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1657 Hickory HillCITY OF EAGAN Remarks Additio te lst Addition Lot 13 Rik 1 Parcel 10 84600 130 Ol Owner !?'• Street 1657 Hickory Hill State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. P 10.12 136.71 3 PAID GRADING PAVTNG 29-33 1974 1 15.45 23.09 5 PAID 5AN SEW TRUNK 1974 93 . 54 6. 24 15 PAID * SEWER LATERAL 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 15 * STORM SEW WO14 TAql 1975 1505 . 70 100. 38 15 PAID * STORM SEW LAT trk 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11729 9-23-74 BUILDING PER. s,ac 75. 00 9773 12-31-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 14 Bik 1 Pefcei10 84600 140 01 Owner-1 114' f1/,7- streec-1659 Hickory Hill State Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. pofSTREET RE5TOR.pgVlri 1976 $410.12 $136.71 3 PAID GRADING PAVING 3 1974 $115.45 $23.09 5 PAID SAN SEW TRUNK ? 1974 $93. 54 $6. 24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 * STORM SEW 7fMf L T' 241 1975 $1505. 70 $100 . 38 15 PAID * STOFM SEW LAT trk 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. $130.00 11729 9-23-74 BUILDING PER. sAC pp 9773 12-31-73 PARK CITY OF EAGAN Remarks Addition Woodgate lst Addition Lot 15 glk 1 Parcel 10 84600 150 Ql owner <<?e street 1661 Hickory Hill state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. pdViri 1976 $410.12 $136. 71 3 PAID GRADING PAVING 1974 115.45 $23.09 5 PAID SAN SEW TRUNK tUj/ 1974 $93. 54 $6. 24 15 PAID *SEWERLATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 *WATER AREA 1975 15 *STORM SEW "W u'f q 1975 $1505.70 $100. 38 15 PAID * STORM SEW LAT trk 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11729 9-23-74 9UILDING PER. sac 9773 12-31-73 PARK CITY OF EAGAN Remarks Rddition,- Waod ate lst Addition Lot 16 sik 1 Parcel 10 84600 160 fll Owr ' ' ?' • Street 63 u1ctin-ry Lli ],], State F.agan? MN 55123 1 41 ° mU;"? C,t,, , r ; ,,- Improvement Date Amount Annual Years Payment Reoeipt Date STREET SURF, •ISTREET RESTOR. 0 2 136. 70 3 PAID GFiADING PAVTNr- 2 115.45 23.09 5 PAID SAN SEW TRUNK ,'Lcf 1974 93.54 6.24 15 PAID *SEWER LATERAL 1975 15 WATERMAIN * WATER LATERAL 1975 15 * WATER AREA 1975 15 ,t STORM SEW #W 1975 1505. 70 100. 38 15 PAID * STORM SEW LATtrk 1975 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $130.00 11729 9-23-74 BUILDING PER. sac 1 -5375.00 9773 12-31-73 PARK CITY OF EAGAN 3795 PYef Kwob RmJ Eegon, AAN 55122 PHONt: 454-8100 BUILDING PERMIT Receipt # To N wwd for Est. Value Dare , 19 Slte Address Erect ? Occuponty Lot Block Sec/Sub. Alter ? Zoninq porcel # Repoir Q Fire Zone Enlorfla ? Type of Const. D # Srories W N? Move ; Address DemoHsh ? Length Grnde p Depth Sq. Ft. Approvals Fees ?? Name u? ?dreu Assessment Permit 0- Gt phorm Woter & Sew. Surchurga G ?c Police Plon check ?W NOrt1° Fire SAC ?? /Wdress Eny. Wcter Conn. -W Ci pfone Plonner Wafer Meter Council Rood Unit I hereby acknowledge that I have reod this applicotion ond sfate thot Bldq. Off. the inlormotion is correct ond ogree to compiy with oll opplicoble Stafe of Minnesotn Stotutes and City of Ecgon Ordinonces. APC Totol 5i9noturc of Permittea A Building Pem,if fs issued to: on the express Condition tt?at all work shall be done in xcordance with oll oppliaable State of Minnesota Stututes and Cify of Eo9on Ordinanus. Buildirg pffiNal Permit No. Parmit Holder Misc. Permit No. Holder Plumbing H.V.A.C. w.u Watsr Diap. Stwrr . Elect?ic Inspection Date Insp. pther Footin¢ Foundetion Framiny Rouph PI6p. Rouph HVAC Inwlation Find Plbp. Final HVAC Fina1 Wa"r Oqeribs Location: YWII Sewer Pr. DhP. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: • i 0 r ? -' li[(.Mt)f;Y FI111 ' PERMIT SUBTYPE: ,.,(l I I i , fr, 1 .1 ) 1 Plli ',11! A t 1 flhl ? APPLICANT: ?it' . ?.r4 1 , .. ? • ? ? . TYPE OF WORK: ii; i 1, i! I 1 ftiJ [I f i M+I I INNI I :.',- !Ni llllit'. 16%9 (IQT 17) lI, t, l iiUl 1'.) I -,i (I0) 1 lf, ) ??E PqI rr l Rfi1l( 1 hl1r i lM iCOItY Ilti I ? - ? ? Permit No. Permit Holder Date Telephone N SNV PLUMBING HVAC ELECTRIC ELECTRIC inspection DaW Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Fitg. Isul. Fireplece Final Htg. Orsat Test Flnal Pibg. Plbg. Inspector - Notiiy Plumber Const. Meter Engr./Plan Bidg. Final Deck Ftg. DeCk Final Well Pr. Disp. INSPECTION RECORD CITY QF EAGAN PERMIT TYPE: 11) 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: . 1kiat1 ., ?" V t, Ni „?ii• ??1 g ? PERMIT SUBTYPE: TYPE OF WORK: 1 f.aI ?< wI i-soi {iJlNlifil,d I:f V1 111,F F1i (JI ) , Permit No. PermR Holder Oate Telephone i S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapection Data Insp. Comments Footings I Foundatlon Framing Raoffng 3l D Rough Plbg. Rough Htg. I ISUi. I Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Final Dedc Ftg. Dedc Rnal Well Pr. Disp. Renewal By Andersen 350-,73rd ,9r,e. NE Fridley, NIN 55432 763-502-4777 #1MN20130983 RC-SIDENTIAL IILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 851-681-4675 New Conshudion Reuuiremenis kemodeUReoair ReauiremeMs • 3 registered site surveys showing sq. ft. of lat sq. R ot house; and all rooted areas • 2 copies of plan (20°h maximum lot cove2ge allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing heam & vnndow sizes; poured kund design, etc.) . 1 site survey Por exlenaredditions & decks • t set of Energy Calculalions • 3 copies aF Tree Preservation Plan 'rf bt platted after 711/93 • Rim Joist Decatl Options selec6on sheet (bldgs wiM 3 or less uniis) 4 qqi76 Op DATE ?' J?? •D ? VALUATION (EXCLUDING LAND) ?. D?? JOB SITE ADDRESS ILo S! WCIfsl'v 4-; II IP MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORK ?k 3 w"?"? ? "? ?? FIREPLACE(S) _0 _1 _2 _3 APPIICANT _.(?._ a.a_ _p? 04 PHONE # 55a, .'..r'S?5 - (cQ 5";? ADDRESS PAGER # CELL PHONE # ZIP CODE PAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category ? MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 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 Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is co t and a?ta com?ifywith all applicable State of Minnesota Statutes and City of Eagan Ordinances. --°"' "??--?- ?7 Slgnature of Applicant (,4.1i1 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Water Softener _ Water Heater _ No. of Baths Phone #: Iarvn Sprinkler Fee: $90.00 No. of R.I. Baths ` Air Conditioning Heat Recavery System Updatad 1101 OFFICE USE ONLY ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 38 Move Bldg. ? 42 Demolish (FoundaTion) ? 45 Fire Repair ? 33 Alteration 0.'i 37 Demolish (Bldg)" ? 43 Reroof ? 46 ' Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only),- Give PCA handout to appl icant ' . Valuation Census Code SAC Units, Nbr. of Units Nbr. of Bldgs Type of Const Occupancy Zoning Stories Sq. Ft, Length Width MGES System - City Water•• Booster Pump PRVFire Sprinklered REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice & Water _ Final _ Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Sidmg Stucco Stone _ Insutarion _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ' Other 7otal Building Inspector tlILL11GE Op? EA0?N 7 w???? ??p JT 3795 Pibt Knob Road MIT?d°:' ? $b 'l4', ' . ? . . " . . , Eoqaw, MN 55112 _ _. DAQ E. Zoning: PUD Naf l1Oi*,' Owner: EVOOC198CC ? NHN N.. . Address: Site Addr p63 61-59-57 mmon Plumbar: - Pltanbl.?t bo.: . ? _. ' , Meter No.: - ; ? c? Size: N d R ?7 z ea ei o.: Pd ?'? e ? ' wilh fh , I ayrao ro cemply a ViN w d ta0m ? ' O1A{110M ?,. y,. , ,J?."Ctiaqgs8: . . , . . . . By Date o£Inep.: ' ? _ • ? ' _ ?? _ „ ? ' ? , t ? ' °? ? . , •-t /GZ,? -ae, ?a???? ?• ? ' ? ? ? ? ? ; ? . „ .. . SEWER SERVIC ? RM6T YILLAOE OF EAGAN ? 3795 iilot Knob Rood - PERMIT NO.: .----- ??26I? ? ---- -- Eagon, MN 55122 DATE: -_-- No. of Untte: - --'- -- LomnK t"??a?e =New Horizon Homes Owner: --_ Address: 166 61 rv Hlll -- 59=57 Hicko Site Address: Plumbin?C C?• Plumber -- T--- son. ?500.00 pd 12/31/ --- ro complY with tM 73 Villoyo 01 Iayon Cannectlon Chazg - 1 a9rx Account DePOSit: ------'-- Ordinance:. 10 00 Permit Fee: __---Pd-- -- Rd .SO _ Surchar8e: _ Misc. Chazges: ---'- , BY: ------- --- Total: - --- Dnte• oSlnqp.? -?- -------- Date Pafd: ------ - ------ -- Insp. i? CITY OF EAGAN 9793 Pllet Knob Reod Eagun, MN 55711 NO 7398 ? ? -' PHONE: 451-8100 _ BUILDING PERMIT Receipt # • ? ? $ite Address 10?1 nicxvey ruii Lot 13 Block 1 Sec/Sub. Woodgate lst parcel # 10 84600 130 Ol W Name NdnCY A. NBmux ? Addreas 1657.AickOYSr H121_ g I Nnme ?n? ? ?? Address 1- ro.,, Noma _ Addrcsa I hereby otknowledge thot I have reud rhis aOVlicotion ond state that Ihe informafion is wrrect and agree fo wmply with all opplicobla Stafe of Minnesofo $tatutes ond City of Eogon Ordirwnces. Erect ? Occuponq Alter ? Zoning Repoir ? Fire Zone Enlarga p Type of Const. Move ? # Stories Demolish ? Length_ Grade ? Depth Sq. Ft.- Aovrovals Faes Assessmenf - Water & 5ew. Police - Fira Erp. Plonner - Council _ Bldg. Off. - APC Sipnalure of Pertnittee A Building Permil Is Issued fo: Naricy A. NimAur all work shall be done in accordonce with oll opp?ble State Buildinp Oificial Permit 11.:)U Surcharge •50 Plan check SAC Water Conn. Woter Meter Rood Unit Totnl $12.00 on the expresa condifion thnt ?yi Eagan Ordinances. . _?. •- - ? EAGAN TOWNSHIP ? BUILDING PERMIT ? .. Ownei Address .. (presen?. .. .c.cJ_. ... ?c2a'1...r1. . ... . . .?-ia.e.?.1.... ?..?....y? ? Builder _._ .......................................... ............................................... Addzess .._ ..........._.-.-"""'_' .............._....... _ `--...___....._..-------.... DESCAIPTION TION 5tosies To He Used For Fron! Deplh Height Eal. Coaf Permi! Fee Aemarka 1 s. u-a ?i .?. Sa. - SireeL Roed or o!h D?(,?,rG>-cf_ry/ /6ia-c? s! f7 hG?-L??>/ Thia permi! doea aot suihofize !6e righ! !o aeate anp si2uation w general welfara !o anpoae in ffie THIS PERMIT MUST T This is !o eeslffy, tha . ..1. .... !he above dexribed pre ise s je 1955. i--1 . N ,° 3191 Eagan Township Towa Hall Date .......... 4..^,9.1.->S.. - or ?r.SOti- a " ? •?i-?i?a? - 9 ?he se of slzeets, roads, alleye or sidewalks nor does it give !he owner or his egent hieh is a nuisance or which presenis a haaard !o !he healih, safefp, convenienee aad communifp. 7to- EMISE WHILETHE WORK IS IN PROSn.........._hes permisaion !o erec! al.l?rovisiom o} !he Building Ordinanee f/o-r -Eaan Tow ip dopled April 11, ? I \ 4...?.Y../.. ..c.?....'_._•__.. Per ...'.._._.-/L-E ot Tnwn? oard Suilding ? . ? To Be Used For CITy pF Ep,GAN Include 2 sets of plans, 1 site plan w/elevations & I3T7ILDING PERMIIT APPLI?WON 1 set of eneryy cal.cuJ.ations. ?--- Date -- _ yalvation S 419 Site Pddress 1 CO U 14W( ? OFFICE USE NLY Lot /-i- Block Sec./Sub. I,r7v- Parcel #: !0 $y(OocJ 130 0 a?r: D?)ft-tV NA?rvw-+2_ Address: 1 I? 5 (.0 City/Zip Codes _ P?? #: ?f?z. - s ?? 3 (w) ?zs Contractor• Address: City/Zip Code: Phone #: Ars. . PddreCity/Zip Code: Phone #: Erect Occupancy ?--_^ Alter Zoninq - Repair Fire Zone ESril.arge _ 7?peof Const. _ Move # Stories ` D?nlish Fmnt Grade Depth . . ft Xb7 43 - rPrROVAIs FEEs - _ Assessments Peindt - ?dater/Sewer Sur'charJe .,? Police Plan Check Fire SAC Enq, Water Conn. Planner Water Meter Council Ro?l Unit Bldg. Off APC ?.? 'iC7PAL ?_, ? 3 -!-/ v. 6. CITY OF EAGADT 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 526 The City of Eagan hereby grants to Geo. Sedgwick Heating o; 1601 Xenia Ave. So. a HeatincL Permit £or: (Gwner) D7ew Horizon - t7oodgate at 65 59-61-63 Hickory Hi?lpursuant to application dated5/3/74 Fee Paid; $80.00 dated this 17th day of June , 19 74. 2.00 s/c Building Inspector Machanical Permits: Bid Total: 3 . - /9- / _iv 6? / CITY OF EAGaN 3795 Pilot I{nob Road Eaga.n, P4innesota 55122 PERNST N0, : 44 Z The City of Ea.gan hereby grants to Thompaon Plvnhin" Co. pf 12201 Minaetonka alvci. g PLPMPING Permit for: (Owner) *lew Horizon :?omee •- yti+onaate Addn. 1 at see attached list 9 pursuant to application dated 4/19/7-1 Fee Paid: S1,Q60.00 dated this 241-11. day of P.rril , 19 7,1 44.00 s/c Building Inspector Mechanical Permits: Bifl Totals - ; EAGAN TOWNSHIP PUBLIC WORKS DEPT. 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 A.' ? . Permit No. 442 - 4/24/74 Covers following units and homes: DALE S. PETERSON 8urfding $ UnLfy lnspec[or WILLIAM H. BRANCH Supenntenden[ of Publrc Works PHONE 454-8700 1628,1632, 1636, 1640, 1644, 1650, 1654, 1658, 1662, 1666, 1670, 1674, 1679, 1682, 1686, 1690, 1692, 1694, 1696, 1698, 1700 Walnut Lane and 1635, 1655, 16F1, 1665, 1669, 1673, 1677, 16Sl, 1685, 1689, 1693, 1697, 1701 Walnut Lane 1631-29-27-25 Hickory Hill, 1666-68)Hickory Hill & 1667-65 Hickory Lane, 1665,67-69-71 Hickory Hill, 1663T61-59-61,Hickory Hill, 1681=83=85=87 Hickory Hill plus last eleven (11) townhouse buildings - do not have correct house numbers as yet. SEDGWICK HEATING & AIR CONDITIONING CO. HEATiNC JOBNO 8970 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS I"' 6 I '? 1?Il1U r(/ TCY 1 11 OCCUPANT ` 1a ?? ??I? aN E aSli n OWNER SOLD BY INSTALLED BV MAKE Lq t) nd ^ MODEL ? ? 7 hi SERIAL NO. l n30IL (31 I`-'vINPUT lh f THERMOSTAT TD 1" U VENT SIZE VALVE w /' ` TYPE OF LINER F`'P 2, ?l LIMIT /, Y LWERSRE L? LIMITSETTING FIL7ERSSIZE ??pG NUMBER FANSETTMG WIIiING PILOTTYPE -L-?1T-'f r M IGNITION MODEL 1> f LJ C/-' PILOTTIMWG ? 5-C < PRESSUFE pERCEN7 COz INPUT CFH PERCENT Oz ?? STACKTEMP. '??Lq"6b PERCENTCO TEST TAG LIGHTING INST. DATE TESTED COMPANYTESTING I C/') NAME OF TES7ER - " ? i FORM 235 (REV 11I89) FOFM OISTRIBUTION WHITE COPY -JOB FILE YELLOW COPY -CITY ... ? ?-?.:.rL'?i -.i.:4'°'-1'?? 'r'. ?FY....?,?i -?. ....y......... ?y .s. .. .c ?....?'y.? ? n..n' ' •. ! ••(?rv?'.- . .. ri . ? . .r y HOUSE HEATING TEST RECORD D-21122 ? ADDRESS 1657 Hickory Hill ppT.-FLOOR OCCUPANT Lee R Guata£eon OWNER Yea HEAT LO55 DATE HTG. INST. -0 1 SOLD BY Elactrical Work 8y - TYPE OF HEAT GA i CITY SUBURB Eagan INSTALLED BY SedgvclCk Ht2. Gas Line By it it FA X HW STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE W1111aIDeOri MAKE OFBURNER_ Modsl 1117-07-5 Modsl 5xiol 7412329 Max. BTU Roring _ INPUT 75,000 Btll' MAKE OF FURNACE Model CONTROLS THERMOSTAT Cm 260 Heat P?u Vent Size '`}11 VO1Ve M.H. OOC KIND OF LINER AlUm , SIZE s" NONE Limit Robhbsw RFL 750ri Drah Hood VePtiC81 Ragulawr , Limit Sstting 200oF Filters Size 18?? X 25it Numbar 1 Fan Setting 90 f& 1200f Chimnay Location Inside Ye8 Outaide pe Pilot T C'OUple Gimnay Consiruef ion MetHl}J@8t06 y Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing 52 SeCOpdB pra{t OK Tast Tag 1'ee L.W. Cuf OFf Door Pressure Lighfing Inat. Ye8 P 4• S"W•C • p rcenf C0 ?/ 7'°/? Dute Tested /'?? 1? 75 rossure e 2 InpuT CFH 74 Oz 4$O f 8.7 Company Testing 0 0 ` Swck Temp. percsnt CO Name of Tesror - CONVERSION Form 235 HOUSE HEATING TEST RECORD D-21122 `4i?? I' ADDRESS • 1859 Hickorv Hill APT. -FLOOR CITY SUBURB EQgah OCCUPANT Tpyjgg W. iinss+n OWNERYes HEAT LOSS DATE HTG. INST. GAS CO METER BADGE SOLD BY Electrical Work By TYPE OF HEAT GA - FA X._HW -S7EAM INSTALLED BY CdgNT1QIt Htg. Gas Line By n ? SPACE HTR. _UNIT HTR. -OTHER GAS DESIGN MAKE W1IZ1atll60II MAKE OF BURNER _ Model 1117-07-5 Model Saia1 7335840 Mox. BTU Roting- INPUT 75`000 BtliW. MAKE OF FURNACE CONTROLS THERMOSTAT Cm 260 Heat Plu Volve M.H. VBBOOC Limit Nobshaw RFL 750n Limit Setting 200of Fan Setriny 90of & 1200f PilorType Cnnple Pilot Make Model Vent Size 4" KIND OF LINER Aluln• SIZE NONE Drafr Hoad vQrt].C81 Regularor Filters Size 16 S 2CJ Number 1 Chimney Location Inside Yeo Outsida Chimney Consirudion Metalbeatoa Pilot Model Smoka 8omb Wiring Pilot Timing g$ secOri dB Draft OK Tesf Tag Yes L.W. Cuf Off Deor Prassure Lighting Inst. Y? Pressuro `?-8?•C. ?y Parcen}C02 7,??° Dafe 7ssted 11? `?7?4 C InputCFH 75 Pe«enr o z 8•7% ?mpany Te:riny ombnstion S ecialtiea Stack Tam 51OQY Per<ent CO 0•00% Name of Tester / p. . ? Form 235 CONVERSION HOUSE HEATING TEST RECORD D.:1122 ADDRESS 1861 HiCkoTV Hill ?.PT.-PLOOR CITY OCCUPANT MaIY Z. Pt'le OWNER peB HEAT LOSS SOLD BY Elechical Work By TYPE OF HEAT -DATE HTG. INST. GAS C0. METER BADGE ?? g? INSTALLED BY Gas Lins By GA _ FAT-_ HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER GAS DESIGN MAKE W1117.SIDQOII MAKE OF BURNER_ Model 1117-07-5 Model Swial 7412308 Max. BTU Rating- INPUT 75a000 Btlll'AI', MAKE OF FURNACE CONTROLS THERMOSTAT Citt 260 Heat Plu ? Valve 0C m?. v8 Limit RubShaw RFL 750u Limit Setting 2000f Fa„ 5,,,;,,9 90°f & 120°f Pilor ryPe Couple Pilot Make Pilot Modal Modvl 4° Vsnt $ize KIND OF LINER Alum• SIZE NONE Droh Hood VCTtiQ&1 Regularor Filterz Size 16 x 25 Number 1 Chimney Location Insida Ye13 Outside Chimnay Construction Matalbeat*8 Smoke 8omb Pilot Timing 57 SH6onag Draft L.W. Cut Off Door Pressure Wiring Tszt Tag YeA .lighting Inst. Ye6 Preasuro 4•$"WC• percen}CO 7.0% Date Tesfed 11/'27jfiq' In ut CFH 75 Z p Percenf OZ 8-7 ? Company Testing -tiegt Stack Temp. 4'8?Of Peresnf CO 0000? Name of Tester Form 235 susues Eagan CON V E RSION HOUSE HEATING TEST RECORD D-21122?-?/`?? ?" `1 ADDRESS + 1663 Hickorv Ha.ll APT.-FLOOR qTY susuRS Eaean , oCCUPANr Crai¢ P. Bennink OWNER Yea HEAT LO55 - SOLD BY Elechieal Work By TYPE OF HEAT GA _ FA X HW STEAM SPACE HTR. GAS DESIGN MAKE K'xll].am9op MAKE OF BURNER _ Modal 1117"07'N Model Sxial 7409841 Max. BTU Ratin9- INPUT 7 .000 B'tt( ' . MAKE OF FURNACE Model CONTROLS THERMOSTAT CID 260 Heat Plu@ Valve M.A+ ??10C Limit RtibRhaW RFL 760n Limit Setting 2006f Fan Setting 90 Y& 1200f Pilot Type COHpl@ Pilot Mnke Pilot Model Pilot Timing 83 Seoonde L.W. Cut Off Pressure 4•9„WC. parcent CO 7v-i° Input CFH Z 7A Pereent OZ R? _ Slack Temp. ?/ 51O ? par<ent CO 0•0'?/? form 235 DATE HTG. INST. SAS C0. METER BADGE iV INSTALLED BY Sedgwick Hte. Gas Line By n n ?`? ? UNIT HTR. -OTHER CONVERSION / Vent Size `_'- ` I t t ? \ % KIND OF LINER Alm- SIZE gM NO Draft Hood Vertical Ragulaior Filters Sizel6 E A5 Num6er ? Chimney Location Inside YE'B Outaide Chimney Constructian Metslbeetoe Smoke Bomb Draft - ninn9 _ TesT Tap Door Pressure Lighting Insr. YeH Daro Tssted 11/27474 Company Testing Name af Tesfer ?..__? ? C? 70518,ti? Requesf Oet ?rs ' ( Fire No I R Bh-In Inpsettbn ReQUireO (YOU must cell inspe or en rea0yl ? 1 s eciron Other Tnen Rougn-In ?eaay Now WillNo?ity Inspecl0r 1 qq ? Ves NO DetaReaEy IXlicensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress IStreet Box? o1r Foute No I Ciry I ? ?1ic r I a Secuon No Townsnip Name or No Range No Couny ko? flIN1,, Occupa?1n IP Phona No Sa-Sa93 .,i . Power Suppber Atldress Eleclncal Con[rac?or ICompany Name, _Hr Conlractw5 L¢ensa No 6 %ItA i ?, Mailing Fdaress fGonhactor or Owner Makmg Inslallalionl -loo Hc?.?Q Q.Ua? Autnonzeo S?IConVactor,pwner Making Inslellalio97?? Phone Number 78- MINNESOTA STATE BOAFD OF ELECTRICITY v ?1 ? THIS MSPECTION REOUEST WILL NOT Grigga-MlEwey Bltlg - Poom Sll3 ?wA? BE AGCEPTED BY THE STATE BOARD 1841 Univereity Ava., St Paul. MN 55100 ? ?V UNLESS PROPEii INSPECTION FEE I$ Phona(611) 6<2-0000 ENCLOSED C? REQUEST FOR ELECTRICAL INSPECTION 070518 ? See insvudions for completing Ihis forrn on back o( yellow copy. "X" Below Work Covered by This Request d?1e?c '' ?/s 9 ew tld Rep Typeofewltling AppiiancesWved EqmpmentWued Home Range TempOrary Service uplex Water Heater Electric Heating Apt Bwlding Dryer Load Management Comm./Indusirial urnace Other (SpBCAy) Farm Air Conditioner Other (sUealy) ConvactoYS Remarks Compute Inspectian Fee Below. ?U(hOCJL't m` , # Other Fea # ServiceEntrenceSae Fae # Circuits/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Trensformers Above 200 _ Am)s Above 100 _ Amps Signs inapector's use Only T TO Irrigation BoOms ? G 1?0. S0 Special Inspection Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby F h poayn-?b I ' 11-2 ie certi y t at the above mspection has been made. F??ai 4 oa? OFFICE USE ONLY This request voitl t8 momhs from ?6 q?Sp PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when permits aze required for each unit 4 is -sz Date _X / -ZS / 0 3 Site Address /_'_ (D(p / MdD r Unit # Property Owner V Telephone #(O) 7?- 3`/59 Contractor I 0 (J ?G(l'??lhG Address City ?LC?•C(//?/ti.' State 121/7, Zip Telephone #(? The Applicant is _ Owner Contractor _ Other Septic System New _ Refurbished Submd 2 sets of plans and MPC license $ 100.00 Includes County fee. Additionai consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system W t ft -- W t h t _ a crso ener _ a er ea er $ 15.00 _ replacement _ additional ? t?? ?? ?? 1 Statesurchargc f.?. (? 2 '? ?? ?I I 1J 1 J?IJ ? I $ 50 I ? Total ? $ Is50 -- - - - -- By- - - I hereby appty for a Residential Plumbing Permit and acknowledge that the information is complete and aceurate; that the work wiii be in conformance with the ocdinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance wiih ihc approved plan in the case of work which requires a review and approval oF plans. _ `Sane- 53-eenb-zrw ApplicanYs Printed Name Appli 's Signature ? . ? ??- ? O ? RESIDENTIAL BUILDING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVFieoair ReauiremenLS Office Use Onlv 3 registered site surveys showing sq. ft of IW, sq. h o( house; and all roofed areas 2 ooples of plan Cert of Survey Recd (20%maximum lotmverage allowed) 1 set of Energy Calculations forheated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey For additlons 8 decks Tree Pres Not Reqd 1 set of Energy Calculations AddPo'on - irM(cate'rf onsite sepfic sysfem _ On-sde Septic System 3 copies of Tree Preservation Plan if lot platted after 711193 RlmJoistDetailOptionsselecUonsheet (bldgswifh3orlessunAs Date 9 / LA / 0`5 Site Address Construction CosP a?au3' ? 6 UniUSte # Description oF Work Multi-Family Bldg _ Y -= N 0 1 2 Property Owner Contractor Address State RENEWAL B1' ANDERSEN 1920 COUNTY ROAD "C" WEST ROSEV LLLE, MN 55113 651-264-4777 LICENSE #20130983 Telephone # ( (q5l ) *3 - C91,`1.(.P City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilatlon Category 1 Wwksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Tel pn?) S!??1 ?s AUG 0 820113 0a' I hereby apply for a Residential Building Pernut and acknowledge that t e information is compl'te and accurate; that the work will be in conformance with the ordinances and codes of fbt?-Ci4v of=Ea aYid"the State of MN Statutes; I understand this is not a peimit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app oval ofplans. App icanYs Printed Name ApplicanYs Signature OF'FICE,USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Pibg_Yor _N ? 25 Miscellaneous Work Types ? 31 New ? 35 ? Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addifion ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement `Demolition (Entfre Bldg) - G ive PCA handout to applicant Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered _ Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fueplace _ R.I. _ Air Test _ Final Insulation ? 30 Accessary Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector ??•?.•..?•.+. iuu u.oo rnn to? oll 4460 KCMICAL AfYECIL1SKM Wuuz. 7unet 2001 CkY Of Bagan 3836 PiIot gnob goad , Ea$an. MN 55122 To Whom It May CoitCern: Etder 7ones is authorizai to lmli builftg pmmita Por Renewal by Ancleissan. Please xltow Elder Ioncs to proyidc this WWcc for ua in $agan. '(hia endiadzation q4 velid for any date bcyond 6/6101: undl a R"ottewal by Andersen mauager expradY revokas it tn wiitiug to the City- I reqnest this auttiod,zation be ac,cxpted expedidously. es to not delsy in the our tmildius Pcm?ia any further. Picaac ceII mo lf thcx? acc ?ng of contacbed at 763-502-4706. ?7' 4??ona.. I caa he _„ Your immqdiaft attcntion tA Wis matter is "eted, e Since=aly> ond R Rau stallation Managor Ronewal by Andasen CorPoration C'r.: Karx_Fad".Tnnec S2?*.^.?4 Gf •a,.z ,i.? Oncw? ?a4M AL ??n?iaos Received Ti'me Juo. 7. 1:07pM RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatruction Reauirements • 3 registered site surveys showing sq. fl of lol, sq. k. of house; and all mofed a2as (20% ma:imum lol coverage allowed) • 2 copies of plan showirig beam & window srzes; poured found desgn, etc.) • isetofEnrergyCalcNatians • 3 copies of Tree Preservation Poan if lot platted afler 711193 • Rim Joist Datail Options selection sheet (bldgs with 3 or less uniLS) DATE SITE ADO TYPE OF ULTI-FAMILY BLDG _Y N FIREPLACE(SPS..d _ 1 _ 2 APPLICANT C'atactrnphP RPCtnration 4Pry0rPC Inr STREETADDRESS 2489 E3icp St SuitP 70 CITY_pZSeVjJje_STATE nnnIZIP55113_ TELEPHONE # 651-734-9433- CELL PHONE # FAX # ss? ?3-021o PROPERTYOWNER?'o<n a'^ TELEPHONE# 11.3 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNr:S01'A RULES 7672 (4 submission lype) • Residential VenUlation Category 7 Worksheet Submitted • New_E.nergy Code WarksheeC Submitted , , i ? • Energy Envelope Calculalions Submitted -? ?',? ? ' i, L r i - ? _ 2 % 2C2? Plumbing Contractor. Plumbing system includcs: Mechanical Contractor: Mechanical systein includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System -- Fee $90.00 1 Phone # ree: $70.00 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. ?-T Signature of RemadeUReoair Reauiremenls • 2 copies of plan . 7 set of Energy Calculations tor heated additiorts • lsitesurveyforexterioradditions&decks • Indicate if home served by sepGc system for addiUons VALUATION OFFICE USE ONLY _ Water Soflener _ Water Healer _ No. of Balhs _ Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 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) FinallC.O. ' _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ FraminB _ Siding Stucco Stone , _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 NewConstructlon Reauirements . 3 registered site surveys showing sq, k. of lot, sq. ft of house; and all mofed areas (20°k mazimum lof coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculalions . 3 coples of Tree Preservation Plan H lot plaped aRer 711193 . Rim Joist Detail OpGons seledion sheet (61dgs wAh 3 or less uniLs) DATE ?J' Z?7 -bZ SITE ADDRESS TYPE OF WOR ULTI-FAMILY BLDG _Y YN FIREPLACE(S) -IV 0 _ 1 _ 2 APPLICANT ratactrnnh RPCtnratinn SPrvirPa Inr. ,?.rllp --STATE M1ANZIP 5519?3 STREET ADDRESS J¢RQ Rirp Rt Si iita 7(1 CITY Rnca.,;, TELEPHONE # 651-734-9433- CELL PHONE # FAX # r ? n?yn2- 1; PROPERTYOWNER C??\? ??? • TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category (J submission type) Plumbtng Contractor: _ MINNESOTARULES 7670 CATEGORY 1 . Residential VendlaHon Category 1 Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing systcm includcs: Mechanical Contractor: Mechanical system includes: Sewer/Water Conhactor: Air Conditioning Heat Recovcry System Phone # Phone # ree: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SlgnatureofApplicant OFFICE USE ONLY Waler Softcner _ Water Heater _ No. of Baths _ Phonc # . I.awn Sprinkler No. of R.I. Aaths 5 RemodeURenair Reauirements . 2 copies of plan . 1 set of Energy CalcWations for heated addNOns . 1 site survay for extenor addilions & decks . Indicate'rf home served by septic syslem for addilions VALUATION MINNFSOTARiJLrS-7672 . NeW , EnirrdyCodeWoiksh,eet'Suhmitted ii i;? S =? 2, `' 7 J u `? I -Fee:-$90.00- Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ?' 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O, 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement *Demolitlon (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water I SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr, of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ FooGngs(new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Foorings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Franilng _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ InsulaHon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3530 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New ConstrucGOn Reauirements RemodellRaoalr Renuirements ? y, • 3 registered site surveys showirg sq. ft. of lot sq. N. of house; and all roofed areas . 2 copies of plan (20% maximum lot coverege allowed) • 1 Sat ol Energy Calculafions forheated addNons • 2 copies of plan showing 6eam & window saes; poured found design, etc.) • 1 site survey for exterior additions 6 decks . 1 set of Energy Calculations . IMicate if home served by septlc systen for additions • 3 copies of Tree Presenation Plan if bt platted aker 711193 • Rim Joisl Detail Options seledion sheet (bldgs wBh 3 or less units) DATE SITE ADO TYPE OF iULTI-FAMILY BLDG _Y YN FIREPLACE(S) ?0 _ 1 _ 2 APPUCANT Catactrnnhca RPCtorat4on SPr virPC Inr STREET ADDRESS 2489-RICE St SuItP 70 CITY Rnco,?gc--STATE--MN ZIP c,?c,9 1T3 TELEPHONE # 651-734-9422- CELL PHONE # FAX # 651 4930218 PROPERTYOWNER(:::?. 'a TELEPHONE# 1,N?-lsae?ikr 'IU( <? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNBSOTA RULES 7670 CAT'EGORY 1 MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submit[ed • New Energy,Coc?e Worksheet Submitted . Energy Envelope Calculations Submitted , 'I I`, _ . L 11 Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: Mcchanical systcm includes: Sewer/Water Contractor: Phone # Phone # 2 ? , Fec $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. L Signature of Applican ?-. OFFICE USE ONLY _ Water Softener _ Water Heater No. of Balhs _ Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioiung Heat Recovery System J VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) r? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Poreh/Addn. (4-sea.) ,? 33 Ext. Alt - 5F ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?' 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?'i 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 1 46 WindowslDoors ? 34 Replacement "Demolition (Entlre Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water , SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const W idth I REQUIRED INSPECTIONS , _ Footings (new bldg) FinaUC.O. _ Footmgs (deck) FinallNo C.O. _ Footings (addition) _ Plumbing l Foundarion HVAC i Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final _ Franilng _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 NewConaWctian Raauirementa • 3 registered sRe surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas (20% maximum lol coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 capies of Tree Preservatbn Plan'rf lot platled after 7/1193 . Rim Joist Detail Options seledlon sheet (bldgs with 3 or less un%s) DATE SITE ADDRESS TYPE OF 1?05? ?? nksa?( L? s ?, ] 5 RemodellReoair Reauirementa . 2 copies of plan . 1 set ot Energy Calalatians for healed additions • 1sHesurveyforex[erioraddNbns&decks • Indicate if home served by septic system for addNons VALUATION 28'--?? - 03 MULTI-FAMILY BLDG _Y QCEN _ FIREPLACE(S)L//Il_ 1 _ 2 APPLICANT Catactroph R toration S riJi c In STREETADDRESS 74$9 ira St SLIitP 70 CITY Rnceulll2 STATE MNZIPR';jj_-A TELEPHONE # 651-734-9433- CELL PHONE # Fax # 1351_-483=0:29 g PROPERTYOWNER vo9--ti et TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJI.FS 7670 CA'['F,GORY 1 MINNESOTA RLJI,F_S 7G72 (d submission lype) • Residentiai Ventilation Category 1 Worksheet Submitted • New'Energy Code Worksheet Submitted • Energy Envelope Calculalions Submitted 21 .J Plumbing Contractor: ____ Plumbing sysLem includes: Mechanical Contractor: Mechuucal system includes: Sewer/Water Contractor: _ Air CondiLioning _ Hcat Recovery Syslem Fcc: $90.00 Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan rQinanc s. SignatureotAppl nt ` --°----------- ------------ "°°°--------------------------- -------------- ---" ----- __.------------°.__ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ? Water Soflener Water Heater _ No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-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 ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?, 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Reraining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector /) -,"1lo'7y PERMIT #: crrY oF ewsnx 3930 Pu.or xxos xn £A6AR bIN $5122 651-681-4675 Please complete for. ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: olln OWNERNAME: /// A'l/? TELEPHONE# F??: JiNG & AIR CG.' : il,v. INSTALLER NAME: 6949 W..rti...,ltr, n,.....,•T__,' "h TELEPHONE #: Minneagolis, MN 55420 - STREET ADDRESS: (952) 881-9000 CITY: STATE: ZIP Place a check mark next to the permit work type &! ? ? ?Sa - M-4epmi ? Add-on, modification or alteration to existina dwellin$,unit ? s $ 30.00 '? • (umace replacement?t -s ^? ?oC7?- • air exchanger . air conditionerG? • other Nature of work: c?. . 2 4 Lx Z; State Surchar e $ .50 T l $ ? •`•-'-' ota SIGNATURE OF PERMI EE ? q g73a CITY USE ONLY RECEIPT DATE: I a Li 2002 MIDEN7'!AL MECiiMICAI. PERbI1T APPLICATIOR t/oz CITY USE OD4LY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 8008 COMMEEtC1AL M£CHlkMCi4I. PERMIT APPLICi4TiOft CITY OF E46AF 3830 PILOT K1VOB ftD EA&,", MN 55122 651-6$1-4675 Please wmplete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: STfE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: - WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: WORK TYPE: SpecifyNature of Work: New construction _ Interior Improvement _ Processed Piping STATE: _ Tnstall U.G. Tank _ Remove U.G. Tank When installixg/removing underground tank, cal! 651-681d675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, wluchever is greater. Underground tank removaVinstallation = minimum fee Conhact price: $ x I%= $ State surcharge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/02 U3 CTTY USE ONLY I I PERMIT #: RECEIPT DATE: ? ? MIDENTIAL M£CH"CAI. PMIT APPLICATIOA crrY oF Fnsax 3830 PnM xxoa Rn f.ii?8RAlSR 551YE 651$81-46?5 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: Iq 1Ol SITE ADDRESS: OWNER NAME: TELEPHONE #: C (DS) ) CDfta- q I°`? (AREA CODE) INSTALLER NAME: wohlers Southside Htg. & Air., Inc. 6950 W. 146`h St., #106 Apple Valley, MN 55124 STREET ADDRESS: (952) 431-7099 CITY: Dlnrc a ehcAe mnr4 ncv} fn thn narmit wnr4 }vnP JE #: (AREA CODE) ZIP: New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other pICl(' P ? r e, W1-l-'1"l _Rll-1" Nature of work: T-e , C?p l?"LU? Y-rY?.e1 : P State Surchar e $ 50 Total $ Reminder: Call for inspections. SIGNATURE OF PERMITTEE Updared 1/Ol CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAI. MECiiAR1CA1. f 'ERM1T ihPPLICATiOft Ct1'YoF EASAlv 3830 PILOT KftOB RD E4flAN, MN 551 EQ 651-6$1-4675 Please complete for: aii commercial/industrial buildings multi-family buildings when separate permits are not required tor each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction _ Interior Improvement _ Processed Piping Specify Nature of Work: PHONE #: - (AREA CODE) STATE: ZIP: Instali U.G. Tank Remove U.G. Tank When installing/remaving underground tank, cal! 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of con4act price OR $50.00 minimum fee, wluchever is greater. Underground tank removaUinstallarion = m;n;mnm fee Contract price: $ x 1%= $ State surchazge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/O1 MASTER CARD LOCATION OWNER SiRUCTURE AND LAND USED AS Permit I No. i Issued I Issued To Coniracior Owner BUILDING PLUMBWG CESSPOOL - SEPTIC TANK V?ELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distante From Well `OOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATWG DEPTH OF WELI GAS INSTAILATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBI NG WELL SANITARY SEWER Violations Noted on Back COMMENTS: sh - PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON{OMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPEGTION CE RTI FI CATI ON - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and thet I hava reponed herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING DATE ?T a. cITV or EAcAr, CASi-IIIh? ,J5 1"L:1iMZP,Sn(_ NLIr, 71.8 Df-iTF? Oi/9.6/99 'i7MI'_: 9.11.55::35 ILf„ f N(1Mr. ADnED VF11...UF [X7F.fi70fra7 :f.NIC. , 3210 900J. ] 6_`ir' HTCh.f?I"SY I°I7 139.25 2:1.55 9001. 1657 HICF:fIFiY H7 3.50 32ip 9001 1665 HICP.OfiY H:L 139.25 2t55 900:L 1665 HTCY,ORY HY. 3„50 32:I.0 9I701. 1708 h{I(::h:(]1lY 1•I1: 539.25 2155 9001 9.70£3 F'ITCt:ORY FII 3.5D 3210 9001 1724 I-IICF:pIiY HI 139:25 ?_1.55 900:1. 1.724 HIf.',t:C1;='Y HT 3.50 3r i0 `_JOCiI. 1641 H1CI:l1RY I_A 1:3:3.25 21.55 90(77. i641 N.T.Ct(C1RY LA 3.50 Cf?i1.;34E39 CON7iNU1- l15L":fi 7:De .lAN *?k CON'1INl1F C;0NTINLIE CJ'fY C)F E:FlGAN r'AShI.T.E::R: ,7S TERt1IMAl_ N(]e 71.8 AFliE? 07/1.6l39 TIME% 10:55:36 TUu NAt1E:: ADD'L-'.D VFII._UE f"X7E:fiI0RS7 TNL". 32:I.0 9001 1676 FITCKI3FiY L.A 139;25 2155 9001. :I.676 HSCKUR'Y LA :S,:iU ? 7el;a:l. Receipt Amauni: a 856.50 CF: i.134l39 USE:Fi IDa lAN ?vtoa 1999 BUILQING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 ' 651•681-4675 New Conshuctlon ReaWremenb Remodell0.eopk Reaufrements ? 3 registered sHe surveys showing sq. fl. of lot, sq. tt. of house 2 coples of plon and,a11 rooled areaa f2096 maximum bt coveraoe allowed) 7 sef of en8rgy calculafions tor heafed addHions ? 2 copfes of plans (show becm t window sizes; pouretl ind. design; efc.) t aBe aurvey for exfedor addNlons S decks ? i sef of energy calculafions D 3 copies of hee preservaNon plan H Wt platted after 7!1(43 CONSTRUCTION COST: ? DATE: I' 19 -(Tj I- .- fid S--t ?. LC) ?? LaN R? 5 ?ocs ?S DESCRIPiION OP WORK: {-'FS ri- ? STREEf ADDRESS: LOT: ? BLOCK: SUBD./P.I.D. #: `.r?0"v"?" ,^-f Name:U-?A2- Phone#: Cot- I "14 009?-'d9_7S PROPERTY 1. rt Ftrrt . ? OW N ER ? Street Address: ??`j ( f-E t??? ?( c C L City f_vckl? State: Zip: ??- Company. T_w4_-retw-S Phone#: ?' ct (area code) CONTRACTOR Street Address: -7 Sf -)+')c)-_P License # 2c<59'N 17 Exp. city state: zip: ARCHITECTJ ENGINEER Telephone #: area code ( ) Name: ' Stree't Address: RegishaFion #: I t City Sewer 8 water Itcensed plumber (reoulred for new conslruction onlvl: State: Zip: PenaNy applies when address change and lot change Is requested once permff is issued. I hereby acknowledge thaf I have read this applfcation, staie that the iMormotio is tct,, a ree to comply wflh all appiicabl StaFe of Minnesota Stctutes and City of Eagan Ordlnances. f SignWUre of Appifcdnh. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No JUL , 5 {999 Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDlNG PERMIT TYPE d 01 Foundation ? 06 4-plex ? 11 10-plex Ej 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-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair ? 38 GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy 2oning # of Stories Length Width APPROVALS Planning Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors Demolish Bldg' ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit Basement sq. ft. Census Code Main level sq. ft. 5AC Code sq. ft. No. of Units sq. ft. No. of Bldgs sq. ft. MC/ES 5ystem sq. ft. City Water Footprint sq. ft. Booster Pump PRV Fire 5prinklered Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Capies Total: Valuation: $ ? 2 r SAC Units % SAC -?' CITY 01; EAGAN PERMIT 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 CR3244 1 PERMITTYPE: euzLoiNG Permit Number: 024615 Date Issued: g g/2 7/g q SITE ADDRESS: 1657 HICKORY MILL LOT: 13 BLOCK: 1 WOODGA7E P.I.N.: 10-84600-130-01 DESCRIPTION: (ROOFING) B,uilding,Permit 7yps MULTI. (MISC.) -Building Wo`ark Type REPAIR iJ ; \ f ? y ?J -t REMItRKS: INCI.UDES 1659 (LOT 14) 1661 (LOT 15) 1663 (LOT 16) HICKORY HILL FEE SUMMARY: VAlUA720N $6,000 Base Fee $51.00 Surcharge $3.00 Total Fee $84.00 CONTRACTOR: - Applicant - ST. Lzc. OWNER: ALLSTAR CONST INC 15935325 0003247 WOODGATE TOWNHOMES 3315 N HWY 100 1643 HICKORY HILL MINNEAPOLZS MN 55422 EAGAN MN 55122 (612) 593-5325 (612)454-4440 I ? I hereby acknowledge that T have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. L • ???? APPLICANT/PER EE SIGNATURE _DaLQ. A, oi r,L1 IS EO 6Y: IGNA?T 1RE INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: LoT: ss BLOCKc 1657 HICKORY HILL WOODGATE PERMIT SUBTYPE: MULTI. (MISC.) PERMIT TYPE: Permit Number: Date Issued: 1 APPLICANT: ALLSTAR CONST INC (612) 593-5325 TYPE OF WORK: DE5CRIPTION 6UILDING 024615 09/27/94 REPAIR (ROOFTNG) INSPECTION FRAMING .. . ROOFING ,. INSULATION FINAL REMARKS: INCLUDES 1659 (LOT 14) 1661 (LOT 15) 1663 (LOT 16) HICKORY HILL F L ? ? „ i - I CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 414,00 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. uation of work S. ?5_4?f'0 CS Date /r9ZVal r -2 Site Address: STREET SUITE M ? ? 5 Tenant Name: (commercial only) llv0, ? e QR LOT SLOCK ? SUBD. ?)t P.I.D. # Descri tion of work: eGf The applicant is: ? Owner Contractor ? Other (Describe) Name WAc? qcJe- 1E2?Qke/-W-S Phone ? s?-Lfq? C7 Property Owner LAST FIRST , ? ? tG/` ?' f/ ? qddress I ' S7REET STE # City n»C`/I state /,A? Zip .?sl z-z , Company P S4? °AS j_. .L^c" Phone Contractor Address 144 ?1/ License # 30qq?- Exp:3-3/ 9 Zi 413 zC> t s St TV ` p _ e a City . Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with a l plicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 foundation ? Duplex O 11 Apt./Lodging ? 02 SF Dwg. 547 4-Plex ? 12 Multi. Misc. -I 03 SF Addition l? OS 8-Plex ? 13 Garage/Accessory ? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 05 5F Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? Site ? Wa116oard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile O Insulation ? Fireplace Permit Fee Surcharge Plan Review license MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuec;m: $ . ? ?,,.. ? 16 Basement Finish ? 17 Swim Pool O 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units ????q.u- PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSq FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNTT. NEW CONSTRUCTION ? ADD-ON A/C ? ADD-ON FURNACE FIREPLACE INSERT DATE 7-5-qq 04M HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OLTTLETS (MINIMUM 1 @ $3.OD EACH) ADD-ON/REMODEL (ExI TING CoNS'?I'RdUcnoNjD $ 20.00 - ?r?d.nf ,SG3-ao1?F d?a?a STATE SURCHARGE .50 - TOTAL oZD.so SITE ADDRFSS: /lc0 OWNER NAME: L TELEPHONE #: nvsTaLLER: SED wicK HEAANG 8 AIR CONOITIONING C0. ADDRESS: 8910 WENTWORTH AVE. S0. INNEAFOLI 10•2853 CIT'Y: eal'9m STAT'E: ZIP CODE: TELEPHONE #: C?r ? c?) SIGNATURE O PERMI E -77-? 1994 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMII.Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% FEE $ PROCFSSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $50 FOR EACH $1,000 OF ' W, FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEpHONE #: • TENANT NAME: (IMPROVEMENTS oNL1) INSTALLER: . . ADDRFSS: CTI'I': TELEPHONE #: STATE: ZIP CODE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1994 MECHANICAL PERMIT (COMMIItCIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 ill. PERMIT ?iC9TY OF EAGAN - \ 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-84600-160-01 PERMIT TYPE: Permit Number: Date Issued: 1663 HICKORY HILL LO7: 16 BLOCK: 1 WOODGATE S-LI C '/ r/? ? 022170 10/06/93 DESCRIPTION: .? ?-.(WINDOW Building•.,Permit Type Building Work 7ype REPLACEMEN7) MUL7I. (MISC.) REPAIR C? E O !' Q2 (? T? j?9 -n REMARKS: FEE SUMMARY: VALUATION $1,000 Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - APPlicant - DIERCKS COWLES ARLENE 1663 HICKORY HILL EAGAN MN 55122 (612)686-9150 T hereby acknowledge that I have read this application end state that the information is correct and agree to comply with all applicable Stete of Mn. Statutes and City of Eagan Ordinances. . AP I N R I SIGNATURE SS D SI ATUR ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: is BLOCK: Z APPLICANT: 1663 HICKORY HILL OIERCKS COWLE3 WOODGATE (612) 686-9150 PERMIT SUBTYPE: TYPE OF WORK: MULTI. (MISC.) DESCRIPTION F- L , f f i? Ir. il . ? n.i??, il'i I I •,i??.l? , 1 ' i , I vl I 1 BUILDING 022170 10/06/93 ARLENE REPAIR (WINDOW REPLACEMENT) ? 1 ' . . Ar REACTIVA7E _ PERMIII# ltin CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION ? 681-4675 4 --? .. SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. . COMMERCIAL 2 sets of architectural Q structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last aorking day of month. in wAich request is made, 2) address is changed or 3) lot thange is requested ooce permit is issued. Date ?0 / E' / ?'3 valuation of xork 6 3 z b A / t o Site Address: STREET iUITE M Tenant Name: (commercial only) IAT ? b HIACK ? SUBD. UJ o o d g,?-Te P.I.D. N? Q??( ?0 0? F? Op l Descri tion of work: 02 ? The applicant is: ? Owner ? Contractor 0 Other (oe.crtbe). Name Die?eks Cawles -/-/R l eNe Phone 6 86- 915-0 Property LAST FIRST / L Owner Addres s / & 6-3 /7 /c X Y/7 / SiAEET STE k C i ty ?-12 N 5tate -2n'n • Zip Company Phone Contractor Address License d Exp. City State Zip Company Phone AfChit@Ct/ Name Registration Y Engineer Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been appruved. i hereby acknowledge that 1 have read this apPlication and state that the information is with 11 applicable State of Minnesota Statutes and City of om l t d p y o c agree correct an Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE , ? OI Foundation ? 06 Duplex ll A ing , ? 02 SF Dwg. - ex g2 Mul . ? 03 SF Addition ? OB B-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck WORK TYPE ? 31 New s 0 35 Tenant finish O 32 Addition ?34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq..ft. (Allowable) lst F1. sq. ft. UBC Occupancy ? 2nd F1. sq. ft. Zoning Sq. Ft. total 1' of 5tories Footprint Sq. ft. Length On-site well Depth On-site sewage APPROVALS Planning Buildin Engineering 4ariance REQUIRED INSPECTIONS Rc?t,?c -rL:,c ? Site ? footing 0 Wailboard '?(Final L, t U i iv [,?azuuh? ? Framing O Draintile l 0', 16 Basement_Finish O 1rSwim Poul ? 18 Comn./Ind. ? 19 Coron./Ind. Misc. 0 20 Public Facility ?Miscs.l.?aaeeus- ? 37 Demolish MWCL System City Mater PRY Required Booster PumP Fire Sprinkler Census Code SAC Code Assessments c?•, . .15 3t ?- ? 0 O Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 5 . 00 I wluecim: ,so $ /DOb '^ SAC % SAC Units C::TY ;:1- ir"RGAN Cn31-IM S lckMT.N''.:. \UC ?+rr? C^,iF. 06l9.8l519 "'ml_.: C7?:33 ?Dl . '?r-l",ce ^f! EnE :?rl:i?Ci;S C?KLC=? :.tWf' 9001 J.tifi3 F:`f:KG="' ni. :O.C'l 205 9001 M3 I-I;:C;((:'f.V HI_ 0,.50 i ''ol.di' RBCG?•ij!t ?hOV,-?F! E'.il.c.,-) r', i'l 1Si.'.i . lrrR :De ANU * ,*5:nx;S.. ':MY;,:":Y?:Sk 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ' i? • ` CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681•4675 + -7 q? I New Conshucflon ReauiremeMS Remodel/Reoair Reauhements ? ? S registered sMe surveys showing sq. H. of lof, sq. M. ot house and atl roofed areas (20% maximum lof coveraae allowed) ? 2 copies of plana (show beam S window sizes; poured fnd. design; etc.) ? 7 sef of energy calculations ? 3 copies of hee preaervation plan @ IW plaHed alter 7/1/93 DATE: S LC N e I!Z I / I9? DESCRIPTION Of 1 STREET ADDRESS: LOT: ? PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: IrOWl Q.S RheNe phone#: 65/- 686-9/50 Last First Sheet Address: J C v ? f Clty CAG i?/) State: 111!1? Ztp: 5-5/ Z 2- Company: Phone #: (area code) Street Address: 0 w /U eX License # Exp. City Company:_ Telephone #: Sfree1 Addre: City ? Sewer 8 water Iicensed plumber {reaulred for new conslrucNon onN): State: Penalfy applfes when address change and lot change Is requested once permri is issued. Zip: I hereby acknowledge that I have read this applicatlon, rtafe that the Informallon is conect, and agree to comply with all applicabl State of Minnesoto Statutes and Clty of Eagan Ordinances. /J Signature of Applicant: ?f• ?, ? l??-??---? OFFICE USE ONLY Certficates of Survey Received ? Yes _ No , u 2 copies ot plan 1 set of energy calculalfons lor heated addHions 1 stte aurvey for exterior addMlons 8 decb CONSTRUCTION COST: State: Zip: Name: Registrahon #: Tree Preservation Plan Received - Yes _ No -X- Not Required - W BLOCK: ? SUBD./P.I.D. #: ?e? 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 PorchlAddn. (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-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? *)K 31 New4 ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Win dows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA hando ut to applicant for demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft . Census Code z7/13 (Allowable) Main level sq. ft. SAC Code 0/ 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 jw- Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Depasit S/W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ /, -?Oe? . SAC Units % SAC ? ` Woodgate Homeowners Association I& II May 10, 1999 1. The meeting was called to order by board member, Herm Opstad at 6:05 P.M. Board members present were Jeannine Flentje, Angie Friley, Herm Opstad, Anna Mae Peltier, Jack Hansen and Joan Thomas. 2. Minutes from the April 12, 1999 board meeting were read and approved. Minutes from the April 26, 1999 boazd meeting were read and approved. 3. The Treasurer's report was read and approved. 4. Visitors were heard: • Darrell Johnson - 1644WL, asked about the value single family homeowners receive for their dues; response was garbage collection for the majority, as well as maintenance and taxes for the common lots. • Arlene Cowles - 1663 HH; submitted a written proposal asking approval to install vent shoots, solar tube skylights, additional roof vents/turbine vent and additional insulation. A motion was made to approve the request and was passed. Arlene's letter also requested approval for a replacement deck that wilf be larger than the cunent deck. Board policy is to reimburse up to $1,400.00 for materials if receipts are submitted for reimbursement. A motion was made and passed to allow the deck replacement, with a stipulation that the contractor must ensure city code is met, and that the adjoining wall and neighbor's deck will not be touched' • Chris Larson requested clarification of deck replacement rules. • Kay Freitag volunteered to plant the flowers by the Woodgate entrance sign. • Hope Faye - 1659 HH, has a hole above her entryway; repair will wait for dues vote so siding issue can be determined. • Grant Norum - 1647 HH, asked about the status of decks. ' • Mary Labrie - 1642 HH, advised her outside water faucet won't turn on because of a 6ad valve; this wiil be added to the walk-azound list. • AnnaMae Peltier advised that her neighbor at 1706 HH has a leak inside the garage; this will be added to the walk-around list. • Arlene Cowies - 1663 HH, stated brickwork by the air conditioner has a one-inch gap and needs to be added to the walk-azound list (already on the lrst). • Chris and Terry Larson - 1669 HH, the driveway slopes into garage (already on list), tumaround doesn't drain properly. • Lucille Buelow - 1654 HH advised she has several shingles cracked on her roof, which needs to be added to the walk-around list. 5. Bills presented and approved to pay were: Lakeville Sanitation $1,635.60 Premier Technology 38.85 (replaces Voicetel) Henning Rohde 3,250.00 Kinko's 31.58 AnnaMae Peltier 77.55 (Ballot mailing supplies/postage) Jack Hansen 100.00 (Plumbing repair at 1730 HH & 171 I HH) Franzen - 1668 HH 165.00 approved garage door replacement Vickerman - 1656 HH 250.00 approved garage door replacement .?.. . +..r . f , ?yr •• . . , ? . . „ . . ?.'tnr-^_,•?.-'?/.? ` -?-' ' . -- ?? j?wn»??.' ?.?y? ? : • - . - ? , . .. _ ? . ., - ?r.x-:3A?'? .. ? -'_,..e«.aVfi'9? ?•. '"^`y?r? ? '?y? 5'.• ?. ?'.w?. - . ?^ . , ' P/"??vr"r`F/?1? _ ? .._ _.. ._.? c?''S'4l 2-6? 7 ,?qto 9 , . !? ?V ? `?a ?\•\ I ? LL•4 - ? ty. ca , ?- • •?, ^ h? 12 ; ?a . ?? . ?, ? v i 6?.y - ;-,??? . , .? ? h ??`? _. e? ?`'•, a A V r 1 ? N y3 6Af ?•? 65 ? ,d ? ..- ?.? ?n :. . t3mO . 20 ??;'•.• p1 ?,q ? .?'J? ? 1?7J? •/? 13 . ?, , `T s I,•? " ?.r ? /V/'? V ~ , ?7 I ?•' v1 00 ' ? ? ? -a 7f . „1 r?" 1J U6/UI/LUVl 1CU 1L:JU PdA /DJ O/1 4480 KC1VClIAL GY9IVLCKJCl74 y re a1 BYANDeAS6N' 7une 7, 2001 City of Eagan 3836 PiIat Knob Road Eagan, NIN 55122 To Whom It May Concern: Elder 7ones is authorized to pull building permits for Renewal by Andersen_ Please allow Elder Jones to provide this service for us in Eagan. This authori-r.atinn is valid for any date beyond 6/6101; until aRbnewal by Andersen manager expressly revokes it in wriring to the City. I reqnESt t}us authorization be accepted expedidously, as to not delay in the processing of ovr building pcruuts any furthcr. Plcasc call mc if U-ici-c un any questiuns. I can Ue cvntacted at 763-502-4706. Your immqdiate attention to this mattcr is appreciated. Sincerely, Oymond R. Rau nstallation Manager Renewal by A,ndersen Corporation C'r.: Kara-F.IdFr .Tnne.c '?7 J :GH:A DA M. ELGqMAL ?rY Fublic gota ?aswnnEwpjret.?a81,20?5 L¢J VVL/ UOZ Received Time Jun• 7• 1:07PM CITY USE ONLY PERMIT #: RECEIPT DATE: I?I U? RMIDEPTIAL MECII"CAI. PERMIT APPLICATION crrYoF K?sa?x 3930 PnoT KNos gu HA6AA MF 551 EE 657-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 1_T` 5 Q k SITE ADDRESS: l` OWNERNAME: TELEPHONE#: 1.?51 (Q?3-?75'(P (AREA CODE) INSTALLER NAME: t%A?l,.r" G-0?0 TELEPHONE #: (C) 51 ?23-BiZlp (AREA CODE) STREETADDRESS: CITY: ?aS?v.hcll.?V?- STATE: ZIP: Place a check mark next to the uermit work tvoe New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dweliing unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: lyhet State Surchar e $ .50 7 Total $"565CJ Reminder: Call for inspections. ' S? YkV SIG ATLMt PERMITTEE Updated 1/O1 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMbIEEtClAl. MECHANICi4I. ? APPLICATION CITSI OF EA6AN S$SO PILOT KNOB fiD EA6AN, MN 55] EE 657-6$1-4675 Please complete for: ail commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: O WNER Nt1ME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: - (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: Specify Nahue of W ork _ New construction _ Interior Improvement _ Processed Piping _ Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of conuact price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1%= $ State surchazge TOTAL PHONE #: - (AREA COD&) STATE: ZIP: $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITT Updated 1/O1 .., PERMIT# '-? 1-1 ?? -?- .! RECEIPTDATE: `r _?,' J- v I RnID£N1UtL PLUM$INfi PERM1T APPI1CATtON crrYoFE*s,w 3830 Pu or xxoe gn F-As,ax, buv 55122 651-681-4675 Please complete for: SITE ADDRESS: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system lq?\'1 OWNER NAME: : ? p_.SZ__ TELEPHONE #: ? ?(L2j3" 1679 ?p (AREA CODE) INSTALLERNAME: N(?eQCti 1?cIC" I'!?q,zl.. ?n:CC.?TELEPHONE#: SQ? a?'i?"lP?? ? ??/_ t STREETADDRESS: G ?i9,9 ) q U r'? S -t- L-..j (AREA CODE) CITY: T',? ??.?L`. nT-? STATE: rV\Kj ZIP: 06 Place a check mark next to the oeemit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, mod'rfication or alteration to existinsa dwefling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: 1?.Y17 ?7?? ?? Septic System, new/r::furbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .Sn Total $?"r' Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this apptication, slate thatthe informaGOn is correct, and agree W complywith all applicable Cityof Eagan ordinances. Il is the applicanPs responsibility to notiiythe property owner that fhe City of Eagan assumes no liability for any damages caused 6 the City during its normal operational and maintenance activities to the facilities constructed under this per q City propertylrikAt-of-way/easem.?? ?+ D ?? ? SIGNATURE F P RMITTEE i JAN 2 2 2001 Updated 1101 RESIDENTIAL BUII.DING S-9 (,Q()z PermitApplication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewComWdionReauiremenls RemodeVFteoairReauiremen5 OFiteUseOnN 3 registered site surveys showirg sq, ft of lot sq. ft ot house: and all roo(ed areas 2 copies of plan _ CeR of Survey Reod (20% maximum lot coverege allaved) 1 set of Eneigy Calculafions for heated addifions _ Tree Pres Plan Red 2 copks of plan showuig beam 8 window saes; poured found design, etc. 1 tite survey for additlons & decks _ Tree Pres Not Reqd 1 set of Energy CalculaUOns Add'N"on -indicafe ilon-site septlc sysfem _ On-site Septic System 3 copies of Tree Preserva6on Plan if bt platted after 717193 Rim Joist Detail Options selecbon sheet (bldgs wilh 3 or less uniLs Date _4/_/ _!V_/ / j_3 / Site Address Construc6on Cost ?2 i / g7 /l/??S alst Unitlste # Description of Work Multi-Family Bldg z Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner OAtJ e- Telephone # ( ) Contractor i" Address ' State /41?7/l A/• Zip ?a City 12d'G!"/leltyG ie II Telephone # (x&17) ??/3 `Sja ?'? COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 . Residen6al Ventllation Category 1 Workshaet (J submission rypej Submilted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor A NEW BUILDING Minnesota Rules 7672 . New Energy Coda Worksheet Submitted Telephone #( Telephone #( SeweNWaterContractor Telephone#(?I''I? ?)--- - ? +I„i APk 0 4 ZC03 I ?•?? I hereby apply for a Residential Building Permit and aclmowledge that the informahon is complete and aacurate; that the work will be in conformance with the ordinances and codes of the City ?yE?an and the State f MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Print6d Name App ' t's ' ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) O 31 Ext. Alt- Mu10 ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Mutti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 MiSCellaneouS Work Types ? 31 New ? 35 , Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37) Demolish (Bldg)` O 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg) • Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zaning 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 (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Au/Gas Tesu Ftgs Final _ Framing _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , euilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?( G RESIDENTIAL BUII.DING ? " ? a ? Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 li4 S--L4, ^i Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWdbn Repuirements RenadeN2eoair Reauiremenb Office Use Onlv „ 3 re3istered sile surveys showing sq. ft of IoL sq. it of house; and pll roofed areaz 2 copies of plan Cert of Suney Rec`L (20°l. maximum lotcoverage allowed) 7 setof Eneigy CakulaUons for heated additions _Tree Pres Plan Recd 2 copies ot plan Slawing 6eam 8 window sizes; poured found design, etc. 1 site survey fnr addifions & decks _ Tree Pres Not Reqd 1 set of Eneigy Calculatians Addf6on - mdicafe donsife sepfic sysfem _ On-sRe Septic System 3 copies of Tree Preservatlon Plan if lol platted after 711/93 Rim Jost Oehad OpUons selection sheel (bldgs wiN 3 or less unRs Date _/_ / % / 675 Construction Cost SiteAddress I7k 11dfG1 12 11 11_?r UniUSte # Descriptian of Work ? Multl-Family Bldg N Fireplace(s) _ 0- 1 _ Z PropertyOwner (7 ? Telephone # ( ) Contractor Address `?`? ? ?? ? City ?• State ' Zip Telephone #(Z(?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheat (4 submission type) Submitted Submitted • Energy Envelope Calculatlons Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( D 4 2003 I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and ac urate; that the work will be in conformance with the ordinances and codes of the City dhagan-and=the-S f MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant' rinted ame Ap t's 'gnature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelting ? 08 06-plex Q 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Mulfr ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 08-plex ? 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 Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement 'Demolition (EnUre 81dg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundarioa HVAC _ Dram Tile Other Roof _ Ice & Water _ Fi nal _ Pool Ftgs A'u/Gas Tests Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Building Inspector RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWction Reauirements RemodelRteoair Reauiremenb Otfce Use OnN 3 2gistered site surveys showing sq. R o( bL sq. R of house; and pll roofed areas 2 copes of plan Cert of Survey Recd (20% mazimum lot coveroge allmved) 1 set of Energy Calalations for heated addiGons _ Tree Pres Plan Recd 2 capies of plan showing beam & window sizes; poured fouM design, etc. 1 site survey for additions 8 dedcs _ Tree Pres Not Reqd 15etofEnergyCakula6ons Add'ition-indicafei/on-sdesepticsystem _On•site5eptlcSystem 3 copies of Tree PreservaUOn Plan ii bt pladed after 711193 Rim Joist Defatl Optbns selection sheet (bldgs witli 3 or less units Date a / 7 SiteAddress /? ConstrucUon Cost 2JT 9 7. UniUSte tt Description of Wark Multi-Family Bldg -'Z?y i N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor T/ Address ?? / -7-3'ler-I State /4991-7 4-c'G )/ City Telephone # -4- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Categorv 1 Minnesota Ru1es 7672 Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatlons Submit[ed Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the infortna'.l?i?Yn-is-complete and ac urate; that the work wil] be in conformance with the ordinances and codes of the City of Eagan and the Sta e of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva of plans. ( Z-41 ? ? Applicant elPnnted ame Ap ignature OFFICE USE ONLY Sub Types ? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ; ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) O 37 Ext. Att - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish (Bldg)' ? 43 Reroot ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldp) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Corist Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Piumbing _ Foundahon HVAC _ Drain Tile pdier Roof _ Ice & Water _ Fi nal Pool Ftgs Air/Gas Tests Final _ Framing _ _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 NewConstructbnReauirements RemodeVReoairReoui2menls OlficeUseOnN 3 registe2d site surveys showing sq. ft ol IoL sq. ft ol house; and all roofed areas 2 cop'ies of plan CeA of Survey Recd (20% maximum lot covewge allowed) 1 set af Eneyy Calalations lar heeted addNOns T2e Pres Pmn Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiUons & decks Tree Pres Not Reqd 1 sel of Eneyy Calwla6ons Addition - indicafe Hon-sife septk syNem _ On-sile Septic System 3 copies of Tree Preservabon Plan it lot platted after 7/1/93 Rim Jaist Detail Options selection sheet (bldgs wAh 3 or less uniLs Date Site Address / t,/ 63 f y? G? Construction Cost /'//?//> Ly V• Unit/Ste # _ i Descripfion of Work ????"Q?? ? ??Ol/ _ Multi-Family Bldg ? N Fireplace(s) _ 0_ 1 _ 2 Property Owner /-V/^z?? ef /?{i ?zo S Telephone # ( ) Contractor 7" Address State ?7 /IV yo-'? City Zip Telephone # (76?) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculadons SubmiUed Licensed Plumber Mechanical Contractor Telephone #( Sewer/Water Contractor #? ? ) PR ? U3 1 !1 I hereby apply for a Residential Building Permit and acknowledge that the iMormation-is-com-pletw.Jand 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 applicarion for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Print d Name pp ' ' igiature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Mulfi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mutti Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 AlteraGon ? 37 Demoiish (Bidg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliUon (Entira Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 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) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Fouadation HVAC _ Drain Tile pdier Roof _ Ice & Water _ Fi nai Pool Ftgs Au/Gas Tests Final _ Framing _ _ _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge TreaUnent Piant License Search Copies Other Total Building Inspector I— For Office Use t • • • Permit#: , EAGAN .., Permit Fee: flECEI VE Date Received: ��7 7 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 40 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)6 6�A„R ' Staff: ��s, buildinoinspectionsc citvofeagan.com 7 2019 2019 RESIDENTIAL lig MIT APPLICATION-5-9f/ 6� Date:__ 1 l ( , 1 Site Address: ! 57 �`G CC r 11/ X-fiCl u� Unit#: / ... 3 Y Name: V✓Odd Cj(xie t II41e 01✓�t/'S ft .s QC 'o►is- Oil Phone: 6 57 - '151-73 Y7 Resi end /6 �'1 /4. c ko✓` et :" 11 O,— Eay 41� 35 I oz).Qyy�f Address' /City/Zip:p: Applicant is: Owner X,Contractor Type of Work l Description of work: ' `� lQ7C I 'ar 0 12'C sam r 'ep /a((� Construction Cost:/ / 0.0 Multi-Family Building: (Yes X I No ) Company: Ind rhtat nii B r'fi i-er$ C_ctnfectct'+fp tact: ---Ift irt p0l-r►lgn1 Address: / 7 5-73 Fox 6Olb C City: �al✓''t• hi "61 Contractor Cl�If'6/(A" p 368 State:11\1 Zip: . '-' �` ( Phone: Sg / ` ail: License#: & [ ` 00 . Lead Certificate it: If the project is exempt from lead certification, please explain why: _ I I why: , �a:1 �— q, l A-00 P. , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and s documents that you submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approva of ans. x 5.4 reel A0rr►ianvl x 1. , Applicant's Printed Name Applicant's Signat re