3500 Lexington Ave..? i x OF EAGAN Remarks
Addition Section 14 Loc eik Parcel 10 01400 010 28
Ov?ner v 1? t? . djm&reet State F?1GAN MN 55133
,l.i?s=/!,Q r._?9L {? .'.?.J>9r.'?rfYoi???l,??, ?So6 .Sl.-??...: .. rr .??7 ? 'v
Improvement Date Amount finual Years ? Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1971 1164.00 58.20 20
SEWERLATERALIp,.°`!?! QS 1985 3001-51 600.31 ?- -3
WATERMAIN ldt 1975 1200.00 120.00 10
WATERLATERAL
WATER AREA ' 1972 970.00 48.50 20
1-10
STORM SEW TRK-I.:1;)w 1985 3377.00 675. 40 5 7pZ 3-7 -
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $140.00 12016 10-29-74
BUILDING PER.
SAC
PARK
`-? PERMIT q l0e
PLUMBING PERMIT RECEIPT # ??G
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Z '/ (c -??.
I Site Address
m Name '. yyy? Q S ?_,. L r ZiJ ?
cYo Address ,?tY?G L-lip • • Ali 2
N
c City RS7.',.??-?c _ Phone ].
? Name
3 Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.001
OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
_Water Closet - $3.00
_Bath Tubs - $3.00
-Lavatory - $3.00
_Shower - $3.00
_Ki?chen Sink - $3.00
-Urinal/Bidet - $3.00
_Laundry Tray - $3.00
-Floor Drains - $1.50
-Water Heater - $1.50
_Whirlpool - $300
-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
-Softener - $5.00
-Well - $10.00
Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
STATE S/C:
;-?7 ,fJ.K. GRAND TOTAL• ? ? ? ?
CITY OF EAGAN
3795 Pilot Knob Raod Eagan, MN 55122 N2 4590
PHONE: 454-8100
BUILDING PERMIT Receipt # --
To be usad for Date ` . 19
Site Address exl'•1C.C"j Erect ? Occupancy
Lot Block Sec/Sub. f'`• t'' -- Alter ? Zoning
Parcel # `j `. .. Repair ? Fire Zone {
E
l of Eonst
T
n
arge ? .
ype
z Name ;?r;, .t ' •
Move ?
.# Stories
W
3 Address '?'?' 'rE:`-""• Demolish ? Front ft.
? City Phone 45z,- 18 7 6 Grade ? Depth ft.
? N Approvals Fees
ame
O
?< Address
Assessment
Permit
?
~ Water & Sew. Surcharge
Cit Phone
Police Plan check
Nam
e
Fire
SAC
Addreu
i
Z
Eng.
Water Conn.
z<
Ci Phone Planner
l Woter Meter
r
I hereby acknowledge that I have read this application and state that Counci
gldg. Off.
the information is correct ond agree to comply with a'I opplicable
Stote of Minnesota Stat-it=s and City of Eagan Ordinonces, APC Total
Signoture of Permittee -
A Building Permit is issued to: on the express condition that
all work shall be done in accdFdance with all applicoble $tate of Minnesota Statutes ond City of Eogan Ordinances.
Buildirg Officiol
Penek # Dah Iaaad Paedlfw
Plumbing
Mechanical
INSPECTIONS I DATE INSP. Rouph-In Firal
Footings Dote Inap. Date Irup.
Foundation Plumbing
Frame / i ns. Mechanical
Final
Remarks:
? -- ? /
??-
CONTRACT PRICE: 35010
Site Address P N 7,K)
Lot Blo k -Sec/Su
g
'
. ^?
?
.
Name ' 5 y ? r Z?ij ('
m
c Addres o7?Y30 L;//PR t', AU ?
Ciry Phone
Name
c Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
/
?
SIGNA URE OF PERM?ITTEE
I?
PLUMBING PERMIT PERMIT RECEIPT lt # 7?? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?77
PHONE: 454-8100
" BLDG. TYPE WORK DESCRIPTION
Res. New _
Mult Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES rnreL
-Water Closet - $3.00
_Bath Tubs - $3.00
_Lavatory - $3.00
_Shower - $3.00
_Ki!chen Sink - $3.00
_Urinal /Bidet - 53.00
_Laundry Tray - $3.00
_Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMII)
_Softener - $5.00
-Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE: z
STATES/C: ?U
I FOR: CITY OF EAGAN GRAND TOTAL:
SEDGWICK HEATING & AI
HOUSE HEATING TEST RECORD
3lisJ,
ADDRESS
CITY?
OCCUPANT ? OWNER %''??
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By " Gas Line By
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER
GAS DESIGN
MAKE
Model ?
Serial
INPUT ' r
CONTROLS
THERMOSTAT ? ^Heat Plug
Valve -'.
Limit '
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model-
Pilot Timing
L.W. Cut Off
MAKEOFBURNER_
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size ''!
KIND OF LINER SIZE NONE
Draft Hood / f 'f''lf Regulator
Filters Size Num6er
Chimney Location InsideOutside
Chimney Construction _- r
Smoke Bom6
Draft
Door Pressure
Wiring _
Test Tag
Lighting Inst.
Pressure ? Percent COZ Date Tested i -%?
Input CFH Percent OZ Company Testing
Stack Temp. Percent CO Name of Tester ??? _'•'%'? ??'?'? )
CONVERSION
Form 235
__.. .? . : . ? . ??.. .
SEDGWICK HEATING & AIR CONDITIONING CO. ?> = 5
HOUSE HEATING TEST RECORD
ADDRESS
CITY
OCCUPANT OWNER L/n n%
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED E
Electrical Work By Gas Line By _
TYPE OF HEAT GA_ FA_ HW_STEAM SPACE HTR.
GAS DESIGN
MAKE MAKE OF BURNER_
Modei Model
Serial Max. BTU Rating -
INPUT MAKE OF FURNACE.
CONTROLS
THERMOSTAT • '/ Heat Plug
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type
Pilot Make
Pilot Model _ ?' Jl ?l
Pilot Timing j?4
L.W. Cut Off
Pressure Percent CO
Input CFH Z
Percent O
Stack Temp. 2
Percent CO
Madel
Veni Size ?I
KIND OF LINER SIZE NONE
Dreft Hood ' i / ' ; ! Regulator
Filters Size Number
Chimney Location Inside Outside Y
Chimney Construction ( - /-%
Smoke Bomb
Draft
Door Pressure
Wiring -
Test Tag
GG Lighting Inst.
Date Tested
Company Testing
Name of Tester
HTR._OTHER_
CONVERSION
Form 235
• • SEDGWICK HEATING & AIR CONDITIONING CO., / a
HOUSE HEATING TEST RECORD
ADDRESS CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLEDE
Electrical Work By - '` Gas Line By_
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR.
GAS DESIGN
MAKE MAKE OF BURNER _
Model Model
Serial Max. BTU Rating -
INPUT MAKE OF FURNACE.
Model
THERMOSTA
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type
Pilot AAake?
Pilot Model -
Pilot Timing _
L.W. Cut Off _
Pressure Percent COZ
Input CFH Percent OZ
Stack Temp. Percent CO
Heat Plug
?
Vent Size ?
KIND OF LINER SIZE
DraftHaod Renulator_
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Draft
Wiring _
Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing ?
Name of Tester
CONVERSION
NONE
Form 235
. .. . .. .: . . . . n _ a!. : ? . ? . i ?
. . . . .. .., T i ... ?? 1 , r ?.,. ... .'r 7
SEDGWICK HEATING 8 AIR CONDITIONING CO.
HOUSE HEATING TEST FECORD
L:
ADDRESS CITY
OCCUPANT ? OWNER Z'`'??% '- %
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 4' 2!? fT 't
Electrical Work By ' Gas Line By
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR.
GAS DESIGN
MAKE MAKE OF BURNER _
Model...,? Model
Serial ? Max. BTU Rating -
INPUT MAKE OF FURNACE
Model
THERI'JIOSTAT
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure ?- ' Percent COZ
Mput CFH ( . Percent OZ '
Stack Temp. Percent CO
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
?
Smoke Bomb
Chimney Construction
Draft
Wiring
Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester < ?? S%??/Ii.YL?
CONVERSION
Form 235
SEDGWICK HEATING & AIR CONDITIONING CO. r?I )? ?53
HOUSE HEATING TEST RECORD
ADDRESS CITY r?i1
OCCUPANT OWNER %/ [21, "I,
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER
GAS DESIGN
MAK E
Model " j
Serial
INPUT
CONTROLS
THERMOSTAT
V al ve Heat Plug
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure Percent CO
Input CFH Z
Percent 02
Stack Temp. . Percent CO
MAKE OF BURNER
Model
CONVERSION
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER SIZE NONE
Draft Hood t'? Regulator
Filters Size Num6er
Chimney Location Inside Outside `
Chimney Construction -;?
Smoke Bomb
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester > F 11
Form 235
SEDGWICK HEATING & AIR CONDITIONING CO. HOUSE HEATING TEST RECORD v? ADDRESS CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By ?
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UI
GAS DESIGN
MAKE
Model
Serial
INPUT
THERMOSTAT Heat Plug
Valve
Limit `
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure Percent COZ
Input CFH Percent OZ
Stack Temp. Percent CO
MAKE OF BURNER
HTR._OTHER_
CONVERSION
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Num6er
Chimney Location Inside Outside
Chimney Construction ' `
Draft
Bomb
Wiring _
Test Tag
Door Pressure Lighting Inst.
..
Date Tested
Company Testing, ?Name of Tester.t ,
Form 235
SEDGWICK HEATING & AIR CONDITIONING CO. p# j p 7J3
ADDRESS CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By - ` Gas Line By _
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. Ul
f_ GAS DESIGN
MAKE MAKE OF BURNER _
Model k Model
Serial 1 ? Max. BTU Rating
INPUT - ' , - MAKE OF FURNACE _
Model
CONTROLS
THERMOSTAT ' Heat Plug Vent Size
Valve ? Limit
Limit Setting _
Fan Setting _
Pilot Type _
Pilot Make -
Pilot Model _
Pilot Timing L.W. Cut Off
.
Pressure Percent COZ
Input CFHPercent OZ
Stack Temp. Percent CO
HOUSE H EATING TEST RECORD
_OTHER_
CONVERSION
KIND OF LINER SIZE NONE
DraftHood Regulator
Filters Size Number
Chimney Location InsirJe Outside
Chimney Construction ' 'L
Smoke Bomb Wiring _
Draft Test Tag
Door Pressure Lighting Inst.
Date Tested ? ?Company Testing
Name of Tester
Form 235
-? T T 4 ... ` ...
. . .. . .. ... . . N 1 .. .'.1.:. .. '
^ . . , . . L•eY . . , .? . ,f ?
• SEDGWICK HEATING & AIR CONDITIONING CO. ?&_5,
HOUSE HEATING TEST RECORD
?
ADDRESS
CITY %%? p
OCCUPANT OWNER ?"'i
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLEO BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FA_ HW _ STEAM SPACE HTR. UNIT HTR._OTHER
GAS DESIGN CONVERSION
MAKE MAKEOFBURNER
Model - Model
Serial Max. BTU Rating
INPUT MAKE OF PURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve KIND OF LINER StZE NONE
Limit Draft Hood > 1 ' ' Regulator
Limit Setting Filters Size Number
Fan Setting Chimney Location InsideOutside
Pilot Type Chimaey Construction
Pilot Make
Pilot Model
Pilot Timing ?
L.W. Cut Off
Pressure Percent COZ
Input CFH Percent OZ
Stack Temp. Percent CO
Smoke Bomb
Wiring _
Test Tag
Draft
Door Pressure Lighting Inst.
Date Tested
Company Testing ?
Name of Tester •, ? ' '
Form 235
. . ,.- ... , . . , _ .. ._..?., .<. _ - _ .. . .rr _ ..-
SEDGWICK HEATING & AIR CONDITIONING CO. C? j n 73?
HOUSE HEATING TEST RECORD
ADDRESS ?? CITY.L C!/?
OCCUPANT 1? ? f
HEAT LOS?
SOLD BY _
DATE HTG.INST
OWNER
Electrical Work By
TYPE OF HEAT GA_ FA
INSTALLED BY_
Gas Line By
HW_ STEAM SPACE HTR. UNIT HTR._OTHER_
? - GAS DESIGN CONVERSION
MAKE
Model ? f//
Serial
INPUT ?Z ?:%i
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit
Limit Setting
Fan Setting ?%J ^
Pilot Type
Pilot R4ake ?-
?
Pilot Model
Pilot Timing ?>> tl'ibt
L.W. Cut Off
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
,?? ?
Vent Size _? ' L
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Numher '
Chimney Location Inside Outside -4
Chimney Construction t?k' I SC. V?1_1
SmokeBomb
Draft
Door Pressure
Wiring _
Test Tag
Lighting Inst.
Pressure ` Percent COZ Date Tested
Mput CFH ?. Percent OZ Company Testing
Stack Temp. Percent CO Name of Tester %? ??J,???,`'?•//1 fv'/?"i
?
Form 235
. . . . .. '..M/' .. _ '
SEDGWICK HEATING & AIR CONDITIONING CO. n l -,
HOUSE HEATING TEST RECORD ?/
ADDRESS CITY
OCCUPANT OWNER ?C,21l l?
HEAT LOSS DATE HTG. INST.
SOID BY INSTALLED
Electrical Work By % Gas Line By.
BY
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT
GAS DESIGN
MAKE -'Model `
Serial ]
INPUT
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make y-
Pilot Model r,
Pilot Timing
L.W. Cut Off
Pressure Percent CO
Input CFH c_ Percent OZ
Stack Temp. Percent CO -
i?
_OTHER_
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER SIZE NONE
Draft Hood 4 r',<?-_ `";'j Regulator
Filters Size Number
Chimney Location
Chimney Construction Inside Outside
_
Smoke Bom6 Wiring
Draft Test Tag
Door Pressure Lighting Inst.
DateTested
Company Testing
Name of Tester
Form 235
SEOGWICK HEATING & AIR CONDITIONING CO. 36
HOUSE HEATING TEST RECORD
lyji CITY?%? -
ADDRESS ? -
OCCUPANT OWNER wt/Jfr(-'
HEAT LOSS DATE HTG. INST.
SOLD BY `?• ? f INSTALLED BY
Electrical Work By ? YGas Line By- %L E '??
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER_
GAS DESIGN CONVERSION
MAKE MAKEOFBURNER
Model Model
,
Serial Max. BTU Rating
INPUT / MAKE OF FURNACE
CONTROLS
THERMOSTAT Heat Plug
Valve
Limit ? Limit Setting
Fan Setting
Pilot Type
Pilot Rlake
Pilot Model '
Pilot Timing
L.W. Cut Off
Pressure ? : • / Percent CO2
Input CFH Percent OZ ,
Stack Temp. Percent CO
Model
Vent Size / ?/
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location InsideTOutside -? '
Chimney Construction
Smoke Bomb
Draft
Wiring
Test Tag _
Door Pressure Lighting Inst.
Date Tested
Company Testing `?f ? "' ?
Form 235
SEDGWICK HEATING & AIR CONDITIONING CO. ;- j,.- --?
HOUSE HEATING TEST RECORD
ADDRESS ??& /?l ?J ,io , q
CITYLCrI
OCCUPANT , OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY S'???Lc lF.
Electrical Work By i<. Gas Line By
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER
? GAS DESIC;N CONVERSION
MAKE ,•? ?
Model Serial
INPUT
CONTROLS
THERMOSTAT %'!F Heat Plug
Valve,',G'_ Zs
n -
Limit % --7
Limit Setting
Fan Setting '17
Pilot Type j ? ?
Pilot ?Aake ?'
t
•.
,
PilotModel_ /'?'4
Pilot Timiag
L.W. Cut Off
Pressure Percent CO
Input CFH ?i Z
Percent O
- 1'
Stack Temp. Z
Percent CO
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER SIZE NONE
Draft Hood ? ( " % ?- Regulator
Filters Size Number ?
Chimney Location Inside Outside '
Chimney Construction
Smoke Bomb
Drafi
Wiring _
Test Tag
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester
Form 235
. • SEDGWICK HEATING & AIR CONDITIONING CO.
r HOUSE HEATING TEST RECORD 733
^ / /1
?A
ADDRESS ';iLCIT ?OCCUPANT ? OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BYr
Electrical Work By - '' Gas Line By _i
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UN
GAS DESIGN
MAKE
Model `Serial
INPUT
CONTROLS
? ,-
THERMOSTAT ? Heat Plug
Valve
Limit - %
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model ? Pilot Timing
L.W. Cut Off
Pressure Percent COz
Input CFH Percent OZ
Stack Temp? Percent CO
MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size '°'7
KIND OF LINER , SIZE NONE
Draft Hood Regulator
Filters Size Number ?
Chimney Location Inside Outside 'r
Chimney Construction S 6,
Smoke Bomb
Draft
Door Pressu
Wiring _
Test Tag
Lighting Inst.
Date Tested
Company Testina
Name of Tester I, r4?
HTR._OTHER_
CONVERSION
Form 235
. • • SEDGWICKHEATING&AIRCONDITIONINGCO.
HOUSE HEATING TEST RECORD
ADDRESS
CITY?CiLrl?
OCCUPANT OWNER Pi;'Af
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALIED BY
Electrical Work By i-!?i, l : Gas Line By
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER
GAS DESIGN
MAKE
Model ?
Serial ,
INPUT ? -J1 ?
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type
Pilot Make -
Pilot Model
Pilot Timing _
L.W. Cut Oft
i[1r
MAKE OF BURNER
Model
CONVERSION
Max. BTU Rating -
MAKE OF FURNACE
Model
CONTROLS
? Heat Plug Vent Size
- KIND OF LINER SIZE NONE
Draft Hood ?t ?'a'i f4:2 ? Regulator
Filters Size Number !
Chimney Location Inside- Outside
Chimney Construction
Pressure Percent COz
Stack Temp. _ Percent CO Smoke Bomb
Input CFH ° Percent OZ
Draft
Wiring _
Test Tag
Door Pressure Lighting Inst.
DateTesied
Company Testing, r h
Name of Tester
Form 235
SEDGWICKHEATING&AIRCONDITIONINGCO. ??? ?G? 737S
HOUSE HEATING TEST RECORD
?
ADDRESS CITX
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By ( "
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR._OTHER_
GAS DESIGN CONVERSION
MAKE MAKEOFBURNER
Model Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
THE
Limit
Limit Setting
Fan Setting _
Pilot Type _
Pilot Mlake -
Pilot Model _
NTROLS
Heat Plug Vent Size
Pilot Timing
L.W. Cut Off
Pressure Percent COZ
Input CFH Percent OZ
Stack Temp. Percent CO
KIND OF LINER SIZE NONE
Draft Hood ' ^ : !? Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Smoke Bomb
Draft
Door Pressure
Wiring _
Test Tag
Lighting Inst.
Date Tested
Company Testing
Name of Tester
Form 235
.4. ..
• . SEDGWICK HEATING &AIR CONDITIONING CO.
HOUSE HEATING TEST RECORD
ADDRESS?_?:! CIT? ? C 7
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By ? Gas Line By
TYPE OF HEAT GA_ FA_ HW_STEAM SPACE HTR. U1
GAS DESIGN
MAKE
Model
Serial
INPUT
CONTROLS
THERMOSTAT ' Heat Plug
Valve ,.
?.
Limit _ -
Limit Setting
Fan Setting ` j
Pilot Type
PilotMake
PilotModel -??
Pilot Timing
l.W. Cut Off
Pressure r ? Percent CO
Z
Input CFH Percent OZ
Stack Temp. Percent CO ?MAKE OF BURNER _
Model
Max. BTU Rating -
MAKE OF FURNACE
Model
Vent Size
KIND OF LINER S12E NONE
DraftHood;??Regulator
Filters Size Number ?
Chimney Location Inside Outside '
Chimney Construction
Smoke Bom6
Draft
Wiring _
Test Tag
Door Pressure / Lighting Inst.
Date Tested 7' ? Z
Company Testing r ?
Name of Tester. 'fa i/ !/,17`1C11? )
HTR._OTHER_
CONVERSION
form 235
CITY OF
'• - 3830 Pilot Knob Road, P.O. 8<
PHONE: 4
BUILDING PERMIT /??
To be used for \'iEst. Value `
?uAn P
11-199, Eagan, MN 55121 4004
8100
Receipt #
Date ' ,19 7
SiteAddress 3500 & 3506 LEXINGTON AVE
Lot Block Sec/Sub.
Parcei No.
W N8rt1@_
; Addres;
o rh,
pF LF:i1NGT(kl PAATNERSNIP
Phone
¢
o Name
? ` Address
? City Phone
WWName
_ ? Addresa ' '
< W Cib Phone
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type ot Const
City Water _ (ACtuaQ
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police Plan Review ,
Fire _ SAC, City
Engc SAC, MWCC
Planner Water Conn. ?
Council Water Meter I
i I hereby acknowledge that I have read this appHcation and state I Bldg. Off. _ Road Unit
thettheinformationisconectandagreetocomplywithallapplicabie APC _ 7reatmentP7
State of Minnesota Statutea and Clry of Eagan Ordinances. variance _ Parks
Copies
Signature of Permittee TOrAL
A Building Permit is issued ta ` on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Bullding Official
?
Psrmit No. Permit Holder Date Telephons ft
Plumbing
7-•
H.V.AC:
LT
Electric °
?9,50
Softener
Inspectlon Data Insp. Comments
Footings I
Footingsll y-7 Wof s-y?-7 ?. A•
Foundation
Framing /Z/j,// ?
Roofing
Rough Plbg. _Ll-ff'7 /?-
Rough Htg. '. ,
isui. 3?? Q?J y T.c ?,,? (s o K a-r- rr8
Fireplace
Final Htg. ? ? - tC,
Final Plbg. ?
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. _7_ ? /d8,
Deck Frmg.
Well
Pr. Disp.
-
'
Y- ? rcr L`o ?a
ft
?
L
. ? ? ?.
CONTRACT PRICE
Site Address ?? 3
- ?
. i ... i n?_.
m Name _
m Address
c City _
Name _
3 Address
O City _
. . . .. . . ..??, -? .....;?..r'^..- .. .. , ? : , . .
PERMIT q FF y ?-'-
PLUMBING PERMIT -
CITY OF EAGAN RECEIPT # -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?9 I? 7
- ?, PHONE:454-8100
BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. New
Mult. Add-on
I Comm. Repair
I t.nl+- nv T r.7c' Other
Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMhA RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $72.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SFC IF PEqM1T PRICE GOES
acvntin ci nnn m1 ' _ A
FOR: CITY OF
?
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
-Water Closet - $3.00 $
-Bath Tubs - $3.00
-Lavatory - $3.00
` " Shower - $3.00
_Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
-Laundry Tray - $3.00
_Floor Drains - $1.50
-Water Heater - $1.50
_Whirlpool - $3.00
_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
_SoRener - $5.00
-Well - $10.00
- _Private Disp. - $10.00
-Rough Openings - $1.50
FEE:
STATE S/C: -? U
GRAND TOTAL:
:V 'r.7 7 - I"CI"fMli ii xT/Saw
- `? MECHMJ,CALPy,RMiT () ?"
' CITY OF EAGAN RECEIPT # 5 LJ'?? ?f'
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
5ite Address
Lot ' Bloc
? Name
m Address -
c City
Name -6LZ
3 Address A
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Pipinp Outlets #
BIDG
TYPE
Sub .
?
Res.
Mult
L,p Comm.
_.; Other
-1 Li M BTU
M BTU
M BTU
M BTU
CFM
WORK DESCRIPTION
New `f
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW "
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PEli PERMIT)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
$24.00
6.00
1.50 EA. '.
12.00
20.00
.50
BLDG. PERMIT N0.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
j 01-3446 SAC/Adm.
01-2155 Surcharge
17'-3860 Road Unit
20-2275 SAC 3 ?
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded. `.?
TOTAL
. .,.,?,.. _,
?-
CITY OF EAGAN Permit Na Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 • Reader No: Datec
Eagan, MN 55791
ZsuaLF.fS0;1 i: i`-_USOC. ?
nn. Chg: Zoning: r4
ct. Dep: No. of Units: X`
rmit Fee: ' 14.0(!nd
rcharge: . SOnd I agree to comply with the CHy of Eagan
Plant 2.6 8 1),00pd. Ordinances.
CITY OF EAGAN
3830 Pibt Knob Road
P.O. Box 21199
Eagan, MN15021y
.
WATER SERVICE PERMIT
Permit No: =:)? ?-i Date: -0-13 -c. i
B/PNo: 7 F1 4,'' Date: ':-."-?'
vwnel. - ?-a+a?+?+ ? tl»DVG.
Site Address: .?? TAxIn;;tan Ave So. Ll 31
Plumber. - ?n'erCj(eS.atz/Si.--.te ?:ac`_,
MWCC: rk'.0t3Fc' Zonin ?
, 9' !
City Chg: i10Q No. of Units:
Acct Dep: 7 _L , F T I agree to comply with the Ciry ot Eagan
Permit Fee:
Surcharge: Ordinances.
Misc.: gy
SEWER SERVICE PERMIT 1
Zoning:
Owner:
Address:
Site Address:
Plumber:
Meter No.:
Size:
Reader No.:
I agree to comply wifh the
Ordinances.
YILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, MN 55122 n /
By
Date of Insp.:
DATE:
No. of
R SERVICE PERMIT
NO.:
551:
? ? ection Charge:
Account Deposit:
Permit Fee:
i f g Surcharge:
?Misa Charges:
? //Total:
Date Paid:
Insp.:
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE r-? ?ICU 19 V O'
RECEIVED ?.
FHOM I C /YC.1 O I' ?Y_ l?I l.f { ? I C lM k?l(/ ??J?
A
pi UNT ?
Y ?
?----- & DOLLARS
140
CASH CHECK
??/? • ? // /? { - ,J ?
FOR ?-r1?-L-?-?z?. 1 ! ?O/?Z</
? UY 3
?? -
FUNG CODE NMOUNT
? 397 i? 3 0
?°?•'?
io 3 3 7? S
3 a - ? g"
? 71, 3a2
' , ,ff 33 .?
Thank You
N° 81220
?
6Y ?
White-Payere Copy
Yellow-Posting Copy
Pink-File Copy
•w.-:??--
5Fc. cvdSPECIAL USE PERMIT. . CITY GF EAGAN
3795 PILOT KNOB ROAD,
EAGAN,.MIDTNESOTA 55122
The Council of The City of Eagan hereby grants to `r.;?nx Toslin
3506 S. Lexington
of Eagan. ?,M 55123 a 5pecial Use Permit
pursuant to application dated 6/l6/7, £or the following purpose
_C4nditional U&,-- Pern;it for o>> ; na 8 doU kpnne1 _ RenQ?abLYP,?r?y
_To I'JA reviewec3 bv thE C1tV rnnnril aftar lrearc - '
Dateds_ _ 9/2/75 Fees Paid: 50•_0n
Sy:
Niayor
Attest: . „
- Clerk
?
/q
SPECIAL USE PERMIT .
• CITY OF EAGAN
3795 PILOT Frnroa RoaD
' EAGAN, MZNNESOTA .55122
'I"ne Council of The City of Eagan hereby grants to Una M. Giqous
oP3506 Lexington An. So. a Special Use Permit
pui'suant to application dated 4/18/74 _ for the £ollowing purpose
cnae-tai ttae to osaera?e a Kennel at 3506 Lexington Av. So t Eaqan, MN
_ Kannnl Parmit raneygh}e Year],y. 30. isl Ose
Dated: 5/7/74 Fees Paid• 50.00 Kennel Lic.
'I00=00
_ BY ? --
Mayor •
Attest:
Clerk ,
CONDITIONAL USE FEP,R-iIT
t v
N0.
CITY OF EAG11N
3795 PlLcrr xiNoa RaaD
r,AG,.N, MIXTvrS0!PA 55122
The Council of The City oP Eao-an h.ereby grants to William E Abel
. 3325 Donald Av
of EacTan MN 55121 a Conditional Use Permit
pursuant to application dated 6/2/78 for the follouring purpose
CONDITTONAL USE TO OPERP,TE A KBNNEL_ AT:3506 _LEXINGTON AV,._$,g.
EAGAN, MN 55123
Dated: 7 10 78 _
Fees Paid: 125.00
By', C???
At at• ` ?
Clerk
- crrr oF eacaN
3795 Pilot Keob Road Eagan, MN 55122 N2 4590
PHONE: 4548100
BUILDING PERMIT APPLICATIO $ ? 00' Receipt .# $273
?
Te be uaed for Ken C>1 Date Dec. L. 19 77
Site Address 3506 So. LexinQton Erect 3[] Occupancy F 2
Lot Block Sec/Sub. SeC. 14 _ Alter )(] Zoning A
Parcei # LO 01400 010 28 Repair ? Fire Zone 3 _
E
l V-N
of Const
T
n
orge ? .
ype
Na me R alph L Nelson Move ? # Stories
I Address 3506 So. Lexington Demolish ? Front
Cit Eag8II phone 454-1876 Grede ? Depth ft.
.
0?
Z0
V
U?
?
Nome Same
Address
C'ty -
Nume _
Address
I hereby acknowledge that I
the informotion is correct ?
State of Minnesoto Statute
Signature of Permiftee?
A Building Permit is issued
oll work shall be done in c
this application and state that
to comply wy'$h oll applicable
of Eaaerv4,fdinonces(J
Approvale Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Permit 17.VV _
Surchorge 2.00
Plan check
SAC
Water Conn.
Water Meter
Totol 17.00
Ralph L Nelson on the express condition that
KgI applicablg' State of Minnesota Statutes ond City of Eagan Ordinances.
Building Officiol ? ,pc^ -
- /
RENTAL GNITS CITY OF EAGAN No
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
ry/ /??
16 UNIT PH ONE: 454-8100
BUILDING PERMIT Receipt# / (p
7o be used for APT. BLDG. Est. Value $488, 500 Date AUGUST 4
3500 LEXINGTON AVE
Site Address _
Lot 1 Block
Parcel No.- -
1
Sec/Sub. PARKSIDE
a Name POINT OF LEXINGTON PARTNERSHIP
z Address 14661 CHICAGO AVE SO
? City B' VILLE phone 432-8240
, o Name SAISE
?a Address
? City Phone
c~i¢
Name JAMES COOPERMAN & ASSOC
?y W
sz Address SHELARD TOWER, 600 S CTY RD 18
? W City MPLS Phone 545-0409
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System ? Zoning
On Site Well Type of COnst
City Wafer (Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
councll
I hereby acknowledge that I hayf read this application and state Bldg. Off.
thattheinformationiscorcect Ff'd,agreetocomplywithallapplicable I APC
State of Minnesota Statute d-d C' of Eagan Ordinances. Variance
Signature of Permitte G
A Building Permit is issued to: POINT OF LEXINGTON PARTNERSHIP
all work shall be done in accordance with all applicable State of innesota Statul
Building Official _
TOTAL 199,907.75
on the express condition that
i City Sf Eagan Ordinances.
FEES
14004
19 87
$ 1,669.00
- T47F.-25
R34 Sp
1 , fif10 _ DO
R,4nn.?0
8-,-48A-.00
4,880.00
-2,88Q_00
_ Permit
_ Surcharge
_ Ptan Review
_ SAC, City
_ SAC, MWCC
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment P7
_ Parks
Copies
?
Foundation Onl New Construction Interior Im rovement
• Shuctural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Coda Analysis (1)
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (1) . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Me[er size must be established • Meter size must be established • Meter size must be established - if applicable
• Project Specs (1)
1 • EnergyCalculations (1) ** 1
L • Electric Power & Lighting Form (1) '* 1
1 • Master Exit Plan (1) 1
1 • Fire Protection Plan (1)" 1
1 • SoilsReport (1) 1
• MCIES SAC determination letter • MC/ES SAC detertnination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1 D00 call 651-602-1000
** Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department o ealth. Call 651-215-0700 for details.
DATE: ? I/ WORK TYPE: _ NEW REMODEL CONSTRUCTION COST?!
SITE ADDRESS: v /--a, ZS-o ?
TENANT NAME:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
SUITE #: ' ? N ??
Name: r?N ?j?Phone #: - /
PROPERTY Last First ?
OWNER
Street Address:
City: State: Zip:
Conipany:
CONTRACTOR
Sueet Address:
City:
ARCHITECT/
ENGINEER Company: _
Name:
5heet Address:
City:
e #: (
R, gistration #: _
i
«
9
- -:+
Zip:
Licensed plumber installing new sewerlwater service: Phone #:
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 City of Eagan Ordinances.
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Signature of Applicant:
Updated 1/02
OFFICE USE ONLY
SUBTYPE
? Ol Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/Ind ustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
W ORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of Stories
No. of Units Length
No. of Bldgs. Width
Const. (Actual) Basement sq. ft.
(Allowable) First Floor sq. ft.
UBC Occupancy sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Building
? Insulation
Engineering
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
0 Plumbing ? Stucco/Stone
Variance
?.?, ?
Permit Fee
Surcharge Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
?
1987 BDILDING PERMIT 9PPLICATION - CITY OF EAG6N
SINGLE FAMILY DWELLINGS
IACLIIDE 2 SETS OF PLAIVS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQLATIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME04TNER MDST DESIGAATE W$ICH•ADDRESS
IS DFSIRED. NO CHANGES 1dILL BE ALLOWED ONCE BQILDING PERMIT IS ISSIIED.
MQLTIPLE DWELLINGS - RSSIDENTIAL
RENTAL QN'iTS 16 FOR SALE QNI4S N/A
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECK FTITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COP4'9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIOfdS AND 1 SET OF
ENERGY CALCULATIONS,
$2p000 LANDSCAPE BOND
To Be Used For: Rental Apartments
Site Address 35no LLX-AV=,
Valuation: 488,500.00 Date: July 7, 1987
Lot 1 Block 1
Parcel/Sub Parkside
Owner Point of Lexington Partnership
Address 14661 Chicago Ave. 5
City/Zip Code Burnsville, MN 55337
Phone 432-8240
Contractor Point_of Lexington Partnershi
Address 14661 Chicago Ave. S
City/Zip Code Burnsville, MN 55337
Phone 432-8240
Arch./Engr. James Cooperman & Assoc.
Address Shelard Tower,600 S Co Rd 18
City/Zip Code Minneapolis, MN 55426
Phone # 545-0409
OFFICE QSE ONLY
On Site Sewage Oeeupancy
MWCC System V Zoning
On Site Well Type of Const
City Llater ? (Actual)
(Allowable)
# of Stories,
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEFS
Assessments Permit 1(0(09. '
Water/Sewer Surcharge Z44-.L5
Police Plan Review 53t,
Fire SAC, City Ih?.
Engr SAC, MWCC v400.
Planner Water Conn fqoo,
Council Water Meter ki/P•
Bldg Off Road Unit 9-8 8cD.
APC Treatment P1 Z &80.
Variance Parks N(P.
Copies
TOTAL 28,101.,s
P?r-c? . ? ? _ .
3"36'5 x 3= I I?OS. .?
'-----?._
? zs
I c? ??1 = Z- = 034. `s? 83? ??
, 5A G
IcD X I G ob
S2 S x ? ? = ?v ?-oo
Id, ? d lo???
?2S x l? = 8400 ?4?
----? •
(Zo? ur? ?7-
?osx ic? = 4F3?o - ?Sa
TPC
1ao K, I
C9 ? 2 c°?f?C? ?gg?
1,
MINNESOTA STATE BUILDING CODE DIVISION '
• I
EXTERIOR ENVELOPE METHOD AVARAGE "U" COMPUTATIOM
Ot•1NER FG(qT OF` L?X
PAz-rm eg-5-(-t
SITE ADDRESS
COtJ
CON7RACTOR SAM.? ?'S f?•??1??'RJ Determining working square footage of each
1.Tota1 exposed wa11 area.;.?3oq3.x..'Z?. .,....=
2.Tota1 roof/ceiling area......... sq.ft.k.:0,,,,,,_ i-7$•?
It- 1 NGl.UDEs? (ap2L?G? Cll? ,
Total exposed wall area above .floor=, NL'.........
a,Total rrall window area ...........................440 ?
b.Tutal door area ..... ............................ 32-0
c.7ota1 sliding glass door area ....................
d.Total fireplace wall area .......... ... ...........?yt?
'e.7ota1 tvall framing area(avarage lOX?. ............11 ZZ
f.Total net wall area above the floor .............. to ,2A
,g.Total rim joist area ......... .................,... 44-0
h' .?
Total exposed foundation area=, "A
. ,
Zx? w/ ? 2?c14. l?ual.l? ( ¢5?}
h.Total area........:..:..:...?...
, i.Total ' area ab"e-'g..............3-j2,&
Zxc, w( 5l o!?vG wflUl .
Determine "U" value of each wall segment(watl) ?
... .......C??1 . . .. . Il,Ull =. 3030
a... . ..x
• ? ... .................
b................ ..x....:.0........u?? ?0?'S
°....:. ..... .
C. . . . . . ? ?? . . . . . . . . X . . . . .?. ? . : . . . , 1iu1i= . . . ? . ? . . . . . .
. 11
d.................. X.......... 1111
.... ? _............
e ? ll2Z . •0?13 liull _ 104,3 •
........... X
... ... ...... ....... .............
f I?GA .x lfuli ? .
................. .............. a........
....
?4-? • fls4' ,iu 23 . ?
g ..................x.............. U a............
h ( 4-Sg X itu 11 ?O .
.................. ....?......... _............
z? ..................x............... „U =............
h' 3?Z? x .053 «??? l?•S
(_4
.
m
3 ............... .........................?........:............
If item 3 is the same as,or less than item l.,yau have met the intent of
SBC 6006(c)2. ' . 7ota1 exposed roof/ceiling.area=..S¢l.Z . ..,
j.Total skylight area.......... .. N A ...... .. .. -......
k.Total roof/ceiling framing area(avarage 10%).:?j:¢:j .......
1.17ota1 net insulated roof/ceiling area........`fF .......
Determine "U" value for each roof/ceiling area sc-qiiicnt.
x ...... u ... .. ..•
k
....
.......
...... 4-
.........-....... iiuii ?
i .....
............
......x 02,4-
..,....:........, ;,
u„
=..,.........
4 ..................
.......................................
If total of item 4 is the same as,or less.than 21you have'met the intent of
SB? 6006(c)1
Alternate Building Envelope Design
To utilize the total envelope method,the values establised,by the sum of
items 3 and 4 shall not be greater than the sum of items 1 and 2.
• .
1 .... ?70( ? :.¢.......... + 2.... ( .79:?..........
3 i 54l.4
........
................
+ .
4
...
.... ............
JAMES M. COOPERMAN & ASSOCIATES
ARCHITECTS, tNC..
SHELARD TOWER '
MINNEAPOL15, MINNESOTA 55426
_.,4R Nu... ?.
P. 1 (l0
_ (-7067,.3.
ncrclly certi?y :h_i. mis p!an, sprciiication, u.
;
reporC tiv• s prc?>arPd by mC or. i.inc?et my direc!
,ii ? v ion and th:it I am a du,v Rckisterr.;
;?.r '?ci uncier the laws oE tlie State of Min
m
?.,
-- , ;
?.
l.?
>
?
?X?'. ??IIZ CIL.6'vl = , ?g
ING.(Fi???
(N--
2 = 2M 2
8r AI
(NT .41r t?(Lk
' ,AiL ---1!.,lv,t
,
'f 8 1
t I _ I ) l?? ????
_ ?4-6
(-7,1(?q
? -?
1 -7
?-- ? ( 8.°I -7
-
op
b?- I`o" : ,OS
?p- "U" -- ?os3
(0? z
Fn
• . . , .'_ ..
?I-\,-,?1l" ? "Z? +
?
8tT; UM
'3k'p
^ ? ; i 1 >? ?r,?..?:?.??`._? } ? ?
314?' ??-?rz? = .4?
9 1 l5l-?!) ('???'?'?,Z?(
x (r ? ?;. - } ?'c
_ ?
(NT, Ai c?f UUt ' ? ( 7
JAhiE5: M. COOPLRMAN & ASSOCIATES
ARCHITECTS. INC.
SHELARD TOWER
MINNEAPOl15, MINNESOTA 56426
p,
0g- ii U n- 0 06 04'
0? UU1` ? ,024
? ?.
nnTE ?-?-t1. /7
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for
site Address: 35-0
?
v?-
Valuation,-:?5OG?, XJ('
(v?'?a-G?-? ?Z•-? , 5 S"/?`?S
4
Lot Block Sec. Sub.
Ownei???% GCa?
Address' p ' J'6
Contractor
Address
Arch./Eng.
Address ?%? O /
?
Erect
x Alter -? 1?lcA4?06 j!ENS
P.epair
Enlarge
Move
Demolish
Grade
Parcel Number / D o/G+ 17" ?'
Telephone
Telephone
Telephone
OFF2CE USE
Occupancy
Zoning ?
Fire Zone
Type of Const. - Al
# of Stories ?
Front
Depth .r. o?
OFFICE USE
Date of Arnproval & Initial
Assessment I'ZI1177' 6dater/Sewer
Police
Fire
Eng.
Planner
Council
Rldg. Off.
A.P.C. ?
FEES
-? ao
Permit ? A$
?
Surcharge !,L
Plan Check A10
R
SAC ,-4fA
Water Conn. 41A ?J
t•7ater Meter „/?'.,{
TOTAI,
f
?
?
;
. ,
,------? -
?
y :
j ? --- ;
--.; _- _
?
?
?
;
I
/
S-I
i,
t
i..} i
? +
} i
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NAME
TELE.
STATE OF N1INNESpTA)
CO[ANTY OF DAKOTA ) gs•
CITY OF EA ATt
PERMIT APPLTC?TION
(Submft ia Triplicate)
/ `f -C --A? - /8- 78
FEE / A ? , o n
DATE PAID 7
RECEIPT N0, o?_
I/WE, the undersigned, being fijrst duly sworn, hereby make the
following application to the City Council, and Planning Commission of the City
of Eagan, Dakota County, Minnesota:
I. Application ia herebq made for: (Ch:ck appropriate item(s)
________Trailer us?*r nrdinance No. 2
Building Permi[ under Ordinance No, 3
?Kannel Permit under Urdinance ho. 5
Rezoning under Ordinance No. 52
=ffconditional Uae permit uner Ordinance No. 52
Excavating permit uncer Ordinance No. 8
----__Plat Approval under Ordinance No. 10
---- _Waiver of Platting
,`__Other (@eBCribe)
2• Applicanta have the responaibilit of I'
pertaining to their a y Fhecking all applicable ordinances
menta. PPlication aad complying with all ordinance require-
3• Legal description of land to be affectcd by application including acreage
,,or s uare footage of ],and involved, anj atreet address, if any°tJ "
?s Z.tk) l? o?- N,. .y
a? cr4 S
?[1? ?? `? ??C, , T? I '
9ai
pP, Va- 7C ? ?+=T- ? N J
4. Proposed name of plat? u ? ? ?? ? ?C ? T ?.?/T ,-
?2 ug',U.5.-j ?
5• The present zoning of the above describgd
property is: h
¢
6• Zoning claesificatioa deaired: , ?
7• The name and addreas f the present owner of the above described laa;
k4 /? NE/S?r,f ?.r,6 L Ex,'a5 i o,t1
8. Estima ed cost of improvementa to be mac?e within one year after isauance
of permit appZied for , if Rranted, i$ $ I of the improvement is; The nature
i
SASEMENT
THIS EASEMENT, made this C?
between POINT OF LEXINGTON PARTNER
Partnership, herein referred to as
a municipal corporation, organized
Minnesota, hereinafter referred to
day of /'C-- , 19881,
SHIP, a Minnesota General
"LANDCIWNER" and the CITY OF EAGAN,
under the laws of the State of
as the "CITY".
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar
($1.00) and other good and valuable consideration, the receipt and.
sufficiency of which is hereby acknowledged, does hereby grant and
convey unto the City, its successors and assigns, a permanent
easement for drainage and utility purposes, over, across and under
the following described premises, situated within Dakota County,
Minnesota, to-wit:
A strip of land 20 feet in width over Lot 1, Block 1, PARKSIDE
ADDITION, Dakota County, Minnesota, according to the recorded
plat thereof. Said strip lying 10 feet on each side of the
following described centerline:
Commencing at the northwest corner of said Lot 1; thence
South 0 degrees 17 minutes 52 seconds West, along the west
line of said Lot 1, 83.99 feet; thence South 89 degrees 42
minutes 08 seconds East, 30.00 feet; thence South 68
degrees 08 minutes 07 seconds East, 80.00 feet to the point
of beginning of the centerline to be described; thence
North 21 degrees 51 minutes 53 seconds East, 29.00 feet and
said centerline there terminating.
The grant of the foregoing permanent easement for drainage and
utility purposes includes the right of the City, its contractors,
agents and servants to enter upon the premises at all reasonable
times to construct, reconstruct, inspect, repair and maintain pipes,
conduits, mains or ponds and the further right to remove trees,
brush, undergrowth and other obstructions. After completion of such
construction, maintenance, repair or removal, the City shall restore
the premises to the condition in which it was found prior to the
commencement of such actions, save only for the necessary removal of
trees, brush, undergrowth and other obstructions.
The Landowner, its heirs and assigns, does covenant with the
City, its successors and assigns, that it is the owner of the
premises aforesaid and has good right to grant and convey the
easement herein to the City.
'j ? .
1
IN TESTIMONY WHEREOF, the Landowner has caused this easement to
be executed as of the day and year first above written.
POINT OF LEXINGTON PARTNERSHIP,
a General Partnership
By:
Its:
STATE OF MINNESOTA )
) SS
COUNTY OF
The foreqoing instrument was acknowledged before me this
day of 1988, by POINT OF LEXINGTON PARTNERSHIP,
a Minnesota General Partnership, on behalf of said partnership.
??LLY B. -HEDIN ?? • LC.? ` J -?-???
OAKOPUBM TA COUH?? Notary Public
db comwon xF, 647-0
THIS INSTRUMENT WAS DRAFTED BY:
McMENOMY & SEVERSON, P.A.
7300 West 147th Street
P.O. Box 24329
Apple Valley, MN 55124
(612) 432-3136
JPE
-2-
• J ? 1
MEMO T0: TOM COL.BERT, DIRECTOR OF PUBLIC WORSS
JIi+I STQRM, PLANNING DEPARTMENT
BILL 9gINS9 II.ECTRICAL IBiSPECTOR
CRAIG SNDDSEN, ENGINEERING TECH
FROM: DOQG REID, BIIILDING INSPECTIONS DEPT
DATE: 3/oPY/8 8
The Proteetive Inspections Department will be performing a final inspection
for oceupancy of ???o ?r 35Q(p LeXr/)!?IDY1 1!9uenue_ on
qaG gy , C?Grligide Apt? ) IaSf 61dg.
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It will be
each departments responsibility to contact the construetion firm with
necessary requirements before final inspeetion and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
APPROVAL;
DENZAL:
(SIGNATURE & DATE)
I
MEMO T0: TOM COLBERT, DIRECTOR OF PIIBLIC WOR&S
JIM STIIRM, PLANNING DEPARTMENT
BILL 9gINS, II.ECTRICAL INSPECTOR
CAAIG ffiQQDSENp ENGINEERING TECH
EROH: DOIIG REID, BDILDING INSPECTIONS DEPT
nATE: 31a 9/8 s
The Protective Inspections Department will be performing a final inspection
for oecupancy of 3tr0o 5t 3,d'jQ(p LexinxJD?'1 JeV)UP_ on
3 c?9 8'8' «ariis?de ?4p+:s ? lasf b(dg.
Please return within 48 hours with your approval or denial. Failure of
response within that time frame will be determined as approval. It will be
each departments responsibility to contaet the construction firm with
necessary requirements before final inspection and notifying the Building
Inspections Department when all requirements have been taken care of.
Thank-you.
DR/js
APPROVA : r-17 , DENIAL:
SIGNATURE & DATE) (SIGNATURE & DATE)
I
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C'i.ty C'f
Et1GAN P;1RI: Ur.Pl1P.`I`. acIvT ?
3501 COAGnMIA-111 RL. . ? EAGAiVs t•i?NNESOTfl 55122
' ! 1
. ?
_ June 5, 1978 `
Ra1pYi n'elson
3506 S. Lexin;ton Ave.
Eagant Riinnesota 55123
bear b4r, Nelson:
I aiti 4iriting in reference to our i"+E,phonc coxrcrsai:Yan cyz
Niay 2, 1978.
YoEi inquireci as to w,iether C?agan t?-, I.iiferested in
raurchasin?; your Z?7?operty ?o bc; ik.cc?r??ox??`er? into the e?_ty Pa}^k
7}>sten.
- I i?ave discusscd ycua? inqui.^y i.,; c?i(t,". ?'.:+???,ii?q sQ,r=i at?r.?1 ,. . 1T t?lf.' ;(33.'PS£?lt 'G11P(: `t',?3@ ?'1'LV P.3i': ??l.1Ii ,':?"? f:qli_ {'O? ft.- ,., . . , . .
neighbcat•hood pa.rk at your locat.i.nn. ??c??lc? r,.l?angc,
'J.-$ addli:1Q117l dC?LrV.ZopIRETIt 6CC1L1"S I'!?.ih'?S3. 1'CUi.' :iCC'L:?.Or" jlC'wCY/Cr'
` it is lil<a2y i:hai: stse.h facal.ztac;, weaJ.c L•e Ic•?:. ..t?cl so as to '
.. avoid front.in? on Le<.ing?cn Aven,,_,
I have also inquired of ttie C?.ty °:is io
whethcr the C;ty vioulcl be ini;exes'r.eci i-n ;0i?rci,o5i,,r; ?.our f;cnytel
. .CApCT3t1.;)31. A'L' filC pTC5E:'ilt tIIII?.". i:}'_ft i7.i:.y ?11S T,:?.I)1.:!7:S j:0 Cii921 . . . ..
a_id c?porate a]cennei .facility fo:r thc? i??7our.ci::?rali: of stray
an.imals.
.. . S?T1C .::Cly yU1dTS, .
. . ' t3 fl'1" 1J S C zl l? ]. c? t? . .
, . . , G3z7 P3i'k Di1`eC"4Q%' ' , . . . .
cc: Tem Hedges, City Admi.nistra?.or
: ,; ,
WATVER OF HEt1RIY3G
REQIIEST FOR UTILITY IMPROVEMENTS
I/[:`e hereby request of the City Council' City of Eagan,
Mi».nesuta.9 utility improvements on and over pxoperty ocaned by me/us as
followss (Pdantion type of improvement, e.g. water, sanitary sewer, etco)
WATER LATERAL, 1975
Tlie location of said utility improvements shall he generally as follows:
Parcel 3191-B, Section ].?a.
10 01400 010 28
Assessed 200' of the 346.5' as residential home site at $6,00 ff.
I/We herehy a:aive notice of any and all hearings necessary for tkie
installation of said improvements and further consent to any assessments
necessa:ily levied by the City of Eagan for such improvements.
I/Ve furthex agree to grant to the City of Eagan any easements neces-
sary for the iastalltion of such improvements.
It is further understood that this request shall be reviewed by the
City . Council of The City of Eagan or its agent and I/we will be given
reason.-ble notice as to whether this request is possible under present
utility planning as to timing' Location, etc.
Dated: October 30, 1974
s
,
--_-
"'equest accepted by fl,-Z?... Date
City af Eagan
Request re£erred to "lity Engineer: D:te
Copiese 1, City
2, City Engineer.
3. Applicant
y?y - a?
---
STATE OF MINNESOTA DEPARTMENT OF HEAI.TH
WATER WELL RECORD M/NN650TA UN/QUE WELL NO. n?? 11
MiwwoW $bh/rs 156A.01.08 /a k'e!rc $an?pk Y L
' Scclian No. Frulion 4. WELL DEPTN (rompkted) Dste ot Compktion
"^" ?" F p 205' r? 7-17-87
a
N
c
I I
I ?
i
Additim Name
iock umher ?
E
T ; L« r,mnM ? x
I ?
5. DRILLING METHOD
10 Cabk tod 40 Revme 70 Driven 100 Dug
map well Imtron. 20 Nolbw rod SO Air BO Bnred 110 _
_ lI :in Rotary bOletted 90 Power lauger
? 1 ?+k ?
2. PROPERTY OWNER'S NAME
Gustafson Development
Add.ess 3506 Lexington Avenue
? Eagan, Minnesota 55123
FORMATION LOG COIAR HARDNET UF FRQM TO
1x Domcatic 00 Mmimring 80 Heat Pump
20 Irrigation 50 Pudic 9O IMuatry
30 Teat Wdl fiOMunicipol IOOCanmercial
70 AirConditioning 110
S. CASING HOLE DIAM.
HEICHT: Abointl? eebw
10 Black Ip Thrqdtd ??
SuAaa
2KGalv. 50 weided
Drive Shod Yes_ No_
3O Plastic 60
it
m. to _ 205
n. wecat! ._..- ius.iu.
tn-Ji.
in. to (L WeigM 16s./It. I in. to_Jt.
II1. 10 Il. Wt18h1 Ibs./It. J11. IO--fI.
9. SCREEN Or oxn hok
NA ' Irom fL ta. ft.
Make -
Dis.
TYpe
SIoVGau:e- Le^gtA -
FITTINGS:
Set between ft. and f1.
?_ ? ?_ 8 ?
io. srnJt?v,reR LeveL
(i. p 6e1ow p aho?e Dat< Measured
land aurface
11. PUMPING LEVEL (6e4iw land surfacr)
fl. aller hrs. pumPinH 8-0.m.
Il. alter hrs. WmDinR p.p.m.
12. HEAD WELL COMPLETION
10 Pitless adaDter. manufacwr<r modei
20 Baxmem dtxt 30 Ai least 12" a6me eround
d0 Plzslic casin8 protation
13. w'ELL GROUTED?
OX'ea O No
40 Nea[ Cement 2C7 Hemonite 30 - -??.L1?. ? /n
Grou1 malerial Ne at Irom 0 w1iSL tu: Yds. J?T .
ecc.
fMPORTANT: I n':? , r) 1 1
14. NEAREST SOURCES OF POSSIBI.E [Un i nminwi IVrv
fKt dircclim IYM
iVeO didniectef upon mmpletioni O Y es ho
15, PUMP
Date insbikd ? Nol irotailed
Manutacturer's name ?
ModelnumM HP Vou
Length d drop pce It. capxity e.P.mMalerial of drop pipe .
Tyye: lO Su6mersibk 30 L.S. Turbine 50 ReciporaUne .
217)el /O Centritugai 97 -
16. E%(STING WELLS
Unused wll m propertyt ? Yes ? No
pyxMmKd O Permanenl O Temporary ? Not xakd
IB. WATER WELL CONTRACTORS CERTIF7CATION
This wdl was drilkd under my jurisdittim and this rcporl is [rue m the besl of my
knowlcdpe and beliel.
KTMMF?=RAT7?N(' ?2,1-
Littun Businas Name L¢erw No,
„dd,es,_ HastincLs Minnesota 55033
sia„ad n.tc
?r Adtharistd Repraentetive
- - - - - - - _- - - - - _- - - _- - -_4dtG- - - - - -
Name d Drilkr 5/74 301A
;:7s wrd
,. .
,
CITY OF EAGAN
APPLICATiON FaR PERMIT
SEWER AND/OR WATER CONNECTION
i
*117Pw,: PAYMR?VT OF FM AT TIME OF
ArPLIcATIoN DoES Norr oorrsri=
APPROVAL OF PF.RNIIT.
nasPEcrrotv oF sEwat AW/at M7Et
INa-rALLaTIoNS wIIa, Nar BE scEED--
ULID i7NPII. PERMIT AAS BEaT
APPRC3VID. '
------------------------------------
P ease Print
1) PROPERTY ADDRESS: _?_g j5?-; Lexington ••
-LEGAL DESCRIPTION: "
. Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING SZRL'CIVRE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE: '. "
Nbn Year} ••
PRESENP 7ANING/PROPOSID LSE:
[l COI1ME2CIAL/RETAIL/OFFICE ? R-1 SINGLE FAMILY .
Q IbIDCTSTRIAL ? R-2 DLPLEX (2tao Lnits)
C[ INSTIZUTIONAL/GOV?Np R-3 TOWNEiOL?SE (Three + Units) ( Units)
. ? R-4 APARTMENT/CONIDOMINIUM ( Units )
2) ?
NAM=_ qmamT D17r.xr'IVTCAT IN?
ADDREss: R(ni n
CITY. STATE. ZIP: T.akosTi 1 l o_ i'ITd 55044
PHONE:
3) ' c ?NAME:
1DDREss: 8610 195th St. '° .
CITY, STATE, ZIP: _ •Lakeville, i?IIV 55044
. ;
PxorE: 469 286 rAsTEx LzcENsE# 2096 M
ACt1V2
EStpired
Not recorded
st?tial
. .
ej )
NAME: D. H. Gustafson & Assoc-.
_ ADDxESS: 14661 Chicago Ave So ?
c=7'Y, STATE, zIP: i3urnsville, iN 55337
PHONE:
'S) ?? a: ? ?• : a • a• - ??
EM CONNECTION TO CITY SEWII2 E] CONiVDC.Z'ION TO CITY WATER 0 OTFIER '•: •
6) ?? • • iC] PI.EASE HOLD APPROVID PERMIT FC)R PICK-L?P BY ONE OF ABOVE
PLF.ASE MAIL APPROVID PERMIT TO 1. 2. 3, 4, ABOVE
(Circle one)
7) 10 7 87
rzar-r?.
FOR -:CITY USE ONLY
PERMIT # ISSOED
Pd w/Bldg. Permit FEES: '
$ S ???• ?? SEWER PERMIT (INCLLDE SURCHARGE)
$ $ `(q . 5-7) WATER PERMIT (INCLUDE SL'RCHARGE )
$ -? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ""- ACCOLNT DEPOSIT - WATER
$ ? ? Da CrZ) $ WAC
$ l d D't32; a-, $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ ?C '??? • ?' L $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
U-6 $ ? I• a? TOTAL
--- 74.
RECEIPT RECEIPT
DOES UTILITY CONN ECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A" PERMIT FOR WORK WITHIN PUSLIC
Q
IVO ROADWAY" MLST BE
DIVISION
LIST ISSUED BY THE ENGINEERING
AS A CONDITION
. .
SUBJECT TO THE FOLLOWIPIG CONDITIONS:
APPROVED BY:
TITLE:
DATE:
City of Ea~an
Mike Maguire
Mayor
June 26, 2009
Paul Bakken
Cyndee Fields Dan Gustafson
Gary Hansen D.H. Gustafson Company
Meg Tilley 1500 McAndrews Rd, W.Ste. #100
Council Members Burnsville, MN 55337
RE: Parkside Apartments
Thomas Hedges 3500 - 3536 Lexington Avenue
City Administrator
Dear Dan:
This letter is in response to your email requesting information about the Parkside
Apartments at 3500-3536 Lexington Avenue in Eagan. At this time, there are
four expired permits to reroof that were issued in June 2002. The permits did not
receive required inspections. Enclosed is a list of the open permits.
Municipal Center
3830 Pilot Knob Road If you would like information about applying for a building permit or scheduling an
Eagan, MN 55122-1810 inspection, please call (651) 675-5675. If you have any questions about this
651.675.5000 phone letter, please contact me at (651) 675-5683.
651.675.5012 fax Sincerely,
651.454.8535 TDD
Maintenance Facility Craig Novaczyk
3501 Coachman Point Senior Building Inspector
Eagan, MN 55122 Cc: Dale Schoeppner, Chief Building Official
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
The Lone Oak Tree
The symbol of
strength and growth
in our community.
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