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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 ' v!�� a � 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