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3240 Dodd Rd Use BLUE or BLACK Ink I- - ForOffice Us_--_~_--_ 4$~ I Permit CfC11 City of Eap I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 1 1 1 Staff: Fax: (651) 675-5694 1 1 2011 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 5R `f & py ao C'~ Unit Name: 471- l~! I1.~ ( 5 Phone: &57 -a? ~,q -5- 7W RESIDENT OWNER Address/ City /Zip: a T IDDD r:iel/®" AA 9 5;5_l d l Applicant is: Owner Contractor TYPE OF WORK Description of work: ~W&1-~c6 921 Construction Cost: Multi-Family Building: (Yes / No Company: laVAI Cl i~ ~f4 'jPZ Contact: Z6afE S?hh%Ot~b~'►~i'`~~"/~ CONTRACTOR Address: fsa >-YU€ City: /17)C ~j j~o~ State: Zip: Yp7 _ Phone. License ~;;r© 3~FiyD4g2 -Lead Certificate /VAT - 7A. 73 ~ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) GN6Cr-&g - AAC, 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 the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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. C_ x x S~ " - Applicant's Printed Name Applica 's Sign re Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089090 Eagan, MN 55122 . Date Issued: 05/08/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 3240 Dodd Rd Lot: 5 Block: 1 Addition: Killdeer PID 10-41900-050-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, 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 $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Flannery Construction Television Service Labs Inc 1375 St. Anthony Avenue 3240 Dodd Rd St. Paul MN 55104 3240 Dodd Rd (651) 225-1105 Eagan MN 55121 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 18 ARXIVE0 FROM e r AMOUNT S ?( 1 DOLLARS 100 0 CASH CHECK t.11 :^ 7- FUND OBJECT AMOUNT I ! Thank You BY C Whd -Payers COPY YONOW-POethg Copy Pink- -ft Copy ^T CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55132 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date N? 5 415 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone _ Enlarge ? Type of Const. W Name Move ? ?,{' Stories 3 Address Demolish ? Front ft. o city Phone Grade ? Depth ft. Name Approvals Fees 0 0? Address Assessment Permit ?' city Phone Water & Sew. Surcharge u Police Plan check W Name F W Fire SAC Address W Eng. P Water Conn. City Phone < lanner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable St t f Mi f E di S d C O APC 17b, Total a e o nnesota tatutes an ity o agan r nances. - Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official P&nnit # DeM hued PWM"t" Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footings -p2 2-$d Date Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanical Final Q' Remarks: / PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address w ` i t Lot 5 Block / Name Address c City Phone Name 3 Address t c f , O City Phone FEES COMM/IND FEE -1% OF CONTRACT FEE APT. SLOGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SIC IF PERMIT PRICE GOES BLDG. TYPE WORK DESCRIPTION Fees. i- New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3 00 $ Bath Tubs - $3.00 R Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - 51.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 OF PERMITTEE FOR: CITY OF EAGAN y y ?? FEE J • STATE SAC: "" GRAND TOTAL: CITY OF EAGAN Remarks L)I J • E 1y??? - Addition KILLDEER ADDITION Lot 5 Rik 1 Parcel 10-1+1 050-01 OwnerL Street 3240 DODD ROAD State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 X31..0 =?4 ?- t-?` * SEWER LATERAL 1972 29_7. X41-48-_ _. WATERMAIN * WATER LATERAL 1972 • WATER AREA 1977 12L 0 + 74.73-._ .! '].5 STORM SEW TRK $ 1984. 3035.00 202.33 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 270.00 17072 BUILDING PER. SAC PARK A9 037oci p?'o - a Da0 -11 w a?i 7:5 Z cs A/r?-- CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 Zoning: Owner: Address: f W^ t L ;r -j Site Address: Plumber- ? 'r- SEWER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: I agree to comply with the City of Eagan Connection Charge Ordinances. Account Deposit: _ Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knot Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS LOT --(BLOCK SEC/SUB PERMIT DATE ,.'r o' WEA PER10107# SEWER PERMIT # 1 0,4 52 METER # &. ECEIPT # !' 1416 READER # I RECEIPT DATE 44 `• f RQ METER SIZE ISSUE DATE PRV -BOOSTER PUMP PERMIT REQUESTED `r SEWER -WATER TAPS COMM/IND ZIP I/ ; -1 : STATE. ZIP = ." . 2 ? NEW n RESIDENTIAL EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: + SIGNATURE WHEN METER ISSUED PROCESSING. FOR STORM SEWER PERMITS, CONTACT EAGAN TOWNSHIP BUILDING PERMIT Owner ------ ../Y. DESCRIPTION N° 901 Eagan Township Town Hall Dale ....101 .. ............ Stories To Be Us d For Front Depth Height Est. Cos! Pe rmit Fee Remarks e ? This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE g/?gPT? ON THE PREMISE WHILE THE WORK IS IN PROGRESS. - 41- /- ' This is to certify, that ----l:H'^."'..LV.. -------------------has permission to erect a.. _ .........upo the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1 . 955 . . ............. (/.`,,"""`.' ..................... Per ------------ ...i&T. Ems./."E.dLr.C. ................. ..._ ........-......-------'................ . -----. .---....... ..... Chairman of Tnwn Board Building Inspector CITY OF EAGAN 97" Plot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # T. he ama far Storage Fcr V.I.,. 13,000. 11n. Site Address J44u ? i u Lot 7 Block 8 Sec/Sub. Aud. Sub. #38 Parcel # 10 03800 070 08 w Name o Address agan 56M Rd ' a: 0 ou u? f Name _ Address Name _ Address 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. N? 5415 Erect Occupancy M Alter ? Zoning GB Repair ? Fire Zone 3 Enlarge ? Type of Const. V N Move ? # Stories Demolish ? Front 70 ft. Grode ? Depth 24 ft. Approvals Fees Assessment _ Water & Sew. Police Fire Eng. Planner _ Council - Bldg. Off. _ APC Permit 4Z.UU Surcharge 6.50 Plan check 21.00 SAC Water Conn. Water Meter Road Unit 106.90 Total- 176.40- Signature of Permittee I A Building Permit is issued to: Joyce M\. Wills-:) on the express condition that all work shall be done in accordance all appilc le S ,,,,e of Min Building nesot totutes and City of Eagan Ordinances. Official ' ?? fin C.d.!c' / CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING'PERUT APPLICATION 1 set of energy calculat[i]ons. Tb Be Used For ) tQ (? ?(v(aluatYi7on(1? Date Site Address ???(o !onac?? a'\CY OFFICE USE ONLY Lot VZp Block Or Sec Parcel #: /D d?moo Owner: G -t 8A ? A Address: ?, 6 City/Zip Code: /?G/?It S?/? l Phone #: cOt? Contractor: Address: City/Zip Code: Phone #: Arch. Address: . : City/Zip Code: Phone #: Erect T? Occupancy Alter Zoning G Repair Fire Zone Enlarge _ Type of Const. Move # Stories Demolish Front 7 ft. Grade - Depth - < ft. APPImVALS FEES Assessments o Permit Water/Sewer Surcharge Police Plan Check Fire SAG Eng. Water Conn. Plarmr Water Meter Council Road Unit Bldg. Off. i -33Z,'s APC TOFIAL ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • www.eo.dakota.mn.us MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: September 9, 2003 TO: Tom Colbert/Wayne Schwartz (EM) RE: Well Permit #: 03-1-1207631 Municipality: Eagan Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Olsen The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: WELL LOCATION: Kimmes-Bauer Well Drilling 09/08/2003 Time: Time: Michael R Wils Michael R Wils PLS Coordinates: NW 1/4, SE 1/4, NW 114, Street Address: 3240 Dodd RD PIN Number: 104190005061 l WELL INFORMATION: Diameter: 3 Casing Depth: 88 Total Depth: 93 Static Water Level: Aquifer: 1/4, Sec 12 Town 027 Range 23 COMMENTS: N I ??,9--;, o /J '. P r. [ry a y, b 0 T s c y 0 n -t2 j r ? Philco-Ford Corporation Sales and Distribution Division Parts and Service 800 Xenia South Minneapolis, Minnesota 55416 1993 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: CONTRACT PRICE: $? ' 7.5 ©O NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: 1% OF CONTRACT FEE PROCESSED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL SITE FEES $ ;t7, g?n $25.00 $25.00 $.50 FOR EACH $1,000 OF PERMI-f FEE. $ M .00 OWNER NAME: To Qo . 4t?o_A*??-> j9 }!A n [rte o TELEPHONE #: q S4 - Act c( ?2 TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS:: J 9 (Q O? " R.Oafit/ CITY: SN- (ct:YQ- STATE: Mk) ZIP CODE: 5637A TELEPHONE #: O 7 SIGNATUR OF PERMITTEE CITY INSPECTOR Z.7, 8d ?/} swh 38 er 1 t1 BEA BLOMQUIST MAYOR THOMASEGAN MARK PARRANTO JAMES A. SMITH THEODORE WACHTER COUNCIL MEMBERS August 19, 1981 JOYCE MEISSNER 820 LONE OAK RD EAGAN MN 55121 CITY ,OF EAGAN ??j{+p95 PILOT KNOB ROAD P.O. BOX 211" .-.EAGAN, MINNESOTA S i y,tr Re: Trailer Permit at 3240 Dodd Road Dear Mrs. Meissner: THOMAS HEDGES CITY ADMINISTRATOR EUGENE VAN OVERBEKE CITY CLERK In official action that was taken by the Eagan City Council at a regular meeting held on August 18, 1981, an application for a special use permit to allow a trailer at 3240 Dodd Road was denied. The City Council has denied the permit because the use of the trailer does not comply with the original purpose of the trailer permit. The trailer is to be moved within 90 days of August 18, 1981. Therefore the trailer shall be moved from the premises prior to November 16, 1981. If you have any questions regarding the action taken by the City Council, please feel free to contact Mr. Dale Peterson, Chief Building Inspector, or this office at any time. Sincerely, Thomas L. Hedges 0 City Administrator TLH/hnd cc: Dale Peterson, Chief Building Inspector A THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY. 11:28 NOV 16, 2005 FR: THERESA SCHOSTAG U N G- 409e ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax 952.891.7588 • WWW.co.dakota.mn.us #27260 PAGE: 1i1 ?ftr~D? MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION DATE: November 16, 2005 TO: Tom Colbert/Wayne Schwanz (EM) RE: Well Permit #: 05-11223300 Municipality: Eagan Fax #: (651) 675-5694 Well Type: Domestic Environmental Specialist: Luehrs The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Date Application Received: Anticipated Drilling Date: Anticipated Grouting Date: Property Owner: Well Owner: WELL LOCATION: Kimmes-Bauer Well Drilling 11/14/2005 Time: Time: John W Wills John W Wills PLS Coordinates: 1/4, NW 1/4, SE 1/4, NW 1/4, Sec 12 Town 27 Range 23 Street Address: 3240 Dodd RD PIN Number: 10419000500I WELL INFORMATION: Diameter: 3 Casing Depth: 87 Total Depth: 90 Static Water Level: Aquifer: COMMENTS: - ------------ »?tti? use ,?/ ? Permit#. -3 (I j I Permit Fee. /?? ?? I I Date Received: I I I Staff: I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: r l ?? ?D e d Suite #: Tenant: RESIDENT 1OWNER Name: Sohn - W '. `? S Phone: a t' `?- ?l ot ( p Address / City I Zip: 3 s Y o p>r,-L t l E G a ka- ?n Y- Applicant is: `? Owner - Contractor TYPE OF WORK Description of work: /, tr f? i1 l v?? Construction Cost: (100-? 7 Multi-Family Building: (Yes _ l No CONTRACTOR Name:' License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit fora 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'cl'assified as nonpublic if you prowde 'speck reasons #hat would perntft the City to i _... _ z -)i ii - i 13 atn° -? ?IMI conclude that the are trade secrets: - c „ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x &L- E_ ua Applicant's Printed Name App c nt's Signature Page 1 of 3 - - - - - - - - - - - - - - For Office Use r1rf)u (V LE ~{~~tfi Permit#: M MAY 0 ~ City of EaQall Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone CZ51) 675-5675 I Fax: (651) 675-5694 Staff: Qv- it 2008 MECHANICAL PERMIT APPLICATION Date: Site Address: O ZN)pdd Tenant: Suite RESIDENT / OWNER Name: eke t O Y1 SE C' a.e(W IPhone: t 45tt - aaoS Address/ City /Zip: CONTRACTOR Name: CENTERPOINT ENERGY License Address: 9320 EVERGREEN BLVD SUITE B City: COON RAPIDS State: MN Zip: 55433 Phone: 763-757-6202 Contact Person: JOANN ZINKEN New Replacement Additional Alteration Demolition TYPE OF WORK ~ nn / Description of work:' 0.\, C3~ 3I%{ 4On __OA\Qss Ctg O r c ( a_~ ah~ l Ad- NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement u""Air Conditioner Cy~ ® Install Piping Processed Air Exchanger Gas Exterior HVAC Unit * HVAC units must be screened Heat Pump Under / Above ground Tank Install / e Remove) Other When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ S0-SO TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). $ TOTAL FEE 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 witho it a permit; that the work will be in accorda ce with the approved plan in the case of work which requires a review and approval of plans. x JOANN ZINKEN x Applicant's Printed Name A licant's Signature FOR OFFICE USE 10eviewed By: Date: Required Inspections: -Under Ground Rough In _Air Test -Gas Service Test -In-floor Heat Final W ' 4, 11 L �},,� ' • � � t 3" Vii .�` E F - - . . y. n' „ 4 - . ' .,,, a �. # . f +� ! i f - i t . '9 _,..y 4 :.- '-- 44 S s .w. 4 .1 • i fi X u' d Y S+ x S; l � 4. i j` ,i* 6 k y m .: V 1- 04. 4 ,,,.#- „' 'r,v " � , -° E = r4 ti � � yE a PH �"' , ', 1 =. ter,' i VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 5527 DATE: No. of Units: Zoning: �- Owner: Address: Site Address: Plumber: Connection Charge: Meter No.: Account Deposit: Size: Permit Fee: Reader No.: 1 agree to comply with the Village of Eagan Surcharge: Ordinances. Total: Date Paid: By Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55■22 DATE: Zoning: • No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the Village of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By: Misc. Charges: Date of Insp.: Total: Insp.• Date Paid: 1 11 1 -11 - 11 _ / i .� g 7 1 .6 NK. PERMIT City of Eagan Permit Type:Building Permit Number:EA170331 Date Issued:06/28/2021 Permit Category:ePermit Site Address: 3240 Dodd Rd Lot:5 Block: 1 Addition: Killdeer PID:10-41900-01-050 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Television Service Labs Inc % Michael R & John Wills 3240 Dodd Rd Eagan MN 55121--231 (651) 230-5963 Capital Construction LLC 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature