4673 Lenore LaneReceipt PLUMBING PERMIT Permit No. i,'
CITY OF EAGAN ?-_
Fee ? ._
Fill in numbered spaces S/C
TYpe or Print legib/y Tot. _. ,
1. Date/Z? 2. Installation Cost
3. Job Address 4/6 7e? Lof '? Blk. Tracti
4. Owner
5. ContraMOr Phone
6. Address??L?
7. City State Zip_' .
8. Building Type: Residential 10
9. Work Description: New16
70. Describe
11.
Commerciat ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
_ Lavatory > Softner
Shower ? Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
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
CITY OF EAGAN Remar
Addition RIDGECLIFF FIRST ADDN.
Owner
Street
- Lot 16
4673 Lenore Lane
9 pa cel #10 63980 160 09
stece Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1980 184.49 12.30 15 147.62 c007 84 2-1 2
SEWERLATERAL 19$2 1305,42 5 13
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79 C007616 12- -
WATER AREA 147.62 coo 684 2-18-82
STORM SEW 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
ROAD UNIT 240.00 #29668 4-19-82
WATER CONN. 420.00 11
6UILDING PER. 7189
sac 525.00
PARK
I
CASH RECEIPT
CITY OF EAGAN
q? 3795 PILOT KNOB ROAD
I(Q ' \ EAGAN, MINNESOTA 55122
DATE
19
wUceiven
FROM
AMOUNT $ I
& DOLLARS
loo
? CASH FICHECK
FOR
Thank You ?
- BY
l.? '"51-
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
14
CITY OF EAGAN
, 3795 Pllof Knob Rwd Eagan, MN 55142
PHONE: 454-8100
BUILDING PERMIT
Te 6& umd inr
Siro Addrew
Lot Blxk $ec/Sub.
Parcel # '
rc Name
W
Z Address
? Ci Phone '
p Name
?
?? Addrcts
? r?•., o?,...._
Name _
Address
I hereby ocknowledge thot I have read this applicotion and state thet
the intormotion is correct ond ogree to tomply with all applicoble
State of Minnesoto Statutes and City of Eagan Ordinances.
Signofure of Pertnittee
A Building Permit is issued to:
all work sholl be done in accordonce with oll aDD?icable Stote of Minne
Buildirg Officiol
Receipl #
Date
19
Erect ? Occupancy
Alter Q Zonirp
Repoir p Firc Zone
Enlorya ? Type of Const.
Move p # Stories
Demolish ? Length
Grade ? Depth Sq. Ft.-
Aporovab Ftes
Assessment _
Woter 3 Sew.
Police
Firo
Enp.
Planner _
Council _
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
on the expreu condition thnt
ond City of Eayan Ordinonces.
Permit No.
NEOCENE Parmit Holder Misc. Parmit No. Holder
PlumbinB 751
H.V.A.C. 3D W tl
Well
Watar
Disp.
Savwr
Electrie 43 o$Qp 8£I( FUE C, lo-iT $Z
Infpeetion
Dawa insp. Other
Footinqs
T
Foundation
FreminB
Rouph Pibp. .1?40.0 4)
Rough NVA .
Inwlation
Final Plba
Final HVAC
Final
Wour DpcriM Location:
VVall
Sswer
Pr. DMp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN '
Fae
FiII in numbered spaces S/C •
Type or Print /egib/y Tot. '
1. Date 2. Installation Cost •'
.
3. Job Address Lot Blk. Tract
4. Owner
LTN Tf?0M'SON H: NC-S
5. ContraMOr - Phone
6. Address
7. City State Zip ?
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New fl Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. F.quioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg, r
an
ng:
- Boilers
Mfg. - Mech. Exhaust
Unit Heater
_ Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
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
Receipt ' PLUMBING PERMIT Permit No. ?` -
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y
Tot.
1. Date 5-4-£32 2. Installation Cost
r ,
3. Job Address 4673 Lenore Lanriot f? Blk. ? Tract '
4. Owner Orrin Thompson
5. ContraMOrG,;Pn7.rl M1iPnh PhOne 4?12-15nti
6. Address 3600 Kennebec Dr.
7. City Faaar State rii^.r. Zip 5,:122
8. BuildingType: Residential XB Commercial ? Institutional ?
9. Work Description: New C Add ? Alter ? Repair 0
I 10. Describe
1 11.
No.
- Fixtures
Water Closet No. Fixtures
Ce
fi
l/D
i
ld
? Bath tubs sspoo
ra
n
e
Se
ti
T
k
Lavatory ? p
c
an
ft
S
I
Shower o
ner
Well
? Kitchen Sink
Urinal/Bidet Othe
?
Laundry Tray r
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply 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
CITY OF EAGAN SEWER SERViCE PERMiT
3795 Pilot Knob Road PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units: ?
Owne?
Address:
Site Address:
Plumber.
1 a9ree fo eomply with the CiFy of Eagan Connection Charge:
Ordinantes. Atcount Deposit: _
Permit Fee: _
Surcharge:
By Misc. Charges: -
Date of Insp.: Total:
Insp.: Date Paid:
WATER SERVICE PERMIT
cirr oF enGaN
3795 PiIM Knob Road PERMIT NO.:
Eagnn, MN 55122 DATE:
Zoning: No, of Units
Owner;
Address:
' _
T.`.note I.ane S,%`
Site Address:
Plumber.
Meter No.: Connection Charge:
Size: Account Deposit:
it F
:
P
Reader No.: ee
erm
1 agree to aomply with tha Ciry of Eagan Surcharge:
Ordinanees. Misc. Gharges:
r
l
T
u
:
o
P
id
D
B a
:
ate
Y
f Ins
:
t
D Insp.:
p.
a
e o
?? ( j? CI'1'?' OF EAGAN Include 2 sets of plans,
?g < b ' 1 site plan w/elevations &
BUILDINC; P`Ei2MIT'APPI.IGATION I 1 set of energy calculations.
y?- D w? ?L- L ctC' i
To Be Used For R .. - • - - - Valuation O Date
Site Address:
y(,TI 1 o O O ICE USE ONLY _
Lot I(, Block !J Sec./Sub. Erect Occupancy ? -
Parcel #: 10 1031'?`D 1W 41 1slter Zoning /'LN>
Repair Fire Zone ? !4c
Rwmer: En1ar9e Zype of Const. _
Move # Stories
Address: Demolish Front D ft.
City/Zip Cocle: Grade Depth ft.
Phone # : APPROUIILS f'EF5
Contractor: (1RRIN TNf1AAPClInt unnnre
Addsess- • e Division of U. S. Home Corporation
,,.
City/Zip Code: MIrvNE7oNrcA, MINN. 55143
Phone # : 54 4 - 7 333
Arch. /E?-ig. .
Pddress:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
? Planner
Council
Bldg. Off.
APC
Pesmit 3YG aQ
Surcharge 36
Plan Check
SAC
Water Conn. FQb ?
Water Meter (pp ?°
Road Unit ;57`/0 <:12" -
`PO'I'AL \7? 9 'S U
BUILDING PERMIT
re be o.ea fo. SE INr1G/GAR
CITY OF EAGAN
3795 Pilof Knob Rood Eqgan, MN 55122
PHONE: 454-8100
$71,000
N° 7189
Receipt
o,,,p . April 19 82
Site Addreu 4671 Tatxcra Ime M1.8[1 L00) Erect IN Occupancy R-3
Lor 16 ei«k 9 sec/s.b.R'd9eC1iffe lst Alter ? zonin9 R-1 CPD)
Parcel # 10 63980 160 09 Repair ? Fire zone NA
?
E
Type of Const. V
Name ?? ?S? ???5
19 Move ? # Stories
W
? Address 17?-2 lOp?C71]S ?.rOSSY+Oad, Demotish ? Length 60
0
5531
544-7333
3
M
k Grade ? Depth--46-Sq. Fi._
+
Ci
t
a•
phone
APVrorals iees
w Name ?1RPr
0
o" Address Assessment Permit
Water & Sew. Surchorge 35.$0
Cit Phone Police Plan check 173.00
Nome
Fire
SAC 525.00
ui
?,-? Address Eng. Water Conn.42Q.4(L
<W Ci Phone
L Planner Woter Meter 60"0(l
CounNl Road Unit 740-M
I hereby ocknowledge that I have read this application and stote that Bldg. Off.
the intormotion is correct and ogree to wmply with oll applitoble
APC
Totol
State of Minnesota Statutes and City of Eogan Ordinonces.
' Signoture of Permittee
A Building Permil is issued to: Orrln Son Hmm s on the express condition thm
all work shall be done in occordonce with nll appl ble State 4oi ne Stotut ond City of Eagon Ordinonces.
Buildin
Official ?
g
Gnn ?? O iEQUEST FQR ELECTRICAL INSPECTION
u See instructions for tompletin9 this form on hack of yellow copy.
""Xi`Below Work Covered by This Request
?.F EB-00001-03
?
3oSS$
NBye Add R9p. ` Type oi 8uilding ApplianCes Wlred Equipment Wif2d
Home Range C,% Temporary Service
Duplex Water H eater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner -- Bulk Milk Tank
Farm Other pec.ifv Other (SVer.ify)
ther Suecify -0cher Other
Compute lnspection Fee Below
# Fee Service Entlence Size q Fee FeP.ders/$uhfeeders # Fee Circuits
j O. U to 100 Am s D to 30 Am ps 55 10 .tai 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 Amps Above 100_Am s Above 100_Amus
Transformers Remote Control Circ. y Partial%Oth e
Signs . Speciallnspection 2?
$
( ?
?'
`
Hr.marks J?jis TOT FF
l
.Ql0
/
Rough-in Uate
the Electrical
nspectar, hereby
tif
th
t th
b
Final T? ('
??P ??•f' car
y
a
a a
ove
' ection has been
made.
Inis request voitl
18 months from
This request void f.?/?
18 mon[hs from ?? (
@n7 0890
Lllci 39, /??- 3O5$2-
30?00
Raqu0stD2de ?.
w . Fire No. Fou(1ii-in Insper.tio?
fle irod?
?Ready Now?VJill Naify. InsPec-
??? Sf?•- res ?NO tor When Ready
&J-icensed Electrical Contrac[or I hereby request inspection of ahove ? Owner eleclrical work installed at:
et Add?re"ss. Box or Route No. CitY
ecuorv o. Township Name or No. Range No. County
Dhy-Z)A
Occupant (PRINT) Phone No.
0 "-a r? 'TN-?rPsar? l-?OM?S
Power Suppligr Address ?
KIV ' IItlI1`Y??? .
EItrical Contract?or (ComDany Name)
V? ?„Ll`acT 'LL_' m
C?pracmr'-s? rLicense No.
MailinA Address (Contractor or Owner Making Instailation)
4l1 rn:. C;?-tFF P-?D
Authorized Sig ture ( oniractur Owner Making Installa[ion) Phone NumCber
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST Wlll NOT
Gri9as-Midway 81dg. - Noom N•791 . 8E ACCEPTED BY THE STATE BOAHD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ah,,.,e laiP l 997_9111 . ENCLOSED.
Sa-11 15? a.?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatrudion Reauirements RemodellReuair Reauirements
• 3 registered site surveys showing sq. ft, of lot sq. k. of house; and all roofed areas • 2 copies o( plan
(20% maximum IM wverage aNowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 site survey tor exterior additions & decks
• 1 set of Energy CalculaGons . indirate if home served by septic system for addilions
• 3 wpies oF Tree Preservation Plan if lot plalted after 711/93
• Rim Jo'st Detail Options selection sheet (hldgs with 3 or less units)
DATE ( o VALUATION
SITE ADDRESS l l 0 7 3 bv- `c- L ifl MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK-TeAY' 07K d- 6Yao-?TeOar'o-? 9-toCM Re, Je FIREPLACE(S) _ 0_ 1_ 2
iELA ROOFING & REMODELING, INC.
APPLICANT 4100 EXCELSI61K?; t?.
STREET ADDRESS ST. LOUIS PARK, ARN 56416 CITY STATE ZIP
TELEPIiOP1E #(J-a-9a3-'6o?fn CELL PHONE # FAX #
PROPERTYOWNER ?f'-ct TELEPHONE#
-----------------------------------------------------------------------------------------------
GOMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
submission type) . Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone # ____----
Plumbing system includes _ Water Softener , Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths ?
Mechanical Contractor: Phone
Mechanical system includes: ? Air Conditioning D e: . 0
? HeaC Recovery System J?UN 2? ZpQ2
Sewer/Water Contractor: Phone ?
i?._?.+ - .. .?... .....Y""_
................................................'.........................................................................
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O?
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4102
CITY OF EAGAN
CASH.T.Ek: JS TEFMINAL NOe 760
DATE: 12/14/99 T2ME: 13;44:43
ID :
NANiEa AZTEC ROOFING AND COAl5TfiUCTTO14
3210 9001 4673 1._ENOF4C LN 125.25
2155 9001 4673 LEAlOFFE LI5! 3.00
To+.al Receipt Amoun+.: 128.25
CIi:L2127$
tlSER ID: JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reaulrements I aqlp2 s"? Remodel/Reoair Reaulrements
? 3 regiatered sffe surveys showing sq. R. of lot, sq. H. ot house 2 copies of plan
and all roofed areas (207o maximum lot coveraae allowed) 1 set of energy calculations for heated addNions
? 2 copies of plans (show beam 3 w(ndow sizes; poured fnd. deaign; ?t,4J 1 site survey for exterior addttiona 3 decks
? 1 set of energy calculatfons
? 3 copies of hee pre en n plan N lof platted after 7/1/93
DATE: CONSi? TION C05i: ?, D oa
DESCRIPTION OF WORK:
STREET ADDRESS: 1473 IC'JO,?w- L'9,AJC-
LOT: BLOCK: ? SUBD./P.I.D. #: ? &.e C.?,r .c... ` ?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ? 1/ l t7? r-?-?e2' Phone #: i45Z -
last Pirsf
'q&73 LC n1of?c
Street Address:
City State: ?N Zip:
Company: {-t 2 4e-G W'o?'h
Phone #: G12-
(area code)
g?,S= aQyo
StreetAddress: ?i-5-e 3 CL`'PP
City ?Bt-'-t2'AiSJ Ac 5tate: !M N
Company: Name:
Telephone #: area code (
Z1p: 5".5737
Stree' Addtgs=-: Registrition #:
ciy
Sewer 8 water Itcensed plumber (reaufred tor new conslruction oniv):
State:
Penafty applies when address change and lot change is requesfed once permit is Issued.
Zip:
I herbby acknowledge that 1 have read this applicatfon, state that the Informatton is torrect, and agree to compiy wRh ail applicabl
Stafe of Minnesota Stafutes and Cily of Eagan Ordinances.
Signature ot Applicant: ?-
OFFICE U5E O LY
Certificates of Survey Received _ Yes _ No
License # aa j39 1Y6 Exp.
Tree Preservation Plan Received _ Yes _ No _ Not Required
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 007
DATE: 03/28/00 TIME: 09:19:32
ID:
NAME: AZTEC ROOFING & CONSTRUCTION
3210 9001 4673 LENORE LN 125.25
2155 9001 4673 LENORE LN 3.001
Total Receipt Amount: 128.25
CR125160
USER ID: JAN I
**********************:?****************
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ??.a g. , as
651-881-4675
New Contlniclion Reoulremenls Remodel/Reoalr ReaulremeMa
? 3 regisfered tl0e wnreya ahowlrg aq. tL of lot, fQ. B. ol house
and g( rooled araaa (2096 rtimdmum bt covaraae ailowecp
a Z coples or plana (Www bearn s window size:; poured md desipn; erc.)
? 1 tef ol enerpy calculaHOna
? 3 copies of fiee preservCfion plan H lof plalled aRer 711/93
DATE:
DESCRIPTION OF WORK:
2 copieS of plan
1 sef ot energy oNcWaHons for heal6d addHona
i site wnrey ra exteAOr addltloru !c decka
CONSiRUCTION COST:
STREET ADDRESS: Lc nld2c- LaA E
LOT: I b BLOCK: SUBD./P.I.D.1t: i.{?Q
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
Name: Ca ( cL7iJ Phone lf:
Laat Firsf
SheetAddress: q6 73 L,GnleRc tANG
zz
City C+u14State: mli
Lp;
Company: Phone C 6e z ?y:s? oo ¢ o
(area code)
SheetAddress: i ( 593 ??w.?DD ??.'Z%Jc
M-+
Ci1y ?u+2^'s°'?j? state:
Company: Name:
Telephone 11: ( )
Sheet Address: Reglshdflon i:
Clty
State:
Zip:
ZP:
56-33?
5ewer/water licensed plumber (if installina sewer/water): Phone #: (
I Aereby xknowledye Ihat I hove read thk appticaHon, slate NhaF ihe infortrwfion is correct. and agree io comply wNh cq aPPlicable State
of Minnesota Stalutes and Cify of Eapan Ordinances. /
Signafure of ApplicanY. &f4a
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Lkense q •zo 13FxP
2 i
Tree Preservation Plan Received - Yes _ No - Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex 0 13 16-piex 0 21 Porch (3-sea.)
E3 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
O 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Stortn Damage
O 05 03-plex 0 11 10-plex Plbg _Y or_ N 0 25 Miscellaneous
? 06 04-plex 13 12 12-plex O 20 Pool O 30 Accessory Bldg.
WORK TYPE
O 31 Ext Alt - Mufti
13 33 Ext. Alt - SF
? 36 Multi
? 31 New 0 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Aiteration ? 38 Demolish (Interior) 0 45 Fire Repair
0 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
' Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq• ft•
No. of Units Length s4• ft•
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Ailowable) Main levei sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MClES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PL
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
4673
?
ql(le ( ; 0/ C. R. WINDEN & ASSC?CIATES, INC.
lANO SURVEYORS ToL 643-3646
FOR: ? 1381 EUSTIS ST., ST. PAUL, MINN. 53108
U. S. HOME CORPORATION
N
\ O ?\
}-
Scale: 1" = 30'
O Denotes Iron
i
V
?
> ???9!
M?Nr
Lot 16, Block 9, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OP TME
60UNDARIES OF TME IAND A60VE DESCRI6ED AND OF THE LOCATION OF ALL 6UILDINGS, IF ANY,
TMEREON, AND ALL VISIBIE ENCROACMMENTS, IF ANY, PROM OR ON SAID LAND.
Dotad rhis *7 -Lk day oF Aprit A p jq82 C. R. WINDEN 8 ASSOCIATES, INC.
_
"
by
Survoyor, Mionewfo Ropiuration No.1'126
NTy519
I
- -'
v ?-
? ?g
?o>
?srG
7:1
rn?
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date 5 / ?:7 / tr-)qp
Site Address "'i U'72j Lcrc?rrn, Lh ' Unit #
PropertyOwner Telephone # (GS
Contractor ?Wohlers Southside Htg. & Air, Inc. ?
6950 W. 146th St., #106 '
Street Address Apple Va11ey, MN 55124 City
? (952) 431-7099 '
State I Telephone # ( )
?
Bond #: RL-- o 5q -7 98 Expires: (9 _C;?J-04
The Appticant is _ Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Additional KReplacement
? air exchanger
i
diti
N
?<R
l
_ a
rcon
oner _
ew
acement
ep
other
State Surcharge $ .50
So
Total MAY 1 ?0 2004
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the info Byn is comp et?e and accurat ; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernut, but only an application for a pernut, and work is not to start withou4 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.
Applicant's Printed Name Applicant's Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindustrial buildings
multi-family buildings when separate pemuts are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appGcable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
5tate Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove "see be%w
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
""'When installing/removing underground tank, cali for inspection by Fire Marshal and Plumbing /nspector
Pet'rilit FCCS: $7050 Underground tank installation/removal
$50.50 Minimum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PemutFee
• If pemvt fee is $1,000 or less, add $.50 => $ State 5urcharge
If pgMLt fee is over $1,000, add $.50 for
every $1,000 ? fee $ Total Fee
I hereby apply for a Commercial Mechanical Pernut and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an application far a permit, and work is not to start without a pernut; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's 5ignature
Approved By: , Inspector Date:
7,5 ,sq
2006 RESIDENTIAL PLUMBING PERMITAPPL1CATiON
CITY OF EAGAN
3830 PILOT KNOB {20AD, EAGAN MN 55122
851-675-5675
Please complete for modifications to existing residential dwellings.
?
1?? ?
I Date
:73 z?' ) ? d.I 2 e A)GJ Unit #
Site Street Address 41&?,
_
Telephone #
Property Owner
? Telephone #
??%
c
Contractor
2 .??State_M? . Zip
'/?
'
f
>
Address
The Applicant is _ Owner XContractor _Other
New _ Refurbished Submit 2 sets of plans and MPC license
Septic System Inciudes County fee
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes instailation of a water softener and/or water
heater at the same time. !f you are installing onl a water softener and/or water
?
heafer, do not comp3ete this section; move to !he next section and check the
I appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5!8" meier is required)
Other:
X Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _FtPZ _PVB _new _repair _rebuild $ 30.
StaYe Surcharge j
$
I -
Total
-
..
.?_ _i?......a:,... ? la
to nn?i arnirata' that thE?
I hereby apply for a Residential Nwmeing rermit ana acKn0w1euya Lna< <ile I??lot liauvii i, ._-
work wili be in conformance wilh the ordinances and codes of the City of Eagan and the piumbing Codes; that 1
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to b5,Le)viewed and a.Qproved.
Applic n s Printed Name v? ?(/ Applit6nt'4 Signatbre
1yyi??
? ??? ,o4
2006 "SIDENTIAI. BiUII.DIN GPERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWcfion Reauirements
3 regislered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas
(2Dqo maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured tound design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after l/1l93
Rim Joist Detail Op6ons seledion sheet (buildings with 3 or less units)
Minnegasco mechanical verrtilation form
RemodellReoair Reauirements - -Office Use Onlv
2 copies of plan showing foo6ngs, beams, joists Certof Survey Reaf Y_.N
1 set of Energy Calculations for heated additions SnilsRepart ' Y =N
1 site survey for additlons & decks T[ee Pres'Plarz Recd ' iY - N_
Adddion - indicafe d on-sde septic system Tree Pres Required ,_,Y -N
On-site Sepfrc System:;2_ _Y ^iJ
11;,I? -l
Date- / ?? / ??
J /
Site Address Construction Cost Z
?- d?4
r
Unit/Ste #
Description of Work
Multi-Faynily Bldg ? Y?N Fireplace(s) ? 0 _ 1 _ 2
PropertyOwner 0-.1P7 sn „"/ .e Telephone#((g5'O ?
Contractor
Aaaress
-"-,-?---?
State city
Zip ?',S^3 2dD Telephone # ?'?ja.) ,1,6 1 ? a
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy COde Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y ?6 N If yes, date and address of master plan:
Licensed Plumber V, I? I I'')! n". Telephone #(
Mechanical Contractor i 1 ?;j II 1 7 mn5? I II Telephone #(
Sewer/WaterContractor f „ - ' Telephone#(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
-?., -
n oIL w 7,--- - al?? ".-le
Applicant's Printed Name A p icant's Signat e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex
r 02 SF Dweiling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work TVpes 09/uL
? 31 New ? 35
? 32 Addition ? 36
)13,- 33 Alteration ? 37
? 34 Replacement
DeSCriptlOn: Water Damage _ Yes
Valuation vv U
Pfan Review --(40 100% or ` 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const N(6
? .;
O 13 16-piex ? 20 Pool ? 30 AccessoryBldg
? 16 Fireptace ? 21 Porch (3-sea.) D 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - 5F
? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc.
? 19 Lower level ? 24 Storm Damage
? 25 Miscellaneous
Int improvement ? 38 Demolish Interior ? 44 Siding
Move Bui(ding ? 42 Demolish Foundation [t 45 Fire Repair
Demolish Building' ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bidg) - G ive PCA handout to applicant
Occupancy (2;? MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
?C Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
Sheetrock
FinallC.O.
? Final/No C.O.
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Approved By: ! , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Orvjkc,
??km`,`tNV '3tK-,9 /9 2 -Y 7 5" -, y? ?-"OD
A /?-j k L oovv,- Mrrcyv / ?2 X51(T /0, 3&E
?5r?''G 12? 0-00, ? ci a x :"U - 1,217 & 0
c.? "I i7 on,
,??f ) J Y/ D
.
... ...
? • • ? ? _. -.
IAND SURVEYORS T!L 643-36qo
FOR: 1381 EUSTiS SL, ST. PAUL, MINN. 55108
U. 5. HOME CORPORATION
\
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rv (31
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Lot 16, B1ock 9, Ridgecliffe First
Addition, Dakota County, Minnesota.
N
Scale: 1" = 30'
O Denotes Iron
OV111-1
V04.'7V',
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42
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WE HEREBY CERTIFY TNAT THIS IS A TRUE AND COFIRECi REPRESENTATION OF A SURVEY OF THE
dOUNOARIES OF THE IAND ABOVE DESCRI6ED AND OF THE LOCATION Of All 6UIlDINGS, IF ANY,
TMEREON, AND All V151g1E ENCRpACHMENiS, IF ANY, FROM OR ON SAID lANO.
Dotad rhi? Z.? day of A'QrW? A.D. )982 C. R. WINDEN d ASSOCfATES, INC.
by ??,y?-'?--f'?"`= L•j? ""?..4-r-d`-?-+?t
Survoror, Minnewto Ropistrotion No.1'116
NT,l519
1
Permit Number
RFScheck Compliance Certificate
20001Vfinnesota Energy Code
REScheck So$ware Version 3.6 Release 2
Data filename: Untitled.rck
PROJECT TITLE: Brady
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.34
DATE: 07/19/06
DATE OF PLANS: 7-17-2006
PROJECT DESCRIPTION:
Additions
DESIGNER/CONTRACT OR:
HandyMENZ Home Repair Inc.
COMPLLSNCE: Passes
Maacimum UA = 178
Your Home UA = 118
33.7% Better Than Code (UA)
Checked By/IYate
0
?
;i
Gross Glazing
Area or Cavity Cont, or poor
Perimeter $-/ jR-Value LL-FacL4I SIA
Ceiling l: Flat Cei]ing or Scissor Truss 432 38.0 0.0 13
Wall 1: Wood Frame, 16" o.c. 672 19.0 0.0 27
Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 192 0.080 15
Door 1: Glass 30 0.080 2
Basement Wall 2: 9olid Concrete or Masonry 390 0.0 10.0 26
Wall height: 91'
Depth below grade: 6.6'
Insulation depth: 8.0'
W indow 2:
Basement <= 5.6 $2:Meta1 Frame with Themial Break:Double Pane with L,ow-E
12 0.080 1
Floor 1: All-W ood Joist/Trnss:Ovex Unconditioned Space 240 30.0 0.0 8
Crawl 1: Solid Concrete or Masonry 253 0.0 10.0 26
Wall height: 5.1'
Depth below grade: 4.0'
Insulation depth: 3.1'
Fumace 1: Forced Hot Air, 98 AFUE
Air Conditioner 1: Electric Central Air, 10 SEER
Proposed and Maximum U-Factor Averages
Praposed Maximum
Average U-Factor Allowed U-Factor
Above-Giade Windows and Glass Doocs 0.080 0.370
Includes Foundation Windows > 5.6 $2
Foundation Windows <= 5.6 82 0.080 0.510
Floors Over Unconditioned Space 0.033 0.033
COMPLIANCE STATEMENT: The pmposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The pmposed building has bcen designed to
mcet the 2000 Minnesota Energy Code requirements in RE3check Veision 3.6 Release 2(bxmerly MECcheck) and to
comply with the mandatory requirements listed in the REScheck Inspection Checklist.
Builda-/Designer ? Date ?
?`79 35
2006RESIDENTIAL PLUMBING PERnniT aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?•?
Date ? / ? v 1 06
Site Street Address ?? Unit #
Property Owner Telephone #( )
?
Contractor
Telephone #&Sol-)
Address City ??f State Zip.
The Applicant is: _ Owner vContractor _ Other
Septic System
New
Refurbished Submit 2 sets of plans and MPC license Incfudes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations t isting dwelling $ 50.00
dd plumbing fixtures. This fee includes installation of a water softener and/or water
heater er at the same time. /f you are insfalling onlv a water soffener and/or wafer
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work i' ot t start witho t permit and work will be in
accordance with the approv d, plan in the event a plan is %Ap to b e re e nd appr v
? za?
Applicant's Printed Name canYs Signature
5ep 13 06 11:45a apollo heating 651 770 1936 p.2
?+ 3I0S6
r?00 ? RESIDENTIAL MECAANICAL v` 5 a
Permit Application
City Of Eagan
3830.Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete £or: Single Family Dwellings & Townhomes and Condos when permits are required fox each unit
Date
Sife Address ?t?7o?[..? ?t/? ??,
?ryc?'" "? / "rV ? ?l ?.?_ Unit #
Proper wner Telephoue # ( 274,) ?W- Ws(O
Contractor
Addresq ?
State I " [f V ?Y?• City
Zip Teleprione # 770 ^? v
`.
Bond QD I7-7 ?
Eggires: SI/? e7
The Applicant is ? Qwner Contractor _ Other
Add-on, modification or alterahon to eaistiog dwelling uoit $ 30.00
furnace replacement
air exchanger
SFP i 3
air conditi ner New Replacement
_ other (}GI h7r)IC (4.- -
Sfate Surcharge $ -50
Total $ ?
I hereby apply for a Residential Mechanical Perxmt and aclmawledge that the ui1
be in conformance wiflt the oriiinances and codes of the City of Eagan and witfi
permit, but only an application for a permit, and work is not to start without a
approved'plan in the case of work wfiich requires a review and apFxoval of plans?
Do UG . W%J j
-L
Applicant's Prinfed Name Appli
ation is complete and accurate; that tbe work will
Mechanical Codes; that T understand ttris is not a
nit; thai e work 11 be in accaidan 'th the
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condas when pemzits aze required for each unit
*3L6b
Dateq/f-)- I /?
Site Address T?73 W O`W tk!uC 4bhN ,
? M/V J b 1 yZ" Unit #
Property Owner Telephone
Contractor ? (.b IL-77N
Street Address City
State ?. ?/V pU Zip ????? Telephone # ( 770
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Add-on, modiTication or alteration to existing dwelling unit
V/ f
l
t $ 30.00
urnace rep
acemen
air exchan er
?
i
diti
N
?
l
??T 2 Z?p?j
a
rcon
oner _
ew
Rep
acement
other
State Surcharge $ .50
TOtal s 3a'
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conforniauce with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a mrit; that e work ? 1 e in accordance with the
approved plan in the case of work which requires a review and approval of pla
Dot,?? • ??Iaolt/
Applicant's Printed Name pplicant' i
e3o
?s?
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete far: commerciaUindustrial buildings
mulri-family buildings when separate pernuts aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New construction _Install _ Remove Underground Tank
Interior Improvement Schedule inspection during installation or removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surchazge)
Contract Value $_ x 1°/a =$ Pernut Fee
• If permit fee is $1,000 or less, add $50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemrit Fee
$ Total Fee
1 hereby apply for a Cotnmercial Mechanical Pernut and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is
not a permit, but only an application for a pemut, 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
Use BLUE or BLACK Ink
I For Office Use --_T__-r I
_
Qtoo
ing -7w- I Permit j
City of Eata ; c-0
Permit Fee: b U,
3830 Pilot Knob Road I 2 I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: C%
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 410 Le-'P? Q re ) D I
Tenant: Suite M
RESIDENT /OWNER Name: Phone: yh ~j
Address / City / Zip: 3
KIP,.
k4 U 4n,
Applicant is: Owner Contractor
TYPE OF WORK Description of work:t1 ) Q 1
Construction +Cost: L Multi-Family Building: (Yes / No
CONTRACTOR Name: WPW ( i r~ rn ~Y1 W I ~'W~ License
Address: '311 rI~QQ ~ B I >>C b06 - F~-City: S+1 t6V( SF LCL
Stater MA Zip: SS I400(D Phone: 00
Contact: Email: I &A
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:
j
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.
11 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the o inances 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 withou a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
X✓ -cJ T~ 6~ x~
Applicant's Printed Name A ' ant's S ure
Page 1 of 2
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepface ? 21 Porch (3-sea.) ? 39 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Leve! O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire 61dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Boosfer Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Firepiace _ A.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
dther
Total
Building Inspector
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
0 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 0 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only . 0 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
0 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
*(ij:.p P?;4 h••C'l?1?_? ±n :??r?nli
_ . k r?... cari:+a r M.??.,.,Ifti r r.a ?
J? -L.,.?i?iiGENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building
Permit Fee ?1-5 ay
Surcharge C)
Plan Review
License
1AC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/VN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies '
Total: 1 D:s
_ Engineering Variance
Valuation: $
?
SAC Units
% SAC
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085010
Eagan, MN 55122 . Date Issued: 08/06/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4673 Lenore Lane
Lot: 16 Block: 9 Addition: Ridgecliffe 1st
PID 10-63980-160-09
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Sela Roofing Remodeling Coleen M Brady
4100 Excelsior Blvd 4673 Lenore Lane
St. Louis Park MN 55416 Eagan MN 55122
(612) 823-8046
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178005
Date Issued:07/27/2022
Permit Category:ePermit
Site Address: 4673 Lenore Lane
Lot:16 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-160
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:
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 -
Coleen M Tste Brady
4673 Lenore Ln
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature