4077 Baffin Bay N. ? A
(ilexttfzrate of MrrupaMry
Citp of Cagar[
Bpp8r#q1Mtf Df NLtOiltg IttSpPlt«tt
This Certifrcate issued pursuant to the requirements of Section 306 of the Unijorm Building
Code certifying that at the time of issuance thu structure was in compliance with the various
ordinances of the Cuy regulating buitding construction or use. For the following.•
Use Qessifiation ?DW /?f ('w? Mdg. Pormit No. 178?
OocuW-Y TyQe ??1R] Zamng IlistriCt PDIR1 .fype Const .VN
owner or euild;,,? ROMIM 00 I2a"?, Aad,,.5201 E RIVQt RD, F[i77A.FY
saaing Addreas 4o77 RAFm RAY N7M11 Lomuty T.7 I, R l, NR I S(7H' S fY1QF:RRTiYT+. 2ND
,
?, / i ( .? n,, ALIGiIST 13. 1990
Buqiiing
POST IN A CONSPICUOUS PLACE
DATE:
MAY 24, 1990
4077 BAFFIN $AY N(?HE ROTTLUND C0. INC)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Yr Sewer & Water Permit for the above properry has been completed, but the meter cannot
be ssued or occupancy allowed until further notice.
'+ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hali. Meter size must be
I confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER 4?yATER PERMIT
CITIt +bF EAGAN .
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERNfT DATE
WATER PERMIT # SEWER PERMIT #? 1=+'? %
METER # B.P. RECEIPT # r 79'-5
READER # B.P. RECEIPT DATEU
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
SITE ADDRESS -
LOT BLOCK SEC/SUB
APPLICANT:' FL -77'
ADDRES,S:
CITY, Sl`ATE ' ZIP
PHONE:
?
PLUMBER:
ADQRESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE 21P
PHONE:
PERMIT REQUESTED
X SEWER _ WATER _ TAPS
- COMAA/IND - RESIDENTIAL
2 NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANGES:
. 4 SIGNATURE WHEM METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWEFI PEAMITS, CONTACT
ENGINEERING DEPT.
? 590-6587 Qt 751 9729 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, tMi
PHONE: 454-8100
PERMIT Receipt #
3F DWCs/GAR Fel vnh'e =144?000 naea
site Aif@SS +v ?• a?r ? a? waa n
Lot Block Sec/Sub. ?
Parcel No.
W Name '? &OTfLIJ?iD C0, I[9C
? Address RIVER RD
0 City TRILDIXY Phone 37
Address
City Phone
=z Address
¢_
? W
City
Phone
..
I hereby acknowlege that I ha
ve read this application and state thal the
iqformation is coRect and; gr ee to oomply dh all applicable State of
Minnesota Statutes and Ci ` ot Ea n rdina e*
I
Signature of Permitee t -' `
?
T'RL' RO'CfLItND C0, Il4C
A Building Permil is issued to:
on the exoress condition ihat a ll work shall be done m accordance with all
t Is o 17898
lIAY 21 . 1990
OFFICE USE ONLY
Occupancy ??? FEES
zoning ..V;;N
(Aclual) Const Bldg. Permit ?-
(Albwable) 72.00
- Surcharge
# of stories 316.00 •
Length Plan Review
i???
Depth SAC, City
S.F. Total - po
SAC. MCWCC
S.F. Footprints - ?23.00
On Site Sewage _ Water Conn
?'?
On Sfte Well
? Water Meter
MWCC System
?
?d. Depasit 3Q??
Gty Water ??a ?
PRV Required _ S/W Permit
Booster Pump - S/W Surcharge .So
APPROVALS
Planner -
Council
B6dg.OH. -
VarianGe -
TreatmentPl 232.00
335,00
Road Unit
Park Ded.
Copies '?
TOTAI
permit No. Permit Holder Dste Telsphone #
WATER
SEV1fER
PLUMBING Q D
H.V.A.C. v?o7 ?p 0 ?OIS SD
ELECTRIC D
Inspection G'tte Insp. N Com ? 8? / 6
FooU?s 1
Fo„ndeU«, ?-3- 9G' S ?,•?f - SeIi
Framing 7 - 4 U,•?
Roofing
Rough Pibg.
Ro,snHng. :??-? 41 a
ls,l. 2 '1*19-1
Faeplace -L ( gC
Final Htg. - ?
Fnal Plbg. - ?
Const. Meter Pibg. Inspector- Notily Plumber
Engr.IPlan
Bldg. Fnal
Dedc Fkj.
Deck Fnal g O o-
wau
Pr. Disp.
.'
CONTRACT
PRICE
Site Ac?ress
Lot ?!??
= PLUMBING PERMIT For
-A* CITY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 I RECEI
PHONE 454-8100 DATE:
A N
City ' -
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
?
?
;
?
L..
k
Mult. Add-an
Comm. Repair
Other
RE3. PLBG. ONLY - COMPLETE THE FOLLOWING:
T. FIXTU RES
Watsr Closet - $3.00 TOTAL
$ ?
-
Rath Tubs - $3.00 ? ?
?-
Lavatory - $3.00
?-
Shower - $3.00
Kitchen Sink - $3.00 ?
UrinaVBidet - $3.00
-r Laundry Tray - $3.00
?-
T Floor Drains - $1.50
-? Water Heater - $1.50
t-
Whirlpool - $3.00
?- Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT) ?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? fiough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL: `? ? ? `
. (
' t
.?
iNTRACT PR11CF•
? Site
m Name
? Address "
c City Phone
L Name - ' '
,
c Address
p City Phone - f
TYPE OF WOfiK
? Forced Air M BTU
Boiler M BTU
, Unit Heater M BTU
Air Cond. M BTU
. Vent CFM
Gas Piping Outlets #
Other
w
.
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
.
3630 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
FEE
SIC:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
'ec/Sub Res. New
Mult Add-on
Repair
FEES ?
RES. HVAC 0-100 M BTU -$24.00 ?
ADDITIONAL 50 M BTU - 6.00 i
(RES. HYAC INCLUDES A/C ON NEW j
CONSTRUCTION) ?
GAS OUTLETS (MINIMUM -/ PER PERMIT) - 1.50 EA. ?
COMM/IND FEE - 1% OF CONTRACT FEE ?
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM.RESIDENTIAL FEE - ALL ADD-ON
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
000
?
,
)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
0
?..,
?
3830 PILOT KNOB ROAD
? CASH RECEtPT
GI'TY OF EAGAN .
EAGAN, MINNESOTA 55122
DATE - 19 -S.?
rIEcervEO L.iC/ .??
FROM •
AMOUNT Fs ? n/
DOLLARS
?/ /
I `?- 3q 3
1
ihaink You
BY
„ W„ _j K- •
FUNO OBJECT AMOUNT
C 7986 ??osting Copy
P;nk-F;e Copy
SEWER & WATER PERMIT
CITY OF E41GAN ,
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE WATER PERMIT # SEWER PERMI7 #
METER # ? -6 lw qq 6. P. RECEIPT #
RI&4DE" 61 ?o?f?OS-B.P. REGEIPT DATE
AAETER SIZE
iSSUE DATE - - ? PRV - BOOSTER PUMP
SRE ADDRESS PERMIT REQUESTED
LOT! BLOCK SEC/SUB
X SEWER -- WATER - TAPS
APPLICANT: r
ADDRESS: COMM/1ND t RESIDENTIAL
CITY, STATE ZIP
PHONE: NEW _ EXISTING
PLUMBER:
ADDRESS: '•' ??.'- _- `?-?---?.E' I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIp <--; EAGAM ORDINANCES:
PHONE: ,I
r _.
DYYNER. I !' .
ADORESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ? ' ' -• +-i `. Z!P -c ?; •" ?
PHONE:
PIEASE ALLOW TWO WORKING DAY3 FOR PROCESSING. FOR S70RM SEWER PERMITS, CONTACT
ENGINEERING DEPT. ; _ !
8"?/cjb
C? 37.9 8 ?ai;d.I
? . Za.
Request Date
r_
0 Fire No Rough-in Ins tion
Reqmreo>
%Ves ? No
? Ready Now p^Nill Notih/ Inspector
When Reatly?
Ielicensed contractor ? owner hereby request inspection of above electrical work at:
J00 Atltlress (Street. Box or R iB No ?
O Qry
Saclion No Township Nam No Range No Cot
rxcuv tt (PAINT)
Phone N.
Pawe/?upplier ' ?
U Atldress
Eleclr ?ConVaclor (CQOmp?a?ny Name)
? c"a., Conlractors License No
4,7411-3
MaiLnq AOtlress (COnlrado,?r or ner Makmg installauon)
AuNOnzetl Signature (COnlrado w e Making Inslalla n) ? Phone Number
3.381?
MINNESOTA STATE BOAFD OF EECTRICITY ? O THIS INSPECTION FEOUEST WILL NOT
Grlggs-MlEwey BIEg. - Poom 5113 8E ACGEPTED BV THE STATE BOARD
1821 Universlty Ave, St. Paul. MN 5510G UNLESS PROPER INSPECTION FEE IS
Plrone(612) 802-0800 ENCLOSED
/?
l??`26
V, 31 ".t?Y' V
REQUEST FOR ELECTRICAL INSPECTION
0, Sae insquclmns for wmpleM1ng [his form on Oack ol yellow copy
"X" Below Work Covered by This Request
EB-00001-07
ew Add Rep TypeofBwlding AppliancesWVed EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt BuAding Dryer Other(Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Olher(specity) ConVaclor5 Femarks
Compute Inspechon Fee 6e7ow
# Other Fee # ServiceEnirance52e Fee # Circurts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
hansformers Above 200 _ Amps Aho Amps
$19f15 Inspector5 Use Only ? OTAL ?
Irnqation eooms ??• ,i
Special Inspechon
Alarm/COmmunication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 N !
I, the Electncal Inspector, hereby Rough-m
dd L
certity ihat the above inspection has
been made F,nai ? Da _?
OFFICE IISE ONLY -
Ths request voitl 18 months from
Y
l
*'
?
C? 38000 B1
l
s-
-
Date
Request Fre No. Rough-i I speclion
R
? eatly Now ?P'Ndi Notily Inspedor
- p res ? No When Reatly7
I/licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (Street. 6ox or Faule o) C?ry
7
SecUOn N. TownsNp Name or Range No Cou
OccuOan[(P MT) Phone No
Power SH?lppy
y
\\er ^ Atldress
?
?
^
{'?RJ`?'
Elecrrcal Con mor (Corepany Name)
114- Comraclor5 Lmense No
Maihng qtltlress (COntracmr or Owne, Ma inq InstallaLOn)
Autnonzeo 5,9^amre IComractor/Own Mab
i ? ` Pnone um0er
11 - 3 S?o
MINNESOTA STATE BOAqp OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT
Gtlggs-Mldwey Bltlg. - Poom S173 BE ACCEPTED Bv THE STATE BOARD
1821 Unlversiry Ave., 51. Paul, MN 55104 UNLESS PqOPER INSPECTION FEE IS
Plrone(612)6<2-0800 ENGlOSED
qm
d
0 38000
flEQUES7 FOR ELECTRICAL INSPECTION
? See ins[mclmns (or complehnq Ihis form on Dack ol yellow copy
"X" Below Work Covered by This Request
??? Ea.00001.07
9 F/7 ?
e #i Rep, 7ypeof8mlding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Api. Building Dryer O[her (Speciry)
Comm./Industrial Fumace
Farm Air Conditioner
Other(specJy) Cantractor's Remarks
Compute Inspection Fee Below
# Other Fee # Service EntrenceSize Fee # CircuiGS/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 10D Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's use only TOTAL
Irrigation BoomS p(J ?
Special Inspec[ion ?
AlarmiCommunication THIS INSTALLATION MAY BE ORDER ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rouqn-a oate
cerhry that the above inspection has
6een made
Dat .
OFFICE USE ONLV
Tnis reqvest voitl 18 montns imm
RESIDENTIAL
BUILDING PERMIT APPLICATION
S_b3830 PILOT K OB RD, EAGAN MN 55722 ?o'c) v
651-681-4675
New Canelructlon peauhemems pemodeVRgpah Heauhemems
• 3 registered sNa surveys ahaxing sq. M. of bt, sq. fl, of house; arM a roofed arees • 2 copies of plan
(20% maximum bt coverage albwed) . 1 set of Energy Cakulalbns for heatetl eddilbns
. 2 copies of plen showmg beam & wiWow sizes; pouretl found design, etc.) • 7 stte survey lor etterpr atltlRbns & tlecks
• 1 set of Energy Cakulations • IMicate tl hane servetl by septic system 1or addiiions
• 3 copies of Tree Preservation Plan if bt pletled atter 7103
• Rim ,bist Oetell Optlons selectbn sheet (bldgs wilh 3 or less unds)
DATE S-?I" C-bZ VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _ Y ?N
NPE OF WORK ?n S?cT ??rny GJ9S ? ?!/I Pz(? l/f?I rl- FIREPLACE(S) _ 0X 1_ 2
(ne-U 2?e3f%?9 rNaSJ.?aV rci,qrc?
/ i
APPLICANT S?qtei.??a ?S S-P?U.ces'
STREET ADDRESS CIN j?aW?? STATE??ZIP SS
TELEPHONE # ?"/'?- yva' :?'76C/CELL PHONE # FAX #
PROPERTY OWNER 417'6 i7?4el' TEIEPHONE # (o3_d- &T3 - 0aa9,
---------------------------------------------- --------------------°---------------
COMPLETE THIS SECTION FOR ^NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submiasion lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Condirioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-------------------°-----------------°----°-------------------------------------°-------°°--------------------------
I hereby acknowledge that I have read this applicatlon, state ihat the Information Is correct, and agree To comply
with pll applicable STate of Minnesota Statutes and Ciiy of Eagan Ordin/ _
Signature of Appli t
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ L.awn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
?-----------------
? ???0,00"p? ?
i Permit# ? ii
i PermitFee:? ?
? Date Received: ?
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ft11 ? 31-0,T SiteAddress: /32,r .2
Tenant: SGk?1 A?n.? Jrv1n.??Yr ?q.^ac'?1 ? Suite#:
RESIDENT/OWNER Name: a6kA FtnJ Tern?lcr 6ir9,'n Phone:
Address / City/ Zip:
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work S/J,!
p
?
Multi-Family Building: (Yes No' _)
Construdion Cost: Y S v D.°°
CONTRACTOR Name: S:i6rfz.r/, ?- License#:
Address: g?I:
City: /I/VV State: 1&4.1 Zip: f S0a ?1
Phone: &S7- 716- 4-14?/ Contact Person.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Suhmitted
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 Plum6er: Phone:
Mechanical Contrector: Phone: '
Sewer & Water Contractor: Phone:
alocutrients thaf yousu6mit are considered:to be public'iniormaGon:, Fortions of ?
= NOTE: Plans and supporting
,
. ..:. . .___
_ the inforinafion may be clessifed as°_noJn''public=_ rf you"provide specrfc reasons ihat.rvould peFmitthe Cify fo
cortclude ttiat fhe` ?are frade,aeerets -9 ?. _
I hereby acknowledge that this information is complete and accurate; that the work will 6e in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x tl-?•?(3 S? C? 6?'lu? t t x "
Applicant's Printed Name ApplicanPs Signature
Page 1 of 3
C"I:TY (.lf 1=AOFlN
CAUW:I'E'fi;, J, TF:h:KINA1.. 1\10. 5313
DAiE=:; 07J30/99 T7'.MI_: 13c29;41.
IU:
NAME.a MiDWESI i'EDAfi T:I'.MIsETiCIOf- CO,.
320 9005 4077 IitPFF:[N ftAY 167.25
205 .`iit:ini 40"f'? x{nrra'.N rinv 4.50
?
?'
010 90Efi bnv_, uAC'r....ra? reny
0 2tS
?-
?: . ,
?
y
?1....., 9?ltl.i. . (3,.t:lE:i
::i;:?i.n JOIIa. -'?
4
' ..
7irrFtt??Y lJ?-
?
? I.2ti;.25
21.'J5 9C1;,:L ?r? "f'?7t?#?`,:!
C?CCl.Vn 3.00
;?i' I t7 900i 40£12 t:AMC;(i'fiµll:::l...l _ :i39.25
2155 9009 =ri-f_; t'AMF!:-FtWF.;I_L 3.50
_Gaka:i. Fii:cu:i.p+ An,ouni:r 17000
CF"I 1.1 674
I ifi[.F' 1.U^ :IAPJ
?kYFYf ?X(1kA?:?F?%X?k?k??'??C?CX(#?tXC%cYFMW?>k7k '?Fm 'MM%? Ht>k:H#?W
???? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulremenh Remodel/Reoatr ReauiremenTs
? 3 regisfered sife surveys showing sq. H. ol lot sq. H. of house 4 coplea of plan
and JI roofed areas (20% maximum bt coveraae allowed) 1 set of energy calculaFionf for heated atldiNons
? 2 coples ol plam (show beam E window slzes; poured ind. deslgn; etc.) • 1 aRe survey for exterior addRions 6 decks
? 1 set ol energy calculaFlons
? 3 eoples of hee preservaiion plan M loi platted aMer 7/1 /93
DATE: I I qq CONSTRUCTION COST: ao ?
DESCRIPTION OF WORK: ?C)I?E h0u5e- Qnol Shed
?-C?
STREET ADDRESS: () LJX_it N
/1-,/? ?
l/
LOT: ? BLOCK: SUBD./P.I.D. #: lfi rh
Name: &i 4+W BO) Phone #: 6?3 - oaa q
PROPERTY ta:t FUst
OWNER
StreetAddress: 'Tb?? r,Ci?/rl .LJrAt./ N
3
Ctty ? State: MAI Zip: ?55/07
CONTRACTOR
ARCHITECT/
ENGINEER
Company: M (OrI.V e_Sd TI fYl l2e??F-- Phone #: ?'"J/o;2 969'" LN9
(area code)
Sheet Address: I60 I ? G 1 iE?E ad License #okExp. 3L!2?c*a
City State:
Telephone #: area code (
Name:
ziP: ?5?3?
Sheet Address: Registratfon #:
City State:
Sel?er 8 wafer Ilcensed plumber (reaulred for new conshuctfon onlv
Penaly applies when addre:s change and lot change Is requested once permM is issued.
Zip:
I hereby aeknowledge ihat I have read fhis applicatlon, siafe that the InformaNon is correct, and agree to comply wifh all applicabl
State of Minnesota Stafutes and City of Eagan Ordinances.
Signature ol Appllcanf:
OFFICE USE ONLY
Certificates of Survey Received = Yes = No
Tree Preservation Plan Received Yes No _ Not Required
1991 0619ADION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TI,TIPLE DWELLINGS
COlMERCIAL
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRIICTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALGS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES SlEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS HADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRES5ES 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 PLUMSER.
To Be Used For:
Site Address ?/p 3} BA??,v iS9K i?,
Lot ? Slock I_
Parcel/Sub ry{ ,,?,A,fi7 ok,Gy/o, 24Pi,
Owner
Address /(-//
City/Zip Code
Phone ig ?--? ^ 0) Z Z9
Contractor QL-C(??'//q-STG?
Addressl?6? LG,F? e12 -?3?f0o
City/Zip Code t q 6?J, MN. SS / L Z
p /? c? ? ?tH t?[S
Phone p 70 - 6,s ??- ?51- 97 zA
Arch./Engr.
Address
City/Zip Code
Phone #
Valuation: ? Date:
OFFICE IISE ONLY
FEES
Occupancy Bldg. Permit ZS,yO
Zoning Surcharge *Szo
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length ? Water Conn.
Depth 11 X Z3 Water Meter
S.F. Total Acet. Deposit
Footprint S.F. S/m Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water Trail Ded.
_
PRV _ Copies 1.040
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner _ Lot Change
Council TOTAL
Bldg. Off.1,?T o. LJS
Variance
Sewer/Water Lice ontr.
? agrees that all woTk sAall be done in accordance with
at-uYe of Cont actor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
* c?Tr1V'w- ? ,
' -V( 2422 Enrerprise Drive
PIONEER Mendota F{eights, MN 55120
LANO SURV EYORS • CI V IL ENGINEERS
? enryll?Ieerin(`?r. LANOPLANNEFS - LANOSCAPENRCHITECTS
(612) 681-1914
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Certificate of Survey for. Tn LPQT TL UNQ Cll.. I? ?
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•,400.o Denofe5 proped E/evaliori Lowes Foor E eva ron "'so.s
------Uwnofes Drarnaie?L'filr? Easemenf Top o; Block Elevafion ie8.s
--+- Denofes DraincYSe Vow ,4rrows GarpeSlab Clevation 5BS.s
0 Denofes morrument o Deno es Otf sef Nub
Bearin?s shown are assumed 5+ect fo Easemerds 01 1?',qPcvrd
LOT 2I,-gLOCkl I, N1tLS oF STONEBaIDGE PlA-r 2
DAUOrA CavNrY
I here6y certify that this is a true and correct representation of a survey of the boundaries of the above descn6eA land, nd af the location of all
buildings, thereon, and all visi6le encroachments, if any, from or on said land. As surveyed by me thisday oIA.D. 79 ?? .
Scale : liRe-h- 40, Qef
Y'? FOBERT B. SIKICH L.S. FEG. NO. 14891
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. CI'7Y OF EAGAN NO ? ?898 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551?j,
PHONE:454-8100 ?
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BUILDING PERMIT Receipt # u??/
Tobeusedfor SF DWG/GAR EscValue $144,000 pate MAY 21 , 194D-
Site Address 4077 BAFFIN BAY N
Lot 21 Block 1 Sec/Sub. HILLS OF
OFFICE USE ONLY
N
Parcel No Oaupancy R- 3 M-1 FEES
. PD R-1
Zonmg
c Name THE ROTTLIJND CO. INC (ncmaqconsc V-N BIdg.Permn 794.00
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AddreSS 5201 E RINER RD
(Allowa6le)
V-N
Surchar
e
72•00
° Oity FRIDLEY phane 571-0304 eoisrories
6?F? g
PlanReview
$16.00
Length
o
SAME
Name
Depth
36 1
SAC, Ciry
100. 00
g: Address S.F.Total - SA
MCWCC 600
00
? City Phone S.F. Footprinls
S - Q
Water Conn .
625.00
On Si1e
ewage _
r
ww
NBme
On Site Well
-
Water Meler
90400
¢z
? Address Mwccsystem ?7
30
n0
? x Acct Deposil ,
<W City Phone arywater x
S/W Pen^it in - n0
PRV Required -
I hereby acknowlege thal I have read this application and state that the Booster Pump - SAN Sumharga - 50
inlormaLon is wrrect and gree lo comply with all applicable State of
Minnesota StaWtes and Ci of Eagan r a e Treatment PI 2 52 - n0
SignaNre ofPermrtee75??J.O APPROYALS RoadUnrt 355.00
A 8widmq Permit is issued [o, THE ROTTLUND C0, INC Planner - park Ded.
on ihe express condition ihat all work shall be done m accordance wdh all Council
apphcable Stafe of M
m
nesota Statutes and Ciry of Eagan Ordmances. Bldg. Off. _ Copies
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f 464.50
3
Buildmg ONicial I' '411 ?.I1l
14 Vanance - TO7AL ,
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SINGLE FAMILY DWELLINGS
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERE? 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.
XAY 17 ?CO
?rs
To Be Used For: ?rorp ?_ Valuationi ? Date: )Q y(?
?I
Site Address 40--72 OFFICE USE ONLY
Lot 'ZL Block
Parcel/Sub t-{?? r. e--?F
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Address '?ZpI F.. TLIl7FsF Y-os,Yl
City/Zip Code
Phone
Gontractor
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Addres
City/Z
Phone
Arch./
Addres
City/Z
Phone #
FEES
Occupancy R 3 M' I
Zoning PD R-I
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Actual Const V-/?l Bldg. Permit '
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Allowable v-N Surcharge rlZ, Ot1i
# of stories Plan Review S/(o,a O
Length 11IL/ ' SAC, City p075 O
Depth SAC, MWCC 6074
0
S.F. Total Water Conn 6 ,DO
Footprint S.F. Water Meter 90IOD
Acct. Deposit 30'co
On site sewage_ S/W Permit 3ao?
On site well S/W Surcharge 1SD
MWCC System V Treatment P1. ZSZ
City water ? Road Unit 36S)OD
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL ?D
Council
Bldg. Off.
?C $
Variance
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Certificate of Survey for: r n1 POT TL UN(?O. 1AJC ?
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2422 Enterprise Drive
Mendota Heights, MN 55720
(61L) 601-1914
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. 900.0 DQliOfeS PXl5fIl74 EIQVQfl011 PRf7l?Os??? ?05??
•,900.o perlafes prof?dted E/evofiort Lowes Foor E eva ron ???o-s
- bhnofes Orainaief L'fili? Fasernenf Top of 8/ack E/evafion s28•s
--? Denotes Drainc?e Vow Qrrows GaraeSlab Clevatron oS.s
? benof-es monumenf oVeno es Otf sef Nub
Bearirt?s shown are assumed 5u?'ect to Easemer,fs os'RPcard
LOT 2I,BlOCU /,14ILLS OF STOIUEBRIpCE PLA-r 2
DAUOrA CauNry
I here6y certify tha[ this is a true and cOrrect representation o( a survey of the boundaries oF the a6ove desai6ed lan?d,? /and of Ihe location of all
buildings, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this--$Xday of A.D. RJf?,19 0 ,
:40?reef l?
SCa?e : inch
8?f (? r' ? --- ----- R06ERT B. SIKICH L 5. REG NO. 14891
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OWNER
EXTERIOR . H.:vuiOPE AVERAGE "U" COb1YUTATION
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SITG ADDRCSS _L-Or
CONTRACTOR ?A , •' DATE PHONE
Determine working square footage of each. 1. Total exposed wall area ..... 2 gS& sq. ft. x•???
2. Total roof/ceiling area ...... //80 sy. ft. x ,02& = O.(o
Total exposed wall area above floor =(a_ 1
a. Total wall window area .............................
b. Total door area .................................... ?_ .
c. Total sliding glass door area .................... ..
d. Total fireplace wall area ........... .............. ?-
e. Total wall framing area (average 10Y<) ............... 2%?-- .
f. Total net wall area above floor ...................../ O
g. Total rim joist area ................................
Total exposed foundation area = `] ffi
h. Total foundation window area .....................•,• 7
?- .
i. Total net foundation area above grade ...............
Determine "Ui' value of each wall segment.
a. 2.53 X "U" "5?f
b. 3 ? X ,07
C. :9 p X „U„ 27- 60 .,
d. ? X liUll
e. 2/5- X "U" /6r71
f. /430 x „v„ ?o`f2
g 3/2 ? X irU" ?ZrTp
h. 7 X flUll
i. X nUn •/ , _ 7- C°J'
3 ......................................Tota1
!
.,
If item II 3 is the same as, or less than item 111, you have met the intent
of SBC 6006(c)'L.
Total exposed roof/ceiling area = //GO _
Total gross roof/ceiling area =
r??
j. Total skylight area ........................ ?
k. Total roof/ceiling framing area ............ ?
1. Total net insulated roof/ceiling area ...... /_-
Determine "U" value for each roof/ceiling segment.
7- L-? g uUn l1--- = G?
k. 7 / g flUlt 2-
f
1. g„U,l sQZS = 2,173
4 ..................................... Total =
Tf total of 1(4 is the same as, or less than #2, you have met the intent of
SBC 6006(01.
To utilize the total envelope system method, the values established by the
sum of items ll3 and #4 shall not be greater than the sum of items #1 and 112.
i. 32?.35 + 2
3. 2g0. 7 I + 4
-30. 6 8 ? 3S7,03
`?
2 :.65 = 320. `k
. • w1SLL JL.LTjl/I.J
lu7'6;,Use i0x,of opaque wall area for
irame construction
. ? e•uyu J oP n
Construction
R-Value
1. Interior air' film 0.68
2• C3'r P 13 R(? " 4 S--
3. lx4?, 5'rlidS ' (oo$S
9. 25/32 SfrTC.-
5. ?/U/-t?C+ vt?E/< FECr ? a ? ?
6. Exter;Dr air film 0.17
Total
v- oog-7 ?
l. Interior air film 0.68
2. ?LCaY, I? f3QZ D o S'S
3• ?UL L Gf/L) L[. '??fiSGG / c/. bU
9. 2 6-/3L 5/'17-e-?-- 2 OG '
5. O Vo?:.C' F E L7' ) e 2 6
6. FSCterior air film 0.17
Total 2 3,6 Z '
, (/_ ec7ef 2
1, Interior air film 0.68
2.
3. 12 X _ r11 l`/(
,
9. 2 5/3 Z S H TV.. 2 v0(?,
5. S/O/.tiC, C7V?/z /=E"27, / e z?c
6. Exterior air film 0.17
- Total 2 $,O S -
ov-U
1. Interior air film 0.68
2. // U0
3. 2?F( FUR R t N v
4. /2c, /3?ocf-- /.LFS
s.
6. Exterior air film 0.17
Totai 13oi3
, . .. v_ .?•??
. , . ? a
..?f=. Trl k
Jl/? ,
` r
• a
., ? ..
V .
f
. ?<< .•
Fzc. #4
' • W%
:
:
6 .
• • ` 4
` ?
• '?6 ` 1
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• _= ???
. 03 '. . o . iy •
a ' ' .
, •Rbor•/cEzLiNG
?
. •I ' fr
f"? y
??'• ? fi
• VEijT /?Il?IiIL'.,_ ?t71?1)?II I!1 lll)'1111? .
lenced Heat flow '
up
FIG. $5
?
• ? '
. i', .
ConstrucLion ' R-Value
1. Interior air film .0.61
2. C,Y T? S0
3. [3Cd?'.V iNSvt. ????a
4. Exterior air film (still) 0.6
" Total 3C7, 60
. . •, V - OvzS
.
,
?+--?'•?_t'- , .
'
1. In
t
erior air film 0.61
2• /
+
S?rJ. V 1 I I:E ?_-Q 50
3. /.v5lit ov(:!_-r/:U>' b
?s,?,?
4., Ertcrior air £ilm sti 1•
• • , Total
'
? • lf = .O2?T
, .
1- L(D
• • • , .. • ? . . '
?
1 Y.e:.c flow up . i , .•venCed . , ? ? ? • .
.. . . ? .
. : , . .. ..
. . „ . . . . , . ?
-. . . . ___ . _?-_. . _ , _ . . . .
. • ?
1. Insi.de ai.r fi.lm 0.G1
2. .
• l_ :I?.?A•.G1 9?: ?1';'+''?'??,'•.::?.1? •??:? • 3 •
• ? unnq?LaJ?' :? • •
4•
?- '' •'•;"•; '•' .' .. ' S. Qutsxde air film 0.17
'
,r?? ? • To tal
i
? ? t •? , ,`? . . • ; ' . , . • . •
• H027-VEiv'TEp ,' ' NoCC: Use additional sheets •if more space i.s
,• ???• ' • needed for deL•ails and calculatians.
' . Heut ? ' ,
• , , ?flov up ? .. • , .
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i ? . , .. . .
fi.T.r,. ?A7
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LDt a/ Blak i
suna./
UNDERGROUND SPRiNKi.RR SY5TEM
PLUMBING PERMIT
Date s - X5 - v a
Receipt # ? 0 1 o '
_ 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.
_ Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
Y D 7 7 ? Atf=.?/? /,?AY N'
(Address to be sprinklered)
numcuwneriiiumber: L- I<Z7'7-911?-
Phone #: 6 ? 3 ` Uo"Zv1?
Street Address: "-710 77 Q,9-r N-
City, State, Zip: . f,4 vAnJ
Owner Name: _6S L- t---
Street Address:
Phone #:
Irrigation Contractor: J? L r
Phone #:
I hereby acknowledge that I hav read this application and state that the information is
correct and a?ee to coly wy?all applicable City of Eagan Ordinances
cc: Engineering Department
70?0,4
raTY TISu n
G_NILT
LOT ? BL ? RECEIPT #: ? I? Y' J I
SUBD. CTI lIS ?? 1?Wt?rf AAv. S?G17 ? RECEIPT DATE: 1 0'n-"1 ?
MECHANICAL PERMIT #
1999 MECHANICAL PERMTf (ftESIDENTIAL)
crrY of Etsax
S$SO fILOT KNQB RD
$R6RH MN 55122
nace: (651)661-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
,
Complete this secrion or:lv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
? New _ Alteration Repair _ Other
Reminder: Ca11681-467Sforinspections.
? Furnace _ Air conditioning
_ Air exchanger T^ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS
OWNER NAME: _
INSTALLER NAME:
STREET ADDRESS:
CIT'Y: ?
7
_ PHONE#:
(v,xFa onE)
PHONE #: <J- - ?J St OG?7 (-
,? n caREa cooE>
STATE: /?''l 1-7 ZIP:
SIGNATURE O ^ ITTEE
? 5? / ,t`63 7
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108754
Date Issued:01/08/2013
Permit Category:ePermit
Site Address: 4077 Baffin Bay N
Lot:21 Block: 1 Addition: Hills of Stonebridge 2nd
PID:10-32991-01-210
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
John P Larson
4077 Baffin Bay N
Eagan MN 55123
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140772
Date Issued:01/20/2017
Permit Category:ePermit
Site Address: 4077 Baffin Bay N
Lot:21 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-210
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
John P Larson
4077 Baffin Bay N
Eagan MN 55123
(651) 210-9895
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147293
Date Issued:12/26/2017
Permit Category:ePermit
Site Address: 4077 Baffin Bay N
Lot:21 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John P Larson
4077 Baffin Bay N
Eagan MN 55123
(612) 986-2865
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149794
Date Issued:06/11/2018
Permit Category:ePermit
Site Address: 4077 Baffin Bay N
Lot:21 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-210
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 -
John P Larson
4077 Baffin Bay N
Eagan MN 55123
(612) 986-2865
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169776
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 4077 Baffin Bay N
Lot:21 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
John P & Jennifer J Larson
4077 Baffin Day N
Saint Paul MN 55123
(952) 237-2601
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature