1380 Cleome Lane Parmif # DaM Inued PamNfae
Plumbin9 7'7
Mechanical ?'j93 ?'a73-77 -l?, .? °? • ? "' ?
INSPECTIOMS DATE INSP. Rough-In Firrol
Footings DWe inap. Date Insp. '
Foundotion Plum6ing J??-? . (o'-? c
Frome/ins. ' Mechanical
Finol --??n-??
_? -_
Remorks:
CITY OF EAGAN
? • 3795 Pilot Knob Road Eagan, MN 55122 N0. 4375
? PHONE: 434-8100
BUILDING PERMIT
5ite Address
Lot Block 2
Parcel #
W Nome
3 Addre
0
p Name L
?Q Address
i- rr„ ? aul
Name _
Address
Sec/Sub
;36*00, Receipt #
k lt I I
I hereby ocknowledge thot I have read this opplication and state that
the information is correct ond agree to comply with all applicob'e
State o4 Minnesota Stctutes ond City of Eogan Ordinances.
Erett Occupancy -
A(ter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode ? Depth ft.
Approvals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Counc+l
Bldg. Off. _
APC
Permit -' ?J?•3??
Surcharge
Plan check
5AC
Water Conn.
Water Meter
Total ''-t?.5)
Signpture of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Officiol - - ---- - ---- -
PemM # Data lamd PMUNtM
Plumbin9
Mechanical
INSPECTIONS DATE INSP. Rough-In Flnd
Footings Date Insp. Date Inap.
Foundation Plumbing Ze$
Frame/ins. Mechanical '
Final
?
Remarks:
• CITY OP EAGAN
3795 Pilot Knob Road
' Eagan, Minnesota 55122
Phone: 454-8100
PERMIT
Date:
eptember 23, 1977
Site Address:
1380 Cleome Iane
Lot " Black Sub/Sec. '•''?': I f
Name i ?<• ;, _ __
.
3 Address
O
?ity . Paiil _ Phone:
? Name A. Binder & Son Inc.
? Address 120 E. Butler
e
? City _::s` St. Paul. 553 ] ? Phone:
This Permit is issued on the express condition that oll work sholl be
Minnesota Stotutes ond City of Eagun Ordinonces.
No.
Receipt No.: 0751 `
Single I
Residential y
Multi Res., Comm./Ind. I
New/Alter. / Repoi r
Cost of Installation
Permit Fee ' ,-)• 00
I ?n
Surcharge • -'
Total -' r). ": I
done in accordonce with all applicable State of
Building Officiol
? : . _ • Y
_ a
PI,U MB I iJC
Date:
1. s',?
$ite Address:
Lot ? Block Sub/Sec
WR ZI
No
Receipt No.. 'Single I
Residentiol
Muiti Res., Comm./Ind. I
llsen r!uwes lnc. new
Nume - New/Alter. / Repoir
` 627 Sr.eilinq Ave. ;
? Address Cost of Instollation
-'t. Paul 20. nC)
City Phone: Permlt Fee
?'?'''•."" PZllIC?l_.Cj CO., T,Ci:il.u ?'I. . ?!1
` Nome Surchurge
? i..'.:- G
Address rand Avenue
?
e
0
v St. Pall 55105 ",.'•?City Phone: Totol
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable Stote of
Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3795 Pilot Knob Road
Eagon, Minnesota 55122
Pharo: 454-8100
July 27, 1977
PERMIT
Building Offlciol
CITY OF EAGAN Remarks
Addition Wilderness Run 2nd Addition Loc 19 Bik 2 Parcel 10 84351 190 02
Owner g?L Street 1 Ig0 Cl eome L•n _ StateFagan o MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1973 $175.00 $8.75 20 PAID
SEWER LATERAL .
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. ?
SAC pp S ` _
PARK
INSPECTION RECQRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ;t; , 1 L
I r,EkNr •;1. kiir+
? PERMIT SUBTYPE:
i ; I 1 t . .
I I : 7 1! I A 1 1I RN
r ,:.? ?, ? „, . APPLICANT:
TYPE OF WORK: `
I I I.A+
{ P-inR1(?., : rA -? i) 114 t E' 1 '.!F N i-. 1 oVf ( F i? F I':I ANII l Nfi )
ttUllk1 fN(i
A?N8Q)n
@}!?/2Q/4!
??
Permk No. PeRnR Holdar Date Telaphona !
ELECTRIC
PLUMBING
HVAC
Inspectlon Dsta Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEA7'ING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ?-?
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
OECK FINAL
m
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
reECeiveo
it. 1
1s
AMOUNT $ I
& DOLLARS
,oo
[-]CASH ? GHECK
FnN
FUND CODE AMOUNT
\ i)
?
?
??.
i.; ' . 't• ? !
BY
NUMERICAL FILE COPV
ITY OF EAdAN WATER SERVICE PERMIT
795 Pilot eCnob Road PERMIT NO.: -
agan, MN 55122 DATE:
oning: No, of Units:
. ' 4 .iI1C •
wner. ,, - - ---- -
?ddreu: - •
ite Address: . ? ,. C e?oi'k? ?_.•:7rh+? -- -
lumber: _ r ?" ja' F'CtOi' _
Connection Chorge:
leter No..
iZe: Account Deposit: _
eader No.: _ Permit Fee:
agree to eomply with the Cily of Eagan Surcharge:
irdinanees. Misc. Charges: -
Total:
Date Poid:
Y
)ate of I nsp.: I nsp.:
'
CITY OF EAGAN SEWER SERVICE PE RMIT
9796 Pilot Knob Road PERMIT NO.: ..
Eagan, MN 55122 DATE: _
Zoning: _ No. of Units:
7 rtr.
` -. ?
Owner: - -
?
-
.?
Address: -
Site Address: T_- P?
Plumber.
1 r30. QO j :i
i 1 agree !o wmply with the City of Eogan
, Connection Charge: .__ _-_ ''? Tx'•
.
i Ordinance:.
Account Deposit:
. + Permit Fee:
- ! Surcharge:
By
, Misc. Chorges:
? Dote of Insp.: Total:
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645"7703
REQUEST FOR ELECTRICAL IpN?PECTION
I, the Electrical Inspector, hereby
(Final) -
This request
S 32. 90.-rI29963
This request void 18 months from
* o G "-D
10315
,4, o4 ys?
P10315
I}ate of this Request 7-1I3-77
-
I, as ggXicensed Electrical Contractor O Owner, do here?j equest inspection of the above electri
cal wiring installed at: n,l-
Street Ad re r Route
?? / ? ?? Range County D?e t 4
Sect? /Township
Which is occupied by T 11 igri IOlS•
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes L3 Ready Now ? Will Call 12F
DaYota $tf. Address irartin?toii
Power Supplier
Contractor's License No. 3 z503
Electrical Contractor O.B. ThOUP SOn gle 8tri o
(Company Name)
Mailing Address 12291 Mt][a f1Td. tkA 4
n c n?.
{ tri I Contra or w er Making Thls I Phone nstallatlon) ?3
No? G J G
Authorized Signature
(Elxtrlcal Con actor or OwMr Maklny Thlt Installatlon)
STATE BOARD COPY
- - ? r v
Home ? Range ? ? Lighting Fixtuies ? +41
Duplex ??? Water Heater ? ? Elecuic Heating ?
Apt. Bldg. ??? Dryer Silo Unloader
Commercial Bldg. ??? Fumace ' gu? Milk Tank ?
lndustrial Bldg• ??? A'u Conditioner ? i' List
List Others?
. • , Herc
Farm ? ? ? Qtherst
ciTr oF EncaN ?
3795 Pibe Knob Road Eegan, MN 55122 N2 4375
PHONE: 454-8100
BUILDING PERMIT APPLICATION $36t000. Receipt # 6405 _
_ . ___, ._ ... ..? .. . _ .. . _ N_._ June 16. ,a 77
sre nddmss 1380 Cleome Erect 1?
Lot 19 Block Z Sec/Sub. WR II Alter ?
Parcel # _ Repair ?
Enlarge ?
? Narrie Roger R Volk Move ?
Zg Address Oemolish ?
b Gw Phone Grade . ..?
& Name auncu n..?.?,• -^-----
ZR
o? O! ne L1IIg
Address Assessment_
V?- Cit $t, pgul phone Water & Sew.
Police -
?w Name
Fi
? re
Address _ Eng.
Ci Phone Planner _
Council _
I hereby acknowledge thot I hove reod this applicotion ond state that gldg. Off. _
the information is correct and agree to comply with all applicable
Stote of Minnesota Stotutes ond Ciry of Eogon Ordirwnces. APC -
$ignature of Permittee
Tilsen H m s
Occuponcy 1 _
Zoning Rl
Fire Zone _
Type of Const. V.
# Stories
Front - 49 ft.
Depth 44 ft,
Feea
Permit 1UD.7t7
Surchurge 18.00
Plon check
snC 475.00
Water Conn. ??i.0
Water Meter 60.00
Toml 888.50
A Building Permit is issued to: 0 e on the express condition that
all work shall be done in accord ?ice wi all op l' le Stote of innesota Stotutes ond City of Eagan Ordinances.
Building Officiol , i -?- ? ?
op-?&mG1 Sn\e6 \)r\1tL W--'z WQ.L4,
EAGAN TOWNSHIP
BUILDING PERMIT N09 2922
Ownex ?'t-"'°'L'.._.....__...._...__........ ._......... . Eagan Township
............... .....?..,./?.?...
Address (present) . ......_
? .Town Hall
Builder ..... ................... _........ ........................ _............__._...._....
_. ... -
Address Dale 9.....7.Z.`.
.......................... ............_....._._..._.... _
..._.......... _ z
7 ?--=
7L
I II ti7 9o a`? 7i..
qS' c /?.
LOCATION
Sireei, Aoaa or otner uesonpxion ot Location I Lo! Block Addition or Traef
/ 367 r-/ 3'77 --
i 3 C?' P/ 39 i ? r,-+.?.-- t?. /? ? ? a- 2???.r?,.-c-ti? IZ<.cyJ 2
This permit doea nof aufhorize the use of sireeis, roeds, alleya or sidewalke nor does it give the owner or his agent
the riqht io creefe any siluation which is a nuisance or which presenls a hazard !o the healih, sefely, eonvenienee end
ganeral weltare !o anyone ia the aommunity.
TAIS PERMIT MU5T BE, EI? P„T ON THE PA£MISE WHILE THE WORK IS IN PROGAESS.
This is !o cerfify, lhet_-...?-!...•'-_---------------- has permission !o erect a---.-_.?..... :
). ........... . .. .......... upon
!ha above described premise subjee! !o the provisions of the Building Ordinance for Eagan Ttfwnship a opled April 11.
1955.
..1•k-?-?.-?-?- }? - li??°-e?•-=ti.. I,SZ"'e`- ??',?'---- P
.................... ._*....-..................._ _.......
C ' ': T_. _ ^_..'rd/.?.... Per ...... ...... ..... ..._..................... ..
----.... -..-............... .................._....
Bui _ in ns eetor $
Homes, In
I SNELLING AVENUE
, MINNESQTA 55116
SubjBCt Date 7
Message _ Q/Yl )
N' , ,
J 1.3 Ya cr?2?
J ?
PLEASE REPLY 0?({- Sianed
Reply
t
Signed Date
Form No. QL3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PhRT 3 WILL BE RETURNED WITH REPLY
97
ooL 4A4° ?
Feque t Date
q? Fire No. Ro4h-In Inspi Req '!f
(YOU must oall inspaclw ieady) Ins ectio ther Than Rough-In
atly N. ? Will Noiify Inspector
,.? Y ? Vas No Da[e Reatly
I li setl coniractor ? owner hereby request inspection of a6ove electrical work at
Job Address (SVaet Box or Route Na_) City
V ' '_n-vVZ--, h • (?Z1J
wnsMp Name or N. Flange No. Counry
-
4 Phone No.
Sqp,],.r Atltl/E55
Badri Contr'a ?r (C any N flme)
?? .? .. Conlraclor's- Gcense No-
Ma ling Addre??5(GOnlrac Owner Making Instell ?
& tor 0
?
?
?7
Hu[hotlzetl S1gnaWre (ConVxclor/Ownar Making Ins[allation) ` Phnne Number
MINNESOTA STSTE 60ARl OF ELECTRIqTV THIS INSPECTIOWUEST WILL NOT
Griggs-Mitlway BIOg. - Poom 5420 9E ACCEPTED 9 THE STATE BOAPD
1821 Oniversity Ave., SL Peul, MN 55104 pNLE55 PROP[R INSPECTION FQE IS
PM1One(fi12) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r??A EB?? i?
0011182 ? See Insmrotions !or complaFng IDls fonn on M1ack ol yalluw copy.
"X" Below Work Covered by This Request
8uilding Appliances Wired
pliances Equipment Wired
i
S
Range erv
ce
Temporary
Water Heater Electric Heating
7 F
g %
?ryer Load Management
ushial Furnace Other (Specffy)
Air Conditioner
Conlrncmrs fiemarks_
/
Compute Inspection Fee Below:
# Other Service Entrance Size Fee # CircuitslFeeders ?ee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers
Signs Above 200-Amps
??ors uG? o?iy
n,p. ove 100 -Amps
TOTAL?
?
J
Irrigation Booms
?
?'
q
Special In
spectioAlarm/Communi .
IS INSTALLATION MAY BE
DISCONNECTED IF NOT
Other Fee OMPLETED WITHIN 18 MONTHS .
I, the Electrical In gRln Dale
certify that the a6ov ai Date ??' _?
heen made.
OFFICE OSE ONLV ,
This re4uest voitl 18 monlhs Irom
S 6000--320835 -- --
This requp.st void 18 months from ?' Ola 9`??
0 80899
Date of this Request 7-13-77
I, asA3 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring iistalled at:
Street Adc1,rs?r Royje?No. 1 ?.n ? City F:? ?j? n
o7 ??"
Section Township Range County Dakgta
Which is occupied by mlo 401- " (Name of Oc<upant)
Is a roughin inspection required on this job? No ? Yes)Q Ready Now ? Will Call)R
Power Supplier nncrc+, r?=s +; Alddress Fz
ElectricalContractor O.B. Thoripson Llectrie Co, Contractor'sLicenseNo.325?3
. (COmpanyName)
MailingAddzess i2201 Pdtks, Blvd., Mt'.?.a 5534x
Authorized Signature
or Owner Making This
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUESTFOR ELECTRICALINSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
Phone No. 933•2521
? 80899
Type of Building New Add. Rep. Check ApplisncesWired Fm Check Equipment Wued Foi
Home ? ? ? Range ? Temporaiy Witing 30.Rpg
Duplex ? ? ? µ'ater Heater ? Lighting Fixtuxes
Apt. Bldg. ? ? ? btyer ? Electxic Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadei ?
Indus[xia: Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
F'
m ? ? ? )
Lis[ List )
ax
Other
?
?
? }
p
Herets) }
HeheI31
Entiance
FEE BELOW
0 to 100 Am s. 0 to 30 Am e es 0 to 30 Am eies
101 to 200 Amps. 31 ta 100 .`? 31 to 100 Ampexes
Above 200_Amps. Above 100 '??? ps. l Above 100 Amps.
TransFoimers RemoteContr - ixc. Partial or other fee
Signs Special Inspection Minimum Eee $5.00
Remaxks Ha.:.l TOTAL FEE 6_.60
I, the Electrical Inspector, hereby cerfify that the above i pection has been made.
(Rough•in) ? r ate
(Final) ? ate 7
This request void 18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
E3UILDING
030006
05(20j97
SITE ADDRESS:
1380 1 cLEomE LRNE
LOT: 19 P,LOCK; 2
WILDERPJESS RUM1! 2ND
P.I,N,: 10-84351-190-02
DESCRIPTIOIV:
ermit 7ype FIZEPLACE
i°&k Type fJEW
434 FlLT. RESIDENTIAL
_ ?•.`
rg
?z
?
?
,? r?? ?
?
j?
?v?
aS '?c *z
?
'+
e3.. ;€9.si ?St?mr ?: r ?
?
s?
'2;? t5:d
g4"i?
m€ 's
?
REMARKS:
GA5 I]TRECT V'cPJT STOVE (Ft?EESTRNpIRlG)
FEE SUMMARY:
[ase Fee $50.00
Surcharga -.5 0
Total Fae $5O.50
CONTRACTOR: - Rppiicant -
FTRE5IDE CORNER INC 16331042
2!700 IV FAIRVScW AVE
RO^aEVILLE MN 55113
?612) 633-1042
? µ
?+n{? fo rYytt:aF, ?3.?rra' is
^ 4?.{CivS +6N?.eRd::. c
JixY?.
?
APPLICANT/PERMITEE SIGNATURE
OWNER:
5CHULTZ TIM
1350 CLEOh1E LN .
EAGAN MN 55128
(612)688-6882
?
9
4 Jt ?
& RDl' 1 "?rr?---
ISSUED Y: NAT RE
CI1'Y OF Ee1GAN
coolL 3830 PILOT KNOB RD - 55122
1997 FIItEPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPTTON OF WORK: _ CONSTRUCT NEW FIREPLACE
_ INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
? oTTiEx: <!:i5As Di2 ".§
STREET ADDRESS: 13 $ 0 ? l--4?- O ? 9- L W?
LOT -4- BLOCK SCIBD./P.I.D. #: A ?
APPLICANT: (circle one only) OWNEA
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
48 8-
PROPERTY Name: Phone #:
OWNER
Signahue:
Street Address: C\- qE?° LIJ ?
ciry: GA 4 AaJ stare: z;p: u?y 123
FIREPLACE Company:kus, one4 :?90-0158?33-Z
TALLER
PERMIT FEE: $50.50
ALTERATIONS TO EXISTING
%
Street AddresO86b -uj ? 144? 13
City?.?') State: ?
GAS LINE
INSTALLER
Compr._...
Name;
Signature:
Street Add
City: -
State:
License #: z-°0p0
Zip:
nt,._.. u.
Zip:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
_U ADD-ON FURNACE
FIREPLACE INSERT
DATE 11- 13-W
FEES
HVAC: 0-100 M BTU / So 6T?iL-
ADDITIONAL 50 M BTU
$ 24.00
6.00
GA3 OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (Exis'rirtG CoxsTRUCTION)
$ 20.00
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: " l r nn 1/` /?l (??` ?
INST.
TELEPHONE #:
_ STATE: ? ZIP CODE: 5WaL?
TELEPHONE ?(lI(o - ?lP?/
.50
A.. s-O
1994 MECHANICAL PERMIT (RESIDEIVT7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
, .. 2000 BUILDING PERMIT APPLICATION (REStDENT1AL)
CITY OF EACAN
3830 PILOT KNOB RO - 55122 a? Q,?-?
?`4 ?J?JQU 651-681-4875 a;7- ,?
,j, rJ'oc RemoSlei/Reoalr ReaUlremeots
NeW ConshueHon Reaulremenh r
> 3 regiatered stte wneys ahowiny aq. fl of lof, eq. 8. of house
and go rooled areas (?DX maxlmum bt covamae alloweN
a 2 caplea ol plans (stww beam & windDw aizeK paretl Ind. design: efcJ
> 1 aef ot energy cakulanona
> 3 coples d hee preservatlon plan H IW plaHed aRer 7/1 /93
DATE: S/- 0 `l- dc)
2 coPies al plan
t set o1 anergy calculaHona for heated addlfian
1 site wrvey ror extedor additlons 8 decb
CONSTRUCTION COST:
-40 3aoo.Ga
DESCRIPTION OF WORK: Pe c-?
s1xEET nouREss: I 3 k'v C 1?o ? e ?-
LOT: --a BLOCK: SUBD./P.I.D. #: ? ^ 1 In A A.D
Name: SC-hu.1f7- ; l m Phone#:
PROPERi7 Lost Fi'st
OWNER ?38G cl?a?c ?Cc rl ?,
Street Address:
aty ? 4 9CZ A!. state: Zip; SS / 2 3
company: ? Phone li: ? 5? ° W4 -O' 7 -
(area code)
COMRACTOR
Sheef Address: License ? ExP•
Ci1y
State:
Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone C ( )
Slreet Address: Regkhafion #:
CRY
Sicte:
Sewer(water licensed plumber (N installina sewerMraterl: Phone #:
I herehY ccknowledqe Mal I have read thta applicafion, slate lhaf the bfortnalbn b?rt , a
of Minneaota Statutea and Cify of Eagan Ordinancea.
Signalure of AppGcanY. ?
OFFtCE USE ONLY
uR.
b comply with an applicablA StatE
Certificates of Survey Received _ Yes ? No '
Tree Preservation Pian Received _
Yes
_ i_pIR 2 4
No Not Required ??
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex )R?'?8 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _YOr _N ? 25 Miscelianeous
? 06 04-plex ? 12 12-plex O 20 Pool 0 30 Accessory Bkig.
woRK nrPe
,.Ir 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
SAC Code ol # of 5tories sq. ft.
No, of Units o Length sq. ft.
No, of Buildings ? Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS /l
Planning Building l"? G Engineering Variance
? 31 Ext Att - Multi
? 33 Ext. Ak - SF
0 36 MuRi
i/3y
Permit Fee -0 60 S 0
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: -4 60,S0
Valuation: $ ? , ao U
SAC Units
% SAC
4\ ? ?
I w? ( ?
?I
-A??
LlNt?
0
?
?
z
. , ,
?
ry
?
I `
,?eaR- A¢oOeATY LwE
? ?
y ? I
?.
L'
??G?
La7 I? BLOGk ?
i
E=i
ci
t
/V
?
rk2or.iT._?RoPFrt.T_Y _ LI_NE
V?- LUT -PL AN
.
Date : 6? -13 - 7 ) _
BUILDZi?G PERMIT APPLICATIOYd
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...^CE; & uPCTIOPI 1NI4IIER IF UiIPLAR°PED
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TEI,EPHONE T70.
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tdate? Include site plan, building plans, and energy calculations %74th thi.::
application
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OFPICE USE
»,UATIoN
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IIIY.T.DTP?G PPRGIZT FEE
;'TRCHIRGE FEE
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PAEtIC DEUZCAT201•l FEE
OTEER
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. '-i?S£iMNT CLERK ,BUILDING DEP . PQLICE DEPT.
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Site Addresa
Costractor :?,L4?'EN {-Il1MF ?-, rn1Ce Dece 2,_ 1-i -^7'l Phone
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ptI1QII6 MALL CONSTRl1CTION: "U" value X area "
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If weraga 'v" valuss a• caleulated abote do not met ths Energy Coda requireosnts,
ths "Altaenata Enrelope Design^ as wtlined ia SHC 6006 (g) my be ussd. Additioeal
sheecs mr be usW [o shor calcutatians.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116595
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1380 Cleome Lane
Lot:019 Block: 002 Addition: Wilderness Run 2nd
PID:10-84351-02-190
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 .
Jayme Meyers
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 -
Timothy W Schultz
1380 Cleome Lane
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
I I
C` j Permit#: /����� j
��� V��'"��11 � Permit Fee: �L°'�` �� �
3830 Pilot Knob Road � I
Eagan MN 55122 j Date Receivedc j
Phone:(651)675-5�75 I I
Fax:(651)675-5694 I Staff: I
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2015 RESIDENTIAL BUILDING PERN�IT APPLICATION
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Date: � ( Site Address: � � 1 ► I� l�li��V l� _ Unit#:
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Name: Phone:
� � Residentl����.���� (�1 1� 1 /� (/1/1 �1� I /J ('1
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Owner Address I Ciry/Zip:� �`�(0(l G'1 c.�� Y Y E V l � �v v�.)
Applicant is: Owner �Contractor
� � � � � � � �� Description of work: � � � � � �� �� ���� `1 li , � ���/ �
TYpe of Work � � ;,� � ` '� '!� �i�l�� � �����
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Construction Cost: � Multi-Family Building:(Yes /No )
` Company: .Contact: �.����
` Address: V t V l��• ! . 1" Y 10,
Contractor _city: ��, � �
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- - - _ - - — _ _ __
State:�Zip:v�� Phone:�c����.�—�P� .
License#:s/1`���f�� Lead Certificate#c �����J�/���
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
V�
� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
; In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
� NOTE:Plans antl�support�ng'tlocuments that you subrrrit are,cons�tlere�tl fo be public�nformat�on Port�ons of< �
the information may be class�fieal as non=public if you prov�de specific reasons that would perm�t the,�C�fy to;"..,
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: ��s
' conclude fhaf,tHey;are traale,secrets ;;. ; „, x,� ,
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CALL BEFORE YOU DIG. Ca�l Gopher State One Cali at(651)454-0002 for protection against underground utiliry damage. Calf 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl�ans.
.____ e ior - u ri i _ _ _ _ _ --
days of permit issuance.
x ��/�/1/Y!t/!/1' i ('�� x
ApplicanYs Printed Name App'c ' n ure i
� Page 1 of 3