582 Eden CirSEWER drWATER PERMIT
CITY OF EdGAN
3830 Pilot Knob Rd. '' , ^', •
Eagan, MN 55122,1897
DATE
OFFICE USE ONLY
METER # PERMIT DATE 08/09/w
CHIP # PERMIT # 1 1 56?1
METER SIZE B.P. RECEIPT # ?; 9307
ISSUE DATE B.P. RECEIPT DATE 0E/Up19U
_ PRV - BOOSTER PUMP
SITEADDRESS t.':;.rC1E
LOT ; "' BLOCK 3 SEC/SUB `'oventrv Pass
APPLICANT; '1'r:e R.o -c-C. .1tin K: Co. Tnc. ,
ADDRESS: '-,2O1 F? . T2iver Roaci
CITY, STATE ZI15 ?421
PHONE? '_- ,j.; C 4
PLUMBER:
ADDRESS:
CITY, STATE JoTaclti .: Tn . Zlp 55 33 2
PHONE: = % 2-2 121
OWNER:The Pattlur,u C'o.
ADDRESS:? "<'.C11 E. RivE•r F:Gaci
CITY,STATE "xi3Zev, !!-n• ZIP ? 3421
PHONE: 3
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED
X SEWER x WATER _ TAPS
COMM,'IND
X NEW
x RESIDENTIAL
_ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
p r
,C 9??,?'? . I 1..I. A'Y l?AJ'x`?'?. ?
I AGREE TO CaMPLY WITH CITY aF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
54-5220 FOR INSPECTIONS. FOR STORM
1'
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
3 v ' PERMITOATE 08I09/So
METER #
CHIP # ?-?/h Y -? ? PERMIT # 1.1569
METER SIZE B.P. RECEIPT # C "?'? /
ISSUE DATE B.P. RECEIPT DATE `16 /c``?
_ PRV _ BOOSTER PUMP
SITE ADDRESS ? ? ? ?• ==? r ?'r,Cle
LOT lA BLOCK - SEC/SUB C oventzV nass
APPLICANT: TilL Rottlund CO. InC.
ADDRESS: 520 1. L. P;iver Road
CITY, STATE rrl ci?;', ::uZ. ZIP5??4:>..:
PHONE.' - - 0 3 ;) i
PLUMBER: • 111a?,r,Plumbing
ADDRESS: 6IO Cree]c Lane
CITY, STATE :Iflrda•'i, "n, ZIP '
PHONE: ?-
OWNER:'L- ' kottlur.d Co. Inc.
ADDRESS: -52O 1 L. . River Road
CITY,STATE Fridley, M.n. Zip `
PERMR REQUESTED
X SEWER '- WATER _ TAPS
- COMMlIND
x5"?na?v??
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
? ?.
I AGREE TO COMPLY WlTH CITY OF
EAGAN ORDINANCES
ATURE WHEN METER ISSUED
, -
WO WORKING'DAYS FOR PROCESSING. 'CALL 454-5220 FOR INSPECTIONS. FOR STORM
CONTACT ENGINEERING DEPT. -
, %'
a,± ..?b'??' For O1fice Use Onl
Y
. •
PERMIT # ?
" ' ? ,
•
• - AAECHAMICAL PERMIT
• CiTY OF EA(iAN RECEIPT #
3830 PILOT KNOB ROAD, EA(iAN, MN 55722 ?
CO
NTRACT PRICE
PHONE: 454-8100
0 DATE:
Site Address
Lot. Block - Sec/Sub BLpG, npE WpRK DgSCRIPTION
Res. New
? Name Mult Add-on
m
Address Comm. Repair
?
c
City
Phone 0ther
FEES '
? Name RES_ HVAC 0-100 M BTU -$24.00 ?
3 Address ADDITIONAL 50 M BTU - 6.00 '.
O City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
TYPE OF WORK
FOrCed Air
? M BTU COINM/INO FEE -196 OF CONTRACT FEE
APT
BLDGS
COMM
RATE APPLIE
.
. -
.
S
Boiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit H?ter M 8TU MINIMUM RESIDEN7IAL FEE - ALL ADaON 8
Air Cond.
M BTU REMOQELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
i Vent CFM STATE SURCHARGE PER PEfiMIT - .50
? Gas Plping pudets ?i (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
?f
? PERMIT FEE: I
S/C: SIGNATURE OF PERMITTEE
TOTAL: FOR: CITY OF EAGAN
CONTRACT
PRICE
Site Ad s
Lot ?
m
?
N
C
Name
t •1
,(_4t BLDG. Pi1f E WORK DESCRIPTH
SeGSub Res..New k
Mult. Add-on
Comm. Repair
Other
City 3 V , a a N Phone `I ;' -' `}'
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF EAGAN
1116uMOinaa rcnmi I FOI'
CITY OF EAGAN PERMIT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT;
PHONE 4548100 DATE: _
RES. PLBG. ONLY - CBMPLETE THE F OLLOWING:
NO. FIXTURES TOTAL
I Waeer Claset - $3.00 $ 3
1 Bath Tubs - $3.00 3
? Lavatory - $3.00 3
ShOwer - $3.00 -
?- Kitchen Sink - $3.00 ?-
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 Z
? Floor Drains - $1.50 • ?''
? Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets -$1.5Q
(MINIMUM -1 PER PERMIT)
Softener - $5.00
wea -$io.o0
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
- STATES S/C:
GRAND TOTAL: ?'{ ? "
CITY OF EAGAN ? g23S
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING
?
?
PERMIT Receipt #
a ?
%
To be used for $F DWGIGAR Est. Value $78 ,000 Date wM 7 , 19 90
Lot PS Block ? Sec/Sub.
Parcel No.
W Name TU 1t0"L'fLUNfl CO. INC
? Address 5201 E &IYBR RD
° City FRIDI.EY Phone 57I-0304
W W Name
j.-
? ; Address
a W City Phone
I hereby acknowlege that I have read Ihis application and sta[e that the
information is correct and agree, to comply with all applicable State of
Minnesota Stalutes and Ciry of ET.an Or ?nances. s ,
'?,
Signature of Permitee - t? ' ? _? ?• ?: ??""? A Buiiding Permit is issued to: TU ROTTLM COO iNC
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY ?
?
Occupancy S-3 !s-1 FEFS ?
Zoning A""i I
(ActuaQ Const u ? Bldg. Permil ?i .? ?
(Allowable) - Surcharge 34?00 ?
# o, s,o,ies Plan Review 3S1 00
•
Lengih
Depth SAC, City =00000 '
S.F. Total - SAC, MCWCC 600•00
S.F. Footprints _
On Site Sewage
-
water Conn ?
625.90
On Site Well Water Me4er 90400
MWCC System ? ?+? ?
City Water ? Acct. Oeposit
PRV Required - S/W Permil ?.oo
Booster Pump - SIW Surcharge • 50
Treatment PI 252•00
APPROVALS Road Unit 355,00
Pianner - Park Ded.
Council
BIdg.Off. J Copies
Variance ? TOTAL 3,013.50
? Permit No. Permit Holder Date 7elephone #
WAT,ER U'?1 9v
SEWEIi
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Aough Pibg.
Rough Htg.
Isul.
Freplace
Final Htg. -
Fnal Plbg. U - ? v
Const. Meier Pibg. Inspector - Notify Pfumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Dqck Fnal
Well
Pr. Disp.
REQUEST FQR?ELECTRICAL INSPECTION ???'•``'?R EB-00001-08
lo. See insir*tion5 )or complehng Ihis lorrn on baCk ol y@Ilow Wpy. ?.
rY)/
? . ?f??
02529 'X" B$low Work Covered by This Request
ew Add" FiEp. Type of Buiiding Appliances Wired Equipment Wired
,- Home Range • Temporary Service
Duplex Water Heater EleCtriC Heating
Apt. Building Dryer Loed Management
CommJlAdustrial Fumace Other (Specify)
Farm Afr Conditioner
Other (specity) Contractor's Remerks: /
r L,, ) /'S/? .
Compute Inspection Fee Below:
? Other Fee * ServlceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 1D0 Amps
Transformers Above 200 Amps Above 100 Amps
SignS . Inspector's Use Only TOTA r v
Irrigation Booms
Speciai Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has
been made. p;nal Date
DFFICE USE DNLY . 'I
Thie request voitl 18 monlhs from ?iA?/---- --- -----• - -- ----' -- ---`---•--- - --' - -- -- - -1'Y?/J/-?-----1
3 /i y
N 02529
ReQUest Date Fire No. Rouyh-In InpSection Required
(YOU muet call Inspector when ready)
Yes ? No Ins ection Other TAan Rough•In
? Reatly NOw ?kWill Notity Inepector
?ate Read
I p licensed contractor Xowner hereby request inspection of above electrical work at:
Job Address IStreet. Box or Route No.l Ciry
Sectwn No TOwnShip Name or No RdngB NO. Counry
Occ?ant (PRINT) Phone N0.
Power SuDPlier AddreSs
Electncal Contrdctpr (COmpany Name)
/. c.?//Y 4 r_: tt-, 1 c,- Contractor'S License No.
Mading Atltlres IContraclor or Owner Makmg InstallaUOnj
.
Autnoiaetl Signatwe t nfractor,0 er M;"g /I}n?stanauo?1
?,'V ? Phone Nu? C
l??J
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Grigys•Mldway Bldg. - Room S173 BE ACCEPTED BY 7HE STATE BOAqD
1821 Unlversfty Ava.. St. Peul. MN 55164 UNLESS PFOPER INSPECTION FEE IS
Piwne (Btt) 602-0800 ENCLOSED.
r ?.
?
rSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I SITE ADDRESS:
: f i rl I 1:
fiVl• N? i! i I' bi ,.
?
'. PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
. ? i ! !.?'? l I IiN
iNSPECTION D• • DA
._
r
Permit No. PermR Hoide? Date Tslephonc •
5/W
PLUMBING
HVAC
ELECTRI oa?O?i o? O ?
ELECTRIC
Mepsctlon Dete Insp. CommeMs
Footings I
Founda6on
Framing
RooHng
Rough Plbg.
Z_?l?,;]? ?i
Rough Htg.
Isul.
Freplace
Finel Htg.
Orsal Test
Fnal Pibg. Plbg. Inspector- Notify Plumber
Const. Meter ?A
? '? ? I . -7 ? .ro F
!
EngrJPlan POW T`?? L?'r??? ???--
Bidg. Final 7-
Deck Fc9.
Dedc Flnal
b G c. v?cJri.? -
Well
?
Pr. Disp. `
5F
Address: 5$2 gpBd CIR= Lot I$ Blk 3 Sec/Sub rOVENTRY PASS
'These items were/were not complete at the time of the final inspection.
DATE: NOVF2IBER 1, 1990 Yes No INSPECTOR:
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage 117
Porch
Basement finish
Deck
Pleasa varify with the builder the removal of roof test caps from the plumbing
system and-the shut-off of water supply to the outside lavn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
BUILDING PERMIT
To be used for SF DWG
CITY OF EAGAN NO 18238
3830r Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 /?2 /??
Receipt # L-9 ?•? ?
=AR Est.Value $78,000 Date AUG 7 , 19 90
Site Address 582 EDEN CIR
Lol 1$ Block 3 Sec/Sub. COVENTRY PASS
Parcel No.
w Name THE ROTTLUND C0, INC
3 Address 5201 E RIVER RD
0 CitY FRIDLEY phone 571-0304
?o Name S? I
g¢ Address
? City Phone
186IName
W ?? Address
aW City Phone
I hereby acknowlege that I have read this application and stale Ihat the
information is correct and agre to comply with all applicable Stale ol
Minnesola Statutes and City of gan ?O}?.r(?fr
Si9nature of Permitee ? C ?"?`
A Builtling Permit is issued to: THE ROTTLUND CO. INC
on the express cnndition that all work shall be done in accortlance with all
applicable State ot Minnesola StaWtes antl Ciry of Eagan Ordinances.
Building Ollicial
OFFICE USE ONLY
Occupancy R-3 M=1 FEFS
Zoning R=1
(ACtua1) Const V-N eldg. Permit 541.00
(Allowable) V-N Surcharge 39-n?
8 of s[ories
Lengih 45 ' Plan Review 3 SI .(1?
Devin 44' SAC, City
100 _ 00
S.F. Total - SAC, MCWCC 600 _ 00
S.F. Foolprinis -
On Sile Sewage _ Water Conn 67 5_(1Q
On Site Well Water Meter 90. 00
MWCC System XX_
X]? AwLDeposit 3?•n0
CiryWater
PRV Required _ S1W Permit 3D- f1n
Booster Pump - S/yy Surcharge .5
0
Treatment PI ? 5 9- n?
APPHOVALS Road Unit 9 5 5_ DO
Planner - park Dad.
Council
BIdg.Off. _ Copias
Variance ' - TOiAL 3,013.5
O
REQUEST FOR ELECTRICAL INSPECTION
?
q See inst?
CU ctiong lor ?pmpleltng this form on back ot yellow copy.
02502 L "X" Be/ow Work Covered by This Request
`?TM^?' EB-0 f-OB
?.? 4,
ew Add Rep. Typeo(BUilding AppliancesWiretl EquipmeMWiretl
Home Range Temporary Service
Duplez Water Heater ElectriC Heating
Apt. Buiitling Dryer Load Management
Comm./Industrial Purnace Other (Spacily)
Farm Air Conditioner
Other (specify) CoMractor5 Remarks'
Compute Inspection Fee Belaw:
# Other Fee # ServiceEniranceSize Fee # Cirouits/Faetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspemor's Use Only: ? TOT_ AI, ??
Irriga[ion Booms ? • ?
?G ?'•??
Special Inspection
Alarm/Communication THIS INSTALLATIO BE D REI? DIS NNECTED IF NOT
Other Fae COMPLETED WIT 1 M
O
9
I, the Electrical Inspector, hereby
certif
that th
b
i
i Rough-in oata_3 ^ 7p
y
e a
ove
nspect
on has
been made. Date
OFflCE VSE ONIY
Tnis reqvest voitl 18 montns 1mm •? ??C ? y ? 4, k)
{? ?? ? b
??-s?9 /97??
C?020
? ?D°°
ReQuest Oele
I Fire No.
I Rough.ltpsedwn eQUlretl
(YOU m Inspeclor wlien rea0y) Inspection Olher Than P h-In
? qeady Now W ill Notiry Inspaclor
-Yea ? .NO OateReeE
I J licensed contractor gowner hereby request inspection of above electrical work at:
Job Address ISireet Box or Route NoJ City ?
Section No. Township Name or No. R9nge No. County
Ocmpant ?INT)
IL\ Phona N??'o.///` ///?''?? ?
7?/ ( - ?
Pos talk, Atldress
ElecVical Go?nvaaoi ?ICo\mp/any Namej
? • + ? • lC? Conhaclor's License No.
Meiling FOOrass (COnrcacmr or Owner Mnking Inslalleuon) •
Autnpri a SionaWrel nVact ' ner Making In lallalion? PM1One..NuffmOer
??V
MINNESOTA STATE BOAPD OF ELECTPICITY n INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Hoom S.173 ? `B ACCEPTED BY THE STATE BOARO
1821 Univerelty Ave., SI. Paul, MN SStOG V?? UNLE55 PFOPER INSPECTION FEE I$
Phone(612)6aR-0B00 ? ENCLOSED.
I1?? REQUEST FOR ELECTRICAL INSPECTION es-ooooi-o
10- ( Spg insWCtions for compiqtiny Ihis torm on back of yellow copy.
Q ? ?LJ
/ ? "X" Below Work Covered by This Request ?.
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Load Management
CommJlndustrial Furnace Other (Specif )
Farm Air Conditioner
olher (specify) Coniradors Re``?'? ?
`hg,v?{. h?
Compute Inspection Fee Below_ 't'
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Am
$ICJfIS Inspector's Use Only:
' AL
Irrigation Booms ?
/ /
Special Inspection ?
??
AlarmlCommunication THIS INSTALLATION MAY BE O SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON7HS.
I, ihe ElecMcal Inspector, here6y
certity ihat the above inspection has
been made. Rough-in oa ?7G
oaie / /?-
OFFICE USE ONLY . ?
This rvquast void 18 months from
09 89 138
?
Req est Date
5
9 Fire No. Roug -In spec?ion R
(Vou m call inspacbr n reaay) Other Than ugh-In
Inspec?ion
? Ready Now ?WII No?ify Inspec?or
7 ?
No
es Dale Re3tl
I? licensed contractor A<wner hereby request inspeclion of above electrical work at:
Job Atldress (See[, Boe peAOUt No.)
58 `. ? " • City
Seqion No. Township Name or No. Range No. County
Occupa FINTj Phone No.
a. ar fa
Power SUpplier Atltlress
Electrical C ntre tor (COmpany Name) Conlrador's License No.
OM 2o wn P.r
Mailin dress (Co ra or or Owner Making Inslallation)
OL)
Authorixetl ignaiure ? ntrac?odO?mer?tion)
?WIW Pc.o? Phone Number ?C?
Tv ?
MINNESOTA STATE BOARO OF ELECTflICIiY THIS INSPECTION REDUEST WILL NOT
Griggs-Mldway Bltlg. - poom 5128 III II I I I I 111 11111 111 1111 I I 11 1111 111 BE ACCEPTED 9Y THE STATE BOARD
1821 Univerairy Ave., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6d2-0800 . ENCLOSED.
y/ia/9 0 8?
?01Y
a 084034a. 5
o°
Repuest Date Fire No. Ro -in Inspection
uiretl?
f?'iseatly Now ? Will Nofity Inspeclor
? Yes ? N. Winen Aeatly?
I? licensed contractor ? owner hereby request inspection of above electrical work ak
Job Atltlress (Slreet Bax or Rout¢ NoJ Qty
S S`?. ?,. ?.
Seclion No. Tawn3hip Name or No. Range No. County?
Occupen PRINT,
rgmllllj Phone No.
PowerEiz[1?lier ((??n
VQ? qdOress
Eleciric Co?Vac(or (COmpany Name) Contrac[or§ Ucense No.
Ve? , a i-1 -s
Mailinq Atl ress fCOntractor or Own r Maklnq Inslallalion)
Authonzed SignaNre (COnVactorl ner Maki Inslallalion) Phone Number
. ?3-
MINNESOTA STATE BOARO OF ELECTRICITV ? THIS INSPECTION flEQUEST WILL NOT
Grlgga-1.IIOway Bltlg. - Room S1]] BE ACCEPTED BV THE STATE BOARO
1821 Unlveroky l1ve., St. Paul, MN 55104 UNLESS PflOPER INSPECTION FEE IS
P1qne(fi12) 642-0800 ENCLOSED.
? ??G eaoaom-oa
9/?S19O REQUEST FOR ELECTRICAL INSPECTION
?,?, ? p8? ? 9
See inslmctions far completing this torm on Cack of yellow copy,
a 0 8 4 0 3 `?X° Below Work Covered by This Request '??? ?
ew Atl6 elep. , TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Wafer HeBter Electric Heating
Ap[. Building Dryer Olher (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Olhe? (specify) ConlractoYs Remarks'.
Compute lnspection Fee Below:
:k Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 -Amps ove 0_Amps
SigflS Inspector5 Use Only. ?
D TOTAI
Irrigation Booms ?J ? ss9
Special Inspection _
AiarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oaie
certify that the above inspection has
been made.
OFFICE USE ONLY
IlThis reQuest wid 18 monfis irom
A02529
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions lor completing ihis form on back oi yellav copy.
"X" Below Work Covered by This Requesf
Ea
?o-???;?
ew Atld Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtric Heating
Apt. 8uilding Dryer Loed Management
Comm./Industrial Fumace ONler (Specily)
Farm Air Conditioner
Olher (suecily) ConVacm.§ Remari c? / •?/? ?
Compute Inspecfion Fee 8elow:
# Other Fee # ServiceEntrance5ize Fee # Cirouits/Feetlers Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transtormers Ahove 200 _ Amps Above 700 _ Amps
Si)nS . Inspector's Use Only: T
OTAL?
S" Q
'
Irrigation Booms
O
jj
Speciallnspection
Alarm/COmmunication THIS INSTALLATION Y BE DilRED DISQQNNECTED IF NOT
Other Fee COMPLETED WIT MO ? t?qU
I, the Electrical Inspector, hereby
nif
th
t th
b
i Rou9n-m ? ? ? oaie
ce
y
a
ove
e a
nspection has
been made. F;nai r oa?e
OFFICE USE ONLY Tris request voitl 18 months Iwm
y?p??5'
C? 0 529 k1a,,
?. c?lolal /
040
Reauest Oare
./ ??
f' Fire No. Pougn?in pse ion Require0
(YOU mus I speq0, whBn rBaEy)
Yea
? .NO Inspec9on Other Tnan Rougn-In
? peatly Naw ?lill Nolity InspeCtOr
Da?a Rpatl
I C licensed contrador p6wner hereby request inspection of above electrical work at:
Job Atltlress iSVeel. Bor or Route .?
58?. d
'r. Ciry
Setlion No. TOwnship Name or No. Fange Na. Couny
pccu tIPqINT/ ?
4r 0.. Phona No.
Pawer Supplier Atltlress
Elecmcal G nrcactor ICOnpany Name)
o f O wYi Gi Gonhapor's License No.
Mainng AoCres (COnvacbr or pwner Makinq
0 (..-- Installation)
Authorizea Siqnature 1 nllacrori0 ? M g Inslal atic I Phone Nump9F ' -
( ?
[7l? ?.
MINNESOtA STATE BOAND OF ELECTpICITV THIS INSPECTION REOUEST WILL NOT
GrlggsMlCway 91Cg. - Room Sll3 BE ACCEPTED BY THE STATE 00ARD
1821 Universfly Ave., 5t. Paul. MN 55106 UNLESS PROPER MSPECTION FEE IS
Vlwne(612)Bd2-0800 ENCLOSED.
v
/?S/
9815 9
(0 3 812 3 I- .3
Requast Fire No. Ro n Inspeclion
O? Fe ed? ? Reatly Now f4Jill Notity Inspecror
( 7 r es El ryo When Reetly?
IZ licensed contractor ? owner hereby request inspection ot above electrical work at:
Job AOtlrpess(Sheet S. eor Roule No.)
/1 Ciry
O ? GO?+nn
INwL.C+
Sec?ion No. Township Name or No. Range No. Goun
?
OccuOant RINT) I
!%-
/Y ? v? Phone No.
Power S?
TQ
lier Adtlress
?
\
/? pp
NPJLt. C.r3Lr
EiecVical onhactor ICOmpany Name, Comrector's License Na.
yx.4-. 4a 91,., -3
Maihng Aatl ss (COniractor orOwnar Making Installation)
Fulhorizetl SignaNre (COnh ri ner Making I stallavon) Phone Number
` s
-
MINNESOTA STATE BOAFD O ELECTPICIT
GtlggsMitlway BIEg. - qoom &173
1831 University pve., SL Paul, MN 55104
PlwM (612) 642-0800
THIS INSPECTION REQUESTVlILL NOT
BE NCCEPTED BY THE STATE BOARD
UNLESS PROPER INSPEGTION FEE IS
ENGLOSED.
9/s/so
@ 38123
REQUEST FOR ELECTRICAL INSPECTION
? See iystmctions I6r completinq this fonn on Dack of yellow mDY.
"X" Below Work Covered by This Request
78189
?.?,.
ew Adtl` Rep. „ Typeof8uiiding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (speciry) CoMractors Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee ?i Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 _ Amps A 0_ amps
Sig05 Inspemors Use Only: 7Q7p?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certif
that the ab
i
ii
h Rough-in
y
ove
nspec
on
as
been made. F;nai ?
?
OFFICE USE ONLY
This request voitl 18 months fmm
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: L O r: 18 a La c K;
582 EDEN CIR
COVENTRY PflSS
PERMIT TYPE:
Permit Number:
Date Issued:
QutL nzNr
023003
02/23/94
PERMIT SUBTYPE:
BASEMENT FINISH
3 APPLICANT:
BFlRTA
(612) 546-6211
TYPE OF WORK:
ALLAN
NLTERATIpN
INSPECTION
FRAMING .. .
INSULRI'ION ,.
ROU(3H IN PLBG FINAL
7
?
^ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
582 £DEN CIR
LQT: 18 E3LOCK: 3
COVENTRY PRSS
P.S.N.: 10-18400-180-03
PERMIT TYPE:
Permit Number:
Date Issued:
?
Bu.r.LoiNc
023003
02/23/94
DESCRIPTION:
_ .?
Bf:i?itdirxg?-Fermit 1"YAe
Bu3lding WOkrk Type
?
?
i
• `-ti a
\` `• 4?
BFISEMENT FZIVISH
RLTERATION
REMARKS:
FEE SUMMARY:
Base Fee .y:35.e0
Surcharge -50
Tntal Fee $35.50
CONTRACTOR:
OWNER: - Applicant -
3ARTA ALLAN
582 EDEN CTR
::AGAN MN 55123
(612)546-6211
?
I hereby ar.knowledqe tYiat I have read Chi.s appli,cat.ion atad stat:e 'Chat the
information is correct and agree to comply wiCh all applicatale State af Mn.
StaY.utes and C.ity of Eagan Ordinanc2s.
? 6?
APPLICANT/PERMITEE SIGNATURE
A MQ R.P;?L 1 rna
ISSUED B : SI NATU
I
at3-0QJ
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
3 2 Z 1°94
SINGLE & MULTI-FAMIIY 2 sets of plans, 3 registered site surveys;. coI- p energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
oate 2 / ZZ valuation of work 311 5d0
Site Address:_ 5F2-- Eh EN 62CIFE
STREET Sl1ITE #
Tenant Name: (commercial on7y)
IAT BLOCK SUBD. J P.I.D. #
a VeVT ?
G
Descri tion of mork:
The applicant is: tZf Owner ? Contractor ? Other (Deecribe)
Name E Phone 6 59 - 2
Property LAST F1RST y ?,??_9s-s2
Owner pddress LI 2 EA E/v Ci/k GLE
STREET STE #
City FA rA"n/ State Zip J.SI2.?
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: lA ffi:M/ ?z ffiiL
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc.
? 03 Sf' Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch 0 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ?'33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
O Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
P Final
,W Framing
? Draintile
?
-L
0
,ff Insulation
? Fireplace
Permit Fee
Surcharge
Plan iteview
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P7.
Road Unit
Park Ded.
Trai]s Ded.
Copies
Other
Total:
Yalumtim: $
.?.
, N
,-ff 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
sac x
sac un;ts
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIDNS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
------ ?
To Se Used For: Valuation: Date: ' -
:
Site Address ':-.R-7 o,? (?:C?_
179, ODO, OFFICE USE ONLY
Lot l? Block 5
Parcel/Sub
14
Owner Tl4E 'Pn-t'??.?ruh G ?
Address 1?2p
City/Zip Code F
e d??1 ?sqZt
Phone Ea ?-Cr304
ContYactoT s7qw F,
Address
cicy/z
Phone
Arch./
Addres
City/Z
Phone ,.
Occupancy PI'3 M"1
Zoning R^1
Actual Const ?_
Allowable V-N
# of stories
Length
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV
Booster Pump _
APPROVALS
Planner _
Council ^'
Bldg. Off. q(o
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposi
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
5y1,0o
3 ,DD
351•00
100.00
6 00, 0 0
Or
t 3000
30,00
.50
ZS2.00
255S, O0
, f, ? 3?
._-----
S?gsS 5601
?---
II
=Iixz/,i
8 ?a/ - 1w+sg
-?----
-voo--!:jysj
zsbh/ x 8
9
ZG
h9$ = h2 x ??
,
'p09°? = S? X ohh = O?x ZZ
,.. ,
? -
M'Ft,1ort,r:ravrr,0Pr'. nvr:rnr,r: °u" curTrUrn•ri?)rr
ou;a F-R F'oC TL U I..r p Cz?
SITE ADD.T',E'SS
CONTRACT05
F?? i
?
?
e-l.i'TR `f a
?ATF. PHONE
Dete:min vorkini; square footnr,e of ench.
1. Total exposed vall area sq_ ft. x 0. 11 _ z i }j,59
2. Total roof/ceiling area sq. ft. x e,026 _ Z?
•
c
Total exposed ua11 area nbovc flocir = 14(,?
a.
b. Total
Total vall windoG area ..... .. ....... .. ....... .....
door area ...................................
c.
d.
e.
P.
g. Total
Total
Total
Total
Tot21 sliding glnss door area ..................... .? 5
fireplace vall area ......................... Z,D
vall frazning area (average lOp) .............
net vall area nbove floor ................... J 4?
rim ,joist e:e2 ................ ...........
Total exnosed frn:ndntion arca
h.
i.
Total
Total .
foun3etion vindov area ....................... ~
net foandation area above grade ............. 47-
-7, 6,
. Detern:ine "U" valce o: each wall ,ec;ment.
g. ( 5 4, ¢ x "ul, p,4-Z. _ Coac- g?(
b. 38, ? I x,.UI. 0.138 = ? ?3 ?r
C. 35 X',,,,l f? 3 Z = 1 l. 2
d. ? a X,lun
e, LS7??? xAlUt, (`.oe?
f. l 4r 9. 2, x„U,,
. g. Irc?,? X
h.
X .-
i. 97.4 X„U„
s. ...... ............... .......... •c??.?,
..
? f.
If item N3 is the sarne as,
or ssc 6ao6(c)2.
or les^ :.h:in itera N1,
0/L
you n3ve met the intent
fi
' Tot-al exposed roof/ceilinG,Rren = II? ?
? .. . . . _
Total gross roof/ceiling are:t =
?. Total skylieht erea .......................•.. _
1O•
R. Total roof/ceiling framing area ..............
1. Total net insulated roof/ceiling area ........ ?. 9 _ •
Determine "U" value for e1cti rucif/eci I int,, segment.
? X uUn
, , - ?
k: \\ O.\ XliU,l 0. 021 = Z.
qar). X„U,. O?n 2Z = 2 I,? `( k . ............ ................:. Totai
If total oP A4 is the same as, or less than d2, you have met the intent of
sac 6oo6(c)i.
To utilize the total envelope system method, the values establizhed by the
sum of iteDS H3 and db shall not be greater.thHn the sum of iten:s N1 and N2.
1. + 2.
? • g", + L.
• ? ? -
• . ?,
U
.
_ . ... O o
0
0
0
?
?
?
C- ?Y _A??- ?f?M •
(D
(D
30
?• L? G -- --
_ ?.Ss
I -- -o; U2 .. . ;
?
. ?=
_? o,d?+
;
- o: 7AM "__-
?
,
a, ob:
?
_-?-=? ? ? o • 1 ?
6AI.GUTloW-,-7
-?FAML ?lPcU. G? IN?ILATI?N
LoM?ON?N?i
t !1
?
?-
?
o.l{"?DE RF f9LM
= 5%1 l N Su?A?i?rl?
I?Si?? Par? ?I?M,
-: _ F? -VAU.lE
Iq o •
-----p.CoG -
-fFRM;r WAu. C. /;;;Ti.!D
- pLr?N. view.
C
l:.
C
c
C
C&
GaM PON 151NTS
o_UTlt710E RiZ
??Z??hIDINL. .
?N?A?ItNt?.
h1Ue (Fepm
It-?iv? P*?? R?-l?t. .
: -F-vaLu5
_._ __o,??.----- _
-0:G2:.-.._.
2.ov -
- -j.-? g .--- -
?---
.
1 -
?
=L.?J?i P?. ?? U? =?D,12 x o.ot9} t(o, Sb X o.043? = o• o?#-7 -
? ?" ?•? ? ? , . . . , .
?uWY710?- ---
I-??{??G-?@
i
;
?
;
r-3
)I =--itirz-Fi?om<. I
?
? ?1'Z_G?I
?
?
?----v?.??
= a? 1'1.---
-2?.? --? _
--- ?' a ---
.
o a?----
--_?
u_5.83
? O, 02.7
%
- --
--4'- ?4- -
I -o._c?i- i
0/02?
?{.? 3
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNFiOIvIES AND
CONDOS WI-IF,N PERMTTS ARE REQUII2ED FOR EACH UNIT:
NO. FIXTURES . EACH TOTAI.
SHOWER
? 3.00
WATER CLASET 3.00 ?
Btiiii I'U-13 3:00
LAVATORY ? 3.00
KTI'CHEN SINK ? r?'/ . ?
_
?
S 3.00
LAUNDRY TRAY
?? 3.00
HOT TCJB/SPA 3.00
WATER HEATER 3:00
FLOOR DRAIN 3:00
GAS PIPING OiTTLET • minimum - i 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVAT'E DISP. • natay: ut: 20.00
U.G. SPRINKI.ER • nome unaa omu: 3.00
ALTERATIONS • w ew„g 20.00
WATER TURN AROUND 20.00
SITE
OkINTER nANIE: ALLAJII AN-b fi}IL . 'f}k?,4
INSTALLER:t,/-Jame own t,t-
ADDRFSS:
CM: STATE: ZIP COI7E:
PHONE #: (
??? hll 1 ?C??? -
SIGNATURE OF PERMITTEE
ir" rLUmisuvV rExnur (xENWENiIAu.)
C1TY OF EAGAN
3830 PII:OT KNOB RD
EAGAN MN 55122
(612) 681=4675
STATE SURCHARGE .50
CLAIM VOUCHER - REFUND REQUESI
CITY OF EAGAN
C L A I M A N I_.GALL--L-ALJ4A_RTA- ------------------ --
ADDRESS_582 EDEN CIRCI,E________________-____----
_
_EAGAN?MN_ 55123 ,__------------
Location 582_EDEN_CIRCLE
L18, 4?3 COVENTRY PASS______
Receipt No. /Date 220 17=04LaJ34 _________-
Reason for Refund pLp[,I!;ATE PF._RMIT----- - _________- _-----------
-----------------
Type of Refund Electrical Permi[ 3211-4220 $_40.00__
Plumbing Permi[ 3212-Q220
Hechanical Yermit 3213-4220 $------ _
Surcharge 2155-9220 $-------
Water Connection Permit 3713-4220
Sewer Connection Permit 3743-4220 $________
Account Depoeit 2252-q220
Utility Account Over-payment 2250-9220
0 t h e r: ----- $------
------ ----- $-------
TOTAL $ 40.00___
I declare under penalties of law that this account, claim or demand
ia just and that no part of it has been paid.
D44-------
ENAIURE AIE
? J ??,\
?O3 4 d
RESIDENTIAL BUILD[NG
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeVReoairReauirements Offce Use Only
3 registered sita surveys showing sq. ft of lot sq. ft. ot house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Eneyy Calalations for heated additions Tree Pres Plan Recd
2 copies ot pWn showing beam & wirWow sizes; poured found design, etc. 1 site survey far additions 8 decks Tree Pres Not Reqd
7 set of Eneigy CakuWtions Add'dion - irMicate 'rf on-site septic system _ On-site Septic System
3 copies of Tree Preserva6on Plan'rf lot platted after 71153
Rim Joist Oetail Options selecUon sheet (bidgs with 3 or less units
Date _7 103
Site Address ? ,F G
FG Construction Cost
Unit/Ste #
S5Z3
Description of Work RFS1DF " g m FtC7'aa DhMAGZD b= MR
Multi-Family Bldg _ Y)< N Fireptace(s) X. 0 _ 1 _ 2
PropertyOwner WAY .r /r C-/? / 4 11 gd/M Telephone # (d S/ ) ??S'?'- 9?SZ
Contractor /yd/y L
Address
State City
Zip Telephone €1( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I n s 7672
Energy Code Category D L?°J ?77? . Residential Ventilation Category 1 Worksheet `E rkshe et
(Jsubmissiontype) Submitted Ut?e ?I
• Energy Envelope Calculations Submitted ,j
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_?_ . .. -
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
-,?LM S B ?-T.A
-
ApplicanYs Printed Name
a&,,)?j &-iL-
Applicant's Signature
; • ,
2422 Enterprise DrIve
* PIONEER LpNOlURVEYORS•ClylL ((K.IN[EAS Mendota Heights, MN 55140
*ell9 nimer hg,.. LANpPLANNfIq.LANOlCqO[RRCHItECi4 (612) 681-1914
* Y 1T
Certificate of Survey tor. &"N?? COAfgAN }e
?
NORtH
. ? yD ?O
,•& ?
. e
O?? aL ? 5.
? ? ? 2? o (+ ?!o d?? ? A 2 •
895•0 ? \ '? ? Jy ? / ,?,.
.
? ? .• ,?h
}
?• b p ? . ? ,. 1?0 4ly _
_'?? ?.,....
F?GAN EPvC ?MtING UE'P°r
? 900.o Denofes exisfing elevafion DROPn?SED NOUsc?1 vaY-?nnrs
? 900.o Deirofes p?nposed e%vatron Lawesf Floor E'revofion sas.z
Denotes brvrna¢e i Ufili?fy Epsement rn of Blark E/evaf/on 8 9 z.2
-r-- Uennfes Droina?e ?"low I?rrows Gdrage Slob Elevalion 891. 9
o Deno'es monut?j'en f
Becr?-in?s shown are assumed o Denofes o1rPsef Hub
Lor18,BAI-ock' ?, CovF?vra?' PAss
DAK 7A couNrY, M?uNEsorA Subjecl !o easemenfs ifrecord
1 hereby eartllY ehst this ?urvey, plen or report wee !,Fpered by ma r under my direet e7124*?.
m duly Repisterad L.srW Surveye.
under lhe lew1 of 1he SU1e al Mfnneeoh. Deted thledey of u L A.D. 1,.2cale : lrnch+ L?QflEf ?
SI H L.S, REA. O. US91
115 89102•35 --•- R ERT P.
? - -
Date:
Gity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use //�
Permit*: 3V
I05.a5
*1 113
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
: esident'
owner
Site Address:
Name: 4M/it r 6A-/4- l9 -
Address / City / Zip: 6& L'/.mac/e
Unit #:
Phone:/- 4/S37 -9S S 2,
1-1/1)
Applicant is: Owner _- Contractor
Description of work: IL -Q r )
Construction Cost: ' O' - Multi -Family Building: (Yes / No
N )
Company: r: A!7APSc/MCA 2-r7c Contact: 04.0 7 /
Address: �6t'3 i/.(,z-filc ' Cil, ) City: /VQr i 8 reA.ncJ...) All i1
State: /
License #: i / ' Lead Certificate #: /'' 4��- F '/ -
Zip: "Sp:S �P
Phone: 6C7 7 V- s-Efl
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE Plans and supporting documents taxa;
<information may be classified as non-
cone
on cone uj
Phone:
Phone:
Phone:
ou submit ars considered to be.i
you provide specific reasons
the are trade secrets.
nation :.Portions of
eld pe
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 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
days of permit issuance.
Applicants Printed Name
uilding Code must be completed within 180
//Ll
Appli ' s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164818
Date Issued:10/08/2020
Permit Category:ePermit
Site Address: 582 Eden Cir
Lot:18 Block: 3 Addition: Coventry Pass
PID:10-18400-03-180
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Allan S & Gail M Barta
582 Eden Cir
Saint Paul MN 55123--390
(651) 454-9552
Rji Professionals Inc
6063 Main St Suite F
North Branch MN 55056
(651) 674-5158
Applicant/Permitee: Signature Issued By: Signature