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886 Wescott Square CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Rosd P. O. Box 21199 PERMIT NO.: 5859 Eegsn, MN 55121 ~ATE; 11-30-84 ZoMnp; R4 No. of Unics: 4 plex r; FML Inc resa: ~J Sft Add„= 886 Wescott S uare L8 B1 Wescott Hills Revised pltxnber Master's Plb Meftr No,; 3 S 7 d 9.5 ConecNn Charge: 1504 . 00 pd Stze: I?ooourn oeposit: Reoder No.: _1 C' o / 9/J Permit Fse: - 10.00 yd 1 ym !e ee=* wMb tM Ciey d tppw Surcho?pe: .50 Fd O~ Mim Cha,os; _ 252.00 vd metE Total: : BY G2~ / Dote Poid: Dote of Insp.: Inep,; ~5 CITY OF EAGAN Sr4M SMyM pERMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: 7}4 R Eagan, MN 55121 DATE: :1-30-84 Zoninp: ` No. of Unics: - 4 ~lex Owrrr. InC /lddress: Site Addrcss; Wesco[t S;uare L8 B1 T,'eacott F1111s Revised Plumber. : [astrr `s Flbi, 1i-14-a,Fa A7667 320.00 nd I 'Nw to eomvM wNb d. CMs ef g.". Conr,.cNon Q,a,p.; _ 1360. 00 d Ormnesas. Acommt p,epodt: pnn,K Fee; 10.00 od Surclwrpe: BY Misc. Chorpm Date of Irap.: Totol: Insp.. Dolr Piddk. u CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RLCEI V 6D'` FROM / ' AMO NT $ I ' 4 ~ e oaLLnRs +oo ? CASH ? CNECK d" FVNO GODE AIAOUNT ~ 7 Thank ~ BY ' White-Payers Copy Yeilow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition Wescott Hills Revised 2nd Lot 16 Rik 1 Parcel 10 $3611 160 01 54- Owner Street 886 WPs(,ntt SqLlar'e State F'+,,agan, ~~5J23 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ~ . STREET R ESTOR. GRADING -yE SAN SEW TRUNK , ^ 9 43.50 • SEWER LATERAL 1985 WATERMAIN -?f- WATER LA7ERAL 1985 • WATER AREA 1985 ~ STORM SEW TRK ~ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. 5AC PARK CITY OF EAGAN 9691 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 QUILD1NC PERMIT PHONE: 454-8100 Receipt aqt ~ Te bs woA for 1 OF 4 PLEX Est.Volue $48,000 Date NOVEMBER L3 1484 Site 886 WESCOTT SQ (UNIT 202) Erect ~f o~~n~ R1 Ad esa t..ot elock ~ec/Sub. WF,SCOTT H ILLS RE Remodel ? Zoning Parcel No. Repair ? Type of Conat. V 1 HR Enlarge ? No. Stories 30 ~ Neme FML IIVC Move ? Len9th ~ - TH ST Demolish ? Depth 36 Address City NEW ORT phona 4 9'4089 Grade ~ Sq. Ft. Approvals Fees o Name S`~NiE O 8u Address Assessment Permit ' O ~ City Phone Water & Sew. Surchcrye G~c f-IC'COMBS-KNUTSON ASSOC INC Police Plcn check O W Name Firo SAC ' xu Address Enp. Water Conn. 0 ~W City PLYI',10UTH phone 559-3700 planner WoterMeter0 Council Road Unit 20 ~ 1 hereby ocknowledge that I have read this opplication and state that gldg. Off. 11/13/9 Perks the inlormolion is correct and ogree to comply with oll applicuble AP~ Total , 592. Stata of Minnesota Stofutes, vnd City, of Eagan ~rdirronces. , , , , Var. Date Stpnoturc of Pern?ittee I t f t ~'I `1 ( l l~ Ql.~l A Building Pertnit is issued to: FML INC on the exprcss conditlon thot ull work shall be done in occnrd(irxm with all epplicobls StJite of Minneaofa Statutes ond City of EoQan Ordinonces. Buildln4 Officiol Permit No. Ptrmk Holdx Date Plumbinp H. V A.C. ENaric P b U Z`~, ~ 11-.~1-~~ •(~L sareo+.. Inspection Date Insp. Other Footings (o-17.b Foundation Freming f~~ Rough Plbg. 1. ~ L,.d Rough HVAC ~ ~ Inwlation Final Plbg. - /-~3 Final HVAC Final Cerdocc. ~ Water Describe Location: VYeI I • Sawer Pr. Disp. - > Recsipt _ MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fee Fill in numb8red spaces S/C Type or Print ltgibly Tot 1. Date 3~ 2. Installation Cost . . l;~i 3. JobAddress~>>;7 S? Lot- 40 Blk. Tract k) l-~12~ 4.Owner FML. Ine_. 5. Contractor _;c.E`,^.f.d0~'i PLZL7,- L' • j " Phone - l § 6. Address 7. City 044X<.A4.5 State AN Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New 13 Add ? Alter O Repair ? 10. Describe Fusl Type 11. No. F-ouinment STU - M. Ea. No. Eauiament CFM Forced Air S^, Air Handling: Mfg. Boilers 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 oomply with all ordinances and codes governiny this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERltA1T. • Permit Na CITY OF EAGAN Fee Fill in numbered spac~ S/C Type or Print legibly Tot. 1. Date 11-12` 84 2. Installation Cost 202 S4. 3. JobAddress iLb WeAC0#t Lot-Ap Blk. Tract W 44Z.,~ ~ . t. Iyzc. 4. Owner , 5. Contractor S~an P.e=b.i,kjc 9: i; Phone -1 L 15 6. Address 16229 LeV.(, /LVe. E. 7. CitY "u''np State Zip 8. Building Type: Residential X7 Commercial El Institutional ? 9. Work Description: New C] Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures j Water Closet Cesspool/Drainfield ~ Bath tuhs Septic Tank ~ Lavatory Softner Shower Wetl ~ Kitchen Sink Urinal/8itiet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink 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 this type of work. Signed : for Hough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 , CITY OF EAGAN - i~; 964A ~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To M wed fee 1 OF 4 PLEX Est. Volue $4E ,000 pOte NOVEMBER 13 , lq 84 886 WESCOTT SQ (UNIT 201) ~ R1 Site Ad e Erect ~cupancy Lot Block Sec/Suh. ESCOTT HILLS Rl~emdel ? zoniny _R4- Parcel No. Repair ? Type of Const. Enlarge ? No. Storigg FML INC Move ? Lenytn s ~ Name Z Address 885 - TH ST Demolish ? Depth 36 9 City R Phone _ p 9 Grade ? Sq, Ft. im SAME Aoororals F4e8 ,O Name O ~u Address Assessment Permit 24.00 City Phone Water E~ Sew. Surchorge Police Plon check 13 7. 00 Name MCCOMBS-KNUTSON ASSOC INC Fim S/1C 420•00 ~W 376.00 Add~ Enq. Water Conn. ~ W City Phone Plonner Watar Mete? 63. 0 0 c~uncil Rood Unit 208.00 I hereby acknowledge tFat I hove reod this opplication ond state that gldg. Off~~ Perks the information is correct ond agree to comply with oll opplicoble APC Total r Stote of Minnesoto Stotutes qnd City, of Eagon f?,di ces. ~ ~y~~ ~~Var. Date Siyneture of Permittee '~Gc 'T FML A Building Pertnit is issued to: INC on the exprcss condition fhar all work shall be done in occordonce j!!t ,i oll appliwble Stoe of Mlnnesoto Stntutes ond City of Eapen Ordlnonces. Buildinp Offlcfal ~ 1r Permit No. Psrmit Holdsr Deta Plumbinp g~ ~ ~ti 3~- ~/.J3S H.VA.C. Electric Soften*r Inspection Date Insp. Other Foos~~~ IL41-?I b J ~ Foundation Framiny k Rouyh Pibg. ( - ( 44 t Rouyh HVAC Insulation Final Plbp. Final HVAC Final s Cert/Oce. y Water Describe Location: YYell Sswer Pr. Disp. ~ Receipt PLUMBING PERMIT. Permit No.CITY OF EAGAN ~ Fee ~Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 1 2-12-$4 2. Installation Cost `l01 Sq. ~ 3. JobAddress 1Sts6 WP3CO.U Lot~Bik. ~ Tract W144L 4. Owner FA• L, IrtC. 5. Contractor SWVUOK P.ell.'71l:i,L.Y73) 5 i i.i;; . Phone 43%- Q2 15 6. Address 16229 Levi nVr. 7. City h'ab.U-?tcid State Nk:10' Zip 55033 8. Building Type: Residential 11 Commercial ? Institutional O 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 1 Bath tutx Septic Tank L Lavatory Softner 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 information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Raoeipt MECHANICAI PERMIT Permit No. sCITY OF EAGAN Fee Fill in numbered specsc S/C Type w Print leglbly Tot 1. Date ~ I- 1 r x~ 2. Installation Cost 3. Job Address ~IAIP.d#CO..t 4Q Lot- Blk. Tract ~ 4. owner FAIL. I r.c, . 5. Conuactor SWaAAon PCuAtL+.cxgSN.ty. rxc pho1e 437-921 K s. Address 16229 Le;r.i. ~'lt~.~uce E'.U.t 7. city :1:~ :,t.nab state aiiJ zip 55035 8. Building Type: Residential Q Commercial O Institutional ? 9. Work Description: New Q Add 0 Alter ? Repair O 10. Destxibe Fuel Type 11. No. Fquinment 8TU - M. Ea. No. Eauioment CFM Forced Air 5tr, Air Handling: Mfg, d&r,/an.t Boilen Mech. Exhauat Mfg. Unit Heater Mfg. Other Air Cond. Mfy. Gao, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinancea, and codes governing this type of work. Signed : f ' ~ `T1 for Rouyh Finsl Inspections: Oate Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN qsRq 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ' BUILDING PERMIT Receipt # 1 OF 4 PLEX $48,000 NOVEMBER 13, 84 Te be upd fer_ Esf. Volue Dote , 19 Site Addreu 886 WESCOTT SQ (UNIT 104) Erect IN pccupancy R1 Lot 1 U' Block -1 GeclSub. WESCOTT HILLS RFRemodel 0 2oniny Parcel No. ~ RePair ? Type of Const. ~ 1 j~R Enlarge ? No. StorieS, W Name F~ INC Move ~ Length ~ Address 885 - 12TH ST Demolish ? Depth city NEWPORT phone 459-4089 Grade ? Sct. Ft. Name SAME APprovab Fees ~ ;H- 2 /4 Address Assessment Pennit 24.00 ~ City Phone Woter E~ Sew. Surcharpe 137.00 Polite Plan check Goe MCCOMBS-KNUTSON ASSOC INC 420.00 WW Name Firo SAC ~z 12800 IND PR BLVD 376.00 x~ Address- Enp. Woter Conn. t W City pLYMOUT4hone 5 5 9- 3 7 0 0 planner Water Meter 63.00 Countll Road Unit 208.00 1 hereby ocknowledge that I have reod fhis opplicotion ond state thot Bid9. Off,11/13/84 perks the informalion is correct and ogree to comply with all npplicoble APC Total i Srote of Minnesota Stotutes q~d Citp of Eagan 'rJrdinances. f~~ ; R f,~L~;`y'-. var. oate Siprwture of Permittee ' A Buildinfl Permit Is issued to: FML INC on tha sxpren conditbn thoi oll work sholl be dore in occordonce wt I all oppliaobla Stote jf Minnesota Stotutes ond City of Eaflnn Ordinances. Buildirq Officfol ~ Parmit No. Psrmit Holdsr Dato Piumbing 37 - S~ ~ H. V.A.C. '1 ~ •~1.~%G-r~it ~ ~ - ! . ~ Ekctric sofesn.r Inspection Date Insp. Other Footinga 1077-`E J v Foundation Framinq ~J Rough Plbq. RoughHVAC ~ ~ ~i-13.g~ ~~cro Inwlation ~ Final Plby. - Final HVAC Final CWVONW' v Water Describe Location: VYell Sewer - Pr. D'ap. Recaipt PLUMBING PERMIT • Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C - Type or Prini legib/y Tot. 1. Date J 1' ~ Z' gY 2. Installation Cost _ t O r-":;<i , 3. Job Address Lot~Blk. Tract '1.gZ 4. Owner F. 4' L.; ~ F2C'.. 5. Contractor &OVIA0r f'ruMF-in3 Phone ~ ' 7- 9 f ' 6. Address 16229 "-ve. E. 7. Citv f'a4tiA9b State 4V 2ip 55033 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New [ld Add D Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs $eptic Tank ~ Lavatory Softner Shower Well Kitchen Sink UrinalJBidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ! 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 this tYpe of work. / Signed : f r L, 7 ; for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8900 Reoeipt MECHANICAL PERMIT Parmit No. CITY OF EAGAN Fea Fill in numbened speces S/C Type or Prini /egibly Tol. 1. Date 2. Inatalietion Cost 3. Job Address b~:s SOLotBlk. Tract 1J Z 4. Owner F:'•i L. T nC. 5. ConVactor a,•,,~i;lg,L, 1 r CPhone q'' 1-': 2 I~ 6. Address ' E . ° ' C ;i:: C a.h.: 7. C'ity ~-f^A.fi".State zip !:5!.33 S. Building Type: Residential 13: Commercial O Institutional ? 9. Work Descxiption: New Q' Add 0 Alter O Repair ? 10. Dacxibe Fuei Type 11. No. Fquilimpn*_ 8TU - M. Ea. Noi Eauioment CFM ' Foroed Ai r rl, ~Air Hsndling: Mfg. BO1lers Mech. Exhaust Mfg. Unit Heater Mf9• Other Air Cond. Mfg, Gat. Piping Outlets 12. I hereby cartify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : • for ~ Rouyh Final Inspections: Date Inap. Date Insp. This is your permit when numbered and approvad. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN . 969 R- ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 ~ BUILDING PERMIT Receipt :2 Te be wed fer 1 OF 4 PLRX Est yalue $48,000 Date NnVEMBER 13 ~ 1984 886 WESCOTT SQ (UNIT 103) R1 Site Ad r s Erect L Occupancy Lot Block sec/Sub. WESCO T HILL Rrkemodel ? Zoning Psrcel No. Repair ? Type of Const. V 1 I3R Enlarge ? No. Stories it Name FML INC Move ? Length 3 Z - TH ST Demolish ? Oepth 36 Address Grade ~ Sq. Ft. ~ City NEWPQRT Phone 59- 0 SAA'lE Approvols Faes Name oAddress Assessment Permit 214.00 24.00 u~ City Phone Water & Sew. Surchcrge 137.00 ba M OMBS-KNIJTSON AS9~C INC Police Pion check I„W Name Firo 5AC 420.00 I-12800 IND ~ BLVD 376.00 Enp. Water Conn. AddresS. -370 r tW City Pnone Plonner Water Metar 63 . 00 Council Rood Unit 208.00 I hereby acknowledge that I have read fhis opplication ond state thot gldg. Off.11I13/84 parks the informotion is correct and ogree to compiy with,all applicable APC Tota{ $1r5Q .00 State o4 Minnesota Stotutes ond City of Eagon Ordincntes. Y ~ ! ~ , 1 ' Var. Date Sipneturo of Permittee 11 Building Permit is issued to: FML INC on the express conditlon that oll work sholl be done in occordonce with nw cpplicable State of i esoto Stotutes and Ciry of Eoflon Ordinances. Buildinp Officiol Permit iYo. Permii Ffaldar Date Plum6ing H.V.A.C. Elsctric $ ll Softener Inspection Date Insp. Dther Footings I0Io's,4 J J Foundetion Framing f y Rough Plbg. Rough HVAC Insuletion Final Plbg. Final HVAC or/ Final 1'7 1(S 1319 Cert/Oce. ~ WaLer Descrihe Location: Il/f-//8y L~3~~ . wQu Sewer Pr. Disp. Receipt " MECHANICAL PERM17 Psrmit No. - CITY OF EAGAN , Fes i • Fill in numbered speaces S/C ' Type or Print leglbly Tot. 1. Date 2. Installation Cost - , -P: 3. Job Address 436 i~'t;;r.{:CQ!.t.t SY LotL/,~4?Blk. , Tract 1,U 4. Owner R4L, I?3C_ 5. Contractor S[,Xu:Sa ot D~1L3"~?.~.n~t 1!(g.t. 2~~cPhone 7~ 9 2 T~S 8. Address L"V:'. .4VCYtuz ; A 7. City ~zci3.~ cr_, State mr_ Zip 1.; y 3 3 8. Building Type: Residential Ck Commercial ? Institutional ? 9. Work Description: New C~ Add ? Alter ? Repair ? 10. Descxibe Fuel Type 11. No. Equjpment STU - M. Ea. No. EQUipment CFM + Foroed Air 50, 00 0 Air Handling: Mfg. 8 )tyCLYIt Boilers Mech. Exhaust Mfg. - Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above intormation is true and carrect, and I agree to comply with 4ll ordinanges a?d codes governing this type of work. Signed : . for Rough Fina) Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERRAIT. • Permit No. CITY OF EAGAN Fee F Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost • tGx q- -SQ 3. Job Address w&'-SC-u~t Lot~~Blk. . Tract !w ~ . ~ . ~ ~ i?.C. 4. Owner F. 5. Contractor Phone 6. Address 16229 Leui i'?~ . 7. City hfX`t{_~U„6 State i•rtf~! Zip 57633 8. 8uilding Type: Residential EC Commercial ? Institutional ? 9. Work Description: New l~ Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures 7 Water Closet Cesspool/Drainfield Bath 2uts 5eptic Tank ~ Lavatory Softner Shower Well 7 Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink T ' 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 gpverning this type of work. Signed:, for Rougb F inal Inspections: Date Insp. Date Insq. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. ' CITY OF EAGAN Fee Frll in numbered spaces S/C Type or Prini legibly Tot. 1. Date - 2. Installation Cost 3. Job Address Lot Blk. , 'rract- 4. Owner F,;l. L.~ I>!C. 5. Contractor PuJi. ;;'z;~. Phone 6. Address J ~-Lj g~tt Alu~ 7. City 'L13b State 2ip 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New ? Add ? Alter 17 Repair ? 10. Describe :X:-tf'A i1~'.=11LL'iL:7 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs $eptic Tank lavatory Softner Sfiower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to camply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EA/GAN 454-8100 ~~~~f~.S-~ ~~1i~! _ Rea+ipt ' PLUMBING PERMIT • Permit No. . CITY OF EAGAN Fee J FiN in numbered spaces S/C Type or Prinr legibly Tot. 1. nate 2. Installation Cost 3. Job Address ~dn -"Je3Utt Lot Bik. ;Tract ' 4. Owner F.~! t.~ 14C. 5. Contractor _wareAOit Ptha,2 Ht,-, ~`nQhone d~~-49u 6. Address 18224 Lc?+)< Av•t 7. CitY i~"t,1.riQ. State MN ZiP 55033 S. Building Type: Residential Q Commercial D Institutional ? 9, Work Description: New O Add ? Alter G~ Repair ? 10. Describe r C=PQCf.1lg wa=f? Y r-~°~v 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink _I 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 this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 45448100 `f f/ 'ao- 1`~D1/J Receipt PLUMBING PERMIT. • Permit Na. ' CITY OF EAGAN Fee J FiII in numbered spaces S/C Type or Prini legibly Tot. 1. Date 2. Installation C.ost 300• 00 1 f ! fJ 3. Job Address '-~S "'u ''-a{t Lot IBlk. r7racf ' i , , 4. Owner r A. L. , I:~C. - - - ~r 5. Contractor 'ko[YtbO)t i'.~...:.; ~ i;tq, I:sC-Phone 437+9f,15 6. Address 1 b.*.29 LA1%e. E., c(U.d 7. City tlGt.6tilzg 3 5tate "iN Zip !1703a~ 8. Building Type: Residential N) Commercial ? Institutional O 9. Work Description: New O Add ? Alter Repair ? 10. Describe '~ept='iAq -wateA hea'#'eAA 11. No. Fixtures No. Fixtures Water Closet Cesspool /D rai nf ield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinat/Sidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certifV that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Si gned : ~ ,•1,, . ~ - . . ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 C// 3 /p I.&T - RecBipt PLUMBING PERMIT • Permit No. CITY OF EAGAN Fee Fill in numbered spaces S1C Type or Prini legib/y Tot. ' 1. Date 2. Installation Cost ' - • - 1 p 2 f-; 3. Job Address ~ o D Lot Bik. Tract f t . ~ 4. Owner r.~. L. , INC. 5. Contractor 30A?tb01't Pi.f.tnlb.(,nQ $%+tr Phone 4? 7-'1'[ T`, 6. Address 1n22'1 !eVt QV`~, 'L- 7. City Ou4tZ*b, State Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ~I Repair ? 10. Describe k"Ve:'r,C"'2 bUat(l. 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~1131f 6- zkr ;e'~~°ns~`,om`°~1~.(~~ c.&o 4? A 100288 ~ e) Raquest Dele Fire No. Rouph-in Inspectfon ~ ~~Ij{~ /J Req~ retl7 Peady Now ~WiII Notify, Inspec- //['!r' ~o l~] ~T x yes ~fVe [or When qeady [1a Licensed El?cVical Contractor I hereby request insoection of ebove ? Owner . elecVical work installeA at Street Atldress, 8ox or Routg N City ecuon o. Township Name or No. Range No. Count ~ Occupant ~(PRINT) Phone No. / / ~~L o!~- C _ Power $v~yli Atltlress ~ k/iYi Ll Eleclri I Contraclor ICOmpany Name~)~- Cuntractor's License No. 73 7 ~o Mailing Address JComractor or Owner Mnking Instailationl lG' z- l.&~ 625"e)3-S Au~ature onva tor Owner aking Installation) Phone Number . `73 MINNESOTA STATE BOAND OF ELECTRICITY . THIS INSPECTION NEQUEST WILL NOT Griees-Midwey Bldg. - Noom N•791 BE ACCEPTED BY THE STqTE BOARD 1827 University Ava., St. Paul. MN 56104 UNLESS PflOPEX INSPECTION FEE IS Pnooo 16121 29].2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-ooooi.na . ~ J See instmctiore (or comDleti.yy this fmm on 6eck Ot Vellow copy. A 1010 2 U U .,X" Below Work Covered by This Request I ~ q{'d Nep. Type at Builtling Apolinneas Wired EqWOment Wired Home Range Temporary Service 9uplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Siio Unloader Industrial Bldg. Air Conditioner Bulk Milk T&nk Farm Other Deci v thcr lSUecffyl t e, Speci y ther Other ompute nspec[ion Fee Below p Fea Ser,ticaEntrance5ize p Fee Feaders/Subteetlera k Fua Circuits /O,' 0 to 200 Am s 0 to 30A m s i-' 0 tn 30 Am s Above 200 Amps37 to 100 qmps SU- 3} to 100 Amps Swinvning Pool AbOVe 100-Am s Abave 100_Am ' Transiormers irri ation Booms U Partial%Other Fee Si~s Special Inspection 5 i•o Hemarks I TOTAL E 70' Rough-in /_"d 1 , the E v' f~ In pector, heraby rti/y tFat tha ebove final DP~eti •(i inspeclion has bean Mlarequeatvoltli8montlofrom est voia . wh= 6 0 IJ~a-~~ Request p t Fire No. Rouph-in 1 spection / / G RaOUrted? Ready Nuw ? WiII Notilg Inspec- I '?Yes No tor When Reatly Licensed EI ctricel CanVactor 1 heraby requast ins0ection ot ebove ? Owner electrical work insfalled at: Sveet ress, Box Route N_'~ \~v l/' C~ ~ ecl~on o. ~TOwnshi0 Name or No. Range No. Cou,~ `s Occupant (PIiINT) Ph , Power applier ~ I Atldress J Elecl~r`icaIl Conn tor ICOmpanv Name) Contracmr's License No. VV ~ li 1 Mailinp A5qdress ICOn recror or w~r kin Insta{latio 1 AuIA ized Sig [ure,ICOntraclor Owner Makinp Installetionl ^Phone Number / ' ~ MINNESOTp STpTE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigpy-MitlwaY 81de. - poom N•191 BE ACCEPTED BY THE STATE BOARD UNLESS PqOVER INSPECTION FEE IS 1827 University Ave., SC Paul, MN 65I04 PM.m 18721 297-2111 ENCLOSEO. tf REQUEST FOR ELECTHICAL INSPECTION y„ ee-oooot.oa ' See instructions for completiiq [ris form on back of yellow capy. A X'" 8elow Work Covered by This Request Add Rap. Tyoe of euiltline AOGliancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electrin Heatin Commercial Bldg. Purnace Silo lJnloader Industrial Bldg. Air Conditioner Bulk Mi Ik Tdnk FHfm Ner Deci V t er (SVerifyl t r uoci y Ot er Other ompute lnspection fee 8elow M Fee ServicaEntreneeSize k Fee Fextlars/SUbfeedera b Fee Circuite 0 to 200 Am s 0 to 30 Am s 0 to 30 Am Above 200 qm S 37 to 100 Amps 31 to 100 AnVs Swimmin Pool Above 100_Am s A6ove 100_Am s Transformers Irrigation Booms i Partial'Other Fee Signs Speciallnspaction . $ TOT L'FEE Nemarks y' V J eouen-in cna rce ~ Inspeetor, he~aby ~ ' car~ify thet the above Final f D.t'e7 ' spection hes been ~ .~'J• tle. TMartpueslvoidl8montMirom ~ ' : ;:'1 ' CITY OF EAGAN N? 9691 • 3630 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te 6s ubd fe. 1 OF 4 PLEX Est value $48,000 Dare NOVEMBER 3 1y 84 Site Addrees 886 WESCOTT SQ (UNIT 202) Erect Occupancy R_ Lot~elock 1 cec/Sub.WESCOTT HILLS RERemodal ? Zoning Pazcel No. ~ Repair ? Type of Const. V 1 HR Enlerge ? No. Stories FML INC Move ? Length Z Name 885 - 12TH ST oamorsn ? Depth 36 ~ Cay ~NEWPORT phone 459-4089 Grede ? Sq.Ft. O Z~ Name SAME AvProrah Fees Address Assessment Permit V~ City Phone Weter &$ew. $urchorpe 24.00 Palice Plan check 137.00 Gw Name MCCOMBS-KNUTSON ASSOC INC F1fe SAC 420.00 i~ Address IND PK BLVD Enq. WoterConn. 376.00 iW city PLYMOUTH phone 559-3700 Planner WaterMerer 63.00 Council Road Unit 208.00 I hereby acknowledge thot I have reod this opplicotion ond store Thaf Bidg. Off. 11/13/8 Parks fhe inlormotian is correcf and agree to complY with oll aOPlicable A~ Total State of Minnesota Sto ute d Cityryf~ri n~rdf nces. Var. Date Siqnotum of Permittee A 13uildin9 Permif is issued lo: FMI' INC on tFa express Wrditlon thoi oll work shall be done in accord nce w h all opvli e St of MinnesoTa Stntutes and Ciry of Eogon Ordimncea. Bu{Idirp Officlal C2)) . . . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE El SETS OF PLANS, Q CERiIFICATES OF SURVEY 13 SET OF ENERGY CALCULATIONS To Be Used For: I oF 4 Plex Valuation: $~;OQp _ Date:_9-19-84 _ Site Address: uzmb Z~ 4~°O~•~ ~ ' • Lot:__I* Block: ISect/Sub• Erect: % Occupancy: Parcel Westcott Hills Revision ~ Remodel: Zoning: ~-4 Repair: Type Of Const: SX IHQ, Owner: FML, Inc. Enlarge: # Stories: Move: Length: Address: 885 12th St. Demolish: Depth: 36 City/Zip Code: Newport, MN 55055 Grade: Sq. Ft.: Phone 459-4089 Contractor: _F`Q-, Inc. Address: 885 12th St. Assessments: Permit: Z7 4 City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: Z1}.~ Palice: Plan Rev.: ~3'7 Phone 459-4089 Fire: SAC: 420 ~ Engr.: water Conn: 3?(~.°= JlAfX~k3[)6pn9~ McCombs-Knutson Assoc. Inc. Planner: Water Meter (03.°= Address: 12800 Industrial Park.Blvd. Council: Road Unit: 2Q3.!!~ Bldg. Off.: ~ Parks: City/Zip Code: p7,vmouth, MN 55441 APC: Phone#: 559-3700 Variance: ~ . CITY OF EAGAN M 9690 3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55721 BUILDING PERMIT PHONE: 4548100 ReceiPt ~l/lo # ! Te M wsd Mr_ 1 OF 4 PLEX EI, yaIUe $48 r000 pO1e NOVEMBER 13 1984 Site Add 886 WESCOTT SQ (UNIT 201) Erect ~ occuPency Rl ~{?ss~ Lot l~elcek 1 Sec/Sub. WESCOTT HI LS R~amadel ? Zoning R4 Parcel No. Repair ? Type W Const. V~HR Enlarge ? No. Storiep FMI, INC Move Lengtn 3 ~ Name Demolish ? Depth Z Addresa 885 - 12TH ST ~.fL ~ city NEWPORT phone 459-4089 Grede ~ sq. R. ADOrovals Raes Z~ Name SAME O Address Asseument Permit • • City Phone Water 8 Sew. Surchorpe 24 . 00 Police Plan check 137.00 G~ Name MCCOMSS-KNUTSON ASSOC INC Flre SAC 420.00 wW ~i 1 00 IND PK BLVD x~ Address Erq. Water Conn. 376.00 ~W City PLYMOUTH pnone 559-3700 Plonner WmerMeter 63.00 Council Road Unit 208.00 I hereby ackrrowledge thot I Fwve reod thfs cpDlication ond atote thaf Bldg. Off. 11 13 Parks the inlormation is correcT ond egree to wmply with oil oDPlicable APC Total $1,502.00 State of Minnesota Sto utea ' d Cityf ~ n ina ces. Ver. Date Siynoture of Permittee ' A Building Permit is issued to: FMI, INC on the express wrdiNon Ihai all work shall be dane in accordonce opplicob(~~~'$~t~/ of Minnesofa Statutea and Ciry of Eapon Ordirwnces. Buildirp Ofiicial ~ ~ 7~ b . . ~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 0 SETS OF PLANS, CER~IFICATES OP SURVEY (~J SET OF ENERGY CALCULATIONS To Be Used For: ~ oF 4 Plex Valuation: $,154-;@6b__ Date_ 9=19=84 _ Site Address: 1 ) • ' • Lot: 8 Block:_ISect/Sub: J Erect: Occupancy: (2•1 Parcel Westcott Hills Revision Remodel: Zoning: 9-4 Repair: _ Type Of Const: Q IH . Owner: FML, Inc. Enlarge: # Stories: Move: Length: 30 Address: 885 12th St. Demolish: Depth: 3(1 City/Zip Code: Newport, MN 55055 Grade: Sq. Ft.: Phone 459-4089 Contractor: ~ FML. Inc. Address: 885 12th St. Assessments: Permit: 2.~+~ City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: 24.z Police: Plan Rev.: `"'~'j,= Phone 459-4089 Fire: SAC: ZD•°` Engr.: Water Conn: ~X7~7~n9: McCombs-Knutsott Assoc. Inc. Planner: Water Meter (03.=° Address: 12800 Industrial Park.Blvd, Council: Road Unit: 208,= Bldg. Oft.: ~ Parks: City/Zip Code: Plymouth, MN 55441 APC: Phone#: 559-3700 Variance: ~ . CITYOFEAGAN N? 9bbzp 3830 Pilot Knob Road; P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipr # To bs ard 1er 1 OF 4 PLEX Est yalue $48,000 Date NOVEMBER 13, 19 84 SiteAddreu 886 WESCOTT SQ (UNIT 104) Erect 13 OccuPency Rl Lot___W_(1'Block 1 ~ec/Sub. WESCOTT HILLS REqemodel ? Zoniny R4- Parcel No, Repeir ? Type of Const. V 1 HR _ Enlarge ? No. Storie3-0 ~ Name FML. INC Move ? Length = Add 885 - 12TH ST Demolish ? oeptn ~ ress . City NEWPORT phone 459-4089 Grede ? Sq. Ft. S~E AvMorals Feet o Name 2/4.Uro ~U A~~s Assessment Permit V~ CitY Phone Water 8$ew. SurcMrqe 24 . 00 Police Plan check 13 7 . 0 0 Nme MCCOMBS-KNUTSON ASSOC INC Fire SAC 420.00 qddms 12800 IND PK BLVD Erq. Water Conn. 376.00 46 City PLYMOUT4h0ne 559-3700 plunner WoterMeMr 63.00 Council Rood Unit 208.0) 1 hereby ockrrowledge that I have reod this application ond state that Bldg. Off. 11 13 84 Parks The inlormofion iz correct and agree fo mmply wfth oll upplicoble APC Toial $.1, 502.~~ State of Minnesota Statutes Ci of Eagan rdi ncea. Var. Dete Siq~wture of PermiMee ~ - A Building Permit is issued to: FMI, INC on the exprcss wndiflon.that oll work sMll be done {n aecordance w a I a liwb/lp/,. St e f innesota Statutes ard Ciry of Eaqan Ordinoncea Butidirq Offlcioi . . . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 0 SETS OF PLANS, D Q CERiIFICATES OP SURVEY ~ SET OF ENERGY CALCULATIONS To Be Used For: ~'p- 4 Plex Valuation: $-F54-;$gp Date: 9=19=84 Site Address: ~G " OeA~/p,~, 48,~. - ~ • • Lot: g Block: ISect/Sub: v r Erect: _ Occupancy: (Z-~ Parcel Westcott Eills Revision Remodel: Zoning- Q•4 Repair: Type Of Const: y IHQ. Owner: FM[,, Inc. Enlarge: # Stories: Move: Length: -7?0 Address: 885 12th St. Demolish: Depth: 30 City/Zip Code: Newport, MN 55055 Grade: _ Sq. Ft_: Phone 459-4089 Contractor: FMi.• Inc. ~ Address: 885 12th St. Assessments: Permit: City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: ~ Police: Plan Rev.: Phone 459-4089 Fire: SAC: 4Zp,t Engr.: ' Water Conn: "Y7(o.= jbnghAy§n9:McCombs-Knutson Assoc. Inc. Planner: Water Meter(03.= Address: 12800 Industrial Park.Blvd. Council: Road Unit: 2vg,= Bldg. Off.: ~ Parks: City/Zip Code: plymouth, MN 55441 APC: Phone#: 559-3700 Variance: yCORNM ` CITYOFEAGAN M 9688 - 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 I 'L.., . BUILDING PERMIT Recelpt # ' 7 Te 6e wad Mr 1 OF 4 PLEX En yaIue $48,000 Date NOVEMBER 1 Site Ad 886 WESCOTT SQ (UNIT 103) Erect Occupency Rl dre Lot elock 1 Sec/Sub. WESCOTT HILLS R]9emodel ? zoning --M-2f- Parcel No. a' Repeir ? Type of Conat. V 1 HR Enlarge ? No.Stwies W Name FML INC . Move ? Length 34 = Address $$5 - 12TH ST Oemolish ? Depth 3EL. ~ Crty NEWPORT phone 459-4089 Grade ? Sy. Ft. p SAME - Avvromis Faes eTT O Q O Name 'l274 Address. Assessmenf Permit ~ Clty Phone Water & Sew. Surcharpe 2 4 . 0 0 Police Plan check 137.00 ~w nlame MCCOMBS-KNUTSON ASSOC INC Firo SAC 420.00 i,g~ Address 12800 IND PK BLVD En9• Woter Conn. 376.00 Z. City PLYMOUTH Phone ' 559-3700 plonner WoterMeror63.00 Coundl 2ood unu-2_4.8..D0 I hereby acknowiedge that I have read lhis application ond stote that gldg..Offl 1 13 84 Parks the informafion is corrett and ogree to tomply wifh oll opplicabla APC Total $1. 502.00 ~r~pes. Stote of Minnesoto Stutute_ s pn, Ciry Eogan Or~'« ~ f Var. Date Sipnature of PermiMee r ` A Building Permit Is Issued M: FML INC on the express conditlon thot all work aFwll be done in accordance with a p ble Stat~of'fylinnut,ard City of Eogon Ordinonces. Buildinp Officiol ~G.~ .IV5 . . . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ' INCLUDE g SETS OF PLANS, ~ Q CERiIFICATES OP SURVEY Q SET OF ENERGY CALCULATIONS To Be Used For: LoF 4 Plex Valuation: $444-,-960 Date:_9=19=84 Site Address: SV16 4810cc>•~ ~ • • / Lot: 8 Block: ]Sect/Sub: Erect: X Occupancy: R-I Parcel Westcott Hills Revision Remodel: Zoning: R-4 Repair: Type Of Const: IHR, Owner: FML, Inc. Enlarge: # Stories: Move: Length: 30 Address: 885 12th St. Demolish: Depth: 3(0 City/Zip Code: Newport, MN 55055 Grade: Sq. Ft.: Phone # : 459-4089 Contractor: FML• Inc. ~ Address: 885 12th St. Assessments: Permit: Z~Z}.60 City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: 24,~ Police: Plan Rev.: ~3-7, Phone 459-4089 Fire: SAC: 20.= Engr.: Water Conn: 3'jt, hUg~jR)6f;n4: McCombs-Knutson Aseoc. Inc. Planner: Water Meter [03.= Address: 12800 Industrial Park.Blvd. Council: Road Unit: 2.pg. Bldg. Off.: (~j Parks: City/Zip Code: plyIDOUth, MN 55441 APC: ~~Y Phone#: 559-3700 Variance: ~ , HOUSE kIF.ATING TEST RECORD J~,.D 13- v~ ADDRESS o8~ GI~OwS'~4'dl~f' ~cai+C APT..-XC?-'FIOOR qTY SUBURB OCCUPANT OWNER HEAT LOSS DATE MTG. INST. SOLD 67:Si ~AnWk INSTALLED BY Eleehical Wwk Bysi'U4.YSO.N'Pf' /CL~zC7`'nit Gos Lim 8y r4,A2e/Yb//~ /0/Y,~g~,La~ o•/slaf ` TYPE OF HEAT GA _ FA k_HW _STEAM _SPACE HTR. _l1NiT HTR. _OTHER GAS OESIGN CONVERSION MAKE MAKE OF BURNER ~ Model ? i?~O Model Ssrial %/~y4 J~5Me:. BTU Rating k INPUT 421V MAKE OF PiJRNAGE Model CONTROLS TMERMOSTAT Hwe Pluq V•nt Size ~ °Volw ~ T ~-d~"?` ~~~x~'~~ KIND OF LINER SI N NF Limit Dnh Haod ryps Rpular~ ~ Limit Soninq l _ Filfers Si:ir1C~0~'/ uum6~r~ Fan Sereiny °j ' _ Uiimmy Loeetfoo Inddr, X Outside Pilot Trpe C Chimnsy Construcfion~ ~ ~ r~i S~~QSS~ a~ior ~k. Spillage Piloe .l Smob 8emb Wirindll+ Med Pilot Timing Oraff Test Taq~ L.W. Cut Off Dow Pr~~aw Ligheinq Inat. ' . Preswre C Pereent C02 Daro Toated~s'" "912E Input CFHP~resnt 0~ Company Testing ~ Stnck 7emp. Perunt CO Nams of Tester •i~~ Certificate of Compentency # HOUSE HEA7ING TEST RECORD AODRESS S ~~'C/J t1 SQ`Ka~'e- APT~FLOOR CITY SUBURB OCCUPANT OWNER HEAT LO55 DATE MTG. INST. SOLU BY INSTALLED BY ~ ~ < < El"trieal W..4 RySrv'4.VS'YA? Ges Lfm ByS~nt/E TYPE OF HEAT GA _ FA A9 HW _STEAM _SPACE NTR. _UNIT HTR. _OTHER " GAS OESIGN CONVERSION MAKE MAKE OF BURNER Mae.l 39Y l~tG~Wd O M,a.i Sxial y~~~ ~lgg! t Moa. BTII Rating INPUT 6- ig OGO MAKE OF FURNACE Medel ~p' CONTROLS TMERMOSTAT L_2LL_ Heat Plup V*nt Si:a . yalv~ KIND OF IINER SIZE NONE Limie Drait Mood Sr ~ Rpulamr Limit SeMinq ~ FHters iz*l ! r umber / Fan Settinq Qimney Loeation Inside Outaid~ Pilot TY." Chimnay Construefien p;ie.Mak. Spillage Pilw Model 7 yP Smoke Bomyb Wirin9 Pilot Timinq Draft O/l T•.r Ta ~ L.W. Cut Off Dom Pnssmo,41A Liqhfing InHLe C Prossure Pnesnt CO Date Testad Input CFH P*rcanf 0 2 -5 - Company Testiny r y~~7 C 1'a'~~~ Stack T~mp ~~PMUnt CO & l Na" ef Test~r Certificate of Compentency_ # HOUSE HEATING TEST RECORD ADDRESS~ -5:2 APTI~~FLOOR CIIY SUBURB OCCl1PAHT OWNER HEAT LO55 DA E HTG. INST. SOLD BY~~~~~~ INSTALLED BYS''~~?~rc' F ~C~t~~~f iY2o2iif/A' EI•c+.ieoi work By S~w2vrSnX/ Gos Line 8y Q•b~/t~yl/~r Z~ /tlY~~'J9~ TYPE OF HEAT GA _ FA ~NW _STEAM _SPACE NTR. _UNIT HTR. _OTMER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Mod~l Abdel S~riol_ 1 IFMox. BTU Ratiny INPUT Z4Z MAKE OF PURNACE Medel ' CONTROLS ~y THERMOSTAT 'Y L~C,r Hwt Pluq Vent Siza s . yolve~~ 1~~~-Y- KIND OF LINER SIZE NONE Limif )L-r~Ca Droh Heod j~'PS' Rpulawr ~~/'P-n~'~- . Limit Selttinq ~ _ Filbrs Sise,6Q5Z2dX/ Num6n 2=~ pan $ottiny ,a-' Chimmy Locotion Insido x' Outaide Pilot TYW i 'J~{i,4.c~ s'n (]~imney Censtruction ~a ~~~5~'dS CL~rs T'G'.~ Pilet Ma4e ~ Spillage Pilot MoMI Smeko Bomb Wiring Pilat Timin9 ~ Dreft T~st Ta~~-~ aer- L.W. Cul Off Doa Presswe LiqhHnq Inst~f/o ~ Prsasun PorcentC02 25, 157190 Oa» Tasted Input CFH~Percenf 02 Company Tas•`-q S~aek Temp. ~2r' Pwcenf CO Nam~ of Te~`-- ~tr~c S--1d Certificate of Compentency_ # -•K'< HOUSE HEATING TEST RECORD ADDRESS APT/9ZFLOOR CITY SUBURB OCCUPAN7 OWNER HEAT LO55 DATE NTG. INST. SOLD BY,QdZdd9ZUi~~~+~~~~^?o"~ tNSTALLED Y-~~~~~~ Electricel Wo 4 By.~t ~Gos Lino B~._A~QI,~' r=~ s'°~ TYPE OF HEAT GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER " GAS DESIGN CONVERSION MAKE 1114 . MAKE OF BURNER Mod~l l~lr/~ ly ,2 ~6r(} Modsl _ Swial c 1 Mox. BTU Rating INPUT ~4it-» - -MAKE OF FURNACE Modal C NTROLS ~ THERMOSTAT ~.bL~y.HJ~at I Vent Size S Val~o e' 4/v KIND OF LINER SIZE NONE Limit G Drah Hood / i C. Rayularor Limit Sening ~ G Fih~rs Siz~~~~~~/ P~vmbw Fon Settinqy~- WC almmy Locatien In Id~~ k Oubids Piiot Typa-~ Z'~ Q~ Ohimmey Conatrvction aiiar Mek. - Spillage e Pilm Model ~ o Smoke Bemb Wiring Q Pilot Timiny Draft e9 . Teat TaQT'~-s L.W. Cut Off Dow Pressun -L19hting Imt ? Prsaawe 3 5'4w- G. Psre"t CO Z, Date Tasted / InDutCFH:21Z Pareent 0_--sl~([-- Company Taz' g Sfock TomD• Pwcent CO n i-- Nome of Toster 44 "~`P Certificate of Compentency_ # , ~ ~ 2/84 ' 1 CITY Or EAGAN IL ~ 11 ~ ~ APPLICATIOi3 FOR PERMIT SEWER AND/OR WATER CONNECTION (PIEASE PRINT) 1) PROPII7PY ADDRFSS: t.Frar DESCRIPTICN: (Irot/Block ubdivision or TaX Parcel I.D. Nuijber) j Tr' ST4L'~..~TRE, DATE OF OfLTGi dAL uiILDL".G F:-':~IIT PRESENT Z..^,`II~t;/P??OFOSc.'D U5': O R-1 SiNGI.F. FP-MILY TJPI.....t'Y (ZWO LT]ITS) ~ CI c2-3 -SC`LTSE (TF~.r::. + DNITS) UNITS) ' ~.-4 tl2AR'ITSE:VT/CCi3:=M7,~1 ( ULNITS) ? CC1LiME.RCLAI,/RE~•AIL,/OFFIC:: ? LMC;ST.2IAI. ? INSTZTL'TIONAL/GGVERT?MEI1T 2) A2PI,I~?yIT (PLEASE PAL4i) N7~rsE: in~l~' ~ ADDRESS: CI'I'Y, STAT:.', ZIP: PHONE: 3) PLumER NAME- 1 PLEASf NT) , FOR CITY I1SE ONLY PLIIMBERS LICEVSE: ADDRESS: ~r-N yy-,-e5 Q Active CITY, STATE, ZIP: Expired / +~icn Q Not of Record - PHONE: Ip ~fJ PLUMBER LIGENSE k a nitia 4) pL^CupANr/CJqCIER NAME: (PLEASE PI7INT) ADDRESS: CITY, STATE, ZIP: V PHOiIE_ 5) INDIG'~TE WIIICH PEF2MIT IS BEING RFQCiESTID: CONNECI'ION TO CITY Sa1ER CONNECTION 'Ib CITY WATER ? Oi'EER (PMPI.SE DESCRIBE) 6) IC:DIG,= C.iE: . ? PLEASE f?OID APPROVID PER,+IIT FOR PICF:-LiP BY ONE OF APWE ~ PI,FASE %'.AIL APPR(JVm PER:%lIT 'P:J 1, 2, 3 4 ABWE * (Circle one) 7) SICy`T~•r1TL'RE: DRTE:A~6 U. 3d L/$/ ~ ~!~lal~#II}Y10liL!!~g . . . . JfJ~ ~ S I.Ott'ii~#A ~f ~ f ~sii:s a~ 1! f1! ~Il~qOyFJ~'1r ! ~ ~f~~s,i'if A FOR C I T Y U S E ON:,Y , • PERMIT ° ISSUED FEES: SE:^;ER n°R«rT (I`ICL:;DE SUP.C??ARCE) $ id. WATER PERP4IT (INCL'u'DE SliRCFIARGE) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE;vER TAP $ ACCOUNT DFPOSIT - PIATER $ WAC $ iG. 80_ ~ d SP.C $ TRUNK WATER ASSESSMENT $ TRli:I?{ SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE:IER $ LATERAL BENEFIT/TRUNK WATER $ OTHER ' $ TOTAL $ AI°?OIINT PAID ~ /R..r_gIPT 4 DOES UTILZTY CONNECTZON REQUIRE EXCAVATION IN PUBLZC RIGiiT OF WAY? YES IF YES, THEN A"PERMIT FOR TiJORK WITHZN ~ PUBLIC ROADWAY" MUST BE ISSUE6 BY THE [VO ENGINEERING DIVISZON. LZST AS A CONDI- TIO[V. SUBJECT TO THE FOLLOWING CONDITIDNS: • APPROVED BY: DATE: mai+ lw,. w =sd ww~w Ew.E s~ or-= w ~ ~e+~ia ws~ 9t+WWWw Wffl$W_~% oc+ a*= sa W=n gq-M gcWjft s" w ~ dnnmt~ 11~odtV oF eegcin January 20,2004 PAT GEAGAN Mayor HAII AZAM P O BOX 580 PEGGY cnRI.SON MINNEAPOLIS MDI 55458 CYNDEE FIELDS RE: 886 & 892 WESCOTT SQUARE 937 WESCOTT TRAIL MIKE MAGUIRE MEG TILLEY Dear Mr. Azam: Coun<il Memben Thank you for the steps you have taken ro complete repairs on the aforementioned properties: On lanuary 15, 2004, an inspection was made to verify that repaus requested in our letter were complete. THOMAS HEDGES As of that date, the following items remain non-code compliant and need to be repaired: Ciry Adminiscncor ~--886 O T SOUARE~ A handrail must be installed on one side of each stairway with a rewrn to the wall of not less than 34" noc more than 38" above the nosing of treads. (interior and exterior). See attachment Muniupal C<nter. • Electrical panels must have cover plates on them. 3830 Pitot Knob Road 892 WESCOTT SOUARE Fagzn, MN 55 iz2-1897 • A handrail must be installed on one side of each stairway with a renun to the wall of not less than 34" nor more than 38" above the nosing of treads. (interior and exterior). See attachment Phone: 651.675-5000 Fax: 651.675,5012 • Elecuical panels must have cover plates on them. TDD: 651.454.8535 937 WESCOTT TRAIL • A handrail must be installed on one side of each stan-way with a return to the wall of not less than 34" nor more than 38" above the nosing of treads. (interior and exterior). See attachment Maintenance Faciliry: 3501 Coachman Point • Exterior light fixtures must be in good condition with working bulbs and covers. Eagan, MN 55122 . Missing spindles on decks must be replaced and maintain a 6" maximum spacing. Phone: 651.675.5300 This letter is to advise you that these repaus must be tnade by January 31, 2004 or the City may issue a Fm: 651.675.5360 citation to you. Please call 651-675-5675 to schedule an inspection once repairs are complete or if you TDD: 651.454.8535 have any questions regazding this request, please contact me directly at 651-675-5679. Your efforts to resolve these issues are greaUy appreciated. www.uryofr.gan.cola Sincerely, 1~m Teay Zelenka Building Inspector THE LONE OAKIREE The sym6ol of stmngth TZ/js ,nd growch in our cc: Dale Schoeppner, Chief Building Official commwiry Vbl 59 2004 RESIDENTIAL BUILDING PERMIT APPI,ICATION ~30 J City Of Eagan P~-e( ~L4I a~ 3830 Pilot Knob Road, Eagan MN 55122 Co../ Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion ReauiremenLS RemodeVReoair ReauiremenLS Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 mpies ofplan CeR of Survey Rea1 _Y _ N (20%maximumlotcoverageallaxed) lsetotEnergyCalculationsforheatedaddNOns TreePresPlanReai _Y _N. 2 copies of plan shaxing beam 8 wirMOw sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Requ'ved _ Y_ N isetofEnergyCalculations Addition - indicateilonsdesepNcsystem On-site5epdcSystem _Y _N 3 copies of Tree Preserva6on Plan if lot platted after 711f93 Rim Joist Dehail Options selection shcet (bldgs wiN 3 or less units Date ~Z l l J l~OD~ Construction Cost 4 100. 00 Site Address L1 nl 65J 25 Unit/Ste #0?_ Description of Work ei ~QU/ZG/ S ~ V bQl-h!'D,7-m Multi-Family Bldg ZY _ N Fireplace(s) 0 _ 1 _ 2 Property Owner /417 #Vio/ a[ i G+F 4,rd k&Y~a cL (~UG~ Telephone # (4NI ) a37 - 397 ~ Contractor. C DYI~' et- Address ~C<fi~e ~ Ctity State It-IAI Zip 55/23 Telephone #(~ISZ ) Z 3 7- ~~~P PQ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope CalculaGOns Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pemut, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case°f-wvrk-,whi" ,equire -a1review and approval of plans. U~~~ zaoa ' J FEB Applicant's Printed Name Applicant's Signature 13:---~-- ~ _ OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~kl' 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 Ext. Alt - SF ? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interiar ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ,JP 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaCement *Demoli[ion (Entire Bldg) - Give PCA handout to applicant Valuation I~ Occupancy MCES System Census Code T- 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) Final/C.O. _ Footings (deck) ~ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final x Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Pian Review MC/ES SAC JC'"Q City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTTAI. BUILDING PERMIT APPLICATION City Of Eagan r9 Z~;S- 3830 Pilot Knob Road, Eagan MN 55122 ~ 9. ~ T Telephone # 651-675-5675 FAX # 651-675-5694 New Comtruction Reauirements RemodeVReoair Reauirements ~~1 3 registered sife surveys sh(ywing sq. fl o( lot, sq. (t of house; and ~II roofed e2as 2 copies of plan Ced G( y ~hS~~~ ;N (20%madmumlWCOVeregeallowed) isetofEnergyCakulatlonsforheatedadditions 7reePiiRec~>~~ 2 mpies of plan showing beam & window sttes; poured found desgn, etc. 1 site suney for additions & decks Tree Pres Re`qpoed' Y.=M isetafEnergyCalculafions Add'Non-indirafeHan-sifesep6csystem On.:*,„SepMc'.3yst~t.,.~„;{y==_N 3 copies of Tree PresmvaUon Plan if lot platted aiter 771193 Rim Joist Detail Oplions selection sheet (bldgs wilh 3 or less uniLs Date le"~ / oZ //Qy Construction Cost r 3, ~oc) Site Address UnitlSte # Description of R'ork e-- 1 Multi-Family Bldg ~ Y_ N Fireplace(s) 2 Property Owner ltl.r~., Telephone # ( /p l L) '7fe 0- 14 CORh'8CL0r ka nIl.o S~iA. ( n - Address 6!a~G cil+_. w AtliiL city TGLr-`~ State i~N~ ~ Zip SSQ ~ Telephone # ((ps `7.57-'~/0lU COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Iviinnesoh Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Su6mitted Submitted • Energy Envelope Calculafions 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 Sewer/Water Contractor Telephone JUN 2 12 By I hereby apply for a Residential Building Permit and aclrnowledge that the informahon is co ate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , Applicant's Printed Name ~ ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. 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 ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration 0 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre 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 I-IypC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC' City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ~ 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtlon Reauiremenis RemodellReoair Reouirements 3 rsgisfered sife surveys showirg sq. it of lot, sq. tL of house; and all roo(ed areas 2 copies of plan ~3h1 (20%ma:imumlotcoverageallowed) lsetofEnergyCalculationsforheatededditlons 2 copies of plan showing beam d window sizes; poured found design, e4. 1 site suNey for additions & decks 9setofEnergyCalahtlons Addiffon - indiceteffon-anesepticsysfem 3 wptes of Tree Praservation Plan'rf lot platted after 711193 Rim Joist Deqi7 Options selecDon sheet (bldgs with 3 or less unils Date 1,,/~ Conshvction Cost C7 0~- Site Address n O C~ e0 71 UniU5te # Description ot Work Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 11 ni w~1-t-~'r•._-~.~1 Telephone #(&laj )`~lc0 •.~~7~C) ~ Contractor 1~~t y~.~.r.~ / fi [ t.co, Address ~/g,5-- ~aln CiiS -4 G A/ State ~vt 7ip.sS-0,26 Tetephone#(6S-/) YS~7 90/D COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesob Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Cetegory . Residential Ventiladon Category 1 Worksheet • New Energy Code Worksheet (d 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 Telephon ~ Sewer/WaterContractor Telephon JUI 4 I hereby apply for a Residential Building Pernut and aclrnowledge that the in ' com lete d accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan an tate of MN Statutes; I understand this is not a permit, but only an applicarion 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 ofplans. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 18-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 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch(screenlgazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage O 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 Addfion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair O 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout W applicant Valuatfon 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) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit &`Surcharge Treatment Plant License Search Copies Other Total zoos RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. DateRm Site Street Address 884; lrlL SCo7-7- 66, Unit # Property Owner ~ ~ • Z',V(/- Telephone # ( ) Contractor /Z4A.YC /ne7-zs40 Purinds.tek Telephone# (952) $9z9-40y8 Address zWerAWn., City .ct. Leuzc FAAale- State i'I1 OJ Zip 116 The Applicant is: _ Owner ZContractor _Other Septic System New Refurbished Submit 2 sets of plans and MPC license includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are instaUing on/y a wafer softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Waler Tusnaround (add $130.00 if a 5/8" meter is required) - :s . =,&;Otlier., 0 TbLL~I S /csi .syd~ ~O~slv.OSrv~iL Water $oftener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ •50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a pian is required to be re~view~ed ~and approved. `---)"0 ii.a.f"ir~ -~=s~S~~ ~l'la~ztca ApplicanYs Printed Name ApplicanPs Signature CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO: Edwin C. Erickson ADDRESS: 13650 Harmony Way Apple Valley, MN 55124 Permit # BL76224 RECEIPT #/DATE: 120171 1/9/07 Site Address: 886 Wescott Squaze REASON FOR REFUND: Owner Request Permit Canceled TYPE OF REFUND I Buildin Permit Base Fee 0801.4085 $ 574.25 Construction Meter De Refund 92202254 $ Curb Box De osit Refund 92202253 $ Fire Su ression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ Plan Review Fee 0720.4222 $ 186.63 Plumbin Permit 0801.4087 $ SAC MCES) 92202275 $ SAC (Ci ) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surohar e 9001.2195 $ 20.00 Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Su 1& Stora e 6101.4680 $ Co ies 0201.4230 $ Total $ 780.88 ~re under the penalties of law that this account, claim, or demand is just and that no part of it has been paid. January 24, 2007 SIG ATURE DATE January 24, 2007 RE: 886 WESCOTT SQUARE BUILDING PERMIT #$76224 TO WHOM IT MAY CONCERN: This letter is to request that the City of Eagan cancel Building Permit 76224 issued to All Pro Siding on January 9, 2007. Please refund the permit fee, $967.51 (minus one half of the $373.26 plan review fee) or a total of $780.88 to me. Attached is a copy of the cancelled check showing that I paid this fee. Sincerely, , o ~W" ~ Edwin C. Erickson L~Y?006],ZESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan IH~ 3830 Pilot Knob Road, Eagan MN 55122 I elePhone # 651-675-5675 FAX # 651-675-5694 New ConsVUCtion Renuirement5 ` RemodeVReoair Reouirements Office Use DnN 3 registered site surveys shovring sq. ft. of lot sq. ft of house; antl all roofei arees 2 wpies of plan showiig footings, beams, jasis Ced of Survey Recd _Y _ N (20% maximum lot coverage all ed) ' isetofEnergyCalculaUonsforheatedaddAions TreePresPlanRecd _Y N. 2 copies of plan shovring beam &wi ow sizes; poured found design, etc. 1 site surveyfor addifions & decks TreePres Required: _Y _ N i set of Energy Calculafions AddlGon - indcate i/ oo-site sepN systm Oo-site Sep6i Syslem Y_ N 3 copies of Tree Preserva6on Plan'rf lot pl d after 711193 A Rim Joist Detail Options selec6on sheel (buil s witl'i 3 or less units) Minnegasco mechanical ventilation fo L~C~-~ l~- Date _f2_l~ l_aLt, W~E.S C.0 Constructio Cost C7C~ Site Address Unit/Ste # ~ Description of Work Y c Multi-Family Bldg )(Y _ N Fireplace(s) ~ 0 _ 1 _ 2 PropeRy Owner 1 S-1":C ,r~So?L. Telephone #(0 GZ )m?1 Le_- 880~ a9a- Contractor ry+ Prv S' f,+1 Address 7e-? ~ar Pc +r City State /9i/G7 Zi - Teiephone #(lo I~) ~gl - 7Co5~C~ COMPLETE THIS AREA ON IF CONSTRUC NG A NEW BUILDING - Minnesota Rules 7 70 Ca[e o I Minnesota Rules 7672 Energy Code Category . Residential Venf ation Category 1 Worksheet • New Energy Code Worksheet _ (J submission rype) Submitted Submitted • Energy Envel e Galculations Su6mitted In the last 12 monihs, has The City of Eagan iss ed a permit for a similar plan based on a aster plan? _ Y _ N If yes, date and a dress of masier plan: ~ Licensed Plumber 0 r_ s:.,, - Telephone # Mechanical Contractor Telephone # ( ) 5 2006 Sewer/Water Contractor Telephone ) ~ I hereby apply for a Residential uilding Pennit and acknowledge that the information is complete and accurate; that the work will be in confor ance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is no a permit, but only an application for a permit, and work is not to start without a . ' 4 ermit, that the work will be in ccordance with the approved plan m the case of work which re uires a review and p approval of plans. I ~ (A kej Ic ) 1 C=y'~CwS/ Y~ Applicant's Prin d Name Applicant's Signature DO NOT WRITE BELOW THIS LINE . Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ~ 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 06 04-plex ? 12 12-plex ? 25 Miscellaneous (~1~~~7"t7 C..•le~.~aR''«F ~ WorkTvpes / 1Z~,va`1c.~LC1P~'L. er"F_ LY't3&W06/61 ? 31 New ~ ? 35 Int Improvement ? 38 Demolish Interior ? 44 Slding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation .'4:1 45 Fire Repair x 33 Altera4on ? 37 Demolish Building` ? 43 Reroof , ? 46 Windows/Doors . ? 34 Replacement •Demolltlon (Entire Bldg) - Give PCA handout to applicant D8SC1'IpflOn: Water Damage _ Yes Valuation V O C9 ~ 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 if C2_ Width REQUIItED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Foo[ings (deck) Final/C.O. _ Footings (addition) ~ Final/No C.O. . Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gu Tests Final JY Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace R.I. Air Test Final Windows ~C Insulation _ ReYaining Wall Approved By: Building Inspector Base Fee Surcharge ~AT, vj Plan Review MC/ES SAC Q y~/ ~ ,^J City SAC Utility Connection Charge S&W Permit & Surcharge , Treatment Plant License Search Copies Other Tota I STATUTORY SHORT FORM POWER OF ATTORNEY MINNESOTA STATUTES § 523.23 IMPORTANT NOTICE: The powers granted by this document are broad and sweeping. They are defined in Minnesota Statutes § 523.24. If you have any questions about these powers, obtain competent advice. This power of attorney may be revoked by you if you wish to do so. This power of attorney is automatically terminated if it is to your spouse and proceedings aze commenced for dissolution, legal separation, or annulment oF your marriage. This power of attorney authorizes, but does not require, the attorney-in-fact to act for you. PRINCIPAL (Name and Address of Person Granting the Power) David B. Erickson 18607 Egret Way Farmington, MN 55024 ATTORNEY(S)-IN-FACT: SUCCESSOR ATTORNEY(S)-IN-FACT (Optional) To act if any named attorney-in- Edwin C. Erickson fact dies, resigns, or is otherwise unable to 13650 Harmony Way serve. Apple Valley, MN 55124 (Name and Address) First Successor: NOTICE: If more than one attorney- in-fact is designated, make a check or "x" on the line in front of one of the following statements: X Each attorneys-in-fact may EXPIRATION DATE (Optional) independently exercise the powers _ granted. Use Specific Month Day Year Only All attorneys-in-fact must jointly exercise the powers granted. I, David B. Erickson, hereby appoint the above named Attorney(s)-in-Fact to act as my attorney(s)-in-fact: FIRST: To act for me in anyway that I could act with respect to the following matters, as each of them is defined in Minnesota Statutes § 523.24. (To grant is the attorney-in-fact any of the following powers, make a check or "x" on the line in front of each power being granted. You may, but need not, cross out each power not granted. Failure to make a check or "x" on the line in front of the power will have the effect of deleting the power unless the line in front of the power of (N) is checked or x-ed.) Check or "x" (A) real property transactions; I choose to limit this power to real property in Counry, Minnesota, described as follows: (Use legal description. Do not use street address.) (If more space is needed, continue on the back or on an attachment.) , (B) tangible personal properiy transactions; (C) bond, share, and commodity transactions; (D) banking transactions; (E) business operating transactions; (F) insurancetransactions; (G) beneficiary transactions; (H) gi8 transacYions; (I) fiduciary transactions; (J) claims and litigation; (K) Family maintenance; (L) benefits from military service; (M) records, reports, and statements; X (N) all of the powers listed in (A) through (Iv) above and all other matters. SECOND: (You must indicate below whether or not this power of attorney will be effective if your become incapacitated or incompetent. Make a check or "x" on the line in front of the statement that expresses your intent.) X This power of attorney shall continue to be effective I become incapacitated or incompetent. _ This power of attorney shall not be effective if I become incapacitated or incompetent. THIRD: (You must indicate below whether or not this power of attomey authorizes the attorney-in-fact to transfer your property to the attorney-in-fact. Make a check or "x" on the line in front of the statement that expresses your intent.) ~ This power of attorney authorizes the attorney-in-fact to transfer my property to the attorney-in-fact. X This power of attorney does not authorize the attorney-in-fact to transfer my properry to the attorney-in-fact. FOURTH: (You may indicate below whether or not the attorney-in-fact is required to make an accounting. Make a check or "x" on the line in front of the statement that expresses your intent.) X My attorney-in-fact need not render an accounting unless I. request it or the accounting is otherwise required by Minnesota Statutes § 523.21. My attomey-in-fact must render (Monthly, Quar[erly, Annual) accountings to me or (Name and Address) during my lifetime, and a final accounting to the personal representative of ine estate, if any is appointed after my death. In Witness Whereof I have hereunto signed my name this 4th day of January, 2007. • id B. Erickson (Acknowledgment of Principal) STATE OF MINNESOTA ) )ss. COUNTY OF WASHINGTON ) The foregoing instrument was acknowledged before me this 4`h day of January, 2004, by David B. Erickson. PpWLEOVERSON NOTARY PUBLIC MINNESOTA yrCommuqonF~cWreedan.s~,zan (Signature ofNotary Public or other Official) This instrument was Specimen Signature of drafted by: Attorney(s)-in-Fact (Notarization not required): Paul E. Overson, Esq. Overson Law Office, P.A. 7300 Hudson Boulevard, Suite 290 Oakdale, MN 55125 Printer rriendly Page 1 of 1 [rMbank~ cm . . Check Itnages This image contains confidential and personal information. 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Account 104776533655 Date Processed: 01112/07 Check 1514 Amount: $967.51 13650I{ARb10nY WAY 1514 APPLE VALGEY MId 55124-9570 . g-~Od7 oaE OItO R OF 0L ZY /TF E/ler'Ai!/ I $ p(S,. 3/D ~-c? ~ lZcvh~~./ ~t ~.~srrla.~E-~/ d oouur+s Q [Mbs111~[. ~"`uS6ank.oom r4Fl m 1:09i0000i2i: 104 Y6533655,1'L5L4 ,r0000096751o' s o " ~ ~F F x A ~ • , m B1 -l 1 -07 1460225~40 13 100821239 >09E02z=:2 = _ At7GHGR BANY SF @f}UL 0 m z a ~ ~~3 ; ve m Aa 1t10 K ~0"i qm 211'1 ;^:e ~ ~ ~T _.m b~0 ~J~.e~~ieat e~t y ~T 3 ° `;g V IA i~ _ mm~fj ~/O~O ~~amXM ss".SE'.ya o~ C~?ARt71 pe a~ 7~ <y ~T~ k I ~n V fj r~Q~ . a °_I~ „ r ~ ~I. https:/Iwww4.usbank.comiintemetBanking/RequestRouter?requestCmdId=PRINT&PRIIVTN UM=S&I... 01/18/200 i 02/13/2007 11:18 cR&qN F]JG+COM DEV 4 5977443443 N0.864 D01 ~ I Zov RESIDENTYAL MFCHANICAL PEWMIT Arrr.acAriorr ~ Cliy Ot EagAn 50 ~ 3830 Pdot Ci,nob Road, Eagsn MN 55122 Telepbone # 651•675-5675 ' P7ease eomplete (or: single t"amity dwzliinbs & cuwnhames/conAos w6cn permia sre'rWUired ior each unit ~ Date / / ~I Sitt Addreae 7t ~PSC~ Unit #~f)3i~0~ ~G/ 7d PropertyOwner l/~l:f" /,rL54?~ _ Telsphone#((;s/ ) L~IG ContraMor Street addrass City Z61nsdylr i~ Stnu 'V Zip 55a/6 Telephone# (5Z77 ) 7Tf~!-~`/`~~ I aond a: 9 ExRiree; TheAppllcatttis _ Uwnei _ Comractor ~ Other ~ Fire repnir (replace burned out appliances, duettivork, eta) i $ 90.00 ~ This fee applles when extensive mechanical repalrs are made fn a building. I Add-un nr niterution fa exieUnp dwe0ing unit i S 50.00 ! i furnace -Additionai _Replacement ~ Ne•vr air exchanger I X air condidoner I heat pump I _ ather i I I _ State Surcharge $ '50 ~ I I _ i Total I $ ~ I 1 hereby apply for z Aesidenrisl Meclixnicut Pennit and acknowledge thnt the infounatioa is complete end accurate; chnt the wurk will be io confonnanee wiJ+. rhe oedinancas and uodos of ilhe Ciiy af 6agan and witb the Mechsnioai Codes; that I undeiswnd this is aot a i pernfit, but oNy an applica[ion Cor a ne,rmit, and worY is not to sv,r: without a permit; chat tho work wi17 be in accordsnce wilh the appro~red pJa.n in ihe case oi' work whiclr requirrs e review and aryproval of plans ' Applicant's Pdnced Name, Applictnn: s Sign- atuce ~ 'I(F q 45-~ _567,3 62 2007 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan . 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 New Construction Reouirements RemodellReoair Reauirements Offiie~Use~OnN 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roMed areas 2 copies of plan shaving foofings, 6eams, joisLS Cert of Survey Recd _ K_ N (20% maximum lot coverage allowed) 1 set of Energy Calculafions for heated additlons Soils RepoA - _Y _N iSoilsRepatifpmposedbuildingistobeplacedondistur6etlsoil 1 sitesurveyforadditions8decks TreePresPlanRecd_Y_N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. Addition -i~ira[e i(on-sife sepficsysfem Tree Pms Required. - _Y_ N isetofEnergyCakulations On-siteSeplicSystem ..`Y_N 3 cop'res M Tree Preservafion Plan i! lot platted affer 711193 RimJastDetailOpGonsselectivnsheet (buildingswith3orlessunik) Minnegasco mechaniral ven6lation form . Date l(r -7 Construction Cos~ ~/,4 C/ //ol tpo Site Address if$ Co 11/6 !5~4.o7"1,- ~J R. Eym:n /Gt-.I~ Uni te #zaY i Description of Work L~L /2Q.~~i~ff Multi-Family Bldg ~ Y _ N Fireplace(s) ZC 0 _ 1 _ 2 Property Owner ~c7v~ je~r `c k sdN Telephone # Contractor COk2. f 0~9 /~fi 3•~~~ ~o:^~ Address 2 y'7 q~ G. ~ ~ f L• . G~City % 7`~J TG 7~=f° State A14 ,,I/ Zip s"SD s;in Telephone #(ay~) ~ 3 2- /~!1! 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv t _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category t Worksheet - • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In the 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 atldress of master plan: Licensed Plumber - Telephone # lb . - 11 Mechanical Contractor (1 II I Telephone J SeweNWater Contractor JAN 1 6 2007 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a permiC; Yhat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant'i Printed Name Applicant's Signa re DO NOT WRITE BELOW THIS LINE Sub Tvpes - ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ' ? 30 Accessory Bldg V, 02 SF Dwelling ? 08 Ofi-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Otof_ plex ? 09 07-plex Q 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 6ct.Ait-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair *~x 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaC2m011t "Demolition (Entire Bldg) - Give PCA hand0ut to applicant DBSCf7ptlOfl: Water Oamage _Yes ' Valuation Ve), & V 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 izo_ Width REQUII2ED INSPECTIONS _ Footings(new bldg) _ Sheehock _ Footings (deck) FinaVC.O. - _ Footings (addition) ~C Final/No C.O. Foundation HVAC . Drain Tife Other ~ Roof _ Ice & Water _ Final - Pool Ftgs Air/Cas Tesis Final Framing Siding _ Stucco Lath 5tone LaCh Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows Insulation Re[aining Wall Approved By: Building Inspector Base Fee Surcharge v~ Plan Review `OY MC/ES SAC City SAC 0(2 Utility Connection Charge o S&W Permit & Surcharge Treatment Plant License Search Copies Other Total I' n zor RESIDENTIAL BUII,DING ri.Rmrr arriacnzzox ' City Of Eagae - • 3830 Pilot Knob Road, Eagan MN 55122 TelepAone # 651-675-5675 FAX # 651-675-5694 Plevc0189uc4in liangn=0 RemoaBVPBoa'u RNPEBM" olfioe use ~Iv 3regWm~siBeapveys9qw5i9nk.ofloR%Bdhmse;mdalmoGedam 2copmsMPhnalwrs9bdVbaBms.1nW Certd`.MreYReod _Y _N (ZO%mWnpmibtauerageatloweU) 1 stldEne9YCdmMm torMdgdadOue 9dlsRWort _Y_N iSOisRepmtUproposepdnl[Ing'smhephoMm*WAW sod tsiemevW tr adlbmsEdedb TieePm Plan Red _Y _N_ 2oW=d{dndwAvg6~8MmNars=%VwredtwMAesgn,eAc. Atl0m-"ddCafeffonmWsepficsy*n TreePresRe~ _Y _N isatoTEnewC*w3tion Un4ft SeP6eSystom _Y-N S apies dTree Resme6m Plsn iflot pteftd aror7It193 (ffin Joisl DeWOptlpq s~dMet (deA*gs rAh 3 alass wu6) htinnegasm madowW vmoabn bim Pdans are cons9dereu ubtic informat@an unIess °ea state the are trade secret and t12e ceasaaa. nate V_ i iC? 7 constreabn cost ~(S7~ °J sire aaa.ess F uowste a~ Description of Work ~rB~' f c~rr de zk~'4' Multi-Family Bldg _ Y _ N Fireplace(s) Z-0 _ 1 _ 2 Property Oweer Telep6oce#(CvS'1/) 7 5r Contractor aaarrm -2Y79 cnr state zip sa o Telephone#( ze~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN6 - MinnesMa Ruks 7670 Care~oty 1 viinnesota Rules 7672 Energy Code Category .Pasaen" venuratbn Caregory I NjwWieet . Mexr Energy Code Warkshaet (J wbmission tYPe) Supmitled - Su6mWM . EneW Errvebpe Cekafttiors Su6mitteA In ihe IasY 12 monThs, has the Gy of Eagan issued a permi} for a vmilar plan based on a rraster plan? _ Y _ N ff yes, dafe cnd address of mxisfer plan: Licensed Plumber Telephone ) Mechanical Controctor Telephone ~ Sewer/WaterConiractor Telephone#( ~ I hereby apply for a Residential BuiWing Pemut and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of IVIN Statutes; I understand this is not a permit, 6ut only an application for a permit, and work is not to start without a permit; that the work will be in accordance with ttee approved plan in the case of work ich requires a review and approval of plans. ~i'ad U'd'PPi+~ D ~ Applicant's Priked Name ApplicanYs Si it AUG 1,0 2007 ey . . . 2007RESIDENTIAL BUILDING PERMIT arpLIcaTTOrr City Of Eagan , , 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reoui2menls RemodeNteoair Reouirements OfficeUse OnN 3 registeied site surveys shaving sq. ft ot lot, sq. ft of house; and ali roofed areas 2 copies of plan showing footings, beams, joists Ced of Survey Reoi _ Y- N (20°h maximum lot coverage allowed) 7 sei oi Energy Calculations for heated additions Soils Repat _ Y_ N 1 Soils RepoA if proposed building is fo 6e placed on distur6ed soil 1 site survey for add'N'ons 8 decks Tme Pres Plan Recd 2 coples o( plan showing beam & window sizes; poured found design, etc. Addr6on - indreafe Non-site sepfic system T2e Pres Requued _ Y_ N lsetofEnergyCalailatlons Onslte,$epNc$ystem , _Y,_N 3 copies of Tree Preservalion PWn if bt platted aNer 7/753 Rim Joist Defail Options selecfion sheet (buildings with 3 or less un'AS) Minnegasco mecheniral ventitation fortn . Plans are considered uhlic information unless ou state the are trade secret and the reason. Date Constructlon Cost Site Address UniUSte # Description of Work Mul[i-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Woiicsheet (J submission type) Submitted Submiked • Energy Envelope Calculations Submitled In the last 12 monihs, 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 Piumber Telephone ) Mechanical Contractor Telephone # Sewer/Water Contractor 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 tlie ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be ia accordance with the approved plan in the case of work which requires a review and approval of plans. tlpplicant's Printed Name Applicant's Signature • DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolpergota) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage y- 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvqes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair X 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entfre Bidg) • Glve PCA handout to applicant DeSCI'Iptlon: WaterDamage_Yes Valuation 17 u Occupancy MCES System Plan Review x100% or _ 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const v Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. Footings (addirion) ~ FinaUNo C.O. _ Foundation ~L HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Iath _Bnck Fireplace _ R.I. _ Air Test _ Final _ Windows 7( Insularion _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge ~ Plan Review 17 MC/ES SAC n~O~c City SAC ~ ~ Utility Connection Charge ~~vr S&W Permit & Surcharge Treatment Plant License Search Copies Other ~ • - Total i V 71 2007 RESIDENTIAL BIIII.DING PElt1MT APPLICATION City Of Eagan ~ 3830 Pllot Kuob Road, Eagan MN 55122 C~ Telephone # 651-675-5675 FAX # 651-675-5694 NeMrcareUummiRmmenrenls RnnodOPMW office use onti 3reg~retlsfECSwveysahnrA9a~i-RofbR54dafhuse:ad~~aIedaeas 2capesoFPmnshorigft*6%heams.jaisla Certd5lWeyRecd _Y _N (20%mm6manlotoovaagea6wed) 1setHEneW C*Ukdon forleAedatlOas SaiSRBDat _Y _N 19oBaRepoftU Paposedhri7m9abbeplaredmdsho6edsoa tsLasuney4oraddlius8dals TreePreaPlan Read _Y _N, 2apiesdplmslwringbmnBxcMVnswmVmdfamtlAesign,ek. AddWon-inftffieKamdesep0esys(em TMPresReqted _Y _N lselafEM9YCdmddons CwdW SepicSys6an -Y -N 3 capies W TRe PreseiwbOn Ren 0 ht WaOad aft 711193 RimJaetDetO OpfinsseldmshW (MWngswtlh3alasufty M1Smmesco medmmcod vH1196tlOm m= Plans are cnnsidered psahlic 9nformatiors tsnle:s ou state the are trade secret and 4he reasan. naft 7 constmdim caft -jk~~ ~n sibeaaarem uoWsre a~ nwmPbm orwo.k Multi-Family BWg _ Y _ N Pireplaee(s) L"-0 _ I _ 2 YroperlyOwoer t(/lC','Wi~ ~?iG~~~i'~ Telephone#(~) `y J`~~P - Z73J~ Cmaaetor t/~i7 /f,~/ L"!~ ~~lcf~`/ `O/1 addren 2~f 79~ co/~ c s~ _ crty smn r~r~J zip -)r-TelephoM #(?6 ;j) 2 3 Z- lh'~ 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 Miunesoia Rules 7672 Energy Code Category .RedMeMisl venftlion Camgory 1 Wakffimet . New E+e9Y Cade Worksheet (4 5ubmi5sion type) Submded SudnVAed • 6relgy Envelope Celaletiq6 Subord In ihe last 12 months, has the Gy of Eagan iswed a permit fa p sirrulx plan based on a master plan2 _ Y _ N tF yes, date and address ot master pkm: Licensed Plumber Telephone ) Mechanical Contmetor Telephone ? Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential BuiWing Permit and acknowledge that the information is complete and accurate; that the work will be in oonformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plaas. . ~i'~r,C~ ./°•P~-~ .-a~ ~ : ApplicanYs ' ted Name ApplicanYs Signature D AU6 1~'0 2007. ~ _ sy ~ ~2007RESIDENTIAL BUILDING rExnuT arrLicaz7orr City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWGion Reauirements RemodeVFteoalr Reauirements OfficeLse Onlv 3 registered site surveys showing sq. ft o( lot; sq. ft. o( house; and all roofed areas 2 mpies ot plan showing foolin9s, beams, joafs CeR of Survey Rerd _Y _ N (20°k maximum lot coverage allowed) 1 set o( Energy CalculaGons for heated addNOns Soils Reporf , _ Y- N 7 Soils RepoA if proposed building is to be placed on disturbed soil 1 site survey far additions & decks Tree Pres PI2n Recd _ Y N. 2 mpies of plan showmg beam & wifWOw sizes; poured found design, etc. AddNon - indicafe i/on-site septk system Tree PresRequired _ Y_ N lsetofEnergyCzlcuWtions OnsiteSeplicSystem _Y N 3 copies of Tres Preservation PWn if lai plalted after 717193 Rim Joisf Detail OpUons selectlon sheet (buildings wifh 3 or less units) Minnegasco mechanical ventilation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date Coustruction Cost Site Address UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Su6mitted - Submitted • Energy Envelope Calculations Submitted ' In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE ~ , Sub Tvpes 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ~ 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair A 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitfon (Entire Bldg) - Give PCA handout to appiicant DeSCrlption: Water Damage _ Yes Valuation 0 L?~ Occupancy MCES System Plan Review ~ 100% or _ 25% Code Edition Census Code N~ iT 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) _ Sheeuock _ Footings (deck) Final/C.O. _ Foorings (addition) ~ FinaUNo C.O. _ Founda6on ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~C Franting _ Siding _ Stucco I,ath _ Stone Laffi _Brick Fueplace_ R.I. _ Air Test _ Final _ Windows ~ Insulation _ Retaining Wall Approved By: Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC f { '-'010 0" City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copiezi Other Total ' ,,~271- 7.1 2007 RESIDENTIAL BUILDIlNG PERMIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagen MN 55122 Telep6one # 651-675-5675 FAX # 651-673-5694 New Cdu6u~tim Reammne~ RennodelfReW Rommemerds 91Bee Usa ONv 3repb[aeds~anveysshah9s9.Ra4laEs4Rdham~adalmIdaws 2aPim dPb^dWA8b0fings.bKMAM CatdSuneyRaod _Y _N (209Gmammmbt~aA~ 1sMaF6rergyCapda9aaTOrA~edad11tlOns SakRepM _Y _N 13ohRepWtapropoaedddd'nB'slo6ep{toaGmdghoh¢dlaa 7sbsuvtlytaadffiYasBdedts TreePresPlan Recd _Y _N. 2oopiesdPlan Wnft 6eAn8x'vNOns"OK Poiuedfawpldesr,ele. AdAon-o*O 8msdesepfcsyskm TreePrestffiqimfld _Y _N 1set ofEnergyCAwlsfiaa On'sPoeSepUcSysIeta -Y-N 3 ooples d7ree Preaeivdan P1an Nlot Wied ader7fll93 (ffin Jolst DeW Opnm odecOm ahwt (MA&W vO 3 a(m unb) ltiiitirinegaa.ro meartanicni womm tdm Plans are consideeed ubtic in4`armation €aniess ° ou state 4he are Yrade seeret anc6 t4ze rpasoti. n8uf i_7 i a comaucrmmcod sireaaaress ireP cn74r/ uniusmn Descriplion of Work LX4~7 , Malti-Family Bldg _ Y_ N flreplaee(s} ~ 0 _ 1 _ 2 Property Owner Tdephone#(6o0"1) contractor Z%11 rv~ ~Aree'rz.o vl ndarem '-7 zl"~7 9 G-E'-t ~o/H CF - c~r . Sa_ _ , • 3tate /~`L%.c-Taip ~5-Oyb Tdqphoae # ( 76'3 ) COMPLETE TNIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - MinnewTa Rules 7670 Ca4eorv 1 h'lmmsola Rules 7672 Ener9y Code Category .Rmiaernai veMWm CMegory t vJaksheel • New Ener9Y Cale Norksheet (JsubmissionryPe) SupoMW sWma6ed • BM9Y Ernebpe CalaYatlors Submil[ed In fhe last 12 months, has the Gly of Eagan iuued a permi} fw a simBcc plan based on a master plan? _ Y _ N IF yes, daTe arxl address of mcuter plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # Sewer/Water Confractw Tefephone J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in oonformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval ofplans. ApplicanYs Printed ame ApplicanYs Signatilire AUG 1"`fl ZOO7 '~I, lV . . . ~ . . t . DO NOT WRITE BELOW THIS LINE ' -Sub Tyaes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 0 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 ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage NA 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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 Windows/Doors 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appllcant DeSCrlptlofl: Water Damage _ Yes Valuation C? L20 Occupancy MCES System Plan Review j( 100% or _ 25% Code Edition Census Code UZi ~ 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. _ Foorings (addition) ~ FinaUNo C.O. _ Foundation ~t HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final 4 Framing _ Siding _ SNcco Lath _ Stone Lath _Brick r Fueplace R.I. Au Test Final Windows ~ Insulation _ Rebining Wall Approved By: Building Inspector Base Fee Surcharge ~(pV6~ Plan Review u/ MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search ' Copies ' Other ~`Total . 2007RESIDENTIAL BUILDING rERMIT arrLicnTiorr • City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouirements RemodeVReoair Reaui2menfs Office.Use Oniv 3 regislefed sfle surveys showing sq. R of bt; sq. R of house; and all roofed areas 2 copies of plan showirg fooEngs, 6eams, joists Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 7setofEnergyCalculaUonsforheatedaddiUons SoilsRepod , _Y _N 1 Soils Report i( pmposed buiWing is to be placed on d'aturbed soil 1 sde suney kr additions & decks Tree Pres Plan ReaJ Y_ N_ . 2 copies of plan showing beam & window sizes; poured found design, ela Addition - indicate ifon-sAe septic system Tiee Pres Required Y _N lsetofEnergyCalwlations On-siteSepticSystem _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selecGon sheet (buildings wBh 3 or less units) Minnegasco mechanical ventila6on form Plans are considered ublic information unless ou state the are trade secret and the reason. Date Construction Cost Site Address UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category I Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted In The last 12 months, has the City of Eagan issued a permif for a similar plan based on a masier plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernvt, 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 approvtl of plans. ApplicanYs Printed Name ApplicanYs Signature _ I - , .~7i, 7/ . 79a . ' 2007 RE5IDENTIAL BUILDING rERmrr nrrLicnTioN Lh 67t~- • . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CaShuctlm Reauirements RemodeVReoair RemmemerAs Otfice Use ONv 3registered5tewneysshow6gsq.ftdlal.4 RdMise:adA mafWmi 2apicsafPm^srtmn9fiaAngS,Uemns,jasts CwloiSuneyRecd _Y _N (20%mazimumlotrnverageallowed) 1se dEreiqyCalaAatiaisfarheatetlatl0itias SaflsRepal -Y -N 1 Soils RepoN if qvpased bwlBng is m 6e pla'M m?shabed svl 1 si0e smveylor adAidais & dedcs Tree Pres Plan Recd _Y _ N, 2 copies d plan sAOwag bean 8 wmEar sias; poured tauM design, ehc. AddNon -indMate ifon,sife septic system Tree Pres Requlred _Y _ N 1uQOfEne9YCalalatias OrrsiteSePaSysten -Y-N 3 wpies d Tree Presenatian flei if lot plalkd afier 7l1193 Rim,kiat Detail Opfims selectlan sheet (6uidingswlM 3% less uM5) Mnnegasw mediaidcel venaletlm lonn Plans are considered ublic information aenless ou 54a4e 4he are 4rade secre4 ana t- he reas n~ Date O I I e7 7 ConstmMion Cost Nab4io"e 2 5 JD Site Address e L-0 H 5 OoitlSte v3D - yo ~ a- Descriptioo of Work / Mnlli-Family &dg _ Y _ N Flreplace(s) ~ 0 _ 1 _ 2 PropertyOwner ~?iG/~ jA.'C/ Telephone#(6,0 ContraMor Address G4 city State j~ Zip Telephone#(74pe) Z 3ZY~~`7 l~ COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mimnesota Rules 7670 Cateeorv 1 _ Minnesola Rules 7672 Energy COde CatEgory . ResideMial Ventilation Category t Worksheet • New Ener9Y Code Worksheet (4 submissionrype) Submitted Submitled • Energy Envebpe Calalatiais Submilte0 In the lasi 12 months, has ihe City of Eagan issued a permiT for a simlar plan based on a masTer plan2 _ Y _ N If yes, daTe and address of masTer plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/Water Conirac}w 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name ApplicanYs Signatup D rAUG 1~0 2007 . By . . DO NOT WffiTE BELOW THIS LINE ' Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ~06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 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 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant D65CrIptlOfl: WaterDamage_Yes . Valuation Occupancy MCES System Plan Review 14 100% or _ 25% Code Edition Census Code ~L4_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS Footings (new bldg) _ Sheelxock Footings (deck) FinaUC.O. Footings (addition) ~G FinaUNo C.O. _ Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ AuTest _ Final _ Windows ~ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge U` Plan Review MC/ES SAC ~ city sac Utility Connection Charge ta/l~ n S&W Permit & Surcharge Treatment Plant ~..~Ov, License Search ()rtl 6p Copies Other , . Total - 2007RESIDENTIAL BUILDING rExMuT arrLicaTroN . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenfs RemodeVReoair Reauirements Offce:Use:Onlv 3 registeied she surveys showirg sq. ft of lot; sq. ft. of house; and all roofed areas 2 apies of plan showing footings, beams, joists Ced of SurveyRecd _ Y _ N (20°k maximum Iot coverage allrnved) i set of Energy Cakulations for heated additions Soils RepoR . _Y _ N 1 Soils Repod'rf pmposed building is to be placed on disturbed soil 1 sile survey for add'2ions 8 decks Tree P2s Plan Rerd _ Y, _ N. 2 coples of plan showing beam & wirMow sizes; poured found desgn, etc. Addition - indicafe Hon-sife septic system Trce Pras Required _ Y: _ N lsetofEnergyCakulations OnsdeSepticSysfem -=`f _N 3 copies of Tree Preserva6on PWn if lot platted atter 771193 Rim Joist Defail Options selection sheet (6uildings with 3 or less units) Minnegasco mechanical ven6lafion form Plans are considered ublic information unless ou state the are trade secret and the reason. Date Construction Cost Site Address Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category , Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan? _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/Water Contractor 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 ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an application for a permit, and wark is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. , Applicant's Printed Name Applicant's Signature ,