1841 Walnut Lane
CITY OF EAGAN WATM SERVICE PHtMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Esgsn, MN 55121 DATE: ~2 5 ' r' 4
, O^~^D: ~:1 No. of UNts: I
ypwr,er T 11 ~
V1Address:
tr /1dd?e~st~1441 ' T' A%lEden Addn
Plumbar.
r No.: oZ~ ~ 4 nection Chorye: ~ P
Stze: p,aposit: 15 .()0 pd
Reoder No.: Psrmit Fea: _ 10.00 Pd
1 yno to pr* wh6 !w Cihr of Eason Surncarpe: .50 nci
Ordles'om Mix. Chorpes: 63.00 pd meter
Totol:
B1' - 1. -Z.-4~
Data Paid:
Dat+e of lnqx:
CITY OF EAGAN SEWBt SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p^TE; ~ - .
ZO^i^o: 11
No. of Units: - t
Ownar; '7'ilseu Homes IAc
Add?ess:
Sjte Addrom 1841 Valnut Lane L30 BI Eden Acidn
Plumber. Pq P l; s F.bg
- - ? 315 9 . p
~ Mm r• e~.oy wN6 eM. Cby .i 4w¦ Corwoctip, Cha,ge; 425.00 pd
~ Or>iur~a~. Ncoourrt Depodt: 1.7, pd
P'ermk FN: .3. OOF pd
Surcharpe: • ~ d
BY Miao. Chorga:
' Dote of Irsp.: Total:
DaM PaldL.
CITY OF EAGAN N0 905$
3830 Pilot Kno6 Road, P.O. Box 21-199, Esgan, MN 55121 .
PHONE: 454-8100
BUILDING PERMIT Receipr
Te w awd ier SP DWG/GAR Est. Value $ 61 ~ 000 Date ,+1AY 11 19 4
51te AddU 1841 WALN[JT LN Ertct ~ Octupancy R3
~e~s 1
Lot Blxk ~~[S up /11ter ? Zoninp 1 N7A
Parcel No. °°'~~U - 3 0 -0 Repoir Q Fire Zone
Enlorpe ? Type of Const.
~ Name _ TILSEN HOMES INC _ moVe p # Stories
~
Address 627 SO SNELLING AVE
Demolish ? Length
City ST PAUL phone 6 9 8- 5 5 O 1 (',ro~ p Depth ~j.nFt.
Name SAME AoProvals Fses
O
Address Assessment Permit Jib-u
,.5 O
City Phone Water b Sew. Surcharpt
Pol Ice Plan check 158.0
r
0 0
~W Na^e Fin SAC
0. 0 0
s Z Address 47
,I uf3 Enp. Wofer Conn.
t W City Phone Planner Woter Meter ~
Councfl Raod Unit 260.00
I hercby acknowladfle thot I hare read this applicotion ond state thot Bldp. Off.
the informotion is corrett and ogree to Comply with nll npplicable ~ . 0
State of Minnesoto Statutes and City of Eogan Ordinanus. APC Taal
Slpnoturc of Permittaa
A euildi Permit is Issued ro: ~'ILSEN HOA;LS INC . e
ng xprcss condition thn+
, all work shall be dane in ~e with oll opplimD State of Minnesota Statutes ond City of Ea9on Ordinonces.
c
Buildirp Official
PKmit Na Pwmit Holder Misc. Pe?mit No. Holder
Plumbin9 ~ 3 g 5 I a y I~ Y
H.v.n.c.
w.li
.n.
w
D'ap• i
Sewer '
Ebc•ic ~ff 9~7 ov ~
,
Irnp.ecton D.a Insp. on,..
Footings
r IRFoundttlon Frsmino
Roudi Piba ou~ HV
Inwlation
Final PIb4 a_
Final HVAC -77.S1 '
Final
Wobr D~scribe Loeation: ~
M11
Sover
Pr. Ditp.
Recaipt MECHANICAL PERMIT Parmit No.r- ~ ~I' 1
CITY OF EAGAN
' Fea
Pill in numbered s,oaces S/C
Type or Prini legibly
Tot.
1. Date 2, Installation Cost
3. Job Address % i . Lot Blk. ~ Tract Tl'
4. Owner
5. Contractor 11A Phone v6. Address
7. CitY State 2ip
8. Building Type: Residential Cl Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe A, Fuel Type
11. No. Equinment 9TU - M. Ea. No. Equipment CFM •
_ Forced Air Air Handling:
Mfg.
Boi lers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
~
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing th' type •of work.
Signed
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100 l
~
Receipt PLUMBING PERMIT Permit.No.
CITY OF EAGAN $ 20.00
I D 7 Fill in numbered spaces S/C •1r'0
Type or Print /egiWy Ta,~ 20.,K0
1. Date I-!ay 20.198t6 2. Installation Cost
3. Job Address 1~1 -ialnut Lot~Blk. 1 Tr~t
4. Owner TuBen Hones Inc.
5. Contractor Rs1Ph's Plumbdn8 Phone 429-1733
6. Address 9900 i(Qswick AVe.
7. City `'tulwater State i'Sn. Zip 55082
8. Buildtng Type: Residential C Gommercial O Institutional 0 ~
9. Work Description: New O Add O Alter O Repair D ~
10. Describe I
11. No. Fixtures No. Fixtures II
Water Closet Cesspool/Drainfield ~
1 Bath tubs Septic Tank I~
/ Lavatory Softner I,
L_ Shower Well
1 Kitchen Sink I
~
Urinal/Bidet Other ~
Laundry Tray IFloor Drains I
Drinking Ftn.
Slop Sink
Gas Piping Outlets I
12. I hereb rti that the above information is true an Y y fY d cornct, and I agree to
comply with all ordinances 4lnd codes governing this type of work. I,
Signed: -.0, ; -
f!_,/, 2___ f ~
~ ' or
~ I Rough Finsl I
Inspections: Date Insp. Date Insp.
~ This is your permit when numbered and approved. ,
Approved CITY OF EAGAN 464-8100 ~
h, ~•R' , . „r,~,-.. _ . . . ,
PERMI7 # ' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN s
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 451-8100 For Office Use Only:
Site Address r, ~ . BLDG. TYPE WORK DESCfiiPTtON
Lot - ~Block ~ Sec/Sub T r`- Res New
Mult Add-on
m Name Address Comm. Repair
c City Phone Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address `ADDITIONAI 50 M BTU - 6.00
p Ciry i~hone (RES. HVAC INCIUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - FiES. RATE APPUES
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 CFM STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE dOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
SIC~ER EE
S/C:
~
TOTAL• FOR: CITY OF E1GAN
~
~
~
~
~"-3+~l1~C~~•, . .
. _i~. . .r . ' . ,
CITY OF.EAGAN f4 2M 16640
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PNONE: 454-8100 e- BUILDING PEhMIT Receipt # J
To he us for~~ ~~EMENT FINISH Est. value $1,500 Date JAN7 ,19 91
Sife Addte s 1841 Wp1.Nt3T t,N
Lot 30 Block 1 Sec/Sub. EDIN OFFICE USE ONLY
Parcel No. occupancy - FEEs
Zoning
W Name DAVIU DUVICK (Actual) Const _ Bidg. Permit 3S.OQ
~ Address 1841 ~~'~'l~ ~ (Allowable) - 1•00
0 Ci N Phone ~s2~3!0 # ol Stories _ Surcharge
~ Length _ Plan Review
o Name SAM oepm - snc, ciry
OU~ Address S.F. Totai - SAC, Mcwcc
~ City Phone S.F. Footprinfs -
F On Site Sewage _ Water Conn
~ W Name On Site Well - Water Meter
Address Mwcc syste~?~ _
4 ACCt. Deposit
W City Phone ciry water _
PRV Required - S/W Permit
I hereby acknowlege that I have read this application and state that the eooster Pump - SMI Surcharge
information is correct and agree to comply with all a icable State of
Minnesota Statutes an dC`ity of Eag3n Ordinances. Treatmenl PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: DAYID DUVICK Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ~
' applicable 5tate ot Minnesota Statutes and City of Eagan Ordinances. gldy. pff. Copies 36.50
Building Official ` Variance - TOTAL
Pwmk Mo. Pe?mM Holdsr Dats T~kphons #
WATEFl
SEWER
PLUMBING • ~ "f`'
H.V.A.C.
EIECTRIC
Irapsetipe pste Insp. Commsets
FootkW I
Foundation
Framing
Rodi^9
Ragh PIb9•
Ra+9h H1g•
Isul.
FreplsCe /L~ ~S
FmW Hta 3 C 3 _
Fr,W awg.
Const. tuleter 3Ti Pfbs• Inspecta - NotifY Pa,mber
ErgrJPlan
81dg. Fnal I
Dock Ftg. , 6 - ~
Dec* Final /!.,p f i r
Wel l~
Pr. Disp.
~
6.-V
^ CITY OF. EAGAN 16892
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100 1
BUILDING,PERMIT Receipt #
To be used f" 0= Est. Value si 10W Date APIt 12 , 19 91
Site AV. oss 1$+41 WALN1R Lii
Lot BIOCk SBC/Sub. ED" OFFICE USE ONLY
• PafC81 N0. Occupancy ~ FEES
Zoning
W Name ~~D ~I~ (ACtual) Const - Bldg. Permit ~s•~
~ Addf@SS (Allowable) - Surcharge .50
City FAGAN PhOne 452-0310 +r of Swrias
I 1ertgth ~ Plan Review
Z~ Name SAMS DePm w SAC, City
Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
W Name on sae weii - warer Mecer
0~ Address MWCC System _
i W City Ph0116 City Waler _ Accl• Deposit
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - Syy Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cit of Eaga Ordinances. ~ Treatment PI
Signature of Permitee 6.~• APCROVALS Road Unit
A Building Permit is issued to: DAviD DWiCK Planner - park Ded.
on the express condition that all work shafl be done in accordance with all Council _
applicable State of Minnesota Statutes and City of Eagan Ordinances. eldg. On. _ COP'Bg -5.
Building Official ~ ' - Variance - TO7AL
Prnnit No. PKmit Holder DNe Telephorw *
WATER
SEYYER
PLUMBNlG
H.Y.iIC.
EI.ECTRIC
IrapKtion DMe Insp. CannNnb
Footinps I
Fou,dation
Ftamig
RODkV
Fiaxgh Pb9•
Rmo Ht8-
bul.
Freplace
Final Htg.
Fnal Pbg.
Const_ MeAer Pft. InspeCtor - Notify Plumber
ErgrJP18^
Bldg. Fnal
OeCk Ffp.
o.& F«all
w.i
Pc Diap.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: • ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: pppLICANT:
I t1A LMUI 1ANi 1iU , 1t ~ t?nV Ili
: ,iF M f61 :11 v,.' oi1H
PERMIT SUBTYPE: TYPE OF WORK:
r; ~ ~ ~ I!~~~: .i~t f:• ~~i ~~~ir~ ~
INSPECTION D. • D•
' ~tiMlA~t~ ~tY'.li! ~.i ~•~i!
~
, r, r• •f I'Af<:, ~i i i F'M! I I' t 1 i1111;'I li h~~t•. ;;1~, ! i i~ If~ i~ ~;1 i1f+ f'I HMl;~hil, i.l~if;k ~
~ ~ ~ ~
~
FPortnk No. Pamk Holdo? Deb TNephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon DaN Insp. Comm~nb
FOOTIN6S
FOUND
FAAMIN(3
ROOFINd
ROUGH
PIUMBINCi
PtBG
AIR TEST
ROUGH
HEATINCi
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FlNAL '7
DECK FT(3
DECK FINAL
181mont~hs Iromie 4~q ~ D g Ig y
el e.. A- d Y o. 60
48917 L 3 061 ~
Req uesI Dato Fre No. pY"uu ` iti~ln<yer,uon ~NeaAy Nuv7~Will Notiiv InsUec-
v~ 6-7-1984 SDe~n ?N„ «,wnPn R,;aav
•~gLicensed Electncal ConVactor I hereby request inspection oi abave
? Owner elecVical work installetl eC
Svee[ Address. Box or Route No. Citv
1841 Walnut Lane Eagan
ection a. Township Name m No. Fnn~ County
Dakota
Occupnnt (PRWT) Phone No.
TIlsen Homes
Power SuvPlier Atldress
Dakota Cty. Farmington
Electrical Contractor IComDanY Namel Cnnvac;mr's Lmcnse No.
O.B. Thompson Electric Co., Inc. A40602
Mailing AAJress (Convacmr or Owner Making Instailationl
12201 tka Blvd., Mtka 553~43
Authonzed Signart-u~r~'(CommctodOivner Mgki,n,g InsIX 1 Anl Phppe~umber
Ail,
MINNESOTA STATE BOAND OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAND
Grie9s-Midwey Bldg. - Poom N-191
1821 University Ave., SL Peul, MN 55100 UNLESS PflOPEN INSPECTION FEE IS
PAnno 18121 2974111 ENCIOSED.
kr4REQUEST FOR ELECTRICAL INSPECTION r EB-00001-04
T-P~ See inslructions tor comoleting lhis lorm on back ot Vallow copv. ..:(p
a
A 4891 "X" Be/ow Work Cvvered by Ihis Repuest
ev, Home ftanc~e Ternporary Scrvice
ROM11"te Tvpe of 9uilCinB APPluincas Wrtetl Equyimant Wired
Duplex Water Heater LiyhLnG Fixtures
Apt Buildinp Dryer Elec[ric Heatiri
Commercial Bldg. Fumace Z,~jQ Silo Unloader
Industrial Bldy. Air Condrtioner Bulk Milk Tank
FTrm Othet uea v Ollier ISn~:c,fyl
om~,.
pecuon Fe e Below
p Fea ServiceEntrenee5¢o p Fee Fywdeis/5ubineders r Pov Cvcuits
0 qm p5 0[0 30 Am ps 0 to 30 ;.m os
Above 200 qmps 37 to 100 AmPS 31 to 100 Am s
Swinuning Pool Atwve 100-Am s Above 100_AmUy
Transiormers Irrigation Booms rf) PartiaL'Other Fee
Signs Special Inspec[ion s40.50
Remawks TOTA
Dick Hall p.U
Roueh-in ~ D:~: n(,~ fj 1. ch lect
Insoactor, M1ereby
c rbfy that tpe above
Final ~ D; Vectimi has beon
da.
TMa (e0uest voitl 18 montl~a Irom
CITY OF EAGAN N, ~ g058
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PM,.ONE:454-8100 f
BUILDING PERMIT ReceiPr #
To be nud for SF DWG/GAR Est. Volue $ 61,000 pate MAY 11 I q 84
Site Address 1841 WALNUT LN Erect ~ OccupancY R3 ~
Lot 30 Block 1 Sec/Sub. EDEN ADD qlter ? Zoning Rl PD
rercelNo. 10-22750-300-01 Repair p Fire Zone N A
Enlarge ? Type of Const. V
m Name TILSEN:HONIES .TN(`, Move ? # Stories
Z Address 627 SO ' SNEL•LTN(: AVF Demolish ? Length 60'
o ST PAOL Phona 698-9507 25' "
City 6mde ? Depth Ft.-
Sj{ME Apvrorab Feet
o Name
o~ qddress Assessment Permit 316.00
r City Phone Water & Sew. Surchorge 30.50
u'
F Pali<e Plon check 158• ~0
Fw Neme Fire SAC 525.00
Address Eng. Water Conn. 470. 00
~W Ciry Phone Planner WaterMeter 63.00
Countil Rood Unit 260.00
I hereby acknowledge ihof I hove reod this applicotion ond stote that Bldg. Off.
the inlormofion is correct ond agree to comply with all oppLcoble APC Total i 822.50
State of Minnewto $tatutes ond City of Eugan Ordinonces.
$ipnalure of Pertnittee
A Building Permil is issued to: TILSEN HOMES INC. on the expresa condition thni
oll work sholl be done in ac r onc with oll op\~ii3c ~bJip-S~ta-te of Minnewt`a Stotutes ond City oi Eaqon Ordinances.
Buddirg Off(ciol ~-Z v1~/
CITY OF Include 2 sets of plans,
. , ~ FAGAN
y, 1 site plan w/elevativons
gUILDING PEI34IT APPLICATION 1 set of energy calcvlations.
Q r..__.. ~ ~ n06 Date 5-4 -F4
'Ib Be Used:For y_,r Valuation
site Address 1f~41 Wcxlr~+ ~-Are- pFFICE USE ONLY
Lot Block ~ Sec./Sub. ~nctJ Aooi°r~nlErect pc~pancy
A1teY ZorurxJ -
- , Paroel Rep5ir ~ Fire Zone
7 X/1564&7$~• EnlaccJe '1~e of Const
pwner: q Stories
Address: 7 to She ez~ d~~' Darolish_ Fmnt
Grade Depth ,~2, f-~A9 ft. _
('.ity/Zip'Code: Go ft.
-
Ptroone ' 6dc'J J O/ - ppPlmvALS FEE`q -
Assessnents Perntit ~16
' Contractor: rqater/Sewer Surcharge 3 0~_
pddress: _ poli~ Plan Check / S`Ff
as
City/Zip ,0ode: FiYe SAC s
Eng Water Conn. 7d ~
Planner Water Metex !o ~ ~
Phone Council Road Unit o
pxch./Eryq.: - Bldq. Off._~
APC. ~
, AddYess: . City/ZiP Code: ~AL JoZ a-`~ Q
Phone
CITYOFEAGAN ND 18640
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /0 ! f ~ ~
BUILDING PERMIT Receipt # 61
To be used tor. ~'iASEMENT FINISH Est Value $1 , 500 Date TAN 7 . 19_2L
Stle AddreSs 1841 WALNUT LN
30 Block 1 SeGSub. EDEN OFFICE uSE ONLY
Lot
PefCBI N0. Occupancy - FEFS
Zoning -
w Name DAVID DUVICK (ActuaqConsl - BIdg.Permit 35.00
; AddrB55 1841 WALNUT LN (nllowable) - Surcharge 1.00
° CitEAGAN Phone 4 -03'10 x of siones -
y Lenglb _ Plan Rawew
, o Name SAME Deplh - SAG Cily
o'~' Address S.F. Totai _
SAC, MCWCC
~ City Phone S F. Faatprinis -
On Sile Sewage - Water Conn
Finl Name On Ste Well - Water Meter
Addr@SS MWCCSystem _
Accl Depost
City Phone QryWater _
PqV Raquired - S/W Permtl
I hereby acknowlega that I have read this apphcation and state that the Skester Pump - SNV Surcharga
information is correct and agree to comply wRh all a licable Stale of
Minnesota $iatutes an tty of pagain Ordinances! Trealment PI Signature of Permrtee APPROVALS ~ Road llrnt
A Bwlding Permn is issued to: DAVID DUVICK Planner - park Ded
on Ihe express condihon ihat all work shall be done in accordance with all Council .50
applicabie State of Minnesota StaNtes and City of Eagan Ordinances. eldg. Off _ Copies
Building Offiaal nar0 R o; d fTri9 Variance 70iAL 36 . 50
-
CITY OF EAGAN Np 18892
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMfT PHONE: 454-8100 Receipt a 0- I cX~2
LOO
To be used , r• DECK Esc Value $1,000 Date APR 12 , 1921 _
Site Address 1841 WALNUT LN
Lot 3O Block 1 SeclSub. EDEN OFFICE USE ONLY
PdfC01 N0, Occupancy - FEFS
Zoning -
a Name DAVID DWICK (ACtual)Consl _ Bldg Permil 25.00
3 Address 1841 WALNUT LN (Allowable) - Surcharge .50
0 Cil EAGAN Phone 452-0310 kof siones _
y Lenglh ? Plan Review
, o Name SAME oePm 161 SnG City
0, a Address S.F.TOIaI - SAC,MCWCC
~ City Phone S.F. FootOrinls -
On Srte Sewage _ Watar Conn
U1 ww Name on siiewen - watar Meter
s7 AddfeSS MWCCSyslem _
ui Acct. Depasil
a W City Phone ciry water _
PRV Required _ S)W Permil
I hereby acknowlege that I have reatl this applicaeon and slate Ihat the Boosler Pump - 5/YJ Surcharga
mlormalion is wrrect and agree to comply wnh all applicable State of
Minnesota Statutes antl Cit f Eag Ordinances. 7reatment PI
Signature ol Permrtee ~ "lf~?`~ -I,- APPROVALS Road Unn
A Building Permit is issued b: DAVID DUV7 CK Planner - park Ded.
on the expre55 Contliti0n that all work Shall be dOne in accordance with all Cancil
applicable State of Minnesota Statutes antl City of Eagan Ordinances Bidg. Oil. _ Copies
Building Otiiaal i!1 iQ oi(~ ~ 1?L~ Vanance - TOTAL 25.50
6;11e116 9, 695
P 15167 Fequesl Fre o Rough-in Inspeclion
~ flequire8+ ? Reatly Now ? WII No41y Irispeclor
j ? Yes ? No When Raetlyl
I licensed contrector ? owner hereby request inspection of above elechical work aY
Job ntl e(5 re t, x or Rou~o o.) py
1 /
Seciron No. Township Neme w N. Range No Gou
Occup (PRINn - n Phone No. ) -
PowerSuppher O Atlaress
ElecMCal Contrector (Company Neme) Go ctor I.Ken N
1 1
l/
r Iqn) .
14540 PENNOCK LANE
"~','PPL~a~7'~~~~"',~"3~~~~~1~4 o~ u ba,
NINNESOTA STATE BOARD OF ELECTqiCITY THIS INSPECTIDN REOUEST WILL NOT
Grlgge-Mldway Bltlg. - qaam S-173 BE ACCEPTED BV THE STATE BOARD
/821 UnivareHy Ave., St Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
ftona(612)fi02-0B00 ENCLOSED
(p/~llg' REQUEST FOR ELECTRICAL INSPECTION 10M ee-aoom-07
? See insih.cliona for mmpleting this form on back of yellow mpy
P 1 5 1 6 7 "X" Be/ow Work Covered by This Request
eAdd Rep. TypeoBuilding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
jOt uplexWater Heater Elearic Heating
pt. Building Dryer Other(Specdy)
omm.llndusirial Furnace
rm Air Conditioner
her (speary~ ractorB Remarkr
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee p Circwts/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to i00 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Slgns Inspeclors U. Ony: 707AL
Irrigation Booms
Special Inspection '
Alarm/Communicalion
Other Fee
I, the Elecirical Inspecror, hereby Ro,n,m g Date
~
certiy that the above inspection has F7, ~ oa~
been made. ~j-
OFFICE USE ONIY
Thk requesl wtd 18 rtqmh5 trom
OFFlCE USE ONLY Thu requesl void 18 manlhs Iran wiidolpn dvb printed N ihis box.
Ig /I~~-
* 0 4 1 6 1 6 4 2* pLEASE PRINT OR TVPE
Request Doie RougMn inspanion requiredi Yas ? No InywcNon OiMr igMn. ? Reody ill Coll
. ~ a~ q 7 no~m~„~~~~~~,~,o,whe„~~, o~R~ Tl,on Ro ~ao ~I7a
I, ? licensed contmctor JFCowner hereby request inspection of the above elechical work at: C/,
1-b Addreu lSlraet, Box, ar Rouk No ) Gly Zip Cade
1841 a n,,,,~ ~n .
SecJion N. Township Nomu w No. Ronga No. Fm No Cauny
Occ 1 Phane N.
1 qViq ~ LnV; c1<
Povrer upplin Address
Elxtriwl Conkocmr (Compony Name) Conrcatlor licenea No Nwskr Lc N. (Pkm Elacl. Only)
Meo wvi
Mo,ling Addrea Commcln «Ownx Pedorming Insmllolionj
60~&I
Au" Sign atlw a O Ped muq Invollmion) Phona N.
- D3 10
EBQ«'bl -1 81 STGTF HOAfiO COOV . SFF INSlii11CTONS ON BGCK OF VELLOW COVY
°J ~/S~ • RF.~lFST FOR ELECTRICAL INSPECTION 6
~
.
4 q.1.,CV~~[V~p n Minnesnti State Board of Electricity
~F VJ 1821 Universiry Ave., Rm. S-128, SL Paul, MN 55104 y~r
Phone (612) 642-0800
Home Du lex A t. Bldg. Oihei~ s14.t., New Addn
Commerciol Induslriol Farm P Remod Re air
Air Cond. Htg. Equi . Wofer Wa Load Mgmt Olher: ~
Dryer Ronge Elec. Heal Tem .$ervice
"X" obove rhe work covered by this requesf. Enler remorks in Mis space and on the back of Ihe whife cop on .
~~Places ee(p~~-, I- ~C>33LOlo c~a~cel r~~.-~9i
Colculate Inspeclion Fee - This Inspeclion 2equesf will nol be occepfed without Fhe correcl ke:
Other Fee N Service Enirance Size Fee # Circuils/Feeders Fee
Mobile Home Pork $fall 0 to 200 Amps 0 l0 100 Amps
Streel Ltg./Traffic Sig. Above 200_Am s Above 100_Amps
Tronsformer/Generaror INSPECTOR'S USE ONLY TOT l, ~
Sign/Outline llg. Xfmr.
Alarm/Remole Confrol
Swimming Pool I hero cem tlwi I ins md iho el mol ~nsollanon deea6ed hare ~n on Ihe darc, siorod
Irrigation Boom Rwgh.ln Dv~e
Speciol Inspection `
Fmel ooro
Investigafive Fee p,,..Q.,
THIS INRTGI I AT7(1N MAV RF flRf1FRFfl fl CC!)NNFCTFII IF NflT CflM01 FTFII WIT411N 111 IWf1NTMC
00
8/33606 ,~i5~9
Request Date / ire No Pough-in Inspection
re
itl9 ? Ready Now /~VJAI Notily Inspeclor
T ~ Ves G No V~When Reatly9
I p licensed contractor/4'awner hereby requesl inspection of above electrical work at:
JoD Raaress ISVeet. Box or Route No.) Qry
ncc1 A44"g-
$ecLOn NO TownShiD Ndme or N. RdngB No COUnIy
Occupant (PRWT) Phona No.
U N C,K
PowerSupd~er Atlereu
Eleancai Comratlor (COmpany Name) Convactor's Lmanse No
Maibng Aatlress IConVaclor or Owner Mahing Installaliont
onzed Signalure ICOnVactorlOwner M ing Installalion) P~
ono Number
15 V4
~ ~
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REdUEST WILL NOT
Gdqge-Mldwey Bltlg. - floom 5473 BE AGCEPTEO BV THE STPTE 90AFD
1821 Unlverelty Ave, St. Paul. MN 55104 UNLESS PPOPEF INSPEGTION FEE IS
Ppone (611) 642-0900 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION °=NCyS~'2'~~ ee-oaooi-oi
r`'~9/r ? See inskvcuons lor2omple~ing Ihrs form on back ol yellow copy 5~
O 6 "X" Below Work Covered by rhls Request
ew Atl Rep HTypeolButlding ApphancesWiretl EquipmeniWired
i ome Range Temporary Service
Duplez Water Heater Elechic Heating
Apt Buildmg Dryer Other (Specdy)
Comm./Intlustriai Furnace
Farm Air Conditioner
O[her (spenty) Camracmr§ Rem 1 I
SrvI,. 'nisN
Compute lnspection Fee Below.
# Other Fee # ServiceEntrance5ae Fee # Crtcw[s/Feeders Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Slgns Inspecror5 Use Only: p7pL s'p
Irrigation Booms 00
Special Inspechon
Alarm/Communicahon THIS INSTALLATION MpY BE ORDEFED OISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18fIAONTHS ,1"' i
I, the Electrical Inspector, hereby Rou9n-~n ~y oaie 7,~ `
~
certity that the above inspection has Reai Da[e c
beenmade. •y '
OFFICE USE ONLY This request voitl 1B monfis (rom
" L EGAL -OESCF2IpT~On1 : =
Lo-r 30 - C3?-ocK
r
,7• ~
4
~
o.
5° .
vy
? :
^ O
a
30 J Ay,g
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_Sc4at6-z-=1 ~30-0~
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' Page 1 of 7
>
r ENBRGY CALCULATION' SHEETS f'OR :TOB_5q4l4-
' BUILDERs T~~--SEN ~OMES DATEt
MODELs MODEL 140. s -~500- 4.Q0 -(CL I
DESCRIPTION: Insulation consists ofs
Window glazing: ?Dwble C]Znsulated OTriple
Wall insulations Q R-20 E]R-25
CeiZing insulations R-20 perimeter and ~ R-40 I.] R-55
Steel insulated doors. GENERAL INFORMATION: House sizet -4-0 X 2-~0
PERIMETER RIM JOIST: Perimeter X Height = Area
Type A (~7 67 X .833 or .927 = 5c,37 (la)
Type B ,(,,7 X _S33 = 3Co,~ (lb)
Type C ~ X (1c)
Type D X = (ld)
Sum H2•74- (1)
WALLS:
Type A (v7, (~7 X 7.54 = 510.2~ C2a)
TYPe B 63,6,7 X 7.54 = 3?s1, 2-7 (Zb)
Type C. ?y X 7.54- _ ~C50.~Co (2c)
Type D X = (2d)
Type E X = (2e)
Cathedral.
12 wide = 21•0
Gable Ends
- 14 wide = 27.0 24.P~1 X = 2G,.P~I (2f)
Gable end X = (2g)
WpLL FRAMING: (Not used in FHA, FYnHp, and VA.) -
W/2x4 walls 16" o.c. = 15% or 0.15 x Wall Area = Area '
W/2x6 walls 24" o.c. = 10% or 0.10 x Wall Area = Area
Type A. 0.10 or 0.15 x (2a) _ (3a)
- Type B 0.10 or 0.15 x (2b) _ (3b)
Type C 0.10 or 0.15 x -(2c) (3c)
Type D 0.10 or 0.15 x (2d) _ (3d)
Type E ` 0.10 or 0.15 x (2e) _ (3e)
Cathedral
Gable Ends ' 0.10 or 0.15 x (2f) _ (3f)
Gable Ends 0.10 or 0.15 x (2g) _ (3g)
Sum (3)
, Page 2 of.7
I Y1IliDONSs ' .
Sash Area
~ SI:ZDER Area No. Single Combo Insul. Triple
jw,31, Ilo~~iz IO.b~o ].}-.g`S
~ .20/32 :11.56 , -
24/32 13.62
Zg/32 15.67
~ 14/36 9.40
19/36 12.24
20/36 12.81
24/36 15.09
20/44 1le,-77 4-5~.l Z. 33.
24/44 jq.(e2 ~.g;7'f 2 3q 2¢
28/44 20.76
60 - 6fi 30 . 28
60-76 35.05
DOUBLE HUNG
36/28/28 D.H. Mull 34.44
36/28/28 Single 17.22
CASfM ENT
CW-154 10.56
CW-234 13.40
CW-334 20.10
CW-244 17.34
CW-344 26.00
CW-254 21.44
CW-354 32.33
CW-454 43.28
BOW CN-4455 44.44
AWN ING 88-17 8.00
PATIO DOORS:
5'9" x 6'51' ~3~-:9p" I G-4 (oq 719" x 6'5" 49.76
SIDELIGHTe
5100 6.67
A15N - 6.67- - -
_ SUBTOTAL t44,(4 + 93,4~- stna (4)
(4a 4b - (4c) -
HINGID DOORSs Area No. Area
2'8" x 608" 17.78 x °
31 01, x 618" 20.00 x _ +2O = - . _ - 20 (5)
NEI' FIRST FLOOR WALL CAVTTY AREAs (Z) - [(3) + (4) + (5)] , - 'g , ~ (6)
BOW WINDOWS Area x No. = Area
Top or bottom 4.5 x (7)
Page 3 of 7
, PROJECfIONSt . .Length x Nidth . Area I,ength _x Width . ',Area
potei For "
ceiling calc. ~ v
~ only. ~ ~ -
! Y (8)
CATHEDRAL CEILING: Length x Additional Width = Area
12 Wide .1.5 x .125 = . I. I (9a)
13 Wide Zf x.15 = 3,15 (9b)
, x = (9c)
! SOM Q,3¢ C9)
CEILING AREA:
~ Gross Ceiling Area: ID21•lI + (8) + (9) _ (pZS,aQ(10)
FRAMING AREA: (Not used with FHA, F1nHA, and VA.)
' 2 x 4 trusses 24" o.c. = 7.0% or .07
.07 x (10) _ (11)
' NET CEILING CAVITY AREA: (10) -(11) = I025,G 8 (12)
UNHEATED SPACE BELOW FIRSf FLOOR:
Length x Width = Area Length x Width = Area
Projection x = +(,(LS (13a) + (13b)
' Projection + (13c) + (13d)
~ Crawlspace _ + (13e) + (13f) I.
= Cv I.LS (13)
BASEMENT WALL AREA ABOVE GRADE:
Perimeter x Height = Area
Standard Ranch " - x 0.667 (14a)
~ Standard Split Foyer 1? x 4.667 = s 33 (14b)
Split Foyer w/Kneewall a x 4.00 + b x.667 = (14c)
Exposed Wall x = (14d
- - X' = (14e)
'
' ^ - - - - - - - - 51JM` 'S~f -33Z1zi)
WOOD FRAME AREA ABOVE GRADEa (Not used with FHA, FmHA, and VA.)
Standard Ranch (14a) x 0.20 = (15a)
Standard Split Foyer (14b) x 0.15 = _(15b)
Split Foyer w/Kneewall (14c) x = (15c)
Exposed Wall (14d) x = (15d)
(14e) x = (15e)
SUM (15)
BASEMENT WALL AREA BEIAW GRADE:
Perimeter x Height = Area
Standard Ranch (7') x 6.334 = (16a)
Standard Ranch (8') x 7.334 = (16b)
Split Foyer 12,~3 x 3.334 = yU.~ (16c)
Unexposed Wall x = (16d) ,1
x = (16e) SUM y1.(~0 (16)
Page 4 of 7
h
~f .
f BASEMENT'WAI,I, FRAMZNG AHEh°gEIAW GRADEf (Not~used with FHA, FmHA,-and VA.)
~
'Standard Ranch (16b) x 0.20 (17b)
Split Foyer (16c) x 0.15 (17c)
Unexposed Wall (16d) x = (17d)
(16e) x = (17e)
SUM (17)
BASEMEh'T WINDOWS: Floor % Distribution Area Required
Area Unhab. Hab. Unhab. Hab.
Standard Ranch x 100 / 0 (a)
Standard Split Foyer x 50 50 =~-(b)
X = ~~Cc)
x = / Cd)
Area Required Light Window Area Required
Unhab. Hab. Unhab. Hab. Single Combo Insul Triple
/ (a) x 0.02 / .08
~-(b) x 0.02 / .08
~-(c) x /
(d) x
stmi + + + _ (18)
(18a (18b 18c (18d
or
82.83 Per
bldr
(18)
BASEMENT DOORS:
Area No. Area
H INGED
218" x 6'8" 17J8 x = -
3'0" x 6'811, 20.00 x =
SUM (19)
NEf BASf2.fENT WALL CAViTY AREA ASOVE GRADEs (14) -[(15) +(18) +(19)] = 51¢•So (20)
NET BASEMENT WALL CAVITY AREA BELOW GRADE: (16) -(17) - 4~(-,e,7 (zl)
Page 5 of 7
!
~ .SUMMARY OF ARF14St .
, WALISt
~
j Total Wall Cavity Area: 2a/2 x(6) _ ~2. (22a)
I 2b/2 x(6) ' ZSZ,(<I (22b)
2c/2 x (6) = (55,32_- (22c)
, 2d/2 x (6) _ (22d)
2e/2 x (6) = (22e)
2f/2 x (6) = zl•Z`J (22f)
2g/2 x (6) = (22g)
SUM (22)
Total Foundation Cavity Area: (20) +(21) 2 Gf,17 (23)
Total Wall Frwning Area; ~ 3)
Total Foundation Framing Area: (15) +(17) ~-(24)
Total Glass Area: (4) + ~Z,J_~ (18) = 210•Q(n (ZS)
Total Door Area: 2c9 (5) + (19) _ ~o (26)
Total Perimeter Rim Joists 7~ ( 1)
Total Gross Wall Area: [(22) + (23) + (3) + (24) + (25) + (26) + (1)] (27)
BOW WINDOW: (Top or Bottom) _ . ~ 7)
CEILING:
Total Ceiling Cavity Area: 1025, SI (12)
Total Ceiling Framing Area: - - ^ (11)
--_.<.Total.Gross_Ceiling Area: 10(10) =
- Total Gross Unheated Floor: S(13)
~ -
Page 6 of 7
COMBIIiED GROSS WALL THEHMAL TRANSMITTANCE VAI;UE (Do) CALCUlATI0N5
41a11 Component Area Resistance A/R
` Glass Single (18a) .98 -
Glass Canbo (4a) + (18b) = 2.13
Glass Insulated (4b) +.(18c) = 4k',(o9 2.22 20.13
Glass Triple (4c) +(18d) _ ~Co Co,27 3.33 Gq.q3
Doors Steel Insulated (26) Zo 14.90 13L
Wall ~ TYPe A (22a) ZI.2G
Framing (3a)
Wall TYPe B (22b)
Framing (3b)
Wall TYPe C (22c) ~75.3=-
Framing I (3c)
Wall Type D (22d)
,
Framing (3d)
Wall I Type E (ZZe)
Framing (3e)
waii I TyPe F (z2f) ziy
Framing (3f)
Wall I ,~,~,Pe G (ZZ°)
Framing (3g)
Rim Joist Type A (la) 5~•~~ 22,1oG Z,
Type B (lb) 3~•52 zz./
TYPe C (lc) (9, R~ Z1,17
Type D (ld)
Exposed Foundation Above Grade (20) S~c`-•5 ~~~,~cy 3~-,
Exposed Foundation Framing Above Grade (15a) -
(15b) - - - -
(15c)
(15d) -
' (15e)
Unexposed Foundation (21) 2G,U 17,g~ 23, 96
Unexposed Foundation Framing (17b)
(17c)
• (17d)
( ~(17e)
Totals 21$2 •U ( 17q ~
U. Wall = A/R BTO/h x°F ~ Meets Code
A
U. Wall Code Limit = ~ Does not meet Code
Page 7 of 7
• COMBINID GIiOSS ROOF/CEILING THERMAL TRANSMITTANCE VALUE (U,) CALCULATIONS
_RoofJCeiling Component Area Resistance A/R
Roof/Ceiling (incl. pro.jections) (12) (fj$, 39.78 2
Framing . (11) 33.05
Bow Window - Top ' ("7) 10.47
Totals fC1j$~j 2- S,7~j
U. Roof = A/R BTU/h x°F Oy. Meets Code
A ~ Does not meet Code
U. Roof Code Limit
GOMBINED GROSS FLOOR OVER UNHEATED SPACES THEINAL T RAN SM ITTANCE VALUE (U,) CALCULATIONS
Floor Camponent Area Resistance A/R
Pro jection (13a) (1I ,(v3 ~ Q, 1S 4,3~
Projection (13b)
Projection (13c)
Projection (13d) Crawlspace (13e)
Crawlspace (13f)
Bow Window - Bottom ( 7) 10.81
Totals 0 f,&3 L!,3(o
Uo F7oor = A/R BTU/h x°F ~ Meets Code
A
~ Does not meet Code
Uo Floor Code Limit
TOTAL ENVELOPE CONFORMANCE
A Uo A x U.
Gross Area Total A/R Code Limit Limit
wall ZIS7.,al I"m.q 1 • 114- 2¢5,7~
Roof/Ceiling p25, ,p7&4- 27, o y - °
Floor (v~.(a3 4.3(~ , o5c,•- 3,z~
-(2)-Total 271J/ BTU h x°F STU h x°F
~ Meets-Code
~ Does not meet Code
If the grand total (1) of the wall, roof/ceiling, and floc"ir A/R values is equal to or"
less than the total (2) of the A x U. Code Limits for the wall, roof/ceiling, and floor,
the Total Envelope meets the Code, even though the wall, roof/ceiling, or floor may not. .
If the total envelope calculation indicates that the desired construction does not meet
code requirements, make changes in the structure to add insulation, reduce glass areas,
or use insulating glass as required to meet the code requirements.
DEAL.°-R • DATE : :TOB N0. COMPUTED BY:
HODII. N0.
FORM N0. MCH-lA
SIZE OF FURNACE - SPIST FOYER
MAXIM[IM FURNACE SIZE = CCALC. HEAT LASS + INFILTRATION IASS) 1157
SYSTEMS AREA/R-VALUE Dt HEAT IASS
1. £XTERIOR WALL SYSTEMS ABOVE GRADE 14 (~(,_4,1
2. CEILING SYSTEM
3. UNEXPOSED FOUNDATION WALL BEIAW GRADE 23.~ ~~722• ~
4, EXT. FOUNDATION WALL ABOVE GRADE
(EL.EC. HEAT ONLY) PLUS RIM JOIST
5. BSMP. WINDOWS (ELEC. HEAT ONLY)
- SUB BTUH Ig~~l~•~
' PLUS IBT[JH
. TOTAL BTUH 8~..1.
6. INFILTRATION IgTUH =[Vol. BSMT (•37$(D,I,B) + VOI, lst Flr. (•75)(D,I,W)] (0.018)
' VOL. BSMT = AREA X 8.833
1 -
VOL. lst FI.R. = AREA X 7.54 =
f-. VOL. BSMf. ZNFIL. (ELEC. ONLY) _[:AREA X 8.83-31 C•37$ (.018)
a 7, MpXIMUM FURNACE SIZING = 1.15 (SUB B'I'l1l-] + IgTUH)
~ I - - _
IF THE FURNACE IS NOT AVAILABI.E BEPWEEN (SUB BTUH + IB.pUH) pND [1.15 (SUB
a, BTUH°+ IgTpH)], THE DEALER MAY USE THE MANUFACTURER'S NEXT NOMINAL SIZE.
N g, ELEC. HEAT = ADD BTUH OF UNEXPOSED AND EXPOSED FWNDATION WALL FLUS BTUH OF
BSt-ff. WINDOWS AND BASEMENT INFILTRATION = TOTAL BTUH• THEN DIVIDE TOTAL
a
BTUH BY 3.41 = TOTAL WATTS REQUIRED TO HEAT BSMI'.
. Form MCH-lA
6/25/79 .
_~x ~ , 5.d.;. ,
$'ORM NO'. 31CH-_2
`
~ MAt~'UFACTUR..FR *1T_LL-.CRA?T ]iOUSiNG CORPD?L4TIp1:
?7DDEL
JOE IACATIOT
~,J05 nD.
j D-kLF.r''.
IA`SUi..;TION ~ .
P,EQ'D. ASOVE
G11SDE aS OF
12/1/78. ' -
1. Bim jois_ insula*_ion (;ield in=tallec) :,-13
'Total rim joist ir.sulation H-20
tI ~ ! .
I ~ f
. ~ ~ P,equired }i Not Required
FNDR. INSID.ATION I
REQ'J. iEOVE ~ I - 2. Fonndation lnsulation P- 6.17 Pielc 3nscalled
GR4DE Ah'L 3
FEET BELOI; ~ Required Tot Required /Y
c '
GR9DE AS OF '
4/1/79, 3. Foundation k'indow Giazing
. . 4
< -
` Single Double Triple X
4. The total heat loss for a D.T.D. of
is ETIiH. -
a=
5. Maximum furnace size should be?',~i, Ca) STUH
: .
. . . . . .
Olltpllt.^ ' . - . '
'
6. Basement (BTU)= 3.41 = i;atts Reqnired
in_ Ea_sement for-Elec.- Heat_ 'Manufacturer or Instal-ler Ma} Use Next Lzrgest
- Furnace Size Avai ble._. .
~ . . .
- CALCULATIORS DONE .Bl : ~ - °
Fo*_7r MCA-2 .
6/25/79
~ 2/84
I
; CITY OF EAGAN
APPLICATION FOR PERtdIT
SEWER AND/OR WATER CONNECTION
Gl/4a
(PLEASE PBINi) s~?
1) PROPEfYt'Y ADDRESS: 1841 Walnut. Eagan, Mn,
=I, DESCcLTPTI0:7: 30 1 •
(Lot/31ock/Subdivision or Tax Parcel I.D. Ninnber)
u' G SI'FUCI?1RE, De~'I=.' G_° ORIGi~S~T1i, EliII,DL`1G P`_,ST ISSJ?i\C°:
P4E5-": M R-1 SiNiGIE r^P_`AS:.Y ' - ,
? R-2 GUPLEY ('I~,;p Wi ITS )
El R-3 TGS9MOL?SE (THR£" + iJiVITS) ( UNITS)
? R-4 ApAR'IP~~/CCNDCi`-Li~i7ILN1 ( [NITS)
? CaMMEF2CIAL/RETAII,/OFFICE
? L-MUSTRIAL
? INSTI'IU'I'IONAL/GOVERDMIMENTP
2) APPLI= (PLEASE PRINi)
NAME: Tilsen Homes Inc.
AiJDRESS: 627 So. Snelling Ave.
CITY, STATE, zIP: St. Yaul, Mn. 55116 -
PxolNE: 698-5501
3) PLu,BEZ PLEASE PRINT) fOR CITY USE ONLY
NFlititE: Ra.lph's Plumbing
ADDRESS: 9900 Seswick Ave, PLUXQL'RS IICENSE:
-~j
Active
CITY, STATE, ZIP: Stillwater, Mn. 55082 C] Expired
MA6itR LUMBER LICENSE k ~ Hot o~~d
PxotvE: 429-1733 P
at nitia
pCCmANj~/Or,,jNER (PLEASE PflIN!)
NAFtE: Tilsen Homes Inc.
ADDRESS: 627 So. Snelling Ave.
CITY, STATE, ZIP: St. Paul, Mn. 55116
PHONE: 698-5501
5) INpIG'1TE L+iHICH PEPh1iT IS BEINY; RFXJUESTID:
19' CO.,NELTION TO CITY SETr1ER
EJ,,c6NN=I0.1 'Ib CITY WATER
? (7I'I:ER (PLEASE DESCRIBE)
6) L'VDIG,.L C:.'E:
? PLu'1SE HOLD APPROVEp PER'VLIT FOR PICK-UP BY ONE OF ABCTJE
IXI °L.Er'15E MAIL APPROVID PE'2c'.-LIT TO 1, 2,3 4 ABWE
T(Circle one)
7) SIGN.'Iti~E: DATE: May 20, 1984
~
Rlq:i1:l~#A i~ i! lt~s-.~ r s r.~ s:fsa#a s f1i s~I:s's:J~:~ ~ ~!R ~e f.sFr~.~ ! s'.'ii t s~sa~c s
, , . . '
F 0 R C I T Y U S E 0 N L Y
PERtitIT = ISSUED
pEES: $ $r;.~ua Dro1ITT (I`iCLiJDE SliBCH;~RGE)
$ WATER PERP1IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ Wr1TEB TaP (I.ICiGDG CORPORATION STCP)
$ SE?•7E.°, Taa
$ ACCOUNT GEPOSIT - SEidER
$ /S • ACCOUNT DEPOSIT - [^IATER
$ 0-e WAC
$ .,5-0--d SAC
$ TRUNK ?VATE.°. ASSESS2-IENT
$ TRliNK SEWER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SE?•7ER
$ LATERaL BENEFIT/TRUNK WAT°R
$ OTHER $ TOTAL •
S Ll/- S~ Ati10UNT PAID/RECEIPT
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"'PERMZT FOR WORK WITHIN
PUBLIC ROADF7AY" MUST BE ISSUED BY THE
NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION. •
SUBJECT TO TEiE FOLL0I9IPIG CONDITIONS:
APPROVED BY:
TITLE:
DATE:
mmm
tQJlR.C.T• //t 4/9~ CITY OF EAGAN FOR CITY USE ONLY
.Q n~ ,Qpv o0 3830 PILOT KNOB ROAD
!n~vc i"d
huai
EAGAN, MN 55122 PERMIT # 10211
PHONE: (612) 454-8100 RECEIPT
I'I,UMBING PE1zltlT DATE : ~
IZESIi!$NTIA.T.:. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST D-ON MINIMIIP 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: OAV\C1 S~I~U\ C. _ KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00
SITE ADDRESS:1`bl{\ Wm-.No-C I-mNM _ HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT:?A3 BIACK ~ SUSD. E~~NIaY)C"C\C-A _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: ~ OTHER OEI -bqf 3.00
_~r WATER SOFTENER 5.00
ciTY: r_-AhAN1 2IP: ritil7i.D~_ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ ~ :E • oo
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ 1$ ,Sp
COMME8CI9LJINDUSTRIAL:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
M[TLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
• 1991 BUZ I IPERMIT AoICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCUI.ATIONS (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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: FI?d~S}1 ~ASr-1`v~v ~ Valuation: Date:
Site Address WAt-'rJUY 1.ANL OFFICE USE ONLY
Lot ~ Block FEES
Occupancy Bldg. Permit 35100
Zoning Surcharge /,Oa
Parcel/Sub ~ui--N Actual Const Plan Review
Allowable SAC, City
Owner 1~ 1\ )V l C_~ # of stories SAC, MWCC
Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit ,
S/W Surcharge
Phone On site sewage_ Treatment Pl.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV Copies )SO
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL 6,60
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
~-(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
1991 BUILDING PERMI APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE 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 APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH 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.
y-IZ-9/
To Be Used For: Veajl~' Valuation: -Shbww~Date:
Site Address i$~l wm-hwS OFFICE USE ONLY
Lot *--~C) Block ~ FEES
Occupancy Bldg. Permit ZJ~dv
Zoning Surcharge
Parcel/Sub ~~N f~D~\~1(>tv Actual Const Plan Review
A1lowable SAC, City
# of stories SAC, MWCC
Owner IDKV %J'~ ))L7\j1C'V
Length Water Conn.
Address \-0Ay,Nl~i L}~fJE Depth ~(h r Water Meter
S.F. Total Acct. Deposit
City/Zip Code "\)J &r>\~ Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment Pl.
On site well Road Unit
Contractor SF MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL S~SD 62 Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signature o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
boov- il PAc4c 7z
AOBE, cOHSVlTiHO 4HO H~lfli '
ENGINEEAING PLANHlM1f end LAND IUAV1YOflf
~ COMPANY, INC. ~ ~1000 [A]T 1441h STIICCT, EUfINSVILLL, MIHNCSOTA 60337 PM 432'7000
Ce rl z}~ c ac ~ S`t.cr-Y~ y .
j„d~r ct'! ~o~ t o st • ~...cr $e, 8vcr -E~63 ADC~ no~l , Dkr_orl~
fn)..frY, M140?ESorA.
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.
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\ . ~'~•Oi DEr~.~ EXIbT'I-U. ELEfaT1014
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'19
. ~ 0.1
5I 0AP ot -
8.~wr..1~
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, • i ~ R ey1qy~ .',~/(°L ~ .
2~om by ea rtity that thii o a trua and corsrot ripresonta2ion ot a tract ot
land:as sho+m'and daicribad horsons. As prop+tred by fie on thie 4t4 dar of. .
R~ ~ 1!_5 . ' _ '
~ ltinn, ltots Ifo~ i~°~
A CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 5 3
(612) 681-4675 Date Issued: 0 2/ 0 6/ 9 7
SITE ADDRESS:
1841 WALNUT LANE
LOT: 30 BLOCK: 1
EDEN
P.I.N.: 10-22750-300-01
DESCRIPTION:
(ONE BEDROOM)
,
Bu3lding Permit Type BASEMENT FINISH
Building Work Type ALTERATION
Census Code 434 ALT. RESIDENTIAL
1-_ ~
~
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - ppplicant -
DUVICK DAVID ,
1841 WALNUT LN
. EAGAN MN 55122
(612)452-0310
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 Mn.
~ Statutes and City of Eagan Ordinances. ~
APPLICANT/PETtMlTEESIGNATURE I55UED 8 SIG~A UR~
~ ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~iJ O.~ O
~ ~ CITY OF EAGAN
5830 PILOT KNOB RD - 55122
681-4675
New Construction Reavirements ItemodeVReoair Reauiromenri
? 3 registered site surveys ~ Z~Pbs o{ p~~
? 2 aples ot plans pnGude beam 8 window aaes; pouretl fid. deslgn; etc.) ? 2 stte surveys (exterior addRions 8 Eedcs)
• 1 energy calculations ? 1 ene~gy eelwlatlons (or heated atldkions
? 3 eopies of trae preservation plan H lot platted after 7!1l93
requlred: _Yes ~ No ~
DATE: I-~~-q~ CONSTRUCTIONCOST: • 00f)
DESCRIPTION OF WORK: ~AS~ M F_t~T ~ F l N\ ~N ~
STREET ADDRESS: ~ W A~_!~1 JT LA fJF
LOT ,~,Z,('1 $LOCK I SUBD./P.I.D. E-~F N
PROPERTY Name: ~UJtic~k S1RV ~1~ Phone#: '~~0310
OWNER
Street Address: ~`~y~ ~=~R1 6.1 tr l~.A NF.
City: ~A~,A N state: I~N zip: 5~?l a~. ^
CoNTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
RECEI j~ Name: Registration
~AN 9,9/y, StreetAddress:
` City: State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalry applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compty with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: L, '
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ;~~J 3~~
T?ee Preservation Plan Received _ Yes _ No _ Not Required
- ~ 0Ocooi
~
~ Foi Office Use I
y3q4 '
Clty Of E8~8Il I Permit#: ~
I Permit Fee: 1
3830 Pilot Knob Road • .-y
Eagan MN 55122 i Date Aeceived'
Phone: (651) 675-5675
Fax: (651) 675-5694 I StaH: o i
1
2oos RESIDENTIAL BUILDING PERnnir aPPLicaTioN
Date: ~D C) g SlteAddress: IXL1I WUI J~(~~ Lr i
Tenant• o?w 4 17e _OU V ~ CL Suite
RESIDENT I OWNER Name: bxa ~f ~'E l~ V I C. ~ Phone: S I- L S ' U3/o
Address / City / Zip: iol WQ I mu~ ~ ~ ~EctG ctd1
Applicant is: _ Owner X Contractor
TYPEOFWORK Descriptionofwork:--k(l?~0 4'4 V'PI'b~ hoU~f~
Construction Cost: ~ Li 3" , C) U Mulh-Family Bwlding: (Yes No
CONTRACTOR Name: M`1 Ct-` aSNU (i~ ~t/1 License c? OP.3 3QTU ~
q rI ~
Address: 6~ 1~ ~~L~'I,,le~S (C-C~
City:-~- dIe Sta[e: rn4 Zip: J S / J~ -7 1
4 7
Phone./~ ~Y~.~'70''WS J I Contact Person: l <Y~~ r2-7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING /
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
Category Submitted Submiqed
(4 SubmissiOn fyPC) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planl
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone: Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are cortsidered to be public information. Portlons of
the informatfon may be classified as non-public if you provlde specific reasons that would permit the City to
conc/ude that the are trade secrets.
I here6y acknowledge that this information is complete and accurate; that the work will be in conformance wilh the ordinances and codes ot the City oi
Eagan; that I understand this is not a permit, but only an applicalion 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 oi work which requires a review and approv of plans. ~
x ln ~ I e 1 C,G f~VDG G~ x ~,~Z,0
AppllcanYs Printed Name IcanYs Signature
Page 1 of 3
CITY OF EAGAN Remarks
Additionl F.den Addition Loc 30 eik 1 Paicel #10 22750 300 Ol
Owner '\~~VA screet 1841 Walnut Lane state Eagan hW 55122
ImDrovement Date Amount Annual Vears ~M'j Payment Receipt Date
STREET SURF. 1982 2271.15 454.23 5 0/
STREET RESTOR.
GRADING O 24.22 4 S4 'S
SANSEWTRUNK 1974 fi2,93 4,20 1$ ,/a$
• SEWER LATEFAL (t) 7A /f, 3U RO/ ' fr
WATERMAIN
N WATER LATERAL 102
WATER AREA 1977 62.93 4.20 15
•
STORM SEW TRK Cl 1982 48 .61 97.52 ,53 / -$Jr
1! STORM SEW LAT 1982
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 43159 5-11-84
WATER CONN. 470.00
BUILDING PER. 9058 SAC S25.00
n n
PARK
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