904 Wescott Square
' CITY OF EAGAN WATFR SERVICE PERMIT
3830 Pilot Knab Road 5863
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 11-30-84
zonlngc - R4 No. of Unlts: 4 plex
Owner:
Addreas:
5Ms Add,m; 904 Wescott KiZZ Square 4 B1 Wescott Hills Re
I'1umber. Master's Plbg „Z
"Aleter No.: ~~,F a 416~ 9 C0m,,,t}n pbrqe; 1504. 00 pd
Size: I 40K " , Accotmt Deposit:
Readsr No.: La2 L?,4' 02 Perrnit Fse: 10.00 pd
1 qm 1e ae~pb? w~M iM Cilg l~a SurcF+orge: .50 vd
~ ~ . ~ ~isc. cha,,om 252. 40 vd mete
Total:
By Dota Paid:
~ ~ I nsp.: a 31f s Insp.:
r
CITM OF EAGAN
3830 Pilot Knoo Road SEWER SERVIC! PERMIT
P. O. Box 21199 PERMIT NO.: 7'' 5=
Eagan, MN 55121 ppTE; 11- 3 0-
Zoninp: ~4 No. of Unlta: _ 1F Alex
Owne?: T` ' 1J T r'
~ AddfCSS:
S;te Address; 904 S•7esc2tt Snuare Lk L'1 ~~Pscctt Hi l Reyis,P,,,,1 _
Plumber: ~8tet s Plba
11-14-°.4 47664 . pl
1 pew to aanpyr wNb the C'der of Eegrw Con?NCHan Chorpe: 1360. 00 pd ^
Onunaeaa. Acoount Depostt:
per„K Fee; 10.00 pd
Surcharge: .50 n d
i By Mise. Cha?pax
; Dote of Insp.: Totol:
I^sp•: Doh Patd:
I
r a . r
CASH RECEIPT
~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RlCtiV60 FROM
AMOUNT $ I 4 DOLLARS
' 7
oo
? CASH Q CHEGK
rort , 7, , ; ~ ~
/ ,7~/~
Ft1NU CODE A?Apt1NT
1 ,
_ i
~c . . ~ 7 S~ . 1
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~
Thank . .
~ -
~ BY '
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN 974A
3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121
PHONE: 454-8100
QUILDING PERMIT tteceipt ~qt
Te w wwd fm 1 OF 4 PLEX Est Value $48,000 Date NOVr,Mf3E;R 13 1984
904 WESCOTT SQ (UNIT 103 ) ~ Occupency R1
Site Add esa VEre
Lot ~ i YBlock Sec/Sub. ' ~ Reel ? Zoning
Parcel No. Repair ? Type of Const. V HR
Enlarge ? No. Storie3 0
~ Name Ff4L INC Move ? Length
~ Address 885 - 12TH ST Demolish ? Depth
City NEWPORT phone 459-4089 Grade ? Sy. Ft.
Approvals Feas
, O Name SAI~'l E O
Address /~ssessment Permit • 24.00
City Phone Water 8$ew. Surchorqe
Police Plon check 137.00
~iW Narne 14CCOMfiS-KNUTSOId ASSOC INC Firo SAC 420.00
~i
12800 ND PARK BLVD 376.00
i- Add Woter Conn.
`W ~LYMO Fi 559-3700 63.00
City Phone Plonner Woter Meter
Counci IRoad UniT 208.00
I hereby ocknowledge that I have read this opplicotion ond stote thot Bldg. Off. Parks
the intormation is correct and ogree to comply with oll opplicable APC Total i
Stote of Minnesoto Stotutes ond City of Eogon Ordinonces.
Var. Date
Slpnoture of Permittee f~ ' ; ~
A Bullding Permit Is issued to: Fl-1L I NC on the express conditbn thoi
oll work sholl be done in accordonce_with all opplicobla Stote'f Mtnnesota Statutes ond City of Eogon Ordinances.
Bulldinp Offidal r . ~ _ t, c • , ,
Parmit No. Psrmit HoWw Dtb
Plum6iny 4 0- qa
~"J I L I <
H.VA.C. J~ % ?
El~ctric
~ ~~l W;1~ k ~~'?~ofQ~~
sofcener
Inspection Date Insp. Other
Footinps o-(7-Y J J
Foundation
Framinp /O
Rouqh Plbg.
Rouqh HVAC
Inwlation
Final Plbp.
Final HVAC
Final ~
F y~
Cert/Oac.
Water Describe Loeation:
YVell
Sewsr .
Pr. Disp.
Roaipt MECHANICAI PERMIT Permit No.
CITY OF EAGAN ,
Fes
Fill in numbened;oeces S/C
Type or Print /egibly Tot.
1. Date 2. Installation ~ost
3. Job Address ]-a WebCo.t.t Sq. Lotcw- Bik. Trect W 14-~22
4. Owner r.P'. L.. IRC.
5. Contrsctor SMMOn PtAi6.t.ng S{ftg phone 4 3 l-° 2? 5
6. Address 16229 ,.~..J C Ave.. E.
7. city tir15'6 stata ~W zip 55033
8. Building Type: Residential tn Commerciel O lnstitutional O
9. Work Description: New 12 Add ? Alter O Repair ?
10. Deacriba Fuel Type
11. No. Faui,.~,~;t. BTU - M. Ea. No. Eauiament CFM
Forced Air 7J, ;ifiU Air Handling:
Mfg. ti~[~
Boilers Mech. Exhaust
Mfy.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certity that the above information is true and correct, and I agree to
oomply with all ordin3nces and codes go\ternjng this type of work.
Signed: ' ' " •
for
Rouyh Finsl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
APproved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT • Permit No. 'CITY OF EAGAN
Fae
r( FiII in numbered spaces S/C
Type or Prinr legibly
Tot.
1. Date 2. Installation Cost
~ ` 1 t~ ,
3. Job Address -1,t u'4.c0 t.: Lot -~Blk, Tract '
4. Owner r• nl• L• r:~~-• ~
, ~
5. Contractor _ ._nbC'-i '~._1!ar--t;t.u: ` Phone 4: j _
6. Address i 6129 Le ,i 1uc
7. City `::=5 ?``{-p'`;6 State ~ Zip ~i
8. Building Type: Residential CA Commercial ? Institutianal ?
9. Work Description: New Lt) Add ~ Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
l Water Closei Cesspool/Drainfield
f Bath tubs
' Septic Tank
~ Lavatory Softner
Shower Wpll
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 CITY OF EAGAN 454-8700
, CITY OF EAGAN 9V(rj
' 3830 Pilot Knab Road, P.O. Boz 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # '
Te M w41d for 1 OF 4 PLEX W yalue $48,000 Dare NpVEi'IIILR 13 .19 84
SiteAddress 904 WESCOTT SQ (UNIT 104) t 91 Occupancy R1
lot~Blcek 1 seclSub. `L'tel ? Zoning R4
Parcel No. Rapair ? Type ot Canst. V 1 HR
Enlarge ? No.Storiq,
~ q
FML INC Move ? Length
Z Name 8 5- ZTH ST Demalish ? Depth
Address ?
940 9 Grade Sq. Ft.
~ City NEWPORT phone 45 -
SPM Appeovab Fees
~ Name Q
Address Assessment Permit ~
City Phone Wcte? 6 5ew. 5urcfiorpe 2 4- 0 0
Pol ice Plan check 137•00
~W Name MCCOMBS-KNUTSON ASSOC INC Firo SAC 1420•00
I~i 12800 tVD PARK VD 376.00
Address Enfl. Water Conn.
~W City MO TH phone Plcnner WoterMeter 63.00
Council Rood Uni4 208.00
I hereby acknowledge that I hove reod this opplication and stote that Bldg. Off~4 Parks
the intormotion is torrect ond ogree to comply with all opplicoble APC Total $ i-n
State of Minnesota Statutes ond City of Eaqan Ordinances.
Var. Date
Siflnoture of Pertnittee J " I 1 1, r " If
A Buildiny Permit Is issued to: FMI, INC on the axpross condition thot
oll work shall be done in occordat" with all oppliooble 5tote of Mlnnesoto Stotutes ond City of Enpon Ordinances.
Buildiny Official cL-C
7
PKmit No. Permit Holdsr Dete
Plumb{nq ~t c 5~~ S o^ l-~ Y 3 -y (
H.v.a.c. ~ L `
ei.ce?ic )uuaSy ?a-li~lg~~ I~~ o~
Aq93~.
softene.
Intpection Oate Insp. Othe?
ootings I0.1-~S6
Foundation
Framing !
Rouyh Plbg. -95
C
s C~ t
Rough HVAC ~ T
Inw*PI
Fina~./
Fina
l HVAC
Final
Cert/Occ.
Water Uescribe Location:
Well -
Sawer
Pr. D'ap. ~
Reaipt MECHANICAL PERMIT Permit No..
CITY OF EAGAN
Fes
Fill in numbered spaces S/C
Type or Prin[ /ep1Wy Tat.
1. Date l i-14434 2. Installation Cost
~ ~
3. Job Addrest Lot r Ik. Trsct ~I ~
4. Owner ~ . . 1. L. ~ 1 tiL
5. Contractor .4:vrnAn., P 1':,rr-F.f r.; j_, Phone
8. Address 7::' 9g L e1-,tj~
7. C'ity ii:zb (.cr ;6 State ' Zip 8. Building Type: Residential t7 Commercial O Institutional ?
9. Work Description: New 13 Add O Alter O Repsir ?
10. Daaibe Fuel Type
11. No. Equiomenc BTU - M. Ea. No• Ecuiament CFM
~ F°rced a~ ~Ya?'V Air Handlinq:
Mfg On
Balers Mech. Exhaust
Mfg. '
Unit Hsater
mfw Other
Afr Cond.
Mf9•
Gat, Rping Outlsts
12. I hereby certify that the above information is true and correct, snd I aqree to
oomply with alf ordinanas and oodes governing this type of work.
5ignsd : for
Rouqh F inal
tnspections: Date Inap. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4548100
Raceipt PLUMBINC PERMIT • Pe?mit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
TypB or Prinr /egibly Tot
1. Date 1 1- 11- 04 2~.~I~nstallation Cost
3. Job Address ~vet ct, ~L 4 -Lot~o+-elk. ' Tract
4. Owner ~ , Ir:~.
5. Contractor .~ukil2dOn Ptttel~~.b:,y tf.t.1. Phone 437-42; ~
6. Address 1 o2'LN L2vi Ave. E.
7. City ifad#.Wd State 'A ZiP 550~3
8. Building Type: Residential ,Q Commercial O Institutional ?
9. Work Description: New l~ Add ~ Alter ~ Repair ?
10. Descri6e
11. No. Fixtures No. Fixtures
j Water Closet Cesspool/Qrainfield
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. 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN 97~ F
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # ~
i OF 4 PI.EX $48, 000 iVOVLMBFR 13 E4
Te 6e wad fer Est. Voiue Dote
SiteAd u 904 WESCQTT SQ (llrilt 201) Er~ b Occupancy ~
Lot -~Block ~c/Sub. WFSCOTT `'~~ERerffddel ? Zoning
Percel No. Repair ? Type of Const. ri
Enlarge ? No. Stories
at Name FML INC Move ? Length 3
Z Address S Demolish ? Depth 3 6
~
City NEWPORT Phone 459-4089 Grade ? Sq, Ft.
~ SAME Approvals Fees
O Name
. 0 0
su Address Assessment Permit `4
~ City Phone Water 8 Sew.' Surchorge
114ccoriBS-KNUTSON AJJOC zrac Police Plon chetk 137.00
420.00
W W Name Fire SAC
~z 12800 PARK BLVD 376.00
x0 AddresP Eny. Woter Conn.
~W City `I i Phone P lonner Woter Meter 63 . 00
Countif Road Unii 208.00
I hereby ackrrowledge that I have reod this dpplication and stote that Bldg. Off. 11 f 13/H parks
the inlormation is torrect ond agree ro comply wirh o!I opplicable APC Total , 502.00
State of Minnesota $tnfutes and Cify of Eegan Ordirwnces,
Var. Date
Slflnoture of Permitfea ' I i ! i ' 11 1 - i li " ( {
A Building Permit Is issued to: FN3L INC on the express conQitlan thoi
oll work sholl be done in acoordante It all applicable*t".JlAinnesota Stotutes und City of Eoflan Ordinances,
Bufldiny Offidal J ~
Permit No. Pe?mit Holder Dete
raH.V.A.C. ~ G~
5 t" ~ lti%lyK~~, ~ ~y ~r 1~ ( 1+tq U c~i~
i~lrol~ Y
Inspection Date Insp. Other
a ~
Footings L
Foundation
Framing Rough Plb
g.
-L- r
Rough HVAC
Insulation
Final PI6y. ~
Final HVAC
Finaf
Cart/Occ.
Water Describe Location:
Well
Sewer
Pr. Disp.
. " I~ tf
Receipt . ) ( r PLUMBING PERMIT • Permit No. _
, CITY OF EAGAN Fee •
FiII in numbered spaces S/C
Type or Print legibly ToL
1. Date 2. Installation Cost
~~?J
3. Job Address 90$ WQ6Cfl t:. Su.Lot~~"Bik. ' Tract
4. Owner F.13. L. IriC.
5. Contractor SliKL1i60!! p.(::;i:~-~iw u ff.tcj. Phone 4.:7- 9" jSr
6. Address 1 h 7^ 4 1 vy,i ilio_ _ _
7. CitVa4•+.c~i.S State R~N Zip ?'•0 33
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
I Water Closet Cesspool/Drainfield
1 Bath tubs Septic Tank
Lavatory Softner
Shower Well
I Kitchen Sink
Urinal/8idet 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 1 agree to
comply with all ordinances and codes governing 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 454-8100
Receipt 'MECHANICAL PERMIT Pernnit No. CITY OF EAGAN
' Fee
Fill in numbened speces S/C
Type or Print JeyiWy Tot.
1, Date 1!- 1 6- $4 2. Instsllation Cost
ifl-
3. Job Address 1,04 UJe3w.Lt So. Lot., Blk. ITract 6''
4. Owner F_.V_ t_~ ibe_
5. Contractor "~an ptU"biR9 9 fttg Phone 437-9[ l5
8. Address 16229 t@.V.(. AVe. E.
7. City Na4.t,i.?za4 Stare AN Zip 5503.i
8. Building Type: Residential 91 Commercial O Institutional O
9. Work Description: New C~ Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equ~jomant BTU - M. Ea. No. Eouioment CFM
~ 50,0000
, Foroed Air ~ayLt Air Handlinq:
Mfg.
s Bailers Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mf9.
~ Gas, P'iping Outlets
I
12. I hereby certify that the abave information is true and correct, and I agree to
~ comply with aH ordinances and codes governir?g 4his type of work.
' Signed ; =!for
Rou9h F inal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
. Approved CITY OF EAGAN 464-8100
~
. ° ' CITY OF EAGAN ' 971PI"
. ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Recelpr #
Te M w~d fe~ 1 OF 4 PLEX Est.Volue_ $48,000 ~e NOVEMBER 13 19 f34
904 WESCOTT SQ (UNIT 202) Er ~ Occupancy ~t1
Site Addresa
Lot~Block 1 ~/Sub. WESCOTT HILLS REj~e~el ? Zoning
Parcel No. Repeir ? Type of Const. A
Enlarge ? No. Storie;
W N~e FMI, INC Move ? Length S
~Z 885 - 12TH 5T Demolish ? Depth 36
Address
~ City NEWPORT phone 4 59-4 0 9 Grade ? Sq. Ft.
SAME Avprovols Feea
~ Neme
~t~ A~~ Assessment Permit . 0
4
u~ City Phone Water S Sew. Surchorge 24.00
Police Plon check 137,4 0
kW Name t~CCOi-1IiS-KNUTSON ASSOC INC Fire SAC 420.00
Address 12800 IND PARK BLVD Water Conn. ~ Q~
~W City PLYMOUTII phan, 559-3700 planner WoterMeter63.90
Council Road Unit 208- n 0
( hereby ocknowledge thot I have read this opplicotion ond stote thof gldg. Off.11/13/84 parks
the intormofion is torrect ond ogree to comply with oll applicoble APC Total i 502
•
StoTe of Minnesota Stotute; qnd City of Eoqon didirrces.
;f i~" ;j~, , /'+1'AZ j;j Var.Date
Sipnature of Permittee
i;L IrvC
A 8u{Iding Permit Is issued to: r on the express wndltion 1hai
oll work shall be done in acwrdancer"with oll opplicabl4 5tote of Mihnesoto Stotutes and City of Eoyon Ordinances.
r
Buildinp Offictol / ` ~ % •
Permlt No. Permit Holdw Dste
Plumbinp
H. V.A.C.
Ekctric 1~U Gv
A Cly3~v w,Iii
Softener
Inspection Date Insp. Other
Footinga IQ-(1,$ J J
Foundation
Framing
Rough Plbg.
Rouyh HVAC L,7 y.
Inwlation
Final Plbp. ~
Final HVAC
Final
Cert/Oce.
Water Describe Location:
Sewsr
Pr. D'np.
Reaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
FM '
fill in numbPred sp8ces 5/C
Type or Print /egiWY Tot.
1. Date ~ 1-: :•f 2. instaliation Cost
G~ t 1!.-
3. Job Addreas yi.14 uteAynt. N;~ Lot.0/9--Blk. Trsct cJ N'(2 Z
4. Owner ! • ,r : . I : tC.
5. Contractor 0:. 'FZt1JM).(,l18 $ flt.,2 Phone -t 57--921.r,
6. Addreu I Ea2[9 fev: Al,~ . L.
7. Clty 'n,; : .4,A State .,A„; Zip
8. Buiiding Type: Residential Commercial ? Institutional 0
9. Work Description: New p Add ? Alter O Repair ?
10. Descxibe Fuel Type
11. No• EquiOment STU - M. Ea. No. Eauiament CFM
Forced Air Air Handling:
Mfg. tr
Boilen Mech. Exhaust
Mfg. Unit Heater
Mf9• OMer
Air Cond.
Mfg.
~ Gas, P'iping Qutiets
12. I hereby certify that the above information is true and correct, end I agree to
comply with all ordinances and codes governing this type of work.
Siyned •
. ffor
Rouqh Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ~ PWMBING PERMIT Permit No. ~
CITY OF EAGAN '
Fee
Fi!l in numbered spaces S/C
Type or Prini legibly ToL
1. Date 2. Installation Cost
zu~ 3. JobAddress ~*bCOU Sk,.LoAk~~Blk. ~ Tract -
4. Owner F.M• L.
, ~
5. Contractor ~r4s t' t_ : phone 4 3: - 92 J 5
6. Address i6124 Lvv.i. Avc_. C.
7. City Stete Zip ~ t
S. Building Type: Residential 12 Commercial ? Institutional O
9. Work Description: New 00 Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
; Water Closet Cesspool/Drainfield
l 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. 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
Reoeipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN
• Fee
FiII in numbered spaces S/C
Type or Prinr legib/y Tot.
1. Date Z 5- 2. Installation Cost
~ .
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor - - Phone - 6. Address ~ ~ .
7. City t,: State Zip S. Building Type: Residential C3 Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ~ Repair ~
10. Describe ; _ , F A
11. No. Fixtures No. Fixtures
Water Closet Cesgpool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Orains
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
'-1- fs iewl
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
yh/rs Aw
•
go g ys v
~I
~'I
Receipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN
• Fee
, Fill in numbered spaces S/C
Type or Prrnt legibly
Tot.
1. Date 2. Instailation Cost ,
3. Job Address Lot Blk. Tract
4. Owner
.
5. Contractor Phone
i
6. Address 162~ti L.
7. City ; >State Zip
8. Building Type: Residential GL Commercial O Institutional O
9. Work Description: New ? Add ? Alter Q Repair ?
10. Describe , .
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 Orains
Drinking Ftn.
51op 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 Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt, PLUMBING PERMIT Permit No.
, CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Print legibly
Tot.
1. Date 2. Installation Cost ~
3. Job Address `Lot Blk. Tract
4. Owner
. ntractor ~F4fk+bbH+~ t t , ' ~ ~ Phone j ~
6. Address 16229 Loy.i. t1v,,, u,
7. City State ZiP
8. Building Type: Residential C~s Commercial ? Institutional ?
9. Work Description: New O Add ? Alter 13 Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shawer Well
Kitchen Sink
Urinal/Bidet Other
L.aundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
- Gas Piping Outlets
12. I hereby certify that the above information is true and oorrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for A
Rough Final
Inspections: Date Insp. Date In ps
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
Receipt PLUMBING PERMIT Permit No.
' CITY OF EAGAN
Fee
. fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost ~
3. JobAddress -t Lot Blk. , Tract
4. Owner
5. Contractor u'',i;,< <t~••, i Phone
6. Address l 6' 9 v u,r
7. City State Zip
8. Building Type: Residential C~ Commercial ? Institutional ?
9. Work Description: New O Add O Alter 11 Repair ?
10. Describe cuatlJt ;ieatu;.s
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. 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. Dete ns~
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
CITY OF EAGAN Fiemarks
Addition W escatt Hills Revised 2nd Lot 12 Blk 1 Parcel-l0 $3611 120 Ol
Owner Street 904 Wescott 7 State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19$5 ".2z .$5 22.68 10
STREET RESTOR.
GRADING
* SAN SEW TRUNK " 1985 ,_?Q 43 • SQ 20
* SEWER LATERAL 19 5
WATERMAIN
~ WATER LATERAL
~ WATER AREA 1985
* STORM SEW TRK 1985
* STORM SEW LAT ~j
CURB & GUTfER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
This reQUest void ( Q]
18 months tran b ~<J ~IJ )
A 100284 Lq /5 t F;u
Nequest Data iire No. Rouph-in Impection '
Fe9uired? ? QReaW Now.cgWill NotiW I~spec-
~ ~Yes No t~ whe^ ReadY
?s.
M~Lir.enc1 Elecvical Contrnc[or I herebv OeOuest insoxtion of aEova
? Ow.er abctrical work iretnlled at:
Stree Odtlress, Boa or uta N Giry
ecvon o ownshio Name or No. Ranpe No. Counly
Occupunyt p!I/NTI~ n~ T Phorie No.
I'~~/C~ ? C~'~~
Power Sup lier Address
r a eH-
Eleciri Contractor ICompa'ry Name) Convar.tor s License No.
7 s 7
Mailine Atldress ICOntractor or Owmr Meking Instdilation)
lG ~ 10,e- '
Au~Mractor/Owneking Installationi 1 MOne NuvMer
~lf 413; 7"krS 3 <
M11N ESOTA gTpTE BOAi1D OF ELECTRICITUX THIS INSPECTION REAUFST NILL NOT
Gtigpa-MlAway 81dY. - Xoom N-791 BE ACCEPfED 91 THE SiAIE BOARD
1821 Uniwry7ty Ave.. St. Paul, NN 65104 UNlE35 PNOPER INSPECTION FEE IS
Piqire (8112) 29721fl ENCLOSEU.
REQUEST FON ELECTRICAL INSPECTION ER"O00D'O4
t I~ I p~
~ 0~ ~ , See irotruc[ions tor compbtin9 this fum m ~ck af Yellar eapY. p
A " X- Below Wmk Coveted by This Request
PSon A'Atl ReP. Type o1 Buildin9 Appliances NireU EauiDmaot wired
Home Range Teffwrary Service
Ouplex Water Heater Lighting Fixtures
Apt. Building Dryer ElecVic Heatin
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. Air Conditioner Bulk Milk Tank
Fefm Ot er Pev ther ISOeciN1
t vec. y i er OtMr
ompute lnspectron Fee Below
M Fee ServiceEmreoroSize p Fae Faeders/Subteeders tl Fee Ci¢vils
/49, ~ 0 m 200 Am 0 to 30 Anips B -~l 0 tn 30 Areas
~Above 2Am 31 to 700 Ar~s 31 to lOQ
wimming l A6ove 100_ A6ove 1ansfarmers Irti tion Booms .ep Partial'Other Fee
Sigis Special Inspection $ 7A r~ TOT ~FF~E
Nertarks
C~ /
Rouph-i^ Date /
•EleCbi~l
~sPecbr. herabp
ca ih tlat the ahow
Final ~~tim has Eaan
f ~e reed..
~
mnreaueat.aa1amonmen-
This raquast void
18 rtqnths fmm ~/9 ~i)-J('s ' 9 l(
A0 9 9 3 6 4-t~---(-,6-t dic,,, ~ 56.6 0
ReQUes[ Date Fire No, RouPh-in InsOeclion
q i-~ ~ V ReqwreA? Reatly Nuw Will Notify, Inspec-
IT' ( dVos No tor WAen NeatlY
Licansed E ectrical Contrector I hembV repuest inSOection of above
? Owner electrical wotk inatelled eY
SveeLAdAress, 8a. or Route No. Ciry
AOA u J
ecLOn o. Township Name or o. Range o. Cowlty~
Occupury~IP~T) ~ Phan¢ No.~, ~
Po Supplier Addrass /
1 ~
Electric a Contr mr (Company Name) Co ractor'S Li~nse No
Mailin AdJress ontractor or Owner akinB Installatji~onl
Auth rized Si aWre I onhactor wner Ma ing Installation) ~rye Nu=ber
~ {
~ ~v
MINNESOTq SiATE BOAPD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Gri09s-Mitlwey Bldg. - Room N-191 BE ACCEPTED BY TME STATE BOARD
7821 UnlversitY Ave., SL Peul, MN 55704 UNlESS PROPER INSPECTION fEE IS
Phone 16121 297-2171 ENCLOSEO.
pEQUEST FOR ELECTRICAL INSPECTION E8A0001-04
~ I See inatruetions lor rompletlM this fwm on beck of vallow copy. ~6 /S~
A 099364 '"X"'Below Work Covered by 7hrs Request ~
MW4Addj RSp. Type of Building APpliancae Wiretl Equivment Wired
Home Range Temporary Service
Duplex Water Heater Lightiq Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Thxr oeci y ther lSVecifN
t nl uocify Ot er OthLr
ompute lnspectron Fee Below
p Fea w Service EnlreneaSiEa k Fee Feeders/Subfeeders # Pee Circuits
0 to200qms0 to30Ams 0 to30Ams
Above 200 qm ps 31 to 100 Amps 31 to 100 Anim
Swimming Pool Above 700_Am S A6ove 100_Am •
Transformers Irri tion Boorris + Partial%Other Fee
Signs Speciallnspection S !a ~n
Nemerks 7 ~v TOT F
ww+~-'
Rouph-in ' n DIate I.th v' al
~ ) .1 r~~'b` inaPactor. hereby
certifY tl~e1 [hg above
Final Oxte inspection I~as been
~zvide.
thlsrequeatvaie78monthelrom ~'i ~~'-'GG~~t•<~Jj
CITY OF EAGAN N? 9704
' . 3830 PiIM Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
Te M wed fer_ 1 OF 4 PLEX W. Vulue $ 48, 000 pO1e NOVEMBER 13 1 y 84
ddress 904 WESCOTT SQ (UNIT 103) ErW~ 1 Occupancy Rl
Loc A^Block 1 c~/Suh. WESCOTT HILLS REfdefFodei ? zoniny ____4-
Parcel No. Repair ? Type of Const. V 1 HR
Enlarge ? No. Sxori
FMI, INC Move ? Length
a Neme
Address 885 - 12TH ST Demolish ? Depth 36
~
City NEWPORT phone 459-4089 Grade ? Sq' Ft'
Approvob Faes
o Neme SAME
o~ Address Assessment Permit 274. 0
V City Phone Woter & Sew. Surcharge 24 . 00
Police Plun check 13 7. Q 0
Fw Name MCCOMBS-KNUTSON ASSOC INC Fira SAC 420.00
g~ q~resg 12800 IND PARK BLVD Eng, WarerConn. 376.00
4W City PLYMOUTH pho,e 559-3700 plonner WorerMeter63.00
Counell Road Unit 208 _ 00
I hereby ockrwwledge that I hove read this opDlication and state that gId9, pry. 11/13/8 parks
tha inlormation is correct ond agree to comply with oll opplicable APC Total $~2.~~
Stote of Minnewta Sta ute rd City Eagon O~dinqnces.
Var. Date
Sipnoture of PertniMee f laC~lG!%
A Bullding Permif Is iuued to: FML INC on the express condition that
ull work shall be done in occordanC wilh a p~p~liwpb~ta ote M ~nesoto Stafutes and Ciry of Eaflan Ordinances.
Buildinp Officiol -u`~"`
. ~ . .
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 0 SETS OF PLANS,
CER?IFICATES Or SURVEY
SET OF ENERGY CALCULATIONS
To Be Used For: ' q Plex Valuation: $154,400 _ Date:_9-]9-84
Site Address: 9oi~ ~ ~4#J0,03~ • • •
Lot: q Block: I Sect/Sub:Erect: X Occupancy: Q-~
Parcel Wescott Aills Revision Remodel: Zoning: (~-4
Repair: Type Of Const: p-,
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: 21g.-
City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: 24.!'
Police: Plan Rev.: ~31.-
Phone 459-4089 Fire: SAC: ¢2D.°°
Engr. : ' Water Conn: 3'1(I.
Aggk7Iyfn4: McCombs-Knutson Assoc. Inc. Planner: Water Meter Co3.`=
Address: 12800 Industrial Park.Blvd. Council: Road Unit: ?1JP~.~°
Bldg. Off.: Parks:
City/Zip Code: Plymouth, MN 55441 APC:
Phone#: 559-3700 Variance: ~
CITY OF EAGAN N? 9705
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt g
To M wsd for 1 OF 4 PLEX Eu. Volue $48, 000 Date NOVEMBER 13 1 q 84
SiteAddress 904 WESCOTT SQ (UNIT 104) E t ~ occupancy Rl
~ot ~ s~ock~-Sec/sub. ~''~ESCOTT HI~LS'~REadel ? zoniny R4
Percel No. Repair ? Type of Const. V 7. HR
Enlarge ? No. Stari 3~
W Name FML INC Move ? Length
~ Address 885 - 12TH ST Oemotish ? Depth
City NEWPORT Phone 459-4089 Grade ? Sq.Ft.
SAME ApProrals Faet
Name O
Su Address Assessment Permit
~
City Phone Water&Sew. Surchorya 24 n0
Police Plan check 137.00
GW Name MCCOMBS-KNUTSON ASSOC INC Fire SAC 420.00
i~ Address 12800 IND PARK BLVD Eny. WaterConn. 376.00
iW City PLYMOUTH phone 559-3700 Planner Water Meter 63, 0
Council Road Unit 208.60
I hereby ncknowledge thot 1 Mve read this epvlication and state that Bld9, off,11/13/8 4 parks
the inlormation Is mrrect and agree to comply wifh oll opplicoble APC Total $1. 502.~~
,
Stote of Mirousoro Stature~ 'ty f Eagan OqQ~ra2~~ Var. Date
r p
$Ipnoture of Permittee
A Buildirp Pe'mit Is issued to: FMI, INC - on the express tonditian thot
oll work shotl be done in eccorda e i all opplica e S 'o~f M~in,nesoM Statutes and City of Eapen Ordirwnces.
Buildinp Officiol U_Q°
~
~ . .
~ ALL CONTRACTORS MUST SE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CER'IZFICATES OF SURVEY
/ 7~ J Q SET OF ENERGY CALCULATIONS
To Be Used For: ' 4 Plex 1 Valuation: ~OIIO Date: 9=19=84 _
Site Address: O~{ p oco • - •
Lot:q Block: 1 Sect/Sub: Erect: X Occupancy: Q-~
Parcel Wescott Hills Revision Remodel: Zoning: 4
Repair: Type Of Const: -IH2.
Owner: FML, Inc. Enlarge: # Stories:
Move: Length: 30
Address: 885 12th St. Demolish: Depth: 36
City/Zip Code_ Newport, MN 55055 Grade: Sq_ Ft.:
Phone 459-4089
Contractor: ~
FML, Inc.
Address: 885 12th S[. Assessments: Permit: 214.~
City/2ip Code: Newport' MN 55055 Water/Sewer: Surcharge: 2-4.°'
Police: Plan Rev.: ~-5-7.°-'
Phone 459-4089 Fire: SAC: 42D.°-
Engr.: Water Conn:
f agit %}6pn9: McCombs-Knutson Assoc. Inc. Planner: Water Meter
Address: 12800 Industrial Park.Blvd. Council: ' ad Unit: 208.0'
Bldg. Off.: arks:
City/Zip Code: plvmouth, MN 55441 APC:
Phone#: 559-3700 Variance: ~
CITY OF EAGAN N? 9706
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT ' PHONE: 4548100 Receipt # 7
Ts M wad for 1 OF 4 PLEX Ed Vo1ue $48,000 Date NOVEMBER 13 19 84
SiteAdd ss 904 WESCOTT SQ (unit 201) Ere~t LJ Occupency Rl
Lot~slock 1 Seclsub. WESCOTT HILLS RE~BpR'adel ? zonin9 --R72F-
Pareal No. Repair ? Type of Conat. V 1 HR
Enlarge ? No. Stories
~ Name FMI. INC Move ? Length 30
12TH ST Demalish ? Depth 36
Address Grede ?
6 City NEWPORT phone 459-4089 Sq. Ft.
g Neme S~E AvV•ovals Faes
ot Addreu Assessment Permit 274.00
u~ Ciry Phone ' Water 8 Sew. SurcFwrge 24 . 00
Police Plon chxk 137.00
w Name MCCOMBS-KNUTSON ASSOC INC Firo SAC 420.00
z 12800 IND PARK BLVD 376.
00
4~ Address Erq. Woter Conn.
~W City PLYMOUTH phone 559-3700 plonner WoterMeter~,90
Council Rood Unit 9019- n 0
1 hereby ocknowledge that I have read this oppliaation ond stote that gld9, p{{, j j 13 8 Parks
fhe inlormation Is correct and ogree to wmply wilh oll opplicobla AFC Total $1,502.0
~
State of Minnewfa $tatuteAify Eo9an
~di~pncet, Var. Date
~
Siqnotura of Pertnittn
A Buiiding Pemit is iuued ro: FML INC on tM exprcss condltion thoi
oll work sholl be done in accordonte it a ~o.p(p'lica le 5 f Minnetota Statutes and Ciry ol Eagan Ordinances.
Buildirp Official
. 0.10 . . .
~i ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE El SETS OF PLANS,
~f ~ CER:IFICATES OF SURVEY
0 SET OF ENERGY CALCULATIONS
To Be Used For: ' 4 Plex Valuation: $.~6b- Date: 9-19_84 ~
Site Address: %oq 46,WO4
Lot: q Block: 1 Sect/Sub:- Erect: C Occupancy: (Z-~
Parcel Wescott Hills Revision Remodel: Zoning: P--4
Repair: Type Of Const: Q-( H
Owner: FML, Inc. Enlarge: # Stories:
Move: Length: 30
Address: 885 12th St. Demolish: Depth: 3fo
City/Zip Code: Newport, MN 55055 Grade: _ Sq. Ft.:
Phone 459-4089
Contractor: ~
FMLa Inc.
Address- 885 12th St. Assessments: Permit: Zl4
City/Zip Code: Newport, MN 55055 Water/Sewere Surcharge: Z4
=
_ police: Plan Rev.: 1511
Phone 459-4089 Fire: SAC: 420.
Engr.: Water Conn:
hv~16pn4: McCombs-Knutson Assoc. Inc. Planner: Water Meter b 3.°
Address: 12800 Industrial Park.Blvd. Council: Road Unit: 7-O6.~
Bldg. Off. _ Parks:
City/Zip Code: Plymouth, MN 55441 APC:
Variance: ~
Phone#: 559-3700
CITY OF EAGAN N? 9707
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127 /
PHONE: 4548100
BUILDING PERMIT Recelpf
Te M mad fm 1 OF 4 PLEX Est.Value $48,000 DOfe NOVEMBER" 13 ~q 84
SlteAddreu 904 WESCOTT SQ (UNIT 202) Ereaq ~ occupancy R_
Lot~rX'Block 1 Sec/Sub. ~^1ESCOTT HILLS REFle1Rbdel ? Zoni'ny
Parcel No. Repair ? Type of Const. V HR
Enlarge ? No. Stori 3~_
W Name FML INC Move ? Lenqth
= 885 - 12TH ST oemolisn ? Depth 36
Address Grade ? Sq. Ft.
~ City NEWPORT phone 459-4089
SAME Avvovals Foes
Neme p
Address Assessment Permit '
City Phone V?cter 8 Sew. SurcFarga 24 _ 00
Police Plon check 1 17 - 0 0
rw Neme MCCOMBS-KNUTSON ASSOC INC Ftro 5AC 490_n0
4~ Address 12800 IND PARK BLVD Eg. WaterConn. 376-n0
~W City PLYMOUTH Phone 559-3700 plonner WaterMeter F-4 n0
Council Road Unie 2nR nQ
1 hereby acknowledge tFwt 1 have read this opplicotion ond stote that Bia9. ors.11/13/84 perks
the in(ormotion Is corrett and agree to comply with all opplicable APC Total $1,502.00
$tate of Minrxwto Stopute d City,7of Eoyan i ces.
Q~,~[//~w ~ Ver. Date
Sipnature of PermiMee\_/' "{.K"•' "~•w)'~ .
A Buildinq Permit Is issued to: FML INC on the express condiHOn thm
all work shall be done in occordante ith cll o Iicable State of Mi ta Stotutes ond Ciry of Eapan Ordinancea.
Bulidirq Oificiol
. . . .
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
' INCLUDE Q SETS OF PLANS,
CERiIFICATES OF SURVEY
SET OF ENERGY CALCULATIONS
To Be Used For: ' 4 Plex~ Valuation: H54-866 Date: 9=19=84
Site Address: r Y
Lot:_4
_,-Block: I Sect/Sub:~ Erect: Occupancy:
Parcel Wescott xills Revision Remodel: Zoning: R-4
Repair: Type Of Const:
Owner: FML, Inc. Enlarge: # Stories:
Move: Length:
Address: 885 12th St. Demolish: Depth: 3fo
City/Zip Code: Newport, MN 55055 Grade: Sq. Ft.:
Phone 459-4089
Contractor: ~
FML, Inc.
Address: 8g5 12th S[. Assessments: Permit: 2l9 '
City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: 24.~
Police- Plan Rev.: 137Phone 459-4089 Fire: SAC: 20.°-'
Engr.: water Conn:
AF}14k][y§n9: McCombs-Knu[son Assoc. Inc. Planner: Water Meter (o 3.
Address: 12800 Industrial Park.Blvd. Council: Road Unit: 206.
Bldg. Off.: Parks:
City/Zip Code: plvmouth, MN 55441 APC:
Phone#: 559-3700 Variance: ~
Z
`1 HOUSE HEATING TEST RECORD 1 L.f la
~ -
ADDRESS 72104 :~.!01~4126~- SQ-~~~• A7T. 4WFLOOR _CITY SUBURB
OCNPANT OwNER
M6AT LOSf DATE NTG tNST.
SOLD BY ~'-"~!"!'/SOdc iyy/~;t~/ i Dr? INSTALLED BY Qt?-*/WI/
ElecMeal Mak Br "ff 1 Flio fr I c Gso Li,r 8y fi.in.r/sD4/ l4i• ~.ve it.(l•n.-_
TYPH Oi XEAT GA _ FA b HMI _STEAM -SPACE HTR. _UNIT MTR. _OTME`R
vERw~w`~
GAS DESIGN CON n
MAKE ~ MAKE OF BURNER G «17
uve.i 51 ye_,4.cin.~yas'o .bai
Siriol Mos, BTU Ratinq
INPUT 0Cl:;,2,70 MAKE OF FURNACB
A4d~1
~/g.~ ~CONTROlS g ~
THERMOSTATI.Lfl_ M r Plus Vent Sis• '
y1~'-r rio.__ ~e `KIND OF LIHER SIZE NONE
Limir 0 Droh Nead~'~s Rpularw Ad
Liwir So"iny Fllews Sis ~ k I umbw /
Fen Sottinq Gisnq Lxatlon Insido . OuUide
Pilot Type 5670^~Clsifflnov Ge.+.venen ZI S'
Pu,. Mek. Spillaqa
Pila Model gv, Snwb Banb Wirinq ~
Ptler Ti~ninq 0.ai+ Test Taq ~
L.W. Cut OH gZ= Dea Preuw?r0.r{1Ef LiyhHny Ins6
ii
Pressun P.rcMt COZ ~ Daft Tiis»d " -
Inyu* CRM~ P~.e~nr 02 Comveny Toa•:-g S~iow~s`o.i~s~ JSroe4 T~my. y'o Pwent CO Nen» ai Totnv, r'<e-'^~ V110cLr041
Certificate of Compentency_ #
' • HOUSE HEATING TEST RECORD
AjDRESS 90Z ~""-eQ/11APT,&2-RLOOR__CIjy fUBURB
OCNPANT OwNER
MHAT IOSS DATE G. INST.
SOLD BT S2&!/>rJSd.(/~S PG~at~i,wi.. INSTALLED BY L
El~ehieel Mwk By c*i¢iY /Y ,'c Gs~ Lin~ B~~iva.i~cod s .l4.it r' ro tHni:r/T
TYPE OR MEAT GA _ FA 30 MM _STHAM _SPACE MTR. _UNIT MTR. _0TH9 A
.GAS DE51611
MAKE MAKE OF BURNER
Med•I Abdal ~
Swial ~ Mei. BTU Rafiny ~
INPUT ~ MAKE OF FURNAC6 7,73
IMdeI 47
CONTROLS o
TFIERMOSTAT !1LlL Mwr Pluy V"r Si:•
Valr* KIND OR LINER SIZE NONE
L1mit DrahNeod Rpularor~4-PiGSSGis'C.
limit SoMiay Fil/ws Sis~ lLurabp, ~
Fan Soniny Glmnw loeatfen InsiM X OutMide
Pilet Trp. Chim"v Gnu.vaien /~"t ~aC .6ts~or t1osS'!~
rciet Mart Spillaqe
Pila Medel Sawkk. Bmnb Wi.fep Ox
Pilot TiTiny _ Gdt Test Taa Yle~T
L.M. Cut OH Des Pnuv~L~~~ Liyhtfny Im}
? s
Pnuun~~ Pne"t CO2 Dan Teavd
Ceiayany T~ati~q Ow/SO.f~ ~l / %'%t~9
Inpur CFH Pweent 0= Pzz
S~aek Temp. y90 ~ Pwc~nt CO Jlyll
Nenr ef T~sw SILC !ff ~`y^D Certificate of Compentency_ #
1 MOUSE HEATING TEST RECORD
A3DRESS.' 02-~~~l'~Yr SQUQ~e APT.'~_fL00R_CITY SUBURB
OCp1PANT OWNER
MEAT LOSS DAT MTG. INST.
SOID 9T ~l•~!/Si7i1/S lurJll/.'IU:/ _INSTALLED BT ;j;ad4w
EI"Mee! r..r a. _Sc~[ddOSOAI 4lYr51~ ,C ce. u" 6ySWa.ris-o.ds G'sr.~f~~y¢ r/lPQ~:ai
TYPE OF NEAT GA _ PA _wr _SrFAu _SPACE NTR. _UNIT HTR. _OTHER
GAS DESIGN 'CONVEyF61Q(1 n p P'i AI
MAKE MAKE OF BURNER IC.Oi Sa! 1~1
Medol Medol ta~ V i E W E 0
Swial /.36'S~L' J~1` !n9 ~C-~ ~•~T _ _
~ Mea. BTU Ratinq
INPU7 '90~ 631167 MAKE OF FURNACE ' • IAadoI
CONTROIS
T}IERMOSUT ~ Xwr Pluo, V.nt Sis•
Vel" KIND OR LINER SIZE NONE
Limit OroNNeodRpula», O lCSSL(/2e
Limit SeMiny Z d Rlltn• Si:oZ1(XAO Mu'n6er
Fon Sottiny almrwy Leeaffsn InsiM b OWsiM
Pila Trpe _A . aimn~y Gn~rruefienPne+M.r. ~ Spillage
ailo. wd.l Sin.in. Beinb wirinq
Pilet Timinq 0.aff t Taa
L.M. Cut OH Dear Preuwe ACZ~ Lightinq la*t~
i~
Pressun PoreMt CO - DaN Tesred
Input CFM SD Pnegnl 02 7~n ComVany T~s•:-q ri.s~/!/377/.YS ./~Ai.~~ //l~
Shek To1n0. 5~D0 ~ Pwanr CO ~pi2 Nanr ei
Certificate of Compentency_ #
• HOUSE HEATING TEST RECORD
A]DRESSZE i6419S1 Cd~Z !~96404e APT._LFLOOR qTY SUBURB
OCNPANT OwNER
NBAT LOSS ~ DATB XTG INST.
SOID 6T ~fdLf'c~~. Pf» ~INSTALLEO BY f' 1.[i' .'n.~0 do, Eleefrieal '!~--k - ?c • C Ges Lim By~~L°Y~~s
T7PE OR NEAT GA _ RA,,&-MM _STEAM _SPACE MTR. _UNIT MTR. _OTMER E
J GAS DESIGN COl1VERSION
4~T ?UKE OF BURNHR
MAKE '~~'k
M,e.i M,d.i
S.ial ?~~C S'' 99s Msa. BTU RaNwy
INPUT sj~'I/j MAKE OF FURNACB
Wdd
~ CONTROLS TNERMOSTAT~~ Nwt PI V.nt Siae
Valw ~~[ajEi'=2 ~ KIND OF LINER SI~ N
Limit j DrohXeed7Y<.S Rpulater LO p/L°ff~•!LimitSNeiny ~ FiNors X204"/ NuTyer .s~~-
Fan Sonlnq Gininy Lxetfen Insid/e~~~0utei
Pilee Tyve QI{TMY CONoiNC1IM ~F~• ~3t-.dd~e.c aS C nSS/ „C;
Pilet Meb ~ Spillage Pilst Msdal 7 33,Sv SWAkM Bwn6 Ylirinq ~n
Pilef Timina deh ZZA Tris* Tay{(LS
L.M. Cw Off ~ Oear Pnswr~ Liqhrlny Inu.~~
Pr*ssw ?'S I:Z, PeremeC02 ?Z Den Tesnd 22-,? -Qe!E'_ .
Inpu+CFN -In Pwe"t OZ Cotnyany
S~eek T•mp. y~0 0 P«vne CO MNRJ P-0 Newe ei T•~~v -S'~-~-~ l.E~/ f"~i~SOA/
Certificate of Compentency_ #
CJ i 2/84
~ CITY Or EAGAN
(14 ~ APPLICATION FOR PERNIIT
SEWER AND/OR WATER CONNECTION
d
(PLEASE P IHT) '
1) PROPIIrI'Y ADDRESS _ 22
~ IP Cc~t~
T.FI;AT• DESCRSP'TICV:
Lot lock/Subdivision or Tax Parcel I.D. kNtmber)
~ u' r-%IST1::1-' S'?:RL'CTUTiE, DA'I' 0F ORIGuIAL tiiZLDL:G P~ER'-Si ISS,;?.NG?:
PPES= --..^„II2vr:/P??0POSErJ IIS"r.': R-1 SZiGLE FP?nSLY
'ItitiK) LJNITS)
R-3 7Ci~Iv'f-? ('I_.x" + IIVITS) ( T UNZTS)
C7 R-4 AP2.R7-"'I1--7/COi1DC=]IL^TM1 (-t- UtiITS)
? CCi1~MERCZAi,/REI'AIZ,/OFFICE
Q I~iDL'STRIAL
? I?VSTITt,TI0NAL/C',OVERfL~IE,'ti^r
2) pppl,.ICAti^r (PLEASE PRINT)
DII1ME: yY) ~
ADDRESS:
CITY, STATS, ZIP; •
PHONE:
3) PLT,'IBER ~ PLE NT) ~ FQR CITY I1SE ONLY
NAME' ~ V. YYI ) VV
PLUNBENS LICE4SE:
ADDRESS: Active
CITY, STATE, ZIP: Expired
PHONE• Q Not of Record
PLUMBER LICENSE N o~~
a nttia
4) CCCLTpAN'P/('J,v'CIEf2 (PLEASE PRINi)
NAf~:
ADDRESS:
CPI"L, STATE, ZIP; 6 ~
PHONE:
5) INpIC11TE WIIICH PF_Rh7IT IS BEING REQi,TES'PID:
/ti CODINFCI'ION TO CITY SD7ER
~ CONNECTZON 'IO CITY 69ATER
? 071M (PT.FASE DESCRII3E)
6) Ir,ipIG= C.Z: •
? PLEaSE F?OID APPFtOVEp PERMIT FOR PICf:-UP BY ONE OF ABC7VE
~ PLEe1SE :fAIL APPROVm PER%LLT TO 1. 2. (M 4 ABOVE
(Circle one)
,
7) SI(m'A'IVRE: DATE• 0-
.
fllil.~lf6J0! i 4l~g~ll~ ~ f i.~t t.'ai~:i# i i i~.sa i:~ a R r!~l~Frt!l~i~ 1r i IIR ~1[itasFliFr ea
F O R C I T Y U S E O N L Y
PERMIT ° ISSUED
FEES: $ SEWER nEBMrT (I`ICL;;DE SU.°.Cfi?RGc)
$ WATER PERP4IT (IrdCL'JDE SliRCHARGc)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATIQN STOP)
$ SE;dER TAP
$ =rC0i;?iT _,..?GSZ= -
$ ACCOUNT D.F,ppSIT - UlATER
$ WAC
$ SAC
$ TRliNK WATER ASSs.SSi?ENT
$ TRli:7K SEWER ASSESSh1ErIT
$ LATE°,AL BENEFIT/TRUNK SE:•:ER
$ LATERAL BENEFIT/TRUNK S4ATER
$ OTHER '
$ TOTAL
$
AMOUN'T PAID/RECEZPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION I[V PUBLIC RIGi-IT OF WAY?
0 YES IF YES, THEN A"PERDIIT FOR 590RK WITAIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY:
TITLE:
DAT°:
w m
, COMMERCIAL
, 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN ~ ~ `'1 3S
651-681-4675 New # after 12/ 10/02 651-675-5675
Foundation Onl New Construction Interior Im rovement
• SWctural Plans (2) sets . Architectural Pians (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • SWctural Plans (2) . Code Malysis (1) "
. CerUficate of Survey (1) • Civil Plans (2) . Projecl Specs (1)
• CodeMalysis (1) • LandscapingPlans (2) • KeyPlan (7)
• ProjectSpecs (1) • CodeAnalysis (1)" • MasterExltPlan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculatlons (1) not always"
• Soils Report (1) . Spec. Insp. 8 Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be esfablished . Meter size must be established . Meter size must be established - if applicable
• PrajectSpecs (1)
1 • EnergyCalculations (1)
d • Electric Power & Lighting Form (1)
d . Master Exit Plan (1) .1
1 • Emergency Response SRe Plan (1)
1 • Soils Report (1) y
• MGES SAC determinatlon letter . MC1ES SAC determinatlon letter • MGES SAC determination letter
ca11 6 5 7-6 02-1 000 call 651-802-1000 call 651-602•1000
Food 8 beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
Permit for new huildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: WpRKTYPE: _ NEW Z REMODEL CONSTRUCTIONCOST: OD~
SITE ADDRESS: e-
TENANT NAME: S V\ UITE
FORMER TENANT NAME, IF APPLICABLE:
Name: I-~5CG~I~GLC~' Phone#:
PROPERT'Y Last First
OWNER ~
SffeetAddress: ~6
ciTy: a6 J,'s state: ZiP:
Company: S2 i OnA~In Phone
CONTRACTOR 1 Q' ~ ~ I 1
StreetAddress:
City: State: my~ Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Regishation#: ` r-
.y ~
Stree[Address
Rv
~
Ciry: State: Zip: -
Licensed plumber installing new sewerlwater service: Phone
I hereby acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ~a r
Signature of Applicant: , (
.
` Updated 7l02
OFFICE USE ONLY
SUBTYPE
? Ol Foundarion ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 Commercial/]ndushial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous 0 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width sq. ft.
Const. (Actual) Basement sq. fr. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation ~ Plumbing ? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
VALIIATiON $
Permit Fee
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Pertnit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Qualiry
Other
Copies
Total
10 83601 WESCOTT HILLS 4TH
10 83M WESCOTT ffiLLS REVISED 2ND
WESCOTT SQUARE (PAGE 3 OF 3)
904 1083611 12501 (4-PLEX)
908 10 83611 11001 (4-PLEX)
912 1083611 10001 (4-PLEX)
915/ 10 83601 02001 (4-PLEX)
917/ 02001
919/ 01001
921 01001
916 1083611 09001 (4-PLEX)
931/ 10 83601 020 02 (4-PLEX)
933/ 020 02
935/ 01002
937 01002
14
fopcitVoFczcigcin
January 21, 2004
PAT GEAGAN
Mayor
GAVIN ALMEIDA
2827 I1TH AVE S
PEGGY CARLSON MINNEAPOLIS MN 55407
CYNDEE FIELDS
RE: 902 WE5COTTTRAIL
Mixenancu~aE S 904 WESCOTT SQUARE
MEG TILLEY
Dear Mr. Almeida:
Council Members On January 15, 2004, an inspection was made to verify that repairs requested in our letter were
THOMAS HEDGES complete on the aforementioned properties. As of that date, the following items were still
outstanding:
CiryAdministnmr
902 Wescott Trail
• A handrail must be installed on one side of each stairway with a retum to the wall of not less
than 34" nor more than 38" above the nosing of treads. (interior and exterior). See
Municipal Cen[er. 8tY3C11I11Crit
3830 Piloc Knob Road 904 Wescott SquBi'e Faga,,, MN 55122-1897 • A handrail must be installed on one side of each stairway with a retum to the wall of not less
Phone: 651.675.5000 than 34" nor more than 38" above the nosing of treads. (interior and exterior). See
attachment
Fu: 651.675.5012
TDD: 651.454.8535 • Electrical panels must have cover plates on them.
• Low voltages boxes and covers must be attached and in good condition.
Maincenance Faciliry:
3501 Coachman Point • Failing or sinking steps must be level, and installed according to code with a 4" minimum
and 8" maximum rise, and a 9" minimum tread.
Eagan, MN 55122
Phon<: 651.675.5300 This letter is to advise you that these repairs must be made by January 31, 2004 or the City will
be forced to issue a citation to you. Please call 651-675-5675 to schedule an inspection once
Fu: 651.675.5360 repairs are complete.
TDD: 651.454.8535
Your anticipated cooperation is greatly appreciated.
~.atyofeaganxom Sincerely,
Terry Zelenka
THE LONE OAK TREE Building Inspector
The symbol of strength TZ/J S
and growth in our
cc: Dale Schoeppner, Chief Building Official
communiry
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reaui2menls RemodeUReoair Reauirements wUse'~{3nN
3 registered sile surveys showing sq, fl of lot, sq. R of house; and all roofed areas 2 copies of plan taf7Su~!,Rea~ ~Y -;E, N
(20% mazimum lot cove2ge albwed) 1 set of Energy Cabulations for heated addiEons Tree'qes Pfah"R-d ~':K{
2 mpies of plan showing beam 8 window sizes; poured (ound design, etc. 1 site survey tor additions 8 deda ~ree Pres Y~ N
1 set of Eneyy Calculations AddiGon • irMicefe i(on-site septk system bn~ioS,e _o ~xpLa N
3 copies of iree Preservation Plan H bt platted afler 711193
Rim Joist Dehil Options selection sheet (bidgs wdh 3 or less unib
Date U/ 3 Construction Cost ~ 3 u U v
Site Address ~ Y W1S CcJ UniUSte #
~
Description of Work
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( )
Co¢tractor l7~ctivt~.-~ ~f e k~
Address~ 6A~~~5^ Cc~ ~r r~~ City
~
State Zip 5-5-U76 Telephone #(C,$'/) yS~- 901
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Iviinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventilatlon Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissfonlype) Su6mitted Submitted
• Energy Envelope Calculations 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/WaterContractor Telephone )
I hereby apply for a Residential Building Pernrit and aclaiowledge 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
pemut; that the work will be in accordance with the appmved plan in the case of work which requires a review and
approval of plans.
-!K"t K /'sY
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? OB 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitfon (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo 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
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWctim ReauiremenLs RemodeVRenair Reauiremenb Olfice I~szbnN
3 registered s'de surveys showing sq. R W lot, sq. ft o( twuse; and all mofed areas 2 copies of plan w o)SuMey:~Rd y`~P,
(20% maximum lol coverage allowed) 1 set o( Energy Calalations fw heated addifions 7tee R~~latk'7
2 eopies of plan show6ig beam 8 window s¢es; poured found design, ek. 7 sBe survey for addNons & decks Tree Ewiteqimstl Y~N
t setofEnetgyCalculations Addition-indicetedon-sitesep6csystem Dna~te5eptc~mS~siem„ _-.(J
3 wpies of Tree Preservation Plan ii Wt platted after 717193
Rim Jo'st DeqO Options selection sheet (bldgs wifh 3 or lass unils
Date (P / 3~y / o1YrC/y ConstructionCost 9-4-Z--o
SiteAddress 70 y ~,~5 cm ~q _ UnitlSte #
DescripHon of R'ork
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( )
~ S f
Contractor ~C ti y~ .e h < < <c C,
Address 6 C(cf5~ City
State tlk Zip 33lD 74 Telephone #o/)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesoh Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Pernut and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Ciry 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.
ApplicanYs Printed Nazne Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 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 Stortn Damage
? OB 04-plex O 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Damolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Foatings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ AidGas Tesu Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ lnsulation _ 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
2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reouirements RemodeUReoair Reaulrements Ofice Use OnN
3 regislered sife surveys showing sq. ft of lot, sq. ft of house; and all roofed areas 2 cop'ies of plan CeA of Survey Reod _ Y. _ N
(20°h mazimum lot caverage allowed) 1 set of Energy Calwlations for heated additlans TreeP2s PWn Rectl _ Y_ N,
2 cop'ies of plan showing beam B windax sizes; paured found desgn, etc. 1 ske survey for addttions & decks Tree Pres Required _ Y_ N
1 set of Energy Calculaions Add'dian - indkate Non•sBe septk sysfem Onsile Septla System _Y _ N
3 copies of Tree Preservatlon Plan if lot plafled afler 711193
Rim Joist Delail Options selection sheet (buildings with 3 or less units)
Date U~ C), 1S I 1 Construction Cost
Site Address co TY sY u-~('p- Unit/Ste #/d
~l r ~f r I'
Description of Work S~tQekfo
Multi-Family Bldg ~ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ri S~j--sTelephone #((~l ) a t o-~0 6y
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate2orv I _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilatfon Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Su6mitted Submiqed
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowiedge 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.
S4QUP-r1 hrS~-Ul ~C.,~ flZ
Applicant's Printed Name Applicant' Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS OB-plex O 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 DS-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex PI6g_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Enfire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
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
To: Page 2 of 2 2016-12-13 15:39:22(GMT) 18662507987.From: My Fax
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