2964 Sibley Memorial Hwy
ìü
íúø
þýýüÿûúûúø
÷üüýýúí ÷
éï
íü ÿþç
íí
þý
ÿþýüû÷õ
ß
ø
ÿýüû
÷ýüû÷õ
ß
öõßûó
ûáÿ
ø
ÿ
øäåÿûü
Ú
òÿú
óûçó
ññóòÿ
ó
þó
é
æ
õõû
ææó
ý
ûéøææ
ûæ
é
øþóè
òÿþüõ
æóüñó
é
úêäàêëëéîëéëî
ó÷
ÿñ
Üÿêäàêéîéíî
Üÿäé
òñ
ðï
ûû
õ
àñüøÿ
íøÿüø÷
í þüðóáõü
çðöîîä
ðöîîí
ïîìíããã
ñþüõ
ñ
ñçñ
ûû
ññæó
óûüõñûûþ
æð
ÿ
øüæ
å
é
ûûßó
ÿ
ÿü
ÿ
CITY %0" EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Read
Eeden, MN 55132 PETIT NO.:
DATE:
? .
Zoning:
No. of Units; -
Owner: "r Consrrucr_i.o-;
Address:
Site Address:
Plumber:
on
1 agree to comply WINS the City of Rattan
Ordinances,
By
Dote of Insp.:
Connection Change: _ . 4Q
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
E4.90n, MN 55122 DATE-
Zoning: No. of Units:
Owner. < t • c
Address:
Site Address: _2 v Q 91 ElIg Subdidislcrn,i
Plumber:
Meter No.: Connection Charge: 22
Size:
Reader No.:
1 agree to comply with the City of Eagan
Ordinances.
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
• • FROM
DALE PETERSON
Imo
-elAi.,e
.c44w4o)"
IV
fur
?of
? a 15,0
/,44? eo?? 40 (to
W/
1)0?,/ IA4^1?0
/YI n clnf
?s? of
leirml
tf, 0,tj-
Dr, je /oco re ?"t
yin
?p?
,.i i Y OF EAGAN Remarks
Addition Riley Sub. Lot 2 Rik 1 Parcel 10 6 200 020 00
Owner ! Street ?q/ [/ -?_?T State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1
* SEWER LATERAL 1972 1 84.23 20 Paid
WATERMAIN
* WATER LATERAL .,, 1972 20
WATER AREA 1 Q77 160.00 10-66 Z) 10
• Li M " L
5l-ri -
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 18S.00 26147 8-6-gi
WATER CONN.
BUILDING PER. 6791
SAC 525.00
r i
r
PARK
Plumbing •
HN.A.C.
Electric
Softener
Inspection
Footings I
Footings II
Foundation
Framing
Roofin Permi+ lephone #t
peZ
CA
Si
Date
/
Li
.-
FPlbg.
Rough
]
Rough
of
Firepla ?_6 r
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ft9. I6;- ??-
Deck Final
Well _
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 08181
PHONE: 454-8100
BUILDING PERMIT Receipts _
To be used for (-i'. Est. Value A Date 18
Site Address 2964
Lot Block Sec/Sub. k 1 L
Parcel No.
Name Z> C(Y`
3 Address
c City t ° Phone
a
,o Name n
o u Address
?w City Phone
Name
W
Address
W z city Phone
I hereby acknowledge that I have read this applical
information is correct and agree to comply with a
Minnesota Statutes and City of Eagan Ordinances
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done
applicable State of Minnesota Statutes and City of
SICK i V 1 S Z C On Slte Sewage Occupancy
MWCC System Zoning
On She Well (Actual) Const
City Water (Allowable)
Itr? Y PRV Requir * of Stories
)hy Booster PI mp Length
Depth
S.F. Total
Footprint S.F.
V
L F
APP O
A
S EES
Engr./ ssess. Permit
Planne r Surcharge
Council Plan Review
Bldg. Off. SAC, City
and state that the Variance SAC, M WCC
iplicable State of Water Conn.
Water Meter
Road Unit
Tr
nt P1
t
:cordance with all ea
me
an Ordinances. Parks T?
TOTAL
P~ # Deft lewd Pe Ntee
Plumbing ass -Il-Fs1 5, V?`?,? Z? Q-
Mechanical A(O 33 Z{ - h ( q
c Eck- I- L, C- P 1C) - S - ( 7-'0 C,K ?- c ,
INSPECTIONS PATE INSP.
Footings
Foundation Rough In Final
Dote ??Insp. pore _ Insp.
Plumbing 9• ---- :b,
Frame/ins. Mechanical
Final b "
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date _ _-
Site Address
Lot Block Sec/Sub. i- `e-
Parcel #
W I Name
f Address
0
oc Name
0
?§9 Address
F :rl
r a.. Phenn
Nome
Address
N2 6791
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move p # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Planner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
i
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Permit No.
Fee
S/C
Tot.
Receipt PLUMBING PERMIT Permit No.
{ CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner c
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool /Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RLCKIVED
"ROM
AMOUNT $
? CASH ? CHECK
DOLLARS
100
c=;,?, -I- "g '
FUND CODE Aln UNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE
19
RECEIVED
FR
AMOUNT
loo
? CASH ? CHECK
FOR
7 T '/
FUND CODE AMOUNT
Thank You
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN N 15 0 3 8
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454.8100 Receipt# -? 3C?) --:D-
To be used for DECK Est. Value $1,000 Date MAY 18 ,19 88
Site Address 2964 SIBLEY MEMORIAL HWY
Lot 2 Block 0 Sec/Sub. RILEY SUBD
Parcel No
rc Name SCOTT WAHLBERG
Address 2964 SIBLEY MEMORIAL HWY
c City EAGAN Phone 454-7569
o Name SAME
z0
ou
Address
City I
W w Name
i? Address
aw City I
I hereby acknowledge that I have
information is correct and agree
Minnesota Statutes and City of E
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water _ (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
24.00
.50
Engr./Assess.
Planner
Council
Bldg. Off.
and state that the Variance _
Dolicable13tate of
Signature of Permittee vi /
A Building Permit is issued to SCOTT WAHLBERG
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official "I II P.
24.50
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN S3122
PHONE: 454.8100
BUILDING PERMIT APPLICATION Receipt #
To be used for SF DWG/GM Est. Value $671000 Date Ail
Site Address cy04 oioiey Daemurlal M19nw111
Lot 2 Black 1 Sec/Sub. Riley Subdivision
Parcel # 10 64200 020 00
s Name Scott Wahlberg
z our 8
9 Addres$
city Eagan Phone
o Name mafnr ns . r .ion (10-
i
Address 8085 Wayzata Blvd.
V
i- r:.. mnl d_ 55APA Dr --- 5L2_8g59
Name Wausau Homes
Address P.O. Box 1204 (-/j5)-35q-!7q75
1 hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with oil applicable
State of Minnesota Statut and City of E n Ordinances.
Signature of Pennittee 'u-jm,3- 1C-'-
A Building Permit is issued to: Ma or,0 nstruction
all work shall be done in acmrdanc"with all,.csr ;cable State of Ayr
N2 6791
o?G/'1.7
Erect (X Occupancy
Alter ? Zoning R'1
NA
Repair ? Fire Zone
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 52 - ft.
Grade ? Depth 52 ft.
Approvals Fees
Assessment Permit 3U.-r?
Water & Sew. Surcharge 33-50
Police Plan check 167.nn
Fire SAC 525 nn
Eng. Water Conn. 335_..00_
Planner Water Meter An-f)0_
Council Road Unit 185_00
Off
Bldg
.
.
APC Total $10;39.5(1
). on the express condition that
?soto Statutes and City of Eagan Ordinances
Building Official
This request void ??C S
18 monthe,from
Dat of this Request
I, as ? Licensed Electrical (
cal wiring installed at:
Street Address or Route No.
Section Township-
Which is occupied by
L21 $JI %Z:Iz;???r ya nU
Z7/V&
Fire No. _T 17446
'ontractor Owner, do hereby by request inspection-of the above electri-
?•9 ?? ?T ?Y ?l `3 Cit
Range County DAKO,a
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call tt(
Power Supplier j
s J. f Address A-: o f
Electrical Contractor laClh Y S t h r C, //,-Contractor's License Ndatr?
pany Name)
Mailing Address
Authorized Signature
ba
?on)
No _'9K 3
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
f„-l ot CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
Gk-?BUILDING PEI= APPLICATION 1 set of energy calculations.
Ir 107/,0 0 0
To Be Used For Valuation Date 7,?iD 5s7
Site Address t G .., aca? /
Lot Block 9?5-Sec./sub. Erect X
Parcel #: /C bgaocy OZO O CS Alter
t/ Repair
Owner: t [ wfL D f k-?c Enlarge _
Address: Move
1?DC? ?'1I Ld Demolish _
City/Zip Code: 7 C?Ci? y Grade
Phone #:
Contractor:
Address: u??uru scQ
City/Zip Code: l?1? Q ail ??(o
Phone #: C qq / I1
Arch./Eng.: LkX ??cu.t Ue9vti tC.3
Address: eo 6o ! (Z04'
City/Zip code: (,e., LcLzx A t
Phone #: t"116 , --I d 1
Water/sewer
Police _
Fire
OFFICE USE ONLY
Occupancy
Zoning
Fire Zone A/
Type of Const.
# Stories
Front S'oZ ft.
Depth S 2 ft.
EJ
Planner
Council
Bldg. Off.
APC
Surcharge
Plan Check
SAG
Water Conn.
Water Meter
Road Unit
TOTAL 3 `l U
?`???dy
3gy
__----??
(? ? ? ?
r,
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOP? ROAD
EAGAN,MINNESOT 122 G/
DATE _ t9
veD ''__ 44
& DOLLARS
goo
? CASH CHECK
FOR !
FUND I CODE I AMOUNT
4)
Thank You
N_ 66344
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
OFFICE INFORMATION MEMO
TO - DATE TIME
- N - ai
FROM OF
PHONE NO. RECEIVED BY
H Was here to We You Will tall again
Please call Returned your call
ACTION REMARKS/MESSAGES
Review and see me 7-,r(//z
-
L
Review and comment .?
//--
--
Prepare reply for my sig. a j(it.p-titi
Reply and send me copy
For your approval l ??eA
(trL"?'??
rw
For your Information
For signature
As we discussed
As you requested
N a e n
a ??f an
Take appropriate action
Notify staff
FILEn DISPOSE
kq OVER
PHOTOCOPY:
ONE SIDE ONLY COLLATE
-NO. OF COP I ES
H HEAD TO HEAD H STAPLE
DATE NEEDED HEAD TO FOOT (Other)
TYPING:
ROUGH DRAFT RUSH
GATE NEEDED SINGLE SPACE FINAL COPY
DOUBLE SPACE CARBONS
minnesota state roam or tIectncgty
Griggs Midway Bldg. - Room N191
-:-.-487( University Ave., St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001;Oz
T 1 7 d at`r
fn/
Tyoe of Building Ne Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring
Duplex ? ? Water Heater ? Lighting Fixtures
Apt. Bldg. ? ? ? Dryer Electric Heating
Commercial Bldg. ? ? ? Furnace Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? LList List
Other ? ? ? p
Herersl Otheers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee # Fee
0 to 100 Amps. 0 to 30 Amperes eres
101 to 200 Amps.
'
31 to 100 Amperes 10OAmperes
eres
Above 200Amps. Above 100 Amps. U
Am s.
Transform . emte C
ontrol Circ.
rfee
Signs . M1
tip) ecial Insp $5
Remarks
ter) i r
mtl
5
1, the Electrical Inspector, hereby certi /2e a t' has been?pa?
(Rough-in) Date 7
(Final) ate j /
This request void
18 months from
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings .& townhomes/condos when permits are required for each unit
g3o. s6
Date OC,2 l l
/off t i( J?
'
Site Address a 2& `??? 6? Cn ,al { Unit #
Property Owner Cao-se- a Telephone # wb/ ) T J7 ' 7,56 9
Contractor
Street Address ca
b& City
11
State Zip Telephone #
Bond Expires:
The Applicant is Owner A_ ontractor
i Other
Add-on or alteration to existing dwelling unit
furnace -Additional Awnacement
I ZG?•5 r ?? $ 30.00
air exchanger L-
air conditioner -New -Replacement
i
other
State Surcharge
$ .50
Total $ 3v '570
I hereby apply for a Residential Mechanical Permit and acknowledge that the inf tion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and w' the echanical Codes; that I understand this is not a
ermrt; but only an application for a permit, and work is not to start witho er it; that the work be in cordance with the
ap ro d plan in the case o t ork which re?teview and approval of lans.
Applicants rinted Name Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip
( )
Telephone #
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction - Underground Tank _ Install -Remove "see below
Interior Improvement - Install Piping - Processed -Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If en rmit fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmit fee is over $1,000, add $50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
DATE: August 5, 1981
RE: 2964 Sibley Memorial Highway
Lot 2, Riley Subdivision
I, Scott Wahlberg, do understand that I must maintain in a good condition
a private drive in the service easement provided as shown on my Certifi-
cate of Survey on file at the City of Eagan offices. I also agree to not
hold the City of Eagan responsible for any construction, maintenance, re-
pair or snow removel. on said driveway at, any time, now or in the future.
I also agree to inform any purchaser of the above referrenced dwelling of
this agreement.
Signed,
Date:... 6 ?? . .
Scott Wahlberg
Re: Wahlber/Ward
Lot on Highway 13, near Lone Oak road
SPECIAL IMPROVDIENTS ON
All that tract or parcel of land lying and being in Dakota County, Minnesota,
described as follows, to wit:
Lot_2.,_Rileys_Subdivision of Zenders acres,(Lot 22, Sec. 4, Township 27, Range 23 West)
-- ---- wz- {tac?L -rob -Z4? .3-.?... !i
This is to certify that I have examined the records in the office of the Clerk of
TOWNSHIP W?VWQW VILLAGE of City of Eagan Dakota County,
CITY
Minnesota and find that the above described tract or parcel of land has the following
improvements:
Water Main
77-.
Trunk Sewer
Lateral Sewer
Storm Sewer
Sidewalk
_Curb and Gutter
_Street Grading
Alley Grading
_Street Sprinkling
Street Paving
Alley Paving
Garbage Collection
Tarring Streets
I further certify that according to the records of said office, the following assess-
ments appear unpaid:
Total Amount
LRindprove vement Runs B: ginning Original Amount nt
Unpaid, Subsequent
to Current Year
NONE
'I further certify that accord' to the records of said office, the following Improve-
ments are contemplated or pending after having been approved and are not in the process
of planning or completion:
Rind of Ap;rc-:Wste Date Approximate Cost
Improvement cs: Colnletion of Improvement
NONE
Dated this 26th day of Jimp , 19--al.
VS&+age• Clerk
Please send to THE SPRING COM2ANY, 234 Metro., Square, 7th b Robert, St. Paul, MN 55101
HEAT LOSS CALCULATIONS Name m'R?OK
Address:.) ?(r Ir e u ?{(Jf/,
l To+ treat Less .,-5 (n 62 0 1 a (?j` ; '?7 a ( E tb ?,.a -?7-
i r .(-t Qa` n A
J Fl 1p T'. Room Loth Wth. AL, Ht. FI :? ?•a-, Roo ?¢'?
L t alit A Lflth.9 "Wth. Ht, (' ":
IN dih Heihr No . of ren
I No 9 r _ of F. of pane - lights of Hack ¢p. fl.
t ? 1,5 l
\t
17? l? ''ftlOOn 7? ' 'e`I:I
- Iaoors
f / Itra on Windows
I fihraion W,'Dpors -
Inflluaroo S/Doors
Gras&DOO" ?r\
"at'E xP. Well ? R
Coef. I BTU
5
Ce Il ng ? ? ? `-
Ft ?0!
toter
No Wdrfi
of ppoe He-ght
Ul Pane N er
IghtS r Lincallt
Ol ue[k gree
50 It.
l l"t / _
I !O
Infi Rrat'o
W nd ws boors A) HiU
r
Iof i llldt ion W/DOOn
Inliltwion S/DOprf
Exp. Wall
Glow 8 boors 3
Not E p. Wall
Ceding '? y •'[? ?
Flom
Total Btu. _ __
- f=
-? ____
_----- ?_...
- ?r
Ht.. r Ft _t 1 ?G ',' Room L ih C?
Wth
B I
I /•-
No Wdm
of Pena Height
of pane Nn. of
lights Lmeel Ii,
of
Omck' Area
it.
p
No
. Md?h
H"
No. of I
LinealH.
Area .
c Ht.
, of ane gM1ts Of [rlCk It,
[/ ??{{ v
H
IdOOrl boors
door¢ Cnr! . TU
/doo s Coef HiU
inl'ItrapO Windows I nfihrmwn W ndows :k
Inl hracitin WlDour. _-- ?- _
I nfiltrmion W/DO0r5
Infiltration SlDOers.
R- - I nfipralim5 S/DOOrs?`^
., --
Erp Walla ,?i. // Cap. wait
--- - --'-- /
?u
Glass & Door,
__
,.
a;?
'
^'i It G?
GIm Duorr ----- ------
Net Exp. Wall' .' r? V!? Net Exp. Wall JI i
Cell r,9 X-11 lJQ' ? /
:L
i -5 Ceiling a ai '7^ v /
Floor
Ftoor T
Total Bwt Total Of,,. /(
))FI h 1'!/Il
j---___ _ ROOm I Loth. .,?fl;' '.'With: Ht FI LBtn
>> With r•i
•.
H
1---
„NO. OI W padtntSe a
of pane e Ng.o f
g n of wl truik
k __
Area
q
p
No. Width Haght NO Of .
L.neallt .
Aree t
.
, OI pane nl Pane ghts k w. fr.
_
. boon /door,
,
_._.
/d0ors Co.,. _ - BTU /door. Coef. BTU
?hraiion ModOW. 'IO fillrat On W-nd6w9
nflilrati0n W/DOOM I nfiltration W100or,
nlilVeti0n BlD,oora
L I nfiltrator, S/Doers
? q y
E
xp. Wall
t Y
let E%P. Wall N _ __
ei Exp Wall '- - -_ -
-?
ell ng (' ?
x --
Io0r•
-
..
i'
F
loor -
gtal Btu
,. T mel Btu.
Tyo 76 /64
/ /nv. 764.94 ?.
tiQ I
M. /,
To
o
P
V
h
w I
n
CI
h
a
CIL.
aT
/vlIfit Vn/k de"cfAe/< 7 ran.
,(- InP soe- ( s2.61,
-daze 0f )KY. loerffii(y/ f9Y YSP O? 1f1?/l ? d ? ?a l?•
O Denotes Iron Monument fo,. DPi?a V Wafer -?erYl??°•f/
o Denotes Wood Stake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation = 774.5
(000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation= 774.0
4 Denotes Direction of Surface Drainage Proposed Lowest Floor Elevation= 766.5
B. M., fojo cosfin9 /V /-/' NE. corner Lof /, Elev. =77967
1 hereby certify that this is a true and correct representation of a survey of the boundaries of:
Lot 2, RILEY SUBDIVISION, Dakota County, Minnesota.
And of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or
on said land. It also shows the locaton of the stakes as set for a prop ed building. As surveyed
byme or under my direct supervisio4i
on this 29th day of July, 1981. Q.
Paul A. Johns/wl/
Land Surveyor, Minn. Reg. No.1 0938
i`-so' CERTIFICATE OF SURVEY
BoGK PAGE or
Mc COMBS-KNUTSON ASSOCIATES, INC. /68 26
& ;,y UU9 6 CONSULTING
NNEAPGENGINEERS LAN nCNARSRS 8 SMINHESGTAS P'L6 o. A?OR CONSTRUCTioN
ENERGY ANALYSIS - STATE OF MINNESOTA
A WAUSAU HOMES PACKAGE PORTION
CODE LASS) (MINNESOTA)
REQUIRIMMMTS (ALLOWABLE B.T.U.
U. NEQD. AREA @ lol
1A55
NUT
PAT
Yells Above Gtada
,16 ••?j
1 IV
r?
.P
UP,
+6?
Box Sill .16 ICA •b L
I
Hoo [/Ceiling .04 .?
Floor over unheated epact$ .08
A-Suhcotal 7. a ?•??/ gN
A-8ub to?x?j, - ?o?yvatl Allweble• ??7dL BTU's
B.T.U. Lose ' (,(f${J J1(SL Total
B YAUSAU HOMES PACKAGE ACTUAL B.T.U. LOSS
COMPONENT Uo ACT. AREA HEAT LASS a 1OF
ue)
(O
a C.vit @ 802 .05
p
q
Wall. Solid @ 201 .0
Be. Sill .04 1 4 •?
@ 902
cavit Std. .049 -
goo[/Celliog y 0 t. .025
Solid 102
St . . I _
opt.
Cathedral/ Cavit 902
failing solid @ 102 i
Floor Over Cavit 902 .046 _
Unheated Spaces Solid @ 10% .086
Paste Deer. I.... Class .48
Triple Giese .3
Doubt. Hung Double Glazed .16
YSadoWS Triple C1...d .29
Casement W01. Clseed .44
Windows Triple Clezed .3 -
Slide-By Double Glared .44
Wind.. Triple clued .31 -
Doors .07 Sb
. R•B n G
??Y Ny. ?I. P?FU?/YSage - B-Bub co ul 19.1 .1)-; Bw a
BST.U tl.osa T ?jj22 I& PaBRTotalo-sl 141 pis
(A-Total + 12 Allowable Difference . Total Code Allowable B.T.U. Lose for V.N.I.
Parkap.)
It B-Total 1a less than A-Total, this W.N.I. P-'Wga Ceanllee v/Code.
1
MODEL
s.o.d
INIT.
REQUIREi¢DEANTS LRE (ALLO PORTION (ABOVE GRADE PM MTION) MINNESOTA
C CODE YAUSAU HOMES
WABLE D.T.V. LOSS)
COMMENT U. REQD. AREA &I BEAT L0.SS(B.T.U.
Wells Above Grade .16 100 C-
D WAUSAU HOMES DEALER PORTION CAg0V6 CRADE FOUNDATION)
ACTUAL B.T.U. LOSS
COMPONENT U. ACT. AREA BEAT LOSS a I-F
cavity f 802 .p
Rneavalle Baud a x02 , p 1
Masonry Wall
Patio Doota
Yf.dws
•? r?•5
f. a •O
Doors
Actual Beet. S.T.V. Loa. - D-Subtotal -
U-Subtotal .aT - Ac?tuj?1 Beat. Total
B.T.U. Lows - x . 166 - 0-Total -
Total Actual B.T.U. Lo..'
B-Total + D-Total ' + •
Total Codes Allowable B.T.V. Lee
A-Total + C '
Total Actual Loo Meat ee e. Total Code Allowable Lou To Comply W/Code
2
2
l
a
EQU I1.16NT SIZING -
E (ABOVE L eELOY GRADE WALLS BSlft. rte. i INFILTRATION
AIR
COMPONENT FACTOR AREA CHG. DT NEAT LO55
Total Actual BID Lou Above
Grade - R-Total + D-Total
BeleW Credo Wall
6 B.T.U. x Area - Mt. Lou 6 Ftx
Gseaent Floor
x
?1? F ?f
1 B.T.U. . Are. - Nt. Loss 7 r rr
lt
s.filtrati.. - .018 ?? 100 g
n?t
t U l 1 L
x Air
Ft
l
C Y.F. 8 c3 1/Hr.
ome in
u.
.
Vo
T • Rut Less
ch
pND.
.018
e tlr
M
'1 .?
g. x
E - Actual Total Rut tcas - In'•
Allweble po.ce Output - E a 1.15 - . 1.15 BTU's
Fwtootea:
Cencluaion: Marietta furnace .cput Doc co exceed tonal BTU'* Meted uvdar
- 1) Tuulatien of the foundation 1. the rupoasibtlity of the W.B.I. Des"s' allemabla furnace output.
2) ASIRAE Table 1, Chapter 21, 40o ground Water Ceap., 1972 Ed.
3) Infiltration is b...d oa one it change/hr. from the house and 1/4 air chaas.1 4 Purna.a Spec. Gas Bn'a/Size
hr. [roe the ba.emenc. 11 BTU../St..
4) if furnace it. acted doe. not fall ba.mea Ptguza E. sad Figure 'E' . 1.15. 0isatcic Baseboard ft.
.. . .. .. ., . r- 1 -•i nv.
THfEL.'SORENSON, THIEL, CAMPBELL AND GUNDERSON
ATTORNEYS AND COUNSELORS
520 TITUS BUILDING
6550 YORK AVENUE SOUTH
WILLIAM F. THIEL MINNEAPOLIS, MINNESOTA 5 5 435-238 9 JOHN R. EVERETT (1886-1966)
RUSSELL A SORENSON (612) 920-8444 CHAS. W. ROOT (1899-1968)
ALAN C. THIEL
DONALD G. CAMPBELL
ROBERT G. GUNDERSON
JENNIFER S. ANDERSON
JEFFREY H. OLSON
MARY ANN KAINLAURI
LEGAL ASSISTANTS:
KATHLEEN M. MONSON
NANCY B. LURIE
City Clerk
City of Eagan
3795 Pilot Knob
Eagan, MN 55122
IN REPLY. REFER TO FILE NO.
6998
September 4, 1986
RE: Wahlberg vs. Major Construction Company et al
Our File No. 6998
Dear Sir/Madam:
Please send to me the following documents regarding property at Lot
Two (2), Riley's Subdivision of Zender's Acres, Lot Twenty-two (22), Section
Four (4), Township Twenty-seven (27) North, Range Twenty-three (23) West also
known as 2964 Sibley Memorial Highway, Eagan, Minnesota:
1. Building permit application.
2. Certificate of Survey or Cite Plan.
3. Hand written note by Dale Peterson, Building inspector, regarding
the necessity of moving the house back because of the set-back requirement.
Enclosed a check for $2.50 to cover copying, mailing, and handling
fees.
Very truly yours,
THIEL,SORENSON,THIEL,CAMPBELL
AND GUNDERSON .
Mary Ann Kainlauri
MAK:lrm
CERTIFICATION
I, E. .I- VANOVERBEKE, CITY CLERK OF THE CITY OF EAGAN, DAKOTA
COUNTY, MINNESOTA, DO HEREBY CERTIFY THAT THE ATTACHED IS A
TRUE AND CORRECT COPY OF A DOCUMENT ON FILE IN THE CITY OFFICES
LOCATED AT 3830 PILOT KNOB ROAD, EAGAN, MINNESOTA.
DATED
CITY LERK
CITY OF EAGAN
•????? ??? I?r1?1111141"'•
CITY OF EAGAN
3795 Pilot Knob Read Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT APPLICATION
To be used for SF DWG/GAR F
Site Address 4704 01Dley AWMr191 tllgjMY
Lot 2 Block 1 Sec/Sub. Riley Subdivis:
Porcel # 10 64200 020 00
W Name _
Z Address
o (Name _]' aInrConstruntion Co
8085 Wa
?? Address Yzato Blvd.
H r... mnld SS/7L ... c/? a?cn
Name Wausau Homes
Address P.O. Box 1204 ( )35g?272
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 Statute sYff and City of E n Orrdilnances.
Signature of Permittee L
A Building Permit is issued to: Major. nstruction
all work shall be done in accardance,with aH icoble_State of Asir
Building Official
Receipt #
Ng_ 6791
Erect (X Occupancy H3
Alter ? Zoning R1
Repair ? Fire Zane NA
Enlarge ? Type of Const. V
Move ? # Stories _
Demolish ? Front 52 ft.
Grade ? Depth 52 ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner _
Council
Bldg. Off. _
APC
Permit 334.00
Surcharge- 33-5n
Plan check 167.00
SAC 525_00
Water Conn. 335_1710
Water Meter _.60..0.0_
Road Unit 195_00
Total R1639_50
on the express condition that
Statutes and City of Eagan Ordinances.
of eacinn
3830 PILOT KNOB ROAD. PA. BOX 2TI99
EAGAN. MINNESOTA 55121
THIEL SORENSON LAW FIRM
ATTENTION: DONNA
520 TITUS BUILDING
6550 YORK AVE
EDINA MN 55435
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS ?3"a
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET
NOTES ADDRESSES FOR CORNER LOTS -
IS DESIRED. NO CHANGES WILL BE
MULTIPLE DWELLINGS RENTAL UNITS FOR SA
,.US UNITS
ENERGY CALCULATIONS
MUST DESIGNATE WHICH ADDRESS
PERMIT IS ISSUED.
U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFIZOFSURV - CHECK WITH B LDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTU URAL PLANS,
1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address Qc(cq S
Lot j _ Block n_
Parcel/Sub L4411 llkj?ARAIb
Owner SCoItcjo,\x ?be
Valua/tion:? °
OtO OFFIC
/OOU?
Address c9 67 Jcb?ly At (P41 1
City/Zip Codec A
Phone J y 76--6 95
Contractor SICLF
Address
City/Zip Code
Phone
Arch./Engr. ?L
Address
City/Zip Code
Phone A _
On site sewage-
MWCC system
On site well
City water _
PRV required
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Date:
?Teo nrn v
Occupancy
Zoning
Actual Const
Allowable
U of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
2?
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 698
DATE. 07/20/99 TIME: 12:03:56
ID:
NAME: THE RESIDENTIAL ROOFING CO
3210 9001 2964 SISLEY MEM 83.25
2155 9001 2964 SIBLEY MEM 1.50
Total Receipt Amount: 84„75
CR 1.13891
USER ID: JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 3830 PILOT KNOB RD - 55122
651-681-4675
New Construction ReauiremeMs
3 registered site surveys showing sq. ti. of lot, sq. N. of house
and all roofed areas (20% maximum lot coverage allowed)
D 2 copies of plans (show beam b window sizes; poured Ind. design; etc.)
? 1 set of energy calculations
D 3 copies off ee pr servation plan R lot platted after 7/1/93
DATE: 1 ea9
DESCRIPTION OF WORK: `?'C- 4Ye-a-F Xzc -aoc?JT
Remodel/Repair Reoulrements - Q 9
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions 6 decks
CONSTRUCTION COST: tq Gb0
STREET ADDRESS: Z S fs `c- cz 4 kt w
LOT: BLOCK: O SUED./P.I.D.
Name: 'R tcv a z C Phone #:
PROPERTY Last First
OWNER
Street Address: Z °1 f S<« c MC N. , w?
City C c, ---" State: Zip: Ss
?es ??^cca? S1??5 cG? d?iaa Phone#: b?{ v
Company:
(area code)
CONTRACTOR
Street Address: X2-6 (f AC?z, ?-N License# Zoo 35'750 Exp. 3/3I/zocao
City S r - Pau,- State: M ry Zip: SS 120
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street Address: Registration
City State: Zip:
Sewer a water licensed plumber (required for new construction only):
Penalty applies when address change and lot change Is requested once permit Is issued.
hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: -- -- -
OFFICE USE ONLY
Certificates of Survey Received - Yes - No i l ! JUL 2 0
-° ° -
Tree Preservation Plan Received Yes No Not Requiredi.L
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 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
Zoning
# 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.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
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
Copies
Total:
Valuation: $
SAC Units
% SAC
s �
* Use BLUE or BLACK Ink '
r————————————————� .
` I For Office Use �
' � Permit#: �� O j
C�6� Ol L���11 I P rmi F : •�� I
e t ee /
3830 Pilot Knob Road I I
Eagan MN 55122 RECEIVED � Date Received: "' �/� i
Phone:(651)675-5675 I I
Fax: (651)675-5694 NOV 1 21015 i Staff: i
----------------�a�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION C��,tg�C�
Date: Site Address: Unit#: ''`/
��� �n
� ���#: ' Name: � , Phone: � �}��
RS�I�ei�tl ' ' �+l►!
('���g� Address/City/Zip: � r [
x � ,:
� , s� . ; � Applicant is: Owner �Contractor
� ��� �
� � ` Description of work:
��f Worl� �
��,
�
�� � Construction Cost: �"— Multi-Family Building:(Yes /No )
� � .
�t Company: Contact: C�dnA�Z dL
�ontr�ctor�y
�' Address �
City: --�(��1/�Q.6
�. _t-
� State:�Zip: c3� Phone: � mail: �14,I.�T�����i •�M^
> ' �,LJ
License#: U�i��7� Lead Certificate#:
If the project is exempt from lea certification, please explain why:
�
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
N�TE Pla�s an�l��pporting t�o��r�nen#,��laat you�u�irn�#��re���`d�'�l�fl�be p ' J�c���' ���+�x� � ,�r#io�s �
the rnfc�rmatio�a i�i� be cJas����d a��i��'.public�f���Mp�r�viate sp��a��ea�,c��a� perntit#he�� #'
� � � �� = concl���rha##�; �arev tr�d�s,°���t����� � � ����� � ����`.
���F �
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.4opherstateonecall.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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buiiding Code must be completed within 180
days of permit issuance.
X c<��►�'� �uiM.�SO-�, x
ApplicanYs Printed Name App ant's ignature
Page 1 of 3
���� ����`� ���tC�.r< <: l ����.J �,�_ ,* �
DO NOT WRITE BELOW THIS LIN� �3����
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi �D Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
�Y' Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION L�
Valuation ` ���. :'�� Occupancy SZ�� l MCES System
Plan Review Code Edition ,Ni n Z��S� SAC Units
(25%_100%,�) Zoning •-�_ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
���—
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) �4 Final/'No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �_�� j �f�- , Building Inspector
RESIDENTIAL FEES � � x�Z
Base Fee
Surcharge
Plan Review ��� `� � S 9� '►c� �
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
; � . . ���� �-�-�� y,,��, �w l 3�{o�/
` � �
/ M.H.
,rt.,+,A-- < < < ,� �[iv. 77o.ii
Tcp 76/.6� . �'
aP 775.b
/ny 754.94E �
� r ,�
f �
r �'i I� �/+
/ ��'' �
h�
t��s �'�X' �
V o��� �
4�Q° 77� Goray�f'iao.)
a��
+ � � M�I o 0
��k q'�3� '1�3 2�'6.2/ 'l� }q��.�6�'�
2 . 52.25
rs - �y�-.- J .
' �y' ' ��.
�, ;-`-- 1 �` ��;� 1/"�9 �� r`--'� � �
y � +� ,
,1� w► _'e " p r.
� � � i �
'�'.° -�` ^ o�ry . �' L�� ! o +'�
c�� .�--- ,�' � '��o�� � N � I �
� • �
.�� 9 � �A � � �
��
�r Q�
b ,��C � ��0 'Y� � g b
'�1 4/./ � �' � 1'1�Oti�----<
�?�' �,�p+* ��q, 2 9/.02 �yr79 0�
P
��-o�rr � boX
N!►nrrxtlyK e'��t'bacll �roivt �'�ra*'Z~,�r�� e� serv;ce
�r n P .3"4'� �3�� � �� / .
' ��A"�� o� �nn. �?�re�l� f ir vl'� o�' 1�/�'�t � ` � !✓���
4 Denotes Iron Monument ��� D r;✓p � �l a'f P r -tt r✓t t P.
a Denotes Wood Siake
X000.0 Denotes Existing Elevation Proposed Top of Foundation Elevation= 774-_S
t000.�) Denotes Praposed Elevation Proposed Garage Fioar Elevation= 7�4,0
�--- Denotes Direction of Surfece Orainage Proposed Lowest Ftoar Elev�tion= 76 b.3
B.1Ld.� fop �stir�� M.H. N.E. corr�er Lof !, �'/tx-779.6 7
1 hereby cenify that this is a true �nd correct representation of a survey of the boundaries of:
Lot 2, RILEY SU�DIVISION , Dakota County, Minnesata.
And of the location of all buildings, if any, thsreon, and ait visible sncroachments, if any, fram or
on said land. it slso shaws the Ivcston of the stakes as set for a pra d bu+icting. As �ur+reyed
byme �r, under -my �direct supervisian� � , '
on thi s 29th day of Jul y, 198i . C� �v.T.�:
Paul A. Johns`
tand Surveyor, Minn. Reg. Na.l fl 9 3$
�`i=sa• CEl�TlFICATE �F SURVEY
� McCOMBS-K UTSON ASSOCIAT£ INC. /68 26 for
� � � S+ ��oR �o�vsrRvcr�o�v
;�. ' 'g CiNitllilNi EMCINEE�S i IAYD SURY[►OR6�tlTi►L/,NM[RS F4E N0.
�x 6/4S'
f '� ' � Y�MNEAPOLfi.MUTCN11�150N�nd M+tRS1tAt4,flt/�lES�TA