PLEASi PRttli . PIAiQE: j . . ACD.TtESS: CTTY, STATb', ZIP: 3) PLI;mmyl (PLEASE PR1Ni) FOA CITY USE O4LT --ri18t9RS6N pLUrnRIN6 C9. lNC. FDDRESS: 12201 MINNETONYA BUID. , PLUY.BEPS LICEYSE: r'1 A t' e ? ' CITY, STATE, 2IP: MINNE: , y c iv . zpi d PHQ?7E: ?A"icr. /?? 2/?/ PLUHBER I.FCENSE H / ? oF Reterd - ' rr ntti? 4) CCCU?Pi?lT/G*.+'CtER LIP,ME: ADDRESS: CITY, STATE, ZIP: PIiC1:lE: (PIEASE PRLtIF) 5) INDIG;TE NiHZCH PER-IIT IS HEIhG, REQUESTID: ,?, ?C!L:wIE',CTSQN 'it? CITY SEY7FR t? C??kVDL.`TIC:I 'iD CITY WATE4 - • ? + ER (PLF•'11SE DESCftIBE) 6) U:DIG?:: C.:c.: . • ? P*.E-)SE E'ALD r1PPP9Vm PER+tIT FOR PICK-L's SY 0,'VE OF ASG'VE ?:ALL 7770 77"T TJ I. . 3 4 RL(7vE (Ci.2 e one? .. 7) S IC7,T[,c'tc^.: DA•I•c: ?v - ? rcr??tiT = ISSUED r -- ---- ? : .? rrES: S u /dS n no ?T7m (I?1.Cr..era.... °'?r O?U?•ar.w o.....-rc.1.L) RQ?.TER. PERDtZ: (IilCii.iD: SliRC:iAcZGc,) WATER ylETER/COPPE3HORN/OUTSID : REn7ER $ WAT°R TAP (INCLUDE COR?ORATIODI STOP) S sEWLR TA? $ /Sou ACCOUNT D.F.POSIT - S7ATER wac S SaS, ?c? SAC S TRliVK TdATER ASSESS:I::+T S TRliNK SEIdER r155E5S:}AiiT S Le`.TE?.aL BE:iEFIT/TDU*1K SE::TE:c $ LATc.R•lL BE?IEFIT/TRU.:K S+TATED - - ? ?? ' - - - - ----- -----=-- --- - - SJATER TREATMEI`'T PLANT SIIRCHARGE $ - OTHER: S TOTAL 6la S AD?OC;tiT PAID/REC°IPT R DOES UTILITY C0N.IECTION REQUIP.E EXCAVATION IN PUSLIC RIGHT OF L3AY? ? YES IF YES, THE:7 A"PERMIT FOR 'r70RK WITHIN . P[JBLIC ROApTvAY" MUST BE ISSUED BY TY.E C? NO ENGINEERING DIVISION. LIST AS A CONDI- TION. . , ? SliEJECT TO THE FOLLOWING CONDITIONS: • :. . .. APPROVED BY: ? TI:LE: DATE: : 7 ? i?s? sr r? ? i+ ?s ?c r ra ??? w_+? w! ? w si4 Utr ?? ?tw? L! ?wi? wi? R+? rF r s?! ?.i? A!r ?eti i! ?lA ?+ a. ?? 2/84 CITY OF EAGAN 7 ' lUu APPLZCATIav FOR PERMIT SESJER AND/OR WATER CONNECTIODi (PLEdSE PRIHi) 1) PP.O?ERT^I ApDRESS: LM;I. DESG2IPTIG?I: (Lo lock/Su:aivlsicn or TaY Parcei Z.D. Ni..^:..^er) J T'r t,,.,,dZS=:i. 5'T_'?.L'C^TRE, DAT`: 0F Cc2T_GMAL `ui=L`:G -EF-=1 25j?r`C: • --- P-°=SL:P =7Td:/??APOSJ LSE: O R-1 SiNGL:, P?MSL° . ? R-2 DUP=r (?'.:'O L^?I=) . C]-R-3 TC)L`J1ilC{:CF (m:._nJ + L-a11TS) i WITS) • ? B-4 A2P.v?`r`,r?CC_7:,;.?rIIL3S ( ONI M) ? CG1?nfE?.CL3L/RF."??zil,/CF-'I? Q ?1'CL'SI:2Z.3L Q 2) APP*_SC-NT ?i (PLEASE PRIYT) ADa?ss: cri^r, M=-, zxP: PhG1e : 3) Plumm _ (PLEASE PR1HI) FON L2iY?USE 08LY ??- ADDRESS: TkOLAPSC:J PL:l????=•l?`? PLlIY.B 5 IICEYSE• ' ? ??Ztlr.,,?. ? ri %rD. Attiv . CSTY, $T?.TE, 2IP: nnlN\E' ONI:A, .'.^I:•?iJ. 55343 E: ' ed --Awaicr ' p??: GI??ZSZ/ PLU"f8£R LICENSE N 176-flV S t of Retord arr nicta 4) OCG(S?AD1T/CS'rl`IF.it NpMt: ADDRESS: CITY, STATE, ZIP: PHC3?IE: (PLEASE PBiNf) CGa / 5) INpICNTE :JHICH PERtiLiT IS BEIAG RFX<UESTED: 0--O;M..-4ECri0v zv ciTr sa,-gz o MM%MTzOv ? ?? I-TATER ? C!'iTMR (PLI's'1SE DESCRIBE) 6) U.-DIG..:: C2s.: ? Pt.E-ME E?OID APPPGVID PER}tIT FO4 PICK?-L-?'s BY C:7E OF AEGZ,'E Q?PLF? :•',,?2L APPROVID P?.:•IIT TJ l. 2?3?%4 AB,)fi7E ?,? /?, (Circ2e one) 7) SIG.:,TLRE: DATE: ?---- ? ISSUED ? y • F..°.ES C ?S /Ui S v S?'?.::L.D. PER\1T'y^ (INCLuLE JUP.C?:iRvL) $ lU Su WATEc2 PERNtZT (INCL'uDE SuRC::AZG'n) WATER METER/COPPERHORN/OUTSIDE REnDER S- WATER TAP (INCLUDy CORPORATIO:I STOP) $ S:.:vLR TA ? CCOi::iT .._?OSI? ACCOU\T DrPOSIT - WATER wac sac S TRGVK NATE& ASSESS:!r:+T S TRli3IK SES•7ER r1SSES5.?E:iT 5 Le`.TE?..,L BED;EFIT/TRU:1K Sz:--R S L1Tc.Rt1L BENEFIT/TRU::K tIATE$ _.._---- - ---- _.$ __.. ?? e,U._. • - WATER TREATMENT PLANT SURCHARGE $ - OTHER: S TOTAL AMOL'ST PAID/BECEI?T DOES UTILITY CON:IECTION REQUIP.E EXCAVATION IN PUSLIC RIGHT OF WAY? ? YES IF YES, THEN F+ "PE3b1IT FOR `AORK WITHIN . PUBLIC ROADWAY" MUST BE ISSUED SY THE C? NO ENGINEERZDIG DIVZSION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWING CONDITIONS: • APPROVED SY: TI:LE: • DAT°: AO 767? - "! .FJo "FJm 1! r p1 i.'" M/a sFaomt w!t QNi" sqw P!m a% s?lo w r ti- __3 1 ?.-.. ti " 2/U p Q lf CITY Or EAGAN ? APPLICATION FOR PER:?lIT SEj4ER AND/OR WATER CONNECTIODi (PLEASE PBIHi'? 1) PROPEf'2T° ADDRESS: 7Ff ai. DESC..'42PTIC:1: 51i % °. 4 6 (io loc.k/Su:csivisicn or TaY Parcei I. .'i..^:?r) ` 7777. Tc ?i2v'=;G S'??S.CP*;2E . Q?T: 0° Cc2T_Gl^.AL `uiIL,DI.`:G :=Icr.NC.: , .•_-- .. ' \ •y ?? ??I P.°ESc-`.:? "-^;TI`ivZ'.'/?PDPOS=- uS: ? rZ-1 SM;(?'L?. :r"MSI.Y . ? R-Z-??UPL?: (?:':O L^.' 'S) ? ? . Lt" PZ-3 ZC7oRU-rcn (q':'z= i L':]I:'S) ( U,=--) • Q B-4 A2.=P/==.trrllT.Zi ( [JNI TS) 13 Cpen1ERCZaL/RE.7:."- aI,/C'cF'Z=- ? "mCtiST'-2IAI, L3 L%ISTTILTICtAI./Gv^C?'?:TM'`'T 2) A°PT_SCIN'r NP3'1E: (PL ASc PRL'IT) ! ADD_RESS : ? CITY, = TE, ZIP: z. DFON"; 3) (PLEASE PRINT) FON CITY USE OYIY UaItdG CO„ R . ADDRESS: Tvic"tP3a" ?,ppl MINNETONKA BL4D• - •+ P,L-U.°.BEBS lI nSE; " ' CTTY, STATE. ZIP: r3 MINNE`ONKA, 1 ? Ezpired PHONE: ""cr. PWHBER LFCENSE N /> /6J7141 / Not of Recor¢. ' arr nttia 4) OCCt,'?ANT/C*.v1`IE'.c2 NAC`: ADDNESS: CITY, STATE, ZIP: PfiXIE: (PLEASE PRltlf) 5) INpIQ".TE :VFlICH PER_,[.,•.LL?T IS BEIP. RF'?.UESTL•D: ,t,?_, /c;==ou zo ciz^r saiTR t? ce:??rzcv TO cixY waxEz MIE12 (PL2ASE DF_=BE) b/ li:DiGf.: C.::: 1) SIG:,,'IL'2i c,: ? PI..°.,lSE frOLD r1PPP,(}VED pgt3tlT F17R PICK-L Y C:VE OF AEL'VE ?SC :ALL APPROVm PEN•lIT TJ 1. 2 3 4 AfiOVE ? (Ci.rc e one) J•• D.axE: _ '?l_- ISSUED ? FEEs : S /O g?v $ (O, j U S , . 5 $ $ $ $ S $ S 5:.:':L.D. ?74RMrT (I`_IC.Ta::i.'. SLSP.C:l.:).vL) WATE$ PET,2MZT (IiJCiuDE SliRC:i3RGL,) W1TER METER/COPPERHOR:3/pUTSIDE RE:,DER WATER TAP (INCLUDE CORPORATZ0:1 5TOP)- S»:YLR TAP ACCQUtT DFPOSIT - FlA:;::R wac sac TRU?1K S+lATER ASSzSS:?Z?iT THli:JK SES•iER r155ES5:•?E2iT L'nTEP.AL BE:iEFIT/1'nU:IK SF.::TBFc LA:cRaL BENEFIT/TRUNK SdAT°a - -- - -- -- TAATER TREATMEA^f PLANT SL'RCEiARGE $ - OTHER: - _' - - $ TOTAL Ai??OL'J:T PAIDjREC°I?T s DOES UTILITY CON:7ECTION REQUSRE EXC.aVATION IN PUSLIC RIGHT OF WrIY? ? YES IF YES, THEf1 n"PEZMIT FOR 'AOR:C WITHIN PUBLIC ROADSvAY" MUST BE ISSUED BY TY.E C? NO ENGINEERING DIVISION. LTST AS A CONDI- TION. SUEJECT TO THE FOLLOS4ING CONDITIONS: .. APPROVED SY; TI:LE: ' DATE : , w fr? ?.? w s s? .?? nc+. re ??+ ar?w w? w?? wrr vt+ ot.? w+n? ?.s? rt+ w?r nr ra r? wa? u+t.? wft ?? 0 - .)643 PERMIT #: ? CITY USE ONLY RECEIPT DATE: 2002 $ESIDEIVTIAL MECHANICAL P£RMTf APPLICATION crrY oe EwsAN 3$30 PII.OT KNOB RD L'AflAN MN 5512a 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: -Dd. SITE ADDRESS: IsC1ol • OWNER NAME: TELEPHONE #: ?47 INSTALLERNAME: SEuv,..,,,, .'.:::'-JCAI^CObDIY10io.,..,,T?€hFPHONE#: 14v_ JRr" . J :Cn vorL7, A1IB. v0. _ Minneapoi;3, L?N 5542k1 STREET ADDRESS: iorm an4 onnn CITY: STATE: ZIP: Place a check mark next to the perntit work type ? Add-on, modification or alteration t existina dwelling unit $ 30.00 • furnace replacement -p?,py?„? ?joGkl???bf?-d70 • air exchanger • air conditioner ?` f2? n?j N D ?? • other ? ? ?s I r r?'?? ? ry???Z Nature of work: J ? ? State Surchar e $ .50 TOtal $ jo •SD <:::/-X SIGNATURE OF PERMI TT voz aS COMMERCIAL ? 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4676 Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . ArchitecWral Plans (2) sets • Architedural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " . Certifirate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" . LandscapingPlans (2) • KeyPlan (i) • Project Specs (1) . Code Malysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schetlule (1) " • Elec. Power R Lighdng Form (1) not always" • Meter size must be established . Meler size musl be est2blished • Meter size must be esizblished - if appiicable + ProjectSpece (7) 1 . EnergyCalculations (1) " l 1 • Electric Power & Lighting Form (7) l • Master Exlt Plan (1) L 1 • Emergency Response Site Plan (1) 1 • SoilsReport (1) 1 • MClES SAC detertninaUOn letter • MGES SAC determina6on letter • MC1E5 SAC de[ertninatlon letter call 651-602-1000 call 651b02-1000 call 651-802-1000 Food & beverage or lodging facilkies - submit plan to MN DepaAment of Heatth. 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: ??/ Z WORK TYPE: _ NEW K REMODEL CONSTRUCTION COST: 7'?l ? SITE ADDRESS: 0 r'?U c ) TENANT NAME: I7? f /tl?C' SUITE #: FORMER TENANT NAME, IF APPLICABLE DESCRIPTION OF WORK / o .C. /? Name: PROPERTY Last First OWNER ?O Street Address: Phone #: L? 1 y? S / 6 3? City: State: ? Zip: Company: 8 ?? cLf Phone #: CONTRACTOR 'J Street Address: S 7- City: LI-IQ l? State: Zip: ss 7/ / ARCHITECT/ ENGINEER Company: Name: -- = ? -?? Phoae #:(2 C0 r , Registrarion#: -? 1 , orn') i . . . , ...,. I?J ? Street Address: City: Licensed plumber Installing new seweNwater State: _ Zip:----_' Phone #: () I hereby acknowledge that I have read this application, state that the information is co and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: /? . THOMAS LAKE HEIGHTS 2ND 75951 PERMIT DATE & TYPE LOT BL ADDRESS sisa 4-PLEX 290 01 1570/ CLEM50N DR 300 01 1570B/ 310 01 1572B/ 320 01 1572 9i85 4-PLEX 330 01 1574/ CLEMSON DR 340 01 1574B/ 350 01 1576B/ 360 01 ]576 9i85 a-rLSx 370 Ol 1578/ CLEMSON DR 380 01 1578B/ 390 01 1580B/ 400 01 1580 9i85 4-PLEX 410 Ol 1582/ CLEMSON DR 420 01 1582B/ 430 01 1584B/ 440 01 1584 viss a-rtex 450 01 1588/ CLEMSON DR 460 01 1588B/ 470 01 1590B! 480 Ol 1590 _ ?- ------ -... --- -- ----?_ -"-?` ?- toias a-P[,sx 490 01 1592/ CLEMSONDR 500 01 1592B/ 510 01 1594B/ toiss 4-PLEX 530 01 1596/ CLEMSON DR 540 01 1596B/ 550 01 1598B/ 560 01 1598 32 APPROVED 3/85 PAGE 2 OF 5 3 r ' - v ?t 4 ?£? a'a? r AR? ?...G ?i. .. • . . 3` -°SL?? A± . + _ M1? 7z.L _ Y ... 1 x,.... . ,. . ., FlOT£ `-ALL' CflNYAAGTflRSq.•l4ttS2?;iBE'?T:Ie£RSED?WI?i TfiE'CTi'7C'??FEAf&H?? ? r < ? kn 2 .3 Uk-liT" :-4-`??f .? INGLUD£'y:2 SE?'S 'DF PLANS'-` 3-CERTIFICATES-OF;?SUBYEY- . . _ , ' 7-'SET GF rNERGY CALCUI:ATIGRS ' : . . ; - ? a., F :o Ee Used For; RESIOENCE ,Vaiuatiorr •.5{,7 D te: 9-?• Site hddress : I ':-6FFICE USE ONLY ,. Lot: Elock ? Sect/Sub TH0MR5 CK Erect:- ' Occupancy -' ' . ? . HEZGHTS R_r„odel Zoniag Farce? F,eyair.. Type of ConsL ,:?nlarge - ,: 0 tif;.Storie's O??rner ' NEid.'HORIZON NOMES,rINC. -? '_rM;ove - ?Length `.,, _ . . .. ,.._ ._ .._ -.;. . ' . . .. Demolish . Depth Address . P.O. 807( 1367 Grade .::.;. . . .._ . , . :. .. _ . , . City/Zip_.COd' Mpls.. 17ino.- . 55440' - ' ----=- ---- - -.---------- : . • . . . - . - _ , - ^ .. --- - . _ -. . , . .. . - Phone 420-3900 9PPROVALS - . ?Contractor 5AI9E' ? - ? :.?Assessments : ? ?Perinit . Fa.er./S aer '. Surcharge . A ddress --? Po2iee Plan <Reviex ? Fire -'' _ ? "SAC-. Cityl2ip Gode -- ` Engn.. -: • Water Conn - . - .. Y - - _ . Planner % lrater.l;eter Phone ,-? . • rpuncil Road Unit. , ` , : •. ? Blag Offq Psrks fi rch /Engr. ? U. `GRISWOLD APC Treataae»t Pl - - , ? Yarianee :: ' , : ;• : Address , ,, - . ? ? _ ? • : TOTIIL , ?- . ^ _ CityIZip-Gode R ? . e 8 '435 7524`- Phan , h ? . . . .?. .' , . ; - :_ . _ . , .. . . : s ? - . . ? . . . . .., - `^ _ " , . , _ . ' _ . . .!'.. < . c? . . - .. - . ... . - _.• .i _ -. . ' . . ,.. . . . - .. . ? . . . .... , . ?. . ? ' - . .. ? .': _ , _q , . . . - . . . :,. ...: ` .. . ?. .. 'i- . . . _ ... ' , . _,:., '" . , . _ . .? . ; 1 ? , _ _p .. . • .o. . . !- . . . . . . ' . ? .. . • - } ? . . . . . . . . . . -, ? ! . . • . . , . , + . ?.. `t , , . '- ? , . . . "• _.-?; rt? 4'9 E? ' ?cti? :i... Cr s p?r:x HOSE `AIZ C UI-ZIIT 99 ? ??` py 5 W r?._i''Y??'ac?:.,.?xa,w,f``?n?.'i.?°?''?`-'?' '?,???t.t"LisZ?..trfr -?°r?Fa,TS,F3N:_?:_",? s'. s'?.le y,?+.5? tIR.n.} 73'TRAG3"ftRS ,74t1S??BE -L?CENSED kTITH 'i3fE' CITY,,OF'EAGA3i-: ° ItiCLUDE:Z,SEYS Or`FLANS ?. 3-CERiIFICATES-OF SURVEY , "? • ,-`.'Y SET OF rNERGY CALCtJLfi7'IONS ? op Tc Used For:- RESIDENCE Valu2G?on• cC?(? IIate: Si±e Hd3ress • ?r?q?? (`Qa,,.n? ?jy, OFFICE USE ONLY ? Lot: Sj -916ck.=L Sect/Sub THOmAS LK Ereet', Oceupancy HEIGHTS'?Temodel- _ Zoning, rarcel ' ? P Type.oP Const . En7 ar?e of,' Storie5 C".:r,er NEId HORIZDN HOMES,..INCT,, " .? Length '. , : . . , , • , - - . . ? .Ikm ol"ish - . . '.. -D°pth hddress ?- P.O. ?.BOX 7367 _ Grade -- °'? 5q-`Ft 'City/Zip .Co3e_ Mpls:, IM1inri • 55440 .,. ? , , , _ --- - . -- -° -;--- ------ --- .: Phone 420-3900 . . . . C APPRDVALS'-- ? Contractor ? -SN19E -- Assess^ents - re:mit,. . - ? _ideter/Seuer Surcharge . : ,. • _ Address ? Police - . „ . - - Plan F.eviex .' - _ ; _ . , cAC , City/Zip,Code` Engr, , 1+'ater Conn . ' Planner- ' tiater Neter • , Pnone Couneilt -&oad Unit - ? Bldg Af#' y? Psrks Areh./Engr. D GRISWOLU, .. -_ .? , AFC, , Treat?sent Pl ? ,, 'Varianee • ?? - . . , Address ' ,:: T;dTAl. _ 'CiLyfZip :Code . . ? : ." . .. " Phone D 435=7524 ; + ? , ?r ? ?? •` - z S .: _ . • ? : _ . .. . ? .r_ ' .?, ? .. , . ? _.. _, .. . E . ;?ti . u - ? e • . ? i ? ? . '.< . y ? t . ? . .. ? T.. J * ] L n .• ? . . ? r f t -5_' ? . ? . . ?? .. ' . . . . _ . .?•? ? •. n' .. . ' . .. - -' . ... ,? ' . . _ . . . . .. . . . . . .. .. . ... . . . ? .. . s 3 . . . " f .- ?- . . ? ' .. .. , _ , . , ? , .., .. : ; . . ' . . : - . .. [ . . . _ .. . . . j ' . ' ? ` . . - ' z? ' .. ... : . ` ? F ' . - . • ? • ? . . . . r. :? . ? . . .: ....:_ ,. . F .. , . . ?. ' _ _ ... .? .. . _.. av . _ .? .... j . . ?., ._. ..t , ?. f P ? . % e a .... '.. +. . I.... . . u: • •_.•' .• •.. . A t r. ?' 1 ? s?t?' $ ?? . ` a .•? e ' r,,? ?? ? f?; L, . . n ? ? ?& . ??a„s„C??'? a ?? ?^? l t?5 s??,v? rr ?^4e"„f? '4r:? ? 't, E 5. f l?c't d ?i Y ? az xi °n ? , yla, v :'at?,? 14$S??SlIILUIl2G ?'E?t'f2T APPLZC6tT4K =????d??'?^EA,?t'.r??? ?s,.f? a? ?. ? ?'"' llOTE ALL :C?171TAACTORS'HUST BE LIC£RSED idITA 3'!1E' CI17OF, uwir qq I?? CLUDE, 2"SE3'S DPPLANS_ ,-, 3 C ERTIF'ILATES OF .SU{iV.EY : SET -4 F tNERGY CALCULATIONS " c0:3,003; . , To __ Gsed Fer:' "RESIDENGE V2lcation:. ?. Date: :Q-ck - gC;. ' Site ::dir_ss: IAi (??o,rriMT? ?? . f J -. • OFFICE USE, ONLY . .' . . . ,. . . . . " ..: ry..? . Lot: Jff Elock ? Sect/Sub TH0I7p5 LK_ Erect'H x-- ? u . .' ... _ . Occupaney ? HEIGHTS ? heT,ovel 2oping ' , FarceT 0 - . r,epair.; Type of _Const }? :• -: . ,_ . ? . •- Enlarge - Uaner NEW'HOR3ZONHOmES,.INC.- ' Move Length Denolish ` '-; D'epth -- : Z]=: rddress p.0. BOX 1367. Grade.. Sq'Ft..- _ City/Zip Code : IApls.a Minn 55440. - - --- - ,--,-. -r-- ---- - Phone 420-3900 ? gPPR0Y9LS Cor,;.ractor SAME Ass25smenLS Permit 3fto, - . ' l,'aterlS=aer- ... Surcharge ' : Add.^e§s ; . . . : ?' Pol'ice , ^. Y, Plan- Review .' 158 Fire ? SAC- ' City/Zip Code`" _ Engr•: k'ater Conn '-130'o. . ' Planner _ Wa£er Meter; '?- _ Phone Counci3= ' o -UniL BZdg:Off arks . Arch,./cngr. D. GRISWOLD ' APC Treatment P1 • . Variance i`;.- ' !3 h/? ? (? T - 6ddress . V C - - TOTAl.. , . ? City/Zip Code ?~ ; ? " Phone ? _435 7524 t _ jry ? ? ? - - ? t" . ?L" ? - ?t '- P y + ^ C7 L4 ?Y ? ? ` r Y E S } , . _ • . . . . - . 5 .. a o . _ ' . . - ,_ i ?. . ? ? ?? . ? ' . . ' . . ' ' : . ' .." . ' ' ' .. ' ..- . '-,. ' . . • ' - , ? • . .. _ Y . . . - .. a .. - _?? _ _ . . . . . . . . . ? . . . . .. _ ? 1'!? ? . ' . . . . .. . ? . UN i T 9:9 ° ; : a. 'm , 4 ,, ; a - k'•.' : "`? ? ` , :IHCLUDE, 2->SoTS DF PLANS';: 3 CERTIFTGATES OF SURV£Y `. : . 1 SET OF c.NERGY CnLCULAlIOtdS"' 70 3e Used For?- ' RESIOENCE? - • ' ..l Valuation._. . D_t?z l . . ? _ . A. . ? . y p Site kddress:` ?SR2B' .CQQinrcn(s , . ... , . : ', . . . . p ?1rUF? UFFICE USE ONLY Lot: So =.,Block ..1= SectlSub Erect' ; THOIRAS LK Occupancy ' -?-- _' ," ? . NEIGH7S ? Remo3el Zoning : arcel.?{.- 2yge of Const ; ? ' ?nlarge ? ?7 oP:'Stories -Ow7°r. . ? NEW flORIZOH HOMES; INC Demoli`sh : Depth Address P.O. BoX 7357. :" .. Grade = SqFt . City/Zip_ Cod'e: Mpls.: .Plinn:. .."55 440-: -- -=- . ----- -------- ----- ' Phone 420-3900: ' - Y APPROVALS Cor,tractor S0.R1E Assessments Fermit ldeter/Se;;er Snrcharge Address ' Police Plan Peview - ; • - - . : iFire '% SAC . City/Zip Gode.??- :- Engr '- 77 - k'ater Gonn _ Planner... Water Yeter ? ^rnone Council . pead Unit ' ? - B?dg` flfP ?sr'ks, Arch:/Engr. _D GRISWOlD -, , • ? : APC ??. _ ? ; ` Treatreqt Pl' _ . .. . -, ? Varianbe.,' _ ? , - - . Address TOTAL : . . . City/Z1p.COde t ',• :^ ,M , -,.. ,. ` =- a ? . - ? Phone (I 435 . . . ? ? ,,., . ? ? .'. ?, M• * f J ? t? - e + _. . , - . ' . , . . .t a? c .. . . _ .. y. y F ? . . • i f .• n : :. :'k `C F r . , "' " S a't ` . : i.a ' " ? , w _ 9 ? ? ... ? , ? ? • f:,_? • .. ? . . > , . 1 ? - . . . . ? . _ ? { t . ?. , ' . . , ' . . . . - . . . . . . 1 . - _ . . .. .a ., n:. ... . ' '.. .?.? .. • e . _ . - - . ? ' . . ? . . .. ' a r {L f '. . ? .., • ? , .: ; ? ..?...,' a .. LL ` .... " .?- _..,._ _,?.?_..., ?W?_ . ) t .? 1 • +.3? `? ,-7F ?a?Tov?,+?11ZcivsE Cea. .Sedgcviek??c?-?Zv"?oN-`x 21,,754 HEAT LOSS CALCUlAT10N5 HEATING& AIR CONDITIONING CO. MiNNEAPOUS, MINN. Weatherstrip5 A.S.H.V.E. Con6truction No. Insulation IATindows Doors Guide Reference Out. Wall Inl. Wall Ceillnp ROO( Floor Nind How Applied Yes-No Yes-NO 19 Fl.?,?lu( a Room Length 'Z? Wid[h HeigM ? Fl• mASY- ?qRoom Length ?yp -WWH' (i Height Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. Witllh ol ane He?pht o( Oane No. 01 li hts Lineal ft. of ceypk Area ap• ft. N.' WiE?h ol ane Hmqht oi ana No, ot li hts Lmeel IL ol aack A?ea 54• ?L 2 eI 2 2. .?. 1 / V 2 2 I ?7 R °J .2 2 L 1 IQ Coef B tu Coef B tu infil[retion InFiltration 2.? 1 3,91 7 J p Glass 2q Glass 11 E.P. well ExP. wall lO X ??! Net exp. wall Net ekp. wall 9• 25$ -t'nT• w81+ o0'r 1 117 a? Int. wall Ceiling Ceiling ' 2.0 26 1 Floor Floor 00 ,otel atu. 7 5-1 -Totel atu. 3 Required sq. ft. E.D.R. or sq, ins. W.A. leader area Aequired 6q. ft. E.D.R. or sq, ins. W.A. Leader area FI. Itibny( Room Length ? Width Height FI. ?e 2+411?4om Length I 5 Width 10 Height Windows and Doors-Crackage and Area Wi ndows a nd Ooors- Cracka ge and Ar ea Na' Wi tlm of ane Haiqht o1 ene No. of h h,g Lmeal h. pf ?rack A?en `+V• ft. No' W?dth ol ene Hi+?qM, of Tnu No. uf b hts Lmeal h. o/ crack Aree sa, f1. , o % R r ro .? Z$ 2 ? ? Coef Btu Coef 8tu Infiltration ZZ4 ? Infiltration ? Glass Glass Exp. wall Exp. wall 1?,. ?, Net exp. well Net ezp. wall Int. wall Int. wAll M CBilin9 M. Ceilinp Fl Floor 1???-^ Tolel Btu. Total Btu. 32, Required sq. ft. E.D.R. or sq. ins, W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fl. '?t Ropn Length 12. Width ? Height ? FI, Hoan Length , Width Height Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea N?' Width of ane Heiqh[ of nne No. ot li hIS Lmeal ll. of crack Area 3C. ?1. NO' y+?tlm u? Hne IU;?pbt ul ane Nn, ul li hts l?neal 11. ot crack A?ea Bq, It. Coef Btu Coef Btu Inliltratipn Infiltrntian Glass Glass Exp. wali Exp. wall Net exp. wall Net axp, wall Int. wall Int. wall Ceiling lZ.]C'1 Z-A 2C 10 Ceiling .Z.? 1'24S Floor ' -- -'Floor r ? Total Blu. Total Btu. -125 Requirecl sq. ft. E.D.R. or sq. in5. W.A. Leadei area 10 pequired Sq. ft. E.D.R. or sq. ins. W.A. LeBder area HEAT LOSS CALCULATIONS Cjc°• HEATINGB AIR .Se4yj49tel CONDITIONING CO. MINNEAPOLIS, MINN. Weatharstrips A.S.H.V.E. . Construction No. Insulation Wi;ndows Doors Guide Reference IM, Wall CeiHog Roo( Floor Kind How Applied Yes-No Yes-No ?y_ 5 . QRoam Length Height 14<0)Width FI. Room Langth Width Height Wi ndows a nd Doors- Cracka ge and Ar ea Windows and Dows-Crackage and Area No. W,drh ol ane HeipM 0 1 Pane No. of li hIS Lineel h. of Crack Area sq. It. No• WiArh p} e? HaiOh[ of ane Nn. ol li hls Lmeal 1t. of cretk A,ea %a• F,. ? ) Z Coef Btu - Coef 8tu Infiltratioo 760 Infiltration Glass ?? Glass EKp. wall ? A Exp. wall Net exp. wall ? ,2 Q Nat exp. wel I Int, wall Int. wall Ceilin8 Cailing Floor 10 74 (y-7 Floa Total Btu. 3 Total Btu. Flepuired aq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. ar sq. ins. W.A. Leader area FI. {?ry? Room Lenpth y Width 11 Heieht FI, Room Length Width Haight Wi ndows a nd Doors- Crecka ge and Ar ea Wi ndows a nd Ooors- Cracka ge and Ar ea No. H'itlrh of ane HeI,pht ol ane No. of h hls Uneal h. of c.ack 4rea sa. h• No' W,??h of ane Hxiqht; nf flnn No, of h Ms lineal h. of c.eck Aree s. 11. - Coef Btu Coet Btu Intiltration ' 11-7 2223 Inliltration Gless ? mL QQQ Glass Ezp. wall _ ExD. wall Net exP. II 292 41 1 l Na+e.o. we 2 'TU 22.1 ri Im. wal I ceiiina cauine Floor Z-X I ?Z . ? 1 Floor Totel Btw Total Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. tt. E.D.R. ar sq. ins. W.A. Leader area Length 13 Width Height FI, Room Length Width HeiBht Windows a nd Ooors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea - No. Width of ane Haipb[ of nne Na. of li hu Lmeal h. of crack Area sp. ft. NO' W?n?n a} ane Me?qh? of nna No. of Iwh1s Lineel h. of crack 4ren eq. 11. Coef Btu Coe( Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wnll Net exp. wall 7 nh Net exp. wall InT. wall tot. wail Ceilmg Ceiling Flaor Y,-r G? I ? l- Flo(x Tutal Btu. Total Btu. Required sq. It. E.D.R. or Sq, ins. W.A. Leadar araa Ruquired sq. /t. E.D.R. or Fq. in5. W.A. Leader area ,,,,, ,.. i (=V . I. Ti ! ! j 1' 1 \ • Use BLUE or BLACK Ink For Office Use CIV of Eapn j Permit 1 h 1 Permit Fee: -I V - 5 0 3830 Pilot Knob Road Eagan MN 55122 j Date Received: 3 I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff. I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION # Date: - I l - i 3-_- Site Address: WT 41 8 ) $nit Name: C01L0S_-- Phone: 721- rQ 2_- Residelnir Owner Address / City / Zip: Applicant is: Owner Contractor Ype ofwof-k Description of work: Rei o i=- - a--- - - T. Construction Cost: V i Zq Multi-Family Building: (Yes _ / No Company: Ca Q5 BUG /0W__--_ Contact: c~ Address:-s~!SlsL~ I"1 t~i~PYIAYI City: Min Q nh's Contractor State: ! J ) A/ Zip: syd G - Phone: ~2-1 License SLA-~ 4 2- - Lead Certificate /V,a _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 may be classified as non-public If you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-W2 for protection against underground utility dames. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cods of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicants Printed Name Applica s Signature Page 1 of 3 r For Office Use (Ls t � • a ::::ee' : Date Received: w 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EDE rrik7 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675- I` ? Staff: buildinginsaections(dcityofeagan.com J jN 10 ,. I 2019 RESIDENTIAL B G PER IT APPLICATION Date: L / 7P/ Site Address: /OR vbQ.n'ry ,0./Wf'1 Unit#: [ Name: 41VU if-1.460 /0704 1►D)$t Phone: F R owner Address/City/Zip: Applicant is: Owner Contractor Description of work: Avirre 4r,A4,/,#/e' t /1" 07si 4a- /At�2ou1- Type ot mak. Construction Cost: Multi-Family Building: (Yes /No ) : Company:flair L rh"7784147T�b IWD /TDDC ontact: ,41 /*. "DV V j Con Address: 14--//.2. 6f97 2t' � City: 4Lrf State: V Zip: ;A-/.491 Phone: ci 24k Y'maii:/ rrlprv6rAt 'i`R'r,.y�C412 License#: RL 2Z 9f 2L Lead Certificate#: If the project is exempt from lead certification, please explain why: ,% Augie4 itain 1471 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: • i N07) x = ea; maybe . ._ 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.citvofeaaan.comisubscribe. 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.aooherstateonecall.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 work is not to start without a pe ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval lans. x / , ILL A, [/r Applicant's Printedtr� Applicant's Signature DO NOT WRITE BELOW THIS LINE / ,_(.4? C. f erY1 O n bat /��6z-IS SUB TYPES Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi C Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous D1 of A 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 ZO Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation L' 3, ace.— Occupancy .-C-3 MCES�ystem Plan Review Code Edition ' 0,$- SAC nits (25%_100%/0) Zoning P,i City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VI3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) Ne Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower �(�/�Paan~ Other: Mb Reviewed By: b X V\ r' ''\�I 4 R , Building Inspector RESIDENTIAL FEES � Base Fee K. X; S i%n, oo I i r! Surcharge , Plan Review /D k 2 t? ' 2 00 59 • "df MCES SAC ® / /57 D.) f9 • lT City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3