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1616 Clemson DrFoK CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 131U1 ' PHONE: 454-8100 , BUILDING PERMIT Receipt# To be used to? 1 OF 4 PLEX Est value $63,000 Date JANUARY 14 19 87 Site Address 1616 CLEl-1SON TJR Erect u' Occupancy R3 TtZAILS Lot9 Block 1 Sec/Sub OF Remodel ? Zoning PD . THOMAS Parcel No LAKE Repair ? Type of Const V . Addition ? No. Stories gr Name N Eti;1 }iORIZON HOt+iES Move ? Lengtn 44 Z 3 Address P.O. BOX 1367 Demolish I I ? ? Depth 7 a Ft S ? Ciry Phone 420-3900 nt. mpr Install ? q. W W ?_ V? ir W2 c Name SANiE Approvais re Address Assessment Permit t City Phone Water 8 Sew. Surcharge Police Pian Revie Name Fire SAC Address Ena. Water Con 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 Mlnnesota Statutes and City of Eagan Ordinances. Signature of Permittee A euilding Permit is issued to: NI'W HORIZON HOMES atl work shall be done in accordance with all applicable State,6f Minnesota Building Oflicial .L•. it Planner Water Meter Council Road Unit_ Bldg. Off. Tr_ PI. Var. Date 1 Copie . a j Total ' on the express condition that Statutes and City of Eagan Ordinances. ? PMmN Na PrCEit HoldW Dah TNsphone N PlumWny ? H.?.?c. - So1Mner Inopsetlon Dale Itap. Cammnts Footings I Fo~ M Foundaflon Fnminp Roolf" ?ez3 8 Cr?? RouYh PIbY- 1 ,111ough Nlp. Imul. ? F4"laco Flnal Htq. ? •?l -g7 ? ?'f. Flnal ?Ibp• Bldp• Final v jr/ c.n. o«. .3? -P7 ?. A wa Fro. Mck Fnnp. 1AIA Pr. DMp. R 5A WE' T.:i. CITY OF EAGAN 383?ot1Sn aad, P.O. Box 21-199, Eagan, MN 55121 a`:= 13102 BUILDING PERMI A6T PFWNE: 454-8100 Receipt# ' Tobeusedtor 1 OF 4 PLEX Estvalue $64,C00 Date tTXNUARY 14 19 87 SiteAddress 1616H GLEMSON DR , Erect [3 occupancy K3 TRAILS Lot 10 Block 1 Sec/Sub OF Remodel ? Zoning Pt'l . Parcel No. THOMA$ LAKE Repair ? Type of Const. -T _ nfdirion ? No. Stories W Name yF=W ffORIZaN Ir{)KEg ? Length 44 3 Address P• n• BOX 1367 lish inL impr. ? ? Depth ?? Sq. Ft ° City ^iPLS phone a z Q- 3 9 U 0 Instau ? = o Name SAME ? ¢ Address ~ City Phone a ? W Name ? n Address i W Ciry Phone I hereby acknowledge that I have read this application and state thatthe intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?Signature oi A Building Permit is issued to: 'I1EW 'r10!2I ZON HOMES all work shall be done in accordance with all applicable State ot Minnesot Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Var. Date Permit $ 377 . 50 1 Surcharge -32: 00 Plan Review1z$.75 sAC G25 _ ao Water Conn.%2:2..00 Water Meter 67 . 00 RoadUnit 30 5 .'0 O'Tr. PI. U. 0 0 Parks Copies Total on the express condilion that and City of Eagan Ordinances. P-rnNl No. PwniM HaWer Dale TiMphom i Pk"oi" N.v.n.c. Ei@cW So11?nM Inspaetlon Da% Imp. Conwnenls Footrqs 1 l FooWnps II FounQaYoe FnnYny R°°n'q 3 3 7 u? R-oo Plba 3 ? 43p A - Rouo "19• ?c . 61J,Q Inwl. FkrplsC! Final Nq. 7 ?? FNaI plbp, _ -, ri; ? '?? Bldq. FYqI CKt.Oce. Dmek t'IW Deek Frwq. WON Pr. Dimp. ' ?'` •,,.-. 6c _ c - ? 'v V?:r . ? PERMIT #. PLUMBlNCa PERMIT RECEIPT # yLA' C? CIT1/ OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE )NTRACT PRICE PHONE 454-8100 Site Address - Name _ ? Address c City _ - Name _ c Address O CitY - FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.OQ MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-an 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 Whiripool - $3.00 Gas Piping OuNets - a1 •50 SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE FOR: CITY OF EAGAN STATE S/C: GRAND TOTAL• ? "." ° ? ' • *MECHANICAL PERMIT ? CITY OF EAGAN RECEIPT # 76L yX 5/ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE -'??csr7 ? RACT PRICF• eunur. AeA e4nn ? Site Address ? Name = ? Address c City _ Name _ c Address 03: C'tY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # M BTU M BTU M BTU ?YT M BTU CFM -?- FEE S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. ? New ? Mult 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 - 1% OF CONTRACT FEE APT. BIDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (AOD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) ; ?+CT?r????4?( C?- SIGNATURE OF PERMITTEE FOR: CITY OF EAGi FL>R sALk. T. H. CITY OF EAGAN ?? ? 13104 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? . PHONE: 454-8100 BUILDING PERMIT Receipt # To be uaed ta 1 OD' 4 PLEX Est value $ 64 r000 Date JAr1UARY 14 19 87 Site Address 1616 CLEMSON DR Erect ? Occupancy R3 Lot 22 Block 1 Sec/Sub. TRAZLS QF Remodel ? Zoning pD Parcel No. THOMAS LAKE Repair ? Type of Const V Addition ? No. Stories wtove ? Length 44 c NEW HORIZON HOMES Name Demolish ? Depth 9..2 = ; Address P• O. BOX 1367 Int. Impr? S Ft ° City HLaLS pnone 420-3900 Install ? Q = o Name 0 ? Address ~ City Phone p- "I F W Name ox n Address i W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee_ A Building Permit is issued to: Nk;w HUK 1'GUN HUI4zti all work shall be done in accordance with all applicable,State of Minnesota Building Official 4/ 'Y A • ? Assessment Permit $ 377.50 Water & Sew. Surcharge --32sd 0 Police Plan Review_.188..7 S Fire SAC 625.00 , Eng. Water Conn.525.aa0 Planner Water Meter67.OU Council Road Unit 3f5 _ QO Bldg. Off. Tr. PI. 180 - 00 ' APC Parks ' Var. Date Copies Total $2.300.25 on the express condition that Statutes and City of Eagan Ordinancea I IMmit Ma Permil Ho1?Mr D09 ToNphonw N P1umbMg M.v.A.c: Electrk °2 ? 119,7 ?., SOMMM Inspectlon Dale Insp. CommeMs Footlrps I 1 Footlrqs II Foundatlon Fnmina Roolinq 5 7 ? ? Rouyh Plby. K3 ?J0 -/ -FT J Rouyh Mtg. (J„? IMUI. Flnplam Find Hty. 7 Flnd Vlbp. - - ? Bldp. FInM Cert. Occ. ? Deck Fty. Deck Frmy. weu Pr. Disp. PERMIT # . ? . PLUMBING PERMIT RECEIPT # ' CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address Lot Biock SeciSub m Name } ;, , ig AddreSS c Ciry ?jPhone _" . Name - ; 3 Address • '- 4 ?_ '"' -- O City `?.9 t= •? _ ?. Phone ; 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 BEYOND $1,000.00) ? SIGNATURE OF PERMITTEE ( OFI BLDG. TYPE WOHK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL __?_Water Closet - $3.00 S -` ?Bath Tubs - $3.00 - ? Lavatory - $3.00 ' - Shower - $3.00 Kitchen Sink - $3.00 ? Urinal/Bidet - $3.00 Laundry Tray - $3.00 " -` ' Floor Drains - $t50 - ?J Water Heater - $1.50 Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 I (MINIMUM - 1 PER PERMII) Softener - $5.00 Well - S 10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: PERMIT # X.-57 i . ' ' -40"MECHANICAL PERMIT ? RECEIPT # 70 5;/ ? . CITY OF EAGAN ? I ? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 QATE: j? ?~r 7? ??-31?1' ? CONTRACT PRICE: ? PHONE: 454-8100 ? Site Address ZLI L t ? Bl t ' S BLDG. TYPE WORK DESCRIPTION o oc ;'--. _? Bc/ ub r-, Res. -? New ? Mult Add-on Name m Address 8 910 Comm. Repair c City MINNEAPOIpIjjbrLk.; 55423 Other 881-9000 FEES ? Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 1 PER P RMI' 1 0 EA ( - n - .5 . E TYPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE Forced Air ?{! M BTU APT. BLDGS. - COMM. RATE APPLIES il B TOWNHOUSE & CONDOS - RES. RATE APPLIES o er 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 STATE SURCHARGE PER PERMIT - .50 Vent. CFM PERMIT PRICE GOES Gas Piping Outlets # BEYflND $1,pp? Other $ FEE: ; S/C: G SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN PERMIT # MECHAHICAL PERMIT RECEIPT # CITY OF EAGAN '"%.?/_? DATE 3830 PILOT KNOB ROAD, EAGAN, MN 55122 : CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot ' Block Sec/Su4 New Res . ? . Mult Add-on - Name 9? Comm. Repair Address Other c City Phone 894- 000" ? Name GFRA gDE?'a -`'' Jta :"•N'S FEES 100 M BTU -$24 00 RES HVAC 0 ` ` . . - c AddreS3 1619 -'':? : :)RTV C?'E? F ADDITIONAL 50 M BTU - 6.00 p City Phone 0 a* 2 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) 1 PER PERMIn - 1 50 EA GAS OUTLETS MINIMUM . - ( TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU 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 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: ? P MITTEE S??? S/C: r94 ? TOTAL• FOR: CITY OF EAGAN a 7/?y/99 f-al ?? ,Fpb-ZAbF, T,H, CITYOFEAGAN ? ??103 3$30 Pilot Knab Aaad, P.O. Box 21-199, Eagan, MN 55121N PHONE: 454-8100 BUILDING PERMIT , Receipt # Te bn used fer 1 OF 4 PLEX $ 64 ,0 0 f) JAN[lARY 14 a 8 7 Site,4ddress 1618B CLEMSON DR Lot 3 1 BloCk 1 Sec/Sub. TRAIriS OF Parcel No. TH.ONiAS LAKE W Name NFW HORIZON HOM?;S 3 Address F' • 4• BO?( 1367 ° Citv i'1fPLS Phone 420-3900 o Name SA,MIf; Address Ciry Phone ? W Name ? ? Address a W Cify Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordjnances. ? Signature of Permittee A Building Permit is issued to: 4EW HOi2I ZON liOMES all work shall be done in accordance with all applicable State of Minnesol Erect IN Occupancy R3 Remodel ? Zoning p I') Repair ? Type of Const. V Addition ? No. Stories Move ? Length 44 Demolish ? Depth ?? Int Impr. ? Sq. Ft. Install ? Assessment Water & Sew. Police Fire Planner Council Bldg. Off. Permit Z;p 3 I I • :)u Surcharge 32.00 Plan Review1$EI - 75 SAC 625-00 Water Conn. s ?.s - G 0 Water Meter 67. U U Road Unit 305.00 Tr. P I. 180. Uo Var. Date I Copies Total 2 , 00.25 on the express condition that City oi Eagan Ordinances. {- I P«wa mm i wIn "aae. I oM. 1 Td.pnon. # I ms- mg• Flnal nW. . y` .?• p CONTRACT PRICE Site Address Lot Block ? Name .q Address c City ? Name ; Address O CitY PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN .-? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: PHONE 454-8100 Phone Phone BLDG.TYPE Res. Mult Comm. Other FEES 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 f SIGNATURE FOR: CITY OF EAGAN WORK DESCRIPTION New Add-on Repair N4. FIXTURES TOTAI. 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 - $1.54 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 FEE STATE S/C: GRAND TOTAL• i _?--_ ---_ . . 19_ ?•. .: PERMIT# &MCHANICAL P£RMIT e.^___1 . RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '?^?•-rf x?? 3IS-7 ' CONTRACT PRICE ? ?- PHONE: 454-8100 Site Address /6 Lot Ll Block 04 i Sec/Sub 124 BLDG. TYPE WORK DESCRIPTION ? , ? 7 Fies. ? New ? ? m Name E W . . . Mult Add-on m Address AVt. • Comm. Repair f ? i Ciry ' mrz 5542 - 0 Other ` FEES ? Name RES. HVAC 0-100 M BTU -$24.00 3 Address i ADDITIONAL 50 M BTU - 6.00 (RES HVAC INCLUDES A/C ON NEW O C h+ Phone . CONSTRUCTION) AS O G UTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU jy4,72 APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM $ STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE •??"oeiEJ ' TOTAL: J1? k FOR: CITY OF EAGAN Site Address Lot Block ? ? Name ?o Address ? c Cily Phone Name ° 3 Address - p Ciry - Phane 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) r ? SIGNATVFE OF PEFiMITTEE , i hl/ ? PERMIT # PLUMBING PERMIT f' R 7? CITY OF EAGAN ECEIPT # c? /? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 / OATE: PHONE: 454-8100 ? BLDG. TYPE WORK DESCRIPTION ec/S b Res. New Mult. S Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $300 4 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - 53.00 Laundry Tray - $3.00 Floor Orains - $1.50 Water Heater - $1.50 Whfrlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIn ?Softener - $5.00 -? We11 - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: /- I I ua i) ;? SEDGWICK HEATING & AIR HOUSE HEATING TEST RECORD CO. SS S (?Q 4 ADDRESS C-LSE-NASQt? CITY EL p+?;Pl N..! OCCUPANT OWNER r-?) tE? iA c ? %72? A+ ???A i;-? ?- HEAT LOSS DATE HTG. IMST. _ -- SOLD BV INSTALLED BY Electrical Work By _ `::;"+- "f?-.4?- Gas Line By - S?nc .,.1tc K- TYPE OF HEAT GA_ FA,--_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ' MAKE OF BURNER -'--- Model ?gy ?Flu n at?c, Model ---------- Serial 3'1 R Se q n3 c, --3- h Max. BTU Rating INPUT ? a o MAKE OF FURNACE --?"`- Model CONTROLS THERMOSTAT Heat Plug - -- Vent Size Valve _ !5X t413 ?-,o x- - -:;L- _ KIND OF LINER SIZE NONE Limit STr-- %,v1 Draft Hood ti Regulator F--- ? Limit Setting ?t 'S n °Filters Size Number 1? Fan Setting cn° ? Chimney Location Inside '<- Outside Pilot Type 1;::-7c r0 c% tv k - Chimney Construction Cn-.s y? Pilot Make R k 1,-.1A.? Pilot Model Pilot Timing I r?'s't11p1`r L.W. Cut Off Pressure 3 • r3 "L-J• C- - Percent CO 2 Input CFH Fi 0 Percent O Stack Tem Z p. a2 4n Percent CO Smoke Bomb ` - Draft Door Pressure ? --"-' Date Tested Wiring C4- Test Tag Lighting Inst L1l Company Testing ? r?e;w iC(L _ Name of Tester e r tip Form 235 ? ADDRESS OCCUPANT- HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By TYPE OF HEAT MAKE GEO. SEDGWICK HTG. & AIR COND. CO. HOUSE HEATING TEST RECORD CITY OWNER INSTALLED BY Gas Line By GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE OF BURNER l Model__ Serial INPUT , CONTROLS THERMOSTAT Heat Plug Valve Limit Limit Setting Fan Setting - (v.: °r Pilot Type c" Pilot Make Pilot Model Pilot Timing I L.W. Cut Off Model Max. BTU Rating - MAKE OF FURNACE Model _ Vent Size ? KIND OF LINER SIZE NONE Draft Hood Regulator ' Filters Size Number % Chimney Location lnside Outside_ Chimney Construction ` Smoke Bomb - ? Wiring Draft Test Tag ` Door Pressure Lighting Inst. Pressure Percent COZ 7,Date Tested Input CFH Percent OZ Company Testing Stack Temp. - Percent CO Name of Tester - ,'1,12 Lr INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ' ' " I i' +! F M`.ii? ???t I{t - 1 NA i f!?f t 1MMA`• I AK! ( PERMIT SUBTYPE: INSPECTION ( ii?+l •. . D. lltl{.11 ! j`J {'1 i;?? t i ilil ? APPLICANT: c r? 1.'i a t, K TYPE OF WORK: eliri D rtiE; O: taqa A9 /29/9fr IIt F N 1 Itl2Ai titri I I? fIiAHK% : A`•FI'AItAlC I't 1411111 i ]ti 11-hUI)IIt( 11 F{+Ft ANY f'! IIMtl INIi i)K I 1 i i lf>)i A1 Wf1ftF ? I Permit No. Permlt Holder Dete Telephone A ELECTRIC cm:) V PLUMBING 1 / HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING r? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDCi FINAL BSMT R.I. BSMT FINAL rz z oECK FrG DECK FINAL --.?- ON CORD CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Permit Number. Ea an, Minnesota 55122-1897 ?? ?1 1.' ?' /•'f? g Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 1. i., ? 1 tl .;:i' ! I I: : 1,; v''i P?ll li IMf , ! EII E t?rt 1( . ?+! f li+)f+iA" 1 Ah ! it, !. i - `i 10.1,' PERMIT SUBTYPE: tt#) tt 44 11 1 N ? Nf W t r; a S j 7 TYPE OF WORK: rii 1.4 r r E> i it? ri t iN ni Permit No. Permit Nolder Date Telephone 8 ELECTRIC PLUMBING HVAC Inapectlon Date Inap. Comments FOOTINGS FOUND FRAMING b ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE p FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 11114111 3830 Pilot Knob Road Permit Number: ?'? Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ' SITE ADDRESS: APPLICANT: i I .< < I I ra AIrr III, N 1 , 114 11 , i t? ? I Ilt• I kA 1 I'. iil I IIi1Mf1 , I Ati I f t, 1.' ? hH,` `a 1!+`+ ' I PERMIT SUBTYPE: 11 FrAM1Nf+ ? TYPE OF WORK: n? I F frnri() N ,?; •.? ?, i i i??ia t t-•;F A•;,rON f I iNAI ? I I Permft No. Permft Hoider DaU Telephone M S/W PLUMBING HVAC ELECTRI ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 3 4 ) ? Rooflng Rough Plbg. Rough Htg. lsul. 3 Fireplace Finai Htg. Orset Test Final Ptbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final J-A T ( 40-??lr Deck Ftg. Deck Final Well Pr. Disp. .; .; , . . . ,> .. : . . ,, • 7 ..,: ..: . _ „ .,? ; .. . ?i .? s ., _.,.? ?? SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TEST RECORD U ADDRESS ? L4 ( g S _lEW1SD K,? 0 ftlYt CITY OCCUPANT OWNER ? ??o rS??v o HEAT LOSS ` DATE HTG. INST. -- SOLD BY INSTALLED BY S? DC?U+1?u? Electrical Work By - Tsr--- r') t(t Gas line By_ ?.1+cj e- TYPE OF HEAT GA_ FA_?2_( HW_ 3TEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSIOfU MAKE Ez'v vq ti -- MAKE OF BURNER - Model q r 19 V,; 0e?40 So Model Serial '7 0- `S Max. BTU Rating INPUT SO MAKE OF FURNACE ? CONTROLS THERMOSTAT Heat Plug Valve _ SnC 3 4!t? N`-> >[ -?- Limit T o Limit Setting Fan Setting Pilot Type ??. l'igor.! tc- Chimney Construction Pilot Ilrlake SPw:-RE4,_? ?l?nR_ Pilot Model N S C t Pilot Timing I rV `57'A hf ; L.W. Cut Off ? Pressure -3 n S??td/C , Percent COz Input CFH a Percent 02 1C?` c Stack Temp. ° F- Percent CO ?? 1-1 ? Model Vent Size KIND OF LIPVER SIZE NDI11E Qraft Hood S%c,4 r%j Regulator -qcF- Filters Sixe Number k Chimney Location Inside x Outside Smoke Bomb Wiring _ r214 Draft Test Tag r-- Lighting Inst. - OL Door Date Tested ? - a- ' 3:3 7 CompanyTesting ?jZ;, Q WI?-K Name of Tester [nr,_1 UZ.-\ D Form 235 CITY OF EAGAN PERMIT TYPE: """ I'' N"' 3830 Pilot Knob Road Permit Number: 41•" 1 '•' 4 Eagan, Minnesota 55123 Date Issued: oA/ t-' /`' 3 (612) 681-4675 I SITE ADDRESS: i„ t, ? ti' ? i ? t?? .??rl ttk I ? 1 i:tt 1! , Ut I 14t I A1/t 1 Ah.1 ? PERMIT SUBTYPE: II??, I'l MiNI , f 1 Nni If1HN i Ai. rEkari0H f.f1NVF R I '-fF'tf F IV I'irirf H APPLICANT: fi f?f r;. ?? f I TYPE OF WORK: Is; ',i I I I' 1 I ofp.; Permit No. Permit Holder Date Telephone M S/W PLUM8ING HVAC ELECTRIC ELECTRIC In4pectlon Date Insp. Comments Footings I Foundation Framing 7 v Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Flnal Plbg. Plbg. Inspeclor - Notiiy Plumber Const. Meter EngrJPlan BIdg.Final d.13.p3 gtit .9 O Dedc Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN WATER SERVICE PtRWIIT 3830 Pllot. _nob Road $402 P.O. Box 21199 PERMIT NO.: Eayan, MN 55121 DATE: Zoning: F3 No. of Units: -plex New Horizon Iiomes ' wner. dress: iteAddess: 1516 Clemson Drive L9 B1 Trails of Thomas I.k Plumber, ThamPson Plumbing Meter N71, ?525. OQpd Size:$ osit: 15.00pd Reader No.: ' Per 10 . 00 d ?gg? ??? . 5 d I agroe to comply with the Cit?? W Ordinan sa. TELE?ONE-?' . k 180.00 d TI' 'tp g P ? aTePaid: metc Date of Insp.: Insp.: Reader No.:IU ? V 19 I ayree to comply wRh CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pllot Knob Road ? 5?-l P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: n3 No. of Units: -p ex Owner. "lew Horizon Liones Address: SlteAddress: 1616 Clemson 7`rive L9 31 TrailB of Thomas L. _. . 7hr,.enenn Pliimhiitv I aqree to comply wkh tha Cify of Eayan Ordinances. BY Date of Insp.: Insp.: Connection Charge: I= -2• L'vv': Account Deposit: 15. 0(3pd Permit Fee: 10• 00-Pd Surcharge: • S?Pd Mlac. Charges: Total: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 [oning: R3 Owner. N`v Hc AddreQe• Site Plun I agree to comply wtth the Clty of Eagan Ordlnances. BY Date of Inap.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: 9554 DATE: No. of Units: 4-plex Connection Charge: ? Account Deposft: 1 D. UU'pd Permit Fee: 10. 00pd Surcharge: . 5nnd Mlsc. Charges: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pllat Knob Road 8405 P.O. 8ox 27199 PERMIT NO.: -30-$ 7 EBqs?, 119 55121 DATE: Zoning: P3 ?u No. of Uni4s: 4-Plex Owner. New Horizon Homes Address: SiteAddess: 161IIF3 Clemson ??rive Lll B1 Trails of Thomas Lk Plumber. ThQ^!Pson Plunbj.ng Meter No.: J g•S ^70 ????? ?nIL tion Charge: 525 . QOpd Size: ? IWnt Deposit: 15 .OOt)d I agree to comply wRh R EO 63 By Date Paid: Date of Insp.: Insp.: :S - %_ 'OFEAGAN ? pllot Knob Road Box 21199 m, MN 55121 ayrae io comply with the Cliy of Eagan SEWER SERVICE PERMIT }55? PERMIT NO.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: CITY OF EqGAN WATER SERVICE'P?ERMIT `i 4 o4 t - 3830 Pilot KnoF Road PERMIT NO.: P.O. Box 2i'199 ' Eegan, MN 55121 DATE: y Zoning: p3 " No. of Uniis: 4--Plex Owner. New Horixon Homes Address: SiteAddess: C emson Tlrive L12 B1 Trails of Thomas I.k - Plumber. ompsan P umbing . I Meter No.: / ? rge: S 2 5.(?ppd 1S.OOpd it: RieaderNo ??/O9 Be#nre dia?q?-? ..•:°_--- 10.00pd I agree to comply wlth the City o??hPNOj???"Rj . .50 d S0.00 d TP j Ordlnanc ? isc. Char es: , u? d meter ? REQUID R? I d? p gy Date Paid: Date oi Insp.: z, 9 - 77 Insp.: 38 0 Pllo Kn b Road SEWER SERVlC,F'r5ffRMIT P.O. Box 21189 PERMIT NO.: -?„30 ,.9; Eagan, MN 55121 DATE: Zoning: I= No. of Units: Owner r. ------. - - I . - I _ • to comply with the Clfy oi Eagan Connection Charge: 525.00pd ices. Account Deposft: . P Permit Fee: l' 00P8 Surcharge: ' Misc. Charges: -??- .----?----?-?-,--?+?,ti-?•,•-c-?,r•t:T-? . ?T-sn?.,,.,.?.?T?:?,,,,p? FOR SALE T.H. CITY OF EAGAN N0 13103 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55,2, -1 PHONE: 454-8100 -: BUILDING PERMIT Receiptx To be used for 1 OF 4 PLEX Est. Value $ 64 ,000 pate JANUARY 14 1987 SiteAddress 1618B CLEMSON DR Erect Ocwpancy R3 Lot 11 Block 1 Sec/Sub. TRAILS OF Remodel ? Zoning E'D Parcel No. THOMAS LAKE Repair ? Type ot Const. AT ? Addition ? No. Stories a NE;W HORIZON HOMES Move Name ? Len9th 44 z o Demolish Address P.O. BOX 1367 I t l ? ? Depth ? S Ft n . mpr. city MPLS phone 420-3900 Install ? q. i o Name Sp'ME Approv: 0 ? Address ASSe55ment _ _ Ciy Phone WatBr $ Sew. ?a F w Name Address a w City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Stawtes and City of Ea an Or inances. ? ?.?v? Signature of Perminee A euilding Permit is issued to: ' EW HORI ZON HOMES all work shall be done in accordance with all applicable Statep%Minneso Police _ Fire Eng. Planner_ Council _ Bldg. Off. Var. Permit $ 377.50 Surcharge 32.?0 Plan Review--l-8B,7 S SAC 625.00 Water Conn. --5-25--0 0 waterMeter 67.00 Road Unit 305.00 Tr. PI. 180. 00 Copies rotei S2.300.25 - on the express condition that Eagan Ordinances. Building Oflicial ? FOR SALE T.H. CITYOFEAGAN N2 13104 3830 Pilot Kno6 Road, P.O. Box 21-799, Eagan, MN 55121 " PHONE: 454-8700 / EfUILDING PERMIT g „ 6Y' Rece ipt p Toheusedlor 1 OF 4 PLEX Est.value $64,000 Date JANUARY 14 ? 19 87 Site Addrass 1618 CLEMSON DR Erect ?l Occupancy R3 Lot 12 Block 1 Sec/Sub. TRAILS OF Remodel ? Zoning PD THOMAS Parcel No LAKE Repair ? Type of Const. 17 . Addition ? No. Stories a NEW HORIZON HOMES Name Move ? Length 4 = BOX 1367 O P Demolish ? Depth 92 a . Address • I I ? Ft S City MPLS pnone 420-3900 nt. mpr. Install ? q. . o Name RAMF. 00 a Address a ? Ciry Phone ?Q F w Name ? a Address a W Ciry Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statu[es and Ciry of Ea n Or inance Signature of Permittee i ? A Building Permit is issued to: NEW HORIZON HOMES all work shall be done in accordance with all applica6l te of Minneso Building OHicial ?--?-<-f Assessment Water 8 Sew. Police Fire Planner Council Bldg. Off. Var. Fcea Permit $ 377.50 Surcharge 32.00 Plan Review 188.75 SnC 625.00 Water Conn. `?? z2 `s00 Water Meter6L_00 RoadUnit 305_00 Tr. PI. 1 S0. 00 Copies rotal $2,300.25 on the express condition that Ciry of Eagan Ordinances. ?1 FOR SALE T.H. CITY OF EAGAN ? N0 13102 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 - PHONE: 454-5100 BUILDING PERMIT ReceiptfY f?obeusedlor 1 OF 4 PLEX Est.value $64,000 oate JANUARY 14 19 87 SiteAddress 1616B CLEMSON DR Erect Occupancy R3 Lot 10 Block 1 secisue. TRAILS OF Remodel ? Zoning pn THOMAS LAKE Repair Parcel No ? Type of Const. V . Addition ? No. Stories e NEW HORIZON HOMES nnove Name ? Length 44 i Demolish BOX 1367 P O ? Depth22 3 ° . . Address Int.ImPr ? S FI 9 city MPLS phone 420-3900 Insfall ? o Name SAME Approvals i $a Address Assessment a ` Ciry Phone Water & Sew. ? a Police F w Name -z Fire ¢= Address Eng. a W Ciry phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe information is correct and agree to comply with all applicable State of BIdg.Off. Minnesota Statutes and Ciry of Ea n Or 'nances. APC Signature of Permittee W /?q Var. Date W H R ZON HOMES Fees Permit $ 377.50 Surcharge 32.00 Plan Review188.75 SAC 625.00 water Conn.525.00 WaterMeter 67.00 Road Unit 305.00 Tr. PI. 180.00 Parks Copies?VV 2 5 ?L„ S A Building Permit is issued to: E ? I on the ezPress condition that all work shall be done in accordance with all Building Official M' espta tatutes and City of Eaqan Ordinances. FOR SALE T.H. ' CITY OF EAGAN N:0 1310? ; • 3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 f ?p ( BUILDING PERMIT 011 Receipt s ? x,oheuasdtor 1 OF 4 PLEX Est.value $63,000 pyte JANUARY 14 ,19 87 SiteAddress 1616 CLEMSON DR Erect C? Occupancy R3 Lot_9 Block I_Sec/Sub T$AILS OF Remodel ? Zoning PD . Parcel No THOMAS LAKE Repair ? Type of Const V . Addition ? No. Stories a NEW HORIZON Name HOMES Move ? Length 44 z Demolish ? Depth2 ? 3 Address P• O. BOX 1367 I I Ft t ? S . n . q. mPr ° City MPLS phone 420-3900 Install ? o Name SAMF. Approvals Fees Address Assessment Permit $ 374.00 ? Ciry phone Water 8. Sew. Surcharge 31 . 50 ?Q Police PlanReview 187.00 Fw Name Fire SAC 625.00 i u ?^ Address Eng. 525.00 Water Conn. i W City Phone Pianner Water Meter 67. 00 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of f gan Ortlinance Signature of Permittee ? '7 - •" ?'? A Building Permit is issued to: EW $ORI ZON HOMES all work shall be done in accordance with all applicable Stateiq Minneso Council Bldg. Off. Road Unit 305. 00 Tr. PI. 180.00 Var. Date I Copies?0 ' - on the express condition ihat of Eagan Ordinances. Building i_ I A 1 0 7 7 FequeSt Date • Fire No. oughin Insp tion NOTICE: Vou Must Call ElecVical Inspeclor iodv II A Rovgh-In Inspxlion ^ Yes No Is Requiretl. icensed contractor ? owner hereby request inspection of above electrical work at: I . Job Addiess (Stree-t, ?Box or Roule No.) /.-ti _] F J ?JE-l m ? l City .. Section No. Townsnip Name or No. Range No. Co ly . Occupant(PRINT) /?/? Phone o. 1?/ I / ? '"` ??J?_f l?? • ^?• ?. Atltlress ? er Supplier - v?Y_? ? L 1?n 1 ??" . 1 ? " EleotricalCOpireoMr(Gam Name) (" 1? oI ?rI ?1 or? h t,r T ntr tor5 License No. , 1 ? G Mail' tlre55 (CoMra r o Owner Making Instellatio ? ? 1 ?.s Aulhorized 1 aWre [ConiractodOwner kinga In3la?le?lon) ? ? ?i Phone.NUmbee _ n.. 1 lv?l THIS MSPECTION FEQUEST WILL NOT MINNES E BOAHU OF ELECTRICITY ?SW BE ACCEPTED BV THE STATE BOARO Grlggs-Midway BIdB? - Room S-13 ? MSPECTION FEE IS UNlESS PFOPER 1821 Unlvereity Ave., SL Paul, MN 55104 ENGLOSED. Vhone (612) 692-0800 _ I ?yy un,. REQUEST FOR ELECTRICAL INSPECTION d?Ee-oooo1-oe 0, See inslmclions foi mmpleting Ihis lorm on back of yellow copy ? ?1l'07 7 "X" Below Work Covered by This Reques! ? Heater rann Other(specity) .... _____- , ComracmrSRemarks: ?, r? Compute Inspection Fee Below: CircuitsiFeeaers Fee # g Other Fee # Service Entrance Size Fee Swimming Pool Q to 100 Amps 0 ta 200 Amps Amps 100 Transformers - Ahove 200 _ Amps Above : TOTAL H. Onl U Signs y se Inspechirs Irrigation Booms Special Inspection i THIS INSTALIATION MAY BE ORDE DISCONNECTED IF NOT on Alarm/Communicat COMPLETED WITHIN 18 M THS. Other Fee oaie the Electrical Inspector, hereby I Rough-in , certih/ that the above inspection has p;,,ai J been made. f ' ?. OFFICE USE ONLV This reques[ vaitl 18 monihs fmm This rxquest vaid 18 nnnihs Imm C 7 3 2 9 6 Hxques[ Oate ? fire No. Rough-in Inspection Re iretl? [)Ready Nll Nolity InsDec- ? ? ? ( 22- (r v ?yes ?No 1or When Ready -?icensed EIBtVical Contractor I hereby rauuasl inspectiao o/ ebove ? Owner electrical work ina<eiled at: St t Addr ss, B or flo ? o. t./ rn , rL 6/ e" Cit e u n o. Township Name o1 No. RanBe No. Counly Oc Knt (PqINT) `/ - 1 L Phone No. Powe Supplia Atltlress cal Convactor ICOmoany Namel gm 2g7 Conlr .tor's LiCense o. aRqEn M il? Addr ss bnVa to o r n r akine ns ailatio 1 U` Aut ora i re o hac /Oyin? 'n I I i KJ Phr Number MIryNE50TA STATE BOARD OF ELECTRICITY Gripge-MiAwev BldB. - Room N•191 1821 Universitv Ave.. St. Peul, MN 66104 PhOne (812) 642-0900 THIS INSPECTION REQUEST WILL NOT 9E ACCEPTED BY THE STATE BOAHD l1NLESS PROPER INSPECTION FEE IS ENCLOSEO. ?/?h'? REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os 7G> ?/ IP See instructiens for camoletine this form on beck o1 Yellow coov. L-7-3 2 9 C X" 8elow Wak Covered by This Request N&MAddl ni -rvo oi euneine AooIunncea Wi.ed Epuiumem Wired Fixtures Commercial Bldg. -Furnace 1 ? Silo Unloader r,-T Inrl??cxial Rlrin. ..,; CC,,d;:iC.^.°• , , Riilk Milk Tenk ? a.w p nyv o Fee yc ServiceEniranceSixe Fee Feetlers/SuEfeadarc ? Fee Gircuits 0 to200Am s 0[o30Am s Oto 30Am s Above 200 qmps k 31 to 100 Amps 31 to 100 Am ? Swimmin Pool Above 100-Am s Ahove 100_AmP'+ Transiormers Irrigation 8oon) s ?ertial"Oth r Fee Jigns aNe??u? ?v= 5 T L? Mems rks ?A q ? .? 7i I Nauph-in I. the?Wectrce I I Inapec?or, hereDy cerlify thet the aEOVe rFinal D te ` ineoection has been t'''/J- ? maa. mro rwuese.oia ? ? ?? s ??? ? f `g 5 ? ? a? 9 i .? Request Date ire No. Rough-in Inspedion Requeed? ?Ready Nax `] Will Notily Inspecl0r ?Ves ? No WhenReady? I*icensed contractor 0 owner hereby request in5pection of above electrical work at: Jo0 Atltlress ISVee1. Box r Roule N0.1 ? Gity E . en,.sa? ls r ? Secnon No. TownshiD Name or No. Aange No. QY?? OccupantiPRINT' ohn Mazur e PhOne No. `-35q3 Po Suppiier ? 1Lo tAec+r?c 6-sn Addmss 4300 -aa0+1? S-ti.J rmi 40 P", ElecVi I ConVactor ICompany Namel - or+he r ? r?`c fn? C9nVatlorS License No. ? 0123-1 Mauing AEGress ICOnrtactor or Beal Making InsW I d ., Aumor ignaWre iConlr r,0 ner Maeing Instauationl Phone Number (?P3 ¢ V ? _ A? MINNESOTA STPTE 60AFD OF E?ECTpICITY TMIS INSPECTION REQUEST WILL NOT M1 I Gri9gs-MlOway BIEq. - Room S173 0E ACCEPTEO BY TME $TATE BOARD V 1821 Universi[y Ave.. SI. Paul. MN 55106 UNLESS PROPER INSPEGTION FEE IS Phane (61I) 602-OB00 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION E8.00001J-08 ? ? See inslrucLOns lor compleling this form on back oi yellow copy. Q,?C V2925 "X" 8elow Work Covered by This Requesl ew Atld Rep. Type ol Building AppliancasWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specih/) Comm./Industrial Furnace Farm Air Conditioner Omer(syeciry) GomramorsRemarks ^?Ert p efF-?edC {Ys qtrcondt?'toner -- ?L Compute Inspection Fee Below: ?A he'{er ' M Other Fee ervice Enirance Size Fee S Circuits/Feeders Fee Swimming Poal 0 to 200 Amps 0 to 100 Amps Translormers Above 200 _ AmpS Above 100 _ Amps Signs inspectors Use Only: ` TOTAL Irrigation Booms p j SO Special Inspedion Alarm/Gommunication TMIS INSTALLATION MAV BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Ro°9n-'" oeie certify that the above inspection has been matle. F;,,ai / oate (? ? OFFICE USE ONLY Tnis request wiC 18 mantns imm 7his reQUest void 18 mon[hg lrom Q 7 3 2 9 2/?/? / /" , i<. ?'ls.: 0i19. G C? Rnnue Date / Fire No. Mouph-in Inspection A?equ)retl? ? ?ReaCV No?Will NotifY Inspec- ??es No 1. r When HeaOv 5R:Licensed Elechical ConVactor I hereby repvasi insOection of above ? Owner electrical work instelled at: Stfeet Ad s. BOxjar Route No. ,. City?, ? L? t _ P)r) p aciion o. Township Name or o. Range o. County Occ OnntIPpINTI .. Phone No. ,"n) G P_ Power lier Address Elec gal Conhactor ICompanY Name) f ? il II-n ? " Contrat or's License No - M il?n dJress nVactor or ner Ma o king ns ailati iJ Authori eG tra w ner a ing Ins 1' 1 Phon NumDer w W ? l MINNESOTA STATE BOANU OF ELECTRICITY Grigps-MiEwey BIE9. - paom N•191 1827 Univeraitv Ave.. St. Peul, MN 65106 Phone (612) 642-0800 TMIS INSPEGTION HEQUEST WILL NOT BE ACCEPTEO BV THE STATE BOAND UNLESS PqOPEN INSPECTION FEE IS ENCLOSED, 7 REQUEST FOR ELECTRICAL INSPECTION eey-ooooi-os III Sea inslrvclions lor completinB this fprm on back of Yellow wpy. 7 ""1(" Be/ow Work Covered by This Request AAd flep. Typa ol Builtling Appliancas Wired EquiVment Wired Home Range emporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heabn Commercial Bldy. Fumace Silo Unloader Indusirial Bldg. Air Conditioner Bulk Milk Tdnk Farm Omni oen v ?ner 15uer.?fyl 1 ? yeci y ther Othir LOTOb(P l/IADPCI/O/1 hPP KP/OW p Fea ServiceEnirence5ize tt teetlera N Fex Circuixs U to 200 qm s 0 tn 30 An+ s A6ove 200 qmps ps 31 to 100 A s Swimming Pool Amps =Above Above 100_Am s Transformers ms Partial.'Oth er Fee Signs ection 5 TOTAL EE 7 M emarks 1 ( I 1 t ?J ? 14? Pouph-in Dete ?,the Elec ncal Inspecbq ha,aby certity thet tha above Final inaoection has Ceen m in aaa. Thle repuasl voiU 10 montM fmm This request voiA 7 18 mpn[hg /mm ? Q 7329 5 Peques Dale ? I ' Fve No. Roogh-in InsPection H?eopfWred? ? Reatly Nll Notify, InsDec- ?n ,?p?,Yes No ? [or When Reatly "?rffLicensed Elecvicai Convactor I heresy raqueat insoecfion of above ? Owner electrical wark installad et Str flt Addr ss, Bo or ROUte No. G ? i 6 ?I ecU n o. Township Name or o: anBe No. Coumy , Oc upant IPRINTI Phone No. I I Power S LPlie, Address Electr cal Contrec[or ICompany Nem ? ConVa? r s Liconse N. p Q?y ?( l ' ? / Y 1 .Mpiling Address I ontr c tor or Owner a ing In tailatio + Auffio ¢ d 5i t e 1 ontr ctor ¢ Ma ing In at nl Pho Number ? MINNESOTA SlS1TE BOAND OF ELECTRICITY Grip9s-MiOway Bldq. - Roam N•191 1821 Univeraitv Ave..St Peul. MN 65704 Phone (612) 642-0800 THIS INSVECTION FEaUEST WILL NOT BE ACCEPTED BV THE STqTE BOAXD UNlESS PflOPEF INSPECTION FEE IS ENCLOSED. &Ift 2/? ?4 7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05 Ii, See inatractions lor completim <hin tam on Dnck oi yellow copY. ?O C1?P ? S "X" 8elow Work Covered by Ihis Request rls?HAtljXaD.j Type ot BuilEing I Apoliantea Wired I EquiVment Wiretl I Wdter Bulk i p Fee , Se,vlce EnbancBSiza 0 Fee Faxdars/Svbieeders M Fee Circu:ts o Z00 qm 5 to 30 Am s 0 tn 30 Am s j ove 200 py 1 to 100 qmps 31 to 100 Amps invnin Poo ve 100_Am s Above 100_Am s nsformers Irngation Booms Pertial.'Other Fee H "9'S ?Ueciai inspection }' (i ? TOTAL 0U ertnrks t-L.? 1 ?, I flough-in u... i.?,?..?i/?:?-?t ? ?O1e d?r/?' the Elecvical i?saacio.. ne,ecv Final F . Date cerlily thei the above . 1r ` ) ?? inspeetion hea been mede. ThN repuest vo10 18 montM irom ? 10076 lasZ 7,;2- ReQUest Dale ? c y ? Fire No. Rcugh-in Inspection fjequired? NOTICE: You Must Call Elearical Inspeclor II A Rough-In Inspeclion ? Yes ?NO IsRequiretl. I?ensed contractor ? owner . ? hereby request inspection of above elechical work at Job Adtlre+ss (Slreet, Box or Route No.) I WIW ? lJ?. Clry ???C '-, • Section No. Township Name or No. Range No. L' Occupant (PRINT) V V 1 hr? Phone No. PowerSUOplier AdEress Eleclrical ConVactor (Company Name) l + - / i ? Cunlractor's License No. ic n r er < t Mailing Atltlress (GOniractor or Owner Making I 2 I tallation) _ ?'Yl I Z J . Amhoriz ' naWre (Co t ' w r ing Inslalla?ion? ? Phone Number 4(?5z ti MINNESGiOF+fATE BOARD OF ELECTHICITV? ` THIS INSPECTION REQUEST WILL NOT Griggs-Midwey 610g. - Room 5-173 6E ACCEPTED BV THE STATE BOAFD 1821 UniversRy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ,yy'?`"'••`-Eeooooi-oa l ji? See insimctions br completing fiis form on back af yellow copy M 10076 X" Be+nw Woi Covered by This Request 'XewAtlU Rep. - Typeof8uilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uiltling Dryer Load Management Comm./Industrial Wmace Otner(Specify) Farm Air Conditioner Olher (specify) Conhacror§ RemaBS ' k3 i r? ? _5 C c:5c.n ?)C' r Compufe Inspection Fee Below: S Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Signs Inspector5 use only: TOTAL >-? Irrigation Booms ?? ? Speciallnspection Alarm/Communication THIS INSTALLATION MAV BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITNIN 18 MON I, the Electrical Inspector, hereby certif th t th b i ti AO09n-m oaie y a e a ove nspec on has been made. OFFICE USE ONLV iThis requast voiE 18 monlhs Irom -quCSl vOitl ? imhs from ? 73294 ? '7oS?/ <?`51?: o v ;pection I[:)Ready Nl Notity, lnsuec- ? N. 1or When Ready Is,Licensed ElecVical ConVactor I hereby request inspection ol ebove elactrical work instelled al: U VWIIC! Sireet Address, 9oz or Route N i ???Y l ? i ecUOn o. Town5hi0 Name or No. R nge No. County Phone No. Oc D?ni IPflIN I - ec:? lo Pow Sup01i r Atldress " Ele al Cnntraclor (COmpeny Na ? s Lic se Contract r N.Fa ?? l l I 4 ? M ess IC ntractor of ner Ma 'iling Ad l kin? s ailatio r 'n9lnstal ti 1 Po AuMor zed ? ha ? V TH occTinN PFhIIEST WILL NOT !S MINNESOTASTAIE BOARD OF ELECTRIpTY CariyBe-Midwav Bldp. - Rbum N-191 1821 Univeraitv Ava.. Sc Peul. MN 65704 Phone1812I842-0800 BE ACCEPTED BV TME STATE BOARD UNLESS PROPEX INSPECTION fEE IS ENCLOSED. EB-00007-06 !Y7 REQUEST FOR ELECTRICAL INSPECTION 7Gri(?/ , Sae instructions br eomolen.ro tnis tUm on beek of Vallow copy. v • e_r..... ui...L ('nvnrP!/ hV 7his He4uest n ? .?O O ? 273oG . ??? OFFI E US Oi LY This request void 18 manfhs irom validofion dak pnmed In ihis bax; ijl?{J?iQ « ?JS7 PLEASE PRINT OR TYPE Reqoezt Dak Roogh.in mzpe on required2 Yes ? o Inspedion Olher Than Raugh-In: ? Ready Now Will Call vou mvst mll the inspMOr when reody) Dme Ready. I, ? licensed contmctor 9 owner hereby request inspecfion of the a6ove eledrical work at: Job Address (SUee1, Boa, or Rauk Na ) Gh? Zip Code 51? v e K . Secnon No. Township Name or No. Range No. Fire No. Counry Ko Ocmpant ? ? f Phone No. Power upplier ? Pddress i ? ! E enncol Canwcror JCompony Name) Contmdar Llcense No. Master Lic No. (Glont Eled. Only) Mailing Addresa (Conimclor or Owner Pedorming Inslollafion) C%? rr v Authonxed gnoNro (C nOwne edortning Insbllafion) rca Phone No. 41SN-S 3S EB-00001 . 6/95 STATE90ARDCOGY-SEEINSTRUCTIONSONBACKOFYELLOWCOW W_27 REDUEST FOR ELECTRICAL INSPECTIONI?Minnesota State Board of Electriciry ?j182t University Ave., Rm5428, St. Paul, MN 55104 ? 2 3 B B 6* Pn_ 12) e42-0800 _' 9(0 Home Duplex Apt. Bldg. Other. New Addn Commercial Industrial Farm Remod Re air Air Cond. H}g. Equip. Wa}er Hir. load Mgmt. Ofher: Dryer Ran e Elec. Heat Tem . 5ervice "X" a6ove the work covered by this request Enter remarks in ihis spoce and on the back of the white mpy only. Calculate Inspedian Fee - 7his Inspec}ion Request will not be accepfed witbou} the mrred fee: Olfier Fee +f $ervice Enhance $ize Fee # Circuits/Feeders Fee Mobile Hame Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffic Sig. Above 200_Amps Above 100_Amps Transformer/Genemror INSPECTOWSUSEONLY TOTAL ? Ximr fli Li Si /O (??• . ne g. gn u Alarm/Remote Confrol $wimming POOl I hemb m t ? I in ed lecl?ca slo aMan descnbed hercin on the dales s d Irrigafion Boom aooyn.l oO?` ? ? T Special Inspedian investigative fee uis iuc'rei I nnoN MA F V BE ORDER ` Vat D DISCO WITHIN t MONT S. ?ba%?)o 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagao 3830 Pilot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 FA.X # 651-675-5694 Nisf Cwstrucfian Remmanenls ' 3regMuM sde surveya shamg sq. ft Mbt s9. R of hase; and ga roNed areas (204'e medmwn lot oovmage allowed) 1 Sals RepoAHpaposed Mtikfmp ia lo beplaoed on dehubed sal 2 oPes dPan ahmriig bean & wfidoiv saer Paured famd design, elc. t rataf Energy (klaletim 3 wpies of Tree Preqervatim Plan'rf lol Plaued e1W 711N3 FamJas[DeM Oplionsselec6wishaet (bu3dmysrdM3orless unBS) Mnnagaseo mechemcal vmiBetian (dni RenadellRma'v Reougenenls OIRoe Use 0?dv 2eopiesMdan shmh9ftgnm beam.Osb CartofSurvayRecd _Y _N 1setafEnefgyCalculalansforlea!adadd'?IWns _ SaUs Rapmt _Y _N 1sAesurveY(aradoms &ded(s tteeRmPFan.Reod _Y _N. Ad?'i'fim-tiwKCafei(onsdesePdcsyslem Tree PresfteWred _Y _N OnaiteSep4cSystem _Y _N Pians are considered pubiic information unless vou state thev are trade secret and the reason. _ ?- Date ?/ b Sl D 7 Coretmction Cost d Q?. 60tl ? Site Address - /6/6 8 - / - UniHSte # 4-'1C71. ...I Pr, 4rl Description of Work K? 0' ?"1 ?'i i 17, l?e?-j-1 /-l1/1 Mnlti-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner o n. c i &<!(-c Telephone #((, j! ) L 4 S- ?? O U Contractor L Y Address .?• -ic,?( CitY State ? Ilt . Zip Telephone # (?f S7? Z3 ? '? / ? ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesob Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J subrtdssion type) • Resldenlial Ventilation Category 1 Worksheet . New Errergy Code Worksheet Submitled Submitted • Energy Envelope Calculatlons Submitted In the last 12 months. has ihe City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Conhactor Sewer/Water Confractor Telephone #( Telephone # ( Telephone # ( ) ?0 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 permifi that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /? ?lltr ?ci?f.ff Nr/?c.f .T.f ??S L l= G Sea Applicant's Printed Name L.`4 af- 3 d.2 y PPlicant's Signature PLUMBING (RESIDENTIAL) Permit Application City OfEagan 3830 Pilot I{nob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date -]?-/ / nI ( \ _ Site Address Unit # Pro ert Owner Telephone #(?61 p y Contractor H P pIpFlA/f'1RIlC 36?O DODD ROA D e ? address 2 City ?g51 )365 1340 Zip Telephone #( ) State The Applicant is _ Owner Contractor _ Other Septic System New _ Refur6ished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 ( _ Lawn irrigation system ?? Ov `=?? n0? W t ft 1W t h t 4?C 0 V _ a er s o ener a er ea er $ 15.00 ' / J? replacement _ addilional ? ? $ .50 State Surcharge Total $ I hereby apply for a Residential Plumbing Permit and aclmowledge 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 with the Plumbing Codes; that I understand this is not a permit, but only an applicarion 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 requues a review and approval oF azvs. 1Z?-k -}-}erd t'r) A, I?A (?".&. san?' gnature Applicant's Printed Name Applic St i - - --? ? ? 9 cLEMSoN R = 353.7o a / tan,.z? n to 0 S d ? 0 K ? e aQ d1 `L4 CD ci a, I ? . p_ zo_ ? / %99 Pa...w _ 99 'm ? ? oRPN N?E . EtJ`EaZ r1.99 N ? 4°go. cv=8) 92.0 O..W ? y ` ? _ ?934. ? I /io O0 o Q m m / ? / Y/? (!1 W I ti N 99 w/o n N ? ^? I m ?$Ull?i? N ? 9b y?Jp jN o? P@D.00...... / N I O 22.?i N 22.p W o ?` I 0 ? r 9lo.ln sl '1'I•1?. S'1aj30.,00.?--...___. O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 4- Denotes Direction of Surface Drainage 'a ° • M `g 2 1 O? \ ` !v Uo Proposed Top of Foundation Elevation= Proposed Garage Floor Elevation= q35.s Proposed Lowest Floor Elevation= 9a?.o I hereby certiTy that this is a true and correct representation of a survey of the boundaries of: Lots 9, 10; 1: and 12, Block 1, ^,HE TRAILS OF 'i'HOhSAS LAKE, Dakota County, Minnesotal 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 $ti1 day of January 19 $7 , ?? Q • y2rr.zs?sa?L Paul A. Johnson Land ? CCOMBS-KNUTSON ASSOCIATES, INC. LOMSUli1M6 EM61Nf[I12 0 UI10 SUIIY[T0113 0 51T! PIAMNE113 INNNEA,OLIS W MVTCMIMfON.Y1NMEiOTA i "= 40 "1431 r, Minn. Reg. CE?FI No. 10938 TE OF SURVEY for NEW_ HOfL1Z0W__1AOMES, IMC... (a o Q?Ld 0 v ? ? J ? I U V . 3 ? 1986 BIIILDING PERlIIT APPLICATIOP - CITY OF ElG9N NOTE: ALL CONTRACTOES MOST BE LICENSED IiITH THE CITY OF EAGAA SINGLE FAlIILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLS DTiEI.LINGS - RESIDBNTIAL RENTAL DNITS FOE SALE QNITS V" INCLUDE 2 SETS OF PLANS, CfiRTIFICATB OF SORVSY - CHECB WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPRIERCIAI: \ INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL P[.ANS, ? 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND I oF4 To Be Used For: ResicQehce Valuation: 63lQ()Q,00 Date: Site Address Uollo Clemsov, Lviue OFFICS IISE ONLY Lot , 9 Block Erect ? Occupaney ?•3 Remodel Zoning PC) Parcel/Sub 7va?ls oV -il,?rnas Lake Repair ? Type of Const Addition # of Stories Owner New BoU;zon Noyr.es i 11C Move _ Length 44- Demolish Depth 2Z Address . ?O E?OX 13?n7 Int.Impr. _ Sq Ft Install City/Zip Code . MPjs.,Nlv\ ?jrjQt?(? Phone Q 2 D-`3C/ n0 APPROVAIS FEES Contraetor _ New 14Dq-?Zdh 40rrvs IRC Address ? 0 BOK 1 3(?,7 City/Zip Code kAAI s., KAn 5E-4 Q O Phone 42 (7 - 3 qd 0 Assessments Permit 51+ _ Water/Sewer Sureharge 31.? Police Plan Review Fire SAC (o2S Engr Water Conn S 25 Planner Water Meter eQ ? Couneil Road Unit 305 Bldg Off Treatment Pl 18O• APC Parks Variance Copies ?OYAL a27,? Areh./Engr. Address City/Zip Code Phone # AOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DfiSIGNATE AHICH ADDRESS IS DESIHED. HO CHANGES iiII.L Bfi ALLOiIED ONCE BQILDING PERlIIT IS ISSIIED. 1986 BQILDIBG PER!!IY APPLICATION - CITY OF E9GA9 NOTE: ALL CANTRAClORS MOST BE LICENS6D WIT$ THE CITY OF EAG9N SINGLE FAIIILY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SDRVEYO 1 SET OF ENERGY CALCULATIONS MU[.TIPLE DTdELLINGS - RESIDENTIAL RENTAL pNZTS FOR SALS ONITS ? INCLUDE 2 SETS OF PLANS, CSRTIFZCATE OF SDRVEY - CHECB WITH BLDG. DBPT., 1 SET OF ENERGY CALCULATIONS COI+MERCI6I: 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: QeSiclehCe Valuation: Co44Qffl,oO Date: t/Q/e-7 Site Address I (o I(a g uprr? O,w,K Lot IQ Bloek I_ Pareel/Sub 1-44w,?&g??d-" ?o,Q2Q Owner Tlpw `AgAi,h,?i, rlderrw cQm?c, , ? Address PO, 6n 1367 City/Zip Code 14Qo„ iyTym, SS440 Erect ? Occupancy R13 Remodel Zoning _?D _ Repair _ Type of Const ? Add3tion li of Stories _ Move _ Length 44 Demolish Depth Z'L Int.Impr. Sq Ft Install Phone 140?0- 39DD Contraetor %tgynp,G cke Address p. ?, ?( I 3(n?] City/Zip Code Phone 420,3900 Areh./Engr. Address City/Zip Code Phone U APPROVAIS FEES ? Assessments Permit ?T - Water/Sewer Surcharge 3 2, Police Plan Review 1,-7 Fire SAC (c25 - Engr Water Conn S Z!?-,^ Planner Water Meter b7. Couneil Road Unit 305, Bldg Off Treatment P1 IgO, APC Parks Variance Copies SY)TAL S NOTE: 9DDRSSSES FOR CORNER LOTS - CONTRACTOR/HOFIEOfiNER IiQST DESIGNATS WHICH ADDRESS IS DfiSIAED. NO CB9NGFS WILL HE ALLOTiSD ONCE BIIILDING PBRMIT IS ISSQED. 0 3 / 1986 BOII,DIAG PEAlQT APPLICATZON - EiOYE: ALL COPTRACfOHS MOST BS LICENSSD iIITH THE CITY OF EAGAN SIIVGLE FAPffLY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiIEI,LINGS - RSSIDSNTIAL RENT9L iJNITS FOB SALE ONITS ? INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVSY - CHECB flITH HLDG. DEPT., 1 SET OF SNERGY CALCULATIONS 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\M? Valuation: &4,000" Date: ?/Qj6-j Site Address Ia Up,,,,,pe', (?,l,N?Q Lot 12 Block Parcel/Sub Owner %,,T 6pt? 47°rnop GQ.hc Address PD, EAx J3(a-7 City/Zip Coderi?,,t?xo,, ?'M, 55440 -r Phone 420 - 320 D Contractor q\P,ir 1?2? ??6mp,o c&n.c 9ddress {? n ?6x l3 6 -7 City/Zip Code n?'(?j?., 7", 55q4p Phone 420- 3qQ0 Areh./Engr. Address OFFICE DSE ODiLY Ereet ? Occupaney R.3 Remodel 2oning ? _ Repair _ Type of Const Addition If of Stories _ Move Length _ Demolish Depth 22 Int.Impr. _ Sq Ft Install _ APPROVALS FEES Assessments Permit Sb Water/Sewer Sureharge 3Z, Police Plan Review ?88. L Fire SAC tv Z.S. Engr Water Conn 5 ZS• Planner Water Meter (ol. Couneii Road Unit 30S• Hldg Off Treatment Pl 180, APC Parks Variance Copies SY>'fAL Z) ,? City/Zip Code Phone # as NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOiiNER MDS'f DESIGNATE NHICH ADDRESS IS DESIRED. 80 CHANGES WILL HE ALLOWED OACE BQI[,DING PERMIT IS ISSQED. NOTE: ALL CONTR9CTORS MOST BE LICENSSD {iITH THE CITY OF EAG9N SffiGLE F6AffLY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CAI.CULATIONS MQLTIPLE DWELLINGS - RFSIDENTIAL 8E9TAL D9ITS FOR SALS ONITS ? INCLUDE 2 SETS OF PLANS, CER 1 SET OF SNERGY CALCULATIONS COMMEBCIAI: OF 3I1R9EY - CHE(:B SiITH BLDG. DEPT., INCLUDE 2 SETS OF 9RCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE HOND To Be Used For: Valuation: I LQz(10,00 Date: ?/q/87 Site Address ?Gi6!3 C-(?,Maen [)Aa>Q Lot 11 Block I Parcel/Sub Owner %)ut c DrUc Address P0. E6k L3C07 City/Zip Code 2LTjQa,w21., 5E?440 Phone 42c? - 39Db Contraetor VQ,? dl? Address R0. ?ex ?3(07 City/zip Code LA.Q,a. , %?, 5544p Phone 420- '3qp0 Arch./Engr. Address City/Zip Code Phone # Ereet ? Oecupancy F 3 Aemodel _ Zoning PD_ Repair Type of Const -KL Addition S of Stories Move Length 44 Demolish _ Depth 2 2 Int.Impr. Sq Ft Install appROVaLs FsEs Assessments Permit sa Water/Sewer Surcharge 3 Z, Police Plan Review I 8g. ?5 Fire SAC (0 25 Engr Water Conn SZ.S, Planner Water Meter (o'I. Council Road Unit -,05, Bldg Off Treatment P1 APC Parks Variance Copies TOTAI. AOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNEB MIIST DESIGN9TE iiAICH ADDRfiSS IS DESIRED. 90 CHANGE4 WILL BE ALLOH6D ONCE BQILDING PfiRMIT IS ISSOED. ? oo, s' o2, bi, I'"m? B? .i' ?eftag Lakc zUt.,? . . Cfea. .Sedgotck "HEAT LOSS CALCULATION$ HEATINGB AIR CONDITION1111G CO. lJ?,k?10 •ij?n(9? f1 tA 2G, -754 MINNEAPOLIS, MINN. WoUther5trip5 A,S.H.V.E. COnstruction No. Insulation Windows Doors Guide Reference Out. Wall Inl. Wall Ceiling Hoof Floor Kind How Applied Yes-No Yes-NO 19_ . FI.L-1 iNV(Fo.'fRoom Length 'Z]_ Width Height ? Fi. (V???;;rF R`..qROan Length ??,p ?N4?eh Height YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Are a Nu. N', dih ol ann Heiph[ of oane No, ol li hts Lineal h. ol crack Aiea sa, fl. NO' W{??b ot ana Hoipht of ene No. M 11 hts L?nanl 1t. of aack Area %V• f?. 2. ? :`' 1 Yi G 7_ 21 I-7 ,? • ?6 V IQ L Coef Btu Coef Btu Infiltration Infiltration Glass Glass '1(j S Ezp. wall `jeI >'. 0 y`r 7 Exp. wall Net exp. wall Net exp. well ?n 9• ??? +-MT w3'It? OqT 1 11 I 22Z Int. wall Ceiling Ceiling ?Ctlp 1?$ I Floor Floa ??y 1 Total B[u. 5'? ?o tal B[u. 3 ? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq, ft. E.D.R. or sq- ins. W.A. Leader area FI. 1N(_ Room Length Width Height .1141_qom Length ? j Wid[h IC) Heiyht Ydi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea No. W?tlrh ol ane Me1qht ol ana No, of fi htg Lineal H, of crack Area sq. ft. No' Widrh o l ane Mn-qnt .1 Pan a No, of li hts l?neal It. ol crBtk Area 40• 4. . Yfiru 7 ^ t Coef Btu Coaf Btu Infiltrstion ? 22q0 Infiltration Glass SO 2"?.1C3 (? Glass Exp.wall :C'(a '?n',)?D Exp.wall ?-2 -16 "r Ne[ exp. wall ? Net exp. wall 32 Int. wall Int. wnll Ceilin9 Floar Ceiling Floor ??Q ? ?' ?•J •? a .?1a?.5 JU?1 Total 8tu. 5 Total BW. 3 Required sq, ft. E.D.R. or sq. ins. W.A. Leader are. Required sq. tt. E.D.R. or sq. ins. W.A. Leader area fl. t ?. C.,.} Room Leng[h I? Width Height . , FI. Room length Width Height YVindows and Doors-Crackage and Area Wi ndows a nd Doors -Crack age and Ar ea NO' Width ol ann HeIqM1t ol pene No. ul li hjs Lineal 11. af ttack Area sp, h. NO' N•,nm ul ;irm H' pM1" ul Dainr No. nl b his L??eal ll. ot crack 4rea eQ. 11. Coef B W Coef Btu Infiltration In/ilirntion Glass Glass Ezp. wall Exp. wnll Net exp• wall Net exp. wall --Int. wall Int. wnll Ceiling ?w"f, 2tQ Ceiling Floor Total Btu. Total 8tu. ? ? NequireJ sq. ft. E.D.R. or sq. ins. W.A. Leader area ,z1 p Rpquired 6q. R E.D.A. or sq. in5. W.A. leader erea . . 56 ?HEAT LO55 CALCULATIONS HEATINGB AIR CONDITIONING CO. MiNNEAPOUS. MiNN. Wentherstrips A.S.H.V.E. Construction No. Insulation NTindows Doors Guide Refarence Out. Wall Int. Wall Ceiling Roof Floor Kirx! How Applied Yes-No Yes-No 19_ ), FI. Roan Length 14C! Width ? Heieht F1. Room Length Width Height Ydi ndows a nd Doors- Cracka ge and Ar ea Wi ndows a nd Doors- Cracka ge and Ar ea Nu. H'?h ol ane Heipht of Oana No. of IiBhts Lineel IL of crack Aiea sp. fi. ND' Witl,h ol ane HaipM of ane No. ol li his Lineal h. ol crack 4rea sQ• ?b ? z , 32. Coaf atu st U Intiltretipn ?`{'a '?, ?(pQ Inliltration Glass 4 z?r? zaJ Glass Exp, wall Exp. wall Net exp. wall (n 2Q Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor a(? ,74 Floor Total 8[u. ??. iotal Btu. Raquired sq. ft. E.D.H. or sq. ins. W.A. Leader area Required sq, ft E.D.R. or sq. ins. W.A. Leader area ? FI. -t,r.•,?I Room Length 'Z Width ?j HeiBht FI. Room Lengih Width Heiyht YJi ndows a nd Doors- Cracka ge and Ar ea W'i ndows a nd Doors -Cracka ge and Ar ea N?' Wld?h of ane HBipht ol ane No. of b ?IS ?meal 16 of crack Area eq. h. NO' Wid?h of une Heiqhl of ann No. ul Ir hts Lmeal N, of crack 4ree sq. fI. ? (,'2 r?'a. ?. ??, ? ? <;Pr v Coef 8tu Coef Btu Infiltration I 11-.7 2223 Infiltration Glass QQn Glass Exp. wall Exp. wall Net axp. w 11 292 -1: 1 1 1 Nat exp. wal I Lpt?waLl ..:.T,x ( Int. wall Cei I ing Ce i I i np Floor QZ Floor Total Btu. Total Btu. Required sq. tt. E.D,R, or sq. ins. W.A. Leader area Required sq. h. E.D.R, or sq. ins. W.A. Leader area ' FL? ?it;rRoom Length ?"3 Width Height j? FI. Room Length Width Height Windows and Doors-Crackage and Area Wi ndows a nd Doors -Cracka ge and Ar ea NO' W?tl?M1 of ane Heiqnt nt oane No. uf li h[s Lnneal fp ol crack Aea s4?I. NO' Winib uf nvne ??? 9??1 OT?? No. o? h Ms Lineal 1t. ot crac4 Area s0• fl• Coef Btu CDef Btu Infiltration Infiltration Glass Glass Exp. wall Exv- wall Net exP. wall -7X:p Net exp. wall Int, wall Int. wall Ceilmg Ceiling -- ? '.., Floor F ti_S 4 !'-1 b ??? -_Floor ---- Total 8tu. Total Btu. Required 5q. It. E.D.R. or sy, ins. W.A. LeadP.r area Rpquired 6q. ft. E.D.R. or sq, ins. W.A. leader area ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE Permd Number: Date Issued: eur?? y? 02172? 08/12/93 SITE ADDRESS: P.I.M.: 10-75865-110-01 DESCRIPTION: PERMIT 1618 CLEMSON DR UNIT B LQ7: 11 BIQCK: 1 THE 7RAILS OF THOMSA LRKE -L CONVERT SCREEN PORGH JdA.rr`4.Permit Type SF PORCH ldinty rk Type AL7EIiATZON M,P ? ?? ????? REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $45.00 $1.00 $46.00 $2,000 CONTRACTOR: OWNER: - Applicant - MAZUREK JQHN J _ 1618 CLEMSON DR B EAGAN MN (612)751-1857 , i hereby acknowladge that I have read tkais appl1aatiaq aird state that the informat3,an is correat and agrse to comply with all dpplicable' State of Mn. Statutes vnd=City of Eagan Ordinanqes, '? 4 APPLICANT/PERMREE SIGNAlURE // IS 0 BY: SIGNATURE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BurLozNG 3830 Pilot Knob Road Permit Number: 021724 Eagan, Minnesota 55123 Date Issued: 0 8/ 12 / 9 3 (612) 681-4675 SITE ADDRESS: Lo T: 11 B L 0 C K: 1 APPLICANT: 1618 CLEM30N OR B MAZUREK JOHN J THE TRAILS OF THOMSA LAKE (612) 751-1857 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH ALTERATION DESCRIPTION CONVERT SCREEN PORCH INSPECTION .. . ., FRAMING FINAL I L - - - - - "?. I REACUVATEh- PERMIT i ? ) - ? a v CITY OF EAGAN 1993 BUILDING PERMIT 681-4675 APPLICATION?? ?d - SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , COMMERCIAL 2 sets of archltectural 6 structural plans, 1 set of specifications, l copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is chan9ed or 3) lot change is requested once permit is issued. Date L`C`l3 Yaluation of work Site Address: i&('8 I'3 Gl_ri_-MSoN pR\\j r-_ fiREET fU[7E / Tenant Name: (commercial only) IAT ? BLOCK I SUBD.-??A Descri tion of work:?N?????is; tN? sc¢?WCP Fbc+CU V U?Jg&"%9 3 sM'I°t-A P"LO The applicant is: Owner O Contractor ? Other co"criee) Name MAZUI2EIL JoI-IP? J Phone 4 52-3543 Property LAST FIRST ?51- ?g57 Owner Address I&IO 13 G( I-LK,20ti1 12940 L STREET tTE L' CitY RAUm State 1-?(tJ Zip ??1L2-16?y Company Xt-L- p? C)J?T' Phone COntfBCtOf Address ' License Exp. City - State Zip Company ? Phone Architect/ Registration # FIT 4f--740Z. Name 10iw J- vAkZ'v'R? Engineer _ Address City State ZiP Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days unce area has been approved.. I hereby acknowledge that 1 have read this application and state that the information is. of Minnesota Statutes and City of correct and agree to compi with all Eagan Ordinances. go?Z g 3 SiE ? Signature of Applicant: r J OFFICE USE ONLY M ' Blt1LDING PEAMIT TYPE O 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement finish O 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 B-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. g 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. p 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous woRK rrPe O 31 New P§ 33 Alterations 0 35 Tenant Finish E3 37 Demolish O 32 Addition ? 34 Repair O 36 Move GENERAL INF ORMATION Lonst. (Actual) Basement sq. ft. NWCC System (Allowable) lst F1. sq. ft. City Water UBC 8ccupancy w%w p3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 1" of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ? pepth On-site sewage SAC Code _T APPROVALS ? ° Planning Building Assessments Engineering 4ariance REQUIRED IN SPECTIONS cbuveY-'-r 3_$E,,?.?., ? Site ? Footing EErFraming Insulation ? Wallboard K Final ? Draintile fireplace Permit Fee qS, u o yalutid„ $ 2o a c? Surcharge l.?o qs"- Zs Plan Review ?n ne- license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. koad Unit Park Ded. Trails Ded. Copies Other Total: 46.00 SAC % SAL Units PERMIT "??ITY OF EAGAN ° ?-v????'?' 3830 Pilot Knob Road PERMIT TYPE: B u r Lo i M s Eagan, Minnesota 55123 Permit Number: 021747 (612) 681-4675 Date Issued: 0$/ 16 / 9 3 SITE ADDRESS: 1616-8 CLEMSQN pR LOT: 10 BLOCK: 1 TWE TRAILS OF THOMAS LAKE DESCRIPTION: -,, (3-3EASON) B,e??1d3tt?.r?Permit 7ype SF PORCH 1?uilda'ng ?Wqrk Type AL7ERA7ION r`UOC C3ceupancy?,, R-3 ?? 'v,-;?f REMARKS: FEE SUMMARY: VALUATION $2,000 8ase Fee $45.00 COPIES $2.00 Surcharge $1.00 Total Fee $48.00 3ubtotal $46.00 CONTRACTOR: OWNER: - Applicant - LUHRING DORIN 1616-B CLEM50N DR EAGAN MN 55122 (612)687-9159 Z hereby acknowledge thi&ti I have reaxl this ,application Apd sGate; that t•he `intarmaCian is 6arrect attd agree tq cttmply witM a13 applieable S'tatie uf hfn. 5tatutes and C9,ty esf Eagan Ordinances. AP ICANT ERMIT E SIGNATU7" SSUEO Y: IGNAT llE ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: Ze BLOCK: 1 APPLICANT: 1616-B CLEMSON OR LUHRIN6 DORIN THE TRAILS OF THOMAS LAKE (612) 687-9159 Bl1ILDING 021747 08/16/93 ? PERMIT SUBTYPE: TYPE OF WORK: SF PORCH ALTERATION DESCRIPTION (3-SEASON) P.f1CT.iVAT? _ FEKr?'i a , I iqlltl CITY OF EAGAN 1993 BUILDING PERMIT APPUCATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy calcs. , COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not-picked up by isst vorking day of month• 3n which request is made, 2) address is change.d or 3) lot change i,s requested once peraift is issued. Date Valuation of work Site Address: fiREEi W[TE M Tenant Name: (commercial only) IAT ? BLOCK SUHD. hf1??? P.I.D. M Uescri tion of work: GJW \'E?7 T?c1S70 a1C St=Pk-rr-'FD 1?0?? -vo 3 SW?5r_A--? T>01F-'C'H' 7he applicant is: Owner ? Contractor ? Other (Describe). Name LU N 1Z\ $JC'-4 R,'"V_1 iJ Phone 6f Z(vI3 I? l!?°J Property LAsT FIRST Owner Address (&UP B STREET S7E M City State tAti ? Company??n:. Phone C9ntractor Address ?? License d Exp: . City X,/? o w State _,aJn/ Zip Company t7-?;bd? ?1NP.?P 6c?'jSuL?6Phone &ft- 99?? Architect/ ???e2- Name -?K", J ` MQ`zU`? Registratian N VtrzGctit?- Engineer Address Tt-,? -csJG 2 ?o-?162 City c-'+--eaPa-? 5tate Iip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. 1 hereby acknowledge that I have read this apPlication and state that the information is f correct and agree to comply with all applicable State of kinnesota Statutes and City o Eagan Ordinances. 7 5ignature of Applicant: OFFICE U5E ONLY BUILDING PERMIT TYPE p 01 Foundation ? 06 Duplex ? 11 Sw.. Apt./Lodging 4 rq O 16 L ? , Basement Finish ? 02 SF Dwg. 13 07 4-Plex ? 12 Multi. Misc. -• ? 17 Swim Pool ? 03 5F Addition ? OB 6-Plex ? 13 6arage/Accessory E3 IB taun.(Ind. P 04 SF Porch ? 09 12-Plex ? 14 Fireplace 13 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Faci7lty ? 21 Miscellaneous WORK TYPE O 31 New 13 33 Alterations O 35 Tenant Finish O 37 Oemolish ? 32 Addition 0 34 Repair ? 36 Move GENERAL INFORMA710N Const. (Actual) Basement sq. ft. NWCL System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRY Required Ioning Sq. Ft. total Booster Pump i of 5tories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code q34 Depth On-site sewage SAC Code j APPROVALS Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS C-oN-AMT sc?nMN POR`q O 5ite ? Footing ? Framing ? Ins ulation ? Wallboard ? Final ? Draintile ? Fir eplace Permit Fee Surcharge Plan Review License MWCC 5AC City 5AC i Water Lonn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. CoPies Other 7ota1: v.iWac;a,: $ 2oas,oo I?oa ? ..? ? ?o?c(o r l oo X C`?,?- i5 ??VV ,vla .: Z= oa 5AC % SAC Units PERMIT ?eos57?? . ..-?; ' C17Y OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Numher: 027408 (612) 681-4675 Date Issued: 04/29/9 6 SITE ADDRESS: 1616 CLEMSON DR LOT: 9 BIOCK: 1 THE TRAILS OF THOMAS LAKE P.I.N.: 16-75865-090-01 DESCRIPTION: y;,Permit Type 6ASEMENT FINTSW "crxt4g k Type aLTERA7TpN ?'?Ce?i?ws 434 AI.T. RESIDENTIAL 4 ? L Ca _ & a ? w ? "Whr&Y.. ? i All at*?se am em. ? ?wux ^?RtjN dk ?g ? "3gwiR ?'?' ? ?Eitdl?u ?iw_ s?mm?c'? ? ? ? wS ?w Q, REMARKS: A SEPARATE PERMIT IS REQUIREp FpR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: OWNER: - Npplicant - SCHOFIELp GLEN 1616 CLEMSON DR EAGflN MN 55122 (612)454-5535 14401 CITY OF EAGAN I)J oaK) 0 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) MUA, 4-19 681-4675 New ConsWetion Reauirements RemodeVRaoair Reauirertrents ? 3 registered site surveys ? 2 coplea of plan ? 2 wpies of plana (include beam 6 wfMow sizes; poured fid, design; etc.) ? 2 s4e surveys (exterior additions 8 decks) ? 1 energy cakulationa ? 1 energy ealculadona for heated edditions ? 3 eopks of tree preservadon plan if bl platted afler 7l1793 required: _ Yes _ No DATE: /? `2-3 /& CONSTRUCTION COST: ?nrL00 DESCRIPTION OF WORK: &-Y?r cie,/ ?0 C? V] S?GL.I ?Y ? Q Ylfj 1-1 Yl I S ?1 1?4?fOOlYI STREET ADDRESS: I LD 1(o C- I?nY? Sc? h kJ r i ILe- LOT q_ BLOCK I SUBD./P.t.D. #: PROPERTY OWNER CONTRACTOR Name: Sc 10? ? 6A, G k-ev'^13 *4J-?a-- Phone #: `I ??"l Sg3S w. rw:r V Street City: ?cec, cx/-, - Company: .]). Street Address: city: ? ARCHITECT! Company: ENGINEER Name: Phone #, Registration #• Street Address• City: Phone #: 7?st7 (.a State: fyrN N State: Zip: Sewer 8 water licensed plumber. Ue.ss rc n p{ u "i N U S e r vvc-e S Penafly applies when address change and tot change are requested once permit is issued. 1 hereby acknowledge that I have read this application and state that the information is corcect and agree to compiy with all applicable STate of Minnesota Statutes and City of Eagan Orclinances. , Signature of Applicant: OFFICE USE ONLY Certiflcates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes _ No State: M ( J Zip- S S!Q ?? f?? '[?nMELt? APR 7 b 06 CITY OF EAGAN PERMIT W-6-?J3 -?- 3830 Pilot Knob Road PERMITTYPE: suxLDxNG Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 3 2 8 (612) 681-4675 Date Issued: 0 A/ Z Z/ 9 6 SITE ADDRESS: 1616 CLEMSON DR LOT: 9 BLOCK: 1 THE TRAILS OF TWOMRS LAKE P.I.N.: 10-75865-090-01 DESCRIPTION: G A S ) , di}-ig?Permit Type FIREPLACE ?BWiJsl?„ng` Wprk 7ype NEW ?'??434 AL7. RESIDENTIAL . ns..? SY. .. . tSk. > ....... ..? cc.c REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Tatal Fee $25.50 @ P M" $kd -' lx i ?pr? ?" ?., 2s ., ki? ??s? ??s?t§? ?+?? ie? si CONTRACTOR: - ttpplicant - S1'. LIC.OWNER: FIRESIDE CORNER INC 16331042 0001068 SCHOFIELD GI.EN 2700 N FAIRVIEW AVE 1616 CLEMSQN DR ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1942 (612)454-5835 ? :Y hiire;by "ac rfnforrnetian < StaCUt:es. 411 APPLICANUPERMITEE SIGNATURE ' ISSUED BY: IGN UR -? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 JL"l 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: "'T- -( 7 DESCRIPTION OF WORK:Q INSTALL NEW FIREPLACE: _ WOOD BURNING?GAS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE _ INSTALL GA5 LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: ????v'?? L?'?t'??- ?° ????? STREET ADDRESS: 1414, (a?'/d2 ,5o-J L*! Ar LOT ? BLOCK J_ SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR ?. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. PROPERTY OWNER FIREPLACE INSTALLER Phone #: Signature: (L? - Street Address- ?t vc-/ City: 4:-:-A 9, 14 dJ State: OIAJ Zip: 53-tl Z Z #: &'%a -0 7Y$ StreggYAddress:(,U -License#: 15 Cit;a 0 C2*?S V'CState: J,*0A' Zip* 5 -5r GAS LINE Company: INSTALLER Name: Phone Street Address- City: Sfafe: Zip: CITY USE ONLY & RECEIPT #: SUBD. 7BLJ RJQ?? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55112 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permfts are required for each unit FIXTURES Shower Water Closet Bath Tu6 Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet * minimum - I Rough Openings Water 5oftener Private Disposal ' Dakota Cty. Ucense (new and refurbished systems) U.G. Sprinkler ' home under const. Alterations ' to existing Water Tum Around STATE SURCHARGE EACH TOTAL NgL 3.00 _ x 3.00 x 3.C10 x 3.00 x 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 :c = 1.50 x = 5.00 x = 65.00 = 3.00 20.00 ? TOTAL .50 0Q•Su 51TE ADDRESS:J/ 6 / ? C. le W 1 u? .0 o. OWNER NAME: f4 4 J' r. , I /-E' P>>? INSTALLI STREET cinr: STA' ZIP: PHONE #: ( ) ?? j ???"V" nAATURE. OF PF-Ff19fITT S I I l 11 L 'Tr"il5 6'T 7-hok?RS z ok,?- 07/il/93 City of Eagan Building & Permits Department Gentlemen, I am writing this letter as required to get authorization to build common trusses across two decks. The City suggested to build independant trusses for each homeowners deck. However, the main structure of our quad homes share common trusses. This building practice was up to code when all our townhome units were buiit originally. I am asking to do the same. I guess your main question is, 'Will the one hour firewall be maintained?' Yes it will, and it will most likely be more maintained than in our main structures. T have competent and experienced builders doing the job, and I am sure that when the final inspection is made you will see that this is true. If you have further questions on what exactly is being done to maintain this firewall structure according to code, here are names and numbers of our buitders (see attached). With all due respect I request irtxnediate attention on this issue. Special order trusses are on there way due to be delivered Wednesday (7/14/93). 7hese trusses are scheduled to be put in place on Saturday (7/17/93). An answer to this request would greatly be appreciated by Fridey (7/16/93). Respectfully ?Ho-m-?eowner,s-, ' ?GAtrt /I _ I/ ? P, o, I ? .. ? - , -= -., ` I --- u,?? ? ..? . . .. ? k?Lhg'!G -- -. ... I??? tW?Q/Iy Ha •° _--? v /?N ? ? ? , ? , , , ?? ? '? , u ??! w?.. E`aoF?mSE Iivl,IrV F11?? A EA,ll? . ; 6 ??<<?' ? A,- o? ,. ?,? ?y g?°• ` ;De] '? ?C' , I??"?rY i- i ? f i i ??? ??? ? ! ? 5 .? e ? ? i I ? I ? i ? I I i r%? 13Re.JF ?E?ro 16 I" - ---- ' i zx$ lraEpf-? cfr?'?.o O? 1Na714 'l'`!P? AAP ?.T_- ? ? ,TN FiNI ? AND - r'A N ? VlE YdE: r ??:?....?: ,j,r.?n?1???? ?a._s??{?•3????.?,? i?. ?.., ,?. __, ????? ? -?.....?-_-•_.,._. _..__ UPA+4r "ES5M01<E' reX? ???-y:... ._.: tSA'CE TO (A ?_?__?aeb ._ .-- ..... .. s_.____. .?.._ r ? _?..?.??A .??• . REQUlREo ?Y LAw T-2,AS? cp:-:, r-r?,vGS ??D ?J • ScAPr`bt2TING ?o?CH THESE Pt.Arf4;g M?lAT R-?W oN JoB.?ITL .? ? / ?C?.eH uN ? i Muui?? HAVt frs cwN ONE-H002.' ?-? -' F ? i2e - R?5iST9 ?E wa??. "T?,,, , ? f?,? o weas TNE ReoF DE-c1- - PE-PP-HAPs HaN ?RAMC ci2 coR ,Yn? ?'?DZK.6?h:5 FDi2 ?A?N s?o? ?CtN 3? ?O? (V6 , ?SSeO ?. ??.:s_. 1 .... ?S? fJ U! 7 ?? TiG(/S? _.._... . I Dov?le L+? ?o , Idszaye, k ??? ?0 ?G ?C?1 k 'TAG K?f? . ? : c?r,? cxl%?7?NG^ ?'ccKrW ?o?,er<? w?so?;-i-r ?<ywood ;f: ??J` 2 .1?7i5"r5 ? ?-_ _.. _.. .. ? s)'xqo" W'Nfl? ? ? ? I' II - -- _ ?--?-" ` ? ? ('v TR£A?F.D Pos+-S . ? ? ? ?RO e jZ ? 1' 3a, }joorZ- ll_.. . . 5? ??s 1- F N ?/40 e,c 5;s 4-) hoU`a-P? 5 C'A4? -A= t" 5AVETY G?ASS O,y li,J/N?DwS W ?7HIN (2;, Gf DOD2 ? l ' ' ou? ?s??vs ? ,, ? ? uN ?&?2 w4c.8 ? u -- ?: ? CITYOF EAGAfV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION 0 R-1 5INGLE FAhIII,Y Q R-2 DLTLEX (1t.o Units) R-3 10W[,IIiOC?SE (Three + Units) ( Units) R-4 APARTNIIw/COPIDUMIDIICM ( Units) P ease Print 1) PROPERTy ADDRESS: & 157 LEGAL DESCRIPTION: ,/D ? .. .. """-/w+wL&/QuAQ1V1530R or Tax Parcel ID ? . IF' EXISTING S1T2L'CIURE. DATE O£ ORIGZNAL &?TLDIIVG PERMIT ISSL'ANCE: ' PRESETrf ZDD]ING/PROPOSID LSE: hbn ear - ? COM"ERCIAI./REfAIL/OFFICE ? IlMX'STRIAL ? INSTITL*fIONAL/wiII2ImN1.' 2) ? fUAME; ADDRFSS: CITY. STATE, ZIP: PHONE: 3) • . a?• NAME: P.DDRES$: CITY. STATE, ZIP: PHONE: 4) •?w • • ?..u13-:9 NAME: _ ADDRFSS: CITY. STATE, ZIP: PHONE: MASTER LZ(E[VVSE# 2 :NAT3: PkYMFJn OF FF?? AT TIME OF : APPLICATION WFS NAT axernLT1E a : APPROVAI, OF PII2FIIT. i . . : INSPFJCPION OE' SEWR ArD/O2 WA'ffit * : INSTALLATTONs wns. Nom se scHEn- * [MID UNi'IL PII2MLT AAS $EEN * APPR6VID. * a r s ?x**:*+ett****rt**,r*,et??*t,t*::*t?tt C1U[nV2r5 JaC2I1$e: Active ? ECpired Not recorded st-=-Initial 'rj? il V• I 1 Y' •?1• ' D 9? 4.+3YM5i ' wcvrEcrzoN TO cii•sr sEWM ? mNNEx.zioN zv ciTSr wATEa p omHER 6) M • ? ? C] PLEASE HOLD ApPROtJFU pmMIT FY)R PICK-PP BY ONE OF ABpVE [o PLEASE MAIL APPROVID PERMIT 7t7 1, 2, (J) 4. ABL7VE v.?_ (Circle one) ? ? _ FOR CITY USE ONLY PERMIT # ISSL'ED ` ?0 3 Pd w/Bldg. Permit FEES: $ $ 16 - Sz SEWER PERMIT (INCLUDE SORCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ C 7.c1 ? $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ Z U21' $ • WAC $ (ri Z.S Cl t'J $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRDNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRDNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ ? ?v• ? ? $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: S I J 77iDO $ J?Cl 14 TOTAL SS z RECEIPT RECEIPT DOES I)TILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR 4JORK WITHIN P[JBLIC Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE : 1131) / ? /7 CITY OF EAGAN APPLICATtON FOR PERMIT SEWER AND/OR WATER CONNECTION P ease 1) PROPERTY ADDRESS: LEGAL DESCRIpTION: l Z ,? . •---??????ni?uuu?vision or Tax Parcel ID ? IF EXISTING STRtY,'IVRE, DATE OF ORIGINAL B[IIIDING PERMIT ISSCIINCE: - PRFSENP TANING/PROPOSID L'SE: Nbn ear . Q c=-JERcuL/xL?oFFICE Q IAIDi,'STRZAL n INSTITUTIONAL/GpVMWEM 2) ? NAME: ADDRF.Sg; CITY. STATE, ZIP: PAONE; 3) ' i:?• NAM: ADDRESS: CITY. STATE, ZIP: PHONE: 4) ?• • iA- _ r,DnREss: CITY, S'I'ATE, 2IP: PFiONE: n : PAYMR.nTC OF PEE AT TIME OF ; APPL.ICATiON DOFS N0T GnDb'1'IN1E ; APPRC7VAL OF PERNffT. INsencrioN oF sEWEt r,rn/? MAnM IZ TTATTQN$ WbI. NA'P BL'' $CfED_ UIED C7NIZL PERMIT AAS BFE[Q APPRQVFD. R-1 SINGI,E FAPffS Y R-2 DUPLEX (74A units) R-3 SfWiVfiOLI5E (Three + Units) ( Cfiits) (v]" R-4 APARTME[+Tf/CC[+IDOMiNZUM ( Units ) MASZER LICIIVSE# 2 Plwnbers I,icense: ActiVe H Dcpired Ncyt recorded Sta f Initial 5) ? v ? ? r• ?• ? o? u.?.y?a? • ?? NN6fEX.TION T0 CITY SEWfTt Q' CpNNgCrION 1O CITY WATER ? pT(-ER . 6) ? • ??Q PLEASE HOLD APPROVID PERMIT FC)R PZCK-C?P BY ONE OF ABDVE G3 PLEASE MAIL APPROVID PERMIT TO 1, 2,3C 4. A&3VE ? I 4?_A A? (Circle one) k- FOR CITY USE ONLY - PERMIT # ISSDED . , . s Pd w/Bldg. Permit FEES: $ $ /z/-S E'' SEWER PERMIT (INCLUDE SL'RCHARGE) $ WATER PERMIT (INCLL'DE SCRCHARGE) $ U $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLPDE CORPORATION STOP) $ $ SEWER TAP $ $ 15-C)C ACCOUNT DEPOSZT - SEWER $ ACCOUNT DEPOSIT - WATER $ ?2- :S . O C? $ • wAc $ ?- 2"S- ?r 0 S sac $ $ TRONK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRUNK SEWER $- $ LATERAL BENEFIT/TRL'NK WATER $ G'• ,S WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ f3?7 i Gr' D $ TOTAL . (?J117?,- 2cJZ?=RECEIPT RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC Q ROADWAY" MUST BE ZSSL?ED BY THE ENGINEERING IVO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CpNDITIONS: APPROVED BY: TITLE: DATE : I ? ? ?,J /7 . CITY OF EAGAN APPLICATION FOR PERMIT SEWER ANO/OR WATER CONNECTION n R-1 SINGLE FAMILY [Rf R-2 DCPLEX (7DA C?nits) ? R-3 TUWN-IOUSE (Three + Units) ( Linits) ? R-4 APARThEIV'p/CONIDOMINIOM ( Units ) 1) PROPERTY ADDRESS: GyA]Y/Vo 'Y '- LEGAL DESCRIPTION: (I I -r 1? •- .(Lot7B ock Su division or Tax Parcel ID ) IF EXISTING SZRL'CiL'RE, DATE OF ORIGINAL Bt!ILUING PERNILT ISSCANCE: ? Year PRFSENT ZOP]ING/PROPf\SID L'SE: (MO n 0 COMMERCIAL/RETAIL/QFFIGE Q INIIJL'STRIAL n INSTIIS)TIONAL/GOVIIWvg,'NT 2) ? NAME: ADDRESS: CITY. STATE, ZIP: . PHONE: 3) u i: ?• ' - NAME: i CITY, STATE, ZIP: LICQVSE# 4) •?? •:,i ?..???: NA[v1E: ADDRFSS: CITY, STATE, ZIP: PHONE: •5) ? r• i a•?• : a • a? - a? (?c]c] coNrEczioN iv czTSr sEwEa ? wrNEcrzorr zv cizY waTm p o?-?a 6) '? • •'• [l PI,EASE HOLD APPROVfD PERM.iT FOR PICK-UP BY ONE OF ABOVE M PLEASE APPRdS7ID PEI2MiT ? 1, 2 4, ABOVE L (Circ e one) 2-- NOTT: PAYMETTr OF FF-E AT TIME pF APrrarATIoN noFS Nom corsTTTUTE APPROVAL OF PERMIT. INSPDLTION OF SES1Q2 ADID/012 NMTEt nSmnr.ramrONS WILL NOT BE SClHED- ULID i]NrIL PIItMIT HAS BEEN APPROVID. Acti.ve FScpired Not recorded ta Initial . FOR CITY USE ONLY PERMIT # ISSL'ED L??? ? R • Pd w/Bldg. Permit FEES: $ $ /0 - S? SEWER PERMIT (INCLUDE SURCHARGE) $ llz?a? $ 1'1?9 -S? WATER PERMIT (INCLLDE SL'RCHARGE) .. $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOLNT DEPOSIT - SEWER $ • $ ACCOL'NT DEPOSIT - WATER 677 ?Lf'Oo $ $ WAC $ (u Z S 1 C'? ? $ SAC $ $ TRLNK WATER ASSESSMENT $ $ TRUt3K SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $_ IrP?? o S WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $ fJ-0 $ r7' UZ? J TOTAL RECEIPT # REC IPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIIV PUBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSUED BY THE ENGINEERING AS CO , A NDITION. SLBJECT TO THE FOLL OWING 60NDITIO[VS: APPROVED BY: TZTLEe DATE: _ ? / ?0 /F"7 . S`l O(?? I COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-651-4675 4 (? . I s Foundation Onl New Construction Interior Im rovement • SWCtural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SWCWraI Plans (2) • Code Analysis " (1) • CertifcateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1) • CodeAnalysis (1) " . LandscapingPlans (2) • 'KeyPlan (1) • ProjectSpecs (1) . CodeMafysis (t) ° • Master Exit Plan (1) • Spec.insp.&TestingSchedule" . CertifcateofSurvey (1) • EnergyCalculations (7)notalways" • Soils Report (1) - . Spec. Insp. & TesUng Schedule (1) " • Elec. Power & Lighting Form (i) not alvrays" • Meter size must be established . Meter size must be established • Meter size must be estabiished - if applicable • ProjectSpecs (1) 1 • Energy Calculatlons (1) 1 . Electric Power 8 Lighting Form (1) 1 • Master Exit Plan (1) i 1 . Emergency Respansa Site Plan (1) 1 • SoilsReport ' (1) 1 • MClES SAC determination letter . MClES SAC determination letter • MGES SAC determiAation letter ca11 6 51-602-1 000 call 651-602-1000 call 651-602-1000 rooa 5 oeverage or ioClging taalities - submrt plan to MN Department ot Health. Call ti61-215-07W tor details. Contad Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Buildirtg Inspections for requirements. DATE: 1 0- 7/ 0 2 WORK TYPE: NEW ? REMODEL CONSTRUCTION COST: I IOC) .?' SITE ADDRESS: 1? f1? ? la t 6 C` 0.Y'nS O(N V, TENANT NAME: \? \- OdC? ` Ka'Y 7? SUITE #: ?O? FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK Z)l k eKS Name: _\?4-?- ?pcl t?.5? he.v Phone #: ?i( rJ :) 1%(J%-? 5 rJ ? PROPERTY Last First OWNER O O Street Address: City: p???? r rt0? o? State: Zip: 5 sy? S Company:CtN?S7 rC?o? Phone#:(/Cn3 ?S?t1?q433 CONTRACTOR ? SueetAddress: ? )0 Zcac?n?e? v Lc,?N. City: State: Zip: ARCHITECT! ENGINEER Company: Name: Street Address: City: Licensed plumber installing new sewer/water service: Phone #`.-f-i- )- I hereby acknowledge that I have read this application, state that the information is correct, a d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? pdated 7102 Phone #: State: 11iU Zip: . OFFICE USE ONLY SUBTYPE 1 01 Foundation ; 14 Apartments 1 15 Lodging 1 25 Miscellaneo us WORK TYPE DS a - _' 31 New ? 35 7 32 Addition ? 36 33 Alterations ? 37 ? 34 Replacement ? 38 GENERAL INFaRMATION Census Code 4-YOI SAC Code o1 No. of Uniu o No. of Bidgs. AV :,onst. (Actual) (Allowable) UBC Occupancy fz? I ? 26 Public Faciliry ? 30 Accessory Bldg. ,V 27 CommerciaUIndustrial ? 32 Ext Alt - Apu. . 0 28 Greenhouse ? 34 Ext Alt - Comm. 11 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon F,epM Tenant Impr G 42 Demolish (Foundation) ? 46 Windows/Doors Move Bidg ? 43 Reroof K 47 Repair Demolish (Bldg) ? 44 Siding ? 48 Authorization Demolish (Int) ? 45 Fire Repair Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS _j Gas Service Test ? Heating APPROVALS Planning Building P. r,> sq. ft. sq. ft. sq. ft. sq. ft. MC/ES System City Water Fire Sprinklered ? Insulation q Plumbing O Stucco/Stone aWfr{? Engineering Vaziance VALUATION $ I, I O D &V - Permit Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S/W Permit 51W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Dther ,opies % SAC SAC Units Meter Size Total SlNCE 7855 MANAGEMENTCOMPANVINC. August 27, 2002 To: The City of Eagan From: Kay Thiel, Property Manager for Trails of Thomas Lake Townhomes 2850 Metro Drive Sui[e 304 Blaomingron. Minnesutn 55425 Oflice: (952) 858-8558 Fax: (952) 858-8405 This letter is to serve as authorization for George Hulinsky of Trendy Construction to make the necessary repairs to deck at 1618 Clemson Drive. Mr. Hulinsky may complete the project upon receipt of a permit issued by the City of Eagan If you have any questions, please contact me at 952-858-8558. Tbank you. ??? ? ? Invesnnent Real Estate Residential/Commercia] Management Commercial Brokerage Munagementllnvestment Consul[ing Nebraska • Iowa Minnesota mcxmrto I???? ??cuexr ??, 75950 THOMAS LAKE HTS 2ND CLEM50N DRIVE (PAGE 5 OF 5) 1604 10 75951 610 01 (LOT 65) 1604B 10 75951 62001 (LOT 65) 1606 10 75951 64001 (LoT 65) 1606B 10 75951 63001 (LOT 65) 1605 10 75951 650 02 (LOT 71) 1605B 10 75951 680 02 (toT 71) 1607 10 75951 660 02 (LOr 71) 1607B 10 75951 670 02 (LoT 71) 1608/ 1075865 01001 (4-PLEX) 1608B/ 02001 1610B/ 03001 1610 04001 1609/ 10 75865 47002 (4-rLEx) 1609B/ 480 02 1615/ 46002 1615B 45002 1612/ 10 75865 05001 (4-rLex) 1612B/ 06001 1614B/ 07001 1614 08001 1613/ 107$865 44002 (1/2 OF 4-PLEX - OTHER 1/2 ON 4318/186 CLEMSON CfR.) 1613B 430 02 1616/ 10 75865 09001 (4-riEX) 161bB1 10001 1618B/ 11001 1618 12001 1617/ 1075865 010 02 (1/2 0F 4-PLEX - OTHER 1/2 0N 4319/19B CLEMSON CIR.) 1617B 020 02 10 p ? 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan G? ?n??ql`? ?( 3830 Pilot Knob Road, Eagan MN 55122 ` Telephone # 651-675-5675 Please complete for. single family dwcllings & townhomes/condos when permits aze required for each unit Date SiteAddress UnitN Property Owner Ll? I PC Q Telephooe #(Fj So q"5zx,?- Contractor STANDARD HEATING & AIR CONDITIONING aa MINNEAPOLIS, MN 55408 Street Address 612 824 2656 City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additionai ?Replacement air exchanger - ' ,^?•-. ? air conditioner } ? heat pump other ? State Surcharge $ 50 $ 30.6b Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Code qat I understand this is not a pertm but only an application for a permit, and work is not to start without a permit; that the w, e in acwrdance with the appr d plan in the case ofrMy hich requires a review and approval of s. S4Lr-_?j Applicant's Printed Name App icant's *g ature I /CC, 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION r7/ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address :!S.Unit # Oa 5D Owner `-h d ~C~I1f15E'(1 `Telephone (15) Q5(- Oa5D THE SNELLING C MFANY, INC. Contractor CON('0RDIA ST. P;'JL, MN 55104 Street Address FS'-646. 7381 City State Zip Telephone # ( ) _ Bond 1 2 Li---] 3 Expires: The Applicant is Owner Contractor Other Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace Additional Replacement New air exchanger X air conditioner heat pump other State Surcharge $ .50 Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a 11 -;_hat -the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla ü ÿ þ þýý üûùûùù øýýëë ýþ çúñú óîúñò âèáèç þýô ýüûú ù÷ì ï üú ù ÷ ú ùàù ù ü óüù õÿ ýôü üýì ý èýñý ýð üþæäèèâ áèáèè êððè óø ýü ñ ÿ ë ü êðèçðçè ë ü þèð òüñÿ ôðï ùù å å èýñýááò ýð ÿ æäèè ÞáèÝáèè ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü L/ o / / / \�d� ' / / A . , 9=~ Use BLUE or BLACK Ink rti For Office Use Permit r City of Ea~~ii a~ ~ Permit Fee: ~ 3830 Pilot Knob Road I ((3 1 Eagan MN 55122 l Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: adl~l Site Address: M 9QK, 6 Unit - Name: l ~/ttl5 t!f l AO/h~ S ( -GJ r L2 Phone: 7q 7 7 511 t Resident/ Owner Address / City / Zip: #C3z),re I Applicant is: Owner Contractor Type of Work Description of work: 14Y 'F- r e D' Construction _Cost JUlulti F Company: ~ Contact: q3q: {~G_ 6n in ,e. N ► ~1 L alto Contractor i Address: City: i State: Zip: Phone:* _ u.. ea~ eCerti ief'W.- _ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (lV o Af)ZA, bet-'o 0 i 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: I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 Minnesota tate Building Code must be completed within 180 days of permit issuance. X t)(1~i V'VIe-S- x Applicant's Printed Name Ap 'cant's Signature Page 1 of 3 .n PERMIT City of Eagan Permit Type:Building Permit Number:EA127902 Date Issued:10/20/2014 Permit Category:ePermit Site Address: 1616 Clemson Dr B Lot:10 Block: 01 Addition: The Trails Of Thomas Lake PID:10-75865-01-100 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Linda M Bosma 1616 Clemson Dr B Eagan MN 55122 Hearth And Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature