1958 Glenfield Ct
Use BLUE or BLACK Ink
' I For Office Use
-7&
Permit I C
~ City ~ of Ea ~n
Permit Fee: 96 I
3830 Pilot Knob Road I
Eagan MN 55122
I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 staff:
L------------------
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 6-24 5y, -S,6- ST (.n~ &2.* 6V r-,7LoyF &-zy auer
Tenant: Suite
RESIDENT /OWNER Name:~y FRQP6n7-Y c IrVG Phone: 651- 6-S41- 99y9
Address / City / Zip: P 0, BD)( 2125 VVE-F Rove &1614-TS ///iU $5V 76
Applicant is: Owner Contractor
TYPE OF WORK Description of work: REMDVE AW P6-1h-A-GE ~?NrNG~~D ooF
i
Construction Cost: 2 ll DaO Multi-Family Building: (Yes / No
CONTRACT EI OR Name: 13 X.
TEi-(O2 A~IR-I N7:
► CoRP License . 2d~ 1f//3/
Address: 60, cSTwer City: /Gl~ntn~ ~UG~f
State: NA) IU Zip: S~{/ q Phone: +(O 12 - - 6 2 ~,3
Contact: /"A kL- Email: 100 be4jcoi
. Conk
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
,Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i
Sewer & Water Contractor: Phone:
NOTE' Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.oLg
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.
X G'f~.e/1 .it/lc~l X
Applicant's Printed Name Applicant's Signature
Page 1 of 2
f
/ For Office Use
Permit `l I
City of EI r !s~ ,
I Permit Fee:
3830 Pilot Knob Road UN $ Eagan MN 55122 I Date Receive
92009
I ' ~ I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION e`Z. d "
Date: Site Address:
Tenant: Suite
i
RESIDENT/ OWNER Name: Phone.
Address / City / Zip.
Applicant is: Owner's Contractor _ w
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes No___)
CONTRACTOR Name: License
Address: 'f c"
city: State Zip
Phone: - • i Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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. -
x % x -
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Y 01 of& Plex _ Lower Level _ Pool _ Miscellaneous
- Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION ale 18e- /Z-1
Valuation CamOccupancy y~ MCES System
Plan Review Code Edition zoo? SAC Units -
(25%_ 100% z Zoning City Water
Census Code Y3~( Stories Booster Pump -
# of Units / Square Feet - PRV
# of Buildings / Length Fire Sprinklers
Type of Construction 7 Q Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
4: Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 77 id
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies 1,l@ A5-O,# .
TOTAL
Page 2 of 3
r - - - - - - - - - - - - - - - -
For Office Use
~ I Permit
I y I
City EaRd
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
I
i
Fax: (651) 675-5694 I Staff:
L -----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLIC TION
1>° r t
~ ~~U n T~ l 4"
Date: S 1 Site Address: C
Tenant: Suite
RESIDENT / OWNER Name: J DID Keg) f 0 S Phone: (~g VSL' OLS3
Address / City / Zip: S~ (17
CONTRACTOR Name: isjc~ e License
Address: (o 3~ Z
City: I `C ~a State: Zip: 5s `(Z 3
Phone: -?ZOO Contact Person:
TYPE OF WORK New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
f iiI
Description of work: ~Z GZT 16UA r' W G S L. r X~
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main - Lower Level)
Septic System Water Turnaround
_ New
j _ Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 plax ~ c,4 J) ~ ~g x Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final
SEWER & WATER PERMIT (A OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 12/04/91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 12418
METER SIZE B.P. RECEIPT # C 15618
DATE A-?h 91 ISSUE DATE B.P. RECEIPT DATE 101011 91
-
PRV - BOOSTER PUMP
1950 1952 1954 1956 1958 1960 1%2-1964
SITE ADDRESS AxZr7,ttr1dkx;A,r i,r3,lS $m GLENFIELD Cr PERMIT REQUESTED
LOT.4-BLOCKS-SEC/SUB Diffley Commons
X SEWER X WATER - TAPS
APPLICANT: The Rottlund Co. Inc.
ADDRESS: 5201 E. River Road COMM/IND PRESIDENTIAL
CITY, STATE Fridley, Mn. Zip 55421 X NEW _ EXISTING
PHONE: 571-0304
La n prinkler Meters are to be Installed
PLUMBER: Valley Plumbing A ad f Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane Cr it ILL NOT be given for Deduct Meters.
CITY, STATE Jordan, Mn. Zip 55352
PHONE: 492-2121
AGR - T C MPLY'WITH CITY OF
OWNER: ThP Rnt-t-1 and ('a- Inc EAGAN IPI ANCES
ADDRESS: 5201 E River Road
CITY, STATE Fridley, Mn ZIP 55421
pHO : 571-030-4 SIGNATURE WHEN METER ISSUED
PL SE W G S FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
~✓10'I
SEWER ~ERMMI"TS,CONTAC ENGINEiING DE T.
06/17t2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.005/020
Use BI.U�or BI.ACK Ink
� For Oftice U9A` ^ �
. ' j Permlt#: � l,�� I
� � I I
it o a a� � permit Fee: +1
3890 Pllot Knob Road
Eagan MN 56122 j Dale Recelved: j
Phone:(659)67b-6676 I I
Fax:(651)875�5694 . � Stalt: ;
`________________J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
/ySD-/95�?- /9,S�f- 195�
eace: �/i���f� site naaress: /9s8 l9bo-/96�-�9�y ����e�v �•�e�" unicx:
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;i;:::*�Q�'a.��, :.,.:,:.
� �, �' �,;�":'`= Address/Ci /Zi 'P D. �p lC 212 5 /NvdrL Cx�e.o✓� ���j_!L� �'Saa 7�
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;�iy,r,�r'�^:�;1i''�'r�' �?'r,: �`�i'' APPIiC�r1t IS: Owner �Contractor
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1� Y �,Q��v1�9rk� � Description of wo►k: ��iltOd� �Na �E'fx/�E siViN6,
';,, Yf��,., .,,. �� 3�-
;.,`,'�'t,1;t�;"�r�M`��a.�" `->�;;r; Construcdon Cost: �a�9 ��17. '� Multi-Femlly Building:(Yes x /No`�
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��`�?'��'��'���� .5�?;''"�``'"' ucense#: �S7oD Lead Ce�tlflcate#: .f/.4-T `a`O 3 7.?-/
a ,,i� :�•� <;:i�.p;: -- —
If the project is exempt from lead certlflcatlon, please explain why: (see Page 3 for additional inforrnatlon)
COMPI.ETE THIS AR�A ONL.Y IF CONSTRUCTING A jV„�,l BUILbING
In the last 12 months,has the Ctty of�agan Issued a permlt for a slm(lar plan baeed on a master plan?
� _Yee _No If yes,date end eddrese of master plen:
Ltcanaed Plumber: Phone:
Mechanlcal Cohtractor: Phone:
Sewer&Water Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gophar Stata One Gall et(661)a64-0002 for protecllon flgelr�t underground utlllty demepe. C91148 h0ure
before you Intand te dlg to recelve lacetes of undecgro�md u111ltlae. wu�w.aooherstateonecall.ora
I hereby acknowledge thet thls Informallon Is complete and eccurefe;lhet ihe work will be ln conEomtence wilh lhe or+dlnencee and Codes o(lhe Clty of
Eagan;that I unde�stend thls Is not a permlt, but only a� appltcetlon for a permll, end work(e noi to start wlthout a permlt; th01(he work wlll be In
' aCCOrdanoe wlth the epproved plan In the Case of work whlch�equlres a reYew end epproval of plena.
Exlorlor work euthorlaed by a bullding pormlt Issuad In accordanca wlEh the Mlnnae0te Stata Bullding Code muet b6 ComplBled W(thln 180
d9y6 ot pormlt Issuanco.
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Appticant'e Printed Name AppllcanFs 5lgnafure
Paga 1 of 3
0211912014 12:32 Les Jones Roofing,Inc. �A��528817009 P.0051020
Use BLUE or BLACK Ink
� � For Off(ce Use �
C' f n ���..�C���C� j Permlt#; �2'(.,' � Cn� j
��� O! ���I��l � Permlt Fee: ' � ,� �
FEB 1 9 Zp�� � �
3830 Pllot Knob fioad •
�agan MN 66122 I Date Recelved: j
Phone:(651)676-66T5 � �
Fax:(851)676-6694 . � S��• j
�_—..-.��������.-.____J
2014 RES11)ENTIAL BUILI�ING P�RMIT APPLICATION �.-
�4s�, �9Sa iqsy i9s6
Date: � �9 �• Site Address:/9�8 /960 �'9Ga /96'� �"�Eit�Fi�z.L� ��oc�.�`="Vnit#:
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�� q� :��' ,4 ,"4��?����� Descriptbn ofwork:RE2LDU��I�VD ��L.F1'Gf �DOF 'f� �Z?� �oc��LS
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��;F„�T� �h��'' � r �,,�: Address: 9 K 1 W. �Y.
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,Y�:A'��''�'';` ";;1�' �:h>.�' State:�Zlp: .�3'^'�2� Phone:, 9'SA� 76 7-a?8/7
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.�,F.���,r�?�:.G,;`Z�'1�'�;'�''� ti � License t�: v��o� Lead Certlflcate#: �l,4� �f o 3 9.7-/
.i,:kY �.i:��:
If the proJect Is exempt from lead certificatlon,piease expiein why:(see Page 3 for additianel informatlon)
COMPI.ETE THIS AREA ONL.Y IF CONSTRUCTING A NEW BUILDING
In tNe laet 12 months,has the Clty of Eegan Issued a permit for a elmllar plan based on a master plan?
_Yes _No If yes,date end address of master plan:
Llcenaed Plumber: Phone:
Mechanlcal Conhactorc Phone:
Sewer&Water Contractor: Phone:
a �.Kt I�a�•�/�C7�Ga�'�,�;4�` A�' V 'v..4.u�"�[�fl y�/n�`�..� '� 4 i� �.n��� xY' ��Hb '.�IYI�YW��r�b,' ,��.'/ .�,.��Q �y�i,�"�F�(1��µ$�/•'��y�
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CAI,I.B�FORE YOU DICti. Ce(I Oopher State Ona Cal�at(fi61)464-0002 for prolectlon aga�st undergro�d ulllily damage. Gell 48 houra
before you Intend to dlg Io receive locates�underground utllluea. www.aaaneretalaonecall.om
I heroby acknowledge thet thtB InfO�m�tion(a complete and eCCUref9;lhel Ihe wodc w111 be In confortnenCe with the ordlnances end codee of the Clty Of
Eegen; thet I undersland fhis Is not e pertnit,bui onty en eppliCadon 1of o pe►mlt, and work is nol to etert wNhout e permlt;thel the work wili be In
eCCOManCe wilh the approved plen in the caBe ot work whlch requlreB a revlew end approval of plans.
Exterlorwo�k aethorized by a building permit Issuod in accordflnCe with tAa Mlnnasota 3tete Bullding Code mu6t bo complsted wlthln 180
dayo of permlt Isauanca.
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Applicant's Printed Narne Appl(cant'a Signafure
Pege 1 of 3
12/23/2014 13:36 FA1 651 451 7740 CULLIGAN 1�0001/0001
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� Permil Fee: 12O • �Ll i
3830 Pilot Knob Road
Eagan MN 55122 i Oate Received: �Z 23 � �
Phone: (651)675-5675 � �
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Fax: (651) 675-5694 • � �
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2014�RESIDENTIAL PLUlV1BiNG PERMIT APPLICATION
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Date: <:�T� ' SfteAddresa: �C:��r� �v��:�'.e�l�J�.�� lr�-�°.� �TC . :�j's��� �,/��/� ���b� �'
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Tenant: ;�a.� �,��'��'t.��'1 Suite N:
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�x�,�,��"r��a'��t`�rk�� '��`_. Name: � �1..... ( " �... +.��G�.�� Phone: --�-' ��"'
,�f,Resl�en Owner � �' J°
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�.�;�r���,�,n� "s;�,� Address/'Cii /Zip: -°L.�. �� ..�' I � s,� �A,�
f��'t����+`"�r;�� ` � Milbert ompany Inc ba Cullign Water
erk�� ' WC643176
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tct{�ht, �1 . ,� ,��., � Name: ucense�: --
�' ��"����� ���<<,e 180150t Street East
"� Address: �i� Inver Grove Hgts.
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J�j'���$'`�f% � ��`>��'�, �' _MN z;p; 55077 651-451-2•241
fix��v�f�'� � �� � � State: Phone:
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s���`�°.,,,,;�l��,:� ;,+<</�ti. -��;' Contact; W I I I I a t1l�::R::M i I b e rt Ema;,:
4 e�n`4r{y��!'�'1/„r 1"A N U .�'�.�. x. . . .
g`����4����e o��Wro� �� ,, —New __Replacement _Repalr _Rebuild _Modiy Space _Woric in R.O.W.
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'���'� ��'':lf'���},� . .:,s Descrlptlon ofwork:
�'���i�,k��.;����^���.'f+�,''�r��+' RESIDENTIAL
'M1� RJ Iu1F'�'(M(.3�5 J J :� � '
�°�r��jf �,{fi f'
j;Y��`{�� ���;��4 •� • _Water Heater
�`3 ��° � ,�Water Softener
1���{��+. �'��� w�� _ � _Lawn Irtigatian(�RPZ/_PVB)
�y��L�P:ermit,�.yp
'�r�?��:"�"�;� :���;� ; •� _Septic System _Add Plumbing FiMures�Main/_Lower Level)
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���';�x����,�" ��i � __ _Water Turnaround
3f� �.„ 't: . New
s ������� rr f, . ��� `
�r,a;�. „E� � '� '�#�< . Abandonment
,RESID.ENT(AL',FEES:
�GO.00 Wa4er Heafer�Water Softener,or Water Heater and SoRener(lncludes$5.00 State Suroharge) �
$60:00_Cawn�,lrr(g'afl0n-(includes$5.00 m►nimum State Surcharge)
$60.00 Add.:Flumbjng`Fixtures, _Septfe Svstem Abandonment,Water Tumaround"(includes 55.00 State Surcharge)
,. . .-"Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00;5eptic System New($10:00 per as built)(includes County fee and$5.00 State Surcha�ge) '
' � TOTAL FEES S ���
CAL� BEFORE:YOU DIG. Call Gopher State One Call at(861)454-0002 for protection against underground utility damage.
Call.48�hours before you intend to digto receive'locates of underground utilitle5. www.goaherstateonecatl.org
I.hereby acknbwtedg�fhat,thls fnforma:fon ia�complete and accurate;that lhe work wlll be In conformance wlth lhe ordlnences anC codea ot the Clty o(
Eagah;:Chaf 1 understand thla Is not a permlt, but only an appllcatlon for a permit,and work Is not to ateR wlthout a permlY thet the work wHl be In
accordance wlth the approyed plan In the ease of work.which requlree a review snd approval of plens.
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153318
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 1958 Glenfield Ct
Lot:025 Block: 04 Addition: Diffley Commons
PID:10-20450-04-025
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John M Keprios
4055 Beaver Dam Rd
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature