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4203 Sumac Pt . 0(7, SEDGWICK HEATING & AIR CONDITIONING CO. HEATING ,108 NO 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(612) 881-9000 TEST RECORD ADDRESS T 2r):2_ ~h ,,.•o G 'd, -,J't GTY _i~ TA a'1 OCCUPANT 1)e- Lf~, S,-+OWNER r- SOLD BY r INSTALLED BY MAKE MODEL ~I bS O Sd E-+4 SERIAL NO. 96 -3~ INPUT ~~.06n ' i ~h THERMOSTAT Sr~ ~J~C k VENT SIZE VALVE 44/4- TYPE OF LINER . LIMIT LINER SIZE LIMIT SETTING IYO FILTERS: SIZE I~~as NUMBER FAN SETTING lll~ Ili WIRING . ~ PILOT TYPE 1G TEST TAG IGNITION MODEL LIGHTING INST. PILOT TIMING J!^Sl4n~ Ol, DATE TESTED PRESSURE ~ PERCENT COz ~ PERCENT 02 COMPANY TESTING~+J; ~ INPUT CFH STACK TEMP. PERCENT CO NAME OF TESTER FOHM 235 (FEV. N189) FpRM DISTRIBUTION: WHITE COPV - JOB FtLE YELLOW COPV CIN . . . _ . . . . . _ '_.L._"_ _..._._"_.1__._.a.l DATE: OCT ,29, 1990 RE: 4203, 4205, & 4207 SU!!AC PT (NEW HORIZON HOlES, INC) X Your 8giver & Water Permit for the above property has been completed. It will be held at the Publi~orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CC~L~PUBLIC WORKS (454-5220) FOR YOUR 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 allowed 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. WARNINC: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. _ . , . ,~1 CASH RECEIPT , ~~.pr ? CITY OF EAGAN 3830 PILOT KNOB ROAD ~ EAGAN, MINNESOTA 55122 DATE l ol ~1g~~ aEcerveo rna~ qAMOUNT rs r 10 & DOLLARS lao O CASH CHECK 'tc~~ `77, > Fm - ~ N 4 zo7 Sc cn~~t ~ l~y~ ( 7 S~; 4-7 IW ~ 554 - l '~t• ~ I ~7c~ 7.~ FUND OBJECT UNT ~ ~hankt. ~ou ev ~ ~ ~ ~ V amic~ ~ ~r Pink-Fre Copy SEWER & WATER PERMIT OFFICE USE ONLY CITII OF EAGAN METER # 'IyW t207! 70 PERMIT OATE 10/29f 9C 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # D I.T~ ~Cd( 7 PERMIT # 11696 METER S12E ~ RocA B.P. RECEIPT #C 105 L~ DATE UCT 1~i ~~U ISSUE DATE -92 B.P. RECEIPT DATE 10 02 9G r PFiV - BOOSTER PUMP / 51TE ADDRESS 4205 SIIt1AC PT PERMIT REOUESTED LOT 7 BLOCK 1 SEC/SUB BOULDER RIDC:: 2 N D X SEWER __2L WATER - TAPS APPLICANT: ADDRESS: - COMM/IND x RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PLYNOUTH PLUMBINC Ahead of Domestic Meters on Water Line. ADDRESS: 9290 ZACHAP.Y LANE ta Credit WIL,L NOT be given for Deduct Meters. CITY, STATE MAPLE GROVL'. M4V ZIP 55369 , , ? j, . ~ PHONE: 493-2474 ~ • 1 AGRE O COMPLY TH CITY OF OWNER: NEW HO&IZON tiOtiES, IA?C EAGA ORDINANC ADDRESS: 12201 HINNBTONKA BLVU CITY, STATE MINNETONKA. MN Zip 55343 PHONE: SIGNATU EN METER ISSUED PLEAS9 AlLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. i: f SEWER &~si1ATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pilot Knob Rd METER # PERMIT DATE ZO/2Sl/SO . Eagan, MN 55122-1837 CHIP # PERMIT # 116961. METER SIZE B.P_ RECEIPT # ~ ~ DATE 1 y90 ISSUE DATE B.P. RECEIPT DATE ~ A PRV _ BOOSTER PUMP SITE ADDRESS 4205 SLINAG PT PERMIT REOUESTED LOT 7 BLOCK 1 SEClSUB 80111-DER RIDGE 2ND X 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: PLYMOUTH YLUMBING Ahead of Domestic Meters on Water Line. ADDRESS: -929o zACHARY LANB N Credit WILL NOT be given for Deduct Meters. CITY, STATE MAP~ GROVL• MN ZiP 55369 PHONE: 443-2474 I AGREE,tO COMPLY WITH CITY OF OWNER: NEW H4gIZON HOMLS, IIdC EAGAN ORDINANCES ADDRESS: 11201 dIN1iBTONKI? BLYll CITY, STATE KTNMTU!lICJ1. HN ZIP 55343 PHONE: 533-2531 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. _ . - - . .~.~._~._....v 40 s C. , r ~ ~ • ~ ~ ~ ~ o= m m ~ a 10 < ~ o• N ~ ~ , v s ~ ~ ~ - - ILO SEIMER & WATER PERMIT OFFI/CE USE ONLY CITY OF EAGAN METER # 41y6 aa9 Ip ~J PERMIT DATE 10/29/90 3830 Pilot Knob Rd. 1, ~ Eagan, MN 55122-1897 CHIP # 1ZI d d 4~ PERMIT # 11697 METER SIZE ~T/s~ Ro-CA B.P. RECEIPT # DATE ~T` 1. 14~U ISSUE DATE B.P. RECEIPT DATE 10 02 4(`. ol X PRV - BOOSTER PUMP SITE ADDRESS 4~07 5I<<.r1G F`!' PERMIT REGIUESTED LOT a BLOCK t SECiSU6 $OULfihtl RID('E 21,D k SEWER Y WATER - TAPS APPLICANT: X RESIDENTIAL ADDRESS: ~ COMMiIND CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: 11LYMOUT11 PLITMBIN(> Ahead of Domestic Meters on Water Line. ADDRESS: 929U ZACHARY LAhE Credit WILI, NOT be givert for Deduct Meters. CITY, STATE MAPLE GI~OVE , li Zlp '>53 o9 PHONE: 493-2474 I AGREE COMPLY WR CITY OF OWNER: NEW HDRIZON FinMiS. INC EAGA ORDINANCES ADDRESS: 12201 Mi ^IVETONKA Fi1.VD CITY, STATE t53 NyETONKA, M:V ZIP 55'jl+3 , PHONE: SFGNATURE N METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESStNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . SE~R.&4'OATE13 PERMIT OFFICE USE ONLY METER # PERMIT DATE 14! 29 J 90 3830 P lo KOb Rd. CHIP # Eagan, MN 55122-1897 PERMIT # 1ib97 METER SIZE B.P. RECEIPT # ~ DATE 1 , 1940 ISSUE DATE B.P. RECEIPT DATE 1 O 02 90 ' , X pRV - BOOSTER PUMP SITE ADDRESS 4207 Sii+'A[, P'; PERMIT REQUESTED LOT 3 BLOCK 1 SEC/SUB °OULOER RiL1.;E: 21•D Y. SEWER x WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: Lawn Sprinkler Meters are to be Instailed PLUMBER: ='LYA3QU'fEi PLUHBIhC: Ahead of Domestic Meters on Water Line. ADDRESS: 9290 2ACHARX 1.ANE N Credit WILL NOT be given for,Deduct Meters. CITY, STATE I'"LE GROVE. MN Zlp 55369 '-'f - PHONE: 493-2474 I AGREE T,6 COMPLY WffH CITY OF OWNER: nV HORI ZQN iiOMES. I MC EAGAN ORDINANCES ADDRESS: 12201 MYMNBTOKlL/1 BLVU CITY, STATE r-13NNETONKA, !![N Zlp 5.5343 PHONE: °33- Z 521 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ N g ~ 4 , . _ . ~ - N 14 w ~ m T ~ W x ~ ~ ~ ui ~ ? ~ - - ~ ~ ` - -.~~a v L.i . ...Y~.. ~i~-'..... . . . - ! l . , :.1~ . • ~ . _ 1.-.i . . w .z. , . I"CM tUR-" Y,LT . . WCV64 CITY OF EAGAN 18414 • , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 - BUILDING PERMIT Receipt # - ' ~ To be used for 1 oF 3-PLPJC Est. value $73,000 Date OCT 1 S4e Addr ss ~4203 SUFIAC PT ` QFFICE USE QNLY Lat Block 1 Sec/Sub. BOtiLDER RIDCE 2N P a r c e l N o. - ' O c c u p anc y R-3 pDi FEES zoning W Name N~ ~RIZOti IfOMES, INC (Actual) Const VN Bldg. Permit 518.00 IZZOI MINN$TONlCA BLVD (aloW~le) V-N 36.50 o Address Surcnarge Cit ~ Phone 933-2521 * or storie5 Y Length ~T Plan Review 3g7•~ S~E 100Depth ~T NaR1@ =p - SAC. City 00~ Address S.F. Total - SAC, MCWCC 600.00 ~ Clty Phone S.F. Footprints - 625•00 On Site Sewage _ ~later Conn oW Name ~~1SilULD b ASSOC on s~~e weii Water Meler 90.00 u+ PORTLAN Address D A~ S MWCC System X Acct. Deposit BURNSVI <W City LJ.E Phone " 844-6287 Ci1y Water PRV Required _ SMl Pertnit I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge '50 information is correct and agree to comply with all applicable State of 252.00 MinnesoW Statutes and City of Eagan OrdinanC!1§1~' Treatment PI Signature of Permitee APPROVALS Road Unit 355. Q0 A Building Permit is issued to: NEV NORIZON RMS Planner - pyrk Ded. on the express condition that all work shall be done in accordance with all Council 2.oo applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9. pff, _ Copies Building Oftlcial - i - Variance - TOTAL 976'~ Permft No. Permit Holder Uate Telephone # ~ y7 WATER ~ r c r ` v SEWER PLUMBING ~~I "~r.=•i-Ll? ~C~~o~ L' H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 I-) ,(/~j' Foundation Frami^9 Roofing Rough Plbg. "IlT Fiough Htg. / f Qi [sul. 6.5 1~ k. 1- - 6 Freaace ~ ,~r Fnal Htg. 4( 4 ~ Final Plbg. Const. Meter Pibg. Inspector- Notity Plumber Engr./Plan 8ld,. Final ~ z -2e .~o p 6eck Ftg. Decic Fnal weu ar, oisP. fEtrtifirat.e uf (Orrupanry ' Citp of Cagan fppwcbnn[f 11f IlldbWo JwPtflDri Thrs Certifuate issued pursuant 10 lhe requirernenu of Section 306 of the Uniform Building Code certifying that at the time ojissuance this structure was in complrance with tlre various ordinances of rhe City regulating building caistrucuon or use. For tJre following: use c,s,;fi.,;m 1 OF 3-PLEX Md& N,..;, N.. 18414 O-Puwy Tw R- 3 M-1 zw;s DLtid PD Type COOSL V-N a,,,.., ofeoa;g. NEW RORIZON HOMES Add,.. 12201 MINNETONKA BLVD BuMng Add= 4203 SUMAC PT L,,;ryL6, B1, BOULDER RIDGE 2ND j 1 ~ DECEMBER 20, 1990 Buil"g bfficml POST IN A CONSPICUOUS PLACE _ m.. For Office Uas Only: • MECHANId1L PEWIT PERMIT # Z CITY OF EACiAN RECEIPT # 3830 PILOT KNOB ROAO, EAGAN, MN 55122 GONTRACT PRICE: J S'/ < J PHONE: 454-8100 DATE: Sfte Address 6 g~, TypE WORK DESCRIP770N Lot Block .~Sec/Sub Res. New ~ Name ~ . , r Mull Add-on Comm. Repair Address Other c City . ~ phonje FEES Name RES. HVAC 0-100 M BTU -$24.00 ~ 3 Address ADDITIONAL 50 M BTU - 8.00 p City Phone (RES. HVAC INCLUDES A!C ON NEW CQNSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUM -1 PER PEiiMiT) - 1.50 EA. COMNUIND FEE -196 OF CONTRACT FEE Forced Air M BTU -L'620 APT. BLDGS. -COMM. RATE APPLIES Boiler M BTU TOVYNHOUSE 8 CONDOS - RES. RATE APPLIES Unk Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON 8 ~ REMODELS - 12.40 Air Cond. M BTU MINIMUM COMIMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD 550 S/C PER EACH $1000.00 OF PERMIT FEE) Other / PERIYpT FEE: J S , , ~ [ ~-n .l =c~•'-~-AL[JL~JI ~ , s v SIGMATURE OF PERMITTEE S/C: TOTAL: `,G FOR CITY OF EAGAN . .;Sr.r~{~Y.`?~MP7"''t'.. . ~.tt~r r'. 'w' •a...... . . . .....~_+nep~~eVw'.... . . ...m..; . ~ . ~ .-+r.,.:~7 ; , . PLUMBING PERMIT For Clty Use On y • ' CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT PRICE PHONE 454-8100 DATE: /D/?3~SJ Site Address aC.. BLDG. TYPE WORK DESCRIPTION /e Res. ~ New Const.~_ Lot ~~ck S~JS Mult. Add-on ~ Name Comm. Repair Other Address e City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - MO. FIXTURES TOTAL Water Closet - $3.00 $ (~q- ` Name Bath Tubs - $3.00 -3 ~ = Address Lavatory - $3.00 9 ~ Gz~ ~ City Phone ~~r - $3.00 I Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray -$3.00 3 f COMM./IND. FEE - 1% OF CONTRACT FEE I Floor Drains -$1.50 APT. BLQGS. - COMM. RATE APPLIES A Water Heater -$1.50 ~ TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool -$3.00 ~ MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 6w MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT-NEW CONST.) STATE SURCHARGE PER PERMIT .50 SofUener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 ~ Pnvate Disp. - $10.00 Rough Openings - $1.50 ~ U. G. Sprinkler System -$12.00 S NATURE OF PER M?f-TEE PERMIT FEE: 3 %-0 y - ~ STATES S/C: ~ FOR: CITY OF EAGAN GRAND TOTAL: 3S~- ~ . , ! _A-.- . ' _ . . . ^T n • ~5~,? rt ~ f * (gtr#t#tra#t af (Orr~~au~y (Citp at (Eagatt ikprbttrtct a# Wtildiag inoprrtuatc M Certeficate issued pursetaai to tlie requiranents of Sedian 306 of the Unrform Buifding Cade cernJ'ying that at tlu lune of issuance thisstrudure was in cnmpliance with the wrious ardinances o}'llre City regudafing bur7ding rnnsuucaon or use. For the following. use Cim$Uk&&d 1 (w 3 AF.X ~ ~ N& 1A415 Ooaep--7''l~,Pe _R7JM- 7ooiaL Di&id pn Type CaGA VN owoar d a~n7eioa NII3W FYMT7(N F[1VS _TL .Addm 122n1 MIKA VD, MIICA 4205 MAL PDIi~Tf i„d,a, L7, B1. BWIIffit RIDGE 2NID p.c _TAMauv 10, t99t 7V POST IN A CONSPICUOUS PLACE - . ~ . ' ~'a'. : ~.'9~t?'+a.r};!'~.' ,-..r , -.,n'„~.. ,.-.~,.~-t:.;:T7?'+~'^~° .',.~eyi*5,a.^::..~,,.~.,,~y..~,..~.~~;n•,~.~,;C^rR+:A: n~""..:Dv'v!i:P'°~.-~s"~+~,A r PLUMBING PERMIT For City Use Only CITY OF EAGAN PERMIT# ~ CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55722 RECEIPT PRICE PHQNE 454-8100 DATE: ~0142 Site Address SLDG• NPE WORK QESCRIPTION Lot ck Se Res. ~ New Const.~._ , ~ ~ Mult. Add-on ~ Name Comm. Repair Address other c City Phone ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL ZL Water Closet - $3.00 $ Name / Bath Tubs - $3.00 = Address _Jk- Lavatory - $3.00 ~ City Phone -2- Shower - $3.00 - Kitchen Sink - $3.00 -3-_ UrinaVBidet - $3.00 FEES I_ laundry Tray - $3.00 2 COMM./IND. FEE - 196 OF C4NTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater -$1.50 Tr~? TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool -$3.00 4NIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND.IFEE $20.00 (MINIMUM -1 PER PERMIT-NEW CONST.) STATE SURCHARGE PER PERMIT .50 5o(tener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF. PERMIT FEE) Well -$10.00 Private Disp. -$1d.00 Rough Openings - $1.50 ~ U. G. Sprinkler System - $12.00 siG URE OF PERMIT,T PERMIT FEE: 3X SV / STATES S/C: 3-0 ~ FOR: CITY OF EAGAN GRAND TOTAL: 3 S- For Offlcs Use Only: - MECMANICAL PEFIMbT PERMIT # CITY OF EAQAN RECEIPT # 3A30 PILOT KNOB ROAO, EAGAN, MN 55122 CONTRACT PRICE 77 < PHONE: 454-8100 DATE: Site Address . BLDG. TYPE WORK DE8CRIPTION LOt BIOCIC ~ S@C/SIJ4 , R@S, ~N9W ; - ~ Name ~L~ Mult Add-on m Comm. Repair ~ Address • c City _ Phone Other FEES Name RES. HVAC 0-100 M BTU - $24.00 c Address ADOITIONAL 50 M BTU - 6.00 il: p Cityr Phone (RES. HVAC INCLUDES A!C ON NEW CONSTRUCTION) TYPE OF WORK ~S OUTLETS (AAINIMUIII -1 PER PERMI7) - 1.50 EA. COMMIIND FEE -1% OF CONTRACT FEE ForCed Air J v M BTU APT. BLDGS. - COMM. RATE APPUES Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIAAUM RESIDENTIAL FEE - ALL ADD-ON b Air Cond. ~ M BTU REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Oudets # ' ~(ADD 550 S/C PEH EACH $1000.00 OF PERMIT FEE) Other PER111T FEE• . ~ :.vr, l~ -r . ~C. ` J SIGNATURE OF PERMITTEE TOTAL: FOR: CITY OF EAGAN ~ SALE UVYT . _ . CITY OF EAGAN . , ~.~R 18416 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-81'00 BUILDING P~RMIT , Receipt # ' To be used for ~O~ 3^P~X Est. Value $73,Q~ Date ~',T i Site Address" 4207 SUMAC PT Lot 8 Block 1 Sec/Sub.Ht}ULI7ER RIDGE 2A1 OFFICE USE ONLY Parcel No. occuPancy R-3 M-1 FEF5 Zoning w W Name H~ HORIZOK BOMBS. IHC (Actuat) Const V~ Bidg. Permit 518.00 o Address 12201 MINNETONKA BLYD (Allowahle) v~ Surcharge 36•~ City MINi'PQNKII Phone 933-2 S21 # oi S[ories Length 24' PlanReview 3~7'~ f =F Name S~ ~tn SAC. City 1~•~ Address S.F. Total W0.00 U~ SAC. MCWCC City PhOne S.F. Footprints - 625.Q0 On Site Sewage Water Conn O W Name GRI~i+TOI.D d~ ASSOC on sneweii 90•~ w Water Meier Address pD A S MWCC System x Acct. De osit 34 00 a W Clty Z Phone 84-6287 City Water X P . PRV Required S!W Permit 30.00 I hereby aCknowlege that I have read lhis application and state that [he Boaster Pump - S!W Surcharge '50 information is correct and agree to comply with all,applicable S[ate Qf asa.00 Minnesola Statuces and City ot Eagan Ordinances.. Treatment PI Signature of Permitee APPROVALS Road Unit 355.00 NEW HORIZON tSOHES INC Planner A Building Permit is issued to: ~ - Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State o( Minnesota Statutes and City of Eagan Ordinances. gidg, pff, _ Copies - Building OffiCial Variance - TOTAL 2, 975•00 ` Permit No. Permit Holder Date Telephone # J WATER 9EWEfl PIUMBING H.V.A.C. ' ei(l ELECTRIC ~ Inspection Date Insp. Comments Footings I Foundaiion Framing N-,1111 7-1 RooGng Rough Plbg. II I'CQ !5 - - G Rough Ht9. IsuL Freplace Fnal Htg. Final Plbg. Const. Meter P16g. Inspector - Notity Plumber Engc/Plan Bldg. Final Deck Ftg. Deck Frrta) Well Pr. Disp. • . . ~ . • * r, • fItrti#iraft uf (Igrrupanry - titp of (tagan aPpl'1'11tPltf IIf IdtmUtg 3wPtftDtt Thrs Certificate isrued pursumu to 1he requirements of Section 306 of the Uniform Building Code certifying that ar the time of issuance this structure was in compliance wilh the various ordinances of the City regulaling building construction or use For the following.• UM Qlssikab(m 1 OF 3-PLEX ffift. Pwu;, No, 18416 ,,,.n D.,, PD Ty,a C,... V-N occ„p-y Tra R-3 M-1 7 Ow,,wrofBudding NEW HORI20N HOMES Add,. 12201 MINNETONKA BLVD B,,M;ngAdd,m 4207 SUMAC PT L-R;ryLB, B1, BOULDER RIDGE 2ND Daw. DECENBER 20, 1990 &Iftog 6fficw , POST IN A CONSPICUOUS PLACE SEWER & 1MATER PERMIT OFFICE USE ONLY CITY OF F-AGAN METER PERMIT DATE 1V~29! 3830 Pilot Knob Rd. Eagan, MN 55122-1897 cHiP # ~ 16':7 19' % PERMIT # 11fi95 • METER SIZE ^ p" B.P. RECEIPT # L C~- DATE 1`.- : C ISSUE DATE B.P. RECEIPT DATE 1 n V x PRV ^ BOOSTER PUMP SITE ADDRESS "20 Sl"•4' C;'"I' PERMIT REOUESTED LOT `BLOCK ' SEC/SUB FSc; ULDi,;, y SEWER WATER - TAPS APPLICANT: ADDRESS: COMM/IND ~ RESIDENTIAL CITY, STATE ZIP x NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ~'i,Yt;QU'['i. YLU:iBi?;G Ahead of Domestic Meters on Water Line. ADDRESS: 9290 7ACHAI:Y LANE N Credit WILL NpT be givQn for Deduct Meters. CITY, STATE lArLE GROVE, t1iV ZIP 55369 PHONE: 493-2474 I AGRE TO COMPLY OWNER: NBW ti0tII7,ON HOHES, LNC EAGAN~~RDIN}1NCE ADDRESS: ' `TH TY OF 12201 I~INNI?TO1~iKA BLVD t - CITY, STATE MINNETOIVKA. MN ZIP ~5343 ~ PHONE: 93 3-1 SIGNATURE. N METER ISSUED PLEASE ALLOW TWO WOHKING DAYS FOR PROCES8ING. CALL 454-5220 F` INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. , SEWErR & Vli,; TER PERMIT OFFICE USE ONLY CITY OF WAN METER # PERMIT DATE 10I29190 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # i 1695 ~ METER SIZE B.P. RECEIPT # - ' - •l' ISSUE DATE B.P. RECEIPT DATE 20102/9U DATE . ~'C" a , 1 ~ ) r _X_ PRV - BOOSTER PUMP SITE ADDRESS ~-A PERMIT REQUESTED LOT ('6LOCK 1 SEC/SUB X SEWER _ WATER _ TAPS APPLICANT: ADDRESS: - COMM/IND Z_ RESIDENTIAL CITY, STATE ZIP k NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: PLY?"fOiJ'Cki PLiJP1BING Ahead of Domestic Meters on Water Line. ADDRESS: 9290 7.ACHAFtY (.AJtE li Credit WILL NOT be givgn for Deduct Meters. CITY, STATE HAPLE GROVE, hl~ Zlp 55309 . • PHONE: 493-2474 I AGREE'TO C MPLY WITH GITY OF OWNER: NfM' 1.4R17AN H(klE9, i1C EAGAN ORDINANCES ADDRESS: 12201 HIl113ETflNiG1 i?Lb'L, CITY, STATE ~~NNETaNK1?. MN ZIP 55343 PHONE: y i3-2~21 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . . . .~•q'^va,~ . . . . . . , . ; ~r .P ;r.,;ti y+-.e . ...o-,~„,q,. „y,~.~..~?r",.,..~,~ ,;.Y . . , . . . . , . . _ . _ PLUMBING PERMIT For City Use Only , CITY OF EAGAN PERMIT# CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #0- 1 I c,, PRICE • PHONE 454-8100 DATE: z~~~31L) ' Site Address BLDG. TYPE WORK DESCRIPTION Lot B ck - Sec/Su ' Res. ~KNew Const. X - , ~ ; • H Mult. Add-on Comm. Repair Name Other Address ~ • RES. PLBG. ONLY - COMPLETE THE FOLLOWING: c City Phone 2 7 - NO. FIXTURES TOTAL , . Water Closet - $3.00 $ Name ~ Bath Tubs - $3.00 ~ r . ~ Address Lavatory - $3.00 Gity Phone Shower - $3.00 I_ Kitchen Sink - $3.00 ~ UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 ~ COMM./IND. FEE - 1% OF CONTRACT FEE ~ Floor Drains -$1.50 ; APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater -$1.50 ; TOWNHOUSE & CONDO - RES. RATE APPLIES Whirlpool -$3.00 - MINIMUM - RESIDENTIAL FEE $12.00 ~ Gas Piping Outlets -$1.50 ' MINIMUM - COMM.IND./FEE $20.00 (Iu11NIMUM -1 PER PERMIT-NEW CON T.) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 r / Private Disp. - $10A0 : s' Rough Openings - $1.50 e-"_0t_4 ~_7 U. G. Sprinkler System - $12.00 d; si ATURE OF PE M E PERMIT FEE: jj~ 5v ~ STATES S/C: S) FOR: CITY OF EAGAN GRAND TOTAL: 3 S~ .-r--., -r.r~_.. k.. :.w~ : w Fw Ottioe Uae Only: - . , . 5/!3 pl 111ECHANIQAL P,EFIMIT PERMIT # ~ CITY OF EAtiAN RECEIPT # 3930 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: ' CONTRACT PRICE PHOHE: 454-e100 Site Address ' ~ ~ BLDGi. TYPE WORK DESCRIPTION Lot~ Block ~lSubf r Res. _ New ~ m Neme Muli Add-011 Address Comm. Repair c Ciry ~ ' ' Rhone` Other FEES ~ Name • RES. HVAC 0-100 M BTU -$24.00 3 Address ADDITI4NAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES NC ON HEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMtT) - 1.50 EA. TYPE OF WORK COMIYIlIND FEE -196 OF CONTRACT FEE Forced Air U M BTU - APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU AAINIMUN RESIDENTIAL FEE - ALL ADD-ON & Air Cond. M BTU REMODELS - 12.00 MINIMUM COMMEHCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Ges Piping Duilets # (qpD $50 S!C PER EACH $1000.00 OF PERMIT FEE) Other , PERIIITFEE• Sii ~ S/C: ti J SIGNATURE OF PERMITTEE TOTAL: FOR CITY OF EAGAN INSPECTIQN RECaRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ~r APPLICANT: ,I INnr. P I ?,iral. Ifl.r -,rarl c r. ~ , :,I PERMIT SUBTYPE: TYPE OF WORK: I it l. M I+iiMF`.4, I V1 L'A I IY INSPECTION D. • DA i !'i41N t ~ f~lllfl~ll ( td ~'I :~I. €'r~~~~~Fl 1 IV (i I~, t I NF~I Rt MAFrK ; r I N~-1 ill?F d.~bt~, i~ i~ l ; r ~.~ci,~ , ~ i~s ~ ~,~ir~n~ ~ 1 ~ ~ ~ Permft No. Permit Molder Date Telephone S ELECTRIC PLUMBING HVAC Inspecdon Date Insp. Comments FOOTINGS FOUND FRAMING NOOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDCi FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL INSPECTI4N REC4Rl) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "~•~y Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: lo l: it 111 r , APPLICANT: l i r ~i, ~ i ; , ~~N~:1 . !,r?n PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D• r~•~ ~ i 1 f~~ i . I 1 J~, I ~ J Permit No. PermR Holder Dabe Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Commerrts Footings I Foundetion Framing Rooting Rough Plbg. Rou9h Ht9• Isul. Fireplace Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Finel Deck Ftg. G O Dedc Final Well Pr. Disp. Address: 4205 S[MC POINP Lot 7 Blk ] Sec/Sub B(XA,DER RID('E 2Np These items were/were not complete at the time of the final inspection. DATE: JANOARY 10, 1991 Yes No „1T7R: ~ Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded gxass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-o£Y of water supply to the outside lawn faucet before freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy Addrkss: 4207 SUMAC PT Lot 8 Blk 1 Sec/Sub BOULDER RIDGE 2ND These items wera/were not complete at the time of the final inspection. Date: DEC 20 1990 Yes No Ins ector: -01 Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry ~ Permanent driveway tZ Permanent gas ~ Sod/seeded grass Trail/curb damage ~ .6 Porch Basement finish Deck Please veri£y vith the buildar the removal of roof test caps fram the plumbing system and the shut-off oE vater supply to the outside lawn faucet befora freeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy Address: 4203 SUMAC PT Lot 6 Blk 1 Sec/Sub gOULDER RIDGE 2ND These items wera/were not complate at the time of the final inspection. Date• DEC 20 1990 Yes No ' Fina1 grade (6" from siding) Pe;manent steps - garage ? Permanent steps - main entry LIZ Permanent driveway ~ Permanent gas ~ Sod/seeded grass ~ Trail/curb damage Porch V Basement finish Deck Please varify with the builder the removal o£ roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet ba£ore freeze potential exists. White - City copy Yellow - Resident copy Pink.- Contractor copy ~E ~t SALE uNiT CITY OF EAGAN ND 18414 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 m !T-~ BUILDIN~ERMIT Receipt # v 7obeusedfor 1 OF 3-PLEX Est.value $73,000 Date OCT 1 ,199D Site Address ' 4203 SiJMAC PT OFFICE USE ONLV Lot 6 81ock 1 Sec/Sub. BOULDER R7D(:F 7x Parcel No. occupancy R-3 [q-1 FEES Zoning PD w Name NEW HORIZON HOMES. INC (nctuaqConst Y~_ eldg.Permit 518.00 o Address 12201 MINNETONKA BLVD (Allowa6le) V~1_ Surcharge 36.50 MINNETONKA City Phone 933-2521 roistories Letgih 241 PlanReview 337.00 F Name SAME Depth 50 ~ SAC. Ciry 100.00 ~a Address S.F, Tolal - SAC, MCWCC 600. 00 ~ CIIY Ph0f10 S.F. Faotprints - Site Sewaga _ Water Conn 625.o On 0 -0w Name GRISWOL? & ASSOC onSitewen WaterMeter 90•00 AddreSS PORTLAND AVE S MWCCSystem X Acct. Deposit 30.00 <W City BURNSVILLE phone 894-6287 cirywater ~L 0 PaV Required X Snv Permit 30.0 I here6y acknowlege thal I have read this application and slate that ihe eooster Pump - SiW Surcharge .5 0 information is conect and agree o comply with all applicable State ol Minnesota Staiutes and City of gan rdinan 6! 7reatment PI 252.00 Signature Df PBfmitee APPROVALS Road Unil 355.00 NEW HORIZON HOMES Planner - ParkDed. A Building Permil is issued lo: on the express condition that all work shall be done in accordance with all Council 2.00 applicable S1ate of M.i/n~ ~nesota Statules a,n.~d, Cpi1y ol Eagan Ordinances. g~_ pry, _ Copias 0 Building Otficial ~I `q R~j ~C ~ Varianca - TOTAL 2,976.0 1nWHItOISE FOR-SAIE IRdIT lOrS 6-8 CITY OF EAGAN NO 18415 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 , Receipt # t " Tobeusedfor 1 OF 3-PLEX Est.Value $73,000 Date OCT 1 , 199p_ Site Address 4905 Strt.ta(' PT LOt 7 BIOCk -I SeGSUbRnIITAF.R RTD(:A 7Nn OFFICE USE ONLV Paroel No. Occupancy R-3 M=1 FEFS Zoning PD W Name NEW HORIZON HOMF , INC (ACtuapCOnsl V=N BIdg.Permit 518.00 o Addf055 12201 MINNETONKA RLVD (Allowa6le) ~N- Surcharge 36.50 City MiNNETONRA Phone 933-2521- x of stories Length 2l+, PlanReview 337.00 o Name SAMF. Deplh 50' SAC,City 100.00 ga Address S.F.7ota1 - SAC, MCWCC 600.00 ~ City Phone S.F. Foolprints - On Site Sewage _ Water Conn 625.00 ~w Name- GRISWOLD & ASSOC Onsitewen - waterMeter 90.00 xg AddresS PORTLAND AVE S MwCCSystem x_ i2 City BURNSVILLE Phone 894-6287 Ciry Water x_ /+cct Deposit 30.00 PRV Required x_ SNJ Permit 30.00 I hereby acknowlege that 1 have read Ihis application and state that the Boosler Pump - SMl Sumharge .5 0 intormation is correct and agree to comply with all applicable Stata ot Minnesota Statmes and Ciry of tfan rdinanc t Treatment PI 252.00 SignaWreofPermitee ~ l~ APPROVALS RoadUnil 355.00 A Building Permit is issu d to: VEW HORI Z N HOMES, INC Pianner - park Ded. on Ne express condition that all work shall be done in accordance with all Council applicable State ol Min,/n~,esota Statutes and City of Eaqan Ordinances. eldg. 011. _ Copies 1.00 0 Buiitling Official ~ 10(,1q.3dd~„ variance - rornL 2, 975. f) ~ WSE ~ POR~AIE iINIT . CITY OF EAGAN NO 18416 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~o BUILDING PERMIT Receipt # To be used for i OF 3-PLEX Est. Value $ 73 ,000 pyte OCT 1 1920 Site Address 4207 SUMAC PT Lot $ BIOCk I_ Sec/SubBO i.D .R RTn(: . ND OFFICE USE ONLY ParC21 NO. Oaupancy R-3 M-L FEES Zoning PD w Name NEW HORT70N HOMF S, TNC I/+cNaq Const V-N Bidg. Permit 518.00 o AddfeSS 12201 MTNNETONKA RT.{/n (Allowable) Surcnarga 36.50 (`,i(y MTNNETONxA phone 933-9571 dolscories - Len9th 241 PlanReview 337.00 D o Name SAME oepm SSL snc. City 100.0 ga Address S.F.TOtal - SAC,MCWCC 600.00 ~ City Phone S.F. FoolprinLS _ Water Conn 625. o0 On Sita Sawage ~w Name GRISWOLD & ASSOC onsitewen - 90.00 ww Water Maler i~ Address PORTLAND AVE S MWCC System x_ n Actt. Daposil 30_0 ~w City BURNSVILL.E phone 894-6287 Cirywater xL 0 PRV Repuired _x_ SNJ Permi[ 30.0 I here6y acknowlega thal I have read Ihis application and state that Ihe Booster Pump - SnN Surcnarge .5 n information is corted and agree ty wmply with all applicable Slate of Minnesota Stalutes and City of E gan O inance. Treatment PI 252 00 SignaWre of Permitee APPHOVALS Road Unil 355.00 W HORIZON HOMES. INC Plannef - ParkDad. A Building Permit is issue to: on ihe express condilion that all work shall be done in accortlance with all Council 1.00 applicable Sta1e of Minnesota StaWtes aInd City o'fI Eaqan OrUinances. BIdg.Oll. _ Copies BuildingOtFiCial ~,Q(J~,~~~1•~n'iLl Variance - TOTAL 2.975.00 iu/, ~ 9v ~T'yy~Y/ ~ 2 4T 4 l_v+ 6, Bi K I, 6d4c Requast Oete Fire No. Rough-in Inspeclion HequJ'' 8G7 ? Ready Now P'9VIII No[iy Inspector - ~-~7 pYes ? N. When ReaRy7 IP Itoensed coniractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Slreet Box or Route No.) City o Sx)mac, Pt • E.a n $ection No. I Township Name or No. flange No. Coun~y 1.0-to+ Otte`upan[(PFIMT) Phone No. IV" ~'IOflZ1Jf~ Power SuOPller Atltlress b01Y_c3hcx, E(e.chtL ElecVCal Contranor(COmpany Name) Conhactor5 license No. c, '~i'Y18-4 Mailing AEtlress (ConVaMor or Owner Makinq Installation) 409 - rd k.~. IJo YY1P15 mrJ Autnorizetl SignaNra (COntreMOrlOwner Maxing Installation) none Number J - E:oo MINNESOTA STATE BOAflD OF ELECTRICITV THIS INSPECTION FEQUEST WILL NOT GriggsNlGway Bltlg. - Hoom S173 BE ACCEPTED BY THE $TATE BOARD 1821 UniversNy l.ve., 51. Vaul. MN 55104 UNLES$ PROPER INSPECTION FEE IS Plwnet61t) 8C2-01300 ENCLOSED. ) REQUEST FOR ELECTRICAL INSPECTION ee-00001-0e ? See instructians tar completing inis form on back oi yellow copy. (J /f9/ M 2 4. 1$~ "X" Below Work Covered by rhis Request ~ 7~L ew A71 ep: - Typeof8uilding AppliancesWired EquipmentWired POO Home Range Temporary5erviceIDuplex Water Healer Eleciric Heating 6uilding Dryer Other(Specity) m./lntlustrial Furnace Air Conditioner spxily) Conhacmr5 Remerks' Compute lnspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuit5/Feeders Fee Swimming Pool 0 to 200 Amps - 0 to 700 Amps Transiormers Above 200 _ Amps 00 _ Amps Si9~5 Inspecror's Use O~~Y'. ~-y~ TOTAL ~ Irrigation Booms S u Special Inspection Alarm/Communication THI5 INSTALLATION MAY BE ORDERED DISCONNECTED IFNOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby RO°9n40 ~ oa~e~ certifythatthealwveinspectionhas Final oate been made. OFFICE USE ONLY This rBquest voitl 18 mon[hs irom / REQUEST FOR ELECTRICAL INSPEC710N ee-00001-0~8 ? See insVUt~iuns for completing this form on back ol yellow copy. ~ 98 ~J Y' M i~ O W 24747 "X" Be(ow Work Covered by This Request ew'itld RQp. TypeofBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Indus[rial Furnace Farm Air Conditioner Olher (specity) Comrac~or§ Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee Circuits/Feetlers Fee Swimming Pool : 0 to 200 Amps - IiQOtolOOAmps Transformers Above 200 _ Amps 100 _ Amps Signs Inspector5 Use Only. J 0O TpTAL ~ in Irrigation Booms ~ Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETEU WITHIN 18 MONTHS. I, the EleCtriCal Inspector, hereby Rough-in c oa+e [V /i:, a ~ certify that the above inspedion has p~nai oate been made. . f OFFlCE USE ONLV This reques[ void 1B months fmm a 247 ~ Request Date Fire No. Rough-In sp Required? ? Reatly Now yZCM1'ill NofiN I^SPectar q-. 4- I]+des ? No When Reatly? Ii~1lcensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Street, 6ax or RoNe No.) - City 0 ac. ~ Section No. Township Name or No. Range No. County OccuOanf(PBINT? Phone No. POwE! $uOPitBI Adtlf855 ` 1\~ ElMrbal Contrector (COmpany Name) , ConVac[orS License No. ~rv-isu. Et~c.-h~c. 3Q~1n8-4 Mailing Atldress (COnhactor or Owner Making Installation) ~ YY~rJ 8'0-93 U2, K'ID Authorized SlgnaWre (GOnlrector/Owner Making Installationl Phone NumbLerL ^ l~:~D~Q MINNESOTA STATE BOFRD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT Grigge-MlOway Bltlg. - Room 5-078 BE PCCEPTED 8Y THE STATE BOARD 1811 Universlty Ave., St. Peul, MR 55104 IINLESS PROPER MSPECTION FEE IS PMne (612) 662-0800 ENCLOSED. i/ ~2~58 _6i~ ( • / JC.~~ a7 n ~~°o Requesl Date .1' Fire No. flough-in Inspecti Required7 ? Ready Now B4Ji11 NotiTy Inspec[or +O~-3 `~'R~ . L'S'BS ? No When Peatly? I[H'ficensed contractor. ? owner hereby request inspection of above elecirical work ai: Job Atltlress (Slreet, Box NfloutB No.) Gd 4av-l 5,i-y\0'r- R4- E Seclion No. TownshipNemB or No. Range No. CourNy • O0. =-FG Occupant(PFINT) Phone No. HCYtZOr1 i PowerSupplier Atltlress Eleciricai Contractor (Company Neme) Comraqorg License No. Svrris.e ElAichic, 3Ge1r19-4 Mailing AGtlress (COnVacta or Owner Making Installation) 400-93rd Wu- W maL.5 n„,~ V5443 ANhorixe0 SignaWre IGonVactorlOwner Making Installaiion) Phone Number - -K " b--8boo MINNESOTA STATE BOAflDOF ELECTNICITV THI$ INSPECTION REOIIE$T WILL NOT Grlggs-Midway BICg. - Hoom S173 BE ACCEPTED BY THE STATE BOAPD 1821 Universiry Ave., 51. P6u1, MN 55106 UNLE55 PPOPEfi INSPECTION FEE IS V1wne(6t2) 842-0800 . , , ENGLOSED. /~RfQUEST FOR ELECTRICAL INSPECTION Nya, E&00p01-OB R. See instruqions tor completing inis fOrm on back ot yellow copy. U~u "X" Below Work Covered by This Request 24758 ek~ Atld Rep-^ ' 7ypeolBuildinq AppliancesWired EquipmemWired Home. ` Range Temporary Service Duplez . Water Heater Electric Heating ApL Building Dryer Other (Specity) Comm'llndustrial 'Furnace Far{n" ; - Air Conditioner Other (speci(y) ConVacbrS Remarks: ' Compufe InspectiWi'Fee Below: # O[herFee k ServiceEnlranceSize Fee # CircuitslFeetlers Fee SWimming Po9~-'.- 10 200 Amps ~ 0 to 100 Amps 56- Transformers Above200_Amps AboveloD_Amps Sig05 Inspec[or§ Use Only: T~'TpL Irrigation Booms 41!ID Specva7 7nspection;:.i, ; Alarm/Communipanqn THIS INSTALLATION MAY BE ORDERED ONNECTE~ IF NOT O[her Fee . COMPLETED WITHIN 18 MO ' 1.' ' Rou h-in i ` Datel I, the Electrical intor, hereby 9 02 -'~j certify that the a196e inspection has Finai Dat been made. OFFICE USE ONLY This repuast voitl 18 mombs:frdm 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION o' City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Coretniction Reauirements RemodeUReoa'v Reauirements Oflice Use Onlv 3 iegistered sde surveys showmg sq. R oi lot, sq. R of house; and a0 rooted areas 2 coDies of plan Cert of Survey Recd _ Y_ N (20°h maximum lot croverege allowed) 1 set of Eneyy Calculations for heated addftions T2e Pres Plan Recd _ Y_ N, 2 copies of plan showug beam 8 window shes; poured (ouM desgn, etc. 1 site survey for addifions 6 decks Tree Pres Required _ Y_ N lselofEnergyCalculations Add'rtion - Indkatelfarsdesepticsystem On-siteSeptic5yslem _Y _N 3 copies ot Tree Preserval'ron Plan if lot piatted efter 117193 Rhn Joisl Detail OpUons selearion sheet (bugdings vriN 3 or less und.s) n Date 7 Construction Cast Q/' i b E Qe') SiteAddress 03j Llaci- yd02 S4xnae +^-k UniUSte a - - a Description of Work !`&VW0&_EKIbt'iN(r mk mnAk!) ~S![~~~J(~ 1 Mnr; FR~F V~Pn?Y~ ~S~~rI Multi-Family Bldg ~ Y _ N Fireplace(s) _ 0 _ 1 _ 2 C~T < 6o20;' F4ERUEN ; Property Owner 13WrbfR 910fei Tk rlN HOYVV--S Telephone #((xi 1 )q.SZ- 6041A Contracror b-0GjC CONbTP.UC-TJot, °F'~S701Z~11Oti1 jNC. Address f2OM TUCKEI2 ~.n Cih' jt&«g6 State fffEdim rAN Zip E~ 37 Telephone 4 (6 f 2) 28Z- EpA f br COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet (Jsubmissfontype) Submitted Submitted • Energy Enveiope Caiculations Submitfed Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. licensed Plumber Telephone ~ Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and 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 c e of work which requires a review and approval of plans. dWoFL_ A Sc.~K ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwellfng ? 08 Ofsplex ?'I6 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi O 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ex[. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex pibg Y or _ N ? 25 Miscellaneous Work Types ? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 RepleCement *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) FinallNo C.O. _ FooNngs (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee ~ Surcharge Plan Review MC/ES SAC City SAC Utilfty Connection Charge S&W Pertnit & Surcharge Treatment Piant License Search Copies Other Total 2004 RESIDENTIAL BUILDING PERMIT APPLICATION , City Of Eagan - 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ti5 New Construcfion Reauiremenls RemodaVReoair Reauirements Offica Use OnT 3 registered site surveys showing sq. R. of lo of house; and all roo(ed areas 2 copies ot plan 0er~oPrSurvey Rec-0k~ N (20%maximum ~mverage-a i set of Energy Calculations for heated addiGons ~re~Pres~Piari Reai~ ~Y+ N 2 copies of 'showirg 6ea win s¢es; poured found ' n, etc. 7 sile survey for additlons & decks Tte& Pte,s~tequQedL 1 set o nergy Calcul Adddion - indicate if on-site seAtic system N-skeSe~tic'Sys~m` ,Z='Y 3 ies of Tree Preserv 'on Plan N lot platted after 711l93 Joist Detail Options election sheet (bldgs with 3 or less unifs ' Date Construction Cost I 1} 557 ' 6O ite Address ~n UniUSte # M . ' Descri iono[Work OWs I' / Multi-Famity Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner ~A -TRA]f- Telephone#(6Cjl) bo3 -0419 Contractor Q ss Address Q;1:>0 City Q (n 5 p State M~ nn a Ip 5~33 Telephone #(i6sA ~ 4 0 O ess COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submit[ed . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone 1 ' U L ~i 5 ll ~ I~ OCT 26 2004 I hereby apply for a Residential Building Permit and acknowledge that the information i ~4omplete and accur that the work will be in conformance with the ordinances and codes of the City of Eag and the State of Statutes; I understand this is not a permit, but only an application for a permit, and workuinaE-f permit; that the work will be in accordance with the approved plan in the case of work whic equires a review and approval of plans. ~anel le. Du~o~S . . ApplicanYs Printed Name / Appli ~ant's Signa e ~ OFFICE USE ONLY Sub Types , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundafion ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof X46 Windows/Doors ? 34 Replacement 'DemoliUon (Entlre BIdg) - Give PCA handout to appliwnt 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) _ FinallC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~i RESIDENTIAL S% S~ 1 BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 `D A~-CAV 657-681-4675 r^}~~ New ConsWetion ReauiremeMe RemodellReoair ReauiremeMs • 3 regislered site surveys showing sq. fl. o( lot sq. ft. of hause; and all roofed areas • 2 copies of plan (20% mazimum lol caverage allowed) • 1 ut of Eneyy Calculations far heated additions • 2 coples ot plan showirg beam 8 wirMow sizes; poured found design, etc.) • 1 sHe survey for ezteriar additbns d decks • 7 set af Eneqy Calculatmns • Indicate if home served by septic system for addiGons • 3 copies ot Tme Preservalion Poan H IM plaHed after 7/1/93 • Rim Joal DefeB Optiais selection sheet (61dgs wtlh 3 ar less unila) DATE cl 12-SI ~ Z VALUATION SITE ADDRESS ¢;In3 Su^'~~e- k1%H17, MULTI-FAMILY BLDG _Y iW TYPE OF WORK WPt%~ w%r" 1:)ooR zclk S3R~SE.MENT FIREPLACE(S) _ 0_ 1_ 2 APPLICANT !St4frV-*AL- A,"Svm ~ zu2yq. Ii~~M STREET ADDRESS 4a03 SUMq-G (90i1'k7 CITY Str~ (,PN STATE Mhl ZIP 55iZZ TELEPHONE # 65t-696- 0008 CELL PHONE # FAX # PROPERTYOWNER St"'f-%-Et-- A+`>Svr'+ ` Zu~-LyA 0K*X%Jr'+ TELEPHONE# ~~'~'686-0008 COMPLETE fOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy:Code Worksheet Submitted . Energy Envelope Calculations Submitted SEP23200..~ Plumbing Contractor. Phone # Plumbing system includes: _ Water Softener _ Iawn Sprinkler _ Fee• R90.OQ_ J ~ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanlcal Contractor. Phone # Mechanical system includes: Air Condiuoning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signatureof Applicant ~C~ a~ a3! 0 Z. . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 1 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-piex ? 24 Stortn Damage ? 06 04-plex 13 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 13 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'DemoliUon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy A7_3~~Id2 MC/ES System Census Code Zoning City 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) FinaVC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) plunibing _ Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Frazning _ Siding _ Stucco _ Stone 7~~ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By__ Building Inspector Base Fee Surcharge Plan Review r'~~~ ~*°%'3 MC/ES SAC City SAC ~ Water Supply & Storage 'nn ' V 1~~ ~ ~o, S~ S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 9~ COMMERCIAL 2002 BUILDING PERMIT APPLICATION 5~57? ~ C651-681E4675Alq Foundation Onl New Construction Interior Im rovement . SWCtural Plans (2) sets • Architecturel Plans (2) sets • Architecturel Plans (2) seLs • Civil Plans (2) • Structural Plans (2) • CodeAnalysis (1) " . Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeMatysis (1) " • LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • CertiFlcate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) • Elec. Power 8 Lighting Form (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (t) " l L • Electric Pawer & Lighting Form (1) l • Master Exit Plan (i) 1 1 • FireProtedionPlan (1)" 1 1 • SoilsReport (1) 1 • MClES SAC determination letter • MGES SAC detertnination letter • MC/ES SAC determinaGon letter call 651b02-1000 call 651•602-1000 call 651-602-1000 " Contact Building Inspections for sample Food & beverage or lodging facilities - submit plan to MN De artment of Health. Call 651-215-0700 for details. DATE: V WORK TYPE: _ NE MRE~PAODEL CONSTRUCTION COST: -I U~.I.J SITE ADDRESS: ' Ta~' 49C S J-,,, TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK C) QU 0 CWI rraim~~6~4r~11 c (cb1 ~ 4UFD - D%9 1 ~ PROPERTY Last First OWNER SueetAddress' I^ti~~ ~~~~,.~l~kj ` , ^ ~ City: ~Q gptn State: M~ Zip: t%I 22L Company Wln Phone#: (.tcyp~~ ~ `1b~7 CONTRACTOR 1- Street Address: ~ 'E , City:(a P4X6 State: t V~ Zip: Fb ARCHITECT/ ENGINEER Company: Phone ( Name: Registrarion ~ v{ ' i ~ i S_~ G E 2~~2 ~ I Street Address: 1-U `J I City: State: ZiP: Licensed plumber Installing new sewer/water service: Phone I hereby acknowledge that I have read this application, state that the informatio}}}~~~ correct, a d a re t c)mp with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature N A n AY.1X1.Yn 1 y~ X ~ h of Applicaril ) l X ~b l Updated 1102 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nai] 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 El 48 Authorization ? 34 Replacement ? 38 Demolish (Int) G 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. R. No. of Units Length S9. No, ofBldgs. Width sq. ft. Const. (Actual) Basement sq. ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating ? Insularion Q Plumbing ? Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC 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 PIANS 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 MIJST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE 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. SEP 2 6 / RECO ~ O~, To Be Used For: ~c~s~p~ENr/AL Valuation: Date: 7'~/"9D Site Address //yZ0,7 ~~~vJ/1G ~T• n p O.D -OFFICE USE ONLY /J Lot ~ Block I FEES Occupancy - 3 M-1 n Zoning Parcel/Sub ~r~ .~GflG Actual Const V-N Bldg. Permit /BOD Allowable V-N Surcharge ~O 0 Owner /1/C~ f~l,pizeN ~MGtS. ~G. # of stories Plan Review 3317,0 ,,p Length ~ SAC, City //y~.Op Address /22D/ Iy/VTi?1 ,O!/~~ Depth $tj' SAC, MWCC D(~p.DD S.F. Total Water Conn 625,0D City/Zip Code /&y/</J. .S?r3~~_ Footprint S.F. Water Meter 47t9, p Acct. Deposit .00 Phone On site sewage_ S/W Permit $p.0o PAT On site well S/W Surcharge ,,$a Contractor &W f/o/?/~~A/'i1~ MWCC System V Treatment P1.Z$L,oD City water ~ Road Unit' 33 .SS1 00 Address PRV ~ Park Ded. ~ Booster Pump _ Copies 00 City/Zip Code SUBTOTAL APPROVALS Penalty Phone PlanneY TOTAL ~ Council Arch./Engr. Bldg. Off. 6Nb2l /J / ~ Variance Address /'d~2~1/~~O City/Zip Code /~.d/G/,~' ~?~~71~ D %?II Phone # ~97'(02p~ 135 KT 6r?2 X eiy = R4109 H°'~E~ ~111zm n~s~ = sG ~~2.. 72r1zo ~ o I<;,;, I m; A ,-IL 1:,1:1- "11 ,112111:1 ,,I ,~IN Nevv HoF_IZoN t-b0AE1`5 A0,],,.:.,: 'P a. ecyc I~"I 4-13 -40511_ , _ • ~I r.I I,.I I i~i.Tp, i i.. I,.i lil- ~l-. M1JdiriF.n 4-25-SB MODE-L SI EN17 nvr:r.acr. i.ini.ni, rn:,~ n', . I~:CPUI:EU l;;,l I. AI:I(n A14nV1C I:RfilIl' I•I.~•'il'I' F!~r. ~ a ~~d4 . ~~~~itIltr nr ,..:1u ~T. i~:~~.~,..i.~..:~ii :~i,,,:,., c,-:,,i1' Q , I ~I.... :.i hriyhl nf 'im .~1T . ~{Tf• i..... ~ t......~ ~ 1 44as44- i:~~ ,I i• ~.I u.~ .~iii .~.:il I nL~•,.o r:vln lu ir-nl.ovr prnilr . - . .:~i i:0,1, :,i, To. i...ii", „iod„-.: i A ~ 2~I ~ . NO(LGO '15229 YJH Mui-4=q. rc.2.y 60 SS 33.o tr~~,v 2_x 16 = 30 s5 I PH n 322 ri. I1.D Ir)(;,) q. u..2-,clo~_20 2.$_(11) (n) r> : - - r- iii i q'via V9-.FNd_~X=q r~-2_x3=_~ ~ a6 ic•~. . ~q. rc. ....(u)(n) ~ fc.-------- ._(nj(n) _..(1!)(^) . . _ 'li" . _._(r)(A) . . .-_s.-ft. 'li" q .(1:)(A) _....ll!)(A) ~ (11(M1) (U)(A) f f ;11 A1 ^ . sq. . r. Ii - f t (f') (A) W) (A) . PIKvP<nrTl_ rc ---24"ir• (it) cA> - - - - _l~_~~ cq "u" SS , l o (u)(A) _---(n)(n) tq. (u) (n) c~{- , i~l\AnlTl nl.l. L01:$ilUl(`I'1011; Arr. x°II" vnl.ur . ~ TRM1IIISO Whl.i, (COl:a7 aren less frmning mrmbers i.n 1~i-~nit ~~~Irr-iaall. ~im jaist nr^.a 6 masonry) ~ wc ' rnr~, fi nm 5q. fl.. ^tI" T _~Y~.._ - I (1') (.4) ~ i ~rh pd r ll .OTO~J . (.r) (A) Friiniu~, mr_mbcis zn wall sq fc. _ ' `--eq. !t. ~ u .03~! ] ?'e" h')(,~) ' I?im .C _ . . M) (A) . 70'I',11, Nwll At'ee T„c,.,ol„n,: u;.,aoWs ~ n„o.s e~-kiorni, (n)(n) rorni. (u)in) vni.urs Zi' iniGini:u ni r~irni, unt,i, nurn 41r• hYl7fncP."Il" Hiniimmi, .17 or lecc for l f. ? fnmily Avcllingr. Yinimum .77 Ir,e: Eo, all ocher hid]diajes r!n'I'I ~ I( .lorrnp.l "II" vnlnvs ~s rnlcnln[ed aLovn dn not mec[ flor Enrrl!v Cndr r(`iiIirrmonlr., Ihr . "nirin,iv Fnvrlnpn ?rsirn" ns indirated nn 1'ngc 5 m.1y 6r nspd. . • , I?OOF CICJ 1.ING ' . Oulsidc nir filni _ .61 ~ . . . ~ s Insu Jn tinn _f .V Uf 1S" Dr7vn11. .45 . . _ In[erlu~ nir fj lin 61 . ~ . . . . :rm~ni, u - . I- U ° 1/N ' " Outsidc air [ilm_____'_' .s• ~ Drywall . . ~5 . . Interior air film .bl TOTAL R = ll - 1/R U < ' • Ou[side air f.ilm '17 Built_up..roofinr ..13.._._ Insulacion 6'ood decking In[erlor air (il.m .61 ' . . _ . . . _ 1'0'!'AI, R = ~ . . . ' U - 1/ri IlUOF/CIiIL1NG: . .1"0'fnL ARIiT: sq. f C. uctail rc[ercn<c "U" .025 x sy. [c. (U)(A) (rom x6ovc. x sq. It. ~ (1:)(n) UcscriLc apenings SKYVIQ. "U" .~10 x~s9. ft.~==2-~::(U)(,\) in rnoE ..U- ~ x 89. It..-- " (I:)(n) x sq. Ic. U) x sq. ff. (L')(A) x s9. FC. (U)(A) rornis 111(0 <u. rI . ca)(nj ~ TOTAL (U) (A) VALUES ~ qIVIDED I1Y TOTAL ROOP/ 3~ ' O• ~~J2- AVC• CF.ILINC. A1iFA nVF.RAGE °U" .OS [or venCilaced roo[s .10 tor a11 o[her cons[ruc[ion :!0'I'F.: If avernge "L"", vnlues as calcula[ed ebove do no[ meec [he r„rerm coae requiremen[s, the "Alterna[e F.nvelopc Design" ns lndlca[ed on 1'age 5 may be utnd. 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, 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 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 M[JST SHOW A LICEhSED PLUMBER. / oF9 / SEP 2 6 RECo To Be Used For: ~/O•~T/f>~ Valuation: Date: 15~ Site Address ~2~,5 vlsltl'i ~ OFFICE USE ONLY (~D Lot Z Block FEES Occupancy fL-3 Mi / Zoning PD Parcel Sub Actual Const V-N Bldg. Permit 518,00 Allowable V^~ Surcharge 36.50 .80 Oxaner # of stories Plan Review 339 Length SAC, Gity fDD.oo Address /1-Zad/-~~y~'~~9 Depth 5'D SAC, MWCC 600.00 S.F. Total Water Conn 2 00 City/Zip Code Footprint S.F. Water Meter 00 ' Acct. Deposit 30.00 Phone On site sewage_ S/W Permit 30.00 ,y~ On site well S/W Surcharge .,So Contractor /1f~~Iy~s~ MWCC System ? Treatment Pl. 2,52,oo City water -kff Road Unit" $S 00 Address PRV ? Park Ded. ~ Booster Pump _ Copies .or~ City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. ~9~27 Variance Address ~y'G~,?p' 7n. ~ City/Zip Code ~dreL(P ?~'.5~7~i 40Dt2 Phone # ~~ie..u eq nam y ollv~~ uu ~~J'IC.~l~nll ,.uJ~:ull Jdo~,.nv_~ .~IC~i~.~IJ.. ntfiau,~l Z'q.1 :loam luu up Jnoqc paluJn]I I:J S'U SJII~L'A nII.. nA[1.;.`1' II .1111:1 - ::lu~p[Sny iaq:lo ([u io] ~.:11 .i., 4~ ' wuwWuiG . ~ t;:lul[lonIl -CI7'nCJ i: Y I JnJ ~.s:rI .in.[.1' wnni~u! ll ..il.. SI:1vN.IdV ~ ~V7llV 'I"IViI 'IV1uJ. .UI UlWHdl4 C~, ' . lVl (il) IW.U.L siOull Y 1:1upuifl p„(,LIi ~:o,v iiVn n•.i.u.i. ,a ~noq< V3.11. , ~.,.i - .,j .i„- - (v)( il .I~s (v)(q (v)c~~ ~.a - 894--:•~~., -_6S _ _ _ (v)c,u (R.muvwn Y c.,iu .ia~o4 mi.~ u; uaoqlnJ.u Ju'mVAJ •8u, ..lu . Ssa( w:,ufu'.lul) '1'IVfI tl3HYli.! ,t:m~i.isno:i ~rrvri mov.i,j ~ ~p a',[LA ..u,~ x ~:J.,v :mol . (V) 6. (v)IN {7~.1L ..~.15 -7i;{' - b~ =13n21'~ (v)(n) :i-r_.06 - S 6A?. " . -UY _ . , " . (V) (11) . _ . " . „Il. x :IJ _ ' _ . . . . - - •l7 'bs (V)f1;1 ' ,:1„ x _ . _ (V) (d)......_... - ..0.. K I j .Ln (V) (il)........ ' . _ ......~~II~~ . _ ' _ . (V)Gl) . „II.~ " . . . . . _ _ ^ . ~ • L, ~ ~ (V) (IU j (V) IJ ~;I). . .~I7~. a . •Ls (V) OU 1J , fl~~ ~ (V) (10 (V)0I) . . . •:IJ '6s .Ls (V)0I) ~j . . . .1,:; . ~I j ~ - . . . ..11~. ' ' (V)Id) _ ~a . . . (v)(;U. ~ 'It . (v) 60 5'07 1 .u~, =a'c_.51x. 7r .'I , biz~. O0 orv Y. 'llltnW NQ ~bZt4r m7)oN . n~~ ru~ .~„k,I ,.,,I: ..,.,,,I 111111 . L ~i I , ,,I, i~I~.l .i ,pm iq~li .,i~I~.~.~ : ii~~.. i.. i. ~'~s ~Z"Ti Q ii~. j itiat,~i Q7i .,i,,:1 .i .~...y~: 1 1~ '-ts Lcc i,I .',ijt.,,i . g~ ' , o~ iLNllll' V'.I:IV 'I 1Vll (1I eu .I`rIJ 'I\':L`il I 'I:IY)IiA.V 1Q -taaow --a6ai~1 ~aQnnoc4 BB-Sz-b „l,,,, ~ . . . ccCA! lc,ca~i,:v . _i . f r . . r , • • . Cpq:' Cb:l 1.1 NG ~ ~ • . OUl$J(I/' Olf IlIm .LI' . ' . . . . . ~ ` Inccrlor r film f'I '10'fAl. It - , . . - . . _ Uutslda nir [ilm.._.___-_ .lJ. ~ ' Lnsulacion - Drywall Intcriar air. f11m .GJ. ' I'O'fAl, li ~ . . U = 1/R 11 Ou[slde air film '17 . . . ' . . . 9ui.1C_up.roofinr .~7 / Insula[Son . . . . . ~ ' . Wood decki„g InCerior ai.r..(llm .G1. \i i ~ 1'O'CAI. It - ~ i . u 1/IC u - . 11UUf /(:1(71J HC'. q'1'AI. Alti:A. sq. fl. . ~y `~~-7 ' Z-7(II)(A) U,.e:+il rofrreu~r U .0 r'J' x sq. ft'. ~'Ui- r. sq, ff.'-(1:)(A) --SKYi-IC7F-'l --~,U.,__~-x sq. ri. ---~-2 in ronf ~ ~•Ul. (I')(A) % Sq. (l. U.- % sq. fr. (A) fc. _(L'J(A) ' __'-._._•~W.- x sq. (f..'_ ~U)(~) •ror,v,s (c)(n) rornt. (u) (n) vni.ucs uivtoeo nv rorni. r.nnr/ '~fo - 0•032 nvc, cr:n.tt+r. nnrn i ~ I l~aS~}: • ~ nVF.Rnf.l: "u" .OS for ven[ilateJ roofs , . - . .10 for nl.l oncor constnuc[iun . , ;lOff': I( avcr:~ge "C° vnlues nx calr.ulated xbove do no[ meeC [he cnre,-r,x (:ode re9ulremeu[s, Nle ~ '•Alirrn:~t~• linvrlnpr ?epign" nc lndiC.,c.rd on 11apo 5 ninp bn ns~td. I J • 1~ ~1 ~ . 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[TLTIPLE 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 APYLIES 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 ADDRE55 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 E P 2 6 REea JoF3 To Be Used For: Valuation: ~/i~vD Date: 11-9 Site Address z~- O OFFICE USE ONLY ~ Qp Lot 1,e_ Block FEES Occupancy R-3 M"1 i!G~*,c~o~?/~~7" 4+~ /k`°` ' Zoning PD Parcel/Sub Actual Const 1/- N Bldg. Permit 5.00 Allowable N Surcharge ,36 Sb Owner ~~/~R/Z~ ~~5~ ~G• # of stories Plan Review $317,00 Length ~ SAC, City 100,00 Address Depth $rj' SAC, MWCC GGb, ao ~ S.F. Total Water Conn, 25._00 City/Zip Code Footprint S.F. Water Meter po q Acct. Deposit p.oo Phone On site sewage_ S/W Permit 30.00 ry/_~ On site well S/W Surcharge 15'v Contractor /(/~fli piP/2O~ y~ MWCC System r/ Treatment Pl. 252,00 City water ? Road Unit' 55, on Address ~ PRV ~ Park Ded. ~ Booster Pump _ Copies 00 City/Zip Code SUBTOTAL APPROVALS Penalty Phone ~ Planner TOTAL Council Arch./Engr. ~~is~~~Qaaa. Bldg. Off. Variance Address ~.c~/r9iV0" f!l/~ City/Zip Code r ~ Phone i's I ' t - l°.I11'Inif ~'.;ILPI.i~I4V1'JL1'll II" 1-(rylPi:lA l'llrt: o. 4? 3-4a 5 S I i:,.,, k . . . Add ; ~ ;t-:,f. 4~25-8a MoPC-L 51 ENP nVer.aCr. i.fvr.ai. rer'r W: r i~:ernNa:u i:Ai i. nr.r:n Anov¢ ~r.ur,nr. rr1.;1 :nk I,:.,. ~ 32' i~,.;,.i,~ ~~r 1'4 ~I-• sN- m,od ~.~:ill nl„~v~. ~.indr ~J~o s hri.gLt c+f mnll . I~.~~..I i• ..I ri.i~-.~~„~~: •.:n11 :iLn•.~r r.r:~dr._--_'~. Lrip.hr ;~hnor pi:id~• ` . ~ii.i„I:: ..i .1 ~ . . "n_. ,.:~i~,~• . NORLO 3229' T7H MutL:If rr 0 33.0 (1')c,;> ^sti24 GN._ _ r1.2__x 1 (o. (n) I 6° 30 _ t1 o <q . n. ss 2. (r)(n) - - -sq [c.2X10jp~'u 8. ~ L024_ 13t~ . - - _sq rt. - ~ ~ ( ) ) , . _ _ - i 4' nia. y4 FNP FXzq. rr. 2 x 3= to x .q-6 (11) (A) ~;li"_ (O)(A) n) ft._ (A) f (1:)(A) fc. _y 11.. ...._Il!)(n) !)(n) u,-._ 0 _(u) (n) sq. lc. r U" -(V)(n) sq. (O) (A) l` A W)(n) ' , ..~i° - ~ ••..~r,. F~Gi-t`(1z~£ P~vftir.~~"I <<,. rc. f 24 r °u~~ .08_ - .9 . _ ~~)tn> - .3S _ -...1~ o - sq (11)(n) Cpq2.V£~ ~_.(n)tnl i (11)tnl t ~ ~ . . 1q'i~ilill "nL4. ('.OI:S'fRUCI'110P1; Atca x 'U' valur FRAIi1SD IJAi,I. (COI:a). ai'en less r,,l;rr., fr:,~,unr, v.rm6ets in •c f..iin,r.u aall. rim joisf nr^.a R nmcnnn'y) sc. r 1 001- "U" . ~Y'+ 1 (1:)lA1 l . P l l (n) 9. rL. ( ramin&_membcra in wall s . 2iin io i _:L_are_a sq. fl. (G " ) (A) Haspnp'_.Aic., ..d~1SY'LLl'Il~a sq. f C. ~105lo s~, r?3- Co 'PO'I'Ai. Flal l hren including ' ~ Windnvp h Iloors l'~-15 ~.-i~o~rAl. (tl)fA> 153.2 _ 2 . 101ni. lu7 (n) vnLui;s A,IC, ,.,l.. - i+ivibru nr 101AL t+ni,i. nnrn nVt'nnr.i[ "li" Ilininnnn .17 or less (or 1 6 2 famil)' dvcllinG.^. , ?Iinimvm .22 nr Irss Eoi' al] oCLer nuila+ngs . •',TI'!. II a"r.~.~pn "ll" vnl~~rc ac r:ilcnln[ed abnve dn nnt mecl fhr. F.ncr)'.v Cndr r~.m~irrmcn~., ILr "Plrrnofr F.uvrinpn Ilrsipn" ns indirated nn Pngn 5 mal' br used. ' . . . . I i . t ' . , . ROOF CI7lI,7N, ~ ~ - uryR.,11 .cs , _ . . _ - ` . ' In[er1oi nir film (1 % . . . . l'O7'Ai. It . I.'~ . U = 1/R ? ' . . r.1Ou[side ai_r lnsula[ion~ -l- M . IV. ~V.V V_V~V / 11" Drywall .45 InCerior air tilm .61. ~ . 1'0'fAL R - U = 1/R U = Outside air f:ilm •17 ~ 3uilt_up_rooEinn •~3.-.---.- ~ ~ lnsulaCion , . ' . . . . . . . . . _ . . _~~1, @ood deckinq . ~ ~I~VSIU , . . . In[erior air f11.m .61 . . . - . . / 1'0'!'AI. R ^ _ . . . . . . . . _ . U ~ 1/it ItOOP/CCILtNC: ' ' 'I'0'I'nL nltl`.A: sq. EC. ~ lic[nil reFcrencr x sy. Ec. ~ ~ Ci- _ ~Z'7• Ci (I!)(A) [rom above. x sq. ff. _ (1!)(A) Uesccibe openinFs SK L-I$ x sq. ft.(U)(A) . in roof x sq. f[..'_ (I:)(A) ~ x sq. fc. (")(A) x eq. ft. (L')(A) , Fc. (U)(A) (e) cni; roTnis I 11 (o s~~. r~. 'Xo - L ~ TO7AL (U) (A) VALUES DIVIDED 11Y TOTAL ROOP/ 0•0'nJ2 Avc• "L:" CF.ILING A0.EA ~ nVF.MGE "U" .OS (or ven[ilnced rooLs ~ .70 for all other cons[rucCion ;107'F,: IT avera6c °U° vnlues ac calculeted above do no[ meeC Che fnpergy Code requlremen[5, [he - "A1CernuCe F.nvelope Design" ae indicaced on 1'age 5 may be uced. ~ % PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: eui~ozN~ Eagan, Minnesota 55122-1897 Permit Number: 026713 (612) 681-4675 Date Issued: Q$ I z 8/ 9 6 SITE ADDRESS: 4203 SUMAC PT LOT: 6 BLOCK: 1 BOULpER RIDGE 2N0 P.I.N.: 10-14801-060-01 DESCRIPTION: : Suilding Permit Type STORM DAMAGE r'Building Work Type REPAIR (JCsp:sus Code 434 ALT. RESIDENTIAL J • ~ r-~ . REMARKS: INCLUDES 4205 (LOT 7) 4207 (LOT B) SUMAC PT FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIc.OWNER: RONEL RESTORATIONS 14323444 0002158 TOWNHOUSE ASSOCIATION P 0 BOX 240744 4206 YEW PT APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 432-3444 (612)687-0465 Z Mereby ack'nowled'ge t'hat I have read this application and state that the inf'ormation is correct and agree to comply with all applicable State of Mn. Statutes and City af Eagan Ordinances. L APPLICANT/PERMITEE SIGNATURE ISSUED BY SIG TUFE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Hew Censtruction Rernifrements RemodeUReoair ReoWrements ? 3 registered site surveys ? 2 copfes of plan ? 2 copies of plans (inGude beam 8 wirdow alzes; poured Tntl. dealgn; etc.) ? 2 sHe aurveys (exterior additions 8 decks) ? 7 energy celculations ? 7 energy caleulations for heated addiliona ? 3 eopies of troe presenatbn plen M bl pletled aRer 717/93 required: _ Yes _ No DATE: 8- .1-6 CONSTRUCTION COST: 3Ja ~ DESCRIPTION OF WORK: ~~mw, ~"?~q o~,~a~ 1 STREET ADDRESS: LG a O 3- O'7 S tJ iN~} C~'~ ~ LOT 3E~E=- BLOCK ~ S D./P.I.D. li PROPERTY Name: ~~bLon Phone OWNER . Street Address• Y~ 6 14 4~~ f~ City: ~ State: Zip• aa CONTRACTOR Company: ~ Phone Street Addresm!RONEL RESTpgAlIONS License SAPPLE VALLE4Y,4INN City: Zip. ARCttiTectl Company: Phone ENGINEER Name: Regi$tration Street Address• City: State: Zip: Sewer & water licensed piumber. Penally applies when address change and lot change are requested once permit is issued. 1 hereby acknowredge that I have read ihis appiication and state that the inf rm on s corcect and agree to compiy with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY RECEQ`Uf ED Certificates of Survey Received _ Yes No AUG 0 l 9996 Tree Preservation Plan Received _ Yes _ No a OFFICE U5E ONLY .7a r 14~': : 4 BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dweliing o 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool ? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch o 09 12-piex o 14 Fireplace ? 21 Miscetlaneous a 05 SF Misc. 0 10 = plex o 15 Deck WORM TYPE 0 31 New o 33 Alterations ? 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL {NFORMATION Cansl (Actual) Basement sq. ft. MC/WS System (Ailowabie) Main level sq. ft. City Water UBG Occupancy sq. ft. Fire Sptinkiered 2oning sq. ft. PRV # oi Stories sq. ft. Booster Pump Length sq. ft. Census Code. Qepth Faotprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permft Fee Valuation: $ Surcharge Pian Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit SNV Surcharge Treatment PI. Road Unit Park Oed. Trails Ded. Other Copies Total: % 5AC SAC Units F`! ~ PERMIT C ~z ll ~ ~c CITY'OF EAGAN - -;7/-?l~ 3830 Pilot Knob Road PERMIT TYPE: But~o NG Eagan, Minnesota 55123 Permit Number: 021206 (612) 681-4675 Date Issued: 0 7/ 0 2/ 9 3 SITE ADDRESS: 4207 SUhIAC PT LOT: 8 BLOCK: 1 BOULDER RID6E 2ND P.I.N.: 10-14801-680-01 DESCRIPTION: ~ Bw'%lclin 'l~,~Perm3t Type DECK guilding W'ork Type ADDI7ION {~SUi3di,ng Lertgth 12 Build3rag Wi,dth~'? 11 / . x~~C,~. }S ~ 00, OW~~ ~ REMARKS: FEE SUMMARY: Base Fes $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Subtotal $25.50 CONTRACTOR: - ApPlicant - S7. LIC. OWNER: NEVSLLE CONST, ROD 14560260 0005424 BARRONS 70M 3607 3UNW000 TR 4207 SUMAC PT EAGAN MN 56123 EAGAN MN (612) 456-0260 (612)452-1423 3 hereby acknoaaleage that T Nave read th3s applicativn end state.'thaC the information is cahrec.t and agree to namply with all ap{slicable State bf M,n. I~ statutst ahtl P€ty af Eagan Ordinances. - ~ ~1N1A APPIIC /P MITEE SIGNATURE IS3UED Y: IGNA RE INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suiLoiNG 3830 Pilot Knob Road Permit Number: 021206 Eagan, Minnesota 55123 Date Issued: 0 7/ 0 2/ 9 3 (612) 681-4675 SITE ADDRESS: Lor : e B L 0 C K: 1 APPLICANT: 4207 SUMAC PT NEVILLE CONST, ROD BOULDER RIDGE 2ND (612) 456-0260 PERMIT SUBTYPE: TYPE OF WORK: DECK ADOITION INSPECTION . FOOTING FINAI I ~ . ~ L REACTIVM _ LECENE ~ CITY OF EAGAN PERh~'tT ~ ~ 1993 BUILDING PERMIT APPLICATI N 93 681-4675 ~pll~p ~IaS~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy calcs. COMMERLIAL 2 sets of architectural & structural plans, 1 set of ~ specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but nat picked up 6y last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Qate Valuation of work /~o-~~•° ~ Y Site Address: #o2D -7 . STREET SUITE / Tenant Name: (commercial only) LOT BLOCK j- SUBD.40L((.DW Rlu6C Z,tia P.I.D. 0 Descri tion of work: The applicant is: ? Owner ? Contractor ? Other (DeaerSbe) , Name 6ry~ Phone 5 Property LAsr vtRSr . owner Address 'e~~D 57REET STE M City 5tate Zip SS/~ Z Company h o n e -,/56 -D .'L ~ 0 Contractor Address 3407 Sr'~~ %/l. License #066511 a41 EXP 3-I-9`{ City State Zip SSl 3 Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this applicatian and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes antl City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ BUILDtNG PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex E3 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. 1 ec ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish 13 37 Demolish ~ dition 13 34 Repair 0 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy ~-3 2nd Ft. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 1f of Stories Footprint Sq. ft. Fire Sprinkler Length DE~ On-site well Census Code Depth On-site sewage SAC Code APPROVALS o Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS O Site gt footing ? Framing ? Insulation ? Wallboard ~ Finat ? Draintile ? Fireplace Permit Fee Z5, 00 Vatuation: $ Surcharge , so Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ~ Other Total: SAC % SAC Units I GO. STA A/U /-Yrv r /vv. z7v V) m m (D/FFLE Y ROAD) \ N9 43'3W 254.87 I ~ O" m ~ Q K1 oP 6 v) 9g 0 Denotes Iron Monument ~ a r ~ ~ Denotes Wood Stake W~ X000.0 Denotes Existing Elevation N (000.0) Denotes Proposed Elevation 67 Denetes Direction of Surface Dr ' ` M y8oo qN ~e10 'oS3 ~ ~ 81.~oj G jN p O Proposed Garage Floor Elevation: L p 2 g.~ tl 22 3 3 q rv La m . ~ o~ r^ I Lc o ~ ~ 9B O R 3356j L 8~~~~~3o~V o O Proposed Lowest Floor Elevation: ~ S ~ hN `_^J a,Po s0 33 33 /N~ `ni•S L[ 6 ; ~ I - Proposed Top oP Foundation Elevation• Lc ~ `awo ~~'S~ 16? 31 LC O ~ ~ i.. -N . 2~ 2?. 3 3 N;~ ~N o h Lc N SO kv 9 s'•,.. . ~ I hereby terti'fy that •this is a true and p 8.pp the baundaries of: m. [.ots -6.,_7 and 8, Block 1, BOULDER RII M 'Minnesota. N . . . . _ . Arid-of the'location of all buildings, if encroachments, if any. :from or on said la - - stakes ~as set for ~e +proposed building. l supervision this 25th day of September, ] Mc 957153 SOULDER RIDGE 2ND ADDITION PRESSIIRE REDDCING 9ALV& A(iRESM&NT This Agreement, made and entered into the 1151 day of , 1990, by and between the CZTY OF EAGAN, a municip 3ity 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: ~ 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 uf property in the BOULDER RIDGE 2ND ADDITION subdivision that Lots 1 Through 8, Slock 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 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 Aareement. 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 FJCAIL OWNER: (Date: '21 ~1O EAGAN 40 LIMITED PARTNER5HIP v . Thoma . an By: _ Its: Mayor Its: ~ ~ Attest: . J. VanOverbeke By: Its: C erk Its: DEVELOPER: NEW HORIZON HOME, INC. c~i"!7~. cr!~i ~ BV: ' Itsi [tt~n, t~t? Bx: 41 Its : -~t AYPROVED AS TO FORM: y Attorney' O ated: ~ ~ U99D APPROVED AS TO CONTENT: ev"',j 9E Public Work Department Dated: A~~,64 -zo /?f o 0 . STATE OF MZNNESOTA ) ) ss. COUNTY OF DAKOTA ) On this srday of 1990, before rae 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. ' Fv MAPI,YN L WL~CI~^fFENNIG ~ ~ L~c ..APYPL'"il- -MIy~~S07A 4Ntary~ ] DA!;OTA C~VNTY ublic ~ Qkb 8. i~ :~i. irr~•.::.....,.., STATE OF MINNESOTA ) ) ss. COUNTY OF'9(/ .ennBn7~) On this 12t day of 1990, before me a Notary Public wi hin and f cii said/) County~, personally appeared ~J ;'~n f h ueb~ and C'V, A.~LJp.A~wLn~ to me personally known, who beiiig each by me duly swor~n ea h d'd say that they are respe tively the Y/~PSi de~ and ~.ti• I~`ircw ~Ls;dsn-~ 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~ Dir ct rs and said and acknowledged said instrument to k(k the free act and deed of t e corporation. :Ar ou D. Nordquist eY PUBLiC -MINNtyUI, 2" NNEPIN COUNiY N otar PIIb11C Misdon axpires 6-14.91 Y ;~THIS INSTRUMENT WAS DRAFTED BY: 'SEVERSON, WILCOX & SHELDON, P.A. ~600 Midway National Bank Bldg. 7300 West 147th Street Apple Valley, MN 55124 (61 ) 432-3136 RD/" ~~L -~~I~ . CO. ST,4 TE A/O 11W Y. ND. 30 Ln 4_1 m m . (D/FFLE Y ROAD) ' N89043'31"W 254.87 I ~ mID Q ~h C4 0 N,SosO kv 98.Op ~ 6 0 Denotes Iron Monument 80 ~ ` 35:67 ~ ` ~ / ~ ? Denotes Wood Stake w ~ X000.0 Denotes Existing Elevation (000.0) Denotes Proposed Elevation 98,0~0~'_ A ~ N~i Denotes Direction of Surface Drainage Q O:"-• 356> C ~ O 2g,~ /~N~ (C o Proposed Garage Floor Elevation: Lot 6= 937•50 2.33 4 Lot 7 = 936.83 P ;a ' j Lot 8= 936•$3 9B o MIz''~ N fA r eQ - 356 ~ nr 9ciiGp1 ??.33 \ , l.}r ~ • v~ ~ / Cq.O /.67~ 8~pj . v O Proposed Lowest Floor Elevation: Lot 6= 938.00 ~ o o V o Q Lot 7= 9 v 37 • 33 1 ~ ~ ~N ry ~.7~ ~ . P S 0- 3a. 33 ~N a ~ N~ Lot 8 = 937 • 33gZ . Y~' s, 3 ~2 • ~ _ E q / Q °o <Dl,y~' 15• •1 Proposed Top of Foundation Elevation: Lot 6= -atc- / Lot 7 = LAGAN Ea?GINFER Lot 8= g p N N~S~SQ w N P R a F4' . GEn- ~"b, 98. p~ I hereby certify that this is a true and correct represent fb su v _ ~ Q t the boundaries of: o~ Lots 6, 7 and 8, Block 1, BOULDER RIDGE 2ND ADDITION, Dakota County, N £ Minnesota. And oF the location o£ all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. It also shows the location of the - stakes as set for a proposed building. As surveyed by me or under my direct ~ supervision this 25th day of September, 1990. McCOMBS FRANK ROOS ASSOCIATES, INC. Paul A. Johns Land Surveyor, Minn. Reg. No. 10938 $HEEi OESIGNEO CMECKED I NEPEBY CERTIFV TNAT THR FLI.N Wil$ VREVApEO By ME OH El ONOERMYOIRECLSUIERVISIONAMUTXATIAMA pVLVflEGISTEA McCambsFrankRoosAssociates,~A~.. PREPAREO ED YROFESSION lLL ENGINEFR UNOEX iHF l/~WS OF LME STATE Of OH/~WN ApPOVEO MiNNE50T• TANJ 1505023rtlAVe.N. Engineers NEW HOR/ZON HOMES r~o. DA*E er REMANKS OATE cprr. Plymouth,MN 55447 Planners or PEVISIONS 9•2$'90 stva7s-soio surveyors IDATE MEG.HO. City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4203 Sumac Pt Lot: 6 Block: 01 Addition: Boulder Ridge 2nd PID:10- 14801 - 060 -01 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: e - Water Heater Replacement Water Heater Meter Size Meter Type dean Kamrath 13791 jonquil Inn dayton, mn 55327 Contractor: Adam's Anytime Plumbing & Water Heaters 13791 Jonquil Lane N Dayton MN 55327 (612) 205 -6060 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Shelcy L Olsen 4203 Sumac Pt Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA081833 01/30/2008 ePermit Line Size õ ÿþþý ÿþþ ýüýü ûþþ üêû ø ãü ô ñåã ÿþø ü ø÷ö ò üûúù ø ûúùôùþ ù òüòññíüùþú ð ïüþ î æþ þ þ ãâë õ ë þëýäõã ããâñâãã þîççñêåêñå ÷û ü ëþ þèþüþççêê èþüþýê ö ô øóò ùùþ ô÷þ ëúí òüúôþòøñ üóþ ôìäõÿþþäõ áãàãññâââ ë úþ÷ëþëþì þëþùùþþþëþë óþ þþ óùú÷ëþþùùþ þ äþ þüþòú ÿþþí þê ùùþö ó þü üú þü Sep. 25, 2013 10:51AM Property Claim Solutions No. 1291 P. 15 Use BLUE or BLACK Ink ~ ForOffice Use----^---- Permit#: My of -.Eajan Permit Fee. 3830 Pllot Knob Road I I Eagan MN 55122 Data Received: 01 113 j Phone: (651) 676-5676 l 1 Fax; (651) 675-5694 1 Staff. 1 t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: Phone: s> `F ie l!NT PU a Address / City / zip:' Y ~ ' Y % Applicant Is. _ Owner Contractor Description of work: TSFPe .a.OtC Construction Cost: _ax Mufti-Family Building: (Yes Company: Contact: Address: S, J/r? 4t City: to►.; , iCon.r0ct Y < State: j Z c Phone: zll license e c Lead Certlflcate I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A JVEW BUILDING I 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: J Licensed Plumber: Phone: i I Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and su • pportng doFUments that:yousubrriitae;`consideredao.be public informafion:: Po'tflons of 4h e /nformatlon..rriay.be class fied`as non ~fublic if yQU prowde spacifl `reasons that rNOUldpemiit the C/fy fo conc/0clwyiatatie are trade secrets ; CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 464-0002 for protectlon against underground utility damage, Call 48 hours before you intend to dig to recelve locates of underground utllltles. w"mgopherstateonecall.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 j 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. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 i day f permit Issuan e. X - I Applican ' Inted Name Applican S gnature Paga 1 of 3 _Nov. 4. 2013_12:22PM Property Claim Solutions No.1647_P, 18 _ Boulder Ridge-1013279 Use BLUE or BLACK Ink For Offlce Use ; ; Permit j City of ~ EaVIl ; ; Permit Fee: ~Y 3830 Pilot Knob Road ,Eagan MN 55122 ; Date Received: Phone: (651) 6755675 I 1 Fax: (651) 676.5694 I StatF: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _11-4-13 Site Address: 4203.4205.4207 Sumac Paint Unit Name: Boulder Ridge Townhomes Phone: 612-290-3055 eel. OWpef Address /City lZip: 4203, Sumac Point Applicant is: Owner _X Contractor i Description of work: Re i s' a r n _ rdinFneices that are damn ad. 15.5 T pei>afVQT Construction Cost: 7,276 Multi-Family Building: (Yes /Nor , Company: PCS Residential Contact: Pay Hanna cs tra` Address: 7005 pin Oak [hive City: Fagan State: MN Zip: 55122 Phone: 651-255-0609 r ''3u BC593158 License Lead Certificate If the project is exempt from lead certiflcatlon, 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: i Sewer & Water Contractor: Phone: NOTE: Plans and;yppo, y7g documerrts:thatyctu sukm~t* co ,sldeced.>roabe ablfc lnformatlon.,:: ParLF of" the M rmation maX beplafssfied.asrton?,p Io`ryv'rF' `oxld`esp lf%..M' s Ffst>liiou d ` mlto: F, P. co nc iide that l' t~a~,Fa .~:~ecretsR CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage, Call 48 hours before you Intend to dig to receive locates of underground utilities. www.pooherstateonecall.org I 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 i 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. X Patty Hanna/PCS Residential x OL I S 1 E 4 Applicant's Printed Name Applicant' nature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA122303 Date Issued:05/05/2014 Permit Category:ePermit Site Address: 4203 Sumac Pt Lot:6 Block: 01 Addition: Boulder Ridge 2nd PID:10-14801-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Jonathan Kamrud 4203 Sumac Pt Eagan, MN 55122 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Shelcy L Olsen 4203 Sumac Pt Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122638 Date Issued:05/14/2014 Permit Category:ePermit Site Address: 4203 Sumac Pt Lot:6 Block: 01 Addition: Boulder Ridge 2nd PID:10-14801-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Darlene Whitehead 14605 Greenridge Lane Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Shelcy L Olsen 4203 Sumac Pt Eagan MN 55122 (651) 356-5100 H2c Inc 14605 Greenridge Lane Burnsville MN 55306 (612) 791-0850 Applicant/Permitee: Signature Issued By: Signature EAG A NCEIVED 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 bui Idi nclinspectionsOcitvofeagan. com Date: JUL 022020 r For Office Use Permit #: /62�/7 0O a f11 I Permit Fee: / 9 - ---� Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION 09449 Site Address: Vat-®3 14 ►nIC Pr; 6961 ✓ i1N Z #: Resident/ Owner Name::' ), j,9AID L. DAt/-S@i(J Phone: 6 V' L6"'Cf6 Address / City / Zip: 17'9% 6 3 5e i /C 1) % e196/9) Ma ?� 2 2— .11 Applicant is: Owner Contractor Q/t,% / 804).Seh' SO Tit 0 Je.0— Type of Work Description of work: JPD /bra $nr/ o 0 Construction Cost:`Y'a) 0 zi 0 Multi -Family Building: (Yes / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: \� &1, 4— / 990 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that They are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. 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. 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. www.000herstateonecall.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,0ot to start without a pemytr that the work will be in accordance with the approved plan in the case of work which requires a review and approval of p L. Applicant's Printed Name Appli"can s Signatur Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace k, Single Family _ Garage Multi _ Deck 01 of _ Plex _ Lower Level WORK TYPES New _ Interior Improvement Move Building Fire Repair Repair V-zo Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) _ Footings (Addition) Foundation _Foundation Before Backfill Roof: _Ice & Water _ Framing F 30 Minutes Fireplace: _Rough In Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Final 1 Hour Air Test Final Siding Reroof Windows Egress Window 4/06 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: 1 1/ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies vitir0 2NO fo X�"= TOTAL Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinoinspectionsecfirofeaoan.com r For Office Use Permit #: /1,2 Permit Fee: by . c%'(5 Date Received: Staff: 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 14 I er/d140" Site Address: V 2-4 2 ,S-ct, 14 me, P7 ei964.0.), / t'/sJ A it 23;) Tenant: ®ed r' • Resident/Owner Name: #fi9L) 1. DI9��Od Phone: 6,n 1 J d tv �— Address / City / Zip: YoL ca Sce rm c /• FM&f/N) ivi. g%). Sr' 27-- Contractor Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type of Work New Replacement Repair Rebuild Modify Space Work in R.O.W. — — — — — /— Description of work: ADD •ds7b2, 81 r — A.S//t/d4f/%Grl��' Description P Tankless Water Heater Lawn Irrigation RPZ / PVB) — Standard Water Heater (Main ✓ Add Plumbing Fixtures / Lower Level) — Water Softener /POD Description: al SA/ KS 't Ta: lave Septic System Connection to City Water from Well New Abandonment RESIDENTIAL FEES $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 New fixtures, $60.00 Septic System $100.00 New Residential $115.00 New Septic $60.00 Connecting to *Sewer & Water Water Softener, or Water Heater and Softener (includes State Surcharge) (includes State Surcharge) adding or removing piping (includes State Surcharge) Abandonment (fee collected with Building Permit) System (includes County fee and State Surcharge) City Water from Well* + $290 for Meter and $200 for Radio Read = $550 Permit also required for connection charges TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacran.com/subscribe. 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 ns. x T A D L• D,441.0,g/ Applicant's Printed Name PP scan' s Signatu Page 1 of 2 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA179122 Date Issued:09/19/2022 Permit Category:ePermit Site Address: 4203 Sumac Pt Lot:6 Block: 01 Addition: Boulder Ridge 2nd PID:10-14801-01-060 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald L & Colleen M Dawson 4203 Sumac Pt Eagan MN 55122 Mcquillan Bros Plumbing Heating & Ac Llc 1711 East Highway 36 St. Paul MN 55109 (651) 292-0124 Applicant/Permitee: Signature Issued By: Signature