4567 Horizon CirCITY OF EAGAN Remarks-
Addition CHIS MAR EAST 4th ADDITIOA
Owner (ILL, 1116 1 5treet -
L) " J
7 Blk 2 Pefcel 10-17153-0'f0-02
' Eorizon Circle e..,..,
Improvement Oate Amount Annual Years Payment Receipt Date
STREETSURF. 1983 1191.76 238.35 5 53.41 A012231 5-20-83
STREET RESTOR.
GRADiNG 151 1983 729.95 145.99 5 5 3•9 A02.2231 5-20- 3
SAN SEW TRUNK ? z 1973 106.90 5• 35 20 .1 A012231 5-20- 3
*SEWERLATERAL 1$ 1851.59 370.32 1481.28
* WATERMAIN 1983 $
WATER LATERAL
WATER AREA 74 1$3 370.00 7 296.00 A012231 -ZO-S
*Services 1983 5
STORM SEW TRK 1983 379.56 75.91 5 0.6 A0122 1 -20-8
STORM SEW LAT
CURB & GUTTER
SIDEWALK
I STREET IIGHT
RoAn urrrr 240.0o 1461 8-1-82
WATER CONN. 420.00 11 „
BUILOING PER. 44
SAC n n
' PARK
CITY OF EAGAN Remarks 14q?3 ?
Addition- CHES MAR EA$T kth ADDTTION Lot 8 plk 2 Parcel 10-17153-080-W
Owner CI (r. , 1` )laL Street 4569 Hori zon C3.PC1C State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1953 1191.76 238.35 5 953.41
STREET RESTOR.
GRADING 7 1983 729.95 145.99 5 8. 6 AOl186 2-4-5
SANSEWTRUNK ZZ 19'f3 106.90 5-35 20 48.16 AQU,$ ( 2-4-$
* SEWER LATERAL 1983 18$1.59 370.32 48 $ It IT
* WATERMAIN 1983 S
WATER LATERAL
WATER AREA 1983 370.00 74.00 5 2 6. OQ Ao 18 6 2-4-8
*Services 1983 S
STORM SEW TRK 1983 379.56 75.91 5 303.6 A0118 6 2-4-8
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro T 240.0o 1461 8-1 -82
WATER CONN. 420.00 «
BUILDING PER.
5AC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
rtEccivEo
FRpNI
AMOUNT $ I
-- Q DOLLARS
?oo
? CASH ? CHECK
7yU9
7 ?
VYhite-Payers Copy
Yellow-Posting CopV
Pink-File Copy
ThankYou
C?3r Ct - BY
m Name
? Addre
S Ciry ?
Name
..,..R.,?
PERMIT
MECHANICAL PERMIT
CITY OF EAGAN
RECEIPI
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-5100
'L n Li '- '
BLDG. TYPE M
? Sec/Sub*
. Res. N
,
Mult A
Comm. R
_ Phone ' "' , ""1 I Other
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
' M BTU
CFM
FEE:
S/C:
TOTAL:
rera
RES
HVAC 0-100 M BTU
.
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON I
_ CONSTAUCTION)
MINiMUM - 1 PER I
GAS OUTLETS
(
COMM/IND FEE - 14'o OF CONTRA(
APT. BLDGS. - COMM. RATE APPL
TOWNHOUSE & CONDOS - RES. f
MINIMUM RESIDENTIAL FEE - ALl
REI
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $
50 S/C IF PERMIT PRICE G(
.
BEYOND $1,000)
SI EE
FOR: CITY OF EAGAN
v
?
v M'; ,
.. •?
- $24.OQ
- 6.00
:1N
ERrAIn
" - 1.50 EA.
FEE
:S
TE APPLIES
kDD-ON &
ODELS - 12.00
- 20.00
- .50
:S
k
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prini legibly
Parmit No.
Fes '
S/C
Tot. -
1. Date 2. Installation Cost
.,.
3. Job Address Lot_LBIk. Tract T_
4. Owner
S. Contractor • Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add 0 Alter ? Repair ?
10. Describe Fuel Type
11.
No. Enuinment BTU - M. Ea.
Forced Air No. EQUipment CFM
Ai
H
li
Mfg. r
and
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 464-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr /egib/y '
Tot.
1. Date 2. Installation Cost
3. Job Address Lot ? Blk. ' Tract '
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New fQ Add O Alter O Repair ?
10. Describe Fuel Type
11.
No. F.quipment 9TU - M. Ea.
Forced Air No. Equiament CFM
ndli
:
Ai
H
Mf9. r
a
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify tfiat 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
Fieosipt PLUMBING PERMIT Pe?mit No.
CITY OF EAGA111
Fea _
fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
3. Job Address oriZCn Lot Blk. % Tract
;ircle -?-
4. Owner L l.r Y' ^?nstr?;r.? 1 nn
5. Contractor '?ervic? ? Phone 46,9?J'?'l1
6. Address
7. City l' State Zip j;
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair O
10. Describe
11.
No, Fixtures
Water Closet No. Fiactures
Cess
ool/Drainfield
Bath tubs p
$eptic Tank
Lavatory Softner
? Shower Well
Kitchen Sink
Urinal/Bidet Other ? l- -?
Laundry Tray
Ftoor 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 apd dodes governing this type of work.
Signed : ' ? , \ `?? - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved - CITY OF EAGAN 454,8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spscea
Type or Print /egibly
Permit No. . : ,
Fee S/C
Tot • .
1. Date Installation Cost
,
3. Job Address n.rl,Lot'7 Bik. Tract -
4. Owner ' i. i ?' :•,??t.?.nr
5. Contractor o lir- Phone ,?-'•3")2
6. Address "',30 Ho Lt Ave.
7. City _ ri L l r ? State ; Zip .-;; .
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
lavatory Softner
Shower Well
i Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
E
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanpes and codes gaverning this type of work.
Signed : • . ?? ` _'''??' . for
Rouyh Final
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
INSPECTION RECORD
? CITY OF EAGAN
? 3830 Pilot Knob Road PERMIT TYPE:
Permit Number: '`" l I
0 2 01 `'
Eagan, Minnesota 55122-1897 Date Issued: ot; /08 l`' f,
' (612) 681-4675
, t k? ??i ??
SITE ADD
RESS. 1?• i 4?? Si i} ?;
APPLICANT:
rli ;, . > >i t 11
PERMIT SUBTYPE: TYPE OF WORK:
i?l ? I i!' tl
i ?I r4 r.i
INSPECTION D, . ..
I'd' ' ?: t?i?• i
F ?
- - - - - - - --- --- - - - - - - - - - - - - - - - - - - - - -
?
- - - - - - -
Permit No. Permit Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspactlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FtNAL HTG
ORSAT
TEST
BLQG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK <<- JJJ i -
--
- - i -- -
. __ . , .
? CITY OF EAGAN -
.. .
? 3795 Pilot Knob Rood Eegan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt .?t
To be msed fer . Est. Value ` Dote 19
Sita Address . E?ect p Occuponcy
Lot Block = Sec/Sub. _ ^Iter p Zoning
parCel # Repoir ? Fire Zone
Enlarqe ? Type of Const.
o Name
W C Move
? # Stories
; ilddress Demolish ? Length
b
lx Nome nDOrovois pees
,O -
vu Address Assessment Permit
~ Cit pho? Water & Sew. Surcharge
?? Police Pion check
?Z Nome Fire SAC
? Z Address Enp. Water Conn.
<W Ci Phax Plonner Woter Meter '
Cauncil Rood Unit
I hereby acknowledge thaf I have read this opplication and stote that Bldg. Off.
the information is correct and agree to comply with oll appliceble ^PC Totel
State of Minnesoto Stotutea and City of Eagnn Ordinonces.
Sipnature of Permittee
/1 Building Permit is issued to: all work sholl be done in occordarxe with all epplicable Stote of Mir
Building Officiol
!.
on tho express condition thnr
V of Eaqon Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 30p(c
H.V.A.C. 3(Z l cA4-r01 1?44i 4-ZZ -
Wall
Weter
Disp.
Sawer
E lectric Z(o ??(n 14 dT QII. q- l 7?a ?
Inspection Date Insp. Other
Footinga
. r
Foundation 0
Framinq
Rouyh Plbg. tj
RouQh HVAC
Insulation
Final Plbp. 4d
Finsl HVAC G,J
Final
Wour Do scribe Loaation:
VYeli
Sewer
`
Pr. D'eep. .
A
BUILDING PERMIT
cirir oF
3795 Pitet Knob Road
MN 55122
Receipf #
Te be nad foe Est. Volue Dot e _, 19
Slt° Address E
t
O
rec Q ccupancy
Lot Block Sec/Sub. ' /11ter C] Zonirq
Paroel # • - Repoir ? Fire Zone
Enlorya ? Type of Const.
ac Nome Mo # St
i
W ve 0 or
es
; Address L} I
Demolish
?
Length
Cirv : 1 c- .' _31 iE?•Ixi pF,,,„. - Grode ? Depth Sq. Ft.
a
0
OV
u?
?
Name _
Address
I hereby acknowledge thot I have read this opplication ond state that
the information is correct and ogree to comply with oll opplicoble
Stote of Minnesota Stotutes and City of Eaqan Ordinances.
Sipnature of Permittee
/1 Building Permit is issued to: -
all work shall be done in occordance with oll cppliooble Stote
Asseument Permit
Water 8 Sew. Surcfiorge
Police Plon check
Fire SAC
Enp. Water Conn.
Plonner Water Meter
Council Rood Unit
Bidfl. Off.
APC Total
- on the express tondition thnt
des arxJ City of Eagnn Ordincnces.
Buildinp Offlciol
Permit No. Pormit Holdsr Miu. Permit No. Holder
Plumbing ? ?
H.V.A.c. 5 L ? en?rol(f? ,? 9-ZZ-82-
Well
W?t?r
Diap.
S?w?r
Electric I,J z(0 qq4O /Kc tl,,-ACl I' 17$Z
InWedion Dats Insp. Other
Footinps
r
•
FoundKion
Frsminq l. J
Rouph Plbg. .
Rouph HVA
Inwlation
Final Pi6p. 47. Zo W
F?na1 HVAC
Final ? i?7' ,? ?? .?f?i?•f...-..< ? . ;
4diM
water bowibe LocatiPn: i
Well ,
Sawer ?
Pr. Disp.
CITII OF tAGAN SEVNER SERVICE PERMIT ?
879! ?Ilot Kno6 Roed PERMIT NO.:
E4yon, MN 55122 DATE:
2onin^'??• No. of Units:
Owrxr. +•iil
Address:
SItB /s1ddf@55: T"7 ,
? r. r t.
`ar a z
Flumber.
1 a9ree to comply with fhe Ciky of Eagan Connection Chorge: :2 fg
Ordinanep. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Chorges:
Dote of Insp.: Total:
Insp.: Dote Pcid:
cin oF E?a?N
3795 P?lo! Knob Roed
Eogan, MN 55122
Joseoti .
WATER SERVI
PERMIT NO.: CE PERMIT
DATE:
No, of Units•
er . . . . ... ,;;,•,
ite Address: T ? .
hamber:
4eter No.: Connection Charge: -,•
ize: Account Deposit:
eader No.: Permit Fee: '
agroe to tamply wlth tM Citp of Eagon Surchorge: -
Winonees. Mlsc. Chorges:
Total:
Y Dote Paid:
ote of Insp
379; Plla Kneb Ro.d
Eayan, AAN 55122
PERMIT NO.:
DATE:
No. of Units:
! , ' ' 1
_ ..
1 egree to wm? wk _ . ,
h H+a Ckp of Eagan Connectfon Charge:
Ordinsnqi. Account Deposit: _
Pertnit Fee:
Surchorpe:
BY Misc. Chorpes: -
Dote of Insp.; Total:
I "sp.: Dote Po1d:
CITY OF GGAN WATER SERVICE
3795 pilot Keob Roed PERMIT NO.:
Eagan, MN 55122 DATE: -
7anin9: ` i
?
No. of Unit;: t
.
;
Uvner: 082? .c:t1?]t'
Address:
Site Address: i'^zizon ??rr c?, ._ Cr e: ?'ast t;.
Plumber: 'o CliLr ?
Meter No.: Connection Chorge: '
Size: Account Deposit:
Reader No.: Permit Fee: '
1 agroe to eomplr wlth tha Cih of Eo9en Surcharge:
Otdinanees. Misc. Chorges: ' r
Total:
BY Dote Paid:
CITY 0FFAGAN?' Ir?clt?de 2 est'a ot Plane.
#?qqj
?? /r?? 1 site plan a?/elevat3an. 6
? svnanx: m*rr mticaTTaN : I set ot anaw catcuxat?ar?s ,
•. ? ?u,???E?,( ???? 4'
Sb He Used For valuat3on 38,000 Date 6/30/B2 .
SitC Addr2gg: 4567 Horizon Circle „I^ ,; /? a'II'Y
u' -3
? 7 Blodc z SeC./SUb. Uhes MarT/ EY?eCt v
Pazcel N : 16) o 70 G ? ?r ZiM
gtlazge _ Fire zYpe Zone
Oonat. - =
pWr@r; Joseph M. Miller .Cor t, Inc._
AddT@sg: 14115 GuOfirie Ave Grade?+ ..? Depth
City/Zlp CbdE: AppLe Vallev MN. 55124
APPPOVAIS
ph0[12 # : 454-4753
ODRtrBCbOr: Same
City/Zip Code:
Phone A:
Arch. Ar]dte?.
City/Zip Oode:
Phaw M;
ASSISSOMOntS pesmit c
WHter/3ewez ?!-
Polioe ? ? )
Fis+e
Eriq, Watier OoM.
Planner Water Meter
Council Iaoad Unit _
? . Of£. ?,?(rg ?
A , . CITf Of EAGAN
1 9795 Pilet Kno6 Road Ea9an, MN $SIYt N? 7449
BUILDING PERMIT PHONE: 434.8100 31?*
Recelpt #
Te bs wed fer 1 /2 DUPL EX & GAR Est.Value $61,000 Date Auqust 17 19--82_
Siro Addreu 4567 Hor izon Circle E
r R-3
o
rec
M ccupnncy
Lot 7 Blotk 2 Set/Sub. CheS Mdr E. 4t11 Alter ? Zonirg R'Z
Porcel # 10 17152 070 02 Repotr p Fire Zone NA
n
Eniarge
p
Type of Const.
a Nome J0S2Ph M. Millex' Const., IriC. Mwe ? Z
# $tories
Z
? Addrass 14115 Guthrie Ave. pe??ish p Length 30
Ci Phone 454-4753 Grade ? Depth 5O Sq. Ft.-
z N Aporovalt Fees
o ame _
?
u? Address
? r:...
Name
I hereby acknowledge that I have read this applicafion and state thot
fhe intormafion is correct and agree to comply with oll opplicoble
State of Minnemto Statutes and City of Eagun Ordinonces.
Siprrofure of PermiMee -
A Bu(Iding Permit is issued to: JOSEp?
oll work shall be done in acwrdonce with all
Buildinq Otficial
Assessment _
Woter 8 Sew.
Police -
Fire
Enp.
Planner _
Council _
BId9. Olf. _
APC
Permit sin.VV
Surchorge 30.50
Plan check 158.00
SqC 525.00
Water Conn. 420.00
Woter Meter 60.00
Rood Unit 240-nn
Totol $1749.5(1
_ on Me expren cordiMOn thm
City of Eopan Ordinonces.
? 1 db pLn M?/slevatians i.
B[1TIDINiG PF?Nirr AP'FI.IGTlCN ,? Ne o? ?rs19Y ???•' ,
. , . y ?1?? d-G?? d?
?a-eee ;b Oo-V nets b/so
7b Be `1Md pbr 11?e valuat3an
4569 Horizon Circla ; ? ? ?
site Acidress s ? ??t
g glp , ?Oa?aps?xY 3
? 2 $eC,/Sub. Ches Mar '
Pat+oel ? ?
, praarge lyps of O"t ?- ,
QwIQr; Joseph M Mi11erSCast. Inc. _ mmm
??....?
??p 14115 Guthrie Ave So ?1? ?? ?1 p "•
. City/ZiQ ODaB 7, Ano 1 e Va Ll •*+*? S S i??- . ?:' .- phpw ?: 454-4753 ?S ,. dr7
AsessOnwits F?R?t
Oc?7ntraCEorq S me WlltPt/S9Mter ??- ?
Plan Cl1eelc -° '
Address; Poliae SAC
Waber Cam•
. City/Zip Code: Eng.
water Meber --?„-'?"
, pl?a?e tt Planner ?7 tnit 24 b
CITY OF EA1AN
•• ,3795 Plbf Knob Roed Eegon, MN 53122
PHONEt 451•8700
BUILDING PERMIT
& GAR
Slte Address 4569 Horizon CiYCle
Lor?$_ BI«k 2 Sec/Sub.Ches Mar E. 4th
parcel # 10 17153 080 02
?c Name Joseph M. MillEr Const., Inc.
? Address _14115.GUthrie Ave:^
o Name_
Address
Nume _
Address
I here6y ocknowledge thot I hove read this application and stote that
The intormation is torrect ond agree to comply with oll applicabla
$taM of Minnetoto Stotutes and City of Eogan Ordinances.
Siflnoture of Permittea
A Building Permit is issued to: 508?
all work thall be done in otmrdante with
Buildiry OfficiCl 9
Receipt #
000
N° 7448
/?G/
Erect M Occuponcy R-3
Alter ? Zonin9 R-2
Repoir ? Fire Zone NA
Enlarge ? Type of Const. Vn
Move ? # Stories Z
Demolish ? Length 30
Grade ? Depth 50 Sq, Ft.-
Avn•ural¦ Fees
Assessment _
Woter & $ew.
Police -
Fire '
Enp.
Pionner _
Council _
Bidg. Oif. -
APC
Permit ?ao.vv
Surcharge 30.50
Plan check158.00
S,qC 525.00
Water Conn.420.00
Water Meter 60. 00
Rood Unir 240.00
Totol $1749.50
=nC. on the expreu conditlon Ihnt
atutes ond City of Eayon Ordirwnces.
?
REQUEST FOR ELECTRICAL iNSPECTION `« Ee-'
?4??,4 4 6 0 See inshuciions for completin9 this /orm on beck of yeliow copy. w
"X" B? yyork Covered hy Thrs Request 3t 9 O`?J
rya Add 1,ep. TYVa of Building Appliences Wired Equipment Wired
Home Range Temporary Servir,e
Dupiex Water Heater Lightin Fixtinres
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Parm Uther PeciN the.r(SUncifvl
t,er pea Y Other . Olher
t?O
I # I Fee I SatvlceEnHenceSize I tt I Fee I Faxdars/Svnfeedars "I ?pge?'fp Circuits I
t0
to ZUV AmUS 1 I I 51 to
00
aigns apeciai mspectron G?`.d t+o
Re?rwr TOTAL E .7s..Pd
'/i?
Roug n °? {( , Me Elnchical
Inspectoq ha.eby
? certif
that th
eb
Fina1
DAle
( y
e
ova
inspectian hes baen
?,
? mede.
This request voitl
18 months hom
This reques[ voitl/-7
18 months irom
26446
Z&}s 7 d-$ 1
C?EL? A?k-r-
$zi 314oS
E-0-4- Z S, o0
Nequest Oa[e.
^ .
Fire No Rough-in InsoecUon
Re uired?
?Ready NuwPWill Notify InsPer,-
g a
e
? Ves ? No
or When Ready
? Licensetl Elec[rical ConVactor I hereby request insoection of above
? Owner eleclrical work installad at
5[reet Address. Box or Route No. Ciry
,Z7'4 en
ecLOn o. Township Name, or No. Rangc No. County f
4+?0
OccupantlPRINTI
/l
?
?
? Phone No.
$/'T
r3
aUt
n
o?t5
t?e v
Powe S?pplie.
1'1a Addres
?,?.?„?
Electrical Co t actor IComOany Name
, ;
?1
? Contrar,tor's License No.
,
?.
Mailing Address ICon ractor ory ner Making Instailationl .
a3? sc/s-?, _(/CJ 90?< -:?3 a3
Authorized 5i9namre /IC'on-Vacior Owner MakinB lnstallationl Phono Number ^
MINNESOTA STqTE BOAPO OF ELECTNICITY THIS INSPECTION PEQl1EST WILL NOT
ariqBS-Mitlwey Bldg. - Noam N.191 BE ACCEPTED BY THE STATE BOAftD
1821 UnWarsity Ave., St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS
. '
o?.....e iatIV ooz1111 ENCLOSEO.
g/dn /?!g REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
( ? 59e inslmctions br mmpletirg thls form on back oi yellow copy.
M`5 614 9 "X" Below Work Covered by This Request
Ne% Add Rep. TypeofBuilding AppliancesWired EquipmeniWired
HortSe Range Temporary Service
Duplex Water Haater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ?
4 Air Conditioner
Omer (speciry)
111 RemaM1S:
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEntrance5ize Fee S Ciraits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr§ Use Only: 70TAL
Irrigation Booms
Special Inspection
Alarm/Communication ?O
Other Fee S
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°"eM'"
F;nai oate
oace
OFFlCE USE ONLY This request vaid 18 moriths Irom
? 5 614 9
Requasl Dete
7 ?` `?
?
- ? Fire No. Fougl+i nspeclbn
RequireA2
[reatly Now ? Will NotNy Impector
Wh
R
tl
9
`7
-U ? Ves ? No en
ea
y
I)?licensec.pontractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (Siree/t, Box or Route NoJ '
, ?/ S C^ y O h/.Z O/.I 6 L,- Ciy ??} / ??7 ? )
? PT(T !Y N
Secvon No. Township Name or No. Range No. Counry
Occupent (PPIM)
G/ * t-/? PMne No.
?ower sworar naaress
T Eleclri I Comractw (COmpany Name)
J
A ?
F/ Conireclark License No.
r1 r+ ,
C?
?
e
Mailing AAtlress (COntraclor or Owner Making IeStellaHOn)
/ 2-7 5' 4-S - A7
64-
Aut ign (COntractor aking lation) Phone Numbe
c?r?-6 Y-2y
MINNESOTA STAyOOApD OF ELECTpICIiY THIS INSPECTION REQUEST WILL NOT
Gr189a-MNlway BIOg. - poom &173 BE ACCEPTED BV THE STATE BDARO
1821 Unlverafty Ave., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plwna (612) 6412-0800 ENCLDSED.
1821 inn
ldy ?I?II ?I I II I 11 IIIII III II IIII M
stdy A e dRm° SRI BCSt.' di, M T?04 °7
* 3 ? 6*Phone (612) 842-0800'?"?a? 7/I A
Home Dup e: Apt. Bidg. Ofher: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. H}g. Equip. Water Htr. Load Mgmf. Ofher:
D er Range Elec. Heat Tem . Service
"k' above fhe woik covered by this request Enter remarks in tFis space ond on the back of /he white copy only.
Calculate Inspection Fee - This Inspedian Requesf will not be accepied withoul the corred 1ee:
Olhrs Fee 8 $ervice Entra?e Size Fee al Circvih/Feeders Fee
Mobile Home Park $toll 0 ta 200 Amps 0 to 100 Amps
Streei Ltg./Traffic Sig. A6ove 200 Amps Above 100 Amps
Transformer/Generafor INSpECTOH'SUSEONLY TOT
Sign/Oufline Lfg. Xfmr.
Alorm/Remote Control
Swimming Paol em fim I?ns eckd ihe el«mcol in cribed hercin on Me daks sakd
I h
6
IrrigOtion Boom erc
c
eouqh-in Dme
$pecial Inspeciion
Investigative Fee inal //B Dafe /7 b/
THIS INSTALLATION MAY BE OR DISCONNECT IF NOT COMPLETED WITHIN 1 MONTHS.
3 0 3- 3 5 OFFIE USE ONLY This requesi void I B montha fmm volidolion dare ptlMed in? bo
lv???9 (0 .S
PLEASE PRINT OR TYPE
Requesf Dak Ro?gh-In inspedian requiredZ ? Yes Inspecfion 01her Thon Rough-In: dy Now 0 Will Cvll
C`-` 6- 9 (Yau must call the inspeclar when reody) Daie Reody:
I,\Olicensed conirodor Q owner hereby request inspecfion of ihe a6ove electriml work at:
lob ss (S1reep Bax, or R la No.? ,
??? 7 Ciry
? Zip Code
Secnon No. Townahip Nom<or No. Range No. Fire No. Cox ry _ ? 1J7?p
?.?J..?/' il/
O pon? ff
I ( Ph,on) No.
Power $upplier Addmss
'ml Contraclor (Campany Nome{1,.,j ? ?t?
!!Y/n Cankodar Gcense No.
f 1 : ) 7 Marnr Lic No. (Plant Elecc Onl,)
a1N ?dr?? ,? r O«ner Performing Insml o a ??
?
Aulhanz gn rc(ConhocloroiOrvnar Aorminglnsh W.
, ? Phona
- &,ng
-OODOIA-10 6/95
?? STATP40AqDCOPY-$EEINSTPUCTIONSONBACKOFYELLOWCOPY
C
pxtifirttte of (Orrixpttnrij
Citp of eagan
Orpttrtmrnf n# lluilDing Jmpedim
Tbis Catificate itturd purntarot to tbe nqrurnnnau o f Sation 306 0) t& Uni jorm Bailding
Codc arti fying that at the limr o f inuarut tbir ttrutturr wat irs com pliona wuh the variomr
wdinaruer o f the Ciry ngulating brdldirsg conrnurtion or un. For the foUowrn$:
u„chuir? 112 DUPLEX € GAR Bldy.hmritNo. 7449
o=war*rw R3 *rwc?? Vn F? NA zooewwn R2
o.m.ors'na:e i?• ?•Aaartw..••,•, •• ' -
B„o?Add? 4567 Horizon Cir. Lw;,r iot 7,Biock 2 Ghes Mar E.
4th
BY January 26, 1983
ewwomcw g? wW
.>. 1. , .. ..
(Itr#ifirtt#it uf (Orrupttnry
Citp of eagan
Erpartmettf u# iguilbictg Jttsperticm
Tbir Castifiuur inurd purtuaru to tbt rrqtriremenu of Srrtion 306 0/ tbe Unifonn Biilding
Cods urtifying thru u tJx tiau of isturtnu tbit tt.vtturc wat rn tompliantr witb tlx va+iost
ordirwruu of t!x City regukuing building roertrattioa or urr. For tbt followrxg:
ti. cbdfic? 1/2 DUPLEX & GAR &d& hmtl, Na 7448
O=P? TYR R3 7YPCwMmtlm Vn FinE NA 2a={Db? RZ
4569 Horizon
WIdi Circle,Lot
.
B,Block 2,Ches Mar
t ft..
r,? '..
4? ?
y
4 y y October 27. 1982 e
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0)ov
2004 RESIDENTIAL BUILDING PERMIT APPLICAI'ION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouirements RemodeVReoair Reauiremenis Offce Use Onlv
3 registered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Rerd Y N
(20%maximum lot coverage allowed) 7 setof Energy Calculations for heated additions Tree Pres Plan Reoi _Y _ N,
2 copiPa of plan showing beam 8 windovr sizes; poured found design, etc. 7 site survey for addNons & decks Tree Pres Required _ Y_ N
isetofEnergyCalculations Adddion - indicateHon-sitesepfksysfem On-sdeSeplicSySlem _Y,_N
3 copies of Tree Preservafion Plan if lot platted after 711193
Rim Joist Detail Options selection shcet (bldgs w%h 3 or less units
Date ? /
6 /
Site Address /?p
Con?st?ruction Cost ?d 0?)
2?Zo? c-/?,L.e Unit/Ste #
Description o[ Work 57//..c-U6-
Multi-Family Bldg Y_ N Fireplace(s) L?' 0 _ 1 _ 2
Property Owner Telephone #(9'?) 7 6?? SI ?jg
Contractor C?--/E T LG - .<2?,- U S
Address aASA S
State / City t?OLt?Cl/LYJ0
Zip SS?O? Telephone #(F?h '7? - a 7S/ "
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
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 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 rk which requires a review and
approv of plan
?/?? 451
Applicant's Printed Name Applic t' gn re
• .? ? r
HFi?T LOSS CA4CUI.ATIONS DEPAR7MFNC OF BUILDINCS -
Weatherstripa Comtruction No.
l CiuidC n
dowp I Doors :II Referrnce II Out. Wall . Inf. Wall CeJing Roof Floor . Kl
-Na Yes-No ' 19_
F7.? i?,j Roo l.ength s?Gf Width aL Height II ? ?a R°°m
and Arta Wiedom'a1d Deenh-4
Nom ? N71 t,
nf Dane HtlRnt
I nane
u nn of
l?Rhu Llnul ft.
n[ k Arca
aY. [t.
a 3 _
? ?dL
Coef. Bw
1n51M+l+.e Aeett /7
CJau S 6S
Fap. wall
Net e:p. wall
Int. wall
CeilinH ?- A)1,4
Floor
IT! OF9URNSVILU
?
11011 ?-.. . ..
aed Ares
n••l n, w.•. .
r eae • .a. «. .
c«t. ??
In6ltratioa
Requir?d .v. k. ?.Q'sR.Jor p. ius. W.A. L.eatler aroa
?.? ? i , Room Leu?th Width /
Wiodow? and Do r:--Cnokage aad Area
IAIh ?I?Tt NO.O lan tL Ar4
Na at Oan? e! oan? IIfAN ot el?eY N. n.
3 a S? 3
??.,..: i
, ._-- - - s i
Esp. wall .
-Net ewwdl o '
Int?. w?al?l
• Ceiling
Floor
Teal ]Btu. ,A Requiq. ft. ,?U1R. or iq. im. WA Lwader arca
I. I??4skr _ rR? ?kfleth At width `
ar:_A....,. .? Dee nekaea aad Area
Gla» w,I;. 30
F.tcp. wall
Net exp. wall
lnt. wall
Ceiling
Floor
Toul Bw.
W ?
?
er w. ie& v
t
NaatMes t
etP? Nj\tNi et eneY pAIMM
• tt
? CORE B
Infildaeio?
Clw
0
?
Na ap. ?..8
i IIILM&II
Ctilina
Floor
1 Tad &w t:
?
WA. Ueatder Rrea r-
?. _
_...?._.?.?
lf?..AT LOSS CALCULATIONS DFPAR'IMfM . QF BUILDINGS •-
Weatherstrips A. Conatruction No.
Guide
Windowe Doors Re(erence Out. Wall lnE. Wall Ceiling Roof Flaor II Kind .
Yea-No I Yes-No I 19- II
i? Roo Leneth JSWidth '. Height II ? •? a' : RO°1A ?
'and Door?-Ct?a
. ?v:_?_.... ._a n......-f..?4.oe and Area- ?s.
NP q'Itlt?
M V>ne HelRnt
ol ptne Nn. of
bRhU Lln?al fl.
of V.cY Ar'.
.p ft. ..
a 3 , ?a
Coef. Btu
JnWM+lisn (?est /7
Glau
Fap. wall s -
Net exp. wall ? A •S
Int. wall
Ceiling
Floor
7ou1 Bta
Requircd aq ft E.D R or p. int W.A. Isader arca
?:I ? ? ? ? ??b ?s w? / 2 Might F
3 a s.
J?illiaeiM
Gl?a
f? ? !+
fsp. wall T
=s. ? .
iVN up. wa0 ;t.
I06 WiH .?.J.. I
Ceiling • ?
Floor
Toul Btu.
Required sq. ft. .DtR. ur e
. l??eltr 'l?Room ??
.. . ; Windows and bmmr_$. r.
? Zi?
0
Exp. wdl
? Net exp. wall
lot. wdl •
Ceiling
Floor
Toul
Btn
CJw
Net esp.!
let. wdl
k. 4D.R. a
Fsp. Mnll -
Net ep.. ?
lat. wad
?
Floor
aed A
!eraer:
?
cirr oR; eunNSwLLE
?
tan ? -
iow Applkd
lth ? '
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n.
IGef.l Btu
wutb
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1141018 n t.
ot erwk ?rw
M. 94
i
I ? 81
Infillraeios
CJau
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IAA MdI
Ceiline '
Floor
_ II Ta.l Bm.
.. S`_r. l?t. r' RR wr..R 7?. W A. Cssawr.?r??
" _` 1` -
cIrv ar r.nrAh
I,ASH:[L:F:: S TE'F?MINAL N0: 32
DA'TE.. 0E303/96 TSM[EN 09;5041
iu„
NAMCe HEVERI_Y CLFlftF:
3210 9001 4569 iioRtzrrN cz 45.00
e05 9001 4169 Hor;r.zoN c.t 0.50
3430 9001 4569 FICIh:['7_ON CI 0.50
rotal r,Fceip+, Amnunta 46.00
CF'062ti7F,
USEFt LDa NANCV
CITY O EAGAN
3830 Pilot nob FY3ad ..
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDI
028506
08/08/96
SITE ADDRESS:
P.I.N.: 10-17153-080-02
4569 HORIZON CIR
LQ7: 8 BLOCK: 2
CHES MAR EAST 4TH
DESCRIPTION:
(REPLACEMENT)
uild:i4.,,Permit Type DECK
Building, W`ark Type NEW
CBnsus Cqd-e \ 434 ALT. RESIDENTIAI
?8t
?
l
JI !I i1 C 1
.4.c='..4 _L?-v. .. __\..,. _?
REMARKS:
FEE SUMMARY:
8ase Fee $45.00 COPY $.50
Surcharge $.50 Total Fee $46.00
Subtotal $45.50
CONTRACTOR: OWNER: - A p p 1 i c a n t-
CLARK BEV
4569 HORIZQN CIR
EAGAN MN 55123
(612)686-5633
,I hereby acknowledge that I have read this applicati,on and state that the
informatian is 6orr6 et and agree'to'comply- with a.ll applicable.State of Mn.:
Statute and,City ofi Eagan Ordinances.
?
?
?
?
PLICANT/PE EE SIGN RE ISSUED BY: IGN
URE
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
IM06996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
w Construetion Reauirements RemodellRao ir Re ai[Pa€
? 3 registered site surveys ? 2 eopies oi plan
? 2 coples of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (ezterior additions &? 1 energy calculations ? t energy calculations far heated adi
? 3 capies of tree preservativn plan it lot platled after 7/1/93
required: _ Yes _ No
DATE: S'le -9Co CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREETADDRESS:
LOT ? BLOCK ? SUBD./P.LD.#:
PROPERTY Name: Phone #: y??9 "57y1?
OWNER
Street Address: y5 ? ??>»^? R ??
City: 4C?lq!".l State: )47,m) Zip:
'ySLv -57Y0 f?
CONTRACTOR Company: ??i? Phone V,'
!7/--:? e-E,&
Street Address: License #:
City: State:
ARCHITECT! Company:
ENGINEER
Name:
Phone #:-
Registration
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the informatio is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No 9??d ?0 OnV
Tree Preservation Plan Received _ Yes _ No g a?
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = piex
WORK TYPE
4021?- 31 New ? 33 Aiterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace 0
6:;J? 5 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq: ft.
sq. ft.
Footprint sq. ft.
Building
„? , ?•_?p?.,
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
7-7-37-
--?--
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Waier Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
L)c 1 S7-1 " V' 44-0 oS%-.r
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g-r Qs-fl-Tf.b ? o isT 5
; (Q.``
2 Xb 'ES-A WSt/
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?q ? G,fr.R,S 0 ?? A?c. fwOS-.1olSYS
3 G?" "?? w? l. / q?" 6;kAC.E.5
4t "X4 tts" 00 1-f-th"G"
42"
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oFeagan
3795 PILOT KNOB ROAD, P.O. BOX 27199
EAGAN, MINNESOTA 55121
PHONE: (672) 454$100
December 14, 1982
MF2 RAY OSTECYS'AG
1245 CLIF'F EtOAD
EAGAN MN 55123
2
Re: Drainage frcn;'LOt 8, Block A', Ches Mar East 4th Adclition?
Dear Mr. Ostertag:
BEA BLOM6i115T
Mayor
THOMASEGAN
JAMES A. SMITH
JERf7Y THOMAS
THEODORE WACHTER
Cwrcil Members
THOMAS HEDGES
Ciiy Atlmirvsfroia
EUGENE VAN OvERBEKE
. Cily Clerk
I wzderstand the developer's (Gabbert Development) builder, Jce Miller,
has pPSfoxmed some grading operations to alleviate the drainage problen
he previously caused. I hope this work is satisfactory to you as the
developer has indicated to xe he is concerned about maintaining a good
relationship with you. He has indicated to m that i£ you still are not
satisfied with what has progressed thus far, he will be irore than willinq
tA met with you and ne to tsy to reach an amiable solution.
If 2 can be of any further assistance to you, please feel free to contact
Tre at your earliest convenience.
Sincerely,
4el-4ui ? Q??
Richard M. Heft1, P.E.
Assistant City Engineer
EM/jach
cc - Dave Gabbert, Gabbert Development
THE LONE OAK TREE. ..THE SYMBOL AND GROWTH IN OUR COMMUNITY
;
0EA BLO/.WUIST
MAYOq
THOMAS ECaAN
JAMESA.SMITH
JERRYTNOMAS
TMEOW(tE WACMTER
fAUNCIL NEM6EN5
October 25, 1982
RAY OS=?a
1245 Q.IFF RD
FAGAN NA1 55123
Re:
Dear Mr. Ostestag:
? ..
CITY OF EAGAN
?-,?.
PIIOTKNOB ROAD ?
.. : ,`.:. P.O. BOX'IIIH9 ' .-
EAGAN,MINNE50TA
?? ...:. ?-55122 , .
. ?w •,
PNONE 454•B1Oo ^. ?.
;7_.;..
?'? ..
M ?
A??]y
?'YJ
?x• -ir ?
TMOMASHEOGES
CIfY ApMINlSipqlOP
EUGENE VsN OVERBEKE
Ci1Y CLEPK
I have done some research regarding the drainage around your garage fxxm the
above-referenced subd.ivisimn and have staanarized my findings on the attached
contowc' map. This cantour map reveals the elevations o£ the land as it existed
prior to its being developed. Fran this, it aornara that the area now occupied
bY Lot 8drained tawards the southeast and eventually around the sauthside of
your garage. Incidentally, it appears that much of what had originally drained
towards Your P?? has been eliminated as a result of this development.
In simmazy, although it is apparent that dra:inage fron the above-referenced lot
has been toward your parcel in the past, Za[n oonfident that Mr. Miller will
work with you so that the drainage does not flood your garage as it has in the
past. 2 have noti£ied the developer, Mr. Wally r.abbert, about the recent.flood-
i.ux3 of your garage and he has prani.sed me he wi.ll ccntact his builder, Mr. Joe
Miller, and instruct him to perfonn the necessasy worlc to eliminate any future
flooding of your garage.
If I can be of any further assistance to you, please feel free to contact M.
sincerely.
?
R1C2?"LLd M. I-I2ft1. P.E.
AsSistant City Ehgineer
RiH/j ach
THE LOHE OAK TREE ... THE gyMBOL OF STRENGTH AND GROWTFI IN OUR COMMUNITY.
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L 0EA BLOMOV15T
MqVON
TMpMAS EGAN
JAMES A. SMITH
JERR
CITY OF EAGAN
VTHOMAS
TNEODOBE Wq[MTER
'
COUNGL RIEMBEPS - ?:?gr?TS ViLOT KNOO ROAD "
,P.O..BO%31199
'
EAGAN, MI NNESOTA
zstiz
.... ., ' ..?.J"i
SePtelrber 15, 1982 PNONE 4548)OO •?.
.
-
.,;
{??? (? WSyElly[]?i '/?/?
L?fL.
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1245 CL,IFF gD
E
'
A(
?AN A1N 55123
[1Ze: -Drainaae -fran-Iot-8. B1nck tYof Ches rtar-FaQ-+ n*1
Dear Mr. OstertacJ:
TNOMASHEDGES
dfY AOMINISiqqtpp
EUGENEVqN OVERBEKE
CIiY CLEPK
On Tuesday. Decenber 14, 1982, 2 met with the developer, Mr. Wa11Y Gabhert, and his
builder, Mr. Joe Miller, concerning the drainage problen I met with you about on
ThursdaY. Septe!ber 9th. Mr. Miller indicated he would perfoxm his final 9radin4
on this lot to dixect the water further south and aroimd Your 4ax'ac3e. He also in-
dicated that he would dress up the slope on the fill section at the end of the
street ard also seed it, Pmvided you will clear that area to allaw him acoess.
If I can be of any further assistance, please feel free to mntact me. pt-henrise,
please crontact Mr. Miller for sdieduling tfie previously nentiazed wvrk.
SincerelY,
Richaz'd M. Heft., P.E.
Assistant City IIiqineer
FM/J ach
CC -Thanas A. Colbert, Director of Public works
Wally Gah6ert
Joe Miller
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND 6ROWTH iN OUR COMMt,fNITY.
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'lease compiete for'?? single fami
New constniction °:Add-on fumace ..? . `
`? Add-,on air conddioning Fireplace conversion (to existing fireplace)
Date: go "
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additionaf 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE
OWNER
PHONE #: ? 76 7
INSTALLER NAME I1,-,5-!1I P Y1I? ?? L
STREET ADDRESS: Ia'7 6I ?-
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?0 ?43
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
?+C), -?s
New Construction Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys shaxing sq. R of lot, sq. tt. of house; and all roofed areas 2 copies of plan Gert oF Survey Recd
(20% maximum lol coverege allowed) 1 set of Energy Catcula6ons forheated additions Tree Pres Plan Recd
2 copies af plan showing heam 8 window sixe% paored found design, etc. 1 site survey tor ad?NOns 8 decks Tree Pres Not Reqd
1 set of Energy Calculations Addition -indicate il on-site seplic system _ On-site Septic System
3 copies of Tree Preservation Plan rf lol platted aftei 711193
Rim Joist Detail Options selec6on sheet (bldgs with 3 or less uni4s
Date 6) l o?-OQ? ConstructionCost ????b•??
Site Address UnitlSte #
Description of Work 764-AeLoc?h^
Multi-Family Bl dg ? Y _ N Fireptace(s) _ 0_ 1 _ 2
Property Owner Ghft-„+??? A40_OGt)/(Ze_s 7PC,7N Telephone # ( )
Contractor
Address City
State /V/ /V Zip !5>6'3 Telephone # (G0)
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(^Isubmissiontype) 5ubmitted Submitted
. Energy Envelope Calculations Submitted
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 permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
G?? ???lJ24a
ApplicanYs Printed Name
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ApplicanYs Signature
Certlficate for:
Joseph M. Miller Construction
14115 Guthrie Avenue
Apple Valley, Minneaota
DELMAR H. SCHWANZ
LANO SURV EYOR
RNisHnO V nOV Laws Of TM StalO of MinnesOta
2978- 1A57H STREET W. - BOX M AOSEMWNT, MINNESOTA 56068
SURVEYOR'S CERTIFICATE
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Plan R-3205
PHONE 812 423-1789
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O Denotes iron pipe mounment
B Denotes set wood hub and tack (!) 310.50 Propoaed garages floor elev,
Denotea existing elevation C) 3(0•9(7 Proposed top of block elev.
"/24.0
924.o Denotea proposed elevation C) Zc) 3(o Propoaed basement floor elev.
i hereby certify that this ie a true and correct representation of a
survey of the boundariea of the Pollowing deecribed tract of land:
Lot 7 and Lot S, Block 2, CHFS MAR EAST FOURTH ADDITION, Dakota .,
County, Minnesota as on file and of record in the offics of the
County Recorder, Dakota County, Minnesota.
Also showing the proposed location of a proposed building not staked
thereon.
As surveyed by me this ltt. day of July, 1982.
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MINNESOTA EGISTRATION N0.8625?..---
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?.? M. Miller Construction
:115 (luthrie Avenue
Apple Valley, Minnesota
DELMAR H. SCHWANZ
LANDSURVEVON
ReqisbroE Untler L+ws of TM StatO oI MinnasoL
2878 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56086
SURVEYOR'S CERTIFICATE
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Plan R-3205
PHONE 812 423-1769
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O Denotes iron plpe mounment
8 Denotes set wood hub and tack
`)24•o Denotea existing elevation
O24•o Denotes proposed elevation
c) 3(0•50 Proposed garages floor elev.
c) 3(a•9CJ Proposed top of block elev,
a 7_c3. 3(o Propoaed baeement floor elev.
I hereby certify that this ie a true and correct representation o£ g
survey of the boundarles of the Pollowing deecribed tract of land:
Lot 7 and Lot 8, Block 2, CHFS MAR EAST FOURTH ADDITION, Dakota
County, Minnesota aa on file and of record in the offics of the
County Recorder, Dakota County, Minnesota.
Also showing the propoeed location oP a proposed building not staked
thereon.
As surveyed by me thin Idt, day of July, 1982.
i
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MINNESOTA EGISTRATION N0.8625?. ?, . i ' i