4563 Horizon CirCiTY OF EAGAN
Additiog
Owner
10-17153-050-02
Improvement D Amount Annual Years Payment Receipt Date
STREET SURF, I
3 1191.76 238.35 5 71 0 13
STREET RESTOR.
GRADING 3 729.95 145.99 5 437.97 A013940 5-23-84
SANSEW TRUNK '?2 1973 106.90 5•35 20 42.82 A013940 5-23-84
*SEWERLATERAL 1110.97 A013940 5-23-84
* WATERMAIN 1983 5
WRTER LATERAL
WATERAREA 222.00 A013940 5-23-84
* 5
STORMSEW TRK -150 1283 379.56 75.91 5 227.74 A013940 5-23-84 ?
STORM SEW LAT
CURB & GU7TER
SIDEWALK
STREET LIGHT
Road Unit 259.00 34380 2-14-83 ?
WATER CONN. 450.00 11
SUILDIfVG PER.
sa,c n
525, o0
PARK
CITY OF EAGAN
?i
Additiop - m mAg LdST kth ADDI'1_'TpB Lot 6 B ik 2 Parcel 10-17153-0M-02
Owner a ?, &11-\ Street 4565 Horizon Circle 5tate
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1983 1191.76 238.35 .41 A012113 5-943
STREET RESTOR.
GRADING 15 1983 729.95 145.99 5 sg-3-.96 A012173 5-943
j snN sEw rRUNK ? Z 19T3 10 . 90 5• 35 20 8.16 A012173 5-9-83
*SEWERLATERAL 1983 1g51.rJ9 370.32 5 1461.28
H
* WATERMAIN 1983 5
WATER LATERAL
I WATER AREA 1983 370.00 74.00 5 296.00 A0121 3 5-9-83
*Services 1983 5
STORM 5EW TRK 160 1983 379.56 75.91 5 303. 5 A012173 5-9-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 250.00 34380 2-14-83
WATER CONN. 450.00
BUILDING PEFi. T79
SAC 525.00
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
Rcceiven
19
AMOUNT ? I
6 DOLLARS
too
? GASH F? CHEGK
White-Payers CoDY
Yellow-Posting Copy
Pink-File Copy
Thank You
??BY
--r ??T- - ? ? . _:
;T .-'?. . .. . ,_ ?. ?. . . .. .. .. .. .. .
?
cirY aF E r?GAN
,
3793 rilet Knob Read
EayoR, MN 551
22
.
(13
. PHONEs 454 -8100
BUILDING PERMIT Rec eipt
1'e be w.d 1pr 112 -,)[JPI.L;X F, GAR Esr. vaiue a.5 7. 0 0?:? Date fiehruarl, 14 , 19-11`
5ite Ilddress 5r,3 f;orizon C2Y'Cl8 Erect Occuponty "-+
Lot ' Blotk -' Sec/Sub. Che5 MaX' F. 4t
l h Alter p Zoning R-?
pqmel # 10 17153 05^ '?? Repoir ? Fire 2one •'4A
E lj
nlarge p Type of Const,
W yO117e Jo9eph 1M. htiller f;anst., Inc Moue p .# Srories
a z Address 18133 Cedar Avo. 50 , pen.wl;sF, p Length ? f,
ra? FarmlltEton w.,,... 454-4753 Grade 11 Depth "4 Sa. Ft.
?
0
Z
°uv
?
?
Nome
? =:..
I hereby acknowledge thot I hove read this epplication ond state that
the in(ormotion is correct and agree to comply with all applicable
State of Minnewto Statutes end City of Eegan Ordinonces.
Sipnature of Permittee
A 9uilding Permit is iuued to: Jopeph ?'• M111@T COTtS
all work shall be done in occordance with oll applicable Stete of Mir
Building Offlcial -?.
Assessment -
Woter & Sew.
Police
Fire
Enp,
Planner
Coutuil
Bldg. Off. _
APC
Surchorge za+au
Plan check 25 2• 00
SAC S25 aY)
WaterConn4 7"),•'??
Woter Meter
Road Unit
Totai ?l 769 _ i Q
< -
on tha express condition ffiat
and Ciry of EaQon Ordinances. 11
Permit No. Permit Holtler Misc, Permit No. 4iolder
Plumbing 7Z *C(Ou
H.V.A.C. ?o,??rotl?d,?.`f 3-(7-Ss3
Wall
Water
Disp.
$?wer
Eleetric 75oZ i•t?,1q/L.tO, 3- S-?'3 ;
(nspection Date Insp. Other ;
Footings ?
Foundation
Framing ,
- 1
Rouph Plbg.
"=*?i.•-. •
Rough HVAC ?
'
Inwlation
Final Plby. ?
Final HVAC
Final
i
Water Descri6e Location:
Well
Sawer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN'' i 7 21
BUILDING PERMIT te_? PHON E: 454-8100 Receipt *__
To be used for Est. Value ?', ""` Date
13 8 0 2
19 ts 7
Site Address
Lot Block Sec/Sub. ?'`??T 4
Parcel No.
m Name . ..<... .. . . ? , ,..... ... .......,.,
W
z Address
O ' . - )z
City Phone
°C
o
Name '
.
? ? Address
I- City Phone
U¢
W
?y Name
Address
? W City Phone
OFFIC E USE ONLY
On Site Sewage Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actual)
Allowable
(
)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
WateNSewer _ Surcharge
Police _ Plan Review
Fire SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheiniormationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPt
State of Minnesota Statutes and Ciry of Eagan Ordinances. Variance _ Parks
Copies
Slgnature of Permittee TOTnL
A Building Permit is issued ta Ir? on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building Offir..ial
Parmlt No. Mrmit Hold*? Date Telephone s
Plumbing
?
H.V.A.C. ?
Electric
So opk,r
Ins?setfon Dste Insp. CommeMs
Footings I
FootL%is II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. 7. ' Jl y yg ?l?
Deck Frmg.
weu
Pt Disp.
? 1, J d CITY OF EAGAN
?-r 3830 Pilot KROb Road, P.O. Sox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERM17 Receipt #
To be used for n!n SFXEIJT Est, Value A, $ClC' Date ' , 19
Site Address 4565 "W" ? '01N CIRCLE
Lot : Block 2 Sec1Sub. C?L? "f?`Ri?'?.?'? 'si, OFFICE USE ONLY
Parcel No. occUpancy - FEEs
Zoning _
W Name & !lg:R+%}'af` (Actual) Const - Bldg. Permit 3'? ? C
z
2
Address
(Allowable)
-
?
?
° Surcharge
•
,
City Phone -, i;c-.'inl
# ot stories
Plan Review
Length _
?
o
Name
Depih
CitY I
- SAC
Z .
0
4 Address S.F. Total
U SAC, MCWCC
~ City PhOf12 S.F. Footprims -
Water Conn
On Site Sewage _
?
w
Name
On Site Weu
- Water Meter
?
s? AddreSS MWCC System
v(D
a W
Clty PhOtl@
City Water Acct, Deposit
-
mit
S'W P
PRV Fequired er
II
-
I hereby acknowlege that I have read this appGcation and state that the Booster Pump SiW Surcharge
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treaiment PI
Signature of Permitee I ; ,- + -`"' , q _ : APPROVALS Road Unit
A Building Permit is issued to: Planner - park Ded. I
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
? ? '{'
BuildingOffiCial Variance - TOTAL
r
Permit Mo.
P9rmit Holder
Date
Telephone #
WATER
SEtNER
PLUMBING
H.V.A.C.
ELECTAIC
Inspection Date Insp. 6 Comments
Footings I
oO'L ? CY- / - ZLJ
Foundation
Framing
Roofing
Rough Plbg. Ag
Rough Htg.
Isul.
Freplace
Fnal Htg.
Final Plbg.
ConSl. Meter Pibg. Inspector - Notify Plumber
EngrJPlan
81dg. Final ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
. 41
BUILDING PERMIT
CITY OF EAGAN
3795 PIlet Knob Rood Eo9oe, MN 55122 • 1714
PHONEs 454-8100 _
Receipt
nn
stce /?ddress 4005 iiorizon C:1rc1e
Lor ° BI«k 2 See/Sub,Ches P4ar E. 4th
Parcel # 10 17I53 900 02
W Na,T1e Joseph M. Miller Const.i Inc.
? Addrou 18133 Ceda:r Avo. So.
r:.., Far3tin¢ton o?..,... 454-t7S., ot NQ? VWT:Ci
,O
?? Addreu
I hereby acknowledge that I have reod this opplicotion and stote thot
the information is correct ond agree to comply with oll applicoble
Stute of Minnesoto $totutes and City of Eogan Ordinonces.
Slqnoturo of Permittee
A Building Permit is issutd to: 'lb5@p}1 11. r.iiiier ConsL.
oll work shall be done in accordance with oll oppliooble Stote of Mir
Building Officiol
Erect t] Occupancy R- 3
Alter p Zonirg R- 2
Repoir ? Fire Zone VA
Enlarpe ? Type of Const. V
Mave ? # Stories
Demolish p Length26_
Grade ? Depth 44_Sq. Ft.
Approvals Faes
Assessment Pertnit 304.00
Water & Sew. Surchorye 2?' • '?
Police Plan check 1±2, nn
Fire SAC 525. 10,
Enp. Water Conna-r'() • r) ()
Planner Water Meter 6n • fl?
Council Rood Unit
Bidp. Off.
APC Totol ? 1% fi7 . 5'1
I1l c. on the expross condition thws
Stotutes ond Ciry of Eaqon Ordinances.
"
-
.
?
Permit No. Permit Haldsr Misc. Permit No. Holder
Plumbiny -'
.x,;L'7'3
CV l1l`a
3"g43
H. V.A.C. ?s ?? IF 44?jr ?t-(7 -K3
Woll
Water
Disp.
Sawer
EleMric '7 5!?7 !"?i'o?.tQA? 3 _15 -&3
Inspection Date Insp. Other
FootinQs
Foundation
Fnminq
Roueh Pl6g. ?J uJ
Rough HVA
Insulation
FinaIPl6g. •043
Final HVAC -2-r-f3
Final .IS-¢ ?dy
Water De:cribe Location:
VYell
Sewer ? . 1
Pr. Disp.
. n
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fes
fi!l in numbered spacas S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
3. Job Address Lot ' Blk. -Tract
4, Owner
,
I
5. Contractor ' Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ? I
10. Describe Fuel Type
11.
No. Enuioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
:
H
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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt -
T C . -
1. Date 2. Installation Cost
3, Job Address -' Lot ? Blk. Tract
4. Owner "
5. Contractor ' Phone 6. Addreu
7. City State Zip
8. Building Type: Residential O Commercial 11 Institutional O
9. Work Description: New 0 Add 0 Alter O Repair ?
10. Describe Fuel Type
11.
No. Equinment 9TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
i
Mfg. ng:
r
andl
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above informetion is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
?1-
5igned: for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
Fee
Fill fn numbered spaces S/C
Type or Print /egib/y T
ot.
PERMIT #
PLUMBING PERMfT RECEIPT # -- ? ?I CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454•8100
Site Address
Lot Block, Sec/Sub
? Name
m Address
c Ciy Phone
? Name
3 Address
p City Phone
FEES
COMMIIND FEE - 7oib OF GONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYP WORK DESCRIPTION
Res. New
Mult. Add-on
i
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO .f FIXTURES TOTAI
?LWater Closet - $3.00 $
Bath Tubs - $3.00
avatory - $3.00 "
Shower - $3.00
Ki#chen Sink - $3.00
?
Urinal/Bidet - $3.00
Laundry Tray - $3.00 -+Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: '
GRAND TOTAL: ?
Receipt •=?' ' ? ! PLUMBING PERMIT Permit No. " -
CITY OF EAGAN
. Fee -
Fill in numbered spaces S/C rype or Prinr /egib/y Tot
1. Date ' 2. Installation Cost
3. Job Address Lot Blk. Tract 1t '
;.
4. Owner ? .
5. Contractor ? - •Phone
6. Address -
7. City State Zip
8. Building Type: Residential O• Commercial ? Institutional 0
9. Work Description: New 0 Add ? Alter O Repair ? 10. Describe
11.
No. Fixtures
Water Closet No.
• Fixtures
Cesspool/Drainfield
' Bath tubs Septic Tank
L.avatory Softner
? Shower
wen
? Kitchen Sink -
Urinal/Bidet Qiher
Laundry Tray _
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above infnrmation is true and correct, and 1 agree to
comply with all ordinarlces ano ce4des goveining this type of work.
Signed :
for
Rough ? Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - PLUMBING PERMIT Parmit No. ?':??
CITY OF EAGAN
Fee
? ?.
Fill in numbered spaces S/C •'Type or Print legib/Y Tot.
1, Date ,2. Installation Cost
r
3. Job Address LotBlk. ? Tract
4. Owner
.
5. Contractor . Phone ?- - ?
6. Address ' - ? -- 7, City State If Zip
8. BuildingType: Residential ?. CommerciaM? Institutional ?
9. Work Description: New Q Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
Lavatory Softner
' Shower
Well
? Kitchen Sink
Urinal/Bidet
pther "-
Laundry Tray
Floor Drains
, Drinking Ftn. --- - -'
E 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 @n? codes governing this type of work.
.
Signed : _ ' ;? ? i `?
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
11-5?f
Receipt IJ ??J •?` PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date 2. Installation Cost
?
3. Job Address / Lot? ? Blkl' ? Tract _4- \
, ?
4. Owner ? i
;
5. Contractor Phone - `
6. Address r-7 ? ?l ) 1J /2 i fJ ? - ' 7. City ? _ 5 'f • /o--?" 5tate ?, / zi
? '? p
8.
9.
10.
11.
Building Type: Residential ? Commercial O Institutional ?
i
Work Description: New ? Add ? Alter/[?S Repair ?
Descri be
No,
- Fixtures
Water Closet No.
- Fixtt1f25
--?-
CessQool/Drainfield
Bath tubs $e
tic Tank
Lavatory x p
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 :
Rough
Inspections: Date Insp.
for
Flnal
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
OF EAOAN WATER SERVICE PERMIT
Pilot Kwob Roed PERMIT NO.:
, . MN 55122 DATE:
I: No. of Units:
?n __ , • ,
Site Address; '=r1'0" Circl
Plumber: ' --
Meter No.: Connection Charge:
Acwunt Deposit:
No.: Permit Fee:
to comply whh ths Cily of Eagan Surchorge:
*ces. Mlsc. Charges:
Totol: _
Date Paid:
CITY OF EAGAN SEWER SERYICE PERMIT
3795 Wlat Knob Road PERMIT NO.:
Eagen, MN 55112 DATE:
Zoning: " No. of Units: Owr?er: -,-
Site Address: t+eE q? ['r_,ir"..-le 1 r.. 4_r.
Plumber:
1 egres M oompy with Hhe Cttyr of Eagan Connection Charoe:
Ordtnant:es.
Date of insp.:
Acwunt Deposlt:
Permit Fee:
Surchorpe:
Misc. CF?arges:
Total:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Roed PERMIT NO.:
Eayan, MN 55122 DATE:
Zoning: No. ofi Units:
DYVf1Cf:
s
Address:
Site Address: -
Plumber:
Me*er No.:
Size:
Reader No.:
1 ogree !+o eomply with ths City of Eegsn
Oedinonces,
Connection Chorge: =' ? - ??'? T ?'•
Actount Deposlt:
Permit Fee:
Surcharge:
Misc. Cfiorges: 7ota1:
By
CiTY pF EAGAN ' SEVIIER SERYICE PERMIT
3795 Pilor Knob Road PERMIT NO.: _
Eegbn, MN 55122 DATE:
Zoning: - No. of Units: _
Owner: - 1.24 e.ph -,
Address:
Site Address: -
Plumber:
1 agree to eomply wit6 the City of Eegea Connectfon Ciror+pe:
Ordinantes. /kcount Deposit• --
By
Date of Insp.:
Permit Fee: '
Surcharge:
Misc. Chorges:
Totat:
Date Pald:
CITY OF EAGAN N? 16279
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ? G I4 p^!)
Tobeusedfor $?,SEMENT Est.Value $1,500 Date 4111/RQ , 19
Site Address 4565 HORIZON CIRCLE
Lot 6 1 Block 2 Sec/Sub. CHES MAR EAST 4t
Parcel No.
w Name wT r.i r eM & nFgOReL FNCEMAN
o Address 4565 xORIZ(1N CIRCLF
City FACeN Phone LLSy.p?n?
o Name SAMR
g? Address
City Phone
IN Name
Address
City Phone
I hereby acknowlege Ihat I have reatl this applicaNon antl state that the
information is wrrect and agree to comply with all applicable State of
Minnesota Statules and City ot Eagan Ordinances.
" n
Signature of Permitee ?1?,( ? W n
A Building Permit is issued to:
vn the express condition Ihat all work shall be done in accordance with all
applicable Slate of i nesota Statut nd.,Ciry of Eagan Ordinances.
8uilding Otticial
Occupancy
zoning
(Actual) Const
(Allowable)
# of Stories
Length
Dapth
S.F. 7oWl
S.R Footprinis
On Site Sewage
on sne weii
MWCC System
Ciry Water
PPV Required
eooster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variance
OFFICE USE ONLY
Bldg. Permit
Sutcharge
Plan Review
SAG City
SAC,MCWCC
Water Conn
water Metar
Acd. Deposit
S,NV Permit
S/W Suroharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
36.00
i.on
37.50
CITY OF EAGAN (J? ? 3 H I
;. ,•?? 3830 Pibt Knob Road, P.O. Box 21•198, Ea9an, MN 55121
PHO N E: 454-87 00
BUILDING PERMIT Receipt#
Tobeusedtor DECK Est.Value $1,000 Date JUNE 19 19 87
SiteAddress 4565 HORIZON CIR
Lot 6 Block 2 SeGSub. CHES MAR EAST 4
Parcel No.
a Name WILLIAM & DEBORAH ENGEMAN
= Address S?
? City Phone 452-0301
,a Name SAME
? ? Address
P City Phone
City
OFFICE USE ONLY
OnSiteSewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type of Const
Ciry Water _ (Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit ?20.$0
Water/Sewer _ Surcnarge .50
Police _ Plan Review
Fire _ SAQ City
Engr. _ SAC, MWCC
Planner _ WaterConn.
Council _ Water Meter
I here6y acknowledge that I have read this application end state Bltlg. O(f. _ Roetl Unit
I
thattheinformetioniscorrectandagreetocomplywithallapplicable APC _ TreetmentPt
State of Mlnnesota Statutes and City of Eagan Ordinancea Variance _ Parks
)
Sig(Ietuf90fPefmittBe2/ 1"?4*k Copies
TOTAL .00
A Building Permit is issued to: WILLIAM ENGEMAN on the express condition that
all work shall be done in accordance with all applicab State of Minnes a Stafutes and Ciry of Eagan Ordinances
Building Officlal n ,
a
cin oF En"N
?7
7794
?
3795 Pibf Knob Reod Eeyan , MN SSIlI lr
PHONE: 434-8100 .7
BUIL'DING PERMIT keceipt
Te Muasd hr 1/2 DUPLEX Fr GAR Est. Value $57, 000 oare February 14 _, iy 83
Sue nadreu 4565 Horizon Circle Erea XI o«upancy R-3
Lot 6 Block 2 See/Su6.Ch0S MST E. 4th Alter ? Zonirg R-2
percel # 10 17153 060 02 Repalr ? Fire Zone NA
V
Enlarge 0 Type of Const.
w Name .TOSBPh M Mill@2 COi1St . Inc Move ? # Stories
; Addreu 18133 Ceda1' Ave. So. Demolish ? Length2fL
b Ci Far mington pham 454-8753 Gwde ? Depth-AA_Sq. Pt.-
p Name OwneT ADVrorals Foes ?
?U Addren Assessmenf Permit SO .VV
~ Cit Phone Wo1er & Sew. Surcharge 28.50
. Police Plon check 152.00
?W Nume Flre SAC $25.00
Address Eng. Water Conn.45_O.00_
i W Ci phone Vlonner Woter Meter 60.00
Council Road Unit 2$0•00
I hereby acknowledge thot I have read ihis application and srate that gldg. Off.
the information is correct ond agree to comply wirh oll opplicable APC l $1769
50
T
t
State of Minnetato Slotutes and Cify of Eagan Ordirwnces. .
o
a
Sipnofure of PertniMee .
A Bullding Permlt is issued to: Joseph M M' r Const. 11C. on fhe express condition thm
oll work sholl be done in accordonce with oll upplimble $ of Minn o tot nd City o4 Eayan Ordirwncee.
BuHding Offltinl
CITY OF EAGAN
" 9795 PI1M Knob Raod Eegan, MN 63122 N° 7793
- PHONE: 434-8I00 /
BUILDING PERMIT Receipt #
Te ba wed fer 1/2 DUPLEX f. GAA Fvt v..i... $57.000 n...e Fehriiarv 74 1 o R3
Site Address 4563 riOr1ZOII CiTC10
Lot 5 Block 2 $et/Sub. Che5 MAT E. 4t$
parcei # 10 17153 050 OZ
W Nome ?7osenh M M111eT COnSt InC
; Address 18133 Cedar Ave. So.
b
C; FSTD11IfLtOA phone 454-4753 Erect 10
Alter p
Repoir []
Enlaroe ?
Move ?
Demolish ?
Grade ? o«urpncy R-3
Zoning R-2
Fire Zone NA
Type of Const. V
# Stories
Length.2(1-
Depth.44_$q. Ft.-
p Name ' Owner Avvrorob Foe¦
?
?drett Assessment Permit 304.00
0
1' Ci Phone Water8$ew. Surchorge 28•50
?? Palice Plon check 1$2.00
Fw Name Fire SAC- 52$.00
?? Address
Z Erq. Woter Conn.450.00
.
Ci Phone
Vlanner
Water Meter 60.00
Council Rood Unit 2so.nn
I hereby acknowledge that I have reod this apDlication ond stote thot gldg. Off.
the iMOrmation is correct und ogree to comply with oll oppiicable
S APC l $1769
SO
T
t
fote of Minnesofo Stntutes and City of Eagon Ordirwnce5. -
o
a
Sipnature of Permittee
A Buildin9 Permit is Issued to: Jo e h M. Mi11 r Const. Inc. on tha express conditlon thnt
oll work shali be done in accordance with all applimbla
q
te
o
f
J
Ain e tafutes ond City of Eagan Ordfnances.
,? /
/
?
?
;
?
?
Buildinp Officfal ?l' "` ?? ? ?? ?'? /f
Site AMC+e":
Lot ? ,J_ aS.-
paroei t:
AddrPSS:
CitY/ZiP Caleo ;
a9dYesa: ;
4ty/z3p ooae: i
Pfiaio f: ' '
?_ Oaa?nY
sonitq
? U?iv' Fire foti
PLt? Chck ' ?? ? ;
Polioe ?
PYz+e IfaE?r
H'i9•
14blqc
?
BLag.
APC .
` `...
? pm
.
t.
IflC1tIC1@ $ /St3 { Ot p1?16 ? 'i
myor EAGAN 1 site plen w??Igv*tiQm j
I ?st ot wmqy os?cuta?"•
HUILaiNG PMoQ'f APPLICATl("
f ?
?
,??,/??
7b He cleea Pbr ?T-?- Vt?ltiat3on
Sit6 Adidi'E88: 4565 Hotizon C.ii+Cle
? s ?ar ??? ?pp?y •3 ;'
Lot 6 Blodc 2 Sec./Sub. ?
min4
Parcel 0: lB I'I ( S 3 ocQO 02 Alber ,
Rep,nir 8'ira Za+a ;
Enlazge 1Yps CC
QiflRri Joseoh M • MlllerI(:ons-t_
AddL'eW: 18191 Ce ar A *e cn 'City/Zip Cade7 Farmin tnn MA7 SSML._ x I
Phd1B 454 4753
QOt7tSaCbDl3 ?am AelNSllsfltJ ?'t
water/Sewsr
Address: Poliee ?-- P1ail Clheck
?
,. '
CitY/ZiP Code° Fire SAC
watex QoW. So
Plkxane R: Planner K°ter "aw
Councii 11ast1 Unit ?rs?= -? ?
Arc2?./Enq.. s1dg. of??
]1&]ress: APC
T
Cih'/ZiP Oocie: .?LE
Plforle 1:
REQUEST FOR ELECTRICAL INSPECTION
? See inslmctions br rom4leting this totm an hack oi yellow mpy.
IS Q9967 X" Be/ow Work Covered by This Request
ew Atld ep. TypeofBuiltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
- Other (speciryl Convaclor's Remarks:
Compute Inspection Fee Below:
# Other Fe¢ x ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspemor's use Oniy: TOTAL
Irrigation Booms / .C".
Special Inspection ? U
Aiarm/Communication THIS INSTALIATION MAY BE O ERED ONNECTED IF NOT
Other Fee CAMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rou9n-in oece
certify ihat the a6ove inspection has
been made. Finai oete I
Q
OFFICE USE ONLV
This request voitl 18 monfis irom -
d 09 67 ?
Request Date Fire No. Rougb?in Inspeclion
Re
uiratl? -
eetly Now 0 Will NoNty InSpeclor
q
?Yes - o WhenReaOy?
-censed contractor ? owner hereby request inspection of above electrical work at
Job AOtlress ISlreet Box or Route No.) Ciry
?6 S' O I .-,?O //
Section No. Town5hi0 Neme or No. Range No. County
?
Occupent(PFINT) Prone No.
Power Supplier Atltlre55
?
Elecnical Comraaor ICompany Name) Conlrectorg License No.
?
Mailing Atl0res51G ractor or Owner Ma+ I nst
A a SignaW ra nOwn Makin Ins?allation Phone NumOer
G a? - d y/i
MINNESOTp 5 BOARD OF ELECTRICITY TMIS MSPECTION REOUEST WILL NOT
Grlgga•Mitlway Bltlg. - Room &173 BE ACCEPTED BY THE STATE BOnRO
1821 University Ave.. St. Peul, MN 55104 UNLE55 PROPEfi INSPECTION FEE IS
Phona (817) 642•0800 ENCLOSED.
11A10 REQUEST FOR ELECTRICAL INSPECTION ? aoooo -07
? See inslruclioCilw completing this brm an back oi yellow copg ~ C?.?
9 5 9 0 9 X" Below Work Covered by This Request
e Add Rep. TypeofBuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speci(y)
Comm.Mdustrial Furnace
Farm Air Conditioner
Other (s ily) Comrector5 Remarks'
Compute Inspecti n Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Girouits/Faeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A Amps
SiJns InspectorSUSeOnly: 7pTpL
Irrigation Booms
Special Inspection
AIarMCommunication
?-,
Other Fee
I, the Electrical Inspector, hereby
c
t'rf
ih
tth
i
b
i RougMn ? oe?e?y
y
er
a
ea
ove
nspect
onhas
been made. Fnal
° Date
Z?
OFFICE USE ONLY
This request witl 18 monUS hom
.si/rr/89 C I«y--;r
a 9 5 9 0 9
?0 119
1' `0
?
Request Date Flre No. Rough?in Inspecib '
Re
iretl7
? Ready Nax {?win wouty mspenw
u
Yes ? No " bVhen Reedy?
10 licensed contractor Xowner hereby request inspection of above electrical work at:
Job Atltlress (S
lreel, Box or Roule ND.) Ciry
J
N r
Sectbn No. Tavns?ip Nama or No. Renga No. CouMy ?
Occupent(PRINT) Phorie Na.
W? ?nqe,
a-
Powef Supplier Adtlress
?C t? r Z
Eleclncal Contractor (COmpany Name) Contractor§ License No.
Mailirg AtlEress (ConiraIXOr or Owner Malting InstallaYOn)
A oriz SigneWre (Contractor/O.m Meking Installetion) Phorie Numbar
/ 5
MINNESOTA 5TATE BOpRD OF ELECTpI TV THIS INSPECTION PEOUEST WIIL NOT
Grtgge-Mitlway BIAg. - Room 5173 BE ACCEPTED eV THE STATE BOARD
1821 Unlverslry Ave., SL Gau4 MN 55106 UNLESS PHOPEP INSPEC710N FEE IS
Phone(612)812-0800 ENCLOSED.
Minnesota State 8oard of Electricity
7954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
REQUEST FOR ELECTRICAL INSPECTION
'CHECk BEC(DN WORK COVERED BY THIS REQUEST
3q7R z-
s 7r-j f17
Type o[ Building New Add. Rep. Check Appliencea W'ved For Check FquipmenE Wired Fm
Home ? ? ? Range ? Tempoiary W'uing ?
Duptex ? ? 0 WaterHeater ? LightingFixtuies ?
Apt. Bldg. ? ? ? Dryer ? Eiectric Heating ?
Commercial Bldg. ? ? ? Furnace Silo Unloader ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
List List
Othe ? ? ? Rehecs?
f Re ers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: 8 Fee Feeders&SubPeede=s: # Fee Cirwits: # Fae
0 to 100 Am s. ,70.oo 0 to 30 Am eres 0 to 30 Am etes u5,
301 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Pa?tialorotherfee
S' ns Special lns ection Minimum fee $5.00
Remarks
TOTALFEE
I, the Electrical lnspector, hereby certify li?t??lhe atiove,inspection has beep made. Cg6 - ?
(Roughdn) ?J?, ?'?i:,.-=?..•?,.,Date Yl6-J'
(Final) ;Date 7--7/- k3
This request void 18 months fiom
This request void 118 months from S c' ?"?O i gl o c k a ? , j ?) 7? Z
Date o? this Request 3-/Y- T3 ? 7 50) 7
I, as ;2q Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. S:%?D ??` S? ?/TV tt Z p/J City ?el)
Section Township Range County O/ iec ?
Which is occupied by
(Name of Occupant)
Is a roughin inspection required on this job? No ? YeW Ready Now ? Will Call,9
PowerSupplier.6JQ14dtq Address ??41 f-4 5 44
Electrical ContracJall/1???°'? Contractor's License No7.?60
,4Company Name/) ?7 p ?
MailingAddres`o90fXaS4li?SY-..U? l.rse(r?,.?/?i.? SS3d,?^
Authorized
ML'_?3??'- OC ??' D, QDPU
S ??
Owner Making Thls Installatlon)?y
Phone No. / s3 -?3-27
king This Installatlon)
This impection request will not 6e accepted by Me
Stete Board unless proper inspection fee is endosed.
(grr#ifirtt#r n# (Orrupttnry
Citp of eagan
Erpttrfmrnf nf Bui1D'mg 3nsperiimt
Tbir CMifiratt ittutd Purmant to the reguitemtntt of Sertion 306 af the Unifonrs Burlding
Cade artibirog thrtt at the tinu of iuuante tbir 1hucturt wat in torrtplianrt witb the variamJ
erdinaruct of the City ngututing buiJding connrudion or un. For the f ollaving:
urCb.dfioz,m 112 DUPLEX 6 GAR ad4Po,nd,NO. 7794
o-w-rTYw R3 rywc?mo V F,Rz NA zomno?m., R2
Q„Q.fwAdft Joseph M. Miller Add. 18133 Cedar Ave. So., Farm
BWWftAdd.4565 Horizon Circle _•:ryLot 6,Block 2,Ches Mar E.
? 4[h
By:
o,,,, April 25, 1983
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CITY OF EAGAN
CASHIER: 1S TEFMTNAL N0: 767
DFlTE: 12/10/33 TIME: 07:02:39
ID:
NAME: LEE AI_lF_N EsERGLUND
3210 9001 1110 KIRt:41) DR 125.25
2155 3001 1110 t:IRF:kIU Ufi 3.00
3210 $001 4563 HORI70N CI 125.25
2155 1001 4563 NOftI7.ON Cl: 3.00
3210 90D1 4555 HORIZ4N C.T. 125.25
2155 kUi 4555 HORIZON CI 3.00
Tor,al Receipt, Amount: 384.75
CR1?1020
USLR ILI: tAN
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?a
U a? CITY OF EAGAN
3830 PILOT KMOB RD - 55122
651-681-4675
HswConsWCdon Reauinmants RamodeilReoair Reauirementt
? 3 rogkMred eite auneys showinp sq. R of bt, sq. R Of houSe
and sll roofed areas (20% maulmum bt coveraae aliowed)
? 2 copies of plans (show beam & windaw sizea; poured fid. dafgn; ek.)
? 7setofanergywkuWdons
? 3 wpies of tree preservaffon pWn %bt pWGed after 711193
DATE: ?X,/G ?
DESCI2IPTION OP WORK:
7 z1--71100
2 copies of plan
7 set of energy eakulatlona tor heated eddiliona
i ske survey tor exterior addftlons 8 decks
CONSTRUCTION COST:??? ?
C?/?-)
STREET ADDRESS: ? ??? 3 `?S z
LOT: S BLOCK: a SUBDJP.I.D. #:
'ma? 2- O-J
f j I ry'\ ?O/, ,?-f, ??
Name. G??S °4?1?7? /l`?7 Phone#:
PROPERTY Lan Fint
OWNER
Street Address:
City
State:
Zip:
Company:_ U/LD/.J?/7rl/-eV rG'il?"=7' Phone#:
? (area code)
CONTRACTOR ?1 Q / "???.,
StreetAddress: /CJ b0 ??????r7r??5 ??/? Licansep ?E??Exp. Gt?
City ?/?'????5%? State: /1) zip: S?
ARCHITECTI
ENGINEER
Telephone p: (
Street Address:
City
State:
8ewer 8 water licensed plum6er (new construction onl?:
Pen4 applies when address change and lot change k requested once permk ic issued.
I hweW aclmovAedge Nffi I have read fhis applicatlon, stffie that fhe Intormatlon h cartect, and apree to
of Eagan Ordinanws. , ?
Signature of ApplicaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
_ No
Name:
Registration M.
Zip:
xMh a0 applicabk State ghMinnesote 5tatutes and Cit
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 ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS &plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lowes Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zaning
# 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
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
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMI Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
?
SAC Units
% SAC
1987 BUILDING PERMii APPLIC9TION - CITY OF EAGAN
SINGLE F9MILY DWELLINGS
?
INCLDDE 2 SEfS OF PL9AS, 3 CfiRTIFICATBS OF SDR9SY, 1 SET OE ENERGY CALCOLATIOAS
HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMSOANER MQST DESIGHATB WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BB ALIAWED ONCE BUILDING PfiRMIT IS ISSDSD.
MOLTIPLS DiiEC.LINGS - RFSIDENTIAL RENTAL AAI2S FOR SALS DHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVSY - CHECB iiITH SLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMBRCI9L
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
o $2,000 LANDSCAPE SOND To Be Used For: Valuation: -40
7? Date: (? - /7"' 2 ?
Site Address 4565 horizon circle
Lot 6 Block 01N
Parcel/Sub e
L,., 7)1,
Owner William & Deborah Engeman
Address 4565 Horizon Cir.
City/Zip Code Eagan Mn. 55123
Phone (612) 452-0301
Contractor self
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
On Site Sewage` Oecupancy
MWCC System Zoning
On Site Well Type oP Const
`
City Water _ (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROY9LS FSFS
Assesaments
Permit Sa
Water/Sewer Surcharge -?O
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOT9L ??. 00
1989 BIIILDING PEBMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSfiS FOR CORNER LOTS - COPTRACTOft/HOMEDiiNER MUST I)ESIGN9TE WHICH ADDRFSS
IS DESIRED. NO CEiANGFS WILL BE ALLOWED ONCE Bt1ILDING PEAMIT I3 I53DED.
MIILTIPLE DWELLINGS RENTAL DNITS __FOR SALE UNITS # OF iJNIT3
INCLUDE 2 SETS OF PLANS, CER TH BLDG. DEPT.9 1 SET OF ENERGY
--a
CALCULATIONS COI?RCIAL INCLUDE 2 SETS OF ARCHIT 1 SET OF SPECIFICATIONS AND TIONS
To Be Used For: 3"'r F/NISm Valuation: 1S'? J Date: '/ - II -9 1
Site Address ?,rj ( '-?' AariZan ( j ('
Lot Cr Block ?
Parcel/Sub ?.'HO MAX IEO-PT yTH
owner (,oi llia m4QPAo ra)" ,F14&m a n
Address ys?,j 1?6rf 20n
City/Zip Code ,CCrpah Xry,
Phone
Contractor
Address
i
City/Zip Code _
Phone
Areh./Engr. _
Address
City/Zip Code _
Phone #
ONLY
Oeeupaney FEE.4
Zoning
Aetual Const Bldg. Permit 36,0,1
Allowable Surcharge 1,oa
H of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Aect. Deposit
On site sewage` S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
City water Road Onit
_
PRV required _ Park Ded.
Booster Pump Copies Sa
_ TOTAL
APPRDVALS
Planner _
Couneil
Bldg. Off.
Var iance
Council
NOT6s Sewer 6 Water Permit fees and aecouat deposit fees xill be ineluded in the building
permit fee. Processing time for aexer and vater permits is two days onoe a licenaed
plumber has applied Por a permit at City Iiall.
t
?) a?-? S?
RESIDENTIAL BUILDING
Permit Applicatiou
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
`?io `
,014- ??/?{y
`?l0
New Construdion ReauiremenLS RemodeUReoairReauiremenGS Office Use OnN
3 regislered sAe surveys showirg sq. ft of lot sq. fl. of house; and all roofed areas 2 copies oi plan Cert oF Survey Recd _ Y _ N
(20% mazimum lot mverage allowed) 7 set of Energy Calculafions for heated additions Tree Pres Plan Recd _ Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for eddifions & decks Tree Pres Not Reqd _ Y _ N
lsetotEnergyCalculations AddPoon - ind'mafeMOnsBesepficsysfem On-siteSep6c5ystem _Y _N
3 copies of Tree Preservation Plan A lot platted aRer 711193
Rim Joisf Detail OpOons selection sheet (bldgs wAh 3 or less uniLs
Date -7 / y- (-%
/ Q_?;,
SiteAddress wap, ?-\C)c?7_
Construction Cost
cI\ ? C A Q- UniUSte #
Description of Wark
Multi-Fami[y Bldg ? Y _ N Fireplace(s) i1- 0_ 1 _ 2
ProperTy Owner -'?Qk?O?, Telephone #((os (0? ) ? ??D,-A
Contractor ?
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Cqde Category . Residentiai Ventilation Category 1 Worksheet e_tJew_Errprgy Code woricsheet
(J submission type) Submitted 1 ?-?'"-a S` b dtP,d
. • Energy Envelope Calculations Submitted 1`n T?,
?
? n,' ,j k cu0- I
Have you previously constructed a buiiding in Eagan with a similariplan? _ Y _ N, ;ff so, 25% plan review
fee applies. jLlU
Licensed Plumber
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 the case of work which requires a review and
approval ofplans.
AppiicanYs Printed Name
a
ApplicanYs Signature
OFFICE USE ONLY
at ..
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 18-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 PorchlAddn. (4-sea.) ? 33 Eut. Alt - SF
? 04 42-plex ? 10 08-plex eP 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `DemdiBon (Entire 81dg) - Give PCA handout to appliwnt
Valuation Z?? ? Occupancy ?3 MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const ? Width •
REQUIRED INSPECTION5
_ Foorings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _
_ Siding Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By 772M , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
`e f OL33 MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
tP30•Sa
Date?/ (T a /?
Sit Address?Q3 ?Q,?Z QYJ IJ?J?K?JIIt? Unit#
?
Property Owner m`7,/ `? ? UCZ?IZA1 Telephone k( (y?s ic •cQcoq a
Contractor /`"V'? r- m1,,) kR.S, I Q?lL
Street Address J p 3S ? 4 ci-M f5"J` • U,) -161 01 City I
State 1 Y 1 Q Zip Telephone #(q5a) q,?j • 54& 2)?_
The Applicant is _ Owner L-Contracror _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
V furnace replacement
air exchanger
L-/air conditioner
other
?
Sta[e Surchar e i!$ .:30?I1
1
i I S `-" 3 3?J03
Total L:
$ CPy'S?
BY
i hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; that the wotk will
be in confoanance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tUat I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that t? work will be in acwrdance with the
approvdrplan in the case of work wluch requires a review and approval of plans.
?. Vl rl i ??--
Applicant's Printed Name i t's Signature
MECAANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete foc commcrcial/industrial buildings
multi-family buildings when separa[e permits are not required for each dwelling unit
Date
Site Address Uni[ #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimuip Fee (includes State Surcharge)
Conuact Value $ x .Ol% _$ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If pernvt fee is over $1,000, add $.50 per
$1,000 Pemilt Fee
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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 requues a review and approva] of plans.
ApplicanPs Printed Name
Applican4s Signahue
Approved By: , Inspector Date:
-? D aa a)-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
-7(), o0
New Canstruction Reauirements RemodellReoalr Reaui2ments OHice Use Onlv
3 registe2d site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed a2as 2 copies of plan Cert of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) i set of Energy Calculations for heated addilions Tree Pres Plan Recd _Y _ N.
2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _Y _ N
7 set ot Energy Calculafrons Addi6'on - indicate i(on-sRe sepfx system Onsfle Septk System _ Y_ N
3 copies of Tree Preserva0on Plan'rf lot platled afler7H/93
Rim Joist Detail Options selection sheet (6u0dings wiN 3 or less uniLs)
Date Construction Cost ? 6Z? ?
Site Address ?? ?9 ? ?rY? "LCS?'\ ?2?-c/? e- Unit/Ste !€
Description of Work
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner ?NCCIf(_ ?(lss?,Q ? Telephone #((o S\ )"'l? O 1?obcl2
C
?
j
-
Contractor r..W
L('yNL Cr5y
.
\ ?Yrlv c?
nddress \2bt-? r . city 3u?hSvil?-e
State m4j Zip `? Telephone#(4S1) 2-31 'A%7_?S
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
(Jsubmissiontype) Submitted Suhmitted
. 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 planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( J
Sewer/Water Contractor
Telephone #( J
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 C' of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pe it, d work is not to start without a
permit; that the work will be in accordance with the approved plan in the c se of ork which requires a review and
approval of plans.
C rc, (_j
Applicant's Printed Name
OFFICE USE ONLY
Suh Types
? 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 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 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 (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
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Surve,y for :
• Joe Mr:?,ler Const. Inc.
1R333 Cedar Avenue South
Farmington, Minneeota
55024 DELMAR H. SCHWANZ
LANOSURVEVORSiA/Z,
RaqiftareE Untlar Uws oI The SUte of Minneso[a
2976 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56088 PHONE 812 423•1769
SURVEVOR'S CERTIFICATE
Q ????EWED
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Survey for:
Joe Mi,ller Const. Inc.
1R-i33 Cedar Avenue South
Farmington, Minnesota
ssnza DELMAR H. SCHWANZ
LANOSURVEVOfiS,;W-/,
Re9iibrotl UnCV U.s o/ The SbU o/ MinnnoU
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56088 PHONE 612 4217769
SURVEYOR'SCERTIfICATE
? _ -- REVIE ! "UED'
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I hereby certify that this is a true and correct repreeentation of
a survey of the boundariee oP:
Lot 5 and Lot 6, Block 2, CHFS MAR EAST FOURTH ADDITION, according
to the recorded plat ae on file and of record in the oPfice of the
County Recorder, Dakota County, Minneaota.
Also showing the location of a propoeed house as staked,thereon.
As aurveyed by me thia 29 day of November, 1982.
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A REGISTRATION NO.
Survey for:
Joe Miller Const. Inc.
18133 Cedar Avenue South
Farmington, Minnesota
55024 DELMAR H. KHWANZ
LAND SU fi V E V ORSiN-/,
ReqiStaraE Untler I.aws O/ The Stele o/ Minneiotd
2978 - 145TH STREET W. - BOX M HOSEMOUNT, MINNESOTA 55088
SURVEYOR'S CERTIFICATE
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?3l•R Denotea exiating elevation
9b,.o Denotes proposed elevation
Denotes direction of
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I hereby certlfy that this is a true and correct representetion of
a survey of the boundariea of:
Lot 5 and Lot 6, Block 2, CHFS MAR EAST FOURTH ADDITION, according
to the recorded plat ae on file and oP record in the office of the
County Recorder, Dakota County, Minneaota,
----- Also -shov+ing the location oF -a propoBed-hou8e_as. etaked thereon.
Aa surveyed by me this 29 day oF November, 1982.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108470
Date Issued:12/07/2012
Permit Category:ePermit
Site Address: 4563 Horizon Cir
Lot:5 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-050
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Bank of America NA TSTE
Mailstop SV-74
Simi Valley CA 93065
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121948
Date Issued:04/18/2014
Permit Category:ePermit
Site Address: 4563 Horizon Cir
Lot:5 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
David Luna
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 -
Abdulatif Berneto
4563 Horizon Cir
Eagan MN 55123
(612) 227-2794
Armor Construction Inc
5981 148th Ave NW
Ramsey MN 55303
(651) 491-2616
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121949
Date Issued:04/18/2014
Permit Category:ePermit
Site Address: 4563 Horizon Cir
Lot:5 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
David Luna
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 -
Abdulatif Berneto
4563 Horizon Cir
Eagan MN 55123
(612) 227-2794
Armor Construction Inc
5981 148th Ave NW
Ramsey MN 55303
(651) 491-2616
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121760
Date Issued:04/14/2014
Permit Category:ePermit
Site Address: 4563 Horizon Cir
Lot:5 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Jamie Rippel
12850 Chestnut Blvd
Shakopee, MN 55379
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Abdulatif Berneto
4563 Horizon Cir
Eagan MN 55123
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122904
Date Issued:05/22/2014
Permit Category:ePermit
Site Address: 4563 Horizon Cir
Lot:5 Block: 02 Addition: Ches Mar East 4th
PID:10-17153-02-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Abdulatif Berneto
4563 Horizon Cir
Eagan MN 55123
(612) 227-2794
Armor Construction Inc
5981 148th Ave NW
Ramsey MN 55303
(651) 491-2616
Applicant/Permitee: Signature Issued By: Signature