4351 Bent Tree Lane
??tt?iCQtQ nf cCClipQItC?
'Ki" Of W"an
IIrs?pnt of Vxfti" 3cO"fiou
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying thax at the time of issuance this structure was in compdiance with rhe various
orrlinances of the City regulating builducg corrstructian or use. Far the following:
2t7q4
use ciasMficarion: SF DW Blag. Perrrfic rro.
O-P-Y TYPe ? ?. ) ? Zoning D?ct ' R i Type Const ?
4466 ? ?, EAGAN
Ownet of Buitding?f `?.? I?' '?? A?dress
> > A? ? ?
Ba7di?u? Locatity
? + f
!Date:
BoiWiaS 0fficiai
POST IN A CONSPICUOUS PLACE
?
Address 4351 BENT TREE LANE Zip 5512 3
Lot ' 4• Blk 3 Sub AtTgm 1uDGE 3xD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: // !4 93 Yes No Inspector: ?
Final grade (6" from siding) to'
Permanent steps (garage) ?
Permanent step5 (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass V/'
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water suppiy to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?• ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
021794
08j26/93
? SITE ADDRESS:
4351 BENT 1"REE I.ANE
LO'i": 4 BLQGK: 3
P?UTUMN RIDGE 3RD
? DESCRIPTION:
S F pWG
NEW
R-3 M-1
vN
R-1
70
53
? ?
? ?, ? ? -
? ? `??
a ?J,
??
' REMARKS:
S&W GONTRRCTAR - RAY HAEG PLUMBING
I FEE SUMMARY
vRLu,arroN
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
5ubtntal
$804.00
$522.60
$73.50
$750.00
100
1
$2,150.1@1
PRV
$147,000
Mxsc FEEs
Total Fee
11.744.50
$3,894.60
? CONTRACTOR: - APplicant -- ST, LxC. OWNER:
THQRSON HOMES BftIAN L 14540644 0001317 TMQRSQN NOMES ZNC
4466 WEflGEW00Cl DR 4466 WEDCaWOqD DR
EAfAN MN 55123 EAGAN MN 55123
? (612) 454-0644 (612)954-0644
tyl A 8, 01-A 1 ?
SSUED BY: SIG ATURE ?
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REdCTIVATE
PERMI7 ? •
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 ,-03
8 ') Y 6 o
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 se?,% 161993
specifications, 1 copy af 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.
Date /??.3 Val uati on of work
`Site Address: -3135% 7??ee
STREET SUITE *
Tenant Name: (commercial only)
LOT $LOCK SU$D # '
Descri ti on of work: 4Q.4{1 C7cT.,t5Ae tx e'
The applicaRt is: ? Owner Contractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
qddress
STREET STE #
City State ZiP
.s >
Company '/ k'A'SC>11/'d?l?=,????5' Phone
C011tPaCtOt' ,
Address ?AX%?? License #l..?r?131"? Exp. ?'i S?
City =??i?z?, State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber /t? ?`fu?f '?j?{????°°? . Processing time for
sewer & water permits is two days ce are has been appro d.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with a11 app icable State of Minnesota Statutes and City of
Eagan Ordinances. f' ?'
Signature of Appiicant:
OFFtCE USE ONLY
BUILDING PERMIT TYPE 0 01 Foundation 0 45 Duplex ? 11 Apt.ilodging
JZ 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
0 05 SF Misc. ? 10 Multi. Add'l. 0 15 Deck
WORK TYPE
1<31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
. ?t
r S
? 16 Basement Finish
? 17 Swim PoQI
O 18 Cortm. /Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Actual) 1!- hJ Basement sq. ft. MWCC System Y?
(Allowable) ? lst F1. sq. ft. City Water
UBC Occupancy Z-3 M-t 2nd F1. sq. ft. PRV Required
Zoning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 7W7 On-site well Census Code /n
L
Depth r3, On-site sewage SAC Code ,
?
APPROVALS °
?
Planning Building Assessments
Engineering Variance
REQUtRED fNSPECTIONS
? Site
? Wallboard
? Footing
0 Final
? Framing
? Draintile
0 Insulation
O Fireplace
Permit Fee valuac;«n: S ? vop
Surcharge
P1 an Rev i ew G q RAbr.i 3
l--------- ? x Zz- ='? o y
t i cen s e I 2, X Z
MWCC SAC
City SAC
--- 68a x!b
Water Conn. 12xt2:-- Iy .I
Water Meter 22 x Z(. = 5 91
Acct. Oeposit ? X 7 ly
S/W Permi t
SJW Surcharge
_ f--?`-
Treatment P1. 11, 19a
Road Un i t IST- Roori;
Park Ded.
Tra i 1 s Ded.
Copi es r)4y
Other
Total : $6y
!S'lbx 5?t- ?
SAC % IOo
SAC Units
?
._
.
2'1 X 32r12 ? 9550
'701Z X54y° N 2r%4'3
. ! ` j .
08i12i93 15:44
001
Sl?R'VEYOR'S CERTIFi?ATE
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BRIAN TMORSt7N
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tipl'Et @VIL.01N[3 DlME7dS10IVS SHOYYN ARM PC>R if4RIL4t?iTAL' 9k VERTtCAL LOCA"f10N pF 3TRt3C'?UFt? ONLY. lr?E ?t07Ec NO Sf'EG?IC SOiLS •tNVES'fK9ATi0N HAS ?F.?N LOMPLETEt
AftC}i1TECTUAL P1ANS FOR BUILDING ek FbUNpA'TION ON 7HIS LOT 8Y THE SURVEYOR. THE SUITABILITY OF
D1MCNSIONS, SOII.S TO SUPFOR7 THE SPF-CIFIC HOUSE PROPOSED IS
do---- DENOTES PRaPOSED SURFACE ORAINAGE HaY THE RESPONS181Li7Y a.F rM5 SURYEYOft
O DENaTES IpON MONUMENt SET scAI-F-: 1 INCH - :50 FEET
• DENQTES IRON MONUMENT FOUNQ PRaPOSEO GARAGF: FI-UOR - 9,3 G,, -e FEET
XOQb.O DENOTES EXISTINQ ELEVATIaN PROpdSED I-OWEST FLOOR = 93 i, z FEET
(OOO.Q) DENOTES PRC7POSED ELEVAT(OtJ PaOPUSED TOP OF BLOCFt - 7 7FEET
?,..._..
¦ r ? ?. r ? , .
WE HEREBY CERTIFY `CO BRIAN THORSON THAT 7MIS IS A TRUE 1?N??????? ?"'
REPRESENTATION OF A SURVEY OF THE 80UNpARlE$ UF:
L:ot 4, Black ?, AUTUMN R {DGE,. 4??[? ADDITION, acoording ta the CBCQrC10d plat thereoi, oakota
County , M innesdta. (Thfs Leaa( LDasot'lptlon wi11 bocome valld upon tiling
thB plat of Autumn Ridqe 3rd Addltlanl ,
IT DOES NOT PURpORT TQ SHOW IMPROVEMF-NTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNaER MY !7lRECT uUPE.f?A/-l?1C7N TMIS 107'M pAY OF AUG. , 1993.
PROPOSHD GRADES sHawN wERE 51G
'fAKEN FROM THE DSVEIOPMENT
PLAN FQR AU'f UM RID!?E PRE-
dar?a 8 Y,?2-?O?R ENti. LA $7
BY:
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R. HILI., INC.
?
JoHN G. LARSON, LAND. SUaVEYOR
MINNESOTA L.lCENSE NUMBER 18528
Hlll/ inc.
James R.
PLANNERS / ENGiNEERS / SIJRVEYQRS
?rnn \nr rTY Rn i,) eRCIRNSVIII_F, MN. f-16937 9 r,79-R90-6nq4
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LOT SURVEY CHECRLIST FOR RESZDENTIAL
BIII
PROPERTY LEGAL:
DOCIIMENT STANDARDS
0,- ? ? • Registered Land Surveyor signature and company
a" ? ? • Building Permit Applicant
Ca'' 0 ? • Legal description
? 0- ? • Address
T' ? ? • North arrow and bar scale
Q-0 ? • House type (rambler, walkout, split w/o, split
lookout, etc.)
C3" ? ? • Directional drainage arrows with slope/gradient ?.
? Ca,' 0 - Proposed/existing sewer and water services
V - 0 • Street name
? ? • Driveway
ELEVATIONS
Existina
? B, ? • Sewer service
$ ? ? • Lot corners
0--?? ? • Top of curb at the driveway
0 Cr-? • Elevations of any existing adjacent homes
Proposed
Q'--? ? • Garage floor
6? ? ? • First floor
C3'0? • Lowest exposed elevation (walkout/window)
C1' ? 0 • Property corners
0- ? ? • Front and rear of home at the foundation
PONDING AREAS (if apAlicable
0 C'1' ? • Easement 1 ine
? 0r 0 • NWL
11 0' O • HwL
? 0" ? • Pond # designation
? C-1?" ? • Emergency Overflow Elevation
DIMENSIONS
entry,
?
?' 0 0 • Lot lines
[]- ?? • Right-of-way and street width (to back of curb)
?? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
F? ?? • Show all easements of record and any City utilities within
those easements
0 ? • Setbacks of proposed structure and setback of adjacent
-/ existing homes
r?f 0 • Retainin w re ire nts, if any
Reviewed• ? i?'? zz 0:
Nam / e
October 1992
Date of Survey: ????
` ? , ? •
G12-4 7-4 -?G-7; L'i?T,1Ah-4 E;;'C:ELSIDP, `r'ARD 422 F'O1 JUC4J 19' 92 17: 47
.
' y . K 1 tt [i L? ? 4 1 A +7 ? I? { 1? ?+ •I Y?• v.? ?e N r V I? V 4 V t+t? •• 4??1 ?I
.
? BA SE a?V r, I? TER Df T
H o E R C Y p D D L'T I Q N_..;.._
• _,. wddp:l un ?f ??cCiv+r ll l/ 4
?.,,,._. .
,
wnC r T??11',
..-:_-------- p
?F OFNIX
_ Phc?ne ?
.
iLe AddreSS ?, ? ?
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. '?i?i?? , ?Y1j1%
w' 7 ti ?..
)ntracLor- ' ?., , • ?hpnt
,ilding Classification: Type A1 (Single Fa?tfty b Dupiex) '1-1 Type AZ (Residentlal?
' t3 sCorles vr esx
(Other) - (qver ] stories) - - -
Y
:NERAI INFORtiATIOH Bullding Pertmeter ft..?'4?? 9 t s?{
Uall hefght (groeind to eave)
1. x 2. (abova) gross wall d.rro. _`7 2
C.C>
Buiidfng dimensions (l) -A,-dt x(u) ft.2 roqf 3 floor arca
5quare fcot arGa of rim jaist - Ftoor joi!t stze
P (2 x lo ? ?
?
?
?
erimeter
tO? x = Rim q st area ¦?
.
?
ft
?? .
Joors ^ Art•
Thtc nes"' « -'-' n. actor C?4?
Typo ot Co struct vn I eriowte r )?1 ?+ (?• ?
? ft.
Manufacturer .
Tatal dmr's perimeter ft -
uindows: Manutacturer $tate approv4M N\ N)
!1 f4ctor ,. ?{']?
TYPE SIZE AREA (F:, z) !n1M8ER OF t4TAi. FEET 2
?O
f n s? Z ?
? .
r??-?
?, _ o ? ?•? ?-, ? ?a k c4c n?
EACN UNIT5
_7?1* \ ! O _ -
Ck 9
-Z i.?
?a? ? ? , ?cy, 04
i, total ft.2 G1ass -7?11?„?
F1replace area: Kfdth x heiai,t ¦ Qr x ,?-- ? -?- Ft,z
, Exposed foundation: Helght x Perimeter??. x_ O Ft.Z
FLETIOti t7F T11l5 FOftt1 15 REqUIREQ FQR AI.L NEu Cp1tSTPllCTIO"?, MAJOR RENOQELIttG tttt0 (3Uti.Di'{GS REFi
EC? utiERE EHERG`l, OYFiER T!W.,y THF mttaimaf rnnc, aa i nuar?rr ac nezrn
,.
. ?.
612-474-06?? LYMAN EXC:ELSI OR YRF2D 422 P02
Franslng area • lUx of gross w411 area.
Grross wall aree -7.. ` Gz? 0
2
W{ndoa area A ft.
Rim',jo i st a rea A
podr area A
-:?'`t `I `( ft. ?
46
'
2
Ff repl ace area A ?. .
Exposed tounda ti on A '-i ---2? .0 f *. . ,
'
Franing area A
'"-Z. ? C. ft, ?
?
h'et wali drea A Q.;?'?-?'?„{L.
f!,2
c
t; w1 ndawS !J x A = ?O-z .
U r i m j a i s tU'A- U x Ar
',1 door ares ; ??`?, '3 x• A
UFi repl sGe _ ??-- U xA _ -?
U foundatiart = « ? U x. A • `L?..CJ?
;f fran i ng area *. O U z A
?J wa71 U x :,
(11-3; ; J;A-I. . . . . . . . . . . t1 x A = C) .`?
Gross wa11 area x 0?.11 (A-] single family S duY;-x = a7loHable tJ ,c A/Code
(13. abvve) .
x 0.23 (a-2 other re5idertEi&'.; .
x .23 Othe?- buf ldings;
x .268 (OVRI' : SCOi•ip:.) .
Must be Targer than
A ! ? t Q30 x L' Cq?e. 136 :bdve
C2{ling framing area (Af) equal5 10': of cWinc area qr Lhe sanie as)
G ros s c e i 1 i n q a rea •( L? .?-?, x 2L '3. 9 t t.2
JofsL are,$ .(Af) ¦ 10" ceiling area ft.Z
ye: ceiling area (.Ac:) (15A - 158) ¦ ??'?-?.- ft.2
U cei 1 i ng x A?_
l! framinq x A f* t?-r- G?- x
- ,
TOTAL U x A ........................................
Leilin9 area (15A) x 4.026 (R-1 stngle `amily Sduplex - co
x 0.033 (A-2 other resid2ntia1 )
x 0.C6 (other)
. CO
owablelixA
HTUN Must be larger than 150 (aCove)
A(1-SA? x? f code?,..p?y? 0 F (Cr the Same as )
??• ?? ?
._r---^-
JUN 1e' 'a2 17: 49
";07E: Use U and a vaives obt3ined f?rom Ops 1. 3 and 4.
PERIVIIT
CITY C?F EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028961
(612) 681-4675 Date Issued: 10/07/96
SITE ADDRESS:
4351 BENT TREE LANE
LQTa 4 BLCICK< 3
AUTUMN RIDGE 3Rq
PeI.N.: 10-12302-040--03
?
REMAfM ?ATE PERMITS REQUIREp FqR flNY ELECTRICAL G?R PLUMBING WORK
FEE SllMMARY:
Base Fee
Plan Review
Surcharge
5ubtatal
CONTRACTOR:
,
.
.$ 1 1 y 0YJ CJ
VALURTTON
GQPY .50
TGf'Gdl F@e $268.13
$174.75
$87.38
5e50
$267.63
NER - Rppl?.cant -
?S?H-?I?'ECKER THqMAS
4351 BENT TREE L,ARIE
EAGAN MN
(612)452-3256
APPLICANT/PERM EE SIGNATURE
-?
IS JS-UED B'l: SI ?ATURE
r
CITY OF EAGAN
' 3830 PILOT KNOB RD - 55122
? 1996 BUILDING PEaMtT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauirements Remodei/ReQair Reouirementa1
? 3 registered aite surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior aiiditions & decks)
? t energy calculationa • ? 1 energy caiculations for heated additions
? 3 copies of tree presenration plan ff lot platted after 7!1193
rcquired: _Yes _, No ,
i S,000,00
DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: BU«- D 3' o5C-A,59&1 PD??
STREET ADDRESS: `Z435-1 f25VZ ?66? LlV. , ,.
LOT -4 BLOCK SUBD./P.I.D. #:
PROPERTY Name: ?ONlA-S Phone #: ?'
OWNER . * ' FPS K-?? L,/?
Street Address: f `t351 ?v'r /
City: State: /V.b,t Zip: 55102-3
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: Zip:
ARCHlTECTI Company: tJ f A"'
ENGINEER
Name:
Phone #:
Registration #:
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued. t hereby acknowledge that I have read this application and state that the information is correct and agree to comply with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ofi Applicant: L?7?'dd
OFFICE USE ONLY ???EMED
Certificates of Survey Received Yes No S E P 2 4 1996
Tree Preservation Plan Received Yes No - - - ' - - - - - - - - - - "
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dweliing ? 07 4-plex
a 03 SF Addition ? 08 8-plex
.e( 04 SF Porch o 09 12-plex
n 05 SF Misc. 0 10 = plex
WORK TYPE
n 31 New ? 33 Alterations
,0" 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
?
f . a
0 11 Apt./Lodging o 16 Basement Finish
0 12 Multi Repair/Rem. 0 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace o 21 Miscellaneous
? 15 Deck
? 36 Move
a 37 Demolition
Basement sq. ft. MC/WS System ?
Main level sq. ft. City Water ?
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code. 4434
Footprint sq. ft. SAC Code v ?
Census Bldg 1
Census Unit
Planning Bui(ding Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SfVN Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies .60
Total:
Valuation: $ 11, vvv , ---
c $1?5- - z-10 14 W 410 = 10, gvv . _---
°k SAC
SAC Units
?. ? -. _. . ..
INS 'L'+LT1ON llE,CVRJJ i ,
? . + C1TY OF E14GAN ' PERMIT TYPE-.'
; 3830 Pilot Knob Road. Piarmit Number:
Eagan, Minnesota 55122-1897 E3ate issued:
(612) 681-4675
lf . N. 40 ti?4 ? 040 O.
`SM ADDRESS: t : 4 ti J.,???-?? .? APPLiCANT: 43SJ. ?ICH) t RFIF s. At4f A LI `I t.1 f4N R1' t3 Gi 1F 'i RD
,
???'PE"rYPE oF woRK: ?ADD??
. . "F;CR I r>r1?? 3-%f ASON POR
;.
r 0 7 f H Q- ?i P" 1? 44 t N r,
PINAU I . ? I I I ! ? ?
1
?
k' . - . . . ? . - . . . . . . - . - .
,;Rf14A ?+`l?.i-?,?i?.#??Ik?',?TF i??'':1;?1f`?4#[`? E't!€? A!'?`? t:1:Ut"??i?'.3C:1?#. f'?#? ?''f.lJ14f?"N6 l4Ct?"i?
?
?
?
?.
?
'POMR t+43k., ° Porok ifiakter as!a Towphom !F
P?WG
MAC : .
bwpogvm teft tmp - t?esntmer?ts
FOdTNGS
FOUND
FKW,a M/?.1`?. -
FOOFM
M
PLOG
AIR TEST
ROUOH
HFATWG
??
irrsUL
GYP BQARD
FfREF'lAC€
FIREFLACE
AFR TES'f
FfNAt P1.BQ
FINAL HTG
ORSAT
TEST
SLDCi flPfAL
BSMT R.i.
BSAAT FINAI
DECK FTG
DECK FiNAI
Mf282 6
3 ?
Requast Dat 2
? ire 146.- Rough-in Inspection WpTiCE: You Must CaN Eleckicat inspectar
Requir It A Rough-tn InspeeYron
? O No Is Required.
IFw4nsed contractor ? owner hereby request inspection of above electrical work at:
Jo (S t, Box or e .) City
SecY+on No. l lbwnship Name o. Rarige No. Cou
PRIPI?
n Ph ?
Powe upV),),,
s
i ConVa w(Company N e) ract License No.
s racto
? ner Making tallat n)
Aodln ( tractor/Own a n Insfai ati )
Y P o e
MtNNESOTA 4ATE $OARD OF EIECTRICPfY ? THIS WSPEGTION REQUEST WIIL NOT
G*i9ys-IYiidwey BWy. - Raom S-f73 BE ACCEPTEp BY T}iE STATE BOARD
1821 University Ave., St PaW4 MN 95104 ' UNLESS PROPIER INSFEC710N FEE iS
Phone (612) 642-l3890 EtdCLOSED.
?? ? /? ? REQt1EST'?4R ELECTRtCAL INSPECTION
? ?. See 9nstructi?p for completing this form on back of yeliow copy.
8 216 ? "X" Below Work Covered by This Request
2
EB-Q0001-09
p. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex VVater Heater Eiectric Heating
Apt. Buiiding D er Load Management
Comm./Industriai V l?urnace Other (Specify)
Farm Air Conditioner
Other (specify) Corrtractor's Remarks:
Compute Inspection Fee Be%w:
# Other Fee # Service Entrance Size Fee # CircuitslFaeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Sransformers Above 200 Amps Above 100 Amps
SignS - InBpectorb Use Only: TO
L ?
Irrigation Booms 00, ? t
Special Inspection •
Afarm/Communication THIS INSTaLLATION M Y BE O RED ONPtEG'CED IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electrical Inspector, hereby
c Rough-in
ertify that the above inspection has
been made- Final t oa
OFFICE USE ONLY
------------
This request void 18 months hom '
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143102
Date Issued:06/02/2017
Permit Category:ePermit
Site Address: 4351 Bent Tree Lane
Lot:4 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required 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 -
Thomas W Schoenecker
4351 Bent Tree Lane
Eagan MN 55123
(651) 238-1774
Allstar Construction Residential Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature