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887 Ivy Lane ? 6 5385 /,ao2 Requesc Date Fua No -?n InspecAOn R ? ? Reatly Npw mNVlll NoIM Inspector 3• - i 9- ?s s o? Whw Raady, I'[(].licensed contrector p owner hereby request inspection of above electrical work at: • - JoC Atldress (Sheel, Boz or Route No.) J ' Gry ? q3 ,TQ u ? n $ecron No I Town ip Nartre or No flange Na. Counry pAKAG nt(PRINn Occupa Phwe No. ^ Power suvWier Adtlress E?RC?}'1lG ElecvKal Comracror jCOmpeny Name), CoMrocmrS I.icanse No. S?nrls.a. Eis.al'tlc Mailing AtlOress (ConVactar oi Oxner Naking Installatron) ?tc?g0- rd? fup- tii)o mPl.s rnN 5?+3 Nutnonzetl Signawre iCOmraclor/awner Making Ins'alWtion) Phone NumDar .? Kari?.OQ _ 5bb- 600 MMNESOTp STA7E BONND OF ELECTAICITV THIS INSPECTION FEWEST WILL NOT GrIpgFMWM'ay Bldg. - Noom 5-173 BE ACCEPTEU BV THE STATE BOAflO 1827 Univerpry Ave., SL Fwl, MN 55104 UNLESS PROPER INSPECTION fEE IS phpry (61=) 542.p9pp - ENCLOSED ?/?? /p/ ? REQUEST FOR ELECTRICAL INSPECTION M / See instruc4ons !or compbt?ng this brm on Oack ol yellow copy I? U 5 3 8 5 "X" Below Work Covered by This Request ee-aoooi.oe I ???? /00 Sa2/ e Add Rep. . 7ypeafBuiltlmg ApphancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwidmg Dry" Other (Specity) Comm./Industrial tel Furnace Farm Air CondiUOner Omer (spectly) Conlractor's Remarke. Compute Inspechon Fee Belaw: Diher Fee # ServiceEnlranceSize Fee # Circuils/Feeders Fee Swimming Pool ro 200 Amps 1- 'p 0 to 100 Amps 40- Transformers Above 200 _ Amps Above too _ Amps SignS Inspectork Use anly: TOTAL ? Irngation Booms g Special Inspection Alarm/Communicatwn THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby RougRin e 3-?7 Ci ? G certi that the above ins ection has fY , P been made. Fnal ! oete (l., dir J - `e OFFICE USE ONLY . , T1iis repuest voi0 18 monqis h'om t3 /? 9/ /a o y?a ? 4 316 ,?? ,? • - '$j?- do Request Da[e Frte No Rough-in Ins ciwn Peqm/? ? O71eaEy Now ? Will Nmity Inapeclor . .3-5.-9 CFes No W?enReatly? Ik]ftensed contrector p owner hereby request inspechon of above electrical work at: Job"C?c1reet, Box or Route No ) Ply 3v Ea n Section N. Tow hip Nama or No Range No. County OQ Occupent(PRINT) Phone No <y- Pow erS upplier Address ^ _ Elecincal Convaclor(COmpany Name) ConVacror§ Lmense No. 5-y-rise • i Mailing Atleress ICOnlraclor or Onner Makinq InsiallaLOn) r rJ 55443 Nuthonzetl SignaWre (GOmractorlOwner Making InstallaLOn) Ph ne Number 3 1'SarmlYa - 60U MINNESOTA STATE BOAHD OF ELECTNIqTY THIS IN9PECTION REQUEST WILL NOT Grigge-Mldway 61Eg. - Room 5493 BE ACCEPTED BY THE STATE 60ARD 18]1 Unlvenity Ave., $I. Peul, MN 55104 LINLESS PROPER INSPECTION FEE IS Plmne(612)60Y-0B00 ENCLOSED -/?gr H 47316 REQUEST FOR EL"ECTRICAL INSPECTION le See instmclmns for compleLngAhis form on pack of yellow COpy "X" Below Work Covered by This Request Ee-00DO, oa ? J aR ?0 0 ?,2 C?. ?%jv e Add Rep TypeofBuiltling AppliancesWired EquipmentWired Home Range emporary Service Duplex Water Heater Electnc Heahng Apt. 8uilding Dryer Other (Specify) Comm.llndusirial ' Fumace Farm Air Conditioner Other (spenty) Cqnhactor's Remarks Compute Inspechon Fee Below: # Other Pee # ServiceEniranceSize Fee # Cvcuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Slgns Inspecror§ Use Only ? TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspecror, hereby Aough-in oa?e certrfy that the above inspection has been made Fine1 oa?e ? OFFICE USE ONLY This reQUest voitl 18 monihs Irom / ? 6 3 8 6/,2 Repuesf Date Fire No Rough- n 1 edron Requi ? Reatly Now B'Qdl NoUty Inspector - q-? f6?es C? No When RBeRy't i 10'(censed contractor ? owner hereby request inspection of above electrical work at: JoU AtlCress (Slreet, Brn or Roina No ) Gy S9i 1U Sxbpn NO Ta hip Name or No RangB No Counly - I I '/?y OQ?Ii 1ri\ OccupaM (PRINT) Phore No. n:ek.J Honz.Lr'? rl PowarSupplrer Atltlress 06x0ta ElecVical Contractor (COmpeny Name) Conhatlo/S Lcense No SS.s??nse Fts.c,?ic ?A'1?? -4 Mailmg Ntltlress (Contrdciw or Owmr Meking Inatalletion) . g0- erd A_x_ tJo ma 5 mJ 5 Auttqnxetl Sgnature (ConV2ttor/p.mer Malang InslalleLOn) P?q?a NumOer _ ,???r, - - - 5bb-860o YINNESOTR STATE B011RU OF ELECfRICRY THIS INSPECTION REQl1E5T WILL NOT Grlgpa-Nltlway BWg. - floom S173 BE ACGEPTED BY TME STqTE 60FRD 1Bf1 UnlvenNy Aw., 51. Peul, MN SSIOC UNLE55 PROPER INSPECTION FEE I5 Plnne (612) 642-0800 ENCLOSED. ?/?i/9r , a 65386 REQUEST FOR ELECTRICAL INSPECTION ? See instmdions Io;i;Cbmpletin§Ihis torm on bsak ot yellow copy "X" Below Work Covered by rhis Request Ea000o1-0e 95 ew AAtl Rep: ' TypeoiBuddinq AppliancesWired EqmpmenlWired Home Range Temporary Service Duplex Waler Heater Electric HeaUng Apt. Butldmg Oryer Other (Specify) Comm./Industnal Ve Fumace Farm Air Conditioner 01her(specity) ConVactor's Remarks Compute Inspection Fee Below: # Other Fee 8 ServiceEnfranceSrze Fee # CrtcuitsrFeeders Fee Swimming Pool 0 to 200 Amps ?$ - (o 0 to 100 Amps ?- Transformers Above 200 _ Amps ? Q-Amps SignS Inspector5 Use OMy TOTAL ? Irrigalion Booms J u ? Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDEPED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 78 OTIT?}1S. - , I, the Electrical Inspector, hereby pough.n ? certify that the above inspection has been made. F,,,,i oaie OFFICE USE ONLY This requesl voitl 18 monMS from / / 71 - - ?. ? W 0- 47 3? ,o ., g FequeStDate " - Frte No Roughinlne wn Reqmretll G Aeatly Naw OAdl Notlry Inspector " ?+?es ? N. When RBatlY? I GYGcensed-coritractor ? owner hereby request inspection of above electrical work aC .bb Atltlress f$ireet, Box or Routa No ) Clfy ?'? . ? ?,Gt G117 Secnon No 7imphi Name or No. Nange No Unry CO _ 1 ^ ^ Occupant (PRINT)"---' Phone No. ' I ... ?? Power SupOber',,;,;t Atltlress Elecincal Contr2cY6,-(Company Name) Contrador's lKense No = 3G???S-4 Mailing Atltlress fCOnfrector or Owner Making Instaila?on) ? y:u,g3 r? Aix- t,'10 1Y1? rniJ AulM1Onzetl Signi (COnvactorlOwner Making Installationt Phone Number _?_ MINNESDTA STATE BOARD OF ELECTFICITV THIS INSPECTION REQUEST WILL NOT Grigga-Mldway BIEg: - Room S-173 BE ACCEPTEO BY THE STATE BOARD 1821 Unlvlralty Ave., St Pavl, MN 55100 UNLE55 PRDPER INSPECTION FEE IS Plrone (812) 642-0000±; ENCLOSED 0 g/ REQUEST FOR ELECTRICAL INSPECTION ? See msRuctions !ar complenng Nis lorm on back ot yellow capy ?...yyy'... ? EB-OOOOb08 ? 47310 X" Below Work Covered by This Request hm, ° e Adb Rep; , TypeoBuilding AppliancesWired EqmpmentWiretl FVame Range Temporary Service -- D'uplex Water Heater Electric Heating 'Apt. Bwlding Dryer Other (Specity) : Comm./Industrial Furnace r Fartn Air Conditioner OI_her (speatyi ConVaclor9 Femarks Compute Inspection Fee Below: # Dther Fee # ServiceEntrance5¢e Fee # Cucurts/Peeders Fae Swimmirg Pool 0 to 200 Amps - 1Q 0 to 100 Amps ?- Transbrmers: Above 200 _ Amps 00 _ Amps S19n5 °--,. Inspeclor's Use Only v TOTAL Irrigation Buoms Speciahfnspection Alarm/Qommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee '-"- COMPLETED WITHIN 18 MONTHS. I, the Electrical- Inspector, hereby Rougn-in r 42 oam . 2 certilythatthea6oveinspectionhas been made. F,,,ai e OFFICE 115E ONW "'- • This reyUBSt vold 18 m9Mhe irom -V //S/ - /o 03/5 47311 ? ;?58 °a Request D9te Rre No, Rough-m speclion qeq, ? ReeOy Now 67'dlill Notity Inspector ?es u No W?en ReaGy9 Ihig'licensed contractor EJ owner hereby request inspection of above electrical work at: Job AOOress (Stree4 Box or Rome N. ) Ciry s') zv EQ n Secoon No. Township Name or No Range No nty Co u ? ( ( J aN?G Occupanl(PRINT) Phone No. N? Hon? Power SupOLer Atldress OC\t0+G E-4?-C.NC Eleclr¢al Conhactor (ComOany Name) Convacrors LKense No 5?1`1Srt, FLLCKic 31 Madmg AOtlress (Conkactar or Qwner Making Insiallation) 4080-93rd Ave. 00 1'Y1R5 mW 55443 Author¢etl Signature (GOnVaCOn'Owner Makmg InstallaLOn) Phone Numbar -,T 4(,ck?o, - - - - - 5bL--8b00 i MINNESOTA STRTE BOARD OF ELECTRICITY THIS INSPECTION REpUEST WILL NOT Grigqs-Mbway Bltlg. - Poom S173 BE ACCEPTED eV THE STATE 00ARD 1821 Unlvenky Ave., SI. Vaul. MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone(611)BC$-0800 ENCLOSED -Y1/9i ' H 47311 REQUEST FOR ELECTRICAL INSPECTION ? See insimciwns 1or rompleLng this lorm on back ol yellow copY "X" Below Work Covered by This Request ee-aaooi.oe /o03/S e Add fiep ",Typeot8uilding AppliancesWnetl EquipmenlWired Home Ranqe Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Other (Specity) Comm./Indusirial Furnace Farm Air ContliM1Oner OMar (spealy) Gonlrpctor§ Remarks Compufe lnspecfion Fee Below' # Other Fee S ServiceEnlranceSize Fee # CircwLS/Feeders Fee Swimming Pool 0 ro 200 Amps ? 0 ta 700 Amps - Transformers A6ove 200 _ Amps Abov 00 _ Amps SIgOS InspBCtor9 Use Only ?') U TUTAI Irngauon Booms Special Inspection Alarm/Communicetion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rough-m oere , ? certify that the above inspection has been made. Final r? OFFlCE USE ONLY Al , Thrs repuasl void 18 months Irom \_ . .cq. . .-.?' `"? `: `,=' ?` • .. 3830 PILOT KNOB ROAD ; e ..T,. T .T .. . ERGRN; MINNESOTA 55122 - • - onre '? I 1 1 .. 1e L? i. ` t ,? • _ -?mw {? "' ? ? S?"U !? ? 2 ? ? ? t ?_•,n..: ??'? ,u+ouNrt , a ? ooii.ws ?`.i?•a}: ? ? • ' 0CASN?-. OYCHECIC . . '' a1OZ / ';. =? u-1 i g`. OBJECT -. ;.J, ,._ ; . .. . . ? ? ?. c.GTT`.AMW Z? ... ? 1 I ? ' ' . _. 8V Ca7/. Y«""'?,? 12069 „ .. Nnk-FY Cmv } a ?+ EvErPT .??.• '"??? -...=- v4-.??r'?; ?.C?.;?.:.?? `.?.:",T?? ? .?..,..? ? ClTY.OF.EAG/#N._ ?.a 3830 PIIOT KNOB ROAO _ ` EAGAN, MINNESOTA 55122 , DATE 19 C? . ??a[tYMG ill-,A -' ? ;', ?. .. . . .. . _ - AMWM $ '. t. 6 DOLURS ? CASH ? 6/4CHEqf . _ • " a` . • ? -1 t.'? '? . 1 ?u'-T D 2. ' 7- - F-? ,??FLN?' ? OBJECT-'i.? ,''- - M -? _ - .- i j.' , ' , .. . . pek?r . -- sr c; c n _ ,. C12069 Y.NOW-410.CM ,. . . ??.?„ ,r.???i?? . ? . . :,•_ . ,.;?..?.. : =:: - _ _ ° ;?-.,,' , ? . _ ?-... E ITY:4F-EAGAIN. ? 3830 PIIOT.KN08 ROAD -' , ? - EAGAN, MINNESOTA 55122 ... ? ' ? 1 9 x... , DATE { ? ? , iEC[rvFn f -? rnW 7? ` }.y • ` [? ['? :[. ?. Yl .? 'l'? ?=1. N ?i_ ,. 1i .. . ? . AMWIIT $ 1 z. ? J?L> (j(...J & DOLIARS p ?CASH. &/CHEG( - ? . - ? ..«;: "•7(`` ?^ '='it ../ ? ?v' 1 U? J,i•-"''?' ?? ' ? h„V L+ ' 1" > ? IR r, T i _ ,..?, t ? , ? ! ?. ..?C: . T ?? ..FUND • OB,IECT ?+ . ?. . . . M U ".' . ? _ ; ' _ • . ;:.°;. . . Thank You ev 12069 y"'".CC" . ? . . _ _ . Ph*--FW Caa, . qddrgss; 893 IVF LANE Lot 1 Blk 2 Sec/Sub WESCOTT SQUARE These items were/were not complete at the time of the final inspection. Dat : Yes No W Inspprtor, Fin31 grade (6" from siding) ? Permanent steps - garage Permanent steps - main entry Permanent driveway V/ Permanent gas i/ Sod/seeded grass Trail/curb damage ? ?'+?.e ? Porch Basement finish Deck l+? Please verify vith the Suilder the removal oE roof test caps from tha plumbing system and the shut-off of watez supply to the outside lamn faucet befoze freeze potential exists. ? xFCKt[?XHR White - City copy Yellow - Resident copy Pink - Contractor copy Address: $91 1VY LANE Lot 2 Blk 2 Sec/Suh WESCOTT SQUARE These iCems were/were not complete at the time of the final inspection. D N : Yes No Tnqpprror- Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry Permanent driveway ? Permanent gas L/ Sod/seeded grass Trail/curb damage Porch ? Basement finish t? Deck ? Please verify with the builder the removal of roof test caps from tha plumbing system and the shut-o£f of vater supply to the outside lawn faucet before freeze potential exists. ? aoneor.rtx White - City copy Yellow - Resident copy Pink - Contractor copy Address: gsy rW LJ6M Lot 3 Blk Z Sec/SubyEgr„pTT SQUARE These items were/were not complete at the time of the final inspection. Yes No Final grade (6" from siding) L__? Permanent stepa - garage ? Permanent steps - main entry Ll? Permanent driveway ? Permanent gas Sod/seeded grass ? Trail/curb damage ? Porch Basement finish Deck ? Please verify with the builder the removal o£ roof test caps from the plumbing system and the shut-off o£ water aupply to the outside lawn faucet before freeze potential exists. ? .ECm?oartc White - City copy Yellow - Resident copy Pink - Contractor copy Address: 887 IVY IAM Lot 4 Blk 2 Sec/Sub W?'„pTT' $Q[JARE These items were/were not complete at the time of the £inal inspection. ]Q 1( q] Yes No Final grade,(6" from siding) V/ Permanent steps - garage Permanent steps - main entry L? Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. & IYCM.IEUM%P White - City copy Yellow - Resident copy Pink - Contractor copy 'POWNHOI)SE FOR-SAIE LiNIT i-AT's 1-4 • ' CITY OF EAGAN Np ?$??Z 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C 12069 To be used for 1 OF 4-PLEX Est. value $77,000 Date FEB 11 , 1 g91- Site Address 893 IVY LN Lot 1 Block Z SeGSub. tdESCOTT SQUARE Parcel No. W Name NEW HORI20N HOMES INC o Address 12201 MINNETONKA BLVD City MINNETONKA Phone 933-2521 o I SAbfF 3ig Address ? City Phone 8wlName GRISWOLD & ASSOC ?,- ? Address 11975 PORTLAND AVE S aW City BURNSVILLE Phone 894-6287 I hereby acknowlege that I have read this applicauon and state that the infortnahon is correct and agree to cy mply with all applicable Slate of Minnesota Statutes and Ciry?dOrce`=/j4E Signature Of Permitee A euilding Permit is issued to: NEW HORI ZON: NOMES INC on the espress condnion that au work shall be done in accordance with all applicable State of Minne?so?ta? S?tatules afnd Ciry of Eagan Ortlinances. Building Oftiaal ? f_? ?,?2[I1 ?,J_??i?A 114 OFFICE USE ONLY Occupancy R-3 M-1 FEES zoning R-3 (Actuaq Const -Y--P1 eldg. Permit 536.o 0 (Allowable) V- Surcharqe 38.50 Y ofSlones Length 44' Plan Rewew 0 348.0 OeptO -aQl SAQCiry lnn.nn S.F.Total - gqC,MCWCC 650.00 S.F. Footpnnls - On Sne Sewage - waler Conn 660. 00 On S1e Well Water Meter 90.0 ? MWCCSystem X 3n nn City Water x- Accl. Deposit . PRVRequirea _ S/VJPermit 30-00 Booster Pump - gryy Surcharge - Sn Trealmanl PI 276.00 APPROVALS RoetlUnit 370•0 n Plenner - Park Detl. Council BIdg.011 _ Copies VarianCe - TOTAL ? 3,129.0 DOWNlIX1SE FOR-SAIE iRdIT 11JL5 11+ . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8700 BUILDING PERMIT Receipt # To be used foi 1 OF 4-PLEX Est. Value $98.000 Date FEE Site Address 891 rn IN Lot Z Block 2 SeclSub. WESCOTT SOUARE Parcel No. w Name NEW HORIZON ROMES INC 3 Address 12201 MINNETONKA BLVD ° City MINNETONKA Phone 933-2521 o Name SA14E ;k. Address • City Phone 0 lName GRISWOLD & ASSOC Address 11975 PORTi.AND AVE S City R rRN1_VTT.1.A Phone 994-6287 i I hereby acknowlege that I have read Ihis application and state ihat Ihe iniortnation is comect and agree to comply with all applicable State of Mmnesota Statutes and City of Ea rdi ?ces. Sgnature of Permrtee n euiming Permit m issued to: NEW HORIZON HOMES INC on the express condiUOn [hat all work shall be done in accordance with all appocable State of Minneso[a Statutes and City of Eagan Ordinances. ? BuildingOtlicial 1 ??T.QLd'! y?, II?4 N° 18703 1991 _OFFICE USE ONLY Occupancy R- 3_PL-1 FEES Zoning R-3 (Actual) ConSt -y--N Bldg. PermR 631.00 (Allowa6le) V-N Surcharge 49.00 M ot Stones 409.50 Length 44? PlanReview Depth SAC, Cny t nn _ n? S.F. ToWI - SAQ MCWCC 650.00 S.F. Foolprinis - 660 00 On Site sewage - Water conn . On Sde Well - Waler Meter 90. 00 MwCCSystem X Accl. Deposit 30.00 Ciry Waler ? PRV Required _ SM! Permit 30,00 Booster Pump - S/W Surcharge .50 Treatment PI 0 276.0 APPROVALS RoadUml n 370.0 Planner - park Ded. Counca -- BIdg.OH. _ CaPies Variance - 707AL 3+296.00 FM-SALE UNIT CITY OF EAGAN Np 1$704 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # C 12069 To be used for "1 OF 4-PLEX Est. Value $98, 000 Date FEB 11 ,?g 91 Site Addrd'ss 889 IVY t N Lot 3 Block _2- SeGSub. WESCOTT SQIrARE Parcel No. w IName NEW HORIZON HOMES INC o Address 12201 MINNETONKA BLV? City MINNETONKA Phone 933-2521 o Name SAMF' ?a Address ? City Phone wWlName GRISWOLD & ASSOC W 11975 PORTLAND AVE S ?? Address <w City B RN ??I .LE _ Phone 894-6287 I hereby acknowlege Ihat I have read this application and state that the inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City olA' granp.0inan?ces.// SignaWre of A BuAding Permit is issued to: NEW HORI ZON HOMES INC on the express wndition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. 0 Building ONiCial OFFICE USE ONLY OccuPancY R-3 M-1 FEES Zoning R-3 (ACtual) Const V-N eldg. Permn 0 631.0 (Anowable) V-? surcnarqe 49 _ On 1' 01 Stories - 409 50 Lergth 441 Plan Rewaw . Depth ?±? ? SAQ Ciry 100.00 S.FTotal - SAC,MCWCC 650.00 S.F. Footprinis - Water Conn 0 660.0 On Sile Sewage _ On Sita Well Water Meter 0 90.0 MWCC System X 30 0 0 Water City 7(_ ?l. Deposrt . PRV Re9uired _ S/W Pertnit 30.00 BoosterPump - S/WSurtharge •50 Trealment PI 0 276.0 APPHOVALS RoadUrnt o 370.0 Planner - Park Ded. Counal BIdg.Off. _ Copies Variance - TO7AL 0 3,296.0 TOWNf10USE FOR--SAIE l1HIT LOTS 1-4 ,. • CITY OF EAGAN N9 1$705 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 BUIIDING PERMIT • Receipt a C 12069 To be used lor 1 OF 4-PLEX Est. Value $77.000 Date FEB 11 1991 Site AddreSS 887 IVY LN OFFICE USE ONLY Lot 4 Block 2 Sec/Sub. WESCOTT SOUARE Parcel No occuPancy R-31M--l FEES . Z n R-3 oni g a Name NEW HORIZON HOMES INC (ActuaqConst ?!-N Bidg Permit 535_00 ; AddreSS 12201 MINNETONKA SLVD (Allowable) V-N Surcharge 4R_Sn ° Cit MINNETONKA Phone 933-2521 Y r of stones O 348 0 L th 30' Plan Review . enq o Name SAME oevtn 44 ? sac. aty 100.00 , ?? Address S'F T°tal - MCWCC SAC 650.00 ? City Phone S.F. F°°'°""`s - , nn bbo Sewa e O S t Water Conn _ n g i e - ?a GRISWOLD & ASSOCIATES N0rt10 onsitewell - Water Meter 90.00 ww i? Address 11975 PORTLAND AVE S MWCCSystem X i 30.00 V 0 AccL Depos l aW cit BURNSVILLE phone 894-6287 y Cnywater i ed PFV R X SlVJ Permit 30.00 r equ _ I hereby acknowlege that I have read this applicalion and state that the Booster Pump - - S/W Surcharqe 0 .5 informalion is correct and agree to mply with all applicable State ot Minnesola Statutes and City of Ea Ordi a}1ces. Treatmem PI 976 - nn Signature a( Permitee APPROVALS Road Unil 370.00 A Buildin9 Permit is issued to: NEW HORIZON HOMES INC Flenner - park oed. on the express condNOn that all work shall be done m accordance with all Council applicable State ol Minnesota Statutes and City of Eagan Ortlinances. BIOg. Oti. _ Copies ? 1 y?.? ? Q ? l?' I" . Varwnce - TOTAL 0 3.129.0 Bwldmg Otlicial !, U? . ,Q a?? •?a?+ ?: , .v? ? rz#ifir?te uf (Orrupanry (titp of tagan 191tw#!ltPttY D# WieUig JltSvPtttDlt Thir Ceruifu;crte issued pursuant io the requireraents of SecAion 306 of the Unijorm Building Cade csertifjYng thatut the time ojissuance this struclure xas in compliance wilh the various ondinanaes ollhe at}' regulaan8 building conowcdon or use. For rhe following. U. a..ScI 0 F 4 F B$ S eW& Fkx" rim 18705 o.a•,.yryv, - N $3/1' 1L z.?.s mu;a R3 Tym cosa Vb owumaremaiv Ho?iTm+t rxWS TW? tM i Mtxe ar.Vn, MTtn Hwd;,,4md,,. 887 IVY LAW, L4, I . WE?rtT qntaaF POST IN A CQNSPICUOUS PLACE SEW.FR 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FE $ 11, 1991 METER # CHIP # OFFICE USE ONIY METER SIZE ISSUE DATE PERMIT DATE 02/ aQj 9l PERMIT# 11818 B.P. RECEIPT # C 12069 1 B.P. RECEIPT DATE 0211119 _ PRV _ BOOSTER PUMP SITE ADDRESS _ 393 IVY I1N LOT IBLOCK ` SEC/SUB WESC017 SQUARE APPLICANT: . ADDRESS:_ CITY. STATE PHONE: _ ZIP PLUMBER: PLYMOUTH pLUM3IliEG INC ADDRESS: 929o ZAcmuY LN CITY, STATE EApIX CFOVE KH Z1P 55369 PHONE OWNER: KEW HORITAN HOM INC ADDRESS: 12201 HIMNETQRiLA BLVD CITY, STATE HINNETON" MN Zlp 55343 PHONE: 9313'2521 PERMIT REQUESTED X SEWER X WATER _ TAPS - COMM/IND X NEW X RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Douct Meters. '` ?''%- ?•s':l?.•S`• f_ ,?'` ? .f!'[ •'if' ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM , CONTACT ENGINEERING DEPT. ? CASH RECEIPT i CITY OF EAGAN . , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 rECErvEO ?11 }1 . ' c110M i ??" :.L, ?`• L?= t' i: (., ? *,...?-.?1• --l>? ? AMOUNT & DOLLAHS ?/ ,ao O CASH [?Y CHECK c- {?-- FM ?. ? . ev C 12069 ?,??a?? veikwp-4N)sune Ca+r Pink-fib Copy Thank You SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 551 22-1 897 DATE ` fEIs 11, 1991 _ PRV - BOOSTER PUMP SITE ADDRESS -893 i WY LN LOT ' BLOCK ' SEC/SUB WLSCOTT SQUAItE APPLICANT: ADDRESS:_ CITY, STATE PHONE: - OFFICE USE ONLY METER # PERMIT DATE 02 /Zn/91 CHIP # ?q-",0?9f,7 PERMIT # 11818 8 METER SIZE 5I o C• B.P. RECEIPT # G 12069 ISSUE DATE 4' 9" 9/ B.P. RECEIPT DATE r2 11 y 1 ZIP PLUMBER: pLYMOUT}t FLUMBIAiG INC ADDRESS: 9290 7,ACTiARY LN ? ClTY, STATE :7.PLE GROVB MN ZIP 55369 PHONE: ' ''Z-2474 OWNER: _ ADDRESS: NEW HOKIZpN HOMES IriC 12 201 MINNETONK4 PERMIT REGIUESTED x SEWER x WATER - TAPS - COMM/IND %• RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL,NOT be given for Dgduct Meters. A6REE TO COMPIY WITH'CITY OF :AGAN rANCES CITY, STATE MI14NETOPiVA M14 Zip 55343 PHONE: r,33-251'1 SI NA UR WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM ` SEWER PERMITS, CONTACT ENGINEERING DEPT. SEW,ER & Vl(ATER PERMIT CITY`flF EAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 •. . DATE '' FE$ 11, 1941 OFFICE USE ONLY METER # PERMIT DATE (121.201A CHIP # PERMIT # 11815 METER SI2E B.P. RECEIPT # c 19nr.9 ISSUE DATE B.P. RECEIPT DATE 011111() 1 _ PRV - BOOSTER PUMP SITE ADDRESS 891 I Vti' ?.;d LOT 2 BLOCK 2 SECiSUB WEwCOT'T :.'C°L!AFtE APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: PLYMOUTfl PLIIltsINt: IHC ADDRESS: 9240 ZACHARY LN CITY, STATE ?? ?OVE MN ZIP 55369 PHONE: 443-2474 OWNER: NE1i uL1AIzOti flOW$ IIiC ADDRESS: 12201 HI1fWETONKA BLVD CITY, STATE MI'??r--T!.?!F'A !gl ZIP 5513j+3 PHONE: `' ? '' - PERMIT REQUESTED X SEWER x WATER - TAPS - COMM/IND -J- RESIDENTIAL -X-- NEW EXISTING Lawn Sprinkier Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. . ? I AGREE TO COMPLY WITHPCITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & VIiIATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE ' FEB 11, 19 OFFICE USE ONLY ?l METER #?? J d(O /7? PERMIT DATE 02 Z2O/91 CHIP # PERMIT # 11819 METER SIZE _- B.P. RECEIPT # C 12069 ISSUE DATE`5?'' 2 0-? B.P. RECEIPT DATE 0211 1!91 _ PRV _ BOOSTER PUMP SITE ADDRESS i'v Y LN LOT 2 BLOCK ?'- SECJSUB WESCOTT SQt1ARE APPLICANT: ADDRESS:_ CITY, STATE PHONE - ZIP PLUMBER: PLYMQUTH pLUMBING INC ADDRESS: 9290 ZACHARY LN CITY, STATE MAPLE GROVE MiV Zlp 55369 PHONE: 493-2474 OWNER: NEW HORIZON HOHE5 INC ADDRESS: 12201 MINNETONKA BLVI) CITY, STATE M7.NNETONKA Mh ZIP S 5343 PHONE: `%33-2521 PERMIT REQUESTED x SEWER x WATER _ TAPS - COMM/IND _X_ RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WI4flOT be given for Deduct Meters. I AGREE TO COMPLY WITHCITY OF I EAGAN ORDINANCES i I SIGNATUFjE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ' SEWER PERMITS, CONTACT ENGINEERING DEPT. SEVWf R & TER PERMIT CITY OF AN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 . ? DATE • . AB 11. 1941 .. , OFFICE USE ONLY METER # PERMIT DATE 02/20/91 CHIP # PERMIT # 11820 METER SIZE B.P. RECEIPT # C 12061i ISSUE DATE B.P. RECEIPT DATE 02/111 91 _ PRV - BOOSTER PUMP SITE ADDRESS 8E 9 ZVY LN LOT 'i BLOCK 2 SEClSUB WESCQ?T SQUATcE APPLICANT: ADDRESS:_ CITY, STATE ZIP PHONE: _ PLUMBER: PL?UTH pl.[!l?iB1NG TNC ADDRESS: 9290 ZACHA&Y 1.N ` CITY, STATE HAPLE GROVIE MN Zlp 55369 PHONE: 493-2474 OWNER: NEM NORIZON 1I0m8 I11C ADDRESS: 12201 lSltiNETOltKA BLVD CITY, STATE MINNETUIOKA MN ZIp 501343 PHONE: 934._7521 PERMIT REQUESTED X SEWER X WATER _ TAPS - COMMiIND X_ RESIDENTIAL R NEW EXISTING Lawn Sprinkier Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WIL,1. NOT be given for Deduct Meters. /r .?/r''..d? ?t' ?/?? ?t..- ? I ICGREE TO COMPLY VIIITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & W' ATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE FEB 11. 1991 _ PRV - BOOSTER PUMP . OFFICE USE ONLY METER #??7_1?-g/ 3 PERMIT DATE 02/20/91 CHIP #0 A 3 9 1" o pERMIT # 11820 METER SIZE ?` 'P ? B.P. RECEIPT # C 12069 ISSUE DATE ?v -/41- J/ B.P. RECEIPT DATE U? 11 91 SITE ADDRESS 889 IVY I-N ,% LOT 3 BLOCK 2 SEClSUB WE:;COTT "nUAkr APPLICANT: ADDRESS: _ CITY, STATE PHONE: _ PERMIT REGIUESTED x SEWER X WATER _ TAPS - COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed PIUMBER: pL77CM0UTH PL(IMBINC; IIiC Ahead of Domestic Meters on Water Line. ADQRESS: 9290 ZACHARY L,DI ` Credit Wll,L NOT be given for Deduct Meters. CITY, STATE M"LE GROVE MN ZIP 55369 PHONE: 493-2474 f?-.-- ' I GREE TO COMPLY ITH CITY OF OWNER: NEW HORIZON HOWS INC EAGAN OR ANCES ADDRESS: 12201 MINNHTONKA BLVD CITY, STATE MIN'1ETONKA MN ZIp 55343 PHONE: 931_242i SIG ATUR WH N METER ISSUED ' PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING.?CAIL 454-5220 FOR INSPECTIONS FOR STORM " SEWER PERMITS, CONTACT ENGINEERING DEPT. . ZIP SE1AtER & Vy?TER PERMIT CITY'OF ElC AN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 . o+ DATE •.p?? 11. 1991 ? OFFICE USE ONLY METER # CHIP # METER SIZE ISSUE DATE PERMIT DATE 02120/41 PERMIT # 11$20 B.P. RECEIPT # C 12069 B.P. RECEIPT DATE 0' 2 /111 91 _ PRV - BOOSTER PUMP SITE ADDRESS 889 TN'1' LN LOT 'i BLOCK Z SEC;SUB WE3CiTT1' SOUAt,:: APPLICANT: ADDRESS: _ CITY, STATE PHONE: PERMIT REQUESTED X SEWER x WATER - TAPS - COMM/IND X RESIDENTIAL ZIP R NEW - EXISTING PLUMBER: QL.YMO'tfiH PLUlIBING INC ADDRESS: 9290 zAcuRy LN ' CITY, STATE MAPLE GROVZ M" ZIP 55369 PHONE: 493-2474 " OWNER: HEW HORIZON 1IMS INC ADDRESS: 12201 MINNETOIaKA DLVI'i CITY, STATE MzNNH'fQtBKA MH ZIP g3343 PHONE: 433.-252l Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit Wll.L NOT be given for Deduct Meters. ' U'??d?I•G?! ?..??i ?'w?r'.y?'L+- I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OFEAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATr= • FEB 111, ? 1991 OFFICE USE ONLY METER # °7 3 D D PERMIT DATE 1?2/24I91 cHiP # n?2/ 5F -75 ?( PERMIT # 11821 METEfi MZE 9 su B.P. RECEIPT # C 12069 ISSUE DATE /? ? B.P. RECEIPT DATE 02 / t I L l. - PRV - BOOSTER PUMP SITE ADDRESS $87 T Vy ??N LOT 4 BLOCK 2 SECISUB jdESGOTT S UARE APPLICANT: ADDRESS:_ CITY, STATE PHONE: PLUMBER: ADDRESS_ PERMIT REQUESTED x SEWER WATER - TAPS - COMM/IND X RESIDENTIAL ZIP 4'r- ' x NEW PLYMOUTH PLUMBING 9290 ZACHAxY LN CITY, STATE MAYIaE GROVE MN Zlp 55369 ., PHONE: 493-2474 OWNER: NLW HORIZON HOME5 INC ADDRESS: 12201 HINNETONKA BLVD CITY, STATE AINNETONKA rf14 Zlp 5 5-'•43 PHONE: 933-2521 EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WIL OT be given for Dl,educt Meters. ?" .? ?i,2. .G1? _ ?y ?V L_- =T I AGREE TQ GQMPLY WITH'CITY OF EAGAN ORDINANCES SIGIATURE y1fHEN JIAETER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454 5220 FOR tNSPEC710NS. FOR STORM SEWER PERMITS, CUNTACT ENGINEERING DEPT. CASH RECEIPT ? ? ? CITY OF EAGAN ; 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 , DATE L,('.?_ 19'"? l r -%- FNOM i AMOUNT S 1 5 & DOlURS ? CASH ACHECK 'oo i , t. ?.. ?? i?x 1. ????, `?`?f,• y? ??J C 12981 Whne-Payon Copy Yellow--Postlny Copr ? Pink-FNe Copy Thank You ,- sv ?--? SEYyER & WATER PERMIT CITY OF EdGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE APK 18. 194t METER # OFFICE USE ONLY CHIP # - METER SIZE ISSUE DATE PERMIT DATE ??lql o/ 91 PERMIT # ' ""' 4.0. RECEIPT # RECEIPT DATE'2`}/ lE/91 _ PRV - BOOSTER PUMP SRE ADDRESS i' 9 T VY Lzi LOT BLOCK SEC/SUB APPLICANT: ADDRESS:_ CITY, STATE PHONE: - ZIP PLUMBER: PLY14OUTH PLUMB]NG lt,,; ADDRESS: 9290 ZACHAitY LN N CITY, STATE "APLE G.)VE MIv ZIP PHONE: ' - ' - OWNER: NE?T HORI7,ON H0MES INC ADDRESS: 121201 MltINETONt".a Bi,V'_', CIIY, STATE ?'r:?il•:TQtI,'.?, ';P; ZIP PHONE: PERMIT REOUESTED SEWER _ WATER _ TAPS COMM/IND x RESIDENTIAL NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ? I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTION3. FOR STORM SENfER PERMITS, CONTACT ENGINEERING DEPT. ?SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 8$1-9000 TEST RECORD ADDRESS CITY z-?{ S S ? -Of OCCUPANT N P v? ?pJ ? 1a ??'e s?? `?'? OWNER SOLD 8Y JC ?C t? : cK INSTALLED BY ?Ct r i' ?9 6'. r L a r1 G MAKE CG C C%eF- MOQEL ?V$ (y C -0 7S'- SERIAL NO. T474 A S? INPUT tj -7- -1? - THERMOSTAT VENT SIZE w /? VALVE TYPE OF LWER ?ift?ad WbQIT l?IMCC? LINER SIZE h L*IUIT SETTING FILTERS: SIZE ?6 Xa ? NUMBER FAN SETTING ?? i?r0 1+VIRING _ PILOT TYPE TEST TAG . IGNITION MODEL LIGHTING INST PILOT TIMING I16 S IG , 7 „ DATE TESTED f PRESSURE -?S ??C PERGENT COZ 1> INPUT CFH PEACENT OZ 'T rfd COMPANY TESTWG S?w STACK TEMP. 1-36 ? PERCENT CO I16,me- NAME OF TESTER ? FORM 235 i,ReV. 1v89) FORM DISTRIBUTION. WHITE COPY - JOB FILE YELLOW COPV - CITY FSEDGWICK HEATING & AIR CONDITlONING CO. 8970 WENTWORTH AVENUE 50UTH • MINNEAPOLIS, M1AN 55420 •(612) 881-9000 ADDRE55 CITV _ OCCUPANT N+J r/OJiin.. f?"DA.Q? OWNER HEATtNG Joa No. TEST RECORD SOLO BY ?rC`C '-"? t LGINSTALLEO BY ?P c InJ • c? MAKE MODEL 4 l02 Q .3 c- - u SERIAL NO. G Q Q1?07-3 INPUT THERM05TAT VENT SIZE ' ? VALVE TYPE OF LINER ?° - LIMIT LINER SIZE LIMIT SETTING FILTERS: SIZE NUMBER FAN SETTING ? ?rLTdn ?c PILOT TYPE _ IGNITION MODEL ?J..? PILOT TIMWG PRESSURE C. PERCENT COZ G%n INPU7 CFH 7S a PERCENT 02 1"ID STACK TEMP. ? PERCENT CO FOflM 235 (FEV. 11 i89) WIRING TEST TAG GIG,HTIIVG INST. DATE TESTED /a/< L47 COMPANY TESTING .? ?L .? • ? NAME OF TESTER FORM DISTRIBUTkON: WHITE COPY - J06 FlLE VELLOW COPY - CIN . \ SEDGINICK HEA?T-ING & AIR C4NQITIONING CO: -? 8910 WENT4VORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 ADDRESS CLV G h-? - OCCUPANT SOLD BY MAKE SERIAL NO. ? I ?111? Z 7 VALVE _g(P? iLIMIT LIMIT SETTING _ ? FA` SE?ING_ PILOt TYP? -Z(-- IGNITION ODEL 1PILOT TIMI?G _ PRESSIIRE I -;R? INPUT CFH ? STACK_YMP. ? FOR1, 235 1REV. 71 r891 ?. r. - - .' . _ .>w ./ HEATIMG - .} TrE$T AkECORD . , n ' ?JOB NO.? CITY OWNER INSTALLED BY MODEL INPUT 000 _ VENT S1ZE TYPE OF LWER ? LINER SIZE s FILTERS: SiZE ? bJ Z YF? ? NUMBER t WIRING ? TEST TAG L4G4-tT4NG 4ty5T. 6 O DATE TESTED J PERCENI PERCENT OZ ' Vr ? COMPANY TESTING PERCENT CO NAME OF TES7ER _ -? FORMOISI I? FILE YELLOW COPV - CRY 1 - & AIR CONDITIONING CO. MINNEAPOLIS, MN 55420 • (612) 881-9000 ADDRESS OCCUPANT SOLD BY MAKE SERIAL NO. ? `O - ? THERMOSTA VALVE PI40T TYPE fl' LIMIT LIMIT SETTING I?1u ? FAN SETTING .? , HEATING TEST R?CORD JOB NO. CITY OWNER INSTALLED BY MODEL INPU7 VENT SIZE TYPE OF LINER LINEFi SIZE `? FILTERS: SIZE ( ta C NUMBER _ WIRING _ _ TEST TAG IGNITION MODEL ?1 75? 1 PILOT TIMING PRESSURE ?e /e-v?PERCENT COZ f0? ? ,IWPUT CF PERCENT OZ J, ''"` ?. STACK TEMP. PERCENT GO IREV. LIGHTING INST. fL1i DATE TESTED COMPANY NAME OF TESTER FORM DISTRIBUTION' WHITE COPY - J08 FILE- YELLOW COPY - GTY ,_.,.?...,....,-:,.??.. ?.?..,. ,?? T INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: ? I (612) 681-4675 SITE ADDRESS: '" i' APPLICANT: 'I • ' lii t., . . , 1 'r `( ! . i f"t ? • i , . ' I ? „ 1. j.) f('? ! it ?'? ' .I ?,CGtTT SQUAkE r.3 1 -?2 6 6 1 ? PERMIT SUBTYPE: TYPE OF WORK: 141 W I€?f'ESfAMDfNO 31n+.+! INSPECTION . .• Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC InspecHon Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFfNG ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP90ARD FIREPIACE 7 FIREPLACE AIR TEST '1, 7 L(,,d FINAL PLBG FINAL HTG ORSAT TEST BLQG FINAL EiSMT R.I. BSMT FiNAL DECK FfG DECK FINAL 1 o • . Citp of Cagan 33pmftPta Itf g1ttwm JtIwP[#IDt[ 1 his Cern'frca(e issued pursuant to the r+equlments of Sadion 306 of the Uniform Building Cade cernllin8 that a1 the turee af iauance'this struclrm wru in mmplianae with !he various ordinances oj 1he City regulaAing building oonsirucdon or use For the jollowing. un claufficalim 1 OF 4 PLEX ?%zoi Na 18702 OXW-7 Type R-3 M-1 Zooing DWrict R-3 Type Cow Vn ??? NEW HORIZON HOMES 12201 MINNETONKA BLVD., MTKA __ _.. 893 1Vi LANE _., L1 , B2, WES:;OTT SQUARE , /n . . . . /fle . {) MARCH 18, 1992 POST IN A CONSPICUOUS PUCE CITY OF 3830 Pilot Knob Road, P.O. B , .,. . 1 ? 4-IM= Est. Value $77.000 893 IYY LFT tot '" Biock Parcel No. ' 4 ` ' ` W Name Address o Ci?y Zo i Name ` RQ Address - 11 usaY aSOLO& Phone ° that I have read Ihis application and agree to comply with all s id City ot Eagan Ord?nArices. applicable State of Minnesota Statutes and City of Buildinq OfiiCial Phone that the State ol 3•. . ?Y ` N = . ? 18702 39, Eagan, MN 55121 ? C 12069 Receipt # nB 1! 9 91 Date 1 R OFFICE USE ONLY 3 i - M- Occupancy FEES Zoning s36.? (Actual) Const ? Bldg. Permit 3&?? (Allowa6le) - 5urcharge # ot stories ,00 Length ? Plan Review 1 ??? Depth - SAC, City S.F. Total - 650.00 SAC, MCWCC S.F. Footprints - 560,00 On Site Sewage _ Water Cqnn ??? On Site Well -?- Water Meter MWCC System ? Ac t De osit j0i00 City Water - c . p 30,? PRV Raquired - SNV Perrnit • so Booster Pump - S/W Surcharge 216. fl0 Treatment PI 370`? APPROVALS 4?oad Unit Planner il C - Park Ded. ounc BIdg.Oft _ Copies 3 129 00 Variance - TOTAL , . ? I Permit No. Permit Holder Date Telephone # WATER SEWEA PLUMBING H.V.A.C. -3115 611?1-ftd EIECTRIC Inspection Date Insp. ' Comments Footings I a - ' ? ? [tJ Foundation Framing Roofing Rough Plbg. -l • Ao? Rough Htg. Isul. fireplace Final Htg. Final Plbg. - Const. Meter Plbg. Inspector - Nolity Plumber Engr./Plan Bldg. Final w? Deck Ftg. /(C? p ? lJ? Deck Final Well Pr. Disp. -ZS'T? .30 ? ?-rR ? ' , 3830 Pilot Knob e .....?.......?., ?....... To be?used for , l?g 4"'F? Est. Value ;98'? Site Ac?lress ? ? ? Lot 1 Block Sec/Sub. Parcel No. W Name _ p Addres; City Phone Name G?ISWOI''D ?" A$''SOC ? City .:? A Building Permit is issued to: ????? """'?'-' ???-! _.._ on the express condition that all woric shall be done in accordance with all applicabls State of Minnesota Statutes and City of Eagan Ordinances. n???ia?.,., nrr?...?i _ . ??? , ???? 18?0? Eagan, MN 55121 C i?0+B9 Receipt # n_... iiY? 1? ?n 71 ? vrr?ct ust un?r Occupancy &`3?? ? FEES +? Zoning ?? 63 ? ? 00 ? ' (Actual) Const .?? Bldg. Permit - a? ? (Allowabie) • - Surcharge ` ? * o? stories ?, 410. ?0 ' Length ? Plan Review ? ? 1?'? Oepth SAC, Ciry S.F. Total - 6??•? ? SAC, MCWCC S.F. Footpnnts - 6t??(? I On Site Sewage _ Water Conn ' 90.00 ^ a, s??e weu ?- Water Meter ? MWCC System -? Acct. Deposit 3O.00 ? ? City Water ? ` PRV Required - S/W Permit : ? . ? Booster Pump - S/W Surcharge 27b.00 '? Treatment PI APPROVALS ? 7Q' ? ? Road Unit Planner - park Ded. ? Council ? ; BIdg.Off. V ? _ Copies j 3?296.OQ '; ariance - TOTAL . _ , ,:_ . _.:,_._. ?._...:: ,. _.__ _.. ,.? Permit No. Pertnit Hoider Date Telephone # WATER (S ?O SEWER• PLUMBING o? Ic1 '/? LJ lO' ? H.V.A.C. ELECTRIC Inspectlon Date Insp. Comments Footings 1 °'????f( l?( Foundation ' Framing 3??/ -7 ( (? Roofing Rough Plb9. Rough Ht9. ' tI i ':? •2c?' ?7/ IsuL Fireplace Final Htg. ( Off Final Plbg• ti Const. Meter Plbg. Inspector- N Plumber Engr./Plan Bidg. Final Deck Ftg. DeCk Final weu Pr. Disp. /< sitf -?j/ 3 0 ?5 ( cr.?:A 06?°'i?;"? ? ? (grrtifira#.r ?f (Or.?upanry Citp af eagan lopparmiQ1tY qf innttiQ 3ttS.pPiltDli This Cernfrcate issued pursuant 1o the requirements of Sectiorc 306 of !he Uniforni Buifding Code cernfYinB that at the ti»ce of rssuance this structure was in compliance with the various ordinmraes ojthe (3ity regulating buiJding aonsmxuon ar use For the foilowirig. t the chmisemion I OF 4 PLE}C BW& pama r4m 18703 R-3 M-1 z?,? ? R-3 .ly?Vn ?? EW HOR120N HOMES 12201 MINNETONKA BLVD., MTKA ? ?`?? t ANE ? L2, B2, WES:;OTT SQUARE MAR'v'H 18, 1992 MOding officig POST IN A CONSPICUOUS PLACE l t ? . . '? ? . .? (Itr#i#irafit of (Orrupttnry titp of itagan 191,v81'YIIiPitt Df lltdd[ri J jttRpPtfiDlt This Certificate r'ssued pursuant to 1he requirements of Section 306 of 1he Uniform Building Code cer[rfying that at the time of issuance this structure war rn compliance with the various ordinances ojthe City regulating building construction or use. For the following: ut c&a;fimtkm 1 Ar 4-PI.uv Mag. Rro,it No. 18704 oceupaocy 7ype R 3 IM 1 ymins pw,,;a B,3 Tya coau. MDT Owner ot Bw7ding NE+1 IKIMM MME.S Addiesa 127(1 I AnLKA FT-VI1_; NIII{A 88Q IVY IMZL-T- ?.?i??y I3, B2, WE.90(7IT 9(x]ARE ?? ?: 10128491 ---«---, ? ? j?J POST IN A CONSPICUOUS PIACE ??? !?'!C-6NE IMiT CITY OF EAGAN ? . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PESRMIT PHONE:454-8100 Receipt # C 12069 To be usd(dr• ' iO'p 4F*"Pm Est. value =98'000 oate FEa 1I Site Addri Lot _ _ Parce No ` 884 IVY LN Block Z Sec/Sub. a Name ' ^ °"""• """"" '."' NIMMIONU 3 Address 4 [I L ° City Phone o Name OU Q Address ? ritv Phnna I hereby aclcnowlege that I have read this application and state that the intormation is carect and agree,to comply with all applicable State of Minnesota Statutes and City~oi Eega^ rtlinances Signature of Permitee ,j r ` ? A euilding Permlt is issued to: m jmx S I11C on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ? ' 18?04 9! OFFICE USE ONLY ?3 M- 1 Occupancy FEES zo,ing ? 631.00 (nctual) Consi (Alowable) . . ? 81dg. Psrmit 49'00 - Surcharge # o+ stories 410.00 Length ' ?• Plan Review 101101*00 Depth SAC, City S.F.Total - 630.00 SAC,MCWCC S.F. Footprints - b?.oo On Site Sewage _ Water Conn 90.00 On Site Well siem MWCC S Water Meter 00 30 y ? Acct. Deposit * CityWaler - ?.oo PRV Fequired _ S/W Permit ?w Booster Pump - S/W Surcharge ? ?V 276.00 Treatmen! PI APPROVALS Road Unit 370.00 Planner - Park Ded. CounCil BIdg.Olf. _ Copies ?? Variance - TOTAL ? ?,cao. . Parmit No. Permit Holder Date Telephone # WATER Q SEWgR PlU r?v p H.VA.C. 5z ELECTRIC A ,!x Inspeetion Dste Insp. Comments F??s 1 Foundatio? • " Framing ,3 s Rooling Rough Plbg. Rouyn ?tts. ,s ain lsut. Fireplace /D - Fnal Htg. /U Final Plbg. 0 Const. Meter Pibg. Inspector - Notity Plumber Engr./Plan &dg. Final B s Deck FIg. Deck Final Well Pr. Disp. >> •;, BUILDING PERMIT To be used for I ol Site AddVss $87 Lot Biock _ Parcel No. W hiame IiEW a Address? City a Name SAM) oa Address CITY.OF EAGAM 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 r Reeeipt # C 12069 •M.EX F0 VAI11P $T70QOU nacA FEB I1 19 91 w r OFFICE USE ONLY Occupancy R-3?? FEES Name -- --- - ----------- Addre City M. Phone acknowlege that I have Dn is correct and agree Signature oi Permitee " A Building Permit is issued to: NU Zoning S36.QQ (Actuai) Const ? Bldg. Permit (Allowable) - Surcnarge 38.50 # of Stories 3?, (jQ Lengih Plan Review 100•0Q ) Depth - SAC, City S.F.Totai - 550.00 S.F. Footprinis - SAC, MCWCC 660.00 on Site Sewage ? Water Conn ??? On Site Well ?- Water Meter MWCC System -? Acct. DeQosit ? ? ? ? City Water ? 30.00 PRV Required _ S/W Permil Booster Pump ? g/W Surcharge .50 g' `'^'" 1 APPROYALS r? ? Planner with ail Council es. BIdg.Off. Variance 276*00 Treatment PI 70•00 : Road Unit ' Park Ded. ? Copies - ? TOTAL 00 a ,1 I I Permit No. I Permft Holder I Oate I Telephone # I PLUMBING H.V.A.C. ELECTRIC Footings I ? Final I Const. Meter I I I Plbg. Inspector - Notify Plumber I ' . ti Disfonces shown on bu./c%n9 a/P fo bric,E /edye i? a?oP/icyb/p C 880, o) d ? $aOo?pRAINAGE o ?•?, 9 UTILITY ?y Z EASEMENT 1.1 006 [. ;?: = . ?81g? •- p 1 0 Denotes Iron Monument xCE]B.SJ o .. ?..,? ? p p Denotes Wood St1ke y' ,C4. 3F_ ry?'!r,•\ Wv ?'? X000.0 Denotes Existin g G7evation 0) (000.0) Denotes PruFJr'r-3 Elevat.i.on ? y32°y02? ry"?)o 3ee ? N Denotes Direction of' Surf'ace Drainage g'1'S 4 -es, IF E? 460g N : m oo Proposed Front Garage F].oor Llevation: Lot 1= 880.5 L S03°37'49'E ?.y`/• r? _ a. ?o m r8 fF cn ? 40.46'%t\• l.nt Z=$80.5 r- y.:•,cay =?'?`3?,?p I-s46/If¢' 00, ':;• Lot j= 880.5 ` Lot h = 880.5 Z J ? O I P /qll / ICL \o?h?', ? 2p°s I OF?K ??ea3? '.\ Proposed Lowest Floor E].evation: Lot i= 8 $ W I ,'q?1,ti ? I,ti . 9V?122 .rN 2?FO; 75• 3 . . o I I ? I?o te73.1 s? l.ot 2= 880.II3 d,"CGf .iF.: j I_:a,t ? I I pOSEp S .3d3? I 6. N? ,O ° ?y0?,h? @C'/I ! hl LOt r•? ro 3 = 880.83 Raesfn,,, ?? r PR 5 42A hq? p'# ? m . Lot 4 = 88p.g3 I.7 I 6? I I O 'I, ?p• g Ao 3j,1k I ?0 2,P ?LG ti'L' :N?? b Id 6., tn ?ej3 o w I r2) ti?o?l ," r F !?. \ I hereby certify thpt this is a true and correcC representc?tion of a gurvey of 10 •• -.- . > > l$0•' ? 0? -? o39J . ? i the bowidaries oI': E \ / NY n ?Q,' d, Lots 1, 2. 3Eiii?] 17, f31ock 2, WESCO"I'"P SQUAI{E, Drilmta CounCY. Minnesota. J , id bV q SS q8 , p,, Ufi?fy eD ' N easemenf 3pe u>\ c? 0m. B p6'< ? [.. ?? . , g' , O 's? •?-- .+ \ And of the locaLion of nll buildin s if any, Lherc?ton, ?tnd aLl visibLe 2? N m ---?- ...? ----? encroachmenLs, i P any. Crom oc on said land. l.t aJ so sliows LIie locaLiori or chE 4`Aa/p 82.63 Z ? 66.52 stal<es as set foc ei proposed bui_lding?. f1s Sui?veyed b,y me or under my direct 63.98 supervision this 18Lh day of J?jnucirY, 1991. F -- 00°28'15E .... P1cCOMIJ f'RANK ROOS ASSOCIAI'ES, INC. , LA NE ?'aul A. Johnson Land Surveyor 7inn. Re Nq, 10938 ??` . Da^ ?,... . ? Fi' A . T f! Tf:?.l•1?Y.Fi'.. OESIGNED CMECKEn I nEXEBY CERTIfr TqAT TMIS VLAN WAS GqEV-qED BY ME Oq 5`qiE UNOEPMVpInERSIIVEMV1510XGNOl11I.TIAMADOL1 NE4I5ifR McCombsFrankRoosAssociates,IAC.. ?IS30? CERTIFICATE T ED YXOiEFSiONAL EYGIHEER UNOEN iME LAWS OR ipE SiATE OL ? 0 F S U RV Eg DAAWN AvPqOVED MiNNE50Tn BOOti vsGE z T.Q/{' 15050T3rdAve.N. Engmeen f0f o N0. GATE BV PEM?PKS O?TE CpMM ? PIyTQ,VIh,MN55447 Pod0I1Cr5 ???EaO pEVI5Ia?5 o.,E NEG NO 6,2,4?6-6o,a sur"YOfs NEW HOR 9247 /ZON f10ME.? > ^ OW6 ,1A90 SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PE f? r8'B• $E3.'fGQhIPL PERMIT MUST SHOW A LICENSED PLUMBER. L5 LI\J L I oFLl IawMHo?.eSE JAN 2- 51991 To Be Used For: >/Q?fVj'lfl/ Valuation: Date: Site Address ?1 q OFFICE USE 097Y -Z Lot Block " . R-3 M-? FEES Occupancy / Parcel/Sub Zoning Actual Const ??ti ?/-IJ Bldg. Permit :536.00 ' Allowable V-N Surcharge 3 a Sv Owner # of stories Plan Review 3yg,04P Length ? SAC, City 100, Address Depth SAC, MWCC (7P Lp0 `? ?? S.F. Total Water Conn - (p(oD,pO City/Zip Code Z!5? - Footprint S.F . Water Meter ,DO Acct. Deposi t 90,00 Phone ?? -- ? ? On site sewage S/W Permit 30,00 On site well _ S/W Surcharge 1.50 Contractor MWCC System ? Treatment P1 . 3.7 DO City water Z Road Unit Ar7o, DD Address PRV Park Ded. Booster Pump _ _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL o 3/2q,0 Cauncil Arch./Engr. Bldg. Off. z Address Variance City/Zip Code L/j? ? S'.? MOpEL rj 3 2 X Phone # ????, 6ptI?,A Z2 k21.? = S ZS K/S =07 1 2e:,,P aSMT 3axzZ ? ??,n iv?io= (raa ??d X ? ?1 = ??yo U PiDGX ?-EVEt-.' ?? Y 4 y y a5 x 4 ? ?'It lo= IoXtn=- I?b ??.Cr ?l ...?r1 lI 4q loo iu ? ? t5?1 X 5? = 5885? IO?r/O? f ODXLO? ? aK 771a°0 -0? l _ ., CITX OF EAGAN EXT6RIOR EMVELOPE AVERAGE 'U' COMPUTATIOR pUNER: N ?r SISE AUpRESS: iI k S/ 2-- CONTRAC?ORi DATB:'a - ID ;,r 0 PHONEr patermine working Bquare fnotage oC each: 1. Total exposed wall area sq. f't. x.11 = ??S• 9?' 2. Totel roof/ceiling area ... aq, ft, x.026 Total exposed wall area above floor - -2-C7q-0 a, Totai wall rrindox area .......... ....... o ......... b. 1bLa1 door area ... #14, ............................. c, Total $liding glaas area .......................... d, Total fireplace wall area ......................... e. Totel wall Praming area (average 10%) ......... .,?. f. Total net wall area ebove floor ................... - g. Total rlm joist area .............................. Total expoaed Pouodation aree =-- 0 - h. Total foundation window erea ....................... - I. Tatal net foundation srea ebove grade .............. r- Deterroine 'lt' valve of each wall aegwent: a . `lx ' U' . 5ro = 7 ?- h . x 'U t . /P?,, = = I 7 0. Jn X SU l = ?(L {T r ++^^+^??^'^?? ea 172 x OUr f. 7I O0I g. / Z x SU' h . x SU' 1, . .r x + U' 3 . ................................................... Total = 2:10 If ltem 03 is the same as or less than item #1, you hava met the Sntent of SBC 6006(c)2. ' Total exposed roof/ceiling erea = j Totel okylight area ............................... , . k. Total t'oof/oeiling framing area (average tOS) ..... ,? 1. Total net insulated roof/celling area .............. 10r OVER dOd [ZO SOAS 03S 3AI1f133X3 6LSI 068 ZI9 Ed:[I t[-ZO-[661 Determina '0' value fqr eaeh rooflr.eil.ing segment: i - ? ... x Ollr _ k. 11?f x ,u, .v3U - 3.4 Y 1 . 1or? x,ut 1S.(a s N . ...................................................... Tota2 If total of 94 is the same as or lees than 02, you have met the intent of S6G 500fi(c)t. A1Lernate Huilding Envelope Design To utilize the total envelope system method, the values established by the aum oC Items #3 and #U ehall not be greater then the sum of Items 01 and 02. 1. + 2. _ 3. + 4. - 2 EOd 1d0 SOAS 03S 3AI1f1O3X3 6L5[ 068 BI9 bZ:t[ 1[-ZO-166[ ?-".- 19 91 _J.SW BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH 12EQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUE?. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. ?????I ? oF Li TOwrr H?S?E i __.? To Be Used For:ion: 1?' oo-o ? Date: Site Address ??y ty.lKl 4?j Lot ? Block ? Parcel/Sub Oc,mer ALZ rt/G- Address City/Zip Code Phone 9?3' Contractor 44v..Q/ Address City/Zip Code Phone Arch./Engr. Address /????/?j?G.1?.f/(? J?/?'??• City/Zip Code r Phone Occupancy R'3 M '1 Zoning R-:S Actuel Const V-N Allowable V^N # of stories Length __ Depth yo, S.F. Total Footprint S.F. On site sewage_ On site well MWCC System / City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Of£. $ z ii vi Variance COMMERCIAL ONLY FEES Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn I Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 31.00 3zq(;,oa CITY OF EAGAM EXTERiOR EtlYELOpE AYERAGE VU' COMPUTATION OIfNER: NC4`' h. G , SI?E ADDRESS: AfO6?L?,?- CONTRACTOR: DATE: )" ' /v '/ I PHONEA DeEermine work3ng squarc footage of eaoh: 1. Total exposed xall aYea ... 1 d aq. ft. x.11 e ?" ??• ?? 2, Total roof/ceiling area ... 13S-9 sq. FC, x.026 e? 3S. 33 Total expoaed wall area above floor = a. Total xall aindow area ............................ ---1???--- = b. Total door area ................................... c. Total sliding glass area .......................... ? d, Total fireplace wa11 area ......................... ? e. Total xall framing area (average10%) •.••••••••••. =?Js-'2 3 f. Total neL wall area above floor ................... g, Total rim jvist aree ............................. Total exposed foundation area =-v-? tir Total foundabion windqw flP@8... *,roo+r............. i, Total net toundation area above grade .............. ? De[ermine 'U' value af eech wall segments a.?a lUt r SO _? b. x 'U' ; O = C. r,? p x? U? ¦?,,,..., d. -- x TUI ? e. x `U' _ f. x 'U' - g• ... /'? x ' U' ..???.....h. ? x 'U' e i . x vp' "r - 3 . ............... ............................ Total - ;k'/0•i If ltem 119 is the same as or less than item !1, you have met the intent of S$C Goo6(c)2. ? Total exposed rooP/ceiling area = J J. Total 9kylight erea ............................... - k. Total rooT/ceiling framing eree (average 10x) ..... ? 1, Total net insulaLed roof/ceiling area .............. QYEN tOd lZ0 SOAS 035 3AI1f133X3 6LSI 068 Z19 bZ:t[ t[-ZO-1661 Determine 'UI value for each roof/celling segments a ? x I uv . k. I 3? x ?ut ,. .U, l 1 ?- a3J cf.l ......_.-.,--_- - nn . ??Jr e ? 4• •?.??..........????????? .............???.?..?......... '1'Obel a 3`.^/? If Eotal of q4 is tha same as or Ieas than !2, you have met the intent oP SBC 60D6(c)1. Alternate Building Envelope Dcaign To utiliZe the total envelope nystem method, Ehe values establlshed by the sum of Items 03 and 04 shall not be greater than the aum of Items @t and 02, 1. + 2. _ 3 , + 4. z SOd 120 SOAS 035 3AI1f1O3X3 61St 069 Z19 Sd:[t 11-80-166' SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL I 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY GALCDLATIONS (CHECK WITH BLDG.,DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS Y?# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE YERMIT IS ISSUED. NOTEr ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDI[3G PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO'DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. / OF y flvu5E-- To Be Used For: ??l/G7C'/ / Valuation: 77, 0Date: Site Address -? Lot ? Block V'?l Parcel/Sub ??z??4=.1C?°laz4' Ocaner Address City/Zip Code Phone Contrac[or iyiy»? Address City/Zip Code Phone Arch./Engr. S Address r1$tlfll ?y ? ,1M BUILDING PERMIT APPLICATION CITY OF EAGAN OFFICE USE Occupancy K-'-? M-I Zoning R-3 Actual Const V-AI Allowable 'y-N # of stories Length y? Depth SD' S.F. Total Footprint S.F On site sewage_ On site well MWCC System City water ? PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. S Z/z-s/ Variance A 2 51991 FEES Bldg. Permit 536,00 Surcharge 3'3.,50 Plan Review 36f ,Da sAC, cicy IDDIDD SAC, MWCC 6,Sf?,0.? Water Conn , DO Water Meter 90.U0 Acct. Deposit 30,00 S/W Permit 30,00 S/W Surcharge ,6zp TYeatment P1.ZQ6.DD Road Unit 370100 Park Ded. Copies SUBTOTAL Penalty TOTAL O ZC 'u'- City/Zip Code Phone # , _ ?R Lu? o?'h`' ? ?r G.4QA(=EE^ .G•? . ? ?,? ? z.z.. x Zy_ 52a x r5= 79zo f?S M T, o X22? ?y? I 2 X io = 12a 560 x /Lt.:-- 78y b I sT FLooP, -%', utiy.= lo)< lb= Ib X I =. asx y - I ?y y (Ino) r? I oo ? ; 1151A usl= 5135SH _ ? Lj ?JLJ , r o x?rj? I o o kZO= 2 ooa ?- r7(,6ly ?1?1,000- r? :,,;° CITX OF EAGAN EXT6RIOR ENYELOPE AVERA6fi tUt COMPUTATIQN ONNER: N &w- SI7E ADDRESS: A 2.-- 4 S?1z, GONTRACTORS ' DATE: ?• I?',?? PHONEr peLermine working Bquare Footage of each: 1. Total exposed wa],1 area „ 7- A' ??' Y sq, ft. x.11 = 2 'fS, 9 (a 2. Total roof/ceiling area ,.. / ) !?O sq. ft, x .026 - )6- 7 '(" ? Total exposed r?sll erea above floor = 262 4/0 a, Total wall vindox area ........................... b. Total door area .................................. e. Total sliding glaas area .......................... d, Total fireplaee wall area ........ .............. ? e. Total wall framing area (average 70x) ............. . f. Total net aail area ebove floor ............. .I .... y? ?? g. Total rim foist arca .............................. Total eapoaed foundation area =- 0 --- h. Total fnundation vindow erea ....................... - i. Total net foundation area aLove grede .............. ---- Detertnine 'U' value of eech well segmant: e . / x ' U' , ?o : 7 2-- b. ?x +uI /v =?7 e. .f? x IU' P-G d. -? x 'UT - e.172 x'U',???= r. 3 f.x' U1 , O ? g. ??._.........'_? x ? U' . h• X 'V, .?? ...i....... i. ?--` X OVI 3 . ................................................... Total = ?fo If item N3 is the same as or less than itear 01, you have met the Sntent of SBC 6006(c)2. Total exposed roof/ceiling area =? 11 `T v j. Total ekyltght .............. eree .............. r k. Total roof/aeiling framing area (average 10%) ..... i ? 1. Total aet insulated roof/celling area .............. M OVER dOd [ZO SOAS 035 3A11f103X3 6LSt 068 d19 Cz:t[ I[-ZO-[66? Determine OU' value fqr each roofleeil.ing segment: ?• ?? X OU t k !?? x tul •?3U - 3,4 z- . i. ,jo'?-l? x lug 1s.?. s p. ............ ., ...........o ......... ........ ?.... ...... Total - 4 9 • A ? If total of 04 is the same as or leaa than 02, you have met the intent of 36G 6006(c)1. A14ernate Bufilding Envelope Design To utilize the total envelope system meChod, the values established by the sum of Items A3 and 04 Bhall noC be greater chan the sum of Items 01 and 92. 1. + 2. 3. .r.?,...,? + 4. a : EOd Id0 SOAS 03S 3AI1f1O3X3 6LSI 068 Z19 trZ.[[ 1L-ZO-16E1 « 12401 ? SUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OP ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY GALCS # OF RENTAL UNITS ?# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSDED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. C c PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PI PERMIT MUST SHOW A LICENSED PLUMBER. 2 501 I o F 4 TDI+-+N Hu.aga BooU " To Be Used For: G Valuation: 9? Date: Site Address iG I Lot 1;121 Block 1-19 Parcel/Sub Owne r ! 1/? ?V ?X/ZO/S? f?oyY76s??? S Address gn/ m&/'/',(?/1 City/Zip Code 1*?u,yF?JdiVm $3f 7X3 r Phone _ _92y'2S`?/ Contractor /(/G{Y //Ojp/pJpJJ4:141CS Address City/Zip Code _AyW467'dA4ed S53/f? Phone Arch. /Engr. ge/5 jAM/?? $j "SoG • A Address ?/??,jd /?p,Qf?lJ,(i??f.?• City/Zip Code Phone tt OFFICE USE ONLY FEES Occupancy -R 3 M-I Zoning R- 3 Actual Const V-N B1dg. Permit 631.Ov Allowable V-/y Surcharge y .0D # of stories Plan Review fD O O I.ength Yg, SAC, City 100,0 o Depth 440' SAC, MWCC 0.UO S.F. Total Water Conn 0,0 17 FootpYint S.F. Water Meter 9 0,D0 Acct. Deposit 30.00 On site sewage_ S/W Permit 130,00 On site well S/W Surcharge ?, 'U MWCC System ? Treatment P1. 2 00 City water ? Road Unit 01 00 PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS . Penalty Planner _ TOTAL ;j2`16 100 Council Bldg. Off. Variance M oD e L r? ZZ CsARAG,E Z 2xZZ= y gy . 3x?= (?- x ?s- 6990 ' !sr 5:7k.oo,Z r 8 x 40 z2 = ? sz g K G = 1 ? ?o xro = 0 ov) ?- X51- 504?t.? 990 Z.., p Fb o?Z C Z ?£?l2ool? O p77a til ) ? Z6xtz ? 57,L ?Z 1o K ? ` 8 x8x,5= ?° 3z `i r7 G 'z X II = L z?z..) . :. 'l ?I 0' X ti'1 ? 3'l ?Lt v 0 ov -? ! . CITY 6F EAGAN El[TERIOft ENYELOP6 AYERAGE 'UT OMNER: N-`' SISE ADDRE$$: Z Zr CONTRACTOR: DATE: )" ' 1V -/ l PHONE: Determine rorking square footage qf eaoh: t. Total exposed wall area .. I d sq. ft. x .11 = ?' 3l• ?/ 2. Total roof/eeiling area ... / 3 S 9 sq, Ct, x .026 = 3s. 33 Total expoaed wall area ebove floor = a. Total wall window aree ............................ h. Total daor erea ................................... ? ? c. Total sliding glass area .......................... i d. Total fireplace wall area ......................... ? e. Total wall framing area (average 10%) ............. f. Total net wall area above floor ................... g. Total rim joist area ............................. Total exyased foundation ares =- (J- fl ? Total foun[1AtiOI7 MiCldOM eree....... es, ....... .r .. . • I I. Total net foundatiion area above grade .............. I Determine OU' value ot eaah wall segment: a: & ' x b. x c.?e?Ip ?X d. ? x e. x f. x h. x I. ?- X 1U1 r ?? p 1* 1 S' ' U' "'_' , p = • OUt ful ? - .ul .d _ rui 'U' Tu' - I u, ..' _ 3 . ................................................... Total If item #3 is the same as or leas than item !1, you have met the intent of SbC 6o06(c)2. 7 ? Total exposed roof/ceiling area = 1 3 J J. Total skyl ight et'ea ............................... k. Total roof/ceiling framing erea (average 10x) ..... 1. Total net inaulated roof/ceiling area.............. OYEB bOd [ZO SORS 035 3AI1f103X3 6L5[ 068 8I9 tiZ:[I I[-d0-[661 Determine 'U, value for each toofleeiiing segnentis J. r x IUI ?..-,..._?....?- k. x 'ut 1. x lul = ?.... 03,; 4. ....• ................................................. ?otal = 3 L/. If total of /4 is the same as or lesa than 02, you have met the intent qt SBC b006(c)1. Alternate Building Envelope Deaign To utilize Che total envelope aystem method, zhe values esCaDlished by the sum of Items 13 and /4 shell not be greeter than the sum of Items flt and N2. 1. + 2. ' •-------?---...., - 3. ? 4. z SOd [ZO SOAS 035 3AILf133X3 6LSI 06B d19 SZ:it [I-d0-I661 A?F?:KW.XIayYM******* *un * MW*?X** M*k:W A,iXYRY,tY,'Fc,t clrv aF FnG?AN cni--?H.rrhe Mr ra.:RntNai. Noc F10 C'Al _g 10l21./97 -;i:iil'_; 15c0056 i Ci ;: I `:Eg AL.I...IeD F7:RE:'.;i'rr1F_ :i\C: 3210 9001 t3(37 IU1' I..FdN=' 50.,D1 205 50(]1 88'r' ]:VY L_ANI-: rt,,,:,Q J a ('1 L''V' 10+.3.:. Gi•3Ck?i.Pt AIIIoI.Sn•4 u 5J CrlO92?7ft LISf_:' !?ia PtARI...YNN :.pl;:%v?:'k;!::'f• '3r"Pn*YF?{%k:Yf•iKY,(?;k:A','; ;5:2+a(SF:nl?t?:ig;i; ?c:?tW.iY?:k?'F}? CITY OF EAGAN 3830 Pilck Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUIlOING 030996 10/21/97 SITE ADDRESS: P.Z.N.: 10-83730-040-02 DESCRIPTION: 887 IVY LANE LO7: 4 BLOCK: 2 WESCOTT SQUARE (FREESTANDINfi STOVE) q1UiAd3.`n:cj'°n.Permit Type FIREPLACE Hui=ldin9 C?ie?'?#s TYPe NEW F?op 434 AI.T. RESTOENTIAL ? *s4f x ? f" ? ?i' a?ry uu ??'a?r? ? ? ?i ? . . REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $56.50 CONTRACTOR: - Applicant -- 5T. I.xC OWNER: FIRESTDE CORNER'INC 16332561 2009091 OBERMEU LOREN $700 N FAIRVIEW AVE 887 IVY LN ROSEVILLE MN 55113-0847 EAGAN MN 55123 (612) 633-2561 (612)454-2509 ciF-f,x?$R?, 2?i ?R, th4a?F??°rha?€? P?yg??`????s?r???????? ?4 n &?asF'r ? e Lt?x i t ?ti s ia rei y?,at'wa A sah?- ? ?. _ _ ?°•-te: .o-:v-? ; r e .., ? ?e ::?E .?_.n...,.:_,.? .?a.s-? _Aa .,. APPLICANT/PERMITEE SIGNATURE SSUED B-TSIGTIATUREJ e8 l 1VY LA?3E s ?/?, ?x`'? S ?A W I 1 PERMIT FEE: $50.50 57-q/? `? CONSTRUCT T??V FIREPLACE _ ALTERATIONS TO EXISTING _ INSTALL GAS INSERT ONLY INSTALL GAS LINE ONLY OT'fER: STREET ADDRESS: LOT ? BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY OWNER Name: ?'215- f? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERNIIT APPLICATION 681-4675 ? 3n... i, 0 Phone #: 4-SV ` Z.? 6 7 Signature: FIREPLACE INSTALLER Street Address: $$ 7 Z V ? LA-)jC City: E-U? M State: ??? Zip: 5-3- 12-3? :--? (, 3 3 - zS-Z. / Company: ?E?g in?ePhone #: A)0 -o 7b-B Signature: ?- Street Address:36 5?0 ? Cu - ? ? L3 Cit?fS? State: ?? GAS LINE INSTALLER Company: _ Name: Signature: _ Street Address: City: License #: 20° ,90y ?? zip: ?J`°-33Z Phone #: State: Zip: DESCRIPT'ION OF WORK: OFFICE USE ONLY BUILDING PERNIIT TYPE 0 14 Fireplace WORK TYPE ? 31 New o 33 Alterations 0 32 Addition o 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 VAOBV?;:?±??? FOR CITY USE ONLY PERMIT # RECEIPT # GI +-! DATE: oZc3 q PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST /" ADD ON _ REPAIR _ OWNER NAME: gtEw SITE ADDRESS: 4m LOT:/ BIACK ? SUBD. v ??t i- INSTALLER: ADDRESS: R?? ?*AiZM L43 CITY:M04-416 c5po*p?r ZIP: sl!?3 bII PHONE #: 4q'Y2414 SIGNA7uRE OF PERMITTEE SUBTOTAL ST. SURCHARGE TOTAL s 3el sv ._?? .50 S 3? ??"o-.? JU G?MMtiER?IAL??FDiIST??p?.s; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CON1'RACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: ( S IGNAIIJRE ) COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 ?f ? WATER CLOSET 3.00 ?, II ? BATH TUB 3,00 Z LAVATORY 3.00 ?. • ?C) I KITCHEN SINK 3.00 0 ( LAUNDRY TRAY 3.00 9.nn HOT TUB/SPA 3.00 1 WATER HEATER 3.00 I FLOOR DRAIN 3.00 ? GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3%0 0 ? ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 "x"WPOW FOR CITY IISE ONLY PERMIT # RECEIPT #4Ct DATE: 3 1 ?- - &!gpE?!`W PLEASE COMPLETE UYPER PORTION ONLY FOR SSNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST X_ ADD ON , REPAIR _ OWNER NAME: AEW SITE ADDRESS: W LOT:? BIACK ? SUBD. INSTALLER: ADDRESS: q2Cto CITY: ??x'c Cvwt ZIP: S!?' 3 E' PHONE tt OF PERMITTEE StIBTOTAL ST. SURCHARGE TOTAL ?/`? j4r. ,, n ?r? ..,' .50 S W5 s19 ,+I COMMEItqAI.jIt1DIIST&If,L's PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WFiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN DWELLING UNIT. CONTRACT PRIGE: OWNER NAME: _ SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: ( S IGNATCiRE ) COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 In. ? WATER CLOSET 3.00 ? I BATH TUB 3.00 I. i(1 ? LAVATORY 3.00 I KITCHEN SINK 3.00 F1.i11) I IAUNDRY TRAY 3.00 T'7 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 .a.O? ? FLOOR DRAIN 3.00 R.lJ) GAS PIPING OUT. _ (MINIMUM - 1) 3.00 ?'•J O _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 CITY OF EAGAN - ' 3830 PILOT KL10B ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 nwmqA"?T FOR CZTY USE ONLY PERMIT # A/c.14? RECEIPT # DATE: -3 ""NTW PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMESJCONDOS WHEN PERMITS ARE REQUIKED FOR EACH UNIT. WORK DESCRIPTION ?• NEW CONST ? A?D ON _ REPAIR ! OWNER NAME: IN9/ SITE ADDRESS: JF$? :? vv LAN e_ IAT:_,1,21- BLOCK o2 SUBD. INSTALLER: ?Vm?u?h PLb? ADDRESS: llqlr'J poa)?`ar.i? lay CITY: T3uszN?vi??e, ZIP: J53-Y1 COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ? ADD-ON MINIMUM 15.00 SHOWER 3.00 L-c ? WATER CLOSET 3.00 ?l Q BATH T[JB 3.00 Li LAVATORY 3.00 1 3- I KITCHEN SINK 3.00 Q LAUNDRY TRAY 3.00 ? HOT TIIB/SPA 3.00 3 ? WATER HEATER 3.00 3 ? FIAOR DRAIN 3.00 3 GAS PIPING OUT. ! (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SiSBTOTAL bU ST. SURCHARGE .50 TOTAL: S 'tI? SC7 COMMERCIA'f;jiND'ETST$Ikli;'. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND M[TLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER- ADDRESS: CITY: ZIP: _ PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE a $.SD FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCNARGE $_ TOTAL: $ (SIGNATURE) CITY OF EAGAN PHONE #: '890-HHOl9 - CITY OF EAGAN ' -3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 mv;AT FOR CITY USE ONLY PERMIT # 02?? RECEIPT # DATE: v? $ S/ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _jZ ADD ON ` REPAIR _ OWNER NAME: ?_ N ZO? 3 ' SITE ADDRESS:::Je?j? :;T> LOT:? BLOCK`? SUBD. INSTALLER: m?h A n., ADDRESS: / CITY ZIP: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? ? SHOWER 3 . 00 s, ? '? ? WATER CLOSET 3.00 1,"60 ? BATH TUB 3.00 3 bA LAVATORY 3.00 77 ? KITCHEN SINK 3.00 3.&o ? IAUNDRY TRAY 3.00 3•eo HOT TUB/SPA 3.00 ? WATER HEATER 3.00 3.0,0 ? FLOOR DRAIN 3.00 0?.64 GAS PIPING OUT. ? (MINIMUM - 1) 3.00 ?.6-0 _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ ST. SURCHARGE .50 TOTAL: S vo ?flMM$RGIA?:?:;Pp?T5?'flTAI::; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY SIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: _ SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PNONE #: FOR: FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE $_ TOTAL: (SIGNATURE) CITY OF EAGAN PHONE #: g?/,7 ' ?d ? . CITY OF FAGAN 3830 PILOT KNOB ROAD EAcnx, a¢a 55122 PHONE: (612) 454-8100 wgGHANP?w R?SIDENTIAI:.,. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY , ...::.........:........-:. • TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -----------------------°-----------------' WORK DESCRIPTION FEES NEW CONST ? ADD ON REPAIR OWNER NAME: ZPLJ 4YCJf 1]jvi 46V?IG.5 SITE P.DDkE55: d cY7 ,(J(,-,C?r rr LOT:/Yl BLOCK 'L SUBD. INSTALLER: SEDGVVICK ADDRESS : HEATPIG 8 NR CONDfTIDNING CO Wtv PtNIVWUKIM AVE. S0. MINNEAPOLIS MN 55420 CITY: aat_g? ZIP: PNONE # FOR CITY USE ONLY PERMIT # /asw RECEIPT # UO (o DATE: 3 /S 9/ ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIM[JM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 - 6.00 3.00 - g mt 7. o0 .50 $?ZSD SIGNATURE OF PERMITT ?-' 99MMER.CIA.I.JINDASTRTAL;? PLLASE COMPLETE TH-S PORTION FOR ALL COMMERCIAT./INDUSTRIAT. SUILUZNGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: SLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE # FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING a $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) FOR CIT1' OF EAGAN RI:$?A?NT.Il?T.:. >:,.?.-_...-_.. ..:...: ...: . . CITY OF EAGAN 3830 PIIAT KNOB ROAD ? EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CZTY USE ONLY PERMIT # RECEIPT # O DATE: 7 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR OWNER NAME: NC.u-) FAOfi iv ?AC)McS SITE ADDRESS: 'R Y) 1 - ? ?\j LOT:? BLOCK -91 SUBD. ? INSTALLER: ADDRESS : 9303 ?jmOUtll AVB. N ? tio en alley. MN. 55q27 CITY: ZIP: PHONE #: ?A?-?_11 FEES ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIDNAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TOTAL: DWELLINGS & $15.00 24.00 6.00 3.00 $'Arlo .50 $ ai1. SO SIGNATURE OF PERMITTEE ?AMMERC.iAL?TN??ASTK$?aY:;. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------- ________------------ ___----- ____________------ ___________°___ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN CZTY OF EAGAN 3830 PILOT KNOS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 £4EGw;CA7.;:Yk" FQR CITY USE ONLY PERMIT # RECEIPT DATE: uSIGE'NnAT,t' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ -°---------------------------------------------------- WORK DESCRIPTION FEES NEW CONST X_ ADD ON _ REPAIR _ DWNER NAME: f?r\ X-T-r- SITE ADDRESS: LOT: d BLOCK d. SUBD. INSTALLER? t INC. ADDRESS: 9303 PIymauth pve, IVo. tio d?n Vailey, MN. 55427 CITY: ZIP: PHONE #: ?-\v 4?0 ADD-ON MINIM[JM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS DUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $2l?CX? STATE SURCHARGE: .50 TOTAL: $? d SIGNATURE OF PERMITTEE ?OMMERCEAL/TNDASTRTAT.; PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS, _, .. .. ..... APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRIEE OWNER NAME: SITE AnDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SIIRCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN '3830 ?ILOT KNOB ROAD ElLGAN, MN 55122 PHONE: (612) 454-8100 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ..._. . .. :_ _:. ......:....... TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST _V' ADD ON _ REPAIR _ FEES OWNER NAME : JL?l 4?f mua SITE ADDRESS: *`I / sL/Zi ?? LOT: ,G BIACK _4 SUSD. INSTALLER: ???GXA/I CK HEATING 8 AIR CONDITIONING C0. ADDRESS: 8910 WENIWORTH AVE. S0. momzu 881•900D CITY: ZIP: PHONE # 18 OF CONTRACT FEE. STATE SURCHARGE m $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING e $25.00 $25.00 MINIMUM FEE. C4f9MExiCTAk./ Ti!7DAST}tTAI:: PLEASE CQMpLETE TH.:S PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHFN 5EPARATE ?ERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ----------------------------------- _____------ °---------°' CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: CONTRACT PRICE x 1% $ STATE SURCHARGE TOTAL: FOR CITY USE ONLY PERMIT # ? RECEIPT # DATE: /9 `J ADD-ON MINIMIJM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 YER PERMIT SUBTOTAL: $ STATE SURCHARGE: .50 TOTAL: S?D SIGNATURE OF PERMITTHE ?v $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY ????00,33 3830 PILOT KNOB ROAD EAGAN,'MN 55122 PERMIT # ?°??s7 PHONE: (612) 454-8100 RECEIPT #? DATE: R?5T17E?7'xAI;;< PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE ] .. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACR UNIT. WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: SITE ADDRESS: LOT: I BIACK ? SUBD. INSTALLER: ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: FEES AD?RESS: HEATING 6 AIR CONDI60? flIN?CO. 0918 NIfDIN(1RTN MINNFAPOLIS, MN 55420 CITY: 881'M ZIP: PHONE #: DWELLINGS & $15.00 24.00 6.00 3.00 $ o?7Dv .50 TOTAL: C/ 4dw.d.o SIGNATURE OF PERMITTEE /y/?ftJ 0OMHERtIAI./lNRITSTI.tTA7:t PLEASE COMPLETE TH:CS PURTTON FOR ALL COMMERCIAT./TNDUSTRIAL BUILDINGS, APARTMENT BUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: ( S IGNAT[JRE ) CITY OF EAGAN RESIDENT OWNER Name: Phone: Address City Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: f. f X Pc -F 99 4S_ Construction Cost: Multi- Family Building: (Yes No ,10,--1 CONTRACTOR Name: 6-i 1.-!GK c) ,v /-/-e)-01 License ?+:5i,t6 Lt cgs Address: 1 :7.c:2 e Cdr et B via 7 City: 7Cde /i(.r e"" State: 2 714f Zip: 5 5 u 7. Phone: ti., S% )Q C 2- Contact Person: o r L COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 1° City of Eaall Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 r 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applican s ignature 1 or Office Use Permit Staff: Use BLUE or BLACK Ink Li Permit Fee: 7 Date Received: Suite Page 1 of 3