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2067 Coral LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2067 Coral Lane Lot: 20 Block: 4 Addition: Cedar Grove 2nd PID:10- 16701 - 200 -04 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Dolores M Timlin Tste 2067 Coral Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA080653 10/23/2007 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State CITY OF EAGAN Addition Cedas Owner 4 ?? ? Remarks Cedar Grove Az=1S1't10I1 Lot 20 Blk 4 Parcel 10 16701 200 04 st?eet 2067 Cora1 Lane state Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL / 1972 130. QQ 52.16 25 WATERMAIN * WATER LATERAL 97 WATER AREA STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ? 8UILDING PER. SAC PARK I Site Lot. ??{ # ?y1c6 3 q PERMIT # MECHANICAL PERMIT -7-.qS? g CITY OF EAGAN RECEIPT ? J f S 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: n/? PRICE- h{1_[]!7 Punug• eaa_Alnn BLDG.TYPE Res. Xx ? Name a? m Address c Ciry _ ? Name _ c Address p CitY - TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. 920- 0 I Other Phone _ WORK DESCRIPTfON New Add-on Rep r Itep?ace $2,000 M BTU M BTU M BTU 24,000 M BTU A(ln ,._ Other ? f wJ'? • ? s;.a.-nt FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM 50 EA 1 PER PEkiMl - 1 ' ( - n . . COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS, - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS - 12.00 - MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARCaE PER PERMIT - .50 (ADD $ 50 S/C IF PERMIT PRIGE GOES . . BEYONO $1,000) u? FEE 49rSQ'? _ ,- SIC: ? DL/ ?'?? $) 7E : TOTAL• ?`?-? FOR: CITY OF EAGAN EAGAN TOWNSHIP BUILDING PERMIT Ownes ---- - -- ..-• - -- ---- •-•-..?•.._.? . .... ... . ................ Address (Preseni) ....•---4!:'T...... .-°°-•-•--•••-•----.-•• Builder ....••-. ..•-•••-?--?--••------•-?-....................................................... 'Address ---•--•••--•---••-...-••-------------•-------------------•.._.................-••-•-•----•-... N° 829 Eagan Township Town Hall Date ?..'.-.--•-------•----- Siories 'I`o Be Used For Front ;24 Depth ? ? Height Esi. Cost ? 7 s` ermit Fee S" _= Remarks ? ? •? Z?? 1 . -- - . ? .. .- ? - ,a? 3 This permit does no# authoriae the use af streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any sifuation which is a auisance or which presents a haxard fo fhe heal3h, safeip, convenience aad ganeral welfare to suiyone in tlse commuaity. THIS PERMIT MUST BE PT ON THE PR I3E WHILE THE WORK IS IN PROGRESS. This is to certify, ihat---- ----------------------------:--•-••-•-•-••has permission io erect a...••••-•-•------ -•---._.....•- •....._..._.._.....•-•-••••upon !he above described premise subject to the grovisions of the Building Ordinance far Eag Tawnsy? p adopted Agril 11. 1955. /'1 . /J , !ti.......... Per .............. .....•-•••---!-'?.?'?--?'t'•-•-/?_?? .-••-?%C?,_1 .d Building Inspec!'or ??_ . • EAGAN TCIWNSHIP LDI N G PERM IT Address (present) Builder Address N° 694 Eagan Township Towa Hall DaM"r'_ --?•---- •-?'. ---._.. DESCRIPTION Stories To Be Used For Front Depih Heigh! Est. Co$t Permit Fee Remarks This permit aoes not auihorize the use of siseets, roads, alleps or sidewalks nor does it give 3he owner or his agent 3he right to create any situation which is a nuisance or which presenis a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST S, K PT , N T PR IS HILE THE WOAK IS IN PROG SS. This is to certify. tha#?r : _??c`__.has permission to erect a._:. ' " pon ----•-•--x --==?1- - ? --- ---------•--• ..................u !he above described premise subject to the provisions of the Suildinj? in ce for hip adopied Apri1 11, 1955. ? J?' : • .1/1. , / ....................... •------------------------- -------------------------- ---•------------ Chairman of Town Board SEDGWICK HEATING & AIR CONQITIONING CO. HEATING JQBNQ 0 ? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS ?,? ? dCCUPANT 50LD BY ? MAKE ? L'I hD SL SERIALNO. s ? :zn/-/ T -7 THER VALVI LIMIT LIMIT F,4N ; CITY `-' ?"Ic OWNER INSTALLED BY MODEL INPUT -7` oOo ? .c VENT SIZE TYPE OF LINER L.INER SIZE FILTERS: SIZE ?OXo?? NUMBER WIRING PILOT TYPE n a`z TEST TAG IQNITION MOOEL LIGHTINO INST. PILOT TIMING C&yk -7 PRESSURE 71 p PERCENT CO 2 ? DATE TESTED tx/1 wr? COMPANY TESTING INPUT CFH ? PERCENT 02 ?? STACK TEMP PERCENT CO ? NAME OF TESTER . FOHM 235 (REV. 11/89) FORM OISTRIBLITI . YVHITE COPY - J09 FILE YELL01N COPY - CITY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? ? r 1?;11 <<;? ti'v! rff? PERMIT SUBTYPE: I 1' ,+'?!M S Nii .?.?..?. 1 FiNAk at ril rtAt it+N i'Ai ifi 0110RJW7M[IO6J oN 1j'CORD PERMIT TYPE: Permit Number: Date Issued: trI Ii 1 11 A wl: A:'1a4) y'3 86/04/9J •",' .- 4, ?" "A APPLICANT: ?'H F?I(ItK: , TYPE OF WORK: ( I j- 1 i,1ri Permk No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inapeetlon Date Insp. Comments FOOTINGS FOUND FRAMING G// ROOFING ROUGH PLUMBING PLBG AtR TEST ROUGH HEATING GAS SVC TEST INSUL (,`1>47 . GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG F1NAL HTG ORSAT TEST BLDG FINAL 3 ? 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: lif, nt I ANr ? ; I?r1?: ?I?i?t :?NC? PERMIT SUBTYPE: I I , r x Ni,,. [ON RECORD PERMIT TYPE: Permit Number; Date Issued: 2 0. t+E?4) i' M.APPLICANT: TYPE OF WORK: I iNAi , i Is t Nif ct r? ?+ s? ? : 4fFilif? /97 Permit No. Permk Holder Date Telephone i ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFIN(3 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 Z 3/ e DECK RNAL 3 INSPECTION RECORD ITY OF EAGAN PERMIT TYPE: i"' 3830 Pilot Krrob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: .,' I I j? f'3 I AW.. 11 1 1 ... '.. . f i I s r i f Wsi+ I,i"f)'Nk #._ if-, 1 F' i_:?) 1 t, F. i ri PERMIT SUBTYPE: TYPE OF WORK: RF'I 4100 t_' - - - - - - - - - - - - - [?F';. ? f?ll'Ir0 IN ';ti tf?Fl FA`;i fA.6 islrcA. Permit Holder Date Telephone # PLUMBING H VAC 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 T',? ?9 ?,?C • `? ! DOMESTiC METER IRRIGATION METER FLUSH MAINS CONDUCTIVIIY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL L REQIJEST FOR ELECTRICAL INSPECTION es-ooooi-os .? See insGUC[ions for comoletiti9 this brm on beck of yellow coOV. 2 LS 41839 "X'" Below Work Covered by 7his Request SY15 y? ?-17S-ft New Hdd Hep. TYOe of 9uilcfing Apaliancna Wved Enu?u?+en? Wved Home Ranye Temporary Service Duplex Water HeTter Liyhtinq Fiztures Apt ewlding Dryei Bectri? Heatm Gommercial Bldg. umace Silo Unloader Industrial Bidg Air Conditioner Bulk Milk Tank Farm ojher Speci y O?he? (Sneciryl t er Sueufy Other O?6cr LOOJD//(P l!lROPfI1RR fPP HPl/]W p Fea ServweENre nceS¢e H Pee Feeders?SuGfeeders g Fe¢ Cvcwts U to 200 Am s 0 to 30 Am ?s Q to 30 Am os A6ove 200 qmpy 31 tn 1?0 Amps 31 to 100 Am s Swimmmg Pool Above 100_Amps Above 100_amps Transiormers Irrigavon Boon?s PartiaL" r Fee Signs Specia?lnspection 5 ? ;S T AI F Remarks ?? E? / FouBh-in ?,te I, t nWl InsOectoq heraby certdV Ihet the abova Final r U^te c inspecLOn has baen mede. Thie repuestvoiE 18 mon[Mfrom 18 r.wqniqhs Irom ? E 4 I B? q ?i7 Re puest Date 7I? ?,re No. Fouph-m Insue.cLOn RepwreAI ,?,{ eatly Now ? W?II NoUty InsDec- l Wh z oYes pgrvo or en Ready [JLicensed Electncal Contnctor I hereby requast inspection ol above ? Owner elactncal work installed at. Street Address, Box or Route No.y n Cit (TV? O? ecbon o. Townshio Name or No. RanAe No. County 1 D upant (PRINT) c Phune No. rkLson/ , , ower Supplie, Address Electncal ConVac[or ICompany N. e) ?-??L?Vw.L? C vmr"s Licenyse Nn. O ?` Mailing dress (Contractor or Own¢r Making InstailaUOnl V/ ' ?? [ O 1 Author?ze Signatur I n ctod wner aking Installavon) Phone Numher ? ? / G oW "' 6 W THIS INSPECTION REQVESTMIILL NOT MI OTA STATE BOAPD OF HICITY ON BOAHD - gs-Midwey Bldg. - floom 1 U 9E N ALFCSSCEPTED PHOPEH BY INS THE PECTI STATE 821 Universitv Ave.. St. Paul. MN 55104 fEE IS PPhone 1672) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ii Sae mstmc[ians ior campleting tM1is (orm on baak IN yellow copy n n R? qq4 "X" Below Work Covered bv 7his Reauest EB-00001-09 New Add Rep Type ot Bmlding ? Apqhaqces Wired Equipment Wved X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Farm Air Conditioner Other fspenfy) Coniractors Remarks Compute lnspecbon Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps W/ J. 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps SIgnS Inspector s use Only O TOTAL lrngation Booms Special Inspection - Alarm(Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electncal Inspector, hereby certif that the above n ti h ROp,n,m oate y i spec on as bean made. F' I 0'.k oata? oFFice use orvLv This request voitl 18 months fmm 0 97 82 839 Phone(612) 'f'y1o50 THIS INSPWTION PEQUEST WILL NOT BE ACCEPTED BY THE STPTE BOARD UNLESS PROPER MSPECTIDN FEE IS ENCLOSED PERMIT , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMITTYPE: BuzLozNs Permit Number: 0 3 3 Q 8 4 Date Issued: 0 9/ 2 S/ 9 8 SITE ADDRESS: 2067 CORAL LANE L07: 20 BLOCK: 4 CEDAR GROVE #2 P.T.N.: 10-16701-200-04 DESCRIPTION: GUTTER SF (MTSC.) REPAIR ALT. RESIDENTIAL ? `•s + ? ,_'; .??F .....th•p^?i e? ._ sor-Fe-r FASCIA Bt?illd$ng-Permit Type B6tlding Wmrk Type Census Code" a 434 F ry? REMARKS: FEE SUMMARY: VALUATION $20,000 Base Fee $287.25 Surcharge - _ $10--00 Total Fee $297.25 PfMTRA?CTOR: - +?PPi.icant - sr. Lzc. OWNER: SO A EXTERIORS INC 13915514 0002877 TIMLIN DELORES 8000 JEFFERSON HWY 2067 CORAL LANE OSSEO MN 55369 EAGAN MN 55122 (612) 391-5514 (651)454-4065 4 I hereby acknowledge that Z have reed this irtformetian is correct arrd agree to aomply StdCUtes and City of Eagan prdinances. L APPLICANT/PERMITEE SIGNATURE dpplicatton and sCate that the with a11 applicable state afi Mn, 'SUED BY SIGNAT R? I 1998 BUILDING 33 `-E Q6-{ New Construe[ion Reaui2menta PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 RemodeUReoairReauirements Q 'ars -'??O ! ? 3 registered site surveys ? 2 copies W plan ? 2 wpies of plans (inGuCe beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior atlditions 8 dedcs) '? 1 energy plalations ? 1 energy celculations Tor heated addHions • 3 copies of tree preservation plan if IW plaCed aRer 7/1/93 required: _Yes No DATE: CONSTRUCTION COST; 12? DESCRIPTION OF WORK: STREET ADDRESS: `O ?\ LOT: ?U BLOCK: LI" SUBD./P.I.D. VU Name: Phone#: PROPERTY 1.ast First OWNER Street Address: Ciry State: ? Zip: ? v `a °L Company: Phone #: CONTRACTOR Street Address: /fr License # I!Wcl? 7 City State: ? Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water licensed plumber (new construction onry): and lot change is requested once permit is issued. Penatty applies when address chang I hereby acknowledge that I have read this appiication and state that the infortnation is orrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Pian Received Yes No Not ` • 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 0 cs C) - so ?Q? ?J?Q? CITY OF EAGAN J? U 3830 PILOT KNOB RD - 55122 681-4675 New Construction Reauirements RemodeUReoair ReauirameMS ? ? 3 registerod sfta surveys • 2 copies of plen ??i P• ? 2 coDies of plans (fndude beam 8 wirMow saes; poured fid. tlesign; etc.) ? 2 ske aurveys (exterior addidona 8 dedcs) ? t energy celculadons • 1 energy celwlatlons for heated addkions ? ? 3 wpies of Vee preaervation plan R lot platted efter 7/7/93 ') P? mqufred: _Yes _, No DATE: ? DESCRIPTION OF WORK: Name: m Phone#: zLt?- ¢ne)6, STRE TADDRESS: .?LS Co7 C'o/ri4-I - LA), LOT ? a BLOCK ? SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ? ' ?ISTRUCTION COST: COrr ? Street Address: -2 (n L 7 C o.Pd-l- LA-,?. City: Eif rAirJ State: ? Zip: 55 /.2 -;Z- ^ Company: S11?4.cJT? C'a ov T Phone #: 16 9- -2 9-1 / Street Address: 99go /lwr,v? ewft eY', License #: 684P 6- ciry: -TQzo+z LK. State: ,O)Y/L/ Zip: ?5'537? ARCHITECT/ Company: Phone #: ENGINEER EC jvED Name: Registration #: C7aY li.? 1A.97 StreetAddress: City: State: Zip: Sewer 8 watdr licensed plumber (new construction ony): . Penaity applies when address change and lot change are requested once permR is issued. 1 hereby acknowledge that I have read this appliption and stete that the infortnation is correct 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 --? .CITV OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 20Gi L 0'C : CEUA12 P.I.N.: ikl-16701-200-04 PERMIT PERMITTYPE: auzLolNG Permit Number: 0 2 9 9 8 2 Date Issued: 0 G/ W 4/ 9 7 CQftFlL Ll1NE 20 8LOCK: 4 GIapVE 2ND DESCRIPTION: 6,G3,lding??.,Permit, 7ypE $'uilding W6,1 I< 1"YPe ;1'$"6t'dSUS¢` f,.'b4.?'8'.??' i t? l i, ? ? 3. ? .......,.?b:x'.._i' k'.•.: DECK P!EW 434 ALT. ftESSOEMTTAL ??5._ I?li ..1?` ,J,t?.=-? `?.?7%r=1.:IJi`"??? i',?_.?'•, ._ 1'.-.. .., , v»,- -• .. ._ REMARPCS: FEE SUMMARY: Base Fee t.5O.010 Surchai-ge ?•_50 Total Fee 360.60 CONTRACTOR: - ApPlscane - s1e trc. OWNER: SFIANTZ CUNST 14E92921 0005836 TTMLIiV DOLORSS 9940 ROLLT NG OAKS CT 2057 CORAL LANE PkIOR LAKE PAN 553I2 EACIAN hIN (612) 469-2921 (612)454-4005 k I herety aoknowl-edge thatZ have i-ead thisapplicgtibn And, stata tltat the infnrmataori is c•crrrect arrr?`.?gr?? tei cam¢`ly=OStN a.?.l °,applic?ab2t? s7trate of Pifi_ SCatuCes and Gity af Eagan Or-dinanFcas. ? , . __ a - - ? ISSU Y 5 G TUREJ . l?IT CITY OF EAGAN PER 3830 Pilot Knob Road PERMIT TYPE: a u zLo i NG Eagan, Minnesota 55122-1897 Permit Number. 029983 (612) 681-4675 Date Issued: 0 6/ 0 A/ 9 7 SITE ADDRESS: 2067 CGRAl LaNE LOl': 20 FSLOCK: A fEDAId GROVE ?_NU i'.T.N.: :I0-16701-200-04 DESCRIPTION: NA7I0 DOOR/WINDOW ermi9: Type uF (h1ISC.) ?rk Ty??e AkTEftAT'ION 434 P,LT. REStUENTFAL °E ^.? ^°?•-.`r? `, .i..e ?w ?g e5w q-ySi3 ? sam ?s# -',z ?.? ?"?ic. ^ t 8Y x?'c a ??( n TM ? ? ? ? "e;v ?ao €a aP REMARKS: FEE SUMMARY: easa tei? GurcYieei rge Totai Fer VaLUar7ON 11szez5 ---??.3?G7 B $715 3s,¢.?a CONTRACTOR: - Applacanc -- 5`r. L li;. OWNER: SHAPITZ CONST , 14592921 00@B535 77.MLTIN UOLQR:CS 95qm ROLI.;LPJG QAKS C'P 3?'ZiC7 COh?AL LANE PFtTOR LAKE thM 55372 Ec,i;FlN h1N (612) 45:1-2921 (612)454-?00'i I I h?rej?ay '?c€?r?dwi?t?a? ?'?L?'?1?1„?,6a`?l'? ??t?„???'f' n?.i ?".- _ W . .. §" . _ a.... ptataj ??at;".t,he.*=_ ? t?r 'ca;ri?p??" ;tii.??.}? .??•1 ?`?RR?Ia?ab?e „?'?a?? ?,fi Mtt,.` ISSCIED BY: SIGNAT 1997 BUILDING PERMIT APPLICATION (RESIDENTIA CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?/ I S• a?? ? 681-4676 I / NewConstruetfonReoulremerMe RemodellReoafrReeubmerMS ? 3 rcpistered sae surveya ? 2 oopiss ot plen ??S P • 2 eoples of pWns (Mdutle beam 8 winMow aizea; ppund fnd. design; Ma) ? 2 atte eurveys (exbrior adawoM 8 dedce) ? 1 energy eafwlatlona ? • 1 ensrgy r?kuktlons }ar heatetl adCwons ? 3 mpks of Vee preaervadon plan H bt plat[ed atter 711/93 1LQ? rsquhed: _ Yas _ No ?? • ? oAre: csrRUCnoN cosr: DESCRIPTION OF WORK - - L L- - e STRE ADDRESS: c' ) ?07 C'cs/li2t L/U ?' •' ' :" ,:a. :?...... : , . . LOT 90 BLOCK "SUBD./P.I.D.#. Name:? Phone OWNER Street Address: ? a? 7 C -? Z?. ..`u.. , City: State: ? Zip:--'55 /.2 -7, ^ ?: •;;:? ???;•r.; ,:,?;,?, _. corrrR?4C7oR Company: _C94.rJ77 C'e Av."i. Phone #: 4t"c) 9- ? 4 a / ??- ;.,.?r?•???-•;x. :.?.?-?h%:.; Y?i?SP%?T(445a4: ?4•S' ' . ?1.' •. ' .. ARCHITECT/ ENGINEER r?.. . RT14-AC flT/ Y??? 3199 9 ?????ra.?4?? t . . ••? . • ??LlG ? F? Street Address: 99Sta-'>Pi?zu? ?s c?? License #: ' city: e CK. ` State: ri/it?' _Zip: ,5'S37& ?WFq`.e.A... . . ....... ... .. .... ..., ... _ .• ......._ . . . Company: Phone Name: Registration #: City: State: Zip: ;•." Street Address: ? - _:?? . • _ : . . . Sewer & licensed plumber (new construction onty): . Penally applies when address change and lot change are requested once pertnR is issued. I herehy acknowledge that I have read th(s applicaGon and state that fhe infomwtion is cortect and agree to compty with all appiicable State of Minnesota StaWtes and Ciry of Eagan Ordinances. Signature of Applicant y- OFFICE USE ONLY Certiflcates of Survey Recelved _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFriC'c" USE ONLY BUILDING PERMIT TYPE ? 01 Foundation a 06 Duplex ? 11 ? 02 SF Dwelling o 07 4plex o 12 ? 03 SF Addition o 08 8-plex n 13 ? 04 SF Porch o 09 12-plex ? 14 ? 05 SF Misc. a. 10 = plex o 15 WORK TYPE 0 31 New R, 33 Akera6ons 0 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actuai) (Aliowable). UBC Occupancy Zoning # of Stories Length Depth 0 36 Move 0 37 Demolidon Basemerrt sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq. ft. Footprint sq, ft. `;?.,_., ..... APPROVALS ? . ' . ..,_5'..?.^_ Planning Building f. :. Engineering 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous y((?c,, : S°x 6 g- PAr?o ?xerz ?QCPtRCZ? ?f?trr.ry lc/pu. ?I ?Gt? g• aay l=!ew• . ?law? g°X/o° bGc4c MC/WS System. 5 City Water • Fire Sprinklered PRV Booster Pump Census Code. ?T: SAC Code -f Census Bidg Census Unit b' VarianrE - Pertnit Fee Suroharge Plan Review License MCNVS SAC City SAC Water Conn. " Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. ` __.._. . Road Unit Partc Ded. , Trails Ded. Other Copies a Total: Valuation: _ S dCb ? ---- ?F Fe ;e d.'Ct y: .;•.?-.5. h. ? -? Apt./Lodging ? Multi RepaidRem. o Garage/Accessory ? Fireplace a Deck % SAC SAC Units PERMIT City of Eagan Permit Type:Building Permit Number:EA116042 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 2067 Coral Lane Lot:20 Block: 4 Addition: Cedar Grove 2nd PID:10-16701-04-200 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Kathleen Myrman 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 - Dolores M Timlin Tste 2067 Coral Lane Eagan MN 55122 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature