4202 Sumac Pt07/1912010 09:07 6514548138
2
CID j d
k)4 \.1
• kJ,
J pa J aaeN
lopelitio3 6U!ali.
G
?pi
kg
2
AURORA MECH LLC PAGE 02
s aIpP¥ qor
C1
m
J 7e 1 atueN
lopaquo0 Ok■a H
rri
DD-c
z
m
--▪ I
z
m
0
111,11
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUL 06RECO
Use BLUE or BLACK Ink
Permit #: / / ` e,
Permit Fee: /"Q
Date Received: 7 (t9
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: 7 "/n Site Address: V 200.-
Tenant: Suite #:
RESIDENT / OWNER
Name: )3i-,i.2y®tet/ Phone:
Address / City / Zip: 1-1,0zOix.��rr.�r9G- ,✓'v�.t;�T"
CONTRACTOR
Name: )9p 4 License #:
Address:®%� Gvrs/.�5 �lt�,r3
City:
State: Zip: 4 5 v?C Phone: 6s
Contact: 1')4.4.7— Email:
TYPE OF WORK
PERMIT TYPE
New n Replacement Additional Alteration
Description of work: /-3ra-i'Xr0r_.
Demolition
RESIDENTIAL
X Furnace
Air Conditioner
Air Exchanger
is Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
Install Piping _ Processed
Gas Exterior HVAC Unit
Under / Above ground Tank (_ Install / _ Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
$ 3S 4'4' TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x 1%
$55.00 Minimum (includes State Surcharge)
= $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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.
x l�i�s l"✓vu'
Applicant's Printed Name
x l,®/
Applicants Signature
. `
SEWER & WATOk PERMIT, OFFICE USE ONLY
CITY OF EAGAN METER #qV9 46y1'R pERMIT DATE 1 l/[7/9C
3830 Rilot Knob Rd.
Eagan, MN 55122-1897 CHIP # 0 1 ~ ~ ~ 3 PERMIT # 11737
METER SIZE 5/.~B.P. RECEIPT #f C 1 11': ?
ISSUE DATE (P-a7-1L B.P. RECEIPT DATE 1 i 2b
DATE NflY 26, 1990
X PRV - BOOSTER PUMP
SITE ADDRESS 4202 5i!'?AC PT PERMIT REOUESTED
LOT 5 BLOCK 1 SECISUB 130ULDGr RIDC;E 2ri:B
x SEWER -X_. WATER - TAPS
APPLICANT: _ COMM/IND x RESIDENTIAL
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: gLYMOUTti PLU?IBINC Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 2ACNARY LN N Credit WILL NOT be given for Deduct Meters.
CITY, STATE MAPLE GROVB MN Zlp 55369
PHONE: 493-2474 L°^ 1 x
I AGREE TO COMPLY WITH CITY OF
OWNER: NEW HORIZON R0MES E N ORDINANCES
ADDRESS: 12201 MIN"TONKA BLVI)
CITY, STATE MiHNGTONKA MN ZIp 55043
PHONE: q13-2521 SIGNATUR N METER ISSUED
PLEASE 'dI.,LOW TWO WOFIKING DAYS FOR RROCESSING. CALL 454-5220 FdR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER SFWATER PERMIT OFFICE llSE ONLY
CITY OF EAGAN METER L14141 ~ PERMIT DATE 1 t~27~9~
3830 Pilot Knob Rd. 33 3/ PERMIT # 1173t,
Eagan, MN 55122-1897 CHIP ~
~ METER SIZE S/~ Seal fu5 B.P. RECEIPT # C 11193
DATE N~V ~ 2.6, ,1990 ISSUE DATE B.P. RECEIPT DATE 1 10
o ~ PRV - BOOSTER PUMP
SITE ADDRESS 4204 SUlLaC PT PERMIT REQUESTED
LOT 4 BLOCK 1 SEC/SUB BOULD~-:R ^ I DGE 2PlD
X SEWER --L-WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND _X_ RESIDENTIAL
CITY, STATE ' ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYHOUTH PLInMETNG Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHATiY LN N Credit WILL NOT be given for Deduct Meters.
CITY, STATE MAPLE GRUVE MN Zlp 55369
PHONE: 493-2474 ~ l' l1l_/,, "%~i'~L- /I/!~•~
1 AGREE TO COMPLY WITH CITY OF
OWNER: NEW HbRIZON HOMES II3C EAGAN DINANCES
ADDRESS: 12201 MINNEI'ONKA BLVD ~
CITY, STATE MINNETONKe NTN ZIp 55.343
PHONE: 431-2521 _ SI NA UR HEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCE$SING. CALL 454-5220 FOR INSPECTIQNS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER 8r VWITER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 11127190
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 1 Y~36
METER SIZE B.P. RECEIPT # r 13 14~
"r
DATE 2b - 1990 ISSUE DATE B.P. RECEIPT DATE 1 1$0
AL PRV _ BOOSTER PUMP
SITE ADDRESS 4204 SLkiAC F'T PERMIT REQUESTED
LOT 4 BLOCK L SEC/SUB BOULDER RiW-E 2111)
-)L- SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMMlIND -L_ RESIDENTIAL
CITY, STATE , ZIP XL NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOU'fii pL.t:MRiHG Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACNARY L!V N Credit WILL NOT be given for Deduct Meters.
CITY, STATE HAPL~ GROVZ MN ZIP 55369
PHONE: 493-2474
I AGREE TO COMPLY WITH CITY OF
OWNER: NRY HORI 11N ltOMS 7t,t[' EAGAN OROINANCES
ADDRESS: 12201 INNETOKYA nLVD
CITY, STATE MINNETUNItct m13 ZIP
PHONE: 939_ 521 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CUNTACT ENGINEERING DEPT.
~
SEWER & WATER PIERMIT OFFICE USE ONLY
CITY OF EAGAN METER ~~/Y 6114IV3a- PERMIT DATE I 1/27 /40
3830 Pitot Knob Rd.
Eagan, MN 55122-1897 cHIP #y a 7~ PERMIT # 21735
3
METER SIZE S P.t> uS B.P. RECEIPT # C 111111()
DATE iCV 26. 19?G ISSUE DATE B.P. RECEIPT DATE 1111261 QO
_~L PRV - BOOSTER PUMP
SITE ADDRESS 4206 SU•;AC PT PERMIT REGIUESTED
LOT " BLOCK 1 SEC/SUB 3GULixEit RIDGE 2P D
X SEWER ~ WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IIVD _X_ RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE: '
Lawn Sprinkler Meters are to be Installed
PLUMBER: PL~OUTH PLUMBTNC Ahead of Domestic Meters on Water Line.
ADDRESS: 9790 Y.ACRABY LN N Credit WILL NOT be given for Deduct Meters.
CITY, STATE HAFLE GROVE MIN ZIP 55360 ~ • ~'I/
PHONE: 493-2474 x '
I AQftEE TO COMPL WITH CITY OF
OWNER: AIEW HQRIZON HOMES INC EAGAN OR I ANCES
ADDRESS: 12201 MINNE'CONKA BLVD
CITY, STATE M;HNETONKA ?S ZIP 55343
PHONE: ~33-" 521 SIG ATUR WH METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CQNTACT ENGINEERING DEPT.
~ WATER PERMIT- OFFICE USE ONLY
EAoh Rd. M~ER # PERMIT DATE 11127J790
,'ilot Kn
~
dI1, MN 55122-1897 ! CHIP # PERMIT # 11235
METER SIZE B.P. RECEIPT # C 1 l193
FE ~JY 26, 1990 ISSUE DATE B.P. RECEIPT DATE 2 1/2b IU
PRV - BOOSTER PUMP
SITE ADDRESS 4206 StTHAC PT PERMIT REQUESTED
LOT I BLOCK Z SEC/SUB BOEtLDEa RID6B 2ND
X SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOt1'PH PLIJIi$ING Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHARY LM N Credit WILL NOT be given for Deduct Meters.
CITY, STATE :lAPL.$ Gi+iOVE MN ZIP 35369
PHONE: 493-2474 : ' . l;: fr~~
1 AGREE TO COMPL WITH CITY OF
OWNER: NEW 1LORIZ01i 80MB5 INC EAGAN ORDINANCES
ADDRESS: 13201 MIiI1Bt'Q1f1CA aLVD
CITY, STATE MINNETONKA MR ZIP SSda
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE uSE ONLY
CITY OF EAGAN METER #HL/q a[A ! qb'- PERMIT DATE 11 /'2 7/ 9U
3830 Pilot Knob Rd.
Eagan, MI 5~"L-1897 CHlP # ~ JJN 3 PERMIT # 11734
~ METER SIZE ~ B.P. RECEIPT # C 1111 19'3
DATE 26 . 1990 ISSUE DATE tO B.P. RECEIPT DATE 11/26/ 0
AL PRV - BOOSTER PUMP
SITE ADDRESS 4208 StMAG PT PERMIT REQUESTED
LOT 2 BLOCK i SECISUB BQULDER RIDGE 2ND
_)L_SEWER __XL WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND % RESIDENTIAL
CITY, STATE ZIP _X_. NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ?LYty40UTH PLi1MAINC Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHAAY LN N Credit WI~L NOT be given for Deduct Meters.
CITY, STATE MAPLE GRO'VE !fN ZIP 5 S'3b9 ~ PHONE: 493-2474
I A REE TO COMPLY ITH CITY OF
OWNER: NEW HQRI?AN H01dES I N(: EAGAN ORDINANCES
ADDRESS: 12201 MIZINE'fONKA BLVD
CITY, STATE HI13NIE'i'oWA mn? ZIP 553f.~.~-~ zj_A~~~
PMONE: 933-25~ 1 SI NAT E WHEN METER ISSUED
PLEASE'ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING OEPT.
SEWER & WATER PERMIT OfFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 11j27190
3830 Pilot Knob Rd. CHiP # PERMIT # 11734
Eagan, Y"'55122-1897
METER SIZE B.P. RECEIPT # C 11193
DATEs }11'lY 76+ 1'200 ISSUEDATE B.P.RECEIPTDATE11126/Q0
AL PRV _ BOOSTER PUMP
SITE ADDRESS 420A. SUr;AC F?T PERMIT REOUESTED
LOT 7 BLOCK 1 SEC/SUB BUULUER itIDGE 2ND _
XL SEWER -X-WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP __XL NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PI.Yl9Di1'C't: PLUMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACHABY L.H H Credit WILL NOT be given for Deduct Meters.
CITY, STATE M/?PLL? CEdVE HN ZIp 55369
e~ '
PHONE: 493-2474 :~2
~
1 AGREE TO COMPLY WITH CITY OF
OWNER: gn NOQIZON HOMBS IIIC EAGAN ORDINANCES
ADDRESS: 12201 !lINNET()1iiGA BLVD
CITY, STATE MrNNETnurA Ui ZIP RSa4a
PHONE: 913-9591 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 fOR INSPECTtONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
' I DATE: NOV 27, 1990
RE: 420?, 4204, 4206, 4208 b 4210 SUMAC PT (NEW HORIZON HOMES)
R Sewer 8 Water Permit for the above property has been completed. It will be held at the
blic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
~r'CALL PUBLIC WORKS (454-5220) FOR YDUR PERMANENT WATER TURN ON.
. Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy altowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE D{GGING, CALL LOCAL UTILfT1ES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT Q OFFIC[Er SE ONLY
CITY OF EAGAN METER # ` f°~ PERMIT DATE 11 / 17 / 9 C
3830 Pilot Knob Rd.
Eagan, MN 35t~`1-1897 CHIP * ~ a 3 PERMIT # 11733
• ' ` / METER SIZE B.P. RECEIPT # ` - c > > ig~
~ r iVOV 26. 1990 ISSUE DATE B:P. RECEIPT DA7E 1 26 90
DATE
~ PRV _ BOOSTER PUMP
SITE ADDRESS 4210 StzijAC PT PERMIT REQUESTED
LOT 1 BLOCK 1 SEC/SUB BOULDER RIDGE 2ND
SEWER X. WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: p~'~~~ pL~I~'~~ Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 7.ACHARY LN N Credit WILL~NO be given for Deduct Meters.
CITY, STATE MAPL6 GR+DVE MN ZIP 55369
493-2474 ' '~'~t ' . ` iv •
PHONE:
I A(3REE TO COMPL WITH CITY OF
OWNER: NE'%' HORI'LON gOMES INC EAGAN ORDINANCES
ADDRESS: 12201 MINNETONKA BLVD
CITY, STATE MINNETONKA Mli ZIP 55343
PHONE: 433-2521 SIGNATURE HEN METER ISSUED
PLEi4SE ALLOW TWO WORKING bAYS FOA PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WaTER PERMIT OFFICE USE ONLY
CITY (~F ~AGAN METER # PEFMIT DATE 1 1/27/ 90
3830 Pilot Knob Rd.
Eagan, MNfi5~2-1897 CHIP # PERMIT # 11711
- METER SIZE B.P. RECEIPT #_C ti.193
DATE A WW 26, 1490 ISSUE DATE B.P. RECEIPT DATE 11/261 0
- AL PRV - BOOSTER PUMP
SITE ADDRESS 4210 SUMAC P2 PERMIT REGIUESTED
LOT 1 BLOCK 1 SECISUB EO n.o .x R n.. Nn
_L SEWER X- WATER - TAPS
APPLICANT:
ADDRESS: - COMMIIND X RESIDENTIAL
CITY, STATE ZIP __L_ NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: FLYlSOU'!H PLUHBING Ahead of Domestic Meters an Water Line.
ADDRESS: 9240 ZACHARX LPI N Credit WILLNOT be given for Deduct Meters.
CITY, STATE ~OVE NY ZIP 51%364 ; ~ ~r~- • F~~ Z
PHONE: 493-2474 ' %~rt/~a;'.• /C/.~/''.
I AGREE TO COMPLY WITH CITY OF
OWNER: NEW RORIZON HONES IlIC EAGAN ORDINANCES
ADDRESS: 12201 MINN=1'ONKA aLVD
CITY, STATE ~NNICTORK? XX ZIP _5.5343-
PHONE: 933-2571 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
-
CASH RECEIPT ~
.
CITY OF EAGAN
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
oaTe
RECE~o
F~ Z ~
AMOUNT S I~ S/ 1
CJ ~
I
& DOLLtiRS 7
1DD
? CASH ~CHECK a
U ~
- ;
( b57S ~ 0? r~ I
~i 73 03Q-
;
FUND OBJECT ~
146575 ~
14ZdZ
Thank You
8Y
C 11193 ;w,--C'm,
~~"Com
UWE= y..._.,,r,pr.,..~....,ap.~~:n:~-Fc.,,~..:.sw~,.;.n~-.o+,rar?.,-r.~naan~<~cRn--. _ . . , . ~ : ~"Pf~".'^.
t~ 1~ CITY OF EAGAN N¢ 1$5" .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 C 11193
BUILDING PERMIT Receipt #
1 OP S-PLEX =89,000 NOV 26 90
To be user Est. Value Date , 19
Site A'~ ress ~
g
OFFICE USE ONLY
Lot Block Sec/Sub. Et-3 N-1
P3rCel No. Occupancy FEES •
NBiI ifOxIZON NOlZS IliC Zor"ng
W Name facwap const ~ Bidg. Permit s~
Adtlres (Albwable) - Surcharge 50
0
City NiFfNETUIlKA Phone 933-2521 ;r ot stories ~a 364.00
Le~th Plan Review
. , g Name oepm ~ sac, ci?y 100.00
OQ` Address --5~~ S/ O 3S'D S.F. Total - SAC, MCwCC
~
~ City Phone S.F. Footprints _ 625.00
r
GRISWLD On Site Sewage _ Water Conn 90.00
W W Name On Sile Well Water Meter
= Z Addres Mwcc System 30.00
u cs --3t7 Accl. Deposit
s W City PhOne City water -X-- S/W Permit
PRV Required - .50
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - S/yy Surcharge information is correct and agree to comply with all applicable State ol
Minnesota Statutes and Ciry ot EaW`Ordinaqee;c Treatmern PI
Signature of Permitee APPROVALS Road Unit
HEY HORIZOl1 H~01~8 Il~1C planner -
A Building Permit is issued to: Park Ded.
on the express condition that all work shall be done in accordance with all Co+^cil '
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj, pry. _ Copies ~
Building 0lficial Variance - TOTAL
ParmR No. Permit Holder Date Telephona x
WAT'EH 7.3 ~p ~?O
lk
SEWER
PLUMBING
H.V.A G C/ 0 0 ' YG~C7
ELECTRIC 1~~I9D s ~
Inspsction Dafe Insp. Comments
Footings 1
Foundation '
Framing - f ~ -c4~c S a.ya ~ _ ~ /E
Roofing
~
Rou9h PIb9- /
fiai9h H09• 7-3- 7 413
Isul.
Freplace '1 7 ^
Final Htg. ' Z4 '7r ~
Fnal Plbg.
Const. Meter Plbg. InspeCtor - Notify Plumber
Ergr.lPlan
Bidg. Final
Declc Ftg.
Dech Final
Well
Pr- D'sp.
f i s ~ I
• + T
r ~ (ge:r#tfiratt of (Orrupanry
44
(Litp of Cagan
Elt}wrhnrtd of %itding 3tupprlian
Tlris CerliJrcate usued pursuant to 1he requiremmtr of Seratioa 306 of !he Uniforrn Burlding
Code cerrijJ'in8 tha[ at the tinu oJiuuance tlris struaure ms in compliarrce wilh the mrious
ordirranors oj[he Crty regutaling 6ur7ding oonsdsoaion or usa For the following.
tke a6m6anos .1 r,~ S ar Esr ewa. Ftmilrb. -18577
0--,,, T.- Aw /M t~;,~ p~wia $1 Type co~st VN
Owoer d Bmldio6 IbE Mdias 12211 IAYA W Ml bf1Y
E~?(Ya QMA[' EISTP Lom;h, ,,.Jf?- R I r,BajjM RTTY'F. 7AII]
Buad'iuE OGitial y
POST M A OONSPICUOUS PU1CE
~ . . ,w...,,_...r... . . '•~:7 . r 1i,.'S.Y'~'tlG ~'1 rr+!'wr~.-.~ . . . _ . , . . ryo'~
PCRF'WG UNi L . . . ' . .
'
CITY OF EAGAN ( 4'.? 18576
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
` • PHONE:454-8100 C 11193 ~
BUILDING PERMIT Receipt # ~
19 ~
To be usedfor iOg ~P~ Est. value =g0.~ Date ~V 26 ~
Site Ad ess 4ZOO ~C ~
i OFFICE USE dNLY ~
Lot Block Sec/Sub. ~g ~Z
Parcel No. occuPancy FEES
rIEW HOA Z$OH vOMES I NC Zoning k. :
W Name (nc?~,aq Const Bldg. Permit 5~•~
; Addres (Albwable) - 40.00
o Surcharge
City Phone 9337-2521 # ot stories ~ 337.00
Length Plan Review
SAM~ tOOlOd
o Name Depth - SAC, City
~s Address S.F. Total - SAC, MCWCC ~
;
~ City PhOr1@ S.F. Footprints - 623.00
~ CRIMLD & ASSM On Site Sewage _ Waler Conn 90, 00
W W Name on sice weli Water Meter
~~z-y A d d r@ S S MW CC S y stem Acct. D ~
eposit
iW City PhOrl@ CiryWater ~.oo
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booste(PumP - SNV Surcharge
information is correct and agree to compiy with all applicable State ot . ~
Minnesota Slatutes and City ol Ea qa.n Ordinan~e Treatment PI
" . 'r ` : 1 ' i, • ~ '
5ignature of Permitee APPROVALS ~ Road Unit a
HEid HQBIZOI'~ KO!!BS INC Planner -
A Building Permit is issued to: Park Ded.
on the express condilion that all work shall be done in accordance with all Cotincil ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy, pn. _ Copies ,WT56
Building Official Variance - TOTAL
Pe.mit No. Parmk Holdar Date Telsphons #
WATER
/zvs
~
SEVYER
PLUMBING
H.V.A.C. -7vd0
ELECTRIC l~~~~ , ~p ~O OD
Inspsction Date Insp. Comments
Foolings I
Foundation
Framing
Roofirg
Rou9h Plbg.
Rou9h Ht9• ['/I( Freplace
Final Htg. 4dl,
Fnal Plbg.
Const. Meter Plbg. Inspeclor - Notily Plumber
EngrJPlan
eld,. Final y• 4 S
Deck Flg.
Oeck Final
Wel1
Pr. Disp.
I
r
~irp of (eagan
Dpparband Qf l~1tl~llYt~ ~tl~Pt~W2t
Thls Cernfiuate ~cued pursuaAt Ao rhe requirements ojSec&n 306 of the Uniform BuildiRg
Code artifyueg Ma1 at lfie tinre of iuuaxce rlrisstiucuire u+as in rnnipliance witfe f/re f+arious
ordinawa of !he Ci1y regula&e bouilding onnstruction or use For the foUowing.
U, CW.M,,;,, 1 oF 5 eeEx W,&- ,,,mk N& 18576
0-40-7 TYM R3IM I Z=wpyy%a PD T7pe Com VN
o,.,war&ass NEW HM= MMES IlNC..Md= 12201 NIDIEMA.H.VD.. MMA"
~,d&~ 471lb SrW pOTNT M. Bl. BQIIIER RI= ZCID
,
f ' / 9/4/41
Maaing o&W n„C
Posr ur A coNSaIcuous Puce
Rr5/11E W1T CITY OF EAGAN 18575
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
t~r PHONE: 454-81 DD C 11193 BUILQIbI¢ PERMIT Receipt #
A l OF S-PLRX =30.000 NOV 26 90
To be used for Est. Value Date , 19
Sile Adtess OFFICE USE ONLY
Lot Block Sec/Sub. R-3
P2rCel NO. Occupancy FEES
Zoning 5~0~
W Name (nctuai) conat ~ Bldg. Permit o-o ,
(Allowable) - ~ i
o AddfeS Surcharge
City Phone 933--2521 8 ol5tories
length Plan Review ~o-o
•
o Name Depth - SAC, City ~
ou AddfeSS S.F.Total _
U~ CIty Phone S.F. Fpotpnnis _ SAC, MCWCC ~
Oi7 W
On Site Sewage Water Conn ~
W W Name on s~e wen Waler Meter
Addres Mwcc system
Uc5 Acct. Deposit ~
~ W City Phone Citi waier
PRV Required _ SNV Permit
I hereby acknowlege that I have read this application and state that Ihe Boaster Pump - SM Surcharge ~
information is correct and agree to cosnply with all applicable State of
Minnesota 5tatutes and Ciry of Eaga;64rdinanc~ G Treatment PI
- i ' ~
Signalure of Pertnitee APPROVALS ~ Road Unit II
KIN HoRtZM xaWs Ywc Pla,ner -
A Buiiding Permft is issued to: Perk Ded• I
on the express condition that all work shall be done in accordanCe with all Council applicable State of Minnesota Statutes and City ot Eagan Ordinances. g1dj, pit - COp'es
' 1 . ~ .
Variance T07AL
Building OffiCial s
~
- - . _ _ . . . . . . . _ e__., - ---"-'--_..,_.J....,.._,,...~_.___~-......~_.........___
- I , Permit No. Permit Holder Date Tslephone #
WATER
Sr,WER
PLUMBING ~ 'Jr•3' 7
H.V.A.C. ~0~ ~l i d yf UOI Oo
ELECTRIC llg$~j
Inspscti- Date lnsp. comments
Footings 1
Foundation
Framing
Roofing
Rou9h Wb9• ~
Rou9h Htg.
Isul.
Fireplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Fuial
wea
Pr. Disp.
-r ~
` + ~ ` ~ ~ • . .
lip
- -
. 'i
r '
~
~ . (ger#tfirate uf (Orru~aurgi
Citp of tagan
ErpttrhunY a# Nuild'atg ittopprtian
Thtr Carifiaate lssued pursucrnt to 1he requiremenls of Seclioa 306 of l/re unijorm Bcu7ding
Code caa)r*8 rhat at rhe time ojissuaicce this struclune was In aompGanoe witk tlee aarioas
ordinancer of the Qity regulaang bur7ding aonouctioa or use For 1Jie followixg:
uK a.~ e4 Pawk "x --18585~
OONw--sTYaX Tipe
orort ct "64 . Ad&-
. .
~ Bmlditg Addies 4208 LaaGq'
- nt n if BtaW REM 2M
Duc
. ~ ~
POST M A OONSPIpJOUS PLACE
, . , <~..-~v„s- -,..s,r, , wsr+7+F~~'~T:.2?~r!+e~57FeRaj~wr~c~yy~*'°" `^~~5~'Aw~'"R` ~ . . . . ~
ID S'iE~t1~ FCIR-,5/tL~: 4.4tIT'
CITY OF EAGAN ~4~ 18578
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt # C 11193
To be used foi1Og 5-pLEX . Est. Value ;89 ,000 Date NOV 26 19 90
Site Adcress 02 SU~ ~ OFFICE USE ONLY
Lot Block Sec/Sub. R,3 M-1
Parcel No. occupancy ~ Fees
~ ~~IZOK R $ Y~.' Zoning .590.00
W Name (Actual) Const Bldg. Permit
3 Address (Albwable) - 50
o Surcharge
City ZILNIiZTURKik Phone. 933--2521 +r o+ scodes 7M 384.00
Lergih Plan Review
, o Name ~ Depth ~ snc, city i~'~
Zr 600.00
~a Address S.F. Total - SAC, MCWCC
~ Clty Phone S.F. Footprints - (~Z5.~
On Site Sewage Water Conn
WW Name or+sitewen ~ WaterMeter
s? AddrBSS MWCC System 30.00
Acct. Deposit
<W City Phone CayWater ~ 30•00
PRV Required _ S/W Permit
1 hereby acknowlege that I have read this application and state that Ihe Booster Pump ~
- W Surcharge
infortnation is correct and agree to comply with all appiicable State of Q
Minnesota Statutes and City o1 Eagan dinanceA,,,/ . Treatment PI
Signature of Permitee ' f I - f', APPROVALS Road Unit 355•00
t~i~i MORIZOii HOHR8 INC ~~r _
A Building Permit is issued to: Park Ded.
on the express condition that all work shall be done in aCCOrdanCe with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~y, pff. _ CoPies
3.1000
Building Official r Variance - TOTAL
,
• Permk No. Permit Holder Date Telephone #
WATER ~ ~'ay so
SEWEfi PLuMSUNG
H.VA.C. 3Q~~ ~7 ~1I o0I"~OU~
ELECTRIC
Inspection Date Insp. Comments
Footings I &-x
Foundation '
Fremin9
Roofing
Rwugh Plb9.
Rou9h Ht9•
Isul.
.
Fireplace
Final Htg. 7/ q( )1e` O;azz
Fnal Pibg. . ~
Consl. Meter Plbg. Inspettor - Notily Plumber
Ergr./Plan
Bfdg. Finel ~
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
~
~ t
~ ~itp of Cagan
]qrFwwcrtct nf Nuxaiag 3mvrrfimi
~This Ccrtifuaate Isruerd piusucnt so tlie mquinarrents ojSecrion 306 oJthe Unijorm Building
Code cmIJ'inSlha1 at rfre linu of rssreana t/us sduclwr Kns in cnmpliance with the viarious
ordixanars ol the GC' neguJaft 6ur7ding oonmdudion or use For the jollowing:
use cbnrcwm 1OF S PIEI OW-y- Nm 18578 '
0-4-csType R3/M1 Zomin nWd, PD r,PC cMM VN .
owmoraoia:g NEW HORiZQd EM ItC A&h. 12201 rffAMUNYtA ffi.VD., MM
4202 SiAtAC POINr L5, B l, BOULDEt RIM 2+ID
;
7/2/Q1
~
POST IN A OONSPICUOUS PLACE
i
~a~.~ t3r.-'~sr~' . . _ ..~-,ir.~.':~~e~TS•.~t.,,~~C~s:~::p~-^~a~nra~-r~. .~x~.~.r.^. . ~:r._ . ,
FaMS'1/.F UM ,.n~ A- i . , ,
CITY OF EAGAN 18574
3830 P[lot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ 11143
BUILDING PERJVIIT Receipt #
To be used f Oir 5-pLEX Est. Value ~80,000 Date NOy 26 19 90
Site AdIress 4210 StfElAC PT
BOULDER OFFICE USE ONLY
Lot Block Sec/Sub ~
.
R-3 M--1 FEES
Parcel No. occupancy ~
N$id HORIZOI4 iiOME$ I11C zoninq
¢ Name (Actual) Const Bldg. Permit
; Addres (Allowable) ~ surcnar9e 4o'oo
~ City laramir"Mat Phone r or stodes 357.00
Plan Review
Length 1~.~
. o Name s~ Depth ~i SAC, City
ou Q Address S.F. Total - SAC. MCWCC 600~00
m
City Phone S.F. Footprints - 625.00
On Site Sewage Water Conn
~ W Name ~~~5~~ on siie weu ~ Water Meler
W
=Z Addres FnwcCSyscem 30.00
o c~W BURIRSVILLE Acct. Deposit
< City PhOne Ciry water ~ ~ Permit 30• ~
PRV Required -
I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge .50
information is correct and agree to comply with all ap licable State of Z52.~
Minnesota Statules and City of Eagan (kdinances.,: ~ 7reatment PI
.
Signature of Permitee ~ • ' `~`r ' -r " ' , ~ ~ APPROVALS Road unil 355 .00
A Building Permit is issued to: NEW HO~IZON HaWS? iNC Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council 2.00
applicabte State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. Off. _ Copies 3, o ~
Variance TOTAI
Building Official
Permit No. Permft Holder Date TeNphane #
WATE.9
SEWER
PLUMBING
H.V.A.C. ELECTRIC
Inspeetion Date Insp. Comments
Footings I 8fp
FoundaGon '
Framing
Roofing
Rough PIb9. VNI L,
R,O ?+tg.
isui.
Freplace ?
Fnal Htg.
Final Pfbg. Q
Const. Meter Plbg. Inspector - Notily Plumber
Engr.IPlan
Bldg. Final - 7 -
Deck Ftg.
Dedc Fnal
Well
Pr. Dis6-
_ " p'
5 Y +A
+ 4
Cttp of (fagan,
lopparwuow of WWOuto jwntim
n& cerd
~pwmam to Me Mukonma ofseWon 306of Me v,~form Btdrding
Code cerkfjft lhcl at thelirne of issuance tlus slructrrre ttas in complicnae wUh the various
orrlinences of the City regudating building cauuruction or use. For the following.
un awd, 1(T 5 PILrX Mfg. rhmk Nm 18574
O=V-aT T!'P~ R3M) Zoaig District FD Typc Cnmt VN
awner of 8mld'oos I'~ UM INC. 1220)mpun-cWA $LVD. aMDUnUWA
s-ilftAam~ ~ L-04 L! rR 1, BUILM RII~ 2NL1---
f . ' - . o.ae b127/9I
s~aa;~ °~.vl,(I
POST IN A CONSPIClUS PLACE
t
. *
, ~ - _
IN5PECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
ri
PERMIT SUBTYPE: TYPE OF WORK:
. , ~
INSPECTION .
~ ~
Pernk No. PermR Holder Dats Tetephone R
ELECTRIC O ~~/7 9~ a0
.
PLUMBING
HVAC
Inepectlon Dab Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
(3YP BOARD
FIREPLACE d1131k
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST .
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAI
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: !`14 11 f ' 1 H
3830 Pilot Knob Road Permit Number:
Ea an,Minnesota55122-1897 't~!''~•
g Date Issued:
(612) 681-4675
SITE ADDRESS: 4, 141011A r APPUCANT:
;i c, , ' T 1014M P1- 1 (4 : I I:I , I1'!1 i f 11(J,
1:'1111 Iit I: t 1 I1'.1 'FIlI r t. 1. 1 1~.'
PERMIT SUBTYPE: TYPE OF WORK:
IIi)Mi1I.1 t<1 !'Fi I f~
INSPECTION • D•
tet, tiirI1I'N 1 H i'I ft~~
i rr Ff 1 0 r rr~~~i
I I MAl; M'~ . I N~ 1 r1.,'f>~! t I ~r I i rI.'N~, r I u i t~ r!. N:i ~ I~~ 1 . ~ ~1 1 4~ t 1~11 1? '.IIIqAL f' I
L~ J
Permit No. PermR HolGer Date Telephone It
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
. AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I,
BSMT FINAL
DECK FTO
DECK FINAL
.r-
. . . ,y . • ; r+.~ .is. .~.i • ~ cr!ir:,•;,/ . -I J
' / ' 7lJV
SEDGWICK HEATING & AIR CONDITIONING CO. TEST REICORD r JOB N~.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000
ADDRESS qGb Z ~'YY1L a-4 CITY ~
OCCUPANT OWNER
~ ~
SOLD BY a.J-~ L~~ clz INSTALLED BY 1
MAKE ll~~.{1 121 ~ , ` MODEL
SERIAL ND. INPUT 15;
THERMOSTAT VENT SIZE
VALVE TYPE OF LINER
LIMIT LINER SIZE J~;-
LIMIT SETTING Zd O O FILTERS: SI E~ u X zN I NUMBER [
FAN SETTING WIRING
PILOT TYPE TEST TAG
IGNITION MODEL 7 LIGHTING INST.
PILDT TIMING • DATE TESTED
PRESSURE 51 7a-/G PERCENT COz
INPUT CFH PERCENT Oz COMPANY TESTING ~
a
STACK TEMP. PERCENT CO NAME OF TESTER
FORM 235 (REV. itrB91 FORM OISTRIBU7ION: riHfTE COPV JOB FILE YELLOW COPV CiTY
~ -
AA;
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO v37
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS !!~D-)- CITY
OCCUPANT f3~iSL ~45~ I OWNER
SOLD BY INSTALLED BY 5~~ci.?lt_bC
/
MAKE MODEL
SERIAL NO. INPUT
THERM05TAT VENT SIZE
VALVE TYPE OF LINER
LIMIT LINEFI SIZE
LIMIT SETTING ~ 1S D FILTERS: SIZE 1C/1X~` NUMBER
FAN SETTWG WIRING
PILOT TYPE G~rLTId p., t. TEST TAG '
IGNITION MODEL _~-~y? ~ LIGHTING INST.
PILOT TIMING DATE TESTED l I
/i
PRESSURE PERCENT CO2 7,76
COMPANY TESTING f~
INPUT CFH PERCENT OZ 1-76
STACK TEMP.~nD ~ PERCENT CO Oh lf~ NAME OF TESTER
t
FOAM 235 (REV. t tM1 FORM DIS7RIBU710N: WHITE COPY - J08 FiIE YELLOW GOPY - CiTY
, ,.t , _ .,,~,~`f.r. `~+,,,,~~v:~,~.,;-.~ , . , . ~,./,t,~/ f~~fGh!~~~.,'R' o~
ii
d-
SEDGWICK HE MG & AIR CONDITIONINC~ CO. HEATING ,,~8 No GO
8910 WENTWORTH AVENUE UTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS 9 XJ CITY
OCCUPANT ' OWNER
SOLD BY 1 c!!!il"r\ INSTALLED BY ~1 ~1L~ 1
MAKE MODEL 7r
SERIAL NO. sQS~ INPUT
THERMOSTAT VENT SIZE
. VALVE TYPE OF LINER
LIMIT LINER SIZE
LIMIT SETTING Q ~ FILTERS: SIZE NUMBER ~
FAN SETTING WIRING
PILOT TYPE - ~ TEST TAG
IGNITION MfJDEL 3-F.LJ 2'r /,;~AIGHTING INST. aC '
r~
PILOT TIMING O DATE TESTED ~~/°J ~
PRESSURE PERCENT COz d
O COMPANY TESTING
f 5' ~ ~LX j?!
INPUT CFH PERCENT 02
r d
~ STACK TEMP. PERCENT CO NAME OF TESTER /9-Z~
FORM 235 (REV. 11,69) FORM DISTRIBVLION: WNITE COPV - JOB flLE VELLOW GOPV - CITV
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. !~/94 74~
8910 WENTWORTH AVENUE SOUTH - MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS ~.Z O g ,s U Isf a C CITY ~~y n
OCCUPANT OWNER vr-
SOLD BY INSTALLED BYT~~j.,~•6L~
MAKE C4( MODEL 4 s~~~ - A-
SERIAL NO. 5`6 94 ff-+CJ.2 SIZ INPUT '~r/1i1T
/
THERMOSTAT VENT SIZE ~
VALVE TYPE OF LINER
.~TM l d LINER SIZE
LIMIT
~
LIMIT SETTING ~[]D FILTERS: SIZE /Z ieNUMBER
FAN SETTING WIRING
PILOT TYPE TEST TAG
IGNITION MODEL LIGHTING INST.
PILOT TIMING _T 5/< rCI--
DATE TESTED Z!~i
PRESSURE PERCENT COZ ~
INPUT CFH 7S y°~ COMPANY TESTING
PERCENT OZ
STACK TEMP. PERCENT CO &2ne,_ NAME OF TESTER
FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
JJ
~C . /ll•• ~
SEDGWICK HEA.TING & AIR CONDITIONING CO. HEATING *,10B NO -I-16b~
9910 WENNVORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD
ADDRESS 721n -,o~ CITY 4 f/g'J~`-'
OCCUPANT OWNER
SOLD BY INSTALLED 8Y `
MAKE ~r~{RU~ Y t MODEL ~LTS~2~~'
SERIAL MO. C~ Zq 1n 7 INPUT ~ 1~. DOLJ
THERMOSTAT VENT SIZE
V A L V E TYPE OF LINER
LIMIT LINER SIZE ~
LIMIT SETTING d FILTERS~E NUMBER
FAN SETTING WIFiING
~ t PILOT TYPE TEST TAG ,
IGNITION MODEL ~ ~ ~ Z +a' • LIGHTING INS .
PILOT TIMING DATE TESTED
PRESSURE L.[i C PERCENT COZ
COMPANY TESTING -f5tZ427
INPUT CFH PERCENT O,
-
STACK TEMP. Z~ PERCENT CO t\D NAME OF TESTER
V
POHM 235 (REY. 1z~Eg) FORM DISTRIBUTION. WHiTE COPV - JOB FILE OW COP~ - C~TY
I
RESIDENTIAL
3200 Cobb GalleriaPkwy., ste. #zoo UILDING PERMIT APPLICATION
Atlanta, GA 30339 CITY OF EAGAN 542 ~ BC-20 26-8258826 5830 PILOT KNOB RD - 55122
_ 851-681-4675
NewConsWetlon Reauiremenb RemodeUReoairRwuiremeMs
• 3 reg§tered si0e suneys showing sq. fL of bt sq. fl M house; amll roofed areas • 2 copies of plan
(20% maximum bt cweiape albwed) . 1 set of Energy Calwlatlons for heated edditions
. 2 copies of ptan sAOwing beam & windor s¢es; poured {aurM design, etc.) . 1 sile survey for exterbr additions 8 dedcs
• tsatofEnergyCalwlatlais . IMirate'rfhomeservedbysepticsysfemforadditiona
• 3 oopies of Tree Preservation Plan M bt platted aRer 717193 -
• Rim Jo'st Detail Options selection sAeM (bldgs wtlh 3 a less units)
DATE 13 • • n I VALUI[ION I.'~J (Q~
JOB SITE ADDRESS ~Ia~lo `'~O'%Y1~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Amu. Woluvnr\
TYPE OF WORKYee 0.L ~ nAQS.-,YS FIREPWCE(S) _ 0_ 1_ 2
APPLICANT 'TU~ • PHONE# 959• 3yS'(001-
ADDRESS 'bI Wli • ZIP CODE 0O
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUIIDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential VenHlation Category 1 Worksheet Submitted
- Energy Envelope Calculatlons Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
All above information must be submitted pribr to processing of applicaGon.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of MinnesoTa Statutes and City of Eagan Of~mances. ~~~~21~~'1~
Slgnalure of Applicq~ nv
~ i-
Certficates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Updated 1101
OFFICE USE UNLY ,
~
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Paol ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garege O 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 LowerLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 37 Demolish (Bldg)" O 43 Reroof 46 Windows/Doors
? 34 Replacement `Demol'rtion (EnHre OIdg ohly) - Give PCA handout fo,applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning tity Water SAC Units Stories, Booster Pump Nbr.,of Units. . Sq. Ft. PRV • .
Nbr. of Bldgs . Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings(addition) _ p]umbing
_ Foundation gypC
Drain Tile
Roof _ Ice & Water _ Final _ Other
- FT8min8 _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Windows (new/replacement)
Approved By , Building Inspector
------------_~_-°---------_.___~r_.___-------------------._,_,___________~____.____
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies '
Other
Total
Address: 4210 SLW ppM Lot I Blk I Sec/Sub gpj][,pER gIDGE 2[Jp
• These items were/were not complete at the time of the final inspection.
Da e: '62791 Yes No O~ lnspecrnr,
Final grade (6" from siding) Parmanent steps - garage ~ Permanentsteps - main entry
Permanent driveway L",
Permanent gas ?
Sod/seeded grass L/
Trail/curb damage
Porch L/
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeza potential exists. ~
rccmEOnvu
White - City copy Yellow - Resident copy Pink - Contractor copy
Address: 4202 SLK~_r ppM Lot 5 Blk I Sec/Sub ~DER gip(E 2Np
These items were/were not complete at the time of the final inspection.
Da . 7 2 91 Yes No Tngpprror,
Finalgrade (6" from siding) ?
Permanent steps - garage ~
- Permanent steps - main entry
Permanent driveway ~
Permanent gas i~
Sod/seeded grass
Trail/curb damage /LLGy.~e-
Porch
Basement finish
Deck ~
Pleasa verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to the outside lawn faucet before
freeze potential exists. ~
a~o..~.
White - City copy Yellow - Resident copy Pink.- Contractor copy
'AddTetS: 420$ SMCC ppINT Lot Z Blk I Sec/Sub $pULDgt g,TD(E 2Np
These items wara/were not complete at the time of the final inspection.
D' . 6/27/91 Yes No
Finalgiade (6" from siding) ~
Permanent steps - garage il~
Permanent steps - main entry ?
Permanent driveway
Permanent gas ~
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish ?
Deck
Ylease verify vith the builder the removal of roof test caps £rom the plumbing
system and the shut-off of water supply to the outside lavn faucet 6efora
freeze potential exists. ~
~o»~a
White - City copy Yellow - Resident copy Pink - Contractor copy
Address: 4206 SUy„r ppINT Lot 3 Blk I Sec/Sub BOWER gIDM 2M
••These items were/were not complete at the time o the final inspection.
9/4/91 Yes No
Final.grade (6" from siding) ?
Permanent steps - garage .
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ~
Trail/curb damage
Porch
Sasement finish
Deck
Pleasa veri£y with the buildar the removal o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ~
.ECn[onrcx
White - City copy Yellow - Resident copy Pink.- Contractor copy
Add-Iess: qZpq BO[1I,pER RIpGE ppINl' Lot 4 Blk I Sec/Sub BOULM Rjaz 2Np
These items were/were not complete at the time of the final inspection.
$/29/91 Yes No
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway ~
Permanent gas
Sod/seeded grass ~
Trail/curb damage
Porch ?
Basement finish ~
Deck ~
Please verify vith the builder the removal o£ roof test caps from the plwnbing
system andthe shut-o£f of water supply to the outside lawn faucet bafore
freeze potential exists. ~
P[LIRFYMRR
White - City copy Yellow - Resident copy Pink.- Contractor copy
~ F~t-Sn[E tINIT ` CITY OF EAGAN
_ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 18578 PHONE: 454-8100
BUILDING PERMIT Receipt # C 11193
To be used fo~ ' 1 OF 5-PLEX Est. Value $89, 000 pyte NOV 26 1990
Site Address 4202 SUMAC PT
lot 5 Block 1 Sec/Su6 BOULDER RIDGE 2ND OFFICE uSE oNlv
PefCBI NO. Occupancy R-3 M=1 FEES
Zoning PD
s Name NEW HORIZON HOMES INC (pctuaqConst V=N BIdg.Permit 590.00
W 12201 MINNETONKA BLVD Allowa6le V~I
3 Address ~ ~ surcnarga 44.50
° Cjt MINNETONKA phon0 933-2521 #otStories -
Y Len9th 2-8-' Pian Review 384.00
~o Name SAMF. Depth SQ-L snc,Ciry 100.00
ga Address S.f.TOtal - SAC,MCWCC 600.00
~ City Phone S.F. Footprints _
On Sile Sewage _ H'ater Conn 625.00
Ww Name GRISWOLD & ASSOC OnSileWell - WaterMeler 90.00
sW AddreSS PORTLAND AVE S MwCCSystem _X_
iE City BURNSVILLE phone $94-6287 CiryWater X Acct.Oeposit 3n-nn
PRV Required X S/W Permit 30• nn
I hereby acknowlege thal I have read Ihis application and state that Ihe Boosier Pump - SnN Surcharge .50
inlormation is correct and agree to comply with all applicable Stale of
Minnesota Statutes and City ot E an dinan Treatment FI 252 .00
SignaWre ot Permitee~ ~ APPROVALS qoa0 Uni1 S S. 00
A Building Permit is issued to: NEW HORI ZON HOMES INC Planner - park Ded.
on the express condilion thal all work shall be done in accordance with all Council
applicable State ol Minnesota Statutes and Cit'yy ~o,f Eagan Ordinancas. gyg, pry, _ Copies
BuildingOflitial in ~.JL-~ I111 VarianCe - TOTAL 3.101.00
~E rrox-SAIE UNIT CITY OF EAGAN
~ 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 18577,1
BUILDING ~ PEFIMIT PHONE:454-8700 ReceiPt# C 11193
To be used for 1 4F 5-PLEX Est. Value $89, 000 Date NOV 26 , 1g~
Site Address 4204 SUMAC PT OFFICE USE ONLY
Lot 4 Block 1 Sec/Sub.BOULDER RIDGE 2N
Parcel No. occupancy R-3 M1 FEES
zoning PD-
w Name NFW H(1RT7nN H(1MF.S TNC (ActuaqConsl V=N BIdg.Permit 590.00
; AddfESS 19201 MTNNFT(1NKA RT.VII (Allowable) V=N Suroharge 44.50
° Cit MINNETDNKA Phone * oi stories
Y PlanReview 384_00
Lenqth
, o Name SAME Depth -SO-1 SAC, City 100.00
0,a Address S.F.7otal - SAC, MCWCC 600.00
~ S.F. Fo0lprinls _
Cit Phone
y On Site Sewage _ Waler Conn fi 5_ nn
w W Name GRISWOLD & ASSOC On Site Well - Water Maler vn _ nn
_3 Address PORTLAND AVE S MwCC Systam X 30~~
,C) Accl. Depasit
aw City BURNSVILLE Phone 594-6287 ciry wacar
PRV Required ~ SI'N Permit 30• nn
I hereby acknowle9e that I have read Ihis application and state thal the Booster Pump - SNJ Surcharge - 5n
intormauon is correct and agree to comply with all applica6le State ol
jj.rdinan e`~ 7reatmentPi 252.00
MinnesotaStawtesandCiryof ga
Signature of Permifee ~ AP7HOVALS Road Unit 355.00
A 8uilding Permit is issued lo: NEW HORIZON HOMES INC Pla""ef - Park Ded.
on the express condition that all work shall be tlone in accordance with all Cou^c'l
applica6le State ot Minnesota Statutes and City ol Eagan Ordinances. BIUg. Ofl. _ Copies
8 n R o,: d f T~ Variance - TOTAL 3,101.00
Building OMicial
IG S~1-SE ~~~T • CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 N2 18576
' PHONE: 454-6100 BUILDING PERMIT Receipt# C 11193
To be used for 1 OF 5-PLEX Est. Value $$0, 000 Date NOV 26 , 1990
Site Address 4206 SIIMAC PT OFFICE USE ONLV
Lot 3 Block 1 Sec/Sub: ~n~ RIDGE 2ND
P2fC01 NO. Occupancy R-3 tL--1 FEES
Zoning PD
~ IName NEW HORIZON HOMES INC (Aqual)Consl V-N Bldg.Permit 550_00
; Address 12201 MINNETONKA BLVD (allowame) ~
° City MINNETONKA Phone 933-2521 8 of Stones _ surcnarga 4n_on
Lengui 2A! Plan Reviaw 357.00
, a Name SAME Deplh SQ sac, city 100.00
0, a Address S.F. Total - SAC, MCWCC 600.00
~ City Phone S.F. Foolprints -
On Site Sewage _ Watar Conn 69 5_ 00
~w Name GRISWOLD & ASSOC onsiteWell - WaterMeter On_nn
~i Address PORTLAND AVE S MWCC System X Acct. Deposit 30.00
aw City B TR~ PhOne 894-6287 Ciry Waler _x
PRV Required ~ S/W Permil 30 _ nn
1 hereby acknowlege that I have read this applicalion and state that the Booster Pump - SnN Surcharge - 50
inlormation is correct and aqree to comply with all applicable Slate of
Minnesota Stalutes and City otEE~~~ ~a!!yOrdina!~~Ce~_ Treatmem PI 252.00
SignaWre of Permilee.. I - APPROVALS aoaa unit 355.00
A Building Permil is issued to: NEW HORIZON HOMES INC Plenner - park Ded.
on Ihe express condition Ihat all work shall 6e done in accordance with all Council - 1.00
applicable Stale of Min/n~esota Statutes and Cyiry o~( Eagan Ordinances. BIdg.Oif. _ Copies
Varience TOTAI
BuildingOHicial ~~u~j ~J - ~(~30-Sn
1~OWq1OUSE FDR-SALE UNIT
IATS 1- 5 . CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N4 18575 PHONE: 454-8100
BUILDING'PERMIT Receipt# C 11193
Tobe'usedfor 1 OF 5-PLEX Est.Value $80,000 Date NOV 26
Site Address 4208 SUMAC PT pFFICE USE ONLv
Lot Z Block 1 Sec/SubBOULDER RIDGE 2N
Parcel No. occuoancv R-3 M=1 FEES
Zoning PD
a Name NEW HORIZON HOMES INC (pctuaqConst Y-N BIdg.Permit 550.00
; AddreSS 12201 MINNETONKA BLVD (Allowable) ~IQ
S
0 Clt MINNETONKA phone 933-2521 t o15tories urchar9e 40.00
Y Length 24' Plan Review 357.00
. o Name SAME oepm 0'. sac, City 100,00
gQ Address s.F. Totai - snc, nncwcc bnn _ no
¢ City Phone S.F. Foolprints _
On Site Sewage _ Water Conn b 9 5_ 00
~w Name GRISWOLD & ASSOC OnSitewall - WaterMeter qn_nn
Address PORTLAND AVE 5 rnwccsystem X
i~ City BURNSVTI.i.F. PhOne R94-.69R7 CiryWater /+~ct.Deposit 30.00
PRV Required x_ SNV Permil 30. nn
I hereby acknowlege that I have read this application and stale that the Booster Pump - gNd Surcharge .50
information is corract and agree to comply with all appliceble Slale ol
MinnesOta Statutes an anJdinan~1~~2 Treatmanl PI 95 - nn
SignaWre of Permitee APPROVALS Road Unit 3 S 5_ 00
A Building Permit is issued to: NEW HORI ZDN HOMES 7 NC Pianner - park Datl.
on the express condition lhat all work shall be done in accordance with all Council 1.00
applicable State of Minnasota Slatutes antl City of Eagan Ordinances. gidg, pff, _ Copies
"nAbq VA.1 * Variance - TO7AL 3.030.50
Building Otficial
TOWNIIO[JSE FOR-SALE IINIT
II7rs 1-5 , , CITY OF EAGAN NO 18574
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERV1T Raceipt # C 11193
Tobeusedfnr ~1 OF 5-PLEX Es1.Value $80,000 Date N(1V 9 ,19 90
Site Address 4910 sinMnc PT
1 Block 1 SeGSub.BO .DER R D.. ND OFFICE USE ONLV
Lat
Parcel No. occuPancy R-3 I-1 Fees
Zoning P~
w Name NEW HORIZON HOMES INC (Adua1) Const V-N Bldg. Permit 550.00
3 Address 12201 MINNETONKA BLVD (Allowable) V=N sumnarqe 40_00
° City MINNETONKA Phone 933-2521 aoistodes _
~ Plan Review 357.00
Length
. o Name SAME Depth 5w sac. cny 100.00
0a Address S.F.TOtal - SAC,MCWCC 600.00
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn 625.00
Wu¢i Name GRISWOLD & ASSOC OnsiteWeu - WaterMater 90.00
iE AddreSS PORTLAND AVE S MwGCSystem xx
~u Accl. Deposit 30. ~0
sW City BURNSVILLE PhOne 894-6287 CiryWater XX_
PRV Required xx S/VJ Permit 30.00
I hereby acknowlege that I have read ihis application and state that the Booster Pumv - SiW Surcharge • 50
information is corcect and agree to wmply with all applicable Slate of
Minnesota Statules and City of E an Ordinances. Treatment PI 252.00
Signature al Permitee~~C~ ~/T~~/ • APPpOVALS Road Unit 355.00
A Buiiding Permit is issued to: NEW HORIZON HOMES INC Planner - park Dad.
on the axpress condition that all work shall be done in accortlance with all Councii z, 00
applicable State of Minnesota Statutes and City oi Eagan Ortlinances. gi~, pff. _ Copias
auading oircia~ Alm 1 4 1 n1-N Variance - TOTAL 3,031.50
O OFFl E US ONLV Thiz reqvesl void 78 monihs fiom volidafion daie pnnbd in Ihis b~
2 O~
7 175 ~50
PLEASE PRINT OR TYPE
Request Dob Rough-in impecfion required2 ? Ym Inspection Olher Thon Roigh-In: 0 Ready Now ill Call
- I 0-95 (You mvsf call the Inspecror when ready~ Dote Ready
I, fiaII<ensed <onhactor Q owner hereby request inspeclion of ihe above eledrical work af:
Job Pddrss (Skeel, 0ox, o ouk No.) . Ciry Zip Gode
G ~
SecH n No. Taxnship ome or No. Ron9e No. Fn Nn Counryf
Occ~ Phone No.
r 33- a Z
Poxer Suppller Pddms
Electricol CoMrodor (ComOe^Y Name) Conhatlor LI<ense No. Master Lic No. (Plant EIM. Only)
C.-nillhe; lee,~. ~or~-. C,Aooticx~
Mailing Addreu (Conkocror or Owner PeAormin,,, Inswllarion)
S e . Pa~l 55 io
AuMariaed Sig ature Contmcor or Owner Pe Inswllofion) Phone Na.
' 2Z -zg33
6 ~cl,vl
EB-00001A.&6j9¢ JA STIITE OARDCOGY-SEEINSTRUCf10N50NBACKOFYELLOWCOPY
I"I~ ~ II II REQUEST FOR ELECTRICAL INSPECTION
II Minnesota SWte Board of Electricity 1~;
1821 University Ave., Rm. S-128, St. Paul, MN 55104
~ 0 2 3 0 5 7 0 4* Phone (612) 642-0800 MIM
Home - upez - Apt. Bldg. Other: New Addn
Commercial Indusfrial Fartn Remod Re air
Air Cond. H}g. Equip. Water Hfr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
'X" above die wark covered by this request. Enfer remarks in this space ond on the bock of the white mpy only.
vd plQ.c.-e-
Calculate lnspection Fee - 7his Inspection Request will not be aaepted wifhoul the comecf iee:
Olher Fea # Service EMronce $ae Fee iC Circuils/feeders Fee
Mobile Home Park Aall 0 fo 200 Amps 0 to 100 Amps
$freef Lig./rraffic Sig. Above 200 Amps Ajlga 100 Amps
Tronsformer/Generafor INSVECTOfi'SlISEONLV TOTAL
Sign/Outline Ltg. Xfmr. ~
Alarm/Remote Control
$wimming Pool i haeb om ma~ i m: fie elednwl inzmllafion desaibed herein on the doks stated
Iffiydflon Boam Rough-In Doh
$pecial lnspecfian
Fiml
Investiga}{ve Fee i
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT C ED WITHIN 18 MONTHS.
iv/'/ 9 9~ ~i /
a 2 4 8 6 Lvf- e~u. i,~~~
ReQuest Dale Fire No. Rough-in Inspection
ReQUi ? Ready Now 16V~ill Notity In9pactOr
0- - Qo es ? No Whan Rea0y9
I F4il'censed contractor O owner hereby request inspection of above electrical work at: JoD Ptldress (Sheeq Box ar Raute NoJ Ciry
4d04 Sil Gt, Ea n
SecNOn No. Township Name or No. Range No. County
Occupam (PRINT) . Phona No.
KkAz fl(.Y120r\ HYYI
Paver Supplier Adtlress
nclz~ C.A.C.11 C
Elechicai ConVactor (COmvany rvame) ConVaUOr's Lioense No.
i: U.C-hlC.
Meiling NOtlress (COntmctor or Owner Making I-nst1a`llstion)
4090 - 83rO IW
Autnorizetl Signawre (COnhactonOwner Makinq installation) Phone Number
a
MINHESOTA S7ATE eOARD OF EIECTHICITY THIS INSPECTION REOUEST WILL NOT
Grlygs-MlEwey Bltlg. - Poam S-073 BE ACCEPTEO BV TME STATE BOARD
1811 UnlversNy Ave., 5t. Peul, MN 5510C UNLESS PROPER INSPEGTION FEE IS
Plaiw (612) 842-0800 ENClO5E0.
REOUEST POR ELECTRICAL INSPECTION ~'"`•~'4a ee.ocom-oe
~
ll~ See insVUCtions lor completing Ihis Form on ba<k of yellow copy. 99a 9~
a 2 4 7 8 6 •X" 8elow Work Covered by This Request ~•n,•.
ew Ad6~ Rep.,.' TypeolBuildingAppliancesWired EquipmernWired
Home Fiange Temporery Service
Duplex Water Heater Electric Heating -
Apt Building Dryer Other (Specity)
Comm./Industrial Vfl=umace
Farm Air Conditioner
Olher (speciry) Contrector5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # CircuitsiFeaders Fee
Swimming Pool 0 to 200 Amps ~O 4 ~0 100 Amps -
Transformers Above 200 _ Amps e 10o Amps
SignS Inspedors U. Only: X~/1 ' OTAL ~t-~
Irrigation BoomS
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF N0T
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has Final oaie
been made. ~YiR.s.~g
OFFICE USE ONLY
This request voitl 18 monNS irom
a 2 4 $7 ~o~ 3
Request Date Flre Na. Rough-in Inspection
R uiretl? ? FeaOy Now 51M~~ill Nollty InspectOr
IO -'~-q0 @~'ea ? No When Reatly7
I QTicensed contractor O owner hereby request inspection of above electrical work at:
,bb FtltlresS (Sireet. Box or RoNe Na.) City
c,o UMGG
Seclian No. TownsM1ip Name or No. Range No. Couny
Occupanf(PRINT) Phone No.
zm
Power Supplier Adtlrew
D:.47l'G Eluc~i
Electricai Connacmr (Company Name) Contrector5 Licanse No.
Lhir i hL 3qt)n9-4
Mailing Atltlress (COnVatlor or Owner Making Installation)
40 -ssr6 AuL Nb
mas P~
AulhonEeO Signalure IComrec[orlOwner Making Installation) hone NumEer
5~b- o
MINNESOTA STATE BOARD OF ELE THICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-MlOwey Bltlg. - Paom 5-173 BE ACCEPTED BVTHE STATE BOARD
1821 Univenlly Avo., St. Peul, MN 55104 IINLE$S PROPER INSPECtION FEE IS
P1wne (612) 5,112-0800 ENCIOSED.
~-XREOUEST FOR ELECTRICAL INSPECTION ee-ocom oe
? See insVUCtions lor completing Ihis form on Oack ol yellow ropy ~ 99~1 ~J/
M24787 o< 7
"X" Below Work Covered by This Request
ewAC7dRep. ' Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify) -
Comm./Industrial Fumace
Farm Air Conditioner
OMer (spacity) CanVactar5 Remarks:
Compute Inspection Fee Below:
X Other Fee # ServiceEntranceSize Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - II) 0 to t00 Amps -
hansformers Above 200 _ Amps 70 E s
Si9n5Inspector5 Use Only: p
~ 5p 50
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee . COMPLETED WITHIN 18 MON
1, the Electrical Inspector, here6y Rough-in oate
certiy that the above inspection has F;,,a, • oaW
been made.
OFFICE USE ONLY
This request vok 18 mon0is Imm
~ 24 7 8$ l.o+ Q ; aL V- 1,",
RBquest Da1B FiraNo. RougRin Inspeclion
Notity Inspec[or
Requ r¢tl? G NO ? ReaEy No'e' L9'O~ill When RBddy7
O- es
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet Box or Routa No.) Ciry
~-aos E
Sanion No. Township Name or No. Range No. Coumy
Occupanl(PRINT) Phone No.
fJQ,iz ~U11 }~r~'l5
Power $upplier Atltlrass
(aqlO{0. IU.G-hl(:
ElecVical Comractor (Company Name) Cont2ctor5 License No.
Mailing Atl4rBSS (ConVactor or Owner Making Inslallation)
40 - 0k0 m mn) 5443
AulM1Orized SlgUnaWre (ContractorlOwner Making Inslallation) Phone Nu4mber
T ?W-
MINNESOTA STATE BOAHU OF ELECTiiICITY THIS INSPECTION REOUEST WILL NOT
Grlgge-MlEway BIOg. - Noom S173 BE ACCEPTED BV THE STATE 80AR0
1821 Univerntty Ave., 3L Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Ptroiw (812) 661-0800 ENCLOSEO.
C/ / D REQUEST FOR ELECTRICAL WSPECTION Ee.oooo, oe
See insVUCtions tor completing this lorm on. back of yellow copy. ~ , 9~
H2.1 . 788 ')f" Below Work Covered by This Request ~
e Aob111pep. Typeol8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Vuplex Water Heater Electric Heating
Apc Building Dryer Other (Specify)
CommJlntlusVial Furnace
Farm Air Conditioner
Other(speciry) Conlractor§ Remarks:
Compufe Inspectian Fee Be/ow:
# Other Fee # ServiceEntranceSixe Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 AmpS ~Q 0 to 100 Amps 40-
Transtormers Above200-Amps At Amps
SiyI1S Inspedw's Use Only: TAL
Irrigation Booms
Special Inspec[ion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEE) IF NOT
Other Fee COMPLETED WITHIN18 M S. the Electrical Inspector, hereby Rough,in
certify that the above inspection has Final • ~a1e
been made.
OFFICE USE ONLY
This 2quest voi0 18 monihs lro.
~ 39393= 1-
aeamst osa Fire No. nouqn-iri inspWion y Repuired9 ~eady Now ? Wll Notly Inapeclw
. I I- -7 l- Q'das ? No Nfien ReeM4
ILKicensed coniractor p owner hereby request inspection oi a6ove electrical work at: .b0 /Wtlress (Sireel, Box or RoNe N0.) Cily
I PF, . n
Sectian Na. Taxnsliip Name or No. Ra~ge No. CouMy
. x
Occupanl(PHINT) , Plrone Na.
KZa,J F~mzcm
Power Suppker Atltlreu
OQ1Le'fC,. Eltz-iC.
Electricai Comraclor (COmpany Nema) Contractorb License No.
aY)ri Elechtc 'A'Y18-4
Mailinp AdOress IComrxbr or qmer A7nkirg Instelle0on) . 401;0- rr) Aue, n1 mPLs rJ 5"x443
AWIqrizeU Signature ICaMro[IOr/Ownx Making Installalqn) P1wne NFum~E~e~r ~W -9`b00
MINNE60TA STATE BOAND OF ELEC7PICIT/ . . THIS INSPECTION REOUEST WILL NOT
GrlpgpMMway BMp. - Poom S173 . BE FCCEPTED BY THE STRTE BOAFD 1827 Unlvaniry Aw., St. Paul, NN 551M . UNLESS PROPER INSPECTION FEE IS
VMM (612) 6424MB00 . ' ENCLOSED. ' . .
REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe
"Se,e insel br completing this fortn on back ol yellpw copy. ~ 9
T
39393 'X" Below Work Covered by This Aequest V,w
ew Atld Rep, TypeotBuilding ' AppliancasWired EquipmeniWired
Home Range emporary Service
Ouplex Water Heafer Electric Heatin9
Apt. Building Dryer O[her (Specify)
Comm./Industrial Furnace
Farm AirConditioner'
Olher (specity) ConVaclor5 Remarks
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSiae Fee # Circuits/Feedew Fee
Swimming Pool . 0 to 200 Amps 0 ro toa Amps
Transformers Above 200 -Amps A _Amps
SignS Inspector5 Use Only: - TOTAL
Irrigation8ooms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouqn-in oace .
certify that the above inspedion has FlnaJ Da 00
been made. i
OFFlCE USE ONIY
This rgquast witl 18 monins ho.
H
a"24N9 LcA- I ~ Bik
Ri Date Fire W. Rough-in inspenion
Repuiretli ? Reatly Nav ~SVill NoUty Inspector
l~ FFles ? No When Reatly7
I Ijd'ficensed contractor p owner hereby request inspection of above electrical work at:
JaU Adtlress (SVeel Bm or Route Noj City
4 l S~rv1c~G R, . E.a
Section No. 7axnship Name or No. Fange Na. Caunry
a
Occupanl(PRINT) Phone No.
fJ~ H(Y7ZGY~
Power Supp'rer Atltlress
L7Gk0+0, Elox-~1( G
Electncal Convactor (GOmpany Name) Contraclor5 License No,
S~rYS~ fi~c, ~'1 -q
Mailing AOOress ICOmractor or Owner Making InsWllatian)
4030-5MZ3 Aoe- 00 mPla meJ 5*3
AulhoriEeC SlgnaWre IGOnVactorlOwner Making Installalion) P~one Number
SK a
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT
Griggs-NlOway Bltlg. - Room &173 BE ACCEPTED BV THE $TATE 90ARD
1821 Unlvenity Ave., SL Paul. MN 55106 UNLESS PFOPER MSPECTION FEE IS
Phana(81Y)6i2-0B00 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION E&OWOt-OB
jl~ See Insimc[ians for completing ihis larm on back ol yellow copy
M24789 X" Below Work Covered by This Request
ew 7ypeof8uiltling AppliancesWired EquipmentWired
- Home Range Temporary Service
Duplex - Watei Heater Eledric Heating
Apt. Building Dryer Other (Specity)
• Comm./Industrial Furnace
Farm Air Condilioner
Ofher (specify) Conlraqor5 flemarks'.
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuils/Feeders Fee
Swiriiming Pool 0 to 200 Amps j- j(~ 0 to 100 Amps ~Q
Transformers Above 200 _ Amps A e 100 Amps
$iJ0$ Imspector5 Use Only. 0(J 70TAL
Irricjation eoom5 J ~ 595-0
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED SCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
C
cehifythattheaboveinspectionhas F;nsi i oa1g~_`~~
been made. /
OFFICE USE ONLY
Tbis request mitl 1B manths from
f
Lpq 9 D,)- 2005 RESIDENTTAL BUILDING PERMI'C APPLICATION 'G
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reaui2ments . RemodellReoalr Reauirements Oflice Use Onlv
3 registe2d sile sunreys showing sq. ft. of IoL sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N
(20%maximmn bl coverege allowed) 1 sel of Energy Calculations kr heated adddions Tree Pres Plan Recd - _Y _ N_
2 copies of plan showing beam 6 window sizes; poured kund design, etc. 7 sile suney for addNOns & decks Tree Pres Required -_Y _N
lselofEnergyCalculations Addltbn-indkateHonsitesepticsystem On-skeSeptic5yslem _Y _N
3 copies of Tree Preservation Plan H lol platted eNer 711193
Rim Jo'st Detal Options seledion sheet (buldings witlh 3 or less unRs)
- ,,,c i
Date / W~ Construction Cost TnnC7 0 00
Site Address L{oZ le) 4d0V44166ii '00q t W0e2 4j „vA[' P+' UniUSte #
Ec~ .-trU ~
Description of W ork (~~~EsusriNC~ rftsoaRO soacrIarrAIj- Mnrr(pa VmYLISLWlrj vjk
Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2
o KY,'-T° Vl]K.b`l
Property Owner &t)LbM gIoCsf- TO~WWN FirOrVv--S Telephone#((yj1 )qGZ SO`fq
Contractor eLC7GiC l.pNb'TY.VC-TI1711 jNc
Address i2~?-q Tl)CKEe, F.n CitY kp(rj~_f~,,s
State ffm ~ N Zip 5 37 Telephone #(61 Z) ZbZ- 68 15r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Resldential Ventilalion Category 1 Worksheel • New Energy Code Worksheet
(4 submissiontype) SubmiKed 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 J
Sewer/Water Contractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approv plan n the ca e of work which requires a review and
approval of plans.
N,`IFL_ A bLcx.K
Applicant's Printed Name ApplicanPs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 MuIG Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 37 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building 0 42 Demolish Founda6on ? 45 Fire Repair
? 33 AReration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ' "Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy . MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. -
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas 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
~ COMMERCIAL
5S 773 2002 BUILDING PERMIT APPLICATION
'l CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• SUUCtural Plans (2) sets • Architectural Plans (2) sets • FuchltecW21 Plans (2) sets
• Civil Plans (2) • SWCturel Plans (2) • Code Malysis (1) "
• CertificateofSurvey (t) • CivilPlans (2) • ProjeUSpecs (i)
• CodeMalysis (1) • LandscapingPlans (2) • KeyPlan (1)
• PrqectSpecs (1) • CodeAnalysis (1)" • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calwlations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighting Form (1) notalways"
• Meter size must be established • Meter size must 6e esfablished • Meter size must be established - if applicable
. ProjectSpecs (1)
i . EnergyCalculations (1)
l . Electric Power & Lighting Form (1)
1 • Master Exit Plan (7) L
1 • Fire Protec6on Plan (1)" d
1 • Soils Report (7) 1
• MGES SAC determinaGOn letter . MGES SAC detertninatlon letter • MGES SAC determinaGOn letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities - su6mit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: I WORK TYPE: NEW RE OD~ EL~ CONSTRUCTION COST: 15" r?J' r.
SITEADDRESS: 4WA - 4-0~I~ LL.L~. YYLQ1 ~ ~ f
TENANT NAME: SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK--qOKle VQ C`UIYT'
Name: ~ft amfr anr -'1 MIMC ` oae ^IU~' d~~~
PROPERTY Last First
OWNER lN' ~
S[reet Address: , (IN 1 l
City: n `ka(L,1 I State: Zip: ~~U L-L
\J
Company: Phone#: ( 651 ) l-i_X7 -l ~U-hlJ
CONTRACTOR G
Street Address:~ ~'DO
City: State: -UN Zip: E6 ! I 7
ARCHITECT/ r--
ENGINEER Company: Phone
Name: Registration n~ II~ I'
~ ~ ~
StreetAddress: _ UI
Ciry: State: Zip:
Licensed plumber installing new sewer/watar servlce: Phone
I hereby acknowledge that I have read this application, state that the informatio correct, d gr e o cor~ply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ~(A I
Signature of Applicant0 J, 4 "~S-Aajj-h updated 1/02
OFFICE USE ONIY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Aparhnents ? 27 Commercial/Industrial ? 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. ft. MC/ES System
(Allowable) First Floor sq. ft. Ciry Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation q Plumbing ? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC % 5AC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
. ~
, ,
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
/ oF S ~EP 1 r: rEC,
To Be Used For: Valuation: ~ Date:
Site Address OFFICE USE ONLY
o00 ~
Lot S Slock FEES
Occupancy R^3 M_f
Zoning PP
b
Parcel/Sub Actual Const W/J Bldg. Permit 5,10,0
Allowable V-N Surcharge 44,.S6
Owner -;41~iyGS # of stories Plan Review 3zq,
Length 2$ SAC, City I00,00
Address Depth $O SAC, MWCC (~bp.00
' S.F. Total Water Conn i00
City/Zip Code &22~t9 j S3y~ Footprint S.F. Water Meter o Da
, Acct. Deposit D.Do
Phone On site sewage_ S/W Permit 30.00
On site well S/W Surcharge SO
~
Contractor MWCC System Treatment P1. zsz•Co
City water Road Unit' S100
Address ~ PRV ~ Park Ded.
~ Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty ~
Phone Planner TOTAL
Council
Arch./Engr. /SLlJo6~~ SSoG Bldg. Off.
/ Variance S
Address ~Qr~iVq ~G~ ~City/Zip Code Phone
. . ,
I 1 1- I,.; I d, I 1 11 i l 11 • 11 4.0111-1,1 ,,,,OU
~le.w HorIZON YhMES 4~3 -4oSS
nI,.,$ nd.~~I W„ I", 4-25-aP, a
MoPC-L- a6 er/D
~ n~~rr„Ai:i. i n:r.ai.'r-r:r.r n~• . .
V;d i. ,v;in Amivr Cr.;,ur 1-1 c•1 ri '111.
~i i•. i~.~i~~..~~ .:i~~ :,I~,., r:, i~~~.~~14 b~•i~~.li~ nr ,.:ill . ~
, . . . . 74 4-" qS s~+.
240 ~p}1.
i"~ .ii ..I ii ii~,~..1 ~:ill :J~,~.:~• i'.i:,~l,• JIJ s hi-ip,hi ef 1::11l S`~I.
,..,,..i ..~...~,~...,:,ii :~i.,,.., ~•.~„L. 2~5 ~ i~~~tri~r :d,o,.,. ~.~:~~i.. 2;. ~ ~"r
i 0.".~.. 225~' ,St'}'.
. °i~~ ..:~i~~.. .
NnRco 32aa nr+ MUu::,,. A.3.x 30°.9~ ,SS O.5 un(,;)
$22`F pH =q. S° 45.- "n°
. . ri, _ ~ ii•l(A)
,
..2_10= (I') (A)
2o?14 Vil ti x
eT' Rn.._Y2 2ND 6h' (r) (A)
q' eia V4 KNP_...FK_~:,~. r~._2,x 3`. ~a •46 ,L B (I i)(A)
- 111) rn)
nq. r~.._ x
(u) (n)
~ fc. -
. . . . . ..i~„-- ' fl!)(n)
_ sq. -(1!)(A)
-
5q. ft. . s _ " . . .
. . _ . .
(u) (n)
. , .;q. fe._ . .(u)(n)
. ~q. (L. y . . . . .
(17)(n)
<<
, -(u)(n) _
- rc.
(V) (n)
fr.. ~ z
-9~
' y II . . (•i)(A)
.~q. fi-.. ' . . .
(1')(A)
' ..._'._-__pq. fC.
_ . . it• 0')(A
)
1(~ ~t --S°-=---
,
F~i~c4riT~~ P~vtknrrl r~. 3o r•u„ .06 (11) (n)
. I~YU'cpD a _22`7 (u) (n)
~L?~~-_<,. [c.--- `n= ~ u~• . 61 ~LI ~ 4.(11) (A)
rl . (u) cn>
109 8
. . 'Ir5Irul[ I2111.1. Clll1:'1'I111C'I'lOh; Aren z "11" vnl.uc
~ 1'ItM1lGilr MA1,7. (toriJ aren Aecs -
~
n
~.i.niiy:, frnnJ.nR 1.n
I~..~:~il rim loi.•,v r••a 6 mnsnnry)
. ~ • [~n~,. .q (t I
fl. _ (I') (A)
II•..01lT'7 oJt~"..._0')(A) .
. aq. fC. Y L~'Q,_ _ .
x
• ' 1
I. 1
ii:~suor~•.., rc,_.abn.v.c. r.radc.- t~ ---~L (1)(A)
si'.
'f0'I',17. Wnll Arp:i 1ncluJinli ^ rl..a.
IJinilna•s Unnrc ZZS. I'll'ML (O1(A) inrni. lu)(n) vni.ueU 2 ~•Y - . nN~r, ..i~..
.
ui~~i~uen~in.-.rni~ni.i;ni.C nni;n~-- ZZS9- s~t~• , . ~ .
' ePillncl'. °I1" Fliuiimm,, .17 ur o.^.s for~.l b.'. famlly dvcl]in95 .
I >liuiinum .77 ilr 7rs, Cor. dll nl'6er huild{ng+: . ~ •
t,r1'I'I' II :Ivvrapr "11" vnl"rs ns r:ilniln[ed nLova dn not merl' rLr I'.nri~pv Codr n,quirrrnvnl~:, Ihr
••Alri"nfr Cnvrlnpr I)n,11`n" n^ indirnl.cd nn I'ngr 5 miV br usrJ.
+ • ' ' '
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 S T OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MiJST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMSER.
/ DF S SEP 29 Reco
To Be Used For: ~'~'ip.ct//.tNL. Valuation: ~ Date:
Site Address OFFICE USE ONLY
~ FEES
Lot slock /
occupancy P.-3 M-I
2oning pD 570,00
Parcel/Sub Actual Const V- Bldg. Permit Allowable V-N Surcharge y~{•so
Owner ///~L(J ~Nf# of stories Plan Review ~ 8400
pp.
p Length 2f3 ~ SAC, City
Address ,C7l/ Depth y7j' SAC, MWCC / 60,00
T S.F. Total Water Conn 66
City/Zip Code //~V7,~ ?l-5~~.~ Footprint S.F. Water Meter osoo
/q Acct. Deposit 130, o0
Phone On site sewage_ S/W Permit o,av
On site well S/W Surcharge jo
Contractor ~(~i-r+~~ MWCC System ~ Treatment Pl. Z,on
City water ~ Road Unit' ",ob
Address ~ PRV _ Park Ded.
Q Booster Pump Copies
City/Zip Code SUBTOTAL
Q APPROVALS Penalty
Phone Planner TOTAL 1
Council T-
Arch./Engr. (7/p/Sr-r1a,~~~SaG, gldg. Off.
Variance J
Address . ~iPT„~/d~
City/Zip Code /J~1iP.vsli/~Ge -~s.3~8 opa's ~6~
~p~0 ~
Phone # cgj
~~~a:.u .~q nuw S a11u~~ uu polu:>tpu~ ::u „u'AFsa~~ eJu~,.~ui_~ .~I~:uialJ..
.n~i leaw Juu op anu.jc')JaCIIIJcI:J 9l :iJll'l:A •~II.. J~ICIJiJ: II ilu?
. ::Nulp[}uy laq:ia .101 . "i mum~iill:
. ::'AU~~~anp 6[Imc) L V I aoJ ..al ( .n "euuiu! ll ' ..tl.. .I:PnIJdv
V`.IHV 'I'IV21 'IVI01' Afl ?'9UTAlU
}~b . _
_ ,
(v)fN _tviui
~1 lV1UU 'lV1U.1.
0 Z.~.1..._ 'du.pn(7)uj celV I IUFI I1'.L().1.
'-1~ 0~21
o~ 6S
~ x •i~ ~b> npria ~titsq ~ ~ ~ i
. (V)( 1) calL,
..~.iam w
- (V) (d1 •be_.-_IlcnuT q
(v)(:i) cfv 6; .d7.. Og~~ ~ ...P u..
u'c ~Aaqme•.n Aunm:1 j •..0.l ywJu
'i"IVN Uillitiil.l
x ve.IV ~NOLI.JIIllJ.S;IILi flhR ]Illuti.1i1 ,
(V)~II) < IJ I . . .
(V)~II)
- (v)c~u o.4.1 5~ L~ ~s c~~(G1
~~~c~u Z ` 90 _ „u„ O~- ~1.N'dA~d ~ziL~+. :)'4eq':A
- -
-
Ivlf.u .
- ~ ~~u„ _ .
(v)GU e,
-Ls '
-
~.:I~.
. . . . . ,
(v) (;U . . ` I~II~~ x .11 _ .
, , „11,~
. _ . _
(V)(O) a J
(V) (11) ' _ .
. ~1 'Le
(v)(N „n., * .
(V)lfU,. ~ij
-I,::
_ . ,
(V) Gl) '.~1 ~ .
. . ...~II.. ^ 'll 'ba
(V) IiU .
(V)(!I) 'L5
~ ( 1')(il) (v) c.u 8-i 2A
. .
~ (v)6u~
Sb = Sf.k.s HQ biZe.
~t
~vic~u ~j•6-b cg• ..u.. - o~ ~0q, bZzw O~-2~0
~S I~Z .iq~d~.,y ~ -.,1, 1:1~,i .,..,..i.:
oCd
•-~s p iZ,l I 1 ~ ol ,
i 111.1 i.i ~niv:r1 :i:u,ue v.i:iv -i i•::, u:i:,Il,i:.~i '
.~u .i.:r:i,i ~IV.r;i i clv:i:i,;v
ON3 -raaow ab~tial ztac[-,n~ ,
9G-5 Z'17 .i l i! p~'V ~.,,.ta ._~i..d....i i i~ ~ .
SSo-b- Ce- ~~b xa~-r1 SaW41 Nn-ZidoFi nn-)fd
,
?ill.l\'I:I.IIuI.~ .,II.. .If•\'81eY I v~Y~l.\I:.I ...il.i II
~
u
y ' •
~ .
1
' OuLSiJc :~i.r film
4 _
~ -
) !5'~ 1)ryvn I 1
7ueerln~' nir filin,
_ _ . . _ . . . .
' ~ - 'f01'AI. Il
U
tluCSiJe air Cilin .LJ
1.nsula[i.on
. . . . .
I)ryvnll ..-_.~5.._._
JnCerior nir fil.in .G7.
,
. 'CO'fAl, It
U = 1/R
Oufside air
'Su1lt_.up_rnofinr .-__•.~J.......... .
'InSUlaCJmi ' -
'
,,,ood Aeckinll
_....V _ inCerSor ni.r (il.ur .LI
. ' 'f0'fAL 4 ' .
. cnnl'/r.GI1JN1:: . l'(IiAl. AI!IfA: sq. fC.
Urtail xSq. 952 _.-___.23•P~ (1!)(A)
- -
i abavo, "U~~ x sq. f l.. (I:) (
I . i m
__(U)(A)
I~r^ci'i6e np~•nin~,s ._...._-_'___-_~u~~ -x sq. ft.__'
-
in 'rnf •,U" x sri. fC
U x sa. (c. ' (")(A)
x .^.q, fc._
-----a sq. f t..-____ . (U) (A) '
_
r01'nLs,q52 sn. rt.. _(c)(n)
rorni. (u) (n) vni.ucs ~ -
invinrn nv 'rorni. ronr/ 23.8 / - - . 025 n~~r.. ^r"
nRan
nPF:RACF. "U" .US for venCi] nlll,,d roafs
' .lb (or a11 nncp.r consCrnr.[1on
8O I'E:. If nverat,,n -C" vnlues as calculafed nbove do noC mcel 1'hr e„r~rnv f.~,dr n+qpllrements, fhe
. '•Allctn:icr. V:uvelopc Drs1rn° As lndlca[ed on 1'nge 5 may Le uped.
.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUGTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
/ oF S
"sEP ~ s RG'7
To Be Used For: Valuation: ~ Date: 9~9 9~
Site Address we~CO 'T• 949OFFICE USE ONLY
Lot .3 Block / FEES
Occupancy R'3 M_1
p / Zoning pD
Parcel/Sub OD~i~i/.!' /IfGE /r6. Actual Const V-PI Bldg. Permit CJ'.SO,oo
Allowable V-A4 Surcharge O o0
Owner /!'~/~/fYD~.~Gi//q~iiwwS'::~~• # of stories Plan Review po
p Length 2y' SAC, City 0 oa
Address /.JI/z/ Depth SO' SAC, MWCC 1,00-8.
~yy S.F. Total Water Conn 00
City/Zip Code ~~2~.3 Footprint S.F. Water Meter 4a•°D
Acct. Deposit D.oo
Phone On site sewage_ 5/W Permit o0
On site well S/W Surcharge
Contractor MWCC System L" Treatment Pl. 25Z,oo
City water ? Road Unit' 00
Address ~ PRV Park Ded.
Booster Pump Copies ,oo
City/Zip Code 'z"Ofe SUBTOTAL
APPROVALS Penalty
Phone ~ Planner TOTAL .
Council
Arch./Engr. C9~t°/Su1e~~c SSOG. Bldg. Off.
Variance S
Address ~iPTI./9~?C~~~! ~o•
City/Zip Code ,~,/,+'•Y.fdit/,.c~ ,j,3,~?p /NOAc`L~$5Phone #
,
..I ~WI P„~,;I I „T I
~ TJEtiv Hv~IZON YbM~S .;~~.i~.,., 'P o. 4~K I~o1 i~~~.~,.. A•73 -4oSS
~
, ~oUt,~~12 IZ~t~9~ nAOD~Ir ~S .GC-NT~~
~
~ nvi:r.al:i
i~crocru cniI nr.r:n Anovr ~!r.r,nr ri~r!iir un.
10 ' or
, , ,
2b,
I,.•;,.I,l „l
24 > r,, i o,I
11.,,,, 5:1:1.1.. 1 ,i,l i l,,:
, , N0(2,C0 ~z29 C~tt Mvu:-i. n.2X 30~. (Oo - .55 33•o n~i~,,~
IS=3o Y~.u " SS Ito•5 n~~cn)
. ~ ~,i, n .
. . i. (11) (n)
IY/r 2-8T,.(0 (n)
" q. (r. a s C: . .
(II)(A)
~ .q. (I. . . . . ~(II)IA)
. .
. . y n~~~i .
. . ~q. fc. ~ ~.~~,r .._(U) (A)
. _ . ~I
. sq. (C. _ e II . _ . . A
- (u) (n)
---sq rc.,_ y ~,r~-. . _.(u)(N
_..._(1!)(A)
__Sq. fl
II~ .
' ' ~q. CC. _ . ~ . _
_.._.._(I')(h)
~q. f[. x
(:l)(A)
. ~
(I1)(n)
fl'.. y
62.3
, ,
. i,~~.
rl ---Z~-r "u"_ ..06 40 . (u)(n)
t [r.__ x u .3S - 3 D ._.(1i)(n)
_ ~l?vt- <<, rr.__. 4!1__ . u . Si _!Z1 4 (1i)(n)
Sru>(n)
r~ .
99 ~k. --•-..~.=3
'n'A-Inl-. r AI-1 CnPC111UC:f1UN; Arr;i s"II" vnl.un.
ilIM111P71 WN.L (COl'-nl. +ren ).e^•s . . .
npr.ninp„ fcnminR ~rmLer.^, i.n
la•iuil ~~Ir.~ „nll. rini jotsl. nr~:~ 6 ma.^,oiv'Y) (.~(~G
fl.'"___!"':.J' x ~•ll"' .~Q~'+ - 2s•Z (L)(A)
i I,,, i (I') (n)
CO~L__
Il ~ • iC.~~.niLU iu wnll °q• f~
_
r. u .D3ri 3 ~')(n)
~ , ~ -
-----<<i. r~.---'z.~-- - . _ _ cr)c~)
i,li_.io ,!:i_:, _rca---
i-insoilr}'_ ai-ca._ob¢v.c r
(o~n4
. . 'I'0'L11. Idvll Aira lncivdinp, .
.~.,,,,AI. 111,(n) ~ - o. t 4
inrni. (u)cn) A,~C.
i1ivinr.n ~in~ ~il~~rni. ~~.ni.i~, nn[A--~~ ~ a.Tk. .
' t"fJUCi. ..U" Iiiuin~nin .17 ui I~.ss for 1 b 7(amil.y Jwc•IlinW: ,
Ninimum .22 ~~i )rss for nll ol:lIer buAldiu{;r. -
iLrl'I.' II :~~•~~i:~p~ "ll" vnlurr; n~ r:ilcnlntnd nLnvr do nn[ mef,f rlir ICnrrp.v
r
' °Plr'n:iir Pnv,•lnpr ?n.;~i.n" nc indicnl.cd an I'nF~p 5 mav b" w:rJ.
, i I.q~.. . .
- ' I'.On!' f'ILJ I.I IJ/:
• . ~ ~ , . Ovlsidr :~ir lilni
~
' Insulntiun -
nir I'ilin .LI .
. _ . . _ .
10 'I'AI. II - ~
. . . . .
Ou[slde air [llm .GJ.
' lnsul. [ion
»ryW.111 .,,s
-r
i
. . . Zn[cr7.ur nSr fiLn . .hl.
- 'CO'fAl. R ~
, ? ° 1./R
OuCS1.de :+ir f1.]m •17
. . _ Ruil[_np.rnofinv . ......•.1~..._.._._.
/
r- ~
Incul_aC,_ on
\ 11 ~v- . . . .
~J / Itood deckini; .
' . _
~ . .
,
ai.r (il.in .67
` ` ~ .
l'nrAl, n, •
.
U - 1/Il
ItUOI'/C: li 14.1 NI:: .
161111. AItIG\'. sq. [t. .
I~clr~ll rcfrrnucr "p~~ (U)(A)
hrnn nbnvc. .U, r. sq. (f.' (11)(A)
I) 2 ° 2 (u) IA1
nprnin~s ~jKY1~~C~1~'-~~U•~~__ 9 fl .
r.^.erlbr x 5
Sn rnnf . . U., x aq. ft..__'"_ (1:)(A)
_
z sq. ff..---- - (1')(A)
. . .,U.l '-_x sq. fl'._____' _ (U1(A) . .
U.. x sy. (f..__'__ (U)(A)
1oI nis Illlv ~q. r~., '~?(o-~_(c)(A),
rorni. (u) (n) ani.urs ~
invtncL) nv rurni, r,oor/ nvr.
ceti.tur.nnrn /lI1~oS~}
AVERnCIt °u"- .OS fnr venCil-[rd roo(S .
.10 (nr a1.1 othnr consCrncNun '
. :7n'I'I!. If nvrrngc "C" .~nl.ucs ns c:ilcnl.n[ed nbove do nol mrr.t.l'hn-linperl}1' (:q)dr rrquiremen[s, dte .
"Al1n111:Ltr I(nveJope pesiFn" n.^. lnditated vii 1`ap,v 5 mny 6¢ uciid. .
.
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWIIER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
/ `S sEP a s RECO
To Be Used For: ZValuation: ~ Date: ~114-
Site Address ~OFFICE i1SE ONLY
~
Lot ~ Biock ~ FEES
Occupancy 'V-3 M-1
ZoninS
Parcel/Sub Actual Const y-k B1dg. Permit 5So.00
Allowable V^N Surcharge -qo-.Oo
c
Owner /yB~V a.P/Zoit/ /'/~~S # of stories Plan Review 35r7„0
Length =~r SAC, City JOO.oo
Address Depth 65y SAC, MWCC 400.'00
S.F. Total Water Conn ,o.
City/Zip Code /[~lNrKA v~s-3y3 Footprint S.F. Water Meter p o0
Acct. Deposit D.os
Phone ~o%Z On site sewage_ S/W Permit .$O.w
On site well S/W Surcharge ,56
Contractor MWCC System I/ Treatment P1. Z oc
City water ~ Road Unit' Soo
Address ~ PRV Park Ded.
~ Sooster Pump _ Copies /.oo
City/Zip Code SUBTOTAL
Q APPROVALS Penalty
Phone Planner TOTAL 30'~
Cougcil
Arch. /Engr. .~°iSw ~~E sSoc Bld Off. 7JFI
Variance
Address ~~TlA~d~iJv`~
City/Zip Code Mopa'StS~
Phone #
,
~ ~ ~
j ~
SS
4-7 '5 -40
~ . . . . . .
AdJii i,111
~o~~~~ ?~~nc~~ ~o~~~ 85 c~T~
A, ) I:.,,:1. ~ INI ,,I. I:EE-I
1 11 ,:;,t , ,,NA ,,lti,,,l ,:P,,I,I
0 ,.,:0,. 'lo' h,.,,.h 1 1,r
1 ~ - 4" ~ ,o.~•
2b '
n I ,,,,;,dl. 24 . ho,,:I,f ef ,::,11
:li,,...,, ~:~:~d~. ~ i~~•ir.i~~ ,i.~~,.~. ~.~-~~i,. _ -
I „I ,1. , ,1 1 .11 ,.1 I,t,. il,, 54.
. . ..:~i,,,. .SS 33.o
No(LC.O "5224 nH MuLL<.J. f 1.2 x 30F. (Oo ..i,.. nl) i,t)
32i_.. ~~i. n.2_X IS °30 ~'•u• .~S 1(0•5 nnca) .
W) (,v
_ - ~~u• .
nV(n)
. _ i i..
'
Y.z RrvDfc. %.G_ _?.8 m) n)
-q. 0)
• r~. X „~i.: (u)(n)
~ _ .
„ii„ ~ ~
sq f (a)(n)
. -
I ft.- - ~ ~ . . (~!)(A)
.
_ - ' - -
-
_ _.ru1(n)
„o„ - _ ~ _ (ul (n)
- ~ sq. rc. ~
~
. (u)(n)
.
c<
. '(I!)(A)
(11)(A) .
[ fI:. X _ (U) (A)
' .
. ' - -
' [C. N) (A)
`q
~ <q. fL .(P) A)
-n. fC. (').n)
. 17 ..,,,w - - -
F~t+1125£_ PKvAcN-rl "i. rl.._-2° ..-.9~.. ...lc.!4._:...(11)(n) .
- -
Gq. ri _lS D__.. (n) (n)
Zpq2.vEL rc. u .61 14.._.tn)(n) . ,
- -
cnl(n)
u„
IJ i:OtlS'I'ItU(17l(Rd; Al'ca x"II" vnl.un
I'RAtil[0 WM1I.I. (CnCnl nrnn ).ecs
..,•1inil. frnminp .rmlrcr^, i.n
l avn11, rim jo151. m:~r.
n~~•n F. oiv'y) !
fi~.m Sq. (i 11')(A)
~ o•) (A)
I'inminR.JnemLcr~: ia wall ..q. 1
c~)(n)
x
cq. _ (I;) (A)
_ . Ic. . . _
3o.q•_
,O„,,I. 14,11 ~t,, ,,,<h,diim
M"„d,,,,, & 11,.,,,r.
iurni. tu)in> vni.uis nVr.. "11" p'1a
nivinr.fi m. .i~riAI.-r:ni.i: nilr.A.__ ~=----1---
1l'I'RM1f.I'. Iliniinnm .17 Ies!: foY 1 f. (-11nil.y Jwr17im;s ,
.`linimani .22 ~n' lr.^.s fal' i71 oi'.hCr buSldings -
~ 1:'1'I'I II a~•r~:t~;~` ••U~~ v:ll.ir.: n.^. ralf'a1:1[Cd :IbOVC 'In IF1t n1eN: ClIr I'.IIP,{'Y I:ndr ~'rqt~i~VmCUI!:, 1h/•
••AI~•~u:ilr Fnv„lapr I~~•sin.n" indicnl.rd nn 1'npr 5 mnV he
~ . I!P(Y!~ f_'h:J I,I N/: ~
Oulsidc nir lilni
~
. 7ns" lni.iun
fc rlnr.:1ir lilin LI ~
' 'I'0'1'AI. Il - ' .
..I . . . . . .
~ _ ' . .
- : Oucside air [ilni f 1
/
~ l.nsala[ion ' .
- . . .
. .
i~ryw,1i .4~5
t~r~U~~~
. Intcrior nir fflm
. . 'I'0'fAl. li ~
ll ~ ] /R Il
' OuCSide air fi.l.ln '17
_ !3ul.lt_up.motinr :....•.33..._.___ .
InsulaCfon ~ .
' _ _ . _ _
,~---iTiCl l'~- _ '"s •
I~ wood Aeeking
,
int:nrior air fil.in G1
. /
. . . . . - .
iorni. 1; - -
,
u _ i/u
It0(11' / C li 1 I. I NI:: ~ ' ~
'11)'I'AI. ANEA'. sq. fL. Il~.fr+1l r~!frrrucr .0~.5 z tq. I f. 110__" _(Il) (A)
(I.')(A)
nyrningS l _a 59. f c. (U) (1) -
X 9ri. (C...... (I:) (A)
~~Uo % cq. (c..___ (l!)(A)
- - - -
x sq. ri.---- (u)(n).
_---(u)(n)
zoini.s L) _(c)(n)
rvrni. (u) (n) vni.ul:s
nIvtntu uv ruIni, r.oor/ ~'(v 0•03'L nvr. ~~r..
crti.iuc nla:n % Ill~ayrfi.
nVCRACF "n° .OS fnr vencilnl'.eJ roo[s .
' :10 (nr T11 othrr ronstnicClmn
;lO'I'Il: If nvrr:ik;c ..C" vnlvea ar. r.alrul.nted.nlrove d0 naf monl 11lr Iinpnrl:Y f.odr r,•quirenrel,[x, [he
"Alrni'narr Ifnvr7ape DCS1pn° ns I.nAiCntcd mi 1'ap,e 5 mny Ln nsed.
/
.
I l.
1990 BUILDING PERMIT APPLICATION
GITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
/ # OF RENTAL UNITS
T# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESSIS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
I Dr- 5- SEP 2 6 RECo
To Be Used For: 16`514% / e-*tr1A1, Valuation: ~ Date: 4~
Site Address y21&12 Oo OFFICE USE ONLY
O
Lot ~ Block ~ ~ 3 M I FEES
Occupancy
Zoning pD
Parcel/Sub Actual Const V-hl Bldg. Permit -556.00
Allowable V-N Surcharge 40.00
Owner ~?~~/IO/~ ,~er~GS :~i• # of stories Plan Review ~5,57,00
Length zq _ SAC, City I bD.Ob
Address Depth SD SAC, MWCC ,oo
S.F. Total Water Conn 2.oo
City/Zip Code ~TK// ,~?~'.~y~ Footprint S.F. Water Meter 110.00
Acct. Deposit 30.00
Phone 9~,3'~?~~~ On site sewage_ S/W Permit 30,u0
On site well S/W Surcharge , o
Contractor p~~ (/oi~l~ 95zwCS MWCC System ? Treatment Pl. 2S2.oo
City water &.7, Road Unit" 3S6".00
Address 6a~ PRV L7~ Park Ded.
/J Booster Pump Copies Z00
City/Zip Code ~i SUBTOTAL
Q APYROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. (>it~lSU/o~~~(~1s.roc Bldg. Off. $lQ,7
Variance /
Address ~.fYL/l~ ~///E': do• ,
~ .
City/Zip Code
Phone # A75p- ~0~8~
m oveL,
w ~ ~W
~
-
GA[zAG'E ; yyp~ X 15
-
~
lsr Fc.oR ~ 89m-r ; 6?2- ~s 65- ~ e13
ZN D Ft-ODj~ x #5l
2q 7S o a~~c~c~v a
. ,
~ I I j- 11,: I N,I 1 11 ; ,,;I I:V:1: ,O,WI:,,,~I Or:
~~3 - 4o sS
, tilevv HOFIZt7N t-bM~S 'P. o. 1~c I~"1
MooE;-L 55 Ewr-)
I I:.\,:1 I I N I ,,I. FVI:., TO
, ,YO!:El, h;0 1 AI;I n ABOVE I:PAJII r!I I 1
~ ~ ~ ~ i ~ i ,.~~~~,..i i i :,i,,,-,• ~.,~:,,i~• / D ~~~,;n~~r „r i
S.~}.
130
. ,
24 I
. ..:ii :n„ , „L:r~&' , i~,;~,i,~ :a,.,,~ ~•~.~~i~. G~' 1125'~~•
V21b
No~co r,y22~i t~ti Myu:-~~. ic.rl1S'~`_ (00 33.0 ~~~~t,;r
~i
~ 32z4 pH. 1 1.2._ x_IS=3o . ,.~r• .SS 16.5 (1')(
.,i~i. 11 . •~u° n )
nio._'LD - ..u•' .SS 11 .O (i')(n)
_ !lo?A-YJ}{ (r)(,~)
_ 4:yin. y2 r;-ND EK-= ~i. rc. j% G_.._..(a 4~. .'Z.B.
W
rr.2X?~= 28) (A)
q' nw V4 .
~Nn_-_Fx=~, - (u) cA)
_ ' . . (1'.. _ 'y "W. _ (11)(A)
cq. .
{(!)(A)
ei~. fl:. .
. _ . _ ' . . ...(I!) (A)
. . . .
, s~~. N.
. . '
ft. -(li)
.;q. ' _
sq, fc. (il) (A)
. . _ _ Il,r . (1!)(A)
5r~.
(CCl..
(11) (A)
x _ .
(i:)(A)
. .
_ (U)(A)
_ z 'C'._.__ . .
~'9'
. G~1 . . .
fc. (I')(n)
. . .
fi . IT .._!r)(A)
~22_-~_
~ r.. „ m,i," .
_00 (n)
. q rI _tu>cn>
61 21 dl"..[u)(n)
-
t~~. ri.. ~ >;'u'~ - (u)lnl
99 ~ 3f~.3
,~I•.;nI111 1.'nI.L [OI'SIIi1l(:'I'IUN; Arr. z "II" val.un '-"'•~-.-T
, PRM1HF.U IJAI.1, (rocn) nrrn I.ecs
oTpning, frnminp. .rnJrcrn i.n
ri {nt 1' r.n F mn^.nnty)
45 ~ 7 (i~)(nl
.q (1.. ! ~c.s . U 0 - .
~ ~ - - - $ r o6S 9 . (n)
~ '~n w i nbct ~n ~nll `I -
~ , „ C _ -q f [ ? .O~Jr'l 4. (1''(A
s )
(C (A)
f` 1.L.. -
51 _S
.-~1-
roM i.,,i, n,ca ,ncWinr. n p1 153.c~
' IJindn~:s rn~rs '1'0'fAL U0lIA1
Il
9 nac. ..u O~1
inrnt, (u)(nl vni.ucs j = ~_--------J
),iviui:u oi• ruini. iani.i. niicn i ~21~ s~Sk•
A\'CIUCh: Plinimuur .1) ur l"cs foi 1 M1:! fa.t7.y du<•llings ' . .
4i.uimnm .77 nr IrRh fo~' all nChcr hulldin~,.^.
' ?~~IP~ II :n,ri:q•n "11" vn1 1165 aP ~n)tula[eJ ahnvr do nnf mCef 1'be linrrp.v t'n.l~• r,.quirrmcn, I, ~hn
°F.Ir~u.~lr i.nvrlnpn nesir.n" i„dienced nn I'nFe 5 mnv br ur•rd. .
OirlSidc nir fiini .
'
filin
, . . .
I 1 ' . Tfl'I'AI. II - -
I
].~It II -
Ou[sidr a i r fiiii
. . _ _
~ .
. . : _ _ . 45
~ I)=yWnll - .61--
. - " In[erior nSL' fiLn
~ 'CO'I'nl. R ^ .
' ll = 1 /R
~ Oucside air filin '17
9uf.1[_up..roofinr ~--~-•~33--~~-~--
~--~r~\~ _ Insulat7on '
f 7I ' ily
11ood decking
It]jj1~11P t--~-''
lnterior ai.r_ CI).m 61 -
/
TQ'[AL Il a ' .
, . . . . _ '
- U ~ 1/Il 11
It001'iiII.1NG: .
rorni, nia;A: sq. ri. ~O~' - 2'1•(0 (u)(n)
urcx)]. re(erencr x Sq. lc._~
Iluin nhooc. r. Sq. (f. . p~ (1!)(A)
1),19ct;im (,i,en;nps 49. fl.(:1)(A)
in rnof ~ -~~u~~ r. Sq. (I:)(A)
sq. _~(A)
' . - x r•q. fP..,~'_' - (U)(A) '
uu~~ (U) (A) -
rorni.s Ill(o z,~. rL .
ru[ni. (u) (n) vnt.ues
nsvtnsu r+v rorni, r,noe/ p.032
ceittNr nnrn Ill(os'}:
nVr.RnCI; "ii" .05 <,r ventileled roa[s
,]p fnr al.l orhcr ronsCrur.Cinn
- ;701'f.! I( average vnlues a^. calculnteJ nLove do nnC menc chr ICnf~rltY (',"de rvqu(remellts, Clie
"Alirrnal.r En~elape nep5?n" nc SndicnCrd on 1'ap,e 5 m:ly Ur used.
957153
.
80L1I,DBR RIDGE 2ND ADDITION
PR8880RE REDIICINQ VALVE ACiRSSMENT
This Agreement, made and entered into the 11S1' day
of 1990, by and between the CITY OF EAGAN, a
municip lity of the State of Minnesota, (hereinafter called the
City), and the Owner and the Developer identified herein.
The term "Developer" as used herein refer to: NEW HORIZON HOMES,
INC. whose address is 12201 Minnetonka Blvd., Minnetonka, NIN 55343.
The term "Owner" as used herein refers to: EAGAN 40 LIMITED
PARTNERSHIP whose address is 1370 Donnegal Drive, Woodbury, MN
55125.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as SOULDER RIDGE 2ND ADDITION, located
within the City; and
WHEREAS, the owner and Developer agree to notify the proposed
potential buyers of all lots within BOULDER RIDGE 2ND ADDITION that
Lots 1 through 8, Block 1 and Lots 1 through 3, Block 2, are in a
high water pressure zone and a pressure reducing valve shall be
installed in each townhome below the elevation of 966 feet. All costs
shall be the responsibility of the Owner and Developer and shall be
installed to prevent damage due to high water pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
1. Recordina. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1
through 8, Block 1, and Lots 1 through 3, Block 2. The Owner shall
provide and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this document shall constitute notice
to all owners and future owner.s of property in the BOULDER RIDGE 2ND
ADDITZON subdivision that Lots 1 Through 8, Block 1, and Lots 1
through 3, Block 2, are in a high water pressure zone and that a
pressure reducinq valve shall be installed in each townhome below the
elevation of 966 feet. All costs shall be the responsibility of the
Owner and Developer and shall be installed to prevent damage due to
high water pressure.
3. Validitv. If any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Bindina Agreement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
CITY OF W= `qD OWNER:
(Date: EAGAN 40 LIMITED PARTNERSHIP
. Thoma . an Sy:
Its: Mayor Zts:
~
Attest: . J. VanOverbeke Sy:
Its: C erk Its:
DEVELOPER:
NEW HORIZON HOME, ZNC.
Bv:
Its .i~U::~
2!1~4 l
By: ~
Its • r~2t
APPROVED AS TO FORM:
C}' y Attorney' 0' e
Q"ated:
~
APPROVED AS TO CONTENT:
Public Work Department
Dated: A ~j,sf 2a , lq9o
STATE OF MINNESOTA )
) ss.
COUNTY OF DAROTA )
On this a/Srday of 1990, before me a Notary
Public within and for said Count , personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me 06rsonally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
` - ~ ! .
MAfIIYN L WUC",CM~FENMIC
n••' N.^AAY PL'"LI°, - MIt:~:cSOTA
~ DA:<O7A COUvTY N tary ublic
aty _n Ex? F:b 8. 1.0?7 <
-9dII11l:J:TJ/.JIN,•.'::.".•~...}~• ?
STATE OF MINNESOTA )
) ss.
COUNTY OE'y/ Cn -q-)
On this nt day of 1990, before me a Notary
Public wi hin and fd~ said~J Count., personally
appeared ! f and v to me
personally known, who bei g each by me duly swo~n ea h d'd say that
they are respe tively the /~.PI and C~"Cgetr:k lf,`w ,C~Srdof the corporation named in the
foregoi- ng instrument, and that the seal affixed to said instrument is
the corporate seal of said corporation, and that said instrument was
signed and sealed on behalf of said corporation/py uthor' y of it
Board o€ Dir rs and said
and 10 acknowledged said instrument to 1 the
free act and deed of t e corporation.
~
ArLou D. Nordquist -
' ~!(lIA0.Y fU9Li( - O MINNqUI'
NENNEPIN CUNTY
My wmmisa~on expirea 6.12.q4 Notary Public
-,~~TIiIS INSTRUMENT WAS DRAFTED BY:
~L
~ SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(613) 432-313¢
R~I~~cL -'1 ~l(o
OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: e u r Lo zNG
Eagan, MiMesota 55122-1897 Permit Number: 6 2 6 6 8 B
(612) 681-4675 Date Issued: 11 /07/ 9 5
SITE ADDRESS:
4282 SUMAC PT
LO'I': 5 NLOCK: 1
BOULDER RIDGE ZND
PeI.N.: 10-14801-050-01
DESCRIPTION:
(rRS)
E~41 1 dtirmit Type FIREPLflCE
~EZSlding Wq,rk Type NEW
ri N
u . . . . y:,,
ow.
~ ds
vna, s c,w...
e P f k ~
3e 2 a°;~ ~ yya 5, -1 ~ R pt t 3 y ~ }^~y ~"hj*re ~VV' ~qt£ ~'Z ~Spjf $ r. 4~r ~ ~ ~ ~'~a.. P~ }er~ ~ H Ll
REMARKS:
FEE SUMMARY:
Aase Fee $25.00
5urcharge
Total FeF $25.50
CONTRACTOR; - flpplicant - U'P'. LTCe QWNER:
FTftESSUE CQRNER LNC 16331042 0001068 ISABEL MARSHALL
2700 N FAIRVIEW AVE 4202 SUMAC PT
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)456--9052
iftereby aoknawledqv~ that. S hawe read thf.s apAlidata€rn 4ind' state that the
ar+forsreaticrn is tcrrrect ant9 agr~eia-to obreoly with ~~~~a ot 1411.
` ~~~~ters and City- Ap!f Ca"Ort: t1rdirsanoet.~
- - ~
A ANT/PERMITEE SIGNATURE ISSUED BY: SIG TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 026686
Eagan, Minnesota 55722-1897 Date Issued: 11 / 0 7/ 9 5
(612) 681-4675
SITEADDRESS: P.x.N.: 1e-14801-05e-e1 APPLICANT:
LOT: 5 BLOCK: 1
4202 SUMAC P7 FTRESI"OE CORNFR 7NG
BOULDER RIDGE 2ND (612) 633-1042
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GflS)
INSPECTION . D•
ROUGN-IN FTNAL
F . . . . . . _ _ . . . . . _ . . . . . . . . . . . ~
_ .J
L
JLLqG CITY OF EAGAN ~ n ~~~D
3830 PILOT KNOB RD - 55122 ~J
7995 FIREPLACE PERMIT APPLICATION
681 -4675
~7 c /
DATE: / ` ! 5
DESCRIPTION OF WORK: V INSTALL bIE78( FIREPLACE: _ WOOD BURNING ~ GAS
INSTALL GAS LOG ONLY 4N EXISTING F{REPLACE
INSTALL CaAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: l,P~- /-z- Z-4 ?i '`l(" le-c'Yy
STREET ADDRESS: ~ L dZ, cS vW A CF-r, L~ G,, A L..J
LOT Z BLOCK SUBD.lP.I.D. kN
APPLICANT: (cirole one only) OWNER CONTRACTOR
i hereby acicnowledge that I have read this apptication and state that the information is correct and agree to
compiy with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
Signature:
Street Address- 42- a 2S'j ''vi QC. (t,
Ciry: A'~ tate:-~?•~- Zip:
6 1
FirtEPU?cE Company~~ W Phone 633 Zs
INSTALLER
Signature~1~
oa License I~ 6 S
Street 7
Ciry:.r, Q Scry(L. W~ State: ~ Zip• S~~-/
6AS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Addres City: State: Zip:
OFFICE USE ONLY
BUIL.OING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New o 33 Aiterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimneyfflue must be inspected before concealing.
FEES
Permit Fee
Surcharge
Other
Copies
Total:
E ~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U S L D S N G
Eagan, Minnesota 55122-1897 Permit Number: 028712
(612) 681-4675 Date Issued: 0 8 J 2 8/ 9 6
SITE ADDRESS:
4202 sumac Pr
LOT: 5 BLOCK: 1
BOULDER RID6E 2ND
p.I.N.: 10-14801-050-01
DESCRIPTION:
4TW4, Permit 7ype STORM DAMAGE
4l~~t;kdf~n~ rk Type REPFlZR
~ Coe~;t~g 434 AL7. RESZDENTIAL
%
~
~
f"" ;
~
" `azs ;ow3~ . .
~qTv~
]
i'a`
REMARKS:
INCL 4204 (LOT 4) 4206 (LOT 3) 4208 (LOT 2) 4210 (LQT 1) SUMAC PT
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LTC.OWNER:
RONEL RESTORATIONS 14323444 0002158 70WNHOUSE AS50CIATION
P 0 BOX 240744 4206 YEW PT
APPLE VAI.LEY MN 55124 EAGAN MN 55122
(612) 432-3444 (612)687-0465
. .
3 hereby u~le~dge t#!a'~'i M;have i ro~ld -th~.s aPP~icetfvn •an;tl 5t4ts= that tt~~
~Yormae1fln' X$,4 ~siac~r6 e to ctitnp ~ iy w3th a1L agpli:cabls S'tate of 44n.
Statw'es antl'=C#~~~?~E~~~g~r
R~-
APPLICANT/PERMITEE SIGNATURE UED Y:5 NATU
CITY OF EAGAN
161 3830 PILOT KNOB RD - 55122
111996 BUILDING PERMIT APPLICATION (RESIDENTIAL) rC~f(j 7L-
681-4675 +
New Construdion Reauiremenls RemodeVReoair Renuirements
? 3 repistered aRe surveys ? 2 copies of plan
? 2 copiea o1 plana (indude beem 6 window sfzes; poured Ind. deslgn; etc.) ? 2 site suNeys (exterior addRions 3 decks) 7
? t energy calculetbna ? 7 energy ealcvlations for heated additions J/
? 3 copies of hee preservetbn plan il Id pietled efter 711I83
raqufred: _ Yee _ No
DATE: G7Ar," `r4~- CONSTRUCTION COST: T-,a
DESCRIPTION OF WORK:
STREET ADDRESS: 0,4 -10 vM A-C- P7'
LOT S BLOCK ~ SUBD./P.I.D. 1 oh I! ll,d.
.~1 0-mv-. ,~-a~~ k02CE
PROPERTY Name: Phone 6 F3' OY6~- ` J)5
owNeR
Street Address, y~6 4.&~ pr &u("'
City: '(~s~ State: Zip' ..17 1 a a_
,
CoN7RACTOR Company: 1 ~ Phone S~Tc
Street Address: 06,ga,- o y' 6 -2 ~/V License M
Ciry: ,_1,&(e State: Zip. /Lu
r
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #Street Addrew
City: State: Zip:
Sewer 8 water licensed plumber. _ Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the info tion s rrect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature o( Applicant: -7
OFFICE USE ONLY
Certificates ot Survey Received _ Yes _ No auG d~ i9~J6
Tree Preservation Plan Received _ Yes _ No _
OFFICE USE ONLY .M x
BUILDING PERMIT TYPE ~ '
0 01 Foundation o 06 Dupiex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 -New o 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Consl (Actuat) Basement sq. ft. MC/V1IS System
(Allowable) Main levei sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
5urcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded. Trails Ded.
Other
Copfes
Total:
% SAC
SAC Units
~
i y. .
BL CITY USE ONLY RECEIPT#: I-~ + 1810 ~
Suso. L'
RECEIPT DATE: J 1f 9
PERMIT # ~ ! /
" - 1999 PLUM$INfi PEftMIT (RESIDE1vTtAL)
CI1'Y OF gEkfitkN
3$30 PILOT KN4B ftD
gAfiRlv, b1N 55122
(651) 6$1-4675
Please compiete for: ? single Samily dweliiny;
? townhomes and contlos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAC
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet * minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new instaliationlrepair 30.00 x = $
Ruu h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
Sta'te Sa, char c 50 $ .50
rotal ~ ~ .
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------•--------------•-------ad--•-------------------------
-
-
-
-
-
- is-
-agree-
- to -comply -
- Ciry--of Eagan or-dinan-ces-.
t here6y acknowledge that I have re this appli-cation,- state-
-that- the -information-
-con-ect, and -
- with-all applicable-
It is lhe applicanfs responsibiliry to nolify fhe property owner that the City of Eagan assumes no liability for any damages causad by Ihe Ciry during its
normal operational and maintenance activities to lhe facilifies constructed under this permit within City property/right-of-way/easement.
SITEADDRESS: ~~~g ~5L`MAe ~
OWNER NAME: : 11~;9 NtJ.EE TELEPHONE ~J 7
(AREA CODE) '
INSTALLER NAME:
L~ TELEPHONE
(ARE
STREET ADDRESS; a. CoDE)
CIT1':'~/ 4!5i. - S A E: 1 0,14' ZIP:1"~'.7 ~7/
;
IGNATURE OF PERMITT
- CITY OF EAGAN FOR CITY USE ONLY
• ' 3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT # / S9O
PHONE: (612) 454-8100 RECEIPT # G~ 311 G
~?~XB~N~;~kE~~ DATE: S S
PLEASS COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 3
REPAIR ~ WATER CIASET 3.00 Ccl
I BATH TITB 3.00 3
LAVATORY 3.00
OWNER NAME: NE.uJ AQ2i-7nAl I KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00 _3
SITE ADDRESS: y~0L~ Scnm.,.r p4 HOT TUB/SPA 3.00
WATER HEATER 3.00 3
LOT:~ BLACK ~ SUBD. ~il7t~.euwc FLOOR DRAIN 3.00 __5
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 61
~ ROUGH OPENINGS 1.50 456
ADDRESS: 9a.90 Zac "rc • t'" N _ OTHER
WATER SOFfENER 5.00
CITY: mn~t QDRoYe.. ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE L'Ic13-a4"lL4 y~
SUBTOTAL S
ST. SURCHARGE .50
S GNA E OF PERMITTEE
TOTAL: S
~OiAtER~TAI,jINbiT$TRTA~.; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
• ' 3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT # r~'SL~'79
PHONE: (612) 454-8100 RECEIPT # G~ N[~ 3
3uftDATE : ~ /
5:PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.::«F....~«,,.,w.,..:.:.... :
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 3_
REPAIR WATER CLOSET 3.00
~ saTx zus 3.00
~ LAVATORY 3.00
OWNER NAME: kow KITCHEN SINK 3.00 3
LAUNDRY TRAY 3.00 3
SITE ADDRESS: LI1d.010 4 ~ HOT TtJB/SPA 3.00
q p WATER HEATER 3.00 ~
LOT: J BI.OCK ~ SUBD. F'I.OOR DRAIN 3.00 ~
GAS PIPING OUT.
INSTALLER: ~~~+mtx_~FI~ 1~- IUa .3 (MINIMUM - 1) 3.00 ~
~ ROUGH OPENINGS 1.50 ~I c>
ADDRESS: c1o'1G0 !\l _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: 55--"(OEJ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3,00
PHONE y9 •24
SUBTOTAL $ )1U' S c
ST. SURCHARGE .50
SI NATU 0 PERMITTEE
TOTAL: $ ~
gp~~~tCi~f~j~tI7lTST$IAT.,; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: EEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP: TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
- ' 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # /S~.~'7
PHONE: (612) 454-8100 RECEIPT i 3~;
v~}}~j;~~;~:k~~~ DATE: 5 9
gPLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
AOD ON a SHOWER 3.00 Cs C~C`
REPAIR ~ WATER CIASET 3.00 cl C~_-
~ BATH TUB 3.00 3 CG
LA LAVATORY 3.00 1 Co
OWNER NAME: go(2 i c> l 4nmeS ~ KITCHEN SINK 3.00
~ LAUNDRY TRAY 3.00 3 ~e
SITE ADDRESS: H0108 t)~.,.c,r PE HOT TUB/SPA 3.00
/J WATER HEATER 3.00 ,3.co
LOT:~ BLACK I SUBD. A(7G~O~iC. FIAOR DRAIN 3.00 3cn
GAS PIPING OUT.
INSTALLER: o~~h r71h 24 I (MINIMUM - 1) 3.00 .iCC>
ROUGH OPENINGS 1.50
ADDRESS: 92CID Ac N _ OTHER
WATER SOFTENER 5.00
CITY: ~q~le GRove- ZIP: JrrJ'JL4q _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE 49~-ai-114
SUBTOTAL $ '-AS G U
ST. SURCHARGE .50
SIGNA RE OF PERMITTEE
TOTAL: $ 415' 15U
~pMMERGiAL~~1~I13II9'f&~AL,; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDZNGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLZNG UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
° 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT
PHONE: (612) 454-6100 RECEIPT # C- 1 3?-I-7
"mm"mm DATE : ~
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDDS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING;
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 L•.
REPAIR _ 3 WATER CLOSET 3.00 9 ~
I BATH TUB 3.00 ?S.(
LAVATORY. 3.00 ~D CC
OWNER NAME: me.., Hoa zoiu ~iomes k KITCHEN SINK 3.00 oG
i LAUNDRY TRAY 3.00 no
SITE ADDRESS: 42lp Sur„ac P~ HOT TUB/SPA 3.00
WATER HEATER 3.00 3 cc
LOT:BLOCK ~ SUBD. FIAOR DRAIN 3.00 3c~
GAS PIPING OUT.
INSTALLER: ~~ur.,o~i1h ~Iba ~ (MINIMIJM - 1) 3.00 ~•~Y~
I ROUGH OPENINGS 1.50
ADDRESS: G~GO ZqchA2u ct\, (\.l _ OTHER
WATER SOFTENER 5.00
CITY:_k') ("pI_ C~ p_'ve. ZIP: 55')U G _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~9 oZ ~t
SUBTOTAL $ W5• c c
ST. SURCHARGE .50
SIGN TUR OF PERMITTEE
TOTAL: $ ~P-J•5C3
~iYMMHACIAf~ ~I~JUST&I~II.;:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT AEQUIRED FOR EACH
DWELLING UNIT. .
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PRONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Ci:Y OF EAGAN FOR CITY USE ONLY
- ' 3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
I?"aP G'~m~!~ DATE: 9/
PLEASE COMPLETE IIPPEFt PORTION ONLY FOR SINGLE FAlIILY DWELLINGS &
TOWNHOMES/CONDOS WHEN•PERMZTS ARE REQUIRED FOR EACH UNIT.
-__--_t_-___---------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _ SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
~ LAVATORY 3.00
QWNER NAME: ~d~~.rlf/ N~/?y~2/~C~ Y KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: "7` 7 IC7 S6i„~?!_ 1~ C HOT TUB/SPA 3.00
~pf WATER HEATER 3.00
IAT:~ BLOCK ~ SUBD. FLODR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMIJM - 1)4 3.00
ROUGH OPENINGS 1.50
ADDRESS: Ave " Sd OTHER
CITY:,~~ ~ S r~ ZIP: O 7 ~ PRWATER IVATE DISPER 15.00
U.C. SPRINKLER 3.00
PHONE SUBTOTAL S
A-A ST. SllRCHARGE .50
S GN RE OF PERMITTEE
TOTAL:
~OMMHRGT1ti~~7lf~F$'X"RIP,1 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BIIILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING LTNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
• , (SIGNATURE)
FOR:
CITY OF EAGAN
f~ ~41411D CITY OF EACAN FOR CZTY USE ONLY
f'~ 3830 PIL(1T KNOB ROAD
~ EAGAN MN 55122 PERMIT
PHONE: (612) 454 8100 RECEIPT # l.l4/u(lv
DATE: -~a7 9i
~~AEN1'zAL.:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACR UNIT.
WORK DESCRIPTION FEES
NEW CONST ? ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00-
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 -
OWNER NAME: OF 1 PER PERMIT
~ QllJ -NB- Jlie?m ~N
O ' SUBTOTAL: $ ot7.oD
SITE ADDRESS: . D ~n7" STATE SURCHARGE: .50
LOT: BIACK I SUBD. TOTAL: $
INSTALLER: S E DGWICK l /
HEAiING & AIR CONDRiOMNG C0.
ADDRESS : 8910 VVEN7YY'ORTH AVE. S0. SIGNATl1RE OF PERMITTEG
11111NIA 881-9000
CI17': ZIP:
PHONE '`10Ov
4`4idl4~i~CTAT.~~N1~'U~aS1tTP:Y.~ PLEASE COMPLETE THYS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
CONTRACT PRICE: FEES
OWNER NAME: 1$ OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
f~I i 1~•~~1 CZTY OF EAGAN FOR CITY USE ONLY
383U PILUT KNOB ROAD
' EAGAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT # / 9 7
"C~,f},}'j~"mm"fi DATE:
xx-p
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
p„ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMIJM $15.00
ADD ON _ N~a_~_ 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00-
OF 1 PER PERMIT
OWNER NAME:
J/ n SUBTOTAL: $ ol 7 !l'd
S ITE ADDRES S: STATE SURCHARGE : .50
IAT: ~ BLOCK _L SUBD. 0JI-4a ~ TOTAL: $~Z7.54
INSTALLER: SGDGtl m'CK L
69110 WENT1tiJR1H AVE. S0.
ADDRESS: ' OLIS MN55420 SIGNATURE OF PERMITTE19 7/2(,6v
CITY: ZIP:
PHONE
~~Si4MERCIAI.J~IDUST&:[~7.?. PLEASE COMPLETE TflIS PORTION FOR ALL C0MAfERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
% . . `3830'PIIAT KNOB ROAD ~3 ry~.0
EAGAN, MN 55122 PERMIT # b
PHONE: (612) 454 8100 RECEIPT #
DATE: ~ /a 9
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ? ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTt7 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
,J~~ OF 1 PER PERMIT
OWNER NAME: ~~,(i) ~fr9~,v °I~~
SUBTOTAL: $ ' '7--7p
SITE ADDRESS: ~FoZD Y /~~i, o~nf' STATE SURCHARGE: .50
IAT:~ BLOCK ~ SUBD. TOTAL: $ 9-SD
INSTALLER: v/+1
ADDRE55: HEATING 8 AIP CONDI110NING C0. SIGNATURE OF PERMITTEE ?~Z~>
e9:1e wEn*;R+NA 6e.
MiNNEuuPaLis, MN 55420
CITY: 881"9000 ZIP:
PHONE
~i~7MPfERGIALJ~IVDASx1t~AT.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MIJLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF
NOT REQUIRED FOR EACH ?WELLING UNIT.
CONTRACT PRICE: FEES
OWNEn NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHDNE
( S IGNATiJFtE )
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD • EAGAN, MN 55122 PERMIT
PHONE:"(612~ 454-8100 RECEIPT
?~CklikN~CA~:s : DATE : a~
~:R. ~..~.:~.a .
i~ESIX~t~~'ZlaS~aj PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 24.00 -
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00-
OF 1 PER PERMIT
OWNER NAME: loa
o SUSTOTAL: $ i`F.ao
SITE ADDRESS: ~ fD ~~~in t STATE SURCHARGE: .50
IAT:BLOCK ~ SUBD. 46~4 row TOTAL:
INSTALI.ER: SEDGdVIiJK
HEATIN6 6 AIR CONDRIONIN6 C0.
ADDRESS: 8910 VYEN1WOHiH AVE. S0. SIGNAT~ERMITTEE 61 -7r2-GE~
-~m!18"'a~BgH&-~IiM~3eA
CITY: ZIP:
PHONE
OMFiV~5TKIAT.:; PLEASE COMPLETE THTS PORTION FOR ALL COMMERCZAL/INDUSTR:CAL BUILDINGS,
APARTMENT BUILD'2NGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
5TATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: C,vi1TFF.Ci P.^.:CF. :c la $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
,
HOULDER RIDGE 2ND ADDITION
PRE88IIRE REDOCING VALVE AGREEMENT
This Agreement, made and entered into the day
of , 1990, by and between the CITY OF EAGAN, a
municip lity of the State of Minnesota, (hereinafter called the
City), and the Owner and the Developer identified herein.
The term "Developer" as used herein refer to: NEW HORIZON HOMES,
INC. whose address is 12201 Minnetonka Blvd., Minnetonka, MN 55343.
The term "Owner" as used herein refers to: EAGAN 40 LIMITED
PARTNERSHIP whose address is 1370 Donnegal Drive, Woodbury, MN
55125.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as BOULDER RIDGE 2ND ADDITION, located
within the City; and
WHEREAS, the Owner and Developer agree to notify the proposed
potential buyers of all lots within BOULDER RIDGE 2ND ADDITION that
Lots 1 through 8, Block 1 and Lots 1 through 3, Block 2, are in a
high water pressure zone and a pressure reducing valve shall be
installed in each townhome below the elevation of 966 feet. All costs
shall be the responsibility of the Owner and Developer and shall be
installed to prevent damage due to high water pressure.
NOW, THEREFORE, the City, Owner and Developer agree as follows:
I
1
1. Recordina. This agreement shall be recorded with the Dakota
County Recorder so as to provide notice to the owners of Lots 1
through 8, Block 1, and Lots 1 throuqh 3, Block 2. The Owner shall
provide and execute any and all documents necessary to implement the
recording of this agreement.
2. Notice. The recording of this document shall constitute notice
to all owners anfl future oomers of property in the BOULDER RZDGE 2ND
ADDITION subdivision that Lots 1 Through 8, Block 1, and Lots 1
through 3, Block 2, are in a high water pressure zone and that a
pressure reducing valve shall be installed in each townhome below the
elevation of 966 feet. All costs shall be the responsibility of the
Owner and Developer and shall be installed to prevent damage due to
hiqh water pressure.
3. Validitv. If any portion, section, subsection, sentence,
clause, paragraph or phrase of this agreement is for any reason held
to be invalid, such decision shall not affect the validity of the
remaining portion of this Contract.
4. Bindina Agreement. The parties mutually recognize and agree
that all terms and conditions of this recordable agreement shall run
with the land herein described and shall be binding upon the heirs,
successors, administrators and assigns of the owners and developers
referenced in this Contract.
IN WITNESS WHEREOF, we have hereunto set our hands.
` CITY OF WAIL OWNER:
(Date: 091 EAGAN 40 LIMITED PARTNERSHIP
v Thoma . gan By:
Its: Mayor its:
i
L
~
Attest: . J. VanOverbeke Sy:
Its: C erk Its:
DEVELOPER:
NEW HORIZON HOME, INC.
BV It~_a.~:.-~ -
sY: , . ~ . 41
Its•
APPROVED AS TO FORM:
y Attorney' O ' e
ated: D
~
APPROVED AS TO CONTENT:
Public Work Department
Dated: A L, ~ vsf 20 , 1410
STATE OF MINNESOTA )
) ss.
COUNTY OF DAKOTA j
On this / S rday of 1990, before me a Notary
Public within and for said Count , personally appeared THOMAS A. EGAN
and E. J. VanOVERBEKE to me rsonally known, who being each by me
duly sworn, each did say that they are respectively the Mayor and
Clerk of the City of Eagan, the municipality named in the foregoing
instrument, and that the seal affixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknowledged said instrument to be the free act and deed of said
municipality.
MAPI,YN L WUCI„CFFENNIC, ~j ~i~2'•t(yc
:`_,':d~•,p/' N^.:hflYPC=i.IC-MI•°:?SOiA
^ y DA:<OTA COUNTV ?`N tary ublic
MY Cr-r. --:cn Exp F;p 8. 1~ ~
.'dtalatrJ,-:JAtIe•fC::•r..-~,.. .
STATE OF MINNE50TA )
) ss.
COUNTY OF'~ nn ~u0~)
On this 12t day of 1990, before me a Notary
Public wi hin and f~said County, personally
appeared ~~f and v to me
personally known, who bei g each by me duly swo ,t ea h d'd say that
they are respe tively the ~KPSe de
and re.cz iC--s:d.a.,-~ of the corporation named in the
foregoi g instrument, and that the seal affixed to said instrument is
the corporate seal of said corporation, and that said instrument was
signed and sealed on behalf of said corporation -by}uthor' y of its
Board o~ Dirct rs and said l~'P~~~I~ f= >v ~J
and ' acknowledged said instrument to kib the
free act and deed of t e corporation.
s
ArLou D. Nordquisr
'E NUfARYPUBLfC-MINNWUI/~
HENNEPIN COUNiY Notar Public
- Ny tommissian ezpues 6.1p.y4 Y
;rTHIS INSTRUMENT WAS DRAFTED BY:
-'SEVERSON, WILCOX & SHELDON, P.A.
600 Midway National Bank Bldg.
7300 West 147th Street
Apple Valley, MN 55124
(bl ) 432-313¢
MGDI~cL•'~S1(o
R U)
I _
JUN-07-2001 15:43 FROM-RMA HONE DEPOT AHS ~ 7635428227 T-928 P.001/001 F-788
a o
OA -
A!
~~Ianta, . 30339
~
.
LD=l2 PO'6i'Eit OF AT'~fOIYN-E7t
. u
COUN7'Y OF FIgj+ji P.Fi,D
STATE OF NIINNESOTA
KNOW ALL PEOPLE BY THESE PRESbN1'S:
TTa'AT I, Todd Daniel Lewis, a resident of 9A1'!3'e'V County,
M"mesota ("Prutcipat"), and a iicensed contractor o£RivIA Home Services, Inc.,
DBA Home Depot Instailed Sales locazed at 646 Mendeissohn Aveaue North, Goiden
Valley, MN 55427, having a ficense munber of BG 20268257, do hezeby appourt,
name and constitute Elder-Iones Buitding Pennic Service, Ina ("Agenc") as my uve
and tawful attorney-in-fact and do suthoriu and granc said attorney-in-fact for me and
in my name, place and scead the power co execuce, acknowledge, sign and deliver (in
such farm as may 6e required by the municipaIity} a permit application, ar any other
insffument(s) which may be necessaty and agpropreate, in order to obtain the proper
permit(s) from the Ciry of Eagan, Minnesom for the installation, maintenance and
repair of windows and siding (the "Work").
Tha powers conve}+ed to the Agent by this Limited Power of Aaomey are
1'united soleIy to the express powers delineaied herein and apply solaly to the Work.
This Limiced Power af Artomey shall expire and auwmatically be revoked on the %c
day ofj~p~, 2002, which date is one year from the execution hezeo£ Further,
the powers conveyed by this Limited Power of Artomey may be revoked by Principal
at any vme by express revocacion and shall also be revoked by the Principal's death,
disability, incapaeity or incompetence.
IN WITNESS WHEREOF rhis Limited Power oFAttorney is executed t8is
L*= day of 3„jr . 2001.
Todd Daniel Lewis
~WQRN TO AND SUBSCRIBED BEFORE ME by Todd Daniel Lzwis on
this *day of
b ic in foi e State of Minneso IS BURTON T. BROWN ~
NQTIUiY PU9UC-IbNNESOTA
My Commission Expires: wuwokwi~~~~•~
396816.r] Received Time Jun. 1• 2:56PM
s~ R~ y ~ is•-~
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for eacL unit
Date / /X /0
Site Address y (Gb Unit #
Property Owner Telephone #
Contractor
Address iL117(1 odl1 JC _ City
State ZipTelephone# (uv)J) ~&r
The Applicant is _ Owner ~ Contractor _ Other
Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees mey apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 36.00
_ Lawn irrigation sys[em
n n 2
_ Water softener X Water heater IL 2003 II
1 FE~ ~ ~ U $ 15.00
replacement _ adtlitional U
State Surcharge ~y $ .50
Total $ s
I hereby apply for a Residemial Plumbing Pemnt and aclrnowledge 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 Plumbing Codes; that I understand dus is not a
permit, but only an application for a permit, and work is not to start without a pennit; that We work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
lGII~P ~~(,lh1 Cl (tlAQY1~, 1 7.~~~
Applicant's Pnnted Name ApHcant's Signature
1
~ CO. STATE ,QlD HWY NO. 30
n Ln
~ m
(D/FFLEY ROAD) ~ -
N89°¢3'3/"W 254.87
-r-
C'
/ -
W
L17)
N
~
I N) a 0 Denotes Iron Monument
26 S 50,l.(i d Denotes Wood Stake
49 X000.0 Denotes Existing Elevation ;
(000.0) Denotes Proposed Elevation
'N P' m00~' y W 2 Denotes Direction of SurFace Drainage
iP20.j
N 8 _ ~ S/4•; 1
n~ \P ~ROpO3Fp~ j a~~936 ~ Proposed Garage Floor Elevation: Lot 1= 936.80
a. I Lot 2 = 936. 80
3~ G o~z 'n Lot 4 = 936.80
S03 ~~~as. N = 937.47
, ro M N'PPO,o ~ Zqg6 I.ot 5= 937.47
~ 3 Proposed Lowest Floor Elevation: Lot 1= 929.12
z 3
Uos 13 /y
'i' W/o 2 oo ~ Lot z = 929.12 ? ro ~ / p =t ~ Lot 3 = 929.12
28
P,QOp Sp, 3 ' 93.2 N ~ 1,0 t 4= 929. ~
~y
'Sr
oSNO 32,84', a Lot 5 = 929.
~G 3p 9
2233 j {V/~N ti`,}T 8 m ~ Proposed Top o£ Foundation Elevation: Lot 1=
_J 4 a 33 ~ N Lot 2= E.~il~'a~9Al El+'S~ZERjt~lQ
Lot 3 =
oSE-p ~ 3567 4_ Lot 4=
~Z Lo t 5=
E C)
PIE R
co M~e 33 P R.V.
6 0.3 98 cr-
Z6 ~ mm N~~ N/P`g~'[pEQ 3 3567o,N I hereby certify that this is a true end correct representation of a survey of
~N the 6oundaries of:
N Pq 1` j Lots 1, 2, 3, 4 and 5, B.lock 1, BOULDER RIDGE 2ND ADDITION, Dakota County,
28,= Minnesota.
~5 3=• G c~
o°~ o~ S 0 SO~c $N r, And of the location of all buildings, if any, thereon, and all visible .
8800
encroachments, iF any, from or on said land. It also shows the location oF the
I ~ _j a.- stakes as set for a proposed building. As surveyed by me or under my direct
supervision this 25th day of September, 1990.
McCOMDS FRANK ROOS ASSOCIATES, INC.
a~og" . , ~ N850482.74
` L=12.32~ ~ x19x9.b1 m (1
50
R._ 253.90 FIR POlNT Paul A. Joh~s
Land Surveyor, Minn. Reg. No. 10938
~ .
OESIGNED CHECKEO I NEPEBY LERTIFV TM1T TNIS PI.IIN WPS YXEFRNEO BY ME ON SUIE pREPARE O FO~Q: SFEET AEV.
UNDEPMV01RECi5VOfRV1510NANDTHATIAMAOULY REGISTER McCambsFrankRoosAssociates,ina 30
ED PAOFESSIONRL ENGINEER UNDfq iXf lAWS OF TME $TaTE OG
ORhWN ~VVROVEO MiNNE50TR. 900K PAGE
jA M 1 15050 23rd Ave, N. Engineers
0. OATE BY PEMI.NRS OAiE COMM, ~ PlYmDUth, MN 55447 Planne!$ FIIE NO NE W HOR/ZON HOMES Of
REVISIONS 9-24-90 s,va~sso,o survevom 87/5
DATE AEG.HO.
Sep. 25, 2013 10:47AM Property Claim Solutions No. 1291 P. 6
Use BLUE or BLACK Ink
I For Office use
j Permit ` 1 ✓ ;
qty of Eap
Permit Fee: ` l
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: ;
Phone: (651) 675-5675 I
Fax: (651) 675-6694 I staff ^ I
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
YmOlivn "s' ` Address/ City / Zip:
4-1
1- Applicant is Owner Contractor
Description of work: --a Y try r 11 1J
Construction Cost: Multi-Family Building: (Yes / No
'wr%,> °asar Company. Contact:
Address City:
'for #r 05,
State:
zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? '
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor: Phone:
NOTE: Plans andsupporting. docum` e,n: , ts that,.0 n. maybe classified as•rtonubllc d you providespclf/C reasonsahat +vou%d peririif ttie"C/fy fv '
canc~ude thatahe :ail; Trade secrets
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. mm-ctopherstateonecall.org
I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: 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. i
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance. i
i
x x I
Applicant's Printed Name Applicant's Signature I
Page 1 of 3
Nov. 4. 2013_12:21PM Property Claim Solutions No.1647_P, 17
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use R
j Permit A • W j
4ill~ !
City of Eap I 1
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 555122 Date Received:
Phone: (651) 6755675 I I
Fax: (651) 675-5694 I Staff I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _11-4-13 Site Address: X202.4204.4206, 4208.4210 Sumac Point Unlt
Name: Boulder Ridae Townhomes
Phone: 612-290=3055
.pywna _ Address / City / Zip: _4202.4204.4206, 4208, 4210 Sumac Point -
Applicant is: Owner X Contractor
Description of work: Repair only ciding neicec that are damaged_ 721;Q
e~ia~ti?Vq~lk:~ -
Construction Cost: 13,613 Multi-Family Building: (Yes / No X )
<<,; r Company: PCS Residential Contact. Patty Hanna
Address: 2005 Pin A Drive FAP
city:
Contrati ;In
P
State: IVINL- Zip: _ 55122 Phone: 651-255-0609
s` License BCS93158 Lead Certificate
If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the, last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I
_Yes _No If yes, date and address of master plan: I
Licensed Plumber: Phone.
i
f
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
IIIOlE;::Plans attd supportrng dgcuments ihatyou submit are coaysSafe(0 to i~te publrc b► onnat on. ;Portrons;:of
the rriformaf~on may .9:c /ass led as non'ppbl164 y.6 :provide spep c asvrrs fhaa> would pelnirt the:C
doncludethatthe ar~>tlrade'secrets.,:" . s....
CALL BEFQR,E,YO DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Call 48 hours i
before you intend to dig to receive locates of underground utilities. www.nooheFstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of i
Eagan; 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. I
1
Exterior wont authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 i
days of permit issuance. i
I
x Patty Hanna/PCS ResidentialS 1
x
Applicant's Printed Name Appllcan ' Ignature
Page 1 of 3 I
i
i