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583 Worchester Cir . . . . _ . _ c -A..nyu-"~.'." '~.f: . . . . . . (Strtifiratt of (Orrupanry ~ - titp of (Cagan arptrtmmY of wutlding jnaprrtina This Cert~'ficate rssued pursuanl to the requirements of Section 306 of the Unijorm Building Code certifying thal at the uine of issuance Ihrs slructure wns in compliarrce with tlle various ordinances of the City regulating building rnnstruction or rese. Fos the follawing.' u, CLsiGndoe -SF IWG'CyAR Blde. Ilrmit No. 16 199 pocumuc,y 7ypc FA/M I Zoniy piari~.y PD Typc Camt, VN Owner of B,;,d;,- RSiH HMS Add.55516 19(TIH ST B. PRICR LM . RWMnj Ammm 583 WmowlFR no= 1.~. 13, B I, HILLS CF SIQENUID(£ ~ ~6: o.~; MAY 18. 1989 r P03T IN A CONSPICUOUS PLACE . DATE: 3/15/89 . . : RE` 583 fiORCHE3T88 CIA.. L13, DI, R1I.i.8 OF STOliEdR1DGE xx You Sewer & Water Permit for the above property has been completed. It wiil be heid at the P Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO ~ LL PUBLIC WORKS (454-5220) FOR YOUR PERAAANENT WATER TURN ON. ~our Sewer & Water Permit for the above property cannot be completed for the following b asons: ~ r. ~ Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot ~ be iasued or occupancy allowed untll further notice. COMMERCIAL PROJECTS QNLY: Please pay for meter at City+ Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing InspeCtors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TEIEPHONE, ELECTRIC, GAS, ETC. - REDUIRED BY LAW. CONTACT COMIMUNITY DEVELOPIIAENT DEPARTMENT FOR WATER TURN ON POLICY. i Secretary, Building Inspections Dept. DATE: 3115/89 ' RE. 583 WORL'HESTSR CIR., L139 Bl, I1LLS DF' STONLBRIDGE , XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Put&c Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO Ci4LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. v , ' Your Sewer & Water PeRnit for the above property cannot be completed for the following Tteasons: ~ Your Sewer 8 Water Permit for the above property has been oompleted, but the meter cannot be issued or occupancy alfowed untfl further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbirtg lnspectors - 454-8100) befo?e issuance, WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. I - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. ' Secretary, Building Inspections Dept. REACTIVATE FOR DECK-PLAN REVIEWED 6/1/90 Q , TOM DOWNING CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # - To be used for Est. Value $99 ~~~oo Date HARGf'' 15 . 19 8y Site Address '0 ~~i:5 ik, U 1 r Lot BloCk 1 SeC/Sub. $7a.N~ ' ~ OFFICE USE ONLY Occupancy R"3 M"1 FEES Parcel No. PD Zor"ng ~~)consi Bldg.Permit 536.UC~ ~.}W Name =i Eff1M~S (n Address t Tit .'Z F (Albwable) 49.50 ° 440-6900 ~ of stories Surcharge Clty Phone Plan Review 31$ . (?t3 Length ~ Name Devm ~ sac, city lUU. ( Ui AddreSS S.F. Total - SAC, MCWCC 575• Clty PhOrl@ S.F. Footprints - 54:* u.00 On Site Sewage _ Water Conn W W Name on site wen Water Meter 90•00 Address Mwcc syste~+ ~ 30*Q~; i~ ~ City Phone City water xx G.IDO PRV Reqwred _ SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S: W Surcharge 1•oo information is correct and agree to comply with all applicable State of i, v~~ Minnesota Statutes and City of Eaqan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit 340. QQ A Building Permit is issued to: R S H IiOM£o Pla""ef - Park Oed, on the ezpress condition that all work shall be done in accordance with all Cou^c"l applicable State of Minnesota Statutes and City of Eagan Ordinances. gWj, pff. _ Cop'es Building Official Yariance - TOTAL 2 ~ ~ J ~ ~ ~ ~ ' v.rmn No. wrn~n Howsr o.c. r.lepnoM # WATER SEWER PLUMBING n L H.V.A.C. ecx' 3IlI ~7 eLEcrRic Cl'i CV • '71k Inspsedon Dote Msp. Commenb Faodrgs I -?1 d ,'Y !dlc,~ F~r4atw 3- z 3-8 Ds ,,.c e ~'m.- ? Freming / ~ c..i • it~ , ST ~ R Roofing R«* P". R.* Mg. i7-fy y/s~/9u J3 ? fdw isui. 2v B 60 Fireplace ' Final Hlg. Final Plbg. ~ - Const. Meter Plbg. Inspecta - Nodfy Plumber i EngclPlan Bldg. Final Dedc Ftg. ~ • G ~O D Oedc Fnal weli Pr. Disp. . / y PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EA(iAN ' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE i CONTRACT PRICE PHONE: 454-8100 Site Address 581 BLDG. TYPE WORK DESCRIPTION Lot t~ Block ~ Sec/Sub 'rt.,t.,S OF ST011JFRRID3L Res. X New ~ Name RLRNSVI'~LE HEATZNG & AIS Mult Add-on ~ 12481 RHt?DE ISLAND AVF. Comm. Repair Address Other c City SA'JAGE Phone 391-0005 7`~ HCMES, TNC. FEES I L Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEfiNllT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT. BLDC'aS, - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIflENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM g STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ~ & BEYOND $1,000) X)ther ' FEE S/C: SIGNATURE OF PERMITTEE TOTAL• ^ ~'FOR: CiTY OF EAGAN PERMIT p PLUMBING PERMIT RECEIPT # ' ' • CITY OF EAGAN 3430 PILOT KNOB ROAD, EA(iAN, MN 55122 DATE: CONTRACT PRICE PHONE: 451-8100 Site AddreSS • ~BLDG. TYPE WORK DESCRIPTION lot - Block ~ Sec/Sub Res. -k'New Mult. Add-on ~ Name ~Xt , r ' ~ Comm. Repair ~ Address Other c City <Phone ~1 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ~ Name Water Closet - $3.00 $ ,~8ath Tubs - $3.00 c Address Lavatory - $3.00 p City Phone Shower - $3.00 ~ Kitchen Sink - $3.00 FEES --,-Urinal/Bidet - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.Q0 ' APT. BLDGS - COMM RATE APPLIES f Floor Drains -$1.50 ` TOWNHOUSE & CONDO - RES. RATE APPLIES ' Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ' Gas Piping Outleb - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 , r• y ' Rough Openings - $1.50 ~ SIGNAT46RE OF PERMITTEE r FEE: ~ STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: . , _ I SEWER & WATER PERMIT OFFICE USE ONLY , CRY OF EAGAN PERMIT DATE 311~189 3830 Pilot Knob Rd. WATER PERMIT # 10 SEWER PERMIT # ~ P.O. Box 21199 C 1] 64 I Eagan, MN 55121 ,METER ~ B.P. RECEIPT ~ # B.P. RECEIPT DATE 3115189 - METER SIZE °c - ISSUE OATE PRV - BOOSTER PUMP SITE ADdRESS ~ PERMIT REDUESTED LOT lat-BLOCK ~SEC/SUB 14i U-S OQ 'C.... APPUCANT: k '-3- N~ F~d w.-t SEWER ~ WATER - TAPS ADDRESS: F~L COMM/IND RESIDENTIAL CtTY, STATE ZIP PHONE: LfreZ~ OC) NEW - EXISTING PIUMBER: ADDRESS: Z` `Q I AGR E TO CO PLY WITH CITY OF CITY, STATE ZIP EA OR S: PHONE: A-lq ' OWNER: QC`W . / J ADDRESS: TURE W MET71SU D CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , ! _ , SEWER b WATER PERMIT OFFICE USE ONLY CITI( OF EAGAN PERMIT DATE d f ~ s 1 3830 Pilot Knob Rd. wnTER PERMir # SEWER PERMIT # P. O. B O x 2 1 1 9 9 METER # B.P. RECEIPT O Eagan, MN 55121 A READER # B.P. RECEIPT DATE METER SIZE ~ ISSUE DATE - PRV - BOOSTER PUMP SITE Ag pRESS PERMtT REDUESTED LOT 1:'BLOCK ~SEC/SUB ' SEWER ~ WATER _ TAPS APPLICANT: 10 Zn,, It ADDRESS: ~;ti~al ~4 t~~ COMM/IND ~ RESIDENTIAL CITY, STATE uc-.~ ZIP PHONE: NEW - EXISTING PLUMBER: ~i Le- -sJ! ADDRESS: 1 AGRQE TO CQMPLY WITH CITY OF CITY, STATE ` Y- • Zip EA AN ORDIIIANC~S: PHONE: ^ + ~ OWNER: L-t ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP i PHONE: I PLEASE ALLOW TYVO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CaIYTACT ENGINEERING DEPT. `J ~ ~ CA81-IfiECEIPT CITY OF EAGAN . 3830 PILOT KNOB ROAD ~ EAGAN, MINNESOTA 55122 ~ 19 P ~ i ~ ~ ~moM ~ { L ~ AMOUNT s (L 8 D0K1ARS ~oo ? CASH 0 CHECK v`~ 'k ~ FUND dBJECT ~ AMOUNT Thank You ~ ev -t C Whft--P•r- Cwr Yeqow--Pastlny Copy Pinr,-FMe Capy . r.1,. x...,ss.; .~.r- nw. . r ~ ~ •~r esa+. . . . „BLDG. PERMIT NO. Q i - 'Oi -3210 Bldg. Permit . 01-3422 Plan Check ' 01-3445 Surch./Adm. 0.1-3446 SACIAdm. ~ ? - 01-2155 Surcharge 75-3860 Road Unit C) ~ O 20-2275 SAC - 20-3865 Water Conn. - 20-3868 Water Trmt. C, J, ~J 20-371 fi Water Meter r' y 0 0 20-2252 Acct. Dep. 00 20-3713 Water Permit ~ 0 i 20-3743 Sewer Permit I L) C' 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To 6e used tor OE' ONG f GAH Est. Value $99• Qn0 Date ~~Cm 1 r , 19 8~j Site Address 563 RCH Lot ' , 3 Block I~ Sec/Sub. OFFICE USE ONLY Parcel.No. Occupancy R-3 -ti-j FEES Zoning pD W.Name R 3 M H014Ea (nauaq consi -V- N sUdg. Pemit 635.tiu ~ Address 5516 18OTH gT E (nuoWabia) 49. S(~ Surcharge Icity pK IOR 1.AY:-E Phone 440-690C # or stoqies - Plan Rev'iew 318-00 Length ; ~ w. ? Name ~ -oeath - snc, ciry 100. oi Address S.F. Total - gqC, Mcwcc S•~ r Ciiy Phone S.F. Foolprints , on site Sewage _ Water Conn 580.00 t;W Name On Site Well - Water Meter 90•00 t= Addfess MWCC System ~ ry ~ Acct. Deposil Q ~~0ti . <W City Phone Ci water PRV Required - S1W Permil 20,00 I hereby acknowlege that I have read this application and state thal the Booster Pump - Syy Surcharge 1•M inlormation is oDrrect and agree to comply with all applicable Stale of Minnesota Statutes and City of Eagan Ordinances. 7reatment PI 228•00 Signature of Permilee APPROVALS Aoad Uriit 340.00 A Building Permit is issued to: R S.": HQ2iES Planoer - Perk Ded. on the express condition that all work shall be done in accordance with all Coundl - applicable Stale ol Minnesota Statutes and City of Eagan ordinances. gldg, pry, _ Copies Building Officia! Vari2ince - TdTAL 2,907 . 5~' ..?•~T3..~ -..F~~. ~ •~1..a'C.~~:;ty~-a,~~ ~ PERMIT # ~ MECHANICAL PERMIT RECEIPT N CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE % I CONTRACT PRICE ~ PHONE: 454-8100 I Site Address 60 BLpG. TYPE WORK DE3CRIPTION I LOtBI k Sec/Sub;. Res. New i m Na - - - Muft Add-on ` Address " Comm. Repair y CitY 1 v~ hone ~ o~, , i. ~ FEES ~ Name RES. HVAC 0-100 M BTU - a24.00 c Address ~ ADDITIONAL 50 M BTU - 6.00 3 (RES. HVAC INCLUDES A/C ON NEW O Ciry Phone CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. fiATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ~ M BTU MINIMUM COMMERCIAL FEE _ 20.00 Vent CE~ STATE SURCHARGE PEfi PERMIT .50 (ADD $.50 5/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SI70XIZ EE TOTAL: ~ 5 FOR: CITY b F EAGAN RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Canstruction Reauirements RemodeVReoairReauirements • 3 registered sita surveys showmg sq. ft of bt, sq, it, of haue; anc911 roofed areas • 2 copies of pian (20% marimum btcoverage albwed) . 1 setof Energy Cahlalions for heated addi9ons • 2copieso(plan shawingbeam&windowsizes;pouredfounddesign,etc.) . 1sitesuneyfore#eraraddifians&decks • 7 setof Energy Calculations • Indipte if home served by septic system iw additions • 3 wp'ies of Tree Preseivation Plan if bt platted after 711193 • RimJoistDeWilOplionsselectionsheet(bfdgswith3orlessunits) DATE VALU,410N bi Vds JOB SITE ADDRESS 4VCV-c1-e5 % Ci/' IF MULTI-FAMILY BUILD/~~NG, HOW MANY UNITS? PROPERTY OWNER ~FnCe Sc~.9GCzp- TYPE OF WORK 1C-0~'of3`r'+e,-ca F FIREPLACE(S) _ 0_ 1_ 2 APPLICANT C6-440i- ,<ka~z PHONE#*7a.?-S~/~-d3o y ADDRESS q?z!~'n L3 IA-{ /V • l~1 ~i a(.U SS PW ZIPCODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Gode Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Confractor: Phone # Mechanical System Includes: ~ Air Condirioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature ot Applicanf 1. Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwellirg ? OS 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex 0 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex O 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 S[orm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement ? 38 Dertwlish (Interior) ? 44 Siding O 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bidg onty) - G1ve 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) _ FinaUCA. _ Footings (deck) _ FinaUt*Io C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Finai _ Fireplace _ R.I. _ Air Test _ Final _ Siding Swcco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector - r Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Totai CITY OF EAGAN N? 16199 . 3830 Pilot Knob Road, P.O. Boz 21-799, Eagan, MN 55121 P~FIONE: 454-8100 BUILDING PERMIT ' Receipt # 7obeusedfor SF DWC/GAR Est.vaWe $99,000 Date MARCH 15 jg89 Site Address 583 WORCHESTER CIR LOt 13 BIOCk I SBGSub. STONEBRIDGE OFFICE USE ONLV P2fC21 NO. Occupancy R-3 M-1 FEES Zoning PD s Name R 5 M HOMES (ACtuaqConst V-N eldg Permit 636.00 w o Address 5516 180TH ST E fnnowable) y=N Surcharge 49.50 City PRIOR LAKE Phone 440-6900 x of siones - Length ~Q~ Plan Review 318.00 ;io Name S~ Deplh 48~ SA0.Cily 300.00 00 ¢ Address S.F.TOtal - SAC,MCWCC 575.00 City Phone S.F. Footprims - FIE On Sne Sewage _ ~'~'aier Conn 580. 00 NaOn srte Well - water nneter 90. 00 AdeSS MWCCSystem XX City PhOnB Ciry Water XX Acct. Deposit 30.00 PRV Required _ S)W Permn 20.00 I hereby acknowlege ihat I have leatl ihis application antl state that the Booster Pump - SM/ Sumharge 1.00 informaUOn is conect and agreq~lo com I wrth all apphcable State of Minnesota Statutes and Cit of ~agan Oy i anc s Treatment PI 228.00 Sgnature ot Permrtee / . ~ APPROVALS Road Umt 340.00 A Building Permrt is issu d to: R S M HOMES Planner - park Ded. on ihe ezpress condition that all woik shall be done in accordance with all Councii - applica6le State of Minnesota Statutes andhCity of Eagan Ordinances Bldg Ofl _ Copies BmldingOtficial ilAfl ~f I yII4 Variance - TOTAL ze967.S0 ~11/~I `I ')/&V s C~ 99099 L 13 /2 lls UF S~~e ~r~vy~ Request Detp • Flre No. Rough-ln Inspecllon L}~ 89 Re uireE7 ? Reatly Now ~1 WAI NoLy Inspector yey o No NTan Ready7 IPPicensed coniractor ? owner hereby request inspection of above electrical work at: Job Address (Stroet, Box o. Route NoJ Ciry $ection No Ta.mship Name or No Hange No. County /n7 /VQ Occupent~ Phane No. ~ ~ J~O~'Yl e S Power S/upp^ Atltlress , ~ r r c. Fl~ rtElectncel Conhaclor (COmpany Name) Comi 5license No. 45en ~l'e~ .t MaNng Address (COnVactor or O.vner MakmB Installalbn) 7L 7.~cC,! Authoriz~e,tl~SignaWre reporlOwner Making I aYalion) Phoire Number V G 36 NINNESOTA STATE BOAFD OF ELECTRICfTY THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bltlg. - Room St]3 BE ACCEPTED BV THE STATE BOARD 1621 Unlv¢ralty Ave., SL Peul, MN 55109 UNLESS PROPEfl INSPECTION FEE IS Phone (612) 642-0800 ENCIOSED REQUEST FOR ELECTRICAL INSPECTION ~ ee-aoom-m ~ ? See insWC4ons br comple0ng ihis form on beck ai yellow copy C~ g g p a.g X" Below Work Cavered by This Request e Atltl Rep. Type of Building AppliancesWiretl EqwpmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industnal Fumace Farm Air Condihoner Olherispecity) ConlractorH Remerks Compute Inspection Fee Be/ow: # Other Fee # ServiceEntrenceSize Fee # CrtwitsiFeetlere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 Amps Signs Inspecmr5 usa Only TOTAL Irrigation Booms ( \ ~ ~ ~ Sb ~ ? Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Roughin ' Oala certify that the above inspection has Finy oaf been made. - Zo7" OFFlCE USE ONLY This request wW 18 monms fmm ,s/i7/89 7i4-/s . 9 910 0 Request Date Fire No. Ro ~in Inspecton 3'~ q i~~? ? Ready Now~W,ll NOlily InspeGOr -r ~es ? No Ween Rea0y7 1/4 licensed coniractor ? owner hereby request inspection of above electrical work at: Job Mtlress (Sheet, B" or floul4 No ) ~e ~ / Cily S~ IC'~~e S~ Fh ~i r'~/ e ~cc Section No Township Name or No Range No. County~n~ Occupan~ (gfllN~ Pham No. ~S tll~ ez-/60" es ao.,e, s~ppIier~ / . ~~e,eZ~Z naaress / Eleclncal ConVaGOr (COmpany Name) Co61 dOr5 Licensa No. ~c _ o~/r~t k 5 3 Mailing AOEress (COmracYOr m O.mer Making Instnllao n~ ' / ~C~~~ W t 13 - CC Authoriz ~SgnaWre (COniroctor/Owner Makrg Installatwn)~ ne Number / erv-636 MINNESOTA STATE BOARU OF ELECTHICITY TMIS INSPEGTION REOUEST WILL NOT Gdgga-Mitlway BIEp. - Room 5193 BE ACCEPTED BV THE STATE BOARD lazt Umversiry Ave., SL Poul, MN 551oa UNLESS PROPER INSPECTION FEE IS Phona(612)69]-0800 ENGLOSED. 3,// 7$`j REQUEST FOR ELECTRICAL INSPECTION r: ~e-ooooi-o7 ? See mshuclions br completing this form on back ol yellow copy ~/G•/.,s ~ 99100 "X" Be/ow Work Covered by This Request ew Atltl fiep yypeofBuiltling ApphancesWired EqmpmantWired Home Range Temporary Service Duplex Water Heater Electric Heahng Apt. Bmiding Dryer Other (Speafy) Comm./Industrial Furnace Farm Air CondRioner Other (specity) Coniracror5 Remarks: Compute Inspection Fee Below: # O(her Fee # Service EniranceSize Fee # Cucuits/Feeders Fee Swimming Pool 0 to 200 Amps / 0 to 700 Amps 5%- Trensformers Above 200 _ Amps Ahobe~100 _ Amps Signs Inspeclor9 Use Only: ~1 TOTAL 7~ Ta IrrigationBooms /7•0 Special Inspecnon ~ AIarMCommunicahon Other Fee ~ I, the Electrical Inspector, hereby Rough-in ~ oata ~ - certify that the above inspection has F„,, od1e been made. i OFFlCE USE ONLY ~ Wis request witl 18 months Irom ~ tI 0 HOUSE HEATING TEST RECORD ?~~J' ~wfVtGlPSfzn ~.fAPT.-FLOOR_C3T'! SUBURB ADORESS Q OCCUPANT C O:TG ^ OWNER HEAT LOSS DATE HTG. INST. S ~ SOLD BY Saw a INSTALLED BY Elsctrical Work By Gas Lin. By T7PE OF HEAT GA -)~--FA ~6 HW -STEAM -SPACE HTR. _UNIT HTR. -OTHER , /J GAS DESIGN CONVERSION C! AIAKE Of BURNER q, MAKE . Mod.l flt- / /1 Mad.i ~ Swia l 3 dz ~ y2d3 Maa. BTll Rariny ~ INPUTi'"n IA 1AAKE OF FURNACE ' Mod•I 'A\ CONTROLS t> '~r ~ ptWot Slao • Y ERYOSTAT~ W KIliD OF Li~iPX !/e,nYa 23 LLolt ~ i ~•~,,,a h Orah Huad Zesulsw Liml! Swloy /`7 G Ftlb" SiM Fm SWtlnY ' m{aw7 LacatW" Ia~id~~~..~0~t~id~.~~• PUat TYw cassumati" PIIot Ydo s~ ~d PUa Lod~t ` 4dt Tw Tao PLLot T1doY i Daar Yr~r~~~~ ~ L.W. Call Off plossum 3' S~ Pwot COZ Daa Tiasd " " G Iopw GFIi~~~• C°ipm ?Nttip Stadc T.op. 3 ta pwpm. ~p o ~ 0 Nam .f Tisw Fom 233 RESIDENTIAL BUII.DING / loomw Permlt Application City Of Eagan 3830 Pilot Knob Rosd, Eagan Mn 55122 ~ 1-4 ~6- Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reauiremenb RemadeViteoavReauirertients Olfice Use OnN 3 regote20 sife surveys shawinp sq. IL M bt, sq. R of house; anA II raoled arm 2 copies of plan _ Cert M Survey Recd (20% maximum bt coveroge allowed) 1 ed of Eneyy Calculatlons fw teated a00itlau _ Tree Pras %an Rflad 2 coDiee of plan slwwirq beam 6 wiMOw sizca: Poured fauM design, efr- 1 sft surveY lor adtliCOns d dWa _Tree Pre7 Not RepO 1 sel of Eneqy Calalatlorn AQdiO'on • 6dfcafe Aoo-ste sepOC sysfem _ On3ile Sep6c SyMm 3 coDbs of Tiea Pmsen¢tlon Plen H Wt plaCed after 711RJ3 Rim Jast Demd Optlons sebctlori sheet (bldgs wilh 3 ar lem unils Date ly / 1.1J / Q 3, Constructlon Cost v Site Address 592) Vovc h PAe k , i' 2 r I-~ UnitlSte # ~ a G m ~t 5 IZ3 ~ Descrip4on of Work ~ w I 1'1 ~SZ"~S Multl-FamilyBldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 Property Owner L a n r e~ L QtzI dWq NKf Telephone #(W ) 7 Q s' G y73 Contractor ~~PAr LR~<<f ~i~/lhdati.~ 7 J l..!lf~G Address 0(9536 51'emj YlvP City R 1 ' State Zip S*qq Telephone #(14:~) iI O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Caugorv i Minnesota Rules 7672 Energy Code Category , Residentlal Ventllatlan Category t Worksheet . New Energy Code Worksheet (J suDmission type) SuDmilted Submitted • Energy Envelope CalalaUons Submitted Licensed Piumber Telephone Mechanical ConTractor Telephone ~ Sewer/WaterContractor rT~l phone#:( ~ II JLI I hereby apply for a Residential Building Permit and acknowledge ilriat the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eag and the State of MN Statutes; I understand this is not a pernut, 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. J U ~ 1e &t ( i'l S ApplicanYs Printed Name ApplicanYs Si ature OFFICE USE ONLY Sub Types ? 01 Foundatlon O 07 OSplex O 13 16plex ? 20 Pool ? 30 AccessoryBldc ? 02 SF Dwellfng ? 08 06-plex ? 76 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt • Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AI[ - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SWrtn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors O 34 ReplaCement 'Demditlon (Entlre Bldp) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zaning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinallNo C.O. _ FooUngs(addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Fraating _ Siding SNCCO Srone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee A~ Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit 8 Surcharge Treatment Plant License Search Copies Other Total 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ~xo SINGLE FAMILY DWELL2NGS M[TLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Dec4 Valuation: 6-000- Date: 30-90 Site Address 5-$3 1(/orche9Zeh GlYde OFFICE USE ONLY Lot 13 Block ~ FEES Occupancy Zoning / Parcel/Sub HILL5 oF STp'NEBRIDGc. Actual Const Bldg. Permit Allowable Surcharge Ocuner Vom Dor,/h; # of stories Plan Review 1 Length SAC, City Address ,~$3 G(/olc{~PS~Pi' G1YC(2. Depth ItF' SAC, MWCC S.F. Total Water Conn Gity/Zip Code ~,~nah .5-SJ23 rootprint S.F. water [~leter $ Acct. Deposit Phone ySa -SIO~H) Sa~ OS/~/ ~k/} On site sewage_ S/W Permit On site well _ S/W Surcharge Contractor ~vse~f MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies ~ Gity/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ TOTAL Council Arch./Engr. Bldg. Off. ~T Variance Address Gity/Zip Code Phone # , Surtve~or~~ G'ert~f~cate SURVEY FORZ R.S.M. Homes Inc. DESCRIBEO AS: Lot 13, Block 1, HILLS•OF sTONr_sarncr:, City of £:agan, Dakota County, Minnesota and reservinR easements of record. 891•o N89659'251E 193.18 eer.7 o - w e -44 5~--_-~---- or ~ r ~ 14~0 8,99 to Op 10 o ~ -o. ~ evo. f°oo ti~Ao~,y~,~ °e, i i f J•~f ~O. o F4 ~ ilc 0o r, a i S ~ ips ~ ~ yk~ , ~ 60 ryv \ 6~ ~ ~q,ce~ ~Q~% ~ i '~32p• ° ~ ~oe °p ~ : r1h0 . ~ tL,6 aM, q5~, oP~v~ '+Q~ ~m . ~ . ~T. oll 9 1~ ~t y p_ - * ~EV~ EWEL) , 89i. 6 WORCHESTER C 0 U R T Date EAGAN ENGINEERING DEP't GRvFniFD e`l,s~~A[IC~Ht fFiCHi4~RN ~ TOp 0/ fOLm0011ee1 d44.1. ~ T. NNV4 see 96ove) Oers" floor ¦ 814.2- E l"• = e45, i1 lesemenl flser . agC.,s MIN. EETMCK REOIREMENTB Awon. geinr 8wvioo EMv. • Preoond Eurallens , O . Eusqno Elwaflens . irenl ~ Newe !fM - ~ Dralna0* Olroelbns Ritar - Oera„$IAe~ ; Denetes O/fvot Slok• SCAL[: 1 Ineh • EO Faef t MreWfwng nwi NM wrwr. N8e w nro.i PM"nd br nN dos eo.: /~IEDLUND M M.t , .o . p.N.,.,.. lM~ twYIlR YMH Me MN OI IM /1e1e of 01n0n918. P/onrtlnp Erp/nssdrp Sw?7y(np ~ooK: ~ri ~r r.ry.~wwZ: rwr~r., r.rr ww ' r I 3~o 3 f 3 e pN~t ~~y~~ ?AOE: M~1. .~,LI.M.. N11~ 3(p r . . 1989 BDII.DING PEAMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I 7 I q q INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTEs 9DDRFSSFS FOR CORNEA LOTS - COPTRACTOR/HOMEOHNER MOST DESIGNATE iiHICH ADDRESS IS DFSIRED. NO CHANGES WSLL BE ALLOWED ONCE BDII.DING PERMIT I3 I330ED. MOLTIPLE D1iELLINGS RENT9L ONITS FOR SALE D6ITS # OF ONITS INCLUDE 2 SETS OF PLANS, CERTIEIC9TE OF SURVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COM4fERCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STHUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS 1 3 t98g - 99o00 ;~:~R To Be Used For: k ~UV~. Valuation: ~ Date: 3~ l8 ! Site Address OFFICE USE ONLY Lot Aj._ Block ~ Occupancy ~-3 /l- FEE4 i~(~ Zoning / Parcel/Sub ?y~«~ O~ `7~01.1~~11.c1'XC Actual Const V41 Bldg. Permit (p3~ Allowable N Surcharge y9,3o Owner K5.vv\~ opWo--S 0 of stories Plan Review 34 ! .r Length / O SAC, City /Ob Address 55tn ~St. ~ Depth yP.33 SAC, MWCC 59S S.F. Total Water Conn ~ City/Zip Code G, ootprint S.F. Water Meter 90 rr,~ Acet. Deposit ~ Phone 4y~ On site sewage_ S/W Permit zo ~ On site well S/W Surcharge / Contractor C J~~l E. MWCC System ? Treatment P1. Z2 City water ? Road Unit 3 O Address PRV required _ Park Ded. ~ Booster Pump _ Copies City/Zip Code TOTAL APPAOVAIS Phone Planner ^ Council /s' ~ Arch./Engr. Bldg. Off. l.S Varianee Address Council ~ City/Zip Code Phone 9 , NOTB: Sewer 6 Water Permit fees and account depoait fees will be included'in the building permit fee. Processing time for aer+er and Water permits is two days once a liceneed plumber has applied Por a permit at City Fiall. . • ( L~wP~ ~ • - • ~ 3011, ~ i 0 LLyyC 1~7i(' ~0 9/8 ~ 3 S O l,Sh 7 - io, s zk~ 8.S ~ ~oa iy3~,rsa = J 6cr Z Z Z,~- ~S= O ~ ` Sutrell?or"s ecrtificatc SURYEY fOR! R,S.A?. Homes Inc. DESCRiBEO A8: Lot 13, Block 1, HILLS OF STONEBR.IDGr, City of Eagan, Dakota ~ County, D!innesota and reservinR easements of record. B91'O N89159'25'E 183. iB ear.7 0 ~ o s rr ~~~l-------- ~ io _ f .I,,..1,,...,.,. ~ . . I . , j ~ . i e i ~ n ,~:BA co ~O c~ t o d, } ~e~, y.c , ~ • i r ~ / 0 qo 89 0. ~ ~ 1 f . •v. ~o ~F~ . ~ ~2 cd' ~Z~ 6 f i s 1 ?~s oo i~ 6 6h 1b' ~ J ~ oY e~ $~o i~ •F, 10 ~t.L ~ ~ 1f~~.,o•`~ ~ ~ i ~ ~4 ~y . . y ~ ~o ; R ~ fC') y ~14 ~'?9 1.11 . O, U U EV ~ E`\~ ED B qi. L WORCHESTER By ~FS C O U R T Date 3-I¢'09 EP,GAIV EIVGIIVEERIAtG DEPT v014rnaFn. f.4£uATI?Na Tev of Feuneailon . 644.f. NYA. st~ al.ovc) Oerepe Floor ¦ 614. i E{e.Y. = 895, i1 Baurmnl Fleor MIN.SETBA K REOIREMENTB Approa. gewer Servla ENv. . -e~ ProponA fierallens Eaitlno ENraNOm , f?Mf ~ HaNo Elde, - i DrMnaae Olreelkns ..r;,.. Rwr - Oareoe alde - Denotas Olfnr SroMe . m BCALE: ! Ioeh s EO hof ' ! Mrybr oortl}y 1Mf NN wrwY. 1bn rroOerl re* NMa1ed N' M JOB NO.: i~iEDLUND .w un0a my Ikal wOwNdan rN tAat tani e Ouly RsNoIorN •?R-o10 LanA Surrqw wWer IM Mn M IM MoN H MInA*uN. WON: Plann/nD EOOR"d^o Swwyiny 12)(0 Mb: 3 l3 B i MOE ~ . u~.~.• µe~ 3 (o . I ~ EYTLftIUll F:NV6IAPl: AVIiItI1CE "U" C0;411U7'ATIOf! I . Cmur•.R Q S(r N'O v'hf,,, sc,rL ADDIt1:SS ~ coNTanc•rore 2£ _ DATE ~ PIIONE 110 -QqO6 Determine vorkiny s are footoqc of caeh. ~ 1. Total exposed wall arca'....... ay. f[. x •<< ° 9~•,3 , ~ 2. Total coof.ccilinq arca /a00 sy. ft. x •025 3z,s' Total exposed wall arca above floor = 7j/B.o a. Total wall vindow area //B•y~ b. Total door atca y/•3 . c. Total slidiny glass door'area 3L,B J. Total fireplace wall area 0'446. . e.' Total wall framing area (average 10%) / 7y.B f. Tota1 net wall area above Eloor.......'........~.....:...... 1,3gp.?- /3 O. 3 g. Total rim jaist area Total exposed foundation arca h. Total foundation Nindow area ~ i. Total net foundation area above gradc /O /.a Getermine "U" value of cach wall seqment. a• x ..U.. .SS = G6•y b- Y/.3 X „U.. ,070 3.z c. 3L•8 x '•u^ . SS d. O x..U.. O ~ O . e. /7yg x ..U.. . iz zo. 9 _ r._ 1380.;L _ x ..u.. ~CPY _ - _ _4-fe.ie ~r 31~. ~ r: ^ v^ . m S G f ~ - - ~ - ~ t~. ---a-----. • 'u° . ` . /0/,3 . ,vgy 9.~ . ~ . 7 . . . . . . . . . . . .....Totai [C i[am N] La Chc sumc as, or L~c::n tliau itcm ql, you hovi: me[ ch.• inta:n, o[ SUC 6006fc12. kc" M.3 • !/8`z YJ G A&.: r/ ~q2.'f "c 4 G !i o0 6 ~C ) L . , Total expwsed rouf/cciliny, acua. _ j. T9ta1 skyLiqhC area O k. Total roof/ceiliny Ezuning araa (avcray.: 10'L1 1. Total ne[ insulated roof/cuilinq acca /~70. o • ' Detormine "U" vnlur foc coch roof/cciling scymenr.. j, o x^u^ o = Ci x. 130.0 X..U.. , o z 4 = 3. S~ ' I. P70• O X..U-. 4 . ......Total = ~ g. O If toeal of q4 is the sama as, or less than N2, you have met tlle intent oE SBC 6006 (c) 1. 5/ ~ 8. e~ G oxu,,., ~ 2(3 t. ~ 3 O G 4 s+n ' Alternate 9uilding Envetope Design . To utiLize the total envelope system methal, the valucs establish---3 by [hc sum oE items M3 and 14 sha11 not be greatcr than [he sum of item, ql and 92. i. %9z.3 + 2. V. 8 ~ . g, /St•f r a. LB.a = Z/to•5! ' , li.c.ea....1~7 ~ZLy,e~ ; Workshop Confirmation WAfflanz USAllianz Investor Services, LLC Workshov Title Solutions for Selling to Today's lnvestors LocaNoo/Date Address of LocaHon PARTNER-Minneapolis, MN Aug 8 2002 Workshop Radisson Hotel Sarth 7800 Normandale Blvd Mpls MN 55439 Phone: Fax: 952-89-8431 Featured Speaker Fund Sponsor Steve Miller Van Kampen Number of CE Credita 21 ~ A-- ~ Attendee Information*• Lance J Swanke A46901 180 East 5th SVeet St. Paul MN 55101 Rap Firm Name: Us Bancorp lnvestments, Inc. F07702 ALL ATTENDEES MUST PROVIDE THEIR SOCIAL SECURITY NUMSER AND, FOR CO, FL, GA, MD, NJ, OK, TN AND Wl, THEIR LICENSE NUMBER MUST ALSO BE PROVIDED OR NO CREDIT WlLL BE ISSUED. PLEASE BE PREPARED TO PROVIDE THIS INFORMATION. Page 1 .~30.50 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 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 Date I ,~L / T / 0 Site Address ? 0 J Unit il Property Owner ~ F. v\ l,0 S Ie.4 Telephone #(~ps Contractor SC7-,4 -01 5, kP d- Lvt C • Street Address tO p ~ Q YV-P, dl lP v A1 City 07nl State I- 1~v Zip ~ S~~} Telephone SZ ) gv 2~ S> Bond Expires: The Applicant is _ Owner X Contractor _ Other Add-oo or alteration to existing dwelling unit $ 30.00 X furnace _Additional X Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total $ 3~S~ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes, that I understand this is not a permi[, bu[ only an applica[ion for a permit, and work is no[ to start without a permit; [hat the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. f{U6e-c f 9 - S1'e Applicant's Printed Name Applicant's Signature , L4~,J ,j 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone k 651-675-5675 Please complete for. commercial/industrial butldings multi-(amil}' bwldings when separate permits are not required for each dwelling unit Date Site Stree[ Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephane # ( ) Contractor Street Address Ciry State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Con[rac[or _ Other Work Type New Construction _ Underground Tank _ Install _Remove'*see below fnterior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector Permlt Fees: 570.50 UndergmunJ tanA mstallation/removal 550.50 Minrmum (includes Slate Surcharge) or Contract Value S x I% _ $ Permit Fee • If eP rmit fee is $1,000 or less, add $.50 z::> $ State Surcharge If eP rmit fee is over $1,000, add $.50 for every $1,000 ep rmit fee $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of [he City of Eagan and with [he Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro start without a permit; [hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanPs Signamre Approved By: , Inspector Date: îùî ÿ ÿþþ ýü îü ûû úþþñîùëöíþ âãþü óë ó ÿþö þýüûúùõãÿþ Ýø÷öôýûúù øûúùõãÿþ ÿø÷ö ùâýÝá ôýôóïýù ú ò þñý ð ãùùùã ÿ îýîù÷ö ã ü é þ ý ù üýãùé ø ì ããî ÿîìÜ î àééü ýüìß ù ðäÚä ê é ê õú þý å ý äÚäé éë å ý ÿ é ôûîûòñ öðï ùù û÷ôþ ã í õ û ãõ ÿþýëëêóøô þé ýçæ çæ ëó à ßëëê üú ÷ ì ùù ãî îùú÷ ùù üþ ãç þ ý ôúã ï é ùù öîþ ý ýúþ ý PERMIT City of Eagan Permit Type:Building Permit Number:EA169952 Date Issued:06/15/2021 Permit Category:ePermit Site Address: 583 Worchester Cir Lot:13 Block: 1 Addition: Hills Of Stonebridge PID:10-32990-01-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christopher D & Amanda M Wells 583 Worchester Cir Eagan MN 55123 Bilco Enterprises Inc 6884 Beaver Pond Way Hugo MN 55038 (612) 718-5893 Applicant/Permitee: Signature Issued By: Signature