4291 Dartmouth CtCIl`Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
. ??,. ? ,?? ? ?? ?, .?
PERMIT SUBTYPE:
'ECTION RECORD
PERMIT TYPE:
Permit Number.
Date Issued:
APPLICANT:
?,? ,??
TYPE OF WORK:
,' ??
INSPECTION
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... .
?
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.
Permlt No. Permit Holtler Date Telephone #
SNV
PLUMBING
HVAC
ELECT co
ELECTRIC
Inspection Date Insp. Comments
Footings I y? a jlfy ??
Foundation S!/ ?
Framing a y
Roofing
Rough Plbg.
(O l ?l
Rough Htg. ^/b...??
r fl l/r I
'V?tN U
Isul. / _Iy?.
Fireplace •
Final Htg.
d?
Orsat Test
Final Plbg.
('77 Plbg. Inspector - Notiry Plumbar
Const. Meter
Engr./Plan
Bldg. Final
I'
Deck Ftg.
Deck Final `z?( j ? l? ? }?
weli l ?
Pr. Disp.
s-r.-
U /
NSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: E? I tlf,
3830 Pilot Knob Road Permit Number. ,; ..• ?. ?, ?:?
Eagan, Minnesota 55122-1897 Date Issued: +? c"?=? ? 1 n F.
(612) 681-4675
SITE ADDRESS: ' ' "- :'
f.ril.
; ? 11??+1• P?? 4.??rn??°; ?'MI?
PERNIIT SUBTYPE:
I NI I?t ? I• r. f:lt?f?tt f:tFi?l{'A?i`:
TYPE OF WORK:
:; .
?? ? ? # E
,;?
?
Permit No. Pertnit Holder Dete Telephona k
ELECTRIC
PLUMBING
NVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBfIYG
PLBG
AIR TES7
RaUGH
HEATING
GAS SVC
TEST -
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG 7 , D
DECK FINAL a 4'(j ?
?----------------i
? FOi ?(fl(%?.U58
? Permit #:
i Permil re:
? DateReceived: Z7
? Staff: li I
I --- ???c'? ?Iv?
?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? ite Address: -jZ9 ? (fT
Tenant:
Suite #:
RESIDENT / OWNER Name: F?NpL ?'kEaC;G !2 Phone:
Address 1 CRy / Zip: -129 /
Applicant is: _ Owner _xContrador ?
TYPE OF WORK Description of work: WAQ-E_k DAk?5
Construction Cost: l It 6>0 U Multi-Family Building: (Yes No ?
e
QUL7IbA/1cense #: Zo(&S I I-7 Z
oN5T
N
AL
CONTRACTOR _
i
ame:
_)
Address: 5-313 wu arAll {`\ V
Zip:
State: AIW
Ci
_
ty:
Phone. 6f2 "7t5fe?' :?'7 l ? Contact Person: AL ?/0{{/1S01v
^
-Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW B ILDI -?oy
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(^? submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supqorting documents, thai you submif are eonsidered fo be public, information. Portions of;=
` the information inay' 6e classMed:as non-public ii you provide specific ieasons thaf woufd permit fhe City to ?
.. :
_:. ,
conclu"de that fhe are trade secrefa:
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan, that I understand this is not a permit, but only an application for a pertnit, and work is not to start without a pertnit that the work will be in
accordance with the approved plan in the case of work which requires a review and
D
X LJ0-(hlS6 s..! E CJE ? U [E
ApplicanYs Printed Name
AUG 1 ? 2008 le 1 of 3
ZJ J" + G+.?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
$9 Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex 0 Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 70-plex ? Lower Level ? Storm Damage
? 04PIex ? 72-plex El Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window V Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation voo, r Occupancy -TVg\ MCES System
Plan Review Code Edition yAY12Do-1 SAC Units
(25%_ 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of 8uildings Length Fire Sprinklers
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) SheeVOCk Meter Size:
Footings(deck) Final/C .O.
Footings (addition) Final/N o C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice 8 Water _Final Pool: _Footings _Air/Gas Tests _Final
)o Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _ AirTest _Final Windows
? Insulation _ Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Total
,1?CI?DeS Dec.14, zvl ?a?rt
Page 2 of 3
.
00,?
,9, A-44,
Date a "l,? - F 4?1-
Complaint taken by
RECORD OF COMPLAINT
Type of building
Name - p
o, ,
Address
e?/
Legal description
Phone number _ 466 5?(' , / C) yz
Complaint ? ..?..?-+??-. ??- -
- 6".4-4 114-v? Lt/dA6<
Action taken
Comments
r
?
Signature
.
AbL_
'To" City of Eapn
?-----------------
i
j Pertnit#:
? ??+ ?
? Pennit Fee?. 13V ?1s-
I
? Date Received:
I ?
I ?? I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
RESIDENT ! OWNER Name :&-V / C1'/2 r{1G l'I /e ;eCLo?'"J'' Phone: &2--
Address I City ! Zip: z52?QQ/1% .f1/ /t/r
r..^
Applicant is. _ Owner _eContredor
TYPE OF WORK Description ofwork: W14 ),oWs
Construction Cost: ?B Multi-Family Building: (Yes No ?
CONTRACTOR Name: &,C5?(1 License
Address: 4/
02/?L1 ? 1/? ?
_
City: `- State: '46,1141 Zip:,6:5 "7?? _
Phone ix.E3 -430 7" Contact Person: /l'l/ /?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone:
ub rnfarmatrari PoRwns of
NOTE ?la?s apil,supprnting docvments thatyousahlntf are considered ta`6e p hc
'
`
?? 13I77{'itP 4ir?
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ermrf fhe C?#y
to _
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p
ic reasr?ns
apecd
m
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e
a
no? pabl
c +f? you provjde
?the rnformaUo
c
ass
_
, !
; ii ; ..._ ? _ -... . . .. - U 1?
i,`` i '?.:i(`i] ..? -
conc7etde that ifie : are trade setrets:' I?i
I hereby acknowledge that this information is complete and accurate; that the work wtll 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an appliration for a permit, and work is not to start without a permit; that the work will be in
accordance wdh the approved plan in the case of work which requires a review and approvaf of pians.
o?6,??si?`'
ApplicanYs PrGinted Nam?- el
,-?'ApplicanYs ignature
Page 1 of 3
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLAC INSERT O
DATE
HVAC: 0-100 M BTU ?? Iv
ADDTTIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)O
ADD-ON/REMODEL (ExisTnvG coNSTttucr[oN)
STATE SURCHARGE
TOTAL
W*I
$ 24.00
6.00
D0
$ 20.00
.50
3950
STI'E
OWNER
TELEPHONE #: 1 w ' I UUV
STA
ZIP CODE:
TELEPHONE
1994 MECHANICAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 35122
(612) 6814675
V/
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. t1LS0, FOR T'OVYNI=I011!IES AND
CONDOS WI-IE,N PERMITS ARE REQUIRED FOR EACH UNIT.
----- ------------- ------------------__._----- -------------------- - ?`
NO. FIXTURES
SHOWER
? VVATER CLOSEi'
A_ BATH TUB
s LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
? FLQOR DRAIN
GAS PIPING OUTLET • mi»m„m -
13 ROUGH OPENINGS
WATER SOFTENER
PRIVAT'E DISP. • natcxy. ua
U.G. SPRIIVKL.ER • Iwme uoder ronac
ALTERATIONS • w aiafing
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TUTAI:
3.00 3.00
3.00 9.00
3:00 G•n,r?
3.00 I s>.ma
3.00 3.06
3:00 3..do
3s0U
3.00 ?xoa
3:00 sG±rs
3:00.
1.50 ly.
5.0
0
(y
?
20.00
k
3.00
20.00
20.00
.SU. ,
STI'E ADDRESS: YA 0?/` e?a
OWNER
PHONE #: ( ) Ljpq-1yq4
S Yrr:f? ? __C4?1L?C.
?
SIGNATLRZE OF PE 3TTEE ' ,. 4 1
,..
1944 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
CTI'1': 4 A STATE: >7-t? ZIP CODE:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConstruMion Reauirements
. 3 registered sife surveys shawing sq. ft. of bt, sq. ft. of house; and all roofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan shovnng beam & windax sizes; poured found desgq etc.)
• 1 sel o( Energy Calculafions
. 3 copies of Tree Preserva6on Plan rf lot plaUed after 711193
. Rim Joist OelaA Options Selectian shee! (bldgs wifh 3 or less units)
DATE
RemodaURecair Reauiremants
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for extenor addNions & decks
• Indicate if home served 6y septic system for additions
do
VALUATION '$ 6 , 6 "
51TE ADDRESS -4l29I DqP-?F? (2ow27' MULTI-FAMILY DG _ Y _ N
TYPE OF WORK ?-CRocnn_I??c?L FfREPL E(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY ar3uSTATEMIJ ZIP250'?
TELEPHONE CELL PHONE #((j5I)Z5r,376 FAX #!C?! ;?) ?'?7Z
PROPERTYOWNER???ri-???F-??' ? EPHONE#C(,:F;l7`05'31yl
-------------------------------------°----° ---- - --- ---- -------- ?''' ?-/-- ----°---°--°---
COMPLETE THIS SECTION FO NfW" ENTIAL BUI?N?s ONLY?
Energy Code Category MINNF.SOTA R S 7670 TF. ORY 1 IN }-_-
(d submission Type) . Residential Ven Gon Category 1 Worksheet Submitte???/, d ? C?K p rk_e ty? tted
• Energy Envel e Calcul i n Stlbmitted AUG 0 5 2002
Plumbing Conhactor: Phone
Plumbing system includes: _ Wate'Softener wn Sprinkler y
_ er Heater ` No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical system inc
Sewer/W ater
Air Condihorung
Heat Recovery 5ystem
Phone #
Phone #
Fee: $70.00
-----------------------------°--------°°°------'•-----•----...--------°--------'°--------------°-----°-----°°---
I hereby acknowledge that I have read this appiication, state that the information is corcect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _
I Updated 4102
,_..(p e
OFFICE U5E ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 O t of _ plex
? 04 OZ-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? OB 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10.plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
X 20 Pool
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4-sea.)
Q 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
* 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 6060 Occupancy MGES System
Census Code Zoning City Water -
SAC Units Stories - Booster Pump -
Nbr. of Units r? Sq. Ft. - PRV ?-
Nbr. of Bldgs - Length Fire Sprinklered `
Type of Const - Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) Final4Vo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Dram Tile Other
Roof Ice & Water Final ? As/Gas Tests ? Final
Pool ? Ftgs 'k?
_ Framing Siding Stucco Stone
-
_ Fueplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
Building Inspector
73? 4 2-
2oos RESIDENTIAL PLUMBING PeRmiTaPPUCariort
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
I Date _?__ I IS_ ! _&?
Site Street Address q2I j ?^?-VYiOtn? c I- Unit # ?
?
\
,nn
Property Owner ?` 4 l_h/ +'IV 1?SNC?C? Telephone #( )
Contractor C1? VYtc?251?V` C LVuwt?? Telephone #(??l )
Address `72 A2_h iOi City ?StateMn Zip
-a
The Applicant is: _ Owner XContractor _Otfier
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100 00
Per as-built $ 10 00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes instaliation of a water softener and/or water
heater at the same time. If you are installing only a water sofiener and/or water
heater, do not complete this section, move to the next section and check the
appliance(s) you are installing.
_Septic System Ahandonment
Water Turnaround (add $130.00 if a 5/8" meter is required)
i C
? YOther. P E- Jermil) oa
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to 6e reviewed and approved.
? ,,??
ApplicanYs Printed Name ApplicanYs Signature
?------?----------i
? Pertnit#?
I Permrt Fee:
Date Received:
Staff. C??7o
----------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ??&Abr 2!""t,trh C T
Tenant: DQu/ Goi 12r, Mr,ec a y suice a:
RESIDENT / OWNER Name /?LYU, ar.nJ .?/?' 9'Ce1' Phone: G/`2-
i
Address / City / Zip: U 91 rarzf4A?MuT`! C-T jC.4 SQ'/? /yiV
Applicant is: _ Owner __X Contrador
TYPE OF WORK Description of work: 7T" [9,0?1? d'I7
d QC .Qe,VA,
.
Construdlon Costo?:?• Qi Multi-Family Building: (Yes No ?
CONTRACTOR Name Vv,425 Tf/YN A&yjif/Ga/s,? S1ke&j[icense#: Qp/5.?.?Lf
Address: 970 s 4
?T?
4(/S Al
,
_
City: D4y/GGJo N.r,F/ State: ? Zip SSy??
Phone:X3- 5j?je-O 3°y Contad Person: /G//ggE
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 72 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 8 Water Contractor: Phone:
?fVOTE Plans and_suppoeYrrig docdmenfs that you submit are corisidered to be p?blrc rnformaLon Port?nns of ?
t?e Gty to-
???? the mformat?onmay be classefied asrion-publicif you pr6vide speaftc reasonslhatovoufd Aermlf
?
hii =: _??, concl'ud `e tha2 fhe aie trade secrets. .. .?'.;_ ?:. '.:..'' - ?'. 1 ?m°,,,??"??? `
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 pertnit, and work is not to start without a perm@; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X i? 6 ??r??'`<
?-?
pplicant's Printed Name Applican 's Signature
Page t of 3
' GITY'OF EAGAN
„ 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
4291 DflRTMOUTH CT
LOT: 16 BLOCK: 2
HAWTHORNE WppDS 2ND
P.I.Pd.: 10-32151-160-02
/-/ell 7 3 ?e
BUILDIN6
025607
05/22/95
DESCRIPTION:
REMARKS:
FEE SUMMARY:
PERMIT
v?? rIi pF+?s
"^ k."'. ? a
VALUATTON
Base Fee
Surcherge
Total Fee
?
a .,
'm Iq r
tl?ti tl P a?feGV-
pX
.aa
° m,x
6:??`?i?.lditig",Rermit Type pECK
0411di-ng Type NEW
$30.00
$.50
$30.50
$1,200
CONTRACTOR: - p,pplicant - sT. Lzc. OWNER:
7HE qECK & DOOR COMPANY 14513192 0005457 Q'BRIAN PAULA
11632 AKRON AVE E 4291 OARTMOUTH GT
INVER GROVE HTS MN 55975 EA6AN MN
(612) 451-3192 (612)686-6042
". I h,ereby aaknowledcje= that, I h8.ua' read thj? :"Opp?liC0;Ginn,and. stati:e: that t'F1o '
iti-fp,rinati;on. 'is e.o,rr`e:c'C r,f[ac?- sgre? t a c9lnply°;Wi:?Ni_,A11 epp??ia•ah1e: $tat?t 'ofKMt .
? Statutes arld. Gity Esgae? 0rd?.han1ces>? ` ? ? ?° E •.- ? ' , e ?...u_. _ .?.?
?
APP? T/P .RMITE S ATURE ISSUED 81 SIGN,6TURE
M CITY OF EAGAN ? 3 O ?U
3830 PILOT KNOB RD - 55722
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construetion Requirements RemodeVReoair Rea
? 3 registerad sffa surveys vi 2 copies of plan
? 2 copies of plana (mWude beam 6 window sizes; pwretl fid. design; etc.) ? 2 sNe surveys (exterior addkions 8 dedcs)
? 7 onergy calala6ona ? 1 energy calwWtions for heated add'Rlons
? 3 copies ot tree preaervation plan iT lot platted after 7/1193
roquired: _ Yes _ No
DATE: CONSTRUCTION COST: 22G9-°L
DESCRIPTION OF WORK: /4 vf= e-d<
STREET ADDRESS: ' ??, g? ?7/-!?h`I ov i!-/ ./='v G!`"! i??? -s ? i 2?
?LOT ? BLOCK ? SUBD./P.I.D.
PROPERTY Name: /9 ' /Z/Z IA 10AI,"A Phone #:
QWNER us. riaa.
Street Address• y29/ 2 AAi ?v?212N
City: IS-A 6?41V State: JMA/ Zip: ? SS'i23
coNrw?croR Company?a 1-0 0 0?z c? ?,., c Phone #:
Street Address: 11632. A X?i2oN A`= /' License #: ? y'S 17
City: ?N????Rvusz /?r/6/fr'? State: IWA/. Zip: !5
ARCHITECTI Company: Phone #•
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and tot
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree ta comply with ail
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
y /?r n/.+r.e.6.fY
OFFICE USE ONLY
Certificates of Survey Received
V Yes _ No
?????NLED
MAY 10 1994
------------ --
Tree Preservation Plan Received - Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
-o(- 31 New ? 33 Aiterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Af(owable}
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Muiti Repair/Rem. ?
? 13 Garage/Accessory o
? 14 Fireplace ?
,Er- 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main levei sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
f
.. , ei_. ? ..
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. !;ey9l
SAC Code oi
Census Bldg
Census Unit ?
Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Un'ds
? CITY (rF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32151-160-02
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4291 pARTR10UTH CT
LOT: 16 BIOCK: 2
HAWTHORNE WOODS 2ND
BUTLDING
023351
04/21/94
DESCRIPTION:
f^?. .
B,uilding'..Permit Type 5F DWG
8uilding Wa,rk Type NEW
"UBC pccUpehcyti.\ R-3 M-1
r Construction Typ,e V-N
Zoning '-> R-1
Building length ? 56
Building Width 56
t-- eu'ilding stories 2
'r >
i
f,
ryJ/ w? ??U??l ??z`iji ??
(.?l .. ? '\._r ry --•. 3.f
REMARKS
PRV S& W PLBR - COKLEY pLBG
FEE SUMMARY:
VALUA7IpN
Bese Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,042.00
$677.30
$109.5@
$800.00
100
$2,626.80
$215,000
MISCELLANEOUS 1 828.50
Total Fee $4,455.30
CONTRACTOR: - Applicant - sT. LIC. OWNER:
BRENTW000 WOMES 17301000 0001519 6REN7WQOq HOMES
1322 HELMO AVE N 1322 HELMO AVE N
OAKDAI,E MN 55128 pAKpALE MN 55128
(612) 730-1000 (612)730-1000
? _. ___ _.__ . . --.___ _.. .__....e._.. . .._ _.. ...
I hereby acknowledqe that I liove read this applicatiQn and etate that C.he
informatian 3s correct and' agree to aomply w9„th adl applicable State of Mn.
Statutes and City oP Eagan 6rd3nances.
L ?A
?
,?
-- PPLICANT/PERMITEE SIGNATURE --?' I' SUE : SIGNATURE
ck-
-j
i I
A
?
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION?
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last workinq day of month
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date z4 /C, / -7 / G14Valuation of work OOC),
Site Address: 4/7i9'/ 944k.'T1,VrJU77f
STREEi SU[TE Vt
Tenant Name: (commercial only)
LOT I? BLOCK Z/
1
SUBD.
Z Ne
P.I.D. #
Descri tion of work: 6oN 7?'2liGTJ0I --?G'?J!(J?N C1
The appl icant is: JY Owner ? Contractor ? Other (Describe)
Name f_5 OcNTWCOD t-omoh Phone
Property LAST FIRST
Owner
qddress
STREET STE 1t
City State Zip
Company 1512c-l"I7 {--6yvlg /-_7 Phone 73o-)000
Contractor Address I?jZZ 460Mt) AJ?, tJ. License # 0001519 Exp.
City (2i41Gt7A'L9 State lMtv Zip 5!5_17_M
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has 6een approved.
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.
?
?
?
t
Signature of Applicant:
?
i?,Af
? L74
. OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Du lex
p ? 11 A t. Ladgin
p/ g
a ?
16f9asement Finish
Er 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
p 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move,
GENERAL INFORMATION
Const. (Actual) V& Basement sq. ft. M MWCC System X
(Allowable)
UBC O
I lst F1. sq. ft. 97/62
d
1 City Water -
d ?
ccupancy • 2n
F
. sq. ft. r?
? PRV Require
Zoning ,
Sq. Ft. total Booster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length
D
th
s On-site well Census Code ?
?
ep On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit ?
Planning Building Assessments
Engineering Yariance
REGtU1RED IN SPECTIONS
? .Site ? Fa oting Eff Framing 19 Insulation
O Wallboard Fi nal ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
sac x
sac un;ts
valu.elon: S G S 0'5V (?'o,?•,
F3s ?- ??-/St- ??--
5.k S
3a?- z = J ?c
/?.SkS = az.,s
z (? k ?' < 208
J?/bk ?9= ra?
2 N ({ ?
17k3S - SpS
'L 3,Sk
y9.S-
rsk z < so
5-y .
zo,t-3o = ?oa
z oX z = `
G va,??6 =
/p ) Zyo
PeN?4 3k yD -_
o
?
J
??
?
?
f ?
IAT iQRPtY CSLCELSBT ?DA n6IuTS71L
oQii--
PROPLRTY i2R+e.=
8"D
L1-?0 D
D •
• Aegistered Lnna 8urveyor siqnaturs and empany
O
LI
• BuilQinq psrmit Applicarst '
Q?D
0
• Leqal dascription
llddrsss
8?D
8?'h D
D •
• Ncrth arrow aad bas geai• .
8
ous• typs (ramb2sr, valkouL, spiit r/o, split
???
D
• lookout, tte.)
Directieaal drainsqo arrovs wit,h slope/qraQient •.
D' D
8'D D
0 •
• Proposed/axistinq sevsr and water serviaas
Sirset name
D?D ? • Dzivevay
ZLEO71R'SCMB
L?n
D
• lxistinv
Sewer servies
@? D 0
D.??et 0 D
? •
• Lot oorners
Top oi curb at the driveway
D A D • Eievatioas ot any existinq adjaoent homes
lJ?O
Pf D 0
D • 4roaestd
Gazage lloor
• Fir:t lloor
? 0
V
D-- 0
D •
• Lovest exposed elevation (walkoui/vindow)
, Froperty cornars
D' D C • Froat and rear c! Aom* aL Lhe foundaLioa
antry,
n @?D
• pONDiR6 71RE!?B fif aaalietblisf
Easement line .
D 8?L • Nn
n e-? a
D D
? • awL
?
?D • pond # desigrration
0 6 D • Smerqeney Ovesflov Lievetion
II?? O
• Dixixszoivs
Lot i inss
a? a D
' • Riqht-ot-way ana street viath (Lo back of euzb)
D'
D O • Proposed homs dimensions iaeludinq any proposed d*cks,
overhanqs qrtater tAan 21, porchss, eLe. (i.e. a11
FJ?a D structures ssq?iirinq psrmanent tootinqs) •
• Shosa ail easementc of teeorQ and aay City utilities vitAin
those easemerfts '
?O 0 • betbacks oi proposed structure aad setbsek of sdjecent
D
0 existinq homes ,
Retai i irp6irements, it any
?
OCtOber 1222
aato e! susvep:
SEE SHEET N0.9
DRIVE
15 16 ? 7 ? 8
14 M.H. 20 M. H.
7 j M.H.19 23 L1
1? P.O.3+8f
3 + 2 3 , ?
? n - 6-6??-I/16 & I/32 I ^
BENDS
-6" GATE VALVE
\ 24 1 23 I 22 I R
` C.O.
.; , •
EXTERIOR ENVELOPE AVERAGE "U"'COMPUTATION
OWNER???OO?
SZTE ADDI2ESS
CONTRACI'OR??i Q d/ DATE 4 PHONE
Determine working square footage of each_
?? sq. ft. X?_? -_LF-'N• Z?
1_ Total exposed wa11 area ... .. _.
2. 1bta1 roof/ceiling area ...... UA;?a G sa. ft. Xa UlN0
A.
B Total
Total wall window area ..........................
...............................
door area
.
C. Total ..
sliding glass door area ................... ?9.4-
D Total fireplace wall area ....................... /1}/d--^
.
E.
F.
G. Total
Total
Total wall framing area (average 10$)__...__._..
Rim joist area............ •-•••--•----••-'
Net wall area above floor_••--•••••-••- "" ?
-?-=?,?
-??-
Total exposed foundation area - to
H. Sotal foundation window area .................... ? IV p--'
I. Total net foundation area above grade...........
Determine "U" value of each wa'_i segm=nt.
a- L76 X "U" i
b. x „U., t,C4? j _
C.Ft 4- X ,.,,.. . ?v = 44 ,.7
d. - x "U., -- = Iv1'?- n
e. X „U,.
f.-'021FL x "U"
4• X --u-l
n. ? x .. u..
' 6,7,
. OSL = 1 D'? • ? ?
--
i X „u,. . /3 = ?g.GF5
3.................................... TOtal = ?244'47
Zf item 03 is the same as, or lc-ss than item fll, you have :net the intent of
SBC 6006(c)2.
Wits?
M 3 3 0 2?,?? a- ?-
'7t
ReOUest Oate
//?
Q
l(/ r -/_1/ ,,. Rougn.ln Inpseclion Pepmretl
(YOU mustcall inspeclor when rea0y)
Ves ? No InspecLOn Other TM1an Raugh-In
? qeaCy Now ? Will NatM InsOeclor
Date Reatl
licensed coniractor p owner hereby request inspection of above electrical work at:
Job Atltlress iStreet Box ar Faole No ?
a? o Qty
Secvon N. Township Name or No Range No Counry
Occupa RINT, ?j
[.M?VVr? L'? P o N.
Power S baL AOtlress ?
Electncal G nVacror IGOmpeM Name)
r Con/Vacl '
t..j icense No
DQ! 7
Mailing Aotlress COnlracIo, or Ownei Ma+ing Installahom ?
/
-76 J
o!P n
`
Aotnor¢etl Signature omrac[onOwner Making Instanationl _
? /1 t Pnone Number
? ?G? ?iL7
MINNESOTA STATE BOAHD Oi EIECTPICITV ? THIS INSPECTION REQUEST WILL NOT
Griggn-Mitlway 810g. - Poom 5493 BE ACCEPTED BY THE STATE BOARO
1821 Unnersity Ave, Sc Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (812) 662A800 ENGLOSED
- ?yxen?
? ?Q yEB 00001?
REQUEST FOR ELECTRICAL INSPECTION
See instmi lor compleung this lofm on bacx oi yellow copy 6
°u° Roi.,w wnrk Cnvered bv This Request '?•?«•?
n ?
YV ?
Aod
Rep.
TypeofBmiding
ApphancesWrted
EpuipmentWirad
ome Range Temporery ServiCe
Duplex Water Heater Electric Heating
Apt eutldmg Dryer Loed Managemenl
CommJlndustnal Fumace Other (Specify)
Farm Air Conditwner
0!ner ?syecAy) Contrecmr5 Remarks
spechon Fee Below
Other
iL Fee # ServiceEntranceSize Fee # ??WFeetlers Fee
ng Pool 0 to 200 Amps 0 to 100 Amps
rmers Above 200-Amps Above -A s
Inspector§USeOnly C
?? TOTALI ?O
n Booms ?
Inspection
ommunica[ion THIS INSTALlATION MAV BE ORD NNECTED IF NOT
ee !'
COMPLETED WITHIN 18 MO S
ctrical Inspector, hereby
?? Rougn-?n ?n
certify that the above inspecnon has F,?ai
been matle. %
.
OFFICE USE ONLY
Tlns raquest voi0 l8 monlhs imm
rt
Total exposed roof/ceiling area
j_ Total skylight area-------------•--'---•--'--'-----•-??/? " .
k. 1ota1 roof/ceiling framing area (average 10e)--..-.
1. Tota1 net insulated roof/ceilinq area .:............
Determine "U" value for each roof/ceiling segment.
i _ . x 11 U" - _ ? A-
k- C)17 r X • ;/ ?, ? (
??U' O -
1_ 2( 87 45 X°U- , 02 -- 4-9224-
4---•---•••-••••--...•--••••••••••-•-•Total :5
If total of 64 is the same as, or less than 42, you have met the intent of
SBC 6006(c)1.
Alternate IIuilding Envelope Design
To utilize the total envelope system method, Yhe values established by.the
sum of items 03 and IIA shall not be greater than the 'sum of itcrts 91 and 112_ '
+ z. co? , f9 = ?Gl?. 45
s- E244 ,47 + 4.
+r
109:1 csa:irgc,ll Mo
SIGMA
SURVEYINO
SERVICES INC.
191 t s.aeaa Roadl •s.4 +e E•
? ?(6t?-355122
077
O?AWA69 AMC YTILITT [416Y[MTf AMl
WOr'N T1Ml?:
--L• ? ?_?--
EAGAN
?
w O 1 Qr,' e.'A.,
42-9l - Qav-+VAou?1 Cour*-
CV Ea.9a^l MN.
C"J
1
1
? i ho
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Vaca.?'??
,
S68°, ,
9
(u
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o
h ?? .
I I ? QN f ;?i
SJ ` o
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tfV d.
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N68o ?k' i\ho?
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f 'fa qp$¢? ?V
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: I??-?? :
4.015
D
19?I14EEINIG _ EFT.
?$Ay?ep6 \ ? i . yP.
er ?\ 4? 3e ? ???•
?yS1/0 o ; / ,Q+
W
? ? ??6•l v?, ? ()D /V
So S \ ?
?yb
'Co q\y?
po °?a?1o G?EQU?(?E?
_LED-
o Denotes Iron Monument
a Denotes Wood Hub Set
xqtfAa Denotes Existing Spot Elevation
(xT2.9) Denotes Proposed Spot Elevation
r--- Denotes Drainage Direction
-PROPERTY DESCRIPTION-
Lot 16, Block 2, HAWTHORNE
WOODS 2ND ADDITION, according
to the recorded plat thereof,
Dakota County, Minnesota.
? ?.
ry
c.
o? l4 ? ?0 4M? lti O
/ 916.1 0 / ?
a
?°
/
?
PROPOSED GARAGE
ZS _
/
FLOOR ELEVATION=
PROPOSED TOP OF BLOCK ELEVATION=
PROPOSED BASEMENT FLOOR ELEVATION=
9R0
.8
109,2,'b
E: Verify all Bldg. Dimensions and 1?
Floor Heights with Final House Plans.
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the laws of
the State of Minnes ta.
Date:
Wayne D. Cordes, Minn. Reg. No. 14675 ?
U?
wIu
W -.?,??- ?i csRS,rxW?B? gv?e ?`?y?l. ? ' ?`} _..u?•".rw
-1 `
hy
? SIGMA
3URVEYINO
SERVICE3 INC.
MT1 Ss?acs LL
Eqpm, MkriMWa plwrr:(612) 462Y?y(?Ip y?y,ITt [I{(Y[NTf M[ •
.J L` ¢ RE?IE W
n+H rc[? w wrorw [s? orMe?wn?..??I/9
iY Y`nTM? ANISAOAIM MO fTll([T I? ? I Y' 4 I
i'
?
!
1 ?
a
4'?0 !
/
?
B
H
OMES,
INC.
" Q'13r;ev...
`iZ9l • 13ar+rAouA'\ Cou?
CN Ea.g.-c+k, M N .
0
11_119 i; 1 ,r7
?
4,
` Z,
rl `y ` L ?
?
?
E
M ?
. ?,
f
1 ? r"
L_0; 1 a
(U?.,t)
1<
?
.. ? t?S`1 '•o • r I n ?' i-
Rd.? $j E G EP1:
-ti e ? •o ?°`.4 Tc.
?7 i 4aq? ?
/o i
!1? .
ib 0 qVs.
00 /ci0
/
?
; ~?/? ?? /??`o / ' ` ?
,a,,"•l/r ? ? „?,? ?'-`3 ?..?. ?
o? "/ t/ ?''vap / ? 41'?•3?' O
? i 9wA
s M r` ` M
. a10 J
?• ? '°? ? ? ? 4
,.`? e ?• '
P?? Y r Y REQ?il?B?s? ?? ZS
-LE?
9l'1,0
o Denotes Iron Monument PROPOSED GARAGE FLOOR ELEVATION=
d Denates Wood Hub Set PROPOSED TOP OF BLOCK ELEVATION= ??• wlc
„96.o Denotes Existing Spot Elevation PROPOSED BASEMENT FLOOR ELEVATION=
c•q«o? Oerotes Prooosed 5not Elevation ?----?•''--""'"-"''! .
?-?-- Denotes Drainage Direction 4NOTE: Verify all Bidg. uimens--ons ar"d
Floor Neights with Final House Plans.?
-PROPERTY DESCRIPTION-
Lot 16, Block 2, HAWTHORNE
W0005 2ND ADDITION, according
to the recorded plat thereo#',
Dakota County, Minnesota.
-SURVEYORS CERTIFICATION-
I hereby certify that this survey, plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the laws of
the State of Minnes ta.
Date:
Wayne D. Cordes, Minn. Reg. No. 1467?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125556
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 4291 Dartmouth Ct
Lot:16 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-160
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 .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Junhui Yang
4291 Dartmouth Ct
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
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City of Eaall •
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
REG -:`v!7
SEP 202016
Use BLUE or BLACK Ink
For Office Use �/ �i
Permit #: /38! 0 A,
/
Permit Fee: 0 -0 0
Date Received: 9 -a-0 -/f0
Staff:
a 2015 RESIDENTIALPLUMBINGPERMIT APPLICATION
Date: � l ✓ `f 2 �1 Site Address: �a"_ `k /
Tenant:Ck.
Name;
.ab.
I/ rrV
Suite #:L"L l `dv4-
Phone: 631^ 6 [frb /S—
Address
s
Address / City / Zip:
Name: Hilbert Company Inc dba Culligan Water
Address: 18.01 50th St East
State: Mn Zip; 55077 phone;
Contact: William R Milbert
Email:
License
City:
WC641376.
Inver Grove Hgts..
651-451-224T •
_ New _ Replacement _ Repair _ Rebuild _ Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
_ Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
XWater Softener
Add Plumbing Fixtures Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter Is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) % /�
TOTAL FEES $ (D0 , O 0
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 receivelocates of underground utilities www.aooherstateonecall.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 ith the approved plan in.theicase of work which requires a review and appro al.o plans.
,
Applicant's Printed Narne
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145500
Date Issued:09/12/2017
Permit Category:ePermit
Site Address: 4291 Dartmouth Ct
Lot:16 Block: 2 Addition: Hawthorne Woods 2nd
PID:10-32151-02-160
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: 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 -
Junhui Yang
4291 Dartmouth Ct
Eagan MN 55123
(651) 253-8214
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature