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1380 Cleome Lane Parmif # DaM Inued PamNfae Plumbin9 7'7 Mechanical ?'j93 ?'a73-77 -l?, .? °? • ? "' ? INSPECTIOMS DATE INSP. Rough-In Firrol Footings DWe inap. Date Insp. ' Foundotion Plum6ing J??-? . (o'-? c Frome/ins. ' Mechanical Finol --??n-?? _? -_ Remorks: CITY OF EAGAN ? • 3795 Pilot Knob Road Eagan, MN 55122 N0. 4375 ? PHONE: 434-8100 BUILDING PERMIT 5ite Address Lot Block 2 Parcel # W Nome 3 Addre 0 p Name L ?Q Address i- rr„ ? aul Name _ Address Sec/Sub ;36*00, Receipt # k lt I I I hereby ocknowledge thot I have read this opplication and state that the information is correct ond agree to comply with all applicob'e State o4 Minnesota Stctutes ond City of Eogan Ordinances. Erett Occupancy - A(ter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Plonner Counc+l Bldg. Off. _ APC Permit -' ?J?•3?? Surcharge Plan check 5AC Water Conn. Water Meter Total ''-t?.5) Signpture of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Building Officiol - - ---- - ---- - PemM # Data lamd PMUNtM Plumbin9 Mechanical INSPECTIONS DATE INSP. Rough-In Flnd Footings Date Insp. Date Inap. Foundation Plumbing Ze$ Frame/ins. Mechanical ' Final ? Remarks: • CITY OP EAGAN 3795 Pilot Knob Road ' Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: eptember 23, 1977 Site Address: 1380 Cleome Iane Lot " Black Sub/Sec. '•''?': I f Name i ?<• ;, _ __ . 3 Address O ?ity . Paiil _ Phone: ? Name A. Binder & Son Inc. ? Address 120 E. Butler e ? City _::s` St. Paul. 553 ] ? Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Stotutes ond City of Eagun Ordinonces. No. Receipt No.: 0751 ` Single I Residential y Multi Res., Comm./Ind. I New/Alter. / Repoi r Cost of Installation Permit Fee ' ,-)• 00 I ?n Surcharge • -' Total -' r). ": I done in accordonce with all applicable State of Building Officiol ? : . _ • Y _ a PI,U MB I iJC Date: 1. s',? $ite Address: Lot ? Block Sub/Sec WR ZI No Receipt No.. 'Single I Residentiol Muiti Res., Comm./Ind. I llsen r!uwes lnc. new Nume - New/Alter. / Repoir ` 627 Sr.eilinq Ave. ; ? Address Cost of Instollation -'t. Paul 20. nC) City Phone: Permlt Fee ?'?'''•."" PZllIC?l_.Cj CO., T,Ci:il.u ?'I. . ?!1 ` Nome Surchurge ? i..'.:- G Address rand Avenue ? e 0 v St. Pall 55105 ",.'•?City Phone: Totol This Permit is issued on the express condition that all work sholl be done in accordance with all applicable Stote of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3795 Pilot Knob Road Eagon, Minnesota 55122 Pharo: 454-8100 July 27, 1977 PERMIT Building Offlciol CITY OF EAGAN Remarks Addition Wilderness Run 2nd Addition Loc 19 Bik 2 Parcel 10 84351 190 02 Owner g?L Street 1 Ig0 Cl eome L•n _ StateFagan o MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? 1973 $175.00 $8.75 20 PAID SEWER LATERAL . WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. ? SAC pp S ` _ PARK INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ;t; , 1 L I r,EkNr •;1. kiir+ ? PERMIT SUBTYPE: i ; I 1 t . . I I : 7 1! I A 1 1I RN r ,:.? ?, ? „, . APPLICANT: TYPE OF WORK: ` I I I.A+ { P-inR1(?., : rA -? i) 114 t E' 1 '.!F N i-. 1 oVf ( F i? F I':I ANII l Nfi ) ttUllk1 fN(i A?N8Q)n @}!?/2Q/4! ?? Permk No. PeRnR Holdar Date Telaphona ! ELECTRIC PLUMBING HVAC Inspectlon Dsta Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEA7'ING GAS SVC TEST INSUL GYP BOARD FIREPLACE ?-? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG OECK FINAL m CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE reECeiveo it. 1 1s AMOUNT $ I & DOLLARS ,oo [-]CASH ? GHECK FnN FUND CODE AMOUNT \ i) ? ? ??. i.; ' . 't• ? ! BY NUMERICAL FILE COPV ITY OF EAdAN WATER SERVICE PERMIT 795 Pilot eCnob Road PERMIT NO.: - agan, MN 55122 DATE: oning: No, of Units: . ' 4 .iI1C • wner. ,, - - ---- - ?ddreu: - • ite Address: . ? ,. C e?oi'k? ?_.•:7rh+? -- - lumber: _ r ?" ja' F'CtOi' _ Connection Chorge: leter No.. iZe: Account Deposit: _ eader No.: _ Permit Fee: agree to eomply with the Cily of Eagan Surcharge: irdinanees. Misc. Charges: - Total: Date Poid: Y )ate of I nsp.: I nsp.: ' CITY OF EAGAN SEWER SERVICE PE RMIT 9796 Pilot Knob Road PERMIT NO.: .. Eagan, MN 55122 DATE: _ Zoning: _ No. of Units: 7 rtr. ` -. ? Owner: - - ? - .? Address: - Site Address: T_- P? Plumber. 1 r30. QO j :i i 1 agree !o wmply with the City of Eogan , Connection Charge: .__ _-_ ''? Tx'• . i Ordinance:. Account Deposit: . + Permit Fee: - ! Surcharge: By , Misc. Chorges: ? Dote of Insp.: Total: Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645"7703 REQUEST FOR ELECTRICAL IpN?PECTION I, the Electrical Inspector, hereby (Final) - This request S 32. 90.-rI29963 This request void 18 months from * o G "-D 10315 ,4, o4 ys? P10315 I}ate of this Request 7-1I3-77 - I, as ggXicensed Electrical Contractor O Owner, do here?j equest inspection of the above electri cal wiring installed at: n,l- Street Ad re r Route ?? / ? ?? Range County D?e t 4 Sect? /Township Which is occupied by T 11 igri IOlS• (Name of Occupant) Is a roughin inspection required on this job? No ? Yes L3 Ready Now ? Will Call 12F DaYota $tf. Address irartin?toii Power Supplier Contractor's License No. 3 z503 Electrical Contractor O.B. ThOUP SOn gle 8tri o (Company Name) Mailing Address 12291 Mt][a f1Td. tkA 4 n c n?. { tri I Contra or w er Making Thls I Phone nstallatlon) ?3 No? G J G Authorized Signature (Elxtrlcal Con actor or OwMr Maklny Thlt Installatlon) STATE BOARD COPY - - ? r v Home ? Range ? ? Lighting Fixtuies ? +41 Duplex ??? Water Heater ? ? Elecuic Heating ? Apt. Bldg. ??? Dryer Silo Unloader Commercial Bldg. ??? Fumace ' gu? Milk Tank ? lndustrial Bldg• ??? A'u Conditioner ? i' List List Others? . • , Herc Farm ? ? ? Qtherst ciTr oF EncaN ? 3795 Pibe Knob Road Eegan, MN 55122 N2 4375 PHONE: 454-8100 BUILDING PERMIT APPLICATION $36t000. Receipt # 6405 _ _ . ___, ._ ... ..? .. . _ .. . _ N_._ June 16. ,a 77 sre nddmss 1380 Cleome Erect 1? Lot 19 Block Z Sec/Sub. WR II Alter ? Parcel # _ Repair ? Enlarge ? ? Narrie Roger R Volk Move ? Zg Address Oemolish ? b Gw Phone Grade . ..? & Name auncu n..?.?,• -^----- ZR o? O! ne L1IIg Address Assessment_ V?- Cit $t, pgul phone Water & Sew. Police - ?w Name Fi ? re Address _ Eng. Ci Phone Planner _ Council _ I hereby acknowledge thot I hove reod this applicotion ond state that gldg. Off. _ the information is correct and agree to comply with all applicable Stote of Minnesota Stotutes ond Ciry of Eogon Ordirwnces. APC - $ignature of Permittee Tilsen H m s Occuponcy 1 _ Zoning Rl Fire Zone _ Type of Const. V. # Stories Front - 49 ft. Depth 44 ft, Feea Permit 1UD.7t7 Surchurge 18.00 Plon check snC 475.00 Water Conn. ??i.0 Water Meter 60.00 Toml 888.50 A Building Permit is issued to: 0 e on the express condition that all work shall be done in accord ?ice wi all op l' le Stote of innesota Stotutes ond City of Eagan Ordinances. Building Officiol , i -?- ? ? op-?&mG1 Sn\e6 \)r\1tL W--'z WQ.L4, EAGAN TOWNSHIP BUILDING PERMIT N09 2922 Ownex ?'t-"'°'L'.._.....__...._...__........ ._......... . Eagan Township ............... .....?..,./?.?... Address (present) . ......_ ? .Town Hall Builder ..... ................... _........ ........................ _............__._...._.... _. ... - Address Dale 9.....7.Z.`. .......................... ............_....._._..._.... _ ..._.......... _ z 7 ?--= 7L I II ti7 9o a`? 7i.. qS' c /?. LOCATION Sireei, Aoaa or otner uesonpxion ot Location I Lo! Block Addition or Traef / 367 r-/ 3'77 -- i 3 C?' P/ 39 i ? r,-+.?.-- t?. /? ? ? a- 2???.r?,.-c-ti? IZ<.cyJ 2 This permit doea nof aufhorize the use of sireeis, roeds, alleya or sidewalke nor does it give the owner or his agent the riqht io creefe any siluation which is a nuisance or which presenls a hazard !o the healih, sefely, eonvenienee end ganeral weltare !o anyone ia the aommunity. TAIS PERMIT MU5T BE, EI? P„T ON THE PA£MISE WHILE THE WORK IS IN PROGAESS. This is !o cerfify, lhet_-...?-!...•'-_---------------- has permission !o erect a---.-_.?..... : ). ........... . .. .......... upon !ha above described premise subjee! !o the provisions of the Building Ordinance for Eagan Ttfwnship a opled April 11. 1955. ..1•k-?-?.-?-?- }? - li??°-e?•-=ti.. I,SZ"'e`- ??',?'---- P .................... ._*....-..................._ _....... C ' ': T_. _ ^_..'rd/.?.... Per ...... ...... ..... ..._..................... .. ----.... -..-............... .................._.... Bui _ in ns eetor $ Homes, In I SNELLING AVENUE , MINNESQTA 55116 SubjBCt Date 7 Message _ Q/Yl ) N' , , J 1.3 Ya cr?2? J ? PLEASE REPLY 0?({- Sianed Reply t Signed Date Form No. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PhRT 3 WILL BE RETURNED WITH REPLY 97 ooL 4A4° ? Feque t Date q? Fire No. Ro4h-In Inspi Req '!f (YOU must oall inspaclw ieady) Ins ectio ther Than Rough-In atly N. ? Will Noiify Inspector ,.? Y ? Vas No Da[e Reatly I li setl coniractor ? owner hereby request inspection of a6ove electrical work at Job Address (SVaet Box or Route Na_) City V ' '_n-vVZ--, h • (?Z1J wnsMp Name or N. Flange No. Counry - 4 Phone No. Sqp,],.r Atltl/E55 Badri Contr'a ?r (C any N flme) ?? .? .. Conlraclor's- Gcense No- Ma ling Addre??5(GOnlrac Owner Making Instell ? & tor 0 ? ? ?7 Hu[hotlzetl S1gnaWre (ConVxclor/Ownar Making Ins[allation) ` Phnne Number MINNESOTA STSTE 60ARl OF ELECTRIqTV THIS INSPECTIOWUEST WILL NOT Griggs-Mitlway BIOg. - Poom 5420 9E ACCEPTED 9 THE STATE BOAPD 1821 Oniversity Ave., SL Peul, MN 55104 pNLE55 PROP[R INSPECTION FQE IS PM1One(fi12) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r??A EB?? i? 0011182 ? See Insmrotions !or complaFng IDls fonn on M1ack ol yalluw copy. "X" Below Work Covered by This Request 8uilding Appliances Wired pliances Equipment Wired i S Range erv ce Temporary Water Heater Electric Heating 7 F g % ?ryer Load Management ushial Furnace Other (Specffy) Air Conditioner Conlrncmrs fiemarks_ / Compute Inspection Fee Below: # Other Service Entrance Size Fee # CircuitslFeeders ?ee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Signs Above 200-Amps ??ors uG? o?iy n,p. ove 100 -Amps TOTAL? ? J Irrigation Booms ? ?' q Special In spectioAlarm/Communi . IS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee OMPLETED WITHIN 18 MONTHS . I, the Electrical In gRln Dale certify that the a6ov ai Date ??' _? heen made. OFFICE OSE ONLV , This re4uest voitl 18 monlhs Irom S 6000--320835 -- -- This requp.st void 18 months from ?' Ola 9`?? 0 80899 Date of this Request 7-13-77 I, asA3 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring iistalled at: Street Adc1,rs?r Royje?No. 1 ?.n ? City F:? ?j? n o7 ??" Section Township Range County Dakgta Which is occupied by mlo 401- " (Name of Oc<upant) Is a roughin inspection required on this job? No ? Yes)Q Ready Now ? Will Call)R Power Supplier nncrc+, r?=s +; Alddress Fz ElectricalContractor O.B. Thoripson Llectrie Co, Contractor'sLicenseNo.325?3 . (COmpanyName) MailingAddzess i2201 Pdtks, Blvd., Mt'.?.a 5534x Authorized Signature or Owner Making This Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUESTFOR ELECTRICALINSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST Phone No. 933•2521 ? 80899 Type of Building New Add. Rep. Check ApplisncesWired Fm Check Equipment Wued Foi Home ? ? ? Range ? Temporaiy Witing 30.Rpg Duplex ? ? ? µ'ater Heater ? Lighting Fixtuxes Apt. Bldg. ? ? ? btyer ? Electxic Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloadei ? Indus[xia: Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ? F' m ? ? ? ) Lis[ List ) ax Other ? ? ? } p Herets) } HeheI31 Entiance FEE BELOW 0 to 100 Am s. 0 to 30 Am e es 0 to 30 Am eies 101 to 200 Amps. 31 ta 100 .`? 31 to 100 Ampexes Above 200_Amps. Above 100 '??? ps. l Above 100 Amps. TransFoimers RemoteContr - ixc. Partial or other fee Signs Special Inspection Minimum Eee $5.00 Remaxks Ha.:.l TOTAL FEE 6_.60 I, the Electrical Inspector, hereby cerfify that the above i pection has been made. (Rough•in) ? r ate (Final) ? ate 7 This request void 18 months from CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: E3UILDING 030006 05(20j97 SITE ADDRESS: 1380 1 cLEomE LRNE LOT: 19 P,LOCK; 2 WILDERPJESS RUM1! 2ND P.I,N,: 10-84351-190-02 DESCRIPTIOIV: ermit 7ype FIZEPLACE i°&k Type fJEW 434 FlLT. RESIDENTIAL _ ?•.` rg ?z ? ? ,? r?? ? ? j? ?v? aS '?c *z ? '+ e3.. ;€9.si ?St?mr ?: r ? ? s? '2;? t5:d g4"i? m€ 's ? REMARKS: GA5 I]TRECT V'cPJT STOVE (Ft?EESTRNpIRlG) FEE SUMMARY: [ase Fee $50.00 Surcharga -.5 0 Total Fae $5O.50 CONTRACTOR: - Rppiicant - FTRE5IDE CORNER INC 16331042 2!700 IV FAIRVScW AVE RO^aEVILLE MN 55113 ?612) 633-1042 ? µ ?+n{? fo rYytt:aF, ?3.?rra' is ^ 4?.{CivS +6N?.eRd::. c JixY?. ? APPLICANT/PERMITEE SIGNATURE OWNER: 5CHULTZ TIM 1350 CLEOh1E LN . EAGAN MN 55128 (612)688-6882 ? 9 4 Jt ? & RDl' 1 "?rr?--- ISSUED Y: NAT RE CI1'Y OF Ee1GAN coolL 3830 PILOT KNOB RD - 55122 1997 FIItEPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTTON OF WORK: _ CONSTRUCT NEW FIREPLACE _ INSTALL GAS INSERT ONLY _ INSTALL GAS LINE ONLY ? oTTiEx: <!:i5As Di2 ".§ STREET ADDRESS: 13 $ 0 ? l--4?- O ? 9- L W? LOT -4- BLOCK SCIBD./P.I.D. #: A ? APPLICANT: (circle one only) OWNEA I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. 48 8- PROPERTY Name: Phone #: OWNER Signahue: Street Address: C\- qE?° LIJ ? ciry: GA 4 AaJ stare: z;p: u?y 123 FIREPLACE Company:kus, one4 :?90-0158?33-Z TALLER PERMIT FEE: $50.50 ALTERATIONS TO EXISTING % Street AddresO86b -uj ? 144? 13 City?.?') State: ? GAS LINE INSTALLER Compr._... Name; Signature: Street Add City: - State: License #: z-°0p0 Zip: nt,._.. u. Zip: PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C _U ADD-ON FURNACE FIREPLACE INSERT DATE 11- 13-W FEES HVAC: 0-100 M BTU / So 6T?iL- ADDITIONAL 50 M BTU $ 24.00 6.00 GA3 OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (Exis'rirtG CoxsTRUCTION) $ 20.00 STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: " l r nn 1/` /?l (??` ? INST. TELEPHONE #: _ STATE: ? ZIP CODE: 5WaL? TELEPHONE ?(lI(o - ?lP?/ .50 A.. s-O 1994 MECHANICAL PERMIT (RESIDEIVT7AL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 , .. 2000 BUILDING PERMIT APPLICATION (REStDENT1AL) CITY OF EACAN 3830 PILOT KNOB RO - 55122 a? Q,?-? ?`4 ?J?JQU 651-681-4875 a;7- ,? ,j, rJ'oc RemoSlei/Reoalr ReaUlremeots NeW ConshueHon Reaulremenh r > 3 regiatered stte wneys ahowiny aq. fl of lof, eq. 8. of house and go rooled areas (?DX maxlmum bt covamae alloweN a 2 caplea ol plans (stww beam & windDw aizeK paretl Ind. design: efcJ > 1 aef ot energy cakulanona > 3 coples d hee preservatlon plan H IW plaHed aRer 7/1 /93 DATE: S/- 0 `l- dc) 2 coPies al plan t set o1 anergy calculaHona for heated addlfian 1 site wrvey ror extedor additlons 8 decb CONSTRUCTION COST: -40 3aoo.Ga DESCRIPTION OF WORK: Pe c-? s1xEET nouREss: I 3 k'v C 1?o ? e ?- LOT: --a BLOCK: SUBD./P.I.D. #: ? ^ 1 In A A.D Name: SC-hu.1f7- ; l m Phone#: PROPERi7 Lost Fi'st OWNER ?38G cl?a?c ?Cc rl ?, Street Address: aty ? 4 9CZ A!. state: Zip; SS / 2 3 company: ? Phone li: ? 5? ° W4 -O' 7 - (area code) COMRACTOR Sheef Address: License ? ExP• Ci1y State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone C ( ) Slreet Address: Regkhafion #: CRY Sicte: Sewer(water licensed plumber (N installina sewerMraterl: Phone #: I herehY ccknowledqe Mal I have read thta applicafion, slate lhaf the bfortnalbn b?rt , a of Minneaota Statutea and Cify of Eagan Ordinancea. Signalure of AppGcanY. ? OFFtCE USE ONLY uR. b comply with an applicablA StatE Certificates of Survey Received _ Yes ? No ' Tree Preservation Pian Received _ Yes _ i_pIR 2 4 No Not Required ?? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 73 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex )R?'?8 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _YOr _N ? 25 Miscelianeous ? 06 04-plex ? 12 12-plex O 20 Pool 0 30 Accessory Bkig. woRK nrPe ,.Ir 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to appiicant for demolition permit GENERAL INFORMATION SAC Code ol # of 5tories sq. ft. No, of Units o Length sq. ft. No, of Buildings ? Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS /l Planning Building l"? G Engineering Variance ? 31 Ext Att - Multi ? 33 Ext. Ak - SF 0 36 MuRi i/3y Permit Fee -0 60 S 0 Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: -4 60,S0 Valuation: $ ? , ao U SAC Units % SAC 4\ ? ? I w? ( ? ?I -A?? LlNt? 0 ? ? z . , , ? ry ? I ` ,?eaR- A¢oOeATY LwE ? ? y ? I ?. L' ??G? La7 I? BLOGk ? i E=i ci t /V ? rk2or.iT._?RoPFrt.T_Y _ LI_NE V?- LUT -PL AN . Date : 6? -13 - 7 ) _ BUILDZi?G PERMIT APPLICATIOYd i_,OT L2 BLOCR. P, 11DDITIO0 Z( ...^CE; & uPCTIOPI 1NI4IIER IF UiIPLAR°PED .0L";:53 Gc P?CEL ? /ZSio L.-CZ1.?.?n ..?.. ... ,^'-'.:b= ,/(1/ OCCUPAPSCY ? USE_ ....-,-7) ; ?-)as ?Y 9 X ? lT'?!?r:R TELEPHODiE iVO. Fa)S)•:?.?.5: TEI,EPHONE T70. t`1)??,.2E5S tdate? Include site plan, building plans, and energy calculations %74th thi.:: application Siqned OFPICE USE »,UATIoN 1'li2 l.:L''`'r' Iar) 2?R ?M'I'L''R IIIY.T.DTP?G PPRGIZT FEE ;'TRCHIRGE FEE PUuT CrTCR FE,:. PAEtIC DEUZCAT201•l FEE OTEER ?», pe _ ?3Q..0°.. ? . '-i?S£iMNT CLERK ,BUILDING DEP . PQLICE DEPT. _OL :-:'."_'FR E SEt.TELZ. D?PT. FIUL` DPPT. PA`dTC DEPT. v / ? ? ? ,-??RR- o,?OEA TY L„.E ? UNE" i V\\FI E? t?PE,e rY L1NE ? ? ? S?0 ?Q-c-?'Yne. ??carr??.?- ? LoT ? Bi.ack ? ? P/? Dt?nl ????--?--- ? ? r1?22pn?T__?ROr?F_fZTY _ LiNE ILQ 1 4LAN .. _ .. ... , .Ts. _ . . . ` N i..se- 44 ')a ? ? MiEBIOR ENYBIDTE SlACR "1T" COKMJTATIOP (To be,su6sltted vith bullding ptrmit •pplieation) , .. ? r . , r. Ow or tro fanily dralling_.*A_ Owner All otlur Site Addresa Costractor :?,L4?'EN {-Il1MF ?-, rn1Ce Dece 2,_ 1-i -^7'l Phone LDGAL !'!. OF gppggp p/LL 2A-+a4 + 4+1 ?+ + +_+ x 14- ft. •bave grade? 'rj + Kj + l 1. Fj+ 1 1.5 x9 = 291 P?TAL EXPOSED WALL ARFJ? SQ. P'f. ptI1QII6 MALL CONSTRl1CTION: "U" value X area " "U" : aq. i s_S?c cRe,r?SE. 1.?sLt "U" .o`?_x sq. Datail reference "U" z aq. froa l•0lt : sq. attached sheete Cnw n?-rF c?.?y sq. ?'ull z sq. 'RI" z sq. WINDOMS: "0^ VAi.IJE % Ataa IYke 6 typa « n n .. pppRS: "0" value ! area bo?RS • PP-AS E- 1M1t?'bo t7P? 1 CJ '?.° ?c b$ ???? J 1?, s sq. " " t P ']8 x (oa. "U" _ I ? : sq. x aq. n . w "U" _ s sq. tOiAL . M (A) vAIAeS . '?o l. q Y19 ?1 ' • 1 ? ?l DIMED E? TOTAL WALL ARFO AVG. "U'• AIBRAGB "U" .17 or lass for 1 6 2 family doellings .22 or lsis for all other buildiags FDOF/CEILIIIG: TOYAL AREA: ?O sq, ft. ' , Detail rsferenca T" - °4-A _ s4• iro? fbto s sq. ? ottee6ed shaats "u" z sa• DesariDe opeoinp ?b•• s ?q• !t reo! 7" : 04q. _sq.ft, sq.ft. sq.ft. -J,-7 aq.ft. sq.f[. sq.ft, - aq.ft, tc. 149.2 - N? ft, '?--?---- ? ? ft. M ( ft. '10. (r) ft. \`1. -l ' '?•?+ ?) ft. ft. TOTALS?aOI sq. ft.-2-1q.-7 (O) fc. 45.4 , M ft. ' ft. ' - (U) ft. ft. 70'M1. M(A) Yu.v6S 4y,.4 flVM lY 'in'PAL RoOF/ IOGj(o. 0 ' 1?? a IMaG A!M . ii. - co? u ft.? ft. ft. ft. ?T-- ?_M u ft, ft. ' (U) (A ?iNIX)?`> o ?Ela? F?Ef2- SI-11E ?C? fe.4r-.,.4 (ti) "U" . L : ?9• x sq. . 3 N _ l'Uu . ?? Z SQ. rv" ?x aq. Irn_ -T---. . ; _ .t.. . ,. a . M1414E•011'F ,OS for ventialtted roofa .LO for all othsr coastruction ROOr/C$ILMC: R- value 1. Fl. rr??n? A?t2 ?7 2. 3. 4. ?U??1I1 .. AIQ n? - ' . 5• ? 6. ?TiIlGTION FNAlfING: R- value 1. 2. 3, 4, 5. ? 6, - i4.9? ? d ? If weraga 'v" valuss a• caleulated abote do not met ths Energy Coda requireosnts, ths "Altaenata Enrelope Design^ as wtlined ia SHC 6006 (g) my be ussd. Additioeal sheecs mr be usW [o shor calcutatians. PERMIT City of Eagan Permit Type:Building Permit Number:EA116595 Date Issued:10/09/2013 Permit Category:ePermit Site Address: 1380 Cleome Lane Lot:019 Block: 002 Addition: Wilderness Run 2nd PID:10-84351-02-190 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Jayme Meyers Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Timothy W Schultz 1380 Cleome Lane Eagan MN 55123 Bayport Roofing And Siding Llc 10 South 5th St, Suite 700 Minnepolis MN 55402 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �----------------- � For Office Use � I I C` j Permit#: /����� j ��� V��'"��11 � Permit Fee: �L°'�` �� � 3830 Pilot Knob Road � I Eagan MN 55122 j Date Receivedc j Phone:(651)675-5�75 I I Fax:(651)675-5694 I Staff: I I I V����������������J 2015 RESIDENTIAL BUILDING PERN�IT APPLICATION f ��/`}/� , �- f� .�_ -- ��� � � � i (, i � �. Date: � ( Site Address: � � 1 ► I� l�li��V l� _ Unit#: w: �, . � � � � ���� _ �� � S l�. ����.. �.��l �� t��' . ��� Z Name: Phone: � � Residentl����.���� (�1 1� 1 /� (/1/1 �1� I /J ('1 ,., � . Owner Address I Ciry/Zip:� �`�(0(l G'1 c.�� Y Y E V l � �v v�.) Applicant is: Owner �Contractor � � � � � � � �� Description of work: � � � � � �� �� ���� `1 li , � ���/ � TYpe of Work � � ;,� � ` '� '!� �i�l�� � ����� v Construction Cost: � Multi-Family Building:(Yes /No ) ` Company: .Contact: �.���� ` Address: V t V l��• ! . 1" Y 10, Contractor _city: ��, � � � � . . _ - - - _ - - — _ _ __ State:�Zip:v�� Phone:�c����.�—�P� . License#:s/1`���f�� Lead Certificate#c �����J�/��� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) V� � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ; In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: � NOTE:Plans antl�support�ng'tlocuments that you subrrrit are,cons�tlere�tl fo be public�nformat�on Port�ons of< � the information may be class�fieal as non=public if you prov�de specific reasons that would perm�t the,�C�fy to;".., � .� � � � �-, : ��s ' conclude fhaf,tHey;are traale,secrets ;;. ; „, x,� , �� � c ��� CALL BEFORE YOU DIG. Ca�l Gopher State One Cali at(651)454-0002 for protection against underground utiliry damage. Calf 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl�ans. .____ e ior - u ri i _ _ _ _ _ -- days of permit issuance. x ��/�/1/Y!t/!/1' i ('�� x ApplicanYs Printed Name App'c ' n ure i � Page 1 of 3