Loading...
945 Wescott Tr0412812010 12:12 19528951914 RONEL CORP APR, 28. 2410 9:55AM ANGSTROM ANALYTICAL PAGE 01 N0. 171 P. 1 5001 Cedar Lake Road"St Louis Park, MN 53416 952-252-0405 fax: 952-252-0407 Reuel Attn: Bob 2805 CliffRd. E. Eurus'villle, MN 55337 Via Fax: 952495-1914 April 27, 2010 Dear Bob: li On April 19, 2010 a representative :from Angstrom Analytical, Inc. visited theabove referenced project site for the purposes of determining whether an airborne bacteriological / fungal / mold problem existed within various client specified areas of the property referenced above. General After a visual inspection of the client specified area, it was determined where the worst-case scenarios (for the presence of biota) were to be found. This was in. the Kitchen and back bedroom where some mold remediation work had taken place. Allegro 1VIultiMold cassettes were used with a Gast carbon vane vacuum pnmp calibrated in the field with a secondary standard !. rotometer at 15.0 liters per minute. This sampling train was allowed to run passively for approximately 10 minutes each sample such that a sampling volume of 150 liters was collected. Methodology Media plates are stored at 5 degrees Celsius until use. Plates are incubated at room temperature for approximately seven days prior to analysis- Bio -aerosol cassette slides and tape surface samples are directly mounted on glass microscope slides, stained and analyzed. All identification and quantification is performed using a light microscope. Fungal spore concentrations are calculated per volume of air or area sampled for all samples where this information is provided. For surface and bulk samples, concentrations are estimated • and recorded as light, moderate, or heavy. Analytical work for the air samples was performed by EMSL. Analvtieal Remarks Original samples are retained at our laboratory for a period of 14 days and are then disposed of, unless instructed otherwise by the client. All .information and supporting data obtained during the analysis will be retained in confidential files by Angstrom Analytical, Inc. 04/28/2010 12:12 19528951914 RONEL CORP APR, 28, 2010 9: »AM ANGSTROM ANALYTICAL PAGE 02 NO, 171 P. 2: This report is issued under the terms of our General Conditions (2/29/06). It cannot be copi 04/28/2010 12:12 19528951914 RONEL CORP APR. 28. 2010 9:55AM ANGSTROM ANALYTICAL PAGE ,03 No. 171 ,F 3 Additionally, it is also recommended, that the IWVAC filters should be changed often and A NEPA (High l ;fcienc:y Parric111A,te .Air) filter hold be used. Mold is often associated with excess ,moisture and may pose a problem in indoor environments at elevated Ievels. Since mold requires water to grow, preventing moister problems is ofutmo t importance. Any signs of mold, musty odors and/or moisture / water intrusion need to be addrese,4.1 inuiicclia.W1y- .Amy source of' moisture / water must be remedied and the extent of th damage determined. If excessive moisture problems go undiscovered or unaddressed and are allowed to =cumulate in buildings or building materials, mold ,growth will often occur. Specify, riletb,OdS of assess , and remediating ,mold contamination should be based on the extent of the visible contamination and the cause of the damage. At present, no Pederal Regulations for evaluating potential health effects of fungal contamination ztud remcdiataon exist, Information regarding this issue may be subject to change as more information regarding these contaminates becomes available. TherefD e, interpretation of mold analysis may be subject to charge at any tixne- If 'tete are any questions associated with this report, please cam, us at the above captinned:: telephone urxtber, We appreciate the oppottunity to meet your analytical needs. Sincerely, <,cvin Mager. Angstrom Analytical, Inc. 04/28/2010 12:12 19528951914 APR, 28, 7010 9:56AM ANGSTROM ANALYTICAL Alta; Prof: EMSL Analytical, Inc. 2.4375 23rd Avenue Nord" Minneapolis, Mn 55447 PhgnR: 71,1, }449-4922 F�?c; C78ttie-4924 WVeq; mip;//nwlv.emete a emeltmin! Pollalabc e,fl tom Steve Wailinga ., �_._.... _.......�._-.•- ,.��...�__. Angstrom Arralytfcsal, Inc, 5001 Ceder Dice Rand S St LOUIS Park, MN 5C,d1F RONEL CORP PAGE 04 NO. 171 P, 4 Asbestos •Lead + Environmental • Materials & inda<rrA1r Ana sly 945 Wescott FM_L Order 351441'992 Customer IR: ANGSS0 GoNeCted: 4/19120/0 Rect�ived; 4/2=01 P Analyzed: 4/27/2010 Teat Report: ANegro of Fungal Spores & Paartyolnates by opttatnt ratarescopy (BM,SL I llethed 05 -TPP -00e) Lab Sarnpla I J ,thE11 1001702-0091 951001702.000?, 3,510017a2-0003 Client Sample I1:1: A ixt Ft., a'N 'MR_ A 2nd Pl., Whom. [L..); i5A 1Sq 750 Senpltr Location; Back BR Kitellen bade 9R i. t, J. Aitemarfa Ascospores Asperg i Itus&Penicii l i lam Basidiasporen Bipofaris++ Gbattomiurn Curvularlm Epicataeum husanum Gannderme Myx+amyoeters++ Rust $copularlopsis Stachybotrys Torula IJlocladium Unidentifiable Sporn zygomycetes Total Pungi Flyphaf Fment Insect Fragment Pollen! 18 1 11 883 3 64 21 1 3 95,7 14,8 447 imp 21 s4 21 1 Analyt Sentavity 600x Andryt. Conoitiviiy boox Skin Fragments (14) Fibrous Particulmte (1-4) Background (1-5) 1N.Crxmf ..eu 88 529 95.1 2 43 4.9 41 872 100 s 82 9 • 11 233 . "mu 1 21 • - 13' 2 4 - 21 - - 21 9ipolaris++=Hipalarts/73reseblereateraltiltim Myxmnvenaar=M'yxnmycemsnzwrinonlnRSelus We dimmable field blanc vexesdubmttlad w9lh Ihls gawp el morples, Gray's* 4r111m1 hl. SNIK Anelytell. Np X 15 MO Avenue North, MmnaapdbeMn MIR BM4LAP 163112 HIOh *vela efb®q tltadkaleleesrl6hAnutrnpoPosandetherpettlaeandleadingtomodemspinpllan.gaekttpeoha;ovals al4Intimate pe ovenseds,p drbe wnd ped,eulshm.pretruev,p nrc„r r, omaalon *MI goeru,n.,b.,. From.,, -spent ee1.ele0 On owdeas.e Wraha% The detection limn III co- are Fungal spor% aeuaum, pelalen, their W or insect _ le/Ore ""Dena.rrrnielrrba w aea0e}LL"MeLn,aYvaNtrltnweo-ern=edlo peat oforIMMIN; nib .eao-.r Mahn only cu .. t !.....,,-... IN WMlNan n;PPfled a zvel anal may nal oe Tap'edeoee, except M, Ma, wllhoul Widen approval by ENISL EGGS/ beam na Jodie l3a ung Cfie, Laboratory Manager ', feepeT bielyfereemele eealndianaelf.'hlesormagical method llmnadone.iniarproulenmati fIescreauraaretti „ anhomflaMMyoft adlern.sar,Area,eaelvedlatete am,MtlnnWass alhecwieenatal. - or Other Approved Signatory For info.i>, miurt cu the fun9l limed in this report please vlolt the Romources section at WWWeerSel,COrn Test Report SPVER3-7.17.3 printed: 4/2712010 09:27:29AM Page 1 of 2 84/28/2010 12:12 19528951914 RONEL CORP APR. 28..2010 9:56AM ANGSTROM ANALYTICAL Attn: PAGE 05 NO. 171 P. 5 best_ • Le d • Ertivironn entai • Materials &, !Moor Air Arra is EMSL Analytical, Inc. 14375 23rd Avenue North Minneapolis, Mn Phone: (700) 449.4922 Fsx: (7t3) 444-4924 Steve Wallinga Angstrom Analytical, Ind 3001 Cedar Lake Road S St Louis. Park. MN 55416 Prof: 945 Wescott Test Report Allegro Lab Sadie iuuinh e CIiemSarnpin Kb %FemmRe (WI Sample Location! Snare 'mon AItemaria Ascospores AspergIllusWenicilrium 6idiaspares Blpolaris++ Cheet©mium Cladeeporlurm Curvulor'ia £pl000eum Fusarium G0110tieff is Myxomyoetesrh+ Rust SoopUl81iOp5i3 Stachybott s Torula Ulacfadlum Unidentifiahie Sporck zygomyi; to 'forte! Fun Hyphaf Fragment Insect Fragment Pollan 55447 Web: htga:Awww.emsl.cam Emelt Minn eapoiialubeemal.cm a ... EMr• SL Orde.. 361001792 .....___ Cugtomer iD: ANGS50 Collected: 4/19/2010 Received: .4/2012010 Angry: 4/2=10 it Analysis of Fungal Spores & Pallrtit:ulates by Optical Microscopy (EMSi_ Meethati D5-11,1/46032....11 33104'179t.otio4 w ""•" Et 2nd FL Ise kitchen Raw Cnrmt 1- t 2 2 7 unfirof of Total 7' S.0 21 43 • 17A 35.5 35.5 5.8 • ae1P01792.04oG A Outsider 160 FrontStsps RW"lr/1rrn+ f nrrrlffrrw+ 71•1•nr 7 2 2 • 4 121 100 23 • 144 64 64 • 21 74 • 30.4 "13.1 13.1 4.3 13.1 45 g0 BO 17.3 490 100. 21 - 106 AMNIA Sensalvity 600x Ari ryt. 8en5ifr4itjr- Skin Fragment/3 (14) Fibrous PPrtleulrtte (1-4) - Dackgrround 14). - 21 7. 1 1 21 7- 1 1 T MAY Rjpolark + = Bipolar;.a/prenaltlnrMeamb ltmt Mrde tryeere%+► *,lulyxemsywsaciPesieonixeSt 7115 Fla discametio 1elciblanit was aunrrlk * anth{his ptaup of samples. Salrrphc anai}2adDyEMSLMebrnam, lna Ure7ZMed Ai.ahue NarF , MInneapoimlln AIW. CMIM 1d1 1a9 MIJYH MVO Oihadcgrou d Palkaate rt dtrllF.an IMO MO DOW prOCtOrttis Itelding touodarosdrpaUon. Bseprottntl'avow err! IMidi%atl 6.!•14.A450 W OaCNprOww an.iaiaaas I1roh11,Ming =ninth. d..r...rinn inn /1 mI. ft Mtn . cgam tlat&e i Bn axnom.a salnply TM dgcsmron nM It ague% e...0111 spare. =pawn!, (kw parkas ar ruse; "WM- ^^a66ner.6 grnl.r.ri.unaa aaoXW424 rn.ipyh.A�kN�Y i�1 tNJlq can orroa,*i., ThlrnaoRrom•••wiyk the ales reponw 40.5V, dila NOV nal da napyeuwtl, Ctcapt h hsl, %thaw wVNan lloaraval> y EMIL EMst. beet no r81pDn111341Y lar sah111. mitadlon PFAi4RIdq or nngt1P n1 R0411 60 t'h manp. mammalian AAd i da A!r I t mow are, rhe raor m tlaRrahMadam. Swratesr*aNAtlh0004a06411 Q1 unram6taarweenaiad. Jodie Bourgerre, LE0Oratory Manager .' or Qrther Approved Signatory Far Inlormstlon ort the fungi fisted In tris report please Visit the Resources section et waw ,errts1.com Test Report SPVPR3-7.17.3 Printed: 427/2010 01:27:2AAM Page 2 dif 2 CITY OF EAGAN WATpt SERVICE PERNUT 3830 Pilot Knob Road P. O. Box 21199 - PERMIT NO.: 6084 Eagan, MN~ 55121 _1 _ Zonirp; R4 ~ATE: No, of Untts: P ex Own~r: FML Inc /,ddres~ '~S~» Add,~; 945 Wescott Trai1 L7 B1 Wescott HiI a Rev ~umb.r. Rum ca Inc ~r No.: ~ O O D 16 0. 00 p / Acoount Deposlr: ~R°°~? P~°.: .~P~'S/~l 0~ Permlt Fee: 10.00 pd M °""~f' "'i!1' N" Clh' ~f E~.~ Su~ct,o?pe: . 50 d By MiK. Cho,p,:; 4 2 • 0 p~ O?0~: _ 1~~~ iII tar S(~ nA ~oce Pbtd: Doh of Insp.: Ir~p.: , ..r+s~-. - _ . . . CITY OF EAGAN ~ PE~~ ~ 3830 Pilot Knob Rwd ~ P. O. Box 21199 PERMIT NO.: 3 ' ~ Eagan, MN 55'~~1 pA~; - I Na of Unih: - l~:~lex Q~yM~ i1C ~ /1dd?ess: S~h ,~ro~ ~ escott Trail L7 B1 Wcscott I?ills itev i p~~r i umnca nc -c.~ ~ ' 320.OQ nQ ; ~ N~•• t~ ..wMy wNh li. CIlp .i f~~ Co?wwctlon Cha~: 13 ~ 0. 00 pd ~""0"' /looount D.podr: i P~nntt FN: 1() . 00 n d By Surd,o~p,: - . 5 ~ nd , Mi.e. Chorpsi: 1~~ nd t ~ ~ Dotr of leup.: Tol~ol: ! Dob Pald: ~ t~~~~ CITY OF EAGAN ' - ~ ~ ~ ~j ' ' 38:i0 Pilot Knob Road, P.O. Box 21•199, Esq~n, MN 55121 I PHONE: 454-8100 ~ • sU1LDING IERMIT Rece~pt ~ T~ w rw1 ior 1 O~ +1 PL6X Est. Valua ~'~3~ 000 Date 1~ian~t ~ Y 11 ~ 9~i S~te Addrsa 94 ~S Ml~SCOTT '1'It ( ~fiIT 103 ) Erect C3 oc«ipsncy Rl Lot ~ Black 1 Sec15ub.~~~'-A~l"l~ gY ~~°del ? Zonirtg a,~ ~ P~rcel No. ~'3 2I~D ff~I~j(~~ ~~ir ? Type of Const. _ v~ ws Enlsrye ? No. Stor(es ~ ~ Move ? Lenqth r Name ~ I D~molish ? Dspth 30 ~ Address ~~s 124~N !3T Grade ? Sq, Ft. ~8 c~t„ ~nAS Pn~~a • s~+~ae! ~ - ~~ste~~ a ~ AP~.or. /..s ~ Nama • o0 ~t A~~ Assessmenf Pertnit ~ • s0 ~ City Phone Woter b Sew. Surcharqe 0~ Polic~ Ptan Review ~'W N~18 MCCOilHS-1CliDTaOM 11isOL INC Ftn SAC 4Z0.00 ` x~ Addresa 1Z800 IND PPIR~ VD Eno. Woter Conn. 400 . 00 ~ W City pL~~ Pnone ss ' 700 Plonner Wmer AAet~r 62 • 5Q Council Road Unit ~24 • 00 1 hereby acknowlsd~ that I how rood this npplicotia? ond state that Bldy. Off. Z e e~ 106 • 0~ th~ Information Is correc~ ond o9ree to comply wifh all opplicobl~ A~ Total ~ . Sfat~ of Minnesota Statut~s or~d City of Eaqan Ordinonces. ~ . , Vsr. 0ate Sipnatuh of Pertnitte~ ~ ' t " l1 Buildin~ Pertnit ts Issu~d to: ~~~~p oll work sholi be dorw in occordont~ with oll applioobl~ Stota of AAinnewto Statut~s ond Ury of Eopon Ordinonqs, Bufldinp Official ' ~ - P~?mh No. Pumk Hold~r D~b T hon~ * PlumblrN h ~ H.VJ~.C. ~ ~ a(ti.¢~ / ENeMa SoRt~? Inpetio~ D~U Intp. OtNn Footi~ ~ ( Found~tion Frnninq ~ ROOfinp Rou~ Piba q"'~ - =c - Rouph HVA / 1 s Imulstio~ ~ Fi~l Wb~ Fin~l HVAC ~ Final C~rt/Ooe. D~saib~ Loution: YYNI SwNr W. Di~p. R~csipt - pAECHANICAL PERMIT P~rmit No. CITY OF EAGAN ~ ~ FN - , ( i > fil/ in numberad spsce~c S/C Type dr Prinr leplbJy T~ . 1. Date - 2. Installatfon Cost ~ ~ . 3. Job Addres~ ~ Lot + B~;k. Tract ' 4, Owner . , - ' 5. Conmctor ~ . „ ` Phaw 6. Adckess ~ i ' , 7. City ' ; , . Zip 8. 8uilding Type: Residential ~ Commercial ? Inslkuti onal ? 9. Work D~scription: New ~ Ai1 O Ah~r D Rep1 iir ? 10. D~scribe Fusl Typ~ _ 11. N~o ~ryjp~~y BTU - f~6. No. Eouipment CFM Fo~ced Air • Air li~ndling: Boi lers Mfp. M~ch. Exhaun Unit Flester M~' Other Air Cond. ~9- Gas, Pipiny Outlets ' 12. I hereby certify that tfie ~bove inforrr,ation is true and oorrect, and I ayree to oomply with all ordinances and cod~a: governin~ this type of work. Siyned : ~ ~ ~ . ' 1 for R~Yh F irt~1 Inspections: Dste Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 R~dipt i 'l 'Y: PLUMBING PERMIT P~rmit No. _ ~ CITY OF EA(iAN ' FN r_~ . Fil/ in numbered spaces S/C Type or Print lepibly To~ • 1. Date 2. Inatallation Cost 3. Job Address Lot Bik. ' Tract ~ 4. Owner 5. Contractor Phone j ~ 6. Address ~ 1 ; 7. City State Zip I ~ i 8. Building Type: Residential ? Commercial ? Institutional ? ; 1 9. Work Description: New Cl Add O Alter ? Repair D I i i 10. Describe 11. No. Fixtures No. Fixtures Water Closet ~poa~/Orainfield Bath tubs Septic Tank Lavatory $oftner Shower Well KitChen 5ink ~ , Urinal/Bidet Other ~ Laundry Tray Floor Drains ~ Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances a~d codes governing this type of work. ~ Signed : ' ~or ' ~ Rouqh ' f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ ) C ITY OF EAGAN ~ ~ fj ry ' 3830 Pil~t Knob Road, P.O. Box 21•199, Eapm, MN 55121 PHONE: 4648100 ' ~UILDING ~ERMIT R~•~w ~ ~ ' 4 T~ w w~ 1« 1 Ot 4 PL~IC E.st. Vo~w ~53~000 Dote . 1q_~,~ _ S ita Addrea 9` s ~i~~r I r 1 ~ Eroct ~ Oca+PencY ~ 1 Lot 7 Block~Sec/Sub. HZI.LS ~'°d°I ? 2oning Paresl No. Z~D ADDITIQII Kep°ir ? Type of Contt. V~ ne I Enlsrpe ? No. Stori~ ~ Move ? Lenqth Nsma ~ i ~ ~ Demolish ? Depth ;8 ~ Address - Grade ? Sq, Ft. ' CRy M~~ Phone ~~~~Qe9 Instsll O ~ Name ~ A~areh ?Ms ~ A~~ Asseument Permit ~0 ~ City Phone Water 6 Sew. Surcho?q~ Z6• SQ Poi~u Pi~, ~~~.W-ll~~.00 Name ~s~=11U'250~1 ASaAC II~` Fl+~t SAC ~~0•00 i,~ Addres: _~l0~ I~1D P~ ~I.VD Frq. Water Conn. ~ ~W City PLYl100?HPhone~~-'" ~59-370A p~~~r WotarNbt~r 6Z-SO co~~i Rood u~ir 22~ _ ep 1 hereby ocknowl~dpa that I how rood this opplicatian or+d stats thot gldg. Off. 3/~lss 1`.p. 1~6 • ~0 tl+~ inlormotion is torrect ond ogree to Comply with oll opplitobl~ A~ Totsl al. s77 . OQ StaN of Minnesoto Srotut~s ond Gty o( Eopon O?dinonces. X V~r. Dste 5lpnotun of Permitte~ ' ~ - A Buildinq Permit is issu~d M: ~L j~C on tM ~xpre~ tondltlon Ihot oli work shall b~ dorw in occordonca with oll opplioobl~ Stoh of M~nrnsota Stotutes ond Gty of Eo~on Ordinonc~a. BWldirq Offitlol ~ . - ~------Y-- - - - ! P~rmit No. P~nnit HokMr D~b Tdsphon~ ~t PlumbiiM ~ ~ ' G' S S f~'.~(i J H.VA.C. 3'"~ ~ 5 E~ia 3~ i I( ; ~ 1 . rt) sorc.~.. Imp~etion D~ Imp. OMn Footitpt + Foundttion FnmNq ~ RooHnp Rouoh PIb~ . ~ ~ ' .C?A Rouoh HVA y ~ r - ~ Imul~tio~ S/, ~ ~ FiMI Plb¢ Fin~l HVAC Final 6' p C~rt/Oee. D~aib~ Loeatfo~: YII~11 S~v~r P?. Dhp. ~ Reoeipt PLUMBING PERMIT P~rmit No. CITY OF EAGAN FN ~ ) l, ~ fill in numbened spaces S/C , ~ TYPB or Print legibJy Tot 1. Date 2. Installation Cost , 3. Job Address Lot__~Blkf Tract 4. Ovmer 5. Contractor ~ ' Phone i 6. Addmss 7. City State Zip 8. Building Type: Residential Commercial ? Institutional ~ 9. Work Description: New ~ Add ? Alter O Hepair O 10. Describe 11. No, Fixtures No. Fixtures Water Closet ~p~l/Drainfield Bath tubs Septic Tank l.avatory Softne~ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above inforrr~tion is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed : for Flouph F i~al Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 C~) CITY OF EAGAN ~ ,~1$ ~ ~ ' ; 3830 Pilot Knob Road, P.Q. Box 21-199. Esp~n, MN 55121 PHONE: 4548100 , dUILDfNO ~ERMIT R«.+~x ~t T. w.+ r.. 1 Ot ~ pI.t7C ~r. vo~~ ;5~, 00~ ~e ~teru~• l i t 9~ Sits Aaa~,. 9, S IIaaCO?T ~SCOTT H I 1~ ~^"Od'~ ~ zo~+,w ~~Y lRt~ ~ Lot Block Sec/Sub. Repsir ? Type of Con~t. V 1~ Ps?cel No. ~MD 1tDDITI0~1 Enl~rqe ? No. Staiea 2 ~r I~: Move ? ~e^yth 30 ~ N~e aMmi~n O ~h 3e Addre~a ~ ~ Grade ? Sq. Ft. City ~ Phona ~s9~~~8~ Install ? ~ $,~a, APpareb fNs ~ Name O t A~~ Assessment Permit ~i ~ SO ~ City Phone Woter 6 Sew. SurcFwrp~ ~00 . Polict Plan Review i~~ • -~urso~ ~?saa.' i~c ~~o • o0 Name Fin SAC ~ zZ ~?dd Woter Conr?. 40Q.00 " ~o• as • so <W City Phone ~ planntr Woter Mtter Cow,c~~ Rood u~~r Z24.00 1 hercby acknowl~dy~ thot I how rood this oppllcation ond stote fhot g~~, p{f, ~S T. p• 106 • ~0 tM informotion is corred and oy~ee to comply wfth oll opplicobl~ APC Totel i • 0 Stat~ of Minnesota Stotutes ond City of Eapan Ordinonces. , - , Var. Date Sipnaturo of Pem+itte~ ' ' ~ ~ A 8uildinq P~rmit is iuwd to: ~L I~ on th~ ~xpnM oondltlo~ thot ~ all work sholl be dorw in ocaordonc~ wlth all oppliaobl~ Stot~ of Miruw~oM Statutes and Gty af Eopon Oedinona~. Buitdinp Offkiol " Pwmft No. P~nnk Molda Dab T~1 hon~ * 'lumbi~q C H.v~?.c. ~7 9 3/ 5 - / / EMetric SoTt~ Inpction Dat~ Insp. Othp Footin¢ Fouodtefon I Fhminq - Rooffnq Rau¢i Plba Rou~+ HVA ~ Imulation t~. Fin~l Plba Final HVAC r ~ F+~,~ 4 s c«dooa. Wat~r Dae~ib~ Location: YIINI S~r~r a.. o~. R~aipt MECHANICAL PERMIT P~rmit No. CITY OF EAGAN pM _ ~ fil/ in numberod spaces S/C Type or PrJnt Jepldly T~ 1. Date _ ' 2. I~stallation Cost _ ~ ~ J 3. Job Adck~ss " ~ ; Lot Blk. Tract a. o~,.r , - ~ ; 5. Contrsctor - Phone 6. Addross , . I 7. Gty l'~j Zi ; P 8. Buildin9 Type: Re:idential ~ Commercial ? Insuwtional 0 9. Work Desaiption: New ~7 A~ ? Al~+r O Rapair ~ 10. D~svi6e Fuel Typ~ ` ~ . . 11- N~o Fq~jp~~ 8TU - IV~Ea. No_ EouiOment CFM ~ Forced Air _ Air H~ndlinp: ~9• Boi kn Mf~. .Meefi• Exhaust Unit Heater Mfg. ' Other Air Cond. Mfp. Gas, Piping Outlets 12. I hereby certify that the above infamation is true and correct, and I e~rae to oomply with all ordinanoe~ and codes govaming this type of work. Sign°d : ` R ~for RouYh F iml Inspections: Date Inap. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-B100 _ _ _ _ _ , _ , «~1 CITY OF EAGAN ~ $ 1 . 3830 Pilot Knob Rosd, P.O. 9ox Z1•199, Ea~n, MN 55121 PHON E: 4648100 eUILDING ~ERMIT R~?rx ~ T~ M w~/ fa~ 1 O~ ~ PL~ Est. Volue =S3 ~ 00~ p,ot~ ~~Q~RY 1~ ~ q es c~a 94S Ni~C~OTT ?R (OliIT 202) e~ o~w~~v R , Site'~1d / ~E~O,~ 81~8 ~^odel ? Zoni~g A~ Lat Bfock ~/Sub. ~D ADDITIOl1 Repeir ? Type of Contt. Y I HR P~rcel No. ~ . Enieryp ? No. Stariet Z, I~` Move ? LenptA 30 • ~ Name pemolf~h ? Depth 38 Address aa~ izza sr Grade ? Sq. Ft. City NENPQRT pfwr+e ~~5-108~ ~nsra~~ ? ~ ~S Aoo?ovels iMa Name • O ~ A~~ Ass~ssment Permit O ~ Woter 3 Sew. Surcho?y~ • City Phone Nama ~~8-l~OT801i ASSOC INC Ftnu SAC Rewe ~.~0 ~ i3 Addros w Enp. Water Conn. W Clty Phone ~ p~~~ Woter AA~t~r ~ O Council Road Unit r o0 I hercby acknowledye thof I haw reod this opplicotion ond srote thcf Bldp. Off.= a es Z.p. 1tiv • fh~ informotion It correct ond opree to tomply with oll applitaW~ A~ Total ~ • ' A Srot~ of Minnewto Statutes cnd Gry of Eoflan Ordinonces. E Ver. Dsts t Sipnoturo o( Pennitte~ - - ~ A 8uildinq Permft is issued to: ~ I~ on tM ~xpnfs caditlan Iho~ ~ o!t work s1+oH b~ dorr in occordonct with oll applicabl~ Srme of Mtnnasora Strnures ond City oi Enpan ddinanc.s. Buildirq Offldal ' Pvmit No. P~nnk Holdn D~a T~ hons s ~~~w I I C ~ 31 ~ . H.~~?.~. 5 ~ s 5 -~I EMnMa 8oh~ I fon Dab Insp. OthN Footin¢ a~~ Fout?d~tion Fnminq ' ~ Roofln~ Rou,h Plbo. J_ Z ~ Rou~ HVA / S ~ ~ Ina+l~tlon C.~ ~ (3 F~~.~ ,3, Finsl HVAC Fin~l ~ C~rt/OoC. W~r O~se?ib~ Lotation: WNI S~v~r W. D'ap. ~ R~aipt ~ ~IIECHANICAL PERMIT P~rmit No. cirv oF ~?c~ FN . ; Fill in numbered s~oscet S/C Typs or Prini lepib/y T~ 1. Date 2. ir~stallation Cost 3. Job Addreu I.ot Blk' Tract ~ ~ 4. Owne~ 5. Contnctor , ~ Phone 6. Address _ i`; 1 r 7. Gty ~ i f.! 5qte Zip 8. Buildiny Type: Reside~tial ~ Commercial O Institutional O 9. Work Desdiption: New [,7 Add ? Alte? 0 Rapeir O 10. D~saib~ FuelType ~ 11. No• ~ BTU • A!~ Ea. No. Eauiament CFM ~ , ~ ~ - Forced Air _ ; ; Air Hsndliny: ~9~ Boi lers Mfy. M~ch. Exhsuct Unit Hester ~ Oth~r Air Cond. Mfy. ~ Ga~. ~iping Outlets ~ ; ~ 12. I hereby cartify that the ~bove information is true and oorroct, and I aqree to oomply with all ordinancea snd codea governing this type of work. 5~gn°d : for Rouph F insl Inspections: Date tnsR. Date Insp. This is your permit when numbered and approvad. App~oved CITY OF EAGAN 454-8100 _ ..r~~aAN Remarks I Additfon Wescott Hills Revised 2nd ~ot 7 s,k 1 Pe,ce~ ~ n~~~Q7~ ol , oW„8~ st~~t 945 Wescott ~re%',,~ stete Eagan, I+~1J 55123 ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. O ' 6' O~ Q STREET RESTOR. GRADING SANSEWTRUNK r 20 a ~C1 O~J'~9~~ ~ S SEWER LATERAL WATERMAIN ~E WATER LATERAL ~E WATER AREA -lF STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ~UILDING PER, SAC PARK C{TY 4F EAGAN PERMIT TYPE: ~ `t ~ ~ ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number: ~1 ~~"j ;,~~F:~t j~,s~ Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 ' ! ~ ~I F-H-:~t , r I + c+-~~' -A F S1TE ADDRESS: ~ ~ ~ ~ : r ~ ~ ~ ~ ~ ~ ~ r - ~ APPLICANT: ( rFt , :I~ , ~i ; ( ~ i . . I i i':P Il 'Nl1 i o 1 . i . ~1~•P•l~t PEF~f{T.,.S}~~r~YPE: TYPE OF WORK: . i ~i ~ ~ . ~ : ~ ~~41 ~ ~ . , . . . . . i t'; , . . ; ~ ~ . . ~ ! I i i 1 i r , 1 1 : { ~ r 1 1 i~ . ~ f ! i ~ i . ' ~ ~ ~ ~ J ~ - Permit Holder Date Telephone M PLUMBING HVAC inspection Date Insp. Comme~ta FOOTINGS FOUND FRAMING ROOFING T lj~ 7 R~UGH PLUM8ING PLBG AIR TEST ROUGH I HEATING I GAS SVC I TEST ~ INSUL I GYP BOARD I i I FIREPLACE FtREPZRCE AIR TEST ~ _ I FINAL PLBG FINAL HTG I I ORSAT I I TEST BL~G FINAL D~MESTIC METER IRRIGATION METER FLUSH MAINS CONDtICTtVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL This reques~ w~d 5n 3~ r ~J I~~ 18 mooths fwm A- 3 9 L ~ f{- i~ , o Repuest Date Fire No. PouPh-in Inspection ~ ~ Requved~ ? ~Ready Now Wiil No~ilv Inspec- es Na ~or When Reatly LicenSed Electnwl ConVTCtor I hereby raquest mspectron ol ebova ? na~ eleclrical work installed at: Sveat Address, Box or Route No. Ci~ `~F.57"CFj~ ~~v/~/~~ ~~U r'~9~.._ cUOn o. Townshi0 Name or No. ange No. Co nly .:qkai OccupantlPRINT) Phone Nn. L ~s r v~a~ Power Supplier Address ~ FL~~ Elecvical Convector IComuany Namel Connacmr's License No. CL ~ F_Lf a- Mai ~ng AdJress (Conhacmr or Owner MakinO ~~stailationl ~ ` . I~ C . ~ ~9G S~ l.~fi Auth ( d S~~ture Conh`ctor wner MakmB Inst IlaLanl Phone Number•-~ V - MINNESOTp STATE BOAPD OF.ELECTqICITY ~ THIS INSPECTION REQUEST WILL NOT Gripga•Mitlwav B~tle. - Noom N•191 8E ACCEPTEO BY THE STATE 60ANU 7ffi7 UnivareifY Ave., St. 7eul, MN 6610G UNLE55 PROPEH INSPECTION FEE IS V~.....e 16121 49]_91"__ ENCLOSEO. ~ CONDO ) CITY OF EAGAN N_ 9888 ~ ' , 3630 Pilot Knob Road, P.O. Boz 21•199, Eagan, MN 55721 ~ PHONE:454-8100 BUILDING PERMIT R«e~W # Te M wd }a~ 1 OF 4 PLEX Est. Volue $53 ~ 000 pote FEBRUl-RY 1 1 , ~q$~ SiteAddrese 9`~5 F]FSCOTT TR (UNIT 103) Erect ~ Occupency Rl Lot ~ B~ock ~ Sec/Sub. WESCOTT f1ILLS YE~lfmodel ? Zoning R4 PercelNo. 2ND ADDITIO~7 Repair ? 7ypeofConst. v t rao Enlarge ? No. Stories 2 Move ? Length 3 Q W Name FML INC ~ Demolish ? Depth ~ Address 885 12Tfi ST Grade ? 38 Sq. Ft. City NF.WPO2T Phone 459-4f1R9 Install ? Approvab hn ~ Name ~~F' . Q~ ~u A~~~s Asseumenf Permit S u~ City Phone Woter 6 Sew. SurcMrpe 26 . S~ PoliCe Plen Review 146.01 r'W Naroe MCCOMBS-KNUT$ON ASSOC INC~ Fira 5/~C 420.01 i~ Addrev 12800 7ND PP.RK BLVD Enq. WoterConn. 400.0( ~W City PLYMOUTfl pho~e SS9-3700 p~o~~r WaterMeter 62 51 Councll Road Unir ~ O( I hercby acknowledge thot I hove read this applicohon ond stote fhai Bldg. Ofi. 2 8 8$ T. P. 1 ~ 6. fM Inlormation Is correct ond ogree to comply wilh oll opplicoble APC Total $1, (7~].0( Stata of Minrx¢ota Staru( a a Ciry ot Eago Ord~~~pp nces. /7 ~ ~ //~ar. Date SlpnoNra of Permittee ~1 . A Bulldinp Permit Is issued to: r ~ on tha exprest tondiNon Iho~ all work sholl be done in acmrdanca with' ov~~~ble Se tre newto Stotutes ond City of Enpan Ordirwncaa. Buildinp Ofiicial p . ~ ^ HEQUEST FOR ELECTRICAL INSPECTION ty EB-00001-04 5 V~ ? See instmctione lor comple~ine thie form on beek ot vallow copy. ~rl A ""X'" Below Work Covared byjhis Request d ~ AAd Rap. TyOO ol BuilEinp Aoo~~o~~ea Wiretl Equipment Wired Home Range Temparery Service Duplex Water Heater Lightiny Fixtures Apt. Buildinp Dryer Electric Heaun Commercial Bldg. Furnace Silo Unloader , Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm ~ er Pec~ V I er ISnur,ifyl t qr u0ci y ~ pr p~hur ompute nspection Fee Below p Fee SarvlceEnhenceSlxe tt Fea Fexda~s/Subfeetlo~s b Foe Circuits Uto200qm s Oto30qm s Otn30Am Above 2_Am ~s 37 to 100 qinps 31 to 100 q S Swinttning Pool Above 100_Am s Above 100_Am s Transiormers Irri tion Booms U P&r[ial~Other Fee Signs SNecial Inspection S emerks I~ ~ Nauph-in Date ~ ' r~i I, tFe~Eleebwel~ T~ 'r Insoemor, horeey rtdY ~het f~e nbove Final ~ ~^7e3O.~ inypection hes been ~ rtmde. tTM rpueat rolE 18 monilu from _ . . . . . . ~ ALL CONTRACTORS MUST BE LICENSED WITH TI3E CITY OP EAGAN GOFafbinWiurl ~~~y INCLUDE 0 SETS OF PLANS, l~l.llT 10', Q 0 CGR:II'ICATES OI' SURVEY I o F ~ SGT OF ENERGY CALCULATIONS To Be Used For: 4 Plex Valuation: ~154~@6fr Date__1-28_85 site ~ddress: q~5 WG-SC,p-iT T2a.i~ 53~'~'~~ Lot: 7 elock: ~Sect/Sub: Erect: X Occupancy: ~-I Parcel Wescott Hills Revised 2nd Addition Remodel: _ Zoning: ~Z-4 Repair: Type Of Const: 'St ~ H(L. Owner: FML, Inc. Enlarge: # Stories: 2 Move: Length: 30 Address: 885 12th St, Demolish: Depth: 3g City/Zip Code: Newport, MN 55055 Grade: _ Sq. I't.: Phone 459-4089 Contractor: ~ __EML Inc. _ Address: 885 12th SC. Assessments: Permit: Z`~2.- City/7.ip Code: Newport, MN 55055 Water/Sewer: Surcharge: 2~0,0-° - Police: Plan Rev.: ~4(n•= Phone 459-4089 Fire: SAC: _~p_L Engr.: Water Conn: 400.°= ~g}(}~n9~_ McCombs-Knutson Assoc, Inc. Planner: Water Meter (,2.`= Address: 12800 Induserial Park.Blvd. Council: j oad Unit: Z24. Bldg. Off.: y Parks: City/Zip Code: Plymouth, MN 55441 APC: TPL ~p~.10 Phone#: 559-3700 Variance: ~ (7~.Od (conao) CITY OF EAGAN No g g g g ~ , 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Reu~D~ # Te E~ ~Nd b~ 1 OF 4 PLEX Value $53~000 pote FEBRUP,RY 11 , Iq~`2 SiteAddreu 945 WESCOTT TR (UNIT 104) Erect $1 Occupancy R1 7 1 WESCOTT HILLS RL~&"ode~ ? zoning R4 Lot Block Sec/Sub. 2ND FiDDITION Repeir ? Type of Connt. V 1 fiF Parcel No. EnlarBe ? No. Sto~ies ~ FML I NC Mo~e ? Length ~ O ¦ Name ~ Demolish Depth_~$ Address $$5 12TH ST Grade ? Sq.Ft. City NE[dPORT Phone 459-40R9 Inscail ? Avo~oral~ r~e. b` Na"'e S~ME 292.00 Z~ Asuumenf Vertnit a~ Address u~ Cit Phone Water6Sew. $urcMrpe Z6.5~ V Police P~an Review 146.00 GW Name MCGOMBS-KNUT90N ASSn(` TP7[' Firo SAC 420_00 4Z Addrete 1~~00 TNp PARK RT.Vn E~p. WaterConn.~~.00 ~W Citv •YNn TTHphone 559-3700 plunner Wate~AAeter~~SO Coundl Rood Unit ~~d 00 1 hereby acknowledye thof I hava reod lhis ap0licotion and state thof g~dg. Off. 2 H 8 ~T . P. 10 6. 0 0 fho inlormofion 7s wrrecf and ogree to comply with all oppli b~e Stofa of Minnemto $tatut an~ City of E gpn inonces. APC Total $ 7 Fi 7 7_(1 ~ ~ eQ Var. Date Slpnofura o~ Dermittee ~ A Bullding Vermif Is issued to: ML IN on the expres7 condition Ifw+ oll work shall be dorx In accordonce wirh all oppli Stote of Mir~o~{ota Statufea ord Ciry of Eapan Ordironcea. r .r BuHdinp Olfidol ~~-`~~'`~-°'a'"-' ( CO~:DO ) CITY OF EAGAN No g g g p 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 7 BUILDING PERMIT RKe~7~ # 7 Te M w~d 1e. 1 OF 4 PLEX Esf. Volue $S3~OOO Dote FF.RRiIARV ],l , 19~~j 945 WESCOTT TR (UNIT 201) Erect C}~ Occupency R1 SiteAddr a ~ odel ? 2oning R4 Lot ~ elock 1 s~dsub. ~''~ESCOTT I.ILLS RL~`" 2ND ADDSTION Repair ? TypeofConst. V 1 x~R Parcel No. Enlerge ? No.Stories a FP1L INC Move ? Length 30 W Neme Demolish ? Depth 3~ Z Atldress 885 1zTH $T Grade ? Sq.Ft. ~ City NEWPORT pho~e 459-4089 Instal~ ? SF,ME Avwarab F~s~ Zo Name . Asxsunenf Pertnit o" ndd~ess 26.50 u~ Cit Phone ~Nater 6 Sew. SurcFrorqe V Police Plan Review 146.00 r'W Neme MCCOMBS-KNUTSON ASSOC INC Fire SAC 420 _ 00 ~i INp PFLRK BLVD z~ Address Enp. Waler Conn. ~ ~W CitV PLYMOUTH phone SSg-3~~0 Planner WolerMeter F~-SO < Councll Rood Unit ~ ~ d n p I hereby ocknowledpe ~hot I hova read this opo~~~a~~o^ a^d sraee that gidg. Off. 2$ 8 5 T. P. 10 6. 0 0 the inlormation is tArrect ond ogree to wmply with I apP~icoble Sfate of Minnewta Stot an City of E pan Ord' ncez. p'PC Total S1 ~ fi'77 _(lQ Ve~ Dete Sipnature of Permittee e ~ A Buildinq Permir Is issued to: FML .NC on ths expres7 Corditlon Iha~ oll work sholl be done in acmrdance wilh oll liwble 51 Mlnnesoto S~atutes and Cify of Eopan Ordinances. Buildirq Of(icial (JL~ ~~°~~~22~~J ~ (CO~i~O ) CITY OF EAGAN N~ 9 8 91 ~ ` 3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHON E: 454-8100 ~C~ ~ ~ BUILDING PERMIT Recelv~ # Te M uwd fe~ 1 oF 4 PLEX Ese. Value +553 ~ 000 pa~e FFBRUARY 11 ~y 85 945 W3SCOTT TR (UNIT 202) Erect L~ Occupancy Rl SiteAddresf ~L, odel ? Zoning R4 Lot ~ a~«t 1 sec/sub. ~"~+~SCOTT HILLS RLf~`" 2ND ADDIT70N Repeir ? 7ypeofConst. V 1 HR Percel No. Enlarge ? No. Stories ~ c FML INC N1ove ? Lengtn 30 Name Demolish ? Depth 38 ; Address E85 12TI-I $T Grade 0 Sq, Ft. a ~;ty NEWPORT pnone 459-4(1R9 Install ? SA1~1E AoY~oral~ F~e~ O Name Z~ Asseumenf Permit .00 VV Address 26.50 ~ Cit Phone Woter 8$ew. Surchorpe ~ 146.00 Polite Plan Reviaw G~ MCCOMBS-KNUTSON l-.SSOC INC 420.00 FW Name Fire SAC i~ Address 12800 IND PP..•2K BLVD E~q, WoterConn. 400.00 ~W City PLYMOUTY. phone SS9-3700 Vlonner WaterMeter 62.50 CounNl Rood Unit 2 Z 4- n 0 I hereby acknowledge fhot I hove reod fhis applicution and stote fhaf Bldg. Off. 2~ T,. P. 106 . 00 the inlormofion is correcf ond ogree fo comply w'rh oll aDP~~~oble APC Total ,S 1,() ~ Q Q Stote of Minnezota $totut an Cily of E an Idmante Vaa Date Sipnoture of Perminee ~ . A Building Pertnit Is issued to: FM INC pn the exprc53 tonditlon 1ho~ all work sholt be done in accordorxe wirh all a bla Stote of i soto Statutes ond Ciry of Eopan Ordinonces. Buudinp Ofiicict ~C w . ~ 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NO'fE: ALL CONTRACTORS MUSi BE LICENSED 1fITH T8E CITY OF EAGAN GONDON(iiJIUM INCLUDE 2 SETS OF PLANS UI~1 IT IC~q 3 CERTZFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: IOF q- PLEX Valuation: S'~,pCp.'-' Date: Site Address: ~4 5 W~~Tf Tpp.IL OFFICE USE ONLY W.h! . ~ISEX~ Lot: 1 Block ~ Sect/Sub Z"'- Erect X Occupancy Remodel Zoning ~-4 Parcel fl Repair _ Type of Const ~ I H2. Enlarge 1! of Stories Z Ouner Move _ Length ~ Demolish Depth 3 $ Address Grade _ Sq Ft City/Zip Code Contractor APPROVALS Address Assessments Permit Zq 2.~~ Water/Sewer Surcharge 2~.$0 City/Zip Code Police Plan Review 14~0.°-° Fire SAC 420 Phone 0 Engr Water Conn qp~.°° Planner Water Meter /oZ' ~ Arch./Engr Council Road Unit 2Z4.°° Bldg Off Parks Address APC Treatment P1 ~O(o.~ Variance Phone 0 i07AL ~ ? ~v . ~ . 7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOiE: ALL COlil'RACTORS MUST BE LICENSED i~ITH THE CI1'Y OF EAGAN CON I~ M ~ N I U1~1 UN~T ZO ~ INCLUDE 2 SETS OF PLANS 3 CERTZFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: ~ nr P~EX Valuation: 53,OGi0.= Date: Site Address; ~ 45 ~ESGlSn T2,AI L OFFICE USE ONLY W . H , Rl3~iSFJ~ Lot: ~ Block ~ Sect/Sub 2NO Erect X Occupancy Remodel Zoning R-4 Parcel ll Repair _ Type of Const SC ~t~R, Enlarge U of Stories 2 Owner Move _ Length 30 Demolish Depth 3g Address Grade _ Sq Ft City/Zip Code Contractor APPROVALS Address Assessments Permit Water/Sewer Surcharge 2fo.'o City/Zip Code Police Plan Review I4(~'°° Fire SAC p Phone p Engr Water Conn Planner Water Meter (02.5° Arch./Engr Council Road Unit 224,° Bldg Off Parks Address - APC Treatment P1 to~o.°-° Variance ,~,l Phone ~ iOTAL /~~~~uU - . , ~ ~~9/ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOYE: ~ALL CON'fRACTORS MUST BE LICENSED ffITH THE CITY OF EAGAN Lor.looM~N~UM Ur~liT 202 INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS w To Be Used For: oF 4~-EX Valuation: 53,QOO Date: Site Address: uE~O'iT ~ f2All. OFFICE OSE ONLY Lot: ~ Block ~ W' ~~~0 v _ Sect/Sub 2"'-° Erect Occupancy Remodel 2oning 2-4 Parcel !1 Repair _ Type of Const Y IFfR. Enlarge f1 of Stories Z Owner Move _ Length 30 Demolish Depth 38 Address Grade _ Sq Ft City/Zip Code Contractor APPROVALS Address Assessments Permit 'L~j2 0° Mtater/Sewer Surcharge 210,5' City/Zip Code Police Plan Review l4(0. " Fire SAC 426. Phone Q Engr Water Conn 4~ o.= Planner Water Meter to2.~ Arch./Engr Council Road Unit Z2 Bldg Off Parks Address pPC Treatment P1 10 Variance Phone 0 ~ / 7 ~ ~ ~L_L 1 C~:~. i, z~84 , ~ ` ~ CZTY OF EAGAN ~ ~ ~'G\ - ~ n ~~IIi AP. LICATION FOR PERMIT SES4ER AND/OR WATER CONNECTION (PLEASE PR[HT) Gj j,~ i 1) PF.OPE~I"_' ADDRESS: / ~/('~~VlJ~ l TFr=,L DESG'~I°TIC~I: 0"~~7' ~y? -Q.~.~ (LOC/Block/Su: LLivision or Ta~ Farcel I.D. ~1~:iber) ~ 1L ~'.I.;:=.ia $T-S.C^T:tE• 6c~.T' Oi' O~T_Cii It1L LVI'_DL`:Ci =~:ST IS:.~.i~~`.C.: PD~SLT .~.~~lr;~:/P?OPOS~ L~~': O~-1 Si;GL: FP_~+SLY ? R-2 DilPi.~{ (T,;U LT?ITS) ? R-3 TC'.'.~~-?CLi~E ('?T'?~ ~ L~TiTS) f L~iIZ"_'S) e~-:n?`I~`:T/CO:Z.Li~SIILtil ( WITSj ~ CCi~nL~..°.CZ3I./FtE:AIi,/OFFICc: ~ ? \'CUST?.L=~L ? Z~STI'I'C,TIO.~IAL/GGV~Sny:T 2) r1°PLIC.T w~ (PLEi,~t~~C~K. VV l. NP1•~ • J ADD.4ESS: 5 , ` - _ CITY, ST~? ~ \J ~tX~ 7;c~okX~X<%(>XXcX«>XX«(X«CY,tXtX(m8(~X~%~XC~,eXt7KXWXvR7X~X>X>XX~>k~% CITY OF EAGAN 3) pu„~~~? FOR CITY USE O4LY CASHIEF: S TERi9It~fAL N0: 7i3 ~ D(~TE: 09/21/38 TIMG: ~J:.7~:00 P~~EPS LILE45E: I Attive CITY, STA Iiiy I 1 C1 Ezpired NFlME: AZTEC fi00FING G CONST CO ~ ',~n Nat af Record ' ~ ~ ~o~°~~O arr tS'E' ni:iaT' 4~ ~,ro~~.I,~~,~,~ 2155 3U01 1i.00 32L0 3001 882 WL.~~COTT TF 39.i5 3210 300i. 345 WESCQT'T l'fi 143.i5 ~ 32i.0 9001 ~38 WESC07T TR 33.i5 CIT'l, STA' 3210 ')OtH 910 WESCO'f7 Tfi 99• i°i 3E?1A 3001. 350 WESCOTT TR 39•75 3i'_i.~ `j001 ~WI=SCOT'T TR 39. i 5 C~ 5) II:DIG.TE ;ti'HI< ' Tu'ka:l. Recei~~+, Amo~.~nt, e 665.50 CR037531 USER ID: NFlNCY X~ kc X~ m %c k~ m m # ~k ~k X ~ k~ ~X ~k ~X ~k ~k ~%~%~k X~ ~k ~Y ~X ~X xY X ~k X~ ~C 6) IIJDiG,::: C::c.: • ~'P BY O:VE OF IEGUE ~ 2, 3, 4 AFC7~ , (Circ e one) 7) SI~~'IL'RE: V V DAT'E: ~~~%'v` 5~ a~.aLi4ArJS s r ea l~:a~ !~a t.~a saa a s~~sai:~ a~[ !ls~.a~~y~~ a~~ s~a ~saa~ ~ FOR C ITY U SE ON:,Y ` ~ PED~IIT " ISSUED Frrs' $ /O. SO SFi^ic..°, n~?~~1T'y^ (I`ICL:iD~ SU~r~:'r.~Gc) $ /o. ~..~`a WATE? PERP1ZT (IP:CL'JDE JU~C.:Ai~GL~ 5 ~ SO. ~-o WATER METER/COPPEHHORN/OUTSZD° READER $ WATEP. TAP (INCLUDE CORPORATIO:1 STOP) $ /o-C. o~ S~:dER TAP ~ ~,1."r - - 1~ _ $ ACCOliVT D.F,p(~SIT - S•IATEF S ~-o_ WAC $ /G.(ie.°~ SP.C $ TRti'VK [~ATER ASSES52~!E::T $ TRliNK SES~iER :,SScSSi•1~~iT S LrITE.~1' L BE:IEFIT/TRUiIK SE?~:E~ $ LATE?2~.L BENEFIT/TRU~IK IdATr~ $ OTHER ~ $ TOTAL o--d $ .Y~ P Ai'IOL'.;T PAID/RECEIPT ~ 0 9 ~ a DOcS UTILZTY CONNECTION REQUIRE EXC~IVATION IN PUBLIC RIG'riT OF SJAY? ~ YES IF YES, THEP] n"PE3h1IT FOR ;90RK S9ITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: • APPROVED BY: ~ T I : Lc : ~.G/ ~1,~_~ • DAT_°: ~ / ~ ~ ar~ ~.s w. ~ ~ ~ ~c ~ ~a ~ts w~ w~ ~ w ws~ w ~i~ ~si~ ~t~ ~ ~ se wi+~ ~c~ w sw ~ ~ srerzorwiNnr~u~• ' DC'(`C!\7rP'i ~ ~G~7 WATEPWELLRECORO NINNi50TAUNIQUYWp(,J,NO ' j lnunq M. ~ • . /r w~YrSnW Dakota u~..~. v.~.e rase m w Tu.n'nipNumLn PanyeNUmtrr Se~mNa ir~c~m ~.'MELLOEPfHImmpMeli ~rd~ue ~ p.nW~OM1~mr~ 027 ° 23 w 14 SW° ~1~ Grout We11 a 10-29-87 Pww ~ti P.w~.n nm~ MoW Imnvam v Suae~ hWrev.m Cnr d w~li ls.im 5 DYIWUG METNOD r I IO C~We ~nl ~O M~'~v ro A"'^ V"~ r~~ct ua~~n J.~II m rnon pW .un ••X JYeI[n m~0 ~'NI ba~un ~IOr ral 5~ AV 1~ &vd I10 M . ~Aqyl' fQ~tll~ SQPor!/'lW~~ ~ ~ AEE~~wn Y~me _ _ a_ L 6 DNILUNC. RUIO , ^ „L ~ _ _ _ ~ _ Iz4 ~merr ~ USE 'w ~ • : ~ E . i- ~ ~ ~O Mmamlu eO 1Mn fmno IO ~~K - T , ~ 1:,; ' , ~.~dr ~~ro~u„ 1 I~ ldNwnEn ~ 1 d AT~iWell 60MVn~oPl ImCan~W - ' _ ~ , LI ri ~JAnCaMnm~q IIO r , ~ tl C~SING NOLEDIAM ~ ,~r4-~ ~L'2]OC' NEIGNT:AEON&la. 7 YYOYEXtYO'~NEPSVAME 1O0i"~ ~n°`~`~ SuNn J. M. S. ConStLUCtlOn m~•'•~ ~"'r1°~ o,,,., sn„~ r~ t+o___ ,+m•~• 945 Wescott RcxZd an,.~~~ co , ~ ~ 'FdCJdIl~ M].T1C1. m.~o 1~ w<~i iY.m. ~n ~c-:~ NANpNE 1 in io 11. Wa{Ni IY/h. _~n Io~J~ ~ p~ iUYMATION LOG COIAR pONMATION ~~M TO in.lo 11. W~V~~ ly/ft ~Jn. ~p...~~ Grout Well 4" Well A r x. 120' De 9 SCIIEEN a^~^~ , ~s MiYe Tr~ P~ ` ~ g (irs, • Labor 2 Men & Ri . . . $biG~uv FI'R~ ' 6~ Ha S C2ment s.~ e.~.R~ - a.ro _ • ~ ' ~ lo SiATIC w'~TEN LE"EL ~ Ba Bentohite ~ o ae. o.m.• o.,. M....,b ' . I I. PUMPING IEVEL lbbW ~~M wrlul • . . • ~ ' • . - 16 din hn. OumwN I o m M~.pumPN [DT. M1. dln - ~ , Ii.NEADM'ELLCOMYLETION , . • 10 Rile~~ Wp~n, manulinu~w . . 1p B+r.n~n~ dl~n Y] k~u If" ~GOw ~rwN . IOPI+~ii<uuNP~en • . . 17 wELLGROVTED' OYn Otb IO Ne~i Cemem ]O Bm~miu D e~w~ mne.u~ Uom ~~o~ n. c~ ra.~- I~ NEAREST SOUPCES OF POSSIBIE CONTAMINATION ~ , ~ __len ~-dinn~on ~Yn~ wd~a~u~~asd~o~~^d.~~! orn aNO ~ . • . . ~ . IS PVMP ~ a~. U.~,~ka ~ a ra ~~.~.iw ' ~ . . . Muiu4nwv'~ ~ume ~ ' . . Modelnum~er NP_Ydr . . • . {~M~ d d~W dR I~. of~~p Lo-m MnanltlAmOpR . . TYM 10 Subnau4k D LS Twa,r f~ WvPm~~^t . 7qlri ~OCm~nfupl 6O . ' 14 ExISTING'MEU3 ' . Vnurd rsll m pqe/~Y' ? Yn O Mo ~ ~ 6'v ~ ved J.rr. J.~dd ~yb~ O Pam+nnl O Tempsv~ O Na rt~w . U V(MTYFS EIE~'ATION.SDVYCEOFpATA,n[. ~ ~S WATEY WELLCOhTWCTONSCEFLIjIUTION . , T11~~ ~lII GNI(A Y~dli T~ IYlIW~L~~On \IN l~t~ I<psl IIV IO IIV GI W TY . ~ I „ . . . . . lrorladpe ~M Ot~id. n-~ni S'['()DO A t~u'i T DR i T TI~Y: CO: TT~r 17 . I,ri.r~ Bu~w N~v . AdAre , W ~:-i~~:~. A ~ a.10-29- . Au~Iw~W PePernuuw a~ . ~ ~ i Name d P+IN • . • LI~lOY u(~~/ p~/ LI~]W y.rl. '~1.. •:5:~';.w.'__':.~'..11oM ~Of" 1 ' . ' ' semxwm ~o.. mna. . r. . . ' ;;n ad! PERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u z ~ o z N ~ Eagan; Minnesota 55122-1897 Permit Number: 033326 (612) ~81-46 i~ Date Issued: 0 9/ 21 / 9 8 SITEADDRESS: 945 wESCOTT TR LOT: ~71 BLOCK: 1 WESCOTT HILIS REVISED 2ND P.I.N.: 10-83611-071-01 DESCRIPTION: REROOF/a PLEX Building Permit Type STORM DAMAGE Buildirig Work Type REPAIR Census Code 437 ALT. NONRES. REMl~RK~~S~oes: uNSrs 202. 103, AND 104. FEESUMMARY: va~ua-rroN $e.e00 Base Fee $149.75 Surcharge $4.50 Total Fee $159.25 7fZ~TG~-FF~O~YKG - APP 128950040 20139140 ~wESNoRT HILLS LTD PARTNER 11583 RUPP RD 945 WESCOTT TR BURNSVILLE MN 55337 EAGAN MN 55123 (ti12) 895-0040 ~ (651)701-3436 I hereby acknowledge that I have read this application and staCe that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and CLty oF Eaqan Ordinances. ~ ~ ~I APPLICANT/PERMITEE SIGNATURE I/ UED BV: SIGNATU - a l-~~ -3 ~ -3 ~ ~ 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN ~ y Z-7 681-4675 Submit fo~nwirr "ro obtain necessa permit /~L~ J Foundation Onl New Construction Interior Im roverr~ent structural ptans (2 sets) erchiteaural plans (2 sets) architeetural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code anatysis " code analysis (1) " civil plans (2 sets) projeG specs (1 set) soils report (1) landscaping plans (2 sets) Key Plan projed specs (1) code analysis (t) " anergy wlculations (1J nd aAvays " Special Inspections & Testing Schedule " soils report (i) Electric Power 8 Lighting Fortn (7) not ahvays " SAC determination letter from MCANS - SAC delermination letter from MCANS - SAC detertnination letter from MCNJS - wll 602•1000 call 602-1000 wll 602•1000 Special Inspections 8 Testing Scheduie (1) " projecl specs (1) energywlwlations (t) " Electrie Power 8 Li htin Fortn (1 " " Contact Building Inspections for sample Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 2150700 for details. DATE: "I ' I I'"l c7 „ n,~ WORK TYPE: ? NEW _ REMODEL ~e~,~ a-o i, a ~ a, I o~ ( 0~ DESCRIPTION OF WORK: Q . ~ m-.~ CONSTRUCTION COST: Sf L-I ~q .~'1 LL TENANT NAME: ~ f ~ c~. - - SITE ADDRESS: ~~I C( ~ 9G, /'Q~~_T f~ ~ SUITE 6 LOT~~ ~ BLOCK ~ SUBD. U~2JU~ L~ I~ ~~S `2Q~~S P.I.D. # N~,e:~~Cclt~-/~115 L;mi~J-~6Q~{-~eg~~A Phonett: 7DI~~~°~1n PROPERTY Last First OWNER StreetAddress:~`7~ I~LJ~rV~n.(9~ ~ie h~/~ City Y 1 State: Zip: V~ J~ z.~ Company: C 0~~~ Phone ~~-I CONTRAC7OR ~n f, Street Address:1 License # z~~iJ` l~'7~ CitS' ~IIF' / 1~CJ~~/r/~~ State: ~ Zip: ~~~i"J~'~ ~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (only if instaliing sewer 8 water): I hereby acknowledge that I have read this application and state that the infortnation is corred and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: /JG/I"~!'~~~ r L~IYU//~ OFFICE USE ONLY BUILDiNG PERMIT TYPE _ . ? 01 Foundation ? 19 Comm./Ind. Misc. ? 21 Miscellaneous O 18 Comm./Ind. O 20 Public Facility WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. _ MC/WS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. Census Code # of Stories sq. ft. SAC Code Length sq. ft. Census Bldg. Depth Footprint sq. ft. Census Unit APPROVALS Planning Building Engineering Variance Permit Fee '~I ~1- -J Valuation: $ Surcharge ~I . ~ Plan Review MC/WS SAC City SAC Water Conn. S/W PeRnit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: 1 . a. ~ % SAC SAC Units Meter Size C c~ ~rn t~~~-f r c,T , , , 1t~Sl~[AL BUILDING PERMIT APPLICATION CITY OF EAGAN /1 ~ 3830 PILOT KNOB RD, EAGAN MN 55122 U 651•681-4675 2 - l 5, a~-_ New Conatruction RauuiremanG Remode1lRaoair Reauirements • 3 registered sile surveys showing sq fl. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan (20% maumum lot coverage allowed) . 1 set of Eneryy Calalatians for heated additions . 2 cop~es ot plan showirg beam & w+ndow srzes; poured Found desgn, e[c.) . 7 s~te survey for exterior additions 8 decks . 1 set of Eneyy CalculaUons . Indmate A home urved by septic system for adtlNons • 3 copies of Tree Preservalion Plan d lot platted after 711f93 . Rim Joist Detaii Options selection sheet (bldgs wiN 3 or less unrts) a~ DATE I l 1 2n /0 Z VALUATION 1 i a~y If ~ ~I-~~ SITEADDRE55 ~`IS ~,~4~n~"-('T~'AIL- MULTI-FAMILYBLDG_Y _N TYPE OF WORK~~~ -~pC~~ FIREPLACE(5) _ 0_ 1_ 2 . APPLICANT_ 1~ 1~uS f1) ~ ~,~„L nG~ e/~ STREET ADDRESS l77/.~ lZ~ Av~ l't~ CITY l~~y~no~~ STATE ZIP TELEPHONE # CELL PHONE # lo/a-3aF -~Y3 5~T F X PROPERTYOWNER ~i4 /~/~i~%~/n2?~~ TELEPHONE#loS~-~o~~-6 ~`~Z- COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI\YL50"C:1 RliLGS 7674 C,KCLGOItS' 1 MINNE50"fA RUI,I:S 7672 submission type) . Residential Ventilation Ca[egory 1 Worksheet Submitted . New Energy Code Worksheet Submitted • Energy Envelope Calwlafions Submitted Plumbing Contractor: i__________ Phonc # Pluinbing s-ystc~n includes: ~Vatcr Softener _ Iawt~ Sprinkler Pee: $90.00 ~Vater Hcater No. of R.I. Baths - v o. of Baths Mechanical Contractor: Phone # Mecliviic:tl syste~n includes: :~ir Conclitioning Pee: $70.00 Hcat 12ecovcry Systc~ii Sewer/Water Controctor. Phone # , ~ ~ ~ ~'~I~ ~I NOU 2 0 20G2 p I' I hereby acknowledge that I have read this application, state that the information is corre , a d agree to comply ~ with all opplicable State of Minnesofa Sfatufes and City of Eagan Ordi ces. g~~ _ Signature of Applfcant _ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received ~ Not Required _ Updated 4l02 OFFICE USE ONLY , _ , ? 01 Foundation ? 07 O5-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 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex P~bg_Y or _ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interiorj ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement 'Demolition ~Entira 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) ! FinaVC.O. _ Footings (deck) _ FinaWo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & 1Vater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ RL _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatmen[ Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 83611 WESCOTT HILLS REVISED 2ND WESCOTT TRAIL (PAGE 3 OF 3) 937 ]0 83611 O51 O1 l1NIT 201 (4-PLEX) 052 Ol UNIT 202 053 O1 IJNIT ]03 054 O1 iJNIT 104 938 10 83611 045 01 (4-PLEX) 941 10 83611 061 O1 iJNIT 103 (4-PLEX) 062 O1 LJNIT 104 063 01 iINIT 201 064 01 LTNIT 202 942 10 83611 O15 O1 (4-PLEX) 945 10 836ll 075 01 (4-PLEX) ~ 946 10 83611 021 O1 IJNIT 103 (4-PLEX) 022 O1 iJNIT 104 023 O1 UNIT 201 024 O1 LTNIT 202 949 10 83611 081 O1 LJNIT 103 (4-PLEX) 082 01 LTNIT 104 083 O1 [JNIT 201 084 O 1 CJNIT 202 950 10 83611 035 O1 (4-PLEX) 17 ' city oF eaqan January 20, 2004 PAT CEAGAN Mayoc JONATIIAN SCHL7MACHER 4885 ERIN CIR PRIOR LAKE IvID1 55372 PEGGY CARI.SON CrivDEE FIELDS RE: 945 & 950 WESCOTT TRAIL M[KE MAGUIRE Dear Mr. Schumachec MEG TILLEY Thank you for the steps you have taken to complete repairs on Ihe aforementioned pcoperties: Council Members On January 15, 2004, an inspec[ion was made to verify tha[ repairs reques[ed in our letter were comple[e. As of that date, the following items remain non-code wmpliant and need to be repaired: THOMAS HEDGES- Ciry Adminis[racar ~ - -945_WESCO.T_T_TRAIL • A handrail mus[ be installed on one side of each stairway with a retum to the wall of no[ less than 34" nor more than 38" above the nosing of treads. (inrerior and exterior). See attachment • Exterior light fixtures must be in good condition with working bulbs and covers. Municipal Cmcer: 950 WESCOTT TRAIL 383o Pfloc IO,ob Road ~ p handrail must be installed on one side of each stairway wi[h a re[um to the wal] of not less [han 34" Eagan, MN SSt22-1897 nor more [han 38" above the nosing oftreads. (inrenor and exterior). See attachment Pho~~: G51.C,75.5000 . Exterior light fixtures mus[ be in good condi[ion with working bulbs and covers. Fax: G51.G75.5012 This letter is [o advise you that these repairs must be made by January 31, 2004 ot the City may issue a TDD: GSt.454.8535 citation to you. Please call 651-675-5675 to schedule an inspection once repairs are complete or if you have any questions regarding this request, please con[act me directly at 651-675-5679. Mvnce~ar~« Fauliry: Your effor[s to resolve [hese issues are greatly appreciated. 3501 Coachman Poin~ Sinc0I01y, Fagan, MN 55122 Phon<:651.G75.5300 ~ Fu: GSt.G75.53G0 Terry Zelenka Building Inspector TDD: G51.454.8535 TZ/js www.~iryof~.com cc: Dale Schoeppner, Chief Building Official THE LONE OAK TREE . The rymbol oEstmngch and growth m our communiry 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan $ a a~-~~ ~-~j c~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellReoair Reauirements Offce Use OnN 3 registered site surveys showing sq. tt. of lot, sq. ft. ol house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Ene~gy Calculations for heated addiUons Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam 8 vrindow s¢es; poured found desgn, etc. 1 sAe survey for addAions 8 decks T2e Pres Required _ Y_ N 1 sel of Ene~gy Calculations Adddion -ind~cate ilrn-sde septic system On-sAe Septic System _Y _ N 3 copies of T2e P25ervation Plan if lo~ platted afler 711193 ~ Rim Joisl Detail Options seleIXion sheet (bidgs wtth 3 or less unds Date `T l~ 7 / U`~ Construction Cost U D l~ Site Address L1lw= f~i v~-~-- ~ Unit/Ste # % ~ ~ . Description of Work ~~f?v Multi-Family Bldg i/Y _ N Fireplace(s) _ 1 _ 2 PrapertyOwner ~O~-J ~'fu""~~'~~fLd'c~ - /-TSS~C.i3~Telephonek(lo~L ) 7L0 -~~ov r'c Contractor ~i'?-~t~? S~ Address ~~~s ~"-it, L L Ci~Y L~ State Zip ~S U 7~' Telephone #((p~ 1) `~S 7- SU /U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet submission type) Submi~ted Submitted • Energy Envelope Calculations Submitted Have you previously constr~cted a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone D~) l5 O u~ I hereby apply for a Residential Building Permit and acknowledge that the info a ion is complete and ccurate; that the work will be in conformance with the ordinances and codes of the Cit f E of MN Statutes; I understand this is not a permit, but only an application for a permit, an 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. ~/1/I~ ,~„L `/~/~G~~ ApplicanPs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? ~8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~R. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Oemolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Altera6on ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # 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 Dnin Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.1. Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge ~ Plan Review MGES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ~ ~ U ~ 3 9 0~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimdion Reauiremenis RemodeVReoair Reauirements Oifice Use Only 3 registered sile surveys showing sq. ft. of bl, sq. ft of house; and all roofed areas 2 copies of plan Cerl of 6urvey Reqd ~ Y_ N (20%mazimum lot coverage allaved) 7 set of Energy Calculalions for heated additions Tree Pres PWn Rectl _Y _ N, 2 copies of plan shovring beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons & decks 7ree P. res Required " Y_ N 7setofEneyyCalculafions Addifion-indicatei/on-s8esepticsystem OnsiteSepticSystem,___;,.,,.Y~_N 3 copies of Tree PreservaGon Plan ii lot platted afler 711/93 Rim Joist Detail Optlons selection sheet (bldgs with 3 or less unifs Date "7 / ~ r7 / ~ / / Construction Cost ~ ~ . u ~ Site Address ~'J ~~S ~ ~ ~ v''"'~ ~ UniUSte # Description of Work ~ ~Ui ~ i) ~yt /~.~r -r Cil~t~ ~ `G*J ~ G/~ KJ~ Multi-Family Bldg _ N Fireplace(s) ~0 _ 1 _ 2 Property Owner ~~~J ~~'v ~ r+ c~ c F 2 Telephone Z)~~°U ".6G O d Contractor ~~~"~f ~ Address ~ y~'-~ ~ l ~7/ c` City Z G!~ State ~J ~ Zip S' S O 7 L. Telephone 7- j O/~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) 2 Sewer/Water Contractor Telephone # D ~ ~U' ~ ~ " ` I hereby apply for a Residential Building Permit and acknowledge that the inform ion is complete and a curate; that the work will be in conformance with the ordinances and codes of the City of MN Statutes; I understand this is not a permit, but only an application for a permit, an 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. /y, ~-s ~G2~ ApphcanYs Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. 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 ? O6 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous Work Types O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish FoundaTion ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Fteroof ? 46 Windows/Doors ? 34 RePl2Cement 'Demolitian (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) _ FinaVC.O. Footings (deck) _ FinaVNo C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco _ Srone _ Brick _ Fireplace _ R.I. _ Aic Test _ Fina] _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ~ ,i'~~~ ~ ~0.5C~ 2007 ~SIDENTIAL BUILDING PERI~4IT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 5~122 Telephone # 651-675-5675 FAX # 651-675-~694 New ConsVUCtion Reauiremen[s RemodeVReoair Requirements Offce Use OnM 3 registeretl site surveys showing sq. ft. 0110~ sq R of house; and all wofed areas 2 copies of plan showing fooungs, beams, joists Ceri of Suney Recd _Y _ N (20%maximum lo~ coverage allowed) 1 sel of Energy Calculahons for heated addiUOns Soils RepoA _ Y_ N 1 Soils Report if proposed bu0ding is to be placed ai dislu~bed sotl 7 site survry fw addi6ora 8 decks Tree Pres Plan Recd _ Y_ N, 2 copies ot plan showing beam & window srzes, poured found d=sgn, etc. AddAion - mdicate il oo-srte septic syslem Tree Pres Reqwred _ Y_ N 1 set of Energy Calculations On-site SepLc Sys[em _Y _ N 3 copies of Tree Preservalion Plan Hio~ platled after 7/1/91 . Rim Joist Delail Options selection sheet (buldings wiN 3 or less un~s) Minneqasco mechanical venWa4on torm Date~/ ~ ~ !~~J ~ ~ Cons[ruc[ion Cost ~ ~ J(/V Site Address ! ~ ~ S C o ~ ~ ~ /L UnitlSte # G EA/E~f R L C G c'A/? • Descriptionof\~1'orl:~ ~OOR r/x~~ Pc~C~LfI-~C~E~' Multi-Family Bidg ~ Y _ N Fireplace(s) 0 _ 1 _ 2 PropertyOwner (,f//GL ~ / ~L= L,jG A1 Telephone#(95.21 ~Sy-~~95 Con[ractor ~ N E"'/4"gL E /~r/ y/ES Address Lf 3/0 (.L ~~f°`~- S~, City .S'~ vqG E state /1/ zip .5"33 7 Telephone # (E2) 36 3 - S ~ ~S . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy Code Category , Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submitletl Submitted • Energy Envelope Calwlations Submitted In ihe last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechonical Confractor Telephone ) Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinauces and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pennit, but only an application for a permit, and work is not to start witliout a permit; that the work wi(I be in accordance with the approved plan in the case of work which requires a review ai~d approval of plans. D~ N ~ssG ~ l,~-,~ ApplicanYs Printed Name Applicant's Signature , DO NOT WRITE BELOW THIS LINE Sub TVPes ? 01 Foundation ? 07 OS-plex 13 i6-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling O OB O6-plex ? 16 Fireplace O 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 ? 70 OB-piex O 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 64-plex ? 12 12-plex ? 25 Miscellaneous Work Tvues ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement . 'Demolitlon (Entire Bldg) -Give PCA handout lo applicant D2SCflpllOfl: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units ' Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaUC.O. _ Footings (addition) _ FinalMo C.O. Foundation HVAC Drain Tile Other Roof _ Ice&Water _ Final _ Pool Ftgs AidGazTests Final _ Framing _ Siding _ Stucco Lath _ S[one Lath _Brick _ Fireplace _ R.1. _ Air Test _ Final _ Windows Insulation ~ _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S8W Permit & Surcharge . Treatment Plant License Search Copies Other Total I Foe Office Usie7 ~ ~ Permit#~ V ~ C x City of Ea~a~ I . vJ ~ 3830 Pilot Knob Road • ~ Permit Fee ~ Eagan MN 55122 ~ Date Received I Phone:(651)675-5675 ~ I Fax: (651) 675-5694 ~ Staff: ~ L--~__--__~_---_~_~ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:~G VL{ ~Y Site Address: Tenant: ' Suite RESIDENT 1 OWNER Name: ~)r I 1~~ I I E'S'-yJ Phone: d- y~~f Address ! City / Zip: ~7 ~ (,.9Q5 ~ ~ ~ ~ / ~ CONTRACTOR Name: S~ I L~' p~(,iwi" L~ License d~~ Address: ~v S ~ ~ l r`' `i~~SY' City: , J~ f~`'C Q State: d~s`~ Zip: S J 3 7~ Phone: ~ l~ ~G 7/~ Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESlDENTIAL Water Heater _ Water Softener Lawn Irrigation Add Plumbing Fixtures ~ RPZ PVB) ~ Main _ Lower Level) SepticSystem _WaterTumaround New _Abandonment ~ ~G~ a C~FUJ~,~ LiCJ RESlDENT1AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) 'Water Turnaround (add $147.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 lhe work will be in accordance v,rinth lhe approved pl///an in the case of work which requires a review and approval of p, s. X dJ~~~ V C X ApplicanYs Printed me ApplicanYs Signay re FORAFFICEUSE Reviewed~By: ~ ~Date: _ _ Required In"spections: . =Under Ground . _Rough-Inz ~ ~ Air Test '_Gas Test; ;~_Final ~ ~ ~ ,5 - City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 08 2010 Use BLUE or BLACK Ink Permit #: f-33 Permit Fee: 1, 17 Date Received. / / 0 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date{ f l/t /0 Tenant: Site Address: 'VT def,cvr.- /72c 7c-74-64-, ft/ti c/' //&ci Suite #: RESIDENT / OWNER%/�/� •{ Name: Na ` UVz_p • Phone? a q (7 n O Address / City / Zip: Deros--- (.__i,I, /n (. • dt vie SJ -137 (/ Applicant is: Owner C ontractor TYPE OF WORK Description of work: (.41 d2. Oi ° iT �� liZ. r / Construction Cost: /C/e 0C U Multi -Family Building: (Yes / No ) CONTRACTOR Name: N@C. / ' iC [, License #: Address: () O/ 0f £1 L 14-7-_, a City: gig:IV State:'YP_— Zip: ..P-3....5- ? Phone: W-7 �1 ?i06 Contact: Q g Email: d, / r Ale r COMPLETE In the last 12 months, has If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documaents.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' x`, conclude that they; are trade secrets. :_ .. 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.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in con Eagan; that I understand this is not a permit, but only an application for a permit, and work accordance with the approved plan in the case of work which requires a review and approval o x fZ4JTApplicant's Printed Na x Applic• is Signa nce with the ordinances and codes of the City of start i hout a permit; that the work will be in Page 1 of 2 qq- DO NOT WRITE BELOW THIS LINE 93 3 SUB TYPES Foundation Single Family Multi 01 of .j Plex Accessory Building WORK TYPES New Addition ,C Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% $ ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair tc V6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Fireplace: _Rough In Air Test Final Insulation Meter Size: Reviewed By: Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL b't\t=7- 3/ '3b1OOM conA 5on-tacoivii5 C (-J c 4- 0 — 2-(1 O Y) o 11vv- "It./Z2,�i.T. own, Ott-. ",-i 3 3 3 v // LOD czf' f fl Oma 2-yvjC 12 o X*- Page 2 of 2 y,.r�v