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995 Boston Hill Rd Parcel Files Cover Sheet Unique ID: 1959 995 Boston Hill Rd 104507817003 CITY OF EAGAN PERMIT TYPE: I 3830 Pilot Knob Road Parrrft Number: 026 3 33 Eagan, Minnesota 55122-1892 bate 1s d: (612j 681-4675 SITE ADDRESS: . 0 1 t ftt Ott APPLIC 1z / ►9 6, HO``'A`ON IMU RD is~'4k.ia E to JON tf',',X1Nfi1()N SQUARE 41H 0A 686 -4Pib I PERtIT SUBTYPE: TYPE Of WOK. raactrEt r:ta t=1f+tf 1 7m j pasr+tt ttO. Po Hokkr Do* wohom 0 ELECT( PLIEi "VAC FWT{ $ Q FPMOW I PUASS" AdIn1'~T fxx"i I"T GWDOAW FVW%AM -M ASA AR TM l~1lW. W.BiE~ CWIMT TE87 SM FK4L Baff Al BMT FKVL DECK FTt,1 DECK FINAL CITY OF EAGAN AIR 17243 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MR, 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # y To be used for SF EW+G/"R Est. Value $101,0W Date lam' 27 1991- Site Address 995 BOSTON HILL i Lot 17 Block 3 Sec/Sub. ING M 80 OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FErS Zoning PD 8-1 W Name G1 W4~ CONSIRM10" (Actual) Const V- Bldg. Permit 6".00 3 Address BOX 125 (Allowable) 31.50 o Surcharge City Phone 147 # of Stories 3 Length no Plan Review 322.00 ZF Name S Depth 500 sac, city 100.00 UO a Address S.F.Total SAC, MCWCC .00 5730 City Phone S.F. Footprints* On Site Sewage Water Conn Name On Site Well Water Meter 90.00 0t~w ~W Add7eSS MWCC System 30.00 W City Phone City Water Acct. Deposit PRV Required S/W Permit"' G I hereby acknowlege that I have read this application and state that the Booster Pump 1.00 S/W Surcharge f information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment Pf 228.00 Signature of Permitee + APPROVALS Road Unit 340,E A Building Permit is issued to: GRI NWAL11'f CMT Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 2,480." Building Official t Variance' TOTAL w Permit No. Permit Holder Date Telephone # WATER .a SI~WER cy PLUMBING lel H.V.A.C. ELECTRIC Q(~,?(~` >lJ~ 42V Inspection Date Insp. Comments j Footings 1 Foundation Framing Roofing Rough Plbg. - Rough Htg. 'r ZIP Isul. Fireplace Final Htg.l- Final Plbg. t: Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. a 3 4 - C4 of Cagan of l This Certificate issued pursuant to the requirements of Secdon 306, of the Uniform Building Code certifting that at the time of issuance this structure sari in compliance with the various ordinances of the City regulating building consiruedon or use. For the following . Use Classification SF-DROGAR Bldg. Permit No. 17A3 VIM G Ooewa-Y TYPe Zoning District... T Coat. I 1W I, GMMGV= n8 y # Owner at8uldi 1CMI MD Addre 17! B3f LEMMM 9VM 43H "5 EMM £ Address Locality Date: I ulding' POST IN A CONSPICUOUS PLACE r v d SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER 3 PERMIT DATE 10/27/89 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # ae 2-3 Z LI~" PERMIT # 11056 ; METER SIZE B.P. RECEIPT # C 4351 DATE/6,d ~ ' ISSUE DATE ~a ~~15-'15 9 B.P. RECEIPT DATE 10/27189 _ PRV BOOSTER PUMP ' SITE ADDRESS PERMIT REQUESTED LOT 41-BLOCK SEC/SUB' ts/ SEWER X WATER -TAPS APPLICAN ra t~i'= ADDRESS: - COMM/IND )RESIDENTIAL CITY, STATE L ZIP XNEW _ EXISTING PHONE: f` Lawn Sprinkler Meters are to be Installed PLUMBER: ? f Ahead of Domestic Meters on Water Line. ADDRESS: )%WuOredit WILL NOT be given for Deduct Meters. CITY, STATE $c*= p/ y PHONE:. ys~2'_L~' ~.r•±~C'i I AGREE TO COMPLY WITH CITY OF OWNER -%'t : LC-€ EAGA ORDINANCES ADDRESS: T, CITY, STATE PHONE ~s"c'-`✓~t~ SIGNATURE WHEN METER ISSUED E PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-15220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT _ '11 CITY OF EAGAN N2 17 2 4 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $101,000 Date OCT 27 1g$- Site Address 995 BOSTON HILL RD Lot 17 Block 3 Sec/Sub. LEXINGTON SQ 4TH OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 FEES Zoning PD R-1 W Name GREENWALDT CONSTRUCTION (Actual) Const -Y--N Bldg. Permit 644.00 3 Address BOX 125 (Allowable) V-N 50.50 o City BERTHA Phone 688-8147 # of Stories Surcharge Length 58, Plan Review 322.00 Zo Name SAME Depth 50, SAC, City 100.00 0004 Address S.F. Total SAC, MCWCC 575.00 17 City Phone S.F. Footprints - On Site Sewage - Water Conn 580.00 F W Name On Site Well Water Meter 90.00 aZ Address MWCC System Acct. Deposit 30.00 a uu City Phone City Water - PRV Required - S/W Permit 20.00 1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and ' of Eagan dinances. Treatment PI 228.00 Signature of Permitee APPROVALS Road Unit 340.00 A Building Permit is issued to: GREENWALDT CONST Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Mi esota Statutes and City of Eag n Ordinances. Bldg. Off. Copies Building Official 04 ji'fl- Variance TOTAL 2,980. 0 r PERMIT ORO 4114 9F CITY OF EAGAN 9/l~l9s 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 3 3 (612) 681-4675 Date Issued: 09/05/95 SITE ADDRESS: 995 BOSTON HILL RD LOT: 17 BLOCK: 3 LEXINGTON SQUARE 4TH P.I.N.: 10-45078-170-03 DESCRIPTION: (GAS LOG/GAS LINE) Building, Permit Type FIREPLACE Building Work Type ALTERATION REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge X50 Total Fee $25.50 I - CONTRACTOR: OWNER: - A p p l i c a n t BADGER JON 995 BOSTON HILL RD EAGAN MN 55123 (612)686-4557 I hereby acknowledge that .I have read this application and state that the information is correct and agree to comply with all applicable Strati:, of Mn. Statutes and City of Eagan ordinances, \ C M kvA In -(~Z7 APPL NT/ RMITEE SIGNATURE ISSUED BY. IG URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 6 3 3 3 Eagan, Minnesota 55122-1897 Date Issued: 09/05/95 (612) 681-4675 SITE ADDRESS: P. I e N e: 10--45078-170--03 APPLICANT: LOT: 17 BLOCK: 3 995 BOSTON HILL RD BADGER JON LEXINGTON SQUARE 4TH (612) 686-4557 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE ALTERATION DESCRIPTION (GAS LOG/GAS LINE) INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. TROUGH-IN FINAL ''ice CITY OF EAGAN 4, 9 3830 PILOT KNOB RD - 55122 Ott 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: INSTALL NEW FIREPLACE: WOOD BURNING GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE X INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: y C~ STREET ADDRESS: LOT BLOCK SUBD./P.I.D. #:~`~°P APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name:- Phone OWNER FIRST Signature: Cv Street Address C 5 7~5``~ ~fy lam` c z- City: ,(-k4z- State: /Al ~ Zip: l FIREPLACE Company: Phone INSTALLER Signature: Street Address: License City: State: Zip- GAS LINE Company: Phone INSTALLER - Name: Signature: ( ~5 i army" Q Street Address City: State: f1~ Zip: a'~a OFFICE USE ONLY x..: BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New 0 33 Alterations 0 32 Addition ❑ 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: - 41e I7 ~S CITY USE ONLY LOT BL PERMIT 1 J q 75 SUBD. Y,,i ✓~,Q 1- Jq A,), Q_ RECEIPT / d~ RECEIPT DATE: 0c) 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 651-681-4675 Date: Complete this section VLn1 X if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @ $3.00 ea.) State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to, or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration Repair Other bl Furnace '47zt J36 AA-Vj Wd*d Air conditioning Air exchanger Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: q4 .25 O OWNER NAME: Al 7 7 4&, PHONE r- rl INSTALLER NAME: _ .r !W PHONE 4: (AREA DE) ~CO` - O pl fJ~ U 'upovow 1t Went" r# 1 ` (AREA CODE) 09 STREET ADDRESS: hmift OVA OR-R.941115UP110% MN OW CITY: STATE: ZIP: SIGNATURE OF PERMI E,-?, ~ CITY USE ONLY L BL PERMIT SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANICAL PERMIT (COMNMRCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping When installing/removing underground tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1 % = $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ - - - - - - - - - - - SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (11"ROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: SIGNATURE OF PERMITTEE 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 14t q1 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 CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. To Be Used For: Valuation: Date: 3 Site Address 0570IV (766S / 1 OFFICE USE ONLY ~s Lot a- Block Occupancy R-3 M-! FEES Zoning PCs R- t Parcel/Sub Actual Const V-N Bldg. Permit qy, Allowable t,( Surcharge 5D16*0 Owner # of stories Plan Review 2 Z, G~ Length 58' SAC, City I C)01 00 Address ZQY, d'5- Depth 50 SAC, MWCC 50S 00 S.F. Total Water Conn 01e City/Zip Code 3 Footprint S.F. Water Meter 6,0D Acct. Deposit Phone ff-- C On site sewage S/W Permit o, On site well S/W Surcharge Contractor MWCC System V Treatment P1. 8,60 City water ✓ Road Unit 3 o, d~ Address PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL l ° Council lvv4v Arch./Engr. Bldg. Off. !klolz(" Variance Address City/Zip Code Phone # i VA LU A7 10 GARAGE l. IZ X2c Z y D _ zzx ~I = X16 Z ~1oZ x i.~~ /0530 S 45 1333 x ~ y ~ 199~'~" L ~ 'T 1 iyzZ Iktca:~ o 7 . 0+ X0.50" 322-00-1- .0' 1,964 2 9 3 0+ 644 5()- 50+ 322 .00+ 2)93,0.50*+ Certificate For: GreenWaldt Construction Book 13 57 Page 5.3 P.O.125, Bertha,Minn. DELMAR H. SCHWANZ LANG SUMYM. INC. Ibptttaed Undw Low of The slat of IdUnttat 11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA SSOee GIV423-1709 SURVEYOR'S CERTIFICATE Scale: 1 Inch = 30 Feet ~X'1 /V 0 Denotes iron monument ❑ Denotes set wood hub s~. ~~V I% Denotes existing elev. W-. enotes proposed elev. from development plan. . 'W h S \ Q ~/G~i.7f Top foundation elevation 1 ' Garage floor. elevation q0~ B~OC g9~ Lowest floor elevation Ll \ 1 ~6•a9 j Wo, o ROPospp q, Q o' ~ousE b `i 09 GAR, o -71 Ok `5 TAN ` Description: Lot 17, Block 3 , LEXINGTON SQUARE FOURTH ADDITIO I. according to the recorded plat thereof, ` Dakota County, Minnesota. t?O 1 hereby certify that survey. plan, or r*Mrt was prepared by me or under my direct supertrislon and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Gsimar H. Schwans Gated MInnesM MOtabedw No. MQi . EXTERIOR ENVELOPE AVERAGE "U COMPUTATION OWNER SITE ADDRESS L 19 &00LF•,,?cE k- SQUARE r-) I AD 'iu A 17.7 CONTRACTOR r Fw WAS,P7, (6Xf7 DATE PHONE 2 2 / 4 ~-4 14 Determine working square footage of each. 1. Total exposed wall area 2~tj,ZG sq. ft, x •1 _ 1-2 ,4 2. Total roof/cei l i nj area Sy sq. ft. Y, 025 • ~ Co Total exposed ►•;all area above floor = 10 2 a. Total wall window area.........., I l- b. Total door area Total sliding glass door area 40, 0?- d. Total fireplace wall area..,....., e. Total wall framing area (average 10%)............. f. Total net wall area above floor G g. Total rim ,joi.st area Total exposed foundation ark a h. Total foundation window area......... i. Toal net foundation area above gra,,>e I ......6 i'~...a.~c Determine "U" value of each aall segment. a. ! 9/ 3~ X .lU" JOY. Z3 4 S j" Z2. c. 0.0 -i X U. d. X nun s e. 202.4.7 X ..U" , o¢? , $.70 3 (P g2. 02, X "U* 04 t 55. g. ( 7 Z 0.6 X "u" ¢ . C 8 h. X "UN X "up 3 l l ................Total If item 13 is the same as, or less than item 01, you have met the Intent of S6C 6006(c)2. J - Total exposed roof/ceiling area j Total skylight area............................. s_- k. Total roof/ceiling framing area (average 10%)... 1. Total net insulated roof/ceiling area........... T 137, -7 Determine "U" value for each roof/ceiling segment. j X ►IU" I. t X --u 42- Mr- - 4. ,L3.8..5<-.Sv..........Total _ Z if total of 14 is the same as, or less than 02, you have met the inten% of SBC 6006(c)l. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items f3 and X94 shall not be greater than the sum of iten* 41 v4 02. 1. 222, / + 2.4~ _ 3. Z17.6? + 4. ¢G3 ?52.3 WMA CO. PLAN SERVICE ED ANDERSON ARCHITECTURAL DESIGNING AND PLANNING 5347 Upper 147th Street Apple Valley, Minnesota Residence: Officer 423-5658 423.3775 Y00703~. 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Reoair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Certof Survey Recd _Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report _Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _ Y _ N 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _ Y _ N 1 set of Energy Calculations On-site Septic System Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Plans are considered public information unless you state the are trade secret and the reason. Date /0 l R, / b rob . Jn Q Construction Cost Site Address xoSA0 Z7 Unit/Ste # Description of Work Multi-Family Bldg _ Y x N Fireplace(s) 0- 1 _ 2 Property Owner f Telephone # Yy,? x/40 Contractor ~~~~/~3~J/Jitr7cl1rYZee Address City State Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (,I submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: ) Licensed Plumber Telephone Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name App icant's Signature DO NOT WRITE BELOW THIS LINE . Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) 0 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 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/pergola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprlnklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco Lath _ Stone Lath Brick Fireplace _ R.I. -Air Test Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA099513 Date Issued: 06/10/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 995 Boston Hill Rd Lot: 17 Block: 3 Addition: Lexington Square 4th PID: 10-45078-03-170 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Haley Comfort Systems Anthony J Titus 122 West 3rd St 995 Boston Hill Rd Hastings MN 55033 Eagan MN 55123 (651) 437-0338 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167569 Date Issued:03/22/2021 Permit Category:ePermit Site Address: 995 Boston Hill Rd Lot:17 Block: 3 Addition: Lexington Square 4th PID:10-45078-03-170 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Anthony J & Kay L Titus 995 Boston Hill Rd Saint Paul MN 55123--153 (651) 398-3630 Signature Home Services 7373 West 147th St Apple Valley MN 55124 (651) 731-1147 Applicant/Permitee: Signature Issued By: Signature