4805 Eriks BlvdCITY OF EAGAN
View Manor Lot 2 Rlk 5 Parcel 10 78200 000 07
? street 4805 Erzks Bld. State Eag2r1,MN 55123
?.J-? ?.„: -
Improvement ' Date Amouni Annuai Years Payment Receipt Date
STREETSURF. L 1983 3687.77 368.78 10
STREET RESTOR.
GRADING 6 ? 19 2 1311. 5 87.44 15
SAN SEW TRUNK 1976 195.00 13.00 1
SEWER LATERAL (p 1982 4142.29 27 .15 15
WATERMAIN
WATER LATERAL 19 2 15
WATER AREA L Y 1 S
? Services 1982 15
STORM SEW TRK 19 2 561.00 37• O 15
STdRM SEW LAT 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
I WATER CONN, Alp _ _ e
BUILDING PER.
SAC , / -gf
PARK
CITY OF EAGAN
3795 Pilot Keob Road
Eogan, MN 55122
7nninn•
Address:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: -
No. of Units: leter No.: Connection Charge: -
zE: Aceount Deposit:
euder No.: Permit Fee: ?
agroe to eomply wleh the City of Eagan Surcharge:
rdinonces. Misc. Charges:
Total:
Y Date Paid: i
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pllot Knob Roua PERMI7 NO.:
Eogan, MN 53122 DATE:
Za^in9: No. of Units:
Owner:
Address:
Site Address: ' s !>1vc` I.? ii_i ,
Plumber•
I egrea to mmply wlth tke City of Eagon Connection Charpe:
Ordinanees, Atcount Deposit: _
Pe?mIt Fae:
Surcharpe:
Bv Misc. Charges: _
Date ot Insp.: Total:
IUU.UU
42 5. aa
15.')0
4916
EAGAN TOWNSHIP
6&0? BU DING PERMIT
Ownes ------ --- - -f------- ?------------------------ .............
Address (P=eseni) /s. .?...-_l.---'_--.-(----
Huildes ------------------------------------ _.--
Address ----- ------------------------------ ---
---------_.
DESCRIPTION
N° 887
Eagan Township
Town Hall
Dafe -_.??...'?o....-- L:.>
.................
5tories To Be Used
Far Fronf Deplh Heighl Est. Cosi Permii Fee Remazks
J
?r? • i r.ocArtox
Siseei. Road or other Desc:ipiion of Locaiian Lo2 Block Addilioa or Trac!
.?Z .?' / GV't^"' YfCti? ?
This permif does nof authorixe ihe use of slxeefs, rosds, alleps or sidewelks nor does ii give the ownes or his ageni
the righiio creaie anp sifuaiion which is a nuisance or which presenSs a hasard to the health, safely, oonaenience and
general welfare !o anyone in the communiYp.
THIS PERMIT MUST 8£ KEPT ON.THE P?iEMISE WHILE THE WORK IS IN PROGRE?S?.
?-J _......has permission io erec! a---------- ^'."?'?.`....... upon
This is !o cerlify. !hal--- -'-'----""-----'-
?_?--
the ahove deseribed premise subjecf !o the rovisions of the Building Ordinance for Eagan Towns p adopled. April 11.
1955.
- c? J/t*?-- I' --
.................. ........_ ... ......._._........--. Per -- ----- ? .................___........"g'-'.. p ..----""'-....-"-
Chairman of Tnwn Baard ? Buildin Ins ectos
?
RESIDENTIAL
5 0 BUILDINC PERMIT APPLICATION
GTY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtfOn Reouiramenb
• 3 registere0 sile surveys showing sq. fl. of lat, sq. ft. of hause; and all roofed areas
(20% maximum lat coverage allOwed)
. 2 copes of plan shoxing 6eam 8 window 5ae5; poured found de5gn, etc.)
• 1 sel of Energy CalcWatiore
• 3 copies ot Tree PresenaUOn Plan R b[ platted after 1/1/93
• Rim Joist DetaJ OpGOns selection sheet (Wdgs vath 3 w less units)
DATE S -r'Z,k - O oZ
RemodeVReoairReauiremenb
. 2 copces of plan
• 1 set of Energy Calculations for heated adAitions
. 1 sde survey (or exterior additions & decks
• Indicate rf home served Ey septic system for addrtions
VALUATION 4 5940 n O
SITE ADDRESS 48Cl 5_819'b MULTI-FAMILY BLDG _Y 2< N
TYPE OF
( d 7 k zo 0
FIREPLACE(S) _ 0 _ 1 _ 2
O S'
APPLICANT '4O(S=c\Wj'
STREET ADDRESS yW3li$ \(1EVQ0q'Z?. CITY C=S'CAI STATE KM ZIP rJ5?2,9
TELEPHONE #`1(oU-8(o0'l?W CELL PHONE #\0\_1'-SSLl'4q inlict FAX # Rto3-a1?1\- Ob0T1
PROPERTYOWNER7S'AJO?SS MC.DotJKL.?b TELEPHONE#VSI-InSb-0(e5I
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTa RULES 7670 CATEGORY l
(J submission rype) • Residential Ven6lation Calegory 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Meehanical Conhactor:
'Mcchanical system includes:
SewerJWater Conhactor.
_ Air Condiuoning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
- -- --- --- ° ------- ° ------- ------------ --- ° --------------------- °----------------- °---- - ° -- ° ---- °------° -------....
I hereby acknowledge that I have read this application, 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
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Barhs
Phone #
I,awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4l02
Fee: $90.00
Lot 2 Bik 5 PID #10-7,Unn-n9n-ns Sewer/water permit # J-y 0 ?4
Plat TwTN v7Ew MaNna Date _1011119_L_ Receipt# ?ff9 0U
CITY OF EAGAN
1996 SEWER & WATER CONNECTION CHARGES
EXISTING RESIDENTIAL PROPERTY
Sewer connection
Date pr 'ous
Receipt #
Account deposi
Sewer permit &
Subtotal
?
* Plumbing p&m
Tap 1;1?
charge (SAC)
paid
& surcharge
Water connection charges
000.00 Water availability charge (WAC)
! Date previously paid iom/si
Receipt # 27190
15.00 Account deposit
50.50 Water permit & surcharge
Water meter
$ 1,065.50 Treatment plant
20.50 Subtotal
* Plumbing permit & surcharge
Tap
Total
Sewer & water connection
Sewer ailability charge (SAC) ,000.00
Date pre usly paid Receipt #
Water availabi' charge (WAC) 760.00
Date prewously 'd Receipt #
Account deposit 30.00
Sewer & water permit an rchar 100.50
Water meter 107.00
Treatment plant 396.00
Subtotal / \ $2,393.50
* Plumbing p ?t & surcharge 20.50
Tap(s)
$ 760.00 Pd
15.00
50.50 Pa
107.00 Pd
396.00
$1,328-6o-
20.50
$ 431.50
* A plumbing permit is also required. It will be issued only to a p/umber licensed with the City or to
the homeowner if he is actually doing the work.
Property owner gt ? 91W5"q rn
Address 17C?6 S- t4L J ?
Phoneno. Y37~`f35a
Plumber c S?"?z- E
OFFICE USE ONLY
PRV /va
No. of taps n
Assessments X),m.e-A---
Waiver rJ?? ??
Lot Blk PID # Sewer/water permit #
Plat
50.50
CITY OF EAGAN
1996 SEWER & WATER CONNECTION CHARGES
EXISTING COMMERCIAL PROPERTY
Sewer connection charges
SAC ($1,000/unit)
Date previously paid
Receipt #
Sewer permit and surcharge
Subtotal
* Plumbing permit & surcharge
Tap
Total
Date Receipt
Water connection charges
Treatment plant ($396/SAC unit)
Water permit & surcharge 50.50
Subtotal
* Plumbing permit & surcharge
Tap
Total
Sewer & water connection charges
SAC ($1,000/unit)
Date previously paid Receipt #
Treatment plant ($396/SAC unit)
Sewer & water permit and surcharge 100.50
Subtotal
* Plumbing permit & surcharge
Tap(s) _
Total
The number of SAC units is determined by the Metropolitan Council Wastewater Services.
* A plumbing permit is a/so required. !t will be issued only to a plumber licensed with the City or to
the building owner if he is actually doing the work.
Property owner
Address
Phone no.
Plumber
OFFICE USE ONLY
PRV
No. of taps
Assessments
Waiver
10:35 MAR 17, 1999 ID: DAKOTA CpJNTY TEL N0: 4388518
Municipal Notice of Well Permit Apptication
Dakota CouMy Environmental Management Department
Watcr and Land Managcmcnt Scction
14955 Galaxie Avenue West
Apple Valley, MN 55124
Tel (612) 891-7011 Fax (612) 591-7031
DATE: March 17, 1998
T0: Tom ColbertlWayne Schwanz Fax t!: (612) 681-4612
FItOM: Water aud Iaad Management
RE: Well Permit #: 98-H134065
Municipality: Eagan
#33029 PAGE?
Well Type: Sealed
Enviranmevtal Specialist: Olsen
The Water and Land Management Section of the Dakota County Envirozmental Management Depamnent
has received the following pmmit application for the aell described. If you require funther review of ffie
application or if you have any questions or wncenos about it, contact the Environmental Specialist listed
above or our affice at (612) 891-7011. Ifthere is no response &om yaur affice wit6in 24 HOURS (exchiding
weekends and holidays), we will assume that you have no objedions to the issaance of the pecmit. Please
note thtt permit issuance is always condirioned on the permit applicant's observance of and compliance with
all applicable state, count3', and rnumcipal laws and codes.
Well Coatractor Kimmes-Bauer Well Drilling
Date applicatiom received: March 16, 1998
Atrticipated Drilling Date: I/ Time: -- -
Amicipated Grouting Date: Time: -- -
Prapetty Owaer: Harrison Benjamin
Well Owner: Hany Benjamin
WELL LOCATION:
PLS Coordinates: 1/4, se 1/4, ne 114, ne 114, Sec 33, Town 27, Range 23
Saeet address: 4805 En1cs Blvd
PIN Number: 10-78200-020-05
WELL INFORMATION:
Diameter: 4
Casiug depth 294
Total depth: 300
Sta[ic WaRer I.evel: 219
Aquifer: Unconsolidated Sediments
COriSMEN1'S:
Ly?,, ?f
r?
R-97% ppKOTA COUNTY 03-17-98 11:37AM P001 #07
Use BLUE or BLACK Ink
j For Office Use ~Z l
i Permit / ~2~ J 3
Ina
City of EaEdn
Permit Fee:
3830 Pilot Knob Road °~d11 1 1
1
Eagan MN 55122 FEB 1 1 Date Received: Z'_712
Phone: (651) 675-5675 j
Fax: (651) 675-5694 I Staff: l
2012 MECHANICAL PERMIT APPLICATION
Date:. 11 JAI Site Address: _4q. t' 1 Q I Y
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address /~City / Zip:
Name: t r l t?_ 1: _a t r'vin, L L Q_ License
Address: a(. 6 q (1J to 1 3 ( J!~.J City: & Y' I LP
CONTRACTOR
State: Mbf_ Zip: 5 c; Phone: ()(n .
Contact: 44 Q fn Email: 1 : m
New X. Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping T Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank L_ Install 1 _ Remove)
Other 60 t t'e.Y
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Eee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) hQ TOTAL FEE
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 45440002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora
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.
x A-4 (V1 WJ i I x C ~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
I For Office Use
C lt of Ea on Permit#: I
E
I Permit Fee: (ace-cc)
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 I I
I Staff:
Fax: (651) 675-5694 L -----------------I
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: a a i Site Address: 4F 0 L t` k S sS 1 a cvZ
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address /City /Zip: 'Q 5 `4 r ~S l 0c) e-o~ g S S ~oZ
Name: w Vh ~icense
CONTRACTOR Address: 10 C,6 (Q R S a S -f City:
State: hn V'" Zip: Phone: ~n - 3 G i
Contact: lot
A. ~ - Jr.- Email: Yr1 n" h (c„ 1` tMa, , ~C~
TYPE OF WORK - New V"2eplacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work: ) 1n ~ vJ tiJ % 1-- f 1,VC ~ 10 T~ + S .~~1M
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE Lawn Irrigation RPZ PVB)
Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add. Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5:00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.clopherstateonecall.org
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.
x Yv\,, k-~- w"y"a V\ x )---t -~4~ -
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use _I
Permit Win
City of EaEd V I Permit Fee: ' ~oD
3830 Pilot Knob Road I I
Eagan MN 55122 ~EB D 7 VA, Date Received:
Phone: (651) 675-5675 j Staff:
Fax: (651) 675-5694 I I ti
2012 RESIDENTIAL BUILDING PERMIT APPLICATION?
\Qs
Date: Site Address: Unit ~
Name: 1 d~~ ~('/'Q s ~0.~ Phone:
RESIDENT / Q
OWNER Address / City / Zip:
~~5r S .LPL V ,VQGZYt
01
Applicant is: Owner Contractor
1 /
Yl pp -t- h Q 1.1 S ,
Description of work: 4f /d
TYPE OF WORK GO
Construction Cost: Qo Multi-Family Building: (Yes / No )
Company: .5CkeL4GY, Wjmes Contact: Sy de, zzrL kz-i-e -
CONTRACTOR Address: xj, 9 9 ZO d City: h'aS t % n 4 S
State: 17JAJ_ Zip: _55b33 Phone: 6s1--25 7 - 32 y9
License 26 1931D Lead Certificate ,Nhl-- 169 7 7(o -1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
~YA1
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 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 trade secrets.
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.org
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 to Building Code m st be completed within 180
days of permit issuance.
x S4eye ►1 S C kJe w-
Applicant's Printed Name pp icant's Signature
Page 1 of 3
~S ~U307~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ 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 Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy G MCES System
Plan Review ~Cod:e Edition 6V ? AAC Units
(25%_ 100% t~) Zoning Gity Water
Census Code Af Stories Booster Pump
# of Units / Square Feet PRV '
# of Buildings Length Fire Sprinklers
Type of Construction Width / =dn
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
jl~ 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
4- Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
y
Sheetrock Erosion Control
Reviewed By: Building Inspector
W4 W
RESIDENTIAL FEES
Base Fee -asy 40 Sr "371 -JI
Surcharge
Plan Review ° ~Gt rG kd~,, %Q 2i,~JI~G, d 3 ~l"r'~ ohoD
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
s
~m 1L9' -lfm.rJL. LA
tif1,~
EAG AN
BY.
""IONS DIVISION
aX 5~-o
y£o"
r
s
_
?06-
T,911< 'S N411)
Use BLUE or BLACK Ink
I
I For Office Use
i6ty Permit #:I
Cof Eq, I - ~
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Staff:
Fax: (651) 675-5694 L -----------------I
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT / OWNER Name: ~)d c~ i dGf 9 5 7 /1~ Phone: A5 yo23` d ~i'~~
Address / City / Zip:
Name: rte- w i License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK - New _ Replacement _ Repair - Rebuild X Modify Space - Work in R.O.W.
Description of work: b ,
RESIDENTIAL
Water Heater
Water Softener Irrigation RPZ PVB) PERMIT TYPE
Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.org
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 ' of a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
W with ~thearov plan in the case of work which requires a review and approv o
l
x
Applicants Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
443 Lafayette Road N. MINNESOTA DEPARTMENT OF (651) 284-5005
St. Paul, Minnesota 55155 LABOR I ~ ND
VSTRY TTY: (651) 22
www.dli.mn.gov 97-4 98
i
5/31/2012
APPROVED FOR USE
Todd Frigstad
4805 Eriks Blv
EAGAN, 55122
RE: HYDRAULIC PASSENGER Elevator ID# ELV-1008451
S' e: Todd Frigstad
4805 Eriks Blvd
, MN 55122
Dear Sir/Madam:
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes &
Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before
they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your
facility and determined it meets requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING
PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the
ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of
the Minnesota State Building Code. Failure to maintain and perform the required tests may result in
revocation of the annual operating permit. Operation of an elevator related device without a valid
operating permit may result in an issuance of a "stop order" from the department and possible penalty of
up to $10,000. For more information see our website at: http://www.dli.mn.gov/CCLD/Elevator.asp
Sincerely,
CONSTRUCTION CODES & LICENSING
Tim Warren
State Elevator Inspector
C., ACCESS LIFTS INC
Dale Schoeppner, City of Eagan Building Official
ElFormCE2
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154135
Date Issued:02/21/2019
Permit Category:ePermit
Site Address: 4805 Eriks Blvd
Lot:2 Block: 5 Addition: Twin View Manor
PID:10-78200-05-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Todd D Frigstad
4805 Eriks Blvd
Eagan MN 55122
(651) 423-0443
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156602
Date Issued:07/09/2019
Permit Category:ePermit
Site Address: 4805 Eriks Blvd
Lot:2 Block: 5 Addition: Twin View Manor
PID:10-78200-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Todd D Frigstad
4805 Eriks Blvd
Eagan MN 55122
(612) 594-6951
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature