4777 London Lane
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 .
BUILDING PERMiT Receipt#
To be used for "j ' '(' Est. Value Date 4
Site Address _
Lot 1" Block
Parcel No.
1
Sec/Sub. BRITTANY lUTv.
, Name TOLLF.FbOc. BLDRS
= Address 12617 FA;;,.;,;EGN AYF
o ci ? A.V. Phone 4 1-lI(?C
. o Name
o Q Address
r City phone
i- ¢
ww
Name
?
??
Address ?
aW CityPhone
Building Olficial ___ 4777 LONDON LAFiE
I hereby acknowledge ihat I have read fhis application and state that the
information is correct and agree to comply with all applicable State ot
Min ?esota Statutes and City of Eagan Ordinances.
Sign,ature of Permittee
A BuHding Permit is issued to: ?'??•r, r:?' ?. .-: i_ ??:t;i
on 1hQ express condition ihat all work shall be done in accordance with all
applicaWe State of Minnesota Statutes and City of Eagan Ordinances.
??38{
19 87
On Site Sewage _ Occupancy R3
MWCCSystem Zoning Y1
On Site Well (Actuaq Const V71
City Water (Allowable) vn .
PRV Required ? # of Stories
Booster Pump Length b?
Depth 3b
S.F. Total
Footprint S.F.
APPROVALS FEES
?
Engc/Assess. Permit ? 608.50
I
Planner Surcharge 67.50
?
Council PlanReview 304.25 ?
BIdg.Off. SAGCity Wv•ou A
Variance SAC, MWCC _??4YJ
525.04)
i'
WaterConn.
WaterMeter 67'Ui0?
305.001
i
Road Unit
Treatment Pt ? ? • VO '
Parks
":,:. ?82-25
TOTAL I
. . . . .. . . i.. , ... . .. . .11111
BLDG. PERMIT N0. A/,9 P
---T--r
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
1`/-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 tiater Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 5ewer Conn.
11-3855 Park Ded.
TOTAL
" CASH RECEIPT
CITY OF 'EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
REClIVED ,
FROM
AMOUNT
-I
19
?
!o OOLLAR6
.oe
? CASH ?EI. CHECK
?
f R
0(J 1
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
' - • CITY OF EAGAN
• 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date Site Address
lot Block Sec/Sub. ?
Parcel No.
a Name '
W i ,
3 Address '
° City . . Phone
, o Name
?Q Address
P City Phone
pj W Name
FW
_? Address
U
Q W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permittee
A Building Permit is issued ta on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
,19
OFFIC E USE ONLY
On Ske Sewage ? Occupancy
MWCC System _ Zoning
On Site Well ? (Actual) Const
City Water ? (Allowable)
PRV Required of Stories
6ooster Pump _ Length
Deptn
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. ON. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
I
Permit No. Parmit Holder Data Talephone u
Plumbing ?' 4?-
? ?
?
,. ,
H.V.A:C.
Electric WAM
Softener
Inspectfon Date Insp. Comments
Footings I /
'1*-
77
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. _ G
place /?
al Htg. ? ?? p
al Plbg.
!
Final
BIdg. ?
rt.OCC. _ -
Temp. LP - k'
Deck Ftg.
Deck Final
Well
Pr. Disp.
?'? p b7 SM, 115?
? .. .
r . PERMIT #
CONTRACT PRICE:
Site Address 9777 London L
Lot 18 Block 1
? Name jrienz-g3lzin
? AddresS 5
c City ns ??+n o MN Phone 421,1144
Rsnfig
? Name
3 Address 12617 V
Q Clry Annla vmitev_ ?rwhone a21 _11 On
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -= - $12.00
MINIMUM - COMM/IN4 FEE - $20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATUR OF PERMITTEE
PLUMBING PERMIT RECEIPT #
CiTY OF EAGAN
3830 PIlOT KNOB ROAD, EAGAN, MN 55122 DATE: Nav?er fAV, 1987
PHONE: 450-8100
gne BIDG. TYPE WORK DESCRIPTION
Sec/Sub Res. xxxxx New Xxxxx
M u It. Add-on
Comm. Repair {
Other ?
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FtXTURES
N ?
TOTAL
$Water Closet - $3.00
_
qC_Bath Tubs - $3.00
Lavatory - $3.00
?
Shower - $3.00
::?E ?
__?4_Ki!chen Sink - $3.00 ?
Urinal/Bidet - 53.00 I
-i_Laundry Tray - $3.00
_jIL-Floor Drains - $1.50
?Water Heater - $1.50 3
/ Whirlpool - $3.00
! Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn '
-SoRener - $5.00
-Well - $10.00 I
Private Disp. - $10.00 ?
LLRough Openings - $1.50 ?
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
PERMIT #
" MECHANICAL PERMIT RECEIPT # - - ?
' • CITY OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: LO'v'?1Ler
CONTRACT PRICE: PHONE: 454-8100 ;
SiteAddress r_r,S.x -,
Lot ?-' Block -?- Sec/Sub
y I Name Gen2.-RVBIn 12bt,
m Address 14743 snt±th Robel
?. c City Rosrtsnounts MN Phone
Nam ''e csl7gfsaen AI)"f',PY!
k r Address ? ??? gar?qrei?++ ;+
p Cityi+51hI8 Tx;%»Vj_ uPhone_
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M [ITU
ntl. M ,6TU
CFM
ipinp Outlets # ?-
BLDG. TYPE WORK DESCRIPTION
Res. New
MuR. Add-on
Comm. Repair
Other
44 FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00 ES. CO STRUCTIONj DES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00 ?
STATE SURCHARGE PER PERMIT - .50 ?,<?
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
v
`FEE: j_...F?,-?`
S/C: SIGNATURt OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
--?.• ,
R
(tertifiratP nf (Orrupttnrg
titp of (Eagan
EppMl't11tPtIY Of Nltijhiltg iliS}1P[YIDIt
This Certifecate issued pursuant to !he requiremenu of Section 306 of the Unijorm Building
Code certifying thar at the time of issuance this struc[ure was in compliance with the various
ordinances of the City regulaang building construction or use. For the following:
Ux ClnBificstion •: , rh"i Bldg. Rrme No.
Oavpaecy Type ?-j Zoving Disvict VA Type Coml.
" os f17 FAf!X-'."MJ ;1[r, y A.
OwmrotBuddtng r;-r rglnf:d WITI:' Add
awiding addrcffi Lanliry . t3e B I.' 1- .'AR 1 ?.
Dnle: .. . . . .
Buildins Officid
POST IN A CONSPICUOUS PUCE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Es[. Value Date
Site Address 'b r 7 i
Lot Block ? Sec/Sub. 6R111EL. Y pFFICE USE ONLY
Parcel No. occuPancy _-
W
N8f1'10 Zoning -
(Actuap Consl _ Bldg. Permit
L?•??
Addr2S5 (AUOwable) -
??
o City Phone 4 of stories
381 Surcharge
Plan Review •
o - -
Name Lengih
i
oePm
snc
cay
Z .
?¢ AddrBSS S.F.Total -
r
City Phone
S.P. Footprints - SAC, MCWCC
Water Conn
r On Site Sewage -
?
F W
Name
On Site Well -
Water Meter
- ? Addr2SS MWCC System
¢=
aw
Clty PhOnB
City Water - Acct. Deposit
NJ P
it
S
PRV Required - erm
,
I hereby acknowlege that I have read this application and stale that the
informalion is corred and agree to comply with all applicable Stale of
Minnesota Statutes and City ot Eagan Ordinances. Booster Pump - S/w Surcnarge
Treatment Pi
Signa[ure of Permitee APPROVALS Road Unit
A Buildirg Permit is issued to: SL ?Y Planner - park Ded.
an the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official Bldg. pK
Variance - CoPies
TOTAL
2 ?' • ?:
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
InspeeUon Date Insp. Comments
Footings I
Foundation
Framing
Raofing
Rou h PI
s bs ? ST/Gl
C a?B ?
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Ergr./Plan
Bldg. Final
Deck Ftg. ?? dN Q c+?? '*'G Cr, d" c4//
Deck Final ? 4u ?f
Well
Pr. Disp.
/D
CITY OF EAGAN Permit No:
3830 Pifot Kndb Road Meter Nm-2 1.> -70 Datw.
P.O. Box 21199 Size:
Eagan, MN 55721 Reader No: d? P g/ D 5? Date: /'-/?K - AV
Owner. Tollefson Eldrs.
SiteAddress: 4777 Lond 1 Erzttany lOtt
Plumber '7er.z-Rvan . r,
Conn. Chg: 525. 40dre dig ging call I¢?iAqjlitiet ?1.
Acct Dep: L 5 `?'?h?PH(?N F Fi FrTRl6 ?B?i{?t
Permit Fee: 0. 00 )d
Surcharge: • ?1 y?
Tr. Plant_ ?. `.?Opd M"Ph w7th the Cfly ot Eagan
Ordinances
Meter.
. ,
Misc.: I?RV REOUI -;U B ^
Y
WATER SERVICE PERMIT
CITY OF EAGAN
3830 PNbt Knob Road
; P.O. Box 21199
Eagan, MN 55121
Owr
Site
Plun
• ??
Permit No: Date: ` • ? '"4:-' {
Meter Na Size: ?
Reader No: Date:
Gonn. Chg: ? ? • v`Pa ?„
Zoning:
Acct. Dep: • ?`? No. of Units:
Permit Fee: 1V• 001)d
Surcharge: • 5t'Pa I agree to comply with the City ot Eagan
Tr. Piant_ 18'.dQpd
Ordinances.
Meter.
Misc.: .' r•,I E_D Bv
WATER SERVICE PERMIT
;
CITY OF EAGAN Permit No: Date: 3830 P?bt K+?ab Road B/P Na •' ''?"?- I
P.O.?ax 21199 Date: - .Eagan, MN 55721 ?
Owner. SiteAddress: "P.7rdon laa,?- L13 Bi Eritit.c-;y lOt?: ?
fi Plumber: Side S,' T? !
i MWCC: S. QGpd
Zoning. _
Ciry Chg:
F . , . ? „
No. of Units:
Acct. Dep:
Permit Fee: I agrce to comply with the City of Esgan
Surcharge: Ordinancea. i
B
Y
L.....__. SEWER SERVICE PERMIT
CITY OF EAGAN N? 16439
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454- 8100
BUILDING PERMIT Receipt #
To be used tor DECK Est. Value $1 000 Date MAY 1 n , 19$9-
SiteAddress 4777 LONDON LN
Lot 18 Block 1 SeclSub. BRITTANY lOTH OFFICE USE ONLY
Parcel No. oocuPancy - Fees
Zoning -
W Name JEFF MARKO (Actual) Const - Bldg. Permit 26.00
Address 4777 LONDON LN (Allowable) - 50
o Surchar9e -
CISy EAGAN Phone 4
52-3835
# of Stories -
696
- ,
?? plan Review
582 Length
p Name SAME Depih 16 1
City
SAC
Z
oQ Address S.F. Total - ,
SAC, MCWCC
? CISy Phone S.F. Footprints -
Water Conn
On Site Sewage _
?
F
'
Name
On Site Well -
W
M
t
r
t
W
_E75 AddfBSS MWCC System - er
a
e
e
¢Z
aw
City Phone
cirywater _ Acct. Deposit
W P
i
S
PRV Required _ erm
/
t
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
SignaWre of Permitee ?"1n t? ?.td-,?. ? a.?/r.-o ADPROVALS Road Unit
A Building Permit is issued to: JEFF MARKO Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesola Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Otficial Vanance . - TOTAL 26 . 50
CITY OF EAGAN N° 14 3$ 4
3830 Pilot Knob Road, P.O. Box 21 -198, Eagan, MN 55121
PHONE: 454-8100
B
I ?
R
U
LDING PERMIT Receipt # / 4
o
To be usedfor SF DWG/GAR Est. Value $135,000 Date NOVEMBER 4 19 87
Site Address 4777 LONDON LANE OFFICE USE ONLY
BRITTANY lOTH
Lot 18 Block 1 Sec/Sub On Site SewaAe _ Occupancy R3
. MWCC System X Zoning Rl
Parcel No. Vn
On Site Well _ (ActuapConst
a Name TOLLEFSON BLDRS Citywater X (Allowable) Vn
= Address 12617 FAIRGREEN AVE PRV Required X # of stories
0 City `? • V. Phone 431-1100 Booster Pump _ Length 68
Depth 3$
, p Name SAME - S.F.Total
?4 Address FootprintS.F.
P City Phone AppROVAL3 FEES
yVj W NBme Engr./Assess. Permit 608. 50
?z
_-
Address Planner Surcharge 67.50
Q W Ciry Phone Council Plan Review 304.25
Bldg
Off City
SAC 100.00
.
. ,
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5Z5.00
information is correct and a ree to comply with all applicable State ot Water Conn, 525.00
Minnesota Statutes and Cit f Eagardina?ces. _ 67
00
i/_ A / Water Meter .
Signature o( Permittee L/L
Road Unit 305.00
A Building Permit is issued to:_TQLI,$F$_QN-B-L-DRS Treatment P1 180.00
on the express condition that all work shall be done in accordance with all
applicable State of Minnesot. tat tes and C of Eagan Ordinances. Parks
TOTAI $2,682.25
BuildingOfficial
?'
,
p 559 •_ ' /p? ? ? izo?
Request ?ate
/ fire No, Ro -in Inspecion
R irec?
_ Ves o
Ready Now ? Will Notify Inspector
When Ready?
Klicensed' contractor ? owner hereby request inspection of above electrical work at:
Job AJtlress ISireet Box or Route No.1
7 ? o?l c?o ?Qd!-e City
?a
Section No.
I Township Name or No. Range No. Counry
6? x/0
Occupgnt RI TI
Itf" e 1i Phone No.
Power Su plier
a ko Address ?
?earW , 0 I_Z7?,
Electncal Contra tor pany Name1
[ 1 e:57e- c- 7'!?11C Contractor's Lyicense No.
Mailmy AdOre55? y(Contractor or OW?,SMakSng In5lallation/?/n
Authorizetl Sign tur onir ouOwner Making st?ll? ion)
r
</ Phone Num6er}
MINNESOiA STATE BOAfiD OF ELECTRICITV THIS MSPECTION REQUEST WILL NOT
Grigge•Mitlway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Univereity P.ve.. St. Paul. MN 55104 - UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEU.
W /? /?` REQUEST FOR ELECTRICAL lNSPECTION
` l ? See instructions bi completipg tMS iorm on tfack of yellow copy.
IR Iq _1; _,; q 'X" Below Work Covered by This Request
+° Ta>
F da EB-0000I-08
?:-
?
<.??...
New Add Rep. TypeofBuilding AppliancesWired EquipmentWired
ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
' CommJlndustrial Furnace
' Farm Air Conditioner
Other (specily) Contractor's Remarks'.
r' -
Compute /nspection Fee Below.
I# Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 Amps Amps
$19f15 Inspector5 Use Only: TOTAL ?-t-1)
Irrigation 8ooms ,57,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyh-in Date
certify that the above inspection has
been made. Final ? aie ?
OFFICE USE ONLY ? -?
This request void 18 months hom
This request void ?
18 mpnths from ]//f?/9-Y . '21kt
D 34118ti/s ,g i?,?a? ?m - 7 78 5`?rc,)e
- I I
? rv¢ No. qouph-in Insper,tion
Requfred?
?1'es [?o
?Ready Nuw fll Notify Inspec-
tor When Ready
!censed Electrical Contractor
? Owner
I heraby request inspection ot above
?
Street Address,
Box or Rou?e No. eleCtricel work in5talled at:
*7
7 LaN,p L,q. &
C ity E
7
cu on o. Township Name or No.
qange No. ta&q
Count
V
Occupant (PRINT) A ko 7 A
e Phone No.
Power Supplier
p ko r?t al A Address
ss? . g? 1
wk
s so?,y
7 ?r
Electrical Coniractor ICompany Name) , J
?i?r/Y/i
7aN 0N
.
?j
/ (11 r
?LJ '? /'/ /? .yI['y?/J
? ? C/nntr.a?ctor s L? ense No.
Mailing Address IConiractor or Owner Making Instailationl
i4K' ?e
A
h r v os?v,'GGe ?/!.
ut
orized SiBnature (C tractor O n er Making Installation)
Phone Numher
--?V P6
BOAND OF ELECTflICKY
Griggs-Midwey Bldg. - qoom N-191
1821 Universitv Ave.. St. Pnul, MN 55104
Phone (672) 642-0800
TNIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE S7qTE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCIOSED.
11,VREQUEST FOR ELECTRICAL INSPECTION . ee-ooooi-os
?
? See instructions tor completiS9,this farm on back of vellow copy. ?e.J' W
M34118 "X" Below Work Covered by lhis Request
AAd ReD. Type ot 6uiltliog Appliancns Wired Equipm¢ol Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electrie Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Och«, peai v oiho, Isper.ifyi
Ihe, SPCCify OthCr Other
__..-
ompute Inspection Fee Below
p Fee Service EntranceSize q Fee Feeders/Subfeeders N Pee Circuit5
0 to 200 qm s 0 to 30 Am s Y Gid 0 to 30 Am ps
Above 200 qmps 31 to 100 Amps ,pp 31 to 100 Am s
Swimming Poal Above 100-Amps Above 100_AmPs
Transformers Irrigation Booms 157
Partial-'Other Fee'
Signs Special Inspection ?'] Q
$ G, I?°'SOt
T
Remarks i.i.-. _ ?. .. . ?aQ
r n?`
Hough-in Date
lectr i Ca I
InsDector, here6y
Final D' le ertify thet the above
, insDection has 6aen
made.
rhis reouest rolA 18 monihs from
i ?
? ?? l i N I'.?''+'.. ? /^ : er? ??
.5 i Lq 3 1
RES{DENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851•681-4675
New Constructlon HeauiremeMS RemodeUReoair Reauirements /? ,?? J
• 3 regislered sfte surveys showing sq. tt. ot bt, sq. ft of house; and all roofetl areas • 2 copies of plan (' Y? v(--?
(20% maximum bt coverage allowed) • 1 set ot Energy Calculatlons for heated atldflions `? l?
• 2 copies of plan showing beam 8 window sizes; poured tound design, etc.) • 1 site survey for extedor additions & decks
• 1 set oi Energy Cakulations • IndMate H home served by septic system for addftions
• 3 copies M Tree Preservation Plan 'rf bt platted after 7!1 /93
• Rim,bist Detail Options selection sheet (bldgs wilh 3 or less units)
DATE VALUATION 6-6?u- dC)
SITE ADDRESS / 7 7 7 Zd ^v bo,'J MULTI-FAMILY BLDG _ Y J?N
TYPE OF WORK Re Slt•w,e FIREPLACE(S) ><'O _ 1- 2
APPLICANT 14 reD w
Cu'u i-r'? f&?; i`r-- -
STREET ADDRESS r,w? sP 1?. CIN 4+^14ni.vs- STATE?ZIP Ss664
TELEPHONE # 0'07- '1W-!&y30 CELL PHONE #_42?7" 0291" l0 7J, FAX # PyD- 3 W-a yc)C
PROPERN OWNER 6C, rr hn-rkd TELEPHONE #?a sf' yS?- ' 3,R, 3S
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR °'NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(q submission type) . Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculaiions Submitted
Plumbing Controctor: Phone #
Plumbing system includes: Water Softener Lawn Spi•inkler Fee: $90.00
Water Heater No. of R.I. Baths
v No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning ? 4?
_ Heat Recovery System r30A,10
Sewer/Water Contractor. Phone #
lou
---------------------------------------------- ------------- ------------------- ----------- -------- - .......
I hereby acknowledge that I have read this application, state that the information is correct, ?rtL9 agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Presenration Plan Received _ Not Required _
Updated 4102
,
,
SINGLE FAMILY DWELLINGS
I BE/ .;N
987 B LDING PERhffT APPLICATION - CITY OF EAGAN
INCLtTDE 2 SETS OF PLANS, 3 CER2IFICATES OF SfTR9EY9 1 SST OF ENERGY CALC[1LATIONS
NOTE: ADDRESSES FOE CORNEE LOTS - CONTRACTOR/HOMEOiiNER MIIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL IINITS FOR SALE tJNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SQRVEY - CHEGK WITH BLDG. DEPT.,
1- SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address
Lot LL_ Block /
Parcel /Sub s(1.y 1 VLJLA.
Owner -/?
Address
City/Zip
? Valuation: Date: /jJ r ??n - g'7
t 35,
On Site Sewage_
? MWCC System ?
On Site Well
City Water
&5;
Phone f/o ?'j U
Contractor AALZ,Lp
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 4F
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off II 4
APC
Varianee
Oecupancy _?-:3
Zoning K - I
Type of Const
(Actual)
(Allowable) V^AI
# of Stories
Length (08'
Depth ?
S.F. Tota1
Footprint S.F.
FEF.S
Permit C?08.50
Surcharge , 50
Plan Review O , Z5
S City /Oa,00
SAC, CC S 00
Water Conn $Z,$,a0
Water Meter (o, DO
Road Unit 3 ps, QU
Treatment P1 0 ,0c)
Parks
Copies
TOT9L
?
vp Lu A-rIoN
GARAGE
?.
2yX3H= S?6u12- 91QZ
f-I n u SE
q4K26= ?14y
IZ Y. 3 = 3(-
_40
? 22p x la?° I ZyL140
13yZ?2
<
..n?
ROBE
ENGINEERING
COMnRNY,
? 1000 EJ157 1461h
Tcr,EG'saiv 8vit.?es'
CCIHSULTiHd EN61HEEq5 Bao.K 8L
pLANNEAS nnd LANA ?URVEYOf1S PA bE z#"
tNC. \
57REET, BURNSYILLE, 41lHNES07J1 55337 p11 1:2-3000
C4CTj Z?Z CLZL?E O? 'Y? C
Z? ?a ?.,1?e.? c r L,e C i o n:
LOT /8, BLOL;l? / BR/TTANY /OTN AOD/T/DIV,
OAKoTq CoUN7Y, M/NNt"50TA
?? .
.
i -
SCsiGE : / ° = 30' ?
30' F,koNT 961/Lb/A16
SETB9CK UNE-? °
/ 2g 3?
?
? ?40 +??:sa,?
? /C9 1 /3.,
?r.
?9383, `? o
\` ?l
P? N' n
?4,?1*ti
0
`2 -'•6> .
/ ,'Q?? S?
.
C¢
??
R
02 6_0?
?9?b•a? ?, ?. C, )
/-T - / CY.?o?, D610TE9 EX/5T//116 i5aI/AT/ON
1
7 ? (94/1s) DENOTzi,.S PROIa5E0 E4EVAT/OA!
!NO/CATES D/RF_CTIO%/ OF
. ?-°o ?\ I SURF•9C? Of?A/N.9?E
No_ \ / 9'?/, B3 = FbV/SNEO 69998E FLOOK
ELEVAT/DA/
?9so,o? h ? / ORA/NRG? ANO
(95a,o) -1 UTIL/TY ?ASEMENT
20. ao ?950_°J
N o° 22' 2?"w ?9So,o)
I hertby cnr-tify that thia in a t:ue and correct rnprzaentition of a tract of
land as ahavn'and deeeribed hereons• As prepared by me on this z?-"0 day ot
QcroeE,e t 19 87 . .
Ni n n. X e9. Na . G.aB?
CITY OF BUILDINa DEPARTNIENT ? f
' • EX'PERIOR ENVELOPE AVERAQE "Ull COI4PUTATION
. -• (To be submitted with building parutit appl3;atian)
oae cr Two Family Dwelling
All Other
Contr•actor
Owner Mkr?rj
Bite Addrese
Rqqn
Dt Phone
LIfIEAL FFF.T OF
EXf'05ED FlAI,L Yt. above grade
TOTAL EX.°OSED IYALL ARr.A SQ. FT.
O?AQUG lV11L CUP?S'PRU:TIOt?: "U'f Value x Area
Detail iY/irl9f nUn ,3 x
reFerence ?L' ttU" x
f ro m "U" . /)
: X
attached 1
11U x
slieete flUff X
iOUn g
YlIIJIO'NS: "1Jll Value x Area
Sq. FT. U ?(U)(A)
S?t. FT.-U)(A)
SQ. FT. ?•5l? U)(A)
S@. FT. _ (U) (A,)
Sq. FT. _ (U)(A)
SQ. FT. = (U)(A)
hi 11ze & Type flUfi . L?_x SQ. FT. (A)
uUn x SQ. FT. _ (U) (A)
„ uUof
it x sQ. FT. - (U) (A)
npn X 3Q. FT. n (A)
DOORS: t'U" Value x Area
t•I<;te & Tyoe , n n '
U • 1¢ x
ir
SQ.
FT. 49.0
(U) (A)
of
I . I IIUII x sR. FT. t?.?= (U) (A)
n r?
X SQ. FT. _ (U) (A)
?tUn
x 5Q. FT. _ (U) (A)
TOTALS _ZqW _?SQ. ?'T._ &O.C13 (U) (A)
AE ??Un
TOTAL (lJ) (A) VALUES ISy-•?'/.3 _
DIVIDPD BY TOTAL 1JALL AREA ZLfl.t&.&&' G?
AVERA(3E IfUll -11$ or lese for 1&2 family dwellinga
RUO F/CEILIN(i :
TOTAL AAEA: '
Detail reference nQn •Q?L x SQ. FT.?= f9.??(U)(A)
from
attactted stieete, IOUti x
flUI? SQ. FT. . (U) (A)
Describe oneninge X
flUit x SQ.
SQ. FT.
FT. ? (U)(A)
(U)(?)
in roof. ` oUn X SQ. MP. _ (p)(A)
TOTAL (U)(A) VALUES DIVIDED BY ?i ?J'
j%•.C7 a ?? ,;tq,fr Cur,t?>
? ?
''
OTAL R00: /CEILIPJ(3 pE2EA g130
AVERAQE 'IU" .029 for ventilttted roofs.
.k?? BX ED WALl.,
9 ,j?,D X 4 .66 4- 09
+?? )
?83 x (.?l +31 t 00 4 Zv ?
I k? •
- & 7 X 650 f-36 -f-34 4?:54> ?
?LM ?
• 83 x ??+5z+5?}-f5z? =
_ -Zo40 ?-66?
z, Z14e-;'•61-,7 4
96 - 4 -x
187 50*
Tq- x60 = lD- oo X 3 = 3b• O
zD X 3& _,?-r. O x, z
24 x 36 = b? o, x, 1= ?. o
,
? .
3 ° 5TL W15L - Zg.00
Z? ? L -??-.?,? - Z t• Ov
.?J? .. ?i7U _
,:.
.
. - ?iZ• OC?
, . g?co
?
._.- r?.
, ,. . .
.. r?
_ . . . . ., _
Wall . ``? . f 2,?f?(a• 6?0
? ?. . ?
..
Le?--.f?- Cfi?C • ?1?. ?f8
?. CrM /87• ?S
_ _ n (JJ??UtS ?l. DD
' ? . . - . . ,.-. . . . ?... , ? ? ; .._. ' ""
. t °
r
. .
F ,
. s : ` , i • . . ., . < _:. i •' . ? • , 4 ?t `t-,- ti,l,
.. ... . . . . ,
y °. ? ' . . . ? c? . ? ....
? ? • ? r _ ? ? . 3 . . rr . ? k„
h? ?;?',Y
?,E?r ., •. ? , „a r . ?'R rt ? g?''E x,?.t? ?1i ae-f } '? 'ti1?e _ es ?i.«?,.,{? ??.3w. .x .e..
qv' 'Ow 9r-f
{ 4 11
-- --
.,- _ ' . . . . . ? . . - .. . s . . _ ,. . _
_ . . . ? . . .. . . / .. . ? _ "
1989 BOILDING PEffiMIT APPLICATIOR - CITY OF EAGAN
SIAGLE FAMILY DWELLIN(i3
I W5q
INCLWE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY> 1 SET OF ENERGY CALCULATIONS
NOTEs IDDRffiSES FOE COEiNEA LO'P5 - COATRACTOR/HOMEOTiNBR lNST DE.SIGNATE iiHICH 1lDDR&5S
I3 DESIRED. HO CHANG&5 iiTILL BE ALLOfiED OQCE BOILDIgG PBAMIT I3 I33UED.
lltfI.TIPLE DWELLINGS AENTAL IIAITS FOE SALB UAITS i OF IIBIT3
INCLUDE 2 SETS OF PLANSp CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPt.9 1 SET OF ENERGY
CALCULATIONS
COI+IIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET QE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS MQy 0 B 1989
To Be Used Fors ? Yaluation: -) OCW':? r
Site Address t1Jh1Dc7O LAtjF,-
Lot 12) Bloek I
Parcel/Sub %"kLZ'?i ? (?'? ??"$EIJ
Owner
Address
City/Zip Cole I`72 _
Phone ?Me- 4SZ IMSS W'eR4- CoSo-$$2-0
Contractor
Address
City/Zip Code
Phone
Mch./Engr. _
Dste: ? ? v)
Occupaney
Zoning
Actual Const
Allowable
# of sto'ries
Length
Depth I (?'
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump `
APPHOVALS
Planner
Council
Bldg. Off.
Yarianee
: .
FEE3
Bldg. Permit ;6,bo
Surcharge 150
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAI. ?.L .
Address
City/Zip Code
Phone #
BOTE: 5ever & Water Permit fees and account deposit fees ftill be included in the building
permit Pee. Processing time for aeKer and Water permits is two daqa onoe a lieenaed
plumber has applied for a permit at City Hall.
ToccEF'so?v Bw?s
aOQ? ?A6z:oi +
COHiUlT1H0 EHc31NE155B?^c 8Z
PLANHERS and LAND ?URVEYOQS FRbE E l¢
PENGINMING
COMPBNY, INC.
? 1000 DST 1461h 57HE:T, BURHSVILLE, IIINNESOTA 5!237 PN 422-300?
C4C rZ z?'z cu?e o? Zr04e if
Z-eact ?escr??o?io?z: . .
LOT 18, B[.aCK /, BR/TTANY 10774 AW/T/oN,
OAKaTA COUNJY, MINNtSOTA - ?
_ O p
?
9CA[.E : / " = 30' 2?0
5/B'
30' FRONT 8U/LIl/it/6 ? ? R? ?2s. ?
` 2 83, 9
9E769CK UNE '°`b 9?i '?• ??
Scg3 \3g3?
?tl' I s)
Y/
A ?
• ' /
Pas???
Iq ?.
,v4' h\ ? ?%
0
?
/-T DENOTES EX/S7/N6 ELEVARDA/
I
(94-1s) 0EN07F_5PROPO9E9E4EVAT/oN
lND1 CAT6S . D/RECTION OF
?`T`o _?7UPr?Ff1C6 DRA1N46E
c?o \ ? 9¢/. B3 =tcl/y/Sf1ED G4)45464? FLOOR
Ec.L?AT/oN
,
5
DRA/N469 ANO
?9$0,0? -? UT/L/TY FA.SEMENT
.N
20. oo 6 /V o° 22' 23"w Oso,6)
I hereby certify that thia ie a t:ue and corroct rnprzeentition at?a tract of
1an,d as aho+m' and deacribcd hereon,• Ae prnpared by mn on thisZ??_,,,' day vf
Qc7oBF?2 ? 19 8-7 . .
?
Ninn. Ras. No.1?.egs?
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
i NOQ'E: PAIMENP OF FEE AT TIME OF
t AerLxcazzoN ooFS Nar coN- ;
y*, SPIIVIE APP%)VAI. OF PERPIIT. :
* INSPF7C1'SON OF MSVM ADID/OR WATFR .*k
; nisraLLAxioKS wua, Nar sa scEMM ;
* [?NPIL PIItMIT H1S BEE21 ApPROVID.
•i:f:*tf++#w?,t**rt?*x,t*+??rx?t+:*rtxi:
oF eacjcin
(PLEASE PRINT
1) PROPERTY ADDRFSS: 4/77'7
.
C
T,FY;AT• DESCRIPTION; .
Lot/Block/Subdivision or Tax Parcel ID
IF EX25TING STRL'CMIRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
PRESENT ZOIVING/PROPOSID LSE:
Q .CONAIERCIAL/RETAIL/OFFICE
Q INDIISTRIAL
=INSTIZi)TIONAL/GOVERDA'JE.TFP
SINGLE FAMILY
'---'\
E] R-2 DDPLEX ('ftao L?nits)
? R-3 TOWNHODSE (Three.+,t?nits)
Q R-4 APARTMENT/COAIDOMINILM
2) . a . . cv41VE:
ADoxMs : 2; ), r--23d.
,
CITY, STATE, ZIP:
PHONE:
3) • ? :?• NAME:
ADDRESS: tJ <- ! 'P .. L,, 4- .
CITY, STATE, ZIP: AJ PHONE: MASTER LICENSE #
( Lnits)
( . Units )
Pl rs License:
Active
Fxpired
Not recorded
St Initia
?i'i'.o"Tfi?' e ?u • .i. ?: II
4)
NAME: 134,- t ??,?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ? ? .?. • ??? a?.? ?e
[RCONNEC."PION T0 CITY SEWEE2 ONNECTION TO CITY WATER O aTF?R
-?T' ? / . . . E2-?`
6) ??-
?i -
****************,?*********************************?*************************************************
* THE GOLD COPY OF TEE PEE2MIT WILL BE SENP DIRDCPLY TO PUBLIC MRKS 'TO FACILITATE MEPER PICK-L?P. ?
PLEASE 11LIAW M WORKING DAYS FOR PROCFSSING. SONIDONE E'ROM TfiE CITY WILL CONI'ACf YOU IF TFIEEtE *
* ARE ANY PROBLIIKS. ?
?******************************************************************************************,?*******;
: FOR ,CITY USE ONLY
PERMIT # ISSUED
3 3.3
Pd w/Bldg. Permit FEES:
$ $ /v - S o
..
SEWER PERMIT (INCLUDE SORCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ (p 7'a-v $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ??• ? ? ACCO(.'NT DEPOSIT - WATER
$ SZ 5- "LYD $ WAC
$? Z- ? • ? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLiNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ . - I 37 7, L?-U $ TOTAL
R CEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO
DIVISION. LIST AS
A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ///Z/?f?
CITY OF EAGAN
OXs 3830 PILOT KNOB ROAD
EAGAN, ISN 55122
PHONE: (612) 454-8100
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---------------
----- ----------------------
WORK DESCRIPTION FEES
NEW CONST
ADD ON Z'? A'/U
REPAIR
OWNER NAME:
SITE ADDRESS:!,7//
LOT_ : / 9 SLOCY. I SLTSD. ?
INSTALLER: v,
ADDRESS:
CITY:
PHONE #:
ZIP:
CONTRACT PRICE x 18 $
STATE SURCHARGE $
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WIiEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ____--------
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
TOTAL:
FOR CITY IISE ONLY
PERMIT #
RECEIPT # O .2
DATE:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $A'?
STATE SURCHARGE: .50
iOiAi: j ? Cy
SIGNA-T,bRE 6F P$RifiTTEE
$
(SIGNATURE)
CITY OF EAGAN
/, l S'j a l-) &at?7? le"! =
Toli¢fson Buiiders,inc.
CUSTOM DESIGNED HOMES
12817 Fairgreen Avenue
Apple Valley, MN 55124
January 11, 1988
Mr. Bill Burestle
City of Eagan
3830 Pilot Knob Road
P.O. Box 21199
Eagan, Mn. 55121
Dear Bill:
Tollefson Builders acknowledges that the City of Eagan will no
for street maintenance in the Brittany lOth Addition until suc
layer of blacktop is installed. Tollefson Builders will assume
for maintaining access into all streets in the development in
Sincerely,
?
oann Wollschlager
General Manager
Phone (612) 431 •1100
t be responsible
h time as first
responsibility
the intrim period.
Use BLUE or BLACK Ink
CE For Office Use C~x I
I Permit / u
E
City of Ea F11 E C ~C t M
3830 Pilot Knob Road p~ij~ ~ Permit Fee: I
Eagan MN 55122 JUN 0 5 2014 L~
Phone: (651) 675-5675 Date Received: I
Fax: (651) 675-5694 BY:
Staff:
I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 6/3/2014 Site Address: 4777 London Lane
Tenant: Jeff Marko Suite
Resident/Owner Name: _Jeff Marko Phone: 651-485-9960
Address / City / Zip: 4777 London Lane. Eagan MN 55122
Name: Air Masters Heating & Cooling License MB003371
Contractor Address: 112 Concord Exchange South City: South St. Paul
State: MN Zip: 55033 Phone: 651-455-6324
Contact: Kim Greene Email kimra'bairmastersmn.net
New X Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
F. Furnace New Construction _ Interior Improvement
Permit Type Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump _ Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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 Kim Greene
Applicant's Printed Name Applicants Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140878
Date Issued:01/27/2017
Permit Category:ePermit
Site Address: 4777 London Lane
Lot:18 Block: 1 Addition: Brittany 10th
PID:10-15009-01-180
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Margo J Marko
4777 London Lane
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161107
Date Issued:05/06/2020
Permit Category:ePermit
Site Address: 4777 London Lane
Lot:18 Block: 1 Addition: Brittany 10th
PID:10-15009-01-180
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Margo J Marko
4777 London Lane
Eagan MN 55122
Hoyt Exteriors Inc
15112 Galaxie Avenue
Apple Valley MN 55124
(651) 246-4801
Applicant/Permitee: Signature Issued By: Signature