1762 Drake Dr C'+EIV . For Office Use je) 10
% • a Permit#:
EAGAN npp 92018
% , „, firn 1
.._b 1
Permit Fee: 3'7)
Date Received: l 1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
11-(i
buildinginspections(a�citvofeaoan.com L C Ar
2018 RESIDENTIAL BUILDING PERMIT APPLICATION A V�
Date: ` ,°.i`j - Ifs Site Address: 11(u Z pro 7rr ve Unit#:
Name: 1D,,,n I ( r'6 h SFr, nc: Phone:
Resident/
Owner Address/City/Zip: 1'7 LPZ. Lir«k.. tD ,"c
Applicant is: Owner Contractor
Type of Work i Description of work: Lecit,(9" eke G:K .�,��i cceia 7 em-pAs r�S
Construction Cost: I E,emr-es Multi-Family Building:(Yes /No )
Company: 2eContact: ^.
e
Address: I(.0 7.3 ,�S� ; Glc .�e `i . City: {_fir L.,:,;s F c:k
Contractor
State:)Ylhj Zip: 5j-flLL. Phone: `S2 >'L0 5`7E Email: vhe c_�
License#: CSC coo 9 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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 they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a perrt'iit; 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
Ci-\A1� Pt L L 1 i x �-
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 1,1 LQ --Or-c"let `)r - • I illitY)
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family Garage _ Porch(4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool _ Accessory Building
—
WORK TYPES
_ New _ Interior Improvement — Siding _ Demolish Building*
_ Addition _ Move Building — Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation -f--.(212 Occupancy MCES System
Plan Review Code Edition yy,} f C'°'` SAC Units
(25% 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VWidth
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: i'c 1, , Building Inspector t
RESIDENTIAL FEES ' ,
Base Fee
Surcharge 'J
Plan Review
MCES SAC ro / ' a
City SAC I 517
4/
Utility Connection Charge
S&W Permit &Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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I hereby certify that this survey was prepared by me or
under my direct supervision .nd that I am a duly Registered
Land Surveyor under the 'laws of the State of Minnesota.
Date= 4u44w/i' 3-01 1,A3 .e.jg
'.;.:," . 4Y2.---'"
4.-tV , Z - 5- WC LeRoyBohlen . T
Q_,....i . 9 r ei,...c?4 Surveyor Registered Land , eyor Igo, 10795
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
IMCSIV6D
FROM
AMOUNT
& DOLLARS
'oo
E] CASH CHECK
Tha?kJ!u
BY
White-Payers Copy `.
Yellow-Posting Co
Pink-File Copy
BUILDING ,612MIT
Tw hw uuA iw? S f < A'-R
CITY OF EAGAN
7795 Pilot Knob Read Eagan, MH 551n
PHONE: 454-8100
Receipt #
$89 , ooo
Site Address
Lot 1 Black 2 Sec/Sub. Mallard Park 3rd
Parcel # 10-47252-010-02
ae Name ,taT'h--An Homes
W Address `? +34u Pilot Knob Road
0: 1 Name -
o
ou Address
F- Pt...
I hereby acknowledge that I hove 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
eP a-An }iones
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Mir
Building Official
Erect :f
Occupancy
'' j
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const. V
Move ? * Stories
Demolish ? Length 6 5
Grade E) Depth " Sq. Ft.
Approvals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit -WW. UV '
Surcharge 44.50
Plan check 00 Q0
%''5.00
SAC
Water Conn.,i
00
Water Meter
Road Unit J
Total
on the express condition that
and City of Eagan Ordinances.
Pwmit No. Permit Holder Misc. Permit No. Holder
Plumbing 1
2 Lie tj 41 F
H.V.A.C. G )V/0-
Well
Water -
Disp.
Sewer
Electric /? l0`1 r75 ?1~ r`Sa i? l? y `g3 -?£ M
?)b7 S(o ? 1 .? is <<
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg - O
Rough HVAC -
Insulation y
Final Plbg.
Final HVAC
Final
Water Describe Location:
•
Wall
Sewer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:' I : I•tiAt I 1114
fli%I i i,i.1- I Ali 1. 111(1
PERMIT SUBTYPE:
. I I 1,
fill IN
PERMIT TYPE: tI (± t ! 1+ 1 NH
Permit Number: ct •' +? •' H a
Date Issued: o +i 4 job
APPLICANT:
I4' 14 1 1; 3 Ni
TYPE OF WORK:
P1 i 1 ?
NSPTR- J
INSPECTION TYPE ••
Permit No. Permit Holder Date Telephone #
ELECTRIC ! Q 9,?7 Q
95 °'
PLUMBING
HVAC
Inspection Dsts Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
I 11 ?
Jill
f'11i1 { IYIII I'r4l?F ?I II
:CORD
PERMIT TYPE
Permit Number:
Date Issued:
010 ` APPLICANT:
fi 1 0(1
i I ? li nrl Iilr,Mi '
tt. f ?) f,}i 1 4177
Htl I 1 t) 1 NCi
0 r)/.'6f
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION INSPECTION TYPE DATE INSPTR.
. I r, ,i i';11 hil f i i i9i i I I.{ 1111! i 11 I rrl, r?tdl' ( I 1 I:• f 1 r,S {,t,ll;f
Permit No. Permit Holder Date Telephone #
ELECTRIC Qg f O? /O
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS 145
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING Al
GAS SVC
TEST
INSUL A
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ?D%p G, may,.
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INYRECMN RECORD
CITY OF EAGAN PERMIT TYPE: r 1 rlt3830 Pilot Knob Road Permit Number: ?t F, h
Eagan, Minnesota 55122-1897 Date Issued: ,' .t d I ?? v
(651) 681-4675
SITE ADDRESS: , ;, , ;t 1 r
rah
Most 1 mull t'nrtt 0"11
PERMIT SUBTYPE:
Rt MARr
F .` ' ?•
/] F I IF 1I FI'i t1A'.'N
APPLICANT:
TYPE OF WORK:
J
Permit Holder Date Telephone •
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Roa't
P. 0. Box 21199 PERMIT NO.: 0
Eagan, MN 551'1 1
-3
DATE: 10-3-83
Zoning: Rl No. of Units: 1
Owner Stoh-An Homes
ress:
Address: 1762 Drake Dr Ll
co
12 Mallard Park 3rd
bar: : Newel Plbg & H t
9
-
Meter No.: Connection Charge: 45040 Rd
Size: Account Deposit:
Reader No.: / r? A 5 Z L C Permit Fee: 1 A _ tin ?
1 rao to aeseply with the Gtr of Logan Surcharge: _ SO 13d-
nsnne. Misc. Charges: 60.00 mete
Total:
By Dote Paid:
Date of Insp.: o - 4 1 Insp.:
CITY OF EAGAN
3E30 Pt 'at Knob R(ld
P. O. Box 21199
Eagan, MN 5F121
Zoning:
Owner:
WATER SERVICE PERMIT
PERMIT NO.: )97
DATE: - 83
No. of Units:
Address.
Site Address: 1762 Drake Dr L1 B2 'Mallard Park 3rd
Plumber. nenzel Plh- sl Ht-?
Meter No.: Connection Charge: Y ' U . U G
Size:
Reader No.:
1 agree to oanPly wuh the City of Lagew
ordiewnces.
By
Dote of I nsp.:
Account Deposit:
Permit Fee: 10.00 pd
Surcharge: 0 1-)-2
Misc. Charges: (10.00 pd meter
Total: -
Dote Paid:
CITY OF EAGAN SEINER SERVICE PERMIT
31130 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 0144
Eagan, MN 55.21 DATE: 10'x-8
Zoning: it 1 No. of Units: 1.
Owner: Steph-An Hoc,cs
Address:
Site Add
Plumber:
I some to oomply whh the City of 1116900
Ordieeaces.
By
Date of Insp.:
Connection Change: 415.00 Pd
Account Deposit:
Permit Fee: 1
Surcharge: _. `
Misc. Charges:
Total:
Insp.. Data Paid:
CITY OF EAGAN Remarks
Addition Mallard Park Third Addition Lot 1 Blk
Owner Street 1762 Drake Drive
e
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, f 539,71 A 013652 3-14-84
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 1981 3412,34 682.47 682.50 A 013652 3-14-84
WATERMAIN
* WATER LATERAL 1981
WATER AREA ?14 J; Az,
STORM SEW TRK 74 1981 467.74 93.55 5 93.58 A 013652 3-14-84
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 38749 9-21-83
WATER CONN. 450.00 of It
6UILDING PER. 8498
SAC
525,00
PARK
CITY OF EAGAN N? 8498
9795 Pilot Knob Road Eagan, MN 55122
" PHONE: 454-8100
BUILDING jMRMIT Receipt # J?7j q
To be and far SF DWG/GAR Est. Value $89,000 Date Sep tember 21 _ Ig83
Site Address 29 1762 Drake Drive Erect )ff Occupancy R-3
Lot 1 Block 2 Sec/Sub. Mallard Park rd Alter ? Zoning R-1
P
l 10-47252-010-02 Repair ? Fire Zone NA
#
arce
Enlarge ? Type of Const. V
W Name Steph-An Homes Move
?
# Stories
Address 14340 Pilot Knob Road Demolish ? Length 65
b C; Ap ple Valley phone 423-1179 Grade ? Depth 44 Sq. Ft.-
s: Name
Owner
Approvals
fees
;k? Address
Name _
Address
I hereby acknowledge that I have read this application and state that
the inlormation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit Is issued to:
all work shall be done in accordance with all
Building Official
Assessment Permit 4UU.UU
Water & Sew. Surcharge 44.50
Police Plan check 200.00
Fire SAC 525.00
Eng. Water Conn. 450.00
Planner Water Meter 60.00
Council Road Unit 250.00
Bldg
Off.
.
APC Total $1929.50
on the express condition thor
and City of Eagan Ordinances.
?. -3 REQUEST FOR ELECTRICAL INSPECTION Yfff tf'
9?j?/^? See instructions for completing this form on back of yellow copy
'/ Y "X" Below Work Covered by This Request'44-9
;.
Ne Add Rep. Type of Building ge .4.a Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) contractor's Remarks
Rer:
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps 4*2
Transformers Above 200 Amps Above 100 -Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms G V
Special Inspection /
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
th
h
b
i Rough-in Date
y
ove
cert
at t
e a
nspection has
been made. Final
OFFICE USE ONLY
This request void 18 months from
0- 6 N7 r
' I;' 6W
3
Request Oa Fire No. Ho h-In Inspe 'o>n jequiretl Inspection Other Than ghln
(YouRugsicall inspector w n ready) C] Ready Now Will Notify Inspector
? Yes No Oate Rea
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. ge No. County
Occupant(P T) Phone No.
Power Supplier A ress
Electrical Contractor (Company Name) Contractor's License No.
HTGHLAND ELECTRTC CA00847
Mailing Address (Contractor or Owner Making installation)
Authorized Signature (Co ra /Owner Making Installation) Phone Number
690-1551
MINNESOTA STATE INSPECTION REQUEST WILL NOT
Griggs?fdtwiy Bldg.
Rosurrhi
S II II I I I I I II II I I II BE
I
1821 University
Aw.,
t.
Paul, MN 55104
INSPECTION FEE IS
Phone (612)642-8800 _, . ENC
LOSED.
IIII IIII II I II I nl REQUEST FOR ELECTRICAL INSPECTION
II Minnesota State Board of Electricity+
1821 University AVE., Rm. S-128, St. Paul, MN 55104 'o t
* 0 P a 8 1 0 7* Phone (Wr) 642-0e0OA 3hs '
Home z Apt. Bidg. Other: New Addn
ial Industri al Far Rmd
.
tF Htg. Equip. Water Htr. Lood Mgmt. Other:
Range Elec. Heat Temp. Service
"x' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Garage addition
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Sae Fee Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps =
Street Lig./Traffic Sig.
Above 200 Amps Amps
Transformer/Generator INSPECTOR'S USE ONLY
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control
Swimming Pool I here cent That I Ina ed the elatldml instollahon described herein on the dales sMted
Irrigation Boom Rough-In
Special Inspecion
Investigative Fee Final
7 Date
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF N 6T t6MOLIMLrb WITHI 8 MONTHS.
2 0 8 -105 0 OFFICE USE ONLY This request void 18 months Imm validation dale printed ip his box
PLEASE PRINT OR TYPE
Request Dole Rough-in inspection require Y. No Inspection Other Than Rough -Ica ? Ready Now [3 Will Call
10/19/95 (YOU mu call he hapecmr when ready) Dam Ready:
I, ® licensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Street, Boa, or Rohe No.) Cary Zip code
1762 Drake Drive Ea n
Section No. Township Name ar No. Range No. Fire No. County
Dakota
Occupant Phone No.
Ste hAn Homes 688-6180
Power Supplier Address
Dakota Electric
Electrical ContraWr (Company Name) Contractor License No. Mosmr tic. No. (Plant Elect. Only)
Joos Electric
Mailing Address (Contractor or O aner Performing Installation)
3980 Beau D' Rue Drive Eag an- MN 55 122
Authodzed Signature (Contractor or Owner Performing Insmllati Phone No
688-6180
EB-OODOIA-10 6/95 STATE BOARD COPY -SEElINSTV:CTIONSON BACKOWYELLOWCOPY
II IIII I III REQUEST FOR ELECTRICAL INSPECTION
Minnesdw State Board of Electricity 1821 University Ave., Rm. S-128, St. Paul, MN 55104
0 8 0 5 9 Phone (612) 642-0800 /0110%5 %RD
Home Duplez Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dyer Range Elec. Heat Tem .Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Repair service wire
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Enfrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Troffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. X
Alarm/Remote Control .7
0 r OcO X5-0
Swimming Pool
1 here mm that ins acted the eledncol ins-(l descd on the dares ,001 d ?in
Imigo ion Boom R.,hd Dme
Special Inspection
Investigative Fee Final Dom '
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF T COMPLETED WITHIN 18 MONTHS.
2 0 V - 0 5 9 [E OFFICE 9E O Y This request wid 18 ...the from volidalion date printed in Mis box.
620
PLEASE PRINT OR TYPE
Re a D t
1
/b 3 / 95
Rough-in inapedian as
Q yes [XNo
lospec6on Other Then Rough-In: 0 Ready Now [] Will Call
ou must .111h. inspedar whan ready) Care Ready:
I, 10 licensed contractor ? owner hereby request inspedion of the above electrical work at:
Job Address (Street, Box, or Roble Na.) City Zip Code
1762 Drake Drive Eagan 55122
Section No. Township Name or No. Range No. Fire No. County
Dakota
Occupant StephAn Homes Phone No.68 -7E77
O
Rakz1xxRiH8$E?
? xb
Pourer Supplier Address
Dakota Electric 4300 220th St. W., Farmington
Eledrlml Carload., (Company Name) Contradar ?mnse No. Master Li, No. (Plant Elea. Only)
Joos Electric Co. CA 00961
Mailing Address (Contractor or Owner Performing installation)
3980 Beau D' Rue Drive, Eaga MN 55122
Authorized Sign.R. a (Contracor or Owner Perfarming Installation) Phone No.
? 688-6180
EB-0000)A-106/95 STATE BOARD COPY-SEE RNSTRefIONS ON BACKOF YELLOW COPY
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
W BUILDING PERMIT APPLICATION 1 set of ena
_3Y calculations.
To Be Used For valuation 6 Q Date
Site Address: IU A '6VAOI F - N7(`i V P OFFICE USE ONLY
Lot Block pP,` Sec./Sub. Erect Occupancy
Parcel #: ?0 1 o(0Alter Zoning
Repair Fire Zone
Owner- n Enlarge _ Type of Const.
e # Stories
Address: Z?' AI dish _ Front ft.
City/Zip Code: _jg:?? /?(?? dF e v Grade Depth y ft.
Phone #: c
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng..
Address:
City/Zip Code:
Phone #:
APPROVALS FEES
Assessments
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. Off.
APC ,
Permit 00
Surcharge Z/
Plan Check ;?o D `a
SAC S
Water Conn. !/ 6j2 -OT4
Water Meter
Road Unit A&V
TOTAL /, 1 a r/
7? 7&0
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 026260
Eagan, Minnesota 55122-1897 Date Issued: 08/24/95
(612) 681-4675
SITE ADDRESS: P'I'N.: 10-47252-010-02 APPLICANT:
LOT: 1 BLOCK: 2
1762 DRAKE OR
MALLARD PARK 3RD
PERMIT SUBTYPE:
FIREPLACE
FIRESIDE CORNER INC
(612) 633-1042
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
INSPECTION TYPE
ROUGH-IN DDATE
i INSPTR. • TYPE
FINAL DATE INSPTR.
F
7
J
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P.I.N.. 10-47252-010-02 APPLICANT:
LOT: 1 BLOCK: 2
1762 DRAKE DR STEPH-AN HOMES
MALLARD PARK 3RD (612) 681-9777
PERMIT SUBTYPE: TYPE OF WORK:
GARAGE/ACCESSORY
BUILDING
026398
09/25/95
ADDITION
a
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
r 3830 Pilot Knob Road, Eagan MN 55122
?o r` 1 Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements;
3 registered site surveys showing sq. It. of lot, sq. fL of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate ff on-site septic system
3 copies of Tree Preservation Plan if lot platted after V1/33
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date Construction Cost ,/ &i ?0®
Site Address 1174 A ? n /?
0 !l Unit/Ste #
Description of Work RZ - S d + A G ur•'l N f+l /? ?? 16
Multi-Family Bldg - Y -?--N Fireplace(s) - 0 - 1 _ 2
Property Owner C?rT ? I ZACk 6 H G.Jf}2.TZPCTelephone # (" () 688--;L,304
Contractor o? W e5 j a L? 60
0
Address /?
/
/
3 _7-3 Iq M ° i1J A.7 e-ha-- iP Q A Ue City / Lr!
State P A.) Zip 5 t/06 Telephone # (6/x) 7a I -x'333
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?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y _ N If so, 25%, plan review
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informal tg ;? ?omnlPtP and acnerate;
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
A
Applicant gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 G&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_V 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) - G ive 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
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. - Air Test - Final
Insulation
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
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone - Brick
_ Windows
Retaining Wall
Building Inspector
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-47252-010-02
DESCRIPTION:
PERMIT
1762 DRAKE DR
LOT: 1 BLOCK: 2
MALLARD PARK 3RD
8uilding'P_ermit Type
0uii,dIng Work, Type
PERMIT TYPE:
Permit Number:
Date Issued:
GARAGE/ACCESSORY
ADDITION
(k MQ0
BUILDING
026398
09/25/95
'V3 1,
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$249.75
$87.41
,,,,^_ t8-50
$345.66
$17,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
STEPH-AN HOMES 16819777 0001457 RAUCHWARTER GERALD
4130 BLACKHAWK RD 114 1762 DRAKE DR
EAGAN MN 55122 EAGAN MN
(612) 681-9777
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 Mn,
Statutes and City of Eagan Ordinances.
( C? J?11 RDII?-1 1I I
APPLICANT/PER IXl/M
MITEE SIGNATURE ISSUED B : SIGNATURE
CITY OF EAGAN I
3830 PILOT KNOB RD - 66122
995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681.4675 )!tq ? f. I _ f,
New Construction Reouirements Remodel/Repair Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for heated additions
? 3 copies of tree preservation plan d lot platted after 711/93
required: _ Yes _ No
DATE: CONSTRUCTION COST. Z // UU U
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _L BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: II f 1)f9?( G ACT DJf/1 I Phone #:
U T FN
Street Address,
City: State:: 7 Zip:
Company: Phone #: (O? 5? 7 7
Street Address: y/30 ? ?i Auk License #: ys7
City: AC/ State:
Zip:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #:
Registration #•
Street Address-
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the informati n is corre and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
-7 V
OFFICE USE ONLY (? C V
Certificates of Survey Received _ Yes _ No SEP 0 8 1995
Tree Preservation Plan Received Yes No ______________
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
?32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
,el"13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y 3A3
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit O
APPROVALS
Planning Building Engineering Variance
/
?CJU
Permit Fee Valuatio ?
n: $
Surcharge
Plan Review
License
MCMS SAC
City SAC l?srg?vL
Water Conn. T3 x? 3
Water Meter _ ssy
Acct. Deposit /t3 x as.v? i y?
SM/ Permit
S/W Surcharge ay za
S G
z z
9, 3
Treatment PI.
R
d U
it
f ?o¢?
ms`s" 7 7& g
L ?-
n
oa
Park Ded. prf ?i ?LFisr ?y ?
od
l7
Trails Ded. 1
Other
Copies
Total:
% SAC
SAC Units
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
1762 DRAKE DR
LOT: 1 BLOCK: 2
MALLARD PARK 3RD
P.I.N.: 10-47252-010-02
PERMIT TYPE: BUILDING
Permit Number: 0 2 6 2 8 0
Date Issued: 08/24/95
DESCRIPTION:
j' (GAS)
Bullding'Permit Type
Building 1,46,rk Type
REMARKS:
FIREPLACE
NEW
? t
4
FEE SUMMARY-
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
FIRESIDE CORNER INC 16331042 0001068 RAUCHWARTER CATHY
2700 N FAIRVIEW AVE 1762 DRAKE OR
ROSEVILLE MN 55113 EAGAN MN 55122
(612) 633-1042 (612)688-2304
I hereby acknowledge that I have read this application and state that the
information s correct and agree to comply with all applicable State of Mn.
Statutes an City of Eagan Ordinances.
(?11Q IC.PI lI
ANTIPERMITEE SIGNATURE ISSUED B SIGNATURE'
- - - - - - - - - - - - - - -
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
0 1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTION OF WORK: / INSTALL hM FIREPLACE: _ WOOD BURNING /Z GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
- INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN:
STREET ADDRESS: 7 6 Z, L?ZA
LOT I- BLOCK I- SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
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.
PROPERTY Name-Q0-r k `-( Yl Au C 6d t ?JI?7C7cf12 Phone #:Z8"6 -2-3 O
OWNER'
Signature:
Street Address 176 7 s - ?l2
5-? / ZZ
City: L<>75Ct A i Mate: ?l .cJ zip:
l7/S
FIREPLACE '2(s
Company:a? W ?• - Phone
INSTALLER
Signature: "v
Street ress: Z?ao-/V / 1?C?!c'h/ License #-
C, . State: A&j Zip
GAS LINE Company:
INSTALLER
Name:
Signature:
Phone #•
Street Address-
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 14 Fireplace
WORK TYPE
0 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS: Chimneyfflue must be inspected before concealing.
,
All
A
FEES
Permit Fee
Surcharge
Other
Copies
Total:
I
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
47Yi4G52
03(10/619
SITE ADDRESS:
P. I.N.a .1.0--47252-01.0-..02
DESCRIPTION:
176;' PRAKI' DI?
LOT.- 1. BLOCK- 2
MALLARD PARK .',RD
D4--?Ldins;-Permit 'Type
Bl11ld1nq t,t? k Tvne
,census Code
REMARKS:
FEE SUMMARY:
Dd1Se Fac
Surr.hat qr,
Ll1) tcLi I
?t:61?.00
ti0
COPIES
if 0ca 1. Pee
LK1-SS)
CONTRACTOR: - App15.cont. - ST. I.Ic. OWNER:
IItON71.ER CONSTRUCTION 14407750 200647310 RAUCHWARTER CATHY
d66 6R1OliEWA"T"ER OR 1.762 DRAKE OR
v AGE MN 55378 E A G A N MN 561.22
i12) 891.-4359 (651)
I {,e"I,bv 4, 1ow!vcfge they i Hove r,ad cn i.s ,, n n I i.c., c i o r I afl d to T.e thit th;-
Lto?I[] tjII is rre,c and gLn2 i.n comply with ell o', Nil
tiL,aCotc•?? dnd .`:icy or Caoel ,l 0rdi-rlati c;es.
L
1?JL ?YL I NdC
LI ANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE
DECK
NEW
434 ALT. RES:I:DENTIAL
i; ,
CITY OF E:.AGAN
CASHIER: S TERMINAL. NOi 546,
DATE: 0300/35 TIME:: 15:41:62
TV
NAME: FRONTIER CONSTRUCTION INC
320 5001 1762 DRAKE DR 60.00
21.55 5001. 1762 DRAKE DR 0.50
3430 9001 1762 DRAKE DR 1..00
Total. Receipt Amount,: 61.50
CR 10":177 i'
USER ID: NANCY
/_
CITY USE ONLY RECEIPT #: C> q979?`?
?''?
SUB awTx s RECEIPT ()ATE: ??? A0
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, LAN 55122
(612) 681-4675
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
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 = 7 -
Alterations 'to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE ?^
TOTAL `?
----- ------ -- - ----- ---
I hereby acknowk ge that I have read this application, state that the information is correct, and agree to comply with all 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 facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
I
STREET ADDRESS: (Q? . L/ J/ l 14 r
CITY: Z41/Q V tie STATE: ZIP:
-6-/e -e ILMM2 &--?
'C 5 SIGNATURE OF RMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
y 7,;2 t --o/O - ir -
CITY USE ONLY ?? p
L BL RECEIPT* (?
7 1 SUB DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: !y -!5--'75-
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
HVAC: 0-100 M BTU 24.00
C Additional 50 M BTU 6.00
CEo ?
\ Gas Outlets (minimum of 1 required @ $3.00 each) 3.6y
? State Surcharge .50
TOTAL
Zic.srv /,ud (>,v; r
SITE ADDRESS: /7(.2- Dx14K,e Qg.
OWNER NAME: 57e0P"" 4.-) 4a" ms PHONE #:
INSTALLER NAME: KL HEAT
IGIN.
13075 Pioneer Trail
STREET ADDRESS:- EoeN PRAIRiF MN 45217
CITY:
ST
ZIP:
PHONE #:( ) 7y/-YZl
CITY USE ONLY
L BL
RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are Dgi required
q for each dwelling unit. ?p
Lim I C. /O - /Z] ?C/ S CTF. i viv1 r.nr, ?JC? •?-
?..ViVi i 1"I?II.rC.
WORK TYPE: NEW CONSTRUCTION X INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee gL 1% of contract price, whichever is greater.
? Processed piping - $25.00
State surcharge of $.50 per $1,000 of RmTO fee due on all permits;
CONTRACT PRICE x 1% AS. LM
PROCESSED PIPING
STATE SURCHARGE
TOTAL
.& T E ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
?srtN ::r ..1??••cLyt?1''?- (111_) f "L- Address ??.. -LIZ' ,+_1) ic!!/ vl.n # ova %: r? ..
/ HEAT LOSS CALCULATIONS
Total Heat Loss 7 14?_ -Total Btu Input I All windowsAdoors amweathBntrkiad
I'_ /loy Room Loth. // •• Wth. '_-Ht.
I Ft FI. 9? o?i Roam LYth•' 1 •• Wth. ) •• Mt..'r/ '
..
No. "4,h
al o•.r N..yit
of yes Nv.O
I N Lln••Ifl.
of cock rn
MAI
o. Wd1k
at N•iekt
01 N0. of
1 N
11
LI
of cock
11
m '
. fl.
J .
r
4
-
r; ,
1
RT?
D2
3
doors CoN. BTU Noon Coo. BTU
nlilunion Window,
.Q
r30
?
Infiltration Windvwi 3e
nhnmwn wIons, 718 Inflltmion W/Docri
7i
F.W.11
3" ol•N a over.
N.t Eno. WWI 4 5 F
; 2
_
7310° Fkw _
1`0141 Btu. Tow Dr.. t
F I.. (4
Roam Loth. "Wth. 13 HIS FI. ,Y Room Loth. "Wth. Ht.
No. ,
Width
of o.rM H•ly.t
co Noe/
I Ll,Wft.
at wk Am
q
h.
No. Wfddt
of
Pori, 1/II
Poo&
of N"
1 e Li t.
of cock m
ia. M.
"('0
{ i0 -
,/ !
fdeen to"
/doors Coat. BTU Noon Coo. BTU
Innumlonwnda - 36 -d j9 I.Mustlou Window,
(n11H..tion Wlomri 118 Infatntdn WlDOOn tie
Inliltuuon S/Doors 71 Inflhr4bn S/Does
' 91
E.P. WII Ew. Wn
f
Nit Env.W41 4 N" E M. W.11
t. 6
G{iirp e
COMM
Flux,
3
$
3
6
FkWr 9 6
7 10
7
1
0
Tm4 Btu. Total Btu.
?.
Fl. ,3 f_G Roan Loth. •• Wth. Ht. Fl. Roam lath. ••" Ht. f?
No. wdtk
Df N H.Vht
of We No. of
1 N L-.0ft.
of cmY Am
tp. fl.
No. Width
of N.gtt
of prr• No.ef
1 n Lill lt.
W cmk m
. h.
° p +e o
36
?
tdeon <? a • r. •J Ideoo n '?d• A
ldoon
:Ingluation Windovn
Q
Gat.
30
BTU
1 1 Q?.
tdtan
Inflltntlon Window,
coo.
38
BTU
INiu.aion w/Door .
lie
I.flit'stion W/000", lie
1nGnr4ion 5/Oven 71 Infiltration S/Doon J 71
E.P. W41 EM.W41 )72
x S. oovr,
c d 364e GIN, a 0.
-
o
mt EV. watt 6(77 Not Erp. Well
T
a
4
C*MN )
lid 3^l- Collins r
?
/.
g a
1
LT
Floc
Tvu18w. 1O
SQ Flom
Tool Btu. .
.
;t"
`Z JY J!?rl-7v1? ,+ °° V n'?, ^i-;? Plm# _DM /
.? HB9t LDIE w MEAT LOSS CALCULATIONS
Total Btu Input I All twndowl a door ON Wwth6Mr4)P@d
+. ,...•• / noltm
x , LQm. Wth. ?• Ht.Q
_._
Ft. 1 " +. HOgll L6tn.'- ,
'-7m . v- -- r,1
Na. Wahh
PI M Hugh
PI MI No.ol
I tf, LI IL
of C,.k Area
M. to.
NP' Wan
at Height
of
Poona, No.e
I u lkwalll,
of CCKY m
,11,
J V 1 ( v 1-3 f 5 IJ li"IS Cf
IoooN z [? U 617 4' ,d.
/dean Coal. BTU /down coo. STU
tillration W,M `. ']6 , Inllltration Wlwle„n T -'? -c
hn..uon w/0ow, 118 Infiltration W/boon I la
f l,,oof f VDoor 71 IMlhratlon S/Doom - / f 71 L'
.O Wail gap. Well
1aH•Dew. ¢ GNNa Donn %Ct
.1 Fan. Wall 6(7
4 !i
c
Not San. Wall
{
.wrq n ,%Y6
`
a Collins ]{ 6
loot' 71
0
6 Flow 7]. tQ/
otal Btu.
vozr Toth Of..
FI. L 1 V, Room LBth.r "Wth. / Ht. Ft. Room Lath. "Wth. " Ht. '
No. wan
of
n,na aigr
d No. of
lights Lhwallt.
Of crock Am
M. It.
Nam WIdM
of Powl, Haight
Of twrw NO. at
lights LInaH 1.
of :ml, Am
q, h.
/down /door,
1,1044111 coat. BTU Noon Colic BTU
lolmbn W,M , 38 Inllllrnbn WInAnWa
fiff's"on W/Door 118 Inilhration W/Dope l16
uill'atlon 8/Dow, 71 Infiltration S/Door 71
.e, Wall
Eae. WHI
wr 6 Doan
, 4? / Gbw • Door, 3"
at E.p. WWI 2 6 Not Extol. Well
4_ 6
.1
.ilirq 6
-X3
'Q Collins
2 .1
{
m _
7 7 310 Flow ] 6
oW Btu. 1 Total Sm.
i Fl. t-. Room Lath. "Wth. •' Ht. Ft. Room Lath. "Wth. Mt. '
No, /W'dth
M Party Naphl
of Pan. Neel
I is LInaH t.
o1 crack Am
M. N.
No. Wan
of
ponw, Haight
of Parts No. Of
igh K
l L1rrYf1.
of emk Am
in. ft.
1 !'? ?' f,door 'd p ,door
'? y rY v Wlfppn coo. BTU /door Coal. BTV
lilvnien W.MOwt 36 Infiltration Wlraow,
Moral-" W/Dow, 116 Infiltration W/Door 176
IiHration 8/Dew, O f 71 Inltltmbn 5/Door, 71
.D. Wall
_
E.P. Well
wf b Dann 3640 a Gloat A Door, ]}{61
.
al F.p. Wall _6(J
4 6 Nat EM. W,11 6
E6
,IhrN 7 { 6 Calling 6
leo. 7 106 Flow 7 I 6
al 8m.
Q
Two But.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
/ 3830 PII.OT KNOB RD - 55122
'I l? (651) 681-4675 1 ? ( . '?S_o
Vew Construction Requirements
Remodel/Repair Requirements 74
0 3 registered site surveys
1 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
1 1 energy calculations
# 3 copies of tree preservation plan if lot platted after 711/93
required: _Yes _ No
DATE: a f ? qq
r
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST:'
DESCRIPTION OF WORK: C 1c?cl C_a_A-ac I I ? V'Ce1?Iclc?yV?ti'?
STREET ADDRESS: l z- D Vzc v-1Z_ T
LOT: ? BLOCK: ?-- SUBD./P.LD. #: ? _PJ
COL LL6L L ,)C, ?+-C
t'
Name: (AvGhL?b? Phone#:
PROPERTY Last First
OWNER
Street Address: l /tZC ?t,?
/'?? ,o Zip: X51 ZZ
City irS'
?CO? State: M``LU -- q 3S
?l Company: `F^AV_2- ?T Phone#: 6A_?_ 4 f Sb
CONTRALTO
Street Address:ISOC(o ?c t ( 1v? License# 7ODCA316 Exp. 3W
City SL?? State: ML) Zip: ? S
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes No
Tree Preservation Plan Received Yes No Not
and agree to comply with all applicable
MAR 1 0 19S9
iI
I,I
I
J
OFFICE USE ONLY
3UILDING PERMIT TYPE
01 Foundation ? 06 Duplex
1 02 SF Dwelling ? 07 4-plex
1 03 SF Addition ? 08 8-plex
04 SF Porch ? 09 12-plex
1 05 SF Misc. ? 10 = plex
NORK TYPE
31 New
32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
)21-15 Deck
? 36 Move
? 37 Demolition
3ENERAL INFORMATION
;oust. (Actual)
(Allowable)
JBC Occupancy
Zoning
of Stories
-ength
Nidth
4PPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
_ sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
°lanning Building Engineering .
Variance
e% i
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
% SAC
SAC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 p
(651) 681-4675
New Construction Requirements RemodeVReoair Requirements r
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: ' -l / I I91 R
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: BLOCK: D-- SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: („ Jr_Ac_y- 1L'C( w Phone#: (Osa
Last First
Street
City
State:
Zip:
Company:._ f ]mP v'c a??cs? l y Phone #: ")C?)'l - C) (o C)
Street Address:JrA ? (? Y t 4 ! ?(n?? f iG: I J W (l License # \3Cl Exp.
City l`a y`?o??' ?? State: M t'1 Zip:
? 2 copies of plan
? 1 site surveys (exterior additions & decks)
? 1 energy calculations for healed additions
CONSTRUCTION COST: r)S33
Phone #:
Registration #:
Street Address:
City
State:
Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information i come , and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?-
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Valuation:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code
SAC Code
Census Units
Census Bldg
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
f
% SAC
SAC Units
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
e?oo? Pmt Ro oo a qa? 1
-----------------
I for„Otfice.,Use I
Permit: a 7 I
I e: I
Permit Fee: Q0 011
; Date Received: G ;
I Staff: I
----------------l
RESIDENT / OWNER Name: t (I YOU A Pho .uc?)l
Address / City / Zip: (
Applicant is: - Owner Contractor
TYPE OF WORK Description of work:
?2U
Construction Cost: Multi-Family Building:
(Yes No
CONTRACTOR rr
Name: License #: YJ
Address:
City: Stater Zip: 55
Phon Contact Person: -\)n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaory 1
Minnesota Rules 7672
_
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submim_d
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 areconsidered to be public information." Poitioins `of```
the information may be classified as non-public If you proyide specific reasons that would permit the City to
conclude that they 'are trade secrets. ,+ -
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, rk is not to start without a permit; that the work will be in
acoord nce with the approved plan in the case of work which requires a review and approv of plans.
x 1 0
Applica 's Printed Name ant's Signature 0
Page 1 of 3
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
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I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date: Qur?,,j 3oi !?s3
LeRoy -N. Bohlen
Registered Land Surveyor No. 10795
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I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the'laws'of the State of Minnesota.
Date 4U"i- 30, i2a3
R r? S LeRoy'F Bohlen
?:ti? . v m _or Registered Land Surveyor No. 10795
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1762 Drake Dr
Lot: 1 Block: 2 Addition: Mallard Park 3rd
PID:10- 47252- 010 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Harmony Homes
3158 Viking Blvd NE
Wyoming MN 55092
(763) 413 -1100
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Gerald W Rauchwarter
1762 Drake Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA078383
06/19/2007
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1762 Drake Dr
Lot: 1 Block: 2 Addition: Mallard Park 3rd
PID:10- 47252- 010 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Harmony Homes
3158 Viking Blvd NE
Wyoming MN 55092
(763) 413 -1100
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Gerald W Rauchwarter
1762 Drake Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089117
05/12/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116328
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 1762 Drake Dr
Lot:1 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Gerald W Rauchwarter
1762 Drake Dr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
May, 25. 2016 2:30PM
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
'No. 2701E orP, 1,CK Ink
For Office Use
Permit #: / .�7/0
Permit Fee: 60- oo
Date Received:
Staff:
L
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/25/2016 Site Address: 1762 Drake Dr
•
Suite #:
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.000herstateonecall.orq
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances end 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 o
Applicant's Printed Name
)FFIC,E U.
App cant's Signet
>' :'
eslf�ftriownr:•
•
Gerald Rauchwarter 651-303-4332
Name. Phone;
Address / City / Zip: 1762 Drake Dr, Eagan, MN 55122
• ,•.
ContractOR'`.:`,
Name: Aeshliman Plumbing Inc License #: PM060037
307 Jackson Ave NE, Suite #4 Elk River
Address:City:
55330
Zi612-290-8086
State: MN • p: Phone:
_
Contact Trude Email. trude@api-plumbing.com
New ✓ Replacement Repair Rebuild Modify Space — Work in R.O.W.
— —
Description of work:
a
Permit;:Typ'®` ;;'::.
RESIDENTIAL
✓ Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures (__,_ Main /— Lower Level)
—
Septic System
Water Turnaround
—New
Abandonment
RESIDENTIAL
$60.00
$60.00
$60.00
$115.00
FEES:
Water Heater,
Lawn Irrigation
Add Plumbing
Turnaround
Septic System
Water Softener, or Water Heater and Softener
(Includes State Surcharge)
C' •
Turnaround* (Includes State Surcharge) C %,('•
'A*`Water
ar
TOTAL FEES $ 60.00 4
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances end 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 o
Applicant's Printed Name
)FFIC,E U.
App cant's Signet
•
• For Office Use G -14„° i $ :::t:e: 3
..'ft..... ....APO E AGA N
4 �`
RE�I� �ED Date Received: ��`� `� _�
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAY 2 3 2018 Staff: -.6/2—
buildinginspectionscitvofeagan.com L
J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
I
Name: 1--4--0.-\A &j r r\t, Phone: (1S L'-�6 I- Z 2-7,
Resident/ �C
OWneir Address/City/Zip: \7 6 2. c:.0,,\(--C__ ca)(x , 9 (Z Z
Applicant is: Owner Contractor
Type of Work Description of work: b''la�- . c oav-z. kIV'°"A(\ 0 u E:
Construction Cost: �'ti' %t " -2.00`-; Multi-Family Building: (Yes /No )
Company: `El cc---t. t Wa (Dui -----1
Contact: CS\t-y
Contractor Address: City:
State: Zip: Phone: 6S 1 -7)- -.2,)
i SZEmail:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
I
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: 1
Sewer&Water Contractor: Phone:
Fire Suppression Contractor:
PP Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-•ublic if ou •rovide s•ecific reasons that would •-rmit the Ci to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubscribe.
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.
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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in confo • -•ce 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 o • start/ ithout 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•a
x V .,c.c�� 50(-- x rte
Or
Applicant's Printed Aame) Applicant's Sign ure
DO NOT WRITE BELOW THIS LINE it--7 . )10-49/ 10 . / `-f ql i.S
SUB TYPES
— Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level X Pool _ Accessory Building
ORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy _ v/ MCES System
Plan Review Code Edition VVj161aF S SAC Units
(25% 100%X ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length 3 01 Fire Suppression Required
Type of Construction V6 Width c(i
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
T
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof: Ice &Water Final )o Pool: Footings Air/Gas Tests x Final
Framing 30 Minutes 1 Hour Drain file
Fireplace: Rough In _Air Test _Final Siding:_Stucco Lath Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES \\\-.-v.. c.C.:-e-e_ ,c„- ,i ? ,e1 A_ \c,Cc,vaw.
Base Fee '` . . L„ 5-, -..r . k.�..f NC.
Surcharge ‘\.0 \i.ar,.. 5)2.c)IS - tilt; 6.,._-',\\ ';,.4..tuA.k
Plan Review V`t<fir k,--, ,LLA,\€._ \00,-t.,C
MCES SAC
City SAC ( 1
Utility Connection Charge
! c< X
S&W Permit& Surcharge
Treatment Plant o '' 9 A °
Copies (
TOTALlAi PI
// n Page 2 of 3
1
- POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: V-71,?. 'bfiak. _ 1 r
Applicant Name: beo�, F.I10r ,G sole,
J
GJ
I GENERAL INFORMATION
• ¢ b
O z ¢
pLI ❑ Applicant name and contact information
AU ❑ Property owner name
g ❑ ❑ Address of property
0 ❑ ❑ North arrow, scale (1"=30' or 40')
X ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed
structures, including retaining walls and fences.
p ❑ ❑ Location and name of all streets adjacent to property
,J1 ❑ ❑ Directional drainage arrows (existing and proposed)
❑ 0 ❑ Lot Square Footage
❑ 0 ❑ Lot Coverage
ELEVATIONS
Existing
❑ ) ❑ House corners
❑ P' ❑ Property corners
❑ ) ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
X0 ❑ Finished pool deck corners
❑ A ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes)
A ❑ ❑ Pool bottom(or max. depth)
DIMENSIONS
Existing
0 U ❑ All property/lot lines
A ❑ U All Easements on the property
Proposed
❑ ❑ Pool
A ❑ ❑ Pool plus integrated deck/patio
4 U ❑ Shortest distance from outside edge of pool I eck to lot lines and house
Reviewed: frb z/y/Ag
Date
G:FORMS/Pool Permit Checklist/11-20-12
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149498
Date Issued:05/24/2018
Permit Category:ePermit
Site Address: 1762 Drake Dr
Lot:1 Block: 2 Addition: Mallard Park 3rd
PID:10-47252-02-010
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 -
Dean Ellingson
1762 Drake Dr
Eagan MN 55122
(952) 261-8275
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature