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4285 Augusta LaneCil r Ut LACjAN ? iAIATER SeRVlLE PEiTMtr 3830 Pilot Knpb Road P. O. 8qx 21199 PERMIT NO.: Eagan, MN 55121 DATE: '!^?'^ r =a+?n!g: No, of Units: - 1 Mrw io aanpl/ wil6 tw Cily oF Eo9en OrliM ey of I nsp.: ?-- Surtharge: . x ? A u Misc. Chorpes: J. `? Z.00 nd TOtGI: 10 r?rd mtnr Dote Paid: .,Plumber f r"1s.. t : r . i Meter No.: 5 _ Connection Charge: rJ1Z8: , f Kal AGCOUflt D@pp5it: - ; i Reode No.: a??- .Zo 7?? Permit Fee. WATEit ScRViCE PERMlT 0 Pilot Knob Road 5? P. O. Bc?i 21199 PERMIT NO.: Eagan, MN 55121 DATE: 3/9-f, /" r Zortl^g- No. of Units: ? pwrwr, .7oE "•_11ier Ccnst Address: 4:::;` rurusta Lane Sfta Addrcss: L2_71 ?'Lit:get 1 Plumber. ° I =, ut l, AAeter No.. Connection CharQe: JQ Pd $iZe: ACCOUnt DepOSlt: (? Reader No.. Pertnit Fee: I ofrM to oeaPhr wieh Uw Ckr of Ea'on Surchcrge: oAb..ea. Misc. CFaMes: - 132.00 pd Total: FLCO ; ri mrar By Date of Insp.: Date Paid: Inap.: CITY OF EAGAN ? 3830 PiFut Kndb Road P. O. Box 21199 Eagan, MN 5?5„1i 1 Zoninp: !t Owner. 30e 74fi11er C'onat SEWER SERVICE PERMIT PERMIT NO.: 7187 DATE: No. of Units: Aderess: 4285 Site Address: ugtlsta I.aII• L2 B1 Sunget 1 plumber PI ut'h Plumbin 1 pro• ro eo?nply wleh ere CiFi ef Eagow 425 ? Ordineaew. By Dote of Insp.. c;onnectton f3+arQe: 900 pd /lccount Deposit: 15.00 Il,d _ Permit Fee: i .1 ?(Lpd Surchorpe: Misc. Choryes: Total: Date Pntd: .? CITY OF EAGAN 9 95? 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 • PHONE: 454-8100 BUILDING PERMIT Receipt # :.. .-, ;. 6 3 Tw 6. ....A 4e. ' Fd Vnluc r J 0 C, dnrw _ 19 Site Address Lot 2 Psrcel No, _ Name ?{.,? a._ ._. , .., ?..s.._.. ,....?_ ! ... Address _? ? ULx, .,?--- ,? Name ?? AddrE ? Citv _ Erect ?l Occupancy r -? Remodel ? 2oning Repair ? Type of Const. Enlarge ? No. Stories Move ? Length c y Demolish ? Depth 4 c Grade ? Sq. Ft. ? Assessment Water 8 5ew. Police Flre Eng• Plonner Council gld9 I hereby ocknowledge thct 1 hava reod this opplication and state that , pff, A the informotion is torrect and ogree to comply with oll opplicnbla ? Stats of Minnesoto Statutea ond Ciry of Eagcn Ordinonces. , Var. Date Sipnmure of Permittee A Building Permit is issued to: oll work sholl be done in accordante with all opplicoble State of Minna Buildinp Officiol Permit Surchcrfle Pfan Review 00 SAC S''00 Woter Conn. 00 Woter Meter 6' • a 0 Rood. Unit <. ti C; . 00 ' ?'• 13''.0G Totsl ? 014.50 on fhe express tondition that Srotutes ond City of Eopan Ordinances. Psrmit No. Permit Holder Date Telsphone # Plumbinp H.v.n.c. 5 5 % Elsctric $ - Softaner Inspection Date Insp. Other Footinyt 3 3 ? Foundation Framiny Roofing Rouqh Plby. Rouph HVAC g s Inwlation Final Plbq. fl Desc?ibe Location: + t Receipt 1. Date • , V. 3. Job Address • 4. Owner ` 5. Contractor 6. Address ' 7. City -? PLUMBING PERMIT CITY OF EAGAN FiII in numbered spaces Type or Print /egibly Psrmit No. % ! 7 Fee _ S/C Tot 2. Installation Cost ? ? Lot Blk. ' Tract ' r r Phone State Zip 8. Building Type: Residential 0 9. Work Description: New 11 1 10. Describe I 11, Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures CesspooUDrainfield Bath tubs $eptic Tank L.evatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray ? Floor Drains Drinking Ftn. Slop 5ink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed for Rough Final Inspections: Date Insp. Uate Insp. I This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fw Fi!! in numbered spaces S/C Type or Piinc /egibly Tot 1. Date 2. Installation Cost 3. Job Address 4. Owner _ 5. Contractor _ 6. 1 ? 7. City - t e State Zip 8. Building Type: Residential ? Commercial ? institutional ? 9. Work Descxiption: New ? Add O Alter ? Repair 0 10. Dascribe Fuei Type 11. No. EquiAmeaL B TU - M. Es. Forced Air No. Eauiament CFM Air Handlin : Mfg. • g Boilers Mfg. Mech. Exhaust ? Unit Heater Mfg. Other Air Cond. ? Mfg. Gas, P'iping Outlets 12. I hereby certify that the above information is true and correct, and I ayree to comply with a t ll ordinances and codas governing this type of work. Signed : for Rouph Final Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Lot - Blk. Tract ?' CITY OF EACaAN Remarks Addition SUI35ET FIRST ADDITIQN Lot 2 Rlk 1 Parcel 10 72985 020 01 Owner srreet 4285 Augusta Lane state Eagan, MN 55123 Improvement Date Amount Annual Years RS Payment Receipt Date STREET SURF. STREET RES70R. GRADING SAN SEW TRUNK 1981 168.57 8.43 20 . 126.47 A015625 6-11-8 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 19$1 1($.5] 8.43 20 126. STORM SEW TRK 1985 547.79 36.52 15 . 511.28 A015625 6-11-8 STORM SEW LAT CUFB & GUTTER SIDEWALK STREET LIGHT Road Unit 280.00 50024 3/11 85 WATER CONN. 500.00 it BUILDING PER. 9957 sac 525.00 PARK c n , „( i1i9/ ucensea ue<?r¢ai bonvacmr 1 here6y reqvest inspection of above ner elecvical work imtelled at Sveet AA ress, 9oz or Route No. Ciry ' .4 85 F ctmn o. Tow01s1o0 N ar No_ Mnpe No_ County Occ t IPRINTI ?} ??e No- ?? ' ?DVlier Atltlress _ Y Eleclri I Cmnacta ICOnWw Namel Conhactor's License No. 'u NadinB Address (COmractnr or Owner MakiM ImUilalion) Authori2jW Si9m1ure ont ctor , Pak inp Iretallavon) o e NumOer ? YINqFSOTp gTpTE pppRp OF EIECTRICIT' THIS INSPECTION REQUEST WILL NOT 6ripps-LidnraY Bidp. - Iban N-797 BE ACCEPTED BY THE STATE BOARD VNLE$S PpOPEfl INSPECTIpN FEE IS 1821 UniversitY Aw-. SL Paul, YM 55704 PAone 16121 2972111 ENCLOSED. r! x?/? REQUEST FON ELECTRiCAL INSPECTION ?J V•? , See iretnc6ons for ca?lenii.g ihis f«? on back of rellow coDY. "X" Be/ow Wark Covered by This Reguest B28819 Es-ooooi-oa N Fee ServiceEnha?e5ize .P Fee etlers/Svbl¢eders k Fce Circuits ) 0 to 200 Am o 30 qm s P 9/oZ 0 to 30 Am Above 200 qmps to 100 Amps 31 to 100 Amps Swimning Pool 70P-Amps Abo? Above Amps Transiormers Irti tion Boorrtc Partial•'Offier Fee Sig?s Speciai Inspection S ? TOT/.`(.4EE Pe?arks / L J-?? ? itough-in Date tn Iectr r 0? ? r , Imspector. trer¢bv ' th ca a[ the abpve Final ' Dat? ? paction has Seen I ?de. tIW rpueat Md 18 monllcbdn a7?-5o 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT 0 55122 651-681-46 5 ? New Canrirucflon Reaulremenfs ? 3 registered sBe surveys showing sq. k. of Iof, sq. fl. ot house and all roofed areas (20% maxlmum lot coveraae allowed) > 2 copies of plans (show beam R window sizes; poured fnd. destgn; efc.) > 1 set of energy calculaffons > 3 copies of tree preservatlon plan M lot platted afler 7/1/93 DATE: /-/-,; ? /- 9 9 DESCRIPTION OF WORK: STREET ADDRESS: Remodel/Reoair Reauiremenfs 2 coptes of plan 1 set of energy calculaTlons for heated addHions i sRe survey for extedor addRions 8 decks CONSTRUCTION COST: LOT: BLOCK: Sl1BD./P.I.D. #: Jl?t Y?? c Name: 0 oovU Phone #: ? 571 " 1-1.56 - 93 -?) C, PROPERTY Lan First OWNER Street Address: City State: Zip: ComPany: 501-n' 6m4- Pnone#: 9?20- (area code) CONTRACTOR Street Address: ?V License # G IW* Exp. a 3 r allo City ? S? State: I ' vV Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Sheet City Sewer & water Iicensed plumber (reaulred tor new construction onlv): 7L-- Name: Registration #: _ State: Zip: Penalty applies when address change and lot change is requesfed once permit Is issued. I hereby acknowledge fhat I have read ihls application, sfate fhat fhe information is conect, cnd agree to comply with all applicable Stafe of Minnesota Statutes and City of Epgan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED Certificates of Survey Received _ Yes _ No APR 3 0 1999 Tree Preservation Plan Received - Yes _ No _ Not Required BY: 4 5-ci 1O• ? CITY OF EAGAN N o 9 9 5 7 3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Reu+pt # r_ " ,,,A I,,. SF DWG/GAR Fo vm,,. 563, 000 nm. MP.RCH 11, 19 '$$57- SiteAddrese 4285 AUGUSTA LN Lot 2 elock 1 Sec/sub. SUNSET 1ST Parcel No. W Name JOSEPH MILLER CONST ? Addrms 18133 CEDAR AVE SO Citv FARMINGTON Pnone 431-2001 o Name SAME i? Address ? Citv Phone Name Addrets City Phone I hereby ocknowledge that I hove read this aDDlicohon and state thot the inlormofion Is Correct and ogree to comply with all opplicnble Stota o+ Minnesoto Stotutes nd City of Eaycn Orduwnces. 5{pnofum of Permines ? "" ?y w Bundcny Peanir is issued to: 30S . MILLER CON oll work sFwll be done in ocmrdance with all?eppliwble Stat?Mh Buildinp Officlol Erect RJ OccupancY nj Remodel ? Zoning Rl Repair ? Type af Const V Enlerge ? No. Stories n4ove ? Lenetn 44 Demalish ? Depth 45 Grada ? Sq. Ft. Instali ? AoOr"ala Feas Assessment ' Wofer $ SeW. Police _- Fire Enp, Planner ' Coun,iil Bld,,. Off. 2/ 2 7/ $ 5 Date Permif -izz. 0 Surcharpa 31.50 Plan Review 161. ? 0 SAC 525.00 Wafer Conn. _LDAi0 0 Wotar Meter 63-A 0 Rood Unit 2111- n0 T.P. 132.00 Total _$ 2. O 1 4_ S p on ths exproaa condltlon thol Statutes and Ciry of Eapan Ordironces. ALL CONTRACTORS MUST BE LICENSED WZTH THE CITY OF EAGAN ?./ ` ?,?.G?A/???i -?j3 ? p? INCLUDE Q SETS OF PLANS, CERTIFICATES OF SURVEY • ? SET OF ENERGY CALCULATIONS To Be Used Forx V?t(J 190yyj,Q? Val uation:? Date: Site Address: ?ojg,? ?Ll?/`? ,L„Ld n,? CX?J, `- • • • Lot:"? B1ock:_L_Sect/Sub:,S(,t?,p.?t Erect: ? Occupancy: R-3 Parcel #: Remodel: Zoning: (Z_? Repair: Type Of Const: Q Owner: Enlarge: # Stories: Move: Length: ?r Address: Demolish: Depth: ? City/Zip Code: Grade: Sq. Ft.: Phone #: Contractor: Address: d-3 hdll Q?,.Q•.5[^ • Assessments- Permit: 322.' City/Zip Code: Q.!'n" ?4M. !5Z)g Water/Sewer: Surcharge: 3I, ? Police: Plan Rev.: 1toI,v Phone #: q3?-,?200 Fire: SAC: SZS.=° Engr.: Water Conn: _c5oo.°= Arch./Eng: Planner: Water Meter (03.°-' Address: Council: Road Unit: ? Sldg. Off.: rks: City/Zip Code: APC: 7PL ?g2.= ph„nPA. Variance: 0 76 T,M ? ?/?• rj Q TR1-LAND INC. Certificate of Survey for : : SURVEYING SERVICES JOE MIL L ER C4NST Eagan, Minnesota 55121 N I , sca..E 1' , = 30 •N ?i --- ? -------- - -- , ?I 2 1-oZ W Z , ? ? ? ? -------- ---- N i 1Op N ? dl a N 3a . -a ? ON? ' ?g q tc ------------?,o O °o 2 u" J I ? ? c? ? 25. 4 LEGAL DESCRIPTION: Lot 2, Block 1, Sunset First Rddition, Dakota County, according tn the recorded nlat thereof. Garage I-loor elevation is set at 931.50 i hereby certify that this survey, plan or report was prepored by me or under my dirett supervision ond that 1 am a duly Reqistered l.ond Surveyor under the Laws of ihe State of Minnesota. 8radley . Swenson MMn. Req No. 45235 Date: z1PU/8S - CZTT OF BUIiLI1G DLPA R'PW11T SI7MOR ENVELon G! •U" COMUTATIOM (To be submlttod vdth bulldius petsit applieation) On• or t-wo faaily dvellitg ? All csthar Contractor -105Fpd 11&LFp- ?o.?ST. $3-!OS Orr?er ?3-10-5- Sit• address 'Jai u- tZGLQ (,4Q, &rb Dat• l/-Z/-53 one 3i-200 f LIMBAL FT. OF 1 EXPo9ED YIALL -5156 ???raeK S{?E??? ft. •bove arad• ?OTAL EXPOSED WA Q. . OPAqUE MAI.i. CONSSRUC'tION: "U" value x area F{zamE wAI-L "u° .043 x sq. "U" .4/09 x sq. , O ?U? •OQ? :t 4?. Detail reference "U" x sq. f-om "U^ x go. actached eheets "U" x sq. "U^ x e;. "U" x sq. "U" x 5q. "U" x sq. dINDOWS Make k w "U" value x •rea Lype w SE& woA1L SFIrET "U' .SZ x sq. ^U* X 9q. *U" J[ 9q. "U~ x sq. 'U'- - x - sq. *V* X sq. w w w n w w DOOR4: "U" value 3lawe ! Cwpe X •IYi rt.1775.01 _ 6> 3z (u)tA ft. Ic?p.50 . (U) (A ft. 127,i3Z - 5,Z4 (U) (A tt. - (U)(A tf.. (U)IA ft. (U) (A (U) (A it. (U)(A fC. ? (U) (A ft. ? (U) (A tc. 157.99 - S2.1S (u)(,? ft. - (U)(A, ft. - (U)(A; ft. ? (U)(A; ft. - (U) (A; ft. = (U)(Al /?ISUL"U" 1 4 x 9q. fi. 49•00 ? ?O.SCO (U) (A) U. x 3q. IL. - (U)IAJ "U" x sq. ft. M (U) IA) "U" 7[ 9q. fL.. (U) (A ) Z17.7o _ ?OT??.ZZ1?- sy. rs.2l7, o (u) cA I'OTAL (U)(A) VALUES )IYIDED B7 TOTAL MALL AREA 2Z10.3Z *0913 i VEAAGE "U" ,185;W or ltsa for 1 k 2 familr 3`we?llinge ,23:l2 or less for all other buildin=s aDOF/CEILING: 0?AL AREA: IZ?? sq. ft. )etail reference SEE woQX s?lKr7"U" .017 x t'TOS ~UN Y i[taehed eheets. "U" u )*serib• openinss "U" x 1 n roof. "[!" r sq. tc. Zoo - O. D (U) U) sq. ft. - IU1(A) sq. ft. - (U) 1A) •q. It. - (U)(A) sq. tt. - (tl)(A) '0?AL (U)I) VALUES . 20-40 ? ?TA?.--ZOb Sq. ft.?•4D (U)(A )IVIDEB BT TOTAL ROOF/ /ZOO •O17 CEILING AREA ?- VERAGE "U^ ,04:*V for ventllatod roofs Q0 .0 for all other corsstrvction . . • -? WALL sr--CTJoN - ? I)E[ELMININU "U" VALUE.-s AT 1ZQDFI WAIL, VINI , ANU CDNG. BLK. RDof= I CEIL1146 (R) vALuE Q ?14TEK10ik AlX fILM O.&I O S/s" 6*cP. BD. .56 ? INSULA'[ION 5?? O EXjERIoR AIR FILr1 .(vl (STILL ) U°- I I R=.017 ToTAL (R) = 577$ 1 WALL (R) VALCIE Q INTERior- AIR f ILM 0.(08 Q lh" GYP. YO.- .45 QQ gyz" INSUTATIoN 19.00 cq 2?3w' BwaT-j&ta. Z.otp QQ (hAsDNITE. SIDIN6 •b7 u ExjeRioR, AtR FILM ,t-i 0¢3 ToTAL (R) = 23.03 ? RIM (R) VAIUE iQ INT?IzlnR AtiR Flu'l 0.(08 5l/Z IN5ULA7Iot+ i9.oo FiR RlM .bisT j.88 15 LqW Ppg"p= ?r0?0 (9) MASONITE. 51v1NC, O "TERioR AIR fll.M .I? 11 uu _ I rR ToTAL (n)= Z4,1to f foUNDATioN (it) VALUE (0) INTEV-IDf? AlR FiLP1 0,6g ? ? 2i 12" Cbr lc,, '6LK. I .23 n ia EXTERIoR AIR FIIM , ll llu,i= i?rc= .4r? -roT?? ??<?= Z.r3 ? ? r . r! ?ogK :??4Er '/ ;;! 8.83 x ?44t49?t33+33 (14tqf+31t31 ,;? • (v7 X ?gg?? t 3/f3/? df 1 ? .. 83. _X (_44±44t 33*33?-- - /, 359. SZ =- So. so Z, Z 10. 3 Z?c = i?.so ?- =---- 12187- 4- Wi? 16 X36 = 4.o x 4 ?Ox3&=- SO X , -"" 24x 3(r- lo,o -X -4-' Z4.oo- 7oY49, = le.foln X ?o = 39.99 z4x4B = 8.0o x._6 = 8.? -- - _ -- - -- - - /ST 9?,?- -- - - -- - ao -- -- ---- - ---- ---- - - - -3=__??1? ?,?• .1,??L,.---=------18.? - - ----- - ---- -- - - -- - ---------__4??? ? . _ - - ? - ? ?-?------- -- ----- - __. /a7.sz 1R/dcow5- - - 157, 9 q_ - 1.7750I --- -- - - - -- ,? 7x8 /,z??- ? 2/84 CITY OF EAGAN APPLICATION FOR PERMIT , • SE[QER AND/OR WATER CO:QNECTION (PLEhSE PRIHi) 1) PRO°Er1LY ADDR.SS : ?{ g5 ? 44 !! S ?? LFG1L DESC-UPTICV: (Io t/B1ock/Subdivisicn or Twc Parcel I.D. Nts^n2r) ? I'r' S-Mi:C^T:%W, DAT' 0_° 02.T.GyIAL :iiI:^.D:G P•°?SL'?' ?.^,:II:F:/PT?OPOS. TJ L'S?: C?'J R-1 SL=- cPMSLY ? R-Z DUPT.= (T;? LMITS) 0 R-3 TCrt-aNECUGE ('??-:.°.-= y L'::ITS) ( LNI'^S) ? c2-4 AFPvZ'^'t"IT/CC::DG-LT?72[,tii ( InITSi Q CC2.nIE°CL?L/RE:?IL,/Cr'?'IC` ? L-mliS-m-Lu ? NSTI'i't,TIC:In/(M???n1EZ:T 2) ppPISG.NiT IPLEaSE PfltNlj N7?•SE: ?:? !7,•!ka- ADDRESS: /6/3 3 [ er(-4?i- ?i•? CT'_'"l, STAT?.', ZIP: PHO.IE: ?2601 3) Pum=, (PLEdSE PH1Ni) FOR CITY USE O4lY NrrE_ PL(1M8 5 LILE,YSE: PTDRESS: %?f???1 .?3/ZiJ A?? •U Attive CIT1', STATE, ZIP: /s Expired Not of Record PHONE: PLU,MBER LICENSE H?p(oS-!// a nit3a 4) O=ANT/Or.';,ER NFl["IE: (PLEASE PBP,IT) ADDRESS: S9/NC. .9? ?;27 CITY, STAT'E, ZIP: P[IO:VE: 5) IINUIG= S9FiICH PERMIT IS BEIiNG REQCTESTID: ? CODINECTION 'P'J CITY SL•Ti7II2 CONDTDCI-ICiV 'Ib CITY WP,TEFt ? 0i11ER (PLL'ASE DESCItIIIE) ? PLrASE f?OID APPRCNID PER%IIT FOR PICI:-UP BY ONE OF ABGVE C] PLFi'1SE p*AIL APP?20VID PEP.•LIT TJ 1. 2, 3, 4 ABOVE (Circle one) 7) SIC.NT[.'RE: llJo.w??/7//Xl?st^? DATE: ? Z ?9,t? M4 mlAaL-f4ieJes?r ralatgse:al: ntQ.ss?o?s?s s sisa-a:aa R?lEIla?isirl?? a 1?l?es'?sar F 0 R PERMLT " ISSUED . ? C ITY U SE ON;,Y F°ES: $ zd.vrJd $ S S uC.???f-d $ $ $ $ $Ei^IER ???RM7'^ (I`ICI.::DE SU?C:i?RCc) WATER PEFtPtTT (Ii.Cii;D: SliRC?:AcZGc',) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STCP) SE;vER TAP ACCOUNT DEPOSIT - PIATE3 WAC SP.C TRUNK WATER ASSESSi4ENT TRli:dK SES9ER ASSESSME?iT Lr1TERAL BENEFIT/TRUDIK SE?1EIR LATE:ZAL BENEFIT/TRUNK S4ATER OTHER ' $ TOTAL $ AMOUtiTT PAID/REC°IPT 5/0 G DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEt7 A"PERMIT FOR TAORK WITHIN ? PUBLIC ROADWAY" MUST SE ISS[IED BY THE NO ENGZNEERING DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOS9ING CONDITIONS: APPROVED BY:p?<?? TITLE:,?/? ? DATE: 'E 4m'm 'lum r ms" MR-" wcmra ?? UNZW IN PERMIT City of Eagan Permit Type:Building Permit Number:EA118657 Date Issued:11/05/2013 Permit Category:ePermit Site Address: 4285 Augusta Lane Lot:2 Block: 1 Addition: Sunset 1st PID:10-72985-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Jeff Pelant 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 - Jon B Morris 4285 Augusta Lane Eagan MN 55123 (651) 592-6427 Legacy Restoration Llc 14000 25th Ave N Suite 110 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature For Office Use Permit 0: 151 (9+1 Permit Fee: ( OS•a C, Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: 3-15,3 buildinginspections@cityofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: �� mow: Name: y� ,l eIN) e �; ,1 iti/ Phone: esident! , I , Owner I.Address/City I Zip: 5- i'lv (ry s �r�} OV v Applicant is: Owner ontractor of W Description of work: ` ; c t L,V1 0 UVJ Construction Cost: ,_(„. 4:.) Multi-Family Building:(Yes /No ) �� Company: e�11 n"� ) �A (� (;''d IG � tact: .� \ 'v l. Contractor Address (i'C' C( l -'� cr0 ,-1 - City ll D �!�,`�/l11 U Jn Stat `~' Zip: 7i > ,- ti, 1/\/) ,- ()K1_, ek 7 Phone: Email: � `'ay,,( ¢ IrliVri License#: trivr2 �� <l l Lead Certificate#: G,,�-c- 3— J If the project is exempt from lead certification,.please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has tfie City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NDE fans and"supporta do nts that ©u;ubmi , x �r.� to .0cfered!o i i0aforination. Porti©ns offhe ion mey be clammed as nonpublic if you pi iide specific reasons`h t would permit th ty to conclude atthey. v "n e i' You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this`information is complete and accurate;that the work will be in conformance with the ordinances and codes of the Cityof Eagan; that I understand this is not a permit, but only an application fora permit, and work is not to start without a permit; that the work will be in accordance with the roved plan( e case of work which re uires a review and p PP P r q approval of lans. ..� Applicant's Printed Name q I, phc ts- nature ___......-- 7^,,,,,,-. .._ "" ��