Loading...
4540 Acorn St EAGAN TOWNSHIP 305 BUILDING PER N AW Owner A Eagan Township Address (present) Town Hall g ip"i L 001't-, Builder A` q 6 9 P pp,,~~ ,,QQ S" y3 Dat GktsQ ..,e~-ll•,1.7.... Address - !-.l...---. 14 OA -_----.fi1 c... Qyt` G/Oa DESCRIPTION Stories To Be Used For _Front Depth Height Est. Cost Permit Fee Remarks 4J' '7 LOCATION Street, Road or other Description of Location I Lot Block Addition or Tract Ar4lo This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON II THE PREMISE WHILE THE WORK IS IN PRO S. This is to certify, that__44 ...k!......... .....................has permission to erect a.............. upon A the above describe remise subject to the provisions of the Building Ordinance for Eagan Town ip adopted April 11, 1955. C irman of Tnwn Board Building; Inspector VILLAGE OF EAGAN 6 3795 Pilot Knob Road E , Minnesota 55122 PERMIT ADO. 372 The Village of Eagan hereby grants to Tbm*om PI biat Co. of 133# 1 Milk J avd. a - mm Permit for: (owner) GUm o at AS&O •~d 1,138/79 pursuant to application dated Fee Paid: dated this 6th dayy of Aul"t, 19 73 • n epe+etor Mechanical Permits: Bid Total: Oaks 9LP-r)n S -S o m S c+- :y C'S ?Its m ' -COE a l70•t MASTER CARD LOCATION Q _ OWNER STRUCTURE AND ^ 3 ~ LAND USED AS Issued To Permit No. Issued Contractor Owner BUILDINGS • 7 PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ,j CESSPOOL D G~ FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL / GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: S. a VILLAGE OF EAGAAI 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: The Village of Eagan hereby grants to .l1o"nf Aime Of t~ eiav ..a.~ 5+5,341 a Permit for: (Owner} cumJUNE tint 1q. $ a . ILA+ Pursuant to application dated{ Fee Paid: -00 dated this day. of , 19-13 1*00 8/9 Building Inspector Mechanical Permits: Bid Total= + r WILL 1VNER AND A60" a:-. ~ W9-+L LOCATION SECTION ULOCK V7 !ago OJ 'Dn1L''•ii'S GNATURE DA E ?LriV.'i NU,;zdR DRi LING CO,Vii-AOOR~:S`u - . ~ ~ ad Yl2l~l ZZ, . v~_:~ s;z: OF wEL----1 rNC:-csLE WE L L~ DEPTH-* - M•RAW DOWN,Yd~.:.._.`°~ E'' A'C CAS:NG D.°? Fi CAhC!G/iL1 ONS©.~ ?ci/ii n. CASED W:T:-i . D.`_:'i;: O; :Y?,~V;OJ: •C'O:iYhl'IO~~I _:'~~~'i W LDK D JO;N v.AX AND -i + L. VAl7L,ti+AL: f tiiP D O: FORMATION GOL~•(? 1 ~c~' t I L-rr .v 7h tci~`4 +tkAS~l 1 r~ UDS')LG:D CLAY r" ~?lrli`i E wT L'i210n' IWACi•. AROUND CASING tiZA6CO WiTlis ~ CE6{ktiT C,5tOUT E' +r u D{i;tNr iiCTAN'P (+ISl.D.____ - _ ri0'U,7! t-Ca'i IN Y/16L:.., _ RETURN THIS RECORD AFTER COMPLETION 0 a . CITY OF EAGAN 3795 Pilot Knob 'Road Began,- MN 55122 N2 4815 PHONE: 4548100 BUILDING PERMIT Receipt i~ To be used. for,`; _ Est. Value Date 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge Type of Const. ice Nome rl + f3#'t W Move ❑ Stories z T,` Address Demolish ❑ Front ft. p City Phone 4..E•rt- ,t ` 5 Grade ❑ Depth, ft. Name Approvals Fees 0 ua Address Assessment Permit _ Water & Sew. Surcharge ~ city Phone Police Plan check. FZ Name Fire SAC U~ Address Eng. Water Conn. _ aW City Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: I tats f-I n' d t; ~ r•°; on the express condition that at[ work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit $k Date issued Permittee Plumbing Mechanical F e A 5 4,5 7 1 C 79 Gzn_ _ nrn1 INSPECTIOM DATE INSP. Rough-In Final Footings Dote Insp. Date Insp. Foundation 2LL!.~ _ Plumbing Frame/ins. - d2 J Mechanical Final Remarks: A094 W AhiS,request void 18 months from e;k .3 J s~~o 5257 R Date of this Request / r-2' 0 " / f I, as O Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. eZ V~x City Section Township, Range County Which is occupied by 1~~r~'~ ~i✓ (Name of Occupant) Is a roughin inspection required on this job? No ❑ Yes 0 Ready Now 0 Will Call JJ ~r Power Supplier ~ ,/r~ddress Electrical Contractor Contractor's License No. (Comps Name) Mailing Address lectr"calCantr for or Q er making This installation) y Authorized Signaturd - - Phone No. ( lectrical Cont a or or Ow r eking his Insta latio ) F%ft >COP19 This inspect n r estwl l not be accepted by the State Board ass proper inspection fee is enclosed. s Minnesota State Board of Electricity -1954 Uni4ersity Ave., St. Paul, Minn. 55104-phone 645-7703 `"REQUEST FOR ELECTRICAL INSPECTION 'R 5257 CHECK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ Range El Temporary Wiring El Duplex ❑ ❑ Water Heater ❑ Lighting Fixtures Pol Apt. Bldg. ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ ❑ ❑ List List Other Others Other ❑ ❑ ❑ Here Here COMPUTE INSPECTION FEE BEL04W It Service Entrance Size: # Fee Feed &Su 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 l00 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $ Remarks TOTAL F fJ. G I, the Electrical Inspector, hereby ce hat vdrinspection has been made. (Rough-in) Date" (Final) Date j This request void 18 months from BLDG. PERMIT NO. 01-3210 Bldg. Permit '01-3422 Plan Check 01-3445 Surch./Adm. Y 01-3446 SAC/Adm. 01-2155 Surcharge n 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. c? 20-3716 Water Meter 20-2252 Acct. Dep. J( n5ye~ 20-3713 Water Permit 20-3743 Sewer Permit lei n 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL CITY OF EAGAN Permit No: 10106 Date: lir 16-$8 3899 PitotdCnob Road Meter No: ql!y 7~ 5 --J _ Size: k /?ocl~ P.O. Box 21199 Reader No. G S/Z y0 2 g6 Date: '/j- Z' Eagan, MN 55121 Owner. - RANT t € ER-N Site Address: 4%40 ACORN ST., L3. B2, 'SOUTH OAKS EXISTIN Plumber. UZT'ERZE TRENCHING Conn. Chg: $550..-0 Zoning n-1 Acct. Dep: Nb. of Units:' Permit Fee: 10,'00 Surcharge: 5' I agree to comply with the City of Eagan Tr. Plant 'D f Ordin ces. Meter. Misc.: gy Pr U WATER SERVICE RMIT "ITY ALAN Permit No: Date: 39J i c 14nob Road Meter No: Size: P.O. Box 2'169 Reader No: Date:' r Eagan, MN 55121 Owner. Site Address: Plumber. Conn. Chg: Zoning: Acct. Dep: No. of Units: Permit Fee: Surcharge. I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter. Misc.: By WATER SERVICE PERMIT CIQAN Permit No: Date: Date: 3834 pt`t.n00 Road B/,P;t4o: 17 P.O. Bok11199 x. Eagan, MN 55121 A V Owner. Site Address: Plumber: MWCC: Zoning- City Chg: No. of Units: Acct. Dep: I agree to comply with the City of Eagan Permit Fee: Ordinances. Surcharge: Misc.: By SEWER SERVICE PERMIT APPLfCATION FOR PERMIT *NOTE: PA)MENT OF FEE AT TIME OF APPLICATION DOES NOT CON- *k STITME APPWOZ OF PERMIT. SEWER AND/OR WATER CONNECTION * INSPECTION OF mm Arm/OR wATER INSTALLATIONS WILL NOT BE SCEDL M * U?ML PERMIT HAS BEEN APPROVED. t+ !tv OF Cagan (/P~LEMAS,E~ 1PRINT 1) PROPERTY ADDRESS :CO~/~-f~iU`~ LEGAL DESCRIPTION:. Lot Block Sub vision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE (month/Year) PRESENT ZONING/PROPOSED USE: COMMERCIAL/RETAIL/OFFICE ,I R-1 SINGLE FAMILY Q INDUSTRIAL Ej R-2 DUPLEX '(Two Units) Q INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) %q., klig NAME: ADDRESS: CITY, STATE, ZIP: PHONE: For City Use 3) NAME: Plumbers License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHONE:- Yom MASTER LICENSE # pQ Jq/j -,-~-e C-•~ ~~~~.?1_ : Staff Init a~ NAME: IDHAA~ ADDRESS: CITY, STATE, ZIP: PHONE: 5) STORM SEWER PERMIT - CONTACT ENGINEERING CONNECTION TO CITY SEWER 0 CONNECTION TO CITY WATER TAPS 00, 6) CUM THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. FOR CITY USE ONLY PERMIT # ISSUED lojot,p Pd w/Bldg. Permit FEES: $ ~ 0 ~ $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ w $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT SEWER $ $ ACCOUNT DEPOSIT - WATER o~ $ 5 C) ° $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL` BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ A t)T $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 0 $ TOTAL ' RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING 13 NO DIVISION.' LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: /I to /n- 'SEWER CONNECTION CHARGES; ~Z SAC' (:650.00 l ACCOUNT DEPOSIT 15.00 SEWER PERMIT 10.50 TOTAL FOR SEWER HOOK-UP 675.50 WATER CONNECTION CHARGES WATER CONNECTION 550.00. METER 67.00 TREATMENT SURCHARGE 204.00 ACCOUNT DEPOSIT U` 15.00r~~ WATER PERMIT 10.50 PLUMBING PERMIT 12.5 TOTAL FOR WATER HOOK-UP 859.00 TOTAL FOR SEWER & WATER HOOK-UP $1;534.50 MINIMUM PLUMBING CHARGE FOR COMMERCIALS 20.50 X34 CITY OF EAGAN Remarks Addition Lot 3 Blk 2 Parcel 10 71200 030 02 ' Owner V LOLL) Street 4540 Acorn `a}, State Eagan.MN 55223 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 5 1984 370.00 67 15 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1984 .....617 00 41.13 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. -SAC 375.00 8329 6,21.73 PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4 815 PW. PHONE: 454-8100 BUILDIN PENIT APPICATION $10,000, Receipt # 1.0079 emo a Pres into Fam Room To be use fdru GaRC- Est. Value Date May 24, 19 78 Site Address 4548 Acorn Erect ❑ Occupancy I Lot 3 Block 2 Sec/Sub. South Oaks Addn Alter ❑ Zoning R1 Parcel # Repair ❑ Fire Zone 3- Enlarge Ek Type of Const. T W Name Daniel d Linda Gerena Move ❑ # Stories Z Address 4540 Acorn Demolish ❑ Front ft. o City Eagan Phone 454-5095 Grade ❑ Depth ft. Name Same Approvals Fees o Assessment Permit u1 Address ~ City Phone Water & Sew. Surcharge 5.00 F Police Plan check W W Name Fire SAC T'3 Address Eng. Water Conn. <W city Phone Planner Water Meter mw~ Council hereby acknowledge that I have read this application and state that Bldg. Oft. the information is correct and agree to comply with all applicable APC Total 3A - f)0 State of Minnesota St to es a d City of Ea an Ordinances. Signature of Permitt A Building Permit is issueocca on the express condition that all work shall be done in ce ~wiol picbleSlate of Minnesota Statutes and City of Eagan Ordinances. Building Official L I 4 Y DATE I Z 0 BUILDING PERMIT APPLICATION include 2 sets of 'plans, 1 site plan w/elevations and l set of energy calculations. To be used for \ Lom 'h rtsen-~ Valuation Id IDO!Q bo 1 90-rc e, Kkvk ,,K v\ew -a ~k u~v, eh a a~ra~ Site Address'. ~s`qv 0~. e o n Lot Bloc See./Sub. Parcel mi,ber 0075 Owner &Lni j- tar ~%'N 0Yi CY 2z„ _ Telephone L%q- f; 0 q 5 Address u s y 1R c.e rn - La q oContractor (Lfte- Telephone Se vne- Address Arch./Eng. Telephone Address OFFICE USE Erect Occupancy Alter Zoning Repair Fire Zone Enlarge Type of const. Move # of Stories Demolish Front Grade Depth OFFICE USE Date o€ Approval & Initial FEES Assessment Permit Water/Sewer Surcharge Police rLan Check Fire SAC Eng. Water _Conn. Planner Water Meter Council Bldg. Off. 14 zz A.P.C. TOTAL j ; photo offset plate company 2233 UNIVERSITY AVENUE, ST. PAUL, MINNESOTA 55114 • (612) 646-7997 v JAV i i VILLAGE OF 1 p i, 3795 Pilot Ro isq man., Mitmeeota 55129 • The Village of Eagan hereby grants` of 12201 Minnetonka Blvd. a Septic Tank & Cessp.Permit for: (Owner) Gary Koss & Gleam Ross 603 Greea oa & at k orn , pursuant to application dated 7/26/73 b 7/39/73 Fee Paid: $20.00 dated this 6th day of August , 19 73 . 1.00 of Building Inspector itechanical Permits: Bid Total: RESED EAtTIAL BUILDING Permit Application %--70,06 City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Gonsirucilnn Reaui ements RengdeIlReo* Rea ' use only 3 regis6mad site surveys sawing sq. t of lot sq. R of house; and d roofed areas 2 copies of plan _ Cert of Survey Recd (2096 mmdrr m lot coverage allowed) t set of Energy CaloMm for treated aftors _ Tres Post Plan Recd 2 copies of plan stowing bean & **Wow suss; paired found deem. etc. t site survey for adiflim & deco Tres Pies Not Reed 1 set of Enogy C*Adora Addition Wcate if W46 aspic system on16Se c System 3 copies of Tres Preservation Pier d lot platted after 7/t/93 Rim Joist DeW options selection std Midge wily 3 or lesa urn cAt Date ' l zS1 ! _0 CoustructIon Cost Site Address - c c2 rd -C~~ Unitl$te # Description of Work Xh. r `f erx f j) iq Muld4amity Bldg Y ~f N Fireplace(s) _ 0 1 Z" Property Owner e Pea z, Telephone # /o ' Contractor WEI,00-st~dv- Ileory-x Address 5-0 - w. Y City State ! ~L~ r Zip L4 X33 2 Telephone # ( ,s)y Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category Mimsota Rules 7670 to m 1 Mkwa i Rules 7Ct72 • Resk tiai v Category t worksheet • Now Energy Code wo►lcatrsst (4 submission type) Submitted Subn*W ; . Energy Envelope Calculations Submitted licensed Plumber Telephone # ( ) Mechanical Contractor t Telephone #(Jr0~~ Sewer/Water Contractor Telephone # I hereby apply for a Residential Buildi ge that the information is complete and accurate; that the work will be in conformance w' i 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. 11s, V " azu Applicant's Printed Name Appli is Signature 14:59 FEB 22, 2005 FR: THERESA SCHOSTAG #13987 PAGE: 1/1 G 0U N T Y d. ENVIRONMENTAL MANAGEMENT DEPARTMENT Fr« F~ l GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue - Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us MUNICIPAL NOTICE Of WELL SEALING PERMIT APPLICATION DATE: February 22, 2005 TO: Tom Colbert/Wayne Schwan (Elul) Fag (651) 675-5694 RE: Well Permit 05-H223245 Well Type: Domestic Municipality: Eagan Environmental Specialist: Olsen The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Kimmes-Bauer Well Drilling Date Application Received: 2/21/2004 Anticipated Drilling Date: Time: Anticipated Grouting Date:. Time: Property Owner: Daniel G Gerenz Well Owner: Daniel G Gerenz WELL LOCATION: PLS Coordinates: 1/4, NW 1/4, SW 1/4, SE 1/4, See 25 Town 27 Range 23 Street Address: 4540 AW ST PIN Number: 107120003002 WELL INFORMATION: Diameter: 4 Casing Depth: 166 Total Depth: 171 Static Water Level: Aquifer: COMMENTS: r File Edit Viev,,, Tools applications Help Connection Comments Eagan Building Eagan De prrment Permits h Owner Eat Assesssa es air Property Eagan Zoninc` Fa[ 1 ! 11071 200CJ300 Addr i ~RN r41-54 R ACO l GREENLEAFDR N MEAGAN MN 55123 Owner 2 LINDA 540 ACORN ST EMAN MN 55123 Owner l Owner 4 RatceI data updated January 0, 2005 -arch TC`+ 4540 AC"OW'J , T . ~ Use BLUE or BLACK Ink I For Office Use I CatY of Eap l - r~ l CC, Permit Fee: C ` Cr' 3830 Pilot Knob Road V I Eagan MN 55122 Date Received: i Phone: (651) 675-5675 1 1 FaX: (651) 675-5694 1 soft i 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Dale: ( g t Z Site Address: ~6r S 0 l '\~e L: Tenant: ' Suits 0: Name: Phone ~s 7 Address I City i zip: Name: sc_ k-e f e t P' r t►Y License 05331`17- ' Address: 5 S 40 j2.eJ &A-k- s IU City: T i6/ 1~11.e-e State: zip: S°5 3-1 Z Phone:C- CP(Z- -7g-7-- 3e8 3 Contact ~s-e -C 4-. Email: New ^ Replecemerrt _Repair _ Rebuild _ Modify Space -Work in R.O.W. Description of work: REBID NTIAL _ Water Heater Lawn Irrigation RPZ P1B) Water Softener Septic System Add Plumbing Fodures Main 1_ Lower Level) - New -Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $5.00 State Surcharge) 'Water Turnaround (add $166.00 if a 518• malaria required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES S, I 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, wuwv.noohersfateonecall.am 1 Hereby acknowledge that this information is complete and acouratw, that the work will be in conformance with the o . cec and Codes of the City of Eagan• that 1 understand INS is not a permit, but only an application for a permit, and work Is not to Start with permit that the work Wit be In accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicant's Printed Name Ap I Cs ure •~L.:_ _ .,a. .~w~'w.=.'3~ F ~~3~'~. (igM-' ^ yr` .tea.-F..` (1 L'd gfJ9-/bb-7g6 6uigwnld aaaayoS e9L:0l. 7L SL unr Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use City of ~a aPermit#: I Permit Fee: ~ I L~oG- 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: 60 - Z Z I I Phone: (651) 675-5675 I Staff: Fax: (651) 675-5694 _--_--I 2012 MECHANICAL PERMIT APPLICATION Date: _t Site Address: LAS 40 Aco 4- Tenant: Suite q RESIDENT /OWNER Name: 1-~~`P 4(- 'Phone: (0(a Address /City /Zip: n Name: (~1\}~ X1^9 License CONTRACTOR Address: 1 a y-' JQt~ P6 City: P►' jcl _ State-\r PZip: V_Phone: 9 p57D q 4~ ~_7r~ Contact: V~ \F Email: OA ll~- Pte` P S t S C ©VVN New '5/ Replacement Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement PERMIT TYPE -Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump - Under / Above ground Tank Install / - Remove) Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee _ $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE 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.aopherstateonecall.orn I hereby acknowledge that this information is complete and accurate; that the ill n ance with the ordina ces and codes of the City of Eagan; that I unde tand this is not a permit, but only an application for a permit, and wo of to tart witho ermit; work will be in accordance with the roved Ian in the case of work whi h requires a review and approval of pla x x Applicant's Printed Name Applica is Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening City of Eaall 3830 Pilot Knob Road Eagan MN 53122 Phone: (651) 675-5675 Fax: (651) 673-5694 Permit hlr ( I l Permit Fee: %0• Date Received: 3 Lstath 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION �ll -134540 /\c -I rte; c •/ 1/* 03 Site Address: ' �', • Tenant: efr"w� _ A.Q nitUwvN-- sults �: Date: u RESIDENT I OWNER Name: -.r OUAAA0v----Phonc (g'3 311- •f)a'-7 Address/City/Zip: 151(6V„f4,1iii\i,1 1VN iihni 6S-13-.3 • , CONTRACTOR • Nance:,,MILBERT COMPANY INC.dba CULLIGAN WATER • Address: 1801 50m ST EAST .: IIWF.R GROVE1IGTS ,City: State: •• MN • Zip: 55077' Phone: 65.1 ;:45�',-2241 Contact BILL.MILB tTj, Ema1P • TYPE OF WORK ` New Replacement Repair Rebuild Modify Space In.R.O.W. _W Description of v/or1:, PERMIT TYPE ' ' • . RESIDENTIAL • • Water Heater • .Nater Softener • Add Plumbing Fixtures (__ Main /_ Level) ' Lawn Irrlgadpn L._ RPZ /_ PV8) • • • Water Tuna:? Septic System • .......1. New : _Abandonment RESIDENTIAL FEES: 535.00 Minimum Water H9ater, Water Softener, (Inclddes 35.00 State Surcharge) Flxtufes, Septic System Abandonment (add 2166.00 Its 518' meter 1 VA (510.00 per as built) burned out appliances, I or Water Heaternlg Softener (Includes 35.00 State Surcharge) Water Turnaround* (Includes $5.00 State Surcharge) Is required) - • (Includes County fee incl 65.00 Stats Surcharge) • ductwork, eta) (Includes $5.00 State Surtharge) TOTAL FEES $ $35.00•Lawn Irrigation $35.00 Add Plumbing 'Water Turnaround 1105.00 Se tic System P y� • 203.00 Fire Repair (replace CALL BEFORE YOU Dfr;. Call Gopher State One Call at (651) 454-0002 for protection against underground Call 48 hours before you Inten0 to dig to teCehre locates of underground utilities: www.eooheratateonecaff.ort I hereby admowiedgs that this Intimation le complete and accurate; that the work vat be In conform ncewth the ordkhances and Eagan; that I understand this Is not a permit, but only in application 'for a permit, and work Is not to start without a pgrmlg that acyordance with the approved pia In the case of work which requires a,review and a • . • of plane. x I fl /9-ortR Phld. 4/�,l_�ll� ■� • 'Applicant's Printed Name Appl . nta, I • stun Icy damage. of the City of work will be In ®- Q ? , .., , t ^:yt `' l . di r -"l ,r,,,„- �� ��{j :M'`9�,dJ..O _. SP ,ty4 r .. <'40070 ( IN •: ,�l( r Y Q,2$ httio { ��1„N.F'1,,,,{ .: ! j tY f • f'r.' �i' , . .r p1,t1'iy qe• Idc';!�l.Q1 " �..," r 4 �s}i', if ,�ft , I '}! 1. � i y '1..i • !� ,., `!i' Rpj�. way m '.i:r t�F�w(�n,; � r` Y sir5,�4'i;�45K1";ri•11�,o. M� ( ir,',i,;r tf 1,r't7t':• -: < iw 7 y h� J'rein , �,•, Q . a1 f 2xr{4t i..,+m ..m. wnu„1u.. r KAW µvni .�'! ti,'�. i 1 i �, i �tl 1 q pS le 1 I• ,,' 1 Oi.T.R. , 7l K'Cd �'1t iv i�T bY, i' vP v ._. 1(wi(.f: f. L , Irl 0,14 i�l (,g ,,gg �f�re�jeSab;s , „_ , _. 4111' City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: IItog(-1- Permit O `f Permit Fee: 4'15, 5 Date Received: (G' ( 3 Staff: 196 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: G- 5-13 Site Address: ys'fD Mc cellSA Unit #: Name: Te,l/ C Of Asir) Phone: i5-3 Yr 129 '7 Address / City / Zip: q5'1 i9cor/7 ff Applicant is: Owner Contractor Description of work: Construction Cost: /114/ o,. '47 % re o A /{erl•00I1 /06!' Multi -Family Building: (Yes / No Company: 7A " 74ti .Jailf� ��G Contact: Address: A £)( xt 20a- City: ,(Do.511,1 06 -es 4- �-5- 1 2-3 State: 14/11\) Zip: 557/ Co i Phone: (o I a - 6 till 470) 7 Y License tY6Ga 95-5- 9 Lead Certificate #: /MAT -707 /07-1 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance./ /'V x �i/ eA el o4 Applicant's Printed Name x Appli nt's Signature Page 1 of 3 SUB TYPES Foundation y(( Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review } �r (25%_ 100% ` ) Census Code #of Units # of Buildings Type of Construction 14-5i6 A-toY I� s -F- DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool _ Interior Improvement Move Building Fire Repair Repair 171 0(90 V►5 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final jC Insulation Occupancy Code Edition Zoning Stories Square Feet Length Width Sheathing Sheetrock Reviewed By: _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0490 Page 2 of 3 11101 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit #: Permit Fee: (p 0 -•c) Date Received: L i i (t$ Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: (' " / ?— /3 Site Address: '/s -Yo Tenant: Name: /9114,A..., Address / City / Zip: Wye, ,d t e.b2" 54, Phone: Suite #: Name: 7 r l LJ % g // ' License #: 6.5-8791 P/y Address: / 3 it A. q-( -6,1_ Sue it aeo City: e,.¢y Y.J State: $'t, Zip: SS`/2( Phone: 4s-/- Sys_ /667 Contact: gam. ,j /51L/ Email: New _ Replacement — Repair/_ Rebuild Modify Space _ Work in R.O.W. Description of work: / d y f .42#164t4-. G RESIDENTIAL Water Heater Lawn Irrigation (RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities.) www.gopherstateonecall.oro I 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 accorda ce with the approved plan in the case of work which requires a review and approve i4 bj fans. X / n /W. /$/q�O Applicant's Printed Name Aliplicant's Signature 41,/ii City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: tn(a Permit Fee: 141.C53 Date Received: -1--3-1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: " 9-13 Site Address: ' Cora ! e Name: /"--t°4 1t I re I to X 4.. 1 sY0 Address / City / Zip: .161..e. -A__4(_<— �%o.en Unit #: Phone: & ✓ -1- / 0 - Applicant is: Owner ><-Ontractor Description of work: `'�'� ea n Company: X ,16///;46%, l s91 : Address: State: IA Zip: 6 t License #: 76 6e) 95 Phone: Multi -Family Building: (Yes / No ) Contact:/cr 4 /t/e/Seri City: ilfibeidit-1 C`f' ra74-1 Lead Certificate #: /A ver"/ e If the project is exempt from lead certification, please explain why: (see Page 3 for addition I information) dee,k ,i v p�, 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: s6d t \— rt13 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.ciooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ' €14/Vali4 Applicant's Printed Name x Applic s Signature Page 1 of 3 /f5(0 erns . DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage /Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final TZ _ Siding Reroof Windows Egress Window 6// 7 6c) - Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /52 z c9 2.1) 5(0 Page 2 of 3 • N O r0 Cc) ti a ikkZ;0 C� 1 (45'10 4c;,c)y rn Si 11:4 pte...sw 3 0 AthotEss 1.3c Fr 06-16 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA113075 Date Issued:08/29/2013 Permit Category:ePermit Site Address: 4540 Acorn St Lot:3 Block: 2 Addition: South Oaks PID:10-71200-02-030 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. Deb Larson 8815 209th St Lakeville, MN 55044 Fee Summary:PL - RPZ/PVB/Lawn Irrigation $55.00 0801.4087 Surcharge-Fixed $5.00 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 - Jennifer Oldham 4540 Acorn St Eagan MN 55123 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:EA114151 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 4540 Acorn St Lot:3 Block: 2 Addition: South Oaks PID:10-71200-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Brian Nelson 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 - Jennifer Oldham 4540 Acorn St Eagan MN 55123 (651) 408-3960 Bn Builders Inc 2242 140th St. W. Rosemount MN 55068 (612) 644-8274 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r________________-, I For Office Use I � � Permit#: �����1 I Clty of ����� ; . .�>� ; I Permit Fee: �(� I 3830 Pilot Knob Road � ' Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651) 675-5694 I Staff: , _ I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name:_�.J-�-(�/v + T=-P�� �L� t7-J�"jf"� Phone: Residentl ��� �� ����� �� Owner ' Address/City/Zip: '` Applicant is: Owner � Contractor T e of WOt'k Description of work: —l,J r CJ�,9'u� ��G--� S 2 d�� �• �� yp Construction Cost ��v-� ^ '� � Multi-Family Building: (Yes /No� �,� 1 � � �� Company: � C�/ �V�.,r`'�S w7�J S'fi_ Contact: Co11 r Address: � ��� �ry-�L. � �-� �' ,o�• City: � �/" t actor -- �- / r Z y d�f �;�hS���1l1� Lf ' State:_�Zip: �� (2� Phone: 'l� S '" �mail: M � lt��r'�p,��/�F. License#:� � 6 � � / 7� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: � Mechanical Contractor: Phone: � Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as"non-public if you provide specific reasons thaf would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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. rior wor uthorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 da ermi suance. X __ _ X l� ° � � rS ApplicanYs Printed Name Applicant's Sig ature Page 1 of 3 Use BLUE or BLACK Ink • For Office Use City of Ea an Permit#: /4/(0 Q Permit Fee: tDb TT 3830 Pilot Knob Road Eagan MN 55122 Date Received: /D -f`I 1 Phone: (651) 675-5675 Fax: (651 - 94 LStaft: J ``2,,017ii SIDENTIAL PLUMBING PERMIT APPLICATIONtt Date 2I its Address b a(i$24 LJ� N Tenant: ° Ail.qI....ki iaL. Jae: Suite#:. : N f { }fi n} a ;� 10 , ,r, £ rt 1 X61 � a I , Name: ��. r.'t., ...? Phone: 2 -- c.,(,, ' t, .t'.4414,04,, tf i%st` Address/City/Zip: 0 �& i L�.✓' vl IIA i 7t,t ztwrt').:',',W;= ',11+* }t- I i 1 }it} : ` Name: Y U ll\ i C P, Cd1iq ,License#: a C 1 _ g �1;t'!",}e ` t.- : t Address: Ul �� ' .` , cfi5+ City:ICY �V� I (L2(( v , fi, f .fes 1 �,t}N .4 trac . , �;,�,; t ,� i 0 r .r � �f LS(' Ls i-a- -L ( ,4j;r ;� ari;s° +?�f State: Zip: Phone: .l• ''7,,r- ��}t ;�' , Contact:L. 1 • I , 1 Email: t it�tl� C. Q ail i;;,. � A 6JU , � r —New _Replacement Repair _Rebuild _Modify Space Work in R.O.W. 1 B i' 0 to=j t. Pi': , Description of work: ifx# :"' ti !i,o;i6,,V : RESIDENTIAL } � li'{ ➢ ekN �� N iMII Water Heater ater t rO2 • i xaio.• Jt + 4 _ Water Softener ..2 %OM) ' Lawn Irrigation( RPZ/ PVB)4e fH,, iAdd Plumbing Fixtures ixtures( Main/_Lower Level) }ff }f f } l • Septic System • f it ts xr i ,i . — • 4t )h " �f � New Water Turnaround i , t y, a4,# fia,1 _Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan the cas of work wh• h requires a review and approval of plans. 1,1)(( _ r Applicant s Printed Name Applicant's Signet re • f;}Vitt:ppI 1�t- w�a', =. S );f' i M � 5 Z$ JY' .�4> . _-;t` , �k f . �ti r w" 4 � ,f. �.i}n7vr, 7F. 'c.,} 3- .,.' ' 3 O- erfr L ,� :ie Ou �l:41-4 R laws � y:rR ,: ? � 'im,40,f k i" S'y it i ,w', � $y'fetrq)�" � ��P ': l) �� '�Sy �.• st�t ».0r t Kt, Rf 'a,ivwf:��£ �YFRg-Fh x�r,r -lfi1.;�Zj;i _ ,t_ i e sie< <. )g"ly.f, u -� e�G,au �i}x };Roh . ,,t;, AI, �kE , k?1- , r .: . 1, • t < ,, "%.}4;" ;' � ? au� t ' i . , k.1Jae t; ., `,..,,,o,"' t ." .,:o r a:7v;,}I�_eltEl2; P{ Y' � : ' yi'.# -zni lh : m .At „ firs3 j .- p� :a{r •: r:zi k; �s , '� J:{, i M„ te g edteas1, . rt€. iza,4i aio Read„f. � Mano19,eI _,'4i , a C : a + PERMIT City of Eagan Permit Type:Building Permit Number:EA146918 Date Issued:11/22/2017 Permit Category:ePermit Site Address: 4540 Acorn St Lot:3 Block: 2 Addition: South Oaks PID:10-71200-02-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Waymond Johnson 4540 Acorn St Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177405 Date Issued:06/29/2022 Permit Category:ePermit Site Address: 4540 Acorn St Lot:3 Block: 2 Addition: South Oaks PID:10-71200-02-030 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Katherine Moen 4540 Acorn St Eagan MN 55123 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature