3835 Danbury Tr
Use BLUE or BLACK Ink
F-----------------I
I For Office Use I
Permit I
City of Evan
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 'VAS/ gar r Unit
~
Name: p cry
'6 4t/ 61 ~ 45 .r 67~~2 Phone:
RESIDENT /
OWNER 1 Address /City / Zip:
Applicant is: Owner X Contractor
E
TYPE OF WORK Description of work:
Construction Cost: ~(d r "41 Multi-Family Building: (Yes-/ No )
Company: '4101fr# 1---kh"e 50A, ~ Coon acti P'TC 4
City:
CONTRACTOR 'Address: -777 72 5,t-,
State: Zip: (,01 Phone: 1 7
License OTC ~o j '~j Lead Certificate f s~~ "n
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 they 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.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; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name T- Ap ant's Signature
Page 1 of 3
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L.i I T vr CHUHrv #
`•!''-"''^"?'°i' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHON E: 454•8100
BUILDING PERMITi Receipt #
To be used for Est. Value 1?32.UV1 Date 10
,19 ?R
SiteAddress ????' ???•NI:I;F.Y T1t OFFICE USE ONLY
j, EXjmcrNN r> r,.
Lot .; Block ? Sec/Sub On Site Sewage Occupancy F`"1
.
Ill, MWCC System - Zoning
Parcel No. W
On Site
eli (Actual) Const
a Name - ? ?*• ? ''i4???M City Water X (Aliowable)
= AddfeSS 14450 BiihNSYIL?.E PiKYX PRVRequired #afStories
?
? City ' `11'`'ti I'? PhOn2 8?4"E6?6 Booster Pump Length ?'+?
'
Depth 47
, a
,E
Name 5,A'1
S.F. Total
o a
u AddreSS Footprint S.F.
¢ City Phone APPROVALS FEES
{'
cc
? W
Name En r'/Assess.
9 Permit •'`•C{; ,
'
C?
`? i
? Z
_ -
Add ress Planner
il Surcharge
Plan Revie '
,
9 1 I
?? • ?y
¢ W
a City Phone Counc w 1W
00
81dg. Off. SAC, Gity •
I hereby acknowledge that I have read this application and state that the Variance SAG, MWCC 5W•00 '
5 50
`x I
information is carrect and agree to comply with ail appliCable State of WaterConn. •
Minnesota Statutes and City of Eagan Ordinances.
Water Meter y? ??
?
Si nature of Permittee _
g - -- ----- ? ---- --
Road Unit
.00 1
A Building Permit is issued to: Treatment P1 204•00 ?
on the expresscondition that aliwork shall be done in accordance with all
Parks ?
?
applicable State of Minnesota Statutes and City of Eagan Qrdinances. TOTAL ? 1 S??•?t
Building O(ficial _
Permft No. Psrmft Holder Date Telsphone #
Plumbing y (??
aw ll l ! a- `!
H.vaC. /o ?r ; i r? v
?.
Electric
0,79 ?IS7°0
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ? f -:'i -if r • i ,{ ?,...
Rough Htg. //?'
Isul. N c _Zy
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT ?
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT
' 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: ?
PHONE:454-8100
BL
Y
DG.T
PE W
? Sec?$ub Res. ?- Ni
Mult Ac
n Comm. Rt
?,. ??---.Ju-r_a Other
Name KS- o+&t
c Address 44 ?0 ?L%W1J,11 S-
O City ?'??y,LJIL- Phone?
TYPE OF WORK
Forced Air ? ? M BTU
Boiler M BTU
Piping OuUets #
$?
FEE ?
S/C:
TOTAL• a `
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C OI
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PEI
ap COMM/IND FEE - 1% OF CONTR
APT. BLDGS. - CaMM. RATE AP
TOWNHOUSE 8 CONDOS - RE:
MINIMUM RESIDENTIAL FEE - A
- $24.00
- 6.00
- 1.50 EA.
APPLIES
i-ON &
_LS - 12.00
- 20.00
- .50
BEYOND $1,000)
r,
?SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
- ^
' PLUMBIN PERMIT #
G PERMIT ?
RECEIPT #
CITV OF EAGAN '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
CONTRACT PRICE PHOME: 454-8100
'
, .
Site Address ' ? _LA?'T-??t? •-"?.?'-+ " ?`?
9LOG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. ' New
Mult. Add-on
? Name ;' ,'. %,q , r Comm. Repair
?
r?
C
Address '• Other
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Np FIkTURES TOTAL
Water Ctoset - $3.00 S
Name
?
4) ,
Address Bath Tubst $3.00
I Lavator
-
$3
00
"
3 y
;
.
p City Phone I Shower - $3.00
/ Kitcoen Sink - $3.00
FEES Urinal / Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE J Laundry T'fpy -$3.00
APT. BLDGS - COMM RATE APPLIES / Floor Drqins -$1.50
TOWNHOUSE 8 CONDO - fiES. RATE APPLIES /_Water Heater -$1.50 ?
MINIMUM - RESIDENTIAL FEE - $12.00 WhirlpoQl - $3.00
'N
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PEiiMM
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00 •
^ Private Disp. - $10.00
Rough Openings - $1.50 ,
'•'. ` •
• ,
___?;, j
?
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN 'GRAND TOTAL: `
? - ^' INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
` Eagan, Minnesota 55123 Date Issued:
I (612) 681-4675
Controf No.
0826
•#100r
07 /1a/y:
SITE ADDRESS:
3 *s .j I,
LEx1N4i TOh1
LnT:
QAMBURY TR
SpUARE 6Tit
4 APPLICANT:
HfA'f-0-411-0 FIREPl.AC[Si
(612) q96-0768
PERM1TWK1f?E:
?
TYPE OF WORK: MeW
t ,?. „-
? O ,.4
??_
?--?=-----=-=---=--=-?I- -- ?`=?-=-_---------_-----
Permlt No. Pormlt Holdw oats T.kphor,e #
S/VY
PLUMBING
HVAC
ELECTRIC
ELEGTRIC
tnapecHon Wb Imp. Commortts
Footings I
Foundatlon
Ftaming
Roofing
Rough Plb9•
R(x* ?•
leul.
F-+repleoe
Fnal Hig.
Orset Test
Final Plbg. PIbQ. Inspedor - NotifY Plumber
Coriet. AAoter
EngrlPlan
Bldg. Flnal
Dack Ftp.
Deck Flnal
Weli
Pr. Disp.
SEWER 8 WATER PERMIT
CITY OF EAGAN PERMrr
3830 PIIOt Kf10b Rd. WATER PERMIT
P.O. BOX 21199 METER #V_?
Eagan, MN 55121 #
:METER SIZE
E DATE
SITE ADDRESS 3?=? ' DA?'IBURY TRAIL
LOT-BLOCK 1 SEC/SUB LEXINC,TON SQUAItF. STN
APPUCANT: KEYLAND HOMES
ADDRESS: 14450 BilRNSVILLE PKWY
CITY,STATE BURPISVI,T_LF Zip 55337
PHONE: .:.-
OFFICE U5E ONLY
7/1_;; ?c
12 2 6 SEWER PERMIT # 11365
B.P. RECEIPT # OroM-6-
?ff B.P. RECEIPT DATE I 1/ 14 8F3
SL4W REE I}''C #9047 a
_ PRV - BOOSTER PUMP
PERMIT REOUESTED
x SEWER x WATER - TAPS
_ COMM/IND x RESIDENTIAL
x NEW _ EXISTING
PLUMBER: PLYMOUTH PLUMBING
ADDRESS: 9290 ZACHARY ?.N NO I AGREE TO COMPLY WITH CITY OF
CITY, STATE MAPLE "ROV : ZIp 55369 EAGAN OROINANCES:
PHONE:
OWNER: KEYLAND HQMES
ADDRESS: SIGN URE WHEN MET R I UED
CITY, STATE ZIP
PHONE: , `-:-2 -) 36
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
5
ENGINEERING DEPT. -
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Indicate tyrid, "tt" (]enClt anct
placenent of ? innul.ition.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
151511
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACT4RlHOME4WNER MQST DFSIGNATE WHICH ADDRESS
IS DESIRED. NO CFiANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS
INCLUDE 2 SETS OF PLANS, CER'
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
To Be Used For?
Site Addre? a JL
Lot , Block
Parcel u
Owner
Address
City/Zip Code __j
FOR SALE UNITS # OF ONITS
QF SURVEY - CHECK WITH BLDG. DEPT.,
& STRUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
- ga' ooQr Ur'r'i
14 ? On site sewage
NbJCC system
On site well
n City water 1G
PRV required
? n 4,4 n& Booster Pump
Phone
Contractor ,C-Address
City/Zip Code
Phone
Arch./
Addres
City/Z
-1OV 0 4us
Date: Z/-
Occupancy
Zoning
Actual Const V" l?l
Allowable v - N
# of stories
Length ?
Depth ?/7'•
S.F. Total
Footprint S.F.
APPROVALS FEES
EngrlAssess Permit o C
Planner Surcharge 04
Couneil Plan Review oc
Bldg. Off. .O=H1o SAC, City 1 D D.?
Variance SAC, MWCC 550, Q0
Water Conn t) O
Water Meter 60. QO
Road Unit -A?,o
Treatment Pl ,Dp
Parks
Copies ?
TOTAL,
i
Phone # ??z xf ??
-?
CITY OF EAGAN
3838 Pilot Knob Rosd, P.O. Box 21 •199, Eagan, M N 55121 N0 15857
(:?A kl _ PHONE: 454-8100 ?? 0G? /
BUILDING PERMIT Receipt # l?
To be used for SF DWG/GAR Est. Value $82, 000 Data NOV 10 ,1988
Site Address 3835 DANBURY TR
Lot 4 elock 1 Sec/Sub. LEXINGTON SOUARE
? Parcel No.
sVri
3G
,
Gx
a Name KEYLAND HOAES I
= Address 14450 BURNSVILLE PKWY
° City BURNSVILLE phone 894-2636
aO Name SAME
.
z 1-
Address _
? City Phone
.nowledge that I have rea
is correct and agree to
I-I ou
logn-
-EL/
1;
?
n and state that the
applicable State of
Signature of Permittee
A Buildinp Permit is iss
Building
City of Eagan Ordinances.
a
OFFICE USE ONLY
on sRe Sewage Occupancy R-3 M-1
MWCC System X Zoning PD R-1
On Site Well (Actual) Const V-N
City Water ? (Allowable) V-N
PRV Required * of Stories
Booster Pump Length 421
Depth 47 '
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 502.00
Planner Surcharge 41.00
Council Plan Review 251.00
Bidg. Off. SAC, City lOQ. w
Variance SAC, MWCC 550.00
Water Conn. 550.0
0
Water Meter _67,_0
O
Road Unit 25-AQ
Treatment P1 204.00
Parks
TOTAL
2,590.0
0
" Tex#ifiraft of COrrupanry
Crtp of (Eagan
Drpartntmf a# ludding jtcapprtimt
This Cern'ficate issued pursuahr to the requirements ojSection 306 ojthe Fhriform Building
Code cerrifying that at the time of rssuance this structure was in compliance with the various
ordinarrces of the City regulating building conrtruction or use. For the followtng.•
u. ci.air.wo SL?_Ib1G/GAR BM9. ftlrn;t No. 15857
ooc„p-r iyye - R3/14I zom„t nLUM PD/RI Tya cowL VN
owner of suflmng KEYI.AN BM Addrem 14450 B' yil.iE PKWY, B' VR 7 F
e??am« 3835 1]MtRV [?TT. IDUl;,y 74, B1, TFMIIIN PL.AC? S!H
? -
wu: FEMWM 23, 1989
eulia* o
POST IN A CONSPICUOUS PLACE
j t -7• 0
'7qi3?
2oo7 RESIDENTIAL BUILDING rEUMrr arrLicaTioN
' City Of Eagan
• 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements RemodeVReoair Reauirements Office Use On1v
3 registered site surveys showing sq. ft. of lot, sq, tt of house, and all roofed areas 2 copies oi plan showing foo6ngs, beams, pisfs Gert of Survey Reo7 _ Y_ N
(20% madmum lot coverage allowed) i setof Energy Caiculafwns for heated additions Soils Report Y _ N
1 Soils Repod rf proposetl building is to be placed on disturbed soil 1 site survey for additions & decks Uee Pres Plan Recd _ Y_ N.
2 copies of plan showing beam & wmdow s¢es; poured found design, eic. AddNion - indicate Aon-sife sepfk sysfem Tree Pres Required _ Y_ N
lsetofEneigyCalwlations OmsitaSepticSystem _1'_N
3 copies of Trce PreservaLon Plan if lot platted after 717l93 Pom Jast Detail Opfions seledion sheet (buiWings with 3 or less unAS)
Mmnegasco medhanrcal ventilation form
?,Q? C
Plans are considered public information unless ou state the are trade sir-ef and th a on.
Date 7 / 3z? / 0% Construction Cast
Site Address S e?S 124^1-3UI2 Unit/Ste #
Description of Work ywG<Z </?
Multi-Family Bldg _ Y? Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # (G,)% ) 6!/"-3
Contractor 42h' G K d- 04Olt l //?c
Address 45 e/00 " S-.f- N! City
State Zip ?-V Telephone #(9V la
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential VenfilaLon Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope CalculaGons Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber I Ft??? vL II II Telephone #( )
Mechanical Contractor JUL 3 Q 2007 Telephone #( ?
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building 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 State of MN
3tatutes; I understand this is not a permit, but only an application far 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.
-)0,47 /?i=?/?i?.6?2% -/?
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
'
Sub Tvpes ?..
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt- SF
O 04 02-plex ? 10 OS-plex X 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCPIptlOfl: Water Damage _ Yes
Valuation ? v -,?7 Occupancy MCES System
Plan Review _X100% or _ 25% Code Edition
Census Code y? ?I Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs -?- Length Fire Sprinklered
Type of Const Width
REQiTIRED INSPECTIONS
FooCings (new bldg)
? Footings (deck)
_ Foorings(addirion)
Foundarion
llrain Tile
J Roof Ice & Water Final
? Framing
Y Fseplace _ R.I. _ tlir Test _ Final
Insulation
Approved By: l Z,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
_ Sheehock
FinaUC.O.
? FinaUNo C.O.
HVAC
Other
Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
???(?f ? /? ?? G? t?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Canstruction Reauirements
. 3 registered site surveys showing sq. ft. o( lot, sq. R. of house; and all roofed areas
(20% mazimum lot coveroge allowed)
• 2 copies of plan shoxnng beam 8 window saes; pou2d found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Trea Preservation Plan if lot platted after 7l1193
• Rim Joist Detail Options selechon sheet (bldgs wAh 3 or less units)
DATE I?•OC..k.•Od..
SITE ADDRESS
TYPE OF
APPLICANT Renewa] By Andersen, [nc.
STREET ADDRESS '? 1920 Counry Rd. "C" west
Rosevillc, MN 55113
TELEPHONE # 65 t-26a-4777
License N 20130983
Water 5oflcner
_ Waler Heatcr
No. of Balhs
/S ? ao--
RemodellRenair Reauiremenb
. 2 copies af plan
. 1 set of Eneyy Calculahons for heated additions
• 7 sde survey for exlenaradditlons & decks
• Indirate'rfhomeservedbysepticsystemforadditions
VALUATION 4, iYJ9 -/
MULTI-FAMILY BLDG _Y _N
PROPERTYOWNER TELEPHONE# 65I• (43,9189
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLS01'A RULES 7670 CA1'CGORY 1 MINNESOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheel Submitted • New Energy Code Worksheel Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Ylumbing systcm includes:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Contractor:
7002
Phone #
t
$70.00
I hereby acknowledge that I have read this application, state that the infor tion is corr ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
Slgnature of Applicant
------- '-'-_"-------- ____----------- ------- -°----- ---------"'------- -°"---- ---'--°•-----'----- ^ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Fee: $90.00
:PLACE(S) _ 0 _ 1 _ 2
OliPL" ("QP.
STATE _ ZIP
FAX #
- J
Pt1UI1C #
Lawn Sprinkler
No. of R.I. Batlis
Air Conditioning F?. ??i fi?
Heat Recovery Systcm
?..?..r?•.i auv 1L.49 cm 1 oJ O11 •4400 t(tSC1eSNAL 73Y!lPIUISLS.7lS!'1
7une 7, 2001
'
CitY of naaan
3836 Pilot Snob Road
EaBen, MN 55122
To Whom It May Cattoern:
Etder 7ones ia authoriW to pull bnilding permits for Renewal by Andexsen P(ease a1Iow
Etdcr 7oncs to provide this service for us in F.agan. 'R?in enthorization is valid for any
date beyond 6/6/01; untii a 1?'oniewal by Andersen mauaper eapc+easly reyokes it in wridng
to the City-
I ruNest this authorization bc accepted expelidously. aa to not delay in the poGessing of
our bniidinS Pcrmdta aay fnzthcr. Plcmc caII mc if thctc arc any questtona. , I can Ixi
contacted at 763-502-4706. , .
Your immqdiato atxcntion to this maticr is appreciated.
Sinoetrely,
and R Rau
dstallation Manager
RenewAt by Andcisen Cotporation
WUU2/U
C'r.: KsKa-Rlrler Tnnea
aff D? ??? .
Received Time Jun. 7. I:01PM
PERMIT
,
CiTY OF EAGAN
J` 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
Control No. 0826
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001081
07J16/92
SITE ADDRESS:
9
9.835 OANBURY TR
LOT: 4 BIOCK: 1
LEXINGTON SQUARE 5TH
DESCRIPTION:
BuildYng Permit Type
Building•Work Type
FIREPLACE
NEW
i? L?_,'?lir? ??f?VLt•??t?,.,?.?i.,
2,1
REMARKS: C?tCiG?S?
FEE SUMMARY:
ease Fee $25.ee
Surcharge S.50
Total Fee $25.50
CONTRACTOR: - Applicant - s7. LICpWNER:
HEAT-N-GLO FIREPLACES 18900758 0002960 AUBREY KELLV
3850 W HWY 13 3635 DANBURY TR
BURNSVILLE MN 55337 EA6AN MN 55123
(612) 890-0758 (612)687-0285
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ell applicable StaCe of Mn.
Statutes and C3ty of Eagan Ordinances.
I I
APPLICANT/PERMITEE SIGNATURE
?a,? (1'r?
ISSUEO V: IGNATURE
PERMIT # ,
REACTIVATE
lot/
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-0675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date /.3 Valuation of work /Y N-/,Y? - m?„///L?/ih'r6?Eo.
Site Address:_3 5
STREET S11TE X
Tenant Name: (commercial only)
IAT BIACR _L SUBD. ik 11/siL P.I.D. S
Descri tion of work: F_;'rE 1ec a.
The applicant is: ? Owner Contractor ? Other (oeacribe)
Name ? Phone
Property uST iRS;
Owner qddress 9
.3 2S ?,?z.?i,G2u ?
STREET STE N
City Lii ? State Zip .?IZ3
Company Phone
Contractor Address -:10SU (6)• ljr4 License # -?? Exp.3 3??i?l
City %I.CL(i State m? Zip
Company Phone
Archttect/
Engineer Name Registration #
Address
City State Zip .
Sewer 3 water 1lcensed plumber Processing time for
sewer h water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informatlon is
correct and agree to comply?with all app, icable State of Minnesota Statutes and City of
Eagan Ordinances. q ,
% zlli
l"
Signature of Appl icant:
w?, 9°2G 510 ,j ? CZTY OF EAGAN
?a1S 3830 PILOT KNOB ROAD
PHONEG?61? 55122
FOR CITY USE ONLY
PERMIT #
RECEIPT # /4 S
?ATE: S 4,
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE 1
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------- ------------------------------
FEES
NEW CONST _
ADD ON ? lE} / C'i(Ty?
REPAIR
OWNER
SITE ADDRESS : z9 d"JS ctL.4
LOT: 4" BLOCK ? SUBD.
INSTALLER: rac= ? T.? _
?=iL=??_UV "I ?i
ADDRESS: HEATING & AIR C02ITIGNING 00.
8910 1'rF;,it';0rtfH A"=. S0.
CITY: MINiJEAPOLIS,MNzy',IV: _
1:?7
PHONE #:
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS fi
$15.00
24.00
6.00
3.00
.50
$ !S?
SIGNATURE OF PERMITT ^ 4)1?
ww /?le- a??
GQMMERGTAL%INDUSTKTAtiS PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OW[IER NAME:
SITE ADDRESS:
LOT: BLACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
A/G ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL SO M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 DF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
( S IGNAT[TRE )
CITY OF EAGAN
APFLICATION 1=0R PERMIT
SEWER AND/QR WATER CONNECTION
# N01E: PA1bfFSIl OF FEE AT TIME OF ?
• APPLICATIOPI DOES NOT CON-
? i
i ST17iflE APPAGVAI. OF PII2PIIT. .'?
•
TNSRfLTI0P1 OF MdM ADD/OR WATER +
:
; irsratiuTTONs wUL Nar sz scMULEn :
t[!NCIL PIIUIIT HAS HEFId APPROVm.
•r+eeetaf???rxaa?rt#;?+:a?»?aar?:r?e:?
OF eC1cjtin
(PLEASE PRINT
1) PROPII2TY ADDRFSS:
LEGAL DESCRIPTION
IF EXISTING STRL'CT[)RE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COPM'lEF2CIAL/RETAIL/OFFICE I?R-1 SINGLE FAMILY
Q INDLSTRIAL ? R-2 DOPLEX (7wb L'nits)
Q INSTITL'TIONAL/GOVERAIIMENT ? R-3 ZaMOL'SE (Three + Lnits) ( Lnits)
Q R-4 APARTMEATP/CODIDOMINIUM ( Units)
Z) Ci:?e?Rlss...v NAME` /T Cy /A'A.d T?4 f lr/YYj
?
ADDRESS: /4Y,:T-O 1-3u k K.s u; l?? ?,asl.??o y
CITY, STATE, ZIP: /-S?s u; lle- /wd SS33 7
PHONE: R9y- ;?636
3) NAME: 96.y,o44 .
ADDRESS: 9-290 2A c44Fy A /i ?
CITY, STATE, ZIP: i'r/ /G SS 3 6 9
PHONE: 443-.2Y7c/ MASTER LICENSE # ova0%S'
4) HONSINUMi ? ?+-
N11ME: ?9?ro c i9S ?L7
ADDRESS:
CITY, STATE, ZIP:
PHONE:
Lse
Plisnbers License:
? Active
Expired
Not recorded
St Initia
5) ? , • d •?: • ?? -.? ?'e STORM SEWER PERMIT - CONTACT ENGINEERING
I ?CONNECTION TO CITY SEWER [D-CONNECTIO[V TO CITY WATER O TAPS
5) lo-uw? ? i-/a-
***??*****«************.**??????**********??**?*.*******************************?*?***«***?******.*;
* THE GOLD COPY OF ? PERNIIT WILL BE SENP DII2ECPLY TO PUBLIC WORKS TO FACILITATE MEPER PICK-OP. ?
.*k PLF.ASE ALIAW '1W0 WORKING DAYS FOR PROCESSING. SOMg'ANE FROM Tfm CITY WILL CONTACT YOD IF 7YiERRE .??
+
* ARE ANY PROSLFMS. *
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
SEWER PERMIT (INCLUDE SCRCHARGE)
WATER PERMIT (INCLUDE SQRCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLCDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRDNK WATER ASSESSME[VT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRC'NK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SORCHARGE
OTHER:
TOTAL
??0 9 90
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 CONDITIONS:
APPROVED BY:
%
TITLE:
DATE :
t r
EXTERIOR ENV[LOPE_AVERAGE "U"_ COMPUTATION
OwNER:-- nnrr:_
SITE ADDRESS:?9 %&oT5;?, O
CONTRACTOR: V_6YLAND
Determine
1. Total exposed wall area.:..._
_
2. Total roof/ceiling area.....
La#=20 PF!ONE:
a?? JF_- 34'7-1
working square foota9e of each
1881,25 sq. ft. x .11 = ?ZO'7.5q
// qS sq. ft. x .026 = ?I •07
Total exposed wall area above.floor=__/(0 5S
,.,-, t _
Jlg. S
a. Total wall window area ...........................................
b. Total door area .................................................. 31
40
c. Total sliding glass door area ....................................
d. Total firepiace wall area ........................................ -
e. Total wall framing area (average 10%) ............................ /¢ .
f. Total rim joist area ............................................. /"$.
g. net wall area a6ove floor ..................................... f 3tU
h. wall area above floor .....................................
i. wall area above floor.......
j. _ frame wall area at foundation ..............
Total exposed foundation area= '7s•"75
k. Total foundation window area .......................
1. Total net foundation area above grade ..............?
Determine "u" value of each wall segment -
(e.g. window, door, each separate wail section)
a. /19•S' x "u" 5?.1lp
b. 37 x ltuit .32 = I1.84
C.
?
x
liul,
d. - X liuil
e. /45•(oS X louti .06q = l0•64-
f. /5-8.5' X „U„ 04 = 10 .Sf.
g. l 310.85 X Ou„ , d¢ = Sz.¢3
h. X "U" _
i X itut, _
.
j
-
X
iluti
_
k, x tiuii _
1. ?.S7S X ?, r
3 . ........... ................ .. ....Total = 162 •!a Z
If item #3 is the sam
as, or less than item
41, you have met the"
intent of SBC 6006 (c
:r:•
E:xt6rior Envelope Average "U" Computatioii Page 2 of 4
Total exposed roof/ceiling area = 119 S
m. 7btal skyli.ght area ............................
n. Total roof/ceiling framing area (average 10%)... ?
o. Total net insulated roof/ceiling +xrea........... fp ? s.
Determine "U" value for each roof/ceiling segment
M. X "U" _
n. ??9•5 X "U" ? GZ?_ = vZ•8?
o. /075.S X "U" . oz = ar.si
a ........................... Tu+:al 37
'_f total cf n4 is the same as, or less than R2, you have met the intent of
SHr 60Q5 {c) 1.
Alternate Building Envel.ope Design _
7b utilize the total envelope'system method, the values established by the sum of
items #3 and 44 shall not be greater than the sum of items #1 and #2.
1. a?q .sti + 2. sr.o7 = ?30.(0 c10
3. ?(.0 z.(D2 + 4. a437 = 1 6& • 99
PrArr # / /2-347'(
* LINEAt, FEer EXPosID wAti
BI'0CK` 3??t14+?5 S+?.S-h 8+ /S S+ Z,?D _/5/. S
w.o.. NA
FULL 1- ??f4+4?-f-l4+5•s+b.5+4+?.5+4S+?S.5+Z6 =/.Sg.S
FUtL z :
FzxEerAcE:
m: /58•b-,
* sQut,xs FEer DCPosm wata. ,vREA
sLOCx:
KNEE: ?7 x 5 = ,`jgS
w.o. : X e= 1 Cp53
Fn.t, i: 1s8.5,X s = /2?8
Ftna, 2: X 8 =
£IREPIACE: X =
RIM: /SB. SX 1 = /SS s
- 188'1. 7,5'
* SQUARE FEET E}{POSID CEILING
Cj'3/of 1910-?--51t 12= 9S
*'.NMNWWS * DOORS ?°- I - Zo
5tie-2<1,?48-I - !tv 1 -1
2s-I'
sne.-24?4o-I - 13.3 --
37
/9Xs?l-3 -1-23.3 * PATIO DOORS
(o°-I - ?O
/ S44-'7 - I I
?s,c?F7 - 1 - 9• 7
- /1•4 * aASEMENr urriTs
/4? 35-3 -I - l3.8
sM-Z44.3(o-I - !2 1
sDx-ZOX36 -1 V ' 2-D .
rrq.S
CONSTRUCfION
' R-VAUJE
1. IN7'ERIOR AZR FILM 0.68
2. Slr
3.
4.
U = .02
4 ' HFAT F[l0ia
u UP FI6. #5
FRAME
1, IN'I'ERIOR AIR FIIM 0.61
2.
4.
U - 0.024
CONSTRUCfIOM
? HFAT FIAW UP
FIG. #6
VENi'ED
HEAT FIAW
UP
/7)
1, INSIDE AIR FILM 0.61
2.
3.
4.
5. •
FRA
1,
ME
INSIDE AIR FILM TOTAL
U =
• 0.61
2.
3.
5. OUT
1. INSIDE AIR FILM U =
0.61
2.
3.
4.
5.
TOTAL
U =
NOTE: USE ADDTTIONAL SHEEtS IF MDRE SPACE =S
NEEDED FOR DEfAILS AND CA1'[JIATIONS.
FIG. #7
ROOF-CEFLING
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIMANT B 6 L ELECTRIC INC.
ADDRESS 13874 UTICA AVENUE SOUTH
SAVAGE, MN 55378
1012 KETTLE CREEK ROAD
Location _1008 KETTLE CREEK ROAD
3835 DANBURY TRAIL
r.13 R2 LEXiNGTON SOUARE 7TH - L12, B2, LEXINGTON SQUARE 7TH
L4, B1, LEXINGTON SQUARE STN
Receipt No./Date 11/91/88-89305
Reason for Refund rONIRACTOR LOST BIDS
Type of Refund Electrical Permit 01-3211 $ 117.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 $
Utility Account Over-Fayment 20-2250 $
Other: $
$
TOTAL $ 117.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has heen paid.
Texnn 19, 1989
; Signature Date
835 DccN fcx ,r I ra'A_ '?,?,U `{n '`y, ?•
.e .
4 Ineuletioni?=? ;,
J?fl . ef- . II? . s?ll '.
Windows and Doon--Creeksge:end`Aiei',i,s'
w?a?n IIef?Al .
b.h Nu. o!b n.? `wnv:£
of
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fl.j' ,Cl oom Leasthr / . Height
Widih
w,r?er?ndowi,?nd Doors=Craelu
Hoiaad A s•:
te , a.
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?•I( . [ U - ? S' ` ? ? ? r ?T'K.t? ? J?l' '?Eja?..! a R-? .
?J lll? ? ?C.f t7q
n
<i
--xEarcoss-catictna
- Cuide
dVindow?^ Doors Referenee
Yra-No Yes-No 19_ -
1.? Cul^A Room Leng1hl!C
Contiruclion No.
Out. Wall Int. Wall Ceilina
j i
Wi ndows arnd Doon -Crackage and Ares
No. \CId1h
nf Done IIe1RA1
a( pnne Nu of
IIRM• Llne.l fl
M ererN Area
.p. /t.
? .
O y,
Cocf. Btu
lnfiltration uy
Glsae ?
$1) ? ` ,?
Q ?
F.xp. wall
net exp, wall
J.w.waU .. ?
Ceiling
?YYL
A 0181 DIU.
Kequired aq. (t E.D.R. or sq, ine, W.A. Leeder area - T--
snd
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2004 RESIDENTIAL BUII,DIPiG PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshucfion Reauirements RemodeVRepair Reauirements
3 registered site surveys shaxing sq. ft of lot, sq. ft of house; and all rooted areas 2 copies of plan tve
(20%maximum Iotcoverage allwred) 1 set of Energy Calaiatlons forheaffid additions x
2 mpies of plan showing 6eam & window sizes; poured found design, etc. 1 sile survey tor addiVOns & decks P?lsetofEnergyCalculations Adddion-indicetei(on-siteseptresystem +
3 copies of Tree Preservation Plan'rf lot platted aRer 7l1/93
Rlm Joisl Defail Options selecfion sheet (bldgs wifh 3 or less unifs
Date :?05V k / U L{ Construction Cost U? "
Site Address UniUSte #
Description of Work J L?1 r ?(J`L..L•l_J? ?J/ ( f v ?w (?C S?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ry'r'a(.Q_C-?
.J Telephone #?QS l
RENEWAL BY ANDERSEN
Contractor 1920 COiTNTY RD. "C" W.
Address ROSEVILLE, MN 55113 C'ty
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category • Residential Ventiladon Category t Worksheet • New Energy Code Worksheet
(4 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
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
I hereby apply, for a Residential Building Permit and aclnowledge 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 State of MN
Statutes; I understand this is not a permit, but only an application for a pemut, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
4??n- S0? ? snfD Gv?`?
Applicant's Printe Name ApplicanYs Signature
.•.,.VdiiVVl iuv ?L.oo rtla iod D!1 49ffD 1CCDIKITAL h1°&P(OtSt(`JtSlM ?
re al .. .
. dune 7, 2U07 ? ? .
- CitY of Ba$an ?
3836 RiI<rt &tob Rond ?
Eagan, ivn+t ssln ?
To Whom It May Concarn:
Elder 7ones is authortz¢d to PUo bniIding perm;ts for Rettewai by Andeisaa. 1'tease atIow
Eidor Jones to ptovide tbis servitCc for us in F.agan. `ma muhorizatian is vaTid far eny
date bcyottd 616101; untii a 1?'onowal by Aadcrsen mauamORNes1y revokes it in wciting
to the City.
I rcquest fhis authodvaoa bc aoccQted expeffitioiWy. sy tp not dela the
oar bailding Poanib cmY fi?zther. Picasc caIl mc if thcic atc nny qu? m (ona., I?ng of
contaatat at 763-502-4706_ . . , ,
Yonr immCdiate atxcntion to Us matter 3s a?pc??, e a
stn(;ftViy,
ond R. Ran
ostallarion Manager
Rcnowal by Andascn Corpvration
C'.c.: Kma-F,irie.r Snnea
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RecQived Ti-me Jan. 1. 1-07PId
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O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -°9y.7 FEEf
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -$9/.9 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -$95. / FEET
WE HEFEBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Block I, LEXINGTON SQUARE 5TH ADDITION, according to ihe recorded
plat thereof, Dakota Coumy, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
jURVEYED BY iv1€ OR UNDER tiiY DinECi SUr^'cRYI51GN TNiS 2CT? 1 CAY Oi= OCT^vBQ2 , 1933.
PRaPOSED GRADES SNoWN WERE SIGNED: J?? ILL, INC.
TAKEN FROM TNi DEVELOPmEN7 PLRN FoR
LfX/NGTON SaURRE 5TH 09pO/7IOAI1
PREPR0.EO 6Y QION£ER fNG1N6L91NG, LpST BY. ?f.?
pA7ED 3-i-ee. HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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9401 JAMES AVE. S. ? BLOOMINGTON, MN. 55431 • 612-884-3029
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?--- DENOTES PROPOSED SURFACE DRAINAGE
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X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
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SCALE:IINCH - 30 FEET
PROPOSED GARAGE FLOOR - $9?/.7 FEET
PROPOSED LOWEST FLOOR - 89/•9 FEET
PROPOSED TOP OF BLOCK - 895. / FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
p1a1 41heB1of, k Dakta xI CuNnty, MnneSOtaTH ADDITION, according to ihe recorded
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVE'rcG o i GF UtJCER 'A1' Di1=cEC. T ;i:f`F-RViSiOiJ Tl-{iS 'c'CTtS L'JiY OF OCTOF3G2 , 19^vt3•
PRaPOSED GRpOES SHOWN WEttE SIGNED: JANFE?7RILL, INC.
TAKEN FROM TH6 OEVELOPMENT PGRN FOR
Lf%/N6TON SGUARE 5TN f1017"7''pN (
PREPA0.ED 6Y PfaN£fR E?'41NS6RING, LKlsr BY: ??? "?' 0'el?7" pA1eo 3-i-as. HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. Hi , M.
PLANNERS / ENGINEERS./ SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164545
Date Issued:10/01/2020
Permit Category:ePermit
Site Address: 3835 Danbury Tr
Lot:4 Block: 1 Addition: Lexington Square 5th
PID:10-45079-01-040
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: 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 -
Amilcar V Caputo
3835 Danbury Trl
Eagan MN 55123
(714) 606-3483
Apple Construction Llc
151 Silver Lake Rd
Suite 111
St. Paul MN 55112
(651) 340-8536
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170886
Date Issued:07/21/2021
Permit Category:ePermit
Site Address: 3835 Danbury Tr
Lot:4 Block: 1 Addition: Lexington Square 5th
PID:10-45079-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Amilcar V Caputo
3835 Danbury Trl
Eagan MN 55123
Apple Construction Llc
151 Silver Lake Rd
Suite 111
St. Paul MN 55112
(651) 340-8536
Applicant/Permitee: Signature Issued By: Signature