2087 Coral LaneCITY OF EAGAN Remarks Cedar Grove Acquisition
Addition Cedar Grove 2 Lot 15 Bik Ja, Parcel 10 16701 150 04
Owner Strest 2087 Cora1 Lane State EagaI1,I"IN 55122
improvement pate Amount Annual Years Payment Receipt Date
STREET SURF. 1 1266.95 84.46 15
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 1972 1304.00 2.16 2
WATERMAIN
WATER LATERAL 1972
WATER AftEA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
SUILOING PER.
SAC
PARK
. ?
CITY OF EAGAN --
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ?
To be used for
EstValue -alb.(N)" Date ' ,19
Site Address Lot Block Sec/Sub.
Parcel No.
CEDwFt
? Name
W
3 Address
? City Phone
o Name
Address
? City Phone
va
W WW Name
= n Address
0
5 W City Phone
O FFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type ot Const
City Water _ (ActuaQ
(Allowable)
* of Stories
Length
De
th
p
S.F. Total
Footprint S.F.
APPROVALS FEES
Assesaments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire SAC, City
Engr. _ SAC, MWCC
Planner _ Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and stete Bldg. Off. _ Roed Unit
that the information is coRect and agree to comply with all applicable APC - Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Perks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Building atficial
Permit No. Permft Holder Date Telephone ?
Piumbing /f?
H.V.A.C.
Electric
Softener
Inspection Date Insp. Commsnts
Footings I
Footings II
Foundation
Framing P?
Roofing
Rough Plbg.
Rough Htg. r
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final .S i D.S.
? o t.l zeyet ?cvDr 4
Cert. Occ.
TemP. LP
Deck Ftg.
Deck Frmg.
weu
Pr. Disp.
CITY OF EAGAN N2 13 7 6 3
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 9??
To be used for REMODELING Est. Value $16 , 000 Date JUNE 12 19 87
Site Address
Lot 15 E
Parcel No. _
W Name_
; Addres
° City
-
¢ Name,
a
z
0 ` Addres
?¢- City ?
u °C
Ly W Name _
W
_ ? Addres
00
CitY,.
I hereby ac
that the infc
State of Mi
Signature
A Buiiding Pe
all work shali
?L LN OFFICE USE ONLY
Sec/Sub. CEDAR GROVE 2 On 5ite 5ewage
MWCC System
On 5ite Well - Occupancy
, 2oning
- Type of Const
City Water (Actual}
?ADEN -
(Allowable)
# of Stories
Length
?hone 454-1863 Depth
S
F
Total
.
.
Footprint S.F.
APPROVALS FEES
'honEt Assessments Permit $135.50
_
8
0
Water/Sewer
Police .
_ Surcharge
0
Plan Review h 7_ 7 5
Fire _ SAC, City
?IhOne Engr.
Planner _ SAC, MWCC
Water Conn
.
_
have read this application and state
and agree omplywith all appiicable
City of aga O inanCes. Council
Bldg. Off.
APC
Variance _ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Copies
TOTAL 211.25
. RAY HAUSLADEN on the express condition that
irdance with all applicable State of M inne t/es and City of Eagan Ordinances
al
EAGAN TOWNSHIP
BUILDING PERMIT
Owaes ........./.!...:..................................................•---•••----••••••-•-•
Address (Psssent) ?A.'r.ff 7--..._...... . .,-.'_....................
Buildes ...... S.:f:?:.:?:*: .•f ?,e''''<'? ?' '
..... • • • • • • • • • ...................•.................. _..- • • ----•----- -..
Address ........ ? .C?..1,?..._..il....f.?.? .................................. •-••-•-
DESCSIPTION
N° 2138
EaQan Township
Town Hall
Date ???
.......... ... .... .... ... ....................
5loriss To Be Used Fos Fron! Dep2h Hsigh! Est. Cos! ermi! Fee Remarks
52resL Road or otber Desesipilon o2 Locailon I LoI tAda121on or TzaC!
.2-
This permit does not auihorise the use of atreets, roads, alleys or sidewalks aor does it give the ownar os his agent
the right to creale any situation which is a auisancs or which presenis a hasard !o the health, safely, coaveniencs aad
Qeaeral welfare to anyone in the commuaiip.
THI3 PERMIT MUST BE KEPT ON THE PAEMI3E WHILE THE WORK IS IN PROGRESS. '
This is !o certifp, that---- F-c...... ----•-•••---..has permission !o ereei a....... j".•`•??t :K=:''-: -----•--........••-•-.. upon
the above described premise subjeci to the provisions of the Building Ordinance foz Eagaa Township adopted April 11,
1855.
/ .'-
n J ' ? °•---•-•• ?••-.?......4:..........
_ .............•••-•-••----••--• -•--` Y:=-••-•- -•/`:Y.?;.` :::: .............. Per ............... :?4.-?. t
-= •- _...--•----°--•-•--
aismaa f Tnwn Board 7 Buildin Inspec2or
e, d3
EAGAN TOWN S H 1 P No 567
_ BUILDING PERMIT
?1.?.l.lF[.r" .. . .......... . . ? Eagan Township
ownerL --•--- -----
- -------- ??S
U
Address (Preseni) ...._._ ??. ....-• fe4Q
- •--- . _------------- Towr? Hall
suiia.r ----------------- -----?& -------------------------------------------------------
Daie ....... .. . ...............
Address --•---••-•-•-•-•-.......•-•..._..._..-•--
..--•-----.-------------- - - -
$tories To Ba Used For Fzoa ! Depth Fleighf Est. Cos3 Permi! Fee Remarks
?? ? ??BOI[9 ? m0
Thia permit does not auYhorise the use of streeis, roads, alleps or sidewalks nor does it give the ownex or his agenY
the zight to create any situation rovhich is a nuisance or which presents a hasard to the healih, safe2p, convenience and
general welfare !o anpone in the community.
THIS PERMIT MUST B K T TH RE? ISE ?Wt!HILE THE WQRK IS IN PROGR S. ?
This is to cerYify, that ?F4permission to erec3 a.• .-- --•-•-•--------------------...... upon
the above described premise subject to the provisioas of the Building O
Adx ' ance fa Ea ship adopted April 11,
1955.
...................... ........
•••---•------- ------------- -------- -- - --?- -! - .. ...... ----- - N g • ---..._....
.
_
-
-
- of •- Town -- Boa=d ...... - - Pe
- in Ins pector --•- - -- - ----•------
Chairman ••
CONTRACT PRICE:
Site Address 2
Lot 1; Block Sec Sub
; ,
y Narne
?o Address
c City Phone
- Name i
?
3 Address
O CitY F..4f?ca ? Phone ?iw-/R'6 3
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE • - $20.00
STATE SURCHARGE PER PEFiMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)?
-?? • 6??,?"?LC !? ?
SIGNATU OF PERMITTEE
i.
PERMIT #
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
?l
PHONE: 454-8100
? BLDG. TYPE WORK DESCRIPTION
? Res. v New
Mult. Add-on ?
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $300 $
Bath Tubs - $3 00
Lavalory - $3.00
Shower - $3.00
Kirchen Sink - $3.00
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1 .50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: J ?" I
i `. ?C
FOR: CITY OF EAGAN GRAND TOTAI:
REQUEST FOR ELECTRICAL INSPECTtON E9-00001.04
1 See insUUCbona Im completin0 this lorm on boek ot vellow coOV.
C'C _4 429 3- "x' eeloW Work Covered by 7hrs Request
Hnn NeD. TYpe of auiieioe Aoolioncea Wi ea.,umaoi wiren
Home Range Temporary Service
Dupiax Water Heater LighLny Fixtures
Apt. Bwlding Dryer Electnc HeaLn
Commercial 81d,y Furnace Silo UnloaJer
Industrial Bldg. Air Condinoner Bulk Milk Tank
Farm ther Spar,r v Oiherl5oecifvl
t er ueufy Other Other
C.O/l70UIB IpSOCCIIOII FPP BP.lOW
# Fee ServmeEnhencaSiza p Fea Faxdars/Subteeders N Fnw Qrcwts
0 to 200 qm 5 0 to 30 Am ps 0 in 30 Am s
A6ove Z00 qmps 31 to 700 Amps 31 to 100 A
Swimming Pool
I Above 100-Amps AAOVe 100_Am s
7ransrormers
Irngation t3oorcis
Partial."Other Fee
Signs Speclal Inspection
a
S
T
Remnrks
, .
a OT FEE
?A.Cfj'
floueh-on D...nnn e V
/ ?/?? I, tpa mal
? Inspecbr, hereby
cerlify ffi¢t the above
Final D?{??e pection hes bean
? ? 3 ??? aa.
this reaueat vo1018 monltu Irom
4 U.jn -1 n 5 P-Q C?lrs`^ S
,
This reques[ voitl C//?/g 7
18 months hom
Reques Date
i1 ? ? FireNo. Roaph -?n In54ection
Reqwred?
?Aeatly Nu Will Noufy Insoev
?)r When Ready
es ?NO
El LLcensed Electncal Comracror I hereEy repuest msDectfon of above
Owner electncal work installed et.
S[reet Address, Box ar Poute No. Gty
?
F_?? Pr
ecuon o. Township Name or No. Nange No. Counly
0 R k d 1 M
OccuOdm IPRINTI Phone No.
s --
c?
Po
wer $up01i r t
M2 ?.
Electncal Con[racmr (Company Name) Convactnr's License No.
?
?
tractor or Owner Makine ltistailaUOn)
Mad
Atl s(
Au on d S?Hp (Conhac or/0 nee MakinB Installalmn) Phone Number
MINN c?i?q STATE BOARD OF ELECTflICITY I??? InSr[cnurv ntwtsi wiLl rvUI
E??- eE ACCEPTED 9Y THE STATE BOAND
GriggsEway Bldg. - Room N491 UNLESS PROPEB INSPECTION FEE IS
1821 Universitv Ave., S6 Paul, MN 56104
Phone 16121297-2111 ENCLOSEO. .
.. '' ?
?
1987 BQILDING PERMIT APPLICATZON - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
I9CLODE 2 SEfS OF PLANS, 3 CERTIFICATSS OF SDHVEYp 1 SST OF ENERGY CALCULASI0H5
NOTE: ADDRESSES FOH CORNER LOTS - CONTRACTOR/HOMEOANEE MUST DESIGHARB HHICH ADDRESS
IS DESIRED. NO CH9NGES WILL BS ALLOWED ONCfi BDILDING PERMIT LS ISSQED.
MULTIPLE DiiELLIHGS - RESIDENTIAL RfiNTAL UAITS FOR SALE DBITS
INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF SIIRYEY - CFIECB iTiTH BLDG. DSPT.,
1 SET OF ENERGY CALCULATIONS
CONIl46RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ic?m(J ?q'lleG Valuation: /(D3 O(/ e Date: ?p 5 7
Site Address 24$7 l'Qq'?/ /??Yl1?
Lot /5 Block ?
"FaUel/Sub
Owner ? /?i4105/?a'j'l
Address 2dV 0f11'A1 LRA,
City/Zip Code ?,?A',,,L?
Phone q5q ?(D+>
Contractor S-/7/n
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone Ik
On Site Sewage Oecupancy
MWCC System Zoning
On Site Well _ Type of Const
City Water _ (Aetual)
(Allowable)
0 of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVAI.S FEES
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Permit
Surcharge
Plan Review
SACp City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL 7/6?
.C
?
? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -
CiUy Of LUpn j Pertnit#:
I Pertnit Fee. ?? 6v I
3830 Pilot Knob Road
Eagan MN 55122 ? Date Received: j
Phone:(651) 675-5675 I I
Fax: (651) 675-5694 j Staff j
-----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: :?? z ? O" Site Address: 2 ? 5 ?' C 6
Tenant: Suite #:
Ph
AWHJq !?(? ?
RESIDENT I OWNER one
Name:
Address / City / Zip:
Applicant is: _ Owner A_ Contractor
TYPE OF WORK Description of work: &5 a o aT"
?
Construction Cost: Multi-Family Building: (Yes No X-)
CONTRACTOR Name: lynyli t?p GS C?ra/ 6 License #: 7 f,) L r'I 39 9?
? HXwL0e4 !
Ig4-&
Z°'1
?
I
Address:
+m? (? g State: ?' Zip:
'
*
City:
-
1?
/ / 1/
'?? ? Contact Person: ?'Ii e u?? ??? c k °?1 s
Ph
?
one
l?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans'and suppoifirtg'documents'fhaf you subinit are considered fo be'pubiic informadon. Portions of ?
' - ?,
. the information ?may be classified'as non publia if you "provrde specific reasons that would permif the City to ;.
- ' - -
"" `
-
conciui/e t6at the 'are trade secrets.
nces and codes of the City of
I hereby acknowledge that this infortnation is complete and accurate; that the worfSff=
Eagan, that I understand this is not a permit, but only an application for a permertnR; that the work will be in
accordance with the approked plan in the wse of work which requires a review and ApplicanYs Printed Name Page t of 3
4°111.
City of Etat'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
/ ISS -/off 3
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
I0
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: v2(] ' (1) / L. Unit #:
Name: R,
Address / City / Zip:
Applicant is:
bYl, maim. G c I oo(e l Phone(LPS l ^Tom / 0
7o 7 w
G' LG�YL�-
Owner ✓Contractor
Description of work: WI Y dy1/ Vg i!X C a)'i yl+. I r Se '1-5 L i S -rd
Construction Cost . OZ.)
Company:
Address: _
State:
License #: O C O O17 LP 1
Budget Exteriors
8017 Nicollet Ave S.
Bloomington, MN 55420
PH: (952) 887-1613
F: (952) 887-1659
Multi -Family Budding: (Yes / No )
Contact: .
City:
Lead Certificate #: 4:a
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Jit -IleV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE 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:
Phone:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are -de secr+s.
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 gooherstateonecall.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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin s ode must be completed within 180
days of permit issuance.
x 1'wh
Applicant's. Printed Name
Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_youndation _ Fireplace' _ Porch (3 -Season) _ Storm Damage
Single Family_ Garage _ Porch (4 -Season) , Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Piex Lower Level , Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement - Siding Demolish Building*
_ Addition _ Move Buildingeroof _ Demolish Interior
Alteration _ Fire Repair V Windows _ Demolish Foundation
Replace , Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building — give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests Final
Framing Siding: Stucco Lath _Stone Lath Brick
Fireplace: Rough In _Air Test _Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Pian Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118082
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 2087 Coral Lane
Lot:15 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-150
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 .
Kathleen Myrman
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 -
Raymond E Hausladen
2087 Coral Lane
St Paul MN 55122
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
Date:
RECEIVED
MAR 0 3 2016
City of Evil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit*: 1—SM s} t)
Permit Fee:
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATI N
Site Address: SCI
n w
Tenant:
Suite if:
Phone:
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Wafer Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ 194(5, 0 D
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 digits receive' locates of underground utilities:. vwvvir.cooherstateonecallorq
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 wi, the approved plan in, the case of work which requires a review and approval of plans.
Lu((ict
Applicant's Printed Name
Address / City / Zip:
Name: •Hilbert. Company Inc Oa Culligan Water
Address: ),.$.Q1 50th St East
Stater Mn Zip: 55077 Phone: 651-451-224r •
Contact: William R Milbert
Email:
_ New Replacement Repair Rebuild _ Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_RPZ/PVB)
_ Septic System
— New
Abandonment
„X_ Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Tumaround
!"
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For Office Use
Permit#: S -3 -3 7
E AGA N
�r < Permit Fee: C9 a
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinqinspectionscitvofeaqan.com Staff:
Commercial Plan Submittal: eplans(cD_cityofeacian.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: S /7 Site Address: t°817 Cora l /r)
Tenant: /�' �dar s/Ea�`�'1 Suite#:
Name: Ha/ I c/G /i Phone: 95?—aa 9..-1/54r
Resident/Owner /
Address/City/Zip: c a g 7
Name: it).0 /A Serie /�e-e-4, License#: /V 1' 7.270'179
Contractor Address: /'%y1/ `�1'/' City: /171a5s4 s
State: 10111 Zip: S'5a?3 Phone: 6/0- 20 7- a./YS-
i Contact: 1-1;112.07,4/k1 Email: -7, "../ * �/'Q.4•640. fc' -Z
RESIDENTIAL
AFurnace
Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New k Replacement Additional Alteration Demolition
Type of Work
Description of work: /°lac® c
4t /+<
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
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.citvofeacian.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of
the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that
the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
lcNi-
x x
Applicant's Printed Kerne Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test , In-floor Heat Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165574
Date Issued:11/06/2020
Permit Category:ePermit
Site Address: 2087 Coral Lane
Lot:15 Block: 4 Addition: Cedar Grove 2nd
PID:10-16701-04-150
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Samuel & Carly Rimnac
2087 Coral Ln
Eagan MN 55122
(612) 258-3100
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature