2995 Egan AveCITY OF EAGAN Remarks
Addition Country Home Heights 2 2 10 i?_..
Lot Blk Parcel
Owner Street 2995 Eg1R Ave. State Eagan, MN 55121
Improvement Date Amount Annual Years 'g5 Payment Receipt Date
STREET SURF.
STR E ET F ESTOR.
GRAOING
1J??:,SAN SEW TfiUNK 1968 100.00 3.33 30 PAID
.* SEWER LATEfiAL Z zQ.Q$ 166.02 a-BS
WATERMAIN
* WATER LATERAL & St?' 1972 20
WATER AREA ? A39 1977 1 -66 A rvrti. .
STORM SEW TPK 'i 1984 495.00 33.00 1$
STORM SEW LAT -
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 300.00 6944 12-7-72
BUIIDING PER.
snc . 6944 12-7-72
r
Y EAGAN TOWNSHIP
BUILDING PERMIT
...
oWne! -....?i. ..... `?'/.:....,................
Addrass (precenY) .._..e..1_., 9,./...A................ .`.'!..".:`.:°?t._?.`.":-e-
Builder
Addreu
DESCAIPTION
N° 2854
Eagan Township
Town Hall
na:a -_1 `-'-?.3 -? Z
...............
Sfories
To He Used Foz
Froni
Depih
Heigh2
Esf. Cost
ermit Fee ---- ---- -- ------
Remazka
,?•-?-, ?eti„?,
, ?p; ? ?' a 8' .? s?. ? ??----
LOCATION 3f7.o°
or
A I X
?-
This permit does nd{ au2horise the use of sireels, roada, alleys or aidewalks nor does S3 give ffie owner os Lfa agent
the righ! !o eseafe anq siluafion which is a nuisance os whieh presents a hasard !o the health, eafelp, eonvenience and
general welfare !o anyone in the eommunifp.
THIS PEAMIT MUST BE, ?g/EPTP N ?THE PREMISE WHILE THE WOAIC IS IN PROGR SS. This is !o cer2ifp. 3ha!-._C!?.:._..F.-?'?-_ .... ................. has permission !o erect a......
-.-----_.....L._....... ......... .-_.-_......_upon
the above deuribed psemise subjac! Yo the provisions of the Suilding Ordinanee for Eaga Townshi adopfed April 11.
1955.
.."""'-"'J?-"'-.?_................ Per ........................ A-ZC
Chefxman of Town Brd Building Iaspeefe
9
' VILLAGE OF EAGAN ? Z C t/ ?
3795 Pilot Knob Road
Eagan, 1vlinnesota 55122
?'ERS.IT NO.: 993
The 4illage o£ Eagan hereby grants to wsnzel Plumhing & Hwatina. IAO.
of 3600 xPi*+ebec Ilrkve. EazA*! 55122
a pyffMRTMa Permit for: (Owner) ftbert N. Sabin _
at 'JgZ E°an p=F,m,A ? pursuant to application dated _ 12/7/72
Fee Paid: ,20.00 dated this Bth day of December , 79 72^w
. 0 a c
Sui_lding Inspector-
i&?ohanical Permits:
t3id 'Potal:
,;? -.) c. i/ ?i.
,
`FILLAGE OP' r:FICAN
3795 Pilot Knob ftoad
Eagan, iKinn-:sota $5122
PEitiM N0. 294
The Village o£ Eagan hereUy grar,ts to ? N. Welter HpatiAg Co.
of 4637 chicago pvenue, so., Mpls. 55407
a HEATING permi.t £cr: (Oc,mer) Robert Sabin
at 299$ Egan Avenue , pursuant to application dated 12/11I72
Fee Paid: $20.00 dated this 13th day of neCember ? 19 72
. ao -
- Building Inspector'
I+iechanical Pexr,titsc
Bid Total:
6 Z/ 7q y
2004 RESIDENTIAL BUII.DING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,0 7CJ
New Conshuction Reaulrertienls RemotlelfReoair Reauirements 3 reg'slered sife surveys shaving sq. (t of bt, sq. ft of house; and all roofed areas 2 mpies W plan ?4?'N
(20% maximum lot coverage albwed) 7 set of Eneigy CalculaGons for heated additlons
2 copias of plan showing beam 8 vrindow sizes; powed found design, etc. 7 site survey for additions 8 decks ?R?sTt?y? Z??.'?'
7salofEneyyCakwWtlons Addition-indicatei(on-sifesepticaystem F _ ?„z??'?
3 copies of Tree Preservation Plan H lot platted after 711193
Rim Joist Dehail Optlons seledion shcet (bldgs with 3 or less unifs Date ?_ / MJDNC / 04_ Construction Cost 1?000'
SiteAddress a995 ALA-X UniflSte #
DescripHon ot Work i"k0.C,0{ (-4^v40 WS i ? QQ-ii d-sbwf W hI`1 ? JX : S
G 2
Multi-FautilyBldg Z
Y_ N Fireplace(s) _ 0 _ 1 _
Property Owner WQ,T%au'"[ (-Q, (,.,ht,\ Telephone # ( )
RMA HOME SERVICES, INC.
Contractor Home Depot [nstalled Sales
3200 Cobb Galleria Pkwy.Ste. 4200
Address AUanta, GA 30339 CiTy
State 763-542-8826
- Zip Telep6one # ( )
BC-20268257
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy COde Category
• Residential Vantilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar planZ
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #( )
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work wil] 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 pernut, 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 Ap IicanYs Signature
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
CvUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Aver_ue North, Ga':den Val!eV, MNT
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power of Atterney are
limited solely to the express powers delineated herein and appl_y solely to the Work.
This Limi*ed Power of Attomey shall expire and automaticaily be revoked on the 21 st
day of May, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN W?TNF_SS WHEREOF this Limited Power of Attorney is ?Zectrtcd th:s
21st day of May, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Itatz on this
21 st day of May, 2003.
QL
Notary Pftaic in for the State o eorgia
b4y Commission Expires: January 21, 2006
396816.0
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
City of ?apn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
------------------------------------------
? Case Number: 09-004677 ?
? ,
FORECLOSURE / PROPERTYDAMAGE REPORT
Date: 3/6/2009
Type of Building: Single
Name:
Address: 2995 Eqan Avenue
Legal Description:
Phone Number:
Complaint Taken By: Terry Zelenka
Home
Complaint: Water off
X Gas Off
X ElectricalOff
Action Taken:
X Water Off
X Home is Unoccupied
Comments: Exterior property appears to be in good condition. No apparent water damage
to date. Propertv has not vet had a 5heriff's Sale.
Entered in PIMS 3111109 (SB)
Signature: ?
G:IBuilding InspectionslFORMS
` NOTICG OF SPECIAL ASSESSMENT
Project N 177
The EAGAN CITY COUNCIL meeting on ,7?1? Sth , 19 83
approved and adopted special assessments agains.t the following described
property:_ par^?10-18300-020-02 ? (?ounHane Heiqhts
For the following imnrovements in the designated amounts:
WATER Ah10UNT NO_'YRS. SAMTARY AtdOUNT NO.YRS.
Area Area - --
Laterals Laterals
Service Service
iaterai ben% ' Lateral ben/
from trunk _ from trunk
STORM STREETS
Area $ 495.OD _ 15 _ Grading/
Gravel base
Laterals
Surfacing
Res. Equiv
TOTAL $ 495.00
Any portion of the total amount of these special assessments may be paid
within thirty (30) days after adoption o£ the assessment roll without interest
at the EAGAN CITY IiALL. The remaining unpaid balance will be certified to the
Dakota County Auditor at Hastings for annual installment payments (principal
and interest) which will appear on your future property tax statements.
If *he _=pecial assessment ba:ancE is noi paid within this 30 day neriod
but oaid prior to October 15th in the year of adoption, interest will be
charged from the date of adoption to date of payment at an equivalent annual
rate of_ja.5 %. If the assessment is not paid by October lSth in the year of
adoption, it will be certified to be paid in annual installments at the rate of
_1 2_% per year interest on any remaining unpaid balance. The first year's
installment to show on a tax statement will include the inLerest from the date
of adoption to December 31st, plus all the interest for the following year.
SPECIAL ASSESS6IE.NT DEPAR'IW.NT
City of Eagan
?? 3795 Pilot Knob Road
? Eagan, MN 55122
? Revised 8-2-82
OF
3795 PILOT KNOB ROAD, P.O. BOX 21799 seA BlOM9UlSi
EAGAN. MINNESOTA 55127 neaya
PHONE: (612) 454-8100 iHOMAS EGAN
JAMES A. SMIiH
JERRV TryOMAS
THEODORE WACHiER
Counnl Membars
THOMAS HEDGES
Ciry Atlminislrotor
Septenbex 9, 1983 EUGENE VAN OVERBEKE
Ciry Clerk
DEAR PROPEKCY OWDIER:
The application that you made for Senior Citizen Deferment has been
revie,aed & found that the assessnent does not exceed the 1% annual payment
as stated in The City Ordinance according to your tax return.
If your income is less now than the return inclicate3 please furnish
that information to us and we will again review your request based on your
property tax refund statement.
PUBLIC 190RKS DEPARiMENP
SPECIAL ASSESS'U= DIVISION
THE LONE OAK TREE. ..iHE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
restrictions as the Council may deem proper to protect the
City's interests, nor shall anything contained in this Sec-
tion limiC any right or power possessed by the City over
existing franchises.
SHC. 2.73. ABSBNTEB BALLOT COUNTENG BOARD. The
Council hereby authorizes an Absentee Ballot Counting Board
and further authorizes the election judges of such Board to
receive, examine, and validate absentee ballots. The
further duties of such board shall be those provided by
statute.
SEC. 2.74. SPECIAL ASSESSMSNT POLICY. The Council
may, by resolution, adopt, £rom time-to-time amend, oc
repeal a,special assessment policy.
SSC. 2.75. DEFERMENT OF SPECIAL ASSESSMENTS:
Subd. 1. The Council may defer the payment of any
special assessmenton homestead property owned by a person
who is 65 years of age or older, or who is retired by virtue
of permanent and total disability, and the City Clerk-
Treasurer is hereby authorized to record the deferment of
special assessments where the following conditions are met:
A. The applicant must apply for the defer-
ment not later than ninety days after the assessment is
adopted by the Council
B. The applicant must be 65 years of age, or
older, or retired by virtue of.permanent and total
disability.
not paid within sixty days, the City Clerk-Treasurer shall
add thereto interest at 89 per annum from the due oate
through December 21 of the following year and the total
amount of principal and interest shall be certiEied to the
County Auditor for collection with taxes the following year.
Should the applicant plead and prove, to the satisfaction of
the Council, that full repayment of the deferred special
assessment would cause the applicant particular undue finan-
cial hardship, the Council may order that the applicant pay
within sixty days a sum equal to the number of installments
of deferred specialassessments outstanding and unpaid to
date (including principal and interest) with the balance
thereafter paid according to the terms and conditions of the
original special assessment.
Subd. 4. The option to defer the payment of
special assessments shall terminate and all amounts accumu-
lated plus applicable interest shall become due upon the
occurrence of any one of the following:
i
A. The death of the owner when there is no
spouse who is eligible for deferment.
B. mhe sale, transfer or subdivision of all
or any part of the property.
C. Loss of homestead status on the property.
D. Determination by the Council for any
reason that there would be no hardship to require immediate
or partial payment.
C. The applicant must be the ownec of the
property.
D. The applicant must occupy the property as
his principal place of residence.
E.) The average annual payment for all
§essments levied - against_ the subject _property _exceeds 18
`
tsf `
the.adj.usted gcoss _income_ of...the_applicant as evidenced°
by --th-e -applYCanE'smost recenf- Federal -income -Eaz ieturn,'-
Tfieaverageannual payment of an-assessment shall be the
total cost of the assessment divided 6y the number of years
over which it is spcead.
Subd. 2. The deferment shall be granted for as
long a period of time as the hardship exists and the condi-
tions as aforementioned have been met. However, it shall be
the duty of the applicant to notify the City Clerk-Treasurer
of any change in his status that would affect eligibility
for deferment.
Subd. 3. The entire amount of deferred special
assessments shall be due within sixty days after loss of
eligibility by the applicant. If the special assessment is
SEC. 2.76. PARTIAL PRfiPAYMENT OF SPECIAL ASSESSMENTS.
Subd. 1. Scope. Partial prepayment of assess-
ments in connection with any assessments adopted by the
Council and certified to the County Auditor for collection
may be made at any time.
Subd. 2. Payment. The owner of any property so
assessed may, within 30 days of adoption of the assessment
roll by the Council, prepay any or all of his assessment to
the City. No interest will be charged on any portion of the
assessment paid within said 30 days. The remaining unpaid
balance of the assessment shall be spread at the same rate
of interest and for the same term of years as the original
assessment.
S%C. 2.77. %MERGENCY PREPAREDNESS PLAN. The CounCil
may, 6y resolution, adopt, from time-to-time amend, or
repeal an emergency preparedness plan for the City.
(1-1-83)
?n 25
. .
APPL[C:1TI0'V ,1,tiD :1U'flIORI7:ATIOV FOR I)FiL.11'F.D PAYbiFNT OP TrIX
ON SPF:CI:1L ASSIi5SP1ENTS 1'OR SfikiOR CITIZL\S' Ii0P1ESTE:1ll
I.AIti'S 1974, i:fIAPT(;R 2206
SG1TE: OF D1I`\'F.SOT.1 )
COU\TY OF DAF:OI',A ) I)aCC Cd '0?7 19 1-3
T0: County Auditor, Dakota County, Dlinnesota
I, Thc tmdcrsipned, declarc undcr penaltics of pcriury:
•ri,ac I residc at9q.5 = L-Vd// /1 e• fa ya tr An-_ .___.^.____ _
That I am not less than 65 ycars of age and that thc datc
?a Qz&/,Z.
of my hirth isf-'S
That I am the owner of the property legally dcscribed as: Ll
5,_v_VAL?- Drn e--Ite --
Property Identification N0.- 3L?(5 ^•pX0--t9--??--? =--- --2 --?--- -
That my interest in the ownership of the above property was
19 and is as follows:
1. Sole ownership (Enter yes, If applicable)
2. Joint tenancy held with 5_J?;ii
3. Other undivided interest (SPEC FY)
That on January 2, 19 93 or June 1, 19 Fj I owned and occupied the above property
as my homestead and such occupancy began on_ 19 73-
That the installments for improvements on the sgecial assessments duly adopted in
ordinance by the?, ry ?vu,?„ of_?5-,g ,,; ,gAe as of ,7'J1 ,5- 19 Q)3
which have been allocated against the subject property would creundue personal
hardship on my behalf and I respectfully request that payment be delayed and that
such installments be so deferred for the years 19 to 19 .
SignedJSi? ?? .------
Owner
--------------------------------------------------------
City Use Only
I• ,._. , Clerk of the OF
in ?County, State of Minnesota, do hereby certify that the
apnlication of ' ahove named, has been duly
reviewed and that in accordancewith the'miniites of official record in said chamUers
was duly APPROVED or __ ___ __ DENIED_______ AS OF ,
That in accordance with approval granted, the special assessments listed below on
the affiants su6iect property levied for annual collection in the amounts and for
the years shown be so deferred with int.erest at the annual rate shoian until such time
as it is deemed the applicant no longer qualifies or the property ]oses iY.s eligibility.
Clcrk or ?uthorized Ueputy aquired on_ __ L9L3
NM1E OF AUDITORS D/p TOTAL YEARS OF INTEREST
ASSGSShiGNT _ NUMBER N0. Ah10UNT COLLECTION RATE _
StQr_m.S?ewr Tnu?k _LMP.#177 $495.00 _15 _12 _5%
lldTED ]o
j
EAGAP7 TOWNSHIP
3795 Pilot Knob P.oad
St. Paul, Minnesbta 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: December 8, 1972
OWNER• Robert N. Sabin
NUMBER 1244
?_'2 C' N N
Address 2995 Egan Avenue, Eagm , 55121
PLUMBER Wenzel Plumbing & Heating TypE OF PIPE heav,y cast iron
DESCRIPTION OF BUIIVING
Industrial Commercial Residential
xx
Location of Connections:
Multiple Dwelling I No, of units
ConnecCion Charge $260.00 pd 12/7/72
Permit Fee 10.00 pd 12/8/72
P
Street Repairs •
Total
Inspected by:
DaCe
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above pexmit, I
hereby agree to do the proposed work in accordance with the rules aad
regulations of Eagaa Toemship, Dakota-County, Minnesota
By
Wenzel Pluznbing & Heating, Inc.
3600 Kennebec Drive, Eaaan. MDT 55122
Pleaee notify when ready for inspection and connection aad before any portion
of the work is covered.
t
EAGAN 7riWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Desember 8, 1972 Number: 1079 `?'? C•y'?'
Billing Name: RobertNSabin Site Address• 2995 Egan Avenue, Eagan 55121
Owner: qa„ie Billing Addreas
Plumber:Wenzel Plumbing & Heating Inc.
Location of Connection Meter Size6 4 Coanection Chg. 300.00 pd 12/7/72
-Ozj?a/>? _
Meter Nor?°??? Permit Fee 10.00 d 12/8/72
Meter Reading Meter Dep. .O pd 12 /72
Building is a:
Residence xx
t3ultiple No,
Commercial
Industrial
Other
ter Sealed: Yes Add'1 Chg.
Xjajio? Total Chg.
Inspected by
Date
Remarka:
Hy:
Chief Inspector
In consideration of the issue and delivery to me o£ the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Wenzel Ekumbing & Heating Inc.
Please notify the above office when ready for inypection and connection.
MASTEft CARD
LOCATION A;C AA) 1I?F
.L- z
fl s r
OWNER `/
?--? H
STRUCTURE AND
LAND USED AS M) ? ?. TG fitrrl '7 o? A Z fi`?
Permit
No.
i
Issued Issued To
Contracfor Owner
BUILDING
PLUMBING -
24 3
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ?9y
GAS INSTALLING
SANITARY SEWER
OTHER ?ur ?f' Q? I
OTHER ? I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING /D ' 3 ' Y SEPTIC
FOUNDATION CESSPOOL
FRAMING ?-/3- TILE FIELD FT.
FINAL
ELECTRICAL
HEATING ? DEPTH
OF WELL
GAS INSTALLATION '
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
b?73
Violations Noted
on 8ack
COMMENTS:
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� Use BLUE or BLACK Ink �
r____----
--------, �`�
• I For Office Use (�
I l�`�
' � Permit#: ��dZ �4�� � �; ���
Clty of �a��� s� � '�r
� ���
� Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received:_�''� ��� ��
� � Phone: (651)675-5675 � I .�� I
Fax:(651)675-5694 � j�,; " ��r� � Staff: I
�� '� I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .Z7 .� Site Address: � � Unit#:
����k�
���� ���� Name: �S� !/�I/�5"T Phone:�S�/—�S� 6�1f�
���r����Y
+r +. :y
�� ` �£; Address/City/Zip: .5 � �i iv , t� . S-� -
� ; f �� � ' �
�
�;; Applicant is: �Owner Confractor
F.�
t �
���� y�� .
'�' ���� Description of work: ,`�C �ro5 �t :w► �rr'q��+ Fo�i ri°� •. . i ' � /l''✓Zl/�
�� �
`� , x, Construction Cost:�oZ(?'C'xc?f% Multi-Family Building'(Yes l No�����L �u,�J
� � .
es
. Company: �L�-�� � Contact:
: Address: City:
������
�� ,.�.
�a .;� < State: Zip: Phone: Email:
License#: L�ad Certi�cate#:
If the project is exempt from lead certification, please explain why:
,
v
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:
1 S�#� P1���r�a►��t�d�cr���n#s�yr��r s�I.�#ar+�����1�'d��P�I���at�a� �tr�a���rf �.
��r��ra �r ��la��+e�1�s n�r� ...�lic�" �:.. � ��asc��s �'� ��e #�
� � �� z �� � �' �
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�
, ���� ,;�> �u.a.. :� . �.
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.qoaherstateonecall.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 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 �Qsor�r Vl/�5r X .'"''
Applicant's Printed Name Ap ca s Signature
Page 1 of 3
���I� ���.. � .
�,�`E. DO NOT WRITE BELOW THIS LINE �-S����
SUB TYPES �
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Familyj
_ Single Famity _ Garage _ Porch(4-Season) _ Exterior Alteratiorr(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscelianeous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Aiteration Fire Repair _ Windows _ Demolish Foundation
_ Replace � Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION �
Valuation G'�"` Occupancy ��j� -/ MCES System ^-
Plan Review Code Edition p� � SAC Units �
(25%_100%� Zoning �-� City Water .-
Census Code � Stories -- Booster Pump
#of Units / Square Feet .� PRV �
#of Buildings 1 Length Fire Suppression Required --
—,....�
Type of Construction � Width --
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing ° Drain,Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEE�
Base Fee y p �-
Surcharge
Plan Review ,2(i �'
MCES SAC
City SAC
Utility Connection Charge
SB�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
� forOfficeUse---------� ��.
� I �
< * j Permit#:/��� Y�y
��� �� ����� „ � Permit Fee: � /` � ��.f�
� - "� � I
3830 Pilot Knob Road �.,.�. t ���� I �] �� I
Eagan MN 55122 ��,'��� � 'r� � Date Received: l �
Phone:(651)675-5675 '�y�a �£ j���,� � ,� �
Fax:(651)675-5694 '�+�� �, �'� � i Staff: I
{ �
�-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ���� � 1�r Site Address: � a Unit#:
,; Name: �C.�,�Oi'�. We�j! Phone: ����5�"�17��
����� q� y�' �►- �.._
��� Address/City 1 Zip:�f_,,r �°��i� ,�U'� � v����
�
� „ � � y� Applicant is: ,�Owner �Contractor
� ;� — � �,�pt= a v1Z 1L /z2��% fr,,�'��
� ' �,��� Description of work:�arl„S�T'(X.� � � �_
� 3 * ✓
.' Construction Cost �O t�. Multi-Family Building: (Yes /No�
�
'" Company: Contact: ��G �1�C.�� �-Idl,�
' `1 � ��� City: ��G^�� 1�,�_ T�
� �, Address:
� � ;� �� '�� State:�Zip: �__�� Phone:�- "� � `' Email:��� ��'�i�� �� � ��
L � : License#: ��, ����� Lead Certificate#:��� -��Z,�� ` ��'���,��
��.
If the project is exempt from lead certification, please explain why:
r � �
d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issuec!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:
,� +������t��F���'��� '�����`�`,��� , ����1"������NN�+�.��'� �r���� �
�+P������t���`,�������`�!"� ��+� ��'�'�i+���1����ll�� }����'��I`
z � �.: ��,n,. � `� � � ' � �
CALL BEFORE YOU DIG. Call Gapher State One Call at 65(_._1_).454-�02 for protection against underground utility damag . II 48 hours
before you intend to dig to receive locates of underground utilities.�.ao�hers�e_on c r
I hereby acknowledge that this information is complete and accurate;that the work w be in c formance with the ordinan s a d des of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, nd work i not to start without a pe i; the work will be in
accordance with the approved plan in the case of work which requires a review and pproval of ans.
Exterlor work authorized by a building pemtit Issued U accordancc wRh the innesota ate uildin Code ust be leted with 180
days of permit issuance.
•� �
X � t� _ .._..
Applicant's Printed Name Ap ica re
Page 1 of 3
��%I�� ��„4r2 �`�� DO NOT WRITE BELOW THIS LINE I ��v�
SUB tYPES
� Foundation _ Fireplace _ Porch(3-Season) _ Exteriar Alteration(Single Family)
_ Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
, Multi � Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lawer Level _ Paol _ Accessory Building
WORK TYPES
New _ Interior Improvemertt _ Siding _ Demolish Building*
� Addition _ Move Buiiding _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
, Retaining Wali *Demolition of entire buiiding-give PCA handout to applicant
DESCRIPTION
Valuation � Occupancy �61.� -t MCES System "
Plan Review � Cade Edition �� SAC Units "'
(25%�100% V) Zoning JZ_ t City Water '^'
Census Code � Staries ---� Booster Pump ""
#of Units / Square Feet ��_ PRV '1
#of Buildings / Length � Fire Suppression Required `-�
Type of Construction �_ Width �
REQUIRED INSPECTIONS
Footings(New Buiiding) Meter Size:
� Footings{Deck) Final/C.O. Required
Footings(Addition) � Finai/No C.O. Required
Foundation HVAC Gas Service Test Gas �ine Air Test
Roof:_Ice&Water �Fina! Pool:_Foatings ____AiriGas 7ests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppressian:_Rough In_Final
Braced Walls Erosion Control
Other:
Review�i By: , Building Inspector
RESIDENTIAL FEES J �o � ,()�,G,� Q /� 4%/� �7�=
Base Fee // p =-
Surcharge _ �jJ O C,�J �vA�µ j1��Q �p �`/�7 Z OGr U �`
Plan Review ?�—%
MCES SAC y �p� �
City SAC
Utility Connection Charge
S&W Permit &Surcharge
Treatmer�t Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141921
Date Issued:04/06/2017
Permit Category:ePermit
Site Address: 2995 Egan Ave
Lot:2 Block: 2 Addition: Country Home Heights
PID:10-18300-02-020
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 -
Laura B West
2995 Egan Ave
Eagan MN 55121
(651) 757-6884
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature
Apr. 6. 2017 10: 32AM No. 5422 P. 1 j
Use BLUE or BLACK Ink IA1{�(�
For Office Use
Permit#. ��( ,o` �j 14'City of�a�an /62
Permit Fee. /
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(851)675.5675
Fax:(651)675.5694 Staff:
4// '
2017 RESIDENTIAL� BUILDING PERMIT APPLICATION
Date: Site Address: ,, /p ,/IY
95 4®[i) K: Unit#:
Name:_47-4 G(SIM Acle 7L Phone: " 75721
Resident/
Owner Address/City/Zip: 02 995 4,ow
Applicant is: _Owner ZC Contractor
•• Type of Work Description of work:,las r }7 4/e–9�¢Kra .rads, d�: -1l/ f, / .4#A.
a4
Construction Cost: I91 / ) Multi-Family Building:(Yes—/No )
Company: AV ASS, X,t..4/'I Contact: gas-N-y o A,C:1 GAG/
•
Contractor 0.Address: 3/50 y00, J AJ1, L ,,(.) City: 41l'/ 1
State:/10Zip:560 PA Phone:W– Y-Ar mall:feicliOrtMA/f, -/+1
License#:iG- es"? fir '1 Lead Certificate#: 1D 9ate*-'
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::'Plahs;ari'd:•supporting•documents•that'you•submit,are•cons deiced fo;be.pu'blic;,information. portions Of:
fhd:information-may b'e:classified:as nompubllolf you,,provide,specific.reasons•thai would porriilithe••City to•
conclude that they are trade secrets.. •,
CALL BEFORE YOU DIG. Call Gopher State One Call et(651)454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. kfp'w.000herstateonecali.org
1 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 ih
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 off permit issuance. 1 , l
Applicant's!Milted Name7J --'"' ignature
��,�- 9/y--�s9/ v, ''// / Page 1 of 3