731 Golden Meadow RdCITY OF EAGQN Remarks
Addition Overview Estates Ren]ar. Lot 10 Bik-z. Parcel ftfl 56210 100 Q2? #
Qwner, •'= ? "?'' screet Zlden Meadow Lane State Eagan, MV 55123
l, / / s ? i , J/]?is //: • . _ .
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SURF, 20 851.23 A 014292 ? 2Og4
STREET RESTOR. rj j981 1921.16 f18. 08 15 748.88 T' 'r
GRADING
?59? 1981 3242.41 216-16 15 1 2.377.77 014292 2 8
SAN SEW TRUNK J!"g j?`$1 300.00 20.00 1$ 220.00 A 014292 7 20 84
*SEWERLATERAI 1981 5096.85 339.79 15 3,737.69
WATERMAIN
* WATER LATERAL 19$1
WATER AREA 1981 300.00 20.00 iS 220.00 0142 2 $4
STORM SEW TRK 1981 591.82 39.45 15 434.02 A 014292 7/2 0 84
*STORM SEW LAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450.00 It of
BUILDING PER. 8656
SAC
PARK
Receipt MECHANICAL PERMIT Permit Na (rl J'? ?
P
8. Building Type: Residential ? Commercial ? Institutional ?
CITY OF EAGAN
Fee
Fill rn numbered spaces S/C
Type or Pr/nr legibly
T
t _ , .
-
o
.
1. Date ? 2. Installation Cost y"
3 73/
?
J
b Add
(?
k
?
i'-
T
. ress
t Bl
.
o rac t
4. Owner
) 1
41
' '' '`
5. 4
} r
Contractor 1
Phone
I 1i y 0 I ) f'9' , \ , `-t?
?2 KB,'
6. -
Addr?ess
7. ,`
City?l , J r ? JCC I ? , 13thte ?' d T Z
Zi
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type ???,? • ' ?? ?
11.
No,
? Eaujnment BTU - M. Ea.
Forced Ai r No. Epuipment CFM
Ai
i
Mfg. r Handl
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 a!'idinalices #n?l codes governing this type of work.
j ? 1
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN tt,? s5f,
3793 rilot Knob Reod Eason, MN S5122 '
? PNONE: 434-8300
. • ? ?, _ ?
o01601146 PERMIT ?
To be wed fo. SF u?:'!>/(;1?1: Eo. Value $ °?), 00-1) Receipt #
Date November 16
19 u3
Site Address 731 Colden Nteadow F.osc'_ Erect M Occupancy 13-3
Lot 1 OveIView E9Lates
Block 2 5ec/Sub qlter p Zoning R-?
.
100-32 Replat `iA
Pcrcef .#
Repoir
Q
Fire Zone
Donald L
`icTtahon C
t Enlarge 0 Type of Const. ;r
? Na? .
.
ons Move p # Srories
i ???? 15or? Circle Lane
6
Demolish
? _
Length ?`-'
ra.,';u rneville a,- 890-0077 Grade ? Depth 44 Sq. Ft.
a Nume
?
?? Addre
F- r:•.,
Nome
._ ?..?___ ..
Assessment
Water & Sew.
Poi ice
Fire
Eng.
Plonner
Countil
Bldg. Off.
APC
Permit 313 . UIJ
Surchorge `
Plan check
SAC 00
Water Conn. '
Water Meter 7T.-U7'
} O
Rood Unit
Total 5 d + . 5
5ipnoture of Permittee I
... . `ffc.lalion St.
A Building Permir is issued to: on the express condition lha?
all work sholl be done in ocwrdonte with oll applicable State of Mlnaesota Statutes and City of Eagan Ordinontes.
Buifdinp Officlal
Psrmit No. Permit Hoider Misc. Permit No. Holder
Piumbing 5 ',("1
H.v.a.c.
Well
Water
Disp.
Sswer
Electric a O'17?•? V W(?¢T l.f ,as? ?e? ?.
inspection Date Insp- Other
Footingt _a
Foundation
Framiny
1
Rouyh Plb& ?,.
Rouyh HVA
lewlation
Final Plbp. ??7 y y
Final HVAC
Final
Waftr Demibe Location:
Well ,
Sswer
Pr. Disp.
Receipt PLUMBING PERMIT
CITY OF EAGAN
?
FiII in numbered spaces
Type or Prinr legibly
7> ?
1. Date Z? - a 2. Installation Cost
i/'?'7 -• ?i, ,?r ,,. '. i
3. Job Address Lot /' Blk.
/?r
Permit No.
Fee
S/C • `1?
Tot.
Tract -
4. awner
5. Contractor Phone
6. Address
i
7. Citv State Zip Z
8. Building Type: Residential b Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
L Shower Well I
I 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 WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 _;467
PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: P, 1 No. of Units: ?
pw,ef; Jonald NcAahon Const
Address:
S?te Address: 731 Golden ![tsadotrt R<iocl L1Q :sZ +JVervieN !
Plun-ber. DC Xechanical
hAeter No.: Connection Charge: 450.00
Size: Account Deposlt:
Reader No.: ?
Pennit Fee:
I agrea to eomPip wifh !IN Ciry of Eepae $urchorge: ' n
Ordinancea. Mist. Chorges: '
By
Date of Insp.:
Total:
Date Paid:
CITY OF EAGAN SEWER SmVICE PERMIT
3830 Pilot Knob Road -
P. O. Box 21159 PERMIT NO.:
Eagan, MN 55121 DaTE: _
Zoninp; No. of Units:
O -
wner.
Addreu:
$ite Address:
?`•?
Pl
b
um
er. ] 00 r,,
?
I .or.. t..ompy wm ew Ger .i 1114"a C.on*wcnon ohoroe: 4?' .0'}
Ordimnar. Account Deposft:
PertnR FM: `
Surdwr0e:
gy
k.: Misc. GtorOew
Dote of Insp.: Totcl:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PfRM1T NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units: 1
OwnEr, _ _-'OI'37c? `!r'fa)IOIl 1.0I1St
. fi llddross:
`[,S+te Addrcss: f-' ,?'v Raod L10 b2 OvPrvie? Fst,' ?
lumber: ? ) ?. •ie -?? ? ? w ?J
?Meter No,• ^r- };?nection ?'•50.QQ ,,a
512!' •j n aTCfgA. ?
, ;??unt DePOSu: 15. p
Reo r No.: ' Fee: 1 00 g
I pre? fo ooRn E orge: ptOedlnane??. ? Misc. Choryes: et ?
Totnl:
BY Dots Paid:
Date of Insp.: insp.:
CIT`` OF EAGAN_„ ??y n ?j tP I clude 2 sets of plans,
-.?--'?I U?'
, site plan w/elevations &
4/? 7?` O`' /7 BUILDING PERMIT APPLICATI . 1 set c£ energy calculations.
??aS'3IS5 ?/
'Ib Be Used For SF buj% 6Ct- Valuation Date l/' ?ZI-3
Site Address -] 3 6, o taE 'r\ kEa (to L,) P-nJOL-a OFFICE USE ONLY
Lot 1 0 Block ? Sec./Sub. F<Ove _7, /z v gz 1 s 9 w /ee?C&?ect X_ occupancy 11,13
Parcel #: I U- S(o ,? 1 U'- / 00 - O a Alter Zoning
Repair Fire 2one
Owner: 2L•m e,a/746Eo?.? Coh4'Enlarqe 7ype of Const.
Adclress: 2"b? # Stories
/r; C G£ L?2 N? Denalish Fmnt
t/ ' ft
City/Zip Code: 4v,e.>11SV (LC /rilnr .?:33 7
Phone 06 77
Contractor:
Address: /S-7 ?' L° ?2F t_F' Li?H?F
City/Zip Code: Ov /?.n/Sv /C L F' 0(/( N S.$-?7
Phone DO
Arch./Eng.:
Address:
City/Zip Code:
Phone #:
Grade Depth ? ft.
APPROVALS FE:ES
Assessments
T4ater/Seaer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Pezmit
SurCharge 3o ?°
Plan Check
SAC
Water Conn. ys G
Water Meter !oo -
Road Unit T4`O ?-
TOTAL 4 17? 1-CZ)
CITY OE' EAGAN
Bi7ILDING PEFS'IIT APPLICATICN
Zb Be used Fbr MoOCY I4ou5IE-valuation Date
site raaress 731 Go(ar,, A(FcAou) '?kcl-? aFFzCE oss orLY ?,/
Lot i ? Block `oL Sec./SUb.GUEr?t'f? c?'psect OccuPancy - 7
ParCel #: /O SCva/U /OU o
Owner: GyeCDu-ae d- ?-, D e2a-
Address • Gl 4 f' C°_n R d. 3 0
City/Zip Code: Ea?a,v1. I?I r? . 5 5 i 13
Phore #: ?( 5 ?/ -?/) 2 2
Contsactor: Gar-, de; kta.
Address:
city/ziP code: Pa,,.e
Phone #: 2-p2
Arch. /Erx]. .
Address:
City/Zip Code:
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Alter Zoning
FEpair Fire Zone
En].asge ZYpe of Cons ?
Nbve _? # Stories
Demolish Fivnt ?r ft.
Grade Depth _.2e? ft.
+
APP%)VAIS FEES
Assessments Pernut
?aat,er/Seaer Surcharge
Police Plan Clbeck
Fire SAC
EnJ-
PlannPr
Council
Bldg. Off.
APC
Water Conn.
Water Meter
RAad Unit
Phone #: TO'rAL
CITY OF EAGAN N? g656
3795 Pllet Knob Raad Eogan, MN 55112
PHONE: 454-8I00
BUILDING PERMIT , Receipt # - Jx,g?
Te bs wed ier SF DWG/GAR Est. Value $60,000 pate November 16 1 q 83
Site Address 731 Golden Meadow Road Erecr R-3
}j$ O[cuponty
Lot 10 Biock Z $ec/Sub. Overview Estates Alter ? Zoning R-1
parcel # 10-56210-100-02 Replat Repulr ? Fire Zone NA
c Name Donald L. McMahon Const.
? nddress 1568 Circle Lane
n...-..,..,s1 i„ onn nma
o Name OwneY
v?H
Address
Nome _
Address
I hereby acknowledge thot I hove read ihis applicotion ond stofe fhat
the informotion is correct nnd o9ree to wmplY with all opplicoble
$tate of Minnesoto Statutes and City of Eogon Ordinances.
Slpnature of Permittee
OR8 1
A Building Permit Is issued to:
oll work sholl be done in accordante with all
Enlorge ? Typc of Const. V
Move ? # Stories
Demolish ? Length 451411
Grode ? Depth 44 Sq. Ft.-
Avvr"als Fees
Assessment Permit 313-00
Woter & Sew. Surcharge 30.00
Police Plan check 156.50
Fire SAC 525.00
Eng. Water Conn. 450.00
Planner Water Meter 60.00
Cquncil Rood Unit 250.00
Bldg. Off.
APC Totol $1784.50
_ on the express corditlon ihni
City of Eagan Ordinances.
Buitdinp Officiol
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
iz S Co3.6&
NewConsWCtionReauirements RemodeVReoairReauirements O(fice UseOnlv
3 registeretl sde surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Suney Recd
(20°h maximum lot coverage allowed) 1 set of Enerqy Calculations for heated addiGOns Tree Pres Plan ReW
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy Calcumtions Addition -irMlcate donsRe septicsysfem _ Onsite Septic System
3 copies of Tree Preservation Plan'rf bt platted after 7/1193 Rim Joist Detail Opfbns selectbn sheet (bldgs wBh 3 or less units
Date _( 0 / If /
05 6n
ConstrucGon Cost ?
Site Address ' 3 1 Gol&e Y+ Oe4d-6 +J R6• UniUSte #
Crag ve r?, i M iJ s'S! Z d o?
Description of Work 3 S?s o iJ PO r L? St ?, i h ?i.i ] n "J
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner n T d 'D z? Telephone #( )
Contractor \_ , U oaP L 4 Co
Address Z`fz(,, E, zu6 sr Ci[y /0D?S .
State /?1n/. Zip Telephone # (?/z ) 7Z q - 6
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
(J submission Type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Sub tted
Telephone #(
i
i
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 permit, and work is not to start without a
permit; that the work will be in accordance with the appr?d plan in the case of work which requires a review and
approval of plans. /1 71
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage )d 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) pr 44
)f 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 46
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 1 ooo Occupancy ?-? MC/ES System _
Census Code 4 3 y Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. _ PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Uri W idth
_ Footings (new bldg)
Foodngs(deck)
? Footings (addition)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace R.I. Air Test Final
? Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MultiMisc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinallC.O.
? FinaUNo C.O.
_ Plumhing
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
jZxl4 x?y :P 11,A»
I_oD
, RI-LAND INC.
SURVEYING
'SERVICES
' Eagan, Minnesota 55121
.e.?l. .. .. _ l_-..: _.?' .. . .. .
Certificate of Survey for :
DON NlcMahora-
tt2.36 ? ? G?10?1
, 41- L
?
ED
_ ??F r ,r ?-•s
. .. .;.. . . ...... . . ...yv. .? _..
-. ?-.. -? , .: _ . . ? _ .. . .. . . _.,_.?.
SE
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to . qs
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`00X
G4kR).z SL?b .
lao .4o
LOT 10, BLOCK 2, OVERVIEW ESTATES REPLAT
i hereby certify that ihis survey, plan
or repori was prepored by me or undnr
my direct supervision and ihof 1 am o
duly Registered Land Surveyor under ihe
Laws of the State of Minnesoia.
Bradley?'lS4enson Mn. Reg No. 15235
Date: //A9/93
?
? bener plnx I:vl l IA1. Ihe followinq: tieller warranls Ihal Ihe prnperly is dirtctly conne<led lo cit?'sewtr? -=?=Jci1?, water _ -: ,?._Sell^wvronls Ihat dl
36/23/2083 81:17 PM
Ffl% FROM COMMUNIKflTE From: RYflN MOE Ta: 651 675 5694 Page 2
Permit. Niunbar
MECcheck Camplit?nce Report ChcckedBylDate
2000 Minnesata Energy Code
MES;chzck Softtiv?.ve Version 33 Rzlease 1 c
Datefileneme: C;:1Uociunents azicl Sett.uigsS2YAN.Y0I7R-XC.LSV9Iil2.OKI".DesktopV2M?,e\-VOGEL\008-TOBB\TODII.cck
1TTI,1?: TODD RF.MC>DFI,
CUiJN'CY: Dakota
STA'tF.;: Mirmosota,
ZONE: 2
CC3NSTRUCP[ON TYF'I': Single F:unily
DA7Ti: 06%23r03
DATH OP' f'L,ANS: 6-02-03
PROIHC;T INFORM.4T[ON:
731 CiOLDBN Sv1F,ADOW RD.
EAGAN,MSQ
C.OMI?rU'+IY IbIFORA9A7'[ON:
R.P. VUGEC./FZYAN h10ti HOME DF.SIGN
C.OMYL[AiVCE: Pa.y.9ac
Maxunum UA == 57
Your FIomc+ •= 56
1.8°h Bett:ur T'han Code
Ciloss cllazing
Area or Cavity Cunt. or Duor
Perimgt:ar R_' nlue R.?'alue. TJ;Eacwr LlA
(:.eiling 2: Raised crr PnerLry Truss 196 44.0
4Vu11 I: i+Vood F'rsme, IFi" o.a 352 19.0
b4`indow t: rlbuve Grade, Wnod Frame, Doublz Penc witL Low-E 74
DODF I : CJItL4S 20
4b'a112' iTJood Franta. 16" u.a 37 6.0
Air C;anciitioner 2: Elootric Central Air, 10 SEER
Puisiace 6: I'orced Hot Air, 92 AP'LiE
Proposed and M:Leimum U-Factor Avur»ges
Propoaed
Averttge U-Factor
Above-Cnade 4S'vidows und Gla.cs i>oors
IncLttles Foundntion Windows> i.f> 02
0340
0.0 h
6.i) IS
0340 ?5
0340 7
5.0 5
Masvrium
Allowed U-Fac[or
0370
COMPLIAIVCE STA7'kiMEWL: Tlte proposed buitdinn closign described here is consisteid witkt ilie builcittig plans, specifications,
and other calcuiations submitted with tlic parsnit application. The proposed btiilding has beexi desigried to mc:et he 2(H)0
Nfinnewfa. Energ,v Code reqttuemenls in MGCchzck Version 3.3 Release 1 c and W comply with tha mandatory reyuicemeut5 listed
J
in The MEi;chadc In.gpeclion Checklist.
BuilderrDesigiet_?,???? llate 6-23-03 _
2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDR°SS : ?J? I l, n? D en? / J e? DgFw R D
r= nESCruprzov: ,C o r/a ,? ? o c K l? L e r v?i w C?. ?? ??
(LOt/Block/SubcLivision or Tax Parcel I.D. NiuTber)
IF E:CIS':'^:G STRUCP'RE, DA`P OF ORIGIVAL 'niiILL'DIG PWUAIT ISSJA.NG°:
PR=Su :' "-i`7I_r,/P RC)POS=- liSn': JO R-1 SINQ.E rPIMSLY
? R-2 DUPLEX ('ITn'0 LNITS)
? R-3 7YRvTTHOUSE (THREE + [7NITS) ( UNITS)
[3 R-4 APARTg:U'P/C,'ONp=I[.M ( [NITS)
? COMMEE2CIAL/REPAII,/OFFICE
p IIMUSTRIAL
Q INSTITUfIONAL/GOVERDAIENT
2) AppLICAN•P (PLEASE PRINT)
NAME: DO.v /YIC- /J?saN.?h
ADDRESS:
CITY, STATE, ZIP:
PHOiNE: ?90-no77 ,.
3) PLUMBER PLEASE PRINT) FOR CITY USE ONLY
tvkME•
PLUMBF,RS LICENSE:
rDDRess: 670 [L71 pctive
CITY, STATE, ZIP:
? ? ?, ? Q Expired ,
STE [? No?f
eFord
PHONE: PLUMBER LICENSE N(`j0? 3 7V?77 ?
c? T"J
aSE-rnitiT--
q) OCCUPp?/OwNER (PLEASE PRINT)
NANIE : /9,1J --
ADDRESS: UL r?pn? ?"lt°?aD?a.? R 11
CITY, STATE, ZIP: ?.' y.?c
PHONE: --
5) INDICA'PE WHICH PERh1iT IS BEING RIQUESTEp:
CO.INECI'ION 'IO CITY SEFIER
? COT]NECi'ION TO CITY WATER
? (7I'EEE2 (PLFASE DESCF2IBE)
6) IINDIG'1'PE 0NE:
[-] PLEaSE HOLD APPROVID PERhLiT FOR PICK-UP BY ONE OF ABOVE
rZi PLEASE rTAIL AF'PROVID PER?4iT 'IC) 1, 2,ap 4 11HOVE
(Circle one)
7) SI&NATCTRE: ,? ? ?? DATE:
..J .
.............. .. . . . .
t ?'
. . .. .. ?. .? . , . . 0
F 0 R
PERMIT ."-. ISSUED
I
2 T Y U S E 0 N L Y
F°ES: $0
$ _s0
$ l0 0 - e--d
$
$
$
$
$
S <?? S= a`-o
$
$
$
$
$ .
S
SE?l:ER AVRnfTT (i?ICLi;DE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLGDE CORPORATION STOP)
SEWER TP.P
ACCOUNT DEPOSIT - SEFIER
ACCOUNT DEPOSIT - WATER ?
WAC
SAC
TRUNK WATER ASSFSSt4ENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
TOTAL
AMOUNT PAID/RECEIPT # Y*
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN F%UBLIC RIGHT OF WAY?
? YES ZF YES, THEN A"PERMIT FOR WORK WITHIN
? PUB7IC ROADWAY" MriST B° ISSUED BY THF
NO EIVGINEERING DIVISIO[V. LIST AS A CONDI-
TION.
SUBJECT TO TFIE FOLLOWING CONDITIONS:
APPROVED SY:
TITLE:
DATE:
m! iJIN oam 14MiNIN !A !mR iJa ?IJ/ 14 ? # iJ! ?lf? ?Fl? ?k? lA ii?! iJ9 /l# oE! )! w:m w-lin Rm!! mio so m
?.?..?.r.?r??.
i
f.
AIaLK.Ae:.?..,.f_ ?'...
. .. .? ..
?
?Y P L A T o F --
OVERVIEW ESTATES REPLAT
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..
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L.
'!i LINE )F 51;T UF riw iM 5f?C 25 ?
3°.N03 \ N89°4605bE
,
` -iArh.mnR E DRIVE
?
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,
L , . . 17.
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149 --
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OF
3630 CILOi KNOB ROAD ii-IOnMS EGnN
EAGAN, MINNESOTA 5 5142-189 7 wY°f
PI IONE(612) 454 $100 DAVID K. GUSiAFSON
FAX(612) 454-8363 o,vnEV. WCnEn
TIM PA`1+LENIY
THEODORE WACFRER
GourKd Members
7FpMA$ HEOGES
JUly 31, 1991 CRyAdminisbator
EUGENE VAN OVERBEKE
City Ckrk
To Whom It May Concern:
The City of Eagan has received waivers of assessment hearing
allowing the City to specially assess 1/3rd of the tax forfeit
special assessments from Outlot A of Overview Estates Replat. The
owners and properties to be assessed are:
Lot 8, Block 2, Overview Estates Replat
Patricia and Willard Percy,
Lot 9, Bloak 2, Overview Estates Replat
Lynn and Steve.Mereness,
%Lot 10,?k 2, Overview s a es Replat
Patricia and John Todd. J
Since these waivers have been executed, the City considers the taX
forfeit assessments of outlot A, Overview Estates Replat to be
adequately addressed, and has no objection to the closing taking
place.
If you have any questions, please contact me.
Sincerely,
E. J. VanOverbeke C, 10
Finance Director/City Clerk
cc: Patricia & Willard Percy ?
Lynn & Steve Mereness
Patricia & John Todd
EJV/vmd
Q l.r o? o f`f r? 1?
a -'o
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND 6ROWfH IN OUR COMMUNITY
Equal OpportunilylAffirmative Aclion Employer
[:LIE QARRIER LOAO
111FORa1AT10N CENTER
?j'? Ili? y ??•" I d ..._? ?l ?'?JJG
"
8124
ru;
;;1 "'; 7
OPT10M 1
OPTIOM 2
OPTION 3
1. Summerdesigndegrees .............. .
(90, 95, 100, 105, 110 or 115)
2. (If 90, 105, 110 or 715, Item 2 N.A.)
Dailyrange(0°-35°) .. ........... I?--?
.I
3. Winterdesigntlegrees ................ .
(Precede a minus number with M)
4. Numherofwindowpanes ............. .
5. (1, 2 or 3. If 2 or 3, Item 5 N.A.)
Stormwindows? (YDr N) .. _ ..........
. ?
6. Wintlowsweatherstripped?(YOrN).... . .?.?j # I ul
I_1 ?#
7. Four wintlow areas starting with N or
NEOriemation ............ ..
. ,? u
?
?
(Ex: Nq25x30#20A25ae; Max per side.
999 sq. ft.)
71 N r NE 73 #
72 E r SE ? a
?
L f? rt k ?
73 or SW
74 W or NW ? ? #ri ?N ??K / +fk
?
8. Shatledwindowarea . . . O #
(0 or sq. ft Enter 0 if not applicable.
Max: 999 sq. ft)
9. Doorarea ........................... . q ?
(0 orsq. ft. Max: 999 sq, ft If 0,
Items 10 8 11 N.A)
10. Doorweathersiripped7(yorN)........ .
11. stormdoors?(vorN) ................ . NO aa na aa
12 Firststory perimeler .................. .
13. Second story perimeter ... .. .. .. ....
14. 7hicknessoPwallinsulation..... . _.
(0, 2, 4 or 6" fiberglas. Enter MA for
masonry; R values, enter R, then value.
15. Ex: R19)
Basement perimeter .. . .. . .
(0 or linear tt
If 0
Ite
16
17 &2B N
A
q
?
I # I
L_I
.
,
ms
,
.
.)
16. 8asement heated? (Y or N) ............ .
Qf N, Item 17 N.AJ
17. Percentabovegratle(Ea:S%=5) ...... .
18. Area of roof with exposed 6eams or
stutlioceiling ... . .. . .. . . ....
. ?8 pg
qp
qp
(0 or sq. ft. I} zero, Items 19,20 8 21
?
19. Woodorfiber .. rA ry p p
(W for wood F for fiber. It W, Item 20
20. If F, Item 21 N.A.)
Thickness offi6er .... .........
.?
21. (1.5, 2 or 3" or R values)
Insulation .... . . ..... ........
.
-?a#
?
1 a1
(V, N oi R values Y assumes 1.5") . E- -1
OPTION 1 OPTION 1 OP410N 3
22. Area of ceiling untler vented roof or
unconditioned
tl
S
P
......
or
f
O
l
tem 23 N.A.)
(0
23. Thicknessoflnsulation .........
(0, 3, 6, 12 or 18" of fi berglas or R values
Ex: R30)
24. Areaoffloors over unconditioned space
Q q
?
?
(0 or sq. ft. If 0 Item 25 N.A.)
25. Thickness of insulation ..............
(0, 3 or 6" fiberglas, or R values)
26. Area of floors ovei open or vented space,
orgarage ................... ........ ? kN #M kN
27. (0 or sq. ft. H 0 Item 27 N.A.)
Thickness of insulation ................
(0, 3 or (i of fiberglas or R values)
28. Basementarea ..... ... .... . ? ii ? ?
(0 or sq. fL If Item 15 is D skip ihis entry.)
29. Total heated area . ... .... ....
30. (sq, tt.)
PerimeterofCOnCreteslab .............
(
0
o
r
I
nearft.) Qf q Item 31 N-A.)
31. k
hi
ess ofsla6insulation .......
.....
?
N
#
o
;
?
(
r 2")
32. Desired summer intloor temperature
swing ................................ 3 ## #N ##
(Value between 1 and 6 inclusive.)
33. Desiredwimerinsitletemperature
34. DUCtlocation .......... ..............
(AT = attic, BA = basemen4 SL = slab,
CR = crawl space, CO = conditioned
space) (If 8A, SL. or CO Item 35 N A)
35. Thickness ofinsulation .........
(0, 1 or 2"- Use 2 for 1 ngid_)
'REPEA70ATA?•' .........................
YorN
.'GOPRECTIONS?° .......................
If there are no corrections requlred enter uk.
If there are wrrectipns to the data, enter
question number, k, the new data, and FH. N# ?
Ex: 19kW## # qk q q# # qp
If no furthei corrections, enterN# only. #N qq n
COOLING B.T.U.H.
EQUALS?AT 75- °F B.T.U.H. AT °F B.T.U.H. AT °F
HEATING B.T.U.H. 6370 : 9/QQQ BfU 2a f'Wf
EQUALS lSrST C'S AT °F ? 70 B.T.U.H. AT °F B.T.l1.H. AT °F
"REPEATTHEANSWERS"(YOrN)......... ffi# qp q#
"SAVE YOUH DATA?•• .. .... .. .. .. . .. .. ... iip I pN I kN
Y or N, or VR## will save your tlata antl goes
to 6eginning for new Analysis; or NRnn will
not save data but goes back to beginning for
new Analysis.
JOBNUMBER ............................
If you want ro save your data CLIC asslgns
Job Number
"STRUCTURE CHANGES?.............
....
If there are no change= required enter ri#.
If there are changes to the data: enter
quesl7on number, n, Yhe new data. and #a, tt pp u pN p ?q
Ex: 25PR30uw
If no further changes. enter np only. 4p nu pq
;A ,A r,
nN
KO*
-„--
????
OPPORTUNIN HOME 3-7e
Printetl in U.S.A_
838-039
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3830 PIL'OT KNOB RD - 55122 q 9
Ch?
New Conshucflon Reaulremenh 651-881•4875 Remodel/Reoalr Reaulremenb
> 3 reglaferetl flte wneys ahowing sq, ft of bt, aq. H. of house
and gff roofed areaa (20X, maxlmum bf coveraae allowe?
> 2 copies of plmq (ahow beam a window aizes; poured fnd. detign; e1cJ
> 1 set of eneryy caicWaNOne
> 3 coplea of hea preservallon plan I11ot plattetl nfler 7/1/93
DATE: /?
DESCRIPTION OF WORK: LaC!n •-
STREET ADDRESS:
LOT: J
Company: Phone M: 657 dzo-?&-O
(area code)
Sheet Address: L<?`?? Kf^ti ? ' License 1bc O/ Exp?-.3?
Clfy State: zip: ?Sla ?
BLOCK: I SUBD./P.I.D. t:
Gi
Name: "?fvw Phone #: ? Lv
PROPERTY Las? CoI Ch ftrst
OWNER Sheet Address: '7314 %??:LG?l•t
?? C
Z,P: S??-/a3
COMRACTOR
ARCHIiECT/
ENGINEER
ay ??.'q 1244 _ sfa?e:1L/-
U
Company: Name:
Tetephone M: (
2 coples of plan
1 aet of energy calcWaHons for heafed addlllons
1 slle wrvey for exteAOr addiNOns & decks
CONSTRUCTION COST: ?.?SOd -?
Sheet Addreas: Reglshatlon #:
Cliy
State:
Sewer/water licensed plumber Qf Installina sewer/waterl: Phone #:
Zlp:
I hereby acknowledge ihaf I have read lhis appikafion, stafe thaf Ihe infortnatbn rtect, andomply wNh aA appQcable State
of Minnesota Stalutes and CNy of Eagan Ordirwnces.
Signalure of AppllcanY. ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' IviAY - 3
Tree Preservation Plan Received _ Yes _ No _ Not Required
TRI-LAiVD IiVC. Certificate of Survey for :
SURVEYING
SERVICES pON IVIcMahoo?-
Eogan, Minnesota 55121
V4 O
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84 4?-a8E • i "
tt?.36 q'1
,a
e
xxe
417 0
a
2Y?
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a
4qt ,
q4.>6
ti?= 2
V?? ??
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6qRR?,z- ?SLyb .
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2t?.
\? X
LOT 10, BLOCK 2, OVERVIEW ESTATES REPLAT
I hereby cerTify that This survey, plan
or reporT was prepared hy me or under
my direcf supervision and That I am a
duly Registered Land Surveyor under the
Laws of ihe Sfate of Minnesota.
8 rad ley ?f75i`irenson Mn. Reg No. 15235
Date: // I9/8
Purchase
Mmn.. ffF''! ,19_
r r'RECEIVED OF c. ?i??
tho sum o( ?•i?] / i i^,r,!/SfIN?J' ??hF? /,?„',?iLf1:f'!'l?ili/r;l.°/ a.-?-. ?`'i ?-±" (S ) DOLLARS '
G r
by } r to be deposiced upon acceptance of offer by all partics, but to be returned to buyer(s) j( o(fer is rejected. ?
1(hsck. Gs? or No?n ' .-. :/ ' i
..Said earnest money is in part payment for thc purehase of property at
I
- situated in the County of P?41 State of Minnesota, and legally described as follows, to wie
r:w?f7illrf
including all garden bulbs, plantx, shrubs and trees, ull sturm doors, detnchabic vestibules. screens, nwnings, windnw shadex, blinds (including venelian blinds),
curtain rods. traverse rods, drapcry rods, lighiing fixtures and bulbs. plumbing fixtures, hol water tanks and heuting plant (with nny burners, tanks, stokers and
otherequipmemusedinconnectiontherewith),liquidgastsnkandconlrulx,andw9fersnflmer(ifthcpropertyofseller).exteriortelevisionanlenna,incinerator,
buill•in dishwasher and garbage Jisposal, built-in nvens, cook top stoves nnd eentral air conditioning eyuipment, if any, used and located on said prcmises and
including alm the follow•ing personal prupeny: - , /
/f/f•?ti' ??ur???,?rirf•r,ii/
.?
all of which.propeny the undcrsi ?ed, as agent fo (he owner, ha> lhis da ? sold tn.lhe Muyer (or Ihe sum of
?/???i "?/ ?l+lE//'?<%'l/fr1N/?+.•L`f' ,of ca .?..sr910 fe ) DOLLARS,
which'the bu4er agrea m pay in the (/o?llowing manner:
EarnestmoneY herein Paid S?`7J?' ?n and$ "? !
- ` t cash.on-ocixY9r!
SG' ???0 bybuyerB',annq?hisezpensea 1 mortgageinthisamoun[,amortizedmonthlyoveraperiodof
years with interut thereon at , 3? %`-s per cent per annum or such rate which may be lower or higher as specified in 6uyers mortgage commitment.
- Buyersagreetomakeimmediateapplicationformor[gageand[oezertreasonableeffortmucure financing.tfandwhenthelendingagencydetermincsthebuyer
andJ or property docs not qua lify for said mongage loan this purchase agrecmcnt shall be null and void and all earnest money paid hereunder shall bc retumed to
th buye?less a?y expenses incurred for appraisal and/or credit report. In the even[ buyers cannot secure a firm commitment Por such mortgage beforc
? 19 Ihis agreement shall terminale at the sellers option, which Seller shall have until O'clock (A.M., P.M.)
? f 19 ? to termmace this contract in writing or this contract shall remain in (u!l torce and effec[ until closing, subjec[ to the other terms
contained herein. If this contnct shall so terminate th earnest money paid herein shall be refunded to buyer less any expcnse incurred by seller or agent for
appraisal oS_ re i[ rcport. Sellers agree to pay r? -? percent of mortgage as insurance premmm to lending agcncy it applicable. Buyeragrea to
pay -- - - percent of mortgage as insurnnce premium to lending?genc); if applicable. Seller agrees to,pay - "" percent of
mort6aSeasdiscount Pointstolendin8 aBencY ifaPPIicable.BuYera8reesto PaY Percentofmort8a8easdiuount Pointstolendin8 a8eneY if
..'applicable.
. ? Selleragrces to pey all special asussmenls of rccord, levied or pending a[ time of dosing. . .
?:-Subject toper(ormance by the buyer the seller agrea m ezecute and deiiver a Warranry Deed
.-(to bejoined in by spouse, if any) conveying marketable tiile to said premises subject nnly to (he Collowing exceptions: (a) Building and ioning Inws. urdinanccy, Smte and Federal
reguluiinn,. . (6) ReArictiom relating to use or imprmement o( premises withnut elfeetice lix(eimrt prun.iun. - - ,. (c) Resenalion of am'.minerals or mineral righis m Ihe Statc of
Minnesmn. " .
,(d) Ulililg and drainage easemcnts which do nnt inter(ere Hith pre.em improaemenE>. . . (e) Rights o(tenants us fnlloxs (unlcss tipecified. not Subjca•t lo Iinancies) -
The buyer shall pay ?? / 12ths of Ihe real estate taxes payable in the year 19 and the selltt sha? pay •?"'"` J 12ths of the real
-esta t espa}•ableintheyearl9 .Ihesellershallpay;in(ullanyin.tallmentso(speciulussessennpayable1apayable in the ?eer
19 .Seperw•arranlsthatrealtstalelaxesfonheyenrl9 wilibc -?-'^?'homesteadclassificaiion.
. -?r,n?m o? ?omo-nom?.oa-.um . th mm?? real estace lazes
, . Neither Bermel-Smaby, its agents, nor the seller oritsagenlsmakeanyrepruentationorwarranlywhAtsoeverconcerningthesmountotrealesLLtttaxeswhfch
sball be asxessed against the properly subseyuent to Ihe the date of purchase. -
Stller rorenants Ihat AuildinRs, if anp, are entireW within the bnundan linca uf Ihe prupert? and agreex m remm'e all perxonal pruperry' not induded iherein and
aIl debris from Ihe premises prior to actual delivery of possession. ? - . -Theselier(unheragreestodeliverpossessionnotlaterthan? /??/A??7 proriJedthatallconditionso(thisagreementharebeencomplied
with. llnless otherwise specified ihis salc shall be clnsed on or Aefore 60 duys from'the date hrrcof. . --
Intheeventihispropenyisdestroyedorsubstanti:diydamagedhylircoranymhercausebelorethcdo.ing date.thisagrcrmemshallbecomznullandcuid.at
:.the purchaser i option. anJ all monies peid hercunder shnll bc rtlunded in him. The 6uyer and seller also mutually xgree chat ro rata ad'ustments of rcnts, interes[. insurance and
citc water. and. in the case o( income propeny, currcnt
' _operating expenscs, shall be made as of
.Thesellershall.withinareasonablctimcafterupprovalllflhisagrermem.(urni>hunab.vaci nl'titlenraRegisiercdPropcrtv :\bstractceniliedtoda[cio
include propersearcha covtring banknipicies, and Stateund Federnijudgments und licnx. The bucershall heullowrd 10 da%salrer receipt I hereo(for r.wmination
otsaidlilleandthemakingoLmyobjection.thereto.saidohlectinnstohemadeinwritingurdeemediohcwaiced.ifumohieciionsare.omadethrsellenhullbr
. alloaed 120 days to make such titie markeWblc. Pending currcc(ion oRitlc ihc paNmrnts hereunder rcyuired zhall be po.Iponed. bm upun corratinn of title and
:within ID davs ufter wriurn nniice tu ihe buyer. the parties shull per(orm ihis agreemem accurding tn its term.. - 1[saidtilleis no[markelahleandisnolmadesowithin120davsfromthedateolw
riuenobjrninmtherctousabmeprocided.thisugreementshalibrnullund
. void.andneitherprineipulshallheliablefnrdamageshereundertolhen[herprincipnL.411mone)'Ihereto(nrzpaidbcthebu)'ersh:Jlhzrefundrd.IllhelitlttosaiJ
,. propertybefoundmarkciahlcnrbc.omadca'ithinxnidtime.and.aidhuycrshalldrfaWtinancofehcagrecmentsandcuNinueindel'aWiloraperiodo110days.
- then and in that cau the uller may terminate (hi. convaci nnJ on uch wrmination aII thr pacments made upnn this cnntrao >hall be mtained by said seller and
said agcm, asthcir respcctivc intcresb muc appcar. as liyuideicd Jamages, eimcbcing of Iheessencr hrreo(. Thix procision.hall noi depme eithtr panr nl ihe right
o(enforcing the specific performance of this cumraa provided such contracl sh:ili noi be terminoteJ as a(nresaid, und prmided actiun to tnforer such specil'ic
performance shall be commenced within six mon[hs a(ter such right of actiun shall arise. Il u understood and agreed that the undersigned agent is in no mxnnrr liable or responsible on
accnunt-oGthis agreement. excepc m remrnor account (or the
earnesl money paid under this contracL
Seller please INITIAI. Ih< followinR: Seller xnrranls Ihal the property is dicectly connected to citysewer"
. _-_?jcity water ---`-=L. SeUei warranls Iha1 tll ?pplivncar, heatinR,-a'naondflloningwiring 9nd plum6ing used-and4oawtedonsaid premisessrein proper-svorkingconditiort aliime of closing
. BeJen¢knowledgesthatntipiiorrepiesentationeh3vE'been-madebre'rthmlhesellermhisaQentsregnrdinRpossi6leprobiemsxithleakaReorseepogeofwaterin
thebasementoflheabovedescribed.property:andihalb"uyErreliexwlelyinlhalregurdonthefolluwingslatemml6v lhesellertha45eller._ hadawtl
- basement.during thaperiodof.owMrb6ip.-{BUYER-AND SEI.LER-PLEASE`iNIFl.41:}-?.-^s_=------."'"`--- . "" ""'°"
The delivery o( all papen and monies shall be made at ihe of(ice o(:
BERMEL-SMABY fteahy, Inc. ' .,
I, the undersigned, owner o( the above land, do heroby approve
the above agreement and the sale thereby made. .
' f. . . . . _.. _...
_ . . Sru.•, .. - (SEAL)
+t??4,,PA-l25
BERMEL-SMABY Realty, Inc.
By Agent
, I hereby agree to purchase the +aid property (or the priee and
upon the terms above mentioned. and subject to all conditions herein
(SEAL)
j -
(SEAL) (SEAL)
scn.. .. ay.. .
THIS IS A LEGALLY BINDING CONTRACT. IF NOT UIYDERSTOOD. SEEK COMPETENT ADVICE.
. .., INSURED/CONVENTIONAITYPE a .
?
?
, ' EXTERIOR ETdVII,OPE AVERA6E "U" COHPUTATION
`..
,
` • ; ?>.:
oWnaEx.-
_ `.3.?
, .
.
SI'PE ADDRF.SS
_...? _
CONTRACTOR . DATF PHON?
t . :
?^
Determiae working square foo!age of each. .
Total expo
L sed wall area ..... ? SS 88 sq. ft. x •1? = 3Z° 'R? '. „
. `.t
2. ' Total roof/ceiling area ... _. l ofo? sq. ft. x --.? = 3-°°J 4 3
?
.
Total exposed xall area above floor = ? •
21"1?? E
p
a. Total dell yiadov-area ........................... r
?
.
, . ? b Total duor area ...... .......................... ?.7..
o; Total eiiding_glasadoor area.. ........ .
d. Total fireplace wall area .... ....
e. To#al: wa21 framing area (sve;age 10%).......
f. Total net wall a;ea above floor .................. 1L3?(0
g.Total.
.
rim joiat area ............................ t7Co
- ?; ,. rky;
,
qC *
?-f
v
Total exposed Youndation:area = ?
h.. Total Youadation windod area :...:......:.......:. /3,•Z " , ` ', '?`?°
Total net foundation area above grade. •........
Determine "U" value of each wall segment.
- '
?
i , . . ' .
• . ' !` ? i <y''
g "p„ „S3 = )Is ;zz,• '
a ',?
.
? /, /^?
7? X r1U11 ?_ ?y?(?D
b
'
a
+? t
.. ?
•
'' . .
' f 0 X nUn . S? _ Zl • 2p
` ,
c
"
?? ?
X IIUtf (J
c -
d• Y!
. ? ? X flUti i189 = L2,3S ? F3 ;, ?,?
c.
`
Y4 liUs,
i
?,3
r -
?
.,g nUn.
13, 2 XilUf,
h
.
?( I1U11
dk?? y
? T ? . t •
f
a0 , ,
-
? ?
•
.,C?^
4 1
! ?
Yi
.
........ .
??f
? 2f?3•S? `
............. ...........s.... Total
,
?
?.
r x
. ;
S
_...5
i
ite
# met the.intent of
or less thaxi item #1, you have
the same as
s
m
3
60o6(c)2. .
, 5 N ?
5 ? j
H ' .
. . . •'
. ? y
•-f { . ,`4V#j,
i1F d i 4
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? , ye
N/? }i .,... ? rx? . t? .l .. ? 1 atetl?yi. !.'?..FFn.t4'i. ; .. ? '4 ' _. . . •f
5 ?1.3?? Y 5 fl???
y a$ oq REQUEST FOR ELECTRICAL INSPECTION ?Ift ea-00007:04
, Sae Q'nstructions foi comple?ing ihis torm on back of vallow copy. y3,6 O
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Add Bep. Type ol Building APPliances Wiretl Equipmant Wired
Home Range Temporery Service
Duplex Water Heater Lightinp Fizmres
Apt. BuilAing Dryer Electric Heatin
Commercial Bldg. Fumace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oine, pecj v Oine, isueclNl
t r Spcuty Uther Othcr
Compute lnspection Fee Below
N Pee Sarvice Enhence5ize B Fee Fendars/5vbieetlers tt Fee Circuits
-0 to 200 Am 5 0 to 30 Am 5 0 tn 30 Am s
Above 200_qinp;; 31 to 700 Amps 31 to 100 Am s
Swinuning Pool Above 100_Amps A
Transiormers Irrigation Booms
• PartiaL'Other Fee
Signs Specialinspection SD
$
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Foueh-in Date,
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Final pection has been
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? Licensetl Eleclrical Conlractor 1 hereby requesi insoection ot above
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MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griges•Midway Blde. - poom N-191 " . BE ACCEPTED BY THE STqTE BOAflD
UNLESS PROPEN INSPECTION FEE IS
1821 University Ave., S[. Peul. MN 55104
Phona (612; 297-2171 ENCIOSED.
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140750
Date Issued:01/19/2017
Permit Category:ePermit
Site Address: 731 Golden Meadow Rd
Lot:3 Block: 1 Addition: Golden Meadow
PID:10-30590-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Carmin J Pluntz
731 Golden Meadow Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature