800 Great Oaks Lane
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` r•.?c_, _ CITY OF EAGAN Fti?,? ????
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,:.J
? PHONE: 681-4675
BUILDING PERMIT - " Receipt #
Tobeusedfor SF DFk/GAi2 Est.Value i21$.000 Date DEC S , 1 g 91
Site Address 800 GREAT QAKS Ll+{
OFFICE USE ONLY
LOt 1 BIpCk 2 Sec/Sub. ?'? ?QL??NDS
rolnT- FEES
Parcel No. ?upancy 1
053
00
R-1
Z
i Bklg• Pefmn .
.
Nape R AKOT N0MES I"iC ng
on
(,4ctual) Const V-N SurCharge 109.00
Cc
W 79fl1 IIPPER HAKLET CY
Address (allowatle) V-N p? R? 684.00
? APP1.E VALI.EY Mtd Z'jP 55124 # ot Stories
Len
th
66 ?
?
o Phone 68T-4S1'i g
oapw 6 snc,city 1?'?
? ?1e SAn S.F.7otal - $AC, MCwCC 6?'?
0 S.F.FooipriMs - 660.00
? fWfBSS On Site Sewage _ Water Conn
? Z'jp On Site wen X Water Meter 95.00
?
Ph0?1B MWCC System
g
Acct. oeposit ? ?
30
4 Ci1y Water
" Vcerrse # uired
PRV Re SNV Permit 39.00
q _
I hereby acknowlege that I have read Ihis application and state that the Boaster Pump - S/yy Surcharge •?
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordingnces. j
7reatment PI 276.00
Signature of Permitee `';• ' . APPROVALS qoad Unit 370.00
A Building Permit is issued to: R A KOT ti041ES T IIC Pla^"ef - Park Ded.
ori the express Condition Ihat all work shall be done in accordance with all Cou^ci --
applicable State o} Minnesota Statutes and City of Eagan Ordinances. gby. ory_ _ Copies
Buildina Ofticial Variance - ToTAL 4,057.50
Permit No. Permit Holder Date Telaphone #
S/W rL ?lv 902-
FILUMBING
a
HvAC
aFCrRic 3
ELECTR 33? 7 9a ? ?
Inspection Date Insp. Comments
Footings I
Foundation
Framing
3
Roo(ing
Rough PIb9. - - Z ?-"-3 ` / ? ed/ )U ^ C7
Rough Htg.
l5ul. 7- (? f Z
Fireplace . _ s s? ?
Final Ht9.
Orsat Test )( l i
FinalPibg• 3- ? Plbg.lnspector - NotilyPlumber
ConSt. Mefer
cngr./Plan
Bldg. Final ? y
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
47
CITY OF EAGAN
? 3830 Pilot Knob Road
? Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? 1111I..ltlu?lt ItN{?•, ?dl?ft 1 H
PERMIT SUBTYPE:
'I? ,- I I N{!
I H i.
I l1NC
WURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
11i i ? : ;I i,li
F- 1 N 141
',xN 1 ax1 N i
:._.: . _ ,. . ... . . . . .. ? .. ?: . - " r,r ? '-a.
. .. ? ? .. . . .. - .._ .. ? ? .. ? . . ? . . . . ?'-.?. ., i
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
EIECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundalion
Framing
Roofing
Rough Pibg.
Rough Hig.
Isul.
Firepiace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. 54 / 3
Deck Final ItA
weu
p.
ff
SEWIER t WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
?
DATE DEC? S. 1991
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE 01/06/92
PERMIT # 12485
B.P. RECEIPT #
B.P.RECEIPTDATE 12/06/92
_ PRV - BQOSTER PUMP
SITE ADDRESS 800 G&EAT DARS LN
LOT 1 BLOCK 2 SEC/SUB THE WOODLANDS NOxTH
APPLICANT:
ADDRESS:
CITY, STATE ZIP
PHONE:
PLUMBER: l1ATfHEW DANIELS INC
ADDRESS: 15185 CARdUSEL WAY
CITY, STATE ROSEMbUNT MN Zip 55068
PHONE: 423-3730
OWNER: R A KOT HOHSS INC
ADDRESS: 7901 UPPER HA!lLET CT
CITY, STATE App? VALLEY MN ZIP 55124
PHONE: 687-9513
PLEASE ALLOW TWO WORKING DAYS FOR
SEWER PERMITS, CONTACT ENGINEERING C
SEWER & WA7ER PERMIT
I CITY OF EAGAN '
3830 Pilnt Knob Rd.
Eagan, MN 55122-1897
DATE DFG 5 ? 1991
PERMIT REGIUESTED
X SEWER x WATER - TAPS
_ COMMlIND
x NEW
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
' " • t?w'ti-w OFFICE USE ONLY
METER # o PERMIT DATE 01 /O6/92
CHIP #????? PERMIT # 1 485 ?
METER SIZE SP B.P. RECEIPT # ?
ISSUE DATE -116 B.P. RECEIPT DATE 12 f 06/91
_ PRV - BOOSTER PUMP
SITE ADDRESS 800 GREAT OAKS LN
LOT 1 BLOCK 2-SEClSUB THE idOODLANDS NORTH
? APPLICANT:
'. ADDRESS:_
' CITY, STATE
ZIP
i PHONE: _
PLUMBER: MATTHEW DANIELS INC
ADDRESS: 15185 CAROUSEL WAY
CITY, STATE ROSEMOUNT MN ZIP 55068
PNONE: 423-3730
OWNER: R A KDT HUMES INC
ADDRESS: 7901 UYPER HA!lLET GT
CITY, STATE APPLE VALLEY MN ZIP 55124
PHONf: 687-%ILI
PERMIT REGIUESTED
-XL SEWER X WATER - TAPS
?
_ COMM/IND iRESIDENT L
Ik NEW - EXISTING
°,.
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr W ,fJO efo Deders.
i edit
1 AGREE TO COMPLY WITH CITY OF
METER ISSUED
PlE7?S'?' I1.01N?TW0 %O,RKNI dAYS FOR PRO??SING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. i??/
CITY OF EAGAN hp19939
, 3830 Pilot Knob Road, P.O. Box 21-199. Eagan, MN 55121
BUILDING PERMIT PHONE:681-4675 Receipt # (? ? 1 (?a
v 7 ?P
Tobeusedfor SF DFYG/GAR Est.Value $218,000 Date DEC 5 ,?g 91
Site Address 800 GREAT OAKS LN
Lot I? Block _..2 Sec/Sub. THE WOODLANDS
Parcel No. NORTH
¢
w
0
NazTle R A KOT HOMES INC
Address
City _
Phone _
Zp
? Name 5AME
0 Address
City Zip
Phone
ucense #i
I hereby acknowlege Ihat I have read this application and state that the
information is correct and agr to co ply tfi?all plicable Sta1e ol
Minnesota Statutes and C'ty_agan din ce ??
f ?
Signature of Perrnitee
A Bmlding Permit is issued to: R A KOT HOMES INC
on the ezpreu condition that all work shall be done in accordance with all
applicable State of Minnesota StatutIes and. Qry of Eagan Ordinances.
Buildin9 Olficial ? 1???AfA• I n f?`t'
APPLE VALLEY MN
OFFICE USE ONLY
FEES
occupanry R- 3_I1=1 1
053
00
Zoning R-1 Permit ,
.
(ACtuap Const --P Surcherge 109 _ 00
(Allowaele) pyn Rcvie,N 684.00
# af Stories -
Length ? Lkersa
Dep h 621 SAQ City 100.00
S.F. To1a1 - SAC, MCWCC 650.00
S.F Footprmts -
660
00
On Site Sewage _ Water Conn .
On Sile Well Water Meter 95.00
MWCC Syslem X
CiryWaler X Acct.Oeposit 30-00
PRV Required - sfw Permit 30_ nn
Booster Pump - SNJ Surcharge _ 5f1
7realmant PI 276.00
APPROVALS RoadUnn 370.00
Planner - park Ded
CAUncil _
BIdg.OIL _ Copies
Vanante - TOTAL 4,057.5
?
dy /o ?" 7rd'
J 2 3 3 5 2 i ? ovv?
Re,uest Dale Flre No Bough-in Inspection
Require0?
? ReaOy Now jkWill Notity Inspecior
z ?s V No When Reatlyt
ILl licen ed contractor ? owner hereby request inspection of a6ove electrical work at.
JoD AtlOress (Streel. Box or Rome No ) Ciry
scn GCEAT ?4.C5 L, CAGA
Seclmn No Township Name or No, Rarge No Coun
CiTA
Occupant(PRINT? n
?r Pbone W.
I-F.
- 0rn P7 !c? 7- 9513
Power Su°e AAaress
r?A - ? Ec' ? m?nG
Eiecincal Conva mpany Name) CoMrectorS Lroenu No
sie
Mailinq Mtlress IGOnVatlor for ?'ner Making Installation)
?
?
l_c5 ^n AG.vn yn SS (?Zz
Authonzetl Si aWre iCOnvactor/Owner kmg Instanauonl Phorie Numbar
NIN ? S? -033
MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPEGTION FEOUEST WILL NOT
Griggs-MiEway BIAg - qoom S173 BE r1CCEPTED BY THE STATE BOARD
1841 Unrversity Ave., SY Peul. MN 55104 l1NLESS PROPER INSPECTION FEE I$
VROne(612)662-08p0 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION eaoooo,-0e I
? ? See inslmdiOns lor compleM1ng [his form on back of yellaw copy ?.•r.?z"??j (f?f ?
J 233 52 "X" Belaw Work Covered by This Request ??"?+? , v, , " ,
ew A tl Rep Typeof8wlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heatinq
ApL Building Dryer Other (Specdy)
Gomm./Industrial Fumace
farm Av Conditioner
Omer (syeary) Contractor§ Remarks
Compute Inspection Fee Below
# 01her Fee # ServiceEnlranceSize Fee # CrtwrtslFeeders Fee
Swimming Pool 0 to 200 AmpS }' ) 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectorg Use oniy TOTAL 0
Irrigahon Booms g("-
Speaal Inspection
Alarm/Communicallon THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee CAMPLETED WRHIN 78 MONTH
I, the Elechical Inspector, hereby Rougmm
? oatfl _
cerhfythattheaboveinspectionhas
been made. F,,,ei - i ?
N oare ,f G?/?
OFFICE USE DNLY
?
ThiS !¢quBSt voltl 18 mOmllS lro.
// 075/ % ? /U.1 ?? f
Request Da?e Fire No Roul Inspection
Reqmred7 ? ?
.:d'Fleetly Now ? Will Nolily Inspector
=Yes C No When Reatly4
1?1 hcensed contractor ? owner hereby request inspection of above electrical work at.
Job Aotlress (SVeet Box or Roule No 1 ?j
SGF? ?2EAT ?/A K5 / `1o Cily
E46A
Secuon No Township Name or No, Range No C
i4 eOr.4-
OccupantlPRINTI D Phone No
'
/1 .?. p7 G?7? r S (o9
7 - i 1.3
Powei suooi ?
? M .nT ?LLG E=lC,
` ndaress
A,F,'rYJ r? .
Elecmcal ConVac Oany Name? ConVactor's L¢ense No
HAS G -e ,I c
MaM1ng AtlCrass (Conrractor or Owner Makmg Inslallation?
?
???&7 l..v?rn(?TG
n.
Authonzatl Si
g 3
? e IGOn:raotonOwn
er Ma
e
ing Instellation) PM1One NumOer
/
?
'
'
n
. l.J. n ca.d l?vu'Ya _.
MINNESOTA STATE 90/.HD OF EIECTliICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlwey 91tlg - Room 5473 9E HGCEPTED BY THE STATE BOAFD
1811 Universiry Ave. SI. Paul, MN 55100 UNLESS PROPER WSPECTION FEE IS
Phone(61Y)661-0900 ENCLOSED
// S/S/ ?EgUE.oFORoEL ECTRI?CAL INSPECTION
QF) ??2 Q, "X" Below Work Covered by This Request
ea-ooom-ae
q e_
94,Z
v. .-
ew Add ep 'TypeofBwltling ApphancesWued EqwpmenlWired
Home Range Temporary Service
Ouplez Weter Heater ElecVlc Heating
Apt 8wlding Dryer Other (Specify)
CommJlndustnal Furnace
Farm Air Condihoner
Olher (spPCiyi Conhactor's Pemams
Compute Inspection Fee Below:
# Other Fee # ServiceEnhanceSZe Fee # Circwts/Feeders Fee
i Swimming Pool 0 to 200 Amps 0 to 100 s
Transformers Aqove 200 _ Amps Abov 00 Amps
Signs Inspector's Use Onry OTAL
Irtigation Booms O
Special Inspection
' Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby Rouqnin ,. ? oace
cerofy that the above mspection has
been made. F,nai te
OFFICE USE ONLY
This request void 18 monNS imm
AddrLS§: $pp (LRM pAM L&M Lot I Blk z Sec/SubME WOpMAN)g NpR'1H
These items were%were not complete at the time of the final inspection.
Date: 04 01 92 Yes No TnqpprVor,
Final grade (6" from siding) ?
Permanent steps - garage V_?
Permanent steps - main entry
Permanent driveway ?
Permanent gas ?
Sod/seeded grass L?
Trail/curb damage
Porch
Basement finish
Deck
Please verify wlth the builder the removal of roof test caps from the plvmbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. ?
ucraeoaxx
White - City copy Yellow - Resident copy Pink - Contractor copy
,.
-k; CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
Sx8
C'
r ?/,LDING
021915
09/08/93
SITE ADDRESS:
P.I.N.: 10-75890-010-02
DESCRIPTION:
22x12
ell- Bfurf24?.'?c? Permit Type
Bu iLdin g'4 rk Type
U?C tlcc•upatt?
?y
PERMIT TYPE:
Permit Number:
Date Issued:
14x10
DECK
NEW
R-3
s
?
?
J bt?
1\i 4m4?r
? V
?? ?? ? o I n.
REMARKS:
FEE SUMMARY:
Bese Fee
Surcharge
Lic. Seeroh
Subtotal
$25.06
$.50
Fee $5.00
$30.50
CkO?Tp?CSTOR: - Rpplicenc - s i. Ltc • pWNER:
N T 14818514 0002674 HARRIS CARSQN
6471 HODGESON RD 800 GREAT OAKS LN
LINO LAKES MN 55014 EAGAN MN 55123
(612) 481-8514 (612)686-6241
I hereby acknawkledge tFrat I have read triis
, information is oorrecC and agree to comply
Statutes and City qf Eagan Ordinances.
L
?
APPI.ICANT/PEFMIT E SIGNATURE
PERMIT
880 6REA7 OAKS LANE
LOT: 1 BLOCK: 2
TNE WOODLANDS NORTH
CpPIES $1.00
Total Fee $31.50
applicatian and state that the
witkt eLl a{splicable Stete ef 14n.
-1
-? n ? ? 'r(, I ?
'ISSUED 8 : SI NATUAE7
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: L or: 1 BLOCK:
800 GREAT OAKS LANE
THE WOODLANp3 NORTH
PERMIT SUBTYPE:
oecK
?
?
PERMIT TYPE:
Permit Number:
Date Issued:
2 APPLICANT:
R C CONST
(612) 481-6514
TYPE OF WORK:
DESCRIPTION
^t.l,.?i.i.,i
rlj% i ? p ib,, i,ta.. t?.. : ' ?
BUI1.pING
021915
09J08/93
NEW
22x12 8x8 14x10
?
?
M I ?i l 'r'
nfil.ll!!l,n?•
REACTIV!!TE
PERtaI?_ ,P ? .
?-. otiq f ?
ciTY Ur tp?cawn
1993 BUILDING PERMIT APPLICATION
681-4675
t'.? OLWI-?V
SINGLE & MULTI-FMIILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, l set of
. specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month`-
in which request is made, 2) address is changed or 3) lot change 1s requested once permit
is issued.
Date _?1 aT_ /-7/ q 3 Valuation of work
Site Address: 0(D 6 re 4- Dakill / c,
STREET SUITE M
Tenant Name: (commercial only)
IAT ? BIACK 2- SUBD. ?? {, ??/?_. J??p
uJ XN?,nu ? 1? P.I.D. N
Descri tion of work: , Itp r.,• a
The applicant is: ? Owner CR Contractor ? Other (Deaeri6e)
Name G+aPPgP,. ga r r is C..s o? _ Phone
Property L•5, ° FIRST
Owner Address gOO b r ec .y oc K Lq,.(Z'
STREET STE /
City State 1411 Zip
Company v'%'r rL?c i)" Pli ne
n -
Contractor Address ???? J ?/alp S?n Ki- License # 2676/ Exp. -/ -qe
city ?cj state ./Yl./U Zip -S'v14
Company Phone
Aechitect/
Engineer Name Registration N
Address
City State , ZiP
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
Signature of Applicant: ??
f- : 1
P?
?SIdEtiTlll?;: PLEASE COMPLETE UPPER PQRTION ONLY FOR SINCLE FAHILY
TOWNk10MES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
DWELLINGS ' 6
----^------------------?y ----°---------------°--_-___---------------°---
WORK DESCRIPTION 1 COMPLETE THE FOLIAWING:
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: P. A. ICs)-T
SITE ADDRESS: 'boO Gr.s,L{- OO',?-S L<?-G^-E
LOT:BLDCK ? SUBD:?7laLa.
INSTALLER: 11 i Q?-?
ADDRES 5: V?S? Y? C ? t l?'
CITY: n?Y-,,,,-w ZIP: > ?-Z= e. ? _
PIIOATE »: L4 -L'?
SIGNATURE' OF
CITY OB EACAN
3830 PILOT KNOB ROAD
F.ACAN, 55122
PHONE: (612) 454-8100
PLCIkBIN6 YEwIT
FOR CITY USE ONLY-
PERMIT #
RECEIPT
# /O
DATE: /
SUBTOTAL S'L
ST. SURGHARCE .50
TOTAL:
5 `I,cv
COMMERCIAL%INDUSTkIALi' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAHILY SUILDINCS WHEN SEPARATE PERHITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK - SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE tt:
FOR:
CI1'Y OF EAGAN
2IP:
s
FEES
18 OF CONTRACT FEE. '
STATE SURGHARGE - $.50 FOR
EACN $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 19
STATE SURCHARGE $ „
TOTAL: $
,(SIGNATURE)
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
-? SH0WER 3.00
? WATER CLASET 3.00 Ja•"'
? j BATIt TUB 3.00
b IAVATORY 3.00 ?k•??
l KITCHEN SINK 3.00
1 LAUNDRY TRAY 3.00
I HOT TUBJSPA 3.00
? WATER HEATER 3.00 7y
I FLOOR DRAIN 3.00
GAS PIPINC OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 +i 5u
_ OTHER _
WATER SOFTENER 5.00
PRIVATE DISP. 15.00 '
U.G. SPRINKLER 3.00
c Z= oF ?GAN 118d
3830 PII.nT &NOB ROAD
EAGAN, YN 55122
PHONE: (6'i2) 454-8100
W445?19RMIT.
jt?SIDE?IT'IAI:';; PLEASE COMPLETE IIPPER YORTIUN ONLY FOR SINGLE FAMILY DWELLINC
? ...... .................
TOWNHOMES/CONDOS WHEN PERMITS A&E REQIIZRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: /f• A• ?Of
SITE ADDRESS: .QDo G?"Ctlf (JRKS I-AN5
iAT:.?= BIACK e?-
_ SUBD. - C? e^""
INSTALLER:
12481 Rhode uIsland A/C, Inc.
ADDRESS: Save??-?p?-5rb.3 78-1I22n
cixY: 894-OOQ5p;
PHONE #
FEES
?D#ll4EACTALJINDUSTRTAL':_ PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
wa.::.... . .. . . .. .
APARTMENT BUILDINGS, AND M[JLTI-FAMILY BUILDINGS HHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINZT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CIT'Y OF EAGAN
ZIP:
FOR CITY IISE ONLY
PERMIT t!
RECEIPT te /4
DATE:
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTO 24.0
ADDITIONAL 50 M BTU 00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $???
STAT-7 SURCHARGE: C5-0_,
:c,aL: $ 33.sv
I e wb"-tp
SIGNATURE OF P ITTEE
18 OF CONTRACT FEE.
STdTE STJ2C;'.aRGE a $.SG FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
,- ,
' ' 1991 SOI IIV9LIGATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTIPLE DWELLINGS
: +-
C0MMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUI.ATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
pENALTY APPLIES i1HEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOHEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Ppi,J Valuation: ? Date: Z-
Site Address '1?00 '•u
I.ot Slock 2.
Parcel/Sub-Jln.t WooAlq.?,k -?j
Owner A, A •
Address
City/Zip Code
&?- c-?
Phone Gfs1-9r13
Contractor .3a,w¢ qs Gf b• ?
Address
City/Zip Code
Phone
Arch./Engr. Al-c klk-c74'"e
Address 01015?1:4 4^
-?
City/Zip Code
Phone # ?)'q l - 4/ 66 7
2/6,()OJ? OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R-3 M- I
2 -I
V-N
V-nl
On site sewage_
On site well
MWCC System %;;;'
City water
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
ONLY
FEES
N53100
Bldg. Permit
Surcharge O , OO
Plan Review ( 84, 00
SAC, City _100100
SAC, MWCC 650.v0
Uater Conn. 66a00
Water Meter 5100
Acct. Deposit 30.00
S/w Permit 30,01
S/W Surcharge 'SU
Treatment Pl.
0
ar76,0
Road Unit 3 91)I Da
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
?,?/
Sewer/Wat r Licensed Contr. ?a?Tti2.n/
J?-- ? d-
agrees that all woik s all be done in accordance with
f (Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
GAQAGe
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S?c12r 60
3 x q ? a'1
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6 x i3 = ??
y0X t?1 = 56°
2x?2 = au
?ky = ,
?32)
lLix3%,.=
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IS3?x ?y_ zs,62?
?ST ??oor?
BsrnT= 1 ?30
Ix9? `t
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v :
0 t? ?
?
?N?D -u",R .
?yxao =- ?lSn
I `IY,z2= 'SD9
3X) z= 3fo
3xg=
a'd?11?= 35Z
ati
?61(13= ?28
?rL
'
1bx8= 2,60
y3
a,'?bog
14X a r? =??C ?
2?$0??
SlsocK eZ?
°Mlc. lA)oe-?LArJ-b%)3a?e.-nK
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATTON
OWNER Carson and Maren Hari°is PLAN N0. 9-0821-1
SITE ADDRESS Great Oaks-- Eagan
CONTRAGTQR R.A. KQ7 FIQMES, INC, DATE 11j26/91 pHONE 687-9513
DETERMIME WORKING SQUARE FOQTAGE
5195.5$9
1. Total expased wall area5277.101 sq.fY,. x.i1 580.4811
2, Total roof/cei].ing area 1960 sq.ft x.026 50.96
3. Total floar cant. arca 121 sq.ft. x 0.026 3.146
(over unheated enclosed areas)
4. Total fl,oor cant. area 53 sq.ft. x 4-r94- It 37$
(over i_inheated exposed areas) 63 S
5. Total ekpased wa11 area above the floor.__478 3.583?-rp„L ?
a. Total wall windaw area ....................527.6138
b. Total door- ai°ea ..... .................... 55.6278
c. Total :liding glass doar ai-oa .............119.9933
d. Total fireplace area ...................... 0
e, Total wal], framinq area (ave. 10°!)........ 478.3589
fi. Total net wall area a6ove the F1aar....... 36Q1.995
g. Total rim joist area ...................... 412
iOTAL EXPQ5ED FOUNDATIQN AREA ................ 81.5122
Ii, Tai,a] foundation window area .............. 0
i. 1"otal net foundation area ................. 81.5122
Determine "U" value of each wall segment.
a. 527.6138 x " U " 0.43 = 226.8739
b, 55.6278 x "U" 0.06 = 3.337668
c, 119.9933 x " U'' D.43 = 51.59712
d. 0 x "U" Q= 0
e. 478.3589 x "U" 0.090334 = 43.21219
f'. 3601.395 x "U" 0>043Z15 = 155.661
9. 412 x " U " 0.040683 = 16.76159
h, 0 x "U" 0 .43 = 0
i. 81.5122 r. "U" 0.076161 = 6.208088
6 . ............ ......................TOta1
If item #6 i; the same as ar less than item #i
energy codes. 2 MCAR 1.16008 A AND 0.
TOTAL EXPOSED ROOFJCEILING AREA
503.6516
you have met the. current
So3. bs
?rs. y°I
3.f']
i 6 0 j. Total skvliaht area.... ..... ............ 0 ?TA L
k. Total flat roofJceiling framing area...... 196 ACSuA?
1. Total nEt rlat roofjceiling area.......... 1764
Determine "U" value for each roofi/clg. segmant
i • 0 x"U" 0= 0
k. 196 x"lJ" 0.026925 = 5.277329
1. 1764 x"U" 0.022795 = 40.20971
7 ...................................Tata1 45.48704
energy code. 2 Mf„AR 1.16008 A AND 0.
TO'TAC. FL.OOR C,qNT. AI2EA (encloscd). 121
o. Tota1 flanr cant. framing area (ave. 10io). 12.1
p. ToCa1 net insulated flooricant. ai-ea...... 108.9
Determine "U" value For pach floor/cant. segment.
o. 12.1 x "ll" 0.043879 = 0.530935
p. 108,9 x"U" 0.024254 = 2.641281
Et ........ .............. ........... ..'1ota1 3.172215
If item #8 is the same as nr l.ess than item #3 you have met the
energy ccde. 2 MCAR 1.16008 A APdD 0.
7°07AL FLDOR,'CANT. AREA (exposed) 53 ?
c.i, Total floorJcanC. f raming area (ave, 10%). 5.3
r. Total net insulated floorJcant. area...... 47.7
Dei:ermine "U" value for e ach floor/cant. segment.
q. 5.3 xllUll 0.0574:38 = 0.304423
Y., 47.7 X 'iUii 0.0278914 = 1.330544
9...........-_ .......... ....n..... ror,r,J 1.634961
T f i 1:om #9 i s the samc as oi° Less th7an i tern #4 you have met the
energy code. 7 MCAR 1.16008 A AND U.
I I°fEf2EE4' CERTIFV "fHA7 1 HAVE CALCUL. ' THE "U" FACTORS ANQ "R"
VALUES !-IERFIN ANp THAT THE BUILIJIN F.ERE ?SCRC6ED MEE7S 0 EXCEkD;
T'HE STATE QF MINNESOTA ENERUV CON ERVA1" ACT,
sianature)
??--
(
DETERMINE "U" VAI.UES"
"f'HRU 5TUD WITH S],pIIVG & S.R.
Tnt.erioi- Air..... . 0.E8
.>heret Rock,.,,.,.. 0.45
Thermo-Break,.,.<, 0
SCud, . ........., 6.93
Sheathina.,..,.o.. 2,06
C,1t9ina.,..,.,..... 0,78
Exter9or Hir,..... 011t
-r'ota]. "R" Va].ue........... . I1.07
1/R = "U" 'Ja1ue..e.s..,...,Q,Q90334
'f'HRU 7NSULATIQN WITH SIDTNG & .S.R,
].nterior Air......
Sheet Rock........
Thermo-Break......
]"risulation........
Sheathing.......e.
?r _-'_.-
0.68
0.45
Q
19
"Z..06
Exteriar Air.,.... 0.17
1vi.a1 "R" Va1ue......... ,.. 23,14
1 /R .- ??U" Va1.ue..... . , . . . ..0.043215
THRU C':EILINC; MEMBER
Interior Air...... 0.68
bheet RacK........ 0.58
Coi]ing Member.... 4.15
Insulation..,.,.,. 30.92
Still ,4ir.... ..... 0.61
T'oY.a7 "R" Va]ue............ 37.14
1/12 = "U" Value...... ...... 0.[]26925
l'MRU CEILING INSULATION
Interior Air...... 0.68
Sheet Rock........ 0.58
Insulation........ 42
Still Air.....,,,. 0.61
1otGal "F?" Value............ 43.57
r/R _ ,'U'' vulue ............n.oz2395
THRU CONCRETE BLOCK
Interior Air...... 0.68
conc. E31k..,...... 1.28
1'nsulation ........ 11
Sheet Rk. iopt.a. IJ
E:KteriGr Air...... 0.17
1"ota7. "R" Va1ue.... ...,,<,. 13.13
1,lFt _ "U ...................(J.U7Ei151
THRU F2IM JOIST
Interior Air......
Insu]ation..,.....
RIm Joist.........
Sheathing,....,...
Siding ....
....,.,.
Exteriar Air..,...
Q.EF3
19
1.89
2 .06
0,18
0.17
Tatal "R" Value....... .... 24.58
I/R - °U................. 0.040683
t.l" value for window........ 0,43
U" value far daors.......,. 0.06
U" value for Patio Drs..,.. 0.43
TNRU CANT. C MEMBER (enc]osed)
Interior air.,,... 0.68
Finish Floaring ,.. 1.23
C.. h., o Y h i n.•. '] 9
P1Ywood........... 0.93
? Jaist ............. 11,56
, 'Sheet Rock........ 0.58
;";till A1f-......... Q.EiI
Tota] "R" Value...,........ 22.79
I,/R - ??U"................ ..O.C143879
THRU CAN7. @ IN$UI_ATION (enclosed)
Interior Air......
Finiah Floaring..,
.,tieathing..... <, ..
P] Ywcacad . . . . . . . , . . .
7"nuulation.....,..
5heet Rock,....,,.
Sti]1 Air....,....
Q.58
1 .23
7.2
Q.93
30
0.58
0.61
Totai "R" Va1uw............ 41.23
I/R _ ??U".................. U.024254
TNRU CAN7. @ MEMBER (exposed)
7"nt.erior Air.,,... 0.68
finish F].ooring.,. 1.2E3
llnderlayment.,.,.. (J
Plywood...... <.... 0.93
,JoiSt ............. 11.56
Sneathing ..a...... 246
Sr7ffit.......... a. 0.78
Extcarior Air..,... 0,17
1'ota1 "F?" VaJ.ue.... ........ 17.41
I/R 0 "U............ ....... 0.0574;8
INRU CAIVT. @ TNSULATION (exposec9)
Interior Air...... 0.68
Firiish rlooring... 1.0
Under]ayment...... 0
c>1•ywood........... 0.93
Insulation,,,,,,,, 30
cillG?cat.fllllg ......... z.??
Soffit ............. 0.7E3
E'xterior Air....,. Q.17
Tota]. "R" Va]ue............ 35.85
I/R _ ??U ...................0.021894
O
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0
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OAK
1391 .6 x
0
J ? ?
BENCH MARK
TOP OF PIPE
ElEV=88972
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BENCH MARK
TOP OF PIPE
ELEV=886?2
8924
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E LEV.= 889 72 \
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70P OF PIPE
ELEV.= 886.52
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NOTE BUILDING pIMENSIONS SHCWN ARE
ATION?OF?SATRi1CT?URE ONLY?. S?-
ARCHI7ECTUA? PLANS n;R 6U?l.D?NG
6 fCUNDAT10N DiMENSIONS.
N07E NO SPECIFlC SOILS INVESiJGATION
HAS BEcN GOMPLETED ON THIS
LQT BY THE SURVEYOR. THE
SUITABILiTY OF SOILS 'Tb SUPPORf
TNE SPEGIFlC HOUSE PROFOScD
IS NOT THE RESPQNSIBILITY OF
THE SllR?/EYOR. .
?------- DENOTES PROPOSED SU'RFACE DRAINAGE
p DENOTES IRON MONUMENT SET SCALE:1 INC,H = 30 FEET
, DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR =??z ? FEET
' Xp00.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =? °? ??EET
PROPOSED GRADES SHOWN w?E AROPOSED TOP OF BLOCK =d 9z ? FEET
TAKEN FROM THE GRADING PI.AN (OOO.O) DENOTES PROPOSED ELEVATION
fOR THE WOODLANDS NORTN
PREPARED BY BRW, INC.
LAST DATED 9-28-OA.
WE HEREBY CERTIFY TO R. A. Kt?T HOME5 THAT THIS lS A TRUE AND CORREC
REPRESENTATION 0? A SURVEY OF THE BQUNDARIES OF:
L,Qt i, Block ?, THE Vd00?LANDS NORTH, according to the recarded pint 4h?reof,
Oakota Counfy, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ???H DAY OF ??T, ,1991.
SIGNEDr?AMES R. NILL, INC.
?
'?,
BY? ,-• ,,,_.,w,?.,,?
` JOMN C. LARSON, LAND SURVEYOR
MINNE50TA LICENSE NUMBER 19828
---------------=- -
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141869
Date Issued:04/04/2017
Permit Category:ePermit
Site Address: 800 Great Oaks Lane
Lot:1 Block: 2 Addition: The Woodlands North
PID:10-75890-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Carson R Harris
800 Great Oaks Lane
Eagan MN 55123
Smart Builders Inc
11672 Butternut St NW
Coon Rapids MN 55448
(763) 691-5021
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150498
Date Issued:07/11/2018
Permit Category:ePermit
Site Address: 800 Great Oaks Lane
Lot:1 Block: 2 Addition: The Woodlands North
PID:10-75890-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Jeffrey P. M Griggs
800 Great Oaks Lane
Eagan MN 55123
(605) 553-5112
Gladstone's Window & Door Store
2475 Maplewood Drive
Suite 110
Maplewood MN 55109-0000
(651) 774-8455
Applicant/Permitee: Signature Issued By: Signature
I—
For Office Use
" i i " n
�; #0Permit#: l��y(J M
( EivE E AGA N
...... .....,
Permit Fee: Lig5.-- - / /
3830 PILOT KNOB ROAD OCT 0 1 2013 Date Received:
EAGAN, MN 55122 1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: I
buildinginspections(7a citvofeacian.com BY: 51? ,
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9.20.2019 Site Address: 800 Great Oaks Lane, Eagan, MN 55123 unit#:
Name: Jeff Griggs Phone: (605) 553-5112
Resident/ 800 Great Oaks Lane, Ea an MN 55123
Owner Address/City/zip: g
Applicant is: Owner i Contractor
8.2kW solar energy system mounted parallel to roof surface.All components are UL listed
Type of Work Description of work:
Construction Cost: $16,450 Multi-Family Building: (Yes /No ✓ )
Company: Powerfully Green Solar Contact: Armel Martin
Contractor
Address: 2380 Watertown Road City: Orono
State: MN Zip: 55356 Phone: 952.270.6303 Email: armel.martin@powerfullygreen.com
License#: BC708267, #EA714757 Lead Certificate#: //+
If the project is exempt from lead certification, please explain why:
PO
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 1 No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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 they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f plan
XArmel Martin x ►y� �"
Applicant's Printed Name Applicant Signature
DO NOT WRITE BELOW THIS LINE 2 00 coq-1- Ci& Ln • /C ( (2'�
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of Plex Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
*iri Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace — Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation / .7 6U Occupancy . /2'- -f MCES System
Plan Review / Code Edition -"/T SAC Units —
(25%_100%=✓) Zoning PO City Water --
Census Code 61.3"/ Stories — Booster Pump
#of Units I Square Feet PRV
#of Buildings / Length �- Fire Suppression Required --
Type of Construction iJ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
—
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: Ice/&Water _Final Pool:_Footings Air/Gas Tests _Final
k Framing L/ 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: _Stucco Lath Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: �� , Building Inspector
RESIDENTIAL FEE
Base Fee
9--./( o'
Surcharge
Plan Review I q/ ?�
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies c 7, 00 23
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179209
Date Issued:09/23/2022
Permit Category:ePermit
Site Address: 800 Great Oaks Lane
Lot:1 Block: 2 Addition: The Woodlands North
PID:10-75890-02-010
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 -
Jeffrey P M Griggs
800 Great Oaks Ln
Eagan MN 55122
Estate Claim Services Llc
6701 Penn Ave S, Suite 201B
Richfield MN 55423
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179604
Date Issued:10/12/2022
Permit Category:ePermit
Site Address: 800 Great Oaks Lane
Lot:1 Block: 2 Addition: The Woodlands North
PID:10-75890-02-010
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Jeffrey P M Griggs
800 Great Oaks Ln
Eagan MN 55122
Gv Heating & Air Inc
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature