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916 Wescott Sq CITY OF EAGAN ~ 9621 3830 Pilot Knob Road, P.O. Box 21•199, Esgan, MN 55121 PHONE: 454-8100 8UlLDING PERMIT Receipt # Te be used fer FdUNDATIO[V Est. Volue pme OCTOBER 15 19 84 SiteAd ress $88^916 WESCOTT SQUARE Erect 0 Occupancy Lot Block ~ ec/Sub. WESCOTT HILLS Remodel ? Zoning Parcel No. REV I SED Repair ? Type of Const. Enlarge ? No. Stories of Name FML INC Move ? l.en9th iwu Z Address Demolish ? Depth ~ City NEVdPORT phone 459-40 9 Grade ? Sy. Ft. SAME ApProvatt Fees N8fT18 Address Assessment Permit 75.007 ~ City Phone Woter & Sew. Surcharge ua MCCOMBS-KNUTSON ASSOC INC Police Plan check ~W Name Pire SAC Address Enq. Water Conn, ~W City PLYMOUTfi Phone Plonner Woter Meter Council Road Unit I hereby acknowledge that I hcve read this opplicati< 3nd stote that gldg. Off. Parks the information is correct ono agree to comply wi oll opplicobl APC Total ' Stote of Minnewta Stptutes o d City of Eogan Oo ances. ar. Date Sipnoturc of Permit~~e----! ±NA]{~ N~~~SOC 1NC L~n the e A Building Permit is issued to: L r xpress condition that oll work shall be done in ecwrdante with qll applicoyO State-of Minnesota Stotutes ond City of Ea9an Ordinances, .:i 8uildinq OfficFvl { _ ~ . Psrmit Na. Permit Holder Date Plumbing H.VA.C. Electric Sokener InspeMion Date Insp. Othe? Footings E foundation Freming Rough Plbg. Rongfi HV AC 101, Insulatioo Final Plbg. Final HVAC Final Cert/Occ. Water Descri6e Lotation: VYell ~ Sewer Pr. Diap. ' CITY OF EAGAN 9690; • • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt Ts 6, wsa fm 1 OF 4 PLEX Eo yalue $48, 000 pa1e NOVEI+IBER 13 jy84 916 WESCOTT SQ (unit 103) Rl Site Ad esa Erect 8 Occupancy Lot Block L Sec/Sub. C ERemodet ? Zoning Parcel No. Repair ? Type of Const. V 1IiR Enlarge ? No. Stori~ a Name FML INC Move ~ Length Z Address - `rH S Demolish ? Depth -3-6- ~ City NEWPORT phone 459-4089 Grade ? Sy. Ft. SA.N1E APProvols Fees ,o Name 0 uu A~~ Assessment Permit 2~. 00 ~ City Phone Woter & Sew. Surcharpe Police Plan check 13 7. 00 ~iW N'ne MCCOrlBS-KIdUTSON ASSOC INC Firo 5^C 420.00 ~i 2 0 IND P11RK BLVD 376.00 s~ Address Enfl. Woter Conn. ~ W City P LYMOUTH pnone 5 5 - 7 )0 plan~r Woter Meter 6 3. 0 0 Countil Rood Unif 208, 0 ( hereby ocknowledpe thot I hove ?ead this opplitotion ond state thot Bldg. Off.ll 13 ,4 parks the informotion is correct ond ogree to tomply with oll aDPlicable APC Total 1~ 5fl2. Stata of Minnewtc Stotutes ~ar~d City of Eogan Ordirwnces. , Var. Date Sipnaturc of Permiftee A Building Permit Is issued to: rMi'' IraC on tM lxpreas conditlon Ihat oll work sholl be done in occordonte w' olt applicobla Stot4 f hynrxsoto Stotutes ond City of EaQon Ordlnances. Buildinp Officiol } ~ Pwmit No. PKmit Holde? Dete Plumbing n H. V.A.C. ENctric Sohener Inspection Date I nsp. Other Foot~ngs 10-0-9v J J Foundstion Framinp ~ Rouph PI6g. Rouyh HVAC Inwlation Final Plbq. Final HVAC ~ Final Cert/Occ. Water Describe Location: VMsll . Sawer Pr. Disp. ~ , CITY OF EAGAN 96917 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 dUILDING PERMIT Receipt To wWd b, 1 OF 4 PLE3C Est Value $48, 000 pate NOVEr1BER 13 19 84 916 WFSCOTT SQ (UNIT 104) R1 Site Ad Erect ~ Ocxupancy Lot~ Block~$eclSub. WESCOTT HILLS RERemodel ? zoning Parcel No. Repair ? Type of Const. `7 1 HR Enlarge ? No. Stories ae Name FI'~IL INC Move ? Length 3 ~ Address ~~H ST Demolish ? Depth ~6 City NEWPORT phone 4 59-4 D89 Grade ~ Sq. Ft. $priE Approvals Fees Name Z/q.uo ot Address Assessment Pertnit u~ City Phone Water & Sew. Surchorpe 24 . 00 Police Plan check 137.00 MCCOMBS-KNUTSON ASSOC INC 420.00 WW Mame Fire SAC Addres I ARK BLVD E~. WaterConn. 376.00 ~W City Phone Plonner Water AAeter 63. 00 Council Rood unir 208.04 I hereby acknowledge that I hove read this applicotion ond stote thot gldg. Off~1713784 Parks fhe information is correct and ogree to tomply wlth oll opplicoble APC Total $1 , 502.00 State of Minnesoto Stotutes pnd Cit/y of Eogan Ordipwnces. Sipnoture of Pcrmittee ~ ` I: ( 'J `L Var. date A Building Permit Is iuued to: 7 on tFw exprcn caditbn thot oll work sholl be done in xcordonfe with cll opplicoble Ssote of Minnesota Statutes ond City of Engan Ordinances. Buildina Offtciol Permit No. Pwmit Holder pate Plumbinp H.V.A.C. ENctric U I r I-~. Soitener Inlpettion Date Insp. Other Footings /U-(~-d~ J J Foundation Frsming ' > Rougn Pitg. 4 r o•-'. Rough HVAC j~~a Inwlation Final Plbg. Final HVAC ~ Final Cert/Otx. Watsr Describe Location: VUell Sswer ' Pr. Ditp. , CITY OF EAGAN , . 969P • - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt To b~ ~ad ior 1 OF 4 PL EX Value $ 4 8,0 0 0 Date NOVEMBER 13 , 19 ~i 4 Site 915 WESCOTT SQ (UNIT 201) Erect ~ occupancy R1 Ad ess Lot ~Block ec/Sub. WESCOTT H LLS RERemodel ? Zoning Percel No. Repair ? Type of Const. V 1 HR Enlarge ? No. Stories at Name FN1L If1C Move ? Length 30 z 885 2TI1 ST Demolish ? Depth 36_ Address ~ City NEWPORT phone 459-4089 Grade ? Sq, Ft. Na"'e SAME ApProrols Feas ~ /155essment Permit 274.00 O" Address u~ City Phone Water & Sew. Surcharpa 24 . 00 Police Plan check 137 -_QQ MCCOMBS-KNUTSON ASSOC INC • W W Name Firs SAC Pz IND PARK BLVD 3 6.OQ Addres Enp. Water Conn. ~ W City ~ LYMOUTH phone 5 5 9-3 7 0 0 plunner Water Meter 63. 0 0 CAUncil Road Unit 208.00 I hereby acknowledge thot I hove read this opplication and stote that gld9, pff]_ 1 13 84 parks the information is correct and uqree to comply with oli applicable APC Total • r 502 Stote of MinrKSOtn Stotutes -u~d City af Eogon Ordinonces. ~ Var. Date Siflnoture of Permittee f 'r ~ k/ ) ~ kzul A Building Permit is issued to: FML INC on the expreu conditlon thol all work sholl be done in accordance (with oll appliwble State of Minnewta Statutes ond Ciy of Eopen Ordinoncas. Bui4dinq Official Permit No. Parmit Holder Date Plumbing H.VA.C. Electric wit. ur- , 15d oe Softener Inapection Date Insp. Other Footings u-n-Sr J J Foundation Framing ~ Ok/ Rough Plbg. - O•~ ~ l-! -Ys,q k, d iRough HVAC Insulation Final Plbg. . Final HVAC Final Cert/Occ. Water Describe Lotation: VYell Sewer Pr. Disp. _ , CITY OF EAGAN 9694 ' 3830 Pilot Koob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Rece?pt # Te 6e wod fa 1 OF 4 PLEX Est. Value $48,000 Date iVOVEMBER 13 ~y $4 Site Ad ress y 16 WESCOTT 5Q ( UN IT 202) Erect ~J Occupancy R1 Lot BIcek~Sec/Sub. WESCOTT HILLS RAemodel ? 2oning Parcel o. Repair ? Type of Const. V 1 HR Enlarge ? No. Storig~ FML INC Move ? Length Name 3 885 Z A~~s - `'H ST demolish ? Depth 36 U CttY NE ORT Phone 459-4089 Grade ? Sq, Ft. SAME Approrols Feea ~ Name /l 0 ssessment Permit Address u~ Cit Phone Water d~ Sew. Surchorfle . Y 137.00 -K UTSON ASSOC INC Police Plan check 920.00 W W Name Firo SAG i~ Addr~ Eny. Wcter Conn. 3 7 6. ~ ~ ~W City r, Phone Planner WaterMeter 63.00 Councll Road Unir 208.00 I hereby acknowledqe that I hove read this applicotion and stote that gldg. Off. 11/13/8parks the inlormotion is correct and agree to comply with oll opplicoble APC Total i 502.-n State of Minnesota Stotutes ond City of Eogon Ordinonces. Var. Date Sipnnture of Pertnittee /1 Buildi n g Permit Is issued to: FML INC an the exprcss ca+ditlon tha+ all work shall be done in occordonce y6th oll opplicobla St4te of.Minnesota Statutes ond City of Eapan Ordir?onces. Buildinp Official Pamit No. Pwmit Holder Dau Plumbing ~j Li r _ H.VA.C. , . Eloctric soften.? Inspeetian Date Insp. Other Footingc Foundation Framinq Tu/ Rou9h Plbg. p 49 l 1- l 3- 4 Rough HVAC ~ Inwlation Final PI6q. Final HVAC ~ Final Cart/Occ. Water Describe Location: Vlfell - Sewer Pr. Ditp. CITY OF EAGAN Remarks Additi o t Hills Revised 2nd Lat_ 9 R,k 1 Parcel 10 $3611 090 Ol Owner ~ Street 916 WeSCOtt, a ~ Gt,*P ~.'~3g3Y1, ~ 5~y~ ~ / Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, L ~ STREET RESTOR. GRADING -x- SAN SEW TRUNK - SEWER LATERAL -1985 WATERMAIN -)f- WATER LATERAL ~ WATER AREA ~ STORM SEW TRK 1985 STORM SEW LAT CURB & GUTTER SIDEWAZIC STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITYOFEAGAN N? 9696 3630 Pilot Knob Roed, P.O. Box 21-799, Eagan, MN 55121 PHONE: 454-8100 tieceipt 76 BUILDING PERMIT # T. be ated_fer 1 OF 4 PLEX Est. Value $ 4 8, 000 pOfe NOVEMBER 13 1q 84 t~Ad ess 916 WESCOTT SQ (unit 103) Erect Rl Site ~ Occupanty LoBlock f sec/Sub. WE$ 0 T H-LLLb ERemodel ? Zoning ----4-- Parcel No. rr~ Repair ? Type of Const. V 1 HR Enlarge ? No. Stories FML INC Move ? Lengtn 3U m Name z 885 - 12TH ST Demolish ? Depth Address Grade ? Sq. Ft. ~ city NEWPORT Pha„a 459-4089 Name $AME Approrals ' fees p o~ Address Assessment Permit 274.00 u~ City Phone Water & Sew. Surcharge 24 . DO Palice Plan check 137.00 ~ rvame MCCOMBS-KNUTSON ASSOG INC Fire SAC 420.00 i~ Address 12800 IND PARK BLVD Enp. WaterConn. 376.00 uW City PLYMOUTH phone 559-3700 pianMr Woter Meter 63, 0 Council Road Unit z o a_ n o I hereby acknowledge that I hove read this opplicotion and state that eldg. Off.l l 13 84 Parks fhe informofion is wrrect and agree to comply with oll opplico6le APC Total $1, 5~2.~0 Stata of Minnesota Srot ty e,~,pqd Cirynof Eogan Opi ces. . . vp Var. Date Sipnature of Permittee A Building Permif Ia issued to: FML , INC on tha express wnditldn Ihm oll work sholl be dona in accordance wi II ppli ble Stare~ M newta Statutes and City of Eopon Ordirwnces. Buildlnp Officiul • - CITY OF EAGAN Ni? 9621 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 6 BUILDING PERMIT PHONE: 454-8100 Receipr # Te ba uwd 1er FOUNDATION Est, Value pate OCTOBER 16 19 84 SiteAd~r ~~6 WESCOTT SQUARE Erect ? Occupency . Lot ~ Block SeclSub. WESCOTT HILLS Remodel ? Zoning Parcel No. REVISED Repair ? Type ot Const. Enlarge ? No. Stories Name FML INC Move ? Length ; Address 885 - 12TH $`r Demolish ? Dapth b Citv NEWPORT phone 459-4089 Grade ? Sq. Ft. ~ APVrovab Faea o Name $AME u~ Address Assessment Permit 15.00 F- City Phone Woter 8 Sew. SurcFwrge Police Plan check Gw Name MCCOMBS-KNUTSON ASSOC INC Fire SAC ~z 12800 IND PARK BLVD x~ Address Enp. Water Conn. iW City PLYMOUTHphone 559-3700 Planner WoterMeter ' CAUncil Rood Unit I hereby acknowledge thaf I have reod this opplicotion ond stote that Bldg. Off. Parks the in(ormofion Is corr Ye agree to comply wi I aDPliccble P Total Stata of Minnesolo,Stptutes d City of Eoga rdina ces. ` ~ r. Date Sipnoture of Permi I ~-en tha e A Building Permit Is iuued to: IY xpress caditlon 1hai oll work sholl be done in occor e Ifh oll appl S M innewfa Sfatutes ard Ciry of Eapon Ordinonces. Buildinp Officiol - ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN P'To INCLUDE ~ SETS OF PLRNS, CERTIFICATES OP•SURVEY SET OF ENERGY CALCULATIONS Be Used For: Lc,F 4 Plex _ Valuation: 4{5-~r= Date: 9-19-84 Site Address:_q/(,`:'tiy{SCOT.s' 45. CXO•^ em5blozzmIDWI Lot: I Slock: 2 Sect/Sub: Erect: Occupancy: R-I Parcel Wescott Hills Revision Remodel: Zoning: 2-4 Repair: Type Of Const: y I N(r-, Enlarge: # Stories: Owner:_ _ FML. Inc. Movee Length: ';O Address: 885 12th St.. _ Demolish: Depth: 3ro City/Zip Code: Newvort, MN 55055 Grade: Sq. Ft.: Phone 459-4089 Contractor: FmL„ Inc. ~ Address: 885 12th St. Assessments: Permit: 214.~ City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharqe: 24 Police: Plan Rev.: ~'37, Phone 459-4089 Fire: SAC: 420.°° Engr.: Water Conn: )8ffSLki7F7~En9=-McC:omSs-Knutson Assoc. Inc. Planner: Water Meter f03 Address: 12800 Industrial Park Blvd, Council: ~ Road Unit: Zp6,m Bldg. Off.: Parks: City/Zip Code: plvmouth. MN 55441_ APC: Phone#: 559-3700 Variance: ~ - CITY OF EAGAN N° 9697 , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 y/ PHONE: 454-8100 7'7G~ .rj BUILDING PERMIT _ Recelpt Te ba oad_1er 1 OF 4 PLEX Est. Value $48. 000 Date NOVEMBER 13 , 1984 SiteAddress 916 WESCOTT SQ (UNIT 104) Erect 1?1 Occupency Rl Lot--~-Block2 1 Sec/Sub. WESCOTT HILLS RFRemodel ? Zonin9 R4- Parcel No. Repair ? Type of Conrt. V 1 HR Enlarge ? No. Stories w Name FML INC Move ? Len9th 3~ z Address 885 - 12TH ST oemolisn ? Depth 36 ~ City NEWPORT phone 459-4089 Grede ? Sq. Ft. ~ $jME Approvab Fees Zo Name p u` Address Assessment Permit ~ CitY Phone Water & Sew. SurtMrge 24.00 Police Plon check 137.00 G^~ MCCOMBS-KNUTSON ASSOC INC WW Name Fire SAC 420.00 ~z 12800 INDUSTRIAL PARK BLVD x~ Address Eny. Water Conn. ~ 0 vW City PLYMOUTH phone 559-3700 plonner WaterMeter~DO CounNl Road Unit 20S_00 I hereby ackrwwledge thot I have reod this apDlicotion and state that gldg. Off.l l 13 $4 parks the inlormotlon is correct ond ogree to wmply wirh all opplicable APC Total $1. 5~2.~~ $tota of Minnesoto $ta utes d City, of Eogon Rrdi nces. Var. ~ate / ~ Slpnofure of PermiMee A' Building Permif Is Issued to: FML INC on tha express mnditlon thot oll work sholl be done in accardo with II applicqff"re ~of Minnesoto Statutes ond Ciry of Eagan Ordinances. Buildinp Official a~ SeOI' - ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN INCLUDE El SETS OF PLANS, El CERTIFICATES OP SURVEY [I SET OF ENERGY CALCULATIONS To Be Used For: ~o'r 4 Plex Valuation: c,theftg Date: 9_19_84 Site Address: ~ f 6 y4/.p,ar,sf-ao4,48,aao• . ~ Lot: I Block: Z Sect/Sub: Erect: X Occupancy: Q-~ Parcel Wescott Hills Revision Remodel: Zoning: Q-~ Repair: Type Of Const: y{N R. Owner: FML. Inc. Enlarge: # Stories: Move: Length: 30 Address: 885 12th St.. _ • Demolish: Depth: Grade: Sq. Ft.: City/Zip Code: Newport, MN 55055 Phone 459-4089 Contractor: FML. Inc. WA!Jz1as Address: 885 12th St. Assessments: Permit: 2l 4. City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: 24 Police: Plan Rev.: '3 Phone 459-4089 Fire: SAC_ q2o,°= Engr.: Water Conn: 3-7(~.=' ft4ft&n4: McCombs-Knutson Assoc. Inc. Planner: Water Meter Address: 12800 Industrial Park Blvd, Council: ~ Road Unit: 208.= Sldg. Off.: Parks: City/Zip Code: plvmouth. MN 55441_ APC: Phone#: 559-3700 Variance: ~ • " CITY OF EAGAN N9 9696 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Receipt # Te M wad fer 1 OF 4 PLEX W Value $48, 000 DatQ NOVEMBER 13 19 84 Sit 916 WESCOTT SQ (UNIT 201) Erect ~ OccuP,ncy Rl e Add ess Lot~Block~ec/Sub. WESCOTT_ HILLS RERemodel ? Zoninq R4 Parcel No. ot Repeir ? Type of Const. V 7 HR Enlarge ? Na. Stories W Name FML INC Move ? Lenyth 30 Addreas 885 - 12TH ST Demolish ? Depth '36_ ~ ? City NEWPORT phone 459-4089 Grade Sq. Ft. Avvrovola Fe.a O Name SAME u~ A~~ Asseument Permit $ 274.00 Q City Phone Woter 8 Sew. SurcMrge 24.0 Police Plon check 137-9 Gw Neme MCCOMBS-KNUTSON ASSOC INC Fire SAC 1-2 ndd.ess 12800 IND PARK BLVD Eng. Wate,Co„n 376.00 xy - ' 'W City PLYMOUTH pnone 559-3700 planner WoterMeter 63.00 Council Road Unit 208.00 . I hereby acknowledge that I have reod fhis application ond stote ihat gldg. Off.l]. 13 $4 Parks iM inlormation is torrect and ogree to comply with oll opplicable APC Total $1,502.00 Stote of Minnewta Sta utes d City Eagon Or~iAarue:. Var. Dete Siprrofuro of Pertnittee ~r-' ~~L~~~~~<~ A Building Permil Is inued to: FML INC on tha express wndiHon thot all worksholl 6e done in accordance ith II pliao le St of innesot_. Stwutes"and Ciry of Eapon Ordinances. BWldinp Officiol •~~~t~~"y~ ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN 4- y62,/ INCLUDE 19 SETS OF PLANS, CERTIFICATES OP SUFVEY SET OF ENERGY CALCULATIONS To Be [ISed For: ~or 4 Pleic Valuation: e,ai~ Date: 9-I9-84 site Address: 7/6 'uJ.ucd ~r o I 4$•~• • Lot:_6~_ B1ock:Z Sect/Sub: Erect: _~K Occupancy: (L-l Parcel Wescott Hills Revision Remodel: Zoning: 2-4 ~ Repair: Type Of Const: Y I H?-. Owner: FML. Inc. Enlarge: # Stories: Move: Length: 30 Address: 885 12th St.. Demolish: Depth: Grade: Sq. Ft.: City/Zip Code: Newport, MN 55055 Phone 459-4089 Contractor: FML„ Znc. ~ Address: 885 12th St. Assessments: Permit: -L714oc City/Zip Code: Newport, MN 55055 Water/Sewer: Surcharge: Zi.°~ Police: Plan Rev.: t ?,7, Phone 459-4089 Fire: SAC: 47.0_ Engr.: Water Conn: -3-1 (o,°O ft,vj7FY~En4: McCombs-Knutson Assoc. Inc. Planner: Water Meter (03. Address: 12800 Industrial Park Blvd. Council: ~ Road Unit: 'Lo(3.' Bldg. Off.: Parks: City/Zip Code: plvmouth. MN S5441_ APC: Phone#: 559-3700 Variance: ~ CITY OF EAGAN M 9699 , 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT RKelar # T. M wed ler 1 OF 4 PLEX Est.Value $48, 000 pale NOVEMBER 13 1q 84 SiteAddresa 916 WESCOTT SQ (UNIT 202) erect 29 Occupancy Rl Wttelock~seclSub. WESCOTT HILLS REemodel ? Zoning R4 Parcel No. Repair ? 7ype M Const. V 1 HR Enlarge ? No.Storie3 5 Neme FNIL INC Move ? Length Z Address 885 - 12TH $T Demolish ? Depth 36 ~ City NEWPORT phone 459-4089 Grade Sq. Ft. Approrol, ' Faes Name Sp'ME Assessment Permit 24 7.00 Address u~ City Phone Water d~ $ew. Surcharge 24.00 ~W MCCOMBS-KNUTSON ASSOC INC Police Plan check 137 .00 Name Fire SAC 424.00 ~Z x V ` 376 . 00 ~ Address Eny. Woter Conn. ~W City PLYMOUTH pnone 559-3700 plannef WuterMerer~40 Council Rood Unit - ~ I. hereby ack+awledge fhat I have read this appliwfion and stote that gldg. Off. 11 13 8. Parks the inlormotion is correct and ogree to comply with all opplicoble AP~ Total $1.rJ ~ 2.0 ~ Stote of Minnesota Stotutea and Ciry f Ea~n fQrdi nces. Var. Date • 11 Si9noture of Permittee ~ A Bullding Permit is issued to: FML INC on the exprea conditbn thai all work shali be done in accordonce ~I npplimbl St e- o~f Minnewta StMutes nnd Cfry of Eagnn Ordinances. BuildinpOfffNol J . ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE ~ El CERTIFICATES OP SURVEY ~ SET OF ENERGY CALCULATIONS To Be Used For: 1OF Valuation: g45q~po- Date:_ 9-19_g4 Site Address: . , ~ 48,w0•=~ ~ - ~ Lot: I Block: Z Sect/Sub: Erect: ~ Occupancy: R-I Parcel Wescott Aills RQvision Remodel: Zoning: 2-4 Repair: Type Of Const: Hr, Owner: FML, inc. Enlarge: # Stories: Move: Length: 30 Address: 885 12[h St., _ • Demolish: Depth: City/Zip Code: Newport, MN 55055 Grade: Sq. Ft.: Phone 459-4089 Contractor: FMI„ Inc. Address: 885 12th St. Assessments: Permit: Zlq Water/Sewer: Surcharge: 24.°~ City/Zip Code: Newport, Mtd 55055 Police: Plan Rev.: t 3-1 . Phone 459-4089 Fire: SAC- 4W Engr_: Water Conn: 37(,." ftak1FX~En4: McCombs-Knutson Assoc. Inc. Planner: Water Meter (03 Address: 12800 Industrial Park Blvd. Council: Road Unit: 'Lpo, `P Bldg. Off.: Parks: City/Zip Code: plvmouth. MN 55441_ APC: Phone#: 559-3700 Variance: ~ HOUSE HEATING TEST RECORD Lq Pj Ao' R ss ' 46e2s',~0 ,`!~e ~~?~P1PT.~FLOOR ciTr susuRe OCCU7ANT oWNER HEAT LO55 ATE TG. INSLT. SOLDBY-/Z.W-Wr~`~~. ~~4w_ INSTALLEDBY EI•oniaal M'w4 By OlV `L Gna Line By . J ~r.Cdr1 ~ A TYPE OF HEAT GA _ FA j NW _STEAM -SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN CONpVE{ RSION MAKE MAKE OF BURNER Mod~l ~ t/ e~.CI/[J(J ~}~1)SO Modal _ ' ~mx. sru aa,in9 E INPUT ~P.j~~~ MAKE OF FURNACE Mod.l ~~pONTROLS /r' BY THERMOS AT 1.Hwt PI iq Vent Si:e ~ . yolvo KIND OF LINER_9 9u SIZE NO E - Limit Droh Hoed - ' laror ~ esru,~p P Limit$Neiny ZA? _ FHtvs N~uc~mbn~ Fon Ssttinq ~imn~y Locatien I sidy1!r .~~4/- O,.utsidre PilotTypo ..i_.~~+On~~, imneyCenafruefion ~..L~'C !~L^~L~- Pilot Moka ' iQw ~ Spillage ~ Pitw Med~l~y0 Smo{n 6mm6 Wirinq Pilot Timing Draft 1'att TaQ~~es L.W. Cut Off Dea Preasm1 Liqhtin9 Inst. Prosaure PeresntC02~DweTast~d~~ Input CFH~Pveent 02' Company Tssting I ? Name oF Tsabr ~~i?~ X Smck Tamp. Percent CO Certificate of Compentency_ # HOUSE HEATING TEST RECORD ADDRESS 9/L APT.Z~FLOOR CITY SUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BYS'11t2sir2&Z1 ~Cir~~:va 9~.i.iB~NSTAILED Elaenical Wak By 5'-42,0'c'nA/ Gas Lino By D f~ Q.~w i~ ~n,~/Pri.a~r~ TYPE OF HEAT GA _ FA -.&--HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN 60tYER510N MAKE.o~-,ka'Zyf f MAKE OF BURNER r C-~ Mod.l Mbdsl 1L 5«,al yi~y.47~ay~ Max. Bru Rat,n, oE INPUT 9A~!000 MAKE OF FURNACE Mod~l CONTROLS TMERMOSTAT ~7 Hwt Plup Venr Size yaIVe KIND OF LINER nD` SIZE NOnNE - Umii Draft HoodI~S Rpulamr Limit SeMiny FHten Si:r/_KYA~umber ~ r Fan Settin9 Chlm" ~y Locat{on Inside It, Outside Pilot TYM ClZ~ ~WChimn~y CoaafructioiVezo -eol o r t'd 4 Pilot Make Spillage y7 ~ Piloe Medel Smoke Bomb 'Miring C! Pilot Timing ~L~ - Drafr - Teat TaqV-0, - -LIZ L.W. Cut Ofj~ Dew Presaw. Lighfiny nst. Praaswe 3•_!r y4,/,C. P*re,nt CO 7.e9n Da» Tastad !,Cq~ - 7q a InPuf CFH S n Pmunt OZ Cempony Taa•; :v ~ ~~Ii~~T Sack Temv. Pwc:nf CO Nams oF Test -~t`7-_.6 2zodJf~ % - - ~ Certificate of Compentency_ # , , HOUSE HEATING TEST RECORD ADDRESS_e=£'-f2-Gle~~l1.C."QZ_~ APT/-" FLOOR GTY SUBURB OCCUPAN7 _OWNER HEAT LOSS DATE HTG. INST. SOLD BY iNSTALLED BY~tl.rp~~l Elechiaol W...4 B~.S'-..e7w.c'~ Lt w i'C Gos Line O' .f~i i~ TYPE OF MEAT GA _ FA sA_ HW _STEAM _SPACE HTR. _UNIT HTR. _OTMER GAS DESIGN CONVERSION MAKE 0 MAKE OF BURNER n~oe.l n G Med.i , Ab:. BTU Ratiny INPUT ~~dOd MAKE OF FURNACE ~ - Med.l CONTROLS THERMOS T •at 1 T~- V•nt Si:s Velva ~"p'" KIND OF LINER I~Ki~=SIZF NONF Limit WA1+C-0 Oreh Hood ~"LS Ryulamr i r.s.t~sei?,e Limif SeMinq F111~rs Si:Q/dCI'nX/ Numbw .2" Fan SoMin9 1 T Chfmnq Location ~Ivn/slde Y Outside PilofTyps•~••~~•VpdMi Chimnsy Conahunion GG'~ .9&o/s-09-POLJ Pilot Mek~ Spillage ~X PiIM Model n Smo{ce Bomb M~iring Pilat Timing 0.aft T~sf Tap ~QS L.W. Cut Off Doa Prssaw. "e.-4e Liqhtinq Inst.)V1--~-5 Prassun y•~~~ If- PoresnrCO2?p~ ~}s Teatad InputCFH~Percone 02~ ~mpany Tsstinq l K"~ Stock T*mp. Pxc~nf CO Neme of Test-- o r ~ Certi£icate of Compentency_ # , HOUSE HEATING TEST RECORD ADDRE55 ~7/6 !J~ APT.~L00R CITY SUBURB OCNPANT OWNER HEAT LOSS DATE TG. INST. J SOLD BY-S'~..eu!enA/$- ~i..stJ4,'aM J~ INSTALLED BY ~q~is~/l.~d/s ~fic..~~~iirip ir5?ra!f' El.ctrical Wwk By -Q~2L~n,rt ~Gos Li.. BySLrow9r»ai}~ TYPE OF HEAT GA _ FA -*LHW _STEAM _SPACE HTR. _UNIT NTR.,~O~T/H~ R GAS DESIGN e>-40NNERSiON MAKE ~~~VQ~-14 MAKEOFBURNER Mod~l %r 1 !Zgea Modal - , S~rialX31,;_rC"° 7 Mas. BTU Rating INPUT 4d- MAKE OF FURNACE jpp Model ~ ~r CONTROLS TIiERMO TAT .LS.C~ Haot Plu~p! Venr Si:e ~ ~ ' . Velw KIND OF L!6!cq E' y7F NONE Limie Droh Hoed ~.0B ~ Rpularor ~~e Limif SaMiay Filters Sissz6Y~0~~ Numbn Fon Ssttin9 Ohimney Loeation Inside Outaids Pilot TYpe~ Chimney Censtruefian ~1 ~ti Pl'~7 S C aCCKJ vIdAe Spillage D~ Piior Mate i' Pilot Modsl Smoke 8om6 Wiring Pilof Timing Dra(} _Taaf Toq 'y-O 0 L.W. Cut Off Dow Pressuro Liqhtin9 Inst. j?O C Presaure ~ i/ •Pvc~nf CD2 Date TasNd~ so s Inpuf CFH~P*/csnf 0~ Campany Te:tiny Slaek T~mp. ~~d P~rc~nf CO /d9lZ Noms Certificate o Compentency_ # , W. J. Sutherland & Associates, Inc. . ; , This form to be used.for ; type "B^ Bui2dings. HFAT TOSS A.S.H.R.A.E: - 90- 75 ~-F1af.TORs-t»rr, ~ ROOF ` . ra 1 No. 1 ~ Roof No. 1 ts; , a~_S1zL ~.ce = - t 7 Qutside Surface ,17 soni.te si dinq .g7, insulat3on 40.00 4" sheathinq = 2.OE (f j 5/8" gyp board .56 2 x 6 stu3's (la$) - .75 - 6" insulation (908) = 17.10 . = I/2" gyp board ~ .45 . rnsj-de S„rf = --6~---_ ' Tns?,de SurfarA o . cl Total 91.34 1(R) .045 (U) 22.02 1 (R) _ .024 (p? . ~Wall No. Wall No- ~ I Outside Surface - .17 outc;dP s, fa e= .17 Inside SurPace = ,58 r.,~.,ae cwrFa..,. ~ 68_ • Total Tota1 ~ (R) CUj (R) (U) Glass ' • ~~~~~h _ (U). (u) ~ _ (U? (v) - (U) ~ Doors I (U) I (U) I W• J. Sutherland & Associates, 2nc. ' . , . ~ Consultinq Flhqinepss 3919 West 99th Street Minneapolis, Minnesota 55424 , This~ form to , be used for tylSe . "B":BuiJdings. EPIERGY CALCULATIOPIS A.S.H.R.A.E. - 90-- 75 ~ DATE: f~ ~ ' BUILDING T'LPE: A-2 P?20JECT 4 Plex Aousing Uni,ts I:VDOOR DESIGN TEiN1PERATURE: 70° LOCATSON: OJ':'DOQR DESIGN TEi1PEf2ATURE: -12° DEGREE DP.YS_ $160 • '`a) zNVELOPE HEAT LOSS - ENERGY CpDE NLA?CSMUM - STEM AREA - FT: z x GT-'F x. U = BTUFi 1. TOTAG WP.I,L ABEA 784 r. 82 X .23 = 14,786 2. TOTAL ROOr^ AREA 1008 x 82 X.033. 2,728 • 3. TOTAL ENVELOPE LOSS 1792 x x = 17,514 I---- j (b) BLIILDING WALL CONSTRUCTION t h'r1LL AREA 674 X 82 X .045_ 2487 r--= - WALL AREA x ~ x LJALL AREA x x = GLASS yl X 82 x .55 = 4104 DOORS ' lg x 82 x 4.43 = 670 9. TOTAL • 784 7261 IF LINE 4 IS LESS THAP~j~TNF 1 WALL Mr^.ETS cODF - 1__(r_) ECTILDING P.OOF CONSTR CTIOjy _ ROQF AREA 1009__ Y 82 X.024^ 1983 ROOF AREA x I x=-;_ ~ SKYLIGHT AREA _x X ~ • _ 5. TOTIILS ~ 1008 1983 Sr LINC 5 ZS LESS TF(AN LINE 2, ROOF D!EETS . . ~ (d) ALTF.I2N<';tE BUILDING ENVELOPE AS DESIGY'r.D - IITv Lr11L 4 LINB 5 . DTUH 15TU}I TOT11L gaib. c"WorcitV oF ecigen January 20, 2004 PA'I' GFAGAN Mayor B.P.E. PROPERTIES LLC 971 SIBLEY MEMORIAL HWY PEGGY CARLSON LILYDALE MN 55118 CYNDEE F[ELDS RE: 908, 912, 916 WESCOTT SQUARE MIKE MnGUiRE TO WHOM IT MAY CONCERN: MEG TILLEY Thank you for the steps you have taken ro complete repairs on the aforementioned properties: Council Members On January 15, 2004, an inspection was made to verify that repairs requested in our letter were complete. As of that date, the Following items remain non-code compliant and need to be repaired: THOMAS HEDGES 908 WESCOTT SOUARE Ciry ndm;nistnror . 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 aod exterior). See attachment • Elec[rical panels must have cover plates on them. Municipal Cencer. • Exterior light fxtures must be in good condition with working bulbs and covers. 3830 Pilot Knob Road Fagan, MN 55122-1897 912 WESCOTT SOUARE • A handrail must be installed on one side of each stairway with a retum to the wall of not less than 34" Phona 651.6755000 nor more than 38" above the nosing of treads. (interior and exterior). See at[achment Fax: 651.675.5012 • Electrical panels must have cover plates on them TDD: 65I.454.8535 - • Exterior light fixhues must be in good condition with working bulhs and covers. Mainceaan« Fuiliry: 916_R'ESC-03'T"SOUARE 3501Caachman A handrail-musfbe mstalled on one side of each stairway with a retum to the wall of not less than 34" Poin[ L~_~ nor more than 38" above the nosing of treads. (interior and exterior). See attachment Fzgan, MN 55122 . Exterior light fixtures must be in good condition with working hulbs and covers. Phone: 651.675.5300 Fvc: 651.675.5360 This letter is to advise you that these repairs must be made by January 31, 2004 or the City may issue a citation to you. Please call 651-675-5675 to schedule an inspection once repairs aze complete or if you TDD: 651.454.8535 have any questions regarding this request, please contact me d'uectly at 651-675-5679. Your efforts to resolve these issues are greatly appreciated. www.ciryofeagan.wm Sincerely, Terry Zelenka THE LONE OAK TREE Building Inspector The symbol oFnrengch •I,ZJS and growth in our cc: Dale Schoeppner, Chief Building Official communiry 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New ConstrucGon Reauiremenis RemodeVReoair Reauirements Oifwe Use Onlv 3 registered sNe surveys showing sq. R of Io1 sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximum lot coverage allowed) i setof Energy Calwlatbns for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam 8 window sizes; poured found dasign, etc. 7 sile survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy CalcuWtions Addifion - indicate ifar,sife seAtic sysfem On-slte Septic System _ Y_ N 3 wpies of Tree Preservatbn Plan if lot platted after 711193 Rim Joisl DelalOptions selec6an sheet (bldgs wiUi 3 or less unifs r Date l~~ I U~ / onstructionCost k f~ 0dL7 Site Address G0 7'~ ~ l A(x ~(-P- Unit/Ste # ~ Description of Work S/ ~'~'?v Multi-Family Bldg LiY _ N Fireplace(s) 1 _ 2 PropertyOwner jO")•J 'qSSOQia+Telephone#(lo/L ) 7GV -cJi~,ov res'~ Contractor Address City -z- G State Zip ',S_5 v 76' Telephone #(lr5) )54-S Sv JU COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # r SewedWaterContractor TelePhone # 4 t... ~ I hereby apply for a Residential Building Permit and acknowledge that the information s complete and accurat ; that the work will be in conformance with the ordinances and codes of the City of Ea Statutes; I understand this is not a permit, but only an application for a permit, and wor 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. /e, ApplicanYs PrintedName 'Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. AIt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-ssa.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Muld Misc. O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MiscBllaneOUS Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition 0 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 Valuation Occupancy MCES System Census Code Zoning City W ater 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 _ Foundarion HVpC _ Drain Tile pdier Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Fravung _ Siding Stucco Stone Brick _ Fireplace _ R.I. _ Au 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 BUILDING PERMIT APPLICATION ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 0 C)C) Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWdionReauirements RemodaVReoairReauirements Of" nl ~ 3 reg'stered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert o(Surv~yt2ecd _ Y= IJ (200/o nwximum lot coverage albwed) 1 sel of Energy Calculations for heafed addiUons Tree Pres Pian Recd _ Y_ N 2 copies of plan showmg beam & wiMow s'¢es; poured (ound desgn, etc. 1 sAe survey (or additions & decks Tree PreS ReqWied I N 7 set of Energy Calculations Addifron • indicate 'rf on-site septic system Dnsite $epd'c System _Y _ N 3 copias of Tree Preservabon Plan if lot plalled afler 7/1193 Rim Joist Detail Optlons selection sheet (bldgswilli 3 or less unib . Date S / Z r loy Coustruction Cost ~ 2-(P G~ Site Address ~i.Ga `1' Unit/Ste # DescriptionotWork 1 Ui L/..) 'S"'/d,.5 6YJI7 126.d~6ce Multi-Family Bldg L~Y _ N Fireplace(s) !--V - 1 _ 2 Property Owner io Y,) IL Telephone Z ) 7&0 - r c7 Con[ractor 4,,//~.~n.),~s,J ~r 1J~ ki Address City sL G State ~77 Zip S-S-U7 Telephone # ( (oJ`/) C/F7 - 2a/ Gi COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , ResidenUal Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) 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 D Sewer/WaterContractor Telephone I hereby apply for a Residential Building Permit and acknowledge that the informatio iys te; that the work will be in conformance with the ordinances and codes of the City of agan and the State of MN Statutes; I understand tlus 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 ~ pplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg) - Caive 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 W idth REQUIREDINSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insularion _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC' City SAC Utility Connection Charge , S&W Permit & Surcharge "Treatrnent Plant . , License Search Copies Other Total 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conskuction Reaui2menis RemodellReoair Reouirements OiFiceLseOnlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofid areas 2 copies of plan Cert of Survey Recd _ Y_ N (20%maximumlolcove2geallowed) 1 setofEnergyCakula6onsforheatedaddiGons Tree:PresPlan Reoi _Y _N. 2 copies ol plan showing beam 8 windowsizes; poured found design, etc. 1 site survey foradditions & decks TreePres Required' _Y _N isetofEnergyCalculations Add'dion - indicafeif on-sNasepfksystem On-siteSeptlcSystem _Y _N 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (buildings with 3 or leu units) Date 12 / 0 q/ ~-S Construction Cost SiteAddress Q-Riw 9~6 ~V&SC-67-7- SQ UniUSte # EnG4h'J m n~ S"S I 2- 3 Description of Work Jw-1` i Multi-Family Bldg Y_ N / Fireplace(s) X 0 _ 1 _ 2 Property Owner EN 1 S~ A 6-0 v tC' Telepnone #~~~f ~ 3 3 S C~ s'/,' Contractor ~ l ~'~'F Address cu,-O~ City State Zip Telephone # (07 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 _ Minnesota Rules 7672 Energy Code CategOry . Residential Ventilation Category 1 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 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/WaterConTractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the 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. ~"Nr~S~ II- H-~ Ulc ~aq Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 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 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OS-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 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 ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacemen~ n •Demolition (Entire Bldg) - Give PCA handout to applicant f~ Valuation Occupancy MCES System Plan Review 100°/a 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 A Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) Y FinaUNo C.O. _ Footings (addition) y~ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucw _ Stone _ Brick Fireplace _ R.I. Air Test Final Windows Insulation _ Retaining Wa11 Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC ~ Utility Connection Charge S&W Permit & Surcharge r~2,a~ Treatment Plant ~j y License Search Copies Vl ~ ~ YL 5 Other Tatal ~ rJ51 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete For. single family dwellings & townhomes/condos when permits are required for each unit Date_~/~/ a 5iYeAddress ~f lrJ ~T 1 uAe~~ ~ t4f1A-Cjf I"I1? 2"L' Unit# DDZ Property Owner 0V Sir+ r V( G Telephone # ( W 93's 6s tp Contractor Street Address CitY S[ate Zip Telephone # ( ) Band Expires: The Applicant is ~ Owner _ Contractor _ Other Add-on or alteration to existing dwel{ing uoit $ 30.00 X furnace _Additional _Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $ I here6y apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work wi11 ba in accordance with the approved plan in the case of work which requires a review and approval of plans. ~l ) ~'~L ~e~ ~n'9zc Applicant's Printed Name Applicant s Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/indushiaJ buildings multi-family buildings when sepazate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applica6le) Previous Tenant Name Property Owner Telephone 4 ( j Cootractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicaot is _ Owner ~ Contractor _ Other Work Type _ New Construction _ Underground Tank _ Install _Remove ""`see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *"When insta!/ing/removfng underground tank, call for fnspectlon by Fire A4arshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Mixrmum(includes State Surcharge) or Conhact Value $ x 1% Permit Fee $ State Surcharge If Rgmit fee is less than $1,000, add $.50 IFpersnit fee is more than $1,000, surchazge is $.50 for every $ 1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that 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 Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. _ Air Test Gas Service Test Infloor Heat Final ~l l~i ao 2005 RESIDEN'I'IAL MECHANICAL PERMIT APPLICATION ~aD~;o City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single famity dwellings & townhomes/condos when permits are required for each unit Date Ci- Site Address Cd Cz / Unit # 2-of Property Owner ~t~~ /qG-OvI (L Telephone #(~I ) 33 S 6S-1- Contractor ~ ~6 67JD Street Address CjtY State Zip Telephone # ( ) Bond Expires: The Applicant is ~ Owner _ Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ~ furnace _Additional _Replacement _ New air exchanger ~ air conditioner heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~-=jVO`fl fI G-o 0~ r'd a C Applicant's Printed Name Applicant's Signature <Ij 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-famity bui(dings when sepazate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) previous Tenant Name Property Owner Telephone it ( ) Contractor Street Address City State Zip Telephane # ( ) Bond Expires: The Applicant is _ Owner _ Conuactor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below _ Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When insfalling/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Pe1'mit Fees: $70.50 Ilnderground tank installauon/removal . $50.50 Minimum (includes Sta[e Surcharge) Oi Contract Value $ x 1% Permit Fee $ State Surchuge If permit fee is less than $1,000, add $.50 If ermit fee is more than $1,000, surcharge is $.SO for every $1,000 owed. . $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge that the informa[ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applican['s Printed Name ApplicanYs Signature Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat _ Final 2005 RESIDENTIAL MECHA1vICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & rownhomes/condos whea permits aze required fnr each unit Date 12- l ~_Q / OS SiteAddress ~~lrJ WE'SCOr! SQ EA&l4iVf171v- ~T 1Z2 Unit# lo3 Property Owoer C(\j iS A TvG-oV (e Telephoue S~) 3 3 S G` S/G Contractor A EIPW T-EC iA ~C d DUC-T GLC74,1/lit! C Street Address 0- o o City s~4- x pi+~~ State W 1 Zip Telephooe GS 1 ) Y~ ~~3 Zzj- Bond Expires: The Applican[ is k Owner _ Contracror _ Other Add-on or alteratioo to existing dwelling unit $ 30.00 furnace _Additional ~ Replacement _ New air exchanger ~ air conditioner X heat pump other State Surcharge $ .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the inFormation is complete and accutate; that the work will he in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 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. &W I S' ~~0~ -Z_U ~ ~ ~c Applicant's Printed Name Applicant's Signatur~ 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if appiicable) Previous Tenattt Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "*see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: 'When installing/removing underground tank, call for inspection by Fire Marshal and Plum6ing lnspectnr P¢CIO11 r' 0¢S: $70.50 Underground tank installation/removal $50.50 Minimum (incWdes Sfa[e Sumharge) ar Contrect Value $ x 1% Permit Fee $ State Surcharge [f cermit fee is Iess than $1,000, add $.50 If cermit fee is more than $1,000, surcharge is $50 for every $1,000 owed. $ Total Fee [ hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will 6e 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 Approved By: , Inspector Date: Required Inspections: _ U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat - Final -I Ig 5q 't~ r~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City OfEagan 3530 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pertniu are required for each unit Date (L / Za / v S SiteAddress ~ We~ C,10 V 'G~ 4QG~ !H/V_,fT(ZZUnit# /0T Property Owner df,~V CI-0 VI e Telephone #(UU ig Con[ractor kC Q~ i ""l1. a~Cl~ Street Address 0~~~ ~1 ~1 City L~~l y` ~~ts State v V ~ Zip S ~Z ~I Telephone 9 3 2 T Bond Expires: The Applicant is ~ Owner _ Contractor _ Other Add-on or atteratioo to existing dwelling unit $ 30.00 ~ furnace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Surcharge $ .50 Totai s .3D~ SU I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. E N4H- ftf'~0C '2ex-e 'a-q i~C Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate pertni[s are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephane # ( ) Bond Expires: The Applicaot is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When installing/removing underground fank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimwm (includes State $urcharge) or Contract Value $ x I% Permit Fee $ State Surcharge If ep rmit fee is less than $1,000, add E.50 If ev rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee 1 hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name ApplicanPs Signature Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat - Final 4~SO S ° zoos RESIDENTIAL PLUMBING PeRnniraPPLicaTioN 0 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ~n DateC) 1_1 12-_I zo` Site Street Address I b w"CSC o-T3~ Sa ~,rr Unit # Zoy PropertyOwner C=f4=~SF4 4GoViG Telephone# (j,si ) 337 bSCio Contractor 3A2Z v~rE~~ ~rru~sr,z es -r,-.rc. Telephone# ((,L-Z) FsSO t. y0 0 Address 353c L, z8~ Srrcck City r~~P~S State r+.N' 2ipSSko6 The Applicant is: _ Owner X-Contractor _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 andlor water heater at the same time. !f you are installing onlv a water sottener and/or water heafer, do not complete this section; move to the r12izt::section and check the appiiance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is requiredj ~ '_otner: c,t _ s1a...t4 kisasi-r 49&-.S Water Softener Water Heater $ 15.00 _ new _ repiacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 5o • <0 I hereby apply for a Residentiai 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 plan is require to be reviewed and approved. ~atzkanJ-,> 4UeL3SiPiz ApplicanPs Printed Name ApplicanPs Signa i ~20~15 2006 RESIDENTIAL PLUMBING PeRnniraPPLicnTioN ~PSo .so U~S^ V N~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dweliings. ~fl3 Date~_l~_1 0 Site Street Address 9I lo w~ESC o~ x S'~ Unit # o~ PropertyOwner Lt~'Z~(~- ~GavtG _ Telephone# 335 - 65a(. Contractor 3AZZ wrEg Lr~o~st,z zs :~P..rc . Telephone# (Lvz) Ff5O Lyco Address 353c e, ZS- Skrcck City rr~P4S State Zip754o6 The Applicant is: _ Owner Y-Contractor _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 plum6ing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are insiafling onl a water softener and/or water ' heater, do not complete this section; move to the rText:_section and check the appliance(s) you are installing. '~:7~-;,+ _Septic System Abandonment _Water Tumaround (add $130.00 if a 5!8" meter is required) ' _otner: -?-^cl . S-ja,,,4 , 'pe ~cl; sasl~ Pa~S : Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ •50 Total $So ' <0 I hereby apply for a Residentiai 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 plan is requi ed to be reviewed and approved. ApplicanPs Printed Name Applicant's '~n ture ~Zo1~ 5d.sO zoos RESIDENTIAL PLUMBING PeRmIraPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 1 03 DateC)_/~_1 1c~`j Zo Site Street Address 91 u1C5C o; t SG ~ rr Unit # PropertyOwner i=1'l.L.SFE PrGoVtG Telephone# ((~si ) 337 G5te Contractor 3AZZ v.rEg Trjn~sr~z es ~..rc • Telephone# ((svz) $5~ (-yco Address 353c C-, z8'°`- Srrcok City r~a~S State ZipS5'-te6 The Applicant is: _ Owner Y`Contractor _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 insfalling onI a wafer softener and/or water heater, do not complete this section; move to the r%xt,-:section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5!8" meter is required) _Other: -1-^cl- S1z.-J e- Oe ~~S0.S~~A.•~S , Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _re6uild $ 30.00 State Surcharge $ .50 Total $ >O. 5v I hereby apply for a Residentiat 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 plan is required to be reviewed and approved. ApplicanPs Printed Name ApplicanPs Sign 6~ ~Zo'~~ .~so,sa 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Datel~! a~c LO`~ Site Street Address Zo~ 9l1o khGsS(' oZ~S'a o.,,-c Unit # 2oy PropertyOwner LI`41,,5/r A-&pUtL Telephone# ((,Si ) 335 656(* Contractor 3A2Z ~nrE3 yv~o~sc,z~~s. -S:,.rc- Telephone# ((,L-z,.) $s'o 69e~ Address 3530 Z$n- Strc~k City c~~ qluS State r+,n- Zip55 0 The Applicant is: _ Owner X-Contractor _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. !f you are installing onlv a wafer softener and/or wafer heater, do not complete this section; move to the i%Rt-secti9n and check the appliance(s) you are installing. P F,~ 1 ` _Septic System Abandonment ' , N _Water Turnaround (add $130.00 if a 5/8" meter is required)` _ ~ ~"~•n , - . ~ , Other 5&4.,k C-'Pe e,;S0.A~Pa-KS iI,; Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ S O• S0 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 piumbing 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 plan is requir d to be reviewed and approved. T. v,leasreR ture ApplicanYs Printed Name ApplicanPs Sig \ '-15CS1 2006 RESIDENTIAL PLUMBING PeRMiT aPPUCATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date~! 31 ! Z site street qddress q uk5cotf a-Ce. unit # 20 Property Owner S C)Uf C Telephone #((o`it)~~-~5 ( lo Coi7.ractor i ( Talephare #((051 Address ~`10 City State_bjL(_ Zip 5S a 3 The Applicant is: _ Owner 5!eContractor _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. !f you are installing onlv a water 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 _Water Tumaround (add $130.00 if a 5/8" meter is required) Other: Water Softener `F-Water Heater $ 15.00 _ new ~replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ l~ ~O 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 plan is required to be,reviewed and approved. _~_)r~ s ot-5~n _ L in 61Q , Applicanfs Printed Name Applicant's Signature ~ 5 ,5v ~ CI 1 ,Julkm WATER SERVICE PERMIT 3830 nob Road 5866 P. 21199 PERMIT NO.: EelIfl 5121 DATE: 11-30-84 Zoning: $ No. of Units: 4 pies Owner: Fig Inc = Address: Site Address: 91b Wescott Square XI LI B2 Wesc tt H lle Ravi Plumber. Master's Plbg _•' Meter No.: Connection Charge: 1544.44 pd Size: Account Deposit: Reader No.: Permit Fee: pd agree to comply the City of Eagan Surcharge: • 5 pd Ordinances: Misc. Charges: 252.00 pd r Total: By / Date Paid: Dote of insp.: I/ ; insp f Rose � 5 � h ' r , DATE: 1.., WO of Units. , r ' Mess: .� ;t ' sirs Address: 9I6 Wa+e�ott 3 ure 1.I Piun+ber: Maete� � ,y Plb;: B2 W +autC�rtC 2 " � (. 11- 14-434 47669 : c � i to com wtth the E y� of Eagan Connection Q a ge: 13 - -�- - s 4 ; .. 04 00 ,, f �. Account ,Deposit: ,-; Permit Fee. t « By ,� / Surcharge: . J gip$""``` a r . Dote' of _,,,,�/ Misc. porgies. ., I ate "`. _� Total: ;' w ~ ;try e Dote Paid: '°