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4591 Maple Leaf CirCITY OF EAGAN 3795 Nlot Kaob Read Eoyen, MN S5121 . • PHONt: 454.8100 BUILDING PERMIT Receipt # Te M vnd foe Est. Volue Dote 19 Site Address Erect Q Occuponcy Lot Block $et/Sub. ` /11ter ? Zoning Parcel # Repoir ? Fire Zone Nome Enlargs ? Type of Const. W Move ? # Stories _ ? Address Demolish p Length Cifi, pF,o„o Grade ? Depth Sa. Ft. . o Na? Approvols ?i Address Assessment u 1- Cit phone Woter b Sew. Police ?W Nome Fire Address Eng, Ci phone Plonror Council I hereby ocknowledpe thot I how reod this applicotion and stote that Bldg. Ofi. fhe information IS torrect and ogree to wmply with all opplicpble ^PC State of Minnesota Statutes and City of Eoyon Ordinances. Permit Su?chorge Plon check 5AC ? Woter Conn. Water Meter Road Unit Totol Siqnature of Permittee ? A Bullding Permif Is issued to: on this express tondiHon thni oll work sholl be done in eccordwxe with oll oppllcable Stote of Mlnnesoto Stotutes and City of Ea9an Ordinonces. Buildirq Off{ciat Permit No. M?mit Haldrr Misc. Permit No. Holder Plumbiny 30 a H.v.ac. 317& w.u W?tsr ' Disp. S"wr EMetrie W,SS$-1 0 Ft tE. EtEL. -13-$2- ?? • Inspection Da" Insp. Other Footinps -t$Z Foundation Fwmino s•j, Y? Rwph Plbo. Rouqh HVA ?????ion Finsl Plbp. - Y21 ZA) Final MVAC Final Wxw Dosaibe Locstion: YWII Sevuer ' Pr. Dbp. Receipt PLUME CITY -•?--- ? 1. Date?1? 2. Insia 3. Job Address 4. Owner ?/: / Psrmit No. ' Fee S/C ' Tot. Fr " ? Tract 5. Contractor Phone " ?.. 6. Address 7. City State Zip 8. Building Type: Residential & 9. Work Description: New 1% 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Glosat No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank ^ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Oxher Laundry Tray I . Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets 12. I hereby oertify that the above information is true and correct, and 1 agree to comply with all ordinances and es 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 MECHANICAL PERMIT Permit No. ? CITY OF EAGAN , Fee . Fill in numbered speces SIC ' Type or Prinf legibly Tot. 1, Date 2. Installation Cost 3. Job Address Lot -- - Blk. ' Tract 4. Owner • 5. Contractor - Phone 6. Address - ' ? 7. City State Zip 8. Building Type: Residential d Commercial O Institutional O 9. Work Description: New ? Add 0 Alter ? Repair O 10. Describe Fuel Type 11. No, E.quioment 8TU - M. Ea. Forced Air No. EQUipment CFM Air Ha dlin : Mfg. n g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ` for Rough F inal Inspections: Date Insp. _ Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 3795 Pilef Knob Rosd Eepee, MN 55122 ; PHONE: I544100 gUILDING PERMIT Receipt ?t To 6e vred for Est. Value Dote . _, 19 Site Address Ered C] Occuponcy Lot Block Sec/Sub. AIter p Zoninq Porul # Repoir ? Firc Zone Enlaroe ? TYpe of Canst. W Nome Move Stories ; Address Demoliah ? Length b Citv Phone Grode ? Depth Sq, Ft. ? Name =:t=i o? v? /lddreu ri.., nL_-- Nome _ Address I hereby acknowledge that I heve read this appiicotion ond stote that fhe information is torrect ond ogree to comply with oll opplicoble Stote of Minnesoto Stotutes and Ciry of Eogon Ordinances. 1lssessment Woter d. Sew. Police Ff ro Erq. Planner Council Bldg. Off. APC Permit 5urcharge Plun check SAC Water Conn. Water Meter Road Unit Totol Sipncfum of Permittee I /1 Building Pertnit Is issued to: " on ths express conditian that olt work shall be done in atcardarxe with all appiicoble State of Minnesota Stotutes ond City of Eoqan Ordinances. Buildinq Official Psrmit No. Permit Holdar Misc. Permit No. Holder Plumbin9 Ct tahU l? L,-r- H.V.A.C. 175 IJYb ?'t? h S Q-llO --I'< Wdl Water Diap. Sewer elea.ic . W3557? i.7?lc SZ7 ? ?t fl -/- 8'Z Irapection Dste Insp. Other Footings -2-lrZ b?L Foundation Freming Rouyh Plbp. p- J-8' G? . Rouph HVA (nsulation Finai Plbg. Finsl HVAC Final ?' pJ Wat/f Describe Location: YYell _F Sewer Pr. Dfsp. . ? Receipt !s ? r 1. Date - - 2. 3. Job Addres 4. Owner 5. Contractor CITY Permit Na Fae S/C Tot. 0/t - Blk. Z Tract Phone f ? - !- 6. Address ' . I A A 7. City State i 2ip 8. Building Type: Residential 1? 9. Work Description: New 10 I 10. Describe I 11. Commercial ? Institutional ? Add ? Alter D Repair ? No. ? Fixtures Water Closet No. Fixtures CesSpool/Drainfield Bath tubs Septic Tank ? Lavatory Softner Shower Wel 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. 5igned : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-5700 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN ' Fee . Fill in numbered spaces S/C Type or Prrnt legib/y - Tot. 1. Date ' 2. Installation Cost ? 3. Job Address Lot -? Blk. Tract ? ., 4. Owner 5. Contractor Phone , - , 6. Address - ? • " " ' ? = t 7. Clty ? - Stdte Zip " 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter O Repair ? 10. Describe Fuel Type 11, No. Eauipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. an ng: r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 CITY OF EAGAN Remarks Addition CHES MAR EAST FIRST ADDN. Lot 32 81k Z Parcel 10 17150 320 02 Owner street 4591 Manle Leaf Circle stace- Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2 786.65 A011923 2-1 -$ STREET RESTOR. GRADING SAN SEW TRUNK 11 19$1 280.00 56,00 , - 112.00 A011923 2-15-83 *SEWER LATERAL G . ., y tt n WATERMAIN *WATER LATERAL WATER AREA STORM SEW TRK ? 140. 44 A011923 2-15-$3 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Roan vrrrr 240.oo 31735 --82 WATER CONN. 420.00 t? it BUIIDING PER. SAC PARK CITY OF EAGAN Remarks Addition Lot 31 Blk 2 Parcel 10 17150 310 02 Owner r'j- street 4593 Maple Leaf Circle 5tate Eagan, MN 55122 eL ) j1 (?: •,. 4594 Lexington Ave. ' Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (vq ? .0 262.21 786.65 A011834 1-19-83 ' STREET RESTOR. GRADING SAN SEW TRUNK -511 In$ 280.00 56.00 - 112.00 A011834 1-19-83 ,kSEWER LATERAL 1358.09 ri ir WATERMAIN *1MATER LATERAL WATER AREA /Q 112.00 A011834 1-19-83 STORM SEW TRK 140.44 A011834 1-19-83 ,t.STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 31735 --82 WATER CONN. 420.00 BUILDING PER. SAC 25.00 PARK ? ? CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE REC61VfiD 19 AMOUNT $ I h DOLLARS ?oo ? CASH ? CHECK FOR White-Payers Copy Yellow-Posting CoPy Pink-File Copy T nkJYou - ?/ B Y CITY OF EAGAN 3795 Pilot Knob Road Eagon, MN 55122 WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Address: ('irrle 1,32 DL' C1 ?'gr ?-a.st Z ?..._. -- - No.. to eomply with fhe City of Eugen Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Totol: Dote Poid: Insp,; CITIf OF EAGAN SfYVER SERVICE PERMIT 3793 Pilot Kno6 Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: No. of Units: Owner: Address; Site Address; ' -,.; T.,? •- ;. 1 e T'"' r 2 a-c sdT n s L , Plumber: , r 1 egree fo eanpty wlFh the City of Eogoe Ordinanees. Bv Date of Insp.: ;. . y . -, Connection Chorge: s - - - ;•Account Deposit: Permit Fee: 5urchorge: Misc. CFwrges: Totaf: CITY OF EAGAN SWER SERVICE PERMIT 3793 PiJot Knob Road PERMIT NO.: Fagon, MN 55133 DATE: Zoning: No. of Units: Owner. Address: Site Address: ' - ?f •'i,- ' ' ; °+'t3? I?51" Plumber. -?- 1 agree M aemply wifh fhe City of Eogon Oedindnees. By Connettion Charge: s ` Account Deposit: Permit Fee: - Surcharge: ,. Misc. Charges: Qate of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN WATER SERVICE PERMR 3795 Pilot Keob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No, of Units: Umer: _ Address: Site Address: . r P'iumber. hieter No.: Connection Chcrge: Size: Reader No.: I a9ree to ComVlY with the City of Eagan Wdinanees. Bv Dote of f nsp.: Account Deposlt: Permit Fee: ------------- Surchnrge; Misc. Charges: Tatal: date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION ??5l 3g CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 lew Construction Reauiremenls RemodellReoalr Reauirements 3 regislered sife surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% mauimum lot coverage albwed) • 1 setof Energy Calalations for heated additions 2 copies of plan showing 6eam 3 window s¢es; pou2d faund design, etc.) . 1 sfte survey for extenoraddiGons & decks 1 Set of Energy Calculadons . Indicate rf homa served by septic system faradditions 3 copies of Tree Preservation Plan'rf lot platled after 711/93 Rim Juist Detail Options selection sheel (61dgs with 3 or less uniLs) )ATE //>, C / ??O/ • - -- 10B SITE F MULTI-FAMILY BUILDING, HOW MANY UNITS? 'ROPERTY OWN 'YPE OF WORK 4PPLICANT d 4DDRESS 'AGER # CELL FAX # ? 1,? X)- 7S ZIP CODE? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category t Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Conhactor: _ Water Softener _ Water Heaier No. of Baths Air Conditioning Heat Recovery System Phone # Fce: $90.00 Fee: $70.00 \II above information must be submitted prior to processing of application. hereby acknowledge that I have read this application, state that the information is 711 opplicable State of Minnesota Statutes and City of Eagan Ordinances. Signature af ;ertificates of Survey Received Tree Preservation Plan Received VALUATION ciI55 600- "' Phone Lawn 3prinkler No. of R.I. Baths Phone # FIREPLACE(S) 0 _1 _2 _3 -3O, t, and ag7A1o cc Not Required _ with Updated 1/01 ? Ttrtifirtt#r of (Orrupttnrlj ; °Citp of (eaqan IDppFITtII1Pttf of l1ltlditig It19}iPtflAri `Tb& Certit![G!E JSSNC(I pN13Jlt{Nt t0 lLL 7[qp77M1[ntf of SL!ltON 306 of tix Unifor+n &rilding Coda urtiFying that at tlx time of ittuantt thir thurturr wru in compliante with thr va+iour ordinaruat of tbt City ngxlating bwkling ronnruttion or ure. For thr following: Ih'CYWk? 1/2 nUPI.EX & GAR Bld, hmitNa 7485 oMwarsya R3 +rac?? v F. NA uNaw, PD R2 507 Clemson Ct.. EaRan o,,,,f &wd,.Sunshine Cona[ruct.Aea,a,1 BWMft Add"4 • T.Paf ,,.,.n,jLot 31 Block 2,Ches Mar Eas lst By ? ? aa November 24, 1982 6)Z_ ? w . w..r?ww? wi.u .e? usw (Iertifirtt#e nf (Orrupttnry Citp of (eagan 39rpttrttttrnt of Buitbing 3ns.prtlinn Tbit Certifitatr irtued purtuant to the nqtartmrnu of Strtron 306 0( the Uniform Building Cadr cnti fying that at the ti++u aJ irttrarat tbit nructnre wat in tompfranra witb the variout ordinanrct of thcCity ngulating building rorsmnrtion or utr. For the following: 1/2 DUPLER 6 GAR wa..v?, NO. 7494 O.P.-YTYqRI 'hPCmmuctlao V Fin> NA Im"Dutrict(PD) R2 a,,,,,a,,,,,Sunshlne Const. C0.,,m,?.507 Clemson Ct., ?an Circle By, East let ? D? Januarq 7, 1983 .q)-? .o.. ?,. . ?.,.n?,?,,. ....?. EB-00001-03 r? p REQUEST FOR ELECTRICAL INSPECTION ? ' See instructions tor completing thia torm on bpck ot yellow copy. v t, G p " " X" Below Work Covered by This Request . 3 Z-J y? Ne Atld Rep 7YPe ol 8wlding Appbancea WrteA Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. BuilAing Dryer Electnc Heatin Commercial Bldg. Fumace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tanl< Farm ? r e i ?h?;r (SUer.ify) 1 r pecifY r Other Compdte lnspection Fee Below # ee ServiceEntrenceSiae q Fee Faxders?Sabteeders N Feo Circmta Oto100Ams 0 to30Ams Z5,dL 0 to30Am t L? 101 to 200 Amps 31 to 100 Amps 00 31 to 100 Am Above 200 qmps Above 100_Am s Above 100_Amps Transtormers Remote Control Circ. S-4!:3 Partial%Other Fee SignS Speciallnspection S L? TO A marks Re LiFE ??Q Rough-m ? S D°1e I, t rmal 6. actor. IierebY certrfy thet the above Final . • ? j ? Dn[r.?r-j? inspection hes baen V made. This repuest void 18 months hom This re0uest vosd it /C L 3) 1 Cj2 1?'`?4?5 $"- ??? y I 18 nnnths Imm lrj?* 4 6 5 2 8 as?- I s±- Aequest Date 10 Fire No. Rouph-fnInspection R ?,reJ? ?Rmdy Now?Will Notrtv. Inspec- ??? a y?,y ?NO lor When Ready ? Licensed Electncal Contractor I hereby request msoecnon ot above ? Owner electrical work instelled at Sireet AAd s, Box or Foute No. Citv ? ecLOn o. Township Name r o. RanBe o. w County Oc pdnt IPRINTI L Phane No. Powe pplier tAltlre , / ? ical Contracmr (COmpany Name) E Contractor's Licanse No. ? - 0 I (0 3 - M?,Un5ess (ConV tor or Owner Making Instailauon) . Authorized Si amre ntrector/ner Making Installacion) Phone Number MINNESOTq STATE 80ARD Of ELECTNICITV THIS INSPECTION PEnUEST 1YILL NOT Griggs-Midway Bldg. - floom N•791 BE ACCEPTED BY THE STqTE eOAAD 1821 Universi[y Ave., St. Paul, MN 66704 UNLESS PflOPEH INSPECTIOfd FEE IS Phnno 18121297.2111 ENCLOSED. pwp- QUEST FOR ELECTRICAL INSPECTION ,?w - ?-uuvu,.c, TS3 5 5 7 ? a'^'tfOCnons tor completing [his form on back ol Vallow copy. ? "X":Selay_%yWork Covered by This Request 3 ( gU O N Add -flep. TyOe of Building Ap0liancas WireC Equipment Wired Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industnal Bldg. Air Conditioner Bulk Milk Tank Farm ot er oo,-Tv) ornor ISnemN) 1,r Spemfy Ot er Other Cmmnuae InsnecNnn Faa Relnw k Fee ServmeEntranca3ize k Fea Faxdars/SUbfexders N Fee Ciicuits 0 to 100 qm s 0 to 30 Am s 0 tn 30 Am 107 to 20mp - 37 to 100 Amps 31 to 100 qm s q Ke;209?Am ' Above 100_Am s Above 700_Am s Tr 4ormers? \ ? LA ' RemoteControl Circ. Partiak%Other km? Remarks Si` 5 ? U ? SUecial lnspection 5 lo TOTAL FE RouBh-in I , Date ???he Elactncal Inapector, he?eb y certity that tha above Final Gre _ ion Z. Deen 'This request void 18 months fmm ;e's ansi; I ?l3 L 31, /32, Cf.Ls titar Sa.s4- 3 l S,o v n o , N1 .355 . ecivest Dale ?`1 ?('? ? _ l !'ry ? Fire No. RouBb-n? Inspection H qu eA? ?Ready Now Will Notifv Inspec- ror Wh q ` v Ves ?NO en eatly ?I.Licensed Elect ?Y ncal Conlrector 1 hereby re0uest m spection of ebove ? Owner, elaclrical work ins felled at SVeet Address, Box or Rou[e No. q/ City ecUOn o. Township Name r No. an8e o. Count??4.!t ? Occup.mt IPRWT) ? I Phone No. Power SuOGlier ? ?\ p Address . Elecbical Convactor (COmpeny Nam Contractor's lncense No. - ',A MailinB ess (?C?..o,{nl^reClor or Owner Makin01n9teila1twion^l \ V \ itX . • V /?.? `?' \? Authmaed S?Bnature fContractar Owner Makina InstallatioN Phone mber ? THIS INSVECTION pEQUEST WILL NOT MINNESOTA STATE BOAPD OF ELECTAICITY ' Griggg-MidweV Bldg. - Noom N•197 BE pCCEPTED BY THE STATE 80AflD 1921 University Ava., SL Paul, MN 65104 UNLESS iflOPEH INSPECTION FEE IS on....e 19121 290.2111 ENCLOSED. p•6 3 19 C 31B Z? )ti 06,6-.4 ' Request Date Fire No. ' 1 Rough-in Ir.spection ReqmreO? eatly Now ? Wdl Notify Inspeclor &-' 3_1 4 " Cves qNO WhenReatly? IeYicensed contractor LJ owner hereby request inspection of above electrical work ai: Job Atltlress ISlreet Box or RoWe No I Gty S,cUOn No Township Name o? No Range No Counry OccvpanliPRINT, Phone No j'h17 1-T'Z N-G8/-93HS3--W e-vi Power Suppoer Atltlress Elecmcal ConVatlor(COmpany Name) CouVaclor's L¢ense No, rnit-ts 0._ t,i Ca, z.z.6 `F Mabng Atltlress IGOmramor or Owner MekLng Instelleuon) S6 aS 21 Aumorizee Signamre (COmracmnOwner Making Installauon) Phone Number -7z.t G966 MINNESOTA STATE BOAflD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT GriB9e-MiGway BIAg. - Room S173 BE ACCEPTEO BV THE STATE BOARO 1821 Unrversiry Ave. 51 Vaul. MN 55104 - UNLE55 PROPEA INSPECTION FEE I$ Phone (612) 603-080U ENGLOSEO / RE?UEST FOR ELECTRICAL lNSPECTION ? See mslmcLOns lor comp?pLng tnis tor.n on back ol yellow copy r? ??'j ?, '? q "X" Below Work Covered by This Request EB000p1-08 ewAdd Rep Typeof6uilding AppliancesWvetl EquipmeniWired Home Range Temporary Serwce Duplex Wa[er Heater Electnc Heating Apt Bwldinq Dryer Other (Specdy) - Comm./Industnal Fumace Farm Air Conditioner O:her (syecity) Compute Mspecnon Fee 8elaw' Conlractors Ramarks A_IC_1 flQ? Ge?,T ?0.I o;r J h•?Wn n Other ? Fee # ServiceEnfrance9ze Fee # Qmuits/Feetlers Fee Swimming Pooi 0 to 200 Amps o to ioo Amps Transformers Above 200 _ Amps /+bove 100 _ Amps SignS Inspecmrs Use Onty TOTAL Irriqatron Booms hhh ? Z0-S a Special Inspecllon Alarm/CommumcaLOn THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elecincal Inspector, hereby poagh-'" oare certify that the above inspechon has been made. F,nei ?r OFFICE IISE DNLY This request wm 18 manths Imm • od 4(?s 78 s from M 35574' L3z, BZIC.31$'q q zp, bC7 I Hequest Date /? ' ?'`y -? Fire No. Insuer,uon ?ouph-in aq retl? ? ?Ready Now?Will Notity, InsOec- Wh t R "[ ' Yes ?No en or eady Lmensed Electncal ConVactor I hereby requast inspecbon nf ebove P 1 Owner ' alec[rical work mstalletl at 0 Sireet Address, Box or Route No. Ciry BcUon o. Townsrip Name or . Ra No. ounty , nt (PRINT) OccuO Phone No. Power SuDOher'S??A Adtlress t Electrical Contrector (COmpany Nam 1 Comracmr's Lmense No. Mailin0 A ss IConVactor or Owner MakinB Instailauonl 1 1? . V V ?d' v\ A thonzed 5' nature IConvactor?Owner Making InstallaLOnl u Phone Nu ? y ? \. 1 1 ]L\ . __. ( `-" I I THIS INSPECTION PEQUEST WILL NOT MIN OTA STATE BOAPD OF ELECTRICITY BE ACCEPTED BV TME STATE BOApD GrigOS•MidwaY gidg. - Xaom N-191 UNLESS PROPE0. INSPECTION FEE IS 111121 Univarsitv Ave., Sf. Peul, MN 65104 ENCLOSED. ?55 !4 "X" Belaw Work REQUEST FOR ELECTRICAL fNSPECTION ' Sea instructions for comoleting this form on back ot yallow coOV• Covered by This Request EB-00001-03 3zg?? filtsy )r(iB flep. TyOe of Building APOliences Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhting Fixtures Apt. Building Dryer Electnc Heatin Commercial Bldg. Purnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tank Farm OtFer Peu y [her (Spealy) ther Specify O1 er Other Compute lnspectron Fee Below # Fee ServicaEntrenceSixe k Fee Feaders/Subfeeders # Fee Circuits . 0 to100Am r- 0 to30Ams atn30Ams -Mto OO,A?ip 31 ta 100'qmps 31 to 100 Am '.46pve'100\ iArnps Above 100-Amps Above 700_Flm s TransiormelSll= ?-- Remote Control Gra C S Partial%Oth e '- igns Special Inspectwn S 00 TO AL EE Hemarks /0 J ^? r(l _C/ RwOh-in Date I, tha ectncal Inspecmr„Kereby cartdy t ?t the above Final , ?97 ?G l B ' ec4on has been made. TNS request vaftl 18 months from 1?his request void 18 manths from Vd' 4,6- 5 2 7 c-k YS /Uto, r- 3Z7 ? I E-0.5?r- I `'?-- y0 r Od Reques} D'dte //? ? Fire No. RouBh-in InspecLOn R qmred? ' ?Ready Nu?N'ill Notify InsOec- ?? ror Wh R tl (? ? es No r,n ea y Llcenyed Elecvical ConVector ? Owner r I hereby requast inspection of above elechical work installed ai Streai ?Mdress. Box or Rou[e No. CrtV 1 W(_. ection o. I Township N. me or o. tan0e No. ou y Oc t(PRINT) , Phone No. Power p her ?I Address Ele ncal C ntracior lCom ny Namel License No. CorLUactur _ i ? lQ03- M ilinB dress ICon re mr or Ownqr Mekine Instail tion) Authorized S, Contracror ner akinB InstallaLOnl Phone Number MINNESOTA STATE BOAND OF ELECTHICITY TMIS INSPECTION REQUEST WILL NOT GriB9a-Midwey Bidg. - Xoom N-191 BE ACCEPTEO BV THE STATE BOAND UNLE55 PROPEN INSPECTION FEE IS 1 B21 UniversiS? Ave., St. Paul, MN 55104 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? Ee-00001-03 See instructiuns for completing this form on bnck ot Yellow copy. @iE`1• ?765 27 ? "'X, ': 8elow Work Covered by This Request 32 7Y I Ad3 n Type of Building Applinnces Wired Equipmant Wiretl Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Buildfng Dryer Electnc Heatin Commercial Bldg. Fumace Silo Unloader Industrial 81dg. Air Conditioner Bulk Milk Tank Farm h v t er ISueufyl t er Specify Ot r Othor Compute /nspecUOn Fee Below I P e ServmeEnVanceSize tt Fee Feeders/5ubteedars # Fea Clrcaitg 0 to 100 qm 5 0 to 30 Am s lD Z?"oG 0 t. 30 Am l,DU 101 to 204 P.mps 37 to 7 00 qmps ? 5': 0 31 to 100 Am Above 200 qmps Above 100_Amps Above 100_Amps Transtormers RemoteControl Circ. Partial%Other Fee Signs Special Inspection ?ca+ ? v TOTArPEE-/, flemarks ' ? % //./Q,(x?Jl I, th-e-ETectrical {pFpector, heroby cartity that the abpva i"spgy{iow-hd-s bean s repuest vma w -- months trom ' ? t. BUILDING PERMIT CITY OF EAGAN 9795 PIIM Knob Rmd Eegon, MN 55122 PHONFi 451-8100 Recelpt * & CaAR Site Address tli7s napie L2ai (;irC18 Lot 31 Block 2 Sec/Sub. Cha$ Mar East lat pa,ul # 10 17150 310 02 , IN,me sunshine Construction 0o. z Addreas 1507 Clemeon Covrt r.,,Ea4an 55122 0,,,,,,_ 454-7485 9 Nama _ ou Addreu Nome _ Addrea 1 hereby ocknowledge that I hove read this applicotion and store that the inlormotion is Corred ond agree to comDly with all opplicoble Stofe of Minnesoto $tututea and City of Eagon Ordirwnces. SiBnoture of PermiMee A Building Permit Is issued to: gun8hi: oll work shall be done in acmrdonea with oll Buildinp Officiol ?° 7485 J ` 7J .S , Erect [z Occuponcy R-3 Alter ? Zoning (PD) R-2 Repotr ? Fire Zone NA Enlarge ? Type of Const. V Move ? $ Stories Demoliah p Length 24 Grade ? Depth 42 Sq. Ft. - Apororab Fees Asseument - Wafer & Sew. Police - Fira Enp. Plonner _ Council _ BIdB• Off. _ APC Permit p°v.w Surcharge 25.50 Plan check143.00 SAC 525.00 Water Conr420.00 Water Merer 60. DO Road Unit 240.00 Totol $1699.50 _ on the express condiNOn Ihm and Ciry of Ecgcn Ordinonces. CITY OF EAGAN . 3795 Pilet Knob Rood Eegen, MN 55122 0 7484 ' PHONE: 454-8100 BUILDING PERMIT Receipt # Te M wed fer 1/2 DITPLSX S GAR Est. Volue $51r000 Dote S@PtembeY 7_. 19 82 Site Address 4591 Mdple Le9f CSsCle Erect [1J Occupancy R'1 Lot 32 Blotk 2 Sec/Sub. Cheg Mdr BSSt 18t Alter ? Zoning (PD) R'2 Parcel # 10 17150 320 02 Repoir ? Fire Zone NA l E T f C V n orge ? ype o onst. rc Ncme SUf18?I1@ ODII8LL13CLiOR QO. Move ? #$tories z Addreu 1507 Ciqason dourt Demolish ? Length 24 Ci Ea48n 55122 phorie 454-7485 Grade ? Depth 42 Sq. Ft._ ? 0 Name Owne=' Approvola Fees ?? Addreu Assessment _ F Cit Phwne Water 8 Sew. Police Name Fire Addres? Eng Ci Phona . Planner - Council _ I hereby ocknowledge thot I hove reod this opplicotion ond state that Bldg. Off. _ the inlormution is correct and ogree to comply with oll opplicable $fote of Minnesota Statutes ond City of Ea9an Ordinonce5. APC _ Sipnoture of PermiMee A Building Permit Is issued to: SyhSZ1iIIe ODIIBYrUC Of1 CO. _ ull work sholl be done in occordonce with oll pp' bla Stat f l; aeofc5totutef ; ? Buildirg Official ? ,,?- Permit zoo.w Surcharge Z5.50 Plan theck 143.00 snC 525.00 Water Conn. 420.00 Worer Meter 60.00 Road Unit 240.00 Torat $1699.50 _ on tha express condition thm and Ciry of Eagan Ordinances. Zc3b7 . 2*RESIDENTIAL MECHANICAL PEamiT aPPLicwTiorv ??? L( ? Ciry Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit t D a e SiteAddress qJrI( MMLE LEAF dJQLC_ Unit# _ Property Owner 04 DAAl.L Telephone # ( ) Contractor ME ENERGY CENTER 15200 25TH AVE. N#128 Street Address City MqV 55447 Zi Telephone # ( 1G3 ) 47toIQQ4 p State Bond #: O I 4 Expires: ?1 The Applican[ is _ Owner V? Contractor _ Other l $ Y.00 Add-on or alteration to existing dwelling unit \ furnace -Additional Replacement New JL - air exchanger air conditioner heat pump other 50 ? State Surcharge ? ? ??J ?? I• V?'i c_ . 1 $ v,? Tocai ,lAN U 4 2007 I hereby apply for a Residential Mechanical Permit and acknow(edge 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 wi[h the Mechanicai 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 the work wi11 be in accordance with the approved plan in the case of work which requires a review and approval of plans. J.S. Woo+-.mY Applicant's Priuted Name Applicant's ' nature 10 (o3Coo 2004 RESIDENTIAL 30-5a PERMIT APPLICATION City Of 3830 Pilot Knob Ro Telephone # Eagan MN 55122 -675-5675 Please complete for: single family dwellings &[ownhomes/condos when are required for each unit Date OL i - Si[e Address (7j(^ Unit # Pr rt Own r (JL4 L CX • I ? T n l h #(?? ) T J`L '' Tb ? ope y e I e ep o e e Contractor Street Addrese City ESe 4; 0W? I ?E State .., ? ' s I . Telephone # ( ) + i 612-82h2658 Bond #: Expires: The Applicant is Ownex ? Conhactor ?i Other _ il - II Add-on or alteration to exisGng dwelling unit $ 30.00 I I ? t furnace _Additional Replacemen air exchanger d - airconditioner _New _Replacement I other - I1 _? I State Surcharge ', ) 2004 ?U SEP 16 $ .50 i ? ? -O " O Total gy $ , •+ I hereby apply for a Residential Mechanical Pernut and acknowledge Ithat the information 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 t I understand this is not a permit, but oaly an application for a permit, and work is not to startl??with p 't; that e w wi be in accordance with the appr d? plan in the case of w ich requires a review and approvll 1 pl 4. ` 0 II / VWLGc ? Applicant s Printed Name ? Applicant's S!m ture RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 178-00 L,t&d-91g10 ,3 New ConsWdion Reaui2ments RemodeVReoair Reouirements Office Use Onlv 3 registered sile surveys shaving sq. ft. of lo[, sq. R of house; and II raofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20 % manimum lot coverage allowed) i set of Energy CalculaGons for heated additions Tree Pres Plan Recd _ Y_ N 2 copies af plan showing beam & windowsizes; poured found des'gn, etc 1 site survey foraddNOns & decks Tree Pres Reqd _Y _ N isetofEnergyCalalations Addifion - indicateilon-sitesepticsysfem On-siteSepGcSystem _Y _N 3 copies of Trce Preservation Plan'rf lot platted aRer 711193 Rim Joist Defail Options selection sheet (bldgs with 3 ar less un'rtS Date (I_ Cons ructi n Cost ? eg? Site Address CC?G / Unit/Ste # Description of Work Multi-Family Bldg XY _ N Fireplace(s) ? D _ 1 _ 2 Property Owner Telephone # (A(20) r(2? - ( Contractor d ? Address ? City f G f State Zip i?eTelephone # (763) (e- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mimiesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlahon Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Coniractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Pernut and acknowledge that the information that the work will be in conformance with the ordinances and codes of the City of & Statutes; I understand this is not a permit, but only an application for a permit; that the work will be in accord ce with the approved plan in the approval of plans. ? .?- Applicant's Printed Name Applicant's Sigm is complete and accurate; gan,and"fi}ie State of MN jr(i?s n? Yto start without a hicb'requires a review and OFFICE USE ONLY Sub Types • ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6c[. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt- SF ? 04 02-plex ? 10 OS-plex ?K 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneou5 Work Types ? 31 New ? 32 Addition ? 33 Alteration 71- 34 Replacement valuatfon 0" Census Code SAC Units Nbr. of Units Nbr, of Bldgs ype of Const / Footings (new bldg) Footings(deck) Footings (addirion) Foundation Drain Tile Roof _ Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding SNcco Stone _ Windows (new/replacement) _ Retaining Wall Approved By T L- , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other Tota I ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) - Give PCA handout to applfcant U J ",UG ),/ 6) f'?"-) Igo- S'VDRVEYOR'S CERTIFtiCATE ' sUNSH1NE CONSTRUCTION . , 929.9 I 50 w Zj W Q ? -I " ( ' ' L_ ?? ? I i - EAST I //0 ? ? O W 01 O? 0 O / L;;DRAlNAGE AND - UT/LITY EASEM£NT PER PLAT -? 3Z Ir .. . 8 aQ 18 ol I: 5ti ??• ? 164.16 93 .e 4 b/ -?? pNp?H?' - ? pNO 93' \ ? V`O?O+t?Pa s 3 '('V / -? ? /933,ST.C. ? ?PQ ? w% -?k1 N A rN - '= O RA/NAGE Q UT/L/TY ?EASEMENT PER PLAF?/ W ? ?l J I.,' SCALE:. 1 INCH = 40 FEE7 ? ro 50 • o o i 9Y7.8 929?4 X832A ' J S 89°59'17"E tCL/FF RD.1 COUNTY ROAD NO. 32 0 IRON MONUMENT FOUND PROPOSED GARAGE ELEVATION = 935.5 O IRON MONUMENT SET PROPOSED TOP OF FOUNDATION ELEVATION = 936.0 PROPOSED LOWEST FLOOR ELEVATION = 936.3 FFET FEET' FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BDUNDARIES Of: Lots 31 and 32, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. --Aty6-OF'THE LOCATION-OP-AtL-'BUILDINGS, IF ANY THEREON; AND ALC ViSIBLE"'ENCROACHMENTS,- IF•,ANY, FROM OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR A P{20POSED SUILDING. AS SURVEYED BY ME T.HIS 31ST DAY OF AUGUST, 1982. ` SIGNED: JAMES R. HILL, INC. BY : HAROLD C. PETERSON, LAN? SURVEYOR PROJEC'f NO. I BOOK / PAGE 33/25 JAMES R._HILL, INC. Planners,/, Engine?ers"j/."Surveyors + t(° ?q''.elir 8200 Humb'oldt Avenue? South Bbomington, Mn.:.55431,:, 8_72-884-3029 RESIDENTIAL BUII.DING ? 06i Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 3 Qbo -r 5 New Construction ReauiremenGS RemodeVReoair Reauiremenls Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. tt. of house; and all roofed areas 2 copies of plan CeR of Survey Recd Y N (20 % maximum lot coverage allowed) 1 set ot Eneigy Cakulations tor heated addihons Tree Pres Plan Recd _ Y_ N 2 copies o( plan shovring beam & window sizes; poured found design, etc. 1 site survey for addrtions 8 decks Trce Pres Reqd _ Y_ N 1 set of Energy Calculatmrrs Addifion - indicate if on-s8e sepfk system On-stte Septic 5ystem _ Y_ N 3 copies M Tree PreservaUon Plan if lot platled atter 711193 Rim Joist Detail Options selecGon sheet (bltgs wAh 3 or less unifs ' Date o onstruction Cost ED ? Site Address UniUSte # Descriptioo of Wo r U4 ! S r Multi-Family Bldg ? Y _ N Fireplace(s) 0 _ 1 _ 2 Property Owner Telephone # (261) YOS 0 ^ r Contractor Q Address City ^eLc, S[ate ? Zip ?=?_ Telephone # (7&.? ` 33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 Waksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber ? ' Telephone #( Mechanical Contractor FAUG 2 5 2003 , Telephone #( Sewer/WaterContractor I I Telephone #( N If so, 25% plan review 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 agan and the State of MN Statutes; I understand this is not a permit, but only an application foparmitan ork is not to start without a permit; that the work will be in acc rdance with the approved plan in se of rk which requires a review and approval of plans. _ ? ?r --1/ Printed Name RESIDENTIAL BUILDING Permit Application ?X City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?aa9? ?S New ConsWctlon Reauiremenis RemodeViteoair Reauirements Office Use Onlv 3 registered site surveys showiig sq. fL of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lotcoverage allowed) 7 set of Energy Calailations (or heated additions Tree Pres Plan Recd _Y _ N 2 copies of plan showing 6eam & window sizes; poured found design, etc. t site survey for additlons 8 decks Tree Pres Reqd _ Y_ N 1 set of Energy Cakulalbns Addfion - irMkate ifonsite septic system On-site Septic Sysfem _ Y_ N 3 copies of Tree P2servafion Plan if lot platfed after 711193 Rim Joist Detail Optlons seledion sheet (61dgs wb 3 or less units Da[ef??/ Site Address 3 L° Co truction CoArf 300 d UniUSte # Description of Work ??'1 O?? ? lv? ?1-?? 5? ?1?9 Mulfi-Family Bldg ? Y _ N Fireplace(s) X?o _ 1 _ 2 Property Owner l? Telephone c?b L? ? Cantractor Address /0 State Zip,<' City ? pC Telephone ?f (76?) ? 3 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category t Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. ?n? «?? ? -T- F Licensed Piumber Mechanical Contractor Sewer/Water Contractor ? I Telephone # ( j 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 th ity f Eagan State of MN Statutes; I understand this is not a pe t, but only an application for a p it, d work ' not start without a permit; that the work will be in accor,F q? with the approved plan n the ase o ork ich quires a review and approval of,plans. Printed FS!jR1VEY0R`S CERTIFICATE ' sUNSHINE CONSTRUCTION oA- -z S25o°?, ? ? I ?R2?0,? ?P? 50 ??- EAST 164.16 929.9 932b %934.8 %935.6 834.3 %933.5T.C. ? %954.? p th tmh 3-9. P Qv ?F, A203 , lO 7 1\` ?pNgd \; 7JA32 ' {I P G O{.? 0 P ?,n a ? I DRAfNAGE AND m\ v?o?5?? .yggx g; `?` y2 QO UTlLITY EASEM£NT ?`\ PN ?? 9 N' .?.? G DRs69; PER PLAT ? w\"5. 0_' AgD S?p , ? 'S +??7 /LC'j. I ? I ? j5E 32 / e ' ? 1? 1 ?O d° O ?/ N / / 0 9 00 + !Y Q W I `V?• 1G?,)N 00 x'5A2Paoo5,??P5N/ 9 \0 ?+? i a,°l7 '' ??\ 61PN? ? ? ?. ?, • y6 •W,? a6` O / J ? z ( I ?j ? / ? ?\6 ? O ? I L t ? ? I?7 ORAlNAGE d UT/L/TY / D?'J? / ` EASEMENT PER PLAT? X 0 w ., J J SCALE: 1 INCH = 40 FEET ro L so • o o / 927.6 5I. gl r1 %932A S 89°59'l7"E (CLIFF RDJ COUNTY ROAD NO. 32 • IRON MONUMENT FOUND PROPOSED GARAGE ELEVATION = 935.5 FEET O IRON MONUMENT SET PROPOSED TOP OF fOUNDATION ELEVATION = 936.0 FEET PROPOSED LOWEST FLOOR ELEVATION = 936.3 FEET I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 31 and 32, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AivD Of THE LOCATION OF ALL BUTLDiNGS, IF ANY iHEREON, AND AlL VISIBLE ENCROACHPIENTS, IF ANY, FROM OR ON SAID LAND. IT ALSO SHOWS THE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME THIS 315T DAY OF AUGUST, 1982. ' SIGNED: JAMES R. HILL, INC. BY : HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA L CENSE N0. 229 PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 82188 33/25 Planners / Engineers / Surveyors FILE NO. . 8200 Humboldt Avenua South FOLDER Bbomington, Mn. 55431 612-884-3029 , . J ?. ? .. .,'., r•,-, ? ` ' - . . " . . . . ., ' . . " , ? . ' ? ' . . ? . . ? . , . _ ' ' . . ., ?: / _ _ • _ . ?. . ,., e ? :- ' City/Zip Code: Firev? SPG Phone #: " Arch./ESng.: ,- FddreSS: City/zip Code: vt Pkme #: E,ng. Water Conn. YdB = Plaruzer Water Meter (o? 0-- Council Road' Unit ?y? Bldg. Off APC ?GPAL ? ?9 l -l ` S O City/Zip Code: '- Phone #: " F1L'Ctl. /Eng• • ) t, l ? F t I ')l a _ r. ? ? @ r. . AddT'ESS: `C.?..avy s.;??c,• ?`o City/ZiP Code: 5533'{ Phone #: +1 rl.ata ? Fire SAC EnJ. ?- Water Conn. Planner ? Water Meter Council ?i Road Unit Bldg. Off. P,FC TOM 1&7< Sb ?'l.I/.v ? d v vyvo . ??Cetl?4: 1Ccathcrotcips A . Guide Doon Rcference Out. Wall Int. Y'?s-?'o Yce-No 19.__ F7.1 F Room Length\3' (0i, Width la`la' Win(lawe and Doors-Crac!caae an3 Are., Conitraction Na. ??l I Ceiling ieighc 12` o " ?I No ly?d?p o[ pane }{el(ht o[ Pane No o: II!hte Llne?l [L uf er?et L??• y. !A ? 31Cr , Q 1 Cocf. Btn In6itration 3? ? yo kt.\00 Gla1a cj ? O [xp. wajt ldct cxp. wall 1 t) Jnt. wall FI n , 2'3 c<<l. 0. y -bw ro1,i Btu. Rcavircd sq. [t. E.D.R. or sq, ina. W.A. L.cadcr nroa 4 1`11 ?,, ftoom i Lcnqth jT" Width 13' b* \Vindovs and floors--Crcclcaae and Arcn „ 1 Nb k'Itll? ?? Dan+ HeIHhI ot pnne No. o( Ilyna /,Inenl tL ot cnck Are? ap. R. Cocf. Btu In(iltr?lion 3? y ?a? 41 Fsp. Walt Nct ctp. wall jnt. wall Floor Ccil. l ? LAbLA Tolal 0tu. Rcquircd sq. ft. E.D.R. or sq. ins. W.A. L.cadcr arcn 't, Room I Length ?b? ?r Widthal 0 \?hn?oivs ancl Doors-Crackacc and Area No Rldlh nt n??e IIeIRh? nf pare %?O.OL IIRAt• LlpEtl (L oI cr?ck A?ew ?q, [?_ Coet. Btu In6ltration \o Glaa? ? ExP. WAli ?z Nct up, wall u Int. wall Floor Ccil. Toial Mu Rcquirrd s.;. ft. E.D.fL or sq. ins. W.A. I.eadcr arca To4 N?- !-! 1L = 30, 8 I to Q?c ? h I?loor ?{ Kmd ? Room?Le jmvletion How `C?1? Widthc nn,3 Area ?- N. Wlnth of penn Ne1cTt of {+wn? No.a( 11(?b Llee?ift, af <nck nrca ea [t. ?5??'y wy+ ? ? r,p? ", ?? s tily ` Coef. Biti ; Iniiltration t'{ Glau >.? Fxp. wall 3 Nct ezp. wnll Int. wall Floor ?. C-a. 4S ?1 1 ? Totnl Dtu. Requircd sq. ft E.D.R. or eq. ina. W.A. L.eador arca Fl-I %k-2 ?A Room I LenRth VS'(3" Width \\'C] 1V?.dow. ,nd I)nnr.o-Craclcact nnd Area No ?v???p oln?n? 11eIRht n(nRn? No. o[ IIpAb l,in.el ft. efv?ck Aru w(?. 4?YF ',??T -z: (ji 2j:> ? v 1?k Coef. tu?;' " Infiltratiun 'ZO 40 Wd51 Exp. Fvall Nct exp. wall Int, wnll Floor CCd. To[ai Bhj. - Requircd sq. fL E.D.A. or eq. ina. W.A. L.eadv arca 4! l Q)fl Room I L.ength kq`O" Width 10b- Height r Windnwa xnd Dnme-Cracka¢c and E1rcd +<?'3! N0. }vidLh O? ?19II? ltelpht Or,O.?! xa. a[ tIFf1l. Llner.l [[. I CT0.fk . O Aru M ft. r' '? V- La?' ' Ok . ?? CoCf. ElitLffl ln6llra[ion Clase ExP. wall Nct exp. wall lnt. wall Floor ? rail. 2 TO[0l BILL. ftcqvired sq. ft. E.D.R.,or aq. im. W.A. L.eader arca '"»:?? r[':r,thcrst:ips Cooetmc4ioa No Gfcuida Door. I Rarcncc Out. VJall Int. Wall Cciling f2oof Y'cs-.'v'o Yce-iVo , 19_ ??(?LCI I Il.? Qc] Room Lerlgth ll(?W'ifih QOC-?' HtiAht fL;h" II Qn?f Ct'indows n nd Doors- -Crac?cn ge and Ar w k'iaw nlPano i?eixnt pnn o: hb u[ Il.h?e Line.i rt, ?fcr?ck i,res ?q f[. 1, ? _'-- COCI. I31q ]n(itratioR ? lb ? S>A Gl,?e? 1b `a EAO w,Il A N[I CSp. R'dII ? l. Int. v.,,ll f?lo?r C1 ? '? 1 otal Litu. Z? '? Rrquircd sq. (t. E.D.R, or sq. ins. W.A. Lcadcr nraa ftoom ? Lcngth 12??" Width ?z`O' Hcight $`p" \VSnclaw3 and Doors-Cracka¢c and Arcn N 0.1Ath ^? n??e Height o( pnne No.oS LaTt• Llnenlft. ot creck Arew ?. ft. Cncf. Btu (n(iltralion p GlBSI IA (-6 Elp. wall Net czp. wall A Inl. walj Flonr C? ` ?.153 ceii. lolal ti[u. Reryuircd sq. St. E.D.A. or sq. ins. W.A. I.eackr aran ?Q,?I QATlk Room ILcngth 'V Widthl?? Windows and Doors-Crackaee and Arca No. WDJIh n ( pane HclqOt of pane Yo o[ Ilqhi. Llaeal (L o[ u.ck Arow M. (t. Cocf. Btu Infilttatiort Gla,e Fsp, wall ' Nct ezp. wall lnt. «all Fonr '?S -lo Cal. Rcqu•rrd s;. fL E.D.R. or sq. ins. W.A. Lcackr amo f•looc 11 Kind Room Inmletion Inhltra[ioo Glna? ^ Cap. runll Nat ?p, wall D 11 6 Int, wall Flonr (AO f-1 ?;. Toinl Dtu. Rcquirccl sq. fL E.D.R. or aq. ina. W.A. Leac?er atta 't ? ?•???\_L RoomI l,engthTlp" WidthY6l° Heigh[?;b,, W? r?nwa nrl f)mre-Cractiact and l?red m a No wlALh of TRno Iie?aht nt pxn? No.o[ lljtbt? Idveltt. o[ crRCk Are• ?u. ft. 41F un Coef. Btu.:.,.:j [n(Il[Iati0fl Gld53 Exp. wall t9et up. wall Int. wull . `T.' . Floa[ p Ccil. Tota1 Qtu, Requircd aq. ft. E.D.R. or sq. ins. W.A. Ltader acea - 9 Fl,I Room I Ltngth Width Height :`t?,a Winrlnw, nnrl nnnra--rrarlrao, nnrl Area Nrv Wicltn of Daro Hei(ht of,D'r• No. o( IlFhu Llne.l fl. of crnck _ Are• ?p. tL ' i ';nq ?a ^y[ }? ¢ Coef. Btu Infiltration ? "? Glase rxp. w.,r, .?: Net exp. wall Int. wall Floor c6i. ,:i•, ? Total Btu. Rcqeircd sq. ft. E.D,R.,or sq. ins. W.A. Leader atea ? i? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 6 ?•5 ? I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConstrucNon Reaufremenh a?- Remotlel/Reoair Reauiremenh ? 3 repisiered aHe suneys showing sq. ft. of loT, aq. ft. 01 house ?-U 2OOpies of pian and ?I rooted areas [20% maximum lot covemae allowg? 1 set ol energy coICNatfons lor heoted addlHons ? 2 coples of plans (show beam & windbw aizea; poured fid. Hesign; etc.) 1 slte survey tor extedbr addHlona & decks ? 1 set of energy wfcwaHwa ? 3 copies of tree presenation plan II lot platted aHer 7/1/93 ' DATE: 3i,i!, 11 2c? CONSTRUCTIONCOST: t } ? DESCRIPTION OF WORK: nt?1,. Qc ? uHr • 1 If mulH-famiry bldg., how many unlts? STREETADDRESS: 'i59 l N? y? t? LteC- C ' e c tc C a.cua S 61@2 LOT: Jk BLOCK: ? SUBD./P.I.D. #: CheS MAr FiS 1 I SJ- PROPERN OWNER CONTRACTOR ARCHIiECT/ ENGINEER Name: Dc&w.k n k-'e,n' Phone65!-'/oS° 0339 tast FIM Sheet Address: u 5't l l" i, Z c?- tC Clty C-c-G a., StaTe: I"I N Zip: SS 123 Company: scoft I,Jc,.1VCzS La+?st?.?c-F:?-,pnonea: 6ra--Q?L -g??3 (area code) Streef Address: 1'-i loZ.Ss License ll! ao 130886 Exp. 101 CMy _ljQ ,nsv?lic Name: Telephona #: { State: t"1 tw Lp: S5366 Sfreet Addreu: RegishaHon g: CNy State: Lp: Sewedwater licensed plumber (ff installina sewer/waterl: Phone #: I hereby acknowledge thaf I have reud ihis application, state Mat Me information is correct, and agree to compy wilh all applicable State of MinnesoFa Statutes and Cify of Eagan Ordinances. . Sigrwfure W ApplicanT: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JUL I I Tree Preservation Plan Received _ Yes _ No '? ? _ Not Required -(% ? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 02 SF Dwelling O OB 06-plex ? 17 Garage O 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ?. 19 Lower Level ? 24 Storm Damage ? 05 03-pleac ? 11 10-piex PI6g)<YOr_N ? 25 Miscelianeous ? 06 04-plex ? 12 12-plex 0 20 Pool ? 30 Accessory Bidg. IN 31 New O 36 Move Bldg. ? 43 Reroof 0 32 Addition O 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair 0 42 Demolish (Foundation) ? 46 WindowslDoors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 4- No. of Units No. of Buildings ? Const. (Actual) (Ailowable) UBC Occupancy Zoning # of Stories Length W idth Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Planning _ Permit Fee Surcharge Pfan Review License MC/ES 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Building 1"/t• Engineering Variance valuation: g yOflo yp??? ? /0 ? ??000 ? 31 Ext Alt - Murd ? 33 Ext. Alt - SF 0 36 MuRi ? SAC Units % SAC 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PILOT KN B RD - 55122 `-g (o U-? ? 651-681-4675 c? Q?1?9 l 1 a a`? ? New Conshucflon ReaulremeMs Remodei/Reoair ReaulremeMs ? 3 registered sMe surveys showing sq. fl. of lot, sq. H. ol house 2 copies of plan and all rooled areas f20% maxlmum lof coreraae allowed) 1 sei of energy calculaltons fw heaTed addiNons ? 2 capies ot plans (show beam R wlndow sizes; poured Ind. design; etc.) 1 sfle survey for exlerior addiNOns R decks ? 1 set of energy calculafions ? 3 copies of tree prefervaNon plan H bt platted aHer 711/93 DATE: I 1/ a2?1I COST: DESCRIPTION OF WORK: r- "LJ e?r L.ea/e J f z,j tS4 STREET ADDRESS: ? Name: LOT: ? BLOCK: ? SUBD./P.I.D. #: Name: O 1?9N1\lE71l Phone#: yoS-o33y PROPERTY Last First OWNER yS 9? /y,I?PLE LEAF CIR Sheet Address- City E,46,4i1/ State: l?'JI? Zip: Company: Phone #• (area code) CONTRACTOR Street Address• license # Exp. City ARCHITECT/ ENGINEER Telephone #: area code ( S- s/. Zip: Shee1 Address: Registration #: City 1 Sewer 3 water Ilcensed plumber (reauired for new consfrucflon onlvl: State: State: Penalty applles when address change and lot change Is requested once pertnff Is issued. Zip: i hereby acknowledge thaT 1 have read this appllcatlon, siate that fhe InformaHon Is conect, and agree to comply wHh ali applicabl StaFe oF Mlnnesota Statuies and City W Eagan Ordinances. Signafure of Appllcanh ?^ - ? ' ? LaJ (d3-?? OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Yes _ No Yes _ No - Not Required ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-piex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ?33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 5^# Basement sq. ft. Census Code ? (Allowable) ? Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units ? Zoning ? sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length " sq. ft. City Water Width - Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? ?(J Engineering Variance Permit Fee ? Valuation: Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharg e Treatment PI: Park Ded. Trails Ded. Other Copies Total: i SAC Units % SAC PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. IEW CONSTRUCTION /ADTJ-ON A(C q ADD-ON FURNACE ? e?,,,,„,,_?- FIREPLACE INSERT rr? 4?? DA? ?s/. g9y 7X4ra? FEES HVAC: 0-100 M BTU $ 24.00 ADDTfIONAL 50 M BTU 6.00 ? GAS OLJTLETS (NtnvnvlUM i@$s.oo EaCH) Z-? ADD-ON/REMODEL (Exis'rIlVG CoNS'rRUGTION) $ 20.00 ?G STATE SURCHARGE .50 TOTAL 2°,.fa STTE ADDRFSS: Y.s'17_7 G%c?,C.f QWNER NAME: &4r?* n, V42_ TELEPHONE #: 6 8/-9J/ L INSTALLER: A/,f? /d? ADDRESS: L9.Tr?/o?i.,i.?.rczcp- CTTY: 99?,r.? STATE: /? ZIP CODE: iL TELEPHONE #: Z6Gr ? z- 9 y SIG A OF PERMITTEE 1994 MECHANICAL PERMIT (RESIDENI7AL) 71,vo CITY OF EAGAN . 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 3? glg5 ? r i ? a? ?? ? I ?b el-tv ? (0' o? RESIDENTIAL BUILDING Permit Applicarion City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4-74oL7 C't." qWq? New CAnsWCtion Reauiremenla RemodeUReoair ReauiremenGs Offce Use OnN 3 registered site surveys showing sq. ft ot lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20°h mazimum lotcoverege allowed) i setoF Energy Calalalions for heated addrtions Tree Pres Plan Recd _Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks Tree Pres Reqd Y_ N fselofEneyyCakulations Additron - indicateitarsResepScsystem On-slteSepUcSystem _Y _N 3 copies of Trce Preservation Plan if bt platted afler 71i193 Rim Joist Defail Optionsselection sheel (bldgs with 3 orless units DateU 257/ C5 -3 C truction Cost ?S, " 0 C::, / Site Address I UniUSte # r ? Description of Work Multi-Family Bldg Y_ N .T Fireplace(s) ? 0 _ 1 _ 2 Property Owner ?? Telephone # 06#) ? ContracYor r ? Address 1 / City State ? Zip.,5YYy_/- Telephane # cw COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residendal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor _ ? . Telephone #( T ek 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 pe , d work i start without a pernut; that the work will be in ac9or?nce with the approved plan ' the se o work ich r ires a review and approl of plans. n ? /?/ ? Printed Name OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Impmvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors yl 34 Replacement / *DemoliUon (Entire Bidg) - Give PCA handout to applicant Valuation va e Occupancy MC/ES System Census Code L?? T Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ? FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & W ater _ Final Air/Gas Tests _ Final Pool Ftgs _ Framing _ _ _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insula6on _ Retaining Wall - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - Approved By T-2, , Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Surcharge Plan Review (,JCAI/ MC/ES SAC City SAC UtilityConnection Charge S&W Permit & Surcharge ? Treatment Plant License Search Copies Other Totai S'1RVEYOR'S, 828.9 I CERTIFICATE ' sUNSHINE CONSTRUCTION I ?) -,- L_ ?? i 50 j W ? Q O C? Z , J ?r 82T.6 50 I i10 O ? ? 0 W ?1 oI o? o ? 0 Z, cD _ ? - EAST 31 s A / X \ :J ? ,- ?DnAINAGE AND ??? 'NNO9? q3? UTIL/TY £ASEMENT PER PLAT \`eA-` kZD ? 32 ? ?, PRo I O? I ? ?No 188 00 ?.,. 5 . ' 56?,?7 too, O , RA/NAGE & UTILlTY? ? EASEMENT PER PLAT I` eo ? • o? o i `?5 L8/ - i ___. S '89°59'17"E (CLIFF RD.) • IRON MONUMENT FOUND O IRON MONUMENT SET z z 164.16 -- ? 1 1%. , ,, %0A ,4 D425 60 ?R2?? \00 %933.5T.C. ` -? ? X9?•? • ?I PQ G?' ot?2?" . c . ? D426?p0 11269? . , , N ,^ r J , !\ : ? '?Z! SCALE: 1.INCH = 40 FEET COUNTY ROAD NO.. 32 PROPOSED GARAGE ELEVATION = 935.5 PROPOSED TOP OF FOUNDATION ELEVATION = 936.0 PROPOSED LOWEST FLOOR ELEVATION = 936.3 I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPANY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 31 and 32, Block 2, CHES MAR EAST FIRST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. ? FeET FEET' FEET AND-OF THE LdCATION-OF -ALt-BUILDINGS; IF ANY THEREON; AND ACL VTSIBLE"ENCROACNMENTS,- IF.,ANY, FROM OR ON SAID LAND. IT AL50 SHOWS THE LOCATION OF THE STAKES AS SET FOR A PROPOSED BUILDING. AS SURVEYED BY ME T•HIS 31ST DAY OF AUGUST, 1982. SIGNED: JAMES R. HILL, INC. ? C BY: HAROLD C. PETERSON, LAND SURVEYOR " MINNESUTA 'LICEN?jL NU "Zy PROJECT NO. BOOK / PAGE JpMES .R. HILL, INC. susa 33/25 Planners / Engineers Surveyors FIIE NO. ,? .. .? 8200 Humboldt Avenue; South . FOLDER _,Bbomington, Mn. -b5431?_'6.1Y-884-3029 7634761143 01/22/2007 10:59 FA% 76a478114J HOME ENERGY CENTER ? 001 ? v? c?TV - - - A?oR?SS - OCCUPANT , NEAT ?OSS_ DA7E HTG iNS7. ?? ENEAGY CENTER - SO?o Br HOME ENERGY CENTER , Electrical Wo* eY HARRISON ELECTRIC ^ IT HTR. OTFIER TVPE OF HEA7 GA --FA X HW '_""__?'?.' _ ? Mndel Serial Valve ??. '? Umit Llmit Setting ? Fe?t Setting ? Pilot 7ype Pibt Make Pilot Mode? PilatTiming ,?? - L.W. Cut OfF ?- Pressure ??- Percent G02 Input CFH SU PetcoM OZ_ Stack Temp.?-s? ? Percent GO . Form 235 H USE HE TING TEST RECORD - qPT ? FLOOR ?- OWNER INSTALLED B? HO Gas Line By ? STEAM ? SPAGE HTR. UN MAKE OF BURNER Model Max $TU Ra?ing MAKE OK FURNACE - Model Vent Sizc ?- ? KIND OF LINER SIZE NONE Otah Hood RegWelor ? Fitlers Size Numbar - Chimney Locetion Inside Ou?side Chi?nney Constructi0n $moke Bom6 W???^9 - Dr9k 7B5[Tag Door Pressure Ugh6n9 Data Tested Y T Gompany 7asting H4 Name of 76ster ? ? ? ? ? PERMIT City of Eagan Permit Type:Building Permit Number:EA118986 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 4591 Maple Leaf Cir Lot:32 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-320 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Diann Main 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 - Wendy M Buser 4591 Maple Leaf Cir Eagan MN 55123 Chismar Construction 7483 125th Street NW Annandale MN 55302 (763) 360-4506 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA123629 Date Issued:06/12/2014 Permit Category:ePermit Site Address: 4591 Maple Leaf Cir Lot:32 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-320 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 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 - Wendy M Buser 4591 Maple Leaf Cir Eagan MN 55123 Chismar Construction 7483 125th Street NW Annandale MN 55302 (763) 360-4506 Applicant/Permitee: Signature Issued By: Signature