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4455 Lynx CtCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE ')L 19 wKeerveo FnaM ! y/ley'-_ AMOUNT $ I - D $ DOLLARS 1 oa ? CASH ? CHECK F?R White-Payers CopY / Vellow-Posting Copy Pink-File Copy Tha?u ? BY CITY OF EAGAN LU ??.. )?3X m' 9795 Pllet Knob Rood Eagan, MN 55143 , PHONE: I54-8100 BUILDING PERMIT ReceiPt # Te Mvoad 1w? Est. Velue •`'-'?0'1?) Dnrn SeptemUeT 20 to 33 Site Address Lot 1 Bl-?ock _ `- S Parcel # W Name Z Address 9 _ St. Faul Erect od ?'.ei.thts 2nd ?}- K- 3 Occupancy Alter ? Zoning Repoir ? Fire Zone InC. Enlcrge ? Type of Const. , Move ? # StorieA Demolish ? Length LG 9759 Grode rl Deoth 457 Sa. Ft. p Nome .-- Addreu ? r:.., oL,...- Ncme Address I hereby acknowledge rhot I heve read this application and state that the iniormotion is correct ond ogree fo wmply with all applicoble State of Minnesota Statutes ond City of Eagon Ordinances. Siqnature of /1 Building Permit is issued to: all work shall be done in occordonce with Building Officiat I a Assessment Water & Sew. Police Fire Eny. Planner Councl I Bldg. Off. APC ,- Inc. Permit cio.-)T? Surchorge 24.50 Plan check 1-39•25 snC 525.00 Water Conn. 450.OC Water Meter ?- Road Unit Total Y1727.25 on the express condition thot y of Eagan Ordinances. Permit No. Permit Holder Misc. Permi[ No. Holder Plumbing J$Z$' 10.X? ?tc3? /0 H.V.A.C. ( (6 11 Ji, d lC.i rtf L- ?¢ b y Inspection Footings I I Founda<ion ? I Rouph PI6g. I I Final Plbg. I I Final HVAC I I Final Watar Wal I Sevuar Pr. Oisp. Date I Insp. 11 . Other CITY OF EAGAN ' 3795 Pilef Koob Raad Eayen, MN i5122 PHONE: 454-8100 BUILDING PERMIT Receipt # Te La .,?e'?d. 1!2 UL'PLIix. &?P.;?. c?, v-1.._ S4S,00) „_,_ Sentember 2.- ,s ti3 Site /w+dress 4`4''-, Lyruc 1-ourL Erect Ig, ?. . Occuponcy Lot 1 Block 1 Sec/Sub.Oakwood Heights 2nd Alter ? Zoning Parcel # 10-53301-010-01 Repoir ? Fire Zone V N I Z'j'ierre internrises, Inc. Enlarye p Type of Const. oc ame Move ? .? Srorie; '( ? Addreu 1761 Suinmit Ave. Demolish ? ) Length - - ci ?t. PauJ. 5510k one 5;?4-^759 Gmde ? 7?7 Depth Sq. Ft.- ? N er Approruls Feet Zp ome _ o? Addreu u li- r... Nome _ llddreu I hereby ackrawledge that 1 hove read this application and stote tFwt the informotion is correct and ogree to comply with all applicable Stote of Minnesoto Stotutes and City of Eagan Ordirances. Sipnoture of Pertnittee _? ,.a i A Building Permit Is issued to: all work shall be done in accordance wifh Buildinp Official Permit ? Surcharye Plan check SAC Water Cortn. ' - Woter Meter Rood Unit T01GI Y17i7.2J on the expreu condition 1hnt Stututes and City of Eaflon Ordirwnces. Assessment Woter 8 Sew. Police Firo Enp. Plonner Council Bldg. Off. APC ; Inc. ?_ ,3- -l•? Permit No. Permit Holder Misc. Permit No. Holder Plum6fnp 3Qz'I H.V.A.C. Well Watar DisP. Sevrer ei.cer;c ,d 3 y?o z. I?IA1-4 ee 1o-11- Y3 Infpection Data InsP. Other Footinpt T Foundatlon Framinp ? - , Rou96 Plba. Rough HVAC Inwlation i?•, _ b4C Finel Plbp. • ? Final HVAC Final r Water Dewide Location: YYell ?Q7n 42_ . 3(<3?? Er.D sp. • i / Receipt MECHANICAL PERMIT CITY OP EAGAN Permit No. Fea S/C Tot. ' 1. Date (r' ' 2. Installation Cost -? .., > r'. ?a trr-r ef- ??1?'• 3. Job Address LotBlk. L_ Tract 4. Owner ;--- 5. Contractor Phone 6. Address `????"? ^?--? ?? --? 7. City ?- T State Zip 8. BuildingType: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type-" " 11. No. Equipment 8 TU - M. Ea. Forced Air No. Equiament CFM Ai H dli Mfg. - r an ng: Boilers _ Mfg. _ Mech. Exhaust Unit Heater _ Mfg. Other Air Cond. Mfg. Gas, Piping Outleu 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt 3 Z? ? PLUMBING PERMIT Permit No. 7 2 C CITY OF EAGAN ? 7 G C) i - ? FeA . L ' Fill in numbered speces S/C 'L-? Type or Print legibly Tot. a! `-CD 7. Date J0 -)-7` p ? 2. installation Cost 52 Z U(L?) ` /kA K W CX?? 3. Job Addressq t I `5-7 LLl ?I' CA •Lot ? Blk. ? Tract 4. Owner PI ,1 t_ 5. Contractor Phone 6. Address 7. City State Zip 5 3 ? 8. 8uilding Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 70. Describe 11. No, ' Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner ? Shower Well ? Kitchen Sink Urinal/Bidet i Other ll1}{i L'(Aj s ? Laundry Tray , ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 72. 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 Inspections: Date for Rough Final _ Insp. Date _ Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 45448100 L_-..- Receipt 3?? PLUMBING PERMIT Permit No. 3? CITYOFEAGAN ? 7 Fee.2' n Fill in numbered spaces $/C Type or Print legib/y Tot. 1. Date /O 1 7 75 ?2. Installation Cost Z?C%G Oa e w oC)o 3. Job Address f ? •Lot?Blk. ? Tract g, 4. Owner Lo' P I t d` ?(- c.'l < t 5. Contractor Lc, eE S, Phone q tI v 6. Address a - -? 7. City State 4v'?[[Zip 7% -, ?7,-.., 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New E4 Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory 0??? Softner ? Shower ? ? (?? Well Kitchen Sink ? ? . ? Urinal/Bidet Other t 'G :>:? ,---fy Laundry Tray , " ? Floor Drains Drinking Ftn. _?2 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,F. 1 CITY OF EAGAN 454-8100 ? Y OF EAGAN RemarksOl'?! ? 1?19? I AdaIt?o , bl'IKMOOD FIGTS 2ND oW,eScreet ,L;7 LYNX COURT scac D// 9?- O/a - O/ EAGAN MN Improvement Date Amount Annual Years Payment Rec ' Date STREETSURF, .119 395.40 579 10-11-83 STREET RESTOR. GRADING 1-ftl 49.61 3.31 15 39.68 C008578 10-11-83 5?7 34.24 1 29. " " SAN SEW TRUNK 5-75 1981 Z Ob 10.65 20 .11 " " SEWERLATERAL 1.23 ? 20.82 n n WATERMAIN WATEqLATERAL 573 81 4FL 0 38.68 C008578 10-11-83 WATER AREA 57 - iHl. 11 01 5 24.49 " " STORM SEW TRK 8 1984 717.2 47.81 1 717.20 C008579 " STORM SEW LAT NI-I a 81 1984 3.58 35.36 10 35 8 C008579 10-11-83 CURB & GUTTER SIDEWALK STREET LIGHT 500 00 8 1 -2 - 3 WATER CONN. 900.00 BUILDIN R, SAC n YAT3 K ? CITY OF EAGAN ' WATER SERVICE PERMIT 3830 Pilot ; nob Road :, 1 2;, R. O. Box 21199 PERMIT NO.: Eagan, MN 55121 . - - " = DATE: ? ? Zo^i^o: No. of Units: i?u'-lez pw,b,; `a."'_??rre Ent Inc .- l Addrosx ?F Site Address: 44-5 LYtIX COUPt i.l :".1 ?9ktlooc; j;'•t5 2nd Plumber: -°rior Lake Exc a,-,: ''lba N1eMr No.: Connection Charge: 450.010 i)d $Ize: Account Deposit: Reader No.: Pertnit Fee: I^• n' ? P 1sgrw to oowpFy wilU tM Ck?r oi logan Surthurge: ..?r r,a Ordinenoa. Misc. Charges: :?? - ?U 1?c3 met c1 Totol: BY Dote Paid: Dute of Insp.: Insp.: TY OF EAC-4N SEWER SERVICE PERMIT 30 pilot Knob Road F z 18 0. Box 21199 PERMIT NO.: gan, MN 551212 pA7E; ' - ' ^i^g: 2 No. of Unlts: = V?? e% „xr; LaFierre Ent Inc e Addreu: 4455 Lynx CouTt Ll B 0 xoo gts n imber. r.or a.e 'xc I,ai,eszc: I:11 1-20-c :; 33702 100.011 ?. Yms bcomvy whh Hie Cks of Easan Connectton Charpe: 425 . 00 pd Neenas. AtcouM Deposih Pertnit Fee: 10.90 p ii Surchorpe: .50 p Misc. CFarpes: M of Insp.: Totcl: P•: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road P. U. Box 21199 Eagan, MN 55121 „ ., Zoninp: Owner: - ''ierte ::nt Zi Addroxx Site llddrcss: ':'' LYnx Co:12'1 Plumber: iri r?_ ='. e. ;• ? Meter No.: Slze: Reuder No.: 1agne fo amPly wNh 11r City ef Eayan Ordinenw. Bv _ Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ - No. of Unirs: wood tigts Connection Chorge: Account Deposit: _ Pertnit Fee: Surcharge: Misc. Chorqes: - Totol: Dots Poid: :ITY . = tA _A; PERMIT 3830 Pilot Knob Road E217- P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: it2 No. of Units: 'i cll:t•lctx pwnar; LaFicrre Lnt Inc Audrcss: ` Site Addreu: 4A57 nx Court L1 F31 Oakwood }(, ts :nu Plumbee ??ior Lake Exc *,akPSide Plbn 7-20_33 38701 Iagrw !o aomPly wNA Nw CMr of Lqpn Ordineneas. .,..,. .,,, . . Connoction O,orye: 425.00 rd Account Deposit: - . ? . . PermR Fea: Surdtarpe: By Miu. Charpea: Date of Insp.: Tmal: Insp.: Date Pafd: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 7,,.,...,,. R2 WATER SERVICE PERMR PERMIT NO.: 5130 DATE: 10-13-83 No. of units: i duplex Z n,r; LaPierre Ent Ii rossr Addrcss: 4457 Lynx C91r1 wu,,,yer Prior Lake Ex Meter No.: ConnadionCharge: 40v.vv Nu lu: Account Deposit: Reader .. Permit Fee: 10.00 pd 1.yne to eawPy witb tM Cih ei Ea9ee Surd+arye: .50 vd oreieeaa.. Mtsc. C?,orflea: 60.00 Ud met Total: By Dare Paid: Dote of Insp. : Imp.: CITYOFEAGAN Remarks `i87 Addition OAkV00D HEIGHTS 2ND ADDN Lot pt Of 1 Blk 1 Parcel 10-53801-012-01 Owner C). ; screec 4455 LYNX COl3RT scate EAGAN MN 55123 ' Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. N 1984 Pa3d und r ori inal arce STREET RESTOR. GRADING .$1 1981 Paid und r ori inal arce p - - SEWER LATERAL 5 11 i " " " SAN SEW TRUNK !5 1981 $1 rs it SEWEFLATERAL 5-lq 1981 it n n WATERMAIN WATER LATERAL 19$1 Pgid {ynd T OTi lilSl 8TC6 WATER AREA CDW 1981 if of of WATER LATERAL -6 1981 " " " STORM SEW TRK 1984 11 It 11 STORM SEW LAT DRAINAGE 51 1984 Paid und r ori inal arce CURB & GUTTER ' SIDEWALK STREET LIGHT 0 250.00 38701 9-20-83 WATER CONN. 4$0.00 11 BUILDING PER. SAC 525, 00 u PAR K r: CITY OF EAGAN Remarks -? I V 15 3.)-y r Addition OAKNpOD HEIGHfS 2ND ADDN Lot pt Of 1R?k 1 Par?l 10-53801-011-01 owner .? screec 4457 LYNX COURT state EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSUFiF. l 1984 Paid und r oriinal arce -o STfiEET FESTOR. GRADING 1981 Paid und r ori inal arce o SENfER LATERAL 1 1981 " " " SAN SEW TRUNK rj15' 1981 to of SEWER LATERAL 1 1981 u n n WATERMAIN WATER LATERAL 1981 p8id lai ! ori inal STCB WATER AREA 57 1981 it it ft WATER LATERA ? 1981 " STORM SEW TRK 1984 01 STORM SEW LAT Draina e 1984 Paidunde oriinal cel CURB & GUTTER ' SIDEWALK STREET LIGHT 250.00 38701 3 . WATER CONN. 4$O.00 it BUILDING PER. SAC n n PARK CITY OF EA6AN 9795 Pilot Knob Rwd Eagon, MN 55122 PHONEs 454-8100 N° 8481 BUILDING PERMIT Receipt To bs ??ed Ferl/2 DUPLEX & GAR Est. Vatue $49,000 pate Se e ptember 20 jq 83 Site AMress 4457 Lynx Court Erett ? Occuponty g-3 Lot 1 el«k 1 Sec/Sub. Oakwood Heights 2ndqlter p Zoning R-2 Parcel # 10-53801-019-01 Repoir ? Fire Zone NA E V nlarge ? TYpe of Const. oc Nome LaPierre Enterprises, Inc. Move ? # Stories ; Addreu 1761 Summit Ave. Demolish ? Length 26 b C; t. Paul 55105 phone 894-9759 Grcde ? Depth 40 Sq. Ft.- p Name Owner ADV?orals foes ? ?? Addreu f r:... Ncme _ Address I hereby atknowledge fhat I have read this applicotion and state that fhe inlormation is torrect and ogree to comply with oll appliccble $tofe of Minnesota Statutes and City of Eagan Ordinances. Assessment _ Water 8 Sew. Police Fire Eng. Plonner _ Council _ Bldg. Off. _ APC Signcture of Permittee - A Building Pertnit is issued to: LaPierre Enterprises, Inc. all work shcll be done in occordonce with ull 3oliwble te of MlaaeeotE Permit cio.iu Surcharge 24.50 Plun check 139.25 snC 525.00 Water Conn. 450.00 Water Meter 60 . 00 Rood Unit 250•00 Totcl $1727.25 on the express condition thai ond City of Eagon Ordinancea. Building Official ??I CITY OF EAGAN Include 2 sets of plans, ( •??? ? ? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. 'Ib Be Used For y?,a??Valuation ? Date f6 D?j?3 site Aaaress AVU S-I.._. L-L?n X C?t7u't?-?- OFFICE USE ONLY Lot I_ Block /_ Sec./Sub. Erect Occupan . _ cy Parcel #: r0- a 3$0A - OI D- c( Alter Zoning Owner: AddL'ess: I y /o ) ?.ij4f iY/ .4Y ? City/zip code: rIh n ti y'l o f Phone # : Contractor: Address: City/Zip Code: Phone #: Arch./Fng.. Address: City/Zip Code: Phone #: Repair Fire Zone tzll Enlarge Type of Const. I Move # Stories Demolish Front a? ft. Grade Depth 14/0 ft. APPROVAIS FEES Assessments Pesmit ;;? 7 $ ?aater/Sewer Surcharge? . -21 Police , Plan Check 13 2 Fire SAC t:?F Eng. Water Conn. y?0 ffi" Planner Water Meter :;?p °a Council Road Unit Bldg. Off. APC nrrAr, ? (1 ?`l ot S CITY OF EAGAN N p 8480 . 8795 Pilof Knob Ro od Eogan, MN 55722 I PHONE : 454-8700 BU LDING PERMIT Receipt # ro bs wed sor 1/2 DUPLEX & GAR Est. Volue $49,000 pore Se ptember 20_ 19 83 Site Addce ss 4455 Lynx Court Erect gg R-3 Occupancy Lor ?1 Block 1 Sec/Sub.OakWOOd Hei ghts 2nd Alter ? Zoninq R-2 parcel # 10-53801-010-01 Repoir ? Fire Zone NA E T V nlorge ? ype of Consr. 19 W Nome LaPierre Enterprises. Inc. Move ? # 5rories Z Addresa 17E1 Summit Ave. Demolish ? Length 26 Ci St. Paul 5510rphon. 894-9759 Grode p Depth 40 Sq. Ft.- p Nome O?eT Approvala Fees oU ul Address Assessment Permit 278.50 Cit Phone Water & Sew. Surchorge 24.50 OI Police Plan check 139.25 U W Nome Fire SAC 525 . 00 ~ Addrass Eng. Water Conn. 450.00 <Ci Phone Plenner _ Council _ 1 hereby ackrwwledge that I hove read this opplication ond state that Bldg. Off. the inlormotion is correct and ogree to comply with oll applicable APC - Stote of Minnesota $tatutes and City of Eagan Ordinnnces. Signature of Permittee A 8uildinq Permif Is Issued ro: _ LaPierr?e En_ter 'ses, Inc. all work shall be done in accordance wihh ai AI/ pplic b?le,4te Zf T&;a tatu Woter Meter 60.00 Road Unit 250.00 Total $1727.25 on the express condition thnt ond City of Eagan Ordinances. Building Officioi E C?- ('nnn 4' CITY OF EAGAN Include 2 sets of plans, 1 site plan w/el.evations & BUILDING PERMIT APPLICATION 1 set of e _ nergy cal.culations. 7.b Be Used For Valuation Date site Aaaress: c1clss?c?h? oFFzcE usE orLY Lot Block ? Sec./Sub, g??a Erect ? Occupancy ? Parcel #: ?0 -533'p l- 010. p? Alter Zoning ?- Repair Fire Zone r r- e Owner: / 'e rf /e,g t??if'NS Move ?e `I#?'I.?StorieConst. ? '???5: 2 ??rri/r? iT /f ? Demolish Front ?(P ft. City/Zip Code: $ f 11aU Grade Depth ft. i Phone #: }3 9 cf -- ? 7 5 e? ? • APPROVAI,S FF.FS Contractor: ?C/?f to . Address: City/Zip Code: Phone #: Arch. /Eng. . Address: City/Zip Code: Phone #: Assessments Permit Water/5eaer Surcharge '4?Z#4/ ? - Police Plan Check ALgFw Fire SAC Eng. Watex Conn. &50 Planner Water Meter Council Road Unit Bldg. Off. APC TOTAL Z -7, Z S This rr.quest vofd (Q 18 months from NJ 34603 3QZ-$'S .30 ,o0 Rcquest Date I? ( l Fire No. Rough-in Inspection Requi?p A? rJiG []Raady Nuw Will Nntify, Inspec- [ Wh q as ?N? . or en eady Lcensed Electrical Contrac[or O I hereby request insvection of a6ove i u wner . electrical work nstalled at . Street Address. Bnx or Ro e No. City ? S l ectnon o. Township Nar or No. Range No. County Occupan (PRINT) 1 - cl!i Phone Noy. 00 / / d?4/ Power Sup I , ` L Address /7 Q// !/ Hfl - Electrical Co 7actor ( C? an Otame) : L ° 1- Contra tor'S L - cense No. 9 Ar-,q / 1.. G 64 7 MailingAdJresS ntra tor`ouOwne o 'latioglV R?i? i 7 ? ! ` C Authoriz ?gn . ure ontrectod0wner Makme ion) Phone Numb h ? MINNE80TA STATE BOARD OF E-LECTFIICITY THIS INSPECTION REQUEST WILI NO7 Griggs-Midway 61dg. - Room N-791 8E ACCEPTED BY THE STATE BOAAD 1.821 University Ave., St. Paul: MN 55704 UNLESS. PROPEfl INSPECTION FEE IS ah....o is121 297.2711 ENCLOSED. 0, 34603 REQUEST FOR ELECTR4CAL INSPECTION ,,.?.p ee-ooooi_oa / See instructions ior completing this form on back of yellow copy. ?? -X-?ET-}vtiv-Vork Covered by 7his Request 3QzR-5 New A9 Aep. Type of Building Appliences Wired Equipment Wired Home Range . Temporary Service - Duplex Water Heater - ' Lightin Fixtures ' - Apt: Building Dryer - . Electric Heatin Commercial Bldg. Furnace - Si_Io Unlosder - industrial Bldg. Air Corxjitioner Bwlk Milk Tank Farm Other Specify Other(5pecify) iher Specify Ot er " Other Compute.lnspection Fee Below k Fee Service EntranaeSize k p¢e FeedersISuhteeders # Fea Circuits ? 0 to100Am s 0 to30Am s 0 to30Am s 101 to 200 Amps 31 to 100 Amps 31 to 7 00 A Above 200 Amps Above 100_Am s Above 100_Amps Transiormers Remote Control Circ. 51 1 5D Partial?Other Fee Signs Special Inspection {-/??? $ F7emarks ?+?"? - .??. Rou9h-in ? ? ? ,\Da ? ' 77the Electrical ,/C? + `•"'?` -'{i' . T ! !7 t Final ,2" ! ! ? -d Date ? spector, herebV certity that the above inspection has 6een made. This request void 18 months hom ,'/C?? REQUEST FOR ELECTRICAL INSPECTION / ? See instmctions for completing ihis form on back ol yellow copy. M' 52157 X" Below Work Covered by This Request r? ?•?.,"A\ EB-00001-08 ew tt8d Rep. 'TypeotBuilding AppliancesWired EquipmentWired 7. Home Range Temporary Service Duplex Water Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Industrial ' Fumace Farm Air ConditiOner Other (specity) Contraciw's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 ta 200 Amps ? 0 to 700 Amps Transtormers Above 200 _ Amps ov 0 Amps SignS Inspector's Use Only: _ ^ O TOTAL O Irrigalion Booms Qe ? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in t oale certify that the above inspection has been made. F;nai Date , Z7? OFFICE USE ONLY This request void 18 months irom Vr ioi s5-5 y a 5 2 5 7 zkA '/ ?0 ?o C o Request DatB . Fire No- ? ? 3_p/? ? Rough-in Inspectfon Required? ? Ready Now L?!RVJiII Notify Inspector n Read ? Wh jz?Yes ? No y e ti 19 licensed contractor p owner hereby request inspection of above electrical work at: Job Adtlress (Street, Box or ROUte NoJ q`15 2 G ? Ciry E,qGN^' I_ nr% Section No. 7ownship Name or No. Range No. Counry D44'arN Occupant (PFiINT) Phone No. 1/0n I3Eaeiiii Power Supplier Adtlress dakar,or « F??,?•u?raa. Elec(riC31 Contractor (COmpany Name) Conirado05 Llcense N0. ??sT$2 A4c.eUti2tG ? ?!(oG ( Mailing Address (COntractor or Owner Making Installation? c q3s-6 Ave Aulhorizetl SignaWre iCon[ra tOrlOwner Making Installation) o,,C?- Phone Number lt{G3 yelo MINNESOTA STATE BOAHD OF ELECTRICITY 7HIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENGlOSEU. This request void lv-Iq 18 months irom 'P.`_,3402 1- ?I gilor?ooA 4412 o , o a Request Date Fire No. Rouph-in Inspecvon Requi d? ?ReadY Now Will Notify, Inspec- 1 s ? No ?or When Ready ?censed Electricai Contractor I hereby requestinspection of above ? Owner . electrical work ins<alled at: Street Address, Box or Route No. City q?U`V ecUOn o. Township N e or No. Range No. Counly Occupant(PRIN 1 Phone No. PowerSupplier - Address r Elec[rical Contra tor,(Copp}anyN 1 .? ?cin a.,?.F en No. Mailin0 AdJre s act r or d r ? r Authoriz igna (COntractor Owner:Making insTellafiuo 1 , , P umber MINNESOTA STATE BOARU OF ELECTRICITYTHIS INSPECTION REQUESTWILL NOT Griggs-Midwey Bldg. - Hoom N-191 BE.ACCEPTEDBYTHE STqTE BOARD 1821UniversityAva., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS . ENCI.OSED. P6nno 18121 997_9117 REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 See insiructions for completing Ihis form on 6ack ot Yellow copy. N.Y,34602 ? '.: Covered by This Request 3? Z-? Nev? Add Rep. Type of Building Appliances Wired Equipmen[ Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial BIc1g. Furnace SiloUnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fflrm Other peci y Other (Specify) t er ISpecify Ot er Other compute inspection f ee 8elow # Fee Service Entrance Size p Fee Fenders/Suhfeeders tl Fea Circuits It?? O to 100 qm s -OS- O to 30 Am s O to 30 Am s 101 to 200 Amps 31 ta 100 Amps 31 to 100 Am s Above 200 Am)s Above 100_Amps Above 100_Am s Transrormers Remote Control Girc. Partial%Other Fee Signs Special Inspection T ? Remarks - , ' OT FE A2A CD ) Ruugh-in " Date Ihe Electrical Jspector, hgreby tit h t th h Final ? r Date.?L? cer y i a e a ove ?ectfon has heen Ihis repuest void 18 montlhs from RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGMI ? 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New ConsbucNon Reauirementa • 3 registered sde surveys showing sq. ft ot lot, sq. ft. of house; aM ?II roofed areas (200/a maximum lot coverage allowed) • 2 copies of plen showing beam & window sizes; poured tound design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan H lot platled after 7/1l93 • Rim Joist Detail Options seleclion sheei (bldgs with 3 or less units) DATE R/a / 0 ?; ? I . 7 7/oa 4 lS-7 9,S RemodeUReuair Reawrements • 2 copies of plan • 1 set of Energy Celculations lor heated additions • 1 site survey for "erior additions & decks • Indicate if home served by septic system for addilions VALUATION SITE ADDRESS _ l145- 7 ?t/h Y? CT- MULTI-FAMILY BLDG L`Y TYPE OF WORK Vy-,, r Ozi? FIREPLACE(S) KO _ 1 APPLICANT STREET ADDRESS TELEPHONE # _N _ 2 ' I S STATE MN ZIP ? PROPERTY OWNER ? n Grl omj?yl TELEPHONE #??? "?{d 5 y93?? COMPLETE THIS SECTION FOR "NEW" RESIDEIVTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RLUjM 7f.7.2 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • N 20 'er? e O?? t? . Energy Envelope Calculations Submitted ? AUG 2 8 2p02 Plumbing Conhactor: ---------------Y--- ---^--- Phone Plumbing system includes: _ VVater Softener ? I.awn Sprinkler 8y VVater Heater No. of R.I. Baths v No. of Baths ~ Mecfianical ConMactor: Mechanical system includes Sewer/Water Contractor: Phone # Phone # Fee: $70.00 .......... ---------------- -------------------------- ----------------------------- ----------------------- ----------------- - I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Ci1y of Eagan r?na ces. i , a Signature of OFFICE USE ONLY ? Air Conditioning Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 AOBE COHSUlTINO (HOIHIIAi PIRWNtAi and IAND 1UAVIYOIIS ' PIENGINEE?RING CQMPANY, INC: .. . . ,1000 Ul3T 1161h STIICCT, EIMNSVILLC, I11WNCS01A 55337 1'H 432-3000 Cc rI}'? 3 cr N N 00 0 Z ojr1.c ?1-1 _° - Z?Q4I ? ?crL o • i i "?i" •'? =- LOT 1, BLOCK 1, OAKWOOD NEIGWT5 2Np ADDITION DAKOTA CallAITY, tY11NNEeOTA L a,; , I I 5 83°33'4!"E ?49.90 i / 1 IV V!C l r'1 " ' SGALE : I =30 0-9EN0TEcj IRQK a MokUrnEnrr sET ? 0 ti \ \ '? ^4 u ° ? I 39 dr \ i O -10 o I? zo.o r ?. Q PRa N ?? ... _.__, • ?.3pL EK ? ? ??.s 2 iy oe `?6 • 3°ti. . ? \ . . . 92 \ <,, \ 0 ? < ?n \ `?\ jX?me.S Er? ? sr, N6 Ei.F?at7aJ ? io , u'i C?Fi?brF? ?P?-EV Et,6?hrtu?? ?`3?v.o, I nl D I (-AX7-e S I)1 Qf'r1T'1v.1 aF J? SJRFn4Z QROaJ A.(aE M ? ? J ? / ? F,.J,SdEA laARAGe- fcaot„ C-4'C.,AnoN = 913> .c I hereby certify that Ehis is a true and corcect reprecentation of a tract of land as shown and described hereon. As prepared by me on this - '&2'A day of A;,???* , 19 83 Minncsota Itegistretion Na. o b , • ? Payc. 1 of.' 4 - - ' ' ?; q ~,:. .? T';?:'iL•'It?OR 1°_:d`:%1'.LGP!r q ?--?--,-------?t."i'I?1'LO:"d _ '.?' I IP??D? , ?2 cwu4 '/? s ? ?'7 - f3.? "1Z: ??. li 5 !?? G (Jt1'.i'L' _ G.- szTr nnuRrZs: PNoM??;. : CONTFt11CTOR: nJ Deter_rnir.e war.;.i.nc7 sq,.i,zre foo*_aqe oi each 1. Total cxposed wall area...... sn. t:t. Y_ .17 2. Toa.l r.oof:'jceiJ.ing a.i-ea . . . . . . ,o. f i:. x _ 05 - 4 S •? _ Total exposed Iea17. ar.ea above Lloor - j? t(p a. Total wiall w.ind?r)w a: ca . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . i'. '?'.^.,t1). 01C7Y l?;1';'ii . .. . . .......... C. ibtc1l ullCji2.C.Z LbUY ATt::i . .. . ... . . . . . . . . . . . . . . . . . . d. Total tireplace wall, area ............................. - e. Total wa11 fr.a:ni.rtg area (average i0"o) .... ......... .... . . f. Total rzm ioi.si area .................................. g. o:all azea zbove floor .......................... h. w<t].I area above f.loor .......................... i. wall are« above floor .......................... J. wall area akwve floar .......................... Total :.?anose3 ioundation area k. 'i0ta3 ic>'u:dation window a:_ea 1. '.Ib?al r.et. f.our.dat:.on ar.ea above grade ................. f Determi.ne "L"' value of eacil wa:?.l c;e,meil+,: (e.g. Hrindcw; cioor, e<zc,i separate wall sectio ;i) ? a. X "tJ" ' ? '?.--- - ---1==- -- Ji. Y, U 1? [) r 11 ??" G`J = Z<'.. J, ?. _ --- e. y ??U" f. >; „u„ x . „ ,,,i `3 e?> A l; y. Y ?lull _ ? a, • K it"J" _ Sf i*_cin i'3 is thc same a•„ o:: less than itcr,i 41.. yoii i k. lteve met the ?. zntent. ???•, . r , . -------? ? . ---... 51s? 6G05 (c) , 2. • . . . , . , f _ y }( _. , lsxter•ioY Envelepe Average "U" Computatior. Page 2 of A Total expo.,ed r.oof/ceilin9 area = 9 l1},5 m. Total skyliqht area ............................ -- n. Total roof/ceiling fr.aming <lrea (average 10%)... q ?,S o. Total net insu?ated roof/ceiling area........... Determine "U" value for each roof/ceiling segment m. x "U" _ x"u" ?7 • x 'lull 4 . ......................... Zbtal , If total of #4 is the same as, or less i.han 1p2, you have met the intent of SAC 6006 (c) 1. Alternate Building Envelope Desiqn Zb utilize the total envelope'system method, the values established by the sam of items #3 and #4 shall not be greater than the sum of items itl and 42. 1. + a. 45 1 = 3$`?.`? , 3. + 4. ? ?. PLAQ ? L, I t..1 54AL F"z', EXPo?SED WAL, (.... ?, . ??e? w.?',? ZO { -?a,>+ Z.. S -i- ZS S w, o? i ?;; ZS -? Zo +ZZ. . s-?-- Z• S-t Z5 _? 5 i^' U?? f ?' c r-- Zk -?- I?+ I -?- Co + s-I- Zc? = r3 z ?:: lJ ?,. . 2. ? . 'J 3 2 ? M SLOc,(<?', ?w EE a ; ! r W.0• Cis I:G.1 LL [ . I 32 Fu LL 2 ? . ;; . -rA cm. EXPC3Sa? CEi LlLiy Z?xzS z ? x ?a.s ?U iC S,S ? Dw5 Zq?B 1`N-? 1? ??- Lo ? Z? I J soo r?u ? ? ?.1 _ rCC.T ? , j '?);,?• 1',L ul n?,,?,?.? • ..? ? ?, ,,? ? ' ?- ,. ? I:-V:ilvc, ' j1',111i.• ?..??It:;l'.)' N,I . ??? ,?' ..._.__.._._. 1r' ?vp 3.. .500 p . _ _`_?.-.••. - -- • ?- ?? •??-,' a? ,Ir ?.? ?I ., _. _ . ,. 1'....__. , __.._. , . _ . .._. _. _ ... ? i::.!„ iLl' „i, r, 1,?? 17 wnr,7. • _ __. ?? _ _.. _..__;?,) 1?,r;,? ? .?? ?-= ? J --- . i - -?' ? ? ? ?? ?? ?• ? ° n ?. } ?,?! ??: i?,7 ?tlr ; I1m 0.5A '- .-? ,? .. _ • `? - ?+'t=d 1 L?__ ??.;t`?_'`wd.._--------- --'?'-.? ll!?? '? _.__?`.._,.__{? ?. °???.?.?,?_? ---- •-___- _? 1 ? ,...___. _?..__._.._. C- F?G. ? ? , ???I ?° ? o.Ori . _...__?__.--__I ?'? ?r ,____?...-..__ {? . • 1, ? nt y ? ???r i? ? ;.? ) {?' _---------? 95y} ]j . 1•? ?l , '"J (:_-_?_--?'? ?., ?,?,,?`??y'6.. . . e'???.?°i' ! J ??i+' . .. ...?'._ ..?? ? ;.' '' 1I , ._ ?j? • ??'.3a,r? r? , -?°rv_? r i'.I f I ....__....-,_? _.._?? `i . . P.1?31 ?•.P ??...? J?. - -_. ,_? .. ??=.s'_?? ' - C.,?i ?I h.?rJ'p) Vi ..--- `o?-, L ? y • ? ? ? ? ? ?` ?' - -- _ _ ? _?j?' ? mo 45? . . ,. ? ?_ .. ? - ..... _? _ ..,.?_,._?...__- . I . . , . t) N . ,.??.... i _ .? ._ \ ! ? ?'J.. . ...?..rn-?..?..? ! I_-11.'• ,, _?_ . . ?r???.:?i ? ?`? . ? (.-?? ,••?t,` 51,n;3 oF f_it,1l)i? ` : . F• _ (, ? a j,C ! f ? v v?.?_s.. . . • . _,.,, I'L..>. ?- , Il?. ?f ) , .,..?._,? ? I'??? l. _ : ` "_'_ ?(_• l ;,• ?/? _ ??? •?? ? .? ? ? -_ ??? rif ?. -? _ .i 1 . ? . ? ??1,1;; , t•.l. _ !, ni V lJ`_lClll• R007/CEZLitiG . , '' ` • ?? . , . . ` 1.4 C0n-_tr.uction R-Vali.te In'??t7cTrioc ai'rf'ilm 0.61 ? %3"1 s 1?l?4. ?xtr_rioz air f;l(stzlO.7 Z ?? iIli L II?:I?? ? --- Tot,ll :.. , ? ... `• ' Ftl.A+.?f ?,: ' ? . . ??e3 interior air giim ? 0.63 ?YT,--_ . LP - • . . . . . 3. Z ? +i ?J'?UL. • . ? ' • ??. EAtcrier aiL ?i1n scilT) ---?e? ' ' . ., .' • ? Tota? . • • •' • ' • ? 'K • • , ? ° ? • . ? e . . ? ..u ' `: '?4,. •?°i's'?, ?°' ? ?/ •9 ?'\..? (? ' n I+?TAc?ar-„^?C?fnS..?"_.f.NK..1 ' ? ?.V? n.i_setuy?..,t.'??__.a1•?'?'?C_ `_'_='::t. J?_'_J ? .?i.o .CSl,y_C:r? 71 "1I.!Q _ ' `s_ ' -- • ' ' . 5. L?zts'tdr_ ? ir, E.ilcn 0.17 ToY.a1 Ut; q_ 23, ? - ?.. %nalc7e air £ilm 0.51 ? • . necC floa: vp - a•greaLed . • . . - . 4_ . ? ' • ? . ? . . - , . ' S. ou?s.'tde air fi2tn 0.17 ,a'?Y?. 66 ?. . • . : ' Tota1 , _ . . . . . . , _ . .. . . _....-. --- ? - - - - - - . . rn`i.dc air filrn • • , • r r???? °I...?'?e;a^ -?''.+?,egt.?.'.??.. ,- u ? ? 9? ?M1?) ? ,?',; •:' • •1..-?+?'??J l? _v?? yY: ` y . •?l" / ? ? . ?_??-_.._...? ___ _??' ? '1?• / /?., -? ? .'"3. ?AltSxdc`_ :z1r ?[ _1::? 0.17 Total z ?•?? ??, . . , . ' . . ". ? .ti? . . . ' ? . • . ' . • NCm--vm:, . a32its.onal sheets i£ morca apaCO !- ?. • '.• •?? '? a,q'??lec3 for c3et. ils and calculaCions. , .? ? . . ? e Eiea? - . . • ' • • $lcfia tsg • . • ;?. ? ? , . t .. ' • •• • ' ? - Y _ •__,=.__...___. . -- - ----- -.----?.; 0 - nage 1 oP 4 - E?;2`LRTOf2 L•":lVT•.'LUPli P?Vf;I';A(;E "'U" COMPU9'n'I'IUPJ ? J-41 L I7A'i'L szTE nDUxLss: PHoNr: coNTRnCTOx: Determir.e worlcing square footaye of each 1. 7bta1 cxposed wall area ...... sq. tt. x .17 2. Toal roof/ceiling area ...... sq. iL. x .05 = 45.? ' Total es:posed arall. area above £loax = 161(.0 a. Tnaa.l wall window 1:ea ................................. w. r'?'Qt3.).. LZCpY rll"S?c] . . . . . . . . . . . . . . . . . . . . . . . ? . . . . . . . . . , . . . . . .._.?? r. r,"o t al slilin;; yiuss douz area ......................... d. 'tbtal fireplace wall area ............................. e. Total wall frani.ng a.rea (average 10%) . . . . ... v . . . . . . . .,. . f. Total rim joist area .................................. g. area zbove floor .......................... h. wall area above floor .......................... i... wall area above floar .......................... 7' ----- wall area above floor .......................... -- t'atal exyooseu foundation area, k. `.iotal ia,it:dation window ar.ea . . . . . . . . . . . . . . . . . . . . . . . . . 1. ;Ibtal not, f.our.daLion ar.ca ahove grade . . . . ... . .. . . . .. . . ? Determine "U" value o£ each wall segment (e.g. windcw; door, each separate wall section) r a. X ,lUll --??L- , ?_.33 x "u" •38 c. x „U?? ,? d. i . @. x ,fU„ x "U" n. X liU„ ? ?. ? x „Ut, _ ?. . , . x ? - ItUll . _ ?..__._-. k. • • i x 4lull , ? ? 22.5 ... . C: Lf item tf3. is the, same',as, or less Chan item.?tl,..yau have met the inkenU: of•,:. Sllu 6006 (c) , 2. . . , . , . ' .?. - Txterior Envelope Average "U" Computation Page 2 of 4 Total exposed roof/ceiling area m. 'Ybtal skylight area ............................ - n. Total roof/ceiling framing area (average 102)... o. Total net insu}.ated roof/ceiling zarea........... eZ?i Determine "U" value for each roof/ceiling segment m. X lfVll e n- ?l lS x,?U" . 03 i = Z.8 a. 82? x ??v,? .r723 ° ??•9 4 ........................... Total If'total of #4 is the same as, or less Lhan #'l, you have met the intent of SHC 6006 (a) 1. Alternate Buildinq Envelope Design To utilize the total enyelope'system method, the values established by the sam of items #3 and #4 shall not be qreater than the sum of items #kl and #2. 1. 3??4.? + 2. 45"l = 38`11 3. ' ZZ\.5 + 4. 2l ,"l = 243.Z t ? f r ? `- . . ` ? ' ' ???? 4:? %o(ol , ? L. I &jF..,ALrT, 2cpos? D WAL L. 1??? Il0 ;:1,J ? L I + S ?:V L. LL e , SQL. ;:'T? SYLPO5ED WA L.L AzEA 95- X R r? ° 47? ?m E.F. a x T ! V N. o i$?lv Pl1 LLI I . I 32- X ? d oSC, 1"' u LL Z ? k ? Pa.pe I!' I3Z ,rA L . , ? 05 P.?D ?...?, ? L I u i W DW15 2948 ?" Zo 48 1 I t . , ? Zok2- 4s- 2 L x 14e57 Zc:) k S "s- 0 ? COR.S ,5 C?O 3 °4'r ?145 Ito 1?2 6¢ Z ? ? Z? u? 1 ? ?__??---- ?AT10 D .. i ` 0 . ? F's M4 u kJ i +S ? - ?? ? ? ?. "?I;p 1 'Iho i : i'?.L.L f•I;i"1'.? ? ?1;." ".. ? .. ? ?)',ttt r?• C?'i11:t1'.}'??i:l .,? ??? ?? ?...._. ? .? ? ? ' .. i ?,.. : . . . . . ! , .., . . _: . _ ._ .. ... ?, ? -, i9tiS YC - ` WAl.i. rxc. ai Tor>v?I a:cr nV WAa,t, . ? 42) FIG. 42 ,. ?tL L?' ?_? r . . ? ? ^?\ ? ?____?....-.._..._.?f? ._ ? ...,: •w . l•:?t.'.: '\ ', : t , , . 4. . •' . ?"? ?f::?4Y ?. J. l.l i7 .,.. ......,.._...._.....? .;AL3. ?r ?t ,I,`• 1 ? ? . l? ? -'?' , `'"? • .? a ?.??.,.-.?} „ . . • d. 4 ,/t ..n,..._..._-- . y /I :i1.AC9 U!1' (?FAUI'.' ? . .... ?..'r?. ?? d /. tr. -- ~ ? • ? ?? ?f? _ r .._..,..,,...1??.1 , • 0 .? .,.... W .? R_?V_"l Lcjc,. L?',Iym-? r?dN°.... .?_..._.._.__ .a bI4! ?f9'? , ....._ . . .. ..... . . . 1 `?'? _._. .. _ ... . ._ . _.... -_. _ ._.._?.__ ? &JSUL, , t°U e a /2 1. ;111'0ritIr att- filin b.6n , -'• ?i/?'-----lIJ???.?.?_._____._!_3..? 4. ?, _?l'?!_J.14•! 8 . --__._..,.?...._ s ?-- <a . i7 6. F.xtc?rior ir film o -- -.... . __ _.__....,,.__....., ...___._ ;ro t,: 1 Ap , ?'? fy) ? r m05 L0 0168 z. a . G. l:,i??t'i??[ L v lil,n...?...._._....,....__..0:GE3 J G. xt'urior l.m0.17_ 'rot.;it Z.Q I ?; u ? ?? . /??. f\? ?y ` ?TI ( ?f ? , ?., 4 % l ?. ??f.•.i. I ? • !f1 ,? ?? ?? • --- ? , ? Fitd. t!Q ll{ ? ? ?' ' ?. ? b ? ? 'lS1;1411;7tio!1. , . 5 • ' t . ? "pDOV'/CEILYNG ? .. • ? • • ' . ' ? "i?, ji ?--? .- . • ? ,, , • ?• . . meCa fleat fl.ow • . up . . ? . ' . . • . ' . . . ? ? - . ., • . ? ?, , Construction ??pSw_.' R-Value g. Intcrinr niz filra ? . . 0.61 a. . 3. 4e Y'`.JCtCl'i.OI' 31Y f11R1 (Stlll) 0.61 T° tal,? 41. ? P?4+rt a . ' , . I. Interior air fi2n 0.63 2. s 3. S ?-! WSUZ. 4. Extcrior aii_ filn . e (still) . , Total . ?? 32.0 '•O••tV•,°,.Vl t?: ? 9Aio?r¢^1C_A?1k-.LixLn1 : fj? ?. l. Inside air fil?n 2. ' . ? 3_ . ' . • ?. Q -- '' S. Outsidc air EiLn 0.17 Tokal i1i ME 26 ?• L Ynsidcs afr film 0.61 - ' 2. P.eag Elov vp . meated •3_ • . . . . 4. a . . ' ' . . . • cJe oRtt$idt 31S f111n 0. LZ • .FIIC. ?6.'. . _ . • • . . ' ? : .. . ' . Total . . • • n ? r• • 9 si??n?"?'?! . ? ? ??. ? ? ?. ? . ? . xnsi8e air filrn o • , r .v • e1 ??:'?- ?S?'ry .'??' 3. ' r . ? ?dsY, ?..?.•t ,?.:;,:._.. . •• ? 4. xr"r?`•j4•`?.!'• '• `' •?-? ---? ' 'S. Outszde a i r 0.17 To W 1 ? / . ? ... ' '.. . ? ? ?. . • • ?;?-??? ••• . ? lautr_: ?^so add3tional sheetg iF more wpacn S: ?.' •?, . ? ? ' ur.cded for dctnils and calcul-aCivns. , ?' ? • . o b?2s? . ' • e , ? g P • • • ? e y • blL11S ESp e 1 .r ? • • .. • . . _ . . . i ? • ? . ? • Pliro. E C7 , • ' • . x .. C 60 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?30 ' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date ?_ J_14,? l G G Site Address ri X G ? Unit # Property Owner . S v\. ? L fic C Telephone # ( ) Contractor ? d?? ? l l '? Y??¢ 7"'w5 ??? Cit !' !', Street Address y r State Zip Telephone # ( 73 „Z ) Sond F, r,- -Expires: uwo The Applicant is _ Owner elll? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 _ furnace _Additional Replacement _ New l air exchanger ( air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the informatioq is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but y an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approvecYpla in the case f work which requires a review and approval of plans. - / u„r /.?/.?,?-?? Applicant's Printed Name Applicant's Signature 2006 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when sepazate permits are not tequired for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When rnstalJing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspecfor Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If ep rmit fee is less than $1,000, add $.50 [f ev rmit fee is more than $1,000, surcharge - is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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 [he work wilt be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Approved By: Inspector Applicant's Signature Date: Required Inspections: _ U.G. - R.I. - Air Test - Gas Service Test - Infloor Heat - Final PERMIT City of Eagan Permit Type:Building Permit Number:EA108283 Date Issued:11/28/2012 Permit Category:ePermit Site Address: 4455 Lynx Ct Lot:012 Block: 01 Addition: Oakwood Heights 2nd PID:10-53801-01-012 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian B Coatney 593 4th Circle Dr SE Lonsdale MN 55046 Window World AKA Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature