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3956 Avon Ct. . BUILDING PERMIT T., K. nenii fnr Sir Do , : ?? ? 8588 , Eagan, MN 55121 Receipt # ?-? „_... DaC 3 3830 Pilot Knob Road, P.O. Box 21-19 PHONE: 454-8100 Site Add?ess JV? A? ?1 Lot Block Sec/Sub. W Name _ o Address - . Name _ Address Phone I hereby acknowlege that I havg read this application and state that the information is correct and ag lo comply?with a{? applicable State of Minnesota Statutes and City of?agan qr inances. Signature of Permitee A Building Permit is issued to: TliE RO'tTLi1ND CO INC 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 ?• , Phone OFFICE USE ONIY Occupancy R-3.4-1 FEES J Zoning "3'00 ' (Adual) Const Bldg. Permit (Allowable) Surcharge 50?50 # 01 stories 418.00 Lergth Plan Review 1??? Depth SAC, City S.F. Total - SAC, MCWCC bw'oo S.F. Footprmts - 625.00 On Site Sewaga _ Water Conn ??? On Site Well ?- Water Meter MWCC System ?- Acct. Deposit ?.QQ Ciry Water - 30.00 PRV Required _ S1W Permit Booster Pump - S/W Surcharge .30 252.00 Treatment PI 355.00 APPROVALS Road Unit Planner - Park Ded. Council BIdg.Oft. _ Copies 19'4.00 3 Variance - TOTAI , Pe?mk No. Pertnit Holder Date Telephone # WA'i ER SEWEt PLUMBING Y". H.v.ac. 5'??0?- ELECTRIC Inspsetion Date I.P. Commenls Footirigs t F«uridati«, Iz--ifo Ds Fran,ing ?- Roofing Rough Plbs, 9 R«ush Htg- % Isul. p Frepiace Final Htg. ? Final Plb,. Cqnsl. Meter Plbg. Inspector - No6fy Plumber Engr.IPlan eldg. Fina1 Oeck Ftg. Oedc Final Well Pr. Disp. s• ?- ? (ger#ifirate of (Orrupanry titp of (tagan ap}ta1'f111PltY of gwwm imwPCttaIt This Certifrcate issued pursuant w the requirements of Section 306 of the Uniforns Building Code certijying that at the time of issuance thrs structure was in compliance with the various ordinances ojrhe Ci1y regulating buiJding construetion or use. For the fallowing. use clawifKation SF DWG/GAR mae. ft?t No. 18589 O-upancy Tra Iffi/M 1 Zoning DWaid R 1 .ry,? cof? VN owrker of widng im FeITUTAID unm A&h,.. 5201 E RIV? Ftfl, FRMLEY euMns nm.? 6 VCM CCM LOA,;Y L4, B5, aOVMIRY PASS ? r ati: 3/ 12/9 ! ? BW??; POST IN A CONSPICUOUS PUCE _......,__INSPECTIDN REC4RD CITY OF EAGAN PERMIT TYPE: '•"'_ "''' 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I nvt?r? 4 , 1.1 Vl N l f?'f P A `a`a PERMIT SUBTYPE: ';I.Jf 1 1 MAfl 1 ft" (•;I.''r t.?c7-f,MH'i TYPE OF WORK: INSPECTION .. . .. ? Rrh?ARt,", : fi ';[:NnKAI r• YtliMll 1'; Hi 011 1 ?,1 u rOR RN1• 11 1 1IM11 iNfi iik k I fA:t'H li:At lJ010 --------------- I -------------- Permit No_ Permit Holder Date Telephons # ELECTRIC 6 53 PLUMBING HVAC inspeetion Date Msp. Comments FOOTiNGS FOUND FRAMING _ 2 ROOFINCa ROUGH PLUMBING - PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIflEPLACE AIR TEST FINAL PLBG FINAL HTG OHSAT TEST BLDG FlNAL BSMT R.I, BSMT FINAL DECK FTG DECK FlNAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: ::.I. A ":??N 1 4 1v I 1 .1 i r, tiI n.. PERMIT SUBTYPE: oo r rNci 1, +itl I f Il I N!y 04/?'4t/yq t i NAi f'k +i?t't Ni 11 oN REcoRD PERMIT TYPE: Permit Number: Date Issued: a t; iM I, ? APPLICANT: !„•,Al TYPE OF WORK: Permn No. PermR Holder Date Telephone k S/IN PLUMBING HVAC ELECTRIC ELECTRIC Inspsctfon Date Inap. Comrtants Footings I Foundalion Framing Roofing Rough Pibg. Rough Htg. Isul. Flreplace Final Htg. Orsat Test Fnal Plbg. Pibg. Inspector- Notify Plumber Const. Meter EngrJPlan Bidg. Final Deck Ftg. v Deck Final weu ?Yo?PA ? ? 1d ? Pr. Disp. SEWER & WATER PEAMIT CITY OF EA6AN = 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 11-21450rffrfi£fff. OFFICE USE ONLY METER #444 a (2 gPERMIT DATE l %' 61-1IP # 0I -S ?0.?-4- PERMIT # .1750 METER SIZE o C, B.P. RECEIPT # C 1 13 1• ISSUE DATE 2-a y`B.P. RECEIPT DATE - PRV _ BOOSTEFi PUMP SITE ADDRESS h -- r Co urt LOT 1 BLOCK ` SEC/SUB Coventry L'F7,s APPLICANT: Tll° E:a-ttlund CO. Inc, ADDRESS: h. Rive2' Road CITY, STATC,r p fi<<' , -An• ZIP 3L)421 PHONE: ? 7 :_- - ,-? 7 PLUMBER: 77a11 ey Plumhin? ADDRESS: ??? 0 Crea}c I.aiie CITY, STATEYCr&A_z , r`n. ZIP':? `}'> ` ? PHONE: OWNER: 7"hERGtt-1 iinr3 C'n Tnr ADDRESS: -)207 F_ _?'v?r 12oad CITY, STATET'.ridle?, ZIP -5542 PHONE: 571- 93b4 PLEASE ALLOW TWO WORKING DAYS FOR PROCES`SING PERMIT REQUESTED X SEWER Y WATER - TAPS - COMMIIND -X- RESIDENTIAL X NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit rVILL NOT be given for Deduct Meters. i- I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCEn SIGNATURE WHEM METEoKISSUEO CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. REQUEST FOR ELECTRICAL INSPEGTION Ee-ooooi-os ? 110, See instrur.iions for completing Ihis form on 6ack ot yellow copy. ?y 5 r) "X" Below Worik Covered by This Requesf New A d Rep. Type of Building A S Wired Equipment Wired Home Range Temporary Service Duplex ? Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndustrial Furnace Other (Specify) Farm Air Conditioner Other (specity) Conhactor's Remarks>. . ` I ? Compute Inspection Fee Below: # Ofher Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Am Transformers Above 200 Amps Above 100 Amps Si ns InspeGtor's Use Only. TOTAL ? ? Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT,HS. : the Electrical Inspector, hereby I Rough-in Date , certify that the above inspection has ' Final Daie been made. j OFFICE USE ONLY This request void 18 months from S?n ? .? - -- ----------- ---- - --- - ? ? - V r J Request Date Flre No. Rough-In Inspection FTequ?red Ins eCtlon Other Than fiough-In ? (You mu call iospec[or when ready) Fleady Now ?_Will Notify Inspector 4 ?? Yes [] No Date Gleady I? licensed contractor ]?§o,wner hereby request inspection of above electrical work at: Job Addtess (?treet, Box or Rqute No.) City ? ? ??L%?'??ii ?' ?? ?, ??-; ?? ? Section No. Township Name Or N0. Range No. County Occup IPRINT) ? Phoge No. Power Supplier Address Elecidcal Contractor (Company Name) Contracior's License No. ?? Ir{ Y 11 ?_ Mailing Address (Contrar,tor or Owner Making Instailation) Aulhorized Stgnature (GoriiractodOwner Making Installation) Phone Number f S ? ? ?- MINNESOTA $TATE'BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128 BE ACGEPTEO BY THE STATE 60ARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS phone (612) 642-0800 ENCLOSED. (U.G. RECEIPT: C13858 SITE ADDRESS 3956 AVON COURT Unit # Permit # 13 L 4 B 5 Sect./Sub. COVENTRY PASS TOM SWEETMAN-flOMEOWNER-454$$377 INSPECTION INSPECTOR OATE COMMENT3 INSPECTION INSPECTOR DATE COMMENTS REQUEST FOR ELECTRICAL INSPECTION EeQ oooi-'os/ r 10 $ee instmc[ians tor complelmq [his form on back ol yellaw copy "X" Below Work Covered by This Request Ne d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex ater Heater Electric Heatin Apt. Building d yer ! Load Management Comm./Industnal rnace Other (S eafy) Farm Conditioner Air Other (specify) Con[rac[or s Hemarks Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 700 -Amps Si ns Inspectors Use Only TOTAL ro Irrigation Booms ? LD S ecial InspecUOn Alarcn/Communication THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOy S. ; I, the Electncal Inspector, hereby Rouqh+n oa?a ceRify that ihe a6ove inspection has been made. F?nei ? oe?e OFFlCE IISE ONLV This request vatl 18 months irom GL J C Q m e/?,? •T (1? S{'1 'J - i r: c-i i U? 89m957 :? 0 ? ? ?,? << ? s Pequest Date Flre No. Rou9h-In Inspection q retl Inspection Other Than Rough-In I (YOU call mspe hen reatly) mu ? ? Reedy Now ?l[1 Wdl Nottly Inspector Y? Yes No Oare Reatl I? licensed contractor )D?;wner hereby request inspection of above electncal work at: Job AtltlJs ve 1 , Box or q ute No ) Ciry ? / J lV V ? ? (5 Sechon No Township Name or No Range N. Counry Occu PRIM) ('?? ?? J Ph (D Power Su har Adtlress Eleclncal Contractor (COmpany Name) GonlracmYS Lmense No Mailing Atltlross (Coniractor or Owner Making Installabon) Aulhonz gnaNre (CO t clor/Own¢r Making Installaiion) Phone Number 5Q"".42, MINNESOTA BOARD OF EIECTHICITY TNIS INSPECTION FEOUEST WILL NOT Griggs-Mitlway BI g. - Room S128 I I I I I I I I I I I ? I ? I BE ACCEPTED 8V THE STATE BOARD 1821 UnlversNy Ave., S4 Peul, MN 65104 UNIESS PROPER INSPECTION FEE IS Phone16121642-0800 ENCLOSED CITY OF EAGAN No 18589 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # -., ( J ? I T Tobeusedfor SF DWG/GAR Est.value $101,000 Oate DEC 3 , 1990__ Site Address 3956 AVON CT Lot 4 Block 5 Sec/Sub. COVENTRY PASS Parcel No. IName THE ROTTLUND CO INC ? Address 5201 E RIVER RD ° City FRIDLEY phone 571-0304 ? Name S? ? 0 a Address ? City Phone Name 1-1 Address w City Phone I hereby acknowlege ihatl ha e read this applicahon and sta[e thatthe information is correct and aq g e to comply with I applicable State o1 Mmnesota Statutes and City of a9an r in cas. Signature of Permdee A Building Permit is issued to: THE ROTTLUND CO INC on the ezpress condition that all work shall be done in accordance with all app6cable State of Mmnesota Statutes and Crty ol Eagan Ordinances. Bmidmg Oflicial OFFICE USE ONLY OccuDancy R-3-Mi-1 FEES Zaning -E--1 (ACtual) Const -V-N Bldg Permil 643_ nn (Allowable) y-? Surcharge 50.50 k ofStOnes - lengih 54' Plan Rewew 0 418.0 Depth '49? SAC, City 100.00 S.F Total - SAC, MCWCC 600_ nn S.F. Footprints - 625 00 On S1a Sewage _ Waler Conn . On Sne Well - Warer Meter 90 _ 00 MWCC Syslem _X- 0 30 0 X Acct. Deposit . rty Wa1er C PFV Reqwred - SM! Permd 30.00 Booster Pump - SqN Sumharge 5? Treatmanl PI 252.00 APPROVALS qoatlUnil 355.00 Planner - park Ded. CDUncil _ BIEg.O1L _ CaPies Variance - TOTAL 3,194.0 0 Address: 3956 AVON ODURT Lot 4 Blk 5 Sac/Sub !;pVEN1Ry PASg These items were/were not complete at the time of the final inspection. DATE: 3/12/91 Yes No INSPEO-TpR: S Final grade (6" from siding) U1? Permanent steps - garage 1Z Permanent steps - main entry ? Permanent driveway ? Permanent gas ? Sod/seeded grass ? Trail/curb damage Porch j/ Basemant finish Deck Please varify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet befora £reeze potential exists. White - City copy Yellow - Resident copy Pink - Contractor copy ? 0- -534 ? FeQUest ate tl 3 ?O ? Fire No ough-In Inspec4on e uired (VOU must call inspec when reatly) Inspeclion Other Than Rough-ln ? Reatly Now 5 Will NoGly Inspeclor / Yes ? No Da[e Reatl 1 19 licensed contractor ?owner hereby request inspection of above electncal work at: Job Atltlress (Stree(, Box or Route No ) ? & - -- A Qry f 9 Pua vo, r .39s4 44,1,. 1 Section No. Townshlp Name or No Range No. CouMY ? OCCUpant I jry Ii? ?. P?f?? Power Supplier Address Eleclncal Contrac[or (COmpany Name) Contractots License No. Standard Electric Co., Inc. CA01715 Maibng Address (Contraclor or Owner Making Inslallabon) 2672 Maplewood Drive, Ma lewood MN 55109 Authonzetl S9nature (COnir clor wner Making Installatia Phone Number ? 484-8044 MINNESOTA STAT OF ELECTRICI THIS INSPEGTION REOUEST WILL NOT Griggs-Midway Bldg. - Naam 5428 1 111 ?? I I I II II I( II ( I BE ACCEPTED BY THE STATE BOARO 1821 Ilnlvenity Ave., SL Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone f6121 fiA2-0&b FNf.i OSED. ?/}?'(??// R?QUEST FON ELE(?TRICAL INSPECTION a'??`'?,4 ee-ooooi-os lj V/y ??/ ?-/ ? See insimc[ians for compleYng Nis form on back ol yellow copy f' SQ ?5? "X" 8elow Work Covered by This Request ?> Ne Add Rep. Type of Bwldmg Apphances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electnc Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (S ecify) Farm Air Conditioner Olher(speciy) Conlmctor's Re.m.rks Compufe lnspection Fee Below. # Other Fee # Service Eotrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _Amps SlgfiS Inspector's Usa Only TO ?rp Irrigation Booms ? o ? Special Inspection ? A Alarm/Communication D ED DISCONNECTED IF NOT THIS INSTALLATION MAY BE Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Elecirical Inspector, hereby Rough-in f oate certify ihat the above inspection has been made. Fnal OFFICE USE ONLY ? This request vaitl 18 months Imm 2004 RESIDENTIAI, BUII,DING PERNIIT APPLICATION City Of Eagan i???-? 3830 Pilot Knob Road, Eagan MN 55122 ?o Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reouiremenfs RemodeVReoairReouirements 3 registered slte surveys showing sq, ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20%maximumlotmverageallaued) lseto(EnergyCabulationsforheatedadditlons •' a'-2 copies of plan showing 6eam & window sizes; poured tound desgn, etc. 1 site survey foradditions & dedcs i set of Energy Calculations Add'rtron - indicate if on-sffe sepfic sysfem 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joisf Defail Options selection sheet (bldgs with 3 or less unifs Date C? oZ Construcrion Cost ? , ( )q(-I . 4-y r Site Address ?9S ?p A U O ('?. UniUSte # Description of Work Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 IrsQ? . U PropertyOwner 1 Telephone#((pS( )?o?g .69a a Contractor PELLA WINDOWS & DOORS 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 5447 C<<Y State 763-745-1400 Telephone # ( ) LICENSE #20165884 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - M?esota Ru1es 7670 Cate orv 1 _ Minnesob Rules 7672 (J submission type) • Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet Submitted 5ubmitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? Y N If so, 25% plan review fee applies. - - Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply, for a Residential Building Pernut and aclrnowiedge 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 tYus is not a pernut, but only an application for a pernvt, and work is not to start without a permit; that the work will be in accordance with the ap ro pved plan in the case of work which requires a review and approv of plans. ?t G 6c? pplicant's Printed Name Applicant's Signature .Wd9E?l •8 'un r amil paniaaay Pelia Wiadows SL Doors - Twin Cities, Ina 15300 ZSTH AV&. N. STE. #100 PLYMOUTH, MN 55447 763l745-1400 ? 3une 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Dear Jan: WATS 1-500-062-5359 FAX 763/745-1401 Elder Janes Corporarion is authorized to pull building permits for Pella Windows & Doors - Twin CiNes, Inc. Please allow their representaYive to provide that service for us in Eagan. Tlua authorization shall be valid until such rime as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeiitiously, so as to not delay the processing of our building permits any further. Please call me if there aze any questions, I can be conYacted at 763-745-1432. Your irrunediate attention to this matter is appreciated. ' cerely, ~ --:t? =W=WM'Mftj WBryan . May Replacement Sales Manager cc: Kaza-Eldcr7ones Denna Krafty - Replacement Sales Process Coordinator Windows, Doors, & Skylights 7nnft cUrrr? r,irur?us ni?T c?I 7ro vw.r Ir:er rua rnioninn RESIDENTIAL BUILDINC PERMIT APPLICATION , CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 ao o ,`-7 S NewConaWCtion ReauiremaMn • 3 regislered site suneys showirg sq. %. of lol, sq. R of house; and all mofed areas (20% mazimum lol caverage allowed) • 2 copies o( plan shaxing beam 8 vrindow s¢as; pouretl found design, etc.) • 1 set of Eneyy Calculations • 3 copies of Tree Presenatbn Plan'rf lot plaqed aRer 711193 • R'vn Joist Delatl Options selectbn sheet (bldgs wtth 3 or less untls) DATE S- I -7' 0Z 1)V\f o ? SITE ADDRESS TYPE OF ,-P 6- LY BLDG _Y !?,N FIREPLACE(S) _ 0 _ 1 _ 2 APPUCANT rTUE" 9 ui W-2?C STREETADDRESS 140C ijE(v+.ra 4,1e, CITY 69K64te STATE/h/cDZIPSYIZ? TELEPHONE #? 73S-4(odn CELL PHONE #/,q-! - 775- 77/9 PAX # lDS/- 7.35 ? 'NoC? PROPERTYOWNER EQ%C ? 0?(&OD 6L vx-O TELEPHONE'#61Z'33-r-.3S4S COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINA'FSOTA RUL.FS 7670 CAT'EGORY 1 MINNESOTA RLTL.ES 7672 (J submission type) • Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope CalculaNOns Submitted , Plumbing Coniractor: _ Plumbing system includes: Mechanical Contractor. Mechanical system includes: Sewer/Water Contractor. Air Conditioning _ Heat Recovery System ' S:r' 1 % 7G02 , J I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply with all applicable State of Minnesota StatuTes and City of Eagan OrdinSDCes.-;, ?4 1 Signature of Applicanf OFFICE USE ONLY Phone # _ Water Softener _ Water Heater _ No. of Baths RemodeVReoair ReaufremeMa . 2 mpies of plan • 1 set of Eriergy Calculatiom for heated additiore • i s@e survey for eztehor addiGans 8 decks • Indicate if home served by septlc system lor additions VALUATION ?DF-) C-- _ Lawn Sprinkler _ No. of R.I. Baths Fee: $90.00 i ? Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 CITY-OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-18400-040-05 PERMIT C??3?;2 !tq 4 -?? -9 q PERMITTYPE: auxLozNe Permit Number: 0 2 3 3 7 9 Date Issued: 0 4/ 2 0/ 9 4 3956 AVON CT LOT: 4 BLOCK: 5 COVENTRY PASS DESCRIPTION: Building._Permit Type DECK 8uilding Wo,rk 7ype NEW i ? ` . VV•.'j%? v , - fr_ ?'• .??. LtLJ??`_?L?? (i iL--?S?r ? REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant - WEETMAN PEGGY 956 AVON CT AGAN MN 55123 612)687-5845 L I hereby acknowledge that I have read this appl].cation and,staxe that the infiormation is correct and agree to comply with a11 applicable State of Mn. Statutes and Gity af Eagan Ordznances. 1 1 ?--?' APPLI NT/PERMITEE SIGNATURE `(1 r?r, n R.eA_ ?? I D BV: IG ATURE J • ' CITY OF EAGAN - 13319 1994 BUtLDING PERMIT APPLICATION .•- 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, 1 set of specifications, 1 copy of energy calcs. 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. ate Valuation of wark r ' 3N&U te Address:, ? ) ? CTRFFT .ni:T= w Tenant Name: (commercial only) IAT ? BIACK SUSD. P.I.D. # Descri tion of work: The applicant is: ROwner ? Contractor ? Other (Deseribe) Name !1260f'-fnd4_ )4ua./ Phone ` Property LAST . ? ?T ys?f ? 6?10 o-i) Owner qddress STREET STE p City (IG?aG J` State ? ZiP ?? Gemparm e-?? Phone 77 Co ntractor Address License # Exp. City State ? Zip Campany Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days onc e area has been appraved. , I hereby acknowledge that I have read this application and state that the information is correct and agree to comply ' h all applicable State of Minnesota Statutes and City of Eagan Ordinances. L Signature of Applicant: ') 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 O 14 Fireplace ? 05 SF Misc. 13 10 Multi. Add'1. E3 15 Deck WORK TYPE p 31 New ? 33 Alterations ? 35 Tenant finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ?.Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing 11 Final ? Framing O Draintile ? Insulation O Fireplace Permit Fee $tirrV;arng Plan Review License MWCC 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: vatu.c;m- $ ? ?. Ba,??`sement F? ?'CI 16 inish 0 17 Swim Pool ? 18 Comm./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code ?j3y SAC Code oi Census Bldg Census Unit a Assessments SpC % SAC Units ?? ? R -- ,rx,ng neering:. Ceitificaie of Survey {or. TNE RD TrL UND C0, AvoN COV Rt Q ? 6q?0 2422 Enterpriee Drive htendoca Neighu, MN 56120 a ? ?' ? ?/ i' °?i' y ?? M'1•?'y pry,? ?{ ?y?? O 1 .n? ioe r ..0' \ `? 1 J 4'-? ?°?k 3r,lillp`°I I ? °?` ? _? . -? (? • , ? ?.. -- ? ', • " ?- - /, . t?i:i•'? t617f 681-1914 / ? NORTH \ I !C? ; ? I ? ? -:104: &7 s.sa°s?'3v^W ? S°'0 ? 900.0 Qenofes existin? elevafion PRL7PC2.SFt7 140U5E_ELEV4Tf4N5 Denofes proposed elevation Lvwes? floor Elevation ; penofes brainu?e e Ufili?ty Easernenf Tpot Bla?k EJevaf'ort qoo, gb ? -•- Denofes Draina?e F?low Arrows Gara?¢e Slob Eleva{ron 900. &3 0 veRaf es monurnen f 8eurrn?s shown are assumed 0 Denofes o+Tsef Nub Lp?" ?, BLOCk COVENTa}' PA55 DaKOTA enuNrY, M1NNf5oTA 5ubjecl to easemenfs crrecord I hirebY certily (hai this surv9v, plan or recon was pre red by me or r my dirett supQerv?ision and chat I am duly RegUte•ed Land Survtyor under the lews ol lhe Sla[tl of Minnesoti. Oaled thic Jay of A.O, 10?1L_. `'] CQ? 0 ; 1 inch = 40iee} a LJ POBERT B. SiKICM L.S. REG. NO. 14691 Ii5 ?9io2•5¢ r,,.?..__.__._ _-___-_--- ?-vCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.:[ > IV. : 1 0--18400-040-05 PERMIT 3956 AVON CT LOT: 4 6LOCK: 5 COVF_hdTRY PA3S PERMIT TYPE: Permit Number: Date Issued: cW °Ah 4540 y suiLorNG 026663 11(01/95 DESCRIPTION: B4iiI.cC9.ng Permi.t Iype iuiLdiny tiYQ,rk 7ype ? i i ?- q- tiase Fee $35.00 Surciiarge ----A-S4J Tntal FHe $35.50 r. - r . . _ ?..._ REMARKS: A SEPi1RA7E PERMi7 IS REQUIREd POR ANY AI,UNBCN(3 OR ELECTR.ICAL WOftK FEE SUMMARY: CONTRACTOR: ? t3AS.F..MENT FINISH HLTERATZON OWNER: - Applicant - swEerriArv rom 3956 AVON CT EflGAN MN 55123 (612)687-5845 I hereby aeknowledge that I- hava re,aci tlrie appl.iaat9.an arr01 state? that Ckte information is correat pnd i?t4re€ Lo comply wiCh al.k appl.tetSbJ.io Sxate of SQn. Stattites and City af Eagan Ordinances, P9Z(4 /??/?(/U,(MT ? F R TEE SI NA RE ISSUE SIGNATURE I IL CITY OF EAGAN 3830 PILOT KNOB RD - 55122 L0995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681 -4675 1?- p/iCait E' - CGJ' / -SdYS Name: <2(°EnC, TA'n Pho41A 0- ysy ?ao u.. Street Address, City: ea-<aIT_ State:/Wn Zip;.Z1223 _ Company: Phone #: ? 3 regin0erod elte wnreys ? 2 copies of plen ? 2 coDies of Dlarre (indutle beam 8 window sizes; pouied fid. tlesipn: etc.) ? 2 site surveys (exterior edd'Rions 8 dedcs) ? 7 sneryy caiwlations 7 energy celalations for heated addiGOna ? 3 oopies M hee preservation plan if lof plaCod efter 711/93 ? fequited: _ Yes _ No p DATE: aPV` ? ?. 1T 9 y? -1CONSTRUCTION COST: DESCRIPTION OF WORI STREET ADDRESS: LOT 4- BLOCK _,? SUBD./P.I.D. #: PROPERTY OWNER ? CONTRACTOR ARCHITECTI ENGINEER Street Address: City: State: Company: -`,??-' Name: License #• Zip: Phone #• Registration #• Street Address, ----- City: Sewer 8 water licensed plumber change are requested once pertnit is issued. State: Zip. Penalty applies when address change and lot I hereby advnowledge that I have read this application and state that the inform 'on is corcect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? . n OFFICE USE ONLY I Certificates of Survey Received _ Yes _ No C T 2 4 Tree Preservation Plan Received _ Yes _ No _...._.._. ___ w, ?_ - -- -... .... . . _ OFFICE USE ONLY BUILDING PERMIT TYPE ? • . r" +?a o Oi Foundation ? 06 Duplex ? 11 Apt./Lodging ??16 Basement Finish 0 02 SF Dwelling ? 07 4plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscelianeous o 05 5F Misc. 0 10 = plex o 15 Deck WORK TYPtE 0 31 New ,"3 Akerations o 36 Move 0 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Alfowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building '1% °'A • ? '..4 ". "? >, .. MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance ? _1ZL D Pertnit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC rraiEP wni5. Water Meter Acct. Deposit S/W Permit SMI Surcharge TreatmeM PI. Road Unit Park Ded. Trails Ded. Other Copies Total: 96 SAC SAC Units \ 1990 BUILDING PERMIT APPLICATZON CZTY OP 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. To Be Used For: FAy///L,Y Valuation: ? Date: I(/27/r7o site Address ???S(o fjvn?J Lot + Block -r'-? Parcel/Sub Owner Address City/2ip Code ?a7?-?-?-,? S54Z? Phone ?-11- C5--?4 Contractor Address City/Zip Code i Phone Arch./ Addres City/Z Phone /06 oC7o? OFFICE USE ONLY FEES occupancy R-3 M '1 Zoning R-1 Actual Const V-N Bldg. Permit 3,0 O Allowable V-N Surcharge SD•SO # of stories Plan Review 1$- Oo Length 5?"- SAC, City )DO,DO Depth _'q2-_ SAC, MWCC 6001 00 S.F. Total Water Conn 6 25,00 Footprint S.F. Water Meter o,Oo Acct. Deposit 30,00 On site sewage_ S/W Permit 30,0J On site well S/W Surcharge 15b MWCC System ? Treatment P1. 252,00 City water ? Road Unit 355,Lb PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. 1?3 Variance ? V AUt -71 -r c GARAGE O i ?L4 0 0 K I.? = G O DO ? ?. Z y k 3 y''?I ?v X l/6 .r 9?{ 6 5-6 /Do/ LS-1e 2422 Enterpriee Drive I PIONEER MEndota Haights, MN 55120 *engi* eering-. ? ?sta) 68?•19ta i TNE ROTfLUN17 Cp. ? Certificate of Survey for: ? ? NORrH ; ? AVON ? 'couRr 0 V94 ...,..c?''? ? DO?'?p?_ . ?• "`c"CT .2p? ? ? o ?(`°?rb • y. " ?t L .sl ? b? ?' 3 BAi ? ?11• 9 ?• ? .n tifl ?' ? Q(i° °? ! 0 o ro ?PR' \ ? .tipt. ? l , qa ry?p? ? o ? j?, \ ? bq / 721? n . e M.?.. . ? ? ? J;.?Vt'xBiJ Sa?J?`77? SeY'.?? A/6'IKd. _ ?T 3 ? .._?a4 s? ao ? x 900.0 Denafes exisfin¢ elevafrorJ Pt70POSEd NOUSE ELEV.4TIONS ? goo.o Denofes proposed e%vatron Lawesf Floor Elevafion _g9Mb Denofes Oraina e F Ufrlit Easemenf ?p ot Blaclt E(evafion 900. 9b -?- Denofes Oraina?2 f"low rrows Garale Slub Elevcrfion 900. &3 o D¢nofes monumen f Bearls shown are assumed a Denofes 001-se} Hub LoT 4,BLocK 5, CovFNrRY PASs DAKOTA couNrY, MiNNESOTA Subjecf fo aasements erecord I hlrEby Certlfy thec thts surv9Y, Pftn or tepori w?e,s ?Or?e!p/ered bY ? ar rmydlrect Sup?ervnislOn And thet I am duly RegistErld La-d SwveYO, under tM1e levn of the Snts of Mi--ssota. Oatcd thia-G.[l?day o} A.D, 1B?[L_. I C 1?nch : L?Qeef S"(/?`"(//y " ( /-'? ?+ ...?-- ROBERT B. SIKICN L.S. RlG. NO. 14693 I?5 89102.5 - Nor'?c;UOop_ . m,Fr,ion 1•:NVF.LnI'F nvt<i;nrr: "u" Cur,truTr,Tinr our+E.n rTLVlI D cITE ADDSE55 LO'r 14. s""Eiks. CONT?L1CT05 D.M1TF. ? Pi10NE Determin vorkinr: square footajte o!' each. 1. iotal exposed vall area .. 2441 e ?0 sq_ ft. x 0'11 = 22?{'•r7-] • 2. Total roof/ceiling area sq. tt. x e.026 _ • Total exposed vall area nbovc tloor = Z?41•C? a. Total vall vindow arez ............................ ? b. Totel door area ................................... L.-7/ c. Tot21 sliding glass door area ..................... 3 9,-a 7 d. Total fireplace vall erea ......................... e. Total vall framing area (average 10A) ............. /(j Z.D 7 P. Total net wall aree nbove floor .................... I?1'S •fo S? . g. Total rim Joist area .............................. 1P? 7(o Total exposed founAntion arca h. Total foun3etion vindov a:ea ....................... 7. Jr . 3. Total net foundation area aDove grade ............. . Deter:?ine "U" value o; each vall sec;ment. •• a. ,,?, O. ? L _ ?? Ca =( b. ¢Z?• -71 X?,U?? ?. ??J c?.5 = ?'??a L C. 3Q,R7 X.,??, p,3 Z. d LD X??LI" e. ?Coz. D ? x 'lUll . s• X h. 7. S Xll1?ll G'?.i r d' Z = J, ?? X 'lull 3. ............................... 'ior.?] .. e If item q3 is the same as, or les:: 'ti:.n .ite:a Xl, you nave met the inter.t of ssc 6006(c)2. , b Total exposed rooC/ceilinG nrel ' ? . .. . _ Total gross roof/ceiling are:s = ?. Total skylight area .......................... ? R. Total roof/ceiling framing area .............. g•? 1. Total net insulated roof/ceiling area ........ • Determine "U" value for cnch ruuf/ccilint: scF,?ment. , ?.? X [fUli = % Z :, 2 k: g 1.?r X„ult Q-a Z7 = ' • ?. 734--4. X,,,,,, a,0 22- = 1 r?.l S 4 . . . . . . . . . . .. .. . .. . . . . .. . . .. . . . . . : . Total _ ? I $ • 3 , 04 If total oP N4 is the same es, or less than N2, you have met tYLe intent of sac 6oo6(c)i. . . To utilize the total envelope system method, the values establi_hed by the sum of iteas N3 and #L shall not Le greater.thKn the sum of iten:s N1 and N2. 1, + 2. ' •3', • +L. _ ::?, _ ?. 0 _ . .. o ° CIAIM VOUCHER - REFUNO REQUEST CITY OF EAGAN MAKE CHECK PAYABLE TO : PEGGY sWEETMAN AODfiESS : 3956 AVON COURY . EAGAN MN 55123 ? e a?poeave ?' ea nv ?a = e=? ev e c= a?? o v? e v? ?d a??-?ee-v=e=? e?' oe oe e'o ? e ov??' e e: LOCATION RECEIPT # / DATE REASON FOR REFUNO TYPE OF REFUND 3456 AVON COURT L4, B5, COVENTRY PASS 44564/II-01-45 HOMEOWNER IS HIRING ELECTRICIAN TO DO THE WO?tR. ELECTFtICAL PERMfT PLUMBING PEAMR . MECHANICAL PERMR SURCliAAGE WATEfl CONNECTION PERMIT SEWER CONNECTION PEAMR ACCOUNTOEPOSR UTIUTYACCT OVER-PAYMENT CURB BOX DEPOSR REFUND CONSTRUCTION METERDEP REFUND WATER USAGE CHARGE OTHER: 3211-9001 $ 40.00• 3212-9001 $ 3213-9001 $ 2155-9001 $ 3713-9220 $ 3743- 9220 $ 2252-9220 $ a.2so-s22o a 2253-s220' $ 225a-9220 $ 3711-9220 $ s s s 7orAL $ 40.00 I declare under the penalties of law that thls account, claim or demand is just and that no part of it has been pald. 81pn?E n- : Dab /a ?- <?` L 1? BL Jr CITY USE ONLY RECEIPT SUBD. 0&Uert?C/iu-V?a.? DATE: // / ?S 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Piease complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ? EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ` minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 20.00 = U.G. Sprinkler' home under const. 3.00 ' Alterations `toexisting 20.00 = ?0 •cu) 00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: _ ??& /A4q `-'f ?T-rn, SS /,)-3 OWNER NAME: " " '^' INSTALLER NAME?? - STREET ADDRESS: CI'ry: STATE: ZIP: PHONE #: ((?/? ) yS D'?e1 ( 0 - AOM e- &79 -7 ` 58yS UNDER,GRO14ND SPRINKI,ER SYSTEM PLUMBING PERMIT Date: D` /` S? Receipt # C. 13 S5S Date 4/1/0/4/ Permit # Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. X E)asting residential: $15.50 (Plumbing permit not required if backflow preventor was previously installed). _ Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. ? q5 (P (Address to be sprinklered) ? Installer Name: Phone #: qs"y-e-D> Street Address: 3p.O/zn e?b'- City, State, Zip: Owner Name: Street Address: 617e? Phone #: ??(•?'??7 Irrigation Contractor: Phone #: I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable City of Eagan Ordinances cc: Engineering Department (commercial only) 2007 RESIDENTIAL MECHANICAL rERMiT ArrLicnTioN City Of Eagan 3830 Pilot Kno6 Road, Eagan MN 55122 Telephone # 651-675-5675 ? Q???? Please complete Por: single famity dwellings & lownhomes/con NeKp? it? e required xch unit n 45D.Sd OA&C_(? Date 7_ 0-7 Site Address /!Y6-l1- /I(7t44 Unit # Property Owner Fdl e,?/ Telephone #((P,S`/ )?o S??- D 921- Contractor DIC/n (yfi1/"S QiLa f6,C4'__ , StreetAddress ns-z' /'IVGryI- a4l• CitY ijahl/v Telephone #((? s"/ ) Y?? 7- S117 J M/L Zi p State - -o Bond tk: IPLL S-w Expires: leS' O The Applican[ is _ Owner VContractor _ O[her Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling uni[ $ 50.00 furnace _Additional Zeplacement _ New air exchanger / di i aircon oner t heat pump other State Surcharge $ .50 s$ SO s° Tatal I hereby apply for a Residen[ial Mechanical Pemiit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is no[ to start without a permit; that [he work wil] be in accordance with the approv d plan in the case of work which requires a review and approval of plans. ? "Vewt'e? A /Y / ,Q//Al'Ym..e? Applicant's Printed Name Appli, nt's nature PERMIT City of Eagan Permit Type:Building Permit Number:EA107017 Date Issued:09/24/2012 Permit Category:ePermit Site Address: 3956 Avon Ct Lot:4 Block: 5 Addition: Coventry Pass PID:10-18400-05-040 Use: Description: Sub Type:e-Reroof Work Type:Replace Description:House & Garage 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 . 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 - Eric J Olson 3956 Avon Ct Eagan MN 55123 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA107337 Date Issued:10/08/2012 Permit Category:ePermit Site Address: 3956 Avon Ct Lot:4 Block: 5 Addition: Coventry Pass PID:10-18400-05-040 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,672.00 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 - Eric J Olson 3956 Avon Ct Eagan MN 55123 Home Depot At Home Services 656 Mendelssohn Ave. N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169593 Date Issued:06/02/2021 Permit Category:ePermit Site Address: 3956 Avon Ct Lot:4 Block: 5 Addition: Coventry Pass PID:10-18400-05-040 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Eric J & Cynthia L Olson 3956 Avon Ct Saint Paul MN 55123--390 (612) 321-1572 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature