1871 Deer Hills Tr
Use BLUE or BLACK Ink
- - - -
I For Office Use
CitROD 1j of ~a ; Permit#:
r I I
d I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: [ /7"1 o Site Address: j 72- ~C 4t L-tS 7,-,.,
Tenant: Suite
RESIDENT / OWNER Name: T! loi~ C C6 lA Lug G Phone:
I~ yS 1" 73ZZ--
Address / City / Zip: Z ~ t P, h i Lc S _T P_ JC&,1yJ SEI I
Applicant is: Owner Contractor
TYPE OF WORK Description of work: - 4 o a tF U' N h rj V-,- t_
Construction Cost: IV93 O U Multi-Family Building: (Yes / No )
CONTRACTOR Name: , c;r • a 6 /A ' License
r~
Address: f9ol c C City: Cl~
State: ip: one:
~JY` Contact: ~ c-5 ~l Email:
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:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.org
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 't/l e t- i, tt L c K is x M41-~- ill
Applicant's Printed Name App icant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA087285
Eagan, MN 55122 . Date Issued: 11/04/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1871 Deer Hills Tr
Lot: 1 Block: 1 Addition: SunCliff 4th
PID 10-72978-010-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
New Life Contracting Inc. Vladimir Kleitman
2478 Hillwood Dr E 1871 Deer Hills Tr
Maplewood MN 55119 Eagan MN 55122
(651) 274-6943
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.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN No 10421
3830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55721
PHONE:4548100
BUILDING PERMIT Receipt #
I 1e, SF DWG/GAR
$61,000
SiteAddress 1871 DEER HILLS TR
Lot I- Block1_Sec/$ub. SUN CLIFF 4TH
Partel No.
W Name KEYLAND HOMES
? A?,os 3471 W 173RD
city JORDAN pnone 492-6646
Z9
?
Name SAME
Address
Phone
WW Nama HAT.T.QiiTST
io Addreat 5001 W $OTH
iW City R7.MTN Phone 8I1-1875
I hercby ockrmwladge thot I have reod fhis aODlicarion and state that
fM inlormofion is conect ogree to compl with all opplicobla
State of Minnewta Statu a nd•?'.ity o E on r irwnces.
Sipnature of Permittee %
w euliding Permir I: issued ro: KEYLAND HOMES
WI work zlwll he done in occordence yrith, oll-Alimbla Sta e,af_Mb
JUNE 19 iq85
Erect X.1 Oaupancy R3
Remodel ? 2oning RI
Repfllr ? Type af Const. V
AAdition ? No. StOries
Move ? Length 42
Demolish ? pepth 48
Int. Impr. ? Sq. Ft.
Install ?
Approvab Foet
nssessment _
Water 8 Sew.
Polica -
Ffn
Enp.
Plonner _
Council
81d9. Off. 6/17 /$ rJ
APC
Var. Date
Permit J JIO.vv
SurCharge 30.50
Plan Rev{ew 15 8. 00
SAC 525.00
WeterConn 500.00
Watermieter 63.00
RoedUnit 280.00
Tr. PI. 132, ? 0
Perks
Copies
I Total 2. 4.50
_ on the axprcsf mnditlon thoi
ord Ciey o7 Eoyan Ordinancea
Buildirp Offidal
BUILDING PERMIT
SITE ADDRESS 1$71 DEER HILL TRAIL Unit #
B
INSPECTION
G-
FTG.'S ONLY?
Permit # DECK & PORC
?
I CITY OF EAGAN 1 O?? 1
' 3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
QUILDING rERMIT Receivr * '
SF llWG/GGP.R
$61,000
SlteAddreas 1..; i 1 "'? liZL1.,5 TR
Lot BIoCk Sec/Sub. r.n
Parcel No.
W Na m e KEY'LArIi) l-1OtAi.;,
Address 3171. W
City i! Phone ?, l ? •-1'b4 ?.
i 9
O(
ud
?
??a:...
Nama
Phone
Name
19 Addres: •:t ''?'I:
? W City Phone L?- •
Erect Y.I Occupen cy i j '
Remodel ? Zoning EE )
Repair ? Type of Const. Xl
AddRion ? No. Stwiss
Move ? Length 4 ?
Demolfsh ? Depth ,k fj
Int. Impr. ? Sq. Ft.
install ?
Apoeova k Fees
Asseument Permit
ware? b Sew. surcnarge 30
-
Poliu Plan Review - ,? -
Fin SAC ? 2 -S • ?? ?
Enp, WaterConn. U
Plonner Water Meter - • ?-? 0
Coundl Road Unit % • ?? ?
? 1 Fxrcby ucknowledqe thot I haw rood this appl icotion ond stote thot Bldg. Off. U ? r ITc PL 1 1- !1 ()
the informetion is torrect ond ogree to comply with all applicablo
APC ParkB
SMts of Minnewto $tatutes and City of Eaqan Ordinonces.
I Var. Date Copies
Siqnoturc of Permiftee
- } Total '
A Buildirp Peemit is issuee ro: -. .' ` on tr,..xpnm oone+non t?,ai
oll work shall be dorw in accwdonce with all appliooble State of Minnaota Stotutes ond City oi Eoqan Ordinonces.
Buildinp Oificiol ?
Permit No. Pormit Holdsr DaH TNephon? ?
?unvbWq q v 1) (2, ?.?.? 7
?
IN7 -560
H.vA.c. A r 3 I- yy)4
ENctric y .
Spitener
Irapeetion Date Insp. Othtr
Footings I
Footinys 11
Foundetlon
Framing
RooHng 7
Rouph Plbp. . ?t
Rouyh Hty.
Insul. ?
Firoplsce
Final Htp.
Finsl Plbp. ? .
Finel z ?
Cert/Occ. Z? <S?
Wetsr ?xi? Location:
Well
Sewer
Pr. Diep.
Receipt MECHANICAL PERMIT Permit No. ` ?7?
CITY OF EAGAN ?b ?
Fee
Fil1 in numberedspaces S/C • SL
TyQe or Prin[ legib/y Tot ?d ":)Z)
1. Date ? a1 a8S 2. Installation Cost ? 7cAc
3. Job Address1871 (JW H, 1 'S LotBlk. I Tract Jt-' ,( (,?
4. Owner
5. Contractor MCAf0 1A • "z. Phone N?l -7 co' JdL/
6. Address 194401 NoreA 0% Nd4+E. 4•
7. Citv f fti d c State Mi A ?1 Zip >j 372
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe FuelType 1?//7v?J
11.
No.
? E.quioment BTU - M. Ea.
Forced Air 7 S voU No. Equipment CFM
'
Air Handli
:
Mfg. Co ri,c?' ng
?
Boilers
?Z
Mfg. Mech. Exhaust
Unit Heater •
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify th t the ove ' formation is true and correct, and I agree to
comply wi all in s codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
Receipt PLUMBING PERMIT
CITY OF EAGAN
1
Fill in numbered spaces
Type or Prinf legibly
Date : 2. Installation Cost
3. Job Addressr F,ot?Blk. % Tract
4. Owner 7
5. Contractor Phone
.
6. Address ?
7. City State Zip ;
8. Building Type: Residential, 42
9. Work Description: New n
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Si gned
for
Rough Final
Permit No. -
Fee
S/C
Tot. "
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?- ?. r , - .. . . . . . . ,. •.a: • . c? , ? , . ? r,,.. . ; . -. _ . . ,. • •.': =,i°'?..;'tl
I
? PERMIT ti PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -? ?F -7
CONTRACT PRICE PHONE: 454-8100
Site Address ,I `f
Lot I _ Block I/ _ Sec/Sub
a Name
?
? Address
c Ciry Phone
? Name
? Address
,
o 9y7f?'
Ciry ;zpa[3?+ Phone 5/Ssl -
J'
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
' !
51G A URE OF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
n. g ? e
Res. New
Mult. Add-on
Comm. Repair
Other i.ik,.C iv',"?? E o1 ?
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 L
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - 5300
Gas Piping Outlets.- $1.50
(MINIMUM - 1 PEii PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
` FEE: ? ?• ? ?
o` K' STATE S/C:
FOR: CITY OF EAGAN U. ?GRAND TQTAL:
CITY OF EAGAN Remarks ?
Addition 'S? C1'I'' ??.`? ot 1 ? k 1 rcel 10 7?-7f?y?78 010 01 ?
Owner Street 1??eer Hills Trai? State ?gan, MN 552
? ,., . ?. e. # / S9 79 - ?-?85
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 17?5 303 • 92 20.26 ? 3• (c ? (:,'/O 3C.1 y-r1 - S
STREET RESTOR. Q ? oZ oZ .o? O C` /O- -(f j
GRADING
502.58 100.52 5 oa- 58' -/v e, v-/ -Fs
SAN SEW TRUNK 177fl .
• / ',3a ' - /IJ.:Cti7 ? - ?.'5-X?
SEWER LATERAL !. ? ?.
56 3•7 ? , ?'.j ? -? _X '
2.46 116.49 5 8(2, "t? C-I0 9'f6 /o-t -,PS
WATERMAIN
3 - 67
15
5af ;S
L' -/0,4 Q7
?7- -
WATER LATERAL
WATER AREA ^ 1.973 5• 7 3.93 15 . ?e 9 '? - j C 7 -7 - n2 " S
o,, - 1971 185.27 9.27 zo y.a.z L-? L"
STORM SEW TRK o 1985 •03 •41 15 `/ ?
STORM SEW LAT '?8.08 . •? s-? C/ -
d34' -? ?S
CURB & GUTTER
51DEWALK
STREET LIGHT
IC 5
WATER CONN. cion t? 11
13UILDING PER.
SAC
PARK
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, ,! h!t Ni?? l', Tft
I -.iIN LI ]FF dlll
' PERMIT SUBTYPE:
I I F? r+ult ! Mii
APPLICANT:
( i, t ' I :?? , •?:?. ..
TYPE OF WORK:
i., I I i: , i. :?i
fil„ < 01 Ma
?:'N'?f>9
ltl/N?1'?K
R( NA1i
pf'f'oifiI
Permit No. Parmft Holder Date Talephone N
ELECTRIC
PLUMBING
HVAC
inspactlon Dets Insp. Commenis
FOOT7NGS
FOUND
FRAMING
ROOFINC3
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FfG
DECK FINAL
'' • i l\ IJ 1 iJ t11 1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897 -
, (612) 681-4675
? SITE ADDRESS:
?f ?.. I?f ? t; Mf I t t`. ?'i:
` !!:i -r li f S' 11
PERMIT SUBTYPE:
, til I 1
F11tli #:Nti
? I F I N A t
ON RECORD
PERMIT TYPE: «?? ! I Il I N4i
Permit Number:
Date Issued:
APPLICANT:
S
.
i,? .???,I r 1 I 1!i
i ? 1 ' i ?t'?. ?•1 .'it
TYPE OF WORK:
Il; ,it
N f lJ
( r Nr. tIinF 11. ot cx )
rt,nwrNAt
I ltFMARKS : A ',F NA1+Af! I'1 kM! I Ic, ttf'itI+IttF() tI1Fc ANY f!f 1 IP 1i'A1 i,.1I110
?_ ?
L?--_. . . -----------------------. -. . _._._..__.._..
Permit No. Permit Holder Date Telephone #
ELECTRIC O0-0
PLUMBING
HVAC
Inapection Dete Insp. Commenta
FOOTINGS
/
FOUND
FRAMING
C aA
ROOFING
RdUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ?
GYPBOARD b
FIREPLACE • ?
FIREPLACE
AIR TEST
FINAL PIBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.L
BSMT FINAL
DECK F7G
-
-
DECK FInIAt ?
? I
i r
CASH RECEIPT -
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MiNNES07A 55121
DATE 19
wceeIvec
FROM
AMOUNT $ I
•--
!
{
i
& DOLLARS
eoo
? CASH 17-CFIECK
FuNO cooe
AMOUNT
,i
Tha k You
B Y
?.? ; . r .
?t ?? . .. .
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
C17Y OF.EAGAN
3830 Pilot Knob Road' WATER SERVICE PERAAIT
P. O. Box 21199 ' PERMIT NO.:
Esgan, MN 55121 DATE:
Zoninp: No. of Units: 1
Owner: ?3
Address:
Sltr Addross: tt_Clls Tr,_Ei'• ..t R _,?.?t? i? .i_. ?s
Plun+ber. -
NAeter No.: ? Connection Chorpe: -. J pci
5ize: ? l?ccount Deposit: 15.00
Reoder No.: Permit Fee: 10 . J 0
1 pew h aow?/hr wMb f• CifY M??¦ Surchorge: . 50
` Misc. Gx,rpes:
13 4- • P
m ?3.0
0 pd meter
ey b Poid:
pate of I nsp.:
Irap'-
CITY OF EAGAN Swu SERyI" PERMIT
3830 Pitot Knob Road
P. O. Box 21199 PERMIT Np.:
Eagan, t:iN 55121 DATE; '-. ' - ?- -
Zontnp: No. of llnits: `
i
O1YMf:
Add/e?S: ?
Stte Addross: 1871 "s er H 1l,? '-ra1?_ LI Bt SuY? G1.iff 4 ^
Plumber. L? ? i?r1' ^aj
i.orN te eompy whh tlo Cihr of Mso.
OrdIMDpw
By
Dore oF insp.:
100. 10 pk,
Conneetlon Chwepa: _ 4=- 4_ Of )?
ACCourtt DEpOS(t: _ -:•i
Pemnlt Fee:
Surchar+pe;
Misc. Choryes:
Total: _
Doh Roid:
dd; ?-o17
dc,h«, dare primed in
Y / / / SP
1111111111111111111111111IIIIIIIIIIIIIIIIIIII?/J?/,jit" 0* //1 * d 4 1 6 1 4 4 4* ? Qp°
PLEASE PRINT OR TYPE
Requesi Da)` ?/y ^?
?,
? Rou h-in ins n r ired? Yes
9 peclfo equ ? No
(`/ou must call fhe inspeclor when ready)
Inspection Oiher Than RougMn: ? Reody No ill Call
Dale Ready:
I, ? licensed contractor id owner hereby request inspection of fhe above electricol work at:
Job Address (Streef, or Route No.) '
1971 I eer Alls l,r. City rp Code
Section No. Township Name or No. Ronge No. Fire No. Counry
Occuj panl e;
o? Phone No.
Power Supplier Address
Elecfrical Cnolwe-0 r (Canpany Name)
l,v01 P.e Contracfor License No. lic. No. (Plant Elect Only)
Mailing ress Conhactor or Owner Per(orming Inslollalionj
ove
AWhoriz Sign re i ntracfor o. Ow r Performing Installafioni Phone No.
8/96 STATE BOARD COPY - gEE MISTRUC'?1pNg pN BACK OF YELLOW COPY
REOUEST FOR ELECTRICAL INSPECTION
`T ??-14 4 00 Minnes3ta State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104 c
Phone (612) 642-080G i 7 4- sj /? r
ome Duplex 3 pt. Bldg. Other:
n r
f
, New ddn
Commercial Indusfrial F.r. ?i
p04?
?
Y;
?? H Remod Re ir
Air Cond. Htg. E vip. Wafer Nh. Load Mgmt. Other:
Dryer Range Elec. Heal Temp_ Service
"X" above rhe work covered by this reques#. Enter remarks in this space ond on Fhe back of ?he whi?e copy only.
Calculate Inspeciion Fee - This Inspection Requesf will not be accepted withoui the correcf fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
kiobile Home Park Sfoll 4 to 200 Amps 0 l0 100 Amps
5freet Ltg./Traffic Sig. Above 200 Am s Above 100 Amps
Transformer/Generotor INSPECTOR'S USE ONLY TOT L, ??
Sign/Outline Ltg. Xfmr.
A4arm/RemoFe Conhof
Swimming Pool
I
i
i
I hereb certi that ns I i I installotion dexri erein on the drnes s
rr
gat
on Boom RougMn pate
Special Inspection
T
Investigative Fee
HIS INSTALLAT1gN M
AY 8E O F,?? °°? l/ 3 ?
RDEAED DISCONNECTED IF NOT COMPLETED WITHIN is MaNTHS_
?
?
'PO
'
Re estDide
g ection
FireNO. Rou
R
N
tl
C)
?/
In
ector
y?lill N
ti
0
Reae. ow
ea
y o
ty
sp
.
:; Ves No Whan Reatly7
I--I licensed contractor (owner hereby request inspection of above electrical work at
Job Atltlress (Slreel. Box Route Na.)
?? ? City
ZN.. or No.
Township Fang¢ No County
Pnona No.
Atltlress
Eiecvicai ont cror IGOmpeny Name, GontrecmrE Licanse No-
Odnfor.ilo'1 P.l?
Mailing Atlor s iCOnirenor or Owner MaMmg Ins'allationl
0 Ui?-
Au[honz d natwe Connac !Owne M s II ? Phane Numbar
-
.2 -
A-15 / f
MINNESOTA STATE' ?/dWn D ELECTRICITY TMIS INSPECTION REOUEST WILL NOT
GriB9e-Mitlway Bltlp?- poom 5-173 ? BE ACCEPTEO BV TNE STATE BOARD
18I1 Unlversity Ave.. SL Paul. MN 55100 ? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? lo See instructions Por mmpleting this form on back oi yellow copy,
?€_ O ? y
Y
39815 X" Be/ow Work Covered by This Request ?`•?? /
ew " ep. Typeoteuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer OtheF(SpeCify)
Comm./Industrial Furnace
Faim Air Conditioner
Olharlsyacity) Convec;or5 Remarks'.
Compufe Inspection Fee Below:
8 Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
TrenStormer5 AGove 200 _ Amps A6ove 100 _ Amps
Signs inspemo.suseomy.
' 70TqL
trrigation Booms [ i/
df9 ' ?
Spacial Inspeclion
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Elecirical Inspector, hereby R°°9rom oate
certity that the above inspection has
6een made. F,nai :? oaia _?1
OiFICE USE ONLY
Tnis repvest voitl u8 montns Imm
?
This request witl `3? , ?--j
months tmm
?°''?`??Q ?" ,L? Sv? L?, jl?.? y/.6G
Nepu¢s Date
-- Fire No. Pough-in Ing?ction
Reqoi
Ready Now ? ••••T'r'rtl-ffv ???spec-
?
? Nn ?or When Ready
icen ed E c[rical Contractor I hereby requast inspection of above
nOwnor electrical work instelleA at
x or Rnu No.
Sheet A dress, Ba
? CI tY
T `
L?i?
// O??
g
ecLVn o. Townshiv Name or No. ftan e No. Coun
Occupant 1 1 Phnne No.
Pbwer u i Address,
?
1 O
Elec ' ?ntractnr IComvany Na ?gl, .¢ ar,ia 's ? e? No
: /
Mai - Address (COniractor or Own MakinB Insta ' ation)
"l?
? .? _-, Y`
G.- ?
Auihorrs S- a[ure aCt r/Owne aking In?tajl'ati ) Phpne
Number
J
YIryNEgOTASTeT??OANO OF -'ELECTRICITY
G? -YiAway Idg. - Room N491
1pniversitY Ave.. SL Peul, MN 55104
pbow (612129]-2111
1HI51N5PECIlUNHtLLU[bi WILLnU'
8E ACCEPTEO BY THE STAiE 80AND
UNLESS PHOPEH INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR EIECTRICAL INSPECTION EB-01`001`04
' y.
See inslructiens for completin9 this lorm on back oi yel low copR
p 33 39 3 "X" Below Work Covered by Thrs Aequest
pliante W' d l EVUioment Wired
A. e.. Tvoe ot BuilOing _.&p
I BIAa. I I Air
El2Ctfit
SIlO L)fl
Rulk Mi
Com pute +ns peci+un ree oe,uw
#
Fee _
Circurts
• ?fee ServiceEnhence5iza k Fae Feadars/Subfeede?s ?
- 30 Am>s
0 [ ?[n 30 Am s
?!3 0 yp 200 qm s 0
Above 200 Amps? 31 to 100 Amps 6 31 to 100 A ?
Swimminy Pool Above 700-Amps Above 100_Amjn
'
Transiormers Grigation Booms J` Partial-
Other fee
aigis ............ .......'_'._.. y!? ? TOTAL?FEE
11e1erks C?C)
ibugh-in ?"t? . the EI chieaJ?
inspectaq herebY
certilV ??? 'he above
Final
( Da?e?
?LS ' pectlon has been
maAe.
•IW ?eY?? vwa io monno ??????
This repues? void
13 monihs f rom ,
44299,L/.,
Ren??est ?ate ?
? LJcensed Electrical Convactor
?c -
Lf?'./H/mi L?i????
Fir¢ No, Rough-in/InsUer.tion ,?/
Hequi tl7 ?Reatly Now u Will Notity. InsDec
s ONO [or When Ready
I hereby raquest inspaction of above
Street Address \Bax or Route Nq
??? ? ll'EB.( ? ?lS r'r,• ?
em?on o. Township Name or No, q??ge Np, Ciry
1?
`J? ????
(y'r?CtJ
Occu ant (PRINi)
????"?Z U. ?11 Oh Phone No,
s?-??
Power Suoolier
Atltlress
Fiectrical Contracmr (Company Numel
Connacmr"s Licenso No.
MailinB AtlJress (Comractor or Owner Makine Instailation)
Authorized SiBnature (ConVactodpwner Making Installation) Phone Number
Gri •. ? mc ? n
B9s-Midway Bldg. - Boom N-191
1827 University Ave., St. Paul, MN 55104
Phone 16121 297.2111
1-1inarociiurv xEaUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNlE55 PROPEN INSPECTION FEE IS
ENCIOSEO.
-2 REQUEST FOR ELECTRICAL INSPECTION ee-oooot.na
I0 Sae instructions for comoleting this lorm on Eeck ol
q' Hy. YBIIOW COpy. ?
? c} ?q q --X" :a/ow Work Covered bv Ihrs Reaiest
ad xeo. rvoa oi aidiains aaoiioncan wi,ea ?,eo? w„ea
• Home Range Service
Duplex Water Heater ixtures
Apt. 8uildinc? Dryer eaLn
Commercial Bidy. Fumace der
W
Industrial Bldg. qir Conditioner Tank
Farm Other peci y cHyl
t v,r SVOCify
O?her 01h,r
O/l JOUf B I!ls narlinn Foe Rel.....
M Fee ServrcaEnhanceSize tt Fee F
eeders/SUEfeeders
4
Fee
Cirrm[s
0 to 200 qm s 0 to 30 qm s 0 tn 30 q,,.,
AUove 200 q 31 to 1 DO Amps 31 to 100 Am s
Swimming Pooi Above 100_Amps Amps
Ahove 100
Transiormers Irrigation Hooms _
Partia6'Other Fee
Si gn5 Spec ia l I n5pe Ct i on --
Remarks r
?
_Z3 TOTAL F )
Foa9h-in
? Dnte
7 1
4
7 1?soectaq he?eby
Final ?
? pW 7
C certiIy that tha above
spection has been
? J made.
Tni......e.r ,,,,in , o ..,,,.,?.e ......,
V?
7985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
MOTE: ALL CONTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SESS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
A ?/ ? I,?J,O' ?'?l? D-
To Be Used For• A/ iCs 4/f/a'f,{aation: _<??_ Date: 7 -p.S
?? ?
Site Address: f?',/ ,??Qe/? ??,5' ?? ?dgF`?CE USE ONLY
Lot: ? Block ? Sect/Sut;;? Erect X Occupancy ?
S Remodel Zoning (Z-I
Pareel ll ?' jG F Repair _ Type of Const ?
Enlarge 11 of Stories
Owner 16ZC_?%# e Move _ Length ?
Demalish Depth 9-?
Address (;.a . ?] Grade , Sq Ft
Ci t y/ Z ip Cod e-T0? f'F n/ C S 3.S Z----------°-----------------------
Phone 3"AppROVALS
Contractor Assessments Permit 60
Water/Sewer Surcharge 2U,1a
Address Police ^ Plan Review 15 S.°?
Fire SAC 525°-°
City/Zip Code Engr Water Conn Oo
Planner Water Meter bg ao
Phone Council ftoad Unit
Bldg Off L•??, Parks
Arch./Engr. ?/3-.(•( q?? f' APC Treatment Pl ?32.=
_Z4// Variance TOTAL r/
Address J? ??U (,Vtol
?-o b 7` 5
City/Zip Code ?{?QaMin?S 1 Q'a?/
? J?]S
Phone # L3
2Co?,?,? " 1040 x 5¢ - S(n l c?
2D K 2.2_= 440 K l?
a
?1o0?
,'
'* IB7!
FOR; KEY-LAND HOMES
NOTE:
o Denotes Wopden Stake
Proposed Garage Floor E1.=944•1
( 90!,.9 ) Denotes Proposed
Finished 6iound E1.
r--- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Q
V?A-7(?
N
?
8
Z
?
C
CS?
?
?
-??
?
N
N
enl
G?5(99_?o J
'"w3v'S
N *7S0 A
&5s. c)
Lot 1, Block 1, SON CLIFF FOURTH ADDITIOtd,
Dakota County, Minnesota.
\ME MERE6Y CEATIfY TMAT THIS IS A TRUE AND CONRECT REPRESEN7AT10N OF A SURVEY OF THE
lOUNDARIES Of iME LAND AlOVE DFSCRIEED AND OF THE LOCATION pF Atl lUIIDINGS, If ANY,
iMEREON, AND All V15161E ENCRDACHMfNTS, 1F ANY, FROM OR ON SAID IAND
Oaad iAia zy? der o! /4c?v A.D. 1065 C. R. WINDEN 8 ASSOCIATES, INC.
3 J?f'I
Sv?•Y?or. MinnNOto tpqul?o?on No `7'I2G
C. R. WINDEN & ASSOCIATES, INC.
LANp SURVEYORS Ttl 945•3846 .
I381 EUSTIS ST., ST. ?AUII MINN, 66100
. Scale: 10-30'
o Denotes Iron
Monument
Bearings Are Assumed
Z
0
?
. ? ?
OWNER:
S 1 TE nDDRESS: PI IONE :
CONTRACTOR:
?.
DeCermine working square faotaqe of eac.h
1. Total exposed wall area..... ?-? IN,1g-=sq
--- . ft, x.11
2. Total roof/ceiliny area..... ,p4p sy, ft. x,026
Total exposed wall area alinvc floor=
_.-.-1_'74
p -
a,
b. Total
Total wall window area.......
:
.................
door a
e
...............
j
r
a..........
..... _-
-
c. Total .................
slidin
glass
area " " " " " " " " '•
d.
Total ..................
fireplace wa
a?ea ...............
416
e. Total wall framin area
(aver
a
ge
1
0%) ..
f. Total ........
rim'joist area....
.
. .
. . .................. / 72-
9•
net .
.
...........
v+all area above floor . ....
. . . . . . . . . .
1
.? ?
.-
h. : ......
........
wall area above floor....... .
.
...
..................
/ 3 r?
i. ? ,
wall area a6ove floor..... .......... ..................
J. frame wall area at foundation. ? ............. ..................
Total exposed foundation area=
-
-??- ,
k,
Total
foundation window arca... -
1.
Tota1 ...............
net foundation area above grade ..........
....
Determine "u" value of each wall
i
(e
d segment
•g. w
n
ow; door, each separate wail section)
aX „u
b. x %1'
.3?
_ _' 11 •1
, c . 40 X liuti
d. X ituii _
e........ J-)p ; x of,
r._ ?3 X ?,ull
- • °
--S_
9• f 31 ? X?? ?,? . OS
?-
n. x ,.u,l _
;. x liu „
j. x I,u " _
k if item k'3 is the sam
as, or less;than item
• ? `' A
? U
03
---+o?
5 A1, you have met the
I
C
-
i .3_ n
ent of SBC.6006 (c
.,
..,.. .
. . . . . . . . . . . . . . . . . . . . . . . . . To ta 1
i1age 1 oF 4
E7(TF.RTOR ENVELOPE nvrrsnrr "U" COMruTrcrIOrv a, 73 ?- S
nnrr:
-----z--
74 1
EXT[R1pR ENVELOPE AVfRlIGE "fl" CQMI'l1T
OWNER:
nnrr:
SITE AODRESS: PIION[
CONTRAC70R:__KQ?? MAJ
Determine working square footaqe of each
1. Total exposed wall area... .. I J__sq. tt. x .11
2. Total roof/ceiliny area... . .__t04o sy. ft. x .026
Total exposed wall area alo ve I'loor=__V71t,
a. Total wall window area ...........................................
b. Total door area ...............................................,.. Azt=
c. Total sliding ylass door area ....................................
d. 7ota1 fireplace wall area ........................................ ?
e. Total wall framing area (average 10%) ............................
f. Total rim joist area ............................................. -I-TZ
g. net wall area above floor ..................................... ?? ? S
h. wall area above floor ..................................... ?-"--
i. - wall area a6ove floor....
r7 ...............................
j. frame wall area at foundation ...................................
Total exposed foundation area= __?{?__ ,
k. Totdl foundatipn window area....................... ?
1. Total net foundation area above grade ..............
Determine "u" value of each wail segment
(e.9. window, door, eacli separate wall section)
lI-_ K .? u
-?-?
> ll •1
b. 3z_- x 'lu„_ .31
?
C. 4o X U„ ---?-
d. X „u,. _
e. X ??U"
- ' -°?-- °---1 `{-?
f--._131? x „V„ a ?
-
9. 1315 _ X llul, . vs r
PI(A-_
h.
i.
?•
k.
X "U"
x l U„
x °u^
x
X u
3 . ........... .....................Total
if item S3 is the sam
as, or less than item
pl, you havP met,the
Intent of 56C 6006 (c
;.
?k - ;x'"tqrior nnvelopo Avernge "U" ComputaLion Page 2 of 4 •?
ToLal exposed root/cexlinq area = 1040
m. Total skyli.giit area ............................ ?
n. Total roof/ceiling framing area (avcrage lO%)... ? Q4 •
o. Tol•ul net insulal-ed roo.[/ceilin9 area........... ?
t.?"'^--
Uetermine "U" valuc fai each roof/ceiling segment
M. g ?,ull __?---
n. a "U"
-?--?-???
o. x „U„ OL = f8 '?
,
9 ........................... ToL-al
Tf total of '114 is L-he same as, or less i;han I12, yon have meL the inL•enL- of
s»r_ 6006 (c;) l.
Alternate Suildinq F.nve).ope Desiqn
'ib vtili.ze the total enyelope 'system method, the values eslablished by tlie s;un of
i.tems 113 and H4 shall not be greatet L-han the siun of items ill and Ik2.
z• _ 2.?0. S + z. _ Z7 = Z37.S .
3. ----L?? + n. ??.2 - ?_I?•$
_...- ?,
' ' 4)A1,1. tCC'i'i0N7
'E: U;:r of opollun wall nren for
V frnmv: cancfrticllun
SiC
nM,
p1G. M1
F7G. 42
- , ---??!l
.?---`?
?? ---- UJ
7GPVIE11 OF
FIlAt1E NALL
??- -----?
!'.lqr. 'fvn
i
ri
c'c,n :f ru
cl
n t:..vnlu':
?.
?
?
r
? ?
1 F-?°W1L. _... .... .
. ---.. .. ..
?• ?,,,;,??
3%£" r???:i?,='! _ ,i? ?.
a . -
:C 'fU.-iZx-. . ._ .. . _............, ...
.
_ . _._. _.. ? .4
;. D.1r1.lc+.. .....
.... .?Z
.. _......... .
G. F:r.L,iriur nJ.r Ci;in
__?----- -- ..... ....
' ? U.17
.._
...---___....._.._.
. ,
?vo t i, ? 12 z7
u=.oa
INSv?.
L. Iil(1D1?.1?1' :liL ']?1I1
-' '.._.... __ I).fil}
z. _._...._.. . . . . ... -
_Y-z,"-Cr_Yp..ep•.... --'--'-_... _.___..._.
..__..._..--•----?45
?
4. _
??.? .K.._.. .. ... _---•-•-._ .--4+•-Q
s .
.... . vZ
_........... _.... . .......
G. ExCCrioe air tiil?a . ^ 0.77
'ru l:a 1
_,,. V = • 0 5
R ?.M
]ntc?_iui--ni,r_film . 0.611
. ? -- ...... ._--------°..-?---
.•
?• r ?.; .......__?.?? a. -_C,?sv-r??.--------..-------G-?a
ScaL_? ??. i
6. F.xtr,•rior nir f.ilm -•-i1.J.7
?roc,,i
O.Gtt
? , . _ ._ ...__._..--.-. .... _.. --•.._.._
, ___._- ._ -
\TI0I1 ?- ; \ ' 2. - --.........- -- --
? • h • d • ,' 't' ,?. , ^ i -- -??c?N ?. _ , ___ ... _.. ...Q.
8t..?, 2$
? • . •Q? ?-----??----•-{?
..
?? • . ._.2°_ ?. _.._ _._._... ..? .o
` ?. _
?'? ?n?C ? ---- -----°----- -•--
?y? ,rr? ' '?-_ ?. --?„ •----- ---.'- -. . _
, r ''?'.?•?.• G. l:xlo,i'i??r. ,?i.r I?ilr? 0.1?1
. .... ?'-. -'.. _...? -- - --. . ... ..."'------....??.... __..__-_
0L:Il
?.
u .?
si.nu ori i;iznuc
.............. -. -______.._._.__.....
. + ` ? . • , • , .? ?
? ? {???' %?. ??fl ?r . '.. , ' • ? ' ? . ?
..-?
e"r? 7:7-
', jlii ?:.
? ? ??? iii ? . • . . . ?t i
I(I
FIC. 114
i r rr? ,? :> i/!
Il
1 ?• ?'? - o- (l( ??_ - - ---' ?
?ui
? t
poTE, InAlcnt.c Cyne?, ",t" valuc, i]rpCh onci
.? :
,? .
C..f N Er4 L FT, F-XPOSED
?LAGk.l1; 'ZCo+44-+2.??4v=- /37,
`..u?E ii r3Z
'=ULL (;i: r32
= u L l. 2:. ; -
=«E+???! E;_
IZ l M: j ( 3-L
S
PLAQ * 332!;
WALL
Q . ?T, ?JC.t?oSeD WA L.L A2.EA
t?Lock', K s _
kN EE l'J','
W.O.
FuLL
Fu LL??,i?
?
Fz ti ?--i : !I
Tat?L.. = f a I?
?SQ,?fi, ?K?oS?D GEI LIIJC? LGx4o ogo
?
? ?N Dv?l:
i
?o loo
?! Z8Q4
?i
i 3z , - Ce(r
K 5 = Gcoo
x 8 = . , 7,e
; l3z X 8 ? ?osfo
.
? -
7? ? D o0 25 r?
3e
39
I? ? 5
II r Z S ??AT1 O DfZS ,
(eb I 4a
??? . Z???F35M?+ Uur+S
I?1
?
6
,
;,
?
Conn trur. t. I on lt-VaJ.iio
znted
1. Intcrior air film ?. , 0.61
Woc/ceiLxuc
2. z/f3- l?Yf . t;? U
3 ??.----- _
4. £xtcrior aiL filn (still
?- Toral 2 4s8o
? ?. . • ?_ .02
Heat flov
' up
PZC. QS
'??)i??JV?.VT:??.1 ?'?1??.?J?^•_M.JM1V.4?t+1
- - - - - -y
, I•vented
. .
F?m o? • •
1. Intorlor air Cilm 0.61
z _
3. ? ?._1?5uz. 38? 3S
d. F:xtecior ais filrk (stil .
•rotaL 2. - G.?O•IS
CaA, yrR?tri my`_ . •
? 1. InsSdc air film 0.61
2. '
3. ' . -
4.
?5. Outsidc ?ir. film 0.17
Total
,c?.7.•r E
1_ 'Inside air filin 0:61
2.
3_ ' • '
4.
5. Outside air filin _? 1?
Total
, YIC. 16.' . .. . • . . . :
t v I v I0 -v
? • ???.;ps-c]c;?--. .,...•.•.: ?' ? ?
, .?...•?, _......?%.?
? "• ? cr._. .
. , .
• _ H0:7-VEt:rD • ? .
? . ? Hcat
- ; . • ilov up
, . • . . •
1_ Ynside air L7.im
z. •
3. ' ? .
4_
5. Qutsi.de air Eilm 0.17
. Total .
Ytotc: Usa additionnl sheets if morc .paco i:
? pecclecl £or details and calculatians,
. .
? Y.ccc flov up • ,
ly-
1991 SUILDING PERMIT APPLICATION Cil s. on CrTY oF KAGAN Arrn;l fo b e
.7ssuecl aA A 10.1i'r
SINGLE FAMILY DWELLINGS M[TI.TIPLE DWELLINGS COMMERCIAL CJQtoE.
2 SETS OF PLANS 2 SETS OF PLANS 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 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 ALLAWED 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.
?? _r?TjN lx?l
? ??.,
Dzl< ?
To Be Used For: Valuation: Date:
Site Address p31 heeimRSTrc:1:1 OFFICE USE ONLY
Lot ? Block ?
Parcel/Sub v // A?
Owner KP_.41% ll. dS0 V?
Address I9 11 rqcIt5 I r?'; I
City/Zip Code Eac,r,.? ?m ZZ
Phone "1JrZ'9y?g(H)/ZZ??13?ftn(W,
Contractor AMe oWnE/
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
(Signature of Contractor)
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 _
APPROVALS
Planner
Council
Bldg. Off. ?S.S z/Si
Variance
FEES
Bldg. Permit /?/C_.,
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
SUBTOTAL
Penalty
Lot Change
TOTAL
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
` 113 71
FOR: KEY-LAND tIOMES
NOTE:
D Denotes Wooden Stake
Proposed Garage Floor E1.=9o4.1
(905.e) Denotes Proposed
Finished Ground E1.
-.a---- Denptes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
Or°,,-0oge
V?,
?? ?
?3 o ?_
1-
+?V '
.?
?
C. R. WINDEN 3 ASSOCIATES, INC.
IAND SUNVEYORS Tat 4I6-3646
1381 EUSTIS ST., Si. PAUIP MINN. 68100
5cales 1"o,30'
o Denotea Icon
Monument
Bearings Are Assumed
E??Se?,7e"/
1
QOJ o gy:.0)
r'99
\\?
? !
t (q0?
z??--
D ?
O N -? n
w N Q?
N N
@
r?
W
w
'
O
:? 1
0
N
C)
-?8??
1 C,
?o
`"_
LOt 1, B10Ck 1, SUN CLIFF FOURTki AUDIT10I4,
Dakot' County, Minnesota.
WE MERElY CENTIfY THAi iMIS IS A TRUE AND CONNECt NEPqESENTATION Of A SUiVEY Of iNE
60UNOARIES Of 1HE IAND AlOVf DESCMI6ED AND OF 1ME LOCwTION OF All lUIIDINGS. If ANY,
iMfREON, AND All VISIlIE ENCpOACMMENTS, li ANY, iROM OR ON SAID IAND
Dowd tAis 1tL dar ol N1:?,- A D. Iio=•
C. N. WINOEN S ASSOCIAIES, INC,
0 i ( i '. ( 1 f,
?'?-.r , -?L`. -. ? '? ?i:
br 2 ,c_
--
Sor.syor. Minnuota R?pu?ro?on ' No 7'ICG .
0
/
?
8-
? ;
? •F V,
\ ?ir V
, riQ
?
CIS7
;
/
i. ? ?_ p _ - ? __-%___- C --?-
?P
?xl, Pasrs o_,.? _c?_F_,-? 3': b aFio..? G.aaxaf ,
EAGAN Q_o
I?ML 9?= BY ?
WARNING
/J ? e°o?r 3hg'tg !'.'ll 1-30ai :]t?IitieiE
^THON:-f.?t::tE;?-Cs1,i c'•a
- ED
a ? .TN?'iE PLANJ, h4l.l,;
, . REh1AlN ON JOSSt3?::;
?
?.,
. w . .? . _. r ..
8-0?---
u?
y
_..... ?
I?1 I
!a ?
,
-? i
,IiN X? +* /o?O ! ?;,' ? $=0
N NI I n I I ? ,?__5? 0
C"Rrl
Y'P'tt fil ? f' i An- ??D L Sa W
AvvnovEO er onAWm er 2
G ?1 ? DgC,4 A.bp1'-t1 o
mu
n \oe,i-I:??s1i-?.1 r=. :
j T4,
ll
?
?.x r'sr; w6 +1a E !G
-- ?
I
? ?
I I` I ¢?:c;; prvir?
i ?? ?? I I
L_1 Ll
'
:D
?-, _ ?
7-
::
1 , ,
?
I
C?
I? 2/8a
CITY OF EAGAN
41411 APPLICATZON FOR PERMIT
• SE4dER ANb/OR WATER CONNECTI0N
(PLEASE PRINT)
1) PROPER'I'Y ADDRESS: I
r.rrar• DE..?ZPTIC:I: ?
(Lc?t/Block/Su.'xlivislcn or TaY Fascei I.D. Ni=b2r)
? 27 W'SS:'=:G STRi;C^?,TE , Drl'P' 0F OE..TGMIAi. 'cuI',.ZP.:G ISSZ.:.+G:
PRWS.-?1' ?:^,`II??:/P?OPOScT? LSE: ?j R-1 SL;GL? FP?ffLY
? R-2 Di7PLW; (T,;p L^IITS)
? R-3 TC;.?'?CU?E (mr-vc= - L^1ITS) ( L3II"_'S)
? ec--! LilITjj
? CCiME°CLAL/F2F:'AI,T_,/OE'FICy
? L?'DCSTRL?I,
? T_?:STIT'L,'PIC.?I?L/GGVE.Ri?A?:S
2) pPPI,IC?VT (PIEASE PRL'Ii)
NAME: /
ADDRESS:
cITY, sTaTE, ZIP:
PHOLNE: ??Z.... ?G
3) pumER ?PLEAS? PRINT)
- FOR CITY USE 04LY
AIF?ME • ?
j'S1s?cr ?
ADDRESS: -
d Q PLUHBEAS LICE45E:
Active
CITY, STATE, ZIP:
v Expired
PHONE_ a?:n
pLUMBER LICENSE ? Nat af Aecord
d t nltla
'I) ULL"UYAN'P/U,ZIER trLcHac rn1:11)
NFINIE: -SA"% .6
ADDFtESS:
CZTY, STATE, ZIP:
PHONE:
5) INDIG"ITE WE{ICH PERhLIT IS BEING REQLiES'I'ID:
? CCNNECPION 'I`J CITY SE7r1ER
CONIQEC;ION TO CITY T4p,TII2
? 071ER (PLPASE DFSCRIBE)
OI uJUll1??:: Uilt.: '
E] PI.E\SE f?OID APPRWID PER.tiLIT FOR PZCF:-G'P BY ONE OF ABWE
PLEASE .**AIL APPROVID P?;ft:•LiT TJ 1. 2. Q 4 A&OVE ?
(Circle one)
7) SIcnrATL°F2E:
DAT'E: ?S4
? O! AaEi/l?eJS i r ee ?e?giy a s r.? sss?arA M s s ?S.?saFi:r a at f.! t?FaRa?rf? ? re 1?i? saFSaY ,
F 0 R C I T Y U S E O N L Y
PERMIT '-` ISSUED
FEES : $ /.(J. S"b
$ /D- fD
$ ? ?.
S
S
$
$ /$2?Y?
$ 500
$
sr?s°a
S
$
$
$
Sc;qEo nonMr? (I`1CL::D- SU°C1:2RG
WATE2 PERP1IT (Ii:CiuDE SliRCHARGE)
WATER METEA/CDPPERHORN/OUTSIDE READER
WATER TAP (INCLL'DE CORPORATION STCP)
SE'PER TA?
ACCOUNT DFPOSIT - G7ATER
wac
snc
TRliNK WATER ASSESShL.IT
TRti:IK SE[4ER a55:SSb?EDiT
LATERAL BE:iEFIT/TRUNK SETN:ER
LATERrIL BENEFIT/TRUNK WAT°R
OT3ER IJCcF. ??'O ? ,/(e,4( n?
$ TOTAL
ov
$ ?Z ? AI°IOU:;T PAIDjRECEI?T
DOES UTILITY CONNECTZCN REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR :90RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
[i] NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUBJECT TO TFiE FOLLOS9ING CO[VDITIONS:
APPROVED BY: ?Q Z,
TI.LE:
DAT° :
Mm G"w 6cw won An ="a ?c? w mum wtm ae m w s-? w" w_a 6*7m wlm -09 sfu Mt+ r4 m ge m-pe Ra irt? w fr w?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
Bl1IL0ING
028727
09J03/96
y
SITE ADDRESS:
1871 DEER HILLS TR
LOT: 1 BIOCK: 1
SUN CLIFF 4TH
P.I.N.: 10-72978-010-01
DESCRIPTION:
(INCWDES DECK)
Permit Type SF PORCH
WQrk Type NEW
430. ALT. RESTOEMTIAI
?
4
w °
g vi ?bpi; si?? u?' a
ra, v •.eMi anrR?.?xu? e?
s is'o ?' qaa?d
ra L i 33' 2?.y, P-?,. w[
ssro ? W,X
J, ?
REMARKS:
A SEPARATE PERMI7 I5 REQUSRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
6ase Fee
Plan Revaew
Surcharge
Total Fee
$187.25
$93.63
$6.?0
$286.88
CONTRACTOR:
?
APPLICA T/PERMITEE SIGNATURE
$12,000
OWNER: - Applicant -
OLSON KEITH
1871 DEER HILLS TR
EA6AN MN 55122
(612)452-9478
qo &,,,AVU-
'ISSUEO B S G ATURE
S
?
r.?_.?.E, _•:fr f-??.;C?a;d..
'il..Sh..f??i. P!i?. i.'.•S.
..?.'.?r_.. ..
. ., ':p...i.7'?.1 '"i f;ii .`::(,')t?•.
i:l ? `;"•"i ?::. :1 .,.. ..
..r.:
i\
i, I I'i i:., .:{..?G)
?q. :, i:.''. ... .
c".''+... ., i:G.i
?(iI}•il.i. ?'it;'!fi4'll.'j?a' rtlY?C7Vpy{";1
CITY OF EAGAN
? ? ?1 3830 PILOT KNOB RD - 551122 4W?5
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
RemodeVRaoair ReeuiremeMs
? 3 registered ake surveys ? 2 cropiea oi plan
? 2 copks of pians (InGude beam 6 window sizes; poured fid. design; elc.) ? 2 ske surveys (exterier addRions 6 decks)
?1 energy cakuletlons ? 1 energy ealculadons for heated addilions
? 3 oopies of hee presarvation plan H bt platled afler 711/83
required: _ Yes _ No
DATE: S, iar_% CONSTRUCTION COST.
_DESCRIPTION OF WORK: f&IV'
'STREET ADDRESS: ? g 7? _7?yq
LOT BLOCK SUBD./P.I.D. #: A11n
PROPERTY Name: 01?E,4 Phone #: '/7g
OWVNER ""' """ }
Street Addresso ? g?' ?'??5 7YDl-?I
City: q5tate: Zip: SS/?a
coN7Ftac7og Company: 1"1?l11P l/cUne/ ' Phone #:
Street Address: License #:
City: State: Zip'
ARCHfTECTI Company:
ENGINEER
Name:
Phone
Registration #*
Street Address•
City:
State:
Zip:
Sewer & water licensed piumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknow(edge that I have read this appiication and state that the information is correct and agree to camply with ail
appifcable State of Minnesota Statutes and City of Eagan Ordinances. ---) ) n
Signature of Applicant
OFFICE USE ONLY
-----------
Certificates of Survey Received _ Yes No
q?61 S L
Tree Preservation Plan Received Yes No
- - ??IG?Q I????!
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Founcfation ? 06 Duplex ? 11 Apt./Lodging o
0 02 SF Dweliing o 07 4-plex o 12 Multi RepairlRem. ?
o 3 SF Addition o OS 8-plex ? 13 Garage/Accessory ?
04 SF Porch ? 09 12-plex o 14 Fireplace ?
a 45 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE ?? ". ?u1<
o?31 iVew o 33 Alterations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENF3RAL INFORMATION
ih t ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Consi (ActuaQ Basement sq. ft. MCNVS System
(Ailowable) Main level sq. ft. City Water ?
UFiC Occupancy sq. ft. Fire 8prinkiered
Zuning sq. ft. PRV
#f of Stories sq. ft. Booster Pump
! ength sq. ft. Census Code. N'3?l
Depth Foatprint sq. ft. SAC Code v i
Census Bidg ?
Census Unit 0_
APPROVALS
Planning Buiidirtg 'uvz Engineering Variance
Permit Fee Vaiuation: $ 12, 000. ?
, -
Surcharge
Plan Review
License
MC/W5 SAC
City SAC
Waier Conn.
Water Meter
Acct. Deposit ?
S/W P6rt)lif- lLvrL = 2- x 59 ° r0, 36 $.?
SNV Surcharge
Treatment PI. ?
Road Unit Park Ded.
Trails Ded.
Other
Copies
Totai:
9b SAC
SAC Units
5',-7- ?at,.
LAGAN
REVIElMEp ?. ..
aArB L' - 2 d?' 9L
>?
PERIIVIIT
CfY'Y OF EAGAN BUILDING
3830 Pilot Knob Road PERMITTYPE: e289e9
Eagan, Minnesot8 55122-1897 Permit Number: 10 /@ 2/ 9 6
(612) 681-4675 Date Issued:
SITE ADDRESS:
p.T.N.: 10-72978-010-01
DESCRIPTION:
B
1871 DEER HzLGS rR
LOT: 1 BLOGK: 1
5UN CLIFF 4TH
?
?.
?°'rv ?
RERQOF
permit Type
Wgrk Type
i. .
S70RM OAMAGE
REPRIR
434 ALT. RESTDENTIAL
Ig? 5
?
ma
$.`++s„* `lE4 07''a °u? ?w
gt? .''k d"? ? s? G?S ? 3. x f 53I? ?tA z ?
??"iy +irFfi Pa Y? ..
?
REMARKS:
FEE SUMMARY:
CONTRACTOR:
I hereby` acknawlede?;e thi°i,
knfarmat3on is c.brr.ect and`'?,ag;
."'3tatuI and
?, .. o .,_ ._ .m., x..
APP EFMITEE SIGNATURE
q1Nw: K Ex -r H
1871 DEER HIL1.5 7R
EAGflN MN
(612)452-9478
?
?SUED e R ?
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
llew Construclion Reauiremenls RemodeUReoair Reavirements
? 3 regislered sRe surveys ? 2 copies of plan
? 2 copiea of plans (Inelude beam 8 window sizes; paured tnd. design; elc.) ? 2 site surveys (exlerior add'Rions 8 decks)
? i energy calculations ? 1 energy calculationa for heated addilions
? 3 copies of trea preservation plan R bl pladed aRer 711193
required: _ Yes _ No
DATE: Ic --I `9& CONSTRUCTION COST:
DESCRIPTION OF WORK: ?c ? 40,sr-- 20
STF?EET ADDRESS:
1/
LOT ( BLOCK i oIt 1 iC`r nIV15 1 rcc l
Z SUBD./P.I.D. #: (
? 41 Z15?? q1178`
PROPERTY Name: Phone #:
owNeR u„
te7? f6
fA,6015-
rwa*
Street Address:
City: Ga'q., State: MAI? Zip: SS/aa
?
coNTRacTOR Company: ' Phone #:
Street Address: License #:
City: State: Zip:
ARCHI7ECT! ComPany: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permk is issued.
Penalty applies when address change and lot
I hereby acknowiedge that I have read this apptication and state that the inforrne' n is corcect and agree to comply with all
applicable State of Minnesota Statutes and Gity of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY OCT O 11996
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
,- .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-piex ? 14 Fireplace a' 21 Miscellaneous
? 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE 12, v'OcxV-
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq, ft. MC/WS System ?
(Allowable) Main leve i sq. ft. City Water ?
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
it of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 14
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit O
APPROVALS
Pianning Buiiding 6 Y?2 Engineering Variance
Permit Fee Valuation: $ 2,acw-?
Surcharge
Plan Review
License 20 @ 'A?vo
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA105646
Date Issued: 0712412012
itj of 0n Permit Category: ePermit
R
Site Address: 1871 Deer Hills Tr
Lot: 1 Block: 1 Addition: Sian Cliff 4th
PID: 10-72978-01-010
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Vladimir Kleitman
7588 Washington Avenue South 1871 Deer Hills Tr
Eden Prairie MN 55344 Eagan MN 55122
(952) 835-7777
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.
Applicant/Permitee: Signature Issued By: Signature
City o(Eapu
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 /i(iOu7
Permit Fee:
Date Received:
Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date:, 5��2---)/��3Site Address: l // i �� /
72 fie;
Tenant:
�7/%CS722
Suite #:
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.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.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 . k is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which require and approval of plans.
Applicant's Printed Name
Required
Inspection
nder Ground
/ ! e. fin "C.( o r�`/ .LName:464-2Phone: / ~7 7 2 �'V C
RESIDENT e . E
Address / City / Zip:
gf
Name: License #:
Address: City:
ICON FACTOR
State: Zip: Phone:
Contact: Email:
TYPE O�WORK
PLUMBING (Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
(7 Other:
Other:
DESCRIPTION
Description of work:
FEES
$60.00 I Each (includes $5.00 State Surcharge) TOTAL FEE $ *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.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.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 . k is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which require and approval of plans.
Applicant's Printed Name
Required
Inspection
nder Ground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114508
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
Vladimir Kleitman
1871 Deer Hills Tr
Eagan MN 55122
(651) 442-5886
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136756
Date Issued:05/27/2016
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Vladimir Kleitman
1871 Deer Hills Tr
Eagan MN 55122
Area Lakes Mechanical
9393 140th St W
P O Box 146
Montgomery MN 56069
(507) 334-6171
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142269
Date Issued:04/24/2017
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
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 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: 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 -
Vladimir Kleitman
1871 Deer Hills Tr
Eagan MN 55122
(651) 442-5886
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151038
Date Issued:08/06/2018
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
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 -
Vladimir Kleitman
1871 Deer Hills Tr
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152345
Date Issued:10/11/2018
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Vladimir Kleitman
1871 Deer Hills Tr
Eagan MN 55122
(651) 442-5886
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177611
Date Issued:07/11/2022
Permit Category:ePermit
Site Address: 1871 Deer Hills Tr
Lot:1 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
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 -
Vladimir Kleitman
1871 Deer Hills Trl
Eagan MN 55122
(651) 442-5886
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature