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4562 Horizon CirCITY OF EAGAN Remarks AdditiDn LIM MAR FAST 4th ADDITI08 Lot 1 Rlk 1 Percel 10-17153-010-01 Owner Uu?, i ' Street 4562 Horizoa C12'C1Q State Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. 196-1 1191-76 5 5 STREET RESTOR. GRADING -1151 1983 729.95 145.99 5 SAN SEW TRUNK 7 2 1973 106.90 5• 35 20 *SEWERLATERAL 1983 18$1.$9 370.32 5 * WATERMAIN 1983 $ WATER LATERAL WATER AREA lq 1983 370.00 74.00 5 *Services 1983 5 STORM 5EW TRK 150 1983 379.56 75 . 91 5 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 40 0 WATER CONN. . 4212100 BUILDING PER. 74 SAC it PARK ... r UF EAGAN Remarks -- ? ? 'f • ? J `{ ( J (7 Addition CHffi MR EJOT htb ADDITION Lot 2 Blk 1 Parcel 10-17153-020-01 Owner ) `• Street 564 H°rizon Ci2'Cll° Srate ' Improvement Date Amount Annual Years Paymenx Receipt Date STREET SURF. ].9H3 1191.76 238.35 5 STREET RESTOR. GRAOING ?5l 1983 7 9. 145.9 5 729.95 C008002 9-17-82 ' I SAN SEW TRUNK Zz 53.50 A011241 7-9-82 • SEWER LATERAL 1851.59 * WATERMAIN lggg 5 WATER LATERAL WATER AREA 7 370.00 *Services 1983 STORMSEW TRK 1? 1983 379.56 75.91 5 379.56 C008002 9-17-82 STORM SEW LAT CURB & GUTTER 51DEWALfC STREET LIGHT WA7ER CONN. BUILOING PER. SAC PARK CASH RECEIPT l,?\ CITY OF EAGAN 2 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RFCEIV6D PROM AMOUNT $ 17 & DOLLARS ' oo ? CASH ? CHECK 4.1 FOR • ?..:•d?J't?-1 ?? ??? ' ' 7?" Lp FUNO CODE AIAOUNT Thank You ? OL. BY A Vlfhite-Payers Copy Yellow-Posting Copy Pink-File Copy r;?. : Jwr^:rL. . _ . ? CITY OF EAGAN - v 3795 Pitat Knob Road Eogoe, mN SS1 Z! 'PHONEs 454-8100 ? BUILDING PERMIT ral+9. OW Sitt Addreu ' ''' ' ? Lot Block Sec/5ul). - - ; ` ? • Parcel # oc Name ._ ° i ' - r• W ; Address b Ci Phone • ' ? Name u0 ? Addreu r r;.., n?...-- Name _ Address 1 herehy ocknowledge that I hove reod this opplicotion ond state thot the inlormotion is torrect ond agree to comply with all npplicnble State of Minnesota Statutes and City of Eogon Ordinonces. Slpnoture of Permittee A Building Permif is iuued to: all worlc sholl be done in occordance with ell opplicab{e Stote of Mir Buildin4 Officiol Receipt # Erett 0 pctuponty Alter p Zoning Repoir ? Fire Zone Enlarga ? Type of Const. Move ? # Stories Demolish p Length ` Assessment Water 8 Sew. Police Firo Er?p. - Plonner CounCil Bidg. Off. APC Ft. Pe?mit Surchorge Plen check SAC Water Conn. Woter Meter Road Unit Totol on tha express condition that ond City of Eagon Ordinances. P9rmit No. Permit Holdsr Misc. Permit No. Holder Piumbing H.V.A.C. ?jt?O? ????i Well Water Disp. 5ewer Electric GU 7-64 z'l 4-8 Inspection Dste Insp. Other Footings Foundation Framiny . O• ? Rough Plbg. Rough HVAC Insulation Final Pibq. ? Final HVAC Ffnal •? Water D i6e Loeation: 4 Wall ? i'y?E??•sa?r Sevuer ? Pr. Disp. . :. , cirr oF EAGAN . 3793 P1kF Knob Itood Ea9an, MN 55122 PHON E: 454-8100 BUILDING PERMIT To be wed for ' Est. Volue Site Addrcu Lot Block Sec/Sub. - Parcal # ac Name W ? AUVrQss - - ', Recelpt # Erect ?" Occupancy Alter ? Zoning Repoir ? Fire Zone Enlorge [) Type of Const. Move ? # Stories Demolish p Length Grnde rl Depth Sa. Ft. g Name ?? ?U Address ~ Cit Phone ? WW? Nome H =Z Addreu I hereby acknowledge thot I have reod fhis opplication and stote thnt the intormation Is correct ond ogree to oomply with cll opplicoble Stete of Minnewto Stotutes and Clty of Ea9an Ordinonces. Siprwture of Perrnittee /1 Buildir?p Permit Is issued to: oll work sholl be done in occordoexe wlth oll oppliaoble State of Mir Buildinp pificlnl Assessment Water 3 Sew. Police Firo Enp. Plonner Counci I Bldp. Off. APC Permit Surchorfls Plan check SAC Woter Conn. Water Meter Raod Unit Totol _ on the express condition thnt City of Eaflon Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing tloZ H.V.A.C. 025 4'4'MI(Ew ~ S 2¢'br Well Water Disp. S?war Electric (,J Z(DYZ7 /it,'oJ`0.?.. Intpection Date Insp. Othar Footinyt Foundation Framinp Rouph Plbg. Rouph HVA Inwlation Final Piba ,enwo-zz Final HVAC Final • "A Water Deseribe Locstion: YWII Sewer ` Pr. Dbp. ? / 1j, MECHANICAL PERMIT ?G • 7°17- &? CITY OF EAGAN RECEIPT # 4I1) °O 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ? ji, ? Site Address y ° 41 ; I Lot Block 'i SeciSub - ? L Name m ? Address ?, ?{ =' •? • ?' i IF' ?? ? ? ! i c City }'?? ?Ik ?j f 1_-!Phone J? ? i . Name c Address O Ciry Phone ? . TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping OuUets # r. • ? _ M BTU ' R _ M BTU $ _ M BTU ? _ M BTU $ _ CFM ? FEE i < < < S/C: % TOTAL: BLDG. TYPE WORK DESCRIPTION Res. ? New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE ? APT. BLDGS. - COMM. RATE APPLIES ; TOWNHOUSE 8 CONDOS - RES. RATE APPLIES { MINIMUM RESIDENTIAL FEE - ALL ADD-ON S ? REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) FOR: CITY OF EAGAN ; Receipt MECHANICAL PERMIT CITY OF EAGAN Permit No. Fee ? • Fill in numbered spaces S/C Type or Print /egiWy Tot. 1. Date 2. Instaliation Cost a^ 3. Job Address Lot .?. Blk. / Tract ^T 4. Owner 5. Contractor Phone I 6. Address 7. City State Zip 8. Building Type: Residential ? 9. Work Description: New 0 1 10. Describe 1 11. Type No, Eauioment BTU - 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. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Commercial O Institutional ? Add ? Alter O Repair ? Reoeipt MECHANICAL PERMIT Permit No. _T I CITY OF EAGAN Fee FiIJ in »umbered spaces S/C TypB or Prrni /egibly Tot 1. Date 2. Installation Cost 3. Job Address LotBlk. ? Tract %, . 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential El Commercial ? Institutional O 9. Work Description: New El Add D Alter ? Repair ? I 10. Describe Fuel Type I 11. No. E,quipment STU - M. Ea. Forced Air No. Equipment CFM Ai H li Mfg, ng: r and 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 Reoeipt PLUMBING PERMIT Permit No. Zq o 2- CITY UF EAGAN Fee Fill in numbered spaces S/C Type or Prini legib/y - Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. 4wner 5. Contractor c•liiro ec. --fCOS Phone 6. Address 7. City State Zip $. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 13 Repair ? I 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify 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 F i nal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? Receipt PLUMBING PERMI7 Permit No. CITY OF EAGAN Fge Fr I I in num bere d sNaces S/ C . Type or Print legibly Tat. 1. Date 2. Installation Cost / i 3. Job Address Lot ? Tract ? 4. Owner ? ? ' ? ? 1 ( ,? ?? ? f _ ?r? - , ? 5. C.ontractor Phone 6. Address 7. CitY ' State Zip ?- 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter )6 Repair ? 1 10. Descri be 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Ldvdtory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray 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 ordinances and codes governing this type of work. Signed : fos Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prrnf /egib/y Permit No. Fee ? S1C ' Tot 1. Date 2. Installation Cost 3. Job Address' i tori ? nn Lot ? Blk. I Tract rCl^ ' . , 4. Owner ? ?• ?..v. ? = ,.- 5. Contractor c :uire Pech. $orYlces Phone 6. Address !.t 7. City State i- Zip - 8. Building Type: Residential D Commercial ? Institutional ? 9. Work Description: New ?. Add O Alter O Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Showrer Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that tfie above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Final Rough Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved GITY OF EAGAN 454-8100 CITY OF EAGAN 3795 Wloe Knob Road Eagan, MN 55142 Zoning: ? I Owner: Address: Si[e Address: Plumber. SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: I e9re+ M eomply wlth the Citr of Eagon Ordinances. R., Dete of Insp.: I nso.: Connection Charge: ' Account Deposit: Permit Fee: Surchorge: Misc. dwrges: Totcl: Date Paid: WATER SERVICE PERMIT cITir oF uciaN 37115 Pllot Knob Rosd PERMIT NO.: Eagoe, AAN 55122 DATE: Zoning: No. of Units: ? c- - Owner: - , - . Address: Site Address: - j74,i-i "? rr"' Plumber: Meter No.: Connection Charge: Size: Accaurrt Deposit: Reoder No.: Permit Fee: 1 egros to oomply with the Gty of Eegon Surcharge: Ordinonees. Misc. Ciwrges: - Totol: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEVNER SERYICE PERMIT 3796 P#lot Keo6 Road PERMIT NO.: %gan, MN 55142 DATE: Zoning: . No. of Units: Owner: _ ';? 11eT ('ot _ Address: i.- . ..'r ? ? ^? ••- Site Address: '- - - - ' r. i ' ?' Plumber: I agree M oompty with tbe Gty of Eogon Connedion Chorge: Ordinanees. Account Qeposit: R., Dcte of Insp.: I nso.: Permit Fae: Surcharge: Misc. Charges: Totol: Date Paid: CITY OF RAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagoe, MN 55122 DATE: Zoning: . No. of Units: Owner: =oGe,.}, (•,) , eader No.: egroe M aompiy with !he City of Eagan Connection Chorge: = _''1 110 nr? Account Deposit: ? Permit Fee: Surcharge: Misc. Charges: Totol: Dcte Paid: _ i , CITY OF EAGAN 3795 Pllof Knob Rmd Eeyen, MN S5I22 PHONE: 454-8100 BUILDING PERMIT Te M uaed 1e. 1I2 DU= & GAREsf. Value %9,0()0 Site Address 4564 Hbrizon Gi.rcle Lor 2 eiak I_ secisub. Q1es Mar Fast 4th Parcel # 10 17153 020 Ol w Nome ` Z Addreu 9 e,,, Ave. , ? I Name OWMr OU Addreu Nome _ Addreu 1 hereby ackrwwledge fhat I hove reod this applitation ond state that the intormation is correct nnd agree to comply with oll opplicoble State of Minnewto $tatutes and City of Eagon Ordirwnces. Signoture of Pertnittee A Building Pertnir is Issued to: JOSE'All oll work shall be done in accordance with all Buildiny Official NY 7275 Reteipt # pl( ? Date n y 17 _ 1 q 82 er«r ? R-3 acuvo??r Alter p ?pn Zoning Repalr ? Fire Zone NA Enlaroe ? Type of Const. V Move ? .# Srories Demolish ? Length 39 Grade p Depth 45 Sq. Ft.- Aoorovels Fees / Assessment _ Water 8 Sew. Police - Fire Enp. Vlanner - Council _ Bidg. Off. - APC _ Permit G/O:Wv Surchorge 24!750 Plan check 139.25 snc 525.00 Water Conn.420.00 Water Meter 60.00 Road Unit 740-00 Toral $1687 5 on tha express Cordition tM9 y of Eaqcn Ordinances. ? ' CI`TY OF EAGAN N9 7274 9795 Plloe Kneb Read Eegen, MN 551'l2 - PHONE: 454-8100 BUILDING PERMIT Receipr # Te bs wsd 1or 1/2 DUPLEX & C*AR Est. Value Y+9r000 Date MsY 17 1982 Sim Address470G Lat 1 81ock Parcel # 10 ,' W NameJvbeNi1 ri, rutter unINL.., li1c. ; Address 14115 Guthrie Ave. a _ e,,..i,. Ir..Ii,.,. p I Nome (1a'+ar u?? Address f- r;w o?.,..._ Nome _ Address I hereby ackrwwledge fhat I have rend lhis applicotion ond stote chof the information is correct and agree to comply with oll opPlicable S1ofe of Minnesotu Statutes and Cily of Eogan Ordirwnces. Sipnafure of Permittee A auciei„9 re,,,,ir i: i::usa ro: Joseph M. Miller Cons I all work sholl be done in accordonce wifh all opplica le fote of Mir Buil ing Officiol Erect EK OccuponcY A-} Alter p Zoning (PD) R Z Repoir ? Fire Zona NA Enlarye ? Type of Const. V Move ? # $tories Demolish ? Length 39 Grode ? Depth--5 Sq. Ft.- Approralt Faea Assessment Permit • Water 8 Sew. Surchorge 24.50 Police Plan check 139-25 Fire SqC - 525.00 Enp, Woter Conn. 24 0.00 Plonner Water Meter 60.00 Council Rood Unit.240_on Bldg. Off. APC Totol 6R7 _ S I TnC . the expreu condiHon tlun Stat nd Zf Eagan Ordinances. '.IX-? (??? CITY OF EAGAN Include 2 sets of plans, ? 1 site plan w/elevations & BUILDING PER1iT pPPLICATION 1 set of energy calculations. Gq f- 'Ib Be Used For "' t1-- Valuatioff-f%4ad?7/9 Date 4-20-82 Site Address: 4562 Horizon Circle OFFICE USE OrII,Y Lot 1 Bloclc 1 S e c./Sub. Erect v OccuPancY ?-3 ? y?- Parcel Ches Ma"4'th Add - jo i-1i$3el/oe( Alter Zoning _?Q Repair Fire Zone ?p Qaner: Joseph M. Miller Const , Inc. Enlar4e _ Type of Const. Address: 14115 Guthrie A Move # Stories ve. Demplish Front eq ft. City/Zip Code: Apple Valley, MN 55124 Grade Depth ft. Pho 454-4753 # ne : APPROVALS FEEs Contractor: Same Assesss[ents pennit ?9 7'$ Address: Water/Sewer Surcharge .2 y ? City/Zip Code: Phone #: Arch./Eng.: Prldress: City/2ip Ccde: Phone #: Police Plan Check f? y Fire SAC 9- En9• Watex Conn. .?a D , Plannes Water Meter ?d = Council Rc>ad Unit Blclg. Off. P.PC mTAL ? j1eT7 t . . ? .?? . ? ' - -Ch--7CITY Cr , ., Iacltx]e 2 setia of plans. ; , 1 sita plan w/elevatians 8 H(JIIDING PE[?T?¢T APPI.ICATIM _ I eet of anssgy calcv1ftiCM- . , • }?bu¢?f?91'Ga,(' ? Dabe 4-20-82.` 1b HE UBE? FbZ' tdeoo-itom?- ?/g111a?.0I! . :. ?Y , Si? p?gg; 4564 Hori2on Circle ?•i ?= m Lot 2 8].ocic 1 sec. /5ub pay,cE•l $; Ches Ma?Q4th Add jp i11S3 0zo?? oWrar; Joseph M. Miller Const, Inc ? Addresg; 14115 Guthrie Ave. C1ty/Zlp Oode: Apple Vslley, MN 55124 Phaw #: 454-4753 Cb'ltr9CGpr; Same AddrwS: City/Zip Code: Phcne N: Aach./fltig. Addtess: City/Zip Code: PYIa[fe N; REQUEST FOR ELECTRICAL INSPECTION es-oow.-__ Ilp See instmctions lor completing this form on back o1 vellow coOV. E?. 4 3 91 7 "X" Below Work Covered by Ihis Request Adn neu. -:rwas?'euuei oe AooiLancas Wirea Equiument Wired Home Fange Temporary Service Duplex Water Hea[er Lightiny Fixlures Apt. Building Dryer Heciric Hcatin Commercial Bldy. Fumace $ilo Unloader IndustNal BIAg. Air Conditioner Bulk Milk Tank Farm otnrr oeci v 111c, ISU"WI lnP, suc.:ifv ther om., ompute lnspectian Fee Below p Fee ServiceEntrenceSize H Fee fexdees/SuMeetlers % Fex Circults 0 to 200 Am s 0 to 30 qm ps 0 to 30 Am > Above 200_qmps 31 to 100 Amps 31 to 100 Am s Swimminy Pool Above 100-Am s Above 100_AmVs Transiormers Irrigation Booms Partial,e Signs Suecial Inspection ? (?_?_ TOT Nertnrks ?v ? ? 'O/ ? 11 Rouph-in DO1N I, the Elec rical iOSOectoq n¢reby cenily thut ihe above Final insoectien hes been i • ?`t meEe. TMS repuest voitl 18 monttu irom 181ronthsfromld E 4 3 817 z i% l. (?Av Reque/st Uate ,J J Fire No. RouPh-in InsVeciirn e ' R ?fleadY Nuw QWill Noti(v Insoec- i Wh ?jyp ?Ye or en Ready ?Licensed Electrical Contrac[or I hereby reauest inspectioo ot above Owner alecbicel work inslalled aC Sveet AdLd/ress. Bon or Houte No. ' CitY???? a) A/ SeFctioti o. Townshi0 Name or No. Range No. County Occupent HINT??? Phone No. Power $upplier AAdress a? ntrac[ lCOmpany Namel Contrdrtor',sOLic.nse N. ? MailinB Address (Canvactor or Owner Makinp Instailationi /?n J.dze .4-- CT Autho - d SignaWre (Convact Owner MakinB IFislallation) Phone Numher ? 4-7 Y MINNESOT/PgTpTEvBOARD OF ELECTqICITY THIS INSPECTION HEQUEST WILL NOi Griggs-Miflway Bidg. - Noom N-191 BE ACCEPTED BY TME STpTE BOARD 1821 Universitv Ave.. SL Paul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS PMnnn Ifi121 F42-OROQ ENCLOSED. 1 n ? A^ REQUEST FOR ELECTRICAL INSPECTION EB-D0001-03 V? ?6 /yL/ 70 See ins4uctions for mm this form on beck of yellow cooV.? -r ?y X."; Below„Work Eovered by Thrs Requp A ? ,30 3Q e Ne Atltl flap. Type of Building Aqpliances Wirad Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg.. Fumace Silo Unloader Industrial BIAy. Air Conditioner Bulk Milk TaNc FOrm Other peci v ther ISUecityl t er Suecify OYher pther ' Campute lnspection Fee Below H Pee ServiceEntrencaSize q Fee Feedars/5vbteeders k Fee Circuits d. 0 to 700 qm s 0 ta 30 qm s 0 to 30 Am s 101 to 200 Amps 37 to 1 00 Amps 31 to 700 Am s Above 200 qmps Above 100_Am s Above 700_Amps Transiormers Remote Control Circ. O Parti2l%Ot Signs Special bispection $ S S /' TOTA S ? marks Re 4 . FEEIp 4 Rouy 1, the Elecbical nspectoq heraby certify that the above Final * ( Da[e_? L ' ¢c hon has been made. This request voitl 18 mon[hs from This request void (O( ? ? I r O( ( C I C . 16 niunths from ? u^J '26427... La, B(,c,tit q -? r6fuesl Data I Fire No. I Fooph-iInsVection Fequired? E]ReaAy Now [?Wlf1 Notity. lnspec- I tgNO or When Ready [y Licensed EI¢cVical Con[ractor 1 hereby requast inspec[ion ot above ? Owner elacVical work installed sY Sveet AdAress, Baz or Rouxe No. ?56c'1 cvnd' zlSbq Horizan Oireu?e City I"o gn ecUOn o. Township Name ot No. flanye No. Coui y ? 0 Ka)? Occupan[IPRINTI I ;50?- r Phone No. Pow/erl/Sup?plie/r Adrlre/ss? . T ElecU?ica/l?ConV/gcmr ICOmpany Nam 1 .r 7' ?• ? ?j Contre,ct/or's/ License No. / < .?e c /?i?c/ MailinB AdJress ICont?rector or Owner Makinp Installetionl 3 (D J S S ? 'C ? e . i J % CJ Authorized SiOnawre (COntract O ner MakinB Installationi ??? • i° ?._?'' Phane Number S3-/9??. MINNESOTA STATE BOAflD OF ELECT0.IGITY TMIS INSPECTION PEQUEST WIIL NOT Griqgs-Midway Bltlg. - Noom N•191 BE ACGEPTED BY THE STATE BOARO 1871 UnivarsitY Ave.. St. Peul, MN 56100 . UNLE55 PROPEfl INSPECTION FEE IS ,,, ,-, - ?.,, ENCLOSED. (I.er#iftrtt#e of (Orrupanry Citp ot eagan 19F}iF[IfrilPlif Of B1tllbtttg -%li}1PIftltlt Tbit Cntificatc iuuul purruant ta tlx requirementr of Surion 306 of nce Unifo+m Buildiag Coda artifyin8 tbat at the timt af itluenrr tbit strrutera war irs rompliante witb t!x va+iaat ordinarurt o f the City ngrdatmg buildmg ronn+ration os are. For tbr f ollowing: 1/2 DUPLEX & GAR aa.7275 pm?eqiyp R3 rypcammsuon V FIn7 NA 2cmro? (PD) R2 a,,,,,a.,,;,_ Josevh M. Miller A„m,14? 15 Guthrie Ave Aacle ewftA?4564 Horizon Circle ?.munLot '>-nlerk 7 rhns Ma+- F 4 ,Y? 1 T>4°' ll lt?t0 ewdft, oredd uaa: Stlrl2 22. 1982 w, 1. . ..cu«u ..nc. V"Tptr#ifira#r nf (Orrupttnry (Citp of (Eagan flPpttrttttcttf at BuilDittg 3ttspctfimt Tbir Ccrtifiratr iJraed parruant to tlx +rquinmcnu of Scaion 306 0( the Uniform Building Codr mti fying that at the time o f itraanrr thit terunun waf in rmn pliance with tbr vuriour ardinaruat of tJxCay nguluting building tontnurtion or urt. For the followieg: U. cbr.? 1/2 DUPLEX & GAR OlecP? No. 7274 `oMwmTYa. R3 'hwc? V FlnZ ` NA zo;na.?, pD R2 a,,,afgadh, Joseah M. Miller ,d,,,14115 Guthrie Ave., Apple ? ne ?'" t116 t ?`?'?O?? By Au4ust 27, 1982 e? otrmd ?tJ p?: .o.. ?. , ?..nw?,. ...u RESIDENTIAL • BUILQING PERMIT APPLICATION CITY OF EAGAN (?? ??( G 3830 PILOT KNOB RD, EAGAN MN 55122 J ? 651-681-4675 , New Ganstruction Reauiremenb • 3 registered sile surveys shawiig sq, ft. of lot, sq. R of house: and all roofed areas (20% maximum lot wverage allowed) • 2 copies of plan showirng beam & wirdow s¢es; pou2d found desgn, etc.) • t set of Energy Calculations • 3 copies of Tree Preservatbn Poan if lol platted afler 71193 • Rim Joisl Defail Options selectlon sheet (bldgs with 3 or less units) DATE 4,fflX(YI r1cA CQ R00. 9 Clt . 2-S RemodellRenair Raauirements • 2 cnpies of plan • 1 set af Energy Cakulatlons tor heated additions . 7 sde survey for exlenor addifions 8 decks • Indicate if home served by septic system for additions da VALUATION ?6 3I ?M. G?',17 3 SITE ADDRESS TYPE OF WORI (,/? J-4(* iULTI-PAMILY BLDG _ Y _ N FIREPLACE(5) _ 0 _ 1 _ 2 APPLICANT U-INNIE,gMA 11111.4=11 INC STREETADDRESS 552 &TAIIIIIIIIII Oft CITY STATE_ZIP TELEPHONE # u, «? 935-9669 Fax952-9359544 FAX # PROPERTY TELEPHONE# ?D°JI • !D5" 3730? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ Wa[er Heater _ No. of Ba[hs Air Conditioning Heat Recovery System I hereby acknowle'dge that I have read this application, state that, with all applicable State of Minnesota Statutes and City of.Eagan Slgnature of Applicant MINNESOTA RULFS 7672 • New Energy Code Worksheet Submitted _ Phone # Lawn Sprinkler No. of R.I. Bat] Phone # Fee: $90:00 , -? Fee: $70.00 Phone # e information is.coqect, and agree to comply.ry 'a;:,,,.,.a? . . ,. . , ..u:. - . ;,.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY . ? 01 Foundation ? 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? ? 02 SF Dweliing ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03. 01 of _ plex ? ,. . 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF , ? 04 02-plex' O` 10 08-plex '? 18 DecK O- 23 , Porcli (screened) 0:::! 3fi Multi? ? 05 03-plex ? 11 10-plex ? 19 Lower level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex . Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FoundaGOn) ? 45 Fire Repair ? 33 Alteration ? 37 Oemolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Wa4er ,. SAG Units Stories Booster Pump Nbr. of Units Sq. Ft. Nbr. of Bldgs Length ire Sprinktered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & 5torage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector i • °U" 01MPI:TATIU?I -jj <j' C4 ? ;.6'r 'f.n: •o- . . . . ' . . ??'?: r?n?rL 19?.? PItMe: ? ? STTt' ADUItI'SS: CONTNni'1C1N:?_.?a.i+..??_1?_ L . i t?eCcrmir.c• an,rkii??1 :;yiuirc Curitagc of each i; 1. 9bta7. c:x1,oseA o-::lll" ...... ._`l(?.__?_ g2 ;? . (_. asq. fl:. x 44jg2?, 2. 7ba1 ronf/cu3ling flCn..l. .•••.. _L.''--:---• -'_ 7bY.al expnz:0d wal7. aren nbovu fleor a. 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E7 . . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cinr oF encaN 3830 PILOT KNOB RD - 55722 651•881•4875 New Conahuctlon ReaWremenh RemodeUReoalr Reaulremenb t aA-a > J reybfereC Yte wrveri showlnp aq.14 d bt, aq. 8. of house ? and pUroofed areaa (20X maxfmum bt covaraae allowern ? 2 coples of plam (show beam & wlndow sizes; poured hnd. deal9n; elc.) n t set a eneryy caiwianona ? 3 coplea of hee preservaMon plan if lot plaHed a?ter 7/1 /93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: ?S ??- - T S lo ?` LOT: BLOCK: SUBD./P.I.D. N: 2 copies of ptan 1 set of anergy calculatlon3 for heated addlHOns 1 siro wrver ror extenor addUnons R decks CONSTRUCTION COST: ? S S 0 0.00 Nome: Phone n: PROPERTY Last FIBt OWNER Sfreet City State: Zip: compan)r ??GGUi1J?9G?SS?I?Sphone#: 6/?" 75-1-5?Ad6 (area code) COMRACTOR Sheet Address: S?? y? ??NN ??US V?5 - License t? oa>a-99 ?xo. 3 01 ciy 1,11?1vnJr T? stote: zip: S S? ti`f ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheef Clty Stafe: uP: Sewedwater Iicensed plumber pf Installinn sewer/water): Phone #: ( 1 hereby acknowledfle Ihat I have read this applicalion, state thaF ihe inlortnailon is cortect, and agree to eomPN of Minnesota Statufes and CHy of Eagan Ordinancea. Signature of OFFICE USE ONLY RegishaHon N: Stote Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES p 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? OS 03-plex ? 11 10.plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 36 ? 32 Addition ? 37 ? 33 Alteration ? 38 ? 34 Repair ? 42 GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning ? 13 16-plex ? 17 Garage ? 18 Deck ? 19 Lower Level Plbg _Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Poroh/Addn. (4-sea.) ? 23 Poroh (screened) O 24 Storm Damage ? 25 Miscellaneous O 30 Accessory Bldg. Move Bidg. ? 43 Reroof Demolish (Bidg)" O 44 Siding Demolish (Interior) ? 45 Fire Repair Demotish (FoundaGon) O 46 Windows/Doors " Give PCA handout to applicant for demolition permit # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building sq.ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance O 31 ExL Ait - MuIG ? 33 Ext Alt - SF O 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC a, I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 66122 (651) 681-4675 New Construdion Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam 8 window sizes; poured ind. tlesign; etc.) ? 1 energy calculations ? 3 copies af tree preservation plan if lot platted after 717l93 required: _ Yes _ No DATE: <r ? L ;2 - g cl RemodeUReoair Requirements ? 2 copies of plan ' ? t site survays (exteAor adddions 8 decks) ? 7 energy calculatians tor heated additions CONSTRUCTION COST: DESCRIPTION OF WORK: R=e-sj-[? STREET ADDRESS: 7- dN ( e. LOT: I BLOCK: SUBD./P.I.D. #: uvo Name: Y/p'J"t'? rs-A-C,?°L Phone#: PROPERTY Last First OWNER n Street Address:?/S- /; a }/0 9-/ 2B iv Ciry ? gro State: /4TJJ I zip: $--S / eZ-.3 Phone #: !?/- " / O Y" oZ jc Y li fLd JJp-. License # 17 q 6 Exp. 7-31-08'0 stace: /'?)N , ziP: 6`5`d 9 4? (;[fi! (,ii:r Phone #: .. ..,,...r IIA r!=:;; It-?;_03 Registration #: zDi i.N(. State: Zip: ';a.?... . ,.,r., ...i.i.i ._ ?11 Ify;7-Cii`.1 `?... i.I .:!r:. c1 ir :i)I }I I,...i,`?.' ...,.. •:?,:;!) ly): . Penalty applies when address ued. i, state that the information is corcect, and agree to comply with all applicable nces. _ ftre of Applicant ?.P„ . .. , (nl'1i. f r r- .. fi i i;' .:.?.7':.. r,s::i. t:° ,. ., , :? t:,; J?;i:: No h^k ' _ No RECEIVED _ Not Required $y; OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03. SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move . ?' 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of Stories. Length Width APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering . Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Planning Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % 5AC SAC Units C,ITV 01= F:!-t(sAN CASH:1:1=:1,:c JS TI_RM:CNAt.. PdtJ: £37S pATIFr 08/17i539 'f'2MIE,: 08:47217 IT4. tdfilfiL., f:UST(1M (iE:i?SUt?E:LEf%f? IP?C 300 9001 4562 I-IOh:f.7L]N C:1: 09.,25 205 9001 4502 IiQR7:ZOfv Cl :3.50 r0'h,].i r{nCi21.p7 A'14i!'?5t: K2. i:l CFti11553(' I.ISI::.FC T..iJL' .lAPd M?Y.v,?%?X'J•,t?#x:m?FXt:i?;:,;,;ok:'nX;F?,".,;t:k?kM%.?/,kh?k?'::;;?X':S<X«,"?X ?:kW. 3 ? 3?I 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 (651) 681-4675 Naw Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? t energy calculations ? 3 copies of tree preservetion plan if lot platted after 7l1/93 required: _ Yes _ No - DATE: i3? - < a - g ? RemodellReoair Reauirements ? 2 wpies of plan • t site surveys (exterfor addRions & decks) ? 1 energy wlculations for heated addftions CONSTRUCTION COST: o(P 6 /d, ? o DESCRIPTION OF WORK: 2eS' iCtL STREET ADDRESS: t?17- a.-) i el LOT: ? BLOCK: SUBD.JP.I.D. #: u1to //iA'12 ? Name: 1/44 CD G?' t1--AC(•G4r p Phone #: (o??J -?cS S` G-? 3$ PROPERTY [.est Fvst OWNER Street Address: 'Vs- ". a mOlP"1 2Dn? city ?F- ," J:i.r, state: 141-A.) , zip: ss i a3 Campany: 0?S Td'rrt- /24e/N- GA3 Phone #: "/ 8'5' a fo Vli CONTRACTOR Street Address: ?f 0 0 T ?j9erfid License # e? y 1{? D Exp. 331-0C'0 ?y? _ Ciry L i N e State: /'/N . Zip: 6?-Sp ?q ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Address: City State: Zip: Sewer & water licensed piumber (new construction only): _ change and lot change is requested once permit is issued. Penalty applies when address I hereby acknowledge that I have read this applicatian, state that the information is coRect, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. ' Signature of Applicant: ??? Q::nz? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No RECEIVED _ Not Required $y; OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const: (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq.ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code Census Units Census Bidg MClES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MGES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ . % SAC SAC Units (a?:???k?.W.?Y'A*?11'?'k?di`i?- Cf;Sh9.T.l-f?. JS !'ti.hMlNAL. i.rl. s3r',5 Di7'T;?:;: OEit'i.r/a'_? 1It1E'.r 00 ;;1.5) " 1i' II! ;: NAME:c CtJSTOM iiE:MrJDE:I_E('i5 TNC; 300 ':JCif.iJ. 4564 FIORT':'iiN rI 1.39.25 21.°,S 9001 4564 FiOf:?IDN Ci: 3.50 ? Tryta.l. Fff3Ce?7.p1; FIIYn]t2i11:' l42.i"r r.^ H55i=...a. USEi: zDg <<ar.! _.i 573 Z-0 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) J ya ?S CITY OF EAGAN - 3830 PII,OT KNOB RD - 55122 (651) 681-4675 New Construdion Re uiraments RemodeUReoair Reauirements ? 3 registered site surveys ? 2 copies oT plan ? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 1 site surveys (exterior addRions 8 decks) • 1 energy wlculations ? 1 energy calwlations for heated additions ? 3 copies of tree preservation plan 'rf lot platted after 7n/93 required: _ Yes _ No DATE: S`/ 2- 9 9 CONSTRUCTION COST: Gt ? Gd, bi D ? DESCRIPTION OF WORK: ?•'L(, p ?p 1'ifi'Zt- 7•45 [l r4 STREET ADDRESS: LOT: °2 BLOCK: ? SUBD./P.I.D. #: `'t'?' Wu"' Name: r,e-!T Y el" 2oi eA Phone #: PROPERTY ast Fint OWNER , Street CONTRACTOR ARCHITECT/ ENGINEER lJ city EA. q /y 0sJ state: ^01J t zip: 5-5- / :t ,3 Company: [?"i" r/C.e,Jn dal Phone #: (0 6`/ -?'18 S(" r2 G g6 Sveet Address: ?? ?J A4 dL?6 License # ??J Exp. 3'377DOo City L i iv e L.Ake-3 State: I zip: S 4,1 'r/ Company: Phone #: Name: Registratior. #: Street Address: City S[ate: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change is requested once permit is issued. I Fiereby acknowledge that I have read this applicaGon, state that the information is correct, and agree to comply with all applicable SOte of Minnesota Statutes and City of Eagan Ordinances. ' Signature otApplicant: ?? / ? ?-- ????/??? OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required IBY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex ? 03 5F Addition ? OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF,Misc. ? 10 _-plex WORK TYPE ? 31 New 0 33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORNiATiON Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? 0 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 . Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Census Code Main level sq. ft. SAC Code sq. ft. Census Units sq. ft. Census Bldg sq. ft. MC/ES System sq. ft. City Water Footprint sq. ft, Booster Pump PRV Fire Sprinklered . Building Engineering . Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: r? % SAC SAC Units L a.v LCITY USE ONLY RECEIPT #: SS70 SUBD. DATE• a? 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit New consVuction Add-on fumace ? Add-on air condiiioning ? F?dd-on air exchanger, i.e. vanee sysiem, eic. oats: d2?(G(o FEES ol Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ? ?c U SITE ADDRESS• /-/?2a ?7ief Zai.? C(e- OWNER INSTALLER NAME• preferred heating & air PHONE #: '5 I 7643 Logan Avenue South ? STREETADDRESS: ? Richfield, MN 55423 CITY: Bus:866-7611 Fax:866-0725 ZIp; PHONE #: ( ) ( . 51U ? C2,c.lm.0 ? l.r?n,n E ? CITY USE ONLY L BL _ SUBD. ?,. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commerciaVindustrial buildings. ? mufti-family buildings when separate permits are DM required for each dwelling unit. DATE: WORK TYPE: _ NEW CONSTRUCTION C014TRAGT PRICE: DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: ? $25.00 minimum fee pi 1°k of contract price, whichever is greater. ? Processed piping - $25.00 ? 5tate suroharge of $.50 per $1,000 of pg= fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL iiTi^.'. A::ir.'?.%.i'?'^: OWNER NAME: TELEPHONE #: TENANT NAME: (iMPROVEMENTS ONLY) INSTALLER: ADDRESS: crnr: y PHONE #: STATE: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. cw 15. 50 Date ! 1 Site Street Address Unit # Prope?ty Owner Telephone # ( Contractor Telephone # ( ) Address City State Zip The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if instailing these appliances). 'Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other Water Softener _ Water Heater $ 15.00 _ new _ replacement _ Lewn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total ' ? $ ' - I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the'appraved plan in the eyent a plan is required to be reviewed and approved. ApplicanYs Printed Name Applicant's nature iFP ? 8 2 005 ? 11 I? 2005 RESIDENTIAL BUILDING PERMTT APPLICATION 0 City Of Eagan v 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 OA4 Y\KA ic)(aa New CansWClbn ReouiremenLS RemodeVReoair Reauiremenis ifice U Onl 3 registered site surveys shaving sq. IL of l04 sq. ft. of house; and all rooted areas 2 copies af plan CeR of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Eneigy Calculations for heated additions Tree Pres Plan Reod _ Y_ N, 2 cropies of plan showing 6eam 8 window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Requlred . _ Y_ N 1 set of Energy Calculations Adddion - indicatedonsResepBcsysfem On-siteSepdcSyslem _Y _N 3 copies of Tree Preservation Plan N lot platted after 711193 Rim Joisl DetaJ Options selection sheel (buildings wIM 3 or less units) Date l p /44_ /(bS11 Site Address LI -,(p , 2 e,? }s?? Construction Cost I$'a 66'0 . Z?C7 ? Cnr OQ Unit/Ste # Description of Work J??Ct)nS ?r?ul i L?, (? ? 6,-.-Q Al d ? a m ?0 Multi-Family Bldg _ Y_ N Fireplace(s) A 0__ 1 _ 2 Property Owner 16 r'?5 ?-r? n2?? C)r? Telephone #((pS`( ) LI,?Z ?.?/ Contractor _SS;n r\n ?$ Address State YYl n/ City eaeuw ui1LP Zip r? I 1A Telephone #((yS 1) 3 7 9- I q 9 n COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan$ _ Y _ N If yes, dafe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( 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 pemtit, 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. J v.sw. L.rulcke.,.d+ Applicant's Printed Name c e, t i : "? (s6rt - 73"5"- T5 i; pplicanYs Signature ' OFFICE USE ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Y or_ NV 25 Miscellaneous Work Types ? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation D DO .? ? Plan Review 100?%/ or 25°a Census Code N3 `7 SAC Units # of Units # of Bldgs Type of Const Y ?3 Occupancy I`'3 MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing _ Fireplace _ R.I. _ Air Test _ Final 3a Insulation Approved Ry: REQUIRED INSPECTIONS FinaUC.O. ?o FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies ? 3Mqeg 3 • Z S Other Total 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ? 3830 P IL O T KNOB ROAD, EAGAN M N 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date l ? I Site Street Address ?/ S? a f?o r?' 7 o ti C<<re- Unit # Property Owner Kr l'5 /? /4,1r ? S O V. Telephone # ( 9S? ? 7 ?{6 - Contractor EXc [C` 3 ` ?/e c Telephone # ( P°Z) Address-7 t R(?trL,..QodS Z?Kc City F?lir'NS, <I(e State/L!-l/ Zip,?S3?77 The Applicant is: _ Owner ?Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are installinq onlv a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) _Other: Jjr vc,lve Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ "V I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start withou a permit d work will be in accordance with the approved p/lan in the event a plan is require o be revieweI and appr ?. Z Applicant's Printed Name App icant's Signature :_......_. : ?,.,??.-..... ..?«.,_.... . _.._.... . .._.. C,ertificate Tor: . _ ? Joe Miller Construction 14115 f3uthrie Ave. Apple Valley, Mn. 55124 DELMAR H. SCHWANZ uanosuavevon RpislerW UnCw L+wt of TnOSMO ol Minnaot+ 7876- lIBTN STREET W. - 90X M RO6EM10UMT. MINNdOTA elOq CENTIFICATE Bk: 60/20 nMoi+e eu ss+xs ? SCALE: 1 inch - 30 feet 24?1-`? o Denotea Pound iron plpe 93? ? p Denote's set wood hub & tack 93•ff Denotes existing elevation 93? gs Ienotto proDosed elevation ? --+Dsrfotes propoNd drainage / v ? 9?a d N ? a I? ??a 6 ? Proposed garage floor ?• Proposed top of bloak 93? o • ? Q1 Drainage & \ utility Proposed basement floor 932•° @P n,ti ? eaeement \ ? / I \ ' 93l 47 0 Ss 939 p tl \ti ? i . V ?I - ?31 22 ,o M 9i?° .s- cairE 13.61 ds '?s ? 7z'0 •Zp p J \ ? I w M M 3 ? ? ?r 1 l`n 9,?j I ? ?'C 9JS //? i]o? 1 ? ? 39,? I 3/. o ? M °S I I 37 Q? ? T Zs.o \.. . M ti Zt.a w wM, q ? ,a I /g0. Oo Ns??s?"ZGE ? \ ?y LOT ? '= r - ? NB9-So-2(AE a35 ,s p r?ersby osrtify that this is a ttws and coTreot ropmsentation of Lote 1 ana 29 Bloox 1, cxES MAR SaST FOURR'FI ADbTT2f1N4 aceordSng to the recorded plat thereoP, Dakota County, Minnesota. Also showing the location of a proposed building aa staked thereon. Dated: April 16, 1982 Plan No. 92079 MINNESOTA HECa15TRAT10N N0.8625; ' C OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 Ot of _ piex ? 04 02-plex ? 05 03-plex ? 06 - 04-plex ? 07 OS-plex ? 13 16-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 "" PI6g_Y or _ N ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 Porch/Addn. (4-sea.) ? ? 23 Porch (screened) •, , _ ? O 24 Storm Damage .. , ? 25 Miscellaneous 30 AccessoryBldg 31 Ext. Alt - Multi 33 6ct. Alt - SF 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatipn) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `DemoliNon (Entire Bldg only) - Give PCA handout to applicant Vaiuation Census Code SAC Units Nbr. of'Units Nbr. of!Bldgs Type of Const ___„FooYings (new bldg) _ FooCings (deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final _ Framiug - _ Fireplace _ R.L _ Air Test _ Final Tnsulation Occupancy Zoning Stories Sq. Ft. Length W idth REQUIRED INSPECTIONS FinallC.O. _ FinaUNo C.O. _ Plumbing HVAC MC?ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new;replacener.t) Approved By Base Fee Surcharge Plan Review MC/ES'SAC City SAC Water Supply & Storege S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ; Totai ? Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 A 95 9 '3 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. R. oi house; and all roofed areas (20% maximum lol coverage allowed) . 2 copies of plan showing heam 8 vnndow sizes; poured found design, etc.) • 1 set af Energy Calculations • 3 copies oFTree Preservation Plan'rf lot platted after 7l1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE JOB SITE ADDRE: IF MULTI-FAMILY PROPERTY OWNI TYPE OF WO APPLICANT ADDRESS _a q, o HOW MINY n_. 1 qq-77 FIREPLACE(S) _0 _1 _2 _3 ?y?,?? PHONE# ?b " . -1 ?UYI/ ZIP CODE 65 0Lf' PAGER # I CELL PHONE # FAX # & V"? 9?3 - qQ.O NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA Ri1LES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plum6ing 5ystem Includes: Mechanical Contractor: Mechanical System Includes Sewer/Water Contractor: Water Softener Water Heater No. of Baths Air Conditioning _ Heat Recovery Systein All above information must be su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is cqrrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. Signature of Applicant &6 W Certificates of Survey Received _ Tree Preservation Plan Recei d _ Not Required _ 0 U RemodeVReoair Reauirements • 2 copies of plan • 1 set of Energy Calculations for healed additions • 1 site survey for exterior additions & decks • Indicate if home served 6y septic system tor additions (EXCLUDING LAND) ?'3. V Phone #: Lawn Spnnkler Fee: $90.00 No. of R.I. Baths _ Phone # ree: $70.00 _ Phone # Ir 9u, 16 Updaled 1107 PERMIT City of Eagan Permit Type:Building Permit Number:EA133358 Date Issued:10/07/2015 Permit Category:ePermit Site Address: 4562 Horizon Cir Lot:1 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Craig A Nelson 4562 Horizon Cir Eagan MN 55123 (651) 270-4888 The Roof Guys 7630 145th Street, Suite 110 Apple Valley MN 55124 (952) 997-4777 Applicant/Permitee: Signature Issued By: Signature