4677 Stavern PtCity of Eagan
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA128136
Date Issued: 10/27/2014
Permit Category: ePermit
Site Address: 4677 Stavern Pt
Lot: 3 Block: 04 Addition: Ridgecliffe 3rd
PID: 10-63982-04-030
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: One Window/Door
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation $500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Owner:
David K Gardner
4677 Stavern Pt
Eagan MN 55122
- Applicant -
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.
Applicant/Permitee: Signature
Issued By: Signature
. Address.
Ax�rnber: nAtIV It on
t+to: connection Gwro�: 3b5.00 -pct
AmountDeposit:
No. permit Fee: 10.00; pd
P
! Neisegly_ . ids ei.. Surcharge:
Mix. "Charges•
60.00 pd meter.
Total:
DotePaid:
r kap .
of`i
-0TY ;O '
3.795"x' R..d KRAUT :
lass,. iS t22 DATE;
of Uni;s:
0.:r~n Thompson Fomes
rasa:
1 .;nit tifhs
Address: 4677 ;tavern Point L3 E4 R1d;eclifie 111
Plumber: r,p ny _,p
E/8/80 20367 100.00 pd
togies to room with is of Mian Connection O arge: 47 5.00 pd
Amount Deposit:
Permit Fee: 10.00; pd
Surcharge' .50 pd
By i c Misc. Charges;
Date ; Total:
Date Paid:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
1113—)
Permit #:
Permit Fee:
Date Received:
Staff:
1,9e)
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:'477,41617 SYQ.Leigo Pi -
G):
/lfl tU #:
Phone:
Address / City / Zip:
Applicant is: Owner VContractor
Description of work: 1"71.1) /e —st 1/
Construction Cost: 2--1:%l ®®L7 Multi -Family Building: (Yes° / No )
Contact: dyz° /✓"-•
City: eta, dh-
670- --kt 6 -Wei?
Company: /2/21.41/'e. /
Address: 1fCf–
State: _L Zip: SeC 'j 37 Phone:
License #: 3 lT O 6
407
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are;considered to be public information. Pr
the information may be classified as non-public if you providepe igc re sc n ti i u C p mit tl '
conclude that the .` rutrade s
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.gopherstateonecall.orq
1 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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
ItA n// 5Oke ire
i /
Ap icant's Printed Name
cant's ignature
Page 1 of 3
111111'
City of EIIQaII
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 3
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
"/c 4/6"73 i/4 .,7 --4914
/ Site Address: 2 L, /Z,SO HO/211W p -r- Unit #:
Resident/
Owner
Name: 8016 41 6 L f /::::re— .. i Phone:
Address / City / Zip: 54 S c2 i1
n. )�J//�
Applicant is is: Owner ontractor
of Work
Description of work: "i/ej -v' iel rl e /✓Z'7 / 5/ 4.--y
Construction Cost: Fe/1"/ .4'6'4' Multi -Family Building: (Yes No )
Contractor
P Y �"'"'!,_
Company: j ,�q
Contact: 4('e,4*.e. '
Address: (3 7O cX e r %tF° ! City: BI} fly/✓4
State: /*/ Zip: 57337 Phone: 4:0/2- — 8/L A- 66
License #: .2 16,3 (d 647 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
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?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 C must be completed within 180
days of rmit issuance.
4 115-e peijc't- x
Appt's Si Lure
Applicant's Printed Name
Page 1 of 3