854 Curry Tr ' CITY OF EAGAfN N 0 12820
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, RAfd 55121
PHOME:454-8100 6-7r7b y
BU ILDIWG PERMIT
Receiptp
7o be used for SF DWG/GAR Est Value $76,000 pate OCTOBER 30 yy 86
SiteAddress 854 CURRY TRAIL Erect ?97 Occupancy R3
Lot 11 elock 2 Sec/Sub. NORTHVIEW Remodel ? Zoning R1
MEADOW$ 2ND Repair ?
Parcel No Type of Const V
.
Addition ? No. Stories
a
KEYLAND HOMES Move ?
Name
Length 46
z 3471 W 173RD Demolish ?
Address
l
D Depth 48
Ft
S
o Int.
mpr.
ciry JORDANphone 435-3323 install ? q.
a
o Approvals
Name SAME Fees
?? Address Assessment P2rmit $ 361.00
• City Phone Water & Sew. Surcharge 38 . 00
.? Police PlanReview 180.50
Fw Name HALLOUIST Fire SAC 575.00
?i nddress 5005 W 80TH Eng. WaterConn. 500.00
c;ryBLMGTN Phone 831-1875 Planner WaterMeter 63.50
1 hereby acknowledge ihat I have read this application and state that the
intormation is wrrect and ree to compty with,all applicable State of
Minnesota Statutes and ity of Ea an Or in?i k
Signature of Permittee - -yl'?14?
A euilding Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all aoolicable te of Minnesc
Building
Council
I
BIdg.Off. 1013018
APC
Var. Date
Road Unit 290.00
Tr. PI. 156.00
Copies
rM?i 2m
on the express condition that
and City of Eagan Ordinances.
?
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M N 55121 N? 128?-7O
? BUILDING PERMIT PHONE: 454-8100 Receipt #
3F DWG/GAR ESt
Site Address -
Lot i -1• Block
$76,000
Z o Name SAIfiE
? a Rddress
City Phone
W W Name HAI,I.t`U T ST
) p Address r- 005 14 i G TIl
s W Ciry '=?r1:, 1 Phone ?? -? 1-1 ?i 7 5
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with applicable State of
Minnesota Statutes and CEty of Eagan Orc'ina Ces.
Signature of Permittee-, %
?CEYLAND HOMES
A Building Permit is issued to:
all work shall be done in accordance with all applicable State ot Minneso
Erect
Remodel
Move U
Demolish ?
Int Impr. ?
Install ?
30 ,n 66
occupancy R3
Zoning t< I
Type ol Const y
No. Stories
Length 46
DePth 48
Sq. Ft
Assessment
Water & Sew.
Police
Fire
Bldg. Off. 1V/ .au/ a
APC
Var. Date
Permit ? 361.00
Surcharge 38.00
Plan Review 180.50
sAC 575.00,
Water Conn. 500.001
Water Meter 63.50
Road Unit 290.00
Tr. Pi. 156 . 00
Parks
Copies , 00
l ?
on the express condition that
Ciry of Eagan Ordinances.
Building
' PwmN No. PermN MoMer Dato TNephons N
PIYMbiIIQ I p
H.V.M.:. y '/?.
/ a-'?o '
Eleeatc ',,?,:T/ C C
SORMN
InspecHon Dab Imp. Comm*nts
FooUnps I 1.291 U-)4
FooUnpsll
Foundatlon
F..rMng
.
RooHnp
Rou9h Piby.
Rouqh Mtq.
Insul.
Fheplace
Final H1y. 9
Ffnal Plbq. G' ?
BId9. Final
C?rt. Occ. 62-
-
Dock
Fty.
Deck Fmg.
Well
Pr. Dlsp.
f ' PERMIT # - -
, . . MECHANI CAL PERMIT
RECEIPT #
' CITY O
3830 PILOT KNOB R F EAGAN
OAQ, EAGAN, MN 55121 DATE: ????
CONTRACT PRICE PHON E 454-8100
Site Address urr '^r4L- gLpG,, npE WORK DESCRIPTION
Lot Block - Sec/Sub
r ,.
-?
R
` N
x
es.
ew
? Name t Mult Add-on
Address Comm. Repair
c City P'r 0 r ?- •i'-?- Phone
Other
?
Name 1t 4- v
FEES
Address 31' -'? '- 1 L" ° ? RES. HVAC 0-100 M BTU - $24.Q0
f p City '2-1 ? Phone 3 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMMlIND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Cas Piping Qudets #
Other
FEE - JU
K ?.._ ?.-t. - . .w?
S/C: SIGNATURE OF PERMITTEE
TOTAL• '
FOR: CITY OF EAGAN
. . ` . PERMIT # . ?
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
OTRACT PRICE PHONE: 454-8100
Site Address
Lot li Block dgx Sec/Sub
Name
? Address
c City Phone
? Name
3 Address
p Ciry Phone -
FEES
COMM/IND FEE - 1°,6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.Oa
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
?c
' l .
SI 4TUFiE7PERMITTEE
FOR: CITY OF EAGAN
BIDG. TYPE WORK DESCRIPTION
n?i?,s,, .? New k
Mult. Add-on
Comm. Ftepair
Other
? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Nq. FIXTURES TOTAL
'U
--I . Water Closet - $3 00 $_ 3-"
_/-Bath Tubs - $3.00 , . t" r
--/--Lavatory - $3.00 =?. < ti
*
Shower - $3.00
-k_Kitchen Sink - $3.00 ` t
Urinal/Bidet - $3.00
--/-Laundry Tray - $3.00 r
_-./--Floor Drains - $1 50
4_Water Heater - $1.50
Whirlpool - 53.00
__?_Gas Piping Outlets - $1.50 ? L
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Oisp. - $10.00
_Rough Openings - $1.50
?
FEE: : )c.
STATE S/C: • 5 GRAND TOTAL:
3830
- PHONE:
y Nan
?o Add
?
c City
? Name
3 Addre;
O Ciry -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 COMDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C (F PERMfT PRfCE GOES
PERMITTEE
PERMIT # Z-22 'F ?
RECEIPT # ?? ?c I?
MN 55122 pATE: k/?FI/F ;7
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.56
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlsts - $1.50
(MINIMUM - 1 PER PERMIT)
?
?
Soltener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: '-
STATE S/C:
CITI' OF EAGAN GRAND TOTAL: -`' '6-0
I
??.
Trr#i#trate uf (Orrupttnry
Citp of (Eagan
Ervar#mutt# of luiibing Jtwprrtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Builciing
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use Classifintion SF DK?'/:AR Bldg. Ilrmit No. 12820
occupancy rype ° 3 z4oing Disa;cc "= rype coeuu V
owneroreuildi : r Y1?::?=! ', p? > i 1 ',? .10RllAPl
a,?a? naa? • 5'? ?:?%;«? ;: T?i i, l l, i; 2, i?7C?i?'e?f1J1Fid MF?? ?:)t;4d5 2'.
t.ocatiry
Date: 21 , 1?3 7
Building Officiaf
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot fCnob Road 3218
P.O. Box 21199 PERMIT NO.:
.' -r,.:,
Eagsn, MN 55121 DATE:
Zoning: :1 No. of Units:
i.eyland xomes
Owner.
Address:
SiteAddess: C'1rr_y Tr kLl_ ;3? `ort; view Wws II
Plumber. C `?echanica
Meter No.:3 ? S ?.}p?,?tior?,Gharge: ?r;?, ???P`?
1 ayree to comply wlth IhbNW"f3LftV#1rr : .'Y"
Ordlnanpei? Misc. Charg , 156. 0(lpd TI'
TotaL• (13. ')Opci meter
By 64&?- nate Paid:
Date of Insp.:
CITY OF EAGAN
3830 Pilat 4Cno6 Road
P. 0. Boxx1199
Eagan, MN 551i 1
Zoniriy: `
Owner: _
Address:
SEWER SERVECE PERMIT
PERMIT tJO.: -,"
DA7'E:
- No. of Units: ?
SItQ rxd?ESS: 8 54
Plumber: D c
i prN
o ? 'L call
? ?? ? ? ,' ?oze ??g?ing
TELEPN4N? - ELEC
By _ L?Vlsc`6ai
?? ol?? Total:
Inap :- DaN Pa1d:
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ?
DATE j 19 _
?
RECEIVED ?
FROM
AMOUNT $ I
& DOLLARS
ioo
? CASH ? CHECK
FOR
FUND CaoE wMOUNT
- . -..<.
,
? -
"f-
,
Thank You
f
BY
I
?
r
7
SLDG. PERMIT ti0. ??L-L C-_
' r i i?_?.' .
.
01-3210 BIdj f' Pe
I ?•
rmit . ?~ ?
i
01-3422 Plan Checic -
01-3445 Surch. /r`,dm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn,
20-3868 Water Trmt.
20-3716 Water Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
coPY
?9 coPY
REQUEST FOR ELECTRICAL INSPECTION ee-000091-n05
1 See insVUCtions for comDletirg thiy }orm on back of yellow copy, yG?? tJ 1
Q "X" Belnw Work Covered by 7his Request .
.+Ad.flep. Type af BuilEing AOPiiunceawirae Epuiument Wiretl
Home Range Temporary Service
Duplex Water Heater Liyh[iny Fixtures
Apt. Building
Oryer Electric Heatrnn
Tank
M Fee ServiceEntrance5 ieedars/5ubfeetlers Gircuits
?to200Ams
A6ove P00 Oto30qms
31 to 100 qmps Otn30Ams
31 to 100 A
s
Swimming Pool
Transformers Above 100_Amps
Irri ation8ooms
«JD Above 100_Am s
Partial'Other-Fee
i mspecnon. $
r/
I,the Electiical I
Inspector, hereby
Final ? certify thet Me above
D ( inspection hes been
. ??`) I 1 &.?J? r/?4 meEe_
This request void
18 months trom C 76780
J..,. .,
Re.quest Oate Fire No. Roueh-in I
sVectioo
`
Ne mr QBendy Nuw CJWill Notity Inspec
-2 1 1 C ?'Yes ?No tor When Ready
d'iicensetl.£lect?al ConVactor I hereby request ingoection of above
/
? Owner elecirical work iristalled aC
Sveet Atl?tlresr?s, Box or Pout No. Ciiy ?
U'J i,r'r /k
ection o. ownship Name o ftan e No.
9
Coun?
f?
Occupan[ (PR I Phone Ne,
.
Power pDiier Atldress
/
Electrical onhactor ICompany Nam ?
?.-? ?
?
? Conva?'s ?LicyG`r?sq N/Q
?
uL?2A -
?? i G/O
/
Maili p Address IConnaclor or Ownei Making Instai tionl
Authorized Si amre ( nt tor/Owner Mak'
/ g Ins allatipr) Phone Number
minrvE,§OTq STATE ANO OF EIECFRICITV IMs iNSPECTION XEQUEST WILL NOT
Grigps•Midwey 81 .- qoom N•191 BE ACCEPTED BV THE STATE BOARD
7821 Universitv Ave.. St Peul, MN 55700 . UNLE55 PflOPER INSPECTION PEE IS.
Phone(612) 642-OBOO ENCLOSED.
REpUEST FOR ELECTRICAL INSPECTlON /ee-?joooo-iy-ops, See insbuctipns lor completinp this lorm on back of vellow copµ CG' ,'J
5,55-76 "X" Be/ow Work Cnvered by This Request
F e0. Type of Builtling qpOIiancea Wired Equiumen? Wir¢d
Home Range Temporary Service
Duplex Water Heater Liohtino Fixtures
? i,ommercial tlldy. Fumace Silok Unloader
Intlustrial Bldg. Air Conditioner Bul Milk Tank
N ee ? ServiceEmrenceSize p Fee Feetlers/5ubfeetlers Circuits
?1/ to 200qm s 0 to 30 Am s n 30 Am s
j
bove 200 Amp
31 to 700 qmps t
to 100 Am s
L
imming Pool Above 100_Amps ove 100_Amps
ansformers rrigation Booms tial.'Other Fe
e
apeciai snspectron
Aemarks S ?CS? TOTAL f E /? 4-1- V)
NouOh-in ?ate _
? I ehe Ele '
?/ ?
- I1bOBClOl, hBIB
y
F
ina l certify that ehe bova
a
?
mspection has been
? made.
innre?una?.weiamomruno??? y --
This repuest voitl y 18 monffis from
RC5667P "?="'euFieclNCal Conlrac?or
? Owner
i j
.l< J=Y i ... _
n
dy Npw - ?tilv Inspec-
!or When Ready
I hereby r¢queat inspection of abwe
elecfriwl work ipstalled at
BE ACCEPTED BY THE STqTEWBOARO T
UNLESS PROPER INSP[CTION FEE IS
ENCLOSED.
Phona (612) 642-Ogpp s?' Peul. MN 55104
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-881-4675
New Construction Renuiromants
.•: 3 registered sde surveys showing sq. iL of b(, sq. R. of hause; and all mofed areas
(20%mazimumlotcoverageallowed)
. 2 copies of plan showing haam 8 window sizes; poured found design, etc.}
• 1 set af Energy Calculations
. 3 cnpies MTree Presenation Plan'rf lot plalted after 711193
• Rim Jaist Detail OpGOns selection sheel (bldga?tith 3 or less uniLS)
?
4
DATE ?a"3-Da-?\ VALUATIONI ?t ??)`l' qf?)
SITEADDRESS GJ4 GA.Yr -TY(l.L.l. MULTI-FAMILYBLDG Y ? N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT I Q ,
STREETADDRESS TY IbZI,rMYIII6STATE lIINZIP_rTE?r
TELEPHONE # q?Ja _-IDj'aC,iRELL PHO E # FAX # "7`J/iJ"-A-?b
PROPERTY
-------------- ----------------------------•
COMPLETE THIS SECTION FOR
Energy Code Category _ MINNFSOTA RULES 7670
(J submission lype) . Residential Ventilation Categor
• Energy Envelope Calculationl'
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water CoMractor.
Condirioning
_ 14eat Recovery System
N
Fee: $70.00
----------------------------------- --- °-----------------•°---------°------ ?------- -----°----------------------------
I hereby acknowledge that I h( v read this application, state that the information is correct, nd agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
zw/
-°----___-------------_---------------------------------------------------------- ------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Water oftener _
_ Water eater _
No. Baths
a-
7 ? IC) .2 1/39a?.?
1
RemodeUReuairReauiraments
2 capies of plan 1• 1 set of Energy Calculations for fieated additians I
. 7 sfte survey for exterior additbns & decks
• Indicete if home served by sepUc system for addNOns
v 1
Submitted
TELEPHONE#'6 1?63949) 1
°-----°-------------------°----°--------
RESIDENTIAL BUILDINGS ONLY
Phone #
m Sprinkler
of R.I. Baths
Phone #
Fee: $90.00
RESIDENTIAL
oe, 5,Iq 61 BUILDING PERMIT APPLICATION
? CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauiremenls
• 3 registered site surveys showirig sq. H. of lot, sq. fl. ot house; and all roofed aieas
(20 % maaimum lot coverage allowed)
• 2 copies of pian showing beam & win0ax sizes; poured tound desgn, etc.)
. i set of Ener9Y Calculations
• 3 copies of Tree Preservatwn Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs vnth 3 or less units)
DATE ??I D tO?
_ . ., ,
SITE ADDRESS
TYPE Of
APPLICANT
STREET ADDRESS
TELEPHONE #
LW STATEAjL-)ZIP',_-6 ? k 1
FAX #(OSl '",4? 'C_ l_v'J
PROPERTYOWNER MOI R..,1111Yd lJ Vad TELEPHONE?(b)-M - l0(11
---------------------------------.-------------------------------------------------------------
COMPLETE THIS SECTtON fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNESOTA RULLS 7670 CA'r1:GORY I NINNl:SO"1':1 RULES 7672
(d submission type) . Residential Ventilafion Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechonical Contractor:
Vlcclianic;d systcin inclu(tcs:
Sewer/Water Contractor:
Phone #
---°•-----------°------° ............................°-----------------°-----°------ --°------------°--
I hereby acknowledge that I have read this appiication, state thaNr nformation irre t an ree
with all applicable State of Minnesota Statutes and City of Eaga nan ces v?- -`/_
Signature of Applicant V.? V"??-C
- - - ---------------------------------_--_------__- --_--------- ---------- ----------- --------__-----°--"
OFFICE USE ONLY
Watcr Softcncr
Water Hcatcr
No. of Baths
Phone #
rcc: $90.00
/ 5- 7.?), -5
RemodeUReoair Reauirements
. 2 copies of plan
• i sel o( Energy Calculations ior heated additions
• i site survey for extenor additions & decks
. Indicate if home served by septic system tor additions
VALUATION ?CM
MULTI-FAMILY BLDG _Y jz?
Phonc #
Iawii Sprinkler
No. of R.I. Baths
_ Air Conditioniilg Pcc: $70.00
-- Hcal Rccovcry SysLCm ? ? ? ? ? T M I
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4l02
)RK f I U 1 16-171 1 l 1 l. 1C `t- ??UJ l.t SK FIREPLACE(5) _ 0_ 1_ 2
401dtV oF eagan
P.ATRICIA E. AWADA
Mayror
PAUL BAKKEN
PF,GGY C.4I21SON
CYNDEE FIELDS
MFG TILLEY
Council Mem6ers
THOMAS HEDGES
Ciry Adminisvaror
Municipal Center:
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
EzY: 651.681.4612
"I'DD: 651.454.8535
Main[enance Faciliry:
3501 Coachman Point
Eagan, MN 55122
Phane: 651.68 L4300
Fax: 651.681.4360
TDD: 651.454.8535
ww?v.cityoFeagan.com
THELONEOAKTREE
T1te rymbol nfs<rength
:uid growch in uur
communiry
July 11, 2002
LEMASTER CONSTRUCTION INC
430 GATEWAY BLVD
BiJRNSVILLE MN 55337
RE: REFUND OF BUILDING PERMIT 50667
TO WHOM IT MAY CONCERN:
On May 24, 2002, a permit to reroof the residence at 854 Curry Trail was issued to LeMaster
Conshuction. As your company did not perform the work at this address, we are refundine
$139.25 to you under separate cover. We are unable to refund the $3.50 state surcharge that nas
wllected.
This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. A; a
courtesy, we are informing contractors of this policy and issuing a full refund, minus the state
surcharge, for a cancelled permit on a"one time only" basis.
If you have any questions, please feel free to give me a call at 651-681-4695.
S?'erely,
7an Severson
Office Supervisor
cc: Dale Schoeppner, ChieFBuilding Official
APPLICATION FOR PERMIT
CITY OF EAGAN
SEWER AND/OR WATER CONNECTION
*ATF: PAYMENP'OF FEE AT TIM pF
APrLscATIoN ooES Nom oorb-riTM
APPROVAL OF PERMIIT.
naseBMoN oF sDmz nrro/ox MM
711STAiSATTQr]$ Wjiy NOp $$ $(Hm-
UIS•D UN'FIL PERMT AAS BE@I
APPROVID.
1) PROPERTY ADDRESS:
S?sY
-
LEGAL DESCRIPTION: f, pj Zj ?
(LOt/Block Sub ?
dlvision
or Tax Parcel ID )
IF E7QSTING STRCY'tL?RE,
! DATE OF ORIGINAL HPILDING.PERMIT ISSC'ANCE: /O ry --
-
PRF_SE[JP ZONING/pROPOSID L'SE: Mon Year?
CAti'A7EE2CIAL/REPAIL/OFFICE
IDIDC.'STRIAi,
n ZNSTITL'TIONAL/GpVERNEN'p
2) 1091?
? R-1 SINGI,E FAbIILY
? R-2 DLPLEX (1ko Onits)
R-3 70WNHOIISE (Three + Units) ( tlnits)
? R-4 APARTMENT/CpDIDOMINIL?M ( Units )
NP,ME:
ADDRESS:
CITSt. STATE. ZIP: ?U r• J??.•.- /lJ• ?w .?? S"?°? 2_
PHONE: AP
3) ?:? For City Use .
Plumber Licenge:
AMRES5:_ 3 ACtive
CITY, STATE• 2IP: S F7cPised
i -e Not recorded
PHONE:_SS9y-2?"'75? MASTER LICENSE# 7 St Initial
4) •a? ? • ia-
NAME:
ADDRFSS:
CITY. STATE, 2IPc
PHONE:
•5) ? v ajql a• • .N• : z • o- -
? CONNECTION RO CITY SEWII2 .?f CONNEGTION TO CITY WATER OTFIER .
6) ?? •' ??• ? PLEASE HOLD APPROVFD PIItPIIT FCY2 PICK-UP BY ONE OF ABOVE
PLF115E MAIL APPROVID PERMIT TO 1, 2, (9)4. pPlOVE
(Circle one)
7)
FOR CITY USE ONLY
PERMIT # ISSUED •
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SORCHARGE) .
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ .?v (' , o ? $ wAc
$ Un $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SIIRCHARGE
$ $ OTHER:
S /Z $ c?J, D U TOTAL
67 qo 9
RECEIPT RECEIPT
DOES LTZLITY CONNEC TION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLL OWING CbIVDITIONS:
APPROVED BY: e?c.cJ
TITLE:
DATE: _ ?I . `??,,:rz-
)V,2
L1L B? CTI'Y OF EAGAN
/J a ,yECHANICAL PIIiMIT RECIIP'P D
SUBD. ']u?.o?49uf1 " (612) 681-4675 DATE r.?
? RESIDENTIAL
PLF.ASE COMPLEi'E UPPER ppRTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE PERM]T3 pRE ]tEQUI]tEp FOR EACH DR'ELLING UN1T.
oWNEP. s?. ;ct ? o a ? d F EES
S1TE ADDRFSS:
5- /+
i-
' ADD ON/REMODEL (E7IISTING ? $ 15.00
- ?u
Y
; CONSTRUCfION ONM
INSTALLER: HVAC: 0.100 M BTU 24
00
. .
PAONE 12481 Rhode Island Ave. So. aDD11'IONAL so M BTV b.oo
wlDDscra'S: avage,
GAS OU1'LETS - MINIMUM 1@ $3 EA.
CITy: ZIP: SURCHARGE: $ .50
SIGNATURE: (? S TOTAL: $ S Sa
}
?
V 61
COMMERCIAL
PLEASE COMPLETE 't'HIS PORTTON FOR ALL COMMERCL4LINDUSTRIAL BUILDINGS. AISO COMPLEI'E FOR
APARTMENT BUII.DINGS OR OTHER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMTI'S ARE NOT REQUIRED FOR
Fr1CH DR'ELLING UNTf.
WORK DFSCRIPTTON: II CONTRACI' PRICE: I FEFS
1% OF CONTRACl' FE&
STATE SURCHARGE IS 5.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCFSSED PIPING • $25.00 r
s
MINIMUM FEE - 525.00 I
r
? Remodel<i ? ?.Zc
11^uY-?--!•., Repair 'i' ' .;,.•.T3
Enlarge. N'•:
Move
Demolish :"D€
t / 3< Grade Sc
APPROVAL3
Assessments Pe
. Water/Sewer
_ 7,,.Su
?
Police
P1
B1dgiOfff A ,?,Pa"1
'APC
? ` ` `? rt r t?"TI,
r?
1..
g ?•
.
? ':. ' . . ,.$
tr
. . . . ,
F
?
ry
o
J
361•OG+
3c3•00+
i80•5U+
? 575•00+
G 500-0(3+
? 63•5U+
290•00}
156•00+
, 2) 164•DU4
{?j `
{4
(o x +O -
22 ?: 22 -
1 H 6 x ?)Gs
f oa k ? _ ???'
?5 ci 7/b
,
I
rage t or 9
' EXT[RiOR ENVfLOPI AVf.Rl1fE "II° COP1PUT/1fI0N ?33Z7
OWNER• '
nnrr:---?=1?-$? , SITE ADDRESS: PIION[:
???cs------- ------?.
CONTRACTOR:
Determine working square footaqe of each
1. Total exposed wall area..... ZO$$_ _,sq. fC, x .11
2. Total roof/ceiliny area..... ?ft(P___ Sy, ft. x.O,0o = 3f,p
Total exposed wali arca abave floor= 117 Z
a.
b Total
Total wall window area ................
door
e ......... .................
'
-
?
??
. ar
a ..... . ... .. . .. . . . .
.....
... -
-
----
c.
Total
sliding glass door area......... ......
..
...... ..................
d.
Total
firepiace wall area ............. .
...
.
.
.
.
.............
.
•
e.
Total
wall framing area (average lOw) . ......
......... ....
.
.
.
.
.
.......
.... . .
. -
f.
Total
rim joist area ..................
.
........ ..
. . .
.
. . . .
???
/87
9.
net
wall area above floor........
.
. ....
. . . . . . . . . . . . . . i44
h• .
wall area above floor .......... ........
. ..................
•
i•
wall area above floor .......... ........
... ..
................
'
j.
frame
wall area at foundat.ion........ ......
........ .........
.........
. ...............
?..
Total exposed foundaCion arca=
---
? 7---
k. . Total foundation window arca...
1.
Total .......
net foandation area above gracle . .........
......... ....
... -- J"-'?-
?
-
. --_
-- 7 ._
' Determine "u" value of each watl segmenC
, (e,g. window, (loor, each separate wall section)
r
a '2-- X „ U., _-
.-.--
--???--
„ b, X U., ..-- _-?.1---- - --??-
c , 40X „ ? ?, ---- --i .'-- - ----?g=?-- -
d. - X ?1V _
e. 1 g7 x
f.14--- x liui,
• 04-
----?-?
9'--1450X u?,_
n. x ,lu,. _
i. x 11 u„ _
j, X IV.
-- _
k.
x 'lull -- - Cf item q3 is the sam
as, or less than item
1' --L--- K?????----
___??---
-'-_._?_?1•?__ N1, ynu havo met.the
inCenk af S6C 6006 (t
3 . ..
.
.
... ..........................
Total
----z ?7---
?E
;•
I
i
;?
f
G: yfior Cnvelope Average "lJ" ComputaCion
Page 2 of 9 .
I
Total exposed root/ceiling nrea = ? ?q(p
M. Total skyli.qht area.............................
n. Tol-al roof/ceiling framing area (,ivcragc_ 100)... j2p
o. Total net insulated roof/ccili.n9 area.........,.
? Determine "U" valuc for each roof/ceiling segment ?
M. x "ul.
n. C?A x "Ull_--Q??-- ° -?- •$
a, x„U„ •S
4 ...........................
?bcal =Z4•.'?
Iftotal oE #4 isthe same as, or less t_han Il2, you have met the intent of
S7sr 6005 (c) 1.
Alternate Buildinry Lnvelope Desiryn
•Lo;utilize the total enyelope'system method, the values establ.ishecl by tlte sam of
i.Cems 113 and {+q r;hall not be greater Lhan the som of il-ems ill and 112.
1. 2'",1 _ + 2. 3I.0 3. _-?a- + 9. 24•3
v._'?y
. ? . ' .?.• ••..- - ? .. . . : J'v"vWY'
• VJ'?Li??L"i?:rN4 'J't1C'^? 7!?'?'ev
• .
•III ,
PLAt..I ?k 33 Z7.
? Li ci FL4 L FT, EXpos?D WALC_
?LOGI?I?; z?+4c?tLmt?? = t4q
-uLL Ii??
=vLL2l ; . _
?L'?.E
?Z1M= i? I?
i
WA LL A2.EA
t3l.Loc ?K'?
E It} ? K , S = -7 -tr
.
E ? 144 X S= 7zd ,
,
w.o. - x
_
g
? 87Z
LL
Fu !;I < K 8 = irsZ
,
,
F,P, „ .
'1ro 7A L = 2a s8
JQ,Ft. EKPaSE.D GEILfUq 2?Ox4(,P= 1rryo
?
w DwS ?
! 2444 i-t-+-t I
!I 20?0 11l .
"zi 34 T*+-% 1*44 1
Doo?.S ?
0
39
PoTolol DfZ.S
? s ? ?35 M? F U l.1 r-t-5 U`
i,
- ?
• . a?ni.r. sECTiC?N:t
_[: U::r 1St oC o??a?iun w,ill nrcn for
frnm,: coiirfruct lun
? _i?I?-----_n
SIC
A L[.
FIC. $1 TGPVIF;W OF
. riwIE wnr.t.
h?
arzcit
L
-_---_rn
- • ? "/,?''
? .oi,. •rwo
Con^fr%u:i i;,u R-V.) lu,:
.. .
__ 3S
6. t:r.tcc iur ai.i: f i;in
'rut.o l !Z_.z7
u=,da
INSuU.
1. inCri•!ni' a ir :11ni p.(;!1
1. _yL"_Ca_YP.,...?BP•. _ ._.....__--.--_._r45
3.
?g"_,li-!ss1t.--
?
------ ---- --
4
. ????'"?.l?Jt .......... ....--•----- ---(0..0
s . GL
G. ErCcrior ,iir Lihm • 0.17
---. ,??,>?.;I
U=-ps
1"A
R
1. ,;
,,,
rum ?>.6;l
z.
_trA-4ku_t.......3?'6_.. ---
...r_.._.. . _._/;.a
3. ----.._ .._ _....... --......_...---??89
4.
(;. }:xtrrlnr nir Lilm 0.17
l : i 1
v-.o9
't.
i. -.-12".--mNG?---Bc.?
n . vo. .
?J
5. _.----'-- --- _----------"-----
G. I::cC??ciuC nir filri
'I,ol:il /z 113
V=AM& .oB
. .
sI.nn nri
o`•.F ' , ' ?? _- '? ?'/ ?,
tq /r(
. 13 ' ?.-.
-? '? • / ` ?? -__-
`.
? . , . ,.
~ I!I'? , , ? • ?
etc. Rn - ) ' , ' l lrf
I!I S • :>
Y.. _\... .'1... t ?
? i
!? f .' ?' ? • r-r• :_
tlu•CI:. Indlcnca t.y"r, 'yi° (Ir.i)CL nrnl
' ??I.?i.?u•?unC. IIY lu?.Iul.lllun.
• RUOC/CE3LT?C
:nzed
Hea[ flou
up
F'IG. 45
Construction
Tntcclor nir f.ilm ,
A-V,1J.uo
3. ! ??? _ • 44. ?
4. Extcri.or ?ir filn (still 0?
- Total 2 4sSo
l. Intcrior nir film 0.61
r.---
2. ?--?-
s^?tijsut? __r. 38.35
3. 747
4.
'lbtal
[ aA- Srn2 v c r
Insldc ais film 0.6].
2 -.---- ? ----
3 . --- ?
? q.
S, Out:idc air film
Total
,ci!'-9-s Ls
? • • . . .
? ?}!ecc fJ.alj vp . , . "vcnted
. , YSC. 16: . _. • •. ... . :
u
? . Heat '
; • flou up • • ?
. ... • . .. •
JCI.. P7 . .. t•
1. Insldc air Pilm 0:61
2. •
3. ' . .
4.
$, OuY.side . ir filin 0.17
Toka1
1_ Yn,idn air filrn O.bl
z _-
3_ ' • ? '
4.
5. Otifsi.dc ai.r f.ilm 0.17
? TotaL
Nute: Uso addltion.al sher_[s if morc spaeo i:
? neeelecl for details and calculatians.
• . - .
.?._eL•??.?-r'.v?:^?ti._?. •.tc?.?..r??n?.t'.«c.l
- --- ?- . ??J?/ '?'? 6? t4/' .??`• a a ?? '"' <• .bl,?Z?601
BUILDING AND INSPECTION DIVISION DEP/aRTMENT OF ?
OMMUNITY DEVELOPMENT, 2215 WBT OLD SHAKOVEE HEAT LOSS CALCULATIONS ROAD, BLOOMINGTON, MINNESOTA 55431 861-5811
Wcathtrstripa IA G?ide f Corotmction No. ` 1NSULATION [[3bomcigton
Windowa ? Doon ?I Reference II 0ut. Wa11 Int. Wall Ceaing Roof floor II Kind ' ?wl1PPli?
Yee-No Yea- o ? 19_
??' Fl. Room Length Width I tf'r Height &' IP?`? Fl.I !+?'"' [;?a'?+'€t Roomil.engt6 ?.?, ideh d? Heightsl
?Jlindowa and Doors-Crackaae and Area ? Windowa and r1vhrr*--Cr&ckeze aad Area
Na. WIaU
otnane Hetgnl
ofDant No. ot
IIiTU Llnea114'
efer.ck Area
84.IL
c«r. Btu
lnfiltration ?,, ,'? ?;?f
Glsaa
Fxp.wall ` .''S'{t %
Net exP: wa1! Y f I^?:t°' ?
,lat.-wall t 7f
CeilinH IqSe.i
, .
.61eerc--- _ . .- . ? ,
Total Bm.
Rtauired sa. ft. E.D.R. or w. im. W.A. I.eader arca -
No.
c
Fsp. wall
idd eap.'wail
dsG wal! fu
Ceeling
Tata! &u.
Req+'ned w. k.'E.D.R or w- iea, W.A. Leader area
?;=. -? ,•?.i .a? u_e_L.r.r
Windowa and
N
e, WIdIh
ot
Dane Height
o[ "
n
e . No. a!
. p[bb Lineal [t.
k
e[ cne 'An?
p. _
y ! y ?
f +
{
Coef, Btu
Infiluation y'$"
Cdau
Exp. wall * Q X,' f
Net ezp. walf
lne,-wa1G
Ceiline > 7 f/P
t -ESoor , .
Ew. . r w ?eEmmuom i?Ns y -r-F i Kr ........ ?r ?? . ...,.e...
Windowt aad Doon-Crneka ge aod Acea
?
- ?
? N0. - Wf1tE
O/ yePs 8e1glt
?M Dl4 -Ho.oC
?II(LU Llneeltt.
ek
e!
n
c A*et . ?
?
'
t
j
-
tu
ic5ltration qx/: 14 4 / 06 .
?Gteu ._ ^, ses lrs?GF
Eap. wsll 1.
Net eip. ws11 ' L+ 14l35"
_.?A?r1M?-. ?S t8e +F''
Ctiling : x" { 41 , ! ` ,r
?:. ,.:.: .
. . .
. :
a ,. . .. .
??4. .. .
, - .
Totel $tu t / Tota1 Btu: - ' ; _ . . • r
'Required aq ft: E.D.R. or sq.'wa. W.A."L:eadcr aree , - '[tequuzd p h E.D.R. m sq. in:. W.A. Leader erea
OFl. : e E Room9Length, ' V;athrll'. Hei8h '! •°i2aomlt<ngtt+ ry `width -_tieiaht
Windows and Doorr--Crackage, aod Area . -' Wiudov» aed Deor+-Crockage pad Area
k.
$. Ne. Wldts .
ot yan0 HalgGt
e(
pana . Ne.et
.71ipts L1eaa1lt.
ot en
2k, -•ro
p, tt. : ,
_ ..
I
I y
k" Coef. Beu
Inbltration ,24 fq:5-
Esµ wsll i . ;.. . . Lt ' '
Net eip. wsll
Ceiling es" :
Total Btu . .?'?-?/ ?r a? •
`Nw -- WiAtA
` vI ua?
'e!. Van, jll0. 0!
11gpes ? WPW ft
et
e
raet Aru
L+[!c?- /
$
'cf?
F
,
Coef.
"Btu
. `
In6ftratioa ? '= ? " , 3 ?
. ?'G{w . a .B
-Zxp;:W&U I. `
:Net';eiRwall
.iatvwsll 40'4a
. .;°.'
?
HEAT LOSS ?CALCULATIONS 33 &q 7[
BVILDING NND IIVSPECTION OIVISION ?EPARTMENT OF '
-OMMUNITY DEVELOPMENT 2215 WE?T OLO SHAKOPEE .- .' -
ROAD, BLOOMINGTON, MINf4E50TA 55431 Be1-5811
Weat6eratrips
Guide Camtroctan N0. INSULATION
Wendowa I . Doora Referm« Out Wall Int. Well Ceiling Roof flaor Kind
Yes-No Yea-No 19-
ItF1.1 "Rp+R.n Room LxngthJ Width IV Height It F1.1 RoomI l.eagth
Windowa and Doora-Crackage and Area I W' do d Doorr--Craeka aad
Na Wltl[h
of Dane Height
o( osne No. oI
lighb Lim?l fL
ot cr?ck Arc?
W. tt. . -
Coef. Btu
?06??f3h06 ' .
Glasa
Fsp. wail
r. Ef
net e:p. wall
a?n , ?P
N 8 -.
?1
Ctilin8 `?! - - . ? l 0
Total Bm.
Required sq. k. E.D.R. or aq. ins. W.A. Leader a
F7.J ?ai3.CsR??'Room I L.eagt6' (E Width
Windowa and Doors-Crockarte and Area
Fbw App
Width Height
m wc an ge nr ea
-
No. wiain
e[ "na Height .
et yaa. No. e[
4Rhts Lleed tt.
ot eraek Ane
mC. ri.
Coef. Btu
1diLrLf10A
Glast
F.xp. wall .
Net ezp. wall
Ial. wAU . _ . . _ , .
Ceiling .
Floor .
Total Btu.
Requ'ved p. k. E.D.R. or p: ina. W.A. l.eader area
Heieht ' Fl.I Room I Length Width
N. WIOt¢
ot pene ' Height
et pana No. et
}IgEt, r Ltnaaltt.
Of eeack Arw
p. tt.
. . '
0 Q
' r a? , ., Q 'Q 61
Coef. Bm
lnfiltration ` • /! + q
- Glasa
Exp. wall L' #.)!t 1+ ic+.Y t ;S
Net exp. wall '
4n4--ra1F- , ; .
Ee+?ns-. ' '
. ..wmmws ana uoorr-a.raeea ge ana nr u .
Na -- WWIA
ef pte? Haig t
1
et pae? . N
0.01
..71[bb fdwAltt.
M ereck Ans .
w. fL -.
Coef. tu
In51[ration
Glau ,
Eap. wdl
Net ezp. wall
Int. wa0
Ceiling
'.^ Floor ' - `-
Totat Bsu., . Q ol? Total Btu:
- Required aq. fL ED.R. ot aq. ies.'W.A. I.eeder aroa Required rq. $. E:D.R. or q. ins. WA. Leader aru - J
Fl. Rocm I Lengt6 Vidi6 ileight 14 'Fl.I Rooml[.eegth Width Height
A
Wiodowe and Daon-Craeluee and tta • Wiadom aed Dnors--Crackage aad Area
wfain xeisee ? xo. o[ . wnut eL Arch. . . . . ` ...
Ne. ? e[pans a( Wne . Illbta: Atenek ap. [L .. tdN LLi t Na o[ 1JeO&1 t4 Ana
Na ' of paaa ef i"o Il(!U .' al mek q. [t , .
. CeeE. ;Btu _ Coef. Btu
Infiltiat4on . '. - , : .
Class . Glas:
Fsp. w.ll - ` x.` S`bo <ExP wat!
, r
Net av. wnll p- 'Net e=p. waU
IoG Wall
.. . .
`?B--r . , . . . ,. . - . ; : , `. . ; . Ceiling' • . - : . _ ; . .
; Floor . _ 0 ? ' - , , Floor
Total Bta =1'otal &u.' - ? . .
RequiTed iq.'ft. E.D.R.or.sq. ies.'W.A:•Cssder aiea Required q. h.:£.D.R;or`aa. iei. W.A. Leader uea
RVEYOR'S CERTIFICATE
REVISED 9'19-86 TO SHOWA PROPOSED
HOUSE FOR KEYLAND HOMES '
0 CURRY
- s 89052'11" E 9e.47 -
SIENNA CORPORATION
?
'• b_.r_ ?
? ? O '?r/L1.oo .y0 ? \ .
$ '°
m
(_? • ? _.
-- LOT I I? .. ^ 92.?-?
3 `
0)
? o
? Jl? O
Q DRAINAGE 9 UTILITY 1
r O EASEMENT PER PLAT1?
Io ? 25 P
67 NO I
? z ..-10 v
IO.OOi i 33 ?
O63F
_-j S 890 52'II" E 168.47' -°. CSdµ°J rn'
I 30
I ? f'? -r ? ?.J l
-4- DENOTES PROPOSED SURFACE DRAINAGE.
O DENOTES IRON P14NUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT.FOUND PROPOSED GARAGE FLOOR = 9G5.? FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 962•8 FEET
(000:0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = qLG,o FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS I5 A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF:
Lot II , Block 2, NORTHVIEW MEADOWS 20 ,A0DITI0N, according to the recorded
thereof, Dakota County, Minnesota. (THIS LEGAL DESCRIPTION WILL BE VALID
UPON THE FILING OF THE PLAT.)
IT DOES NOT PURPORT TO SHOW IMPROVEMENT OR ENCROACHMENT, IF?ANY. AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS )qti, DAY OF 'At3vy{ , 1986.' '
APPROVED FOR SIENNA SIGNEO: JAMES HI L, INC.
CORPORATION --
BY:
DATED THIS DAY OF
19 hROJECT N0.
86543 691, 9& 7/
FILE NO,
' FOLDER
BY: l/HAROLD C. PETERSON,'LAND SURVEYOR
. MINNESOTA 6ICENSE NUMBER 1229/I"?,dq
sooK i Pnae JAMES R. HILL, INC:: "
Planners / Engineers / Surveyors
8200 Humboldt Avanue South
Blootnlneton, Mn: 65431 812-884-3028
For Office Use I
. LI C
City of EUEd 11 Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
a
Date: ® Site Address: 9SLR
Tenant: Suite
RESIDENT/ OWNER Name: /Qf'2 ~l Phone: 651" ("Op j-
Address/City/Zip: '954 CUf rY +-rc"
Applicant is: -A_ Owner Contractor
TYPE OF WORK Description of work: W '&'s r n
Construction Cost: 4 0(9 Multi-Family Building: (Yes / 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
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 Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 n application for a permit, and work is not to start witho a permit; that the work will be in
accordance with the approved plan in the case of work w ich requires a review and approval of pla s.
X, if `i / ( X
Applicants Printed Name A ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171155
Date Issued:08/03/2021
Permit Category:ePermit
Site Address: 854 Curry Tr
Lot:11 Block: 2 Addition: Northview Meadows 2nd
PID:10-52101-02-110
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 -
Mohamed E Said
854 Curry Trl
Eagan MN 55123--198
(612) 386-5826
Aztec Exteriors Llc
1349 Margaret St
St Paul MN 55106
(651) 357-4431
Applicant/Permitee: Signature Issued By: Signature