4568 Horizon CirCASH RECEIPT
CITY QF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
ReceIvan
FROM
AMOUNT $ I.
& DOLLARS
?oo
EJCASH [:1 CHECK
FOR - ,
VYhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
ThankYou
G??6" . a v
?-
:i
BUILDING PERMIT
cirr oF EAG?N
3795 Pllet Knob Reod Eoyaw, MN 55122
Z? ????
PHON[: 454-8100
Reteipt #
Te be wwd Fer 1?2 D11P LF.X & GAc'Z Est. Volue 4'4 1), 0 00 pate F c ,ruary l d I 913-
,
sire Address 'r 70 l;orizon Circle
Erect
IQ
Octuponcy
Lot 4 Blxk 1 Sec/5ub. Chos .`1.1T 1. 4th Alter p Zoning R-2
pcral # 10 17133 04) 01 Repair ? Fire Zone HA
E ?
nlorQe ? Type of Const.
W Nam, JosRl?h 21. t?fiiller Canst,, Inc. Move ? # Stories
;
l llddrets 18133 CQt3ar AVe. So. pe?„ulish p Length 38 '4"
? rit, Farminjzten vk..- 454-47733 Grode fl Depth n S' °" Sa. Ft.
°C
O Name CIMQT APProvals
??
Address Assessment
~ Cit Phone Water 8 Sew.
Pol ica
WW Name
?
Fire
Z
Address Enq,
<W Ci Phone Pianner
Counci I
I hereby acknowledge thut 1 hove read this opplicotion ond state that Bldg. Off.
the information is torrect and egree to comply with oll opplitoble
Stote of Minnesota Stotutes and City of Eagon Ordinonces. APC
Permif Sf 0 •JU
Surchorya 24 • SQ
Plon check 139,25
SAC 525.00
Water Conn4 5 r) _ 0C'
Woter Meter 6 n ..Q
Road Unit
Totol ' 17.7. 2S
Sipnature of Permittee I
Jose?:?r. ":. rii i; er Const ., Inc.
A Building Permit Is issued to: on the exprcss condiNon thnt
oll work sholl be done in accordoexe with oll epplicoble State of Minnesota Statutes ond City of Eapon Ordinances.
Buildinp pfficiol
Permit No. Permit Holder Misc. Parmit No. Holder
Plumbinp 3z"'7L' ?J-?-t ._ g`C
H.v.A.c. S3 0? (F1 Atr -t7
w.u
Water •
Disp.
$awar
electric 75 0(o M1-4??. CI EC e ;-! 5$ 3
Impection Date Insp. Other
Footi?yi
Foundation
Framinq
Rou? Plby. ?
Rouqh HVAC
Inwlstion
Final Plb¢ _ r
Final HVAC
Finai
Water Daaibe Loeation:
V11ell
Sewer „
Pr. Disp.
,. ,
3795 Pllef
MN 'iS 122
BUILDING PERMIT Receipt #
To be wnd fer 1/' n11Pf FX F. (;AR Est. Valuei?di ? nnn Date 19 ?
Site Addrcu 1;AR Flnri inn f i re1 p Erect Occuponcy P_;
Lot -5 Blak 1_ Sec/Sub.rhPS Mar T' _ dth /llter p Zoning R-2
Porul # - 2") Repatr ? Firc Zone 'CA
Er,iaroe• O Trr,e of Consr. V
oe Name .?ns:-ih M _!ti 11 r.r rnnct _ 7nr
W ,- Move ? # Stories
; Address 121S.3 ('e.iar Avt?_ Sn _ Qemolish ? Length 0' "
b C phone . Grode ? Depth 4.5' $"Sq. Ft.
Nome OwneT Approrah Fees
~
?"
Addreu ssessment
/\
?
CI Phone
Woter & Sew.
Polite
?
°C
WW
Nome
F
F W ira
11 Address Eny.
i W C{ Pham Planner
Council
1 hereby acknowledge thaf I heve read this opplication and stote that gldg. Off.
fhe informotion is correct and ogree to tomply with oll opplicoble
State of Minnesota Statutes ond Cify of Eogan Ordinonces. ^PC
Slqnoturc of Permlttee
N Building PeRnit is iuued to: •JoGF!7_?
II all work sholl be done in occordanca with all
Buitdirq pfficial
77111
Permit 2.72 5 t
Surchorpe ?d rn
Plan check 1 V1.- Ir
SAC riI 5 .Q!1
Water Conn114'&?.
Woter Meter E n1)Q_
Road Unit 250 ?(10
Totol 72 7 - 25
jer Cn.nst , IuC on the exprcu condition thnt
Stote of Minnesota Stotutes ond Ciry of Eaflon Ordinonces.
Permit No. Permit Holdar Miac. Psrmit No. Holder
Plumbinq 32 7q ItIC lOU cre- 3-g 83 .
H. V.A.C.
w.n
Water
Diap.
S?wer
EMctric 5 75p (? k? ?Q Y? p S ??
Irapection Date Insp. Other
Footings
Foundation L
Fnming ?
Rouyh Plbp.
Rough HVA
insulation
Final Plbp. . .? ?
Final HVAC 2 w y
Final ?. ?
Wour Wsaibe Loeation:
YVell
5ewar
Pr. D'ap• ?
ik
• ,
MECHANICAL PERMIT PERMIT #
?
CITIr OF EA(3I1N RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address •e' =- " gLpG, n/pE WORK DESCRIPTION
Lot Sec/Sub
?- i
Res. - New
?
f" G
Mult Add-on
m Name
Add
^?
f/ ?,?,'-•G ;'
?
Comm. Repair
?
c .
?
ress
City Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address ~ ? :??l1..? .t ADDITIONAL 50 M BTU - 6.00 ?
O City 1 <lf? ? % Phone (RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCT'ION)
'
GAS OUTLETS (MINIMUMI - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK CQMMAND FEE -196 OF CONTRACF FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES 1
Unit Heater M BTU 1AINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 1
Air Cond.
,- y M BTU REMODELS - 12.00
MINIMUM COfiAMERCIAL FEE - 20.00
Vent CFM $ STATE SURCHARGE PER PERMIT - .50
?
Gas Piping Oudets # (ADD $.50 S/C PER EACH $1000.00 aF PERMIT FEE) ?
Otlter
PERMIT FEE:
S/C: G
' SNj?UM,?.? s
L,?{
TOTAL: ?1'' ° FOR: CITY OF EAGAN ?
Receipt MECHANICAL PERMIT Pe?mit No. -
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C
Type or Prini legi6sly _
T
t
o
.
1. Date 2, Installation Cost
3. Job Lress Lot -7 Blk. i Tract -? -
T
4. Owner
5. Contractor Phone
6. Address ,
7. CitY State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter O Repair O
10. Describe Fuel Type
11.
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. an
ng:
r
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and conect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: ' - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CiTY OF EAGAN Remarks ?}? • 1? «
I Addition A$T 4th ADDITIOa Lot 4 Blk 1 Parcel lO?1n,5?..A1t0?01
Owner Street - 457O HoY'iZOII Circle State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1 1983 1191.76 238.35 5 953•41 A0121 5-10-83 I
STREET RESTOR. -
GRADING 1 1983 729.95 145.99 5 583-96 A012177 5-1o-83
SAN SEW TRUNK 7 Z 1 3 106. . 3 20 g.l A012177 5-10-83
*SEWERLATERAL 19$3 1$51.59 370.32 S 1 1.2 ?
* WATERMAIN 1983 $
WATER LATERAL
WATER AREA 1983 370.00 74.00 5 29 .oo A0121TT 5-l• 3
*Services 1983 5
STDRM SEW TRK 160 1983 379.56 75.91 5 303.65 A012177 5-1 3
STORM 5EW LAT
CURB & GU'TTER
SIDEWALK
STREET LIGHT
R 250.00 34379 2-14-$
WATER CONN. 450.00
BUILOING PER.
SAC
PARK 5 25 ' 86
CITY OF EAGAN Remarks
Additfon , CaES M&R EAST 4tb ADDITIDN Lot ? elk 1 Parcel 10-17153-:030-01
Ownerffl) Street 4568 Ho2'4goM Circlp 5tete
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 17? 1983 1191.76 238.35 5 953:41 A012469 7-15-83
STREET RESTOR.
GRADING 15 1983 729.95 145.99 5 583.96 A012469 7-15-83
SAN SEW TRUNK 2Z 1973 l0.90 5• 35 20 48.16 A012469 7-IS-83
*SEWERLATERAL 1983 1851.$9 370.32 5 1481.2$
* WATERMAIN 1983 5
WATER LATERAL
WATER ARER -lqq 1983 370.00 74.00 5 196.00 A012469 7-15-83
*Services 1983 5
STORMSEW TRK 50 1983 379.56 75.91 5 303.65 A012469 7-15-83
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STfiEET tIGHT
Road Unit 250.00 34379 2-14-83
WATER CONN. 450. OO 11 11
BUILDING PER. 77
91
5AC -
2
00
n
n
PARK 5.
11
Cities Di
( Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
Receipt MECHANICAL
CITY OF EA
Fill in
or
1. Date 2. Installation
3. Job Address Lot_
4. Owner
5. Contractor
?c Permit No. -
Fee -7' -
S/C
Tot.
Tract` - ? ?
6, Address
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Descriptian: New U Add ? Alter ? Repair ?
10. Describe Fuel Type ?
11.
No. EQuiRment 9TU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
dli
Mfg. ng:
r
an
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
Raoeipt ? PLUMBING PERMIT Permit No.
CITY OF EAGAN
" Fea
? fill in numbered speces S/C
Type or Print legibly
Tot
1. Date 2, Installation Cost
3. Job Address I '•C Lot ? Blk. i Tract
4. Owner i L:
5. Conuactor FOhone
6. Address
7. City State '. 2ip ,8. Building Type: Residential ?'. Commefrcial O Institutional [3
9. Work Description: New O' ' Add ? Alter ? Repair O
10. Describe
11.
No.
`- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs $e
tic Tank
? Lavatory p
Softner
Shower Well
-- "
? Kitchen Sink ,
--
Urinal/Bidet Prther
Laundry Tray I ? -
i
Floor Drains i
?
-
?
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and,cpd?s governing this type of work.
?. \
Signed : --for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoaipt -
PLUMBING PERMIT Permit No.
CITY OF EAGAN - ?
Fee ?
Fill in numbered spacea S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
r
3. Job Address Lot Bik. L Tract '
_: . , .
4. Owner ' y,` . - __• -
5. Contractor • Phone
6. Address L) ? i': ) i4Lr AV i-;
7. CitY ;?: Stdte 'G Zip "riOl ?"r
8. Building Type: Residential O
9. Work Description: New C}
10. Describe
11.
Commercial O Institutional ?
Add ? Alter 11 Repair ?
No. Fixtures
Water Closet ' No. Fixtures
Cesspool/Orainfield
Bath tubs $eptic Tank
Lavatory ' Softner
' Shower Well
' Kitchen Sink
Urinal/Bidet Othpr
Laundry Tray ?
Floor Drains -
--
? Drinking Fm.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply With all,or?r` ?ncgs ?d codes govemning this type of work.
Signed : '- ? 1 ?' for
Rough Final
Inspections: Date Insp. `Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
ClTlf OF EAGAN WATER SERVIC E PERMIT
3795 Ptl-t Knob Rood PERMIT NO.:
&San, MN 55122 DATE:
Zoning: No. of Units:
?
Owner: .
rc_
Address:
`
Site Address: -
Plumber:
Meter No.:
Connection Charge ,
: '
Sixe: Account Deposit:
Reader No.: Permit Fee:
1 ageea ta canply wi1h Hw City ef Eegan Surdhorge: _
O?dinoncss.
Mix. Chorges: ?
.
Total:
By Dote Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEVUER SERVICE PERMIT
3795 Pqlaf Knob Roud PERMIT NO.:
Eagan, MN 55122 DATE;
Zoninp: - " No. of Units:
Ownar: ,<c??,t- ._ • 'r? ?
Address:
S1te Addre55: '1pg.17. nn f'-f rr 4t-'.
Plumber. '
1 egree toeamoly wlth Nw City of Eagan Cannectton Chorge:
Ordinanen. Accaunt Deposit:
Permit Fee:
5urchorge:
By Misc. Chnrges:
Dote of f nsp.:
Totnl:
Date Paid:
¦
CITY AF EAGAN WATER SERVICE PERMIT
3795 Pitot Knob Road PERMIT NO.:
Ergan, MN 55122 DATE:
Zoning: r No. of Unit?:
Owner: irt _,C`-'
Address:
Site Address: << °- -,r ?on r 'rc e I,7
"
Plumber: ? -
rue?a. ti„
-,;
C ct' Chorge
Size:
Reader Na.:
1 a9eeo to wmply wifh " City of Eaga¦
Ordinancss.
By
Date of I nsp.:
onne ?on .
AtcouM Deposit:
Permit Fee: Surcharge:
Misc. Charges: . • { ?
Totcl:
Date Paid:
3795 Plla Kneb Rood PERMIT NO.: . ,
Fagon, MN 55122 DATE:
• .- i ?
Zaning: " No. of Units: -
Owner.
hddress:
Site Address• `? '?-""• ?'uT-LZ??n Circ' i i--,? .•??.r lF.l.
Plumber: TK3T9oi- -• 'c?'?. ? ?
"/i4/f'3 '114?7°
I egree to compip wieh !bs Ci1y of Eagan Cor?nection Chorfle:
Atcourrt Deposit:
,.
Pertnit Fee:
Surchorge:
Misc. Chorpes:
of Insp.: Total:
Paid:
. CITY OF EAGAN No 779?
3793 Pibf Kno6 Rood Fegan , MN S5122 .
BUILDING
RM VHONE: 454-8100
PE
IT rteceipt
To be wea fe. 1/2 DUPLEX $ GAR W. Value $49>000 pate February 14 , 1913
Site Address 4570 HO T320n CiTC1C E
t R-3
O
rec
? ccuponcy
Lot 4 B lotk 1 See/Sub. Ch85 MST 2. 4Lh Alter ? Zoning . R'2
Parcel # 10 1 7153 040 Ol Repolr ? Fire Zone NA
V
Enlnrga ? Type of Const.
rc Nome JOSoh M. M7.11@S GOIISL IIIC Move ? .{k Stories
; Addreu 18133 Cedar AVe. So. Demolish ? Length394'
b Ci Ea rmingto n phom 454-4753 Grade ? Depth 451811 Sq. Ft.-
s (lumar AvProrals Faes
? Nume _
?? Address
Noma _
Addreu
1 hereby a[krwwledge thaf 1 have read this opplicofion ond state thaf
the inlormation is correct and ogree to comply with all aOPlicable
Stote of Minnesoto Statutes and Ciry of Eagan Ordirwnces.
Sipnoture of PertniMee
A Building Permil Is iwued to: J058Ph
all work sholl be done in accordance with cll
Building Officiol
11
Assessment Permit L/6.Ju
Water 8 Sew. Surcharge 24.50
Polica Plnn check 139.25
Fire SAC 525.00
Eng. Woter ConnASC)-()Q_
Plonner WaterMeter Fo.nn
Council Rood Unit 250 n1)
Bldg. Off.
APC Torol $1727.25
,, InC. on tha expreu conditlon thm
soM.Statutes ond City of Eagon Ordironces
• CITY OF EAGAN Np 7791
3793 Pilof Kneb Rood Eagon, MN S5122
PHONE: 454-8100 '
BUILDING PERMIT Receipt # ?
Te ba med fer 1/2 DUPLEX $ GAR Est. Value $49 000 Date F ehrusry 14 19-&3_
Site Addreu 4568 HOT1Z011 C1TC12 E R-3
rect Occuponcy
LM - 3, Block 1 Sec/Sub.Che5 Mat' E. 4th Alter ? Zoning R-Z
Parcel * 10 17153 030 Ol Repoir ? Fire Zone NA
v
Enlarge ? Type of Const,
W Name JosePh M. Miller Const:. InC. M i
S
oVe ? #
tor
es
; Address 18133 Cedar Ave. So. oemoiisn ? Length39!4"
d ci Farmineton
Phone 454-4753
6rade
?
Depth 45 '$"
Sq. Ft.-
p Name OM1ner Approrals Feas
Z Address
Assessment _
? Cif Phone Water 8 Sew.
f Police -
uw Nome
FZ Fire
?O Address En
<'_" Ci ' Phona g.
Plonrror -
Councfl -
I hereby acknowledge that I have read this application und state that Bldg. Off. _
fhe informotion Is correct ond agree to comply with all applicoble
Slate of Minnesota Stotutes and City of Eogon Ordirwnces. APC
Slpnoturc of Permittea
Permit LRf.SU
Surcharge 24.50
Plan check 139.25
SnC 525.00
Warer Conn!is._
Woter Meter 60.00
Rood Unit 250.00
Totol $1727.25
A Building Pertnit is issued to: Jo ,I InC, on the express condifion thm
all work sholl be done in accordnnce with oll oqpli(?/p ble State of ? ynneW
?_- Statutea and City of Eoqan Ordinonces.
Buildinp Official Y/? ? .Ci?-?'?Ji.? 17,
lq ? ??? ' 1...
?? CITY dE'? Include 2w (o! plans. F" 1/??R ?'1 M?016'V?tSOflt i
H[TIIDIIV[+PFIiNII.T ; APPICAIZQ?1 T!e! Of erosgy' m7;?vlat3a?s •;
Rb He tleed For valuat? aFYI? tl? ?
Site Address: ?? ?-\ t aFYI ' ?.
,
Bl«ic sec./sub
0
?i t: Ic? 1715? 3o c? l_ -??r ts?? zaw Rwai
M-aame
7y"dbo?3?M
t
,
oWneri
Jlddi'°??t ? oaade ?s
' Gih'/ZiP co?e SO
APPf?DVAi3 I'? `, i r
' Pham
oo19tTM7l70lf Aosssunonft . + supalmdt
rdmLr"' a!! SS-
Adaress: Polioe? _ Plan (riec?C 3 ?
Si1C
cYty/zip Code: ? Nat?r Owvi, ???'?' =
Phane #: Planner
?1 ADd thfit
Arch./FYv. Bldq.
1lddress: ' AIPC
cih'/ZiP Ccde• ? o?' ? 1 p2S' ? i
Pt+one #:
'.
?? ,
'. - .
- ? , .•. - - -
?,,_,, _ . . , _
, , '
\?
??9 l
? a ?? ?,
? ? ? ? ?
?? ? R?
?
? ?? ??? ?cny?? ?
•• ? ???Y?C? ?(` 1b He UBed FOr ValU3tj0!?
Site AdBxesse
,ec??. Ches Mar" '4tn 1
IDt 4 Hlock 1 r
Parvel t: 10 l"(l S3 G?? ? ?
owrArp Joseph M. Miller Const. Inc.
Addrgn: 18133 Cedar Ave, So
City/2ip Oode: Farmington MN. 55024
phcm #: 454-4753
OMytrocbpr; Same
Addresa:
CitY/ZiP C,oae:
Phrne t:
As+ch'/8'xJ' -
Addresaz
CiLy/Zip Oade:
Phow #:
xwwae z..sra or p?,
i dte pLn w/* ]evakakti.ans'i :
i set a? a?91? ?laila?'-ian°';
Dabe 1/4/83
AsssssnOntl P?anit ? 7Fl ? ' I
_
Water/3ewer
liae
P
Plan CI?C'? -/3 ?'
o
Fire
?? ifptRt OOmt•
t
Plar?ner
council idr
ltaber MD
PDed Uait & S
gldg.
APC
HOUSE HEATING TEST RECORD
ADDRESS ?r`1SIo? ?YmIZOYI Ci?''?? qpT. FLOOR TYS CtiaV1
OCCUPANT,W??- U? 11rn?P OWNER 0 ?
- ?n ????
HEAT LO55 DATE HTG. INST.
SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER
Electrical Work By HARRISON ELECTRIC Gas Line By
TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
A
Serial
MAKE OF BURNER _
? Model
S.?'f Max. BTU Rating _
MAKE OF FURNACE
ror.. c . . .... .. . . Model
THERMOSTAT HeatPlug_
Valve ?..,e" 1.1J Q t (
Limit
Limit Setting _;2-, d
Fan Setting "?7
Pilot Type
aa,v nn?o-o
Pilot Model
Pilof Timing
L.W. Cut Ofl
Pressure Percent COZ
Input CFH Percent Oz_
StackTemp.PercentCO.
Form 235
Vent Size
KIND OF LINER-
Draft Hood
Filters Size _
Chimney Location
Chimney Construction
Smo
Draft
Door
Date
Tested-
Company
Nami
SIZE -
Flegulator
Number
Inside Outside
ke Bomb Wiring
Test Tag
Pressure Lighting Inst.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55704-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BEL0W_.V?ORK COVERED BY TH1S REOUEST
?4 Z.qZ
$-- ME
Type of 8u ing New Add. Rep. Check Appliancea Wired For Check Fquipment W'ved Fot
Home ? ? Range ? Tempoxazy W'ving ?
Duplex ? ? Watec Heater ? Lighting Fiactuies A
Apt. Bldg. ? ? 0 Dryer ? Electric Heating ?
Commexcial Bldg. ? El ? Fumace A Silo Unloader ?
Industrial Bldg. ? El ? Air Conditionec ft Bulk Milk Tank ?
F
? Lis[
) Lis[
O [he
r ? 0 ? p
y
HeheT$) p
Herels?
COMPUTE INSPECTION FEE BELOW '
Service Enhance Size:
--------------
0 to 100 Am s.
301 to 200 Amps.
#
-
Fce
-
. O
FeedenBSubicedexs:
0 to 30 Am ms
31 m]00 Amperes
#
Fee
Crtcuits:
0 to 30 Am eres
31 to lU0 Am res
#
?
Fee
_ d0
Above 200 Amps. Above 100 Amps. ' Above 100 Am s.
Tcansformers RemoteControlCirc. Partialoiotherfee
Signs
1
1 Special lns ection
M'vtimum fee
Remazks
.
TOTAL F J0qV -
+],D,sO
I, the Electrical lnspector, hereby certify
(Final)
This request void 18 months from
has been liade.l
I)ate
uate
?5
This request void 18 mo?ths f:orw '. y l ° c K I I C K ES ,11A r l{ `Z g Z
7.j -(-'j i i l{ 41 70, o O
Date of thic..P.aquest 3- 7-F3 S 7 5 QO
I, asxLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electti-
cal winng installed at:
StreafAddressorRouteNo._ 7570 °W7S6S 71'bhLOI] ?ikukCiJt??/? `tP[1
Section Township Range County L8 ? ai?cx
r /y
?'V t' ?, on
Which is occupied by ?ae??/etl?, L"oA s+'1
Is a roughin inspe tion required on this job? No ? Yes,? Ready Now ? Will Call f'
Power SupplieCd 40 7`4 lPc-7`y` ec Address
ElectricalContractor Contractor'sLicenseNo414 -4
(COmDany Name)
Mai]ingAddress-o6340 ?e19:?4,t(,/!J
Authorized Signature
ttleCtrical Contractar or OWn
`L Xs r? OD R? u\; J c
oI Ownfe ?Making This InStallatlo
---?`? Phone N .
This innpection request will not be accepted 6y ffie
State Board unlesa proper inspaction fee is enrJased.
?REQUIST FOR ELECTRICAL INSPECTION
? See inslmctions lor campleting this lorm on back oi yellow mpy,
? 00196 "X" Below Work Covered by This Request
ee-ooooi.07
.,?..,
ew R6d Ri' 7ypeof8uiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specily) Contrecror's RemaMs
Compute Mspection Fee Be/ow: •
# Other Fee F ServiceEnlrenceSize Fee # CircuitslFeeders Fae
Swimming Pool 0 io 200 Amps 0 to 700 Amps i
Transformers Above 200 _ Amps A 100 Amps
Si9p5 Inspector5 Use Only: ?.
o TOTAL
Irrigation Booms ?
Special Inspection .
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 78 MON7HS.
I, the Electrical Inspector, hereby Rou9n-m oata
certify ihat the above inspection has
been made. F;nai ? oaia ?
OFFICE USE ONLY
This requast voitl 18 moNhs trom
?00196?
Re vest. Date Fire No.
Q_ -7... q rl ?•? F h-in Ins action
Required? v
? Yes No
XReady Now u WAI Nolify Inspecror
When Reatly?
I license conirect p owner hereby request inspection of above electrical work at
054
Jab Atltlr oute No.) ?
Llb?
._
CiN /'?_aan?.
r
Section No. Towns?ip Name or No. Range No. Coun]y.? ??
! \
\.! a?
Occu0anl(PRINT) ? ? ? •
? ?17.1`JL? Phone No. ' ? ? I ^
?
Power $upplier Adtlress
Elacincai Comratl?? oRIC°mp
any Namel
?
Conhacmrs License No.
Mailing Atltlress IConhaclor or Owner Maklnq Inslallalion)
9 r' 3
AvIM1 ' Siq atw¢ (ConV V orl n M cing I II ni ? Phone Numb?r a_ g g$ ?
MINNESOTA STATE BOANO OF ELECTFICITY 41/1 THIS INSPECTION REOUEST WILL NOT
Gtlggs-Mitlway Bltlg. - Foom 5-173 BE ACCEPTED BV TME STATE BOARD
1821 Univereiry Ave., SL Paul, MN 55104 UNLESS PROPEft INSPECTION FEE IS
Pfwne (612) 642-0800 ENGLOSED.
•i ?..?,i-„?•-.,
C?pr#i#irtt?r vf (?9rru?ttn
Citp uf eagan ?./s zlv
llrpttr#mrni nf Iuilhircg Jnepertinn
Tb;r Certi ficau uraed punuant ro the nqwrenunu of Sation 306 of the Uniform Building
Codc a+afying that at tlx tims of icwantr tbit ttrutture war in compliatta with the variow
adinantts o f the Citr rrgulating buildmg cortnruaion or un. For the /ollowing:
?C6.dfi.om 1/2 DUPLEX & GAR wLr?,;iNo. 7792
om,w,o•!iyp R3 T7,wca.a„Kna, V F;RZ,,. NA z,?tuuna R2
A,: 4th
ZL April 27, 1983
yF'? D?G:
?? _
ro-r ?x ? cwnrcuaw ?uca
;r `?'?rr#ifirtt?r` uf (?rru?'ttnr? : °
titp of iEagan ;
igrpbrfmrttt uf iguilhing Jnsprr#iim
Tbir Certifirate itruul pxrtnaru to tix nquircmenu o f Sertiort 306 of the Uniform Building
Codt tatitying that at the time o/ itcuarat tbit rtnirtarr wai in rom pliann wirb t!x variour
ordinuruuoltlxCityrrgHlatingbui/dingronnrurtiorsaure. Forthe follaving:
1/2 DUPLEX & GAR ??;::,';'• .•' `eaS.h?,?mna 7791
0.? TYa R3 hpc.?" V Fe.>.,... NA Z.,&q u.m« R2
o,.„fB„adft Joseph M. Mi11er Ad?18133 Cedar Ave. So., Farm
B„.„Ad&? 4568 Horizon Circle,_,:«Lot 3,Block 1,Ches Mar E.
m:
p,,,; Mav 23, 1983
K?. ..,?.
...? ._....... -
&Prt?fl'cate for:
'Joh Mil-ler Construction
18133 Cedar Ave, South
Farmington, MinnNOta
55024 WA N Z
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LU W A..?oOT
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\?,a?,= 935. b
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°?'N'1 -? r70.oo y
Top ieo,)
0 ?1.= 937.19 ?
I
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?
N^ w
Tbp fea?
ELEJ. = 93w'9
Garage floor Elevation
Top oP block Eleyation
'?34,U Baaement floor Elevation
8
?Genu?» '
l/ E+EU.=93b9
?
?1i??.30?
Seq??
p Denotes iron pipe awnwnent
doDenotee propossd finieh alevation
9K.oDenotee existing elevation .
Denotea direction of aurface fa Denotes set setback monwnent
..a?drainage.
I hereby certify that this a true and correct reDresentation of a
survey of the boundaries of:
file and n oP ,reaorded lin e th ?e offieLOT of theTC?antYTllecorde?',n
Dakota County, Minnesota.
Also shoring the proposed location of a 1qM1rie a.S stakwd thereon;
As surveyed by me thia 3 day of Januai'Y, 2483.
/ ?f•? j ?
?? !' ??'•-J?/ ?k
MINNESOTA REGISTRATION N0.6625
J
_?- - -- `} ?
. .?
DELMAR H. SCH
u,NOSURvcvons, Inc.
awm«w une.. u.. aTb. suif a Muonwwc. 2976 - 746TN fTREET W. = BOX M 1{CMMOUMT. M1NMMwA ?? PHOMB 617 477'1709
Top leoa ? SURVEV011'YCEATIFICATE
935.Hb T-op IQoM
SL&P.93y10,? ?,.
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75 c'-' ? 7
zoos RESIDEN?IAL PLUMBING PERMir APpLicarioN
CITY OF EAGAiV
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
sase complete for modifications to existing residential dweliings.
:e Street Address Unit #
?
Telephone #((%j?-
operty Owner
Telephone #
>ntractor ?
%
Stateft Zip?
?X?
City ?'
116L?
idress
i
ie Applicant is: _ Owner X Contractor _Other
NeW ` Refurbished Submit 2 sets of plans and MPC license
>ptic System County fee
Include
_ $
OO.OO
Per as-built $ 10.00
Iterations to existing dwelling
? $ 50.00
Add plumbing fixtures. This fee fncludes installation of a water sofiener and/or water
heater at the same time. If you are instaJling onl a wafer soitener and/or wafer
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
Septic System A6andonment
Water Tumaround (add $130.00 if a 518" meier is required)
i
-- r
Other:
ter Heater
? W $ 15.00?-„
a
Water Softener -
_ z
new replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuitd $ 30.00
I $ 50
;tate Surcharge
s
otal
hereby apply {or a ResidenFial Plumbing Permit and acknowledge ihat the information is complete and accurate; that the
vork will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
mderstand this is not a permit, but only an appllcation for a permit, work is nof to sian. without a permit and work wiil be in
iccordance with the approygd pian in the event a plan is required to be reviewed and approved.
ap icanYs Printed Name / Rppllcarlt`s SignaWre
; .?3o S o
2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 0_5_ ,
Site Address Y5 6- O i?-I ?9?? ? ? Unit #
Property Owner Telephone #
Contractor
Hi
_
ome Energy Center
15200 25" Ave N #128
I
i
Street Address
? Plymouth MN 55447 City
State , 763-476-1990 fax 763-476-1143 I Telephone #( )
Band #: . (7 Expires: Z y? ,
The Applicant is _ Owner _ Contractor _ Other
Add-on or alteratioo [o existing dwelling unit / $ 30.00
? furnace _Additional ? Replacement
' ?air exchanger
/
?
airconditioner
New
Replacement
_
_
other
State Surcharge $ .50
Tota? s 30, 7?0
I hereby apply for a Residential 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 Ciry 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 w thout-a permit; th t e work will be in accordance with the
approved plan in the case of work which requires a review and approval ? plans. /
L)(,q o P/--
Applieant's Printed N e A ican Signa re
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: wmmercial/indusvial buildings
. multi-family buildings when separate permits are no[ required for each dwelling unit
Date ' / /
Site Street Address Unit #
Tenan4 lVame (if applicable) Previous TenanE Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor Other
Work Type
New Construction _ Underground Tank _ Install _Remove •*see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*`When installing/removing underground lank, call for inspecfion by Fire Marshal and Plumbing Inspector
P¢I'It1iE Fees: $70.50 Undergmund hank inshella[ioNremovat
$50.54 Minimum (includes State Surcharge)
or
Contraet Value $ x 1% _ $ Permit Fee
• [f eo rmit fee is SI,000 or less, add $.50 => $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; 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 requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ? S13
New Construdion Renuiremen4s RemodeURenair Renuirements Office Use Onlv
3 registered sife surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copiesof plan Cert of Survey Recd
(20%maeimum lolcoverage allowed) 1 set of Energy Calculafions forheated additions Tree Pres Plan Rerd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 sde survey for addNOns & decks Tree Pres Not Reqd
lsetofEnergyCalculations AddiNon - imlicate'rfon,siteseptlcsystem _ On-sfleSepticSpstem
3 copies of Tree PmservaGOn Plan if lol platted after 711l93
Rim Joist Detail Optlons selecGOn sheet (bldgswith 3 or less units
Date ?7?0 6 0
Construction Cost -y-
Site Address y 4i?_ 7 d ? 1--„? (Ji ? a 5?4? - S.? );?3 UniUSte #
. l ? i
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner r4 Telephone # ('/,v
Contractor
Address City
State Zip Telephone k ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # (
I hereby apply far a Residential Buildiag Permit and acirnowledge 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 wark which requires a review and
approval of plans.
.44
App icanYs Printed Name ApplicanYs Sign e
OFFICE USE ONLY
Sub Types
? .. . .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 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 ? 10 08-plex P? 18 Deck ? 23 Poroh (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
fte 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy /2`3 MC/ES System ?
Census Code 4 Zoning p D City Water -
SAC Units Stories Booster Pump ?
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs ? Length /o Fire Sprinklered -
• ?
, J
Type of Const
?? Width
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinallNo C.O.
_ Footings (addition) _ Plwnbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Sid'mg Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee 70 '?P-
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies ?b
Building Inspector
Other
Total
Cities Di it,? al Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
C(Prtyf:cate for: IAJL
7o4 ?4iller Construction
18133 Cedar Ave, South
Farmington, Minnesota
ssoz+ DELMAR H. SCHWANZ
LwHOwRvcvoe6, Inc.
q pipMb VnON L1r{ of TM fWU 0f MIAMqI4
&a 4Y78 -{46TN 6TNEET W. = BO% M 11oggktWjw. YINMMQTA UMt
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raPnuUp
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repleod
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ToP ieai) r
o ..., ??.=?3?.-? ?- ?
9`,t
N- 84°
Tep lee.1
aFJ. = 934?'16
Garage floor Elevation
Top of block Elevation
?334%0 Baaement floor Elevation
S
?G¢o?un
.................
S ca 1.30?
p Denotes iron pipe monument
dODenotas propoped finieh •levation
qp,,oDenotee exisLin6 elevation
Denotes di.rection of surface ? Denotes set eetbaek monuiaent
.Ikt/?drainage,
I hereby certify that thia a true and correct representation of a
survey of the boundariea of:
Lota 3 and 4, Block 1, CHSS MAA M3T FOtIR?H ADDZ'PIOIi, as on
file and of recorded in the offioe of the Cwe?ty Racorder,
Dakota County, Minneaota.
Alao ehoring the propoaed location of a hWW• ss stalmd thereon;
As surveyed by me this 3 day of January, 2983,
??'l?G•! ?
?' ,'ii/ ?; ;1.. • ?
?G ?
MINNESOTA REGISTFATION?N08615
.. J
CertiPicate for:
Joe Miiler Construction
1$133 CeBar Ave, South
Farmington, Minneaota
55024 DELMAR H. SCHWANZ
U4IYOSURVEVORB, Inc.
HeqisUrW UnMr Uws of Tne St+te 0/ MinnMOta
f-D 2978 - 745TH STREET W. - BO% M ROEHIOIINT. M/i41E80TA E606fi
?
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BK &2/70
PHONE 612 4 Zi1189
GeouUA r
?Fisd,: 935.b
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- ` E?J.= 937.?9 V ?
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, Q c , 1 10. 00 1? 8R1° `?10 'uo° E
; Toe ?eoJ -rtp I eo?
-_ = ?, i r._e_ Bo,c E:.eO.• 93`/.54 fi?J.=93(e.i8
Garage Ploor Elevation t p Denotes
Top of bloek Elevation ??flotea
? .0 Basement floor Elevation
99K.oDenotes
Denotee di rection of aurface gf Denotes
I ?drainage, o
? 1 ???c.h =3? ?e?+
SCa.e
iron plpe monument
proposed finiah elevation
existing elevation
set setback monument
Z hereby certlPy that thia a true and correct representation of a
survey of the boundaries of:
Lota 3 and 4, Block 1, CHE3 MAR SAST P(iORTlI ADDITIQlf, ae on
Pile and oP recorded 1n the office of Lhe Csnnty Recorder,
Dakota.County, Minnesota.
Alno showing the propoaed location of a h?ume as staked thereon;
;{s surveyed by me this 3 day of January, 2983.
n
j
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:
T
MINNESOTA REGISTRATION N0.8625
Top ?¢orJ
Et.??.= 93
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SUR V EYOR'S CBNT!# ICATE
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fx.P-w 93"1.10
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******#********************************
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 698
DATE: 05/08/00 TIME: 14:42:36
ID:
NAME: ROBERT J. LAWSTUEN
3210 9001 4570 HORIZON CT 60.00
2255 9001 4570 HORIZON CT 0.50
Total Receipt Amount: 60.50
CR129448
USER ID: JAN
******?*****************????+**********
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681•4875
New
D S reglsfered site wrveys ahowing aq. fL of lof, aq. B. o( Iwuse
and gH rooled areas ($Q% maWmum IoT coveraae allowa0
> 2 eoplea ol plons (show beam & vAndow sizes; poured 1nd. design: efcJ
D 1 Eet of anergy OClculaHons
n 3 coplea o/ hee preaervaHOn pltai If lot plaMed plter 7/1/93
DATE: _ -0 - -3' _
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 4
2 copiea ol plan
t set or energy caicwaNons ror heated atlamona
1 sife wrvey fcr extedor admNOns & decka
CON5fRUCTION COSf:
0 /y,,? j'
BLOCK: SUBD./P.I.D.9: V??S MaY' G?'? 4+11
Name:C/ /Gt,C-i-?_d /'./ii? 2GtJcL Phone#: 4?
PROPERiY Los? flrst
OWNER ??-?D i / , • r/.
Sheet Address:
CONTRACTOR
ARCHITECT/
ENGINEER
Ciry ??- VState: Zlp:
Company: sa w.-e PhoneM: _
(area code)
Sheet Address: License # ExP•
Cliy
State:
Company: Name:
Telephone Y: ( )
Zip:
Sheet Address: Regishaflon q:
Ctty
State:
Sewerhvater licensed plumber (If InaWllina sewer/water): Phone #:
21p:
I hereby acknowledge Ihat I have read this applicatbn, stafe ihaF ihe IntortnaHon is cortecl, and agrea to comply wHh an appAcable Statc
o! Minnesota Statutes and Cify of Eagan Ordinancea
Signalure of Appifcanr
?
Certificates of Survey Received Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
No
_ No ?% Not Required MAY - 5?
sb0.5p
Caw 510100
'1'1[/'
OFFICE USE ONLY
-.-,
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling p 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex 0-18 Deck ? 23 Porch (sCreened)
? 04 02-plex O 10 08-plex ? 19 Lower Level ? 24 5torm Damage
? 05 03-plex ? 11 10-plex Plhg _Y or _ N ? 25 Miscellaneous
? 06 04-plex ? 72 12-ptex ? 20 Pool ? 30 Accessory Bidg.
WORK TYPE
r? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 01
No. of Units sL
No. of Buildings I
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ( Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
? 31 Fxt. Alt - Mufti
O 33 Ext. Ak - SF
? 36 MuRi
Permit Fee ? 90. S D
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5!W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: -1 40. s d
Valuation: $ 1 faoo
SAC Units
% SAC
6124694109
05/05/2000 15:27 6124694109 JIM AND ALVCE BENSON PAGE 01/01
.i
May 5, 2000
TO: Sarry Greive .
City of Eagan
FROM: Jim Benson.
SUBJ: Building of deck at 4570 Horizon Circle
Carf Lawstuen, 4570 Horizon Cucle, Eagan, MN, has the Chas Mar HOA approval to buiid a replacement
deck on his property, in accordance with the building codes of the city of Eagan.
cerely;
?
$ensan.
resident of Ches Mar HOA
952-469-2161 Voice
952-469-4109 Fax
612-812-1324 Cell
NI ? l l .
3D.?- .oo f ?
m ` IS b9'tlp' Zb" E Q? rap l eokl
0
F TD? 93i..Z4 'J`?r_ ?M'1 4?10.00 I O EicJ.=9'„$Z
` ?' %Wtt?'
t'....` ? ?, o
= 9s7.79 V z
? ?= g Q 1 1 kL c ? g
C?' ? A ZL? / ? r. I
m
?.=93b9
4
?=?kJ• 11S.9p ? ? 3Q. \? ' Tp?ok) N ?0 ?IO' '2(0?? E - (? L
o ?P IPeJ O y ?1
? 3s5.54 6?rJ.=93b.ig S l.Q le
?
Garage floor Elevation.
Top of block Elevation ? 0 Denotee iron pipe monument
Basement floor Elevation <UDenoted proposed finish elevation
9iK.cDenotee existing elevation
,?-Denotes direction of aurface
A. 1 R Denotes set setback monument
a nage.
I hereby certify that triie a true anQ correct reprasentatlon oP a
survey of the boundariea of:
Lota 3 and 4. Block 1, CH&9 MAR SAST HOORTH ADDITIOif, as on
file and oP recorded in the office of ths Csnnty Recorder,
Dakota.County, Minneaota.
Alao ahowing the propoaed location of a haLse as staked thereon;
lis surveyed by me this 3 day oP January, 1983,
•
. ?
?
?
c
2
. ?. • rLG. c.
.r": i
PERMIT# Rfl/
RECEIPT DATE: I/ D
itESIDEPTIAL PLUM$IR6 P$RMIT APPIICATIOR
crrY oF E?sm
3530 i'QAT KAOB RD
SlkfiAP, MA 5518E
651-6$1-4675
Please complete for: ? singfe family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
OWNERNAME:: (,',!1 rL ? S Tv2 TELEPHONE667- 9S"2- Z.
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
GITY: a:..,? STATE:
#: ?' Y3r`? ? 7> ?J
(AREA CODE)
Place a check mark next to the oermit work tvne
ZIP: S-!Q?2 2*?_
New residential dwelling unit under construction and not ownedoccupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consuiting inspector fees
• requires MPC license
State Surcharge $ 50
Total ?
$ bd ?
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, shate thatthe information is cArcect, and agre to comptywith all applicable ?'tyof Eagan ordinances. It
is the applicanPS responsibiliry to notify the property owner that the Ciry of Eagan assumes no li ' ity for any damages caus d y the City during its normal
operational and maiMenance activities to the facilities constructed under ihis permit within Ci rtylright-of-waylea ent.
SIGNATURE
Llpdated 1/01
PERMIT#
RECEIPT DATE:
MIDENTlAL PLUM$1NH PF"iT APPLICATION
crrYog EAsm
S$SO PILOT KAOB RD
E4HRN, MA 551EE
651-6$1-4675
Please complete for:
SITE ADDRESS: H
OWNER NAME: :
INSTALLER NAME:
D
STREET ADDRESS: Lu-)
TELEPHONE #: ?9 I_ ?y ( ' I ;/ 1 _:?)
(AREA CODE)
TELEPHONE #: qy?j_ -l2j)q"-?7-7?D
(aRea cooe)
CITY: {M-A,aIk" STATE: M IV
Place a check mark next to the ermit work t e
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
?
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ 50
Total $
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state tlhat the inforrnation is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibility to noti(y the property owner that the Cily of Eagan assumes no lia6ility for any damages caused bythe City during its normal
operational and maintenance activities to the facilities constructed under this permit within Cily prope right-of-waylease t.
SIGNA .URE OF PERM EE _
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Mf
Updated 1101
L ? L / CITY USE ONLY
SUBD. - ?A R.Lf V l
RECEIPT#:
s
RECEIPTDATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: . singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
H a 3.00 x =
Water Heater 3.00 x =
Floor rain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener ` tor dweilings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler ' ior dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak Cty lic. 75.00 =
(new and 2furbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
s?
TOTAL a?
1 hereby acknowledge that I have read this applia6on, state thet the infortnation is corted, and agree to wmply with all appliwble Ciry
oT Eagan ordinances. tt is the appl'roanPs responsibility M notity the property owner that the City of Eagan assumes no liability for eny
damages caused by the Cily during its nortnal operetional and maintenance activities to the haeilities construGed under this permit wNhin
City property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: 5 J 5`1
CiTV: S't • Ge-L,`.f
STATE: k?? pt?' ' ZIp: SSy?(o
SIGNATURE OF RMITTEE
TELEPHONE #: rPtPy- -?1U y
L CITY USE ONLY RECEIPT #:
SUBD. - Z. RECEIPTDATE: 'F//-0 7
1997 PLUMBING PERMIT (RESIDENTIAL)
ciTr oF eaGaN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
P Wwnhames and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH bQ TOTAL
Shower 3:00 x =
Water Closet 3.00 x =
Bath Tub 100 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outiet ' minimum - i 3.00 x =
Rough Openings 1.50 x =
' e 5` e Bf .' for dwellings under wnstmGiort 5.00 x =
for existing dwelling 20.00 8
U.G.Sprinkler `tordwellingunderconst. 3.00 =
U.G. Sprinkler ` for existing dwelling 20.00 =
Atterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
PrivateDisposal System ` Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `abandonmem 20.00 =
STATE SURCHARGE .50
0
S
i
TOTAL c?
I hereby adcnowledge thatJ have read this application, state thatthe infortnation is eorreU, and agree to compty withall applicatile City
of Eagan ordinances. It is the appllcent's responsibility to notify the Droperty owner tha4Me City of Eagan assumas no Iiabiliry for eny
damages caused by the City during ks nortnsl operational antl maintenance aGiviGes to the tadlitlesconstruGed under Mis perm8'wkhin
City p'vpertyhight-of-way/easemeM.
SITE ADDRESS: 'VS&
ONMER NAME:
INSTALLER NAME: ??p)9-e'7?Z ??I i e?.i ?iA??? TELEPHONE
STREET ADDRESS: IAU N u ? i?! cl
CITY: L4M??s /?19Y''& STATE: 1el tl'- ZIP:
SIGNATURE OF PERP ITTEE
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
New Construction Reauirements RemodeVReoairReauiremen4s O(fice Use Onlv
3 registered site surveys showing sq. fl. of lot, sq. ft of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20% manimum bt coverage allawed) . 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured faund design, etc. 1 site suney for additions & decks Tree Pres Not Reqd
lsetofEnergyCalculations AddiOon-indicateifon-siteseptiesystem _On-siteSepticSystem
3 apies of Tfee Preservation Plan if lot plaped aker 717193
Rim Joist DeWil Optlons selec5on sheet (bldgs with 3 or less units
Datee / 6 / vZ003 2s OD
Construction Cost ? J0•
SiteAddress UniUSte #
Description of Work
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0)? 1 _ 2
Property Owner ??"'i'7?? ?7'c.?•?fL(?j??L'?- I1 57N Telephone # ( )
Contractor f?!'S-?OC/?S
Address ?{s PL.??CyJ-/Ur A?JC/()L/r_ City -1_0NIt_4 t3,4+'
State /YJN Zip 5 5 3 3/ Telephone #(6(c?) -ZS/
COMPLETE THIS AREA ONLY IF
Energy Code Category A'I'n°esota Rules 7670 Cateeorv 1
(J submission type) • Residential VenGlation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/ Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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?? ,??C? U/tJZ>
ApplicanYs Printed Name
pplicant's Si
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera6on ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) Final/C.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation I-IVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stuceo Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Rehining 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
-103 I? 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction ReauiremeNs RemodeUReoair ReouiremenGs Clff-s? ??e'6niil
3 registered site surveys showing sq. M. of lot, sq. fl, of house; and all roofed areas 2 copies of plan Cer?OfSurveyRgG4 ?_Y ??7
(2(196 mazimum lot cove2ge allowed) i set of Energy Calculations fir heated additions IFee PnssPlen R.
2 copies of plan showing beam & wfndow si zes; poured found design, etc. 1 site survey for additions 8 decks Free PresReq4ired Y N
lselofEnergyCalculations AddiNon - indiceteifonsifesepticsystem S3tt-s31e5eplicSyslem. _:r_Y'
3 copies of Tree Preservation Plan if lot platted afler 71153
Rim Joist Detail Options selection sheel (buildngs wilh 3 or less uniGs)
Date g
O
Construction Cos rD, /3 a??
$ite Address n ?./
Ll ?'Gf ea?? Z 3 UniUSte #
?'rs/c ?++mJ?T_
x.?? RLw ?+/?ndpw$ rn sx
Description of Work ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ i _ 2
PropertyOwner /!%CI ZeGa.z 0//C, nnL11 Telephone#(GS/ ) (oo?- /3??
Coutractor Seaa /"P_ ?A•9 ?rOr.oC/77Pir7? ' /qlV ZrL B` 'aC(.YJ L?617
Address s &
?
l1/ City /-Zi,
State hit'n/1PSe& Zip -Sr Telephone # QG3 537-?`'775'?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - M'rmiesota Rules 7670 Cateeorv 1 _ Mintiesota Rules 7672
(J submission type) • Residential Ventilffiion Category 1 Worksheet . New Energy Code Worksheet
SubmiKed Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Confractor
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. ?
Pb b rcr' AeE--
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck 13 23 Porch (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demblish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 33 Alterffiion ? 37 Demolish.8uilding" ? 43 Reroof , 0_ 46 Windows/Doors
? 34 Replacement •DemolHion (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of UnRs Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width •
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings(deck) FinaUNo 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 Tes[ _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Cities Digital
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RESIDENTIAL
BUILDINC PERMIT APPLICATION
?Aoi? ? 3830 PILOT KNOB RDN 55122 ?7050
851-681-4675 CIGf? ?`????
New Constructfon Reauirementa RemodeilReoalrReauiremants . 3 registered sile surveys showing sq. ft o( bt, sq. R ot house; an?tl roofed areas . 2 copies of pWn
(20% maximum bl mve2ge albwed) . 1 set ol Eneigy CalaWtions for heated addi6ans
• 2 ropies ol pWn shaxing beam 6 window slzes; poured iound design, e1cJ . . 1 site survey fa exlerbr additiau & dedks
• 1 set of Energy Calcuytions . Indicate if home served by septic system for additions
• 3 copies of Tfee Preservation PWn if bl platted efter Il1A3
. Rim Joist Detail Options selectlon aheet (bldgs with 3 or less units)
DATE 10 VALUNION
v
JOB SITE ADDRESS ?F S6 $ ffoR ??aN Ci2 ? L?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? a-
PROPERTY OWNER MIKE O'DoNNk-LL'
TYPE OF WORK FIREPLACE(S) ?C 0_ 1_ 2
APPLICANT AliKC O'?oi''N4'LL PHONE# 6Sl-G>?/-/373
ADDRESS `f5-7 1419 4 I -ZzN c (RLL? IIPCODE SS r z3
PAGER # d41'+ CELL PHONE # FAX #,/1,/1Z
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Condirioning
Heat Recovery System
Phone #
VA?)' ?[lU
P h o n e k y
A ll above Infortnatlon must be su6adtted prior to processing of application. Igy _._--_
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnalure W Applkant zI'-4CY
Certificates of Survey Received _ Tree Preservation Plan Received ///N ot Required _
Updated 1/01
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundatlon
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04•plex
O 07 OSplex O 13 16plex
0 08 06-plex O 16 Fireplace
? 09 07-plex ? 17 Garage
? 70 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg Y or _ N
? 20 Pool
O 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
* 25 Miscellaneous
°,.?. . : .
0 30 Accessory Bldg
O 31 Ext. Alt - Multi
? 33 EM. Alt - SF
O 36 Multi
? 31 New ? 35 Int Improvement 13 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 . Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Dertrolish (Bldg)• ? 43 Reroof ? 46 Wlndows/Doors
,?'s 34 Replacement •Demolit3on (Entire Bldg only) - Give PCA handout to appli¢ant
Valuation !QO
4 Occupancy MC/ES System
Census Code
L4 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 INSPECTIONS
Footings (new bldg)
? Footings (deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Frazning -
_ Fireplace _ RI. _ Air Test _ Final
_ Insulation
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Smne
_ Windows (new/replacement)
Building Inspector
Approved By TZ'"
Base Fee
Surcharge
Plan Review
MC/ES SAC
Cily SAC
Water Suppiy & Storage
58W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Final/C.O.
? FinsUNo C.O.
_ Plumbing
HVAC
Pfi,z,KJ 7 0.
:?
o Permit
\V) City of Eaa~
D I
3830 Pilot Knob Road @CT 1 5 2009 Permit Fee:
Eagan MN 55122
. Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
L-----------------I
II 2008 RESIDENTIAL PLUMBING OERMIT APPLICATION
Date: 10, 1r O I Site Address: 10-V rti l VV
Tenant: Suite
RESIDENT /OWNER Name: Uwoo, 0 t~ PhoneE
Address / City / Zip: Q0, U ~L r)
CONTRACTOR Name: AD n
Qilalntce ~'_nnpCtivnS~~i~ense
Address; 1313 Danita Cr
Shakopee, MN 55379
City: y.Iate: Zip:
Phone: - - Contact Person:
TYPE OF WORK _ New Replacement _Repair -Rebuild _ Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
4water Heater y Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required) '
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
',TOTAL FEES $ Dj
I hereby acknowledge that this information is complete and accurate; that the v%ork will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with t e approved plan in t case of work which requires a review and approval of pla
X V X- 1A)
Applicant's Printed Name *ApPlicant's i ature
FOR OFFICE USE Reviewed By; Date:
,
Required Inspections: -Under Pround Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116288
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 4568 Horizon Cir
Lot:3 Block: 01 Addition: Ches Mar East 4th
PID:10-17153-01-030
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 .
Angie Olson
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 -
Michael B Odonnell Co-tste
4568 Horizon Cir
Eagan MN 55123
(651) 340-7867
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA135464
Date Issued: 03/16/2016
of ER 1n Permit Category: ePermit
Site Address: 4568 Horizon Cir
Lot: 3 Block: O1 Addition: Ches Mar East 4th
PID: 10-17153-01-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Building Code).
Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Appliance Connections Inc Michael B Odonnell Co-tste
12850 Chestnut Blvd 4568 Horizon Cir
Shakopee MN 55379 Eagan MN 55123
(952)445-4803 (651)340-7867
1 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.
Applicant/Permitee:Signature Issued By:Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169989
Date Issued:06/16/2021
Permit Category:ePermit
Site Address: 4568 Horizon Cir
Lot:3 Block: 01 Addition: Ches Mar East 4th
PID:10-17153-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Michael B Co-tstee Odonnell
4568 Horizon Cir
Eagan MN 55123
(651) 340-7867
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature