4378 Braddock Tr
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA078401
Eagan, MN 55122 . Date Issued: 06/20/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4378 Braddock Tr
Lot: 6 Block: 1 Addition: Lexington Pointe 7th
PID 10-45091-060-01
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen John D Tio
1920 County Road C West 4378 Braddock Tr
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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
Parcel Files Cover Sheet
Unique ID: 2087
4378 Braddock Tr
104509106001
177777,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING' PERMIT Receipt #
i`- To be used for SF Est. Value 023lODB Date ` 1g
Site Address 43?8 NALot Block Sec/Su"Xion N `Ik OFFICE USE ONLY
FEES
Parcel No. Occupancy P13 ~I
Zoning
W Name MY Mx _ (Actual) Const F"N Bldg. Permit 7200
Address 6974 1310T 8T (Allowable) 8>E «S0
9e
City APYAlLM Phone-431-1211 # of Stories surchar
Length« Plan Review e0
F Name Depth SAC. City
,N Address i' S.F, Total
SAC, MCWCC
- City Rhone S.F. FaotpnrNSi1.Op
On site Sewage Water Conn
= Name On Site Well Water Meter ~3e
N
s - Address MWCC System
02 00
City Phone Cary Water X- Acct. Deposit 3•
PRV Required SM Permit 30e00
I hereby acknowiege that f have read this application and state that the Booster Pump .3
information is corrdcl and ag~ee to comply with all applicable State of S!W Surcharge
Minnesota Statute Ot'E~~ a r mances. Treatment PI 276*00
~
Signature Of Perm APPROVALS 370f 00
Road Unit y
A Building Permit is issued to: COIAM CITY COM Planner A- 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
3,"1,00
Building Official t a ' Variance TOTAL
L
Permtt IVO. Permlt Bolder Date Telephone #
WAFTER
R;
SEWER
PLUMBING /t/,,? Q/ - j/
i
ELECTRIC I 90~ ob
Inspaetion Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. IIl _ 9
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg_ Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
i
i
'L
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
%E'USiE 010,
Q, 4
IMCS•M~~'Ykl~°911
,MN
RtC
POV
v,
STER
~ t C 1 as ~ ~r~ •'r-
,r k ,~w~~i~~~ 4 ~ _ ~}a x~ d ~ { ~ .~7'~YY 1 ~~A`~9i~ 1 ~t i~,.,,--}-ap
toot;
TAT " CIA _.kw
'
t r L,aw~n sr#~r 1s
~f~~.EFt ~ P~~~ead of •Dt~i~sf4~
[ e ciif ` LL NCyT
} Q r r,
t
T c.
~a
TAT
MAT
ti
SE y ATER PERMIT i 'OFFICE USE ONLY y
C GAN METER # PERMIT DATE 12.109/191
' 3830 Pilot Knob Rd. '
Eagan, MN 5122-1$97 CHIP# PERMIT#' 1 .
METER SIZE B.P. RECEIPT # :C 1"12
DATE • ISSUE DATE B.P. RECEIPT DATE ~ F1.
PA • a
PRV BOOSTER PUMP
I ITE ADDRESS ' 4378 J*uddock Tra:U PERMIT REQUESTED
BLOCK ___L SEC' 1. I: ,nj Con Point 7t
LOT X. SEWER WATER _ TAPq
b
APPLICANT: Cal lei <.City C Ntruc>w -
ADWESS: .6970 151st St reetr a COMM/IND C RESIDENTIAL
CITY, STATE AP O@ Valray, ZIP 1~~+ NEW _ EXISTING
PHONE: 431"141
Lawn Sprinkler Meters ire to be Installed
F~tYI> Ahead of Domestic Meters on Wafer Line
PLUMBER: stox .A
01 ~
ADDRESS: 101-8 3t 4 Sr3 i Terrem redit LL NOT be iven for Deduct Meters,.
CITY,'STATE AlQ9dWX 1- _ ZIP -_4 - i
PH10Nf414
4PIPAGREE TO COMPLY WITH CITY Of
OWNER: EAGAN ORDINANCES 1
s
:,,ADDRESS:
„CITY; STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW'TWO WORKING, DAYS.-FOR-PROCESSING. CALL 4545220 FOR INSPECTION& FOR STORM I
SEWER PERMRS,` CONTACT ENGI EKING"DEPT.
4A -4-
~CASH RECEIPT
CITY OF EAGAN :r
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 5/51t122 rr~~
DATE I{ ' " 7 79 i---~----
0
n
' G
AMQUM $
i
& DWARS
too
a CASH ,-CHECK
FOR 61 O.-L k
--7 f uJ Gig
FU ND OWECT
a k YGu
By
15812
DATE: DEC 9, 1991
RE:~ 4378 BRADDOCK TR (COLLEGE CITY CONST)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO. CALL 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:
x
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.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
~ 1D~d3lv.~
12/ &
Request Date Eire N d. Hough-in inspection
Ae wired? ready Now Q Wili Notity Inspector
Yes No When Ready?
i
I licensed contractor J owner hereby request inspection of above electrical work at:
Job Addres (Street Box or Rgg~~ No.) City
Section No. Township Name or No. Range No. County
Occupant (PRIN Phone o.
Power Supp er Address
Electrical ontractor (Company Na ) Co tr ctor's License No.
c rte - e ~+l.- 3
Mailing Address (Contractor or Owner Making Installation)
Authoria a (Contr ing (nsta at- ) Phone Number
MINNESOTA STATE OARD OF ELECTRICITY' THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
' F
" ~ {
i ~ 7
1
~ ~ '1 4~. '
~
,t,
~ i
- r F fi -
' ~ ~
i Y' - ~ ~
-Z
REQUEST FOR ELE$TRICAL INSPECTION yt F ~ ES-OMOI-08
! ~ lo- See instructions for completing. this form on back of yellow copy. 4
/~f ~rf~(p/_ 1416 2
Below Work Covered by This Request / T .3-
'A" ew Add Rep. TypeolBuilding ApptiancesWired Equipment Wired
A Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor'; Remarks:
Compute Inspection Fee Below; j
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps i D to too Amps
Y 7-
Transformers Above 200 Amps Above Amps
signs Inspector's Use Only: TAL
Irrigation Booms Q!-1-CO
ecianspetion
p
AlarmlCommunication THIS INSTALLATION MAY BE ORDERNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT%
I, the Electrical Inspector, hereby Rough-in Dale
certify that the above inspection has F;nal Date
been made. • f -~l
OFFICE USE ONLY
This request void 18 months from
t
,t
of %tohm Jd
f
~ T7rls Cerii;te bpW p~rrsturrrt to lrlie rre~trumevnenls o~.Sac 303 the Uni orm But7dut,~►
if
~ Go~te cxex~jyirig that at Mite ~e ~ss~uw~e i1~s rte wktsi~ tae wide :the xru~ntrs
? A%WMC& of the C%v regaati> h raotcsfrr rt i» use 1arAo fo~owin
f SF I/ , ilk
'ZoClift
o~ra~ TTY &Utz
437 1,fi~ Bl, F
t. k a 12f 12/461
f f
G L
is Address : 4378 iRAIL Lot 6 Blk 1 Sec/Sub ~N POIM 7M
These items were/were not complete at the time of the final inspection.,
12 12 91 Yes No CtI,Q
Final grade (b" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
F&CMED "J"
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN0 s~
a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 C, ~U pZ
BUILDING PERMIT Receipt
j To be used for SF" D /GAR Est. Value $123,000 Date OCT 9 t g 91
Site Address 4378 BRADDOCK TR
Lot 6 Block 1 Sec/SubLEXINGTON PTE 7TH OFFICE USE ONLY
Parcel No. occupancy R-3 M-1 1=1s
Zoning PD R-1
a Name COLLEGE CITY CONST V-N
w (Actual) Const Bldg. Permit 720..00
Address 6970 151ST ST (Allowable) V-N surcharge61.5
c
City APPLE VALLEY Phone 431--1211 # of Stories 501 Plan Review 468.00
Length
F Name SAME Depth 32' SAC, City 100.00
Address S.F. Total
} SAC, MCWCC 650: an
City Phone S.F. Footprints
ag Water Conn 660.00
On Site Sewage
U
Name on site wen water Meter 95.00
_ Address MWCC System X
'K c~
City Water X Acct. Deposit 30.00
~ City Phone
0
PRV Required SAV Permit 30-0
1 hereby acknowlege that I have read this application and state that the Booster Pump SM Surcharge .5o
information is correct and affee to comply with all, applicable State of
Minnesota Statute Ea arft3Zfinances. Treatment PI .276.00 -
.I
Signature of Pew APPROVALS Road Unit 370.00.
A Building Permit is Issued to: COLLEGE CITY CONST 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, Cgpies
Building Official fuiffl Variance TOTAL 3 ; 46` 00
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
5-Z g~ 3830 Pilot Knob Road, Eagan MN 55122 !5~ v7 v J
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenis Remodel/Repair Requirements
3 registered site surveys shoving sq. R of lot, sq. t of house; and j roofed areas 2 copies of plan iz mm
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 7 _
2 copes of plan showing beam & window sizes: poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations AdddMn - indicate Hon-site septic system
3 copies of Tree Preservation Plan d lot platted attar 711193
Rim Joist Detail options selection sheet (bldgs with 3 or less units
/ C/ eo
Date ~p / d/`7? / Construction Cost 7 ~O
Site Address ~J d-,Jdo c kf Zil,(d 1+ Unit/Ste #
Description of Work T26`v d F-5~: ~-Y-C'n
Muhl-Family Bldg _ Y _ N Fireplace(s) - 0 2
s d0 y~
Property Owner L~~n YN E, 1,rk.Sa ~1 O Telephone # ( 165-1)
v / r
Contractor G4Ke 111Y 'Cc 1`E YY~d vti
r OOy //9
Address 900/ C- 00 y Clio' /oft
State/ Zip Telephone # (752-P)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N It so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone # I hereby apply for a Residential Building Permit and acknowledge that the info e;
that the work will be in conformance with the ordinances and codes of the CiN
Statutes; I understand this is not a permit, but only an application for a permit, 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 p
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
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.) ❑ 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) ❑ 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 Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire 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) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
Foundation _ IIVAC
Drain Tile Other
Roof _ lee & Water _ Final _ Pool Figs _ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2004 RESIDENTIAL BUILDING PERMIT APPLICATION `
City Of Eagan. r-) U
4-4 a 0 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements i
3 registered site surveys showing sq. @. of lot, sq. ft. of house, and all roofed areas 2 copies of plan ~gtSorvey °'Il
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions re5Par~ 1T,~l I
2 copies of plan showing beam &window sizes; poured found design, etc. 1 site survey for additions & decks r d€
TI set of Energy Calculations Addition-indicate rfon-site septic system fiffil
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 3 0 V Construction Cost Y
2 y
Site Address Y3 7 6 Z? 2 AI~'J C C ff 1 ~~1 ! Unit/Ste #
F A e- q)
Description of Work //V S (V « /07 fA (dC/C Ucl-' - 1/fT N W a E k//f 7`IAy~i- i2 e)O
Multi-Family Bldg - Y Y N Fireplace(s) - 0- 1 - 2 v
Property Owner T1 L Telephone # (.`i7
Contractor (nJ 7' F/t L 0 C /C 1,,u 0 0-1 % 2 / £J
Address Z S S / OC4 !7F((rG l y~ City sc-/C &-2 dU,'
State LL Zip CC~~ Telephone # (V-- Y7) S 53 Cr d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
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.
A cgl/u- d &-L ~ -
Applicant's Printed Name Applicant's tgnature
OFFICE USE ONLY
Sub Types "
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessary Bldg
❑ 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 08-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 Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement *Demolition (Entire 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) _ Final/C.O.
Footings (deck) _ FinaUNo C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Figs _ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies '
Other
Total
mom Agreement Between
Ill
INJEI INTERLOCK INDUSTRIES (ILLINOIS) INC.
® 104 - 2355 Fairview Ave.
I Aft am Roseville, MN 55113
Minnesota Contractor# 20431129 Factory Use Only
Toll Free: 1.866-588-ROOF N? 10007
Name 30TA1 c(the "Buyer") Date 5
Job Address 73:7 0 &L Phon~ ~ S~ s/
am n) At _ Zip
City/Town E4(
Buyer's Home Address v11~ Zip
The Buyer is the registered owner of the land and premises described in the job address above (the "Premises") and hereby contracts with
Interlock Industries (Illinois) Inc. (the "Contractor') and authorizes the Contractor to furnish all necessary materials and labor to install,
construct and place the improvements according to the following specifications, terms and conditions (the "Specifications") at the Premises.
SPECIFICATIONS
YES _ R FING MATERIAL, ( YE OWNER WILL
hingle -Color Supply adequate electrical power.
n for Shipment _ ✓ Be responsible for all rot damage and other necessary
roof repairs. (ie) Roof decking, fascia boards, etc.
/ V_ - Roof repair work may be undertaken by Interlock at a
v/ Flash Skylights - Number cost to be mutually agreed in advance between the
Flash Vents CX)8 1'I~VW parties.
ment
Interlock Underlay
Snow Guards PCs. Start date: As A _,c
/ROOF REMOVAL lpcps -n IB 4-15
c/ Strip existing roof layers.
Haul away roof debris and pay refuse fees.
_1Z Note location for bin ~G
✓ Supply 1/27 plywood.
SOP P'L' y :
/ i'V S' J A &-I- ~L V111 .oltl4tt r~ I /Co~Z- f
' •RQ A) pJ s 1 / TU 4-L4- W"~AS _s o -
THIS CONTRACT INCLUDES: NON-PRORATED, LIFETIME LABOR & PRODUCT WARRANTY
ON ALL INTERLOCK MANUFACTURED PRODUCTS. WARRANTY IS SENT DIRECTLY TO
BUYER. AFTER COMPLETION AND PAYMENT IN FULL. WARRANTY IS TRANSFERABLE.
J Sales Price $ ~ ~
Financing Requested Yes /1 No Sales Tax $ 111,!5-
Pre-Approved Interest Rate 10.9% to 14.9% Sub-Total $ ®2 Uf7
Payment not to exceed $ Down Payment $ N~
Total Balance on Completion $ C9``S 1:2 94f 600
MAKE ALL CHECKS PAYABLE TO: INTERLOCK INDUSTRIES (ILLINOIS) INC.
Do not sign this contract if there are any blank spaces.
IN WITNESS WHEREOF, the Buyer and Contractor have hereunto signed their nam s is day f 200
Signed
Pe Buy
INTERLOCK IN IES LINOI INC. ~ Signed
Buyer
Witness
This Agreement is a binding agreement and contract between the parties. This is not a credit transaction and will not be financed by the Contractor. If
financing is required, the Buyer hereby authorizes the Contractor to obtain credit information and the Buyer hereby agrees to provide and sign all necessary
documents required by any third party financial institution to complete the financing, immediately on request. The Buyer hereby acknowledges receipt of this
Agreement. See reverse of Agreement for additional terms and conditions.
All surplus material is the property of the Contractor
Form CON-MN-0204
White Copy Office -Yellow Copy file -Pink Copy Customer
1991 BUILDING PERMIT APPL CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE ED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: single family Valuation: 1 Z3_~~Z50 Da 10-4-91
Site Address 4378 Braddock 'Nail OFFICE U
Lot 6 Block 1 FEES
Occupancy 9-3 M°1 Bldg. Permit x/2(0.00
Zoning LoR(Z- Surcharge G 50
Parcel/Sub Lexington Point 7th Actual Const V-N Plan Review 4 $,00
Allowable SAC, City )0 0100
Owner # of stories SAC, MWCC 50.00
Length SD Water Conn. 660,00
Address Depth 3z' Water Meter 400
S.F. Total Acct. Deposit 30,00
City/Zip Code Footprint S.F. S/w Permit 30,00
S/W Surcharge SO
Phone On site sewage- Treatment P1. 296,0a
College City Construction On site well Road Unit 310,00
Contractor MWCC System Park Ded.
City water Trail Ded.
Address 6970 151st Street PRV _ Copies
City/Zip Code Apple Valley, 55124 Booster Pump _
SUBTOTAL
431-1211 APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL )
Arch./Engr. Bldg. Off. S /O-P 9/
Variance
Address
City/Zip Code
Phone #
~~c r agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GARAGE .m
X2o yon x it= G,ooa
Hou
12 6,k3o rl$o
(~~12= 192
12 120 = ll~6go
f22~ byo o2 12 3, ou0
t I;
r~ C. C G 1 O 1 O O i_ ~
# PIONEER 2A22 Enlmpriaa Lit lva
aw.+e wwytrape. nvr~axapacpa Mendota Heights, MN 5512Q
* ern** aF!r ng, ~•N°rLisNlKRa•tantw.waalrvrrarra - 1612) 881.1914
Certificate of Survey for. GOLLE(~ G/T7' CDNSTR UCTIO~
NORT14
-r 1W
I ~
M
Y1S°J° SDt 21aW ~ O a
153.(7 ye M z
r
$b 3~ eta $i r
N N
91
zs ~ a,nn
ezA 1~ b" Dlpv p
IE I Gar. ra
fli _ 67
o ~~ts Pr
i/1 r(/ S y 1 e9
o t , 1~ 15° s
6 t j
` 26,33 j
` al
l
U1
m yo
>n~~Lin
zs
to ~ h
97,s 7 r ~
I
900.o Denales fxislin Elevation Pkaovoseo rev
• oa•o L)craolex f~ivpa ev~UrvubixI Lowest loor'tlrvallon ± 6, so
- fJ"Ies D~1v%7a ei U/ili1 Easement Top a''B1ack/levahon
/D' rnoles Draind FlorV'Direction Gar 3e Slab E/evalion q too
0 CM49 Mane nlr Poarvn c CAVMA//1 n_ro irk ri ir►.y Y/ n / ` vr~3 iff 2r i nN
LOT ,BLC7GW I , I EXINGTOI P0/N7rE 7r"A1~D/TIO .
DAKOTA Column, mmmsou
t heraby cer°fy that thts f°rvey, plan or report was ommred by me to Er V direct supervlslon an q I No, vpv Retist L°nd Qpiveyor
under thelllaa~we of the State of Minn/e~s~o/ttVs.. bated ed this..,. _ day os. ' A.D. lg
gr4S1 V C a-Z • f imh f ~A/~RERI R. SI KI~Ir L c, nEf:. Nn. t~ 0
10-04-91 03:06pm P02
EvRIOR V".`LOPE AVERAGE "U" COP'- ITATIO;!
rte...-;--
OWNER
SITE ADDRESS
CONTRACTOR LOGLr'GF_ C,-Tv 645,r- DATE PHONE
Determine working square footage of each.
1. Total exposed wall area 'Z oA- sq. ft. x
•2. Total roof/ceiling area 18'70 sq. ft. x Ozko
•Total exposed wall area above floor
a. Total wall window area 2.Z 3
b. Total door area i : _
c. Total sliding glass door area O•
d. Total fireplace wall area o
e. Total wall framing area (average 10%)............ -'1-7 O
f. Total net wall area above floor 1z bo
g. Total rim joist area 1G 7-
Total -ekpo sed foundation area a (o Q-
h. Total foundation window-area o
i. Toal net foundation area above grade to a-•
Determine 'U'value of each wall segment.
a. 'ZZ''S X "U" .3A(o '77.Ib
55 X Pull '.'I Z,6 -7.o4-
C. 6 .X "u" 0 a C
d. O X "U" O = 3
e. 1?0 X "U" , OqZ 15. COQ'
f. ~Z(e-, 0 X "U" ~~3 = S4-lei
g lq Z X „u,, oA-I = 7. a7
h. p X "u" o = O
X „u„ ,01 = 8.22
3 .....................................Total
If item 13 is the same as, or less than item kl, you have met the intent
of S0C 6006(c)2.
Total--exposed roof/ceiling area 171B.0
J. Total skylight area C)
k. Total roof/ceiling framing area (average 10X)... dig
1. Total net insulated roof/ceiling area..:........ -Z'-
Determine 'U" value for each roof/ceiling segment.
V X pull O a o
k. (18 X •*Ull _ 04- _ _.Zlz
"U" v z.-Z._, 31.24-
4 ..................................Total
If total of 14 is the same as, or less than :2, you have met the intent of
SOC 60OG(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items A3 and #4 shall not be greater than the sum of items 61 and e2.
+ 2. F
3. + 4. _
P-AND U•• ✓AL.LA`- AMAL"YZ%5 OF \i gQc~F/ iLluG 5f:c~ .rte..
Tojs-r/ ARE.,
+R'. VA L LL E
•(01INT/yFRIOR AIR FILM
15// 5OFTWOOO
S4~ "d It
G1YFS• rj WALL.AWAQG
q IuSu~~
~Z
NT6rR 10R. AJR FILM
TOTA L "R;:,i VALLLE
LLB
-Z7.~3 S
g
TOTAL Fooruoi
~wSU.LATun AREA 8[.rWtGN THE TdISTs
"(Z' ~ 1IALLLE
{IUTERIOR AJR FILM
aU?W~N3N.LATION CR'~`¢ J
_~&C~YPSUM WALL00A40
VAPOR- DARRitiZ
a I INTERIOK AIK fILM
i;
1
463& IOTA L'R.h:' VALLLE.
p~trF7''.YJ "l~iyN~c~
pRIM F i 1 e/lLh6 ~i
rC AND VALU,- ANALYSIS OF "ALL SELc.T,oN5
Sru D FRAM rNi AR.E ~a
R..- VAL U.a
/ -~~I4TEK,~7R A1K Fl~r`1
ii
tZ GYv.5t1M WAllAOn¢D
/ n-
Sop r wovo
EV,
l r Z -OIc+ of I,% rN/N4 J~ 0 C.-tv_j
- - _ -LAP 5 t n, u c, . z
VAAMe bAJZAJ
A„c. r,L.M
~V
Tore roorA4 c 170
~NSLLLAT>r rJ' AR.t.A B&rWLXN 5T 4A DS
R" - VALU.L
bl Zurt¢,orr ^l0. rig."
,4S IL114YPS"m y✓A~4avaeo '
X9.0 ~Sy" tusuLAT ,oN (R,19
2 otn ~•s'vSwa• rN 0Nq .6L,I i-r21 TIE,
.b~7 aP s~olN4 _~L`/
• YA PO w. I"aq itR.~ C t-
. (7 ~,trLS.,4~C A,R r,~M
VL I FZOTAL Wwi. VALLAt.
,,.,R..+, . 1 ~2 2 b .
roTAL roorace. /Z(c0
N Li ~./i7J7f. #b 1) jU.
Arc. S~'5 VL0_.i v
k"ANO U. VALUE ANALYSt:, p, W\ .1 SLC.TiOWS
F~ I M J'O I S T AK f,- A;
VALLL E
_I NtE/L10rt AIR- frL M
(q.o _ (1 9S LA LAT )ON (R-1t
. i' Sior114 _L~P _
1'h" SoFrwooD
17-E4TAK10R A19- P1i-Al
L-22 ` ToTA L'tj..:~' ligt.ut
u„~ • ! ia.., . 2~ 4.39 - . n
. rorn~rxrAC,E (~Zt1
f oUn1 OAT ION WALL. AREA CABOvL, G~RAox-:)
"R" VALUE
•bl IMM910rz A19 HLr1
• ~ CONCa!' I't QLOGK
1.00 31 r c,I~wrwr~:.4 (R- U
'-7EXTLK1OK, AIrZ FILM
l2 -(-OTAL qw, VALuE-
U4
To-TAL tir"tAC4F, 1 E'
/d0.n L-r toltYt~Ri D~TL ~~>3ila7[O
1,ND VALUE, ANALY515 OF L g+?,S ~Jn jl_AZED AR1rA2;
iNDOW AREA TyPb of WINDOW i
TNf W~-vDabc! Uu/T5 )4Avf& jscnj TrsreG F04 "12 =VA ~.4t i~ tN&Y ARC AZ 416140
A800 At qy0 /H 4y Ol r33/y~Eo A 01Cai4,V [.SA/LI VA~"f- of
)Sir-LW fAJ4 A+R e)L.MS,
1 c I~aSi s - _ -
FoorAt. 62 Z3 +fo•rwc■ - ZZ 3
FoUNDAT ION 1 moo W AfLEA : TYPE OF )"'10400w:
7WF- VV/.rooy✓ IJ.iirs/JAPE, 01-" TL5TcDFOR.Y1' VA"&At,THLYAltLAS {,1•7LO AAbva Ago
MiY or ASjsC "LOA oA lUC~4DIr/~r
AIR FILMS
L{q1_ 1/Av a. • 1/ =1--`-J FoorA4i + FoorA qc a Q
SLID14; <~LASs DOOR ARLA: TYPL oa DOOIz:
51-I0014Cr gL455 DOORS ~1AVC OLR~{ Ti.3TL0 FoR"R=vt~-K r3 TNCYASL v I.+a►tD
AeO/L Ado MA'( B* ASS yNRp A DtS~G111GSAr[~ VA"KL oK•)t"a 111 cLr~i..
4119 FILMS
DOOR ARU A Type op Dook;
pGOQ. UNITS HAVE. BILLM rLSr¢P A'ID Fou►10 TO NAvc A14
FZ"-VALUA OF '7.191 Imcw.L4a#Nej A101 PI .M3,
Izb
udq : I~Rd, a I/ C_ - FQDTAQq LX,
SPECIALS : ryPE
-)-30L
-
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
C13$qC~ DATE:
I$1TTxAI2 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCFyIPTION FEES
NEW CONST ADD-ON MINIMUM /S15.00
ADD ON HVAC 0-100 M BTU \ 240
REPAIR ADDITIONAL 50 M BTU Tb0
GAS OUTLETS - MINIMUM 3.00
p _ OF 1 PER PERMIT
OWNER NAME :
`Z SUBTOTAL:
SITE ADDRESS: y". T\;i~. 41~.s v~ut o Lt T~ci~ L STATE SURCHARGE: .50
LOT: BLOCK _ SUBD. TOTAL:
INSTALLER: ~G\VQ_y,
ADDRESS: SIGNATURE OF PERMITTE
CITY: ~~crv ZIP:
3~K
PHONE
GYIGIAYfNDUSIRII'Y;'; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CGN7RACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
m"lpw DATE:
S3PE7(k€ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 a
REPAIR WATER CLOSET 3.00
I BATH TUB 3.00 Q'
LAVATORY 3.00
OWNER NAME: 1 KITCHEN SINK 3.00 ~r
f LAUNDRY TRAY 3.00
SITE ADDRESS: r HOT TUB/SPA 3.00
WATER HEATER 3.00 A
LOT: BLOCK SUBD. f1~~ 7rH FLOOR DRAIN 3.00 3-0
GAS PIPING OUT.
INSTALLER: Genz-Ryan Plumbing & Heating (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
ADDRESS: 14745 south Robert Trail OTHER _
_ WATER SOFTENER 5.00
CITY: Rosemount ZIP: 55068 PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE 423-1144
, w SUBTOTAL S
ST. SURCHARGE .50
SIGNATUR OF P RMITTEE o
TOTAL: S fn
COMMERCZALji?9DUSTRIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1& OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK SUED. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
C,q 116c( 3-ice
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 Reouirements RemodellReoair Reewremenls office Use 0nN
3 registered site surveys showing sq. ft. of lot sq. t of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cert of Survey Recd -_Y ,_N,
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Shcs,Repott. -
1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pies Plan Recd' Y . N.
2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indcale d on-site septic system Tr& Pfae Re9uked - -Y,--_ N
I set of Energy Calculations On-site SaocSyslem _Y,-_ N
3 copies of Tree Preservation Plan if lot plaited after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
CID
Date _ ~L_/ (7-7 ` 1R, f Construction Cost r
Site Address 3 7 Y A['~th 4,~~ h n" Unit/Ste # T
~.1 lr - few
Description of Work G"f4C4 Au ; I , 44
Multi-Family Bldg - Y N Fireplace(s) J( 0 - 1 - 2
Property Owner ✓ Alt o0 t - Telel(`phone#(1Q3`/) W'1 -!`U4_
Contractor C7. ! „-cl yt✓ ? ` V 1
Address City
D O
State Ater Zip •ZN 7 Telephone # (103) ' _,q6 - 13
I*e✓
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7672
Minnesota Rules 7670 Category I New Energy Code Worksheet
Energy Code Category Residential Ventilation Category 1 Worksheet 9Y
(q 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 I
Sewer/Water Contractor AR 12 2007 L l 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 re uires a review and
approval of plans.
Applicant's Pr' ted Name Applicant's Sig ture
DO NOT WRITE BELOW THIS LINE
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg
x 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. Aft - 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 [1 42 Demolish Foundation K 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building' ❑ 43 Reroof ❑ 46 WmdowslDoors
❑ 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water-Damage_Yes
Valuation ;tW Occupancy MCES System
Plan Review 1~49 100% or _ 25%
Census Code y3 y Zoning City Water
SAC Units - Stories Booster Pump -
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered -
Type of Const r S 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
Use BLUE or BLACK Ink
-
For Office Use
City of Ea~dfl I Permit
~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:!
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
i I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name:~Ll,\ Phone:rn(Q-
Z
Residentl G-C~-
Owner Address / City / Zip: 3
i Applicant is: Owner Contractor
Description of work: clop t £ uc) V_V_0 0 V)Itc
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Com an ~ Contact:
k Address: a'\10 L2 1(1 E City:
I Contractor
State: 'W, Zi - 1
~ ] 2a Phone: - _~~o,
~J
License , Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumbers Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: 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.-Qopherstateonecall.oro
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 Codemust be completed within 180
days of permit issuance.
x PC3 x
Applicant'sd Name Applicant's ii n ture
Page 4 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145853
Date Issued:09/26/2017
Permit Category:ePermit
Site Address: 4378 Braddock Tr
Lot:6 Block: 1 Addition: Lexington Pointe 7th
PID:10-45091-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Paul E Epstein
4378 Braddock Tr
Eagan MN 55123
(716) 909-7339
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153487
Date Issued:12/21/2018
Permit Category:ePermit
Site Address: 4378 Braddock Tr
Lot:6 Block: 1 Addition: Lexington Pointe 7th
PID:10-45091-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Paul E Epstein
4378 Braddock Tr
Eagan MN 55123
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature