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4586 Horizon Cir? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ I DOlLARS I o0 ? CASH ? GHECK ? , FUND CODE AtAOUNT Thank You BY White-Payers CopyC.J Yellow-Posting Copy Pink-File Copy 3795 Pilet Knob Rwd . ' ' vHONE: ? BUILDING PERMIT Site Nddress ' 1rc1G Lot Block - Sec/Sub. Parcel # . oc Name :i.ll.eX Cor_st., W Z Address :;U . 9 r... _, . oti,...._ [! , o Name _ ? uu Address F- r:... I hereby acknowledge thet I have read this opplicotion and stofe that fhe information is torrect and agree to comply with oll epplicoble Store of Minnesofo Statutes and City oF Eagan Ordinances. Sipnnture of Permittee A Building Permir is issued to: oll work sholl be done in accordunce with oll Building pfficial j.l1'::. t Jh Y ? Q . •? i ?t)Jt7 y' . Erect p Occupancy - Alter ? Zoning Repoir Q Fire Zone Enlorye ? Type of Const. Move Q .# Stories Demolish ? Length Assessment Woter & Sew. Pol ice Fire Enp. Plonner Counc{I Bldg. Off. APC 5urchnrge ' Plon check -' q ' SAC ' Water Conn. ' Woter Meter Rood Unit Totcl the express candition thnr F Eopon Ordinances. Parmit No. Permit Holder Misc- Permit No. Holder Plumbing 31 ? $' H.V.A.C. ?j3? ? ?'o?• ro?? ? t1-23- Wall Water Disp. Sewer electrlc ? 1s? 3blo3 M i c??a ti c? E(Ec ? ?/0 - B' Z Inapection Data Insp. Other Footings Q_ 1041G y Foundation Framinp Rauyh Plhq. Rouqh HVAC Inaulation _ SZ W Final PI6g. 12.2 Finel HVAC Final ? c Wgter Dftaib6 LOCitiOh: . VYall . Sewer Pr. Disp. . cirr oF EAcAN 3715 'ilot Knob Road Ee9en, MN 55122 ? PHONEs <S4411100 BUILDING PERMIT To be wed Fer Est. Volue Re«ipt # Date . , 19 $iM /lddrcss Erect Q Occupancy Lot Blotk Sec/$ub. . 1• Alter ? Zoning parcel ?t Repoir [] Fire Zone Enla?ye Q Type of Const. W NO^1e Move ? # Storles ; Addross Demoliah ? Length ? b c'3f., Grode r7 Deoth Sa. Ft. ? Name _ ? /lddress ? ri•.. I hereby acknowledge thot I have read this application and state that fhe information is correct and ogree to tomply with all opplicoble Stute of Minnesota Stotutes and City of Eogan Ordinances. Sipnoture of Permittee A Building Permif is issued ta all work sholl be dwro in occordonce with oll opplicoble Stote of Min Buildinp Officiol Assessment Woter & 5ew. Police Firo Eny. Plonner Councf I Bldfl. Off. APC Permit SurtFarfle Plon check 5AC Woter Conn. Woter Meter Rood Unit Totol on the exproas conditlon thot aoto Stotutes ond City of Eoflan Ordinonces. Permit No. Parmit Holder Misc. Permit No. Holder Plumbiny r "?j 1 Z? ?!R c Gu H.V.A.C. ?j ?J I O CoY?'? l?? I I`73- w.u Water Disp. Sower Electrie h, fuq d C !?/G -?? Irapection Date Insp. Other Footings Foundation Fnmin9 Rouph Pibp. Rouph HVA Inwlation gL ? Final Plbg. FIna1HVAC Final LJ!{ Waur Doswibe Locatioee . VINII ? Srwsr Pr. D'ap. ' - , Receipt A?MECHANICAL PERMIT Permit No. ?- CITY OF EAGAN Fee ' -? Fi1/ rn numbered spaces S/C Type or Print /egib/y ToL 1. Date 2. Installation Cost , . 3. Job Address <-'kot ,j Blk. Tract 4. Owner '- 5. Contractor Phone 6. Address • • ' 7. City State Zip 8. Building Type: Residential 0 Commercial D Institutional ? 9. Work Description: New 0 Add ? Alter ? Repair ? 10. Describe 11. TyPe No. Equioment 9 TU - M. Ea. Forced Air No. Equipment CFM dli Ai Ha : Mfg. ng r n Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN A,dtition ' CHES MAR EAST 7 Bik 1 Parcel 10-iT153-07O-01 SDZ'lzon C3TCle state Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. 1983 1191.76 238.35 5 l? _lag STREET RESTOR. GRADING 25 1983 729.95 145.99 5 8. A0121 &10-83 SAN SEW TRUNK 2 106.90 5.35 20 4$.16 A0121 -1o-8 * SEWER LATERAL 7q 1481.28 * WATERMAIN 1983 S WATER LATERAL WATER AREA 7 2 -8 *Services 1983 5 STORM SEW TRK 1983 379.56 75.91 5 0.6 A032179 -1043 STORM SEUV LAT CURB 8i Gl1TTER SIDEWALK STREET LIGHT ROAD iJftIT 240. o0 32553 io-i -82 WATER CONN. 420.00 it BUILDING PER. 75,97 SAC ei a PARK CITY OF EAGAN Owner CSES MAR EAST 4tb AtiDTTION S 81k 1 Pefcei 10-17153-0tf0-01 Boriaon Circle lz,n*, Street Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 1191.76 238.35 5 953.41 A011842 1-21-83 STREET RESTOR, GRADING 7 1983 729.95 145.99 S 583.96 A011842 1-21-83 SAN SEW TRUNK Z 1973 10 . 5-35 20 48.16 A011$42 1-21-$3 *SEWERLATERAL 1983 1851.59 370.32 5 1481.28 * WATERMAIN 1983 5 WATER LATERAL WATER AREA lqq 1983 370.00 74.00 5 296.00 A011842 1-21-83 *Services 1983 5 STORMSEW TRK d 1983 379.56 75.91 5 303.65 A011842 1-21-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 24 .00 32553 1 -82 WATER CONN. 420.00 tt to BUILDING PER. 7988 SAC n n PARK Receipt Permit No. Fee S/C :CHANICAL PERMIT CITY OF EAGAN Tot. 1. Date 2. Installation Cost ? 3. Job Address Lot ?`• Blk. 4. Owner ' , 7ract ? 5. Contractor Phone 6. Address 7. City 5tate Zip 8. Building Type: Residential 11 Commercial ? Institutional ? 9. Work Description: New 0 Add ? Alter O Repair ? ' 10. Describe i ? 11• Type No. '• Equinment 8TU - M. Ea. Forced Air No. Equiament CFM Ai H dli : " Mfg. an r 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 -, , . - j Receipt :` ?-7 PLUMBING PERMIT Permit No. CITY OF EAGAN ' i Fee Fill in numbered spaces S/C Type or Prini legib/y ' Tot. 1. Date ,-?•3?},?;-?? 2. Installation Cost r' 3. Job Address !'-'"'^ ^Y i ,• on Lot Bik. Tract; " rr L - 4. Owner ? ? I nr n--StrLt i-+n t --- 5. Contractor -uirA :•`echanicsl ?;Prv_ Phone 6. Address20?90 T?nlt jasp,. 7. City :,',-.n,i 1 je ? 4nn_ State 43 a R_ Zip ji, ')j, I, 8. Building Type: Residential?p 9. Work Description: New'6L 10. Describe 11. Commercial ? Institutional O Add O Alter O Repair ? No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? Lavatory Softner Shower Wel l I Kitchen Sink Urinal/Bidet Other (/? Laundry Tray ;_ , Floor Drains Drinking Ftn. ; Slop Sink Gas Piping Outlets 12. I herebY Certify that the above infqrmation is true and correct, and I agree to compfy uyith allQrdnen s anoi9es goveming this type of work. Signed : ' \x - - '- X ? i? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 --? -, - Receipt? PLUMBING PERMIT Permit No. CITY OF EAGAN Fee • FiII in numbered spaces S/C ' Type or Print legibty Tot 1. Date ? 13+ 194?2 2. Installation Cost c (? . 3. Job Address'-= LotBlk. ?- Tract .? 4. Owner 5. Contractor c' i. 'T?&T3 CAL Phone '>69-4332 6. Address -?Oi:T A'T--: 7. City State 1 Zip ;;m-':. 8. Building Type: Residential/?q 9. Work Description: New`p Commercial ? tnstitutional ? Add ? Alter ? Repair ? 10. Describe 11. No. ?- Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank ? Lavatory Softner _L Shower Well Kitchen Sink Urinal/Bidet Other ( (/ ,t ? Laundry Tray Floor Drains , -? . Drinking Ftn. i Slop Sink Gas Piping Outlets 12. I hereby pertify that the above information is true and correct, and I agree to comply vyith all ordimantes arud"cpdes 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 464-6100 SEWER SERVECE PERMIT CITY OF EAGAN 97o 'f Pilot Knob Roud PERMIT NO.: i , Eagon, MN 55122 DATE: Zaning: No. of Units: i- ,,. Owner: J t scl, F_ r ._ 71. .'.•ctl' oQ Address: Site Address: "UPf -.-3?on Cir L7 1.1 Ches '".a r i: 4th Plumber. .,, , .. , 1e0.00 rt' 1 eym M eomplr wilh !M CiFp ef Eagon Connection Chorpe: r(1f1 - Oedinaeees. Acoount Deposit: Permk Fee: - Surcharge: By Charges: Misc . Dcrte of Insp.: Total: I nsa.: Dote Paid: i Yilof Knob Road .?, MN 55122 WATER SERVICE PERMIT PERMIT NO.: ? DATE: i ? _ No. of Units: lumber: ' Tr -=r _ 1 1 t 4eter No.: Connection Charge: ` ;Ze; Account Deposit: eoder No.: Permit Fee: egree to comply wifh Ho Citr ot Ea9an Surchurge: hdinoneea. Mtsc. Chorges: `"L er Total: y Date Paid: )ate of Inap.: Insp.: CITY OF EAGAN 3795 Pilof Knob Road Eagen, MN 53122 Zoninfl: Address: Site Address: ` r:;i• L;pTj-Y.,*, f'ir iii C'.`_Z n ``?l; : L; r' Plumber. ? I t ,. ; ,.. ;; ?c ? j;??? . •,r'. : 1 sym to emplr wilb /fbw C.ity of Eeyoa Connection Charge: ?..:.' S. i10 Ordiaeneas. Account Deposit: Per?nit Fee: Sureharpe: By Misc. Charges: Dote of Irup.: Total: ? Insp.: Date Pofd: ? SEVNER SERVICE PERMIT PERMIT NO.: - DATE: 1 ? No. of Units: ? ..._._.,•_„ cr*Y oF KAGu,N WATER SERVICE PERMIT 3795 M" Knob Road PERMIT NO.: M'se, MN 55122 DATE: Zonin - 9? No. of Un1ts: '' ' Owner Address: Slte flddless: :r. c_ ..??c:•:. Plumber: Meter No.: Connection Chorge: Size: Accour?t Deposlt: Reader No.: Permit Fee: I pree to oowplp with tie City of leyea Surcharge: Ordlnanw. M1sc CFwryes: ?- . Total: Bv Date Pald: Date of Insp.: Inip,; CITY OF EAGAN 4795 Pllof Kno6 Raad Eagan, MN 55142 p 7587 PNONla 434-8100 ? BUILD1.46 PERMIT Reteipt GAR Est,yai,n$50,000 Site Address vZ?ao norizvn circte Lor 7 Block 1 Sec/Sub.Ches Mar E. 4th parce1 # 10 17153 070 Ol W I Name Joseoh M. Mi11er Const.. Inc. 9 z naercss 18133 Cedar Ave. So. r:.. Farminaton M,___ 454-4753 °C Nome _ 0 8u Address t- r-:... Nome _ Address 1 hereby ackrawledge thof 1 have read this application and sfote thaf the inlormution is correct and agree to comply with all npplicobla Stote of Minnewta $totutes ond Ciry of Eogan Ordinunces. $ignofure of Pertnittee A Building Permir Is issued to: JOSOph M. M111EL COIISL. ? alI work sholl ba done in accordonce with all appli q tAteQf MJn 1 (????F 6 Building Ofifciol ? Erect ? Occuponq R-3 Alter ? Zoning (PD) R-a Repoir ? Fire Zone NA Enlarga p Type af Const. V Move ? # Stories Demolish ? Length 39 6rada p Depth 45 Sq. Ft.- Anorovala Faes Auessment Permit zai.ilv Water85ew. Surchorge 2$•00 Palice Plon check 141.50 Fire SAC 525.00 Enp. Water Conn.420.00 Plnnner WoterMeter 60.00 Council Road Unit 240.00 Bldg Off . . APC Totol $1694.50 RC. an the express tonditlon thal ;ptn SfyGAEi'ond Qty of Eopan Ordirwncas 1 1 . C111 K' ilAGAN . L?_rJi1i? Z?fia ???? ?1 1 iia ? • ? ?v ?ft O! ?f CL1Cl??!'?Cf?r: / . HUIIDIf1G PE[d+II'P APPISCA'Pt? e-SO,doo ' uaes lo/11/e2 " ' 1b Be Used For ?reu?-Heme : Valu1eition ?' Sj,te pddtim3: ' 4586 Horizoii J. crrlm use caY U)t 7 ? glpdt 1 $BC,/S1b. Ches Mar 4th Alter raroel #: Lo 070 d l gn{,r rt:e 8a?e qyps OEQ=t. ? QdY1QY.. Tnsenh # Suvim ? J?7 18133 Cedar Av - ?-- '? ? ?r? t" „?` .. ?'(,ity/'iipoDClf:.:F .-inc nn MN SSn7L _ .?`'. r ' P1a1@ #' ' 454 475'i ? 'City/ZiP,Coa?' ; Phone:N: _ y ? ? . .. Y? ?? ?. , , , . . ?yoo _ --- ? ?/ ? ? ? ? CITY OF EAGAN . 9795 Pilet Knob Raad Eogon, MN 55112 Tp -- ? p p oo • PHONEs 454-6100 BUILDING PE`RMIT Receipt # ??5?? Te 6a utad fwl/2 DUPLEX & GAR Est. Value$50•000 Dote Octobez' 19 19 82 Sire Address 4588 Horizon Circle Erea ? Occuponcy R-3 Lot a BlockI_ $ec/Sub. Ches Mdx E. 4th Alrer ? Zoning ( PD) R-Z parcel # 10 171$3 080 Ol Repair ? Fire Zone NA V Enlarge ? Type of Canst . W Name Joseph M. Miller Const., Inc. Move ? # Sfories z? 18133 Cedar Ave. So. Addresa Demolish p Length 39 c; Farmington pho„e 459-4753 Grade p Depth 45 Sq. Ft.- p Nome OwneL ADOrovals Foaf ??f Address H ru., Nome _ Address I hereby ackrowledge thaf I have read this applicafion and state that the inlormation is correct ond ogree to comply with all opplicc6le Stote of Minnewta Stotutes ond City of Eogan Ordinances. Sipnoture of Permittee A Building Permif Is issued to: JOS@Atl all work shall be done in acwrdance wirh all Assessment - Water 8 Sew. Police - Fire Enp. Planner _ Council _ Bldg. Off. _ APC Permit zoa.uu Surtharge 25•00 Plan check 141.50 5AC 525.00 Water Conn.420.00 Woter Meter 60.00 Road Unit 240.00 Toral $1694.50 _ on the expreu condition thnl City of Eagon Ordinances. Buildinp Offlcfol CI'fY CF FAGAN I LyCl»ds 2?tMJ of P]en?. ?+'/e]?vatian ? •t o? ?rnsiOS? ?• ?IIDING PFtR+QT APPLICATIQi .? ? ,• ? ??E? 4-Ccc'C' ?0-t-c? . DobO 10/lS/82 'lb He Oed Valusti.on ' Sit? A?dt?s: 4588 Horizon Qircle jot . 8 . 8lock 1_ Ches Ma Panoel t: 10 g'? o,? QtR1QL: Tocanh M M' i l Acr •T^? `1R1'i4 f A- n . CityLZip dode: Farmington Ddn. 55024 Phcm #: ` 454-4753 ;- ; ' :?? Same ?tr, ? .'. _ . . .. . . " .,CitY/ZiP Code: , !Phon@ #: IiCIli1111.4H1. LVL • _Joe Miller Const. f- I8133 Cedar Ave. So. ? 'Farmington, Mn. 55124 DELMAR H. SCHWANZ LAND SURVEVORS, TN?• ReqisUntl UrWer laws 01 The Sted o/ MinnewU 2978 - 746TH STREET W. - BOX M ROSEMOUNT, MINNE80TA 66088 ? 1+ M 0?1 0 , ? Z a3y.s (\ \ ? ? i I N P,c?o?v?o k?? - I 3.ss ? N ?? n 1- V\ ??O.O N N Zp0 ? N ? ,?' ?? , 39• 33? Y SURVEYOR'S CERTIFICATE s ?o 3i.?z°- 33 E \ \ A1/c0/NG Plan No. 91019 <Na rvA?ko?rr) Be. 6063 PMONE 812 4211789 ? ` 937,0 ? Lo f ? 93? 2 I r -r- - ?o ;?v, g;?no? - ?[ T? aN.?e "?t?id ?? ? o_ gL'? ? w, N LOT 7j ? q3D.?'P08 44,8 T ?A 938, ° . /o0 3y.o n 6 ? b??of11??g 411? . ?j`,? Q\P ?N4? S?I bAb o Denotes ? g3zzDenotes 938 Denotee ? Denotee 9 tiI inc? aet wood exiating proposed proposed _30?ee hub elev. elev. drainage / 36.6 proposed garage floor 938 2- ? Proposed top of block 7Do??B Propoeed badement floor I hereby certify that thie ia a true and correct repreaentation of Lota 7 and 8, Block 1, CHES MAR EAST POURTH ADDITI4N, according to the recor.ded plat thereof, Dakota County, Minneeota. Also afiowing the location oT a propoaed house as staked thereon. Dated: October 11, 1982 ????;.1r ?•.a MINNESOTA NEGIST ATION N0.8625 Z ? fs , ? _ ? i '?:%' l. •, . ,YYS.. . ? ?1 : ,?:/ r ? - ? vn -MVOxMmg c°oov 1RLny+?. f'. }Y Y ?L. btf?-:Wnk-FiMLWY ... .. Thisfruuestvoid L 7.?-g` ?I ??E -j 18-r7anffis (rom S 36634 £?q ?? 3211 3 y co ?;:? ,o CD Request Date Pire No. Rouph-in Insuertion Requfred? [:]Readv Nuw;*Will Notifv In?Pec- ? / -a?-$ Yes ?NO tur When Ready K Licensed Electrical CunVacmr I hereby request inspection oi above Owner elec[rical work installed et Streei Atldress, Dox oi Floute No. ysg? a/xd y5'Sg J?or'12 on ?a. Ciry Ep p ecLOn o. Township Name or No. Rnnge Nu. Couba 41Q{. OccuOant(PRINT) xne ?1len OoeSInudlfan . Phone No. `/5'?/-?/"l53 Po er Supy ?I.iar ?lac?n; 4 x Adtlr ss ?C} ?o c a c? a ?inrA n Elec[rical onunctm (COmpanY Name) ,14"I'l t1e, 4 « Convactor's License No, 1 10 -a ailing Address IContr ctor or O nerMaki 8 Instailationl ?s303 b 3 40 ? VV? Gy . Csa s ? „o ? ? Authori SiBnamre o ractodOwner Makine installationl : Phone Number rj5'3 -/? MINNESOTA STATE BOANO O ELECTFICITY THIS INSPECTION flEQUEST WILL NOT Griggs•Mitlway 01tlg. - Room N•197 BE ACCEPTED BV THE STqTE BOAHD 1827 University Ava., St Paul, MN 55104 VNLESS PNOPEN INSPECTION FEE IS oh- fFl It 197_9111 ENCLOSED. C? A REQUEST FOR ELECTRICAL INSPECTION .r« w. ? 4 ' See inshuctions for compleling Ihis form on back oi Yallow copy. ""X" Below Work Covered by This Request ee-ooooi-oa 3Z2 3tl Ne Aa rp: '?ype oi BuilainB Appliances Wired Equipment Wired Home Range Temporary $ervice Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bidg. - Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk 7ank Farm Other Sueci y OtherlSUecilyl t er pecifY Ot cr Other Compute Inspection Fee Below - M Fee ServiceEnVanceSize # Fea Feeders/SUbfeeders k Fee Circuits Q? 0 to 100 qm s 0 to 30 Am s 0 to 30 Am ' 701 to 200 Amps 31 to 700 qmps 115'. 0 0 31 to 100 A s Above 200 qmps Above 100_Am s Above 100_Amps Transiormers RemoteControlCirc. ,50 Partial-'Oth . Signs Specialinspection ? ' 1 T / Remarks - 5 5 OTAL E ?.c. ? flouph-in Date J / ?, tha EI h" ( nspec[or, horeby ce tit th t th b Final ? ' .. '.. Oate r y a a a ove nsuection has boen d e. This reQUest vo,d 18 monNs hom ' CEex#ifiratr nf (Orrupttnrg Citp of Caqan j9rpartmrnt nf iguilDing 3nsprrtiun Tbir Cati fitate irrued pxrzuaru ta the nquirrmrnu of Sraron 306 of the Uni form BuiWing Code catifring that at the time of iatuarut tbit ttrrulare wat in complianrr witb tlx variout ordinaruts o f the City ngulating bui/ding conrtructiox widre. For the fo!lmoin8: U. cbdfi.? L/Z DUPLER S GAR gldyPaMtNo. 758$ o?w,aryc. R3 'ry,rc?nW V FinZ NA z..iewIan R2 a.aawmq Jos. Miller Const.AM„a 1$133 Cedar Ave. So., Far DadiRAdy,a 4589 Horizon Circle1.;ryLot A Elock 1,Ches tfar E f?-?---- by; East 4th Df?17 Y . 1? A n m?/L? B,., Ofow December 28, 1982 ? d? ?,. .e.. ww rua '? A ' ? t° / ' 1? 3 ?'?i"_s e.?.a`? ??Si "?•.a:'?.. 5. < ?v °si ? '?-?> " - j ? /2-v-8z ??x#ifirtttp v# (?rru?ttnr? Citp of (Eagan 13rparhnrtcf uf SuilDing 3nsprrtinn Thir CntihC6t[ 13JUKJ Pltrsaqnt to the nguirnnrntr of Strtion 306 0f the Uniform Brulding Codc catifying that at the tinu of ittaarae thir rtrnttart wur in torrspliance witb tbt varioni ordiuaxtes of thtCity ngulating 6aildirsg tonn+wction ar un. For the following: U„ch..G?m 1/2 DUPLEX & GAR Ma.nm+t r+o. 7587 o?w?'ryP R3 rrwc?? V-Fi.ez? NA zowvoi.ma(P?) R2 O..feuOdft Joseph M. Miller AM. 18133 Cedar Ave. So., Farm 4586 Horizon CircleL,.,U,rLot 7 Block 1,Ches Mar E. 4th d.]d?.. Br: April 25, 1983 .a.. ?. . ?.??„a,. .,.?. City of Eapn 3830 Pilot Knoh Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------? I Pertnif p: ? Permit Fee: 0 ? I I I Date Received: I I I ? Staft: I I ------------------ 2008 MECHANlCAL PERMIT APPLfCATtOIV nalB: J- ?-09 SiteAddress: ?-i?8g Woctrec?f-? Tenant 5 't !f ui e . RESIDENTIOWNER Name: dir?-!/E NgLScwj Phone: Address / Gity / Zip: ?Z69Q 46iQl`ZoP? C,?CLe. CONTRACTQR Name: n.?? AxeK rLp 0. A tP- License #: ? C-_T Sg??F4?Z Address: ? 'nl ?q UE261;C14?K) r City: {-LP,s-y , ov? 5 State:? P?1 Zip: $Sv33 Phone: 6S(-437-i-((`l-7 ContactPerson: 11?Fr?rOr4-?L- TYPE OF WORK _ New ? Replacement _ Additional _ Alteration _ Oemolition Description of work: Ow1?a . . „WvAw-#ill?.,. ??? ?? "_ ?>?rrnf?tL?t7?e:IN'e??rifcaldhspeetmrDraxieo?'tlYe fdY,'ier?`1ToR dei eimltted,screeliYfn jniieiflaF&: PERMIT TYpE RESlDENTfAL COMMERCIAL .?i Fumace _ New Construction _ Interioi Improvement -y- Air Conditioner _ Install Piping _ Processed Air Ezchanger Gas Exterior HVAC Unit _ Heat Pump HVAC units must be screened Under / Above ground Tank (_ Install / Femove) _ Other •• When installing/removing tank(s), call ior inspeclion by Fire Marshal and Plumbin Ins ctor RESlDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace bumed out appfiances, auciworx, etc.) (inGUdes $.50 State Surcharge) $ SO - _SU TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank instaliation/removal OR Contract Value $ x i% $50.50 MlnFmum (includes State Surcharge) - If Pemilt Fgg Is less ihan 81,000, surcharge is $.50. Permft Fee - ff E'mit FgP, is> St,000, surcharga increases 6y $.50 for each =$ Statp Surcharge 31.000 P=rmit fee (i.e. z $1,001.$2,000 Permit Fee reGuir_s a 31 00 surcharge! . . $ TOTAI FEE I FcroM?4n?Waa.. --• -------4- °•- ^°- ^°•°?• - --Iw=[= aJtv a?UF44e; maL me worrc wm oe in conrormance wim the ommances and cotles of the Ciry of Eagan; tha[ I uMers[and Ihis is nol a pertnit, but only an appfication lor a permi[, and work is not Io start wi[Bout a permit ihat the work wiil6e in accordarice with the app'oved plan in the case ol`w?oAC which reJqu/ires a reyiew anctap?pro7val of plans. ?nJ? 7'rou?? `YV£-.rlTG? f .?.i7f ?? %- -7) A-£x,l,014 L?- % ApplicanCs Printed Name Applicant's Siqnature FOR QEFICEfUSE Reviewed Byc Oate: RegulrecP fnspections: JlTnder Ground _ Rough;lh _lvik "fest Gas Serviee Test _Yn.floor Heat _Flnal RESIDEiYTIAL BUILDING Permit Application ? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenfs RemodeURenair Reaui2ments 3 registered site surveys shovrirg sq. R of lot sq. ft of house; and all roo(ed areas 2 copies of plan (200/, maximum lot coverage alkwe0) 1 setof Energy CalcuWtlons for heated addiUOns 2 copies of plan showing heam & window sizes; poured found desgn, etc. 1 site survey for additions & decks 7 set of Energy Calcula6ons AddPo'on - indicafe i(on-site septit system 3 copies of Tree Preservatbn Plan it lot platted after 711193 Rim Joist Defail Options selectlon sheet (bldgs with 3 or less units ?-? OKce Use OnN Cert of Survey Rectl _ Tree Pres Plan Recd Tree Pres Nol Reqd _ On-sife Septic System al ? CXkA Date2?7? /?7 /-ac'-CL3 ConstructionCost r?.5_5,0 -O-D SiteAddress 4k5S'6 MVJZCA-?- Cf'r?(e_ UniUSte # ? q? .?/E .?r/??-Sl Z Description of Work ? Multi-Family Bldg ? Y _ N Fireplace(s) 2? 0 _ 1 _ 2 Property Owner (2) (,e?tnv, 6e, Telephone#( dSG ) tISZ` S3"?:?5 Contractor ? lek 11 ? i Address ( State ` \ ,5'a.+.c? aS R Enve. 1 Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calwlations Submitted - Licensed Plumbj? IP r? ?_ 0 u? Telephone # ( Mechanical Cor't?&o?? _2_9 2003 Sewer/Water Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MiN 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. Gl?? ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YOr_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda5on) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors )11 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation 0 U? Occupancy rt 3_UT 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 V ? Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. ? Footings (deck) X FinaVNo C.O. _ Footings (addition) ? Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Z2, , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ???6-&z a 7.&yL , 26 r 21ties Digital Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ?.?_ ..l.._. . ? .. ? ,. .. »nto -"rurArrwn ?C)?. . • . . . P::Tr.re: nu ? _ivt _?nr• t ?? L _ - . ' ?:?' ' ' ? _._..___.. .. "??'?e ,? - i p?IQl16s .??....,.-•----?'-.?..?.? CpN'MeAi"IC?R ?' 1 n?,..? ?= .s..C?.-y-+-: ??- L IroccrmL:r w?kiu't :,en?nre fun1.+?9n oi esah , x t81 tOt1K/6?lt? w111' ,?r?•.?.. ... . ,?,'l? ?'_.... H?.. fL. - • ???„ ? r? ? 1 . 'sq. !E. 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U-DO PERMIT if J ? 1 -7-5 2000 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQNOB RD EAGAN, 2RN 55122 651-681-4675 Please complete for. ? single family e gs ? townhomes and condos when permits are required far each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ` minimum - 7 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ Septic System new/refurbished • requlres MPC lie. 75.00 x = $ Septic 5 stem abandonment 30.00 x = $ RPZ new InstallatioNrepaidrebuild 30.00 X = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Underground s rinkler if dwelling is under construction 3.00 x = $ Underground s rinkler if exiscing dwening 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5100 x = $ Water softener U exiseng dwemng 30.00 x = $ p Water tumaround 30.00 x - _ $ State Surcharge .50 -> -> -> $ .50 Tot81 -> --> -> --> S Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc. -----•-------------------------------------------••--- - -----...--- ••-----------------------......------------------.- I hereby acknowledge that I have read this epplidtion, state that the information is--cortect, end agree-to eomply with all applicabla--Cityof Eagan ordinances ft is the applicanPs responsibility to notliy the property owner that the Ciry of Eagan assumes no liability for any damages ceused by the Cky during its nortnal operational and maintenence activities to the facilities construded under this pertnit within Ciry property/right-of-wayJeasement. SITE ADDRESS: ?Z? P10Pl76ri1 ? 1z&z -10/-z OWNER NAME: : 14JE1 SC>>( / TELEPHONE #: loo/y -z5C? . . (AREA CODE) INSTALLERNAME: :&2L64RI 1,1.4r A %xin TELEPHONE#: lo/z 75?-9ZW ZA STREET ADDRESS: 7-r (AREA CODE) CITY: STATE: ZIP: . ?S?O C , SIGNATURE OF PERMITTEE 7 Xic9,iil';?:r ? CT.TY QF r^GrN 'S -;.,.T"c?' rr..? 3--?Rf:;l_iiRli"flli4!NrJp v 3?i'.!.? r?piJ- $;•'? ?•I!'(:.Tryn?;? i . i1 L??_:i. I >);i,•? : ? ? . ?I p- ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) Ja ? ' CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 NewConskuctlon ReauiremeMS RemodellReoalr ReauiremeMs ? S registered ske surveys showing cQ.IL of lot, sq. R of house and sll rooled areas 120R maxlmum bt cove2ae allowad) ? 2 copies of plans (slww beam 8 window stzes; poured fid. design; etc.) D lcetoTenergycalculatbns ? 3 apks of tree presarvadon plan H tot plaCed aRar 7H193 UATE: I/ // l/ l GT -?-T- / DESCRIPTION OF WORK: ?- STREETADDRESS: y`7t LOT: _Z BLOCK: ? 2 eopbs of pWn 1 set or ae.,gy ealaahnons ror naeted aaewons 1 slte curvay (or extarior additlons i decks CONSTRUCTION COST: ? ??3 141o.E'/ZG1? c,6 SUBD.IP.I.D. #: ULto )n? PROPERTY OWNER CONTRACTOR ARCHRECT! ENGINEER Name• 176? Lest Fhst Straet City State: Zip: Company: 6g5e? U/I/?/TUI-AJ50 N C0057. Phone #: ? 61 7'?JI ' (area wde) StreetAddreas: y9C0 /yI11V1VW4G15 1144E- LicenseN a'Cfl?S?Exp. 3 3/ .?-cr? city state: zip: SS .3l", S? Name: Telephone #: ( Street City State: Zip: Sewer 8 wrter Ilcensed plumber (new construdion onN): Telephone M. Penally appllee when address change and IM change Is requested once permtt k Issued. ? 1 hereby aeknowledge that I have rad tlils application, slate thet the inPortnatlon is corred, and agree to compy wilh all applicebk - of Eagen Ordinancea. Slgnature of Appllwnt OFFICE USE ONLY Phone #: Registration #: Minnesota Statutes and Ck Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 73 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous woRK nrPe ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SN1/ Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Totai: Valuation: $ .• r SAC Units °k SAC ? ?( 3 I RESIDENTIAL BUILDING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ct ais. ;?s' New Construction Reauirements RemodeVReoair Reauirements Ofice UseOnly 3 registered site surveys showirg sq. R. of la4 sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot cove2ge allowed) 1 Set of Eneyy Calcula6ons for heated additions Tree Pres Plan Reod 2 mpies of plan showing beam & window sizzs; poured found design, etc. 1 sile survey for addNons & decks Tree Pres Nat Reqd 1 set of Energy Cakulatlons Addmon - iiMkafe itan-site sepfic sysfem _ On-site Septic System 3 copies of Tree Preservation Plan'rf lot platted aher 7l1193 Rim Joist Detad Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Address UniUSte q Description of Work ? S/ 1-2 E Multi-Family Bldg Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # (65-1 ) YS? "' ? 3? 7-?? ?, e. ?ytJ hSl• 3 ^ o Contractor Address i er ome mprov men 1545 SP.?hy AvanuP Suite 100 City State St. Paul, MN 55104 Zip Telep6one #(6? ?) •G [ 7^ 50 229- COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Categorv 1 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope CalculaUOns Submitted Licensed Plumber Mechanical Contractor SewerlWater Contractor ? A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( ) Telephone #( Telephone #( I hereby apply for a Regidential 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. lf°5 U 5 S - H i?,?=/-- Applicant's Printed Name Appl anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-ptex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plhg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. 0 42 Demolish (FoundaGon) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Repiacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const Width _ Foorings (new bldg) _ Footings(deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Firep?ace _ R.I. _ Air Test _ Final _ Insulation ? 30 Accessory Bidg ? 31 Ext. Alt - Mutti ? 33 EM. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS _ FinallC.O. _ FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall P,ppraved By Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING Permit Application !j?) ?-? C) City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 4- Telephooe # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenb RemodellReoair Reauiremenls Ofice Use OnN 3 registered site surveys showirg sq. iL of IoC sq. R o( hause; and all mofed areas 2 copies ot plan _ CeR of Survey ReCd (20% manimum lotwvemge allowed) 1 sel otEnefgy CalcuWtione Por healed additions Trce Pres Plan Recd 2 wpies of plan showing beam 8 windovr sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set of Energy Calcula6ons Additian - irMicate i/an-sRe sepGc system _ On-sRe Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Oefail Options selecGon sheet (bidgs with 3 or less unila Date /3 / O3 6v Construction Cost SiteAddress ?S L3 6 0912tbV C 14 , Unit/Ste# Description of Work _6 Ue /?) g /),/ 6 / 0"-cv ?C Multi-Family Bldg ? Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner {- K,lL'fti ?,r ? PVe?15 t7hV Telephone # (6$/ ) .3 (? S- (7f?i ? ? Contractar aaaress Rider Nome improvemant C;ty State St. Paul, MN 55104 Zip Telephone #(EtSI )(? a COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 76'70 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaGOn Category 1 Worksheet • New Energy Code Woiksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations SubmiNed Licensed Plumber Telephone #( Mechanical Contractor Telephone #( ? ?, or+n; 'I Sewer/WaterContractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. z? /) /) pplicant's Printed Name AWlicant's 3Cgnature OFFICE USE ONLY Sub Types ? ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiling C] 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF ? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex Q 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg__Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding T?+ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Uemolidon (Entire Bldg) - Give PCA handout to applicant Valuation 9- Occupancy MC/ES System Census Code IOLI Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft, PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const ? hi Width REQUIRED INSPECTIONS Footings (new 61dg) FinaUC.O. Footings (deck) Fina]/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. - Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall - ?- Approved By_/ Building Inspector Base Fee Surcharge Plan Review - MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ql./ ? d? RESIDENTIAL PLUMBING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 4?a,2.35 Date //^ l_r / 63 Site Address Y SZ e //vr i 2 or? C.' i r Unit # Property Owner Sf rV-e- -1- /ri¢`f kY /?Y 4foti Telephone #(/?.$'/ ) 3 GS- b?3G Contractor ,Se /F - Address i ior? L' i?' City E9 li n2 ? State /-/ ?? ziP 5,5-1a 3 Telephone #((rl) 3GS = 6,;R7?t The Applicant is ? Owner _ Contractor _ Other Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes Counry fee. Additional consulWnt fees may apply. Alterations to existing dwelling $ 50.00 _ Add fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener -X Water heater $ 15.00 ? replacement _ additional State Surcharge .50 U Total I hereby apply for a Residenrial Plumbing Permit and aclnowledge [hat the ronappdrete-antF aeedrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand Uus is not a permit, but only an applicarion for a pernut, and work is not to star[ without a pernvt; that the work will be in accordance with the approved plan in the case of work wluch requues a review and approval of plans. .sf ? v e- A/.e 6 s a r- -/-S ? ApplicanY's Printed Name Applicant's Signature Certificate for: ;,Toe Miller Conat. Cedar Ave. So. Farmington, Mn. 55124 DELMAR H. SCHWANZ LANDSVRVEYORS, TNe'• Reqisle/aC Untler UWf OI TIIC SUta Of MinnefOb 2978 - 7657H STREET W. - BOX M R06EMOUNT, MINNESOTA 66088 0 , Z q3y.? ? , SURVEVOR'S CERTIFICATE S?o?p 3?E '•? ? `` /3/. \ \ L-0-F ? ?Y\N , 7 I N P,?o?v?o . ? CX+R. N ? V\ L LO L4 N ,Zp,O ? ry ( ,?' - - ,?;3R33 - ' q3Dfp?P? ?.(a&9 n o ? 1? Y ,J??' ? ? ^'"' y3 ? 22-ZI? A1ICD/NG Plan No. 91019 (Na roq1KOW7) 8,?. 6o?G3 PHONE 872 423-1769 ? 9R0 --.? - ? 8 0 4 0 a3g9 ??b 0 ?a0 N R ' 3'9 938. ? ! ? O ;1117f. V eA°?P Sc,a?etijir,c? =3D?ee? T %b O Denotee set wood hub 93?ZDenotes exiating elev. , 93s Denotea propoaeii elev. • Denotea proposed drainage :/ Q: G? qr? 36 6 , Proposed garage floor Propoaed top of block . ?8_z_?__.__• ?p°zNzs Propoaed basement floor ? 93s.s? 'gP GuIZB I hereby certify that this is a true and correct representaition of Lots 7 and 8, Block 1, CHES MAR EAST FOURTH ADDITIdN, according to the recorded plat thereof, Dakota County, Minneeota. Also ehowing the location of a propoeed house se ataked thereon. 'Dated: October 110 1982 ? ?(,S?' ?3 F. ? •v! v? MINNESOTA REGISTRATION N0.8625 3/11?v A. Cities Di itv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT City of Eagan Permit Type:Building Permit Number:EA116130 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4586 Horizon Cir Lot:7 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-070 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 . Renee Lesnar 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 - Glenn D Gehlhar 4586 Horizon Cir Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature