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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: ? -? 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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