4845 Eriks BlvdCITY OF EAGAN Remarks ' -
Addition TW7-I7 View Manor Lot 6 Blk 5 Parcel lo 78200 06o o5
Owner/?l- Q<,A1" L. 1 I I Y.l AYiiE 0• h("-' ; _ Street 4845 ErixS Bl'PCi. State Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, Z 1983 3687.77 368.78 10 .;258/, 090 /( 3 Za /o /.,
STREET RESTOR.
GRADING 19 2 1311.5 87.44 15 96 /.IN o/ 3?o
SAN SEW TRUNK -:!50q ? 6 19>C.00 13.00 15 P?-d
* SEWER LATERAL 1.9 2
276-15
15
30 3"r, (.,
dl4o 3 20
10111S'S
WATERMAIN
* WATER LATERAL 15
WATER AREA Z 19$0 280.00 18.67 15 280.00 2
?
STORM SEW TRK 3 ;Zfl /Q /I 'Af5
STORM SEW LAT 1 82 1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 335.00 24038 4-3-81
BUILDIfdG PER.
sAC 525.00
PAR IC
CITY QF EAGAN WATER SERYICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: No. of Units:
Owner;
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Acwunt De
posit:
Reader No.: Permit Fee:
I ogree to eomply with the Cify of Eegan $urchorge: -
Ordinanees. Misc. Chorges:
Totof :
BY Date Paid;
Date of Insp,; i„-- ,
SEVIIER SERVICE PERMIT
CITY OF EAGAN
3.i95 Pilof Knob Road PERMIT NO.:
Engan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Add ress:
Site Address:
Plumber;
1 agree to somply with the Ciry of Eagan Connection Charge:
Ordinanaes. Account Deposit:
By
Dafe of Insp.:
Permit Fee:
Surcharge:
Misc. Chorges: -
Total:
o ?1 ?63
107?z ov oba 06-
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
v Construction Requlrements
3 registered site surveys showing sq. @. of lot, sq. il. of house; and all roofed areas
(20 % maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes; poured found design, etc.)
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted aRer 711193
Rim Joist Defail Options selec6on sheet (bldgs with 3 or tess urrits)
4TE (? a b ?
)B SiTE ADDRESS
MULTI-FAMILY BUILDING, HOW MANY UNITS?
;OPERTY OWNER e?S
PE OF WORK ??
'PLICANT?I.I?In l AA_rA `I'..'
)DRESS
\GER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
=nergy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Ylechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
ree: $70.00
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
applicabie State of Minnesota Statutes and City of Eagan Ordinan es.
Signature of Applicant
:rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softcner _ I.awn Spririkler
Water Heater _ No. of R.I. Baths
No. of Baths
VALUATION sboc
$ 157; )-?r
RemodeUReoair RequiremeMs
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• i s%e survey for extenor additions 6 decks
. Indicate "rf home urved by sepUc syslem for addihons
:3axI?_,FIREPLACE(S) _0 _1 2 J3_
? PHONE# J,
rn K ZIP CODE I Z
Updated 7l01
W!N oF Eacaia
3795 Pilot Knob i.oad
Eagan, Minnesota 55121
PERMIT N0. 103
The Board of Supervisors hereby grants to AAMm .r.i. Cn__TUC
_
Of 852$ Pi11.>4UT,y' A98., 1$T]1.8. 55y20
e wrr.r. Permit f-or: (Owner) A1 N18do¢'Y
at 16B5 Twin Vibw MaAOZ' ? pursuant to application dated
June 28, 1972
Pee Paid: 1110.dp Dated this 1IIth day of 194.2-.
.50 s/c
Buiid:ng Inspector
L/
TOWN OF EAGAN
3795 Pilot Knob Road
P:agan, Minnesota 55122
PERMIT N0. 95^
The Board of 5upervisors hereby grants to SteinteZ InC.
op shakopee, MN 55379
8egtit??ank &
a e$Po Pexmit for: (Owner) 1?7- :diedorY
at• Lot 6 Block 5 Twist View Y4ataor , pursuant to application dated
lt/25/72
Fee Paid; $10.00 Dated this 25th day of April , 1972_.
.5o B/C
Building InspecCOr
(oS t`fiv r'v'l V (Z°?-
RRECT5ON NOT'CE
DATE: cg 0?'" ;53
Address
Site Name
Telephone
Owner/Agent
Ordinance Nos. and Corrections - Correct 8y
Far reinspection
Eagan Oept of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
Dept.:
?
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...... ucQ
Addreu (P=esenf) ._::3:5.. f>..?...... ..? ,
.. ........... _...... .-'-'-"----...........
..--
Suilder .... ;5?,:r.,......./..a.C?t.?,s.?:s.s??.'',n...?.? .......................------
Addrecs
............................. lO ...............................
79 asscaI
N° 2663
Eagan Township
Town Hall
Dale ... ........a 7 .... ?a
To Ba Used Fos Froa! Deplh Haigh! Esi. Cos! Permi! Fee Remaslu
7 Jsn i??? I
LOCATIOIQ 7vT'
Slrael, Road os olhar Deserip!!on o! Loca!!on I Lo! Bloak AdBlilon or Trac!
Thls permit does not aulhor[se 4he uae of slreeia, roada, elleys or aidewalka
the :ight fo erea2e anp situafion which is a nuisance or whieh presenSs a hasard
general welfare !o anyone in the eommunitp.
THIS PERMIT MUST BE ?g)EPT N THE PREMISE WHILE THE WORK IS IN
This ia !o eerlify. !hal.....GL6:....?"?-?-p--?_-_?-_, ?... ?{.?...?............... ......hespermission !o esec
!ha above descrihed premise subfact to !he provisions of the Building Osdinanee
1955.
?
nor doea it give the owaas or his agent
!o the healid, safetp, oonveaienee and
PROG SS.
! e"" ' "'' • aZ7
. .'_ ?"' -_ °.` ........... upon
for Eaga Towas ip adapta April 11,
/(?°:??
.................... ............. . :' " ' . ................"'../.?:c.'`.-¢...."
' "J":u:,.-"?".°..?::?............._..............
-f - .......................... Per
Cha men of Tnwn BQ@rd Huil ding Inspecior?,
0?
MASTER CARD
?
OWNER
STRUCTURE AND 1 ? ??
IAND USED AS
•
•
Permit
No.
Issued Issued To
Con}ractor Owner
BUILDING
PIUMBING 9 I/ R
_ICr?d i?? 3?? '?-O a
CESSPOOL - SEPTIC TANK ?
WELL
-
?
ELECTRICAL
H EATI NG
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
&bK.
7g
Items Approved
(initial)
Date
Remarks
Distance From Well
FOOTING $EPTICfq' /?OD
FOUNDATION • ? CESSPOOI'? e-
FpAMING TILE FIEID FT.
FINAL
ELECTRICAL
?
HEATING
GAS INSTALLATION
? 13- DEPTH
OF WELI v
SEPTIC TANK
CESSPOOL
?I -rO_J
?
DRAINFtELD b/
PLUMBING ?.'?.• ?? ? ? I
W E LL
SANITPtRY SEWER
? a
Violations Noted
on Back
COMMENTS:
?
??iehls ?C?.0. ?
?
SrPricA J
r1
?
?-35
25 ?
? ?' Wfw I
i0?1
O
/vU' r-?'r???J (?F?.O
?i
"z t' ?", C.i f. :• ? 1 rYp /00' 9?'f?9Y?1
I li0% j '-f A,4:?C-- ?J'iv 6iac, ?Y P.
rt c-r.r" 3a" , /aLJi, s,IA21 ?.r^
?f?tc -
?
Q-
.q6
SRCtii
30 ' sEl-
RESIDENTIAL
BUILDING PERMIT APPLICATION `
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCcnaWetlon Ranuiremenb
• 3 registered sAe surveys shawing sq. R of lot, sq. ft of house, and all roo(ed areas
(20%macimum lot coverage allowed)
•-2 copies of plan shovnng 6eam & window srzes; poured found desgn, elc.)
• 1 set of Energy Calculatioro
• 3 copies of Tree Preservation Plan'rf lot plaHed after 711/93
• Rim Joist Oetai7 Oplions seledion sheet (bldgs wiM 3 or less unAs)
DATE f" ? - 12?3
RemodeUReoair Reauirements
• 2 coples of yan
• 1 ut W Energy CalcWations fw heated add'Nons
• 1 site survey fir exterior additions & decks
• Indicate A home served by seplic system for additions
? 8?
VALUATION I 9} J I g
/ p
SITE ADDRESS _? 6 _RI 1ZS F?LVQ • MULTI-FAMILY BLDG _Y ?A
TYPE OF WORK CJkNAZ)bw Ci- *ZSC50?,? R^?PL.P
kL'F(1f1rrAaFIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 1 5iS'7Q n!J f-=Q?
TELEPHONE #[`,_,-'5J-77JI 9H?CELL PHONE #
CITYI`nFYP 4te?o[?hSTATE?ZIP:?''in?
Fax # 6,-S?L-
PROPERTYOWNER QT-.SS TELEPHONE#y76?
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ! :14INNESOTA RUL1:S 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) . Residential Ventllafion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor. Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
-- No. of Baths ?70 FP r, r Tr' 7
C
Mechanical Contractor: Phone
Vlechanical system includes: Air Conditioning " ,-ree: •$70100
Hcat Recovery Syslem
Sewer/Water Contractor: Phone # -
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
OFFICE USE ONLY
is
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
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11,1)
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
IPermit #: 0
Permit Fee:
l,0
Date Received:
Staff: Ci✓V� G
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 12-- 3L ` 12-- Site Address: 1\47C --r---1*-- 148 `1 `' s 73) v k
Tenant: lir t ti'Pr\ € Suite #:
RESIDENT / OWNER '
Name: 11‘-A.O. ✓ )-e IA. 2 0 9 C s Phone: 6, S7 - 4 c L1- 776 6
Address / City / Zip: 6,6.,E _ v..AJ S 5 1 ?')—
CONTRACTOR;:.
Name: /Lw%/A 11 f ''fi//1., c, 64 ,'R , . »L 4C License #:
Address: P. C? : i cx 1-7 City: LA t< t) e II •e...
State: (vA t...) Zip: -S` b'I' 1 Phone: 9 C-1-9 &3 - // i 3
Contact: £ vZ. 7`- /Lu. / f. Email: --f Ck- U 1-1-`4‘ e Fie., ✓t rf .<e.. /IJ6% , /
TYPE OF WORK
New Replacement Additional Alteration Demolition
/)(
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. .,
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee (�,0-DO
_ $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
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.
X
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
For Office Use
r6r Permit#: 7 3D
E AGA N
Permit Fee: (/
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(c�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: d/)c, / Site Address: Y,40' y b=:c`,kris- 17i/a/- Unit#:
/� L
Name: (r Gr r- /7,—)._ �' 7f l L'11 6/// J Phone:4/) `774. Q )167
Resident! V
Owner Address/City/Zip: .,, ' k 14
Applicant is: Owner Contractor
Description of work: r'Ct'<1.(/c !� Q y
c{ .
Type of Work
Construction Costt: rid . Multi-Family Building:(Yes /No
n Company: /1//:r41 i •,L �V//Z?t!
/ . d-; Contact: °/-77 /r L' rJ n z�
Contractor Address:3JO'� /6/?"L a/2/11/. 7 City: "A1/99 L /<
Stater/ Zip j3`' Phone: I''` l/ / Email. //hr /41,-/r11A2ei�r <aa�
License#:6( L y 7 Lead Certificate#:1,4%-I'/S a V Cfrilf
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plops and supping documents that you=submitare considered to be pub .ln p Portions of the information may
classified as nonpublrp if you p)zivide spec reasonss4 "would permit the Citile eon . £;,:that they are tradeoecrets.
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.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.
x l.../i17 x ''
Applicant's Printed Na a Api ant's Signature
For Office Use 1 w�I
4 # J
� % 4. * Permit#:
/ `
4,444.4 .'`, RECIEVED Permit Fee: 1tf7, C2
MAY 2 1 2018 Date Received: � I (1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinspections(a�cityofeacian.com
Piei/VYNOCU
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 1 h
ii 6 Site Address: 41'6 115 &,/e-4 Ks' g I vo Unit#:
„ / i Name: �� j �.
�,// f --7
i,ii �;; �i�' Cid lO Oe tAb✓ lief Phone: 6 i� �t' `vZ
41,i,...:ig Address/City/Zip: /`a 95 Oat XS ( j )
i ��/�
/�/�'%�/' �,, Applicant is: Owner ontractor `�,,,/...._ �
1 , Description of work: �'l ���� +t
® e 1,6 0
i ii'%/ iii % 1
% ;. 0, Construction Cost: y(t Qb Multi-Family Building: (Yes /NoX_)
j',';', ”" Company: L.� Contact: c sse
'/ I !
Ott
,i/ Address: "-1& 0 LI 25111 U City: 61 Di S
° ,�I%�'�����' � State: MI{Zip: c�j q U 6 Phone:(9 11,-13032-'0 Email: Jti'�..Sc.-�,� k��:�v r �':v'l
4/ // �/ License#: D4400 r,C(iii-a_.--D5 Lead Certificate#: PAT. t 2.1 L9 -/
If the project is exempt from lead certification, please explain why:
I
L„--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
I
1 Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
h
Fire Suppression Contractor: Phone:
✓ ➢ e d® 6 d 4717®
_ & xfd1
s ✓ - d e r p a �/ 'z'''- ed . d i c �ds fd d a a: d s ¢ < . d
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.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.
x Jesse, Ktx`°lar` x f —
Applicant's Printed Name Applica nature
pp 9
L/PyC -i4---/ T3 VC/(
DO NOT WRITE BELOW THIS LINE (Y1D1
SUB TYPES
Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
�["Alteration _ Fire Repair _ Windows _ Demolish Foundation
T_ Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 94 0 (2 Occupancy irsj, LS, MCES System
Plan Review Code Edition vyc? 0 /y' SAC Units
(25%_100%\J) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction " Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required — ,, ''
Footings(Addition) 1.1(4.4- 1-)
Final/No C.O. Re uired
Foundation HVAC as Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: 11, , Building Inspector
RESIDENTIAL FEES V-14,6113_
���,_ �,
Base Fee
Surcharge IC
►✓'Li"
Plan Review
MCES SAC
City SAC 1 1 0 / ,00 0
Utility Connection Charge �� 2
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149370
Date Issued:05/18/2018
Permit Category:ePermit
Site Address: 4845 Eriks Blvd
Lot:6 Block: 5 Addition: Twin View Manor
PID:10-78200-05-060
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
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 -
Carolyn S Oeltjenbruns
4845 Eriks Blvd
Eagan MN 55122
(612) 730-3299
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149371
Date Issued:05/18/2018
Permit Category:ePermit
Site Address: 4845 Eriks Blvd
Lot:6 Block: 5 Addition: Twin View Manor
PID:10-78200-05-060
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 -
Carolyn S Oeltjenbruns
4845 Eriks Blvd
Eagan MN 55122
(612) 730-3299
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152947
Date Issued:11/09/2018
Permit Category:ePermit
Site Address: 4845 Eriks Blvd
Lot:6 Block: 5 Addition: Twin View Manor
PID:10-78200-05-060
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: 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 -
Carolyn S Oeltjenbruns
4845 Eriks Blvd
Eagan MN 55122
(612) 770-2466
Norling Home Improvement
3306 167th Lane
Andover MN 55304
(612) 518-2399
Applicant/Permitee: Signature Issued By: Signature