4291 Dodd RdCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT "fe, Is
i4?z
6,5'1 91 11I)S14
1 - _ - 0';' / & DOLLARS
Leo
? CASH ? CHECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MH 55122
PHOHEt 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value 4 ??
Site Address -
Lot Block Sec/Sub. ; a Isar"
Parcel #
N2 4746
Erect Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. r' .
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Approvals Fees
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.
Signature of Permittee
A Building Permit is issued to:
all work shall be done in acco
Building Official T-
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit _
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total r r
. r. n on the express condition that
State of Minnesota Statutes and City of Eagan Ordinances.
Pw=lt # Doh lasted Persktes
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-in
Find
Footings Dote Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. I Mechanical
Final
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4482
t PHONE: 4544100
BUILDING PERMIT 1 Receipt #
(Jw
?
To be used for /V Date 19
Site Address <<- -- ci Erect 0 Occupancy
Lot - ' Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone _
Enlar
e ? T
e of Const
4
g yp
.
0? Name a1n%t i sf ^c ai! Move ? # Stories
W
3
Address
Demolish ?
Front ft. .
City Phone Grade ? Depth } ft,
ix Approvals Fees
o Name -
Address
~ City Phone
We
WW Name
P_
I hereby acknowledge that I have read this application and
the information is correct and agree to comply with all
State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Permittee
A Building Permit is issued to:
all work shall be done in accordance with all applicable St
Building Official
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
e of Minnesota Statutes and
Permit =')o -
Surcharge
Plan check
SAC
Water Conn.
Water Meter
%v.
Total
on the express condition that
of Eagan Ordinances.
Peneit #k Dote Ineed Pemditee
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-In
Fit?al
Footings Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechanical
Final
Remarks: ?itp .C/o
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date - 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
4 291 Dodd Roa<
7. City State Zip
B. Building Type: Residential D Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe ' ' '' r'
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
1
HEATIN(
Date: July 13, 1977
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Site Address' '- ?)1 Dodd Road
Lot Block Sub/Sec. a(icll(?Iicrn
X
Name `T' K1xc2i ,". New/Alter./Repair. ?
a
Address Cost of Installation
C City Phone: Permit Fee 2 n • 90
;:ir iieatiiig h cbniinQ
` Name Surcharge
g Add s
e
0
,?;cr0 2'J. c
City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
No. 2
Receipt No..,
Single
Residential
Multi Res.. Comm./Ind.
Building
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Dote: l<, 1.977
Site Address: f"4
Lot Block 2 Sub/Sec. ^ addlehorn
Name _ Z' C;%;i' zLC_ G .'C .
m
Address
City _ Phone:
Name r:..=J i- .sIinc,
V
g Address
e
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No. v? "? t
Receipt No.: 0EF:52
Single
Residential
New/Alter./Repair
Cost of Installation
Permit Fee
Surcharge
Total
done in accordance with all applicable State of
Building Official
CITY OF EAGAN
3745 Pilot Knob Road
Eagan, Minnesota 55122
j Phone: 454-8100
PERMIT No
274
Date: 7?i RII, 21, 1.977 Receipt No.:
Single
Site Address: ')odd 3?a Residential
Lot Block Sub/Sec
Saddlehorn
Ind.
Nome ci ?F.r..'.:_
New/Alter./Repair
m
3 Address - Cost of Installation
C ,
City Fagan aQr?`' ?'
Phone: Permit Fee
Nome a.iFison's +ell & Pump Co. Surcharge
Address .7
e
0
City j` Phone: Total
This Permit is issued 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
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
, q 1;30 / 47
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
IIIU kn
'0011' NOR"
PERMIT SUBTYPE:
3 H ? n , APPLICANT:
(?.1.') tF d 10
TYPE OF WORK:
;'j .r V- It I ,!!;j
kFPATR
(FIRE DAMAOF )
INSPECTION DATE INSPTR INSPECTION TYPE DATE INSPTR.
.
1fit? K`ys A tiF.PARAIF P F V A I V 1`s RFQ1111FO V11 11-11V ANY
l
owt1NO ok ( 1117"1VIVA1 t14
Permit No. Permit Holder Date Telephone A
ELECTRIC
PLUMBING r aZ 9 ?p??- r?Jr
HVAC pV-7
Inspection Date 1 sp. Comments
FOOTINGS
FOUND
FRAMING /1?
dP 'Sled 1 - ?rar - l'?s+rr+fi ??
< , m.
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL l v v
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Saddlehorn Lot 3 Rik 2
Owner"t I ?I L ; ; r • , C !, street 4291 Dodd Rd.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Imp, 1981 1944.00 97.20 20
STREET RESTOR. S d 1210.00 60-SO 20
GRADING
say 105zi QG? in AA All ?n
SAN SEW TRUNK ?4ff 1991- -280-00 14.00 - 20
*SEWER LATERAL IPAl -?Ssg-si 167-99 20
WATERMAIN
*WATER LATERAL 1991
WATER AREA 3L 1981 280-00 14-00 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250,00 IR776 1
18 0
BUILDING PER. 2 .
SAC O•L' r
PARK
No.:
to Comply With the City of Eagan
konnection l,harge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3"95 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
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:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55132 N2 4482
ONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # 7383
To be used for Garage Date September 139 ly 77
Site Address 4291 Dodd Rd Erect Pj Occupancy J
Lot 3 Block 2 Sec/Sub. Saddlehorn Alter ? Zoning
Parcel # Repair ? Fire Zone
E
l V
e of Const
T
arge ?
n .
yp
Name Rgl.ph Glaaman Move ? # Stories
z Address 4291 Dodd Rd. Demolish ? Front 4 ft.
Ciri Eagan Phone 454-3093 Gmde ? Depth 24 ft.
Sul- 1 C Approvals Pees
p Name ae O.
op Address 1850 Como Ave.
"F t. Pau a 645-0331
Name _
Address
hereby acknowledge that I have read this application and state that
the information is correct and agree to comp with all appl ble
State of Minnesota Statutes nd City of Or i ces.
Signature of Permittee
Assessment -
Water 8 Sew.
Police
Fire
Eng.
Planner -
Council
Bldg. Off.
APC
Permit 10.uu _
Surcharge 2.50
Plan check
SAC
Water Conn.
Water Meter
?-
Total M
A Building Permit is issued to: SuSsel CO. on the express condition that
all work shall be done i a cordonce wit -all ap icoble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official -? 4 ?..,
CITY OF EAGAN
3795 Pilot Knob Road' Pagan, MN 55122 NO. 4746
PHON11- 454-8100
BUILDING PERMIT APPLICATION Receipt # - X639
Fence
Value
Erect jf? Occupancy 1
Alter ,
? Zoning R1
Repair ? Fire Zone 3
Enlarge ? Type of Const. Metal-fence
Move ? # Stories
Demolish ? Front ft.
Gmde ? Depth ft.
Approvals Fees
Site Address 4991 Dodd Rd
Lot_ A Black _9Sec/Sub. cnrlrlla Horn
Parcel #
w Name Ralph Glaghan3
Address 420.1-nnddd
0
o Name
ip
OU Addre.
Name
I hereby acknowledge that 1 have read this
the information is correct and agree to c
State of Minnesota Statutes and Citv of_!
Signature of Permittee
A Building Permit Is issued to:
all work shall be done io-acco
rtion and state that
with all applicable
Assessment
Water 8 Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 5 00 _
Surcharge - F Il
Plan check
SAC
Water Conn.
Water Meter
Total _-5 50
Glashan on the express condition that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY of EAGAN
BUILDING PERMIT
N2 4023
3795 Pilot Knob Road
Owner ?JC2tye. . ........./.? .............,.r.,.......Eagan, Minnesota 55122
Address (present) yQ.:c•v.+crY..l.JGftZlt?•--1..(A? '??i''°^'r• 454.8100
Builder
Address
Date 7-2.3.`..?k?......... _.......
Stories To Be Used For Front Depth Haight !- erml! Fse
Es
t.
os Remarks
C
h
st
LOCATION
or
31a
This permit does not authotize 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 KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.irct2,[rt.C?ur.?t« .................has permission to erect ......................... .upon
the above ?described premise subject to the provisions of all applicable Ord?injances for the City of Eagan.
..1.`a(.r.. C? .. ....................................._.................... Per .....le L .G. ?......... ............. ... .............
i" Mayor Building Impeetorf
3-V-
CITY OF EAGAN
3795-Pilot Knob Road
Sagas,,, Minnesota 55122
PERMIT NO.: _ 753
the City of Eagan hereby grants to Wenzel Mechanical Inc. _
of 3660 Kennebec Dr.
a PLUMBIPiG Permit for: Owner Harvey Kirchner
at 4291 Dodd. Road , pursuant to application dated 11/11/76
Fee Paid: $20.00 dated-this 16 day of November , 1976
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
April 10,1978
A
give permission for fence at
4291 DODD RD. To be attached to my present fence at 4283 OLD DODD RD.
Signed
??
April 8 0 1978.
-------- Give permission for a fence at 4291
Dodd Rd. Eagan Minn, to be attached to or have posts for fence to be set next
to my fence at 733 Hackmore Dr. Eagan Minn. Also to extend said fence beyond
iron posts showing property line and into my property which is my portion of
utility easement .
Signed' `!
9526917000
JPN-23-2008(WED) 16:07 Dakota County POD
(FRX)9528917000 P.001/001
f ?
WATER RESOURCES OFFICE ?%L4•
GROUNDWATER PROTECTION SECTION
14955 Galaxle Avenue • Apple Valley, MN 55124
852.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL SEALING PERMIT APPLICATION
DATE: January23, 2008
TO: Tom ColberdWayne Schwanr (EM)
RF: Wel]Pcrmit#: 08-H265S12
Municipality: Eagan
Tax #: (651) 675-5694
Well Type: Domestic
Water Resources Specialist: Luehrs
The Dakota County Water Resources Office 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 Water
Resource 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:
BAROTT DRILLING SERVICES, INC.
1/23/2008
Time:
Time:
Carolyn Walters
Carolyn Walters
WELL LOCATION:
PLS Coordinates: 1/4, SE 114, NE 1/4, NW 1/4, See 25 Town 027 Range 23
Street Address: 4291 Dodd RD
PIN Number: 106580003002
WELL INTORMATiON:
Diameter:
Casing Depth:
Total Depth:
Static Water Level:
Aquifer:
COMMENTS:
City of EAGAN Highlighted Fescue
Municipal Boundary
Cando Points
j Stniets
strest Names
. Lakes
® Parks
i
_- ............._-m»ur----.._.__. _......... Parcels
PID:
S
106580003002
4291 DODD RD
1 EAGAN, MN 551230000
L
. .. .......... ...----- ._....
i'
Property Owner Assessing Sales
PIN: 106580003002 PID: 106580003002 Year Bullt: 1976 Sale Year: 1991
Houses: 4291 Full DEUTSCHE BANK NAIL TST Co AS Land Value: 63700 Sale Month: 2
Street: DODD RD Name: TSTE Building Value: 149600 Sale Value: 76500
Apt: ?ress %AMC MORTGAGE SERVICES INC Total Value: 2133DO Sale Tax: 138.48
Zip Code: 551230000 Net Tax: 1965.86
L
t
32 Address 505 CITY PKWY W STE 100 Total Tax: 2104.34
o
: 2:
Plat: SADDLE HORN ADDITION City Sr: ORANGE CA 92868 -
Legal;
Zoning
Zone Code [SqPt]: R-1
Zone Des[: Residential Single
LandUse Code: LD
LandUse Des[: Low Density (04 units/av )
S I 36-3
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
. City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Reouirements
3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam &window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan If of platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Ced of Survey Recd _Y _N
1set of Energy calculations for heated additions Soils Report _Y _N
1 site survey for additions & decks Tree Pres Plan Recd -Y _R
Addition - indicate if or-site septic system Tree Pres Required Y _N
Telephone # (
Plans are considered public information unless Vou state they are trade secret and the reason.
Date 1uC / O
s /,,? 00 7 Construction Cost
L
Site Address 4 /70 c?
9 / /
CY o GL d' Unit/Ste #
?a .
fil A)
Description of Work e Q l a c e Yri e A f /,(J 1 n o Lois
Multi-Family Bldg _ Y Fireplace(s) ?O - 1 - 2
Property Owner (?Q re yA //[/a 7 ers Telephone #(P,-A-).20
9 - O Q?,23_
Contractor
Address S Y 0 ? C/ r °C-? Ci° A City 00 ? r
State n_ - f
T
Zip
Telephone # ( ) GZ.60 C/ 4:-1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
- Y. - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
On-site Septic System _ Y _N
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
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. ^ e
(? ro I1Jn Oct I 11?6 rr-S
Applicant's Printed Name Applicant's Si ture
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
. City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas
(20%mazimum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
tgle c 0
Remodel/Repair Requirements Office Use Only
2 copies of plan showing footings, beams, joists Carl of Survey Recd _Y _N
1 set of Energy calculations for heated additions Sogs Report _Y _N
1 site survey for additions & decks Tree Pres Plan Reed _Y -N.
Addition - indicate if or site septic system Tree Pres Required Y N
0"He Septic System _Y _N
Plans are considered public information unless you state they are trade secret and the reason.
Date A2 / J/J / O / /'?
Site Address `f L/ ,/J
2F
i C/Jonstruction Cost
d MC,? Unit/Ste #
A,; SS
l
Description of Work
Multi-Family Bldg - Y L"N' Fireplace(s) ?0 - 1 _ 2
Property Owner n
Q Telephone #
(l0/? o? 9 -D 90?
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• 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?
- Y. - N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
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
cup roval of plans.
ro /X/) r V ct
App licantV Printed Name Applicant's Si natu e
0117 RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
?8?+•7S
New Construction Requirements RemodeVRenair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) t set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y _ N
2 copies of plan showing beam &window sizes; poured found design, etc. 1 she survey for additions & decks Tree Pres Reqd _Y _ N
I set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N
3 copies of Tree Preservation Plan if lot platted after M/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date y?gOb7:
Construction Cost ? ?xJ
Site Address Z/_?-st/ Unit/Ste #
G-AN /A-7
Description of Work A004'e l
Multi-Family Bldg - Y ?'N Fireplace(s) '-?_0 _ 1 - 2
Property Owner AAQV s 0 6-1)k17-0 V-4-r yZ? Telephone # (65'1) ??0-t X
Contractor ( i i b? 121?4.?
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies. _
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y _ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N4N
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.
A/??? V),V /l/6
Applicant's Printed Name
Applicant's gnature
1. .:
li,i;U ? Pll is
I 1 1 f?:
,
,
E., a
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030880
09/30/97
SITE ADDRESS:
4291 DODD RD
LOT: 3 BLOCK: 2
SADDLE HORN
P.I.N.: 10-65800-030-02
DESCRIPTION:
PERMIT
(FIRE DAMAGE)
ermit Type SF (MISC.)
A,rk Type REPAIR
s,e 434 ALT. RESIDENTIAL
amc
",C 8y %t l ut9 %'fl" 5?g Ix'?? k & i
kGF iP t r 3I ^J tuI t?8t ?IE $ °mP'ei PYe{
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY-
Base Fee
Surcharge
Total Fee
VALUATION
$606.00
$27.50
$633.50
$55,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
PREMIER RESTORATION INC 19532030 2006039 VANG NENG
15112 GALAXIE AVE W 4291 DODD RD
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 953-2030
ter;
KK UE1 144
ISSUED fiu,fl1G' -
97 BUILDING PERMIT APPLICATION (RESIDENTIAL) t05.50
,sloop CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 711193
required: _Yes _ No
RemodeUReoair Reauirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
O?
PROPERTY Name: J???h Phone #: _
OWNER
Street Address: ya9/ Lo?? ??
City: State: Zip:
CONTRACTOR Company: A ?G ?i? ?I/li?????y c Phone #: ?1 ?3 2? v
Street Address: /S//a ?f// i` /??? ?i? License #---'0° '-/0-? ?'2
City: ??4k State: 11?21-? Zip: -n
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water likened plumber (new construction only)
and lot change are, equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is co ect and agree to c mply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes - No
Tree Preservation Plan Received - Yes - No - Not Required
r SUBD./P.I.D. #: ?????•in
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC1WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SMI Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
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
Variance
% SAC
SAC Units
include 2 sets of plans,
DATE
BUILDING PERMIT APPLICATION
1 site plan w/elevations and 1 se f e k§y c ulations.
To be used for Valuation
Site Address: (i
Lot Block Sec./Sub. Parcel Number
ho r Y%
.3 J-^WdT owner
Address 14 "/?/ a!:!!dVA M1,
Contractor v Ica-
Address
Arch./Eng.
Address
Erect x
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
Telephone Ll , 5 ? "---? r, Iq 3
Telephone ? 4J5- 0-33/
Telephone
OFFICE USE
occupancy J
Zoning
Fire Zone
Type of Const.
# of Storie?s
Front I III
Depth ??
FEES
Permit
Surcharge Z
Plan Check
SAC
water Conn.
water Meter
TOTAL
p11R 62ND YEAR
sussEL sASASES = s=E X0.1... 01 ' i,<
Permit by
Legal Description
Lot
Elk
Add'n
Value 26
Type Const. •?y^?-
SLAB:
By SUSSEL
?By Owner Approx.
?ln
2-SI,A,RJING POINTS ONLY
:-r' S.P.L. Alley
S.S. P. L. House
R.P.L. i{F,?. Street
.xJ .. rvr ` re ze??l G?Ut heI
? Squaru?GGili ?.?-S v
? Rods 0 Mesh
? Sod Rem. - By A"' 3° •J
0 5-Bag Mix 6-Bag Mix
? Tamping No Tamping
? A.B.U. ?2 of
? (F)Grade Point
6
X Conduit
? Blocks ? By Owner 013y sussel
?Maintain 8' Total Wall
Height including Blocks OR f{?
?Maintain 8' Wall Height on d
Top of Blocks
Block Size (Top course) r
? 8,. ? 6•• ? 4•,
Wall Height other than 8'
? Frame with full wall height
sold OR
? cut studs as required for 0
,?/ OHD clearance a/
KY O.H. Or Offset
S.D. Location '
- W i t idows `
? Att Gar Roof Tie-in
Drawn on attached picture
Existing garage: No
? Detached ?Attached Yes
Size or existing.- x
Existing garage will be:
? Left as is
? Converted to L.S. - By owner „
? Removed BY: Owner[-]
Snssel I_I
Junk Must Be Removed By Owner
? Specify removals by Sussel
or owner - trees, bushes, etc.
? Show approx. dist. garage to
house and all pr p. lines
Stakes visible YI Yes ? No
Survey available - O Yes [?] No
? Special instructions from
owner:
WORK ORDER ?0 YS?Y-3013
/J p HOME PHONE:
NAME! 4-? y `' C ?A S zA ?N BUS. PHONE:
JOB ADDRESS y i 1 f? s r7 (? ?{(7
BLDG CODE AREA
J SALESMAN CONTRACT DATE SIZE °Z!f XZ?f
FOR OFFICE USE ONLY
CONTRACTOR .ST O CSC i E JOB # S^6?
I
BOB B®BCK
JOB SUPERVISOR
645-0331
I
?v h!ti
1
P -3 PURCHASER'S INITIALS:
i
I i
I
i
{
DIRECTION
ROOF: ABL REVERSE GABLE HIP.
1,(T)Unt2`0EAR EAVEOVERHANG: _/?
$USSEL COMV>NY, INC
SUSSELfiARAfiES RAKE OVERHANG: /Lek<
1" x 8" Ridgeboard 240# SEAL DOWN SHINGLES WITH PLYWOOD
ROOF SHEATHING AND 15#.FELT
tZ
\ k g-.
y-- Rafters Plywood Sheathing
240# Seal Down Shingles
2" x 6" 3/8" Plywood Trim
Cross Ties Gussets Fascia
1" x 6" W-Bracing 2" x 4" Double. _ 1 ' x 4" Sub
when applicable Top Plate
Fascia
per Minn. State Code
Soffit
NOTE:
11 Trusses set 48" O.C. (Gusset - 3/8" Plywood).
2) Intermediate rafters are 2" x 6" 's braced with 2" x 6" collar ties. L 3/4" Cove
4" S
d
2"
3) On 18' and narrower garages, eliminate the W-bracing and collar x
tu
s
ties.
4) Roof approved by Minn. State Building Dept. as meeting Minn.
State Code Requirements of 30# snow load. Refer 'to State Siding
Building Code Letter Number 35.
5) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" D.C.,
2" x 8" hip rafters and no plywood gussets are used.
RAFTERS: 2" x 6" 16" O.C. 4" O.C.
-
-
-
STUDS:. 2" x 4" q6
ED 24 - 0. C.
1 -
la
WALL SHEATHING: lL e/jy2iTce
SIDING: AZ ,r?fl?y.4?v1?
OVERHEAD_ DOOR HEADER: Double 2" x 12" ad* without steel
plate.
Slab on grade construction approved per Minnesota State Code. Refer
to State Building Code Letter Number 11.
SLAB: 4" WITH MESH 6" x 6" #10 Gauge
45"
Yr" x 7" Anchor Bolt
per U.B.C.
2" x 4" Treated Bottom Plate
v Grade Line
,r m
4"1
Ste' /,Z 7, h
DATE 11,3-
BUILDING PERMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for
Site Address.
Lot Block Sec./Sub. Owner
Address
Contractor
Address
Arch./Eng.
Address
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
OFFICE USE
Date of Approval & Initial
Assessment
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
A.P.C.
Valuation ?-t
Telephone '3093
Telephone
Telephone
OFFICE USE
Occupancy /
Zoning !J
Fire Zone
Type of Const. ?va1' cat
# of Stories
Front
Depth
FEES
Permit c±?
Surcharge
Plan Check
SAC 1-' di
Water Conn.
Water Meter
TOTAL
/ L BL CITY USE ONLY RECEIPT #:
SURD. 'JGLDGfX tX ?/?77YL? RECEIPT DATE:. i ?Ya/?J ?J
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 65122
(612) 681-4675
Please complete for: single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system
FIXTURES EACH O. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x -
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
-Water Softener `forexisting dwelling 20.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 _-
U prinkler ' for existing dwelling =
era ions ` to existing residence 20
OO
wa-feYTUrrr :
Za7ar
Private Disposal System ' Oak Cty lic. 65.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00
STATE SURCHARGE 50
TOTAL Do . S Q
I hereby acknowledge that I have read this application, state that the information is correct, and agree to-compiy with all.applicable City
of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS: 7 a C)
OWNER NAME: Pr ?' ' /?e .r
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
ZIP:
SIGNATURE OF.PERMITTEE
OFFICE USE ONLY
CITY USE ONLY
LOT BL a2 RECEIPT #:?t/ Y
SUBD. amr- RECEIPT DATE: 7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN MN 55122
/
Date: C9- (612) 661-4675
Complete this section onfv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge r
Total: 20.50
SITE ADDRESS: O;L
OWNER NAME: ? a rw i S PHONE#: 1?S''3-aD3O
INSTALLER NAME: We)h l4r-5 (TK3 / ?L? /?t°L PHONE #: 7 "Fl- 719
STREET ADDRESS: / C/ 7 -j a &3 o c K ? cl`e
CITY: 6/I/,/ le STATEN/ ZIP: SS6oz5°
SIGNATURE OF PERMITTEE
JS/FORMS BLDnNECH PERMIT (RES) - 1997
L
o
ru
/oo`
0
vt?
(OG3
J
DATE: ?-.:2 3 -,>6
BUILDING P&5617 APPUMITIOY CHECK
Lot 3 Bic
ck
5Z, Ad±ition
n
Parcel and section nur,aer
Stroot Nunbor
a
06dner Address ---
Develcp-r Address
Zone-Ordinance #52
Tele
Lot Size /G'U A 13 j, %JJ Total area
Pla:tted Unplatted
Building Size % y
Occupancy ?` %¢ JC
Tyrpe of construction
Total area- _
Setbacks: Street sides
I. Sides
Parkir•.g- Total area
Parking area setbacks:
Street side Rear
Landscape apps oval
Special Assessments:
SkC charge_
Water area.:
Assessed
Sues
Tf assessed: Corp --ction
If unassessed: Connection chargo
Lot di,I?sion:
Additional assessments needed
Not needed
Laterals:
Assessed Not assessed
Waiver of hearing:
Needed Not needed
Assessment elk Water & Searer Dept Building Dept
Rear
Total spaces
Bond requirod
Q $4 0.CO = ?'t/6-n -
Urassessed
Police Dept Fire Dept (Comm & Ind only)
MASTER CARD
Aq/ 3-
OWNER A
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
7S3
GN -- 2-23l96
=
z? •)
"`?
WELL ey ??,L
ELECTRICAL c
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING _ DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING /?-""T -irs- 77
WELL +
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
PUBLIC NOTICE
NOTICE OF PUBLIC HEARING
CITY OF EAGAN
NOTICE IS HEREBY GIVEN THAT ON
OCTOBER a, 1966, at 7:00 o'clock p.m. a
Public Hearing will be held by the Advisory
Planning Commission at the Eagan City Hall
pursuant to the application of NORTH-
WESTERN BELL TELEPHONE CO. in ac-
cordance with Chapters it & 13 of the Eagan
City Code to consider the Waiver of Plat to
split a.11 acre parcel from parcel #022-26 for
a utility building and variances to Eagan
Code Chapters 11 & 13 and/or Comprehen-
sive Guide Plan Amendments, if required,
for property located in Dakota County, Min-
nesota, T-27N, R-23W, described. as follows:
In part of the NWl4 of Section 25, west of
Dodd Road, abutting County Road 4430.
Dated: October 10. 1966.
Advisory Planning'Commission
City of Eagan
E. J. VAN OVERBEKE
City Clerk
602
PUBLIC NOTICE
I NDENF SCHOOL DtFrRICT NO. 1%
14445 ChmoM Path
mmounr, h/innssob SSM
CALL FOR RIGS
Sealed i will be received for t or-
chase of o t sport food Mo ca more
or less) 20#- phis paper, e4.
Bid forms a s ification ay be ob-
tained at the Di le fice ndependent
School District No. 9R, amond Palh,.
Rosemount, Minne 5
_-A 5% Bid Bond, 'red Check or
Cashier's Check must ub itted with the
bid.
Bids will be o Thu _Oct. 30,
The ion of Inde t
ad fbiddin.gNALD emnunt, MN Y5 M,
chap No reserves the ri t
bids and to waive any i
R. WESTERHAUSEN, SR.
Clerk
Independent School District 196
Rosemount, Minnesota 55066
564 33-30
f
i
i
rte.
?.Qar molYor NO)" v>st
Z 2Ha._ .,wdew bu>?dia> Perncr 1`sar
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/haSJ Srer>vQp oJu7 (i ?e SaJii+ean.? a'esf/ir? G9 w?JSt
(f!./wi\ I / J$ "?"J7JQ ,d 4a UQ Ac7,nes-
bc, jo MD9?LQ re /VvAt rs /Uof l?rtKeZ 9A7 &ficiemI?C-
/ j(>Y / 'A et lLrQ/P4t4oiv?r?IS ra?C S trr Pa ?? mar
#4$ 4.u abouU? l?ar? c?vs1A,Q-Ys 5 ?IXQ-- Yuft. sft?,`gs
#-- le, L,.> a ?ie c?f?? ar 5; cr2S av? -f J'Wo-?
mores ,(.'k? Them ;?a?ld fie/p a,t, es mare.
400))V
,5,erL?e2S th;w ?r? pd/wt, fo lip S.?fr? e/l? ed PreTfY
fi/rlPo4Le?lr? show p?owJwl Lt11 fh lli?2 ado1ea? 57r?e7S
/V 6o,vk
S&-P-Cer, AsLL-(A r as Z pla CC,rveerweal -5x904• JPIIOw,0%4 %N
04,- arQ-a J76S !>?o-? b4ozp , es7? &wc/ltot9iC5a?/-//e tiOrN?VC?,r
/ r1AL r°/,La..a fJr? Qp?afs ,Z' r>?vk ?redo,iv7 cx;,
t}OO C ?1V Yr _
J ?hau, jjc,5/-ro1a4/ f/1Q pip .r rat r,??. ?r?
yo?,?? fo ljaL ? d T/r?L ?fa//ow ?url? i nv ?iL?
lf?? t°NC(.OrQ? Y?LpI?CrrC/•Q.. 1W
?rs lo??? PpJzr -
,l /j22rf h 25/s Z/On _co>x2
?L? bl,"c- be.arJnv? is fo/as g ?o b,e- 1e// a?oLt ?"hrS
L. </?'' 9y bL rdlJw? ct _ J? a/r?zd/? buy /? . yr
Lwho -eves /S do/A" 7 Aa Lvorf°I` (ham rele, 10 A) 2
Comraiuc, /s ?e171n.¢ e dead Sfat,/ r r/,vk
?? 11? to e- w o ;? eQ-av <?o p c, fo r o ve.r
a cd??k afar ?AQ b/or4s wire ?3/`41 Lv ie'lo-'
- rG?
/he aI/e- w A s die>n?t ply 2craS5 0of c/a
j lv Tro ,e, ? , _ / ,?-
/hBvK e?IaQ . off your 171.w
9-A N Af A7 5's-ia c9?
WAIVER OF HEARING OF SPECIAL ASSESSMENT
City Project No. 597
I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to
assess the following described property owned by me/us:
Lot 3. Block 2 Saddlehorn Addition
for the benefit received from the following improvements, constructed under City
Project No. 597. Said assessments have been preliminarily computed as follows:
ITEM QUANTITY RATE AMOUNT PROJECT NO.
Trunk Area Storm Sewer 15,554 sq. ft. $0.056 $871.02 597
TOTAL 871.02
to be spread over 10 years at an annual Lnterest rate of 84% against any
remaining unpaid balance.
The undersigned, for themselves, their heirs, executors, administrators,
successors and assigns, hereby waive notice of any and all hearings necessary,
and waive objections to any technical defects in any proceedings related to these
assessments, and further waive the right to object to or appeal from these
assessments made pursuant to this agreement. ?
Dated: - f ^^' v '
Ralph V. Clashan
Kathleen Glashan
STATE OF _
)SS
COUNTY OF U % I'r / )
On this day of ` r5le'zy fq?2`l , before me a Notary Public within and
for said County, personally appeared /?ffL?'// G. 6/0,511)91V and
GN C'Z SH 9/( to me personally known to be the person described in
and who executed the foregoing instrument and acknowledged that
executed the same as -'rfar`_/2 fir" act and deed,,J, /. ?. 17 4
Asa rr??rrr!-•r +.rr?ei?Ip t: •,.ru cary ruor c
M.4R+Li'Nk-WU£f`fPPfEMNu- ------------------ 1 ---------
-4 ff" nw vUenc - MC -sera FOR CITY USE ONLY
+f DAVOTA COUNTY Reviewed:
Exp C-+ R. 1r'q .
Eagan Public epartment
--+ --- - -
??? PR p1SGHVRGH
w ? 1
ApID EVELA D
.? 1 lV z u¢.ec°.e.
OUTLOT A t
ITI01
y? SUNSET `. i
'I FIFTW
?y??+L Q• >; ?QpDITIOt? ?
wO.N ' Ia0 f° )° I... lee leo b0 i\41. •' ae..
T I 8 1 Lu 2 T j 1 k •.
W - ? e ,
F I • • N t. i
e•eh?b• a•CU)
w . loe er. +r. 024 - 25
b e ;'I sLASSO LANE ..,.N, •.•. ,.e''
111 0
• E-? _ - uai Im loe impf I
10 11 - Alli
N.I o?
.A D O 1 •
.rum! I ir .
1 - N
wn r 1 I leo m, .°o io° Iw [':•}}:•}i::?: ea I S
HACKMORE DRIVE R ~1Q aewurrr•arerrl
_ L
u - )? llhl!
?lr'- r .° ea •° Ile er ? ._}? .
'PART C
i J
e w.. bODD `Ix
?-? -?L? III1 _ ?, y
ORM
• I_ i w '
ru lii?
TRUNK AREA STORM SEWER
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA125713
Date Issued:07/31/2014
Permit Category:ePermit
Site Address: 4291 Dodd Rd
Lot:3 Block: 2 Addition: Saddle Horn
PID:10-65800-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Thomas Joshua Peine
780 Iglehart Ave
St. Paul, MN 55104
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Carlos A Cardenas
4291 Dodd Rd
Eagan MN 55123
(651) 707-7822
Urban Pine Plumbing & Mechanical
780 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178048
Date Issued:07/29/2022
Permit Category:ePermit
Site Address: 4291 Dodd Rd
Lot:3 Block: 2 Addition: Saddle Horn
PID:10-65800-02-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Eagan One Llc
13679 Dunbar Way
Apple Valley MN 55124
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature