The URL can be used to link to this page

4635 Fairway Hills Dr 01110/2011 11:51 FAX 952 736 5362 US FEDERAL CU-ACCOUNTING [~j0411001 Use BLUE or BLACK Ink 4110~ For Office Use I City of Evan I Permit Fee. , 3$30 Pilot Knob Road I I . Eagan MN 55122 i Date Received: Phone: (651) 675-5675 1 Staff: i Fax: (651) 675-5694 1 - INFLOW & INFILTRATION PERMIT APPLICATION Plumbing Sewer & Water I 4 dal pate: Site Address: (-Wag V 1A ~ Tenant: ) W~0,r\e_: a(~ Suite <.iFK,~- "1 btu F~?31c:1 Name: ,~\RP`(l t 1 t 155-,°1 hEu r\a Phonq;,ir, -s1 17C `~~`3D Ce k1 RESIDENT! OWNER _ ll Address / City / Zip: Name: License Address: City: CONTRACTOR Stale: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK $ump Pump Repair Repair Other Other. Description of work: C"Av~"~ n`1 14. ~rlD~~. DESCRIPTION FEES n~{Ut1 r~~ ~~x acts k cc~. r,~aw_b---r c7~ $55.001 Each (includes $5.00 State Surcharge) (Rev. 6-30-10) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.comlinflow, or City Hall at 3830 Pilot Knob Rd. 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.aooherstateonecall.om 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 -~n`"e_ X Applicant's Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA087081 Eagan, MN 55122 . Date Issued: 10/24/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4635 Fairway Hills Dr Lot: 8 Block: 3 Addition: Fairway Hills PID 10-25600-080-03 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Great Lakes Window & Siding Helen Bueno 14650 Glenda Dr 4635 Fairway Hills Dr Apple Valley MN 55124 Eagan MN 55123 (952) 891-3400 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. Applicant/Permitee: Signature Issued By: Signature '04 BUILDING PERMIT To be used for Est Value Site Address r Lot Block Sec/Sub. Parcel No. m Name_ W = Address 3 ° City _ ¢ Name_ .o ? ` Address ? City_ a W Name_ W Z Address ? W City- 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 Permittee A Building Permit is issued to: ' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF 3830 Pflot Knob Road, P.O. B PHONE: 4 Phone Eagan, MN 55121 Receipt ? nAtA _ 19 On Site Sewage Occupancy MWCC System Zoning On Site Well (ACtual) Const City Water (Allowable) PRV Required * of Storiea Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? Pianner Surcharge Council Plan Review Bldg. OH. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holder Dete Telephona it ?lumbing H.V.A.C. Electric SoRener Inspection Dats Insp. Commsnts Footings I Footings II Foundation Framing Roofing Rough Plbg, Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Finel r Well Pr. Disp. . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-19S PHON E: 454-8100 BUILDING PERMIT To be used for Est Value SiteAddress '• Y Lot Block Sec/Sub. Parcel No. ac Mame '.;ZI7C1'I014 lNC 3 Address •''''?yT t;f) ° City Phone 2 1-7566 i O U ¢ W z a z W City Phone Name_ Address Clty _ 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 ot Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of I Building Official Eagan, MN 55121 Receipt Date - ?'"I4::B?? 1 ? 19 OFFICE USE ONLY On Site Sewage Occupancy MWCC System ? _ Zoning On Site We11 Type of Const ?.? City Weter « (ACtuel) (Allowable) ' # of Stories L th ? eng Depth S.F. Total ? Footprint S.F. APPROVOLS FEES Assessments _ Permlt Water/SewEr _ Surcharge Police _ Plan Review Fire - SAC, City Engr. _ 5AC, MWCC Planner _ Water Conn. Council Bld _ Water Meter g Off. _ Road Unit APC _ Treatmenf P1 Variance _ Parks Copies TOTAL on the express condition that innesota Statutes and City of Eagan Ordinances. Permit No. Permit Haider Date Telephona ? Plumbing S/U T/9 7?7 - H.V.A.C. Electric Softener - Inspection Date Insp. CommBnts Footings I Footings II Foundation Z? ? ?Q w?? - of 'r-tvG " Framing Roofing Rough Plbg. Rough Htg. Isul. a / - AO Firepiace /5 7 i Final Htg. y Y '21 Final Plbg. o il BOOSTER PiiYP Bldg. Final Cert.Occ. i7 Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. I ? • ' y ? , ? 3830 Block Name Phone L Name 3 Address , O Ciry n Phoe' TYPE OF WORK Forced Air ,' t~ M BTU i Boiler M BTU R ? Unit Heater M BTU Air Cond. M BTU $ , Vent. CFM $` . Gas Piping Outlets # Other $ FEE S/C: TOTAL: RECE{PT # IN 55122 DATE: _ G. TYPE WORK DESCRIPTION New - Add-on M. Repair 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 - 1 PER PEkilAln - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT BLDGS. - COMM. RATE APPLIES TOWIVHOUSE 8 CONDOS - RES. RATE APPLIES M4NIMUM RESIDENTIAt FEE - Att ADU-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES - .50 BEYOND $1,000) SIGNATURE OF PERMITTEE ? . :.t" _'._ ." "...? ` s-." ."-.r>- . . ... .. ........ . ... , ? . 1.? . PERMIT # PLUMBING PERMIT RECEIPT # t CI TY OF EAGAN 3830 PILOT KN08 ROAD, EAG AN, MN 55122 OATE: CONTRACT PRICE P ONE: 454-8100 Site Address _ BLDG. TYPE ?• WORK DESCRIPTION Lot ? Block Sec/Sub Res. ---"? New Mult. Add-on ? Name -? Comm. Repair ;o Address Other c City ;Phone RES. P LBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL Name _t 4 ?? Water Closet - $3.00 $ ? , f ___g ath Tubs - $3.00 c Address p _ .?. _ Cltj, ? ; ,?.. .' ?;;`. - : :• . Phone ? -?L 1 S avatory ,- $3.00 , - - L,- how er -?$3:00 ? 4_K i!chen Sink - $3.00 FEES U rinal/Bidet - S3.00 COMM/IND FEE - 1% OF CONTRACT FEE ' -J-L aundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES _/-F loor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES _-_,,? Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 ____4 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 --?- Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PFiICE GOES ?Softener -$5.00 BEYOND $1,000.00) Well - $10.00 ?Private Disp. - $10.00 Rough Openings - $1.50 - h SIGNATURE OF PERMITTEE FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: j _ .•e?-, a ? = (Itrttftrafit nf (Orrupaury titp of eagan arpttr#mmi vf luildirtg Jtmpertiun This Certificate issued pursuant to the requiremenls of Section 306 of the Uniform BuiJding Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the foUowing.• Use Clessi S?? C??'C:/r,AR Bldg. Rrmit No. 14173 fication :t? hl OccupaecY TYPe Zooing District Type Const. :1: BliRNSVILLE NOVEMBER 17, POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: Date: 3830 PUo1 K?ob Road Meter No: ?? ?34? 1?-3 Size: l?FsP 7-?13? oste:??-?-57 P.O. Box 21199 Reade? No: ?_ Eaga,4, MN 55121 Owner. =,?i14 Constr.uctio?: Hills Prive 7_ _ i-'Ja- ? ' ` Site Address: '_ ? '?? t??ar -? • ---? r?w?nic? - ? n1?V .... ??? ' O?ll Conn. Chg: ,??'? 1 Acct Dep: 15 de?at2 a???E?jR? . Permit Fee: Ztl . Uu 1 Surcharge: . 50 d ?o?? the Cky of Es9an Tr. Plant ?F,??, tlOpd a c • Meter. `7 ????d - . ?- ;-?-; n,-• -,, _ .,,-T.,.. ,. By Misc,: $? ? a „'?_?p?ER SERVICE PERMIT , t [124 _ Date: '? ? 2 S?r ; CITY OF EAGAN Permit No: - ry_1 _? 3830 Pilot Knpb Road B/ P No: 7 7 3 6 h Date: P.O. Bo?c`21199 Eagan, MN 55121 ' ??•.c;-ona1?1 Construction Owner. SiteAddress: ? r''? ?1115 I'rive LS B3 1'aircray ??? ??? MWCC: ` 5? 5 0('?? ? Zo?ing? ?;'' Ci Ch ln? ?;p?,c' No. of Units: ?Y 9? f Aect. Dep: 15 .60*?? ? agree fo comply wNh ifie City of Eagan ? PermitFee: 1?.0:`;7v . 5 n ? ?; Ordinances. Surcharge: . Misc.: BY SEWER SERVICE PERMIT 1 ,..??., r.?.-?---- q_?j_?? 5 8' CITY OF EAGAN . (vo 14 9 6 6 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# 9,3 To be used for Est.Value $10,000 Date MAY 9 ,1988 Site Address 4635 FAIRWAY HILLS DR Lot $_Block 3 _ SeGSub. FAIRWAY HILLS Parcel No. rc Name LARRY CROCKETT w Z Address 4635 FAIRWAY HILLS ?R Fi M $AGAN Phone 456-5805 ,o Name SAME o Q Address ? City Phone i-, W w Name i ? Address _ V Q W City Phone I hereby acknowledge that I have read ihis application and state that Me information is correct and agre to comply i= all'dp Li¢ bState of Minnesota Statutes and Ciry o agan Ordi a ? s. Signature of Permittee A Building Permit is issued to: L RY CROCKET on the express condition that all work shall be done in acrordance with al I applica6le State ofJ ?MinnesotaStaItutes and City of Eagan Ordinances. _ BuildingOflicial \ OFFICE USE ONLY On Site Sewage' Occupancy MWCC System _ Zoning On Sita Well _ , (Actual) Const City Water _ (Allowable) PRV Fequired . # of Stories Booster Pamp _ Length Depth S.F.Total Footprint S.F. APPROVAL3 Engr./Assess. Planner Council ?i eldg. Off. Variance FEES Permit Surcharge Plan Review SAC, City SAC, M WCC Watei Conn. Water Meter Roatl Unit Treatment Pt Parks TOTAL 106.00 5.00 111.00 BOOSTER PtiMP REQGIRED CITY OF EAGAN , N_ 14173 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 I PHONE:454-8100 ?y7? BUILDINGPERMIT Receipt# / /? Tobeusedfor SF DWG/GAR Est.Value $105,000 Date SEPTEMBER 15 1987 Site Address 4635 FAIRWAY HILLS DR Lot $ Block 3 Sec/Sub. FAIRWAY HILLS Parcel No. a Name MCDONALD CONSTRUCTION INC = Address 1212 BLUEBILL BAY RD o City B'VILLE phone 431-7566 .o Name SAME ?a Address P City Phone w w w Name ? x ? Address ? w City Phone OFFICE USE ONLY On Site Sewage Occupancy MWCCSystem X Zoning On Site Well Type W Const City Water $_ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS Assessments water/sewer Police Fire Engr. Planner Council I hereby acknowledge that I have read this application and state Bldg. Off. 1hatlheinformetioniscorrecta agree ocomplywi allapplicable A? State of Minnesota Statute a d?Ci Ea Or ances. Variance Signature of Permittee L1r (. A Building Permit is issued to: MCDONALD CONSTRUCTION INC all work shall be done in accordance with all applicable-State of Min[uesol FEES Permit Surohafge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Copies TOTAL R3 R1 T? n $ 518.50 ?52.?505 100.00 5T5-.O0 595.00 fi7_00 305.00 180. 0 $2.532.25 on the express condition that Statutes and City of Eagan Ordinancea 19uilding Ofticial ps? e ? ? iA/ V/ V/ ? p 2 13 3 eai? yy? 049 Reqoest Dale Flre No. q'-I .anspection - Ves^• G No p?y Y Now ? WIII Nolly Inspeo?or When Reatly? I= licensed coNractor p owner hereby request inspection of above elecirical work at: Job Aa ess IStreet Box or ute No.j ?p 3S /? /? ?a? A n ?/ LC. S /CD Ciry ? 6 /7 'rJ Seciioo No. Townshlp Name or No. Fange No. County OccuPanl FI I Phone No. PawepliBr E Z.af-&T Atltlre 6 omractnr iCOmpany Name) a c?o ?fiwso? -!? ConVactor's License No D L??(l9 aiLno Aaaress ICOnvsctor or Owner lAakin inion? ? AuP+on ignalwe (CO o?o Owner i 5 Installationl Phone Nu?pOer? L? MINNESOTA STATE BO 0 OF'ELECTRIQTY THIS INSPECTION REOUEST WILL NOT Gnggs-MiEway Bltlg. poom S111 - BE ACCEPTED 8V iTHE STATE BONRD 1821 University A.. St Peul. MN $5106 . UNLESS PROPER INSPECTION FEE IS Ppone (612) 602-OBOU ENCLOSED. /?/? /?,/ ? REQUEST FOR ELECTRICAL lNSPECTION ///???ea-oooaiae y?-s / See instmctions fg completing this lorm on back oi yellow copy I424 1? "X" Below Work Covered by This Request ew ktld Rep Typeof8uilding AppliancesWired EquipmentWired me Range Temporary Service Duplea Wa[er Heater Electric Heating Apt Building Dryer Olher (Specify) Comm./Industrial Furnace Farm Air Condltioner Otnerisueciryl Comracmrs Re : ar4s NS7-iiAe-- t O //? Compure Inspecfion Fee Below: /L DH, ?y i 7'2_-/fS s Omer Fee # ServiwEmranceSize Fee # CircunsiFeeders Fee Swimming Pool 0 to 200 Amps ? 0 to 100 Amps Tran5lormers Above 200 _ Amps I Above 100 _ Amps SignS Inspeclors Use Only: ? _-/ TOTAL Irriqatlon Booms w Special Inspection AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby ROOgn-in ', III r Dare certify that the above inspection has been made. Finai . r A OFFICE USE ONLY Tnis reCUest voia 18 monlhs Imm 0 4 3 3 7 8 Request Date /,?/ ? Flre No. Rou -in Inspeclion 'ir ?/ ? Featly Now /"yJill No?ily Inspaclor 9 ? ? R d ? Ye5 [ NO Vhen ea y I= licensed contractor ?wner hereby request inspection of above electrical work at: Job Adoress IStreet Box ar No.1 1?35 Ciry Seclion No. Townsmp Name or No. Range No. I Counry OwupanliPRINTI Phone No. iSG -58`D5 A r r ' l Power Suppl:er Atlaress Elecincai onlranor iComOany Namet Gonvaclor's License N0. M 9ing AOOrentrdctOr Owner Meking Inslalletion? 7 Aulhunre ignawre iConiracronpwner Maiin Installation) /?/1 / 1 . Phone NomDer qS 4- - S 8'b.5 MI IN OiA STATE B? OF ELECTRICITY. THIS INSPECTION REQUEST WRL NOT GrI99s-Mitlway BIEg. om S-173 BE ACCEPTED BVTHE STATE BOAFO 1821 University Ave.. 51. Vaul. MN 55100 . UNLESS PROPER MSPECTION FEE IS Phone J612J 642-0800 ENCLOSED. +f/??/?/ ,EQUESToFOrRoEP ECTRI?CA?L INSPEICI oON See B Q'-R'R_Z.R --X".Pelow Work Covered by This Request ee-ooom-oe ? ew Atld Rep. 7ypeofeuilding AppliancesWireq EquipmentWired Mome Range Temporary Service Duplex Water Heater Eleciric Heating ? Apt Buildinq Dryer ? Other (Specity) Comm./Industrial Furnace Farm Air Condliioner -I I IOtlierispeciy) -COnlracmrsRemarks: O('G?. 1 ??? J y Compute Inspection Fee Below: I n Olher Fee # ServiceEniranceSize fee ' # Circuits/Feeders Fee Swimming Pool 0(0 200 Amps 0 to 100 Amps Transformers Above200_Amps Above100-Amps Sigrls S0 Inspecmr's lJSe Only. TAL Irrigation Booms -? O ?Q- G Speciallnspection ? AlarmlCommunication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT 7 0ther Fee COMPLETED WITHIN 18 MONTHS. I, ihe Electrical Inspector, hereby Rou9n-m ,,?_, . .. . .. oa?e 1 J , ?? certify that Ihe a6ove inspection has been made. F??ai -. ?, ?H - ( - oare"' - ? fOFFICE USE ONLV •V'? IThis reGUest vaiC 18 mOnth5lrom This request void 1?8 months trom 7 '7 ,?.J I U) Ll / ? I ? J • ? ? aja^ p y U fire No. Rouph-in In o rtion Req u ed? ? ?ReatlY Nuw L}W111 Notilv. Inspec /? 1 1-7 , ? O ? s N. tor When Ready U?Licecs¢d Eleclrical ConVactor I hareby request inspaction of ebove 1:1 pN,ner electrical work instelled a1: 5 Sveet tl ess, eoz or Route N • OP4 v ??r v ecvon o. Townsbip Nam. ur N., flan I ty.?? ? / 1 Coun7?J Oc upanRlN ! ? L ,- P?3 °^ w? / Power S lier Address Eleclrical Con[ractor ICOmueny Namel KENDRICK ELFCTRIC ? COpntrn ? s License No. d Ma i I i np jdd rgs.y•t0orci?qt/ps}p/7Q?/dyv?a1..H1N?i ? t(?r?tLaj la t i onl I ?s.?lvl/ q?? ? k'O , ation) Phone Nummer TH MINNESOiA STpTE BOARD OF ELECTPICITY ?S INSPECTION PEQUEST WILL NOT Griges-Mitlway Bldp. - Noom N•197 BE ACCEPTED BY THE STATE BOApD 1821 Univeraitv Ava.. 5t. Peul, MN 65104 VNLESS PflOPEH INSPECTION FEE IS on....e 19t11 wn9-nAno ENGLOSED. -- 12 REQUEST FOR ELECTRICAL INSPECTIONI ee-ooooi-os n ? Sea instructiens lor completiep this frnm on Eatk oi yellow copY. D• 5 E 3 7 7 "X" Below Work Covered by 7his Request tl FeD? 7voe ol BuilGing AoDliancea Wired Equiumenl Wi.eA Home Range Temporary Service Duplex Water Heater ' iqhtiny Fixtures Apt. Building Dryer Elec[ric HeaLn Commercial Bldy. umace Silo Unloader Industrial BIAg. Afr Conditioner Bulk Milk Tank Farm oine,; oec- y tner ISrn;clfyl ff ueuW Omer Oihir Comoute lnsaection Fee 8elow p Fee Senvice Enbence5ize H Fea Feedens/SUAleaders N Fxe Circuits U to 200 qm 0 to 30 Am s r 0 to 30,Antf)s dleL Above 200 2Ainps 37 to 100 Amps 31 to 100'A s Swinvning Pool Above 100_P.mps Above 700_AmPs Transformers Irtigation Boo.s artial.Other $igns Specialinspection TOTAL E ? Nerryrks ! ? Houph-in ? Dnte / I,the Electn InSpector, heroOV „tsiv tnet rna „eove Final D 'nspection has been mede. TNa repueat voltl 18 mon1M irom 1988 BUILDING PERMIT 6PPLICATION - CITY OF EAGAN ?14 44? SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SURVE;Y, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOA CORNER LOTS - CONTA6CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS INCGUDE 2 SETS OF PLANS, CERTIFICATE OF SURUEY - CHECK WITA BLDG. DEPT „ 1 SET OF ENERGY CALCULATIONS COhR9ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS -19 y?c ? To Be Used For: _REcreation Valuation: g7;bQ0- Date: May 3, 1988 Site Address 4635 Fairwav Hilts Dr. Lot 8 Block 3 Pareel/Sub OWner Larrv L'rockett AddCe99 4615 Fairway Hil a D. City/21p Code gagan. 55323 Phone Beissel-excattng ' Contraetor ()ctPrtaQ-fotmAation' Crockett-carpentry Address g635 Fairway; Hillc n,-_ C1Y.y/Z1p COd6 F.artan r.5121 Ostertag: 460-6235 Phone r,-??kAr+- asti-sans /O" DOD ?" -_ On site sewage_ MWCC system ` On site well _ City water _ PAV required _ Hooster Pump ` APPROVALS Engr/Assess Planner Council Bldg. Off. Variance Arch./Engr. Address City/2ip Code Phone 4 . Oceupancy Zoning Actual Const Allowable N of stories Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL v 106,0 ,oo VA t- (., aT1 P.) Poyj, cl-{ -- , . I?I x? 1= y3y fc Zv= 6 '6'0 I ! ro w May 9, 1988 Larry Crockett 4635 Fairway Hills Eagan, MN 55123 Engineering • Energy Consultation • Design Construction Management • Design/Build Drive RE: Crockett Residence Eagan, MN TSP Project No. 88741 At your request, I have reviewed the proposed porch addition to your house. Specifically, 2 reviewed the feasibility of supporting the porch roof on the existing 2 X 10 floor joist which cantilever 11-611. The additional load increases the bending stress in the floor joists to Fb=1421 psi. For #2 douglas fir the allowable bending stress for repetitive members is 1450 psi. Therefore the existing joist will support the additional load. If you have any further questions, please feel free to call. Sincerely, TSP K. Lar on, P.E. Reg. No. 15847 crockett Denver, CO Duluth. MN ?p w V v - Minneapolis, MN Rochester, MN Rapid City, SD Sioux Falls. SD An Equai Opportunity, kFfirmative Action Employer Gilfette, WY Sheridan, WY 7301 Ohms Lane, Suite 480, Minneapolis, MN 55435 (612) 830-0070 ?. A1173 . 7987 BOILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDfi 2 SETS OF PLANS, 3 CERTIFIC9TES OF SORVEY, 1 SST OF ENERGY CALCQLATIONS AOTE: ADDRESSES FOE CORNEH LOTS - CONTRACTOR/HOMEO{iNER MQST DESIGHATE BHICH ADDRfiSS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PEAMIT IS ISSQSD. MQLTIPLE DiiEI.LINGS - RFSIDENTIAL RENTAL [T,NITS FOR S6LE iINITS INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SORVEY - CHECK i1ITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF \ ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND fyl keZplalua To Be Used For: ion: Site Address 4635 Fairway Hills Drive Lot 8 Block 3 Parcel/Sub Fairwav Hills Owner MeDonald Construction, Ine. Address1212 Bluebill Bay Rd., City/Zip Code Burnsville MN 55337 Phone J,q1-7?66 Contraetor same as above Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Date: September 8, 1987 /0 sOOo ° p OFr'ICI: U6E UNLY On Site Sewage Occupancy ?-3 MWCC System ? Zoning R-\ On Site Well Type of Const City Water ? (Aetual) (Allowable) V_ N Ir of Stories Length _52.U Depth yXU S.F. Total Footprint S.F. APPROVALS FEES Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off l 9 /S APC Variance Permit 5S ,SO Sureharge ,SZ, 50 Plan Review 2-59. Z5- SAC, City 100.00 SAC, MWCC sz_?.00 Water Conn 5p Water Meter WI.OD Road Unit 05 • 00 Treatment Pl 1$0.00 Parks Copies TOTAL Phone ll Plumbing Contraetor: Murr Plumbing Heating Contractor: Controlled Air 1408 Northland Drive #403 / 309 2nd Street, P.O. Box 127 Mendota Heights, MN 55120 / Farmington, MN Phone: 688-6874 Phone: 460-6022 ? GaRNC,E ZyxZ2 = ?2?x i2= 6336 t-1 ous?. / 6A, x.se 9 r2r7ssFl /by?2?l N442222-11 nO S` CDNSUL7IH6 EH61NEE9S. UC770n/ NGiNEfR1NG PIAHHEAS and LAliO SUAp COM[?ANY, INt. K300 EJ1.?,7 f4b7li S7RE:;. BUAN:J ILLE, YtNHEE_CT11 513CerZzz crzze ?,a5:cl .LCjcr4,o2z'c7--: LOT 8, B! DCK 3, FA/RW9Y H/CLS, DAKOTA COUIV7Y, MINNESOTA 6)70?7<D DENOTES EX/!57IN6 ELE'?qT/O/V (/033,0 ) DENOTES PRAPo-eEb ELEI/i}llON r' lND/CA7E9 D/R"TioN OF SURFAC=? DPA!/VA6E /033.33 = F/N/SHEO 6AR46c FLOOR LLEIJ,9T/ON SCALE : !"• 30' DlZR/NA6E AND 3C' FRONT BWLD/A16 UT/C/TY EA9EM57AJT C_/ ? I- _? 5ET8L]Gl CINE - * 30.06 ' ?0?S,9 S BE° 47' S9'? E ?o2S . 136.99 !p' ? U? ? _ _ -- $ ?ID3C•b? a- N ' ' ?.r.---- ° `'_ ' -? s ?b? ? ??1 5 !y ? ¢ io3a.o lo' ? (?oZ9.5? 0 22.33 25.67 I ? m I ? \(? ,4' ??z'9,o> $ 4 Isa? o ? ? ?? C h o? ? ? ? 8 PRopo'.£? ? 30.00 p o ? I? ffOJSE 1a (033.0? I . ?l At-87_4,61 N ? ?? 0. 1? ? y h 4i N m ?(io37.a8) U.P. f ??' _ ¢o I - 1 I Q (rozus? ?.? '; I rr) p? Il ? - a33.o? ? . . L---- ?- , __lo' -?, - --- .?, /50.00 ?i?f4?' (l030.9) to25,s} S 88° 47' 59 E , ( as?.+) i i1-i 10 L-LI / / i I her:by cartify that thia ia & t:uz and car:ect rnpranentation of a tPaet of l+nd as shovn'and deacribed heraan.• An prsparnd by tne on thfz Nr,!W' 'day of 19tr7. • : Itea_.? lt°,', /?8S One or 1'wo E'amily All otlier UT,'1'Y OF ' ' BUII,DIIiU UEPAIi17•ICIIT kX'1E12J,On EIiVLtOpF1 AYE(tAqO IIUII C011PUTATIOt1 ? 0)- zi(e? (To be eubmitted witlk building permi.C appliocttiai) Dwelliug ONner rllElT , 81te Addraea L • LI(., S" ?a??? ????I1,1?K'„?. Conlrqolor j/'\ A 11--,'/ , Dste Pltotte LIIIEAL FEC'P OF ! ti f;X1'OSEU YlALL fts nbove gtade n ZQ?Z-- ' • 1bTAL MOSEU ?YALL A[2E'JI 8Q. FT• oPAQUE WALL 0 OtIS'l1iU(2'plUlll flUii Vei].ue x Atea Uetail --? ? nu n z 8q, rntereuoe trom ?-' "U?? __? I l?J? npu . t? ? x gR• etlaclted . . x X 8q. ?R• slieo6e ??pn • x sq. . npn x eq. YIIIIm19St I'UII Value x Arna Ty ? re INhU.? IOUII 11 IIU11 ' of of x eq, sQ • x aq. DOOItSt "U" Ya1ue x Ares , littlE0 & ry?e ??OrG.`..- i4- n n `.?SK!iV'- P-?'- i.``'upu ,"_--??--x 9q. F'P. ?Zid = ?(u)(A) n ?i?u---'---x Sq. FT. ? ? ,(UA) n npu R 8R. FT. (U) (A) x BQ. FT. _ (U)(A) , romni,s .... 7??88sg. f-m._ 1c>`1 (u)(n) TOTAL (U)(A) YALUV y AVEIiA(lE ?iuii 2 c.Pz5, d-7 4 UI VI UEll BY TOTAL {'1/?LL AHEA .._- -,_._AVEIIAGE °Utk leoe tor 1&2 60::, lioOF/CEILINp1 • g? TOTAL AiiEAI E(De> = bekail retereuoe IiUii ? • 2 irom q Fm. ? -JZ??}ZL'??)??? ttttnched eheete. 9 Q. ? Ueacriba oponingn ` n u X sR• FT. ??? «? in roof. • U x 6R. FT.I ? (?)tA) x sq. 11T. = (?)(A). Y'oTAL (U) (A) VALUEg DIVIllGU BY (UI?A) 7'?rhl.`7 gqft Z ? L°Cu+C?> "PO'1'AL 1100F/0EILI110 AliEA AVENAGE 11 ??`:025 -tar ventilnled rooie. " FT. B76I 736 ? l(.> U A FT. (U) (d) FT. 2-'1(N- ?`"11 SUI(A) FT. - ?U)(R? (U)(A) rm• (U)(A) (n) FT. (?) (U)(n) Fm. a (u)(n) r ,, i-v 81 _------ X ?4 x C q-z+ ? z± CJ=? 24 1 ?? ? ??z - 11??4 a? , ?xi??= ??2??-? z-ZoX?t? = 14 z-9 4-z-o?,(-oc:p = 44x2= 17,17XI= ?-2b X ?°n = 3LO I = 300 (?? ?k?-9 lJ 1IY? ?C Z= ? lsc?? ? t ?? PLNJ? ? CX?_? r c?,, w S Uj pul ?- Z ? S7_ lb) I?z???? . --P7ALL SECTION-- Determining IOU" values at Roof, Wall, Rim$ and Conc, Bloclc, ? ROOF/CEILING 1.) Interior Air r'ilm 2.) 5/81, Gyp. Bd. 3.) Insulation 4.1 5.) Exterior Air Film (STILL) R VALUE 0.61 .6t IIUII = 1/R= I O2.1 '1'OTAL (R)=4Cl? --- VlALL 6.) Interior Air Film Z.) I" GYP. Bd. 8.) Insulation 9• ) vi?r ?I1'? 10.) asonite Siding 11.) Exterior Air Film (R VALUE 0,68 .45 ?,av .67 .17 IIUII = 1/R= r(?7 TOTAL (R)_ ,.---„j RZ1l1 12.) Intorior Air rilm 13.) Insulation 14.) 211 Fir Rim Joiat 15. ) I I.7" ` rA1? 16.) fasonite iding 17.) Exterior Air Film R VALUE 0.68 lllvv 1.88 Z?64 .17 ifU'l = 1/R= , 01-49 TOTAL (R)_ Zq?L?-- FOUtdDATION 18.) Interior Air Film 19.) 20.) 21.) 1211 Concrete Block zz. ) I?IL-AIP IiUSI?-? 23.) Exterior Air Film (R) VAI,UE 0.68 1.28 .17 liUll = 1/R= I L?- TOTAL (R)= ? ----?e° l CITY OF EAGAN MOTS: PAYM6N1' OF M AT TIME OF nnrn.rramrr#u nnFs Mm aoMrrmmm. vision or IF E7QSTING STRPClL?RE, DATE OF ORIGINAL BLILDING PERNLiT ISSL'ANCE: . (Mon ear PRFSENT 7ANING/PROPQSID LSE: M CONP7E[2CIAL/REPAIL/OFFICE r7 IAIDL?STRIAL n INSTI7[JTIONAL/GOVII2NMENT 2) ? NAME: ADDRFSS: CITY, STATE, ZIP: PHONE: d R-1 SINGLE FF1N1iLY ' Q R-2 DOPLEX (1Mo L?nits) ? R-3 TOWDII-IOUSE (Three + Units) ( Units) [l R-4 arAxzrEar/cormorurnLim ( onits) 3) • i:?• NAME. ADDRESS: CITY, STATE, ZIP: I? U r) l?v? ?L.. pxorE:j ?- Ll L•I I 119 ?-HA.srm LIcErrSE# a Active H Expired Not recorded Staff =tial 4) 'S) ?? ? • ?• c a o• - ?? [E''CONNECTION TO' CITY SEWEft G?i"CONNECrION TO CITY WATER dPHER '. 6) '? ' •?' CrPLEASE HOLD APPROVFD PERNIIT FOR PICK-UP BY ONE OF ABOVE [:3 PLEFISE L APPROVID PERMIT 10 1, 2, 3, 4, ABOVE n i (Circle one) •• • i?• ruaNE: ADDRFSS: CIT1', STATE. ZIP: PHONE: 7) ,1) PROPERTY ADDRESS: /?illV U?rY /t'r IIS Ic.l)^F ... LEGAL DESCRIPTION: L 4?e (j g !`t,'! b r l 71? /-711ji' 4 FOR :CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ /?? -S v SEWER PERMIT (INCLUDE SDRCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ L ?'o-Z) $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ /•? ?= I? ACCOUNT DEPOSIT - SEWER $ $ /S • ?r ?? ACCOONT DEPOSIT - WATER $ J`? Z .S?• c?'?' $ WAC $ 2 S OZ1 $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SLRCHARGE $ $ OTHER: $_ $ U TOTAL RECEIPT RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MLST BE DIVZSION LIST ISSLED BY THE ENGINEERING AS CO . A NDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY; TITLE: DATE: ?IZ'LA7 -----------------, ? FaOf7ii:eUse ? ? Pertni[ #: ? i Permit Fee: 9r) ' l/ ? j I ? Date Received: I I ? ? StaJf: ? -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3!4o ?- Site Address: Tenant: .-1 RESIDENTIOWNER Name: '?i 0 )-ifS=:nj pham: Address ! City ! Zip: Applicant is _ pwner ' Contractor TYPE OF WORK Descrqrtian af work: r?-e7j - ? Construc[ion Cost: ???'?(70 Multi-Family Building: (Yes No >r, CONTRACTOR Name:. 44LK B•'Uf?j' ?,1)'?c:?ibr? Licensep: Z0,-6(0b471 Address: ?[O GJ J-1i.t,r,v ?'? City: /Ut".? & +.-e State: l/?N _Zip: Slb 71 Phone: ContactPerson: r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqory y Minnesota Rules 7672 Ellergy COde . Residential Verrolazion Categay 1 Worksheet • New Energy Code Worksheat Category swaniaed submittee (4 submission type) • Energy Envelope Calculations Su6miHed In the last 12 months, has the CRy of Eagan issued a permit for a. similar plan based on a master pian? _Yes _Na If yes, date and address of master plan: Licensed PWmber. Phone• Nechanicat Con[ractor. Phone- 5ewer & Waier Contractor: Phone: NOTE; Plans and supparting documents that you setbmlfare constdered Mbe pubUc informatlon. PorFlons of the infonnaNore may be classlfled as nan-p[rbHc N ynu provFde speclftc reasens that Would pemrfR the C!ty to . conclude that the are frade secrets. I here6y acknowledge that this irrformation is complete arM acwrate; that the work will 6e in wnformance with the ordinances arM codes of (he City of Eapan; that I understand this is not a permit, but only an application for a permi[, and work is rwt to start withou[ a permft; that the work will be in actordance with the apprnved plan in the case of work which requires a review and approval of plans . /-i?. X ? Applicant's Pri ed Name Applica t's Sigq t re Page 1 of 3 Use BLUE or BLACK Ink F Office Use I I /~O . Lf I City of I Permit Eajan Permit Fee: 3830 Pilot.Knob Road I I Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 -----------------J 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: - { t"~t ( rwo W i115 r. Date: 0V-1? Tenant: Suite Resident/Owner Name: 69 G~Y-011'1 I~h Phone: lp-,nl Address / City / Zip: CP 5 170, 1CW0L g- 3 115 N5 Name: Wenzel-Plymouth Plumbing, LLC License#: 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email cmichels@wppmn.com Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation ~ RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) . $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 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 $ N/A 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 pla a x Carl Michels x Applicant's Printed Name App ' ant's Si nature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Air Test -Gas Test -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA124721 Date Issued:07/09/2014 Permit Category:ePermit Site Address: 4635 Fairway Hills Dr Lot:8 Block: 3 Addition: Fairway Hills PID:10-25600-03-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Scott Rise 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 - Sarah N Hutton 4635 Fairway Hills Dr Eagan MN 55123 (763) 210-3444 Lakewoods Remodeling 9001 E Bloomington Freeway #144 Bloomington MN 55420 (952) 888-5550 Applicant/Permitee: Signature Issued By: Signature � �� Use BWE or BLACK Ink ---------, � For Office Use � � I �^ �� I � Pertnit#:_ O� � City of:Ea�an n�T � 6 zo,� � / . �� ( Permit Fee: w� � 3830 Pilot Knob Road � �`�� i I Eagan MN 55122 Y'� ,_.,_�---- � Date Received:1�� — �� Phone: (651)675-5675 � � sc�ff: Fa�x: (651).675-5694 I ----------------� - 2014 RESIDENTIAL PL!lMBING PERMIT APPLICATION Date: Site�ddresa: Tenant: Suite#: �� r; � �� e� /�1`!l � �la �a�� 7�oy ��Re&iden�lOW�1g;_' �Name: . Q f"' Phone: � � � � ,��i� �� . �� Address+�City/Zip:� �103.� �i �''t�`�� Gi/��.5 ��"Y � �,r � :"�` � �` "�' 'Milbert ompany Inc dba Cullign Water �ro�� WC643176 �� ' �� Rame:� ucense#: w� �' �' ,� t � �� "�� - AddreSg: 180150 Street East �;ty. Inver Grove Hgts. '�, ontracto _ , �� ``�` ' " ;y 55077 651-451-2•241 � �� $tate: 'M N.. Zip: Phone: , ,� , � � �,, � � �a � � , . . . ;�� . � ., „ conca�c: Wiiliam�.R.Milbert ema��: ; � �,� sK �, . . : .� �� New Replacement _Repair _Rebuild _Modify Space Wor1c in R.O.W. T�,pe f� — — �; ;, � Description of work: � � �� ;r� RESIDENTIAL �s� �°'�� Water Heater i rg, �' ws Lawn Irrigation(_RPZ 1_PVB) �Water Softener `� � erfT�l `��/p • Add Plumbing Fixtures(_Main/_Lower Level) � Septic System � � `� �: ��, ,�Water Tumaround , '�� `' Abandonment RESIDENt1AL FEES: ' ;$60:00?��ate�!-!eater,lNater S�ften�r, o��1Vater Hezt�r u�d S�fter�r(incf�cies$5.00 5#at�S�sr�harge� : ' _ $60.00 Lawn'Irrigatio.n(includes$5.00 minimum State Surcharge) , $60:00 Add;Plumbing'Fixtures,Septic Svstem Abandonment,Water Tumaround'(includes$5.00 State Surcharge) "Water Turnaround(add$�00.00 if a 5/8"meter is required) $1 t5.00 Septic Svstem New($10:00 per as built)(includes County fee and$5.00 State Su�charge) TOTAL FEES$ , :CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. � Call 48 hours'befare you intend to dig to receive'locates of underground utilities. vwvw.gopherstateonecall.ora � I hereby ack�owledge#hat this informa:ion is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of c Eagan;'thaC l understand fhis is not a permit, but ony an application for a permit, and work is not to start without a permit; that the work will be in accordance witlt the approved plan in the case of work which requires a review and approval of plans. X b��.�--- X ' •Applacant s Printed,Name ApplicanYs Signat re , . ;: ;•;. �,, , .._� � ..,..,:�,� x. ..d,: . . - ��y , ; . . �;� . _ ' F� .O � , > _ y .. ' �'� ��,�,� ,. .- �...- � , � � �� ~ ' � �� .a ��: F� q�[�ed rrs; �i= " _��..� � � r � � °� �� . ��IN t �Rel e , N�et�� ;� . rli, ,-�` °..�� .�� .�.� , ,�_ PERMIT City of Eagan Permit Type:Building Permit Number:EA170561 Date Issued:07/09/2021 Permit Category:ePermit Site Address: 4635 Fairway Hills Dr Lot:8 Block: 3 Addition: Fairway Hills PID:10-25600-03-080 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Miller Living Trust Agreement 4635 Fairway Hills Dr Eagan MN 55123 (224) 210-3444 Highmark Exteriors 8720 Eagle Creek Pkwy Savage MN 55378 (952) 882-8904 Applicant/Permitee: Signature Issued By: Signature