The URL can be used to link to this page

1600 Clemson Dr+ ' ?- o???DO h ? ?'+? PERMIT#. 14?7 CITY OF EAGAIf' FEE JS.JG • MECHANICAL PERMIT RECEIPT # ? 454-8100 S/C • ?G J MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL -26 GD DATE ?7 •• ??? f? MINIMUM COMMERCIAL FEE -=20.00 + $.50 1. Bldg. Type: Res LL Comm Inst 2. New I" Add Alter Repair 3. Total Bid Price D, G%G ? 4. Job Address LA? ? Lot 2) f7 Block -? Sec,'?'r?+? 5. Owner ?'a; Ad2 s. contractor G??1 ?C4`'!?IC!? !1EaTitlG & AIR C2r?c'i;"?!''!:? `? ?. (Name) 1(;QI 7. Contractor Phone # (Clty) (2ip) 1•••..- J•°iJl?J1J_ RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ? HEATING ?VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. -rL RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ?-?7f'9?y?'dc /5r" i. ,??1L_1/-i-.?4-• for , •?!'!?G/?? Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN ? ; ; l ' ' ' . . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BIALDING PERMIT Receipr # To w wW for Est. Volue dcte ' ' 19 Site Addresa EreCt ? Occupancy Lot Block Sec/Sub. Remodel ? Zoning Parcel No. Repair ? Type of Const. Addltion ? No. Stories Z ? NamB . Address City Phone Move ? Length Demolish ? Depth Int. Impr, ? $q, Ft. Install ? , ? Name Appeovals Ftes o? Address Assessment Permit 3 Y t% •??'- ? City Phone ? Water E, $ew. Surcharge Police Plan Review ?W Name Fire SAC .. .i . 00 ?? Address Enq. Water Conn. t W City Phone Plonner Water Meter Council Road Unit 0( I hereby ocknowledfle tiwt I hove read this appliwtion ond state thaf gldg. Off. Tr. PL the inlormotion is torcect ond ogree to comply with all opplicoble Stote of Minnesofo Stctutes ond City of Eagon Ordirances. APC Parks Var. Date ie8 C SlQnoturo of Permittn op - , TOt91 A Bulldin9 Perrnit is issued to: on the express ca+diNon iha+ oll work sholl be dwie in occordur?ce with oll oppliwble Stote of Minn esoto Statutea ond City of Eayon Ordinonces. Buildiny Officiol Pwmk No. Pwmit HoIdK Date Tslephone # wumbina ?0 73 33, asA H.VA.C. Ekcbft 9-1 m.g • ?r? Qt s -- Soft.,,.. Inspection Date Insp. dther Footings I • ? Footings II Foundatlon Frsming A 4 ? Roofiny Rough Plbg. Rouph Ht9• ??S- 6?/ o ? 1 YG C?-..q Lwf7 Insul. C 1C e&O'r C Flroplace Final Htg. ,154 WA FIna1 Plby Final Cw!/Occ. Wstsr ??i? Location: WNI Sewer Pr. Dfsp. i+w?RR_ CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 " PHONE:454-8100 BUILDING PERMIT Receipt To be used for •• '-"AC"' Est. Value $Y ?00o Date ''"? PT 1'1 ,19 I SiteAddress 1600 C Y -T ?111_s0:: ;jp Lot 5 7 Block 1 Sec/Subjh? ?ALKE UTS Parcel No. w a? Name AS+YIIi A EUt:LAl1 = Address 1600 CLFM';'O^' '?k ° City FAC'Ai4 Phone 4.,?-0758 ¢o Name _ . o ` Address ? City _ Name Address City _ Phone 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 of Permittee A..VIx A KItcUA A Building Permit is issued to:-- on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES 24•00 Engr./Assess. Permit • 50 Planner Surcharge Council ? Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks - TOTA L 24' 5'' I I Permit No. I Permit Holder I Date I Telephone # I H.V.A.C. Electric Softener Inspactlon Date Insp. Camments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace !Final Htg_ Final Plbg. Bldg. Final Cert. OCC. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. PLUMBING PERMIT CITY OF EAGAN 3830 P1LOT KNOB ROAD, EAGAN, MN 55121 ? Name w Addre c C(ty, ? Name c Ad•.d?r?e O C?Y?` FEES COMM/INO FEE - 1% OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMfTTEE PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Aes. 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 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 =oftener - $5.00 Well - $10.00 Private Disp. - $70.00 Rough Openings - $1.50 FEE - STATE S/C: GRAND TOTAL: CITY OF EAGAN .? ?? • A'_ .3yd?r? PERM17# - CITY OF EAGAN ' FEE E-? s S6 MECHANICAL PERMIT - RECEIPT # ? 454-8100 S/C ?G MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL DATE ?? ?? MINIMUM COMMERCIAL FEE -;20.00 + $•50 1. Bldg. Type: Res ? Comm Inst 2. New ` Add Atter Repair 3. Total Bid Price 4. Job Address / (-?L & 4,? -, ? Lot Block 5. Owner ??? ?2z4j2''Yi . . ? ptNlli??i'r ,".? ` 6. Contractor 1 nni x-NII,q n? ?Q!? - (Name) lA1NNEAPOLIS, MN. Sb?iSsveet) (c?ty) (zip) 7. Contractor Phone ii RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee `' HEATING `'VENTILATING HOT WATER STEAM f AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 196 OF TOTAL BID PRICE PLUS $-50 STATE SURCHARGE FOR EACH $1,000 OF FEE. !7-? I Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. , (TOWNHO[1 S F. } . BUILDING PERMIT T_ a_ .....! 6... - OF 4 c':?f;<. $61,U00 Receipt # ?I -'N 1 iioJ SiteAdd?ess r, 1)' '.f. liR Erect Q Occupancy ?. ; Lot Blcek Sec/Sub. "`!j<?l"` Remodel ? Zoning Percel No Repair ? Type of Consi. -? . Addition ? No. Stories m Name Move li h D ? ? Length h Address ' emo s Int Im r ? Dept , F p . Sq. t. City Phone Install ? . Avvrovals F•es ?6 u? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Phone ?W Name %T, Address ? W City Phone I hereby ocknowfed9e that I hove reod this opplication and state that the intormation is Correct ond ogree fo comply with oll applicoble Stofe of Minnesoto Statutes und City of Eogan Qrdinonces. 5ipnoturc of Permiftee A Bul Iding Pennit Is issucd to: oll work shall be done in acwrdance with oll cpplicable State of Min Buildkq Official Assessmenf Water 8 Sew. Police Fire Enq. Plonner Cauncil Bldg. Off. APC Var. Date on mota Srotutes ond City ol Permit Plan Review 15 8 _ SAC a5 - Water Conn. 1)11 ? - Water Meter 63. Roed Unit -' ? U • Tr.PI. 132. Parks Copies •', ; TDtal 014. Nw exprcss oondition 1hot Eoyan Ordinonces. Pwmit No. Pamit Holder Dwto Telephone ?unibing H.VX.C. EkeWa 6 7? ?• ?• ? s" ' Soft~ Irapeetion Date (nsp. pther Footinya I Footiny s 11 L Foundation Framinp //Sk fjLV Roof Ing Rouyh Plby. Rouyh Hty. in.ul. .-b'G wtR e A e' CG??i,u Firoplaw Finsl Htg. Final Plbg. Final Cevt/Occ. Zs , Wffier ?i? Loeation: Ws11 Sewer Pr. Dlap. < << . QUtLDING PERMIT T. ?. ....d iw. .!. lJ $60,006 Receict # AI o, iiia? 4r :? ic'-d Site Addrass 1 . '•` Q,: ? Erect 0 Occupancy Lot Block j Sec/Sub. j'', T`? Remodel b Zoning Percel No. Repair ? Type of Const. Addition ? No. Stories Name ' Move li h D ? ? Length _ h Z Address emo s r I t I ? Dept ? mp n . $q, Ft. City Phone Install ? ,? Name oU q Addreu ? Clty Phone ?? . . Name W Address ?W City Phone I hereby acknowledpe thot I hove reod this opplicotion and stote thot the inlormotion is Correct ond ogree to comply with oll applicoble State oi Minnewto Statutes and Cify of Eagan Ordinances. 5iprwfurc of Permittee A Building Pennit is Issued to: all worlc sholl be done in xrnrdonce with all opplicable State of Mirn Buildlnp Officfol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Fees Assessment Permit •> - ' • OU Woter a Sew. Surcharge 0, Police Ptan Review • ? ?' Fire SAC r '2 ? • 00 ° Enp. Water Conn. o o o o 1 Plonner Water Meter 6,3..00 q Cour?cil Road Unit ? Y t) ,(jQ " Bldg. Off. Tr. PL .0 uj APC Parks ? Var. Date Copies Total on The axpress cadiNon ihat sota Stotutes ond City o4 Ea9an Ordinances. ! Pamk No. Pwmit Holdw Dab Talephona s vlum"no 0 7(o ? r G 3 M.VA.C. Eleeuic n Y _ Soitwwr Inspection Date Insp. Othar Footings I Footinga II Foundation 1 Freming 4 Rooflnp Rouyh Pibp. Rouyh Htg. ln.ul. rZ Y? ?"?A- G xccp 7- &A t Ce1L1N4F Firopiace Final Htg. Final Plbp. 7?I ' I? ? Cc • ?P? Final ??• n ? . c.rt/occ. 2 ' UU , Wat?r ??ibe Loeition: Wall $ewor Pr. Oisp. _. ?... , PERMIT # RECEIPT # DATE "-/ ',/fP b CO 10 _ireIi O D CITY OF EAGAN FEE MECHANICAL PERMIT 454-8100 S/C " `SG MINIMUM RESIDENTIAL FEE - $10.00 + 540 TOTAL & L% MINIMUM COMMERCIAL FEE - $20.00 + $•SO 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address ??d ? d ?????r??_?L • l/Y,?? s- --? Lotn??j ? Block Sec4-?(t?np"?-? ? ? 5. Owner 4«?? L-'C' s. C.OfItfBCtOf - 4nn4 vrniin nVc cn: i7A (Name) _ (?fEAPOUS, MN. 5541??i`?q (C'?') RiP) 7. Contractor Phone # ' RESIDENTIAL HEATING - 01-100,000 BTU's -$24.DU. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee ?HEATING VENTILATING HOT WATER STEAM AIR COND. _AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: ?"i???:?..r , a k"u for Approved Inspections: Date Rough Insp. Date Final Insp. ( TOWNHtIli UV) i? ? 810ILDiN6 PERMIT CITY OF EAGAN 141107 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # Te 6e wW foe Est. Valua bate ? 19 ?` Site Address ~ Erect ? Occupancy Remodel ? Sec/Sub. .`, i ? Lot Block Zoning ? Repair ? Type of Const. - y No. Parcel Addition ? No. Stories y Move ? Length ? ? Name Demolish ? ? Depth Address Int. Impr. ? ti Sq. Ft. City Phone Install O o Approvola ? Fees , Name , 0u A??s Assessment Permit u 8 S W rchar e S ? City Phone oter ew. g u ? i' Police Plan Review •• ? ?W Name Fim SAC 1? Address Enp. Water Conn. ??' ?•? V; ? W City Phone Plonner Water Meter 13 .00 { Council Road Unit 0 Q , I hereby acknowledgs thaf I hove reod this applicorion ond stote that gld9. Oft, Tc PL ???' ?•?? ; the informafion 1s correcf and agree fo tomply with oll applicoble APC parics + Sfate of Minnesoto Stntutes ond City of Eagon Ordinunces. Var. Date Copies ' Sipnofure of Permittee 1' :'y .0 j Total ? K Building Permit Is issued to: on the express ooridition ihnt all worlc shall be done in utcordonte with.all opplicable Stote of Minnesoto Statutes and City of Eaflon Ordinances. Buildinp Officlo! ` . " _ Permit No. Parmit Hotdw bsta Telephone # Plumbinq . ? ? ?v !6 3 il.?•? H.VA.C. •? _ _? r FJeatric' llis ( 3 Soitsmr InpeCtion Date Insp. Other Footings I Footings II Foundation Framing s/s Roofing Rough Plby. Rough Htg. lnsul. 5-? b'? ?iA L x e?I T E C?lciti6r Flroplace Final Htg. Finsl Plbg• 2L 1f . ,y "• Final -,z CqrVOcc. Watef pescri6e Location: Woll Sewer Pr. Disp. , , .. w. ? PERMIT # ? . RECEIPT # ? ?• ) ?? DATE '-r & ? (' - V- jveG U CITY OF EAGAN r ? MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 FEE S/C • v G TOTAL z f, 1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair 3. Total Bid Price 4. Job Address f??' ? ???x? •? er? ? ?' = LOt ? BIoCk ? SeC ' 1-??`"?' o? ?, ?-0 ''? Q ) 5. Owner c?o SNwicK ?1Fat?Z $ AIR f? 6. Contractor (Name) . Ki ' f keet) (City) I2iPI 7. Contractor Phone # Iv11NNEAPOUS, MN. 55w1b 545-1611 RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee NEATING I" VENTILATING HOT WATER STEAM *-AIR COND. 41R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GA5 PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - 1% OF TOTAL PID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed; for Approved Inspections: Date Rough Insp. Date Final Insp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15613 PHON E: 454-8100 BUILDING PERMIT Receipt # Q7QD 0?. To be used for FIREPLACE Est. Value $19000 Date _ SEPT 19 ,19 88 Site Address 1600 CLEMSON DR Lot 57 glock 1 Sec/Sub. THOMAS LAKE HTS Parcel No. ND OC N8fil2 eiaar in n ? Address 1600 CL o City EAGAN °CO Name_ . U ` Address ? City _ ? UyU W Name r W g Address u ` W City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with alt applicable State of Minnesota Stalutes and Cit ol Eagan O:dir?a?es. ( ?l/ Signature of Permittee 1Cr A Building Permit is issued to: AI.VINAK[1CERA_ on the express condition that all work shall be done in accordance with all applicable State of yinnesota Statutes and City of Eagan Ordinances. Building Official OFFICE USE ONLY On Site Sewage Occupancy MWCC Syslem Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 24.00 Planner Surcharge .50 Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks 50 24 TOTAL . (TOWNHOUSE) . ? OUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 $61,000 SiteAddreas 1600 CLEMSOI Lot 57 Block 1 Sec/Sub. Parcel No. W Name lyzn nVK1GVP ? Address P- O. BOX 1; City MPLS Phone Z, 9 Name SAME u? Addreaa ?- Citv ?W Na,.1e D. GRISWQLD W I? Address ?W City Pnane 435-7524 I hereby acknowledge that I have reod this opplication ond state that fhe intormotion is correct and agree to tomply with oll cpplicoble Stcte of Minncsoto Statutel^d City of EggonoOrdinontes. Sfynoturc of PeRnitfee j4cc-&--? A 8ulldinfl pe?mir is Issued ro: NEW oll work shall be dona in ocoordance with all Bu{Idirp Offfdal N_ 11104 Receipt OCTOBER 9 , s 89. Erect LX Occupancy K3 )Remodel ? Zoning pp Fiepair ? Type of Const. v Addition ? No. Stories Move ? Length 44 Demolish ? Depth 27 Int Impr. ? Sq, Ft. Approvah F?as Assessment Permit • o 0 Water 6 Sew. Surcharpe 30.50 Policc Plan Revfew 15 $. Q Q Firo SAC 525.00 Enp. Water Conn. 500, a Planner water Meter 6 3_ 0 d Council Road Unit 2 8 0_ 0 0 Bldg. Off. 9 16 H Tr. PI. 132.00 APC Parks Var. Date Copies ;S INC rotai $2, 004 . 50 on the exprcss conditlon ihat ta Statufes ond Ciry o4 - - Eapcn Ordinonces. ? 7 1 _- _ I 1 ---- ? , (TOWNHOUSE) . ' CITY OF EAGAN N° 11105 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? y PHONE:454-8100 ? BUILDING PERMIT Receipt ?t To b? w?d fer 1 OF 4 P LEX Est. Value $61,000 ?te OCTOBER ' 9 . I 9 85 SiteAddress 1600B CLEMSON DR Erect (9 Occupancy R3 58 1 G T Lot Block ec/Sub. HOM LR HTS 2NDRemodel ? 2onins PD Percel No. Repair ? " Type of Const. V Add +Sion ? No.Stories NEW HORIZON HOMEa?' INC ?"?OVB ? ? Name li h ? D Length 44 h z P. O. BOX 1367 Address emo s Int Impr. ? Dept 27 Sq, Ft. City MPLS Pnone 420-3900 ?nstall ? SAME t Name Avo?ovols Fees v? Address /lsscssment Permit +? 316 . 0 0 ? Gity Phone Water & Sew. Surcherge 30.50 Police Plan Review 158.00 ?+„W Name D. GRISWOLD Flre SAC _ 25.00 ?? Address En9. Water Conn. 5.00? ? 0 CCW City Phone 4 3 5- 7 524 plonner Water Meter b 3. 0 0 Council Roed Unit 280.00 I hereby acknowledge thot I have reod this o pplication ond stote Thof std9. off. 9/1 6/85 Tr. PI. 132.00 the informorion is correcr and agree to co mply with oll oppliccble ?QC P k Stute of Minnewta Statutes c City of f ogon dinonces. ar s , ? Var. Date Copies Siqnature of Permittea Total $ 2,0 0 4. 5 0 /1 Building Permit Is iuued to: NEW HORIZON OMES INC on the expreu condition tha+ oll work sholl be done in occordance with oll opplicabl tote of Minne ta S utes and City of Ecpan Ordinonces. Buildinp Offitiol (TOWNHOUSE) % -- CITY OF EAGAN N° 11106 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 eUILDING PERMIT PHONE:454-81d0 RKeipr # ? ? Te, ?@ wtd for 1 OF 4 PLEX Est Value $60,000 pate OCTOBER 9 1985 _s SkeAddreaa 1602B CLEMSON DR Erect Lot 59 elcek 1 SeclSub. `rHOM LK HTS 2 ND Remodel Repair Parcel No. Additlon W Name NEW HORIZON HOMES INC Move ? Address P- O• BOX 13 67 Demolish Int Im r City P'1PLS Phone 420-3900 p . ?nstall ? Name sA z u Address u ? City D • ? W Name ? Address u 5 W Clty I hercby ocknowledge that 1 hmre reod this opplication and state thot the Intormution is Correct ond ogree to comply with all opplicoble Stote of Minnesoto Stctutes,,pid City of Eaqon,9rdinonces. Sipnoture of Pennittee 41??---? A Buildinq Permif Is issued w: NEW HORIZON all work shell be done in acoordanca with all a h'??ableS } Buildirq Offkiol ? Zoning pR ? Type of Const. yj_ ? Mo. Stories ? Len9th 44 ? Depth 26 ? Sq. Ft. ? all Feaa Asseument Permit a 1j . v v Woter & Sew. 5urcharye 30.00 Poi+ce Plan Review 156.50 Ftn SAC 525.00 Eny. water conn 500.00 Plonner Water Meter 63-00 Council Road Unit 280- U U Bldg. Off. 9 16 8 5 Tr. PL 13 2_ 0Q APC Parks Var. Date Copies INC Total $1 i 999 _ 50 on the express conditlon tha+ neso tutes ond City o# Eayan Ordinonces. a . Roaipt iLUMBING PERMIT ctnr oF EAc,M fi/I ln nurnberod gww Type or PNnr Hyibly P.rmK No. j Fn ? i Tot 1. Data 2. Irutallation Cost ? 3. Job Address Lot Btk. - Tract ; 4. Owrer b. Contractor Phone I i a. Addrnt i 7. Gty State 2ip i 8. Buildiny Type: Residential 0 9. work ascription: New O 10. asaibt 11. Commercisl ? Institutional D Add O AILer O Repair O N,?, Fixtures Watsr potet No, Fixturt l/p i fi Co ld BaM tubs upoo ra n e Se ti k T Lavatory p c sn S h Showsr o rnr I I W KitcMn S'ink e Urinal/8idet Othe Lsundry Tray r Floor Dnins Drinkinp ftn, Siop 5+nk Gas P'ipinp Outlets 12. I Mreby certify that the above information is true and oorrect, snd I sprae to oomply with aII ordinanaes and oodss yow?niny tAia type of work. Sgnod` for Raph f ii+al Irapections: Date Insp. Date Insp. This is Your perm;t when numbsnd and approwd. APP?owd cITY OF EAGAN 46"100 > Roaipt PLUMBING PERMIT CITY OF EAGAN Parmk No. . fM ' ? fi/l in rwmberod apscer S/C Type or Prinr /egf,dlY Tot ;- . 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract . ? 4. Owner I 5. Conuactor ? Phone 8. Address Q ' 7. City State Zip S. Building Type: Residential 0 Commercial O Institutional ? 8. Work Oescription: New C7 Add ? Alter ? Repair O 10. Describe 11. No• - Fixtures Water Claaet No. Fix ures C l/Dr i fifid ? Bath tubs esspoc a n Se i T k Lavatory pt c an ft sr S sho'H.• o n weir Kitchen Sink Urinal/Bidet Oth ? Laundry Tray e Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outleu 12. I hereby certify that the above information is true and oorrect, and I agree to Cnmpty witfi all ordinances and codes governing this type of work. S+yned: for Rouph Final Inspections: Date Inap. Date Insp. This Is your permit when numbered and approved. Approved CITY OF EA(3AN 464-8100 Rna1pt PLUMBING PERMIT CITY OF EAOAN Pwmh No. FN l Fill in numDatd gscer S/C 7Yw ar Print /syJaly Tot t. Oate Z. Installation Cost ? 3. Job Address -Lot Blk. Tract . ; ! 4. Owner ? ! b. Contractor Phone 1 B. Addras , 7. City . Stste 2ip ? 8. Buildin9 Type: Residential 0 Commercial O Institutionsl O 9. Work Description: New 0 Add O AItQr ? Repsir O 10. Describe 11. No, fixtures Water Closet No. Fixture l/D infield Co Bath tubs upoo n Se ti T k Lavatory p c an h S S10W'Bf Mr o Well ICitchen Sink Urinal/Bidet Otha Laundry Tray r Floor Drains Drinkinp Ftn. Slop Sink Gas Piping Outlets 12. I hereby csrtify that the above information is true and correct, and I ayree to oomply with all ordinances and codes governing this type of work. Signed' for Rouyh Fiml Inspections: Date Insp. Date Insp. This is your permit wMn numberod snd approved. Approved CITY OF EAGAN 4644100 Roaipt PLUMBINO PERMIT Permit No.{ ; - CITY OF EAQAN FM ? . ? fIll in numberod;ucor S/C ; Typ ar Print /eolb/y TOL ? 1. Date ' 2. Installstion Cost + 3. Job Address Lot ' Blk. Tract 4. Owner S. Contrattor Phons ? 8. Add?oss 7. City State Zip 8. Buildiny Type: Residential O Commercisl O Institutional O 9. Work Description: New O Add ? Alter ? Repair O 10. Desc?iba 11. No. Fixtures Water Closet No. Fixtures CoSS o l/Or i field Bath tubs p o s n Se tic Tank Lawtory p hne S Show°r r o Wetl Kitchen Sink Urinal/Bidat Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Pipinq Outleu 12. 1 hsreby certify that the above information is true and correct, and I aqree to oomply with all ordinances and codes yoverniny this typa of work. Signed' fw Rouyh F insl Inspections: Date Insp. DaU Irqp. This is your permit when numbered and approwd. Approved CITY OF EAOAN 4644100 CITY OF EAGAN Addision thpmgs Owner .dition Lot ?-5-z Blk Parcel #10 5ireet 1600 Clemsan Drive State a n, Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, ? 111.89 A0121'r2 5-5- 3 STREET RESTOR. GRADING SAN SEW TRUNK ?97 *SEWER LATERAL a 1981 37. 61. 7.52 $ Zrj. 05 A012172 5-5-83 *WATERLATERAL 981 WATER AREA 5.1 A0121T2 5-5- 3 STORM SEW TRK `Z 9.91 A0121'T2 5-5 3 *STORM SEW LAT 9$1 CURB & GUTTER ' 510EWALK STREET LIGHT Raad Unit 56294 10 9 85 WATER CONN. 500.00 $UILDING PER. I?04-1I107 SAC PARK CITY OF EAGAN Remarks Addition Thbm-qS LakP Height ddi ipT1 Lot Owner Street 1600 B 6 s9141k ` I Parcel #10 Clemson Drive state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, 5544 u1.8 A0121 2 - 8 STREET RES70R. GRADING SAN SEW TRUNK 19Z5 *SEWERLATERAL igsi 37.61 7.$2 1.0 A01212 --83 WATERMAIN *WATER LATERAL 1981 WATER AREA 1981 13651 9730 .61 A0121 2 - -83 STORM SEW TRK " 249.91 A012172 5'5-83 *STOFM SEW LAT 981 CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. n n BUILDING PER. 11104-1U07 5AC 525.00 PARK CITY OF EAGAN Addition ,noma: Owner dd3ti0n Lot W G oBik s/ Parcel # 10 Street 1602 Clemsan Drive stete Eagan, MN 55122 Improvement Oate Amount Annual Years Payment Receipt Date STREETSURF. ill-89 A012 2 - -8 STREET RESTOR. GRADING SAN SEW TRUNK 19 3 *SEWEFi LATERAL g 1981 37..61 712 ' 1. 0 A0121 2 --8 WATERMAIN *WATER LATERAL 1981 WATEF AFiEA 1983 136 51 27 39 54.61 A012172 5-5-83 . . STORM SEW TRK 3 249.91 A0121 2 - $3 *STORM SEW LAT 1951 CURB & GUTTER SIDEWALK STREET LIGHT Rmci ' 10/9/R 5 WATER CONN. 500-00 BUILDING PER. 11104-11107 SAC PARK ? CtTY OF EAGAN emarks Addition 'Z'Fl[]I118S LEAP HPdgh,?, ciaition Lot ?-Ep Blk A? Parcel #10 owner Street 1602 B Clemson State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ,..8 A012112 - -8 STREET RESTOR. . GRADING SAN SEW TRUNK ? 9 7? *SEIMER LATERAL LJ$j _ 37• 6 1 7.52 5 1.0 ?10121 2 --8 WATERMAIN *WATER LATERAL 1981 WA7ER AREA 54.61 A01212 5-5-83 STORM SEW TRK 249.91 p012172 5-5-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, u n BUILDING PER, SAC 525.00 PARK GEO. SEDGWICK HTG. & AIR COND. CO. yo ? HOUSE HEATING TEST RECORD ADDRESS L?r CITY :t G'? OCCUPANT eW )-? ?? ? ???L OWNER ? HEAT LOSS DATE HTG. 1NST. SOLD BY - - INSTALLED BY Electrical Work By - t !-.! r Gas Line By u? TYPE OF HEAT GA_ FA._,x, HW____ STEAM SPACE HTR. UNIT HTR. OTH R GAS DESIGN CONVERSION MAKE I-??1,'* MAKE OF BURNER -- • Model - 3 (!j ( . wn -? Model -- Serial Max BTU Rating . INPUT ? ?,?CX} MQKE OF FURNACE ^ Model CONTROLS - ? THERMOSTAT Heat Plug Vent Size Valve 5? ??I ti150?' , KIND OF LINER SIZE NONE Limit Draft Hood Regulator Limit Setting -_ I 7 CJ G F Filters Size Number ? Fan 3etting Chimney Location Inside ? Out$ide ?ilot Type '<? Chimney Construction ???? -> > ff Pltot Make • L ' ' Pilot Model Smake Bomb I Wiring ?? - Pi1bt,Timing Draft ' Test Taa ? .? _. L.W. Cut Off Door Pressure -? Lighting Inst. U Pressure Percent CO2 ?? Date Tested • - A ` ? -- Input CFH ?L Percent 02 Company Testing PU P ?,(?, ? Stack Temp. Percent CO Name of Tester , Form 235 1 r. GEO. SEDGW ICK HTG. & AI R COND. CO. ?? S? HOUSE HEATING TEST RECORD ? ADDRESS LIP 1r)S04J Or CITY ? ?4 If A) OCCUPANT /Lu} I-1Qr ,-)a iiJ OWNER ? HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY G Electrical Work By Gas Line By P A_ TYPE OF HEAT GA_ FA,Y HW_ STEAM SPACE HTR. UNIT HTR. OTHE G DESIGN ? . CONVERSI= MAKE 7/? ? MAKE OF BURNER Model ? Z Model Serial 9 1 Max. BTU Rating INPUT U CiQ0 MAKE OF FURNACE ?- Model - E - J - CONTROLS THERMOSTAT Heat Plug Vent Size Valve ?15 /V S 0 Limit cn. Limit Setting ? -'-U -I Fan Setting /?° Pilot Type « r i f Pilot IlQake a ( N i Pilot Model U` Pilot Timin9 L.W. Cut Off - ` ? d u Pressure 5, ? , wL Percent COZ Input CFH L Percent 02 Stack Temp. Percent CO lUG Ne KIND OF LINER Draft Hood ' r - NONE gula r ? S Filters Size ? r Chimney Location Outside Chimney Construction ? fCA S5 Smoke Bomb ? Wiring Draft Test Tag Door Pressure Lighting InsiC Date Tested Company Testing• Name of Tester ? L• f44 S' GEO. SEDGWICK HTG. & AiR COND. CO. ? HOUSE HEATING TEST RECORD ADDRESS i G v Jp ?Ire t? CITY `?-q Q? J OCCUPANT_ Ne11l. 4 " %' LaN OWNER HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT MAKE Model _ Serial _ INPUT MAKE OF BURNER _ S ArAodel _ Max. BTU Rating - _ MAKE OF FURNACE THERMOSTAT eat u - 'T- ValVe SX 3 tl -- IL) h'?.) ' Limit 5-?cryi ccy Limit Setting ?G G r Fan Setting IA2 cl- Pilot Type Pilot Make c" l Mqu ilr Pilot Model .s/ Pilot Timing a L.W. Cut Off - Pressure 3-1 ?Percent C02 l `1 ?5 Input CFH Percent O Z r1r.' Stack Temp. 25U,F Percent CO L'e Gas Line By - C. HW` STEAM SPACE HTR. UNIT HTR. CONTROLS T-83y H PI Vent Size 6'i rI1 C ? KIND DF LINER ? SIZE t110NE ' ? c Draft Hood f? ? U P Regulator -? 5 Filters Size umber Chimney Location Inside Ou de ? Chimney Construction ? Smoke Bomb Wiring Draft f - Test Tag ? Door Pressure ? ?- Lighting Inst `S 1 Date Tested , Company Testing v? G e c PVame of Tester & Form 235 Model SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORfH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 ADDRESS 16 O a 8 C?C. ?SD A--' r OCCUPANT C I ? Wi ?9:?e2 SOLD BY MAKE ? ?/1/J1/ ?? ? SERIAL NO. 49.50OiaQ I r 9 ! I THERMOSTAT _ 4_ u ? -t VALVE LIMIT LIMIT SETTING J? C "';o FAN SETTING • PILOT TYPE 41-5- /O 5U? [' erD ;;?7 IGNITION MODEL PILOT TIMING iJ PRESSURE .? S ?i C? PERCENT CO2 ? INPUT CFH 25? PERCENT OZ STACK TEMP. PERCENT CO ?L FORM 235 (REV. 11189) HEATtNG JOB NO. TEST RECORD CITY rae) ? OWNER f ? INSTALLED BY Se ?G w i?C /`c !'Y ?. MODEL INPUT ? >> VENT SIZE TYPE OF LINER LINER SIZE ? FILTERS: SIZE ??? ?? NUMBER WIRING I•/a ?T+?O ? TEST TAG ? LIGHTIMG INST. ? DATE TESTED COMPANY TESTING NAME OF TESTER FQRM DISTRIBUTION: WHRE CqPV - JOB FILE VELLOW CAPV - CITV INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: i I I ; MSQN DR 1 tioMA1. 1 RF r MF )WI T% 7NF? PERMIT SUBTYPE: I F LL APPLICANT: TYPE OF WORK: 0 r I ;f k rF• r r++r+ A '9I151bo t?t+rt P iNiv Vl:3 3st?}r; 1 u 1 ?14 /o cA t'F'A?K ? ? r {i f M A R N `.:- P fRMfT kFVll l.lfi't1 HY WHYWf M[I I Fft. ` -,?_??': ';`•tu?'?'? ?: . __., ?• . ... _ Psrmit Holder Date Telsphone 8 SEWEFll WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBIN(3 PLBO AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDQ FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDFlOSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL i ? 'A ITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: , (, T . PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: it f 4?. ( ! ? ;' 1[A ?J17 TYPE OF WORK: I11 `,i !; I I, ( i i IN t{ii t t iv t N(i 4! 3ith 7'1+ A _` ? «a N+ I (I NAi {ufJ A 't T N'; i- I: I;6 A•. I I h1F . ? J 11 : rl.?yt!('?; • 1'II1Mhlt"Y ji l Ilf MI 1':f faf IN`•Pf"+ f E 0 NI f OrF f nNI t Ri rMfi PermR IioWer Date Tefephone # SEWER/ WATER PLUMBING HVAC Inepection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ?Q ? FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 _ (612) 681-4675 ? SITE ADDRESS: ! Ilr.aaAS L AP E att 1f;l1 fS ?NIl i PERMIT SUBTYPE: iI ; ::,?M rPi 14 i I,.!tlliill iN f') ks (y CTI .•, g -- ..rsv' 1 (;A kii tyt 1 iCORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i?•1.') ?i3.' i TYPE OF WORK: I ra•.tI t A I 1 t', H F1NA1 I F?FMAF?Kl1 '; FPqVAIF 11F'klClf T`• 6 E911.1 lll- 0 tOF ANlr t'IIfMHiN4i [?ti FtF( t!!) 7 I f4 I 0"tt <AI 1 i1117t ? Pertnlt No. Pertnit Holder Date Talsphone i ELECTRIC PLUMBING ? ?(p5 HVAC Inspection DaU inap. Comments FOOTiNGS FOUND FRAMING ROOFINQ ROU(3H PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSA7 TEST BLDG FINAL BSMT R.I. BSMT FINAL ?. ? DECK FTG DECK FINAI ' OF FAGAN WATER SERv"'lg PERR 'tilot'1Cnob Road ? _ 1 Sox 21199 PERMIT NO.: ?' i, MN 55121 DATE: 10- - 5 g' - ^' No. of Units: 4-Plex ? New Hori.zon tiomes ' Addross: 2 to aompy wkh M. of Inap.. - 3- ?? &1R.ICN606%?Ir 132.00pd TP Totol: 63 OOrd meter Doto Paid: CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot Knob Road P. O. Boz 21199 , PERMIT NO.: Eagan, MN 55121 pqTE; Zonirq: . ' No. of Units: . ' e?orizvis ..o:;.,e5 Owrnr. Addross: SIt! AW/QSf: B @7BSOSl ve- Pfumber. T'hor psau P' :inbirtv, I Nm t+ own* wNM !1» Clhr of 4N" ConnKtlon C}weqe• • ?hMwO?i. ACOONf11' DQ?t: 1. ?` . 0 : ? T; PIITBIt FN: Sunharpe: BY Misc. Glarpes: Date of Insp.: Totoi: Insv.: Doh Poid: CITY OF EAGAN ? 383tr?f 'lot k nob Rosd WATER S?R`n'? E p? P. O. Bbx 21199 PERMIT NO.: I Eagan, MN 55121 D/?TE: Zoniny: _ I?3 fdew i:orizon No, of Untts: -plcx Ownwr: Addrsss: Stte Md?ess• - emson . tomas ? ? _ ,...,..,,,._. s. ? ot Insp.: _ ( 15..g?1 Pff • P . . p TY OF EAGAN SEWU ?30 Pilot Knob RQad SERVICE PERMR 0. Box 21199 PERMIT NO.: gan, MN 55121 p^TE: ninp: No. of Unlts: nwr. - 'omCI,dd1 of letsp.: COM10Cti0/1 Qldm!: - • 25 _ 01. T ACGOU1'IT Dlpowt: ' PeftTit FlQ: Suntiwrpe: Misc. Uhorpas; Totol; DoN Poid: te aw* wllh ti. Ct1p ei ty.¦ CITY OF EAGAN WATER SERVICE PEkNUT ?a 383Q Pilat Knob Rosd ".' P. O. Box''211941 PERMIT NO.: , Eugen, MN 551?7 D^TE- .4 - PtUN Zonirg: _ . No. of Units: _ N, ew Horizan iiomes _ Si» Addrom Plumber: 2 No.: -y] rermm rees- . ea emvhr wkh VWho ??? 1^?. 0 0 nd TP TOtGl: - BY y Dots Paid: Pilot Knob Road Box 21199 i, MN 55121 1 qeM 1b eNeVIf wNb 11w ekf °F VMe Con?ection ChOrge: rl 0 of IIOM• N Acomint QRpodt: ?. Pemot F": , . ? Surchorqs: - Misc. Chorpas: By Date oi Inap.: Tatal: Inap.: Daft Poid: CITY OF EAGAN 3830 Pile: Knob Rosd P. O. ¢ox 27199 Eayan, MN 5?'y1 I Mwes te osa* QvIIMwpf, WATER SERVICE? PERMR + PERMIT NO.: DATE: - No. of Un1ta: ? ?ex ? ----• , P Totai`•' "Y ?> ?. ?-0 d met er Dote Poid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Ktwb Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 DATE: ZO^i^0: No. of Units: " Owrnr. .- Add?ess: Slte Addmsa: C1en1F ott ^,. , v.,^ T E) Plurribtr. ""?nc•,?,? ..1. r . I ••_ . 1I:?_i'1'.itji.l 'I MN* ro?r11 wft 60 G!p oi pmon Connection UwMe: - 'i ?'i . UJflt± ACCOlM1T Dlposit: r • ? ?• ? . ' PlR* FM: SurcJwrpe: 8Y Misc. Choroex Dote of Insp.: Totoi: IroD. : Dah Paid: r of Insp.: ?^?•? ? 6 RESIDENTIAL r BUILDING PERMIT APPLICATION CITY OF EAGAN ??O'Ob 031b ?30 PILOT KNOB RD - 55722 851-881-4675 NewConstrucTionReaulremenk RemodallReoairReauirements . 3 registered site surveys shawing sq. R of lot, sq. R d house; ancg roofed ereas • 2 copies ol plan (20°k maximum lol mverage albwed) . 1 set of Energy Calalations for heated addNons • 2 copies of plan showing 6eam & windax sizes; poured found devign, etc.) . 7 ste survey for exterior add'Aions & decks . 1 set ol Enwgy Cak;ulations . Indkate if Irome served 6y septic system for additions . 3 capies o( Tree PreservaGOn Plen if bt platled aRer 711193 . Rim Joist Defail Options selepbn sheet (Cidgs wilh 3 or less un%s) DATE 7Z? ?4 16 1 VALUNION V3L?n JOB SITE ADDRESS /60Z IF MULTI-FAMILY BU PROPERTY OWNER ?4 TYPE OF WORIl APPLICANT -P ADDRESS ,3Y3 PAGER # NG, HOW MANY UNITS? ,T FIREPLACE(S) _ 0 _ 1 _ 2 _ PHONE# ??aJ.38a-?3_Z, CODE SSeEy FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.F.S 7670 CATEGORY 1 (check one) - Residential Ventifation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Su6mitted Piumbing Contractor. _ Plumbing System Includes: Mechanical Corotractor: Mechanical System Includes: Sewer/IMater Confractor. CELL PHONE # _ Water Softener _ Water Heater _ No. of Baths _ Air Conditioning _ Heat Recovery System Phone C. Iawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # F Phone ? 1cv-? ?, ? `I ?1N' All above infortnation must be submitled prioT to procsssing of applicafwn. I hereby acknowledge That I have read fhis application, state that the information is corzect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Appttcanf Certficates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04., 02-plex ? 05 03-plex ? 06 04-plex ? 07 OSplax O 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-piex O 17 Garage ? 10 08-plex 018 Deck ? 11 70-plex ? 19 LowerLevel O 12 12-plex Pibg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 38 Multi 11)m 31 Naw ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg, O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Atteration ? 37 Demotish (Bldg)' ? 43 Reroof ? 46 WindowslDoors O 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Gv a2pc)U Occupancy ? MC/ES System Census Code &/-? / Zoning City Water SAC Units o l Staries Booster Pump Nbr. of Units _L Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const Width ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Fina] _ Siding Stucco Stone _ Windows (new/replacement) Approved By LL,6 , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search . Copies Other Total REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaVNo C.O. Footings(addition) Plumbing Foundation Dnin Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insulation FinaUC.O. ?j HVAC ! (TOWNHOUSE) . a. . BUILDING PERMIT Te M wad /e. 1 OF 4 PLEX $60,000 Receipf # Date OCTOBER 9 SlteAddress lb0Z CLEMSQN DR Erect Q; Occupancy R3 lot 6 0 Block 1 Sec/Sub. THOM LK HTS 2ND Remodel ? Zoniny pn Parcel No Rapair ? Type of Const. V . Addition ? No. Stories NEW HORIZON HOMES INC Move ? Length 44 ? Nema P O BOX 1367 oemo??sn O oeptn z6 ? Address . . Int Impc ? Sq. Ft. City MPLS pnone 420-3900 Instell ? F Name SAME z ?U Address g ? City Phone D. GRISWOLD Name 4? Address ?W city Phone 435-7524 ADYrovala Feea Asussment Permit?T-.-00 Woter & Sew. Surcheree 30. 00 Police PlanRevlew 156.50 Fira SAC 525.?0 Erp. WaterConn. --5D-0-100 Plonner WaterMeter ---6-1-00 Council Road Uni[ 280 _ 00 I hereby ocknowiedge thof I have read fhis apDlication ond state ihat gid9, pff, 9/1 G/H S T, pi 132.00 the informotion Is correct ond ogree to comply with all apDlicobla qPC Stote of Minnesota Stot?es Ciry ? ot / Eagen dirances. Parks Var. Date Copies SIgnoture of Permittee TO18l $1,999.50 A Bullding Permir is issued to: NEW HORIZON HOMES INC w rye ezpress conditlon that all work sholl be done in acmrdonce wirh O11 ppliwble i newta Statutes ond City of Eagan Ordinances. 8uildinq Official ?{ ?-?.?? CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21-799, Eagan, MN 55121 PHONE: 4548100 N_ ?11?10"7? 1This reQUest void 8?n?nffis from ? R..G..7 7 R Q 04r. y- I Hequest Date Frte No. RouBh-?n Inspecllon : I peqyred? I ?ReadY Now N'ill Notlfv InsPe? ?? ? U C? ? Yves ?Nu '[or When Ready 4 Licensed Elec[ricai ConVactor I hereby repuesi inspection ot above n Owner eleclrical work installed et Street Ad ress, Box or Foute No. roo City Lj?q ,AJ ecllon o. Township Name or No. Ranec, No. Copunry Occuu:+nt (PRINT) D L W V/`?4J/v,T Phone No. Power S pplier } Address Eiec[rical Contractor ICompanv Namel o„6, CoMractor's Lic.cnse No. Mailin0 ?+dJress IC nVactor or Owner Making Instailationl "/ ? ?i Ll/?o ,? Ma1cing Ins Authorized SiB?atuie (ConVactor/Owne? tall@tioN . Phone Numbe r ,. e .. v033°2w21 MINNESOTA STATE 90AflO Oi ELECTpICITY In15 irvSrtGl Furv neuuesi rviiL rvuI Griggs-Midwey Bltl9. - Room N•197 BE AGCEPTED 8Y THE STATE 80AR0 1821 University Ave., SL Peul, MN 55104 UNLESS PFOPEP INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. .3 - 260 41, REQUEST FOR EIECTRICAL INSPECTfON « ee-eoooi-oa ' See instructions far campleting this torm on beck of yellow moaY. ?bL Bll??-y? 7R 3 -"X"" Below Work Covered by This Aeq?rest 7 JAAtl Nap. TVPe of Building Appliancea Wirea Equipment Wired - Hame Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Bulldin9 Dryer Electric Heatln Commercial Bldy. Furnace Silo Unloader Industrial Bldg. qir Conditioner Bulk Milk Tank Farm thei pemFV .ther(Soadly) t er ISUeclfy Othor ntho, # Fee ServiceEntrencaSize M1 Fee Faeders?Subteetlers ry Pxe Circuits U to 200 qmps 0 to 30 Am?s /, 0 0 to 30 Am s Above 200 qmps? 31 to 100 qinps 31 to 100 q s Swimming Pool Above 100-Amps Above 100_P,m s Transformers Irngation Boortis Partial.'Other Fe Signs Speciallnspection 5 Hemarks ?S TOTAL F • . / flaueh-in O:ite 3- Of- - I, tha Elecvical Inspactor, hereby Final certity thet the above ?^svac<lon nas neen ,_/ " r - - 1 1- _I -wP 3.j?•8` REQUEST FDR ELECTRICAL INSPECTION ea-ooooi-na ?r,? C1 rpry Srea instructions for completing this torm on beck of Vellow copy. ?2) In5 1 I? I (P'1 "X" Below Work Covered by This Request ilevi Add .. .. Hep• , Tvpe of Builtlin9 AaOliantes Wired EquiVmenf Wired Home Rdnge t --Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer ? Electric He2tin Cominercial Bldg. Fumace Silo Unloader Industrial Bldg. - Air Conditioner BLdk Milk TeNc Farm ? Otner Speory cther ISUoaltv) tllp.f Sl1CGIfY OIII('! OIIIL'! p Fee Service-EnVanceSiza d Fee Feeders/Subfezders # Fe,e 0 to 200 qm s 0 t30 Am s Above 200 Amp 1 to 100 Amp Swimming Pool Above 100ms 4- rmers Irriyation Boo t $igns Special inspection Nrks Rou h-in D.?te 9 I, the Electncal 3 Insoectoq nereby certify that the above I Final / D l1?'/„? 1 ? inspection has been d /j„ ( A / - y ma e. This request voitl 19 mon[nertom This reQ.esLVOid 3/P/0 1 me,rnhs_frpm C°Z nq 77p q L c°'7,kI a?.. L(t IJfs U V V ? 1 V V ftequest Oate M• Fire No, !??InsPection pPqPh- ?qeady Nuw?M1'?II Nolity InsPec- ?' c ?NO 14?. wnPn aeaev A ^icensed Elec[ncal Convactor I hereby raquest inspection oi ebove electricel work installed at_ Sheet Address, eox or Route No. - `--- . /?a0 ? ? a.? CnY ecuon o. Township Name or No. ange No. County pn n t (P H INT) Occu Phone Ne. ? ? y ? ? ? ?Yc.-W O?P/ZQ/V3' Pawer Suppl7er? A?dre?a ? 1 W Elec[ri?c?al ?C-7.n,?nVacmr ?•/ I omoany Na/me?l ` c -f.cr/ii?.Ix?.l?iU?CLG,7"fsQ%f Conhactor"s Licen$e No. ? Q/? Mailing Address I 06-Itractor or Owner Making Inslailationl - Auffiorized Siynature ICo [ractodOwner akine Insta lationl ? Phone Number ?33-252t IMINNESOTA STATE BOARD OF ELECTHIGITV h?s ?rvsrtivrv ncu?i r iu n? eE ACCEPTED BY THE STqTE BOARI) Griggs-Midway Bidg. - Roam N-191 UNLESS PflOPEN INSPECTION FEE IS 1821 UniversitY Ave.. St Paui, MN 55104 ENCLOSEO. Phone (612) 297-2111 REQUES7 FOR ELEC7RICAL INSPECiION /€a-ooooi.oa ?f5 See instructiuns for completing this form on beck ot yellow copy. ?? I I li ?d ? 1a( ? "X" SeJaw Work Covered by This Request V AAd -fleP. ? V Y Type ol BuilOing ApPliancne Wired Equipment Wirad Home Ranye Temporary Service Duplex .Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin . Commercial Bldy. Fumace Silo Unloader InduStrial Bldy. Conditioner ' Bulk Milk Tenk Farm Othei peafy Other (SOedly) ther Spocrty O!her Other Pou h-in a ( G Date ? , ."r: ,?1f-? I, the ElecVical Inspectoq hereby ce?fifV that the above Final f ume 3 insDaction has been ? r (, -j P made. Thiarequeatvoitll8montnstmm '?+ -' " • - - ? -bu This ,e4ues, Vo,d 3, a o- 8L ?? Z Np ,ffn,h= from ?k s V ZJ` 78 ? 4 loA" InsUection ? . Fire No. Reody Now ' -Licenseo Elecvical Contracmr wnef SVee[ Address, 9ox ar Route No. j?0? Ct?"_,?"? ! ecbon o. Township Name o1 Occ.p.nt (PRINT) 1WP/,y't'rP1,,'N Power $u0PIIel ? L? ?ci,a cl Hect*ical Coniractor (COmpanv? l / !1 iv? I hereby reques< insoac[lon of above electrical work installed aL ' roMractor's w Authorieed 5'?B?eture IConvactor?Owner Ma m9 Ins[a a MINNESOTA STATE BOAFE19t LECTRICITY Grig9s-Midwnv Bld9. - AOOm N 56704 1821 U812? Z9? z???. St. Paul, MN Phone Will Not?fy Inspe?- tor When ReadY 1 THIS IMy SPECT?ON REQVEST WILL P10T 8E ACCEPTED gY THE STATE BOARD UNLESS PpOPER INSPECTION FEE IS ENCLOSED. ?-? Fj? REQUEST FOR ELECTRICAL INSPECTION ?/ /? /?? See inslmctions lor cpm0lefing Ihla brm on beck of yallo'n' coOY. M6 9 "X" Below Work Covered by This Request ee-ooooi-o 905g ew Ac. rl p. TypeofBUilding AppliancesWired EquipmentWired ' Home Range Temporary Service Duplex Water Heater Electric Heating Ap[. euilding Dryer Load Management CommJlndustrial Fumace Other (5pecity) Farm Air Conditloner Other (specity? ontroctor's Remarks. Cnmpute Inspectian Fee Below.? 8 Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool O l0 200 Amps 10 to 100 Amps. Transformers Above 200 - Amps AGove t00 _ Amps SignS ir,speaor& Uu Only. TOTAL Irrigation Booms Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y certify thatthe above inspection has been made. _ur Rouqn-m Dale Finai OFFICE USE DNLY 'Thls request voitl 18 monNS irom . 1& Thls nwmre0uhs est frovoid m L 5 f 6 / ? ?J ? ? 4? ? ? t 0 0b 7 7 86 , , /" `? -' J Request Date ? ` - ? Fire No. Pough-In Insuection PeqWretl? ?ReodY Nnw Will Notify, Inspec- \?ur When Ready C J Y ( Ves ?No XLicensed ElecVical ConVactor 1 herebv repuest in spection of above (l n,,,,,,,. . electrical work ins lallad aL Strect Adress'. 8ax q Ro?u[e iNo?.?'' ^ - ?7 Ci Y ecuon . Township Name or No. Range No. C mty Or,cup an t AINTI lP ' Phone No. A ? , ._ ' • VYY ? ? Power Sapplier Adtlress / Zx/ vR Q F??iG !V ' s License No. Electrical ConVactor fGompeny Namel Convacmr t?.? l?G'/1,r?i? ?ZF-r-T?Qile Mailinp Address (ConV ctor or Owner Making Instaila[ion) ?ui?' ?Y3 ? r , ? . Auihorized SignaIDre (Convactor Owner Makinfl lnstal atiun) Phone Number , ;:.-:.r, . , MINNESOTA STATE BOAFO OF ELEC7RICITY '"ds BE Grig9s-Midwey Bld9. - Room N-191 ACCEPTED BY THE STATE BOARD 1821 UniversitV Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ptwne (612) 297-2171 ENCIOSE?. ooooi:oa -3'a0'24 REQUEST FOR ELECTRICAL INSPECTION 4ft /ee-DZ.r? -?See insbuctions for complelin0 <his form on back of Yellow copy. D 097784 ""X" " Be/ow Work Covered by This Request ,.(O FdA Rep, Typa o7 Builtling Appliancea Wired EquiVment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildinq Dryer Electric HeaLn' Commercial Bldy. Fumace , Silo Unloader Industrial BIAg. Air Conditfone , Bulk Milk Tdnk Farm Other speci y oihm ISUedfvl ther uocifv Other Oih,r ompute lnspection Fee Below ` M Fee nua k Fee FeeDers/SUbfenAers . H Fee Circuiis Oto30qms C Oto30Ams W . s 31 to 100 Am s Above 100_Amps Above 100_P.mps Irrigation Booms { I Pertial-'Oth e Re6k5 Signs Special Inspection $?.!rjrJll ? ('1r7; TOTAL ? flough.in Da[e ? Insoac?or, ?eueby certity that the nbove Final ,/J? ? ? ?? a° inspection has baen rrede. This raQUeet voiE 18 months from 0m1 0 766 0 ? o /o ir 3 D ,Ql Requcst Date Fire No. RCU3h-I„ I2 geclion Requiretl Inspectlon OtM1er Than Roughln (YOU mus? oxll inspectnr when reatly? L9-Reatly Now 1-1 Will Notity Inepector ? ? Yes No pu[e Reatl I?l licensetl contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (S?reel, Box or Roule No.) Giry .? LGLqt,Soi? Q/L ?/?G9?? Seotion No. Township N;fine or No. Fange No. Co unry n Occupanl(PqINT) Phone No. Power Suppller Aatlress 4'Fs` , ? m c r- ElecMCal Contraclor (COmpany Name) B E S T E R E L E C T R I C Convactor's License No. G ?O?`4i ?S Mailing AAtlress (GOnVactor m Owner . allati FARMINGTOR MN 55024 Rutriorizetl SignaWrB (COnlradOdOwner Makin I Ilnf r6 - Phone Number MINNESOTA STATE 90AFD OF ELECTRICRV Griggs-Mitlway eltlg. - Room 5428 THIS WSPEGTION REOUEST WILL NOT 1621 Ilniversity Ave., SI. Paul, MN 55104 II I I I I? ? I IIII II II I III III II II I I) BE ACCEPTED BY THE SiATE 80AR0 UNLESS PROPER INSPECTION FEE IS Phone(614)642-0800 . pNCinccn p REQUEST FOR ELECTRICAL INSPECTION q.EB-00007-09 J?? re-/? 10- See instructions far campleling Ihis form on Oack oi yellow copy "X" Below Work Covered by This Request Ne Add ype of Building Appliances Wired Equipment Wired e Range Temporary Service ex Water Heater Electric Heating I Building Dryer Load Management m./Industrial Furnace Other (Specify) Fat Air Conditioner (spec ly) Convar.tor's Remarks. Gf'GL¢O /?l2 Compute lnspect7on Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A6ove 100 _Amps SIC]f1S Inspemor s Use Onfy: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify Ihat the above inspection has b made. " Ro°qn-'" F?nei :' oare oa'e U -? r C0F'?IE UE ONLY puest voitl 18 months s irom ?7 c 7 O 7? ? ?O 0 2 5 al. s° ReQUeslOate (y U `?-?t7 ? F- e No. Rough-In Inpsec0an Require0 (Yau must call mspe han reatly) o w Ins ection OtM1ar Than Foughdn eatly Now ? WIII Notity Inspaclor U " i ? Y es Na ate ReaEy I censed contractor !] owner hereby request inspection of above electrical work aC - Job Atltlress ISVeeL Box ar Rome No. ? ` Ciry emso? S3 j ?X\,C ar?i Section No. Townsnio Name or No Range No. Coun ? - O<ccOantIPRINT, Phone No ?t? Power Sopolier Atltlress Eleclrical Conhactor (Comoany Nama) Convacror§ License No. Harrison Electric n?, Mailing Aaaress ICOmractor or Owner Meuing Inslelia0onj 2525 Ne ada Ave. u_e_Npzth 301 an7dPn v L HutM1Of4atl SigndNre onVd n akm9 Inslallati0nl PM1One Numb2! 4A-3zD0 MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Griqge-Mltlway Bltlg. - Raom 5-173 BE ACCEPTED BV THE STATE BOAFD 1821 University 4ve.. St. Gaul. MN 55100 ? UNCESS PROPER INSPECTION FEE IS Fhone(612) 6a24800 ENCLOSED. ^ - q3y k d7i -? ? "FR q,, k k C1- EMSn.v .. 111"3/,0 0 ? O7'E P ? 3/. 00i r? . 0 0 / 22.33 ZZ W ? :.o, ' f QO in/ ?9 3 (933.5) ? z•?` 4 ?3 J O ? ? ; P N? ? ,°„l3i.0o ?t^ d A/ 7''[Not,i?0 , <5 3 6_ p? d Bv)'(dIn9 Q34 ?/ ? O'Q?vE (3 0 (93$.O) m V? ? ? o ? 0 L? ? S d C935 5? ? -;tt" /4 0 Denotes Iron Monument . ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Founda4ion Elevation- (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= '9 3 0- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 937.0 I hereby certiy thai Mis is a true and correct representation of a survey of the boundaries of: Lots 57, 58, 59 an 60 Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 30th day of Aiiatis* 19_$.5__. i_..+! K Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 " """ CERTIFICATE OF SURVFJ? ? ?"= 40' ? ??E fior ?/'?? ?a - McCOMBS-KNUTSON ASSOCIATES, INC. ?p???? ?,?/''??? f71./?IYiG?7 ?•t -?3????, oouuvue ?RC??cut ? wio tuernou ? ar[ ru??e?s s??e ra. IFr.G <1 rr1.?ll?L ?^.. MIMIEYOIYaMWTCMIMOM.Wq1ELOiA 7430 2006 RESIDENTIAL BUILDING rExMIT nrrLicaTroN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nex ConsWction Reauirements 3 registered site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas (20% maximum lot croverage allowed) i Soils RepOrt if proposed buildirg is lo be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. i set of Energy Calculations 3 copies of Tree Preservatlon Plan if lot platted aher 711193 Rim Joist Defail Options seledion shcet (buildings wiN 3 or less units) Minnegasco mechanical venfilafion form 70. &t-) RemodeVReuair Reauiremenfs Office Use OnN 2wpiesofplanshowingfootings,beams,joisLS CeAOfSurveyRecd:.?_Y,_N 7 set of Energy Calculations for heated additions Soils Repod;; Y:N 1 sRe survey for addNons & decks Tree Pres Plan Recd '_ Y_N. Add'rtion -indicate il on-sde septic system Tree Pres Reqmred _ Y_ N On-siteSepticSystem _Y,'_N ?^ Date ? / `? SiteAddress C(,LMSGW Construction Cost q?/ o'--6 cc? - DIZ, UniUSte # Description of Work I I1--C{{ A DD j T f[ N . Multi-Family Bldg _YY _ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner r(Gp12o^) ?JSU?? C??CGrtT hE11L Ll' ) Telephone#(6`j I)22?1- Contractor ??f G DEC k ?_ % r[ CGiM Wg w Y Address ffx? AKQGW kVG State M Fv (r Zip S'?G7 -J City I NVEr Ca?GU? Telephone #(9!??) H?1' 1-J11 A)64-17f ayT lC? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Ene?gy Code CatOgory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted . • Energy Envelope Calculations Submitted In the last 12 monihs, 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. A ( k?-, (L uD'r1 ApplicanYs Printed Name A 6,t, X Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex E' 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? ' 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buiiding` ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applican[ D65C1'Ipti011: Water Damage _ Yes Valuation ?!jDDa. C a Occupancy -2-3? MCES System Plan Review 100%or 25% Census Code y 3y Zoning P-D ' City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ F'veplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS _ Sheetrock FinaVC,O. ? FinaVNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: 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 ; i / ?,y k • CL EM RriA-Y ? ? / l? 4 (93 ? Q o? /.S8i•p? . ? N 30., 7 E . a 0 ?93yp? ?p W? ? T ?- ?i •?' ? L11 0 m ?O C933.5? 0 S ? / dr3NO8i D? 3 p 07'W (436.01 d , 0 0 ? -? ' 0091 t935 p? D? {m N ? ? -- o s '? C935 5` J v ??. $???/?; / Y°A O Denoles Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundafion Elevation= •--, (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 4- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 937,0 I hereby certify fhat this is a true and correct representation ot a survey of the boundaries ot Lots 57, 58, 59 an 60 Block 1, THOMAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buiidings, it any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 30th day of A??gus* 198?_. K. ,Z?7 1'? Qe-IW,94!21 Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 " ?%`_¢p? CERTIFICATE OF SURVF BODR IAGE fiOr - McCOMBS MUIL-KNUTSON ASSOCIATES, INC. > . .'???? COnSYtiVi ULIII[Lltt a WO SU11YR011i C SRE fWYEAS p??E Iq/?.^j E?f_ ??A ?i S WMNEUOLIf W HiNSOH.WNHEGOTA ? ?T?D f43? ??fE? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone #( New ConsWCtion Reauiremenis RemodellReoair Reouiremen5 O(fice Use Oniv 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Reo] Y N (20%mazimum bt coverage allowed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan show6g beam & window sizes; poured (ound design, etc. 1 site survey for additions 8 decks Tree Pres Reqd Y _N 1 set of Eneyy Calculatbns Addih'on - indkate if on-site sep6c system On-site Septic System _ Y_ N 3 copies of Tree Preservatbn PWn if lol plaCed afler 7/1193 Rim Joist Detail Options selection shcet (61dgs with 3 or less units Date 1 Q / -7 / Site Address l(,n( 2Cr_3 ') ? r L e Constructiou Cost L/ cod ? M Cr;VJ nY. Unit(Ste # DescriptionotWork ?EPLflCV ?('jX(Q ptcir Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner rS1`1NE7 QoCa G, e Cf2G Qf Y7w //61q N4StK) Telephone #(?? Contractor ? kN%jLG P_A?ERIC_i'f Address S[ate M? Q51H ST, Zip 5 5 yl?-? City ?/A1NtAeGLS Telephone #(651 ) -2,22- ?Q'? r-K`T p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission Type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously construcTed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor C?-Lec=P.f 1,oll 7/1? N If so, 25% plan review Telephone #( ------------ ? ? T,,??ph?na I hereby apply for a Residential Building Permit and acknowledge tt"V- Statutes; the infbrat?on is-complete and accurate; that the work will be in conformance with the ordinances and code of the City of Eagan and the State of MN I understand this is not a pemut, but only an application for permit,-and"work i"s 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 I cA??L C?l,? ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types , ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors x 34 ReplaCement "Demolition (Entire Bidg) - Give PCA handout to applicant Valuation X/l0 Occupancy K-3 MC/ES System - Census Code L/ 3 q Zoning /P /J City Water ? SAC Units '- Stories --- Booster Pump Nbr. of Units - Sq. Ft. dD PRV ? Nbr. of Bldgs - Length /D Fire Sprinklered -' Type of Const 1ai - Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Foorings (deck) FinallNo C.O. _ Footings(addirion) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall f Approved By Base Fee ::7Q dw- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies _ as ¢ Building Inspector ocner Total ( CITY OF EAGAN POLICY FOR ADDITIONSIDECKS IN EXISTING TOWNHOMES Over the years numerous decks and additions have been constructed over property lines in the Thomas Lake Heights and Thomas Lake Heights 2nd Additions. The Un'rform Building Code requires a one-hour wall on each side of a property line when the wall is within three feet of the property line for townhomes. This code requirement is in place to protect neighbors from sustaining damage due to a fire in an adjacent unit. These buildings were platted with property lines within two feet of the foundation of the main buildings. Our platting and subdivision requirements have changed to anticipate future additions while staying within the property lines. BASIS FOR POLICY l Buildings over property lines would not cause additional safety concerns to the users. The danger level is the same for those buildings constructed over property lines as buildings constructed a certain distance from property lines. Implementation of this policy would allow the required separation between adjoining units to remain in effect. It is a policy of the City of Eagan to allow additions and decks to townhouses existing as of November 21, 1995 to be built over the properiy lines that are parallel to the individual units provided. 1. 10' is maintained to any separate building. 2. The occupant must be part owner in the common property to which the addition or deck is built into. 3. A letter of approval from the Homeowners Association for the proposed plans must be submitted with the building permit application:, Q.. Vx<: Dct 16 03 10:58a Bob 6513227973 p.2 10/16/2003 84:25 Ocoobes 16, 2003 ro vw,om It May Pkwse be aavise Door CornPany Ir HOA to perform c Asaociatiws. The cordrects. Shouic via ce11 612-799-t [October 16,2001. JaNet M. Rogge, Property Manage Association FinaI ? r t ASSta FIIa PFGW INC H*ri=O WftHOA C!e Amduioa }7mndel Mmuftammt loe Y O ?vs 261SB Ml110l?P?1411'Q?f SSOSb0758T6i3i6-4T31 w{ee msfl 763-414-2449 Pas es?nl: ?or.ee.a?t(?rkmawst.net PAQE 01 BEi Exterior MairrtenBnoe [Dayp Burres] and Dedc & b Heiderieh] at+e ureder cvntracd wItP1 HOraZOn Hiile eptavementa at various eddresses yrithin the d ot D[ractors has approved this project per need any additional information, piease contad me I witl be at the proPertY behaeen 11-92:00 todaY ukl this requfre an pnsite vFst¢ by tiae Gity. HiUs HOA menQ Inc. 10/16/03 09:33 17CJ11% N0.0081 P.601 T00(A 80IH37S3 139 18Z9 t99 ZT8 YB3 S6:80 CO/9I/0i J ; ., . : " . ,? ' . - qy?i• kq ' 4 -7 ?,y k • CL EMsa?v a, k,,>.,, t ? . a 0 C93¢ p? ?D WV o ? ?o. (933. g) ' o 4 ? (S N ?°7 W aa (9 3 b. o? d ? p } ?? (935 p? ?o ^- .o ?; • `E (935,5? ? O penptes Iron Monument ° Denotes Wood Stake XOOD.O Denotes Existing Elevarion Proposed Top of Founda4ion Elevation< ?---? (000.0) Derwtes Proposed Elevation Proposed Garage Floor Eievation= ? ; ?-- Denotes Direction of Surtace Drainage Proposed Lowest Fbor ElevaNone 9 3 7.0 t . . ",? 1 hereby certiy that this is a true and eorcect represeMation of a survey of the boundaries of. t." Lots 57, 58, 59 an 60 Block 1; THOAIAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. ? And of the bcation of all buildings, if any, thereon, and alt visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. , As surveyed •_ by me,or under my direct supervisionthis 30ch `day of A„g„gr 19R,5 ,_ :P Q ?/.r'L!,r.aa?? s ; . . .. . .... '?'.. Paul A:;'Johnson Land Surveyor, Minn. Reg. No. 10938 ?s CERTIFICATE OF Sl .R- : McCOMBS-KNUTSON ASSOCIATES,?INC ?? auouas umuu a wu suanroa sun"ruu ? nn . ... .u : ? W ?"?e? ? ._.,. . _ .? ... .... rztk?, ,. - . .- . "3??c'.., ?_?:'• , ? ..,._ -. ? ? . . ...... ., .. .???.... r• , . • .. . ` , / ??a: r .=? . ? - F! F . : . .. .. . ' . ' . . . F b.' . i i a _ . ?_ ; i. . :? . : . :. . . .. .' _' ... .- .x' P . .+ -; . ? ' i • ' f _- _ S •` _ - _ _•. _ 4i . ? ? .g 4 .f- " '7985` BUILUZ:NG P£ft.?SiT; AFPI:IGATIOH;t= CI3'x' UF, Eli6AN . - - . .: .. . . ... '. y7 ':.... ,. . . ?. . . ' HOTE A1;I. CONTRAGTOR3 4 657 BE -LICENSED';NiTH 'THE CITY':OF EAGkN, ' - . , . - ;. . I;JCLUDE -2 SETS DF" PLANS . . 3 CERTIFICATES QF SltRl'EY . t SET OF c'iE'GY CkLCULATIONS 4 Tc B=,lsed For: RESIDENCE Valuation: ? Dat?: Site Fddress: ??02 CQp,xmncm 0F, OFFICE USE 0l7LY - ' Lot: (00 Block ? Sect/Sub THOInAS LK Erect", _ Occupancy . HEIGHTS Remodel _ Zoning ,-Fzrcel ? £epair: Tppe of.:Const Enlaroe of SLaries ' C}?.T?er NEW HORIZON HOmES,INC. - --?:Move _ :-L_ngth? ' -Demolish Depth kddress P.O. BOX 1367 ? Grade- Sq'Ft -.City/Zip Code mpls.. minn ssaao `..-------- ------ ------------------- .: - Phone 420-3900 - - APPROVALS Contractor SAIAE - Assess::,ents °ermit h'aterJS<:;_r 5u. ^har3e -- Address Folice Plan Heview - 'Fire = - SAC CiLy/Zip Code :Engr Lr'ater Conn ' Planner - Hater N,eter Phone Council Roed UnYt- Eidg Off ? arks Arch./Engr. D. BRISWOLO APC = eotment P1. Yariance Address - { TOTAL = C?. C/ • J ? City/Zip Code; _Phone 435-7524 . ? _ . .. . . .€ , , . . . • .:_. _ , . „ . . . ? ,. . .. i , . . , " .. ? ? - .? . . ` , . ' . _ ' .. - _ 7 , .. . _ yY _ . . , z ? • . ? ,? +-' . , i585 BUII.DItiG'}'EIt?SIi APPS.ICA3'TQ*I-- CTTT;OF,?F.AGAH ? . - . 7 . -. . ? _ , , • _ . , ? }30TE ? A1.L CONTRACTORS?qUST'SE LICEHSEU tiiZ?'H.T}iECZTY OF. EAGA2i.. ° uNtr 9G . . - - ? - - It7CLUDc ' 2 S£TS OF ALANS"` 3 C-EnTIFICkTES OF SURYEY- 1 SET Oc ci+E.°.GY CALCULE`.TIONS. O To °e Used For: RE IO NCE - L'2? uation: ? nate: Si'e Address: OFFICE USE ONLY Lot:.cSI 31ock ? Sect/Sub THOmAS LK Erect's x Occurancy fz-3 - - - HEIGHTS, Re:,,odel _ Zoning . _LZ Farcel 0 Repair..; ,... Type:,of.; Const Q' - Enlzrge_ S of. Stories ; . ?r,er NEW HORIZON H017E5, INC. ? - ' -Hove_ Length Denolish - Depth 2G 9ddress P.O. BDX 1367 • Grade Sq Ft -City/Zip Code Mpls., Rlinn .55440 '------=-=-------------------------- . Phone 420-3900 APPROVALS Contractor SRIAE - ' Assessment5 rerr.!it liat=r/S°»=r SureFar2e lt)(j. Fddress Police Plan °eview ? Slo. y' Fire SAC City/Zip Code Engr h'ater. Conn Spp, _ Planner= - Nater N.eter (03. Fnone Covncil ?oad Unit ?,8p, Bldg Offg,/6 1 r=rks 6rctt./Engr. U. GRISWOLD --- APC Treatment ?i Variance ` Gc bddress - TOl'AI, I? 7f' 50 ,City/iip Code " . - . Phcne 0 435-7524 . e ' . . . . . _ .. - . . .- a: .,:.. _ y_" , o • ,C . . - . .. . . . . . ,. _ .. . _ _. . . . , . a- ..- . . . . . _ , .. . . . . .. . . . ' . . - . . " , . . . ,y. ' . ', . . .' * " _ . . . '. " . . ' _ ' . ' ' ...-... . . . . . .. a. r t : . .. . G .. .' N . ' x . . . , s _F . W .. y. - b . .- ? • y} ? _t., ? iy" _ 4 _ " . .. ' ' n .... 4 . q '__.. .._5., . . . . . :._- f . . 1985 SU3LTJItIG't'ERtS2Y.?PPL;ICA3`IDR..-= CiTY:,OF'EAsAN , • NOTEi ? fALL COHTRACTORS: HUSlT',gE. LZCENSED:WiTH ?'1°f1E CITY:'OF -£AGAtI . C_JN I T 9? - . ' INCLUD£. 2 SETS OF FLW CERTIr ICkTES OF SUR'v'EY _ • ' 1 SET QF EPiEP,GY CALCULATIO'!S l oF g- _ F-ppp To ?e Jsed £or: RESIDENLE l'aluation: _t- - Dzte.: Site Address: ?iappTN (l9aff, )M 'D? OeFZCE USE OHLY ' Lot: cZ? Block- ? Sect/Sub . THOmRS lK Erect'V ? Occupancy ? .. ' HEIGHTS- °emodel Zoning -- _ PzrceY !l repair . ' Ty:pe',of ..Const- . ' Erilar_ge &of Stories. GanerNEW HORIZON H017E5, INC'.'. "- Move '. L=ngth Demolish - D=pth kddr=ss P.O. BOX 7367 Grade Sq-;Ft CitylZip.Code Mpls.. IAinn 55440 ----------------------------------- " Phone 420-3900 APPROVALS Contraetor SRmE Lssessments Fermit t}'ater/`°::er Su.*char3e Address Police - PTan.P.eviex Fire- SAC_: CitylZip Code Engr Water.Conn Planner h'ater Meter Phone - - Council R ad Unit . s S1dg. 0ff9 Park Arch./Engr. 'D. GRISWOLD - APC Tre?tment P1 Variance - - ? t,ddress . • TOTAL . - .i . . City/Zip Code - . , _ . . . . . . - ? - ., - Phone f 435=7524 ? . . . . . . .. _ .. . . . -.?? . - - . . . . `.. -. . . . . -- .. '.._ . _ , .-. . .. .- . , - _.,; :. .:- .,.. . . . -, .. ._ ? ;, . . _ ., ' . _ . - k - . .. . ... . . . . . - _. • • . - 3'' ... . ' + " . ' - , . '. .- ' _. . - . . _ . . r?.4'_ .. ?_ . . .. . . _ .. . . . -- . 9 ?cA51 , _. ,. .. v , ' { Fa' h x•, . „ . . . ,. . _, - _ . .. _ . ... .. , ..." , j 1435 3UZLDING?PERh3T2,LPPLICA?IO*7 - CITY DF:£AGI1H - • , `:>. 7..y , < < -k20TE. ? ALI. COtiTRAC20RS .t{US? $E LICENSED1iITfI THE GETY :.OF F1fGAN - uw IN Cl.U9E; 2- SETS OF PLANS ' - ? • 3" CERTiFICATES aF SURVEY . 1 SET OF EidERGY C:,LCUL:bTIONS To Be Used For: RESIDENCE Valuat:on: ? D'ate:- Site Ai;dress: 1(nr?o ?onni?(SY? -b?u OFFICE- USE:ONLY Lot: 5-7 Block Sect/Sub THOlApS LK .Etect', X -.OccuP anc T Y" - '? HEIGHTS. Remodel - Zoning_, Pp Farcel f, _ F.epair ' _. Type' of Const . SG , . Enlarge # of'_Storie's:.. Ow:er - NEW HORIZON HOMES,INC. - - T;ove Length . ' ?4- Denolish Depth,: --2? ' kddress P.O. BOX 1367 Grade Sq :Ft CiLy/Zip Code mpls.. minn 55440 ' ----------------------------------. ' P'r.one 620-3900 . APPROYALS ?, . . . . . Gentractor SRIIE Address City/Zip Code Pnone krch./cngr: Address D. GRISIdOLO ,"?SE..?1C:foE.. ?o??y1?1l?pV`.? HEAi' LOSS CALCULATIONS H EATING 8 AIR C.Le!"x513-K ?,-- v ON,so 33,aU0 21.,-754 CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A,S.H.V,E. Cons[ruCtion No. Insulotion Wndows Doors AeferenCe Guide Out. Wall Int. Wall Ceiling Root Floor Kind Now Applied Yes-No Yes-No 19__ , . FI.??r?uG o QRoom Length Height ? FI. (V?qSZ?y ?Y)ROOm Length ?y0 .Widliv (i Height Yii ndows a nd Doors- Crecka ge and Ar ea Windows a nd Doors- Cracka ge and Are a No. w,e,n ol ane Me?om af pane rvo. oi Ii hts Lineel fL of crack Area ea. 1t, Na' w.aon ol ane Haipm ol ane Nn. of li h[s Lmeei n. of erack area sY. It• ??. Iq? Z Z 1 ? V 2 Z? ?7 .2 coe+ eco coer aw Inliltration I 3 Infiltration 21 3 T98 Glass 149 ' 2y ?io Glass 11 1 501 Exp. well -_< Exp. wall 1(L) X Net ezp. wall ?,,,,2. 91 Net exp. wall ? 9• 25$ rfr?. wBFh 11'1 a 2,2 Int. wall Ceiling :j_ 2. ?G ?2 2b Ceiling ' .ZtJ/p 1.5 1 Floor Floor IS" 'n SCY? Total Btu. 7 5^' Total Btu. J ? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area ? PI• ?N?N(, Roan Length Wid[h HeiBht FI. ?,,e 2+tlt?c?an Length ? S Width 1? Heiyht Ylindows and Doors-Crackage and Area Wi ndows a nd Doors- Cracka ge and Area No. Widih ot ene Heipht of ane No. of li hls UnBel f1. ol crBCk Area +4• fL No' W?Mh o/ ane Hxiqht i nt anu No. ul b hts L?neal It. of crac4 Aree s0. ft. , O ? HriO Z Z$ 16 r? ' G -2- _%. Coei 8tu Coef Btu Intiltration Z.zq() intiltration .?1 Vi *!aU Glass -q So AOU(? Glass `;I) ? . Exp, wal I 7C `a 'rj ?p Exp. wall ?"2 x {a ?? Net exp. wall k Net aep. wall q ? •=4, 32 Int. wall Int. wnll Ceiling Ceilinp Floor Floor n UU Total etu. 5 Tatel atu. 3-->,q Required sq. tt. E.D.R. or sq. ins. W.A. Leader area Required 6q. ft. E.D.R. or sp. ins. W.A. Leader area FI. Room Length 1Width Height ? FI. Room Length ( Wid[h HBiBht Windows and Doors-Crackage and Area W indows a nd Ooors -Cracka ge and Ar ea NO' Widih ol ane Heiqht ol pnna No. ol li hts Lmeal f1. ol crack Area sC• It. NO' Wimh ol ano tr?p??l oM? Tnn Nn. ol li hts Lineel IL of crack 4ren s0• fL COB1 Btu COBf BtU' In(iltration Iniiltration Glass Glass Exp. wall Exp. wall Net exp. waf 1 Net axp. wall Int. wail Int. wall Ceiling 12.x.-71 2 1Q Ceiling FIOOr '- -'.Fltux ---- S ?, {. Tptal Btu. Total Btu. fiequired ea. ft. E.D.R. or sy. ins. W.A. Leadxr area ? O Roquireci Sq. ft. E.D.R. or sq. ins. W.A. Leader area HEA7 LOSS CALCULATIONS HEATING& AIR CONDIT101111NG CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Constructlon No. Insulation VTindows Doors Guide Reterence Out. Wall Int. Wall Ceiling Roof Floor Kird Haw Applfed Yes-No Yes-No 19__ gFl. (, Room Length lo Width HeiOht FI. Room Le?gth Width Heieht YOi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea No. w'idih ol anu Helphl ol ene No. ol li h1s Lineel h. of crac4 Area sq. It. N^. W?d?h ol ana Hmpht of ane Nn. ol li h1s L..eal IL of crack Area sa• It• ? 2- ^ 4 Coel Btu Coef 8tu Infiltration ?Q 1 311 740 Infiliration Glass rlinil Z(_0 Glass Exp. wal I Exp. wall Net ezp. wall 1.1 2 Net exp. well Int. wall Int. well Ceiling - Ceiling Floor 10 79 („y-1 Floor Total 8tu. 3 Totat 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. {\yvy, Room Leneth l Width 1+ HeiAht FI. Hnom Lengih Widlh HeiBht Windows and Doors-Crackage end Area Windows and Doors-Crackage and Area No. ydd,n of Bne Heipht ol ene Na. Ot li hIS l.nael tt, of crack 4?er . ?t, N?' yy?dth ol One Hn.pht; of 0nn No, o? li hte Lmeal 1'. of cr ck Aree a0. ft. r 9 Z L @s" (e ??-- Coef Btu ' Coei Btu inriit6cion 1 111 2223 inriit.acion Glass Q OC3 O Glass Exp. wall Exp. wall Net exp. I I .Z92 a 1 1 Net ezp. wal I lot.,wu r 2 '70 2.2 Int. WAll Ceiling Ceilinp Floor ZJ( ?? 42 • ? , . Floor Total Btw Total Btu. Hequired sq, ft. E.D.R. or sa, ins. W.A. leader area Required sq, ft. E.D.H. or sq. ins. W.A. Leader area FI. Length I Width Height FI. Ropm Length Width Height Windows a nd Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea N9' W.den of ene Neiqht of nne Na. u( li hts Lineal It. ol crack Ared sq. It. No. W?tln? ol ene He?q01 ul ane f Nn. n b hts neal (t. L? ol ttack 4rea sG• ft• coer eeu coef ew Iniiltration Infillrntion Glass Glass ExP. wall Exp. wall Net exp. wall 7XS SA 4A __2.y?_0 Net exp. wall Int. wall Int. wall ? Ceiling Ceiling -- Floor i.?} t,? 1 •S ?? Flwr - Tutal Btu. Tot01 Btu. Reyuued sy. It. E.D.R. or Sq. ins. W.A. Leader eree RBqyireJ sq. ft. E.D.R. ot sq. in5• W.N. Leader mea . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS J 6 G i ? INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY9 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESZRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS l! OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtMERCIAL INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: LfZ?I&-? Valuation: ?OOeD -,- Date: co SE? 1 Q? Site Address 1?uDp OFFICE USE ONLY ? Lot 61 Block I_ Parcel/Sub J A 0, t h Owner A ` ,i \\/\ . F-V CQ,frn Address U() (Je,vh$ph P)r 11 City/Zip Code C4L,G JXnn I?? IU ss?,'Za Phone q sb " o Contractor Address City/Zip Code Phone Areh./Engr. Address City/21p Code Phone 8 On site sewage_ MWCC system On site well City water _ PRV required Booster Pump _ APPROVALS Engr/Assess Planner Council Hldg. Off. Variance Occupancy Zoning Actual Const Allowable lk of stories Length Depth S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Barks Copies TOTAI, -2SI, CO ?ro PERMIT • CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: b' u i 1.. o i rv c Permit Number: 0 31 5 7<+ Date Issued: P+ 2/ 2 c;g 4 SITE ADDRESS: 16e0 e r.i FmsoN na LOI": 58 RI_llCKe 1 TH(7MAS LAI<E PiE "Ci;HTS :,Nn DESCRIPTION: cns livsEPr/ctii:; LrNks L'uu?r'I din?-6-?Perinit fvpe FIRFf'IAi:(: ti) '!iI d+ua Wdrk Type F,LT[RATI(7N 434 aLT. RESTOEN1 1.IaL \ . -- ? . , ?.? - .. . . , . REMARKS:_ k.NJriNrYiFt ue: mus?r Br iNsPCr,iEn SEFur3r- r.nN cEh i_iN?.;. FEE SUMMARY: Esase r-er $60.00 Surcharqe :F.SP. 'roCa.l. Fen - -- 56.0...50 CONTRACTOR: -A p pI J? c a ri r OWNER: SERVICES INC 7.1509815 ROHBINS I<TRI< 593 E SHADOW llaKE DR .1500 Ci Clr hiSON Dtt lN0 4FIKE5 MN 5501.4 EA GFlN MM E5127 i1 '2 ) 750-9815 (6!,3.)ti`:3J--0 52, 1h urc, bv zir.knowLadqe chac I hava rc2 :id 11vis, a npiicution ?and •sT.;[.e t.h.:t th?`u*uro,id ton is cor -r:i c t ?nci uqrce to carnplv wiL h q .l1. a pol.i.cabl:: S;CMtr-, 0 1nli,. SI:.,i:-.•tc, an a r, cv ot Eacan ord tn., nc ? APPLICANT/PERMITEE SIGNATURE -(_3SSUED BY: SIGNATUFE ? 34z? 1 R -s (,o.sD 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: ? ^ca S - ? ( L Description of Work: _ Construct new fireplace _ Alterations [o existing ? Install eas itesert onlv _ Other -x Install zns line onlv Job address: /6(..,L1 fJ L I Pm rl ??? Lot = O Block: I_ Subdivision/P.I.D. #: ???-LS Applicant (circle one only): Owner Conuactor Permit Fee: $60.50 \ame: 7 k6l&4 5 Phone #: I60 7 We,-2S PROPERTY Last First OWVER /?YJ Cle?Sa ?? ? Street Address: City J'tate: Zip: Company: t7` PQ 61,2(` ?v2e Phone #:l 756 " 7l?1J C, FIREPLACE ?/ _Q/?. P.VSTALLER StreetAddress: ? ? ? C?'7 1(+LL'"? CU Z-L iOY ? ? Ciry hG t-4 L,;25 State: f'?,q_ Zip: 556 Company: Phone #: GAS LINE INSTALLER Street Address: City State: Zip: [ hereby acknowledge that I have read this application and state that the infomiation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n /9 J??-' Ili II? i 2 „ ;ji id- Lld 3 *o PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT. NF.W CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ?p 10 -ci 4 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMLTM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExiS rco??NSrt?Sd?o $ 20.00 STATE SURCHARGE .50 TOTAL SIT'E ADDRESS: OWNER NAME: /c?Gl.ac. TELEPHONE #: 44S4- o2(o.QR IrrsTaLLER:_ SEDGWlCK HEATiNG 3 AIR CONDITfONING C0, C1'1'1': °°''wm STATE: ZIP CODE: TELEPHONE SIGNATURE F PERNVt"TEE-neJt-j 1994 MECHANICAL PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 , PERMIT kCITY OF EAGAN 3830 Pilct Knob Road PERMIT TYPE: PermitNumber: BUZLnxN?' Eagan, Minnesota 55122-1897 031341 (612) 681-4675 Date Issued: 01 / 13 / 9 8 SITE ADDRESS: 1602 CLEM50N DR LOT: 60 BLOCK: 1 THOMAS LAKE HEIGHTS 2ND P.I.N.: 10-75951-600-61 DESCRIPTION: 8u3„],diri"Sk?,Permit Type BASEMENT FINISH Suiliixrig W&rk Type ?, Al7ERATTON Qw a etswB Coc?? 434 A'L7. RESIDEN7IAL $ - U_ g li gR (< ? # ZIZ : pry? ?.? £ ? k : u76i" 3 y a'BS^9?, 4,4{??. N : 1 Yi3 ?""'I0V 4"N' ?6e a 'Rb-, REMARKS: A SEPARATE PERMTT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: i $50.00 $50.50 i APPLICANT/PERMITEE SIGNATURE OWNER: - Applicant - LflRSON ROBEFi7 674 PT DOUGLAS Rp 5 ST PAUL MN 55119 (612)702-6277 ?aua ?R n?,rtl m. d ISSUED W. S NAT E 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?-3??• ?? CITY OF EAGAN + 31541 ? 3830 PILOT KNOB RD - 55722 681-4675 New Constnietion Reauirements RemodeUReoair Reauiromenffi ? 3 registered site surveys ? 2 copies of plan . ? 2 copies of plans (inGude beam & window saes; poured fid. design; etc.) ? 2 site surveys (exterior addkions & decks) . • 1 energy calculations ? 1 energy plculations tor heated addkions ? 3 eopies of tree preservatfon plan il lot platted after 7!1/93 required: _ Yes _ No ' DATE: !ZSfAA CONSTRUCTION COST: DESCRIPTION OF WORK: L-a u-2G72 e-F STREET ADDRESS: LOT bO BLOCK PROPERTY OWNER CONTRACTOR 1 G o2 t'"_G?M S t.-iJ IJ?i 1r-E? --L-- SUBD.IP.I.D. #: Name: G--A'fZ-So&-?) 9-b&Ai?-r Phone#: ? mR Street Address: ('7?f- F+: 4?0J 6 c-,AS P4!j,'a City: S? TeA v 1- State: rv- 3 ZiP: 05611 T Company: b Le-?P--s?GI-9- Phone #: Street Address: City: State: ARCHITECT/ Company: ntA-?It"Q'-7 ENGINEER Name: License #: Zip: Phone #: Registration #: Street Address: City: Sewer & water Iicer.Red plumber (new construction only): and lot change are, equested once permit is issued. Penalty applies when address change I hereby aeknowledge 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. OFFICE USE ONLY Certificates of Sarvey Received 7ree Preservation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No State: Zip: L 60 BL CITY USE ONLY SUBD. aZ RECEIPT M. O & I 5 ?5 RECEIPT DATE: 1491F u 1998 PLZJMBING PERMIT (RESIDENTIAL) CITY OF EAGPN 3830 PILOT KNOS RD EAGAN, hIIi 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system - ------ FIXTURES ---------- EACH ---- -------------------- ----- - ----- # TOTAL Shower 3.00 x Water Closet 3.00 x I = Bath Tu6 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G.Sprinkler "fordwellingunderwnst. 3.00 = U.G. Sprinklef 'forexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = 2D.U0 Water Tum Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems' nbandonmenc 20.00 = STATE SURCHARGE .50 TOTAL ZD•,SO °----------• •--------------------------------------------------------------• --------------------- • -------------------------------------- I Aereby adcnowledge that I have read tliis appiiption, state that the infortnation is cortec[, and egree to eomply with all appiicebie City of Eagan ordinances. It is the appliwnYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages wused by the City during its nomial operetional and maintenance activiGes to the facilities construcled under this pertnit wkhin City property/right-of-weyleasement. SITEADDRESS: IbOZ cLEMSe?A1 D/2 OWNER NAME: f.?OQ LA?LSO/? WSTALLER NAME: W tWZE.Z_ /°`FLl??/l1C?A?- TELEPHONE #' ?SZ- IS6 S STREET ADDRESS: 19?I S/?Fi?Lt1/V E? /?U ciTr: E,9GAnJ 55/2 2 JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998 CITY USE ONLY pJr L •???q BL ? RECEIPT#: ?o a 091/ RECEIPT DATE: 1998 PLLJMBING PERMIT (RESIDENTIAL) CITY OF &AGAN 3830 PILOT 1IN08 RD EAGAN, P41 55122 (612) 681-4675 Please complete for: ? singte family dwellings ? townhomes and condos when permits are required for each unit D backflow preventer for underground sprinklersystem --------------------------------- FIXTURES ---------____-- EACH - -------- - - --------- --------??? # TATAL Shower 3.00 x Water C1os_t 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum • t 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = U.G. Spflnklef ' for dwelling under consL 3.00 = U.G.Sprinkler 'forexistingdwelling 20.00 = Alt6rdtlOnS * to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ` Abandonment 20.00 = l%u,e- A4"UA) Vb%z;`A STATE SURCHARGE 50 TOTAL oZ0 -Sd -- • ------------ --- ----------------------ppl--itat---ian--, s--tate ----that ---the - ---infortn-----ation -----is------- •-------------------------------------------------- I hereby acknowledge that I have read this e corteet, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibiliry to notify the property owner that the City of Eagan essumes no liability for any damages caused 6y the City during its nortnal operational and maintenance adlvities to the facilities constructed under this peRnR wkhin City propertyJright-of-wayleasement. SITE ADDRESS: llo O eZ VP/Yl?zIYYJ X%,, -- OWNER NAME: 4tnI&6 v)Q/GQ.Or/(/ INSTALLER NAME: I/J/il'L1iI? rYI211?/iY1J.AtY TELEPHONE#: ySa'Z -1S(o S STREET ADDRESS: IFS 9 J%/AY)2[.[.. r-d __- cirv: ?u-a,nm STATE:mN ziP:55/aO-L. OF PERMITTEE JSlFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 1,1L/ok CPCY LtSE ONLY LOT BL PERMIT #: '7I ?? J suso. %,,,,?wa- lae_ t?cE?r a: / 3?`?7/ - -. RECEIP'f DATE: 2000 MECHANIC,AL PERMIT (RESIDENTIAL) Date• ? - l 6 -Ud Complete this section onlv if you are installing HVAC in a single facnily dwelling, townhome or condo under construction and not ownedoccunied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) ` State Surchazge _ .50 Total $ Complete this section gnlv if you are remodelin¢. addina W, or reairian existing single-family Qweliing, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration ? FumaaQ,?/y,W,.V, dot,7rI73-7s _ Air exchanger _ Repair Other Air conditioning Other Fee State Surcharge roca,t Reminder: Call for inspections $ 30.00 .50 $ 30.50 SITE ADDRESS: 1(62UoC ,C') KblLe-?i?-c-? _ OWNERNAME: PHONE#: ?02 ? CJDOp INSTALLER'ItA[vIE: PHONE #: (ARFA ?10 ? Av«? ? , (AREA CODE) lilkitiollipIft STREET ADDRESS: CI7l': STATE: ZIP: SIGNATURE OF PERMITTEE ' CITY OF SAGAN 3830 PILOT IQdOB RD EACAN tIIl 55122 651-681-4675 z/aa CITY OF EAGAN APPLICATION FaR PERMIT SEWER'AND/OR WATER CONNECTION (PLfASE PRINT) 1) PAOPII7I7 ADDRESS: ISG.AL DE^4IPTION: -STIM'CT[.RE, DATE OF ..?:R=U\? RjIIDIIV'G Pt.tilST ISJt:l72NC.r.: ' . 'i PRESEv'T Z0„M7':/P17DPOSF'D LTSi': ]?R-1 SIIJQ? FP_yII.Y f] R-2 DUPLFX (ZFA UNITS) O R-3 TC7[v'AII-IOUSE (THE2EE + UNiTS) ( UNT'TS) O R-4 APFRT?YPi /COiV"iAMITIICNiI (UNI'PS) o cOMAMIAL/RETAIL/oETzcE a nMWxRIw o INsrrnrriorrA./GovTRNNffNr 7a APPI,ICANT 11• -' lI, . (PLEAJLPRINi) % DAME° ADDRESS: ? CITY, STATE, ZIP• t i • P??: f ? ? 3) pIZ7MBER NAME, . - E PRIN J FOR CjTY USE ONL/Im Y - I ADDRESS: PLUN S ULENSE: ? : A?ive ? CITY, STATE, ZIP: Q xp?red ? 71 Hat of Record ? ' PHONE: PLUHBER LICENSE # i 4) OOCIJPANT/arJNEFt 1VtY'1L? ?T??.? . : ADDRF'SS: CITY, STATE, ZIP: PFTONE: lDlCncG ODrui 5) INDICATE WHICH PERMIT IS BEING RDQUESTID: ? COAAIDCTION ZU CITY SETdER ? CONNEJC,TION ZU CITY FTATER Q. oPfm (PI,FASE DESCRIBE) 6) IAIUZC_ATE ONE: 7) SIGIA'IL'RE: ? PLEASE HOID APPROVID PERMIT FOR PICFC-UP BY ONE OF ABWE ? PLF115E MAIL APPROVID PERMIT ZU 1, 2, Q 4 ABC7VE (Circle one) f/A ? W/L f DATE: ? • . .. ., ,. . w ? ? . .. ... .. .. - ?e ?ewar?s?? ?r ?e ?er??.•_.... rd srt 3s?sSi??i#?i as iiii i:f w?s??i!;+! ? !n!I!!5"k!!f!!!?hn'.'? .. .. ?!k .. . . . . ' ,.. F O R C I T Y U S E O N L Y PERMIT 4 ISSUED 17 . 'r ,. •c F°ES: $_ 1c1)15fG) SETiIER PERMIT (INCLEiD: SUP.CHARCE) WATER PERPIIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER . $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP ACCOUNT liEPOSIT - SEWER . ACCOUNT DEP052T - WATER 5 Sou ..WAC . _-SAC $ TRUNK WATER.ASSESSMENT $ - `T?UNR,SEW$&.'ASSESSMfiNT ,. • .., . •?, q., ? $ ''V .LP:TERALL •BENEFI?' f /'P ..Ftt?.1TFK1 SEWER $ 1LATERAL BENEFIT/ UNK WATER OTHER 2 _ . . s . , . '_ ' .. -?•?-? „ . $ , ' f ,.TOTAL AMOUNT' PAID/RECE,IP.T,4 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? LJ YES IF YES, THEN A"PERMIT POR WORK'-WITHIN PUBLIC ROADWAY" MUST BE ISSf1ED BY THE Q NO ENGINEERZNG DIVISION. LIST AS A CONDI-• TION. SUBJECT TO THE FOLLOLdING CONDITZONS: APPROVED BY: TITLE: DhT£: ?? ?l'?? .,, , . CITY OF EAGAN APPLICATION FOR PERMIT SEWBR AND/OR WATER CONNECTION (PLEASE PRINi) I) PROPEF2TY ADDRESS: I,EIGNL DP...?CtIPTION: ?3T-LTCI'URE, DR?E OF ^zZTGi.qAL EU?i,JT ING Pt:.7IT ZSS,:Ni\G: t:?3'.,.^_=3/FLe3:J PR£SENT ;?^`nIPY:/PTdOPCx5F1J L1SF.: NAME: ADDRESS: CITY, STATE. ZIPc . • PHOME: ¦ R-1 SINUZE FAMILY ? R-2 DUPLEX (TM UNITS) • R-3 ZM-M0USE (7HREE + UNITS) ( UNITS) O R-4 APAIYR=/CaIDQvmIIiJ?il - ( UNITS) Q CadMaCIAL/RETAIIfOFFICE Q IMUSTRFAL ? INSTI4mIONAL/G0VER?T 3) -. PLUMBER NX?T,. - PL RIHT -FOR CIiY USE ONLY i PLUHBE ICENSE: i ADDRESS: 2 Aetive ? Cl'i1', STATE, ZIP: ? Expi d ? 2 -N of Hecord ? ' PMWE= lWa ' PLUMBER LICENSE # . ni ia 4) 922PANT/(7WNER IAhiE: ADDRFSS: CI71', STATE, ZIP: PlIONE: onrur 5) INDICATE WHICH PEFMIT SS BEING RDQiJE,,TEp; ? CONAIE'C1ZON M CZTY S?T^lER ? CONNECI'IOLV 7U CITY WATEft ? OTHER (PLEASE DESCRIBE) 6) INDIGATE ONE: 7) SIQA'IVRE: 2/84 ? PLEASE HOID APPROVtD PERh1IT FYlR PICK-UP BY ONE OF ABC7JE ? PI,EASE MAIL APPROVED PER.tiLIT M 1, 2, Q 4 ABCR7E p . , . (Circle one) DATE: • Q • ? e _ .. .. ,. ?, .. .. . .. . . . •rtwwae;ws?o?araa?cr,.??.?rFL.ir.ii . ? : ?+?.rr?kart ?krln'S"Ea"1'+ir'.!'n F O R C I T Y U S E O N L Y ? PERMIT # ISSUED L FEES • $ $ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IE YES, THEN A""PERMIT FC3f2` Y70RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE [_ ] NO ENGZNEERING DZVISION_ LIST AS A CONDI-- TZOIV. SUBJECT TO THE FOLLOL4ING CONDITIONS: $ $ $_ ACCOIINT DEPOSIT - SEWER $ ? (": c%U ACCOUNT DEPOSIT - WATER • $ WAC ? --_ _- , - --. $ SAC -- , . . . .. ... _ ! $ TRUNR,`WATERr.A'SSEfSqNIENT . ,.: j- $ TR[J4K SEFIER-.,SSES?'S3?,fE;NT •,?,,,,,r.{.? i . $ LATERAL BENE?IT/ rte[1NPC SEWER $ LATERAL BENEFT UNK WATER $ OTHER ?- t ?'}...j•jir. .i '.. il $ • r .?- TOT??; / l ? $ !J G?-! ;• . AMOIINT PAID/$ECE'IP?%,C? ? .. . . ?:? ? -- SEWER P°B.1IT (I'VCLEiDE SUP.CHARGE) WATER PERP1IT (INCLUDE SURCHARGE) WATER.METER/COPPERHORN/OUTSIDE READER' WATER 'rAP (INCLUDE CORPORATION STOP SEWER TAP APPROVED BY: TITLE: ? r a ',:bAT£: w ss? w?+ re w i? ?aw ?rt? se ?r rr? wt?l? ss! Rw wiv ?t? w? i? rtr# w.a wt ?r #a s? st+ ?c.? ?t ?.-? w.. 2/84 CITY OF EAGAN APPLICATION FOR PERHIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPIIM ADDRESS: IBCAL DF..'"tIPTION: 1-r" EXIS'--= `.': STRt;CZLTCZE, DATE O:' OFZTG---NAL RiTiDIIQG P^-s:-?IT TSSu`r\=: PRESE?,'T ' ZG;7TiY;/PAOPOSF?J II5E: .?a _APPLTCANP NAME: ? ADDRESS: C1'lY, STATE, ZIP: • PHCkNE: . ¦ R-1 SIIdGLE FA??IILY D R-2 DUPLEX (TM Wi ITS) 0 R-3 RYJ4v'NK(XISE (Tffi2EE + UNTTS) ( UNTTS) O R-4 APAR"u=/CaIDaA2NICri1 - ( [INITS) p CQmIIMERCIAL/REPAII,/oFFICE O IMUSTR7AL O ID1sTi'I[1TIONP.L/GOVERZ= PLEprSf} PRINT) ? t . ? i i I i 3 1 3) PIJJN18F?t NAME P _. ... -- FOR CIiY USE ONIY i ' ADDRESS: PLUHBERS SE: i ctive ? CITY, STATE, ZIP: Expire ? t -pHONE= • PLIJHBEP LICENSE N L] Not Record i a ni i •q) a,-tCTJpANr/aJNER NAME: (PLEASE PRINi) ADDRESS: CITY, STATE, ZIP: PHONE: 5) IIVQFCAT'E WHICH PERMIT IS BEING RDQUFSTFD: ? COTINDCrION 7C1 CITY SEFJER . ? CONNDC.TION ZU CITY WATER ? UPFER (PLEASE DRSt"RTRF) 6) INDIGATE ONE: ? PLFASE HOID APPROVID PERN(ZT FOR PICIC-UP Sl' ONE OF ABpJE ? PLEASE MAIL APPROVID PEPXIT RO l. 2,0 4 ABWE (Circle one) ? ,) 5IMA?-RE: 1,??. ?a.?r DATE: ?.?.? v f. ?e !e ?eauast.?a?. ir a? ?.r• ?..a??. rd ?t i!¦i..?s.a:j.:*+s i?k iswFac?p?i#!?! ?! s!k ?r4!!?!irt;?at?r;?'! ?"!1.. . .. . .. .. ??-? .. . _...... . s,?r?ait _ FOR C ITY U SE Oi3LY PERMIT # ISSUED ? FEES: $- S U $ ' k? 3 $ $ ??'uv S ._?c3c? . ??cJ $ $ ., o - .. $ SETilER PERiIIT _ (I:+TCLEID: SUP,CHARGE) WATER PER@1IT (INCLUDE SIIRCHARGE) WATER METER/COPPERHORN/OUTSZDE READER WATER AP (ZNCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC C •__'"___. ?... . :i7NK WAT9R. .UNK SEWElt- TERAL? BENE .• .. ', F' . . SS•ESSAIENT _ s•?;,; 'IT/•T1tUNK' SEWER 'IT/2'Rf7NK WATER OTHER _ :I;gTAr:. • ?, ?y_ ; . ? _, ,. - ,?.., ,:j•' ?= AMOIINT PAID/RECF?'I•PTO#, ? 0 - DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMITFOR WORK'WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE Q NO ENGINEERZNG DIVISION_ LIST AS A CONDI-• TION. SUSJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE• s : . _::QA'TE: • ' 116) ? s:r? ?r? w?in ai? irt ? wt w_r? rrt,? ?a ? re f?a wi? aH+l?k? w? is ?.+a s?.+? na? ra ?i? ?cr rc? re s}? w.?. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINi) 1) PROPERZ'Y ADDAESS: IEGAL DkC..^RI_?'I'ION: g°XIS"'= ? STRIiCP*t2E, DATE GF CRT_G-qP,L BA?i,JT ING PER-1IT ISSURN=: PRESEv'T --i ;7PY:/P?DPOSED US"': r R-1 SINGIE FP_yffS,Y ? R-2 DUPLEX (ZFA UNITS) O R-3 TOfvlIIiiODUSE (TFREE + iJN1TS) ( UNI'I'S) p R-4 P,PARMMI.'/COL?IDOM IIQILNi l ( UNITS) p COMMEzCiAL/R?OFf'ICE p ]1MUSTRIAL p INSTZZSJTIONP,L/GaVERNMm+tl' 2) APPISCANT NAt?: ADBRESS: CITY, STATE, ZIP: PHOM: ? NAME: ADDRESS: CITY, STATE, ZIP: PI-K)NE: 4) OCCUPAN'P/OW[1II2 N161E: AI7DRESS: CITY, STATE, ZIP: PElONE: (PLEASE PRINT . 5) INDICATE WFIICH PERMIT IS BEING RE7Q()ESi'ID; ? CONAIfX.TION 'It] CITY SDIER ? GONNFX`i'SON 770 CITY WATER ? 4IMR (PLEASE DESCRIBE) 6} ITIpIC,ATE pig; 7) SIC?ATVRE: 2/84 ? PIF'ASE HOID APPRWED pERMIT FOR PICK BY ONE OF ABOVE ? PI.FASE MAIL APPROVID PMMIT TO 1, 3, 4 AEOVE I ? (Circl one) v4 ii/l ?{er!/L? AATE: ? • ? Tr-- ... .. . ?...: - . ?a uewat+as? ?. ar w.? r: ..?.......+r ?t r?aarti:*+ ai ?ii wi;.s.r a , . F O R C I T Y U S E O N L Y PERMIT # ISSUED ? . . . : FEES: $ SEWER PERbIIT . (I'dCLUD: SUP.CAARGE) $ /D _SG WATER PER1iRIT (INCLUDE SURCHARGE) $ _'_ WATER METER/COPPERHORN/OUTSIDE READER $ WATER *P (INCLUDE CORPORATION STOP) ' $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ /S-e,G ACCOUNT DEPOSIT - WATER ' $ WAC SAC ? i ^, _ -.,. ;, , $ dTRUNK WATER' ?+.?SSESSMENT -,.•. ?, • ?. - $ •-TRWNI?iS?E?dFEi ?A?SSESSNI?T $ ' `L'ATERP.L BENEFIT%tRTSNK SEWER $ LATERAL 'BENEE'IT%TR[JkIt WATER $ OTHER ? ?-- ". . ?t „'." , `• ? T4Al' AMOUNT PAID/RECFiSPrT 4.S S 6 ??3 DOE9 UTILITY CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY? ?> ? YES IF YES, THEN A"FERMIZ°' FOR"`WORIC' WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE [?_] NO ENGINEERING DIVISION. LIST AS A CONDI-- TION_ SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED SY: _ ?• ? TITLE: • DATE,, p i _ < . •L . ?' . ?k ???1 ?FJ? i4 ? i? ?kl? Irt? l4 ??JO ?H? l! i l4 ?-R ?ll? 0'k/ Ft? )! ? J? ?l3q Ola 1t? !! ?-PII Ot? ?kA 14 S!!? /?I r w. , 2004 RESIDENTIAL C?ty Of Eag nRNIIT APPLICATION 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?~f ?• d? New Construction Reouirements RemodeVRenair Reouirements Office `Use On15 3 registered site surveys showing sq. ft of lot sq. R. of house; and all roofed areas 2 copies of plan Cert of Survey Recd = Y.= N (20% maximum loi coverage allowed) 1 set ot Eneyy Calculations for heated addihons Tree Pres Plan Rectl Y.,_N; 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Requiied _Y' _ N 1 set of Energy Galculations Additlon -indicate ilon-sife septic system On s?le SepticSgstem ?;Y _N 3 copies otTree Preservation Plan if lot platted afler 711193 Rim Joist Detail Oplions selecGon sheel (61dgs with 3 or less units Date ? I_?? _ l Q ? /3 /,,^} 00 Construct'on Cost / ? ?CI/oS Site Address SS?a?-IIniUSte # Description of Work (14) (k) I I,(J G? QO. dj V 6rY1.P Cl eA1ZrZ;, 4ulti-Fanu?yn?agi`S? ? - ?/ ?Fire ce(s) ? . 2 L r Pro ert Owner r? ? ?? ) W u QJ ? ^?, /yy Tele #(WI) NS? Di`ICX? h p y , , p one Contrac[or (,/?.?,?? ?11? '?j L(,dCQ ? ? • Address 5?8 S NkWv? City State Zip Jc-S?3 Telephone #(g5Z) 93s9l?(a9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet ` • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Hpve you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/ Water Contractor Y_ N If so, 25% plan review Telephone # ( ) Telephone #( Telephone # ( 1 O ? JUL I hereby apply for a Residential Building Permit and acknowledge that the inforxnation;is,complete and acc e; that the work will be in conformance with the ordinances and codes of the City of Eagari and e ate 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. 7S? vaKs Applicant's Printed Name Applicant's Si ature ? ??A 5_1 2005 RES(DENTIAL PLUMBING PERMIT APPLICATtON CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. jp l5•S° ? -- -- - I oJi 0 J? Date 1 ? PETERSON,SARA Site Street Address ? 1600 CLEMSON DRIVE Unit # - EAGAN, MN 55122 (651) 452-0982 Property Owner J Telephone # ( ) NORSLOM PLUMBING CO. contractor Telephone #( 1 Adqress ` City State Zip MINNEAPQUSt M NP540 Th A li i O ' ? _ e pp sant s: wner ontrac or Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater•-complete next section if instailing these appliances). _Sejitic System Abandonment _WaterTurnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener X Water Heatef $ 15.00 _ new ? replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild 77 $ 30.00 State Surcharge $ .50 Total $ I S. SO I hereby apply. for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be, in conformance with the ordinances and codes of the City of Eagan ?nd the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accor?ianqe with the approved plan in the everit a plan is required to be reviewed and approved. ,., I? ? .? n 9 J??F N?bl? ApplicanYs Printed Name _ApplicanYs -Ir? spli 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmdion Reauirements 3 registered site surveys showing sq. fl. of lol, sq. ft. of house; and all roofed areas (20°h maximum lot coverage allowed) 2 copies of plan showing 6eam & window sizes; poured found design, elc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot plaUed eNer 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventila[ion lorm RemodeUReoair Reauirements 2 copies of plan showing footings, beams, joists 1 sel of Energy Calculations (or heated additions 1 site survcy for addilions 8 decks Addition - indicafe if onsite septic sysfem LA D3.-7 5 .. _....O(fice lke OnN_ CBhofSurveyRecd ?_Y _N 7'reePresPlBnR¢txf Tree Pres Rgquuetl OrrsiteSeplic&ysiem <'....Y ,...,N Date 3 5iteAddress ?G?' l o` ?C•/17,?? J?? Construction Cost *s9s'y G0a ???p?Fj C,07-Q11N.!//`1Xf IInit/Ste # Description of Work liV?L SIV Q??')V Multi-Family Bldg ? ? Y _ N Fireplace(s) x 0 _ 1 _ 2 Propcrty Owner 4r lgil lS Telephone # ( ) Contractor 11191i S lvF ?ispir Address 1401 State M A/ ? /V L6ljctiIj S{ City Zip 5S5?O 715- Tclephone # (457) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Catcaorv 1 Minneso[a Rules 7672 Energy Code Categofy , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted • 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 plan2 _ 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 approyed-}an in the case of work which requires a review and approval plans. / l ? `? d ?aJ Applicant's Printe-Qd Name cant s i nature 7q2? 71 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registe2d site surveys showirg sq. ft. of lot sq. R of house; and all roofed areas (20% maximumlotcoverageallowea) i Soils Report ii proposetl building is to be placed on disWrbed soil 2 copies of plan showing beam 8 wiMow sizes; pou2d found design, etc. i set of Energy Calculations 3 copies of Tree Preserva6on Plan if lot platted after 711193 Rim Joist Defail Options selection sheet (huildings wiU 3 or less uniGS) Minnegasm mechaniql venlilation iorm 70 -0-i) RemodeUReoair Reoui2menLS ONice Use Onlv 2 copies of plan showing footings, beams, joisfs Cert of SurveyRecd ._Y _N 1 set of Energy Calculations forheated additions Soils Repod .. _Y _ N lsitesuneyforaddifions&decks TreePresPlan'Recd _Y _N, AddBion-indicatei/on-sdesep6csystem Tree Pres Required _ Y _ N OnsileSepticSystem - Y _N Date Ll /1? / 0 So Construction Cost r2/ OCC) 9& SiteAddress 1Cc>GZ g C?EkSGw fik, UniUSte # Description of Work IOKf dPECk a bD ilt? Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner HGiu2G0i wLL? CSCc-11 KAIuLl ? Telephone#(C5W22LI-SO2 (?) Contractor IHE VECk $- ycpt , CcVtiYp "Y Address (13-2 kknca; 11-Va State ':N N k• Zip City lIjU62 GpUJt fitf6Ni Telephone #(°Wl)43Z-2311 6 XT ISf' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted 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 ptan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply far 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 wluch requires a review and approval of plans. M rtk?- ? v P?, Applicant's Printed Name ? ? ? ApplicanYs Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex LP 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-piex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Descripti011: Water Damage _ Yes Valuation AIDDO - - Occupancy fz MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ A'v Tes[ _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock _ FinaUC.O. ,?o FinallNo C.O. _ HVAC Other _ Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Approved By: , 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 k• ! - ?pg k•k\ ? . eL 1, 04 S rss6.o) ?..? 00??07E p ? 3/ORiN ? , 00 / 22.33 22 33 / . C93¢0) ID ' zo o,i )?`,o N 0 ? N'•9? ? 7o a (93$.O? o : ¢. 3 ? a j ? m,: Q ?s5,33 n M m Vl (933.5) ? z.o P/o ;.P Q Dy f ,? ?- N zz5 3a ',c? M ? C435 SJ 2,3 N? 3+? ? /.Op .. -` / w r93° r eNikCG O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation=_ -- - (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= '93.b.. S--"' 0- Denotes Direction ot Surface Drainage Proposed Lowest F{oor Elevation= 9 3 7. cl 1 hereby certify that this is a true and correct represeMation of a survey of tfie boundaries ot -? Lots SJ, 58, 59 an 60? Block 1, THOPfAS LAKE HEIGHTS 2ND ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and att visible encroachments, if any, from or on said land. It aiso shows the iocation of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this 30th day ot A,y?o„sr 1g81; , i''i2P?iQ!rj5 Paul A. Johnson Land Surveyor, Minn. Reg. No. 10938 _ . . , _.._ __. CERTIFICATE OF SURY.Y . BOOC ?AGE fOr : • - - McCOMBS-KNUTSON ASSOCIATES, INC. WIISaRIIc f6uFtlt ? WIU sullv[IDI1s e zltE ruaxGs Rp, -FILE EW O???{ ?? C • F?mS '7430 ?? '.- - .. ` . _:.. Ulty Of LLLRan 3830 Pilot. Knob Road Eagan MN 55122 Phone: (651) 675-5675 - Fax:(651?675-5694 I ?gr_p?Ge Ll'se I cc/rr? / ? Permit tt ??? _ I ? Pertnit Fee: I ? ? []ate Received: I I ? I ? ? S[aff: ? L ------ ------ 2008 RESfDENTIAL PLUMBING PERMITAPPLICATION tate: 3JI2-tJd SiteAddress: /(o0CI ig t) J/r- # -6 'enant: hereGy ackrowietlge that lhis information is complete and accurate; that the work will 6e in contorcnance with the ordinances and codes of the Gity of agzq that I understand this is not a permii, but only an application for a permit, and work is not to start withouf a permit; that the work will be in xordance with ihe zpprovad plan in the case of work which requires a review and appmval of plans. x .rpiicanYName ApalicanYs:S.ature Suite #: 2E.5lDENT I OWNER Name: Gt) S Q(? Phone: Address / City 1 Zip: CC @ CONTRACTOR Name: License#: yOl ??v^??_ ? Champion Address: City: 3670 Dodd Rd. #100 State: Zip: Ph t C t P 1' ? 5 one: _ erson: _ on ac __ ? TYPE OP INORK _ New _ Vfteplacement _ Repair ebuild Modify Space _ Work in P.O.W. ? - - - Destription of work: pERMtTTYPE RE StDENTIAL ` / `? W ft aterHeater ener WaterSo Lawn Irrigation Add Pium6ing Fi#ures L__ RPZ! _ PVB) ? Main _ Lower Level) Septic System _ Water Turnaround New Abandonment 2ESIRENT(AL FEES: 50,50 Minimum Water Heater, Water Soitener , or Water Heater and Softener (indudes $.50 State Surcharge) 30.50 Lawn IrrigaFon (indudes $.50 State Surchzrge) 50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) .'Wr:ter Turnaround (zdd g135.00 i; a 5!8" met2r is required) 100,50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge) .'90.50 Fir2 Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) '1?1-) TOTAL FEES $ ?' w . . _ . _ _ . . ... ., _ _ .,, . . . , .. ? . .. „ ..,. . _ ? . ;,. ... ,,,_ : ?.:.. UR OFFICE USE ,; `:. Reuiewed By Rafe ?quired'Jnspections . . Untler Ground Roughr;ln:, _AirrTest ?'=Gas-fest; Final ?3 u? . )(,r)()b /(7 CY- y 1 i i I 1 tt /'-/ Use BLUE or BLACK Ink I For Office Use 1 61 M of EaL ~fl ~ Permit _--I ~ _1J~.__~ ~ Permit Fee: 4Aq 9, 0 d _ 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 staff. 2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION dq 81 Dam: - - IS Site Address:16PQ J6eZ )AQ0 C)~~ r__.._N__Unit`ll: Name: ~raoms--- Phone: 2. 721- I M2&_ RLSrdetttl Owner Address / City / Zip: Applicant is: Owner - Contractor Type of Work ' Description of work: I-10roQF.-1-a-- _ Construction Cost 0 0Multi-Family Building: (YesZI Na Company: f}-_T UG ~I d__,Y Contact: 3 3 Cantracfar Address: 0 .2, city: Mint2~► p~h"S ~ State: MAI_ Zip: 5-5 VO (v Phone: ~ 211__ License - 12"0 2-- Lead Certificate #:-N,41- 2 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _-No If yes, date and address of master plan: Licensed Plumber:_ Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plane and supporting documents that you submit are considered to be public information. Portions of 'the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 45440002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utilities. www.gQphwstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x l~t/f Z.~~+t?!_~ e =n ) x r Applicant's Printed Name Applica s Signature Page 1 of 3 r For Office Use e ° i Permit* E AGA Permit Fee: 1'10 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 BY d ` (651)675-5675 TDD: (651)454-8535 I FAX: (651)675-56 Staff: buildinginspections( citvofeaaan.com 2019 RESIDENTIAL BUILDING RMIT APPLICATION • Date: L / 7// Site Address: /600 6614vaer, U444^e Unit#: Name: Ararri dT 4.6(41 /074:71 Phone: Address/City/Zip: Applicant is: Owner X Contractor I T e Description of work: i p .4 ifai.*y a4419/041.4;+., �?� f'�,(/d 'y Construction Cost: Multi-Family Building: (Yes /No ) ere,i*atIv�' Z'Nt. Company:/1 ,7 414,4T7ea6Ttani ASO f1 sr. ontact: �p�/t L �?�. I,T Address: 14—//a City: f' LYf 14411-v e 7 Contractot State:Zip: 4T/. 2 / Phone:G SA 4h/ Y`' nail:cider 1prvcrAilf rx 'v' c�Jyc� l C License#: RL. 2Z 94 Lead Certificate#: If the project is exempt from lead certification, please explain why: AtfilL U1G? 414.41.49 / 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:Pians- :tom� w mk ` �: fes.. ,. class . 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.corn/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)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq i hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe ; that the work will be in accordance with the approved plan in the case of work which requires a review and approval tans. ,; ern/ Applicants Printed Applicant's Signature DO NOT WRITE BELOW THIS LINE /0b CleyyLei Ti bI / -‘ 6)64-/ SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) — Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous iQ 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 Replace — Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION 4,, _ Valuation Z; ACID. OccupancyL-- MCES System Plan Review Code Edition 1?7.1 - i J SAC Units (25%_100% )6) Zoning JPJ) City Water 1 Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings(Addition) Final I No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice &Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control — Shower Pan Other: Reviewed By: i'YYI /42/./e/ r7- , Building Inspector RESIDENTIAL FEES Base Fee 1c9 ' Jl/b ' J o 49 ../.f-r. Surcharge & , /5: o o Se• /47". Plan Review MCES SAC ,,V,i ;01 ✓ /'4� City SAC Utility Connection Chargex1fTX), Tyam ' q n /f S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3