4632 Lenore Lane
Use BLUE or BLACK Ink
r-----------------I
I
f n City of L~ ~lle Permit
I I
I Permit Fee:
3830 Pilot Knob Road l
Eagan MN 55122, Date Received: I
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff:
c, -
2010 MECHANICAL PERMIT APPLICATION
Date: ) Z`~~ ( Site Address, t-I f, .5 2 Iln rc --e_
Tenant: t ~ b C C4--t ~ C: 6 Q r5 Suite M
RESIDENT / OWNER Name: -Iv 6 -3 cC- .,c C- 6 Phone: Ohl -z--36q - 2-05-3
Address / City / Zip: L4 63 Z a r C- n C-
CONTRACTOR Name: License
RESIDENTIAL HEATING & AIR, INC
Address: 1815 Fast Alst Rlwat, Suite A City:
Minneapolis, MN 55407-3425
State: Zip: (sp) 72s-s,sj Phone:
Contact: Email:
TYPE OF WORK New 'AL_ Replacement Additional Alteration Demolition
Description of work:
t `Yi@rt~f~jp~Ity
.M tot f~Y t~'for iratt#~rn ors ¢~€ft'eeritrr~.#riethi$.
. r
RESIDENTIAL COMMERCIAL
PERMIT TYPE Furnace 59-^-acoGo eiS``o New Construction Interior Improvement
Air Conditioner L N op, r>A- S Y+-1 Install Piping Processed
Air Exchanger Z ® Gas Exterior HVAC Unit
Heat Pump Under /Above ground Tank Install / _ Remove)
Other When installing/removing tank( s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) Co
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ JS TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract, Value $ x1%
$55.00 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 protectio against undergro d utilit damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateone Il.or
I hereby acknowledge that this information is complete and accurate; that the work will be ' onformance ith he ord' ces 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 t o start witho permit; t the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X t ✓ CA-e\ x
Applicant's Printed Name Applic nt's ignatur
=tq,y,+.,
Tila(
z~4 r rider4td ,z„4tr -in Air TV Gadrvjrae E ist VA
i
CITY OF EAGAN Remarks
Addition Ridgecliff First Addn. Lot 34 eik Z Parcel #10 63980 340 02
Owner Street 4632 fiarj2"yL£rt6TE L0.?tEstate Eagan, NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?.? 1980 184.49 12.30 1$ 147.62 C0o 64 2-18-$2
SEWERLATERAL ? 1982 1305.42 5 1305.42
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79 C007616 2- -gl
WATER AREA ? ' 147.62 CQQ (4 2-18-82
STORMSEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
• CURB & GUTTER
SIDEWALK
STREET LIGHT
240.00 #30144 5-18-82
WATER CONN. 420.00 it if
BUILDING PER. 7278
snc 525.00 " "
PARK
`INSPEC- - - - - - - - - - - - - - - - -
TION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
A? ? •
SITEADDRESS:
PERMIT SUBTYPE:
ftlt 1! 1! C Nll
HiAqf.t.
Nif iI iqv
APPLICANT:
TYPE OF WORK:
H 1 Y/1 1, li
r r? t? REitr,[lF
l ( '.t-!i I f' 1 I nN
I . ,. 1 I i }. F:t I, I I 111 ilI ) I I `,f Il Pdit 10 ;iie AI
iUE I n L, lt I irM I:AMAf,!
Permit Holder Date Telephone 11
SEWER/
WATEfl
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
?U•?D
`
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METEF
FLUSH
MAINS
coNOUCnwn
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN r=' ?
Fee
Fill in numbered speces S/C
Type or Print /egibly Tot.
1. Date Mdy 26, 1 9$? 2. Installation Cost ' j
3. Job Address 4632
Lencre Laqot => `! Bik. 1
Tract •'E ?? ?
4. Owner ORRIN THOMPSOi' I
?
i
5. Contractor '1en281 NIeCh. Phone 452-1565
8. Address 3600 Kenncbec L'rlve
7. City Eagan State iin Zip
8. Building Type: Residential tl Commercial ? Institutional ?
9. Work Description: New C Add O Alter El Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Ces
l/D
i
fi
ld
Bath tubs spoo
ra
n
e
$eptic Tank
_ Lavatory ft
S
/
Shower ner
o
Well
/ Kitchen Sink
Urinal/Bidet Othe
l
_
Laundry Tray r
.
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
72. 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
Receipt MECHANICAL PERMIT
CITY OP EAGAN
fill in numbered spaces
Type or Piint legibly
1. Date -°-? 2. Installation Cost
3. Job Address '• Lot 14- Blk.
4. Owner
5. Contractor y N. WE= ?I HTG' Phone ?5-6867
6. Address 37 ChiCBgD nVe.
7. City , 0• State -
Zip 5?407
8. Building Type: Residential E] Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Fuel Type 71-:9
11.
No.
I Equ'pment BTU • M. Ea.
Forced Air No. Eauioment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
_
Mfg. _ Mech. Exhaust
Unit Heater
Mfg. Other
_ Air Cond.
Mfg.
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 464-8100
Permit No.
Fee _. . ?:.
S/C ?
Tot.
9;2 Tract ?
:??.
CITY OF EAGAN
3795 PiIM Knob Road
Eagan, MN 55122
Zoning:
Owner.
Address:
Site Address:
Plumber:
I egree to comvly wifh t6a Cky pf Fayon
Ordinoneea.
By
Dote of Insp.:
e
. ,
Connedion Charye:
Acwunt Deposit:
Permit Fee:
Surcharge:
Misc. CFwrges:
Total:
Date Puid:
CITY OF EAGAN WATER SERVICE PERMIT
37°5 Pilot Knob Road
PERMIT NO
:
Eagan, MN 55122
-
- .
DATE:
'
'
'
Zoning:
.r?,,
Owner: : .OL?jlf,OTl ,No. of Unirs:
..0.:: c
Address:
Site Address:
Plumber:
Meter No.:
Size: Connection Charge: . " „
Reader No
: Account Deposit:
.
.
1 agroa to eomph, WMh fhs Gh, ef E Permit Fee: ; ,
ayan
O Surcharge:
rd7naneor, Misc. Chorges: :
B Total:
y
Dote of Ins
P"
Date Paid:
Insp.:
SEVNER SERVICE PERMIT
PERMIT NO.:
DATE: _
- No. of Units:
Hortes
' CITY OF EAGAN
9795 Pilef Knob Raad Eoyan, MN 55122
PHONEs 454-6I00
BUILDING PERMIT
Receipt #
To M ussd fer Est. Volue Date 19
Site Addreu Erect
?
Occupancy
Lot Block Set/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone
E
nlaroe O TvPe of Const.
oWc Name Move
p
# Stories
; Addres s Demolish p Length
b
Ci Phone
6rade
?
Depth
Sq. Ft.
g Nome ApDrovab Fees
?? Address Assessment
W
S S
I. ci Phone ater
ew.
u Police
WW Name
Fire
Uu Address Enq.
iW Ci Phone Planner
I hereby acknowledge that I have read this apDlicotion and stote that Countil
Bldg. Off.
the inlormation is correct and agree to comply with oll opplicable
Stote of Minnesota Statutes and Ciry of Eagon Ordinonces. ^P?
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Rood Unit
Totol
Sipnature of Permittea I
A Building Permit Is issued to: on the expreu conditlon thni
oll work sholl be done in accordonce with oll applicable State of Minnesoro Statutes ond Ciry of Eagan Ordinances.
Buildinq Official
Permit No. Permit Holder Misa Parmit No. Holder
Plumbin9
H.V.A.C. p b `Z E,(
Rater
E
ENc
trie
WOa"qq
1g1 '('6 k
(p-Z'Z-gZ
ImpeMion Data Insp. Other
Footinpt
Foundation
Freming
-------------
Rouph Plbp. .''J?
Rouyh HVAC +? •
v
?nwlation
Final Plbg. • ' (?
Final HVAC ?. ?
Final
Water Douribe Location:
Well
Sawer
n
Pr. Obp.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECEIV 6D
PROM
AMOUNT $ I
h DOLLARS
ioo
E)CASH FJCHECK
FOR
/./. . ' ? ? ?,..c. .
FIIND COOE AMOl1NT
?
Thank You
C:::? ?? ,
?--
BY
White-Payers Cop
Vellow-Posting Copy
Pink-File Copy
"?
oO` 72 Z3 C-?'I''
` OF EAGAN Include 2 sets of plans,
, 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
Tb Be Used For Valuation ? Date a,
5ite Address : a(0 3 2 ?,,, ?h p ?r? 1'h. (?o;? ) OFFICE USE ONL
Block 5ec. /Sub . '(
I,ot 3A Z ?%g?A'%T Af-, Erect Occupancy 3 _
_
Parcel #: l0 Go -34 gL) 3 qQ 0 Z Vti r5t Alter zoning .?/ U
Repair Fire Zorie
Enlarge Type of Const.
Owner: Nbve # Stories
Pddress: Demolish Front L/O 6,) ft.
Grade Depth ;Z1, ft.
City/Zip Cocle:
Phone #: APPRDVAES FEES
Contractor: 0RRI ?
TN[1MPCn
?
ni
??
Assessrnents A!?L
Fe-rmit a?
-
-"?'
'
?''-
Address: a Oivision of U. S. Home Corporation Water/Sewe?r 5urcharge d2 7
Police ?i
Plan Check
City/Zip Code• MINNETONKA, MINN. 55143 Fire SAC ? a23
Phone #:?? - 7 333 Eng•
plarmer Water Conn. 5/p a
Water Meter - 6 ?-
Council Road Unit ?'0
Arch,/b-?g.: Bldg. Off.
Pddress: APC
City/Zip Code:
Phone # • "AL 1-71 q
` ??
BUILDING PERMIT
NY - 7278
Reteipt # -/
To 6e wad for SF DWG/GAR Est. Value $55, 000 Date MaY 7 A 19--82-
Sire Addreu 4632 Lenore Lane (Plan 107) Er
r or,
Occu R'3
ec ? cy
P
Lot 34 Block 2 Sec/Sub. Ridgecliffe 1St qlter p Zoning (PD) R-1
P 10 63980 340 02 Repair ? Flre Zone NA
orcel #
E f C
T V
nlarge ? ype o
onst.
W Name ?'rin Thompson Homes Move ? # Stories
; Address 1712 Hopkins Crossroad. Demolish ? Length 60
b
Ci Mtka. 55343 Phone 544-7333
Grade
[I
DePth 27•5
SQ•Ft.-
°C
0 Name _ Own@r Approrals Fees
?
?u Address
r?...
Nome _
Address
i hereby acknowledge that I hove read this opplicotion and state that
the information is correct ond ogree to tomply with all opplicable
State of Minnesota Stotutes and City of Eagan Ordinances.
Signoture of Pertnittee
CITY OF EeAGAN
3795 Pilof Knob Road Eagan, MN 35123
PHONE: 454-8100
Assessment _
Woter & Sew.
Police
Fire
Eng.
Planner -
Council _
Bldg. Off. _
APC
Permit
Surchorge z
Plon check 149700
SAC 525.00
Water Conn. 4 2 2 00
Water Meter 60.00
Road Unit 24n _ nn
Totol $1719.50
A Building Permit is issued to: ozlr i ID S Oal@S on the express condifian that
ull work sholl be done in accordonce wlth all 12 ble St of Min Stgttites ond City of Eogan Ordirwnces.
Buildin9 Otficiol ' ? P????' ??
BUILDING PERMIT
N° 7278
Receipt # ?l r
To 6s uwd !or SF DWG/GAR Est. Value $55, 000 Dote MaY l R 19_.$.?.
Sire Addreu 4632 Lenore Lane (Plan 107) Erect ? Occuponcy R-3
Lot 34 Blxk 2 Sec/Sub. RidqeCliffe lst Alter ? Zoning (PD) R-1
10 63980 340 02
P
l Repoir ? Fire Zone MA
#
orce
E T
C V
nlarge ? ype of
onst.
W Nome Ox'rin Thomnson Homes Mo„e ? # Srories
Z
6 i Address 1712 Hopki.n5 CxOSSI'Oad. Demolish ? Length 60
City Mtka. 55343 phone 544-7333 Grade ? Depth Z7•5 Sq. Ft.-
a! Name ?C*'
i?0
Address
? Cit Phone
ua
,,,W Name
f
?? Address
rcZ
Z.
Ci Phone
1 hereby ocknowled9e thot I hove read this opplicotion ond stote that
the in}ormation is correct and ogree to comply with ail applicoble
State of Minnesota Stotutes and City of Eagan Ordirances.
Signoture of Pertnittee
A Butiding Permit is issued to: Orri SO OIRI
all work shcll be done in occordonce with oll li ble St of Mir
Building Officini x -?-?«
Ci77 Of EAGAN
3793 Pilof Knob Roed Eagon, MN 55122
PHONE: 454-8100
Approrals Fees
Assessment _
Water 8 Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. -
APC
Permit 298.00
Surcharge 27
Plon check 149. 0
SAC 525.00
Woter Conn.420.00
Water Meter 60.00
Road Unit '240 _ nn
Total $1719.50
on the express condiHon thnt
ond City of Eagan Ordinances.
.
s.
..?a:
L3q, 30(0 (o Z
30?00
st uaie
' Fire No. Rough-in Inspection
Required?
E]Ready Now Q Wil I NoiifY InsPec-
I ?1'es ?No [or When Ready
0 Licensed Electricat Contracror - I hereby request inspection of above
?Owner electrical work installed at:
ut Address, Boz or Route No. City
?. Z?., ?
ecuon o. Township Name or No. Range No. County ?
Occqpent(PRINT) Phane No.
O 1
Power SupVlier res
Add
s
/
'
mpany Name)
on
or (Co
Electr
ic
al
C
tract Contractor's l.iccnse No.
J
?
,
y
?
L?
-'.v?
(Nt"? '-/?u(4 ll . . _.+ '3'
inp I
nstailation)
Maflin0.4ddress (Con[ractor or Owner Mak
'
e
Authorized Signature (Con[ractor/Owner Making Installation) Phone Number
" THIS INSPECTION REQUES7 WILL NOT
MINNESOTq ST E 60ARD OF EIECTRICITY
BE ACCEPTED BV THE STATE BOAHD
Griggs-MidwaVBldg. - Room N-191
1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ow,..._ 19191 947_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,+ w EB-00007-03
99P ?._
See instructions (or completing this form on back of yellow copy.
NW"Vork Cavered by This Request 3OCO(0 Z
N A. Hep. Type of Building Appliances Wired Evuipment Wired
Home Range Temporery Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace. Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tani<
Fafm ther PecifY ther(SUecify)
t rr SpecifY Ot er Othrr
C.O/71pUtB IRSpBCiIOn fE2 GBIOW - # Fee Service EntranceSize q Fae Faeders/Subfeeders H Fee Circuits
/o w 0 to 100 Am s 0 to 30 Am ps T' 7P a' 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200__Amps Above 100_Amps Above 100_Amps
Transiormers Remote CoMrol Cira S'a Partial'Other Fee
Signs Special liispection $ 2 a
T
Rernarks
J?•s? OTAL Q•
0
ROU9h-iri ~ . Date
I, the ElecYrical
?-?7Ofi pector, hereby
certify thet the above
final ( %k nspection has h¢en
made.
a •
?n?+ ?eVUr.si w?u
18 mnnths from
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
PoT.IV.. 10-63980-34P-N'_'
4632 i rNnRr i PNF
L or: 34 B-i,ocK; -
liILIIJtCL.I.F c,c t S 1-
PERMIT TYPE: a u 1I o.r. Nr
Permit Number: 0 3 A 6 f> 6
Date Issued: G, 3/ 1:1 19 9
DESCRIPTION:
STi)f11T1 C1AAl1Gf=
REf'flIR
434 !1L'T. ftESilJ;_iVTl'P,I_
r? ? 5
?'i\ a. m ? § _. .. e..... 3C -'. :t ? I ... .....
, -
°u-?'.I P- rmi_t Tvp C2
E;Pi1rj:Rnq Wiri?TVpp
-^r4nsuf, Cne1e
? _t\
.
•
T,C7. & RFFt00F
REMARKS:
r.u_ F-- Izr R 00 1 ;ious1- raNn r;nrrI cC ouE ra sro?il 0Ai?1 raG F,
FEE SUMMARY:
CONTRACTOR: - H u u 1 i c a ri t- sT. 1_ t c. OWNER:
SFLFl Ft00F'LNG & FtE.MODFI_.IiVG 18238046 00010649 BRFINDFNl3FR( 30f3
'11Pio HXCE.I_`c;:[Oft BLVO 4G3 '2 LEh!OftE LFlh!}':
?;T LOU1S P,?1RfC MN 55416 EP, GE1iN SE> i 22
( 6 12 } 82 3-S0 96 ( 6 5l)588-0 7C, 5
I ti?'r'cbv acknaul l.eclor, i.Ft??? 1#-iavr ?eei cl thL t? =:cpJiioei anc# 51.atc iiwt i-l1.!
5 nrsiaai_. c,n zs co r t-p-e..t; and r?q t',: to c:omra1v with ,1 11 app.i.icub!e Str;o 1' i+i,i.
SLa?U'iPL; ,.ritd l.`Liy ta'f FacIan (lrdinarlr:2s:
I
APPLICANT/PERMITEE SIGNATURE
-i
?4? P?@ 22
UED BY: SIGNA RE
drZ)
.
? ? ? • C. R. WINDEN & ASSOCIATES, INC.
? LANO SURVEYORS t*1, $45•3648
FOR: 1381 EU5T15 Si, ST. PAUI* M1NN. 55106
U. s. xoME caxpoRATZON
? /V
?
N\ `
Scale. . 1„ _ 40,
O Denotes Iron
\? \
oy
?
lb, L ?? ?y,0 QQ aJ" ?p? •C? \ c'?
0
1 ? \~? ?? L? ` ?8
ti0???\
J
Lot 34, Block 2, Ridgecliffe First
Addition, Dakota County, Minnesota. T
\
?
WE MERE6Y CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEV OF THE
60UNDARIES Of TME tAND ABOVE DESCRIlED AND OF THE LOCATION OF All dUlIDINGS, IF ANY,
TNEREON, AND All Vl5161E EN[ROACHMENTS, If ANY, FRpM OR ON 5AiD LAND.
Dorod tAis 11 4k day of?A.D. 19 $Z C. R. W OEN 8 ASSOCIATES, INC.
br -Svrvoror, Minnowfo Raqiurolion No. I'l Z(?
,..? ?,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
New Construction Reauirements RemodeUReoair Requirements
? 3 registered site surveys
? 2 copies of pians (include heam 8 window sizes; poured fid. desi9n; etc.)
? 1 energy calculations
4 3 copies of tree preservation plan if lot platted after 7/1193
required: _, Yes _ No
DATE
? 2 copies of plan
? t site surveys (exterior additions & decks)
? 7 energy calcuiations for heated additions
CONSTRUCTION COST:,5?OC /J ?-
DESCRIPTION OF WORK: \QLt44,
?
STREET ADDRESS:,"'?""
LOT: BLOCK: ? SUBD./P.I.D. &9?
Name: 6214 ?W Phone #: Q-7
PROPERTY Lazt ° First "
OWNER
Street Address:
City State: Zlp: ?'1 aa
Company:
CONTRACTOR
ARCHITECT/
ENGINEER
Exp.
Zip:
Phone #:
Registration #: _
State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is?correct, and agree to co y with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordiriances. ??,., A /' N ,p
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
Phone #: o (a ` 2;0 `S04?
Street AddressSEIAROOFING & REKODELMG,W
Ciry ST. LOUIS PAIZK, MN 56416 State: Al JU
Company:
Name:
Street Add
City _
t
_----
:?' ` ------ ,
_ Not Req?ired .---- --" -
License #
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179140
Date Issued:09/20/2022
Permit Category:ePermit
Site Address: 4632 Lenore Lane
Lot:34 Block: 2 Addition: Ridgecliffe 1st
PID:10-63980-02-340
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robert Alan Brandenburg
4632 Lenore Ln
Eagan MN 55122--265
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature