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1601 Clemson Dr CITY OF EAGAN ? , . • - t?' 3830 Pllot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121 E? 2 12276 { PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be used tor 1 OF 4 PLEX Est Va1ue $60,000 Date JULY 14 19 86 I Site Address 1601 CLf:MSON DR Erect 11C Occupancy R3 Lot 62 Bixk 2 Sec/Sub. r r:aOMAS LAKE HTSiemodel ? Zoning PD Parcel No. ' D Repair ? Type of Const v Addition ? No. Stories cc Name 11f%11 HORIZO!. ":( ?::LS Move ? Length 44 W P• O• BOX 1367 3 Demolish ? Depth 16 Address ° tylPLS 420- 3900 Int. Impr. ? Sq. Ft City Phone Install ? 11 = o Wame sAM ? ¢ Address F W Name D. GR I SWOLD ? z a Address ? W city Phone 435-7524 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ocdinances. ? Signature of Permittee `?'t-???" ?'? '"?<•? v ? A euilding Permit is Issued to: NLW HORI ZON HOMES all work shall be done in accordance with all applicable State of Mirmesc Building Official --1` - ('- ' Assessment Permit -i Water & Sew. Surcharge Police Pian Revie Fire SAC Eng. Water Coni Planner Water Meter v-0 • j " Councit Road Unit 290.00 Bidg. Off. 7I14/86 Tr. PI. 156.00 APC Parks Var. Date Copies -$'F,084.O 0 Totai , on the express condition that 11 ' 1 Perm11 No. I Pwmk HoldK I Dsb I TNMphom # I Plbq. Ntg. Final Occ. Frmy. ? ?' S. r ?? • MECHANICAL PERMfT PERMIT # s J? ' ClTY OF EAGAN RECEIPT # 3 ? 3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE: i CONTRACT PRICE PHONE: 454-8100 Site Add r PE WORK DESCRIPTION BLDI? - Lot Block Sec/Sub > r ; ? R N ? Naa? ? FI, ?N; '? E F r ?,?? ?,?? ??•,•- ?;, ? ?: es. M lt ew Add- m u on ? Address ? r'? - x E? C ir R ' ° omm. epa c City? . OL S, 41h6he ?- Other `,4') lE?i i L m c 3 O Name _ Address City _ TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM / FEE 3/C: TOTAL• . )? .?. ?? FEES RES, HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA• COMM/IND FEE - 1 % OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) • ' T ?`? ??1 La/'-c-f,. SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN , PERMIT # ? --?--?? . • PLUMBlNG PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-e100 Site A dre " ?1 ? ` ? Lot? Block ?- Sec/Su b ? Name m , Vc City i? PhoneF; ? Name 3 Address -- p City ; Phone-' _ --? FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) - $10.00 - 20.00 - .50 ? SIGNATURE OF PERMITTES ?J FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. / New f 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 Whirlpoof - $3.00 Gas Piping Outlets - $7.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ?FEE: STATE S/C: GRAND TOTAL• --- ? 57-73•51 CONTRACT PRICE: Site Address ! 1 ? M Lot Block m Name ? Addre c City _ ? Name c Addre O CitY - MECHANICAL PERMIT GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE: _ BLDG. TYPE WORK DESCRIPTION ? Res. X New X Mult Add-on Comm. Repair Other Sec/Sub FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other I n ' t • FEE S/C: TOTAL• SIGNATURE OF PERMITTEE FOR CITY OF EAGAN PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ??"Y? ^??' • ;T PRICE: PHONE: 454-8100 Site Address t ! Lot Block Name '1 n m Addressi 7n, 1_ E n c' e n , ? City. Name • c ?; . 1 t - L c Address O CitY T1fPE OF WORK Forced Air Boiler Unft Heater Air Cond. Vent Gas Piping Outlets # Other I n `- t • r v r Phone - Phone - M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL: SLDG. T1FPE ', -? Res. x M ult Comm. Other WORK DESCRIPTION New X Add-on - Fiepair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR CONO. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTIETS - 1.50 EA. COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) SIGNATURE OF PERMITTEE ? i., FOR: CITY OF EAGAN PERMIT # / / :Z K, PLUMBING PERMIT RECEIPT # 6' 7 ? 17G` CITY OF EAGAN „ 115_/f? ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE: 4544700 Site Address ? C-57% /_1 ' /f " BLDG. TYPE WORK DESCRIPTION Lot Block ? $ec/Sub . ., ' •t.,?: ?;. , Res. New ? Name Mult Add-on ? Address?c Comm. Repair c City Z4 " L Phone `? Other ' L ' N NO. FIXTURES TOTAL - o Name t t - $3 W Cl 00 S ? 3 Address/L ? a er ose . Bath Tubs - $3.00 p City Phone Lavatory -$3.00 Shower - $3.00 Kitchen Sink - $3.00 FEES UrinallBidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ?undry Tray -$3.00 MINIMUM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IMD FEE - 20.00 Vygter Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Wh???a? _?? (ADD $.50 S/C IF PERMIT PRICE GQES ?,? piping Outlets -$1.50 BEYOND $1,000.00) : Softener - $5.00 Well - $10 00 . ; f Private Disp. - $10.00 Rough Openings - $1.50 3fGNATURE OF PER ITTEE FEE STATE S/C: FOR CITY OF EAGAN GRAND TOTAL BUILDING PERMIT 1 OF 4 PLEX Est. value $60,000 SiteAddress 1bU123 C:LC:rn: Lot6,L Block Z SeclSub. Parcel No. W Name NRW HORIZUN HOMES 3 Address P.O. BOX 1367 ° Citv MPLS Pnone 420-3900 Z o Name SAME ? Q Address ~ City Phone ~0` D. GRISWOLD F W Name _ z Address i W Citv Phone 435-7524 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 156gan Ordinanc?s. ? Signature of Permittee-ZIL-0^ NEW HORZ80N HOl?IES A Building Permit is issued to: all work shall be done in accordance with all 8uilding -1 8, Eagan, MN 55121 N2 12275 3830 Pibt Knob R d! P.O. Box 2G? PHONE: 454-8100 / ' Receipt # ? Date JULY 14 19 86 Erect IN Occupancy R3 Remodei ? Zaning PD Repair ? Type of Const. Vn Addition ? No. Stories 44 Move Demolish ? ? Length Depth Int impr. ? Sq. Ft Install ? Assessment Water 8 Sew Permit Y ''J6" • °- e 30.00 Surchar . li P g 50 i Pl R o ce Fire an ev ew SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter6 .50 290.00 Council 7/14 g Road Unit 156.00 eldg. Off, Tr. PI. Var. Minnesota Parks Copies . 00 Total , on the express condition that of Eagan Ordinances. I I I P°ink No. I rwmn HadW I om I r.i.pnon. # I nate Hty. Ftq. Frmy. plsp. PERMIT # 'V '] MECHANICAL PERMR RECEIPT # ' CITY OF EAGAN 3830 PIL OT KNOB ROAD, EAGAN, MN 55127 DATE: ' CONTRACT PRICE PHONE: 454-8100 I Site Address Lot Block ec/Sub <' ? WORK DESCRIPTION B LDiil?TYP? d ?,;'.- ,•? ._._ m Name?w Res. N@W M l Add S I Addre4s Y ^ -on u t i C . c , r - 1? • ?... ' n?ne Ciry omm. R r ?a O - 54') ther Name ? - ' ?, , • ' -' FEES ? c Address RES. HVAC 0-1 UO M BTU -$24.00 p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. i Forced Alr J M BTU COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Caas Piping OuHets # , Other r FEE SIGNATUREOFPERMITTEE ` S/C: TOTAL• 1 `' • J ' ' ? FOR: CITY OF EAGAN . • PERMIT # PLUMBING PERMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub . ?? Res. ? New , m Name Mult Add-on ?v Address Comm. Repalr c City Phone Other NO. FIXTURES TOTAL L Name ' Water Closet -$3 00 $ c Address . Bath Tubs - $3.00 ? p Ciry Phone , Lavatory - $3.00 Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE pp MINIMi1M - RESIOENTIAL FEE _ a1p UrinaVBidet -$3.00 L.aundry Tray -$3.00 . MINIMUM - COMM/IND FEE - 20 00 Floor Drains - $1.50 . , Water Heater -$1.50 STATE SURCHARGE PER PERMIT - •50 (ADD $ 50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 . Gas Piping Outleb -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10 00 . Private Disp. - $10.00 - $1 R h O i 50 . oug pen ngs SIGNATURE OF PERMITTEE FEE: 3TATE S/C: FOR: CfTY OF EAGAN GRAND TOTAL• ' PERMIT # I .-PLUMBING PERMIT S,3 3 ' CITY OF EAGAN RECEIPT # 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: L TI?, )` '- ?.% ? Name co Addre c Cityl'`? ? Name c Addre O cih+ h= FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMiJM - RESIDENTIAL FEE - $10.00 MINIMUM - COMMIIND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) 51GNATURE OF FOR CITY OF EAGAN BLDG.TYPE Res. ?Mult Comm. Other WORK DESCRIPTION New ? Add-on Repair NO. FIXTURES 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 1 Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 - Rough Openings - $1.50 T.OTAL S - . ; ? ?V FEE STATE S / C: GRAND TOTAL: DL-, b 3? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, • PHONE: 454-8100 BUILDING PERMIT 1 OF 4 :agan, MN 55121 N2? 12277 -` - Receipt # ,,,,.,, JULY 14 ,s 86 Site A(ddress 1543 CLEMSON DR Erect L' Occupancy R3 Lot" 63 EMock 2 Sec/Sub. THOMAS LAR E HTSqemodet 0 Zoning 2ND Parcel No Repair ? Type of Const v . Addition ? No. Stories ? Name NEW HORIZON HOMES Move ? Length = Q. 0. BOX 1367 Demolish ? Depth 27 o Address 420-3900 P Int. Impr. ? Sq. Ft City M LS Phone Install ? o Name SAM Approvals ? i Address Assessment ~ City Phone Water & Sew. o e ' ? W . GRISWOLa F Name L e ? ? Address En g. gW City Phone 435-7529 Planner Council Surcharge ''" • '"' Plan ReviewoO SAC ' Water Conn. 500.00 Water Meter? 00 Road Unit ' I hereby acknowledge that I have read this application and state that the Bldg. Off. 714 8 6 Tr. P? --13-6 . 0d information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinancqs APC Parks Var. Date Copi Signature of Permittee ., • 0 Total A Building Permit is issued to: NfW HORIZUN HOMES on the express conditlon that all work shall be done in accordance with all applicable Stayd Of Minnesota StaLltes??rui-6kv oi Eagan Ordinances. Building Official ?y?-- f - ? ?.; ?' - 11? ?? 1 ` 1 .11 i I 11 = ? 3 m z 0 v s s ' ? ?? ?' ' y PERMIT # ' ? ' MECHANICAL PERMIT ? I RECEIPT # , I CIT1f OF EAGAN 3830 PI I LOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE: PHONE: 454-8100 5ite Addres? e BLD(a. TYPE,, --y--?{ WORK DESCRIPTION Lot ? Block ??- Sec/Sub _7k v ' R@3. New m ? Nait?s -' '7`'' - ? Address ' Mult Add-on m R ir C c - City ' ' phone o m. epa pther Name ?? - _,, - -•?, „ - v ?=?„ FEES ? 3 Address RES. HVAC 0-100 M BTU -$24.00 p City Phone ADDITIONAL 50 M 8TU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air -`' M BTU 1? COMM/IND FEE - 1% OF CONTRACT FEE ? Boiler M BTU -It MINIMUM - RESIDENTIAL FEE - 10.00 , Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Alr Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlets # Other FEE . ' • ' _ _ -% , " S/C: -v SIGNATURE OF PERMITTEE - • TOTAL• FOR: CITY OF EAGAN . + S 7-7 3+ 5 I MECHANICAL PERMR GTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 wr'V 001nc. eunue. Ae• e4nn Site Address I Lot " Block m Name ? Addre: c City _ PERMIT # RECEIPT # DATE: _ _ BLDO+- TYPE Sec/Sub ' ? Res. ? Mutt ? ¢. . -3 4- - Comm. one pther Name r i Z c• n c? ? c AddreSS ' • ° ? ? ' p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Oudets # Other Inst. d n i? FEE S/C: TOTAL New X Add-on Repair . FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON A!R COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 E.A. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CfTY OF EAGAN CONTRACT Site Adoress MECHANICAL'PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: _ -- .,?,...?_ .... ...,._ Address City ? Name c Address O CitY ? TYPE OF WORK Forced Air Boiler 'Unit Heater Air Cond. Vent Gas Piping Outlets # M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. ? New Mutt Add-on ?iComm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 E COMM/IND FEE - 1°r6 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RES{DENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ' ? ,l_ • "' ' ' SIGNATURE OF PEFMITTEE FOR: CITY OF EAGAN PERMIT # , PLUMBING PERMIT RECEIPT # ' CITY OF E/IGAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: NTRACT PRICE: PHONE: 454-8100 Site Addr - ` Lot ?p ? Block s ? Name ? Addre a? c City ? Name 3 Addre O CitY - j FEES I COMM/IND FEE - 1% OF CONTRACT FEE ?i MINIMUM - RESIDENTIAL FEE - $10.00 I MINIMUM - COMM/1ND FEE - 20.00 I STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES i BEYOND $1,000.00) SIGNATURE OF FOR: CITY OF EAGAN BLDG. IYPE Res. Mult ? Comm. Other WORK DESCRIPTION New r Add-on Repair NO. FIXTURES 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 Whirl I - $3 00 TOTAL ? . P? • Gas Piping Outiets - $1.50 ' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE 3/C: GRAND TOTAL: CITY OF EAGAN A1 - ' •.? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 `? 2 12278 ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor 1 OF 4 PLEX Est Va1ue ` 10 «?3 ' Date JULY 14 1 g86 Site Address 1603B CLEMSOIV DR Erect L? Occupancy R3 Lot 64 eiock 2 sec/sub. TAQAlAS LNCE HTS Remodel ? Zoning PD Parcel No. ZND Repair ? Type of Const •? Addition ? No. Stories W Name N F:?9 HOR I ZON HOMES Move [3 Length 44 "? = p. O. ?x 1367 Demolish ? Depth 2 p Address Int Impr. ? Sq. Ft. City mp 8 Phone 42 `3 00 Instau ? cc OV V` ¢ ? Name SAME Phone Assessment Water & Sew. o ce _ F W Name D. GR I SWOLD e F x? Address Eng._ <W ciry Pnone 435-7524 Planner Council I hereby acknowledge that I have read this application and state that the gldg. Ot information is correct and agree to comply with all applicable State of Minnesota Statutes and City ot E"an O inances ; APC_ Var. Dati Signature oi Permittee Surcharge '"' • '"' Plan Review_O 5AC ' 0 Water Conn. ' Water Meter ? O Road Unit.Do Tr. PI. ' Parks Copie O Total , Ukg ' A Building Permit is issued to: ""`•"""' ""_""' on the express condition thai all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. I I ' IftrmM No. I w?mu Haa.r I nals, I r.epnom w 1 Il1nspecfion Dah I Imp. 11 Commanb I Ht9• Plby. Final Oce. Site Addfess" , ' j - _ Lot 1- '? Block - ?y Name"F?, Fi;j;n?f?FLL'i,L ,'.c..?. c ? Address k F r c Cily ? - aHOL S. ' MECHANICAL PERMIT RECEIPT # ? / d- CITY OF EAGAN ?/ ?/.t- ,, II 330 PiLOT KNOB AOAQ, EAGAN, MN 55121 DATE BIJ TYPE WORK DESCRIPTION v / Res. New v M ult Add-on Gomm. Repair Other Name ??'? !`?? • ? - c Address p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. ' Vent Gas Piping Outlets # Other M BTU M BTU M BTU M BTU CFM J FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 C'aAS OUTLETS - 1.50 EA. OF GONTRACT FEE COMM/IND FEE - 1°Y o MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ? ? BEYOND $1,000.00) FEE S/C: SIGNATURE OF PERMITTEE ? TOTAL: L[ . u ? FOR: CITY OF EAGAN ' ? CITY OF EAGAN ." ' 3830 Pilot Knob Road, P.O. Box 21-191 PHONE: 454-8100 BUILDING PERMIT To be used ror 1 OF 4 PLEX Est. value $ 6 0, 0 0 0 n, MN 55121 N2 12276 Receipt # Date JULY 14 19 86 Site Address 160 1 CLEMSON DR Erect CIC Occupancy R3 Lot 62 Block 2 Sec/Sub. THOMAS L AKE HTSRemodel ? Zoning Pn - Parcel No 2ND Repair ? Type of Const V . Addition ? No. Stories ¢ Name NEW HORIZON HOMES Move ? Length 44 O P BOX 1367 Demolish ? De th ? 6 p o • Address - Ci ?LS 420-3900 Ph Int. Impr. ? ? Sq Ft ry one Install = o Name SAME 0 ¢ Address ~ City Phone °C Name D. GRISWOLD ? W ? Address = aW City Phone 435-7524 I hereby acknowledge that I have read this application and state thatthe intormation is correct and agree to comply with all applicable State ot Minnesota Statutes and Citv of Eapan Qsdinancea , 5ignature of A Building Permit is issued all work shall be done in ac Buiiding Official with all Assessment Water & Sew. Police Fire Planner Council aidg. Off. 7/14/86 APC Var. Date on Permit ?? 1j1 j . v v Surcharge 30.00 Plan Review 156 . 50 sAC 575.00 Water Conn. 500.00 Water Meter 63.50 Road Unit 290. 00 Tr. PI. 156.00 Parks Copies Total $2, 084. 00 the express condition that Ordinances, , _? ? • FOR SJYE UNITS CITY OF EAGAN ? TOWNHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12275 PHONE: 454-8100 BUILDING PERMIT Receipt # ? To be uaed lor 1 OF 4 PLEX Est. Value $ 6 0,0 0 0 Date JULY 14 1986 Site Address 1601B CLEMSON DR Erect IN Occupancy R3 Lot6L Block 2 Seclsub. THOMAS LK HTS Remodel O Zoning PD Parcel No. 2ND Repair ? Type of Const 1.1n Addition ? No. Stories 44 W Name NEW HORIZON HOMES Z Move ? Demolish ? Length Depth P. O. BOX 1367 o Address Int Impr. ? Sq. FL city MPLS phone 420-3900 Install ? rc S?E o Name Approvals Fees 0¢ Address Assessment Permit $ 313.00 '- City Phone Water S Sew. Surcharge 3 0. 0 0 ? Q GRISWOLD D Police Plan Review 156 . 50 00 575 . FW ?vame Fire . SAC Address Eng. Water Conn. 5 00. 0 0 i W city Pnone 4 3 5-7 5 2 4 planner Water Meter 63.50 Council Road Unit 290 . 00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 7/14/ 8 6 Tr. pi. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of ga Ordina c s. APC Parks ? Var. Date Copies Signature of Permittee Total $2 084 . 00 A Building Permit is issued to: NEW HORI ZON HOMES on the express condttion that all work shall be done in accordance with all applicable Sta f Minnesota Stat tes and C' of Eagan Ordinances. Building Official -??-?d? • 44 ' CITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12277 PHONE 454-8100 c BUILDING PERMIT Receipt # , To be used for 1 OF 4 PLEX Est Value +$ 61 , 0 0 0 Date JULY 14 19 86 Site Address 1603 CLEMSON DR Erect Occupancy R3 THOMAS LA Lot 63 Block 2 Sec/Sub KE HTSRemodel ? Zoning PD Parcel No . 2ND Repair ? Type of Const. V . Addition ? No. Stories a Name NEW HORIZON HOMES Move ? Length 44 - z BOX 1367 P O Oemolish ? Depth a Addre Cit . . ss 420-3900 MPLS pn In4 Impr. ? ? Sq. Ft y one Install p w?.,...., $AME A PProv ab Fels z? o? V? ? ?a WW F W U? ? W_ t Address City Phone Water & Police _ Name D _ GRISWOLD Fire - Minnesota Signature A Building Pe all work shall Building Offic Permit 4 Surcharge Plan Revie Eng. Water Conn. J v v ."" Phone 435-7524 Planner Water Meter 63 . 50 Council Road Unit 290.00 wledge that I have read this application and state that the gldg. Oit. 7/ 14 / 8 6 Tr. Pi. 156.00 :orrect and agree to comply with all applicable State of tutes and Cit of E an rdinan APC Parks y Var. Date Copies 089 O O 2 3rmittee , Total ? ' is issued to: W HORIZON HOMES on the express canditlon that lone in accordance with all applicablq-%a Minne,*ota ktatu4jdaryt -,etty of Eagan Ordinances. CITY OF EAGAN o 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 122-fv 1 BUIWING-pERMIT PHONE: 454-8100 Receipt # 7U _ To be used for 1 OF 4 PLEX Est. Value $ 61, 0 0 0 Date JULY 14 1g 8 6 SiteAddress 1603B CLEMSON DR Erect 13 Occupancy R3 Lot 64 Block 2 Sec/Sub. THOMAS LAKE HTS Remodel ? Zoning pn Parcel No. 2ND Repair ? Type of Const, Addition ? No. Stories W Name NEW AORIZON HOMES Move ? Length 4.4 = P. O. BOX 1367 Demolish ? Depth-27.- o Address Int Impr. ? Sq. Ft. Ciry mpls phone 420-3900 Install ? ' cc Z o Name_ 0 U -K Address Q F W Name ? ?z-y Addre; g W ciri _ $ 316.00 Assessment Permit Phone Water & Sew. Su rcharge 30.50 Police Plan Review 158.. 00 EtISWOLD Fire SAC 575 -QO Eng. . Water Conn. 7524 Planner Water Meter 63 . 50 Council Road Unit 290.00 3plication and state that the Bldg.Off. 7I14/86 Tr. PI. 156.00 with all a plicable State of iance APC Parks Var. Date Copies Total $2.089.00 RIZON HOMES on the express condition thet aulicable Stak of Minnesot Sta? tutean 500 00 d Ciri ot Eaaan Ordinances. information is correct and agree to Minnesota Statutes and City of EgC Signature of Permittee 9!!!F? A Building Permit is issued to: N' HI all work shall be done in accordance with all Building Ottlcial CITY OF EAGAN ,,,,,b Remarks -- fwd?,io, 'Thomas La.ke Heigfit?'7?ddition Lot V Ga" Blk Paroel #10 owner street 1601 Clemson Drive state Eagan, MPtt 55122 ' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? STREET RESTOR. GRADING I SAN SEW TRUNK *SEWERLATERAL 37.61 7,52 15-05 ? - ,,,,8 WATERMAIN *WATER LATERAL ? WATER AREA < S 4.61 O 5-5-8 STORM SEW TRK 1981 312.37 2 a03.21 2 --g3 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PAR K CITY OF EAGAN 44 Remarks- ? gr4w-AMWL Addition Thomas Lake Height ddition Lot ? G/ aik Parcel #10 Owner street 1601 B Clemson Drive state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1 8 lu.S A0121 2 --8 STREET RESTOR. GRADING j 5AN SEW TRUNK C?73 ' *SEWER LATERAL o? . 37. 61 1. 0 A012 2 - 8 WATERMAIN *WATER LATERAL iggi WATER AREA .? 1981 136 5 4.61 A012172 --8 STORM SEW TRK 19$1 312.37 20.82 249• 91 A0121 Z --S *STORM SEW LAT CURB & GUTTEF SIDEWALK STREET LIGHT WATER CONN, BUILOfNG PER. SAC PARK CITY OF EAGAN Remarks qplffi!-? Addhion ''homas Lake HeigTit ?Addition Lot i(•3 e,k ??- Parcel #10 Owner strQet 1603 Clemson Drive stete Eagan, Mn 55122 ImQrovement Date Amount Annual Years Payment Receipt Date STREETSURF, g 1981 27g 71 55.94 5 a STREET RESTOR. GRADING SAN SEW TRUNK ?J *SEWER LATERAL 37. ?'1 7, 52 15.0 Q -5-$ ? WATERMAIN *WATER LATERAI ( WATER AREA ?j 19$j 136 51 27.30 5 ?1.61 0 2 - 8 ? STORM SEW TRK 1981 312. 3? 20.82 15 245 • 91 A012172 --83 55 ? *STORM SEW LAT 1981 ? ( CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN Remarks - T.S?j 6l?J 01? Addhion -Th014ag Lake HeiYht Addit ion Lot ?dkl!? eik ; w"" Parcel # 1(] Owner Street 1603 B Clemson Drive state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ?' .S A012172 - -S STREET RESTOR. GRADING SAN SEW TRUNK ? sJ 7 *SEWER LATERAL 3, 8 -37. Y; 7.52 1.0 AO? 2 5-5-83 WATERMAIN *WATER LATERAL WATER AREA 54.61 Q 5-5-83 STORM SEW TRIC 249.91 A0121 2 --8 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LiGHT WATER CONN, BUILDING PER. SAC PARK SEDGWICK HEATING & AIR CONDITIONING CO. , . HOUSE HEATING TEST RECORD ADDRESS ?(aCD ? C.LC-- IM ,1 i ? %2 1Q L CITY C vq OCCUPANT OWNER f?,l 1-57v-+ y(,LSA-1 HEAT LOSS DATE HTG. INST. -'- -- SOLD BY INSTALLED BY Electrical Work By Gas Line By w+c- k-' TYPE OF HEAT GA_ FA?. HW_STEAM SPACE HTR. UNIT HTR. OTHER GA5 DESIGN CONVERSION MAKE sf rivJ T" MAKE OF BURNER '--- Model 3 a-! G w Laj 0 d-44 d S o SeYIBl 89•7(r ? INPUT 50, 6 0 0 CONTROLS THERMOSTATHeat Plug --""- Valve !c L-!ls r'-I - x _ Limit _ S-r C-- Gv! c_ a Limit Setting Fan Setting Model Max. BTU Rating ----"-' MAKE OF FURNACE ` - Model Vent Size KIND OF LINER SIZE NONE Draft Hood !rNI v (A C- C:F- C? Regulator E S Filters Size Number t Chimney Location Inside ,x Ouuide Pilot Type ?1. --- c 7P- r," rC- Chimney Construction Pilot Make - S PA P, K- }[,Fr:1 1 T,ZtR Pilot Model Pilot Timing r,N1 ---iT,anj T L.W. Cut Off ?----- ? 3 Pressure .3,-- Percent CO Z Input CFH ?4 -7 Percent 02 Stack Temp. 2? 3°?' Percent CO t- Smoke Bomb Draft Door PressurE Wiring L5-,-- Test Tag TC 5 Lighting Inst. n? Date Tested 7 Company Testing Name of Tester Form 235 GEO. SEDGW ICK HTG. & A1 R COND. CO. HOUSE HEATING TEST RECORD AQDRESS y CITY 4- P G cqN OCCUPANT OWNER HEAT LOSS ?- DATE HTG. INST. --- - SOLD BY -? INSTALLED BY Electrical Work By _ 13 Gas Line By L` i??- TYPE OF HEAT GA _ FA?CHW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ,I o, N-` MAKE OF BURNER -?----- Model 3 y L4 c '., ww o?L-1 0 5 p Model ?-- Serial .175 e?4 94;"6' a Max. BTU Rating ---- INPUT 5 D, fl,-.,c MAKE OF FURNACE CONTROLS ( THERMOSTA T7`s I Heat Plug , Vent Size - (I Valve _ r- -!e- )a - Y KIND OF LINER SIZE NONE Limit - SrttA ! C- ?-> Draft Hood Regulator Limit Setting Y Filters Sixe Number ' Fan Setting - `oc, °c- Chimney Location lnside Outside Pilot Type - Cc-C C77 k? n ? ? I c- Chimney Construction C- ?-?`1 >> S Pilot Make 5 P.VO?K f C? rJ ? t aK Pilot Model I--FS << Smoke Bomb -- - - Wiring Pilot Timing f?! ST+4 0,4 T Drah - Test Tag L.W. Cut Off --?--- Door Pressure Lighting Inst.- Pressure ri Percent CO Date Tested !-' ``4 - ?-7 Input CFH Percent 02--?-? ??-??-- Company Testing E--?L.? L`J I c(? Stack Temp. .35 ??? Percent CO r? e, Name of Tester . .. . ' -F SE DGWICK HEATING & AIR CONDITIONING CO. ,1(p3,Z34 ? HOUSE HEATING TEST RECORD ,?''??/.f??• ? 2 2?• ?C '? ? ? ? ? - ADORESS L?= W1 S o;°J l? h2 ? \,1 t-? CITY t= er ? A tJ OCCUPANT -- OWNER HEAT LOSS DATE HTG. INST. SOLD BY " INSTALLED BY S?-???? ??I <- Electrical Work By Rf=Aµ2 Gas Line By S GO C:,N.,It L«_ TYPE OF HEAT GA_ FA X HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVER510N 'i MAKE ,j MAKE OF BURNER ?---' I Model 3qq Kl ",/ 6 XQ OS D Model I Serial ? .7 S6, A 8 8 9 7 8 Max BTU Rating . INPUT 50, n oc MAKE OF FURNACE Model CONTROLS THERMOSTATI-'R7-5q,_ Heat Plug Vent Size J , Valve KIND OF LINER SIZE NONE Limit ST?,? v? L a Draft Hood UJ fl u C1=L' ? Regulator ??G S Limit 5ettin 9 "a -? ? F' ilters Size r Number Fan Setting _ f o d°F- Chimney Location Inside >K?' Outside Pilot Type ?F-- ua L:-?- R-w i Chimney Construction C-L-4-1 S S T3 Pilot Make 5P/1cr1<- Pilot Model Smoke Bomb Pilot Timing _ ?? S T M'/?J T Draft L.W. Cut Off Door Pressure Pressure ?• 5/' iV' G- Percent CO2 5 o Input CFH `'/ 7 Percent O 2 /5 1/a %- Stack Temp. , 6 `S 0 F Percent C0 f-Jn ^+ U-- Date Tested - Wiring o? Test Tag - Lighting Inst. nr< Company Testing w < <-e- Name of Tester C?N L26,, ??) Form 235 3 ? y " q ' ? ,, . SE DGWICK HEATING &AIR CONDITIONING CO. HOUSE HEATING TEST RECORD ' YJ- 2 ADDRESS VbA 10/\.` ? R 1 V-- CITY - C N OCCUPANT -`-- OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work By z Gas Line By ««<- - TYPE OF HEA7 GA _ FA_L HW, STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURfUER -"--?? Model _ 3 UI s-v4L?I b Serial a-79Co A 8 9 0 714 INPUT SO, OOo CONTROLS ? ??? THERI'JIOSTATHeat Plug Valve ?1"4 ?- OL1- x Limit STC?VlG e ` L+mit Settirtg - ?5 U" F _ Fan Setting - ? a C ° F Pilot Type ?L-A:- CT kzz c Pilot Make SP?R K 1 !arr.i ) 7 n1Q' Pilot Model N S C I Pilot Timing - f N'STs1N T L.W. Cut Off ? Pressure -3• W. 'C , Percent COZ Input CFH LI -7 Percent O2 / N °7t- Stack Temp. - L-7 5° y' Percent C0 Model Max. BTU Rating MAKE DF FURNACE Model Vent Size KIND OF LINER SIZE NONE Draft Hood 1 r? ? UG?- J Regulator Filters 5ize Number ? Chimney Location Inside Outside Chimney Construction Smoke Bomb Draft Door Pressure Date Tested Wiring n ?-- Test Tag ? C-S Lighting Inst. - c, -7 Company Testing S ?fl? r.UC/t IVame of Zester Form 235 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 ? t : I { ? ? ?•, ?... ! r s Ci 45 .' SITE ADDRESS: , ,, 1 APPUCANT: ? PERMIT SUBTYPE: TYPE OF WORK: , .t i•: i 1 1 I t?i.i l; t J?ti k!!? ? F?f?iE t??: INSPECTION D. ON TYPE D, tI 001 IN(i S fll RE"Af1Y :IN f'? nr- t" . f`FI4 MtT I Hf V14"WE[i 9 Y WAYlVf M1 I i F ? ? Permk Holder Date TeFephone # SEWER/ WATER PLUMBING HVAC Inspsction Date Inap. Commsrrts FOOTINGS FOUND FRAMING ROOFING ROUON PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL dVP BOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAtNS Con?DucTiviTv TEST HYDROSTATIC 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: I PERMIT SUBTYPE: I I i l ii-{ 1 14 ?PECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: (A r " •4. l i.,. 1 i 1 f ! t I P: I.' } 7.' N A 1'+')1 TYPE OF WORK: .,. ,. . I f i i t'i; I ( NAI Mur1 1}inl H`:iH6 i 1 ! /11 3!4 I Nf 1%1 Tf RA71(1N ( fWi 1. 17H f RA i l!'NP ? Permlt No. Permit Holder Date Telephone # ELECTRIC PLUMBING ! HVAC Inspeetion Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PIUMBING PLBG AIR TEST ROUCiH HEATiNG GAS SVC TEST INSUL GYP BOARD FIREPLACE % FIREPLACE AIR TEST - FINAL PLBG FtNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL OECK FTG DECK FlNAL INSPECTIUN RECORD CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number: ` Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 ? SITE ADDRESS: ` , i f hl'>(lhi }lt; ' t rlf)lrt.q1r% t RKE 11F i l01i?.`, .•Plfl ? PERMIT SUBT1fPE: I I 1r1111!+H i M r:.1 ktl.nl:k : ffUtl t)lNfi N.3 0 ?1SA Aq len/q 7 APPLICANT: 1 !• 1 .? 4 ? ?f.? ?.h.'H TYPE OF WORK: ilt- ;c u r f, t I ok r? f 1-, s c;A' , ? r IfJAt , IL , ?;t ? -------------- - ------------------------- Permft No. Pertnit Halder Dete Telephone It ELECTRIC PLUMBING HVAC Inspaetion Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYP BORRD FIREPLACE L 13 ` i FIREPLACE AIRTEST -lQ'? ]e ?f FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN ? ? 383Q Pilot Kno? Road WATER SERVICE PERMIT ? P. O. Bqx 21199 `;1, PERMIT NO.: ? Eagan, MN 55121 DATE: ? ZORi . .. - r. : . ^0: Na of Units: Ownwr: !-n T i 2 c; .. lldd?asa: ?? ??• ,R ('lemsc,n D??i:. Plunber. AAeftr No.: 31 Size: ?'" 8?" oG S l Readfr No.: s 1 Nnr !o eownply wllh 11w Gty of ordim.a». B REav Doh of Irbp.: ? CITY nF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: Owrrr: SEVNER SERVlCE PERMIT NO.: D/1TE: No. of Units: /lddress: Sita Addross: r: ? Plumber. I Nm h Mw* wkb !M G!p oi oye¦ Or11Mvem By Doft of Inap.: CorwwCtion Oorps . /lacawrt Dsposit: PerenR Fee: Surchorpe: Miae. Charpst: Tarol: Doh Pold: iplumber 38:30 Pilot Anobpoad WATER SERVICE pER1NR ,P. O. d=x 21198 2 PERMIT NO.: Eagan, MN 55121 "/V D^?; Zonirg: Owner: No. of U?,its: -------------- Addr?: SMe ?Wdnss: 'ClensoL"0!'1 SOri . Meftr No.: 0lo si=e: ?- oc rL ?oe: , - K.odsr Mo.. t? 1 " °°"o"`MI"i' G ini1!$rN4S By Dote of insp.: Wkid: lnsp?, CITY OF El1GAN 3830 Pilat Knob Road SEWER SERVlCE PERIIAIT P. O. Bax 21199 PERMIT NO.: Eagan, MN 55121 DATE: ?ing' No. of Units: ? Ownsr: . Mdress: Slte Addron: - Plumber. ' ? Ior" ? wl?i !V CIlp of yMe Carweetlon Choepr . Moamt DeposM: PrrmM Fee: 5urchor": BY Mist. (honpes; Date of Irup.: Totol: Insp.: DoN Pa1d: iTY OF EAGAM WATER SERVICE PERMIT t830 Pnri Kn-)b Rosd ?0PfRMIT NO.: ?. O. Box 21199 cagan, MN 55121 DATE: za,inp: . No. of un?ts: ' . Owner: aw ` r i z on Addross: Site Addrcss: I (•ol f' 1 rr?.son i,r i . . .- Plurnber: : ? - AAeter No.: 3 7 Size: A1C• Reoder No.: ? I 'r"' fo °°"'h""iM' !i" pt'' { By/-?A ` Dote of `(_Ll - Doh Paid: Insp.: CITY OF EAGAN SEWER SERVlCE PERMIT 3830 Pilot Kno6 Road P. V. Box t7199 PERMIT NO.: Eegan, MN 55121 pqTE; Zonlnp: No. of Un1ts: , Owner; ilddross: Site Addi Plunbaw. I ofw h am%* wMr fw Caqr of Mwn Or1iNmoM. 1. By DaM of Irqp.: "'JTY OF EAGAN ? 1- ")Pilot Knub Road ? ? P. O. 6ax 21199 Eag?n, MN 55121 ; Zoninp: ' Owner: Addross: - /!? D? Strs I?dd.eas: Plunber. - Meter No.: A 7 V .2, 7 Slu: ?tt/, /?o, /f Reode? Ivc.: O 70 S 1 prw !o ooMPlp Wilii tM Gep 40*0 °rah."p` jElyHO e,, k j Oate of 1 . Conrncfion Qwroe: Aeaount Depcwt: Perrrdt Fw: Surcharpa: Misc. Chorpm Totol: Doh Pald: WATER SERVICE PERMIT PERMIT NO.: aATE: No. of Units: _ L62 B2 'i'ho: Paid: CITY OF EAGAN SEWER SERVECE PERMIT 3830 P-'ot iCnoS Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE; Zoninp: No. of Units: Owner. 1lddrru: Site Addren: Plumb?r. I .rn. M o?apy whb th. Clhr .i h". OrJluu?na?. By DaM of Insp.: ConMCtian Qhorge: /lcoount Depait: Prm* Fee: Surdharps: Misc. Chorges: Totol: DoM Pald: SEDGWICK HEATING & AIR CONDITIONING CO. NEariNG JOBNO? 76 8910 WENTWORTH AVENUE SOUTH • MINNEAPOL15, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS 1(20313 OCCUPANT/ ?? " "?/d ?'? 4!L - ct SOLDBY „(hkh' ryR CITV OWNER INSTALLE ?daLri MAKEI,-Y?J.1/ I tJ C SERIAL NO. THERMOSTAT • 600 VALVE ki?A LIMIT LIMIT SETTING I ?b FAN SETTING ' PILOT TYPE ? ???l? /• ? ? !I C ?' IGNITION MODEL •? PILOTTIMINCa S ? '? 1"'?%(}?C PRESSUR PERCENTCOp INPIIT CFH t+' ( / ' PERCENT Oz ? O`b / 7L ?L? STACKTEMP._ 2t,]SL-{_i.._ ? V PEFiCENTCO FORM 235 (REV. 11)09) MODEL C"Sli7(7 UT[' `L`y H O ?O INPUT 620,/yT 77 ! i? 11 VENT SIZE 1 NPE OF LINER-B?? LINER SIZE ?!( FILTERS: SIz?E L-'?- NUMBER ? WIRING / `?? TEST TAG LIGHTING INST. DATE TESTED I I COMPANYTESTING ? NAME OF TESTER FORMDISTPIBIJrION: WHITECOPV - JOBFILE VELLOWCOPY - CITV This rnque5t void 18 months from 67420??3 Heauest Dete ' Fire No. RouBh-in InsDection Required? Aeatly Nuw ? WiII Notify. InsVec- OYes No tor Wh¢n Neady Licensed ElecVical ConVector I herebV raquest inspeetion ot above 13 Owner electricel work insielleA et SVeei Atldress, Boz or flou N. CitY ° 3 ammn a. Tawnship Name or No. anee No. CawHy Occupt NTI ? an - P one No. , ,, t Z Powe, Sopplier _....?.,..?..a..? ?.,, .. +e+...,.. .unAw. ?. Electrical Contractor ICOmpany Nam 1 ; . .. . 7 .. .. ? ,. ' ? • ConVactor's Liconse No. - _ - tqiv 71 i 712 AVE. 40:/_ 0 s Y Mailing AOJress (CoMr?JiPr•or Qv??{LM.ki YNV pqilP.tal??qn?? ???Y 1 , . Authoriz ?anawre IC v cmr/Ownar Makine lnstallationl ?° ? Phone Number, k ? - ? 73 P MINNE, TA STATE flD OF ELECiI11CITY Gripgs-Mi B Room N-t91 MN 56104 1 V ' THIS INSPECTION NEQUEST WILL NOT BE ACCEPTED BY THE STATE BOAXO / UNLESS PNOPEN INSPECTION FEE IS 821 Univere e. St. eul, ? ENCLOSED. ? Phone(61 42- 6 REUUEST FOR ELECTRICAL INSPECTION ea-aoooi-os Iii See inslmciions lor complatin9 lhis torm on back ot vellow cooV & ? ? G-7 q 7 n Below Wark Covered by Ihis Request _ ? end ? FAd ? fleD? TVpe ol BuilO?ne - APPl??^cea Wired EquiVment Wired Home Range Temporary Service ?uplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg. Fumace $ilo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm mx, oeo v inn? isn???d?v? f P.! SVCCI?Y OuhCf O?hl'( ompute fnspection fee Below p Fee ServiceEntrenceSixa N Fee Fexdars/5ubieeders N Fee Circuits 0 to200Ams Oto30Ams Oto 30Ams Above 2_Am» 31 to 100 Ainps 31 to 100 q Swinvnin Pool Above 100_Am s Above 100_Am ' ' Transiormers rngation Booms Pdrtial. Other Fee , Signs Speciallnspection $ / ) TOTAL F ( / ertw.ks Hough-in Date 1, the Elachical Inspecbq hereby certily thet the above Final inapection hes been ? mede. tri TMSrepuestvoiAlBmonlMimm This rnquest void ? ? C-? p y- 18 months from . p ? 4l I '?1 R tS F; I ?., i R vst U,a? / ? e (?) ! K/ Fire No. Fouph-in InsVection q ired? OAeady Nuw Will Notity Insoec- ! L / ? U?? 1'es ?NO «r When Ready Licensed ElecVical ConVactor ? Owner I hereby request ins0ection of abava electrical work inetelled at: Sue t Adress, Boz p? Nou?e o. ? O Citv n ? ecban o. Township Name or No. PIT.. o. Counly Occv nt/j(PPINT) / ? ? V?) -lJr 1 ' f yte Phune Nn. Power Suppll Address Elec[rical Vactor ?IC/olmpany Namel J(' oI i f? ??U 1 C../ N Ci Cuntra tor-s Lice/n?se/No. -llJC?l Mailinq A Jress IContr1act r o1r?yO ner Making In taila[ioN? 1 I 'n ? ? J ? AuMorized Signamre IConvactBi/Owner Makiny Installationl .. P e Number MINNESOTA STpTE BOAflD OF ELECTRICITY Griges•Midwey BICB• - poom N-791 1821 Universitv Ave., St Paul. MN 55104 Phone (812) 297-2111 THIS INSPECTION PEQUEST WILL NOT BE ACCEPTED 8V TME STATE BOARD UNLESS PROPEN INSPECTION FEE IS ENCLOSED. r^ ?n ;EQUEST FON ELECTRICAL INSPECTION EB•00001.04 See inshuctions br completurq this fwm on batk of yel low coPV. ? C' ?/3k "X"' 8elow Work Covered by lhis Request `? r? Naw.'Ftltl! Reo. Tvoe ol Buildina Aooliancee Wired Equiument Wire? Water F-r--F-T Apt. Build, nq I I Dryer I I Electrie Heabng I Industr Farm p Fee 'ServiceEntrenceSi:e H Fee feedeirs/5ubtaetlers 4 Fee Circuits 4 to 200 qm 5 0 ro 30 Am s 1 0 to 30 nm>s - jAbove 200 qmps 31 ta 700 Amps 31 to 700 A s k Above 100_Am s Above 100_AmVs anstormers Irrigation 13ooms Partial-`Oth ee I I I Signs ? I ISPeaal msPecvon ?$ Hemvrks I ?), TOTAL F E?[? O T) /J / f ?l (/ I. the ElacVical I InSpBClor, hB'Bh y -ertify Ihet the abova Final ina0ection has been mede. rnm reauost ihis re9uest voiC , (LJ J1/36 18 moMhs from . C) 36884 ?? ; flpqup,@t Dat ` Fire No. q?ouuhe?n,lnsoe tion ?qeady Nuw?I/v ill Notify InsPec- n Featly ? ? ? / GYes ?Na tor Whe icensed Elec[rical Conlractor I hereEy reQUest insoection of ebove nlwr.vical work installed et: Sveet Addres , Bo or Foute o ZG - Y t-. ecLOn o. Township Name or o. e No. CountY Occ pam (PqINT) ? ?r 4 Phone No. Power Su pplie Addr.as ? ? CO-vactor IComOanamel 1 Electri- 1 hoyn?-n\c4 C"tra or's License No. Mailinp Address ICon ractor or Ownar Makine Ins[ latiunl ? - ??) ?' ?; _ DO-O I Q I? Authorieed SiBnawre IContractor?OwneTMAkInSialla[ioN P}?yne?n er L? MINNESOTA STqTE BOAND Of ELECTqIGITY Griggs-Midwev BIJg. - Room N-191 1821 UniversitV Aye.. 5t. Peul, MN 66704 Phone (612) 297.2171 n BE ACCEPTED BV THE STATE BOARO UNLESS PHOPEH INSPECTION FEE IS ENClOSEO. -00007-04 REQUEST FOR ELECTRICAL INSPECTION Sae inslructions tor completinp this torm on beck of Vellow coOY/ ?L _ EB?([ ( ?r' M A Q/? "X" Below Work Covered by Thrs Request lC ,7`?cr? ?r Fdd R.P. Tvua ol Buiidin9 AoPUOncea nnea --' " Temporary Service Home nge Lightiny Fixtures Duplex te? Heater Building Apt ryer Electric Heatin . Silu Unloader Commercial Bldy. mnce f Bulk Milk Tdnk Industrial Bldg. Conditioner Air hn? oeu v ??her (Spi3nifyl Parm t er Specily her O?her o mpute Inspection Fee Below _ . p Fee ServiceEntrenceSixe ?1 Fea Feaders/Subleeders K c ?g Fne U to 200 Am s 0 to 30 Am s 0 ta 30 Am Above 200 Amps 31 to 100 Ainps 31 [0 100 A ' Amos Above 100 Swinming Pool Above 100-Amps _ Irrigation Nooms Pertial.Other Transiormers i ^ Signs on Special Inspect S?? 70TAL F/?'7 RouOh -in f I. the Ela frical ? ? nsPBClo?. Y certily that tha xbove D 1e inspection hes been Final ? ?1mada. mis teQUaet voio 14 momrm I I v, 11 rnis reauest yoia C(' 18 months from -- Reque=t ate ^ Fire No. Rouph-in InsVection Req red ? fleady Now ill Notify InsPec- ? g ??-?'-??? Yes ?NO tor Wh¢n Ready ?61-icensed Eleclrical Contractor 1 herebv request inspaction ol above n Owner eleclricel work ins<alled at Str e Address, Boxp C ?J?o???` ? ? Ciry a o-, / ? ectmn o. Township Name or No. Ranpe No. County Oc u nnt I PP I NTI Phone No. / , I e W 9 [' Pawer 5 ier ,4tltlress Elec[ri ConVacmr ICompanY Name) C I ConV&ct? L'cen? - L?l C_ Ior or Owner Making Installationl Mailine ddres C?om c ? 1 AuNorizad Sipnamre (Contractor Owner Making InstallatioN .-' J P e Number ?r 3 ' k MINNESOTA STATE BDABD Of ELECTflICITY Tf1I5 INSPE6SIVN n[uu[si wiLi rvui Grip9s•Midway Bltle. - poom N-'197 BE ACCEPTED eY THE STATE BOARD 1821 University Ave.. St Peul, MN 56104 UNLESS PXOPER INSPECTIDN FEE IS Phone 18121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001 .04 See inatrectiona br comolatiny this form on back of Yellow coov- ta ? r n n r ••r• • a<<?w wn.k Covered bv Thrs Request ? y? ? J V O V J wira0 - Equiu??e?? wireA c,dd lding APOlioncee R Temporary Service ange Water Heater Lightiny Fixtures ? Dry¢r Electric Heatin 81dg. w Fumace Silo Unbader IAy. Air Conditioner Bulk Milk Tank Other ?en Y Other ISnncifVl fy 8l'poc'fy Ner Other L(/// p I/11/(C /IIJ Fee FlC4{IV/I I GG VG.- ServiceEnvance Size 1+ Pee Faedars/Sublanders Ctrcwts Ot p200Ams Oto30Ams Otn30Am Above 200 qm ps 31 to 10Amp 31 to 100 A s Swinvning Pool Above 100_Am s t bove lOD-AmPS A Transiormers Imgation Booms Pertial-Other Signs Special Inspection 70TA EE a murL Y'? RouBh-in Date 1, the El InsDac?aq he?aby ? erlily thet tha above I ^1e inspection has been Fina? ? `? mede. Thin repuest v01019 mOncm rtem This request void 18 m?oanNs from flequest Dat `e ?? r Fire No. RouAh-in Inspection ep red? ?Ready Nu?Will Notify InsPec- mr Wh H d Yes s ?No en ea y -ucicensed EtecVical Contractor I hereby reQUest insOaction of ebove ? Owner electrical work installed aC SVeet Address, eox or Ro te No. C'it - O K- - CU z / . / - ectwn o. 7awnship ame or Na. flange No. County OccuOantIPRINTI Phone No. ? ,0 Pdwer Suppl'e Address o Elecll I onLactor ICOmpany Name) i ConVactor's 4ic nse No. ?u?r?jrf4-?? F le c a Mailin?Jrels (ConV ctor or Owner MakinP I stailati N _c.? - ? v Authorized $ignature (Contr ctor/Owner MakinB Installation) PhIlne Number C MINNESOTA STATE eOAPD OF ELECTqICITY Griggs-Mitlwey Blds. - Foom N-191 1821 Univarsity Ave., 5i. Paul, MN 55104 Phona 1612) 297-2111 1MI5 lNSYtGIIUN qE{1UE51 WILL 1VpT BE ACCEPTED BV THE STATE BOARO UNLESS PFOPEN INSPECTION FEE IS ENCLOSED. ?;EQUEST POR ELECTRICAL INSPECTION ee-ooooi-oa L See insteuctions far camoleting this torm on 6ack ot vellow copy. "'1(" Below Work Covered 6y 7his Request cG C?5, IV :?,;L A Pea ServiceEntrance5ize tt Pee aders N Clrcuits U to 200 Am s 0 tn 30 Am>s Ahove 200 qmp5 ps 31 ta 100 q s Swimming Pool =00- Amps Ahove 100_Am)s Transformers ms Pdrtial'Other Fee Signs ction S Hemarks 1 . TOT AL EE' ?1 Nough-in ? v? I?/ 7 it; I, ehe EI ' 1 Inspeclaq he.e6y Final - ?? ce ti?y thet the above i ? Da?e i?spection hes been F!" mede. rhiarepueslvoiClBmonfhetrom ..?._ AAtl NaO. Tvue of euiltling AOOliencee WireA Equiumeno Wired Home Range 7emporary Service Duplex Water Heater Liyhting Fixtures Apt. 85ildin9 Dryer Electric Heatui Commercial 81dg, FumaCe Silo Unloader Industrial Bldg. qlr CorMitioner Bulk Milk Tank Farm Nei pea v otner ISper.lfy) t P? VecifV OMer Oth?er This w_9uest void ?_ 78 mnnths {rom C 12271 °" Requestpete/? Flre No. ReqB'retljns-pection [3qeatlY Now Will NotifY-Insper,- N Or When Ready ? Lln_.ltl Elechical Contractor I heraby request inspection oi above elecirical work installed at ? fG?G?I ee[ }1 ress, Boz or Rou[e No. , Str ?Pt ?? 1 1 /1 /1 ecbon o. Towns?ip ame or No. Range No. Coun1Y IPPI T ) nt , Occu Ua Phone No. ?? ) /5 ? ? JYI..w?? [? / ??//??Lf/./YV Power $upplier ? Address cly rn , c-`-??/G ? ' s License No. Elechical Conhact r ICompanv Namel , Conhactor B / £??iG ? P , MaJinp d ress ( ontracror or Owner Making InstailatloN Authorized Signature! Contractor/D _ t Ma ing Installationl Phone Nwnber ' . " .i'G ? MINNESOTA STATE eOAflD OF ELECTflICITY Griggs-Midwey 91dg. - poom N-181 1821 UniversitY Ave., SL Paul. MN 55104 Phone (6121 297-2111 ?-,iitEQUEST FOR ELECTRICAL INSPECTION ? / See ins,ractio-s for comVleting this lorm on back of Yellow copy. ...... .. , ,.,_., hv7;ris ReGtrest eE ACCEPTED BY THE STATE BOARO l1NLES5 PftOPER INSPECTION FEE IS ENCLOSED. mia repuest EB-DU001-04 C k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: P.Z.N.: 20-75951-620-02 PERMITTYPE: euzLoznG PermitNumber: 033806 Date Issued: 10 / 2 8 J 9 8 1601 CLEMSGN DR LOT: 62 BLQCKa 2 7HOMr7S LAKE HEIGH7S 2PdD DESCRIPTION: .-? REBUTLD Bwa?ldim'g`,PermiT. TyPe t3uikding Wb>r?k Type ?Lensus Code ? ?., ? 1 ) / \ DECK REPASR 434 AL'1". RESIDENTIAL r REMARKS: PERMI7 REVSEWED 5Y WqYNE MIILER. FEE SUMMARY: Base Fee $56,00 COPY $.50 S u r c h a r g e _,_.._.,.,...._ .$.,?..5 0 T o C a 1 F e e $61 .?0 0 Subtotal $59.50 CONTRACTOR: KENS CflRPENTRY 31885 LTLY GOMBRIDGE (612) 659-0642 - Applicant -- 16890642 STREET NW MN 55@08 I OWNER: HILt 1601 EAGAN OAVE CLEMSON Llft MN S hereby acknowledge that S haae reatl th.is information is correct and agree to comply 5tatutes n.d: Cityof Eaga.n. Urdinances.,.. ? t ? APPLI ANT/PERMITEE SIGNATURE PERMIT application and sCate Chat the wath aXl aRp3icab7.e $tete o'F Mn< -i lA JI Q?a SUED BV: SIGNAT E ` 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) s?/, U U 3'?',J_ 0? CITY OF EAGAN _ 3830 PII.OT KNOB RD - 55122 ??? `? ae"1 G 661-4675 ? New Construction Reauirements RemodeUReoair ReGUirements ? 3 registered siM surveya ? 2 copies of plan ? 2 copies oT plarts (InGude beam & window sizes; poured fid. design; etc.) • 2 site surveys (exterior additions S decks) , ? 1 energy ealwlations ? 1 energy calculations for heated add'Rions • 3 copies of Mee p2servation plan rf lot platted after 7/1/93 required: _ Yes _ No - DATE: ZD - lS ^ I? CONSTRUCTION COST; /gd-o DESCRIPTION OF WORK: ld ?g-5p G'k STREET ADDRESS: AOl SO ?,t-/ IJ ? LOT: BLOCK: a- SUBD./P.I.D. #: Name:i ?Z _?c2//'? - .?cc f 1 £. Phone #: PROPERTY Lest First OWNER / ' StreetAddresr. Lc?O?/?/3?1 SOP? City .34t/ State: -Z& Yt' Zip: 3 fq - /l0 6 ne #: Z S,-? p-a ': ? yl i CONTRACTOR ARCHITECT/ ENGINEER License # City _(41.4,4(21?S_ State: M e Zip: S57&-t'J ? Company: Phone #: _ Nazne: Registration #: Street City Sewer 8 water licensed plumber (new construcdon only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this applicatlan and state that the infortnati s correct and agree to comply with all applicatr! State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required B: State: f ? 2.40 i C3 M j 85022' 00"W lOn 6=17° 00' 00" R=639.12 0i ? 72-40 L=189.63 C_?n? _ ? ?,4 o321 8?6? 4 yy S86 ° 13' 20" E •31 .-00 31.00 ! w ?640 ? 61 0 1 (* ;1, ? 31 .0 f ? I 0° ?63 c z , c G 131 .-O01 i / / / •? ? J/ 7 16210 i o I?' ? ?? : ? ?31.00 r T9_ S81 °C 31.00 ? woo° 0 171 0p„E I^c ? ` ? tt ai ?l o! c . ? ? 7c c tn ? I / -1-T LOT 65 B L ( r 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ? ?3 ? ? D/19 New ConstNdion Reauiremenis RemodellReoair Reouirements 3 registered site surveys shrnving sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan ?d siu?YR? ....Y N (20% maximum lol cwerege allowed) t set of Energy Calculations for heated additions ]'?LL+?C¢s PI?S..HECtl _ Y N 2 copies of plan showing beatn & window sizes; poured found design, etc. , 1 site survEy for additions & decks 7ree Pr?S RecNfr2d ,...1' _.: lsefofEnergyCakulations Addition - indicate'rfon-sifeszAticsysfem D[?sitESeptiC5y5tetn _Y,...;N? 3 copies of Tree Preservation Plan if lol platted after 711193 Rim Joisi Detail Options selection sheet (bidgs wBh 3 or less units Date ConstructionCast Site Address 113 JJ UniUSte # Description of Work -'ecn ? Saa ro y- ?? c L Multi-Family Bldg ?Y_ N Fieeplace(s) ? 0_ 1 _ 2 PropertyOwner i?/kiy? c G7?ir? _ Telephone#(W) Contractor ? ?v`II`p L / Address .Sl?e?e / City %Dl6c , 5tate ?/V Zip Telephone # (??) '7/4? -7l0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUtLDING _ nesota Rules 7672 - Minnesota Rules 7670 Cateaorv 1 ? Ene?gy Code Category . Residentiai Ventilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Piumber Mechanical Conhactor Y_ N If so, 257o plan review Telephone #( Telephone # ( I?' I I? Sewer/Water Conhactor Telephone #( -5wle I hereby apply for a Residential Building Permit and acknowledge that the inform ais-con. te-aud-ac urate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 3tatutes; I understand this is not a permit, but only an application for a permit, and ork is not to staR without a permit; that the work will be in accordance with the approved plan in the gse gf ?which requires a review and approval of plans. „ Applicant's Print d Name OFFICE U5E ONLY Sub Types ? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex O 16 Fireplace . 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor _N ? 25 Miscellaneous WorkTypes l?n. ?{2??1.J !r'(?}1-L%??"? ? 5(?+?`?'iUfJ PC3YLC/? ? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair `$j1 33 Alteration ! ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demoiition (Entire Bldg) -Give PCA handout to applicant 1 Vaiuation 4 Occupancy MCES System Census Code k3N Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV , # of Bldgs Length Fire Sprinklered Type of Const VN Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framine _ Fireplace _ RI. _ Air Test _ Final _ Insulation Approved By: f L Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatmenf Plant License Search REQUIIiED INSPECTIONS Final/C.O. ?C FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucto _ Stone _ Brick w1IIC10WS _ Retaining Wall Buiiding Inspector ?jG2cri'w ('-onzlF- 7D 3` Wrr.? p?"-?.?? ???_ /00 x /0 Copies Other Total Mark and Kelty Elsenpeter From: McGlinn Margaret A LtCol 934 AW/PA [Margaret.McGiinnQminneapoiis.af.mil] Sent: Thursday, August 26, 2004 7:16 AM To: melsenpeter@frantiemet.net Subject: FW: Horizon Hills Hi Mark and Kelly I just got word from my Homeowners Association that they have approved the proposal for the porch construction. However, they are being real particular about the "siding" matching up so I am sending you the e-mail they sent to me. They also want vinyl ciad windaws. Their e-mail is below. I will be out of town until next Thursday so ff you have any quesdons I will get back to you then. Thanks for your patience. Marge -----Original Message-- From: rogge.afrni@comcastnet [mailto:rogge.afmi@mmpst.net] Sent: Wednesday, August 25, 2004 7:41 AM To: McGlinn Margaret A L.tCol 934 AW/PA Subjed: RE: Horizon Hills Mazgaret-.YES - I have bean a bit preoccupied-with:another project. It is approved WITH some stipulations - we would like a materials list from yout contractot for the vinyl siding that is required. We are currently siding in the complex with that color - Board wants to make sure that it matches - and requests to fumish the materiai to your contractor and we will bill your unit direct for the materials. Second item - any new windows in the Association are to be vinyl clad. We could not determine from the proposal if this is what your contractor is installing. So, please follow up on that change also. Subject to those two items, your project is approved. Also plan to provide us with copies of the signed off pernuts from the City of Eagan. Thanks - JaNet Association Financial Management Inc. J M Rogge, CMCA Original message ------------- JaNet I sent in my application for changing my porch to a 3-Season Porch. Did the application arrive in time for the Board Meeting last Wednesday? I wanted to contact you last week to tell you it was in the mail, but I have been so busy 8/26/2004 •. , . ` ?? i I? i 72.40 ?? 1 C3 ? 85 22 00 W I? - 6=17000' 00" R= 639.12 ?o ? 72. 40 L=189 . 63 ?•_ 1 l N74 03`?84 /s? ly S86 ° 13' 20" E '31-0Q 310 ? 064o si o . o c? vt0;? ; JI?Or 7i{ I ? ?o 31.0 7 31?00 • I ? c 0 0 3 8 v2 11 on Zf • ° 1 oc LO 7c: I ? cr 131 .-00 _-1 v N86 ° 1 ' lW ? i ? T9_ 88. lo p? n 7%} / In7?i0 V /J L _ OT 65 5 Ld 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN V 3830 PILOT KNOB ROAD, EAGAN MN 55122 S? 651-675-5675 Please complete for modifications to existing residential dwellings. Date ?_ I Site Street Address ?? " Unit # Property Owner Telephone #??_? 9 Contractor Address d ?City Telephone# (9s' State,42 L Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 7?ater Softener A replacement _ _ Water Heater additional $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $7? I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event plan is requir d to be reviewed and approved. Applic Ys rinte Name ?- Ap licant's i atur (;1 ??? ? In` SEP 16 2004 0 7 > COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EA(3AN 651-681-4675 Phone #: ( ) Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets • Archilectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . StrucWral Plans (2) • CodeAnalysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Prqed Specs (1) • CodeAnalysis (1)'• . LandscapingPlans (2) • KeyPlan (1) . ProjeclSpecs (1) • CodeMalysis (1) • Master Exit Plan (7) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (7) • Elec. Power & Lightlng Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be esfablished - If applicable • ProjectSpecs (t) 1 • EnergyCalculations (1) ^ 1 1 • EleCtric Power & Lighting Form (1) 1 . Master Exit Plan (1) 1 l . Emergency Response Site Plan (t) d • Sails RepoA (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-7000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Cail 651-215-0700 for details. Contact Building Inspections for sample. Pertnit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: IO / 47 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: L? -9!!X SITE ADDRESS: lx'O /GO 4 y- B ??y! ?7 TENANT NAME: SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Name: Phone #: m5 7frS? PROPERT'1' I.ast First OWNER Street Address: Ciry: State: Zip: Company: ?8 Phone il: 4al ' CONTRACTOR StreetAddress: G6--777-, '?/ ?-- City: v State: .?? Zip: sjl v % ARCHITECT/ ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water State: a-? --?) a? Regishation #: Or, Phone #: Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7102 75950 THOMAS LAKE HTS 2ND CLEMSON DRIVE 1582 10 75951410 01 (LOT 65) 1582B 10 75951 420 Ol (t,or 65) 1584 10 75951 440 01 (LOT 65) 1584B 10 75951 430 01 (LOT 65) 1585 10 75951 50002 (t.or7 1) 1585B 10 75951 490 02 (LOT 71) 1587 10 75951 510 02 (LO-r 71) 1587B 10 75951 520 02 (LOT 71) 1588 10 75951450 01 (LOT 65) 1588B 10 75951 46001 (LOT 65) 1590 10 75951 48001 (LOT 65) 1590B 10 75951 470 01 (LOT 65) 1589 10 75951 540 02 (LOT 71) 1589B 10 75951 530 00 (Lor71) 1591 10 75951 550 02 (i.o r 71) 1593 10 75951 560 02 (LOT 71) 1592 10 75951 49001 (LOT 65) 1592B 10 75951 50001 (t,ar 65) 7 594 10 75951 52001 (LOT 65) 1594B 10 75951 51001 (LOT 65) 1596 10 75951 53001 (Lor65) 1596B 10 75951 54001 (LOT 65) 1598 10 75951 56001 (LOT 65) 1598B 10 75951 55001 (LOT 65) 1597 10 75951 580 02 (LOT 71) 1597B 10 75951 570 02 (Lar 71) 1599 10 75951 590 02 p.or 71) 1599B 10 75951 600 02 ([,or 71) 1600 10 75951 57001 (LOT 65) 1600B 10 75951 58001 (LOr65) 1602 10 75951 60001 (LOT 65) 1602B IQ 759$1 590 01 (LO'I'65) 1601 ] 0 75951 62002 (Lar 7p ? 1601B 10 75951 61002 (LoT71) 1603 10 75951 630 02 (LO'r 7q 1603B 10 75951 640 02 LoT 11 ( ) , -- - -_". _ - 8 (PAGE 4 OF 5) COMMERCIAL I 2002 BUILDING PERMIT APPLICATION ? CITY OF EAGAN ' 651-681-4675 ? 33 ? . aS Foundation Onl New Consfruction Interior Im rovement • Struclural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis (1) " • CertifcateofSurvey (1) . CivilPlans (2) • ProjeclSpecs (7) • Code Malysis (7) " . Landscaping Plans (2) • Key Plan (1) • Project Specs (i) . Code Analysrs (1) " . Master Exit Plan (1) • Spec. Insp, & Tesdng Schedule • Certiflcate of Survey (1) • Energy Calwlations (1) not always" • Soils Report (i) . Spec. Insp. & Testing Schedule (i) • Elec. Power & Lighting Form (1) not always" • Meter size must be estabtlshed . Meter size must be established • Meter size must be established - if applicable . ProjectSpecs (1) l . EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) 1 Master Exit Plan (1) 1 1 Fire Protection Plan (i)" 1 1 • SoilsRepoA (1) b • MClES SAC determination letter . MClES SAC determination letter • MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 " Contact Builtling Inspections for sample Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for tletails. Qb C) Uo lno DATE: WORK TYPE: ` NEW A REMODEL CONSTRUCTION COST: SITE ADDRESS: lIs(7/- /?oOI ?° I(a F23 ?l" i NP TENANT NAME: Afi'r(2Dv1 /-/"I/S /7 SUITE #: FORMER TENANT NAME, IF APPLICABLE DESCRIPTION OF WORK SdC--(-'f Nazne: 0r(20' Phone#: .?4?6 ` 4?/? PROPERT'Y Last n Fust OWNER ?..__.... (! Q- rJ?i ?C 2?15 v City: fi4 Dl?5 State: 14 /V Zip: S3 y? c0 CONTRACTOR ARCHITECT/ ENGINEER Phone #: Registrarion State: Licensed plumber installing new sewer/water service: Phone #: Company: ?L-[ E,46'DT??y?+/onct [pf,/• Phone#: (Z Y&t- &l2i Street Address: ul) 6 a -/1 City: State: jvl N) Zip: Company: _ Nazne: Sueet Address ?ity: ?? ? o MaY o s zuoz I hereby acknowledge that I have read this application, state that the information is correc gree comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?? ?2-- '?? Updated 1f02 75950 THOMAS LAKE HTS 2ND 1582 10 7$9$1410 01 (LOTC>5) 1582B 10 75951 420 01 (LOT 65) 1584 10 75951 440 01 (LoT 65) 1584B 10 75951 430 Ol (LOT 65) 1585 10 75951 500 02 (LOT71) 1585B 10 75951 490 02 (LOT 71) 1587 10 75951 510 02 (LOT 71) 1587B 10 75951 520 02 (LOT 71) 1588 10 75951450 01 (LOT 65) 1588B 10 75951 460 01 (LOT 65) 1590 10 75951 480 Ol (LOT 65) 1590B 10 75951 470 01 (LOT65) 1589 10 75951 540 02 (LOT 71) 1589B 10 75951 530 00 (toT 7i) 1591 10 75951 550 02 (LOT 71) 1593 10 75951 560 02 (LOT 71) 1592 10 75951 490 Ol (LOT e5) 1592B 10 75951 500 01 (LoT es) 1594 10 75951 520 01 (LOT 65) 1594B 10 75951 510 Ol (LOT65) 1596 10 75951 530 01 (LOT e5) 1596B 10 75951 540 01 (LOT es) 1598 10 75951 560 01 (LOT 65) 1598B 10 75951 550 01 (LOT 55) 1597 10 75951 580 02 (LOT 71) 1597B 10 75951 570 02 (LOT 71) 1599 10 75951 590 02 (LOT 71) 1599B 10 75951 600 02 (LOT 71) 1600 10 75951 57001 (LOT 6s) 1600B 10 75951 58001 (LOT 65) 1602 10 75951 600 Ol (LOT65) 1602B 10 75951 59001 (LOT 65) 1601 10 75951 620 02 (LOT 71) 1601B 10 75951 610 02 (LOT 71) 1603 10 75951 630 02 (LOT 71) 1603B 10 75951 640 02 (LOT 71) CLEMSON DRiVE (PAGE 4 OF 5) 9 19s5 suII.nINc rEerar arrLscarios - crrr oF EecaJr . NOTSt ALL C087RACTpffi !ltJST BE LICEHSED YITH THS CI1T OF E?GBIf . } 3IHCd.B F6lM2 DWE[1.I110 . INCLQDE 2 3ETS OF P[.AHS; 3CERTIF C6YES OF SDEYElt'z:? 1 SET ? OF ENERGY? CALCOLATI08S ,. ' •- -. .: . :. :. - : : c . - •s .. ,._.< : - _:_ • . ' ` - ", MOLTIPLS DWE[.LIHGS - EESIDEHSIBL BFBY3L iJNIT3 _ FDE SAf.S OHIi3 INCLQDE 2 SETS OF PLANS, CE6TIFICATS OF SQEYSf - CHF(.(x wITH BLDG. DEPi., . 1 SET OF ENERGY CALCOLATIOHS _ Wl4SEHCI9L INCLODE 2 SETS OF ARCHITECTDR6L & STEQCTORAL PLANSs, ,•. i SET OF SPECIFICATIONS AHD 1 SET OF ENERGY C9I.COLATIONS, ' $20000 LANASCAP6 HOHD _ • _ / ? ?P ?-,?,I Q U U 4 ^ - ( To Be Osed For: RESIDENCE Valuation: Date: 8 p? g o Site Address 0-34 ezaA,,) Lot 441 Block o2- Parcel/Sub THOMAS LAKE HETGHTS ?? Owner NEW HORIZON HOMES. INC. 9ddress P. 0. BOR 1367 City/2ip Code MPLS. MINN. 55440 Erect _ Occupanep Remodel Zoning Repair _ Type of Const Additioa # of Stories _ Move Length Demolish _ DeptL Int.Imgr. Sq Ft Instali Phone 420-3900 ' Contractor - SAME ' gddress City/Zip Code Phone Arch./Engr. _D._GRISWOLD Addresa City/Zip Code Phone # 435-7524 9PPHOVALS FEES Assessments Permit ' Siater/Sewer Surcharge Police Plan Reviev Fire SAC Eagr Water Conn Planner Water Meter Council Aoad IInit Bldg Off r Treatment P1 APC Parks Pariance Copies ? =YPfAL HO?E: ADDSESSES FOB CORAEH LOiS - CONiRAC?OR/HO2SEOW9EB SQS? DESIGHAYE WHICH ADD$ESS IS DESISID. NO GHAAGES WILL BE AL[,OWED ONCE BQILDIHG PEHMI2 IS ISSQED. 1986 HIJII.DIHG PE@SI! APPLICATI03 - Q7i OF ESGAII , HOi6s Aid. COHiRACfOBS IiOST BE LICEHSED YIiH THE CI1T OF EAGAII ? ? SIBCd.S FAlMT D4?E[d.IHG4 ' ' ? . - `? ; _ . .. . Xr t. ? a1? !?. " ;.'? P t2' ?r`4s.:'.??,\. 3 . ' . . • n.?i'"? • '..ZNCLUDE PL 2 SEY'S OF AAS, _3 C_EItTIFICAiES OF SOHVEL,,-• 1 SE? OF ENERGY CALCOLATIOSS :.- : ., . , . . , _ .. , .. .. .- / HOLiIYLB DiIE[.LIHGS . HESIDEB2IaL yHFN'IAL IIHITS 'FOE SAI.B L1NITS _? . INCLQDE 2 SETS OF pLANSI CE&TIFICATB OF SQEYE! - CHECK iiITH BLDG.DEPS.v 1 SET OF ENERGY CALCULATIONS . (OMME9CIAL : . , ' . INCLODE 2 SETS OF ARCHITECTQR9L & STEOCTORAL PL9N3s' 1 SEY OF SPECIFICATIONS AND 7 SET OF ENERGY CALCQLATIONS, i2, 000 LANDSC9Pfi BOND ,_ ODU To Be Osed For: RESIDENCE .Valuatioa:"o-''Site Address l?pQ,3 ???./nSOnJ /J Lot (,j Block o2. , Parcel/Sub THOMAS LARE HEIGHTS ? Owner NEW HORIZON HOMES. INC. 9ddress P. 0. BOX 1367 City/Zip Code MPLS. MINN. 55440 Phone 420-3900 ' Contractor SAME ' Address Citq/Zip Code Phone Arch,/Eagr, D. GRISWOLD 9ddress City/Zip Code Phone # 435-7524 M o-d? - 9 9 Erect _ Remodel _ Repair _ Addltion _ Move ' _ Demolish _ Int.Impr. _ Install _ Date: Occupancy Zoning Type of Const # of Stories Length ? Depth "L S9 Ft gPPHOVALS FEFS . 3 Assessments Permit Water/Sexer Surcharge Police Rlan Reviex S Fire SAC S 7S Engr Aater Conn $ O-0 Planner Aater Meter ? Council Road Oniti d Bldg Off i Treatment P1 S 9PC Parks Variance Copies TOTdL ? HOTE: ADDHESSBS FOH CORHEB LO'IS - CONYFAC?Ofl/H02SEOWHEE HOST DESIGNATB WHICH ADDHESS IS DESZRID. BO CHAAGES YILL BE ALLOWED ONCE BIIILDING PEMiIT IS ZSSIIID. 1986 B[JILDIBG PERMI! dPPLICS2IOa - CITi OF EACsEN , . NOiEz AId. COHYRACSOBS MOST BE LICMED ilI2H iH8 CITI OF EAGAH .J6 SIBCd.E FAMI.! DiTELLING$ •: y . . i ' . ZNCLADE 2 SETS OF PLANS; 3?CERTIPiCATffi OF SOEYSI? =_ - 7 SfiT OF SEtfiAGY CALCOI.ATIOBS _ . -: . ,. . , .:- - • : -/ MOLrIPLS DWELLIHC.S - E6SIDEHTIAi. .?EFFIALDeiI'LS `FOB SAI.S IINTt3 ? . . • INCLODE 2 SETS OF PLANS, CEHTIFICATS OF SQSYEi - CHECK itiTH HLDG.DEPl.? - 1 SEf OF ENERGY CALCULATIONS COZ4EHCZiL INCLODE 2 SETS OF ARCHITECTORAL 1 SET OF SPECIFIC9TIONS AND 1 ENERGY CAI.CQLATION3, $2sOD0 LANASCAPB BOND . n t= 4 & STROCTORAL PLAN3, SET OF ' . GO, O(90 To Be Dsed For: RESIDENCE Valuation: ?-yy?? Date: F -a Y-g4, Site Address A?0/ 6 ?/Y710 ? Lot 6 / Hlock o2., Parcel/Sub THOMAS LAKE HEIGHTS ? Owner NEW HORIZON HOMES?, INC Address P. 0. BOX 1367 City/Zip Code MpLS. MINM, 55440 Phone 420-3900' Contractor SAME - 6ddress City/Zip Code Phone Arch./Engr. D. GRISWOLD 9ddress City/Zip Code Phone # 435-7524 /-)'J od.c.-Q_ - c'/(? Ereet Occupanep [Z 3 _ Remodel _ Zoning f-p Repair , Type of Const _-ST_ 6dditioa f of Stories Move - Length 46r _ Demolish DeptL _ Int.Impr. -- - Sq Ft Install APPEOYAL4 FEES Assessmenta Permit 31 3. Water/Sever Surcharge 30 Police Plan Reviesr 15cv• 5O Fire 59C 5?S Engr Nater Conn S00 Planner Aater TSeter (03, T Couneil Aoad IInit 2q O. Bldg Off , . Treatment P1 IS<o. 9PC Parks . Varianee Copies 'iYYIAI. ? SOTEt ADDEESSE3 FOH CORBEE LO?S - CONT69C?08/HOIiEONNES HOST DESIGRATS YHICH ADDHESS IS DESIHED. HO CHANG£S WII,L BE ALLOidED ONCE BIIILDING PEA2SIT I3 ISSIIED. 21o ?9s5 son.n?c re?r epptscanos - citi oF EacaII HOTEt !LL COHiRALTOBS MUS7 BE LICFNSED YI?H THE CISS OF EAGAa JL ,. SIHGGLS FAlILZ DiIELLIA('¦S . .? INCLQDE 2 SE?S' OF PL9NS'; 3 CEitTiFIC9TES OF SOBOEY?-• i SEl OF SgBRGY C9LCOLATION.4 :^. . !lDLTIPLS DYII.LIHG4 ESSIDEBiIAL SkN'PAL DHITS ` . FOH SALS 09ISS ' INCLQDE 2 SETS OF PLANS, CEEiIFiCATB OF SQEYSt - CHECK fiITH BLDG. DEPS., - t SET OF SNERGY CALCQLATIONS _ (OtPE@CI,4L INCLODE 2 SETS OF ARCHITECTORAL & STHOCTQRAL PL9NS, ' i SBY OF SPECIFICATIONS $ND 1 SET OF - ENERGY C9LCQLATIONS, $2,000 LANASCAPB BOND To Ee IIsed For: RESIDENCE Yaluation: ?/ n.,n Site Address Lot LOa. Block oL Parcel/Sub THOMAS LAKE HEIGHTS a-- Owner NEW HORIZON HOMES. INC,_ Address P. 0. BO% 1367 Citq/Zip Code MPLS. MINN. 55440 P6oae 420-3900 - Contractor SAME ? Address City/21p Code Phone Arch./EnV. D. GRISWOLD Address ' City/Zip Code Phone # 435-7524 V2? eo'e--- - 9(!? Erect Remodel Repair _ Addition _ Kove - Demolish _ Int.Impr. _ Install _ 9PPBOYdI.4 << Date: O -';2q-S6 Occupanep Zoning Type of Const # oP Stories Length Depth Sq Ft FEFS Assessments Permit - Kater/Sesrer Surcharge Police Plan Reviev Fire SAC Engr Water Conn Planner Water Meter Council Road QaLt Bldg Off / Treatmeat P1 9PC Parks Variance Coples TOYAL HOTE: AADEESS6S FOS CORAE$ LOTS - CONTRAC?OE/HOIiEOWHE@ lSOS? DESIGA9iS WHICH ADDHESS IS DESIRED. HO CH6NGES WILL HE ALLOiiID ONCE BIIILDZHG PEHIMIr IS ZSSQED. -? ` ?CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? VERMITTYPE: Permit Number: Buz?ozN? 0 3 0 7 5 4 Date Issued: 0 9/ 0 9/ 9 7 SITE ADDRESS: 1603 CLEMSON OR LOT: 63 BLOCK: 2 THOMFlS LAKE HEIGNTS 2ND P.I.N.: 10-75951-630-02 DESCRIPTION: Buildin ,;Bukl,d3n ` Census !?- ?. (GAS) ermit Type FIREPLACE o;r-:? 7ype NEW 8 ?n 434 fiLT. RESIDENTIAL t REMARKS: FEE SUMMARY: ?v???` ` ??? fi un.. Base Fee $50.00 3urcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - OWNER: VIERECK FIREPLACE SALE5 14405620 WINTON MARTENSON 1r6151 MAIN AVE 1603 CLEMSON OR PRIOR LAKE MN 55372 EAGAN MN (;612) 440-5620 (612)452-7812 I hereby'acknowledye CkaC S have read `t his 1app13'datiarr °arid"stite tMa`t tH? infarmation is aorrect and agree to comply_with all applicable State of Mn. r 9tatutes _,and City q,f Eag,an p?d?n?9nces , i mA APPUCANT/PERMITEE SIGNATURE ISSUED BY SIG UREJ %, - 3CITY _??' OF EAGAN 4?0•zp 3830 PILOT KNOB RD - 55722 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: 7K INSTALL NEW FIREPLACE: _ WOOD BURNING 7X GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE lNSTALLED IN: S7REET ADDRESS: LOT _V BLOCK I_ APPLICANT: (circle one only) SUBD./P.I.D. #: OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: w?i ? ?f?r°.vSD.f/ Phone #: Signature: Street Address• City: _ Company: Signature: State: Zip:. Street Address: License #• City: Company: Phone #- Name: Signature: Street Address• City: State: Zip: PERMIT CITY'OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMITTYPE: BulL°ING Permit Number: 033805 Date Issued: 10 / 2 $ / 9 8 SITE ADDRESS: ,P.I.N.: 10-75951-630-02 1603 CLEMSnN DR LOT: 63 BLOCK: 2 THOMflS LAKE HEIGHTS 2hID DESCRIPTION: ON tJECK ALTERATION ALT. RESIDENTIAI, - 'i , , _V - REBl1ILD 6 flDD Bu,kfdi.riq-iPermit TYPe Buiilding W`o^rk Type 1.Census Code 434 .i ' .._i`._ ?`- •?(. 'ltE t? t (= tut., J REMNFY%YNC FOOTINGS ALREADY IN pLACEe PERMTT f2EVIEWED BY WAYNE h1ILLER. FEE SUMMARY: Base Fee $50.00 COPY 50 Surcharge mm?$ _50 Total Fee $51.00 Suhtotal $50.58 CONTRACTOR: - App1i°anz - OWNER: KENS CARPENTRY 16890642 MARTINSpN WESTON 31885 LILY S7REET NW 1603 CIFMSON DR CflMBRIDGE • MN 55008 EAGAN MN (612) 889-0642 (612)452-7812 ? I hereby acknawiedge that S have read Ghis 3nformation is correct and agree to comply Statute and City nf Eagai1 Ordinanaes. A? A APPIIGdNT/PERMITEE SIGNATURE application and' state that the with ail appai:cable State ot hip. -1 -- L?UED BY: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENT ) 5/ d u } ? CITY OF EAGAN ? J 3830 PII.OT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeVReoair ReauiremeMs ? 3 registered sde surveys ? 2 copies ot plan O 2 copies of plans (inGUde beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions & decks) ? 1 enargy calalations ? 1 energy caleulatlons for heated addRions ? 3 copies of tree preservation plan 'rf IM platted after 7/7/93 required: _Yes _ No DATE: _%b / S- %' 9' CONSTRUCTION COST; DESCRIPTION OF WORK: STREET ADDRESS: ?Gz ?3 1gh2 LOT: BLOCK: a SUBD.IR.f.D. #-.-\ rin VWCO Name:?'(1(?Z?/l? > Phone #: PROPERTY 1-ast Firot OWNER / Street Address: /(2 0? ?, p y? City State: du? K? Zip: C(- Company:? ?ilf?7 l._44,2,?jtJ / 2 Phone CONTRACTOR ,?r? ',p StreetAddress: c?/ov- el(I ? ?rv/x) License# CrtY a3yy( ?L2i State: vJ Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new conshuction onty): and lot change is requested once pertnit is issued. t hereby acknowledge that I have read this application and state that the State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes No _ Not Required Penalty applies when address chang and agro to comply with all applica6l 7BY- , . ?? j ?? j F 85?22?00" W> IM IP r 1 0=17000' 00" N74 ;32, 8;i u ?` , , , •? ? 5 L=189. e -. • %JV siWo 0 z?3°621 c ? (D .7,? . : ? 131 = 00 31 . nn ? ?s4 o cn v ? 31 p? D . OW' ID-pb C 3 ?o? R' 639.12 C1188 . 9e T9 S8 31. o° ?I W . ovj• , o '? 3 T01 e ?Rni to e0?sQOn? ° 131. o0 0 ?5 7 c ? t al •v J % ? ?l p 1 c . to erLOT 65 ? 1 B L? ? . ; - CITY O F E G A l? **,a?: P? °F ?? T? oF . p,ePLacAxiON noES rxrr cONsTzAM ; arrRwai. oF PERrsr. ? APPLICATION FOR PERMIT * IMPEMON OF SEyM AND/IOR NUER 13 rNernr.ramrONS WII'.L NiOT BE SC?- SEWER AND/OR WATER CONNECTION mm *UNTIL P?T HASBm f; - • w Al'PROVM- 3A?: + . . .:'--. *§ . ? ,_;,"??'.?,.`., : ? '?i?rllir;?rls*7nt7#inF#ttl.ilw4**?Irintir+ttlfrktf??? °^?,? *? ,'O P ease Print .,?? t/? PROPERTY ADDRESS:# I IUV ? "? ??,?.? ?Y• "?'?+ ` ?'i ?' .VLEGAL DESCRIPTION -Z-- s,.-. ,'-'`• ;?",? Lot Bloc Sub ivision or Tax Parce ID ,-? K a y? i..f? K F?wiVµ M"'!..,1 • ? . .n? ? IF E7ISTING S'TRLriT.'RE. DATE OF ORIGIm BCILDIIVG PE.4MiT- ISSCANCE: .. " ?^ ? w/yM?y???????/ }?[?? l•!.N{ th/Y F..f?. ... °??`?."+/ VJL a'. . i. . 9LT?x(J' F,x }yp? ?,? = ? u ,rnC?JGI'?-Lj4w ?. ' '$`^? \ s . ai? 1.5•%P ? ? - CE "a? ?] R 1 SINGI.E (AMILY , ? mf? • : '? _.. '????? W -Rm`C Q R?-2?DL?PI.E7C 7W _IInitS ) aa - -« , . ??,? ? Il?SrS2L'TIONAL/GaVIItI?NT ,? R 3 TDW100U5E (Three + Un1ts) f??Unlts) ? ? r ,.^ - ?,s Q R 4.„=APARTT?Nt'?CO?IDO2?IZITII.?h1 ? `?JI11t$ a.». ?. se . ? r'tr h :. ''{, ,S _: .. "Nn+M ,.M b, . .. .i ? 40 . ?n l F '??a ??+111 `11t11L? Vyr?i? ' u i ?t `?_? ? ?• i-..?'. ' PHMZ aR s ?,.., F« 3?- -.-„ t - Use, ? ,? * . . Plumbers I,icensee' Active `. ???? CTl"1.?91ETL. ZIP? • ExPired . r' ?-- ? - • < 14Dt Tecxrded MFh.S"fER S?tiel , ,?4j ••• . ? i? ? -=,?? : ?x ? r ..? ? ;. ,-• .-`?`. ?- ' ? _ ,_ ? , ? ?x -" ?' '.AWltiG7S• 5'? ' '• ? a... ? . .. . ' vti» ,-SY? #r ... . _ .... ? . . . .?: F p1C?? ?/ (i J1L'llt"i? • ..•. .• • ? -?.-i. - . •'.. ,?? . ... b ? .J. ' wG? , ? . .... .:_.. . . ? ? ?`YF .... _ . _ :. . . i ... .i , •5) ? :? r• ? ? r• • ?• : o ? a? ,.: ?._'.. ? COIJNEX,TSON TO' CITY SEWE[t ? CONNOGTION TU CITY WATER C( OTfM .' ... ,?-... .,-?; , . ...., s:?.. _?._._ .. ...; ,., >,:... 6). IWY 4 (will • r ? P7.EASE HOID APPROVID PF.ftMT E?DR PICK- BY ONE OE' ABOVE PLEASE MAIL APPROVID PERMIT 'PD 1. 2. 4r ABC7VE ? .. ' • , . . . .,_ y ? - .' (Ci.scle one) I 7) r ?. u• - ( A /?/A ?iiA? r.st,+v o/I/11 ? - . v tI ; Y. rPERMIT # ISSCED ?- Ss. .. .'^ix?""'.: k?e,tir,: :?.. ?.o...r •'-A$ `"?'? i4'WATER METER%COPPERHORN/OCTSIDE READER s?<._x «'.._ s a s it?;a?'£'??F? ?,._.: ,?m.K's:ir?.:? .•,,.-,sR..N?prwi? _? ?'?at??, y :_ .. . . ;. b S, WATER TAP (INCLCDE CORPORATION STOP) r?^Ywb'I>",. W" Z SEWER TAP .?a..-.._ ._. .. _ ... _..-. . . ..u i??;?.?zu :<.r?... x-,,.,,?WL?. „?:... . _.. . " ?ch•? ? . _ ..n'?a ACCOCNT DEPOSIT WATER _6 $ wAC , t ?v n.'?dirY fF? rf. R'ai?_ `, '(*T12L''NFK WATER'.PiS5#?SSMENT '$ ,` 'iX::-??F.`..l:?-,k.? $ ? S LATERACb?gEf'IT/TRUNK SEWER z `LATERAL ?B/ENSFIT/_TRUNK WATER ? 4.:4.n?' $ ? ?' * • r ? e AT„?R> IVREATMENT PLANT SORCAARGE ;fu?R"? ??,'.Y --?'?....?rS:r"'?•'3'#ri?t?iHFi$??'sb?'~y??sj?'?*•a::°d`?'??J ' '?.xt'`v:... ? . ? W??...rs- ? : _ M? b TOTAL? -=,•? • z ?:?3v ,?.os' ft?,?sT?S?v?°+ ?A i?S ? ??? ? v{x ? ti'?.. F ?` µ)?YRECEIP? RECEIPT ^' r•,e 4+. ` ;'???+??y 3 : a ?? ? "?``?.i?= `1.?.' 3?_ `DOES LTILITY CONNECTION REQLIRE_EXCAVATION?IN POSLIC,RIGHT OF WAY? r__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL?BLIC s` 'F- ROADWAY" MOST BE ISSUED BY THE BNGINEERING . Q-N0 DIVISION. LIST.AS A CONDITION. SLBJECT TO TH£ FOLLOWING tbNDITIONS: . . .. . .- . _ . ? . ,,.i. . ,. ,.APPROVED BY: ?TIT],?? ._, A ?.? ? , 3;. . • ? : .._reJ'.l ?y . . ` . . _DAT$. , ,.. . . .: . . . :?'. ? . . ... ? ? -. -. ?. . _- . ?.. ?.._ ... '- R ?? : , . ? : FOR C1TY USE ONLY ? . . .. r. .: ? : ' . . . ' . ? ..: . .. , s R ? .:_ C .?y e ° 3g. Permit ` FEES• - ?- , • SEWER PERMI'P (INCLUDE SLRCHARGE) x* - a .}- : : r . sf-. :, '. ,,?:^?sr?'?, ;•s i A??, ;i,,". >t?c .: .,... . . . .. - ° ?---- $ '? j1?7?.?=;?? ? " "" WATER PERMIT ( INCLt?DE SLRCHARGE ) .: ;, CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *XYiE: PAYMFNP OF M AT TIME pg aprr.icAmorr DoEs Nom ooNMTum APPR0VAL OF PERNffT. INSPFXTION OF SESdM ADID/OIt MTFR : TTLSTAi.TATIONS WII.L NDT BE SC]IED- OI,ID UNPIL PEF2MIT HAS BEESI APPROVID. P ease Print) ^^ ^ 1) PROPERTY ADDRESS: I? LEGAL DESCRIPTION: _ Z -'MM 4f:2 yL Z- •- . Lot Block Subdivision or Tax Parce ID ) IF E]QSTING SI'RCCILR2E, DATE OF ORIGINAL BIIILDING PERMIT ISSCA7CE: . -- i PRFSENr 7ANING/pROPOSID LSE: (r'1on Year) 0 CODwERCIAL/REI'AIL/OFFICE Q ?LSTRIAL f-I INSTITL'TIONAL/GOV?T 2) ? R-1 SZNGLE FAMILY Q?-R-2 DL'PLEX ('Itao Onits) ? R-3 717W[gIOL?SE (Three + Units) ( L?nits) ? R-4 APARTMEN'i'/CONIDOMINILTI ( Units) NMME: ADDRESS: CITY, STATE, ZIP: PHONE: 6f (Y-) ?i • 3) u i: ?• IVAME: ADDRESS: ? CITY, STATE, 2IP: PHONE: 4) •a • i?- NAM: _ ADDRESS: CITY, S'fATE, 22P: PHONE: MASTER LICENSE# T?- ActiVe Expired Not recorded Sta f-7nitial •5) n v ? w • ?• : ? • y? a?? ? CONNIIX.TION Tq' CITY SEWII2 ? CObSIEX.TION TO CITY WATII2 0 OTEIER_ 6) n • ? Q PLBASE HOLD APPROVED PEPMT FOR PICK-CtP BY OfIE OF ABOVE ? PI,EASE MAIL APPROVID PII2MiT TO 1, 2, ? 4. ABOVE (Circle one) 1 5 -2' 6CP . FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ ?L?• ? ? SEWER PERMIT (INCLUDE SDRCHARGE) $ $ ?D• j G WATER PERMIT (INCLLDE SC'RCHARGE) . $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ U r ACCOUNT DEPOSIT - SEWER $ $ a ACCOL'NT DEPOSIT - WATER $ $ wAc $ 5?5. o r? s SAC $ $ TRL'NK WATER ASSESSMENT $ $ TRCNK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRONK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TRE TMEN P ANT S 'RCHAR E A T L L G $ $ OTHER: $ /0? J?? Sd $ 0 TOTAL 67 y o ?z?7z RECEIPT RECEIPT DOES UTILITY CONNEC TION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS CONDI . A TION. SUBJECT TO THE FOLL OWING 60NDITIONS: APPROVED BY: TITLE: - ?? DATE : 7 - 16 ?- ? - OF EAGAi? -CITY ;4z r ': J +, ° _ . .. . '; APPUCATION FOR PERMIT t . _. _ . . _ „?.? : x .. . = SEWER AND/OR WATER CONNECTION ? . ? . - .. .. . . . ' ? ?y?? F ,.`??. Y . .L 4 . . .. ? t • i 0?' M471) PROPERTY, ADDRESS: LEGAL DESCRIPTION ?T ?? . •- -'?....:...:.`. +??'"N?'r r .?LO? . -IF E7IS77NG S'TlZCCI(M, DPITE OF C . '??? . ",PRFSIIJr. ZONING .r,_/PROPOSID _ t'SE' . . r7 ' i1YA.v11\•?• Q .a INSPIZL'TIf _.._?...?? - ....?...i4.?. .... ., '- i\/111?•?y7y?y!'j? ?yr?e?:t? _ .. . ? .. ?i1JlILYCIi . .- . . ?'S..? Y ? ? MOTR+: '.a_lL:rSi''?'OlF F212 AT TM oF APPI,ICATI0:7 DfaES 27(7P OOASTIRITTe APPROVAL OF pE?2MIT. 11ZSPF7C'1`ION Cz' Sx-IM AND; •,•-:. ••?"•,•, °neDALLATTC."'' WIIS. La7T HE .5ui:. ULID UNPII. PERMIIT BP,s sEai APPROVED:, 5 J ? . .... . '.. ..:^` ... ??:_' ] ` ?' ' .R .?"x"£l. : " ' _ _ _... i•: L ... . Mie#i4'!#!***#!f#'!*#ifi!!4*it'k1'*!'*?t?:f< ='r . / ---"•-'^T? a M '???p'f ?.. "!'a'•- ' :`.y:w . . ? . ,.;..._ .: __ BLTiLDING PERMIT IS1 ? ` :?1 r_ .. . .,.. .. urrtt:n g > Kar? f , R. ?VERI?TP ? R ? SCAIVCE: .,;r MDn . l , e ' z ...s. d» ?i. ?3.?,10WbIIi0C?SE, (Ths'ee ± fJnbts) ( L .4'??APARmIVT/WNID(k?IIId?1ii ? lM/? ? ? .?M .. lW __ ? .. . . . R '-... . , .. : ,? ?. . ::?. ? ._ .'; .:_ ? ? .? ? . • ": d . R ' AV? Ga7J • =y' ?1iRl ? T^ ??.. ZiL: ? ? .. . Wa lR?l?"...?Qr? ?..v ` , ..,? ? ..:mk • .. t . . • ? . }?/????+?1f( N0TER , . •???.GLYJGII. . 1-7 . .. .. l . ??_l . . 1 ai:,.. ?. ;:.. ?v. A1C1 ??. •q) q? •.. • llpl . . .. ?:_??. . . . . ? . ??? ?? fY/+/[?S 5. ?.. ?? ? ? .-p.. twnw?+ In ?I J1tiL1:• ZK: .. . . .. . ? ' .._ . . ? .. . ... . : . > . . '. . v'•.w d . .. . .: ?,,. . .:: .. ' . L11lIlYG }?(?`? ?-';. :_ . ' r .". " .' , '..'._ . . . . .l' . , . ' . ., . .. , . - . . ..:\ . .? . ... . n .:i.l:ES" . f.t._. . ?... . .... . •- . ? . ? . . _ . . . . . _ '^•'., .._ .. . • :'.:1 •,;5) , n v ? ? r• ' ?' . . : o ? 7? , , ° - . T ? f . CONrg7LTI0N ZC?' CIT7C SES?2 ? ODI?S?7CTION 20 CITY WATIIt O'i ` tiER , . . ., , . . .r 6) ?? r•• r ? PLEASE HOID APPROVID PERbffT FOR PICK-70 SY ONE OF ABO VE ? PLEASE NIAIL APPR(7VID PERMIT TO l. 2. 4, ABfn1E ; ,- . ,'_ :. . ",. e Circle one) .. • . ( . . -. . . . . ') r ?. y. . . . ? . . ;;Y; ... : - ? . _ . ? . . .1. . .,y ,.. . . .. .:..4' . , .. , ' .?.c? '.. . -' . . . . . ' ' .. FOR C11°Y USE ONLY , $;,:. ,.. SEWER / PERMIT (INCLC!DE SURCHARGE) '#C s• V 1:. ._. 4 !: ? ?.! t $'?• ? WATER PERMIT (INCLLDE SURCHARGE) - '?- WATER METER/COPPERHORN/OL'TSIDE READER 'L ? ? ^t ? .. ". Z, ....;" t:.r.... ?'}I."r ?..,.:.. .. ..::yy-- ,•r..:- :.i S+}`? f-t "??'t , r 2 WAT E R TAP (INCLC'DE CORPORATION STOP) + , u ; J ? 4e , { F p . " A?lx( s . + .Y 3` SEWER TAP ?.. ? ??s.-• c ?.? ° ? ' . . . ., ? ti 3 > ' ? ir. r a K . h ? a 5?I` af ?? x, ??' ,? r s 4 . y.•6 n'?? .'? " `i t < i y l; ? SEWER I R , ACCODN T DEPOS T "ACCOL'N WATER T D POSIT - E . .ckF1AC ??f . ? " '•S AC . . 1a . ? Hi?i • i ? ! r. f,.:' ?r+a.il..... . t s$?` >$ s`?i'•; TdZLNK WA,TER .A '_:.? ?? ? +? ?. ?^ 3.. !? -• ld .?___-\ ?ft;'+? . ^.;.? ?- tTHC'NK EWA S* ? ? $ ` LATERAT} ??? NE£ •t :' ?A +?'?r1.. TRCNK SEWER ?. _ .. 71 aRLNK WATER • M }?i...s. . J Tx „ RECEI PT RECEIPT .v. ' :.. -'.._f ..... "r. r ... . ..,.. ....r: ...... .i.:.. . _ iv„'I.d-1?t r . ` DOES_LTILITY:CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? .:.: .. .. ,.,Q YES IF YES, THEN A"pERMIT FOR WORK WITHIN PLBLIC --- ROADWAY" MUST BE ISSLTED BY THE ENGZNEERING _ - Q NO DIVISION. LIST,AS A CONDITION. -- `? . . ,- . ,, SCBJECT TO THE FOLLOWING tbNDITIONS :. - , . . APPROVED BY: . TITI?EF ; :.- ?°,.. *IOTF': PAYMRW OF Fk7: AT TIME OF APPLICATION DOFS b10T Ltila'PSRTJTE APPROVAL OF PERNIIT. nvsn3CTIorr oF sENM arro/oR MO[t nacrar,raTrONS WIIS, NOT BE SCHED-- : UI.ID ONM PFRMIT HAS BEM APPROVID. ? , '_'a.?. - . ... . .. ; Block/Subdivision or Tax Parcel---ID Y_TNLi.D1ITTTTI?1^ nL'DMTT TCCl?TAI/?L?.^f " •. . CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION . . M . . . . . . ' '--?n .... .. - . CITSt. STATE: ZIP: - PHONE: ..: 3) ., .. o i: ?• - NAPE: Y ?:? _'... ? ? . . .? . . . ?yL? *-?D c"? .c'.? : F /?{?? ?vnw?. ?.ilif uLtl 1G ZIP . . , PHONF ?'C....? .. _ .. .i - .. ? Activc ExpyuEd L'F.11? T.p.(?.rorded ?. . ..y...?? ? .:.:•.:: ? r:n.n,LaL= II111.i1aL 6) ? r• ?• • r ? PLEASE HOLD APPROVID PERMIT FOR PICK- BY ONE OF ABOVE -. -- •-- . PI.EASE MAIL APPROVfD PERMIT 70 1. 2.? 4. AB0VE - .? c • (Circle one) . .. 7) a i• u• - - • 'I: . ?- ?:?: « ? ..,• U . ? r .? • ?- a i?• •? a c?1• • ]?•r ?uF? • 7r • • D• P • ? ? r •? • ?s. ? e ::. r:r. •,na? ? ? i ?• ? •r ?• • ?. ? : a?. . •5) i u v. .. ? r: ?• • : ot • w - a? , .. . ? CONNECfION ?O CITY SEVM ? COfIIN47C.TION TO CITY WATER E3 ? OTFIEEt • . . }. ? S 14 :_ 3 ? ?T _ ? . ' r . , . ' . • r! ... . ... . .-ei .,. . . . t_ '. .?.:? , I. A l_ . .. ' . . . .. . ?. " _'FOR ?CITY USE ONLY PERMIT # ISSCED }J' .. . :. ' . .' ; E1t•/ - . 1 ?` y?s P Pd w/Bldg Permit FEES: ' ` `?, t ?SEWER?P£RMIT' ;( INCLUDE SURCHARGE) ? ¢> > ? ?''a ? .._ ,?t :_ *.;•,s.? ,.i' ,i -... .r z , ,F PERMIT (INCLODE SLRCHARGE) .' ... ..............".w'?ql. ;$ "WATER METER/COPPERHORN/OL'TSIDE READER ?P •._? "-??l""?'$ y TER TAP (INCLtlDE CORPORATION STOP) ?e'Ad?`b•Yw ?t ? ?'t.t`?'-s ?.S-?u L?xE ?? .. t?ai a KSEWER TAP ? t f n 4 ? t ACCOUNT DEPOSIT $ ACCOUNT DEPOSIT WATER ?? r ?"- ; ? ;: , , . s ?. . d S . t ?Y ? ? S '""',?-,?.J?•+ Y« WAC Fl ..:.?.... " , .--.. .' ?"? ?M'^§v .. .. .. . ..i.: . .. ._ .._ . ? r.e....? . ..? ... .n:_??.. R"L?-LtP.W.ri ?iOnC'KN .Iat' •. 5?: 4 ? • '?TIZLAIK ?WATER ,AfSVSSMENT t, ? ° -LS '".`? .. 't? 1?• "-t '?at,:? 4 :.`?"i,,(? z `.$ r.;eTRL'NxSEW?$? A C?35MENT ..??.5 ?. ..., ..': t: _ ; _;, r..Y -.. . . . - ..: LATERAT"-'wE£IT%TRUNK SEWER ;i . ni$.??: .`"' LATERAL BENEFIT/TRIINK WATER 'REATMENT.-PLANT ..13 .? F??f?a SA q •.?^7 p t'?f. .t .;-i. ?.?.?, ..... ?^ '• ?'? ?G ? ? '7' t _ ? f`:?'?.wi:?,y?'?s ??s-.e S as?.,-.,r ?.,, RECEIPT . RECEIPT '• ?`• f''? r :, "`a' ? ?'? r ? ' • :.a; .:: ...:. .. ? ,r- `, ?.i -.... ? ?:. ?F. 'yy+tu„$;??a k.M'*-y i;+. ;e .;' . , ..... R: ,.. _... . ; .. .. ..: _. . . . . > . J.?? . ..'.' ..u... . . _ ,. ?n vl J a.k'? _ r .y. .,. .- .... ... , . . . ._ . _ ..:..: ...?,.._.. ?.`::i. .z . _ . . . - - _._ ..-: a ;.DOES.F!TILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY? - . . . . _ ... ,.. . .. ?Q YES ='IF YES, THEN A"PERMIT FQR WORK WITHIN BLBLIC :. ?:' `ROADWAY" MLST BE ISSL?ED BY THE ENGINEERING NO DIVISION LIST AS A CONDITION. ;.,..-., ._. ,,,....__ . . .. -. _ .??._ ? .. ; .,... - -tr. .,-.. SDBJECT TO THE FOLLOWING LbNDITIONS: _.. .. . APPROVED BY: , ^ ????' ?.. y?? „r,{-• +. TIT?! ? 1' .. ? .- . ?-'4!j ??t ?Y.. !? ? ' ?JVdlx • N j DATt / k ?' , ? J ? ; ..? . . . _ ??? . ? ? ???`cF . - > i ..?aJ.. _..nv:an.r.._... _. :__. ?i . .__. _ ..._ ?..:--. . . . .. } i _ A ..6c; ? ? - . .. . ' .._ '• . _ .. : . . .. . . . ?.. j?`' ? CITY OF EAGAN .3810 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDING 031061 11/03/97 SITE ADDRESS: DESCRIPTION: r i.I REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 1• CONTRACTOR: _ Applicant - OWNER: MASTER GAS FITTERS INC 17708691 SHELDON JUDY 2240 SHAWNEE OR 1601-B CLEMSON DR N ST PAUL MN 55109 EAGAN MN (612) 770-8691 (612)681-9286 Z hereby acknawledge .that''S have r`ead""this` ap'pliaatioih anef, state ttvatcthe; ? information is carreet and agree to qamply,with a11 applicable State Of Mn. ? statu'tes and City "of EagaYi Or-ifi.nanoes> APPLICANT/PERMITEESIGNATURE ISSUEDB SIG ATl1R k 1601-B CLEMSON OR LOT: 61 BLOCK: 2 THOMAS LAKE NEIGHTS 2ND (GflS LDG/GAS LINE) . ?,.._ B"uilding`-Fermit 7ype FIREPLACE 6uilding Type ALTERATION Census Code 1, 434 ALT. RE5IDENTSAL ? ? f CITY OF EAGAN I I 3830 PILOT KNOB RD - 55122 1997 FII2EPLACE PERMIT APPLICATION Q G 681-4675 DATE: I B / .3 Zn7 ? DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ INSTALL GAS INSERT ONLY -XINSTALL GAS LINE ONLY ? oTBER: ? a STREET ADDRESS: 11--dl /-3 ?L- ??.t S ?'? LOT BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: S h tLDcnJ j-1/ON Phone ? ?.. Signature: Street Address: /6;' L9 / a CLf44Sun/ De. City: f Z?? 4xJ State: Company: . Signature: Street Address: City: /-,IJ- 51. D/-Fr/, State: Company: Name: T) /•f,ti/ ??12 L fc ?t e c l iSignature: Street Address: City: Zip: U Phone#: 77U-A6 ?; / License #: ziP: SSJvS Phone #: S44n'Le PERMIT FEE: $50.50 i X ALTERATIONS TO EXISTING b"? State: Zip: g po p,?r 2006 ".SIDENTIAI. BUIj.DINGPERMIT APPLiCATION Cify Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 10,r,a.s- New Construction Reouirements RemodellReoair Requirements otqCebs-e?(7n1a 3 registered site surveys showing sq. ft. of lot, sq.8. of house; and all mofetl areas 2 wpies of plan showing footings, beams joisis GeR of?SurveyR@ h Y (20%maeimumbtcoverageallowed) isetofEnergyCalculationsforheatedadditions TreePiesPl?r'R?G?'l?n 2 wpies of plan showing beam & window sizes; poured found design, etc. 1 site survey for atldidons & decks TreePfesfteqyj`?ed- Y; N. lsetofEnergyCelcWations Adddion - Indicatelton-sifesepficsystem Ons?(e5ep4Csy5?ehf 3 copies of Tree Preserva6on Plan if lot plaHetl after 711193 - Rim Joist Detail OpGons selec6on sheet (buildirgs with 3 or less units) M¢megasco medianical ventilation form Date 9119 / 07 Construction Cost 391 6 Site Address ( G D( g C( e m so n DPr ve. UniUSte # Description of Work I window r1 Multi-Family Bldg ±?Y N Fireplace(s) _ 0 _ 1 _ 2 '1DWr10V3C -qUAC/ Property Owuer ? (7 0V_? Q I?( O n Telephone 4 (LS 1) L $ ? - 9 i28 ? THD At-Home Services, Inc. Contractor .Address State Dba The Home Depot At-Home Services 3200 Cobb Galleria, Suite 200 Atlanta, GA 30339 eit-y,,)ode m_r1!/r 1-,?ofkS License 920268257 - 763-542-8826 Telephone #( qSA ) 34 s- G o v-7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitted Su6mitted •• Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan bared 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 wi21 be in accordance with the approved plan in the case of work which requires a review and approval of plans. f A , Trm Sc 60n f Appiieant's Printed Name -b0 C10 0 I' pC DlLI U pplicant's Signature ?0 T I 2i zoo7 For office use v 9 -t Permit City of Faau Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 1 (J-0 t ~ ~ S ~ JI Tenant: Suite RESIDENT / OWNER Name: 1x16 I ? I' Phone: Address / City / Zip: (Saniu ' • ' CONTRACTOR Name: License (0117 ~ ~ CtairnOon Address: City: 36741 Rte. 0100 State Zip: Phone: Contact Person:1 TYPE OF WORK New V Replacement Repair (Rebuild Modify Space _ Work in RO.W. Description of work:l e PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ I _ PVB) L_ Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES 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. x ( )0-4y1 x Applicant's Printed Name Applicant's Si ture FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test _Gas Test --Final C • _ s--- - _ 49 7` _„ �� :� , �� - a4- Cllyof Gahan 3830 Pilot Knob Road Eagan MN 55122 Phone: (851) 875-5875 Fax: (651) 675=5694 Use BLUE or BLACK Ink Permit X: los"-79/ Permit Fee: (Q o 61) Date Received: 1-14-1, Let's J 2011 RESIDENTIAL PLUMBING P1EERMITJAPPLICATION Dat.: 13--)l l //sit. Address: �� pp Lb� �1J� i ( i'�'� • MN 531 Tenant: 12^/v- (,(,,,,;,,4' Suite fl:/ RESIDENT/OWNER 'Name: /I�Vv`Q ) e Phone: ' 7-- -42 d 'r * ...1'- T t ' Address / City /Zip: /LO D I C�PPiv D/A P'/ " D - CONTRACTOR Narrie: MILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50TM ST EAST city: .: IN ER GROVE41GTS• State: • MN Zip: 55.07' Phone: 65.1 ;:451;-2241 • Contact .BILL.MILBE'•% Email: TYPE OF WORK Descrl• Nevin _Replacement _ Repair _ Rebuild Modify Space Work Iq"R.O.W. • tion of Work:, PERMIT TYPE RESIDENTIAL .Water Heater • Lawn trrlgatlpn L_ RPZ /PV8) ,___+, Septic Systein • __New ' _Abandonment • ater Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Tumanwnd RESIDENTIAL FEES: $55.00 Minimum Water Hdater, Water Softener, or Water Heaters Qi Softener (Includes 35.00 State Surcharge) $35.00 Lawn Irrigation (Inclides 35.00 State Surcharge) $55.00 Add Plumbing Flxtufes, Septic System Abandonment Water Turnaround* (Includes 35.00 State Surcharge) "Water Turnaround (add 3166.00 Ka 5/8' meter la required) • 3105.00 Septic System N� L (310.00 per as built) (Includes County foe afind 35.00 Stats Surcharge)• ;95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) („ TOTAL FEES VLA/ • CALL, BEFORE YOU NO. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities: www.0o0herstateonecattorq • 1 hereby acknowledge that this atlon Is complete and accurate: !fiat the work w16 be In conformance with the ordinances and codes of the City of Eagan; that 1 understand this Is nota permit, but onlyin appllcidon'for a penny and work Is net to star without a permit; that the work wt* be In accordance the approved pla41 In the can of work which requires a revl.w and a 1 1 ns. ffl /;. s rpp�can stun x 1 l (! 4-rvU i iI • Applicant's Printed Name i.: -.. _.ter ".el'! n: .�b�h�.kW/a�jjgN a OR O F ' 4 9. ^,f VS +" {(�Y,11 •..;pt Ei .�Ir7iIts- .:f. ti {1 "I r 0 �1 ! i �'- !� �jF"'� ; Y+!Tb:S �d !?� Rt rb, ,1. .I�a,It4iY , i, �16j • • i.`'•�'a I �. MI ar. D 1 QV ;: ��),e ��1j� ,� j 1;Vt ± • �1 '• 1i'" 190 •.MN1 -. Anti, !1./„.yl�'('Yf'/,"J, ,,'•k,r'�i•3. SVR , 4•t%.,n4i' 1 arl11! 1 I��.1'1 • I :. �o+ �ti I1, i S i��u,?: l ym 1 j`:w7 , i �' I.r'i1„1�i,`, fr.- 11 . i'I{• ,jMj� �' , ,,.Y'.: at '.:• 1 • 1 vPP� �a � .Fi a .,E .i ` 6 r4fLi,*r hrerrsr""" ,ty� t u '+'...' t� ' -':1 ��t{Pp ' 4Pf � I'14.. �A.:1 '�.a: ..14.x+ { Use BLUE or BLACK Ink I For Office Use I Permit a - 'n__ i My of Eagn I c~i I Permit Fee. 45~ • S I 3830 Pilot Knob Road 1 2 Eagan MN 55122 I Date Received: 3 I Phone: (651) 675-5675 1 ~2 1 Fax: (651) 675-5694 1 Staff: cf lb I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9 Date: Site Address: j ba i_ )1w b3S N& 'Vri g - _ Un td'i~:. 16 _ Name: Y4r21 L'n Phone: 1. 721- 7-M d N- Residettt Owntr Address I City I Zip: _ Applicant is: Owner Contractor Type of Vllork Description of work: Aei c~F - Construction Cost: _7 S 0 Multi-Family Building: (Yes No 7 25 Company: -PJ~UC7/C------ Contact: Jtt. Contractor Address:Q eL~al a-~__ City: 1~!C)1?e~LGJIr'S State: "-Zip: syd Phone:! License 0 ( 2-- Lead Certificate 2~ 1 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: __--_e- Sewer & Water Contractor. Phone: NOTE: Plans and supporting documents, that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide speck reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Cab 48 hours before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.orp 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~r"'T ~harCl? x r Applicant's Printed Names Appiica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148269 Date Issued:03/19/2018 Permit Category:ePermit Site Address: 1601 Clemson Dr Lot:62 Block: 02 Addition: Thomas Lake Heights 2nd PID:10-75951-02-620 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David B Hill 1601 Clemson Dr Eagan MN 55122 (651) 485-6293 Mnp Mechanical Llc 452 8th Ave SW Lonsdale MN 55046 (952) 292-9238 Applicant/Permitee: Signature Issued By: Signature For Office Use , tferm,t. . . ., , . _.... , , .. . ., •.. A11 .-ermii Fee. A i' 6 2020 .,.........,„. - „ LT:--ili,..:Ro:e i.,iiii L1:34-8535 ' Pt\X :-. : ,7 ;-f..iii- : :itaff. 2020 RESIDENTIAL BUILDING PERMIT APPLICATION i PateS - i-7e;4-__ ____ ite Address. Mel i a-etrt5C/4 6 g4;4'4 Unit#: / r"V1-- // ,1.4.c kk."0_, ttot t44.60,Phone. ReSICkilt: '''' Owner .,y:FE",'I 2't_,..........., 7 ' , Type of work 444Ael 46CA" 'S*:,.::1 ,on Cgs: Multi-Family Building. 1,Yes ' No 7 Aer.eveavtioi :.,':Y. ,,.:$3, .,„- _Ayr (/0....- r rcTu mo ihrme. ..f....ii ,..ontact: 121444 A diby I- .,.. \:.ftli-ess /.5th---1 6...,...1"A, ,_ hike • City Apia e (LekLei Contractor -7, srtatir, A rt,,z,,, 45..--0-y .,,,_,!,::. 6.57 I Vt V.Se.li Email: Mite-_Cirj Al yr eCillter t A.45; Ce 7 License i ' 2-2Y Z 1-- Lead Certificate#. , ! -.,. ;,, . - ,,,,. :,,,,:nipt •ro'r-1 lead certification. pease exiii3ii- why: hi4:147kliat:tAl •-•7 t A ai ' ' , Aliigi4k* 4/VW /7 a / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BVILD_ING i71 the i,-.1i,. :;2: moint.h5 has the City of Eagan issued a permit far a similar plan based on a master plan? : ,,c and cvs1cress --- Licensfy.! Piiii-obei Phone: -- -- Mcch,:ww.3, ,1ontractorPhone: Si:ivve: ,S, W.atp. ContractorPhone: .... Fire Suppression Contractor: Phone: „ .... „ ...... .. ...... . . N6Tt:Plans and supporting documents that you submit are consrdered 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 thattkey_are,trade Secrets. 0-.‘.1 i*.,li-.1ibsoribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on thEi Civ:i.3• websitP a4 . ' " Eyterii,,wok authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed withip 180 days of ni-runt issuance ;Al..1..BlIORE YOU pit.; my Gopher State One Lail -:'{651)454-00G2 .t: pr,.. --..;,_ ,-.italust dridergroitind utilit damage Call 48''L-c-i iii r.',..:.:;:r'',,EiEr :: : =';',.'nfi.', "' ;: '''E,' ,A.;';'',, ...'! ;',3 In conformance Nith the crdIrleht.'€,,S Ahit Curie, ,ici,... i- i ,,, .i., - t ,1 pen's:. tii,,, i; i -ii: ii--ipriiicaiii -.ii per-i-i , if,Drk iFi ,0 to start wittigui a permit: that ihe Aiiii, . , ..)r .'' '.''r''.Z'r''''.,''.,]'.,'' '. 1. e :9 s e u,:,,,ii.i:i< ,i:r ieo.i r,i-; ..i -ii.i,i...,..,„ii,..Ti. JoLii-.;,...,:.:of•i-r . A ficia4 ith A:Jr „. 1 . . . Applicaiit's Orinted Nar' Appli Knt's Signature DO NOT WRITE BELOW THIS LINE / O i C`/C-al Soli Pik , /6 e`' 1 SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi X( Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation >' Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation $3, , _ Occupancy 1 i c:- I MCES System Plan Review Code Edition d,==,1 SAC Units (25%_100% ) Zoning City Water Census Code 2/3(-1 Stories Booster Pump #of Units I Square Feet _ PRV #of Buildings Length Fire Suppression Required Type of Construction S'R Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) x Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: .,/so.-- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3