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1093 Northview Park Rd?r • CASH RECEIPT ? CITY OF EAGAN a 3830 PILOT KNOB ROAO ' EAGAN, MINNESOTA 55122 OATE 19?a.1.1_ ? . ? ? aECe? -v-- . AMOUNT -6 & DOILARS ,a ? CASH ? CHECK fU • /{ • C 5403 ???, Pn*--FM CoM Thank You ar '>- ' ? ISEWER &WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE METER # CHIP # OFFICE USE METER SIZE ISSUE DATE PERMIT DATE ?' / 9/9(% PERMIT # 11220 B.P. RECEIPT # •`' 5403 B.P. RECEIPT DATE ' - PRV - BOOSTER PUMP . • ; NtT_.T'?r •, . s, . . . .,,; 'tD S(TE ADDRESS LOT BLOCK SEClSUB ? ° - ^ ' <" • !' -" N ' " = ? APPLICANT: . : i .L/ ADDRESS: CITY, STATE - ? ZIP PHONE: PLUMBER: % ft ADDRESS: CITY, STATE ZIP -.- PHONE: - - OWNER: - ADDRESS:_ CITY, STATE PHONE: ZIP PERMIT REQUESTED X? SEWER ? WATER _ TAPS - COMM/IND - RESIDENTIAL ____ NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. . _y•.F, (?'_ .,(/ ? . : ;? ? 1 ;/-_.1= { /. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERIIAITS, CONTACT ENGINEERING DEPT. SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE ' ? ?- ={ -K ? 1093 NOl2THV] FW PARK ROAD OFFICE USE ONLY METER #6!?3-? 13D PERMIT DATE CHIP #??',?3 y a 7? PERMIT # !L'G 20 METER SIZE oc B.P. RECEIPT #C 5403 ISSUE DATE ?LZZ' f19 B.P. RECEIPT DATE 1 2IZ8I89 _ PRV _ BOOSTER PUMP SITE ADDRESS LOT BLOCK SEC/SUB Zr, L119 Ab APPIICANT: ADDRESS: , ? ? k CI1Y, STATElft o?-- 6,qtw£ ZIP ??i_jh•=? PHONE: -. ,'(.: - 9C.,,5'7 PLUMBER: ? ADDRESS: CITY, STATE ZIP 7? PHONE: OWNER: - ADDRESS:_ CITY, STATE PHONE: - ZIP PERMIT REQUESTED ? SEWER ?L_ WATER - TAPS - COMM/IND RESIDENTIAL ? NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Crepit WILL NOT be given for Deduct Meters. r , 1 AGREE TO COMPLY WITH CITY OF EAG)ffl ORDINANC - f?- GNATURE METERISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSiNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CQNTACT ENGINEERING DEPT. , . ,>? ?+ . . uQ .. ..:.: ??: .. . .. .. ......., :, . y ,-.-? . ?'. . , ? bT ? CITY OF EAGAN ?r?? 17413 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt # To be use for SF ?/GAR Est. Value $72,000 Date DECEMBER 28 , 19 8 Site Addr 11093 i1QRTHVIEY PARK ROAD Lot i Sec/Sub. j?g,?(jja(,`??q ? • Block OFFIC E USE ONLY Parcel No. 6TH ADD• Occupancy Rn-3 FEES g l ??N THOMPSO[i HOl?s I!? Zoning C 00 ? 514 Name (ACtual)Const ?I? 81dg. Permit ? W 37 P 0 BOX 1156 Address *' (Allowable) ?- 36.00 0 Ciry MApLE '?OVE Phone 420-" S # otstories Surchar9e 257 00 Plan Review . o Name S'AHE Length Depth 36' SAC Cit =F Q O Address S.F. Total - , y S?s•? U City Phone S.F. Foolprints - SAC, MCWCC 580 00 W t C . On Site Sewage _ a er onn U y? W Name on site weu 90.00 F Add?ess MWCCSystem xx Water Meter 30•00 <W City Phone Ciry water XX Acct. Deposit 2Q?? I hereby acknowlege that I have read this application and state that the PRV Required Boosier Pum _ S/W Permit ??? information is correct and agree to compfy with atl applicable State of p - SM/ Surcharge 228.00 Minnesota 5latutes and Cityol Eagan Ordinances. Treatment PI Signature of Permitee _e ' ..) APPROVALS Road Unit 00 KEVIN TAO!lPSON li0lMS I A 8uilding Permit is issued to: planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State o1 Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies 77 1•00 ;a Building Official Variance - TOTAL , Permit No. Permit Holder Date Telephons # W4TER SEWER t, PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. ' Comments Foolings I - ? Foundation Frar,irig ?-is 90 ?s Roofing Z'/r SG Rough Pibg. - (. 2 Rough Htg. 113 IsuL 7-2/-gC? 4ls Freplace Fnal Htg. Fnal Plbg Consl. Meter Plbg. Inspeclor - Notify Plumber Engr.IPlan - z 3 • ?' Bldg. Final 44- Deck Ftg. Decfc Final . Well Pr. Disp. ? ? (gtx#i#iratt uf (Orru?aury titp of (Eagan Eppw#mettf of luilbircg jwrrtimc This Certiftcale issued pursuant to the requirements of Section 306 ojthe Uniform Building Code certifying that at the time of rssuance this structure was in compliance with the various I' ordinances of the City regulating building canstruction ar use. Far the following.• Ux Clacsdcauon ?'' ME/j??_ 81dg. PCrmit Na 17411 00cuPs-Y TJPe rA ZoninB Datrict R 1 Tyye Canst. Vn ower of euMqg KEVIN ltiWSQV E24ES Add,, P.O. BQX 1 156,biNU CFDfIE nete MARM 26, 1990 POST IN A CONSPICUOUS PLACE Cities Di ital ualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PERMIT # ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN • :; /;; "- """ -- 3830 PILOT KNOB ROAD, EAGAN, MN 55122 - DATE CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res ?. • New Mutt Add-on m Name Addr s Comm. Repair ? c es City Phone Other FEES ? Name RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 7 50 EA . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other . ? FEE ._ SIGNATURE OF PERMITTEE S/C: TOTAL• FOR: CITY OF EAGAN ?:.::.. . ?:c:'s:n •?; • r.'Y!?'? CONTRACTI Site Address Lot m Name PERMIT # - PLUMBINC PERMIT RECEIPT # CITY OF EAGAM ;. 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: PHONE:454-8100 J Address ? c Ciry Phone Ciry FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. 6LDGS - COMM RATE APPLIES TOWNHOUSE & CON00 - 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 OF PERMITTEE 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 - $300 $ . i Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 t Ki?chen Sink - $3.00 Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - S1.50 Whirlpool - $3.00 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: GRAND TOTAL: DATE: . 3093 Northviea Park Rond Februarq 16, 1990 RE: i x Your Sewer & Water Permit for the above property has been completed. It will 6e held ai tFie Publi&Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE Tp CA'LL"PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ?- 4'our Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. - `•?"' DAfE:• Pebi'uary 16, 1990 - .. ? RE: 1093 Nozthview Park Boad K Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman-Road) until the meter is picked up. BE SURE TO CAL-L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. -?Your Sewer & Water Permit for the above properly cannot be completed for the following reasons: Your Sewer & Water Permit for the above propeRy has been completed, but the meter cannot be issued or occupancy allowed'uMil further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ? CITY OF EAGAN N2 17413 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ReceiPt # Tobeusedfor SF DWG/GAR Est. Value $72,000 Date DECEMBER 28 19 89 Site Address 1093 NORTHVIEW PARK ROAD LEXINGTON SQUAR Lot Z Block 1 Sec/Sub. OFFICE USE ONLY PafCel N0. bTH ADD. occupancy R= FEES Zoning R--L- a Name KEVIN THOMPSON HOMES INC (ACluai) Const :' Bldg Permit 514.00 ? ? Addl'255 P.O. BOX 1156 (qllowable) n y -- . 36 00 7r Surcharge . City MAPLE GROVE Phone 420-9057 eot5tories - $0, Plan Review 257.00 Lenqlh F Name SAMF. Deplh 361 SAQ Cit 100.00 i 0,¢ AddtBSS s.F.7otal _ - y 575.00 ? City Phone S.F. Foolprinis _ SnC, MCWCC t W C $80.00 On Site Sewage - a er onn ? ° W Name on siie weii 90.00 ?w - Waler Metar ?? AddrBSS MWCC Syslem X}? Acct De osit 30.00 a W City PhOnB City Water xx_ . p 20 00 PRV Required - S/W Permit . I hereby acknowleqe that I have read this application and state Ihat the Booster Pump - SiW Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Slatutes and Cit o i Eagan Ordinances. -- Trealment PI 228.00 ? Signalure 0f PefmilBeavL'/ Lv Af3-%T? APVROYALS Road Unit 340.00 A Building Permit is issued lo: KEVIN THOMPSON HOMES I Planner - park Ded. on the ezpress condition that all work shall be done in accordance with all Council applicable State of Minr/7 ta atutes and Ciry of E. n Ordin? nces. Bldg. Of1. _ Copies ? euilding Ouicial Variance - TOTAL $2,771.00 i ? ( , REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 ? ps- See insinictions for cnmpleting ihis form on back of yelbw copy. ? 84216 'X" Below Work Covered by This Request e FJd REp. ' Typeofeuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Other (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Other (specity) CAMraclor5 flemarks: Compute lnspection Fee Below: # Other Fee S SarviceEntranceSize Fee # CircuRS/FeedeS Fee Swimming Pool 0 to 200 Amps ? o ta 100 Amps Transiormers Above 200 _ Amps Amps SignS hnspectar5 Use Onry: TAL Inigation Booms 3 ? O Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has baen made. Rough-in , Fnai r oaIo-ry oei e `%^ ? OFFlCE USE ONLY This requesl valtl 1B rtpnihs trom Abili, City of Eaian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ???._ ? ' ?9? ? Permit #. ? I J? i Permit Fee: ?' (J • C) ? i ? Date Raceived: ? I I I Staff: I I P.6ICATION ., n 2009 RESIDENTIAL BUILDING PERMIT Date: ?J / 6 site Tenant: 1J /vdr r .c./, n n Suite #: RESIDENT/OWNER Name: k` Ph e: Address / City / Zip: A O r_6 !lh? C ? Applicant is: _ Owner ?Contractor N TYPE OF WORK x Description of work: Ah U'L Construction Cos ?J : 00 Multi-Family 8uilding: (Yes No ? CONTRACTOR Name: G G S License #:?o ??ay Address: 6- _0 ? z? City: Zip: State Phone:b,'?7 Contact Person: i ? ` COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Catectorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 8 Water Contractor: Phone: NOiTE.,, Plans'and supporfing docume`nts thaf you sudmifaie cohs?dered to be publ?c information. Pnrtioas"of ` tli inf m b b l s f u f o o d u th Cit?? e n fh t iv uTd e,, +n e, or a an may u pr e spse?e r aso s a ? pem e c as i blic i y v_l t ied as non p colrclude:thaf se the aie: trade Cretsv AIX-- I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the gRy of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n to st without a pertnit that the work ' be in accor e with the app aved plan in the case of work which requires a review and approval of ? x /c_/l A plicant's Printed Name Applicant's Signature Page 1 of 3 A41 53 ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881•4675 HewConatructlon HeaulremeMs • 3 registeretl sile surveys showing sq. tt. of lot, sq. fl. M house; and ?II roofed areas (20% maximum bt coverage albwe0) • 2 copies of plan showing beam 8 window sizes; pouretl fountl tlesign, etc.) • 1 setolEnergyCalcul3tions • 3 copies of Tree Preservatlon Plan'rf bt planed afler 7/tf&i . Rim,bistDetsilOptbnsselectionsheet(bldgswilh3orlessuntts) DATE ! - I FAX # SITE ADDRESS /O /3 llXa 7?!?/1 C?.C.c? ?i? /I CClU? MULTI-FAMILY BLDG _ Y ? NPE OP WORK FIREPLACE(S) ,,?-,b _ 1_ 2 APPLICANT STREET ADD TELEPHONE # (P7d'/a(r?'U1a?Y CELL PHONE # PROPERTYOWNER `? Z RemodeVHeoah NeauiremeMs . 2 copies oi plan • isetofEnergyCakulationsforheatedatltlttuns • t sAe Survayfor eiderioraAd'Aions 8 tlecks • Intlicete'rfhOmBServedbyseplic systemfOreddltlons VALUATION TELEPHONE# Ce57"q06 yWg' COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINATESOTA RUI,E$.7672- _ (+I su6misaion type) • RasidenHal Ventilation Category 'I Worksheet Submitted • Ne ; 0 - o sl5` b5 • Energy Envalope Calculations Submitted ?i l? LI ` Plumbing Conhacfor: Phone # _ Plumbing system includes: _ Water Softener _ I.awn Spruikler 8-T?e:> $9O=C Water Heater No. of R.I. Baths ? No. of Baths Mechanical Conhactor. Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System I hereby acknowledge that I have read this appiication, state that with all applicable State of Minnesota Statutes and City of Eagary Signature of Phone # Phone # OFFICE USE ONLY Fee: $70.00 is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY 4 ? 01 Foundation O 07 05-plex O 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? ? 06 04plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous I ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?? ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 O 34 Replacement 'Demolkion (Entire Bldg only) - G(ve 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 I Nbr. of Bldgs Length Fire Sprinklered I Type of Const W idth , 30 Accessory Bldg 31 Ext. Alt - M ultl 33 Ext. AH - SF 36 Multi Siding Fire Repair W indows/Doors REQUIRED INSPECTIONS i _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other ? Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone I _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall I I Approved By , Building Inspector Base Fee Surcharge ? Plan Review ?i MGES SAC City SAC Water Supply & Storage j S&W Pertnit 8 Surcharge I Treatment Plant Plumbing Permit I' Mechanical Permit ? License Search Copies ? Other I Total SINGLE F9MILY DWELLINGS 2 SETS OF PL6NS 3 REGISTERED STTE SIIRVEYS 1 SET OF ENERGY CALCS. 2 3ETS OF PL9NS EEGISTERED 3ITE SDRVEYS - (CHECS iiITH BLDG DIV.) 1 3ET OF ENEAGY CALC3. COMSERCIAL 2 SETS OF ARCHITECTOR9I. & 3T&DCTQttAL PLANS 1 SET OF SPECIFIC9TIONS 1 3ET OF ENERGY CALC3. MULTIPLE DWELLINGS RENT9L IINTTS FOA SALE DNITS # OF UNITS liOTEt 1DDRESSES FOH CARNER LOTS - CONTRACTOR/HOMEOWNER M03T DFSIGNATE jiH2CH ADDRFSS IS DESIRED. NO CHANGES WII.L BE ALLOFIED ONCE SOILDING PERMIT IS ISSIIED.. SEWER 6 HATER PERMIT FEES 9ND ACCOONT DEP0.SIT FEES LiII.L HE INCLiJDED iiITH TBE SUILDINf1 PERMIT FEE. PROCESSING TIME FOR SEWER AND W6TER PERMITS I3 TWO DAYS ONCE 9 PERMTT HAS BEEN COMPLETED IHDICATING 9 LICENSED PLSAiBER. PENALTY APPLIFS i1AEN: PERMIT IS NOT PAID FOR IN 39ME MONTH IT I3 REQUESTED. LOT CHANGE IS REpIIESTED ONCE PERMIT IS ISSDED. ;2OV ' , 1989 To Be Used For: Valuation: 46;? Date• I I Iag?89 Site Address ?pq3 jbe77{UIEUI Lot a Block ? Parcel/Sub(:EXitil67tL,1 SQ• ?T?F Q-no. Owner Address City/Zip Code Phone Contraetor -{,?, Address P.O. BoX 1(CL City/Zip Code A1pP G G(Znj) . ?$ 3h? Phone ??a9os 7 Arch./Engr. Address City/Zip Code s F?1J 1989 HIIIL.DIbTG PERMTT APPLICATION ? Y 0 EAGAN MtTLTIPLE DWELLINGS IZ?OW Vi"iIVY WI Oecupaney R-3 M -I Zoning PD R-1 Aetual Const v-N Allowable V- N # of stories Length 50 Depth ? S.F. Total Footprint S.F. On site sewage On site well MWCC System 77 City water V-? PRV required _ Booster Pump _ APPROVALS Planner Couneil Bldg. Off. 'jrT1129 Variance FEES Bldg. Permit 514.00 Surcharge 36, o0 Plan Review 257, au SAC, City ov,oo SAC, MWCC 915-00 Water Conn 560.00 Water Meter 50.00 Acet. Deposit 30.00 S/W Permit 2C?,0o S/W Surcharge 1,00 Treatment P1. 2 2 9,00 Road Unit 340,00 Park Ded. Copies SIIBTOTAL Penalty ToTAi. Phone 0 VALuA-T IoN , RAc?? ? . , Zzx22= '-IcdW x 1S = r]2(.0 K S_S z$ x 3L ? ?oo? z)4 lo -z (Za, .? ?B8 x! y= I 3b 3'Z 'BSvnT- ?b? I'?t r.ro ? I S f 0 v3 Y. SOIS-o _?--- ? I 2y '? .. , PlANNING AND INSPECTION DEPAR7MENT'`'?; ??'?;z`^:?? ? • , . y ` ) . ' _ - _ . '- ? ? Z r > y -iy r -. ? ?- ? _ ? - JOB LOCATION "ya...?. ? ' •*:?_- . _.. .. ._. .. ..._. . :. _ __ _ .._ , ? , .. . ' OWNER(5) L or . 1 . '- y - .... -o CONTRACTOR KEV II.! TFFOri1P501J .. _.:. .,,_,.,.. PHONE y ZCU? - ?jo 5: 7 A. Determine The Total Exposed Wall Area A s Follows: 1. Total wall wiridow area (A) 6? 2. Total door area (B1 + 62) 37, Q, 3. Total patio door area (C) 4. Total fir=place wall area (D) - 5. Total wall framing area (avg. 10%) (E) /b 6. Total net wall area above floor (f) 7. Total rim joist area (Z) ( 3 7 Subtotal: Total exposed wa11 area above f7oor (X) 8. Total foundation window area (A) 9. Total door area (Bi + B2) - 10. 7ota1 patio door ar=a (C) ¢v 11. Total foundation framing area (avg. 10p)(0) S? IZ. ?otal net foundation area above grade Wjg 501 Subtotal: Total exposed foundation area (Y) GRAND TOTAL EXP05cD WALL AREA (W) /? 3v 183 B. Multiply The 6rand TotaT Exposed Wa11 Area x.? 33N. J`'1 It_m I C. Determine The Total Exposed Roof/Ceiling Area As Follows: 13. Total skytight area (B) -- 14. Total roof/ceiling framing area (A) 15. Total net insutated roof/ceiling area (U) GRAND TOTAL EXPOSED ROOF/CEILING AREA (V) /07 9& S' 07 Z 0. Multiply The 6rand Total Exposed Roaf/Ceiling Area x,0-25` 3 Z.IL Item II ? - , 03 ? ?_• _.' . . : . -.% . . .? . . . . .. . . .. . ? ?] .' , ` . . • . E. Dete '- ' ` .. . . .... : ? ? . ' .? i ??. . rmine The "U" Value Of Each ` . .. i _: .. ...? Segment (I-12) . ? ?-T .? ? ? ' : . _.' And Multiply By The Area As Follows. x ,;u,,.r ' z 9 - - _ ?-. - 2.? 3'7: 0 . X ? nun ?. . . ? . . . . 3. - X loull , -- :_ _4 . _ ,: ..- . X .. - ItUll .. ., S. 105, 2S _ X „u,l 092 = 9.?s3 6. 947.2? z ?lu° 40,?3 7. 13I X nUn ,.J.toZ. 8. d? X liutt , LI 9. X loult 10. 40 X "U" 11. 12. 5(0 5v2 . X X "U" lou" 1,4 Y>::) ,695 • b`i'f = ZZ. I Add 1-12 For Total WaT l Segments Item III F. Determine The "U" Yalue Of Each Segment (I3-15) And Multiply By The Area As Follows: 13. ` X "U" 14. /0 7 XHull , 0 2 7 = 2.?' g 15. x„u.l , 042 = z?,23 Add 13-15 Far Total Roof/Ceiling Segments = I-L. Item IV 6. If Item No. III is the same as, o r less than I tem No. 1, you have met the intent of Sta te Building Code 6006 (c)2. / c?? Co 7, < 33Y,?`J H. If Item No. IV is t he same as, or less than Item No. II, you have met the intent of Sta te Building Lode 6006(c)1. Zq, /Z G 32, 16 I. Add Item No. I + Item No. II 3Z•?? = 3?7.L)5 J. Add Item No. III I L.'1,y °I + Item No. IY Z?I . 12- = 19 I,? I K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the code for total envelope system. Signature Date COSTOMER NAME ?Uw THor4 Eor-i t'60^.E S DI1TE l l- I oUPPER WALL WINDOW AREAS E%POSEO WALL AREAS , To[al Upper a Area ft 4 I X Glass No: Flo. Sq. Sq.Ft. 13?1 L-F rYj 4 (o;ER IAinus: A. Size Lites Windows tnch Glass A. Upper Wall Window Area ?%? X Z X -?- = 144 = 30. B1. Upper Wall Steel Door Area _ 2,-7 Y, ' X Z % _ %?-F 144 ? I5•I'1 62. Upper Wall Wood Door Area = Z %I -F _ 144 Upper Wall Patio Door Area u X x XI_ T 144 U. Fireplace Wall Area • „s, zo x 4- 9b_ z ? x I_ -;. 144 = 6, G,7 ? Total - 13a.47 1"- X?_ X i %(_ r 144 ?? 11t1Justed Upper Wall Area = 10 52. '?- " A - Totat oo (,? Minus: fl, Steel Door Area Sq•Ft• E. Upper Wall Framinp Area (10% of AdJ. Wall Area) - • 0 5, ZS 3 X 6-b x F. tlet Insulated Wall Area Above The Floor = 2 2-L zJX 01 - Total To[al Exposed Foundation Wall Area C;, KNtEF l^?ALi. fo?"i°! Y I12. Wood Door Area Minus: X X A. Foundation Wall Window Area L}? x X ' 61. Founda N on Wall 5[eel Door Area 02' Tota1 82. foundatfon Wall Wood Uoor Area C. Patio Door Area S•q Ft• C. Foundation Wall Patio Door Area p ?- X Total $ % .x Ad,justed Foundation Wall llrea = C TotaI Minus: D. Foundation Wall Framing Area (10% of Adj. Vlall Area) - (o fOUNDATION WALL WINDOW AREAS E. Net Insutated Wall Area Ahove The Floor oZ A. Glass No. No. Sq. Sq.Ft. Total Exposed Rlm ,loist Area I3 1 Z Size Lites Windows Inch G1ass FUnus: X G X I X -?- i 144 = y? A. Rim Joist Freming Area (10% of Rim Joist Area) 1( 3? % R 2 -h 144 = T 8. Net insulated Rim Jofst Area , •:r. ?_ x iX ? % 'r 144 v A- Totat Total Exposed Wall Areas (X + Y+ Z) W IiL Steel Door Area Sq•Ft• -T X ' Totel Insulated Ceiling Area ( p ?-L y x K - Minus: bl - Total A. Ceiling Franilny Area (]0% of Ceiling Area) /v 7 112. Wood Door Area q.T t-. B. Skylight Area X X AT BTota 0' x X = tlet insulated Ce111ng Area ? u 02 - Total c. Patio Door Area 5. t. ' ' --?-- x ?-?= ? z ?- ' . . c - tocat "U' VALUE BREAKDOWN SHEET :XicRIOR AIR FILH o" FI&ERGU45S INSUlATION ?Z" FIBERGL7SS INSIILA7ION 16" FIBERGLM1SS INSUTAiION 5/$" uYP$UM 80AR0 I7 `, 5:-LWFJ Ffa,"R. INTeRIOR AIR FILM ;/e - u . oZZ EfLING FRAMiNG AREA .17 , f7 19.00 a8-00 57.00 .5o SL-nsS 44 :si ,61 e 45.34 ERTERIOR AIR FILt1 .17 , 17 3-1/2" u00D 4.38 47J ? 5-1/2" NOOD 6.88 7-114" W000 9.06 9-1/4' 1.4000 I1.56 5/8" GYPSUM .56 lNTERIOR AIR FILM .61 .61 ? R 1(2 Y7?i iia - u . OZ7 ?1"ltt VALUt t3KtAlCUUWN l - . " WOOD WALL (FRAMWG) AREA ? _ y ? ,?...-?,. ? . .v.., • - - . WOOD FOUNDATION OR TWO STORY APPUCATtON . r7CTEfGOR .1lk RLN . t7 iR• HARD30ARD SIDING .67 •C+ 1 25/32• SF[eA7HINC 2-06 2 •??S ' 1' SiYR6FOAM SH&1TFIINC : 5.01 `- ' 7-112, WO00 u.78 ` 5-113' WOOD 'e.BE (/ia7J . , ? 1/:' CY?SUM . VS 'I INT'eft10R AIK FILW .68 IV 5 R 10.91 t/R=U , M ?- RIM J015T ARS+1 7 xiERIOR AB FILM .1 1/1' MARD80ARD SIDING .67 .?? 25/32' SH£ATHING . 2-06 ZO?+ t' STYROFOAM 5!lEATHING 5.01 - I ?f y 1-1i70 woao ,.es . 3-1/2• flBERGLA55 INSULATION 11.00 3-5/6' FiBERGLASS IHSUTATION 13.00 6' FIH£RGLA55 INSULATION 79.40 INTERIOR AIR FiLN. ,rR,u Uq -68 R . - 'V 2?t.4L - i I AIR rILN• .17 . ? ? 1/2' FIARDBOARD 51O7NC .67 .?a7 25173' $NEATMINC 2.06 Z 1 LWI 1• $IYROFOAM SHEAT14It3G 5.01 1/2' PLYWOOD .61 ? 7-1/2• w000 4.79 f 5-1114 WOOD 6.88 7-If4• WOOD 9.06 , ? ilY GYPSUN .45 ? 1NTEitIOR AIR FILM?.:.? .. . ? ? .60 g?... .0?15. ,/R.U EXTERIOft AIR FlLN .17 , 17 - 1/:0 HARDBOARDSiDINC .67 •607 25132' SNEATHING 2.05 Z.Do - 1" SIYROFOAAI SHEATHING S.OI . 3-1/2• FIBERGLASS INSUUTION 17.00 . 3-5/9" FIBERGLA55 INSULATION 73.00 o° Ft6Es2GU55 INSULr1T10N ? 19.00 45 y ?- 1/2' GYPSUM . ? . INTERI4R A!R FtUd .. .68 R Z$, u3 ' ,/R - u .b43 IXTERIOR AIR FiLN ? .17 . ? 1 I/Z• HAROBOARD SIDING .67 25/32' SHFATHING 2.06 1' STYROFOAM SiiEATHiNG 5.01 1/2" PLYWOOD .62 3-1/2• FIBERGLASS INSULATION 17.00 3-5/8" FIBERGLASS INSULr1T10N 13.00 6' FIBERGLASS INSULATION 19.00 I?• DJ .. 1/2• GYPSUM .45 - - - ? ? ? - INTERIOR AIR FILM -68 . ' : ?.. . ZZ - - . . . . . . . -. R . . . , - - . Oµ!-) - . --= 1/R = U - - ? ! < L :.'. >.. s ... ....: ,.. ..- . ' t ? .. : . I t . .._ _ ? .. '. . _-.. . , . ? ,- ' L.OT SURVEYS COlVIPANY, INCe a.nxv svRvEYOxs RF.GISTERF.D UNDER LAWS OF STA'I'E OF MINNESOTA 7601 - 73rd Avenue North 560-3093 KEV IN 1'HCM1f'S(IN NCH4.'S, ING. n Denotes {rood Fiub Set For Ekcavation Only ---w --- Denotes Surface Drainage nno p penotes Proposed Elevation Denotes Existing Elevation ----- Type of Building - Split level walkout . C v Q - --- -- u? i- ?= I I ' ? L 1 r ?:rQj .. naqQ ?. EqSer-neri? - - -_ I 5' ,89i3 4 T'op of Block IDo,7 Garage Floor I,ot;rost 41n5? Ft qoi' B 11711 ? Minneapolis, Minnesota 55428 Oururgurs (Crrttftcate in;vOIcE rtiC,,._'S 0.= F. B. tvU._.._._ SCAE.E i., ?c,' 0-- i) "r'tvi)TES iFiON -? ? 0q Ib.2 rio.ol-----8q l l I i I $9G ?o g? ? m 9 , 22'O„ I II ? 617? ? I-D Q ; ? Prapos¢? R25i?2nGQ, i I ?; ? : 899 5 ?;? ?;?r ?99 . i $'-- - ? I Ql i ?--- -- ?? - -- t ? ?«. I ! t, ? a I O ? K? ? --- . ? _ I 5 O -------.; I.._-e?a sqi a4--- Z,...-_ . .. X .- -- - ----a. -- - ? --- --- Co,1c. Cul b ? - UoRTO v (EW PoP, K Lot 2, Block 1, LEXINGTON SQUN2E 6TH MDITTGN 09b? -l` t-- w ?? Cl , f J ?' ?"U•0? O I? ROAD ;.:. ;??'???? ??? ? ? -?- ?? ?I ??? ?? By Date F1`yC-AN ENGIREERIN(a I3EP`P The only easemenis shown are from plats oi record or Infortnatfon provided by cllent. We hereby certlfy that this ;s a true and cortect representation of a survey of the boundaries o1 lhe above describad land and the Iocation ot all bulldings and vis- ible encroechments, If any,lrom or on sald land. Surveyedbyusthls ZOth dayof November 19 89 Signed MEMO TO: ARNIE BRHARTj, BIIPERINTENDENT OF STRE&TS/EQIIIPMENT FROM: THOMAS A. COLBERTj, DIRECTOR OF PIISLIC WORRS DATE: JIINE 8, 1989 SIIHJECT: NORTHVIEW PARR ROAD-NO PARRING RE6TRICTIONS Please install "No Parking-Here to Corner" on the north side of Northview Park Road westbound starting at the east property line of Lot 2, Block 1, Lexington Square 6th Addition. Place two signs, each located on the east property lines of Lots 1 and 2, Block 1, Lexington Square 6th Addition. In addition, at the common lot line of these two lots on a same post as the parking restriction sign, please install a graphic sign designating the intersection geometrics for a"left turn only-right turn only" sign. Please let me know if any further clarification is necessary. Otherwise, let me know when this has been accomplished. Thomas A. Colbert, P.E. cc: Doug Reid, Chief Building Official ? Please distribute a copy of this memo with the building permit issuance for these two lots. TAC/jf ? C;? r W Q? Lrri ! ?/Wj ?, EASEN,ENT FOR INGRESS AND EGRESS 6- .5-624 i , THIS INDENTURE made and entered into this o;L-7? day of (?Prv ( , 1988, by and between MERITOR DEVELOPMENT CORPORATION, as Grantor, and the CITY OF EAGAN, Dakota County, Minnesota, as Grant=e. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: Lots 24 and 25, Block 1, Blackhawk Pond; the centerline of such non-exclusive 15.00 easement is described as follows: Beginning at the northwesterly corner of Lot 24, Block 1; thence on an assumed bearing of S 30 degrees 08 minutes 57 seconds E, along the southwesterly line of said Lot 24 a distance of 200.00 feet and there terminating. NOW THEREFORE, the said Grantor in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for ingress and egress purposes, togethec with the unrestricted right to improve the same, free and clear of all encumbrances, the above- desccibed tract of land. The Gcantor, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said City of Eagan all grasses, shrubs, tcees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said City of Eagan, its successors and assigns, from all claims foc any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance (including snow removal), and use for ingress and egress over and upon the premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the right-of-way will be disposed of by Grantee by burning or otherwise, according to law. 1Y'aaefer Eateted Thie? daY of?18 ?f - />_. ,T'/. ,. . ? Co?'Anditas, Dal»ta Ca ???? IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. MERITOR DEVELOPMENT CORPORATION BY: ? . Its: And: Its: STATE OF MINNESOTA) ) ss. COUNTY OF "DpKOrr4 ) On this 971" day of rr 19n, before me a Notary Public ithin and for said County personally appeared 15. Fxn"C- and- to me personally known, who, bein eeck by me duly sworn that 4hey_ as-ei3 respectively the ,`ce a•??- of the Corporation named in the foregoing instrument, --a `he-- sea??€?-ta-sa-i-? i o s* ? n* ? s tha.-s c p? r se a 1 of--9 a? d c,QL??, and that said instrument was signed a4d-se4asd in behalf of said corporation by authority of its Board of Directors and said ??,:?? J?, ???„? ax?d- acknowledged said instrument to be the free act and deed of the corporation. (S E A L) Notary Public THIS DOCUMENT DRA Hauge, Eide & Keller, P. A. DAKOTA COUNTY 1260 Yankee Doodle Road, #200 ?.: MyCOmmissionEMp.JUtY11"n Town Centre Professional Bldg. Esgan, MN 55123 (612) 456-9000 FTED BYs :^"ti DAVID Ci. KEILER +u NOTARY PUBUC - MINMESOTA EXEMPT FROM STATB DEED TAX STAMPS '** *4E # PI011 * engir * * ** / ? „ twHO?LwnH[ns. 2422 Enterprise Orive Mendota Heights, MN 55120 (612) 681•1914 Certificate oi Survey for: ML/'/TO?' Devc%/r!CW / / ? ? ? . ; ? , . \ •'' ?' ?;?L 1, ? v? ?'f Z4??- ??5'. `? gMEtE54.SERESS ?EMCIRti% ' / / / % I L ° \ `+ 44 / ? \ \ V'?. ? ? ? , ? I?? ?S9 \ \ 1 i Dro,?aq? ?,u""/.fj, 'Fese,nen IYs. \. ? . . . ? . ty;ffl? \ \ \ \ \ \ ? Fr \ ? \\ 5V4 ?«? ??? ?9 SCO E• _ 41!? N 44 N 4 A \ \ ? \\ EASEM,ENT FOR INGRESS AND EGRESS c` - F'.?-?(L., Z4 i THIS INDENTURE made and entered into this oV7 M day of A-prt, , 1988, by and between MERZTOR DEVELOPMENT CORPORATION, as Grantor, and the CITY OF EAGAN, Dakota County, Minnesota, as Grantee. WITNESSETH GQHEREAS, said Grantor is the owner of the tracts of land in the City of Bagan, Dakota County, Minnesota, legally described as follows: Lots 24 and 25, Block 1, Blackhawk Pond; the centerline of such non-exclusive 15.00 easement is described as follows: Beginning at the northwesterly corner of Lot 24, Block 1; thence on an assumed bearing of S 30 deqrees OS minutes 57 seconds E, along the southwesterly line of said Lot 24 a distance of 200.00 feet and there terminating. NOW THEREFORE, the said Grantor in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for ingress and egress purposes, together with the unrestricted right to improve the same, free and clear of all encumbrances, the above- described tract of land. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said City of Eagan aZl grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does heteby release the said City of Eagan, its succassors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance (including snow removal), and use for ingress and egress over and upon the premises hereby conveyed and from the uses incident thereto, and the said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the right-of-way will be disposed of by Grantee by burning or otherwise, according to law. 1Y'ansferEateredl'his gd ? daYof?19 Co=ty Anditar,Dabota Co. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. MERZTOR DEVELOPt1ENT CORPORATION By: , Its: And: Its: STATE OF MINNE80TA) ) SS. COUNTY OF Zpico7-4- ) On this 271^ day of orr . 19n . before me a Notary Public within and or said Count`y personally appeared 4qaz.i ?5, f-,en?v- amd- to me personally known, who,`c bein9 eaeh by me duly sworn that ?'che?C_ a.cew 5 respectively the 1/.e /?-es.-ae-.-t? ?-- of the Corporation named in the foregoing instrument, 4gcl `-?`'e- sPa?-a€ £ixe?3-rta'-se-?d?`?s- ? ?s thP co-...?zox -` se -' a£ s a? d c?*?°r?*?^^, and that said instrument was signed aa4--saaled in behalf of said corporation by authority of its Board of Directors and said axA- acknowledged said instrument to be the free act and deed of the corporation. (S E A L) Notary Public THIS DOCUMENT DRAFTED BY: DAVID O. KEILER Hauge, Eide & Keller, P.A. ?TANYPUBUC-M?MNEfO?A 1260 Yankee Doodle Road OAKOTA COUNTY i # 2 Q 0 ?..' fAy Cammission Etp. July 1& 1M Town Centre Professional Bldg. Eagan, MN 55123 (6I2) 456-9000 EXEMPT FROM STATE DEED TAX STAMPS * PIONEEFi L.,,o * engineering,,. ?AND n Certificate of 5urvey for 2422 Enterprise Orive Mendota Heights, MN 55120 VN[R5. UNplC1VE 11RU11TFCiS Merifcr Dtve%pme, / / i6121 681•1914 / / , / ? / / ? ? ly? s?s9 1 ? ? ? ? pra?npq` Sco/e:1'°'=SD y W IN O \ ? \ ?o \ \ \ \ \ \ \ \ l \ ? \ ?Y \ F \\\ l '?y \ Y Eose+?en? ?? ?` ? Ne. s.r4,? 9 C ? CA oL`? N $? 44' A)I°°: ? ? E rNelE54, f6RE5T FJ?mgn t. i: ?- ? i ty. AP i? `s1?yno / \ ? •? ? ' ./_- ?' \`\ \ \ ?r??• i? ? ?\ ? . ? \ \ Rt ? ,.._r..?., For Office Use q _D1 City of EaE Permit I Permit Fee: 0. 0 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APP ICATION a e t I /_g 0/ Date: ;:~IZM 6 Site Address: Q Vle C, L Tenant: Suite RESIDENT / OWNER Name: l-r CO_ PXz Address / City / Zip: O App licant is: Owner Contractor 7>( TYPE OF WORK Description of work: #1i v'L Construction Cos : ~J Multi-Family Building: (Yes / No 4 CONTRACTOR Name: G G S / License M C202 Address: /e C Z7. City: is G l ! State Zip: Tb G Phone: Contact Person: Ec~., /Lr~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('I submission type) • Energy Envelope Calculations Submitted 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: NOTE: Plans and supporting 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. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the y of Eagan; that I understand this is not a permit, but only an application for a permit, and work is n to st without a permi that the work w' be in ac/?: with the ap ved plan in the case of work which requires a review and approval of A cant's Printed Name Applicant's Signature Page 1 of3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109608 Date Issued:03/22/2013 Permit Category:ePermit Site Address: 1093 Northview Park Rd Lot:2 Block: 1 Addition: Lexington Square 6th PID:10-45080-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald A Parkos 1093 Northview Park Rd Eagan MN 55123 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173500 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 1093 Northview Park Rd Lot:2 Block: 1 Addition: Lexington Square 6th PID:10-45080-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dale & Diana Sanford 1093 Northview Park Rd Eagan MN 55123 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature