4555 Horizon Cir
Use BLUE or BLACK Ink
For Office U° -1 Cl of Ea an I Permit 373
I
3830 Pilot Knob Road Permit Fee: c
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received: I
I
Fax: (651) 675-5694 Staff:
I
2011 MECHANICAL PERMIT APPLICATION
Date: ' L Site Address:
Tenant: Suite
RESIDENT / OWNER Name: Z~Yov_v OlEWl ,S PhoneZ M
Address / City / Zip:!5qrn 4c
License
CONTRACTOR Nam (4
Address: ` wj-)-4 C-r City: ~Z^ S757q //_j
Stater Zip:5/ Phone: 65/ '_;9 ✓ 9/
/
Contact: Email:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.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.
r
Applicant's Printe ame Appli"nt's Signatur
FOR OFFICE USE Reviewed y: Date:
Required Inspections: Under Ground ! Rough In Air Test as Service Test ~In-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095573
Date Issued: 08/23/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4555 Horizon Cir
Lot: 1 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-010-02
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BE - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Minnesota Exteriors Evan P Morris
8600 Jefferson Hwy 4555 Horizon Cir
Osseo MN 55369 Eagan MN 55123
(763) 391-5514
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
-Fo-r - Offi-ce-U-se - - - - - - - - - - - I
I 1
I _
City of Eajan j Permit
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: I
1 I
2010 ~/RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ! Site Address: bid Jas 4101vzolJ
Tenant: CV,41" 1t46 9_r,_-1,5 Suite
RESIDENT / OWNER Name: -77m / ML)(L 1/ Phone:
Address / City / Zip: q5S57 fl ,e/Z)d C'1i'L- 6A{,: 1 ,MN
Applicant is: _X_ Owner Contractor
Al#eAN
OF WORK ~
Description of work: t ~.Ir C~-3(A IY15 t) k,(kc
Construction Cost -zedw Multi-Family Building: (Yes (No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
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 and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide 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.ciopherstateonecall.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.
x FUa-)-) 44orn`S x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
/Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation &eow- Occupancy AC, ~ MCES System
Plan Review Code Edition 00? SAC Units
(25%_ 100%Z Zoning )910 City Water
Census Code Stories Booster Pump -
# of Units f Square Feet - PRV
# of Buildings 1 Length Fire Sprinklers
Type of Construction- Width -
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL EES
Base Fee
Surcharge
Plan Review 33
=
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies crt a 5`
TOTAL
Page 2 of 2
CITIj' OF EAkGAN Remarks 1? i 'j 0
Addition CEES MAR LA3T Lth ADDITIQN Lot 1 Blk 2 Parcel 10-1T153-010-M
Owner L tu5; A1a,S Street 4555 Horizon Circle State
Improvement Date Amount Annual Years PaVment Receipt Date
STREETSURF.
STREET RESTOR. 1983 u91.76 235.35 53' 117
, -27-52-
GRADING 1983 729.95 145.99 5
SAN SEW TRUNK Zz..? 19T3 1. 53 . 50 A011410 9-9-82 -
*SEWERLATERAL 1983 1851.$9 370.32 5
* WATERMAIN 1983 5
WATER LATERAL
WATER AREA 1983 370.00 74.00 5
*Services 1983 S
STORM SEW TRK p 1983 379. 56 75.91 5 3o3.65 A011 6 12- -82
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET IiGHT
ROAD UNIT 240.00 3166 -1-82
WATER CONN. 420.00 to
BUILDING PEFi.
SAC n t?
PARK
CITY OF EAGAN
Addition C?+r_
Owner C v
Remarks ?r ?! • ? <<Il '`';?
irrTnw 2 2 10=1'f153- -
Street
Lot 814
T Horizon Circle
Improvement Dete Amount Annual Years Payment Receipt Oate
STREETSURF. 35 1983 1191.76 238.35 5 3•41 A011729 12-15-82
STREET RESTOR.
GRADING 51 1983 729.95 145.99 5 5 3.9 A0117?9 12-15- 2
SAN 5EW TRUNK zZ 1973 10 . 90 5.35 20 48.16 A011729 12-1 -82
* SEWER LATERAL lql 1983 1851.59 370.32 $ 1481.28 A
* WATERMAIN 1983 $
WATER LATERAL
WATER AREA 1983 370 . 00 74.00 5 296.00 ADU 2 12-1 -82 ?
*Services 1983 5
STORM SEW TRK 1983 379.56 75. 91 5 303.65 A011729 12-1 -$2 ?
STORM SEW LAT
CURB & GUTTER I
SIDEWALK
STREET LIGHT
ROAD rr 240.00 166 -1-82
WATER CONN. 420.00
9UILDING PER. 7 77
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DA
RECEIV6D
FROM
AMOUNT $ I
Q DOLLARS
?oo
C]CASH C] CHECK
FOR
FUND CODE qMOUNT
Thank You
By ?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY Of EAGAN
_ 3795 Pilot Knob Read Eagon, AAN 5512!
PHQNEs 454•e100 .
BUILDING PERMIT Receipr # •
Te Mused for Est. Volue Dete - - , 19
Sita Address Erect
Q Occupancy
Lot Block Sec/Sub. =r ? Alter 0 Zoning
Poroel # ?Repair p Fire Zone
Enlarge O TYpe of Const.
aWC Nome " :-l+:• . Move Q # Stories
= Address Demolish ? Length
? C'St„ Grode n DePth Sa. Ft.
o Nome
?? '
Address
('Ih. DL-
Nome _
Address
I hereby acknowledge thot I have reod this application and state that
the inlormotion is correct and ogree to comply with all opplicoble
Sfate of Minnesoto Stotutes and City of Eayon Ordinonces.
Assessrt?ent
Water b Sew.
Pol ice
Firo
Enp.
Plonner
Cour?cil
Bldg. Off.
/1PC
Permit
Surcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol
Sipnoturo of Pertnittee ?
A Building Permit {s Issued to: on the axpress condMfon 1hni
all work sholl be done in accordonce with oll opplicoble Stete of Mtnnesota Stututes nnd City of Eoyan Ordinonces.
Buildinp Officiol
Permit No. Permit Holdsr Misc. Permit No. Holder
[
:
3ol?o
?'?C (? Lc ( r`
H
Disp.
S9wer
Ekwt.W 3c??oi? ??d aK?L E(Ec. la-?l-? z
Intpection Daft Intp. Other
Footinys _S
Foundation
Freminp w
Rouph Plbp. ?
Rouqh HVA
Inwlstion
Final Plbg
Final HVAC
11-2
Ftn.i
water Dssaibs Locstion:
VWII Y
Sewer -A
Pr. DisP. r
CITY OF EAGAN .
L 37lS Pil* Knob Raad Eo9en, MN 55122
?
' PHONEs I54-8100
BUILDING PERMIT
Receivr #
To be rwd for Est. Value Dote
Site Address Erect
?
Occuponcy
Lo! Block $ec/Sub. Nlter p Zoninp ..
parcel # Repoir 0 Fire Zone
Enlorye 0 Type of Const.
W Name ''' (:o*,eC. , I13c. Move
?
# Stories
Z
? Address 1:1115 Cuthiie Avy. Demolish ? Length
CiN '.e Vallev pt,.,.,. "5<'-'.?'".? G.ade ? Depth ?S4. Ft.
°C Name ?'S:{Y•. CwnA;•
o
Address
F r.•.. s?---
Assessment _
Woter & Sew.
PoNce
Firo
Enp.
Plonner
Council
Permit
5urchorpa Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
I hereby acknowledge thot 1 hava read this opplicarion and state that gldp. Off.
the inlormofion is corred and agree to wmply with oll applicable APC _
5tate of Minnesoto Statutes ond Cify of Eagon Ordinances.
Sipnofure of Pertniftee
A Building Pertriit is issued to: . _' r
nll work shall be done in occordaexe with oll oppliwbte State of
Buildir?p Officinl
Totol
?
on the exprcss wndition Ihnt
and City of Eagon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbiny
E ?0(7 1?CUl.Cl?1? ?-?-Z
H.?.??.?. 3zc? t ??+?'t1?r ro -71?
w.u
Water
S?wer
EleetNc w3cv (o ZS' Nrd(&N.[i0c,
Inspeetion Dats Insp. Other
Footings 3-$?-
Foundation
Fnminq
Rouyh Plby. ?
Rouqh HVAC a.l? 81 W
Insulation o -7/-bIl 4
Finel Plbq.
Final HVAC
Finsl ? .?
Waur Wseri6e Loeation:
VWII ?
Sewer
.
Pr. D'Kp. . .
?
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
fill in numbeied rpeces
Typs or Prinr /egib/y
1. Date 2. Installation Cost
3. Job Address Lot ? Bik.
4. Owner
5. Contractor
C-'
Permit No.
Fee
S/C
Tot.
_ Tract
Phone
?
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial D lnstitutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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
Fiough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
'
fill in numbered spaces S/C
Type or Print /egibly
Tot.
1. Date 2, Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor
Phone
i -7
6. Address
7. City State I 2ip
8. Building Type: Residential 13, Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alier ? Repair ?
10. Oescribe Fuel Type
11.
No, Equipment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. an
r
ng:
Boilers
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 all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
? D
Reaeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fse ' •
Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date . I`? ? 2. Installation Cost
3. Job Address '='= r Lot Bik. Tract '
4. Owner
5. Contractor • - Phone 1>9 -43
6. Address ?Og30 HOL"'
7. City , ' -- State ` Zip
8. Building Type: Residential Q` Commercial ? Institutional ?
9. Work Description: New ?(
10. Describe
11.
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fintures
Cess
ool/Dr
infi
ld
Bath tubs p
e
a
Se
tic Tank
Lavatory p
Softne r
ShOwer Well
Kitchen Sink i
Urinal/Bidet pther
Laundry Tray ?
Floor Drains b ?
Drinking Ftn.
Slop Sink
Gas Piping Outlets Q o
12. I hereby certify that the above information is true and correct, and I agree to
comply with alt ordinan andcQdes governing this type of work.
signea : 11 -' ?? -
? for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Appraved CITY OF EAGAN 454-8100
7r
PLUMBING PERMIT
CITY OF EAGAN
,
Permit No. '
Fee Fill in numbered spaces S/C
Type or Prini /egibJy -
Tot . .
i
1. Date 2. Installation Cost I
r
3. Job Addreu ' Lot Blk. Tract
4. Owner _ i
5. Contractor , ; Z(CXT. Phone 1? ;q.Lj?32
6. Address ? ' ` ? ? ? •
7. City State Zip
.r
8. Building Type: Residential 13: Commercial 11 Institutional O
9. Work Description: New ? Add El Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Sohner
5hower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
0
b
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets ? •
12. I hereby certify that the above information is true and correct, and I agree to
comply With all ordjnrstiqnd bodes.goveming 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$100
CITY QF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 H . ? ?
(612) 681-4675
SITE ADDRESS:
! ?? ? .' ttl rir}`?'?' • II?? . ,??.? t 1?1
PERMIT SUBTYPE:
I • o'; ? . ,
..?
O
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
It t,i.y aiF.> I s
TYPE OF WORK:
1I F :,r F: l I' I I rI N
I t"r)CiT f N1;`.-;
?
F INAI
FilllIV IPICi
H:'7lt.r
9b/14/96
Kr Kr-11:cA
Il[PAIR
( kf Pt Af.t IlC:f°li )
Permlt No. Pe?mk Holder Date Telephone #
ELECTRIC
PLUMBtNG
HVAC
Inspectfon Dats Insp. Commants
FOOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HT6
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FIrJAI
cirr oF E?"N WATER SERYICE PERMIT
3795 Pilot Knob Rosd PERMIT NO.:
Eogano MW 55122 DATE:
Zoning; No. of Units:
Ow- er: _ - , cv
Address:
Sito, Address: ' - ^' c, T ? ` .,1- •
Plumber:
Meter No.: Connection Chorge:
Size: Account deposit:
Reader IVo.: Permit Fee:
I egrne fo eomply wlfh t6e City of Eagan 5urchorge:
Ordinanoei. Misc. Charges:
Total:
BY Dote Paid:
Date of Insp.; Insp.:
CITY OF EAGAN
3795 ^0ot Knob Rood
Eogun, MN 55122
Zon%ng:
Owner:
Address:
Site Address: Plumber: c.^:.ire
I egrea M eomply wlth the City of Eagan
Ordinanees.
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
B2
Connection Charge:
Acwunt Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
T..a..l .
IV
100.00 ,
WATER SERVICE PERMIT
CITY OF EAGAN
379: lilot Knob Road PERMIT NO.:
Frgon, MN 55122 DATE:
Zoning: No. of Units: ?' U` '
Owner, 2: ? . - i ? ? ? •.
Add
ress:
Site Address: '-5 ?snri?nr.
.? ?•?,- '_Ir
Plumber: ?'e ''ecLt<?;- f i:-
Meter No.: Connedion Charge: ?? -`- •
Size: Accaurrt Deposit:
Reader No.: Permit Fee:
1 agrea to eomplr witf+ tha Cily of Eagan Surcherge:
Ordinonaes, Misc. Charges: -
Totai:
BY Date Puid:
t EAGAN SEWER SERVICE PERMIT
ilot Knob Road PERMIT NO.:
MN 55122 DATE:
No. of Units:
,-
Site
Plumber.
1 egroa to eomply witfi the Ciry of Eagan Connection Charge:
Ordiasnees. Account Deposit:
Pertnit Fee:
Surcharge:
gy Misc. Chorges:
Dote of Insp.: Total:
I nso.: Date Pnid:
` CITY OF EAfiAN '
?•' ?" 7795 Pllof Kno6 Rasd &9on, MN 35142 N? 7477
PHONEs 454-8100 -
BUILDING PERMIT Receipf
Te be utad for 1/2 DUPLEX & 6AR Est. Volue $53,000 pate September 1_ 1982
Site Address 4557 Hotizon CirCle E
t LC O R-3
rec
j ccuponcy
Lot 2 BI«k Z $ec/Sub. Che9 Mdi E. 4th qlter C] Zanin9 R-2
Parcel # 10 171$3 020 02 Repair p Flre Zone NA
Enlor9a ? Type of Const. V
W Nome Jose h M. Miller Const. , Inc.
p Mave ? # Stories
z
Aadress
14115 Guthltie Ave.
Demolish ?
Length 24
Ci APP le Vd11eY phone 454-4753 6.ade ? Depth 42 Sq. Ft. -
p Name ??" Ownel ADVrorab Fee?
?u Address
f' Citv _
r
?U„w Nume _
?Z
x,-, Addreu
Asussment _
Woter 8 Sew.
Police -
Fire
Enp.
Plonner ?
Countil _
Permit 474•uv
Surcharge 26.50
Plcn check 146.00
5AC 525.00
Woter Conn 920. 00
Water Meter 60.00
Road Unit 240.00
I hereby aCknowledge that I hove read ihis opDlicotion ond stote That Bidq. Off.
the inlormntion is corre<t ond ogree to comply with oll opplicoble
$tate of Minnewto Stotutes and Ciry of Eogan Ordirwnces. APC -
Signoture of Permittee
A Building Pertnit Is issued to: JOSe h_Mi11er 1
nll work shdl be done in oCCOrdante with all opp'? btcq e Sfate
Buildirq OfFltiol
Total S1709_ 50
on the express conditlon tha,
y of Eopan Ordirwnces.
L? y aF' FAC?i?N Incltad. 2? o! pl.ans.
CITY
. ?^ ? 1 sib pLn r?/e]wvatlons i
PE[d+BT AFPI.IG'PZQQ . Tswt oe werIgY calculatj=w•
? •.
.
?Z bkp 1 f 7L ?-Ga t- ?5.? ? flaes 7!2?3/8F
valuat3on
'lb He Wed Fbz *,w-?-?m
d!!t? U?SB C?1c
Site AddxesS: 4557 Horizon.
•'i 81ock ?./Sub Ches Mar 4th OOQ?7y
Parcel f s. { p ?`I l So?a c? 2
Joseph M. Miller Const. Inc.
14115 Guthrie Ave. S?
C.ity/23p,QOC12a APPle Valley MN. 55124_
ptow ?; . 454-4753
.. _..,...CoI1tSaCb0Z: Same
Address:
, (YtY/ZiP Codee
! Ft?ane 1 e '
Acch.Ahg.
Addressp
CitY/ZiP Codea
Ptia?e Aa
? zerLtim ?
Yhla:'9e zypO af Q
# Sucum
peadt ?
WSber/sww CRAX9910c'!° -
Plan Checic
Polioe _
Fire SAC
?. wsb9r Oo?i•
r
Plaru?er
-'----'
_ ?? ?
Poad Unit
-
Bldg. Of??
APC ;
?r1A ?
...?-;
CITY OF EAGAN
. ? , 9795 Pilaf Knob Roed Eagan, MN 55112 N9 7476
PHON& 454-8100 -
BUILDING PERMIT Receivt #
Te 6a nad fer 1/2 DUPLEX & GAR Est. Volue $60, 000 Dote Seatelnbes 1 1932__
Site Addreu 4555 Horizon Circle E
t 7 p R-3
,ec 0 «„po,KY
Lot 1 Block 2 $ec/Sub. Ches Mdr E. 4th Alter ? Zoning R-2
Parcel {k 10 17153 010 02 Repoir ? Fire Zone NA
V
Enlarpe ? Type of Const.
W N„n, Josenh M. Miller Const.. Inc. Move ? # Srories
Z
? Address 14115 Guth=ie Ave. Demolish ? Length26_
Ci phone 454-6753 Grade ? Depth-g.4_Sq. Fi. -
s " fluncr Aoorovals Foes
p Nome _
?
?u Addreu
`- r?...
Nome _
Addrev
1 hereby acknowledge that 1 have read this opplicotion ond sfote fhaf
the inlormation Is wrrect ond agree to comply with all appiica6le
State of Minnesota Statutes ond City of Eugan Ordirwnces.
Sipnature ot Permittee
A Building Permit is issued fo: 7038ti11 M. Mi11eZ
all work shwll be done in accordonce wlth oll appli ble State i
Buildirp Officiol 2 ?A
Assessment Permit jij•vv
Water 8 Sew. SurcFrorge 30.00
Police Plan check156.50
Flre SAC 525.00
Enp. Waler Conn420.00
Plonner Woter Meter 60. 00
Council Road Unif 240.00
Bldg
Of£.
.
APC Total $1744.50
.' II1C. on the express Mndition Ihal
eota-3lafutes and City of Eapan Ordinances
, - ? ?
CIT1f OF FAC??? . .
HITIIDING P?MTT I?PPI.ICATi?
76 Be umd
a- Iju?PX. °? 66 r ?Ol
Z V81l1E1t30f1
,., ,Y.o
Iaciuds 2 siW ot plans.
1 db PT= w/elwat3ans s
a of .nmw mlculat?«m- .
..
.. ,;
Dats 7/19/82
'? ?? ??
..
Site Addi'+eeSt 4555 Horizon eircle
e
Wt 1 Block 2 Sw.ChesMar 4th Et'6CC ?Omvwtcy .
Alter ? . :
:l i: 1 o (7 1 S 3 C) ( o 0 Z pApeir ? ?t.
Joseph M. Miller Const. Inc.
14115 Guthrie Ave. So.
City/yip Cpft; Apple Valley MN. 55124
phoM ?;. 454-4753
' . Con},ractort ' Same-
AdBress:
(YtY/ZiP Cadeo
' Pt?one
ZNL&cLr,Dm?.? ?.??? t Sb0?1M ' A
D?lDllsr+ ?? ?? ?r?
rwravrv.+ . . . .., . . ,
ASMSBWmff" ? -- pommit
Water/'Sersr
i Pim Clfecrk
-
-
-
oe
Pol
Fire ?5-
"?
-
?
Oa'a1.
?'J• ?fabe? *letei. p
be
plaauW
Council
r li)'d thdt
B]slg. Of
APC
--------------
• 161mont?hs from,d 1I ` ?14- z l OZ ? CYIES ,V?-a? ? Zz3 7
Gn9 36628 F-, q?-?- 7? , no
Req est D te ?
ry?
??? ^
'?
?' Fire No. ? Rouyh-in Insoer,tian
fl@qu?redl -
?Feady Now ?Will Noti}y; InsPeo-
Ior Wh
fl
d
1
_-
_ , ° ? N
o en
ea
y
.
;O Litensed ElecVic.il Comractor I hereby raquast inspection ol above
? Owner elecbiwl wark installed eY
Stree[ Address, Boz or Route No.
?vrrzoA ? i?
o? yS'S'/I City
?
Q
ecLOn u. Townshiv Name or No. Range No. Cow/n?y
iLlJRlJ
Occupnnt(PfllNT) _/
?OC ?//!It l_d/tS//.UGTIDt/ Phon Nu.
Power $upplie /
n /
KQ ? ? Adtlress `
/??
l?Q.'?/N/A 14A
Elecvical Cn tractor (COmpany Name)
?? Contractor's License No.
f
,?
Mailing Address IContra Lor or Ow er Makin Instailationl
' D.'l?o ?sci? s1r ??rv oa ?a , • S?' :? 03
AuNoriz iB?ature Co ractor/Owner•MakinB Instaliationl Phone Number
?s-3 -/3-27
MINNESOrA STATE BOQRD OF EiECTRICITY 1HIS INSPECTION PEQUEST WILL NOT
Gri¢ps-Mitlway BId9• - poom N-191 BE ACCEPTED BY THE STATE BOAflD
1827 llniversitY /+ve., St. Peul, MN 65'104 UNLESS PPOPEN INSPECTION FEE IS
o1.....e Iatll 2o77.2111 ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION xx E8-00001-03
' See instruc[ions for completin0this torm on beck ot Vellow copy.
3662$ "`-
X'"Ft'elo`w Work Covered by This Requesr 3 Z2.3q
Ne, Add flep. Typa.u( BuilAing Appliences Wired Equipment Wired
Home Range - Temporary Service
Duplex Water Heater Lightin Fir.tures
Apt. Building Dryer Electric Heatin .
Commercial Bldg. Fumace ' Silo Unlo2der
Industrial Bldg. , Air Conditioner Bulk Milk Tank
Farm Other peci y ther?5uecifyl
t EI pCCify ther Olh¢r
Campute lnspectiun fee 8elaw
4 Fee ServicaEntranceSize q Fee Feadera/Sub/eeders k Fae Circuits
, W 0 to 100 Am s 0 to 30 Am s 55, 0 to 30 Am
101 to 200 Amps 31 to 100 Amps ! . 60 31 tc 100 Am
Above 200 qmps Above 100-Amps Above 100_Amps
Transtormers RemoteControl Circ. 'O PdrtiaL'Other F
Signs Special Inspection S
1
$'LJ
r
TOTAL F
Remarks 7
,
VC4
?
Rough-in
Flne? ?? ^ ! ? Date
G
I, the Electrical
Inspectoq hereby
ceNity that the ibova
inspeceion hes been
maEe.
This reques[ voitl (NN°yJ ? .? - ! -
18 nonths fiom _
` (Itr#ifira#r of (Orruvttnry
;
titp of (eagan
"?;>•Ye'> EP}1MY1ri1Ctlf of igUtWTT[1J 3t[S}1PLftitil
Tltit Cesti fitatt itturA pHrrwrtt to tGt sufttirementf of Stttion 306 of tht Unilor+n &uJdisg
Code urtifyrng that at t& time of ittuenu fbif ttrtutura wat in rompliarue witb thr variow
ordinanat of t& Citr ngukuing buildrng connrutiiort or ure. Fa tix follauing:
U. Chdfimi,0 1/2 DUPLF.X 5 GAR ela&n,,,,nN,, 7476
o.w.q Tra R3 trv.coa? V m. Z. NA zowaa,? ?
?,,,,4555 fiorizon Circle tyLot 1,Block 2,Ches "far EasC
4th
lt? c1?'- ? ?)C'IA- By November 26, 1982
&ddN?0ldfa
?sr .? ? oo.rK?au? wnu
(gtr#ifira#r n# (Orrupttnry
Ctp of (Eagan
Wpurfinettf uf iluilbing 3neprrtimt
........ -.w,._ . , ..:, .. , : :.,..,..,..,,
Thit Cati fitate inrwd purrnsnt to the raqwremenet of Satiors 306 of t!x Unifmm Bwilding
Code urti fyiRg that at tbe limc af itwrtntt thit urruture war in cmn pGanre witb tlx varmur
ordinaeret of tbt City ngnlating building ronttnutioA or rru. For thr following:
up cwifi.? 1/2 DUPLEX & GAR gb& PomYtNo. 7477
aww?Trro R3 hwcee.a.m, V RmZ? NA ymdnmm? R2
0?.mad?, Jos. Miller Const. ,,,a„18133 Cedar Ave. So.,
.m?,,m,,,4557 Aorizon Circle L.,u,YLot 2,Block 2.Ches Ma
Z?, By 4 [h
g9- o,,,; Novem6er 26, 1982
.o.. ?. . ?....???a,. ...?.
2005 RESIDENTIAL BiJII,DING PERNIIT APPLICATION
? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCtion Reauirements
3 registered site surveys showirg sq. ft of lot, sq. h. o( house; and all roofed areas
(20% maximum lot cove2ge allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 sef of Energy Calculations
3 coples af Tree Preservation Plan if lot plaHed after 711193
Rim Joist Delail Options selection sheet (buildings with 3 or less unifs)
RemodeVReoa'v Reauirements Office UseOnlr
2copieso(plan CedofSurveyRecd.- . _Y, _N
15etofEnertgyCalcuWtionsforheatedaddifions 7rcePresPlanReW;':`_Y-_N
1 stte survey for addNOns & decks Tree Pres Required .? Y: _ N
AddiGon - indicate il on-sHe septtc system On-sne Septic Sys[em '?_ Y. ? N
.i
Date 4 / /0 / OS' Construction Cost '-,41! `$71v ? S t--
Site Address 1,4y1t / 7-0A/ G/?-c L? Unit/Ste #
Description ot Work /3 U/L?a PU I2 C-ry
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner '057 /.31,,-'I92 Telephone#(Ei-f?) 687 ?9d,/?
Contractor S ? 4-,4:7
Address
State
Zip City
Telep4one # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksfieet
(4 submissiontype) Submitted Submittad
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the
that the work will be in conformance with the ordinances and codes of tti
N If so, 25% plan review
and accurate;
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
perxnit; that the work will be in accordance with the approved pian in fhe case of work which requires a review and
approval of plans.
S1 z 'Th .
Applicant's Printed Name Appli Ys Signature
OFFICE USE ONLY
Sub Types
0 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 PorcfilAddn. (4-sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 10 08-plex )R 18 Deck O 23 Porch (screenlgazeba) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
x 34 Replacement •Demoli6on (Entire Bldg ) - Give PCA handout to applitant
Valuation rL-o Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const ^11,6_ Width
REQUIREDINSPECTIONS
Footings(new bldg) FinaUC.O.
? Footings (deck) V Final/No C.O.
, Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Ice & Water
Roof Final _ Pool _ Ftgs _ AidGas Tests Final
_
_
` Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining WaII
Approved By: ( (? , Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
ff pforut-o
D ?«
?? ? ?_
10 RESIDENTIAL BUILDING
Permit Applicatian
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651fi75-5694
l/_Z? _?14"
New Construction Reauiremenls RemodeilReoair ReauiremeMs Office Use Onlv
3 registered site surveys shawing sq, ft of lot sq, ft o( house; and all roofed areas 2 copies of plan Cert oF Survey Recd _ Y _ N
(20%maximum lol coverage allowed) 1 set ot Eneqy Calculations tor heated addiGons Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for add'N"ons & decks Tree Pres Not Reqd Y _N
1 set of Energy Calculations Addi6on - indicate i(on-sife 5epfic sysfem On-site Septit System _ Y _ N
3 copies of Tree Preservatan Plan if bt platted aker 717l93
Rim Joist Delail Options selecUOn sheet (bldgs with 3 or less uni4
Date 7 / Z?- / G 3
Site Address * SS '7 Construction Cast ?`? / Jr0• OLI
?
YG R) 20., 6RCG C UniUSte #
Description of Work l"l.w 1 rJ i AiN f A Lv M- -rP f M
Multi-Family Bldg _jx Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner FP pocC A Xorl., Telephone #( 07 71 /jg
Contractor k/CST" N R r-fy'GAELL°"R S -7-oc-C
Address 25-20 Lt/
State n^^? LA(zPt-tir&-L/L At?e
Zip .? sl1 ?l City ST` PB"-
Telep6one #(?,?r)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submitted
. . Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber M-f? r;IV Telephone #( )
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in theqse of work which requires a review and
approval ofpians.
5-rt7Ne-11 A LYcA-5
Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screen/gaze6o) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Pibg_Y or_ N 0 25 Miscellaneous
Work Types
? 31 New
? 32 Additian
? 33 AlteraGOn
O 34 Replacement
Valuation _
Census Code _
SAC Units
Nbr. of Units Nbr. of Bldgs _
Type of Const _
_ Foorings (new bldg)
_ Footings (deck)
_ Footings (addiuon)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ F'ueplace _ R.I. Air Test _ Final
Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIREDINSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Pluxnbing
fiVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stane
_ Windows (new/replacement)
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
TreaVnent Plant
License Search
Copies
Other
Total
?$5 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entira Bldg) - Give PCA handout to applicant
Building Inspector
Ll o y (?Ir
RESIDENTIAL BUILDIVG
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC6on Reauirements RemadeVReuair ReauiremenCS Office Use OnN
3 registered sile surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20qo maximum lot coverage allowed) 1 set al Energy CalaWlians forhealed addNons Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes: poured found design, etc. 1 site survey for addifians & decka Tree Pres Not Reqd _ Y_ N
lserofEneqyCalculations Addifion-iMkateBOn-sdesepficsysfem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Dehail Options selecUon sheet (bidgs wiN 3 or less unils
Date 7 / z?/ 03 Construction Cost f0 ,
SiteAddress ?.SS? NGRiZoy C'/RC'L? UniUSte#
Description of Work 4 AZ `?" TR? ?'^
Multi-Family Bldg K Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner /W ? / J Telephone #
Contractor UIC5`7'e'WH REt?a A?c ? S` ;v C
Address ? S 2 v
State Zip City L
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Calegory t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Suhmitted
Have you previously constructed a building in Eagan with a si ilar plan? _ Y _
fee applies. a Tl
Licensed Plumber ? ? ? .._?n Telephone #(
Mechanical Contractor 11111 1 Telephone #(
Sewer/Water Contractor ,= Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Buildina Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of [he City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for Fo and wor is not to start without a
permit; that the work will be in accordance with the approved plaqJ e work " requ ires a review and
approval of_plans.
S-Tz-Pfjc-iv 44. zyr-,?S' ,??
Applicant's Printed Name Applicant's
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool O 30 AccessoryBldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) 0 31 EM. Alt- Multi
? 03 01 of _ plex O 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ?? 42 Demolish (Foundatlon) ?. 45 . Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)" .0 43 Reroof ? 46 Windows/Doors
? 34 Replacement - •Oemalition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MClES 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaVNo C.O.
_ Foo[ings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs
Au/Gas Tests. Final
_ Framing _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Au Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICA
C1TY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
-- ? 651-681•4675
New Construction Reuuirements
. ) registereG srte surveys showing sa. ft. of lot, sq. ft. of nocse; and all roofed areas
(20% rnaximum lot coverage allowetl)
• 2 copies of plan showing 6eam $ wir,aow ;izes; poured lourd desgn, etc.)
• t set of Energy Calculacions
. 1 copies of Tree Preservation Plan d lot piatted after 711i93
• Rim Joist Detail Options selection shee[ (hitlgs with 1 or less units)
DATE P?nfPrl'I _Pl?' ?(P LV
SITE ADDRESS _
TYPE OF WORK_
APPLICANT ?
STREET ADDRE3S
TELEPHONE #60<
7'-A =lQ m
pOl FIREPLACE(5) & D _
2
' ??Ovti.
P'51-ZA 3
CELL PHONE #
FAX #
PROPERTYOWNER??.I%?'?ic%C// TELEPHONE#lC?-ld/a°711
13949
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category Nf[\\1?:5O"f.\RC;LF:Si(iiOC:\'Cl{GORt'I ??'?1;Y_?J"1'%1=RC'I.?Si
(d submission type) • Residential Ventilation Category 1 Worksheet Submi[ted • Nes?i Ene gylCode Worksl
• Energy Envelope Calculations Submitted CCP 1 . 2002
JC
Plumbing Contractor. _____ Plionc n _
Plumbing system includcs: Water 5of[cner [a?m Spnnklcr v' Fee: 5
Wa[er Hea[er No. of R.I. Baths
-- No. of (3atlis --
Mechanical Contractor:
NIcchanical svstcm inclucfc;:
Sewer/Water Contractor:
-- Air Condiuaniug
-- I-Icat Rccovcry Syslcm
Phone #
Phone #
Pce: :S70.Q0
I hereby acknowledge that I have read this application, state thai the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin9pes. 9
S(gnafure of Applicant
-------- --------------------------------------------------- ---------------- ---------- ----------------------------------- -------------------------- ---?-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Nol Required _
UpdateA 4i02
?
?)WS
Z
700 ?
. Indica[e d home served by sepAC system .or a rons
RemodeVRevairReauirements ?
• 2 copies of plan
• 7 sel of Errergy Calculations for heated additions
. 1 sde survey for exteuor addilions & decks
` ddi
F
VALUATION
__._ ___ . -....
Cr ?., MULTI-FAMILY BLDG ?CY _ N
OFFICE USE ONLY
? 07 Foundation
? 02 SF Dwelling
? 03 Oi of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OSplex O 13 18-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y ar _ N
O 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
P-?23 Porch (scresaeA)-
? 24 Storm Damage
13 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIU
? 31 New
? 32 Addition
? 33 Alteration
153" 34 Replacement
? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windaws/Doors
'DemoliUon (Entire Bldg only) - Glve PCA handout to applieant
Valuation 46 Go Occupancy MC/ES System
Census Code *(3 Zoning Ciry 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) FinaUC.O.
? Footings (deck) ? FinaUNo C.O.
_ Footings (addiaon) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof Ice & Water
z Final Pool Ftgs Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? I l, 2.5'
n- 50
. 5v
?
Approved By iie len&L- , Building Inspector
. ?
. ' Cei^tiPicate for: ., . ..
, Joe Miller Construction plan No. 90041
13;015 Cedar Ave. So.
Apple Valley, Mn. 55124
DELMAR H. SCHWANZ
" LANDSVRVEVOR
, RpisterM UnAU Lowt ol TM Stab ot Minnoo"
? . 7P78 - 145TH STNEET W. - BOX M NOBEMOUMT. MINNEiOTA lRM PMO.NE 012 448-1769
t/ q^ +
r SUR V EYOR'S CERTI F ICATE
? ti /lo.3Z ' sai- 3B_/SE
I -----•_..
? ?J . - qAe _ _` /o4.•p3 ??,?
t7
?4 LoT LaT ? g
? 6!? ?s 93T °IB \
N, Drainage & utility
. 23 \ ea8ament
TOp? A
? . -PoA JW
TK
SCALE: 1'inch ? 30 Peet
a Denotea aet wood hub ec \ -r,P ? ?p '?s? • '? ? y a'?'' ? \ ?
tack \ e?.941.% d? a t?. .
Ine.zDenotee existing elevation
ar -Denotes proPoeed finiehed y ? /?
s
grade r,
Prnposed garage Ploor - ?r \ -%p A4 elevation °j't4.70 - ? ??11I?.M?°?
_
, ' . -.-. ....Yl.. . =? .; . ?? ?j ..
I.hereby certiPy that this is a true and \?`?+?' ',??• ?
correct representation of Lots ], and 2, S1ock
2; CHES MAR ERST FOVRTH ADDITION, aooord#ft
the reoorded plat thereof, Dakota County,
Minnesota. ?,?oQNm ''v?
Also showing the location oF a propoeed building
as staked thereon.
Dated: May 5, 1981
... ,
,?
! ! ? :•,,{,! %?;%:: _?.{
MINNESOTA REGIS RATION NO 8826 X j ,r
l/
?'c ' c'?c/ Y`?'`rt
F::TI:R10It P,:IVI ia?P!•` P' iv1i,T: "1!' l?I.`tl'I 1'AT[(7i: . ' .
:.?+: -•?; - ? _
uss AwDRr:ss=
ao?c?n: S
? Detecmlne r+orking squaiu fuotayc ut each
. •
1. Totai cspopd wll area...... 23NO_ 89, ? ft. x r.17 __ °•' 4 7 1 ----.
?
1. Toal roof/wiling area ...... (3C)--? ?q. fL. x__05
! -?-- -
Tbtal expoaed wall arca aLove flu IL -?_
' ... Z Z
a. 7bta1 woll windo« area . . ... . . . .. . ... . . .. . . . .. . .....
..
h, ",,?Enl ctaor Artwi .... .... . ..... . . . . . ... . .. . . .. . ZZ?--
a. 4bta1 slidinp 4:ass door area .........................
d. ibtil fireplaoe wali area ............ ..............
•. Tolal wall ltamin9 area (averaye 10'.) ..................
f. 'lbfal rim joiat area ..............................
a, bjjZLr vall area abovn floor .......................... _
A. wa31 ares abova ilooz..... ...... . .
?- vell area abo+?e f.loor.................... •.,.
J. ?- wll area above iloor ...........................
; 4 'Mutrl'"pOeo3 founduliou area =
k. 9bta1 foindation wirdov area....................
....•.•
.•.•...
" l. Total net ioundation area above grade ..........
nf
Determine "Uvalur ????
; (e.g. windc.w, door, !.u :i !r,I_} ar.,L-: will Sr::.iun;
1 d• _?IZ y Mu11
I?
°„" ?- -
C.
a.
--_ _-_ --- „
- " u„
-
-- ? -- - -- ?
- -----
e, ,O
x „U.,
-
-
?
g• J?3-? :. °?,?? . __G?. _ - _, lU.c?
_ -
r.. __. _ _ ^ . ? ._ . .. __. .
i . ----- -- x ..??• - -- - - _ ._
) • -__'___, X "fj
?, ..??• -- ???J.
k. -----. • .
1 • _. ??-_.. K ..???? i ? T
rncxM.
/,• ^1 ?
7f .item I;; is kh.
?r lc>::: r.! itr.m Kl? )°cai
?..,?•,. p,,.? I:u? i?il?•nC ?.t.?.1.^, IlJ':i (C) .?•
•
,iMiiMrior inwlaw 7werago "v c:aaiPutacaon
•?,?. .r . .
• ' 10ta1 Oxposed roof/ceiling arca = ( 0
•j 7ota1 dftlloYt Area . ........ ................
...
n.; 2b41 Voo[/osili" Manin9 area (avoraqc 10%)
O.'ibLl not imttlated roof/ceilin9 area........... il • -'
Debrmine 'D' value tor each root/cciling neqment
..?- k „U„ ,__. • ?
a.
, w -
wV"
O. { l 7` •?Z X•U•
, ?....' ....:.................. sewl a 1t0-Jr-'
2t total of 14 is the saM as, or less than M2, you have met tha intent of
AC i006 (c) 1.
4
At;orqato alilditw Erwelopa Desi9a
I& rlilisa tba IiNal erwLM 'systm method, the valuss ptablishsd bY the pw of
lrs #l aW M 111a11 mt ie lreater than the suw of itss i1 and 02.
; i. 473•f0 + z. S. -
?
a, + •. . ?•S - - .?7.
,
.
?
r
i
0-
.. . . .: k ,
??
PLeA A.( ?1'r
. .. . -t
? LI MEA L FT. F,AposED WALl.
5Lp4k ; z-7 fizl.st-10tN?- 5 fiIz+-jo+z7}-IZ+-37=17Z
,
,- :
PuLl.1 ; 17z r"vLl. 2.? z?+ 3(1=}z0=1+?
.m .cP.c ? -
?1 t-l : izb F 17z = ??
? Saz . Par, ?x?osED w^ LL AlLEA
c3LoC.K; 17z
,
iC,W? --
w.o. ;-
;UL'l. ? ;17Z
?P ul.L 2:1z?
F. P. ;-
-
x ,s ir 61?p
K
x $ - ---
x S t I374o Z?
?
k8:??z?
7'A l.. ;<?,
, .,
M5(a,.;t. ExPosS:.D
?
?S.•.' ? ?C:> _ ? .
w Dvus t 0 D°°'?s 1:3
370 1
DICS , II
a:/ ?AT 10
z z.- Pw1 I 1 = f ' - m
?-=71•z
111?79517- ?f
• ? .- -. - - ?
PERMIT
• -GhTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:'
PERMIT TYPE:
Permit Number:
Date Issued:
4557 HORIZON CIR
LQT: 2 BLOCK: 2
CHES MAR EAST 4TH
P.I.N.: 10-17153-020-02
DESCRIPTION:
?"`??,-•,.. (REPLACE DECK)
06ildin Permit 7ype 5F (MISC.)
?84i1di ng?,yW`jp,?-k Type REPAIR
?fl" C?.E?S?us ??fae %T- 434 ALT. RESIDENTTAL
41 ? ?~t
J ?i} z; ? .
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$45.00
$.50
$45.50
r
`+Gr3 Y t' ??mi=? . x ???,., •u`3 ?x "?? ?7 -? 5F 3a mf
C0'5-F?oo
BUILDING
027767
06J14/96
CONTRACTOR: OWNER: - Applicant -
KOTH REBECCA
4557 HORIZON CIR
EAGAN MN 55123
(612)435-1392
„
. ?.
_?. ,. . . _
-,.. ..
' T hera'by ack;nowledge that I haug read: this.applicationand s,tate that the' ;
3nfiormation, ;is correat a`nd ata?,comply with all, ap#?lics?h3?e sta?te ef?n.
?1't8t1}'?E'1 df7C?E?rCiYt'???5`? E'BC?,R -1?f'?4.fiC18RC??$
?.?? ?
APPLICANT/PERMITEE SIGNATURE IS AM4 ED B SIG ATUR
CITY OF EAGAN ? ?
?
lqqC1996 3830 PILOT KNOB RD - 55122 ' ?? •d
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
= n (i.. ( t
New Construclion Reauirements Remodel/Reoair ReaWrements
? 3 registered sita surveys ? 2 copies of plan
? 2 copies of plans (InGude beam 3 window sfzes; poured fid. design; elc.) ? 2 sile surveys (exterior adddions & decks)
? 1 energy calwlalions ? 1 energy plculations Tor healed additions
? 3 wpies of iree preservation plan H lot platted after 711193
required: _ Yes _ No ?y
DATE: IIIN Y 30 CONSTRUCTION COST: ??2eo
DESCRIPTION OF WORK: ?ee-K /????«L°?????
STREET ADDRESS:
LOT ? BLOCK #1041Z
_o? SUBD./P.I.D. #: C D /V C
&5 M4 IAa "- ,?,
9 PAsr W 664?l IWAI;
f0 V7`N A0.0/T/DAl
PROPERTY Name:iffCd koTH Phone #: 73,57 13 /??
OWNER "
""
Street Address, qET7 /yoelz ON 6 /9
City: State: Zip: a Y,23
CoNTw?croR Company: ' Phone #:
Street Address: License #:
City: State: Zjp:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and gre to compith all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ( ?
Signature of Applicant: C?C..". `"'" W
.5 ?-&-1° i
OFFICE USE ONLY RECENED
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No _______________
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 .= plex
WORK TYPE
? 31 New
? 32 Additiori
0 33 - Alterations
?* 34 Repair S
1 `
GENERAL INFORMATION.
q? ?' ?? "?„ ?•. ???;
`? ' •. .
? ? .
? 11 Apt /Lodging o 16 Basement Finish
? 12 ..Multi Repair/Rem. ? 17 Swim Pool
0 13 Garage/Accessory o 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
.. ?.. . ?
?-
Const. (Actual) Basement sq. ft.
(Aliowable) ' Main level sq.-ft;,
UBC Occupancy `sq. ft.
Zoning sq, ft.
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Pianning
Building
MC/WS System
s City Water
Fire Sprinklered
PRV
Baoster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% 5AC
SAC Units
. ? ?" _ _"?`. """ . ?
,rtiPicate for: Soe Miller Conatruction 13015 Cedar Ave. 30. Plan No. 90041
1lople Valley, Mn. 55124
L
DElnn.:R H. SCHWANZ
U1ND SUR V!?OR '
Rp1stwM UnGM Laws ot The StaH w MIneHOta
Mk 7Y78 - 146TH STREET W. - BOX M RO{EMOUNT, MINNEWTA lCOp ?NONE 611 423-778Y
q?
SURVEYON'S CERTIFICATE
?z c, . 3Z 5 8/- ??_ /S
L D 7- ? g
\ Z \ S
\ 6 c? ?is 9b7 ?B \
? Drainage & utility
easement 4- q?+?shi
I 3 !? ? •
A t ?
SCALE: 1 inch as 30 Peet \? ti? ?°? ??c? ?•?
. 0 Denotes aet wood hub
tack 'nie.zDenotes exiating elevatlon ??°? °-
3r. -Denotea prnpoeed finished
grade sr \ // ,, .z
Proposed y 7 ?nb
? garage floar
elevation °f 34.?0 ?
° 4. \tu.1i?.M v / ?t
I hereby certify that thia ie a true and \N, AAk^
correct repreaentation of Lots 1 and 2, Bloak v•? ?? ?
2, CHffi MAR EAST FOVRTH ADDITION, sooordift bo
the recorded piat thereof, Dakota County,
Minnesota.
Also showing the location of a propoaed building
as ataked thereon, % 4?'
Dated: May 5, 1981
MINNESOTA REGIS RATION N0.8828?
l
CITY OF EAGAN
CASHIF_C,: JS TEFMTNpL N0: 767
L1AiE- 12/1.0/33 TIME: 07:02.1.6
ILi :
NAME: LEE AL4.EN RERGLUND
3210 3001 111C Y,IFF:WCt DR i.2.°i.?_5
2155 9001 i.110 Y.Ifit;WL, Dfi 3.00
3210 3001 4563 HOR7:ZON CI 125.25
21.55 9001 4563 HOf;IZON CI 3.0[0
32A 9001 4555 HOFIZON CI 12J.^C.5
2155 9001 4555 HOFIZON C:7: 3.00
To+,al F:eceip+, Amount,: 384.75
cR1zi.ozo
USE:R ID: lpN
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
^ ? U f\ ? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructlon ReauiremaMS RemodellReoair ReauiremeM9
? 9 regktered site surveys showing sq.IL of lot, aq. R of house
and all roofed ereae L20% maximum lot wreraae allowed)
? 2 copMc ot plans (show beam 8 window stres; poured fnd. design; ete.)
D 1 set Menergy ealculationa D 3 rnpbs oltrea precenatlon plan H bt plaCad a11x 711193
DATE:
? -
DESCRIPTION OF WORK:
Y eopNc oi plan
1 aet of energy ealeulations kr huted addWons
t s%e survey Porax4rior additions d deeks
CONSTRUCTION COST: ?C" , ?
?
srREeraooREss: V555 ~ 5 7 / /-1b,e/270N C,14,CZ?
LOT: ? BLOCK: -?)- SUBDJP.I.D.#: C?A n V \`? cU-?A-
?}, a 1 Z
Name: C'm<s 4w Z410.4 Phone #:
PROPERTY LaSt First
OWNER
Street Address:
City
State:
Zip:
Company: 66ef? Phone#:
(area code)
coNrRacTOR ?? 6d /??I??{?ClS ?9f/?, ?bas/ Ex
Street Address: License # p. ?
cny NM?K2015722 stgree: /i?/ zip: SS'/7o
ARCHITECTI
ENGINEER
Telephone #: (
5treet Address:
City
State:
Name:
Regisvation i{:
Zip:
Sewer & water Ikonsed plumber (new construction onlvl: Telephone
PeneNy applies when address ehange and IM ehange is reques0ed once pertnit k lesued.
I hpreby ecknowledge that I have rad this applkatbn, state that the informatlon is corrxf, and agreg to
of Eagan Ordinances.
OFFICE USE ONLY
S1atuEes and CR
Certificates of Survey Received _ Yes _ No ?
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 0 17 Garage ? 22 PorchlAddn. (4-sea.
0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
Demolish Bidg.' ? 41 Wood Stove ? 45 Fire Repair
Demolish (Interior) ? 42 Reroof
' vive PCA handoui io appiicant for demolition permii
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump -
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
i
SAC Units
% SAC
:ity oF eagan
MUNICIPAI CENTER
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122-1897
PHONE: (612) 681-4600
FAX: (672) 681•4512
April 9, 1992
MAINTENANCE FAqUTY
3507 COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE: (612) 681-4300
FAX: (612) 681-4360
To Whom It May Conern:
iHOMASEGAN
Mayor
PATRICIA AWADA
PAMELA McCREA
TIM PAWLENTY
THEODORE WACHTER
Council Members
THOMAS HEDGES
CMy Atlmininsirator
EUGENE VAN OVERBEKE
Ctly Clerk
The property addressed at 4557 Horizon Circle (property ID # 10-
17153-020-02) had a delinquent utility bill of $345.00 certified to
the 1992 property tax at Dakota County January 1, 1992 and is
included in the 1992 tax statement. This assessment was approved
by Eagan City Council on September 3, 1991.
Special Assessments Department
Deanna Kivi
jA? cQ
-11D, - f3 7, ?,
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY
Equal Opportunity/AHirmaflve Action Employer
PERMIT# 4gyj D
RECEIPT DATE:
MIDFPTIAL PLU14I$IRfi PF"iT APPLICATIOR
crrY oF EAsAn
S$SO fILOT KAOB iiD
EA6Aft, MA 551 EE
651-691-4675
Please complete for. single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: L-I E1?f-?.7rv'? l 1 i2(` IP,
OWNERNAME:: T-pC?IC,`-T KY7?' "? TELEPHONE#: UJ`'? ? ?-I?S- I?Z
(AREA CODE)
INSTALLER NAME: ??.4? TELEPHONE #:.(OSI I t-FU
(AREA CODE)
STREET ADDRESS: I?'I ? U S 'T yJ I•
CITY:
STATE: K) K) ZIP: _Sa:A0a
Place a check mark next to the permit work tvpe
Modifications that alter living areas, such as adding new fixtures to Iower level $ 50.00
areas or additions
? Modificationlalteration to existina dwelling unit, including: $ 30.00
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• water softener, water heater, air conditioner
Nature of work: i l 4?_ y___r_ RC o_???? ?1 ??o a rp rL
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires two sets of plans
• requires MPC license
Abandonment of septic system $ 50.00
Water turnaround - existing dwelling unit $ 50.00
• 5/8" meter (if required) 118.00
State Surcharge
-- $ .50
l
t
T T
o
a
I herebyacknowledge that I have read this applira[ion, state }hat the information is correct, and a9ree to complywith all applicable City of Eagan oMinances. It
is the appliranPs responsibility to noti(y the property owner that ihe CiTy of Eagan assumes no liability for any damages caused by the City during its nortnal
operational and maintenance acUVities W the facilities consWcted under fhis permit wifhin Ci ropertyfright-of-way/easement.
SIGNAT RE OF P MITTEE 1r02
Use BLUE or BLACK Ink
r
I For Office Use
I ~ J
Permit #:®3 70
City of EaRd
c~ " I
Permit Fee: 17
3830 Pilot Knob Road ' w I 3-1 ~ I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Mp~ 1 g j Staff: I
Fax: (651) 675-5694 I l
- - - - - - - - - - - -
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -3 I j 2c~lZ Site Address: 14 c_..t P-C -45 t 6A&1 65123 Unit
Name: G AA cart-_ --t S Phone: (5 P- 59
RESIDENT /
OWNER Address/City/Zip: 4555 " v--t-zcatA (-%p eA--Ar► M1,1r -.2-3
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I)V--C-1L- 00
Construction Cost: _A'P VV-)t t 2tit ono Multi-Family Building: (Yes / No Z
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/ vl yr i
C X G'i1/l 0 T m 6 v i' lda~Y+a Lvr4S hvc4c~~ % g 7 9 n/v #4Ljn-,(eJ Suv' s w~71 ,fuz ~rup fed ,
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 and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide 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.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 State Building Code must be completed within 180
days of permit issuance.
x x i~V o-yl Mo g-49-1 s
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE A-) V70
SUB TYPES
Foundation Fireplace _ Porch (3-Season) Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi k Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy _ LAG -1~ MCES System
Plan Review Code Edition SAC Units
(25%_ 100% z) Zoning R42 City Water
Census Code Stories Booster Pump
# of Units / Square Feet PRV -
# of Buildings t Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) -JOE Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: - Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector ¢'r
RESIDENTIAL FEES 3`73 3 00
o~
Base Fee la 3
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
..Certificate for: . AS Joe Miller Construction
Plan No. 90041
1,015 'Cedar Ave. 30'..
App a ;Valley, Mn. 55124
dew, Lj z
DEL~MAR H SCHWANZ
LANDSURVENOR
Rapisterad UntlN LAWS of The State of Minnesota
2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 86M PHONE 912 423-1789
SURVEYOR'S CERTIFICATE
l ~o. 3 S 8
in Z
LOT. LOT
-mss
Drainage & utility s'o Y ~a
?3 easement q3b 1 D
SCALE: 1 :inch 30 feet \ tik "
o Denotes set wood hub &
.3
. tack \ ~u \
%ol-Denotes! exilsting elevation
3r. -Denotes ? proposed finished
i
grade s'l, g
A
M
Proposed garage flood ,r \ ~p-1'kWg ~ ~ .
elevation C~ 3 f ? 4.. °u /
ti~ ~~►y
I 'hereby certify that this is a true and
correct repreaentaton of Lots l and 2, B1. ck
2,' MW MAR EAST 1'01URT1f ADDITION,, accord
G~
the recorded plat thereof, Dakota County.,
Minnesota.
Also showing the location of a proposed building 30
as staked thereon.
Dated!:: May 5, 1981,
EAGAN
REVIEWED
.
BY.
ff it
III TIONS DIVISION l
MINNESOTA REGIS RATION NO. 8625
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118440
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 4555 Horizon Cir
Lot:1 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-010
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Evan P Morris
4555 Horizon Cir
Eagan MN 55123
Maus Construction
13432 Geneva Way
Apple Valley MN 55124
(612) 703-5025
Applicant/Permitee: Signature Issued By: Signature
I
Use BLUE or BLACK Ink �
�-----------------
� For Office Use �
C` j Permit#: ����� � j ��i
l�y of �a��� RECEIVED � PermitFee: � 1 �7 ��� �
3830 Pilot Knob Road � I
Eagan MN 55122 SEP 19 2014 ; Date Received: � �
Phone:(651)675-5675 I •+� �,�yr
Fax:(651)675-5694 i Staff: ' �I /v �
�------ -------- 1 '
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION J
Date: � I~' �` Site Address:�t-�.5� �iE:�-r'Z�.�-� C'ii 2 �F�G ff/`� ,�l'1/� ���Z�Unit#: ��
r�
Name: �='�'�� /�����j Phone: �tj��:��7��`����7
, Resident/
� '.,Owner � °�� Address/City/Zip: ��.�.� f�c1�a z.c�iJ �y2. C�6—/�J �� v��"!�Z_5�
! Applicant is: Owner ' � Cantr`actor "
� � � Descriptionofwork: '��,YVtiu��(� � �.,I�t-��'1� �
Type of Work'_ `
Construction Cost� Z- ,��� Multi-Family�uil°ding:(Yes /No �)
Company: Contact:
+ .
+ .
Contractor ; Address: City:
State: Zip: P e: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please ex�lain why: (see Page 3 for additional information)
1��� �� .
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:
$ewer&Water Contractor: Phone:
NOT�:�Pl�ns a`nd supporting doc`um�nts:that yq�sub�►nit are con�ide�re�l to be publ�c�nforr»at�on Po�t�ons o� t
the,information may be`classified as non public+f you,pravitle spec�fic reasons thai�rv�'uld�permit the Crty#o
;
� '�� � � � � �����` �� ����". con'lude that the�'�are trade"'se�ret�.,�;�� � ' ��� � T�
.
� � . �
�� �° �,� .°� � .
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.aopherstateonecall.or4
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x L I�'��-� �7�5 X ��ic,..�-:--
� 7-�'�^
Applicant's Printed Name Applicant's Signature
Page 1 of 3
��a5 ����� �c.i�- /c� 7c`�J�?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
�"01 ofp�Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall "Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation �� Occupancy ,,l�ZL► "'.� MCES System "
Plan Review � � Code Edition � SAC Units --
(25%_100%_Y) Zoning p j� City Water —
Census Code L13 y/ Stories Booster Pump ""'
#of Units 1 Square Feet � PRV ''"
#of Buildings l Length — Fire Sprinklers '-'
Type of Construction � Width ..�-
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
� Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FE ���' /���� �= ���� °�..
Base Fee �
Surcharge
Plan Review �7��
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies +'
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
� r----------------�
I For Office Use �
� � l0� ��53
�
Clt of Ea �� j Permit#. I
Y � �
� Permit Fee: ��� � U� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: Q�� �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff:��__�
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION '� y
��a
Date: � b�1 2� 1 SiteAddress: -���� {-��R--�Z,:%1� c��. , �;�i. /�o�,�i� 55%2,� �
Tenant: Suite#:
: ' �
Resident/Owner
Name: �%�� ��(�(2-�� Phone: �5�2.- ,�j�(+-(�-Ll,lc,�j-�-(,
Address/City/Zip: �-}-��-��- " -� �Jv!7 3
Name: License#:
COt1tCaCtOC Address City:
State: Zip: Phone:
; Contact: "" Email:
T e of Work "New _Replacement V Repair _Rebuild _Modify Space _Work in R.O.W.
Yp —
Description of work: � IvMb►' -
RESIDENTIAL
Water Heater
Water Softener /
Lawn Irrigation �RPZ/_PVB) /
Permit Type �dd Plumbing Fi�ures �� Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
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.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.
x (�i�"✓�� !�� x �/f,�t��i��' .
ApplicanYs Printed Name ApplicanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Finai
Mefer Related Items: 'Meter Size Radio Read Manometer; Staff:
Use BLUE or BLACK Ink
r For Office Use
alt 0� Eapft Permit#: / / / . �,\ 0 Permit Fee: /-,2" ...C?
3830 Pilot Knob Road '
Eagan MN 55122 :-N, -..,.. --1
Date Received: `i
Phone: (651)675-5675 Q.
Fax: (651)675-5694 Staff: A 1C"1
2017 RESIDENTIAL BUILDING -5-37 PERMITAPPLICATION
/U
Date: o h/7 Site Address: QS-3T W/oe f7 o.J ('-#2,:i: C7'if i J Unit#:
T
{
I{
A
1 Name: ( 1M"7✓ //(cA 5 Phone: 9 S ,2 -s917 5 PP
Resident/
i Owner i Address/City/Zip: /37f 7 /moo&t—,Z zejiziLl 4t,°/°b v /kr" .�S72t
11 Applicant is: XOwner Contractor
Type of Work Description of work: /CLOD iG�-!.� Oa' I Jr?Sv/ �t yy/I 7�/( I `�
3 l Construction Cost 4 }C2C) Multi-Family Building (Yes /No
Company: Contact:
Contractor
Address: City:
k I State: Zip: Phone: Email:
I
i License#: Lead Certificate#:
F,
If the project is exempt from lead certification, please explain why: \
_,2 4u»x.M...n,.wrnvmvxw«rcae.c ma-... w..ro:wr.+.«+nowxm mw.w..v. Nw..m ue mamaa+x..m,mm+wsmar„ama+..m w.... ._a ,.nwnwxra+.m:.v...xvw.v.rna e ., X we rcv+w+-..e
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:
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone: I
I
3 Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 1
the information may be classified as non-public if you provide specific reasons that would permit the City to 1
conclude that they are trade secrets. s _ , __
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x �r/4-al /I�vrr, J
x (/J/t
Applicant's Printed Name Applicant's Signature
Page 1 of 3
) `/'� � ��
0 I `D0 NOT WRITE BELOW THIS LINE9/1).-LT-7:_t)-
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION _
Valuation `( o ✓Occupancy RC- 2- MCES System
Plan Review Code Edition by ✓1 SAC Units
(25%_ 100%k') Zoning P-9 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction ti/ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) )p Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1 r r l , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3