3325 Heritage Lane
Use BLUE or BLACK Ink
For office useh /
I v ~ ~L I
City of Ea n I Permit
Ed I I
Permit Fee: o I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: 675-5675
(651) I Staff:
Fax: (651) 675-5694 1-----------------!
20 1 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 0,8 c9 1 Site Address: L r-)
Tenant: Suite M
RESIDENT / OWNER Name: Phone:
Address / City / Zip: D
CONTRACTOR Name: Z L License d(~yp`~7 ^t {
Address: V ~D City: Q"k C:
State: Zip: Z Phone:
Contact: Email: (,o
TYPE OF WORK _ New Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work: C4,
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge).
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.aoDherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in gjt ante 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 woto start wit
hout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f, -7
x x
Applicant's Printed Name Appli 's Sig re
FOR OFFICE USE Reviewed By: I/ V Date:
Required Inspections: -Under Ground -Rough-in Air Test iGas Test -Final
Use BLUE or BLACK Ink
r
For Office Use
Permit 0 `6 q_ 1
4 City of Eanan I d ~w 8
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 AUG - 2011 1 1
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICAT/IOIy. X63
2, Y ; & Date:
7/2-94 Site Address: 3 of k~ Unit
Name: c~"\ h~4±f Phone 7~~o_~`yd
RESIDENT / r C
OWNER Address / City/ Zip: 51Q6 ad'`r 5 J• " l^ 6
Applicant is: Owner Contractor
TYPE OF WORK Description of work: Ll, Cdvf1 *1,,1 &4- err0v r/T~?.@R Nrf- ew af~ pfr
Construction Cost: ti 2 C.CJC.~ Multi-Family Building: (Yes 0 PAP ,-L
l /~DigR. O!✓y~i
Co iny: 960" Contact:
s /
Address D OK I l City: t Y1 ~Lo p /r~
CONTRACTOR
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
6:7' /1
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 'n the case of work which requires a review and approv of plans.
fkv
Applicant's Printed Name A cant's Signature
m r } C r ~`~e L Lc Page 1 of 3
DO I~Tb~WaAVe9D7V H S LINE U(1C/j
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 _ 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 F~Ap Occupancy rRG MCES System
Plan Review Code Edition A6V-2 SAC Units
(25%_ 100%_Z Zoning City Water
Census Code L1/3a( Stories Booster Pump
# of Units - Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction T8 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
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In i✓ Air Test -Final Windows
Insulation l Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL ES / g 8/0jIJ~c
r 7U
Base Fee 3
as
Surcharge /rypa cU3 3~c+o
Plan Review ! O
MCES SAC
City SAC ~y7lGav i2,~i•'lod~zc_- ~QOl~ ~G" /pOGp
Utility Connection Charge
Up
S&W Permit & Surcharge ~~"S713
Treatment Plant
Copies
TOTAL
Page 2 of 3
w 1 / •i f
PURCHASE AGREEMENT
This form approved by the Minnesota Association of REALTORS®,
which disclaims any liability arising out of use or misuse of this form.
® 2010 Minnesota Association of REALTORS", Edina, MN
1. Date May 23rd, 2011
2. -Page 1 of
3. RECEIVED
4.
5. the sum of Three Thousand Dollars 3,000.00
6. by 2 CHECK ❑ CASH ❑ NOTE as earnest money to be deposited upon Final Acceptance of Purchase
--•_-----•lClteckone.}--
7. Agreement by all parties, on or before the third Business Day after Final Acceptance, in the trust account of listing
B. broker, unless otherwise agreed to in writing, but to be returned to Buyer If Purchase Agreement Is not accepted
9, by Seller. /fjr~5,
10. Said earnest money is part payment for the purchase of the propertyo1V11. Street Address: 3325 Heritage Lt~ o~~`~CT
12. City of Eagan County of DaltotNS ~l(3
13. State of Minnesota, MCRAE ADDITION 01?described as
14.
C R F S
15. e•. R~
17. Including all fixtures on the following property, if any, owned by Seller and used and located on said property,
18. Including but not limited to garden bulbs, plants, shrubs and trees; storm sash, storm doors, screens and awnings;
19. window shades, blinds, traverse and curtain and drapery rods; attached lighting fixtures and bulbs; plumbing
-20. fixtures, water heater, heating plants (with any burners, non-fuel tanks, stokers and other equipment used in connection
21, therewith), built-in air-conditioning equipment, electronic air filter, water softener ❑ OWNED ❑ RENTED [Z NONE,
_ (Check
22, built-in humidifier and dehumidifier, liquid fuel tank(s) ❑ OWNED ❑ RENTED W NONE and controls (if the
._...,(Check one.}----•_-.--..--...._..---
23. property of Seiler), sump pump; attached television antenna, cable TV jacks and wiring; BUILT:INS: dishwashers,
24. garbage disposals, trash compactors, ovens, cook-top stoves, microwave ovens, hood fans, intercoms;
25. ATTACHED: carpeting; mirrors; garage door openers and all controls; smoke detectors; firepJace screens, doors and
26. heatilators; AND the following personal'property:
27. N/A
28.
29.
30. all of which property Seller has this day agreed to sell to Buyer for sum of {
31. a ~/jC' n~P~ 5~ BBn O~~~rl~✓v°/l Chas If ars`,~
32. which Buyer agrees to pay in the following manner;
33. 1. Cash of 100 percent of the sale price, or more in Buyer's sole discretion, which includes the earnest
34. money; PLUS
35. 2. Financing of 0 percent of the sale price, which will be the total amount secured against this property
38. to fund this purchase.
37. Such financing shall be (check one) a first mortgage; ❑ a contract for deed; or a first mortgage with
38. subordinate financing, as described in the attached Addendum:
39. ❑ Conventional ❑ FHA ❑ pVA ❑ Assumption ❑ Contrast for Deed Other: cash
Check one.
40. The date of closing shall be .tune 30 ~ 20 11
MN:PA-1 (9/10)
wEBForrnsT" Sep12414
~ a6
US Department of Housing and Urban Development OMB No. 2502-02 5
A. Settlement Statement
B. Type of Loan PAGE 1 OF 3
1. _ FHA 2. _ FmHA 3. _ Conv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Number
4. _ VA 5. _ Conv. Ins. 2744268-01 10-4-420698
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid
outside of dosing; they are shown here for information purposes and are not included in the totals. WARNING: It is a crime to knowingly make false statements to the
United States on this or any other form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section
1010.
D. NAME OF BORROWER: ,JY Oucr
ADDRESS: Xn VR AGE LN, EAGAN, MN 55121-1711
E. NAME OF SELLER: DEUTSCHE BANK NATIONAL TRUST COMPANY FOR FINANCIAL ASSEST SECURITIES CORP., SOUNDVIEW HOME
ADDRESS: LOAN TRUS
2375 N GLENVILLE DRIVE, MAIL CODE: TX2-983-01-01, RICHARDSON, TX 75082
F. NAME OF LENDER: CASH SALE
ADDRESS: XX, XX, XX 00000-0000
G. PROPERTY ADDRESS: 3325 HERITAGE LN, EAGAN, MN 55121-1711
H. SETTLEMENT AGENT: SERVICELINK A DIVISION OF CHICAGO TITLE INSURANCE COMPANY-4000 INDUSTRIAL BLVD. ALIQUIPPA, PA 15001
PLACE OF SETTLEMENT: 13875 HIGHWAY 13 S STE 100, SAVAGE MN 55378-2151
1. SETTLEMENT DATE: 07/13/2011 DISBURSEMENT DATE: 07/13/2011
J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101. CONTRACT SALES PRICE $116,700.00 1401. CONTRACT SALES PRICE I $116,700.00
102. PERSONAL PROPERTY 402. PERSONAL PROPERTY
103. SETTLEMENT CHARGES TO BORROWER (LINE 1400) $551.001403.
104. 1 404.
105. 1405. I I
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE
106. CITY/TOWN TAXES 1406. CITY/TOWN TAXES I
107. COUNTY TAXES 407. COUNTY TAXES I I
108. SCHOOL TAXES 1408. SCHOOL TAXES I I
109. 1409.
110. I 1410. I I
00
N
TRV/IWED
BY:
DATE:
BUILDING 1 "'.T IONS DIVISION
i
i
Q
N ~ J
i Zr
.q
Zy
2
Receipt MECHANICAL PERMIT
Permit No. - ?
CITY OF EAGAN
Fee ?
•
` Fill in numbered spaces S/C
Type or Print lepi6ty
Tot. ?
'
1. Date ` 2. Installation Cost
3. Job Address Lot JO Blk. ?
4. Owner ; • -
Tract P`
5. Contractor ?f - ? - - ? Phone
6. Address
7. City State
Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New Add ? Alter ? Repair ?
I 10. Describe
1 11.
Type
No, Equinment 9TU - M. Ea.
Forced Air No. Equipment CFM
Mfg. Air Handling:
Boilers
Mtg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt -'v) -
71 i
_ PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
? fill in numbered spaces S/C
Type or Print /egrb/y Tot.
1. Date -? 2. Installation Cost
3. Job Address - Lot BIk. ? Tract
4. Owner
5. Contractor • • ' '-Phone - ?
6. Address !
7. City State Zip ?
8. Building Type: Residential ?
9. Work Description: New C7
1 10. Describe
1 11.
Commercial ? Institutional 0
Add El Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
$eptic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray '
Flaor Drains _
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed :
Rough
Inspections: Date Insp.
for
Ffnal
Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-81 00
. ? `
BUILDING PEWIT
Ts 6e rsod f" ..
CITY Of EAGAN
3795 Mlef Knob Rood Eo9an, MN SS122
PHONEs 464-8100
Site Address 1t ?
Lot Block Sec/Sub. Parcel ?k . .
W Name ;` { •
? Address ?
_ - -,.
t Nome
u? Address
F- r'st., o?....._
I hereby acknowledga rhat I have reod fhis opplicafion and stote that
rhe informotion is correcf and agree to comply with oll opplitable
Stote of Minnesota Statutes and City of Eaqon Ordinances.
7
2
Erect [3 Occuponty
Aiter 0 Zoninp
Repair ? Fire Zone
Enlarge ? Type of Const.
Move p # Stories
Demolish ? Length
Grode ? Depth $q. Ft.
Appeorals Fees
Assessment
Water 8 Sew.
Police
Fire
En0•
Plonner
Counci i
Bldp. Off.
APC
Permit
Surchorpe
Pton check
SAC -
Water Conn.
Woter Meter
Rood Unit
Totol
Siqnoturo of Permittee ?
A 8uilding Permit is Issued to: ' on the express condition thm
all work sholl be dwm in occordonce with oll applicobte Stote of Minneteta $tatutes ond City of Ecgan Ordinarxes.
Buildiny Offfcial
a
7: 2
Receipt #
Permit No. Parmit Holder Misc. Permit No. Hoider
Plumbing Z?p f?(O•?-Z '-7-'T-?
H.V.A.C. j0?0 ?G
Wall
W?ter
Disp.
S?vwr
ehict?it `tz-? Maz?rt(?c. 7-f -8'Z.
Irapection Dsta insp. Other
F?tin? -?f-az ?P
Foundation
Fnminp - 11 ?
Rouah PI6y. _ ? Z • ? ?
Rouph HVAC
Insulation
Final Plbg. ,
Final HVAC . ?
Final
Wour Describe Loeation:
VYell
Sewsr ?
Pr. D'ap.
i ? 1! 7 T
PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN hECEIPT #
?
?09-0 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: !COOi
CONTRACT PRICE ?..i : PHOIYE: 454-8100
Site Address
LotBlock
?Sec/Sub BLDG. TYPE WORK DESCRIPt10N
?
Res New
?
a? Name Muft. Add-on
?a Address ? Comm. Repair ?
c City Phone r Other ?
?
Name ? - - FEES
ftE
HVA
0
M
0
?
? _ S.
C
-7
0
87lJ - $24.D0
c Address -a ' 4e 0 ADDITIONAL 50 M BTU - 6
00
O Cit
' -
J .
(RES. HVAC INCLUDES A/C ON NEW
Y Phone
CONSTRUCTION)
^
TYPE OF WORK GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRA2T FEE
Forced Air M BTU APT?BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOW'faIHOUSE & CONDOS - RES. RATE APPLIES
Unit Heater MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM O 20
Vent
CFM STA E SiJfiC ARGE PER PERMlT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping putlets # BEYOND $1,000)
Oth
er ?
?
FEE: ?
S/C: . T EE
?
TOTAL: .:?
,
FOR: CITY OF EAGAN '
I
I.* ' ' a PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE _
? Name
? Addre
c City _
Name
City
FEES
, COMM/IND FEE - 1°r6 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
I SIGNATURE OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00 ?
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outiets - $1.50
?
SoRener - $5.00
weu - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
? S
STATE S/C:
'?
'
GRAND TOTAL: -
CITY OF EAGAN
Addition MCRAE ADDTTION Lot-1.0 Blk 1 Pa,cel 10 48000 100 01
Owner ?> •?-'?` Street 3325 Heritage Lane State Eagan, MN 55121
G
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1978
STREET RESTOR.
GRADING
SAN SEW TRUNK
1968 -
aid und
P
ender Ad l
].t10
* SEWER LATERAL
Ad
litioj
i
WATERMAIN
z
ti
* WATER LATERAL
WATER AREA Letender A litio t
STORM SEW TRK 1979 411.84 27.46 15
* STORM SEW LAT 1973
CURB & GUTTER
SIDEWALK
STREET LIGHT
' RO IT 240.00 #30393 6-7-82
WATER CONN.
420.00 ??
BUILPING PER. 3Z2
SAC 525.00 11
Ti
PARK
? CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
( 0'
DATE 19
R<GtI V `D
FROM ?
AMOUNT $ I
' & DOLLARS
?ao
? CASH ? CHECK
rOR ?C
FUNO CODE AIA OUNT
Thank You -
C:?IeZ9< BY
J
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
r -- , ----
! CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road Permit Number: "`?'"', ••
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: +; j il, ; ; APPLICANT:
1.AN I:
I r?? iti?l ? e.?. 1 i ,f?:?.' :if, • c?
PERNIIT SU¢TYPE:
TYPE OF WORK:
ftF7 !'A1Ft
kt knt1!' /% I r?1••61 t?rtih;;??r
!t[: `.;f,P IF'T I[lN
#
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FQUNa
FRAMING
ROOFING
ROUGH
PLl1MB1NG
PL,BG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDCa FINAL
DOMESTIC
M ETEFi
IRRIGATION
METER
FLUSH
Maws
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
QECK FTG
OECK F(NAL
CITY OF EAGAP!
3795 P?!bt Kno6 Road
Eagan, MN S5122
Zoning:
awner: ? T
Address;
Site Address: -• - ' - -
Plumber:
Meter No.:
Size:
Reader No.:
I °g'80 tO wmVly w1th the City of Eagon
Ordinanees,
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
dATE:
No. of Units:
Connection Chorge:
Actourtt Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN
3795 PIiot Knob Roqd SEVNER SERVICE PERMIT
Ergan, MN 55122 PE?IT NO.:
Zoning: T ?ATE: •
Owner: `,-0,.,,, _ No. of Units:
Address;
Site Address: - ? --3
'
Plumber.
I agree to eampfy wifh tbe GFy of Eagan Connectio
Ch
Ordinaneas, n
arge:
Accourri' Deposit:
Permlt Fee:
BY 5urcharge:
Date of Ins
p? ? Misc. Chorges:
I nsp.:
Totai:
Date Paid:
(ter#i#irtttr nf (Orrupttnrlj
Citp of eagan
39r}lttrfateni of Bui[dittg Jnapetfiim
Tbii Certi(icatc irsrad pxrfuant w the nqainmenrr of Smion 306 of the Uni/orm Building
Code mtijying thnt at the timt of irsmance tbit rtnuta+r wat in tomplianrr wirb the variofu
adinuaca of tix City ngwlaing building ronrt+urtion or utr. For the follmoing:
U. chw&.pm SF DFIG/GAR 7322
Bidf. hmtlNa.
zm?yuUmn
Ocmp?r'A» R3 'hwconwcuum V Fue> ? ?
0,,,,aWA,beNOrman VoaelPOh1 A,,2616 40th Ave. So., Mpls.
DwMnAdd?3325 Heritage Lane L?d;t 10 Block 1,MCFae Addi
e'
Septesnber 13, 1982
This reauest void
18 mpnth5 fmm o ?
E 4 3 815 /o.
Request Date '?
/ y
? ?
? Fire No. flouAh-in InsVection
Repmretl?
'
?ioady Now QWill Nolity Insper
Wh
???
(y
- C/ ?Yes ?
NO ' tor
en fleatlY
?Licensetl Electrical Contrnctor 1 heraby repuest insDection of ebove
? Owner electricel work insiallad at:
Street AdAress, Box or Rome No.
L ?c
3 3 2
!?-
?-
-
/ Citv 7
s4- /ll
Ll9?
,
4 ?
-
.
.e ?-. / ] r
ecuon o. Township Name or No. ange No. Cownly
D
OccaVant IPPyI?NTI
P
/ Phone Nn.
/t '
Q c(i
Powe, Supplier AAtl.ess
on[ra tor ICompany Namel ?
Z
/
?/ Contr:mlor's License No.
d ???IG
?i >1
Yic
,
Mailin0 Address ICOniractor or Owner Makinu Instailationl
T.
Au ' ed SiAnamre (ConiramodOwner Makine Installalinn) Phon Number
'^ nct'8 !? y -7
MINNESO?STATE BOARD OF ELECTRIGTV
Griggs•Midwey Bitlg. - floom N-191
7821 Univerxitv Ave.. SL Paul, MN 55104
Phone 16721 642-0800
THIS INSPECTION XEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PNOPEN INSPECTION FEE IS
ENCLOSED.
-7/,5 ?/REQUEST FOR ELECTRICAL INSPECTlON Ea/-o/o-?ooi-os
q 1 See instructions tor completing this form on bnck oi vellow copV.
E y'i 3 8.15.- "x" Be/ow Work Covered by Ihis Request
AtlJ B.P. TVUe ot Buildme AVOlioncea WireA Equiuanem WireA
Home Range Temporary Scrvice
Duplex Water Heater Liyhtiny Fiatures
Apt. BuilAinq Dryer Electric Heatun
Commercial Bidy. Fumace Silo Unluader
Industrial 81dg. Air Conditioner Bulk Milk Tnnk
Farm omr, ue,Av om,!, (sn„o,rv1
t >r Succify thm Olh,
ompute lnspection Fee Below
k Fee ServiceEnlrence5ize tt Fee Fexders/SUblextlers b Fee Circuits
0 to 200 Am 5 0[0 30 Am 5 0 to 30 Am
Above 200 qmps 31 to 700 Amps 31 to 700 Am s
Swimming Pool Atwve 700_Am s Above 100_AmPs
Transformers Irrigation BoomS c:, Partial. bther Fee
Signs SpeciallnsUection
AerrNrks S Q`? TOTAL ??r6 ,
I, the EI Vi
inspector, erebV
certily thet the above
jp4pection has bee.
Thi, requesi voiA
18 months hom
T . 79921
L/o, 8/1 /1fC.ieaeA? ? 30 8'S`7
3s, o0
R"ues Uat? Fire No. Rouqh?in Insuectiun
? ?? Req ired? ?HCady Nuw . Nliil Nntify.lro;pec-
Va+ ?Nu lor When Ready
? Licensetl Elecuic;il Contracinr 1 hereb
y request inspection uf above
Owne.r electricxl work instelled eL
Street Adtlress, 8ox or oute No. - v
3?5
ect1on o. Town>hip N;ime ur Nn. Ranqo No.
I ount
OccupantlPqlNT) _ _ `
?
svl?
Phunc No.
Powxr Suppl? Address
EI ctrical C. Vac[m ICOi any xmel Coni A ? ra?ur'License No.
o
Mailing
AA
Jress ?Con[ractor or Owner Ma
k
inBInstallationl
? t
L
/
? 'Q-V
Authorized $igna[ure (ConVactoJOwner Makiny n stallation) P nc Nwnber
v 3SSS?
MINNESOTp STpTE BOARD OF ELECTpIGITV THIS INSPECTION qEQUEST WiIL NOT
Griggs-Midwey Bldg. - Noom N491 gE ACCEPTED BY THE STATE BOAPD
1821 UniversilY Ava.. St. Peu1, MN 55104 UNLESS PHOPEN INSPECTION FEE IS
pti.no 16121 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION .v.
' See instructions tor compln6ng this form on back nf yellow copy f
X' Below Work Covered by 7his Request
EB-00001-03
3c)FsSj
New Add ReV. Tvue oi Builtlinp Apoliances Wiretl EVuininant Wired
Hume Range Temporery Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uiiding Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FartYt Olhnr peci y Other (Sper.ity)
ther ISUemFy Other Othor
Campute lnspecuon Fee Below
A Fea ServiceEnxrenceSize # Fee fee.ders/Subfeeders N Fee Circuits
l0 OD 0 to 100 qm s 0 to 30 qm s 00 a to 30 Am s
101 to 200 Amps 37 to 100 qmps SO 37 to 700 Am s
Kbnve 200 q,n,)y Above 100 -Amps Above 100_Amps
Transtormers RemoteControl Cira a Parti2 '
Signs Special Inspection
?LTfa.
?
7
Renwarks 77?J V
0 AL FF.?71i E, yyQ' ?
V
Rouuh-in ^`
167/ .r.t tL UOt?:
?J Ci ? I. the Electncal
InspBCtor, herBbY
Finol
?}F)t„ ? certlly lhet the ahove
insVection hes been
This r?aaueci ?nid .
18 nionflhs from
BUILDING PEIMIT
Te 6e med Mr SF D'
,
CITY OF EAGAN
3795 Pilet Rnob Rwd Eegen, MN S5122
PHONEs 454-8100
$56,000
N? 7322
Receipt # 40292
Site Address .a.a..a n?csrayc aqAac
Lot 10 elock 1 Sec/Sub. Mefte Addition
pa,cai # 10 48000 100 Ol
s Name MOrMn Vogelpohl
z Addrou _2616 40th Ane. So'w^
p Name _
Address
Name _
Addrext
1 hereby acknowledge thot I hove read this apDlication ond stote fhat
fhe informotion is correct ond ogree to comply with oll applicoble
StuM of Minnetoto Stotutes and City of Eogon Ordinonces.
Signature of Permittee
A 8uilding Pertnif is issued to: ?
ull. work sholl be done in nccordonce with oll
Buildirq Officlal
Erect [I Occuponcy R-3
Alter ? Zoning R-1
Repoli ? Fire Zone NA
Enlorge ? Typa of Cansf. V
Move ? # Stories
Demolish p Length 50
Grode ? Depth 40 Sq. Ft.-
App.ovalf Fees
Asseument _
Water 8 Sew.
Police _
Fire
Enp.
Vlanner -
Council -
Bldg. Off. _
APC
Permit 301.00
Surcharge 28•00
Plon check150.50
SAC 525.00
Water ConAl20-On
Woter Meter60_00
Road Unit IOdn nn
Totcl $1794 _ S(1 .
_ on the express condifion thnt
and City of Eaycn Ordinances.
? 2006 RESIDENTIAL MECHANICAL rExMiT arrl,icaTioN ?
City Of Eagan n?A
3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit
Date
- 13
40 / V ""`
4
-
Site AddressL? ? Unit #
Property Owner ? l Cl ? Telephone #( )
Contractor?(,??/ ??
Street Address G?54'''?? Ci y
State TelePe # -
Zi
p
B
d #
?
7 i
E
on
:
- xp
res:
The Applicant is _ Owner ? Contractor _ Other
Add-on or altera[ion to existing dwelling unit $
? furnace _Additional Replacement _ New ? j? ? ?
v
air exchanger
air conditioner
_ heat pump
other *,:L,
_
State Surcharge $ .50
$ / P' 6-0)
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion is
be in confonnance with the ordinances and codes of the City of Eagan and with
perntit, but only an application for a pemvt, and work is not to start witho p thai
ap ;d plan in the case of work which requues a review and approval o lans,
? ApplicanYs Printed Name ApplicanYs ig
and e work will
• Ca
d rthis is not a
wice with the
2006 COMMERCIAL MECHANICAL rERMiT arrr.icATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
mul[i-family buildings when separate permits are not required for each dwelling uni[
Date
Site Street Address Unit i/
Tenant Name (if applicabte) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type ,
New Construction _Interior Improvement _ Install Piping _Processed _Gas
UndeNAbove ground Tank Install Remove
When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature ofWork:
Per[Dlt F¢¢S: $70.50 Underground tank ins[allationhemwal
$50.50 Menrmum (includes State Surcharge)
oC
Contract Value $ x ]% _ $ Pemrit Fee
$ State Surcharge
If Qernvt fee is less than $1,000, add $.50
If pemvt fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Peanit and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understaud 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.
ApplicanPs Printed Name
Applicant's Signature
Approved By: Lispector
Required Inspections: - U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Final
PERMIT
, ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuiLozNG
Permit Number: 0 3 2 9 6 2
Date Issued: 0 8/ 19 / 9 8
SITE ADDRESS:
P.I.N.: 10-48000-100-01
3325 HERITA6E LANE
L07: 10 BLOCK: 1
MC RAE
DESCRIPTION: RERooF) STORM DAMAGE
Bu,j1d1'fi'g>-,Permit Type STORM UAMAGE
Blujilding 'LJD, k Type REPAIR
Gensus Cvde'°`\ 434 AL7. RESIDENTIAL
?
.! !`?a, i 1r ?? :?7 vr kt I'-;( d xz
. j
REMARKS:
FEE SUMMARY:
CONTRACTOR:
ican
PWLlSW-. - µPP1STANL _
3325 HERITAGE LANE
EAGAN MN 55121
(651)452-8570
I hereGy acknawlsdge thaC T havle read tMis applicatian and state that the
information is correct and agree to comply with all applicable State of Mn.
5tatutes and City' of Eagan tlrdinanees.
?
APPLICANT/PERMITEE SIGNATURE
I UEL) BY: SIGNATUfl I
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeVReoair Reauirements U???? ?C1
? 3 rogistered aRe surveys ? 2 capies of plan
? 2 copies ol ptans (inGude beam d window sizes; poured fid. design; etc.) • 2 sRe surveys (exterior aOddione 8 deUcs)
? 1 energy calaulations ? 7 energy calculations for heated addkions
? 3 copies oi hee preservation plan H bt pWtted after 7I1/93 .
required: _ Yes _ No
DATE: CONS TION COST;
DESC IPTION OF WORK: I° A iiq d D F S i O? P_? ?1 ?I
SET ADDRESS: 3
?
LOT: , D BLOCK: ? SUBDJP.I.D. #: V?\ C.?
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1`",66?-e OCwI S! l9P-,? Phone#: o?.S??' Y?a- FlS?O
Last First
Street Address: 3 3 oZ S H? J2 17-,6?'?s L/`J
City lc?q6?p/t-j State: ??'1 Iti-C Zip: I a(
Company: 5 c L /,::- Phone #:
Street
Ciry
State:
Company: Phone #:
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Zip:
Penalry applies when address chang
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature ofApplicant
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received - Yes - No - Not Requ
State:
License #
?
, i,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
0 13 Garage/Accessory ?
? 14 Firepiace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Pfanning Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
-4A?? CITY OF EAGAN Iriclude 2 sets of plans,
1 site plan w/el.evations &
BUILDING PEFNff'P APPLICATION 1 set of energy calculations.
7b He Used ForSj"UA_$.LVl.rlt7alu?ion ??QOv Date
site Aaaress: oFFzcE vsE oru,Y
Lot L(? Block
Parcel #: 16
AddTPSE: . , ?
City/Zip Code:
Phone # : -2 41.e
Contractor: M
r, Address: -vuo_
City/Zip Code:
Phone #: 12 2=
Axnh./Ehg- d?(,r
Pddress: -PL,,
City/Zip Code:
Phone #:
sec./sub° &
) (-) (00 O
Erect X OccupancS'
Alter Zoninq 41
Repair Fire Zone N A
Enlarge _ Zype of Const.
Move # Stories
Deirolish Front SYJ fto
Grade Depth 0 ft.
APP%OVAIS FEES
Assessments Pexmit
Water/Sewer Surcharge
Police Plan Check
Fire SAC S.?S ?
IIig. Wates Conn.
Planner Water Meter . /?
Council Road Unit ,? y0
B
S? ?
TOTAL -A?Tlpc l
r
4
9" 9P O
?O
??0,::? K /
?
G
?y,
a ,
.
o? M
- - ?? --- ----- - ---
??Nc?-?
!
?? .
Lvfi 16
Q ?
? ? Pv W ,
a. :
m01i[QI
Q b ? OOfffi
Builf far 8 by 'people who like music"
3307 HERITAGE LANE
EAGAN. MINNESOTA 55721
PHONE: 4548469
.. . ,.
Lrlo ( ? I ? Mc r-oc?.
,
EXTERIOR ENVELOPE AYERAGE °U" LOMDUTATION
OWNER
SITE AOORESS
M' ..?f( -73 z z___
CONTRACTOR YJ&gLLM. r? CONe DATE PHOWE '7-?
Determine working square footage ot each.
1. Total exposed wall area .,,,..?or2: 0a sp, ft, x ,17 ss 4z.0
2. Total rvof/cetiing arFa .,,.. ?020,0? sq, ft. x,..05' • .ao
Total exposed arall area above floor •--?3._?.
a. ToCat wail uindow area .........................•. llG-G Z
? 7. @!
b. Total door area „ ............................
c, 1ota1 stiding ylass door area ................... ?.oz.
d, Total fireplace wall area........................ --
e. total aall framiny ai°ea (average 10%)......,..... 2 o(.a O
........?..,
f, Totat n?t wall area above floor .....
g, Total rim joist ?eea ............................ d
Total eXposed founddtion aiu)a = -54•00
h, toCai fosJnCat;cn tiEindow area..,,. ............. -'
i. Toal net foundaYion area above gra<:e ,,.....,.,.. a.od
Detern;ine "U" value of eacfi wz;ll segment.
a , X itull . . 5T 4 . 4
b. 'S 7• 9r g"un
C. 4 O.OZ
d. ?_.
e. 2 0/. Z O
z ?. v :S? • 2Z_D/
?
X ltuit z
z "U" - !Z = 24- 14
f. ((v6 . 57 X "U^ - 07 ¦ l D2.7
g. 93,oo X llu> - OG • S-GZ
h.
11 p - I
A y 11V
i, 54.00 Jf "U" .s 4`7 • --ZJ-3L
.
3, ,,.......... z 0...............TOta1
If item 13 is the same as, or less than {tem /1, you have met the tntent
of S8C 6046(c)2.
?otal exposed roof/ceilinq area = / D? 4• Od
?
j. Total skyliqht area.............................
k. Totai roof/ceiling framing area (average 10%)...
._,
t. Total net insulated roof/ceilinq area............ 0 2- od
Determine "U" value for each roof/ceiling se9ment,
j K Rull -,-- . a
k. X „V ,
1, / 020.v6) X??U" Q("
4 ............... lV,20.ad...,...,Total = •or?
If total of 44 is the same as, or less than 02, you have met the lntent of
SBC 6006(01,
Alternate 80)ding Envelope Design
To util{ze the total envelupe system method, tne values established by the
sum of items 13 and 44 sha11 not be greater than the sum of 1tem5 !1 and 02.
? . ?S? z • oY - --------- ' 2, ----? ? ° 0 = 3 9 ? . oY
3. 24 6-?2I_-_- 4- a,, S' , ad ?= z g 9. 99
1604 Melody Lane 6903083
Bumsville, Minnesota.
WEP]A CO. PL,AN SERVICE
ED ANDERSON
qRCMITPCTURAL DESIGNING ANO PLANNING
Office:
u24r? tiv k•Gc=-n knr,gr orrica:
Bumwille, Minnesote 0 q+4,4&690-4636
9
?.5i 7.
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruciion Reauirements
3 registered sAe surveys showing sq. ft. of IoC sq. ft. of house; and all roofed areas
(20%, maximum lot coverage allowed)
1 Soils Report if pmposed building is lo be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservalion Plan A lot platted after 711193
Rim Joist Detail Options seledion sheet (buildings with 3 or less unils)
Minnegasco mechanical venlilation form
e-1i,3, 76'
RemodeVReoair Requirements O(flce IJse Onlv
2 copies of pian sfwwing footings, beams, joists Certof Survey Recd _ Y_ N
i setof Energy Calculations for heated addilions , Soils Repod - _ y_ N
t sHe survey for additions & decks Tree PresPlan Recd - _ Y`_ N.
Adddion - indicafeifon-sitesepticsystem TreePresRequired _Y._ .N
On-siteSepticSystem - _Y?_ N
P 1,D aDarl IG- G, l I / a_-?
Date I O /
SiteAddress Ln
i Construction Cost ? . 33
F_S9atn MN 5 ??hol ? UniUSte #
?
Description of Work pen'?p qnd R C.
Multi-Family Bldg _ Y4 N Fireplace(s) ??l 0 _ 1 _ 2
ProperryOwner ?? ?L?rlorna? Telephone#("7?b3 ) aL4 S
Contractor Sv?CC7oc ??5?'? Ser`T+`-?S
Address q 3c)? la'J??" x 0? 1J
State %alwillm MN
Zip s531,4) City
Telephone #(Ift) oZ°Z I'380 T
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # f
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
approva] of plans.
?eSS? LC?v?-?. ,?
Applicant's Printed Name Applic iYs Signature
DO NOT WffiTE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation )d 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
DESCfIptI0I1: WaterDamage_Yes
Valuation ? Li Occupancy 2-3 MCES System
Plan Review 100% or 25%
Census Code Zoning lZ -' City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) z FinaUNo C.O.
_ Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Fina]
]_C.?i Framing _ Siding _ Stucw Lath _ Stone Lath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
? Insulation _ Retaining Wall
r t
Approved B?, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Cify SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
J /1C100
?
?? ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164724
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 3325 Heritage Lane
Lot:10 Block: 1 Addition: Mcrae
PID:10-48000-01-100
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 -
Kimberly D Shouler
3325 Heritage Ln
Eagan MN 55121
(612) 248-7904
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature