4370 Livingston Dr.?.. .?.-- ,..:v..,- ... . .„.., ... .-..-r-,?u?n-?.v?a?,'°?rvc?+syrc..ysal-•Rasr...?.-.. . . ...: . .. ..r,_...
CITY OF EAGAN ?'t•"? 18507
? i 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 i ?
BUILDING PERMIT Receipt #
To be used for' SF fl?/GAR Est. Value g96rQOO Date NOV 5 1990
Site Address 4370 4IVINGSTON DFt
Lot 11 Block 3 Sec/Sub. MIN?'?M ?IN OFFICE USE ONLY
PHfCBI N0. Occupancy R-3 ES-1 FEES
PD R-1
w Name WILLIAM HlJ7"INER ? Zoning
(nctual) Const V-N Bldg. Permit 622000 '
3 Address 960 WATERPORD fDR W (pllowable) 'y
fi !+$.QQ
0 Clt ??N Phone 452-30II8
y # of Stories
??61 arge
Surc
PlanReview .
?4'.?
Length --
o JVame SAME
Depih "_ 1
SAQ City 1?
??
a
O Address S.F.Total - 600
00
U
? CItY Phone S.F.Footprints - SAC,MCWCC
Water Conn •
62s.(? :
On Site Sewage - .
?
ww
Name
On Site Wen
r Meter
W
t
90•0o '
X a
e
s=
t? AddfBSS MWCCSystem 3Q.? .
a W City Phone Ciry wacer X ?cl. Deposit
S/W P
it
30• 00
PRV Required - erm .
I hereby acknowlege that I have read Ihis application and ?tate that the Boosier Pump - S!W Surcharge •50'
iMormalion is correct and agree to compty with al{ applieable Slate of
" Z52
00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI ?
SignaWre of Permilee - - ' APPROVALS Road Unit 355. 00
A Building Permit is issued to: WILLIA:9 i#1Tf1'N$& Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota StaWtes and City of Eagan Ordinances. Bldg. Of(. _ Copies
Building Ofticial Variance - TOTAL 3,156.50
.
Permii No. Permit Holder Date Telephone #
W 4ER /I/: ?^
SEWER <
PLUMBING
H.V.A.C. 1109 0IV V?,,Jtz_ /J&;?, 9
EIECTRIC "u- o/ 9J 00
Inspection Date Insp. Comments
footings I
Foundalion
Framing
Roofing
RoughPlbg. 2-!Z"4(
Rough Htg. Z., 2 `, ?
ISUI.
Fireplace
Fnal Htg.
Final Plbg.
Const. Meter Plbg. Inspecbr - N i lumber
Engr./Plan .
BIdg.Final 35?
Oeck Ftg.
Deck Final
Well
Pr. Disp.
ir \ j DATE: NOV 6, 1990
'W41„
RE: 4370 LIVINGSTON DR (FiILLIAM HUTTNER)
X Your Sewer 8 Water Permit for the above property has been completed. It will be held at the
Puiric Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
?-CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been compieted, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEV!'cR X WATER PERMIT/ OFFICE USE ONLY
CITY OF E11GAN PERMIT DATE I1106/90
3830 Pilot Kqob Rd. METER #
cHiP # 11706
PERMIT #
Eagan, MN 55122-1897 S
METER SIZE B.P. RECEIPT # -
e
' ISSUE DATE B.P. RECEIPT DATE 11105 90
? T
AICV S. 19
DATE 9U
SEWER & WATER PERMITY `
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE_ AIOV 5, 19?C1
L
METER # -'
CHIP # -A
METER SIZE
ISSUE DATE
SITEADDRESS 4376 I.iVi?'GSTON DR
LOT 11 BLOCK ' SEGSUB LERINGTOPI POINTE 5TH
APPLICANT:
ADDRESS:
CITY, STATE
PHONE:
PLUMBER:
`. ADDRESS:
i CITY,STATE 1?2'->?
i PHONE: 884
ZIP
u ?? ?i
G" 'uf T?
_. ?4 ' ZIP 55420
U5E ONLY
PERMITDATE 11?C61?10
PERMIT # 1170b
s,:
B.P. RECEIPT # t- ?' '
B.P. RECEIPT DATE 11 /GS 90
PRV - BOOSTER PUMP
PERMIT REQUESTED
x SEWER ? WATER - TAPS
- COMM/IND x RESIDENTIAL
?L NEW - EXISTING
Lawn Sprinkler Meters are to be
Ahead of Domestic Metgrs on.W
Credit Wjt:L NOT be givQh forpedu
I?
I AGREE TO COMPLY WITM CITY OF
OWNER: WILLIP14 BUTTNER CAUA17 VFfU IYA17l.CJ
ADDRESS: 960 WATBRFORD DR W ?
CITY, STATE EAGAN MN ZIP 55123
' PHONE: 452-3098 OR 723-4101 SIGNATUREW 14ENMETERISSUED
! PLEASE AILLOW TWO WOpKING B-AYS FOR PROCESSING. CALL 454?5220 FOR INSPECTIONS. FOR STO
'i SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN NO 1$507
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PFRMIT PHONE: 454-8100 Receipt # ' ICFQ/
To be used for SF DWG/GAR Est. Value $96, 000 Date NOV 5 ,1g90
Site Address 4370 LIVINGSTON DR
Lot 11 Block 3 Sec/Sub. LEXINGTON POINTE
Parcel No. TH
W Name WILLIAM HLiTTNER
o Address 960 WATERFORD DR W
City EAGAN Phone 452-3088
,o Name SAME
2U
?Q Address
? City Phone
ww Name
?
? ; Address
aW City Phone
I hereby acknowlege that I have read ihis application and s te that the
inlormation is correct and agree to comply with e Slate of
Minnesota Statutes and City E?an Ordi
?.-
Signature of Permitee
A euilding Permit is issued to: WILLIAM HUTTNER
on the express condition thal all work shall be done in accordance with all
applicable State o( Minnesota Slatutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 _11--J FEES
Zoning PD R_ 1
(AcWap Const V-N Bldg. Permit 622. ?Q
(Allowable) V-N
Suroharge
4R _ 00
# ol s[ories -
Length 46, Plan Review 404 _ n0
Depth 48' snc, ary inn _ n0
S.F.Total - SAC,MCWCC fino-?0
S.F. Footprints _
On Sile Sewage _ Water Conn 699 _!10
On Sile Well - Water Meter 90. n0
MWCC System X
AccL Deposit
3f1 _ 00
City Water x
PRV Required _ S!W Permit 30_ np
Boosler Pump - S/W Surcharge - 50
Trealmenl PI 252.00
APPROVALS Road Unil 35 5_ f10
Planner - park Ded.
Council
BIdg.OB. _ Copies
variance - TOTAL 3.156.50
?/rs????
?Q 27046
Fe9?uest Date Fire N. Rough-in Inspettion
Required?
'
?Ready Now ? Will Notify Inspector
When Ready?
r Ves No
I? licensed contractor ? owner hereby request inspection ot above el ectrical work at
Job Aadress (Street. Box or Route No.)
_ ya b _1?,-1_???76
7 City ? 1
Section No.
T.wnship Name or No Range No.
?
? Counry
,0 fi*
--
-
--- --
Occuoam (PRINT)
P
l
S Phone No
e583 /d3 Z
-
ower
upp
er qdtlress
??/?o '1?1? ?l8 GT _L_ ??? wN
Electrical onrtactor (COm
an
Name) -
,v?- ?`O •?1
Co ractor'S License No
y
o
`
G .
J 0 Ald ? 6 ?r 3
_-
Mabna Atldress (Conlractor or Owner Making Installalion)
I•Z ! 17 CJ ,f*
--
-
Auth na;ure I?CoMrar7??nOwner ??ing Ins;allation)
? r/!??? LC?vt.?. Phone Number
!O 's- CI _ r
MINNESOipyrq7E BOARD OF ELEC7RICITV 7HIS INSPECTION REOUEST WILL NOT
Griggs-Mi?ay Bltlg. - Room 5-173 . BE ACCEPTED BV THE STATE BOARD,
1821 University Ave., St. Paul. MNi5704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL 1NSPECTION
40 ? ee i simdions for completing this forrn on back oi yellow copy.
7(? Q, ?j ?2l "X" Below Work Covered by This Request
EB-00001-08
ew Add
?
-+
? Rep.
- TypeofBuilding
Home
Duplex
pt. Building
4omm./Industrial
arm
iF Ihe (sper,ify) AppliancesWired
Range
Water Heater
-tDryer
Furnace
Conditioner
Contractor's Remarks
t
T
_ EquipmeMWired
Temporary Service
Electric Heating
Other (Specify)
_
Compute Insp - ----
ection Fee Below. f/
p*
a Other Fee ServiceEntrance SizeT
# ee # Circuits/Feeders Fee
? Swimming Pool ?
?Transformers ? - -
}-
?1-0 t-o 200 Amps
Abovl e 200 _ Amps 0 to 100 Amps
Above 100 Amps
SignS
? - _
Inspector's Use Oniy.
?
TOTAL \_
_
-
I«igation Booms 7 ? \S ??
? ?
Special Inspection
Alarm/Communicatwn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby Rough-in Date
certify lhat the above inspection has
been made. Finai -- oate ? l
OFFICE USE ONLY
TniS request voitl 18 monihs imm
//i /9/
H 4
y,11.gj
1
.
Request Dato
, Fi
g gh-i nspectlon
equ d?
? Reetly Now ill Nodfy Inspector
as ? No When Reatly7
I ' nsed contractor ? owner hereby request inspection of above electrical work at:
Jo Address (Streel, BOx or Route No.)
43-7 L 4-6 ., '.; Ciry
?n
..?.
Seclion No. Township Name or No. Range No. County
?
Occupanl(PRINT) Phone N0.
Power Supp Atltlress
Elecfr pntractor (COmpany Name)
? Conira 'S License No.
Malling Atldress Conlrector or Owner Making Installationl
v/ ' ?LG?. r V
umorized Signa e (Coniractor/Owner Making Installation) / Phone Number ?
MIN SOTA E BOARD O?CECTRIqTY ?r THIS INSPEGTION RE4UEST WILL NOT
Grigga- ay Bidg. - Raam 5-173 BE ACCEPTED 6V THE STATE BOAFD
1821 Universfry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)642-0800 ENCLOSEO.
/9? REQUEST FOR ELECTRICAL INSPECTION
?,( ? See instructions lor completing Ihis form on back ot yellow copy.
17 ,?G& "JC" Below Work Covered by This Request
O,"ee-oooo1-oa
..... _? V ? ew P;dd Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial ' Furnace
Farm Air Conditioner
Other (specity) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool / 41 to 200 Amps a 0 to 100 Amps
Transformers Above 200 _ Amps Abo 100 _ Amps Lk.
Signs Inspector's Use Only: 70TAL 1 y U
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. , I!
I, the Electrical Inspector, hereby Aough-in , -
certify thai the above inspection has
been made. Final ( Date
-Y(
OFFICE USE ONLV
This request witl 18 months Irom
Addre.ss: 4370 LIVINGSTON DBIVE Lot >> Slk 3 Sec/SubI.FKINSION POINIE 5TH
These items were/were not complete at the time of the final inspection.
i'E: 3/]5/9] Yes No INSPECTOR: G?
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas VIO'
Sod/seeded grass ?
Trail/curb damage ? !?y'?v(.C?
Porch
Basement finish
Deck
Please verify with the builder the ramoval o£ roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor copy
RESIDENTIAL BUILDING ?
Permit Application
City Of Eagan
???C) S_ 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
???-•??
?
New ConsWcUon Reauirements RemodellReoair Reauiremenls Office Use Onlv
3 regislered site surveys showing sq. ft of iot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20°h maximum lot coverage allowed) 1 set of Energy Calalations for heated additions _ Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey lor addi6ons & decks Tree Pres Not Reqd
1 set of Energy Calculations Add'rtion • indicate ilon-site sepBC system _ On-site Septic System
3 copies of Tree P2servatian Plan if lol plaried after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date / / ?
Construction Cost o C) O_
Site Address L4370 V1 5 p (' UniUSte #
_ q
Description of Work Frlop'
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner T,3?? Telephone # (651 )- 683 -103c-?
Contractor ei` ? Y1 ?Ji1+(`QC+Of 5
Address e e City
State ? i I I V- Zip y???? Telephone #(?Y.?1-?C 7- C74J'r?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate?orv 1
(Jsubmission type) • ResidenGal Ven6lation Category 1 Worksheet
Submitted
• Energy Envelope CalculaUons Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
Telephone j._ - - . -
Telephone
Apl; fi 1'_ C"? I I I
I hereby apply for a Residential Building Permit and acknowledge that the infofniarioix'is'curtIp'l&te?'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 accardance with the approved plan in the case of work which requires a review and
approval of plans.
C 4nl `t o. rra4bMh o L
Applicant's Printed Name
-1- 9"W-411
Applicant's Signature
?UC1?-? ?S 4? 44
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
iN-1 1
New Construdion Reauirements RemodeilRepair Reauiremenb Office Use Onlv
3 registered site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Cert ot Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calalations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Addition - indicate if on-site septic system _ On-site Sep6c System
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Depil Options selec6on sheet (61dgs with 3 or Iess units
Date / / Construction Cost
SiteAddress q3 UnitlSte #
Description of Work
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(?
?1??
b?`
?
Contractor e l ? ? 1?J1
0IGl
J
1?
Address a ique- . city ir v
State Zip 553?37 Telephone #( Q?4-7Z)7'64 ?j
7-g 76,6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category 0 Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
' ,1' Telephone # (
Telephone # ( )
I hereby apply for a Residential Building 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 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.
Applicant's Printed Name Applicant's Signature
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mm",,L",i4?;<:?',,,?+,, ,;R,T.
ZIP:
----------- +--------------------------------------------•
---------------
WORK DESCRIPTION
NEW CONST X
ADD ON
REPAIR _
OWNER NAME:
SITE ADDRES S: 4.3 "'v
LOT:BLOCK ,? SUBD ?
INSTALLER:
ADDRESS: 142l1 YVn 47r4LA?3 D 17o- •
CITY: -?N a -?-5 - ZIP: ?LSIYIZD
PHONE #: ?J??ZCa
FOR CITY USE ONLY
PERMIT # /oO 79'4Y
RECEIPT # /D
DATE:
DWELLINGS &
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24..N.
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.0
OF 1 PER PERMIT
SUBTOTAL: $ ;2' 66
STATE SURCHARGE: .50
TOT
?
?? ?.C ??v?.?'?y'r--??--? .
ATiJRE OF PERMITTEE 1
?.1
PLEF.SE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APAR'PMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
----- - - - - - - --
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACA UNIT.
SUBD.
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIP1NG _ ,5`15.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
FEES
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
.......:...... ...... .. ..
RESID?Nx:xAS.:;;
FOR CITY USE ONLY
PERMIT # 4214
RECEIPT # j!?U
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY. DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------- ----e.---------------------------------------------------
WORK DESCRIPTION COMPLETE THE FOLLOWING:
NEW CONST X
ADD ON
REPAIR
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
? WATER CLOSET 3.00 3.00
/ BATH TUB 3.00 3.Oo
? LAVATORY
OWNER NA.*1E: ?y)GY 6/1,7!/'L,//dlU'! KITCHENSINK 3.00 3•60
LAUNDRY TRAY 3.00 3.U?
SITE ADDRESS:_?{3?0 UU/h?(9'7 HOT TUB/SPA 3.00
?
r ?
?
I WATER HEATER 3.00 d?
3
?
LOT: BLGCK _? ?,Q?,
J
SUBD FLOOR DRAIN 3.00
.
yy? /? GAS PIPING OUT.
INSTALLER: 1/1L,/ L?1?CW UGrl)t6 _?hL ? (MINIMUM - 1) 3.00 36J
? ROUGH OPENINGS 1
.50
5?
?.
ADDRESS: ? 1$S C?dY tN/5G/ 6041/ OTHER
WATER SOFTENER 5.00
p
CITY: l?-t?SCh ?"?
'b(//'Yr ZIp; S.??og PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE #: ? /?.?- J'???? -
/? SUBTOTAL $
ag-?
RJ ??,G?,
Aolk ST. SURCHARGE .50
SIGNATURE F PERMITTEE .2I 60
TOTAL: S ?
COMMERCIALJINDUSTRIALi; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMTLY BiIIZDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACti
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER.,NAME: _
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR: CITY OF EAGAN
18 OF CONTRAGT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SYGNATURE)
t
?
;
;
CITY USE ONLY
LOT r/ BL ? RcCEIPT #: 9o20 O v
SUBD.(29L., RECEIPT DATE:
-T
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
/9n,y
Date: r ? (612)6814675
Complete this section only if you are installin¢ HVAC in sing,le family, townhome, or condos that are
under construction and are not owner /occunied.
HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, addins to, or renairing ezistin¢ sinele family
dwellings, townhomes, or condos.
Add-on furnace
? Add-on air exchanger, i.e. Vanee system, etc.
-?
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
SITE ADDRESS: 7?'7D Cli(v?;iO?S7'U4) kJeld
Add on air conditioning
Other
$ 20.00
Total: 20.50
oVINERNAME: <<lnndc ?okefn PHONE#:
J?
INSTALLER NAME: PHONE #: 19141919
STREET ADDRESS: ? ?S?/}icu v J
CITY: J/?UAq ? STA ZIP:.3 3?
t
G TURE OF PERMITTEE
X? /?
.,.`.,.. n t cA::. ..i. .. .
C.T.'r+' r;c i";',CH
,,\t:,?._._,?. ,.1::7 ... ->.. ._;'il".}_, :'?r:i . ..v- '?:e,_,?: :it???
.. .
. . _ ... .. _
p".f•:1.,. MUM ?f-jr... M... ,i:{°Y
41.'
, , .....
O??,-,.:A..?:. ;..?, ?....-, ;-.,.? .,C:r.: iD?.? . . , „r- ;,. ?? -;?
, .? ??..? a_.;
+:i?i';.) 00.00
.,.W 9271 010 '. TN. . i Mi `.t .',...
?
.... ,. .,.. . . ,
? ._ ?
? ' ... ._ '-r:`:.:_?i: (-t ;.,i ?.,..f y ?_.f-?, .
.. ,.... ?. . .,_:r .. ?_,?_
CR, ._,49::)
00' _
?
?c,
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date:l/?-
Description of Work : ? Construct new fireplace A%s _Masonry _ Alterations to existing
Instal] Qas insert onlv Install 2as li?:e onlv
? / ? -
e
_ Other ? ? ?/t C"YG ? /r-??A" e 4 S le V?
Job address: U? 7 0 U'd L\?A°? 'S-f Y1 ? e-
Lot: f ? Block: 3 Subdivision/P.I.D.
Applicant (circle one only): Owner Contractor Perntit Fee: $60.50
Name: 0S? e- W> Phone #: (o
PROPERTY Last st
OWtiER , l
Street Address: 1.i L1C) (?iG'j 5??j?\ r
FIREPLACE
INSTALLER
Ciry (=v-``j'
Company:\e`
Street Address: v I0 4"
?
Ciry
Company _?
GAS LINE
INSTALLER Street
r
City
I
?.
State: V-? ln Zip:
rCQPhone #: 1? S??J-
/ (area code) (l (7 IXL
/
State: Zip: --1?-?-?-?-?
Phone #: ?
(area code)
State:
Zip:
' I hereby acknowledge that I have read this applI tion and state that the information is correct and agree to
comply with all applicable State of Minnesota Statu e5.ajjd Cit n r inances.
" Ul, l /_!. "
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line
? 32 Addition 0 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
? 41 Wood Stove
,
t
'
O
1990 BUILDZNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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 WElEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED.
PERMIT Ml1ST SHOW A LICENSED PLUMBER.
To Be Used For: `2w Valuation: Date:
Site Address H/a LwlbgqfLA&
Lot (/ Block 3
Parcel/Sub L2-xi 4?-
Owner
Address
City/Zip Code
Phone
Contractor W 1?? yle-A"V11-
Address &() WA14e4-fx5-1 -J & UL
City/Zip Code f 46?T/2-3
Phone `7'JL?J?O d 72-.3
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy -3 m- (
Zoning pD R - I
Actual Const V-N
Allowable V -N
# of stories
Length ? -
Depth AJg'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water -Z?
PRV _
Sooster Pwnp _
APPROVALS
Planner
Council
Bldg. Off. 11'?/
Variance
nV Y 0 G 199Q
COMMERCIAL
FEES
Bldg. Permit 62Z,00
Surcharge 49,00
Plan Review 41O o
SAC, City pD,oO
SAC, MWCC (000.00
Water Conn
?
62Z510
Water Meter C]d,oo
Acct. Deposit 30,00
S/W Permit 30,00
S/W Surcharge ~ .50
Treatment P1. 2.52.00
Road Unit" 35S,170
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL q1
Phone #
Y • -•
VAL? A71.
t ;
.? ? ?•- ? A
6mZAkE
Zy u2y = S?(,o x is',= 8CaYv
?St?tT;
?---?-
Zy xy?
I xz?-
3;
y%A )
Z x8 =
lST T'-oOQ.
1/ oti
- ?5y
s?.
I3z? J< ly= 1856q
?3S ?, ?? I 3 z c?
I 3 3?S x? I?. ?$ 23?
? Syu 2_-
•(Fo:3 Dcvcloped by tac Sta:c of l:oec i)i?•.sio:ij
TO EE SU9:iITTED NITiI IIUILDIt:C PEFSSIT l.PPLICATIO:?
:. ? . •
F?:TE?;IOR FNVf.LOPE AVERACE ''U" CO?TUTATION '
r?
l '
l
O1:tiER:
STTE ADDRESS: oiv
, CONTRACTOR: / ( f,,Z,? d5(_ pATE: P}IONE:
?? ?
Determine vorking equare footage of each
1. Total exposed wall area......... sq.ft. a e?f ° Z3??y
2. Total rooflceiling area......... sq.ft. x edLb ? Z,Offe
3.• Total exposed Wall area calculations:
Sotal exposed wall area above floor
3.
Determine "U" value of each wall segment
•
a. Tota2 wall windoW-area .............................. 76
...
?•••
b: Total door area .................................. 3
c. Total sliding glass door area .......................
d. Total fireplace wall area ...........................
e. Total wall framing area (average 10T.) ............... Z O 2-
f: Total net Wall area above floor ..................... jV73
......??
g. Total riu joist area ..........................
• Total exposed foundation area
h. Total foundation windov area ........................ ?
..?_
i. Total net foundation area above grade .............
8. /( (O x h??? .'y 7 L
? b. 3? x „v„
C.?O
Q• X
/
f1Ut1
?SS ?
LZr O
d. X "U"
. e. Z,d 2 g BlUff . D 7 ? /
73 x
. flU,f Z
g. 95 R foUll -I p
. h. R fou?? 0!5?,i
1. c?0 X toUt$ , I G • ?'? o
?, .
.
. ToTnr.
If item 03 is the same as, or less than item O1, yov have meG ehe intent af
ssc 6e06(c)20
•
. , r .
Total exposed roof/ceiling calculations:
Total e:cposed roof/ceiling area n /?(
?- •
? J. Total skylight area ...................................
k. Tota1 roof/ceiling framing area(averay,e 107.)........ 1. 7ota1 net insulated roof/ceiling area................. 8
Detemine "II" value for each roof/ceiling segment
i . . X nIIss .?' . ?..
J.
k. gIsUff 211 Z
1.
R 20, d ? 4. 'TOTAL ? ?`? ? ? ?
If total of A is the sarse as, or•less than #2, you have ntent
of 5BC 6006(c)1.
Alternate Building Envelope Design
`'?l.'?. .•• . , : . • .
To utilize the total envelope system method, the values establfslied by the sum of iteas #3 and #4 shall not be greater than the sum af items #1
and 02.
1 + 2• - '
.
3 + 4. - '
.
C E R T I F I C A T I o H
I hereby certifp that I have calculated the "U" factors and R values
herein and that the building herQ described meeta o= exceeds the State of
• Hinnesota EneYgy Conservation Act. •
. ?
(Signature)_
. (Date) '
,
:
WA1.L
,. , c, ]O: of op-iyu^ wzj? 1 azcl for
?r.amc co>>structiun
Y]AI,I,
FIG. 41 TOPVIEIJ OF
F.T2TISE [•:P.LL
FIG. #!.2
r
.??.... i??.?...._.?-
?ILL
??r,, T?a 1 ^
, !+ti?•
??.
) • ' -
,
????-__ • ID
« f -`,1
?-
?-- :J
? •-;_; rl ?. _, r O ,
•--?--=---
r?i? -?-C'
.? .
'A
?-
G•?•,
. 1? . , •? • - .??^ ,
?r.' ' F f- • •.???.
.?? -i .• .
?,._._i? , ?. .. . .
ConstriicYion R-Valuc
.. _r N
L L
1, 7nYCrior air film 0.68
2
.
3, ! i.nches sofr_ wond •'? : =:
• Fi {
5.
6. Exterior air film = U.17
Total -1
?J?; . G.:,t • . ? ':
_ ;? • • .
1. Intcrior air £iln 0.6£3
2.
3.
.
q
.. .
5. ? '?-
6. Y:xterior air filn 0.3.7
Total • = Z ( , '? ?
-, N,% .
1. Interior air film 0.68
3.
s.
, . _V ,.
.,
6. Er.terior air f-ilm 0.17
Totsl _
1.
2•
• 3.
4.
5.
G.
SI,11II 0:1 G?2,alli:
77
<<r
? ? • •d ` b L
. • a . ? ' i? •
• • ? ?' :
?.
p - ' ./ • . b '
Interior air film 0.68
,'.i ..?IT
; .? , . . . r -
Exterior air film 0.17
'Potal
? e .• ?. . ` o
???/1f.+ 1f'? '• •• `' • r ? •
??c ? • • ? -
^ ? ? b , ? ? >? 11 1 --
./(1
. ^ .
.
Fic. 44
rtc ? ., o ~
NOTE: Indicatr. Cyne, "F." valua, dcnth and
. Filacenent of insulnt.tot?. .
7IG. #3 -- - - ?
?i
.
?
-
? ?
. .
.
.
,
f.
FOOl'/CE I LI:: G
??? • Y
?.7,,;;.L??.111i:
i?
rCSC t1Gl:
up
ZTFIIT
,%, aiICEd
r7c. 05
?.n? ??? t??.•?.'\? 1?T° l_ ?: ?:? ?'?-_=???_ _? n t= ?.I_I_?.
'. 1 2 3
l:eat flot? up
..FIG. ?6.
.
Canstr.uction R-Valne
1. Interior zi.r film 0.61
Z ?.:? ? . ..._
.
3. I ?` ?J?t,•_ .. .,? .:? , ?;^. .
4. rxtcrior air film (st:i?1) O.G
- Total
:?
- ?-- _
_.........
_
?
-
? ' ... , j....
J
1. Interior air film 0.61
2.
?
4. Er.teriur air Silm still ?:bl
Total
1. Iiiside air fil.m _ 0.61
2.
3.
4. '
5. outside air film •0.17
Total
. vented•
.
J
;.
• 2:0:i-PL2:Ti D .
Hent
, . flov up
F7r„ ?07
?
Notc: U::c additiona2 ::hects if more sFar.c i
needed for details aud calcu2ations.
. .
METRO
SURVEYORS
INC.
N
CERTIFICATE OF SURVEY FOR
HUTTNER CONSTRUCTION
LEGAL DESCRIPTION; LOTIL,BLOCK 3, LEXINGTON POINTE 5th ADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
2s
Q Q/
to /,<
SCALE: I89=30'
:\,r Rg7-6
\? T°P g?ocX
1875 PLAZA DR.
SUITE 200
EA 6AN, MN, 55122
(612)452- 7850
V 1
0
?0
` ?(o
;
,
9bZ V
, , • .iV .
?j 8• /Y\
?187_S
Gora?e
LOT 12
?
979 4
`
1 ??
?n \ o
3 ?
?
20
;
J
h
76,c y W W ?
=Q? ?
La-r 11
/?g29 ^
LOT 10
17
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
978x3 DENOTES EXISTING SPOT
ELE VATION
?480.7? DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hersby csrtity that this survey, plan or
repori was prepared by me or under my
direct supervision and that I om a duly
Reqistered Lond Surveyor undsr ths
Laws of the State of Minnesota.
Brodley J: , enson, Mn. Req. No. 15235
Date?
,?AGAN -EKGL?tEPjAG
;?OOa0s e.? y Leae,/?
INVERT E!_EVATIOPf AT SERViCE EXTERlSiON=
PROPOSED GARAGE FLOOR ELEVATtON = '
PROPOSED FIRST FLOOR ELEVATION = _995!("
PROPOSED BASEMENT FLOOR = 97? Z-
ELEVATION
NOTE'• VERIFY ALL FLOOR HEiGHTS WITH
FINAL HDUSE PLANS
I -
o~~a
t#: q1 & Eapn
Lily I of
3830 Pilot Knob Road I Permit Fee: I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 1 /7C, I
Fax: (651) 675-5694 staff: C 4~' I
2009 2049 RESIDENTIAL PLUMBING PERMIT APP~ICATION
v + h-O Y, f
Date: U - `C) S Site Address: 3 7 2-1
Tenant: Q S 4 r 2 Suite
RESIDENT / OWNER Name:: Q 0 s 4 r--e-Y,-\ Phone: S ~ (fl $ 3- l Q 3-Q,
l) v y, ~`c 6 4 0 , 3
Address/ City / Zip: ___Q370
S,e r k,ej
CONTRACTOR Name: A,_33 i 4 n #0 I u y,, b h License O .S i S' p rti
Address y' oZ 2 / 7
City: Stater Zip: ,S~ :.S' l 2
Phone l (o b? t - $a S Contact Person: Sew I L Z
TYPE OF WORK New Replacement - Repair - Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbi Fixtures
L. RPZ / PV8) C_ Win Lower Level)
- Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.5o State Surcharge)
$5M50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (Inclu+ $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $50 State Surcharge)
TOTAL. FEES $ J S C)
I hereby admovAedge that this information is wnplete and _ accurate; that the work will be in conformance with the on:linances and codes of the City ofi
Eagan; that I undersland #ft 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 wfth the approved plan In tt,s cow of work wt~lw requkes a mview and approval of plans.
Sc,), )
02 1 1o~~
X
x
Appnt's Printed Name no's Slgnalltire
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ___Under Ground Rough-in Air Test __Gas Test Final
Use BLUE or BLACK Ink
r
For Office Use
ra' 0 Permit
City 1 Ea ~11 I I Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 Date Receiv
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION ✓1
Date: r v~ Site Address: 13-70 L 1/1 kl~ ,~hFA DV
Tenant: Suite M
RESIDENT / OWNER Name: JL4 ~V(V~eJ Phone: (g 3 " l~ 3 2
Address / City / Zip: 43-7o Li yi (,!g s l `J1/-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: LVw,,-Y acs ~n
x )
Construction Cosf!'_ S, 000 Multi-Family Building: (Yes /No
CONTRACTOR Name: License
V 6~ U
Address: 3643 ( JovPaRJ
City: State: M Vv Zip: 5'5 1 2 3
Phone: (a 12 0 S 3 F 7 3 Contact Person: ~bk L _DV~P- LVV-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public 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.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in 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 of plans
x ~1~UI \JUi X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
. 7
e
DO NOT WRITE BELOW THIS LINE q 0
SUB TYPES
Foundation _ Fireplace Porch (3-Season) Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ Plex ,L Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New - Interior Improvement _ Siding _ Demolish Building*
_ 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 3gao Occupancy MCES System
Plan Review Code Edition 2~7 SAC Units
(25%-100%--) Zoning P g City Water _
Census Code 43 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition)' Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: -Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill - Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL F S
Base Fee 130 Surcharge
Plan Review )9
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112866
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 4370 Livingston Dr
Lot:11 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Pat Addy
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 -
Jay Ostrem
4370 Livingston Dr
Eagan MN 55123
Greenguard Construction Inc
2915 Waters Road, Suite 101
Eagan MN 55121
(651) 289-7000
Applicant/Permitee: Signature Issued By: Signature
Yr City of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: / I / 7t-/ „del
Permit Fee:-� fiE. T
Date Received: ,/LA't
Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: X, i7 Site Address: 'KAF7e7/41/• /.7 777?7d/ AeUnit #:
Name: 949' O` )14-'e,i/V Phone:
Resident/
Owner Address / City / Zip:
Type of Work
-Contractor
Applicant is: Owner Contractor
Description of work:
Construction Cost: Multi -Family bun un uy. ,
Company:d 9fe 4.i."4,17l",20/ 7,/5" tact:'/ Z,-, c.5
Address: ,%d'/.41e1. /7/ 'City: ' tl4e.
State: y%Zip:55Y2Phone• �` . �'a� ail: 99691 - 5-641b
License #: 7:4%,Pe ' Lead Certificate #: golly 2?L(j-- 0
_
g
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 pnwide spec reasons that would permit the -City tb
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
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 of plans.
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.
x
Applicant's Printed Name App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173566
Date Issued:11/17/2021
Permit Category:ePermit
Site Address: 4370 Livingston Dr
Lot:11 Block: 3 Addition: Lexington Pointe 5th
PID:10-45074-03-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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:
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 -
Jay A & Lynette M Ostrem
4370 Livingston
Saint Paul MN 55123--260
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature