907 Oakwood Heights CirCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ) L.�
1 j )
7 /) Site Address: 7P7 OG/4/0S i 7t.5 CIF Unit #:
Description ofwork: /OX2S Lk
Construction Cos$ 3 S0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
X � ' MAN..
Applicant's Print e
UCs\ \'
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Staff:
Name:) de. - ht ss V Uy ( e) /01.Aik ptk.-. Phone:
Address / City / Zip9107 O 2i1 , /7 41715 G i r
Applicant is: Owner /J Contractor
Company:AY/ SA5DAs / hq (b
Address:/ - N r 7' / S
Multi - Family Building: (Yes
Contact:,
City: rhSY) A
State:MN Zip: - 5573 - 7 Phone: gra 73� 3Fae
For Office Use
Permit #:
Applicant's Signat
Permit Fee:
Date Received:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Use BLUE or BLACK Ink
License #: 7--05 Lead Certificate #:
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.gonherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 %_ 100 %_e(
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
DO NOT WRITE BELOW THIS LINE
qC
Q i i
Fireplace
Garage
ji Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
TOTAL
/83
67 1/
CailizS
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests Final
Siding: _Stucco Lath Stone Lath _
Windows
Retaining Wall: Footings Backfill
Radon Control
Erosion Control
, Building Inspector
tg k.
Brick
Final
Page 2 of 3
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Surveyor's
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OAKWOOD HE IGH ?S 3RD A DDIT,O& - A DDeESS
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901 - Deno+es Address
SURVEY FOR : MENDOTA HOMES
DESCRIBED AS : Lot 1, Block 1, OAKWOOD "HEIGHTS, City of Eagan, Dakota County,
Minnesota and reserving easements of record.
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DATE:
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PROPOSED ELEVATIONS
Top of Foundotion
Garage Floor
Basement Floor
Aprox. Sewer Service
Proposed Elev.
Existing Elev.
Drainage Directions
Denotes Offset Stake
= Go9(°
= 40
= 901.2
= Ste Above
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HEDL UND
PLANNING ENGINEERING SURVEYINC
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (651) 405 -6600
Fax : (651) 405 -6606
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I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DATE _/0/ 2 /aa
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sip-4,7 LINDGREN, LANI/ URVEYOR
NNE OTA LICENSE NUMBER 14376
BENCHMARK, tNH 1
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MIN. SETBACK REQUIREMENTS
Front —
Rear —
House Side -
Garage Side
JOB NO:
99R -319
BOOK:
PAGE:
CAD FILE:
Misc -99
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176975
Date Issued:06/09/2022
Permit Category:ePermit
Site Address: 907 Oakwood Heights Cir
Lot:004 Block: 02 Addition: Oakwood Heights 3rd
PID:10-53802-02-004
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:
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 -
Eric Edward Anderson
907 Oakwood Heights Cir
Eagan MN 55123
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature