4171 Beaver Dam Rd
INSPECTION REC- V.,
WJFL
CITY OF EAGAN- - PERK 'P'TT!
3830 Pilot Knob Road Permit N1ur•.~
Eagan, Minnesota 55122-1897 Date Id81U9d:
(651) 681-4675t'~'
SITE ADDRESS'" . ' - N . ~ 1. A •--10 4 5 N --.0 7 0 61 APPLICANT:
1,0T! 7 Vt.ot:Kr 1
N 11.1 SLAVFR DAN RD SUR1106AN FKTERIOR"i
(f~l:''1 f981^•~Li;a' x!;
01 ! i I I 1Y cOMMOW'i
PERMIT SUBTYPE: TYPE OF WORK:
N01 1 r . ~ N V'k (.1 it f P Otto
DESCRIPTION
E-~ {INA1.
11
rtFMARvs, tmci 1.Inps! 4116. 4179, AND 41HJ.
r
I 'r
may, ~f~
Permit Holler Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: st► x x ae
3830 Pilot Knob Road Permit Number: R21H9~
Eagan, Minnesota 55122-1897 Date Issued: J 7 j9
(612) 681-4675
- SITE ADDRESS: P ` ) ' H. ` Z 70-01 APPLICANT:
4111 f1fAVF R DAM 10) oil AIA Svc COOSt'R Inc
f)tiftf Y ('~lOlaCla:'a (tif:.r} 1~3t3--~1~$,:1.
PERMIT SUBTYPE: TYPE OF WORK:
ST(WN DAMAfit' REPAIR
FRA14TMO Rt)0 I14A
FINAL
RF14AW I"NCIM)CS 4116 ('I.01 H) 41?9 (i (IT 6) 44."3 (LOr 6) OFAVFR OAK 00
-7, 77 771
x f -
r ''qq i a t
71.3
`E,v - p t C r
Permit No. Permh Molder Date Telephone #
ELECTRIC
PLUMBING
HVAC
kupwdon Data Insp. Common
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GASS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
TEST ORSAT
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
0631-
SPE, Tio A co
CITY OF EAGAN tl'
3M Pilot Knob Road PeA'hlt Nulob .
Eagan, Mhiesota .°x5123 is
(612);681,4675;x'
i7i / R 4, ttr z ,yri
~~r~ ADDRESS: APK- IC
OIFFLKY COMMONS cit-iso6
PE"M
®T~rPE: TYPE Of WORK";
Jr
PAL
VMPLAC>E
wN 1aK : e s WCO01r. 14 3'rOW VALL4Y VtV ii
f qT
dM d
Pm
,ow **a
1Uld • w
moo
WAR
"Willi
-044 WOM
upppurllc~j
Mumma" - Y f
M w0 wooft"
QO ~7 ~,eQ - 1.
• 11118
# MJ, aM0 JNM *Ui d VN voi fi
Tra ftratr of (Orrupaury
Up of (Eagan
Drew ttttrttt of lttil wo JIUWrtiott
This Cer<{fiaw issued pursuant to the requirements of Section 306 of the Uniform Bullding
Code certifying that at the time of issuance this structure was in compliance with the wrious
ordbumces of the City regulating building construction or use. For the following:
the ClIMM Boa 4 PLEX Bkl& Pan* No. SOS
zoning o PD/R4 [ype Comt -
Tn. R3W l
O"M of ww" E RMI LM m nc Ad&= 5201 E RT~? RD, FRTrA.FY
Addma 4191- MAM -.401 R= Lock T.S. R), T1TM RV c7T44*M
9/23/92
e~aa Officw/
POST IN A CONSPICUOUS PLACE
Address: 4183 BEAVER DAM FDM Lot 5 Blk 1 Sec/Sub DIFFLFy CQmWM
These items were/were not complete at the time of the final inspection.
9/23/42 Yes No Tnuentore
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish L/
Deck
Please verify 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 before
freeze potential exists. -az vce
o~
White - City copy Yellow - Resident copy Pink.- Contractor copy 11
Qf ~2
INSPECTION RECORD
CrrV OF EAGAN PliWTYPE
3630 Pilot Knob Road fir iwrxor:
f=agars, Minnesota 55123 Dos IssmM
(612) 6$14-675 .
SITE ADDRESS: /1PRlrFTt ,
t179 NCavaR OAN a* i►bt' t~ `
DZ:FF L E Y C 84
ry
PERlfrr
.&gTYPE: TYP E WOR i>r
t"WI.ATION IR 11A~, ~ ` S;
~xRtowf.Aca
`~;71
fas"XI-s a . 6 W G"ACT'IM iRAtlt4r PLDS
r t
zk
A,
r`
tf& Po n+iI#~ oale telepneaei
sow
iinopeopm gift how
I AAP
ZZ7
And
f 14 Ali,
o
Anal PRO Ft* kupdow - Nn, P"dw
Const Mleter
EnprJPlan
Bldg. Aral
Deck Ftg.
Deck Anal
IAre~
Pr. mp. .
~'Ff ~ ~~lrJ
.i
1j
(gtrttfiratr of (Orr paury
titp of talgan
D>lpu#tc> W of lkdlbt " imwtrtim
juaate issued pursuant to the requirements of Section 306 of the Uniform Building
ThisCaW
Code certifying that at the time of issuance this structure wu in compliance wish the Various
ordinances of the City regulating building construction or use. For the following.
use a.mmCglim 4 'T1EK Mds. Pandl Nm 806
O-UPSOCY Tyne R3/M 1 zomog DbRia PD/R4 Type r,.,.. VN
Oww or lbuUm Tt~ IiC3TTfI~ID IN:' AddM 5201 R RIVER RD. FRTM FY
Adam 4174 BEAVEFt,DAM EGAD L,,ww lk. Bl. DIFTIM 001M
4/23/42
B.&* Offid9n
POST IN A.CONSPI000US PUCE
3
Address: 4179 BEAVER DAM RDAD Lot 6 Blk 1 Sec/Sub DIFRM rt g
These items were/were not complete at the time of the final inspection.
Date: q Yes No
Final grade (6" from siding)
Permanent steps - garage r
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck f~.f
Please verify 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 before
freeze potential exists.
pECYCL[D MPER
White - City copy Yellow - Resident copy Pink.- Contractor copy
INSPECTION RECORD
CITY ~F EAGAN P~
343U Pile Knob Road
Minnesota 55123 Data
(612)681-07 5
SITE ADDRESS: LOT # 7 s LOOK APPLICAWY.
41? 1 #IEAI/LR DAM Leo DIME
Dxl~li<Y tQMMOt1A
.
(60) 104
x TYPEOF Woft
PERIIiTIJBTYPE:
:
5.i '
IFIMpT1tM6 fAAlI.~Mi ,;~~t~~ ~ ,Y
Mfiu1 Artop fIMA#~r Y IFIREPLACi
-00
R111111lK5: O r. W CONUACt'QR w IVA1.LRY PLO*
leeeeak Mw Pew Below Dds vaimphome p
GG
ELECrft,
kwp"m Deft bw
FOO*W i
Fov~aUort _ _
Pft•
L&A
Roum f r.
Find
;tom.
ONO um
pkvftw
carat mew
Ens►PW
Desk ft
Dods Finn
W
Pr. Dep.
1' y Ss
T er#tf tratt of Orrupaury
titp of eagan r
'altva and of Mdtbt g rrumt
M Cerdi a' to issued pursuant to the mquiremena of Section 306 of the Uniform Building
Code certifying that at the time of inuance this structure was in compliance with the wrious
ordinances of the City rregukang building conduction or use For fire following:
the CWa6aeoo 4 FLEX mat. Pamit No. 807
O Type ROM 1 ZooivS Dislria FD/R4 type Coon VN
0. of %a&" BE BUM= 00 M Add= 5201 E RIVER IUD, Fya=
4171 BF-AM DAM RD L-;ty L7, B I. DIFM CMtM
7j,
Doe
Offi"
POST IN A CONSPICUOUS PLACE
Address: 4171 BEAVER DAM ROAD Lot 7 Blk 1 Sec/Sub DIFFLEY OC1MS
These items were/were not complete at the time of the final inspection.
Date: 9/23499 Yes No Inspector*
Final grade (6E' from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas i~
Sod/seeded grass
Trail/curb damage
Porch VIII
Basement finish j.~
Deck
Please verify 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 before
freeze potential exists. Qix
REC1fiE0 A0FA
White - City copy Yellow - Resident copy Pink,- Contractor copy
ci
s 3 ~
I SPECTIO R-ECO".,
i=VLOF EAGAN Pte' s
SM PIM Knob Road P *Ah*w:
ftW,Minnesota 58123
(612) 681-4675 si
SfTE AWRESS:
L,OT r 4 NLAf N r i APRUCAW: `
"Was rue
tot
9 k'.
PERW SUB I■ PE: TYPE wcwx;
S { 'f } ifl'
C:
,h YF s
- X521
.4F` t
Rl1~ r ffi & W CNNT O* " * - MALLIV PLN ~
p" dt N0. Poob Fk"m DOW TaMphgnr s
3NY
WV
ELECI
ELEGYMC .
A n onto WOOL cow,
Fuo" !
Pao f. f
i V
Feel ~ ~ M~pocmr-Nowt' Pkffbff
Cont. Mater
tea. Fa,m
Deck Ry
Doi * RnW
Wd
~ « > Q5
(Urfifirafr of COrrupaury
Citp of eagan
arputum of Diu btm jtuwdiem
Y9eis CW fwato bsued pursuant to the iWuurements of Section 306 of the Uniform Bidlding
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construcdon or use For the following:
un cwwfimdm 4 PLEX ft. phrraft ?4o, am
O-Upso" TYP R3/M 1 Zoning DhUicx PD/El TM come
Owar of 1 aft LIE WHIM 0D INS Address 5201 B RIVER RD, FRMM
, A 417.5,. EAVEP, DAM ROAD L8, B1, DIFFTM OLDS
Locaft
_ 9/23/Q2
96"" OMQ
i
POST IN A CONSPICUOUS PLACE
Address: 4175 BEAVER DAM ROAD Lot g Blk 1 Sec/Sub DIFFLEy C(HIM
These items were/were not complete at the time of the final inspection.
Yes NoTn_
p
Final grade (611 from siding) L.
Permanent steps - garage
Permanent steps - main entry Vol
Permanent driveway
Permanent gas
Sod/seeded grass
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 supply to the outside lawn faucet before
freeze potential exists.
pFCYClF0 MPE11
White - City copy Yellow - Resident copy Pink.- Contractor copy
I
I ~'ctr:ptlictir~se_ I
Permit ff •
City of Eapfl ~ Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: l
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
! ----------------J
2008 MECHANICAL PERMIT APPLICATION
Date: 7,iIIAC36 Site Address: ~1"i n tK.t
Tenant: Suits
RESIDENT / OWNER Name: Phone: tl5` `W--Q
Address / City /Zip: 1-A V~lnver
CONTRACTOR Name: r LIZq'nse o. I
Address: Aco-
City: State: Zip: v
Phone: Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work:
NOTE. Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for Information on permitted screen►n methods.
PERMIT TYPE RESIDENTIAL- COMMERCIAL
Furnace _ New Construction _ Interior Improvement
_ Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
HVAC units must be screened
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other " When installingiremoving tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
.'50 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan, in the case of work which requires a review and ap 11n~plaa6.
X X
Applicant's Printed Name App cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test Gas Service Test -In-floor Heat -Final
2422 Enterprise Drive
Mendota Heights, MN 55120
* PIONEER LAND SURVEYORS • CIVIL ENGINEERS (612) 681-1914•Fox 681-9488
* engineering LAND PLANNERS " LANDSCAPE ARCHITECTS 625 Highway 10 Northeast
* Blaine, MN 55434
* * 11(612) 783-1880•Fox 783-1883
Certificate of Survey for: The R ottl u n d Company, Inc.
I I '
I , I
I , I
I , I
j S 89'40'00" E S 89'40'00" E j i 0
222.19 82.02 1
w I Q
141.24 DRIVEWAY 0
I I
W jp M o
_
I N 16.56' m 14.77. 18.58' N O I
° 14.77'
_7
o M ~I p o I M o I
:V w 1 °oJ 19.33 ~9.3Y / I p~ N I
Lo 0
00 ` w1 o I I I O G
a 1 0 1 1 O 110 I
Z w i 222.19 N L 20.25' 3b ls`~ Z 82.021 I Q
w 0 N 89140'00" W
0o rzo.zsN n;o.ss N 89'40100 W j
Z I n CL I N I `,I I a
1
O _ < I „ 90l w I.go c I O I
O f 7 t^ o t• o t 1 M O I
I q O M~ m /
a •o 14.7 m M O °te.as' x C! Q
O tL7 1 i N al
U.) N 1 LLB
N
Z I O DRIVEWAY
z I Q
LLJ
222.19 82.02 w I I M
N 89'40'00" W N 89'40 00 W I
I ' 40 i 40
I
I I I
1 I I
. ..A ` .~.e.r...`.~~.~ ~.1~ ~ `fir...... .
t .r f y~ t
= 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• 90o.O Denotes Proposed Elevation Garage floor slab
Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction elevation at front: 895.5
-o- Denotes Monument
--s Denotes Offset Hub Bearings shown are assumed
LOTS 53 68 7 & 8. BLOCK 1 DIFFLEY COMMONS
DAKOTA COUNTY. MINNESOTA
I hereby certify that this survey, plan or report was prepared by me or ypder my direct supervision and that I am duly Registered Land Surveyor
under the laws of the State of Minnesota. Dated this day of 3VNC A.O. 19 r~
S C a I e. 1 I='-- 5 0 foil!' OBERT B. 1KICH L. REG. NO. 14891
090 91123 - C02
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 b
Please complete for single family dwellings & townhomes/condos when permits are required for each unit
Date L/ ! /c5~0 / nV q
Site Addressn L1 Vf Unit #
Property Owner rf -e ~ Telephone # &S,) 7 -C~ / f
Contractor /49 U Q
C/ A
Street Address -LI 5-1 ' LV , City (!f~ '
xx o~ ~O~ 1U
State Zip V Telephone # (&Q )
Bond Expires:
The Applicant is Owner x4--contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
air exchanger
air conditioner _New replacement
other
State Surcharge D L5 lJ u $ .50
0 1.2004
,SFp Total $ c'
,BY
I hereby apply for a Residential Mechanical Permit and acknowledge that a info ion is complete and accurate; that the work will
formance with the ordinances and codes of the City of Eagan and with the echanical Codes; that I understand this is not a
permit, b t only an application for a permit, and work is not to start ' ou p t; that the work ' 1 be in accordance with the
ap ov plan in the ca work which. re ices a review and approv 1 of pl
Applicant's Printed Name Applican 's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone #
( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction _ Underground Tank _ Install -Remove **see below
Interior Improvement _ Install Piping -Processed -Gas
Nature of Work:
"'When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
550.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge 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 with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
;E
PERMIT 1' Control No. GE 4
['TY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 008808
Eagan, Minnesota 55123
(612) 681-4675 Date Issued: 06/15/92
SITE ADDRESS:
4175 BEAVER DAM RD
LOT: 8 BLACK: 1
DIFFLEY COMMONS
DESCRIPTION:
Building Permit Type 4-PLEX
Building Work Type NEW
UBG Occupancy R-3 M-1
Zoning PD R-4
Building Length .52
Building Width 33
Building stories 1
REMARKS:Q
S & W CONTRACTOR - VALLEY PLEB
FEE SUMMARY:
VALUATION $82,000
Base Fee $668.50 MISCELLANEOUS $1,610.50
Plan Review $363.03 COPY $.50
Surcharge $41.00 Total Fee $3,273.53
SAC $700.00
SAC % 100
SAC Units 1
Subtotal $1,662.53
CONTRACTOR: - Applicant - ST. LI OWNER:
THE ROTTLUND CO INC 15710304 000133 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RO
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read this application and state that the
infcrrma on is correct and agree to comply with all applicable State of Nn."
Statut s, nd Gity of Eagan Ordinances.
PL /PERMI E SIG TURE ISSUED 13Y.- IGNATURE
INSPECTION RECORD Control No. s--)
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 000808
Eagan, Minnesota 55123 Date Issued: 06/16/92
(612) 681-4675
SITE ADDRESS: LOT: 8 BLOCK: 1 APPLICANT:
4175 BEAVER DAM RD THE ROTTLUND CO INC
OIFFLEY COMMONS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEX NEW
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S 6 W CONTRACTOR - VALLEY PLBG
L -
r - r
PEWIT-'V CITY OF EAGAN
1011 1992 BUILDING PERMIT APPLICATION
581-4675 o
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I .copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re nest is made r lot change is requested once permit is issued.
Date //V I
/ 1 7 > 1 uati on of work G
Site Ad ss: 1
STTR,EET STE #
Tenant Name:
LOT BLOCK P.I.D.
Description of work:
The' appl i cant is: E4 Owner MContractor ❑ ther !Describe)
NameC~ 1 Phone ~7~ d 3b
Property LAST FIRST
Owner Address
STREET STE
City State Zip '55 z
Company Phone ~l - 30 4-
Contractor Address Leo i License 2ooj33 Ex 1-
City State M k J Zip .-~L54ZL
Compan x Phone 511-030'
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once are as been appr ed.
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.
C2~ 21
Signature of Applican
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish I 13 1 Fac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous
04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
M 31 New ❑ 34 Repair ❑ 37 Demolish
❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move
GENERAL INFORMATION
Const: (Actual) VAI Basement sq. ft. MWCC System
(Allowable) ~y 1st Fl. sq. ft.. City Water _
UBC Occupancy R-3 2nd Fl. sq. ft. PRV Required
Zoning -y Sq. Ft. total Booster Pumpp
f of Stories Footprint Sq. ft. Fire Sprinkler
Length S"2 On-site well Census Code
Depth 3 g On-site sewage SAC Code o.~
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site ❑ Footing ❑ Framing ❑ Insulation
❑ Wallboard El Final ❑ Draintile ❑ Fireplace
Permit Fee 'Vetwttan: : z CEO
J
Surcharge 41.00
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:
SAC %
SAC Units
F.?C7 HILOR i:NVC:F.OPF AVENAGE "u" Compti-mri-mi
OWN ER
SITE ADDRESS.
1
CONTRACTOKO DATE PHONE
Determin working square footage of each.
1. Total exposed wall area { i i sq. ft. x 0'11 =
2. Total roofleeiling area '02;~ sq. ft. X, a~026 = ~
Total exposed wall area nbovc: floor
a. Total wall window area ~ -7 , f
b. Total door area
e. Total sliding glass door area
d. Total fireplace vall area
e. Total vall framing area (average lop)
f. Total net wall area above floor i i -!7.~,
g. Total rim joist area
Total exposed foundation area = ~ { "Z-
h. Total foundation window area
i. Total net foundation area above grade t'
Detemine "U" value of each wall :,e meat.
. a. , x Illtll ~ 4^~ 1.F t
r '
b. ✓ X s.Ull ~i ( _ r
C. X 5-7
d. x it U
r~ X .I,tlll = lfe Jy
:.sf r•~i ~ ~ X
r'
9. x
h. ~....a.... W 1I j~ 11 - -
1. !1~ xllltll -fJ,j7~ - ~yf~~~
3. -
If item U3 is the same as, or less 1-1%:tn it-eta #1, you have met the intent
of Sac 6oo6(C)2.
~1
• Total exposed roof/ceiling area = 1~
Total gross roof/ceiling area
,j Total skylight area
k. Total roof/ceiling framing area
1. Total net insulated roof/ceiling area
Determine "U" value for each ruor/cei I in(, sc6pnent.
J. - x nUlt a
Ilutt
1. l - r
= ! ry
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total
If total of #4 is the same as, or less than 112, you have met the intent of
sac 6oo6(c)l.
To utilize the total envelope system method, the values established by the
sum of items #3 and 14 shall not be greater.thin the sum of itenss #1 and X2.
1. + 2. o
3• + 4. _
U
tEYA
-LG U p fi1~ _
I 2
10
^111,1 \ v~ t~LL/r1YV~ ~NVr
i OG LI~-~ = psl2 i~LM c~ t - -
rFj - -T), 3 4 (5 P - C
1 f t /j 0.45
30
- UDCW, GA(.Gl.k,~1T~D ~~cNT .
= f AMA HAW, G~ 1 NFU ~A~IaN
LoM PO N Lt~4 - - VAW 5-
1 Ali FiLht
~ U _-4e{OATHINU
5% INSULA jc-H- (9.0
G
L
-FF-AM;r WAU.
oMPONNj~ F--VALU5
o U ~41D~ Rife ALA. - o , ►'1. - -
cl.
2 ~ u
3 3 hWI;A"rH 1 N is • 2 .O U
X v h 11aD ~FN►i~r~) - -18 - -
4 C)
~v
~y. C' tai Di; Ail?- A LA-i - 4= (o a .
_ p 1~• view
L
-~1P~. slur= 0.12 X o.ob9~ f~o,Sb~X o•04~~ = O, o~-
PERMIT I Control No. 0633
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000807
(612) 681-4675 Date Issued: 06/15/92
SITE ADDRESS:
4171 BEAVER DAM RD
LOT: 7. BLOCK: 1
DIFFLEY COMMONS
DESCRIPTION:
Building Permit Type 4-PLEX
Building Work Type NEW
U8'C Occupancy R-3 M--1
Construction Type V-N
Zoning PO R-4
Building Length 52
Building Width 39
Building stories 1
REMARKS: b
S s W CONTRACTOR - VALLEY PLB6
FEE SUMMARY:
VALUATION $82,000
Base Fee $558.50 MISCELLANEOUS $1,610.50
Plan Review $363.03 COPY 1.50
Surcharge $41.08 Total Fee $3,273.53
SAC $700.00
SAC % 100
SAC Units i
Subtotal $1,662.53
CONTRACTOR: - Applicant - ST. LI OWNER.
THE ROTTLUND CO INC 15710304 000133 THE ROTTLUND CO INC
5201 E RIMER RD 5281 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 56421
(612) 571-0304 (612)571-0304
I hereby acknowledge that. I have read this application and state that the
inf, oration is correct and agree to comply with all applicable State ,of„Mn.
. St to es and City of Eagan Ordinances.
C.
PPLICANT/PE M EE IGNATURE ISSUED Y: IGNAT RE
Control
n
INSPECTION RECORD I No.
CITY OF EAGAN PERMIT TYPE: BUILDINB
3830 Pilot Knob Road Permit Number: 0 0 0 8 0 7
Eagan, Minnesota 55123 Date Issued: 06/15/92
(612) 681-4675
SITE ADDRESS: LOT: 7 BLOCK: 1 APPLICANT:
4171 BEAVER DAM RD THE ROTTLUND CO INC
DIFFLEY COMMONS (612) 571-0804
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEX NEW
INSPECTION TYPE DATE INSPM INSPECTION TYPE DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S S W CONTRACTOR - VALLEY PLBG
PERM€ T
to r/ CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION SUN o
681-4675 SEW
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy talcs.
Penalty applies when typing of permit is requested,-"but not picked up by last working day
of month in which re uest s made or lot chan a is re guested once ermit is issued.
Date _19ie, Valuation of work
Site Ad ress: 4171
STREET ~y STE
Tenant Name:
C-
LOT BLOCK z SUED. P.I.D. /
Description of work: -
The applicant is: 0 Owner 53 Contractor O Other (Describe)
Name Phone ~~I-030
Property LAST FIRST
Owner Address -7-0 1 ~~10 a
STREET STE 0
City _ State Zip
Compan Phone x''91-030 (2'
Contractor Address License # bonr33,!5 Exp.-3/9d
City State IWK-1 Zip 5511
Company Phone b 30
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber V,91ZO, 2W Processing time for
as been ap oved.
sewer & water permits is two days once ar
r 15
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.
Signature of Applican • ~V
vrrnt;t Uat UNLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish EW i ac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ 15 Miscellaneous
04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
31 New ❑ 34 Repair ❑ 37 Demolish
❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move
GENERAL INFORMATION
Const. Actual Vltl Basement sq. ft. MWCC System
(Allowable) Vii! 1st F1. sq. ft. City Water
UBC Occupancy R-3 . 2nd F1. sq. ft. PRV Required
Zoning y Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 3 z On-site well Census Code to
Depth 3 3 On-site sewage SAC Code 03
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
Site jq Footing Framing EY Insulation
❑ Wallboard Q Final ❑ Draintile ❑ Fireplace
Permit Fee vatualan: s dO
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water. Conn.
Water.Meter _
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies o
Other
Total:
SAC %
SAC Units
OWN FR
SITE ADDRESS
L- C7
CONTRACTOR
Determin working square footai;e of each.
1. Total exposed wall area ft. x 0.11
2. Total roof/ceiling area d _
. sq. rt. x 0~07~
Total exposed wa'11 area above floor = uhf
a. Total wall window area
b. Total door area , +
sl=.
C. Total sliding glass door area . • • . ~'f
d. Total fireplace wall area
e. Total wall framing area (average 10%) J e -j
f, Total net vall area above floor i; r.41
g. Total rim joist area
Total exposed foundation aroa = (f
h. Total foundation window
area .
i. Total net foundation area kbove.grade
Detemnine "U'1 value of each wall se- ment.
W
P r
b.j X (lull f~#
C.~ . X 11,•11 V,C►C~ a L~7,~
d . x 11 uu„
.
g ,n~•. x 111~n - w.,w
l r-`
X 4,;1
3. . . '►ot.~1 = If item #3 is the same as, or less: Uh:Ln iLcri !!l, you nave met the intent
of sac 6006(c)lo.
t>
Total exposed roof/ceiling area
=
Total gross roof/ceiling area
Total skylight area
k. Total roof/ceiling framing area 1l1:: Q)
1. Total net insulated roof/ceiling area !
Determine "U" value for each ruar/eci l in(,, zc6-mcnt.
k: 1 , X null 7
k . Total - 1
If total of Nk is the same as, or less than l/2, you have met the intent of
SBc 6oo6(c)l.
To utilize the total envelope system method, the values established by the
sum of items #3 and 14 shall not be greater.than the sum of iten:s Al and #2.
1. + 2.
. 3' + 4 ,
CITY bF EAGAN PERMIT I Control No.
3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000606
(612) 681-4675 Date Issued: 06/15/92
SITE ADDRESS:
4179 BEAVER DAM RD
LOT: 6 BLOCK: 1
DIFFLEY COMMONS
DESCRIPTION:
Building Permit Type 4-PLEX
Building Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
Zoning PO R-4
Building Length 52
Building Width 39
Building stories 1
REMARKS:
S & W CONTRACTOR - VALLEY PLB4
FEE SUMMARY
VALUATION $62,000
Base Fee $558.50 MISCELLANEOUS $1,610.50
Plan Review $363.03 COPY $.50
Surcharge $41.00 Total Fee $3,273.53
SAC $700.00
SAC % 100
SAC Units 1
Subtotal $1,662.63
CONTRACTOR: - Applicant - ST. LI OWNER:
THE ROTTLUND CO INC 15710304 000133 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 56421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I have read this application and state that the
i rmation is correct and agree to comply with all applicable State of Mn.
a tes and City of Eagan Ordinances.
d t14 01~, ~yI}~
l3
"i
Al I U- E MITEE SIGNATURE ISSUED Y: SIGNATURE
Control
INSPECTION RECORD No.
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 0 0 8 0 6
Eagan, Minnesota 55123 Date Issued: 06/16/92
(612) 681-4675
SITE ADDRESS: LOT: 6 BLOCK: 1 APPLICANT:
4179 BEAVER DAM RD THE ROTTLUND CO INC
DIFFLEY COMMONS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
4-P LEX NEW
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S & W CONTRACTOR - VALLEY PLBG
F
L -J
PERMIT
04 CITY OF EA►GAN
.1992 BUILDING PERMIT APPLICATION HUH 1 '0
681-4675 RECa
SINGLE & MULTI--FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy,
talcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy talcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re nest is made or lot change is re guested once ermit is issued.
Date /f ` Valuation of work o
Site A dress• / 7 V 22Z_12~ j ;v
ST ET STE 8
Tenant Name lei
LOT t _ BLOCK SUED. P.I.D.
Description of work:
The applicant is: R3 owner ~i Contractor ❑ Other (Describe)
Name -x Phone -'5-0364
`I/Property LAST FIRST
Owner Address .30 /
STREET STE
C i t State//lam Zip
lJ SL
Companycyb, Phone
Contractor Address SZbI License iI,0WExp. 2-311
City State lyl)~_l Zip
Company Phone~-b
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once are has been appr ed.
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.
Signature of Applica
Vi-T-iVG V~7G V171.I
BUILDING PERMIT TYPE
b. ,ire.. a +
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish CYW l ' Fac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Parch ❑ 15 Miscellaneous
® 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
0 31 New ❑ 34 Repair ❑ 37 Demolish
❑ 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move -
GENERAL INFORMATION
-Const. (Actual). Vly Basement-sq. ft. MWCC System
(Allowable) 1st F1. sq. ft, City Water
UBC Occupancy /V-I 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length- On-site well Census Code
Depth L On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
Site Footing J9 Framing ® Insulation
❑ Wallboard b 'Final ❑ Draintile ❑ Fireplace
Permit Fee. °
Valuation:
Surcharge p Plan Review -03
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded,
Trails Ded.
Copies
Other
Total: 1 4
SAC %
SAC Units
r.., lini%tUV 1•.[iV11.1,n1'r. AVI-AlA ,r. 1) U MIIITA'I'IOU
0,WN Fx'
SITE ADDRESS '
P
CONTRACTOR DATI' 7 7PHONE .
Determin workinj; square footz,;c of each.
1. Total exposed wall area ..i sq. ft. x 0' 11
2. Total roof /ceiling area 14 0 sq. ft. x 8 .,026
Total exposed wail area nbovc floor
a. Total wall window area -7 '
b. Total door area
C. Total sliding glass door area
d. Total fireplace wall area
e. Total wall framing area (average lOP)
f. Total net wall area above floor ti;, R
g. Total rim joist area
Total exposed foundation area = "Z-
h. Total foundation window area
i. Total net foundation area ;above grade Deter-mine r,U„ value of each wall segment.
a. Y "U It b.
• c.~ , X ,r Uri = Z7 57
e. X.11U11
fluff
9. X
h. X $fUrr v =
3. 'i0Lal =
If item #3 is the same as, or less t.ti:jn itcij H1, yon nave met the intent
of sac 6oo6(c)2.
Total exposed roof/ceiling area
Total gross roof/ceiling area = -
j. Total skylight area
k. Total roof/ceiling framing area . 'S'l
1. Total net insulated roof/ceiling area ! 7, 7-
Determine "U" value for each roof/eci t ins; scgemcnt.
k: 140. ej X llulf
o,0-?
1. l 7, X flu,,
k . Total =
If total of #4 is the same as,•or less than N2, you have met the intent of
sBC 6oo6(c)l.
To utilize the total envelope system method, the values established by the
sum of items #3 and 14 shall not be greater.thnn the sum of items #1 and 1/2.
1. 2.
3• + 4. _
PERMIT r ' Control No. 0 C-1 131 i
CITY OF EAGAN PERMIT TYPE: BUILDING
1 3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 000805
(612) 681-4675 Date Issued: 06/15/92
SITE ADDRESS:
4183 BEAVER DAM RD
LOT: 5 BLOCK: 1
DIFFLEY COMMONS
DESCRIPTION:
,Building Permit Type 4-PLEX
Building Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
Zoning PD R-4
Building Length 52
Building Width 39
Building stories 1
REMARKS:
S & W CONTRACTOR - VALLEY PLBG
FEE SUMMARY:
VALUATION $82,000
Base Fee $558.50 MISCELLANEOUS $1,610.50
Plan Review $353.03 COPY $.50
Surcharge $41.00 Total Fee $3,273.53
SAC $700.00
SAC % lee
SAC Units 1
Subtotal $1,662.53
CONTRACTOR: - Applicant - ST. LI OWNER:
THE ROTTLUND CO INC 15710304 000133 THE ROTTLUND CO INC
5201 E RIVER RD 5201 E RIVER RD
FRIDLEY MN 55421 FRIDLEY MN 55421
(612) 571-0304 (612)571-0304
I hereby acknowledge that I; have read this application and state that the
in rmation is correct and agree to comply with all applicable State of Mn.
St test and City of Eagan ordinances.
APPLICAN PERM EE SIGNATURE ISSUED Y: IGNA UR I
Control
INSPECTION RECORD No. c J ,
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 0 0 0 8 0 5
Eagan, Minnesota 55123 Date Issued: 06/15/92
(612) 681-4675
SITE ADDRESS: LOT: 5 BLOCK: 1 APPLICANT:
4183 BEAVER DAM RD THE ROTTLUND CO INC
DIFFLEY COMMONS (612) 571-0304
PERMIT SUBTYPE: TYPE OF WORK:
4-PLEX NEW
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: S & W CONTRACTOR - VALLEY PLBG
F
I_ -
PERM] f # CITY OF EAGAN
Off 1992 BUILDING PERMIT APPLICATION
681-4675
J U N 1 0 REco
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made. or lot chap a is re nested once ermit is issued.
Date e~ Valuation of work
Site Address: 418 OnclF"If. IJr r 1~~r
a
STREET STE N
Tenant Name: E41U w Cb (2c, ~L&2 .
LOT BLOCK SUBD. P.I.D. !
V
Description of work:
The applicant is: Owner 00Contractor 13 Other (Describe)
Name Phone
Property LAST FIRST
Owner Address 6701 ~ 201.22~f~~~
STREET STE S
City State zip
Company(Q~ nn rr Phone ~4 l - 0 -3a 5z
Contractor Address .a ?W . /lam License # ooyt335 Exp. 3-3/-9 ¢
City -4-~~d State 2222 Zip 5.5`/zl
Company o 4 i~/,,r,' 49 .~c Phone u`J~ll -03d
Architect/ .
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once a has been approved.
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.
Signature of Applicant:
VrrIVC uoc vmLT
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish 1 Fac.
❑ 02 SF Dwg. ❑ 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Agricultural
❑ 03 Two family ❑ 07 Fireplace ❑ 11 Res. Add./Porch ❑ IS Miscellaneous
El 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
;Q 31 New ❑ 34 Repair ❑ 37 Demolish
❑ 32 Addition 0 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move _
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st Fl. sq. ft. City Water _
UBC Occupancy L / 2nd Fl. sq. ft. PRV Required
Zoning -41, Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length rz On-site well Census Code
Depth ) On-site sewage SAC Code o3.
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
Site M Footing R! Framing ® Insulation
Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee , . vaLmdan: s z 000
Surcharge
Plan Review e a p q _
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: -
SAC %
SAC Units
F:{'PFl%'!On I:NVE.LnPY AVENAGE "u" COMi' ITA• ION
w
OWER
Ilk
SITE ADDRESS
FLLCr< 1 T,~rF;rzj ~JtIVV CONTRACTOR 907'/L U &r_.; 6'9 DATE. PHONE
Determin workini,. square footare of' ach.
1. Total exposed wall area sq. ft. x 0.11
• 2. Total roof /ceiling area n =
• ~ ~ 0 ✓ s,,. ft. X e N0?6 ../C! r
Total exposed wall area above floor
a. Total wall window area -7~ i
b. Total door area
C. Total sliding glass door area 4'•=~-.
d. Total fireplace wall area
e. Total wall framing area (average lOP) "
f. Total net well area above floor if q
g. Total rim joist area
Total exposed foundation area = 2
h. Total foundation window area ,
i. Total net foundation area above grade..............
Determine "U" value of each wall smmnent.
a. fluff
t r
b. X fruit
C. , x fruit 57
d. x %11
. a/
Jj r~ =
✓ H. /1
x flute
g. x "u" =
h. frul# =
1 . ' 1 x fluff _ l n / (d
v
3. . , . Po 1.:13
If item #3 is the same as, or less: tli:Ln i l,ecn #1, you have met the intent
of Ssc 6oo6(c)2.
Total exposed roof/ceiling Area =
Total gross roof/ceiling area _ -r
J. Total skylight area
k. Total roof/ceiling framing area /f
1. Total net insulated roof/ceiling area I r
Determine "U" value for Inch ruor/eci I ink; sagmcnt.
X
k: F X flub V 7 _ r l~^ •
1. t ~ X07, x ~.(a?'2 _ -2'7,17 •
~ . Total =
If total of #4 is the same as,'or less than k2, you have met the intent of
SBc 6oo6(c)1.
To utilize the total envelope syste= method, the values establi7hed by the
sum of items #3 and 14 shall not be greater. than the sum of iten:s AI and 12.
1. + 2.
3. + 4.
U '
u- _
OG tEVA
C','7
1 _ 0♦ ro, ~
1 1.1
C-1 az~ q•-
2 Y
~ 'F- L,
M
E
~~M~ NACU. G~ I N~ ~ATIoN
- LoM Po N LN'~ . ~ . F? - ~lAlu E
-may/ lj -I)~ _ _ V lL7
3 -
19.0
4 X21 eolP o.4S -
Adfz-
L
W: ~ o_od3
-FF-AM9 WAUL (P.,
oMPaNN ~g F--VALU5
G o u Yt71oE Aile FILM. - o . t "1 - - -
3 3 605WT l I N 2 .0 4
4 x v 7Ue ~FM>tirk) - -7. 1$ - -
co' PHI?- F9LM.
view.
~L
G~MP~. Ilu~t 0,12 X o.0b9) t6o.511, A 0.040 = O.04-7
~~MXC?K~•%l.?X?K:XAti'M?k~?~?X•~Fh.W><<?X~?Ki~•1,;?;:?Kk<iX#~r,X?X~: k?K~?k.~
CITY OF EACY44
CaAw 1°1Ii°:E`~ TERMINAL NO-. 04.8
L~A'Tl u 1.1/1.6/90 T:1:ME- 14-.49-.45
i,
!D:;
NAME:e r3UBURSAN GROUP INC i'
j21.55 9001' 5.00
32:1.0 9001 41.87 BEAVER LIAM 2r 4. 75
321.0 9001. 4.04.3 BEAVER DAM 224. 7
321.0 900:1. 4059 BEAVER DAM 224.75
:01,0 9001 4075 BEAVI.1:'{ I.!.")1 224•.75
3210 9001. 44:191. BEAVER DAM 224„75
;x;10 9001. 4i.O 7 Bl::::AVE:R DAM 224-.-75
3A0 .`.-3001 4.1'r.''_3 BEAVE"R IIAM '2,24.75
'321 !i t:30i. 4i.39 BEAVER DAM 224•, 75
32:1.0 '7001. 4155 BEAVER DAM 224.75
CE:C1994.1.1 jK C C:{~i~1TTi~111
ID-. NANCY CONTINUr.,
~~?f:>X?'A?X~ ~.~;~t~;~t~?X?I<?Kh:~>X~Y,t?~:?X?X:~~F?K?XXt?!:X~?Kik~?K~`~c~K?X
tXC' ?X X ?XA~',;: ~ ?k' ~K?X 1 ~YX tiKi >',:;X k t?K?K C:ON Tl:NUI
048
C:A;:ih1'.f.ER v 13 11-ii, :1'4IP.AL NO.
DA'TF.- 1.i./i6/98 TIME 1.4•x49,- 47
ILi
iC,L?'!.0 9001 4-:l. 7 i X:'E:AVE:Tt DAM
To,al Receipt Amount" 2,-32' ..a_
USER 'I.D., NANCY
J~XCK~?X~X~?X:~~F"t?X?X?X>X~K}K7F?X?X~>X~?X>K?X~ nY?K~!?Kk•'>X~>X'~X?X?X~k~,
PERMIT
C r -K EAGAN PERMIT TYPE: BUILDING
38 Opilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 0 6 9
(651) 681-4675 Date Issued: 11 / 18 19 8
SITE ADDRESS:
4171 BEAVER DAM RD
LOT: 7 ;BLOCK: 1
DIFFLEY COMMONS
P.T.N.: 10-20450-070-01
DESCRIPTION:
REPLACE SIDING
Btrtilding'-Permit Type -MULTI. (MISC. )
Buil,diny W6r k- Type REPAIR
Ce-nsus Cade 434 ALT. RESIDENTIAL
\ ~ ``piiaa]]- ~ .
REMARKS:
INCLUDES: 4175, 4179, AND 41B-: . -
FEE SUMMARY:
VALUATION $15?000
Base Fee $224.75
Surcharge X7_.56
Total Fee $232.25
CONTRACTOR: - A p p l i c a n t - OWNER:
SUBURBAN EXTERIORS 28818232 DIFFLEY COMMONS ASSOC.
9701 PENN AVENUE SOUTH 4171 BEAVER DAM RD
BLOOMINGTON MN 55431 EAGAN MN 55122
(612) 881-8232
I here y ~ack6owledge that -I have re7,,p i this aii6atilbhr ~n`d state .that. the
informatio" is "correct an"d,-agree t6 GC)Mp.l..y ,.`Lth all 6Pp~-aeable State of Mn.
!E
~St,atbtcs-=and. 'City cat Eagan Ordinance,;. II.
IGNATURE
APPLICANT/PERMITEE SIGNATURE IS D BY..,
1998 BUILDING PERMIT APPLICATION (COMMERCIAL) a a
CITY OF EAGAN
681-4675
Submit following to obtain necessary permit
Foundation Only New Construction Interior Improvement
structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets)
civil plans (2 sets) structural plans (2 sets) code analysis (1) "
code analysis (1) civil plans (2 sets) project specs (1 set)
soils report (1) landscaping plans (2 sets) Key Plan
project specs (1) code analysis (1) " energy calculations (1) not always -
Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always "
SAC determination letter from MGMS - SAC determination letter from MCMS - call oletter from MCMS -
call 602-1000 call 602-1000
Special Inspections & Testing Schedule (1) project specs (1)
energy calculations (1)
Electric Power & Lighting Form (1) "
Contact Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details.
DATE: L k"- ' C--3 - Ls- WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK: Qes"dQ
CONSTRUCTION COST: k S, Oo C-> _ TENANT NAME: C0V4Wd),5
SITE ADDRESS: 4L'71' 1 k"150 41~i'4~~s3 SUITE
LOT BLOCK I SUBD. 1 yv~ 1"lb ys~n _ P.I.D. #
Covvt ~S Phone
Name:
PROPERTY Last First
OWNER StreetAddress:,4l -7) ` 4 IBS-4.1-lo,--41~-3
J State Vl - Zip:
City
Company: t-~ v'h Q-,-, EK f' Phone
Q
CONTRALTO
R Street Address: --Z~, peyy\ S' License # K / -
_ ,D I
_ ) State: Zip: -33t-i-3/
City
ARCHITECT/
ENGINEER Company: _ Phone
Name: Registration
Street Address:-
City State: _ Zip: -
Sewer & water licensed plumber (only if installing sewer & water):
I hereby acknowledge that I have read this application and state that the informatio is correct and agree to comply with all applicable State c
Minnesota Statutes and City of Eagan Ordinances. o 0-0
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 19 Comm./Ind. Misc. ❑ 21 Miscellaneous
❑ 18 Comm./Ind. ❑ 20 Public Facility
WORK TYPE
❑ 31 New ❑ 33 Alterations ❑ 35 Tenant Finish
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee - ~l S Valuation: $
Surcharge
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units
Meter Size
Ar PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 8 9 5
(612) 681-4675 Date Issued: 06/17/96
SITE ADDRESS:
4171 BEAVER DAM RD
LOT: 7 BLOCK: 1
DIFFLEY COMMONS
P..I.N.: 10-20450-070-01
DESCRIPTION:
Building Permit Type STORM DAMAGE
Building Work Type REPAIR
Census Code 434 ALT. RESIDENTIAL
REMARKS:
INCLUDES 4175 (LOT 8) 4179 (LOT 6) 4183 (LOT 5) BEAVER DAM RD
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 HOMEOWNERS ASSOC
636 39TH AVE NE BEAVER DAM RD
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
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 'Mn.
Statutes and City of Eagan Ordinances.
APPLICANTiPERMITEE SIGNATURE D B : SIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Reauirements
New Construction Requirements Remodel/Repair
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes No
DATE: Ciro CONSTRUCTION COST:
L4WAA
DESCRIPTION OF WORK:
STREET ADDRESS: 3 Eaa" L
LOT BLOCK SUBD.IP.I.D.
PROPERTY Name: Phone
OWNER LAW FIRST
Street Address
City: State: Zip:
CONTRACTOR Company: Phone
636 i9N+ AV><NGJE N[ ; A
Nit NN 9542$ U
Street Address: 61z 78b9411 License ~
City: State: Zip'
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber. Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the in mation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
± f
BUILDING PERMIT TYPE
o 01 Foundation 0 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
0 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
o 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. 0 10 - plex ❑ 15 Deck
WORK TYPE
❑ 31 New o 33 Alterations ❑ 36 Move
❑ 32 Addition o 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
r!
APPROVALS
Planning Building 6ngine!g.ln'jg J, Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
L K 1, CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. (612) 681-4675 RECEIPT. I~
DATE / 7 t o~-
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK D SCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST Z REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00 _
LAVATORY 3.00
OWNER NAME: c T KITCHEN SINK 3.00
Z LAUNDRY TRAY 3.00
SITE ADDRESS: ALI HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
52
(MINIMUM - 1) 3.00
"ell
INSTALLER
ROUGH OPENINGS 1.50
ADDRES ` OTHER
WATER SOFTENER 5.00
CITY. Y'd 't-) ZIP: PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
STATE SURCHARGE .50
SIGNA E OF PERMITTEE TOTAL: S ~b- S U
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE:
FOR: (SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
L~ B ` MECHANICAL PERNM RECEIPT # C (cli (r,~
SUBD. (612) 681-4675 DATE g
A/I
d l ? RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWII.IINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: FEES
SITE ADDRESS: ADD ONAM40DEL (EXISTING $ 13.00
/ y~,~'19YJ CONSTRUCTION ONLY)
INSTALLER: HVAC: 0-100 M BTU 24.00 FLARE HT-Q. & AAt W. PHONE 9303 Plymouth Ave. No. ADDITIONAL 50 M BTU 6.00
ADDRESS: Golden Valley, MN. 55427 GAS OUTLETS - MINIMUM 1 Q $3 EA.
CITY: ZIP: SURCHARGE: $ .50
SIGNATURE: TOTAL:- 5 3 6. 5-6
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
$
MINIMUM FEE - $25.00
OWNER: TOTAL: $
SITE ADDRESS:
TENANT:
SUITE
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
L- BL I ' CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD. ~ (612) 681-4675 RECEIPT 149 3
DATE
RE6SIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
j NO. FIXTURES EA. TOTAL
NEW CONST Y REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIRr WATER CLOSET 3.00
- BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: 1 KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS : `Z 1 ~ • ~ a HOT TUB/SPA 3.00
I WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 3
_ ROUGH OPENINGS 1.50
ADDRESS; x511_1 o2z~/t:~/ OTHER
_ WATER SOFTENER 5.00
CITY: ZIP:~ PRIVATE DISP. 15.00
ze U. G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
r STATE SURCHARGE .50
SIG ATURE OF PERMITTEE TOTAL: s36 - i of rr
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL./INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN C X11^
L 7 B/ j 1 MECHANICAL PERMIT RECEIPT #
SUM c Oyu ~z (612) 6814675 DATE-? RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: IFEES
SITE ADDRESS: ADD ON/REMODEL OMSTING 7 y, CONSTRUCTION ONLY)
INSTALLER: HVAC: 0-100 M BTU PHONE #E: FLARE G ADDITIONAL 50 M BTU ADDRESS: ~ Plymouth Ave, Na GAS ovTLI'r-rs - HmvnHUM 1 @ $3 EA.
Gal
r '
CITY . SURCHARGE SIGNATURE: TOTAL- .
COMNiERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLUANDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PEhsITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
MIlNIIMUM FEE - $25.00
OWNER: TOTAL- $
SITE ADDRESS:
TENANT:
SUITE #t:
INSTALLER:
ADDRESS:
CITY: ZIP:'
PHONE*: CITY SIGNATURE
SIGNATURE
LBL CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT /O ~3
(JL '0~~ y
SUBD. (612) 681-4675 RECEIPT
01, DATE 779-.3-
PLEASE PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON c< SHOWER 3.00
REPAIR WATER CLOSET 3.00
L BATH TUB 3.00
/ Z~ LAVATORY 3.00 _
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS : y HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: )Za'ot~.lG (MINIMUM - 1) 3.00
OR~GEHR OPENINGS 1.50
ADDRESS: 1 _
WATER SOFTENER 5.00
CITY: ZIP: ~5536 Z_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE W. TURNAROUND 15.00
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S S~. S
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
LB MECHANICAL PERNIIT RECEIPT #
SUBD. n '
(612) 6814675 DATE s~--
,~L j ( RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMNS/CONDOS WHEN SEPARATE PERNIITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER: U/U FEES
SITE ADDRESS: ADD ON/REMODEL (EXISTING $ 15.00
CONSTRUCTION ONLY)
INSTALLER: HVAC: 0-100 M BTU 24.00
PHONE FLARE HTQ. & AIC,INC. ADDITIONAL 50 M BTU 6.00
ADDRESS: 9303 FlymouM M W. GAS OUIIZrS - MINIMUM 1 @ $3 EA.
CITY: ZIP- SURCHARGE: $ .50
SIGNATURE: TOTAL• $ Q - SD
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERALrl'-Q ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
$
MINIMUM FEE - $25.00
OWNER TOTAL• $
SITE ADDRESS:
TENANT:
SUITE
INSTALLER:
ADDRESS:
CITY.. ZIP:
PHONE CITY SIGNATURE:
SIGNATURE.
4
L 5 BL CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUB D. (612) 681-4675 RECEIPT D
DATE 7
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00 3
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
p WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: CG~- (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
ADDRESS: OTHER
_ WATER SOFTENER 5.00
CITY: rc4 ZIP: PRIVATE DISP. 15.00
c _ U.G. SPRINKLER 3.00
PHONE (c;~' Z W. TURNAROUND 15.00
STATE SURCHARGE .50
n2L,- )m~" URE OF PERMITTEE ~
SIGN A7 TOTAL:
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
a
CITY OF EAGAN
L 5 B MECHANICAL PERNIIT RECEIPT
SUBD.
(612) 681-4675 DATE ~
\ RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
DDRESS: n ADD ON/REMODEL (IMSTING $ 15.00
S y~,~ ~r CONSTRUCTION ONLY)
[INSTALLER: R: FEES
HVAC: Y-100 M BTU 24.00
E 93Q3 Plymouth Am No- ADDITIONAL SO M BTU 6.00
ESS: Golden Valley, MN. 55427 GAS OUTLETS _ MINIMUM i Q s3 EA.
ZIP..SURCHARGE: $
TURE: f ~L / TOTAL• 5.3 4 - -rte
COMWERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE $
PROCESSED PIPING $25.00
$
MINIMUM FEE - $25.00
OWNER: TOTAL:- $
SITE ADDRESS:
TENANT:
SUITE
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
K _ 1 5 2 - - o
s "
.e;'~Q 55
Request Datp Rough-in Inspection
q J Required? D Ready Now .00 WIII Notify Inspector
- t Z E?I'Fas No When Ready?
Iolicensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or al~ ^ city
417 `t &AA-_
Section No. Township Name or No. Range No. CojA*
Occupan RINTI Phone No.
Power Sup r AdtlresS
Electric ontractor,yCompan (i~me) Contractor's License No.
`4A.j C/400 3$/
Mailing A dress (Contractor or Owner Making Installation)
uthor¢ed Signature (Contractor wn aking Instal onl Phone Number
L--- 3 - & o
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION. Era-ooom-08
J ► See instructions for completing this form on back of yellow copy.
°X°BeLr~w VNP-* Covered by This Request
ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps I J5' j{? D to 10D Amps
Transformers Above 200 Amps ov Amps
Signs Inspector's Use Only: _ OTAL
~a
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MJWTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Final f Da
been made.
OFFICE USE ONLY
This request void 18 months from
K+ 1 53 ids"Z S~;--
Request Date r No. R4r_gt(an Inspection
R ❑ Ready Now Will Notify Inspector
r No When Ready?
7 -7 I7Z?
I/ licensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) city
.4 (Dw-.
Section No. Township Name or No. Range No. cou
Occupant PINT) Phone No.
Power SupDlig[~ _ AdtlreSS
Electrical ntrac or (Company Name) Contractor's License No.
CGS} btr3 ~I
Mailing Address (Contractor or Owner king Installation)
Authorized Signature (ContractonO er Maki Installation) _ Phone Number
4b3- 3g/o
MINNESOTA STATE BOARD OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Yr"'~`3 /EB-00001~ 0>~3
11153 , See instructions for completing this form on back of yellow copy. 1 16
~
X" Below Work Covered by This Request
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool /10 to 200 Amps I IS- 0 to 100 Amps
Transformers Above 200 Amps 00 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms ~~?sa
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH f
I, the Electrical Inspector, hereby Rough-in Date I
certify that the above inspection has Final r / D r~
been made. f ` ,7,q_ i
OFFICE USE ONLY
This request void 18 months from
K 1 5 4
Request Date Fire ' ,h-in Inspection
~ Fq.ired? ❑ Ready Now ~~fill Notify Inspector
es C No When Ready?
1,,Zlicensed contractor :3 owner hereby request inspection of above electrical work at:
Job-Address (Street. Box o foute No.) City
4171 44
Section No. Townsh p Name or No. Range No. Coyfniy~
Occupa (PRINT) Phone No.
Power Supp4r Address
Electrical ~Name) Contractor's License No.
Mailing A ress (Contractor or Owner along Installation)
Authorized Signature IContractor0 er =Installatton) Phone Number
14k5- 3 910
MINNESOTA STATE BOARD OF ELE RICn-V THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION "frP 4 E&00001-08
K ~~ff ^ C ► See instructions for completing this form on back of yellow copy.
n J ° X" Below-Work-Covered by This Request
ew Add Rep. Type of Building Appliances Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 111 0 to 200 Amps 0 to 100 Amps Q
Transformers Above 200 Amps Above Amps
Signs Inspector's Use Only: j TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rough-in , ate r7
certify that the above inspection has Final ' Date
been made. /,"'7 zz/_ Sol
OFFICE USE ONLY - - J~
This request void 18 months from
K
Request Date Fire N/ h•in ? Inspection
ulr ❑ Ready Now~ll Notify Inspector
7- No When Ready9
licensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Box or outs No.) City
q2
Section No. Township Name or No. Range No. CouLx
Occupan PRINT) Phone No.
Power Supp)ie' :1 Address
Electrical niractor (Comp n NameI Contractor's License No.
C.40039)
Mailing Ad ress (Contractor or Owner Making Installation)
Authorizec Signature (Contract /Ow r aking Installs nl Phone Number
_j J. 4(x,3-39/0
MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0800 ENCLOSED
K f'i i 5 5
REQUEST FOR ELECTRICAL INSPECTION
► See instructions tor complet? this lorm on back of yellow copy.
X" Below Work Covered by This Request
EB -00001-08
/0 7 '
New
Add
Rett"-.
Type of Building
Appliances Wired
Equipment Wired
x
Home
+
Range I
Temporary Service
Duplex
Water Heater
Electric Heating
Apt. Building
Dryer
Other (Specify)
Comm./Industrial
Furnace
Farm
Air Conditioner
Other (specify/
Contractor's Remarks.
Compute Inspection Fee Below:
#
Other
Fee
#
Service Entrance Size
Fee
#
Circuits/Feeders
Fee
Swimming Pool
/
0 to 200 Amps
/5-
j'e)
0 to 100 Amps
716
'
Transformers
Above 200 Amps
BE ORDERED
Above 100 Amps
Signs
Inspector's
THIS
COMPLETED
Use Only:
INSTALLATION MAY
WITHIN 1873s.
/-
1) '27
TAL
Irrigation Booms
Special Inspection
IF NOT
DI CONNECTED
r
Alarm/Communication
Other Fee
1, the Electrical Inspector, hereby
certify that the above inspection has
been made.q''-'�3—
Roughtin
• 1
�j ( c.�
V i
Final t
Date
OFFICE USE ONLY — , `. 'V ,— '-iv.1„.
This request void 18 months from
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA097690
Date Issued: 01/10/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4171 Beaver Dam Rd
Lot: 7 Block: 01 Addition: Difflev Commons
PID:10-20450-070-01
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Josh McGuire
1424 3rd St N
Minneapolis. MN 55411
612-604-4285
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Benjamin Franklin Plumbing Carlos Nlathena
1424 N 3rd St. 4171 Beaver Dam Rd
Minneapolis NIN 55411 Eagan NIN 55122
(612) 604-428 X61
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 Citv of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 10 47 I Ve g
Permit Fee: Z t
Date Received: c -1 frh 3
Staff:
196
J
2011 RESIDENTIAL PLUMBING RMIT APPPLI TION
Date: Site Address: 1 /7 ' �-t, 4--ht-WN
(
Tenant: Suite #:
RESIDENT / OWNER NameStXZ _ _ <c`1 0 (*3 ',tom, Ph'on�e:Q1 g 1:23,11-2___
Address / City / Zip:'1-4 1 7 / f' `' J U ��
CONTRACTOR
Name: MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50Th ST EAST City: INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651 .451.-2241
Contact: BILL.MILBERTt
Email:
TYPE OF WORK
_ New Replacement _ Repair _ Rebuild _ Modify Space Work inR.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
5/ Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) (O/1 /S
TOTAL FEES $ , (/ l/
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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo is no to start 'thout a permit; that the work will be in
accordance wit the approved plan in the case of work which requires a review and app rp f /
// L/A 1 i /LA k
Applicant's S gna re
x ,t?
Applicant's Printed Name
x
0510612014 09:41 Les Jones Roofing, Inc. (TAX)9528817009 P.0101011
Use BLUE or (SLACK Irik
For Office U~e,~
City Ol Eap Permit I Permit Fee: 1~ 1
3830 Pilot Knob Road I I
Eagan MN 65122 Date Received:
Phone: (661) 676-5675 I 1
Fax; (661) 676-6694 1 Staff- I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date! 2 t'l l Site Address: 41714t'1 7 79, '!/p'3 L:kwcA_ Unit#:
x J 4
. .l Name:
J(o P2op42T`/ ~A-r~E l Are- Phone: ~51 -
Address /City /Zip: Rd). Bo 1< 212,f /NVA-)L %8 zlyyry~ de3`n
Applicant Is: Owner Contractor
Description of work: 9 n D OU
a ~V r Construction Cost: A/ ,201, 9 WIN-Family Building: (Yes X / No
Company: AFS ,ToN6__3 Rool2d(Z; /NG Contact: G : Jgl _
Address:
W. 910
City: &Oauc.uGA✓
yr `rw i state: _zip: fs ,V2o
Phone: 95' A - 76 7 - afi/7
J
4 License Lead Certificate AP D
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW SHUMP
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes ^No If yes, date and address of master plan:
Licensed Plumber: Phone;
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
f •N
p'ie4 ~~dS~ ~Y - ' . A
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground ulllllise. WW.aooheretateonacan-om
1 hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan: that I understand (his Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building code must be completed within 180
days of permit Issuance,
x cwts 4n ops-OZI
X_ _
Appllcanire Printed Name Appllcant's Signature
Page 1 of 3
05/21/2014 10:17 Les Jones Roofing, Inc. (FA)(9528817009 P.003/011
City of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 676.6676
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: r_)
Date Received:
Staff: _
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATIONa�`r—
Date: Z! t
Site Address: gill, `11 7,5; 4179, 4/1'3 8614/E. Da.0 'oAD Unit#:
�'.;'�� :�'r ° ;�;��i,' .cap'`$;
'ttlr'l ' ,, '`'� .7, ''' " i
�:• �
)`'`.6,1 Q WI' ,,,, \I.
, ' 4 l
,'`• ' ..
Name: A?O�A2 R-�.E 6 G Phone:
7 o P rY N (S! - mss// 99Yq
r
Address / City / Zip: ? O. BO u 2.1'2 5 /N11672C*-Dvt 10 Ml 63a" 74
Applicant Is: Owner X Contractor
,,,..:a1:6,
` ry/',I�y^-
14)0 r 4,5
,.,,::••
' f ri', : ,
>E � S �
Description of work: SM vv -6" .44.00 /2 LA e.A76 S'Oe A tephge &4V4"
Construction Cost $ 22, 4 3 7. r Multi -Family Building: (Yes X / No )
.,_;'�
_t.r V' ,,, ";
l :` tri.,
''••••-t ti " 'I-''" •, ;.
.'"hti' toll•':
i; -4, el ,��`:J
�, 'fir 7'' r�,• k+. ,i
j' y,',3-!,..*,,,, � d !Y .
Company: 3 �Ti2N63- Rae)pe- 1/Lr /.vc- Contact s 4,01)e71 --50k1
_GNRt
Address: gilt W. 80714 iriste'%— City: iGo NlrreDA/
State: M/4 Zip: ,%i-'/317 Phone: 9'SA - 767- 028/7
License #: 6.57:30 Lead Certificate #: Ai4r Ifo 5 90? -1
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
__Yes No if
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIttG
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
•i� � D j- i 1 ;b,'o. ctoxiim .0. 44:41,1*" ' `';0 . 140,0iii ;at) p b`J)t. jtif IVOCg . a ti 'i't ,c4
v pray,yylio 0,01.-Inayti J ., sS ff#%o�,Okirrl'eetra ip'11}/LO - A p( "t _1 . Mfl y; Oki, a wo d&j 4"1n/l,(s e QMG i?f[b�'.: ,
Kh'A, i' ` ! T� ,..1 :1: �r •..,K! iii4 -� .A.0.40.05.B10.11M6L.. .Ft ire .. Ard el $.,..,) �i ik5.:.s : ::.' yFi.`..wJ :Ml:..,,i,., �rF'�1i,:a
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.000herstateonecall.org
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances end 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 plane.
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.
x GffkiS 4AjDE25-od
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165728
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 4171 Beaver Dam Rd
Lot:7 Block: 01 Addition: Diffley Commons
PID:10-20450-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Philip C & Sheila A Ochs
4171 Beaver Dam Rd
Eagan MN 55122
(612) 308-4187
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature