4073 Baffin Bay N' CITY
BUILDING PERMIT
Box 21-199, Eagan, MN 55121
Receipt #
Site Address 4073 aAFE0 MY H
Lot 20_ Block _I SeciSub. H IL1.S OF
Parcel No. STONEERIDGE 3K
W Name CEN?EX ROMS
o Address 592 ? MM RD
City MINr1S'fON[l1 Phone 496..7833
o Name SAME
;¢ Address
'- City Phone
k •
Name -
Address _
Phone
the
! Of
Building Official
?A 19215
OFFICE USE ONIY
Occupancy jt-a -H-i FEES
2oning pa it-i
(Actual) Const ?? 81dg. Permit 111131-m ?
(Albwable) Inv Surcharge
* or srories
Length 325.00
Plan Review
Depth SAC, City 100.00 '
S.F. To1al - 630
00
S.F. Footprints SAC, MCWCC
,
On Site Sewege _ Water Conn 6?• ?
On Site Well - water Meter 9S. QQ I
MWCC System
3
Ciry water _Z 0.00
Aect• oeposit
PRV Fiequired - S/W Permit 30_00
Booster Pump - S/yy Surcharge - so
Treatment PI 276,00
APPROYALS qpad Unit 370,00
Planner - Patk Ded.
Council
B{dg.Off. _ CopieS
Variance - TOTAL 3.618.50
: Permk No. Permit Nolder Date Telephone #
WATER
SEWER
PLUMBING viv. -70,0*
H.VA.C. 911191 s'as-&W
ELECTRIC ?IDo?I p ; / 9? ??? ?
Inspattion Date Insp. Comments
Footings I 6/.7 7/fj
Foundation
Framing Cc.v
Roofing
Rough Plbg.
Rough Htg.
isui.
Freplace
Final Htg. B,
ors?ac Test lp z? D S 2 `
Final Pibg. -0 dj/ ? Plbg. Inspedor - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Fnal
Dedc Ftg.
Dedc F'inal ?
60
WBll
Pr. Disp.
CITY OF EAGAN ? PERMIT TYPE: ':" ) +1' 1?+F.,
3830 Pilot Knob Road Permit Number: 'i'' h'444 4
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
; ? r.? ? ,,, , , ; ; „,:, ,., ?
SITE ADDRESS: APPLICANT:
i 114 LtAY N 1 i i•' ?
i CiNi N!? 1 Uti1 7Nf1
PERMIT SUBTYPE:
f V AMtl41,
K1lUliF1 [ N P L 86
TYPE OF WORK:
1 N',lll Ai Tlf la
PkMARK`> - A',fOARAff P1_FtMiZ V, kE411J'iv?U 1=r.1R ANY VIUhtFtCNt4 lilt Fl U1 tkr1:Ai 0001
? ?
Permit No. Permif Holder Dale Telephone #
EL' ECTRIC 5 ,.R'j 9 5?
PLUMBING
HVAC
Inepeetfon Data inep. Commenta
FOOTiNGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FlREPLACE
AIR TEST ?
FINAL PLBG ?
FlNAL HTG
ORSAT
TEST
BLDC3 FINAL
BSMT R.I.
BSMTFINAL
(o
DECK FfG
DECK FlNAL
? , -- •----?
. r? .
• , ,? ??i??'' . . .
CCtx#if ira#e o# (Orru?aury
titp of Cagan '
loppat"tl1lmt Of ll#ta[q J1tSwPtvD11 4
This Certifuale issued pursuant 1o the reguirenientr of Section 306 of the Unifoim Building
Code certifytng thal at the time of issuance this structure was in compliance with the various
ordinances of the Crty regulating building eonstruction or use. For the fo!lowing:
use ciasurication s' R ewa. Ptrmit No. 12296
o-M-y rmz R3 f m l zoning n;wW PD/R 1 Tym coft. VN
ow« of sUMOS CENTEK HNF.S A4d= 5Q29 Bl1RER R,IAD. rIIKA
&"np Addm 4473 BAgFEV}BAY TAD ,a,?, L20, B 1, FilIIS CF Si?Q?dt? 2rD
/
.?
-T Buil?ng Officia
POST IN A CONSPICUOUS PLACE
?
.?
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # ???PERMIT DATE "``? ` 1 I C' 1
3830 Pilot Knob Rd. p ? O a 1?081
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C 141 u:
ISSUE DATE B.P. RECEIPT DATE U:; !'?
DATE
PRV - BOOSTER PUMP
SITE ADDRESS 4L." L-L ="Fj L PERMfT REOUESTED
LOT •'' BLOCK 1 SEC/SUB ;TOT:IS6R1;:L;.', t; I:
-' SEWER ?- WATER - TAPS
APPLICANT: .
- COMMiIND ^ RESIDENTIAL
ADDRESS:
CITY, STATE ZIP NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ?'??`?u?$???"'I?G• Ahead of Domestic Meters on Water Line.
ADDRESS: ???O_Z/iCfi?RY L.N 1,4745 izG`1 <'.itT Ti: Credit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP
PHONE:
I AGREE TOCdMPLY WITH CITY F
OWNER: <:"'.:vTEX iiUt1ES EAGAN ORDINA, S ?
ADDRESS; ``-? $AKER kD
1 ?
`TNhLTGNKA MP7
CITY
STATE ZIp 55945 ? '
S I/?
,
' -
'?
,b-7833 SIGNATURE WHEN METER ISSUED
ALLOW TWO WORKING DAYS FOR PROCESSfNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION E R
CITY OF EAGAN PERIVIIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
? (651) 681-4675
SITE ADDRESS: N. ' 10 ' .3` 9" i -'1 g N ' 01
t0?•. :p Hliirx ..
• .,i F1N fiA`r N
HI) f', (if 7,'f01VE•_RkIU&F PI.AT :r
PERMIT SUBTYPE:
: .
i I
I F
?
Itf= 11lITi 1 Mil' i' H.'iFI11f' I_f: 1
APPLICANT:
r rN; •,???? ?:?,i?rrr?
TYPE OF WORK:
i PWt? 0; I:1 hl
Permit Holder Dste Talephone M
SEWER/
WATER
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ? • ? -7
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnvm
rEST
HYDROSTATIC
TEST
BSMT H.I.
BSMT FINAL
DECK FfG
DECK FINAL
.-
AddreSS: 4073 BAFFIN BAY ROAD Lo t20 Blk I Sec/SUbHTi.iS pp gipiEBruDGE 2Np
These items were/were not complete at the time of t e final inspection.
10/02/91 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Pexmanent driveway
Permanent gas
Sod/seeded grass f?
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please varify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
qCIIFYXIfP
White - City copy Yellow - Resident copy Pink - Contractor copy
1.r1419'X
0 0 6.5
Request Date Fre o ough-In In ctron Raqmretl Inspeclion Othnr Than ough-In
(YOU mu I ca I mspector when reatly) ? Ready Now WJI No d In clor
Yes ? No Date Reatl
I )1,licensed contractor ? owner here6y request inspection of above electrical work at
Job Atldress (Slreet Bax or Route No ) Ctly l^?
? A-#\)
Section No Townsnip Name or No Fange No Counry
Q
Occupant (PFINT) Phone No
5T ?0 t?
Power Supplier Atltlress
Elecincal ConNdclor (Company Name) Conuacror's License No
rl ?? Z
Mailing ress [Camractor or Owner MeM g Instella9o6
Authonze ign m e(COniracmn er Makin nstalletion) hone Nu ber
MINNESOTA STATE B/IAPD OF ELECTflICITV II q NN u f THIS INSPECTION REOUEST WILL NOT
Gtlggs-Midway Bltlg. ?Raam 5428 I? N? IIIII In IIIII ?? ? I I?? ?? II BE ACCEPTED BV THE STATE BOARD
1021 University Ave.. Sf. Vaul, MN 55106 N II II II n N N UNLESS PFOPER INSPECTION FEE IS
Phone(6/2)602-0800 ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION '"1 F?»'.'
/ 5 ?? ; ?, ee/-00001-09
10, See insWCtions br completing ihis form on back ot yellow copy ??`?/(p
.<
066,589 "X" Below Wgrk Covered by This Request
Ne Add Rep. Type of Building Appliances Wved Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustnal Furnace Other (S eciry)
Farm Av Conditioner
other (epecify) Con[rercor's Remerks
?n1T ?? t S ?-+
Compute Inspection Fee Belaw. ?tl5M
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimmin Pool 0 to 200 Amps 0[0 100 Am s
Transformers Above 200 Amps -- Above,100 -Am s
SIgnS Inspector's Use Onty TOTAL
IrrigaUOn Booms `)
C'v
? ' ?
?
Special Inspaction J
Alarm/Communication NECTED IF NOT
THIS INSTALLATION MAY BE O RDISC
Other Fee COMPLETED WITHIN 16 H5.
I, the Eledncal Inspector, hereby Rouqn-,o
/
oaY-S - N
certify that the above inspechon has
been made. F??ai o
OFFICE USE ONLY
This request void 18 monlhs fmm
i
•- ./?* *?
* PIONEE
enginee
* 4( * *
/'1'I4bF4 ?21?o/
Certiticate ot Surv¢y {or; CINTC x HOMES
,,, q5 yl N ?q.- 32' ? I?'?
?
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s -
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?° ?
1 ?
N \ ? m
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q, w ?
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0
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m a
?
86 9
O ?
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/
N j6 6\
/Y
> 33 ? 4.0
? /o?iR, ?e
1 888 7Z.6)
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Ir
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BAr-F11V eqY jVZO y .
S Z. 9y? _
?g3
-ei?
NoaTN
S
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/f
/
/
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/1?41
k\0
??..
_'? z ` Y• _ i ,. - ?._"7c.`---- _..,,. _
. goo.o Denofes exisfinA N flevafion uer'?
Dertofes propMed E/evafiort
fJhnofes Drarna ? Ufrliy E'asemenf
-? Denofes Orq;ncle r7ow 4rrows
° benofes monumenf
Beprit7jS Sl2own are assumed
SE N usE LEV,4r1oN
Lowes F/oor E eva ion_ ss?i?
7?ip o; B/ock E/evpfion a9.?
Gar4, ?e S/ab f/evation 5as.T3
° ?9ew?es 0 fraef Nub
Su JecF fo Easements o''-.
LOT ZD , BLOCW 1,/_/fLLS OF ,,STONEBl?71DC,E t??Q.d PLA
DAKOTA CoVNTY T ? j
I herebY certHy that this eurveV. olan or rePOrt was
prepared by or under my direct supervision and that I am Auly Reqistered Land Surveyor
mder the la.ve ol tbe State of Minnesota. Dated tbis
/ZArdeYOf -NaP A.D.19Gj1
L.
C
i'
SCU'IQ_1 ?n?`4Q L{ e??? ?i ???xL
nFC. No, 14891
2422 Euleiprise Orive
Meodota Heights, MN 55120
rsiz? sei-isia
,
BUILDING PERMIT
To be used for SF DWG/GAR
Est. value $148 , 000
Site Address 4073 BAFFiN BAY N
Lot 20 Block 1 Sec/Su6. HILLS OF
Parcel No. T NEBRIDG N:
W Name CENTEX HOMES
; Address 5929 BAKER RD
° City MINNETONKA Phone 936-7833
o Name S?
.?
Address
City Phone
Name
Address
OCity Phone
I hereby acknowlege that I hav this application nd sta[e thal the
information is correct an ee to ompty wrth II pplica6le State of
Minnesota Statutes a ? iry of Eag Ordm
Si9nalure ofPermitee a anc?
zr
A 6uilding Perma is issued to: CE EX OMES
on ihe express contlition that all work sh be d ne in accordance with all
applicable Slata of Minnesota Stalutes a C-riiry, of Eagan Ordinances.
Building OMicial ??{Ir???ld ? i 11?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700
N2 _19296
Receipt #
Date
.TUN
21
, 19-9j_
OFFICE USE ONLY
Occupancy R-3 M-t FE ES
Zoning PD $-1
(Aduap Const V=N 81dg Permit 808.00
(Allowable) V=N Surcharge 74-00
# of Staries -
52'
PlanReviaw
525.00
Langth
DeDih 38 ? SAQ Cily 100.00
S.P. Total - SAC, MCWCC 650.00
S.F FoolDrints -
On Sne Sewaqe _ Water Conn 660.00
On Sne Well - Waler Meter 95.00
MWCC Syslem x_
'
Ciry Water _X- Acct. Deposit 30.00
PRV ReQwred - S/W Permil 10 - nn
Boosier Pump - SNJ Surcharge • 5n
Treatmant PI 276.00
APPROVALS RoatlUnit 370.00
Planner - Park Oed.
Council -'
81d9 OH. _ Copies
Variance _ TOTAL 3,b18.5n
. . , !?'?ODeG ???
1991 BUILDINP LICATION
CITY OF EAGAN
( (P
SINGLE FAMILY DWELLINGS ti[TLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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 IAST WORKING DAY
OF MONTH IN WNICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING P RMIT IS f PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A ? ETE
PERMIT MUST SHOW A LICENSED PLUMBER. 7 ;
To Be Used For¢., Si .D C'aK Valuat n
Site Address ' a z?A
Lot Block
I9?A?
Parcel/Sub
Owner S
Address
City/2ip Code 1/4jl1 ].?JY,
Phone 7?J33
Contractor
Address
City/Zip Code
Phone
Arch./Engr. /?? jLill?lo
?
Address
City/2ip Code /Y/
Phone # (p CJ/-/?'
SUBTOTAL
Penalty
Lot Change
TOTAL . ?..I?Q
that all work shall be done in accordance with
(Signatur oi c:qntraccor)
a11 applicab e Stat of Minnesota Statutes and City of Eagan Ordinances.
Date : ??
L..
OFFICE USE ONLY
FEES
Bldg. PeTmit C?c,
Surcharge e ?
Plan Review fZ'?,c?Gn
SAC, City /CtJ.z'1J
SAC, MWCC - ,UJ
Water Conn. (v C c?Y?
Water Meter 5:???
Acct. Deposit 30.ca?
S/w Permit 3z'.c?<?a
S/W Surcharge 1.4?`
Treatment P1. 2'76.n_
Road Unit r1tJ,ao
Park Ded.
Trail Ded.
Copies
Occupancy -;? hf')
2oning P7 ?_
tual Const ? ,?{
Ac
Al
lowable V_i?
# of stories
Length
Depth
S.F. Total
Footorint S.F.
On site sewage_
On site well
MWCC System t?
City watel'
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
* Pion
* engir
* * **
2422 Enteeprise Drive
??- Mendota Heights, MN 55120
(612) 681-1914
Certiticate ot Survey for:
CENTEx NOMES
'? 4" ?
7
q5 y? N ?`?? 32
?
1 1
?
N 1 za?
? a ZZ ?
S w?
?
?
O
J
CCl
11
r9,?3y
8e?o?o1
/
?
1 8g8. 6
1 C /
t?_ '__r
NvarN
S
? SQe
?
/
/
/V.b?Wor /5.
?
i
?
4=SD?9yc L
Bq?=?,?N 3?zo •, ?
Bq y No?T?
. goo.o Denofes exisfinq E(evafron
. ,900.o Denotes propdYed E/evafiort
l?nofes Draina?e ? Ufrli? Easemenf
-•- Denoies Or4ind?'?ie ?"low Arrows
0 benofes monumenf
Bearrns shown are assumed
SEoo?N U5E LE'VATION
Lowes Flr r7eva ton_
Top of 8/ock Elevatron sa4-?
Gar4 eS/ab E"levdtion 858`?3
o Deno?s Ottr'sef Nub
Su W to Easemen1s ol"Record
LOT Zo, BLOCW 1, NILLS OF STONEBRIDCE PLAT 2
DAKOTA COVNTy'
1 hereby certify that this survey, plan or report wa5 prepnred hy w under my direct supervision and tha( I am Auly RrgisMred Land Surveynr
under the lews of the State of Minnesote. Dated this d
ay of ?+^'+P A.D. 19?.
G ?/
?0I Il1I7i Scale: 1 i^ch,?Q L ef e(1al , 1?i.f
RORE?I ?. SIK CII t_5 RCG NO. 1nB91
a74.o
_ ? ? ??Sr3
8?0.6
o z.o
7 N 36 83
?'Raahs
No?stED/? .
\ i_ i17
?lCacvriri?. r?in.
Z g4?02Co7
Pl,_;nniny D,_,siun .tnc.
i;,ll Hiyhw,;y 10 N.E.
I'•I t rir ?c._?F,?_? 1. I?II`I ,_ ?:r"'....
hl'._.-. ..'•_r1?:1.'- ::?i
M.inric.:=.ut<a ;:taie F:nrci yy Cui.f:.: CO'tcUlril'_Lons
bCi= ul I on - i
Ch?rt?.Filer " ? o; lI .?e- I`li_,eel F:.nc:rr'y; ,.u-.:-,
1`.'9_ Edztiun - ? i=u..
-ipCHc.l 1 /t/; S4
OYi i : E: I' .
S, !.i_. ilddru.;'_.;
c:m; : .:c tor.,
:.'1.C;a. tvl_...:.
?il-hlE!iF`ii f.l+lf'?t?F;h;r'il"i'LIiV
I•1C1iiEL 92161
CEP•ilEX ;{OMFc
H0:?9oz(o 7
i :hrunc-•;
A.l A1 {oI Sincilc^ F'::mil'r;Di.iE:7.w:
k..:, rMAC.len4:7.a1 :. :.;I'..t:,r 1F.,:;
Ovetr .. _aC?,rie??_:
ilth-.,i? .
?l -
• ?.F.]
?-, ?!;_:, ?.,eui.iv?? ?:;ras:r?nc?.tionc r??Suc:i_zc?n C???y nJC`F.L...I ?J_?_.
- .'? . C'?i1 ?',?it h 1 aP"F.' fC2•-
:-;J(',Vf3!l:eli(_e I.fl L=lfCUlattan=_ enly, and are IICJt rL°j'cl't'.F_'d fl'nRl OlIe 5Lt O.C
_c:lcu7.mtian:: hvleNv io t:he nFxr.
1,. ,_iQ. waii,_ Perrnecor ., b1a21 hcir.7ht=_, - rlre=a
Cil"UI.IfIC:I to C:arvk.'
:]'3CtiOll A . 50.5 10.4: = 55I.46
s=.ct1Uf1 _. . jit} 1'f^+i.g? _
`
2260.62
b.?If7?lOll ? , f_, II = 0
.. i•L'L).? :. ?' -
._.. C;uu.lciinU dimensions Fl
oor or
L'eiling
LOngth >: Width = Area
:;ert>on A : 18 14.5 = 261
Section D . :ii 32 = 960
"ecctinn C . 18.83 __ = 37.66
Scr_tion D . 11.16 ,. _ 22.7-27
To; al t 1 ao r or c ei 1 i ng area = 1200.98
U. 'N',im ,IOisl. Per.imel.er- _ _
164.5
Fluor joi =t 2 by 16", lp", 12" c r 16")i
Rim ,Joist
hrAa .
=
137.0833
}. Doors
:,rr-ra: 46.3 Thi c4.ness ( i nr._he=.): r,
'-:'riffl°{:E'f .;Y:?Ew: ?i
-
I`/F7f: ?t C CilSlrllCt.lCltl:
_. Tui_a.L door _ Perimeter: „
o. U)11ldCV}g
e
htun?c'ai.r_ture?-. GJEATHEF;SHIELD !.1 Fac:tnr; 0.47
.`:l.??Ca? aFi?:?t"?r•:;±?I: ;'1=,?'_,
T',[• H„zr;tri: , Lenct'Ch ., ., Pli.imhr:r- . foi.al
(inches; r:[nches+ oF qlts; 5?qf-'I:
iin:i, l -
;-
?
1'f!MM1
' yi ''""
.?, .''"<if I.n Dhs7!^a
-. ?=71.rEl.trn:
10. F:ir-==p:aca area
6•Jic;th:
rural sq r-t _:
? ? . Ws=:.::>d f=ni..tnd„l-t on
.oi rht .-_: rea r=, :
;ilj Ft (3i"(?a A -
• O::C3o!;C'f.i Fr!L'Rdat'LCft
'Wight ar-oa Li:
::i q F't d I^ E' , I:j -
i:•
G-r,ss .,a11 are:a
iai nus
WIIlQQt4 rii'@ci
Pati? door area
FY,:rium orFta
':1 tn ]o1 5t y I" E ei
Ilnur orea
Fireplar_e area
E::;iosed F=nuu,d.
° Framinq area
eqi.ia1 s
Tocsls fnr net Tvall.:
i-4 .. _
l.u 24 4 1.'.. _„
2"1 ::': b ':.'il
2; 1 28 .. b 1 4 1 , M,
-- 2"3 6 _ . .._._
1;= `d.c.) < Es.11317
12 ,°,4 1 4.
?l ti !'• <t
_r ( ) Ci r_i
r i r. i
;. ialir,dovi gJass a;^;.a (c3 qp-1.7 = ......kS:;
HuZgh t ,. L'2f1C1"tfl .. Yll.lfili]E"? = TUCa.G
!feef_? {feeti uni.ts SqFt
6.8 2 40. f_
i_; f 1 ()
i,
h Hezghit: ;;
1c>
,- . 6- F';+ I' ] RIE't.E:'I" :-li"ea H;: . i i
lqq 2)
0 Pe i^imetei- ai^ea 8: ?
()
SyFt U factor U;: A
2812.08
238. 8:: 0.47 112.271
40.8 0.42 17.14
`J 0 0
1..'•'7.r:a",-.?.v_, _.:: _,?.:
. ._ 0.035 c
?l . 1
46.8 0.14 6.55
3'? CI. 17 5.1
109.21 0.14 13.29
221 . 209 0.069 19.4
1928, 14°6r',6?
0.0_7 '%1.?4
•.??. 1?': .??I .? ? .. ?'?_i ? .. ?_. ?
.. ! :, ,.i::::l. t.I ..._C . -. ,. l i.i _ii ("':d'_. witl I at"-_'c{
..
.. ?
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?"--•, - - . icalculate:i abovei
S3S?3 RESIDENTIAL'
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 J?/ < "1 ?
651-681•4675 / (A °L
New ConNructlon Reauiremenb RemodellReoair Reauirementa
• 3 reg'slered site surveys slmwing sq. R. ot lot, sq. fl. of hause; and all raated areas • 2 copies of plan
(20% maxunum lat coverage allawed) • 1 set of Energy Cakulahons for heated additions
• 2 copies o( plan sfrowing beam 8 vrindow s¢es; poured found design, etc.) • 7 sile survey for ezterior additiom 8 decks
• 1 set of Energy Calculatians • Indiwte if home sened by septic system foradditluns
• 3 copies M Tree Preservatwn Plan if lol platted aRer 711193
• Rim Joist Dehail Optioris sdecdon sheet (Wdgs with 3 or less units)
DATE VALUATION ?%3o
SITE ADDRESS 4U ? 3 64fv .GIG.ely ?MULTI-FAMILY BLDG _Y _N
TYPE OF WORK?efPoD F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT M,?-alftfe-57Z 92>,,,Z?007a
STREET ADDRESS l a-36a R%,je? 61,e/r CI ,.u v:STATE&A-?ZIPSS.?3 7
TELEPHONE#°?Saa'`???7?D CELLPHONE# FAX# 95a-a'?fG-0 7
PROPERTYOWNER ?4&r
TELEPHONE # (0S /-G2
----------------------- -------------------- -..... ---------- -----------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1 MT 1?pL¢?S?'715
(d suhmission lype) • Residential Ventiladon Category 1 Worksheet Submitted • ?S'Co e 4Vbrk?5{?ee
• EnergyEnvelopeCalculaUonsSubmitted .? ??? 2 4 2D02
Plumbing Contractor:
Plumbing system includes:
Mechanical Confractor.
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fec: $70.00
-------°--------------°---°---------°----------------------------------------------------------------°-------°------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances.
SlgnWure ofAppl? ? ?
I
OFFICE USE ONLY
_ Water Softener
_ Wa[er Heater
_ No. of Baths
_ Phone #
[awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received, _ Not Required _
Updated 4102
i;f++.'.
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2 7`.i 909i r:t41`F'7O I,nY
13210 ?zlifll f;i.IilPIEl;l.i<d I_F: l?f). 00
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). 1;:W. s,* ,; A rF lY+11T* f:l;i.?)r;F h:;??? 'k* 4 . V"e•x, ';>M>rl,;, ? 4r4.:K*"'*
PERMIT
CITY OF EAGAN
3830 Filot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: auzLozHs
Permit Number: 0 3 3 S 9 0
Date Issued: 11 / 0 2/ 9 8
SITE ADDRESS:
P.I.N.: 10-32991-200-07.
4073 BAFFTN BAY N
LpT: 20 RLOCK: 1
HTLLS OF STONEBRIDGE PLA'T 2
DESCRIPTION:
r __.
Bua'lding 'Permit 'iype
Building Wor?k Type
Census Code ?
i -
--
FtiItEPLAC[
NEW
434 ALT. REST.qENTIAL
l?,
REMARKS:
CNIMNEY/FLUE MUST BF INSPECTED BEFORE CONI'EALING.
FEE SUMMARY:
Base Fee $50.00
5urcharge 0
Total Fee $50.50
CONTRACTOR: - FlPplicant - sr. L rc. OWNER:
FIRESIDE CGRNER INC 16331042 26090911 WALLEft JOE
2760 N FAIRVIEW AVE 4073 BAFFTN BAY N
RO?EVILLE MN 55113 EAGAN MN 55123
1(612) 633-1042 (651)687-9384
I hereby acknowledge thet I have read T.his aoplication and stats Chat the
information is correr.t and agree to comply with:all applicabie State ofi Iln.
Statutes and City ofi Eagan Ordinances.
? -
APPLICANT/PERMITEE SIGNATURE ---1? IS ED BY: SIGNAT RE
i - -
'E;o
9 d
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK:
JOB ADDRESS:
? Construct new fireplace
Install eas insert onlv
Other
f d (,3
<
LOT: BLOCK:. ? SUBDMSION/P.I.D. 5 S?CMt.??n?y
P??-? °
APPLICANT (circle one only): OWNER CONTRACTOR
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: Uj(`11'P `? ? (-) P Phone #:
Last First
Street Address: '
City EICL(a C{ h State: OfK' Zip: O
c
,
11
Phone #: 92?2-5?9
Street Address: 35IS7v ()Uj,?G/ 4 License #20o9?/y
7 ?
j'e-,_ State: fWN, Zip:
City e,1Ay1Asu1"I S's
StreM
PERMIT FEE: $50.50
_ Alterations to existing
Install ¢as liae onlv
1991 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAliILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
M[TI.TIPLE DWELLINGS
CO?IlERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 5ET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation?`??,-Date: ) Q?j.5 ,Q I
Site Address -4073 Bf+FFiN6AY AJ-
I.ot _2L Block J_
Parcel/Sub hnr?lt1,116 °• ?n
Owner L Ep-
Address 40-7 3 J$P, FF-/fJ bAY A) City/Zip Code E<aGA.nJ
Phone (DB -7 - 9 3 8 4
ContractorMA2iL 142AGF_1j.R,R-wC?
Addressl(c54? Fe AniCr+/SE AvE,
City/2ip Code ? C r? o u ni?, ?ti'1 iJ .?UG
Phone /4 3 2- 4 O<{ Z
Arch./Engr.
Address
City/Zip Code
Phone #
IISE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth I2 ?
S.F. Total
Footprint S.F.
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
NIc
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
LIPPROVALS
Planner
Council
Bldg. Off. O-/.' /Q5
Variance
SDBTOTAL
Penalty
Lot Change
TOTAL
.5D
Sewer/Water Licensed Contr.
? „,Q. ,?,• (?'7 agrees that all woCk shall be done in accordance with
-' (Signature of Con?t,ractor)/ j
?./
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PERMIT Orz.o
? CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuzLorNG
Eagan, Minnesota 55122-1897 Permit Number: 026904
(612) 681-4675 Date Issued: 01 J 0 3/ 9 6
SITE ADDRESS:
4073 BAFFZN BAY N
LOT: 20 6LOCK: 1
WILLS OF STONEBRID6E 2ND
P.I.N.: 10-32991-200-01
DESCRIPTION:
Buildin4..Permit 7ype
.'Building Wo_rk Type
"Census Code ?
BASEMENT FINISH
ALTERATION
0434 ALT. RESIDENTIAL
i -._.,.•.
tt' S; y,
?. . .? ?
.? . .. ,--. . . ?
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. LIC OWNER:
JpMES CONST, JEFFREY 14860525 0002631 WALLER JOE
P 0 BOX 17991 4073 BAFFIN BAY N
LITTLE CANADA MN 55117 EAGAN MN
(612) 486-0525 (612)687-9384
I hereby acknowledge that I have rvad thia applicatinn and stats that the
infarmation is correct and agres to comply wiCh all applicable State of Mn.
Statutes and City of Eagan Qrdinances.
? . _ _ .. . . . ?
? f1
LICAN RMITEE SIGNATURE --ISSUELJBYI 610NATUR ? ? ?
JL(A CITY OF EAGAN ! ,?50.,?o
o 3830 PILOT KNOB RD - 55122
4 1995 BUILDING PERMIT APPLICATION,(RESIDENTIAL) (,?
681-4675
New Conshuction Reouirements RemodeVRepair Raouirements
? 3 registered aite surveys ? 2 rbpies ot plan
? 2 copies of plans (indude beam & window s¢ea; poured fnd. deaign; etc.) ? 2 sRe surveys (e)derior atld'Rions & dedcs)
? 1 energy cekulations ? t energy calculations }or heated additions
? 3 copiea o1 free preservation plan iF lot platted after 711183
mquired: ,_ Yea _ No
Dp?? il;i_ CONSTRUCTION COST: `?3 btX3
DESCRIPTION OF WORK:
STREET ADDRESS: ? ?? 3
LOT J 0 BLOCK
.?
SUBD./P.I.D. #:
PROPERTY Name: Phone #: &?-Snrcl
OWNER
Street Address• "?-<--
City: c CsState: 44- Zip•
CONTRACTOR Company: phone #:
Street Address: w"?Dr-7 A L<- License #: °?63 I
Clty: StBte: M? Zlp• `r•$^/ /?l
ARCHITECTI Company: C
,' w" e r Phone #•
ENGINEER
Name: Registration #•
1 7
,71? o rj I^?
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber: 04^ 6
'? . Penalty applfes when address change and lot
change are requested once permit is issued.
t fiereby acknowledge that I have read this application and state that the inforrnation is correct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiipnt:
t
OFFICE USE ONLY ? ??ENED
Certifiptes of Survey Received _ Yes _ No 2 D t,?g5
Tree Preservation Plan Received Yes No
OFFICE USE ONLY .
.?. ` .,..
BUILDING PERMIT TYPE ?
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ?16 8asement Finish
n 02 SF Dwelling o 07 4-plex o 12 Mutti RepairlRem. 0 17 Swim Pool
a 03 SF Addition o 08 8-plex a 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch n 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex a 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
n 32 Addition ? 34 Repair o 37 Demolition
(iENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNUS 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. /a r
Depth Footprint sq. ft. SAC Code ?
Census Bldg !
Census Unit ?
APPROVALS
Pianning
Building
Engineering
Variance
Permit Fee V I at' • $/S?D J -
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis bed.
Other
Copies
Total:
a u ?on.
% SAC
SAC Units
t ;.'S'r' ClF E:(1C;F'il@
CAiHTER: .19 Y}_IiI'`I.II`JFII_ NO: 875
zIArr:.:, W3;17/537 '1":fME: t38;45.('33
rL3:
NAI'fE:; 14TDHIES7 CLi:J?fiC' T:Ci'iRcRO[l( (:'-C1
32:10 :it)r'ti 4073 IiArrIr+ CitaT' I.53 .2 S
M55 9001 40r3 t:{r,r-F:i.N BAv A.nc)
i 6t.].L ftmt:7e:Ln"I; f-1IIipilYl'F, - 0705
C'r't :1.1.'.'1"`r 3L
L: f5FR ZO.". 1AN
, *ow
wo#Mo?kW}Kom
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3 3830 PILOT KNOB RD - 55122 $157• a!S
651-681-4675
New ConshucNon Reauiremenh
? 3 reglsfered sHe surveys showing sq. k. of lot, sq. fl. of house
and gJl roofed areas (20% maximum b1 coveraae allowed)
? 2 copies of plans (show beam R wlndow sizes; poured fnd. tleslgn; etc.)
? t set of energy calculaBons
? 3 copies of hee preservaNon plan H IW plalfed afFer 7/1/93
DATE: SS I 10 IqCI
,-Tr
DESCRIPTION OF WORK: le-
STREET ADDRE55: ( 6 7
LOT: C?0 BLOCK: I SUBD./P.I.D. #:
RemodeVReoatr Reauiremenfs
2 copies of plan
7 sef of energy caleulaNOnz for heated addffions
i sXe survey for exlerior add@ions S deeks
CONSTRUCTION COST:
'1?5 -
:L,.
Name: JOf, Phone #: b5i (0 93 q 3314
PROPERTY tast Fint
OWNER SheetAddress: 4013 bof:O(1 bay
. ?
city ?Gncln stcite: M?? zip: 55?a ?
Company: I 1(y-)bPX00F Phone#: b«
(area code)
CONTRACTOR
Street Address: jbD t?i •? 1? ?U License # o2O) ?1.?Exp. 3- ZCCO
city 5urr-<::01ie., State: Zip:
ARCHITECT/ •
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Registration #:
City Stafe: Zip:
Sewer 8 water licensed plumber (reauired for new conslruction onlv
PenalFy applies when address change and lot change is requeated once permM Is issued. ,
I hereby acknowledge that I have read this applicaHOn, sfate thaf the tnformation is conect, and agree to comply wifh all appllcabl
Siafe of Mtnnesofa Sfatutes and City of Ecgan Ordinances. ?
Signafure of Appllcant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
RECEIVED
AUG 16 1999
BY:_-._.-
,1 CITYUSEONLY / 2Jq/%
? ?V L ? RECEIPT#:
SUBD. II?I?? RECEIPTDATE: /7'I0 OD
PERMIT# !
2000 PLUMffiING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MAI 55122
651-681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permRs are required for each un'rf
? backflow preventer for underground sprinklersystem
cilvrlmee
FACH $
TOTAL
r .. ?ti.r
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newlrefurbished ' requires MPC lie. 75.00 X = $
Septic S stem ebandonment 30.00 x = $
fjpZ new installaHon/repaidrebuild 30.00 x = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is underconstruction 3.00 x = $
Underground sprinkler ifexisting dwetling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construetlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00• x $
50
State Surchar e .50, -> -> -> $ .
rotal
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
..-----------•----°-------------••----------•--------- ---------------
I hereby adcnowledge that I heve read this applicstion, state thst the infurtnation - is - corted, - and - agree to compty with ell applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that Ihe City of Eagan assumes no liability for any damages wused by the City during its
normal operational and maintenance activities to the facilities construded under this pertnit within City property/rightof-wayleasement.
SITEADDRESS: a 73
c?7`a c a l v
OWNER NAME:
INSTALLER NAME:
STREETADDRESS: otDO -
AKI?7
CITY: ? L...? STATE: ZIP: ''?
SIGNATURE OF PERMITTEE
TELEPHONE#: 6_?-1461?17 ' (AREA CODE)
TELEPHONE #: Fs ?- 31;:Ir .6`3 ?
(AREA CODE)
2000 BUILDING
" o VO 9
PERMIT APPLICATION (RESIDENTIAL)
cirr oF Encani
3830 PILOT KNOB RD - 55122
657•681-4875
{3 V-,o(p RemodeUReoair ReaWremenh
D 7 regiafered tite wrveya ahowing sq. N. ol bt, aq. B. ol hane 5? 31 oO
and SM rooled areat (20X maxlmum lof covemae allowed)
n 2 coples of plrnu (ahow heam & wlndow Yzea; poured tnd. dealgn; etc.)
> 1 aet of energy calculaHons
? 3 coples o( hee pJeaervaflon plan II IW plafted oXer 7/1/93
DATE: ?
DESCRIPfION OF 1
STREET ADDRESS:
LOT: .?
12NH.7-S
2 coplea d plan
1 set of energy cadculaflons la heatod addiMOna
1 site wrvey for exfedor addiHOns R decka
CONSTRUCTION COST: ?J? e2)
Phone #: ?
PROPERTY
OWNER
Sheet Address: 7 V/ CJ
City g6::2? State:
ZIp: 5s /d-3
. Company. Phone M:
(area code)
COMRACTOR p? ?/? ?p?,? ?
??/
(YO? ??ALG???h ??dG/ Lic rua # ??p.:LL-Exp•
Sheet Address:
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone t: (
Sheel Addresa: Registra8on #:
Clty
State:
Sewerlwater licensed plumber (H installina sewedwater): PMne #:
Lp:
I hereby acknowledge ihat I have read this applicatbn, atate that the Infortnatbn is corted nd a9ree to comply wHh aq appllcable Slate
of Minnesota Stalutea and City of Eagan Ordinances. ?
Signalure of Appficant
OFFICE USE ONLY
Certificates of Survey ReCeived _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required KN 3
O' 2?
CITY OF EAGAN ,
3830 PILOT &NOB &OAD
EAGAN, HId 55122
PHONE: (612) 454-8100
M
FOR CITY IISE ONLY
PERMIT Ok
RECEIPT #
DATE: 7
PLEASE COMPLETE IIPPER PO&TION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST
ADD ON _
REPAIR _
COMPI.ETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 300
3 WATER CLOSET 3.00 ?LU
02? BATH TUB 3.00 &00
? IAVATORY 3.00 l !) D
/ KITCHEN SINK 3.00 3 60
? IAUNDRY TRAY 3.00 ?qQQ
HOT TUB/SPA 3.00
? WATER HEATER 3.00 700
_ FIAOR DRAIN 3.00
2?,,_Q
!?
GAS PIPING OUT.
1 (MINIMUM - 1) 3.00 ,300
? ROUGH OPENINGS 1.50 f?
OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE .SO
r
p 3
??
TOTAL: ? .
OWNER NAME: el1./l2ywrlo?
?.?
SITE ADDRESS: 9467
LOT: ;1.0 BLOCK L SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
aDDRESS: 14745 South Robert Trail
CONTRACT PRICE:
OWNER NAME:
PLEASE COMPLETE TEiIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SIIILDINGS AND
M[TI.TI-FAMILY BUILDINGS WEiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACN
DWELLING IINIT.
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITSC: ZIP :
PHONE #:
FEES .
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY: Rosemount, MN ZIP: 55068
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123853
Date Issued:06/17/2014
Permit Category:ePermit
Site Address: 4073 Baffin Bay N
Lot:20 Block: 1 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-01-200
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 .
Elizabeth Hess
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 -
Emmanual A R Todorov
4073 Baffin Bay N
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature