3921 Gibraltar TrCITY OF EAGAN
Addition ZEXINGTON SQIJARE Lot 16 Blk
Owner streec 3921 Gibraltar Trail
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN 5EW TRUNK 1985 254.53 16.97 15 254.53 C009781 10-12-84
SEWER LATERAL 1-28-85
WATERMAIN 1986 68.33 4.56 15 6$.33 C010126 1-28-85
WATER LATERAL
WATER AREA 286.43 26 C 1-28-85
STORM SEW TRK 1986 501.29 33.42 15 501.29 C010126 1-28-85
STORMSEWLAT 1986 513.81 34.25 15 513.81 C010126 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
? CASH RECEIPT ?
. CITY OF EAGAN
' 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
J ,? •
DATE 19
RECt1YEO
FRdM. ? • . E ' . . '
AMOUNT $ I
?
DOLLARS
+oo
? CA CK
?
V Ml_' `'? ' ? Cr / .r .. / r -
.f
FUND CODE' pMOUNT
)
l ) •? _ (?' i 'l_.
- ? ?
.L
? ??L;? l
t S c? `
Thank You
? BY . ' .
, 65792? _ -,_ -
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
. , , . . ._. . . . .. .., . .!' .?;... , . .. . . . . . . ., . ., ..
J
A CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? PHONE: 681-4675
BUILDING PERMIT , Receipt #
.
To be used tor FIAEPI.ACt Est. Vajue Date NOv 2 3 , 1991_
Site Address 3921 GIBRALTAR TR
LOt 16 Block ? Sec/Sub.?i? ?? OFFICE USE ONLY
FEES
Parcel No. occuPar,cy -
Zonin Z s.00
?? ??
g -
Name 3OHN P Ct7TTFBl.L (Actual) const - surcnarge .50.
W Address 3921 G1WLTAR TR (Allowable) - Plan Review
, city FA4AN MN ZIP # of Stories Ler
tn Lk)ense
? g
-
Phone 688-9272 oePCn - sac, cicY
N? SAM S.F.
.F. Total - SAC, MCWCC
0 S.F. Footprints
l!- Address On Site Sewa
e Water Conn
_
g
Clty Zip On Site well water Meter
?
Phone =
MWCC System
nooc. oeposit
? _
City Water
Vcerw # PqV Required _ SJW Permit
i hereby acknowlege that I have read this application and state thaC jhe Booster Pump - gNV Surcharge .?
iniormation is coRect and agree to comply with all appiicabl? S4atQ of
Minnesota Statutes and Ciyy-ob. Eagan OrdinanSes.; ;? % Treatment PI •?
$igneture of Permiteey`; -?` - ' ! APPROVALS Aoad Unii
A Building Permit is issued to: JOHN p C??RELZ' Planner - Park Ded,
on the express condition that all work shall be done in accordance with all Council
applicabie State of Minnesota Statutes and City of Eagan Ordinances. gldy, p{f, _ Copies
Building Official
Variance - ZS
TOTAL •?
?
PermR No. Permit Holder Oate Telephone #
slw
PLUMBING
HVAC
ELECTRIC "
ELECTRIC
Inspection Date Insp. Comments
FoWings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace ZI-
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector -Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
38'.??0 PUot Knob R a? P o. so?GASS, Eagan, MN 55121 12473
PHONE: 454-8100 ? ? - ,.-
BUILDING PERAIIIT . . Receipt # To be used ior SF llWG/GAR Est value $89,000 Date AUGUST 19 ,198 6
3921 GIHRALTRR TR Erect CIc Occupancy R3
Site Address
Lot 16 Block 5 Sec/Sub. LEXING`I'ON SQUARAmodel ? Zoning pn
Parcel No. Repair ? Type of Const V¦+
Addition ? No. Stories
a Name ??3VIN GEORGE HI,7RS I??TC Move ? Length 56
_ P. O. BOX 4 2$ Demolish ? Depth -48
; Address Int Impr. ? Sq. Ft
O _ li13 TT.1?vTnwi ZR0?77A1
o Name SAME Approvals
i
o¢ Address
Assessment
~ City Phone Water & Sew.
Police
? = Name
x Fire
Z Address
o Eng.
i W City Phone Planner
I hereby acknowledge that I have read this appliCation end state that the Council
8/18/8(
Bld
Off
information is correct and agree to comply with all applicable State of g.
.
Minnesota Statutes and City of Eagan Ordinances. aPC
A Bwidir
all work
Signature of Permittee
-^----- `- issued to: MARVIN GEOHGE BLDRS
Var.
INC
Surcharge '`? •'"'
Plan Review?o• 00
SAC ?00
Water Conn. 500.00
Water Meter 63.50
RoadUnit 290•00
Tr. PI. 156.00
Parks
Copie . 0
TOtai '? ?
on the express condition that
Gity ot Eagan Ordinances.
Building Official ? ?
PsrmH No. ftrmN Holder Dato Tdephona N
Plw^bWg 7 93 QaA? P 1 b q
H.N.A.C.
EWCh1C L)?9?c:0
$ORMN
InspecUon Dab Insp. Commenb
Foodngs I (? ??.70 86 Lc.? .O
Foounqa U
Foundatbn
Fnminy
RooNny
Rouyh Plbp. D -3I I? ?(J 'd WS.
Rouyh Hty. 11 w ,B
FhsplAes
Final Htp. AV
Final Plbp. ?
Bldp. Final /
Grt. Occ.
Deok Ftq.
Deck Frnp.
WNI
Pr. Disp.
'a ''
r ?.. '
CONTRACT PRICE: ?
Site Address
Lot Block -
? Name
a?
? Address
c Ciiy
? Name
c Address
p City
TYPE OF WORK
?
.
Forced Air' M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?
Other
FEE
$/C:
TOTAL-
L . - .. _ . -. . . . ' i . . ----- ..
PERMIT #
MECHANlC4LPERIVAIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
? PHONE:454-8100 ? -
"' / !f-,, I / BLDG. TYPE
5ec/Sub•
:
ReS. 1i' ..
_ Mult
-
Comm.
.;.5, e ? ::.;16 otner
?
??ll
WORK DESCRIPTION
.New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - 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)
? d - ,• , '-?o?Ll?.C?ft
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
PLUM8ING PERMIT RECEIPT # `" •
qTY OF EAGAN
`
3830 PILGT KNOB ROAD, EAGAN, MN 55121 DATE: Site A?ess 3 'i j I I?. i ?
Lot? Block Sec/Sub _
m Name "' ,? "j `
? Address Ou c ? (LV L-
c City Phone y 12-A1 )` ?
? Name
? Addres?
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMfJM - 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)
C?x_ rz-, II
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLOG. TYPE WORK DESCRIPTION
? ?
Res. New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES .70TAL '
L Water Closet - $3.00
? Bath Tubs - $3.00 ?
T_Lavatory - $3.00 Shower - $3.00
T-Kitchen Sink - $3.00 Urinal/Bidet - $3.00
-T_Laundry Tray - $3.00
-?Floor Drains - $1.50 =Water Heater - $1.50
,_Whirlpool - $3•00 ,
Gas Piping OuNets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE a '4 _
STATE S/C: S L
GRAND TOTAL• ? ? ?
4i16"4E6GWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
i
ADDRESS CITY
OCCUPANT ma r ?N OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BYSC
Electrical Work By 8<Gas Line By SF'?
TYPE OF HEAT GA_ FA.)?-- HW_ STEAM SPACE HTR. UNIT H'
GAS DESIGN
MAKE ?r ?)91\j ?
Model _ S 9 V & i4 WC; =;n O -7
Serial Z VYGR q -7'1 S Z
INPUT 7`;,U0 '
CONTROLS •
THERMOSTAT? 00-S ( f Heat Plug
Valve J'?6 A X- f
Limit a?T c rcr)
Limit Setting _ -z U() f
Fan Setting /UO ° /-
Pilot Type -? c
Pilot Make ??Qr y,-- • ?? ''
Pilot Model
Pilot Timing - I115 Q N?
L.W. Cut Off
Pressure Percent CO
Input CFH 7 Percent OZ
Stack Temp, Percent C0 IJeNe
2
?•
MAKE OF BURNER
Max. BTU Rating
MAKE OF FURNACE _
Vent Size
KIND OF L1KEk SIZE NONE
Draft Nood ? % • ?« < ?- ??' Regulator
Filters Size Wmber d'
Chimney Location Inside X Outside
Chimney Construction =- i 7.5
Smoke Bomb Wiring ? ) K
Draft Test Tag
Door Pressure -` Lighting Irist.
Date Tested - ? 3
Company Testing ` e d a,r Ic"
Name of Tester
3sss2
cu,< k ?,
OTHER_
CONVERSION
Form 235
CITY OF EAGAN WATER SERVIC E PERMIT
3830 Pilot Knob Road
P. O. Box 21189 PERMI7 NO.: '
Eagan, MN 55121 DATE: - -
ZO^j^0:- No, of Units:
Owner:
/lddress:
Site Addrcas: ? - i : ibr?
Piumber.
Meter No.: Cohnection Chorfle
Siu: Acoourvt Depoatt: i
Reodsr No.:
Permit Fae: ,
1 pme to emply wNU 1w Cier of bPE Surcharge:
Odiweeam Miac Charyss•
ay
Dote of Insp.:
; CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eegan, MN 55121
Zoninp:
Ownsr, r'arv" -.eOZ'p
Address:
Site Address:
Plumber: uz 1
Total: -
Dote Poid:
Irop.:
SEWER SERVlCE
,
PERMIT NO.:
DATE:
? No. of Units;
LIb B5 ;.axinot
qlw t0 OOn1* wllU trt C" of aw/asp GOn/NCHon Cildrpe: c-; c41 :• •-t'
On/tmewea. Aaoount Deposit: - - ?t'
PertnM Fee:
5urcharpe:
By Misc. Chorges:
Dote of Inap.: Total:
Inap" DcM PoM:
? • ,GAN
3830 r...
.KnobRoad WATER SERYICE PERM
P. Q: Box 21199 PERAAIT NO.:
Eagan, MN 551?1 DATE: -'
Zoninp: _ ?lo of Units:
Owner, -.ei
11ddr+eas:
$iN AddflSS: ir P
Piurnber:
MOW No.:
1? - ; i? c?
SiZQ;
Reode? No.: n 1
o0" !+o ooeplp wtllr ilw Cihr Su?Q
.eNen.,
By
CITY OF EAGAN
- 12473
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np
BUILDING PERMIT PHONE: 454•8100 Receipttt ?? / /' ?l yl,?,/
Tobeusedfor SF DWG/GAR Est.value $89.000 oate AUGUST 19 19 86
SiteAddress 3921 GIBRALTAR TR Erect 121 Occupancy R3
Lot 16 Block 5 Sec/Sub LEXINGTON SQUARBemodel ? Zoning Pn
Parcel No Repair ? 7ype of ConsL ITD
. Addition ? Na. Stories
a Name MARVIN GEORGE BLDRS INC Move ? Length 56
z P
BOX 428
O Demolish ? Depth 38
o .
.
Address Int. Impr. ? Sq. Ft
City PRINCET94ne 389-3201 Install ?
a SAME APProvals Feea
i
$ ¢ Address
? Ciry Phone
w W Name
.
z
x Address
i W o Name
City Phone
Assessment I Permit
Water & Sew.
Police
Fire
Eng.
Planner-
Council-
Iherebyacknowledgethatihavereadthisapplicationandstatethetthe gldg.OH
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC-
Surcharge ?° •'"'
PlanReview 200.00
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
7r. Pi. 156.00
Var. Date Copie?'?7?? ?
Signature o( Permittee Total. _' -' --- - -
A Buildin9 Permit is issued ta: MARVIN GEORGE BLDRS INC
all work shall be done in accordance with all applic St@te of Min esq Stety
on the express condition that
and Ciry of Eagan Ordinances.
Building
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 19 912
PHONE:681-4675 L (? I
?t
BUILDING PERMIT . Receipt #
To be used ror FIREPLACE Est. value Date NOV 25 , t9 91
Stle Address 3921 GIBRALTAR TR
Lot 16 Block _5_ Sec/Sub.I,EXINGTON SOUARE OFFICE USE ONLY
FEES
Parcel No. occupancy -
Z
i 25.00
Bldg. PeimR
on
ng _
N2fi18 10}IN P COTTRELL (qcwal)Const - Sumlaige .50
W AddfeSS 3921 GIBRALTAR TR (Albwable) ? R?,?
F of Slones _
? ? EAGAN MN Zlp th
Len ??
g -
Phone 688-9272 Depth - SAQ City
N2R18 SAME S.F Total - SAC, MCWCC
0 S.F. Foolprints -
F Addf25S On Sile Sewa
e Water Conn
? g _
Cjry ]jP On Site Well Water Meter
?
PhOf1B MWCC System =
Acct. Deposil
8 Ciry Water _
Ucense # PRV Require0 _ S/W Parmit
I hereby acknowlege that I have read this apphcation and stata th t e Booster Pump - SMI Surcharge
mtormation is correct antl agree to co ly wich all ap hcabl S t of
Minnesota StaWtes and Cit aga Inan s. 7reatment PI
Signature of Permtlee ' APPROVALS Road Umt
A 8mldmg Permit is issued to: JOHN P COTTRELL Pla^^a' - Park Ded.
on Ihe express condition ihat all work shali be done in aCCOrdance wRh ail Council -
apphcable State ot Minnesota Statutes and Cily ot Eagan Ordmances. gidy, pff, _ Copias
BuiltlinqOtf¢ial?NJq1 t?,pl,f??' Variance - TOTAL 2$.50
oC?yl ?
?$ Sa. SU
2007 RESIDENTIAL MECHANICAL PEItMTT APPLICATION
City Of Eagao
3836 Pnot Kanb Buad, Eagas 31'LN 55122
Telephone #E 651-675-5675 -? OCr
0
9 zoo?
Please cmnplete fai: single famify dwellirws & townhomes/cotdos when permits are iequired 1ur exh mit
Date j(D_ / ,017)_ / 2oO ?
Site Address 3 F 2- 1 ( 2?; KJ C Q' ?0 r?f ? Unit #
Property pwner SO E R? J? C? r? C? S 0 V1 Tetephane #( G7S-? )'?I ? S`? J I p
Contrector OLL1 °L r Re?l7 i VlQ (1J1C] l OD fiYI Q .L VI C
saeeca.aaress SCo` ? N Lake i c;ty Z-akf'
State ,N?Al Zip 5509J_ Telephone # {
Bond #: ?? ((oc'j L4 J+ Expires: SC'?.i 21 ,OS
The Applicant is _ Owner ? Contractor _ Ofher
Fire repair (replace bamed out appliances, ductwork, eta) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelliog unit
New
f
Addi
i
l
l R $ 50.00
V
urnace ona
acement _
_
ep
t
air exchanger
/
V air conditioner
heat pump
other
State Surcharge $ .50
Total
0
$ SO. S-
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wilt
be in conformance with [he ordinances and codes of the City of Eagan and wi[h the Mechanical Codes; that I undersbnd this is not a
permit, but only an application fw 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.
CuYW)1n6f?(.-vi _ Ores 11N?
ApplicanPs Printed Name plicant's Si ture ?
6ftmw
co L7 7?g
2005 RESIDENTIAL BUILDING PII2MTI' APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
TelepLone # 651-675-5675 FAX # 651-675-5694
'e -;7o, OV
New Constructton Reauirements RemodellReoair Reauirements OHice Use Onlv
3 registered site surveys showing sq. ft. af lol, sq. ft. of house; and all roofed areas 2 wpies of plan CeR of Survey Recd _ Y_ N
(20% maximum lot coverage ailowed) 1 set of Eneigy Calculations for heated addNOns Tree Pres Plan Recd Y' N
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 site swvey tor addiGons & decks TBe Pres Requxed ' _Y _ N
lsetofEnergyCalculalions AddiUon- indicaterfon-sifesepfksystem On-siteSeptlcSystem _Y,N
3 copies o( Tree P2servalion Plan if lot plaried after 711193
Rim Joisl Detail Op6ons selectan sheet (buildings with 3 or less unfts)
0. V?-
Construction Cost
Date T /361,"
/ 0rJ
SiteAddress 2^
q `
J f OV
.
Unit/Ste #
Descriptioo of Work ?o` SlOI ? D C/. ?I1??M?cJ w ( ?? ?(A; 5'll nV4 Q.@mjr
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
t
Q
P
--s o
c hone # 1 ^' 7 p ? S
Tele
wner
roper
y - p
The Home Depot A.H.S. Inc.
Contractor 3200 Cobb Galleria Pkwy.
Address Atlanta, GA 30339 ???Y
State 763-542-8826 _ Telephooe # ( )
License 920268257
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
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 appraved plazyin the case of work whic -?qui?s -
apTIr of plans.
i i 2005
cc?
?
A plicanYs Pnnted Name AppficanYs Signature
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
COC}NTY 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 Serviccs, Inc., DBA Home
Depot Installed Sales loca±ed at 660 Mendelssohn Avenve North, Go':den Valle;r, MN
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Inc. ("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 Attorriey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limi*.ed Power of Attorney shali expire and automatically be revoked on the 21st
day of Muy, 2004, which date is one year from the executioii hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
aily time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI"INESS WHEREOF this Limited Pokver ofA?torney is ?._Xecizted thic
21 st day of May, 2003
.
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May, 200
NCci%Q QiA*00
Notary P ic in for the State o eorgia
b4y Commission Expires: January 21, 2006
?96816.v3
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
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWction Reauirements
• 3 registered site surveys showing sq. R. of lol, sq. ft. of house; and all roofed areas
(20 % manimum lot coverage allowed)
• 2 copies of plan showing 6eam & window saes; poured found design, efc.)
• 1 set ol Energy Caiculations
• 3 copies of Tree Preservahon Poen if lol platted after 7!1193
• Rim Joist Detail Oplions selechon sheet (bldgs with 3 or less umts)
DATE
-v?-
_ Water Softener
_ Waler Heater
No. oF Baths
SITE ADDRESS MULTI-FAMILY BLDG _ Y ?'N
TYPE OP WORK FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT
STREET ADDRESS I/??a ??° k,`c .4??• CITY SiATE e-'"A'ZIP ffl??
TELEPHONE # CELL PHONE # PAX # , 0 - -' ` `r31-J"yCd
PROPERTYOWNER 6_°'7'?1110- TELEPHONE# lef?'Ge'I'9d'?'?1
----------------------------- ----------------------------------------------- -----°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE50TA RULF,S 7670 CATEGORY 1 MIVNESOTA RtiLES 7672
(J submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worhsheet Submitted
• Energy Emelope Calcola6ons Submitted
Plumbing Contractor: _____
Plumbing system includes:
Mechanical Contractor:
Mechanical systcm includes:
Sewer/Water Conhactor:
Air Condi[ioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-----------°°---°----°-----°------------------------------°-----------°------------------------....__.....-°......
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances._._..--
?" ?
Signature of Applicant
------ __..__- .._-------__......__------- - ------ --------- __---------------°----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4(Q2
RemodeURepair Reauirementa
. 2 copies of plan ?
• 1 set of Eneryy Calwla6ons for heated additions
. 1site survey for exteriot addilions & decks
. Indicale d frome served hy septic system tor addNOns
VALUATION 3?_?r`7 v`7
Phone #
lmm Sprinkler
_ No. of R.I. Baths
. .
673q ?3
1986 BOILDING PSRNIIT APPLICARION - CITY OF SAGAN
BOYS: ALL COATRACfORS MOST BE LIC6NSSD IiITH THB CITY OF EAGA9
SZAGLS FAlMY DiIEI.LIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 7 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiELLIRGS - HESIDENTIAL RBNTAL DHITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SQRVEY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCAITECTURAL
1 SET OF SPECIFICATIONS AND 7
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
& STRUCTURAL PLANS,
SET OF
?fn?o
- ?;
Valuation. e: s f ly l$(o
Site Address 39al Vdsty?,
Lot IIP Block ?
Pareel/Sub
/?
Owner lf?Gn
Address 42 &p/
City/Zip Code ///,s[(??/Nt.7,,, ?
Phone .38 9 3o`ZO i
Contractor 54np- ad
Bddress
City/Zip Code
Phone
v
?
Areh./Engr. L?-
Address
City/Zip Code
Phone #
t/
Erect X Oecupancy Ir5
Hemodel Zoning
Repair Type of Const ?
Addition N of Stories
Move Length T?w
Demolish _ Depth SIP>_
Int.Impr. Sq Ft
Install
9PPROVAIS FEBS
Assessments Permit
Water/Sewer Sureharge
Police Plan Review nX-2
Fire SAC s--,r
Engr Water Conn
Planner Water Meter "7-0
Council Road Unit
Bldg Off :2?f Treatment P1
APC Parks
Variance Copies
iOTAL ?
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOFIfiOWNER HQST Dfi5IGNATE ftHICH ADDRESS
IS DESIRED. NO CH9NGFS iiILL BE ALLOiiED ONCE BOILDING PERMI2 IS ZSSDED.
i
' EXTfR1QR fNYElO?E ?llff7W 1 SMiT111NCC pAGE •?' ,?
stnxuuRO uaaxsrttt? i
r
' ?r?er???
'
3? x 3y w l a3 a ?v
S14s Aderess Nir,e, ? ,
Coatract?ra
'
: :?A? ?,c,?- ?,? r,cpt Waoe]L+yT2,. 1 t?ata 1 2Xfsa.rd?fsl,6.
..
.
0u11Qing Type (cAeck prtr) u Ooe md Tvo ?m11y Uull ing Otber ?t,4 C ??
9
AtSOmbly
at C"rA)
(Deseriba tyDe trao Table I or
T. !m. cJiedora
?1'Value (J xA
shw ulculatio, : on Pa e 2
.?.?.__ ic? f 1 _ .
..--
lnsul+ td Area 93 ? oZ? {?•??
Fra?in Are ? 33
`
--
? -
Sk 1taAtf 1 a
? th r (descrtbe)
?
Y
tI
ther Oescribe
Totals
Avere e U-batue u.A a rro?w t1f:• ,
?LLL--------
- aaa
J -
1-ed U-Valve (frnm tcxt .
i
?
' -- ",
' D?1
--- -= -?
- ____ -- __
-
?--
ins lat d Area i`'? ? Qqt?
-
-
irmotnq Area ----°- •--- --,---- -?? Og ly•l Co
Yin@ous T e LRAD?CA ??_???!aF•--.-• `?t???T ,?_ laa.D,
21 elll-]
EIOCT4 T B JAJAUL..
a
_??,?) q(,p
R1m Joist Rres 99 • O ?t ? `. ?
' F1 lo e vait ?
_---•--- '"?_ - ?'
? .
ioimd ton Ualt aSorr radi•L
? ?y
? 1 .Ob (p
? _
._____._
t at4on 9dlndows T 'e
dsscribe 3• g'CG
r dpf rfbt
OtMr ascrtbe
?,ra.73
5 re R U-Vatna UxA CtLtro:n Une 4 ,?v?
8 tr d lf-Yatete froti teatk, __ a 7
1f ?4tN 2 1S qnater tMn line 7, or lint S qrcadrr thaei tlro 6, templetv !'Le
1 1n de'crwlnr slvrnaNve U-±alce for tot4t exttrlor eavelo .
? 7 Area (tlns 1) + Area (11ne 4). ? T• •
3t S UaA (tiat 1) • UrtR(L1ne 4). • • •RM4tR
Area (:1ne t) x U-1&tur (lfne ]) . _ ? J ' ^ ?*+?r•
? 10 Area (ttno 4) a U-Yelur (t 1ne 6) ? a e •A*4o?
? 11 'Bvdtet', lSne 9 • IIqC 10
_•'____.-._ __.?.?.._ }??k?4 _?
?' 17 Alternntire U-Ytlue. I.for i1/11n, 7 •i?*'?o
lf llna 8 Is greater tAon L1ne 11, flie.r assenAlie; as reyulreJ sa 11ae B
1
does pot excead Une ll. ----V-,-------^---•,
• - i
- ••..u..c.^e _..??.,__ ----._ ??.,. _ . _
?
?
?
?
,
?
?
? -?
P i
? _ ....
?
, ,
.N•, ?td ? Ti`
_ ... ..? , ',1 •. i??-?a???'
. • , i i'L ANUARIi 11f)riYSflf''i
.., - J
}""l.'UN/?AI.•
'
..... -. ¦
"_'.. _
"?/IS'.il ?
'I
?'
i
ckness It - V,,l u? .
?
!
`-?-a?"• E,
d
tCri!
- -
-
. -- -- 1---
A-
?----
_'-_.-'--' --- --'- ?
"- - =71" -- -- ,'An r
---'- --
or f-Value see Tae
or -Value see T?ble 2 - -- ?---` -
Assembl hermel Resistance
1y U-da ue see Table 4
?___.,_., ?nur on vaqe
5
dLCr
? ^T?r
Ez ertor f_Va
Total A
? Assem
I
ssemb]
?taterial descri
? ?-
?
r-?'U^ .?T
. d -
?
nterior f-Va ue s e Tab1e 2 ---X z
? Exter or f-Vaue -seeat+le 2 -
7otal?' s?bj Thermal Resistance ? --
F Assemb? jy`U?ya?ue see able ?
f Enter on Paqe i ?{-
ssemh v - ?--
? Hateriai describe ? hicknest Ii-V,i?e -
' - -- -- ---
?
?
t
Cerio f-Value see L
u?_ lc asee1Tahle 2
' Tota?sem?,lv Thermal RtSiSL
, Assembly U-Va1ue see Table 4
EntPr on Paat 1
bly
describC Thi?kness k_V,i
???. D
3 z
?,M1I< ?
+Y ' % i/ .
.
or f-Ye
uesH?
T
a
bl
ue scc la
i
-?- - ---
?
?
--
_ -
SSemGlv Thertnal I?csit,tanc??
ly U-Yalue ?st?c Ta !?i
c q
? ? :.
;i3. `4..
`
Enter
on Paqe 1
_
--- -
--
?!!. -- -
-?
_ G? Thic?nrss
'
G
?
k,
t
b
-
Va lur
^ a
u
R-a3 0
tLG M
vri,il ?d??si:?ibr? IIiltAnr51
Va?lu?? ,tc iabl? ?T
_ Extrrinr i-Vaiur ysee TaGle 2?
- - - ------ ?
_ Total ;.vmbly.
Thermal P.esiS?an
A,srr;?I,ly?U-Uatue (;ee iuble 4j-
------ Cnter rnl_ Pa1e 1
-T•.se,?j,l , - _
_P,it.cri,:l dcscriGu fhici,nN
-- ----- ---- ?--- -
?i
?
?/? ' ?' '!?,_??'??--- ..?? ?rI
zs
? _ /' ??\?iI( J ?Td i•
fnt••?-i?,? ?f-V?tlu?? sty?Teblc Z?-
ix!?,i i;,i t-Va1 fable !
lo( ?I f?r_??cu?,bly Ih?•r??i,il keSiSt?nc
A,,?r.,?!,lY U-b',,luc (src Table-7
-- ---`-n-t
er on P,a?e 1,
Pssec?!,lJ
- '
' -------
?_ ---„--
-lnt( _ri.>r f-Va1u[? See
Exterior f-Valiie see
_ Total Assrmbly Thcrmi
?.? .
A?semblY U-ValuE see
Enter on Pa?c e
?S S FmCt } V
N,itf?ri,il Acscrihc Y'
- -- -- - . T- -- ` -)-
- --- ----- -----
-----11 .. -- - ....._....J? ._ -
---- ?- --- --
?` ?,cr Tahle?
tee TablP 2
ce -- - --? ------- _.
1!irrm,?1 ReSiSi
A;?,?•n?hlv U-Valu?? tsce? Tahle 4
able
_a't-Z Co L ?'
o?• C 4
.
, /f
i
?, .
'?.
;
?..;
i?
s_
?
R
TOP Clqi70 2%8 1950F-1.SE MSH S.PTHE
BOT ClfORD 2X8 1950F-3.5E NSR S.PTNE
YEBS 2%1 03/57UD S-P-F
WEB H IS 2%A !1 OFt
WEB ?2 IS 2X8 1800F-3.6E MSN Fi-P-F
MEB f9 IS 2%4 #2 S-P-F
WEB 04 TS 2XA fi OF-l
MEB " IS 2%A IS DF-l
ME9 19 SS 2%4 02 S-P-F
NE fi1 IS 2X2XB 4 %S ?{'6E MSR S-P-F
? B
BEAPIN6 HEQUIHEMEPTS
nLl BEAPINGS SMONN ARE 1.5 EXCEPT AS NOTEO:
BEARIN6 Q B 1 6.27 fiEOUIPEO
BEMIN6 ! TFUSS lOM2N6 (CAWIPE?
HEMOEP FOflCES FNOM LEFT TO iiTGHT:
TOP CMDNO BOTTOM CNOfiO MEBS REACTIDNS
T 1-16534 0 1- 0 N 3^32980 M 7- -440 FEAC7ION P B 1- 15948
r z-zaeoi e x- 16534
` 24801 N 2- 20685 M B- 10449 aEAcr:or+ a a s- sss+e
N 3- -6820 M 9- -6820 COMPLETE TRUSSES RE?UIRE?!
3
T 3-^E<801
7<-24801 8 3
0 4- 16531 N 4- 10843 X10- 20885 cpwEcTIpN ryEqMppng
T 5-16534 B 5- 0 M11-32990
? -440 T.C. 160 W1IL5 STAG6ERED AT 12' O.C.
?
N C. 1/2' BOLTS AT 3' O.C.
B
.
NEgS SBD fUA-3 AT 12' O.C. THROUGHOUT
AppllYOtuL LOAOING .
!IRtIF: 7C NFFAT i00.01 80.OL9 PtF FR 0.0 TU 22.0'
.OLL iWIF: BCL? VERT B4INCPEASE ?.60 0.0 70 22.0'
C/.TEO/'
LMATE 2 L!f]iE5 F?ROM EI1M1Fii SPLTCES OF TTHE4PAN?ELLI1i 226TM
1
•
CrnnnR
vLd"c [WE svaum:
MULTISPIKE UBC O.DO ' O.C. 7/21/86
AN ANYTRUS@ DESIGN
?. C202E001 riLE. VILL, ,"1N.
1 OF 1 M. S.
SOX12.50H 7.0X 7.2
2 4
0
m 1 3
c
2.6X 9.0
? 10X12.50N
'd hA' Its' b6.
?
??o?_?? sYSr?urs
SYMMETRICAL ABOUT
S.BX 7•2
4.57C 5.4 1.9% 3.6
7.ox 7.2 7.030.e
9.OX 9.0
MYiVIH STIIZYLEW9a Ic2o2eooS
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*rorw,: PAYMTrr aF ? AT MM oF
APPT.TCATION DOES Ld7P CONMTiTrE
APPROVAL OF PERNIIT.
IN.snECrIorr oF sMM nrID/oR MTEz
INsTrUAzzoris wn,t Nar BE sCHED-
ULID pNTII, PERMIT AAS MM
APPRC7VID.
P ease Print ^^ ^ ^
^
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EKISPING STRCCIL'RE. DATE OF ORIGINAL BL'ILDIN;, PERh1iT ISSL'ANCE: -
! PR£SENP 7ANING/PROPOSID LSE: (?"bn ear)
? CCM`ERCIAL/RETAIL/0FFICE ? R-1 SINGLE FAMILY
Q INIDCSTRIAL Q R-2 DCPLEX (1t.o Dnits)
? INSTI2L'TIONAL/GpVII2NMEN'p ? g-3 TpWNHppSE (Three + Units ) ( L?nits )
. [? R-4 APARTMEN'p/CODIDUMINIOM ( Units)
2) ?
NAME:
ADDRESS:
CITY. STATE. ZIP:
PHONE:__3 11
3) u r a•
NAME:
ADDRESS:
CZTY. STATE, ZIP:
PHONE: Z-/ `9' D _ 0 ?' J ?? LICENSE#
4) •?• ? i?•
AIAME:
, ADDRE$S:
CITY. STATE, 2IP:
PHONE:
Pliunbers License:
Active
Expired
Not recorded
Sta?Initial
51 ? «• ? ? a• •?• :? •?. - ?? -
? CoNNECTION T0 CITY SEWER ig CpNpgx,TION To CITY WATIIt ? oP[1ER
6) ? • • i? pr.FnSE gpLp ApPROVF9 PERNIIT FOR PICK-UP SY ONE OF ABOVE
PLF.ASE MAIL APPR PERMIT TV 1. 2. 3, 4, ABOVE
??(Circle one) '
7) r n u• -
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ lC/) _ ?-p
$ $- - 1/
S
$ $
$ $
$ $ / S0D
$ $ A-1 C?
$ .7b0-C?C? $
s 7 ss?o
$
?
S $
S $
$ $
$ _ $
•oC) $
SEWER PERMIT (INCLUDE SCRCHARGE)
WATER PERMIT (INCLODE SPRCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCODNT DEPOSIT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRC'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRCNK SEWER
LATERAL BENEFIT/TRONK WATER
WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S S-a) $_ ..5?• ?/'? TOTAL
R?T It RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
l C4 sL CITY OF EAGAN
PLUMBING PERMIT
SUBD._ (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FEiKILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
aECSrPr # CDI
DATE?,?
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR _
NO
b.k. ?
OWNER NAME: C) r`C-L
SITE ADDRESS:
INSTALLER: /"/? GI
Lrl-
ADDRESS:
CITY:
PHONE #
ZIP:
G:VRPISICV lAL
COMPLETE THE FOLLOWING:
FIRTURES EA.
REPAIR/ADD ON 15.00
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FiAOR DRAIN 3.00
GAS PIPIN6 OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TORNAROUND 15.00
5,TATE SURCHARGE
TOTAL
.50 j::9-
?
S l? •
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI./INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT R.EQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRAGT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
1991 BIISIVILCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COPAfERCIAL
2 SETS OF PIANS 2 SETS OF P1.SIVS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES iTEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTFI IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: - Ce Valua
Site Address
Lot 1(, Block ?_
Parcel/Sub
Owner
Address
?
City/Zip Code
?
f
Phone "igg
`•Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code ?? 1,9-3
Phone #
Sewer/Watex Licensed
nace: A
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWGC System _
City water _
PRV _
Booster Pump _
AYPROVALS
Ylanner
Council
Bldg. Off.
Variance _
FEES ?
Bldg. Permit
Surcharge • Sa
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct, Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park'Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change ?
TOTAL
agrees that all woik shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
// I 4Wvi,v Gy?onw? ??r?r,'? 41'?551 ,?-u
HEATLOSSCALCULATION$ HEAYING&AIR CORBDBT90RIIi19G CO. MINNEAPOLIS,MINN.
Weatherstrips A.S.H.V.E. Construction Na. Insulation
Windows Ooors Guide
Reference Out. Wall Int. Well Ceilinp Roof Floor Kind Haw Applied
Yes-NO Yas-No 19__
FI. 'ritoom Length Width ,3y Height ? ? FI. Room Length ? Width HeigM
YJi ndows a nd Doors- Cracka ge and Ar ea Windows a nd Doors- Cracka ge and Ar ea 1'
No. ??Arh
o an Meipht
ol ane Na. ol
h hta Lineel it.
al ?re Area
•. ??.
No' WrA?h
ol ana No?O??
ol ene Nn. 01
li hla l?nael fl.
o/ creck Aree
••It•
t73 . / L
ciee,
Coef Btu Coef Btu
I?filttation
71
1a
Intiltration
1
Glass oi25 -56 A?25o Glass 1 50 Q
Exp. wall Exp. wall
Net exp. wel I Gj Net exp. well /OO
Int. wall Int. well
Ceiling Ceiling /
Floor Floor 1 5
Tmal Btu. s Total Btu. qQ
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
( FI, ? Room Length a(p Wid[h Height FI, ? 'Baan Length f3 Width /a Heiyhl
Wi ndows a d Doors- Cracka ge and Are a +16
? Wi ndows a nd Doors- Cracka ge and Ar ea
-
NO' W?tlr?
ol ene Me?qM
ol ane No. al
h Ma Lmeel It.
al creck Area
oq. tl.
NO? y/,Mh
al one Hx'qhl
n} q?a No. u?
li hts Lmeal h.
oi aeck Aree
•. fI•
X 47 a ? (2) 9 f) 1 /
, Coaf atu - Coa, etu
Infiltretion a0 Infiltreti0n
Glass ? 0 GIas6 p?Q 5p
Exp. wall EKp. wal I
Net exp. wall ?O a/ci? Net exp. wall ?o
Int. wall Int. well
Cailing y Ceiling
Floor ? Floa
Totel Btu. 6 77 Total Btu.
Required sq. ft. E.D.R. or sq, in5. W.A. Leader areA Reqwred eq. ft. E,D,R. or sq. ms. W.A. Leader area
FI. Room Leng[h Q Widch 7 Height FI, M, -BE Roam Length ' WidtA Height
Wind ws and Dows-Crackage an Area Wi ndows a nd Doors- Cracka ge and Ar ea
Nn. Witlth
of ane Haiaht
o( nne No uf
li hta Lineal It.
ol creck Area
E0. 11. NO' ana 'U ahl
uf pnn Nn
h
'o
n
Coef 8tu Coef Btu
Infil« a Inf;lt.rt,an 4417
Glass Glass
Exp, wall Ezp. wxll
Net exp. wall S Net exp. wall
Int. wall Int. wnll
CeiImB Q ? Ceilmg ?
Floa ' flo?x
Total Btu. 55 Total Btu. _
Re4uired sq. fL E.O.R. or sq, ms. W.A. Leader area RpquireJ Sq. It. E.D.R. or sq. ins. W,A. Leader area
HEAT LOSS CALCULATIONS
?•
HEATIR9G&AIR
ei?
t'r0NDIT60N11VC7 r.0.
MINNEAPOLIS, MINN.
Weatherstrip5 A.S.H.V.E. 'Construction No. In6ulation
Windows poors Guide
Reference Out. Wall Int. Wall Ceilinp Rool Floor KuM How Applied
Yes-NO Yes-Na 19
FI. r Length fir x Wid[h /0 HeiBht FI. Roan Lenqth Width Height
Vlindnws and Doors-Crackage and Area Windows a nd Doors- Cracka ge and Are a
N?' wrmh
ol ana Ne'Oht
ol pane No. of
I- htg Omeal fl.
ol clack Area
34, ft
NO' Witlth
o} an! MniOht
o} ane Nn. of
11 ?le Lmeal q.
OI Creck Aree
6. It.
COef Btu Coef Btu
InliltraUOn In1iltletlm
Glass Glasa
Exp. well Exp. well
Net ezp. wall (0 s Net axp. well
Int. wall Int. well
Ceiling ? Ceiling
Floor 61 Floor
Total 8tu. 0561 TOtel Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leadar area Pequired eq, ft. E.D,R. or sq. ins. W.A. Leader aree
? FL p ? Room Length 1 Width HeigM il. Room Langth Width Height
Windows and Doors-Crackage an Area ' Wi ndows a nd Doors- Crecka ge and Ar ea
NO' W,d,h
ol a
ne Herqht
ol ane No, o}
li hte Lineel iL
ol erec
k Aiea
?9i?.
No' WrtltO
e1 ane Hn?qh1
al xnu No. uf
b hte L.neal 11.
ol crecM Arlp
s. f1.
I'
e2Y' ` /ov
Coef Btu Coef Btu
Infiltratian 5 1175
Infiltrauon
Glass ? Glass
Exp. wall Exp• wall
Net axp. wall Net exp. wall
Int. wall Int. wall
Ceiling Ceilinp
F loor F lOOr
Total 6tu. 0 Toial Btu.
Required sq. ft. E.D.R. or sq. ms. W.A. leader area Reqwred sq. h. E.D.R, ar sq. ins. W.A. Leader area
FI. Roan Length Width Height FI. Room Length Width HeiOht
Windows and Doors-Crackage and Area Wi ndows e nd Doors -Cracka ge end Ar ea
No' Witlih
ol dnd He.pnl
of pPne No, ul
?? ht3 Lmeal h.
Ot crack Area
%a• N• No. wimn
U? x??B ?1«i9???
ul Pnn No. n1
?!?h?s Lmeal 4.
of [raek 4ree
e. ft.
Goef Btu Coef Btu,
Iniilttation Inhltrntron I
Glass Glass
Exp. wall Exp. walt
Net exp. wall 'Net awp. wall _
Int. wall Int. wall
Cefl-ng Ceiling
'
Floor _ ??oor
Total Btu. Total Btu.
Required sq. !t E.D.R. or Sq. ins. W.A. Leadar area Roquired Cq. ft. E.D,P.. or sq, ins. W.A. Leeder area
? .
OF
3830 PIIOi KNOB ROAD, P.O. BOX 21199 PFA BLOM9NST
EAGAN. MINNESOTA 55121 Mbyo,
PHONE (612) 454-8100
THOMAS EGAN
JAMES A SMIiH
VIC ELLISON
iHEODORE WACHTER
Special Assessment Search c°°""'"'a""e"
. THOMAS HEDGES
QryAdmimslioloi
Date: A1Q 5, 1986 EUGENE VAN OVERBEKE
CiN aerk
Requested by:
Re : Le'xi-n9ton Srn,are ,
i10-45075-160-05
Universal Title Insurance Co
14031 Burnhaven Drive
Surnsville NIIJ 55337
On the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
on the parcel. In addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council if there are any on this parcel.
The City's policy is to levy assessments based upon the current or
existing use of the parcel, as reflected in the above assessments.
If, and when, the parcel is rezoned or developed to a higher use,
that parcel shall assume an additional assessment obligation as a
condition of development approval. The City Engineering Division
can provide further clarification of this policy if you desire.
WAZVER:
Neither the City of Eagan nor its employees guarantees the accuracy
of the information which was requested by the person or persons
indicated. Nor does the City or its employees assume any liability
for the correctness thereo£. In consideration for the supplying
of the indicated information on the attached form and for all
other consideration of any nature whatsoever, any claim against
the City or its employees rising therefrom is hereby expressly
waived. Levied assessments can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSESSMENT
Attachment
THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMt1Nltt
!
TRFfJSACTION II]: P763 SPECIAL ASS.F.SSMF.NTS
SPECIFiL A55ESSI`1ENTS SEA(iCH SUMMArY
F'R01='ER7-Y I.D. TODAYS DATEe 08/04/86 ---SFFCIAL FLAGS--_-
? T p 1-2-3-a'-5-6-7-•t3-9-Y 0_
SV^`FJV/S-IEJU-UJ
S.A.l++ ASSESSMEN7' DESCIi. YP Yr5 rATE 70TAL ANN.FrIN. F'(yYf1FF CQMMEN'P
100977 SlLATE+EN44) 85 15 ?l.i_'rU? 173.65 .0u0 .00 PREPAY
100978 SSLAT401 85 15 i.t.00"/. 513.81 .iiCa .00 PREPAY
100979 SSTRk;401 85 Y S 1 2.0t>`J, 501.29 .00 .00 PREPAY
100987 4IATEfiARA39 85 IS S 1. UO'/. 286. 4;', .00 .00 PREPAY
100980 W/L^nTBIV395 S'S 1F.3 11.00% 69.:3:= .40 tiO I-'IiE1='AY
SUMMARY OF AC"1'T VE .00 .00 .00
e?rt+irr THIS YEAfi'S TOT P&I .OCi
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REQUEST FOR ELECTRICAL INSPECTION 'Or!""?? ee-0owi- {?
? ?
?- 4 Z 8 2 • See inslructions for corypleting this form on beck o1 yellow copy ?;&}?I C' a/8` Sj
I
?7(" Below Work Covered by This Request
ew Add Rep.,L, Typeof8uiltling ApplianceSWired EqwpmeniWued
= Home Range Temporary Service
Ouplex Water Heater Electnc Heating
Apt. Bwlding Dryer Other (Specify)
Comm /Industrial Furnace
Farm Av Conditioner
Olber(syecily) Gonkaclor5 Remarks
o0
?r
,s? !1 ?dlh? Ip I i 6
Compute Inspechon Fee Below
?k - Other Fee k SerwceEniranceSrze Fae # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers A6ove 260 _ Amps 00 _ Amps
$19n5 Inspector's Use Only.
Irngation eooms
Special Inspection
AlarmlCommurncanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ONT
I, the Electrical Inspecror, hereby Rough-in oat . ?
certify that ihe above inspection has
been made. F,,,ai
0, oaa-,
OFFICE USE ONLY
This rtqvwt voitl 18 months imm
? ?2? 3 O?dY»
?
Requesl OaiB /
- L? A A Cf. h Frt0 No flough- Inspeclron
u
res ? No ??yy
? Raetly No,y'/t?ill Nobrty Inspaclor
? Ouhen Reatly'
I C I censed contractor XQwner hereby request inspection of above electricel work at
JoD Adtlress (Sheet Box or Route J
?/ 6i?ra(f - r City
Section N. TownsM1ip Name or No Range No Couny
???oNT)i?l ? ?Q Pno( ??9 - 9a
Power Supplier Atltlrew
Electncal oNreclor (Compeny Name)
om?' aw n?r' CoMractork L?cense No
Mamng Atl s IGOnvatlw or Owner Makpng Installanon)
?V E-
Authonzeo Signalure 'Convac , ner f?Amg I Phone Number
MINNb90TA STATE BOAqp OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT
Grlggs-Mitlway BICg. - Room 5413 BE ACGEPTED BY THE SiATE BOAFO
1821 Umversiry Ave., St Paul. MN 55104 UNLE$$ PROPER INSPEGTION FEE IS
Flwne (612) 692-0800 ENCLOSED-
10
/0/03 /8Ca REQUEST FOR ELECTRICAL INSPECTION Ee-00001-09
' Sea instrucxions for completing this Irtm on bnck af yellow copy.
029683 :'f." Be7nw Work Cavered by This Request
?.
PIWAAAdIRep.] Typa ai Builtling I ApotiaMea Biree I Epafpmenl Wi,eV ?
Buik Milk
M Fea ServiceEntranceSixe fl Fea Feetlers/5ubieetlers p Fe lrcuits
' 0 to 200 Am 0 to 30 Am Q to 0 Am
Above 200 qmpy 31 to 100 Amps 31 to 100 Arnlis
Swinvning Pool Above 100_Amps Above 700_Amps
Transformers Irtigation Boorrtc Parhal-`Other.Fee-,
Signs Special Inspection
)
Bemarks TQL P 0 ?/
RouOh-in ?TQ 1, tM Elect ' i
? a ?flSOBC?Of? ?1Cf0??
cartiiY lMt Ihe abpvB
Final r i?paction I?as bcen
y de.
w i e /U/631St?
0 3 t- ,?-L?
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/y , /ry Nequi PReaAy Now ill Notify InsUec-
?7 - ? 'T , '` 1, es nNo br When Rcady
?J Licensed Elec[rical ConVaclor 1 hereby requast inspeetion of above
?j Ovyner electrical work ireralled ai:
Straet Aadress, eox or Route Nn.
3e/.2, ??b?'n.lf-?r Glv
ca
cUOn o. Townshiv Name or No. RanBe No. County 1-
OccuuantlPRINTI
«e-vi n Phone No.
23a - 603 ?
Power SuDPlier ? Address
Electrical Cnnlractor IConryaay Namel , V
V
I
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? Contraclor"s License No.
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2
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Mailing Address Conlractor or Owner Making Instailationl
' r).??x 3 e )3u.r-?,s ?? l(? r?'1 rl
AuM riz Signawre (ConhactoJOwner Making Installatian)
Phone N?unOer
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D ?T
YINNESOTA STATE BOARD OF ELECTflICITY TMIS INSPECTION REQUEST MIIL NOT
Griyys-MiAwer Bid9• - Nuo.n N•191 gE ACCEPTED BY TNE STA7E BppRD
1821 Universiry Ave., St Paul, MN 55704 UNLESS PROPEq INSPECTON FEE IS
Plrona 16121297-2111 ENCLOSED.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120428
Date Issued:02/10/2014
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Yumi Ogawa
3921 Gibraltar Tr
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140556
Date Issued:01/03/2017
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Yumi Ogawa
3921 Gibraltar Tr
Eagan MN 55123
(218) 251-6937
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
r For Office Use
Ia
° + i f Permit#: S `7 �`
`*t*�e ;`rot E AGAN .
•
•
4.1,'-" "'It EAGANO Permit Fee: /c:?c•
` ,,,,, 4 ""` ."'E', Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 rd p
(651)675.5675 I TDD:(651)454-8535 I FAX:(651)675-56 ApR 0 Z�19 Staff: .i_
bUildinqinspections6/CitV0feaclan.com ' ' _1
2019 RESIDENTIAL BUIL i - - 7 APPLICATION
Date: 4/8/19 Site Address: 3921 Gibraltar Trail unit#:
,3�i L 1:` i ' 651-815-8979
, at f 44 ; Name: Ogawa, Yumi and Andy Phone:
,.'4;1.-'4-,,-1.4.',4,i,.. ;;,iAddress�City Uzi 3921 Gibraltar Trail
ty p;
,, 1,fm414,411Fi Ill ",,
Ailly i "p ;?. Applicant is: Owner / Contractor Allifirj= lit
E
- ,':' 4'T Bath remodel
,y„ -c-- -: Description of work:
` $9 .00
o'er!i:,1",,,10.,1''-?";'ST { •Construction Cost: ,600 Multi-Family Building:(Yes---/Nom) `. .a
ii l `. '° '' ,E , ;Y company: K2 Bath Design and Remodeling Contact: Damon Lee
y ' ci
+W '71,,,I t � I �
�� !{ ; .?.{ 2010 East Center Circle#100 Plymouth
L'f,,,-,',.. .:!._,,r,,,.-.....f...,',' Address; tY-
"4 .`"s-',14!i::! a " -��. MN . 55441 612-226-44 dies k2bathdesi n.COm
lti, �."rT; , , %) State: Zip. Phone: Email: g
'' ' ' NAT 120063-2
1' I'r 'h, ,�,I'.0� e'' License#: BC638895 Lead Certificate#:
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 end address of master plan;
Licensed Plumber. Phone:
Mechanical Contractor. Phone:-
Sewer&Water Contractor: Phone:
Fire Suppression Contractor. Phone:
.171.r rra �Y,,,, r.; l . ,i_7':,,11-,Y-Y..':°ll il4 4 I !�� ti-77r�' i ,/ —BI A. ._ , 7 L F _tedJ.-r�i,
C3.-.--_.::d-�'tl', f �
'i'....t � ..i.f ef r . :11.r--_•....--:"._L.�.E.....4-i'.C�...7 I :r.R% ,Sf(1,L�..(, „+ri. =1�.
�'—L�..:
. i _�.
..��, ll.,:, .. r:L
�..Tt . ,--:L:— ,.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvafeaoan.00misubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464.0102 for protection against underground utility damage. Cell 48 hours before you
intend to dig to receive locates of underground utilities. wuw.aoaherstateonecall.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 tits 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 appr p a .
x Damon Lee x
Applicants Printed Name Ap Signature
.Q_. 1 6;b12,911.6g_ T /...._ qg ig
DO NOT WRITE BELOW THIS LINE
' SUB TYPES
Foundation Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family __ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex ^ Lower Level — Pool _ Accessory Building
WORK TYPES
New — Interior Improvement Siding _ Demolish Building*
_ Addition . _ Move Building _ Reroof Demolish Interior
_ Alteration — Fire Repair _ Windows _ Demolish Foundation
4 Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall 'Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation ()10(.9'0 Occupancy MCES System
Plan Review Code Edition A , < SAC Units
(25%_100% Zoning 4, City Water —
Census Code Stones Booster Pump
#of Units Square Feet PRV
#of Buildings _ Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) Final I No C.O.Required
—
Foundation Foundation Before Backfill X HVAC_Service Test Gas Line Air Test_Hood
Roof:,_Ice&Water _Final Pool:_Footings Air/Gas Tests ,Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:__Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings—Backfill_Final
—
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In!Final
—
Braced Walls Erosion Control
—
i, Shower Pan Other:
Reviewed By: ' `\ ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review ( �
MCES SACli.f
I,./
City SAC c\f° "
(
Utility Connection Charge ��
S&W Permit&Surcharge
Treatment Plant ( C ,
Radio Meter Read irj
Copies 1
TOTAL
(1/1C\S(1/
, Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA155763
Date Issued:05/31/2019
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Yumi Ogawa
3921 Gibraltar Tr
Eagan MN 55123
(651) 815-8979
K2 Bath Design & Remodeling Llc
2710 Urbandale Ln N
Plymouth MN 55447
(952) 393-5712
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162975
Date Issued:08/07/2020
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
Yumi Ogawa
3921 Gibraltar Tr
Eagan MN 55123
(651) 815-8979
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164895
Date Issued:10/12/2020
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Yumi Ogawa
3921 Gibraltar Trl
Eagan MN 55123
(651) 815-8979
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165214
Date Issued:10/22/2020
Permit Category:ePermit
Site Address: 3921 Gibraltar Tr
Lot:16 Block: 5 Addition: Lexington Square
PID:10-45075-05-160
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Yumi Ogawa
3921 Gibraltar Trl
Eagan MN 55123
(651) 815-8979
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature