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4593 Cliff Ridge Ct. . .. o, ?.rr.: T..;,riyk??±;!+..+i ..-? . w . . .. . . . - . _ . Mf FIMSH 02/12/91 688-1710 CITY OF EAGAN 4a 17556 ??0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # 'J Site Address 4593 CLIPF RIDGE C Lot 4 Block I SeclSub. CL] Parcel No. r Value OFFICE USE ONLY ? Occupancy R-3 M"1 FEFS Zoning PD &"1 (Actuaq Const V-N Bldg. Permit 536.00 (Allowable) Y N Surcharge 3$. yp 8 01 Slories Length 47 ' Plan Review 348•90 . Depth SAC, City 100001131 ' S.F. Tolal - gAC, MCWCC 6w•oo S.F. Footprinis - bZS•Q? On Si1e Sewage _ \Nater Conn On Site Well Waler Meter 90.00 rutwCC system - ? 30 900 City Water ? Actt. Deposit PRV Required xx SNV Permit 30•00 Booster Pump - S?W Surcharge • 50 TreatmentPl 252.00 , APPROVALS Road Unit 353•00 . Planner - park Ded. Council BIdg.OH. Copies - Variance - TOTAL ' 3,005.00 W Name JQB MIl.LBR fi0lES o Address 18139 CEDAR AVE 3 City FARMYNMOH Phone 431-2001 :o Narne SAME Address Phone Name - Address Ciry _ I hereby acknowlege that I have read this application and state that the information is correct and agree to c;pmply with all applicable State of Minnesota Statutes and City?o( Eage?iC?rdinan? 81 Signature ot Permitee A euilding Permit is issued to: JOE NIW.ER HOHES on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official a - Permit No. Permit Holder Date Telephone # WATER /j 2 s@*?- PLUMBING . 1175 r 9 ros8-? o H.V.A.C. - ELECTRIC Inspeetion Date Insp. Comments Footings 1 Found8lion Framing f ? Rooling Rough Plbg. Rough Hig. ? 40 Isul. 1 !41/, j Fireplace Final Htg. -?Q Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final NC Deck Ftg. D,(ftlfl f4W ? Deck Final ? d s2 r/ p" ?J ? 11, ? wen ?,[-QU-) .i?? Pr. Disp. >ar.?,?'•?:?,ra. . -. ...--=-=r ,`r*,: .. 4 . 40' r (lerfi#ir?tt of Mrrupttnrg titp of (Eagari frpttrtatrn# af luttdfing Inwrtian This Certificate issued pursuant to the requiremenu of Section 306 of the Uniforna Building Code certifying that at the time of issuance this siructure was in compliance with the various ordinances of the City regulaiing buildtng construction ar use. For the following.• u. cur.w, SEEMG/ra,R Aag. Pem;t rro. 17556 o-Vn-r T,,x R3/M I &,;„g oigro PD/R1 Tyw c? VN o,,.or e.id.g -xw MrrJl?u HOMEs Addm 18133 tEDAR AVE. 90. , FAF3IDGM 4593 Hjpg? OOIIRT Loc,,;,y IA. B 1, (Lg'F RIDGE MAY 17. 1990 - POST IN A CONSPICUOUS PLACE . . ? ; I Site Address " lot Block Name ? Address c City ? Name 3 Address O cih ' TYPE OF WORK Forced Air Boilsr I Air Cond. Vent ? Gas Piping OuUets # MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 65122 PHONE: 454-8100 eLoa. nrPE ?ec/Sub Res. M ult Comm. Other M BTU ? M BTU $- M BTU $.- M BTU $._ CFM $_ PERMIT FEE: _ S/C: _ TOTAL: _ For OHice Use Only: PERMIT # RECEIPT # DATE: ? WORK DESCRIPTION New ' Add-on Repair FEES RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERIIAIr) - COMM/IND FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES 1.50 EA. TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDEM'lAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - STATE SURCHARGE PER PERMIT - 20.00 50 (ADD $.50 S/C PER EACH $1000.00 OF PERMR FEE) . , SIGNATURE OF PERMITTEE ' FOR: ClTY OF EAGAN PLUMBING PERMIT For Offtce Use Only • CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #`> PRICE pH NE 454-8100 DATE: Site Address BLDG. TYPE WORK DESCRIP?ION Lot R[rink Sec/ b Res. New Muft. Add-on Comm. Repair . Name - . Other Address ig c Chy Phqn - RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL -/- Water Closet - $3.00 $ ? Name Bath Tubs - $3.00 3 Addre Lavatory - $3.00 0 Gity Phond - Shower - $3.00 ? K itchen Sink - $3.00 UBidet - $3 00 ? U i FEES r na . Laundry Tray - $3.00 COMMJIND. FEE - 1% OF CONTRACT FEE .?_ Floor Drains -$1.50 ART. BLDGS.---GOMM? RATE APPLIES' Water Heater -$1.50 l?qb TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM - 1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener- $5.00 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Pnvate Disp. - $10.00 '' -5!_ Rough Openings - $1.50 ?_ SIGNATUR P EE PERMIT FEE: STATES S/C: • `? FOR: CITY OF EAGAN GRAND TOTAL: o? ?1 s?? To be u Site Ac Lot - Parcel Block 1 CITY OF EAGAN NO 17556 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? / _ Receipt # «' ?f 3AR Est. Value $77.000 Date FEB 26 , 1990 _ ¢ Name JvZ 111LLP.i( nvru.D W ; Address 18133 CEDAR AVE S o _.. „ . ,,,,T ,,,,...,.,, _ . . ., , . Address ? ?WQ Name W W H Address i W City Phone I hereby acknowlege that I have read Ihis application and state that ihe information is correct and agree to mply wit ali appiicable State of Minnesota Statutes and Cit 1 E rdinan Signature ot Permitee - Z A euilding Permit is issued to: JOE MILLER HOMES 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 0,f d - 'I U k ` BUILDING PERMIT CE USE ONLY OccupanCy R-3 M-1 FEES Zoning PD R-1 (Actual) Const V-N Bldg. Permit 536 . 00 (Albwable) V'N Surcharge 38.50 # ot Stories Len9lh 47 ' Plan Review 348. ?0 oepcn 46' sac, city 100. 00 S.F. Total - SAC, MCWCC 600. OO S.F. Footprints - 625 00 On Sile Sewage _ water Conn . on sice weu - weier Meter 90.00 MWCC System xx Acct. Deposil 30. 00 city water ?? PRV Aequired ? SflN Permii 30.00 Booster Pump - S/W Surcharge • 50 Treatment PI 252, ?0 APPROVALS Road Unit 355.00 Planner - Co ntil Park Ded. u ?? Off. _ Copies Variance - TOTAL 3,005. 00 INSPECTION RECORD /6ITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: I, ! , , ; APPLICANT: ?. , , , i t?ii???!? c?r ?. , ,:,. ;,,? PERMIT SUBTYPE: TYPE OF WORK: ;, eJ KA r i Urt , ; K i" t. M t? I.? ft I I I Nw. ,.. , ? ' '•f? , ' 1 r I : , ? , ? i,, . ? . f? i ! . ? ? F L i N I; ( Pe?mit Holder Date Telephone S PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYOROSTATIC TES7 . BSMT R.I. BSMT FINAL DECK FTG DECK FINAL , . . --.,-k. -;?eev?+.: . . . . . . _ . . • r i. CASH RECEIPT CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 1 L???? ?'?? DATE 19 ? vnoM - ? ? AMOUNT ? • L?' ? g pOLLARS ,ao O CASH I? CHECK wa I..-£: , - ? r V' C 854C50 - . Thank You ,;?:?r eY `?--? Your Sewer & Water Permit for the above Public Works Garage (3501 Coachman F CALL PUBLIC WORKS (454-5220) FOR ' Your Sewer & Water Permit for the above property cannot be reasons: completed for the Your Sewer & Water Permit for the above properly has been completed, but the be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: PIi confirmed by Bill Adams or Dirk House ( IG: BEFORE DIGGING, CALL LOCAL - REQUIRED BY LAW. Secretary, Building Inspections Dept. ELECTRIC, GAS, ETC. WATER TURN ON POLICY. 0 ,. .. ? RE: DATE: _ 4593 CLIFF xIDGE CT . A Your Sewer & Water Permit for the above property has been completed. It will be held at the ? Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. i Your Sewer & Water Permit for the above property cannot be completed for the following ? reasons: ? , Your Sewer & Water Permit for the above property has been completed, but the meter cannot ; be issued or occupancy allowed until further notice. ! COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. i WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC. - REGIUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. I Secretary, Building Inspections Dept. ? L.- - --- - -- ---- - _ 1 R SEWER & WATER PERMIT C11Y OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SfTE ADDRESS L1 LQT BLOClt `. SEC/Sl1B APPLICANT: ADDRESS: CITY, STATE PHONE: - PLUMBER: ADDRESS: CITY, STAi PHONE: _ OWNER: oFFICE USE ONLY PERMIT OATE ',' 2 S% y?? WATER PERMIT #4?ad$EWER PERMIT # i 12-'2 METER # LZ B.P. RECEIPT #L f? ,q 4 S READER? J' 3 B.P. RECEIPT DATE LZLiir!C1u METER SIZE ISSUE DATE X_X PRV - B005TEFi PUMP PERMIT REQUESTED ? SEWER X\ WATER _ TAPS ZIP - COMM/IND ? NEW OFFICE USE ONLY I AGREE TO COMPLY WITH CITY OF GAM ORDINAM6ES: ? ADDRESS: CITY, STATE G ATUR H ET I ED PHONE; ?' 11 J V , PLEASE ALLOW TWp WORKING DAY$ FO()PROCESSING. FOR STQRM SEWER PERMITS, CONTACT ENG(NEERING DEPT. SEWER &,WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 SITE ADDRESS , STATE _ PERMIT DqTE WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # AEADEA # B.P. RECEfPT DATE -:' ` ` `•; (+ METER SIZE ISSUE DATE PRV _ BOOSTER PUMP ? PERMR REOUESTED -5? SEWER L WATER _ TAPS - COMM/IND RESIDENTIAL V . ? NEW _ EXISTING STATE 4 RESIDENTIAL - EXISTING 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES; SIGNATURE WHEN METER ISSUED FOR PAOCESSING. FOR STORM SEWER PERMITS, CONTACT ?/?/0 & 36721 REQUEST FOR ELECTRICAL IN5PECTION ? Sze insiructions lor completing ihis farm on back of ysllow copy X" Selow Work Covered by This Request ew Atlv p TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Buiiding Dryer Other (Specily) Comm./Industrial Furnace Farm Air Conditioner Other (spxiy) Conireclor§ Remarks: Compute lnspection Fee Below: # Olher Swimming Pool Fee # ServiceEnlrance5ize 0 t0 200 AmpS Fee # Circuits/Feeders to 100 Amps Fee Transformers Above20D_AmpS Above_700_Amps SignS Inspeaor's Use Only. ` TOTAL Irrigation Booms ???111 ? / Q ? s S i ll i pec a nspection Alarm/Communication THIS INSTALLATION MAV BE ORDER CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M THS. I, the Electrical Inspector, hereby certify that the above inspectionhas 6een made. RO°9n'" F;,,ai Date ? oa?e r? OiFlCE USE ONLY This rei voitl 18 monfhs Imm ry/i??/0 .. • 96 d 1;79 0 36 721 ? Repuesl Daie Fire N Roug in Ns ion RQ tl' ? Ready Now?Wlll Notity inspeclor 4??? 9 ? Ves ? N. When Reatly? Alicensed contractor ? owner hereby requesi inspection of above electrical work at: Job AaOress (Streeq Box or Roule No.l Clty 4593 CQ.ill /2idge Couat Eag¢n Secbon No. Towns?ip Name or No. Fange No. Counry Dakota Oc pant (P T) oe I?iL?kea Con.stitl Co. Phone No. 439-2009 Power Supplier Adtlress Dakota E2ect2ic 7a2mingioa, (IN 55024 EiecV¢al Conirncmr ICOmpany Name) Conlractor's License No. I'lidXand ELect2ic Inc. 041690 Ml 670 5 5s (Co Vaaor or Owner Making InStallaDOn) Gaaarl Rve So, SuLfe E, 13u2neyi22e, (?N 55337 AulOOriie . a ?GmVaclor;Owner Makicg Ins ' lion PM1one Number 2 ' 892-6688 #?;?? 5?0 MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REpUEST WILL NOT Grigge-Mldwey Bltlg. - Room S-173 BE ACCEPTED BV THE STATE BOAR? 1821 University Ave., Sf. Paul, MN 55100 UNLESS PROPEF INSPWTION FEE IS Phone (612) 642-0WO ENCLOSED. G 3361? •. ( ??o Request Oa1e ? / p, ?/ ough Inspection ??A/// O Fe etl? ? Reatly Now/?yypl NoAfy Inspector Ves G No v\pypen Reatly? I[] licensed wntractor Alowner hereby request inspection of above electrical work at: Job Atldress ISVeel. Box or qoute No,) , - - ?N Senion No. Township Name or No. Ranae No. ,.__.. I\ Aomess ICOntracior or pwner CrO? License Na. Nnone Number MiNNE?p STATE BOAqO ?j GHgpetMltlway Bltlg. - qea , 1821 Unlverslty Ave., SL Peul, MN Plqne (612) 802?pp THIS INSPECTION REQl1EST WILL NOi BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED C?16191 REQUEST FOR ELECTRICAL INSPECTION a ? ' rq ? See insimdions lor completing this brm on back of yellow copy 2 Be/ow Work Covered by This Request lewAtltl ReP. TYPeoBUld'n9 APpI'a W' tl I I IHOme Farm Otner (speaty) Campute Inspection Fee Below: # Other Fee _ ?Swimmmg Pool ?- ,r?.? ? O/. Equipmen[ W iretl xs Pemark ljsmt• ServiceEnirance5ize Fee # Cin 1 200 Amps o to iao Ove 200 _ qmps Above fl s Use Only: ? ds ?L (Other Fee T-- I, the Electrical Inspector, hereby certify that the above inspection has been made. iFFICE OSE ONLV his requestvoid 18 monihsirom THIS INSTALLATION MAY BE COMPLETED WITHIN 18 MOP S.0 rO IF NOT - /C FERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (61-2) 681-4675 SITE ADDRESS: P.I.N.: 10-17800-040-01 DESCRIPTION: DECK ALTERA7ION 434 ALT. RESIDENTIAL BUSLDING 033509 09/29/98 r -?. ? .i r a ? 't E( 0 - t n m ?F i s E _ . ._ . .. i 4 .? .. l ?._....a . . .... ?. ?\ Buiiding-,Permit Type Bui,lding W6,rk TyPe ,-Census C o d e j,. °u F. f ii S;l - j s,. c. ... ly : PERMIT TYPE: Permit Number: Date Issued: 4593 CLIFF RTDGE CT LOT: 4 BLOCK: 1 CLZFF RTDGF EXTEND OECK REMAPIiI AVS: P REVIEWED BY WAYNE MILLER. FEE SUMMARY: Base Fee $50.00 5urcharge _ Y .50 Total Fee $50.50 CONTRACTOR: 1 OWNER: - WITTMflYER 4593 CL EAGAN (651)905-0113 ppplicant - JON IFF RSDGE CT MN 55123 hePeby seknowledys that I have.rea8thit ?i:nformation is correct and agree to comply statutes and Caty of Ea.gan ordinances. L APPLICANT/PERMITEE NATURE applicataon and sCeCe that the' with all applicable SLate of Mn. - SI?• UED BY: SIGNATU E I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KYJOB RD - 55122 ? 3t) U 9 681-4675 New Construetion ReauiremeMS RemodeVReoair Reauirements ? 3 registered sfte surveys ? 2 copies of plans (inGude beam 8 window saes; poured fnd, design; etc.) ? 1 ene/gy taleulations • 3 copies of uea preservation plan A bt platted aRer 7!1193 required: _ Yes _ No DATE: q ? 2 wpies of plan ? 2 site aurveys (exterior addkiane 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; 4 ISW DESCRIPTION OF WORK: le?X?Srv? o? SFREET ADDRESS: _ ? Sf3 __ C I7 Ff Q?r? C?. _ LOT: BLOCK: I SUBD./P.I.D. #: j,-P:U 9 Name: ?II?MUy? J? Phone#: ?Q?-'0113 PROPERTY 1.ast ' First ? / OWNER /?- Sueet Address: ?Z ??1 3 Clr7? ??tc ? T• City ? 'GSAh Stau: Il'1.t] Zip: v?'7-3 LiI?i &L 0C.7/1G! t p1? ffoPll? GS O•I- q' ?S-??f Company: Sr./17I G S 'Zi Phone #: CONTRACTOR Street City State: ARCHITECT/ r ENGINEER Company: sc„re G? is h.n.i Phone #: Name: Registration #: Street City State: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Zip: Penally applies when address chang 1 hereby acknowledge that I have read this application and state that the infortnation is cotrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes - "O RECEIV License # PLAN I ?, .? i, 4 Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex O 02 SF Dwelling 0 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New 11 33 Akerations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging O ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? O 14 Fireplace ? Ik 15 Deck ? 36 Move ? 37 Demolition V P Basement sq. ft. ? Main level sq. ft. sq.ft. ? sq.ft. 2 sq. ft. sq. ft Footprint sq. ft APPROVALS Planning Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. v 3 SAC Code o / Census Bidg T Census Unit / ?V" L Engineering Variance ?' Valuation: $ ?, 2vlj % SAC - ..,. . ._ .. . ? . . . SAC Units 124 3Z- 313-90 .• 5cale: 1" = 30' 25 ? r ? 'A \ 0 c m ? 0 p-l (q2?.?,. 3 ? r O ? 0 - • 8 k? n 0 0 h' o •,? • y,n 0 P ? `\ / 10 / ? 10 CERT/F/CATE OF S~Y ? ? ? ? . ^•.. ? •? , ? ?,. ? ?, ? E "/?? ? '?.? / ( i Q1/(j 8D `? 2-r 4 --, ; ; \ ?`?2S\ S 0 iq /V-"? N +-? ro • i_ w o )Z000 _JrC1Y-??`i 8 / ? Z ? M rt, ? o \` ' ? ?y ? ?n O p 8 - E027,1• ku 0 ? Z xT , 921.0 2?F,o0 ?.. ? I ?6d o ? N ? AI97.91.6- RESTRIU"E? ACCESS N 89 . 59' 17 , ' W, t? et° '_---- , C) L:ET'i DGS?RIP7"ION?I!:".'`,,;:!._J,7j';s=J? I I HER£BY CER7!'fY TMAT TM/S SUPVFY ItAN AR IifAp4T Lot , Block WAS PRfPAREO BY ME AR fNYAER MY D/RECT SYA°?'RY/J/QY CLIF?IDGE 'i IVE ANO TNAT I AA/ A OULY BfG/STERED LANO SY+WYEIGtl! Dakota County, D1in UHpER TM£ LAM'S OIF TMf STAIF QF M/NMFJOTA. SEP 0 4 1998 Plat bearings;show o Denotes iron'mon ment ?' _ r BY: DATE 19 .? f990 A?Y hGl 8140 1 Existing o Proposed ?---- brandt 4tnginaaring IL opurvaying 2705 uroodir troil burnivilla, minnaioto 55337 (812) 4351966 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MIIST SHOW A LICENSED PLUMBER. To Be Used For: Site Address 11?=!-'.'S Lot k Block ? jZ8 2 = RECO 7r/? ? C?" Valuation: Date: OFFICE USE Occupancy Z3 M', Parcel/Sub GL.11-E S 1D(- Owner Address City/Zip Code Phone Contractor (? Address' V91'v City/Zip Code Phone Arch./Engr. Address City/Zip Code Zoning Actual Const V-N Allowable y-tJ # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water PRV Booster Pump _ APPROVALS Planner Council Bldg. Off Variance FEES Bldg. Permit 536140 Surcharge 38.5D Plan Review ,3 SAC, City 10D100 SAC, rtwCC Q00100 water Conn 625lOa Water Meter `1D,00 Acct. Deposit 0,00 S/W Permit 30.00 5/W Surcharge I U Treatment Pl . a$,Z, 00 Road Unit 3-4u, DO Park Ded. Copies SUBTOTAL Penalty TOTAL =11no ? 2?22 ???`? Phone # 1 10 . VALUATI,;?X? "°' ? - - • , ? CTARAC.c z2 xz2 = 4gy k i,? 2Ga SsmT a`, xL?o = 96b I o X q ? 50 InSo X !y = IU'lo0 1 ?r F?o? o szu> 1?2 x I S?. z 2._, 2 ri ?, ? ? 2 84 x 5D=54200 CITY OF BUILDING DEPARTIIENT • EiCPERIOR ENVF3.OPE AVERAGE "U'l COMPUTATION '(To be submitted with building permit application) ? One or Two Family Dwelling Owner All Other Site Addreas Contractor SvlEpd /?GGF2 CoklST. 4SS-loo Date Phone LIIlEAL r'EET OF 11 EiMOSED F:ALL SEE ?JvPY_ ?W--_E 7" ft. above grade - Z;OSg,00 TOTAL E:C'OSED SJALL AR'r.N SQ. FT. O?R•_U:; i311L "Ull Value x Area Getail ?AI?1E IIUII •043 x SQ. re;erence Ccwe• °Ull O7lo x 52. from 'lU" .040 x SQ. attached f'U" x S2. sheets IIUIr x SQ. nun x SQ. '.7I111D0'NS: "U" 'Jalue x Area "ialte & Type )d6vL• e-sMIT "U" x SQ. „ 11 IIUII x S@. it -flUet x sq. ii it iiVii g gQ• DOORS: "Ull Value x wrea iia:ce & Tyue ?iTG 1Af5,v1_ . nUn . 14 x S:j. rr n FAT? o nUn . 47 x SQ. n n nU u x Sq. ° u nU° x SQ. TOTALS 2080.oo Sq. AVERA6E IfUll TOTAL (u)(a) vALoES 073 DIVID;iD BY TOTAL 'dALL ARF:A Zo$g.oc AVF;kA(1E ??Ut ? .115 r less for 1&2 family dwellinga ROOF/CEILIN(3: TOTAL AREA: IOOZ ? FT.Ao52.ZC. W.0¢ M(A) FT. 9!v•48- 7•33 (U) (A) FT. f19•5 Z= 41753 (U) (A) FT. - (U)(R) FT. - (U)(A) FT. - (U) (A) FT. /.oo = 43•4-9 (U) (A) FT. _ (U)(p) FT. - (U)(A) FT. _ (U) (A) FT. 47, oo = &.8p (U)(A) FT. Z.oo _ITZ4_0)(A) FT. - (U) (A) FT. - (U) (A) r'T. /S3•`F3 (U)(A) Detail reference IIUII •vZ? x SQ. FT. 161617- = Z1•dQ- (U)(A) from ilUto x SQ. FT. . (U)(A) attached sheeta. itUit x SQ. FT. = (U)(A) Describe onenings toUll x SQ. FT. - (U)(A) in roof. liUss x SQ. F.T. - (U)(A) ToTAL (U)(A) VALUES DIVIDLD BY r-rAtVj IOOZ ?? ZI•c?. CVy{{? C TO'iAL ROOF/CEI1.Ii7G RK2A ?OOZ, pp ? zI AVERAGE 11U ,025 £or ventilc:ted roofa. 0 . '' WoRK S?cET ,r ? S ? X P+?S?A wqc.c. 14. 5o x? 38 +38 + 34+34? = Z ogg oo .? ? Cor?e . .?7x C38+38i-34t39-? _ `](o.¢$ ?,m To?s-r 38t38t34*34? = I19.SZ ? 1"?rrlAow? Ibx3?= 4.o x 4= 1(a.oo zb X 3l0 = 5, v j( (o = 3 0. o0 z4x 3&= ro.o x 4= z¢.oo ZO7C4$a (0-l X 42 Z&.go 24x 48 = S•o X 4= 37, o0 !ZS• So -? DcoRS 3 ° S;M• w/e, ? 2$ S-m• SEQ PwT/o = ZS,ao - Zl, oc 9l ? ?- eE-b tJ?!c. EQvqc-5 VET Egc? L?' 1evsS Z,vB$. o0 ?E55 Coe%. 96.?g ?r ??Ir/• 1?9•5L ,, c?Dw's rzg•go -4?,s: so r ? Dao2? S `II •oo ---J ? zo &sz .. . . r, 24x3s 9 x Io = 90 I?OOZ.oo .?.? ; , • --WALL SECTIOH-- " Determining "Utt values at RooY, Wall, Rimt nnd Conc. Block ROOF/CEILIN6 1.) Interior Air r'ilm z.) 5/8tt 6yp. Bd. 3.) Insulation 4.) 5.) Exterior Air Film (STILL) (R) VALUE 0.61 .56 4¢.OD .61 upu _ IIR= LOTAL (R)= ¢S7g 'NALL (R) VAI,UE 6.) Interior Sir Film 0,68 7.) 1" GYp. Bd. .45 8.) Insulation 19.00 9.) u/3y,, sUILT- RrTE Z'O`} 10.) Masonite Siding .o'] 11.) Exterior 61r Film .17 "U" = i/R= TOTAL ? (R)=23.0/ RIM (R) VALUE 12.) Interior l;ir A'ilm 0.68 13.) Insulation 19.0o 14.) 211 Fir Rim Joist 1.88 15.) zSI3Z" Sv+L_r- R,rc Z, 04 16.) Masonite Siding .67 17:) Exterior Air Film .17 "U" = 1/R= ,a¢d TOTAL (R)=z1.11 FOUNDATION (R) VALU$ 18.) Iaterior Air Film 0.68 19.) zo. ) K-l f 5??/PP?l? I/. o0 21.) 12" Concrete Block 1.28 22.) 23.) Exterior Air Film .17 nQu = 1/R= .d??v TOTAL M=13./3 124 3Z - 313 -9D A p ,0 yh• yo P ? N Scale: 1" = 30' 25 ? ? n c m n 0 c i? ? 3 ,qtia ? µ?r o? o- g ? N •^ ? ?? -r• f" ?^? A ?x -S.' I ? , - ri?.7??i17 Ei??"S.?T.ie.=t.??LiVV1 Dd".?? DESC?PTTON R 17' L'J il RR E D / HfRfBY CERTifY TNAT TN/8 SG4VFY, PLAN AR REPOrPT Lo t q. , B 1 o ck I, N'AS PREPARfO aY A/f G9 !/NAER AIY GVREiCT 311AvfRY/J/GW CL I FF?FI DGE ANO tNATlAM A OY/LYIpEG/STERED LANO SLWWI'W Dakota Ccunty, Minnesota UHAfR TNE LAM'S OM' TMf STATE QF M/MALFS07A. Plat bearings shown o Denotes iron monument DATE ft ..d f94D AEt;,Apt 8140 I Existing? Proposed beondt anginaaring a iuivaying 2705 uroodt troil burnrvilla, minnoiota 55337 (612) 4351466 CERT/F/CATE O1F SWPYEr ? ? ? ? \ •,,, ,` , ?, ?. it,?? %Jd/?J9o48z /p,• ? o' .. v,? ? ; m ? . litr w I ? i tu ? ? z I x < N 0 1 _ o w V- o ? ?. ? O 0 N ,921.0 ?0 io 1 4y" E ? ?. E2v j ? I p N r ? H ?z r ? d ------ *ap? Jb A 197.9L ? \C'rq AccssS N 89•59, 17„ --, \ I i ?9 S\ I J- _ ? ?. M 32-3)3 -90 19U#LD1AfIT Y1 CATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS li[JLTIPLE DWELLINGS a?A!?' ` J ? COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PERMIT MUST SHOW A LICENSED PLUMBER. FEMB Ol?91 I To Be Used For?Sru(,- Valuat ion: ?"- Dat JL U Site Address ?/,?93 C? Hr7?" OFFICE US Lot ? Block _L FEES Occupancy -? Bldg. Permit p 2oning Surcharge Parcel/Sub Actual Const Plan Review Allowable SAC, City Owner f???/ ,. ... n? # of stories SAC, MWCC ? Length Water Conn. Address y?9,3 [/,-T-F Depth Water Meter S.F. Total Acct. Deposit City/Zip Code Footprint S.F. S/w Permit 5/W Surcharge Phone P//_ [8'3- 996A1 4J 6£f8-%910 On site sewage Treatment Pl. _ On site well Road Unit ?? Contractor iyonve5 MWCC System _ Park Ded. :iz:y Watar T.-Ci1 Dad. Address Ie/33 Crar 4t < ,Ji. PRV _ Copies /_00 Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner _ Lot Change Council ? TOTAL Arch./Engr. Bldg. Off. ?-11-9/ Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. i CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 BI?7?:s?:. t?'t?Z? ?'?> .:....c...?. FOR CITY IISE ONLY PERMIT RECEIPT # D DATE: i3I9? PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------- WORK DESCRIPTION NEW CONST ADD ON REPAIR _ OWNER NAME: KQ/'4 00?4e A4u0 S SITE ADDRES S: R" ?f' ?• IAT: y BIACK ? SUBD. INSTALLER: Du/rI£(' COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 _ SHOWER 3.00 _ WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _ HOT T[TB/SPA 3.00 WATER HEATER 3.00 _ FLOOR DRAIN 3.00 GAS PIPING OUT. _ (MINIMIJM - 1) 3.00 ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. 5PRINKLER 3.00 / s. o n SU$TOTAL $ ST. SURCHARGE .50 ? TOTAL: S 15,5 PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN ADDRESS: ?SS3 Cif4t ?G?re ??' CITY: G"Q? GYI ZIP: A 1991?1GIMUCATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PIANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALC[JIATIONS $[TLTIPLE DWELLZNGS COMlfERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES i?HEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST I5 HADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER S WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ,UL 3 4RECO To Be Used For: Valuation: Date: Site Address 14593 CtFF Z0^„ Q;r OFFICE IISE ONLY Lot 4j Block _L Parcel/Sub C ? ?FF ??M)6-e Ownei _?Z?S ??rtolLn1L Address y593 zo4,c, City/Zip Code G-AC-r?nl 5?? a 3 Phone SY/ -'/a6Y?c?? ?j6 ?.$8 ` db?E ?N1 Contractor &&c?F Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Sewer/Water Licensed Contr. Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S. /ZXZL F. On site sewage_ On site well MWCC System _ City water _ PRV Booster Pump _ APPROVALS Planner Council Bldg. Off Variance t, 5'i ?'l g r FEES Bldg. Permit ok Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SIIBTOTAL Penalty Lot Change ? TOTAL agrees that all wock shall be done in accordance with (Signature of Con esto?__ all applicable State of Minnesota Statutes and City of Eagan Ordinances. 124 3Z- 313-90 CERT/F/6ATE OIF SX~r N Scale: 1" = 30' 25 n ? ? v c tn n c ? ? tq2S?. 3 -o? o -, . ? ? ? n o ,o h' o •,h • h,n 0 ? ? \\\ •? ?? ? ?,-^? ? / ? i ?x ? bi ? eo /? ?0 10 --? . ; \ ? z° E I ?- ? 8 w s.oo . ? E2, 929.Fi i 5? Soo 0 °? ?o,? ssrrr .°o E1,427?1 , ? I 1 b o Q I97.9L46- RE5?21CTED A?CESS N 89' S9' 17° ? C i do ? O) ? ? ,.? ?.?.. .__ F?i DEp StR I P r ? ? o N T F- W y' I ?p m 0 s ? WI ?o o z xT. ,92Lo < N I 0 1 0 ?ry - __ ONRL'?,?_;. / NEREBY CERAfY THAT TN/S SGPVEY PLAN AR REPQt r L o t , B 1 o ck WAS A4FiAREO SY ME OY9 UNAER A/Y OVRECT SYA?'RY/J/qN CL I F?I DGE ANO TNATlAM A 01KY/PE17/ST£RED LAND SURWiGb? Dakota County, Minnesota UHAEN TME LIiIYS OIF TNE SPATf LIF' 4l/NAEJpTA. Plat hearings shown o Denotes iron monument DATE,J,? .?S f990 NM pa 8140 lExisting i Proposed biandt anginaating 41survaying 2705 uioods lroil burnivilla, minnaioto 55337 (bIR) 43501966 /03z-3) 3 -90 51+4 A5 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 J )? r ?Y New ConstrucHOn Reouiremenb RemodellReoalr Reaulremanta • 3 registered site surveys shaving sq. N. of lot, sq. fL of house; and all roofed areas • 2 copies of plan (200k maeimum IW coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies af plan showing beam & window sizes; poured found design, etc.) . 1 site survey Wr exterior additions & decks • 1 set of Energy Calculations . Indicate'rf home served by septic system for additions • 3 copies of Tree Preservation Plan'rf lot platted aRer 7/1193 • Rim Joist DetaY Oplbns seledion sheet (bidgs with 3 or less units) DATE Z- SITE ADDRESS TYPE OF WORK-rM'? VALUATION C -1- ?? ? 1„? ?.? o2 5 MULTI-FAMILY BLDG Y ?CN _ FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT:t?llE V, CUu4 STREET ADDRESS 01555 qW1PS CITY I 1c'U`/v1 • STATkT V? ZIP SY? 1 ?f TELEPHONE #Q52-S%g?(2-0 ?CELL PHONE # Coi2' q(p- b'2`6L'? FAX #9S2?214-Cv (aS?`I PROPERTYOWNER ?vAA?? 4- -TaV1P ? Wt-HVVIQYPv TELEPHONE#6sl-?/6S?CG//.3 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RiJI.F.S 7670 CA'I'EGORY 1 MINNES (d submission lype) . Residentiai Ventilation Category 7 Worksheet Submitted • ??e?C21e 's ? • Energy Envelope Calculations Submitted n AUG 1 4 2002 Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mechanical systcm includes: Sewer/Water Contractor: Air Conditioning _ I-Ieat Recovery System Phone # Fee: $70.00 Phone # I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina s. Signafure of Applicant ?? - - OFFICE USE ONLY Phone # _ Water Softener Lawn Sprinkler Water Heater _ No. of R.I. Baths _ No. oF Balhs Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 �Cit QofEa 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit* i 13 14-3 Permit Fee: te([) co Date Received: 7-10-1'S Staff: INFLOW & INFILTRATION PERMIT APPLICATION X Plumbing / Sewer & Water Date: Site Address: Tenant Suite*: Address / City / Zip: Phone: 4,4, _3 -' g -z City: �w n State: YY1 ..J Zip: S S / a Phone: 1, S i - (. a Contact M 1 ie S c +) i' Z Email: 1Y1 i Ki o h cs PLUMBING Mrithin the building envelope) SEWER & WATER (Outside the budding envelope) Sump Pump Repair Repair Other. Other. Description of work: Re p p s FEES .00 / Each (includes $5.00 State Surcharge) O r r Vt. Chet vi ^i—v 0i• "'I 1czs TOTAL FEE $ (o 0 00 *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit IA repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofealaan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.stooherstateonecad.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0-1i Applicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA132101 Date Issued:07/24/2015 Permit Category:ePermit Site Address: 4593 Cliff Ridge Ct Lot:4 Block: 1 Addition: Cliff Ridge PID:10-17800-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Terrence Claiborn 4593 Cliff Ridge Ct Eagan MN 55123 All Craftsmen Exteriors Llc 1020 East 146th St Ste 226 Burnsville MN 55337 (952) 898-4680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160832 Date Issued:04/16/2020 Permit Category:ePermit Site Address: 4593 Cliff Ridge Ct Lot:4 Block: 1 Addition: Cliff Ridge PID:10-17800-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Terrence Claiborn 4593 Cliff Ridge Ct Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature