4624 Fairway Hills DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4624 Fairway Hills Dr
Lot: 4 Block: 1 Addition: Fairway Hills
PID:10- 25600- 040 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Clark W Marble
4624 Fairway Hills Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA085941
09/10/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAG
3830 Pilot Knab Road, P.O. Box 21.
, PHONE:454-81
BUILDING PERMIT
To be used for GUAGE ADDITION Est. value =3+000
? Site Address 4624 tAIR1iAY HII.LS OR
Lot 4 Block 1 Sec/Sub. PAI MY HI?
Parcel No.
W Name TIM IiIpCB
? Address 1060 NOIt'TNVIEM DS
0 City BI1GMN Phone 454-5971
:ko Name ??
ou
Address
City Phone
U?
WW Name
?? Address
<W City Phone
I hereby acknowlege that I have read this application and state that the
iMormatfon is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances.
5ignature of Permitee
A Bwlding Permit is issued to: MM HINCE
on the express condition Ihat all work shall be done fn accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Eagan, MN 55121
Receipt # '
,,,,e aCZ' ib
consc
. Tolal
Footprinis
Site Sewage
Site well
OH.
17187
1s89
OFFICE USE ONLY
M-i FEES
_ Bldg. Permit 54*?
9o
22-r
Surcharge 1 050
Plan Review
sac, city
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
SMI Permit
SMI Surcharge
Trealment PI
Road Unit
Park Ded.
1.50
Copies
s?000
TOTAL
Permh No. Permit Hoider Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commems
Foolings I
Foundation
framing
Roofing
Rough Plbg.
fiough Htg.
Isul.
Fueplace
Final Htg.
Fnal Plbg.
Const. Meter Pibg. Inspeclor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
WeU
Pr. Disp.
Site Address 4
Lot 4 Block
Parcel No.
fl8
cc Name sEASONAL HllILDERS, INC
3 Address 1060 MOR'tNVIELi D!t
° CitY EAGAN Phone 720-0652
a Name SArlE
C11y
?
ujW Name _
_? Address
Phone
Phone
I hereby acknowlege ihat I have read this application and state that the
iniormation is correct and agree to comply with all applicable,,gtate of
Minnesota Stawtes and City of E 8rdinances.
Signature of Permitee
A Building Permit is issued ro: SEASONAL BUYLDSRS. IM
on the express condition that all work shall be done in accordance with all
applicable State of Minnesola Statutes and City ot Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupanq A- 3 M=1 FE ES
Zoning R=1
(Actual) Const V?N Bldg. Permit 762.00
(Allowable) V-N
5urcharge 67.50
# ot Stories
Pl
R
i 381.00
Lengih an
ev
ew
Depth 3' SAC, Ciry 100•00
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints
On Site Sewage -
_
Water Conn
s?• ?
te We0 - Water Meter 90.00
c sys?em xx 30.00
Vater xC +4cct. Deposit
Required _ SMI Permit 20.00
ler Pump - 51W Surcharge 1'00
Treatment PI 228•00
iOVALS RoadUnit 340•00
?er - Park Ded.
cil
Ofl. _ Copies
174.50
3
nce - TOTAL j
,
,CITY OF ?AGAN A 17076
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
,.. PHONE: 454-$100 ? .. -
? Receipt # ?,v, -? 1:2
Permit No. Permit Holder Date Telephone #
WATER
h
SEWER
PLUMBING n ? ,` • 7 ?
61
H.Y.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
FrBming
Roofing
Rough Plbg. 6
Rc,ugh Htg.
Isul.
Fireplace /O
,t
Fnal Htg. N O ?
Fnal Pbg.
Const. Meter Plbg. Inspector - Notify Plum6er
Engr./Plan
Bldy. Finai
ZZAV
Ueck Ftg.
Dedc Final
Well
Pr. Disp.
Site
Lot.
m Name K, r? y rF
a Address
c City -f--
PERMIT #
MECHANICAL PEFiM1T RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
' BLDG. TYPE WORK DESCRIPTION
;ec/Sub Res New
; Mult Add-on
Comm. Repair
> Other
ne ,? '• -
? Name 16 . ! ?t ~ y r
t Address 't .
p Ciry Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
aner ?]?
FEE:
S/C:
TOTAL
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - t PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES !
TOWNHOUSE & CONDOS - RES. RATE APPLIES i
MINIMUM RESIDENTIAL FEE - ALL AQD-ON 8
REMODELS - 12.00 F
MINIMUM COMMERCIAL FEE - 20.00 E
STATE SURCHARGE PER PERMIT - .50
i
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000)
FOR:
: OF PERMIr
OF EAGAN
CONTRACT
PRICE
PLUMBING PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN,
Site AddJpss ?
Lot ?
For C
PERMIT # _
1 55122 RECEIPT #
DATE: _
Add-on
Repair,
.
2 I Address ?W v ?lty7_ ?
8 City
( FEES
-- COMMAND. FEE -196 OF CONTRACT FEE
i APT. BLDGS. - COMM. RATE APPUES •
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50rS/C PER EACH $1,000 OF PERMIT FEE)
. PLBG. C?NLY - COMPIETE THE FOLLOWING:
? FIXTURES
Water Closet - $3.00 TAL ,
$ T
'? G? ?
f3ath Tubs - $3.00
Lavatory - $3.00 c"
.60
Shower - $3.00 ?
iGtchen Sink - $3.00 "
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMin
Softener - $5.00
Well - $10.00
Private Disp. -$t0.00
Rough Openings - $1.50
PERMIT FEE:
STATES SIC:
GRAND TOTAL:
T1 ?-'
7"s- C)
?
?- f! `C
?
CONTRACT
PRICE
11
3830 PILOT
Block
For Offic
PERMIT # le
, MN 55122 RECEIPT #
DATE: _,L
bG.j"E WORK
S. New --?
nm. Repair.
GOM ND. EE -1% OF R EE
APT. B .- COMM. RATE P g S,
TOWNHOUSE & CONDO - RES. E APLLIE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM.IND./FEE
STATE SURCHARGE PER PERMIT
(ADD $,50 S/C Pp EACH $1,000 OF PERMIT FI
EAGAN
?
FIXTU RES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
KitcFien Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray - $3.00
Fioor Drains - $1.50
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
sraTEs sIc:
GRAND TOTAL:
FOLLOWING:
$ .°T'b
?
?-
?
??-
?
10
• ?? i
i
d
? u ?terf?ftra#r uf Orrupaury
titp of (Eagan
EQ#tMrtUiPtlt IIf llidbtrig JIm}1Pt11Qtt
77iis Certicate issued pursuant to 1he requirements af Seciion 306 of the Uniform Building
Cod'e certifying that at the time of issuance thu structure was in compliance with the various
ordinances of rhe City regulating building construction or use. For the following.•
ux cm?r.aon SF I7WG/GAR aiag. Rro,it ro. 17076
occupa-r Tr? R3/M1 Zonin6 Dislrid Ri Type const. VN
FALRWAY 1-iuLLIS 1 ST
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CiTY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
9/a/s9
OFFICE USE ONLY
METER #q/E n 1_6 PERMIT DATE 9/ 15/B9
CHIP # Q O PERMIT # 1 pR4$
METER SIZE B.P. RECEIPT # C 31377
ISSUE DATE /o -1547B.P. RECEIPT DATE 9/15/89
- PRV - BOOSTER PUMP
SITE ADDRESS I
LOT -_BLOCK SEC/SUB
' PERMIT REQUESTED
42 s s T_ dd.
APPLICANT: Seasona1
ADDRESS: flFG norf' ;-T J_e-,!
CITY, STA)?E,
ZIP - ? •
PHONE:
PLUMBER: ti? ,; . -i -fiumb ir1 t^
ADDRESS:
CITY, STATE i'T ii? ?? : v? ?.:.a , . ZIP -'
PHONE: - - - -
OWNER: UQ??,Qnal Builaers .l.nc.
?v
ADDRESS: ilor th-vi ela Jr.
CITY, STATE r - , - •?
ZIP "
PHONE:
- SEWER _ WATER _ TAPS
- COMM/IND - RESIDENTIAL
_ NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL N T be giv en16r Detluct Meters.
TO COMpL.Y WITH
WHEN METER
PLEASE ALLOW T1N0 WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERMKi DEPT.
_ ? r!' ?-'`'r ' • ' , - .''. ' .
CITY OF EAGAN NO 1718 7
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 r
PHONE:454-8100
BUILDING PERMIT ' Receipt # -0,
To be used for GARAGE ADDITION Est. Value $3 ,000 pa1e OCT 16 1989
Site Address 4624 FAIRWAY HILLS DR
Lot 4 Block 1 Sec/Sub. FAIRWAY HILLS
Parcel No.
= Name TTM HTN( F.
o AddrBSS 1060 NORTHVTFW DR
City F.aGAN Phone 454-5971
?o Name 5AME I
g? Address
? City Phone
l3w Name
Y,Address
aw City Phone
I hereby acknowlege that I have read this application and slate that ihe
inlormation is correct and agree lo comply wilh all applicable Slate of
Minnesota Statutes and City ot Eagan Ordinances.
Signalure oi Permilee - 67• 6?
A Building Permit is issued to: TIM HINCE
on the express wndition that all work shall be done in accordance wilh all
appliwble State of Minnesota Statutes antl Ciry of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy M-1 FEES
Zaning _
(Aduat) Const - Bldg. Permit 54.00
(Allowable) -
0
Surcharge 1.5
8 of Slories -
Length 91 Plan Review
DaPth 22' - SAG Ciry
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site well - water Meter
MWCCSysle -
Acct. Deposil
i
Ciry Water _
PRV Required _ S/W Permil
Booster Pump
I - 5/W Sumharye
Treatmenl PI
APPROVALS Road Unit
Planner - park Ded.
Council -- 1
50
9Idg.Ofl. _ .
Copies
Variance - TOTAL 57.00
CITY OF EAGAN I N2 17076
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? ? _7
BUILDING PERMIT : ' PHONE: 454-8700 Receipt #
Tobeusedfor SF DyTG/GAR -Est.Value $135,000 Date SEP 15 _ 19$9
Site Address 4624 FAIRWAY HILLS DR
Lot 4 Block 1 SeGSub.FAIRWAY HILLS 1S
Parcel No.
I., IName SEASONAL BUILDERS, INC I
o Address 1060 NORTHVIEW DR
City EAGAN Phone 720-0652
o Name SAME
?? Address
? City Phone
"w Name
?, -, Address
aW Ciry Phone
I hereby acknowlege thal I have read this application and sta[a that ihe
in(ormation is correct and agree to comply with all applicaGl tate of
Minnesota Slatutes and City of E 46rHinances. 906
SignaWre of Pertnitee
A Building Permit is issued to: SEASONAL BUILDERS. INI
on Ihe express contli[ion ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Otticial
OFFICE USE ONLY
Occupancy R-3 -ki_1 FEES
Zoning R-1
(ACtuaq Cons1 V=N Bldg. Permit 762.00
(nllowatle) V=N
Surcharge
E17.50
# of stories 381.00
length 56 ? Plan Review
Depih 36 ' SAQ City 100. 00
S.F.Total - SAC,MCWCC 575.0O
S.P. Footprints -
On Site Sewage _ Water Conn 580. 00
On Sile Well - Water Meter 90.00
MWCCSyslem -XX_ 3?
0?
Ciry Water X Acct. Deposit .
PRVRequired _ S/WPermit 20•00
Booster Pump - 5/W Surcharge 1. DO
Treatment PI 228.00
APPROVALS RoadUnil 34n.o0
Planner - park Ded.
Council
BIdg.Ofl. _ Copies
Variance - TOTnL 3.174.50
I? 6 ?i 0 5 ?--
R st Date
J?
? ? Fre No. Rou - Inspection
Rey
? O No
? Ready Now p-WlrNolity Inspedar
When Ready?
I[icensed contrac[or ? owner hereby request inspection of above elecirical work at:
JobA (Stree BOZ Rou No.) City
'on No. ownship e or No. ange No. Cou'dy
?gant? I? L
I
L DG Phone o.
PowerSU e qtlGress I
Electricel Contractor (COmpany ame) I
? ntractor5 LiCensa No.
Meilirg AOtlress (Conlracbr w D
D er Makng Installatbn) I
AuNOnzed Sgnatme (Cantracto?/O.mer Malting I?ialletlon)
(-? Phorie Numbe?
^
MINNEWTA4TA7E BOI1R0 OF ELECTRICITY THIS INSPECTION flEq1E5T WILL NOT
GrIB85-MlCway Bltlg. - Hoom S1'l3 ? BE ACCEPTED BY THE STATE BOARD
1821 Univ¢rsiry pve., St Paul, MN SStOA UNLESS PROPER INSPECTION PEE IS
Plume (812) 602-0800 ENCIASED.
REQUEST POR ELECTRICAL INSPECTION eeo00ma7
F ?? See instructions tor completing this brtn an beck of yalbw copy. /7. /?J
:`C" Below Work Covered 6y This Request
6,9105 I ?s?
ew dd Rep. TypeofBuildinq AppliancesWired EquipmentWired
Home Range Temporary Service
r Duplex Water Heater Electric Heating
Apt. Building D r - O[her (Specify)
Comm.llndusirial Furnace
Farm Air Conditioner
OMer (specity) Conireclor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEMranceSize Fee # Cirouits/Feeders ee
Swimming Pool 0 ta 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amp I Above 100 _ Amps
SiynS Inspecmr5 Use only: TOT S d
Irtigation Booms 'OD
Special Inspection
Alarm/Communication i
Other Fee
I, ihe Electrical Inspector, hereby R°"9n-?n la
certify thatthe above inspedion has
been made. p;,,ai
OFFICE USE ONLY
This request witl 18 monMs from
a 11?98
,c '/ ' ?9a
R u¢s Date "
2-
? ? Fiie No. Roua in Ins Bdbn
Reaui Dtl?
as G No
Now ? Wiil Notity Inspecla
When Reatly?
I nsed contractor O owner hereby request inspection of above electrical work at: -
Job Atl ss?{$treet, x o oNe No.? ?
YJ
r
City
?/ / ?
6?
r/ /V
Section No. Town ip Name w No. Fa 0. I COUnty
Occupanl INrI
S o?t/
? Ph0 No.
s
Power Suppiier Atltlress I
I
EI ct cal ConVa tor (Cy n Name? I Con clor ?
! l
Ma 'n tlr (C or ner aking Inslail i0n)
Rv)p I
Auth izetl Signet e (GOnVa mrl ne M king Installetion) Ph n m
NINNES Tp TATE BDAqD OF ELECTFICITY THI$ INSPECTION REOUEST WILL NOT
Grigga-Mltlway 81dg. - Roam S173 BE ACCEPTED 9YTHE STATE BOAPD
1821 UnlversNy Ave., SI. Poul, MN 551p0 UNLE55 PROPER INSPECTION FEE I$
Vlwm (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION °"?, ee-ooom-oe
? Sre insVUCtions for completing this lorm on back ol yellowicopy .7?? 990,?, x
w 11 098 "X" Beiow Work Covered by This Request
ew Atltl Fep. TypeoiBuiltling AppliancesWired EquipmentWired
Homa' Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Building Dryer O[her (Specify)
Comm./lndustrial ' Furnace
Farm Air Condi[ioner
Other(specity) ConVac[or§ Vinaric;.
Compute Inspection Fee Below: ?
8 Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 m 100 Amps
TranSformers Above 200 _ Amps Above 700 Amps
SignS Inspecmr5 Use Ony: Oc, TOT
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO NS.
I, the Electrical Inspector, hereby RO09n-in oa
cenify that the above inspection has
been made. Final
OFFlCE USE ONIY
This rtquesl witl 16 moMhs Imm
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN ?
? 3830 PILaT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys showing sq. ft of lol, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 cropies of plan showing beam & window s¢es; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree PreservaGon Plan it lot plafled after 7/1193
• Rim Joist Defail Options seleUion sheet (bldgs wilh 3 or less units)
DATE
SITE ADC
TYPE OF
APPLICANTT
A
STREET ADDRESS
TELEPHONE
CELL PHONE FAX #
5 s'
n ? ?/ 1
PROPERTYOWNER Z/?.PitwXn TELEPHONE#? / %?7u'?3J 7
----------------- U----- z ......... ------------------------------------- ------"""'_""_"
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(d su6mission type) . Residential Ventilation Category 1 Worksheet SubmiUed • New Energy Code Worksheet Submitted
• Energy Envelope Calcuiations Submitted
Plumbing Contractor: ____
Plumbing systcm includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
2 8 2002
$70.00
--------------•---°---------------------------------------------------------- --------------------- - - - -
I hereby acknowledge that I have read ihis application, state that the inf g agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' s. <
Signature of Applicant
.................................. .._..................... -- --.... '------------------°°--°---------- °°
? OFFICE USE ONLY
Water SofLener
Watcr Heater
No. of Batlis
RemodeUReoair Reouirements
• 2 copies af plan
. 7 set of Energy Calculations for healed additions
• 1 sile survey for exterior additions & decks
. Indicate'rf home served 6y septic system tor adddions
VALUATION ?Z 7o• ?
Phone #
_ Lawn Sprinkler
No. of R.I. Baths
ULTI-FAMILY BLDG _Y \YN
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Fce: $90.00
1???T ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation 0 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demalition (Entire Bldg anl» - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stacco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Re[aining Wall
Approved By
Base Fee
Surcharge
Ptan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
SINGLE FAMILY DWELLIIiGS
2 3ETS OF PLANS
3 REGISTfiRED STTE SIIR9EYS
1 SET OF ENEHGY CALCS.
1989 SDILDIBG PERMIT 9PPLICATION
, . . CITY OF EAG6N
?
lIITI.TIPLE DiIELLINGS
2 SBT3 OF PLANS
REGISTERED SITE SII&PEY3 -
(CHECS T+TlTH BLDG DIV. )
1 SET OF F.NSAGY CALCS.
MJLTIPLE DWELLINGS AEDiTAL QNITS FOR SALfi IINTTS
COI44ERCIAL
2 SETS OF ARCHI7ECTORAL
6 STEDCTQRAL PLAN3
1 SET OF SPECIFIC6TIONS
1 SET OF ENERGY CALCS.
# OF iTNTTS
NOTEs ADDRTsSSF.4 FOE CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE iiHICH ADDRFSS
IS DFSIRED. NO CHANGF.S WII.L BE ALLOflED ONCE BOILDING PERMIT IS ISSOED..
SEfiER 8 A9TER PERMIT FEES 9ND ACCOIINf DEPOSIT FF•ES UTII.L HE INCLIIDED WITH T8E HIIILDING
PEHMIT FEE. PROCESSING TIME FOR SEWER AND W9TEA PERHITS IS TWO DAYS ONCE 9 PERMTT H9S
BEEN COMPLETED INDICATING 6 LICEN3ED PLOMBER.
PLNALTY APPLIE4 WHEN: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQBESTED.
LOT CA6NGE I3 REGIIE3TSD ONCE PERMIT IS ISSIIED.
AS'IA.E=klNE"tb
2 a
To Be Used For: GA?7A•6?E A'?1?9h1, paluation: J?OC) Date: d?T ??? ? g$ 1
Site Address yL vl q -f AiRwrJ
/ /?', c.c..5' t9K
Lot ? Block /
Pareel/Sub -FRiRwAyf LLS !
?
Owner Tj m h? lvv C?
Address lo &v ? pf- i FI ? 1? w 4)?
City/Zip Code F,41?-P4` Phone zl ?y S ? ? ?
Contraetor T, v,-l H', -,j c f
Add[`ess lv Gz? QA
City/21p Code E .?5711
Phone u0 -Z-1
Arch./Engr.
Address •? 13 1 L.R,
Occupancy
Zoning
Aetual Const
Allowable
8 af stories
Length
Depth 22 ?
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City aater _
PRV required _
Booster Pump _
APPROVALS
Planner _
Couneil
Bldg. Off. ?
?Vfv^iance
'
FEF.4
-?y•o0
Bldg. Permit
Sureharge ?O
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aeet. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
St1BTOTAL
Penalty
TOT6L 5 ,od
City/Zip Code
Phone # J? 5 3 76 7O
GAA
Gx22 a
l? ? '? ?s = 2 9?? o
?oD
?
AV ,
3IHGLE FdHILY DiTELLINGS
2 3EfS OF PL6HS
3 REGISTERED 32TE SDRVEYS
t SET OF EAERGS CALCS.
1989 BIIILDIIiG PERHIT APPLICAYION
CTTY OF EAGIN
110014
!lJLTIPLE DIiELLINGS
2 3ST5 OF PLiN3
HEGISTfiRED 3ITE 3DAVEI3 -
(CHECB iiI'PH BLDG DIV. )
1 SET OF EREAGI C1LCS.
COlS1ERCI9L
2 8ET5 OF IACHTfECfUAAL
i 3THOCTQRAL PLANS
1 SET OF SPECIFIC9TIONS
1 SET OF F.IPEAGS CALC3.
MJLTIPLfi DiIELLINGS BENTAL UliITS FDA SALfi DNITS 1 OF II6TT3
10TEt IDDAFS3ES F09 COAIQER LO'IS - COIPfRlCTOA/BOMEOWNEA !a3! DE5I6BATE fiHIC9 IDDHESS
IS DFSIA£D. !i0 CBANGFS iiII.L HE ALLOiTED ONCE BOII.DING PERHIT IS ISSDED..
SENER 6 AATER PE!@SIT FEES AIQD ACCOUAT DEP03IT F6E4 iiII.L 138 INCLODED i1ITH !SE 80ILDINa
PE[MIT FEE. PAOCFSSING TII'IE FOR SEWEA LAD WATEA PERMIIS IS TWO DlYS 0NCE A PERMIT H6S
SEEb COMPLETED INDICATIAG A LICENSED PLU!ffiEA.
a
$EP 0 g 1980
To Be Used Fors single familjr Valuation: Date: 9/'/89
S3te Addt`e99 V'24 j4'htu/kl OFFICE OSF
1'?S CQn
Lot 4 Bloek 1 Occupancy
2oning 2-i
Parcel/Sub rairwa:1 hills 1 st additio Actual Const v-N
Allowable
Owner Seasor.al Builders inc 1 of atories
Length
lddress 1060 ?!orthvievr dr Depth 3c'
S.F. Total
City/Zip Code '%agan, Mi1. 55123 Footprint S.F.
Phone 720-0652 On site aerrage
On aSEe well
Contractor Seasonal Builders Inc, tiWCC System t--
City vater ii
Address 1060 Northtiew Dr PRV reqvired _
Hooster Pump
City/Zip Code Fapan, r'In.55 123 _
lYPAOYALS
Phone a54_5971 Planner _
Couneil
Arch./Engr. ,7nhn - Rra?tlAZ? Bldg. Off.
Yariance
Address '-lymouth, iuin,
Citq/Zip Code
pbone # 553-9670
FF£3
Hldg. PermiE
Surcharge r17.jO
Plan Reviesr -6 I.o°
SAC, Citq l
SACt HWCC 5'1?
Water Conn S'Rp,00
Water Meter 40,00
Acet. Deposit gn,a-
S/A Permit ao,00
5/H Sureharge l., n
Treatment P1. 22%•a'
Aoad Uait v o?
Park Ded.
Copies
SQBTOTAL
Penalty
tOTAL
0
VA Lu,4Tlott
x2z= 6?0 .?. ?, ?a ??
ll
S r`l X I 5=??t i o
r,
??-
?'???i?= 6?L
iz y. .?L = 31 z
?
I 8?f X 1?-I = I???c
PGrzL,"
9 x/c
IS7- F-L,7,co?-
k? 5 rvi i= cl `3 ?(
?X6
6x
I So ? X?= 5y3.S?
'? N7 ?u?,a R
F? s tMrT- _ qy,- (
??6 = IZ
?--
6
( u `? ?-I X S-z) -
??3 3
I 1
CLAIM VOUCHER - REFUND REQUEST
CITY DF EAGAN
CLAI*SANT THOMPSON PLUMBING COMPANY
ADDRESS 12201 MINNETONKA BLVD.
MINNETONKA, MN 55343
Location
Iteceipt No./Date
Reason for Refund
Type of Refund
4624 FAIRWAY HILLS DRIVE
L4. Bl. FAIRWAY HILLS
94180-9/25/89
DIIPLICATE PERMIT
Electrical Permit
Plumbing Permit
Mechanical Permit
Surcharge
Water Connection Permit
Sewer Connection Permit
Account Deposit
Utility Account Over-oayment
Other:
01-3211 $
01-3212 $ 45.00
01-3213 $
01-2155 $
20-3713 $
20-3743 $
,
20-2252_ $
20-2250 $
$
S
TOTAL $ 45.00
I declare under the penalties of law that this account, claim or demand is ,just and
that no part of it has been paid.
OCTOBER 17, 1989
Signature Date ?
=G
?y';ohn Braclley
architecturai consulta?nts inc. ,
' ?. OOOB aw ST. O.t_ 03el0, YN..06E69 nt_tai,z?-u?-?rrs..__ ._.J ?
EXTER OR ENVELOPE AVERAGE "U" COMPUTATlON
. . Pron " 7-so- 9oq Dare . ? .r-^ ? a A -?
... 1 1 1 _ 1-- ' A.
_ 1 A
ControCtor? 1!S-Ef+sor-J RL.- 61- 0 9- s, ` I
Site Address:
1)TOTAL EXPOSED WALL AREA Z84' ? sq. ft i?U 0' 11- 3? 2.6
2) TOTAL EXPOSED ROOF/1bEILIN(i AREA 'sq. ft. x'U'=?(a
WALL AREA CALCULATIONS: ;
TOTAL WINDOW AREA 7,41 sq.Ft.xt Uto•
. GLAZED
TOTAL DOOR AREA .
TOTAL GLASS DOOR AREA
GLAZED
TOTAL fIREPtACE WALL AREA
TOTAL WALL FRAMING AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA(EXPOSEO)
TOTAL FOUNDATION WINDOW AREA
38 sq.ft.z'U" -07 = Z.-7
38 sq.fLx1 U--•S<'= ?3,3
-38 sq.ff.z"U", 3 `= r 3•7
Z f 4? sy.ft.z'U"' C+8
9Z 9 sq.ff.z'U': O 1;L=
7-47 sq.ft.z U" ?C) 4= ?-9
sq.ft.x'U"??= 1 S.g
sq.ft.z-U-'
3)TOTA 39.s
_. _ ? .
_ li item 3 ls the same as,or less ihan item l, you hove met fhe intent of
2 MCAR 1.16008 A ond O.
,
ROOF/CEIUNO CALCUlATIONS,
TOTAL SKYUGHT AREA
TOTAL ROOF/s.EILING FRAMING AREA
' NET INSULATED ROOF CEILING AREA
q.ttz'U"
J ?7 sq.nz'U"•oZ?s Z.B
9s 9 gq.n.x u".?.1f zi.
?4)TOTA . '3.
If ifem 4 fs fhe same as,or fess ihan item 2, you have met the infenf af
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESION
To utilize fhe total envelope system method, ihe sum of items 1 and 2 sha/l 1.
' be yreater than the sum of items 3 cnd 4. ?
+2) _
.__3) +41 =
1 here6y cerNfy that Me bufldtnp here described meefs or exceeds Me State of Minnesota
Enerpy ConservoNon Act.
(sfgned) ? ?? -
`. • , ? .
,. ;
?'? . . .. _ CONSTRUCTION
. .._JrEIUNG-SECTIONAINSULATED).....-------.. _.. ....... __.._.-'
' (1 Interior ofr film 0.61
_i
. ?--'-AZ
: 4 ?- ? 44? __:.__...
---
__, ..
3 __?s{ exterior cir film (sfill) 0.61
.,
TOTAL ii?.i7$?
- - ---?
..
. -- -'•- -- .
- ?J U=J%Ji?
. -CEILING FRAMING SECTION :.--
t? A? 5 j_I tni rior a(r film 0.61_
2 _{2 ?8 '&rcrrr?crc . Sle _ _ . ..
FLOW
I
VENTED l""`
, (q interior air film 0.61
{5 Swz inches of soft wood 4.SS ___.._...
TOTAL R 32r. ? 3 -
_. . ,.. . _U _ .I/R?D2lA
VENTED
-CEILING SEC710N (INSULATED).
lnterior oir film 0.61
- j2
- (3
exferior air film (stiH) 0.61
TOTAL R
-- ? - --- - -
? U = 1/R
;_CEILING FRAMING SECTION _
ji.interior oir fi)m 0.61 _
- --?E
-j3
(4 interior air film 0.61 _ (g in'ohes of soff wood
TOTAL _ R _
-U--' 1/R
EXPOSED BEAM CEILING SECTION - (j Interior olr film 0.61
(2 ' . _...
{3
(4- - -
,. ..
(5 exterior air film 0.17
...... TOTAL. R
---._
, L =J/R --...
Yi
?
• ?
RAMIN3 BECTION
I ??enM?s of sofr wooQ (??? '
? =?.?tz ? ??h?tfi z ,C?Es i
; exterio? oir /iJm 0.17
TOTAL R ? ? •?I'
U = 1/R.'G '
9ECT10N (tNSULATED)
Intalor oir tilm 0.68
; I?ZP?slt 6 45P.
( ex}e?ior ub (ilm 0.17
ST SECTION
'nfeii ir /!im TOIAE' ? iZBv. I
U' -'Ar?AlR
.
`
? 0.68
; b?
? 1.09
; s:tnia air tilm 0.17
' TQTAL R ?
U • 1/R #D
TlON SECTION
intorfo? air Itlm
4,a
IZ c, e+.+c' : ( .2g
, t:Nrfor air film x? i .
0.17
TOTAL R
• V
, _....-?a, .
. ?
?
f
. . , . .. .. . .. . .. ?..
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pcrtni[s m required for each unit
Date (p / d / 0-7
SiteAddress ?as Unit#
Property Owner (_;Q,(/i4.k--/[!"r/Rl,f/]- Telephone # ( (p
atanr: ' •
Contractor ONEIDUR
"
NFIIING [Olm!lIOAWG
Street A( 1904 Vermillion Street CitY
Hastings, MN 55033
State
Telephone #
i
Bond #: fl LX S? ???o r?- Expires: S? d-7
The Applicant is _ Owner V ConVactor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
v furnace _Additional V/Replacement _ New
/ air exchanger
i
diti
?
a
r con
oner
heat pump
other
State Surcharge 0
Total $ so . cv
I hereby apply for a Residen[ial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
6e in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; [hat I unders[and this is not a
permit, but only an application for a permit, and work is not to start without a permit; [hat the work w' 1 be in accordance with the
approved plan in the cue of work which requires a review and approval of plans.
?leg sv1 tatx)Y?Lr,?e. Is? 0 M IS D
Applicant's 43rinted Name Applic 's Sig ture ,1UN 1 2 2007
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT 4,BLOCK __L, FAIRWAY HILLS IstADDITION
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=30'
"The uaderolgned here6y ccr[1(les [o NUNYCOR Sevinge Bank, F.S.P. and
Che[ the prfn[ of eurvey torrectly ehovn the premleee
Jencrlhrd on thls eurvey and [6e loce[Lon of eny and sll Euildiny,n,
structuree and other lmprovemen[s ei[unted on the sald premlxex, •L1
apPllcnble setbeck llnee nnd all-ensemen[a, rlghu-of-wny and other
encronchments on or trom tlie prewtees [he[ arc knov to the unJeretgned,
tha[ are vlelble on the prenises or that ate of. record."
L`?T y lS88°47' >?5' ? 141.20 N
L,?45,
?.GO ?.00 yl l
1
r 9
W Q
I? p
x tfj r
a 24 1%00 O tr5
c?1 I , I W
a? ?
? ? LOT 4I ;
? N.Y. I L Z J
3
Q I?o ?i [a4R j I W-
I} N? I i¢ ? O
Q O`1 i? 22 ?--J3? x11 I ? N
'0411? l0'0
1
y? 3?.Oo 9ro.oo in
?°'? S88°47',R9"E
> 101 .e 141,20 ,ag"
,
"N;;=?
?-30
^ _, ?_Vrf ^? H y ?,••r a??? 4'? ?
f.
?7 , `e ; a .: Pr.a rt
L0 T
EAGAN ENGfATEERIIV(g DEPT
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOO HUB SET
i033•» DENOTES EXISTING SPOT
ELEVATION
Cro3?. °) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby ce?fity tAaf this survey,plan or
rsport was prepored by me or under my
direct supervision and that 1 am a duly
Repistered Land Surveyor undor fhe
Laws of the State of Minnesoto.
PROPOSED El1LL SASEMENT NO WALKOtJ7
INVERT ELEV<1TION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION =
PROPOSED FIRST FLOOR ELEVATION = i =^
PROPOSED BASEAAENT FLOOR = io 25 _-
E LE VATI ON
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH,
FINAL HOUSE PLANS
Bradley J. ?rWson, Mn. Rep. No. 15235
Date -
TRI-LAND C0.
SURVEYING SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
SEASONAL BUILDERS
LEGAL DESCRIPTION: LOT 4,BLOCK I, FAIRWAY HILLS IstADDITION
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
SCALE: I"=30'
"The iinderslgned hereby ccrtfflee to MUNYCOR Sevlna• lank, F.S.R. and
thnt thc print o[ survey torretUy diove the prew(ees
dcacrlhrd on thls eurvey end [he loce[1on of any and •11 DutlAlnpe,
R[[11tLUfPB and o[her improvemen[s sltuated on the ¦sld preminen, all
aPPlltnble ?e[bntk llnea and ell•eesenenb, rlgh[e-of-vnr and o[Acr
encroachmente on or fron Uie prmtsee tlwt •re knov to [he underelgned,
thec ere vlelble on dte presioes oc tha[ •re o[ reao[d."
? l T
? Ll? 1 3
w
4.
M
q q1 ? 141.20 ql
102 10 "N.QO ?.OD M gl
? t0
p ?~ ` 0
Q 1? r 26 1p,tl `p.? I ? 3S ?
S I a OD
lo"P ? N RioPcsaD VI
? ? Hous6 x
? ? LOT 4I ?
:tl ?
`w-
Q lio C+4R? 1u - '
ia' c ?
?
r° I N
I Q 0
,p911 0
Q a+ y ,y1 31.00 34c.m ?n 11
LL° S88°47`59'.E >,o' ; 141.20 ,?+3
m
m
4i I 1 T
?a L.L? 1 v
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
i033•» DENOTES EXISTING SPOT
ELE VATION
(to31. °) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 Asnby cerfify that this siuvey, plan or
reporf waa preparsd by me or undsr my
direct supervision and that 1 am a duly
Raqistered Land Survtyor under ihe
Lawa oi the Stote of Minnesota.
PROPOSED FULL BASEMENT NO WALKOUT
INVERT EIFVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION = i 0-
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. 11114*4son, Mn. Rep. No. IS235
Date
s0o
For Office Use •
° ° s
`, 4: 9 :::::'
EA t).V 1
A
N
IF T V - Date Received: (- a` -I/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD:(651)454-85351 FAX:(651)675-5694
buildinainspectionsacitvofeagan.corn SAN 22 2019 LStaff:
2018 RESIDENTIAL/ PLUMBING PERMIT APPLICATION
Date: //3/� 9 Site Address: 'LT 6 7 / 2/�1A 4/ //L. s OOe
Tenant: - KK. �-€t- Suite#:
Resident/Owner Name: S°! S e Phone: (r�- / - 2/11q- /7
Address/City/Zip: E 4-/J /1/24) 57ZE
Lj /
Name: License#: 6 -d /
9156 W 36W SERVICE DRIVE
Contractor Address: BLAINE MN 66449 City: /
State: Zip: Phone: /6:(3 -7 76/
Contact: -)s ___ Email:
Type of Work —New k Replacement —Repair —Rebuild Modify Space —Work in R.O.W.
Description of work: a ✓14-44•J
_-___._______..—
RESIDENTIAL
..�......-.._...____...a�...._.-.__�.._ _..:�_..�.....�_._.�.�_.....__.._.
Es Water Heater 4 `
V Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type I
Septic System Add Plumbing Fixtures( Main/—Lower Level)
# i —New { _Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ p)
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
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.citvofeauan.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.
L i Spit G! x (>5)1CL
Applicant's Printed Name App icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166863
Date Issued:02/10/2021
Permit Category:ePermit
Site Address: 4624 Fairway Hills Dr
Lot:4 Block: 1 Addition: Fairway Hills
PID:10-25600-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Clark W & Amy L Marble
4624 Fairway Hills Dr
Eagan MN 55123--215
(651) 235-4795
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166999
Date Issued:02/17/2021
Permit Category:ePermit
Site Address: 4624 Fairway Hills Dr
Lot:4 Block: 1 Addition: Fairway Hills
PID:10-25600-01-040
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 -
Clark W & Amy L Marble
4624 Fairway Hills Dr
Eagan MN 55123--215
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature