The URL can be used to link to this page

4589 Horizon Cir?• CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE / 19 RFC61vGD FROM AMOUNT $ I ? - & DOLLARS ?oo ? CASN ? CHECK Fon - i `vC'-? ? I . ?.• r FUND CODE AMOUNT 1 ? ?. Thank You ? X ? BY ._- ? . White-Payers Copy Yellow-Posting Copy Pink-File Copy _ • CITY OF EAOAN =795 PiIM Kneb Raad Eoyen, MN 35122 PHONEs 454.8100 BUILDING PERMIT Receipt # To be wed fer Est. Value Dote 19 SiM Address Erect (3 Occuponcy Lot Block 5ec/Sub. ' . /11ter ? Zoning Parcel # Rapalr C] Fire Zons N Enlarpe ? Type of Const. a^'e W Move Q # Stories ; Address • Demoliah ? Length b Ci phone - Grade p Depth Sq. Ft. o Name Approvals Faes ~ ?? Address Assessment Perrnit ~ Cft phone Water 8 Sew. Surchurfle ? Police Plon check W Name FZ Firo SAC Address Erq. Water Conn. i W Ci phone Planner Woter lNeter Council Rood Unit I hereby ocknowledge thot I hcve read this applicotion ond state that gldq. Off. the inlormotion is wrrect ond ogree to comply with o!I applicoble Stote of Minnewta Sfotutes and City of Eagan Ordinances. A? Totol Slpnoturc of Permittee /1 Building Pennit Is issued to: on the express tonditbn thni oll work sholl be done in otcordor+ce with all opplicoble State of Minnesoto Stotutes or?d City of Eoyon Ordinances. BWldinp OffiNol Parmit No. Permit Holdar Mise. Parmit No. Holder Plumbiny 25(,? )LU, ? rn c_ . 3- H.v.A.C. w.u w.r ? Disp. S"er EkMric ? 75?? `Z' - z Inspection Dats Insp. Other Footinps Foundation Framinq F Rouph Pibg. (,? Lf Rouph HVAC Inwlation Final Plbg. Final HVAC Final Wmr Dacriba Loeation: Weil Sewer ? Pr. DkP. , _ _ .- .. . .._ ,. - ... -•tt:?... . CITY OF EAGAN T, • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1.120 0 %2 9 PHONE: 681-4675 BUILDING P?RMIT Receipt # To be used for DEM Est. Value Date JAN 13 , 19-9? Site Address 4591 lIORI?ON CIR Lot l? Block _? SeciSub. C.RP_S R1AR E 4TB OFFICE USE ONLY FEES Parcel No occupancy - 25.00 Zoning Bldg' Permk NapQ MIIDItED !lIELSEti ip,ctuaq Const - Sirc?ie?ge . cr W Address 4591 HORI7.11 Cljt (Allowable) _ Plan Review ? City EAGAl1 Ml1 ?iP * of Stories ? tr, ? phone b 54-109 S y - bepth - SAC, City Name DtCK SPECtALISTS S.F. Total _ sac, Mcwcc ? ? ?? 1238 iIATCHI.ER AVE 3.F. Footprints On Sita Sewage waier Conn C4ty MZi1DL1TA HLIGHT5 MN ZjP _ on site well water Meter ? 657-006a = Mwcc system Ph011@ Acct. Deposit 8 _ Cily Water Lkerm # PRV Required _ S/1N Permit I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge infarmation is correct and agree to comply with alI applicable State of Minnesota Statutes and City of Eagan Ordinances. 7reatment PI Signalure of Permitee APPROVALS qoad Unit A Building Permit is issued to: DECK SI'ECIALISrTS Planner - park Ded. on Ihe express condition that all work shall be done in accordance with all Council - 1.00 ipplicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pn. _ C°P'88 26.50 Building Official V??? - TOTAL Permit No. Pe?mit Holder Date TeNphone # 3/1N PLUMBING FIVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Foofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final Dedc Ftg. Dedc Final Well Pr. Disp. • " CITY OF EAGAN 3795 Pilet Kwob Roed Ea9on, MN 55122 '- PHONE: 454-8100 BUILDING PERMIT Receipt # Te be w"d hr Est. Vel ue - Qate 1 F Slte Address Erect p o«uPo?cy lot Block SeC/Sub. ' /11tar ? Zoninp Porcel # Repoir p Fire Zone T Enlarfle p ype of Const. oe W Name Move p # Stories ? Addross - Demolish ? Length cc.., Grode ? Depth Sa. Ft. °C Nama ,o Address r:ti, os..,.._ Nome _ /lddrcss i hereby acknowledge thot 1 hove read this the informotion is oorrecf and ogree to c State of Minnesota Statutes and City oF I Sipnoture of Permittee A Building Permit is issued to: all work shall be done in acco 9uildirq Officiol and stote thot ull applicnble Woter & Sew. Police Firo 6?0• Planner Councl I Bldy. Off. APC Permit Surtharpe Plon check SAC Water Conn. Woter Meter Rood Unit Total - I ` or? the exprcss condition 1Fuir Statutes ond City of Eopon Ordinonces. P?rmit No. Permit HolcMr Mise. Permit No. Holder Plumbfn9 ?r? H.V.A.C. eZ?Q? 3 R Woll Wat?r Disp. Saw?r Eketric ? ? InWection Date Insp. Other Footinqs ? ? . Foundation Freming Rouyh Plb¢ D •g' Rouqh HVA Inwlation ,, ?. • Final Plbp. Final HVAC Final ? Wabr Describs Loeatfon: - YYaIl Sewer P?. Disp. ?t, I?,•?' •...•- e. 3 cQ S? S . . . . .. .: . . . PERMIT # ? . 's. . MECHANICAL PERMIT RECEIPT # 1 CITY OF EAGiAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?? ? - CONTRACT PRICE: ?/?• PHONE: 454-8100 Site Address gLprj, n/pE WORK DESCRIPTION Lot Block ? SecfSyb - 4' R N es. ew m Name M lt Add ? Addr 3.1 -on u C R i „ omm. epa r c Ciiy Phone ? G p mer Name FEES ? c Address RES. HVAC 0-100 M @TU - $24.00 p City ?' Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK I GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE ? Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 ( Alr Cond. 'ifM BTU STATE SURCHARGE PER PERMIT - .50 ? (AQD $.50 S/C IF PERMIT PRICE GOES , Vern. ? CFM BEYOND $1,000.00) Gas Piping OuUets # - Other FEE SIGNATURE OF PERMITTEE • I S/0. ? TOTAL• FOR CITY OF EAGAN Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fae fill in numbered spaces S/C • Type or Prinf /egib/y T t o . 7. Date 2. Installation Cost • 3. Job Address ' Lvt Blk. % Tract 4. Owner T?PPH M. M3LLt:Ft CuI11iT. C... 5. Contractor Rhone 6. Address 7. City State • Zip 8. Building Type: Residential C] Commercial ? Institutional ? 9. Work Description: New _C] Add O Alter O Repair ? I 10. Describe - Fuel Type I 11. No. 1 Equipment BTU - M. Ea. Forced Air No. EquiPment CFM Air Handli : 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 ~ • 1 Receipt ~ PLUMBING PERMIT Permit No. CITY OF EAGAN ! - Fee .. . Fill in numbered spaces S/C Tyrpe or Print /egib/y Tot. 1. Date "- 2. Installation Cost 3. Job Address I.ot -- Blk. Tract r 4. Owner , 5. Contractor Phone / C f 6. Address 7. City State Zip 8. Building Type: Residential 0 9. Work Description: New a- Commercial ? Institutional ? Add ? Alter ? Repair ? I 10. Descri be I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs 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 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: -* (612) 681-4675 ? ? ?. . . t . SITE ADDRESS: APPLICANT: , I if',1 iiIII f,379 ? PERMIT SUBTYPE: TYPE OF WORK: ? i?A iF: INSPECTION •• . .A ? . , .. 1! M n Ii r . INil 1{1lt; 1 1111 i I 1? ? i1 I i ; I 7 ? - . ,. .. .... .. .. .?. . _...:: ' . -' ? PsrmR No. Permit Holder Date Telephans N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOO7INGS FOUND FRAMIN(3 ROOFINQ ROUGH PLUMBING PLBG AIR TEST ROUGH HEATIN(3 GAS SVC TEST INSUL GYP 80ARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FlNAL ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESSa ?-.?? :..?,... __.. .?. _ INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ? • 4„?. PERMIT SUBTYPE: TYPE OF WORK: t<??tln?Nr; i{r PA J h F?t •;t.kI?'! It11+1 (`•II)INfi) INSPECTION DA • .A APPLICANT: I MUIifL l Nill ! Nl v?w" 0 Permit No. Permit Holder Date Telephone A SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date insp. Comments Footings 1 Foundation Framing Roofing Rough PI6g. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Rnal Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: . MriFi 1 A'i I tl 1 il I PERMIT SUBTYPE: ? I , ,:; , , totiii 11 1 ril, o.'4.???o V'i,-819-4 i •14 „i iiir , APPLICANT: r ?i . ,•i , , i???i?. , ? ii?, : r?? TYPE OF WORK: k:t {`AlK fll'.i l'I (t)N ('•. IUINfi) INSPECTION (l ) I:li. DA • DA jt?iUl?l1 1 id 11 I i. ; I f??11 ? 5 I Permit No. Permk Holdsr Dete Telephona N S/V11 PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I 2?Q Q Foundation Framirvg Fiaofing Rough Plbg. Rough Htg. Isul. Fireplace Finel Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plum6er Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. OF EAGAN SEVNER SERVICE PERMIT Pilot Knob Road PERMIT NO.: MN 55122 DATE: 0: No. of Units: M comply wilh tha Ciry of Eagan eader No.: agree 1o wmpir with tho Cicy of Eagan Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorger. - Total: Dota Pa1d: WATER SERVICE PERMIT Connection Charge: Account Deposlt: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Dote Paid: CITY OF EAGAN SEVIIER SERVICE PERMIT 3745 Pilot Knob Rood PERMIT NO.: Eogee, MN 55122 DATE: Zoning: ' No. of Units: Ownar: ,: _ .eAddress: Site Address: -'? 1 ior 3n• ? 1 Plumber: 1 agrae M oanply wIth the City of Eagan Connection Chorge: Ordin°^ces• Account Deposft: Permit Fee: Surdicrge: BY Misc Char es: . g Dcte of Insp.: Totof: Insp.: Date Paid: MN 55122 DATE: No. of Units: Connection Charge: Account Deposit; - CITY.9F EA:,AN Remarks Addition CME Lot 14 Blk 1 Parcel ??1-?T3--3 4n-r?7 Owner IA Lti E-1 h. `. /}Fl l! f'-'i )? 5treet 589 Aorizon C3tClC State Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. 183 1191.76 238.35 5 1191.76 C0077!43 7-23-82 STREET RESTOR, GRADING 751 1953 729.95 145.99 5 729.95 C007849 9-16-82 SAN SEW TRUNK 22 1973 10 .90 53.50 A010755 11-18-81 *SEWERLATERAL W 1983 1851.59 379.32 5 1851.59 C007849 9-16-82 * WATERMAIN 1983 5 WATER LATERAL WATER AREA 1983 370.00 74.00 5 370.00 C007849 9- 6-82 * Services 1983 5 I STORM 5EW TRK 750 1983 379 . 56 75.91 5 379.56 C007849 9-16-82 ' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 26564 9-1-81 WATER CONN. 335.00 26564 9-1-81 BUILDING PER. sac 525.00 26564 9-1- 1 PARK CITY.OF EAGAN Remarks Addition CHP'S MAR U3T kth ADDITZOX Lot 13 Blk 1 Parcel 10-i7153-130-01 Owner ?nut r, - a f? e{ at Street 591 Horisan C17CCle state Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 1191.76 238.35 1191.76 C007740 7-23-82 STREET RESTOR. GRADING 1983 729.95 145.99 5 729.95 C007848 9-16-82 SAN 5EW TRUNK Z 1973 1 .90 5• 35 20 53.50 A010814 12-23-82 ?SEWERLATERAL 1983 1851.59 370.32 5 1851.59 C007848 9-16-82 * VYATERMAIN 1983 5 WATER LATERAL WRTER AREA 1983 370.00 74.00 5 370.00 C007848 9-16-82 *Services 1983 5 STOFiMSEW TRK 1983 379.56 75.91 5 379.56 C407848 9-16-82 STORM 5EW lAT CURB & GUl'fER SIDEWALK STREET LIGHT R WATER CONN. 335.00 26564 9-1-81 BUILDING PER. 6846 SAC 525.00 26564 9-1-81 PARK - -- CITY OF EAGAN ?-y 2 P.O. Box 21-799, Eagan, MN 55721 3830 Pflot Knob Road N0 0 029 , PHONE: 681-4675 BUILDING'PERMIT Receipt # ? - To be used lor DECK Est. Value Date N 3 , 1g?Z Site Address 4591 HORIZON CIR 13 BIOCk 1 S0C/SUb. CHES MAR E 4TH Lot OFFICE USE ONLY FEES Parcel No. Occupancy - 25 00 eldg. Pertni[ . Zoning _ NNile MILDRED NIELSEN (nduap Consi - Sumhe?ge . 50 w Addfess 4591 HORIZON CIR (Allowable) - Plan Review Z ` # of Smries (? jty EAGAN MN 7?p Le lh Licem 0 ng - Phone 454-1095 Depth - SAC, City Q N8R1e DECK SPECIALISTS S.F.TOtal - SAC,MCWCC ? C,dd? 1238 WATCHLER AVE S.F. Foatprims e Sit Sewa O Water Conn _ e g n afty MENDOTA HEIGHTS MN ZjP OnSiteWell WalerMeler ? 457-0068 Phone = MwcC System a?t. oePosit ? _ Ciry Water Vcense # PRV Required - S/W Permit I hereby acknowlege that I have r ad this application and state that the Booster Pump - SNJ Surcharge inlormation is correct and agree comply i h all applicaCle State of Minnesola Statutes and City o- E an Ordin c?s. Treatmant PI Signature of Permitee APPROVALS Road Unil A Building Pertnit is issued to: DEC SPECI LI TS Plenner - Park Ded. on the ezpress contlition that all work s a be done in accordance with all Council -- l C 1.00 applicable State of Minnesota Sta te W s C of Ea qan Ordinances. Bidg.01L _ op es ,, ,, pp i' ry ? f Building OlIiti81 _??111 il.Q,{? I I I(,J ? 1 ? Variance - TOTAL 26. 50 BUILDING PERMIT CITY OF EAGAN 9795 PIlo1 Nnos Rasd Eogan, MN SSl]Z PHONEs 454-8100 Site Address 4707 110P37An U1rc1e Lot 14 elock 1 Sec/Sub. Ch28 DdBT EflBt 4th Parcel # 10 17153 140 Ol W IN,,, Josevh M. Miller Conat., Inc. Z Address 13015 Cedar AVE. $O, ? _ . _ .. __ ._. p Nome _ ? Z? Address Nome _ Address I hereby ockrwwledge thof I hove read this opplication and state that the informotion is correct and ogree to comply with oli applicoble $fote of Minnewfa StatutesAnd Cify of Eog9N 0r4inances. Sipnature of Permittee 11 A Building Pertnit Is issued to: _ ull work shali be done in accordonce Buildinq Officiol N° 6847 Recelpt # ° a Jz -/ Erect [?[ Occupancy n-} Alter ? Zoning PD Repair ? Fire Zorx Enlaroe ? Trce of Const. VII Move ? # Stories Demolish ? Leng[h 26 6rade ? DepYh 44 Sq. Ft.- Avvrorals Fees Assessmenf _ Water 8 Sew. Police - Fire Enp. Plonner - Council _ Bldg. Off. _ APC Permit ""'•"" SurcFarge 27•00 Plon check149.00 y,c 525.00 Water Conn335.00 Woter Meter 60.00 Rood Unit 1115-M- Totai _$1579_00 I ?ilC. on the express condition thm Statutes ond City of Eopan Ordirwnces. i BUILDING PERMIT $55,000 sre nadress 4591 Horizon Cirele Lot 13 Block 1 sec/5ub. Ches Mar E66t 4th Pa,cei #10 17153 130 Ol K NdTe _ JUilef!!1 1Y1- {ip111C1" WAT"I 111{:• ?Address 13015 Cedar Ave. So. r... Apple Valle.Y o?,,... 454-4753 p Name _ 2?- Address Name _ Addreu I hereby ockrawledge that I have read fhis npplicotion ond state that the informotion is correct ond agree to comply with all opplicable State of Minnewta $fotutea 9nd Ciry of, Eogog•rbrdinences. / Signafure of PermiRee " A Building Permil is Issued fo: ull work sholl be done in occo Building Officiol £'ITY AF EAGAN 9793 /llot Knob Rmd fagan, MN 55121' PHONB: 431-8100 N° 6846 Receipt .# (2,x 5^4? Erect IM OccupancY R J Alter ? Zoning PD Repoir ? Fire Zone Enlarge ? Type of Const. VII Move ? # SMries Demolish ? Length26 G.ade ? Depth-44-Sq. Ft., Approrols ' Feas Assessment Permit ZIA5'1JU Woter 8 Sew. Surcharge 27•00 Police Plon check 149.00 Fire SAC 525.0f) Erg. Water Conn. $35_OCf Plonner WaterMeter 6n_nn Council Rood Unit 1 A5 M eiag orr . . APC 1579.00 Total $ . r f,'?gt, Tnr on the expresa condition thnt of Minnesota Statufes ond Ciry o4 Eogon Ordinances. ches /tiwr U1 ? 1 ' f - CITY OF EAGAN Iriclude 2 sets of plans, 1 site plan w/elevations & BUILDIDK' PII2hffT APPLICA'1ZON 1 set of energy calculations. 1b He Used For Valuation daCl Date Site Acldress: 4589 Horizon Circle, Eagan pFF'I(E USE ONI,Y ' 4th Add. ?? 3 Lot 14 Block 1 g?,/g?. Ches Mar East Erect Oc Parcel #: L0 t S 3 ?t?0 pT-----? A]-t.er Zoning 4) Regair Fire Zone OWROT: JOSEPH M. MILLER CONST:, INC. EnlarJe _ TYPe Of COiLSt. ?C3^ Nbve # Stories Address: `13015 Cedar Avenue, So, ppniplish Front ? L ft. City/Zip Code: Apple Valley, W 55124 Grade Depth ft. Phone #: 454-4753 AppFPV1LS FEE,S CAntrdCtAr: SAME P,ddress: City/Zip Code: Phone #: Arch./Ehg.: Address: City/Zip Code: Phone #: Assessnients Permit 2 2g , a v W3ter/Sevaer Surcharge Police Plan Check ??? m p a 4 Fire SAC Eng. water Conn. 3,?S• v Planner Water Meter dP a d Council Road Unit oC Bldg. Off. AFC 'PDTAL ?.5 -7 . o 0 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNIIT ApPLICATION 1 set of energy calcu].ations. Z - 7b Be Used For w-4a.,.e Valuation C) d d Date 8/3/81 Site Address: 4591 Horizon Circle, Eagan ? p?^I? ??,y • Lot 13 Block 1 Sec./Sub. Ches Mai 4th ' e? pccupancy Parcel #:_ 3 o o 1 : Alter zoninq ?-?~-- Repair Owner: JOSEPA M. MILLER CONST,, INC. Enlarge _ Move Address: 13015 Cedar Avenue Se,, pemolish City/Zip Code: Apple Va11ey, MN 55124 Grade _ Phpne #: 454-4753. WP? Contractor: SAME Pddress: City/Zip Code: Phone $: Arch. /ESzg. : Adciress: City/Zip Code: Phone # c Fire Zone 'IYpe of Const. # Stories -° Fmnt ft. Dept1? _ q ft. FEES Asse??ents Permit __,> Water/Sewer Surcharge Police Plan (hec1c Fire SAC .f Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. - APC '1OrAL / .5 7 9. a 0 L REQUEST FOR ELECTRICAL INSPECTION ea-ouooi-oa ? See instructions for comDletine this torm on Eeek oi Yellow copy. .38535 . X" 8elow Work Covered by 7his Request RAd NeO. TvPe oi Buibing ADOliancea WiteE Equiymenf Wired Home Range 7emporer y Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm otner oeri y' tnErr ISnacityl 1 e Ueci(y ther Oth?r Compute lnspec[ion Fee Be/ow # Fae ServiwEmranea5ize k Fee Feetlers/5ubfeaders # Fwe Grcuita Uto200qms 0 to30qms 0 tn30Ams Above 200 Amps 31 to 100 qmps 31 ta 100 q s Swimming Pool Above 100-Amps Above 100_AmFri Transiormers ?rrigation l3ooms Partial.'Other Fee Signs Special Inspection 70TAL F emnrks S JQ. rjQ i/`"„t-) 1. ,he Inavecto., neraey carlify that tha abov inspaction hes Oeen Tliie repuesi vad 5 3 5 /- ,?/L3 P) t, ?/5Y 91 nsDectlon I ?eatly Nuw ?Will Notify InsOec- ?ryo tor When Ready ? Npensad ElecVical Contrector I haraby reQUest insoection of ebove ? Owner electrical work installed at: Sheet Address, Box or Route No. Ciry 4591 Hoxi.zan C#. Ea an ection o. Tnship Name or No. RanBe No. County Occupani (PpINT) Phone Nn. Rabeh,t Jahacur.t Power $upplier Address Electricat ConvactorlCompany Namel , Conttactor's License No. Eab an ?Q th? a?nw u 04 0-4 MailinB.4dJress ICon[racmr or Owner a king Instaila[ion) 25E 77 hS.t " hLa N51172 Aut rized Sienature onhactor/Owner Making InstallatioN Phone Number u ? 1 447-2490 MINNESOTA STATE BOAflO Oi ELECTNICITV THIS INSPECTION PEQUEST WIIL NOT Grigga•Mitlway Bldg. - Poom N-191 gE AGCEPTED BY THE STqTE BOAFD 1821 UniversitY Ave., St. Peul. MN 56104 UNLESS PPOPEN INSPECTION FEE IS vh... 19121 29].2t 11 E N C LOSED. qp !? -REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 ¦, L?7 p?I ?' See instructions br completiny lhis iurm on back of yellow copy. ? e ?V! ??1 qp X' Below Work Covered by Thrs Requesi Nea Add R.:o. - 11pe oi Building Aooliances Wired Equinment Wired Home Rinye Teniporary Service Duplex W2ter Heater Liyhtiny Fixtures ApL Building Dryer Hectnc Heatin Commercial Bldy. X Furnace • Silo Unloader Industrial Rldg. Air Conditioner Bulk Milk Tank Olher Specil nther ISUerityl t er ISUCCify ther ri-oin- Olhwr Campute lnspecUOn Fee Below " V Fee ServiceEntrencaSize # Fee FeeAers/SubfeeAers N Fee Circiiits 0 QG 0 to 100 Am pLU,01L 0 to 30 Am S 1 200 0 to 30 F4m s 701 to 200 qmps 31 to 100 Amps 31 to 100 Am s Ahove 200 Fl?nl) Above 100_Ainps Above 100-A?nps - Transiormers \\ - RemoteControl Circ. • Partial%Other S:w s Special Inspection , _ $ T RERiarkh ?.• - 43-00 OTAL EE t?-JO Ron Caples Fouph-in - U'tr ? 'G I,the Elecvical _ f? Inspector, hereby certity that the nbove Final 'Ll? 'ns ection has been ? mado. This re?uest void , 18 n. nnths M1om lhis re4nB5t vaiA?lZe' , 8 ?,?6t?7 5 ?. T 7 L13, L'U+I c./tt, E q f-t?- FeQuest Datv ' Fire No. Rouuli-in Inspection IieQU red? ?Ready Now?R'iil Notify Inspec- ,( -2 -1 n? M&es ?NO tur When fleatlY 55C.icensed ElecUical Contracmr I heraby requesr insnection ul above ? Owner rtlecbical work instailed at: Street AAdress, 9ox or Rnute No. Cily 5 1 Horizon Circle EaBari ecUOn o. Township Name or No. Han9e No. Cnunry I Dakota Occupan[ (PqINT) Phone No. Joe Miller Power Supplier Address Dakota Cty. Farmington ElecVicai Con[ractor (Company Name) Convacmr"s Lir.ensr No. O.B. Thompeon Electric Co. A40602 Mniling AdJress (Contractnr or Ownor Maki ng Instal latinn) ' 12201 slva., h2tka 5534 Authorized SipnatHre (G_o?ntrector/Owner i ? " '??' ? ing I {_ ? a[io ` ?hb rtle N ? 7JJ'?JG I rn 1 ? ? I n H?%?J ?? MINNESOTp STATE BOAflD OF ELECTqICITV TNIS INSPEC,TIQN QEQUEST WILL NOT Griggs-Midwey Bldg. - Xoom N-191 BE ACCEPTED. BY,THE STqTE BOARD 1821 UnivarsitV Aye., Se. Pnul, MN 55104' ' UNLE55 PNOPER INSPECTION FEE IS PF....e Ifi1J199]9t11 ENCLO$ED. ^T REQUEST FOR ELECTRICAL WSPECTION ?' 'i "?1-K7& See instructions tor cnmplAting [his form on back af yellow cnpy. 1 C% "X'".fTEJawtiNork Covered by 7his Request E9-00001-03 Ne Atld Rep. Type o/ Builtlin9 Applioncxs Wired Equinment Wired Home Range Temporary Service Duplex Water Heater Liphtiny PixWres Apt. Buil(fing Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Incffistnal Bld,y. Air Conditioner Bulk Milk Tanl< Farm Oiher Soeci v 111e1 ISUCCify) tierl5uor_ify Othcr Other t,ompute inspection hee Celow 9 Fee Sarvice EnhenceSize p Fxe Feaders/Suhfeeders p Fae Circuits o to 100 nmn, o rr? 3n nr„„, .no 0 r„ zn A n,,,. I I 1 101 co zoo nttins I I I 31 to 100 q?»us I I 1 31 to 100 Amus I S_2d , e"?' TOTAL ftou9h-in Date ?. the Electrical InsPector, hereby c rUty [h t ih b Pinal ? "«' e a e n ova suection has baen IM1is repuest void - - ??? 18 months tiom r .V>Cld / This req.est void ????d ti4?7h1f` 71676 L-r yi 61 1/ c,1-c .£ 'P0: 00 Re??uest f]ute Fire No, RouVh-in InsVer,tion Re4?rteA? ?Ready Nove ? Wfll Nonify Inspec- ? ?Yi?s ?NO tor When Feady C] Licensed Elecvical Contmc[or I hereb y requast insvection of ebove ROwner, . eleclricel work installed et: ' Street Address, eox or qoute No. 4589' Holrizotn Ci?le, Cit a?? ecLOn o. Township NTme or No. - Hange No, County OccupaM IPRWTI ' DAwica- Phone No. ' '4s2-- $032 P? ywei Supplier l?oA2?- iltlCres+ Eleclrical ConVactor ICOmpany Namel CoMractor's Licr.nse No. ? S- - I - Mxilinq AtlJress IComr.ictor or Ownxr Makinu Inslailationl ' ' 5 22irzzno i 6147,00 lrt/ /? Auth rize.d Sipwmre (COnV cmr/Owner Ma ns allatio Phnne Numher MIN OTA STpTE BOARD OF ELECTflICITY -THIS INSPECTION flEQUEST WILL NOT Griggs-Midwey Bldg. - Hoom Nd91 ' eE ACCEPTEO 6Y THE.STATE BOARD 1821 . UNLESS PNOPEfl INSPECTION FEE IS University Ave.. St. Paul, MN 56104 p„- f8d2v 297_7111 ENCLOSED. 09.11.ex#tftrtt#r of Orruptttirg citp of (f Agan iBepttrtmrut uf +uilainl Jnnpertinn Thir Cntificate inaed Parsrulnt to the +rquiremmu of Sertion 306 of the Uniform Building Gode rertif ying tbat at the time of rttaarue tbia ttruttare wat in com pGunre witb the vuriour ordinanccs o f the City rrgulnting building tonnruction or un. For the (ollowing: 1/2 P.LTPLRX 6E46 U. c?.u-m ?? ? TypCmewction?+-FircZOn• ? ZoN^BPsmc? amw^?r TYa ? a,,.ofB.H,,,,eJOSeph Miller ronstM„.14.115 rlithrie Ave. pmie' r t ; zon ? r i a „Y r? 13 R1Cl1es 1kZr B tdin8A44"° 4 Fast 4t*! p„?, Decemher 15 19L?1 I',. Qe ..?L e?wamaorea? Ls 'l? u.nomue.n. ? ?__ ? ? (p Z? RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reoui2ments RemodeUReoair Reauiremenls Otfice Use Onlv 3 registered site surveys showing sq. ft. of bt, sq. ft of house; and all mofed amas 2 copies o( plan Cert of Survey Recd _ Y_ N (20°h mauimum lot coverage albwed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sde survey for addiGons & decks Tree Pres Reqd _ Y_ N 1 sel of Energy Calculations Add'N'on - indicafe iion-sife sepfic system On-site Sep6c 5ystem _ Y_ N 3 cop'res of Tree P2senation Plan'rf bt plaried afler 7/1/93 Rim Joist Defail Options selection sheet (bldgs wtlh 3 or less unRs Date -a-/ 017 Site Address L( ? l03 ? ? f Construction Cost 300() -OULD UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #( ) Contrac[or ? M.0 Address I ol State P? ALJ e?f ? _ Zip SS? 2? Ciiy Telephone #(G'?Z COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residendal Ventilation Category 1 Worksheet (4 submissiontype) Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Teiephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the informati n is compleIe_aud-ase?rate; that the work will be in conformance with the ordinances and codes of the City ofPEaganand the State of MN S tutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a 'fn pe that the ork will be in accordance with the approved plan in the case of work which requires a review and approva f plans. Applicant's Printed Name Applicant's Signature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt- SF ? 04 02-plex , ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Ping_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foorings(deck) _ FinaUNo 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) _ Insulation _ Retaining Wall Approved 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 Le L(.e Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 84. '?7 S,-- New ConsWCtlon Reuui2menls RemadeVReoair Reauiremenis Office Use Onlv 3 registered site surveys showiig sq. fL of lot sq. 8. of house; and all roofed areas 2 copies W plen Cert of Survey Recd - Y_ N (20%maximumlotcoverageallowed) lsetofEnegyCakulafionsforheatedaddidons TrcePresPlanReod _Y _N 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 siie survey for addifions & decks Tree Pres Reqd _ Y_ N 1 set of Energy Cakulations Addition - inMicate Nonsite septk system On-site Septic System _ Y_ N 3 copies of7ree Preserva(wn plan if bt platted after 711/93 Rim Joist Defail Options selection shcet (bldgs wfth 3 or less units n 1? "7 Date / ? / ?-y`? ( ? ? ConstruMion Cost Site Address n UniUSte # Description oF Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner W j?sYJ Telephone # ( ) Contractor Address CiTy ? State Zip Telephone tt (GI ? 6 Q, ?5 ?'7 7 2 Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Venfilation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review ?( 21 btc I hereby apply for a Residential Building Permit and aclrnowledge that the i4fcuznat?,. _?6m plet and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan an e State of MN Statutes; I understand this is not a pernvt, but only an application for a permit, and work is not to start without a ? ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and roval mKrolans. Telephone #( plicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 08 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg) -Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City W ater 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) _ FinaUC.O. _ Footings(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile OWer Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding SNcco Stone _ Fueplace _ R.I. _ Air Test Final Windows (new/replacement) _ Insulation _ _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Othw Total Building Inspector 4 t !- `j- - 04:I?lill: ` J 'WI r. ? w. .? 550740- OGUBC.E _ f)/01' . .. .? .^ ? `1?__ . .?. . . ? ? cow•rRAC7,i:: - I?olr,rminci,n)Y,i nq f:yu:n(' fc:oi:nIJc nf nach 1. 7'nCa] cxi,usCd ?rt?ll .nc:?...... Zv+4P x .7T &SL•47 Z. 2. Toal rcof./ce;Jinq aL:,:c' ...... _- ,cl. ee. X_.ns -----5'7. Z 'f'utal cx):osec: %eaJj area abovc flonr. j2CA S a. Totr:J. wall te.ind:?w Ar. .:.................................. ?,. .ctCt:.7 .^or nreti ............................... ........ ...... _? ......................... (1. 'I?UI111 ?11'?.`f>ISi9? W7l1 4TC:l ..................... ........ val]. f.ra:niny uxc:: (averngc io%) .......... ........ ..__./ f. 9'oC,i] rim joisl nra:? .. ....................... ......... ?. ? v;,?3 u .,, ..:................. ......... . .._.?. ... . .................. _. . ......... ..._........?.__._ 1 . Wil l , , T . . . . . . . . . . . . . . . . . . . . . . . . . . .................. ? ......... y'nt,J c•eno:,??d LoundaLion ai.i'a = .--0 -- Ft. YoLa] fo'u:daCi.on t:,i.;cinw A1:0a ........... . ~ ].. 'foL:il nut;.ow,;iatitri u'c;, aLnou 91.adf . ......... ...... -.? Ir_inc k',:luc c: cach wal.l aeqmcnt (t•.?J. wi?irt?.?.;, :,r, ..i ? r:lt •:rn.iriit?-c 1 sect.ior?) 111111, a. - ?'?•S?o__ r, „u„ . _ o?'Z____ ° _ . _37•_? 1- . 3? • 9 „ ?, . ??` ,: Zo 2- C. 3y l? x _- _ - ._ _ - ¢2 - ?= -= - - -- - J? • ----- ---- `?• . _-__._-'__-- ? „°„ -_ ^ __--__- - ? ------ ?. x ,.U„ -'?--,-- r . 14-0 „ul W , 0_4?. ?• . _-_!'o.. /1 ?, .. ,.,,,. ._ ?. ----48 _.... . _,,_ _ .._ ,. !f ttem Y3 in thc .^.< ot lCSS Chan ltem !I: luwr, n,r,t: I,ho .inL•cnl Sli,^,. GLO , (C) 2. m. 7bta1 skylight ............................ ._----T?-?L n. 1'ot.al ruol/cci]..in9 ir.'miZxj acca (n??crri'Je l09)... _. o. Tul.al nrt in:sulaCcd rnoi/ccilinq nic,i........... DeCermir,e "U" value fnr caich zoc)f/ccil.ilt9 segment P,ige 2 of 4 x .,U., _ti.. ?----- . n ?, X „U _ 3.? 1 x „u„ .74 4..... .. . . . ....... .. ........ lf tntal oF Ih7 ie tlW 0t11110 ns , rlr le,';s t,han i!"J., yott 11"o vieY. tYle inlent of $ISf' 6006 (C? i. 'Lb uL.ilir e tlw ulul 4-1 :Iv,i t .. . ? ? i, . . . .. .. . -,'tui nE . ? ? , ? , . ? ...;?; II?. t. ___,3s2.92 t z. s7.z qa o.iZ +4, 29.5/ - 2r9,_?z 11 C.i rv EA L. F-T. LxposE. D ?'?;L.C)Gk. ? ?.?-C`ZO -? -e ?x-- -i-G- z-.Z.. M ? ??.?.??E.G ? IMuLL I s=?VL L z. ? ?:aL•.,f? ?.? ?f=? ?but?c? , 44 W/4 L L - ,4?) ? ? hJ CE ; )C 1 / ? `/` fY "; ?Q , ? ?i /d i G } r.e ?... . 1 I • V ?L I ?r 14c-, M 'rA (r. 4S ?YF ?.l?w?-ll?( ;', - w> j y-?, _.. i F..I ,?- -. ?.. ; ,-•. I 0'•? r U ki 4):11`:, SECTS:?p1$ .ikvl'l-:: U::c` 1?'E dl (>1??j( I u?? ? Ir:?mc ?wiscruct.ic>n .. .. - - (1? .. . t 7 !:nSI.C r? I t;.\ f.L •.. -- r I!' •, i; : ; ' --- ----;'3J . .... _.. . . ? ) ( _-- \? ' ?..? ' .:: •'i c?'?_ ? _ _._ r; . _ . ... ? , 1 v • . . f - ? u r T-• ? . .?- • ., _ , -, r (r( tl3 ., . ...._..-..? • lI , c'un:;u:w:t ion - t=12?-ilY) ? ?t?V?luc l. llt.i,i i_0r:3i_?_.f.i lri.____---- . --- ?'? I l. 1 It.:lit ? -. q?l? ll/? -n a . , ? r !- •?JT?. ? _.._ '?/?} ? _ _ le_:? G ?j / _ * , In ?- .i11' fllrn _,. ? 1?? Tnt:al 12 -Z-t i Ll = .oa I. l??t??ri:rr air Fi1m ? ------._._. 0.6f1 --3 h• CF,.! ?J_T?-.?___..._ 3L?'?- , ---I,C1._?i?.? _ _ 0.17 ? 04" - c.. • .o.G<., -- -- -- ? -? I 4 ??"???i` .. . .._.._. li ? ? ? J•v? ?. . ; t l39 0.17 7'o t a L U = .v? 1. Intciinr. tiir Eilm 0.6E3 3. ._ _---- G, air Mm'- ? 0.1"T -;ful.?t1 I . . . .. ..... .. .. ... . . ---___ i t• • ' ?: ? • ?..?: :k-.( , ,? . ?,? .. . .. ',? P[G. I!A //! t]U'iii: T,m1i? ?tr ty? ,'_ ilu?rk,dni5th 0r plncr??ent o` iir.uL?tio:i. ' , , ? - . - . .. •. RApP/CEZLIIG . ' j ••f - ?.. . ?:? ? ssted Haac flov Lp . • ? . r ? ?venCed • . , ? i S n?Villin _mn ? Cun?tri,ct Xnr r{or . ? a a OC) ' ? ? • _L ?u,? I 1 i? - -- I - -= - o-? -1 . _. - q? . ? ? . . . ? . L, .L)? gtiP?cr.ior nir film 1 a•?'1 . 3. S 4. z,otal cv.ar sr.it v c rf .v?. o.?1 i la 7nslda air ? • _.-------- -- ---- -._._-- -----_? ? q ? ----- --- --. _ _-------°--- q _ t.'1 -__- , ? . . ---- , l _.-- - __....._.__.. ? .t.O c,t I?ecc flcv up • , .' • . . .YYG. $6' n3 =f? -? v t:J , ?? ,; , . • _ . .? Alov up " . ... fir,. 07 . .. ?• : 7l.. . I., Ynsl.de i --'----_ - S. 4 - ? -- -- '--- ' - 0 . 1 ?j ? ? S, lhttsi?7cr air filin ? ~ Total . . ' 4.61 ? - ------------- -- . d_ U.17 S QuLSidC 3ifi ±itrJ n ?- - . • Ose add3.tional s ef? i pace I7C . i C+ nd yi?ecdecfl for ?Icta) ,? ` • . . calcu?st '. .? • 4 .? 1992 BUILDING PERMIT AFPLICATION CITY OF EAGAN REQUIREMENTS: w0ozq JAN D 9 SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL 8 STRUCTURAL PLANS, 1 SEf OF SPECIFICATIONS, 1 SET OF ENERGY CALCS. PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REQUESTED ONCE PERMIT IS [SSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For:?"S?e??? ^°FValuation: }*9 ° Date: /- R- 5/ Site Address . .. .--_?_ OFFICE USE ONLY Lot Block P? ? Occupancy Bldg Permit Parcel/Sub -- Zoning Surcharge Actual Const Plan Review Owner Allowable License Fee # of stories SAC, City Address 4 Length SAC, MWCC Depth • Water Conn. CiryJZipQ Mh , S.F. Totat Water Meter ? Footprint S.F. Acct. Deposit _ Phone - p17 S/W Permit On-site sewage S/W Surcharge Contractor ,S fi On-site well Treatment PI. MWCC System Road Unit Address ?a. ??{-ci.l¢? ?uL City water Park Ded. PRV Trail Ded. Ciry/Zip a-Ai4o¢p Booster Pump Copies Yas SUBTOTAL Phone 4c) c- Mlof( APPROVALS Penalty (IDO„I) Planner Lot Change Council TOTAL Arch./Engr. Bidg. Off. Variance Address City/Zip Code Phone # FEES z.5 Sewer/Water Licensed Contr. . Processingtime for sewer/water permits is two ays once area as een approve . ig at re o rmi e all applicable State of Minnesota Statutes anc agress that ail work shali be done in accordance with City of Eagan Ordinances. I have complied with all application requirements for the State of Minnesota contraetor's license, and I have submitted all required information to the Department of Commerce for approval. 3 9eZ - I // Date BL ? CITY USE ONLY L sueo. r,6?L &r RECEIPTM: /d&732 RECEIPT DATE: PERMIT# G E000 PLUM$INci PEiiMTf mSIDENTulilL) crrYoF ewenx S$SO PILOT ICNOB iiD EA6AF, MN 55122 651-681-4675 Please complete far. D single family dwellings ? townhomes and condos when permits are required for 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 i in ouUet ' minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem nawlrefurhished 'requires MPC Iic. 75.00 X = $ Se tiC S tem abandonment 30.00 X = $ RPZ new installationlrepairirebuild 30.00 x = $ ? Rou h o enin 1.50 x = $ Shower 3.00 x = $ ' Under round s rinkler if dwellin is under conswctian 3.00 x = $ Under rounds rinkler ifexistin dwellin 30.00 x = $ W ater closet 3.00 x = $ I Water heater 3.00 x = $ W ater softener If dwelling under construdlon 5.00 x = $ ? W ater softener if existin dweuin 30.00 x = $ Watertumaround 30.00 x --- _ $ State Surcha e .50 -> --> ---> $ .50 ' Total -> -? ---> ---> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --- ..... ..................• -- -------- •------ih•is---appli._. cati_._on..,she.....te..that....N.e._ in....iortnati----on-- is-- c-----Orrec-t,----and-..agree.....to. w-mply with -a-il, applicable.....-•---City----Of -----Eagan -------ordinances------- I hereby acknowledge Mat I have ?ead . It is Ne applipnCs responsibility W notify the property owner tha[ the City of Eagan assumes no liability for any damages caused by the City during its nortnai operational and maintenance activities to Ihe fadlities consWCted under this permil within City property/nghl-of-way/easemenl. SITEADDRESS: yi?I YTdlG,r?"?/V 6?-6 Gc - OWNERNAME:: &QIZ£,IJ ?elea 64 TELEPHONE#: JOf S- (AREA CODE) INSTALLER NAME: /c 6? ?U??IL , STREET ADDRESS: ? (/f7?/?u5 f/4- # TELEPHONE # /Z) 557"` 0533 Kv (AREA CODE) CITY: 16-1-we'l-774 STATE: ? ZIP: ? SIGNATURE OF PER EE PERMIT c 0 ?? CITY OF EAGAN -7 //yt fy 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 024152 (612) 681-4675 Date Issued: 0 7/ 19 ( 9 4 SITE ADDRESS: 4591 HORI20N CIR LOT: 13 BLQCK: 1 CHES MAR E 4TH P.I.N.: 10-17153-130-01 DESCRIPTION: (SIDING) 9uilding-.permit Type SF (MISC.) fBuilding Wp.rk Type REPaIR i ? "? ?Lj' [J" REMARKS: FEE SUMMARY: VALUATION Base Fee 5urcherge Total Fee $144.00 $6.50 $150.50 $13,000 CONTRACTOR: - Applicant - ST. LIC. OWNER: AMERICAN REMODELIN6 INC 15530020 0002406 NEILSEM MILORED 3700 ANNAPOGIS LN 4591 HORIZON CIR PLYMOUTH MN 55447 EAGAN MN 55123 (612) 553-0020 (612)454-1095 I hereby acknawledge that T have read thas app].icatian an-d stata that, thQ infbrmation is eorrect and agree ta comply with a12 appl3eahle State o# Mn. 5tatutes and Gity ot Eaga-n Ordinances. ? . --?Njn &,A:J, I Yh APPLICANT/PERMITEE SIGNATURE ISSUEO B: IG TU E I INSPECTION RECORD CITYOFEAGAN PERMITTYPE: aurLozrvc 3830 Piiot Knob Road Permit Number: 024192 Eagan, Minnesota 55123 Date Issued: 0 7/ 19 / 94 (672) 681-4675 SITE ADDRESS: LoT : 13 B L 0 C K: 1 APPLICANT: 4591 HORIXON CIR AMERICAN F2EMODELZN6 ZNC CMES MF4R E 47H (612) 553-0020 PERMIT SUBTYPE: TYPE OF WORK: SF (MSSC.) REPAIR DESCRIPTTON (SIDING) INSPECTION .. . .. FRRMING F20UGH IN PLBG ROUBW IN HT6 FSNAL F L i ?• ?. ' ' . . . ? r•, , ? , ? ? ., `y PERMIT N .-? REACTfVATE 14191 CITY OF EAGAN 1992-BUILDING PERMIT APPLICATION l1? 581-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requesiced, huS nct ricked up by last working day of month in whi h c re uest is made or lot chan e is re uested once ermit is issued. Date / _L / ?1L Valuation of work ?. ?.58'? Site Address:iCS"? t4,1 SiREET SVITE 0 Tenant Name: (commercial only).:;44 IAT BIACR __ I I SUBD. rl?Af , ¢4 C - P.I.D. ?f J y ,?IU l,7 ?k? Descri tion of work: ? The applicant is: p Owner Contractor ? Other (Deseribe) Property Name Sr ry ' E Phone ? G LAST FIR57 Address . STREET STE p City State yJ'!? Z i p S:2z/2? Company Mni Phone Contractor Address 37?'?"napolis Lane, Suite 145 License #[?Cb2?,/04 Ex I?I}ar?ed#h--irA;?f-6§4?,'---- p . 612-558-0020 City State Zip Architect/ Company Phone Engineer Name Registration # Address _ City 5tate Zip Sewer & water Ticensed plumber . Processing time for sewer 3 water permits is two days once area as been approved. • I hereby acknowledge that I have read tM s application and state that the information is ' correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Appl icant: BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. 11 03 SF Addition ? 04 SF. Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition OFFICE USE ONLY ? . `° "?a? ?. ? 16yBasement Finish ? 17 Swim Poal O 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodgingr` ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move O 37 Demolish GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Plannino Engineering REQUIRED INSPECTIONS 0 Site ? Wallboard Basement sq. ft. ist F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Footing O Final MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code 5AC Code Assessments ? Framing ? Insulation ? Oraintile El Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit. Park Ded. Trails Ded. 1es-: . Ot er Total: o a v,imtsm: g SAC % SAC Units ? CIT16F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT c?r a°t G'z y PERMIT TYPE: Permit Num6er: Date Issued: 4689 HORIZON CIR LOT: 147t BLDCK: 1 CHES MAR EAST 4TH P.I.N.: 10-17153-140-01 BUILDING 024200 07/20/94 DESCRIPTION: a REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge 7ota1 Fee (STpING) uiid3ng_.Permit Type SF (MTSC.) uilding War_k Type REPAIR ti ''?.. > $135.00 $6.00 $141.00 $12,000 CONTRACTOR: -- Flpplicant - ST. Lzc. OWNER: AMERICAN REMODELING INC 15530020 0002406 JUDD RALPH 3700 ANNAPOLT5 LN 4589 HqF22ZON CIR PLYMOUTW MN 55447 EAGAN MN 56123 (612) 553-0020 (612)681-9134 I hereay anknawle-dge that i fiaue read this applicatian and state that the APPLICANT/PERMITEE SIGNATURE 'ISSUE?V?SIGN T' RE -1) y ihformeGiqn is carrect and agrae ta camply with ail applicable 5tate oF Mn. Statutes an•d citq of Eagnn Rrdinances. ? I INSPECTION RECORD CtTY OF EAGAN PERMIT TYPE: guzLozNG 3830 Pilot Knob Road Permit Number: 024200 Eagan, Minnesota 55123 Date Issued: 07 J 2 0/ 9 4 (612) 681-4675 SITEADDRESS: Lor: 144 BLOCK: 1 APPLICANT: 4589 HORIZON CIR AMERICAN REMODELING INC CHES MpR EAST RTH (612) 553-0020 PERMIT SUBTYPE: TYPE OF WORK: 3F (MSSC.) REPAIR DESCRIPTION (SIOING) INSPECTION FRAMING D, . ROUGH IN PLBG .. ROUGN IN HTG FINAL ? ? ? ? r ? r PERMIT N REACTIYA-k 1 4jivi CITY OF EAGAN 19ft BUILDING PERMIT APPLICATION '9q 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of archltectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date? Valuation of work Site Address:1?4c,Iqi ;Zof0 SiREET SUITE / Tenant Name: (conmnercial only) IAT _J? SLOC? SIISD. P.I.D. M Descri tion of work: The applicant is: 0 Owner ? Contractor O Other (Deseribe) Name d m., Phone 6 $l-''13q Property «sr F,RS, Owner .,,i¢ q.'.SS ??.? ? O. ? @ I ) nuU?i701L? STREEi S1E N City State Zip 3 ComPan ? ' y ? ? ? 1'- •? ? !-2 Phone 4??..3' -GO,?ZD C011tfeCtOr , 17 Address 5Y?> L;cense Exp. City.lv.State )-,?) Zip c.s<i??'7 Architect/ Company Phone Eng111@Ef Name Registration 0 Address j City State Zip Sewer 3 water licensed plumber Processing tifQg for „ sewer & water permits is two days once area as.been approved. . .?a . ' y.. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota StatUtes and City of ' Eagan Ordinances. ' Signature of Appl icant: BUILDING PERMIT TYPE O 01 Foundation O 02 5F Dwg. ? 03 SF Addition 0 04 SF Porch 0 05 SF Misc. WORK TYPE ?31New ? 32 Addition OFFICE USE ONLY ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. O 33 Alterations O 34 Repair GENERAL INFORMATION 11 11 Apt./Lodging ? 12 Multi. Misc. 13 13 6arage/Accessnry ? 14 Fireplace ? 15 Deck D 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. (Allowabte) lst F1. sq. ft. UBC bccupancy 2nd F1. sq. ft. Zoning Sq. Ft. total N of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Building tngineering --` Vai'I a?cc REQUIRED INSPECTIONS ? Site ? footing ? Wallboard O final ? Framing ? Draintile ? Insulation 0 Fireplace Permit Fee / 7 • vBiMt;«?: Surcharge ?3 , o0 Plan Review license MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit S/W Sorcharge Treatment P1. Road Unit . Park Oed. Trails Ded. Copier Other Total: . /y.f .K , ??16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 31 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units ? fCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612)6814675 SITE ADDRESS: P.I.N,: 10-17153-140-e1 DESCRIPTION: PERMIT 4589 H6RIZON CIR L.072 11 f3LOCY.: 1 CliES MRR EAST 4TIi PERMIT TYPE: Permit Number: Date Issued: (RGOFZNG) E3g:i7:dfrYt?rPermit '1ype A1;: tl 3 r? v Wk„rk T y p a q. aar ?,. ? ° '? ? fl ? A. F L'^?i?• ? Xe ? ?? {3i1 ?3 4 i&x Rv REMARKS: TiVCLUDES 4591 HORIZQN CIR (I.OI" 13) FEE SUMMARY: MWL1`I, (M75C.) REPaza 1 #°RYI 3@ vrLuArxoN $so0c0 k;aGFe icac $74.7(j 7otia1 Fee .;76e25 I ru.4 44 19 BUoI DING 026615 i0/24/95 CONTRACTOR: - Appi i c an t -- sr.La t: . OWNER: MAGNUhI CONTRACTORS 143163; 90006403 CHES MIaR hILtMEOWNER5 ASSOC 6773 UPPER 152Nt] ST W F' CJ Bf1X 518 RUSEMOUNT MI'd 55068 LAKEVTI.LE MN 55040. (612) 431--5379 ('612)469--371fl . , .? ?q . °9 1NSYEC1'lUN Kl;CUIlD CITY OF EAGAN PERMIT TYPE: a u t Lu zNc 3830 Pilot Knob Road Permit Number: P+ 2: 6 6 16 Eagan, Minnesota 551201897 Date Issued: 1 d f 2 4 i 9 5 (612)681-4675 SITE ADDRESS: F.I.N`' 1 U?-1 ` 15 3--14 v,-?,1 pppLICANT: Lora 14 eLncK: 1 4589 HUftTZ'ON CTR MAGNUM t:?f)N'I'Ft,FOC70RS CHES MAR EAST 4l'H (612) 431--6379 PERMIT SUBTYPE: MuQI, {mIsc.} TYPE OF WORK: REPATft UESCRTPl"TON (ROOFING) 2Q0 f=7NG r ' A# CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 New Construdion Reaulrements RemodeV?enair Reauirements ? 3 iegistered eite surveys ? 2 copiea ot plen ? 2 copias of plena (indude beam & window s¢ea; powed fid. desipn; etc.) ? 2 ske surveys (ezterior additions & deekc) ? 1 enerpy wialationa ? 1 enarpy calwlaGons for heated aaditions ? 3 eopies M 6ee pisservation Dlan if IM platted after 7H/93 required: _ Yes _ No DATE: ?- `% cD.-t e--1 S CONSTRUCTION COST: DESCRIPTION OF WORK: 4-1 -?w • ?? ??-^-?- STREET ADDRESS: LOT jjjj? BLOCK ?4 ?-? 54sG1 -?A i SUBD./P.I.D. #: rlcv ; zd-ti l,? fL?,c. _ L 2.a -z PROPERTY Name: 1AoA Phone #: ?IS? 3-7 %Ll OWNER Street Address• -? Y C -Zcn, (o S4s _ City: t a l-w ", kL.... State: 1'IN-\ Zip: S S°`1 `1 CON7RACTOR ComPanY: r224-,? ?? e- ?•^'? Phone #: 'W3 ' - C° 3, -I Street Address: (c"r73 .. ??. \to2^d5}\,.1 License #: 4p `4 Ciry: State: T'r\- Zip• SS otoQ ARCHITECT! Company: Phone #- ENGINEER Name: Registration #- Street Address- City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. PenaHy applies when address change and lot 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. ? Signature of Applicant: ?- OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY : ?. ' P u BUILDING PERMIT NPE ? 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-piex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Buifding Engineering MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: Valuation: $ % SAC SAC Units 2004 RESIDENTIAL RUII,DING PERNIIT APPLICATION ?? ? a3 City Of Eagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWc6onReauiremenfs RemodeVRenairReouirements 3 registered sile surveys showing sq. ft of lot sq. R. of house; and all roofed areas 2 copies of plan ? of Stlt9_egReo? ?;,?Y iJ (20% maximum lot coverage allowed) 1 set of Energy Calculatans for heated addifions "T*, ? 2 coples of plan showing beam 8 window sizes; poured (ound design, etc. 7 site survey foraddifions & decks lsetofEnergyCalalallons Addftion-indlcateifon-sResepfksyatem 3 copies of Trce Preservafion Plan if lot plalled aRer 711193 Rim Joist Detail Optbns selection sheet (bldgs with 3 or less unils oy D J / Z? v Z7Lx)J ate / Constructio n Cost Site Address /-/ 5 ''f /1'I / -7/2, UniUSte # -i-) Description of Work Multi-Fauuly Bldg _ Y_ N Fireplace(s) _ 0 Z Property Owner 1111l.090 OL'.L Telephone#(GV ) y?'/dSr p??, P1 5??? ?? 1: H 1?1: Contractor ? Address 3bU W, ???] ( 3 p City (> ???G(-? State /1.?? Zip 55337 Telephone #(SrL. ) 5P COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 (J su5mission type) • Residential Ventilalion Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously consiructed a building in/,E fee applies. ?? Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( If so, 25% plan review I hereby apply for a Residential Building Pemut 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 pemut, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accardance with the approved plan in case of rk which requires a review and approval ofplans. 4?± ,o ?14 0 ft-w oi' A ,J pplic:,,,t,s Prmted Name Applican's Signature A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted a similar plan? _ Y _ N ? ? Telephone #( l004 D Telephone # ( OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldc ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 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 (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_N O 25 MiSCellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & W ater _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Bri ck _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Appraved 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 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilat Knob Road, Eagan MN 55122 Telephane # 651-675-5675 FAX # 651-675-5694 New Constmction Reouirements RemodeURepair Requiremenis 3 registered site surveys showing sq. ft. of lot, sq. ft. of twuse; and all mofed areas 2 copies o(plan (20 % maximum lot coverage allowecQ 1 set of Energy Calculations for heafed additions 2 copies of plan showing beam 8 window sizes, poured found design, etc. 1 site survey for additions & decks 1 se1 of Energy Calculalions Addifion - indicate i( onsife sepfic system 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joist Dehall Options seledion sheet (bldgs with 3 or less uniGs 113.}S ??75?? ,i ?_ ? , : . Date 1? / be-. / OLA_ `` Construction Cost - l5'1q ' Site Address {y8 i.''-nn C"(C1'e' UniUSte # Description of Work '??\aLQ 5(.l? 1S?Q611? ?+ (tn t_Qx,t S?f101 ( Y1f'? 1 4'1C1 S Multi-Family Bldg q Y _ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner?fT1 I Y'nUCC?U ?:aC.YIe- Telephone#(?OS?) RMA HOME SERVICES INC. Contractor riome Depot Installed Sales Address 3200 Cobb Galleria Pkwy., Ste. # 200 City State A tlanta, GA 30339 Telephone # T BC-20268257 31 - • ' 4U04 /Y COMPLETE TNIS AREA ONLY IF CONSTRUCTING A - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submiuion type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee cpplies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, 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 . . ? a7a/1 l ofplans o pplicant s Printe ame pplicant's Signature OFFICE VST ONLY Sub Types O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt- Multi O 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 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-pleac Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34Replacement • , ,,, -'Demolkion(EntireBldg ) -GivePCAhandouttoapplicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Baoster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Foo[ings (addition) _ Plumbing Foundarion HVAC Drain Tile Other ? Roof _ Ice& Water _ Final _ Pool _ F[gs _ Air/Gas Tests Final , Framing _ Siding _ Stucco _ Stone _ Br ick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Approved 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 i • ?" Installed Siding and Windows LIMITED POWER OF ATTORNEY wuN rY OF cOss STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ('Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sa1es located at 560 Mendelssohn Avenue North, Go':den 4'alley, MN 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-7ones Building Permit Service, Inc. ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "TVork"). - The powers conveyed to the Agent by this Limited Power of .Attorriey are limited solely to Yhe eYpress powers delineated herein and app.1_y solely to the Work. This Limited Power of Attoiney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execixtion hereof. Further; the powers conveyed by this Limited Power of Attorney may be revoked by Principal at airy time by express revocation and shal] also be revoked by the Principal's death, disability, incapacity or incompetence. IN WT?NESS WHEREOF this Limited Power of A??or!;ey is ?.xec, rted this 21 st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFOAE NIE by David N. Katz on this 21 st day of May, 2003. Notary P ic in for the State o eorgia n1y Commission Expires: January 21, 2006 396816.v3 - Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toli free (800) 79-DEPOT 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWcfion Reouirements 3 registered srte surveys showing sq. f4 of lot, sq. ft oi house; and all mofed areas (20°G maximum bt coverage albwed) 2 copies of plan shaxing beam & window sizes; poured found design, eta 1 set of Energy Calculations 3 copies of Tree Preservation Plan H lot platted after 711193 Rim Joisi Detail Options selection sheet (buildings with 3 or less uni4s) Minnegasco mechanipivenlilafbnform 7L9 , 60 RemodellReoair Reouiremenis Office 3JseflnN 2 copies of plan showing foolings, beams, joisls CertalSurveyAecd;, Y=N 1 set of EneTgy Caiculations for heated additions Tree Pres Pleh R?kd ,-. N, 7 sde survey for eddiiions & decks 7ree Pres ?2equued ? N Y 'N Addition - irrdicate 'rf onsde septic system Or?sde$epLC Syst6m _.??Y •= N C.a.tJ?,?, !? lbls Da[e ':6 / -29/j? ConstructionCost70 Site Address ??? ?l}' ixo? 041Jp UniUSte # Descriptioo of Work &.fJ1 n I' v 1 ULTTV. Multi-Family Btdg ? Y _ N Fireplace(s) _ 0 2 PropertyOwner KtfvL Zcet'lL'i Telephone# Contractor c?F 1 l6Zt -" p STiI''1A ?? OT-L p Address ??q ?f? l7 11 F' ?l I Cih' ZiDI" A, _ Pi State L4} Zip Telephone#(95t2) 3c'13_6S7o2 C61 ,7 ai3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Cade Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on p master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? - . ?QO^ ' ? Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and`ackriowledge that the information is comptete 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. -1 L1 CZPAi ?P,2?- , licanYs Printed Name Ap icant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01of_plex ? 04 02-plex ? 05 03-plex ? 06 04-piex Work Tvpes ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch(Addn. (4-sea.) O 10 08-plex 7r, 18 Deck ? 23 Porch (sueen/gazebo) ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ? 37 New ? 35 L•]' 32 Addition ? 36 0` 33 Alteration ? 37 ? 34 Replacement Description: WaterDamaga_Yes Valuation Plan Review 100% or 25% Census Code SAG Units # of Units # of Bldgs Type of Const ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building• ? 43 Rerpof ? 46 Windows/Doors 'Demolition (Entire Bidg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth _ Footings (new bldg) ?,,,?0 _ Footings (deck) -^ ? ?-j, ?LY"__? ? Footings(addition) Foundarion Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Air Test _ Final Insularion Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tatal REQUIRED INSPECTIONS _ Sheekock _ FinallC.O. _ FinaUNo C.O. HVAC Other _ Pool Ftgs Au/Gas Tests Final _ Siding _ Stucco Lath _ Stone Laffi _Brick _ Windows _ Retaining Wall Building Inspecto? 0(?L 0(_,90 ? ? ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4589 Horizon Cir Lot: 014 Block: 001 Addition: Ches Mar East 4th PID:10- 17153- 140 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Home Depot at Home Services, The 5169 Winnetka Avenue North New Hope MN 55428 (763) 367 -9740 e- Windows/Doors Windows/Doors-New/Replacement House 434- PERMIT City of Eaan BL - Base Fee $2K Surcharge - Based on Valuation $2K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 Total: $70.00 Owner: Stephanie J Krause 4589 Horizon Cir Eagan MN 55123 $69.00 0801.4085 $1.00 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA075106 09/12/2006 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4589 Horizon Cir Lot: 14 Block: 01 Addition: Ches Mar East 4th PID:10- 17153- 140 -01 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Home Depot At Home Services 656 Mendelssolm Ave. N Golden Valley MN 55427 (763) 542 -8826 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Stephanie J Krause 4589 Horizon Cir Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA091241 09/22/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA122380 Date Issued:05/06/2014 Permit Category:ePermit Site Address: 4589 Horizon Cir Lot:14 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-140 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Stephanie J Krause 4589 Horizon Cir Eagan MN 55123 Maus Construction 13432 Geneva Way Apple Valley MN 55124 (612) 703-5025 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169005 Date Issued:05/11/2021 Permit Category:ePermit Site Address: 4589 Horizon Cir Lot:14 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Stephanie Joyce Krause 6345 4th Ave S Richfield MN 55423 (612) 701-6819 Weld & Sons Plumbing 3410 Kilmer Lane North Plymouth MN 55441 (763) 475-0296 Applicant/Permitee: Signature Issued By: Signature