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4575 Horizon Cir Use BLUE or BLACK Ink ( For Office Use I j Permit Ila City of Ea E I Permit Fee: ~(J` V 3830 Pilot Knob Road Eagan MN 55122 t'°-TO) j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 ? Staff: MAR ---------------.-J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' Site Address: 15 -75 G r / n C 1 r de Tenant: Suite M RESIDENT / OWNER Name: L c m B n Phone: l G' / `7 i 1 d ►1 ~ 7' I G ~ ' ~ 5f 3 Address / City / Zip: _ ` ig 7!9 Applicant is: Owner Contractor TYPE OF WORK Description of work: 10,cV_ - do 0 5 V.-~S *5_ ® 19 L4 - Construction Cost: Multi-Family Building: (Yes / No ! ) CONTRACTOR Name: Wi~c1o w Cc ~c e 5 ! License ad 4 G H I Address: 990 Lon Q oc g I?j, # II / city: C0. C Ol State: ! !"Zip: 55 IQ ~ Phone: c' otf; Contact: C~t4 --y® Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer$ Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. PorSons of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org I' hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. JC"- 471 if / /I- Applicant's Printed Name V Applicant's Sign e Page2 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC61vED FROM AMOUNT $ I ? CASH d DOLLARS +oo ? GHECK ThankYou BY ?.. ? White-Payers Copy Yellow-Posting Copy Pink-File Copy FOR .' .. - i BUILDING PERMIT DUPI.EX CITY OF EAGAN 3795 Pilot Kno6 Road Eagan, MN 55122 N2 6762 PHONE: 454-87 00 Site Address - ; ? t•U!•i .J-; ?1,c1e Lot Block Sec/Sub. r„ °'8T 1, t?'? Porcei # oe Nome W z Address Cedar Ave. :o. ?Gp inr.? p Name ? ?? Address ? rs«., ok.,..e Name Address I hereby acknowledge that I hove rend this upplicotion and stote that the information is aDrrect and agree to wmply with all applicoble State of Minnesoto Stotutes ond City of Eegan Ordinances. Signeture of Permittee A Building Pertnit is iuued to: ail work shcll be done in accordance wfth ell applioable State Building Offitiol Receipt # Dote - ---- -- - , 19 ? Erect ? Occuponcy Alter 0 Zoning _ Repair p Fire Zone Enlarge p Type of Const. 1 Move ? # Stories Demolish ? Front . ft. Grade rl Depth k. Assessment Woter & Sew. Pol ice Fire Eng. Plnnner Council Bldg. Off. APC Permit ' Surchorge ' Plan check ' SAC ' Woter Conn. ' Water Meter Road Unit - Total _ on the express condition that of Minnesota Stotutes and City of Eagan Ordinances. ? !amk # DoN Imed Mfw Plumbin9 Mechonicnl A (0 U CQ t("- S lF- c c cc- Tq o ? 3 8''- ?-$? 75-,?, INSPECTIONS DATE INSP. Rouph-In Finol Footings ,66- Date Insp. Dote I, ? rap. ?- -- Foundation Plumbing J i ? -? ? Frame/ins. Mechonicol -y- - - Final Remarks: CITY OF EAGA N - r, 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I? a 12l?' $ „ PHONE: 454-8100 BUILDING PERMIT Receipt # , To be used tor 3-SEA YORCH Est value $5, 570 Date J UNE 16 19d 6 Site Address 4577 HOR IZOIJ C I:t Erect ? Occupancy LotI $J &ock j Sec/Sub. C13ES i+SiR F; 4'p14 Remodel ? Zoning Parcel No Repair ? Type of Const . Addition No. Stories ? Name BOB HILL Z Move Demolish ? Length Depth o Address Int. Impr. ? Sq. Ft. City Phone 454-8408 Install ? o Name PATIO ENCLOSURES Approva la Fees so c Address 6219 CAMBR I DC,E ST Assessment Permit $5 6. 50 ~ City ST Ln[t*pgn?iC 922-6545 Water & Sew. Surcharge 3.00 Police Plan Review au= Name 920-1575 Fire 5AC = a Address U = Eng. Water Conn. i W City Phone Planner Water Meter Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Council BIdg.Off. 6/11/8 Road Unit Tr PI information is correct and agree to comply with all applicable State oi . . Minnesota Statutes and City oytagan Ordinances. APC Parks i Var. Date Copies Signature of Permittee Total ? A Building Permit is issued to: PA'r IO ENCLOSURES on the ezpress Condition that all work shall be done in accordance with all applicable St?o of Minnesota Statutes ar?o City ot Eagan Ordinances. Building Official I IPOWO Mo. I PormM Ho1dN I D&W I Tdephom N I Dale Plby. Otc. Ftq. Dbp. . ' CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receiet #t Site Address ;1e „!,ns 4t Lot Block Sec/Sub. Parcel # oc W ? Nome Address Ci I ? o Nome ?? Address ? Ct I ?°C WW F Name iz Address I hereby acknowledge that I have read this opplicotion and state that the informatian is correct and agree to comply with olI opplicable State of Minnesota Statutes and City of Eegon Ordinonces. N° 6761 Erect ? Occupnncy Alter ? Zoning ' Repair ? Fire Zone Enlarge ? Type of Const Move ? # Stories Demolish Q Front ft. Grede Q Depth ff. Avarorals Fea Auessment - Wuter & Sew. Pol ice Fire Eng. Planner Countil Bldg. Off. _ APC Permit Plon check SAC Water Conn. Woter Meter Road Unit Totol Signature of Permlttee I A Building Permit is issued to: on the express condition that all work shall be done in accardance with all applicable State of Minnesoto Statutes ond City of Eagan Ordinonces. Building Offfciel , Pwsk # paM Irwd FWpNtM Plumbin9 -?4 11?? 7 -/O'-$' Mechanicnl A - 7 7-- j -$ ti E - LYs?, rl'c a 'I' q c (3'-1 $ - , g- ? ? E,, INSPECTIOIYS DATE INSP. Rouph-In Final Footings Foundation Frame/ins. Final p Plumbing Methanicol D 0, Irup. Oate Insp. Remarks: Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Piint lepibly Tot. 1. Date 1 2. Installation Cost 3. Job Address Lot Bik, Tract 4. Owner "; 1?i?PH M. MILI?CR CO?F.?T. C0. 5. Contractor • • Phone - 6. Address -? j ? - - 7. City __.:l:ii: State ?]. Zip 8. Building Type: Residential 0 Commercial O Institutional O 9, Work Description: New 0 Add ? Alter ? Repair ? 10. Describe ?:1:•' ?_'1 1'oT'Ceci Type ii': ' 11. No. ' F„gipment BTU - M. Ea. Forced Air r .- p`', No. Equiament CFM Air Handlin : Mfg. g 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 aJl 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 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spaces S/C Type or Print /egJb/y T ot. 1. Date ` ? • 2. Installation Cost `• -' ' 3. Job Address %? . Lot Blk. Tract 4. Owner .)3EPfi M. 1MITR Cl.)NST. 5. Contractor • ` - Phone 25'666, ?. 6. Address ' ' . % '-1. •^ - `•:: , 7. City State °`=?• Zip 8. Building Type: Residential 13 Commercial ? Institutional O 9. Work Description: New E3 Add ? Alter ? Repair O 10. DesCribe .l.::e-'.?i. 'i :, ti.Y',?' Fuel Type 11. No. Eauipment 8TU - M. Ea. Forced Air ?l (ir?;. ? No. Equipment CFM Ai dli H Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other 1 Air Cond. "OOQ Mfg. '-'..OC le.t .LC 1 Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. $igned : for Rough Final IrTspections: Date Insp. Date Insp. l'his is your permit when numbered and approved. L7roved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot. - 1. Date 2. Installation Cost ?{ r 3. Job Address Lot Bik. Tract ' 4. Owner 5. Contractor Phone 6. Address I 7. City State Zip 8. Building Type: Residential E] Commercial ? Institutional ? 9. Work Description: New 0 Add O Alter ? Repair ? 1 10. Describe 1 11. No. Fixtures Water Closet No. Fixtures Ce l/D i fi ld Bath tubs sspoo ra n e Septic Tank Lavatory Softner Shower W l I Kitchen Sink e Urinal/Bidet Oth ' Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets ? 12. I hereby certify that the above information is true and correct, and I agree to ? comply with all ordinances and codes governing this type of work. Signed : - for Rough Final , Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini legibly Permit No. Fee S/C 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 ? 9. Work Description: New ? I 10. Describe I 11. Commercial O Institutional ? Add ? Alter ? Repair O No. Fixtures Water Closet No. Fixtures C l/D i fi l Bath tubs esspoo ra n e d Se tic T k Lavatory p an Softner Shower W l I Kitchen Sink e Urinal/Bidet Oth Laundry Tray er Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for . Rough Final r Inspections: Date Insp. Date Insp. 'This is your permit when numbered and approved. .Approved CITY OF EAGAN 454-8700 , .... INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 i N / lf, I'1'; SITE ADDRESS: . , Nrrt, I :'??hi ? i ft ?I 1 11 ? PERMIT SUBTYPE: ??? - - - 11Niy?: APPLICANT: ( r: 1_' 1 1.743 - N i!h TYPE OF WORK: 1 l Mf11 1- -1 PermR No. Permit Holder Dete Telephone 8 SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Data Inap. Comments Footinga I Foundation Framing Roofing Rough Plbg. Fiough Htg. , Isul. FireplaCe Flnal Htg. Orsat Test Fnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPian Bldg. Final Deck Ftg. / vu- Dedc Final O l t„-?•?O v6-?" ? DD02 T9G 1F? Cd Ap weii Pr. Disp. INSPECTION ? CITY OF EAGAN 3830 Pilot Knob Road I Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: . 11 1 t 111 I Ft f. F' A j!7 OErsfftl.f''fil1N (FtE)tif,x?ftil TYPE OF WORK: INSPECTION D. O .. 6? I rrfl4RFil0 +; - iN t:klJftF ': 4h7i HOk.f,'c?N I t I; t 1 tll 19) j'CORD PERMIT TYPE: Permit Number: Date Issued: ,, . , N ' ` V V' " ` APPLICANT: .' A fi I(01 1' : ? , . ? . Permft No. Permit Holder Date Telephone 11 ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOaTiNGS FOUND FRAMING ROOFING O HOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPIJACE AIR TEST FINAL PLBG F1NAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL OF EAGAN PiOot Knob Road , MN 55122 ss: kddressi @r: ,..,'-r . . No.: _ WATER SERVICE PERMIT I PERMIT NO.: DATE: A No. of Units: :?. 1'tn ' 1 f '•. ^..e? Connection Chprge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Totol: Date Paid: r No.: e to aomply wit6 !he Cily of Eagan Connection Chorge: Account Deposit: _ Pe?mit Fee: Surthorge: Misc. Chorges: - Totol: Dote Paid: OF IAGAN WATER SERVICE PERMIT Pilot Knob Rood PERMIT NO.: MN 55122 DATE: • No. of Units: No.. to wmply wifh !ha Cfly of Eegan JJ J ? CITY OF FAGAN 3795 P11o! Kno6 Road Eagan, MN 55122 Zoning: Q1Mr12fL /Wdress: Slte Address: Plumber. "? - I a9ree to eomplr whh Nw City of Eagan Ordinaneos. sEwER sEI PERMIT NO.: DATE: No. of Units: I r . By Dote of Insp.: I nsp.. Connection Chcrge: ' , - Acwurrt Deposlt: Permit Fee: Surchorge: Misc. Chwrges: Totcl: Date Peid: CITY Cif EAGAN Remarks Addition--?.'M8 MAR F•AST 4th ADDTTIOA Lot 20 Blk 1 Parcel 10-17153-200-01 Owner l?ltlr i :;, L j'j t Street 4575 Horizan CiI'CZE State i Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 14 1983 1191.76 238.35 5 1191.76 C007742 7-23-82 STREET RESTOR. GRADING l 1983 729.95 145.99 S SAN SEW TRUNK 22 1973 10 .90 5.35 20 • A010582 9-18-8I *SEWERLATERAL 7 1983 1851.59 370.32 5 * WATERMAIN 1983 5 WATEFi LATERAL WATER AREA Y-M 1983 370.00 74.00 5 *Services 1983 S STORMSEW TRK 1 v 1983 379.56 75.91 5 STORM SEW LAT CURS & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 25667 7-9-81 WATERCONN. 335.00 25667 7-9-81 BUILDING PER. 6762 sac 525.00 25667 - 1 PARK CITY OF EAGAN Remarks Addition ?M MAR FAST 4th ADDITIOA Lot 19 Rik 1 Parcei 10-17153-190-01 Owner- .- • _ "'-C k ? '•'o.. . U - f-i!r 4d f i !: rl Street 5T7 Horiaoa Cj.TC1C State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1-983 1191.76 238.35 5 953.41 A011856 1-26-83 STREET RESTOR. GFADING 1983 729.95 145.99 5 583.96 A011856 1-2b- 3 SAN SEW TRUNK 1973 ZQ •90 5• 35 20 $8. $4 A010667 10-14-81 *SEWERLATERAL 14$1.2g A0LI8S6 1-26-83 N * WATERMAIN 5 WATER LATERAL WATER AREA 1983 370.00 74.00 296.00 A011856 1-26-83 *S r 'c 1983 5 STORMSEW TRK 150 1983 379.56 75.91 5 303.65 A011856 1-26-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 25667 7-9-81 WATERCONN. 335.00 25667 7-9-81 SUILDING PER. sac 525.00 25667 7-9-81 PARK CITY OF EAGAN 3795 Pilof Kno6 Rood Eagan, MN 55142 PHONE: 4548100 BUILDING PERMIT APPLICATION To be und for 111 llUYLliX - Est. Value $55 Site Address 4577 Horizon Circle Lor 19 eiock 1 sec/sun. Ches Mar E. 4th Parcel # 10 17153 190 Ol a.]Name Joseph MillPr f.9nst Co_ 3Address 13015 Cedar Ave. SO. o iei inca o Name _ ? ,00 Address Name _ Addrew I hereby acknowledge that I have read this aDPlication and state that tM informotion is correct ond agree to Comply with oll opplicable State of Minnesota Statutes and City of Eagan Ordinunces. Signature of Pertnittee _ A Buflding Permit is issued to: all work sholi be done in acco Building Official ? N°_ 6762 Receipt .# ?5&& ?, Erect $J Occupancy R3 Alter ? Zoning R2 Repair ? Fire Zone NA Enlarge ? Type of Const, v Move ? # Stories Demolish ? Front zb ft. Gmde ? Depth 44 ft. Apprwals Fees Assessment - Water & $ew. Police - Fire Eng. Planner - Council _ Bldg. Off. - APC Permit L7a•vu Surcharge 27•50 Plan check 149.00 snc 525.00 Water Conn.3 5.00 Woter Meter 60.00 Road Unit 185.00 rorol $1579.50 'AIISt. CO. on the express condition that of Minnewto Statutes and City of Eagan Ordfrwnces. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12128 BUILDING PERMIT PHONE: 454-8100 Receiptu ?/// 7obeusedtor 3-SEA PORCH Estvalue $5,570 pyte JUNE 16 19 86 SiteAddress 4577 HORIZON CIR Erect ? Occupancy Lot19 Block 1 Sec/Sub. C'HF.S MAR F. 4TH Parcel No. W z 0 Name_ Address Phone 454-8408 Remodel ? Zoning Repair ? Type of Const. Addition SD No. Stories Move ? Length Demolish 11 Depth Int Impr. ? Sq. Ft. Install ? io Name PATIO ENCLOSURES Approvals ?Q nddress 6219 CAMBRIDGE ST Assessment ? c;ty ST LOUIlS'j,o?K 922-6545 Water&Sew. ?w u? az aw Police niame 920-1575 Fire _ Address BOB HILL Phone I hereby acknowledge that I have read this application and state that the in(ormation. is correct and ag e toy mply with kapplicable State of Minnesota Statutas and Ci E g n rdi s/ Signature of Permittee <=-?- - A euilding Permit is issued to: PATIO ENCLOSURES all work shall be done in accordance with all Eng. Planner Council eidy. on. 6/11/86 APC Var. Date of Minnesota Permit +'?o.av Surcharge 3.00 Plan Review Water Conn. Water Meter ' Road Unit Tr. PI. Parks Copies? T_.,, i $59 7 U - on the express condition that of Eagan Oidinances. Buildi ng Official . .? CITY OF EAGAN + r , , 3795 Pilot Kno6 Rood Eogan, MN $5122 N? 6761 PHONE: 454-6100 ?Lt GG 'l BUILDING PERMIT APPLICATION Receipt # _ Te be med fo. 1/2 DjJPjM Est Volue $4 9, 000 Dote T nl v Q , 19_$j__ Site Address 4575 Hor3zon Circle erect 0 Occuponcy R3 Lot 20 Block 1 SeelSub. Che8 18r E. 4h qlter ? Zoning R2 Parcel .jJ.' 10 17153 200 Dl Repair ? Fire Zone MA Enlorge ? Type af Const V w Name Josenh Miller ConSt. Co. Move ? # Stories 3 Addres5 13015 Cedar Ave. .SO. Demolish ? Front 24 ft. ° Ci phone 454-4753 Grade ? Depth 42 fr. p Nome _ ? ?? Address Nome _ Address I hereby acknowledge that I have read this application and state that the informotion is correcf and agree to comply with oll opplicoble Stote of Minnesota Statutes and City of Eagan Ordinonces. Signature of Pertnittee - A Building Permit is issued to: oll work sholl be done in otca Building Official Assessment Pertnit 4 f°•'IV Water 8 Sew. Surcharge 24•$0 Police Plan check139.25 Fire SAC 325.00 Eng, Water Conn.335, 00 Planner Water Mete(OO. 00 Council Road Unit185.00 Bidg Off . . APC Taal $1547_ 25 _ on the express condition that and City ot Eagan Ordirwnces. a 6-1 ti81 ' ? ? ? ! CITY'OF EAGAN ?.lG Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNIIT APpLICATION 1 set of energy - caiculations. ? '!b Be Used For New Flome Valuatio n'y pa},e Site Address: 4575 Horizan Circle OFFICE USE OHI.Y Lot 20 B1ock 1 Sec./Sub. Ches Mar E. 4threct X Occupancy Parcel #: 26 8 _ AddiL on Alter Zonui4 Repair Fire Zone Owner: Joeseoh Miller Const Co Enlarge _ Type of Const. -v l;" Move # Stories Address: ?015 Cedar Ave S Lerplish Front ft. City/2ip Code: Apple Vallevs MN 55124 Gr? Depth y ft. p 454-4753 }one pppROVAIS ? Contractor: SamP Assessments Pezmit 27 g?--° Address: Water/Sewer Surcharge a City/Zip Code: Police P7an Check ! 3 Fire SAC 5aS Phorie #: EnJ • Watex Conn. 33 S Planner Water Meter ? p }?h,?q,; Council Road Unit ?? Bldg. Off. Address : ApC Gity/Zip Code: Phone #: ?, G( -f `7 l ?? ' 6--12-81 ? ? ??? ? ? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERhIIT p,pPLICA'FION 1 set of ene,rgy calculations. To He Used For New Home Valuation 000 pate Site Address: _ 4577 Horizan Circle pFE'I(E USE CNLy Lot 19 Block 1 Sec./Sub.Ches Mar E. 4thErect y,_ Occupancy Parcel #: G?' 1 7( `_j ? ??C) Gi•Alter Zoning ?- Repair Fire Zone /V Owner: Joeseph M. Miller Const, Inc. Enlar9e Zype of Const. ? Address: 13015 Cedar Ave, S. City/Zip Code: Apple Va11eyg Mn 55124 Phone 454-4753 Contractor: Same Pddress: CitY/ZiP Code: _ Phone #: Az'ch. /Ehg. Address: Gity/Zip Code: Phone #: Move # Stories Deimlish Front ? ft. Grade - Depth yy ft. APPROVALS FEES A °4 ssessrtients Wate /S Permit ;5g? 9S{ S h r ewer Polioe urc 21r50 27 Plan Checlc j y q a?.? Fire SAC y a a3- Eng. Water Conn. y 4? Planner Water Meter Council Road Unit /g,S Bldg. Off. APC -1 qC> TarAr. l ?' - P, SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-8000 ADORE55 (-(5 7-5- hl (5V'(-LU,j c fj- Ic CITY OCCl1PANT / / SOLD BY ?. G` c; LlJi MAKE SERIAtT10. THERMOSTAT VALVE LIMIT LIMIT SETTING 0 FANSETTWG? PILOTTVPE?_ IGNITION MDDEL ? CCVr PIL0T71MING PRESSURE ? PEFCENT COz " INPU7 CFH PERCENT Oz STACKTEMP. - ? v pEqCENTCO FORM 236 (REV. 11I88) OWNER INSTALLED BY HEATING TEST RECORD -€"J /, A' E(>J`?.-J S-(2 JOB NO. 54 ? MODEL 36#r+CI--76 INPUT ??nc, VENTSRE TYPEOFLINEF tr 4 LINER SIZE RLTERS: SRE ? NUMBER WIRING ? Cr ?- TEST TAG LIGHTING INST. r_ DATETESTEO ? N 1-i' ? . COMPANYTESTWG ?- ? ? " NAME OF FORM1t - JOBFlLE YELLOWCOPV - CITY ma .a'o wa1u m nm:111c1ry Griggs Midway Bldg. - Room N791 1821 University Ave., St. Paul. Minn. 55104 - Phone 297-2111 .91F,QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 T 40139-7 Type of Building New Add. ReP. Check Appiiances Wired For Check Equipment Wired For Home 19 ? ? Range ? Temporary Wiring ? Duplez ? ? ? Water Heater ? Ligh[ing Fixtures OC ApE. dldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. El ? ? Pumace 7M 2 5C Silo Unloader ? Industrial Bldg. ? ? ? Av Conditionei - ? Bulk Milk Tank ? Farm ? ? ? List ) L ist Other ? ? ? Q } Hecersl p Ne[e 5? COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Feeders&Subfeede?s: # Fee C¢cuits: # Fce 0 to 100 Am . ? 0 to 30 Am eres 0 to 30 Am eres 10110 .286.Am e, 31 to 100 Amperes 31 to 100 Am eres Above? Above 100 Amps. Above 100 Amps. Trxnsf ers Remote Control Circ. Partial ot othex fee Signs Speciai lnspection Minimum fee • Remaxks Rpn CapleB TOTAL F E .Jb 43.00 I, the Electrical Inspector, hereby Y th/ h abpve inspection has been (Rough-in) ?? ?/ ?,?1 Date 6zl (Final) ?J, ? ?,,, A -I Date. ? This request void 18 months from Sf This request void L- /5 Y-2 1 ? C 18 months from . '2 &3-Z `] ? Date of this Request 8-14+1981 Fire No. T40139 I, as 5id.icensed Electrical Coniracror 0 Owner, do hereby request inspection o( the above electri- cal wiring installed at: Str4et Address or Route No, 4577 Horizons Circle City FagaYl Section Township Range County Dakota Wluch is occupied by Joe Miller Conatruction (Name of Occupant) Is a roughin inspection required on this job? No ? Yeski Ready Now ? Will Call ic Power Supplier Dd§ota C}y. Address Farm; na+nn ?- Electrical Contractor O.B. Thompeon Ele etric Co. Contractor's License NoA40602 (Company Name) Mailing Address _ 12201 *,tirf Blvd. p Mtka 5534? Authorized Signature 933-2`Z1 iof or Owner Meking Thls I ? ll W?1 ? o OQ?D QOp? This inspection request will not 6e accepted 6y the ? ? ? State Board unless proper inspection fee is enclosed. mmnnsoca ai2ie bOaro oT tlBC2IlCl[y Griggs Midway Bldg. - floom N791 - 18ty Ave., St. Paul. Minn. 55104 - Phone 297-2111 ST FOR ELECTRICAL INSPECTION CHE4K BEL W WORK COVERED BY THIS REOUEST ES-00001-02 .2(n3---Z 7 ? dn1 '; 7 pe of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm Home EdC ? ? Range ? ? Temporary Wving ? Duplex ? ? ? Water Heater ? Ligh[ing Fixtures ? Apt. Bldg. ? ? 0 Dryer ? Electric Heating ? Commemial Bldg. ? ? ? Fumace a2.5O Stlo Unloader ? Industtial Bldg. ? ? ? A'v Conditioner ? Bulk MOk Yank ? QList }! Lis[ ) Other ? 0 ? yeie?s) } Heherg) COMPUTE INSPECTION FEE BELOW Savice Entrance Size: u ee Feederal&Su6teeders: ik Fee Crtcuits: ik Fee 0 to 100 A s 0[0 30 Am eres 0 to 30 Am eres 1 D A? ? 31 to 100 Am eres 31 to 100 Am eies ;Abo ,e 2 Above 100 Amps. ?Amps. ansomers RemoteControlCiic. Pactialorotherfee Signs Special lns ection Minimum fee E • Remarks $pri Ca.ples TOTALF M,JV I 3,00 1, the Electrical Inspector, hereby ce?Va't the''a}?ov?? J e 5ns?pe?c? on has een??(=/ -in) L!/ 7 -6 (Rough Date IFI (Final) %r??Date f.? This request void 18 months from r? ?r This rcquest void L 26 t?) ?'1 t?_ a 1 ??? 18 months from . -2 (D 3 ? , IL. - Dafe of this Request $`14-1981 Fire No. 740137 I, as 79?Licensed Electrical Contracmr ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4575 Horizons Circle City Eagan Section Township Range County 1lq kp+,g Wh1Ch IS ocCUpiCd by .Tna Mi l l ar Cnnqtrun+i nn . (Name of OccuOanq Is a roughin inspection required on thu job? No ? Yes?E4 Ready Now ? WID CaM Power Supplier Dakote, CtY. Address Falmington Electrical Contractor 0 S Thnmpapr- ElecSxir Co. Contractor's License No.pq.pypp (COmpany Name) Mailing Adc Authorized ?? n?? o O/? ?D ?l'O?M This inspectian request will nat 6e accepted 6y ihe (;,1 l;,1 l, IJ State Baard unless proper inspection fee is enclosed. ???p? REQUEST FOR ELECTRICAL INSPECTION u ?'+ N? 4 4 5? Saa instructions for complxting this torm on back of Yellow copy. '?-X'" Below Work Covered by This Request EB-0o007-03 3! `i 05 B :Ad fleu Type o} Bvildinp Appli9nce5 Wired EqulVmBnl Wirad Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Elactric Heatin Commerciai Bldg. Fumace - Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other aeutv iner (5necitv) tier uecrtY t er ?einp,O ?.`lnls?f O[her Compute Inspection Fee Below # Fee ServicaEn[renceSize k Fee Foeders/5u1afeeders k Fee Gircuits 0 to100qm s 0 to30Am s Uto 30Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Am s Above 700_Am s Above 100_AmPs Transiormers ftemoteControl Circ. ? Partial-'Other Fee Signs Special Inspection S TO L FE Rerria rks /a:OO E / O Fough-in Date the Electrical ' Inspectoq heraby certify that [he above Final ?? 6 1?gpection has heen This mquest voitl 18 months from Thas r;rmest „o,d Lio ? I'I I ct??s /Lta r 3i qO S ? 18 munths from , . . E 0.5? ? 't(_Ir- /D ` O? ?,? 26445 flequast Date ' Q'? ? Q 77 Pire No. Rouph-in InsPection flequired? ,,,???((( . EReady NuwyyWill Notify lnsPec- / `Ia Wh - - o ?Yes ?Na r en FeatlY - ? Licensed ElecViGal Conlrac[or I hereby raquest insoec<ion of above ' ? ([wner . - electrical work installed at ' SVee?t A/ddress, eox o?r Po te No. , /? / ; ?r' ?J? / C ' . City ? 0 c., l Y . /T?zaA a el1 ecUOn o. iowrehip Name or No. Range No. Count a xo-i Occupant(PRINT) + ? (x.l? ?C0.1?Lp o'? _ PFOne No. Power Supplier ' - . Address . Elecvic' ?1?p ontractor Compan Name) Zn ? w ? Convactor"s License Nd. - ;, c, c . r ?d ?e ec ..: COQ - MailinB Address IConhac[or or/Owner Ma/king InStaiiatioN ? l? ?. S 03 ?LiJ d 3¢0 ?G3?s ?7' ?'f . . . AuNOriz d i0nature (Cont'actor Qwner Making Fsialfation) Phone Num6er -/31-Z 7' MINNESOTq STATE BOARD OF ELEGTflIGTY THIS INSPECTION REQUEST WILL NpT Griggs•Midway Bltlg. - floom N497 BE ACCEPTED 8Y THE STATE BOAflD 7821 University Ava.. St. Paul, MN 55106 VNLESS PpOPEN INSPECTION FEE IS ...--- ?n.?? oo-. o.., ENCLOSED. ?c?we-c?s ri`i s?••--`-?_ - ?._?s..??. g , ? . Citp of eagan Brpttrtmrut rrf Builbing Aspedirnc - Thir Cntificatr utaul purxuant to tbt requrrrmrnu of Seriion 306 0f tbe Unrform Bailding Coda tnti f ying thut at ihe fime of itsuanrr thit chutlure was in rompliancr with the varioru ordinarsces o f tht City ngulating 6uilding carotlsuttion m ute. For the f ollowing: ? 1/2 DIIPLEX . ;n V.. cr'ufic.um BIy Pomut N. 6762 ov?Tva x3 TYrc v v? ? L??a??« ? ?amw?o? zm .. a,?,,?,?, Joseph Miller ?,,,?13015 Cedar Ave. So., Apple. B,ul,,,,,,, 577 Horizon Cir. La,,;,,I+ot 19 Block 1.Ches DAar Eas, Br: 4th Sevtember 28, 1981 A / t ' Ii? IN ? fYI?I1CYW? R.?G[ _ , ? .. . .,? . CAp,of<Eaga? ? ?rpartmrnf'a#BuilDing Ans,pr4tmi - , ,; ?Tbir Cenratc isaued purauaru ro tbc requirementr of Section 306 of theTl»tforne Buildrngl 6orle crreifying tbataa tbe time of ittuarue dhir itrurture waj in compliunce wrth tbe vanbur, ?11 ,<. ordrndnrer of the City regulsting building conrtrurtion or ure. For the fallowing:- . _\ o.c?r?ti? ?"1/2 DUPLEX woe.r,,,,,,iNo? 67fi1? ; ; V NA 3 " R2 f Ocw{vocyTY, Typ C?NCUan FirtZan• ZowgMsNC[ : ,._ ? . ...?? .......-.... ._ . _., n "? •?_• BY s„?,,,,o,?,, p„? SePtember 9, 191 ., ?., Z'w-? RESIDENTIAL ? BUILDING PERMIT APPL{CATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiremenls . } regis!erea site surveys showing sq. rt. af Ic1, ;q, fl. of house: and ail roaleA areas (2006 maximum lot coverage allcwed) • ? cocies of plan showing beam 3 amdew sizes: poured found desgn, etc.) • I set of Energy Calculations • 7 copies of Tree Preservation Plan if bt plaKed after 711;93 •.Rim ;oist De[aA Cplions selection sheery`biCgs with 3 or Iccs uniGs) DAiE J?+Iy ?3i2p02. SITE ADC TYPE OP APPLICANT RemodeVReOair Reuuirements • 2 copies of plar. • 1 set of Energy Calculations fcr heated aaditions • 1 si[e survey `or zztenor additions 3 decks . Indicate If hcme ;erveA by septic system for additions VALUATION ? 5 ?f (>0 •"? , STREET ADDRESS li4i(PS0 Qi.ETJa'P? Pvz, - CITY TELEPHONE # JS.l'S°?I CELL PHONE # U?,STATE W ZIP FAX 51 YeL571 PROPERTYOWNER S 1w,?, Y lR}ES TELEPHONE# ----------------------------------------------.......------------------------------------------ COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category . y[lNNF;SOT.112[;LES 7670 C,\TECORY l -MIVAGSOT:A RCLLS 7679 (v submission type) • Residential VenGla6on Category 1 Worksheet Submitted • New En ? r ghe?F5L6m?Getl • Energy Envelope Calculations Submitted ? ? ? Plumbing Contractor: Plumbirig system includes: Mechanical Contractor: N[cch:uiic>il scstcm includes: Sewer/Water Contractor: Phone # Fee: F«: $70.00 -------------------------°----°-°-------°----°-------------•------°----°---..._....._....-----------------------... I hereby acknowfedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf OFFICE USE ONLY ?ULTI-fAMILY BIDG _Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 _ Water Softener Wa[er Heater No. of Baths Pf10[lE' n Lawn Sprinkler No. of R.I. Baths Phone # _ Air Gonditioning _ He1l Rccovciy SysCrm Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 1!02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-ptex a 13 16-plex D 20 Pool ? 30 Accessory Bidg 0 02 SF Dwellinq 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) El 37 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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 46 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding ? 32 Add+tion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire 81dg only) - Give PCA handout to applicant Valuatfon 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 _ Foocings (new bldg) FinaL'C.O. _ Footings (deck) Final/?Io C.O. _ Foonngs (addition) _ Plumbing _ Foundarion HVAC _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air.%Gas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Re[aining lVall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Buiiding Inspector • CertiPicate for: . '- Joe Miller Conetruction plan No. 90041 13015 Cedar Ave. gO55124 • Apple Valley, Mn• 2m - DELMAR H. SCHWANZ , ''.UNDSVNVEYON . ' ' RNh1MW UMW lawt o/ TM State of Mln?U . ym - 116TM MEET W. -GOI( M IIOMEMOIMIT. MINNpOTA NON ?HON! ot2 11?17M M 3 ? , ? 0 O k Drainage 6 utility ? ` easemsnt 000 ,of .?•,?? ,ti N 1'd ? l/ 2a . ? ? A.?. y; B N I'`- LQ? / fURVEVOR3CE11TIRICATE _ I I P ? -So - ZG E .? "?+ Q ? , .s S Z - - ? - -1 ^ L?o ? . ?? fjo.c v c ? 9 SCALE: 1 inoh - 30 fett o Denotes stt Nood hub b taok A' ? Denotes existing slevatioi'? -Coe,a3l?t/ 2 a,,,•/ ?o' ? Dsnde s ProD?ed finisMA 81'a proposed garage floor elevatipn 93??_• // AI r repreaentationof Lots 19 t and 201 a Blo k 1,d CHffi MAR. COrrOOt / EA3T FOURTH ADDITION, aecording to the reoorded plat ther*of, Dakota County, Minnesota. Also e2wwing the location of a proPoaed hovse as stakod . thereon. Dated: May 5, 1981 ; . MINNESOTA RE61; TION N0.?8?6 . ?t F.:'P1iRLOR PNVI'.LQP!, T.':':I:.?i?T. „t!•' ?.??••i'IYI'ATI?'7: 3IT6 AUllR1:5S: 001"xncTvx: S ? P"flLi-c-7-t2_LA--GgG, f1A"19: , lO ? ?e t 8!4! ?-- FIION(i: Detetminc workii;q s,uaic fuot..iyc of cach 1. Tatal expoaed wall area...... 27f?? A7?? ` sq. ft. x,.17 _4 2. 7ba1 roof/ceiling area ...... .? ---- nc;. fL. X Qs __ Ybtal expasec', wall iArea aLove Clu .t - 2 GiO _ •. Tntul wall window Rrca .................. ............... z- k. ^:tri 7. dear Area ................ . ..... ............... C. 2bta1 slidina 4:s-s door area .......... ............... _ 7_°Z:?._ d. Total fireplace wali area .............. ............... s. Tolal wall frawinq area (averaye 10'.)... ••.•••.••••••.• f. Total rim iolst area ................... ............... g. ?Agw-- f-vall azea above floor ........... ? z ............... ? J?Sp h. va]1 srea above floor .......................... . ?---- - i. wall area above f.loor .................... ..... ?`_. j. arall area above floor ........................... -- J 4otal "pose3 found.,liou arC-, _ -? k. '.btal frnirdation window area ........................... 1. 'lbtal net foundation area above grade ................. Detcrmine "U" valuc• of ,.:r't, .r.:l i ._.;),:c:?t (e.g. winflc,w, door, s?;?aru;.- .. %,?:111 9P2 ?.?..i.e,rki . a. x "U" x „???? r. ,??_ - ?? • ? X „??•? sS ? 3 . ? ? - --- -- - a. - ? „?„ __ --- - y • ???., i'^Q <. 7?CP f . ? -- `. ' U --- (Q .? ?. ' • ' ? Li -- }:. - x „u.. - i:: th?• J • x ??'' ? - ?? . ? ? ------- nr lcs::; 1-11n.^. itnm :.t , yuu k. • °U? S?C''/. .. t:lr i9L'.nC i.. ._ ?_? __ .,. , (-I.r , (C) ?. y „ nLIu ... ? 7 i - . _ .. .. . - . - _ .. . \ . _" . % .• "'1 ? i"' ' lkEsrior Snvalope 1lverage "U" Computat:ion , . ?., . . ? Totel axposed roof/ceilinq area = :?07 .? S. 70ta1 akyliqht area ............................ 11. 1blal roo!/ooilirq ftming area (nvcrayc lOt)... , o. Total net lnsulated roof/cciling area........... 41 • J Determine 'U' valuc for each roof/coilinq segment m. x .u. r--- -. h. ? 3Q7 X"ol- o. -LL,?(e r?- x -u- . ........................... mc.di Page 2 of 4 If total of Y4 is tha same ao, or less tlun M2, you have met the intent of AC 6006 (c) 1. Alkatr+ate ftildinq Envelope Design 1s utiliu tha Yrf,al swelspe'systen eethod, the values established by t}» aum of Lirl* #l and N4 d1a11 mt 6o qreater than the eun of items #1 and N2. i. 473. to + s. 3. 75?7. 3 + .. .k r. - i6:;p -? -w ? --?-_-_?'-.. • ? ? PERMIT ??IfiY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: Bu xLo i N G ? Eagan, Minnesota 55123 Permit Number: 0 2 2 3 5 8 (612) 681-4675 Date Issued: 10 / 2 6/ 9 3 SITE ADDRESS: 4575 HORIZON CIR LOT: 20 BLOCK: 1 CHES MAR E 4TH P.I.N.: 10-17153-200-01 DESCRIPTION: ,-?.. 8,61ikdinlgi Psrmit Type DECK Ba?ilding ?rk Type NEW r'Bui.kdlrrq Liari4^th 24 f BuiTd3ng Width)-? 12 t REMARKS: FEE SUM Base Fee $25.00 Surcherge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - AppizGant - SKISTAO KYLE 4575 HORIZqN CIR EA6AN MN (612)683-0376 I hereby ecknowledg-e that I haue reazf Chis aPRlication and' stato tb4t"tNe infermation is correct and agrse to aarttp.ly wittt all aRp3.icable State pf JArt..' Stbtutes and City of Eagan Qrd3rranGes. ?<---???--- < ? APPLICANT/PE?E SIGNATURE ISSUE BY: SIGN URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 BUILDING 022358 10/26/93 SITEADDRESS: LoT: ze eLqcK: i APPLICANT: ' 4575 HORIZON CIR SKZSTAD KYLE ' CHES MflR E 4TH (612) 683-0376 PE oM ?l K SUBTYPE: TYPE OF WORK: NEW INSPECTION D. . ., FoarxNSs FINAL _ . . . _ . . ..? . .?_ ... . . _ . . . _. _.? i. .. ? r. 4. ?1?. . !1' .?.n, i p ? • i F. t l . ? REAGTIVAT: _ PERMIT K ' c cmr oF eaGaN 1993 BUILDING PERMIT APPLICATION 681-4675 ? S' ? c?(-? SINGLE & MULTI-FAMILY 2:sets of plans, 3 registered site surveys, 1 copy of energy calcs. ; , COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 7 copy of energy catcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot thange i.s requested once permit is issued. Date Yaluation of rork ' S-2 Site Address: 57REET , fUITE # enant Name: (comnercial only) IAT ? SIACIC ? SUBD.6XC5,?/45r P.I.D. 8 Descri tion of work: Df=C The applicant is: Owner O Contractor ? Other (Deccrtbe) Lf? Phone /D = 37? 4 4 sejS 0 . Name : Property LAST F RST Owner pddress z/?25 fID9lz0/tll? SiREET CTE f ? State ??? Zips??a3 Cit y . Company Phone C011tr8CtOr Addrets License # Exp. . City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Prucessing time for sewer & water permits is two days once area has been approved. 1 hereby acknowledge that I have read this application and state that the information is of s and Cit t St t t y a u e a correct and agree to comply with all applicable 5tate of Minnesc Eagan Ordinances. ' 5ignature of Rpplicant: OFFIGE U5E C7NLY BUILDING PERMIT TYPE ? OI Foundation p 02 SF Dwg. ? 03 5f Addition ? 04 SF Porch ? 05 SF Misc. O 06 Duplex ? 07 4-Plex ? OB 8-Plex O 09 ]2-Plex ? 10 Multi. Add'1 O ll Apt./Lodging ? 12 Multi. Misc. ? 13 6arage/Accessory ? 14 Fireplace ((r15 Deck ? lb Basement Finish [3 17 Swim Poal 0 18 Comm./Ind. O 19 Lowm./Ind. Hisc. O 20 Public Facil9ty ? 21 Miscellaneous WORK TYPE ?( 31 New f? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish p 36 Move ? 37 Demolish GENERAL INFORMATION cr.01F5: (E 4u31) _ sn „Ft, Rasomnnf ? MWCC S,?5t2!!! Allowable) ft. lst fl. sq. City Mater S UBC ccupancy _77-5 2nd F1. sq. ft. PRY Required Zoning Sq. ft. total Booster Pump 1' of 5tories Footprint Sq. ft. Fire Sprinkler Length 77 On-site well Census Code Depth Z_ On-site sewage SAC Code APPROVALS P7anning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ? Site p Wallboard ? footing final ? Framing ? Draintile 3e / ? ? Insulation ? Fireplace Permi t Fee o2 5?00 nimt;o,: 5urcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/N Surchar9e Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total; 8 SAC % ? SAC Units - " . , ??-AifScate for: t tion oe Miller Cona ruc Plan No. 90041 13015 Cedar Ave. So. ApPle Valley, Mn. 55124 /]1 DELMAR H. SCHWANZ LANDSURVEVOit ' Re9ifUnE Untler Uws o/ The SUte of Minnoso4 2978 - 146TH STREET W. - BO% M ROSEMOUNT, MINNESO7A 66088 PHONE 6121111769 M S9-SO- ZG 6 ),i a ? Drainage & utility IF, I easement I L-. OT ? I m? Zv m ? m a 0 0 ? qb Nlyl ? V / q111 SURVEYOR'SCERTIFICATE y ? N 7k' s 4oP q+!'?? I qp ? ? ,c? • 3 t--? ,p ?N O ? Ao M N I ? n I ?oP q?R? 1 In?? d- 1 d•?°PA3?• C? qy''. ??,.• r Cn? 0 ?h lbP y, Q 9'Aar s6D / % ? v a-4 V? ?. ? gUltfl??? o a* ?,{5 e SCALE: 1 inch ? 30 feet o Denotes set veood hub & tack Denotea existing elevation ?o?Denotea propoeed Piniehed j rl grade / Propoaed garage floor elevation v hereby certify that this is a true and correct entation of Lots 19 and 20, Block 1, CHE9 MAR repree EAST FOURTH ADDITION, according to the recorded plat thereoT, Dakota County, Minnesota. Also ahowing the location of a propoaed houee ae staked thereon. Dated: May 5, 1981 i ? MINNESOTA REGIS ATION N0.88? ?? Czf lr r:,I- F.:n`:;4,n! s i\oY. . . .. ,... t?mi i.:L/?J:f.!`.dl:?, i.., ?:..: ... e: -..? ?? ? a ,. _..? r;!Fr c D,-RGL_1kM/.7r;HNSpP•' r:t);??s;;r ,:s,.?, t I ..>>.... qI-...?.i .;.?4.. I-:?? . c: !? ?..:?J 1._ +-.?cre f.'.?,. ..?..J f?"`. I. ?I...i{J .? .. re-i.'i[c.! ?iU.t I..'I:?.?...(' ./...?Pd 1^ L /?.l,J .... ?f G:.? .I_? _?O?'.:i.? 1:1`i:i• _ I, . ..... ;liir:.?i.?;^:'?:;: ? ?. ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUILDSNG 029163 11/01/96 SITE ADDRESS: P.I.N.: 10-17153-200-01 4575 HORIZON CIR LOT: 20 BLOCK: 1 CHES MAR EAST 4TN DESCRIPTION: (ROOFING) ermit 7ype `p?rk Type 4. S MULTI. (MISC.) REPAIR 434 AL7. RESIDENTIAL ?kv Et A'aY .Sg `U E ? =E? 4? y E3 'vC' 4?"i ? ^y?9ed ? ?e ?'6@?b.?gtftr?g'{I, <Lfi 'L??' w dA ? ? I??C °`y??'r Cta`w ?? tN- g REMARKS: INCLUDES 4577 HORI2tlN CIR (LOT 19) FEE SUMMARY: VALUATIQN Base Fee $87.25 Surcharge $2.00 Total Fee $89.25 t $4,096 CONTRACTOR: - Applicant - sT. LIC OWNER: BERGLUND/JOHN50N CONST 12219170 2000626 HOMEQWNERS ASSOCIATIpN 4842 MINNEAPOLIS RVE HORIZON CIR MINNETRISTA MN 55436 EAGAN MN (612) 221-9170 I ? t'-5 n-. ? ???s-??-?? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 4 00 1996 BUILDING PEAMIT APPLICATION (RESIDENTIAL) lqlo 681-4675 Mew Censt dan Reo uire nts RemodeVReeair ReauiremeaM 4 3 iepisterad site aurveri ? 2 to0iee O! Pisn ? 2 copia of plam (Indutle Desm 6 window alzea; poured Uq. desipn; etc.) ? 2 site surveya (ezlerior addifiana d deeks) • 1 snergy eakulations - ? 1 energy ealeulaUona for healed additions ? 3 copias el hae preearvaHpn plen N lot ptatled aTler 711193 nqulrsd: Yas _ No DATE: CONSTRUCTiON COST: o0,co DESCRIPTION OF WORK: 7?' _ a11=-F r10?0?D7L- STREETADDRESS: - 5?J"? 75 - 77 A/b.elz-o/U Cl? LOT J?jj BLOCK I_ SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Phone #: ?... ..., Street Address• City: State: Zip: Company: _ 6A2C1?! UN7???f/lr0/l/ phone #: Street Address: /P7/rU4,64'6/-lS4?6License #• City: State: I?W- Zip. S 3 Company: Phone #• Name: Registration #• Street Address- City: State: Sewer & water licensed plumber. change a2 roquested once pemut fs issued. Zip. Penalty appties xfien address change and lot I hereby ecknowledge that I have read this apptiea6on and stste lhat the inTormation is appiiceble State of Minnesoca Statutes and City of Eagan Ordinances. -? Signature of Applicant: OFFICE USE ONLY Certficaces of Survey Received , Yes _ No Tree Preservation Pian Received _ Yes _ No agree to yqPj(pry wit? all OFFICE USE ONLY • ? =- `» - ?< BUILDiNG PERMiT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pu6tic Facility 0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/W5 System (Allowable) Main levei sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. R. PRV # of Stories sq. ft. Sooster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Buiiding Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit SIW Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: Valuation: $ % SAC SAC Units 1986 BOILDING PERHIi APPLICATI09 - CITY OF EAGAN NOYS: dl.i. CONTRACfORS HQSY BS LICEliSED iiITH THB CITY OF fiAGAN SIBGLS FAFIILY DWEELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEYt 1 SET OF ENERGY CALCULATIONS MOLTIPLS DTdELLI$GS - RffiIDENTI6L INCLUDE 2 SETS OF PLANS, CEA 7 SET OF SNERGY CALCULATIONS COtMLRCTar_ RENTAL IIBITS FOE SALS QNITS OF SQftYEY - CHECH iiITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSt 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?k.i/c./_3-sP s? To Be Used For: $CiCO`'4? `*1"'1Epaluation: ,57S'?c7 Site Address Lot Bloek Parcel/Sub c4t.o PLIz 6 Owner " w// Address d.;ee/G City/Zip Code EAG'.af? SSO.? z Phone Contraetor 4za '6f?rC-v ,=?e. Address City/2ip Code :5p? 4w,;s Phone .U & q.Zv Arch./Engr. Address City/Zip Code Phone U Date: !p /O-,??o Erect ?S Oeeupaney Remodel Zoning Repair Type of Const Addition ? # of Stories Move Length Demolish Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit ? Water/Sewer Sureharge ?, bb Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Couneil Road Unit Bldg Off Treatment Pl APC Parks Variance Copies TOT9L -?q, 5 0 NOTE: ADDRESSBS EOR CORNER LOTS - CONTRACYOR/HOMEOfTNEB IiUST DESIGNARS flHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSQED. ;.:;: N --?- ' 7o, No sea?E 6-2 -9G \ 9x ?y r?r?,?? \ I_ ? \\ ? ? Room Ne: yA bo4 ? ? I'?, - - - ----i CsFRAB, E r-----.ZO?-'--? ? RY' - T6Ji A? ?o/Y7.?. ?2iLOry [?iQL°lc 4- 2005 RESIDENTIAL MECHANICAL PERNII'T APPLICATION City Of Eagan ra? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permi[s aze required for each unit Date Site Address Unit # P t O 6one #( Tele 5r ) W,5444# roper y wner p p Contractor ' 5treet Address ,. 8910 W`' City i?u o(,..: .. ...?., State (952) 881-9UUO Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Otlier Add-on or alteration to existing dwelling uni??/?!,,, 7D $ 30.00 furnace -Additional ? Replacement New air exchanger air conditioner _ heat pump? ! other State Surcharge - $ .50 T t ? o a I hereby apply for a Residen[ial Mechanical Permit and aclmowledge that the informafion 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 pernut, and work is not ro start without a permit; that the work rvill be in accordance with [he approved plan in the case of work which requires a review and approval of plans. ? •? SEDGWICK HEATING F? AIR CONDITIOf1!P:G LLC Applicant's Printe???r??'•iorth Ave. ?u App icant's Signature Minneapoiis, h1N 55420 (952) 881-9000 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for: commerciaUindustrial buildings mulfi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if apptica6le) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Eapires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When insfalling/removfng underground tank, call for inspection by Fire Marshal and Plumbing lnspecfor PCC[071 FCC3: $70.50 Underground tank installation/remwal $50.50 Minimum (includes Stata Surcharge) or Contract Value $ x 1% _ $ Peruut Fee $ Stzte SurcLarge _ If nermit fee is less than $1,000, add $.50 If DCIIRII fee is more than $1,000, surcliazge is $.50 far every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical Permi[ and acknowledge that the information is complete and accurate; thaz the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tliat I understand [his is not a peanit, but only an application for a permit, and work is not to start without a pernut; that the work will he 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 Required Inspections: _ U.G. _ R.I. _ Air Test - Gas Service Test - Infloor Hea[ - Final ? z 41 La:" t1 P :?- I L? 17 -7 /S /D 6 . e? 8910 Weniworth Avenue South Minneapolis, MN 55420 Tel: (952) 887-9000 Fax: (952) 881-4491 June 29, 2006 Lori Swenson 4575 Horizon Circle Eagan, MN 55123 Dear Lori, Thank you for choosing Sedgwick for your recent comfort system investment. I trust everything went well with the installation. We have made multiple attempts by phone and letter to schedule a final inspection with you, performed by the ciry and/or state. This inspection helps catch future problems that may have been caused during the instattation, and is a requiremenY in all metro cities. Some communities can block any future work to the house until this inspection has been completed. It can also cause a delay in the sale of the house. A copy of this letter is being forwazded to the city inspection department to help speed the process of closing these permits, Please call us as soon as possible to schedule an inspection, or if you'd like, you can contact the city directly at 651-675-5675. Thanks again Shane Parker Customer Service 952-881-9000 Cc: City of Eagan Inspections Department ? ?CE EVFRk? j ?'00 04, EVERYVISI7IS 9ACKED BY OUR FIVE STANDAROS OF EXCEtLENCE a ? $ 'eft, k4 ? Sp yrOURy?@a '? ?S TM ,?pVbRYXrB 3 ???? a a r 3c,-1 2006 RESIDENTIAL PLUMBING PeRnmr aPPLicaTioN ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I a I ? 1 V40 Site Street Address L67:? ??C17 ?n ?r Unit # Property Owner m /lX.1n Telephone # ( ) H.P. PIPEWCJRKS Contractor 3670 DODp RUAD Telephone #( ) Address ' City State Zip The Applicant is: _ Owner N1 Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are installing on/v a water sokener and/or wafer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ (Q& s? I here6y apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not te start with mit and work will be in ordance with the roved plan in the event a plan is r to be reviewe d appr i ( (- a p V . 4--s A l ?p icanYs Printed Name Applica Ys Sign IS. g't-:N ti m m ? ? Z 4 W S Y U H 3 (7 Ca W N ..+ V C ti ? a) UNi v 03 co N It'1 o) Lo 0 io m LD 0 0 N ? r ? m ti /,/zn,..l .7" 7! Yi7 SEDGWICK HEATING & AtR CONDETIOlVIIVG CO. 8910 WEf1fWpRTH AVENl1E 5 • MfMNEAPOLIS, MN 55420 -- (952) 88"000 At3DRESS OCCl1AqNT SOLO BY IdAN£ SERiALNO. THERAODST T VALVE L1M17 6 LIMR SET7ING FAN SET71tJ6 BfLOT7YPE_?1` f? . .? o IGNITtON MODEL PILAT T1M1NG ?4 ? .. PRESSbRE pEACEM C%.--43- IMPUtCFli- pERCEHTOp STACKTEhSP.pERCEtJTCO ? R)FM 2a5#1&V,11ldBj HEATiNG TEST RECORD JOB NO. ?.s 71 ?- ciTv ?? C&? OWNEN iNSTALLEU 9Y?n MODFl. 'G q--0 (A .3 V ?Q INPLIT_? ??lf l3 \ l VENTSIZE_? T' TYPE OF LfIJEfl LfNER SIZE ? FlLTER& SIZE NNA6EA ?I WIRIM6 7ESTTAG V LIGFRING INST. V . DAIE DOMPAiJY1ESTING NA1AE OF WNRECOPY-yJgFlLE YEILOWCppY-G!v PERMIT City of Eagan Permit Type:Building Permit Number:EA116227 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 4575 Horizon Cir Lot:20 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-200 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 . Kim Moore 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 J Hamling 4575 Horizon Cir Eagan MN 55123 Bulldog Contractors Llc 3300 Edinborough Way Suite 201 Edina MN 55435 (952) 253-3350 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA120072 Date Issued:01/14/2014 Permit Category:ePermit Site Address: 4575 Horizon Cir Lot:20 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-200 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 J Hamling 4575 Horizon Cir Eagan MN 55123 Bulldog Contractors Llc 3300 Edinborough Way Suite 201 Edina MN 55435 (952) 253-3350 Applicant/Permitee: Signature Issued By: Signature