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754 Golden Meadow Rd íü øûù þ ý þýýüëúûúûøø ÷üüýý ÿùèüüõü ä þÿÿê÷ â ÿ þý üûúùø÷õÿá åÿ ûùø÷ õ õÿá ÿôáê÷ò ÿ ãûÿ åÿûÿåäû÷ø Ú üñû ò÷ òÿððò ñû ÿò ÿú òÿçæ ÷ ÿýæ æ ò ý ÿ÷çåæ æÿ÷æ ÿç å úò ÿ ñû úøÿ æòøðòÿç ÿöèÙèííçíçí ô÷ üû ð èçîçî Þûýç óò ñõ ÷÷ ÷þ ß ìü îüûð ÿÿ ßïê û þ ïô ëâéâííî ð úø ðð ðÿ÷÷ÿððæ òÿ ò÷øð÷÷úü æïÿüûÿåøæþ ä ÿç ÷÷á òü û ÿÿûøü û ,?'?' . CASH RECEIPT •`'? r' ? , . CITY OF EAGAN r P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ^--------------- 19 - / . weeerveo FROM I t'? AMOUNT $ & OOLLAfiS ioo ? CASH ? CHECK '.* i. . _ FOR FUND CDDE AIAOUNT:? r? , Thank You , s v -' ? ? . White-Payers CoPY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition [luerview Estates Renla= t _Lot 4 Blk 3 Parcel #in ?6210 nen 03 owner fiaA v i c.L T-, street _ 754 Golden MesdoW Road State Eagatl,, Mn 55123 , Improvement Date Amount Annual Years -)?: Payment Receipt Date STREETSURF.?11.1m , 1981 3242.41 216.16 15 2161.61 A015339 4-12-85 STREET RESTOR. 1981 1021.16 68.08 15 680.81 ?? GRAOING SANSEWTRUNK 1981 300.00 20,00 15 200•00 *SEWEFLATERAL :ER „? 1981 5096.85 339.79 15 3397•90 WATERMAIN * WATER LATERAL 1981 WATER AREA 1981 300.00 20.00 15 200.00 n n STORM SEW TRK 1981 591.82 39.45 15 394.89 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 11 BUILDING PER. 0065 SAC PARK I Rowipt -- '' ? MECHANICAL PERMIT Parmit No. ?' - CITY OF EAGAN • FN FIl1 in numbe?ed speces S/C Type or Piint legibly ToL 1. Date 2. Installation Cost 3. Job Address Lot Bik. _ Tract 4. Owner 5. Contractor rT Phone % , y 8. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New El Add ? Alter 0 Repair ? 1 10. Describe Fuel Type f 11. No. F.auinnlenL HTU - M. Ea. Forced Air No. Euuipment CFM Air Handlin : Mfg. g Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outleu F- I - - I 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 , . } Receipt PLUMBiNG PERMIT • Permit No. CITY OF EAGAN • ' Fee ? . - Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner • ? ' ? ' 5. Contractor Phone 6. Address -' 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. % Fixtures Water Closet No. Fixtures Cesspool /D rainf ield Bath tubs $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Ldundry Tray Floor Drains Drinking Ftn. 1 Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final InspeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 BUIL'DING 'ERMIT CITY OF EAGAN 3830 Pilot Knob Rosd. P.O. Box 21•199, Eaqan, MN 55121 PHONE: 4648100 cAR $72,000 ri A r Rece+ot # Erect -0 Oecupency 5ite Addrep . ? Remodsl l b ? 2oning :..L Lot B xk Sec/Su . Rapsir ? Type of Conn. Psresl No. Enlarpe ? No. Stories W Name Move Demolish ? ? Length Depth - Addreas G d ? F 5 ? re e q. t. City ' Phone Install ? 3 7 0? y- 5? AVVrovals iee s ? - Neme ? Assessmen t Penriit Addreas ? Woter & Sew. Surchorge City Phone Poliu Plan Fieview ? °C Nsme Fin SAC ?? Addrest Erq. Woter Conn. tW City Phone Plonnwr Water AAeter Cow+cil Rood Unit 1 hereby otknowledpe thot 1 haw mod fhis appliwtion and stata thof Bldg. Off. the infwmotion is torrect and oyree to comply with oll applicablo APC Total Stot* of Minrnsoto Stotutes and Ciry of Eoyon Ordinonc,es. Va Date Siynofun of Pennittee r. A Bulldinq Pennit Is issu?d to: _ on tlw exprsss condltlon thot oll work sholl be dorn in acaordance with oll applicoble State of Minnesoro Stmurea ond Gty of Eaqon O?dirwnces. Ouildinp Offidol - ' Pwmit No. Pwmit Holdsr Dm Tele hone Plumbing H.VA?. Eleetric 0 fil9ar -?-" Son.?.. ? Inspection Dste Insp. Uthw Footinqs Foundation Framinp Rooting Rouqf+ PIbY? _23- .? Rouqh HVA Inwlotion 4 ? 1 ' Final Plbp. Final HVAC ? F:n.l 3 c.?voo?. ,f w.ter Wraibe locstion: MYsll Sowsr Pr. Disp. ? +? ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ? PHONE:454-8100 BUItDING PERMIT To be used fo4 •• .' ' Est. Value ?• ? ' ' IS40t Receipt 4k ' Date ? !, ' ,19 Site Address 754 qD Lot Block Sec/5ub. `y'ERYIEi! P,STA1'fiS Parcel No. PEPLA; ar Name 3 Address Aj;r•r.1 . ° City Phone - •- ? ¢ ,o Name z?_ ? Q Address ? City Phone rQ oW W y? Name _ za Address U Q WZ City Phone I hereby acknowledge that I ha++e 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 workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Buitding OHicial On SRe Sewage OcCupbncy MWCC 5ystem Zoning On Site Well (Actual) Const City Water (Allowable) PRV Required # of 5tories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? `? • {7G Planner Surcharge • ?? Council Plan Review Bldg. Qff. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL l?.v Permit No. Psrmit Holdsr Date TeIephone # Plumbing H.V.A.C. Electric Softener Inspsctlon oate inap. Comments Footings I ZdA Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace 1)4cJ Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. [ -- -- - - - -- CITY OF EAGAN f 73?0 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , ,. BUILDING PE?UIIT, Receipt #? -'?' To be used for EZREpLACE Est. Value $1,0W Date DIM 8 , 1989 Site Address 754 G01.DEN MEl1DOit RD Lot 4 Block 3 Sec/Sub.OVERVIEW E3TAT$S Parcel No. PLA W Name SCOTf ROSA ; Address 754 GOLDEI'i MEAD(nJ RD ° CitY EAGAN Phone 454-3704 ,o Name sAME Ov „a Address ? City Phone 811 Name ? ; Address ?W City < Phone 1 hereby acknowlege that I have read this application and state that the iniormation is correct and agree to comply with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. Signature Of Permitee A euiiding Permit is issued to: sCdR ROSA on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Occupancy Zoning (Actual) Const (Albwable) # of Stories Lenglh Depth S.F. Total S F. Fpotprints On Site Sewage On Sde Well MWCC System City water PRV Required Boos[er Pump APPROVALS Planner Councii Btdg. OH. variance OFFICE USE ONLY Bldg. Permit Surcharge Plan Review SAG, City SAC,MCWCC Water Conn Water Meter Acct. Depasil S/W Permit SNV Surcharge Treatment PI Road Unit Park Ded. Copies TOTAI FEFS 26.00 .50 AOO 7Ll Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING ? H.V.A.C. • ELECTRIC Inspection Date Insp. Comments Footings I Foundalion Framing Roofing Hough Plbg. Rough Ffig. Isul. Fireplace ? Z•/ 3 Fs Q Final Htg. Final Plbg. Const. Meter Plbg. Inspeclor - Noti(y Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 38.30 Pilot lCnob Road P. O. Box 21199 Eagan, MN 55121 Zoninp: A,,,r„ Scott _°.isa SEWER SERVICE PERAAIT - , -, PERMIT NO.: - DATE: No. of Units: Addross: Plumber: elerke "Trencfii??f ?t l:?:C. (;?`. -,- I1-ft5 5,1782 ` . 1 pm M eesply wMh ths CIly ef ap¦ Connettlon Chorya: .215. 00 I? c OeJlMnau Atoour?t Depotit: ... . Permk FN: r, Sutihorge: BY Mist. CMrpm Dota of I nsp.: Totcl: Irnp.: Dah Pcid: CITY OF EAGAh WATER SERVICE PERMIT 3830 Pilot Knob Rosd , P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ' - Zoninp: Nc. of Unlta: pwror: SCatt Pisa Address: Slte /lddrcss: 754 Golden :ieadow ':oad L4 i33 Clvervicw F:st ::enl-it Plumber. 1'Pier' ? Trenctiiino r F.xc. Co. Msftt fJo.: S(ze: Reoder Na.. 1 ym h oaapy w116 fw Ciy of Ewe Oei1MnoM. Conr?scrl«, Cho?w: Acoount Deposit: _ Partnit Fee: 5urchorye: ' '" Miac. Choroes: ? 3?.00 pd Total: pri sieiai By Dat. Roid: Dote of Insp.: Insp.: 4;k? , 1? fo oomPlp wkb Ilw Ciyr oF Eagon of Insp.: Cf' =ti * Knvb Road P. Q. b" 21799 Eagan, MN 55121 Zonfny: SEWER SE aERMir rvo.: DATE: _ - 1V \JV . I ConnecNon aaw: 5. Ui; Aecount [kposit: ' Permit Fee: . Surcherype; Misc. Choroes; Totol: DoU Paid; WAI'EA, SEitViCE POMIT PERMIT NO.: 1. ?. DATE: No, of Units: Slte Addrcss: ? ?Qfi@ (?1?;,f?faz ? `? p y 1,?1,arIY?`4) o`?;.rVjEk r$r Plumbee - Meter No.. ,?prpe: S1re: '' ? .? ???? ? j Recder ?^ Posit: ? ? . _No.? d Permit Fee: 1 ? Q^ ? eln? oa?pl?r wIA Cihr oF EA n Surchorge: OrdMe Misc. Charfles: 132. -; BY ? Date Paid: ... CITY OF EAGAN N° 10 0 6 5 3630 Pilot Knob Road P O Box 27-199 Eagan MN 55721 I PHONE: 4548100 BUILgING PERMIT Receipr # .Te M uwd hr SF DWG/GAR ?.yal? $72,000 pate APRIL 11 1985 754 GOLDEN MEADOW RD Eract Is oca,Pency R Siu AdNe?e 4 OVERVIEW EST REMOde' ? zoninq Rl elock Sec/sub. Ws Rapeir ? Type of Conrt. V Pereel No . Enlarge ? No. Stwies _ SCOTT ROSA Move ? Lenqth ? Name Demolish ? Depth 44 ? Addreas 11701 W RIVER HILLS DR Grade O Sq.Ft. cicy BURNSVILLPFhone $90-3282 msceu ? ._?...._?. s_.. ?g u? Name SAME City Phone Neme SAME Address City Phone 1 heroby ockrowledys thot I haw read this applicotfan ond stote tFwt tM inlormofion is correct and agree fo comply with all opplicabia Stota of Minnesota Stotutes nd Ciry of :7n Ordirps. Sipnotum of PermiMaa ? /G A Buildinq Permit Is luuad ro: SCOTT ROSA WI work shall ba done in oecordance with qlhappliwble ate f lyll, Assessmant _ Woter 3 Sew. Polito _ Firo Enq. Planner _ Countil _ BIdg.Off. 4 4 85 APC Var. Date PGlRIIt Y J Y J. V 1 surchorqe 36.01 Plan Review 174 - 51 5AC 525.01 Woter Conn. 50.0 .. 01 Woter Meter fil-0 i Road Unit 280.01 T,.P. $2,059.51 Total on tha express canditlon thot Statutes ond City of Ecpan Ordinoneea. Bulld{np OfNciol BUILDING PERMIT To be used tor BARBEQliE PIT Receipt # ?8 Lo I -51 Est.Value $600.00 Date .IULY 29 -19 $8 SiteAddress 754 GOLDEN MEADOW RD Lot 4 Block 3 Sec/Sub. OVERVIEW ESTATES Parcel No. REPLAT a Name SCOTT ROSA ; Address 754 GOLDEN ME OW ? ° City F.AGAN Phone 454-3704 a Name_ i? o a Address r City_ • ww Name_ ?w x z5 Address aW City_ I hereby acknowledge that I have read this application and state that ihe iniormation is correct and agree to comply wilh all applicable State of Minnesota S[atutes and C?iry/q? f? Eagan Ordi?na?n(y?/gs?. ? SignaWre ofPermittee_ !?-C!1ti.[.?._ =YW?QL% A Building Permit is issuetl ta___RENEY, _RQ,Q____________ on the ezpress condition ihat all work shall be tlone in accoidance with all applicable State of ?Mi?n?n?e?sota Statules and City of Eagan Ordinances. Building Official_ti1dLy,?LU4_ 1 CITY OF EAGAN N°_ 15 4 O 1 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55721 PHON E: 454-8100 OFFICE USE ONLY On Slte Sewage _ Occupancy MWCCSystem _ Zoning On Site Well _ (ACtual) Const City Water _ (Allowable) PRV Required # of Stories Booster Pump _ Length Depth S.F. To[al Footprint S.F. APPROVALS FEES Engr.lASSess. Permit _ 16.00 Planner Surcharge _ •?_ Council Plan Review Bltlg. Off. SAC, City _ Variance SAC, MWCC _ Water Conn. Water Meter Roatl Unit Treatmen[ P1 PXU cory . .50 TOTAL 17.00 BUILDING PERMIT " To be used for FIREI "A CITY OF EAGAN ND 17370 3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55127 ? PHONE: 454-8700 Receipt # Est.Value $1,000 t Site Address 754 GOLDEN MEADOW RD lot 4 Block 3 SeclSub OVERVIEW ESTATES OFFICE USE ONLV Parcel No. REPLAT Occupancy - FEFS 2oning _ W Name SCOTT ROSA (AcNal) Consl - Bidg. Permil 26.00 3 Address 754 GOLDEN MEADOW RD (nllowable) - 50 ? Surcnarge . City EAGAN Phone 454-3704 # of Smries _ Plan Review Length _ F Name SAME DeOth - SAC City i OU a Address S.F.TOtal , - SAC,MCWCC ? CIIY Phone S.F. Faolprints - Waler Con On Site Sewage n - ? W W Name On Site well W l M t ?0 AddfBSS MWCCSystem - er a e er _ aw CitY Phone ciiywater _ Acct.Deposit PRV Required _ SIVJ Permit I hereby acknowlaqe ihat I have read Ihis applicacion and stata that the Booster Pump - SrW Surcharge intormation is correct and agree to comply wiih ali applicable Sta[e of Minnesota Statules and City o Ea an rdinance ?_ 7reatment PI Signature oi Permitee APPROVALS Road Unit A Building Permit is issued to: SCOTT ROSA Plannar - park Ded, on the ezpress condilion that all work shall 6e tlone in accordance with all Council applicable State ol Minnesota Slatutes and Ciry of Eagan Ordinances. gla9 pff, _ Copies Building Ofticial ????.QJ,("??_ Variance - 70TAL 26.50 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN v ?p 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWeHOn Reauiremenb • 3 registered site surveys showing sq. ft. of IoL sq. N. of hause; aM all raofed areas (20% maximum lot coverege allowed) • 2 copies al plan showing beam & window sizes; poured found desiqn, etc.) • 7 set of Energy Calculations • 3 copies of Tree Preservation Plan'rf lot platted after 7/1193 . Rim Joist Detail Options selection sheet (bldgs wAh 3 or less uniLa) DATE SIiE ADC TYPE OF APPLICANT Catastrophe Restoration Services Inc. STREET ADDRESS 2489 Rice St Suite 70 TELEPHONE # 651-734-9433 CELL PHONE # FAX # 'ATE nlp 55113 651-483-0219 PROPERTYOWNER TELEPHONE#la?\ `\of5'b' ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) . Residential Venlllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calwlations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. Mechanical syslem includes Sewer/Water Contractor: _ Air Condidoning _ Heat Recovery System Phone # Phone # -----°-------------------------°-----------------°----------------------°------------------------ I hereby acknowledge that I have read this application, state that the information is c with all applicable State of Minnesota Statutes and City of Eagan Ordinan s. 1 1? Slgnature of Applican ._...-----------°°----°°°---°_... _-.............. __..._ --..... ._...-........... . OFFICE USE ONLY Q•? ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Water Softener _ Water Heater _ No. of Baths RemodeVReoair Reauirements • 2 wpies of plan • 1 set of Energy Calculations for heated addilions • 1 site survey for exteriaradditions & decks • Indicate if home served by septic system for additians VALUATION '+- ? o cn 'S-2 Phone # Iawn Sprinkler No. of R.I. Baths ULTI-FAMILY BLDG _Y XN FIREPLACE(S) X 0 _ 1 _ 2 Cin Roseville Fee: $90.00 Fee: $70.00 Q 8 206 Updated 4102 y : , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 151401 -J&', , r7 -a`l ?Q t c" INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDHESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HIIILDING PERMIT I3 ISSUED. MULTIPLE DWELLINGS RENTAL fJN2TS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMAtERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PI,ANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS To Be Used For:E/}RS5'ECUE PITValuation: GDU0Date: FM??ji_ ;, ;• Nii'?2S Site Address q+j4 Lot 4 Block ?_ Pareel/Sub n UvuNJ„i ??IA WU A ,e Owner 1 c o 174 G?o J a Address 7S% 6a/?le? City/Zip Code Phone 9iz ysy- 37oy Contractor 1c o ff ?o « Address City/Zip Code Phone Arch. /Engr. -I ? o ?f ?'01 N Address City/Zip Code On site sewage_ Mi&7CC system ` On site well _ City water _ PRV required _ Booster Pump _ ? APPROVALS Engr/Assess Planner Council Eldg. Off. Variance Oceupancy Zoning Actual Const Allowable 1f 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 TOT9L ,to .50 100 Phone # 1989 HITII.DIBG PEatSIT APPLICATION CITY OF E?(fAN r o SIIi6LE FAMILY DWELLIHGS !lDLTIPLE DiIELLIN45 COtB'lERCSAL 2 SETS OF PLANS 2 3ST3 OF PLlH3 2 SETS OF IRCHI2ECTURAL 3 8E6ISTEAED 3ITfi SDRQETS BSGIS26RED SITfi SDRYE2S - 8 STHOCTOAIL PLAN3 1 SET OF MBGY CALCS. (CHBCB 1TTP6 HLDfi DIQ.) 1 SST OF SPECIFICATIONS i SEf OF F.BEHGI C?LCS. 1 SET OF E9EB6I CALC3. MULSIPLE DAELLING3 HENTAL ONIS3 F08 SLLE DNTf3 I OF DBITS ¦OTEt IDDAESSES FOH COANEA LOSS - COATRACTOR/80MEOfiNEB M3T DESIGBAiE iiSZC6 IDDRESS I3 DESIHED. HO CHlN6ES WII.L BE ALLfliTED OACE HIIILDIIIG PERMIT IS ?3SQED.. SEiTER 3 ii9TER PERMIT FEES ?liD 1CCOIIRT DEPOSIT lfifiS UiII.L 88 I1ICLQDED iRTH !HE HUILDIH6 PERMIT FEE. PAOCESSING TIME FOR SSiiER AAD VATEA PEHlSIT3 13 Ti10 DAYS 06CE ! PERMIT 6A3 BEEN COMPLEt'ED INDIClTII1G A LICEN3ED YLtllOER. PENALTY+ APPLIES NHENs PERMIT IS NOT PAID FOR IN SAME MONTg IT IS REQ(JESTED. LOT CHANGE I3 REQUESTED ONCE PERMIT IS ISSIIED. To Be Used For: F iValuation: / 0 Oc7 Date: y, J`i?5 Site Address 7S, C'o.-DLz?j meAm,,) Block ?_ parceiisua Ormer ?c c, 7j4 Address 7?! y Co /?n ?lch ?? City/Zip Code Phone 6/C y.TY - 3 7 o Y Coatractor .S? o 77 -eo i c ?ddress ti,, City/Zip Code Yhone Arch./Engr• Address Citq/Zip Code Phone 0 Oceupaneq Zoning Actual Const Allowable f of atories Length Depth S.F. Total Footprint S.F. On aite eexage On aite well _ !lIiCC 3yatem _ City t+ater _ PRO required _ HoosEer Pump _ tPP80YELS Planner _ Coss?ciY Bldg. Off. Varianee F'EES Hldg. Permit a6•O--' Sureharge . 5 ,0 Plan Review S9CO City SACO MWCC WaEer Conn Water Meter Acet. Deposit S/N Permit S/W Surcharge Treatment P1. Aoad Unit Park Ded. Copies SIIBSOTAL Penaltq TOTLL ? 6 . SU s-- 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACiORS HUST BE LICEHSED ifITH T[iE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS -7 To Be Used For: ??sicY?n iq/ Valuation: ,? Date: Site Address: 7S /6,,1;r1e,j OFFICE USE ONLY Lot: ? Block 3 Sect/Sub Erect x Occupancy K-3 Ov?.?,<w E'sfRfr? Rr?/a? Remodel Zoning Parcel II /O S6.?/U oyop3 Repair _ Type of Const ? Enlarge # of Stories Owner o7:1' /?psq Move ' Length 5co Demolish Depth ? Address //70/ Grade Sq Ft City/Zip Code SS337 ------------ --------------- Contractor .sto7? ?pSq APPROVALS Address //70/ [.f/, p, pssessments Permit City/Zip Code ,QyihSVi//e ik SS337 Water/Sewer Police Surcharge Plan Review Phone 11 ?I`U 3Z?Z Fire SAC Engr Water Conn ?[ Planner Water Meter . Arch./Engr ,L0i/ 6Sq NGY? Council_oad Unit Bldg Offd/L? / ?{?arks Address .1?i?r. e APC 'l 77 °" Treatment P Variance Phone l? ?9/? 3Z8Z rorac ? 525. Soo. °• 1 132. °= a?s9so C4,rtificate for: Scott Roea Bk: 85/32 11701 River Hills Dr. Burnsville, Mn. 55337 DELMAR H. SCHWANZ L4ND SURVEYOR$ WC RparttarM VnnPr Ldwc pl ine Stdle OI WnnesOld 10750 $OUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 812 423-1769 "? }I V n m ?? ' ? 0 h 0 0 ? N i \\ /ylfAAom?) SURVEYOR'S CERTIfICATE N ? ? ? ' ? \'+O t A i14 I '. ? °? ao ? f ? ? N T"rs.o ts Q I- ' ; u.o • us? ! ? ? NSE p?? ! = o s - V o i aut. n ? N . _,'oa'f"w. ? ? I H SCALE: 1 lnch = 50 feet Elevations ahown are existing o Denotea found iron pipe Propoeed gari"oor elevation I • I I hereby aertify that thie is a true and correct repreaentation of Lot 4, Block 3, OVEtVIEW ESTATES REPLAT, according to the L i a rscorded plat thereof, Dakota County, I 4 Minnesota. ry Also showing the location of a::yropoeed 6-Drainage house as staked thereon. I utility eam't ( 6 Dated: April 2, 1485 /oa.oo 4109-4/- ZSE ? MINNESOiA REGISTRATION NO, 8625 ' (- ; .. , .. . . . . ? ; EXTERIOR ETJVET,C?i AVERAGE "U ` C01.?JTATI4:1 OWi1ER -S'C O // G . /?`pSC! SITE ADDRESS 7S j? L?' o ?a'?°17 /7??q.?/ow /P? EGye? rr>?, Ssi1? COI3TRACTOR -fos <s DATE ?/- `/-d3"PHOtIE Determine vrorking snuare footage of each. 1. Total exposed wall area ... sq. ft. x.11 = 2. Total roof/ceiling area ... sq. ft, x.026 = Total exposed wall area above floor =??p a. Total wall mindc-n area ................ FT, b. Tatal door area ....................... c. Total sliding glass area .............. d. Total _°ireplace vrall area .............. o- e. Total wall framing area (average 10%)... . f. Total net vrall area above floor ....... g. Total ric:joisL are2 .................. O• Total exposed foundation area ,. h. Total foun3ation v;indow area .. ...... i. Total aet foundation area sbouz g^ade , Determine 'U` value of each wall serMent.,, a.? x T,pI: ,.(?j = (p2 b. 3 7___?___'Yl X trU c rL a ? cX 'U`: D. X qV-0? 2. X I.Uie ,07 r. x ,:U?: o g. I I D.o R?lu" h. X :•U' ? i. X uU1, a 3 ............................................Total Sf item #3 1s the same as, or less than item #1, you have met the intent of SBC 6006(c)2. . - ,. . . ,-. . , . Total exposed roof/ceiling area J. Total skylight area .......... ... k. Tota1 roof/ceiling framing 2rea (average 10; 1. lotal net insulated reo;/ceilir.r, area .......?- Determine "'U! u21ue fer each roof/ceiling segr,:ent. J X %.U;, k. X '`U`'' -1 ?7, x ,:U,l 4 .........................................Tetal - If total o: /,!4 is the sane as, or less tnan P2, you have met the intent of SBC 6006(c)1. Alternate Buiiding Envelope DesiF,n To utilize ihe total envelope syster. nethod, the values established by the sum of'items #3 and N4 shali not be gre2ter than the sur.:.o: itens #1 and h2. - 1. + 2, _ 3_ + u. _ . CITY OF FAGAN hIINIrN.f "U^ VALUE eLND R-F.'1CTOR AT ROOF, WALL, RIPt tLVD CO\'CfZETE BLOCf; 1 ' . . , : RooF ? C?1L(NC, (Y) VA? Q I11_fE710? Rl?? F(l?? . r? f O S?s" GYP SUtA J? lti IoN ? ?d p O EX?E(?;o(? A1R FILM '?? V, ----v k L L_ 1 ?jUrr- .ozS TbTAL (R)= Wat? ?- CTZ? VAL( Q ii?l?Plo(? ?1fZ ?[?M . :cp a '12-" GYP." BD.? :2_ 3? •4 ? OO _ 'ntg.tr?suLATloV siz'' Q .25W ?e vlv u ?.xlE-Jqor-, Hn FIL-M tiU"= 1 f R = ,z ti ? IS ? izIM To-rRL (R) _ Z?4 (9) vaLU 1I1TLMaR-Nr? Ffu1 S 1JZ!i t?`SUL??7toi't - ? 2 FICr- Rlt''i ?DIS( V%F;Sar"lTE. 510lT4G Z:XTaRtDR Am ftLC1 4?^0 2 •d0 C? E nUn ^ S/tZ=.:, la? . To?[P:. C?)= 2?}'•9/ . -.;?. ?3 iN ?EI? ??? A?tC F?Lj'I Ctl L r VFlLUc ? - C ?? . 9.5- 0,10 >; EXjc?'?1o2 AIR F1LM uuii = ??IZ= ?.f ; ToTa? (Cc?= Floors o:e; unheated spaces riust have mininum R-factor of ft-20 (tuc!:-undeY garages), Floors over outdoor air (overhangs) aust tiave a ninimum P,-factor of R-33. e CUIDELIlIE TO (R) V'A[lOftS (COn f511R4[ n(dIUAL . OF TYP I(l,lLY USCD PRODUCTS (R) (R) In[erior A7r Film (11JIIs) 0.66 Lyysum or plas[er 6oard 3/6" 0,32 Ex[crior Air Fllm (Ifalis) 0.17 Gypsum or ylaster Loard I/2" 0.45 ' Intcrior (, ir film (Vented Feilino ) 0.61 Gypsum or pl;,scer board 5/6" 0.56- Extcrk.r Air Pllm (V,gted Cciling ) 0.61 Plyvood 3/B" 0.47 Intcrior Air Filn (Ilpn VcnteA) O.GI Plywood 112" 0 62 Eaierior Air Film !Ilon Yented) 0.17 Plywnod 3/4" . 0.93 Shea[hinq, req. denslcy 1/2" 1.32 bluminu? Siding 0.61 Sheathinq, reg. dertsity 25132" 2-06 hluminum .,i[h Backer 1.82 Nail-hast sheathing 1/2° - 1 ;14 Hluminum with Backcr L Foiled 2.96 I/2 a 6 l.p Sidinn (UOOd) . 0.81 Built-up Rmfs 0.33 7116 x 12 uardboard $idinq , 0.67 Azbesms-rement shin?lis 0.21 6sbeztos Sidinns 1/4 Lapocd 0.21 Asphalt roll roofin9 0.15 Stucw (Orc:m and Finisn Coat) - Aspahlt $hingles p.44 3,'4" 1:ood Subfloor o. Sheathing 0.94 Insulztion: 2-2 3/4^ F{berqlass 7.00 I/2" Plywoad .1iea[hin9 0.62 Insulation: 3 1/1° Fiber9la55 1 h00 _ I/2" Particlc tluard 0.66 Insulation: 6^ Fi6erglass 19:00 N00D5: BLOURIf, 400L5 . . , FIr, pine G similar Soft Iloods I 1/2" 1.89-, Approx. 3' 9.00 2 1/2" 3.12 Approx. 4 1/2" 13.00 ... ... 3 1/2" 4.35 AvProx. 6 I/4" 19.00 .. . ' ? 5 1/2^ . 6.87 ApProx. ] I/4" 24.00 .. .:.- . ,:. . . . . ApProx. IL" . 30.00 . .-... ' . . ' Approx. 18" 40.V0 - AII other insulation ma[erial5 nust be .- '. '- - F111ed verified (R Fat[or) (0.) Vermiculit e . .. B" Convete Black (5 y G Req.) 1.11 1.93 - 12" Conereee Elock (S 6 L Reg.) 1.28 3.15 8" Li9hc IJeight 4.18 5.03 - , 12" Li9ht t:elght 2.46 5.82 ' Rlan? !}fi•;u?aR<{,F: ;•^#f.s4i:tt:•:!C . . NOTE: (ll) z Area SQUare.Fect AII WfnAaws ? (wd5corns 1^ ro 4" Space) .SG ({'? - Removal Doable Clazing (RpG) .55 Thermo ar weided 3/16" air space .69, 1/4" air space .65 " 1/2" air space .56 (Other windows zpecifically tes[e tl can use be[ter ratin9s) - I 3/4 Solld core doar .46 - W/smrm, wood ,31 . N/srorm, metal .26 . P¢ase StcelDoor Insl/i:/CL 7.45R .13 ' - Slldinq Class Doar, Nood .65 . Metal .715 . 1 _?a?f r1 ?' 3 1? ? / V Y 1 ? C ? F-' 'a ' CITY Or EAG:iN ? ? ?e:? ? piq APPLICATION FOR PERIMIT -' SES4ER AND/OR WATER CONNECTIODI ? (PLEASE PRINi) T '' ?? 1) PROPE. YI ADDR:.SS: l71? //7?/?-- G v? /l-? T_Fr='+L DF..?=71'I'IC`I: /? a ? / &/uG(/1-. 3 (Ir?t/Slock/SuLr.ivisicn or Ta:i : arcel I.D. NL:.Der) ? ?' -':'=:C S'?'?.C':.'^rZE . DA?E 0° 0:2T_Gi?Ai, :5GI:.:l`:- ?? `-' PFLES=T C• Sz_ td'?-1 SL= rPMl',Y '= _••' -? :=; ? R-Z CJr^= (?'+i0 Q R-3 TC?t1i.'.?:rrrc? (??'?.c? - L':7I^:S) ( r?II'_'S) ? R-4 ?aiZTS) ? CCS>?'SE??CL: ? I./i:ETA I .T_„?CC r IC'?: ? ?.?liST?.=?5. Q T_\STI': TIC.`1'-?L/Gv^J?'un 2) AiPI,I= IPLEASE PBL`ii) t?OuME: (7 ACC.=cESS: CIT'. S=T'y, ZIP: ?5.5 3? PY.ONE: 3) PLLmE'. ?v??as? r?inr? i FQR CITY USEOYLY ?,?_ , aDcMEss: 66a C'-Z;6t PLJHBERS lICE45E: Active CITY, STATE, ZIP: Expired PHCNE: M"? I PLUHBER IILENSE N elelf m! Hot af Record dt tnltia `t/ U-L:UYFIDTL'/G?7TIEF2 lr?cxac rnirllJ . NvME: S'r•. c? j`7 ?o?-?. rDoRr•ss: CTTY, STATE, ZIP: ? , s PHONE: 5} IMIG"LTE ;aF{ICFi PE.4h1IT IS BEINC; REQUES'I'?'?: ION TJ CITY SE7i9ER r:;11zC1-ICN TO cz2^r WATEz [:] Cl"iE= (P=E DESC:tZBE) 6) e-v I= ?SE frOLD APPR(7VID PMIIT FOR PICi:-UP BY OIVE OF 116CVE ? PL£i+SE ?*.-?IL APPRL'Vm PEP,= TJ 1, 2. 3, 4 ATOVE (Circle one) 7) SICaTL"RE: _ ?(??? ? /?..?,C'.e.? ? DATE: V- a'2d 4i3- MR w ola?+?wse.?a? yr a Er:g?u ae ? rr:?saa a? s s s?s?a:ra at a??ar.:+s?.?+? a ra? aie.ecssa FOR C I T Y U S E ON:,Y PE??^+.IT " ISSUED FErs = $ f e - .+ a $ $ S S $ $ $ ?S rr--O , v-o $ $ $ $ $ SE::r? nr.?vgrT (I`ICLi:DE SC?C := 3G ;i WATE? PERt4Il (I`ICL'u?E Su.^-.C:Ar2Gc.) WATER iMETER/COPPEBHORN/OL'TS=,?-?- RE?.DER WATE3 TAP (INCLCDE CORPORATiON STCP) SE;dEB TaP ACCOliNT DFPOSIT - PIATER WHC SPC TRU:vi; [JATER ASScSS;L:iT T.°.i;i?K SESQER ASSESS:?iE`im LrlTE2AL BENEFIT/T?UDIK SE:•iE.^-. LATETRAL BENEFIT/TRUVK WATCR OTHER ' S $ TOTAL aMouNT pazD; REcEz Pz R -E ° l 6-``v/v OOES UTZLITY CONNEC;20N REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEi] A"PERMIT FOR :JORK WITHI:I ? PUBLIC ROADWAY" MUST BE ZSSUED BY THE NO ENGINEERING DIVISION. LZST AS A CONDI- TION. SUEJECT TO THE FOLiOWING CONDZTIONS: APPROVED BY: TI':LE:._.v1.? DAT_: -/ " ? a - 5-S Se =*AM w&M w W w +=W wPG Ra WUW w ??PWMPI Oaa rE W ia WPQ wia PcM ie sPG W ? Sp•)L.21,,- NEQUEST FOR ELECTRICAL 1111,SPECTION _ EB-°°°°''°° ' S. irmlrucfions iw rnmpleti.g this fwm on bact oTwiWw coPV0 1 9`L 19 ..X.. Be/ow Wnrk Cvvered by This Requesi` (9 1ti 10 ada Ilso. 7vpe of Builainq Appliaasa hi.W Eauioarme, Wiree ` Home Range Temporary $ervice Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electric Heatin Comnercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditinner Bulk Milk Tank F3fm ONer ISPeClfV) . ther ISUeciryi f _I UCCI(Y OLhCf 011hC! Compute Inspection Fee Below i Fee ServicaEntranceSixe p Fee Faxders/SUbfeeCers # Fee Circuits o, U to 00 qm s 0 to 30 Am Z 0 to 30 Am Above 200 Amp, 31 to 100 Amps 31 to 700 Am Swimning Pool Above 100-Amps Above 100_Amps Transformers Irtigation Booms , t Partial%Oiher Fee Signs I I ISpecial inspection ?g TOTAL FE-? n??k? _ 3g.en ( ?` 7_6) - --- ` i. ma eiacm?ar? ??i 0 Inspector, hereby certitY t?t the above Fiibl D.(?}? e ' Veccion has been . , O ?7 made. Th:s reVUest wiU I D?j ??,?{?, L?{ ?3 U??' i F-At 4,dd ?7.Sb Neq S te ;i Fire No. POUBh-in Inspection Neawr ? DReady Nowll. Nol ity Inscec- ? ?j? ?t - p O {yo WhenRea or tly lffjcensetl ElecVical Contracior I ha?eby reqvest inspeetion ot above ?Owner - elecilicel work instelled at SUeet AdEress, Boc or Route No. Citv s%/ G/a 1 ti rnt ,a-e o w uoui Township Name or No. Ran9e No. County Occuppn? INiINTI Phone No. S ?f K o a Pow/e?r Suppli¢r t !/A-t,6 & ?L Address A t,.,' Electrical Contraclor (ConWanY Name) 44 k;c V * X-r Contractor's License No. 1 - x Yaili,q ACdrass-ICantractor or Owner Makinp IM(ailationl Q-A T f L t AuMorizvt! SiBmnre (Conrtacmr Owner Making Installation) Phone Number . ?r?a _ G363 YINNESOTA yTq'IE gpppp'OF ELECTRICITY THIS INSPECTION REQUEST MILL NOT Grim,y-Yidway 81dg. - ibom N•797 BE ACCEPTEO BY THE STAiE BOARD tl27 UnirsrsihAve..Sr. Paul, MN 55700 UNLESS PROPEH INSfFCT10N FEE IS ph. (g11Z) qg7-2»q EPoCLOSED. ' REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 ? S' Sea instmctiws for completing this form on bnck ot vellaw capy. 0 i ? 9 -'X" Below Work Covered by Ihrs Request S.( k4 "t5 AAtl flep. Type ol Buildine AoPliancns Wiretl Equiument Wired Home Range Temporary Service Duplez Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Unluader InAustrial BIAg. Air Conditioner Buik Milk Tank Farm Oma. peci v other Isuo,fvl t?nr Suecily ther Other ompute /nspection Fee 8elow p Fea ServiceEnVanceSize # Fee Fxaders/SubSendars A Fee Ciwvits 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am os Above 200 q??p5 31 to 100 qmps 31 to 700 Am s imming Pool Abave 100-Amps Above 700_Amps Transiormers Irrigation Booms Partial,'Other._Fe -. $igns Speciallnspection $ / ? T T Rema.ks?? Q? O AL FEE? D? floueh-i Final ( Date ?^? ?) ?the ElectriLal Inspactor, he,eby rtify that tha above inspection has been made. Thls requesi voitl 18 monIDS irom This reques? voitl y??? 9 18 rtwnths fmm A42089 L- F)-'Y-SS O 1k6y J12t-s- ( U• 0 U fle9uv 11?? IQHeatlv No ?I NolitY InsPeo-l es ?Nn r When Reatly Licensed Elecvical Con[ractor I heraby reqvast inspection of ebove ? Owner eleetrical work insiallad aY Street Address, Box or Poure No. Citv 7 Y ? ,.0 Me ecuon o. Townsh?p Namo or No. Rnnee No. County j OccvDantIPRINT) Phone No. S Power Supplier Atldress 1 ? I ncal Contractor ICOmpany Namel ntracmr"s l.ir.ense No. L ailin0 Atldress C niractor or Owner Makine Installationl a , 06 Autho riz Signawra m wner Making I n t Ilatmn) t Phone Numbe, MINN Tq STpTE APD OF ELECTPICITY TNIS CTION REQUEST WIIL NOT Griggs-Midway Bldg. - floom N•197 BE ACCEPTED BY THE STATE BOAXO 1821 UniversitV Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (612) 297.2117 E NC LOSED. PERMIT City of Eagan Permit Type:Building Permit Number:EA115899 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 754 Golden Meadow Rd Lot:4 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Derek Lindsey 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 - Gerald J Skala 754 Golden Meadow Rd Eagan MN 55123 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117894 Date Issued:10/24/2013 Permit Category:ePermit Site Address: 754 Golden Meadow Rd Lot:4 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-040 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Gerald J Skala 754 Golden Meadow Rd Eagan MN 55123 Action Roofing & Siding Llc 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136170 Date Issued:04/28/2016 Permit Category:ePermit Site Address: 754 Golden Meadow Rd Lot:4 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gerald J Skala 754 Golden Meadow Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156414 Date Issued:06/28/2019 Permit Category:ePermit Site Address: 754 Golden Meadow Rd Lot:4 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gerald J Skala 754 Golden Meadow Rd Eagan MN 55123 (651) 470-5728 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160535 Date Issued:03/17/2020 Permit Category:ePermit Site Address: 754 Golden Meadow Rd Lot:4 Block: 3 Addition: Overview Estates Replat PID:10-56210-03-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Gerald J Skala 754 Golden Meadow Rd Eagan MN 55123 (651) 470-5728 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature