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1596 Clemson Dr4'• f7 ? CITY OF EAGAN ` g; Q 74 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Ta V W!d far . , . . FA Vnluw .. _ .. ? p Site Addreu Erect ? Occupancy Lot Blcek SeclSub. , Remodel ? Zoning Parcel No. ? Name _ ? Addresa ?9 ? ON HCD4E5 IN.". Name Neme City Phone `I : . I hereby acknowlsdfle thnt I haw reod this opplication ond state that the in}ormofion Is torcect ond agree fo comply with oll applicoble Stah of Minnesota Statutes ond City-of Eagon Qrdinonces. Repair ? Type of Const. Addition ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. I nstall ? Aporovols Fees Assessment Woter b Sew. Polite Firo Er?p. Vlonner Council Bidg. Off, 1-' APC V Permit J Surcharqe ' Plen Review ; SAC , Water Conn Water Meter Road Unit Tr.PL ar. Date C??? Sipnoture of Permittee . . Total - - h 6uildiny Permit is issued to: on tM exprcss condiNon thol oll worlc shall be dorw in accordonce with oll cpplicable Stote of Minneaota Statutes ond City of Eoqon O?dironces. 1 8uildirq Officiol ? Pwmit No. Pamft Holda Dou TNsphone !t Plumbirq 1111? - H.VA.C. 53 ' W 6 Electric 111771 6- f Softensr Irqpeetion Dab nsp. Other Foodnys 1 4 Footl ngs 11 Foundarion Framing Roofing Rouph Plbp. 1 ? {j / Rouyh Ntg. in:ui. j2L Fireplacs ?s •?f? n 1 =5' / / ,. T Final Hty. Final Plbp. - 6 Firtsl CNtlOcc. W??r Dosc?ibs Loeation: Woli Sewsr ? Pr. Disp. M ? PERMIT # RECEIPT # DATE CITY OF EAGAN MECHANICAL PERMIT 454-8100 MiNIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $•SO 1. Bldg. Type: Res V Comm 3. Total Bid Price Lot ? "?Block ? Sec Inst 2. New Add FEE ax& X ?f sic . ?3'z, x TOTAL "? SI. UO Alter Repair 6. Contractor (Neme) (Street) (City) (Zip) 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 iraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING `r VENTILATING HOT WATER STEAM ? AIR COND. IR PIPING PROCESSED PIPING AIR HAND. EQUIP. ` RtFRiG. RES, GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER .COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.SO STATE 3URCHARGE FOR EACH $1,000 OF FEE. Signed: ?"?`?^'[J?'7:-?G? ? •?-?`?-?1cG?.vr?.? for -? ?.I„•.f,I?J • Approved Inspections: Date Rough Insp. Oate Final Insp. ? r °-... CONTRACT PRICE: Site Address Lot Block PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 RECEIPT # DATE: _ WORK DESCRIPTION m Name * c Address 'a-41 U 5 c City (Y\ Phone - ? ? Res. _??? M utt Comm. Other New It Add-on ? Repair Name r?? G NQ. FIXTURES TOTAL Water Clos t -$3 00 $ 3 Address 5G1 k C ? f' ?•`=. ° n ? , ? e . Bath Tubs - $3.00 p City ftG `?u •-? Phone -- Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00 Laundry Tray -$3.00 MINIM?JM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•? Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .? Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES _?Gas Piping Outlets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE FOR CITY OF EAGAN STATE S/C: GRAND TOTAL: t, ?i 4 57-73-51 Site Addr I Lot ? Block ? Name ?o Addre: c City _ _ Name c Addre O CitY - MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 nu?u?. •r• eww PERMIT # RECEIPT # DATE --2C- 8 6 TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Otherl nst. - ry¢r FEE: S/C: TOTAL• 0 BLDG.TYPE Res, X Mult Comm. Other WORK DESCRIPTION New X Add-on Repair FEES RES. HVAC 0-100M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN - T{WIN I, CITY OF EAGAN •; ; ? ' ? 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be wW Mr Esf. Velue Date 19 ' . Site Address ' I ' ±i Erect ? Occupancy Lot Block 1 SeclSub. ' ;Remodel ? 2oning Parcel No Repair ? Typeof Const. ,.! . Addition ? No. Stories 99 Move ? Length = W ; Name Address Demolish I t I ? ? Depth b City Phone mpr. n Install ? Sq. Fc. ? Name App.ovols F.es Zyf' ?l Addreas F City Phone Name i? Address `> t Z. City Phone 3, 1 hereby acknowledge thct I have read this application and stote that the intormotion is correct and ogree to comply with all applicable Stote of Minnesota Stotutes and Ciry of Eogon Ordinonces. Siqnature of Permittea ?;•, . - h Building Pertnit is issued to: z" " oll work sholl be done in occordance with oll appticable Stote of Mii Building Officiol Assessment I permit Woter & Sew. Palice Fira Enq. Planner Council Bldg. Off. APC Var. Oate irlc Surcharge ' Plan Review SAC , Water Conn. ' Water Meter Road Unit Tr. PI. Parks I CoPies ' Total ' ' tj on the express condition 1hat and City of Eagon Ordi?nces. I Pwmit No. Pwmit Holder Date Telephone # PMm6inY ' 5- r ? v.a.c. EYeetric Softener Iropection Date Insp. Other Footinga 1 Footings II / Foundatlon Framing Rooflny 3.2;"O Rouyh Plby. ? ?(? •? 6 ?/5. Rough Htg. in.ut. Firepiace . ? -ESF /`; . o., Final Htq. Final Plbg. - O YG ? Final Cers/Occ. Water Dascribe location: Ntell Sewer Pr. Disp. PERMIT #' ?? 0 b RECEIPT # DATE CITY OF EAGAN ???'?EE ??• ? ?' MECHANICAL PERMIT 454-8100 S/C MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res 11-11 Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address ? /?f( Lot ? L Block / Sec:`?'?`r'T` ? ? . Owner 6. Contractor (Name) (Streeq (CitY) 2iPi 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. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GA5 PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOT BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: 5 for U Approved Inspections: Date Rough Insp. Date Final Insp. TawraH6)i, : BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receiot # 4 r t...X Esr. Vnl„o ;66 . 11071 SiteAddreas ' r "r;H, 'T.i•`t•. ,(lp t??; Erect Lyf Occupancy . Lot Block •1 ?/Sub. ` j,: L'; a qI':, ;.' Remodel ? Zoning , Percel No Repair ? Type of Const. , Addition ? No. Stories Name 1 r., . Move m D li h ? ? Length . h ? Address e o s r I t I ? Dept mp n . $q, Ft. City Phone Install ? S? 1- Phone ?,¢WU Neme I? Address ? W City Phone 1 hereby ocknowledge thot I hove reod this opplicution ond stote thot the informotion is cArrect and ogree to comply with all applicabla State of Minnesoto Statutes cnd Ciry of Eogon Ordirwnces. 5ipnofuro of Permittee A Bulldinq Pertnit Is Issued to: oll woric sholl be dona in occordance with oll opplicoble Srote of Mir Buitdinq Oiflciot Name Appeovale Feas t Assessment Permit ' o Woter & Sew. Surcharge -? L. SO ' Police Plen Review ! ri nQ ; Fire sac , 110 . Enq. Water Conn. ?'?%' • (,0 Plonner Water Meter _b -'- 0 V ' Council Road UnH i y0•?d Bldg. Off. Tc PI. APC Parks Var. Date Copies Total ' ? -' ? • ? '1 ? on the express conditlon tha+J xwta Stotutes ond Ciry of Eaqan Ordinances. ^ PKmit No. Permit Holdw DaN Tslsphons ? Plumbino , HNA.C. Electric Safter.. Inwection Daft Insp. Other Footings 1 a- -z. Footings II Foundatlon Frsming Roofing ?-? Rouyh Plbg. , - b t. Rouyh Hty. . Insul. Flreplace i iiz rEST -3v-f4, i 7t a ?j ?" Final Hty. Final Plby. Final CfR/OCC. ? o/jf LU Water Dascribe Location: WNI Sawar Pr. DfsP. . BUILDING PERMIT Te be wed ier I 3' , 1. Lot Parcel No. _ Receipt # 60.000 W Name ; Address ' b City Phone ? Name p- 4? 11,073 Erect U Occupancy Remodel ? 2oning Repair ? Type of Conat. Addition ? No. Stories Mova ? Length ? Demqlish ? Depth Int Impr. ? 5q, Ft. Instali ? Approrals Feaa uU Address Assessment Permit ? s --u 0 ? City Phone Water 8 Sew. Surcharge Police Plan Review ? a W„ Name ' J Fire SAC ?? Address En9. Water Conn. fx W City Phone i r Plcnner Water Meter Council Road UNt 1 here6y ocknowledge that I hove read this opplication and state that Bldg. Off. Tr. PI. fhe informotion is Wrrect and agree to comply with oll opplicabie qpC Parks Stota of Minnesotc Statutes ond Ciry of Eagan Ordinonces. Var. Date i C Sipnature of Permittee es op A Buifding Pertnit Is issuee ta: {?? Totel on the exprcss coridition thal oll worlc sholl be done in otcordonce with all opplicable State of Minrnsotd Stotutes and City oF EaQan Ordinonces. Buildinq Official - ? -- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PNONE: 454-8100 Pwmit No. Permit Holder Data Telephona # Plumbiny y.vA.c. Elect.;c 1 a•g • s h?. 3 s ? Softamr Invoction Data Insp. Other Footinga I c,j Footings 11 Foundation ? Framing Roofiny Rouyh Plbq. ? -. -? ?G (t Rough Htg. Insul. Flreplace GA /C *E4T jr 3a-?? ?? Final Htg. Ffnal Plbg. G Final CesslOcc. .?v ?'6 j,? L? W?o? Describe Location: W?11 Sewer Pr. Dfap. PERMIT# 4/ RECEIPT # DATE CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res Comm Inst 2. New Add _ 3. Total Bid Price 4. Job Address Lot Jq Block ? Sec Owner -AE s/c , Sv TOTAL Alter Repair 6. Contractor (Name? - (SNeet} ? (Ciiy) (ZiP) 7. Contractor Phone # RESIDENTIAL HEATING - 01-100,000 BTb's -$24.6 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 CONQ. TAIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. ? RES. GA5 PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL ID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,040 OF FEE. Signed: for ;Tr Approved Inspections: Date Rough Insp. Date Final Insp. I MECHANICAL PERMIT DATE: 5/31/91 RECEIPT: 101606 SITE ADDRESS 1598 A CLEMSON DRIVE Unit # Permit # 13048 B I Sect/Sub. THOMAS LAKE HEIGHTS 2ND ? INBPECTION I DATE I IN8PECTOR I OTHER - FRAMIM6 ROU6M PLBB. ROUBN HTB. IN8UL FlREPUCE RNAL]RHL RNAL PLB6. ? UMIT FlMlll CENT/OCC I I I -/v d&-Vu?- &---f ?11-5 00 INSPECTION CITY OF EACAN Owner dition Lot At -T-5 eik I D/ Parcel #10 Street 1596 Clemson Drive srate Eagan, MN 55122 Improvement t Annual Years Payment Receipt Date STREET Sl1RF. 1 55.94 5 111. $ A0121 2 - 8 STREET RESTOR. GRADING SAN SEW TRUIVK ? *SEWERLATERAL / F 7.52 5 1.0 ADl?cl 2 -8 WATERMAIN *WATERLATERAL WATER AREA ? 2 .30 5 4.61 A0121 2 --8 55 STORM SEW TRK 20. $Z 15 24 . 1 A0?.2l 2 -- 83 *STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit $280.00 56080 10/3/85 ? WATER CONN. 500.00 SUILDING PER. 11071-11074 ? SAC ' PAR K F EAGAN emarks ?55?5"/ ?l?o a/ _TIlOIASS ?ake He C'Ty? ?ht Additian ?oc 'E 5 $s? Q?,i?? #10 '7S?S9' ?i8-B? ow.er streec 1596 B Clemson Drive Sxate Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date ? STREETSUFiF. 1981 279.71 55-94 111.8 A0121 2 -_8 STREET fiESTOR. GRADING SAN SEW TRUNK *SEWER LATERAL 2- 1981 ??.?j1 ?.5Z I. .O A0121 2 --a WATERMAIhf *WATER LATERAL WATER AREA - 19$1 136.51 27.30 5 4.61 A0123- 2 --8 STORM 5EW TRK 1981 312.37 20.82 1$ 2?9• 91 A0121 2 --8 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREEY LlGHT Road ni • 56080 10 3 85 WATER CONN, 500.00 SUILDING PER, 1071-11074 SAC 525-00 PARK CITY OF EAQAN qA Remarks o,dditio? Slomas Lake Heigh°Addition Loc - 0 '-SG Rik 4L Z Parcel #10 AM-50-760-6-2 Owner Street 1598 Clemson Drive State Eagan, NIN 55122 _ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1981 77071 52 94 111,89 A012112 --S STREET RESTOR. - . GRAOING SAN SEW TRUNK /9 7 *SEWERLATERAL 1981 ' 37.61 7 ,$Z 15-05 A0121 2 - -8 WATERMAIN *WATER LATERAL 1981 WATER AREA 54.61 STOFM SEW TRK 249.91 AOZZZ 2 -? *STORM SEW LAT 1981 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 11071-11074 SAC 525 - 00 PARK CITY OF EAG'AN ?i Remarks Addition ''Fiomas Lake He3g?s?-Additian LQL Blk oWne. street 1598 $ Clemson Drive Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. 1981 279.71 55.94 5 lu. 8 A01212 --8 STREET RESTOR. GRADING SAN SEW TRUNK f *SEWER LATERAL ? 3 7,61 52` ], .O A0121 2 - -83 WATERMAIN * WATER LATERAL WATER AREA 1481 116 4.61 /?Q?l 2 - 83 STORM SEW TRK 1981 312.37 20.82 15 249.91 A012172 'S-5-83 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, son-on u n BUILDING PER. 11071-11074 SAC PARK Reaipt / % PLUMBING PEAMIT Pffmit No. CITY OF EAGAN FM Fill !n numbered suacee Type oer Print ley/bJy S/C 1. Date 2. Installation Cost Tot 3. Job Address ' iLot Blk. Tract 4. Owner 5. Contractor Phone ' 6. Address . - : • 7. City State Zip 8. Building Type: Residential O Commercial O Institutional O 9. Work Description: New ? Add ? Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ce al/Drainfield Bath tubs sspo Se tic T k Lavatory p an S ft Shower o ner Well Kitchen Sink Urinal/Bidet Othe Laundry Tray r Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and wrrect, and I agree to comply with all ordinances and codes governing this type of work. Siynsd : I for Rouph Final Inspection:: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Reaipt PLUMBINO PERMIT Pannit No. CITY OF EAGAN FM Fill in numbered tpacea S/C Type or Pr/ni leyibly Tot 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 6. Contractor 6. Addrass 7. City Phone i i State Zip 8. Building Type: Residential 0 9. Work Description: New ? 10. Desaiba 11. Commercial 11 Institutional O Add O Alter D Repair ? No. Fixture: Water Closet No. Fixtures Ce l/D i fi ld Bath tubs e sspoo ra n 5e ti k T Lavatory p c an ft e S Shower o n r Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinkinp Ftn. Slop Sink Gas Piping Outlats 12. I heraby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governiny this type of work. Signad : for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 GEO. SEDGWICK HTG. & AIR COND. CO. _ HOUSE HEATING TEST RECORD ? ADDRESS z /U CITY f OCCUPANT_ OWNER -- - - " HEAT LOSS DATE HTG, INST. SOLD SY ----? INSTALL °;BY Electrical Work BY i Gas Line By TYPE OF HEAT GA_ FA__?__ HW_ STEAM SPACE HTR. " UNIT HTR. GAS DESIGN CON1 MAKE ?MAKE OF BURNER ' --`--- Model ' La. _` Model -------- Serial Max BTU Ratin . g INPUT MAKE OF FURNACE Model C011lTROLS THERMOSTAT -7 Heat Plug •( Vent Size ? fZ0, Valve _ KIND QF LWER NONE Limit ?? ?F•?,1s ? Draft Hood Regulator ` Limit Setting Filters Size " Number ? Fan Setting Chimney Location" Inside Outside Pilot Type E/P c? ?-. Sr aa i? Chimney Construction r '> Pilot Make ? 2Lr/ ' L im Pilot Model - Smoke Bomb ? Wiring Pilot Timing Draft - Test Tag L.W. Cut Off Door Pressure - Lighting Inst: r? ? ? ?' ? 5 4J Pressure 7•?. u- ? Percent CO2 ' ? ? 5 G Date Tested -T; -??- y. - Input CFH ) 7 Percent 02 Company Testing 'd? i4 ,Stack Temp. Percent CO U r , Name of ?s?e? ` 235 . . .. , i ._ GEO. SEDGWICK HTG. & AIR COND. CO. I HOUSE HEATING TEST RECORD ? S91? OCCUPANT_ 0!/,° , r -4u1` HEAT LOSS DATE HTG. SOLD BY ? - CITY OWNER INSTALLED BY Electrical Work By J Gas Line By TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT /- Gf1S DESIGN MAKF :ql y!""%? -f dnnvr- nc 01 iDnico COA{VERSION Model _ -?`/ Ga (ko 'ey() 5 f.' Model Serial _ 0??6A 1 U,3,rc'C? Max. BTU Rating - INPUT MAKE OF FURNACE Model , CONTROLS THERMOSTATt -?3 ' P '?----- Heat lug Valve Limit S n) 17CC, Limit Setting l 7 G°/' Fan Setting / G Pilot Type Pt ?<<? i ?,??a{ ? Pilot Make ? Pilot Model Pilot Timing _ ?r?,t.?_ ~??z ,•, L.W. Cut Off ? Pressure • ' ' ? ? Percent CO2 ' ° Input CFH Percent 02 I1 o Stack Temp. 2 CC? ??-Percent CO 211) Vent Size _ f" J'v ?, C KIND OF LINER ? SIZE NONE Draft Hood e:. Regulator Filters Size Number / ' Chimney Location Inside x Outside Ghimney Construction ? /1 S ' ? J( moke Bomb Wiring Oraft -- J TestTag - \/?S Door Pressure Lighting Inst. Date Tested ? - ? • ?'S C• ? Company Testing G?°[; ?° ` ' r G,•? Name of Tester - P,z./ g 41e 1 ? ) Reoeipt PLUMBIN(i PERMIT CITY OF EAGAN Mrmit No. ? FN Pi!l rn numbered spacea S/C TYpe or Prin[ legfbJy Tot.-4`. : ' 1. Date ' 2. Installation Cost ' i i. 3. Job Addresa t? Lot Blk. Tract,' ? :!! ! 4. Owner ? I ? B. Contractor J Phone -? I ? 8. Address 7. City 8. Building Type: Residential ? 9. Work Description: New E3 ;. State I • ?f - Zip . , Commercial ? Institutional 11 Add O Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures opl/Drainfield Cess Bath tubs p Se tic Tenk T_ Lavatory p Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Pipiny Outlets 12. I hereby certify that the above information is true and correct, and I agrea to oomply with all ordinances and codes governin9 this type of work. Siyned : for Rouah F inal Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: y 1 /1,!, (612) 681-4675 SITE ADDRESS: 'a 111i ! 1011MA'; i nt r ilr I 10i 1•, •1-11 PERMIT SUBTYPE: /?.?i?. ? '. ;[) 611 ?.'t Itl ??? F APPLICANT: .i I TYPE OF WORK: i(IM ? {) Filo 1; N I Ni; 1 INSPECTION D• . DA a 4 _ ?J Permk No. Permtt Holder Dats Telsphone M ELECTRIC PLUMBING HVAC Inapaction Data Insp. Commenb FOOTINGS FOUND FRAMINQ ROOFING ROUGH PIUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP80ARD FIREPLACE ZEX e'd o v ,/ , ? v? FIREPLACE AIR TEST , FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL OECK FTG DECK FlNAL INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 1:" ? ? 1111 3830 Pilot Knob Road Permit Number. 0.16i:' / I Eagan, Minnesota 55122-1897 Date Issued: 09 / H r, (612) 681-4675 i SITE ADDRESS: jjj I„ t ? APPLICANT: ' ;? =tt Ii i 1({ry•,IIN L?F? ?I.,?.?:f i I J11f t i ? i;:???a?i'i f:h 1 I:1 l??f(1'? ,'NI? i• I ,:s?. ?, I PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .• I I L --? ------------------------- Permit No. Wrmit Nolde? Date Telephons # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUI GYP80ARD FIREPLACE FIREPLACE AIR TEST FtNAL PLBG FINAL HTG ORSAT TEST BL0C3 FlNAL BSMT R.I. BSNIT FINAL DECK FTG DECK FINAL `Le ? CITY aF EAGAN WATER SERVICEPE T 3830 Piiot Knob Rosd ' ' P. O. W1,x 21199 PERMIT NO.: Ec n, MN 55121 DATE: Zoni?g: _ R_+ No. of Units: s-p ex e? .or:?u,? ;c>mes Qvrnsr. Addnm: 1596P emson r ve . iomas s Sft /lddrcss: ?. ompsun um g ??? M.r.. No.: 3 70 /?/ 7( I«, a+oroe: ' P Siu: clq- •• imm W Deposit: • P _n I.d uc?! 72. o..,,.?e a?1Kp ' ?' 1stm te aowrlp wMb flw ?Oow orri..oo... SELYH4Nfc • - . By 09a dafa of Irrsp.: CITY CF EAGAN 3830 Pilot Knob Rosd P. O. Box 21199 Eagen, MN 55121 Zoning: Ownwr cw Sin Addresc Plumber. t NeM te 10lY wMo 1W CMf OF Moew OeiimeeN. ey i Dote of Inip.: Irop.: 3830 Pilnt Knob Rosd b 7 f; 6 P. O. Eox 2" 199 PERMIT NO.: Esgae, MN 55121 DATE: ZoninD:. 7 No. of Untts: p,wTMr; iiorl7on Flones T,1: Hts ? ? /lddrcss:? Pltxriber: 'r`?? • . ? 5 .OOpd Meftr No.: 3 sr/ t?te ?•?'?15.OOpd Siu: Donfwjhf . . . , ., ,. , bote PoId: Insp.. SEWER SERVICE PERMIT PERMIT NO.: ' ?_,---- DATE: ? -, No. of Units: Cann?ctla+ C?+o?ps: ?? 7 5 t?J?:. Acoount Deposlr: Pam?It Fee: 10 - °110 sk' Surohorpa: Mitc. Uaros: Total: poft Pbid: Mlsc. Chorpas: ' - ; ;,, ` Tocal: r!; Dote Paid: CITY OF-EAGAN SEWER SERVICE PERMR 3830 Pilat Knob Rosd P. O. Box 21199 PERMIT NO.: Eagan, MN 551 DP?TE: Zonirp: No. of Units: ?- /lddress: ._ ..? _.?c???,,, ?,•i?.;e .. ? ? ? Site Addross: Plunber. - 1 qm to eewPh wMh !Iw G1y of iypo Ordiwenoa. By DoM of lnsp.: Cor?nsetlar? C1?orpr. - 4' 5. 0 f3 xpd _ llcoount Deposit: Pemnit FN: Surcharpe: Misc. CFarpes: Totat: Daft Pold: Reader No.: ,Jiy o +?•- V` 1opme h awtplp wkh !w ???'? u?thorge: ' .1 OF EAGAN WATER SERVICE PERMIT ? 20..f Knoh RoBC! " ;7 6 9 3ox 21198 - PERMIT NO.: , MN 55121 DATE: - , No. of Unin: -P eX j ;3ew Horizor. !iomes { AAdnm, 1_170D t,1Cm80I1 IlI1Ve LJJ iSl 1I1OM.i16 LK t(LS No.: ro eonolp wi& Totcl: o?, uupc; t,:.eter :?•?ti• ? ?•fr pota Paid: of Insp.. Irqp.: 5-2i ?.: OSN?f6S0,? fo aaw? rdlb tiw WATER SERVICE PCRMIT PERMIT NO.: D/?TE: . No. of Units: •'+-pl e: CITY OF EAGAN CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Krwb Rosd SEVM SERVICE PERMR 3830 Pil-it Knob Road P. O. Box 21198 PERMIT IVQ.: P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 D/1TE: ?Eagan, MN 55121 1 i DATE: Zaninp: r• ? No. of Units: Zonirp: _, No. of Units: ' Owrwr. !dc3t Horlxf1?? p,?,?? `ie?.* Harizon Address: _ Address: Site Address: I5q83 Clttmaor. Driv- SIr. Address: Iuumbtnlsl _. . '?mm?rann Pl?tmhlt]o Plumber. h"mph wuh 1M Cihr d bfaM of Insp.: ca,n.dia, aarpa: Acoount Deposit: _ Pormk Fes: SurcFwnpe: Miu. Chorpex - Totol: Doh Poid: ll)0 . 00Qd 1 NrM h Mvay willi !w CIly o1 VNn Or/fM.e.?. By Dah of Insp.: Conrnction Oaqpe: 4 2 5. 00,); Nooount Deposlt: _ 1.5 PrmtM Fee: Surdwrge: ' Misc. CMrgec Totol: Doh Poid: RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OF EAGAN 1 CJ./ / 3830 PILOT KNOB RD - 55722 470.00 851-681-4875 - NewConeGucUonReauiremeMs RemodeVReoalrRenuiremeMS 7-2-1„01 • 3 regisleied site surveys showirg sq. ft of bt sq, fl of house; anll roofed areas . 2 mpies M plan (20%marimum bt coverage albwed) . 1 set of Energy Cakulatbns lar heated addlGOns ? • 2 coples of plan showing beam 8 window sizes; poured fouM design, etc.) • 7 site survey for exterar additio? & decks • 1 set of Energy Calalatbns • Indicate d lame served b se 'c s • 3 coples of Tree Pmservation Plan if lot pWtled afler 711/93 Y P4 ystem fw additinns . Rim Joist Oehuil Optlons selecbon sheel(bldgs with 3 or less uniffi) DATE VALU/[ION 1? 3 6 8"D JOB SITE ADDRESS I S?& bl-, IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF APPLICANT FIREPLACE(5) 0 _ 1 _ 2 _ PHONE ?/a) 3?;?- -3? ADDRESS 3` 3lZ 2ieZ4 &?/ Z1pCODE S? PAGER # CELL PHONE # FAX # NIEV RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RiTI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculatfons Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater ? No. of R.I. Baths _ No. of Baths Mechanical Contractor. Mechazilcal System Includes: Sewer/Water Contractor. ^ Air Conditioning ^ Heat Recovery System All above infortnation must be submitted prior to processing of applicaGon. Phone M Phone#;?,.?, I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ord' ances. Signafure of Applicard r Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY O 01 Foundatlon O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bld9 O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. AK- Multi 0 03 01 of _ plex 13 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? p p 18 Deck 13 23 Porch (screened) ? 38 Multi 0 05 03-plex ? 17 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous qr 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition D 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratian ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolltton (Entire Bldg only) - Give PCA handout to applicant m ' Valuation ? DG?J l o Occupancy MC/ES System Census Code _Y4 Zoning 16- City Water SAC Units OL Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) ? FinaUC.O. Footings (deck) FinaUNo C.O. _ Footings (addition) 7'!3 Plumbing _ Foundation HVAC _ Drain Tile Roof _ Ice & Water _ Final _ Other _ Fraznin8 _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ RI. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By GLl , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other ToWI ? TOWNHOUSE BUILDiNG PERMIT Receipt # N_ 11071 ?Szo eo Ta M wad h. 1 OF 4 PLEX Est.Value $60.000 pOfe OCTOBER 3 19 85 SiteAddress 1598B CLEMSON DR Erect f? occupancy R3 55 1 THOM LK Lot Block cy?/Sub HTS 2NDRemotlel ? Zoniny pn . Repeir ? Type of Const. 11 Parcel No. Addition ? No. Stories Name NEW HORIZON HOMES INC Move ? Lenyth 44 Z P• 0• B?X 1367 Demolish ? Depth 26 ? Address Int Impr. ? Sq. Ft. City MPLS Phone 420-3900 Install ? ,? Name S?E APProrols Faea ?? Address I- City _ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone Neme d. GRISWOLD Address City - rhone 435-7524 I hereby acknowledge thot I Mve read this applicution ond stote ihat the information is correct ond agree lo comply with oll opplicoble $tate of Minnemto Stotute?s3,and Cily of Eo n Ordirwnces. $ipnofure of Pertnittee? `?? A Buildinq Permir Is issued ro: NEW HORI20N HOMES oll vrork sholl be done in accordance with oll ovvI' le Stnfe o Mir Bulldinp Officiol Assessmenl - Woter 8 Sew. Polite - Fire Erq. Plonner _ Countil _ Bldg. Off. APC Var. Date INC Pam,;t $ 313. 0 Surcharge 30.80 Plan Review 156,5 0 snc 525_00 weter Conn. 500.00 WatarMeter 63.00 RoadUnit 280.60 Tr.PI. 132.00 I Parks Copies Total 51,999.50 _ on tha exprcst cordition that ond Ciry of Eapan Ordinonces. _y... nua SE CITY OF EAGAN N ° 1 10 7 2 - 3830 Pilot Knob Road P O Box 27-199 Ea an MN 55121 9 , PHONE: 4548100 BUILDIN6 PERMIT eeceipt T. M wed fw 1 OF 4 PLEX Est. Volue $60 , 000 pOte OCTOBER 3 jy 85 SiteAddress 1598 CLEMSON DR Erect ?I occupency R3 Lot 5 6 131ock 1 Sec/Sub. THOM LK HTS 2ND Remodel ? Zoniny PD Parcel No. Repair ? Type of Const. V Atldition ? No. Stories W Name NEW HORIZON HOMES INC Move ? Length 44 = Address Demolish ? P.O. BOX 1367 I tl ? Depth 2 ( ? n mpr. $q,Ft, City MPLS phone 420-3900 Install ? o Name SAA7E Approrab Fees ? Address s" Cirv Phone 85 I Name D. GRISWOLD ikD Address ?W cicv vhone 435-7524 I hereby ocknowledga that I Fwve read this applicotion ond stote thot fhe inlormation is correct and agree to comply with oll opplicable $tate of Minnewto Statute?s ^a?nd Ciry of Eogon Ordirwnces. Sipeature of Pemiittee ??- - ????-?•- 7 h Building Permit Is issued to: NEW HORIZON HOME all work shall be done in accordance wlih oll applica,bJ/g/.,State of Buildin0 Officiol /LX?!_ Q" Assessment _ Water 8 Sew. Police _ Flra Enp. Planner _ Council Bldg. Off. 9/16/$ 5 APC Var. Date Permit $ 313.00 SurcM1arge 30.00 PlenReview 156y50 saC 525_00 WeterConrt 500•00 wate.eneter 63.00 AoedUnit 280.00 rc Pi. 132.00 Parks Coples I Total $1,999.50 _ on the expreu condition Ihot ond Giry of Eoqan Ordinoncea. TOWNHOUSE CITY OF EAGAN N°_ 1 10 7 3 1 ' 3830 Pilot Knrob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 ?a g G/ BUILDING PERMIT ?J ReceiD? # Te M wed fer 1 OF 4 PLEX Est. Volue $60, 000 pam OCTOSER 3 1 y 85 SiteAddress 1596B CLEMSON DR Erect 0 occupancy R3 Lot 54 Block 1 Sec/Sub. THOM LK HTS 2NDRemodel ? Zoning pD Repair ? Type of Conrt. {7 Percel No. AddRion ? No. Stories NEW HORIZON HOMES INC Move ? Length 44 a W z rleme P.O. BOX 1367 Demolish ? Depth 26 ? Address Intlmpr. ? sq.pt. City MPLS 420-3900 Phone Inatall ? ? N SAM$ ADVrovals Faes Zu ame Address Assessment Permit 313.00 City Phone Wafer 8 Sew. Surcharge 30. 00 P I' PI R i 1?r?O ?w Neme D. GR7RWClLD x? Address ?W City Phone 435-7524 I hereby acknowledge that I hove read this application ond stote thof the inlormotion is correct and ogree fo comply wiih oll opplicable Stafe of Minmwto Stotute and City of Eaga9y Ordinances. Sipnaturc of Permittea %??+- A Buildinq Permir Is issued to: NEW HORIZON HOMES otl work sholl be done in accordcnce with ull opplicabl tah of Mir Buildinp OfHcial ? o ?ce an ev ew Pire SAC 7 -nO Erp. WaterConn. 5300 .?0 Vlor+r+er waterMeter 63.00 Council RoadUnit 280.00 BIdg.Off. 9/16/85 Tr.PI. 132.00 APC Parks Var. Date Copies Totai $1,999, 0 NC on the exprcu corditlon thar ?wt Sratutes ond City af Ea9an Ordinances. TOWNHOUSE CITY OF EAGAN N°_ 1 10 7 4 . 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT 2eceipt # Ts 6o med for 1 OF 4 PLEX $60, 000 , OCTOSER 3 a 85 SiteAddress 1596 CLEMSON DR Erect 12 Occupancy R3 Lot 53 elock 1 Sec/Sub. THOM LK HTS 2ND Remodel ? Zoning PD Parcel No. ? Name NEW HORI20N HOMES INC Z Address P.O. BOX 1367 9 citv MPLS pnone 420-3900 z G I Neme SAMh 0? Addresa ? City Phone Name D. GRISWOLD City vhone 435-7524 Repelr ? Type of Const. V Add"Rion ? No. Stories Move ? Length ?- Demolish ? Depth 26 Int. ImPr. ? Sq. Ft. Install ? App.ovals iaea Assessment _ Water 8 $ew. Police - Fire Erp. Planner _ Council _ 1 hereby acknowiedge fhat I hove read this opplication ond siofe fhat Bldg. Off. 9 the informotion is correct ond agree to comply with all applicnble AP? State of Minnewto $totutga-q? Ci? f Eogan Qrdinan=_s. - `..?-- y Ver. Date Parks Copies Permit ? 313 . U U surcnarpe 30.00 PlanReview 156.50 snc 525.00 Water Conn. 500, ? 0 WaterMeter ??0 RoadUnit 280.00 Tr.PI. 732_00 Sianature of Perminee;,__` r? ---.-? I Totai 5 ?0 A Building Permit Is issued to: NEW HORIZON HOMES INC on the exprcss cordition ihat oll work sholl be done in accordonte with clt opplicable(y?? te of nn ta atu?t-es -ond Ciy of Eagon Ordinonces. Bulldirp Of(icial ?ll??C v ¢A y 2 ? This request void ??? Q? 18 months trom o1'7q7 E R1 L sil h?'??+?-l? NfsL as/. o. _ Reques[ Date V J / C Fire No. Requiretl???sVe<Uon [:]peady Now `??^1i11 Noiity, InsPec- Wh ?? R - V ?ev ?NO For en eady aLicensed ElecVical Con[racmr 1 Iherabv l insoaction of above ptiwner alecVical work inslalled et Street Addr¢?s.s?1. eox or Route No.n /n » ? ? C?ity-/??_??• "+ ?V'" 1•' V ? "? -?1.?-+i /V Ui 1 !J/ l V ecvon o. Townshiu Name or No. Range No. CoulltY ' U Oc<upanc ?PpINJ1/ ?/ / 1 ?C/4 y/VuF ? Phone No. Power SunVlier ??? /?i G Atldr.qss ? i? Elecvical Cnnhactor (C mpany N me) ? ??O N. ?G C...????cmr's License No. G ?CI ? Mailinp Ad r2ss ( ontroctor or Owner Making Inst»ilatioN 46Wel _S??2 v uthonzeA S gnature ICo hactor Own a i g InstallatioN Phone Number ` - 93?-2521 MINNESOTA STATE BOAHD OF ELECTflICITY ? THIS INSPEGTION flEQUEST WILL NOT Griggs-Mitlwav Blde. - Noom N-191 BE qCCEPTED BY THE STATE 90AND 55100 UNLE55 PROPER INSPECTION FEE IS 1821 UniversilV ?+ve-. St. Peul, MN ' ENCLOSED. Phone 1612) 297-2111 ' REQUEST FOR ELECTRICAL INSPECTION Es-oooo. \ ' See inshuc4ons tor comDletinB this torm on beck ot vellow copy. QZ R-A?] 7 Q ? "X" Below Work Covered by Thrs Request G 7/ v AAd Rep. Type ot Builtling AOPlionces WireE eN 4Yired Home Range Service Duplex Water Heater ixtures Apt. euildinq Dryer eaLn g m Commercial BIAg. Furnace 0 Y der Industrial BIAg. Farm Air Conditioner Omei Pciv1V Tank .HVl tier Suecity Othe. n',??? I, RouBh-in tne Elactrical r ? spec, heraby n cerlilv that the abova Final ?? ? ? v ` ?Y? i^sGection has baen mede. Thie repuest valC 18montns Irom iv 1 120 ? 10 9 5 0 /. 1 *I- co Request Da . /. 5? / /e ° FireNd'; Rouqh-in Inspection Requiretl? / yiheatly Now ? WIII Notily Inspeotor WM1 R ? r ( ves L?NO en eatly I licensed contrector D owner hereby req uest inspedion of above electrical work at: Job Adtlress ? vee!. 6ax qnm Na.i /? UJ 1 CI? A1 I Au Section No T. wnsnip Name cr No. Range No. Cou Occupan (P Ti / Pnone No. aowE? ?noion, Aratlress Elecmcai Contraotor ;Company Namei Conhactor's Llcanse No. Harrison E1 e-c_tr_i.C-I n s. ? _1_8_ Mailing 4ar.ress ICoc[ractor or Owner MakinS InslallaLO.)) 2525 Nevad.a oAI?T7.G_ol. Autoonzetl Si n W IC l /O l M .d-e o a y a re n rac or wner akmg Inslalla? ? P Numbar - MMNESOTA STATI 60/ RD OF ELECTRICITV Griggs-Mitlway 81tlg. - Room S473 1821 University Ave.. Sl Vaul. MN 55109 Phone(613) 6Y2-0800 REQUEST FOR ELECTRICAL tNSPECTION ? P- See Instruet on6 for complanng ipls Imm on back ol yellow copy. H 1 Inq-rj n "X" Below W, ork Covered by This Request THIS INSPECTION REOl1E5T WILL NOT NE NCCEPTED BV THE STATE 90ARD l1NLE55 PFOPER INSPECTION FEE IS ENCLOSED ? EB-OpODt-08 ? 70 ew 4dd Rep. 7yDeotBmlding AppliancesWiretl EquipmentWiretl Home Range Temporary Service Ouplea Water Heater Eleciric Heating ? I j Apt. Building Dryer Other (Specify) Comm.%Industrial jFumace Farm Air Conditioner 0!M1erlsuil - Conlrnctor's Ramarks Compu(e Inspeciion Fee Below: x Olner Fee k ServiceEniranceSize Fee # Circuits;Feetlers Fee Swimming Pool O to 200 Amps a to 100 Amps Transformers Above 200 _ Amps 0 /+mps Signs inspecmr§ Use Omy TALr Irrigation Booms 0c) Special Inspectlon ? Alarm/Communication THIS INSTALLATION MAY BE ORD NNECTED IF NOT 101her Fee COMPLETED WITHIN 18 MONTHS. I. Ihe Electrical Inspectoc. hereby Roucn-m oate certity ihat ihe above inspection has been made. F;,,ai ? oa OFFICE lISE ONLY ? ThiS 2i Wid 18 RIOn111511Om Thisrequestvoid 3? 18 mnnths Irqm M 097775 L s4.6/, 74" Llc Idfs 2Np 9? Sy ?- Renu est Date ?? /] (/ Fire No. flouPh-inInsuection eq ireA? Ycs ?NO FeaAY Null Notity Inspec- ? ?or When ReadV LicenseA Elecvical Contractor Owner I heraby reques[ inspection of above electrical work installed at: Sveet A?tldrejss, Box or Rout?e N/o.? Cit er.uon o. F TOwnshiD Name or No. ftnnge No. Cnuy??y l1 . . iy ? Or,cuo t I,P/% I NSI ??V 0/0/4 dy Phone No. Power $upplier _ Adtlress ?' / ,69A _? , V/V/• Eiectrical Contractor 1? mD???V N me) , " Con rer.tor" s License No. / \ Mail- g Atldress ( rac[or or Owner Makine lnstailation) G Aothonzed wre tr [ Own er , kirig lnst' Ilationl Phone Numbcr MINNESOTA STATE BOAND OFELECTNICITY GriB9s-Midwey Bidg. - Noom N•191 1821 University Ava., St. Peul, MN 55104 Phone (612) 297-2111 TNIS INSPECTION PEQUEST WILL NOT 9E ACCEPTED BY THE STqI'E 90AND UNI.ESS PNOPEH INSPECTIDN FEE IS ENCLOSED. 3n?rp? REQUEST FOR ELECTRICAL INSPECTION JEB?-00007-04 See instructions br completingthis torm on back oi Yellow copV. .+,/ ? ??/ r7 "X'" w: '?D Below Work Covered by This Request FAJ Rao. TyOe ol Builtling AOPliances Wbed Equipment Wired Home Range Temporary Service DuVlex Water Heater Lightiny Fixtures Apt. Building Dryer ElectnC Hea[in Commercial Bldg. Fumace Silo Unloader Industriai BIAy. Air Conditioner Bulk Milk Tank Farm Offiai pec v .ther ISOaufvl M er Sueufy Other Othei Cmmnida lncnncNnn Fac Ha/nw/ ' ' - 1C M F a ServiceEntrance5iza q Fee Faxders/SUbineders Fee Circuits 0 to 200 Am 5 0 to 30 Am s 1 0 to 30 Am s Above 200 q?nps, 31 to 100 Ainps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_AmVs Transiormers Irngation Booms ? PartiaL'Other Signs Suecial Inspection S T07AL FE ?i Nemarks ? If I ? I I^the ElacVicAV I //? ? I spectoq herebv / / L ?qrtiiy thet 1M1e above Final • te inspection has been mede. mie request voie This request void 6 ???y( i nwnlhs fimm 3-2.0 d' .U`97774 0570.- flequest Date Fire No. Rouph-in Inspection Z n q reA? ?Reatly Now W?II NoIify Insoec- ,J _/?/ Y ?es ?No or When Feady Licensed EI¢c[rical ConVactor I hereby requast inspection of above Owner eleetrieal work insIalled at Screet AAAresS. Box or'floute No. . City ecLOn o. ownship Name or No. Range No. County OccuOant (PqINT) ? Phnne No. ? n U IW Power Supplier Address 6 ? ? ? Eleclrical C n a-to,IC mpany Nam on vator's License No. , 6NIDVr, [_ L- ?-?- ?-`,?1J ? Mai n0 ?+???ress ICO racmr or Owner Ma king`Insiailationl - A[horized SiPna[ure r c ur?Owne kind.l sW nt on Phone Number MINNESOTA STATE 90Afl0 OF ELECTRICITY Griggs•Midwey Bldg. - Noom N•191 1821 UnivarsitV Ave., SL Paui, MN 55104 Phona (6121 297-2711 ' THIS INSPECTION NEQUEST WILL NOT eE ACCEPTEO 6Y THE STATE BOAAD IINLESS PROPER INSPECTI9N FEE IS ENCLOSED. E•2.066 REQUEST FOR ELECTRICAL INSPECTION ? ? - ? ' See ins4uctian5 for completin9 this lorm on beck ot yellow copy. ?? •??? I;S n Q T7 r7 ! d "x" Below Work Covered by This Request . Adtl Rep. Type af BoilEing Aaoliancns Wired EquipmeM Wired Home Ranye .Temporary Service Duplax Water Heater Ligh[iny Fixtures Apt. Building Dryer Electric Neatin Commercial Bidg. Fumace Silo Unloader InAusViai Bldy. Air Conditioner 7 Bulk Milk Tunk Farm otnAr Spe- v thor (spocifv) L P.( S{ICl'I?V OthC( OIfll+l N Jee r5erviceEnhenceSiie b Fae Feedere?SUbfeeders N' Fee Clrcuits 0 to 200 qm )s 0 to 30 Am s 0 tn 30 A6ove 21 0 Am>s 31 to 100 Ainps 31 tu 1 Swimming Pool Above 100-Amps Above m 5 P Transformers ion EkwS Irrigat m Partia6e Signs Speciai Inspection S? TOTAL 4 Rem?rks ? IC , ? - RouOh-in f ?''?, I, the Bectri Inspectoq hereby certity thal lhea0ova Final ?'?1e inspection has bean / . a 7 ' made. Tnla reaueat void 18 monllm fmm ?----------------i ? Permit#: 1??4?-1 ? I ? I Permit Fee: I VJ I I Date Received: ? I ? I j Staff: I ?-----------------I 2008 COMMERCIAL BUILDING PERMIT APPLICATION Date: ' '40 V Site Address: S94 7).e=I S J p ! Ldl .Y71J)2A' Tenant Name: /?6 )I /s? W " ?? i i i I (Tenant is: _ New / __k Existing) Suite #: PROPERTY OWNER Name: ? Phone: i y(!? /l?o.?JIJR • S g eryis?ivD?z Address / City / Zip: I I t ' r t / Contractor Applicant is: _ Owner -X TYPE OF WORK Description ofwork: V l,aJyl 51d /IVpI r`'L ,y ? Dd / Construction CosY..?? 's LT ti CONTRACTOR Name: ' License #: S?'?3 Address: 5 . 67K/6-prc) ? City: - C S :M ' Zip: 575 Phone: JO6 I Contact Person L)?1j c- ARCHITECT I Name: ?(7 /l1 ? - Registration #: ENGINEER Address: City: Sfate: Zip: Phone: Contact Person: Licensed plumher installing new sewerlwater service: Phone #: NOTE: Plans and=supporting alocuments fhat you submitare considereal to be public information: ' Portions of the information may be classified as non-public if you provide specific reasons thaf wou/d permit the City_to , cort'clude that ihe are trade secrets. I hereby acknowledge that this information is complete and accurate; that the ii-bCnrJ Eagan; that I understand this is not a permit, but only an application for a permi , and work accordance with the approved plan in the case of work which requires a review and approval of X ApplicanYs Printed Name 3nce with the ordinances and codes of the City of to start without a permit; that the work will 6e in 7 ? r Page 1 of 3 ' 2004 RESIDENTIAL BUILDING PERMIT APPLICATION Ck,? 600OI City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmction Reauiremenis Remodel/Reoair Reouiremenis Office Ae?O 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert oF 5wwey Recd -YH (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addilions iree Pres Fietl '_ Y_ N; 2 copies of plan shaxing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks 7res Pres Ry?pited ,;' Y ? N i set of Energy Calculations Addition - irMicateAonsitesepticsystem fln-sile5e{i?icSystem _Y ?N 3 copies of Tree Preservation Plan if lot platled afler 711/93 Rim Joist Detail Options selection sheet (61dgs with 3 or less units Date4 / 9 / Const ruction Cost - Site Address C. ???1 J L L ?S?N llc p UniUSte # ? • A,+ /'? Ar c Description oi' Work 6k ,n < Multi-Family Bldg "`-Y Vd. N Fireplace(s) _ 0 k1 _ 2 PropertyOwner ?k ( '??` (?liN)LI 0 7 A Telephone#6?/ ) 4?'2v6y Contractor Address 3?? ll?• CIw-t ?? City State Zip W33) Telephone #(? Z) Y`l J'07 ) J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) 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 #( )? il I ?'- ' ?= I hereby apply for a Residential Building Permit and acknowledge that the information s complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan-and-Ehe7State-of=NIN Statutes; I understand this is not a permit, but only an application r a permit, gpd work is not to start without a permit; that the work will be in accordance with the approv lan ' th Tas of ' rk which requires a review and approval of plans. ? < < Applicant's Prin ed Name Applic t's Signature : ? ATA?2_005 ? RESIDENTIAL PLUMBING PERMIT AP ATIfl1V? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / ?_ ? ? " ??/ Site Street Address ??? R ??,Uyl S?'1 1C Unit # Property Owner 6f I I I Telephone #( ) S Contractor MCCjyI w 4- dwS (2? Telephone # q5Z) 6731 -Z214 Address ?Oni- 12t"? Poll° ? City LTyr? {? ? StateZip3 r?r The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fuctures (excludes water softener and/or water heater--complete next section if installing these appliances). _Septic System Abandonment . Qog??o _WaterTurnaround (add $125.00 if a 5/8" meter is required) Other: _ Water Softener L Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ?? ? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be, in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. I'?1V>f'V 1 ? /? ?`(? ? d??? Ap3 icanYs rmted ame Applicant's nat? rIq ? q3?' ?q3?' v y C4 ?w w? O q3G?. i r?s jV 4 ?936 s N34oo7'g8,E 4 937.0 ?'??IN . O 2Z.33 , z (935p 0 z.33 . -?. 2 • O ? 1.4 tlz. 0 3 Q?? ^' ? ?2.0 : N N ?z s ?41 N (934. o) p r O"? ' ? N N ?93$ 5\?0 z.o?'/0 ?D . 14 N N ^ I e} ?a N ? ? l936 5? . z2.33 ci'j rv ? b N77o38i.op1,° ` W ?936. o) d \ ? O Denotes Iron Monument ° Denotes Wond Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes ProDOSed Elevation Proposed Garage Floor Elevation= 9 37. o 4r--- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 9 37. 5 j?a4 P,P,cn??? 1 hereby certity that this is a true and correct reDresentation of a survey of Me boundaries of: Lots0, 54, 55 and 56, Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, 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 of the stakes as set tor a proposed building. As surveyed ._. by me or under my direct superVision this Inth day of Augua* , 19 85 ? McCOMBS•KNUTSON ASSOCIATES, INC. COntYUI[G I?G:?[[?i ? Wp SUIIV[i0111 ? Slf[ ?WRq WMNENOLIL w 1Nttx?NSON.WMx[fOTA Paul A. Johnson ? Land Surveyor, Minn. Reg. No. 10938 ?%`:40- CERTIFICA ?Eo OF SURVE' eppK MGE 7430 Ww ?? hOWs , 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 ?- Please complete for modifications to existing residential dwellings. Date )6 I ;() I 0 / Site Street Address JSr7lo CfPM SO,7 4/aC Unit # Property Owner ? YIO q Gro Aeesf Telephone# ((oV) Wy Contrector /XrM/,k,r 4q' #14, Address 7.5 $? I/? A S?• l.? " City !°d=llP Teiephone# (ySZ) State AA 1`? y1?? Zip SSZ,y? The Applicant is: _ Owner KContractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener ? Water Heater ? replacement _ additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 ? Total $ o? Y?.--.------ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name Appli anYs Signature 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION /i ??•? ' + City OfEagan 55122 ? `??•?? 3830 Pilot Knob Road, Eagan MN Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reaviremenis Remodel/Reoair Reauiremenis 3 registered sile suNeys showing sq. R. of lot, sq. H. of house; and all roofed areas 2 copies of plan (ZO% mazimum Iot coverage allowed) 1 set of Energy Calculalions for heated additions 2 copies of plan showing 6eam & window sizes; poured found design, efa , 1 site surveg for additions & decks Tto Pr25 i'ISn:Recd Tree BrQS Re?iired _.Y ? I? .... X,..., b isetofEnergyCalculations Ada'Cmn - indicefeifon,sdesepficsystem o, n-$ite$eptic.a0t2?7 3 copies of Tree Preservatron Plan if lot platled afler 711193 Rim Joisi Detail Opiions selection sheet (bldgs with 3 or less units Date 8 l LG l20()`1 Construction Cost 12/4? Site Address CLmQO`) Dt IIniUSte # Descriptiou of Work 0 X 2 0 Ck ADD711GW r PIW £ k ry'') JW Multi-Family Bldg ? Y _ N Fireplace(s) Property Owner Telephoue # (?? ) H 25" Contractor BES Exj£l?,0f MA1kqtIJRAIC£ Address TO? W, C'6111 ST. City PdNNiow State M N Zip rSq Telephon"A' 6 1-3?z-4g6q EKr f?3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Miru?esota Rules 7670 Cateeorv 1 Mimesota Rules 7672 Energy Code Category , Residential Ventilation Category 7 Warksheet • New Energy Code Waksheet (J submisslon type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 2557o plan review fee applies. v ? I Telephone # ( Licensed Plumber Mechanical Contractor Sewer/ W ater Controctor Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an 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. him eunH 41K_? /"L ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling D OS 06-plex 0 03 Ot of_plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alterffiion ? 37 'P 34 Replacement Valuation 2_? ??O • ` Census Code -?`?- SAC Units # af Units # of Bldgs Type of Const ? ? 13 16-plex ? 20 Pool ? 16 Fireplace ? 21 Porch (3-sea.) ? 17 Garage ? 22 PorchlAddn.(4-sea.) V? 18 Deck I ? 23 Porch(screen/gazebo) ? 19 Lowe ? Level ? 24 Storm Damage I P16 g_Yor_N ? 25 Miscellaneous Int Improvement ? 38 Demolish Interior ? 44 Move Building ? 42 Demolish Foundation ? 45 Demolish Buildin ` ? 43 Reroof ? 46 •Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy ? MCES System _ Zoning ? City Water _ Stories ? Booster Pump _ Sq. Ft. PRV _ Length Fire Sprinklered _ Width _ Foo[ings(new bldg) _ Footings (deck) F-x 5 %-/; r/r? _ Footings (addition) / Foundaflon Draiu Tile Roof Ice & Water Final _ Frazning _ Fireplace _ RI. _ AirTest _ Final _ Insulation ? 30 Accessory Bldg ? 31 Ext. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIItED INSPECTIONS FinallC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding Smcco _ Stone _ Brick Wind(yws _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total . z S s,.)rLVeLt S Buildl'n9 *k /3 . a3k'k - q3k;1 C? EtijR?? ?93? _ SON C) P r`j36 t ? N i3 ? S 77*38' ? q \ /,po E ? \ ? ?vE Q 's3 Z 2. (9 3; gs W a P N N ) m Z*';! N NO (93`•0 • m o I /00./ 0 ? l936.5` z2.33 ' 4 . rv V, Z N 3 P1 ?? i 3l?6•. 7. oy =1 N77o 3?.aOio ? ? d s,? ? i? (e36.o? d ?. 1, ? !! ? O Denotes Iron Monument ° Denotes Woad Stake XOD0.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation -`- Denotes Direction of Surface Drainage I Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= 937.0 Proposed Lowest Floor E{evation= 9 3 7. 5 I hereby certify that this i a'"e and correct representation oi a survey ot the boundaries of. Lots 6), 54, 55 and 56, Block 1, THO?SAS LAKE HEIGHTS 2ND ADDITION, Dakota Count}, Minnesota. And of the location of ali buildings, if any, thereon, and ail visible encroachments, if any, from or on said land. It also shows the focation of the stakes as set for a proposed building. As surveyed by me or under my direct superVision this '10rh day ot >>4ua* 1985. ?...? Q ?.? Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 i"=4o' CERTIFICATE OF ZEY ?K IAGE fior McCOMBS-KNUTSON ASSOCIATES, INC. ?? ??)?????, _ WIfSUPI[G FMC:N[[AS f W10 SUAYlfCRi E SIf( PLtkMERS FiLEIp, ? S y.+? WkNE?OLIS aw XVTCMIHSOM.M?NNECOT? 7430 HOW RESIDENTIAL BUILDING Permit Application City Of Eagan C? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Renuirements RemodeUFieoair Reauirements Otfice Use Onlv 3 registe2d site surveys showing sq. R. of lot, sq. k. of house; and all roofed areas 2 copies af plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Cakulations tor heated additiore Tree Pres Plan Recd 2 copie5 Of plan Showing beam & window size5; poured found design, etc. i sde survey for addi6ons & decks Tree Pres Not Reqd i set of Energy CalculaUOns Adddion - irMkate if on-sde sep6c system _ OnsRe Sep6c System 3 copies of Tree PreservaUon Plan if lot platted after 711l93 Rim Joist Oehail Options selection sheet (bldgs with 3 or less units Date ? Construction Cost ? -??76>67 Site Address _1679ei?x 2Z'M n, oozC,ii-' Unit/Ste # 4Z_ Descriptton oC Work 'el??? ?p/ Multi-Family Bldg )G Y_ N ? Fireplace(s) _ 01 _ 2 ? Property Owner Telephone#(Z6/) /i7?-oa(?rT Contractor ? Address City State ' .? .? Telephone # (? S1__1 0 .6 C) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet (d submissian type) Submitted Submitted . Energy Envelope Calculations SuGmitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( 7151 er?3 hane#(? rl1l I hereby apply for a Residential Building Permit and acknowledge that the information is ?? plete and accurate; that the work will be in conformance with the ordinances and codeslof=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 ich requires a review and approval of plans. 11V17 Applicant' Printed Name Applicant's Si ature ?q(?001 MECHANICAL (RESIDENTIAL) 16o'`s-0 Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Plcase complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date/_?,/ / Site Address Unit # Property Owner Telephone # ( ) ?? ? ? ? ? i ? Contractor ? ?.?L{ ? Street Address ? City State Zip ? Telephone # (9"..2;? The Applicant is _ Owner Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 __4..?umace replacement air exchanger Z,-?_air conditioner other State Surcharge r ? $ .50 . 1 _ . i = V 30 ' Total $ . ? Lc; , I bereby apply for a Residential Mechanical Permit and acknowledge that the information is wmplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernrit, but only an application for a permit, and work is not to start without a pernut; j,hp the work will be in accordance with the approved plan in the c of work which requires a review and approval of plans. \ ?.??A=?6?•? Applicant's Printed Name Ap ' Signature PERMIT# ? I -?--? RECEIPT DATE: 2002 R£SiAE1VTIAL PLUMBINfi PEiiMIT APPLICA1'AC1N CITY OF £AfiAN 3630 PILOT KNOB RD EAfiAN. MN 55122 651-661-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: ? J"6 D '1`? l? l R a TI?.i? l?L OWNER NAME: 'L??(1 lf?n RP.?LI TELEPHONE #: I 4N `'l 5?' -?P 4 Li 1 (AREA CWE) INSTALLER NAME: STREET ADDRESS: #: --I,J?) ??. -& ? --- 7 - , (AREA CODE) CITY: STATE: I.--) \ ZIP: -9 I ?. _ 5EPT{C SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repaiNrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: ? water softener _ water heater $ 15.00 State Surcharge $ 50 TOtel $ ?'5'5z) I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is the applicanPs responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activdies to the 4citities constructed under this pertnd hin.City prope !' t-of-w yleas ent. ???,r, ? Q SIGNATURE OF PERMITfEE 1102 ? q r 3 ? RESfDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNDB RD - 55122 651-681-4675 New ConsWCtion Reouirentents RemodellReoair Reauirements . 3 registered site surveys showing sq. R. W lot, sq. R. of house; and all roofed areas • 2 copies of plan (200% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan shovring heam &window sizes; powed foond design, etc.) . 1 si[e survey tor eztenor additions & decks • 1 sel of Energy Calculations . Indicate If home urved by septic system for additions • 3 copies of Tree PreservaGon Plan N lot platted after 711193 • Rim Joist Detail Options selecfion sheet (bldgs wifh 3 or less unils) DATE -7 1 / vI6.-? VALUATION JOB SITE ADDRESS /-,S-dI LJ69?s7!/I V"'- %G' (li IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER CV-A,.(jtn Q, 9,4SP l ? TYPE OF WORK St4ofl rz, c illr?_2c_f I/2N APPLICANT ^!A , /?r1vvIRYI v ADDRESS l.//, f7 W fA IZ PAGER # PHONE # E(S) _ 0 = 1 _ 2 PHONE# 74, ZIPCODE SS.S'.`32 FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Phimbing System Includes: MINNESOTA RUI1?S 7670 CATH,GORY i - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone Wsuer Softener _ Lawn Sprinkler Waler Heater No. of R.I. Baths No. of Baths Mechanical Contractor. I?YP'JN Od1/oeC Mcchanical System Includcs: _ Air Conditioning _ Heat Recovery Systcm Sewer/Water Contractor: Fee: $90.00 Phone # Fcc: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with ail applicable Siate of Minnesota Statutes and City of Eagan Or inances` Signature of Applicanf Certificates of Survey Received _ Tree Preservation Plan Received _ t Required _ Updated 2002 . , r . 3 _ .' .`. + - . • -. £ ?? ..? t ?' ?, } ' u r - _. °' . ' ? . '; f ,• i ?:?;: r tri '?i ?? r+ Wt` ?'? ? v?? . hK' ? ., s . = ?} @ ?' S ?. . '9$? $U?t.DfZ'?G$EF.t4If ??Y'I£}?''????'Y_UF?EA?? :, '" ::. :'. : ?SSf 3'?s'n 2-!y{;?,?'„?•3 s-P< r:?, ? ? i.' ? _F e.p„ ^y?'.i a' > .. ? .I ' . „ . , . HDT£ AI3;. C4N?PACI'ORS' HUSY 8E•'?.ICENS?B NI?H ?'N£ CZTY: QF S9?AU , . - -- u 1?l ?=r Q ? - • i _ ' z- ,? . „ . ' - , :..INCLUDEi` 2 .SETS OF. PLANS • ' 3 C£RTIFiCATES OF SURVEY , - 7 57-1 UF E17ERGY CALCULA?IONS .. ' .... ?• _ - •-- . . ' (oCJ,O? . , ',. . . To BA Used ror: RESIDENCE.Valuation:, _? Date:_9a-85? Site kddressi• JSQ?? .CQa,rnnmi_! ?Il7EJ OFFICE USE ONLY Lot: 153 $lock_ I Sect/Sub THOMAS LK Erect'? ? Occupancy ?3. • v HEIGH75 •. Remodel _ . Zoning . ?p . Fzrcel fl ,. Fiepair Type":of Cobst TL " Enlarge : 0 of Stories tTwr,er NE1d HORIZON 'HOmES, INC. _Move Length . . , . ` Demolish ? Depth Z(? kddress P.O. BOR 1367 ''Grade- Sa Ft City/Zip Code Mp1s., 17inn;- 55440 ':.'----------------------------------' ' Phone 420-3900 • -APPROYALS- . Coatractor SRn1E Ass2ssraents Permit 313. t;ater/Se::er S;:rcY,srge 30, , Address Police P3an Eeview ?g (o,SD " 'Fire SAC • 525, City/Zip Code ' Engr Yater Conn 560. - Planner 1,'ater Yeter Phone _ Council Road Unit ` Bldg -0:: . :.. Psrks . ' Arch./Engr.. D. GRIS6fOLD . APC TreaLnent Pl (3Z,, 3iariance Address ,. , - ? • . ` .., TOTAL /.?` ?S? ?•, l . , ; . -- City/.Zip Code ?' , . • : "? , ;:,; ,a. .. . ; :,' ?(?: " . . - - - - • , . ?-?--- ?hone B 435-7524 _ ? 3., _ ' -71 CrG? , ? , - . : • , . .. > . ? . . _ , .. , . ... : _ , . . .. ° . : . . _ .; - _ , . . . .. . e5 .- f ? • ? ? . t.? _ p? y''.' +1 ?? t >• 1t? "y/ `? '. ' ?J . t C .:... ?` .. 1 ... ..'/ : i ... ? . ..? i C tf ?.-:. _?98`?` SU?LDZhG ?E3t3iIT APP[.ZCATIGN_=_Ci'tY • i S - ? NOTE AI.L`_COHTRIiCT6RS FSUST $E.1:ICEYSED.Z#I TH TYE CITY?OF E9GgN E . _ ? :• . . , _ , . ,' :._ `':_ , ',. . -? F ` E.(N i?' ?(o ??_ _2 INC?,UDE 5ET5 .OF Pi.ANS . i - • - - CEftTZFIGkTcS OF`SURVEY - 1 cET Or tfiERGY CFLCUL'P.SIONS' F - ; .. . To ce used cor:, RESiDENCE- tal?ation: ? v te:- q 3•-p,?':- ? & - . . . . . . ? .. _ "' . • - ? - .: ? . p. ` Site Address: 154Cn 1 OFFICE USE ONLY Lot: Bioek :Sect/Sub THOMAS LK rect'? Occnpaney - NEIGHTS -Remodel _ Zoning -:.- ? Percel N Hepair. Type', o£ Corsst - Enlarge . 0 of Stone's ? € - ' --C?w;er ? NEid HORIZUN HORIES,? INC. -' . 1•tove . ?'Length Denolish Depth o- kddr=ss P.O. BOX 1367 Grade Sq Ft - . - f p ? C1tY/ZiP_Co3e mpls.. minn ssa4o 'w ------------- =-- ----- ------- ? " Pncne 420-3900 6PPftQVALS y _ ? ? ? ? .. - ... - . . ? Cor,tractcr SRmE 55sess menis Per_mit . l, ? atcr/S e^ ? Su*charee Address . rolice ? Pla? fieview. • ? - __ . . . . . , . ._ _ i Fire .? -SAG City/Zip Code = - - £ngr bieter Conn Planngr ldater ?Neter ? Pho+e - Council oad- UniL ,- F ` E1dg? Dffq 08 aarks ? ; ?:rch./cngr. D. GRISWOLD APC ,--' Treatrent Pl Variance - • . ? Addr=ss TOTAL t _ , City/Zip.Code . ?°.f. ?., {{{ . . . _ . _ . „ ?a:.;;c - - .-Phone 9 ' 435-7524 - . ,. , . ,. .-? . . _ ..? _ . Y ( ? ... - ?. . y ? ? . 4 A . ? . .-. Z . . . J ' ., ? c . ? . ? . ' ... .. ?' L ? . ? ' ' . . . - . . . . , _ , ? . _ " . . . ... . . . `?- _ . . . ". . F . . - . , . . . . . . . - . . ? ' . . . ? .. ? . ' . -. . _ h . f '?.' -. .. . ? " . ? . . _ .. . . . _ . . ? . ._ ? ? r.? ?P . .1?.. bi.. ' . . ? . . . ? .. _" " ._. . i...._ ._.T . ...., ... . ?l . .... . .. p .? .,. ? :L.. .. . , . . : ._ ° .'Y. 7 . ? _ . . y . . . . . . " . , .. . '. - a , . - _ t j985 BtlILDZHG PERHTZ:lIPPL-ICATIDN -- GITY.OF EAGAH x , - . ?, ..:. . .. . . .' - .....x. . .. . .w. . ? : .. ..., . :. .-.. .; -. ... y.i . .. .. . . _._ . . . .. . ..', . . . 2ioTE - ._ B< - . -.,• „.. _ =ALL C04TRACTQHS l#UST' &-LICEHSED. AITH- i'HE_ CI3'Y flF. EAGtN ' .. - , IHCLllDE 2- SETS Or' PLANS ., - 3 CtRTIF2CkTES OF SURVEY 1 SrT OF ENERGY CALCULATT_C+1F5 I br- 4 Gn«x? ; _. _ To Used 7or: RESIDENCE Va'_cation: ?Date: Site rddress: OcFICE USE ONLY Lot: ?"j(o Block I_ Sect/Sub THOIARS LK Erect', Gccupancy _ HEIGHTS '°:c7de1 Zoning Farcel C - ?.Epair, Type'of Coast - - Enlarge ? Q.ofrSiorizs -- . ' -Owner NEW HORIZUN HOMES, INC. - ` - tdoye -`.:. . Le'ngth - _ Demolish _Depth -• Address 0.0. BoX 1367 Grzde ; =.'Sqr Ft, City/Zip Code Mpls., minn 55440 .. --=--------------- -,---=------------- " Phcae 420-3900 GPPROYALLS Cootractor SRmE Asses=men*S Fermit idat<rlSewer Surcharge - Address ?olice Plan Review ' Fire SAC - City/Zip Code Engr Water'Conn . Planner - h'atec• Heter Phon° ? Council nosd Unit °ldg Off ?cks , nrch./Ergr. D. GRISWOLD - ? ... ?PC reatrent P1 . .. . Vari2nce Address • . ? TOTAL City/Zip - _ ._ ' . . ' Codp,P6one # 435-7524 .. ? ? . fIU1L HLLtiLT?Rtt1,a1VA.Y RVJl jSL'L"li.t io _'- Us?d.eor: RESIDENCE Valuoticn: SiLe Address: (?pons?Llcrn ? Y ..` f }'? .... ? .. Yy ? 3DT? `= 'CSTY -0F EA,1'i9`tI,- , ? *-': ? SEA?SiETH THE CiTY?.;UF?^?AGAIi:?» ..- r k ,_ _ZNCLUDE,.2 SETS;6r PLAhS ' . 3.CcRTIFICA?'c$ DF SURVEY 1 SE; Or cNERGY CALCULF.TIONS OFFICE ?SE OHLY ' - Lotc Cj? Elock Sect/Sub fHOmAS LK 7-rect',? Occupancy.- - . . ? ? HEIGHTS . °°mod°l Zoning . Farcel 1k Fepai? • Ty.pe' of Const - cnlarge bf .Stbries _ ?j:?:.*Kner NEW HURIZON HOMES?IWC.=?'-= - .-Move?- ? ?Length - ? ? • - - -. Demolish Depth - :. - . ? 9dd; ess P.O. BOX 1367 Gr2de ?.,? . , . - gq-+..Ft._ City/Zip Code Mpls.. IAi:nn 55440 . , _. --- -- ---x-- ------ ---- - . ;. ' Pncne - 420-3900 ? "- 6PPROYALS- Cen?Zractor SAIRE Sssessments Rer!n1t. i,'a'er/S°wer Suret;arge Address rolice Plan? F.aview - . .. Fire-_. Ci±y/Zip Code Engr. .' k'ater Conn .` " Plann'er?. ' Nater-?Xeter' , ? _ P'r,one • ? Council Road.Onit. E1dg Off ? 6 arks _ ° . Arch.lEngr....D. GRISWDLD-? APC - T7?eoLnenL Plr . . , , - ? > .. _ •. .- _' .' Varianae _-. .,_ - , - - dddress 'TOTAI. , ' . City/Zip Code"_' • ?... _-._ y. ,4, ? % ? `Pnone 0 . 435 -7524- . ?, n • .. ... _.. . . . . i ., ' " ' s .h . . ? t c.? :. ..: .:., . t . ?.° .. ,. . ;:, ... , .. ._'. l ....: . ' ? - " ..,' ?-A" 1. o . .;`. 't. . .. - . ? c ,.. . ... . _. ,. ' .:. .. ?.. :..., ? : -... . „ . -? t , - ' ? .. r. . . . , . , . ? .,.w . : . - . . ... . .. . ?d, ? -_ . . . . :. . . .. .. : . . . . . .. . ,c . ... „ . .. .a. . . . ... . :.... . . . . s_.. ? . ?`? ;t_ . _.? . ' . «y M1. . _ . .pp_ _ . ? + v .??? . _ '.? y' _ . . .. , . . . _ .. . .. ' . .;.. ? . . . ? . ? . . " ' . • . _ . . . .. - . ?. . . .' . . - ' ? •-_ . : ? ? - . '.<?.= . ' ? .. .. . . . .. .. . 'd? - . . . G' . . . _ . ' , . . . .. ' . . ? . b . . ... • . _ . _ . . . . _. . . .. v . . . ?..? .. rv . ? . ? +?_. ..r . . .:.. ., .._ _. ?E.!,:J ?t?..?zot?i ? ?? 3, ?3 ? PJ340 33,0(, a N-CX 26,75 ? HEAT LOSS CALCULATIONS HEATINGB AIR CONDITIONING CO. MiNNEAPOUS, MINN. Weatherstrips A.S.H.V.E. Canstruction No. Insulation NTindows Doors Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kird How Applied Yes-No Yes-No FI.L?YIM(,. O R0O^? LBngth ^L?, Width HOipht t PI. Q(lAS1EJ? ?qROan Length I IO -W40M Meight Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Are a Na Wiyip of ane Meipht of pane No. ol li hro Lmeal ft. oi crack Area- sq. N. No• W, O,h o/ ene Moipht o/ ene Nn. ol li his Lmeal It. oi crack Area sQ? ??• 31 ?t? 2 2 ?. t !, z 2? 1-7 ? ° R R 9 .,2 2 b 1 10 Coe/ Btu Coef Btu Intiltration Inlilvation ? ? 3 ?198 GIa53 2-q -so GIB83 11 r) Exp. wall ;4 i 2 ExD• wall IQ X ?-? Net exp. wall Net exp, wall n 9- 25$ -"T.'wm'h o?`?' 1 ilT 2? Int.well Ceiling ?2.7C 12 2b Ceiling ' 26(p ??S 1 Floor Flaor Total Btu. 17 Total Btu. ? Rgquired 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 I fL ? Room Lanpth Width Heipht FI. E, ?+Nt(?,cpm Length ? S Width I Q Height YJindows and Doors-Crackage and Area YJi ndows a nd Doors- Cracka ge and Ar ea Nu. W?d?h ol ane Neiqht ot ana No. of h hq L?naal N. oi creck 4rea SG. fL NO' W???h 07 e ne Hxiqhti anu of No. ul h h1a lIneal It. ot crack Area sa. 4. , ? y ?O 36 r? L.. Z 5-. Coe( Btu COBf Btu IMfltretion 224() intfltratlw, .ZI 3$ o Glass ? SQ ?QO(? Glass Exp. wal I a4.1 Ezp. wal l ?K, Net exp. wall 1 Net exp. wall 32 Int. wall Int. wPll CeilinB ? X? 9( „t.$ Ceiling r Floor Floor c11 UJ Total Btu. S iotal 81u. Hequired sq. ft. E.D.R. or sq. ins. W.A. Leader area F1. Room Length 1"Z Wid[h Height Ryquired sq. h. F.D.R. cr sG. ir.s. W.A. LcaQer area Room Length ? Width ;? Heighl? . Windows and Dows-Crackage and Area YJi ndows a nd Doors -Crack age and Ar ea No. ?'?tlth a ane Haiqht of oana Na. of li hta Lmeol ft. ol c?ack Area s0• ??. NO. K'iO?H u? ana Mtr?ph? u1 ane Nn. oi li hts L?nenl N. of crack Area 8•It• coar acu coar a w Infiltration InliltrAtion Glass Glass Ezp. wall Exp. wnll Net exp. wall Net ezp. well Int, well Int. Well Ceiling 1'2.-iC-I Q Ceiling F loor _ f lnw S?! ?G Total Btu. Total Btu. Required sq. (t. E.D.R. or sQ. ins. W.A. Leader area ? O RaquireJ sq. 1t. E.D.R. or sq. ins. W.A. Leader area ? _r _. . HEAT LOSS CALCULATIONS 060• HEATING&AIR :S04&q'd CONDITIONING CO. MINNEAPOl15, MINN. Weatherstrips A.S.H.V.E. ConstruCtion No. In6ulation MTindows p?s Guide Reference Out. Wall IM. Wall Ceiling HOOI Floor Kind How Applied . Yes-No Yes-No 19 _ ?FI, fltg Q Ropn ?ength 140 Width HeiBht FI. Roan Length Width Height YJi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Crecka ge and Ar ea Na W?dtp at ane Heipht af ane No, 01 li his Lineal tt. ol crack Area 60f f6 No• Witl?h o( ana Ha,pM ot ane Nn, ol li ht5 L?neal ft. 0l crack Area aq• 11• ? 2 2 ?n ch Caet Btu Coet Btu Infiltretion ?Q 7(pa Intiltratian Glass Glass Exp. wall ?(, Exp. well Net exp. wall 2 Q Net ezp. wall Int. wall Int. wall Ceiling Cailing Floor 1(7 ?S °? (p? Flaor Total B[u. 3 Total Bfu. Required sq, it. E.D.R. or sa, ins. W.A. Leader area Required sq. ft. E.O.R. or sq. ins. W.A. Leader area If, FI. ?-{••,?rn,? Room Leogth -),_ Width 1' Height FI. Room Length Width Heidht Wi ndows a nd Doors- Cracka ge and Ar aa Wi ndows a nd Doors- Cracka ge and Ar ea Na Width ol ane Heipht olane Na. of li hla l,neel N. ol veck ' 4?en 3q. f?. p N Witl?h ol ane H..qhl., af nnn No. ul b hla ??neal h. of veck Aree t. I1. Y 9 2 l ?° lp "' 3?... Cael Btu Caef Btu Infiltretion .' 11-7 2223 IMiltration Glase .Q QQ(1) Glass Exp, wall Exp. wall - Net Bxp. II 2g2 qa 1137 N81 exp. wall lut?? f 2 U 2-2.10 Int. wall Ceiling CeilinQ Flpor Zx (? d"Z , l 1 Floor Totel Btu. Total Btu. Required Sq, ft, E.D.R. or sq. ins. W.A. Leader area Required 5q. ft. E.D.R. or sG, ins. W.A. Leader area F1. ,r Y. {\j om Langth 1 Width Height FI. Roan LenBth Width Height Windows a nd Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea Nn. W, Gth of ane Heipht al nne No. uf li hIS Lmeal fL of crack Area sp. fL NO' W'mb ut xna Hr:iqht ut Tne Nn. al I, hts L??eal fl. of crack Aren BY. ?1. Coef Btu Coef Btu In(iltration Infiltrntion Glass Glass Exp. wall Exp. wnll Netexp.wall 7Xt S6 q,) Netexp.well Int. wall Int. wall Ceiling Ceiling Floor Flntx Total Btu. " Total Btu. R¢quired aq. It. E.D.R. or sq. ins. W.A. Leadnr area poquiraJ cq. ft. E.D.R. or eq. ins. W.A. leader areu -C17'Y OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 1598-B CLEMSON pR LOT: 55 BLOCK: 1 THOMAS IAKE HEIGH7S 2ND ?P-?14 I BUILOING 026327 09/05/95 DESCRIPTION: Building?..Permit Type DECK building Wark Type NEW? ,... , °- , -, . ? i ? ? ` . r .? ?... REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $30.00 $30.50 CONTRACTOR: OWNER: - Applicant - SWA6GER1" JOEL 1598-6 CLEMSON DR EAGAN MN 55122 (612)452-3293 I hereby acknowledge that Z have read this information as correct and agree td comply 5tatutes and City of Eagan prdinances. ? APPLICA T/PER SIGNATURE applacation and state that ths wi'th all applicable 5tats nf Mrt. ISSUED B : SI ATUR f- I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 026327 09J05J95 SITEADDRESS: Lor: 1598-8 CLEMSON DR THOMAS LAKE HEIGHTS 2ND PERMIT SUBTYPE: DECK 55 aLocK, 1 APPLICANT: SWAGGERT JOEL (612) 452-3293 TYPE OF WORK: NEW .?, ._ . _. . . .. . . . .. . . . - -? ,. . .. . . . .. ? F ', . •? ? GITY OF EAGAN • 3830 PILOT KNOB RD - 55122 95 BUILDING PERMIT APPLICATION (RESIDENTIAL) ry 681-4675 C?_ . ??? `? 7 - ? New ConatruGlon ReauiremeMs RemudeUReoeir Reauirements ? 3 rcgistered site surveys ? 2 copies M plan ? 2 copies of plens (indude 6eam 8 window saes; poured fid. tleagn; etc.) ? 2 slte surveys (ex[erior a0di6ons & dedcs) ? 7 sriergy celcutations ? 1 energy calculatlons Tor heated addfGons ? 3 copias of tree preaervaGon plan if bt pletted after 7!1l93 mqu'ved: _ Yes _ No DATE: DESCRIPTION OF WORF STREET ADDRESS: LOT ? BLOCK SUBD./P.I.D. #: ? PROPERTY Name: ::Su-i?az Phone #: 41 OWNER u°* P•^• Street Address /s ?6 27 eGf-ms 0,J ale= City: State: Zip: CONTRACTOR Company: 55,1,f? Phone #: Street Address: License #• City: State: Zip* ARCHITECT/ Company: _ Phone #- ENGINEER Name: Registration M Stree# Address- City: State: Zip• Sewer & water licensed plumber: change are requested once pertnit is issued. Penalty applies when address change and lot I hereby acknowiedge that I have read this application and state that the informa6on is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No AU6 2 9 1995 Tree Preservabon Plan Received Yes No CONSTRUCTION COST: .5 5-00 OFFICE U5E ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex 0 02 SF Dweliing o 07 4-plex 0 03 SF Addition o 08 8-plex ? 04 SF Porch o 09 12-plex 0 05 SF Misc. ? 10 = plex WORK TYPE ,,&'31 New o 33 Afterations 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS 0 11 Apt./Lodging o ? 12 Multi Repair/Rem. o 0 13 Garage/Accessory o ? 14 Fireplace ? A?-l 5 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Buiiding ?a . .. ?. 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinkiered PRV Booster Pump Census Code. N3?11 SAC Code L Census 91dg ! Census Unit o Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/UV Surcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: Valuation: $ /?-1!5;v J w % SAC SAC Units ` HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPROVAL According to your Architectural Control Application dated 0.43A76 for the addition/alteration of /Oh /b dLalk, approval is granted pending the receipt of a City of Eagan Building Permit, and if using a contractor, a copy of the contractor's Liability and Workers Compensation Insurance Certificate. Once you have obtained a City of Eagan Building Permit, and the Insurance Certificate, please mail a copy of it, along with any applicable drawings as required for the building permit, to: Horizon Hills Home Owners Association P.O. Box 21423 Eagan, MN 55121-0423 As stated on your original Application, no work may begin until the Association has been supplied a copy of your City of Eagan Building Permit and the Insurance Certificate. The approved completion date of this addition/alteration shall be ?/.59J If your project is not completed by this date, piease contact the Association far an extension of time to complete the project. Failure to obtain an extension by the approved extension date could result in the Association completing the addition/alteration project and assessing the costs to you. Date: ?s,/`?'7 S? Approved by: A-za f' ,;?1 ?-_ . ,fti HORIZON HILLS HOME OWNERS ASSOCIATION ARCHITECTURAL CONTROL APPLICATION DATE: 3 } (9 L '7 NAME: J oe 1? L? v? dc? ?w aa ?.+-? ADDRESS: (S 1 c? ? L? ?rn?c-,? 1 r? v2? PHONE: W -33 H g 854-1-16-6 1 . i rt , . '/L , ? 2 3. Color of visible materials (when completed): /`ai liAqs .6oar„? -knnc-Fc 4n mofCh Pxr-s+inrt kuiIclin; CnIc?+---? 4. Estimated completion„date: 5. Specigications: Please include measurements and be as detailed as possible in order to speed up processing of your application. When the application is complete, please mail to: Horizon Hills Home Owners Association Attn: Architectural Control Committee Post Office Box 21423 Eagan, Minnesota 55121 You will received a written response within 30 days of receipt of this letter by the Architectural Control Committee. Please note that a City of Eagan Building permit is required for most additions/alterations. Do not obtain this permit until you have received approval of this application. However, a copy of the building permit must be supplied to the Architectural Control Committee before the actual work begins. . +Qc'f'u r n i J White Copy - Horizon Hills File/Canary Copy - Homeowner Type of material to be used ( explain, in detail ): ?o io, ICtc' _ . , I ,. _ . I . n,-_ _ _..?. _ o ?:" ?, o _ca -;r? -72.-ao ?o c3 ,°r q eCN ET 4F ? ses°zz' o=iz°oo1oo^ ? R`639.12 LlNSers?_ L=189.63 C- n i C2 / a?q 324e ys . -168.94 :_ i- ^+±: ,l;f^,V N7j0 ?y ? 30 3p ? W" T9_ Se/ •OT oo^ 3g 00„W 6p / 31-00 31.00 31.00 i31. 0 ?e N77o , 36p.g5 91.pp 640 N IS ? 0 30, 38' p0., W o?? i ? !U ?? o a 'P I? 0 360. g5 1.00 -,. 2 0 ?' ?'•? y? ? t Ls 80°2' 3 9 m '^ no.e r r a i°? o° f o' s 154 .00 rs •' '?„? " jU OWn ?? N91o07•pp??J ?'?2•23,q?...- T4?: o m w? ? W w??44o ar o oJ yb2ioz sy LOT 65 ? 3 0 c m L?eS?STtA b og? 43 42 1:' , ? o 0 n - ? O ? ? `?"UW 1-0 I a e ? 31'00 3Cpd N82•23' 45'w ? O / . .: :.- _.- . :-...: l / .. ., . 60 --M89°38' 45"W 996.43-- THE SOUTH LINE OF THOMAS LAKE HEIGHTS . . PERMIT ck 4tooo3 36 CITY OF EAGAN PERMIT TYPE: -9S 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 025480 (612) 681-4675 Date Issued: g 5/ 01 / 9 5 SITE ADDRESS: 1596 CLEMSON DR LOT: 53 BLOCK: 1 THOMAS LAKE HEIGHTS 2N0 P.I.N.: 10-75951-530-01 DESCRIPTION: (WOOD 6URNING) B, u , ildirtg'-Permit Type FIREpLACE Building Wor.k_,Type NEW ?r ? _ r ?i , . .-. .., , : - ? REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge _ $.50 Tota1 Fee $25.50 CONTRACTOR: - Applicant - ST. l.IC. OWNER: FIRESIDE CORNER INC 16331042 0001068 MAY BARBARA 2700 N FAIRVIEW 1596 CLEMSON OR ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)683-0248 . I hereby acknowledge that I have read this iqfiormation is correct and agree ta comply L Statutes and City of Eagan Ordinancas. LICANT/PERMITEE SIGNATU application and state that wiCh all appTi:cable State the of' Mn`. j J r±ti ?? 1 rn? B1': IG URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued (612) 681-4675 BUILDING 025480 05J01J95 $ITEADDRE$$:P' 1. N. : 10-75951-530-01 LOT: 53 BLOCK: 1596 CLEMSON DR THOMAS LAKE HEIGHTS 2N0 PERMIT SUBTYPE: FIREPLACE ROUGH-IN ? ? APPLICANT: 1 FIRESIDE CORNER INC (612) 633-1042 TYPE OF WORK: OESCRIPTItlN NEW (W000 BURNING FINAL ? t _.? CITY OF EAGAN ?o 3830 PILOT KNOB RD - 55122 mdi o 1995 FIREPLACE PERMIT APPLICATION 687 -4675 DATE: S / - GT Si DESCRIPTION OF WORK: ? INSTALL BM FIREPLACE: ? WOOD BURNING _ GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE WSTALLED IN:"'-"? !?E zoKw 44n-A?,fe r,jZa E.hGrSTt A-/-g) c..4t4St3',. STREET ADDRESS: 159C? (? L c?t? ? o ?Dtz, LOT 6, ? BLOCK APPLICANT: (circle one only) SUBD./P.I.D. #: OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER Name.% BA2?Ski'LA J0-JPhone #: 683 NST FIfl81 Signature: StreetAddress-`?9?i C'sty: AJ State: Sig Zip:._?=Z 2 #: i;?33 -- zv`?'.6 / License #: 10'6 $ State: 461- 4d4 Zip- r-5?/i GAS LINE INSTALLER Company: Name: - 5ignature: Street Adc City: - Phone #• State: Zip: 1994 PLUMBING PERMIT (RESIDENTIAL) CITY UF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNFIOMES AND CONDOS WHEN PERMTI"5 ARE REQUIItED FOR EACH UIVTT. NU. FIXTURES EAG TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3:00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUTLET • minimum - i 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • nak.ay, u?. 20.00 U.G. SPRIlVIQ.ER • nome unaer ooou. 3.00 ALTERATIONS • co oaaft 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .30 = TOTAL: , 50 SITE ADDRFSS: MRY BflRBRRR - 1596 CLEMSON DRIVE owrrER NAME: E?OAn , o FI 6$3-024$ W INSTALLER: BOEDEKER PLUMl31NCi ADDRFSS:-2909fr4 ctUE SOUTM G1T'Y: M"4EAPOUS, MINNESOiASIW: ZIP CODE: . axal . PHONE #: ( ) ? ?????RM - . . , - to--1?`iSl• UI CITY USE ONLY t ? BL RECEIPT #: I I? (O b-7 p, SUBD. -VY1CJVl?CtiS l-cd.f t"k?S RECEIPTOATE ?`- l C] -(? PERMIT # 1999 PLUM$INfi PERIYtIT (RESID£NTiAi.) CfPY OF EAfiA1N 3830 PILOT KNOB RD f.AflAN, MN 551 EE (651)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL bath tub a s.uu x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum • 1 3.00 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 osai S stem newlrefurbished ' re uires MPC lic. 75.00 x = $ Private Dis osai S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x ' $ Shower 3.00 x = $ Under round s rinkier if dwellin is under construction 3.00 x ' $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwellin under construction 5.00 x ' $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- State Surchar e .50 --> ---> ---> $ .50 Totai --> -_> ._.> g 3o.s-o Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------------------------------------------------------- ---------------------------------------------- I hereby adcnowiedge that I have read this appiiptlon, state that the infamation is mrtect, and agree to wmpty with all applicable Ciry of Eagan ordinances. It is the applicanPS responsibility to notity the property owner that the City of Eagan assumes no liability for any damages caused by the City during its nortnal operational and mainteriance.activities to fhe.faciiities consWCted under this permit within City properry/nght-of-way/easement. SITE ADDRESS: 1 OWNER NAME: : VOORHEES,JAY 1598B CLEMSON DRIVE EAGAN, MN 55122 (ssi) ssi-osis TELEPHONE #: (AREA CODE) INSTALLER NAME ENORSI_OM PLt}MB}I? l TELEPHONE #: ' (612) $27-4033 (AREA CODE) STREETADDRESS: 11 ,,.,.,..,1. .. CITY: `c???NWOUSo MN •55408, STATE: ZIP: SIG E OF PERMITTEE 6 ,q l3dti CITY OF EAGAN 3830 PILOT KNOB ROAA EAGAN, 1N 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # 3 RECEIPT DATE: j PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------------- WORK DESCRIPTION NEW CONST _ ADD ON v REPAIR _ OWNER NAME :?('?? mD f p Gvi SITE ADDRESS: ?S,Glb' F} C?L7ism?sw 0-t, LOT: S? BLOCK D I SUBD. 56?IS2ao A7• 6b• O? INSTALLER: ADDRESS : HEAnNG 8 AIR CONDRIONING C0. h9iyNFAPOLIS, MN&qp? ' CITY: 881-900o ZIP: PHONE # SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $ /S.GrIJ :50 g ?s.Sa SIGNATURE OF PERMITTEE ?Jyl?,,C,? CdMMERCTAM , toITSTRTtiL: PLEASE COMPLETE THSS PORTTON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BIIILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNZT. CONTRACT PRICE OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES F}le, ADD-ON MINIMUM liVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT FEES 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) $ CITY OF EAGAN 1 ~:-- - 2/84 CITY OF EAGA[3 AP?LICATSON £OR PE?MIT SEWER AND/OR WATER CONNECTIODI ?PLEASE PRINTj 1) Pf?OPERl,^I P,pORESS: S , r..M"L oEScRIbric:r: (Io locti/Sunaivisicn or Tax Parcei I.D. Mz r) I'r' ^.;,'{I-57- , ST?S.'CPr':?E, De1TEE 0° CcZTGi Ai, ui2LOL`:G : EF:=i T_SSZ?`C: PPESM-:£ ::,:„mr'/??.OP05-7 i:S: ?R-1 SI..?',GL: :-7`:11i.`_' . ? R-2 DUPi?: (?•.:O G^?I:S) . Q Z 3 Tap:iS-'w *cr ('rR= 1- L?TL:S) ( L.1T*5) • Q ?-4 CtNZ TS) Q CGt?^IE:?CL?I,/REL"-,??Cr 'IC ? MMCSTRI.AL _ ? .L\'STI:GfiI0MAi./G34'=- :tiTM'%T 2} . APPT,IC.1T /(PLEAS"c PRf41) / . . ADD?2ES5: ? CTTY. ST,'1T.?.', ZIP: . PMM: 3) Pu:,.nm {PLEASE PAiNT) FOf1 CIT Y I15E pyLY ??: ? pDoREss: TNOMPSCN PLUMBI .. INfh P? ?•?E LICEYSE: ?' Attive . CITY, STRTE, ZIP: 7 r„uNNE'ONKA. WtIWN. 65343 Expired PHO?IE: ----Ffw?kcr. PtUNBER LFLENSE N ot f [erd ' rr nitia 4) 0.'M'?PVTlCS1IM NX48: ADDRESS: CITY, STATE, , ZIP: PFiC3:3E: (4lEAS£ PRSHf) 5} INpIC1".TE :q[-IICH PERb1IT IS HEINC, REQ[JESTID: ,6CO.I.IF_C.TION 'RO CITY SEYifR M%WFYTIC:] 2p CITY A*ATEZ ' ? O'EER (PISi'LSE D r . IBE) b) li:DiC:,.:: C::c: . ? P*.---,SE E?OID r1PPP,WFD PER++ST Fl7R PICK-L's BY CNE OF AERi,'E PIE7S :?UL APPROVED PEF_-IIT TJ 1. 2,?,7 4 A6UG'E ?j (Ci.rcle one) 7) DaxE• ?D -? I ISSUED fiEEs : $ /'o $ /0 ,SG $ S S lS,- ? l L, ?. ? $ $ -- -_ ___ _ - $ - _ ? • -- _ $ - $ S ot ? C- SL::GR nDg51rT (I_`IC?.C:+.?.: SU?C :ARCE) WATER PE:2AtIT (IPICL'uDE SliRC::aRGc,) WeITER METER/COPPERHORN/pUTSIDE REnD£R WATER TAP (INCLUD: CORPORATIO:I STO.P) sE:YER TA? os1= - __:.=-R AC.^.OUtT DlcPOSIT - tdAT°3 wac sAc - T3UNK S4ATER ASSESS:L?':+T TRliNK SE[dER ASSESS:?E:iT L`nTEP.nL BE:iEFIT/TBU:IK SE::TF.'Tc L.aTc.RaL BENEFIT/TRUNK L+lAT°_R -- --- ----------- WATER TREATMENT PLANT SURCHARGE OTHER: TOT? L Ai`!OL'ST PAID/RECEIPT n JL=/? J ', DOES UTILITY CON:IECTION REQUIRE EXCAVATION IN PUSLIC RIGiiT OF Wr1Y? ? YES IF YES, TFIEN A "PERMIT F,OR,_'AORK WITfiIN PUBLIC ROaDtvAY" MUST BE ISSUED BY THE (_] NO ENGINEERITI4;.,DIVISION: ' L,I,ST AS A CONDI- TION. SUEJEC: TO THE FOLLOWING CONDITIONS: APPROVED BY: TI:LE: ? - DAT_° : /;A< ?f ??s? w?+ r r i+ ?rs?r rt? ?e ?s? r? l! ? w ?st Ortr? !!+ ?ta? M rwi? ??s? !t? ?t ? s?l ?.i+? Rw ?F? ?4 ?.ls }I w. ? ?1 1 -: " , . C! --??s ! 2/84 CITY OF EAGAt3 APo .LICATION FOR PE?MIT SEIdER AND/OR WATER CONNECTIODT (PLEdSE PRIHT) 1) PP.OPEIL'Y ApDRESS: 41:? ? rFr:%L. D:SGRIPTICN: ?L4/? (Lo lock/Sti;atvisicn or TaY Par '' I.B. Ni.aroer1 ? IF =;I=--z STPS:CT;,":2E , I71T:' Or CiZTGi^.Ai, r`AiT.?L':G =eNC: ' . ? :•?..?» :z=-; PJ°..L::' M!'.7T.vr:/P?CP05J L'S: Q rR-1 Si=z FAt+SL° ? II R-2 CUPL...{ (?:+O G^I-=S) . 0 cZ-3 'ICS•:IN?MIcE ('ig:-.- '. L':7i:'S) ( Wi I'"S) • ? P.-4 APA.M.'!'/C?,.?:.rT`Ilr--%i { [JNITS) p CCl?n1ERCL3i,/REy"-,iL?CcrICE- Q =17SZ4LAL Q 2) AP?T.,IG147 (PLE SE PAiNi) NFL"'1E: ? X ADDRE55: CTI"=. SMTE, ZIP: . PfiCtiNE: 3) P11:,oE (VLEASE PRiNi) FOR CITY USE 04LY MME . ABDRESS: P THOMPSGPI LUMBINR P?U:!BER LI 9SE: ° : CITY, ST'?1TE, ZIP: -? 1 MIN MlNiur ac ve pired rG?Allf?4, 'A9??GT.?349 PLUMBEH LFCENSE H_ ot of Record ??/ ' arr nicia 4) OCL"[J?PP1T/C*vT.TF'.c2 NM`: ADDRESS: CITY, STATE, ZIP: PFi21iE: (PLEASE PRIGi) 5} INpICI.TE ;JHZCH PE?R[•LIT"IS BESnG RUQi]FSTLD: Lj Q,"':?.^IEC,'fION 'IC) CITY SEViFR 0-65NNDCTIG;I 'IO CITY SvATE2 ? 017MI2 (PISi15E DFSGTt2HE) b) L`DZG.::. C2:c: 7) sicrn,-R:: PT.MASE HOID APPP.fJVE1) PEPti+1T FpR PICK-IIs BY C:VE OF A6GVE PIEASc' :9II. APPROVID P&'O-%tIT T3 1, 2. (;p4 AF,OVE (Ci._-cle one) DaTE: i ISSUED . ? FEns' $ ??Sv SE:'iLD PE?..?tTi (INCT_.".ii: $U?.?.?LrRvc.) $ WATER PE;2MI: (xrrc:.UnE suRcxaacL) WATER METER/COPPERHORN/OUTSID^. - READcR $ - WATER TAP (INCLUDE CORPORATIO:I STOP) S S::vER TAp $ _?ClS2= - S / S^va ACCOU\T DlvPnSIT - WATER S S?L?. ....? wac sAc S TRliNK WATER ASSESS=NT S TRliNK SESvER aSS :SS.•?EtiT +5 LATERAL BELEFIT/T.°.U?IK SF.:•:H;c S I.ATE:2AL BEVEFIT/TRU:IiC TIATER - - - S _ _, __ l =3?-;a , -- - ?iATER TREATMENT PLANT SURQiARGE $ - OTHER: S TOTAL A1".OL'J:T PAID/RECEI?T DOES UTII.ITY CON:7 ECTION REQUIP.E EXCAVATION IN PU&LIC RIGiIT OF WAY? (?- YES IF YES, THE:I A "PERMIT F.OR P70R?i WITHIN , PU$LIC ROr1DFiAY" MUST BE ISSUED BY THE Q NO ENGINEE RING DIVISZON. LIST AS A CONDI- TION. _ SUEJECT TO THE FOLLOWING CONDITIONS: ' :. . APPROVED BY: • , TI:LE: DAT_: - Zj?C? I •n ir w? w? s? .4? rc i. r? ?.sn ? w? w?s? wsn ?+ ?+? ??w ? wr? ?r+ ?r.? sa r.? ww nc? r? ir+ r'a. ? ? i ---?-y. ?-?;? ? 2/84 m ' a?4 e CITY Ot EAGAN . l ?? ? I1ut APPLICATION FOR PEPMZT SESdER AND/OR WATER CONNECTIOA7 (PLEASE PR[Ni) , 1) PRO°FS22"! P,DDRESS: rFraL D°..SCiI?TIC;I: J`-d-Il/ (L0t'/Bl0ck/Se;::divisicn or Tai Parcei I.D. Nt=?r7 V?- T' '=i, STPt,'C^? ?E , Dr?.T:.' O° GiZ?Gi LaL. u;I'?DL`:G ISJ?rtC: P°_°SL:P :^`1L;d':/P?.OPOS%J vS: ? cZ-1 51.1,'GL3 ^-`MSI,y . ? R-2_DUPL...z'Y (?`•:O L^:I:'S) , [3 -R-3 TCF.ea-mTGE (?"t=-- '•- L"rms1 t WIS} - ? P,-4 r'P.UW=:P/CC".MC+.•LIP31 ( CTVI'£S) Q CGt?nlE°,CL3L/RE?"."-.IL/Ce?I? ? L1'CCST3S.?I, _ 0 L%7STTiLTIC?'AL/GGC-tDT-P\T _ _.--.- Z) A'lP_T,IC'-:v"P (P EASc PAtNi) NAi•7E: ACD:tESS: ? CTi"=. STITF.', ZIP: . PhONE: _- 3) Piv= (PLEdSE PRINT) FOR CI7Y.,USE OHLY NF4?: PLUrBER ICFSSE: PDD^hESS: : CITY, STATE, ZIP: 12201MINNETON BLVD- ' PFiC}?IE: 9.03zIN? 7 NK "A?+(i?c ' l?.?A95E q ?7.???? cnrd W lirr • sia a Q) OcC..u: A D1T/av1`T.FR IYeY•1[.: ADDRESS: CT!"L, STATE, ZIP: Ph'0:1E: le?cncr eo?u?? 5) IINDIG*,TE WI-lICEI PERi3IT IS BEII`G RDQUFSTED: ?.41VECfI01 70 CITY SE*r7ER COCdDIEIE1CfIC:J ZO CITY IiiATEn ? onmR (P=F DFSC:ziBE) : 6) IUiG,M C::c: " . ? Pa--?SE F?OID RPPP.t7VID PER}'.IT f'OR PI(=-?-L SY CNE OF r'1FCZlE . PLE=Sc :•'.a2L APPROVED PET:•IIT TJ 1. 2. 3, a AE04'E (Circl one) ? 7) SIC.-ATL'rZE: DAT?.'n /. T7 i - PcRMIT °- ISSUED FEES: $ S-v. $ j0,5 u S • . S Sr::E4 P°RNTT (I`_IC:aJLL JU?a?iC::a'SRJG) ZaATEZ PER1IIT (Ii7CL'uDE Si;RC:iARGc.) WATER METER/COPPERHORN/OUTSIDE REnDER WATER TAP (INCLUDE CORPORATIQ:1 STOP) S::4zZ TA? _?OSI= - oc..'3 ACCOU\T DEPOSIT - S•Ja,TER wac sAc S TRUNK «ATER ASSESS:S: ,.T $ TRliNK SEWER :.SS: SS:i°:iT +S L`nTERnL BE:iEFIT/T.°.UNK SE::TER S I.?.:E$r1L BENEFIT/TRU::K S7AT°R . ----------- -- - WATER TREATMTT PLANT SURCHARGE $ - OTHER: - ' '- : S TOTAL PMQU2.T PrIID/3ECzI2T ? ????? . _ • OOES UTIT.ITY CON:IECTION REQUIP.E EXCAVATION ZN pUSLIC RIGiiT OF WAY? YES IF YES, THE:I A"PERMIT FOR WOR:: WITHIN PUBLIC ROADWAY" •r1UST•Sfi•mI•SSUE? BY THE Q NO ENGZNEEAZrIG DI.V,:SIQN.? LIST AS A CONDI- TION. . C- . SUEJECT TO THE FOLLOS9ING CONDITIONS: A?PROV$D BY: • :. . . • TI:LE: • J - DATE: 1eV7?i?? %_ 1?3 . ?.. . y ?. 2/84 CITY Or EAGAN ' APPLICATION FOR PERMIT It?u SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) ? 1) PP.OPEM^! PS7DRE55: LEGaL DESC..'tti°TIC.?I: ( loc3c/Subdivisicn or Ta< Parcei I.D. N=zer) IF ?'LZJ??'.la S?ti,j.??:T?. D=- OF Ci2TGI.]Ai, zUILJINCi ISJa.'r.NC: P?r..L'? L:S': ? R-1 SL?iGI.:. FrLtSLV [3 s-r :U C^:ITS) . R-3 (T-`t= + L^TITS) ( Wi I'=S) • Q 2-4 r'PJ%7-1z'`:?'/CC."MC;rLIIr-%1 ( iTiI J) ? CG1?n1E.?CL?Ll3E?"??Cr 'I? Q ?'CliSI32.?I. _ Q ?STI:LTIC?IAI./G.3Cy_??T 2) APPT_.IC:7P (PLEASE PRlf1I) . NAi•IE: ADDRESS: Cl'!"f, SMTS, ZIP: PhONE: ? . 3) Pumul (PLEASE PRINi) FUR CLTY USE OYLY . nru i ?i?ueiwr rn Itun - - --??^'?c?^? + PLUMBERS IIGEYSE:- ' . PDDRESS: 12201 MINNETONKA BLYD, tive - CI'I"l, $M'IE, ZIP; MINNETONKA, P.Alii . Es ' ed pxave: NJ?Cr. PLUMBER LFLENSE q ? f Fe rd • .r M«S 4) OCCt,?PD1T/C*•vTIER NIIiMe: ADDRFSS: CI"PL, STATr-, ZIP: PFiO:IE: (PLEASE PRINI) 5) II3pIC<,TE :dt1ICH PER6iLT BEIIvZ; RFQUESTLD: CO:wVEClION 2U CITY SEYFA ?I.IDCfI0.1 'I0 CZTY L'IATER ? Cln!Et IPLFASE DESC?2IEE1 6) MMIG,:? C::c: ? P*..z.,1SE f?OID r1PPP,Wm pER+tIT PO4 PICK-G'? SY Q:TE OF e16M'E UP?-SE :•?IL APP.ROVET? P?.:•tIT TJ 1. . 3. AFCnIE ? i (Circ e one) 7) SIC.:,ZL'RE: DATE : ?? ? PERHIT Y ISSUED ? FEMS: $ jl)-Sv $ A:? - fc? 5 ???c? • 5 - 5 $ S uO.?tc: $ So2S`. .?7 .,> , $ $ S $ . . .....5 . ??? K'U . •.._.__. 5'a7:ca nrRMTi (I_`IC_.*.f;f'.: SURC::rRGE) {dATEF2 PEHPlIT (Ii7CiuDE SliRC:iAc'tG8) W.aTv-R METER/COPPERHdRN/OIITSZDE REnD:.R WATER TAP (INCLUDE CORPORATION STOP) SE:VLR TA? ACCOU\T DP•PCISIT - WAT°_R wac sAc . TRU'VK jJATER ASSESS:?-M. +T TRliNK SEjQER =,SS£SS:•?E3iT LATEP.nL BE:iEFIT/TRU:IK SE:-IER I.1:E:2r1L BENEEIT/TRU:dK «ATEB ?rTATER TREATMEI?'T PLANT SL'RCHARGE $ - OTfiER: - - - - +S TOTAL AMOL'::T PAID/RECSIPT DOES UTILITY CON:IECTION REQUIP.E EXCaVATION IY PUSLIC RIGiiT OF WAY? L, YES IF YES, THE:7 A"PERMIT FOR :IORS WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TY.E ? NO ENGINEERIDIG DIV:SION: LIST AS A CONDI- TION. SGEJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI.LE: ' DATE: _ .? ? 1?3 • \ i , PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108881 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 1596 Clemson Dr B Lot:54 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-540 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Evelyne Heselton 1596 Clemson Dr B Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108887 Date Issued:01/22/2013 Permit Category:ePermit Site Address: 1596 Clemson Dr B Lot:54 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-540 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Josh McGuire 1424 3rd St N Minneapolis, MN 55411 612-604-4285 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Evelyne Heselton 1596 Clemson Dr B Eagan MN 55122 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK ink For Office `Us~e~',^~ ~a rr ~ My of Eapn ; Permit _JL1Lf~_!_J' ~ Permit Fee: 4a 5o 3830 Pilot Knob Road ~2 Eagan MN 55122 j Date Received: LAQ0 Y j Phone: (651) 675-5675 I I Fax: (651) 675.5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: lc, -11- 13 Site Address: j,~~ r T12J/7 `/fI f .S Phone: Name: '721-1Jd - Residenf Owner . Address / City / Zip: Applicant is: Owner _ Contractor er~QF,n Tyke of wurlt Description of work: ~ - - Construction Cost: T 4-7 =_s Multi-Family Building: (Yes No Company: _41'! r /7.5T~UG]r/'J I/ Contact: ~ o 0 .2, L l" It PYl"CL City: ^YJ1r~5 Cofntradtor Address: , State: -1)2 AL- Zip: Phone: 6 o~ 7._2 5-Sod License 22_- Lead certificate 2 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ,Yes -_No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: - Sewer & Water Contractor: Phone: --y J Yµ-----___ - 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) 454-0002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. MM.ooherfteonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x E/l f ZabP77ci gf-r} of egi x Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA151822 Date Issued:09/14/2018 Permit Category:ePermit Site Address: 1596 Clemson Dr A Lot:53 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-530 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leroy Vangrootheest 1596 Clemson Dr Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151856 Date Issued:09/17/2018 Permit Category:ePermit Site Address: 1596 Clemson Dr Lot:53 Block: 01 Addition: Thomas Lake Heights 2nd PID:10-75951-01-530 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Leroy Vangrootheest 1596 Clemson Dr Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature ,.. For Office Use . , E AG A N APR 16 2020 -ermit re e ie h / 7 5 , Dete 11'teice'vetd .• ,, i - -'..iict i'_Jed . Let's:AN '2',1;;: ' ': ' ,';, ',. ' 'Ip L; '"35' • i54-2535 %-ren-sX ito;',1 i 3717 t369: 1 Staft 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Dant.. i.--47:4-' t Site Address: 1514 C...te44,5:red 6.44:1,4_ Unit#. g11, 1 //4:,(f.t..,j, 77cri,-14,,,.7/4_ Zii,L:Yit tdicAys Phone Resident Owner ...,........ Type of Work Multo_Faroily Budding (Yes r , No _..1.114,,Ve441e044. 47 AK - r-;..';••••:.t,::',.3'ti.,. geyir (ell'S fle a c f. rlAir"VD Ame --,-—1 -,or't?-1 ct Aft/1 01 _I/0yr Ado teSS /.6:7/0)-- 6-0-10--.. ._. 17-ke cif, lip/lie (ey_ii-i-el. Contractor 4.57-,iyt vic, Emati: /7fdti-tej hyr 6';'144,410,441. -s; e6-1.4.--\ License :,-- iRe 1-7 ' / Z' Z— Lead Certificate#. ,i-onil lead certification. pier-75‘e explain whv: h471444:4Ate AM1.4.44/ 4Aet-lei i I 17 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW OVILDINO ;fl thfi ;t3S, '; monthshas the City of Eagan issued a permit fcr a similar plan based on a master plan? acres LiCentiO.'0 Piiii-iitwi- Phone. iyie&ii,in,i....-3' ,..'ontractip' Phone: ,... _ Vii, - cnntractorPhone. — f-rrc t.,,ir;PN? SlOti COntraCt0' Phone: ....._ _.._ ______ . . NOTE: Plans and supporting documents that you submit are c:-...,:;sidered to be public information. Portions of the information may be classified as nonpubbc if you provide specific reasons that would permit the City to conclude that.fitair are trodSecrea. s,.titii ma? totcscribe to i•P.:;ewe an electronic nptihcatiori from the City :t.,1 proposed ordinances by signing up for an email update on the City e websm, Exter if:, WC.* authorized by a building permit issued in accordance .",:th the Minnesota State Building Code must be completed withie t BO clavc..or t3,..imit issuance •:.ALL BE,,FORE 'Y'Oti DIG ,..al.Gopher State One Gall ,i-i (651)454-0002 iu. ;),-.)c- :, '•agarts)itindergroond utility damage Call/itz","oeis ta-• - ..• ' or, -,tec t••,' tirc c•;--.tot)i s cort.iyete ',---„). attc..“ai-t, ii-ti r-,2 ,,-,0,. .^,.!, 73 ;1 eon!'o,rrnance t.vith the ordinances aod ittudee -- .itt• i H. t :'• - .it •.' ;term. i•.'' "t- •=idoiidet:'.-- '.' i re-' aiitt ,,tiork i. )1 to start iNithuot a permit that 'he • A Wilt /Pt. -11r— / AL -/ - APpli.7.?,:q 5; onrited Name Apo :ant s Signature DO NOT WRITE BELOW THIS LINE � lamoCL � /� T SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation XReplace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation S3, , Occupancy 7iZC- I MCES System Plan Review Code Edition i SAC Units (25%_ 100%_) Zoning City Water Census Code y3,-( Stories Booster Pump #of Units / Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction S'(?, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) / Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: .MA-0— , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3