1739 Drake DrREQUEST FOR ELECTRICAL INSPECTION
y,.
((((((?????? 'Sea instructions for completing this form on back of yellow copv.
pp
O?
" NI, Be Po l o,,Aared by This Request 3(10 7 D
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm (5th", pem y Other ISpeu Nl
t nr Specify Other Other
Compute Inspection Fee Below
p Fee Service Entrance Size p Fee Feeders/Subfeeders p Fee Circuits
J,7.4 0 0 to 200 Am s 0 to 30 Am PS 0 to 30 Amos
Above 200 Amps jj.vo 31 tc 100 Amps 31 to 100 Amps
,S in ingPo mil, Ahove 100-Amps Above 100_Am s
T ns-drrp¢rs Irrigation Boorcs Partial; Other Fee
Sl? Special Inspection S
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TOT
915 F
Remy k ]/-5v ,
EE
rn./X
- t - F
Rough-in - Date
1.- the ¢al
( rspactor, hereby
er that the above
Final Date ?/ inspepec ction has been
Jn ..ZIP' made.
This reouest void 18 months from
Th -regd4t oid-7'-j L9 I L3.->, Ma l lard
18 months from a?? 3r 1
W 080312 r
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Request Data
p
6? Fire No. Rougp-in Inspection
Required?
?RCadYNuwk]WiIlNnrifvinspec-
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317 -' JW Yes ?No en
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W Licensed Electrical Contractor I hereby request inspection ui above
? Owner electrical work installed at:
Street Address, Box or Route No.
173 bl\ 1 tit U IF- City
'FA61f
ecuon NO. Township Name or No. Range No. County
0?4KatA
Occupant (PRINT)
-S -fa ? - Art 140M -? hc. Phone No.
Power S pplier Address
OAitor/9 tlsc&,c Assn! /*.A.
Ele trical Contractor (Company Name)
A
g Contractor's License No.
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te.5o' 0 a
III
Mailing Address (Contractor or Owner Making Instailation)
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Author' Si na re (Contra or/Owner Making Instal a onl ho Number
l3
MINNESOTA STATE OARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•197 BE AC CEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Univers itY Ave., St. m Paul. MN N 91 55704 ENCLOSED.
-. into, ogv ottt
CITY OF EAGAN
3793 PRot Knob Road Eagan, MN 55122 ?7
l?l .? 8105
PHONE: 434.8700
?? 2
J
BUILDING PERMIT Receipt # 6
To be and for SF DWG/GAR Est. Value $117, 000 Date June 6 1983
Site Address 1739 Drake Drive Erect Iff Occupancy R-3
Lot 9 Block 2 Sec/SubMallard Park 3rd Alter ? Zoning R-1
Parcel # 10 47252 090 02 Repair ? Fire Zone NA
E V
nlarge ? Type of Const.
w Name Steph-An Homes Move ? # Stories
z Address 14340 Pilot Knob Road Demolish ? Length 46
city Apple Valley phone 423-1179 Grade ? Depth 47 Sq. Ft.
o: 0 npr Approvals Fees
a Name _
?U Address
Name -
Address
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.
Signature of Permittee _t
A Building Permit Is issued to:
all work shall be done in accordance
Building Official
Assessment Permit 4 r • ?v
Water & Sew. Surcharge 58.50
Police Plan check 237.75
Fire SAC 525.00
Erg. Water Conn. 450.00
Planner Water Meter 60.00
Council Road Unit 250.00
Bldg. Off.
APC Total $2056.75
on t he express condition tha:
sota/Stotutes and City of Eagan Ordinances.
• ?? ` CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDINC PERMIT APPLICATION 1 set of energy calculations.
To Be Used For SF bW %, I GO-C- Valuation Date S - 2/?-g _;?t
Site Address: t`j 3`L 6f-mVF__ t?J`CV F d OFFICE USE ONLY
r
Lot l Block a Sec./Sub. Mallard. KY?3Erect X Occupancy 3
Parcel #: ICS C[ TaSZ 090 Oa Alter zoning
Repair Fire Zone
Owner: Enlarge _ Type of Const.
Address: _ ry
t qZq (D l l kJ40b ?_ k 1-
Demolish # Stories
Front ft.
City/Zip Code: p
kbt?.L UajIEL?_ SS/2 ( _
Grade Depth y ft.
Phone #: q,2 a- J l -J q
Contractor: Ow pt L
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Cade:
Phone #:
APPROVALS FEES
Assess rants Permit 'r
Water/Sewer Surcharge / 4
Police Plan Check <v » z?
-
Fire SAC ,S??
Eng. Water Conn. S p g'
Planner Water Meter .6
Council Road Unit A16
Bldg. Off. - 2-
TOTAL •??
Q3
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SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.
8910 WENTWORTH7AVECN?UE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 n?I TEST RECORD
ADDRESS {)(w ke ?r- CITY ca r- 4rI
OCCUPANT \? JN Iw!• c?
SOLD BY Gn
TALL Y
MAKE /
SERIALNO.
S
R
A l
i
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A A ?;?
THERMOSTAT - ?\\? /ENT SIZE
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Cv "'}a",
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T
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VALVE
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' TYPE OF LINER
LIMIT t •1?P? LINER SIZE
O f
I
LIMIT SETTING FILTERS: SIZE
NUMBER
`
FAN
ETTING ,?yj (,
6?¢ F (
e('
S WIRING- 7
PILOT TYPE TEST TAG
IGNITION MODEL
PILOT TIMING \ AC
PRESSURE Q3•S ?C PERCENT CO,
INPUT CFH PERCENT Oz
V
STACK TEMP. - PERCENT CO
LIGHTING INST.
DATE TESTED
COMPANY TESTING ?( CC)
NAME OF TESTER v
FORM 235 (REV. 11189) FORM DISTRIBUTION: WHITE COPY -JOB FILE YELLOW COPY- CITY
CITY OF EAGAN Remarks
Addition Mallard Park Third Addition Lot g Blk 2
Owner Street 1739 Drake Drive
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, !3 Im 1981 2698.43 539.69 5 1079.39 A012648 8-24-83
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 7A 1981 3412.34 682.47 1364.96 A012648 8-24-83
WATERMAIN
*WATER LATERAL 1981
WATER AREA ,-
STORM SEW TRK y71 1981 467.74 93.55 5 187.12 A012648 8-24-83
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO I 250.00 36209 6-6-83
WATER CONN. 450.00 it of
BUILDING PER. 8105
SAC tr tt
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM
AMOUNT $ I
DOLLARS
goo
? CASH ? CHECK
FOR
Of
FUND CODE AMOUNT
Tk You
t?
BY
Y
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3795 POW Knob Rood Eason, MH SS122 Cr .?
PHONEt 454-8100
BUILDING PERMIT Receipt # !
To be wed fen SF DIXYGAR Est. Value $117 , 000 Date June 6 19 83
Site Address 1739 Drake Drive Erect Z Occupancy R-3
Lot 9 Block 2 Sec/S„b-Iailard Park 3r6 Alter ? Zoning R-1
Parcel # 10 47252 040 02 Repair ? Fire Zone IAA
Enlarge ? Type of Const. V
cc Name Ster)h-An Homes Move p # Starlet
z Address 14340 Pilot Knob Road Demolish p Length 4_ 6
Ci Apple Valley phone 423-1179 Grade p Depth -AZ-Sq. Ft.
o Name Owner Approvals Fees
Name
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
1 hereby acknowledge that I hove read this application and state that Bldg Off.
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Permit
Plan check Z3 / • / -)
SAC 525.00
Water Conn. 450 -00
Water Meter _60-00
Road Unit 250.00
Total $2056.75
Signature of Perrnittee
step - HO'-Ile9
A Building Permit Is issued to: on the express condition that
all work shall be done in accordance with all opplicobla of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing W? Z? l
H.V.A.C. Etl4 . 747 `$?
Well
Water
DaP.
Sewer
Electric w08o31 Irw 7--7-W5 1
Inspection Date Insp. Other
Footings (0-?.$3
Foundation
Framing _ 04? `/ ?? CO
Rough Plbg. 444
Rough HVA
Insulation
Final Plbg.
Final HVAC
Final
Water Describe locafion:
Well
Sewer
Pr. Disp.
Receipt
MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee -, . ,
Fill in numbered spaces S/C
Type or Print legibly
Tot.
1. Date ,7un 30, 19', :2. Installation Cost
3. Job Address 1.739 Drake Driist Blk. - Tract
4. Owner `'tenh-An Homes, Inc.
Tnc.
5. Contractor Phone
6. Address
7. City
13075 Pioneer 'TTail
State "-' T:ne';c r:`t Zip
8. Building Type: Residential 11'
9. Work Description: New ff
Commercial ? Institutional ?
Add ? Alter ? Repair ?
10. Describe heating Installation Fuel Type 'atural ,as
11.
No.
1 Equipment BTU - M. Ea.
Forced r Lunroz "'.oriel No. Equipment CFM
Air H
ndlin
:
2n3T;-11`?
Mfg. a
g
Boilers 3
Mfg. Mech. Exhaust
'itchen ltnu '
Unit Heater 2 bath fans
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outlets fur;:-:cc 0 1?;
12. 1 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.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt I PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
/ Type or Print legibly
1. Date 2. Installation Cost
3. Job Address ! 7? 1 k'F & Lotr_Blk.
4. Owner
5. Contractor Phone
6. Address
No.
p =?
Fee
S/C =~
Tot. ZC' S-n
Tract i a
7. City tEt7L-,I)/U State HA-) Zip SSI %Z
8. Building Type: Residential `b Commercial ? Institutional ?
9. Work Description: New EO Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
: Lavatory Softner
Shower Well
L Kitchen Sink
_ Urinal/Bidet
Laundry Tray Other
2 - Sir-c«? S
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets i!wf}1?
12. 1 hereby certify that the above information is true and correct, and I agree to
Signed wltFj all prdinance nd'codes governing this type of work.
.or
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN WATER SERVICE PERMIT
383C Plot Knob Road -
P. O. Box 21199 PERMIT NO.:
E'
DATE
55121
Eagan, MN :
,
N1
Zoning:
- No. of Units:
Owner: teph-An Homes
Address:
1739 Drake Dr
L9 B2 '4&11 rd Psrk 3rd
Site Address:
Plumber: pd
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee: od
1 agree to campy with Hie City of Eagan Surcharge: 5 0 `''d -
?n.LO meter
Ordinances. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: Insp.:-
CITY OF EAGAN
3795 Pilot Knob Read PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner: =
Address:
Site Address: 17 i Dr•'°-:, Dr T'; 'a1?" -c? -'rLrr. ^Y
Plumber:
100.00 .
1 agree to comply with the City of Eagan Connection Charge: „
Ordinances. Account Deposit:
R..
Date of insp.:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Insp.: Date POW:
Norm
Tonal Heat Lou
Room Lath.
No. ldtn Naighl No. of Llnaaltt.
_ of Pena Of PMM I t$ of crtlCk
? f -r ro
1n1diratipn Windows
Inl,ltratton WIDOWS
I nidlraUon S/Goon
E W Wail
a» d Doors
Not E ¦p Wall
Galling
4 JINN
r..w otu.
F1. // >..
1??_ i
-Total Btu Input ' Al
Ht. F1.A J
No. W dth F
of M O)
,4 ? g 1
c 3p
calling 2 43a
l - ,
7105 F loot 7 10
Total Btu.
q J FI Room I Loth.
Loth- 1 1111111112h. 14, •' Mt ' Wth.
MO. W•dM
n/ Haight
of pow No. of
lights Ltnnallt,
of crack rea
q. It.
/doom
/mss Coo. BTU
Infiltration Windows 7 36 1 ,c )
Infiltration W/llatxa 1181 -
Infiluation SdGown 71
IF xp Wail '
G &M d Doors t, ) r
Nat LAP. Well
/
i7
4 { r
.
C041,nq /
4 3ti
2
Flop 5
7 10 1
Total Btu 3.
. No. ,W1tlih Hav
Of paM Of W
I ...• n non W/Doors
I 1• a, u1.:n SlDoors
r,yss a Doors
Nn IF .0 Wall
No. W.dih
of pane H9141111
of pane No. of
lights L:naal 1,
of crack Arco
q. ft.
rdppm
/doom Coal. BTU
Infiltration Windows r
Infiltration W/Dooft 11s
Infiltration S/Doors 71
Exp. Wall a?
Goa d Doss s
Net E xp. Wall 4IS'G
Coiling 3 3 i l
F loot f 7 s; n 6 1
f
Total Btu '
Coo. BTU /doom Coo, BTU'
38 38
A,t ( Infiltration Windows 1-1 -
118 Infiltration W/Doors 11B
71 Infiltration S/Doom 71
E1p. Woe
/ `•' ' Glass a Down t CIS 48
6( 7- Not Exp. Well
' 4e 7
tt
4
r ' " Wth. •• Ht./ Ft. ' r. r
t..
Ar a I, WKI`P
k q, ofd No. of pan
BTU I
Infiltration w4riclows
1 InNITraaOn WY/Door
Infiltration S/Goon
1
ata?? r -
iS
th"ripped
" Wth. Ht.
p- ft
t
' Wth, ?< - " Ht.
ow. I BTU
Fto if
Name j
Total Heat Loss
/ Ff. Root
r No. Wdlh me ight NO,
oI par- 110
Inf+litstbn Windows
.m.ifter.o. W/Doo.s
1..r.11r01.0n Sfoows
f p Weil
G,ew d Door --
Net E ap. Walt
Coiling
F brr - --
Total Dow.
t IF1.
AddnllsJe pis, # Obi ` -t J - S
I HEAT LOSS CALCULATIOM
-Total Btu Input I All windows al coos an w•atherstirbpad
Lgth./ •' Wth. Ht. F1. t ?-?vu Room Lgth., Wth Ht.
Llnwlfi.
of track Ares
q, fl.
No, Wd
of Haight
01 No.of
I U Lineal t.
of pack Area
q. ft,
laoon
Coal.
~ BTU /doOts Coat. BTU'
r 36 1 7l /
InlNtration
Windom 38
its
wi tration
W/Doors t
71
Infiltration S/Down 71
7t
Exp. Wan / n
364 Cr Gum d Doom
Qi 7 L
Q
NetEw.Well
! 'I
4
r r
4 E
Callinif 4
3
1015
Floor
31
ilz( Total Btu.
Laef,_ 1 J
•• wtn
_ /A
Ht - r.r
0' FI ' ' t Roan L9th. r ,• . .. Wth . . •. ?I
Ht
No. Width
of pans Haight
of pane No. of
lights LinsM t.
of pack rN
q. It. ?
i
./ 7 1 '
?' r rJ r)
r)
/doom
!doors coal. BTU
Infiltration Windows ' 38 f
Irdiftret.on W/Doo.r tie
Infiltration alDoors 71
E ¦p. Wall
GMs d Doors 1 CJ i( ry
?HtExp.Wall
4
0' 7 •?
_
rt.q
G 4 5
2 3
FUw 7 10
Tow Stu. r,
Room I Loth. /`! ' " Wth. i l ' " Ht. 3-1 ' "
+ ,I 'aeon Windows
,...+:rerron W/Doors
I rd dxet.on S/Doom
';.ert d Doris
I Not E vv. Well
GIw^4 ------
No. Width
of Paris Height
of Pone m o. Of
lights Lineal".
of crack ry
q, It.
ldkomv
/doors Coal. aTU
Infiltration Windows 38
Infiltratbn W/Down lie
In filtration Moors 71 /
E top. Wall
Glass d Door J 3 11 `+"•
Net Esp. Wail ?..'T
` a
of
Coiling 2
F loon tf
Total Btu. t
It No. 11
coo. BTU '
36 Infiltration Windows
ti$ Infiltrat.tN, W1Dtwn
71 Infiltration S/Doors
Esp. Well
36?E n GMs A Door
6 , 7
4 6 " Net Exp. Wall
4 6
2 Caning
7 108 Floor
cost. I BTU
?.V J. ?__._-
Nelrne t ' /' / Addrep l.) ,i? r Pi plen # Date rP .
Total Heat Loss HEAT LOSS CALCULATIOM
Total Btu Input I All windows & doors are weatharstrlpped
FI. Room Loth. ?X ' " Wth. S " Ht FI. / . x.11 rn J!. Room Loth. , , • .• Wth, r T Ht
No W.dtn
of pane Fia-Vhf
of pane No. of
lights LmMNft.
of crack Area
p. ft.
!doors
/doors Coat. BTU
Infillraaon W.ndovrs ~38
I nllllral+on W/Doors 118
lnfiliration S/Doors 71
w wvl
Was a EiWws 3648
t*" E xp Well 6 7
4 6 ?_-
tet4rp li 24 j „
(?
1; toor .? _ t 3 6
7
10
+ -
_
totol Btu. /n
,/ F.I. , -'r - f ,/ A a/,,/ , Room I Lath- /,,' ' " Wth_ V ' " Ht 4"' "
_ No. W.dth
of vane H*AM
Of Piano NO. of
lights Ll. l rt.
of crack Area
sq. ft.
rdoon
/doors coot. BTU
Infiltration Windows 38
IM141fation W/Doors 118
Infrllralion SlOoore 71
E ry riall ?
Gtese A Dow$ 3648
Net Ego. Wall
(:e,l;fig rt
4); 6
2
2 3
f foa 7 310
Total Btu. llet?
No.
Room Lgth. " Wth. Ht.
No. of Ltneaf N. Area
f tf of crack p. It.
!doors
!doors Coef. BTU,
Infiltration Windows
Infiltration W/Doors lie
Infiltration S/Doors 71
Exp. Wail /
?, 1 n
Gim 6 Doors , y 3 ?J
Net EKp. Wall
4 R i
.? ?l
Calling
Floor y
Total Btu. .
[VV I ! :..,... P4 , . , .?? Room Loth. " Wth. •• Ht.
No. W.dth,
of pane Heraht
of pans No.ot
tights L:aaatft,
crack Are*
on, fl.
/doors
ldtxan Cam' BTtJ
lntiltntlon Windows
Infiltration W/Door 116
InlUVnion blDoon 71
-
Exp. Weil ? t?
Gtess & DoW's 36
Net Exp. Wall ) :''? 67 /! t^GxZ'
'
Coiling 6
4
f loot
Total Btu. l l
•• W, HL
'OOOr?
/doors
Cool.
BTU 100Ofs
Idoort
Coat. BTU
fnfittrsl.on
Winnows 38 Infiltration Windows 38
Int,rllalion W/Doors 118 infiltration W1000n t 18
I.fillraf.4n SlDoars T1 Imiitration S1Doors
71
E no. W+11 _ E xi). Walt
44r li Goon 38x48 Gloss tk Doors
Nat E+p Wall 48 ?7
Net Exp. Ws11 7
4
1
Ceittnll ,Y
'Y 6
3 3
Coiling
- -- -- - - 6
3 S._
(
- _ 3- 5
I 7 100 I Fbor
p
I ? E
- rd y.5 ky t ?., ?
yyyy „I l S ?
COOLING LOAD SHEET Date: '
Name - yd Address
Plan # Time: 4PM
n..:..., r,...a:.:,,...• n....:a. • n.., R-1 1% 20• Wat Rudh 7r, Intirler I)rv Bulb 78: Wet Bulb 66
ITEM
DIMENSIONS AREA
SQ FT.
U
TO SENSIBLE
HEAT LATENT
HEAT
CONDUCTION HEAT GAINS
Exterior wall, gross
-
-
--
--
Exterior glass .65 11 --
Exterior wall, not .08 11 --
Total walls and windows 17 11 -"
Floor .08 11 --
Ceiling or roof .0e 11 --
EXCESS SOLAR GAINS
WALLS (direction faced)
West
.08
28
I ?
--
Roof .06 54 P ZS'
--
GLASS (direction faced)
West
fry'
.55
7h
-
Skylights .65 11e
BODY HEAT GAINS
Sensible No. of le x 225
--
Latent No. of people x 230 -- r
EQUIPMENT HEAT GAINS
3600 BTU
Electric motors HP x -7Rp -"
--
_
Infiltration - Sensible 1.085 x CFM x 11
CL< --
Infiltration - Latent d CMF x .67 x 30 - L?
TOTAL HEAT GAIN (SENSIBLE) '-
TOTAL HEAT GAIN (LATENT) -
TOTAL HEAT GAIN BTU PER H
TONNAGE EQUIVALENT OF COOLING LOAD . `"-_ym&4 -
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date -+_ 1 -:? / d
e
f?
La/
Site Address /-/ l mob//% df/y unit #
(???)
Property Owner 4V?") 7 Telephone #
??3 7
Contractor SEDGMCK HEATING 8 AIR enNnMONING 1
1
C
-
-
8910 Wentworth Ave. So.
Street Address UnnPapnlis, MN 55420 City
State (952) 881-900GOp Telephone # ( )
Bond #: Expires:
The Applicant is Owner ? Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
0 /? ? ?r
furnace -Additional Replacement Qt?/iJYI1? 1?0&dV4dMP
_ air exchanger
,G air conditioner New V Replacement /3f}CCD ?D
t/ other
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
APR 0 8 2005
Y
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Teliphone # ( )
Bond Expires:
The Applicant is Owner Contractor Other
Work Type
- New Construction - Underground Tank _ Install -Remove "see below
- Interior Improvement - Install Piping - Processed -Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Minimum (includes state Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If hermit fee is $1,000 or less, add $.50 =t? $ State Surcharge
If etmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name Applicant's Signature
Approved By: Inspector
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq, ft, of house; and all roofed areas 2 copies of plan Can of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Rood _ Y _ N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N
l set of Energy Calculations Addition- indicate ifonsite septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Construction Cost y
Date
0(Q
/ FCJO / b
s
_
_
Site Address ?J?R G
? _
U S r lr.x . 0 ?- t-- Unit/Ste #
Description of Work
Multi-Family Bldg _ Y _ N Fireplace(s) - 0 - 1 - 2
Property Owner Telephone # ((.gSj 1) L{ S Q • 6 ? S
RMA HOME SERVICES INC.
Contractor Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. # 200 City
State Atlanta, GA 30339 Telephone #
( )
BC-20268257
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 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 oaf plans.
?(?? ?{ 1,60 Vl /y PM 0 \J
Applicant's Printed Name Applicant's Signature
/ OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03: 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04: 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31-New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32:Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
- Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests -Final
- Framing _ Siding _ Stucco - Stone - Brick
Fireplace _ R.I. _ Air Test - Final Windows
- Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Installed
Siding and Windows
LIMITED POWER OF. ATTORNEY
WUN I Y OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golder Valley, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Attorney are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and automatically be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attorney is executed this.
21 st day of May, 2003
David N. Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 2003.
'VNN C
CL-IN - 00
NotaryP6 is in for the State o eorgia
My Commission Expires: January 21, 2006
3968f6A
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 Fax (770) 984-0709 • Toll free (800) 79-DEPOT
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3630 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Reaulrememe
• 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and .L11 roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted after VIM
• Rim Joist Detail Options selection sheet (bldgs wit 3 or less units)
DATE ' z2o d ,2
Water Softener
Water Heater
No. of Baths
SITE ADDRESS 1939' D1Z/11e&- tOk MULTI-FAMILY BLDG _Y kN
TYPE OF WORK /2,r R /2 OfJ r FIREPLACE(S) _ 0 -Y I _ 2
APPLICANT
STREETADDRESS
TELEPHONE # t5?-7U?-6959 CELL PHONE #
ceSTATEReiZIP SE 37
QS2?lr'
FAX #
PROPERTY OWNER 1?ETf4 P00 T TELEPHONE # 6_'T L ZS2-68
COMPLETE THIS SECTION FOR °NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $90.00
I'
- C.. t f J
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.. (l
Signature of Applicant
OFFICE USE ONLY
/j,)._75
Remodel/Repalr Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• lade survey for exterior additions & decks
• Indicate If home served by septic system for additions
VALUATION ? 6,9113 0/.2
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of-plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) - Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ Ice & Water - Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ RI. _ Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
ll CITY USE ONLY
L BL
(? d RECEIPT#:
SUED. Y? fl ?l a RECEIPT DATE: ?rc?-?` Imo/ - ?7
PERMIT # ISU 1 / y
1999 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3$30 PILOT KNOB RD
EAGAN, MN 55122
(651) 6$1-4675
Please complete for: > single family dwellings
> townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
gat;, ti l $ 3.00 _
Floor drain 3.00 x = $
Gas piping outlet " minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC lic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground srinkler if dwelling is under construction 3.00 x = $
Underground srinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ p - CIa
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surcharge .50 > ---> ----> $ .50
Total > > ----> S 30.
Reminder. Call for inspections of alterations, Le. water heaters, water softeners, etc.
--- ---- ---- --- --- ------ -------- -- --all, ------- - - ------ --
Ihereby acknowledge that I have read this application, state that the Information is conect, and agree to wmply with applicable City of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to-the factities_constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: ROOT, KEITH
1739 DRAKE DRIVE
OWNER NAME:: EAGAN, MN 55122 TELEPHONE #:
(651) 452-0857 (AREA CODE)
INSTALLER NAME: -NORBLOM-PLUMBING-C TELEPHONE #:
4612) 327-4033 (AREA CODE)
STREET ADDRESS: - 906 EfARFFE69,4VE. SE).
CITY: UINNEAPOLIS, MN 55409, STATE: ZIP:
SIG T OF PERMITTEE
RESIDENTIAL BUILDING
Permit Application
jpQ S7p?p City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
/NQ10
New Construction Reouirements Remodel/Repair Requirements Offioe Use Only
3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Reod _ Y _ N
f20% maximum lot coverage allowed) 1 set of Energy Calmlations for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions d decks Tree Pres Not Reqd _ Y _ N
1 set of Energy calculations Addition - indicate ifor site septic system On-site Septic System _Y _ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date _?7/ 24 l D Construction Cost 1&00,00
Site Address L7 3_ y re- Unit/Ste #
Description of Work ?N_G'C Y e A?/a?Fir ?e?r ? 3 S ecti a-w- eovc_ --
Multi-FamilyBldg
_ Y)( N Fireplace(s) _ 0 X 1 - 2
y
Property Owner r_ F i +k_ L , (?yo } Telephone # (6
CoS - - I
Contracts k t
Add I
State / e #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _Y _N If so, 25% plan review
fee applies.
Licensed Plumber r tS 1 Ill K ?.telephone #I
llli 2 8 2003
Mechanical Contractor ? ?lephone #I
Sewer/Water Contractor
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
approval of plans.
Applicant's Printed Name
/
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
?, .02 SF Dwelling ? 08 06-plex ? 16 Fireplace X 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New
x 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code ?! 3y
SAC Units
Nbr. of Units
Nbr. of Bldgs -
Type of Const_
_ Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof If- Ice & Water 4 Final
Frarmng
Fireplace - R.I. -Air Test -Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy A-3
Zoning A-(
Stories /
Sq. Ft. / H
Length I Z
Width /
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
Retaining Wall
Approved By
lyg0
P /L Lry
Building Inspector
J5 W
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under direct
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Use BLUE or BLACK Ink
r----------------�--�
i For Office Use . ���� I
Permit#:
ity of ����� � P �� F : ����
e t ee
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '� 0� �� Site Address: �!J " Unit#:
� ��'� ���' �', Name: �Q� K �C.V c�.�/`�. Phone:
Res�detlt/'" ��`� G /�
Qyyn�� Address/City/Zip: � �� 7 'K,�, �(/�.�--
Applicant is: Owner /'� Contractor
'� p�� �a� ��2 -- �GO
Description of work: jL'G•y�
Type of Work
/t �
; ; Construction Cost: � ��""J Multi-Family Building: (Yes /No�
�'� _! Company: ��"'T �125'?YflG�'��'f� Contact: �(���,�/J' ��t.�
�
C4CItCaC�OT , Address: � 3 �"'�f Tdt �"(" • City: /f'G1 !��.a �rLG��.._
,� . .
' State:�p: 3a 2 Phone: -3 (� EmaiL (' 1�1f u�lG����'�tf�'K."1��'/�t�.L- ►C�
License#: �(�br3�c3 Y� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NC?TE;Plans and supp;vrl�ing,do�uments fhat yc�u submit are��nsider�d tc�be public.infc�rmafic�n, Port�ons af '
th��infvrmatirtn:rri�ybe.ct�ssf�ed�as�nvn public����ify��'��pr.c�widesp�eci#'i��re���zns#hatwould�permitth�Ci�y;tc�
�.� ��` ��� co��ci�rd�that�#he :are trade��secr,et�.- '���� � ���,
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.popherstateonecall.orp
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.
X X � ,
dl� cS�_G�c,e..'Z__
Ap ica r' Appli— c- a�S'ignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126357
Date Issued:08/21/2014
Permit Category:ePermit
Site Address: 1739 Drake Dr
Lot:9 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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.
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 -
Jhanjhawata Paudel
1739 Drake Dr
Eagan MN 55122
(952) 210-1116
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146308
Date Issued:10/18/2017
Permit Category:ePermit
Site Address: 1739 Drake Dr
Lot:9 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-090
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Francisco J Guzman
1739 Drake Dr
Eagan MN 55122
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151862
Date Issued:09/17/2018
Permit Category:ePermit
Site Address: 1739 Drake Dr
Lot:9 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Francisco J Guzman
1739 Drake Dr
Eagan MN 55122
(561) 436-2929
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature