4773 Galaxie AveCITY OF EAGAN Remarks
Addition BERKSHIRE POI3DS Lot
Owner
street 4773 Galaxie Avenue
io 13750 170 03
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1 i? 1982 239.09 23.91 10
STREET RESTOR.
GRADING
SAN SEW TRUNK bql 1982 176.04 11.74 15
SEWERLATERAL qoq 1982 5].24 3.82 15
* 427.88 28.53 19
WATERMAIN 19$2 46.09 3.07 15
* WATER LATERAL 1999
WATEF AREA ? 19$2 1]6.04 11.74 15
STORM SEW TRK 617
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. it
BUILDING PER. 5- _g
SAC
00
PARK 525.
CASH RECEIPT
CITY OF EAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MINiVESOTA 55122
.
. -- ?
DATE -' - 19
R6CEIVED
FROM . . . , ? , .
A;vIfSUNT $ ?
r
& ?bLLARS
+ao
? CASH Q CHECK
.
FOR .. ; ? F i ..,I i , _ " ' ,? ?'?C?'._..F?`i
?
- YVhite-PaYers CopY
Yellow-Posting CoPY
Pink-File Copy
Thank You
B Y i'- `-
,BtDG. PERMIT ti0, ?' ?.?? ? -?
?
..r
.
(.•'` /,?' -,..? ' h?? .
_?"'?'C
. I •_
' :--t'j •
/l?rYf_i`.
01-3210 "' Bldg. -Permit
.,... '. . J ?• J ?J il
01-3422 Plan Check
01 ;3445+ Surch. /hdm,
01-3446 SAC/Adm.
01-2I55 Surcharge
17-3860 Road Uni t
20-2275 SAC
20-3865 Water Conn. I"-' ?j
?
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
t• -
tf
(gerfif tra#t uf (Orrupanry
Citp of (tagan
lorparintmi of Iuilbing iwPrtinn
This Certiftcate issrred pursuant to the requirements of Section 306 of 1he Uniforrn Building
Code cerlrfying rhar at the dme of issuance this struclure was in comp!iance with tlre various
ordinances of the City regulating building constructron or use. For the following.,
ux a.=rmdoo -- SY DWG/C,Ait Bklg. N,m;c wo. 13038
I3 '
Occupaocy Type R3 Zpnmg pialritt Type Coafyt VrI
OwoerofeWuw SCW, CLd157MICT'19i Am,,. GfiOE) IDVU4ZE TANE. EAC`:1:•
euMng naanm '`'!f-+AIAY?L' As:' L-Ri" L17, $3, ?.4UF{E Y(:?'?f?
a,,. .jt1LY 14, 1967
awiabng oacial
POST IM A CONSPICUOUS PLACE
i . '
i • '?`l? ? /
(Itr#i#irat.e o# Orrupttnry
Citp of eagan
11p;wrtMpltf Af ikotltg jupPtftUlt
This Certifrcate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying that at the ttme of issuance this structure mas in compliance wrth ihe various
ordinances of the Ci1y regulating building construction or use. For the following:
Ux Clessificatioo S'F MI GAR B{dg. Rrmil No. 13038
paup.AOr Tya R3 zoamg nmu;a Ri Tya cMWL Vn
Owm dBm7ding `S ?1?[n!?l (X) ? ?{?fJ ?? T..l?', :r'?Lm
?? ,? 4173 CAil? Ab^ ? ?T ?,ny L17, B3. ?(tY.:? IZP?k: PLY?mtS
Datt
aWdwg offi" -
POST IN A CONSPICUOUS PLACE
3830 Qilot Knob
BUILDING PERMIT
SF DWG/GAR Est. v
Assessment
Water & Sew.
Police
Fire
Site Address 4773 (iALAXIE AVE Erect pX Occupancy R3
Lot 17 Block 3 Sec/Sub. BERKSHIRI,P O-'D,Pemodei ? zonin9 R
Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories 2
? Na SC?gl5 CC)NSTRUCTIOri CO nnove ? Length Qn
= me 4606 LEFiORE L1V Demolish ? Depth
o Addre
Ciry ss
EAG1S,N Phone 452-5355 lnt. lmpr.
mstau ?
? Sq. Ft
= o Name SAME
? Q Address
W W Name BRIAN AUSTING
_ z
Address ?AME
U
s W City Phone
IS
A Building Permit is issued
all work shall be done in ai
Building Official
Eagan
Planner
N2 13038
Permit `r ? 1.3 . v v ,
,
Surcharge 40.00
Plan Review 186.50 `
SAC 575.00
Water Conn. 500. 00 '
Water Meter 63.50 j
Road Unit 290.00
Tr. Pt. 156.00
V
JNin.auvnaiiU aiaicinaiuHc BIC`g. Ott. "'"1 '"71
with all applicable State of
PHONE: 454-8100 / ,? ?r ? .?
Receipt # Z? ? L
„P $80,000 n„o llECEMBER 29 ,a $6
Var. Date I Copies?2, 154 00 '.
- Total
CU ?
on the express condi6on that
;ota Statutes and City of Eagan Ordinances.
??
I - - I a..mn No. I ParmR Holder I o.t. I TNepAone # I
Frmp.
Disp.
f'.f , . . ? ..
PERMIT #
. . - * , PLUMBIN(i PERMIT RECEIPT # _• ,
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
'Site Address - BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
m Name ' Mult Add-on
? Address Comm. Repair
`
-
c City
Phone Other
TOTAL
, t. . , ., . , ,.
Name - NO. FIXTURES
Water Closet - $3
00 $ -
?
3 Address .
Bath Tubs - $3.00
p City Phone Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 1% OF CONTRACT FEE _
?undry Tray - $3.00
MINIMiJM - RESIDENTIAL FEE - $10.00 Floor Drains -$1.50
MINIMUM - COMM/IND FEE _ 20_00
Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Whiripool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10
00
.
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL•
PERMIT
' MECHANICAL PERMIT
' CITY OF EAGAN RECEIPT #
s 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
Site
Lot _
1 1(.--. = k1l11..
d Name ' Y
? Address .C.v% .'<6 L C
c City Phone ~
Name
c Address `{ ?, ? %? ?-- ?=-.,•; < e ?-r
C) c;ty tr ?.c Phone 1-4
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
I C)C) MBTU
M BTU
M BTU
M BTU
-?- CFM
FEE
S/C:
TOTAL:
BLDG.TYPE
Res. ?-
Muft.
Comm.
Other
WORK O RIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
CaMM/IND FEE - 1oi6 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS
- $24.00
- 6.00
1.50 EA. I
1200
.MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000)
r,
.?
c? 4?,? ? o urnrrs? mArn ? .,
SIGNATURE OF PERMITTEE %
FOR: CITY OF EAGAN
q ('MECHANICAL PERMIT
%,(. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Z O e' PHONE: 454-8100
Site Address
ai Name ?u/FNSI?/Lf L? .
?y Address _J Z y F/ i? r k
v, ? . , ,i}
c Clty , i?t. : Name _
c Address
O CitY -
TYPE OF WORK
Fnrr.ari Air
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
BLDG.TYPE
Sec/Sub
P ks h . , S Res. ?_
.? Mult
Comm.
m.... ._,...,..?- Other
RECEIPT #
DATE: _
WORK DESCRIPTION
IVew
Add-on X
Repair
A FEES
RES
HVAC
.
0-100 M BTU
ADDITIONAL 50 M BTU
Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
G
AS OUTLETS (MINIMUM - 1 PER PERMII
COMM/IND FEE - 1% OF CONTRACT FEE
M BTU APT BLDGS. - COMM. RATE APPLIES
Kn ari i a TOWNHOUSE 8 CONDOS = RES: RATE A
M BTU
- ?? M BTU
CFM
FEE:
S/C:
TOTAL•
$24.00
6.00
1.50 EA.
i
?
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
- •'? /''?
I E
/7_
FOR: CITY OF EAGAN
OF EAGAN sWR $ERVdCE PERMR
Pilot Knob Road
Box 21199 PERMIT NO.:
i, MN 55121 DATE: -
p: No. of Units:
Addross:
h ee1s* wlth tM Cth oF Lepn
of Insp.:
Ca,n.ction Choroe:
Nccount Deposit: -
Permit FM:
Surchc?ge:
Misc. CJwrpes: -
Totol:
Dah Paid:
100.
' OF EAGAN WATER SERVICE PERMIT
Pibt Knob Road
Box 21199 PERMIT NO.:
in, MN 55121 DATE:
n9: No. of Unks: ?.
Addess:
No.:
No.:
to comply with the City of Eagan
oad
Zoning: 1
Owner. ?otls C'
Address:
Site Addess: 4771
Plumher: R C
, Meter No.: -??
Size:
? .. _
WATER SERVICE PERMIT
t,?4',
PERMIT NO.:
nar?• 1-8-8 7
No. of Units:
Charge:
1 agret to comply
Ordina . v??qFllrr ?n D.v uic?a+?
v1ll) PD iM?
- Total: -
BY Date Paid:
of Insp.:
of Insp.:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid;
GTY O? •riAGAN
3830 Pibt Knob q
.t?. Etox 21199
PEagan, MN 55121
156
_ ?
• CASH RECEIPT •
CITY OF EAGAN
• ' 3830 PILOT KNOB ROAD
EA N, MINN SOTA 55122 ?
/ E
?
RHC61V60
AMOUNT $
? l Ov
OOLLAR3
C]CASH E)CHEGK
POR
PUNO COD6 AMOUNT
G' v
U Gti
Thank Y J
/
I N4 _ 6 9 7 3 1 wi,ite-reve,s coov
Yellow-Posting Copy
Pink-File Copy
1
2
• CITY OF EAGAN A'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 551211Y 2 13038
BUILDING PERMIT PHONE: 454-8100 Receipt a / ?,1/, D
((? "L7
Tobeusedtor SF DWG/GAR Est.Value $80,000 Date DECEMBER 29 1g86
SireAddress 4773 GALAXIE AVE Erect Occupancy R3
Lot 17 Block 3 Sec/Sub. BERKSHIRE PONDSRemodel ? Zoning Rl
Parcel No. Repair ? Type of Const {ln
Addition ? No. Stories 9
? Name SONS CONSTRUCTION CO Move ? Length 40
? 4606 LENORE LN Demolish ? Depth3?
o Address Int. Impr. ? Sq. Fr
ciy EAGAN phone 452-5355 Install ?
i o I Name SAME Approv:
0 a Address Assessment _
' city phone Water & Sew.
U
wM
w
f W
Z
x?
U=
Q W
Police _
Name BRIAN AUSTING Fire -
Address -SAME
Eng.-
City Phone Planner
I hereby acknowledge that I have read this application and state that the
information is correct and??.???QQQree to por?, ply with all applicable State of
Minnesota Statutes and C? of Ea?p?n,? es.
Llin OI/
SignatureofPermittee ??I`??'JI%?X
A Building Permit is issued to: SONS CONSTRUCTION C(
all work shall be done in accordance with all applica6le te of Minn p
Building OHicial
Council
Bldg. Of
APC-
Var. Dat,
Feas
Permit + s i s. u u
Surcharge 40.00
Plan Review 186.50
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63 . 50
Foad Unit 290.00
Tr. PI. 156 . 00
Copies?0 0
T.....I 1
on the express condition that
and Ciry of Eagan Oidinances.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauiremenb RamadellRepair Reaulrements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 coples af plan
(20% maximum bt coverage allowed) . 1 set ot Energy Calculations for heated additions
• 2 copies of plan shrnring beam & window s¢es; poured found design, etc.) • 1 sRe survey for e#erior additlons & decks
. 1 set of Enetgy Calculations . Indicate if home served by septic system for additions
• 3 wpies ot Tree Preservation Plan if lot plattad after 711/93
• Rim Joist Delail Options selecUon sheet (bldgs vrith 3 or less uni45)
DATE VALUATION
JOB SITE ADDRESS 4-f 7 7-1 Gat (Cf.y?P Ave S o,
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK f/?r n-CE= - fe - fod ?- / S?n.L.cIPs FIREPLACE(S) _ 0_ 1_ 2
APPUCANT PHONE# C6ia1 ;aa-dyG?
ADDRESS ?S6.Zl 1-1 LIA pr', jP S, v r?,?ls ZIPCODE
PAGER # CELL PHONE # --`--- FAX #(GrJ? 7.?a -1oaJ
NEW RESIDENTIAL BUILDING ONLY - FILL OU'F-CO?VIPU TE
? ,.r, i.. II ??
Energy Code Category MINNESOTA RULES 7670 ?t1?Pla?'?01?nn2
(check one) - Residential Ventilation Category 1 Wdrlts`Y?e Y' mitted
- Energy Envelope Calculations S I ubrpitted
"
_ MINNLSOTA RULLS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical SysLem Includes:
Sewer/W ater Contractor.
Pee: $90.00
i'?
Phone # il ?
Phane #
t;
I".IIU?
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan_ s.
SlgnatureofApplicant ? ? - - - - --
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
_ Water Softener _
Water Heatcr
No. of Bafhs
_ Air Condilioiwig
_ I Icat Recoverv System
Phone #:
Lawn Spruikler
No. of R.I. Batlts
`SZ51 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
??l5 (651) 681-4675 S ? - ?
New Construction Reauirements
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 7 energy plculations
? 3 copies of tree preservation plan if lot piatted after 7/7/93
required: _ Yes _ No
DATE: ? koM
RemodeUReoair Reauirements
? 2 copies of plan
? 1 sita surveys (exterior additions & decks)
? 1 energy wlculations for heatetl additions
CONSTRUCTION COST: -7r ?
DESCRIPTION OF WORK: Q E-12,Ob T dA'A lb 5fv"'''? ?a?5e
?
STREET ADDRESS: +-)7 3
LOT: ??1 BLOCK: .3 SUBD./P.I.D. #:
Name:_ 1 Jod2t Phone #: 69' 6 '" 4'73a
PROPERTY Lmt First
OWNER ?a .
Street Address: ¢?J3 ?a, ?G ?.2 ? 1 V-?
City ?Cw+ State: A 1J Zip: (?S- 17i2'
Company: SY /n C Phone #: 20 7-0 IUD
CONTRACTOR p
Street Address: nd4j," e (V A License # 00j7077? Exp.
ciry ?„ nl?Cc srate: M/1/ zip: 5"5337
ARCHITECT/
ENGINEER Company:
Street
City
Sewer 8 water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Phone #:
Registration
State: Zip:
Penalry applies when address
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: L4 '?dAA?
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
_ No
_ No _ Not Requir
RECEIVED
APR 2 9 1999
Y:
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER P.bID/OR WATII2 CONNECTION
l
?
PROPIIiTY ADDRESS: /a tJ -??'eas Print)
t • , .
1)
¢i
T•FY:AT• DESCRIPTION: ?iG.. l ?/ /;a? /
wAt/k310CK/SUCJtl1V1SlOtt Or TdX PdT'CEl I.D. Nll[[IbEY)
IF EXISTING STRL'C'ILRE, DATE OF ORIGINAL BUILDING PERNLiT ISSL'ADICE:
(Nbn Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DC'PLEX ('Itvo L'nits )
R-3 'IOWNHOL'SE (Three + C?nits) ( Lnits)
R-4 APARTMEETIT/CODIDOMINIL'M ( Lnits)
COMMERCIAL/RETAIL/OFFICE
IAIDLSTRIAL
INSTITL'TIONAI./GOVERNMENT
2) ? IVFME: ?
? J
?
>
- ?
r ???.?.
ix..
3i
? d
ADDRESS:
CITY, STATE, ZIP:
PHONE: r ? 1L,?
3) ' i: ?• For City L'se
??)p
NAME°
n' Pltunbers Licens
e
ADDRESS: R? am?
G,'`I Active
'
CITY, STATE, ZIP: ?? "p „g'y^n j? C= Expired
PHONE: MASTEEt LICINSE # C= Not Recor(
Staf Initial
4) • • ?-
IvAME: ?.,,?ei ??5???,.,? .•? r._ .
ACDRFSS: y?2e) CITY, STATE, ZIP:
PHONE:
.5)
?? • ?' • a• ??
0 CONNF.CTION TO CITY SEWER jU CONNECTZON TO CITY WATER
p OTHII2 (Please Describe)
6) u • ? i
? PLEASE HOLD APPROVED PERMiT FOR PICK-L'P BY ONE OF P,BOVE
C7? PLEASE MAIL APPROVFD PERMIT TO 1, 2,11, 4, ABOVE
(Circle one)
7) i/?? ?..;1
! T,__
F 0 R C I T Y U S E O N L Y
PERIMIT u ISSUED
7?3 y7
FEES: $__ 16 -S-D
S
S
SF..:'iLR nE?2^1ST (I`_ICL::D-'. SU.°.CH?RGc.)
WATEiZ PERP1IT (IL1CiuDE SLiRCHt1RGc,)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATZOV STOP)
S::dcR TAP
$ Z5^r U"O
$ 'CO -rld
$ '
$ . 7 7 s, !?e
$
S
$
$
s /S'? •? ?'
$
S
ACCOUNT ?FPpSIT - 47ATEB
WAC
SP C
TRGNK L4ATER ASSESSME:7T
TRlii4K SESdER ASSESSMEDIT
LATERIL BE:IEFIT/TRUNK SE:•i: R
LATERr1L BENEFIT/TRUNK SVAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOT?L
$ /07 %Y'.S U AI1I0II::T PAID/REC-vIPT $ ,-
.5-/• 6 c? l? 9 73 / -
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN n"PERMIT FOR *r10RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINF,ERING DIV?S70N, i.7ST AS a ce?ans-
TION.
SUBJECT TO THE FOI-LOS9ING CONDITIONS:
APPROVED BY:
TITLE:
DATE: _ /I d /? j
, .
?? ?s6o ?? ? ?, 3
` ?32 ???? ? 29100:
i?" ?z 366?n
1986 HOILDI9G PBHlIIY APPISCATIOH -
CITY OF EAGAN
90SBs ALL Cc dTRdCfO8S MSi HB LICBIiSSD OIiH THB CI17 OF EAGAl1
SIHGLE FAlfff. DyELLIN(:S
INCLUDqSE .; OF PLANS, ? ERTIFICATES OF SUBYEY, 1 SET OF ENERGY CALCULATION3
lIOI.iIPLE DiIEILINGS - E&SIDBlffIlL 6HilAL OBIT3 F08 SALB OMIiS
INCLUDE 2 SE;S OF PLANS, CSRTIFICATg pp gpgyg= _CERM VITH BLpG, DSpi,-
7 SET OF BNEtGY CALCULATIONS i
COMRCZ9L
INCLUDE 2;:?TS OF AHCHITECTURAL dr 3TRUCTUHAL PLANS,
1 SET OF ;?.i:CIFICATIONS AND 1 SET OF
ENERGY CALC;i :,TIONS, -
$2,000 LANI;:; ;,PE BOND
/a0 DO?
To He Used F"r-; ?'?,i? ?- w r /LYaluations t?SiCZv Date=
Site Address q'73 ?aAI,AVIE ?0- I pMCg pgg OHLY
Lot L`L Block ?
Parcel/Sub 13tf2kS1/l2t7 P6Np'r
Owner 5o,?, C6,usTRw?Ti?„l ?v
Address
City/Zip Code
Phone 3" l' -r-
Contractor
Address Ze/vz?nE_ L4-n e
City/Zip Code S-s-/ 2 L
Phone ?; ?; .? S 3 SS
Arch./Engr. riu?
Address
City/Z1p Code E,qGq.s?
r/21
5-
Phone 4 ?-?
8t'eot ?
Remodel
aepair -
7ldditioa
l4ove ?
Demolish
Int.Impr. _
Snatall _
EPPB09AL3
Ocoupancy J:?i
Zonin? _
-
?1
Type of Conat /
O of Stories
Gength ?
Depth
Sq Et
6ssessmentB Permit
Water/Sewer Surcharge
Police Plan Review
Fire gpC
EnV Water Conn
Planner Water Meter
Council
Hldg Off - ,yq - Road Unit
Treatment Pl
kPC Parks
Ysriance Copies
lOr6L
t
90?6s ADDBESSES FOR CORHB9 LO?S - CON?HAC?OB/HOMEOfiHEft !lQST DSSIGNA?S ii$ICg ?DD?B8,8
; IS DESZRBD. 90 CHAGBg pn,I, gg pyypWgp O?g SDILDING PSA!!I! IS ISSpSD.
J
• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OuN[R: So.j S C6, iv572c..eTiniJ CL - •
sire aoDaess: q773 GaLAxit L f7 --/3 ?- g?2ksHia? p??uus
C:iNTRACTOR: ?G i- CG ; nST 2t•,c-r io d p DATE : PHONE : yD - S3 ? I- •
DETERMINE NORKINf, SQUARE FOOTAGE OF EACH:
TOTAL EXPOSED UALL AREA,,,,,,,, I 9I (o sq ft x"U" .ll . 217,3Cn
2. TOTAL ROOF/CEILING qREA,,.,,,,, ( 2 S¢ Sq ft x"U" .026 .'32,Ge
3 TOTAL EXPOSED tJqLL ARE.4 CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, sq ft
a} Total wall window area:
, qlazed...... I 3 2 sq ft x "u,, , 59 v r77, 88
qlazed...... sq ft x "U" • 91Z0
b) Total (ioor area ,,,,,,,,, 413 sq ft x "U" •23 =
c) Total slidlnq qlass door area:
glazed...... 4o sq ft x "U" S8 ` 23.7-0
qlazed...... sq ft x "U" ?
d) Total flreplace wall area sq ft x "U" ?
e) Total wall framinq area
(Averncie 104).......... I Co ? sq ft x ''U" .1 O . 1l0,1 O
f} Total net wall area above
floor (insulated)....... 14 5 I sq ft x "li" .04 5$.(34
g) Total rim jvist area...... I S L sq ft x "U"
Total founAatlon
area (Exposed).......... sq ft
h) Total fnun(latlon
win(low area............. sq ft x "U" ?
1) Total net foundation
area above qrade........ sq ft x"U"
i 97
TATAL a) thru I)
? I ?O rj0
If Item N] is the same as, or less than ftem P1, you havt met the intent of
° ::CAR 1.160Ut3 A and 0.
Page 1
b. TOTAL EXPOSED ROOF/LEILINf, CALCULATIDNS:
Total exposed
roof/ceiling erea........ 1 Z sq ft
.
J) Total skyltaht area....... sq ft x"U" '
k) Total roof/ceillnq framing ,p
"U" •t -7 C.
. 3
45
area (Averaae In9;)...... Z5
1 sq ft x .
?
1) Total net Insulated
I 1 "L 9
s
ft , 0 2 4
x"U"
.
2?? ? O
roof/celtinq area....... q
h TOTAL J) thru 1) 3° 7&
If to[al of N4 is the same as, or less than 02, you have met the intent of
2 DfCA,2 1.16008 A and 0.
ALTERf1ATE BUILDING ENVELOPE OESIGN
To utilize the total envelope system method, the values established by the Sum
of Items d3 and M4 shall not be greater than the sum of Items N) and 02.
3
+ 2. "
+ 4. °
t E R T I F I C A T I 0 N
I hereby certffy that 1 have calculated the "U" factors and "R"
values herein and that the buildinq here descrlhed meets or exceeds the State
of Minnesota Enerqy f.onservation Act.
Slqnature
(Date)
Yage 2
1.0T 16
SCALE' 1"-40'
S 8"r° 23' 02"
.. +0 100.0q ,
/
\?v 5. ?Y ?. . i i== •. r? Y"_ O
ry ,/ i
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p `
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1 a
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r
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15(?.3(0
0 Eg° 35' 3tF" ?
l0T I;!
Pf20PERTY OESCFiIPTfQN
LOTa. BIOCK
_e?RKSH?R? p?ns
«coraop lo the nca0ed Pbt tMnN
-OAKJU/L_ cawr, Mlnmsse ,
IEGENQ
o DENOTES IROM Mp1UAIENT
a DENOTES WUpO NUB SET
UENOIES EXISTIN(; $ppT
EIEVAl10N
OENOTES PROPOSEO SPOT
ElEVA1ION
UENO1 t$ ONAINAGE pIRECTIOM
I 1 Mfebr certlfY 1110t IAIs turvoy,01M N ,
1eport Mos prepored by mi or urMet 1nr
alfett supernNpn arW tnet i eT a awy
"•ai•i.r•a loM Surveyor unMl IAg
1N
d.. A.
RE'JIEVVED
BY
w
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Q
11.1
X ?
Q(^
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DATE---r"`...-d.--
PqOr'OlED OANAGF FLOOH FI FVATION.
rOSEO i1RS7 Fl.UOR F t E VAT IUN •
1'RO ? I
POk)rO£iE0 MASEMEr1T fLUUN •
f LE VA 710N
NOT?E• YERIFY ALL FLOOR rIEIGNTS WITH
FINAL HOUSE Pl.ANS
MMIgy J.4Ap?71L"Ison, Mn. Roy. No. 19235
This requesl void
?nmenth.
(1ft3 9 ! 01
51,1- 31q5
16.ciU T
----.._..
C/7 I? Re?uir ? ?HeadY ow2plll ill Nnlify, Inspec-
.--. /L/ ?p( p( - /y r es ? No ?or When Ready
?L1Censed Electrical Contractor 1 hareby request inspection of ebove ?Owner' 3S?5(?411)''Y*1Q1?? ,_ elecVicelworkinstalladat
Sireet AdAress, eox of Route No.
, City ?
J
• E Q/ /
ect on a. Townshio Name or No. flange No. County
aKo
Occuu.nt IPflINTI
0 - Phona No.
1 v'f•' ?9 -- ?8 ?7
Power upvlier Atldress
»
Electrica Conhactor (COmpany Namel
" Con r.mr's License No.
? L ?"/ectri
6 414 e?
- --
Mailing Address ICOntmc[or or Owner Makine InstailaYionl
8751 ' e.
Auffiariz " natu nha or?Ow MakinB J stallallon) Phone Number '
- ?ra.? ?9y- 5/98 _
MINNESOTA STATERD OF ELECTRICITV TNIS INSPECTION flEQUEST WILL NOT
Grigps-Midway 61Ag. - Room N-191 BE ACCEPTED BY THE STATE BOAPD
1821 Universiry Ave., St. Peul, MN 55100 UNLE55 PFOPEH INSPECTION FEE IS
Plqne 18121 29742111 ENClOSED. ?..
REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°'"°4
1- 1
1 , See insiructions br completing t
h{l-ILyn on beck o1 yellow capy.
EB2' 9 O 39 . "X" Below Work Covered by This Request
Ado itap. TvPe-oi Builaing Aoolioncea Ninrf Equipment Wired
'+1ome Ranye emporary Scrvice
Duplex Water Heater Lightiny Fixmres
Apt. Buildfng Dryer Electnc Heatin '
Commercial Bldy. Furnace Silo Unloader
Industrial BIAy.' Air Conditioner Bulk Milk Tank
Farm Othei Soeu y 1hen ISOecitvl
Ulhe' pecify Other Othc.
Compute lnspectfon Fee Below
M Fee ServiceEntrenea5iza d Pae Feeders/SUbleeders tt fe,e Gircwts
0 to200qm s 0 to30Am s 0 tn30Am s
A6ove 200 qmps 31 to 100 qmps 31 [0 100 Arnps
Swimming Pool Above 100_Am a Abave 100_Amps
Transiormers frrigation Booms Partial- Other Fee
Sigis Sper.iat Inspection
Renerks $ -so- TOTAL FE
rQ.?
?
?
• ••• . 1, me elecc.lceI
Inspectoq nerby
a:tity tlat thee above
Final Oxte pection hes be¢n
?l yo! P/ maae.
5a o?r FtEQUEST FOR,ELECTRICAL INSPECTION EB'000D1"O4
r? ' See i?trveqp?s`tor completing [his form on back of yellow copy. ???J??? ig-
BG 9 04 0 "X*' Below Work Cavered A' This Request
Add ReP. Typ¢ of Building ADDliancee WireA EquiDment WirM
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Api. Buiiding Dryer ElectNc Heatin
Coitunercial Bidg. Furnace Silo Unloader
Irdustriat BIAg. Air CoMitioner Buik Milk Tank
' Falm ther m:o v Other ISPer.ifyl
t r S?ec?(y Ot er Oihe,
nmpute Inspec[ion Fee Below
q Fee ServiceErttrenceSize p Fee Feeders/5ubleeders p F¢e ' Circui[s
1 00 Oto200Ams 0 to30qms Y C:D Oto30M?
' Above 200 qmps 31 to 100 qmps - 31 to 100 Atolls
Swimming Pool Above t W_Amps Above 700_AmUs
Transformers rtigaiion Booms Partial•'Other Fee
Sigis Special Inspec!ion S_saQif 70TALFEE?,
Re?rks d
floueh-in Oa[e
, ?he Eiec rical
Inspectoq hereby
cerlily thet [he above
Final ?'te/
? ' pg?[ion has Eeen
r ll'!G rtmde.
Tqb 1Bpuent valtl 18 monlM1Sfmm
ihi21 s re?yduesl wid 5? ? +,
18
B`Jh0 frpm0
L}
13 ci -7 &1
51a.3 IS S
3 a?su
Request Date
I !
? Pire No. NouBh-i
Requi .
/ es Inspection
?
?Nu
?NCatly Now
ill Inspec-
[o? Wlien 11eaAY
censCd Elechical Coniractor ! 1 herabv request inspection oi above
? Owner electticaf work installed at:
SVeet Address, Box or Ibute No.
?
Cr
l
4 Cfry
?
axl
a
ve. e
ecuon o. Township N. or No. Hangc No. County
Or.cuonal IPRINTI Phune No.
31k
f'
))1ek
9S?- L// 8 7
Power SuDOlier
?? el???? Atldress
Electrical Conuactor (COmpa Namel
L3d
L gZ
' Co vactor's License No.
?
- e
MailinB AAdress ICoottactor or Owner MakinB Ins aila[ionl
14
jf? e .
L?
e .J-
vtliorizetl [ur 1 acm
Owne king rrstall ionl Phone Number
2
?- _ ?
NINNESOTA STpTE ARD OF ElEC7NIGIT' THIS INSPECTION REQUEST WILL NOT
Griyps-MiAwav BI - floom N-191 BE ACCEPTE? B? THE STAIE BOARD
1827 Univarsity Ave.. St. Vaul, YN 65700 . UNlESS PPOVER INSPECTION FEE IS
Ph.. (81212972117 ENCLOSED.
'QUEST FOR HECiRIC.(LL. INSPECTION ' eaoooo, w
? S. !Pbs*ft» .bb..w? m back o+..11w. ?oow. 1710 yG o
A nq`a ?9)i ""X"" Be/ar Wwk L?wered 6y This Request
0/ MritlinY 1 Awlianeas iind 1 Epuipment Wimd
# Fee ServiceE?eSita ! fse Faeders/SUb/eetlen # Fee Circuits
I 15.00 D to 200 2 20. 0 0to 30 AAxts 1 30. 0 o to 30 Am
Above 20D q? 37 tu 100 Amps 31 to 100 q
Swimni Pool A6ove 100-AnV5 Above 100_Am '
Tra?ufmnexs I?rigation Baoms Partiai'Other F
Signs Speciallnspection
Re?rks S55.50 TOTAI FEE V^
/ r S{rCItl7.TOP. .
RoWh-in Da[e ?, ?he ElecVical
y InsyacMr, hereby
. unity thet thq above
?
Final ? D'PO
/I impeetion hes been
9 eade.
TfW ?void 1Dmum?stiml 4'
Tms reouest wid _?2/_,:5!/87
18 ?nw,s +.m?
4 0533241i7
70 9(a C
JCll1 10 198 7 ?Yrs' 17Nn QReadY Now [o?r'When+Ready Inspec
[y} LicensM Eleclrical Canlractor I hempy qpuest inapection of ebova
? j Owner staetr:eal twmk installed al:
SI,eet Address. Box or Ibum Mo. Ciiv
4773 Galaxte (Berksh{re Pond) E¢gan, Mbnra.
ecuon Toxmshi0 u Na Ilange a. Ccwnlv
L 17 Block 3 Da.kota
Oceupant (flill(p Phona No.
Sonls Comstructton
Poxrer Supptia pcidngsq
DaJsota Electric F¢rmington, Mtinn
Eleclrical Co.nractor ICaMPa,ry Narel Comracfor's License No.
Nelson Electric 04I-545-9
Mailine aaa.ess Icom.xmr a. o.me. Yat:na Imaiwvonl
Webster, Nlinn, 55088
Authwiz preuue (Ca?na ki I?tallatianl Phom Number
461-2274
NINNFEOTA STp7E BppYO OF EIEG41Cft7 THIS INSPECTION pEQUEST WIIL NOT
Grigpa-Midrev 8WY- - Woam M-781 eE ACCEPTED BY THE STATE BOARD
1821 Univwsity Aw.. Sc Pru1, IOi 5004 UNLESS PROPEP INSPECTION FEE IS
Pnam 16121 29737 7 7 ENCLOSED.
This requesl voitl
18 months trom
D 53240/,1qS3 l?46DCZ.
Fequest Da ?(7
S Fi e No. Rouph-ed? In Insuer, n
R
eqvir
Reatly Now ?Will Notify, InsPec-
Wh
d ?1 ?Ves No [or
en FeaAv
?Licensetl Eleclricai Coittrector 1 hereby request insoection ot above
Owopr eleetrical work installad aY
Sveet Address, Box or Pou[e No. City
4/773 6,?ul'mc r?L/C r?A r,)
ecuon o. TownshiD Name or No.
Ranpe No.
Cnwrty
I ,?y?
/?? ? !'T
0
OceupantlPfllNT) Phone Nn.
,iiQlArn S ?zS (o-?O e d ?
Power SupPlier Address
nVactor (COm
oany Name)
El
er.trical Co 's License No.
Comrnct
or
J
!
L
IO?LArlt ?LK??? CI ??L: ^
^
0
Moilinp Address ICOnVactor or Own Making Installationl
?o IeLOCc AJYaLI jfl/}LL
Autho ed 5 9natme Com aCtorFpvoner Making Ins[aliatiunl Phone. Number
I ? THIS INSPECTION flEQUEST WILL NOT
MINNESOTA STATE BOAflD OF ELECTNICITY
GriB9e-Midwev Bldg. - Room N-191 gE ACCEPTEO 9Y THE STATE BOARD
UNLESS PNOPEP INSPECTION FEE IS
1821 Universitv Ave.. St. Pnul. MN 55104
ow....e ?ww? aav.rwnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION oo?ooji-o
1Jbe instractions for comDlatinq ihis torm on beck of vellow cauy. p•? ?
D •5•1 `Z 4 0 "X" Be/ow Work Covered by Ihis Request
AAd Rep. Type o1 8uilding ADPlioncea WireA Equipme.t Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Elecnic HeaUn
Commercial Bldy. Furnace Silo Unloader
Industnal Bidg. Air Conditioner Butk Milk Tank
FPffll Other neo y Other ISPnr,ify)
t ,r Syecify iher Other
omnute Insoeciion Fee Below
p Fae ServiceEnhencaSize tt iee Faxders?Subfeeders IX Fee Circults
F
0 to 200 qm s 0 to 30 Am s to 30 An s
Above 200 qi»py 31 ro 1 UO Ainps 31 to 100 Am s
$wimming Pool Above 100_Amps Above 100_Am s
Transformers Irngation Booms PartiaL'Other Fee
Signs $pecial InsVection 5
lQ
S?
TOTAL
emxrks ?
1 ?A.
Rough-in D'ite I, the Elec
InsOector, hereby
certily that the above
Final ? ?J?? inspection hes been
meda.
Tnia reuuest voitl 18 monthe trom
r
Use BLUE or BLACK Ink
I For Office Use I
Permit
City of Eap 0
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 E U" E I V E D j Date Received: U 17
I
Phone: (651) 675-5675
Fax: (651) 675-6694 APR 17 2012 1 staff: i S~
2012 RESIDENTIAL BUILDING PERMIT APPLICATION -12 Date: ~ f 3` Site Address: ~ 7 ~ ~ >~2 Unit
Name: PVGAA AWVA r'.'r 0, Phone: -7 6 3 Lf 33- -~S~u
RESIDENT / I
OWNER Address /City /Zip: 4113 Ave NIV 3W)
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Y"e ec..~& aux, e NI-1 ~
Construction Cost: I ioo Multi-Family Building: (Yes ! No
Company: A441- 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)
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 ►f you provide specific reasons that would permit the City to
conclude that the are trade: secrets.
CALL BEFORE Y„QU DIG. Call Gopher Stabs One Cats at (661) 4540002 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 coriftitance with the ordinances and odes of the City of
Eagan; that I urKlerstand 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 aid approval of plane.
Exterior work autartzed by a building permit Issued in accordance with the Minnesota Stale Building Code must be completed within 180
days of permit issuance.
r_-
x 4 /Yt C4r 1 X
Appli nt's Printed Name Applicants Signature
Page 1 of 3
q7/3 C Ave, q
DO NOT WRITE BELOW THIS LINE I J
SUB TYPES
Foundation Fireplace _ Porch (8-Season) Storm Damage
- Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
- Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of - Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement Siding Demolish BuildIW
Addition Move Building Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window r Water Damage
Retaining Wall *09molition of entire building - give PCA handout to applicant
D SCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition Wlj2 )2:)j SAC Units
(25°A_„_ 100%-() Zoning City Water
Census Code lI__ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
BEQUIRED INSPECTION,
Footings (New Building) Meter Size:
Footings (Deck) _ Final / C.O. Required
Footings (Addition) Final / No G.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
RESIQENTIAL FEES
Base Fee
Surcharge I
Plan Review
MCES SAC
City SAC ~qq
1 5 = ~
Utility Connection Charge /
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
~ 1? 3 a.440 it k #Wk
MAY 0 4 2012
I -
AM.
= , x
44
r, {
t 16-
b 2
,
7 r
=4L [j... }t.
r1 sj w
T
ram
l.~
son
nor
C ~7t
r
~a
s. 8
Pll~
Use BLUE or BLACK Ink
For Office Use I
I I
I Permit M 6 ~9~ Z'
I
City of Eajan
~~'^"~p I Permit Fee: 1
3$30 Pilot Knob Road v- j
Eagan MN 55122 ` I Date Received: v3r ~2^ I
Phone: (651) 675-5675 SUN 1 1p12
Fax: (651) 675-5694 I Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: S A- Site Address: L-k (-~n i _
Tenants Suite #
RESIDENT / OWNER Name: Phone: --IuQ C-m ---r5 W
Address f City / Zip: r~-
Name: TEXTINC $ AIC, INC License
CONTRACTOR Address: 3451 W. Burnsville Parkway City:
Suite 120
State: ftn"le-, MN 5337 Phone: 9SZ' ZS` 1q
Contact: 1 Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work: st
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
_ Furnace _ New Construction - Interior Improvement
PERMIT TYPE Air Conditioner Install Piping Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
- Heat Pu _ Under / Above ground Tank C_ Install Remove)
r
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $iC)O TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%0
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
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.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with a approved 6nfYQ_k_Cjt pln in the caseofworrk which requires a review and approval of plans.
x x (:4 C6 6jmffi~w
Applicant's Printed Name Applr nt s Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108700
Date Issued:01/04/2013
Permit Category:ePermit
Site Address: 4773 Galaxie Ave
Lot:17 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-170
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Ryan L Abrahamson
4773 Galaxie Ave
Eagan MN 55122--260
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139600
Date Issued:10/31/2016
Permit Category:ePermit
Site Address: 4773 Galaxie Ave
Lot:17 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Ryan L Abrahamson
4773 Galaxie Ave
Eagan MN 55122--260
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164223
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 4773 Galaxie Ave
Lot:17 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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, Mark Anderson at (952)
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 -
Adam C Wattenbarger
4773 Galaxie Ave
Eagan MN 55122
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature