4241 Daniel DrINSPECTION RECORD
CITY OF EAGAN PERM(T TYPE: "?"'''•
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued;
(612) 681-4675
SITEADDRESS: APPL(CANT: ,
,NlfI. UW ';iV . f,.t;t
? t t. n 1 td(i ! UN i4i AIjfiWS- HA, 1009
;
PERMIT SUBTYPE: TYPE QF WORK: N p W
INSPECTION D. . D•
Permit Holder Date Telephone p
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
!J
lI+4
FOUND
FRAMING
RDOFING
ROUGH
PLUMBING
PLBG
AIFi TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
ASR TEST
FINAL PLBG
FINAL HTG
OASAT
TEST
BLDG FINAL
DOMESTIC
M ETE R
IRRIGATION
METER
FLUSH
MAINS
coNDucrroirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG 112J? ?
DECK FINAL ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: 0) r ' `':
?
:. [N(.il41fd IMF[iD ()(.l
I PERMIT SUBTYPE:
TYPE OF WORK:
thISPECTION .. . .A
? I Ya:il ! f!'i. ? 1 t?!S'
?'?. ?•in?K:s ? ?; fi w Pt Oa - f-avF '31'Ar?JA0.16
??
d3? 5 ?? ? ? ?_ Y { .S £j,{ kkE? g f ?cee.€
? ? f- . ?•? ? ??\"9£ ' £ ??iy ?
n"Ir??l???????
PERMIT TYPE: I I I' + "'
Permit Number: 11 0 i •'
Date Issued: ' ?0t)} `?1
APPLICANT:
Permit No. Permit Holder Date Telephone A
ELECTRIC
NU.4 d- 59 6, 89?'/
PLUMBING ?q- R8'D
Ins on Date Insp. Commenta
FOOTINGS ?
FOUND ? WE"i I(?
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST A j?
FiOUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
3 -?
FINAL PLBO
L-1-G
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
.-
..;
.'CITX OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE
p.I.N.: 10-45030-080-01
PERMIT TYPE:
Permit Number:
Date Issued:
4241 DANIEL DR
LOT: 8 BLOCK: 1
I.EXINGTON MEADOWS
m0 s? 7-7V
BUILpING
027032
02/06/96
DESCRIPTION:
Building Permit Type
Build,ing Wark Type
UBC Oacupancy
Constructian Type
' Zoning
8uild%ng Lsngth
?
Building Widthr ?
Suilding stories
Square Feet
Gensus Code
SF UWG
NEW
R-3 U-1
V-N
PD R-1
55
ss
2
1,691
101 1 -- FAM. DETACH
'" c V oF eacjan
REMARKS:
S& W PLBR - FIVE STAR PLBG
FEE SUMMARY:
vALuartraN $126,0e0
Base Fee
Plan Review
5ureharge
SAC
sac %
SAC Units
SUk?tOtd.l.
MCDONALO (
7601
APPLE VALI
(612) 432-
$1,ei7.25
$508. 63
$63.00
$650.@0
100
1
$2,438.8
MISCELLANEOU5 $1.923.50
Tntal Fse $4,362.38
1 ?,
NST INC
145TM ST W
Y MN
1
55124
OWNER:
MCDONAL[7 CON5"f IMC
7601 145TH ST W
APPLE VALLEY MN 55124
(612)432-7601
I hereby acknowledge tha't I have read this
information is cnrrect and agree to comply
Statutes and Ci.ty of Eagan Ordinances.
APPLICANTiP MITEE SI ATURE
- Applicant - ST. LIC
14327601 0002376
application and state that the
with all applicable State of Mn.
C
ISSi1ED BY: SI ATU
?RESIDENTIAL BUILDING /f 0?
5. \QV`
Permit Application ?? ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
9 r LI
New ConsWCtion Reouiremen? RemodeVReoair Reouirements Office Use OnN
3 re3istered site surveys showing sq. R of lot sq. ft of house, and all roofed areas 2 copies of plan GeA of Survey Recd _ Y_ N
(20%a maximum bt coverage albwed) 1 set af Energy Cakulations for heated addNOns Tree P2s Plen Recd Y N
2 mpies of plan shawing beam & window saes; poured found design, elc. 7 sde survey for addi6ons & decks Tree Pres Reqd _ Y' N
i set af Eneyy Calwlations Adddion - irMicate Aonsde septic system On-site SepGC System _ Y_ N
3 wpies ot Trae Presenadon Plan if lot platted after 711193
Rim Joist Deheil Options selectlon sheet (61dgs wBh 3 or lass units
Date ?/ !
Site Address ??4 ?? '1
Construction Cost ?'1 D Q i
UniUSte #
DescripHon of Work
Multi-Family Bldg _ Y VIN Fireptace(s) _ 0_ 1 _ 2
Property Owner Telephone # ((pS? ) qq 4- 13(} (p
Contractor
Address y
State rnV? City Ro(}?1yy%?z kl
Zip ' _ Telephone # (qrj2-)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(+I submission type) •?sidential Ventllation Category 1 Worksheet • New Energy Code Wwksheet
Su6mitted Submitted
• Energy Envelope Calculations Submitted
b lT 2- r
Have you previously constructed a building in Eagan with a simiiar plan? _ Y 1fi so; 25? ?i
tee applies. ?I ?l DEC P 1 2003
Licensed Plumber Telephone
Mechanical Contractor
Se.wer/Water Contractor
Telephone
Telephone # (
I hereby apply for a Residential Building Pernut 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 NIN
Statutes; 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.
bkSLV VC YVI?uP,t? ?,??/-?'kLZ J?1?l,etnK/??
ApplicanYs Printed Namb ApplicanYs Signature
CITY OF EAGAN -? 4J(, z• 31
3830 PILOT KNOB RD - 55122
? ini996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ??? rf
r
? 3 registered aite surveys
? 2 copies of plans (indude beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 wpiea of Vee preservatfon pian H IM pleNed afler 7!7/93
required: _ Yes No
RnmodeUReoafr Reauiremenh
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? i energy celculations tor healed additions
DATE: ? II IeI Co CONSTRUCTION COST: 13 5 050
.I c . I n ,f 1I
DESCRIPTION OF WORK: 'VFw J1 '^- e? ? o nkfE-
STREET ADDRESS: 'QAl0 A h i E\ L? R -
LOT ? BLOCK I SUBD./P.I.D. #: 4-Ex ?yl-a o? E oLos
PROPERTY
OWNER
5treet Address:
N6T
IMBL
Phone #:
City: State: Zip:
CONTRACTOR ComPanY: Wi)lo???ik Phone#: 'y3a7Gof
StreetAddress: 160( 1515T 1` s4 License#: 060a37G
City: Q P P? e tI A i? State: ? Zip: 5 l
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration
Street Address,
City. State: Zip:
Sewer & water licensed plumber: F'oe sLa P`Qw? i ti 37907 ' M 1 . 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 compiy with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ? Yes
Tree Preservation Plan Received - Yes
RECE0??D
_jNo FG? 226
No ----- ^---- --
OFFICE USE ONLY
BUILDING PERMIT TYPE
? ? ?
4"
.,,. ?°.
? 07 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
2 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool
0 03 5F Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
dO?-31 New ? 33 Alterations ? 36 Move
? 32 Addition a 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. l, vzo MC/WS System c?--
(Allowabie) ? Main level sq. R, City Water r--?
UBC Occupancy sq, ft. ? Fire Sprinklered
Zoning s ft.
# of Stories sq. {?. BPRV
ooster Pump
Length SS sq, ft. Census Code. o/
Depth 36 Footprint sq. ft. SAC Code ?
? Census Bldg ?
APPROVALS ?? ?Census Unit
Planning Building Engine?ring Variance
Permit Fee
Valuation: $_/
Surcharge
Plan Review
License ?II.???' / SM •
MCNVS SAC ??X ?? s(o y`? ?
city sac = 3 Y ? 5= _/, o y?
?yX Z? 6
Water Conn.
Water Meter
Acct. Deposit
S/W Permit ?r
SM/ Surcharge 6 Lv x?? ^
Treatment PI.
Road Unit
Park Ded.
Trails Ded. Z 9 = y? l??---
Other
Copies Z& = 3?y , pIx "4° 3
/.?x /3_33 =?2P , yo K zA`- 5
Total: i9 " P8
%SAC .73x? ' 3
SAC Units Yx /?
---?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUtLDiNG PERMIT APPLICATION
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PROPERTY LEGAL:
DATE OF SURVEY!
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and compeny
• Building Permit Applicant
• Legal descriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, spiit entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/epsting sewer and water services & invert elevation
• Street name
• Drnreway
ELEVATIONS
Existina
11 13 • Sewer service (or Proposed)
? ? ? • Properly comers
0"? ? • Top of curb at the driveway
u' ? ? • Elevations of any eAsting adjacent homes
Qrooosed
M" ? ? • Garage floor
93-' ? ? • Firstfloor
GY?o ? • Lowest exposed elevation (walkouUwindow)
?g O • Properly comers
D?13 ? • Front and rear af hame at the foundation
PONDING AREA Cf aoolicablel
?o ? a Easement line
V? ? - NWL
[[3--, ? ? • HWL
w"D ? • Pond # designation
? 01"?o • Emergency Overtlow Elevation
'f 0 0 •
2?" ? ? •
D-'O ? •
0-'/? ? •
C7 ? ? •
? p/6 •
Lot IinesBearings & dimensions
Righc-of-way and street width (ta back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. p.e. all shuctures requiring permanent footings)
Show all easemenls of record and any Ciry utllities within those easements
Setbacks of proposed structure and sideyard setback of adjacent epsting structures
Retaining wall
Reviewed:
January 1988
cRNO199a9LoovRMr.FM
r
256-U J O C(] O -1 OFcFI//CE U5E ONLY This reqvesl void IB manthe !mm validonon daM priMed m fi
rs +bax
? ?
$/l0/?7 C/ oS?P ? .Slo
PLEASE PRINT OR TYPE 8 ? ?7
Reqvesf care
- f Roogh-in inspedion req ired2 Yes No
(Yo
t
ll
h Inapecnon Olher Than ftough-In ? Beady Now i I Call
u mus
ca
t
e inapedor reo ) 3ure Re y
V
I, ensed con}radar Q owner hereby request inspecfion of ihe a ove e ednml r at
Job dress Street, 8oz, or N. ?ity P
1
$edion No Township Nom r Na i Ronge N. Fre N.
aonry
Oau am Phone N
PovrerSuppli
naa,e.
r
Eletln I Conhacror (Compo amel ?eCOntra Lanse N.
? L ? J\
i4 ? ??
' Moskn ci, N. (Plam Elect Only)
,
l I
t ; ?
yyy
Madvg Aildreu (Conhacmr oOwner1, eAoiming? ^' e n
-%
Auth ed $,namre iConhador or Ownar Pedorming
Inslollation) Phone No
n
A\_
?._
_------••-? ?i.3 aiw.eeWVqHOCOPY-SEEINSTpUCTION90NBACKOFYELLOWCOM
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
=Oq&-r?9
ENERGY CODE WORF:SFiEET F'OR 1& 2 P'AbiTLY DWELLINGS
SIT$ ADORES9 L A LI?,?GL--J &Q U ,
C11
Y
COMPLBTED BYi ?) v' CLyJ , pffONB q DAT6
HOILUIt76 CLAS9IPICATION: ? aatar,Jory 1(utsndard) or ? catagory 7(muet includ
a ventilation)
tl2NIMlIM CRITSRIA
FoUnda[ion Ineulation-R10 4lallu G WindoWn Roo£ Attic Ineulationt
Slab on Grade Insulation-R10 (See
forallowable percentages) R99-Y7ith A
l
tt
c No lleel
Floor over unheated epaces-R 24 R38-With Attic Raised lieel
Foundation Windowe 1/2"
ineulated Glaes. R38 E R5-Solid Raftore
-Wood or Vinyl Frama
STSP 1 Wiadow 4 Ooor Area STHP 2 Calculate area an a paccent of wall
A. Total Window S Door Area in Sq. Feet "
WINDOWS (Including Found ation Windowe):
WINDOW MAtNFACT[tR8 IiAMS= C. From Step 1 divide box A(Y7lndow & Door
YfIlIDOW MAINFACT[JRE TYPH: Area) by box 0(Cotal wall areal Cimeo 100
equalc tho wlndoei and door area as a
WINDOW MAf7IIFACTUR6 O FACTOR: percent oE wall area (box C),
R. O. Quantity eq.EC.Area HOX A 3!I/ X 10
pimensions
' 0 =
Box U 20?n
/ (/ /
z=L"" X 4-(a" I
?'
?
? STEP 3 D
i
Lr
N }` en
gn Featureu
o 14 P.SSEI4BLY
v!?oN X Jr? ? ,
?
ZJ RAMII
G
Q g
I
TYPE:
p XZ' `V STANDARD FRAMIN4 ?
ottids 16"
(
?'
Z?
0?
1 o.c,
-?
-
X Z2 f ? Al7VANCE6 FRN7ING r,tuda 24"
^
_ o.c.
X CAV7TY INSUL.ATION R
X
9HHATHILiG TYP6t
X LESS TlIAIJ < R-5
x R-5 > OR M1fOR6
X U-FACTOR ?
000 S; [t ? ? D From the table, (reverce side) determina the
maximum percen[ window & door
a f
/ ,,U x
lF'
???yyy are
or the
design optione eolected and encer the Q value
in Box D balo
6au
d
? w
c
on the window mPg. O-
7 x factor:
'Ibtal Rre
f
a o
6lindows & Doors A?gaq.Et.
- •
B. Total Wall Area in Sq. C t. The k value E,rom Clw Cable in F3ox D ehall br
eyual [o or greul'el- LL-un the i in Uox C
Wall Total Height Arca
perimeter
5
I ? ?' /U? ro J
?,?> ?l -
_?.tzs
7'otal A[ea of W'u11s Et
r• Tlie building must not exceed Ihe maximum tvindow and door area as a
percentage of overall exvosed tvall area listed below for the coml,ination
of fcaming technique, R•value of insiiialion within Hie insulaled cat-iiv,
sheallting R-value, and tvindo4v lLfactor. Olher components must meet
Ihe requirements of this subpart.
h4AX1N9llp7 `VINDOW A1JD DObR AItEA
AS A PI iRCCNT aF n V[R A 1.1. rXPO SC:f> CNA!_I.
Cavi[y lNindou• l:-Faclor ,
Framing - fnsulalion ' Sheathing 0
49 0 36 0
31 p
;
_ _ __ _
.
_ .
_ _ ?
STANPARp R-13 2R-7 13.4% 17B°/ 213,0 21.30.
STANDARP RJS 2It-5 129;L 17.10/ 201;L 33
4;L
STANPARD R-IB : "<It-5 11.1% 1 IEiB;L .
22
1) 1L
STANDAIiq [1-18 z(t•5 13.53'. 18605 31.89. .
25.31;,
npvnNcCn . a-111 <it-s 11.1 0110 °» >% zu 1;'. 214;'
AAYANCEp It-18 2(t-5 . 13.51L 192% 22 5?. 2G.1 ;,.
STANDARI) R-21 . <lt-5 11.8016 , 17.';1 129;< 23 I ;L
STANDAIiD R-21 2k-5 14A11L 19 3;L 22 5:. 26 1';6
ApVANC[p R-21 <R-5 11.8;' 16.1 % 21?'X 21601
ApVANCC:D ft-21 'tR-5 , 19.0°,L 19 9;L 23 ?°L 26 99'.
SuUp. 3. Perfnrntance crileria. The combined lhermal transmiuance (il.)
faetors for walls, raof/ceilings, antl floors over unhealed sliaces musl I>e Iess lliaia nr
equal to:
A. 0.110 l3tu/h f12 °[, for walls;
B. 0A26 f3hi/h f12 °r fnr roof/ceilings; anJ
C. 0.04 llht jh fl2 °P for Flonrs.
STATAIPftf: MS§116C.19
FlIST: rs sic 2361
767U.0480 lty,enled, I8 SR 2361
?
0
..:..._ ?>. ,. . ?.. ,,....
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued
BI.IILDING
033436
09/25/98
SITE ADDRESS:
P.I.N.e 10-45030-080-01
4241 DANIEL DR
LQT: 8 BLOCK: 1
LEXINGTON MEADOWS
DESCRIPTION:
B"Adi"1t'§'Q.Pet°mit Type
E011d1hg;Wv,yrk Type
,CfH-66 6,1 S
?. - vp
??}t
F'
? 1 t ? t6R is .'L:?t
di3
?
DECK
NEW
434 ALT. RESIDENTSAL
i?nm
? a ?IS Jn?im' &li ??
5w °? ?.
"ism tis?,
? ;
.r-
REMA?i?S:RFVSFweo BY BLLL ADtamS.
FEE SUMMARY:
Base Fea $50.09
Surcharqe ? ?w50
Total Fee $50.50
rvµ
Ji"i??
? Ire ?, 4i
s in9 v;
.i.`n?'£ §iEre? Ra`..?" &
m? Ew S?;
CONTRACTOR: - flpplicant - sT. Ga:c. OWNER:
GULTZ CONSI'RUC7TON 18378109 6543 t3El.L JIM
2419 216TH AVENUE NE 4241 DANIEL l]R
CEDNR MN 55O1] EAGflN MN 55122
(612) 837-8109 (651)683-9809
.'b Ftee eby ?ckn:owledq'e tPiat;j have;`r°eaci thzs ap,plic?:tian a,?'tt€, stA'te-?tft*t: t'E??
ih-fb°rmatxan'1-8 narr?*d-aqr.ee;?4`,:comply'.Ca#?1Tst o td•o;f?fAp„ ,
_ ?.
`S??ttatie.s ?nd:=City .tr'? Eagan qrtlirranc es_ __ ' - -
?. ... .., .w. .. _ :i _ .. . _ . . ..._.... . _.... ^ " _ . .__..m........_ ...:-?
APPLICANT/ RMITEE &CNATITRE SUED BY: SIGNATU E
C:[TV f?F I:"t1C;FtN
C;A';H:CI:T?;, ; ?'IaRYY'iT.NAI_ T.'l7s 799
n<ii'E: 09/29/90 T7MI_r :4Kt:'„i?S
7D :
r.iFlP"E:: YflYjA`r' f;Yfdl.N .I:i'?(:E.NTrUE ri,JV•cr .T.NC
MO 9001 041 IENrr:l S1R 50030
2:1.':55 90C)l. 424.:I 11ANlinL. LQi 0,50
a
iota.i. ReCC'.4pt Frtioc:n!::: SCi. ri!) ,
CF:()97E3:14
U`i'sF:F: 'f.D:, rdhNr:y
_ ,_ . .?.....
, . • 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.01' KNOB RD - 55122 ? ??-o.
SU
681-4675
c??g
New Construction Requirements Remadel/RePair Reqwrements c a??
? 3 registered site surveys ? 2 copies of plan
? 2 wpies of plans (inGude beam & window sizes; poured fid. design, etc.) ? 2 site surveys (exterior adCdions 8 decks)
? 5 energy calcufations ? 1 energy wlculations for heated additions
• 3 copies af trea preserva6on plan A lat platted after 7N193
required: _Yes _ No
DATE: ?'2s' 2 2 CONSTRUCTION COST; ?5?60
DESCRIPTION OF WORK: AM
STREETADDRESS: 7O/- `7! J
L07: BLOCK: '/a'-e?V
SUBD./P.I.D.
e T Ph
#
4 (
Name: 'N ! m
I one
:
PROPERTY Lasc First
oWNER
Street Address:
City State: M N Zip:
#
S- 3 7 - J ( ? /
Ph
Company: one
:
CONTRACTOR
Street 7?KD
Address:
?kl,t)? n - //?/?
/t-u c License# ?
Ciry F,2C i N14 _ state: zip: ?Y351
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction anry): . Penalty applies when address chanf
and lot change is requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the inTortnation is correct and agree to comply with all applica;
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received No
Tree Preservation Plan Received _ Yes _ No _ Not
BUILDING PERMI7 TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
)k 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
)k 15 Deck
? 36 Move
? 37 Demolitivn
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq.ft.
Building 4z - Engineering
Variance
/
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ?2G,
?-
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
CERTIFICATE OF SURVEY veepar.ec Fur: `!r. 5mrs. 'il;:ev
.
N a9°s?3 o3'lv
1Z500
?9e 3l)
L99 i? ?
N_ 30.0 _- m? w
4 W
N
o yy
'e'` ;
?
n
' W
T
!
i? :C
? W
Io
6 61a.97){1
L/o/./141-
- .'3a ol- N'
?? I I
.
I V ?y
LL
DRAiNA?yE ? LS?iGIYY E.IfEFa'_=Nr3 ?? V? i 2 0
Z
?taz cf) /ZI?.OD !9809}' ;??n
,l/ B 9 °s4ja3"W I
j
Lot 8, alock 1,
LryjtiG`?'ON PARKVIESV
Dakota County, Minnesota
Proposed yarage floor elevation = 101.0
Froposed basement floor elevation = 92.53
`IOI.O,% Denotes 2X1St1RCJ. 212Vdt10;1
[oo.y7 Denotes proposed elevation
Denotes surface drainaoP
o Denotes iron monument set
• Denotes iron monument found
Benchmark: Tog of hydrant at the S.E.
corner oi tne 7?rorerty
Elevation 100.00, assumec', datum
I hsnby eorNfy f"at thu eurrsy, plan or rapon
weo preporeA Ey me or undar my 01reet supelvisian
ond tnat 1 am a tluly Rapisrerad LanE 5urveyor
undsr fho Inw• of th• State of M! nneaota.
Jom*fE Boerhav• RlS ??
Date ???J??Q ?• Ip'..n'?Qe9. No 7095
NOT. E
24- LONG IRON MONUMENT ANO
IDENTIFICATION DISC (ACTUAL SIZEi
SET At ALL POINTS INDICATEO.
MINN qEG IAND SURVEYOF -7095
-N
SCALE IN FEET
0 IS 30 ea
R, ?"s= ? BOERHAVE LAND SURVEYING
70?5 ?m 14243 Miroka Circle N.E.
ori?'iStJ Prior Lake, Minnesota 55372
612-445-9154
CITY USE QNLY
I,
L ? BL I
suao. ?.eXiItA ?Tli1 MP[ddtrWS
RECEIPT#: I?16&5 ^(\C)O
RECEIPT DATE' 6` I U-OCI ? V •
PERMIT # U 0 I41 !
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT xh70E xD
EAGAN, NAI 55122
651-681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backftow preventer for undergraund sprinkler system
cnrnlocc
E4CH #
TOTAL
Alterations to?y sting?-d?^'elling - minimum fee
Describe: ? 1`?C`ti`?N?? O 0 $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $
Gas pipin outlet " mintmum - t 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
SeptiC System newlrefurbished " requlres MPC Ilc. 75.00 x = $
Septic System abandonment 30.00 x = $
RpZ new installationlrepaidrebuild 30.00 x = $
Rou h openin 1.50 x = $
S ower 3.00 x = $
Underground sprinkler if dwelling is under wnstruction
Underground sprinkler ifexisting dwelling 3.00
30.00 x
x =
= $
S
Water closet 3.00 x = $
Water heater 100 x = $
Water softener if dwelling under consWCdon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge
rotal .50 -> -> -> $ 50
S-T
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---- ----- - • --- --------- -------- -------------------------------------- -------------- -------- ---- • ------- -------------------- ----- -----
I hereby adcnowladge that 1 have read this app6catlan, state that the iniortnafian is correct, and agree to compFy with atl applicabYe Ciry of Eagan ordinances
It is the appliGant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during ds
normal operaNonal and maintenance activities lo the facilities constructed under this permit within City properly/right-of-wayleasement-
SITE ADDRESS:
OWNER NAME: : I?S1Wlb"
°
INSTALLER NAME:
TELEPHONE #: ?p .!n _ [ 9 I - l 9d°11
(AREA CODE)
TELEPHONE #: / < Y- ?--
(aREn cooe)
STREET ADDRESS:
CITY: STATE: m IV ZIP:
SIGNATURE OF PE
L BL CITY USE ONLY
!Sf ?
SUB .
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required foreach unit
New construction Add-on furnace
Fidd-on air conditiaring Add-on airexchanger, i.e. Vanee sys±em, eic.
Date: '_22Z&/L? l o ? / F i 6
? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00
? HVAC: 0-100 M BTU TRAryE /00?006 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) LI6-0
? State Surcharge .50
SITE
TOTAL 'T ,_? ' 576
le iUL
OWNER NAME; ?f ?ArvGcc /?micY X?PAzc1z) PHONE #:
? ? /_11 -
INSTALLER
STREET
lxA1?0
Z C`
CITY: 5--6_% . 7L.<_ STATE:&'nz) ZIP: -5?6 2-?__
PHONE #: ( 4,1-?) -,I-S7 ?'1?1 ??L/0?- ??'
_ p L BL CITY USE ONLY ?
0 / RECEIPT
SUBD. DATE: ? /yG
, ?..,
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
pJXTURES EACH yOL TOTAL
Shower 3.00 x ^L = .3 06
Water Closet 3.00 x -3 _
Bath Tub
3.00
x , ?
=
Lavatory 3.00 x =
Kitchen Sink 3.00 x = .oQ
Laundry Tray 3.00 x = 3,O0
Hot TublSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x = 3 d?
Gas Piping Outlet • minimum -1 3.00 x = 3-00
Rough Openings 1.50 x = Y,S?
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler' home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE
TOTAL
SITE ADDR
OWNER NAME: I JIr lkJG h a f (I l/on.rlrUG 1`r02
INSTALLER NAME: t--r V K- ?? JUr' /J utr, otno, ?
STREET ADDRESS: '?V%3 ?4pwe A Vp • '-(?'o
CITY: (2C
aa C? ??V'a vP STATE: (PHONE #: ( ) V ,
.50
ziP:
.
ClA1M VOUCHER - REFUNO REQUEST
CITY OF EAGAN
MAKE CNECK PAYABIE TO ; rWI.RpLLEp ALR IPY'
AOORESS : 21210 EATON AVIIU
FA[MN(,TON MN 55024
I.OCATfON 4241 DANIE[. D?tIVE
. L8. B f. LEKING164 MEADCIWS 7
RECEIPT aM / DATE 02/2q/46 - 53500
REASON FOR REFUND DMI.,arE rEaur - cEW_? OWMACTOR HI?M ataonEM rEaiANIcaT. OlflRA..?'mR
m no IE woxic
TYPE OF AEFtJND E4ECTRICAL PERMIT 321 1-9001 $
PLUMBING PERMIT 3212-9001 $
MECHANICAL PERMR 3213-9001 $ 33.00
SURCHARGE 2155-9001 $
WATEA CONNECTION PEAMIT 3713-9220 $
SEWER CONNECTiON PEAMIT 3743-9220 $
ACCOUNT DEPOSIT 2252-9220 $
UTiUTYACCTOVER-PAYMENT 2250-9220 $
CURB BOX DEPOSIT REPLJND 2253-9220 $
CONSTRUCTION METEfl DEP REFUND 2254-9220 $
WATEA USAGE CNARGE 3711-9220 $
OTHEA: $
S
3
TOTAL $ 33.00
1 declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
? r1LR-[t 11, 1a46
Sly aW; -3Dafe
F`?C
CfTY USE ONLY
L _? BL / RECEIPT #: 63500
SUBO. ?.C?+9r?<?'?a,aA?'eurL DATE: 2 2
1996 MECHANICAL PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD
EAGAN, MN 55122
(612) 681,4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction /
AdcL-on air conditionin
Date: A l =2JL-5?671 ?
Minir,hum Fee:
? HVAC: -100 TU
d' i al 50 M
? Gas Outle s( inimurty of
? State
TOTAL
` .I ?\
, i.e. Vanee system, etc.
EM
ng r sidence only) $?6-66-
24.00
? 6.00_
$3.00 each) 9• UU
50
4* 33, so
SITE ADDRESS: yQ!?L D????? ?•
OWNER NAME' ?IGQonti/? C?onS? PHONE #: J-1a?
INSTALLER NAME• Co., L'o
STREET ADDRESS: 21a /O 14vB .
CITY: 4A- STATE: /y-7N, ZIP: S-S-va `l
?
PHONE #: (&i-.z ) y6U -4022 ?
zTG?1ATU7 O
L--6_ D /
SIIBD
tla r
NEW RECEIPT 11 S41l156p
RECEIPT DATE??A(Q _
T'0
JOB
oux
LUTE
?
PLFASE BE ADVISED THAT T'HERE IS A F'EE SHORTACE ON TtE APQVE
II.ECTRICAL ItSTALLATION
IH THE AMOUNT
OF $
'73
0, ?d
SHdRTAGE ML6T BE PAID YHITHIN 14 DAYS.
REKARI6
ci
CO
/ ?7 !GI
31 to 100 amp. circuits= /
0 to 100 amp service=
/ 101 to 200 amp. service= -?
TOTAL FEE DUE= /
LESS FEE RECIEVED «
T(YI'AI. FFF SHORTAG£ DUE = 3 C/, ??J
PERMI'Ifi
ORIG. RECEIPT31
RECEIPT DATE
RETURN A COPY OF THIS FORM WIIH REMITTANCE.
#?lO p, I? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
T U cirr oF eacar?
3830 PILOT KNOB RD - 55122
od 651-681-4875
ew ConshueMOn Reaulremenh ? }? Remodel/ReDalr ReaulremenM
J reglstered Yte wneys showlnq tq. fl. of bt, sq. R. of house 2 Copies W plan
and gp roofetl areas <20% maxlmum lot coveroae ?lowedl t set of energy calculaHOna for heated addl5ons
•
N
>
> 2 coples of plana (ahow beam 9 wlntlow aizes, pouretl tntl, dealgn, e?,) t site wrvey br exladw adtlltlons & decks
i 1 Set of enargy caiCUlaHOns
> 3 coples of hee prefervatlon plan if lot plalfetl aNer 7/1/93
pqTE; 1 CONSTRUCTIONCOST: t000, Ov
DESCRIP'fION OF WORK: S.c?t ?.4JVN?iDAv?A G? ?d becl roU m? b? ro o rn
STREET ADDRESS: 0./V1 cu wvr iI "v
LOT: ?L BLOCK: ? SUBD./P.I.D.9: 10-Ll?0360}76 -
/ a
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
( ?'?'?0.Y1P?") q
Name: PS?iY61? E?l Y' i CA Phone M: LP SI - I?J Y" IFo4 c.
? Flnt
SheetAddreas: q,;41 DW+'?' Dr??v--P-
aN ??? Sfata: m r? ?p: 45 Ja 3
Company: Phone i: _
(area code)
Sheet Addr?s: llcense u ExP•
qy
State:
Company: Name:
Telephone ri: ( )
Sfreef Address: RegishaNon #:
City
State:
Sewerlwater licensed plumber (if installina sawerlwatar): Phone #:
Zip:
Zip:
I hereby acknowledpe lhat I have read lhis applicatbn, slafe ttwt Ihe infortnation is cortect, and agree to comply wHh atl appAcable Sfate
of Minnesota Sfatutes and CMy of Eayan Ordinancea i
Slgnalure of Applicanh
Certifcates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
- NO
_ No _ Not Required ?
$ 60.50
I io l00
1"
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16plex ? 27 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-piex 0 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened)
? 04 02-plex ? 10 08-plex ?:H?- 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 70-plex Plbg YYor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding
)R?- 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ol # of Stories sq. ft.
No. of Units 0 Length sq. ft.
No. of Buildings I Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? StuccolStone
APPROVALS
?(
ri
V
Planning B y Enginee
uilding ring ance
a
? 31 Ext Alt - Mutti
? 33 Ext. Att - SF
? 36 Multi
143
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: 000. °°
SAC Units
% SAC
7 g? D?-
2007 RESIDENTIAL PLUMBING PeRtinr APPUCnTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, fAGAN MN 55722
651-675-5675
Piease complete for modifications to existina resideMial dwellinas
Date lX, 1 I o -7
?1_
Sit
St
tAdd
?a'r
U
k#
1 ?
0A ?
e
ree
ress
n
.
l
.
Properly Owner f'vr1 t.0 W? S?V'f
TelePhons # ops i ? ? ? ? ? aa
Contractor Telephone# ejla SZLQH??Oa
Address a'5 S. Ste h5A L?r?_f d[) CKy CSYACtAn Stata-Utj_ Zip ?
The ApplicaM is: _ Owner 8 Occupant Licansed Plumbing Contractor
Septlc System _ New _ Refurbished Submit 2 sets of plans and MPC license includea County fee
i 100.00
Per as-buift $ 10.00
Flre Repair (replace burnad out flxtures, etc.) $ 90.00
This fee a ies when extensive umbin irs are made to a buildin .
Alteratlonre to exlsqng dwalling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee indudes
instaliaUOn of a water softener and/or water heater at the same tlme. H you are
fnstalling nn a water sofiener anaVor water heater, do not complete this section;
move to the next sedion and place a checkmartc next to the appUance(s) you are
insfalling.
_Septic System Abandonment
_Water Tumaround (add $138.00 'rf a 518" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacemerrt
Lawn Irrfgatlon _RPZ PVB _new _repatr _rebuiid $ 30.00
D
SWte Surcharge $ .50
JUIN
Tofal
$ ?D,?;b
I hereby apply for a ResideMial Plumbing Permit and adcnaWedge that the infortnaNon is complete and axurate; that the
work will be in conformance with the oMinances and codea of the City of Eagan arW the plumbing codea; that 1
undersTand this is not a pertnit, but only an appiication for a pertnit, work is not to atart without a permit and work will be In
acwrdan¢q with the approved plan in the event a plan is required M 8 reviewed nd approved.
.i.,?-LICirGy1 cz/1n^
Ap nPsPrWAod me / icant's ignature
.
?Py
1/ V
??V
V?
61 - Vn- 1 -
2422 Enlerprise Drive
Mendoto Heighks, MN 55120 _
? PIONEER i (812) 861-1914 FAX:681-9499
LqND SVRVEYOPS • CMl ENGMEfl15
? enp nner ng urvo wwn[ns. ?1N?SCA7E ?RCNIlEC75 625 HlqhwOy 10 N.E.
Blalne. MN 55434
* ic (812) 783-1880 FAX: 783-1883
Certificate of Survey for: MCDONALD CONSTRUCTION
4241 OANIEL ORIVE
/
(Chl " S89452'11"E 103.55
.?.
V-) P? ?? a ; ?yo
o ??1 0
rl? /? ?"6p• ?, O
?c ? ?s? \ \S? ?rv ?
8
7 ? ?^ l ro
0??.?
961.2 A..
? i? ? /?s ?J ????- ?c??.?
jy ? 967.3 97?.3
967.2 /y ..?'?
967J r
2,?•d?
7
972.6'/ `? dh
BENCH MARK 971.8 ryh ? ?
TOP OF PIPE ------ .+?os ?5 j ? „^? ?•? G! Y
EIEV.=971.17 1.6 7/4. 74.9
TELE D
r9>n.>?TV ? Sls?972.?" 'S'F:•'l _ i tY..iJ.V,?v I1;'.1PT.
O ??t
1
'' BENCH MARK
969 ?
?o --TOP OF PIPE
76 - .a)ELEV.=972.14
`?S4 ?` t4v9
Qq ? w z p '-7RANSfORMER PAO
969.5
NOTE: PROPOSCO GRADES SHOWN 7FA CRAOINC PLAN BY:
NOTE: BUILOINC DQIENSION$ SnOWN ARE FOR Fi0R120NTA1 AND VEFTICAI LOCATION
OF s1'RUCTlIRES ONIV. SEE ARCHITECNAL PLANS FOR BUILDING AND
FOVNDAIION DIMENSIONS.
NOTE' NO SPECIFIC SOtlS INVE5i1GRT10N ItAS BEEN COMPLETED ON TNIS l0T BY THE
SuRVEVOR. TNE SUrtn84iTY OF SOILS TO SUPPOl3T THE SPEqfIC HOUSE
PHOPOSEO IS NOT THE RESPONS1e1uTV OF Tr1E SUFVEYOR.
EPP.VAN ,
fdE beF. W E D
Y ?
Z S' /G
DA'P€ • fi
PROPOSPD HOUSE ELEvATtON
LOWES7 FLOOR ELEVATION: 9(06,'7
TOP Of BLOCK EIEvnTiON:
GARAGE SLA6 ELEVAII ON:
N07E: NI5 CERTIFlCA7E DOES NOT PURPOftT 10 $MOW EASEIAENTS 0111ER TMAN % 000.00 DENOTES EKISTING ELEVnTiON
TNOSE SHOWN ON TnE RECORG"cC PLaT. ( 000.00 ) OENOlES PROPOSEO EIEVAnON
,? -- OENOTES ONAINAGE nN0 UTiuTY EASEMEN7
NOTE: CON7RACTOR MUST VERIGY DRIVEWAY DESIGN. OENOTES nRwINACE FLOW OIRECTION
NOTE: BEPFMGS SNOWf+ aR£ BASEO ON AN ASSVMEO OATUM 4- OENOTES MONUMENT
B OENOTES OFfSET HUB
wE HFREDY CERTIFY TO MCOONnLD CONSTRUCnON THAT THIS IS A TRUE nND CORRECT REPRESfN7ATI0N Of n
SURVEY OF 7HE BOUNOARIES Of:
LOT 8, BLOCK 1, LEXINGTON MEADOWS
DAKOTA COUNTY, MINNESOTA
iT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYEO BY ME OR
UNOER MY OIRECT SUPERVISION THIS 24th DAY OF JaN., 1996.
SCALE : 1 INCH - 50 fEET
? 94257.07 SWtc
PIONEER EN EE fNG. N.A.
?
John
NORTNV/EW MEADOWS 2 AD91710N2
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8
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117381
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 4241 Daniel Dr
Lot:8 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Enrico Westenberg
Po Box 21233
Eagan MN 55121
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122763
Date Issued:05/19/2014
Permit Category:ePermit
Site Address: 4241 Daniel Dr
Lot:8 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
.
4241 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124241
Date Issued:06/25/2014
Permit Category:ePermit
Site Address: 4241 Daniel Dr
Lot:8 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-080
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.
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 -
.
4241 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature