708 Caribou Lane
BLDG. PERMIT NO.
01-3210 Bldg. `Pe=mit
01-3422 Plan Check /
01-3445 Surch./Adm. u:
01-3446 SAC/Adm. 5
01-2155 Surcharge
17-3860 Road Unit 1"-
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. r-
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
1-
TOTAL '
CITY OF EAGAN Permit No: a... Date: 4., 7._. .7
3830 Pilot Knob Road. Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
~tYII
Owner. "
Site Address::
.,i_,
Plumber. Cl - b 6r- rbn
Conn. Chg: rn'•tllf Zoning: `-A-
Acct. Dep: ' • {~'G= ` No. of Units:
Permit Fee: • i1C
Surcharge: • 501>el 1 agree to comply with the City of Eagan
Tr. Plant: 1 FD • J0tsr's Ordinances.
Meter r.7 ;)Q...,
Misc.: By
WATER SERVICE PERMIT
j CITY OF EAGAN
? 3830 Pilot Knob Rolf SEWER SERVICE PERMIT
P.O. Box milts 1.,, PERMIT NO.: 976F
Eagan, MN 55121 DATE:
Zoning: E?i No. of Units:
f Owner: 01':j#,@r$ Const:.
Address:
Site Address: 708 Caribou Dvae I.12 B Fawn R c z.e _
Plumber: 01-berg Const:.
3-20--97 717"1
agree to comply with the City of Eagan Connection Charge:` 5'00pd
Ordinances. Account Deposit: 2.5.00p:1
Permit Fee: 10 • 00pu'
Surcharge: ' SOpd
By Misc. Charges:
4 Date of Insp.: Total:
Insp.: Date Paid:
•,,.y. :-riim~r.~.-rR+ .a .r:: c:. 4, r, w,-ti s;,. h:. 2fia.
r, s
CITY OF EAGAN
E. t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date
Site Address OFFICE USE ONLY
a-
Lot Block Sec/Sub. t On Site Sewage Occupan ;
MWCC System Zoning
Parcel No. On Site Well Type ofConst
City Water (Actual)
rc Name t:l hnf (Allowable)
W * of Stories
3 Address Length-
City i , Phone rr f t I Depth
S.F. Total
.0 Name Footprint S.F.
o Address APPROVALS FEES
P City Phone
Assessments Permit
Water/Sewer Surcharge
a
F w Name Police Plan Review
z Address Fire SAC, City
_ z
un Engr. SAC. MWCC
6 w City Phone Planner Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. Road Unit
thatthe information Is correct and agree to comply with all applicable APC Treatment Pt
State of Minnesota Statutes and City of Eagan Ordinances,—— Variance Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date Telephone #
T luGnbing
H.V.A.C. /
U u ~ i"r~ ,^c E~ , is 6" , Q
Electric o O y (2 0_ c 9YZ
Softener -'~O,,'l 2 ` 7 r
Inspection Date Insp. Comments
Footings I
Footings II
Foundation 3 3~ Q
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.f
Fireplace
Final Htg. ,
yyl-
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT # d
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: S- g7
CONTRACT PRICE: PHONE: 454-8100
Site Addre s 709 '0,'q'y/A044 'l BLDG. TYPE WORK DESCRIPTION s Lot i
Sec/i Res 4 New
Name R ' /,IE~JT/N!r Mult Add-on
? Comm. Repair
Address of-C.5 764 _
93-4959 Other
c City -4--e-W- 1*41"r a Phone
Name A)5 FEES
L RES. HVAC 0-100 MBTU -$24.00
G; c Address ADDITIONAL 50 M BTU - 6.00
p City t ~uL' Phone 31 ~fe? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
f GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
l TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 75 MBTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boller M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # r BEYOND $1,000)
Other $
FEE:
SIC: SIGNATURE OF PERMITTEE
r~
E TOTAL ~
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN. MN 55122 DATE:
ONTRACT PRICE: PHONE: 454-8100
$iteAddress BLDG. TYPE WORK DESCRIPTION
Lot- .~~'Block ;S Sec/Sub J y Res. - New '
Mult. Add-on
Name 4`} 4. r C 1 S I Comm. Repair
m Addressf C_ Other
E City Phone ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $ ?
Name _L-Bath Tubs - $3.00
c Address I Lavatory - $3.00 • "
p=. City Phase Shower-- $3:00 ,
_ Kitchen Sink - $3.00
FEES - Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE I Laundry Tray - $3.00
APT BLDGS - COMM RATE APPLIES L_Floor Drains - $1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $,50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
JRough Openings - $1.50
L Jam.
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: t
PERMIT #
PLUMBING PERMIT RECEIPT # /7'//
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE # WORK DESCRIPTION
Lot Z ,a Block Sec/Sub Res. New 4
y Mult. Add-on
Name Comm. Repair
r
ca Address Other
c City Phgrne RES. PLBG. ONLY - COMPLETE THE FOLLOWING: 3
NO. FIXTURES TOTAL
Name _ fl Water Closet - $3.00 $
Bath Tubs - $3.00
C Address Lavatory $3.00
p City + - Phone Of Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray - $3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50
TOWNHOUSE & CONDO RES. RATE APPLIES Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 .Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
Softener - $5.00 U
(ADD $.50 SIC IF PERMIT PRICE GOES
BEYOND $1,000.00)Well - $10.00
j Private Disp. - $10.00
Rough Openings - $1.50
Sfth.,NATURE OF;PEiMITTEE FEE:
STATE SEC:
FOR: CITY OF EAGAN GRAND TOTAL:
INSPECTION RECORD CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road 'f to fo- t~
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ,APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK: ."I': PTR
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
AIR T
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GIMP BOARD
FIREPLACE
FIREPLACE
AI R TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL fr~23~g~•~/ ~i
-
Wow
_ J 7~ ~!/f- VT .SAS ~5 14 iv Y-4_ . E
GVlu, mzd- 01*7V ik4
CITY OF EAGAN Permit No: ~C 7 date: L.- -?-~7
3830 Pilot Knob Roav Meter Size.
P.O. lox 21199 Reader No. O R A 3~~ -24 date:
Eagan, MN 5,5121
Owner. 0.1-berg, co-al--t. e
Site Address: !'S r'vA's~o , I,ux~e 1,11 '165 ~'airz3. " 1.
Plumber.
Conn. Chg:
Acct_ Dep. 1 r i," . y r Ca o. Wql r
Permit Fee:
Surcharge: •,c r"y epre ply with the City of Eagan
Tr. Plant ? , Q - [l!jq,F Ordinances.
Meter. r .
Misc.: By
WATER SERVICE PERMIT
Grfif iratr of Orrupaury
Citp of (eagan
Erpartmmt of Wa0wg . n tdim
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
e Code certifying that at the time of issuance this structure was in compliance with the various.
ordinances of the City regulating building construction or use. For the following.•
T Ji trd. ~}~s
Use Classification Bldg. Nnnit No
Vi
Occupancy Type Zoning D str n Type Canst.
Owcer of Building - Address
IN .arm"
9tn7ding Address locality
DaU
Building Official
POST IN A CONSPICUOUS PLACE
1
This request void 7
months from
Request Date Fire No. Rough-in Inspection '
- R gwredl ❑ E]Ready Now IYI WWII Notify Inspec-
Ves No ~'C for When Ready
4 censed Electrical Contractor 1 hereby request inspection of above
Owner electrical work installed at:
Street Address, Box or Route No. City
r ~Q' l~/Yl
ec Jinn No. Township Name or No. anpe No. County
Occup nt (PRINT) Phone No.
n ~13a,- qo~9
Power Supplier Ol Address
Elecir a ant for (Compa Name) Contractor's License No.
t° 04- 8'S- 3
Marlin A ress (Contractor or Owner Making sta lation)
? / S U SS 3~l
Author d Signature (Contractor/O er Making Installation) Phone Number
qD- /a 3rd
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phnnx IR121R XIRQO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION rE/B-000011-os
Ii, See instructions for completlrg this form on back of yellow copy.
"X" Below Work Covered by This Request
Zdd Rape Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then peck Y they ISpccifyl
1 .r ocu y Other - Other
Compute Inspection fee Below
p Fee Service Entrance Size a Fee Feeders7Subfeeders k Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100_Am
Transformers irrigation Booms Partia L'Other Fee
Signs Special Inspection s
Remarks TOTAL
~ 7' 77 'ore .T" Jay
Rough-i
"r 1, the Electrical
Inspector, hereby
certify that the above
Final a/ginspection has been
! V ( metle.
This request void 18 months from "
This request void
months from -9.218 5 4 A ez~, ~ i
l ~ ~.oa
Request Oa~ Fire No. Ro uO h-i Inspection ❑
_ Re uirEN? Ready Nuw MWoII henfy Inspec-
~a'~ Yes ❑No for When Ready
y~censed Electrical Contractor I hereby request inspection of above
❑ Owner electrical work installed at:
Street Address. Box ar R to NO.
G City
action No. Township Name or No. an9e No. County
Oc nt (PRINT) Phone o.
" S 3~-9
Power Supplier / Address
Eleyyl~al Contractor Company Nerve) Contractor's LUCense N
Mai dress ct Owner MakmO lnstallatton)
Authorize store ( ntra toC,k w Aaki Installation Ph mb r
LL NOT
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST I BE ACCEPTED BY THE STATE BOARD
Griggs-Mitlway Bldg. -Room N-791
1821 University Ave.. St. Paul. MN 88104 UNLESS PROPER INSPECTION FEE IS
Ph... 16121642-MM ENCLOSED.
Sly7 REQUEST FOR ELECTRICAL INSPECTION EEB-00p0001-0e
IlO See instructions for completing this form on beck of yet low Copy.
X" Below Work Covered by This Request
hkw4Addj Rep. Type of Building Appliance. Wirral Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Healing
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. . Air Conditioner Bulk Milk Tank
Farm ther peer ter JSperifyl
t r pqm Y Other Other
s
ompute Inspection Fee Below
g Fee Service Entrance Size M Fee Feedars/Subfesders M Fee Circwts
r 0to 200 Amps 0to 30 Amps 0to 30 Am
Above 200--A mps 31 to 100 Amps 31 to 100 Amps
Swinmin Pool Above 10Amps Above 100_Am s
Transformers rrigation Booms Partla L'Other Fee
Signs Special inspection y/~,SO TOTAL FEE
arre rks 1
Rough-in Date I. the El Car
Inspect,,. hereby
certify that the above
Final inspection has been
= made.
This request void 18 monde from
PERMIT
CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number. 0 2 8 6 9 2
(612) 681-4675 Date Issued: 08/27/96
SITE ADDRESS:
70$ CARIBOU LANE
LOT: 12 BLOCK: 5
FAWN RIDGE 2ND
P.I.N.: 10-25801-120-05
DESCRIPTION:
REROOF
Ia- Permit Type STORM DAMAGE
€ork Type REPAIR.
10
=ert ,z 9FaTk 434 ALT. RESIDENTIAL
r- ~Qt.,~ . M r ~ 4_.,Dr
£ S'r &dw£ ~F £j InFk ~q
"•M1 4' t i r5 : C.l~ipYAt to
aa' ~__e eI ~ r5~su al u~%rm ds
v:i
REMARKS:
FEE SUMMARY:
-
CONTRACTOR: OWNER: - Applicant
BIROS TIMOTHY
708 CARIBOU LANE
EAGAN MN
(612)405-1892 I het a#)! ac kad"de Sflfiswe,mi lac): t€rr tp`p`i i£tMnef srGh `sI€`kY '
in1 a~ rr~aitrn' °i "ctt.~rikl 'fig ttaxiipy rit 'd a$t3ic41 hYri hFn
r0' 1 .e a G.~u M ii visit -y, rc t rar- 0~ GEC b to ru
at Yr-'Q~ a73d"sl °C'~ r='4-f'r£F°}~t`4--e?.g fa mF v , r s 1 s ~^4
•lY 'YY n RY {+YrY A kra £%i 4 taL. iE G k~ £;P T iCI jS V`S8 4 Z" % G£ NEgeYy~ ~It 'n'I
p~ P 3 flfi G8 t y% t iF ~p £ e r CI6 t9 b f H ` k ( H 8! 5
i~Zt TO,
1' _a. x..,_ S¢•x.~e.~u,x I xx^~., ani.~~ ~Rx4a rs'..:a., n..~§'; xv r. to.,._. Le7 a. °i t j ,'i:.,r-.4%tp.',
f /
APPLICANT/PERMtTEE SIGNATURE ISSUED SIGNATURE
~rr CITY OF EAGAN
a S b 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reautrements 8emodet Repair Reouirern
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam 5 window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions b decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions ,
♦ 3 copies of has preservation plan tl lot platted after 7/1/93
required: _Yes _ No
DATE: aO. t 1 CONSTRUCTION COST:
DESCRIPTION OF WORK: ke, d
STREET ADDRESS: 7Dgp'
LOT l a BLOCK SUBD./P.I.D.
PROPERTY Name: Liff0 Phone* OWNER
Street Address.
City: a .ate State: Zip-
CONTRACTOR Company: Phone
Str Address: License
City: State: Zip-
ARCHITECT/ Company: Phone #
ENGINEER
Name: Registration
Street Addres
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 information is correct and agree to com y with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECE ED
Certificates of Survey Received _ Yes No AUG 2 0 1996
Tree Preservation Plan Received Yes No
kITY OF EAGAN No 13 3 6 4
383C+Pllot Knob Road, P.O. Box 21.199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt #
To be used for SF DWG/GAR Est. Value $69,000 Date MARCH 19 '19 87
Site Address 708 CARIBOU LN OFFICE USE ONLY
Lot 12 Block 5 Sec/Sub. FAWN RIDGE 2n On Site Sewage Occupancy R3
MWCC System- zoning
Parcel No. On Site Well _ Type of Const V-
City Water X (Actual)
w Name OL-BERG CONSTRUCTION CO (Allowable) V
z Address 6400 131ST CT Le* of n Stories
Length 40
city A.V. Phone 432-9079 Depth 46
S.F. Total
e Name SAME Footprint S.F.
oa Address APPROVALS FEES
U
P City Phone Assessments _ Permit $ 395.00
Water/Sewer _ Surcharge J4.50
uw Name Police Plan Review 7Q7 50
_z Fire SAC, City inn 00
z- Address
ue Engr. SAC, MWCC
525.00
aW City Phone Planner Water Conn. 52T00
Council Water Meter ---6400
1 hereby acknowledge that I have read this application and state Bldg. OH. _ Road Unit ~.r. 00
that the information is correct and agree to comply with all applicable APC - Treatment Pt --i80. 0
State of Minnesota Statutes and City of Eagan b antes Variance _ Parks
1 Copies
Signature of Permittee TOTAL $2,22-9-00
A Building Permit is issued to: OL-BERG CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all applica ate of MinneSO Statutes and City of Eagan Ordinances.
f
Building Official -
1987 BUILDING PERMIT APPLI TION - CITY OF KAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND / a
To Be Used For:: S6(.. FA m jW6. Valuation: Date: 3 J 0 '
Site Address / D OFFICE USE ONLY
Lot Block r On Site Sewage Occupancy 3 _
MWCC System ✓ Zoning I
Parcel/Sub FAWN CID t ~ ws On Site Well Type of Const
City Water (Actual)
Owner [n ~JT62,rg CT h2 (Allowable)
Y of Stories
Address Length 40
Depth 4-6
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVALS FEES
Contractor DL. 66!26 C, P n1 s-r Assessments Permit
Water/Sewer Surcharge
Address 641)b 13 S 1 C Y Police Plan Review
Fire SAC, City n o .
City/Zip Code A VP1-E Y-A)W~) rJ~)~ Engr SAC, MWCC 525
Planner Water Conn 525
Phone q3 d. Council Water Meter 607.
Bldg Off Road Unit 30S•
Arch./Engr. APC Treatment P1 (gip.
Variance Parks
Address Copies
TOTAL pry o
City/Zip Code
Phone u
~7~ ~ ~ - ~~9c~~ ~ ~
1 0 ~ ~2
~-x~~ _ ~Z x~ = 301(0
~0~3~2
~i 3.~ .
,;r a
Certificate For:
- Olberg Construction '
6400 - 131st Street•Oourt
Apple Valley,'MN 55124 101/62
DELUM H. aC WANZ
umesnownft
..w■.+erw~....... worm
111M80Yt11110M11TT8AL WOMMOYMT. Al 01=06-IM
o G
MO
7D/H ~ 5+~j I ~ i dr\
= g43.9s En
~RaPo~i ~ ~rTo~°
\~3 36 91~s ~ o
5
'70P #06 - 0'
9sP/o \ \ ~o
r 93s / °
\ v~ CJ
A ~
s? \93¢d' Lot 12, Block 5
-7
N
W
- i UTILITY FAS>4MIM a 40
Scale: 1 inch 30 feet
Proposed elevation from Develo Plan
o Set wood hub
m Found iron pipe
g 8 Sxisting elevation
Limited Access 68'0
N89°ZZ'04 "(U
CLIFF ROAD
I hereby certify that this is a true and-correct representation of
the following described tract of land:
Lot 12, Block 5, FAWN RIDGE 2ND ADDITION, according to the
recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house l
staked thereon.
w pa ►A ~e~l vor We MM (/J
'Perch 18, 1987
ev.f, of AI& y,fLnvl ..VVy UAL I.Y LA IIVnJ
BASED O.V CCHAFTER 5 OF THE Cyr
MOM`V;IERGY CODE - 1983 EDtTtON
f . •
Adoption Effective Fit/84
Phone path
lite Address
ontractor e0,71 Phone
uilding Classification: Type Al (Single Family 3 Duplex)- Type A2 (Residential)
(3 stories or less)
(Other) (Over 3 stories)
ENERAL INFORMATION
Building Perimeter'E~Fylf'k --,m ft.
Wall height (ground to eave) ft.
2
i. 1. x 2. (above) gross wall OX..00.
I, Building dimensions (L) X (W) ■ ' D (p ft.2 roof b floor area
i. Square feat area of rim joist - Floor Joist size (2 x 0? )
/o? x Peri ter Rim joist area •5Z ft2
_T2 1.17
5. Doors - Area
Thickness in. actor +14 ~ -4
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft
f
8. Windows: Manufacturer 11V-;,UL, e- pr-, ry,l- State approved
U factor
TYPE SIZE AREA (Ft. 2) NUMBER OF TOTAL_ FEET 2
EACH UNITS
y. Total ft.2 Glass /~o'zg
IN Fireplace area: Width x height = x ■ Ft.2
11. Exposed foundation: Height x Perimeter--I L _x I 102 Z4- Ft.2
)MPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REI•IODELING AND BUILDINGS BEING
)VED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE. IS USED.
.12. .F.•oming area - 10% of gross wall areal
13: Gross wall area_ ft.2 "
Window area A )-~2 ?"C5 2 rr~5
ft. U windows U x 'A
Rim Joist area A ~ irJ2 ft,2 U rim Joist C 1 U x A
Door area A 5~. ft.2, U door area ■ U x A ■
fireplace area A 4 4 ft, 2' U nffft-lae ■ , .11 x A ■ )q,7+
Exposed foundation- A.L0a-z jz r ft.2 U foundation ~
■
_ UxA■ •
Framing area A 217i (~,02,01l ft,2 U framing area • •075• U x A ■ 2o, 14
Net wall area A ?-S'.-1`7 ft, U wall ~3 U x A'-(p1.7~j
(138) TOTAL U x A ■ ~7. -1-Y
14. Gross wall areaC O.U (A=1 single family b duplex
(13. above) ■ allowable U .x A/Code
,
x 0.23 (A-2 other residential)
x .23 (Other buildings)
X .28 Over 3 stories)
A 'Z BTUII Must be larger t
x 115' 138 above
15. Ceiling framing area (Af) equals•10%of ceiling area C of the• same as)
15A. Gross ceiling area ■ '(L) x (W) LO• ft.2
158 Joist area (Af) ■ 10% calling area ■ _ / L7 ft.2
15C. Net ceiling area (Ac) (15A - 158) l~ 7 ft.2
U ceiling x A c■ S2•• X
U framing x A f- 02,27 x-~=- f z i SO 1
150. TOTAL U x A 7 d 2 1
L
16. Ceiling area (15A)-x0.02 (A-1 single family & 'duplex - code allowable U x A
X 0.033 (A-2 other residential)
X 0.06 (other)
5A y) G.P x U_Icodels ;7_GL~BaUll Must be larger than 150 (above
F (or the same as)
Ib1-U~
NOTE: bse U and'A values obtained from n' 1, and 4.
~ c? ~ ( -1- ~c,v f (2~ _ ~Co 0
CI ( Iz) =
W lMPO
~ ~9~iv
14x 1 = I~-
II Zi'- Z4X~~ - ZZ~~X3= cv?~ S
3''i' ~I-x-4~ = 33 ~75X I = ~ ~ ?s
a
i
Cr II"~ .r rn~YG LALUULAIIUn.~
A IALUE U VALUE
1771
Inside air film .68
VALL '
' Idtarlor wall (Nall) U I
SECTION
Insulation
Sheathing
Siding
Outside air film ,l7
R TOTAL 'Z3,63
Inside-air film .68
STUD Interior wall
SECTION
AO scud 4wg:6.50(Fsaming) U . a
Sheathing 241
Siding -107
Outside air film .17
R TOTAL
Inside air film Ra .68
:NU WALL Interior wall
SECTION
Insulation fl.(Wall) U . .
Shia Z
Exterior wall ring
Exterior air film' R
R TOTAL
Interior air Ellm Ra .68
RIH Insulation
JOIST l1i lnch.soft wood Ra1.88 (Rim U a
. Joist)
Sheathing ' 2,01,V Oil
Exterior wall covering .47
Exterior air film Ra .17
R TOTAL ?N{
Interior air film Ra .68
Insulation 5,1~b
Foundation ( 1,~ 1
• •(Fdn.) UeA.
Exterior air film. Ra .17
R TOTAL
;r
•cposed Block
CEILIN11'WTN VENTEn ATTIC, SPACE ABOVE
-A VALUE V LUE
1`411ING CEILIIIG
0.61 Air Film 0.61
Insulation,
Joist
5Zo Ceiling i~
0.61 Air Film 0.61
4Z,t(o Total R
1
'0-2 3 U ■ 1C ,bpi
FLAT ROOF OR CATNEEDRAI, CEILING
i a value. R VALUE
FRAMING CEILING
- , t- 0.61 Inside air film 0.61
Collin
g
joist is u
~nsulatlon
Ir specs
Roof docking
Insulation
Built-up roof
0.17 Outside air film 0.17
Total R
1
U
iindow infiltration .5 cfm/lineal foot of crack
lesidential door infiltration 0.5 cfm/square foot or door and minimum code requirement
Ian-residential door infiltration 11.0 ;fm/lineal foot of crack
lb 12" concrete block no insulation ■ ,47•R 2.1
Jb 12" concrete block insulated cares .26 R 3.8
Jh 12" lightweight black .32 R 3.1
lb 12" lightweight block insulated cores • .12 R 8.3
'1 single glass • 1.13; with storm windgw•.54
1 double glass " :55
1 triple glass • .41
III exterior walls and ceilings must have a vapor barrier (0,10 perm max.).
lapor barrier must be on the Inside (heated side) of wall.
iapar barriers of the polyethelene thin film havq no R value. ;
*,t irx*,rt,tt*+*ts *•e *:+i,x***,Y•k*akaY•k•#ir# #
*
CITY OF EAGAiV NOTE:CAT PAYMENT OF FEE AT TIME CF CONSTITUTE
APPROVAL OF PERNIIT.
APPLICATION FOR PERMIT
* INSPECTION OF SEWER AND/OR WATER
* INSTALLATIONS WILL NOT BE SCHED-
SEWER AND/OR WATER CONNECTION DLID UNTIL PST HAS BEEN
» APPROVED.
M
*
(Please Print)
1) PROPERTY ADDRESS: 70$ CA R.16DU. L-A>J'E -
LEGAL DESCRIPTION: ),6T ) d, BLDG K, 5 F'AWrO i2T06 0010-,-
Lot Bock Sub .ivision or Tax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: Mon Year)
❑ M14MCIAL/RETAIL/OFFICE [~]/R-1 SINGLE FAMILY
❑ INDUSTRIAL ❑ R-2 DUPLEX (Tura Units)
❑ INSTITUTIONAL/GMMUZEm ❑ R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
2) v..~13
NAME: ELBE ~7~157
ADDRESS:-
CITY, STATE, zip:
PHONE:
3) a I: NAME: d L 6E(,6 G pi✓.~`T For City Use
Plumbers License:
ADDRESS: CV bD ) I~T j_ C I o Active
CITY, STATE, zIP: P P LC V A ,
SS a. NNotlrecorded
PHONE: ~3 d, q D-79 TER LICENSE# 3 6 9 1 mg
Stial
4) • I:1-
NAME:
ADDRESS:
CITY, STATE, zip:
PHONE:
CONNECTION TO CITY SEWER Ce'OONNECITON TO CITY WATER ❑ OTHER
6) ° • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
[PLEASE MAIL APPROVED PERMIT TO 1, 2,(j 4, ABOVE
(Circle one)
7) PERM 3
• r. Ii, 1 :'r aa• ••~Ip, 1 milli] :I' • N' :A' / I
TOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ L/ 7 U O $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S G'-z ACCOUNT DEPOSIT - SEWER
$ $ S t ACCOUNT DEPOSIT - WATER
$ 2 $ WAC
$ 2- S a $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
~C •-G d $ WATER TREATMENT PLANT SURCHARGE
$ / c, $ OTHER:
$ l J / 7, cTZi $ J L'Z TOTAL
7772-/
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE: ~Z 2
CITY OF EAGAN
L-ZA-- B Sy MECHANICAL PERMIT RECEIPT # /O !116/
SUBD. ~attnl e ram' (612) 6814675 DATE
S '
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: O tKba4- . Pr-, c e~ FEES
SITE ADDRESS: / ADD ONMEMODEL MUSTING -$---15.00
CONSTRUCTION ONLY)
gor INSTALLER: HVAC; 0.100 M BTU 24.00
PHONE 12481 Rhode Island Ave. So. ADDITIONAL 50 M BTU 6.00
Savage, 11111 35378-tt22
ADDRESS: 00 GAS OUTLETS - mi NIMUM I @ $3 EA.
CITY: ZIP: SURCHARGE is 50
SIGNATURE: TOTAL: $ S .
COMMERCIAL / G U t
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIIINDUSTRIAL 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:
' city of aagan
THOMAS EGAN
Mayor
PATRICIA AWADA
BEA BLOMQUIST
June 4, 1997 SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HEDGES
City Administrator
MR TIMOTHY BIROS E. J. VAN OVERBEKE
708 CARIBOU LANE City clerk
EAGAN MN 55123
RE: STORM DAMAGE - MAY 1996
Dear Mr. Biros:
On June 3, 1997, I contacted you about complaints our office has received that you have not
finished repairing the damage to your roof caused by the storm in May of 1996. You informed
me that you hoped to complete the roof by the end of July 1997; however, the City is giving you
30 days, or no later than July 7, 1997, to complete the repair to your roof.
Please call us for an inspection upon completion. Thank you. If you have any questions
regarding this, I can be contacted at 681-4676 Monday through Friday between 7:30 am. and
8:30 a.m.
Sincerely,
WMiam Brccsle
Senior Inspector
WB/js
cc: Doug Reid, Chief Building Official
MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY
3830 PILOT KNOB ROAD THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY 3501 COACHMAN POINT
EAGAN. MINNESOTA 55122-1897 EAGAN. MINNESOTA 55122
PHONE: (612) 681.4600 PHONE. (612) 681-4300
FAX (612) 681-4612 Equal Opportunity/Affirmative Action Employer FAX: (612) 681-4360
TDD (612) 454-8535 TDD (612) 454-8535
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use OnN
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Carl of Survey Recd -Y _N
.
(20% maximum lot coverage alWed) 1 set of Energy calculations for heated additions Tree Pres Plan Recd -Y -N
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required -Y -N
I set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or lass units
s
69
Date/ OSl Construction Cost 2gwo
Site Address 708 CoAr6otu. Unit/Ste #
~O Qasav.e~
Description of Work 114.Mf axe AA Il" #-twi4 ~ Add. Ya~Flrrom
£tv+~~
Multi-Family Bldg' _ Y I N Fireplace(s) ~ 0- 1 - 2
Property Owner f} to/0XIA Telephone#((,/X ) 41q-7A-AA
Contractor CD W ,-c UPS co V1, ` YV
Address l `EG9 m G Aj s- # (S City appLI)OW
51,2 Telephone # (9Sa) y3a- a55.1-
State Zip 5'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber T(~ Uti ~ 0~7
L'I Telephone
Mechanical Contractor JUN 1 1 2004 Telephone )
Sewer/Water Contractor _ Telephone
I hereby apply for a Residential Building Permit and acknowl a th the Lois te and accurate;
that the work will be in conformance with the ordinances codes f the he State of MN
Statutes; I understand this is not a permit, but only an appli tion for a perstart without a
permit; that the work will be in accordance with the approve plan in th cases a review and
approval of plans.
I(h r I~f_ Gv aA-l-q Wl
Applicant's Printed Name Applic V ignature
OFFICE USE ONLY
Sub Types
❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi
❑ 03 01 of- plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF
❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo) ❑ 36 Multi Misc.
❑ 05 03-plex ❑ 11 10-plex 14 19 Lower Level ❑ 24 Storm Damage
❑ 06 04-plex ❑ 12 12-plex Plbg_Y or_ N ❑ 25 Miscellaneous
Work Types 5nc I-e 136TH Pci= w
❑ 31 New 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding
❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair
❑ 33 Alteration ❑ 37 Demolish Building" ❑ 43 Reroof ❑ 46 Windows/Doors
❑ 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation 4 0-0 o Occupancy FZ ' MCES System
Census Code `f 3q Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const y 81 Width
REQUIRED INSPECTIONS
Footings (new bldg) - Final/C.O.
Footings (deck) c Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Stucco _ Stone - Brick
_ Fireplace _ R.I. -Air Test -Final Windows
~0 Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee 1
Surcharge ltiJ ;taoar (ZerleC6'Iler!/ 1=1ATrem
Plan Review p
i-0 j~tpai2S Z
MC/ES SAC
City SAC T
Utility Connection Charge
S&W Permit & Surcharge L OW n2_ 1 LOU"e - Z~ o 0 0. c o
Treatment Plant
License Search r 7-T ;lx c/ ; „ / n e a QA t
Copies r W r nAo : vt B.t$eM en'i
Other
Total
Sa-7 ~
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 7 , E / &4
Site Street Address GAn_ 1 g oU C_til Unit #
Property Owner
Telephone # ( )
Contractor ~ti1t5Swt4Y p" lL-2i1W~tLX1L Telephone# (783) 1-175-rD715-
Address ~,25a 4WL' lZ City 1MA;o1 E- PG State P&
Zip
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling $ '50.00
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 518" meter is required)
Other: t-r~ 1S41 Ro~je A>'-1/J RI !So`-F IQJ-l 3,g7lq
Water Softener - Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair rebuild $ 30.00
o r~~~a
State Surcharge $ .50
Total $ 50
1 hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve .
LC)VIS O~II`1t1 r
Applicant's Printed Name pplicant's Signature Z
Use BLUE or BLACK Ink
r - - - - - - - - - -
For Office Use
City of Ea ~p j Permit#: -ZPI
l~ I . ®c~
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
INFLOW & FILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: l~ 0 /1 i~lt/~,"
Site Address:
Tenant: t `t V+ .I ! i'~~ Suite
Name: Phone: P L'
RESIDENT /,OWNER
Address / City / Zip: 1Ar +1 i.~( ht ✓
Name: License
Address: City:
CONTRACTOR
State: Zip: Phone:
Contact: Email
PL~IMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work:
DESCRIPTION
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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; th he work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x /j Ltd / a x
Applicant's
inted Name Applicant's Signature
J \j
FOR OFFICE USE Reviewed By: Date:
Required Inspections: =Under Ground Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120606
Date Issued:02/24/2014
Permit Category:ePermit
Site Address: 708 Caribou Lane
Lot:12 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Hsbc Bank Usa Na Tste
3476 Stateview Blvd
Fort Mill SC 29715
Snap Construction
8200 Humboldt Ave S
Bloomington MN 55431
(612) 360-1033
Applicant/Permitee: Signature Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
For Office Use
Permit #: t J ` Ti
(..„
Permit Fee:
Date Received:
Staff:
2014 MECHANICAL PERMIT APPLICATION
❑ Pleasesubmit two (2) sets of plans with all commercial applications.
)/
Date: 7-/Y Site Address: 7'?CG/✓ �0t� /�
/is -
Tenant:
Resident/Owner
Name:
Address / City / Zip:
Contractor
Suite #:
S /14c Phone: (02 5/C" /3
Name:JYLicense#:
City: 7;1 (-114/'6'2 9e.., % _c
State: vUIIA Zip: 5-5()� 7? Phone: (/ pS( /
^02O% 3,9�
jdo
Address:
7
Contact: c)t N
Email:
/ , (40 .0'3 --
New '`:::Rep
'3
Newtep acem-nt Additional
Alteration Demolition
Type of Work- Description of work: /�� " / U 62w' c- c vti�p&_ ✓x
'
NOTE: Roof mounted and gro nd mounted mechanical equipment is retquired toO o be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
Contract Value $
x .01
= $ Permit Fee
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 approval of plans.
ek/I .1' Ma 56).
Applicant's Printed Name
x— v
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148666
Date Issued:04/13/2018
Permit Category:ePermit
Site Address: 708 Caribou Lane
Lot:12 Block: 5 Addition: Fawn Ridge 2nd
PID:10-25801-05-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Michah A Yates
708 Caribou Lane
Eagan MN 55123
(651) 246-1931
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature