3915 Clippers RdCITY OF EAGAN NO ?
BUILDING PERMIT - 383b Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551
PHONE:454-8100 ti? I 3
Receipt #
Tobeusedfor SF DWG/GAR Est.Value $148,000 Date JUN 12 , 1991_
Site Address 3915 CLIPPERS RD
Lot 1 Block 1 SeGSubCllTTERS RIDGE 1S7
Parcel No.
w Name KEYLAND HOMES
o Address 14450 BURNSVILLE PKWY
City BURNSVILLE Phone $94-2636
o o Name S?
?
„a Address
? City Phone
Name _
Address
?awl Ciry Phone
I hereby acknowlege that I have reatl this application and state ihat the
mtormalion is correct and a e to comply with all apphca6le State ot
Minnesota Statutes and Ci Eagan Orcliba ces.
SignaNre of Permitee' _
ABuilding Permit is issued to: LAND MES
on the express condition Ihat all work all be do in accortlance with all
applicable State of Minnesota Statutes and City Eagan Ortlinances.
Builtling Olhaal
OFFICE USE ONLY
Occupancy R-3 M=1 PEeS
zoning R=1
(Adual) Const V=N Bld9. Permi[ 808.00
(Allowable) V=N Surcharge 74.00
# of stones
48 1
Plan Review 525. 00
Lenglh
Oepih 43' SAQ City 100.00
S.F.TOtal - SAC,MCWCC 650.00
S F. Footpnnts -
On Ste Sewage _ Water Conn 660.00
On Site Well Water Meter 95.00
MWCC Syslem X
Aoct. Deposil
30.00
Ciry Water _x
PRVRequired _ SlWPatmil 30-00
Booster Pump - SNJ Surcharga • 50
rreatment PI 276.00
AVPROVALS poadUnit 370.00
Plenner - park Dad.
Counal
BIdg.Off. _ CoPies
Variance - TOTAL 3r61$.50
n
? '.
BUILDING PERMIT
To be used for $F a
\ CITY OF EAGAN • •
3,8$0 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '• ? 1 !0-1 2 i 5
PHONE: 454-8100 1 . ,.: (
? Receipt # ' • t ? -
K:/GAR Est. Va1ue ;146,000 Date .1UL1 iZ ,19-9JL_
Site Address 3913 CLIpP8R8 RD
Lot 1 elock 1 Sec/Sub??RS RIDCE 1ST
Parcel No.
W Name 1CE71.AND K?5
3 Address 14450 nURNSVILLE lfCNY
° CitY BURNSVILI.E Phone 844-3636
Name
•City Phone
?
W W Name
o ; Address
a W City Phone
I hereby acknowlege 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 Citx ef Eagan Ordina fces.
Permit is issued to:
with all
{
Building Official .
?
OFFIC E USE ONLY
Occupancy R-3 tL-X FEES
Zoning 11-1
(Actual) Consi Y=p 81dg. Permft 308• M
(Albwable) 7?
Surcharge
.QQ
# ol Stories
Plan Review 525.00
Length
Deptn 431- sac, ciry 100.00
S.F. Toial - SAC, MCWCC 65Q¦QQ
S.F. Footprints -
On Site Sewage _ Water Conn .00
On Site well water Meter 45.00
MWCC System X
?
?
G1y Water ? Acct. Deposil
•
PRV Required _ S!W Permit 30•M
Booster Pump - S/W Surcharge • 50
Treatmenl PI 72 6•04
APPROVALS Road Unit 370•00
Planner
ncil
Co - pazk Ded.
u
BIdg.Off. _ Copies
Variance - TOTAL 3,618.50
? Permk No. Permit Holder Date Telephone #
WATEF ?Q I
SEWEFE,
PLUMBING , / a3 ?/ 7 7 ,7d 3
H.VAC- ?o? i 7
EIECTRIC 81 s s/ 70
Mspectfon Date Insp. Comments
Footings I
Foundation
Framing S,.
Roofing
Rough Plbg.
Rough Htg.
I5°l.
Fire,iace g?/ 9
Final Htg.
Orstal Test
Final Plbg. •?9"•9/ Plbg. Inspector - Noti(y Plumber
Const Meter
EngrJPl2n
eldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
I
? (Itr#i#tta#t uf COrrupaury.
Citp of tagan
Erpwrhtcmt rrf lwtding ittpPnimy
77u's Cxrftj`raate issuad pursuani to the requirements o, f Seclion 306 of the Unifvrm BuildFng
Code cerlifying that a11he iime of issuance dis stnectrue was in rnmplianae witT:lhe various
ordbrautces of tJre City regulaAing bur7ding consduction or use Farlhe following. '
vse cbW;s=dW SF Dh1G/CAR ewe. nrmit rro. I 9226
Oompa-7 Tipe zft°'- . KLIYLAM owner or ea3ding eda=
'
B.Idiag Ad= ? .
L-lay '-;
POST iN A CdNSPICUOUS PLACE
Addyess; 39J5 r-LIppERS FDM Lot I Blk ] Sec/Sub r_UTIERS g-DGE lST
These itep?s were/were not complete at the time of the final inspection.
8/28/91 Yes No
Final grade (6" from sidin$)
Permanent steps - garage V-1,
Permanent steps - main entry
Perrnanent driveway ?
Permanent gas f
Sod/seeded grass
Trail/curb damage
Porch
Basement finish ?
Deck V/
Please verify with tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
RECFREOPIIPfP
White - City copy Yellow - Resident copy Pink - Contractor copy
SEV(ER & VYATER P'ERMIJ.
CITY OF EAGAN ,
3830 Pilot Knob Rd. °
Eagan, MN 55V2-1897
DATE JL7H 12. 1991
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMITDATE C:6/17/91
PERMIT# 12Ub`?
?
B.P. RECEIPT # -
B.P. RECEIPT DATE 06/14 f 91
- PRV - BOOSTER PUMP
SITE ADDRESS 3`11 - 2L. . PPEE== F0
LOT 1 BLOCK 1 SEC/SUB C?'TT-Ee'S i•?I1: ". : 1 r1T
PERMIT REGIUESTED
x SEWER •`' WATER TAPS ?
I APPLICANT:
I ADDRESS: _
? CITY, STATE
ZIP
PLUMBER: 'J C HECHANIGAL
ADDRESS: 13545 DAN PATCH LN
? CITY, STATE SAVAff Pti ZIP 5537E
PHONE: :+4 r - "> ?.
OWNER: KLYi.AND Is(aMES
ADDRESS: 14450 $IlRA+5VILLE FKYY
CITY,STATE ZIP 5 5337
PHQNE
- COMM/IND
X NEW
X RESIDENTIAL IEXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit W1LL NOT be givre? for Deduct Meters.
0ar
TO CI
OF
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r ?_•• ?
DATE:
JUN 17, 1991
RE: 3945eCLIPPERS RD (KEYLAND HOMES)
n
X 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 PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Pennit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the abave property has been completed, but the meW cannot
be issued or occupancy allovred until further notice.
COMMERCIAL PRWECTS 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.
WARNING: BEFORE DIGGING, CALL LOCAL UTILRIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEWER & WATER PERMIT
CITY OF EAGAN .
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JUN 12, 1941
_ PRV - BOOSTER PUMP
OFFICE USE ONLY
METER # 10 7 2 °2 PERMITDATE 96/17/91
CHIP # U/./ 1L PERMIT # 12068
METER SIZE Sel)fu B.P. RECEIPT # L
ISSUE DATE B.P. RECEfPT DATE
SITE ADDRESS 39115 CL i_
lOT 1 BLOCK 1 SEC/SUB CUTTCRS RIDGE lST
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
PERMIT REQUESTED
X SEWER x WATER _ TAPS
- COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: D C MECHANICAI, Ahead of Domestic Meters on Water Line.
ADDRESS: 13845 DAN PATC1: [,'d CredjLUllll.?'?JOT be girfe for Deduct Meters.
'
CITY, STATE SAVAGE .'.r; 55371:
ZIP
? , - - ? ?
X'? k_,;•
PHONE: +47-2323
1 AGREE TO COMP'L WITH Cj%fY OF
OWNER: KEYLAND fdOAIES EAGAN ORDINAfOCES f"
ADDRESS: ' 14450 EURNSVI[.LE Pk_WY '
CITY, STATE BuRNSVILLE rN Zip 55337
PHONE:
: 01----2636
SIGNATURE WHEN METE UEQ
PLEASE ALLO W TWO GVORKING DAYS FOR PROCESSING. CALL 454-5220 FOR iNSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP
. ?
CASH RECEIPT
?..
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE ?:? - I t 9 _L!
aECErvca ? ? • . 7 ]
_pnOM r..;_,.•i. - ;Y?r?., -.?`'_..i? I
AMOUNT $
?
8 DOLLARS
loo
? CASH ? CHECK
? ? I .? ?'v?- ?'?,- _. - ?f? r .? c •-' .
•? J .? 1 ? i 1
v` ?4
h ? ?? ? '_ 1?`LG.! ll.A ' '?', ?l' _ ? ? J ?
'l .
6Y
C z ???? W,;???
Yelbw--POSting C.opy
??.r.
Pink-Re Copy
Thank You
I 43846 l d 9= a,,;4'f'
?D
V
Request
91-
U
? Fire No. RIn ction
Required?
? No
D Ready Now dl Notity inspecror
When Ready?
_ licensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress (5treet. Box or Route No
? S ?
. CAy ?
Sectwn No. Towinhip Name or No. Range No. County
OccupantrP l Phone No.
Pawer SIDO i r Address
Electrica; Con2ractor ICompany Name)
/ Contractor§ gense No.
Q
Mailing Address i C treclor or Owner Making Instanahon i
:;;7t.f/ -7S
Auihanzed SignaWr fContractor-0wne? Maxi Installau n1 ? Phone Number
'?
MINNESOTA STATE BOARD OF ELECTRICI7Y ? THIS INSPECTIDN REOUEST WILL NOT
Griggs-Midway Bidg. - Room 5-173 BE ACGEPTED BY THE STATE 80ARD
7827 UnWersity Ave.. 51. Paul. MN 55104 UNLESS PRQPER INSPECTtON FEE IS
Phone 46121642-0600 ENCLOSED.
0 g/S/ REQUEST FOR ELECTRICAL lNSPECTION ? ea-oooo,-oa
'k:.-?-i
? See inst-ua;ons fcr completing ?his form on 6acK of yeliow copy 7'-y /O? C I1,
143846 "X° Selow Work Cavered by Thrs Request ?"? •?v?
e Add RpW-?TypeoFBuilding AppliancesWired EquipmentWired
Home Range Temporary 5ervice
Duplex Water Heater Electric Heating
Apt. Building Dryer pther (5pecify)
CommJlndustnal Fumace
Farm Air Conditioner
Other (speciry) Gontractor's Remarks:
Compute Inspection Fee Below:
a Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
,Transformers Above 200 Amps Above 100 Amps t
SIgf1S Inspector's Use Only: TOTAL
Irrigation Booms l b
Special Inspeciion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MON
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
N
Final t Date ?
011
IBIW
`
OFFtCE USE ONIY ?
Th6 ranuac• -in 1R mnnthc frnm
j
AQ6 aql
5 875
E'qe-7 l
EM p PR J. tWIIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
? ?y-zs
4
NewConsWcfionReauiremenls RemodeVReoairReauirements OKce UseOnlv
3 registered site surveys showirg sq. R o( lof, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% mazimum lot coverage allowed) 1 set of Energy Cakulations for heated addilions Tree Pres Plan Real
2 mpies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for addNOns 8 decks Tree Pres Not Reqd
1 set of Energy Calculatlons Adddion - indicate rlon-site septic system _ On-site SepGc System
3 copies of Tree Preservation Plan it lot platted a%er 7/1193
Rim Joist Detail Options salection sheet (61dgs wiN 3 or less units
Date
? /?
/ Da Construction Cost p[ 9? 9O
/y/ ^ '
_
_
Site Address '?([,Q
(_pe,l? ?G
UniUSte #
Description of Work I?? f YY? ?(_
Property Owner?a Ilq °k' aCpp ?1? (Yw(?(1 Telephone # (p,s/ ) loff6
?
Contractor
Address R14W (I AF 11 'n1 L+2 LktQcj City
State "Yr,A Zip,SSqq? Telephone#(7?) _
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
?q
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 far 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.
ri`'s+inP 4/j/ it-g-
Hem ll.e('
ApplicanYs Printed Name ApphcanYs ignature
r 1991 BIIILIIOPE?M?IT?PtLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MIILTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SiIRVEYS - & STRUCTURAL PIANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL IINITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MtIST SHOW A LICENSED PLUMSER.
To Be Used For: Valuation: ?...?-. Date: c
Site Address ???5 ???y?f???w OFFICE IISE ONLY
Lot t Block t_ "•
Parcel/Sub
Owner .?,-_?l?
Address
cicy/zip
Phone tn k-??o
Contractor
Address
City/Zip Code
Phone
Arch./Engr
Address
I . t Sk-
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
R-3 M-1
?
V - N
V-N
?
On site sewage_
On site well
MWCC System
City water
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. off
Variance
City/Zip Code
Phone # `?V` [u 71:!7
Sr} 0`
FEES
Bldg. Permit E!2 100
Surcharge '14 ,oo
Plan Review 525o"
SAC, City
c
10(9,0
SAC, MWCC $D,QO
Water Conn. O?U v
Water Meter ? no
Acct. Deposit 3 o,ap
5/w Permit 3a,oo
S/W Surcharge
Treatment P1. R ,vJ
Road Unit 390,00
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ,?.f Q. r
?zs?-? ?1 agrees that all work shall be done in accordance with
c
(Signatur f Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
I lit ft ??
?
aox ?` ;
SAo
C eN ?
436x ?'-1= 6?d?
l?k2 =
Iy X (, =
I ST Fc.aope-
- 7'z 3
*-77
320
Sy
1?? y, i 5's 1'? 2 S v
,
gSM-j--- / /s 2
? Y7 - )y
l? ?rZp= ?1?798
Zn?D IFLoor?,
Z?1u = -2?0
6smT"= 1152
?r
I lr]2 x 53 =(a211 lv
/ y? 2 f e."?9 0J2 ? 4 Sr ?Jo r
, ;
EX?ERTOR ENVELOPE_fiVf_RI1GE "U"_.CDMPUIlU1Urv.,
? 0'hlhER: ---- ------ nnrr:
$'TE ADC2ESS: C tPh;ONE:
coNTRAc;oR: ?k,1 LAr.aC? _ PLAx ? 2- 3sa S
i
Determine working square foota9e o-f each
t. Total exoosed wall area..... sq. ft. x.11 = Is ZZ 4(.O
Z. Total roor/ceiling area..... I I 7-!::tS sq. ft. x.026 = L1
Total zxposed wall area above,floor=__ZS
I 53,`??
a
ToLaI
wall taindow area ........................
. ........... .......
....... 3
..
b. Total door area ............................... .
.........
?
?
T
C. Toial sliding glass docr area ................. ,
r
...................
--
d. Total `irzplace wall area ............ ........
10%) ................... r
................
Total .........
wall framing area (average ...
.......... 31
r. Total rim joist area .......................... .........
-r'Z$Z_`14
y_ net wall ar:z abcve floor.................. ........ ..........
.
'
h. wall area a6ove floor.......... ••.•. •••
' ••• •••
i. ...
wall area above floor .............. ...................
j. ?ram, e wall area a-L :oundat4lon ................ ...................
=
Total expused foundation area
P`, ?
's. Total roundation 4rindow area .................. .....
1. Total net roundation area above grade ......... .....
Detei-mine "u" value
{e.g. window, <loor,
a. IS 3??f1 K 12uti
X
X liu„
c . 3z-?
of each wall segment
each separate wail sec'tion)
i y7 = 7
,31 = Il,7FS
1. X 'lull _
d.
3, io X ??U10 i bL? = fi0 ?9`?
r. 3l 7 X„u"
??? tt????.? = 7?' SS
X
h X lluii _
.
i X llull ?
.
J-
n
? "7 , Z --- X
1. 7 0 ? _7--- X
"s
,lul? _
Ii item 743 is the sa
as, or less than ite
rl, you have met the
U„ i n`tent of SBC 6006 (
? 3S
.................................Total ZZ4 ? -
r
I ?e- -
• Total e::posed roof/ceiling area
m. =utal skyli.c,lit area ............................ ?
2cz=_1 roo-/ccilir.r, '!:aming area (:ivcrarfe 102) : I-I?- • . .
o- _otel ..ct i^suiatc3 roof/ceiling iire:a... , ...... ' I?IS?Z .
Dete-mir.e "[7" value for each roof/cciling segnent ,
*i. ? IV, _ • -,.'.
r.. O a -,u-- / 1
x .,U,. ID?'..- = Z-0
r,??^ . . ?7?
........ ................ 2b1,a1
- j . :' =ocal c- -_ is t?:e Si:T2 as, or less t:han if2,`.You hav,e met the intent o? . ,
5-: 5•3?5 ic? 1. , .
Alternate Suilding Envel.ope Desiqa
^? •_=__i_z the totzl e.^.velone'system mechod, the values estzblished by the s.si o£ "
_ta?s =3 znd 44 sha11 ^ot be greatex than the sum of items #1 and ;;2.
,. 32Z.,L'?, + z.Z-q, 33 = 35J,7? . .
?- -zz.tp?"s5- + 4. z3,ol
rLArr # Z- 3 5b ?
* i.BEr+L FEEr EXrnosm wAr_,t,
BIACK: Z.CO'I'GI 8 f Lj, (O7 ^4' I L( -t' L, 4 l4+ 10 'f" ZO = I J 1
W.O..
FUI.L 1 : i LP q 4o+
?.;
? ,
)?.?. .?_ I 0 i- Z f5 = I S?
FULL 2: 3 i G7+ 1L( 3 1- 14 f- (ca +,- ?4s '? 1, S 1(o c
FIREPLACE : I1? C-Lc' D c' 0
RIMf:
* SQUARE = EXPOSID WALL AREA
BIACK: I 5--7
x.5= Zg?S
x 5 =
W.O..
x 8 =
FIJLL 1: x 8=
£[TLL 2: x 8=
FIREPLACE: x =
RIM: 7;> I -? x 1= 3 ?7
* SQUARE FEET ETOSID CEILING 1 I Z?$
a` \V t Nt 06.,4S
'2-S L{-7
7?a ??
I_ zK"OLT 'C4I
7. 7g
? - rc??o Dvop -s, I
!z 3 y,?
Is3?yl
*?pQs '? 3lo
3g Zo
PAT20 DOORS
? c? - 3Z,y
* BASEMENT tJNITS
11! -'?"71 y - ?co =?,%
_ USE 10$ OF OPAQUE G7ALL AP.£A FOR
?PI-t"c CONSTRUCTION
3A.S-C
ivpt?i, ' I
i
, ?.---------C?
)I
7TG. =1 TOPVIEW OF
FRAME WALL
TG. €2
?-,-
? J D
?--
?
e u •^
0 n' ?
( A' • 'Q'
?
SLAB ON 6RADE
? '• ? " b? ` ? I ( ( -
, ? ? ? ?t Da /r
1 '
c-rG r ?-?.-.?---"^---
?
.
° ., i I`' ?. i
/
0
-?
-?t
- ?
--- ?
--/;,
1.
T=2avre.
INTERIOR AIR FILM R-VALIJE e_id0
2.
3. " S%?SOFT WOOD (a • F?i 7
4.
6.
,
ATR FI DO
, (o Z
.1
1. TCII'AL
INTE2IOR AIR FILM . t `l 1-1 9
c? - . oto'7
0.68
2.
3.
4. /r O0
5. p„-?ca Z
6. 0 AIR FILLM
1. iui'A
INTERIOR AIR FILM L Zco . 9 z
0.68
2.
3.
4.
5.
6.
TOTA L ZS .3?
8 wc.-?
1. INTERIOR AIR FIIM 0.68
2. \7" G, 7,;;
3. Qir . f> .00
4. '
8,
6. RIOR AIR FILM 0.17
TOTAL 3
L,-_ . t `-f
. ??
?
Ca?=?'?? t b '° ? , •? ?
J't Ij
; . L , .. (
? A / I11
I' ? ?,? • ? , ? .
FIG. #4
, f fl
NOTE: INDICA TYPE "R" VALiJE,;DEP'I'H APm PLACIIMffNf
OF INSULATION
CONSTRUCi'ION ' R-VALaJE
1. INTERIOR AIR FIIM 0.61
2. STA" '
3. -
4.
U = .02
FRAME
` I' FFAT FIYJ<<1
u UP
FTG. #S
1, INTERIOR AIR FIiIm 0.61
2. 57ff'?-, . .
3. x -
4.
U = 0.024
CONSTRUCTION
f I 'r`'AT FIIOW U?
tl
FIG. kE
3
?_ ..
i-LF.T FLOW
UP
VIIJTED
?
?
1, INSIDE AIR FILd•f 0.61
2.
3.
4.
5 ,
FRt1
1.
ME
INSIDE AIR FI124 TO'"1PJ.
U =
• 0.61
2.
3.
4.
5. OuT
INSIDE AIR FILM TO'r'.A
U =
0.61
z.
3.
4.
5 .
TOTAL
U =
NOTE: USE ADDITIONAL SHEEI'S IF' i"ORE S?P•CE' TS
NEEDED FOR DETAILS AND CALatLE?T?ONS.
= ' G. ,_'.' 7
ROOF-CEILING
CITY OF EAGAN
- - 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
M41gr`rA?;;?'73MT
FOR CITY USE ONLY
PERMIT # ?? ?4 9
RECEIPT #? 0 g/
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE 7
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iTNIT.
----------------------
WORK DESCRIPTION
NEW CONST
ADD ON ?
REPAIR
OWNER NAME: KE?FIo rrr aS
SITE ADDRESS: _-71/5 CtiPPEp-S
LOT:? BLOCK j- SUBD. Mm6
INSTALLER: _ mETR-a 14"r 27?nc_ .
ADDRESS:_,F, ?l S'O 64/E,CC!csrnE
CITY: f riC/ I???ZIP: SJr? ??-
PHONE #:
"---°--------
FEES
ADD-ON MINIMIJM
HVAC 0-100 M BTII
ADDITIONAL SO M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
DWELLINGS &
$15.00
24.00
6.00
3.00
g -27.00
.50
TOTAL: $ a'1•56
1
SIGNATURE OF PERMITTEE
5.QM4ER(;IALJPIV05TRrA'Lt: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/IN?USTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY $UILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLINC UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER;
ADDRESS:
CITY:
PHONE #:
FOR:
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
_ 3830 PILOT RNOS ROAD
' EAGAN, MN 55122
PHONE: (612) 454-8100
MM99?;
FOR CITY USE ONLY
`PERMIT #
RECEIPT # I
DATE: .3
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME : t?A VpCvN?S
SITE ADDRESS:, ?? C ??D??rG,LG.'??
LOT : BIACK SUBD. C9-?.+ t? C f''
?
INSTALLER: DC .
ADDRESS:??Aq!?? O«V(f
CITY: c__ ZIP:
PHONE #: 2;,???2/?a
p/ 1,
A Jn C ////ti
OF
DWELLINGS 6
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00
? WATER CIASET 3.00 .uu
? BATH TUB 3.00
LAVATORY 3.00
? KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00
? FLOOR DRAIN 3.00
GAS PIPING OUT.
i (MINIMUM - 1) 3.00 3,1
ROUGH OPENINGS 1.50 5b
_ OTHER
WATER SOFSENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTDTAL $ ST. SURCHARGE .50
TOTAL: S Lc'
?24fER?TAI.jINI?LiSTRIALs; YLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% 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
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
. T
FOR CZTY USE ONLY
PERMIT #
RECEIPT #
DATE: 9
A3.S?A?PT1'TAx.7`. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS -5
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NO
NEW CONST
ADD ON
REPAIR OWNER NAME : /_ ll?o U
SITE ADDRESS:
LOT;BLOCK ? SUBD. _
INSTALLER:
ADDRESS: QD?
CITY: ?- - Sr •/ v-11! ZIP:
COMPLETE THE FOLLOWING:
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 TUBjSPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIM[JM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER ?
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00 _
SUBTOTAL $
ST. SURCHARGE .50
TOTAL:
COMAR0IAliJiNDUSTRTAI:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY SUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL:
(SIGNATURE) '
CITY OF EAGAN
l
RESIDENTIAI, BUILDING
30. ?
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagau MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements RemodeVReoair Reauirements ONice Use Onlv
3 registered site surveys showing sq. ft of lot sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N
(20% mazimum lotaverage allowed) i setof Energy CalculaUons for heated additions Tree Pres Plan Recd Y_ N
2 copies of plan showing beam 8 window sizes; poured found design, etc. t site survey for addi6ons & decks Tree Pres Reqd Y N
isetofEnergyCalculahons Addr7'ron-indicateifwr-sdesepticsystem On-siteSepticSystem _ Y _N
3 copies of Tree Preservation Plan rf lot plattad after 711193
Rim Joist Defail Optlons selection sheet (61dgs wifh 3 or less uniis
Date Lo / I L4 / u-1 Construction Cost
SiteAddress '39 i?'?' l /7liei)Q,i /-S OncL d Unit/Ste #
Description oF Work -YC/ x1- U-1-f - (2L.?? ?e- onc;?-'
Multi-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Property Owner l J lhU ici ?) r ?dL}-s o Telephone #(lPS I) CP }$ tv --`" I??0 ?
Contractor
Address City & )rYl /lk?/(jyj
State 15 b O 0'1I 'I(a /77 /k
1 Zip Telephone # (q,$? p2K? [?Yyl )
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenfial Ventilation Cate9ory 1 Worksheet • New Energy Code Worksheet
(4 submissian type) Su6mitted Su6mitted
• Energy Envelope CalculaUOns Submitted
Have you previously construcTed a building in Eagan with a similar pian?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plnn review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approva2 of plans.
?
ApplicanYs Pn ted Name Applicant,s Si ture
r, 11"r--;n-'01 riiu 0qt1n tCi ir_S R IIILL tiic
?L , CLI PPERS ROAb
VEYOR"s
N
CERTIFICATE
CUTTERS
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d?DENOTES PROPOSED SURFACE DAAINAGE
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• DENOTES IRON MONUMENT FOUNp
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENO7ES PROP05ED ElEVA71oN
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SCALE: 1 INCN - 30 FEET
PROPOSED GARAC3E FLOOR - S91,$ FEEf
PROPOSFD LOWEST FLOpR -1684.1 FEET
PROPOSED TOP OF BLOCK =69z Z? FEET
WE HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF!
Lot I, Block I, CUTTERS RIDGE t ST. ADpITlON , according To the recorded plat
thereof, Oakofa County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIREC7 SUPERVISION THIS 30TH. DAY OF M AY , 1991 _
HOTE: NO SPECIF7C $pLS IHyE$7qpTION
HAS 6EEN [OMPLEM ON T1p5
LOT IY THE SWWtypp, THE
WITMILITY OF lpLg 10 gUMqn
T?1t arocric House wqorosn
I$ NOT THE REyYpNSIp41T7 OF
THE SURKYOR,
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HILL,INC.
r
JOHN C.LARSON,LANO SURVEYQR
MINNESOTA LICENSE NUMBER 19828
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. C7Y. RD. 42 0 BURNSVILLE, MN. 55337 ? 612-880-6044
244 Nt363 F'02
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114483
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 3915 Clippers Rd
Lot:1 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David C Andersen
3915 Clippers Rd
Eagan MN 55122
(651) 686-9165
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115828
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 3915 Clippers Rd
Lot:1 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
David C Andersen
3915 Clippers Rd
Eagan MN 55122
Exteriors Of Excellence
4580 Scott Tr
Suite 204
Eagan MN 55122
(952) 239-0560
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
JAN 19 2016
Use BLUE or BLACK Ink
I
9� I IL
I ^
Permit #: '(�J
Permit Fee: / c7 �/ ! I✓ /b
^�
((J/ I
For Office Use
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1/29/2016 Site Address: 3915 CLIPPERS RD
Unit #:
J
' 4
Name: DAVE & MARG I E ANDERSON Phone: 612-261-5599
Redden }
wnor�
Address/City/Zip: 3915 CLIPPERS RD
Applicant is: Owner ✓ Contractor
Type of Wor
BATH REMODEL -WORK MAY EXPOSE EXTERIOR WALL
Description of work:
2500.00 S"�'
Construction Cost: Multi -Family Building: (Yes / No ✓ )
® ac
Company: INSPIRATION DESIGN CENTER Contact: KELLEY BARKER
2200 WEST HWY 13 BURNSVILLE
Address: City:
City:
MN 55337 952-767-1819 kelleyb@inspirationdesigncenter.com
State: Zip: Phone: Email:
License #: BC639507 Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NO E: Pla s an su •p rtr d C nts that oto s` bri it arec = s tiered to ba=puf 1i r or �ttt n ' ® r ® • f
e i form ort abbe ct ssifi • s nos • ecr tc4reaso ou •per ire fit o
rases...
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
)(KELLEY BARKER
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
SUBS
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
4Alteration
T Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ( )
Census Code
# of Units
# of Buildings
Type of Construction
11Ll e -DO NOT RITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
0
vc
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
/Nc Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
7
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
D
JAN 2 9 2016
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/29/2016 Site Address: 3915 CLIPPERS RD
Tenant:
J
Suite #:
Rettlentlauirne
Name: DAVE & MARGE ANDERSON Phone: 651-261-5599
Address / City / Zip: 3915 CLIPPERS RD
.
C®rttactar 3 ,
GENZ RYANPC643433
Name: License #:
2200 WEST HWY 13 BURNSVILLE
Address: City:
M N55337 952-767-1819
State: Zip: Phone:
Contact: KELLEY BARKER Email: kelleyb@genzryan.com
New ✓ Replacement Repair Rebuild Modify Space Work in R.O.W.
—
bath remodel: Replace shower pan/valve/trim, tub valve/trim/waste & OF add shut offs, toilet, sink/faucet
Description of work:
' ��� •• •
RESIDENTIAL
Water Heater
Sic 3'1_S
Water
Lawn Irrigation (_ RPZ / PVB)
0
Pe
.Arld' Plumbing Fixtures (1 Main / Lower Level)
—
—
Septic System
l „
p
New
Water Turnaround
—
— Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
)(KELLEY BARKER
Applicant's Printed Name
x
Applicant's Si nature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165660
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 3915 Clippers Rd
Lot:1 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
David C & Margaret C Andersen
3915 Clippers Rd
Saint Paul MN 55122--380
(651) 261-4602
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178322
Date Issued:08/10/2022
Permit Category:ePermit
Site Address: 3915 Clippers Rd
Lot:1 Block: 1 Addition: Cutters Ridge 1st
PID:10-19100-01-010
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 -
David C & Margaret C Andersen
3915 Clippers Rd
Saint Paul MN 55122--380
Ashton Mcgee Restoration Group Llc
5555 W 78th St, Suite J
Minneapolis MN 55439
(952) 426-3736
Applicant/Permitee: Signature Issued By: Signature