4579 Horizon CirCITY OF EAGAN Remarks 1 i1 J' t,
Addition CHZS MM ZA= 4th ADDTTION Lot 18 Blk 1 ParjP-17153-1.8o-o1
Owner?, r.?:, r` .` r• Z?Street ?+5T9 Hori.z? C?'CZQ State
? Improvement Date Amount Annual Years Payment Receipt Date
S T R E E T S U R F. 126- 1983 1 1 g 1. 7 6 238.35 5 1191.76 C 0 0 8 0 0 3 9- 1 7- 8 2
? STREET RESTOR.
GRADING 51 1983 729.95 145.99 5 729.95 C008003 9-17-82
5AN SEW TRUNK Z 1973 1 .90 5.35 0 53.50 A011031 4-20-82
SEVilER LATERAL 1983 1851.59 , 1851.59 C008003 9-17-82
* WATERMAIN 1983 5
WATER LATERAL
WATER AREA ? 1983 70.00 74.00 5 70,00 C008003 9-17-82
*Services 1983 5 I
STORMSEW TRK I 1983 379.56 75.91 5 379.56 C008003 9-17-82
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET IIGHT
Road Unit
WATER CONN. 335.00 28235 12-21-81
BUILDING PER. 38
sAC 525.00 28235 12-21-81
PARK
I
CITY OF EAGAN Remarks
Addition C? MR ??T 4th ???Og Lot lT Blk 1 Parael ?'Q-17I53-17Q-01
Owner St,e„t 4581 Hot'lzon CLTCle c*s*o
?aA-.,
Improvement Dace Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRAOING
SAN SEW TRUNK ? Z 1973 106.90 5-35 20 ?j 11 - 0-82
,t SEWER LATERAL
* WATERMAIN
WATER LATERAL
WATER AREA
- 2-82,
*
STORM SEW TRK 759- 1983 7 I
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 28232 12-21-81
WATER CONN. 335.00 25232 12-21-81
BUILDING PER. 7039
s,ac 525.00 28232 12-21-81
PARK '
? .. ?
CASH RELEI T "?.
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, M I N N ESOTA 55122
bATE 19 _
R[CKIV GD
FROM
AMOUNT $ , I
Ek ooLLpRs
7oo
? CASIi ? CHECK
FOR
FUND CODE AlAOUNT
.
r_
v
?
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH AWEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
RSC 61 V 6D
FROM
AMQUNT $ I.
? DOLLARS
?no
n CASH E]CHECK
FOR
'?- / '7 ' 1' _,p j / ? X.„ " Z-- ,
FUND CODE AtAOUNT
Thank You
BY
?.
?
,
?
Wfiite-Payers CopY
Yellow-Posting Copy
Pink-File Copy
cIrr oF EAGAN , 7 1'e)
3795 Pilef Kwob Road Eogan, MN 55122 '
PHONEs 454-8100
BUILDING PERMIT Reuipt #
To N wed for Esi. Value Dote , 19
Slte /lddrcss Enct
[r] Occuponcy
Lot Block Sec/Sub. ' Alter p Zoninp
Porcel Repotr ? Fire Zone
Enlarga ? Type of Const.
oe Ncme t ,
W Move ? ?t Stories
? Address Demolish ? Length
4-17i' Grode rl Deoth Sa. Ft.
°C Nome _
0
uU Address
Nome
Addrcss
F*e9
Asseument _
Water & Sew.
Pol ice
Firo
Enp.
Planner
Counci I
Permit
Surcharpe
Pian check
S11C
Water Conn.
Woter lVleter
Road Unit
I hereby acknowlaAge thot 1 hcve reod this applicotion and stote that gldy. Off.
the intormation is correct and ogree to comply with oll oppliccble ^? T?Q?
State of Minnesoto Statutes and Ciry of Eogan Ordinonces.
Sipnature of Permittea
A 8uildfny Permit is issued to: on ths exprcss conditlon tFMr
oll work shall be done in occordonte wlth nll opplicable Stote of Minnesoto Statutes and Ciry of Eogon Ordinances.
Buildiny Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbiny
?(D ?'.LS M ''? E `-?
? 1??cd ,
rL-z3-s
H.V.A.C. 3 p ? «c (`
w.u
w?e?
?
D'?sp.
Sawer
E lectric 'r
Z a-? y'? B '
1 1?6 A SGh 1
/z?? ???{
Inspection Dste Inap. pther
Footingt
Foundation
Fnminq
Rouyh Pibp. ?
Rouph HVAC
Inwletion
Final Pibp. ad
Final HVAC
lG O
Final
Wo"r Dsscriba Location:
1Nell
Sevwr ?
Pr. D'up. .
.,?.,.._ ? , . - ? - . . .. _
CITY OF EAGAN
3793 Pilof Kwob Rood Eagan, MM SS 122
' PHONE: 454-8100
BUILDING PERMIT Receipt #
7o bo wed for Esf._Volue Qote , 19
Site Address ,-
Erect
[]'
Occupancy
Lot Blxk Sec/Sub. Alter ? Zonin9
Parcel * ' Repoir ? Fire Zone
Enlorge Q Type of Const
W Nome ?
" Move ? # Staries
Z Address ' Demolish ? LenSth
C'i!v _ Pl?nr?a , .• . Grade p DVpth S4. Ft.
?d
zv
V?
r
Name ApPeorais
i?
Address Assessment
City Phone Woter & Sew.
- Police
N°^'° Fim -
Address Eny.
Permit
$UrCfIOfgE
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
I hereby acknawledge that I hove reod this applicntion ond state thaf Bidg. Off.
the inlormotion is torrect and ogree to compiy with all applicuble
Stata of Minnewta Statufes and City at Eqgbn Ordinances. APC Totol
Siynoturc of Permittee
A Building Pertnit is issued to: on tha expresa condition thar
oll work sholl be dane in occordarxe with oll opplicable State of Minnesoto Stotutes ar+d City of Eo9on Ordinances.
Buildlny Officiol
Aermit IMo. Aermit Holder Misc. Permit Ala. F!older
Piumbing Gk '? I Z ?L3
H.V.A.C. 4 ' Z `q
Wall
Water
nisp.
Sewer
Electric "6 ? scsl? 2? ?2 ?'-
Inspection Date Insp. Other
Footings
Foundation
Framing ?
Rouyh plbg. I 2 _7, •
Rouph HVAC
Insulation
Final Plbg. • y 14) a
Final HVAC
Finel
-y
p
Water poscriba Location:
Welt .
Sewar
Pr. Disp. _
?
i
Receipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN .
Fee
?
Fill in numbered spaces S/C
Type or Print /egiWy Tot. 1. Date -- 2. Installation Cost
3. Job Address i-a..ot? ' '-'81k. ? Tract
4. Owner i r
5. Contractor ,
?-c-? - -=' Phone 7
6, Address
7. City State Zip
8. Building Type: Residential C] Commercial O Institutional O
9. Work Description: New LRl Add ? Alter ? Repair ?
10. Describe Fuel Type
I 11.
No. Equipment B TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
, 12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ofdinances and codes governing this type of work.
S' d ?
?g?E ' for
Raugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt "'?-?q " MECHANICAL PERMIT
CITY OF EAGAN
.t
Frll in numbered spaces
Type or Print /egib/y
1. Date 2. Installation Cost
3. Job
4. Owner ,,GC N\ l' l l t S-
5. Contractor PC? CCCp- Y` k?A ; ? ? t (L Phone
6. Address
7. City
_ State
Permit No.
O D
Fee 21)
S/C
Tot. •??, ?'?
I Tract C: A' E
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0
I 10. Describe
1 11.
Add O Alter O Repair ?
Fuel Type
No. Equioment STU - M. Ea.
Forced Air No. Equipment CFM
H
d
i
Mfg, r
ng:
an
l
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Qate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
. • . ' . F e e ' i
Fill rn numbered spaces S/C I
Type or Print /egib/y a
Tot.
1. Date 2. Installation Cost ?
3. Job Address Lot Blk. ? Tract
f
4. Owner
?
5. Contractor 1 i l Phone ?6. Address
7. City State Zip -, -
8. Building Type: Residential C'k Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe
11.
Na, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
I Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
+ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above informatian 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 454-6100
Receipt
PLUMBING PERMIT Permit No. '
CITY OF EAGAN
Fae -
Fill in numbered spaces S/C
Type or Prini legibly Tot.
1. Date 2. Installation Cost ?
3. Job Address Lot C?
f ? '7 Bik. ? Tract ?
4. Owner
,. ,
) ?
5. Contractor ?// ? • 1f ,. /1<< ? ;- Phone
6. Address
7. City State J/ /' Zip
8. Building Type: Residential 0- Commercial ? Institutional ?
9. Work Description: New E) Add O Alter O Repair O
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
' Bath tubs p
Septic Tank
Lavatory Softner
% Shower Well
% Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby 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
I
7-
' CITY OF EAGAN
? 3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
? SITE ADDRESS: ?HIWi,Arn+ i rr
• •f , N Af: j .t I FI
? PERMIT SUBTYPE:
SPECTION
1CORD
PERMIT TYPE:
Permit Number:
Date Issued:
fiti 11:0 1 "c:
03 QAHS
o?r!'tl97
e
1ti APPLICANT:
tf•?li ?r?1 '?1lt9
TVPE OF INORK:
-A ? TF'RaTrON
IfF"ROOF
Ftt1t)V M,
V f 19A l:Y , . iidi ! itiif . I FFURT;'Olqt ('?f? - f.HARI F`, RFMIY TI)'. t)WHr4
F'+ a. ,C. t) V 1, M I# k F: AS T A 111
771
,.
?f.. .. .
'??
L ;
?
L__ ._ _-_""_ r- '-- -e_-- - - -
Pertnit No. Pernit Holder Date Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units:
Address:
No.:
No_-
to eomply with the Citp of Eogun
_ Connection Chorge:
_ Account Deposit:
_ Permit Fee:
Surcharge:
Misc. Chorges:
Total:
_ Dote Paid:
_ Insp.:
SEWER SERVICE PERMIT
Road PERMIT NO.:
2 DATE:
No. of Units:
OwnCr: ? ' `'GtIlStL11C ? ?
Address:
Site Address:
Plumber: ' .?
I agroe to wmplp wifh the City oF Eagan Connection Charge: ..:i -
Ordinanees. Account Deposit:
Permit Fee:
Surchnrge:
By Misc. Charges:
Dote of Insp.: Total:
CITY OF EAGAN WATER SERVICE PERMIT
3795 PMa,.: Knob Road
Eague, MN 55122
Zonirvg: PERMIT NO.:
DATE:
No, of Units:
Owner: _ ii
Address:
No..
No.:
to wmply wih !he City of Eagan
Connection Charge:
Account Deposit:
Permit Fee:
$urcharge:
Misc
Charges:
.
Total:
Dote Poid:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 piiot Knob Rood PERMIT NO.:
Eagan, MN 55124 DATE:
Zoning: No. of Units: ----
Owner: ' -
Address:
Siie Addres§:
Plumber.
1 agree to eomplp wifh fbe Cwtr of Eagan
Ordinanees.
By -
Dote
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
- CITY OF EAGAN ?Q 7039
• l79s /Ilot Knob Road Eoyon, MN 55121 -
PHONEs 454.8100
BUILDING PERMIT aeceior # ? 00
To be wed ier 1/2 I ]UP= En. value $46,000 oote DecembeY' 21 jq 81
SiM Addrcu 4SRl Hnr i mn Mrr_lP Erect EK Occupancy R'3
Lot 17 BI«k 1 Sec/Sub. ?k-'s PRcZr FBSt 4fih ^Iter ? Zoning 11-2
parcel # 10 17153 170 Ol Repafr ? Fire Zone ?
Vl'1
T
f C
roa ? ype o
onst.
oc
W Name Joseph M. M1?.?.P.Y' QOASt. , IT1C. MoV
? # Stories
? Address 14115 C?l thrie Ave. Der.wHsh ? Length 40
C? AWle VValjq y phone 454-4753 Grode ? Depth Afi-Sq. Ft.
g Name Ogner Approvols Faes
?? Mdress Assessment _
Cit phane Water & Sew.
1-?
Police
Nome F
FW iro
?? Address Erp.
iW Gfv _ Pho„e Plonner
Permit -
Surtharpe 'zJ• UU
Plan check 132.50
SAC 525.00
Water Conn.335 _ 00
Water lVleter 60_ 00
Council Road Unit J Rr, _ nn
I hereby ocknowledge thot I have reod this opplicotion ond st te thot Bldg. Off.
the informotion is correct o gree to ply w' opplicable ^? Taal S? 5?S _ Sf1
Stote of Minnesoto Statutes Ci n r Fces.
Siynoturc of Permittea
A Building Pertnit is issued to: on the express cordition thai
all work sholl be done in acwrdance with oll oppllcable Stote innesota Stot e? and Cit of Eoqon Ordinances.
Buildinp Off{cioi /7 p
CITY OF EAGAN
. " .
3795 Pilet Knob Road Ea9en, MN SSIlt N? 7038
_
PHONE: 454-8100
BUILDING PERMIT Receipt # ??s
_Te 6e utad fer ]./Z j)[ ]pL 'F.X Est. Value $46 000 Dote 1Y ?rm3hni' 71
Site Address 4579 FiOL1ZOR C,].IC1G Erect gK Occuponcy I?3
Lot 18 Blxk 1 5K/S„b. ?es Mar East 4th Alter ? Zoning R-2
Parcel # 10 17153 180 01 Repoir ? Fire Zone NA
rc Name JQaep11 M Mi 11 r Qjn Tn
z
t Address 1.4115 C}i hri Ace.
p Nome _
?? Addrea
r ?:...
Nome _
Address
Enlorge ? Type of Const. Vl'1
Move ? # Stories
Demolish ? Length4fL
Grvde ? Depth--45_Sq. Ft.-
Avvroral: F.es
Assessment _
Water & Sew.
Police -
Fi.e
Eng.
Planner ?
Council _
Pefmit M07. V V
Surcharge 23.00
Plan check 132.50
snc 525.00
Woter Conn.335.00
Woter Meter 60, 00
Rood Unit 185,00
I hereby acknowledge that I hove read this aODlication ond sfate that Bidg. Otf.
tM informotion is wrrect id ogree mply with oll opplicable APC Totol $1525.50
State of Minrxsoto Statut t f ogon rdinonces. -
Signature of Pertnittee
A Building Permit is issued . TOSOnh _ i 1 7 or (yDnc ., TnC. on the expreu condlfion thni
oll work sholl be done in accordunce with cll opplimble State off!V111nnesota Stat)qs ond Ciry ot Eagan Ordirwnces.
Building Offitlol
q r
??D 2jg CITY OF EAGAN Include 2 sets of plans,
1 site pfan w/elevatioms 6
.. k,nv}-? BUIIDIfTG PIIdQT APPLICATICN 'r Set of enei'gy calCUlatioats.
/.,
'lb He U9ed Fbi N'trw-Cnnst-rtrFfion Valud ?t-. DD(l D3tE Dec i: 1981
Site AddL'P.SS: ( 579-.4581 Horizon Cz:'CMCE USE
LDt ? 18 BlOdc ( 1 SeC./Sub. Ches Mar?4th Ex'ECt OCCupaF1Cy
Parcel #: 1 a l`7 f S? ??C' ? -Alter Z?MI -
Repair Fire Zame
Fnlarge _ 7ypa of Oonet. ?-
pwner; Joseph M. Mi11er.Const. Inc. Mwe # Storieo
pddregg; 14115 Guthrie Ave Derol?fymt ft?
Grade Depth 'Q.v--
City/Zip Cocle: Apple Vallev 55124
phorie y; 454-4753 _ T's FEES
COntr dCtOr: Same A'SesSnMtS petlydt -•
waber/Sewer Surcharge
Address: Polioe Plan Check
City/Zip Code: Fire SAC
glq, water Conn
Phone Y:
Atch. /E7u3. .
Address:
City/2ip Gode:
Pteone 11:
Plannes
Council
Bldq. Off.
APC
Water Meter
Faoad Unit ,
?
'1p17?i, - `7 Z?? 5?
, ??? ? ? U ?? CrrY OF EAGAN 1 sike plan w/eleva ?? &
BUILDINC; PERMIT APPLZCATICN I set oP energy dnlCUlations.
Tb Be Uged Fpr {Vew-Constructivn VdlUdtlOri T?. DcQ Date Dec 1 1981
Site Addle3s' 457 4581 ?Horizon C_ ? ??C?\ ?_
I,pt 1? BlOdt 1 Sec./Sub. Ches Marv4t?
Parcel # : I ? ?`7l S '? l `70 QD (
OWller; Joseph M. Mi11er.Const. Inc.
pddregg; 14115 Guthrie Ave
C1tY/Zlp CAd2: App1e Valley 55124
PhOt1E #:
454-4753
ContraCtAr: Same
Address:
City/Zip Code:
Phone #:
F1ich./Qig.. _
Address:
City/Zip Code:
Phom #:
OFFICE USE OMY ' '`
Alter zauM ?-
Repair Fire Zone
Enlarge ,_ T5+pe of Wnet.
[?pyg N SbDlilY ?.
Dernolrsr= Fxont ft;
Grade De'Pth
ASSA3Sl[I@IItS
Water/Sewer
Polioe
Fire
M-94 •
Plaruier
Council
Bldq. Off.
APC
PP17Rit O ?, ..?: .? ..
SurchaY4e d
Plan Check
SAC ?
Water (onn.
Water Meter
Road Unit /
TOTAL
REQUEST FOR ELECTRICAL INSPECTION EB-ooooi_oa
SeF rnshoctions br comulatiny this form nn back of yellow copy. ?
b750U "
"X" Below Work Covered'by'7his Request
New qdd Rep. Type of 6uiltling Ap0liances Wired Equipment Wired
Home Range Temporary Servicew
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heatin
Coinmercial Bldg. Furnar,e Silo Unloader
Industrial Bldg. Air Conditioner 6ulk Milk Tank
Farm })fffi SD'f0 • .00
? in, isne(nrv)
otn,;. olne,
Compute lnspectinn Fee Below
B Fee ServiceEntrenceSlze # Fee Feetlers/Subteetlers # - Fee Circuits
0 G 10. Q> w 100 qm ?s 0 to 30 qm s • o to 30 Am ?s
101 to 200 Arnps 31 to 700 qmps 31 to 100 Am?s
Above 200 Amps A6ove 100_Amps Above 100_Amps
Trans(ormers Remote Control Circ. Partial%Other Fee
Siyns Speciallnspection 00
5 43
Re??:??ks
on ap es
' 7
TOTAL FE ?iJO
Rouph-in Date •
' ?
?/Z?? the Electriwl
nspector, hereby
Fin?l IAL l?l@ i1?]UVB
-nection has been
maAe.
iniY requesi void
18 rnnnths finm
This request voiA -zI
Smo i5 fmm 1
? ?7500
Requ?st Uete Flro No. Raugh-i In.apaclion
Required? ?
Rcatly NowlgWill No4ry, Inyoec-
p
Z????' ?782 ?9?1'es ?Nn «?rWhenHentlv
OMic<;nsed ElecUical Contractor
[) Owner
I hereby request inspection oi above
elacvical work instelled aL
.SVeet Adtlress, Box nr Route, No. Ciry
4581 Horizon Circle FaBan
ecbon o.- Township Name or No.
Range No.
Cnunry
I Dakota
OccuaantlPRiNTI . Pbone Nc.
Joe Miller Conatruction
Power Suuplier Adtlress
Dakota Cty. Farmington
Electrical Gonvactor ICOmuanY Nemed Conlrnr.tni's License Nu.
O.B. Thompeon Electric Co. A40602
Malling AAJress (COn[ractor or Owner Makiny Installatinn)
12201 Mtka Blvd.p h4tka 55343
Authorized Si at rp (COnttactor/Owner h?ing In Ila ion) Phonn Nvmber
? ! N 1 933-2521
N n r?.
MINNESOTq STATE BOAND OF ELECTNICITY - THIS INSPEGTION pEQUEST WILL NOT
Grig9s-Mitlway eldg. - Noom N-197 ' . BE.AGCEPTEO BY THE STqTE BOAND1821 llnivarsicy Ave., SL Peul, MN 55106 . UNLESS PROPEP INSPECTIpN FEE IS
a.....e 19111 Io71111 ENCLOSED. -
REQUEST FOR ELECTRICAL INSPECTION m~T w"„ ea- noont -os
See instructinns for comple.ting this iorm un hdck Of ye114w copy. .y
'e74400 ., ?
ow Work Covered by This Request ? v??4
N>,v Add Hep. Type o( Buildin9 Appliances Wired Equipment Wired
Home Ranye Temporary Service
? Duplex Water Heater XII Lighting Fixtures
Apt. Building Dryer ? Electric Heatin<
Commercial Bldg. Fumace 62.)0 Silo Unluader
Indusirial Bldy. Air Conditioner Q. 50 Bulk Miik Tank
fai'm Oihcr PeciN O[har fSponifvl
t e? SVfy Othn,r
ree lfelnW
ntrance.Size
ivl Wu sYco ioo amrs?? 1 U to 30 AmV? 11 d 1 30.q? cL> 30a?m,s I
101 to 200`A os 31 to 700 qmns ?^ 31 tn 100 ea?,
100-Amp?
Control Circ.
... L-L ? TOTAL F E J?''?
Remarks (0) L10Y1 C3?6 5 50-50 RouBh-in Da?e
1
' the E
lec"ical
b ns
loq
Ipec her?by
i
Final
(
D??te cert
fy that the TLOVe
?
` ?^
?f ypp?{ion has been
e.
p
y
iniy requesi vmn
18 ninnths fiom
This request void `Z//y ?I Ff? L I ? C. ? ? ?l q+? V??6 '0U
?,8 ?,6h7440 ?04L(
?
ly,quest Date Fire No. RovPh-in Insper.?ion
RaymroA?
?ROaAy NowaWill Notify Inspnc-
12-11-1981 l}res 0 Nn ?or WhPn NeadV
censeA ElecViwl Contractor
? Owner
I hereby request insper.tiun ol above
aiectrical work installeA aC
Sveet Address, Boz or Roure No. Citv
4579 Horizon Circle Ee,gan
ection o. TownshiV Name or No. Rangv No. County
Dakota
OccuOent (PqINT) Phune No.
Joe Miller
Power SvnPlier Address
Dakota Cty. Farmington
Efechical ConVacmr (Company Name) ConVar.tor's Liconse No.
O.B. Thompson Electric Co. A40602
Mailing AtlJress (CUntmctnr or Owner Mak
3 .?ationl
B
12201 Mtka Blvd., Mtka
43
A,AeA Signat4C?ontrnctm Owner Makiny Install !itr Phonu Nombe.r
op.. 933-2521
MINNESOTA STATE BOANO OF ELECTRICITY THIS INSPECTION PEQIJEST WILL NpT
Grie9s-Midwqy Bldg. - floom N•191 BE ACCEPTED BY THE STATE eOARD
1821 UnivarsitV Ave..51. Paul', MN 55100 UNLE55 PROPEF INSPECTION FEE I$
PF....e 16121 297.2111 ENCLOSED. '
(Itr#ifirtttr nf (Orrupttnrij
titp vf (Eagan
l9rpttrtmrnf u# luilaing Jttspcdimi
Tbit CMif "uate ittutd purtuaru ro tlx ngtun+nanet of Sation 306 0( tht Uniform Burldirtg
Cadt rntif ying tbat at tlx time af istuame tbit xrHrtwrc wat in romPlianre with tbc varioxc
ordinancu o f tht City rtgulqting buildiag [on#+u[tion or ute. For the f ollowinK:
Ibn ChYmffirmm 1/2 LIJCL[./1 BIdFPemulNa. 7038
?P"? +rw R3 naca..? Vn FmZ NA zo-? M?t Ri
o,,,„,f ftffWa, Jos!Mh M. Miller m,,,a14115 Guthrie Ave Annle By:
?P?'?'`?-' a?. March 26, 1982
?
.,,
?.
3jz44 Yz
Garc?c?t SlcLlo n?- c? r? pl ?-??
(grx#ifirtttP of (Orrupttnrij
Citp of Cagan
Or#rttrtmeni nf guilbing Jnsprriimt
Tbit Cnti ficatt inurd purtasnt to thr reguirtmrntt of Scrrion 306 of the Uniform Building
Codc urtifying that ot tlx time of ittaann this ttrutturt war in cmnpliante wrth tbe variout
ordinadrtt of the City regulating building ronttrt/ttiwr or urr. For tbe fallaving:
U. Cb..f?m 1/2 DUPLEX ffla4P.?NO. 7039
O-w?rriw .R3 rypc??m Vn F?n? . ? zo,?uwn?? ?
a.&BWd. Joseph M. Miller ?dd-JI4115 Guthrie Ave., Apgle
B„e,,,,,,,,,4581 Horizon Circle La,,;,Y rot 17 Block 1 Ches Mar
by:
p,,,: September 20, 1982
.e.. ,. . ... .....
?s..
65-78?
2004 RESIDENTIAL PLUMBING PERMIT APPLIGATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
)5 lS`d
Date 9 l 5 / CS 4
g
Site Street Address o. D-r?? ?? ?Q_..,- Unit #
PropertyOwner?Q?,L9-C, 7C?/Y!2&??• Telephone# V,5/}15?L Jo??
Contractor ?L¢t-2? Telephone# ((?51)??5'/?'ID
Address City State M h• Zip 55ld3
The Applicant is: _ Owner V-Contractor _Other '
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener ? Water Heater
replacement _ additional, $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ f5, 56
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
1Nt ,r? ? ? ? :?,??,. ?
ApplicanYs Pnnte NKmeAU6 1 1 2004 ApplicanY ignature
iJ
PERMIT #:
G , (" 7-) C?
CITY USE ONLY
RECEIPT DATE:
S$SO PII.OT KNOB RD
gweAN E1N 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date:
?- ?
SITE ADDRESS:
OWNER NAME: ?CC/O / TELEPHONE #: ? ??vT- ?Cp
INSTALLER NAME: ??/,/?Q.L? //CQI?CQe?!iI?ELEpHONE #: ?/?- `?'??07? ?7%??..,._
STREETADDRESS: ?c (oJ? ,/??,•C? ?(`? . , ? ' , CITY: (_-,< STATE: ? ZIP:
Place a check mark next to the permit work type
Add-on odification or aiteration to existin dwelling unit F,$? 30.00
furnace replacement
• irexchanger ? ScP z 320
2
ir conditioner
I
• other
?
'By-
l?
N
t
f
k
?
? ?
^G
F)
/ - - - I
_ I
-
a
ure o
wor
:
f?p?.t v
C i
?
l?Gl ? -
State Surchar e $ .50
TOtal $
?
GNATU F PERMITTE
8008 RESIDENTLAL 141ECHANICAI. PEgMIT Ai'PLICATIOR
crrY og E?stkx
lioz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMMERCUL MECHlkNICAL PEMIT APPLICATION
CITY OF EAHAN
S$SO PILOT KROB $D
EAs",Mv 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP
TELEPHONE #:
WORK TYPE: New construction Install U.G. Tank
_ Interior Imp.-ovemer,t Remcve TJ.G. TanS:
_ Processed Piping
Specify Nahue of W ork:
When installing/removing underground tank, call 651-681-4675 for inspecdion by Ftre Marshad and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNA"I'URE OF PERMITTEE
Updated 1102
*dtV oF eagan
PATRICIA E. AWADA
Ma}ror
PAULBAKKEN
PEGGY CARLSON
C7NDEE FIELDS
MEG TILLEY
Council Members
THOMAS HEDGFS
CiryAdminisvaror
September 13, 2002
SANDAU CONSTRUCTION CO INC
3010 E 4TH ST
SHAKOPEE MN 55379
TO WHOM IT MAY CONCERN:
Crane Performance siding at 4579 and 4581 Horizou Circle must be installed according
to Section 1402.2 of the 1997 Uniform Building Code fhat states, in part:
"Where the siding is installed horizontally, the fastener spacing shall not
exceed 16 inches horizontally and 12 inches vertically"
Municipal Cencer:
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.8535
Maintenance Faciliry:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.681.4300
Fax: 65 Lf,B ].4360
TUD: 651.454.8535
mvw.cityofeagan.com
THELONEOAKTREE
The.rymfwl ofsrrength
md growch in oiu
wmmuniry
or ICBO's ES Report #ER-3378.
This is the only method of installation the City of Eagan will accept.
If you have any questions or concems, please contact Teny Zelenka, Building Inspector,
at 651-681-4679. hank you.
?
CITY OF EAGAN
BUILDING INSPECTIONS DNISION
cc: David R Kastonek, 4579 Horizon Circle, Eagan, MN 55123
Chazles Remy III, 4581 Horizon Circle, Eagan, MN 55123
Dale Schoeppner, Chief Building Official
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft. of IoL sq. R. of fause; and all roofed areas
(20% maximum Iot coverage allowed)
• 2 copies of plan showing 6eam & window sizes; poured found design, atc.)
• 1 set of Energy Calculalions
• 3 copies of iree Preservation Plan If lot platted after 711/93
• Rim Joist Delail Oplions selec6on sheet (Wdgs with 3 or less uniis)
DATE
SITE ADDRES
TYPE OF WO
APPLICANT_
2' plfX
TI-FAMILY BLDG v Y N
REPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS 3600 ELa`?' 'r? ?N?U P)-? CITYSTATE_MN) ZIP EL?f
TELEPHONE #q52.-'??qW CELL PHONE # FAX # q52-`t03 q M0
PROPERTYOWNER_WO,t"'llr1z) 3 MCLrl,a ?e.m\i TELEPHONE# 3
COMPLETE POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d submission type) . Residential VenUlation Category 1 Worlcsheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mcchanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance(?,
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
RamodeURepair Reauirements
. 2 copies of plan
• 7 set of Emrgy Calculations for heated additions
. i site survey for exleriar additions & dedcs
• Indiwte if Iwme served by septic system for additioris
VALUATION$ I -I ( Ai .
Phone #
_ Lawn Sprinkler
No. of R.I. Baths
Pt+-mut 3oZ. 25
vvlot? 62--5oilo
Certificates of Survey Received _ Tree Preservation Plan Received _jBMlnf Raaui[ed
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entlre Bldg onl» - 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fae
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
401?MV oF eagan
PATRICIA E. AWADA
Mayor
PAULBAKKEN
PEGGY CARISON
CYNDEE FIELDS
MEG TiLLEY
Council Members
THOMAS HEDGFS
Gry Administator
SepYember 13, 2002
SA i'VDAU CONSTRUCTION CO INC
3010 E 4TH ST
3HAKOPEE MN 55379
TO WHOM IT MAY CONCERN:
Crane Performance siding at 4579 and 4581 Horizon Circle must be installed according
to Section 1402.2 ofthe 1997 Uniform Building Code that states, in part:
"Where the siding is installed horizontaily, the fastener spacing shall not
exceed 16 inches horizontally and 12 inches vertically"
MuniciPal Center.
3830 Pilot Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fau: 651.681.4612
TDD: 651.454.8535
Maintenance Facility:
3501 Coachman Poinc
Eagan, MN 55122
P6one: 651.681.4300
Fzc: 651.681.4360
TDD_ 651.454.8535
wrvw.cityofeapan.com
THE LONE OAKTREE
Thc symbol oFscrengch
and growch in oiu
wmmunity
or ICBO's ES Report 4ER-3378.
This is the only method of installation the City of Eagan will accept.
If you have any questions or concems, please contact Terry Zelenka, Building Inspector,
at 651-68hank you.
?
CITY OF EAGAN
BUILDING INSPECTIONS DIVISION
cc: David R Kastonek, 4579 Horizon Circle, Eagan, MN 55123
Charles Remy III, 4581 Horizon Circle, Eagan, MN 55123
Dale Schoeppner, Chief Building Official
RESIDENTIAL
s' c./ (4q 0 BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
. 3 registered site surveys showing sq. tt. of bt, sq. ft. M house; and all roofed areas
(20°k maximum lol coverage allawed)
• 2 copies of plan showing beam 8 window sizes; poured Pound design, etc.)
• 1 set of Energy Calculations • 3 copies of Tree Preservation Plan If lot platled aRer 711/93
• RimJoistDeWilOptionsselectionsheet(bldgswilh3orlessunits)
DATE
JOB SITE ADDR
?
1-153r5o
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? G' pIG'7L
PROPERTYOWNER Dav,? -d' (dral s-tonek
TYPE OF WORKAe-Jide_ `r' te??acemerr?" iuinr?o?.7s FIREPLACE(S) _ 0_ 1_ 2
APPLICAN ` 61.'52-'/03-9100
ADDRESS CODE 553 7g
PAGER #
CELL PHONE #
Fax# 95a--?/a3-96on
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Catec3ory _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Venfilation Category 7 Worksheet Su6mitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbing Coniractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical Systcm Includes:
Sewer/Water Coniractor:
Air Condilioning
Heat: Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
D
I hereby acknowledge that I have read this application, state that the information is corr ct, and,agrep n?? ?I
,-. ? ..
with ail applicable State of Minnesota Statutes and City of Eagan rdina ces.
Signature of Appllcan ? 1JY1\i ??7-? `uQiw E
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Water Softener
Water Heater
No. of Baths
IaFrmrf- ',273.a1_)
'a )3 as'
RemodeUReoair ReauiremeMs
. 2 copies of plan
. 1 set of Energy CalculaGons for heated additiore
• 1 site survey for extenor additions & decks
• IMicate if home served by septic system (or additbns
VALUATION
Phone
L.awn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. 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
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitlon (Entire Bldg onl» - Give PCA handout to appllcant
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) FinallC.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
_ Fueplace _ R.I. _ tlir Tes[ _
_ Final Windows (new/ieplacement)
_ Insulation _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
• '' 1•:.:'CP.ii ''il: 1-:lV;' )i' i:' F.l?:ii "11•• ?•,)'4i'l•TATIOtI ?1 C,7?1?
: ....__ -•'- -...._. . .. _ ._... r
..?WId:71: . __. ... ... _
STTE.ADUR1:5^: ._4579_Horizon_Circle
r.orrrrACO,x:?_?;.;.r c: 1;"_ E.
D/fTli ?G• l..r_' ?.Y?1 •?1?L1? . ..
rnciNS: 454-4753 "
L•eCcrmi.r.r imjrkiirJ cuqvarc f.ritayc of eaCh
ft.. X_.17_
2. 7ba1 ruuf, ceil.inc ar"`l ...... ft. x_OS---
? ? --? ---------
?-
?
7bY.a1 CY.j%J!:o[: wsl'. arna above f.lnnr
a. Tott:l. wall w.inu.,v ... .................................... _1-14=- .
:.. .cL--.i ..?.,?. .:rea ....................................... . .?101
c. ;...al :;Q.,1 a: ua . ...... .................. . . .
d. 'ibtal f.irnjd,z,.•e arc2 .............................
e. Tot•nl wall fr:wdiky aren (averayc lu"a) ..................
f. 'Abtal rim juis!: art:. ..................................
q- -- w..17. ar?a :1klvc ilnor .......................... ? .
h. wa)t ar•:a a'vu•.•,. Llcor ..........................
i. .!_. wal:l at4 e.iLwvu I 1uor ..........................
?.al.: aro:? rt'.x'v; rlcor .......................... _
rx,.n:av; Crrondnt.i.i,n ,rrua -:- (oAl-, k. '.bla: Eolirdation :dindr,w arn.'........................
.. .. ??_
.L. RY.itril neP .f.nmrd.ifiun arc.i aF,ovn qrado .................
ii?•l? ro,;m. ,?1.?? v,:lu? i f ?:,?r!? %lall ::"Imrnt
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or lc?::: i.han iF.cm 911. %ou
Ir.??rn mrt t hr i,iL'..nl' of
s1t" GGhr, (c) z.
Tulal expose3 roof/ceilicig area
m. '1bGa1 skylight arca ............................ ?
a, Total roof%ceilinq framing area (average 10E1••• ,
..
o. 'lbtal net insulated roof/ceilzng area.........
Determine "U" value for each roof/cailinq se9ment
m. . x "v"
n. g9,2_ X"U" .033 F° _
2 ? x oUn ? 6? ° --.-
o.
?tnl = 3.o r
4
If totnl of. 84 is the ::ame as, oz less th:in R2, you have Aet the intent of
SkC 6005 ;c) 1.
Alternatc Ruildill? T•.nvclo?c Desian
7b utilize the total envelopc systun methud, the values estnbli:;hed by the s•Jm of
items N3 and 44 shal] not be gzeater rhan the suin of itens N1 and N2.
283 + 2. 44,4__ °- 33 Z•
?.
s. / 72. 3 + a. _ Z3.01 -_??
_ ''!Hct;?,rior L•'nvelope nvernge "u" Compucar.Ic•I?
?" - - pl..au #* ? 4. i4<.
` - ??ot9
? LiuF?4L Ft, ?CpaSFD WALL
Bt.oGK. ? 24t241- 34+3lo+S ? I28
= 9C
?C.?.t?E ? 2-4p +3t°+PZA v
VU LL I ? 24+A +3*+3'0
rrVlrL.Z • "
tz. ti r?t : /Ze
? 5?.. ?T, ?K?oSED
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IC.??.E ? q!o x S = 4
W0•? X IS= Isa4
1ot4
F u l.l. I; 12z aC. S=
Fu l.L k S=
r
128
? ,.ro.r-p L ? 1 l0910
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(Za?3?) tC??a) = 8c?4 t zsz
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-17153-180-01
DESCRIPTION:
PERMITTYPE: euzLozrve
Permit Number: 0 3 0 R 8 5
Date Issued: 0 7/ 21 J 9 7
4579 HORIZON CIR
LOT: 18 BLOCK: 1
CHES MAR E 4TH
REROOF
Permit Type MULTI. (MISC.)
Wprk 7ype ALTERA7TON
434 A.LT. RESIDENTIAL
?
?
a?€ ? g? -?j oea §i I§ti tta'a a? ?*§ ? , a?ir ? 1`&°a ,?k ?"
???ac` ? ?c r e??€ e?wmd? c????aaai
? ?a w
REMARK?UDES: 4581 HORIZON CIR - CHARLES REMY III, OWNER
L17, B1, CWES MHR EAST 4TH
FEE SUMMARY:
Base Fee
5urcharge
Total Fee
VALUATIOIV
$87.25
$2.00
$89.25
$4,000
CQNTRACTOR: - Applicant - sT. LTC OWNER:
B4RGLUND/JQWNSOM CONST 12219170 2000625 KASTONEK DAVID
4842 MINNEAPOLIS AVE 4579 HORIZON CTR
MFNNETRISTA MN 55436 EA6AN MN
(612) 221-9170
, I her?b?+? a?kn'
an?`ayrr??s?`tan %
APPLICANT/PERMITEE SIGNATURE
PERMIT
ISSUED : SIGNATURE
f.V
Nei?v C
? " 9
. 2
•". :S
n S WIIIdOW EkOi: DGYIOd flld. dpiiyn;![C,)
an M bt platted aRer 7l1/93
No '
L?1917- CC
RemodeVReeali Rei
? Z CO??lE Of a81
? Z 5? ?11Nlyi (
• t errorgy calal
1997 BUILDING PERMIT APPLICATIC
CITY.OF EAGAN
3830 PILOT KNOB RD - 551:
ss?-"75
PROPERTI
•„=OYVNER =?
-- 7??
Name "
_ '-
_..
?
:: Street Address:
.
_ .
Nt
.
; City: State
?? Zip
? ,
CONTRACTOR Company: t ?ToN?vk?%r`
? Cvn?s?`Pho
e
,
n
------- '
Address. License #
• ?
:... ;. .
?• „
Ci . . `?'
tY. Stete Zlp_ ?S S 3 (o S?`
?
- - ---
?
-
nRCHRECT/ . Company: Phone #:
ENGINEER °
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water Iicer.5ed plumber (new construction only): . Penalty appiies when address change
and lot change arc i equested once permit is issued,
fiereby acknowledge that I have read this application and state that fhe infartnation is correct and agree to
e of Minnesota Statutes and City of Eagan Orclinances.
Signature of Applicant
?.` _-
OPFICE USE ONLY i
Certificates of Survey Received _ Yes _ No
Tree Preservation Pfan Received _ Yes _ No _ Not Required
'...
with all applicable
OFFICE USE ONLY
BUILDiNG PERMIT TYPE . ". .
0 01 Foundation n 06 Dupiex o 11 Apt.lLodging ?
0 02 SF Dwelling a 07 4-plex o 12 Multi Repair/Rem. o
0 03 SF Addition o 08 &plex 13 13 Gardge/Accessory o
? 04 SF Porch o 09 12-plex o 14 Fireplace n
a 05 SF Misc. 10 _-plex - 0 15 . : Deck
•; 4 s ,;?
WORK TYPE '
? 31 New a 33 = Alterations =-o ..36 "Move -
? 32 Addition ? 34 Repair
. . . '. o
..JL 37
: Demolition
_ .._ .
GENERAL INFORMATION . .
Const. (Actual)
Planning
`
isement aq ft MCNVS Syster?
?-*
ity
C
Water#,?``?,.3!{
p
Fire
nnkle
S
PRV
Booster Pump_
Census Code.
otpHnt; SAC Code. ..?..
'' Census Bidg
? . . .. .: .
y f s. , . . .- . -
. _ . .
µ
Engineering Vanance
Permit Fee, o?S
5urcharge '-? a
Plan Review '
...
License -
MC/WS SAC
City SAC -
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Road Unit
Park Ded.
,.,
Trails Ded.
Other
Copies.
Tota?: -?9as
Valuation: $
% sAc
SAC Units
_ _ .Y
/? 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? 0 (?i'b S CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675
New Construetion Reauirements
RemodeVReoair Reauiremerrts
? 3 regialered ake surveys ? 2 copies M plan
? 2 coples of plens (indude beam 8 window saea; poured fid. design; etc.) ? 2 ske surveya (exterfor etlditions & tledcs)
? 1 energy calculations ? t ene
ipy calwletbns for heated additions
? 3 copiea of tree preservatlon plen H lot pialted after 7n/83
requiretl: _ Yes No '
DATE: 7// 1,/--q 7 CONSTRUCTION COST: a-d O, ? a
DESCRIPTION OF WORK:
SyREETADDRESS: /ZON
? LOT BLOCK ? - SUBD./P.I.D. #: _-??? y1Ld?J E ??
PROPERTY
OWNER
CONTRACTOR
ARCHRECT!
ENGINEER
Name: Phone #:
u..
PMT
Street Address:
City:
State: Zip:
Company: _??C'??CA?JO,?uco..v Lt?NStPhone #: D-2-1'-9170
Street Address: 28W 4'lG'?S .?!/6NUE? License #:
City: State: Zip: 5 3 6
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer 8 water licer.5ed plumber (new construction only):
and lot change are, equested once permit is issued.
Zip:
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to
5tate of Minnesota Statutes and City of Eagan Qrdinances. _--7 ,/ ?
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
State:
with all applicable
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi RepaiNRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
a 04 SF Porch ? 09 12-plex o 14 Fireplace a 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 a 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
MClWS System
City Water
Fire 5prinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unft
Variance
Permit Fee E• o?S
Surcharge ?. O a
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
StW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: -919-025
Valuation: $
% SAC
SAC Units
?,.?..._
- CerttPiaate t'or: '
Joe Miller Constrnction
, 0015 Cedar Avenue 3outh
_!,Apol• Vallay, Minnesota
55124 DELMAR H. SCHWA?Z
LANDSURVEYOR Rp75taW UnaN Lawf o1 The S ab of MInMWu
7l78- 148TN STREET W. - BO7C M pp$EMOUNT, INMEdOTAlO?",
`
. Q e,r??-- ? i??
qM°q ? 1
S?ule ?? 9?, ;?
?
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d'
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.?
?
?0
/
lor
*i°'? ? ? ??• ?, p?i ? :
? q? t ?? ?•'?i
F
9'y '• ??
i
? ?.
ti lop N?s
?
1 / a" \
\ ?3 v? ? ? ?
A34•4 ?aFb?o?.
?
1PF P
< v
`^•`??'?? ? .h!!! ? q 3 7.5
rop sed Gar. Floor
P
A. ?
? Propoeed-?'To Block
• ` / n, ?
? Propos?d gement Floor
???Q?`? y ? ? I
dkp?A4? * IATII,ITY r[.?SEM6?wST
00
-n-- a 122.(A e- N 89°59'17" %Q - Ad? '-ftp k8al i
G?T¢_+-eo Qttabs
o?'i . ? L I
C. ? FF R.o?p ( CAa.r-? Ro?.o No. 3z) ?
I hereby certiPy thst thia is a true and porreot !4p"sentation oF
1oP a survey oP Lota 17 & 18, Block 1, CR$8 M1AR 'EA9T IPOURII'H AIZDITION,
f,Lo•° accsording to the recorded plat thereo`P#. DPlcota Cout3ty, Mi??nRSOta.
Aleo showing tho locsatio?? ot a g???a? 191l?4dA?$, ss :0 .#I?kaQ th=reoK. ;
4
_ 92ed+ Denotnu Ecistinpc EYerrution ?
,p Denotea Propoeed Finish Elevation i
Denotes Set Wood Hub and Tack
O Denotee Iron Pipe Mdument I
?-Denotes Direction oP SurPace Water
I
• i
Dated: November 24, 1981
Revised 12-02-81
I t;
;
??•'
...MINNE$OTA REGISt(iAT W NO 8676?? . .
i ?
I, .... ... ? ! _.. w:
- - - - - - - - - - - - - - -
l For Office Use
I
i l
I Permit#: z~~~~`~ I
City of Ei
I Permit Fee Q~
ti
3830 Pilot Knob Road I l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 i'
Fax: (651) 675-5694 l Staff: I
2009 MECHANICAL PERMIT APPLICATION
J~7
Cate: Y 30 D Site Address:
e
Tenant: nw'- O A4-11> / f Suite
RESIDENT I OWNER Name: Phone;
`
Address/ City /Zip; Sr
CONTRACTOR Name: n~jQ 1 ~-GGbt~/~f la License
Address; ~~1') C7I-aL
F"•
p /S
City:. +t,oB 0 0.. State: .4A Zip:
Phone: All75/ Contact Person: l.CRO
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: / eXts np/wre,✓"
NOTE: Both roof mounted and ground mo ted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
III
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
II
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $ 50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$O. S D _ TOTAL. FEE
COMMERCIAL FEES.
$70.50 Underground tank installation/removal OR Contract value $ x1%
$60.50 Minimum (includes State Surcharge)
Permit Fee
If Permit Fee is less than $1,000, surcharge is $.50
- If Permit Fee is > $1,000, surcharge increases by $;50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge).
$ 74TAL FEE`
i hereby acknowledge that this information is complete and accurate; that the work 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 witho pe t; that the work Mli be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
x ~u✓~f ~r x
Applicant' Printed Na a plicanvs igna re
J
FOR OFFICE USE
Reviewed Sy: Date:
Required Inspections: -----..Under Ground - Rough In ___Air Test --Gas Service Test -in-floor Heat Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
For Office Use
zai ; -
Permit ✓ j
City of EaEd I
Permit Fee: q0
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 ;Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/ w Site Address: '76-7~ 1104 C= /lecle~
Tenant: Suite
RESIDENT/OWNER Name:l~//) Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: &I, S i License /045'i262_
Address:/ 7-2- Zlc~ c &AL- city:~Ve-
State: ~ Zip: / Phone: (P~o~ ' ~c!
Contact:i 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. Portions 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 'th the rdinances 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 st wit ut a per work will be in
accor=case of work which requires a review and approv f la
x x ;
Applicant's PrirLWd am cant's i ure
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