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1609 Clemson Dr PERMIT I# PLUMBING PERMIT CITY OF EAGAN RECEIPT 1? -• 3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: PHONE: 454-8100 ? Name _ ?o Address c City _ FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 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 BLDG. TYPF WORK DESCRIPTION i Res. New Mult. Add-on Comm. Repair Olher RES. PLBG. ONLY - COMPLETE THE FOLLOWING: Nq. FIXTURES TOTAL ?Water Closet - $3.00 S Bath Tubs - $3.00 ? Lavatory -33.00. r Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: 1 . ? .?? •- ?? b1 u,?j MECHANICAL PERMiT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: 'CONTRACT PRICE: PHONE: 454-8100 ? Site Address gLpr,,, TypE WORK DESCRIPTION E Lot l' il?_ Block ? , Sec/ b . Res. 60, New k & AIR WICK'WTG GO CON . Mult Add-on m . NarfiFD . ?- Addres9910 WENNVORTH A VE. . Comm. Repair Ciry MINNEAPOLIS, P 8 P ne Other ? 8 1 - FEES ? tVame ' RES. HVAC 0-100 M BTU -$24.00 Address /• T? ? 73 6 7 ADDITIONAL 50 M BTU - 6.00 p Ci? phane _ (RES. HVAC INCLUDES A/C ON NEW ? E CONSTRUCTIOM) GAS OUTLETS MINIMUM PER PERMIT 50 EA . ( - 1 ) - 1. 'TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ! Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & 'Unit Heater M BTU REMODELS - 12.00 ` Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20_00 Vent CFM STATE SURCHARGE PER PERMIT - .50 PERMIT PRICE GOES p Gas Piping OuUets # p? BEYONp $1 p Other ? FEE ? S/C: SIGNATURE OF PERMITTEE v^ ? TOTAL• FOR: CITY OF EAGAN y CITY OF EAGAN N o 17 8 6 4- 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 v /? 11 BUILDNG PERMIT Receipt # To be used for DECK Est. Value $1, 000 Date 1rIAY 14 , 19-9-0- Site Address 1615 CLEMSON DR Lot 46 Block 2 Sec/Sub. THE TRAILS OF OFFICE u5E ONLY Parcel No. TH MA Occupancy - FEES zoning W Name DICK LINDGREN (Actual) Const - eldg.Permit 25.00 ? Address 1615 CLEMSON DR (Allowable) - .50 h S City EAGAN Phone 688-8836 # ot siories - urc arge 10, Plan Review Length F Name TIM S TOWMAN oepin 10 ? SAG City Z (OJ uc Address 811 P ORTLAND S.F.7otal - SnC MCwCC '¢' City ST PA iIL PhOne 978-0380 S.F. Footprints - . Water Conn On Sile Sewage _ ? Name on s+ce weu - Waler Meter ui W Address MWCC System - Am, p ? ? <W City Phone Ci? Wa1er - S!W Permit PRV Required _ I hereby acknowlege that I have read this application and state that Ihe Booster PumP - SNV Surcharge information is correct a d'8g ree t om I with all applicable State ol Minnesota Statutes a Treatment PI Signature o( Permitee APPROVALS Road Unit A Building Permit is issued to: TIM STOWMAN Planner - park Ded. on the express condition thal a ll work shall be done in accordance with all Council - applicabte State of Minnesota Statutes and City ot Eagan Ordinances. gldg, pry. _ Copies Building Official _? ? Lid4 PIJ,? Variance - TOTAI 25.50 CITY OF EAGAN I`lY ? 17864 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? yit `• PHONE:454-8100 y BUILDING PERMIT Receipt # To be used for DECK Est. Value $1,000 Date MAY 1a 19 90 ? I613 CLS!lNli DR ` 5ite Ad ress d i b Lot "- Block Sec/Sub. OFFICE USE ONLY ? Parcel No. occuPancy - FeEs ? W DICK LINDMN Name Zoning (Actual) Const - ? 25'00 - Bldg. Permit ? Z 1613 C? DR AddreSS (Allowable) ? - • h ? S o urc arge City ZAGM Phone 668-68 6 # of stories ? Plan Review Length 8- Name rU ??? Depth ? SAC City ?? Address S11 PORTLAND S.F. Total , - SAC Mcwcc + ? ? City gT ?ML Phone 228"0390 S.F. Footpnnts , - Water Conn On 5ite Sewage _ U? W Name on site weli Waler Meter W Z ? - AddreSS MWCC 5 slem Y - ? y Acct. Deposit i W City Phone ciry wacer - S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge ? information is correct and agree tq-comply witb_all applicable State of ? Minnesota Statutes a Treatment PI Signature of Permitee APPROVAIS Road Unit ? TIM STOiMAN Planner ? A Building Permit is issued to: - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable Siate of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 23 30 ' Building Official ' Variance , - TOTAL ? 7 A Permit No. Permit Holder Date Telephone # WATER SEWEH PLUMBING H.VAC. ELECTRIC Inspection Date Insp. Comments FootingS 1 Foundalion Framirg Roofing Rough Plbg. Flou9h H19• Isul. Fireplace Final Hlg. Final Plbg. Const, Meter Plbg. Inspector - Notify Plumber EngrlPlan 81dg. Final Declc Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN t?? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i.y ? 13106 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 9 P LEX Est Value $64,000 Date JAANiJARY 14 19 5 7 Site Address 1615B CLEMSON DR Erect L? Occupancy R3 Lot 4 6 elock 2 sec/sub. TRAILS OF Remodel 0 Zoning F'll Parcel No. THOMP?S LAKE Repair ? Type of Const V Addition ? No. Stories ? Name NEW iiO RIZON HOl'9ES Move ? Length 44 Z P O Add HOX 3900 Demolish ? Depth Z? o . . ress Ciry '??'LS Pho Int Impr. ? ne 420-3900 ? t u ? Sq. FL ns a = o IName sAME 0 ? Address ~ City Phone 1- c ? W Name- ? ? Address cc _ < W Ciri - 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 ot Eagan Ordipances. SignaWre of Permittee A B uildin Permit is issue d tNEW RORI HOMES g o. all work shall be done in accordance with all Building of Minnesota Assessment Permit $ 377.50 I Water & Sew. Surcharge 32.001 Potice Plan Review I 188.75 Fire SAC 625.00 ? Eng. Water Conn. 525.00 Planner Water Meter 67.00 Council Road Unit 305.00 Bldg. Off. Tr. PI. 180.00 APC Parks Var. Date Copies -$ ? 2 5 rotal on the express condition that Statutes and City of Eagan Ordinances. , . .. ?.. J I I ar.mK No. I Penun Noia.. I D.a I T.o,noa. # I Htg. Oec. Fty. Site Lot. I I - i - l ? ? ? a? c 3 O • • . : ? . PERMIT # :- ' ? . PLUMBING PERMIT c, CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, E/iGAN, MN 55122 DATE: JaN 2 f, 1987 'RACT PRICE: PHONE: 454-8100 ddress BLDG. TYPE WORK D ESCRIPTION ? Block -? Sec/Sub Res. New J Mult. Add-on Name THUM SQN PLUM$ING Comm. Repair Ciry _ Name Addre City _ Phone Phone COMM/IND FEE - i% OF CONTRACT FEE APT BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ? Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING NO. FIXTURES TOTAL Water Closet - $3.00 S Bath Tubs - $3.00 l.avatory - $3.00 Shower - $3.00 ` Ki!chen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 - Water Heater - St50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 - (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: FOR: CITY OF EAGAN STATE S/C: ? I GRAND TOTAL PERMIT # e/1-' • • `• PWMBING PERMIT Qq i -CITY OF EAGAN RECEIPT # Z 22a,'0 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: JQN 2, 1987 I CONTRACT PRICE: PHONE: 454-8100 ? Site Address ' . Lot;L? Block . = Sec/Sub ? Name ?o Address c City _ KTKA Phone 933-2.Ul ? Name NE ? Address p Ciry MPl_S Phone 420-3400 FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYONO $1,000.00) i I i ... r ,` . SIGNATURE OF PERMITTEE r FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair '- RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL - Water Closet - $300 $ Bath Tubs - $3.00 Lavatory - $3.00 ' Shower - $3.00 ` Kitchen Sink - $3.00 UrinallBidet - $3.00 Laundry Tray - $3A0 Floor Drains - $1.50 Water Heater - $1.50 ' Whirlpool - $3.00 Gas Piping Outlets - $1.50 ! (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: - " , . . . ,? . PERMIT # , ? MECHANICAL PERMIT RECEIPT # CITY aF EAGAN . ? . 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: ?-?? ? ? • CONTRACT PRICE ? PHONE: 454-8100 Site Address ` gLpG. TYPE WORK DESCRIPTION ? Lot BIQck .? Sec/Sub J_ -, i c2- c<, v ? Res. New ? Nam? Mult Add-on ? Addres? Comm. Repair c ??i??n??eonllS City M?? Other FEES Name ' ? Add •?? ? ?' RES. HVAC 0-100 M BTU ' - $24.00 3 ress ADDITIONAL 50 M BTU - 6.00 O City ?L??,?, Phone z?• ' (RES. HVAC INCLUOES A/C ON NEW CONSTRUCTION) GAS OUT S M M LET ( INI UM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1a/o OF CONTiiACT FEE Forced Air M BTU 1 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent ?? STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FEE: .?: .?r, . ,•z i /:-?+sr?±/'?.s? ? S/C: SIGNATURE OF PERMITTEE J? TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN 454-8100 DEPT. 4F BUILDING INSPECTIONS Correction Notice . Located at ,l 0 ,. :.; I have this day inspected this structure and these premises and have faund the following violations of city codes governing same: . , ? 17 When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG ... .. .. . . .. . .. . FQH 45's.LE T. f t. CITY d-F 'F.AGbN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 13105 PN4NE: 454-8100 : 6UILDING PERMIT Receipt # 1 OF 4 PLEX Est value $64,000 pate JANUA1tY 14 19 87 1615 CLEP?tSON DR Site Add eps ? Erect ? Occupancy R3 Lot ? Block Sec/Sub. T?I Remodel ? Zaning ?'u Parcel No. THCIMAS LAK E Repair ? Type of Const ?T Addition ? No. Stories ¢ Name r1FYJ flORIZUN FIOtviE5 Move ? 44 Length ; BO}C 1367 dd P 0 Demolish ? Depth 22 o A ress • • Int Imp?. ? Sq. Ft. City j'IPLS Phone 420-3900 Install ? = o Name SAME '0? Address ~ Citv Phone _ rcc F W Name uc Address i W City Phone I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: NEW HOR I ZON liOMES all work shall be done in accordance with ali applicable Building Minnesota Statutes and City - on the express condition that Eagan Ordinances. Assessment Water & Sew Permit `' '' , , • ''" ' e 32 . 00 Surchar . Police g Plan Review- ?18 . 7 5 Fire SAC 625.00 525.00 t C W Eng. er onn. a Planner Water Meter 67 . 00 Council Road Unit 305.00 81dg. Off. Tr. PI. 180.00 APC Parks Var. Date Copie • 5 Total ? . Prrmit No. PKmk Hdder Deb TeNphone N PlumMnq ?/I/ ? H.V.A,6. 7 8 EIecMC uc , C, ?I ff''7 C, So1Nr»? lospecUon Date Inap. Commenb Foottnw 1 ? /S d 7 ?w FooUnpsll FoundaNon Framhq a ? ? 17 RooAny Rou91?PIbY• Rougn Hep. t ? f?f jI lnsul. FkeMaee r f.t-F,7 Ar. Af. L,# • 1` fa r t p? Flnal Ht4 7- -Z Y7 ?d n w e?1 ? ?? A C!?- FkN Plby. _ -?'f ` &dp. Final -.'t - F 7 t • ?. c.N. oCC. Doek Fty. Deek Frmp. w.a vr. o16p. .. . T Li ' . ' .'. " v _ .. . e. "-- . . . , ? CITY OF EAGAN ' ? . `454-8100 ; DEPT. OF BUILDING INSPECTIONS Correction Notice Located at 16 ?- ? -=? ' '?= -Y- d ? I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: ' 1 When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG PERMIT # • r, )` MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE PHONE: 454-8100 Site Address i Lot Bl k '' ? - - -? / S S ' BLDG. TYPE WORK DESCRIPTION oc ? ec c/ut? + I Res. ? New Mult Add-on ? ? m m Name Address A91n w • FNnunaTU eV? e • Comm. Repair c City MINN FAPClII.^?,FMW054,2 Other 881-9000 FEES ? c Name RES. HVAC 0-100 M BTU -$24.00 AddresS + ADDITIONAL 50 M BTU - 6.00 O City 7?? Phone (RES. HVAC INCLUDES A/C ON NEW ' C ONSTRUCTION) A OUT G S LETS (MINIMUM - i PER PERMIT) - 1.50 EA, TYPE OF WORK COMM/IND FEE - i% OF CONTRACT FEE Forced Air S? M 8TU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00 Vent C STATE SURCHARGE PER PERMIT - .50 . FM PRICE GOES PERMIT Gas Piping Outlets # R /?ti BEYOND $1 OU) Other FEE: S/C: ?v SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN ' t SALE T. fi. CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 1=8 PHONE:454-8100 BUILDING PERMIT Receipt # To be uaed tor 1 OF 4 PLEX Est Value $63, 000 Date JANUARY 14 .19 16095 CLSMSON DR ? R.. Site Address Erect Occupancy Lot 48 Block 2 Sec/Sub. TRAILS OF Remodel ? 2oning tol) Parcel No. THOMAS LAKE Repair ? Type of Const v Addition ? No. Stories ¢ tvame NFW iiORIZON HOMES nnove ? Length ' = P. O. BOX 1367 Demolish ? Depth 22 o Address 420-3900 Ciry 7"ipLS Ph n Int. Impr. ? ? Sq. Ft. o e Instau 87 = o Name S?? 0 Q Address ?lx U y? W W ?_ U? ? 2 Assessment _ Water 8 5ew. Police Fire < W I City Phone Planner 1 hereby acknowledge that I have read this application and state that the Council gldg. Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Var. Date i A euilding Permit is issued to: N HORIZON AOMES o all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagai Building Official ' Y? ? • ? ? ' ?. Permit - - Surcharge Plan Revie .da .50 .00.00 Water Conn. 525. OOI Water Meter 67 . 00 RoadUnit 205.00 Tr. PI. P k 180.00 ar s Copies Total i the express condition that i Ordinances. WrmN No. Mmit Hdder Dde Tilphoes N PlumWnp .?/?:1.-1- /,•j ZC" -` ? 6 H.Y.A.C. 6 Z-Z Eleebic soR.nw In?p?cflon DaW Imp. Commenb Foodvya 1 1 0.s SI ?QW Foolwgs 11 Foundalbn Fnniny Ia R. ? s pooMy L ,f. x A -Y'7 Rotvh Pft Rou9h MEp. ? ? / 1 Inwl. /J Fk?plae? Flnal Flty. FMN Plbp. &dp. Final Cert. Oee. Doek Fty. Dock Fnwp. Mlell Pr. Orp. ' PERMIT # . ' . PLUMBING PERMIT 2 i 9 2 4 RECEIPT # ? 2 ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: JAN 2, 19$7 CONTRACT PRICE: PHONE: 454-8100 Site Address • ? BLDG. TYPE WORK DESCRIPTION Lot Block SeciSv J Res. New ? • Mult. Add-on ? Name Comm. Repair m Address 19901 MlNNFTCI K Other c City MIICa Phone 9114-2591 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name Water Closet - $3 00 S Bath Tubs - $3.00 Address L - "" 3 avatory - $3.00 p City MPLS Phone 470L-3900 Shower -$3.00 --' ? Kitchen Sink - $3.00 - FEES UrinallBidet - $3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES / Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPUES Water Heater -$1.50 % I MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool -$3.00 ? MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 - I STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) + Well - $10.00 ? Private Disp. - $10.00 I Rough Openings -$1.50 ? SIGNATURE OF PERMITT E' r FEE: i ' STATE S/C: I FOR: CITY OF EAGAN GRAND TOTAL: ``' Fou SAI,17 T. Ii. CITY OF EAGAN t ,? 13i07 •'• t? , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ° PHONE:454-8100 BUILDING PERMIT Receipt # To be used for 1 OF 4 PLEX Fst Valup $63,000 n,+p JANUP?RY 14 io 87 Site Address 1609 CLEMSON DR Erect OccupanCy R3 Lot 4 7 Block 2 Sec/Sub. TRAI S Remodel ? Zoning Pn Parcel No. Ti30MAS L AK.: Repair ? Type of Const v Addition ? No. Stories W Name 14EW HORi2C11V HOMES Move Demolish ? ? 44 Length 22 Depth = 3 l L367 Address P.O. flOX I I ? S F ° city MPLS Phone 424-3908 nt mpr Install ? t. Q = o Name SAAL Approvi ? ¢ Address Assessment _ ~ Citv Phone Water & Sew. ?¢ ? W Name z ? Address i W City Phone _ I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordiqances. ?L Signature of Permittee ' <-- A Building Permit is issued to: / NEW -HORIZO ` HOMES all work shall be done in accordance with all Building Official Police Fire Eng. Planner Council eid9. off. APC Var. Date Minnesota Statutes and City of Permit : 374.001 Surcharge 31.50 Plan Review 187.00 . SAC 625.00 Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 _ Parks _ Copies Total $2+294•50 on the express condition that an Ordinances. - PWnR No. PermH Molder Dab TNphone N Plumbin9 H.V.A.G Eleefrit Sol'lemr Inspectlan Dste Inap. Commenh rooeiny.l ?C*/ Footlrys 11 Foundstlon Fram{np 1-,V-f7 C./1. Roo1Mg Rough Plbp. Roug, "Ig. ?F ylkilV Insul. Fkeplscm FknW Hty. Final Plbp. Bldy. Final i CwA.Ooe. ? f D4dc FEp. Dsck Frmq. Well Pr. Disp. y CONTRACT PRICE Site Address Lot Block m Name m Address ' c City ? Name 3 Address p City PLUMBING PERMR RECEIPT # CITY OF EAGAN 3330 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: FEES 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) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 ' Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL• MECHANICAL PERMIT ;; CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ,16" -? ?? •' ? PRICE: PHONE: 454-8100 m Namq3s ? Address c City - ? Name c Address p City = • n. /? 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 r FEE S/C: TOTAL: L BLDG. TYPE WORK DESCRIPTION Res. New ` Muft. Add-on Comm. 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 EA. COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGNATURE OF PERMITTEE id FOR: CITY OF EAGAN SEDGWICK HEATING & AIR CONDITIONING CO/.` .,. HOUSE HEATING TEST RECORD ,C.'Y ADDRESS 1?oO?1 CI..?YV1?C?f? 'DR\VtCITY ?n?. Pk N OCCUPANT OWNER N15ak1 4-I?i2?x-e?.1 AoMFc HEAT LOSS t DATE HTG. INST. ?--' SOLD BY ?_- Electrical Work By TYPE OF HEAT INSTALLED BY Gas Line By. ??.?,?A?+r ? GA_ FA?{ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model Model Serial _ 37g6, A p a S 9, c- Max. BTU Rating INPUT Sn? enn MAKE OF FURNACE CONTROLS THERMOSTAT 1213 Heat Plug Vent Size- Valve ?X L4 S? So X - ?Ik- KIND OF LINER SIZE NONE Limit _ ?,v, c .? Draft Hood _ ?3 ?s t ? ??1 Regulator Limit Setting - _-Z SD° F- Filters Size Number ??^ r Fan Setting - (on °? Chimney Location Inside x Outside Pilot Type &;-:s-?c°: OL o It,? t L Chimney Construction Cc.A SS B PilotMake SPw??,e?tTOR Pilot Model Smoke Bom6 Wiring 4 k Test Tag S Lighting (nst. - ? ? Pilot Timing - ? n147'?61-1- Draft L.W. Cut Off Door Pressure Pressure -3 • ? ?? -? c Percent CO In ut CFH 5? 2 p Percent 02 ? Stack Temp. :A 2 56 F-- Percent CO 1?Q rj c Date Tested 9 - / - 5? -7 Company Testing - ?r-- GG;G+i 1 GK Name of Tester C2N-V +4 Q Form 235 SEDGWICK HEATING & AIR CONOITIONING CO. HOUSE HEATING TEST RECORD ADDRESS ?(P ?S I)R tV 'E- CITY V=E ta CA ?1tJ OCCUPANT HEAT LOSS - DATE HTG. INST. OWfl1ER t?c ?.1 !-l oR~zo N EIoWw- S Model SOLD BY - INSTALLED BY n?w Electrical Work By-_ ? c.t 1 L OF lz Gas Line By t??t-vTYPE OF HEAT GA_ FA-L- HW_ STEAM SPACE HTR. UNIT HTR. O7HER GAS DESIGN CONVERSION MAKE r.11- MAKE OF BURNER Model 'i 9 L! ?_ W u! o?? a? o Model ` Serial 3 7 S rc A Oa 'i -7 3 Max. BTU Rating - INPUT So , o 0 o MAKE OF FURNACE CONTRO LS THERMOSTAT T8 ?4 Heat Plug Valve Limit _ ST k=- t?n ce-, Limit Setting ?a (L(-"- Fan Setting n c-s ° ? Vent Sixe S KIND OF LINER SIZE NONE Draft Hood Ut- S?e., tQ Regulator %? F?-, Filters Size Number N Chimney Location Inside k Outside Pilot Type c-c ,X obj 1 c Chimney Construction C Pilot Make SPra w; 1l1wi-roa Pilot Model 1A ?? r Smoke Bomb --" Pilot Timing 1 n! Sr ?4 ?iT L.W. Cut Dff -' Pressure 3° s (C•v• C - Percent CO 2 -1 '/a ? Input CFH 50 Percent O ` 2 ? Stack Temp. 2 `? S?F Percent G0 [?,lsztys?- Draft Door Wiring _ UK Test Tag V E S Lighting Inst. n '< Date Tested `? - -1 -1 • r / - Company Testing ?.?A V_^+ ?? 4'" Name of Tester t?l 4 Form 235 . . -- . ._ . ? ' :'?., .;- ..n.. ' . . ?.:. ??.. '. . ? . ti. '.L `.. . _ " SEDGWICK HEATING & AIR CONDITIONING CO. . HOUSE HEATING TEST FiECORD 13,,2? ADDRESS?? ?A Cr,AI ItI iL CITY P, L"I OCCUPANT --- OWfVER P(oR %zonA l•?tonn? S HEAT LOSS--- DATE HTG. INST. - SOLD BY ` Electrical Work By TYPE OF HEAT INSTALLED BY Gas Line By ???c r- GA_ FA?_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER_ GAS DESIGN CONVERSION MAK E C? ig i M rj ( Model 39 4t!?. A;,k) a-.4 µ o 5 0 Serial 3 7 04 !a v 3 o 11 INPUT _ So, o00 CONTROLS THERMOSTAT Heat Plug Valve S X 3q S t.l S 7c -?hl _ Limit - Ew'< <c? Limit Setting a SO ° ? Fan Setting Pilot Type C- LC-C-T aeti r Pilot 114ake - S PA RK f cr,t?l ?TOR Pilot Model _ l-t5c- t MAKE OF BURNER Model Max. BTU Rating - MAKE OF FURNQCE Model Vent Size --n. KIND OF LINER SIZE NONE Draft Hood T? t-'S; Qq VJ Regulator -? E S Filters Size Number l r Chimney Location Inside u Outside Chimney Construction eL - n SS 3 Smoke Bomb Pilot Timing i t-4 S i w ntT Draft L.W. Cut Off Door Pressure ?3 -S "I - ? - 1• Percent COZ o Input CFH °50 Percent OZ Stack Temp. 2-a 5` E Percent CO tQ0 r-1G? Date Tested 9- f- Wiring _ QIC Test Tag - ?!4E- 7 Lighting Inst. r?ic_- Company Testing -'?7N V-- ?cl W i c it Name of Tester C--o ,j ? e, D Form 235 4 ? •), CITY OF EAGAN WATER SERVIC? PERMIT 3830 Pilot FCir..ob Road 27-? . 3 9 7 P.O. ?x 21 I?,y iJV PERMIT NO.: } 3.0-197?- Esyan, MN 551DATE: -p ex Zoning: n.:omes No. of Unit4: Owner. Address: , 1 ra s o _ orwis k Site Addess: Plumber. ?.?. F)u Meter No.: C lB?? ?9e? siZe: Sl?''r Roc1U . Ate??ng _ s?4att?' ! 1 agree to compty wlth fhe ?I Ordinancss. f%y - Total: gy Date ? Dete of Insp.: _ InsP•: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 954P P.O. Box 21199 PERMtT NO.: Eagan, MN 55121 DATE: 1-30--$7 Zoning: 1t3 No. of Units: 4-plex Owner. New f'•orizon Homes Slte Address: Plumber. - i 'l.J.'.?.•! t:JIJ/ 1 agree to comply wtth the Clq? of Eayan Ordinances. Dete of Insp.: Insp.: Connection Charge: Account Deposit: - Permit Fee: 5urcharge: Mlsc. Charges: - Total: Date Pald: ?, r ? • ctnr oF eaGaN WATER SERVICE PERMIT 3830 Pilot Kiob Road 8396 P.O: 36it 21199 ?? ??cl PERMIT NO.: _ _ Eagan, MN 55121 DATE: Zoning: ? No. of Units: -plex Owner. ew Horizon Homes CiTY OF EAGAN SEWER SERVICE PERMIT - 3830 Pllot Knob Road ?? 7 - P.O. Box 21199 PERMIT NO.: ? Eagan, MN 55121 DATE: I-30-87 Zoning: r3 No. of Units: -p ex ? Owner. `?ew =7orizon norses ? Address: ? Site Address: 1615 ?son r ve _ 3 Tra s of Thomas I.?. mpson a p, ? Plumber. 1 I agree 1o comply wNh the Clty of Eayan Ordinancea. BY Date of Insp.: Insp.: ConnectionCharge: 242 .UUDq Account Deposit: 15 .OOpd Permit Fee: 10. OOpd Surcharge: • S0P?! Misc. Charges: Total: Date Paid: cinr oF EAanb . . 1NATER SERVICE PERMIT 3830 Piloi Knob Road 8395 P.O. BOx 21199 ??? PERMIT NO.: 0 7 Eagan, MN 55121 DATE: T Zoning: No. of Units: 4-plex Owner. "eW Ilorizon 3omes Address: Site Addess: 1 G09B Clemaon T)riv: i:? o ? Reader No.: U 2 ?.-;! 1 aqrae to complr with the ?,l -?r ? :??1?w? M - w, . ?UEIu ?«CL ? Date Paid: Date of Insp.: 7 Insp.: TY OF EAGAN 30 Pi".ot Knob Road O, Box 21199 gan, MN 55121 SEWER SERVlCE r(v .. 'CITY OF EAGAH '3830 Pirot Knob Road? P.O.,ttboc 21189 WATER SERVICE PERMIT `: ; `-? 4 PERMIT NO Esgan, MN 55121 .; DATE: ' a- 7 Zoning: P3 4_ 1ex No. of Unita: A New ':iorfzon '1 Owner. . om e s Address: SlteAddess: C1emson Dxive L47 E2 Tr;jls of 'I'homas I,k Plumber. 'sc;n ?'lutibin ; Meter No.: ??? •2 6 tion Chsrge: 525• 0OP? 0 W Size: ?k ..,__ _ _,. i c nn_ , - ReadEr No.: QZX--x I apree to comply wNh BY /- ?L Date of Insp.: -1 (v - 10 1?3d.Q0 d TP ? _ 67. f?C1pd meter Date Pa(d: CITY OF EAGAN SEWER SERVlCE PERMR 3830 Pilot Knob ROed 0, r/, . - P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE; 1-110 v Zonirg: _ R3 No. of Units: ,. _P. ex 4wner: NieU1 liPriZOn :30Pte8 /kldro55: Site Addi Plumber. te a1 1 plll wiM !V Ca17 oi tyes Conrncilon Omrgo: Acoount Depalt: _ Permlt Fee: Surcharyr Misc. Charpes: - Total: oar. vaie: 1 Nm hoow/!y wM IM Cilp of logew Orli?mom By Daft of Irap.: ConMCtion Chorps: 41fr2*liWd' /locount Oeposit: 15, •' `?F a Parmit Fm: 10 .GG"I:1 Surchorgr Misc. Chorqas: Totcl: Dob Paid: FOR SALE T.H. CITY OF EAGAN A' ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121'Y ? 13106 PHONE:454-8100 IA / BUII.DING PERMIT Receiptp ?S 7 To be used far 1 OF 4 PLEX Est Value $ 64 ,000 paty JANUARY 14 yy87 SiteAddress 1615B CLEMSON DR . Erect n Occupancy R3 46 Block 2 Sec/Sub. TRAILS Lot OF Remodel ? Zoning PD Parcel No. THOMA$ LAKE Repair ? Type of Const. V Addition ? No. Stories = Name NEW HORIZON HOMES Move ? Length 44 ; Address P.O. BOX 3900 Demolish ? ? Depth S t 22 ° mpc q.F CiryMPLS Phone 420-3900 ? Insta o Name SAME Approvals Fees $? Adtlress Assessment Permit $ 377.50 ? ciry anone water & Sew. Surcharge 32 . 00 ?? Police Plan Review 188.75 ? W Name Fire SAC 625.00 3 Address u ? Eng. Water Conn. SZS.?? a W Ciry Phone Planner Water Meter 67 . 00 Council Road Unit 305.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg Off Tr PI. 180.00 information is correct and agree to comply with all applicable State of . . . Minnesota Statutes and City of Ea n Ord' ances. - APC Pafks Signature of Permiriee ' Var. Date Copie TOtal 2 , 300.25 A euilding Permit is issued to: NEW ORI ZON HOMES on the express condition that all work shall be done in accordance with all applic e State of Minne ota utesan City of Eagan Ordinances. Building Official , ? FOR SALE T.H. CITY OF EAGAN N0 13105 ? 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, nnN 551121 - ?PHONE: 454-8100 ? (nq?j? BUILDING PERMIT , Receipt# ? b' " ) To be ueed for 1 OF 4 PLEX Est Value $ 64 ,000 Date JANUARY 14 ,19 87 1615 CLEI?ISON DR Site Address 6 R3 ect ? Occupancy Lot 45 Block 2 Sec/Su6. TRAILS OF Remodel ? Zoning PD THOMAS LAKE Parcel No Repair ? Type of Const. V . Addition ? No. Stories a Name NEW HORIZON HOMES Move ? Length 44 Demolish ? Depth ?? 3 Address P- O_ BOX 1367 o Int. Impi. ? Sq. Ft. City MpT'S Phone- 420-3900 Install ? o Name GAMF Approvale Fees = v¢ Address ASSESSRIent P6ff111t $ 377.50 • ciry Phone Water8Sew. Surcharge 32.00 ?a Police PlanReview 188.75 W Name Fi SAC 625.00 F ? nddress re E 525.00 t C W u ng. a er onn. W a Ciry Phone Planner Water Meter 67. 00 Council Road Unit 305.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. 180.00 in(ormation is correct and agree to comply with all applicable State oF Minnesota Statutes and Ciry of E gainanc? APC Parks /? Var. Date Copies ? Signature of Permittee $ 2, 3 0 0. 2 5 Total A Building Permit is issued to: NE HORI ZON HOMES on the express condition that all work shall be done in accordance with all applicable State,pf Minnesota St atut nd Cib? Eagan Ordinances. BulldingOBicial / FOR SALE T.H. CITY OF EAGAN A' p ' - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13108 " BUILDING PERMIT PHONE: 454-8100 rteceiptp Tobeusedlor 1 OE 4 PLEX EstValue $63,000 Date JANUARY 14 1987 Siteqddress 1609B CLEP+ISON DR Erect C] occupancy R3 Lot 48 Block 2 Sec/Sub. TRAILS OF Remodel ? Zoning Parcel No. THOMAS LAKE Repair ? Type ot Const. V Addition ? No.Stories W Name NEW HORIZON HOMES Move ? Length 44 2 P. O. B?X 13 67 Demolish ? Depth 22 o Address Int. Impr. ? Sq. Ft Ciry MPLS phone 420-3900 Install . ? o Name SAME Approvals Fees i? ? ¢ Address ? Ciry Phone F W Name Address z a W Ciry Phone I hereby acknowledge that I have read this application and state thatthe iniormation is correct and agree to comply with all applicable State ot Minnesota Statutes and City oi Eaypn Onjinances.,fi Signature of A Building Permit is issued to: NEW HORI ZON HOMES all work shall be done in accordance with all applica6le St of MinA 'nesota Building OHicial --=-=d water R Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge 31.54 Plan Review 187.010 sAC 625.00 Water Conn. 525.010 Water Meter 67.00 Road Unit 305.OC Tr. PI. 180.010 Var. Date Copies 2, 29 ?! Total C _N on the express condition that Statupond Ciry of Eagan Ordinances. FOR SALE T.H. CITY OF EAGAN ? BUILDING : ? PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 1?.?107 PHONE:454-8100 Receiptu 497 1 Tobeusedtor 1 OF 4 PLEX Estvalue $63,000 Date JANUARY 14 t9 87 SiteAddress 1609 CLEMSON D:t Erect :L Occupancy R3 Lot 47 Block Z Sec/Sub. TRAILS OF Remodel ? Zoning PD Parcel No. THOMAS LAKE Repair ? Type of Const. ?-T- Addition ? No. Stories a NEW HORIZON HOMES Name Move ? 44 Length ? 3 Address P- O. BO?? L367 Demolish I I ? ? Depth ? Ft S o city MPLS phone 420°3?, ?04 nt mpr. Install ? q. o Name SAME Approvals Fees $a Address Assessment Permit $ 374.00 " City Phone Water & Sew. SUrcharge 31. $ 0 ? Q Police Plan Review 187 _ 00 W W Name Fire SAC 625.00 =a Address ? i Eng. 525.00 Water Conn. aw Ciry phone Planner WaterMeter 67.00 Council Road Unit 305. 00 Iherebyacknowledgethatlhavereadthisappllcationandstatethatthe BIdg Off 180.00 Tr PI information is correct and agree to comply with all applica6le State of . . . . Minnesota Statutes and City of Ea yn Ord' ances. APC Parks ? - Var. Date Copies SignatureofPermittee Total $2.294.50 A euildin Permit is issued to: NE AORI ZO HOMES 9 on the express condition that all work shall be done in accordance with all applica S o( Minnesota Statu(g d City of Eagan Ordinancas. Building Oificial f This revuest void lr.?-0' 7 18 months (rom (C 7 3 3 9 8 Aequ?C.T Date ' Fire No. ? PouPh-in Inspection ?Required? 0 Ready Nu??p-• iil Notify InsPec- ' 1 >0.s ?No / 1or Whe. Neadv ,?15ZCscensed Elec[rical ConVactor I hereby reQUest insoaction of ebove ? Owner electricel work insialletl at Sueet Address, Box ar Houte `4./7/ L jl Cit/y ' ecuon o. Townshi0 Name or o. RanBe o. County Occ 1 ?q ntIPpINT) V Phone No. Pow SuO'Vlie(r/ 1`tJ / Address E19p(fical Contractor ICOmpany Neme) / ? ll ( Cnntr aripr's License MO?Q /-? ?? l.?/ / ?_ Mailing Address ICo eactor r Owner MakinO I siai 4ioM AuMorized i r ontrpwne Makin .'-?% In I nl Ph ?3 e NumDer 32 MINNESOTA SiATE 80ARD OF EIECTflICIiY THIS INSPECTION REQUEST WILL NOT Grigpe•Midwey BIAp. - Foom N•791 BE ACCEPTED BY THE STATE BOAND MN 55104 UNLESS PPOVER INSPECTION FEE IS 1821 Universltv Ave.. St. Peul, Phona (612) 642-O800 ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION y-00001-05 / See inetructiona for comoletinq thia lorm on back of vellow capy. '? • / ??%'?q A "X" eelow Work Covered by 7hrs Requesf oi Buildina Aooliancea Wirsd Range ? Water Heater uilding Oryer -rcial Bldg. umace 'ial BIAg. Air Conditioner orns.9 onci v Vcu y ther t Fen Rc/nw Equiument Wired porary Service tinu Fiztures OAdP.f p Fee ServicaEnbenceSize tl Fee Fenders/Subteeders F Fee Circuits 0 to 200 qm s 0 to 30 Am s oZ 0 tn 30 Am s Above 2 0 qmpy 31 to 700 Amps 31 to 100 A Swimmin Pool Above 100_A4 Above 100_Am s Transiormers Irrigation Booms Pa rtial,'O apeciai insUec[ion em3rks ?,,) TOT F ? I Houph-in Da1e I, Me cal insoa«or, na,a e v Final cartity thet the bove e . 1l . i?` ? Inspection has been a made. This request void le rtwn[ns hom C 73397,?ti%; , 715??/ ?iyuetl? ?N I?Reatlv Nu?y'?g}4Villwhotiiq IndY ec I X?/ I ? tl??Y l f / CJ f ?censed Elecincal ConVactor I heraby reauest inspection ol ebove ? 0. ner electrical work inatalled at' Shget. Aadrregs%Box oryfiqyIle No. CIJ ? ?l? CitY ecUOn o. Township Name or No. Nan9e No. Coum v OccupantlPRINTI Phone No ? ect) t'? J 1 ?e C- . - Power Su er - Atldress a r.?? (0 ElecUical Contractor ICompany Name) ? Co ?rar.lor"s License No. n rw? 5G n l ?? ?-r, a Mai i g ress Iyontractor o Owner Ma kin Instailation) v Au hor¢etl Si u Mra r ing In a ti ) P ne Nomber .coUiq STATE eOAXD OP ELECTpICITY Gli6Ba-Midwey Blde• - Noom N•197 7821 Universitv Ave..St. Paul, MN 55104 Phone (6747 642-0800 THIS INSPECTION flEQVEST WILL NOT BE ACCEPTED BY THE STATF BOApD UNLESS PflDPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?e/e-ooCo/oi-os ? See instructions tor completinp thin form on back of vellow coov. P Be/ow Work Covered bv 7his Reaua.ct Atld R.P. Type af BuilElng Apvliances Wiretl Equipmenl Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuflAin? Dryer Electric Heatin Commercial Bidg. umace Silo Unloader Industrial BIAg. Afr Conditioner Bulk Milk Tank Farm ther oeci y Otner f5uncltyl t, ueci Y t er pth., ompute nspection Fee Below aSize :H Fee iaxders/Subfeaders # FAe Circults s 0[0 30 Am s 0 tn 30 qm s MAb qm?y 31 to 100 Ainps 31 to 100 qm s ol q?ve 700Am s Above 1 00_Am s Irrigation Booms Partial.'Ot Speciallnspecion TOT F Ot? Rouph-in ..r- , Insoectoq he.aby Final Da1e certifV thel xhe above i 77 nspection hes been mad e. This reqoes[ vaid 10 mqnths from 73396 Heqqqq est pppaic ' 1 1 I,/;I L. J Fire No. HouPh-in Insoection Requiretl? ?Reatly Nuv'aPill NotifY Inspec- ? tar When R d I I V U /?'es ?NO ea V censed ElecVical ConVactor I herebv mquest insDaction of above ? Owner elecbical work installed at - Str et Address, Bo or Raute No. ? y City - I - ? ? ecuon o. Township Name or No. Range No, Counly Oc aM (PNINT) Phone No. T? C. Power POlier Address Elecvic I Convactor (CompanY Name) Np, Lic se Cnmra to(s eo ? C ( ? (? / ? ` ? ! I c Mailitl0 Address ICo ractor or Ow er Making Instailationl M Q l? t /?- Ti?-Gv J5. Authorized Signatur IConVacior O ner Making In Ila[ion) Phone Number 3??-- MINNESOTA STpTE LOANDeF EUIICTfl&&_,,,?,? S ?A i? „`I7? THIS INSPECTION HEQUEST WILL NOT ?? A Gri09s-Midwey Blde• - floom N-191 eE ACCEPTED BY THE STqTE BOAND 4 4 1921 Universitv Ave., St. Peul, MN 55704 ?-?L UNLESS PNOPEH INSPECTION FEE IS Phone (612) 642-080f) ENCLOSED. ?t / fiEQUEST FOR ELECTRICAL INSPECTION eya-ooooi-os If See inatrocliona lor complatim this form on back o} yellow copy. ? 7Q"? Q C "1(" 8elow Work Covered bs' Thrs Request Atl ,Feo- TVDe ot Builtling AOChoncea Wired Equipment Wired Home Range Temporary Servicy Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heztm Commercial Bldg. umace Silo Unload2r IndUStrial Bldg. Air Conditioner Bulk Milk Tenk Farm Other pec, y ? ther ISO?^r,ifyl t pr Succify Other pthmr (.OmOUIP lnSnBClron FAa Halnw p Fee Service EnFenceSize p Fee Feaders/Subiaeders N Fae Ciroults Uto200qm s 0 to30Am 5 0 tn30Am A6ove 200 qmp5 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Am s 7ransformers Irrigation Booms Pdrtial-'Other Fee $ig?5 Specialln5pection TOT Remgrks F ?? Noueh-in D3 e y I, eha al InsPeclor. heraby '..". f: :`- :: e -`p.- F?nai ?.Y? insoectian has been? mede. Thla reuuest vold 18 monlhe Irom This request voltl -;r p. 18 rqpths 7rom 7 3 f? 3 9 5 1k% ry,; Feque? D. J / ?? Fire No. Raueh-in' InsU6ctian eqw ed? Y E]Ready No?TI Notity Inspec- tor Wh R / (_ es ?NO en eady --'T!T?censed Elechical Convactor ? Owner 1 heraby request inspection af above eiectrical work installad et: SVeat Address. Box floa? No.? ?Y City O ?/ i/?°. ? ecUOn o. Township Neme or o. qanqe No. County Occupa ? (PHINT) Phone No. . ? Power SuOPher Address L ? . ELe I Contracmr ICompany Name) CoMr ctor's License. Noy ?i6 mns?r? FlP? Mailing qddress ( ontraclor or Own r Making I a"latwn. ? - ? f ? ?? Aut oriz Si at e IConh clor e Making Inst a 1 .. Pho NumEer MINNESOTA SISCTE BOAPD OF ELECTRICITY Gli99s-Midway Bldy. - Room N-181 1837 Univenitv Ave.. St. Peul. MN 65104 Phona (612) 642-0800 iH15 INSPECTION qEQUEST WIlL NOT BE ACCEPTED eY THE STATE BpqRD UNlESS PPOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os r? Sae instructiona tor completine this lorm on back el yellaw copy, ?._-f73?_9 5 "1C' Be/ow Work Covered by This Request ,r1_ AAd Fep. Type ol Beiltling _ ADD?iancea Wired Equiument Wired ex BI ter Bulk Mi M Fee Sarvice n" F.. Feadars/SUbleeders Fee Circults O to 2 0 to 30 qm s tn 30 Am s E , Above E 31 to 10 qmps 31 [0 100 A s Swimm e 100_Am s Above 100m s Transi Irrigation Booms Partial.'Other Fee opeciaiinspec[ion I, the Er.-ctrical Inspector, heraby certiiy thet the above inspection has been ? ? . repuest valG 18 montlm irom oGl?3 ? zovRESIDENTIAL BIJILDING rExNUT nrrLicATiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cans6uc5m Reirl(remenh 3 teg'ste2d site surveys 00vin9 s4.9. oflot sQ- R of hause: and a roated meas (NI%mmmien IMcamrepe attawed) 7 Sak Repat if praposed drildmg's (o beplaced on disWr6ed sa 2 oqces of pan siawn9 6am & wimow smas; Pwted famd deszJe. etc. 1 set of Eneyy Caladebms 3 oopies ofTrea Preservatian Plen it bt pla@ed alter 71f193 Pom Jdst Detail Op6ons selec5on shee[ i6uBdngsvnth 3 mtess unAs) Wmnegascomedismwlvenhla6mlam - RanodellRmeQ Reauimmeft 2 copies ofdan aAuMn9 fookigs, bums. )dsis i sel otBMgy Caauletims forlrealed additiM t ste swveytr eddlfons 8 deds AdOur - irxkale ffonsAe sapNC s'laf em Ofica tke OnW C¢Rof SLrveyRerd - _Y _N Cs'?s Report _Y _N TreeP{esPlen.Recd _Y _N. Tme RcsReqLared _V _N Onsile SepticSysEen - _Y _N- Pfans are considered pubtic information unless vou state thev are trade secret and the reason. Date ? r : _ / d<-/ 0 -7 Coostruction Cost dq 40, 60t1 ? Site Address /,? n 4 -:3 - / 1,5- , .1[a /S- a UnWSte N G! e n. .J i , DCSCrintionof Work ? Malti-Family Bidg N Fireplace(s) _ 0 _ 1 ? 2 Property Owner % t.? ` f o ? a Telephone #[6.J l) 0 C,) Coetractor o Address City L? LGrtl{St.1 ? l? e State Aj . Zip ?3 :7 TelephoneN(9S? COMPLETE TH1S AREA ON1.V IF Enerpy Code Catagory - Minnesota Rules 7670 Cateeorv 1 (Jsubrtdsaiontype) Resfdentlal Ver?6WtronCategory I Worksheet Submftted • Energy Envelope Calculatlons Submitted A NENf BiJlLDING Mimesota Rules 7672 . New Energy Code Workshee4 Submitled In the fast 12 months, has the Ciiy of Eagan issued a pertnit for a similar pian based on a master plan? _ Y _ N If yes, date and address of master plan: licensed Piumber Mechanical Conhactor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residentia( Building Permit and acknowledge that the information is complete and accurate; that the wock will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. Eu?r 1<4'At41 Nrek GJ .T.,fC p..re 1*--' . G /dn- zP,"-e= ApplicanYs Printed Name L,-, yib(- 3 3.2 XpplicanYs Signature <S-Egt7D MECHAIVICAL (RESIDENTIAL) (93D,5? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit L Date ( l:?' y l V3 Site Address w=5 A r Unit # Property Owner /P_I G6f d ('f?? Telephone # ( _b - STqN0AR011EATING & AIR CONDITIONING C0. Contractor 410 WEST LAKE STREET MINNEAPOLIS, MN 55408-2998 Street Address 612-824-2859 City State Zip Telephone # ( ) The Applicant is _ Owner X Contractoi _ Othex Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger X air conditioner other ^'" 2 4 :' . Sta[e Surcharge $ 50 Total $ I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mecbanic o ; that I understand this is not a p tmit, but only an applicatio ermit, and work not to start a emrit; tha work will be in acwrdance with the pp oved plan in th?j ca/se of u whi h Lequires a cevie and approv of pia . ?J Y? Applicant's Printed Name Applic s gnature PERMIT# 5_1 '1 i6S RECEIPT DATE: EOOE RESID£NT1AL PLUM$INH PERMIT APPLICATION crrY oF KAflAx 3930 fll.OT KN09 itD E4flAN, MN 55182 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, ? .6a..Lfln .............M... F..._L......1:.........??..?._? SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: HAPPE,PAUL 1609 CLEMSON DRIVE EACaAN, MN 55122 (651) 994-1605 TELEPHONE #: (AREA CODE) tJOr6 I0YY1 P?1A.Wl?IvLC? TELEPHONE#: (OIZ"g2'7" '40 53 2.QQJ'? Caarf<<d AVA!.0I4e. JOIk+?, (AREACODE) C ITY: I A F? IS, STATE: Mnl Z1P: 5540$ _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water s.oftepers'and?w9t- er heate?. $ 50.00 _ Abandonment of septlc system. _ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118) -^ _ Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water sonener X water heater $ 15.00 State Surcharge $ .50 Total $ 50 1.5 I hereby acknowledge that I have read this application, state that lhe information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It Is the applicanPs responsibility lo notiTy the property owner that the City of Eagan assumes no liabilily for any damages caused 6y the City during its normal operaNonal and maintenance activities to the facilities consVUCted under this permit wilhin C?y??pertyhig? sement. ?? SIGN TURE OF PERMITTEE 1102 ? ? I 1 \ 3a ?o 0 o? ? ?n ?a ? M N ?, P ?• ?? oo0 ° ? N '74? 3p °o yv M I a? ?°.V3 Iv3?.B? \ 3SO35„ 46l?lp8.o S ` It 31'.4lc' . GAJ/ R' _537:13' ; DQivE ' ? ? ? 0 9 l lll lL! v ? M? m O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= . 940. o 0- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevatiom- .. q40.5. I hereby certiy that this is a true and correct representation of a survey of the houndaries ot Lots 45, 46, 47 and 48, B1ock 2, THE TRAILS OF THOMAS LAKE, Da!cota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed by me or under my direct supervision this R`h day of January ,19 _QL, Paul A. Johnson Land Surveyor. Minn. Reg. No. 10938 """ CERTIFICATE OF SURVEY ? ?.._ 4,?0 ?? for ? McCOMBS-KNUTSON ASSOCIATES, INC. WXSUlTIM6 FNOIMflIIS N 1AX0 SYAYETOIIi 0 SRE PUMMfIR FllElq. ?EW._..HORlZ01..i _._HOMES, I?IC.__ MINNENOLIS W MUTCMINSON,MINxFiOTA 1931 -?-?/ 1986 BOILDING PSRMIT APPLI ATI08 - CITY OF EAGAN HOTE: ALL COATRACTOHS MOST BE LICENSED iiITH THE CITY OF EAGAN SINGLE FAMIILY Di1ELLIHGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MULTIP[,E DiIE[,LINGS - ASSIDENTIAL @IIiTAL UBITS FOH SAI.B ONITS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOR9EY - CHECB iiITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COA4lERCI9I: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTiTRAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To He Used For: RQ,p4vmVo Valuation: 6a),00 Date: (1 C{?g2 Site Address Mo0C( (??,,,?O? [.ot 4-7 slook 2 Pareel/Sub qlc" Cw] qke,-,-u 2dJ2Q Owner `Ny),S qh2j? 9479? &Y'.G. Address P.n, '?ex 13(,-7 City/Zip Code SEAL,I) Phone 42D- 390O Ereet ? Oecupaney p- - 3 Remodel _ Zoning Pp _ Repair Type of Const 'Q Addition ll of Stories Move Length 44_ Demolish ! Depth Z2 Int.Impr. Sq Ft Install 9PPROVAIS FSES Contraeto'r T&ur Address P'C) R&-X I `36-7 City/Zip Code Phone 42D- 3Rb0 Areh./Engr. Address City/Zip Code Phone Ik Assessments Permit 374• Water/Sewer Surcharge N•'D Poliee Plan Review ? 1 1 Fire SAC (o Z S . Engr Water Conn S 2 S- Planner Water Meter (fl-7. Council Road Unit 3os. Bldg OfP Treatment P1 (8D• APC Parks Variance Copies TOTAL a &(i Lj, NOTE: ADDRESSSS EOR CORNER LOTS - CONTRACTOR/HOPIEOiiNER MIIST DESIGNATS i1HZCH ADDRESS IS DESIHfiD. NO CHANGFS WILL BE ALLOiIED OHCE BQILDING PERMIT IS ISSIISD. D .? 1986 BIIILDING PBRIiIT APPLICAIZON - CITY OF EAGAN MOTE: ALL CONTRACTORS MOST BB LICENSED iiITH THE CITY OF EAGAN SINGLE FAFQLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS lIOLTIPLE DiifiLLINGS - HESIDENTIAL INCLUDE 2 SETS OF PLANS, CEH 1 SET OF ENERGY CALCULATIONS COMMRCIAI. RENTAL OliiilTS FOR SALB QNITS ? OF SDRYEY - CHECg GTITH BLDG. DSPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: R?{1@Q,v,CA Valuation: (03,(Y)7 O° Date: I lQl$? Site Address I (? 0 q 5 CQa'? ?) ,;VA Lot 4Q) Bloek 2-_ Parcel/Sub '4(ai,Qj d Owner 'YIDi,r Address City/Zip Code ffIm. 55?qa phone _ 4 20 - 3400 Contractor ? ???y- Agwpd cQhe Address P O P-49-e I 3G`7 City/Zip Code 55q40 Phone 42-D - 3q0D Arch./Engr. Addre9s City/Zip Code Phone 0 Erect ? Occupancy R3 Remodel Zoning Pp Repair _ Type of Const V_ Addition # of Stories _ Move , Length _ 4 Demolish Depth zz _ Int.Impr. Sq Ft Install Arraovais FEES Assessments Permit ? 34, Water/Sewer Surcharge ? Police Plan Review Fire SAC I92S , Engr Water Conn 25 Planner Water Meter l9'7, Council Road Unit ??US Bldg Off Treatment P1 l 8c?. APC Parks Varianee Copies YOTAL .?.? ,?,.m,!i 7r? AOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfiNER MIIST DESIGNAYE WHICH 6DDRESS IS DFSIRED. NO CHAAGES iiILL BE ALLOASD ONCS HOILDING PERMIT IS ISSII6D. xore: ML 3IAGLE F9lIILY DWELLINGS s3 ?3pe INCLUDE 2 SETS OF PLANS, 3 CERTZFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLYIPLE DNEI,LINGS - RfiSIDENTI6L RERf$L ONITS FOR SALfi IINITS ? INCLUDE 2 SETS OF PLANS, CERTIFICATfi OF SORYE7 - CHECH WITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COMAIERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTCIRAL PLANS, 7 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? bF 4 To Be Used For: R"r,CQ Ualuation: Cp4, QW.PD Date: ?/q r g-7 Site Address ?(„ ('rj c&,ye? n" Lot 4Z) Block '2 Parcel/3ub Owner ?pt,r ??m?Unyry-n ?d,npe C,Qin,C Address Pb f3ex 13fa? City/Zip Code phone 420 - 3?'f D O Erect ? Occupaney R13 Remodel _ Zoning Pi;) Repair Type of Const Q Addition 0 of Stories Move _ Length 44- Demolish _ Depth 2Z Int.Impr. Sq Ft Install arraovAts FsE.s Contraetor Address ?O E--ey-k City/21p Code ",,, 55A40 Phone A20 - 3900 Areh./Engr. Address City/Zip Code Phone ll 50 Assessments Permit 13 ?• _ Water/Sewer Surcharge 37"„ Police Plan Review g? g,115 Fire SAC bZS. Engr Water Conn 5 2 S Planner Water Meter (0-7. Council Road Unit Bldg Off Treatment P1 I bp. APC Parks Varianee Copies mrAL a3oo.. HOTE: ADDRESSES FOR CORNER LOTS - CONTRACiOR/HOMEOiiNER MUST DSSIGN9TS i1HICH ADDRESS IS DESIRED. NO CHANGES i1ILL BE ALLOWED ONCE BDILDING PERMIi IS ISSDED. MOST BS LICENSED BITH THS CITY OF EAG9N / 7986 BpILDING PEIi[+IIT APPLICATZON - CITY OF EAGAH NOTS: Aid- CANTRACTORS M[TST BB LICSNSBD BITH THE CITY OF EAGAB SINGLE FAI+IILY DiiSI.LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DTifiLLINGS - RfiSIDENTIAL HpNTAI, pgIqS FOR SALS ONITS ? INCLUDE 2 SETS OF PLANS, CEATIFIC9TE OF SQRV6Y - CHECK iiITH BLDG. DEPT., 7 SET OF SNERGY CALCULATIONS COrAfERCIAC INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: pQp(? Valuation: oQC?. 00 Date: I l?'-(l$7 Site Address ?(D I5 B CQww le„ Lot Bloek 2 Parcel/Sub q-WA ap.-"j,Q\e-? &6 Owner m¢c,T 'lLliMe?. `WU?19d c?.A,c : Address Pb a6X 13(:) 7 City/Zip Code Phone Contraetor 'r?&o r Address P ? (3n /3G-7 City/Zip Code SS440 Phone q`ZO - 3q OQ Arch./Engr. Address City/Zip Code Phone # OFFICE OSE ONLY Erect ? Oceupancy (z•3 Remodel _ Zoning r,o Repair _ Type of Const g_ Addition # of Stories _ Move Length 44. _ Demolish Depth zZ Int.Impr. _ Sq Ft Install _ ArrxovALs ?cs Assessments Permit -3`77.Lo Water/Sewer Surcharge 32• Police Plan Review I bS. "+5 Fire SAC Co25 • Engr Water Conn 52 S. Planner Water Meter (0'11 Council Road Unit 17509- Bldg Off Treatment P1 I O APC Parks Varianee Copies xoxAL S? NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOIiEOWNER li05T DESZGNARE AHICH ADDRESS IS DESIRED. NO CH6HGES WILL BE ALLOiiED ONCE BDILDffiG PERMIT IS ISSDED. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION **#***************##ki****?#}***** *R7i': PAYMN?Tf OF FEE AT TIN1E pg : APPLICATION mES NOr CONSTITUTE APPROVAL OF PF.RNIIT. xNsPncriotv oF sEM arro/at ? ? INSTAT.r_amrONS WIIZ NOT BE S(HED- ? ULID []NI'II. PII2MIT AAS BFaI ? APPROVID. ; P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: '- IF EXISTING SiRCCIS.'RE. DATE OF ORIGINPS, H[.'ILDING PERMIT ISSCANCCE: ? Mon YearT PRFSENr ZONING/PROPOSID OSE: COMPE2CIAL/RhTAIL/OFFICE ? IDIDCSTRIAL, ? INSTIZS]TIONAL/GOVII2APEN'p R-1 SINGLE FAMILY ? R-2 DPPLEX (1t.o Dnits) ? R-3 '1nWNiOLSE (Three + Units) ( IInits) ? R-4 APARTMPP/COrIDOMINZ[,T1 ( Units) 2) ? NAME: ADDRESS: CITY. STATE. ZIP: PHONE: 3) u c?• ?ME• For City Use _ ? Plimibers License: ADDRFSS: 4e ACtive ? E7cpired i CITY, STATE. ZIP• Not recorded PHONE: ASTER LI(?NSE# Sta Initial 4) U7* • ? i?• ? NAME:_ ,?,YG11?1 G?,? ? _ ADDRESS: . CITY, STATE, ZIP• PHONE: 5) n r? i a• • ?• : a • ? - ?? CONNE(.TION 10 CITY SEWIIt ? CONNFX.TION 2U CITY WATER n OTFID2 . . 6) '? •' ??• ? PLEASE HOLD APPROVFD PII2NffT FOR PICK-L?P BY ONE OF ABOVE °--'- -- qD PLFME L APPROVID PII2MIT 70 1, 2,3 4. ABOVE f 'g , ? ' (Circle one) FOR CITY USE ONLY , PERMIT # ISSDED 3 -j, ?z . Pd w/Sldg. Permit FEES: $ $ /O - S-D SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ? S= l7 Ii ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ $ WAC $ $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BEN°FIT/TRONK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ $ j ! TOTAL 7) RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PL'BLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE EIVGINEERING S O . A A C NDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION t**,r**,?**#***+x*:,c**+*::+:*t*,r**t**: P ease Print 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF FJQSTING STRLVMRE. DATE OF ORIGINAL BVILDING PERMIT ISSL'ANCE; . PRFSENf ZOIVING/PROPO.SID LSE: (Mon ear q CMf1ERCIAL/MTAU?0McE C2 INIDC?STRIAL n INSTIIL*!'IONAL/GOVIIMW 2) ADDRFSS: CITY, STATE, ZIP: . PHONE: 0 R-1 SINGIE FAPIILY Q R-2 DUPLEX (TuoCfiits) R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTME?'P/CONIDOMiNI[JM ( Units) 3) NAME: For City Cse . Plumbers License: ADDRESS: n A Active QTY. SPATE, 2IP: H Explred Not recorded PHONE° L-J?I MFLSTER LICINSE# ?-/ St Inltial 4) re• • i?• NAME: _ ADDRESS: • CITY. ST'ATE, 2IP: PHONE: . S) v ? M: • ?• _ '? a?U y?» • ? CONNECfION TO CITY SEWII2 CpNNE[,TION 4U CITY WATIIR ? pT[-IER . . 6) '? •' • r [] PLEASE HOI.D APPROVID PEE2hIIT FY)R PICK-[IP BY 0NE OF ABOVE ---- --- PLEASE MAIL ApPROVID PERMIT ZO 1, 2,? 4. AB(7VE ,. (Circle one) ' » Py°r? ? PAYfNFTTP OF FEE AT TIME pp : nPMcAM«1 nCM Nom ooNMTM ; APPROVAL OF PERFIIT, ' INSPEX.`fION OF SFI+M APD/CR WA'II'R , r.raTrpNS yVIId, NOT ffi g(HED- ULM [7NPa. PIItFIIT AAS BM APPROVID. FOR CITY USE ONLY PERMIT # ISSL'ED r7 Pd w/Bldg. Permit FEES: $ $ l,?) - 5Z SEWER PERMIT (INCLUDE SL'RCHARGE ) $ $ !n-S? WATER PERMIT (INCLL?DE SL'RCHARGE) $ 6 /`U-? $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ .;? 7_J~Q C) $ • wAc $ ?ZS n? $ sAc $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEIVEFIT/TRUNK WATER $_ f?G.G L $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S I ?7 ?? ?? G O $ TOTAL 76 RECEIPT RECEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PL'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE : 1136 /y 7 CITYOF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ? R-1 SINGLE EAtIILY R-2 DLVLEX (ltap Chiits) f? R-3 70WNH00SE (Three + Units) ( Oni.ts) R-4 APARTYMENT/CONIDOMINICTI ( Units) • -•1Rlrlt]til[Rl?'fllltl?]lfltftYf}Y!!t![!YR'kY=fkxllY P ease Print 1) PROPERTY ADpRESS: I6fc? ._ LEGAL DESCRIPTION: q.? Z ._ , Lot Block Subdivision or Tax Parce ID ) IF EXISTING STR[,'C.qVRE, DATE OF ORIGINAL &JILDING•PFS2MIT ISS[.'ANCE: ' PRFSE[1f 7ANING/PROP06ID LSE: Mon ear - ? CMMC1AI./RM'AIL/0F'FICE ? IfID[15TRIAL ? INSTIZL*PIONAL/GpVMOGM 2) ? 6AME: ADDRFSS; CITP. `,iTATE. 2IP: PHONE: 3) • m?- NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: 4) •• • ??- rmrE: _ ADDRFSS: CITY, STATE, 2IP: PHONE: MASTII2 LICETISE# 2 ;*IOTR: PAYMNa!TP' OF kEE AT TIME pg `. ArPLscAazav noFS Nvr CONSTITUTE : APPROVAL OF PII2I+IIT. : INSPECTtoN oF SEWM nrD/oR WATEx : irSrarT.n,mrONs wILL IJOm BE scHED- [nEn UNrir. PERMIT Ans BEEN ArPxovm. ACtiVe E7cpired Not recorded St Inltial 'S) ? ? r• • ?• : ?? • o? :?. o-? ?? CONNECfION 1O CITY SEN7ER CONDIDCPION Tt7 CITY S+lATIIt ? OTFIER_ 6) '? '•?` ? PLEASE HOLD APPROVID PERMZT FC)R PICK-Up BY QNE OF ABOVE PLEASE MAIL APPROVID PERMIT TD 1, 2,? 4. AHUVE (Circle one) ' ?, , FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SORCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ?S G' L ACCOUNT DEPOSIT - SEWER $ $ `S' U-ZJ ACCOUNT DEPOSIT - WATER S ;5 2 S " f5- el- $ • WAC $ c -0 $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRLiNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ I;1 C- U C? $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ I 3 7?? C; C! $ S/' L L TOTAL RECE Z f I IPT RE CEIPT DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORR WITHIN PUBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LI5T AS A CONDITION. SL'BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : f ? ? fi .' C ITY O F E A G A N t?;ICn•Pj•AI oF? ?? ; nPPxovAL oF PmrUT. APPLICATION FOR PERMIT ; . . nvsrrx-izav oF sENM nND/az MM : irsrulAmors wa.r. Nom BE scHm- SEWER AND/OR WATER CONNECTION :MID tnvM PERMT xas BEEN F,2PROVFD. s rt r .. . . s..??.«?............?..?..???-----....--..-. 1) pROPERTY ADDRESS: LEGAL DESCRIPTION: ? vision or If' EXISTING SIRL'(.`iLTE, DATE OF ORIGINAL E[JILDZNG pII2MIT ISSI'ANCE: . PRFSENP ZONING/PROPOSID LSE: M?n ear . ? CMMCIAI./RETAIL/OFFICE Q INDL'STRIAL +] INSTI2S,*fIONAL/GpVIIM2W 2) ? ADDRESS: CITY. STATE, ZIP: PHONE: 3) • i: ?• tv,arE: AMxFSS: CITY. STATE, ZIP: PHONE: 4) •• • i?. rtAME: ADDRFSS: CITY, S"PATE, ZIP: PHONE: t] R-1 SZNGLE FAhIILy • ? R-2 DLIPLEX (1t.o Lhtits) ? R-3 10WNiOf.TSE (Three + Units) { Units) [v?" R-4 APARTMlf/CObIDOMINItfil ( Units) LICEPISE# 2 Active ExPired Not recarded tSIn1t1a1 5) ? v • i r •?• • ai ? tiu58 ?? CONNfX.`I'ION T0 CITY SEWf12 [j? CONNECTION 1V CITY WATER ? p'I'fIER . . [] PLF1iSE HOID APPROVFD PERMIT FOR PICK-DP BY ONE OF ABC)VE --- ---- (y7 PLFIISE MAIL APPROVID PERMIT TO 1, 2, ? 4. AHC}yE L '• ? (Circle one) ' 7) ima ? s s: v? 6.rm" ?37T. FOR CITY USE ONLY - ? PERMIT # ISSUED Pd w/Bldg. Permit FEES: L' $ $ /0 `S SEWER PERMIT (INCLUDE SURCHARGE) $ $ /0 WATER PERMIT (INCLDDE S[7RCHARGE) $ $ WATER METER/COPPERHORN/OIITSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ 15-•6 ACCOONT DEPOSIT - WATER $ S Z $ • WAC S ? Z S?G- v $ sAC • $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFZT/TRONK WATER $/?L'??? ? S WATER TREATMEN T PLANT SURCHARGE $ $ OTHER: $ /3 $ TOTAL 0??? 7 ? 0 z? j RECEIPT RECEIPT DOES DTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES SF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING DIVISION . LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ? i,?',?•: ?'?? ,?' ? TITLE: DATE: 1 T 1.2 G - ?- CITY USE O:VLY F .CT '?BL -a- , RECEIPT#: ? 2 aa a? SUBD. -T d0,-Lo VlU YV\'W) RECEIPT DATE: ?` I D' G O LJ?,-r- MECHANICAL PERMIT # J0 Y' 1999 M£CHANICAL PEiMTP (RES1DENTIAI) crrY oF EAsax S$SO PILOT KPOB ftD gf1&AN M1V 551 YY Date: (651) 6$1-4675 Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner /occuoied. = f.^.'AC: (): T:J ADDITIONAL 50 M BTU 30.00 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total .50 $ Jz? .So Complete this section or:lv if you aze remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or repair. _ New Alteration Re ir _ Other Reminder: Ca11681-4675farinspections. ? Fumace _ Air conditioning _ Air exchanger Other g 3000 State Surcharge .50 Minimum Totai Due $ 30.50 1 ?61 ? A SITE ADDRESS: ( (7 ( /,YI7?.im /l' OWNERNAME: 9/l77 l ?j?4?41eo?rl) PHONE #: ? ? - &46 °l,`7?I S (AREA CODE) INSTALLER NAME: pHONE #: (AREA CODE) STREET ADDRESS: CITY: ` iHljp• ? STATE: ZIP: 4A SIGNATURE TTE -7 r . ???Lit 1990 BUILDING PERMIT APPLICATION CZTY OF EAGAN ? l/ SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BIIT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. MAY 0 9 RECD To Be Used Fo? Valuation:?'W .? Date: ? Site Address LI\ a. Lot ? Block 9_ Parcel/Sub Owner flv-k L$? ? (') 6.1$ Address Io\s ( L?'-Iscro City/Zip Code-f?? ?JJ12,Z ? Phone '2j(p Contractor Address City/Zip Code ?9. QNul ?S kQ4 Phone ZZb -Q-')gO Arch./Engr. Address City/Zip Code Phone # .OFFICE USE ONLY FEES Occupancy Zoning Actual Const Allowable # of stories Length ? Depth I('? S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL ?.5t a)s - -0 1 LJdL,qg¢-E DECk? BL.o , 7 ° `}s 3p p?• W n ? I ? i r t? rzN ON / N 9c? e ? \? \ CL J 9 ,. e P o, ? ? ? r°`°- Ss EAgEME7JT ? :l;? ; ?9(e ?'z ? Svi?oiu „ r ?Sln W?O?? ? _el •o <<'? ? . N ?- - C ? ?`' 3t?.o3 ? ?_ 3• So ?5.. ?MSQ? I R _ s3? ? I DRIVE \ = L= los. e=Ii3?'e 13' / Q` - z ] a ?u N, ?w? ? j J?W 3u1z I) 0 ; 0 9 ? ? n ? P ? ' Z uJ ? ? Q N _ O .?, 2 I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot, 5'16, 47 & 48, Ci1or_k 2, TFfE TR11IIS OF THOPtAS LFUCE, Dakota County, MinnP 1(r?s CD?.,?.?, And oi the location of all buildings, if any,thereon, and all visible encroachments, if any, trom oron said Iand.This survey is made only in connection with a mortgage loan now being placedon the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose o( establishing lot lines or boundary corners. As surveyed by me this 19th day of Janvary 1987 . ?? Paul A. Johnson Land Surveyor, Minn. Reg. No.109?a MORTGAGE SURVEY u ,.._ ?. eWK ?a for McCOMBS-KNUTSON ASSOCIATES, INC. 233 ?z ..;1;,?: „L.W . NEW HORIZON HOMES '3?l MINNER>OVS.NUTCNINSONWM?NSINILMINME50T? ,9.35 _ 30 o w o 0 ? ? . . COMPONENT MANUFACTURING COMPANY 4101 NORTH 4M AVE. • SIOUX FALLS, SO. DAK. 57104 •(605)339-3647 TRANSMI'TTAL ?r ` ? z ?,-- v?- r?.= :2 patg: June 19, 1987 To: Martv Geraen 8527 170th St Hastinas. I•IN 55033 Attention: We are sending you: ? Shop drawings ? R irMs ? Plans R6: ? Change order(s) ? Report(s) ? ResubmRted shop drawings ? Sample(s) ? Quotation ? Fleld verification notes ? Phone conversatfon verHicatlon ? Contract Copies Date No. Description These are transmitted as checked below: ? For your use ? As requested ? For your approval ? For your information ? For review and comment ? Please see reverse for any drawings Flernarks: Here are the repair drawings for the floor trusses per your request. Edwards, Sales NEN HORIZCN flEVfSEO 96 F3 COHPONENT MFG. C0. 4101 N. 91H FVE SIOUX FFLLS. S.D. 57104 MN ??p? TTP L8 ' % E LEN Y % lMEy9E51 1 LP02 6N20 S.C% 7.9 1.5(I 3.00( 1- 2) 3 CHIt GN20 I.5% 2.8 3 lN00 GN00 I.C% 2.8 3 INOx ON20 60Y13,1 1.35 6.151 l- 31 1 IN11 CN10 I.5% t.! 5 IxOt GN20 9.C% 1.5 1.25 3.001 5-20) B Ixll GM20 1.5% I. B '! INOY GNtO 3.U% ].9 1.25 2.2517-181 B lNl1 GN20 1.5% 2.9 9 IN02 Gx20 1.0%1a.i 1.25 5.501 9-101 10 I91: CM20 1.5% 2.8 11 INpY CNOp e.cr.ie.a 1.35 9.00t11-061 tt IMll GN20 2.5% 1.5 13 INOt GN30 B.CXIS.tl 1,28 7.COU3-I61 H CRII Cx20 2.pI 3.9 14 lXpC GNZC. i.C% 2.9 IS CflUt GN20 E.CY. ].9 1.54 1. SOU1-051 15 BN64 GN30 L:% 2.9 IB 1N03 Ox20 S.C%St.{ 1.50 1.19119-I61 li INp9 GN30 S.CIIS.E 3.29 5.951 9-191 IB INO? GN]p 4.C% 8.9 1.25 L SOi 7-09I 19 IN03 GNYp 3.C% 1.5 L. 75 L l51 5491 20 IxU9 GN3a bC% 7.9 1.35 l.Bl l 9401 9PLICE9 10-11 SP 10 GN20 3.C% 8.2 li-IB 9P I0 91420 3.OR 7.9 OE91GN s?EC?. °09 L!GNi YE741. PlqiE [OHNECiEO A000 iflU93E3. 7PI,I999 iN!S OES!,N USES ON9Y4MEi91C91 ?LqifNo .IxInux er zxe cax-.±xucus srnaxcena IIIiUIRfO ni IC Pi dN LENifX YqM1MUM ' CN E90 $ NE B9 MEY99 FC4CE NOP O;SP 9LCPF/12 1CR0 MEMBfl FCflLE FP-74 1L891 Fi-I N-9X OEPiH IN IPLFI Ffl-ip (L89) t- t I26C 0.- 0- 0 I6.000 0 0. 1. J 2!62C 2- 3 0 3- 9- 5 0. 100.0 9-20 1690i 3- 4 9632C 2- 1- 1 0. 100.0 4-20 ]34f. 1- 5 3633C 2- 1- 1 0. t00A 5-20 974t . 5- 6 4910C 3- 1- 1 0. 100.0 5-19 185i 8- ] 4910C !- 1- t U. Ip0.0 9-19 291C 7- B 1C11C ]- 1• 1 0. 100.0 7-19 ]{Bi B- 9 4011C 3- I- 1 0. IOQ.O 748 ]SOC 9-lC 951C 0- 1- i 0. I00.0 Bde 291[ 10-11 951C 2- 1. : 0. 100.0 9-18 IIiOT :1-12 1394. t- 1-1: C. 100.0 9-17 1979t 12-12 4391" L 9- C 0. 100.0 10-14 tlaf. 13-14 C 1- ]- e C. 00.0 tl-It 20937 14-15 I50]C 0- C- 0 -08.CC0 D 0. 11-18 3216C 15-IS 2:89C 9- I- 9 C. 20.0 12-16 195C 16-17 1198C 4- 0-11 0. 20-0 ]3-IB 2919C 37 -19 2712i 1- 8- 2 0. 10.0 13-15 2702i I0-19 409UT /- B- 2 0. 10.0 19-20 /197i 1- 8- 2 F 30.0 20- 1 21307 1-1 C- 0 0. ?20.0 . Mfl%. UNBAPLED BCi.CH. LEN.- ]p.C Fi. 11Ei51 I.PTE59l Bfl4CE 9 PNO PIIXf.fN$ [NpICNiEO fOX iflU99 MENBER9 PflE flE CU(REO ip 9EO UCE 6UCNLlNG LENGTH OF MENBEfl. PXO 9HOUl0 BE NFI LEO i4 iP. OSS 9EYE'9S x[iH M!NIMIIM pF 2400 Mq]LS . °9QY19 1Cx3 YUS] 9E MPOE 9 T ENOS dfl SPECIFIEO INTEPVHLs i0 9E9 Ifl91N Ofl iNCHOfl IPT ERpI BPF[I NGfB1 O TXEfl41. IV16M,SE"R 5-? G' Ur N 7- .6 =o . nu_Ly ceitity thcl this plan, specitication. ot ceport was pcepaxed by me or under my , d'uect supeivision and that I am a dulp Aegisieied Professional Engineei undet the luws of the State otMinnesota ` Dcte 4-/.;2 ''7 RegiafcaHon No. 13,800 ? o ? o ? ? o 0 ? cJ„C L0n0 CHONOS 9RF. LUnBE9 OE9CRIPLICN LB9 1- 2 tY ] Xp.3 S.P.F. .. ISUO 2-14 4Y 1 MSP.I9OOF-I.6E 9.?.F. I4-15 {Y 1 N0.3 S.P.F. IS- 1 4% ] M9p165OF-1.5E 9.P.f. MfB9 4% 2 N0.2 S.P.F. 1- 9 11-17 11-16 19d6 13-15 xEB9 1% 2 N0.9 S.P.F. 3-20 1-20 5-20 5-19 6-19 7-19 l-IB edB 9-I8 9d7 10-19 12-I6 iN19 iRU99 i9 OE91GNE0 iC 9UP°09i YE9iICN1. !04D9 P9 OEiEanINEO 9T CTHEP9 PXp SHONx Ex :NPUi L39TIN0. VE91f][niION C^ LCNOING. CE!LlCIICN llMliqilON9, Ffl441146 4EiMp09. IIHD BP4CING Cfl Oi4ER I.qiE99L 9PPCING TNPi rg OLNpY9 9EOVI4E0, f9 TNE 9ESPOx9I8IL:tY OF iNE °P.CIECi nPCHItECi 04 ENGINEE9. QF.S!GN C9:iF?.!G JI iC' nI. I.L-. ac egc I 01.• IC FSF ACL fv. LL• 0 F9F Ol= iC PSF i0i4L LC90= EO VSF ? 9PPCIxG• 31 :x. GC !NPUL OE°L Li360 !NC9E45E51?F.3 9EN11 lU4BF.9• 0 nq:l.• 0 ? iCY 1_5.15 9[4 15.1 5 I NPII ?HLUE3:°9ll 04C55 [4C9C5 NE85 . Y!I% .Y:N 4fl6' Y:F I 020 lu,' 132 131 132 ? n•Glli 911Ni!?cycq.. a .._ J vNC9J li ^.El:l: :HnSa I 1 1191.± 3- 8 I 19 _'StS. i ?- p CBMP.f.B= 05:P I I he[eby ce'tlly that ihis plan, specificntion. or cepart woa prepared by ma ox undex my di:ect avparvislon and that I am a duly Registered Prafesaional Engineer under Ihe laws of ths State ot Minnesola. Date g'?Z-gJ-Reyiatxalion Na. 13.800 -:io << i z o i . rt ,5 F+-?*F 0 1 2 26- 9- 0 (=c?.n?S1'J2e.,eT1U.J A.DN?-.._9/(JLy . L'LJCi' 8c) I)Q I C . nur. _:.. ?•s ? ?_? ? NEW HOflIZON REVr5E0 96 F3 COMPONENT NFC-. C0. 410i N. 4TH RVE 5!OU% F9LL5. S.D. 57104 HN "YTTP'V18 - % LEN i N lME48E41 1 LP02 GN20 S.C% 7.9 1.50 9.OOt 1- 21 2 CPU GNtO I.SN 3.8 t BMOp GX20 I.Cx 2.9 ! INOt 6N20 I.C%1E.1 1.35 8.951 1- 91 { INIt bl00 1.5% 2.0 5 INU3 GN20 3.Ck 65 1.25 9.00l 5-201 B IN11 EN20 I.SX 2.8 T IN02 01120 3.0% 9.8 1.25 2.254 i-IBI 8 Ixll Gx20 I,SK 2.8 9 INOt Gx20 1.0%10.1 1.25 S.SUI 9-171 10 INIt Gx04 1,5% t.! 11 lNOZ OM20 8.C%18.0 1.25 9.00111-161 12 IMI GN30 2.5% 1.5 13 INOt GNm B.CYIS.! 1.25 7. 00 tl9-161 11 CPIi 91,20 2.UX 3.9 34 exnc cxzo. t.cx z.n IS C902 GN20 D.CY. 7.9 L 90 1.50 tlt-I51 IS BxpO Gx20 I.C% 2.9 16 INC3 ONYp 9.CY33.1 L 50 1.29113-181 t'! IN03 GN20 S.Ck15.e 1.15 5.751 9-171 IB INO? GN30 6^.% 9.9 1. t5 1. 50 (]-191 18 INU3 GN00 3. CY. 1. 5 1.25 1. i5l 5491 20 INp3 Gx20 {.C% ].9 1.25 I.BII 5-201 9PLICES 10-11 9P 1G Gw2e 3.C% 9.2 1746 9P 10 GNtO 3.C% 1.9 OE4fGN S°ECE. °OP ! !GHi YE74l °lqtE [CNNEL2E0 AQCO iM099E9. 7PI.1978 T4!S OE91GN USE9 JNSTYMEifllr,n l, pLqttx0 YINIINN CF 216 L514I:MVOO9 979CNGBpQ( RYUiPEO pi 10 Fi 2M CENiEfl MHXItlUM ' LH ONO S NE B9 NE.Y2fl FC9[! Npfl 0!SP 9lCPF/12 LOl10 NEMBfl FCflCE iP-iC II.051 Fi- IN-9Y, pEPiH IN IPIFI Ffl-TO ILB91 1- Z 126[ 0.- 0- U 16.000 0 0. 1- J 2962t i- 9 C 2- 8- 5 0. 100.0 3-20 189Ui 9- 1 9632t 3- 4- I 0. 160.0 4-20 231C I- 5 9632t 2- 4- 1 p. I00.0 5-20 974t 5- 8 1910C 2- 1- 1 U. 100.0 5-19 465T 0- 7 1910C 2- 4- 1 0. 100.0 8-18 fllC 7- 6 4C19C 2- 4- 1 0. 100.0 7-19 24ei D- 9 {CRC ]- 1- t U. 100.0 140 757C 9-I0 954C 2- 11 U. 100.0 0-18 291C - 1o-It 951C 2- 1- 1 0. 100.0 9-18 1470i 11-12 I361I I- 1-13 C. 100.0 9-37 1979C 12-I3 4l64-. 1- 6- 0 C. 100.0 IpdO t!{f. 13-11 C 1- 7- tl 0. 100.0 11-17 25991 u-is lseic o- o- c -1e.000 o a, u-1e 3276c I5-1$ 2169C 3- I- 9 0. 20.0 12-16 195C i6-14 119EC 1- 8 d4 C. 20.0 19d0 2019C 17-19 29127 1- 9- 1 C. 20.0 19-05 2702T I9-t9 I690i /- B- 2 0. 20.0 19-20 I4977 f- tl- 2 0. 20.0 20- 1 2130T 1-I 0- 6 0. .20A . . XfV%, UNBPptEO BOi.CH. I.M. 10.0 Fi. NOiE. I. AiESat 6fl9CE9 flN0 PUflL1N9 INOILNIEO FOfl TnU$9 4EYBEP9 PXE PECUIflEO iO PEOUCE BU CNIING LENGiN OF MEMBEP. NNO 3HOUL0 BE NNIl EO iC iP. Y99 ]E4EE99 XIiN M:N{MUM OF 2-100 NRIL9 . °9M[9/ CN5 9119i BE YROE 4i ENOS OR SPEC{FIEO IHTgflYqL9 Tp 9ESi flNIN CN 4XCH 0.9 L11T E9Bl BPPf,I XGIBY pT NEfl91. NI EM,BE-R 5--e, c-'v,- N T.3 L-v . irr;by ceuity that this plan, specificatioci. or teport was p[epaied by me o[ undar my direcf supexvision and that 1 am a duly 0egistered Profeasional Engineer under the lawa of the $tate of Minaesota r Date Registratioa No. 13,800 g4o 4 05] o a o oEgi ? 26- 9- 0 S:FC 10f10 CXOH09 91EE lUn8E9 OE9[n!PTICN lB9 1- 1 4Y 2 NO.3 S.P.F. .• I500 2-11 4X 2 X9P.IBOOF-1.6E 9..°.F. 11-I5 IY ] X0.3 9.I.F. l5- t 1% t MlPl650f-I.5E 3.°.f, XE09 IY. 2 X0,1 S.P.F. t- 9 11-17 il-IB 13-16 13-IS MES9 4% 2 x0.9 S.P.F. 9-20 /-to '5-20 5-18 8-19 7-l8 y-ie e-ie s-ie 9-17 10-17 u-ie iNIS fflY59 19 OE91GNE0 LC 9UP?ONi YE9TI[PL !0409 N9 OEiEBMINEO AY OiHEH9 PNp 4NaHx Ox :NPUi LISTINO. VE9IfICPiION ^F LCBOING. OEPIECiIEF tlMlipilOxs, FNpNlxO YETHOOS. 111NO BPPLiNG CN pi4E9 LBIE9PL BflflC]NG itiqi !s NlMAY9 4EGUI9E0. IS iXE 9E9PoF51BfUT` OF THE !P.CIf^: BflC4ITECi C9 ENGINEEP.. !?o >> i 5 ? I ? vV xL'7?X 1/yevoear? U.eE.' 'co1R?s?rlee.,erioa ADH6'-.9?(!G"". ? L?.SC:UC/ A ll1G -2.:'14 ` ? \J 1 I GES!aN ^Y:IF°l9 y. iC° 'Y. LL+ 40 °SP I I OL. IC p5i 9C7 CN. LL. C PSF ' OL+ 1C PSF 1079L ! 09C• EO PSF SPPCINC- 24 !N. C/C I !NPUi 0`Fl. li?60 i !NC?.EPSF.5 IPE9 'ENiI I.J49F9• ] fi9!:.• C I I 714 1.3+15 9C4 L9•I5 I xqll. V[Ii-JEJ.°5!1 GNC59 . • CNCp^5 NE95 ' vax ry:x yax v!n GN2C 122 M 132 :32 i ' p..Cqi 3!ICSJ '9: li :Eic: fN-SY. ?t 1194.1 - 9 I I 1_ 3515.I _- P, i ^PePra? a_q;o i i 1 hetebp cettflp ihat lhlf plaq epecificaHom or veport wa. Oseyared bp me oi undex my dizect suyervisian and Wat I um a duly Aegistased Proleeeional Engineex und_r tha laws oE ihe Stata cf Minnesota. Oale 5-CZ-133'-Regiatwtion No. 19,800 12 E12 j 1! i-I4-c rt in ? I 8'e2) øîø ÿ û ú þýý ü ü ûýýñú ýþ î ë ÿýî ü þýø ùø÷öõôø ó öõß õôø àø õ ë ìø ëø÷ â úù û õ ú ý ãîîÿî ö ë þöëøêß âû ëôñáõ ëðåéÿéîÿÿ ÷û ùø ôçåéãéã öñõ øôó õõ ù Þ Ý ïÛ ÷òø þöëøêéßýãïë â õâßîû âßîÿ ñýðÿîýý ÷ö ê õõ ë ëõö õõ ÷ù â ù ø ïö û é õõ è ëù ø øöù ø 10'?, -5, > ,X17 Use BLUE or BLACK Ink For Office Use 4 I j Permit City of Eap Permit Fee: 3830 Pilot Knob Road I 13 I Eagan MN 55122 i Date Received: Phone: (651) 675.5675 Fax: (651)675-5694 1 Staff: I ,1 / /2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: OI 6 / 3 Site Address: !Unit 021 Name: -LAl2J✓ al L& ff,b - Phone: ~Z 7 7 Resident/ J Owner Address / City I Zip:, / r/i/~ f' ~b~ 42z Applicant is: Owner Contractor Description of work: dt- ?k /2 i S~ P gype of Work, T Construction Cost;. Company: No)- -rL8 ~aUVWxl ~ h Contact: oe rlL e, S I gr,3q~ k4a5".C1mte, f`F city:'11 L(we(La Contractor Address: Stater Phone' .L._ t-eerrser _ . egad SRI cfi afe If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Ph COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? -Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 11OT Rlans. nd su "ing do'cuRients thatyousubmit=are,consde ed;to be publrcl.,forrriafonrt, of the information.may be classified as non public if.you proyide specific reasons that~would f,e Cit o concl~rdo- fhat~they are trade secre s CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, jo=,gogherslateonecall.org 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 Minnesot tate ' u Idln Code must be completed within 180 days` of permit issuance. X_ fp V IzQ I~V e x ~P Applicant's Printed Name Ap 's Signature - ~ Page 1 of 3 �� ,��-� � Z � � U� , _ Use BLUE or BLACK Ink �------------ --, � For O�ce Use G��. � ��(� I (��Tl � Permit#: `-I' i U 11 i �yj I � Permit Fee: � 3830 Pilot Knob Road � Eagan MN 55122 � � Phone:(651)675-5675 � Date Received: I Fax:(651)675-5694 � � � Staff: � ��J 2015 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2}sets of plans with all commercial applications. Date: Site Address: Tenant: Suite#: � . Name:� �, �i Phone:�.Q,�Z-2Z�Z' L�I��'I Address/City/Zip:�� ,` .� '�'l ��V`� Name: � t"f U � � '�" � _License#: �l � � � �j l,C� S ',�'� Address: �� l��, �V i i ► T _City: State:�Zip:_�� Phone:�[s7+' "1"�7 " �� Contact: EmaiL•��'.,�i(�.ra(�� pnet��u�c�.ir,��Vl�t New �Replacement Additional Alteration Demolition Description of work: " �"�,(�'L. �C °' s �d i�i�M,�i y�r�a� �� im��V v�u �r�( ' � ti� ��m�j�a��,�. � �,�, i ! ' fr r S,� 1 r � i s RES/DENT/AL COMMERC/AL Fumace New Construction Interior Improvement �Air Conditioner _Install Piping _Processed _Air Exchanger _Gas _Exterior HVAC Unit _Heat Pump _Under/Above ground Tank (_Install/_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank instaliation/removal =$ Permit Fee *If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge'' **If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 *'*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in confi�rmance 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 siart 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_ ,L{.�CI�, �,��'� X_.�� ApplicanYs Printed Name Applicant's Si��na�ure