736 Caribou LaneBLDG. PERMIT NO. -
-
01-3210 Permit
01-3422 Plan Check
01-3445 Surch,/Adm.
01-3446 SAC/Adm.
01-2155 Surcharge "
17-3860 Road Unit '
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter ?-?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded. ?
v
,
TOTAL ?'
CITY OF EAGAN
3830 Pllot Knob Road
P.O. Box 21198
Eagan, MN 55121
Owner. ` 1°n
Site Address: 36
Permit No:_
MAter No: _
Reader No:
'.;+oate8
Conn. Chg: 52.`
Acct. Dep:
Permit Fee: Surcharge:
Tr. Plant
Meter. • ! '?
Misc.: • t?c ena ty
Zoning: _
No. of Units:
Date: 4 -17-37
Size:
Date:
I agree to comply wHh the City of Eagan
Ordinances.
WATER SERVICE PERMIT
as4s
CITY OF EAGAN SEWER SERVICE PERMIT
3630 PUM Knob lioad.
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55UT ' DATE: y- 17 -c, 7
Zoning: No. of Units:
t.'a?II?T 'Ti)rC:S
Owner.
Address: ? . _
Site Addr
Plumber.
I ayree to comply wkh the City of Eagan
Ordinances.
BY
Date oi Insp.:
Insp.:
Connection Charge: 525' OOpd
Account Deposit: 15.OQpd
Permit Fee: 10' 00Fd
Surcharge: . SOpd
Misc.Charges: Penalty 10_Oflpa
Total:
Date
. . _ • ... „ri . ??
? .
CITY OF EAGAN . , .
NU M2 d
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # " -
To be used 1or S k' DIiG f GAR Est. value $11$ ,0 0 0 ?
Date JANt1ARY 20 19 8 7
• SiteAddress 736 CaARIBUU LAiJE
?
Erect ?3
Occupancy
FAWN ZIQGE -'"iD
Lot5_Block 5_Sec/Sub Remodel ? 2oning RI.
.
Parcel No Repair ? Type of Const u
. Addition ? No. Stories
Q WAGbiER HOt?lE:S INC
Z Name
` Move ?
Demolish ? Length
Depth 36
?
1 DFt
. ; Address 1'? 9G?} CI.IESTNU
0 Int Impr. ? Sq. Ft.
Ciry B' VILL}?+hone 452-7557
; Instali O
o Name •?p?? ij' Approv als Fees ?
o< Address Assessment Permit $ 557.50
? city Phone Water & Sew. Surcharge 59.00
F W Name i'LA,''C« Police
Fi Plan Review 278.75
C 625. 00
re SA
Q Z Address 3435 WASHINGTON DR Eng. Water Conn. 525. 00
< W city BAGHN pnone 452-0724 Planner Water Meter 67.00
Council Road Unit ? ? 0 ?
I hereby acknowiedge that I have read this application and state that the
i
f Off.
gld9. Tr. PI. ' a
n
ormation is correct and agree to comply with all applicable State of I
Minnesota Statutes and Ciry of Eagan Ordinances. APC ParkS ?
Signature of Permittee Var. Date Copies ?
594
' 2 5
?
,
Total '
A Building Permit is issued to: WAGNER H014ES INC on the express condition that
all work shall be done in accordance with all applicable State of Minnesata Statutes and Ci ty of Eagan Ordinances.
Building Official ': --
(:' '9
I ' I v.? Mo. I wi rc Haa.. I w?. I r.anna» r I
"W
pbw
Final
. , ZsiP ,.. ' ' . . ".' ___. •.. ._, . . __ - . .. _ , . . . . . .
PERMIT tl
PLUMBING PEHMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: =2?? ??? 7
CONTRACT PRICE: PHONE: 454-8100 • '
Site Address
Lot Block ' Sec/Sub
m Name
Address ?
c City Phone "'
Name
3 Address
D City , ?/!" Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRtCE GOES
BEYOND $1,000.00)
SIGNATUR OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCfiIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES
?Water Closet - $3.00 TOT,11L.
__JrBath Tubs - $100 - °•
Lavatory - $3.00
k,?Shower - $3.00 .
F r KitCh?n Sink -,-$3.00
Urinal/Bidet - 53.00 f !
Laundry Tray - $3.00
± 3
?
Floor Drains - $1.50
: 1
/ Water Heater - $1.50 Whirlpool - $3.00
___LGas Piping Outlets -11_50 i
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - St0.00
? Private Disp. - $10.00 ?
__-?,,_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAI: ???"??
#
CONTRACT PRICE
Site Address
Lot Block
MECHANICAL PERMIT RECEIPT # `
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
BLDG. TYPE WORK DESCRIPTION
m Name -• ?.itCt::?Ui? i??
? Address 3 J se 3 u
c City 0-
_ Name
c Address
O City
-?-`
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Phone
Res. New _
Mult Add-on
Comm. Repair .
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTiAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?:i, ;i?.?• ? M BTU s:_'';.
M BTU $
M BTU $
M BTU $
CFM $
FEE
S/C: . _,, . SIGNATURE OF PERMITTEE
TOTAL• FOR: CITY OF EAGAN
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
CONTRACT PRICE: / -/' ?y PHONE: 454-8100
Block
Name
m
m Address ? ?' `/?` ? ,` "'•?-?
c City F
Name Address
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
? Vent
? Gas Piping Outlets #
Phone
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S! C:
TOTAL:
BLDG.TYPE
Res. X
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on ?-
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
_-2 (RES. HVAC INCLUDES A/C ON NEW
Fi
REMODELS - 12.00
? i?: ' MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PEFi PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
? BEYOND $1,000)
UR O E j ?
?-r-
FO : CITY OF EAGAN
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFiiiAln - 1.50
COMMIIND FEE - 1°r6 OF CaNTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
I CITY OF EAGAN PERMIT TYPE: ""'
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? :' l•? ',:i? t c?? ??
SITE ADDRESS:i APPLICANT:
.::1'J 1, 1 II t, ! , iJl?
I
PERMIT SUBTYPE:
I , i i i,:
TYPE OF WORK:
I I h!A!
IF
L L -------------------------------
-??
Permit No. Parmk Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeetlon Dab Insp. Commants
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTO
DECK FlNAL
INS
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
1 1 ri IU? .".:.i.1?
SITE ADDRESS:
PERMIT SUBTYPE:
, , ; , , ,, ?.
Rii1lF.t Nf7i
?
4N REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
? i
l t • 1 . ' ) 4
TYPE OF WORK:
tlF "c Pli'r lrtw
?
---------------------
Htirt.o i.Ht;
fb.'I4!ti;
NEs/1Fi/'afi
1111 1' A 1 1+
RUC-t1Ir NGII.E kt?t+f
?
,
i
Permk No. Parmit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING 611
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIP TEST
FINRL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Tnis ruQuest aoia ?/[?/?7
78 mon[hs fmm
C 8 0,0 9 9
7D 5?z
??7e9o
Re est-O ?'^/) iire No. pequlied7 ?$peCtion DReatly Now QJ64N'Notity, Inspec-
? , (? / ?NO 1or When Reatly
icensed Electrical Convactor 1 hereby request inspeetion o1 above
? Owner electrical work installed at
Street ddress, Boz or Pout o.
N Citv n l
?I 7 ? ?•V
ecu o.
7 Tow shio Name or No. Panpe No. ^ Cowity
, n
F
Oceupa t (PqINT)
14,044 6- s Phona Ne.
sg?- 3
P wer Sup r Address
Electrical Convactor lCompany Namel
Ft.F.CTRIC
rrr?Ai ? ContraM r'sIJ Lice?fnse No.
L/
Ma 1'
?linq q
?
14540 PEI???'
AuMorized 51 ?i pRe(yPfCR1nVn121--qtVV? k1N
LL Phone Number
MINNESOTA STATE BOAND OF ELECTNICITY THIS INSPECTION PEQUEST WILL NOT
GriqBa•Mitlway Bltlg. - Noom N•191 ' BE ACCEPTED BY THE STAiE BOAND
UNLESS PROPER INSPECTION FEE IS
7821 Universitv Ave.. St. Paul, MN 65104 .?
Phone16121642-OB00 ' ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee!-o?oooi-os
, See inatrvctiens /or completirg this fwm on back of vellow copy.
C $(a 0(3 9 "X" Below Work Covered by 7hrs Request
d Reo. Tvue of Buildina Gooliances Wirwd . A bment Wirea I
till(I F
Bulk Milk
M . Fee ServfcaEntrance5ize N Fee FentleraA5ubfeeders l fil Fee Circui<s
0 to 200 qm s 0 to 30 Am s tn 30 Am s
Ahove 200 qmpy 31 to 100 qmps
0 q 5
31 to t2
Swimmin Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation Boorris Partial-'Other Fee
I SIgnS I I ISpecial Inspection
q ?. ??e Electrical
• ? ??y?u Insoectoq nereev
eerlify that the nbova
Final / /f!),r _, /11 0++te ) `7 inspection hes Eeen
mie recueai vom ie
CITY USE ONLY
PERMIT #: ?b p O? RECEIPT DATE:
2002 RUIDHRTIAL 14IECHlkRICAL PEgMIT APPLICATION
crrY og EnsAx
S$SO fQ.OT K1YOB RD
ERfiAN E1F 55122
651-6$7-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: C) -'a-
SITE ADDRESS: C? t bQU,
OWNERNAME:
INSTALLER NAME:
TELEPHONE#: (0_? ob
TELEPHONE #: Q0S
Burnsville Heating & A/C, Inc.
STREET ADDRESS: 12481 Rhode island Ave. So.
CITY:
STATE:
Place a check mark neut to the permit work type
ZIP:
? Add-on, modification or alteration to existina dwelling unit $ 30.00
e furnace replacerr2nt
• air exchanger
• air conditioner
• other i
a 5 2?C2
Nature of work: L .-?-
?'AM
State Surchar e $ .50
Total $ 30 ? ?
?i
,
?. ? bym
IG ATLTRE OF P ITTEE
._!
t/oz
CiTY USE ONLY
PERMIT #: "?? L+a( RECEIPT DATE:
8008 RESIDENTIAL M£CiiANICAI. PERhITP APPLICATIOft
crrYoF $wewx
3830 Pnor xxos eu
fr48AA MA 5518E
651-8$1-4643
Please complete for. ? single family dwellings
townhomes and condos when pertnits are required for each unit
Date: lb ((6
r
SITEADDRESS: ? ND CL-4oLA- ?a'',, e--
OWNER NAME: )O.N I ? 4 TELEPHONE #: ??? 70 (o
Burnsville Heating & A/C, Inc. TELEPHONE #: os
INSTALLERNAME: ?$4 p,hede.IslBFtd?'oc.,zC--
5avage, MN 55378=1122 ?
STREET ADDRESS
ciTV:
STATE: ZIP:
Place a check mark next to the permit work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
• fumacereplacement r-? -------
• air exchanger P
• air conditioner .
0('T 2 2 20
th
• o
er
0Z
Nature of work: -h,wA"-e re?`a. e?o_
,
(?.nn o-X G 6 ot? ?- v?? t3 - 09 o L ------
State Surchar e $ .50
$
Total
c ?
?
S G ATURE O P RMITTEE
1102
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: gUiLDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 9 5 7
(612) 681-4675 Date Issued: 0 6 J 18 / 9 6
SITE ADDRESS:
736 CARIBOU LANE
LOT: 5 BLOCK: 5
FAWN RIDGE 2
P.I.N.: 10-25801-050-05
DESCRIPTION:
RESHINGLE ROOF
BU3idin"g;,Permit Type STORM DAMAGE
Building l;(o,Kk Type REPAIR
Census Codye7%, 434 ALT. RESIDENTIAL
>a
t
?.. ?
, . . . . . , ?'?
?iir_ ?C?'e.? r ? ? ..£:`..'.,
S ?
REMARKS:
FEE SUMMARY:
CONTRACTOR: - ppplicant - s7. LIC.OWNER:
K CONS7 14377685 0004492 RUG6 DAVID
1187 UNION CT 736 CARIBOU LANE
NASTINGS MN 55033 EAGAN MN
(612) 437-7685 (612)452-2706
I ?
I hereby acknowled.ge that Z hawe read this application ahd state that the
3nformation is correct and?agMee tn comply with all epplicable State of Mn.
? 3tatutes and City o'f Eagan tlrdinances, J
APPUCANT/PERMITEE SIGNATURE
/94:?'? 6-c.1. I
ISSUED SIGNATURE `
CITY OF EAGAN
P-7? 3830 PILOT KNOB RD - 55122
C
S? 1996 BUILDING PERMIT APPLICATION (RESIDEN TIAL)
681-4675
New Construdion Reauirements RemodeUReoair Reauiremen ts
? 3 registered site surveys ? 2 copies ot plan
? 2 copies of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior additions d decks)
? 1 energy calculations ? 1 energy calculations Tor heated additions
? 3 copies of tree preservation p lan H lot platted after 7/1/93
requlred: _ Yes No
DATE: CONSTRUCTION COST:
? ?? ?m
DESCRIPTION OF WORK: sLJ?QI Rea?ra?e c.+e?? o9h ?a-ca•
STREET ADDRESS: )V°
LOT S BLOCK /P
? SUBD
I
D
.
.
.
.
Rwg?
PROPERTY Name: RALs e ?nu. 173, 0, f Phone #:
OWNER ""' ""`T
Street Address: ?I(P a•?, b o N ?. w
City: Ln:v r State: /I Zip; S 5 r 21
coNTw?croR Company: K- Co Phone #:
Street Address: 11002 bf N1'ow C4. License #: °° y y 9 2
City: 4-*rt-M41 State: Vn w Zip: Ss"o 33
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #-
Street Address•
City:
State:
Zip:
Sewer 8 water licensed plumber: rv ? Penalty applies when address change and lot
change are requested once permit is issued.
1 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 Eailan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
? CI-TY'(5F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
uA304
6/L1f 4ff
BUILDING
025812
06J14/95
SITE ADDRESS:
P.I.N.: 10-25801-050-05
DESCRIPTION:
736 CARIBOU LANE
LOT: 5 BLtlCKs 5
FAWN RIDGE 2ND
in4-gPermit Type pECK
in.g, Type NEW
E. n? x
Rws
?
F F 7
j g u9Y.
% 4 p LL
m 'ie.t elll
REMARKS:
FEE SUMMARY:
a y ? x p,?
sr
d Fs ?l
w .. 'a?.
PERMIT TYPE:
Permit Number:
Date Issued:
?f
i
? . n AF
,J' - i ?Tg' ? sa
K ..:;?!3 •Y:.» .. ?? T '=w. "L5 ? w.p
8ase Fee $30.00 COFY ?.50
5urcharge $.50 Tota1 Fee $31.00
Subtotal $30.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
INTEGRITY DESIGN 18921676 2000406 RUGG DAVE
18097 JAMAICA PATH 736 CARZBqU LN
LAKEVILLE MN 55044 EAGAN MN 55122
(612) 892-1676 (612)452-2706
?... . .- . . : _ c ..
1 h¢reby atknowledge thatG`I h;
information 3.s aorrect antS a.g'i
L 4APPt an`skEity <tf Eager? t7p4
tnn?
IIANT/PERMITEE SIGNATURE
? INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITEADDRESS: P•I•N.: 1e-258e1-e5e-e5
L07: 5 BLOCK:
736 CARIBOU LANE
FAWN itIDGE 2Np
PERMIT SUBTYPE:
DECK
PERMITTYPE: BuzLozNG
Permit Number: 025812
Date Issued: 0 6/ 14 / 9 5
APPLICANT:
5
TNTE6RITY DESTGN
(612) 892-1676
TYPE OF WORK:
NEW
F- ?
e
.
L
.. 120,995
New GonstnGion RenuiremeMs
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
4-? 1. 00
? 3 fMJiBfBtetl BIfB 6UNBya ? 2 copiea W plen
? 2 copies of plans (inGude beam 8 window sizes; poured fnd. desgn; etc.) ? 2 sRe surveys (ezlerior additions 8 decks)
? 1 energy cakulations ° ? 1 energy celwlationa Mr heated edditiona
? 3 copies of Veo Preaervation plan H lot platted aRer 7/1l93
requ6ed: _ Yes _ No
DATE: G- G- GI S CONSTRUCTION COST: #300 n
?-. .
DESCRIPTION OF WORK: IJf V?
STREET ADDRESS: 736 (
LOT BLOCK
? SUBD./P.I.D. #: n?
PROPERTY Name: 'RlUrn('n D( AIlf Phone #: jq2 -"2-7oc
OWNER * l Aa*
Street Address• 73L rU r 1kr71 2 Lfn ylf-
City: E State: ?1 N Zip: SS122-
CONTRACTOR Company: ?}?,? t i Phone #: 02 " I?
3i 9G
Street Address: License #-2= ?
e
City:_?.('n?PUII I{ . State: Zip•
ARCHITECT/ Company: " Phone #•
ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer & water Iicensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby adcnowledge that I have read this application and state that the i fo ation is correct and agree to compiy with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
I?
W ECE0 V ED
! Yes _ No J U N Q 6 1955
Yes No
wnv-vAv--v- 4)oK,4z-r5.
v COWSUI'?iNa [k0 N?EAS •
PLANNEAS oed ?AHD ?URYEYC?t?S
? 1000 Zi.57 f46p1 SiAfET, BURNSVlILC, IfIHHES07A 65337 PH 432'J000
?,??:t' ?'Qrrfpc??or2• LpT S, 1?jC?QL1L
. ,4 11-7
?
?
SGQI,E ("= 30,
, v<
.,
Ti?
/
?
-74.59 z1s,00
S
Z i-LD 40 ? (-tIoQ
C,o-,,amy, MwaesorrA
a
5?' ? i W a Zta??=?
M ? S
Z7'33
? O
? -`?' r f ?an;.?l a ? c}aa.
c! O
L
(VI?
?? `???f?? a b V S E ?
vi • cv'Sg? DAY_Li ?yT? c N e D ?i ?/
1
, `N /
N? la'`'f
J? DA?o?-A
? Q.?qc?oo
BUILDING PERiIAIT
Receipt n
N° 13124
7 6??
70 6e uaed for SF DWG/GAR Est. value $118 , 0 0 0 oate JANUARY 20 1g 8 7
736 CARIBOU LANE ? R3
SlteAddress Erect Occupancy
Lot 5 Block 5 Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. V
. Addition 0 No. Stories
W Name WAGNER HOMES INC Move ? Length
3 Address 14900 CHESTNUT DR Demolish ?
? Depth 3?+
S
0
Ciry B' VILLEphone 452-7557 Intlmpr.
Install
? q.Ft
o I Name SbMF
$ a Address
` City Phone
U, w I Name PLANCO
'0 nddress 343r) WASH INGTON DR
aW ciry F?Phone 452-0724
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 Ea9an Ordinances.
Signature of
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
, PHONE:454-8100
Water & Sew.
Police _
Fire
Eng.
Planner_
Council-
Bldg. Off._
APC
Var. Date-
Permit +' Do I . iv
Surcharge 59.00
Plan Review 27$ • 75
SAC 625.00
Water Conn. 525 . 00
Water Meter 67 . 00
Road Unit 305.00
Tr. PI. 80.00
Copies
Total $2.597-25
A Building Permit is issued to: WAGNER HOMES INC on the express condition thet
all work shall be done in accordance with all appl' ble State ol Mi ota Statutes and City of Eagan Ordinances.
Building Official
/00 - a ..
•
1986 BIIILDING PERlIIT APPLI TIOA - CITY OF EAGAA
HOTE: ALL CONTRACfORS MQST BE LICBN3BD SiITH THS CITY OF EAG6N
SI9GLS FAMILY Di1EI.LINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEEtGY CALCULATZONS
MOLTIPLE DiiBLLINGS - RSSIDBNTIAL 8ENT9I, i1NITS FOR SALS DNITS
ZNCLUDE 2 SETS OF PLANS, CERTIFICARE OF 3DR4EY - CHECS WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
2 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
? 16, Ooo
To Be Used For: 2eAiden,tLaC Valuation:
Date: Dec. 31, 9986
Site Address 736 CaAibou Larce
Lot 5 Block 5
Parcel/Sub Fcrwa 2idge 2nd Addit.i.on
Owner D¢ve & ?arce /2ugg
Address 4677 /2idge CLi4t aAive
City/23p Code Eagun 55921
Phone 452-2706
Contractor wagaen fiane-4, Jnc.
Acl3ress 14900 Che4.tnu.t DAi ve
City/Zip Code L3u4rv?vi.(1e, MN. 55337
Phone 452-7557
Areh./Engr. P-Lanco
Address 3435 lUajlwt9,ton Duve
City/Zip Code EaQarr 55122
Phone S 452-0724
Erect ? Oceupancy (Z3
Remodel Zoning fZ•I
_
Repair _ Type of Const ?
Addition 8 of Stories
`
Move _ Length E50
Demolish _ Depth 3<?p
Int.Impr. Sq Ft
Install
6PPROVAIS FEES
Assessments Permit -rj5i, So
Water/Sewer Surcharge
Police Plan Review
Fire SAC o25,
Engr Water Conn S 2S•
Planner Water Meter t,a'l ,
Couneil Road Unit ?jp5,
Bldg Off Treatment Pl I SD.
APC Parks
Variance Copies
TOT9L 'Q S 9 7,
NOTE: ADDRESSBS FOR CORNSR LOTS - CONTBACTOR/HOIiEOIdNER MQST DESIGHATE iiHICH ADDRESS
IS D&SIRED. NO CH6NGES WILL HE ALLOWED ONCS BDILDING PERMIT IS ISSQED.
,
,
?G:K2Z= 30g I-7 oro¢ . ,
Z'Z X 2 z= q-8 4 x
Z?? ? ? ?? -76 4 x 4-4 ? 344qCo
ZZ x 14-= 306 r- 44 = ) 3sSz
IF7 i(I2
WAGraGV- 4-bM7,t,.
FHOk
CONSUlTIHO EI16 NEElIS
ENGINEEIIING . pLANNEflS oad ?AHp ?URVEYNS
COM(?ANY, INC.
?.1UST 1461A STpEET, EUqNSVILLE, YIHN[lOTA 53337 PH 432-5000
Lg;.?at .D!e,ic?,eziost: LpT S
, ? S
?',4 ??4w t?1 Q tt? (zC. 2?.tD 40 D Ft-io?.l
_ I9 L
SZ
`'- ------- ' a
a? 40
}q,,?? 74.59 2=zis.oo
l °
1A
.?-?GAl.E f "= 30'
^ Q
, vr ? a M
ii??
V)
.S W . °
M ?
i n
- " 3? 9M3'3
?i0?? o Z'L.33 ?e
i? ? •
?° ?-szg t_ o ?4
,?3;?. __1a sE
l 1
S
3o
? L??aC
;r
OF,
r
;?? ?1
? 0
.
ri
CITY OF BUILbItia AEPARTI•IEI1T
_ - - ? EXTERIO$ ENVF,7,OPE AVE12AaS "U " C01-IPUTATION
, (To be submitted rrith building permit applioation)
one or Ttivo Family Dwelling
Owner ?}V? ? T+l? ?i??Pa
All O tlier
, Sfte Addrese
CwiEracEor
a7n.c Date Phone
LIIIEAL FEET OF
E1CP0 EDYJALL
f t. above grade ? 3>0 ,
• TaTAL EXPOSED {YALL AIRFA . pT.
OPAQUG WALL COl'IS'xRpC'pIUN 1 l'U" Value x Area
Detail n1111•d4_?? ?x SQ.
reference 4"?'' =IU:l irom npn_ 4U x Sq.
attaclied ???l? X SQ,
slieo t a 110 11
Y!I tV DO tiy$ I
npn
Vulue x Araa
,o„ll? 47 x
' SR.
Itpn --^'?.-
nUii X SQ.
iIUiI X `?Q.
x SQ,
riAi?a & Type
n It
n u
b00R5I
nun X 9Q.
x Sq,
YaJ.ue x Area
FT. 7_Ib7•¢ . Q ?.? (U)(A)
FT. Z ZSZ. __ gR_/?CU) (A)
FT. zfco.sz. ?_ 10.4Z 0) (Q)
FT. _ ?U)($)
FT. - (U)(AY
FT. _ (A):
FT. Z¢3.oo= L4.zL(U)(A)
FT. = (U)(A)
FT. _ (U) (A)
FT. _ (U)(A)
1•lalce & TYpe ??
it
-
x
-_.?1uM Un`
?i
q
s@.
FT. Z•oo - S.gg (U)(A)
.
.? x
of
n „ uUu -?--- g@. F'T. 2,00 =
..? 9-7 (?)(A)
npu X
- x 8R.
Sq, FT. - (U)(A).
FT
TOTAL3 ?OZ7-45 . - (U)(A)
F'T. Z5;I. (vb (U) (A)
-
TaTAL (U)(A) VALUE9 AVERA4E npn
Z81. (?O
a ? og?
DIVIDED BY TOTAL StAI,L AnEp
??ERAGL ?'U'f 15 r leos for 1&2 family dwellinge
ROOF/CEILINds •
TOTAL AftEAi (p, pp :
DetAil referenca IIU,I
from iiUn ?? -,?
I?LO )?n)
' z=?-
«
x
nttaclied slteete.
n?n
Dencribe openinga SQ
.
3Q. FT.
FT. R_
U) (A)
(
in roof. R
SQ. _ ?A?
FT. (U)(A)
TOTAL (U)(A) VALUES DIVIllLD BY x
z? S4•
r-?- ?•- - M(A)
??5 oc?
.zZ
'Tar
nt, ttoox/
iuIEn Jlo(o.oo -° z
?
AVERpqE ?? ,o25 i ventilnted roofe.
11 Wor-? ?,45aT11
?g.33 x (so +-SO + z$ ?.Zg) = zgsq•48
3-bo X ?So ?- ?t3? _ ??$.00
?nZ7.4$ ??--
CorJe..
.(v7X CSatSO-?zg+zSJ =
S.ooy??Sot?+3? _
?1M SoJ?T
?-W X (59 +50 t7-01 tZ01 W I I?Do?ls
zSx1P? _
z4 x 1(? _
3ZX1?=
D?4 i(0 x Z4 =
z4)( za=
3z X z4 =
3zX 'Z8 =
1 Ox ma =
A0012,'s
3° y-n., C-4T,
zt s7t-. sER
lve
3.5
5. Q-
7• Z
9• 4
lo-7
IZ.S
fv•7
x ?L-, _
x z =
x i =
X 5=
x 1 =
x9 =
XS =
I o¢. Sz.
I(vS.ao
z7Z _ 5Z
Zlvo. S Z. +1
(0.Sa
io.So
7.Lp
I o• So
47•00
l0.70
I iZ.So
3T-Sa
Z?3.oo ?
- z?.oo
= Zl.oo
- 4'Z? o 0
8¢.a?
do
28x z8 = 764
14x zz. = 3, 08
?X 15=14
11 dlv. 4
?ET C-ffaSD WAU? EZzuALs
?Vpwrl-,> \4AU-
?EsS do4e, z7z.sZ
11 ?1M Z(ov.SZ
?? ?1aw?s Z?}3.o0
il Gbpj2's Koo
3oz7.4S
zl(? ??
--YlALL SECTION--
? ? Determining "Ull valuea at Roof, Wall, Rim, And Conc. Block
ROOF/CEILINQ
1.) Interior Air k'ilm
2.) 5/8't ayP. sa.
3.) Insulation
4.)
50 Exterior Air Film
(STILL)
R VALUE
' 0.61
.56
4Qa DO
.61
uUn = 1/R= r ?Z TOTAL (R)= 4S.78
WALI,
6.) Interior Air Film
7.) 1" GYP. Bd.
8.) Insulation
9.) Pavi?T- KrfE
10.) Masonite Siding
11.) Exterior Air Film
(R VALUE
0.68
.45
? 9:00
Z. Dlf
. 67,
.17
nUu = 1/R= .?-TTOTAL (R)= 23•pJ
RIM (R) VALUE
120 Interior Air Film 0,6$
13.) Inaulation 19.00
14.) 211 Fir Rim Joiat 1.88
15.) AjlLT' 911E Z-o4
16.) Masonite Siding .67
170 Exterior Air Film .17
ulTn = 1/R= .bq-D TOTAL (R)=Z¢;' dil
f
FOU2iDATION ' R VALU
18.) Interior Air Film 0.68
19.)
20.)
21.) 12" Concrete Block 1.28
22•) Kit.4a 6?Is?c. s•co
23•) Exterior Air Film .17
uUn = 1/R= . 14O TOTAL (R) = 7I1,
---
, ?
CITY OF EAGAN Permit No: - ?4 - Date: `
3830 Pibt Koob Raad Mdter Na: 3 8-5-712-f- a 9 Size: ??i" ?O?'?
P.O. Box 211?9 Reader No: 0 3 F? 9 3.S`5 0 Date: ,4 `/7-87
Ea§an, MN 55121
aer Aomes
!:ari;?os Lane J:5 735 .r.a•,;;n
Site Address
Conn. Chg:
Acct Dep:
`?vw. ? ? yC . GAS
Permit Fee: 'tt:^
Surcharge: -?E g t mply wfth the Ctty of Eayan
Tr. Plant R?dw
Meter. 7 •
? ?
Misc.: BY ° '? 0 0fl 0??
?--
WATER SERVICE PERMIT
GOLD COPY PERMIT RELEASE FORM
?• q??,(?
PERMIT 4/
ADDRESS ?7 p/?QU
PICKED UP BY ?
. CITY OF EAGAiV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
t P70TR: PAYMENC OF FM AT TIME pF
F ?zkP `k?wTCATION DOES N(7P QDI$TI'IV1E
F APPROVAL OF PERNIIT.
f
F iNSPncriorr oF sEWEa Arro/oit Wm,xEx
E rnBrnr.ramrONS WII,L NOT HE SCHED-
F tA.m vrrrzL POU-ET xas B?t
; ArPitovm.
P ease Print)
^^ ^^^'^^ ^^^^
??1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: •-
IE' EXISTING STf2L'CMME, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE: .
;
PRESENT 7ANING/PROP0.SID L?SE: (t?bn Year
El C0211MERCIAL/REI'AIL/OFFICE
r7 IAIDCSTRIAL
C] INSTITUTIONAi,/GpVfRPPg,2?pr
2) ••{, r•
NAME:
ADDRES5:
CITY, STATE, ZIP:
. PHONE:
3) u i: ?•
- NAN1E:
ADDRFSS:
i CITY. STATE, ZIP:
PHONE:
4) ..« •:.? ..:?,?-?a
JEI__R-1 SINGLE FAMILY
? R-2 DL'PLEX (? Onits)
? R-3 TUWPIIHOT-ISE (Three + Units) ( Onits)
R-4 APARTMEN'P/COAIDOMINIUM I Units )
MASTER LICEVSE#
Plumbers License:
Active
? E7xpiTed
Not recorded
st?"m;.t?ai
AwDREss: ° .
C277', STATE, ZIP: s - z,
PHONE: 971-2-
5) ? v ? t a• .?. : a - o? -
0-CONPIECrION T0 CITY SEWFdt 1tEq-_CpNNECTI0N TO CITY WATII2 ? prHM '.
6)
? ' •'` 'M-PLEASE HOLD APPROVID PERl,ffT FOR PIQC-UP BY ONE OF AHC7VE
-?? PLEASE MAIL APP PERMIT TO 1, 2,4. ABOVE
?l/? ?j,;:' (Circ e one)
FOR CITY USE ONLY
PERMIT # ISSUED
' f-
Pd w/Bldg. Permit FEES:
$ $
$ $ 5-b
$ 7'6112 $
$ $
$ $
$ $
$ $
$
$ $
$ $
$ $
$ $
C
$ ??IT`?r/
S
,?I•Ctc
- ?20
RE EIPT RECEIPT
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE SL'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATSON STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL SENEFIT/TRCNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER: -,?•Cj?
TOTAL - ?-' ' ??.
/
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSL'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDIT20N5:
APPROVED BY:
TITLE:
DATE :
. -rpj RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New ConetrueHon Beaulrementa
• 3 regieteretl site surveys showing sq. iL of lot, sq. %. of Frouse; antl ?II roofetl areas
(20% macdmum bt coverage albwed)
• 2 copies ol plan showing beem 8 windaw s¢eS Poured faund tlesign, eta)
• 1 set of Energy Cakuletlons
• 3 copies o1 Tree Preservatbn Plan A bt platted afler 7/1/83
• RM Jolsl Defail Optbns selectiai sheet (Gldgs wilh 3 or less units)
DATE lf? I `T ?D?
SITE ADDRESS
TYPE OF
APPUCANT ? l
STREET ADDRESS ( `v0 KAA-? U X
TELEPHONE #lUI "?? 300 CELL PHONE #
C? /s OS
AemotleVNeosir Aeaulrements
• 2 coples of pJan
• isetofEnergyCakulationsrorheatedaddftbns
• 1 site survey for exleMr addltions & decks
• Indicate 0 home served by septic system for add'Abns
VALUATION
19-?000
MULTI-FAMILY BLDG Y ?N
PROPERTYOWNER _ , Q vl' J ?" S S TELEPHONE#
----------------- ---- ----------- -------------------- ---------------------- ----°-------°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDIN6S ONLY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1
(4 submissfon type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculatlons Submitted
_ Water Softener
_ Water Heater
_ No. of Baths
JUN 0 5 [UuZ
Plumbing Conhactor: __
Plumbing system includes:
MechaMcal Contractor:
Mechanical system includes:
Sewer/Water Conhactor.
Phone #
Phone q
Fee: $70.00
--------°------------°----------------------------------°----------------------------------------------°--------°----
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and a ree to comply
with all applicable State of Minnesota Statutes and City of Eagan i nces.
Signature of ApplicaM ?-
OFFICE USE ONLY
MINNES01'A RL'LFS 7672
_ Phone #i
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
FPP: 890..Q(L
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
>RKiV) 1IvUI.IV l .l' A I [tY(,IJI.A ?_',1,(XU N FIREPLACE(S) _ 0 _ 1 _ 2
7WR?
3a-(Z_?)
zoo7 RESIDENTIAL PLUMBING PeRnAraPPucATioN
cFnr oF eaGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722
651475-6675
Please cOmplete for modifica6ons to existina residential dwellinas
-- - - - - -
Date ? I 15-1
SlteStreetAddress Untt#
Prope?tyown.. Tfavi S ORIAAS Telephone #(bsj)33to
Conbactor Telephone# (61a ?{CQg??Ua
Address S - T City eqi:lCt..ln State_(jQ,bj_ ZiP S535"?
The AppllcaM Is: _ Owner S OceupaM Lkensed Plumbing CoMractor
SepNc 3ystem ? Vew _ Returbished Submit 2 sets of pians and MPC license InGudes CouMy fee
$ 100.00
Per as-buifl $ 10.00
Fire Repair (replace burtred out flxtures, etc.) $ 90.00
This fee 8POlies when exterMlve umbi ' are made to a buildin .
Altxatlons to eziatlng dwellln9 $ 50.00
_ Add Piuman9 fibftres to main level lower level. This fee iruiudes
instailabon af a water softener andiw water heater at the same time. N you are
insfeNMg OnlY a weter softener arrdbr ?vater heste, do not compleUe this section;
move W the next section and place a dieclanark next to the appliance(s) yai are
irstailing.
_Septic System AbendonmeM
_ Water Tumaround (add $136.00 H a 5/8" meter is required)
Other.
Watar SoRener _ Water Hester $ 75.00
_ rie+' _ rWacement
A Lswn IrrigaHon RPZ PVB _new _repair _rebuild $ 30.00
State 8ureharge $ .50
Total $?
i rereoy appry ror a rtesiaentei Piumtxng Permit and adjlowledge that the infortnation is compiete and accurate; tliat the
work wiil be in conformarxoe wlth the ordinanoes and codes of the City of Eagan and tlhe plum6ing codes; thet I
wWersterM ihis is not a pertnit, but only an application for a permit, ric is not to sart without a pemit and wak wiii be fn
acoordance with tlhe approved plan in tlie everK a plan is requiredAbbe rev'ewed and approved.
ApplicaM'a Prink«l 41mne M e SignuWro
MAY 2 9 2007
'??
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105594
Date Issued: 07/20/2012
Permit Category: ePermit
Site Address: 736 Caribou Lane
Lot: 5 Block: 5 Addition: Fawn Ridge 2nd
PID: 10-25801-05-050
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Minnesota Window & Siding Heather A Holle
1710 Douglas Dr. #290 736 Caribou Lane
Golden Valley MN 55422 Eagan MN 55123
(763) 545-0545
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128527
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 736 Caribou Lane
Lot:5 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey Kilpatrick
736 Caribou Lane
Eagan MN 55123
(612) 236-3149
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131804
Date Issued:07/08/2015
Permit Category:ePermit
Site Address: 736 Caribou Lane
Lot:5 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey Kilpatrick
736 Caribou Lane
Eagan MN 55123
(612) 236-3149
Mc Exteriors Inc
274 New Brighton Rd
St Paul MN 55112
(612) 221-0084
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145546
Date Issued:09/14/2017
Permit Category:ePermit
Site Address: 736 Caribou Lane
Lot:5 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey Kilpatrick
736 Caribou Lane
Eagan MN 55123
Benson Property Llc
6989 Washington Ave S
Minneapolis MN 55439
(612) 669-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167017
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 736 Caribou Lane
Lot:5 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Jeffrey & Kristina Kilpatrick
736 Caribou Ln
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature