4551 Horizon Cir(9truffirat.e uf Orrupttnry
Citp of (Eagan
Erparfinent nf "SuilDm.g Jtcsyrrtimt
Tbis Certi f icate issuul pur.ruant to the requirementa o f Seuion 306 o f the Uni f orm Buildiag
Code urti f ying that at the time o f is.ruarur this .rtructure was in ewn pliance with the various
ardireaneu o f tht City regulruing building connruction or ust. For the follo-uring:
u.e cbmrk.son 1/2 DUPL'LX Bldg. PernUt No. 66v8
-T?r1. A'
Building OfAoal .? 97
d,s?y`
FIR 7004?{A. Z011111g D1St1iK1 R2
er:
Dace: JlllY 21., 1981
.3
?T IM A CON60ICUOUf M.AC[
L
?rrfifiratt ,af (Orrupttnry
Citp of (Eagatt
OP}TMItI1lPtIt Itf 'Nlttlbili J lttBpFt'tiittt
This Ccrti f itatc issucd pxr.trrant ro the requisements o f Section 306 o f the Uni f orm Building
Codc ctrti f ying that at the timc o f i.tsuana thi.r .rtructurc was in com pliance with the variout
ordinanccs o f the City rtgulating bui/ding construction or usr. For the f ollouring:
Bld& Pemrt No. 6667
Firc Zonn NA Zoning Distzict n2
Date: J(jlyL_,Z,Lj- 19$1.
?T IM A COH!'ICUW6 RJ1CF
u.4.n.
CITY OF EAGAN Remarks
Addition CfieS Mar East 3rd Addition LotI
OwnerT,I, ?Street 4551 Fipp1ZOA
Circ1P
Improvement Date mount Annual Years Payment Receipt Date
STREET SURF, 19$2 1119.88 223.98 •
5TREET RESTOR. r
GRADING ,5a 1981 63.49, 12,70 5 0.80 A010446 8-4-5
SAN SEW TRUNK .54 9.53 20 3•$6 Ao].oj{]}( 8-4-81
*SEWERLATERAL V 1981 2362.07. _
472.41 5 188 .66 A010446 8-4-81
WATERMAIN
*WATER LATERAL jJ$j
WATER AREA (pLj 1982
STORM SEW TRK 55 1981 219.20 43.84 S 1 .36 A010446 8-4-81
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
R
WATER CONN.
BUIIDING PER. 6667
s,ac 525.00 24742 5-19-81
PARK
CITY OF EAGAN Remarks
Addition Cf,es Mar East 3rd Addition Lot2
Owner Street 4553 Hurizon
Rlk 2 Parcel #10 17152 020 02
Circle State Eagan, 'MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUf1F. L 1982 1119.88 223.98 5 1119. 88 C007258 9- -81
STREET RESTOR.
GRADING S? 1981 63.49 1'2,70 5 50.80 A010535 9-2-81
SAN SEW TRUNK a? 1973 71715 .a3 93.86 A010535 9-2-$1
*SEWERLATERAL ,,r-e; 1981 2362.07 _
472:41 5 1889.66 A010535 9-2-81
WATERMAIN
*WATER LATERAL 1981
WATER AREA 43 1982 ZHO OO - -
STORMSEWTRK ? 1981 219,20 43.84 5 175.36 A010535 9-2-81
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 24742 -1 - 1
WATER CONN. 335.00 24742 5-19-81
BUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
Dnre
/
19
reeceIveo '
AMOUNT $ I
4 DOLLAR$
1 oo
E)CASH ? CHECK
POR
-146 ,/ e ?" .. j Jf ! / 4
PUND CODE AMOUNT
ThankYou '
C?? - BY
wnite-Pevers copy
Yellow-Posting Copy
Pink-File Copy
' - '• CITY OF EAGAN
•• ' 3795 Pilot Knob Rood Eogon, MN 55122 N2 6668
PHONE: 4548100
BUILDING PERM1T
To be wed for ,- Est. Volue !. ?'o r,nn Receipt
Dote #
19
-
Site Addreu zo,., . ,. . , , . ?
` Erect p r _ ^
Occupancy
",Pr 7„ TII
Lot Block Sec/Sub.
Alter ? n_?
Zoning P
Porcel # Repoir ? Fire Zone NA
Enlarge ? Type of Const.
W Name Move
?
# Staries
_
Address ','"'
Demolish ? ,
Front ft.
Ci ?:r Phone Grude ? Depth
ome
N Approvals Fees
?
oU Address Assessment Permit -' •
u Water &$ew. Surcharge ,? •`?'
~ Ci Phone Police Plan check ? • `'n
? W Name Fire SAC ` 2' • _2
?? Address Enp. Water Conn.
1-
r
? W Ci Planner Water Meter F
' •
,
Countii Rood Unit
I hereby acknowledge that I hove read this oppiication and statE that gldg. Off.
the information is correct and ogree to comply with all applicable
State of Minnesota Stotutes ond City of Eogan Ordinances. APC Totoi '?'' '
Signnture of Permittee I
A Building Pertnit is issued to: on the expreu condition that
oll work sholl be done in uccordonce with all opplicoble State of Minnesota Stotutes ond City of Eogon Ordinances.
Building Officfal
. ,
?Kwk # OaN Is?md P?M1w
Plumbin9
Mechanicol (.?E(
:?!?CcA 3 3 -1 - C3 , . c7 rri I S o?
INSPECTIONS DATE INSP.
Rouph-In
Final
Footings Dote Insp. Date Irup.
Fo ndation 0.7 Plumbing
Fram ins. MecFqnital
Final
Remarks:
M ?
- - ,
BUILDING PERMIT
Tn lu uad far
CfTY OF EAGAN
3795 Pilot Knob Road Eogon, MN 55122 N2 6667
PHON E: 45481 00
Receipt .# --_--?-----
S(te Addreu • ` "` ' " "?°
Lor Block ? 5ec/Sub. ^hP8 'sar R. III
Parcel # ,- 1
W Ncme _
3 Address
0
Nome _
Address
.
I hereby ocknowledge that I have read this application and state that
the Information is correct ond ogree to wmply with cll opplicable
Stote of Minnesoto Statutes ond Ciry of Engan Ordinances.
Signature of Permittee
I.,?z r, 1,11 1 Ar Pc,,-,, ?
Ered [3 Occuponcy 1 -
Alter ? Zoning T - ?
Repoir ? Flre Zone ?
Enlurge ? Type of Const.
Move ? # Stories
Derrrolish ? Front ^ f ft.
Grode ? Depth
Auoro vols Faes
Assessment
Water & Sew.
Police
Fi re
Eng.
Plonner
Council
Bidg. Off.
APC
Permit
Surchorge '? • ?
Plan check (,7, r„'
SAC
Woter Conn. M• 0n
Water Meter'.
Road Unit
Total , 1 1^' ')5
A Building Permit is iuued to: ' ' on the express condition that
oll work shpll be done in occordance with all applicable Stote of Minnesoto Statutes nnd City of Eagan Ordinences.
Building Official
f
Plumbin9
Mechonical 2,s O & _Q -?-
i?_ c r?cckJ T 313 s-r -g? G? . o?A SaVt
INSPECTIONS DATE 1
Rough-In
Final
Footings Date Insp. Dote Irop.
Foundotion Plumbing
Mechonicul
inal
Remorks: 2-ai V ;.t, o?QC/? j2o...p .,9z.o6.,, i?
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C .
Type or Prini legib/y Tot. ' . i
1. Date 2. Installation Cost
3. Job Address -'-'3 ' -to't . Blk. °- Tract
31Z
4. Owner
5. Contractor -'f N. Wi.LTi:R HTG. C. Phone , 25-68E7
6. Address r"j? •?',?1].C+?:? .v?. .u.
7. City :?l ^• State 'rl. Zip ????. •
8. Building Type: Residential C3 Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter O Repair ?
?..• .
10. Describe ?'r.._ ., ? ? ?1'C,;.. _ l? : . : ?._: •_ Fuel Type
I 11.
No. Eoujpment STU - M. Ea.
Forced Air No, Enuinment CFM
H
Ai
dli
Mfg, r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
1 Gas, Piping Outlets
12. I hereby certify that the above information is tr
comply with all ordinances and codes governing
j Signed :
C Rough
IFlSpections: Date Insp. Da
This is your permit when numbered and approve
Approved CI
ue and correct, and I agree to
this type of work.
for
Final
te Insp.
d.
TY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini /egib/y
Tot.
1. Date J? ?0 2. Installation Cost 1'??-??•` •-
3. JobAddress ?j`551 _'orizori Lbt 1 Bik. Tract ae $ ?zr.
9
4. Owner • - -
5. Contractor ' . Phone ?2L( (7
. Address
6 C
• r -
.vF•?
7. City State '2. Zip
8. Building Type: Residential C7 Commercial O Institutional O
9. Work Description: New C3 Add ? Alier ? Repair ?
I 10. Describe T ..4, ;.ec: '-' a .- . _ . Fuel TYpe • l -
I 11.
No.
i Eqyjpment 9TU - M. Ea.
Forced Air No. EQUipment CFM
Ai
H
i
Mfg.
Boilers ng:
r
andl
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with aFl ordinances and codes governing this type of work.
Signed : for
Rough Final
' Inspections: Date Insp. Date Insp.
? This is your permit when numbered and approved.
. Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
FFil! in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date lt.)? lca"?l
2. Installation Cost
3. Job Address '- Lot Blk. Tract
4. Owner ift11er Conat.
5. Contractor 'lidAestern F,.iechanical phone r'`1'0-117r?
6. Address 1175 Pavenport St.
7. City State Zip
8. Building Type: Residentiai IN Commercial ? Institutional ?
9. Work Description: New EJ Add C
10. Describe I?1tt^?},3.nk?, Sec•;el•,
1 11.
No. Fixtures
Water Closet No. Fixtures
Bath tubs Cesspool/Drainfield
S
L.avatory eptic Tank
Shower Softner
W
Kitchen Sink ell
Urinal/Bidet O
Laundry Tray ther
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
? Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when nurrvbered and approved.
, I Approved CITY OF EAGAN 464$100
Alter ? Repair ?
"eter ?'orn
7
Receipt PLUMBING PERMIT
Permit No.
CITY OF EAGAN '
Fee
Fill in numbered spaces S/C ?
Type or Print /egib/y
T - ,
ot.
1. Date '$Y 11?, 11-1 ~1Z, Installation Cost
3. Job Address 4,53 `Lot • Blk. Tract
I 4. Owner '"iller Const.
I 5. Contractor ''idwestern 1:?ecti?Zr.in.t1 phone i
?
6, Address "175 T`svennc?rt 24u.
7. City 13ire Stdte Zip F?L?!
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New U Add ? Alter ? Repair ?
10. Describe Plumhing, "ewer, Water, "eter ?'orn
I 11•
No, Fixtures
Water Closet No. Fixtures
Bath tubs Cesspool/Drainfield
L.avatory Septic Tank
Shower 5oftner
Kitchen Sink Well
Urinal/Bidet O
Laundry Tray ther
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
INSPECTION
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: i
I .' ' ; ?lif?v 1 :'F? 1 f ?•.
i?l '. ("MFiI! { (5( 5???1
' PERMIT SUBTYPE:
I I 1. iirTF l NIi
. ^
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
Fc 1 t 1 I to i N 6
o,'ri 1 'i6
fDl/l1?f9fi
TYPE OF 1NORK:
V fPnI'R
f R[1C1F fNG)
I i; t wAVh`. : i MI. 1(t1)V'; 41": ; Iitli•: i r(1m I i v < 1 0 1 :' ,
VA
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUM8IIVG
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 71;1?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
T -1
a• FaGAN SEWER SERVICE PERMIT
3f! I Pilot Knob Racd PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: Na. of Units:
Owner:
3
ACIdreSS:
Site Address:
Plumber:
1 agree to eomply wit6 the City of Eagan Connection Charge:
Ordinnnces. Account Deposit:
By
Date of Insp.:
! rtsp.:
Permit Fee:
Surcharge:
Mist. Chorges:
Total:
Dale Paid:
MC
I
I '
' EAGAN WATER SERVIC E PERNIIT
3f^a Tiiot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Own@r: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agree Fo comply with Fhe City of Eogon Surchurge:
Ordinaneea. Misc. Chnrges:
Total:
BY Dnte Poid:
Dvte of Insp.: Insp,;
CITY OF EAGAN SEWER SERVICE PERMIT
3795 ?ilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning; No, of Units:
Qwner;
P.ddress:
Site }lddress:
Plumber:
1 agree to eanply wilh the City of Fagon
Ordinanees. Acwunt Deposit:
R..
Dote of Insp.:
I nsn.:
Connection Charge:
Permit Fee:
Surchorge:
MiSC. ChCYg25: -
Totol:
Date Poid:
50
WATER SERVICE PERMI T
CITY OF EA6AN
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Uvner;
/!lddress:
Site Address; -
Plumber:
Meter No.: Connedion Chorge:
Size: Account Qeposit;
Reader No.: Permit Fee:
1 agree to eomply witb tha City of Eogan Surcharge:
Ordinanees. Misc. Charges:
Totol:
BY Da#e Paid:
Dote of Insp.: Insp.:
;.' .? . CITY OF EAGAN N° 6668
3795 Pi1M Knob Read Eagon, MN 55121
PHONE: 454•8100
BUILDING PERMIT APPLICATION Receipt # ?y1 `??---
en. voiue
Site Address 477J nurizvn %,:
Lot 2 Block z Sec/Sub.
varcel # 10 17152 020 02
w Name . tjosepn m.Llier wnU 1'.
3 Address 13015 Cedar Ave. SO.
o ._..1_ v_11_.. ici_inF?
a
z
t
V<
r
Nome _
Addreu
Name _
Address
I hereby acknowledge that I have read this apPlicatian and state that
the information is cortect ond agree to comply with all opplicoble
Stofe of Minnesota $tatutes and City of Eogan Ordinonces.
81
Erect [I Occupancy R-3 -
Alter ? Zoning R-2
Repoir ? Fire Zone MA _
Enlarge ? Type of Const. v
Move ? .# Stories
Demolish ? Front 24 ft.
Grade ? Depth k.
Approvals Fcea
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Cpuntil -
Bldg. Off. _
APC
Permit 1L3.UU
Surcharge 21.50
Plon check 61.50
SAC 525.00
Water Conn. 335.00
Water Meter 60.00
Rood Unit 185-00
Total $1311_Il(1
Signoture of Permittee 1
A Building Permit Is issued to: JoeaDh Millpr f`,onn4. on che express condition ihat
ell work shall be d e in cco'r7d?o?n with all appliwble State of Minnesota Stotutes and Ciy of Eagan Ordinonces.
Building Official r? Dn
CITY OF EAGAN
3795 Pi1M Kno6 Road Eagun, MN 55122
` PHONE: 454-8100
BUILDING PERMIT APPLICATION ReceiPt #
To be ufed for J dt1p1BX Fst, Volue 4gf000 Date
N2 6667
..2
MaY 19• 941
Site Address 4551 HoTizon C rCle Erect
[$ R-3
Occupancy
Lot 1 Blotk 2 Set/Sub. Ck108 IufaP E• jji Alter ? R_2
Zoning
porcel # 10 17152 010 02 Repair ? Fire Zone NA _
Enlarge ? Type of Const. n
rc Name Joseph Miller CiOIIB'f,. Move ? #$tories
3 Address 13015 Cedar Ave. So. pemolish
?
Front 24 ft.
° ci Apple VSZZ@y phane 454-4753 Grade ? Depth 1+4 ft.
? Name O71S1@r ADProvols Fees
0
?
Address
Assessment
Permih 135-90
? Water & Sew. $urcharge ? • ?
~ Ci Phone Police Plan check 67_75
Gw Nome Fi? SAC 525.00
?? Address Eng. Water Conn..3.31-QQ
aw G Phone Plonner WoterMeter 0"00
Councii Road Unit 185i00
I hereby acknowledge that I huve read this applicotion and stote that gld9. Off.
the informafion is correct and ogree to comply with all opplitoble l ?1332.z?j
T
Stote of Minnewta Statutes and City of Eagan Ordinonces. AP? ota
Signoture of Permittee
A Building Permit is issued to: J08EPY1 MdlI.BN COT18t, on the express rnndition chot
ccorc? nce all npplicable Stare of Minnesota Statutes and City of Eagan Ordinances.
all work shall be do e2
in
q
T
_ /
I
Buitding Official d--?Q
CITY OF EAGAN
BUILDING PERMIT APPLICATION
0
2b Be Used For Valuation
Site Address: 4553 Horizon Circle Ea an MN
I,ot 2 Block 2 Sec./Sub. Ches Mar 3rd
Parcel #: /D [ZTT? 0,20 Qaner: JOSEPH M. MILLER CONST ING"
Pddress: 13015 Cedar Ave. So
City/Zip Code: Apple Valley Mn 55124
Phone #: 454-4753
Contractor: SAME
Address:
CitY/Zip Code:
Phone #:
Arch./Eng.:
Pddress:
CitY/Z1P Cocle:
? ?
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date )
OFFICE USE ONLY
Erect ? pccupancy o?°3
Alter Zoning Ra
Repair Fire zone AJ E}
Enlarge _ Zype of Const. V
Move # Stories
DPJmlish Fmnt a y ft.
Grade Depth yy ft.
APPROUALS FEES
Assessments Permit /93 °=
water/Sewer Surch e a -174
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Plan Check
SAC
Water Conn. 33S
water.Meter ?p QT
Roacl Unit
Phone #:
717fAL
CITY OF EAGAN ??ce 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMTT APPLICATION 1 set of eriergy calculations.
? -
To Be Used For Valuation
Site Pddress: 4551 Horizon Circle, EaAan MN
_ nate
OFFICE USE ONLY
Lot 1 Bloclc 2 Sec./Sub.Ches-Mar4?3rtd Erect ? Occupancy
Parcel #: /j
//J ze2
Alter
Zoning 2
_ Repair Fire Zone Np
Owner: JOSEPH M. MILLER CONST.,.iINC. E?-?4e _ T?'Pe of Const. ?/
Pddress:
13015 Cedar Ave., So., .-a Nbve
Demolish # Stories
F
t
ron
ft.
City/Zip Code: Apple Valley, MN Grade Depth ft.
Phone # 454
: -4753 AppFX)VALS FEES
Contractor: SAME':
Acidress :
City/Zip Code:
Phone #:
Arch./Eng.: _
Address:
City/Zip Code:
Assessments y13_ permit ? S?
Water/Sewer Surcharge ??
Police Plan Check ?
Fire SAC
En9- Water Conn. 35 00
P1anner Water Meter
1nQ _'
COW1Cl). R01C? Ul'11t ??
Bldg. Off.
APC
Vone #: & ' S?/- 8l Dk ?,G ro mrAL
mmnusuia acace ooara or nec[np[y ?
• Griggs Midway Bldg. - Room N191
-,,,-i6."tL Universiry Ave.. St. Paul. Minn. 55100 - Phone 297-2111
REQUEST FOR ELECTRICAL IIVSPECTION a ?
CHECK BF,j,OWAwOAK COVERED BY THIS REQUEST
EB-00001-02
39933
Tyye ot Building New Add. Rep. Check Appliances W'ved For - Check Fquipment W'ved For
Home 9X ? ? Rangc ? Temporxcy Wiiing ?
Duplex ? ? ? Water Heater ? Lighting F'ixtures uE-
Apt. Bldg. ? ? ? Dryer ? ElecUic Heating ?
Commeccial Bldg. ? ? ? Fumace St 2.0( Silo Unloader ?
Industrial Bldg. ? ? ? Au Condi[ioner ?4'00 Bulk Milk Tank ?
Faim ? ? ? List List
Other ? ? ? p
HeielSi Heie13I
COMPUTE INSPECTION FEE BELOW
Setvice Entrance Sizc: iF Fee Feede[s&Subfeede[s: # Fee Circuitr: # Fce
D ro 100 Am Q 0 0 to 30 Am res 0 to 30 Am exes
101 to 20 s. 31 [0 100 Amperes 31 to 100 Am res
Above 20 Above ]00 Amps. Above 100 Amps.
Transfonries emoteControlCuc. Partialorotheifee •
Signs Special Ins ection Minimum fee
Remazks 17:? $yz BB TOTAL F (E.e)m ?*00
i, the Electrical Inspector, hereby (WW'that ihe ab9ve inspection has been t?eder?`
(Rough-in) ,/ Date Y'-"??'
(Final) /0, Date
This request void
18 months from
This request void L 1?? 2
18 months from
?•?• ? s Z,??13 ?`
Date of Ihis Request 5r8-1981 Flrc No. 739933
1, as3M Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. ¢551 $orizonY Gircle City.$figQn__
Section Township Range County Dakota
Which is occupied by Joe Miller Construation
Is a roughin inspection required on this job? No ? Yes Ox Ready Now ? Will Call fslx
PowerSupplier Dakota Cty. Address L3arminotn,o___n _
Electrical Contractor 0•B• Thompeon ElBOtriC Co. Contractor's License NA9602
(Gompany Name)
Mailing Address 12201 Mtka Blvd., Mtka $5343 '
(Elactrical Contractor or Owner MEking TOIS Inz[anatlon)
AuthorizedSignature ..j.Ehone,No.
(ElectN<al'COniroitoPOr Ownar Making 7hislnstallatlon)
p 0 f,? ?D ?!'OnM This inspection request will not he accepted by the
?? /? ??
(r,j ?n? ? U? ?? State Board unless proper inspection fee is enclosed.
? minnesoca state ewara ot tiectrlclty
.: Griggs Midway Bldg. - Room N191
8 2 EB-00001-02
1
21 University Ave.. St. Paul, Minn. 55104 - phone 297-2111
'ON
CHECK BE
OW W
AKO
E
T
I u
?`f
3
?
L
O
CO
RED
BY
THIS REQ EST 3
Type?of BLilding New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home XPE ? ? Range • ' Temporazy Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures -19
Apl- Bldg. ? ?? Dryei f12•00 Electric Heating El
Commercial Bldg. ??? Furnace Silo UNoader ?
Industrial Bldg. ? ? ? Air Condi[ioner ? 8ulk Milk Tank ?
Farm ? ? ? Lis[ ._+_ -j _` . __ List ?
COMPUTE INSPECTION FEE BELOW
Seffice En[nnce Size: # Fee FeedelsflSu6feedeis: # Fee C'vcuits: # Fee
0 to 100 Am s? )IIa . Q 0 to 30 Am eres 0 to 30 Am eres 10 204
101 to 200 Amps. 31 to ] 00 Am res 31 to 100 Am eies
Above 20 p. bove 100 Amps. Above 100 Amps.
Transfor emoteControlCiic. Pa[lialoro[herfe
e •
Signs
pecial lns ection
Minimum fee
PoWt
Remarks . Rpil Gaplee TOTAL FE ? 0-00
I,the Electricallnspector,hereby
(Final) ,
This request void
18 months from
has been made"'
Date
Pate - ?' `
' z ?`Z- ,o ,3 1 J
This request void L L ??• ?• b ?`?
1&months from
DaYt-t4this iYequest 5"'8-1 J81 Fire No. T 39934
I, as fCl Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. 4553 Horiaen Girole CityEssan
Section Township
Range County DiLk0t8
Which is occupied by Jae Miller GoAetruction
(Name of Oc<upant)
ls a rougltin inspection required on this job? No ? Yes flc Ready Now ? Will Call ldc
Power Supplier Dakota Cty Address Faxaington
Electdcal Contractor O.H. Thomnaon Ele atric Go. Contractor's License No"Q_E92
(COmoany Name)
Mailing Address 12201 BGtk&, Blvd. 9 Mt1cA 55343-,
' (Electntal Contractor orAwner Making Tnls InstallaUOn)
. . , , -J:'
Authorized Signature ?Phorie No.
(Electrical Contractor or Owner Making Thls Installatlon)
??W?? o OQG3D QOp? This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
c ? REQUEST FOR ELECTRICAL INSPECTION I?oaooi-as
/7 ? ? See insimclions 1or compleling this form on back o( yellow copy. ?J
?/4 9 5 "X" Below Work Covered 6y This Request
Ne Add Rep. Type of Building Acpliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial urnace Other (Specify)
Farm ir Conditioner
Other(spectfy) Contracmr's Remerks:
Compute lnspectian Fee 8elow.W l r e A. C. Uri 1 t
# Other Fee # Service Entrance 5ize Fee # CirCUits(Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps 100 -Amps
Signs insPecmrs u? omy. TOTAL
,o
Irrigation Booms ?I°
' ?p/, ? S
20
Special Inspection ?r m
Alarm/Communication THIS INSTALLATION MAY BE D ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby
if Aoupn-in oate'
cert
y that the above inspection has
been made. F;nai f' Date
-
OFFICE USE ONLV
This request voitl 18 months trom
s0y?'xd
quired Inspection ONer Than Rwgh-In
Reque t Date Fire o. ou ' n
atorwhen
(YOU Inspe ready) [IReatly Now Lj WIII Notlly lixspector
8-Z-9'rj
as[T N. D
t
R
tl
„
e
e
ee
y
I[ilicensed contractor ? owner hereby request inspection of abave electrical work at:
dob Adtlress (Street, B. o, Route Pdo.) City
4553 Horizon Cr. Eagan
Seclion No. Township Name or No. Range No. County
Dalcota
Occupant(PRINT) Phone No.
Gerald Baltrusch 452-7130
Power Supplier . Atltlress
DakOta Electric Farminqton
ElecMCal ConVaclor (Company Name) CoNraclor's Gcense No.
Roehnincj Electric CAO 1557
Mal?ng Atltlress (COntracror or pwner Making Iristalla[ion)
14811 Endicott Way Apple Valley, Mn. 55124
Aulhorized Signaiure (COntraclorlOwner Maki g Install 'on) Prone Number
423-4328
MINNESOTA STqTE BOARO OF ELECT ICITY IIII II' III THIS INSPECTION PEQUEST WILL NOT
Gri9qsAffiWway Bltlg. - Poom 5128 ? m n ? I I I I II ? I I,I I I I I I I 8E NCCEPTEO 6V THE STHTE BOARD
1821 Universfty Ave., SL Paul, MN 55104 III ( I I?I UNLESS PFOPER INSPECTION FEE IS
PM1One f6121 862-0800 FNOI OSFD.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
J b 3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New ConslrucNon Reauiremente
• 7 registered site surveys showing sq. fl. of ;c6 sa. fl. of house: 3nd all roofed areas
(20°h mazimum lot coverage allowed)
• 2 copies of plan showing beam 3 window sizes? poured found tlesgn, etc.)
• 1 set of Enertjy Calculations
• 3 copies of Tree Preservation Plan i( lot platted after 7/1193
• Rim Joist Detail Optbns seleclion sheet (61dgs with 3 or leu units)
DATE I l /6 Z
SITE ADDRESS
TYPE OF WOR
APPLICANT
IULTI-FAMILY BLDG _ Y A- N
FIREPLACE(S) _ 0 i?l _ 2
STREET ADDRESS CITY
TELEPHONE #LO SI'?65'9707CELL PHONE #(D S/ 0)/6 -//0 G FAX #
ZIP ,SS/??
PROPERTY OWNER /1 _ ? - / / `L // TELEPHONE# 0
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ?IIV V1;50'I':\ RI'I.k:S 7670 C:,"1'EG0121' I ?II-SQ`t'=1RT°L'S'7
(v'su6mission rype) . Residential Ventilation Cate9ory 1 Worksheet Submitted •?? New Eneigy.6oC?e W?rks
• Energy Envelope Calculations Submitted
In OCT 1. 8 2002
Plumbing Contractor:
Plumbing system includcs:
Mechanical Contractor:
NIcclivtica]l m slcln iiicludr,
Sewer/Water Contractor:
Phone #
Phone #
Pec: S70.OQ
I hereby acknowledge that I have read this application, state that ihe information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagon Or i ces.
Signature of Applicanf
..---------------- -------------------------------------------- "------------------------------ -°-'----------------- . ....
OFFICG USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Water Softener
Water Heater
vo. of Baths
Phoue # ?.
IaNnl Sprinkler ?
No. of R.I. Baths
-- :\ir Condiuoning
-- Hcat Rccovcry• S}'slcm
??q C)
RemadelfReoair Reauirementa
• 2 copies of plan
• 1 set of Energy Calculalion5 for heated additions
• 1 site survey for extenor additlons 8 decks
• Indkate if home served by se0tic syslem for aEGi6'ons
04
VALUATION -?16 00
k 11)dG S - H,t..l l_
OFFICE USE ONLY
? 01 Foundatfon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att • SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
0 OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AfteraGon ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
ValuaNon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Ait/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemenQ
_ Insulanon _ Retaining Wall
P,pproved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
REStDENT1AL
BUILDINC PERMIT APPLICATION
, CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Consiructian Reuuirements
• 3 registered site surveys showirg sq. ft. of lot, sq. fi. of housa; and all roo(ed areas
(20% mazimum lol coverage allowed)
• 2 copies ol plan showirg beam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lol platted after 7/7193
• Rim Jois1 DetaO Options selectbn sheet (bldgs wAh 3 or less unAs)
DATE //" 22 - b Z-
113.75
RemodellReoair Reauiremenri
• 2 copies af plan
• 7 ul of Energy Calcula6ons for healed additions
• 7 site survey for exlenor additions 8 decks
• Indicate if home served by seplic syslem for additions
VALUATION L/B60°-`
SITE ADDRESS Z/S51 tloniaoN !W. EA_,--19d M l^j MULTI-FAMILY BLDG _Y ?
TYPE OF WORK (_a s?DE PIREPLACE(S) _do)_ 1_ 2
APPLICANT_ Rt(> 6F3'li GDNS7rUz?fi o? )NG .
STREET ADDRESS )>/pYriUrV0 J>i47"H CITY 14PAU I/l3lG2YSTATE W!?'? ZIP S.!? t?q
TELEPHONE # 9s>-Na'-'? - L CELL PHONE #
FAX #
PROPERTYOWNER 17wW7i.ft 4' Guqnce yQ,Icn sFJ, TEIEPHONE# 6s/NSN-kEr?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNlSOTA RULES 7670 CA`I'EGORY 1 n
(J submission type) . Residential Ventilation Category 7 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor:
Ylechanical system includes
Sewer/Water Contractor.
Phone #
I'ee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable STate of Minnesota Statutes and City of Eagan Orc{inances. „ „ I
Signafure of Applicant
G.
OFFICE USE ONLY
Water Softencr
Water Heater
No. of Baths
AIC COIl(IlllOllllla
Hcat Recovcry Systccn
NOU 2 2 2C02 I??
Phone #
_ Iawn Sprinklcr By-- :
_ No. oF R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - Sf
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Gfve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foorings(new bldg) FinaVC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addidon) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
-rj\'7o3 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatrudion Reauirements
. 3 registered site surveys showing sq. N, of lot, sq. k, of house; and all roofed areas
(20%maeimum lat coverage allowed)
. 2 wpies ot plan showing beam & window sizes; poured found design, etc.)
• 1 sel of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after 7l1/93
. Rim Joist DeWil Oplians selectian sheel(bldgs with 3 or less unils)
DATE ? // //D ?_'
SITE ADDRESS
TYPE OF W( RK - i&
J- SCC? GSC
f
APPLICANT ? t GL
STREET ADDRESS T 5 5 ??z6G1
TELEPHONE 45/-965"7207CELL PHONE #
RemodeURanairReauirements
2 copies ot plan
• 1 set of Energy CalcWations tar healed addkions
• 1 site survey for exteAor additions 8 decks
• Indicate if home served 6y septic syslem foradditons
VALUATION
I
/ ?_G/P?MULTI-FAMILY BLDG A Y _N
-L- 1 _ 2
FIREPLACE(S) _ 0 '
-%/00 ? FAX #
PROPERTYOWNER /l.e44Zq 9 ?GC?CiCf" TELEPHONE#lOSI 72d?
COMPLETE FAR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTe1 RGLrS 7670 CATEGORY 1 MINNESO"1'A 12U
(d submission rype) . Residential Ventilation Ca[egory 1 WorksheetSubmitted •??Nqw-? g Code
• Energy Envelope Calculations Submitted U I I=, `--'
i
1)
Plumbing Contractor:
Plumbing sys[em includes:
Mechanical Contractor:
Nlechanical system includes:
Sewer/Woter Contractor.
------ ---------- Phone #
Water SoRener _ Iawn Sprinkler
Water Heater No. of R.I. Baths
No. of Badis
Phone #
Air Conditioning
Heat Recovery Systetn
Phone #
Pee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable STate of Minnesota Statutes and City of Eagan d' ces.
Signature of Applican ?Q ? D ?--
-----'------------------°---.°'----------------°°°- -- -......._......._------------------'°
OFFICE U5E ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
• OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?
CJ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace W 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
E3 04 02-plex ? 10 08-plex ? 18 Deck 23 Porch (screened ?
? OS 03-plex O 11 10-plex ? 19 Lower Level `? 2 orrn Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? ?ncl?d?s 1Dec1?
r--? 31 New ? 35 Int Improvement ? 38 Demolish (interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46
? 34 Replacement *Demolltion (Entfre 81dg only) - Give PCA handout to applicant
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ex[. Alt - SF
36 Mufti
Siding
Fire Repair
W indows/Doors
Valuation (_,/ oc;)o Occupancy ?-3 MC/ES System _
Census Code y 3 y Zoning City water _
SAC Units Stories Booster Pump _
N6r. of Units Sq. Ft. PRV _
Nbr. of Bidgs Length Fire Sprinktered _
Type of Const _V n_ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ?o FinaUNo C.O.
!?J Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
)0 Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Sccz,-erMv Po??k
/ox8xy?.a? ?
,???K
Certificate for:
Joe Miller Constructlon
13015 C,edar Ave. So. 8?84iyg9
Apple '::'alley, Mn. I ?LAN /b,)• BBo9(c
;a124
DELMAR W. SCHWANZ
' . , L'nNDSURVEVOR
, ? . RaqifUradSTnaer Laws of The Sbb o! MinnasoL
2B78 - 146TH STREET W. - BOX M HOSEMOUN7, MINNESOTA 68088 PHONE 812 423-7769
SURVEYOR'SCE
A
SCALE: 1 inch - 40-feet
ElevatAona shown are existing
n Denotes eet oPfaet hubs
. G- 7•?O ??
e ?
/
IFICATE
\ ,o
fq0y?
D
? r
O
10 ??
A ti N
Iy ---.pry^ \ O
'?
? '? I qry^?, ? :
?.•a?,? o
A-$ )L?ovu'°bG1I?61'9 ?
4\ ? ty c
,L
a
i q
& Utility
#y.Vk'
? ??I hereby certiPy that this is a true and
correct representation of Lots 1 and 2. Block 2,
CHES MAR EAST THIRD ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Proposed gaxage
floor elevation Also showing the location of a proposed house
as ataked thereon.
932.0 ,
Dated: October 16, 1980
CD Revised building type February 24, 1981.
Denote? propoeed
elevat on
•? '?
/ ?, ? Gir ? / t't?'? , ? •? ?..?,If`???T,f ?? .
- . ? - - MINNESOTA REGIST64710N N0.8625??
-
: y
. t
W4PRt
F: TliH10R f''?IVl'G?.'i•u. G`_ i?1? T: "" l ??^'I'[ 1'ATTi)h .
I7C'c4C/,7Cr-q1
L-4-! _._-_?----
=ITB AllllRd"SS: _ PIIONL•':
UON1'ltAC'NR: t ? C'?IIU-C-7-g`..??.
DeYecminc workinq squaic loo!.ayu (if each
1. Total cxposed wall area...... 27,9 Sq. ft.. x_.17 __ ? 7??-----•
2. 7ba1 roof/ceiliny area ...... . 3-0-2-- ?q. ft. '{ __-05
Total ex},.)sec', wall <.rea aLove flu.i
a. R'otul wall window R-rC3 ..................... ............ z1o, z'
!•. ..?ta). :loor Araa ........................... ............
c. 2b;a1 slidina 4::.cs duor area . . . . . .. . . . . . . . . . .. . . .. . . . _._ _?7_`T.?_
E. Total fireplace wali area ................. ............ ?
e. Total wall fralling aren (averaye 10'.) ...... ............ Z p.C]
f. Total rim joist area ...................... ............
g. bjj!Lt:vall area above floor .............. ............
h. wall aroa alwve floor .............. ............
i. wall ar" above f.loor .............. ...... .....
J. -tiall araa above floor ............... ............
A Total BX,p0803 founduti0ll arca = _
k. 'abtal fan:dation windor wrea ........................... - IT_,_
1. Total net foundation area above grade .........•....... 7 7
Determine "C" valac nf ...c t? .,11 i ..;;t,:e,?!
(e.g. wind c.w, door, e.v?!k w_tll
a Z?/
) Z
g
"u"
.
?
.
- -'-?
I V
-
- --- - ._
.
--
b.
?7_C?
---
X r'
`--
c. S5
------
d. ?
x
..U,, ?
y „U.,
,
?
9
.
}
_I [Z 2•'?
? ? ?
..
;•
??li"
,'??
, rJ?l:J
-- - ?- Ci
. - { : ?
- i'-! t _... _.._
" _?'
:.
i • ?._ -__..__
------
T ... •
x .
U,• _.,.?_ .
- - _.. ..
.
._ -
._.
.
';i.tctn It. i.s th?• .?.??,?? ... .
. ? ?
. ' '
? ?
}
..
:. ?
i
.
.__ -
ff{terior Envalope Averaqe "U" Computation
er
f, ,
1bta1 axpoaed roof/ceiling arca = :?07
a. ibtal akyliqht area ............................ `
p. '1b41 roof/ooilinq tseinq area (averaqe lOb)...
o. 7bta1 net insulated roof/ceilin9 area........... 11 •'
Determine "U" value for each roof/ceiling ^•eqment
m. R "U" r---- _
n. X "u" , C>4
0.11.7(? X -U•
4 ........................... 'lbtal
Page 2 of 4
It total of #4 is the same ao, or less than M2, you have met the intent of
NC i006 (c) 1.
AILOlnata Mildinq Envelope Desiqn
!& atilize t)w bfal owve7ape'systea wethod, the values established by tM s•am of
ttmes Ml and M iall sAt M greater than tha aun of iteme il and M2.
?
1. 73. Co + Z. s. -.?--
a. 75?7,3 +,. _ '?jD .S = -107.6
..
PLAU *1?
0 L,i w,,4 L FT, F.JC.pOSEp WALL
B„oLlt ; 2-7 t-1ofit-i z+-1o+z7}-(Z+-37= 17Z
ie1£E
,
FULL I % 1z
uL.I.Z:
?4 R.,EPL.r+46; -
>?L IN: 176 f- ?-7 z= ?
? Saz , FT, r=)OoSED WA L.L AR.EA
oCX; ?7z x , s = ??
4s EE: - x 5 .: --
, ,
W 0 f X ? r
;UI.L 1 ;177- X, S ? 1374v
Fu LL Z;1z? ?c. S?
' K -
EKPOSE:D
0
r. -r `p. _.
?- -
GEI'L?IuCj z?x
1?7
? -e -z
w oKrs t 0 Doce?s
-zo? +;s -N?t1'd?+-s-r ?5 R - ? a
4-2 =
? -I 1 = ?'?O
z4?qz_w-rilf=??
=
jz <5-I
_
t ? . ?.._.? .
.• ? , ? ?
_i • . ' b •
i-7 Z
37 0
Drzs . L?
7`l . z
?5 H?+ ,U ?1 r t5
placanent a! Snsuia«?"•
6
_ .. : 3Tl RC
.=
.. :
tentai
8ast flov
yp .
? Y
. .
Const? on -Valua
1, Interior air fi2n . 0.61 ?
2, t S
3. Fwu.Aww.t ? t.1SU4.. . • 3G .GD
4, Extorior air film (stil _
? Tota.1 37 ,L1-)O
. . . ? •?, ,oZYa '
t?,?,•K: . .
1. Interior air film 0.61
2. `2D I
3. L?I,'?t?'r
4. ExtorLOr air filn (stirlT P.6i
. . TOtal
. C)
C*A.yn4??Ti
1. Snside ai.z film 0.61
1 2.
, 3_ ,
4' 0.17
?S, Outside aiz film
Totsl
loor/ceuibIc
+ Bezt flov vp - , .?wnted
. ..
' 1ZG. 16' . _. . .. '
?'-
F.t?'??'? E . . . . ?
Infides air film 0.61
2.
3. ' . .
4. _
5, 013t5icie air fil:a O.1'7
Total
3 ? i`J u X. 2n:.ide air film 0.6?
. a r4?? 2. _. .---?-..--,----
'.....•, ay '-?'',`^i `at :. '', t%"?. • -:? Q- 17
N?'?.%?;?`j,•?•.r.'. ?. ./ ' S. i;a*side ?iz' film ,,
,r;.• ? ? - TOta1
?.
1 ?J . • ,. • • . - . . .
/ ' ?,` • ttr?t.?:: L•se additional sher_ts if morc apa...
? .?'r`?'? •' ~? tutded for Jewils and calculati.r-
.., , • . . .
• HaaC , . ' • , .
. fLov up ' . '
. !M_ !7 , . r' . ? • -
• ? •.
? TA PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028136
(612) 681-4675 Date Issued: 0 7/ 0 2 j 9 6
SITE ADDRESS:
P.I.N.: 10-17152-010-02
4551 HORIZON CIR °
LOT: 1 BLOCK: 2
CHES MAR EAST 3RD
DESCRIPTION:
?j? (ROOFING)
BGi-3dd-nbPermit Type
s&uild.t n~k 7ype
Census GOCi'e ?
?
l ? t & 4{n
afn mR?
l J
L
3
. `';:! ,j,?., t :?
Ms' . .2. ... ' - . , . . .. ?s
STORM nAMAGE
REPAIR
434 ALT. RESIDENTIAL
? r ! -- g.
{}'? tt,??"`wu ?$Sl
REMARKS:
INCLUpES 4553 HORT20N CIR (LtlT 2)
FEE SUMMARY:
CONTRACTOR: - App].icant - sT. LIC.OWNER:
BERGLUND/JOHNSON CONST 12219170 2000625 HOMEOWNERS ASSOCIATION
4842 MINNEAPOLIS AVE HORI20N CIR
MINNETRISTA MN 55436 EA6AN MN
(612) 221-9170
`7 heretiy ??k`nmMwl?di?'e{ ?ha?`-; I`N?•re read'It?ris,°m{ipca?anr?.•antl s??te,°:tha•t
information is.correct an:d agree, to,comply3°witfi al'I applicabTe State"of"Mn.<"
,
"£3tatuCd's'?jfttl-G3.ty?of ?agoiv d`i°ri"anc?#"?'.;
_Nlrl R4i{ j m t-
APPLICANT/PERMITEE SIGNATURE ISSUED B SIG ATUR
itCITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
modeUReoair Reauirflmen
? 3 registered a0e surveys ? 2 copies of plan
? 2 copies ot plans (include beam 8 window sizes; poured fnd. design; elc.) ? 2 site surveys (exterior additions R decks)
? 1 errergy calculations ? 7 energy wlculations tor heated additions
? 3 copies of tree presarvetion plan H lol platled aRer 7l1193
required: Yes No
r
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT L BLOCK ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: Cf/f-S /?04- Phone #: -
UA. PAar
Street Address:
Ciry:
State: Zip:
Company: SdN ?hone #:
Street Address: License #: 2''RX7o??
City: ??Ti?lS7? State: -IVIV_ Zip: SS 3('o ?
Company:
Name:
Phone
Registration #:
Street Address•
City:
State:
Zip:
Sewer & water licensed plumber: Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is orrect and agree to omply ith all
applica6le State of Minnesota Statutes and City of Eagan Ordinances. ?J?
Signature of Appticant:
OFFICE USE ONLY
Certificatas of Survey Received
_ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONI.Y
BUILDING PERMIT TYPE
kr ?$ '?-
?_.;5?
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o OS 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscelfaneous
? 05 5F Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New a 33 Alterations o 36 Move
o. 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
CITY USE ONLI"
PERMIT #: Z-{ S 3O ? RECEIPT DATE: 5--I5"01
it£SIDENTIAL M£CH4NICAI. PEfiMIT lEPPLICihTION
crrY og E*snx
ssso Pnor xivos Rn
E?sax auv ssi $E
asi-agi?aa?s
? L - ------
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit -
Date: OS/il I D I
SITE ADDRE5S: q551 Norj' z on C`i rej2-
OWNERNAME: CIA1r EriGkSOr
INSTALLER NAMEWohlers Southside Htg. & A/C, Inc.
6950 West 146th Street, Suite 106
STREET ADDRESApple Valley, MN 55124
CITY:
TELEPHONEt?: 651 q514-
(AREA CODE)
TELEPHONE#: 959' L131'7017,7
(AREA CODE)
JIMIC:
Place a check mark ne:t to the oermit work tvoe
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
ZC Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: ?PI oxe _F7,?vI?CLGf? Gt.dd 2?C Con hpaw
State Surchar e $ 50
O
Tota I $ rk)
Reminder: Cal! for inspections. SIGNATURE OF PERMITTEE
Updated 1101
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIP7 DATE:
.1
COMMERCIAL MECHkN1CA1. PERMIT A"I1CATiON
'. crrY oF E?sM
3$34 PII,OT KNOB iiD
EEkHAA, MA 55122
651-6$1,4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA WDB)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TPPE: _ New construction
_ Interior Irriprovement
_ Processed Piping
PHONE #: -
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
Specify Nanue of W ork:
When installing/removing underground tank, call 65I-681-4675 for inspectian by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum Fee
Connact price: $ x l%= $ (Base Fee)
State surcbarge calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNAT[TRE OF PERMITTEE
Updated 1/O1
?la?lS'
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date -5, 1 1g I 641
Site Street Address ar Unit #
Property Owner f r??y?,,Q o<_2iy1,?Q_.aAS2, Telephone #(9%:5.aj 7-3 le - / J d a.
Contractor 4"1 LOD Telephone# (650 34,5 40'16
Address 342 7() Qe_2Q.e, SQQ City 4 StateYYl/1- Zip
The Applicant is: _ Owner !?Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
i,.? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
m?W V a?t2.Ve-h5
ApplicanYs Printed
? @ T u d N ?
JUN 0 7 2004
?
7!l?y? ?.ce?i?
ApplicanYs ignature
Use BLUE or BLACK Ink
r-
I For Office Use I
ity ~i~, ~O1f L
a
R Permit#: R I Permit Fee: ((llL~-as
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 411711Z4n. d r J 41NI'ZnCle
Unit
s ~_M Name: ! I 24 ~to- ~i m ~JQ t
Phone: 0.Y
FResident/ r L
Owner Address / City / Zip: L/ JS ( h or lit rt C it
Applicant is: Owner '-Contractor
Type of Work Description of work: rb_- 703c - - stack
Construction Cost: ' Multi-Family Building: (Yes / No
Company: C.7~ ICLdtr Contact:
i LQ
Contractor Address : H JICW ~f City: YIQ~
State: MW Zip: 5_072 Phone: ~n QL ^_20P
License 6y
2yScf Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
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:
i
Sewer & Water Contractor: Phone:
F NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
F the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State uilding Code must be completed within 180
days of permit' suance.
X. J(Xd~ ?~d x
Applicant's Printed Name Applicant's ignature
Page 1 of 3
Use BLUE or BLACK Ink
r-
I For Office Use I
ity ~i~, ~O1f L
a
R Permit#: R I Permit Fee: ((llL~-as
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 411711Z4n. d r J 41NI'ZnCle
Unit
s ~_M Name: ! I 24 ~to- ~i m ~JQ t
Phone: 0.Y
FResident/ r L
Owner Address / City / Zip: L/ JS ( h or lit rt C it
Applicant is: Owner '-Contractor
Type of Work Description of work: rb_- 703c - - stack
Construction Cost: ' Multi-Family Building: (Yes / No
Company: C.7~ ICLdtr Contact:
i LQ
Contractor Address : H JICW ~f City: YIQ~
State: MW Zip: 5_072 Phone: ~n QL ^_20P
License 6y
2yScf Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
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:
i
Sewer & Water Contractor: Phone:
F NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
F the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State uilding Code must be completed within 180
days of permit' suance.
X. J(Xd~ ?~d x
Applicant's Printed Name Applicant's ignature
Page 1 of 3