1866 Deer Hills TrBUILDINa PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # L_ ? -? ? -•? ?
Site Address 18b6 DEEt mLL.S ?R
Lot -3 Block 2- Sec/Sub. aM CLYIf 4TH
Parcel No. _
W Name D?YE 8D?l?lM
; Address 1e66 DUQ HILIS T2
0 City RAGAp Phone 45Mf315
, o Name ?Y 1.AM 8=2
;?-
Address -14330 1UJMSV21.L= lM
City ?VILLK Phone 994-2636
Name
I hereby acknowlege that I
information is correct and
??
Minnesota Statutes and ,C'fji
Signature ot PQ(mitee 4?-
read this application and state that the
to comply vyith all applicable State of
on
all
Building Official
OFFICE USE ONLY
Occupancy - FEES
Zoning _
(Actual) Const _ Bldg. Permif iS•oo
(Allowahle) - Surcharge 1.00
# of Stones -
Length _ Plan Review
DePth - SAG City
S.F. Total _
SAC, MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System
City Wafer _
Acct. Deposit
_
PRV Required _ S+W Permit
Booster Pump - S/W Surcharge
Treatment PI
APPROVALS Road UnN
Planner - park Ded.
Council --
BIdg.Otf. _ Copies
Variance - TOTAI 36'00
Permit No. Parmit Holder Date Telephone #
WATER
SEWEH
PLUMBING 519APY
H.VA.C.
ElEC7RIC
inspseNpn Date Insp. Comments
Footings 1
Foundation
F??ing s` . ? D S
Roofing
fiougfi P16g.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. 7 Pibg. Inspector - No6fy Plumber
Const. Meter
EngrJPlan
Bldg. Final ? ZZ)
Dedc Ftg-
Deck Final
Well
Pr. Disp.
?
CITY OF EAGAN
3830 Pib# Knob Road, P.O. Box 21-199, Eagan, MN 55121 11, n
PHONE: 454-8100
PERMIT Receipt #
,';' j' ;.)t?G/GAR Est value $ 6 2, 0 0 a Date-
JUNE 11
12100
86
SiteAddress 1866 DEER HILLS TR Erect Occupancy R3
SUN CLIPF
Lot
3 BIock 2
Sec/Sub 4TH Remodel ? 2oning Rl
_
_
.
Parcel No. Repair ? Type of Const Un
Addition ? No. Stories
4c Name -KEYLA+Vf:I Flni'iL;S Move ? Length 40
3471 St' .173iZD
Add Demolish ? Depth-?
a ress
435-3323
rURuAN Int Impr. ? Sq. Ft
City `
Phone Instau O
Z ? Name
? ¢ Address
City Phone
W W Name 1if1LI:,)UI= p Address 5004 sa
I W City BLhU;?i Phone
information is correct and agree to
Minnesota Statutes and Giry of E?c
Signature of Pdrmittee? (?A T •?
A Building Permit' issued to: KEYLAND HI
all work shall bgb?ne in accordance with all applicable
Building Official
_ Assessment
_ Water 8 Sew.
- Police
- Fire
- Eng.
_ Planner
Council
of Bid9. on, 6/9 86
Fees
Permit y ' O
Surcharge 31.00
Plan Review?'50
SAC b ---,',-.--Qd
Water Conn. 500.00
Watar Meter 63.50
Road Unit 2 9 U-.10 0
Tr. PI. 156.00
Var. Date I Copie o
Total , '
on the express condftion that
Statutes and City of Eagan Ordinances.
- PrrmN No. PermN Nolder Date TNephone N
?PlumbMg
H.KA.C.
' 23 - ,
m.cw 7 --
SoMener
Impeetlon GaM Insp. Comments
Footlrtq@ I
Footlnys 11
Foundatbe
Framiny ?
Rooflny
Rough Plby. fA?w
Rouyh Htq. ?
Inrul. LO
Flroplace
Final Htp. L?
Final Plbp.
&dq. FMaI
Cort. Occ.
Doek Ffp.
I Dock Fmp.
YVOY Dosc?ibe Louqon:
Pr. Dbp.
I .
P `
? PERMIT #
E= MtG11ANlf
? RECEIPT#l L ? 454
MINIMUM RESIDEN7
DATE MINIMUM COMMERC
1. Bldg. Type; Res ? Comm Inst
3. 7atal Bid Price 4. Job Address
l Lot ? Block ? Sec r ?
(0.e.4 IrO 14 ? ?. 19 ?l o ! F
? . 6. Contractor
(Name) q7 7
7. Contractor Phone # ?
RESIDENTIAL HEATING - 01-100,000 BTU's -
RESIDENTIAL COOLING - 01-2a,000 BTU's - S
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
v/ ,?-
'f HEATING VENTILATING
?AIR PIPING PROCESSED PIPING
?C RES. GAS PIPING OUTLETS -$1.5U TANK;
COMM.?D. R? F?yTOTA? L 810 RICE PLl
Signed: ?-<- ???
Approved Inspectians: C
;AGAN FEE ? 4DO
L PERMIT ?C
OO S U
, FEE - $70.00 + $.50 TOTAL
. FEE - $20.00 + $•50
New ? Add Alter Repair
. ? . , f4 i I t! .... .
S
77Z
(ZiP)
i additional 50,000 BTU's or fraction -$6.00
additional 6,000 BTU's or fraction -$6.00
T WATER STEAM A(R CONO.
AIR HANQ. EQUIP RtFRIG.
L.P. UNDERGROUND OTHER
i0 STATE SURCHARGE FOR EACH $1,000 OF FEE.
for
_ Rough Insp. Date _
Finat insp.
' PLUMBING PERMfT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Ad?ess LV (I?
Lot - Biock
m Name
B Addre
c City -
- Name
(D
Addre;
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMiJM - FESIQENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.sQ S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #/" W ?
RECtIPT # ' 4, - ?
DATE:
BLDG. TYPE WORK DESCRIPTION
mes. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 t
?_Bath Tubs - $3.00
/Lavatory - $3.00
IV-Shower - $3.00
_,Z-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
Floor Drains - $1.50
?Water Heater - $1.50
Whirlpool - $3.00
_LGas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=
Rough Openings - $1.50
FEE ,
STATE S/C:
GRAND TOTAL: '
CITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH Lot 3 Blk 2 Parcel 10 7297$ 030 02
Owner Street 1866 Deer Hills Trail StateEagan, 55122
IAC--
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, 19 5 303.92 20•2 15 ?2,41 , tj p
STREET RESTOR. C- 1986 1622 . 20 324.44 5 O 9?el igF 11r r-
GRADING
San Sew Lat 3 1986 502.58 100.52 5 .5*014 e-.0111-949
SAN SEW TRUNK
SEWER LATERAL
Water Lateral ? 19$6 582.46 116.49 5 S?"
WATERMAIN
57-95
WATER LATERAL
WATER AREA
1973
58-78
3.93
-S/ s') ,!I
STORM SEW TRK .O ? ^ -
STORM SEW LAT 9 5 7. 5•20 15
Storm Sew Lat 1986 739.56 147.91 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Services 0,3 1986 529.15 105.83 S ,Sa' / 1 L
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF E4GAN WATO SERVICE PERMR
3830 Pilo! Knob Road
P. O.'iox 27199 PERMIT NO.:
Eagan, MN.55121 DATE:
Zoninp: `l No. of Units: ?
Ownar, t r:yI3nd . ;
Mdnsr
Site Mdrcss: 1S6; Deer f;il'_s Trai3. L3 Ti2 g,i?,
(' *iechanical ---.?
Reodei No.: V/ N(v 3%!!V o
1asm h emphr Mrll6 ty phr oi
By /lU Dor. PaW: ?' "•,' ,?r
Oote of Inap.: Irap.:
G O
CITY OF EAGAN SEWER SERVlCE PERMR
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonin0: Na of Units:
Owrnr:
Address:
Sih /1ddrlSS:
Plumber. -
I yme to eepwbb flw Cllr of loom Can+»cfion Chwme:
OrllNmew. /1ccount pepodh
Permit Fee: '
Surdhorps:
BY AAisG CMrpm
Dote of Insp.: ?
Total: '
InP• : Dote Pofd:
?
This request void
18 C months f2 24
? fire No. Rough -in Ing
Reduir ORBad
w
y No ::n
es ?No
icensed E ctncal ontractor
]
Owner
1 hareby requesf inspsetion a1 abave
Cfrm• Aw.____ electrical work installed at:
"-'........ c? . wn u. nVUSd rv0. Clfy
ect n o. Township Na e or o.
R nge o.
Count
Occupant (P
P RI T) ?
?4-ft
ower 5 pl er
Addr ss
Elec rical n acmr ICompany Namel
'
Contrac
s ic
(J
d ress ontractor or Owner Making Ins ilation)
?
Authorized .?.
nature (Co ac wner Maki I
_
nstall on) Phone umber
?'?+ ?'+?lt ts ND OF E CITY THIS INSPECTION REQUEST WIIL NOT
G?i s-Midway Bld .- qoom N 1 BE ACCEPTED BY TME STATE BOARD
1821 University Ave., St. Psul, MN 65104 UNLESS PNOPER INSPECTION FEE IS
Phons (812) 297_2117
s•02 , t ( REQUEST FOR ELECTRICAL IIYSPECTIQIY Ee-oooo,_o4
1 Sse instructipns for comolstirp this form on beck of YeIlow copy. ?
-? ??
224 ? ""X" " Below Work Covered 6y lhis Request
$0 Fos ServicaEntrencaSize d Fee feeders/Subfeeders 1t Fee Circuits
U to 200 Am S 0 to 30 Am s 0 to 30 Am
r ff Above 2_Amps 31 to 100 Amps LS 7`0 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am 5
Transformers Irngation Booms -Lj Partial
?
.,
-?
;
I
-•rr•? oNec?ai ?nspeciion
B?.ks ? r S Cf' To i? 67. Final r certify thei ehe abov
7., 1,7,4 D43P -?_`n inavaction hea been
CITY OF EAGAN No , 18975
; 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE: 454-8100
BUILDINCa PERMIT Receipt #? (3?
Tobeusedtor BASEMENT FINISH EstValue $1,500 Date APR 29 , 1991
Site Address 1866 DEER HILLS TR
Lot 3 Block 2 Sec/Su6. SUN CLIFF 4TH
Parcel No.
w IName DAVE HOLMAN
o Address _ 1866 DEER HILLS TR
city EAGAN Phone 454-4315
;i?I Name KEY LAND HOMES
ga Address 14550 BURNSV7LLE PKWY
? City R I NSV . Phone 894-2636
?w Name I
Address
aw City Phone
I here6y acknowlege thal I avvvggg read fhis apphcation and state that ihe
iniorma}ion is corred an gr?e to oompl ?ih all applicable State of
Minnesota Statutes and of E?pan Ordi es.
Siqnature of P rtee
A Buildmg Permrt is issUed t0: ?Y D OME$
on the express condition that all work shall be done in accordance with all
apphcable Slate ot Minnesota Statules and City oi Eagan Ordmances.
Bmldmg OHicial
OFFICE USE ONLY
Occupancy
Zoning
(ACtual) Const
(Allowable)
# ofStories
Lengih
Depth
S.F, Total
S F. Faoiprinls
On Site Sewage
On Site Well
MWCC System
City Water
PRV Requiretl
Booster Pump
APPFOVALS
Planner
Council
BIAg. OH.
Variance
Bldg. Parmit
Surcharge
Plan Revww
SAG City
SAQ MCWCC
W ater Conn
Weter Meler
Acct Deposn
S/W Permn
S/VJ Surcharge
Trealmenl PI
Road Unn
Park Ded.
Copies
TOTAL
FEES
35.00
1.00
CITY OF EAGAN
MN 55121 N2
38
0 Pil
t K
P
O
21
199
E
b R
d
B q
121 00
no
.
.
ox
-
,
agan,
3
o
oa
,
PHONE: 454-8100
? /
(
3sJ
BU14-DING
Receipt #
IT ?
3
SF DWG/GAR
$62,000 JUNE 11 86
7obeusedlor
Date
EstValue 19
SiteAddress 1866 DEER HILLS TR Erect Occupancy R3
Lot 3 Block Z Sec/Sub. SUN CLIFF 4TH Remodel ? 2oning Rl
Repair ?
Parcel No Type of Const S??-
.
Additian ? No. Stories
KEYLAND HOMES Move ? Length 40
W
I Name
3471 W 173RD Demolish ? Depm nG
o Address Int Impr. ? Sq. Ft
city JORDAN Phone 435-3323 Install ?
o I Name-
00 ¢ Address
? CiN -
SAME
Phone
` HALLQUIST
_ w Name
a? nddress 5004 W 80TH ST
aw Ciry BLMTN phone 831-1875
I hereby acknowledge that I have read this application and state that the
information is correct andi'gree to comply with all applicable State of
Minnesota Statutes and of E g a n Ordin n s. n
X?
Signature of Permittee <
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all apohcable Sia[e (
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. orr. 6 9 86
APC
Var. Da[e
Permit '' '"'' . ""
Surcharge 31.00
Plan Review 154.50
Sa,c 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
CopO
T?fel ?L/VJYV
- on the express conditian that
of Eagan Ordinances.
Building
s ao/s? .U/
22
Q
L
Repuest DFre No gh-in Inspaction
R p
Il Reetly Now AI NoOfy Inspector
When Ri
? Yes CN.
1.711censed contractor D owner hereby request insper,4oo of aaove electncal work at:
Job Atltlrese iSVeat Box ar Faul 1
l? Qty
Co
nry
?
Secoon N' o ToWnsnlp Name or N. Range No u
?
Occupant 'PFI T)
t
Phone No
?
Power her Atltlress
Hecinri Coi ICOmpany Na et Goni //L//, n(s?e No
M?arhng Ajatlre COntrz?c/tor orOwner ldaRing I1nsteuation)
/ / I [_./[_./
Aulhorrza g?aWea IConlrzct ?/Owner kmq Inslal ion?
?,nA /)_)? J PhonB Number
3& eX _
MINNESOTA STATE BOARO OF ELECTPIGITV THIS WSPECTION RWUEST WILL NOT
Griggs-Midway 61tlg - Faam S-173 6E nCCEPTEO 9Y THE STATE 80Ai1D
1821 Universiry kve, 51 PauL MN 55104 UNLESS PROPEF INSPEGTION FEE IS
ENGLOSEO
Vhone (612? 642-0800 -
? REQUEST FOR ELECTRICAL INSPECTION eaaoam-aa
8..?
?r
?? See mstmetioas br compl¢ting Nis lortn on bdGk ol ye?low copy
p(1 fl7 "X" Selow Wark Covered bY This Ae9uest
u a r I e(+tld Rep Typeofeuddmg AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Hea[er Elechic Heating
Apt Butlding ?ryer Other ($pecify)
?Commilndusinal Fumace
Farm Air Conditionec
I omer (suecrty) comrnco, aem.res
Compute InspecUOn Fee Below
# Other Fee # ServiceENranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 m ?
Transformers Above 200 _ Amps Above 100 mps
Si9n5 Inspecrors Use Omy ? TO A?L
f
Irngation Booms
Speaal Inspection
Alarm!Commumr,ation THIS INSTALLATION MAY 8E ORD RED DISCONNECTED IF NOT
Other Pee COMPLETED WIT MONkH (
I, the Elecincal Inspector, hereby -
Fou9h in ?ate
?
cer4fy that the above inspection has F,nal 1?7 oa+e
been made
OFFICE USE ONLV
This rpquest Iai0 18 monnhs iram
,? .
V
1985 BUILDZNG PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lNST BE LZCENSED WITH THE CITY OF EAGAN
To Be Used Fo
Site Address:
Lot : 3 Bl
Parcel tl
Owner
Address
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
GZO?X? 1 SET OF ENERGY CALCULATIONS
ion• Date•
=/ ?
ICE USE aNLY
Erect \0
Remodel ?
Repair _
Addition
Move ?
Demolish
Int.Impr, ?
? Install ?
City/Zip Code
Phone
APPROVALS
Occupancy
Zoning
Type af Const
U af Stories
Length
Depth
Sq Ft
FEES
Contractar pssessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council .,.?.'•- Road Unit
Bldg Off bINIRb 77-eatment Pl
Arch./Engr. APC -? Parks
c- d? ?
Address Jb '
? ? iance CoTp
?
?T
City/Zip Cade S=90 3
Phone /1
`fz3
?
6p 6
-A10_
3.r?.
15q ,5?
5?5
r-, oa
G3 "S?
??b
?G cl
7
yb?3
21 ?c z`z_. = 9?Z--x ?`Z- = 5544
? cO
6zc?zy o
1
I
"PIBG6 Aeer)A;
Pdr: Rey-Land Homes
C. R. WlNDEN i ASSOCIATES, INC.
IAND fURVEVWS Til i4{-i{H
1361 EUSTIS fTy ;L PAUIg MINN. i5109
Sceles 1•-30'
s Denotes Iron
Monument
Searings Ace Aseumed
EoSe?ni 10 4
? ui;r??y ? ? Cn
9 ?
pra;na9e aa,_ f ,o w,
J2?. o?r
44.. a \ _
• 10 N A 11? ?
?
n W ?'D
10
\ Y CMA
IT?
„ f \ o
? %oV
f ?
\?26J
NOTE: '
o Denotes Wooden Stake qo5.9
Proposed Garage Floor E1.=
(905,4) Denotes Proposed
Finiahed Ground E1.
...?..-_.-- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Lot 3, Block 2, SUN CLIFF FOURTH ADDITION, Dakota County, !linnesota.
WE MEIEIY CERTIFY TMAT TNIS IS A TRUE AND CORRECT RE?RESENTATION Of A SURVEIf OF TME
?OUNDARIES OF iME lANO A60Vf DESCRI{ED AND Of iNE LOCAiION Of All BUIl01NGS, If ANt,
iMEtECN, ANC Atl VISIBIE ENCROACNMENiS. IF ANY, fROM 01 ON SAID lANO
Defo/ tAi.L-br ??AIA3,-Cf A.D. 1?BS C• lt• wiNDEN ? I.SSOCIATES, INC. ?
' ?r
tv?v?r. MiwM?N? ?Mis?nliM ?'M ',1$y'a ..
,uyc • .. ,
EXTERIOR ENVELOPE AVf:RAGf_ "U" COMPUTIITION
OWNER;
----- - --- -
nnrr: ?-J;2 -
?
?
SITE ADDRESS: PHONE:
CONTRACTOR: ?E 4?1.A,t1p
Determine working square footage of each
1. Total exposed watl area.....q. Ft. x.11
i
2. Total roof/ceiting area..... _cf LQ sq. ft. x.026
d 11
Total expose wa arca above oor-____ .• ?
l• q
a
Total
.......................................
wall window area ?..?<
//?•g t`:
. .... `
b. Total door area ..................................................
•,
3•?
?
c. Total sliding glass door area.................................... .;.
.
:
d. Total fireplace wall area ........................................ , ,.
-
e. Total wall framing area (average 10°10) .......................... i..
. %! ;
f. Total rim joist area .............................................
g. net wall area above floor ..................................... •.
h. wall area above floor .....................................
i. wall area above floor .....................................
j. frame wall area at foundation ...............
Total exposed foundation area=6;)4 -
k. Total foundation window area.......................
1. Total net foundation area above grade ..............
Determine "u" value of each wall segment
(e.g. window, door, eacti separate wall section)
a. x'pull ; 3S = 39.48
b. 32 X "Uli
c . 4c7 x,iu,? '417 = 1?'? 8
d. X
e. llolv .4 x
f. X
9. z
??u"
„u„ ., bF = I 3, 3
,tul, 10 5? _ 61-4f-
„u„ , o = 5?.3
n. x liul. _
i. X "U"
? K I.W. k. x "U"
X IOU„ 4-1 _
3 . .................................Total
J;
If item R3 is thi
as, or less than
kl, you have met:
intent of SBC 601
Dcterior Envelope Avera9e "U" Computation
Total exposed roof/cciling area = ( &b
M. 7bta1 skylight area ............................
n. Total roof/ceiling framing area (averaye 10%)... zi ec
o. Total net insulated roof/ceiling tirea...........
Determine "U" valuc for each roof/ceiling seqment
M. x "U" _
Page 2 of 4
n. 9(,o g ..u.. . 02-4_ _ '2 13
o. S&+ X "U" , d Z
4 ........................... Total
.?
If total of #9 is the same as, or less i:han A2, you have met the intent of
SkC 6006 (c) 1.
Alternate Building Envelo e Design
To utilize the total envelope'system method, the values established by the s••.un of
i.tems ik3 and #4 shall not be greater than the sum of iterns 4--and #2.
1. ?64-.1?t7 + 2.
s. 116 .q3 + a.
PLAQ *k
?
0 L wSAL FT. FXposED
bLOGfC ; 24fi-qW + Z4+-4() _ /,;?y
i6.iEE. ; ?1t. ??w rZ4 r /+v
,
W,0 , a
?:U L L4-0 t-
FuLl.2- ; -
?? ?t.Et?LAGE ?
lZ1 M = ???
0 Sa. . rz-r, sx.r
t3LocK.', X
?ti EE ; ?a? x
W.O. ; K
r-- I L I ` 1ag x
>O5!
,S
S
8
S
WALL
ED WALL A2E.A
u 9 -
Fu L,l. 2% k. S=
F, P, Y, =
FziM ' iA ? K ! = iA Y
To tA L. = 1 ?t?3
GEII.IUq
? wDW15 t?1 ¦ Doo?.s r'?'
24S+o -it+i- i `i
Z444 t-?8•
20? - ?? ? - ?4 ? ?ATl O DR.S ?
/
4j
?3SM?+ UI?1i+5
1 ?w9?
A
6
!'nqr 'Ct:n
Con^trur.t irm 1;-valu?:
1. 141t5. i?rl'-j1??--??'???'•-------- ?--?1_?f'??
..7J
4. -C&C-4ry,'_._.'.
5.
6. F:r.t.c•rii,r nir (im
.
.
.. ---•
_
--._. _._.. _
.
.
_. .
--------- --.
Y'Ut,?1 ?Z, Z't
1)=.O8
INSut-•
1. Int??rlnr air 'ilm O.GfI
2. yi?_C2yp..Hp • . _. .___ _ __' _'._._l4?
3.
?
a. o-i.?Jx._.... . ---- -- ---b•r?
6. Ext.crior .+ir
-°•-------
-- -------
?r„i,i Zo.q
c)= os
M
R
?. ?,
,cr_r,tin
>>, 0. 6 f 1
--
2.
3. _Z.Xlt2--------- -- --------- - ----?'??I
4. __?.L??+?.- ----- ----- ---`-`g8
6. }:xCrrior nir Ctlm ----0.17•
1•ot;?t Z7..3li
v=.o9
, LV '
2. ------- - --- ---...__- -
3.
n. ._.---
5. -----• - - -- --------- --------
G.
ToL.ir 2 ?,3
U = .40
• , , n_ ? ?
--
? o , ?, , `- ? --------'-?--'
GRAM
=
?' (
FIC. 04
1f? ?
w ' ? • , ??
` V •
'
e
s
?
y... - ?
• 1 i
' /f!
?
(c! _
t!U'CE: Indicnkc Lync, "tt" vnlua, clcuth and
' placr.nunt of insul.ition.
?
• _ WAt.t. :;Cr,TiON i
U:O ?,ti uf ppanue wall aren Lor
? iromr: conr,tructiun
]tAOC/CEILIyC , • .
, . • • . .. ... s:
>, ? . •
Const? on . R-Valuc
Intcrior air f.ilm . 0.61
T3p , sR
3- 1e25UL?-- a4.oa
.!' £xtcri.or±ir filn (still) 0. 61
V'uTT l L.:-•Tfjl ?? ??? ??? Total
O
, ' `\???t? .. . . . '. • , • ti, . - ?? ?OZ • •
8e?t flaw ' 1• Inteirior air film ' 0.61
:nced 2. __?_. .5
uP . ' 3. ?
?1?SU11 38.35 .
. ' • 4. IxLcrior . ir filn
• . . . . . :__--------- ?rotaL 2 . qo.rS .
, rxc;.
, . . . . .• ? . - ? . .?•..
• ' : ^ • co.t.'1??R?t. ri mrt,_ ? ,'' •
0.61
2.
3. ' .
? q, '
S. Outside air filln 0. 17
Total
. : .cR'?'!rr ?`' . . • , .
'• a_ Insidc air fil+n 0.61
2.
3.
?1.'ecc Ilou up • •ven[ed , •, ? • a_ ' •- .
• - ? ? , ? • $_ Dutside air Filin 0.17
. . ? TSC. 16.:. . . . ',. . . : . Total
- .. .. . . --^ - : , . . - .: . . . . .
• 3 ? 50 'v 1. Ynsidc air filrn 0.61
• ? ?t2• •
, , , • ..?...i?.1? . 3. . .
4. .... . ,,. c?_, : :.':'•:?%? =i . S. Outsi?c nit film 0.17
:''??' • ? ? Tota1
../ i ?' ^2.? ? ? . .. ... ' .. , _ ? .
. , .`U ? .. .
, . . ; . ., .;: .:.? ? . .
YtoCe: Use additianal shests if morc spaco i:
' .. ??'i'?'? ' ' • ' , yeeclec] for details and calcu?atians.
' • ? Iieat ? , ' • • • . . ?
• ' flov ap • . ? '
• ' • VIr,. !7? ?? • .? ' ?? . ' . . . ? ' ?
. . . ? ' , .... ? ...... _...._, .. .,......,. •... .. .
CITY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
D10TF: PAYMF:Tfl' OF FF.E AT TIlM pF
APPLICATION DOES NOr CONMMTM
APPROVAL OF PF12MIIT.
INSPF]GTION OF SEFM AtID/OR F411ER
INSIArraTIONS WII,L WOT BE SCHED-
ULID UNTII. PEEtMIT HAS BFM
APPROVID.
Please Print)
? 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: •-
IF EXISTING STRCCIL)RE. DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE:
' PR£SENT ZpNING/pROPOSID LTSE: (Mn Year)
0 C0MMERCIAL/REPAIL/OFFICE
Q INIDLTS2RIAi
f-T INSTITL'TIONAL/GOVERN6ENT
2) ?
ADDRESS:
YJ a???.Mq.?ry(?hQ17iC?i
NAMF3:
ADDRFSS:
CITY, STATE, ZIP:
PIIONE:
? R-1 SINGLE FAMILY
? R-2 DL'PLEX (Zt,v Units)
R-3 TOWNHOUSE (Three + Units) ( Lnits)
? R-4 APAR7T'ENT/CONIDUMINIOhI ( Units )
?
5) ? v ?? r: •?• : a? • a? - ??
? CONIgX.TION 'In CITY SEWIIt /& CpMECTION ZU CITY WATII2 ? p?'FIER '
6) ?? • ? r ?
?
r r• u• -
PLEASE HOLD APPROVED PEI2MIT FC)R PICK-L?P BY ONE OF ABpVE
PLFASE MAIL APPROVID PERMiT TO 1, 2,? 4, 11HOtIE
rl? . l tCirc rmo\ '
F4R CITY USE ONLY
?. ?
: .
PERMIT # ISSL'ED
7,5737 ^ // ?(,
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SCRCHARGE )
$ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP $ $ I5' D'-V ACCOUNT DEPOSIT - SEWER
$ $ `Stg'U ACCOONT DEPOSIT - WATER
$ `j ro Ci n $ WAC . .
$ J??Sf•l?O $ SAC
$ $ TRC'NK WATER ASSESSMENT
$ $ TR[7NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ 156 ' a- C) $ WATER TREATMENT PLANT SURCHARGE
$ 11 $ OTHER:
$ I a? % ?L .SZ $ Jr??U TOTAL
RECEIPT RE
E
C
IPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMTT FOR WORK WITHI[V PUBLIC
Q
NO ROADWAY" MUST BE ISSDED BY THE ENGINEERING
DIVISION
LIS
CO
.
T AS NDITION.
A
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : Cp // b, ?
- . . 't BUILDN t
1991 IT AP? ATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
`
COMMERCIAL ?j?•f?'
2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
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 BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - 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 MUST SHOW A LICENSED PLUMBER. ,
b,45R?)a,;r F,Nisi? ? (5 00
t ? p
To Be Used For: Valuation: ?'J-00-x!:7 Date:
Site Address //??5 ?. OFFICE IISE ONLY
Lot j_ Block 2`
Parcel/Sub it 1,'A- (°f,'f.Q ?A?
Iru
Owner bx &W
Address Ups{A_ ?i76- Tr•
City/Zip Code ?QW /'YJ/v
Phone - y3/<<j'
Contractor ???AWo Ayhe?
Address fAj!T,?fO
City/Zip Code - ffe //tA!
Phone !&?'/i/ -7z3`
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage__
On site well
MWCC System _
City water _
PRV _
Booster Pump _
FEES
Bldg. Permit -.55r CG
Surcharge ,c o
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL 3 G. 0 U
APPR(1VALS
Planner _
Council
Bldg. Off. fjSy2S-9,-
Variance
Phone #
1
Q? agrees that all work shall be done in accordance with
(Signatur of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
XROOI?t`'*, e ?'??..T.
FOR CITY USE ONLY
PERMIT
RECEIPT # I
DATE: J ?` 9
PLEASE COMPLETE OPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON v
REPAIR _
OWNER NAME:
SITE ADDRESS: Ve-lan C'
LOT: JJ BLOCK -,2 SUBD.
INSTALLER: Dc
ADDRESS:af-? ?ct,?Cl.-? L11\?e
CITY: ZIP:
PHONE #:
SIGNATURE OF
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00 t5. w
? SHOWER 3.00
? WATER CLASET 3.00
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.
_ (MINIMUM - 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
? 5 ?
TOTAL: S ?
J .
COiRME??xIA???IDDSTRIAI:: PLEASE COMPLETE THIS YORTION 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
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
r?70= 5?891 /? 6 i
' UILDING HNO INS CTION OIVISION DEPARTMENT OF
^OMMUNITV DEVELOPMENT 2215 WEST OLD SHAKOPEE ?
NEAT LOSS CCULA IO?VS BROAD, BIOOMINGTON, MINISESO7A 55631 891?58I3
Wnthcratrips A.S.H. uConatructiors No. . 11 INSULATION ploonvrwtwi
?Windows Doors Re&renu Out. `
Yes-No I Yes-No ?I 19_ I
J .1 r4flhlcR Room Length / 7' W
Windows and Doora-Crackafte and Arca
No. wmah
o[ Dane lieienl
oI p+ne No ot
I16ht• Unul f?
a<«a<k wx?
p f4
. _
vy
Coef. " Btu
lnfiltration .2 _ SUS
Gia.. ? , SD 9 /
Fap.wall 7 f'j7 a
Net exp, vrall ? 7. /yW b
W-+'& 'Rrm 17+r1 aB l
Ceiling S yb
-f-lear----
Total Btu. ' 3 5 3 S
Required sq. ft. E.D.R. or sq. ins. WA. Leader area '
/SfFI.l .F¢Room Length /.3' Width ,/et-G??leig?
Wi ndawg aed Doora -Cracka ge sod Area
No. Wldth
ot pcne Hef6ht.
e[ pane No. of
Ilihts' Llaed [t.
ot eraek Area
M. tt.
CoeE. Btu
lnfilttation
? eZ cf .: u .
Glau
xp. waif ,/ 3 `t 'l?-?,
E 0?
•
t?CI GAp. WflH ' / y(pS I? OJ ".
h?t.-waf? . t +
Ctiitn$ - ,S ? , s y fl9
•?--
rot8i stu.. . , . . _ _x
Required sq. &. E.D.R. or sq, ios. WA Lwder sna
?`' •? 13A-+-li. .Room I Length 13 Width $:.L
• Windown anxl Dooza-Craekaae and Area
No. Wietn
of p?*? Het[n[
e[ pene !io. o!
7lsRb Woi?1 [t,
ot enet -Area
p. [t. ' ..
- Coef. , Btu
Infiltration ,
Gleu __
F.zp. wall . - J{
Nec exp. w.0 yy„
3nk?walh- ?.;.\ , S
,,kJnor-=?' . . . x
Tetat Btu.
? Requ'ved p. ft::E.D.R.'m sq. ins. W.A. l:eader arca
No. WIAtE
ot D..a Hsieht
o[ Nna Na ot
IIgbL Llasd it.
of erk<k Aru
aV- [t.
3G t //, S 1,0
SGD ?C $6 3 4?
Coef. Btu
Infiltration </(aS .2u l!6
Glae: .O o ,$`o'D
Exp. wall a+/o x$ aSiA
xet ssF.,.a! ao? 7 i ?ya
ant-+..µ .. , ?a t ?a a ? . ? 9a
Ce;Gng /p a?o a.s SSa
-Flaor--', ,
Tota1 Btei
Required sq. ft. ED.R. or rq. ins. W.A. Leackr arca ?
/S+ f].! Llv!w, Room l Length /S- ?'OV[dch i y i-leighe g?
-?: -T
-W16GDN'i anG YOOri--i.iaC[a $C aRa _
Nw Widtp
el pane
Ha14et
e} y?,n6
a
ecnc
I N
3
Coef. eu
? (n6ltratioa 4`y, y /ob'
Gisw sa /b.,P n
Fsp. wall /$- 4, q. l A? e?3L.L?
Net ezp. wn11 ` 3p5?.v -' ly3
-Iet.+vaR-??rn i S- L-P i ?9.6 ?0 7 7
Ceilin8 - ?- >
-?=- .
Total Bta.
Required p. h. F.D.R. oi sq. ina. W.A. I.esder aren
F1.l i Fo P'2 Room I Length / N idt6 I
Windowc and Doora--Craekaae and Auea
No. 7 IdtA
o[ pse* ?1{pt
o p
[ aes Xal?M
Ihb Lnti7 ct.
et enck Arw
?Y. tt
'
,-
-
,
qoorc
P? a-8 6-8 ? i8,7 . i?,
?, 3-? b-8 t• =4, o ?
Coef Btu
lutiltratioe 3IV ? q!a
G1asr,:' "' ? ?. D ! S D
F=p: wall b N
Net eiP: wall ' t?, 41X 2L f13
,,'Required q. it.S.D.R, or q. iai:"WA. Leader axa.,
3381
„' • k
;
HEA7`LOSS CALCUlAT10NS
Weatheratrips Guide .
Windows Doors Refezena
Yea-No I Yea-No 14___?
BUILOING AND INSPECTION DIVISION DEPARTMENT OF
OMMUNITV DEVELOPMENT 2215 WEST OLO SHAKOPEE '
ROAO, BLOOMINGTON, MINISESOTA 55431 881-5811
Construction No. ( INSULATION
all fot. Wall Ceiling Roof floor I Kind
l.1 Qyq,Se?,ne,?Room I l.ength LfD Width a y Height
Windowa and Doors-?Crackaae and Area .
No, Wtath
af Daoe H<Ignt
of pane No. o[
lighb y1ne.1 [t.
of crack Arcs
W. 1t- .
? a 6 3 ao,
i4,
D 34 5'
CoeF. Em
IoGltration `jy, 5/ ay & 6
Glaas ' ° ?3 50 3S/
Fap. wafl D4 ? tVo '(I 0W'
Neee:p.wall - 53? 6/o7fi_
.Jntswstt--r.
- F1oor O Ga 7 67 0
7otal &u. ' - • , ? /77
Required sq. Ft. E.D.R. or sq. ins. WA. Leader ateb
F1.1 . ' Room 'Leegth Width " Height `
VIDdOWb and D0075--Ct8CkHgt fllla A[e8 ' .
'Ne. wmte ,
ot Dane Hetsne
of pans No. ot
I1tSU Ltnnal [l.
pf enck Ana
p. [t. ' '
. . '
" Coef. Btu
lo6ltratioa'
' `C+laea
Exp. wall
'Net exp. wall
Inl. wall --
Ceiling
' Floor - •
ot u. . , . ? „ _ . . . . - . ,
Requircdiq. ft. ?E.D.R.'or_sq. im. V.A. Leader ares .
Atea
.
Ne. wmtrt
of pkn* He{gnt
' of pao0, Ne. et
llglls Weasl t6
ot crack Are&
N. tt. -
, Coef. ; Btu
In6ltratioa j `
G4u
Exp. aall
Net egp. wall ... .
Jnt. wall
, Ceiliae
' Floor ,
lotsl Stu. ,,. ;;. •
"Reqaired w. ft: E.D.R. or sq. ius. 1V.A. Lesder srea ??
Ob,?-omington
How ADP1ied
Room I Leegth Width
WIIIUOws ana IAO?racca ge sua nr w
Ne. Width
of "no Ae/ght
e[ pane Na ol
11g64 Llnol tt
of traer Aroe
q. ft
C«f. Btu
In5ltration
Glaas
F3p. wsll
Net eap..watl
j
Int. wsll '
Ceiling
Floor ` ?
Totat Bm.
Re4uind w. k. ED.R. ar q. ies: W.A. Leader area
' F7.1 Ruom l laogeh Width . H«aht
- -- -
W1MMN7 aEO t/DD7s--iLrac[8 ge erta MRe . '.
Ne. W Wen
?aL p?n? BaIwht
OI p" No. et
11(Eb L1ea1 ri.
o[ eraek Aroa
p. !A . .
-
Coef. u
Infikratroa
Gl6N
E:p. wsll ,
Net eip: wall
lnt. well
Ceiling `
Floor". ... ° . _ _ ..
i Total Btn. • , -
Requircd p. ft. E.DR et sq. im. VA. Leader uea '
17. : Room I Length Width _Ekisht
' Windom aod Doors-Creekare and Area - .
iatn
o[ yaee xeisee
.et paee No. oe
Ilght, Waod f0.
o[ etatk Aru ? .. ?
CeeF. 'Stu
`Infilewtioa • '
? Gled ' - . . ? . ?
EaR wall
? Net eiy. wall - ? s ..
Int.wall ' _ -
' r
Ceifing - . -` ' .
..
Floor°
RMuired p, k.'E.O.R w iq.'wi. WA."Leader tTea
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130093
Date Issued:04/03/2015
Permit Category:ePermit
Site Address: 1866 Deer Hills Tr
Lot:3 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-030
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
David R Holmen
1866 Deer Hills Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Date:
r C!tyofEaoau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
g 7
Permit Fee: /6<
Date Received:
Staff:
2J016RESIDENTIAL BUILDING PERMIT APPLICATION
12 3 1 tQSite Address: 5LQ low Unit
Unit #:
Resident/
Owner
Name: D-60 H, o ( KY) ' 61 I Phone:
1COLW our H1 It 1176L1
Address / City / Zip:
Applicant is: Owner Contractor
Description of work: IQJ t Y I,'0 tit f J 01 VL (L. 1 1) t {,1 Y1 (L L (
Construction Cost. Multi -Family Building: (Yes / No )
Company: SR `Vv OVILI Contact: El F2 t/C,'l A1v 1
Address: 41, 00 ?K(Li `0 2 V GI City: . t,•(/ V t, L lo{1 vW
State Zip: �(P Phone{ eq 101 .2( mail: �hesstO c,ic W t f mg. to
License #: " 1 "'v V t 01-01) Lead Certificate #: N 1 { 2-0-0 3 t — `/
If the pauH
'ct is exempt from lead certification, please explain why:
IC( ROCQ
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Phone:
Sewer & Water Contractor:
Fire Suppression Contractor:
NOTE: Plans and supporting documents that you submit are considered to` be public information
the information may be classified as non-public if you provide specific reasons that would permit
conclude that they are traddsecrets.
ions o
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 St. - ild' ,Cod ust be completed within 180
days 5iiougtio,
ofpermit issuance. I \
r
Applica 177 -'g
Applicant's Printed Name
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138977
Date Issued:09/30/2016
Permit Category:ePermit
Site Address: 1866 Deer Hills Tr
Lot:3 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-030
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 -
David R Holmen
1866 Deer Hills Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151806
Date Issued:09/13/2018
Permit Category:ePermit
Site Address: 1866 Deer Hills Tr
Lot:3 Block: 2 Addition: Sun Cliff 4th
PID:10-72978-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
David R Holmen
1866 Deer Hills Tr
Eagan MN 55122
(651) 454-4315
Comfort Heating & Air Conditioning Llc
12239 Nicollet Ave
Burnsville MN 55337
(952) 217-4060
Applicant/Permitee: Signature Issued By: Signature