1597 Clemson Dr For Office Use
::t ,
E AG N
/T
APR 2 S 2015
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginsnections(a citvofeacian.com 1-
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V��3//S Site Address: /571 (--z-ern'Seal ® vve. - Unit#:
r ,` Name: jf R't. / cill/rev/1
c%u.w
Jrx.•Myxsial,Sone:
Resident!
'' wer Address/City/Zip:
Applicant is: Owner "ontractor
.Ylie Wo rk
Description of work: R tc-Ae-e. Al44s, l�A c>i G 44- /�
ee
Construction Cost:7/00 Multi-Family Building:(Yes 1"1.- /No )
Company: 1iyr c.4►'rW7 7?97/ Contact: PAleil- "b A e
ContractorAddress: /57/, ? )6e- City: � C" l�f t-
State:POWZip: ccb- Phone:657';uqC Email//6),7'�s S7 Cci l i ve-ta�3i .,,em
License#: j-2ZV,�2_ Lead Certificate#: J e.
If the project is exempt from lead certification, please explain why:
/vefA/*eid' 771 /971
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the:information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that°theyare trade secrets,„�, .. ..e
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not to start without a permit; that the work will be in
accordance with the approve plan in the case of work which requires a review and approv- • plans.
x ?AU- x gethir
Applicant's Printed a Applicant's Signature
DO NOT WRITE BELOW THIS LINE (
_ � v,-) Sor IJV pyrv, v
/ 5co1 �
SUB TYPES
Foundation Fireplace _ Porch(3-Season) — Exterior Alteration(Single Family)
— Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi to 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
f Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation " 3,�' O•G= Occupancy .1 C- 5 MCES System
Plan Review Code Edition Me/Z0I5 SAC Units
(25% 100%_Y) Zoning FP City Water
Census Code Stories Booster Pump
#of Units Square Feet aO PRV
#of Buildings Length Z a ' Fire Suppression Required
Type of Construction \ 3 Width /49
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 16 Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _FootingsBackfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Panieji //'' Other:
Reviewed By: ' / /f'•�I`"' "7/�" , Building Inspector
RESIDENTIAL FEES v S j il , , c s-; i' f-D.) " ,7g S
Base Fee
Surcharge * /5.00 37. f,°-,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA092003
Eagan, MN 55122 . Date Issued: 11/12/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1597 Clemson Dr
Lot: 58 Block: 02 Addition: Thomas Lake Heights 2nd
PID 10-75951-580-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Lindus Construction Linda Johnson
879 Hwy 63 1597 Clemson Dr
Baldwin WI 54002 Eagan MN 55122
(715) 684-4647
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
.
CONTRACT PRICE c
Site Address
Lot S -7 Block
m Name _
? Address
c Ciy -
Name _
c Address
O C'tY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
I ?x
?
PERMIT #
MECHANI?AL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
TYPE WORK DESCRIPTION
Phone
-5 u M BTU
M BTU
M BTU
M BTU
CFM
?
FEE
S/C:
TOTAL•
Res. New ? ?
Mult Add-on
Comm. Repair
-: a u
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PEA PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GQES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT # X
PLUMBING PERMIT
RECEIPT #
I
CITY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
? CONTRACT PR
CE
I
PHONE: 4544100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ? Block Sec/Sub
Res. New
m Name ' Mutt Add-on
? Address Comm. Repair
; c City Phone'° . . Other
NO. FIXTURES TOTAL
? Name r Cl
W
t
t - $3
00 $
ose
.
a
e
3 Address Bath Tubs - $3.00
p City Phone Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES
COMMlIND FEE - laib OF CONTRACT FEE Urinal/Bidet -$3.OQ
Laundry Tray -$3.00
MINIMiJM - RESIDENTIAL FEE _$10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20.00 Water Heater - $1.50
STATE SURCHARGE PER PERMIT - •50 Whi?Ipool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) ? 1 Softener - $5.00
Well - $10
00
.
?i
---
? ? Private Disp. - $10.00
--- Rough Openings - $1.50
SIC3NATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
PERMIT # y I
I ' MECHANIL?'AL PERMIT RECEIPT # ??? ? ? ?
, CITY OF EAGAN
??j(
3830 PILO T KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE ? PHONE: 454-8100 - - rk U
I
Site Addr CRIPTI
TypE
ORK DE
N
,
? W
S
O
I Lot
Block Sec/Sub
?
, ,Lhl,. es.
New
m Name
I . ,,
IUUI „ . _. Mult Add-on
S Address
tiS--{v,; Comm. Repair
c Ci1y 9hR,92 Other
Name FEES
3 Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
? TYPE OF WORK ADDITIONAL 6 M BTU = 6.00
? GAS OUTLETS 1.50 EA
Forced Air M BTU COMM/IND FEE - 1°rb OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
' Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. ? M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1
,000.00)
Gas Piping Oudets #
Ot'16f A
FEE:
J-
S/C: SIGNATURE OF PERMITTEE
?yY?GfE?
, TOTAL :i7J
FOR: CITY OF EAGAN
??a ! 5 y 9?? ? 59y CITY aF EAGAN .. . 12097
3830 PNot Knob Road, P.O. Box 21-199, Ea gan, MN 55121 ?t ? PHONE: 454-8100
BUILDING PERMIT Receipt #
To be usad tor 1 OF 4 PLSX Est Value $61,000 Date JUNE 11 .19 $6
Slte Address 1597B CLEMSON DR Erect & Occupancy R3
Lot 5 7 elock 2 Sec/Sub. THOMAS I ,A7tE HT9'temodel ? Zoning R1
Parcel No 2I4D ADU Repair ? Type ot Const Vi?
. Addition ? No. Stories
?
W
Name NEW HORIZOiv
HOMFS
Move
Demolish
?
? 44
l.engm
Depth 27
; P. O. I30X 136
Address 7 Int. Impr. ? Sq. Ft
° City MPLS Phone 42 0--3900 Install ?
= o Name SIViE
0 0
Address
?- r.?fi, Phnnc
Assessment
Water & Sew.
Police
? W Name D. GRISWOLD Fire
13 Address En
< W ciry Pnone 435-7524 Planner
I hereby acknowledge that I have read this application and state that the Council B?dg. Off. 5/186
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC
Var. Date
Signature of Permittee
N W ?tIZ S
Surcharge .3u. au
Plan Review 158. 00
SAC 575•00
Water Conn. 500.00
water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies 0
Total
A Building Permit is issued to: F. HO ON HOME on the express condition lfiat
all work shafl be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official cy. -
r'
11 1 PamiH No. I Ps?mit Hddw I Dds I TNephom If I
Hfy.
At
Flnal
I . M
'r L
Site Ad?ce?
Lot ??? Block
a?
?
h
C
? Name
3 Addr?
O CiH'=
PIUMBING PERMR
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55121
FEES
CaMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $1U.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
PERMIT # ?
RECEIPT ;
DATE: -L-1
BLDG. TYPE WORK DESCRIPTION
? ?
Aes. New
Mult Add-on
Comm.
Other Repair
NO. FIXTURES TOTAL
Water Closet - $3.00
Bath Tubs - $100 ?
- -
Lavatory - $3.00
?
Shower - $3.00
Kitchen Sink - $3.00
-,-UrinallBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
/ Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
= Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• ? I ??-'
3830 Pilot Knob R di P.O. Bo 2G-A1S9, Ea n. MN 55121
_ ? 1209
9
PHONE: 454-8100
BUILDING PERMIT Receipt#
To be us*dfor I OF 4 PLEx Est Value $61, 040 pate JUNE il .19 00
SiteAddress 1597 CLE'.MSQPi DR Erect LIt .Occupancy ?s
Lot 5$ Block 2 Sec/Sub. THOMAS LAKE HTSRemodel ? Zoning $i
Parcel No. 2NpRepair ? Type of Const
Addition ? No. Stories
? Name NEW HORIZON NOMES i:+IC Move ? Length ?4 _ , Demolish ? Depth 27
p Address ? Int Impr. ? Sq. Ft
City MPLS Phone 420-3900 Instau ?
o Name 5?M E Approvab
Z
v ¢ Address ASSessment
City Phone Water & Sew.
D
')
Police
G?2ISWUL?7
.
Name ' Fi
? Z re
Address Eng.
i W City Phone 435-7524 Planner
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature ot Permittee
A Building Permit is issued to: tVEW HORI ZON f-lOF1ES
all work shall be done in accordance with all applicable State of Minnesota
Permit y J 1 V.
Surcharge 30'
Plan Review 158.
Water Conn. au v .
Water Meter 63.
Road Unit 290.
Tr. PI. 156.
P
arks
Copies
Total ??. 083.
on the express condkion that
of Eagan Ordinances.
Council
Bldg. Off. 5/1/86
APC
Var. Date
PermH No. PermR Hddw Date TMephone N
/ ?
PlumWny l(? k
FI.V.A.C. S /3h I_
Plbp.
Hty.
Mty.
FinN
Occ.
Frmp.
Dbp.
..- ? .
c? PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
PERMIT #
DATE:
a?
m
c
? Name
c Addre:
O CitY
FEES
COMM/?ND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?
FOR: CITY OF EAGAN
LLDG.TYPE WORK DESCRIPTION
. ' New
Mult Add-on
Comm. Repair
Other .
NO. FIXTUFiE3 TOTAL
•Water Closet - $3.00 4 -
Bath Tubs - $3.00
Lavatory - $3•00
Shower - $3.00 ?
Kitchen Sink - $3.00 ?
Urinal/Bidet - $3.00 _
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50
?Whirlpool - $3.00
Gas Piping Outlets - $1.50 `J
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
= Rough Openings - $1.50
FEE
STATE S/C: ? -?
GRAND TOTAL• ' ?
⸮‿ഡ《䩟佃呎䅒呃倠䥒䕃ഺ匊瑩摁牤獥ि潌⁴⁘‿求捯⁓匯扵ഉऊ७慎敭ഉ洊䄉摤敲獳ഉ挊䌉物൹㬊⹅㼿倭潨敮ഉऊय़三浡॥ळ摁牤獥ॳॏ䥃奴‴‥ₕ‿桐湯॥Ⰹഉ䘊䕅䌊䵏⽍义⁄䕆⁅㤱‶䙏䌠乏剔䍁⁔䕆䄊呐䱂䝄⁓佃䵍删呁⁅偁䱐䕉吊坏䡎問䕓☠䌠乏佄ⴠ删卅䅒䕔䄠偐䥌卅䥍䥎啍⁍䕒䥓䕄呎䅉⁌䕆⁅ㄤ⸲〰䥍䥎啍⁍佃䵍䤯䑎䘠䕅ⴠ␠〲〮ര匊䅔䕔匠剕䡃剁䕇倠剅倠剅䥍⁔㔮ര⠊䑁㕄‰⽓⁃䙉倠剅䥍⁔剐䍉⁅佇卅䕂⡠䐠␠ⰱ〰⸰〰ऩ३䥓乇呁剕⁅䙏倠剅䥍呔䕅ഉ倊啉䉍义⁇䕐䵒呉䥃奔传⁆䥅䝃乁㠳〳倠䱉呏䬠低⁂佒䑁䅅䅇ⱎ䴠⁎㔵㈱ല倊佈䕎›㔴ⴴㄸ〰䕐䵒呉⌠⸠⁊刊䍅䥅呐映楩㼠㼿⁚㌭ഭ䐊呁㩅㰠㼭㼿晓㼠㜠䱂䝄奔䕐圠剏⁋䕄䍓䥒呐佴ൎ刊獥敎൷䴊汵䄠摤漭൮䌊浯删灥楡൲伊桴牥䕒⹓倠䉌⹇传䱎⁙佃偍䕌䕔吠䕈䘠䱏佌䥗䝎ഺ上⹏䘠塉啔䕒⁓佔䅔ൌ㼊圠瑡牥䌠潬敳⁴㌤〮‰ത㼊䈠瑡畔獢ⴠ␠⸳〰⁑慌慶潴祲ⴠ␠⸳〰桓睯牥ⴠ␠⸳〰楋捴敨楓歮ⴠ␠⸳〰牕湩污䈯摩瑥ⴠ␠⸳〰慌湵牤⁹牔祡ⴠ㔠⸳〰汆潯牄楡獮ⴠ␠⸱〵慗整效瑡牥ⴠ␠⸱〵桗牬灬潯㌤〮ര䜊獡倠灩湩畏汴瑥ㄤ㔮ര⠊䥍䥎啍⁍‱䕐⁒䕐䵒呉ഩ㼊潓瑦湥牥ⴠ␠⸵〰敗瑬ⴠ㔠〱〮ര倊楲慶整䐠獩ⴠ␠〱〮ര刊畯桧传数楮杮ㄤ㔮ര䘊䕅ഺ匊䅔䕔匠䌯ഺ䘊剏›䥃奔传⁆䅅䅇⁎則乁⁄佔䅔㩌
倿剅䥍⍔㈠䱐䵕䥂䝎倠剅䥍⁔䕒䕃偉⁔‣Ⱘ⁰㌵㌠䥃奔传⁆䅅䅇ൎ㌊㌸‰䥐佌⁔之䉏删䅑ⱄ䔠䝁乁乍㔠ㄵㄲ䐠呁㩅⬠佃呎䅒呃倠䥒䕃倠佈䕎›㔴ⴴ㜸〰楓整䄠摤㜱㼧‧‧✭✠‧䱂䝄奔䕐圠剏⁋䕄䍓䥒呐佉ൎ䰊瑯䈠潬正㼠敓⽣畓氠Ⱐ獥‿敎⁷൦洊丠浡畍瑬䄠摤漭൮㼊䄠摤敲獳䌠浯删灥楡൲挊䌠瑩⁹‿ⴧ倠潨敮传桴牥低䥆员剕卅吠呏䱁‿慎敭圠瑡牥䌠潬敳⁴㌤〮‰൩㼊䄠摤敲獳䈠瑡畔獢ⴠ␠⸳〰⁰楃祴倠潨慌慶潴祲ⴠ␠锳〰张桓睯牥ⴠ␠⸳〰䕆卅䬠瑩档湥匠湩㌤〮‰റ䌊䵏⽍义⁄䕆⁅┱传⁆佃呎䅒呃䘠䕅唠楲慮⽬楂敤⁴⸳〰慌湵牤⁹牔祡ⴠ␠⸳〰䥍䥎䩍⁍䕒䥓䕄呎䅉⁌䕆⁅ㄤ锰〰✠䘠潬牯儠慲湩ㄤ㔮ര䴊义䵉䵕ⴠ䌠䵏⽍义⁄䕆⁅〲〮‰慗整效瑡牥ⴠㄤ㔮‰呓呁⁅啓䍒䅈䝒⁅䕐⁒䕐䵒呉ⴠ锠〵圠楨汲潰汯ⴠ㌤〮ര⠊䑁⁄⸤〵匠䌯䤠⁆䕐䵒呦倠䥒䕃䜠䕏⁓慇楐楰杮传瑵敬獴ⴠㄤ㔮ര䈊奅乏⁄ㄤ〬〰〮⤰匠景整敮㔤〮ര圊汥ㄤ⸰〰牐癩瑡楄灳ㄤ⸰〰潒杵灏湥湩獧ⴠ␠⸱〵䥓乇呁剕⁅䙏倠剅䥍呔沣䔠䘠䕅ⴠി匊䅔䕔匠䌯ഺ䘊剏䌠呉⁙䙏䔠䝁乁䜠䅒䑎吠呏䱁›㼿
_PERMIT#
MECHANIEAL PERMIT RECEtPT # J ?
• CITIf OF EAGAN S7?d
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
nnurowrr oelrr. ,. ti>>? nu^.- ... .,..... I 2 d.._ -?ll r?i
Site Addrgas BLQGIT1l
P
Lot Block Sec/Su _Y7 / 4,C
„ U-177n o
? ;. t . Res.
? Name X- "i: A A ? . ,. ? ? . . . Mult
?c Address MINNEAPOLIS, P,riN. 55416 Comm.
? c City 54PhVn;1 Other
? Name _
c Address
p Ciry -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Ouddts #
Other
SU M BTU
M BTU
M BTU
1 ` M BTU
CFM
/
WORK DESCRIPTION
New
Add-on -
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PEp PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
i
FEE S/C: SG SIGNATURE OF PERMITTEE
TOTAL• - 'lL
FOR: CITY OF EAGAN
BUILDING PERMI
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?'; ?
PHONE: 454-8100 _
T Receipt #1 ' 'To be used for 1 OF 4 PLEX Est Value $61,000 Date JUNE 11 19 86
SiteAddress 1599 CLEMSON DR Erect ? Occupancy R3
t Sy Bl
L
k THOMAS
2 S
/S LAKE HT1111emodel ? Zoning Rl
o
oc ub.
ec
2ND AD DITION Repair ? Type ot Const µg
Parcel No. Addition ? No. Stories
cc N8W EfORI90N HOAES Move ? Length 44
Name
Z 67 Demolish ? Depth 27
Address --- P O. HOX 13
- P.O. t ? Ft
S
a mpr. q.
City P"1PLS phone 4 2 0- 3 9 0 0 Install ?
o Name SAM APProvals k
=
t-
o¢
Address Assessment
Permit $
? Ciry Pnone Water 8 Sew. Surcharge
? Police Plan Revie
? W Name u- Ck j SWnr•n Fire SAC
? o Address Eng. Water Con
i W city Phone 435-7524 Planner Water Meti
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 oi Eagan Ordinances.
A Building Permit is issued to: NSW HOR 7
all work shall be done in accordance with all applicable
Building
Var. Date 1209, 6
Council
BIdg.Off. S/1l86
APC
Tr. PI. Vv
Parks
Copies
Total $2, 089 .00
on the express conditian that
City of Eagan Ordinances.
ParmH Na Pormit Holder DaM Telophone N
J
Plumbinq
Q
(? ?
H.v.n.c. ?.? cl q
E??lilc 'tL _
SoNsnN
Inspectbn Date Inap. CommeMs
Footlnp l
Footinys 11
Foundatlon
Freminy
.
Rouph Plbq. -12- z
Rouph Hty. ? ll?+f /f(t Q?/ 4M
Insu1. j R
Fireplsce
Flnal Hty. s ?
FinM Plby.
Bldy. FkiN /?.
C«t Oee.
Deelc Fty.
Dock Frmy.
Mhll DascAM LoCaUoe:
Pr. Dbp.
? 7 4413
10i- vSy3 y . . PERMIT # `
? MECHAAICAL PERMIT RECEIPT # ? J
, qTY OF EACAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: T'
CONTRACT PRICE PHONE: 454-8100
Site Addr ss
LDG. TYPE WORK DESCRIPTION
Lot 4 Block ? Sec/Su
. ? New ?. ?
Name Mult Add-on
? Address - _ , _ , Comm. Repair
c City Phone Other
- Name FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
Forced Air sU M BTU ` COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. ? M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other
? FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL• '
FOR: CITY OF EAGAN
BUILDING PERMI
CITY OF EAGAN ?
3830 Plot Knob Road, P.O. Box 21-199, Ea n, MN 55121 12098
?'•t ..
PHON E: 454-8100
T Receipt #
F 4 PLE}i Est. Value $61,000 Date JUNh 11 19 86
SiteAddress 1599B CLEMSON rJR
Lot 60 Black Z Sec/Sub THOM,
o Name SP-4E
? i Address
~ City Phone
? W Ne,T,e D. GRISW0LD
? = Address
gW Ciry Pnone 435-7529
I hereby acknowledge that 1 have read this application and state that the
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan Ordinances.
Signature oi Permittee
A Building Permit is issued to: NEW HORIZON HOMES
all work shall be done in accordance with all anDlicable,Siate of Minnesc
Assessment
Water & Sew.
Police
Fire
Permit '' ''+"'
Surcharge '
Plan Review 158.
Eng. Water Conn. 500.
Planner Water Meter 63.
Council Road Unit 290.
Bldg. Off. S 1 6 Tr. PI. 156.
APC Parks
Var. Date Copies? ..
Total a ?
8
`'
on the express condition that
Stattites and City oi Eagan Ordinances.
Parcel No. 2ND Repair ? Type of Const Vn
Addition ? No. Stories
W Name NEW HOR I ZON HOMFS I l3C Move ? Length 44
z P. O. B?X 1367 Demolish ? Depth 22
o Address Int. Impr. ? Sq. Ft
City MPz+S Phone 420-3900 Instau ?
II ' I w.mH No. I w.mn Haaer I om I T.aPno- # I
4
otc.
Olsp.
PERMIT #
Site Address _
Lot
m Name
? Addre
c City _
,. Name _
3 Address
p CitY -
PLUM8ING PERMR RECEIPT #
CIIY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: -
WORK DESCRIPTION
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.5Q S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR CITY OF EAGAN
Res. x New ?
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
' Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
t Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: -
STATE S/C:
GRAND TOTAL:
` CITY OF EAGAN
` . 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 N2 12098
PHONE: 454-8100
BUILDING PERMIT ReceiPt # ? v
To be used for 1 OF 4 PLEX Est. value $61,000 Date JUNE 11 19 85
SiteAddress 1??y15 k'
Lot 6 0 Block 2 S,
Parcel No.
W Name NEW HORI
3 Address P. 0- BOX
0
City MPY'S Phone _
DR
Erect ff Oecupancy
o Name SAMR
Address
a
~ City Phone
wW Name D. GRISWOLD
z
z
a Address
<W Ciry Phone 435-7524
J heretry acknowledge ihai! Y
information is correct and ac
Minnesota Statutes and City
5ignature of Permittee?
A Building Permit is issued to: _
Repair ? Type of Const V11
Addition ? No. Stories 44
Move ? Length
Demolish ? Depth 27
Int. Impr. ? Sq. Ft
Install ?
Assessment Permit $ 316.00
Water & Sew. Su rcharge 30.50
Potice Plan Ftevisw 158 . 00
Fire SAC 575.00
Eng. Water Conn. 500.00
Planner Water Meter 63 . 50
Council Road Unit 290 . 00
Bfdg. OfI. 5/1/86 7r, pl. 156.00
APC Parks
Var. Date Copies . 0 Q
Total '
on the express condition that
tes nd Ciry, of Eagan Ordinences.
Building Official
? CITY OF EAGAN
3830 Piloi Knob Road P.O. Box 21-1
.? ? 99, Eagan, ti
PHONE: 454-8100
BUILDfNG PERMIT Receipt #
To be used tor 1 OF 4 PLEX Est Value $ 61 , 0 0 0 Date -
° ? 12096
?
JUNE 11
86
Site Address 1599 CLE MSON DR Erect IN Occupancy R3
Lot 59 elock Z Sec /Sub. THOMAS LAKE HT$temodel ? Zoning R1
Parcel No 2ND ADD ITION Repair ? Type of Const I-In
. Addition ? No. Stories
? Name NEW HORISON HOMES Move ? Length 44
= P
O
BOX 1367 Demolish ? Depth 27
o .
.
Address
City MPLS Phone
420-3900 Int Impr.
mstall ?
O Sq. Ft
c
pU
ua
?
Name Sh%.iE
? W Name I) _ GR T SWOi.D
_Z
? ? Address
i W City Phone 435-7524
I here6y acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of E"anQrdinanop
Signature
A Building Permit is issued to:
all work shall be done in acco
Approvals Fees
Assessment Permit $ 316.00
Water & Sew. Surcharge 30 . 50
Police Plan Review 158.00
Fire 5AC 575.00
Eng. Water Conn. 5 0 0. 00
Planner Water Meter 63 . 50
Council Road Unit 290 . 00
Bldg. Off. 5/1/86 Tr. PI. 156.00
APC Parks
Var. Date Copies
9
00
.
Total $2, 08
on the express condition that
Statute City of Eagan Ordinances.
CITY OF EAGAN
. 3830 PBot Knob Road, P.O. Box 21-199, Eagai
` PHONE:454-8100
BUILDING PERMIT Recei
To be used for 1 OF 4 PLEX Est Value $ 61, 0 0 0 Date _
IN55121 N2 12097
1597B CLEMSON DR E ?J R3
d
SiteA ddress rect ccupancy
Lot 57 Block 2 5ec/Sub. TfiOMAS LAKE HTSRemodel ? Zoning Rl
Parcel No 2ND ADD Repair ? Type of Const jI q
. Addition ? No. Stories
¢
NEW HORIZON
HOMES
Move
? 44
Length
= Name
P.O. BOX 136
7 Demolish ? De th 27
p
Address t I
I ? Ft
S
o
42
MPI'S
0-3900 n
mpr. q.
.
city
Phone Install O
o Name SAME
=
0 ¢ Address
City Phone
?W Name D. GRISWOLD
? ? Address
i W Ciry Phone 435-7524
Water & Sew.
Police
Fire
Council
I hereby acknowledge that I have read this application and state that the gldg. O
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Ea Binan?aAPC
Var. Da
Signature ot Permittee
A Building Permit is issued to: Z EW HORIZON HOMES
all work shall be done in accordance with ap ( able State of inne St utes
Building Official
Permit 316.00
Surcharge 30. S 0
Plan Review 158.00
Water Conn. Dvu . vv
Water Meter 63.50
Road Unit 290.00
ff. 5 1 86 Tr. PI. 156.00
Parks
te Copies . o
Total '
on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN
3830 PUot Knob Road, P.O. Box 21-199, Eagan, M N 5512,N2 12099
BUILDING PERMIT PHONE: 454-8100 Receipt # 63'? ?
1 OF 4 PLEX Fm va,,,P $61,000
of Bldg.
Site Address 1597 CLEMSON DR Erect L? Occupancy R3
Lot 58 Block 2 Sec/Sub. THOMAS LAKE HTS Remodel ? Zoning R.I
Parcel No 2rjp Repair ? Type of Const.Vn
, Addition ? No. Stories
W
Name NEW
HORIZON HOMES INC
Move ? 4 4
Length
Z
Demolish ? ?7
Depth
.
Address _ ? Ft
S
o Cit
MpI'S 420-3900
Ph Int Impr.
? q.
y one Install
oc
o
Name gAME Approvals
=
oa Address Assessment
? Ciry Phone Water & Sew.
Police
8¢ Name D. GRISWOLD Fire
Address E
¢ =
435-7524 ng.
? W city Pnone Planner
I hereby acknowledge that I have read this application and stat
information is correct and agree to comply with all applicable
Minnesota Statutes and City of Eaga Ordi ances.
Signature of Permittee ?
A Building Permit is issued to: EW HORI ZON ;
all work shall be done in accordance with all appli?ab e ol
Buitding Otticial ?
Var. Date
1s86
Permit '' 1" . WV
Surcharge 30.50
Plan Review 158.00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63.50
Road Unit 290.00
Tr. Pi. 156.00
Parks
Copies
Total $2, 089.00
on the express condition that
af Eagan Ordinences.
CITY OF EAGAN i Remarks
Addition Lot Rlk ; Q- Parcel #1 n
oWner st,,,t 1597 Clemson Drive State Eagan, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
I STREET SURF. 4
STREET RESTOR.
I GRADING
SAN SEW TRUNK 73
I *SEWER LATERAL a 37.
61 7_52 0 -5-83
`
WATERMAIN
* WATER LATERAL
WATER AFEA 4
STORM SEW TRK
M
1981
24 9,91
A0121 2
--L
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET I.IGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN Remarks
Aaditio„ Thomas Lake Height Addition Lot '= 57- eik ;?- Parcel #10
owner _ S,rRP* 1597 B Clemson Drive Eagan, MN 55122
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. ? 1981 279.71 55.94 S 111.8 A0121 2 --8
STREET RESTOR.
GRADING
SAN SEW TRUNK :5
*SEWER LATERAL 1981 -37.61 . 7.52 1-0 A0121 Q --8
WATERMAIN
*WATER LATERAL 1981
WATER AREA '.5 -1-981 116 - 5 1 27-30 4.61 AO 2 - H
STORM SEW TRK -49. }l A0121T2 - -83
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT I
WATER CONN
.
?
BUILDING PER.
SAC
AR
CITY OF EAGAN ? Remarks
Addition Thomas Lake HeightW Addition Lot Bik It/ Owner street 1599 Clemson Drive
scace Eagan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ' 1981 279.71 55.94 5 111.89
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 37.61 7 .52 1.0 A012172 --S
WATERMAIN
*WATER LATERAL
' WATERAREA j 4.61 2 2
'
5-5-83
STORM SEW TRK 249.91 A0121 2 5-5-83
,tSTORM SEW LAT lqRl i
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PAF3 K
CITY OF EAGAN
Addition ThOMaS
owner
LL1L1VI1 LOt JW 6- 12 1 k
strBet 1599 B Clemson Drive
#10
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 111.5 A0121 P - -B
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 73 a-,,?
*SEWERLATERAL '37.61` 7.52 1 .0 a0121 2 5-5-83
WATERMAIN
*WATER LATERAL IQRI
WATER AREA 4.61 A0 Q 5-543
STORM 5EW TRK 1981 312.37 20.82 15 249. 91 A0121 2 --$
*STORM SEW LAT 1981
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
• ' SEDGWICK H
? EATING & AIR CONDITIONING CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY-_?- ?! ?
OCCUPANT ------ OWNER 11Jt1n 1?1o?I-2-Qc-1
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY Sc--o?GL"j I LY-
Electrical Work By - ??`3fR Gas Line By _ S??G. c.JI C-?
TYPE OF HEAT GA_ FA--',-?'HW_ STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSIOIV
MAKE ??RV?n1 +
' MAKE OF BURNER
Cx ig ..? o z ? ,o ? c.
Model 3 9 1-4 Model
Serial Max. BTU Rating
INPUT oco MAKE OF FURNACE
Model
CONTROLS
?
THERMOSTAT?3.? Heat Plug ` Vent Size
Valve_- (.N^..(,A- k _ KIND OF LINER SIZE NONE
Limit GO Draft Hood Regulator N.lE `a
°
Limit Settin
9 Filters Size Number (
Fan Setting _ toO° ? Chimney Location Inside X, Outside
Pilot Type _ ?ECTl?aiv/C Chimney Construction _ CLA SS 0S
Pilot Make SPAR K JGjf?l? T hl?
Pilot Model f4SC_ ? Smoke Bomb Wiring 0K_
PilotTiming ?r157A rJT Oraft TestTag ?t-?
L.W. Cut Off Door Pressure Lighting Inst.
rPressure ?S? ??? L• Percent CO2 Date Tested - `"4 g 7
Input CFH `/ -7 Percent 0 Company Testing 5?.g n?'-¢v?l k GlL
Stack Tem ?p?7 6 F 2
p. Percent CO ? 0 +-1E
Name of Tester Clo
,-4 L%
Form 235
'GEO. SEDGWICK HTG. & AIR COND. CO.459
HOUSE HEATING TEST RECORD
ADDRESS I S 9c1 ? C--??VIS6N ? L`7 l Ut- CITY
OCCUPANT _ OWNER P1t--Uv
HEAT LOSS DATE HTG. INST.
SOLD BY -` INSTALLED BY S? G, i.!ut c_K._
Electrical Work By Gas Line By tt
TYPE OF HEAT GA_ FA"< HW_ STEAM SPACE HTR. UNIT HTR. OTHER
_ GAS DESIGN CONVERSION
MAKE ?.? kN 7 MAKE OF BURNER
Model rl,c,.J C-1 3? o`? C` Modei Serial rl -7 8 6A 8 4 C' `-i O Max. BTU Rating -
INPUT ?? • ?? t' MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT a 3 Heat Plug
Valve - L H C, 4 -,/
Limit 5'f"c--- GM Co
LimitSetting F
Fan Setting _ t ac!" f-
Pilot Type E_ ?EC_T cK 0i `+' ?
Pilot Make SC't?o?I< 1 C?N f T c? fZ
Pilot Model C 1
Pilot Timing _ r,-1 -2,-T uanl'r
L.W. Cut Oft - -
Pressure ?N• L • Percent CO
2
Input CFH L'& Percent OZ L`? d
Stack Temp. L QC Percent CO A-1 6
Vent Size G
KIND OF LINER SIZE NONE
Draft Hood 1 1`' 0 ?k C1?-- l-? Regulator
Filters Size Number '
Chimney Location Inside - Outside
Chimney Construction ??- L "j 5`=> 5
Smoke Bomb
Draft - ---
Door
Wiring ?1 K
Test Tag
Lighiing Inst. -"
Date Tested ? (s' - r '
Company Testing 5 ? ? ? L IJ I
Name of Tester +-4 i?" P,
j
? - • SEDGWICK HEATING & AIR CONDITIONING CO.
HOUSE HEATING TEST RECORD
?
ADDRESS I S g ?t ? L'? P.? ?,?_I L?rZ IL1E CITY ?!'-1E•l??k,Ni
OCCUPANT ?----^ OWNER ?? ?toi4 ?Zd? lc
HEAT LOSS --- DATE HTG. INST.
SOLD BY -- - INSTALLED BY ?, 1, 11 C.tc
Electrical Work BY - gE rk 4??, Gas Line By ?-o r. I!.1 i C-K-
TYPE OF HEAT GA` FA ?? HW_ STEAM SPACE HTR. UNIT HTR. OTHER
, GAS DESIGN CONVERSION
MAK E7e7-.=Z? i w?.l i MA K E O F BU R N E R ---------
Model q ?i ' C Model ?---^^'
Serial -27 P(e A fA9 0Max. BTU Rating -"'+-
INPUT ??C` MAKE OF FURNACE
CONTROLS
THERMOSTAT I ?-? Heat Plug
Valve ?v
Limit
Limit Setting
Fan Setting
Pilot 7ype ? t-4?- C TlZc r.l tc-
Pilot Make ??RAE2k IQNtTo ,
Pilot Model k s
Model
Vent Size _ lr2
KfiUD OF LINER SIZE NONE
Draft Hood j t?lA Ltt `b Regulator
Filters Size Mumber ? Chimney Location Inside Outside
Chimney Gonstruction C-J-1-\ SS l?
Smoke Bomb Wiring _
Pilot Timing Draft --------"- Test Taq
L.W. Cut Off ?- Door Pressure
Pressure -3 • S " tJ-C , Percent C02 3 rlt
Input CFH &4 -7 Percent O 2 1 -7 Y. `7b
Stack Temp. 31 S°? Percent CO tsA e-,Pj Z?
Date Tested
Lighting Inst.
_ q --7
Company 7esting ? -??I lClc
Name of Tester 0'1
Form 235
INSPECTIaN RECORD?! !
CITY OF EAGAN PERMIT TYPE:
J3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ;
?a?n?, ? f,k: f tir? ????i r?. :•r?i
f PERMIT SUBTYPE:
?
, --. , . , ? r, .7 VP :
APPLICANT:
E ?. ? .r f. f? ? ??„ ?? .
TYPE OF WORK:
ttF1 ! 1 li ! MI
0114 i t,'j
, - i-, I r",
INSPECTION .. O
?.? ..
.112KG : PI Ald RF'V3( lJ1 11 it1' 4fA1'WI M11 M I i
Permit Holder Date Telephone M
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Gomments
fOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGAT10fV
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECURD
, CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number 4 14
` Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
I I111 Mi1., 1 FII h 1 ili 11,11 t', 'NCi r r, i.• 1 r,rt•I o 1.41
.? a
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .• . D•
I AfJ RE V ii W FI? H Y 1.IA YNI' M r I 1 t-'t
? iiir E:f I :' rhr j ri 1, rEI I ?i iN cI ti
1- -1
L I
Permit Holder Date Telephone !
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMINCi
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FT'G
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilpi Knob Road , ?.
P. O. Box 21198 ??J?z/1Q,A PERMIT NO.:
Eegsn, 9IIN 55121 y??l iI J D^TE:
Zoning: No. of Units: "-? P?
Owner: _'' r zo*2 c+r^ ?. ;
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilat Knob Road
P. O. Box 21198 PERMIT NO.:
Eagan, MN 55121 DATE:
? Zoning: No. of Units:
? Ownrr. '!em Ilori:.on Hovie.
Addrcss:
5ite Addi
Plumber.
1 prw to oa"Plr wNU !ir Ciyr ef Ea?eO
OfdIMROM.
By
Date of Insp.:
Connedlon (]wrpa: +' S . I-QT?c?
AOcA1Jnt QRpOi1t. - -
PeR11it Fef: ..
SYI'Ch01+Dl:
Misc. C]+orgs:
Total:
DoM Paid:
CITY OF •=AGAN WAT
3830 Pilct Knob Road
P. O. •Bnx 211A ER SERVICE PERIINT
PERMIT NO.:
Esyan, MN 551?1 ?J DATE: `
Zoning: i' No, of Units:
Owner. *7ew Hor izon lIorses
/lddress:
5ite Address: 1599 Cler.ison
Plumber. _
Meter No.
Size: ' .:'L
1 NaN h aomoly wNM tw
OnIwwmom r-
9y --/ ( ,k
Date of I nsp.:
>mae Lk Hts ]
Euwr•Fee: ? .
TotnL• mseter
Dote Poid:
? CITY OF EAGAN
3830 Piiot Knob Road sEWER 5EVICE PERAPJT
P. O. Box 21159 PERMIT NO.: ??? °6? `•
Eagan, MN 55121 pATE:
Zoning: F.3
No. of Units: -4-e7-ex
Owrnr: •+eti,? Ho t ..?,. ,,?,;- /lddross: --
S1t* Addresa: 1592 C1E080Tt Drive T co =% 1} o ?» f 4 d?te rr i
Plumber. 'rhomnson Ptu,?h i?. ry ,1
f?3?i
? MM? f0 100. l)f?T1n
somphr wilh !iw Citi of 1e900 Conrnctton Chorge• 5(1t1?.s,
OrrlwoeM, "
A00DIR1t QepOlit; - l S r? >,. 1
PeRtllt rYl: _ 1 (t fl(1.. j
? SYIC?101'?:
y Misc. Chonpp; - -?r
Dnte of I?ap.: Totai:
irop.: Doft Pold:
?
Address: - --
Sih /lddress: _?,?:.,:;c-, _ _ ?ve . 0 .. Momas M, ... .
CITY OF EAGAN WATER SERVICE PERMIT
3830 Wlot Knob Road . 1
P. O'•Box -119 ? ?0 ??? PERMIT NO.:
Eegan, Mfv 551 1 DATE: '`--
Zoninp: No. of Unlts: -?? c?x
':OIPeS
OMIMI: z?OI'i,.r, }
AddfOff:
Site Addron: '_ 5'-' /B C I emson Dr ive ,_ . ?_. ,1GPva 9 Lr. t a -.
Plumbee , .ompsor, t'_um g
et?r No.• Qrorye: ' ' ??
AASize: iWan
;Ikpbslt.
R 6(? 0 1n.?J(ip?T
I M r to GM* wkh the City of ?? ?u? ?.?; - ?S E1C• . ?}pc.
.;ITY OF EAGAN WATER SERVICE PERMtT
3830 Pilot KnQb Roed
P. O. Box '1199 Zv?5C5? PERMIT NO.:
Esgan, NLN 551;1 ? DATE:
Zoninp: ' No, of UNrs:
/1dd?es?: I-J; , %_ • . , ..:? - , ,,•
T'o-. - , .
r No.: 7 g6 y ?„ Charfla; ?
N NO.: aL' i?r!-i Y?V
• L??? ? ?
w te eerplp W" !iw feib ?g1?' 0:
?e? ' ?
mmoom
' Dote Paid:
of Insp.: Irsp.:
?dsa0..?(.
meter
Doh of
,o- a/- y(-
Irop.:
CITY OF EAGAN
3830 Pilot Knob Road
P. n. Box 21199
Eagan, MN 55121
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: No. of Units:
B
Ndd
b oowpy M?Mb f!n CllY Of l.pm
of I nsp..
Connettlon Charge: a 1 5. ?
Account Dapodf:
Pemdt FM: -
Surchorps:
Misc. Chorqes:
Total:
Dote Pofd: ,
CITY OF EAC4N SEWER SERVICE PERMIT
3830 Pilot Krrb Road
P. O. Bax 21199 PERMIT NO.: ,-
Eagan, MN 55121 DATE:
- -
Zonlnp: No. of Units:
`
OwrNr c'y i.r,x'izof: ;,,r•. ?
? /lddress:
Sib /lddresa: Dr ive i_ 5n' -ornn F .
Plumber. :?un Z'ltxrzbir,s.:
, . . . ",
1 ym b Mes* wN6 the Cily ?i 5ap¦ Conrnction Charpe:
Or11NwaN. Aocawit Depodt: _
PermR Fee:
SurcharQs:
BY Miac. Chorpsx -
Date of Insp.: Totaf:
Inap.: DaM Paid:
This request void J L/a ?
18 months,"
36878 L5q
fleqvest Date Fire No. R @qAy+hed?YrisUer,[ion CReady Nu?evRl'n'ill Notify. InsOec'
?-/L-?C / IR?V'cc nNa ? --tor When ReadV
F?:icensed Elec[rical ConUactor I hereby request inspection ot ebove
wiactrical wotk installad at
ic ddre x or P te o.
Svee C"v
/
ecuon o. ownship a e or No. Range No. Couniy
OccoVant IMiINTI Phone No.
- j
Power Sup0lier Address
Elechi 2l Convactor {COmpany Namel Gon[rac'^tor?s L?ce?se No.
•
Mailinp AtlJress (C nvactor or ner ki g Ins[allatioN ? I 1 1
? V
+AUthorized Signature (Conuactor Owner a ing.Instailaponl,_ - '
- Ph ne Number
?1?3 2-
-
?
? MINNESOTA STqTE 80AflD OFELECTPICITY
Griggs•Midway Bldg. - Room N-191
1821 Universitv Ava., St Paul, MN 55104
Phone 16721 297=i11
BE ACCEPTED BY THE STATE 90AFD
UNLESS PFOPEH INSPECTION FEE IS
ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
, See insiructmns for complating this lorm on back ol Vellow copy, 40 r,-? 5((3 &
?t t
P 7(% A-7 O "Y" Rn/nw Wark Covered by 7his Request
J U O I ?- -`° -
?en[ Wired
Aooliancea Wirad .
i
'
Ad R.P. JC
ng
TYOe of 9u
Service
e Flange
uplex Water Heater
ixtures
t. uifing
ryer
i
e2bn
x!d
omercil Bldg. Fumace der
Indutrial dg. Air Conditioner Tank
Far Othar SPem V :fYl
t Suem V ther Lompuie /OJ?1CLt/wi , ?? ?o"..
M Fee Sarvica EnhenceSiza leede?s ircults
Uto200qm s s Am s
200 qmps
A6ove mps
CIO 00 A s
Swinming Pool =
Amps & 100-AmPS
"
Transformers oms Other Fee
Signs ection , A
?y ???l1
?bV?
RouBh-in ?`11e I,
the Electrical
Inspactoq hereby
L/ ? carfitV that the above
iinal spection ?as been .
rrede
.
Thie reVUes"vem nin- .....e i. --
?
Thls request void L/ '?s
18 months fmm
(P '? C 4 7 0, ? .._ .? •? , ? ?. , _ // / / ? -? ? Lf,? -
- ?//'LS? •
Requcs?ate `^ ?
?? Fire No. RouPh-in InsVection
qu red?
'es ?No
?ReadY Now?Will Nntity Inspec-
?Ntor When Ready
Locensed Eleclrical Conhacmr
f"l n...__.
1 hereby repuest inspaction of above
elecvicel work installad at:
Sveet Address, eax or Route No.
? ?
CiW
? ?../m `S(?
?
ectmn o. Township Name or No. Range No. County
Occu ant
IWiWTI Phone Ne.
Q
/ 1 I
.-?/ ?
Power Su001i
Y
b- Atldress
Ele tnc ontrac[or ICompany Namel
'c? ?>?, ?,l e? Controctor?s Li ense No.
a
Makmg Instailation)
Mailinq Address (COnI ac.Ir or Owner
?
Au orized Sig^amre ICOnvactor Owner MakinB Instaliationl t. ' _?
. . . . .. ' P Number
?
MINNESOTA STATE BOARD OF ELECTflICITV ' eE ACCEPTED 9V TNE STATE BOAHD
Griggs-Midwey Bldg. - Room N-191 IJNLESS PNOPER INSPECTIDN FEE IS
1921 Vniversity Ave.. SC Peul. MN 55104 ENCLOSED.
Phona (612128]-2111
EB.00001-04
REQUEST FOR ELECTRICAL INSPECTION
1 See insiructions for comDletinp this torm on back of vellaw copV? 9 "X" Below Work Covered by This Request
Equipmant WireA I
hhwAAridI fleo_ TYOe of 6uilEine ApOl W. d
Water
Ind??st ?al 81dg J A-r Co d-Yo er Bulk Milk'
. .. . . n. IS _.
This repuest void ( n _ l?
18 nwnths fmm ?? =? l .3 ?
36876 ? --?, Y,2 -
Ren?yeI ?a / Fire No. Houph-in InsVection
? yq ?e?? ?fleady Now?Will Notify Inspec-
?? ?// ?es ?No lor When Rgady
icensed Elec[rical Convacmr 1 hereby requast inspaction oi abova
? Owner electrical work installed et
Sireet AtldreSS, Box or te No. Giry
/ ?? 6?
ecUOn o. Township Name or No. Tnge No. County
Oc a xnt1PRINT) Phone No.
&
Po Sup116 AtltlRSs
Elec[r'c I Contractor ICOmOany Name)
0 m tx:?7 n?l???ir 111[ ctor's Li nse No.
?? ?
Mailing Address ICO Vacmr or Owner Ma kinp Installationl /
l ?
Aut?ori ed Signature IContrector/Owner Making Installationl ? Phose Number
MINNESOTA STATE BOAPO OF ELECTRICITY
Griggs•Midwey Bldg. - Noom N•191
1821 Universi<y Ava., St Paul, MN 55104
Phone (612) 297-2111
rnIs irysrec;iiOrv nEnuEST wiLL woT
BE ACGEPTED eY THE STATE BOAftD
l1NLESS PROPEft INSPECTION FEE IS
ENCLOSED.
REQUEST FOR EIECTRICAL INSPECTION EB-00001-04
Ii, See instructions tor compleling this torm on back of vallow copy.
!f' F "X" eelow Work Covered by This Request
Add qepv vType of BuiIEinB '1aohances Wiretl Equiumem WireA
Home Range Temporary Service
Dupiex Water Heater Lightiny Fixtures
Apt. BuilAing Dryei Electrie Healin
Commerciai Bldg. Fumace Silo Unloeder
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ocner oeu y TFher ISnar.ltvl
L P.I SVEC11V ImC( n\M1L`!
p Fee ServiceEntranca5iza H Fae Fexders/5ubteeders N Fee Circults
-r Uto200qm s 0 to30Am s Otn30Am s
Above 200 Ampsi 31 to 100 Amps 31 to 100 A s
Swinvning Pool Above 100_Amps Above 100-AmPS
Yransiormers Irrigation t3oorc?s Partial-? ee
Signs Special hispection S] TOT L F ?
Remarks //? "
floveh-in L'1e I
? I, xna lac ' I
InsOacbr, hereby
ertity ehat the above
Final j D rnta ? n1
()- ? inspectian has been
made.
Tnle reQUest void 18 monllb Iro.
Thls repuesi void
18 mon[hs tmm
C 36877
& °53(?
I neques??a:e I'"_ "" I pp?N?fedi..O`..?.. IQFeatlV Nuu?.PO.WiII Notitv.Inspec-I
LYres rvo ?" tor When A¢aGy
AN?Lcenaed Elec[rical ConVactor 1 heraby raquast inspec<ion ol above
n nwner electricel work installedat:
Street Adaress, Box or oute Na { Ci
?? ?
e von o. Townshi0 Name or No. Range o. County
Occu a t(?INT? Phone Nn.
?? ? . /7L
Power Su g ier ?.ddress
?
Elecvi??Vac[or IComOany Name)
? / r
?C l? Contracto ? Cc
Mailmg ddress ( on r ctor oY wner Makine Instail tioN
'Aulhorized Signamre ICon[ractor/Owner Maki nB Installationl:"'?•`- Ph Numbe
?.
? .
..... _,.. 3 _
.?
. J
MINNESOTA STATE 80APD OF ELECTPICITY
Gripgs-Midwey 61tl9. - Aoom N-191
1821 UniversitY Ave., St. Paul, MN 55104
Phona 1612) 297.2111
rv?rt?. ? wrv n _
BE AGCEPTED BV THE STqTE 90ARD
UNLESS PNOPEN INSPECTION FEE IS
ENCL03ED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0'
Ill, See instructiuns lor romolelinq tnis frnm on back of yellow copy. (2-51T/3 ?%
v
!r' 7 n n M-' - "Y" Ralnw Wnrk Covered bv This Request
p;;d J U
ReD. A 1 I
Type of Bulltling
Appliances Wired -
E,..o.,ent ?e?? H'??ed
Home Range Seroice
Duplex OVater Heater ixtures
Apt. Bu{Iding Dryer V
aUn
Commercial Bldg. Fumrce der
Industrial Bidg.
Farm Air Conditionel
ih?? oec? v Tenk
fvl
t er Suecify Other pFee ServiceEntrence5ixe H Fee :F..d.1./Subnnnd.ra eb Fee CircuHs
0
0 A
fl o 200 Am s qm s n? s
to 3
Above 20 Amps 0 Amps 31 to 100 A s
Swimmin Pool 00_Am s Above 100_Am s
Transformrs n Hooms Partial,'Other Fee
Signs Inspection S
? TOTAL FE bJ
Nnrrurks _ ??J .
Nough-in Dete I, I. the ElecVi
.l J /Ip Inspectoq hereby
certifV ihat the abave
Final
4:
fP r Aion hes bee4
, ty- mede.
TNa reQueat void 18 momna Irom
,
4
?
?
a
\ O
<;' ':? ?• e? K
M
n° 3 ? >,?`?B E o
? ?
/oo
iry
3
L - \ y. 22 a
0
?3\
?
. o, N
(93lS)?! ` n\,3g
ti .
? ,q`OD
1
(9350)? 2¢'g3, ?hti
/ 2=_:
MI 3j003`7
I
10
7
I ? 38W
O
0
? \M
?
3?
zo o ?q33•5)
"3
z933 N bQ
\ h L ? /
O k
\ >O ?
\ ? pl
`\ Op ? q3q.
a ?
N ?
r ?
O ?q35.5?
H
n
?
Q
?9 }•, ^' O" • / 3=O?x?
Denotes Iron Monument (93& Z;
xooo.o
(000.0)
f-
Denotes Wood Stake
Denotes Existing Elevation
Denotes Proposed Elevation
Denotes Direction of Surtace Drainage
Proposed Top of Foundation Elevationa
Proposed Garage Fbor Elevation= 936.0
Proposed Lowest Floor Elevation- 936.5
1 hereby certiy that this is a true and corred represerrtation oi a survey of the boundaries at
Lots 57, 58, 59 and 60, Block 2, THOMAS LAKE I.EIrgTg 2ND
ADDITION, Dakota County, :Iinnesota.
And of the location of atl buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It alsa shows the location of the stakes as set for a p oposed buildiqg. As surveyed
by me or under, my direct supervision this 24t? day of ?'Dri? .19 tib
Paul A. .:ohns
Land Surveyor, Minn. Reg. No. 10935
i"=4o CERTIFICATE OF SURVEY
McCOMBS-KNUTSON ASSOCIATES, INC. {Of
f.;? _: couotwc em?n?s ? we toRvtno n s?t[ rwNtn
' IaNNEw?OL6aMMrtCM1?60N.WN1Ef0?? F7430 n1EW HORZON HOME$
o?`?
? ??
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
•-4 ics-
Foundation Onl New Construction Interior Im rovement
• Struclural Plans (2) sets • ArchitecWral Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • StrucWrel Plans (2) • Coda Analysis (1) "
. CertificateofSurvey (1) • CivilPlans (2) • PmjectSpecs (1)
• Code Malysis (1) " . Landscaping Plans (2) • Key Plan (1)
. Project Specs (1) • Code Analysis (1) " . Mastar Exit Plan (1)
• Spec. Insp. & TesUng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be eshablished - if applipble
• ProjectSpecs (1)
1 • EnergyCalculations (7)
d • Electric Power & Lighting Form (1)
d • Master Ezit Plan (7) 1
1 • Emergency Response Site Plan (1)
l • Soils Report (1) 1
. MClES SAC determination letter . MC/ES SAC determination laller • MC/ES SAC determinatlon letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
'Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: Z WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: 457
7
SITEADDRESS:
TENANT NAME: SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
/
Name: /" f/?',Z?n hlills Phone#: ?( 31 7 ZS ? YC?' ? D
PROPERTY Last First
OWIVER
Street Address:
City: State: Zip:
Company: Phone #: ( ?G I'Z
CONTRACTOR ?.?`?
SheetAddress: l aS (!/ CX? (-
City: dV/5 State: Zip: 5 S
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
CiTy:
Licensed plumber installing new sewer/water
Phone #:
'v
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
SignaWre of Applicant:
Updated 7102
Phone #: ( )
Registration #: I ?
MT 1 1 ?nm I I I
State:
75950 THOMAS LAKE HTS 2ND
CLEMSON DRIVE
1582 10 75951410 01 (.or 6s)
1582B 10 75951 420 01 (LOT 65)
1584 10 75951 44001 (LOT 65)
1584B 10 75951 430 01 (LOT 65)
1585 10 75951 50002 (LOT7 1)
1585B 10 75951 490 02 (LO•r 7q
1587 10 75951 510O2 (LOT7q
1587B 10 75951 52002 (LOT 71)
1588 10 75951 450 Ol (LOT 65)
1588B 10 75951 460 01 (LOT 65)
1590 10 75951 48001 (i.or 65)
1590B 10 7595 ] 47001 (LOT 65)
1589 10 75951 540 02 (LOT 71)
1589B 10 75951 530 00 (Lar 7q
1591 10 75951 550 02 (LOT 71)
1593 10 75951 560 02 (tor 71)
1592 10 75951 49001 (LOT 65)
1592B 10 75951 50001 (LOT 65)
1594 10 75951 52001 (LOT e5)
1594B 10 75951 51001 (LOT 65)
1596 10 75951 53001 (LOT 65)
1596B 10 75951 54001 (LOT65)
1598 10 75951 56001 (,o r6s)
1598B 10 75951 55001 (LOT 65)
?1597 10 75951 580 02 (.oT 71)
1597B 10 75951 570 02 (LOT 71)
1599 10 75951 590 02 (1.01r 71)
?1599B 10 75951 600 02 (r.or 71)
.. ?
1600 10 75951 57001 (LOT 65)
1600B 10 75951 58001 (.o r65)
1602 10 75951 60001 (LOT 65)
1602B 10 75951 59001 (1.01-6s)
1601 10 75951 620 02 (i.o'r 7q
1601 B 10 75951 610 02 (LOT 71)
1603 10 75951 630 02 p.0r7p
1603B 10 75951 640 02 (LOT 71)
(PAGE 4 OF 5)
8
?? .- I .- . /? ?? 9?
t 7986 BDILDI9G PEelQT APPLICA7io1( - CITi OF EAGEH
HOTEs [L[. COBTRACTOBS t!(JST BE LICEI4SED YIiH THE CIIT OF EAGAa
?.
3IBGLS a FelQIS D4iEfd.IBG4 ?, , - ; .. 7 ? ? .:
."" =_' ..-.,a :? F?,{,n..y+!. .. -. r C „ ;,Tv . -..s....#.Z ..... x ? ? . -, •
:INCLODE 2?SETS OF PLABS;. 3CEICFZEtIC9TES OF SOH9ES,0-'; I SEt,OF_ ENEAGY CALCQL6TI09S :".
: : . _ . -. . . . . : e . :? . . y ,a. '.: 4 ' - .. .... . F :., l `. - . .
MLTIPLE LW`""++1W - liLUVyvLpt•w•- JpGUlsy VYllV . L'VR suiY VY11J L? .. INCLODE 2 SETS OF PLANSV CEBTIFIC9TB OF•SURYET - C'HE(S AITH BLDG.?DfiPi.s
1 SET OF ENEHGY CALCOLATIONS _
COMMEBC71L -. . . - , -
INCLDDE 2 SETS DF 9RCHITECTDR9L & ST&OCTORAL PL9NSt
1 SET OF SPECIFICATIONS AND t SEY OF
ENERGY CALCOL6TIONS,
$2,000 LANDSCAP6 HONd
To Be Used For: RESiDENCE Valuation: Date: 8-a? -SL
Site Address ?
Lot a Block 2.
Parcel/Sub THOMAS LAKE HEIGHTS -;;L-
Owner NEW HORIZON HOMES. INC.
Address P, 0. $OR 1367
Citq/Zip Code hIPLS. MINN. 55440
Erect ? Occupancy 3
Remodel Zoning T?7
Repair Type oP Const
Addition # oY Stories
Hove "- Length
_
Demolish _ Depth
Int.Impr. _ Sq Ft
Install
Phone 420-3900 _
Contraetor SAME
9ddresa
City/Zip Code
Phone
Arch./Engr. D. GRISWOLD
Address
City/Zip Code
Phone / 435-7524
qc/
9PPHOVALS E'EFS
Assessments Permit
Siater/Sewer Surcharge
Police Rlan Review
Fire SAC
Engr Aater Conn
?
Planner Aater Meter
Council Road IInit
Bldg Off 1-1- Treatment Pl l5/?
APC Parks
Variance Copies
IOTAL
HO?ES ADDHESSES FOB CORNEH LO?S - C0HTE9C?OH/H0KEOWbiES liQSi DESICN9iSWHICH ADD$ESS
IS DFSIBID. NO CH9NGFS i1ILd, SE ALLOHED ONCE BQILDING PEHKZ7 IS ISSOID.
. a
.
,?-
,
HOTEs SGI, COHTRACTOffi MUST BE LICEBSED YI7H '[HL? CI1T OF EAGAIf
SIHQ.B FAMES DWE[d.IPf'a4
g a _.. . _ c-. y ?. _ -.. •
- f ?--. :-zs';-? s:* ;-.?.-.:_. F .. r;• ?-w.-?t. .?--'` ° ??L • ,;:s:
?INCLODE 2 SET3 OF PLARS;3 CERTIFICSTES OF SDEYSIv-?-•i SEY_OFAENERGY CALCOLATIONS
' ? , -: , , ... ,, ,, ? ; _ • : .;_ , • `. _ - ..: .;
.S lTIi3 1/
. , .
' 'MQL2IPL8 DWELLIHCS - SESIDEHiIAL° HE6'[AL'i1Mi15 : . FO8 SII iJ
IACLODE 2 SETS OF PLANS, CEHTIFICAT6 OF. SQRYSi - CHE($ WI'LH BLDG.` DfiPS. v .
1 SET OF ENERGY CALCUL9TIONS .
INCLODE 2 SETS OF 9RCHITECTDRAL & S?EOCTIIRAL PL9NS, '•
t SET OR.SPECIFICATIONS AHD 1 SfiT OF ?
ENSRGY C9LCULATIONSt
$2,000 LANDSC9PB BOND
To Be Used For: RESIDENCE oaluation: 4rlzla? Date:
Site Address
Lot Block 01--
Parcel/Sub THOMAS LARE HR7[;HTS a-'
Owner NEW HORIZON HOMES. INC.
Address P. 0. BO% 1367
City/Zip Code MPLS. MINN. 55440
Erect Occupancy 3
Remodel Zoniag
Repair Type of Const
_
Addition
Hove # of Stories
Length
Demolish _ Depth '
Int.Impr. _ Sq Ft
Install
Phone 420-3900 '
Contractor SAME -
Address
City/21p Code
fhone
Arch./Engr. D. GRISWOLD
Address
Citq/Zip Code
Phone # 435-7524
mad?. - 9 9
9PPR09AIS F'EFS
Assessments Permit ?/ .
Water/Sever Surcharge
Police Elan Reviev
Fire SAC ?
Eng Siater Conn ?
Planner Siater Meter ,_ O
Couaeil Road Onit U
Bldg QPf ,. e Treatment Pl ?i
APC Parks
Yariance Copiea ---
TOrdL
HOTE: ADDBESSES FOH CORNEB LO?S - CONYRACYOB/HOHEOHHES liUSS DESIGB9YE IIHICH ADDHESS
IS DFSIHED. BO CHANGFS WII,I, HE ALIA'dED ONCB BDILDING PERMIr IS ISSIIED.
? 1986 BUI].nn?c r?erar apr?carioa - crrr oF KAceH .
BO'iEs ALi. COBTRACTOBS MUST BE LICEIRM YIiH 'fHE CITL OF EAGAH
?
SIBQ.B FAlID.! DiIELLIAC.3
i ' r . ? - Y'L'._ i c r .. s. ? . >''t ? - yti .- ... t?. '-w' ' o' \. '-'+' } • _ r. 1 . r, ° _'
• INCLODE 2ySETS'OF PI,AtJ3j-3CERTIFICATES UF S089EfI-• 1 SET,OF'ENERGY CiLCOLATIO&4 1?lOI.TIPI.S ?-t-n?rc _ EFSIDEBiIAi. EF?'fAL +IilTIi3 . . FOE SEI.S ONTLS
4[ INCLODE 2 SETS OF PLANSt CEH7IFICAIB OF SOHFSi - CHECg YITH BLDG.DEPT., . f. 1 SET OF SNERGY CALCUI.ATIONS -
(XR4MEHCIAG
INCLODE 2 SETS OF ARCHITECTDRAL & STHOCTURAL PLANSt .•_
1 SE2 OF SPECIFICATIONS AND 1 SET OF .
ENERGY C9LCOL9TIONS, $2,000 LANDSC9PE BOND
• " ?'i?lyf?
To Be Osed For: RESIDENCE Valuation: ?v ?, ?/UC/ Date: 3`o14-1_8e0
Site Address 1$ / 9 0_&/ysoitJ
L.ot ? Block ?;)-. .
Parcel/Sub THOMAS LAKE HEIGHTS ?
Os+nec' NEW HORIZON HOMES. INC.
Address P. 0. BOX 1367
City/Zip Code MPLS. MINN. 55440
Phone 420-3900
Contractor SAME ?
9ddresa
Clty/Zip Code
Phone
Arch./Engr. D. GRISWOLD
Address '
City/Zip Code
Phone f 435-7524
m??.- 99
Erect ? Occupancy f-S
Remodel Zoning ?
Repair _ Type of Const
Addition # of Stories
Move ' Length 4V
Demolish _ Depth 77
Int.Impr. _ Sq Ft
Install
6PPHOVALS . £EFS
9ssessments Permit V/1?
`iater/Sever Surcharge
Police Rlan Reviev /. R
Fire SAC .-ri 7'?-
Engr Water Conn IS
Planner iiater Heter /,!5/ 5-?
Council Road Qnit 2QD
Bldg OfP -f- ; Treatment P1 ?
9PC Parks
9arianee Copies
TOfAL
POTE: ADDEESSES FOB COANEE LOrS - CONiHACYOE/HOHEONHEB liDSY DESIGHAYB LiHICH ADDHESS
IS D£SIHID. HO CHANGES YILL BE ALLOSiID ONCE BDILDING PEHISIZ IS ISSOID.
/ • ? [ ??
II
HO'iEs ALL 008iRACTOBS MfJS7 BE LICEASED iRiH SHE CI
t.
SIBGi.S F6lQIS nWE?r_txr_a
.:ZNCLADE 2?SETS ?OF pI,ANS? 3 CERTIFICASFS OF SUEVEiq':
i![1LiIPLS DTiEL1.IBGS - EESIDSBTIAL HEA2AL UBIiS
• INCLQDE 2 SETS OF PLANSv CEHSIPIC9T6 OF.SQEYSS - CH
1 SET OF ENERGY CALCULATIONS
INCLQDE 2 SETS OF ARCHITECTORAL It STROCTURAL
1 SE2 OF SPECIFICATIONS AND 7 SET OF
ENERGY CAI.COLATIONS,
$29000 LANASC9PE BOND . '
. . ' . ? ?,
To Be IIsed For: RESIDENCE Valuation
OF EAGAH
- + ..
_..t`. ycr``1...' .. F•,;,.Z
1 SEf OF ENBRGY CALCQLATION3
FOHSAL6 QHIi3 `,?/' ' • -
YITH BLDG. DEPl.*
NSt • .
r
Dates
Site Address /,5?'/?j,(? (!1? ? IOFFICE IISE ONLI
Lot IOQ Block Erect ', JL Occupancy ?
Remode:l Zoniag
Parcel/Sub THOMAS LAKE HEIGHTS o2-? Aepairi Iype of Const
Additi?Pn # of Stories
Oc+ner NEW HORIZON HOMES. INC. liove ?'' Length ?
Demol16h Depth
9ddress P. 0. BOX 1367 Int.Im1pr. _ Sq Ft
- • Install '
City/Zip Code MPLS. MINN. 55440
Phone 420-3900
Contractor SAME '
Address
City/Zip Code
Phone •
" 6rch./Engr. D. GRISWOLD
Address '
Citq/Zip Code
Phone # 435-7524
YJ7 odL?. - 9 9
HO?E: EDDEESSES FOH CORBEE LOTS - CON
IS DESIHED. NO CBANCFS SiILL BE A]
Fire
gmg'
eldg
APC
I.S
ients Permit ?
ever Surcharge 3a,'?a
Rlan Reviev
59C
Siater Conn ?aa
Water Keter
Aoad Dnit 74b `
Treatment Pl
Parks
e Copies
TOfAL
AOSi DESIGHAYS WHICH ADDBES3
PE6liI'I IS ISSQID.
\? .i..-..?d.?, "7? Sto ..?.. % S `l 7 ? ?1
'? ?1r--3.4.)
,;? ? r?« 4? ? Gh? ?[3wD n! 9?t3V?`aE .(??,o, .Sic?uRiC?¢
HEATLOSSCALCULATIONS HEATIf1lG&A9R COND9TBOINlIVG CO.
0 n? 3,C) (tt}
N-c7i-
MINNEAPOLIS, MINN,
Weatherstrips A.S.H.V,E. Construction No. Insulation
Vrindows Ooors Guide
Reference Out. Wall Int. Wall Ceiling Fbof Floor Nind Now Applied
Yes-No Yas-No 19`_ ,
fI.L,Y1Njf Roor^ Length Width Neight ? FI. MMtf:Q &,..QRoom Length O -N4dik Height
YJi ndows a nd Doors- Cracka ge and Ar ea Windows and Doors-Crackage and Area
No. WiAin
ol nna He'Oht
of ane No. ot
ii hts Lineal f[.
of crack Area
sq. 1t.
NO- WiE?n
ol ene Na?p??
of anq Nn. of
li Ms ??neel It.
o/ c?eck Area
ea• 4•
2 ?l 2 2 L 2 21 i 7
1 ° g a. 9 .2
2 L { t C)
Coet Btu Coef Btu
Infiltration I -tl Inliltration Z ? ? -I J p
Glasa 4 2g Gless (i
Exp. wall l 12 Exp. wall 1Q )',y,
Nat exp. well :??, q. i 91 Net exp. wall -' 9• .??J O
-1YIT? oo'?" k 117 22.2 Int.wall
Ceiling ?? Ceiling 1 20(01 2.5 I
flow Floor
Total Btu. Total Btu.
Required Sq. !t. E.D.R. or 5q. ins. W.A. Leader erea Requirad 6q, ft E.D.R. or sq. ins. W.A. Leader are0
Roam Length Width Heiqht FI. ? T41ril?om Length I? Wid[h i? Height
Wi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea
No. WiAih
ol ane Neiphl
oh ane Na. 01
li ht y LinBel ft,
ol crack Aren
s4. ft. No Win?h
ol ane MerAh?
of a?a No. o?
li hls lineal It
ol cratk Area
s4• fL
,
'2 ? ?
Coef Btu Coet 8tu
Intiltretion _rQ 2 2-4 i3 Inliltration ?U
Gless Glass ??`?
Exp, wall Gjb Exp. wall 1?? la :? c
Net axp. well ` Net exp. wall -T ?? 3.2
Int. wall Int. well .,
CBiling CeilinQ (g0 -7•5 -1
Floor Floor n UU
Totel Btu. s Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area' Required sq. ft. E.D.R. or sq, ins. W.A. Leader area
fl. '%T Rpdn Length °j Z Widtb ? Haight ? FI, Room Length ?- W1dth Height
Windows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and A rea
NO' Wltlth
ol ane He.qnt
of oane No. ul
It hig Lineal h.
pf ?rack Area
sq. It.
NO' Winn
ul ane Ni qlrl
u? ane Nn. o?
IiFhls lineel It.
ol cracb 4re0
sa• ,,•
,
n
Coe( Btu CoOf Btu'
Infiltration Inliltration
Glass Glass
Exp. wall Exp. wxll
Net exp. wal I Net exp, wall
^
Int. wall Int. wnll
Ceiling I.Zv,? 21 N
21 Ceiling ,?.i ?.?.
Flaor .
'- __.Fbor
Total Btu. Total Btu. .
Requirod Sy. R. E.D.R. orsq. ins: W.A. L.eader area ?1' ?? Roquir8d sq. tt, E.?.E. or sq. ?n5. W.?+. Leader erea
:= ?• ,r'fe, .Scalycu"
HEP,T LOSS CALCULATIONS HEATING & AIR CONDITBONING CO. MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
M?indows Doors Guida
Reference Out. Wall Int. Wall Ceiling Roof Flaor Kird How Applied
Yes-No Yes-No 19__
gFl. Q Room Langth ?Q Width HeiBht FI. Room LenAth Width Height
YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea
No Wid,h
ol ann Me-pht
ol ene No. oi
h Ms Lmeel N.
o1 creck Area
ep. 11.
No. W,Qih
of nne 1loipht
ol ene Nn. ol
1. hu Lmael ll.
of crack Araa
s4• ??•
2. 2 ao ??
Coef Btu Coe/ Btu
Infiltretion wOQ Infiltratim
Glass Glass
Exp. wail ? Exp. wall
Net ezp. well 230 Net exp. wall
' Int. wall Int. wall
Ceiling Ceiling
Floor Floor
Total Btu. 3 Total Btu.
Required sq. ft. E.D.R. or Sq. ins. W.A. Leader area Required sq, ft. E.D.H, or sq. ins. W.A. Leader area
FI, nrvy, Room Length 2 Width 11 HeiBht FI. I Room length Width Height
Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area
No. W.tl,h
ol ana Heiph(
af ana No. al
Ii hta lineal It.
of cr ck Area
s9. 1i.
NO' Width
ol nne Hh1
nf ann No. ul
Nuhts lineal fI.
o/ ueck 4rea
ea. il.
Y 9 a
? f
cvO f 4)
Coel Btu Coe/ Btu
Infiltration I 117 Z223 Inliltra[ion
Gless Q 31 OQb Glass
Exp. wall - Exp. wall
Net exp. II 992 4. { 13-7 Net exp. wal I
1pt?wa{1 ( Z U .'CZ Int. wAll t
Ceiling Ceilinp
Floor I , Flppr
Tocal Btu. Total Btu.
Required sq. tt. E.D.R. or sq. ins. W.A. Leader are.i Required sq. It. E.D.R. or sq. ins. W.A. Leeder area
FI. r q Length' 173 Width Height FI, Room Lengtb Width Heighl
Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea
NO' WtAtM1
of ane He-pOt
of nne Na. ul
li Ms Lineal h.
ol erack NO' Winm
ol ana ? 0 A?1
uMl nr Nn. nl
h hta l'neal 1t.
o/ crack A
sp. It.
?
I
t
i
Coef Btu Coef Btu
InfilTFation Infiltrntion
Glass Glass
Exp. wali Exp. wnll
Net exp, walt 7X'b .>(p Net exp. wall
Int, wall lnt. wnll
Ceiling Ceiling
--
floo. '13 l 7•S - 1?6-?- --Fin(m ----
Total Btu. Total Btu.
Aequired sq. It. E.D.R. or 5q. in5. W.A. Leadnr area Rpqui
r0d 6q. ?t. E.D.R. or Sq. in5. W.A. l6adel erea
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: BusLOzNo
Permit Number: 0 3 4:1.59
Date Issued: 1. ? I 31. / 9 S
SITE ADDRESS:
:1597 CI.?IrISOPI DR
LOT: 58 BLOCK:
TNOMAS I.AI<E HEIGHTS 2ND
P.7.N.; 10-76951-580--02
DESCRIPTION:
6,uildiriq'.,Permil? Type
Huildinq 470;rk i'ype
/'Census Cotle
i
?
. '
DECK
NEW
434 ALT. fZESIOEiV7Tr1L
REMARKS:
PLani RtVYFwEo Bv wavNt mIu_ER.
FEE SUMMARY:
f3ase Fee $50.00
Surcharqe t.50
-------- --
"iotal -e.e 5P,.5@
CONTRACTOR:
KEtiNS CFP,PENTRY
37_886 LZLY
CAMBRIDGE
(512) 689-0642
- Applirant -
1_G390642
STRLET IVW
MM 554)08
OWNER:
Ji1fiNS ON I..IPdDfa
1597 CLEMSOiV OR
EAGAN MI+I 55122
( 657. )6"'6-5224)
): herehy acknawledqa tMaC I have reas9 R:h1s
i.nformation is correct and aaree to comDlv
Statute. nd City ot L"-aqan Ordinancea.
?
\
APP ANTlPERMITEE SIGNATURE
appliaaT.inn and state that Che
wir.h all applica6J.e State ofi 1l9n.
-1
IS D BY: SIGNATUR °
, ,.
?
?
New Construction Reauirements
crnroF Enanx
3830 PII.OT KNOB RD - 55122
681-4675
3 registered site surveys
2 copies of plans (InUude beam 8 window sizes; poured fnd. tlesign; etc.)
7 energy wlalaGOns
3 copies of tree preservation plan if lot platted after 7/1l93
required: _ Yes _ No
DATE: / l ' S D '-
DESCRIPTION OF WORK:
STREET ADDRESS:
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
RemodellReoair Reauirements
tbIS-a.5o
Ca9j,-k l a - q- `ics:,
? 2 copies ot plan
• 2 sRe surveys (exterior addRions 8 decks)
• 7 erwrgy wlculaGona Mr heated additions
CONSTRUCTION COST; eLo:
D y
LOT: ? SLOCK: C)?-- SUBD./P.I.D. #: `fA10 ?12A n Lc_x X_s- C? 1CI`_dJ
Natne: L.jN/cf '3. Phone #: ?p??P "sZ-zd
PROPERTY 1-ut First
OWNER
Street Address: I S? 7 014lY! SO Yv
?
Ciry .?e t_ a:4) Siate: 14 Zip:
ne #: Z?;e/l'`nlv q-Z.
coxrwacTeR
ARCHI'I'ECT/
ENGINEER
License #
,
City ? a;.iq h fe oq ? State: ?7? Zip:
Company: Phone #:
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this applica6on and state that the infortn 'o is correct and agree to compry with all applicabl
State of Minnesota Statutes and City of Eagan OMinances.
Signature of Appiicant:
OFFICE U3E ONLY
Cartificates of Survey Received _ Yes _ No
?jcL 1L.??
State:
Tree Preservation Plan Received _ Yes - No - Not Required
_ ewC.A41 __...w , /
. .? _
I
931.0
?O?
,
ti'
(9z4.o)
, 931.8
SURVEY FOR .
BAN-CON, INC.
ro Q BD \
N'
'
OO
• i
O '
T ?yN/ ?o
rp i q/ C 1
0.
c9 S -lp
? 2?d ? ry
Th0
?0.
?L
SCALE: 1 INCN = 20 FEE
. LEGAL DESCRIPTZON
/?. LOT 2, 3, 4 AND 5. BLOCIC 2, THOMAS
V LAKE AEIGHTS, ACCORDING TO THE
RECORDED PLAT THEREOF, DAKOTA
O? COUNTY, MINNESOTA.
? ?
? •i
• ?
.e ,?,ry p ?p •
o
? O,, ? .
ry. i
o ?;
ti? .0 „y„S
ia
?0
j• {v 2 .?'
?o
?
? o Q
o
T ?00 ?01 4y ?
e O0?
(s2a.o) ?h.
928.6
NOTES
100.0 DENOTES EXISTING ELEVATION .
(100.0) DENOTES PROPOSE? ELEVATION
PROPOSED GARAGE FLOOR ELEVATION = 924.5 FEET
PROPOSED LOWER FLOOR ELEVATION = 924.8 FEET
PROPOSED ENTRY ELEVATION = 929_2 FEET
PROPOSED FIRST FLOOR ELEVATION = 933.6 FEET
( 924.0)
928.(e
.
I HEREBY CERTZFY THAT THIS SURVEY,
PLAN OR REPORT WAS PREPARED BY ME ORUNDER MY DIRECT SS7PERVISION AND THAT I
AM A DULY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
DATED THIS 22N°DAY OF MAy ,1980.
SIGN D: JAMES R. HILL INC_
CL ?
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA REGISTRATION NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
80(18
Planners / Engineers / Surveyors
FILE NO.
I 8200 Humbolt Avenu• South
Bloomington, Minnesota 55431
HORIZON HILLS HOME' OWNERS ASSOCIATION
July, 1997 Re I ?? o1 s- ("?
City of Eagan
Eagan, Minnesota
To Whom It May Concern:
The holder of this letter is hereby authorized to build a deck up to a total area measuring 1Ox20
on the property owned by Horizon Hills Home Owners Associatioa The holder of this letter
understands that because the deck is built on Association property, it becomes the property of the
Association, with the unit associated with the deck continuing to exercise their private use
exclusions.
The Association will ensure the deck is constructed and the cement footing is poured to meet the
City of Ea.-an building requirements and will order the final inspection of such when work is
completed.
Please feel free to contact me with any questions or concerns.
Sincerely,
Horizon Hills Home Owners Association
la_L`'`'J _??
Barbara Koob, CMCA
Property Manager, Member-At-Large
cc: File
PO. BOX 21423. EAGAN, MN 55121
?612) 688-0695
PERMIT
CITY OF EAGAN
3830 Pilot Knoh Road
Eagan,`Nlinnesota 55122-1897
(651) 681-4675
PERMITTYPE: suTL 0 tivt;
Permit Number: 034158
Date Issued 12/31 19$
SITE ADDRESS:
N.I.IV.: 10-75951-598-02
DESCRIPTION:
1539 rLrMsora aR
LOT: 59 BI.OCK: <
T-HOMHS LAK[ HFSGHTS 2NU
, .?
E3?.+ild.intr..Permi.t Tyc) e
Buildinq Work Type
;-f ensus Goda
/
? j
?
:
\` \
-??
DECK
NEW
434 FtL7. RES;CDEN'I'.1NL
;" . . . ...
REMARKS:
Pl,Alv, RGVIEWkp fdY WAYNE MILLER.
(THERE IS EXZSTING FOOi"IPIG)
FEE SUMMARY:
13ase Fee $SO,.O0
Surcherqe $.50
Total Fee ------.___.$56,50
CONTRACTOR:
K,ENS CARPENTIiY
31885 LILY
?AP18R7UGE
i612) 689-0542
- Appl.i.cant -
16890642
Sl'f2EET NW
MN 55008
OWNER:
CLAftD'f TNOMAS
1.559 I:I L1+1;0N UR
FAGHN MN 55122
(557.)
L hereby acknow.l.edt7e T.hat I have read this
informatian is correct. and anrep to r.omplv
St:atute: and v ot Eavan Ordinances.
L t
PLICANT/PERMITEE SIGNATURE
applir.atian etnd 5tate ttiat t:he
wi.th all applicable Star.e nt Mn
-j
ISS eY: SIGNATUR
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
„"• ". - 3830 PILOT KNOB RD - 55122
681-4675 ? J``?
New Construction Reauirements RemodeUReoair Reauirements c `Ato.,Q/
? 3 registered site surveys
? 2 copies ot plans (inGude Oeam 8 window s¢es; poured fnd. Eesign; etc.)
? 1 energy plalations
? 3 copies of tree preservation plan 'rf lot pWUed afler 717/93
required: _ Yes _ No
DATE: I -30
? ? FS
? 2 copies of plan
? 2 sNe surveys (axterior addkians & decks)
? 1 energy calculations for heated addttions
CONSTRUCTION COST; 136?115: "
DESCRIPTION OF WORK:
La4
O ZJ ? 7l
STREETADDRESS:
LOT: ? BLOCK: G ?- SUBD./P.I.D. biQ
C l ??d?r ?li?m as
Name: Phone #:
PROPERTY Last First
OWNER 1 5
Street Address:
City ? State: ??'1f i? Zip:
Company:Phone Go??f-D"lv??---
CONTRACTOR ' ??+? ? T
Street Address: ? f o O S ?/ License #
? y?,?
City State: /!/( AI Zip: -5;5a673-
ARCHITECT/
ENGINEER Company;
Phone #:
Name: Registration #:
Street Address:
City
State:
Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this applica6on and state that the infortnati is corr agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ?
A
Signature of Applicant:
OFFICE USE ONLY
Certificates af Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
?.Gl ralculat.-IOrI5.
?
?
i
.,
,
_
lo?
? O
c924.oj
?_ 931.8
SURVEY FOR .
BAN-CON, INC.
v
i"
? 0' 6a • C
O '
`?1r/ 20
o,
x,? ? ? C,q S
1.
0q,
sQ
?0•,
?G
SCALE: I INCH = 20 FEET
. LEGAL DESCRIPTION
/?. LOT 2, 3, 4 AND 5. BLOCK 2, THOMAS
v? LAKE HEIGHTS, ACCORDING TO THE
RECORDED PLAT THEREOF, DAKOTA
00 COUNTY, MINNESOTA.
O•.
Bo
/ 'V p cp?
or,
O
C
'OIX v? v
.
3 ? ?6~ . io i
cs,,O? C
.,0 ?
(sza.o)
928. 8
NOTES
100_0 DENOTES EXISTING ELEVATION .
(100.0) DENOTES PROPOSED ELEVATION
PROPOSED GARAGE FLDOR ELEVAT20N = 924.5 FEET
PROPOSED IAWER FLOOR ELEVATZON = 924.8 FEET
PROPOSED ENTRY ELEVATION = 929.2 FEET
PROPOSED FIRST FLOOR ELEVATION = 933.6 FEET
PROJECT NO.
&o(ia
FILE NO.
(924.0)
928.(,
2 HEREBY CERTIFY THAT TH25 SURVEY,
PLAN OR REPORT WAS PREPARED BY ME OR
UNDER MY DIRECT SUPERVISION AND THAT I
AM A DULY REGISTERED LAND SURVEYOR
UNDER THE LAWS OF THE STATE OF
MINNESOTA.
DATED THIS 22NDDAY OF M4Y ,1980.
SI D: JAMES R. HILL INC.
l, U..t'/LIiLAr//??
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA REGISTRATION NO. 12294
JAMES R. HILL, INC.
Planners / Engineers /. Surveyors
8200 Humbolt Avenu• South
Bloomington, Minnesota 55431
BOOK / PAGE
HORIZON HILLS HOME OWNERS ASSOCIATION
July, 1997 Re.
City ofEagan
Eagan, Minnesota
To Whom It May Concern:
The holder of this letter is hereby authorized to build a deck up to a total area measuring 10x20
on the property owned by Horizon Hills Home Owners Association. The holder of this letter
understands that because the deck is built on Association property, it becomes the property of the
Association, with the unit associated with the deck continuing to exercise their private use
exclusions.
The Association will ensure the deck is constructed and the cement footing is poured to meet the
City of Ea.-an building requirements and will order the final inspection of such when work is
completed.
Please feei free to contact me with any questions or concerns.
Sincerely,
Horizon Hills Home Owners Association
/? _?" " _
Barbara Koob, CMCA
Property Manager, Member-At-Large
cc: File
P.O. BOX 21423. EAGAN, MN 55121
(612) 688 -0695
i
,
111
CITY OF EAGAN
.... ?` ?
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATF: PAYfCNP' OF FEE AT TIIM Og
APPLIcATION DOEs Nvr mrsrrnrM
APPF40vaL oF PERMIT. .
nvsencriorr oF sEWM r,rro/Ot MM :
TusraT.raTrONS WILL NOrP BE St:HED- :
uLn arrrII. PERMrx HAs EEEN
APrxovm.
?.
.f .
?
v ..
. , ?zy P ease Print
,, ,
,
P. ?.., _. a..
1) PROPERTY ADDRESS: Aa1,`?
LEGAL DESCRIPTION:
- ..?..
....... .......
- Lot Bloc Su ivision or Tax Parce ID
IF EXISTING STRL't'iLRE. DATE OF ORIGINAL B[JILDING PERMIT ISSC'ANCE
., (MOn ear -
w r? ..PRESE[dTY ZONING/PROPOSID LSE: t
; "a u y;i? ?' '•
? ?
?
? f
b
? e
, ,FE 4
t
?t ke
.+
.w,aF' ?
'
OFFICE
p R 1 sIINGLE FAMILY
?
s.5-i.
i . '
•.' . ..:.. . - . .
Q ?? . . .
.
:
:
'L
. ,,?
^ + 1' •h+.a?:s...n..
??y? y, . I -_l??`- ti
R Z DC'C..'_.^ \0 L'1114.i). ? 't.g 1 n i
6x ..
._
.. . .
. .
., -.
:..L : i,?`?'"' ..._..t . .., ' =? iJNr. .
INSTITLZ'IONAL/GWIIiNmENP R 3 20WNi0USE (Thrne +
Uruts ) ts )
.
R 4. ?APARTI+w/CODIDOMINiuNi ( ihuts ) ,
?`2) '.? ..,:•a. .._.. .?._?. ?,_,;.
NAMi: s `x ~
-?? ,`-' .:.?........ ......:.. ...?..,;.
.J ?ry???r??+ ?
? . fYJUlY.JJ: .. . '.
• Aire
i
Z+G ?n
PHONE:42p • N p _ .. . ,. .
t
• 3) • Far ty Lse .
" ?'?0 - - Plinnbers License:
' -- ADDRE55: ? Active ._
. ? Expired
CITY. STATE. ZIP:
c5F
. Not reCOrded
-: -
PFIOI?: MASTER I,ICQVSEfl =Ial
_ .,..,?
•5) i :? r• ? ?• ?• : o? • a? - a? --
' . ? CONNEGTION '1D CITY SE4Ei ? COfS7fX.TION TU CITY FFi.TER 0 OTFm '. .•
6) X o r• .• r E3 PI,EASE HOLD APPROVFD PERMIT FY)R PICK- BY ONE OF AHOVE -.-'•--
? PLEASE MAIL APPROVID PERMIT TD 1, 2.? 4. ABC)VE :
c ?\ (Circle one) 'AA^ / /?/?
7) /
C?: UIC' ??/l ?E?A/?/ ?S:E'T\ 111/1/1? I 1? lUK?w .
? ?
.
..X;+.._ . . . . . . - 1`t . . . .
. _ L
?, _
'`
: FOR #CITY USE ONLY
. : .. : ?..,.
PERMIT # ISSL'ED
.
.
.. _
- , .
o„ ?{> >. ,? :r a
?//i ?ta -
.,
Pd w/Bldg. Permit FEES:
$ $ ?G ?j ? 'SEWER PERMIT'(INCLLDE SURCHARGE) .
, f? }
` WATER PERMIT ( INCLL?DE SL?RCHARGE)
?
?;. $ WATER METER/COPPERAORN/OL'TSIDE READER
'.TAP (INCLL'DE CORPORATIO
TAP "
.;.-
ACCOUNT DEPOzSI:T SEWER ;z, ,
? E... i1'; y :. '.'..'. . •._ty ,.-.,{?n,a??4?'LY' iwi
}?s?tFiirfh 51
$ -'- f= ACCOL?NT DEPOSIT WATER ,
f(r ?•?. ? l S S¢e..?,
y" iu-? ? ry?l rY...a n ?f .i t '? ..
?
»4
JY'^K
?
rc +??HV'. •._ ti ,' e4 R
sF,r t..,
? tf y y ?^. , . i ,.r
?af«e +., ?
SAC
.
°F .
?'"`a
` '`"
°
;
'' 11 .4
???$ •
.
.
`
'+
°
$ WF4TER'.ASSESSMENT . .
?$
? 3SMENT
ASi5F.1
F$
.ITRt'NI{ SS`EW
Pf?yiYy?l:
\ W??... ?
?
(! 1 4 ? ., r
T•' f .il `,N?.. . 1?,=:i?1. . ?.. _...
T ?,.Jd?`?.v..c,?.7T'?r
.
$ .
* ' ` "' ? ' LATERA? ?biN'EFI?P%TRONK SEWER
$ '?.1 "1. .: .
V "'"t LATERAL BENrFIT/
TRL?NK WATER
,.?'
}
?
' k
y???
e .
.
;
i`i i. i i1-.: ?. ,..;,,,. ..x?,;'?rr' 'r?,•,
}?'??'{??{k
i +:I
r?, ? ?
7
?
K
i t
f'
i
" ? ?+° ?"???-?r?-$
$ y
?
?
.
.
^? •„ -r"'-- . z; ?
WATSR. TREATMENT PLANT SURCAARGE
.
. ?..,.,? _:. :.... .. .
3" a.xnV?lY'1 ?
w
RECEIPT
#
?
(
•. . .
- .
. .
+ . .. _... "t.-6 ?FY _
DOES L_TILITY.CO . _ ._
NNECTION REQOIRE EXCAVATI
ON IN POBLIC RIGHT OF WAY?
,
` " ?;•:a a :, , ?;:?:.
a
YES -
IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
- ' ROADWAY" MUST BE ISSt?ED BY THE tNGINEERING
Q NO. 'DIVISION. LIST.AS A CONDITION.
, . _ , .
. , , . .
_ .. _ .?., , . ;. . .
. ... . .
? j . ., ;:
? r . . .
. ..
. . .. .. . . _ . . .
... i. '.::. : ' .
r
F.:`hti i . ..
SUBJECT TO THE FOLLOWIN6 tbNDITIONS:
APPROVED BY: . _ >. . . , , . ,
, :..
,.. _. .
.r TIT?.?r
a
r
>,
r~
?
.J /
.
•
`
; D T?:
.
..
.. .?? .? i. ? . .? . ? '. . ? . . .. ,
.
'
.
?
H??
LL
.
, ..a ..
.' .
:'?..
: . ..
}
_
,
.5... . ?. . , .. .
, ;
..
....
$, .. . : . . . .•
M .
.:.-. S .
. :?
.?
CITY OF. EAGAN
... . .. _. _ . -w.
APPUCATIONvFOR PERMIT
SEWER AND/OR WATER CONNECTION
*AT6': PAYMFXP' 0F FEE AT TII-F. OF
APPI.ICA7TON DQF S D]OT amsrnum
ApPROVAL OF PEE2MIIT. .
INSPFx.'riorr oF sEWM Arro/CR MM
rnSvrar.ramrpNS WII,L NC)T BE SCHED-
vLEn uivrrL PERMx xns $EM
aprxavID. -
-
? Ariease rrint) .
1) PROPERTY ADDRESS
: I 51,
LEGAL DESCRIPTION:
. ,_. ,:. Lot B ock Sub ivision or Tax Parce ID
:..
.»,..-.:- . _. : ?
•
. . - ,:r,nt? _ r- _ ,, . . _
:r - ,...._.
IE' EXISTIfIG SIRCCIS]RE
DATE OF
I
.
_?.
L , • :
,
OR GINAL B CnI.DIIdG PERMIT ISSCAIVCEe ..
?
Mon
ear
=a*,?> t PRESETTP ZODIING/PROPOSID LTSE.
p
sky+......
?
,
, R-1 SINGI.E FAMILY
y
}? 7
o
Q INIDLTSTRIAL
CI . ..
R 2 DL'PLEX (Stao TT.nits)
'
• '
.
, ' `. ..
, t W
,Q . .INSTIZLTZONAL/GO?7EEtbP?NP ' ' ..
' ? .n
R 3 10WM0C?SE (Three + Uni.ts) . C`M1. WY..?. .:
(
4Uruts)
*`-. ' . • ' Q R 4 xAPAR7TgS1T/CObIDOMINL[T1 _
( Uruts )
_
-;2) .•• ? . .. - .
AV?
«. ,
ADDRESS:
CITXr STATEr ZIP: ? A( SC D
r -
_ _- :
? "
. .
. .
.
?•'T?
_
..
_
..
_...3) . . ' •or City Use ..
Pltmibers License:
'. P,DDRFSS: Prctive
Mcplred
CITX. SfATE, ZIP: • (J. Not recorded
?. . PFKk?: ' MASTER ISCQ9SE# .
. . ..,?.? _ . Srtaf?Initlal
_ 4) ?• • 'NAME.
?w ? . .
ADDRRRS: . . . . _ . .., :,: . . . ........ . . . . .
l."I'i7C. S'PATE, ZIP:
PAONE:.
•5) ?? v i ? r: •?• :o • a? - ??
. •
. ? CONDffJLTION TD CIT7t SEwm ?awaTION Ro CITY WATIIt OTH43t '.•
PLEASE HOLD APPROVID PERMIT FOR PICK- BY O? OF ABOVE
PIEASE MAIL APPROVID PERMIT Z+0 l. 2.? 4. ABOVE
z:. =
? r
Ft !
,PERMIT
7S ?
Pd w/B1
?" .
Y ?^
x ?.z.
{3$Y ? ... .
4y.??y?
?
b 2
4FtWP1C
>. t
' ;.
... i:. ';?.::c^•i'ti.t r'? ?r
` rTRLNK WATER`
t_eTR(!NIF--SEWER?
RECEIPT RECEIPT.
'
. . . .. ? . . . . . . . . . . .+ . i 4a i ?'i:.?
_ DOES._LTILITY CONNECTION REQDIRE.EXCAVATION IN PUBLIC RIGHT OF WAY? -
.. .
.... . ' . . •
• . . i.Y! ? ?.
d??i?\
Q YES -"IF YES, THEN A"PERMIT FOR WORK WITHINPCBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERZNG
?
NO
DIVISION. LIST,AS A CONDITION T
SUBJECT TO THE FOLLOWING CONDITIONS:
. . . .. _ .. ... :..1'."':. ' .. _.. _ . .. . .r ...
..
?
I . . . . ' ... _ .
APPROVED BY: /
?
?
r.
, ,
TIT?,?
.. ?
T
.DATE:.
_ .. . . _
- " .;:. ? ?
r .S? r
..
.. .. . ?«.._.___ . .' ?. .
. , . . . -. . -
" "".., . ....?..?- .,.. _.... .._. .... ._ _ .
..... _ _ .r . .. ..... ._
..
' "',':uy"'^ _ _ __
.?
?Zi
.
FORCITY USE ONLY
. ?
. ._. . .. .
# ISSt'ED ' R ?? {4 .. ..
' . ?
? z
.. ... . . ' if4 ?• w .
?t
dg Permit FEES: Fr
t•
m ,
,?
Y?
1
?yry
fi
q
?i j ? SE?nTE ?
PERMIT' ( INCLLDE SURCHARGE ) '
.
"?^ •?? $ WATER
RCHAR
GE
)
PERMIT ?(INCLLDE SL
t
!s?e
+
44 k'a:2`'a?'?f'k"an q5't.
r
?
$ '?-WATER E
OPPERHORN/OPTSIDE READ
R -
METER/C
§' 1 ? 4 `'_ r
4?IR?i
r? ??•;?yr.#'e .
a y
y
{
? ? L4. Fd
. . . . ?. '
?
?
.
5?; . ? ..ff
?'. t'_.. 5^
- ?'-_'' ?? S ?•-- ?- :?. ; ?. 3: e, . ' . WATER ., ,
.
TAP ( INCLPDE CORPORATION rSTOP )
, ,?. .
CITY OF EAGAfV
.' `?'. APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. . , `?;.; • -
' . . . . w?tw,rr?rwerr#**
- P ease Print
PROPERTY, ADDRESS': (4
a-s-K
LEGAL DESCRIPTION: `? "''Z '- •`'"'
.. _ _ ?TJ t
If' EXISTING STf2L'CiLTRE,
r+?Gd`Il, 4ViY011/ tqvPM
` .
Lot S ock
-`• .•e.,?a..
DATE OF ORIGINAL
css• r.
Su division or Tax Pax
-.. .?.-.. . , -..„. : ,._ ..,s?
BIIII,DIlNG PERMIT ISSC'AIdCE:
. . . . " . ::. 5;..
•.rv..tr . . ..??.
FT,-
?;: ?
rn . ' E ,y? rr s
? CMffERCIAtwU-nUL/0FFICE = ? ? R 1 SIIVGLE FAMIILY
Q nIDCSTRIAL .Q R 2?(ZWO Lruts) :. ??- „'
°-
?] ' II?STISS.TIONAL/GOVII2I?7EP7T ?? R 3,7ORII30IISE (Three + Ikuts) (?
,
,.,. , .,
' R!4 APARTMENT/CONIDf)MIIJIUm
' 1@1ME:
' -- ` ADDRESS:
':-'..r,..:,--...:....... ---
?_aomF PAYMFNr oF FJZE Ax xnM oF
arPLIcATIoN noFS NoT earsrrlsIM
APPRW}1i. OF PE[tNIIT. .
niserMotv oF sEVM AND/UR WATEt
I1zmAT?aTtONS WIIL DAT BE SCFIED-
ULID UNi'II. PIItNIIT HAS BM
APPItOVID. ' .
i.%
•5) ? ? ?• ' ? ? a: • ?• : o • ? ?s
. . raD CONp1FX.TION T0 CITY SbTAm ? CONNIIX..TION TO QTY WATER a
6) ?? v ?- • r C3
. ?
r n u• •
PLEASE HOLD APPROVID PERMIT EY)R PICK- BY ONE OF AHpVE
pr.FncE MAIL APPROVID PERMIT TD 1, 2v? 4, ABWE
-- t • _ rCirrlu nnnl
V. ' . , . ' ' T . . . .
,- .?.. : _ .. . . .. :. . .. ' . .. . .
. . . .`:. . _ , . .. . . .n.. . .' „' . '... .n.? ? ?:.., ;:y..J
. FOR CITY USE ONLY ?
PERMIT # ISSCED ; ?`' =
?'-7
..
..:. . .
Pd w/Bldg. Permit FEES:
* ,,?_,... . . - -..t ...HC*,._.. . .,.t ..._..;..2 Y,..a':". . ... ;fc1 ? ? .
,?$ "•-~? ? ?. $ ' ' ?t? ? _ ? (? 1 : • ? SEWER PERMIT ( INCLIIDE SLTRCHARGE ) y '
$? WATER PERMIT (INCLUDE SURCHARGE)
. p„ . ...:?xut.. ..-:. . ... ,_'- ....._:..,S.t?i' ."F7...?.,^"..2::??p: - '?'?:.%" .;•'j.i?
, ' i{ ' `:WATE,R METER/,.COP.PERHORN/OCTSIDE READER !v ?
d?.7n? `ft j''?c -'Ytie r.v e ?. . • .:t s -:'r . ` ? .:? ?? '. ' ` ..? , d`... :-M' c: ,. „ ti :? L-??;..';'
WATER TAP ( INCLUDE CORPORATION STOP ) ,
SE ER TAP
ay,? i. 4 ? r+. .. ? '.. ..; : a' ci?? §z 1hk? "'JS?°??'?-v ? +g ... '?'8 ?r?;h
y??S*.•.? ,*'}?,,.?`v.?r* ?:' ?":??. .$ ,s-.ACCOLTNT DEPOSIT _°.SEWER.,
??.w.y?
' --•i:z;':
JL'NT DEPOSGIT.`,-
-: 4
.:G t . . . .. r -' ,•. ? .? ` ?? .
I"'? .G ?.F 5 a ? ?:.G /$!F.? aN'. . . • •
.NSAC`
y.
' ? r, s ?.•S . 1 ?•?:= rT12LNK 1WATER'.}1?SSt?
r
_,z •?'T??`4[..i' { ?;.? "1i ?t`{. ?'_ -- ?L ,'11?-.1; ? ?;"?.?..'.
111.1V 1 _ '
-.:.... . 1._ ' . , >.4•.
S`?1??SM?N1
r . ?
?. 1 ' e • i . . r;.: . <r?,,.. w.+a t? ' «
. ^.. - .. .., v .a..
. , ... -.- .
- ' " . . ... .. ...' ..: .a.C
. . - . `u `. ...... . . . t . . . .. . ' .e--: . . _
DOES E?TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
.E . ;-. .'. ... . . .. .. .. ... ,.._::..' . .,a. .?..;.s. ,. "a.i
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
-- ? ROADWAY" MUST BE ISSIIED BY THE ENGINEERING
NO DIVISION. LIST.AS A CONDITION.
SUBJECT TO THE FOLLOWING tbNDITIONS:' _ - b rv•4_
.. _ ,. . .. .... . . :; '
APPROVED BY:
??su
e
/ t/7'??
`d' - . : • ' •
-
-
?e? z
>
.,
TIT
1?4s
,
.
?
.,..,, .., ,
, . -
.
?.,.
--
.
, . _.,< . .. - ? ... ? n- _ .. ..:.. . . . v.....- . .?..
. . _ . . . . . . ^ .r . ?......... _
. .T?r , .
_.. .: .-' .i..
.., ......... . . ...
. - .. _ . _ _ . .. ._ .. . _.,.. a . _ _?..'s?.a'N ,..... . ?
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATF: PAYMENP OF FEE AT TSME OF
a,PPLIcAMoN mEs Nom ooETITUTE
APPROVAL OF PERhffT.
INSPDCfION OF SESM ANID/OR MM '
TNlG'I`71T.7ATTQj1$ WI.L NOr BE $QjID-- '
U7,ID UNPII. PERNIIT AAS BEQd ?
APPROVID. ;
>
---------------------------
P ease Print
1) PROPERTY ADDRESS: ..
LEGAL DESCRIPTION: •-
If' EXISTING SiRCCiL.`RE, DATE OF ORIGZNAL BC'ILDING PERMIT ISSL'ANCE: . ?`
i
PRFSENT ZONING/PROPOSID C'SE: (?"bn Year)
? C0,11MEf2CIAL/RE'TAIL/OFFICE ? R-1 SZNQ,E FAMILY '
r-7 IfIDOSTRIAi, ? R-2 DL'PLEX (7tro T-Inits)
n INSTZIL'TIONAL/GOVgtAIIyE,NP p R-3 ZUWN30DSE (Three + Units) ( Units)
? R-4 APARTMENT/COAIDONLiDIIUM ( Units ) . 2'
ADDRESS:I W _
CITY, STATE, 2IP:
PHONE:
• 3) u?:7• NAME. For City Use ..
? Plimbers License:
ADDRESS: Active
i CITY. STATE, ZIP: FycPired
Not recorded
PHONE: MASTII2 ISCENSE#
St?tial
4)
?a. • i?•
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PAONE:
'S? :1 Y• ' 11 YC •71' :? •?? . y?._
[?] corNEcrzorr zv cizY sEma p coNrrFx.-rioN zv ciTc wATm p a= .
6) '? .•?. ? PLF.ASE HOLD APPROVFD PERh1IT FY)R PICK-UP BY ONE OF AB(7VE --
PLEASE MAIL APPROVID PEFtMIT 70 1, 2, 3 4. ABOVE
(Circle one) I '
7) n
r r. u• . n /J..Il. ? _? AA e1 1 7 Inal
FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE ) ..
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ (r7? ACCOUNT DEPOSIT - SEWER
$ $ /.S -C?7r ACCOUNT DEPOSIT - WATER
$ , j (?Q • O ? $ WAC
$ 75^ •4? $ sAc
$ $ TRU[VK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ S o $ J 1, D O TOTAL
6 ?z /7z-
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCAVA TION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
Q
NO ROADWAY" MUST BE I
DIVISION
LIST AS SSUED BY THE ENGINEERING
A CONDITION
. .
SUBJECT TO THE FOLLOWING clbND2TI0[VS:
APPROVED BY:
TITLE:
DATE:
-79?7)57 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Constmction Reauiremenis
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas
(20% maximum lot coverage allaved)
2 copies of plan showing 6eam & window sizes; poured (ound design, etc.
1 set of Energy Calalafions
3 copies of Tree Preservalion Plan if lot platfed after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellRepair Reauirements
2 copies of plan shaxing footings, beams, joisis
1 set of Energy Calalations for heated additions
1 site survey for additions & decks
Addition - indicate if oo-sife septic sysfem
4-03 :1 s
Oifice Use CJ?Iv
Certd&utieyRecd .?_y ,fJ
Trea Pres.pla? ReKd t„ 3` _ N.
7reePresizpqu1Md '( _Fl
On-siie5eptic5ysiem
Date Constructiun Cost 1?
SiteAddress c4l'teAll??irp Unit/ste #
Description oF Work VINYL
j I?J wJA aWI-IYl
,
Multi-Family Bidg X Y _ N Fireplace(s) /p 0 _ 1 _ 2 '
Proper[y Owner (l Telephone # ( )
Contractar ? ?jC?G?
Address 7 61 kl`.' eCA)e,,,d s I. ?ity .,Z.sY.?A,4C
State JV?/? Zip Telephone #
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submissiontype) Submittetl Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approv of plans.
ApplicanYs Printed Name A' nt's Sign ture
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Fovndation
?
07
05-pfex
?
13
16-plex
?
20
Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 04 02-pfex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plez ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
MCES System
.
i?" ?111? `a^S i?,
2„'a}M?ti?`M??1 ?.r' .- ''
City Water,
Booster Pump . ,
Work Tvpes
? 31 New +A CLl35 Int Improvement ? 38 Demolish Interior `O. 44 Siding
?r ^
? 32 Addition ? 36. Move Build.ing q 42 Demolish Foundation ?L];..45 '?f ire Repaif?_,
? 33 Alteralion ? 37 De?As??BuildiA?QK??.t? 43%'t I?oaf', Vp'i ?, , ?? ? ?"ows/Doors
? 34 Replacement `Demofttlon (Entire Bldg) - Give PCA handout to applicant
D@SCrIptiOn: WaterDamage_Yes
Valuation
Pian Review _ 100% or _ 25%
Census Code
SAC Units
# of Units r ?
# of Bldgs
? •:' w+ .? .. ?
Type ofi Const
•, r _.- , ?
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved Sy:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Exl. Alt - SF
? 36 Multi Misc.
•.qi`t?
REQUIRED INSPECTIONS
_ Sheetrock
_ FinaUC.O.
FinaUNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
.
. ?
. ? ., •
7/4gca5
2006 RESIDENTIAL BUILDING rERMiT nrrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lol covemge albwed)
7 Soils Report 'rf pmposed building is to be placed on disfurbed soil
2 mpies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 wpies of Tree Preservation Plan "rf lot platted after 711193
Rim Joist Detail Options selection sheet (buildirgs with 3 orless unBs)
Minnegasco mechanical ventilation fortn
RemodeVReoair RenuiremeMs
2 copies of plan showing footings, beams, joisGs
1 set of Energy Cakulafions for heated addNOns
1 site survey for additions & dedcs
Add?dion - iiMicate rf onsite sepfic system
r-a .P&d. c6 l?k
flD'fC9D
Office Use Onlv
CedofSurveyRecd Y _N
SoilsRepoR ? -
? _Y.. _N
TreePresPlanReal
: . _Y _N.
TreePresRequired ?- _Y _N
On-stte5epticSystem=-... _Y _N
Date / 17
Site Address + / C) Co
? C[_EYh CO N Construction Cost ) ?o jjQcL'
?
bYl UnitlSte #
Description of Work Dlt?Ck P?D111_I1GN C LLAVr ftipcH 2car) "TErhY ('t,Pftk"
Multi-Family Bidg jC Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner flGYi'ZGN FIlLLS CS CG"T-f 1? ?11LlY) Telephone#(G?l )_Z2t4` ?4rG2 ('-2)
Contractor T hC Nrt(k ¢ Dc,r,yz CcvttirnN-Y
Address
Sfate ?91N A K CGN fVE L- ?
Zip ??077 City ? ??LKGQGVf ??[K!!J
Telephone #(Gl;') )W?Z- 23)) EkT I9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CatBgory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Su6mitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
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.
M? k?-_ kvoH A rit. ?-.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvqes
? 31 New
? 32 Addition
? 33 Alteration
CF, 34 Replacement
? 13 16-plez
? 16 Firepiace
? 17 Garage
*P 18 Deck
? 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gaze6o/perola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bldg
31 Ext. Ait - Multi
33 Ext. Ait - SF
36 Muiti Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof O 46 Windows/Doors
'Demolition (Entlre Bldg) - Give PCA handout to applicant
D@SCrIpt1011: WaterDamage_Yes
Valuation ZI
Plan Review 100% or
Census Code 3 `
SAC Units
# of Units
# of Bidgs
Type of Const (/15
Occupancy R -3 MCES System
25%
Zoning ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Flnal
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
.7o FinaUNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tesu Final
_ Siding _ Smcco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: •'/ / ?l / , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex
? 08 O6-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
?
(q33 5)
H
`
k'e,. k« lcx2o
???7 ?
00
ti? 3/, p036.0J
- , y
-9til. a)
O
0
X 000.0
(000.0)
0-
Denotes Iron Monument
Denotes Wood Stake
Denotes Existing Elevafion
Denotes Proposed Elevation
Denotes Direction of Surface Drainage
r9.pe. Z)
Proposed Top of Faundation Elevation=
Proposed Garage Floor Elevation= 936.0
Proposed Lowest Flour Elevation= 936.5
I hereby certify that ttiis is a true and correct represeMation of a survey of the 6oundaries of: °
Lots 57, 58, 59 and 60, Block 2, THOMAS LAKE IIEIGHTS 2riD
ADDITION, Dakota County, :4innesota.
And oi the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It alsa shows the location ot th?stakes as set for a p7 oposed buildiqg. As surveyed
by me or under my direct supervision this 2 th day of ?'? 86 ,
Paul A. :;ohns
Land Surveyor, Minn. Reg. No. 1093v
Iffi? 40
TINC. CERTIFICATE OF SURVEY
r?
?_.,.. McCOMBS-KNUTSON ASSOCIATESfOr
-: ?"; ceNwuua uawws 0 wa tuArnaR: 2 urt ruRNF' ?"I?,.wW?,. 3o NEW HORiZON FiOMES
f _
I
c ~ •a ~ S_
, ~
' ry <
k°. `
t
~t
1
r ~
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106503
Date Issued: 0812412012
~it~ of 11QR Permit Category: ePermit
Site Address: 1597 Clemson Dr
Lot: 58 Block: 02 Addition: Thomas Lake Heights 2nd
PID: 10-75951-02-580
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
BAC Construction Services Linda Johnson
3032 Minnehaha Ave. S 1597 Clemson Dr
Minneapolis MN 55406 Eagan MN 55122
(612) 721-5500
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
Permit # 111 45-
My of Ear I
Permit Fee:. =
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 4 1-4
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: Y I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - 1 13 Site Address: _M 1 _ l6 5 9C ~nit`Wel -
'Resident/ Name: 1 m _21111S J?ri7►NLrS-- Phone: ~1.2. 72I.5 Md__
Owner Address / City I Zip:
Applicant is: - Owner - Contractor
Description of work: Reroo r-!
Construction Cost: Multi-Family Building: (Yes _ - / No
Company: B C,n(1CZ/On/____ Contact: 67 e.,)
Contractor Address: 3 O, City: mi[nea Ono'
State: _ f' Zip: ~S-SyD Phone: 6Z2- t72-1- J`-O('S
License #:.S1!- 1910 2- Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
-Yes _-No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone: _
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the Information maybe classifled as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.awherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorised by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x_ 91t 2 bP_JA 4~5r) ay ef? x
Applicant's Printed Name ---L/ Appllcanfs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145278
Date Issued:08/31/2017
Permit Category:ePermit
Site Address: 1597 Clemson Dr
Lot:58 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-580
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Linda Johnson
1597 Clemson Dr
Eagan MN 55122
(952) 837-9700 X0
Stafford Home Service
6225 Cambridge Street, Suite 30
Minneapolis MN 55416
(952) 927-7194
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163979
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 1597 Clemson Dr
Lot:58 Block: 02 Addition: Thomas Lake Heights 2nd
PID:10-75951-02-580
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Linda Johnson
1597 Clemson Dr
Eagan MN 55122
(651) 686-5220
Stafford Home Service
6225 Cambridge Street, Suite 30
Minneapolis MN 55416
(952) 927-7194
Applicant/Permitee: Signature Issued By: Signature