994 Danbury Ct
CITY OF EAGAN
' 3834 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PEkMIT Receipt#
To be used for Est. Value ?; i 1!? Date
Site Address
Lot - Block Sec/Sub. ? ? ?•
Parcel No.
CiJE.iV+ xoW.s, 114c
O FFICE USE ONLY
On Site Sewage Occupancy
MWCC 3ystem Zoning
On Site Well (ACtual) Const
City Water (AllowaMe)
PRV Required * of Stories
Booster Pump Cength
Depth
S.F. Total
Footprint S.F.
1 54'7
R--3 :l-1
D
v. .: ;
6c.
?, 1
rnone APPROVALS FEES
•
?
¢
' W
W
Name
Engr./Assess.
Permit n
; ?
•' '?' ' t`
;
= Z Address Planner Surcharge - ' '
? Council Plan Review
W
a City PhOne Bldg. Oft. SAC, City
I hereby acknowledge that I have read this application and state that the
i
f
ti
i Variance SAC, M WCC
n
orma
on
s correCt and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances Water Conn.
.
Water Meter
'
Signature of Permktee ? Road Unit
A Buildin Permit is issued to:
9 -- -
Treatment P1 4-
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Parks
TOTAL
`' r
R?.dAi,,,,nFri..i?i
'_ • Permit No. Permit Holder Date Tslephone #
Plumbin9
H.v.ac.
,
Electr
ic av
? ?? ?G'?? ? ;, ?zc ??t ?• 101*w
So ener
Inspection Dats Insp. Commants
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ?
lSUl.
Fireplace
Final Htg. _ l
Final Plbg. e_
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT #
'' • ' • MECHANICAL PERMIT RECEIPT #
' • CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
CANTReCT PRICF• ? . PNANF• asa.A7nA
Site
Lot.
Forced Air M BTU Boiler M BTU !6
Unit Heater M BTU $
Air Cond. M BTU $
Vent CFM $
Gas Piping Outlets # ? $
? Other T.
FEE
S/C:
TOTAL:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mutt. Add-on
Comm. Repair
Othef
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
.
PERMIT q
PLUMBINCa PERMIT
CITY OF EAGAN RECEIPT #
_ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
' PRICE: PHONE: 454-8100
Name
?c Addre:
c City
!
Name
FEES
COMM/IND FEE - 1S6 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 PRICE GOES
CITY OF EAGAN
BLDG. TYPE WDRK DESCRIPTION
Res. New "
M u It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TQTAL
?Water Closet - $3.00 S?
? Bath Tubs - $3.00 `•
Lavatory - $3.00
?
Shower - $3.00
_LKitchen Sink - $3.00 ?
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
f Floor Drains - $1.50 ?. Water Heater - $1.50
Whirlpool - $3.00
--J_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-3_Rough Openings - $1.50 FEE:
STATE S/C: ?' t7
GRAND TOTAL: ?-
i? CITY OF EAGAN Permit No: 1101 3 Date: "
,i 3830 Pilot Knob Road B/P No: 6, G1 W' Date: 9-1 0-gR
P.O. Box 21199
Eagan, MN 55121
Owner: ''pt. o Cuatu? ; rae
Site Address: ^•IJ n?R?TCaiavt T 1.2- 4; T e-44t?-CeEt 91 '40?
Plumber: --realior
MWCC
City Chg: I00.40rc'
Acct. Dep: 15 , nQn,a
Permit Fee: - t
Surcharge:
Misc.:
No. of Units:
I agree to comply wiih the City ol Eagan
Ordinances.
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No:
3830-Pito1 Knob Road Meter No:ya a?f O S -31-
Date: ?
oZ ? o'?. Size;
PAO. Box 21199 Reader No: O ?? Date:
; Eagan, MN 55121 -
Owner. ' r n r ustom Homes
SiteAddress: -V, r•:,?,1,•,,r?. ??,-,tcrr T.j! B3 T,ex???:,-o.r, ', 70)
Plumber.
Conn. Chg: 4 ?4,ogpd Zoning: l -=
Acct. Dep: 15?ggpd No. of Units: 1
Permit Fee:
Surcharge: I agree to comply with the City ot Eagan
Tr. Plant ^ +Z? ? 009 a Ordinances
Meter. - ?
M1SC.: 8y
WATER SERVIC PERMIT
I A
/
1 1
. CITY OF EAGAN N2 15427
•3830_Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
G? RA S(0 s?.? ?
BUILDING PEF3.lIAIT PHON E: 454-8100 Receipt#
.. _, To be used for SF DWG/GAR Est Value $82,000 Oate AUGUST 10 ,?g 88
Site Address 994 DANSURY CT
/ j Lot 13 elock 3 Sec/Sub. LEXINGTON SQ 7TH
x
Parcel No.
Name METRO CUSTOM HOMES, INC
; Address P 0 BOX 1049
0 City BURNSVILLE Phone 454-9383
'?Ase11r11
z4 X 3
(
.o Name SAME
°C
? i Address
i-` City Phone
?Q
WWW Name
F
?g Address
Q W City Phone
I hereby aCknowledge that I have read this application and state that the
information is correct and agree fe-gbprQl»with al p i ble State of
Minnesota Statutes anQ'!?il
5ignature of Permittt??
A Building Permit is issued
? on the express condition thi
applicable State of Minnes
Building Official?
hDu?
' a
?
2 xq :
t
On SRe Sewage
MWCC System R
On Site Well
City Water x
PRV Required
Booster Pump
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
?rdtfirate of (Orrupanrlj
Occupancy R- M-1
Zoning PD R-1
(Actual) Const V-N
(All
wable) V-N
o
# of Stories
Length bn ,
Depth 36'
S.F. Total
Footprint S.F.
FEES
Permit 502.00
Surcharge 41.00
Plan Revfew 251.00
SAC, Ciry 100.00
sAC, nnwcc 550.00
water Conn. 550.00
water Meter 67.00
Road Unit 325.00
Treatment P1 204.00
Parks
590.00
2
TOTAL ,
titp of (tagan
pppwfttP1tt Af i1Tt1bwg i1tH}1PtttQ1t
This Certificate issued pursuant to the requirements of Section 306 oJthe U?uform Building
Code certifying that at the time of issuance this structure was in compliance with the viarious
ordinanees of the City regulating building carrstructioM or use. For the fo!lowing:
Use Q?si6ation -?+?' iiv0/l sR Bld?. Pdmu Na 15427
0-upancy Tra F?/2f 1 zo,ring nau;c, FIir'F.1 7ype c,oiw. Vo
1?."II?D Q3?tT(2`. ! ?t.5s 1".?;o P.O. ?: I(Y?4, B'?.TIIIZE
Owoer Ot Bn?d'ul! A&km _ . _ _..
a.te: OCMMR ''-5, Im' -
POST IN A CONSPICUOUS PLACE
.
1988 BOILDI G J T LICAZTION ;ITY OF E6GAN
SINGLE FAMILY DidELLING3
INCLUDE 2 SETS OF PLANS, 3
OF SORVEY, 1 SET OF ENERGY CALCULATIDNS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITA BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL dc STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OE' ENERGY CALCULATIONS
To Be Used For:
Site Address
S/h J/, / at-, ' 'V Valuation: ?
,79yDAn L1V±v dvr4IF?h,
Lot 13 $lock
Parcel/Sub 7Z?Alwl
Owner ???? ? h G ?
Address r - C9- ZOx
City/Zip Code leUr'h Sv//?? , ??SS33f?
- r
Phone y?' y? y 3?3 I
Contractor S4h, e 45 OiliA e-.-,., i
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date: V- S ? 9'8-
?r r t?? u?r. udLz
gZ?
On site sewage Oecupancy R`,3
MWCC syatem JZ Zoning _ R-I
On site well Actual Const y-/y
City water Allowable Y_N
PRV required # of stories
Booster Pump Length Q
Depth S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 5 Z.00
Planner Surcharge
Council Plan Review s/,o v
Bldg. Off. SAC, City , ov
Variance SAC, MWCC 0,00
Water Conn
Water Meter Sp, Do
`O p
Road Unit 325•00
Treatment P1 2 Gy,6o
Parks
Capies
TBTAL
11 city oF eagan
PATRICIA E AWADA
Mavor
PAUL HAICKEN
PEGGY CARLSON
CYNDEE F[ELDS
MEG'I'ILLEY
Caunci1Members
THOMAS HEDGES
CiryAdminiscraror
'.biunicipal Center.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
rax 651.681.4612
TpD: 651 454.8535
Maincenance Faciliry:
3501 Coachman Poin[
Eagan, MN 55122
Phone: 651.681.4300
Fax: 651.681.4360
"I'DD: 651.454.8535
wmv.utyofeagan.com
THE LONE OAKTRE.E
"Che rymbol of nrength
md gruwdt in qur
cummumty
July 11, 2002
O'BRIEN ROOFING
4143 MINNEHAHA AVE
MINNEAPOLIS MN 55406
RE: REFUND OF BUILDING PERMIT 50921
TO WHOM IT MAY CONCERN:
On May 30, 2002, a permit to reside the residence at 994 Danbury Ct was issued to Amek
Conshuction. A permit to reroof and reside this home was previously issued to you on June 5,
2002 (permiC #S 1162). As this is a duplicate pernut, we are refunding $181.25 to you under
separate cover. We are unable to refund the $5.00 state surcharge that was collected.
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are mforming contractors of this policy and issuing a full refund, minus the state
surcharge, for a cancelled permit on a"one ttme only" basis.
If you have any questions, please feel free to give me a call at 651-681-4695.
Sincerely,
?
3'an Severson
Office Supervisor
cc: Dale Schoeppner, Chief Building Official
L?aZ?
` b `) a I BUILDING PERMIT APPLICATION
CITY OF EACAN
? 3830 PlLOT KNOB RD, EAGAN MN 55722
??o ro2 851-881-08T5 ` ,???
NawConsbuctionReuuiremanb ? 7RI'R
• 8 registered sile surveys showirg sq. ft of Iat sQ. R o
f hause: and ? roofed areas an (20% maximum lal coveroge al? y (pr Aeated addilions + 2 mpies of qan slwxiirg peam 8 ow s¢ . 'amtl dc5gn, ek.) or r add'd'ans & dedcs
• 1 set a1 Eneryy Ca1cWa?ons ne yy qeDUc system fw ?Odions
• J copres al Tree Preservatlon Plan rf lo[ datted aRer 7 3
• Rim Joat Oelad OpGans selec?on sheet (61dgs wiN 7 Or
DATE I wtiLq)
VAL? y3
SITE ADDRESS N ULTrII-FAMILY nBLDG _Y ?N
+
flEP?E(S) 2
TYPE OF WORK ?. D?t ^Re?D 7z,
APPUCANT R. ? 11 ' l1
STREETADDRESS ITYYY101.? S STATE&ZIP?J
TELEPHONE #'??I CELL PHONE # FAX # LP I r? ?1 2101?i/
PROPERTY OWNER
----------------------------------------------- ..__..
COMPLETE THIS SECTION FOR "_ W" RESID
Energy Code Category _ yIINNESOT?. RUT.ES
(•/ submission rype) . Residen6al Ventiiatlon C
. Energy Envelope Calao
Plumbing.Conhactor:
Plumbing system includes:
Mechanical Conhactor.
N[echanical system includes:
Sewer/Water Contractor.
ANcater Softener
Wr Heater . of Baths
Phone # ?
Iawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
TELEPHONE# lnSl -La?i o-G1GtSJ
BUILDINGS ONLY
Phone #
Phone #
MIVNESOTA RliLES 7672
• New Energy CoCe Worksheet SuhmitteC
Fee: $90.00
Fee: $70.00
-------------------------------- -----..._..-----------.....----°----•--------------°---------...---°----....°-------
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply
with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. ?J
S(gnature of Appllcan....
OFFICE USE ONLY
CATEGORY1
y 7 worksheet Submitted
SubmiUed
Certificates of Survey Received Tree Preservation Plan Received _ Not Required ,
- UOdated 4102
5"4z
.C.4_1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
L 3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
NewConeVUCtbn HeaulremeMe
• 3 regislaretl sile survays showhg sq. ri of bL sq. ft of house; and all roofed areas
(200% maximum bt coverage albwed)
• 2 copies o1 plan showing baam 8 wercMw s¢es; poured Pound design, etc.)
• lsetofEnergyCalculetbns
• 3 coples oi Tree Preservatlon Plan B b1 planed afler 7/1193
• RenJOistDalailOplbnsselectbnsheet(bklgswith3orlessuntts)
DATE ? 3 10?
SITE ADC
NPE OF
APPLICANT
STREET ADDRESS '-i lg b i N l 1 i) ni? hrx 1'l G 6
TELEPHONE #Ua ''1 a 6-0,1aU CELL PHONE #
AULTI-FAMILY BLDG _ Y IiIQ
FIREPLACE(S) ?--06 _ 1 _ 2
M' n' TATE AI ZIP h 5L1r1( n
Fa,xa(o2 --)aI-o1a?
PROPERTY OWNER Nl D I I Y?l I?U h Yl TELEPHONE # I o? I- o Kl9
T
I
COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(q submission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor. _
Mechanical system includes:
Sewer/Water Conhacfor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge mat I have read thls applfcation, state that the Information is correct, and agree to comply
with all applicable State of Minnesota StaTutes and City of Eagan Ordinances.
Signalure of Applicant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
:33 / as-
RemodeVNeoah Requirameme
. 2 coples M plan
• 7 set of Energy Calculations for heated additions
• 1 sttesurveyforexterioratlaitions8decks
. Indkate 'd hwne served by seplic syslem tor additbns
VALUATION
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
• ? APFLICATION FOR PERMIT +NOTE° pAYMENr OF FEE AT TIME OF ;
nreLIcAxioN oots rnr mrr- ;
i SfI'N1E APPA6JAL OF PII2PIIT. .'t
: •
SEWER ANQ/OR WATER CONNECTION : IeSPw'Ia4 oF sEWER nrD/oR MTm =
i IaarnrxaTICd1S WIId. N01' BE SCED[R.ED 4
. . i (!Nl'iL PkAFIIT }UA5 8EF2i APPROVID. ?
-citV f:?vwxxx:t???ifts?+tftfieieifw??i?:ff:
oF eagcsn
(PIEASE PRINT
?) PRoPEaTY AoDRESS: 9 9V DA-,Jsa '2y G; .
r,Fr:Ar, oESCRzprroN: Ll.? ,?C. 3
-7?B?1ock Subd'ivision or Tax Parcel ID .
IF EXISTING STRL?CT[JRE, DATE OF ORIGINAL BUILDING PII2MIT ISSLANCE:
PRESENT 7ANING/PROPOSID USE:
Q COMNIERCIAL/RETAIL/OFFICE
Q INDDSTRIAL
Q, INSTIT[7TIONAL/G0VER[VENT
Nbnt Year
C R-1 SINGLE FAMILY
? R-2 DLPLEX ('itao C'nits)
Q R-3 TOWN[IOC?SE (Three + Onits) ( Lnits)
Q R-4 APAI2TMENT/COPIDOMID7ILR•1 ( Units)
2) NAMEo U0E3µEO_ tY(_.
ADDxsss: 1 D S 3 8u i o? X"' C-P
CITY, STATE, ZIP: L C k ) A l /?Ir? • S"S/.2
PxorE: i{ 3 2- 817 S
For City Use
3) WE-042NAME: QL-Bf-,Q6 C6t.ISi ' Pl erLm s License:
Active
ADDRESS: 4 `f0 0 i SI rT Sr -? j- E
xpired
c2TY, STATE, zIP: A Pnz E(),a rrot recorded
PHONE: MASTII2 LICENSE # 3G f//Y?? _ St Ia n£f itia?
4)
rAME: 4E.-2 0 A C DzlS .
ADDRESS:
CITY, STATE, ZIP:
PxorE: IFS Y -938,3
5) s (i• a a?• ? • ?e .i ??
21 CONNECTION TO CITY SEWECt ? CONNEC.'TION TO CITY WATII2 a O'IHER
6) ??•T?? ?1?.?.a?? ? .? _ e . ? r_ ? r4 /3d /??
**********,?*.***?***?**?********???***??*?*+***********???*:*?*?******?*????***?*****?***??********?
* THE ODID COPY OF TfIEE PIItNffT WIIS, BE SIIRP DIRFX.TLY 7+0 PUBLIC WORKS 10 FACILTTATE MEIER PIQC-OP. *
PLEASE ALIAW ZSVO WURKING DAYS FY)R PROCFSSING. SON1E0NE EROM 'im CITY WILS, CONi'ACP YOU IF ZiIERE w
* ARE ANY PROSLEMS.
?*?*??****?**+,:*«*,r**,r***+,r***?*****,r****?***+?+*?+?,e*******f***#*****++*********w*?*?,r*+***#****f+;
FOR CITY USE ONLY
PERMIT # ISSUED
,
Pd w/Bldg. Permit FEES:
$ $ /24-y SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /Q•? WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/0[JTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ $ WAC
$ ? ?L` ' IJZI $ SAC
$ $ TRDNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
S r??' `I" UZ> $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
- ?q?v i?70 2 ?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? 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 CONDITIONS:
APPROVED BY:
TITLE:
DATE:
'K??/ CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
kIgi?I!TTC?i7:?'?'E?tfl'!
FEES
?DD-ON MINIMUM 00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT e
l
/ S
SUBTOTAL: ?
STATE SURCHARGE: .54.0
/S -
TOTAL:
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUIRED FOR EACH IINIT.
------------------------ --------------------------------------------------------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR _
OWNER NAME: /try"N /Yr/?
SITE ADDRESS: 995o' -42ev.Or/?tis ?G.
0
LOT: /13 BIDCK -j SUBD.
INSTALLER: G???2/?? /?d0`7y?
ADDRESS: X ?PJ-S-J?i??+???/?a•
CITY: A?/k'?-fi?"? ZIP: J3-/22-
PHONE #: 4'?J-2' -'Z6`?
FOR CZTY USE ONLY
PERMIT #
RECEIPT # D, S 9?
DATE: S S
S/iGNATUR£ OF PERMITTEE
71311y-144--) ?/& el? ?-
-l
dOMMExtCIAL??IDUSTR?AT:t. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
:....<.., .._. ........... : ............:... .. :
APARTMENT 'SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
ZIP:
' FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
EACH $1,000 OF PERMIT FEE.
pP.OCESSED plnIp,r_ - - coc...n..n
v?..
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
" s
CLAIM VOUCHER - REF'UND REQUEST
CITY OF EAGAN
CLAIMANT KENDRICK ELECTRIC
ADDRESS 14540 PENNOCK LANE
APPLE VALLEY. MN 55124
Location
Receipt No./Date
Reason for Refund
Type of Refund
994 DANBURY COURT
1.13. B3. LEXINGTDN SQUARE 7TH
87555/9-21-88
DUPLICATE PEBMIT
Electrical Permit
Plumhing Permit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
Utility Account Over-Fayment
Other:
01-32I1 $ 13.00
01-3212 $
01-3213 $
01-2155 $
20-3713 $
20-3743 , $
20-2252 $
20-2250 $
$
$
TOTAL $ 13.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
9= SEPTEMSER 23, 1988
Signature ?ate
METRO C?STLWJ NOn?ES
.?`Q -a e ? /bbO.a/
COfi1Ul71PiD [IIt3111@tR5
p'LfllIllEflS nnd 1A110 ?U(iV@40115 BoeK //S
PEMNGi???????,
e e Pql.E 9-I
CONIPANY, INC.
? 1000 EAST 1461h 511tEET, OU(iNSVILLE, uI1111ESOTA 55337 PII 432-3
000
ZZ CCZze D SZL?'?7t"e y
L94Cl .0c4C7-L,o2icrt: BLoCK 3 LEX/NGTON $4US1RE 7Tg =ADD/r/ON,
` . OAKOTA C'OUNTY, 1111NNE,$074
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f/TIUTY EjLSEMENT ?'=?6i
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I hersby cer.tify that tliin ie-a t:ve and correct reprceeritrtion of a tract a!
land aa sho+rn'and deecribed heraon.• Ae prepared by me on this Zvo 'day o[
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Date:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
MAY 12 2013
Use BLUE or BLACK Ink
For Office Use
Permit #:
/-0)g9'%
Permit Fee: / 9 [ o°
Date Received: '�/%_ R 7%Y
Staff: 93
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Name:
Site Address:
RN
g CIT
Ebl.oly - EVI N $u t N Phone: $67 _'W
Address / City / Zip: � `t !Jr"Ci\l BV e) eJT�) Et8o v I Mk S5 i Z-?
Unit #:
Applicant is: Owner Contractor
Description of work: I-I✓`L f'
Construction Cost:
Multi -Family Building: (Yes /
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I� 'PD
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:
Mechanical Contractor:
Sewer & Water Contractor: Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesgta State Building Code must be completed within 180
dasof permit issuance.
x�Ev0V1 HNi x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
119 L. ht /0.999' 7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
sy Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
(25%_ 100% y)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola) _
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
-(L
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
Other:
, Building Inspector
Brick
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167848
Date Issued:03/31/2021
Permit Category:ePermit
Site Address: 994 Danbury Ct
Lot:13 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-130
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kevin W & Peggy K Kuhn
994 Danbury Ct
Saint Paul MN 55123--156
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature