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4583 Horizon CirCITY OF EAGAN Remarks ?? H ' -?5p Addition CHES MAR EAST 4th ADDITIOB Lot 15 Rik Peruel 10-17153-15(PID1 Owner ?'? b j yA t Street 4585 Horizon CiTCl.e State Improvement Date Amount Annual Years Payment Receipt Date STREET SUFiF. ? 19 81 1-191.76 2$.35 5 1191. 6 C007779 8- -82 STREET RESTOR. i GRADING 75 729.95 C007850 9-16-82 SAN SEW TRUNK ? 1973 106.90 5• 35 20 53.50 A011326 8-6-82 * SEWER LATERAL ? - - * WATERMAIN 1983 5 ' WATER LATERAL WATER AREA 9-16-82 * STORM SEW TRK 150 3 379.56 75.91 5 379.56 C007850 9-16-82 STORM SEW LAT CURB & GUTTER SIDEWALK STREE7 LIGHT ROAD UNIT 240.00 #29891 5-3-82 WATER CONN. 420.00 BUILDING PER. 21 SAC tr e? PARK CITY OF EAGAN Remarks 1.)? Addition MS MAR LPAST 4tb ADDTTIOA Lot 16 81k I parcel 10-17153-160-0I Owner_?i''•i Street 583 BArizoa Circle State Improvement Date Amount Annual Years Paymenc Receipt Date STREETSURF. -1352 1983 1191.76 238.35 5 STREET RESTOR, GRADING -151 1983 729.95 145.99 5 729.95 5AN SEW TRUNK 10 .90 5•35 20 53.50 A011195 6-24-82 *SEWERLATERAI 45, 9g3 1851.59 370.32 5 851•5 -- * WATERMAIN 1983 S WATER LATERAL WATER AREA lqq 1983 370.00 74.00 5 *Services 1983 5 STORM SEW TRK 1983 379.56 75 . 91 5 379.56 C008008 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 #29891 5-3-82 WATER CONN. 420.00 tT ?? 8UILDING PER. 721$ sac 5 25.00 PARK CASH RECEIPT ? CITY OF EAGAN ? 5 l 3795 PILOT KNOB ROAD EAGAN. MINNESOTA 55122 DATE - 19 neceiveo RROM AMOUNT $ I & DOLLARS ?oo ? CASH ? CHECK / u FOR . . FUNO CODE AMOUNT Thank You ?-- ? B Y White-Payers Copy YelloW-POSting Copy Pink-File Copy , , r0 BUILDING PERMIT Te 6a urd iea I ' cIrY oF EAGAN ? t ? 37lS Pilof Knob Raed Eayen, MN S5122 PNONE: 454-8100 Receipt # MI). on!? Sits Nddress ? . . . . - . ? _ .. Lat Block Sec/Sub. Poroel W - _ oc Nome ? Ilddress , - , J ? $` Name " ? ?? /lddress ? 1-u., o?--- I hereby ecknowledfle that I hove read this opplication ond state thot the informotion is correct ond ogree to tomply with oll opplicoble State of Minnesota Stotutes and City of Eagan Ordinonces. Siqnoture of Permittee A Buildinq Pertnit is issued to: oll work sholl be done in accordonce with oll applicable State ot Mio Buildinp Offidol nh Erect ? Altcr ? Repoir ? Enlarye ? TWQ ? Demolish Q Grade fl Assessment _ Woter & Sew. Polite Fire Erp. Plonner Council Bld9. Qff. _ APC Occuponcy Zoning Firc Zone Type of Const. # Stories Length` , - - Permit Surchorpe Plan check SAC Water Conn. Wcter Meter Road Unit Totol on tha axpreas tondition Ihat s ond City of Eopon Ordinances. Psrmit No. Permit Holder Misc. Permit No. Holder iiPlumbiny f H.V.A.C. C. .3C70-7 •4rd tEd 4i 5-774 Watl Water Disp. Sewer EMctrie 19?0?? /?'1. CZS?? t' S-/o -?''j Z Irqpaetion Data Insp. . Other Footinp 4?Z7 ? l,.t) FoundKion Freminp Rouqh Plbp. . ??' ? Rouqh HVA Inwlstion Final Pib¢ f41 4J a Finel HVAC Final Water Wmibe Location: MINII Sowar + Pr. D'ap. ` -1^-:__L.-. . _... ?. _. . . .. ^. . ?. ... "- . , ..." _ '- ' CITY OF EAGAN - ? ... . 3745 Pilot Knob Road Eegan, MN S5122 ' •' ' PHONEt I54-8140 BUILDING PERMIT Te ?a usad for Est. Valuc Recelpt # Date -, 19 Site /lddreu Erect 0 Occupcnq Lot Block Sec/Sub. ? Alter p Zoning porce1 # Repoir ? Flrc Zone Enlorye ? Type of Const. W Move ? # Stories z Address ' Demolish ? Length ? Ci phone Grode ? Depth Sq. Ft. p Name Approvul! Fees ~ ? Addre Assessment Permit ? ss Ph ~ Water & Sew. $urcharge Cit one Police Plon check FZ Name Fire SAC - - /lddreu Enp. Water Conn. ?W Ci phane Plonner WoterMeter Council Road Unit I hereby ocknowledge that I have read this applitotion ond state that Bldg. Off, the inlormotion is correct and ogree to comply wifh all opplicnble Sfate of Minnewta Statutes and Ciry of Eagan Ordinontes. APC Tota) Siqnoture of Permittee A Building Pertnit is issued to: ' on the express condition that oll work shall be done in occordorxe with nll applicoble Stote of Minnesota Statutes ond City of Eoflan Ordinances. Bufldinp Officiol b O x , o z . ? m E N [`' ? ? O do 1 Da e .? ? ?41 , O J O = "" • a ,i ?r . m ? ° ? o $ = ? a = a d = p ?y W 4g C p p •R ? =7 ? C6 C LL LL L U. ? S W d Receipt - MECHANICAL PERMIT Permit No. • CITY OF EAGAN Fse ? Pill in numbered spaces S/C Type or Prini /epib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot_11? Blk. ? Tract?., 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ? Institutional O 9. Work Description: New 11 Add ? Alter ? 1 10. Describe 11, Repair ? Type No. ? Eauinment 8TU - M. Ea. Forced Air No. EQUiament CFM Air Handli : _?L Mfg, ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 %G y Receipt MECHANICAL PERMIT Permit No. _ CITY OF EAGAN Fee -? ` Fill in numbered spaees S/C Type or Prini /egibly ' Tot. 1. Date 2. Installation Cost 3. Job Address Lot_ '`~ Blk. -- '! ? Tract ?y 4. Owner 5, Contractor Phone B, Address 7. City State 2ip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, - Eguipment BTU - M. Ea. Forced Air No. Equiament CFM H Ai dli - -- - Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg, pther Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certifY that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work, Signed : for ' Rough Final Inspections: Date lnsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt ( 1. Date 20--82 PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fil/ in numbered spaces S/C Type or Print /egib/y T t " o 2. Installation Cost 3. JobAddress ?15g3 Iiorizon C':iEot i' Blk. - Tract ?'?st ?1th 4. Owner -)° Miller Const. 5. Contractor 'ic.';uire Mechanica2 phone •'< `)-4332 6. Address 7. City State Zip 8. Building Type: Residential C1 Commerciat ? Institutional CJ 9. Work Description: New 0 10. Describe 11. Add ? Alter O Repair ? No, Fixtures Water Closet No. Fixtures Csss ool/Drainfield Bath tubs p Se ticTank Lavatary p Softner Shower Well Kitchen 5ink Urinall6idet 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 appraved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN ' - Fee Fill in numbered spaces S/C Type or Prinr legibly Tot. 1. Date 2. Installation Cost ? ,•- ^ 3. Job Address 35 3IOT1'LOI: !?7_? i`, gik. -'' ? 1 Tract ' 7S t 4. Owner 'T'n '1iller Consti'urtiori I 5. Contractor "r'r'-tirF Rtechanir,il Phone 6. AddreSS ? r1q 3(l ! rr.l t nvo. -.n. 7. City State f•" Zip ,,g, ,- • 8. Building Type: Residential Cl Commercial ? Institutional ? 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 1 11• No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower yyell 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: tor Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ? 1 a9ree to eomply wlth the Gry of Eagon Ordinanas. Connection Chcrye: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: arr oF E?G,a?w 3.795 Pirit Knob Rood WATER SERVICE PERMIT NO.: PERMIT Eoyan, MN 55122 DATE: ` ZO?ing' No. of Units: s Owner, ?+ • , , ?.r ? c) _, Addr ess: Site Addresa: Plumber. Meter No.: Connection Chorge: Size: Acoount Depostt; Reader No.: Permit Fee: 1 aoNG to oaeplr with 11w CitY of Eaqon 5urchorge: Ordin°°Oe& Misc. Charges: Totol: BY Date Pofd: Date of I nsp.: Insp.: CITY OF EAGAN SEVVER SERVICE PERMIT 3795 Pdot Kno6 Rood PERMIT NO.: Eagan, MN 55122 DATE: ZO^'^fl: No. of Units: ? Owner: Address: Site Addreu: ? . e - -; L ? r Plumber: ' 1 1 ayne to oomPly wi1h Hw Gry ef Eaeap Connedion Chcroe:? Ordiuaneei. Account Deposit: Pe?mit Fee: Surcharpe: BY Mi qh sc. urges: DaTe of Insp.: Total: _ MN 55122 !o oMpir wpii "s Gry of Eeyea • ' CITY OF EAGAN N9 ? 7218 3795 Pllet Knob Aaod Ee9en, MN S5142 - 7NONlt 454-8100 BUILDING PERMIT Receipt Te be usad fer 1/2 DLTLEX Est. Volue Y+9,000 Date 111 y 3 19 82 Site Addreu 4583 Horizon CYrcle Erect IX Occuponcy R-3 Lot 16 Blxk 1 SecfSub. CheS YJar East 497 Alrer p Zoning R 2 Partel # 10 17153 160 Ol Repoir ? Fire Zone NA, l E T f C t V arga n ? ypa o ons . p N„„e Joseph M. Miller Constnxtion Move ? # Srories = naereu 14115 Guthrie Ave., Demoliah ? ' " L2ngth 3 ' c; le Valle phane 454-4753 Groae ? Depth -A5- ?8 Sq. Ft.- ? 0 Name Goner Approrals Foes o" Address Asussment Pertnit Woter $ SeW. SurCFwrge 2•50 c. Phone Police Plan check 139 • 25 F W Ncme Fira $AC 525.00 Address Enp. Water Conn.420".00 iW CI Phone Planner WaferMeter 607_00 Council Rood Unit 740 nn I hereby ackwwledge thot I have reod this applicotion and state that Bldg. Off. the inFofmation is wrrect nnd agree to comply wlth all opDlicoble l $1687.25 T t State of Minnewto Statutes and Ciry ot Eagan Ordinunces. APC o o Si9nature of Permitlee A Building Permit is issued ro: J Ml Ci Cti0I1 on the ezpren conditlon thm all work shall be done in accardance with oll plicn le e o {rm e56Ta Statutes and City of Eapnn Ordirwnces. Buildirq Officlol O?y i BUILDING PERMIT ro !a owd for 1/2 DtTPI.ElC CITY OF EAGAN 3795 Pilef Knob Road Eogen, MN 55122 iHONE: 434-8100 000 Site Addreu 4585 Horizon (ircle L,r 15 eiak 1 seCis,b. (hes Mar East 4th va,cel g 10 17153 150 Ol w Nome _ ; Address U _ A,,, Nome OwnE'T' ip ? Address ? r.., o?.,.... Name _ Address I hereby acknowledge that I hove read this applicotion and stote ihat the inlormation is correcf ard agree fo wmply wifh oll applicoble State of Minnesota Stotutes and Ciry of Eagan Ordinances. Sipnnture of Permittee A Building Permit Is i5:wa to: Joseph M. Mi11e3 oll work sholl be dorro in accordonce with all opp? ,.A„ li le State of Building pfficlal I' N? 7219 Receipt # "??& Erecf ? Occupancy ??- Alfer ? Zoning Repoir ? Fire Zone Enlarga ? Type of Const. V Move ? # Stories Demolish 0 . Length?4L? Grode ? Depth4l?R?Sq. Ft.- Avororols Fees Assessment S.JU R Permit L Water & Sew. ? ??i5 SurcFwrge 2 Police Plan check 139.2S Fire SAC 525, Enp. Woter Conn. 42Q _ ? Planner Water Meter Fn_ nr? Council Road Unit 740 ? Bldp Off . . nac rorai 1687.25 _ on the expresf conditian thnt City of Eagon Ordirwncea. r --- 1 f M, ,. ' • ?f? ?J? /??? CITSt 0?"'i,? Include 2 sets of p].ans, ? 1 eita pian aleleivatiam i , svrr,unac ?raT r?,zcA? i set of ?? c?cula?s. 2 'ib He Used Foi -*-?e°-•--T^^^g Valuation Dnte Apr i l" 2p . 198 Site Address: 4585 Horizon C,rri P EAGABT': CWIQ' USE CMY u u)t 15 91odc 1 Sec./Sub' CxrS MAU?`rEt Alter ?ect ??? '3' larCel #: l 4tT Addition -/O ._! -*S-? ?iY t'ix+e ZO[fd _ _ 15a a Z? of ODnet. % ' • ,?r; Joseph M, Mi.ller Constr_ Cn, ? ` r ? ----,V PXU* ? ---• ? e: 14115 Guthrie Avenue 1? sf= N6` 8' • . Depth ?.'ity/7+1TJ codeS ApDle V31lPV _ Mi nnacn+a .55124 ?p]ow #; (612) 454-4753 1?PPFmVAIS ODntreCGJr: SAME AS8H89mBtSta Fenldt Addres8. WatEr/Sewet Polioe p 3 City/Zip Code` Fire EncJ. wateF Gonr?. ?a? Phane k: Plancvs Courtcil Iioad iA1it ?.9- Anch. /Fhg. : Bldg. Off. Pr7dress: AFC City/Zip C.odec Ptfone N: , •--+-_ :: r?-^'a•:, CITY 0F E7G?N Incltx]e 2 setis af plans v . ? 1 ests pIa» a?O]evatiow a ?- ?u ?•(? ? svirnnac rM41T r,PPLiCATTaa see ot wesfv =104ars°"'. Rb He [Jsed For NP"-HOme Valuat3on Date Apr a l 20 , T 9$ 2 Site Addreese 4583 Horizon Circle EAGAN „ ?E USE CM'Y , IDt 16 Blodc 1 Sec./SubGhesMa ? Erect _,2? _ 0=4WICY ??----- raroei n: oc? I ?r ? gnlarge _ '1ype of awAt. QWrigr; JOSEPH M. MILLER ?NSTRUCTION mm M 81wLp Addrem; 14115 Guthrie Avenue Dr1101rs= rgallt oracle N!W? 'O - ?•?Y• OrY? City/Zip pode: Apple Val1eV MN 551 94 „ phppg #; (612) 454-4753 QNitr9CtDrs SAME AddYe3S: CYty/ZiP C03t+: Phane i: P,rch./F]'?g. _ 14ddress: City/2ip Cade: PhoM !; . ri` • • ? ? ' ' ? . ?a ?j /? /?- / _" ? /?' ' ] 9 ? t?i ? ?'?? o? ? ? ?'i?1? 9 ????1 This ?ea.est ?a,d S/?b [.. ??1lo , 13(, c, M, Fas?- 4-F! ? Z?LQS 7,/ / S nqnths frono ? y 5S' O0 799a Renuest Oate 1, . Fire No. Rnuuh-in InsVer,tion Re.? rtetl? ? NeaAY Now iII Nolity, lnspec- ? d B ? Yes No or Whan Ready ? 0 Licensed Eler.trir.al ConGactor I hereby request insOection oi above ? Owner . elechicnl work installed aY Slreet Addre.ss, Box or Route No. ? C- . ecimn o. Tawnship Namc or No. Ranpe No. County Oc v it IPFIN ? Phone Nn. Pq?ye li r % ?<7 Atltlress /? _ ?V EI Gical-C. Hncco C pan Namel r'`slice se Nn. C nvacm ? Mailing Address (G n[rar,mr or Owner 1? ?lb aking Iretailation) ,?cv? 5 S Auffiorizetl i nnt e ICont ctor Making Install?tiunl one Number . q o-3 Ss'?S 'MINNESO aSTATE BOAflO OF ELEJT ITV I ' THIS INSPECTION PEQUEST WIIL NOT Griggs-M V Bldg. - Hoom N•191 eE ACCEPTEO 6Y TME STqTE BOAND 1821 UniversityAve.. St Paul, MN. 5104 UNLESS PNOPEN INSPECTION FEE IS Phnnn 16121 297.2111 ENCLOSEO. REQUEST FOH ELECTRICAL INSPECTION ,-? EB-00001-03 ' See instrucfions for comUlet us torm on back of vellow copy. -7r9904 Be/o w Wp?(L,.,?.rvered by 7hrs Request? ? l 1 S / evi Add Rep. Type oi BullAinA ApUlinnces Wiretl Equipment Wired Home Ranye Temporary Service Duplex Water Heater Lightiny Fixture5 Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloadcr Industrial BIAy. Air Conditioner 8uik Milk Tank FBfln O[hnr peci y Olhei (SpeofY) Other (Spm:ify Other pther Cnmpute lnspection Fee Below #. Fee ServireEntrence5ize N Fe? FHeders/SUbfeeclers F e Gircuits E? 0 t? 100 Am s 0 to 30 Amps 0 to 30 Am s ?.. 101 20 ? 31 to 100 Amps 37 to 100 Am s ° b.20 .. :.{aml? Above 100_F1mps Above 100_Amps Tr ' '?S*,..,:' Remote Control Cira $ Partial%Oth Ss - S ecial Ins?ection ? ? 5? ? /e TOTAL F aon?rks 7+ E ? Rough-in Oam ' I, tha Eletlrical Nspector, hereby Fimal r ryite.Z(?? / certify thflt the above . inspectimi has been mn e. This request voitl 18 months hom ?.,. ....... ;- citp of Cagan ` ? - - ? _ . !3r}rttrfmrnf rrf Bui1D'mg 3Wrrtimt Tbir Cati fitatt irtued puruwnt to tlx nquiremtntt o f Seaion 306 af tlx Uni farm Barlding Cork rrrti f ying tbat m tbe time o f itrrwna tbit ttrratrne wat rn emn pliantr witb tbt aariaw ordinarurt of rhe Citr nguGuing bnilding corutrnrncrion w utt. For tbt follauing: wch..fi? 1/2 DUPLEX 7219 om? 'iYw P3 riac?nm V mnz NA zwnoi.,nn R2 . p.masupyyq.Tnveph M_ Millnr Ada,„,14115 Guthrie Ave., Apple V e„e4.?,wm.v4585 Horizon Circle Lnt 15.81ock ?.Ches Mar ,bcttix I„ A?? East 4th' ?afam p.a: JulY 23. 1982 ; . . . e,,;,, .e., ?. . ?...??,a,. ...?. ? , .. .. .,, - -- - - - - 1.1o1.?.s.. Ottrfiftrtt#r nf (Orrupttnry Citp of eagan Drpttrimenf of luilbittg Inspertiun Tbir Certifrran isfucd PurJUant ro the reqidremnur of Sertion 306 of the Uniform Building CodLPd'fPnB rh4:'j tJx+tme of uttratut thrt ttrutture wat irs tompliana with the variout ordinanca of the City +rgulatrng bnildieg torsnruction or xn. For the (ollovring: Urc?n??m 1I2 DUPLER 9Idy.Po'mltNa. 7218 R3 TyPC?me V FiRu NA z? om„a R2 o,,.dDufift, Joseph Miller ad,,,14115 Guthrie Ave., Apple g.: aw: Jtu1e 18• 1982 /9cR qt iM . ... NCl U.S.n. PERMIT# ? ` a o ? RECEIPTDATE: 2002 MIDEN'f[Pr.L PLIJMBIN6 PER41Tr ?PPI.ICATION c1rY oF EAsArr SSSO PILOT KNOB iiD H1kfiAN, bIN 5518E 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: ?Z!L RSr /ZOt- OWNER NAME: : -e. Cc L.- S K c? TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: /07 - ?'C (AREA CODE) STREET ADDRESS: , Gta CITY: G?G--h /il STATE: Af?- ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Adding fixtures to lower levels or room addifions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: ?-P--? _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 MAY 3 1 2002 ' State Surcharge $ 50 Total I hereby acknowledge that I have read this application, state thatthe infortnation is correct, and agree to complywith all applica6le Cityof Eagan ordinances. It is the applicanYS responsi6ilkyto noti(y the property owner thatthe Cily of Eagan assumes no lia6ility for any damages caused by the City during its normal operational and maintenaoce activities to the ficilities construded under this permit Wthin CiM roperty/right-of-wayleaument. ? IGNATURE OF PERMITTEE 1102 -?I 01?-j RESIDENTIAL BUIlDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNO6 RD, EAGAN MN 55122 ? d. 651-681-4675 RemodeNteoalrReauiremenb • 2 copies of plan 1"y?,.RA-4..PJ? o • 1 set af Fnergy CalcWadoris far heated additlons d?'' . 1 site survey fw exfenar aGd'Aions & dacks S= 3( _ O? . IMiWte if home served hy sepOc syslem for addNOns New Conatmetlon Reauiremenb • 3 registered sde survays showirg sq. R of lot sq. R. ot trouse; aM aM roofed areas (20% maximum tot caverage allowed) . 2 copies of plan showing beam 8 window Saes: poured found deggn, etc.) . 1 sel of Enerqy CalculaGons • 3 rApies of Tree Preserva6on Plan'rf lat platted after 7/1l93 . Rim Jaist OeWd Options selectian sheel (bldgs wilh 7 or lesa unit5) DATE S ' a:? ` Ba SITE AODRESS 45r TYPE OF WORK 1h5?"a ? VALUATION Sbba • Y BLDG _Y X N FIREPLACE(S) ?S0 _ 1 _ 2 APPLICANT Plit,?) STREETADDRESS S'`FS(D 9;>\c.t5A.??? cirr ?`'PtS STATEb?) ZIP 5-514 l4 TELEPHONE# 6v0L' S?d• 4W4 CELLPHONE#f,t1• 4-La•04-11 FAX# 611 - d,?5 -16(-9 PROPERTY TELEPHONE# AS t • 965 - 117 ? -----------------------------------°-----°----------------------°--------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLZES 7670 CATEGORY 1 MIlVNESOTA RULFS 7672 (J submission type) . Residentlal Ventilation Category 1 Worksheet Submittetl • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanicol Conhactor. Vlechatical system includes Sewer/Water Contractor: _ Air Conditioning Heat Recovery System Fee: $90.00 o) 1-? iri?uu? ?i MAY 2 2 2002 D Phone # ------------------°^--°°--------------°--•------------------°---°-....------°--...- TBY ....... - ----;--___r--- I hereby acknowledge that I have read this application, state that the information is f; an`dagFee fo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant ? ?L U'"' ? OFFICE USE ONLY _ Water Softener _ Water Hea[er _ No. of Baths Phone # _ Lawn Sprinkler ? No. oE R.I. Baths Phone # Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 44 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screened) ? OS 03-plex ? 11 10-plex 1 t8,19 Lower evel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI Y or _ N ? 25 Miscellaneous ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement 0 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Oaors 'Demolition (EnUre Bidg only) • Give PCA handout to appiicant Vaiuation 9-tab Occupancy p1---2i MC/ES System _ Census Code ? Zoning ?- ? City Water _ SAC Units / Stories Booster Pump _ Nbr. of Units D Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type af Const S114 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaVNo C.O. _ Footings (addirion) Plumbing _ Foundanon HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final _j? Franung _ _ 5iding Smcco Stone Fireplace _ R.I. Air Test Final _ Windows (new/replacement) _ ? Insu{ation _ _ RetainingWall Approved By ? P Building Inspectar Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge 7reatment Plant Plumbing Permit Mechanical Permit License Search Copies Other 7otal ,?L 19 - a'?z; (t _12?. _ _ ? ?- 8urvey For . .... ? Jodeph M. Miller Conat. 1:4115 Cuthrie Avenue ?f.6o?2/ ppple Valley, MN 55124 DELMAR H. SCHWANZ uANOSUnvEVOa - RplstlrM UnaW Lawt o1 Tne Slate of Mlnnowu . 2978 - 746TM BTNEET W. - 90X M ROfEM011MT. MINNEtOTA MON ?HONE 614 423-7MY _ SURVEYOR'S CERTIFICATE 99k•`siS?o SCALE: 1 inch a 30 feet 'e/20, o Denotea fovnd iron pipe. i '??•-- q•?ho ? Denotes aet wood hub & tack. 93b? ? 900 Denotee existing elevation ; am Denotea proposed elevation \,? ?^ S ?? _ Denotes proposed drainage ,a 1 Proposed garage floor 93?? ( io, l ?9 I l? ry 93-j?s"a^ zo,p 39.33 N? ProPosed top of block 0 933 .9 q'h^ ^? GA?P, ti zo a oe'x Proposed basement Ploor a o x33 N Gq,P N I:. NNB . N ? ? ?9.33 /9•3? 3,3d !0 N ?U/CAjN6 v ` v3 91?Z 933. ?s.o M ?p ? . o `MG / N 9sz,z$ 934:s y3s,8 ? $ ? To/ .?,q? H B O Proposed drainage f ? s & utility eaaement ,tu iS / 06 ? • / - Limited accesa surveybofctheiboundariesiofithe correct a Lots 15 and 16, F31ock 1, CHES MAR EAST FOURTH ADDIWONp Pakota ? County, Minnesota. ?????, ; ,•;, ,, ?_ ?,/ Also showing the location of a proposed o /\ building &S St3KC(3 thereon. MINNESOTAREGISTRATIONN0.8645 ? t t ? 1/ ? (,('02-9 ? RESIDEIVTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 i &-?o-o- New ConstruIXion Reauirements RemodellReoair Reaui2ments Office Use OnN 3 registered site surveys shovnng sq. !t. of lot, sq. ft. of house; and all roofed areas cTo s of _ Cert W Survey Rectl (20% maximum lot cove2ge allowed) 1 set Energy a culations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, ete. 1 site survey for additions & dedcs Tree Pres Not Reqd lsetofEnergyCalcuiations Add'Rion - indkatedon-sitesepticsysfem _ On-siteSepUCSystem 3 copies of Tree Preservation Plan ii lot platted after 711193 Rim Joist Defail Options selection sheet (bldgs wBh 3 or less unifs Date 1 / a / C) ?j Construction Cost 'SiteAddress??sp ? ttV f't )t,p r -) c-?rdQ EQ -qpN\ ?1 2?UniUSte # Description of Work Multi-Family Bldg ? Y _ N NSreplace(s) _ 0_ 1 _ 2 Property Owner \)-(aik6S (? ?? ?.r ; 0?. ?l0 ?'Q S Telep6one # (? / Contractor Address City State Zip Telephone # ( ) i COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesob Rules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (J submission rype) Submitted . Energy Envelope Calculations Submitted F Licensed Plumber Mechanical Contractor Sewer/Water Contractor ?.. ? 1 A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone # ( Telephone # ( Telephone # ( I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Appli t's Printe Name Appli t's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? OA 02-plex ? 10 08-plex 9 18 Deck ? 23 Porch (screenlgazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbQ_Y or _ N ? 25 MiSCellaneous Work Types ? 31 New ? 35 Int lmprovement ? 38 Demolish (Interior) ? 44 /(32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Altewation ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement "Demolition (Entire Bldg) • Give PCA hantlou[ to applicant Valuation ?t O C?v Occupancy .°G MC/ES System _ Census Code t-I 314 Zoning J City Water _ SAC Units Staries Booster Pump _ Nbr, of Units Sq. Ft. PRV _ Nbr, of Bidgs Length Fire Sprinklered _ Type of Const Width Footings (new bldg) ? Footings(deck) Footings (addition) _ Foundation DLain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Air Test _ Final Insularion Base Fee Surcharge Plan Review MC(ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total +i- , .% ? 30 Accessory Bldg ? 31 E#. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. 7 Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding Smcco _ Stone Windows (new/replacement) Retaining Wall Approved By ? 2- , Building Inspector --- - ------------ - - - - - ------ - - - ----------------- - ----------------- Y,/" 7o '_ 3ux,vey :For. .w ? _.. _.. . J021eph A. Miller Conat. 1;4115 Guthrie Avenue Apgle Nlley, NIN 55124 DELMAR H. SCHWANZ uNO suRvcroa - qpiftreG UrMn lawt oI TM Sbu e1 MlnnMOb 7878 - 146TM STREET W. - BO% M IIOIEMOUp7. WMMHOTA f00p /iWNE 612 423-1769 SURVEYONB CERTIFICATE ,?o ?g3?t•o8 . ? SCALE: 1 inch a 30 feet o Denotea found iron pipe, o Denotea eet wood hub & tack, 9oo Denotee existing elevation (S) Denotes proposed elevation -s' Denotes proposed drainage, Propoeed garage floor 9E•9 Proposed top of block 13 / Proposed baaement floor 933.9 9X.?6S S ? g 0 Limited accesa i hereby certify that this is a true and correct representation of a survey of the boundaries of the following deecribed tract of land: Lots 15 and 16, S31oi;k 1, CHES MAR EAST FOURTH ADDIWONp ?77aK< County, Minnesota. ? f Also showing the location of a proposed ..if building 33 staked thereon, MINNESOTAREGISTHATIONNO. ,r __. . .' . . ., . ... . , , . . . . :yf . .. ,:i'.;?,.. X dozl. - --? ? f ..- .. y • • ? il D????".. ? ? f ,? *?.. .. ? eFTE?e ;?? ? ?v?:l:?? z:?:?• .u,. ^u^_??vri_rn?_torr. - - - - , 91 C, ? ? , ?• w. . ?--- - - . - • . - . c•aLL _. a- 8YT6 AD6ilF75Rs ,?, _----_..-' •--._. ?.___._. _. PIIOMr:- .,. _ _. . • ? ? L < ?" r? 7lIlt: CONTI'Ai _ 1 ?,.y.S? T!etr.nnl.r.o wu+kiio c:qiiare footnga of eACh . _ OL 1. 7bCal. cxiposed a:;ill"arr.1 :..... .'lk-_--??ry+ ft.. x .17 1 2. '7ba1 rtwf/ceiling <ir(::i .. .. . , _L'. ?__--.-- °sq. ft. x `05 ? • .44, 7bY.a1 ex):or.ec wall nren ahovu floor?-.?yZ?'`?-_ . . A. Tntul wnll w.i nci:,o. .. ... ... . .. .-_.? ............... • .. C. i'..?1 :i11dAI1]? D+??.. .?J.•1 alLJ ....... . .. .......... -. .._?• .. d. lbtal Iire'Aace w.11i arlla .............. •••••••••.• t. Tatal uall. fr.unxtiq ::rca (avern,yc 102) •?•• f. 7btu1 rim jui:.t: L,ct ;, .. ....: • • ••••• g, wr.17. er+a .tx>ar. loor........... . •. ....... w.t] 1 axez ai.<n t_ :laor . . . . • • •• . •• •• • • i. •---.._.. w:11.1 atiu aln,vu i luor.... .. .... ....... -- j , _ ~ ? wal : arva r,hcrvc f 7 onr . . . . . . . . . . . . . . . .. . . .. .. ...._.__..., k. Sbta: fcrtrt4atian window cerc.a .............. ...•• . ??-.-- 1. RYotsl nrY fnM?d.il i???? :ir?.i .1C,cn1r ??r.ul?r ................. iH?l? ?•n;n? .,,.,? v,:l.uk. ( f !r..??. ?.?j?n7?.?.? dr??i•, ?•?r:i ...p.ir;i1o w'i11 sec•3nn) a. ? x, X ,.u„ ? 1 • f c . __ ?;_. . ---- : - - - a. x l 'lu„ I'. ?I '.ul, /-!__'.' nty u ?1. :i 1.. _ . . ? •? x •,,.rI - 54. .1.L ? [ ._.. _ . - ? ..._?_ _.'"".. . _.. . . . _ . 'if item y', i:c ?. ?, thc samn s, _.--- ----- or lc::r: i.lian ir.cau M1, yty m.•t t ho . . ... :;lY; -CG[7??` ?C). Y. •'i ? . j : ... - ,... .. . ... . ?. ?r, ,.•! ? . . . '!FxP.rior &rvelopc Avernrye u w..., _ _- - A77 all- • • ' ¦. lbtal sky Tu1:a1 axporc3 roof/cailitiq arer ? ? light arca .•.•..•...•• ............ . ..:.. ? I ?. ••• ?. n. sbtal roofyccilin7 framing arr.a (averago 10v) ... o. Tpejl net insulafed reoflcuLlinq area........ Deeermine "0" veluo for eaoh soof/cAilllrJ MOVASt +i xMUN . , _ : '. ._ . . . ? t ?• i???..?. . ?? ?..v ? n. Af 0?? x "V" •0 ?. • X ~U" O. •....• ?t? ~ .?' ,.. ?????• . ' ' ................ If total of M ia tllo e:mee asr o= leu3 than 12, yw brw not th° Lnt4*kt o! 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'. . . • . . . ' . lQOta? Q9e rAcll.tinnal sleet?ic, more at ( n?led fot dcGt? $ . ? ? 1.?' . 1SOC1-VM??. ?• . +• • ? xen? • . . l2ov uP ' . ? . . t. ? • • . ?. . • pI?. !7 . . . . , . . : ' . • ? 2001, STORM DAMAGE PERMITAPPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? ? I?yI I' 7 651-681-4675 Reaufrements I ? ?I J ? 2 coples of phn DATE: 31-510 1 CONSTRUCTION COST: Auod! `q- S01Nl?/WN-?.?W CHANC?E otlr DESCRIPTION OF WORK: L6lwK Miuwa2[1 , GPr; miSc• jk#vIf mulH-family bldg., how many units7 DuPLEX INDICAiE THE FOLIOWIPlG EQUIPAqEfVT TO BE REPLACED AMD BY WHOM: _ Plumbing _ Homeowner gr Contractor Name _ Mechanical _ Homeowner g[ Contractor Name "NOte: If somebody other than ihe homeowner is pertorming plumbing or mechanical work fhey must apply forappropriaTe permit. Only Iicensed plumbing contractor or homeowner mpy complete plumbing work. STREET ADDRESS: qSgS Nok'1Zex/ CI/lLLE LOT: BLOCK: SUBD./P.I.D. #: - 9oS - 9??G Name: iJEss Phone #: 65-1 pROPERTY Lasf First OWNER Street Address: ?SSS florZizel'l G1?4u5 City State: /nA-/- Zip: S??/zZ 651 . 2419-007-z Company: ?if?N?/M ?--?S?c?F? Phone #: 57/ • G81-OG2Z (area code) CONTRACTOR SireetAddress: A--75 64014116)? W4? Ltcense#Zo2/-7G9/ Exp. City j5?itMI, State: A'!N. Zip: S;-/2 3 I hereby acknowledge thaf I have read This applicafion, state thaf the information is correct, and agree fo comply with all applicable State ot Minnesota Stalutes and CiFy of Eagan Ordinances. Signalure of Applicant: ? 2001 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 Reauiremenh ? 2 copfes o( plan DATE: S - CONSTRUCTION COST: i ?; zeg, p° DESCRIPTION OF WORK: ?- -<?(A I( multi-family bidg., how many unlfs? INDICATE THE FOLLOWIfdG EAUIPiV1EPfT 10 BE REPLACED AIVD BY WHORA: _ Plumbing _ Homeowner or Contractor Name _ Mechanical _ Homeowner or Coniractor Name Z "Note: If somebody other man the homeowner is performing piumbing or mechanical work mey must apply for appropriate permit. Only licensed plumbing contractor or homeowner may complete plumbing work. STREET ADDRESS: LOT: BLOCK: PROPERTY OWNER SUBD./P.I.D. #: Name: Phone#: &V'q05--q-27[Y ?.... «_. Street Cly ?C'LW'l Stafe: ?rl7t/ ' Zip: Company: ????u? ?7C7Y?g -?G Phone #: (area code) CONTRACTOR StreetAddress: License# Cl `?O& eXp.3-31-0 2 Ciiy /00'dh&State: Ml(` - Zlp: ? 7?f?!?fl,?? m MAY 2 9 Z001 '?? I hereby acknowledge fhat I have read fhis applicafion, state that the inforrnation is cortect, and of Minnesota Sfafutes and City of Eagan Ordinances. witFf allapplicable Stafe Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT SUBTYPE ? 24 Storm damage WORK TYPE ? 33 Alteration ? 37 Demolish (Bldg)" "- Give PCA handout to applicant ? 38 Demolish Interior ? 42 Demolish Foundation ? 43 Reroof ? 44 Siding ? 46 Windows/Doors RESIDENTIAL l ?a BUILDING PERMIT APPLlCATION anr oF eacan 3830 PILOT KNOB RD - 55122 651-681-4675 New Construetion Reauiremanta RemodeUReoairReauiremeMe . 3 regetered sRe surveys showing sq. R M lot sq. fL M housa; an?ll raofed areas • 2 apies W plan (20% mazimum bt coverage aWwed) . 1 set of Energy Cakwlations (or heated additbns . 2 oopies of plan shwairxg beam 8 window sizes; poured founW design, etc.) . 7 stte survey for exterior addNons 8 decks • 1 set ot Enerqy Cakulatmns . lndicate B Iwme served 6y septic system for additiais . 3 mpies of Tree Presevvatiwi Plan X bt patled eftet 717f93 . Rlm Jalst Detail Optbns selection sAeet (bldgs wMh 3 a less unib) DATE 9 Z l a-r?o 1 vaLuaioN JOB SITE ADDRESS ?f_583 ?`lSf35 h?t?+?/ZDiIJ Gl?LIE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?`-- PROPERTYOWNER 6-e745-s A4e- /710A TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPUCANT PHONE# 7r' 1 ADDRESS iRtbal ,?ZIPCODE sS PAGER # CELL PHONE # fAX # ? NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (chack one) - ResidenUal Ventllation Category 1 Worksheet Submitted - Energy Envelope Calcutations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. Phone #: Plumbing System Includes: _ Water 3oftener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor. _ Mechanical System Includes: Sewer/YVoter Contractoe _ Air Conditioning _ Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted pribr to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agre 'o comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgneture of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY ? ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? 08 06-plex 0 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 79 Lower Level ? 24 Stortn Damage ? OB 04-plex ? 12 12-plex Plbg_Y ar _ N O 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)• 0 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'DamoliBon (Entiro Bldg only) - 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 Cength Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) F Footings (addition) Foundation Dnin TIle Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (newheplacement) Approved By Base Fee Suroharge 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 FinaVC.O. _ inallNo C.O. _ Plumbing HVAC Buiiding Inspector 1 r - - - - - - - - - - - - - - - - I F Pe r Office Use II rmit f l City of E3830 Pilot Knob Road I Permit Fee: I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I i Fax: (651) 675-5694. 1 Staff: i 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: - - Nancy Hayes Tenant: 4583 Horizon Circle Suite Eagan, MN 55123 RESIDENT / OWNER Name: 6127099097 1e: Address / City / Zip: CONTRACTOR Name: ORBLOM Pi i.iIVIRINC', (Nl- License M Qf.~ ~ 'NY1 Address: (612) 827-4033 City: 2905 GARFIELD AVE. SO. State: Zip: MINNEAPOLIS, MN 55408 Phone: 1 Contact Person: TYPE OF WORK _ New X Replacement I Repair _ Rebuild - Modify Space _ Work in R.O.W. Description of work: rUtaix V V CL+.r/f t' f a PERMIT TYPE RESIDENTIAL Water Heater Water Softener i Lawn Irrigation Add Plumbing Fixtures C.- RPZ / - PVB) Main - Lower Level) Septic System Water Turnaround New Abandonment i RESIDENTIAL FEES: ` $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) I $30.50 Lawn Irrigation (includes $.50 State Surcharge) j $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 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. x jet I.1-yorigi or v x - Applicant's Printe Name A icanYs Signa ure FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In Air Test Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA116867 Date Issued:10/11/2013 Permit Category:ePermit Site Address: 4583 Horizon Cir Lot:16 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-160 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 . Chris Haqq 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 - Nancy J Hayes 4583 Horizon Cir Eagan MN 55122--188 (612) 709-9097 Abelard Construction 6200 Shingle Creek Parkway, #545 Brooklyn Center MN 55430 (763) 503-6610 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145118 Date Issued:08/23/2017 Permit Category:ePermit Site Address: 4583 Horizon Cir Lot:16 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Nancy J Hayes 4583 Horizon Cir Eagan MN 55122--188 (612) 709-9097 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154363 Date Issued:03/15/2019 Permit Category:ePermit Site Address: 4583 Horizon Cir Lot:16 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nancy J Hayes 4583 Horizon Cir Eagan MN 55122--188 (952) 913-5482 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155475 Date Issued:05/17/2019 Permit Category:ePermit Site Address: 4583 Horizon Cir Lot:16 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Nancy J Hayes 4583 Horizon Cir Eagan MN 55122--188 Champion Window Company Of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158245 Date Issued:10/03/2019 Permit Category:ePermit Site Address: 4583 Horizon Cir Lot:16 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-160 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Nancy J Hayes 4583 Horizon Cir Eagan MN 55122--188 (612) 709-9097 River Valley Rpz Llc 1623 210th St E Farmington MN 55204 (515) 210-2094 Applicant/Permitee: Signature Issued By: Signature