1144 Blue Heron Ct
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090988
Eagan, MN 55122 . Date Issued: 09/01/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1144 Blue Heron Ct
Lot: 9 Block: 2 Addition: St Francis Wood 6th
PID 10-65905-090-02
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
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:
Hearth and Home Technologies Dennis Anderson
2700 N. Fairview Ave 1144 Blue Heron Ct
Roseville MN 55113 Eagan MN 55123
(651) 633-2561
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
j~ CITY OF EAGAN #i 17 4 43
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r PHONE: 454-8100
BUILDING PERMIT Receipt # i
To be used for SF DWG/GAR Est. Value $189,000 Date JAN 18 19 90
Site Address 1144 BLUE HERON,CT
9 2 ST FRANCIS WOOD OFFICE USE ONLY
Lot Block _ Sec/Sub. R--3 M-1
Parcel No. 6T] i Occupancy FEES
Zoning if--I
W Name .''IONTGOMERY DESIGN 6 BUILD (Actual) Const V-N Bldg. Permit 951.00
z -V_>3
o Address 3786 WINDTREE DR (Allowable) Surcharge 94.50
City EAGAN Phone 631-•9230 #ofStories 618.00
Lengths Plan Review
SAS~f£' 100.00
tp Name Depth SAC. City
u< Address S.F. Total SAC, MCWCC 600.00
City Phone S.F. Footprints 625.00
On Site Sewage Water Conn
LIU' W Name On Site Well Water Meter 90.00
x? Address MWCC System 30.00
o~ X Acct. Deposit
< W City Phone City water 30.00
PRV Required S," Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00
information is correct and agree to comply with all applicable State of 252.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 355.00
A Building Permit is issued to: MONTGOMERY DESIGN Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies
3,746.50
Building Official Variance TOTAL
Permit No. Permit Holder Date Telephone #
V%JER
SEWER.
PLUMBING
~ H.V.A.C. Inspection Date Insp. Comments
Footings I 'l1 CC% 60/3
Foundation
Framing Z7`5 ~S
Roofing G
Rough Plbg. I ' L 1( 2 2
Rough Htg. ~l> d I .e<afal.~>
Isul. -;t 7 ~D
Fireplace 2- -2 A9
Final Htg. X,
Final Plbg. -
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
+,l' # 1
MECHANICAL PERMIT Oft
CITY OF EA1iAN
JEIPT #
3890 PILOT KHOO ROAD, 04AN, MN 55133 DATE: Q
CONTRACT PRICE: PHONE: 49+4-8108
Site Address 3" - ' BL1 G. TYPF. WORK 1E1107w +y
Lot ' Block • Se lib Res. New
Name f ! ! Mult Add-on ,rE
Address Comm. Repair ter.
77,
Other
S. city Phone
1'
FEES
Name FIES. HVAC'" -0.1 M 67U °
3 Address ADDITIONAL 50 M BTU - - - - - .,;a9y
p City Phone (RES. HVAC INCLUDES ANC ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - fi.t)Otr
TYPE OF WORK CCIMNNND FEE -1% OF CONTRACT FEE
Forced Air M BTU G APT. BLDGS. --COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONDOS RES. RATE APPLIES
.
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ANN
u- `
Air Cond. M BTU -
Air C MINIMUM COMMERCIAL FEE
Vent CFM
7-~--- J J STATE SURCHARGE PER PERMIT
Gas Piping Outlets # (ADD $.50-6IC PER EACH $1090A* OF PERMIT FEE)
Other ,
PERMIT FEE:
S16 TURE OF PeRMITTEE "I
SIC:
TOTAL: FOR: CRY OF EAGAN f , ,
PLUMBING PERMIT 7*77
CONTRACT 3830 PILOT KNOB M! OAD9 EAd 11I, SIN 95122 PT# .
!r 19I!IIce PIKE 8100 I~ITEi
Site Adlf, vL L iplf~tG. P'~y f a
i
40 efl Lo$lock S~ir~b 1N.r x
s
Name. v AM-4.1 lrlb~ Comm. Repair
V 11i CR t a ~ M8r
+
Crty ° Phone h ' e l ► RES. PL.1IttS. Cm v
poff
• VPhateT ~ - ~ ~i
Name IDc~• --F--~
_ -
v City . Phone Shower $~S.(G
latchon Sink - :00 '
UtinalfBidet - "A9
FEIN Laundry Tray - IG&W
COM EE - f% OF CONTRACT FEE Floor Drains - IJW LWQ7
~
APT. BLDGS. - CONIK RATE APPLIES ~-Neer Healer- $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - .Ef! - <<
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OWW.- $1
WNIMUM - COMKIND.IFEE $20.00 (MINN"M -7 Pletson" j
STATE SURCHARGE PER PERMIT .50 Winer - 00
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE) Well - $10A
Private [ispr: , $1
Rough Qps;bi - $1.10
SIGNATURE OF PESIMnTEE
t FOR: CITY EAC3,R N - `WALL ;
i r A
f i
.r 1
d.
r, ~ ~ ~ vl
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAOAN
3830 Pilot Knob Rd. METER # PERMIT DATE 1/23/90
Eagan, .MN 55122-1897 CHIP # PERMIT # 11182
_ METER SIZE B.P. RECEIPT # C 5829
DATE ISSUE DATE B.P. RECEIPT DATE 1/ 13/90
- f
_ PRV - BOOSTER PUMP
SITE A DRESS/i ~ C' kj 6_-~
PERMIT REQUESTED
LOT`-BLOCK--' SEC/SUB'''~~ A //C 1-5 7
t ` SEWER = WATER -TAPS
APPLICANT:
ADDRESS: COMM/IND !t ESIDENTIAL
CITY, STATE 4 a- ZIFi, S ' Z-- f
PHONE: NEW EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: y' rt'~ Ahead of Domestic Meters on Water Line.
ADDRESS: Credit WILL NOT be given for Deduct Meters.
CITY,' STATE ZIP
PHONE:
~j I AGREE TO COMPLY WITH CITY OF
OWNER: ! ' ",I r"~'~~~' l EAGAN ORDINANCES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
Y
CASH RECEIPT
CITY OF EAdAN'
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
tt DATE w / 19
T
k«.
& DOLLARS
Alao
0 CASH CHECK
1 3 ll 4~
71
ND AMOUNT
INSVECTION RECORD
W OF ]EA GA N PERMIT 'fiYPE:
~PIlot Knob Road A ` Permtt Numbe
Elltgan Minnesota 55123. » Issued:
(612) 681=4675
SITE ADDRESS: K t 0 c, V , f JGANT: a
1 .1 44 fit OF NE RON f' T i+ & k (~ON%y CORP ~
I TRAW i,-i t.O01) biit ^ (fai i 4N;s-ib34;i ,
PENT, SUBTYPE:: 'TYPE O WaORK:
a
7H), FINAi
i3n s
IM+aidl~ft. 1
^
'AB A
lot
-All
v~rt~me -
Oarae. ear
BVA% +
Oft FM
oea F*4
ON* Fitei
SEWER b WATER PERMIT OFFICE UUO'NLY
CITY OF EABAN
3830 Pilot Knob Rd. METER #'35./,~ PERMIT DATE 1/23/,90
Ewan, MN 55122-1897 µ CHIP PERW # 11182
METER SIZE B.P. RECEIPT # . C 5829
ISSUE DATE - d " B.P. RECEIPT DATE 1 / 18190
DATE
PRY'- BOOSTER PUMP
SITE AQDRESSi -
REOj
LOT BLOCK A-SECISUB 2f
APPLICANT: 4.- Q, - SEWER _ WATER TA
Z~ tx `2... - D fDENTfAL
ADDRESS:
CITY, STATE ZI Z. - Nom/ E - RXISTIN%
PHONE: 2
Lavin Sprinkler Metere are to be Installed,.
PLUMBER: Ahead of Domestic Mean oa- Water Line.
ADDRESS: Credit WILL NOT be given br Dedwi Meters.
CITY, STATE ZIP
PHONE: 2 Z / 2, 1
I AGREE TO COMPLY TATM CITY OF
OWNER: O Try - EAGAN ORDINANCES
ADDRESS: r
CITY, STATE ZIP
PHONE: IGNATURE W"EN M
PLEASE EWER PERMITS, WO I . CALL 45445220 FOR, iww FOR Wit;'
S
p ~El~yt/lJEE 00 DEPT. C
i
(Irdtftratt of Orrupaury
Ctp of Cagan
j0tVM-tMMt of tam Awputtau
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 Cksafication SD WIGAR z4. Permit No. 174+3
Occupancy Type R3/M1 zoning District RI Tree Cont. VN
OwneraBadingM ` M DESIGN & WnDAdd~ 3786 WM= DIVE, EWM
BuMmAddress 1144 BLUE Hli" 09M- I.aratity 19, B2, ST. F!t MIS WOODS 61H
Date: MAY 10, 19%
BuddtngOfliciyf~
POST IN A CONSPICUOUS PLACE
y,
f'
4912 % Yew--- 5;00.-'C-
51900 zq ~&;,w&rv
Request Date Fire No. Rough-in Inspection
f ` Req fired? ❑ Ready Now Will NotHy inspector
`14._ es ❑ No When Ready?
I Kicensed contractor `7 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
Section No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Su plies Address
Electrical Contractor (Company Name) Contractor's License No.
(Mailing Address (Contractor or Owner Making Installatwnl
- o Ed: ;;lo
Aut or¢ed Sig ture l ants for+Ow Maki In tion) Phone Number
- _315--GL/
MINNESOTA STATE BOARD OF EL RICI Y - THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S- 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 E"0001-08
7 9~ _ - boo
J51 goo See instructions for completing this form on back of yellow copy. ~
X" Below Work Covered by This Request'
eWZFdd,Rep. Type of Building Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
S 9
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps (p 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL 00 Irrigation Booms 3-0
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Rough-in
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 16 months from
Request Date Fire No. Rough-in Inspection
Required? ❑ Ready Now (Will Notify inspector
Yes f No ~lyhan Ready?
I licensed contractor :3 owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
G - t4~ Cr. EA
Section No Township Name or No. Range No. County
Occupant (PRINT Phone No.
I
Power Supplier Address L_
Oni y) c.
Electncal ~to r(Company Name) Contractor's License No.
c(
Marling Address (Contractor o er Making Installation) D J r
Authorize gnature (Contractors r)er along Installation) Phone Number
' - ' lOc~ " nJiZ
MIN OTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EI3-00001-07
/ ~~~a COX
~ IN- See instructions for completing this form on back of yellow copy
G,_ 8 - 8 4 X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ` 13 0 to 100 Amps s:s:-
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: DO TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby Rough-in - Date 0 p+~j
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY
This request void 18 months from
• CITY OF EAGAN NO 17443
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 01
To be used for SF DWG/GAR Est. Value $189,000 Date JAN 18 t g 90
Site Address 1144 BLUE HERON CT
Lot 9 Block 2 Sec/Sub. ST FRANCIS WOODS OFFICE USE ONLY
Parcel NO. bTH Occupancy R-3 M-1 FEES
Zoning RR1
w Name NONTGOMERY DESIGN & BUILD (Actual) Const VI Bldg. Permit 951.00
Address 3786 WINDTREE DR (Allowable) V-N Surcharge 94.50
City EAGAN Phone 681-9230 # of Stories
Length 631 Plan Review 618.00
ZF Name SAME Depth 80 1 SAC, City 100.00
°v.c Address S.F. Total SAC, MCWCC 600.00
City Phone S.F. Footprints -
Water Conn 695-00
On Site Sewage
ti LAddress On Site Well Water Meter 90.00
~MWCC System Acct Deposit 30.00
wPhone City Water %X
PRV Required S/W Permit 30.00
1 hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge 1.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci f Eagan i nces. Treatment PI 252.00
Signature of Permitee APPROVALS Road Unit 355.00
A Building Permit is issued to: . ONTGOMER ESI Planner Park Ded.
on the express condition that al work shall be done in accord a with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ott. Copies
J~. Sit
yyI Variance TOTAL 3,746.50 1 .9 Building Official 11
DATE: 1/23/90
R 1144 BLUE HERON COURT, L9, B2, ST FRANCIS 6th
: ON
xx Your Sewer Mater Per for the above 'bw Z- (0
property had t;erf3C"6 iplet~ It w~ eld at the
,,public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
LCALL 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:
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.
PERMIT
<61TY EAGAN L "/O-9
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 021170
(612) 681-4675 Date Issued: 06/10/93
SITE ADDRESS:
1144 BLUE HERON CT
LOT: 9 BLOCK: 2
ST FRANCIS WOOD 6TH
P.I.N.: 10-65905-090-02
DESCRIPTION:
Building, Permit Type BASEMENT FINISH
Building Work Type NEW
UO,C Occupancy R-3
REMARKS:
FEE SUMMARY
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $40.50
CONTRACTOR: - Applicant ST. LIC. OWNER:
R & R CONST CORP 14830332 0003949 GROTTE MARK
548 HEINEL DR 1144 BLUE HERON CT
ROSEVILLE MN 55113 EAGAN NN 55123
(612) 483-0332
I hereby acknowledge that I'have read this application and state that the
information correct and agree to comply with all applicable State of Mn.
Statutes a ty of Eagan Ordinances.
L-
APPLICANERMITEE SIGNATURE ISSUED Br. SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021170
Eagan, Minnesota 55123 Date Issued: 06/10/93
(612) 681-4675
SITE ADDRESS: LOT: 9 BLOCK: 2 APPLICANT:
1144 BLUE HERON CT R & R CONST CORP
ST FRANCIS WOOD 6TH (612) 483-0332
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH NEW
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FRAMING FINAL
REAL t l vA "s t ikLP It U V L U T yr C/~w°►1~1
PERMIT 1983 BUILDING PERMIT APPLICATION t.
J It) ~4 0 1 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies: I) 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 C 3 Valuation of work
y
Site Address:
f ~ Cz a U
STREET SUITE
Tenant Name: (commercial only)
LOT ~I BLOCK SUBD.~~J~
Description of work: r- ~t to ~f1
The applicant is: ❑ Owner C5-Contractor ❑ Other (D"eribe)
Name 6_ CL /f /jc Phone
Property LAST FIRST
Owner
Address /7)LO: k G_ /1'0 ~J C) i~
STREET STE
City State Zip ST 23
'
Company fZ14 ~ 0 1-J ~ Phone ~ 3 ~
2 q
Contractor Addres c License Exp.
city y i State m N Zip
Architect) Company Phone
Engineer Name Registration #
Address
City State Zip
[Eagan wer & water licensed plumber Processing time for
wer & water permits is two days once area has been approved.
hereby acknowledge that I have read th's a pplication and state that the information is
rrect and agree to comply with all a icale State of nnes a Statutes and City of
Ordinances.
gnature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE 441 T ,
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ~9 16 fts9men1t!6F
❑ 02 SF Dwg. ❑ 07 4-Flex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage /Accessory ❑ 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-flex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
- 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish
32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft, PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing .Framing ❑ Insulation
❑ Wallboard P~final ❑ Draintile ❑ Fireplace
Permit Fee 3 v
valuation: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Coppies
Other
Total:
SAC %
SAC Units
d CITY USE ONLY / p4
L SL RECEIPT
SUBD. 6KM UAI V y DLL b~_ RECEIPT DATE:
PERMIT # 35'
1999 PLUMBING PERMIT (RESIDENTMW
cn YOF ii:AGM
3830 PILOT KNOB RD
1 AeM, MR 55188
(651) 681-4575
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backf1ow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x - $
Laundry tray 3.00 x - $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished * re uires MPC Ilc. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
3.00 x = $
Water heate 3.00 x = $
a ener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30000 x = $
Water turnaround 30.00 x _ $
State Surcharge .50 $ .50
Total
Reminder: Call for inspections of alterations, Le. water heaters, water softeners, etc,
- - - - - - - -
Ihereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: P/`tE >`tsc/zr~ra/ C
OWNER NAME:: d nwIf C 119 TELEPHONE -z6 S:Z
(AR 4DE)'
INSTALLER NAME: TELEPHONE &Z 7-
(AREA CODE)
STREET ADDRESS:
CITY: STATE:
IGNATUR PERMITTEE
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.
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-}!t, .nt:' +3r 4y'r.. '~dj'.\r 4[+ 4 ..:i~+•. - ::{+a:.ni4::sii:~:xIX'~:
1993 PLUMBING PERMIT (RESIDENTIAL)
CTI'Y OF EAGAN
3830 PILOT ]KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES ACH_ ETA
SHOWER z 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 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. - Qei.ay. lic. 15.00
U.G. SPRINKLER -home under cont. 3.00
ALTERATIONS - to existing 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
S
TOTAL: 'Ifr,
f L~
SITE ADDRESS rT
OWNER NAME:
INSTALLER: c
ADDRESS:`
CITY: STATE: ZIP CODE::
PHONE (,112-) 77- 6"2
-MEL
~
SIGNATURE OF PERMITTEE
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1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLUANDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING U: 4 , T•
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $ c L
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF PEA' FEE.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL
4.1.-. 4C
SITE ADDRESS: z/' ZK
y~
TENANT NAME: STE. #
OWNER NAME:
INSTALLER: r
ADDRESS: ` E s c" -1
CITY: d~I L STATE: ZIP CODE:
PHONE #•7 7 `T
FOR:
CITY OF EAGAN APPLICANT
t -
4.3
1990 BUILDING PERMIT APPLICATION
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 A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
JAN 1 2 RECD
}'/.Z
To Be Used For: Valuation: Date:
Site Address C-1 OFFICE USE ONLY
Lot ~ Block ~ FEES
Occupancy R-3 M-
Zoning -1
Parcel/Sub s5Z J~r e'S (~~n• ~ (2HA Actual Const V- P4 Bldg. Permit 951 Ico
Allowable V-N Surcharge X50
Owner # of stories Plan Review 6L$_,_00
Length (0s, SAC, City 100,130
Address Depth 8nf SAC, MWCC (aw,O
S.F. Total Water Conn (Cas +DD
City/Zip Code Footprint S.F. Water Meter g0'00
Acct. Deposit Qi00
Phone On site sewage_ S/W Permit 3c>zx>
On site well S/W Surcharge it
Contractor 4 AfaiqA -Y MWCC System Treatment P1. ZSJ,
City water ✓ Road Unit
Address e e i-. PRV Park Ded.
_ Booster Pump Copies
City/Zip Code - °aga f-7 M 5512, j SUBTOTAL
l APPROVALS Penalty
Phone Planner TOTAL Q
Council
Arch./Engr. Bldg. Off.
Variance J
Address
City/Zip Code
Phone #
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30 S(~ o -moo
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SURVEYOR'S CERTIFICATE MONTGOMERY DESIGN
v.
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E
NOTE: PROPOSED GRADES SHOWN WERE TAKEN
FROM THE GRADING, DRAINAGE a EROSION
CONTROL. PLAN FOR ST. FRANCIS WOOD 6TH
ADDITION, PREPARED BY PROBE ENGINEERING
{ COMFANY, INC., LAST DATED 11-23-87.
Y
xF
S.+^~`~,,.i~
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR qll, "7 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 9o4.o FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 912,1 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block 2, ST. FRANCIS WOOD 6TH ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS LOTH DAY OF JANUARY ,1990.
SIGNED: JAMES R. HILL, INC.
BY.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
m.n -n Wowo i i
ames R. Hill, inc.
O F O CO- w O o
° o o m PLANNERS / ENGINEERS 1 SURVEYORA
~ z -O
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tv O In a 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-30:
s
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CERTIFICATE •---r
U R V E Y O R' S CERTIFICATE MONTGOMERY DESIGN
kERON c0u8l___
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907.8 40.64 Q 7 t.09 908:4 9o3.r
0 -0)
o 10
t 5~ 5 a
p
N 1
1 BENCH MARK
BENCH MARK TOP OF PIPE
TOP OF PIPE 1i 812.5 %v, ^ [t.EY.• 909,87
ELtY • 413.03 l 914.7
` L X1•^34 ~ ~ , 1•.` 1
ul tra.. L i I t J
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{ PROPOSED l
Soe.s , i HOUSE ~ j
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q0l) 802.8
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8oe.e ""19190
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LOT 9
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948.4`
C~4~ ,41 /f
OF WAtO~~ g
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70.00 N88030 55
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SCALE INCH = 30 FEET
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0 PLANNERS / ENGINEERS / SURVEYOF
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tv 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3(
N
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
MONTGOMERY DESIGN f BUILD CO
786 W I ND"f REE DR
EAGAN, MN 05123
1/12 9i:>
MODEL_ GROTTE AREA U U X AREA
REQUIRED
1. TOTAL WALL AREA 4174 .11 459
2. ROOF AREA 1437 .026 37
ACHIEVED
A WINDOW AREA 364 .33 120
8 DOOR AREA 36 .077 _
C:. SLIDING GLASS AREA 72 .33 24
D FIREPLACE AREA 36 .5 18
E WALL_ FRAME AREA 417.4 .041 17
F NET WALL_ AREA 3248.6 .049 159
G RIM JOIST AREA 138 .0436 6
H FOUND WINDOW AREA 0 .5 0
I FOUND ABOVE. GRADE 8 W . 135 11
3. TOTAL_ WALL AREA 358
i SK'YLITE 0
K ROOF FRAME 143.7 .032 5
L NET ROOF AREA 1293.3 .025 2
4. ► OTAL ROOF AREA 37
SUN OF 1.+2. 497
SUM OF 3.+4. 1--
M
SNELLING, GHRISTENSEN, BI3IANT & LADE, P. A.
ATTORNEYS AT LAW
SUITE 400
RONALD L. SNELLING 5101 VERNON AVENUE SOUTH OF COUNSEL
JOSEPH J. CHRISTENSEN MINNEAPOLIS, MINNESOTA 55436 WALTER G. GUSTAFSON
THOMAS A. BRIANT
ROBERT P. LAVE TELEPHONE (612) 927-8855 FACSIMILE 16121 927-5427
JOHN A. MURRAY April 5, 1993
Mark and Marsha Grotte
1144 Blue Heron Court
Eagan, MN 55123
RE: St. Francis Wood 6th Addition/Street Landscape Islands
Maintenance
Dear Mark and Marsha Grotte:
Our offices represent Richard Land Associates which was the
developer of the St. Francis Wood 6th Addition subdivision. As a
lot owner in that subdivision, you are probably aware of the
"street islands" located in the culdesacs on Blue Heron Court, Bald
Eagle Court and Falcon Way. These islands enhance the
attractiveness of your neighborhood and each lot owner benefits
from these landscaped areas directly and indirectly.
Although the landscaped street islands require very little
maintenance, the City of Eagan has required that a plan be
formulated to provide for the maintenance of the landscaping in the
street islands on an ongoing basis and expects the lot owners in
the subdivision to join in and support this effort. To this end,
we have drafted a Declaration of Covenants for Maintenance and
Repair of Landscaping which has been signed by Richard Land
Associates with respect to the eleven lots in the subdivision which
Richard Land continues to own. The Declaration also contemplates
additional owners in the subdivision joining in the covenants by
signing a separate Consent. A copy of both the Declaration of
Covenants by Richard Land and the Consent to the Covenants for the
other lot owners is enclosed for your review.
It is anticipated that the cost of maintaining all three
street islands will not be more than $300.00 to $500.00 in total
annually for the next several years. This would result in a cost
to each lot owner of approximately $10.00 to $15.00 per year with
all lots participating. If areas are not properly maintained, the
city does have the right to remove landscaping in islands. By
becoming involved, other lot owners can assure themselves that the
islands will continue to be an amenity to their neighborhood and
not become a detriment.
Please review the enclosed documents and let me know if you or
your legal counsel has any questions. If not, please have the
enclosed Consent to Declaration of Covenants for Maintenance and
April 5, 1993
Page 2
Repair of Landscaping signed by each owner of the lot and spouse,
if any, in the space indicated by the red "x". Please also have
the Consent notarized with the notary completing the
acknowledgement and signing in the space indicated by the blue "x"
in the area provided for that purpose below your signature area.
The notary should place the notarial seal in the area to the left
of the notary's signature line.
Once the Consent has been signed and notarized, please return
it to me in the return addressed envelope enclosed and I will see
that it is recorded with the Dakota County Recorder.
We look forward to hearing from you in the near future.
Very truly yours,
SNELLING, CHRISTENSEN, BRIANT & LADE, P.A.
Joseph J. Christensen
Attorney at Law
JJC/bc
Encl.
cc Thomas Colbert, Director of Public Works, City of Eagan
J. Donald Giefer, Richard Land Associates
CONSENT TO DECLARATION OF COVENANTS
FOR MAINTENAINCE AND REPAIR OF LANDSCAPING
The undersigned, being the Owner(s) of the following described
property:
Lot 9, Block 2, St. Francis Wood 6th Addition,
according to the plat thereof on file or of
record in the office of the Dakota County
Recorder (the "Lot")
hereby consents to that certain Declaration of Covenants for
Maintenance and Repair of Landscaping executed on behalf of Richard
Land Associates dated the 8th day of March, 1993, and filed on the
16th day of March, 1993, in the office of the Dakota County
Recorder as Document No. 1107468 (the "Declaration"). The
undersigned also hereby agrees that all of the terms and conditions
of the Declaration shall be binding upon the Lot from and after the
date this Consent is recorded in the office of the Dakota County
Recorder.
Dated this day of , 1993.
OWNER(S):
Mark R. Grotte
Marsha E. Grotte
STATE OF MINNESOTA)
)ss
COUNTY OF )
The foregoing instrument was acknowledged before me, a notary
public, this day of 1993, by Mark R.
Grotte and Marsha E. Grotte, husband and wife.
Notary Public
THIS INSTRUMENT WAS PREPARED BY:
Snelling, Christensen, Briant & Laue, P.A.
5101 Vernon Avenue South, Suite 400
Edina, Minnesota 55436
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reeuirerrwnts RamodellEtetudr Raauirewri s
+ 3 registered site surveys showing sq. ft. of tat, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • t set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site survey for exterior additions S 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 717193
• Rim Joist Detail Options selection s t (bldgs with 3 or less units) hh t~,
cl=~
C) LA_1
DATE VALUATION _ 1
S ADD ZS Ci MULTI-FAMILY BLDG _Y4 N
T E OF RK Ala 5~ FIREPLACE(S) r d 1 2
APPLICANT L3 C_' a Cf _,Ane STREET ADDRESS l~~ Iq -7 /UG~oIr7~ CITY ✓1 STATE ZIP
TELEPHONE # 2577-6:7 490 CELL PHONE # FAX 70 7'q'? 25-
PROPERTY OWNER A/Ir'/ TELEPHONE
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _
(4 submission type) • Residential Ventilation Category 7 Worksheet Submitted I~uv e t Submitted
e Energy Envelope Calculations Submitted
JUN 0 4 2D02
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener _ Lawn Sprii Y .00
_ Water Heater _ No. of R.I. Baths
r No. of Baths
Mechanical Contractor: Phone #
Mechanical, system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
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 'nances.
Signature of Applicant M*.aw
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 0&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 ❑ 37 Demolish (Bldg)' ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Finalic.O.
- Footings (deck) FinalfNo G.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
Use BLUE or B�ACK Ink
r————————————————-+
I For Office Use �
' � Permit#: ���d� ! j
C�U J �l ����� I Permit Fee: V • �'� I
S
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I 1
Fax: (651)675-5694 i Staff: i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
� �f.2. �o�-SS85�
.' d,�' ' Name: �e�1r�,5 t-}✓��er��.., Phone:
ReSl+�@r�tl
�����C?Wi��t" �: Address/City/Zip: ����� ����. f,rv,n ��- ��rr.., ,✓Vl/V SS�2 3
� ,
' Appiicant is: Owner Contractor
Description ofwork: J'�g�`j- �r��-�.C�f� , n`��n� , �escfc{.� a••'�' a
Type of Wark
' Construction Cost: Multi-Family Building: (Yes /No_)
� r ` LL C_ `� �
�i ; " ' Company: C�r��� �n�.�;-� } ��s����� � Contact: �,., fs�.r""r
(�.i' 3
� ��"�_ �- ��� y, ac r,.�;�-� ,-.
Address: �0�( ����� � �`�` Cit �� �
�011"�C'1��Q�����a` '
a �� _ �A1 S S�t3 } �
�, , ���d�,� State: Zip: � Phone:���.58�.92�1 EmaiL �oe�� Q9��`��� �g- ��'^"
License#:���a��f.S� � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
N�3TE: Plans�nd suppt�r�ing do��ment�'�h�t�r��subr�r���r�,�;���asi�(er�d�c�be pubfr�irrfvrmatian, Pprticrns v�
��e infarmatron rr��y be�la���t'ie��a.�nr�n+p�,b����1���j��`����fe��pe�r#�c��as+�r��'��i��t�ottf"d p�t�rri�f the�i#y�Q '
� � : � �: �,u�..a. �� cr�z��t�� ' ��th�e�: ar�tra��se�ref�. '����. . �� � � ����
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. wuvw.aopherstateonecall.org
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 tate Building Code must be completed within 180 ,
days of permit issuance.
�
x ��°�\a�"`� �f5�M4� �
X I
Applicant's Printed Name Appli nYs S' na ure �,
Page 1 of 3 �I
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135933
Date Issued:04/13/2016
Permit Category:ePermit
Site Address: 1144 Blue Heron Ct
Lot:9 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-090
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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 - RPZ/PVB/Lawn Irrigation $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 -
Dennis Anderson
1144 Blue Heron Ct
Eagan MN 55123
(651) 801-5588
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167545
Date Issued:03/19/2021
Permit Category:ePermit
Site Address: 1144 Blue Heron Ct
Lot:9 Block: 2 Addition: St Francis Wood 6th
PID:10-65905-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis J Tste Anderson
1144 Blue Heron Ct
Eagan MN 55123
(612) 801-5588
Rji Professionals Inc
26583 Forest Blvd
Wyoming MN 55092
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature