4787 Highcroft CtINSPECTION RECURD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
j SITE ADDRESS:
I . ,
? PERMIT SUBTYPE:
I
PERMIT TYPE:
Permit Number:
Date Issued:
y APPLICANT:
?... ..??f
? ?•.??
TYPE OF WORK:
11i I ;? i 1 I 1:1N
Rt.l 1 1 111 W
A:313t.fa9
08I2714i
DnNIr I
N t" 41
( !Nf'1 UF f:K)
; i y ! Alii.. ,)try i:
? 0 t=*Ai19 S: A SP. F'ARATE PFRMI [ 15, FFQII IftEif f"0 f; AMY riFCtI? rrA t WORK
?
L
,
Pom,K no. Pern,n Hader wa reispnor,e r
ELECTRIC
PLUMBING
HVAC
Inspection Qt1te Inap. Comments
FOOTINCiS
FOUND
FFIAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
iNSUL
GYP BOARD
FlREPLACE
FfREPLACE
AIR TrST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
` d
tV ?
o` ! i
DECK FINAL ?'?'
• i ?
(3';ei.?lica#e vf cccuvanc?
?it4 of ftsan
2*04rhand of lonaing 3noeednn
T7tis Certifecate issued pursuant to tht requirenrents of the Uniform Building Code
certifying tlwt at the tiine of issuance deis structun was in compliance wirh the variour
ondinanres of the City regulating building construclion or use. Far the follawing:
use clusirum;a+: 5F IW eag. etfmN rw. 27063
ocmvmcrTyre R3/U 1 Zon;ng n isa;d Pl?/Rl Tya const. VN
oww oreWw;ng JbE MII1.IL?.R HNM Addms 3459 WASFMCIM Ut. P,?'?lA1
s,;mi,g A&vm 4787 HICUCFM Sr t,m;h, L 11. B I, ST GRAMES WOOD
l ?- ?
ed?
POST IN A C.ONSPIG10l1S PIACE
° z 11,41
CITY OF EAGAN
'3830 F71ot Knob Road
Ea,gan, Minriesota 55122-1897
(612) 681-4675
SITE ADDRESS:
If t t?lir 1,i?1 t t" l
? f1i11+ t ! `. lJ(?f?Mt
PERMIT SUBTYPE:
TYPE OF WORK:
n? t 11
1111 1 t i? 1 Hc,
4'}.'7O(.r3
0: 11t.Iy6
INSPECTION .• . ..
J Iif1P11.Nr.? ? ;?i?? ? i•ii?
1 0 .111 A I I lkh)
G,.???{r?El t'r?t !'I trt; ??;rti?,tl I t?i ?? i?,
i' f t?f;l !'i F<i? f I!lrll
L_
FI f' I H R M ?, 4.1 l_1N t F fi i1N11 :4WO
PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
`APPLICANT:
tialf. I oN t
i i, t.' 1• 4 `1 4 4 rit", i?
Permit No. Permit Holder Date Telephone #
ELECTRIC ? ? ? , ?o? f
f'LUMBING
HVAC W
Inspectfon Date Insp. Comments
FOOTINGS
f?
FOUND
/
FRAMING
oZ
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACf
AIR TES7
FINAL PL6G
6
FINAL HTG ?
ORSAT
TEST
BLDG FINAL ???? ? • .
BSMT R.I.
BSMT FINAL
DEGK FTG
OECK FINAL L
--
Address c s 4787 xrMCROF-r crxmr Zip 55129_
I.ot 11 Blk 1 Sub ST alA.S woon
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ?'?'? 9(y Yes No Inspector: (,f,(
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) V/
Permanent driveway -W/
Permanent gas L/
Sod/Seeded grass
TraiUcurb damage /
Porch
IIasement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of wa[er supply ro
the oufside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler syscem.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
?III REDUEST FOR ELECTRICAL INSPECTION ??
8 Rm. S)28,
21 Unive sity Ave
11II I I ? I I III) 1 ar
^ Q$t / tll? 104 * 0 2 2 51 1 8 9 * Phone (612) 842-0800 oy
dlo?-?/?v e o i
Home up ex Apf. Bldg. Othe4 ? - s lyI New Addn
Cammercial Industrial Fartn Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Oiher:
? D er Ran e Elec. Heat Tem .$ervice
W. above the wor cavered by fhis request Enfer remarks in tbis spare and on the 6ack of the white copy only.
Cvlculofe Inspectian Fee - 7his Inspedion Requesf will nof be occepted without the correct fee:
Olher Fee # Service EMrance $ae Fee #
i Circuils/Feeders
i Fee
Mobile Home Park Siall 0 to 200 Amps 20 A 0tolG0Amps 97
Sireet Ltg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Genera}or INSPECTOR'S USE ONLY ' TOTAL-
$ign/OuHine Ltg. Xfmr.
?
7 f C
Alarm/Remote Control r
$wimming Pool I hereb
d the elennc
m th
t I i
d ?nbf es?ribaf herein on the doles sbbd
Irrigotion Boom ce
o
m e
c
po„eh-in ome
$pecial Inspection
Investigofive Fee
F???? p
THIS INSTALLATION MAY BE OHOERED DISCONNEC HOT D IN 18 MONTHS.
?
2 2 5-118
??^ a/C /_ 's request vaid IS monlhs fmm validolion daro prinled in Ihi s bqc /?
r.ia
o ??/ y?
?/ ?J/ rJ o0
PLEASE PRINT OR TYPE
Request Oak Rough.in inspedion requiredi ? Yes ? No Inspuclion Oiher Than Roogh-In: ? Ready Now ? Will Call
3-15 - 9 6 (Yoo m?sf wll Ihe Inspeclor when rmdy? Date Ready:
I, 10 licensed coniracfor 0 owner hereby reques} inspetfion af }he above elechi<al work at:
Joblddress (Skeei, Box, or Roub No.) GM Z?p Coda
4787 Highcroft Court Ea an
SecAOn No. Townehip Name or No. Range No. Fin No. County
77 7 Dakota
Oaopanl Phone No.
Joe Miller Homes 1 454-4663
PowerSupplie? Pddr$300 220th 57+ 5+W
Dakota Electric i
FarmingtonMN ##
Eleclncol Conhacbr (Company Nam<) Comrodor lirense Na, Master Lic. Na (PIOM Elect Only)
Midland Electric CA 01236
Molling Mdress (COnhacror or Owner Pedorming Insbllafion)
22691 Red Fox Dr Lakeville MN 55044
AWharized ignotum(C
on
had
or orOvm
e?Pe
rlorminglnalollotion) {?
Pr{r 70-1444
?
`
?
j
/
EB-OO06ib10 6/95 ? STATEBOARDCOVY-SEEINSTRUCiIONSON9ACKOFYELLOWCOPV
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILpING
027063
02/16{96
$ITE ADDftE$$: P • I • N. : 10-66870-110-01
LOT: 11 BLpCK:
4787 HIGHCROF7 CT
S7 CWARI.ES WOOD
PERMIT SUBTYPE:
5F DWG
APPLICANT:
1
HORTON INC OF. MN, D R
(612) 454-4669
TYPE OF WORK:
NEW
INSPECTION
FOOTINGS D. .
FDUNDATIqN ,.
FRAMING ROOFTNG
INSULATION FIREPLACE
ROUGH ZN PLB6 ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PL6R - M& W WATER AND SEWER
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
G2o 5dotoo
BUILDTNG
027063
02J16/96
SITE ADDRESS:
P.Z.N.: 10-65870-110-01
4787 HIGHGROFT CT
LOTt 11 BLOCK: 1
ST CHARLES W00?
DESCRIPTION:
e SF DWG
NEW
R-3 U-1
V-N
PD R-1
68
40
z
2,146
101 1 - FAM. DETACN
a"? e
; ? dre ?i?;
?O ? 90 ^:S 0R plfi 6?$gw
"'? jia ?$ fl@ n R M 4R5?t
??p•P" ?w?(F et? 6y g«,`-a? ? ? ? 0
uAV f,nAf4
REMARKS:
PRV
FEE SUMMARY:
S& W PLBR - M& W WATER flND SEWER
vaLuArzoN
Base Fee
Plen Review
Surcharge
SAC
SAC %
SAC Units
Subtatal
$1,262.25
$631.13
$87.50
$860.00
100
1
$2,830.88
$s7sp0em
MISCELLANEOUS $1,923.50
7ata1 Fee $4,754.3$
I:VIV11iAIL; IVfi: - APPYicant - ST. LI VWNtK:
HORTON INC OF MN, D R 14544663 200056 7 JOE MILLER HOMES
3459 WASWINGTON DR 204 3459 WASHING70N DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
-?D{.i.fi ?AAl MLy-
ISSUED B : SIG ATUR
CITY OF EAGAN
3830 PILOT KNaB RD - 55122 ??', °i?1 `f• J?
? 1996 BUILDING PEFiMIT APPLICATION (RESIDENTIAL)
681-4675
New Constnudion R!+auirements
RemodeVReoair Reauirements
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (ezterior additions & decks)
? 7 energy calculations ? 1 energy wlculaNons for heated addilions
? 3 eopiea of hce preservatfon plan H lot plaHed eftar 717/93 required: 4 Yes _ No '
DATE: CONSTRUCTION COST: /2
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT 1L BLOCK IQ(riAs
q7 97 !?t'C La)ir
SUBD./P.I.D. #:
ry= tl
5} c4afle5
PROPERTY Name: Phone #:
OWNER """
Street Address-
City: State: Zip:
COMTRACTOR Company: SoP IYJ `l ?-r f??v?S Phone #: ?ISy 41662
Street Address: ??ls [? , h,irr??c License #: ?W?565 7
City: ?r?.Gn State: ii'/ILI Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address*
City: State: Zip:
Sewer 8 water licensed plumber: a?l,Ll Penalty applies when address change and lot
change are requested once permit is issued.
i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received es _ No 14
Tree Preservation Pian Received Yes No ______-________
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
zoie-02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 5wim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,?1 New ? 33 Aiterations ? 36 Move
."
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. ? MC/WS System ?-
(Ailowable) Main level sq. ft. City Water
UBC Occupancy f - Z? sq. ft. 4 /of Fire Sprinklered
PRV LS
Zoning P?i sq. ft.
# of Stories 2 a> sq. ft. Booster Pump
Length G? sq. ft. Census Code. ioi
Depth Footprint sq. ft. SAC Code nr
Census Bldg 1
Census Unit I_
APPROVALS
Planning Buiiding
Engineering
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
CIty SAC
Water Conn.
Water Meter
Acct. Depasit
5/W Permit
SNV Surcharge
Treatment P!.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
% sa,c
SAC Units
9/N --
1,??,r. ZFio = Za
pes
.SXZ.G7s2.G7 ' S?
lyx3e
Zr ?1.67 ° Z-7
??
?.
o°n
Valuation• $ ? 757,
Variance
/JS M-T'
CS-yz,G?Ka.6,? _ ? Y )
2x6 -, /Z
?-.
7 Z0 x yoo
2n r3,?? = Z? Z??y , 3s
/oryc sY : ? sX Z.c7xz ?) J--
'? • =&-70 l0 2 ? &
?
?'T?=70-717
CERTIFICATE OF SURVEY M32-1336-95
for
JOE MILLER HOMES ?.
I LJ ? ??
? o
? 54. ??? t??'q- . ?X
a 41 g67 t9
„ ? t'S -T(o 35t4 _ `59, ly? C
g .,,
q ? .-
? (?{"1• `J :6,; ? 71J 3 - ?
,
?q _?--_??20 •, -i
?p - 305 ,.
? 19W ?9`? • '' .??'- ?! .70 ?
Q- - 60,63
? - ?
? 197 ?^ 3 0 ? . N.
s o v'w O ' NO c,
2oo SE?CV.'-- C
floz INV? 9Sd3? ??? o .
NIN .`i r%3 81xi
oO
?
cj?ro2 1963 Ho?
?._
I
4? ?^}
J9/ Q' n
!? /??? N 10?? Zg E
I ?
5 ?
0
956.ao? 7.4 ?
Scale: 1" = 30'
4787 Highcroft Court
DESCRIPTION
1 hereby certify thot this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of tv]jr+q%esota.
Dote
Reg
Lof 11, Btock 1,
ST. CHARLES WOOD
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
No. 8140 ? Existing_., Proposed
BRAiVDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
Su ite 206
/
M32-1 ?3F-qF)
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIJCATION , i
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a ?
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?O
??
Ef/ ?
G"?
B?O
B" ?
91-1,13
Q ?
?
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O-,? ?
PJ' ? ?
B,"0 ?
? [B."a
ELEVATIONS
6dsllna
• Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Elevadons of any exLatlng adjacent homes
ro sed
?O ?
B? ? ?
? ? ?
? ?
O ?
• Garage Noor
• First floor
• Lowest exposed elevation (walkout/window)
• Properly comers
• Front and rear of home at the foundetion
PONDING AREA Cif aoolicable
? 9-, ?
? [Y ?
? M-? ?
? 6? ?
? d-'o
e-lo ?
B^ ? ?
0? ? ?
LY'O ?
[Yf] ?
? o%
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Lot IineslBearings & dimensions
• Rght-af-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. p.e. all structures requiring permanent footings)
• Show all easements of record and any Cily uh11tia5 within ihose easemerts
• Setbacks of proposed structure and sideyard setbeck of adjacettt existlng structures
• Retaining wall requirements, if any i
Reviewed:
PROPERTY LEGAL:
DATElOF SURVEY: /T4?
LATEST REVISION:
QOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Buiiding Permk Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/eristing sewer and water services 8 invert elevation
• Streetname
• Driveway
Januery1996
cfuro19u5Sor3rPo.rt.Fln
150 FM
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'1'ypa A] (Itea?cln??tlal, 9 uEorleu or ladnj_„(oveK I eEorlen)_(Utlier) ,
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4. bulldinq dlmonnlonn (L) -`"X (w) .sq,fL•.roo[ G [loor:nraa
5. Sq. [oal nrnq oE rlm joluL• - Floor JoInPNtza (2 HIc7
C7 x SD • ji?arlmeEar) ? Z?I eq.Er•. ,
U •
6. IJOOttl - Area
12
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'I'ypro aE Connl-tuoLlon
. IlohuEaaturar .
7. '1'oEnl doorld pnclmeLor
' (?orlmeter . Et.? • . .
[r.
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U Eactor
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9. TaEql nq. f t. Ulndn >>n /
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t;oUE ALWtin11CLl 2:1 05CU. I
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17. UKO'gtl wull dKea gt?.EL•.
?
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,
Itlm JaioL area h v/1 uy.CL•. U rlm jalnl•p10_ UHn ° (1
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15. Cnlllny Eramluy urno (l+E) dqunlu 101 oC,aelll1ig" nKea
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1b11. Jnlut nrna (At) M l01 aalling arua ?
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1JVa •OTAL U x 11..............??11\1??1???1?'?
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°Itif valUan hnttllli aiiil l•Iint Ltio IiU1lJlliy Naro denaYlUed meeEis nr exnoode Elie
131tato n! IILinseutia Lilukyy conuntvhV:lnn l,A.
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i ? :'•J: .;:!'?Y _.. ? . . :i?:?,'».
PERMIT
- CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030659
08/22/97
SITE ADDRESS:
P.I.N.: 10-65870-110-01
DESCRIPTION:
4787 HIGWCROFT CT
LOT: 11 BLtlCK: 1
ST CHARLES W00D
(INCL DECK)
rm3t Type SF PORCM
T? Type NEW
1t??. 434 ALT. RESSISENTIAL
?L-'?. V
?
??o a ?
?
?
REMARKS:
A SEPARATE PERMTT IS REqUIREO FOR flNY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $9,000
Base Fee $149.75
Surcharge $4.50
Total Fee $154.25
' •' 1'1 F.I'.! 1.1. H O 1 I l-
SCHROEDER DANIEL
4787 HIGHCROFT GT
EAGRN MN 55122
(612)423-1533
50W 97 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
8830 PILOT KNOB RD - 55122
881-4675
New Construction Reauirements
3 registered site survays
2 capies of plans (include beam 8 window saea; poured fid. design; etc.)
t energy calwladons
3 copies of tree preservation plan if lot pletted after 771193
required: _ Yes _ No
BefiodeUReoair Reouirements
? 2 copies of plan
• $ SftB SONBYS (@7R8(1018ddif1006 g d@d(S)
? 1 energy cakuleHons for heated additions
DATE: a1419-7 CONSTRUCTION COST:
s I,?) 4,15
P b'n?o
c-,,v.,?y-?Bp ?J4W E : :4 S, +0O
DESCRIPTION OF WORK:
STREET ADDRESS: l ?? F??C31kL2.oCT C o?2'T
LOT ll BLOCK SUBD.IP.I.D.S-T Cua2?S ?oafl
'70'7 - co9 1o +A^1
PROPERTY Name: Sc?¢?1z. Q,.aae ? Phone#:gZ3-?5?3 w?
OWNER hma{v?
Street Address: 4-I8"1 A1U?-r Co.?¢7r
City: State: ?.1. Zip: s517-`L ,
CONTRACTOR Company: SF? Phone #:
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: 45JEF Ls::- Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water liCer.e%ed plumber (new conshuction oniy):
and lot change am ?equested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have tead this application and state that the intormation is correct and agree to compiy with all appiicable
State of Minnesota SWtutes and City of Eagan Ordinances.
Signature of Applicant: lJ3?c7-
OFFICE USE ONLY
Certificates af Survey Received _ Yes ` No
Tree Preservation Plan Receivec! _ Yes , No _ Not Required
OFFICfE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex o 15 Deck
WORK 7YPE SL?-EWt- POCL
? 31 New ? 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION DF-?LV-
Const (Actuai) Basement sq. ft. MCNVS System
(Atlowable) Main levei sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories
Len
th sq.
s ft.
ft Booster Pump
us Code
C
g q. . .
ens
Depth Footprint sq. ft. 77577P SAC Code U(
Census Bldg
Census Unit 0
APPROVALS
Planning Building 4?- Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ?'7 5 D . oo
Po?cxt C???
Dr?a-
?ooo oo
=Ih `C'i f`d0 •U?l
% SAC
SAC linits
C:[TY I]F EAGAN
CASI-I:f.ER: JS TFFiMINP.!_ N0: OiQ
DAtI:,: 02/08/00 TI7'il:::: Li.'.;42::1.4
ID:
NANiEe DAMIE:L SCIiF'tCJEDER
300 9007 4787 Ii1GHCRUF'i 60.00
205 9001 4787 H1GHCkC7FT 0.50
32:i2 9001 479r' 11:f.GHCFiOF'T 30„00
2155 9001 4787 HIGhICf;Of'f 0.50
A:
To+.a]. Rraceip+, Amour,;c 0.00
CR:I.c ::'i.i7
1.!SER :CUr, ;IFlN
2000 BIJILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF EAcaN
) 3830 PILOT KNOB RD • 55122 ?(?10 .??
?j9 Sz? ! 651•881-4875
v c)
New CoruhucHen ReaWremenh - Rerrqdel/Reoair R9auiremenlE
D 3 repideretl liro wneys aAOwiny tq. H. of bt, aq. rt. of house
axi pg roofetl areas @OX, mmdmum bt covemae allowedl
? 4 caples of plans (ahow beam & windpw slzes; pouretl fid. tlesipn; etc.)
? 1 tet of enerpy cdculcMpq
D 3 eoples o( tree preaenallon plan M bt plalted aller 7/1/93
DATE: Z I ?"1 /ZDOD
2 copiea of Plan
1 set of eneryy ca«danana ror neaW aaanloru A1aWE
1 slfe wrvey 1ar exReAOr adclllons R tlecka?
-a-
CONSiRUCTION COST: -
DESCRIPTION OF WORK: F:A`-T"C zewvoe-L?
STREETADDRESS: *7a-7 4v?%ACZ0r--t G-?
Lor: _1k eLocrz susD./P.i.o. o:
wk, ?o1Z-?4s-qgos
Mame:_?)C.w,? Phone#:44"`
PROPERTY tas? Flrat
OWNER
sfr..? Aaaress: 4-1 f?7 1A1?IAc-2-? Ll
cny L6?? swre: zip: 5i92`7 .
Company: ?l e Phone tl:
CONTRACTOR
ARCHITECT/
ENGINEER
(area code)
Sheet Address: license M Exp.
CNy
Company:
Telephone 9: (
Sheet Address:
CNy
_ State: Zip:
Name:
Reglshailon #: _
State: 71P: _
Sewer/water licensed plumber (if installinn sewarlwater): Phone #:
I hers!)y ackrawledpe Ihat I have read ihis appficaNon, sfale fhaf the infortrwtbn B cortecf, and qyrae fo comply wHh aA appRcabie State
o( M(nneaota Stahifea and Cily of Eayan Ordtnartcea.
? Siynalure of Applicant
OFFICE USE ONLY
Certiflcates of Survey Recefved _ Yes _ No '
Tree Preservation Plan Received _ Yes ? No _ Not Required ?
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex
0 02 SF Dwellfng ? Og 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
O 05 03-plex ? 11 laplex
O 06 04-Plex ? 12 12-plex
WORK TYPE
? 31 New
? ?32 Addition
;,?33 Alteration
? 34 Repair
OFFICE USE ONLY
0 13 16-plex ? 21 Porch (3-sea.)
? 17 Garage ? 22 Porch/Addn. (4-sea.)
0 >S Deck ? 23 PorcB (screened)
,M<- 19 Lower Level ? 24 Storm Damage
Plbg _Y or_ N 0 25 Misceilaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
O 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair s
O 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 01
No. of Units I
No. of Buildings
Const. (Actuai)
(Aliowabie)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM! Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
-? .SO
-06o.so
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Valuation: $ 1 k?ouU.°v
? 37 Ext Alt - Muki
? 33 Ext. Aft - SF
0 36 Mutti
SAC Units
% SAC
1 , CITY USE ONLY
L ? Bl
SUeD. SX
RECEIPT#:
RECEIPT DATE: ?pz1 I
PERMIT# af V " DO
2000 PLLiNIBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations existing dwelling - nimu? fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newrrorurnisned • requires mac iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaiNrehuild 30.00 x = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Under round sprinkler if dwelling is urMer construction 3.00 x = $
Underground sprinkler if exisUng dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If tlwalling under constructlon 5.00 x = $
Water softener if exisdng dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surohar e 50
Total -> _> --> ->
Remincfer. Cali for inspections of alterations, i.e. water heaters, water sotteners, etc.
---------------------------------•----------••------ - ------•----------------•------------------•------------------
I hereby acknowledge that I have read this applicaGon, state Ihet fhe infnrmstion is correct, aM agree to comply with all applicable City of Eagan ordinences.
It is the applicanPs respansi6ility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operetional and maintenance adivities to the facilities constructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
T
f.J4.JTELEPHONE #:
(ARZCODE)7?S^?}'3as ? I
J ELr TELEPHONE #:
(AREA CODE)
STATE:
ZIP:
OF PERMITTEE
CITY USE ONLY
LOT __V? BL ? PERMIT #: , Ic'I?? 0 l
susn. 5?. G?,a r1 Qc!? \?oo A xECEIrr #: / 2 35 g(b
RECEIPT DATE: _ a-15 - 0-D
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQ408 RD
/// EAGAN IB?T 55122
,?/I' I? U 651-681-46'I5
Date• V ? ?
Complete this section on(v if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuuied.
?
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeline, addine to, or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair _ Other
_ Furnace
i? Air exchanger
_ Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: 4 -7 Q -7
OWNERNAME:
INSTALLER NAME: r r KLL F' I
STREET ADDRESS:
CITY:
PHONE #: &S I _ ?767 - (? ?`'j/ Q
(AREA CODE)
rxorrE#: ros 1 ?775^
(nnFa cona) '
STAT'E; fyYv ZIP: -r>?71Z2-
SIGNATURE OF PE TTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAI,)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, bII1 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: New construction lnstall U.G. Tank
_ Interior Improvement _ Remove U.G. Tarilc
_ Processed Piping
When instalfing/removing underground tank, call 651-681-4675 for inspectian by fue marshal and
plumbing inspector.
Description of work:
Fees: 1%of contract price OR $30.00 mioimum fee, whichever is greater.
Undergound tank removaVinstallation = mioimum fee --
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE .<1DDRFSS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLl):
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
ciTr use oNLv
SIGNATURE OF PERMITTEE
CITY USE ONLY
L 1L BL RECEIPT #: &6?3_5
SUBD. lrv 0" G42? DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? New construction Add-on fumace
. AAd-o!1 a!S C4.^.d1t!^:1tP.g ;?dd-oF; 3ir, ovch8^g9C, !.°. V?!]S° B}S+Q°71, 2+.C.
Date: 02-2/-?'tl
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) -$-20:99 -
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outiets (minimum of 1 required @$3.00 each) 9'06
? State Surcharge .50
TOTAL S"o
SITE ADDRESS:
OWNER NAME: 110e+eS PHONE #: y 3
INSTALLER NAME: C°^ 46 ll??
STREET ADDRESS: -21a16 F-G ?4 /5Z/,e
CITY: STATE: /YI,U ZIP: s?4ay
PHONE#: ((?z ) y66- /v4.22 ? _
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681.4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are IlQt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CUNSTRUCTION
DESCRfPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.OD minimum fee 911% of contract price, whichever is greater.
? Pracessed piping - $25.00 '
? State surcharge of $.50 per $1,000 of permit fee due an all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (iMPROVEnneNTS ONLv)
INSTALLER:
ADDRESS:.
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1L _L , CiTY USE ONLY
L BL RECEIPT #: ?3/3y
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please comple4e for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EA ,CH ?Q. TOTAL
5hower 3.00 x i = .3
vVaicr i,ivsei 3.00 X
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 :c
Laundry Tray 3.00 :c 1 =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c
-
Floor Drain 3.00 :c I = ?
Gas Piping Outlet * minlmum - t 3.00 :c
Rough Openings 1.50 x 16 = T
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Spflnkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TCTAL
SITE
OWN
{NSTALLER NAM
STREET ADDRESS:
CtN: STATE: ZIP:
PHONE #: (6a) '`f ?
?T??bF?EFf
OFFICE USE ONLY
L BL ' ' RECEIPT #:
SUBD.
DATE'
7996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for. ? all commerciaVindustrial buildings.
? multi-family buildings when separate pertnits are pQl required for each dwelling
unit.
DATE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADD ON REPAIR
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU 8E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 7% of contract price, whicherer is greater. State surcharge of $.50 per
$1,000 of gg?1 fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
rnTpL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
STE. #
STATE ZIP:
APPLICANT
METER SIZE: " DATE: INSPECTOR:
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Use BLUE or BLACK Ink
-ForO--ffi-ce--Use----------~
I
I
j Permit
City of Eap i 2a 3
Permit Fee: ( I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-6675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 41$7 1 ` ~ Ca1r1« C'P Unit
t
Name: OG~Jtfc(- J~.snJ~FFse- S~~®52 Phone:1.012^110- Z91o3
Resident]
Owner Address / City / Zip: tUNC(ZaP-,
Applicant is: ✓ Owner Contractor
Type of Work Description of work: Qem't.' se (:~A6 C.E. l.~/ NSW py uA(L t-'\bb6>-J4q rteoL f-
Construction Cost: Ix'C L- 10 f om-J, multi-Family Building: (Yes No ✓ )
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
P
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that -the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. t-
x Qp.a1EL ~~c!? x
-nlicant's Printed Name c Applicant's nature
Page 1 of 3
'I ~ k 7 tai 11t&i v tf . f
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building <~t
WORK TYPES
- New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
- Replace _ Repair _ Egress Window Water Damage
- Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy u MCES System
Plan Review Code Edition ~ SAC Units
(25%_ 100%J Zoning' City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath Brick
Fireplace: Rough In `Air Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES ,l
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge ;
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125906
Date Issued:08/07/2014
Permit Category:ePermit
Site Address: 4787 Highcroft Ct
Lot:11 Block: 1 Addition: St Charles Wood
PID:10-65870-01-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Daniel J Schroeder
4787 Highcroft Ct
Eagan MN 55122
Twin City Fireplace
6916 Washburn Ave S
Richfield MN 55423
(612) 282-2684
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138959
Date Issued:09/29/2016
Permit Category:ePermit
Site Address: 4787 Highcroft Ct
Lot:11 Block: 1 Addition: St Charles Wood
PID:10-65870-01-110
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 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 -
Daniel J Schroeder
4787 Highcroft Ct
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138960
Date Issued:09/29/2016
Permit Category:ePermit
Site Address: 4787 Highcroft Ct
Lot:11 Block: 1 Addition: St Charles Wood
PID:10-65870-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, 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: 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 -
Daniel J Schroeder
4787 Highcroft Ct
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156589
Date Issued:07/09/2019
Permit Category:ePermit
Site Address: 4787 Highcroft Ct
Lot:11 Block: 1 Addition: St Charles Wood
PID:10-65870-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Daniel J Schroeder
4787 Highcroft Ct
Eagan MN 55122
(612) 710-2963
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature