1359 Berry Ridge RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1359 Berry Ridge Rd
Lot: 8 Block: 3 Addition: Hilltop Estates
PID:10- 33000 - 080 -03
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
Mary A Wessel
1359 Berry Ridge Rd
Eagan MN 55123
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA084741
07/29/2008
ePermit
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
!yATE 19
A.. ..'A r
PROM
AMOUNT 1$ tir .7 I r'
,qo
i / lr, t ! r -& _DOLLARS,
Q CASH Q-CH CK
1 . I° ""/////ITTTT
FUND CODE AMOUNT
Thank You
BY`
white-Payef$ copy
Yellow-Postk g Copy
,A,., >?k?'p3?.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for "A Est. Value 11100(11 Date J Nh 45
19 67
Site Address
Lot Block j Sec/Sub. 11'1110P J':S
Parcel No.
Name
W Address
City Phone
°` Name 14(; ! NC
0
o? Address
1W- City s " - •. Phone 42'3- 11_
Vm W WName _
Address
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
1 i tt' ?( x
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC, City
Engr SAC MWCC .
It m City Phone Planner Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
that the information is correct and agree to comply with all applicable APC Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks
Copies
Signature of Permittee TOTAL r
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances..
Building Official
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final ???
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
,Cry OF EA3AN
3795 Pilot Knob Road Eagan, MN 55122
PHO*4E: 434-8100
BIt.d11 PERMIT Receipt #
To be wood fm S 1. Est. Value Date
N! 5841
ay 2 Q
Site Address 1-?% 3erry. -L;tje ro ` Erect `_] Occupancy R3
Tiillto,?
Lot Block Sec/Sub.
Alter ?
Zoning
Parcel # - 10 330 0 i)8 ; 03 Repair ? Fire Zone Ill
Enlarge ? Type of Const.
W Name 7oItaid JOhnSO1 Move ? # Stories
z Address`? 7 1:8.St 1574-,'_ Demolish ? Front 7 ft.
city `.''n'nsvi e • Phone 33 431-' _=55 Grade Depth ft.
Name iv-isha.ne Construction Co. _
- .............. ?als Fees
I/
Address 1` 7 '? St 157th fit.
Assessment 33
Permit 2. ?
:?'nsy lie j 653
city Phone Water & Sew. Surcharge r.•
t7 . . #
Ph111int :?'1 Service
` W W Police Plan check
5'-)r)
""
Name Fire .
SAC
W
C
x? Address Eng. ater
onn
G
eu
$ e Phone ??
lanner 7
Water Meter ?
Council Road Unit
I hereby acknowledge that I have read this application and "state that C 3 f ?`?
Bldg i,• <,-,
the information is correct and agree to c mply with off applicable
di
f Mi
d Cit
f L
O
St
t
t
S
APB Total 1 r
nances.
y o
ogan
r
e o
nneso
a
tatutes an
a
Signature of Permittee
A Building Permit is issued to: -' ?S -}' I "' is R eruct o 3 G . on the express condition That
all work shall be done in accordance with all applicable State "of Minnesota Statutes and City of Eagan Ordinances,
Building Official
Permit al# Date homed Permutes
Plumbing 1 7 --/- V__
Mechanical /0'5 7 4,
IMF ?-
1
/ S v
INSPECTIONS DATE INSP.
Rough-In
Final
Footings ( -± a? Date Insp. Dote Insp.
Foundation
Frame/ins.
Plumbing
Mechanical
_ _
zw2k -?c
ns_
a`
Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road
1 X57 Eagan, Minnesota 55122
No. Phone: 454-8100
HEAVE 11; PERMIT
Date: June 23 s .1()'0
35 ' '2'Y'y i1i4 e O t
Site Address:
Lot ' Block Sub/Sec. ? Ito st ,
1 Name 0o :3 JCl izorl/&inshi_r e Constr.
i
4I
1017 IT'. 157th St.
Address
City i?r i2R25Vj ! e J" -.,7 Phone:
Name The Heatin; CO.
Address '2%M1',- 200th St . 1'
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential X
Mufti Res., Comm./Ind. AV
t
New/Alter./Repair
Cost of Installation
new
Permit Fee 20'00
.50
Surcharge
20.50
FaZX. di 'ton 5 .,0 4 u(S' .. (.- .",
City Phone: I Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
k o
No. 1779
Plumbing & Ueter
Date-
7-15-80
CITY OF EAGAN
3795 Pilot Knob Road
Began, Minnesota S5122
Phone: 454-8100
PERMIT
Site Address: 1359 Berry Bidge Rd.
Lot Block Sub/Sec
Name Sunnhir e Cone .ruction
I
Address 1017 157th L l
City I.j agy 111 e, ?th1 Phone: 4 --( x
Name Lakeville Plmb;. & Htg.
I
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
57
Receipt No.:
Single V
Residential
Multi Res., Comm./Ind.
New/Alter./Repair new
Cost of Installation
Permit Fee 20.00
.50
Surcharge
91 Address Box 21 AA, R-15. 2 , ATE,-; e
City Lakeville, i`lii. 55044' Phone: 461-225'x; Total 52.50
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
+ ts€ tt?.. <z+t
lift B jtip' - l>>?
PERMIT SUBTYPE:
f'f
APPLICANT:
TYPE OF WORK:
tt 1! I r r 1 1 1! ti
DATE DATE INSPTR.
Permit No. Permit Holder Date Telephone #
S/W
!T Y C Q?
HVACIJ
ELECTRIC +?It ®?C?
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. ! /J3
7
ta
Rough Htg. ?l_
G
7 ,A?1
!? i
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
40
Bldg. Final 474% AW CAM
Deck Fig.
Deck Final
Well
Pr. Disp.
'INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS:
lilt I Iu I IAII ;
PERMIT SUBTYPE:
APPLICANT:
I I f? t '1 1 t[ I Id 1,' fs.
TYPE OF WORK:
1{p °:f !IIiII IfaN
I vI I ` k3
At II I? 11f .,
J
i I IMAI?I: ? 4' (I I tIrII i i I'sI IIIt . I (;? #'t =. ? 1;!s h (s?! 1 ? 3,?II I d's? ? #?s';
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE jn
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
kL
G 371$:Pot 1nob -Rood
51 L
a t6g,s? . t?dH52
Dwt er qt;Y1 ? r E' ' ?anS tTL 't? r ?t"
?Y?diesS - ' ,
S;ta Addfiess ].353 ?x r i cll ,
Plumber -
MATER"°SERVIE'F, M ff
2
PERMIT O.: 1 (i
)ATE:
No. o{-Units' ti
lillton t stat€:,$
Meter No.:. 'Connection Charg e
Size ' Account Deposit'
?
R,?a4ei- Not _ - - Permit Fee: - --_ ?d _• -,
-1? -
.j,a rce ro ably wuh the Oify of Eogon 'Surcharge
fldiiaince? Misc. Chdrges: 7. f1 `rf_xi'?'
Total: _
Date P4id
F 7yF;''tS - ..Cn5p
SEWER SERVICE PERMIT
CITY OF EAGA N
3,174
874 Pitt lfnob Road PERMIT NO.:
A DATE
N 55122
Eagan, :
7 it
:
f U
N
Zoning: n
s
o. o
5 tfl31Ltfe Coll-trtict'.G'Tl
n
O
er
w
Address:
: 1122 T `' }' €
Add
Si z x` 2ror L-statc?
ress
te
Plumber:
5/t C') i`91';? 100 r # d
e:
Char
ti
C 4 2 "an, pd.
I agree to comply with the City of Eagan g
on
onnec
osit:
t De
A
Ordinances. p
ccoun
it F
e:
P 10.0
e
erm
h
S pt' =
arge:
urc
r
s:
Ch
M
By
ge
a
isc.
t
T
Date of Insp.: al:
o
id
P
Msp.: :
a
Date
CITY OF EAGAN Remarks
HILLTOP ESTATES 8 3
Addition lot BI Parcel
Owner ) 1359 erry Ridge oad Eagan,
''f t Street State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ?<< 1980 1336.72 133.67 10 1203.05 C005649 10/15/80
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 172.14 8.61 20 103 - 34 A009197 6/IR/Rn
* SEWER LATERAL 1980 3352-57 335.26 30 7 32 -COOS649
WATERMAIN
* WATER LATERAL 1980
WATER AREA 3-j:- 1977 181.34 12.09 15 A009197 -611-8
LN
* Services 1980 .
* STORM SEW TRK 1980
* STORM SEW LAT 1980
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. UZ
n() - 19109
BUILDING PER. I
5 9 4 1 39102
SAC 525.00 19102 5 28 80
PARK
N? 5841
BUILDING PERMIT APPLICATION Receipt #
To be used for SF Dwlg/Garage Est. Value 85,000-00 Date May 2$ _, 19 80
Site Address 13 59 Berry Ridge road Erect Jp Occupancy R3
Lot 8 Block 3 Sec/Sub. Hilltop Est. Alter ? Zoning Rl
10 330 00 080 03 Repair ? Fire Zone III
Parcel #
w
z
Name Donald Johnson
Address 1017 East 157th St.
35-653
o Name Sunshine Construction Co.
ou Address 1017 East 157th St.
city Burnsville Phone 435-6535
WW Name Phillips Plan Service
_- Address 7630 W. 145th St.
?z AppleValley „L___ 435-6535
I hereby acknowledge that I have read this application and state that
the information is correct and agr to c ply with all applicable
State of Minnesota Stand ity of gan Ordinances.
Signature of Permittee
A Building Permit is issued to: shine Qonstrj?qtio
all work shall be done in accordance/with aW,.dj plicable State f Mid,
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
° A PHONE: 454-8100
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 47 ft.
Grade ? Depth 47 ft.
Approvals Fees
Assessment -/ ?J! ov
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. V23180
APC
Permit -? 7J v
Surcharge 42.50
Plan check 96. 50
SAC 525.00
Water Conn305.00
Water Meter 60.00
Road Unit 185.00
Total 1,407.00
on the express condition that
Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
+l, BUTT )ING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For 29 Valuation's ?s 006 Date `_ ___
Site Address J JS OFFICE USE ONLY
Lot _ Block _ Sec . /Sub. 1 15A SErect Occupancy
Parcel
Owner:
Address:
City/Zip Code:
Phone S 3 "
Contractor: "
Address : 16 17 ?, . f s-.1
City/Zip Code: .'SS 3:
Phone #: IL/ 3 ?- C 53 s°?
Arch. /Eng.: (. r+N ..
Address: "? 3
°??: lip
_
City/Zip Code: ?+_v`^ o. i . 7y
Phone #: 4/3 s 4 c3??
Alter Zoning
Repair Fire Zone
Enlarge Type of Const.
Move # Stories
Demolish Front __ft.
Grade Depth ft.
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC yr 2 s °?
Eng. Water Conn.
Planner Water Meter D
Council
0-0
Road Unit 1 S7-
Bldg. Off al,
APC
TOTAL
r ? T
16 V
1 1_b I
Oq&
;ITY OF EAGAN O
3830 Pilot Knob R P.O. Box 21-199, Eagan, MN 55121 ?- 13817
H,ONE:454-8100 --?
BUILDING PERMIT RacPint
To be used for 3-SEA PORCH Est. Value $11,000
Site Address 1359 BERRY RIDGE RD
Lot 8 Block 3 Sec/Sub. HILLTOP EST
Parcel No.
cc Name TOM BOESE
z Address SAME
c city Phone 452-7413
o Name T.J. CONTRACTING INC
0a Address 14565 DANVILLE AVE W
City ROSEMOUNT Phone 423-2164
FW Name
j E Address
a w City Phone
Date JUNE 25 t 9 87
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well _ Type of Const
City Water (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit $100.50
Water/Sewer Surcharge 5.50
Police Plan Review 50 95
Fire SAC, City
Engr. SAC, MWCC
Planner Water Conn.
Council Water Meter
Bldg. Off. Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAL $156.25
I hereby acknowledge that I have read this application and state
that the information is correct dagreetocomplywithallapplicable
State of Minnesota Statut d City of E n Oydn ces.
Signature of Permittee T!^?
A Building Permit is issued to: T. J . CONTRACTING INC
all work shall be done in accordance with all applica a State of M
Building Official
on the express condition that
Statutes and City of Eagan Ordinances.
K 73 863
Request Is Fire No. Rough-in Inspection
Re aired? t ,,
? Ready Now \fl? Will Notify Inspector
R
d
?
NNN Wh
es G No en
ea
y
licensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street. Bo or Route No.) City
1`
Section No. Township Name or o. Range No. Co
Occupant (PRINT) Phone No.
Power Supplier Address
tractor (Company Name)
Elects I nq *
(
7
- 0ontractors License No.
?t?
-
L
% k
?
"
t ? I
( ,
Mailing Address (Contractor or Owner Making Insta ation)
1L - v_ 4 Fr M
_Sj ?f I/? _''°'C,-_
Au In nze Signature lContractor/O ner Mak
ingInstallati n) Phone Number
ki
MINNNE'
SOTA STIT4 BOARD 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.
REQUEST FOR ELECTRICAL INSPECTION
K {( -163 8lhJ ^ ? See instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
&TOP N.
B-00001-0
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm ./Industrial Furnace
Farm Air Conditioner
r specify) ontractor's Remarks: Compute Inspection Fee Below: Y
?t?11 A Ch o
# Other Fee # Service Entrance ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms ??, J ?--}
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby
J6
Rough-in • Date y
-1
certify that the above inspection has
been made, Final Date
OFFICE USE ONLY
This request void 18 months from
CQMifiratr of (orrupaurj
Citp of (Eagan
39rpartmrttt of +Nuilding Jiuijrrrtitm
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
use Classification SF DWG/GAR Bldg. Pemnit No. %41
Occupancy Type Type Construction -V Fire Zone_ III Zoning District Rl
OtsnerofBuBding Donald Johnson Address 1017 E. 157th St.,Burnsvi
BuadmgAddress 1359 Berry Ridge Rt,,ity Hilltop Estates
By.
Building Official Date: 9-11-80
POST IN A CONSPICUOUS MACC
- _ _
OGO[5 ?91 LITHO IN U.S.A.
This request void
18 months from
25189
Request Date
July 21 1987 Fire No. Rough-in Inspection
Required?
T
Ready Now Will Notify Inspec-
t DYes ? No
for When Ready
EJ Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
1359 Berryridge Road Eagan
ecti on o. Township Name or No. Range No. County
Dakota
Occupant (PRINT) Phone No.
T.J. Contracting 423-2164
Power Supplier Address
Electrical Contractor (Company Name) Contractor's License No.
Corrigan Electric Company 039549 8
Mailing Address (Contractor or Owner Making Installation)
A.0. Box 475, Rosemount, MN 55068
Aut ri ed Signature (Contractq(/Owner Making Installation) j Phone Number
f. . A f1 //
MINNESOTA STATE ARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N.191
1821 University Ave.. St. Paul. MN 55104
Phone (612) 642-0800
423-1131
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-00001-06
See instructions for completing this form on back of
yellow copy.
2 "X" Below Work Covered by This Request
kew Add Rep. Type of Building Appliances Wired Equipment Wired
k Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other (Specify)
t er Specify Other Other
If Fee Service Entrance Size ft Fee Feeders/Subfeeders # Fee Circuits
Oto 200Am
s
Oto30Amps
'-
Oto30Amps
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100 Amps Above 100-Amps
Transformers Irrigation Booms _5_t> Partial, Other Fee
Signs Special Inspection
3
Remarks ;F? TOTAL FE
/ /Fi,tlr
Rough-in Date
1, the Elec
Inspector, hereby
certify that the above
Final1e` inspection has been
made.
His request Vulu 10 munlrls rruln
This requests void
18 months fom
Date bf iis Request ire No.
I, as D"Licensed Electrical c/ ntractor ? Owner, do hereby ri
cal wiring installed at: " x - t
Street.Address or Route No.
Section Township
Which is occupied by
q87 C( '
SIJ 86931
st??on of the above electri-
County
(Name of Occu
Is a roughin inspection required on this job? No ? Yes Nf Ready Now 0 Will Call Power Supplier Address
Electrical Contractor L&Iifodractor's License No.
(Comps Name)
Mailing Address
Owner Making This Installation)
Authorized Signature Phone No.
(Electrical Contractor or Owner Making This Installation)
STATE L ARD COPY This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1821 Griggs Midway Bldg. - Room N191
ljniversity Ave., St. Paul, Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHE(3ELOW WORK COVERED BY THIS RE(HTEST
EB-0000 1-02
RRq*11
Type of Building New dd. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water HP& ? Lighting Fixtures
Apt. Bldg. ? ? ? Dryer Electric Heating ?
Commercial Bldg. ? ? ? Furn a Silo Unloader ?
Industrial Bldg. 11 ? 10 Air Condit! Bulk Milk Tank ?
Farm ? ? ? ppList
rsc List
h
rs
O
Other ? ? ? Here e
le
F
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 1 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. h7 ) 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100_Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remarks
TOTAL FEE
I, the Electrical Inspector, hereby certify that tl e apo a inspection has been made. Qar
-- [ i -`_
(Rough-in)
%? Date
(Final) Date t 1 c C;
This request void
18 months from
This request void 18 months from
Date i is Request S 46175
I, as Licensed Elec cal Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed a .
Street Address or Route No.
Section Township
Which is occupied by______.
Is a roughin inspection required on this
Power Supplier
Electrical Contractor
Mailing Address
Authorized Signature
tE1?+R'1kild
jTATE
C ft Eft
Upy
Will Call
License No.
This Installation)
t Phone No.
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
.,'REQUEST FOR ELECTRICAL INSPECTION
CHECIK BELOW WORK COVERED BY THIS REQUEST
4R1 5
Type of Building New dd. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer
' Electric Heating ?
Commercial Bldg. ? ? ? Furn Silo Unloader ?
Industrial Bldg. ? ? ? Air C Au Bulk Milk Tank ?
Farm ? ? ? List List
Other [1 ? ? Hehers Herers
COMPUTE INSPECTIO N FEE B ELOW
Service Entrance Size: Fee Feeders& Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200 Amps. Above 100_Amps. Above 10Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remaz s ? 6/50V TOTAL F B?;
I, the Electrical InspectoV,, hereby certify that the'above inspection has been made. V, 5-0
(Rough-in) Date
(Final)
This request void 18 months from -
2004 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/Repair 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 C? of Sulvey Recd Y
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N
1 set of Energy Calculations Addition - indicate if on-site septic system On srte Septic 5ysfem _Y. N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date 17-0
Site Address 1_-2 S 3 ?? ?? Construction Cost l0 U ' 2
t? cZ 2 (+? Unit/Ste #
Description of Work
Multi-Family Bldg _ Y N Fireplace(s) _ 0 2
Property Owner /I/1 f4 iZ Y 1'3t11-.( t ^j-ff S S (z(_ Telephone # ( )
Contractor S l-1 S i ?a T -- Co" C(=P i 3
Address 2'7 lc [? /k {2S
State ,-7Z4/ dai City :6i-?-° /-?s•l
Zip $-?- 1'2 Telephone # (G'° I)
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
(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
Mechanical Contractor
Telephone #
Telephone #(1I ti
Sewer/Water Contractor
?I AU G 2 0 2004
Telephone # ( II )
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.
r t o?,,-LCI?tN?
pplicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types ,,,t
? 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 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ 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
133 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
Footings (new bldg)
??Footings (deck)
Footings (addition)
_ Foundation
Drain Tile
Roof _ Ice & Water Final
c/ Framing -
Fireplace _ R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests - Final
Siding Stucco - Stone _ Brick
Windows
Retaining Wall
Approved By: 1- Z , 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
25wo
CERTIFICATE OF SURVEY
1 hereby certify that this is a correct representation of a survey of:
Lot 8, Block 3, Hilltop Estates, Dakota County, Minnesota,
according to the plat thereof on file and of record.
And that I am a duly registered land survoyor under the laws
of the State of kinn.esota. to
oo ' ?
zlw'??e
?'!!??_ `tom N
Gene L. Jacobson Minn. Reg. No. 773( (b,l
Dated this 16th day of May, 1980 1'
Elevation shorn are existing D? 4? Q J ??o
grades and are assumed datum.
oh pQ'
66. -8
Prepared Barr s ?P
Sunshine Construction / Q?
1017 157th Street
Burnsville, Minn. 55337 0 9s oO.
/ \ \ 65 0 COQ
<
1 L 8 5 0 p \ \ •` / N
0 '.0
.0 IP,
s/ ?°`cy o&,
y, \\Q
94 7 <-
91
93.7
91.9 N,
6? '?.? ego o ? \ •'
05, BEARINGS ARE ASSUMED DATUM.
o
oGF GENE L. JACOBSON
04Q LAND SURVEYORS
81.7 LAKEVILLE, MINN. 55044
PHONE 469 - 4328
DR. BY GL J SCALE - I" = 40' o DENOTES IRON MON.
(p( (-p ( (p 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/Repair 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 Cart of Survey Real - Y - N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Read - Y - N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Reqd .- Y - N
I set of Energy Calculations Addition - indicate if on-site septic system 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 (bldgs with 3 or less units
Date V1- CR
O Construction Cost 'S 7 O
Site Address ( b ;50) l'W U!r l? ? Unit/Ste #
Description of Work f,- ? 1 U- 6a 45 (NSG -J 6A5
5%U ? ?? (gyp ?h[p
Multi-Family Bldg _ Y - N Fireplace(s) _ 0 _ 1
Property Owner ? 3r77?/? C)(35 ?Z. Telephone #( (o 7) (086 -244?
Contractor 1 ((
Address 3+ b cJ j L' 7 [ j City FJ ??l
State i''f n) Zip 5q) ) Telephone # (9cL-) 67/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category i _ Minnesota Rules 7672
• Residential Ventilation Category I 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 If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
S" 3 0 2003
I Telephone #
Telephone # (
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 work which requires a review and
approval of plans.
Applicant's Printed Name Applic is Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof - Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests -Final
Framing Siding _ Stucco _ Stone
- Fireplace - R.I. -Air Test -Final _ Windows (new/replacement)
- 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
r RESIDENTIAL $UILb4NG
Q 12 O O Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements RemodeVReoair 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 - Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks - Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
00
Date / / Construction Cost
Site Address Unit/Ste #
Description of Work 1 Q
Multi-Family Bldg - Y "/ N Fireplace(s) ? 0 - 1 2
Property Owner H(U(A rt, M.?PA Telephone # ((.9b l) Lp` ' Q.a
Contractor _ RENEWAL BY ANDERSON
Address 1920 COUNTY RD. "C" WEST.
- ROSEVILLE, MN 55113 City
State 651-264-4777 Telephone # ( )
LIC # 20130983
9113.'75
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
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Telephone # (
Sewer/Water Contractor Telephone # ( )
SEP 2 6 2003
I hereby apply for a Residential Building Permit and acknowledge that the rmation is compl and accurate;
that the work will be in conformance with the ordinances and codes of th City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pe d- k = ft tart without a
permit; that the work will be in accordance with the approve an in the case of work which requires a review and
appr v 1 of plans.
p licant 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_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
- Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water
Framing
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Final
Fireplace _ R.I. - Air Test - Final
Insulation
Width
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests
Siding _ Stucco - Stone
Windows (new/replacement)
Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
t' 11=1
Building Inspector
vvs vai s,vv.L LLLV 8G.OV f11A. (OJ U(1 44}0 1Sy j? ?? ? ? .
re al
aYANonSWr
Irmo 7, 2001
City of Bagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom it may Concern:
Elder Jones is authorized to pull buildin
Elder .)ones to g permits for Renewal by Anderson- Please allow
Provide this service for us in Eag n. This authorization is valid for any
date beyond 6/610X; until a i euewa! by Andersen mane= expressly revokes it in wilting
to the City-
I request this autliozjtion be accepted-expeditious) as to not delay the
our banding pcanita ally fu ?`' ? m pnooessirtg of
Y xthcr. Please can me If thew are any questions.. I can be
contacted at 763-502-470G.
Your imingdiate attention to this matter is a - sr
Sincerely, -
ymond-R. Rau
dstxllation Manager
Renewal by Andersen CorPotati on
Cc:: Ksmi_F,i?Pr Tnnee -
tKJ?F??4 ?? . .
u„vL a.?
?k0
ALE
?`"10"??.n?zoas
Received Time Jun. 7. 1 : 07PM
jq'5 7t RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE VALUATION 92S, ac?? • ?
JOB SITE ADDRESS I3et{ui`c14e??
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
TYPE OF
FIREPLACE(S) - 0 - 1 - 2
APPLICANT 'V&_L&__ o '3u gnm.? PHONE# (oSI-c- I-if 't7
ADDRESS t 1 O Cav?,?v? ' gI ccxi C U tc 4 ' ?.bsty?ll?C. l`r1?`? ZIP CODE GI I'S
PAGER #
C14OA6
NWT./ •
CELL PHONE #
FAX #
NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet Si
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
APR 1 2 2002
d
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
?)-PIA of Applicant
Water Softener
Water Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 2002
/ y
OFFICE USE ONLY
? 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 (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration 13 337 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) r Give RCA handout' to applicant
Valuation Occupancy MC/ES System
Census Code Zoning -Pity Water t E
SAC Units Stories Booster Pump
Ntir: of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered .; x E
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
_
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests -Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test - Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I.
..vr eves Q.v°e? 14V 1r.JV t'lS.O, f VJ a7/?. '4 8? i y?r?? t}r ANUZKOW
x
June 7, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Concern:
Elder Jones is authorized to pull building permits for Renewal by Andersen- Please allow
Elder Jones to provide this service for us in
date beyond 6/6/01; until a ?enewa! bersen man is authorization is valid for any
to the 0 w by Andersen expressly revokes it in writing
ty_
I request this authorization be accepted expeditiously, as to not delay in the processing of
our building permits any further. Please can me if them are any questions. I can be
contacted at 763-502-4706.
Your immediate attention to this matter is appreciated.
Sincerely,
ymond R. Rau
nstallation Manager
r
Renewal by Andersen Corporation
1W UUZ/UU;
Cc: Kara_F.lder Tnnem
4 u .
GNAOA
fy PUbu?AL
tih Cam Minnespts
mauon Fxpy?: bn. ]1, 20M
Received Tiine Jun. 7. 1:07PM
PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B (J :1" L.. D :[ N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 6 7
(651) 681-4675 Date Issued: 1 + / 2 3 / 9 8
SITE ADDRESS:
1359 BERRY RIDGE RD
LOT: 8 BLOCK: 3
HILLTOP ESTATES
P> I> N o e 10-33000-080-03
DESCRIPTION:
GAS INSERT/GAS LINE
Bui -ldinq Permit Type FIREPLACE
Bu i.ld no Work Type ALTERATION
Censsu ; Cnr;F? 434 ALT. RESIDENTIAL
REMARKS:
CHIMNEY/FL.UE MUST BE INSPECTED BEFORE CONCEALING
FEE SUMMARY
Base Fee
Surcharge
Total Fee
$50.00
$50.50
CONTRACTOR: -- Applicant. S T. L I C OWNER:
FIRESIDE CORNER INC 16331,042 2009091.1 WESSEL BARB
270E3 N FAIRVIEW AVE 1359 BERRY RIDGE RD
ROS, VIL.LE MN 55113 EAGAN MN 55123
(612) 633-1042 (651.)688-2662
I hereby acknowledge that I have I eead Chic;; application and State that the
infio'cmati n icc C;orrect and aOcae ;omrD?_t;' ?.'1`,i al 1. arlplieah], t.Gt( of Mn..
Ct:af_ -s and City (,)f Faa n Ord tn:9nc c;
L
APPLICANT/PERMITEE SIGNATURE
i ED BY. SIGNATURE
ri
I> Sv-`S-O
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 Ct?J 1 0 ' r 3 - 40
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE:jb ___ v qC
DESCRIPTION OF WORK: Construct new fireplace
? / Install as insert only
PERMIT FEE: $50.50
Alterations to existing
? Install as on only
Other
JOB ADDRESS: L
LOT: BLOCK: SUBDIVISION/P.I.D. #: 1_1 S Z?.
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
OWNER
FIREPLACE
INSTALLER
Zip:
Phone #:
_V I License #?? l• / -I
Stste: rn Zip:?
GAS LINE
INSTALLER
Name: V\J5eJ r L Phone #: 40:9 U ' 2tP?
Last First
Company:
Street
Phone #:
A OCT 2 31998
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
Chimney/flue must be inspected before concealing.
A
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
gwlu
PERMIT TYPE: 4LOING
Permit Number: 020966
Date Issued: 05/19/93
1359 BERRY RIDGE RD
LOT: 8 BLOCK: 3
HILLTOP ESTATES
P.I.N.: 10-33000-080-03
DESCRIPTION:
Building Permit Type BASEMENT FINISH
Building Work Type ALTERATION
REMARKS:
SEPARATE ELECTRICAL & PLUMBING PERMITS REQUIRED
FEE SUMMARY:
Base Fee
Surcharge
Lie. Search Fee
Total Fee
$35.00
$.50
5.00
$40.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ENERJAC CONST INC 14368517 0002473 WESSEL BARB
1688 STRAWBERRY HILL RD 1359 BERRY RIDGE RD
AFTON MN 55001 EAGAN MN
(612) 436-8517 (612)688-2662
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 Mn.
Statutes and City of Eagan Ordinances.
I
APPLICANT/PERMITEE SIGNATURE ISSUED Y: SI NATO E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 8 BLOCK: 3 APPLICANT:
1359 BERRY RIDGE RD ENERJAC CONST INC
HILLTOP ESTATES (612) 436-8517
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
020966
05/19/93
ALTERATION
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FRAMING FINAL
REMARKS: SEPARATE ELECTRICAL & PLUMBING PERMITS REQUIRED
P P
L P
1 I I s;t','F Wt bl I t i.t I
11
M I 1 I? I '. ?:.a i
I or
REACTIVAT';, _
PERMIT #
( ECE V E
MAY 1 1 1993
---------------
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
4qo
Su
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
caics.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy caics.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date e Valuation of work
Site Address: / ?.' I ib&
STREET SUITE 0
Tenant Name: (commercial only)
T BLOCK SUBD.?a ct? I
(l P.I.D. 0
r s
Description of work:
The applicant is: D Owner Contractor 0 Other (Describe)
Name ___SSL Phone (D Z
Property LAST FIRST
Owner ,^,
fnnp4
Address
STREET STE
City 5;4-6- State Zip S?1ZZ.
Company Phone t ) T1
Contractor Address 11b z-,- iZ-i License # O00 2-+73 Exp. 3 '
City ,1 ?M" State IK I./U" Zip X50_
Company ____ -- Phone
Architect/
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 application and state that the information is
correct and agree to compl 'th all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: -- --
v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
31 New
32 Addition
? 33 Alterations ? 35 Tenant Finish
? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) 1st Fl. sq. ft.
UBC Occupancy 2nd Fl. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing
? Wallboard 26 Final
Framing
? Draintile
? Insulation
? Fireplace
Permit Fee U Valuation:
Surcharge
Plan Review
icen
M 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 % i
SAC Units
S
16 Basement Finish
17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
CERTIFICATE OF SURVEY
1 hereby certify that this is a correct representation of a survey of:
Lot 8, Block 3, Hilltop Estates, Dakota County, Minnesota,
40
according to the plat thereof on file and of record.
And that I am a duly registered land survoyor under the laws
of the State of Minnesota.
00 M
N
Gene L. Jacobson Mina. Reg. No. 7734 O
Dated this 18th day of May, 1980 ,bb.?. QS??
Elevations shown are existing
grades and are assumd datum. CR P J ??
66. -8
Prepared for: -
Sunshine Construction
1017 157th Street \ w`L
Burnsville, Minn. 65337 / o 9s °
vs;?s,
41
c'. 800 p
\\\ G? 0 65 1?0 (Oh
• I 1ti $_5 0 y \ %??/' ? /S O'er.
<Q 0,0 RI
ti cgTO'GO \s+A'ov \ sF??'L / i
4i
D, oG s w
sS,/ V ti C9? SF FO
4?1
94
91
79 3
91.9 ?" °S• ??s BEARINGS ARE ASSUMED DATUM.
?i0 O °
Ge. GENE L. JACOBSON
"040 LAND SURVEYORS
81"7 LAKEVILLE, MINN. 55044
PHONE 469 - 4328
DR. BY GLJ SCALE - I" = 40' o DENOTES IRON MON.
1987 BUILDING PERMIT APPLIIA - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OFD SPECIFICATIONS AND 1 SET OF
FtITRGY CALCULATIONS,
To Be Used For: dfJ PO'c?
Valuation:
c-_-
Date:
Site Address Cnrr'A
1 ?
J OFFICE USE ONLY
?
Lot __ Block 3 On Site Sewage Occupancy
MWCC System Zoning
Parcel/Sub On Site Well Type of Const
I--- City Water (Actual)
Owner (Allowable)
of Stories
Address Z Gs Length
Depth
City/Zip Code S.F. Total
?
( Footprint S.F.
Phone `-i?
,
• APPROVALS FEES
Contractor ? .14
c - fig 'fi J
Assessments
Permit
??•?
?°
f Water/Sewer Surcharge 5 5='
Address `l O'S ?)V'\ rr Police Plan Review
s
5- 0
j Fire SAC, City
City/Zip Code Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOTAL
City/Zip Code -
Phone
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------- --------- --------- --------------------- --------------------------------. - ------
NO. FIXTURES EACH TA
I SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY
^%-HEN SINK 3.00
3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum -1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • DaWy. iic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS - to existing 15.00 6.00
WATER TURN AROUND 15.00
STATE SURCHARGE
.50
TOTAL:
SITE ADDRESS:
OWNER NAME:
INSTALLER: ?F'Jw I' 1 z? ?
j,?'?
ADDRESS:
STATE: ZIP CODE: £,S(I
CITY:
PHONE #: ((? b) ' I -° `)
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COM ERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BURIDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U: :T.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE. $.50 FOR EACH $1,000 OF P RMIT FEE.
MINIMUM FEE. $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
STATE: ZIP CODE:
PHONE #:
FOR:
CITY OF EAGAN
APPLICANT
0-b --3'2-(o
CITY OF EAGAN
L F B 3 MECHANICAL PERMIT RECEIPT # CL 7a S?
Z b (612) 681-4675 DATE s a 3
SUBD. 1? I f
tj &
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: Ef,?E:C.CONST• FEES
SITE ADDRESS: /?
13 S °) p ay (?.(db R D , ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLY) S 15.00
HVAC: 0-100 M BTU 24.00
INSTAL _T .ER: A-pouz -n A) (, ADDITIONAL 50 M BTU 6.00
ADDRESS: 0513 M, 4 j y 3(z, 6 L/f.D GAS OUTLETS - MINIMUM 1 @ $3 EA.
CITY: Q AK D MM ZIP: 5 S) 2. SURCHARGE: •?
SIGNATURE: TOTAL: $
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE:
1% OF CONTRACT FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
$
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117389
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1359 Berry Ridge Rd
Lot:8 Block: 3 Addition: Hilltop Estates
PID:10-33000-03-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Brandon Thomas
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Samuel R Skinner
1359 Berry Ridge Rd
Eagan MN 55123
(612) 501-2477
Minnesota Remodeling Solutions
5781 Queens Ave. NE
Otsego MN 55330
(763) 428-4888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139235
Date Issued:10/14/2016
Permit Category:ePermit
Site Address: 1359 Berry Ridge Rd
Lot:8 Block: 3 Addition: Hilltop Estates
PID:10-33000-03-080
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Samuel R Skinner
1359 Berry Ridge Rd
Eagan MN 55123
(763) 443-4913
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
7
, For Office Use '.
1 4 G A N Permit#: / 5 /--F")
��
E A,
(9) ‘ A J
Permit Fee: ,a-�(
Date Received: . &- f
Cfr3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694Staff: `1
buildinginspections c(�citvofeagan.com L I
J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
CZ. (���<
Name: .� 14 X1'1 l 1�)(\% ---' )e- Phone: 6i a J
i
Resident/
sOWner Address/City/Zip: /3 $ c/ 6 £z 1 gi r)‘• RD t 0
Applicant is Owner Y Contractor Kj.._ 4111 i 7144-63
y
Type of Work 1 Description of work: Ri'-L. �t -- 1�1 a - ,p
Al
4 Construction Cost Li CO D Multi-Family Bu g: (Yes /No X )
t
Company: kit 1)1 Pr-- _.5 j..+�0 .S1),43 v 7,e,i ontact: in I VL K) )) i 4-W\..s
Contractor Address: /97 3) Op AA)"A i ( 4 (6) Q City: t LL J
4 � k
; State://1A4 Zip: 55/ 9 Phone: a I,,d ,/V, mail:illA Ili4Mj V-Cd4S 'LMedtZ l
to
se# 6)C k 35 6,i LicenLead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
i'
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone: i
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be M,
classified as non- ublic if ou rovrde specific reasons that would�ermit the C t r 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.citvofeaoan.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.gooherstateonecall.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.
x 01 W id/ 1 ) .--,�,S x k e_,t........_____,.._._ .
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
—
Addition Move Building _ Reroof Demolish Interior
C,,Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation /6r'
t Occupancy itisajt MCES System
Plan Review Code Edition ) SAC Units
(25% 100%y ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill V HVAC Gas Service Test Gas Line Air Test Hood
Roof: Ice &Water Final " Pool: Footings Air/Gas Tests Final
y., Framing y 30 Minutes . 1 Hour Drain Tile
Fireplace: Rough In Air Test Final X Siding: Stucco Lath Stone Lath Brick EFTS
Insulation X Windows6/t 4` j 0).,,,_
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ., , Building Inspector
RESIDENTIAL FEES t1/1'(NI\ t
Base Fee >�.,.
Surcharge , �� Al ke 701„.,` �,
a, i , I
,, v , . .w'
Plan Review . / (9 170
MCES SAC
City SACtirvill:
,11,-- 4O
Utility Connection Charge
S&W Permit& Surcharge �` 1`
Treatment Plant #,,, :,...____________----
---,„
-/ 6 i
Copies ,„ ,. ....m...
TOTAL 0 4 43
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152321
Date Issued:10/10/2018
Permit Category:ePermit
Site Address: 1359 Berry Ridge Rd
Lot:8 Block: 3 Addition: Hilltop Estates
PID:10-33000-03-080
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Samuel R Skinner
1359 Berry Ridge Rd
Eagan MN 55123
Silver Tree Plumbing & Heating Llc
1335 Mendota Heights Rd
Mendota Heights MN 55120
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169044
Date Issued:05/13/2021
Permit Category:ePermit
Site Address: 1359 Berry Ridge Rd
Lot:8 Block: 3 Addition: Hilltop Estates
PID:10-33000-03-080
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Samuel R & Christina L Skinner
1359 Berry Ridge Rd
Eagan MN 55123
Plumbing Restoration And Services
889 Pierce Butler Rt, Unit D
St. Paul MN 55104
(651) 528-8834
Applicant/Permitee: Signature Issued By: Signature