4329 Lex Pointe PkwyCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for 5F 1}r'C/GAC. Est. Value $77000 Date APRIL ? ,19 48
Site Address 4329 LF.7(IK"1bN PQINTF; PKWY
Lot 1 Z Block
Parcel No.
o: Name flL"PLU iqOtFSIDIG CQR!
; Address ?7901 T YAIDAM AYE S
0 City '`- • • Phone BP1--i
, o N?me Sb.?`E
? Q ?ddress
?
r-
City Phone
HQ
yVj W
W
Name
r
? Address
u
i W
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City..oi E1agan OrdinanCes..
. ., . ;
Signature of Permittee ' ` ? ??° ` "- i' . i
A 8uilding Permit is issued to: lq1Lr•ii HUU5IRl+ GoFiY
on the Cxpress condition that all work shall be done in accordanCe with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
3 SeclSub. LEXIiiG"f03J PDINTE
OFFICE USE ONLY
On Site Sewage Occupancy R"3
MWCC System X Zoning pD R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) v--N
PRV Required # af Stories
Boaster Pump Length 441
Depth 34 '
S.F. Total
Footprint S.F.
APPROVALS FEES
???'?
Engr./Assess. Permit
38•50
Planner Surcharge
Council
BIdg.Off. SAC,City 100•00
Variance SAC, MWCC 550•00
WaterConn. 550.00
water Meter 67.00
Road Unit 325.00
Treatment P1 204•00
Parks 2
33T-.-w
TOTAL 1
Building
CASH REC?IPT
CITY OF EAGAN
,3830 PILOT KNOB ROAD
. ' EAGAN, MINNESOTA 55122
DATE 19 `'-
?R??
oM \l
AMOUNT
& DOLLARS
,oo
? CASH -r-1 CHECK
-/.Y). ti
FUND OB,JECT AMOUNT
?' ?+ ? • ?
.
_ ?
7 1!? ,
i
Thank You
BY -
.-
??
wnne--Payars covr
Yelbvr-poatlng Copy
Pink-File Copy
1.1
BLDG. JPERMIT N0, l 1 f I? 7-
" l I 'r ? ,_; o_ 1 '-.__.t: ?i I vl
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
J' f3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
Af-3855 Park Ded.
TOTAL
CASH RECEIPT 0
CITY QF.SEAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE / 19 REceiveo ol
FROM
AMOUNT I$ r?'?I` ?i I f-
?
? CASH
43Z
FUND I
$tCHECK
Thank You ? BY
White-Payera CoPY
Yellpw-posting Copy
Pink-Flle Copy
& DOLLARS
iao
INSPECTION RECORD
! CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
• , ;, ? ? rt t'r.w'r . . ??t r?t k M.ta?_
? ? ra:, ? ;f ,•;? ? ;? ? . , .. . . ; ??.. . ,•r.fr t
I PERMIT SUBTYPE:
TYPE OF WORK:
i.: o j. I , i i -N
I I "yH- 1ri I I I ' fNA1
ra Fu
( £iA=: IM`;E it I >
?
?
rr?
Permit No. Pertnk Holder Date Telephnne Y
ELECTRIC
PLUMBING
HVAC
Ins{»ctlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE ?? ?•
FIREPLACE
AIR TEST
L
FINAL PLBG
FINAL HTG
OFiSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
f. . . }
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
To be uaed for Est. Value 5 7 7
Site Address '
Lot Block
r
Parcel No.
oc Name
? Address '
° City
oa
, Name
? ? Address
? City
?W
W Name
W
?n
e w
Address
Clty
14 '79 4 $
•r
19
i:J'f`E P"Y OFFICE USE ONLY
Sec/Sub. -" on ske Sewage Oocupency }
MWCC System Zoning
C
On Site Well onst
(Actuel)
Clty Water ' (Allowable)
'
, PRV Required ? of Storiea
Ph Booster Pump Length
one Depth ? •
S.F. Total
Footprint S.F.
Phone APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge '
Council Plan Review
PhOn6 `
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
. r
A Building Permit is issued to: '
Treatment P1
`
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
Permit No. Permit Holder Date Tstephons #
Plumbing ???- ".?, ? `??;_ .,?.? /? f5.?,
. r"
H.V.AC.
Electrlc
?/ ??c 9
Softener
Inspectlon Dete lesp. Comments
Footings I
Footings II
Foundation
Framing ?
Roofing
Rough Plbg.
Rough Htg. ?
Isul.
Fireplace
Final Htg. D?
Final Plbg.
Bldg. Final
Cert Occ. - `?
Temp. LP
Deck Ftg.
Deck Final
F
Well
Pr. Disp.
i
? '. . ,
(Itrtifiratie af COrruptturg
titp of (tagan
EPparb1tP'tit IIf %HbWg JWPttinti
Thfs Certificate issued pursuant to the requireneents of Section 306 of the Urriform Building
Code eertifying that at the time of issuance this srrucrure was in complrance wrtk the varrous
ordinances of the City regulating building construction or use. For the follo)Wng.•
Use Claesifintion lIQ" Btdg. Pemiit Ho. 14794
i
?P?, Tra ? ?? ? ? ?Z , Type Co.
owwrorBuaang 311IM 1?.?SZ;c Addrm AGF, 50,
a ,: ,, ,
??,+a? :;3? 9 I?aCI1?t;:C?v T.1 i, 733, I?, ,??,?'It"
-flr
p„, ;IiiNE 28. 1W-
Bmlding Offidal
POST IN A CONSPICUOUS PLACE
' • PLUMBiNG PERMIT
CITY OF EAGAN
• 3830 PILOT KNOB ROAD, EAGAN, MN 55121
; Lot Block 3
? IName Welter & H1
? Address 4800 J amee
c City Bloomington
? Name Butler Houaing C
? Address B?I ? yndale Ave.
o City Bloomington Phone
FEES
- vn?.nn-iv? - nF.?wciv N. in-rc- -? iv.w
MINIMUM - COMM/IND FEE - 20.00
? STATE SURCHARGE PER PERMIT - .50
'(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
J??'1^v?/ Z (;.l.k rf,GOC??-? C. if II
?
I SIGNATURE OF PERMITTEE
FOR: CiTY OF EAGAN
PERMIT #
RECEIPT #
DATE: ?
BLDG. TYPE WORK DESCRIPTION
Res. h New :{
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
4-Water Closet - $3.00
Bath Tubs - $3.00 - •
?-Lavatory - $3.00 3.00
,._Shower - $3.00
1 Kitchen 5ink - $3.00 5 •
Urinal/Bidet - $3.00
-__Laundry Tray - $3.00 3.. ao
Floor Drains - $1.50
TWater Heater - $1.50 ? • ?
Whirlpool - $3.00
__T_-Gas Piping Outlets - $1.50 •
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openings - $1.50 4.50
FEE 24.5o
STATE S/C: ' 50
?.c.
GRAND TOTAL• I
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE ' PHONE: 454-8100
Site Address
Lot?./ -
lock ' -
Sec/Sub BLDG. TYPE WORK DESCR?ION
,
? Res New
?
Name'
Mult. Add-on
i ? Address Comm. Repair
' c Ciiy Phone Other
,
;
FEES
Name RES
HVAC 0
100 M BTU
m .
-
-$24.00
3 Address 0 6/ ADDITIONAL 50 M BTU - F
pp
O C?tY Phone - .
(RES. HVAC INCLUDES A/C ON NEW
? CONSTRUCTION)
AS O
G
UTtETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMMIIND FEE - 1% OF CONTRACT FEE
Forced Air BTU APT. BLDGS. - COMM. RATE APPUES
TOW
Boiler
? M BTU NHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 42 BEYOMD $1,000)
Oth
er
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL• 40
FOR: CITY OF EAGAN ?
?
PERMIT #
PLUMBING PERMIT RECEIPT ti
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 'CONTRACT PRICE: PHONE: 454-8100 /j
? Name M11nflCJV1R n111[R IRCRIMEII1 IIllr
?,address 1461 94 h L NE N.E.
c Ciry AINE,MB655434
Bh
? Name ?--
; Address ?R 6 -rA ?S.
p City Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK OESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
Water Closet - $3.00 t
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
-
(MINIMUM - 1 PER PERMIT)
-)-Softener - $5.00 ?
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: -
GRAND TOTAL• - - `'
CITY OF lAGAN
3830 PNot Knob Road
P.O. Box 21199
Eagan, MN 55121
Owner. ?ut
Site Address: ?3'_
550,
Conn. Chg: -??
Acct Dep: 1 ,,,
Permit Fee:
Surcharge:
Permit No:
Meter No: a' 7 ?
Reader No: a3Aq_<?
Dete: 4 21-fl9
Size: 5 oc /
Datec
' ^1
?040itit{ti4iPS .1
. ;-z,?
I' L.C I t;il' I I ? '
aaree to comply y?Ith fhe City ot Eagsn
I
CITY OF EA0AN Permit No: - Date: ZL
3830 Pitot Knob Road B/P No: Date: ?-P.O. Dox 21199
Eayan, MN 55121
Site Address: ° r11'? T.•exiZ?ton Poir?te Pk-r•y LI, e
Plumber '?c? ter ?L 131.riylncl.
MWCC:
Zoning•
City Chg: i? ??! •'•??a? No. ot Unit,s: l
Acct Dep:
I agree to comply with the City of Eagan
Permit Fee: • Ordinancas.
Surcharge:
By
SEWER SERVICE PERMIT
..,R?.. „
;-?--_- r,
?
9 SO 1 Deta
CITY OF EAGAN permit Na' Size:
3830 Pilot Knob Road Meter No: Date:
P 0Box 21199 Reader No:
Eagan, MN 55121
-?!*1cr .1 1 r,', r`.. ?oiate
Site Address: _? lact:
1 1
Plumber
. C?n4 Zoning: 3.
Conn. Chg: No. of Units:
Acct
Permit Fee: ? ?9an
ree to comply w?h ?e Ci?Y
I
. ?, ag
Surchar9e: Ordinances-
Tr. Plant 57 ,
Meter
gy
Misc :
E
R SERVICE PERMI _
WAT
1[?-- - _ - --- -- _ _ _- - - - -- - - --
CITY OF EAGAN N! 14 7 9 4
3830 Pilot Kno6 Road, P.O. Box 27 •199, Eagan, MN 55121
n / 0
BUILDING•PERMIT PHONE: 454•8100 Receipt # 9Ol4!/
To be used for SF DWG/GAR Est. Value $77 , 000 Da[e APRIL 7 ,1g 88
Site
Lot 11 Block
LEXINGTON POINTE PKWY
3 Sec/Sub.LEXINGTON POINTE
OFFICE USE ONLY
OnSlteSewaga _ Occupflncy R-3
MWCC System X Zoning PD R-1
On Site Well (Actual) Const V-N
Cdy Water X (Allowable) V-N
PRV Reqwred _ # of Stories
Boos[ei Pump _ Leng[h 44'
Depth 50'
S.F. Total
Footprint S.F.
Parcel No
s Name SUTLER HOUSING CORP
3 Address 8901 LYNDALE AVE S
° City LOnM N TON Phone 881-1515
°`o Name_
.
?a Address
? City_
r
wW Name_
FW
_= Address
U?
aW CItY-
I hereby acknowledge that I have read this applicalion and state that the
mformation is correct and agree to comply wrth all applicable State of
Minnesota Statutes and Ci gan OrdQinannce
Sgnature of Permittee ____?{?Cdm'
A Bwlding Permit is issued to: BU LER_HOU$I_NG--GQBP _
on the express contldion that all work shall be done in accordance wrth all
applicable State of Minnesota Statutes and City of Eagan Oidinances.
Building Oflicial?,1A?
APPROVALS FEES
Engr./ASSess. Permit 482.00
Planner Surcharge 38.50
Council Plan Review 241.00
BIdg.Off. SAC,City 100.00
Variance SAC,MWCC 550.00
water Conn 550.00
WaterMeter 67.00
Road Unit 325..00_
Treatment P1 204.00
Parks
2
557.50
TOTAL ,
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
P Sae instrucbons for comOleting this lorm on Eack ol Vallow coCV. ?
n ??? ?/ ??
(? ?' ?92 2 V "'X" 8elow Woik Covered by 7his Request
MewlAdtll Beo.l Tvoa ni Bwlamn 1 Aoolmncea WireA 1 Equoument Wired I
EleCtnc
Air Condrtioner
tion
# Fee Service Enhance5ixe h Fee Fneders/SvAfenders # Fne Circuits
U to 200 qm s 0 to 30 qm s D m 30 Am s
Above 200 q?n>s 31 to 100 Amps 31 So 100 Am s
Swimming Pool Above 100-Amps AAove 100_Am s
Transtormers Irngation Booms Partial.'Ot r Fee
I ? ?Signs ? ? J5peciai hispection TOyALFiEE
flermrks ? ?-r ?
Insoecbr, heraby
erb?y thet tpe above
D?:?}e mapechon has been
-{7? .7? meae.
thu reQuest voitl 18
This requesl void ?/p?? ^??? cy
18 rr?onths lrom O j ?
Request q2te
[J'/Z? S'j? Fire No. qouph n InsuerUOn
Re i{sA> ~v ?/
?ReatlYNnwIY1WiII4nGtYlnspeo
"
7 ?, 1'es ?NO r
?a? When qeatlY
L¢ensetl ElecVical Contractor I hereby raquest inspectton ol abova
Ow^Pr elecirical work installed at:
Stree[ AdSlress, 8ax or Roure No.
ti/32- tOl. Pf-kw (;iiy
?aaC?2n
ecurni o. Township Name or No. Ranu. No. Counry
Q kQ??G
Occ{u?G t IPHIyy?J T
-!M?'/ Phune No,
Po?"}? S"Pql,e?
a 1!. L ? ?'
t?c,e ? AAdress
?c{rry7l?r
ElecVical ConVac[or ICom an N.imel
/?.S?Jen ??r? Conhacmr Lmen,p No.
Mail nB AdJress ICOnlractor or Owner Makine Instailatfonl
7&7s (-/l i3 - tlaov i?.
Au[h/{ ¢ed SiBnTturg ICOntracmr/O er Making Ins[allatmnl
`7 J< / L W AKZL? PhoneNQumber
sS (U-?n???
MINNESOTA STATE BOAPO OF ELECTNICITY TMIS INSPECTION NEQUEST WILL NOT
Grogpa-Midwey Bltlg. - Room N•191 BE ACCEPTEO 0V THE STATE BOAPD
1827 Univarsitv Ave.. St. Veul, MN 65700 UNlESS PROPER INSPECTION FEE IS
Phona(617) 6420800 ENCLOSED.
; SQUESTuFOR EL?EC?TR?ICA g,NSPECT?IONck ot veiio.. cocv. ????OC?
l ( [?
?v.?• -. ,q9G 3 7 "X" Be/ow Work Coveied by This Request
Pba? HAd Bep. TyOe of Builtline ACVhuoeee Wired Equiyment Wved
Home Range Temporary Service
Duplex Water Heater Liyhtinp Rxtures
Apt. Bwlding Dryer Electnc Heatin
Cominerual Bldy. Fumace Silo Unloader
InAustrial Bldg. Air CondiLOner Bulk Milk Tank
Farm otnn. pec17v Ctne, (5nocify)
i e. rv oino, nm?s,
Cnmpufe Insaection fee Below
p Fee ServiceEntmneeS-xe tl Fee Feedors/Subleaders p Fae Cvcwm
( Z,_ (Sp U to 200 qm s 0 to 30 Am s 12 . C;D 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 qm ,
Swinnning Pool Above 100 _Am?s Above 100_Amps
Transformers Irriyation Boortis .S?? Partial-b
the
r Fee
Signs Special Inspec[ion S
' /
-
TOT E
F E
1
AerrNrks ' ? ?
w
???ry. ?
flougM1-in u'11d ni !tn Electricx
? f'0? Inspec oby
1e?? cerLfy that the ahove
Finai inspection has been
? natea.
Tme repueet voI01B montna iram
+?Gd%
I herebV request inspacbon ol ebove
? Owner electncel work installad et
Street Address, Box or Route No.
Lf3 Z"/
?
k
?
U Ciry
cf xr rl
ca,
. r
m
-
ecunn o. Township Name ar N Range No. Coun
G/I?Z
Occu [IP N 1 Phune No.
Powe uppl?, r??J?, Address
Electncal CnnVactm lCOmDan N mel
?-S?J?/? ?L, n?, ConVact s Llcense No.
MailinB ?4dJless (COnVactor or Owner Makmg Instailauon
7 ??'s-
?
?
3
w I
,
-
Authorr ed SiBnatu e(Convactor Ow r Makiny Instatlabon) Phone Numb r
? I?1-??
MINNESOTA STATE eOAXD OF ELECTHICITY TNIS INSPECTION PEQUEST WILL NOT
Griggs-Midway Bldg. - Room N-181 BE ACCEPTED BY THE STATE BOAflD
1827 Univarsotv Ava.. St. Peul. MN 55109 UNLESS PPOPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
This reques[ voltl
18 nnnths (rom l7' Q}
RESIDENTIAI. BUILDING
? g0i? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
O?ooo
,,V 4uao 1?1/616
New Construction ReauiremenLs RemodeVReoair Reauirements Office Use Onlv
3 registe2d site surveys showing sq ft. of lol, sq. ft, of house, and all roofed areas 2 copies of plan CeR of Survey Recd Y_ N
(200/o maximumlotcoverageallowed) lsetofEnergyCakulallonsforheatedaddNOns TreePresPlanRecd _Y _N
2 copies of pian showing beam 6 window sizes; poured found design, etc. 1 site survey for addiGons & dedcs Tree Pres Reqd _ Y_ N
1 set of Energy Calcula6ons Addi6on - indicate tl on-site septic system On-sRe SepUc System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711l93
Rim Joist Detail Options selection sheet (bldgs with 3 or less unBs
Date 1 Z l / I / 02 60?3 ConstrucGon Cost
Si[e Address y '> r? A UniUSte #
DescriptionoFWork rtV1i?{1 tnU )vX' l-eifl-2 ?rSi7/Y YIPi?
Multi-Family Bidg _ Y}1 N Fireplace(s) _ 0 2
Property Owner 40 f'r JY GI?AVL Telephone # ( sl
Contractor LOC"?'/
Address 33 4-5' 37 City
State yA%1/. Zip Telepnone #( 6/2 ) 7-? /- 3S J/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsu6missiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber_ Telephone #(
Mechanical Contractor U 1'? [11S 1?21°' - I Il 1 Telephone #(
Sewer/Water Contractor ?yll l UtL 1 2 200 ? Telephone #(
I hereby apply for a Residential Buildirirmit and aclrnowledge 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 pernut, and work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name Applic s ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy R` 3 MC/ES System
Census Code Zoning pE) City Water
SAC Units l Stories Booster Pump
Nbr. of Units c7 Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const S?f-f Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ RL _ Air Test _ Final
l InsulaHon
REQUIRED INSPECTIONS
_ FinaUC.O.
FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ AidGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By ?(° / 9"f s?3 Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?
RESIDENTIAL
BUILDING PERMIT APPLICATION e)i`-1a -7 5
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MPI 55122
651-681-4675
New ConaVUCtbn Heoulroments
• 3 registered she surveys showing sq. N. of Wt, sq, n. of twuse; and aII raofed areas
(20% maximwn 1W coverage etlowae)
• 2 copies M plan showing beam & wintlow sizes; poured found design, atc.)
• 1 set W Energy Calculetbn5
• 3 copies W Tree Preservatbn Plan if lot pletled eiter 711193
• Rim Joist Detail OptbT)v clbn sheet (hldgs wMh 3 or lass unAS)
DATE d q
SI TE ADDRESS
TYPE OP
APPLICANT
STREETADDRESS Al"<7 5 /741K?hQ?
TELEPHONE # CELL PHONE #
PROPERTY
tzn' 1?)Vvr?
STATE
FAX #
b l ?
TELEPHONEq ( OS I' qV `T l 7R
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CAT'EGORY 1 MIN ;
?
(J submission type) • ResideMial Ventilation Category 1 Worksheet Submitted • N ff_ y@pda=W
• Energy Envelope Calculations Su6milted ?
.IIII 2 5 2002
Plumbing Coniractor: Phone # _
Plumbing system includes: _ Water Softener Iawn Spruikler
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Confractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
--°--°-----°-----------°-------------------°°------------------°---------------°----------------------------------
I hereby acknowledge that I have read this appllcation, state that the information is correcT, and agree to comply
wim all applicable State of Minnesota Statutes and City of Eagan Orlqances.
Signature ot Appllcant
OFFICE USE ONLY
RemodeVReoair Neaulrements
• 2 copies ol plan
• 7setofEnergyCalCUI9fi0nsfOrheatedaddBbns
• lsitesurveyforeaerbratldilbns&decks
. IntlMate tt home servee by septic system for add'abns
VALUATION 6-
?-
?T MULTI-FAMILY BLDG _ Y N
FIREPLACE(S) ?z0 _ 1 _ 2
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
CT.TY OF EAGFlN
CASH:CER; JS TEkMINAL N0: 351
?ATE: 11/06/97 7IMG: 14:37258
ID-
NAME, ALLIE:.Ci FIRGSIDE INC
3210 9001 4329 L_EX F'T'C FFC 50.00
205 3001 4329 LEX PTF F't: 0.50
3210 3001 1421 FEB[f:CA LN 50.00
205 9001 14c?.1. P'tF_.REGCA LN 0.50
3210 3001 1973 SAFAFiS TR 50.00
205 9001 073 SAFAftI Tfi 0.50
?
Totat Feaeipt Am0u114 ; 151.:70
CRC70f?'63
t.15ER ID: JAN
__ _.ri
? •.. CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 551 22-7 897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number: B U I L DI N G
091077
Date Issued: 11 / 0 6/ 9 7
SITE ADDRESS:
4329 LEX POSN7E PKWY
LOT: 11 Bl.OCK: 3
LEXTNGTON POINTE
P.I.N.: 10-45070-110-03
DESCRIPTION:
(GHS INSERT)
rmit Type FIREPLACE
r*. 7ype NEW
434 ALT. t2ESIDENTIAL
a' ..
.'a?-°_.._-h
REMARKS:
? tF'-° .9 ' i .r81 d ? '
%m ?
y??, ? GS g??,? $$q $p ?„qp??{
? '?"Y?.imdr 6am a '°' ?P. ..%
FEE SUMMARY:
ease Fee $50.00
Surcharge $.50
7ota1 Fee $50.50
CONTRACTOR: _ Applicant - s7. I.IC OWNER:
FSRESIDE CORNER INC 16332561 2009091 HOLTAN RICK
2790 N FAIRVIEW AVE 4329 LEXING70N PTE PKWY
OSEVILLE MN 55113-0847 EAGAN MN 55123
?612) 633-2561 (612)459-9973
9-3 "
x?+yh?f?rpeby„y? ?takn(owlaag?e 'ythaqt_g? ?hau,?p°?'y?"??.+?a?p9y: £?ry??y?? ?'??;?1???j???&??5??1? ?
µy ? ?y? L(s A
o,
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wll.???M4?? &?ii?"_4.1sM;?r ?Fi? 4m4?i11.??` ?i?Z?§i??MS?GfF?3?rtI SSL && ?? F.F?S,.'brs?vom+e?s??g?rxe.'?=cXa.+$-38??A??.Y???
s . .
? ..:.... .... _ £..t_._ ........_ ... ....,_ c .._..,.v?c<uees-.
APPLICANTlPERMITEE SIGNATURE
hrAan R.?1? rn??
ISSUED 6: SIU?NA U E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
31041, 681-4675
DATE: PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT E?W FIREPLACE _ ALTERATIONS TO EXISTING
-4Y INSTALL GAS INSERT ONLY
STREET ADDRESS:
INSTALL GAS LINE ONLY
OTfER:
3 29 LC5x( Aj4 z-oIll / i. 1 IC uj `e b
LOT 4- BLOCK SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER CONTRACTOK
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name: Lo 121 ? ?ic.V- Phone
Signature:
Street Address: ??
CiTy: State:? Zip: SS ( 7 3
6?3 -? s'T,
Company: Phon? 1990 - 0 75'f
Signature:
Street Adress:438 ED ` w -
YC.nS SYL LL?
GAS LINE
INSTALLER
Company:
Name:
Street
City:
* 13 License #: 2-00 fo ?l/
State:
Zip: 6?-3 317
Phone #:
Zip:
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
-4t ly-7G4
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNEft LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT 25 ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
CONAtERCIAL
OE SQAVEY - CHECB WITH BLDG. DEPT.j
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS REC'(f i'.i
,?fiR 3 2 igg8
To Be Used For:'5'
' Valuation: ??-
F&L
._
Site Address
Lot Block
Parcel/Sub
owAe? ld?Nt%? 6*600.
Address Q ? ?? " K O
City/Z1p Code
Phone S58 1 ^ iS t c-
Contractor 5
Address
City/Zip Code `
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Onisit?e tage
MWCC system ?
On s3te well
City water ?
PRV required _
Hooster Pump _
9PPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Date: `? 3a w
Decupaney R'3
Zoning PD, R-t
Aetual Const V•N
Allowable V -I?1
U of stories
-
Length 4
T
Depth SU'
S.F. Total
Footprint S.F.
FEES
Permit `182,00
Surcharge 3 , o
Plan Review Zyl , o0
SAC, City )oD,od
SAC, MWCC 550,0o
Water Conn Ssv, a?
Water Meter 6r7,vu
Road Unit 32$.ob
Treatment P1 Zo'/.oo
Parks
Copies
TOTN. ? ? -
` - -? VAtu,A?.io y
G AR??
22x7-H= 52`6`Cly-'-?392
1?_S
26x?r0 ? ?dtiv Xi3 = 13gZo
?luu5e
r?5rr? •'? luyv
I'/?xr? 17
1 +?q ? 55 5G. G
?16N?18'
n
88-035
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE q00DLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
BUTTLER HOUSING
LEGAL DESCRIPTION: LOT II ,gLOCK 3, LEXINGTON POINTE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNES07A
N ?
o?
$?
Cn
LOT 1 L?
%
N
.°d c
z
?
ax? ?
9
-t2?36Za `
N ?
LOT
?
1 9g,"2
1 \ '-
() v
V
?
?
?
\ +
?
? `
O \
I g8^5 \
9g2?0 ?
No3SE
1 0
9??`
l
9 I
GIpN
LEGEND
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
se2xo DENOTES EXISTING SPOT
ELE VATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby csRify fhaf tAis survey, plan or
report was prepored by me or under my
direct auperviaion and that I am a duly
ReqisfareE Land Survtyor undar the
Laws of the State of Minnesota.
Bradley wenson, Mn. Rep. No. I5239
Dare ? 3?28/88
N
J \`
z'
. ?
?
?
?
?
\--'g93L ?
*0
L-0 I i 2
N?
01
SCALE: I" °30'
o ?g8+6
98??'Se/?
=°3? PPRK?p,?f
pp?N?E
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION A
PROPOSED FIRST FLOOR ELEVATION si__
PROPOSED BASEMENT FLOOR = L??.
ELEVATION AT WALKOUT
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
!''PLEASE N171'Ee:., 'tHE CITY''WILL•PROVIDE.ONE' COPYtOF:-SbS%7ER! ADID+S+IATF?ta!PIItMITS
PERSONS'. REQPICRING• ADDITIONAL COPIFS WIIS; BE CHARGID A S20:00r FEE' TO' COVJ
CITY OF EAGAN
4 51ob
APPLICATION FOR PERNIIT SE4M ADID/OR WATII2 CONNECTION
(Please Print)
PROPERTY AMRESS' 4=320 Laxiagton Point Pprkway
IEGAL DFSCRIPTION: Lot 11, Blk. 3 Lexington Point
(Lot Block Subdivision or Tax Parcel I.D. Number)
IF EXISTING STf2L'CTURE, DATE OF ORIGINAL BLILDING PERMIIT ISSC'ANC'E:
PRESENP ZANING/PROPOSID OSE:
(Nbnth Year)
R-1 SINGLE FANIILY
R-2 DCPLEX (Trro Cnits)
R-3 'IC)WN[-IOC'SE (Three + Lnits)
R-4 APARTMENT/CObIDONIINIL'M
CODmEZCIAL/RETAIL/OFFICE
I?0L'STRIAL
ZNSTI7['TI ONAL/GOVII2NMENT
( Units ) -- -
( Onits)
2) Q?
NAME: Welter & Blaylock, Inc.
ADDRESS: 9800 James Circl&
CITY, STATE, ZIP: Bloomington, MN 55431
PHONE: $81-3171
3) • r.?•
N73ME: Welter & Blaylock, Inc.
ADDRESS: 9800 James Circle
CITY, STATE, ZIP: BloominQton, MN 55431
PHONE: 881-3171 MASTER LICIIdSE #257
For City Lse
Plumbers License
CI Active
G7 Expired
O Not Recnrc
Staf?In'itial
4) • r ?•
NAME: Butler Housing Corp.
ADDRESS: $901 Lyndale Avenue S.
CITY, STATE, ZIP: Bloomington, MN 55420 PHONE: 881-9166
5) 1e •?+' • ??
tf COId. I?C PION 'P0 CITY SEWER g3 CONNIDCTION TO CITY W41TER
Q OTHER (Please Describe)
6) 07 • ?
? PLEASE HOLD APPROVID PER6ffT FOR PICK-L'P BY ONE OF AHOVE
Qd PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) Oa,La? on.x.) 84 n.m.? 4-18-88
FOR C I T Y U S E ON:,Y PERMIT °- ISSUED
F.r...r'_.S: $ J(J SE'.ILD ?)rRMTT (INCI..:Di .]U?.?.C?:A'.ZGG)
$ 5-2) WATER PERP[IT (Ip1CL'uDE SIIaCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:vER TA?
$ ZrC.Oi.:._ ==OS27 - ..=3
+S rG9 O ACCOUNT DEPOSIT - F7AT£R
$ • e9 D wAC
$ SO ' CJ U SPC
$ TRUNK t4ATER ASSESS2IEJIT
$ TRli:1K SEj•7ER ASSESSME:IT
$ LATE?,aL BE:IEFIT/TRUNK SE:,--R
$ LATERAL BENEFIT/TRU.IK IQATER
$ 12(4`&_0 WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ '0 O AMOU:IT PAID/qECEIPT
Gyv g'3e r 7
DOES UTILITY CON NECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
? YES ZF YES, THEN n"PERMIT FOR TAOR?C WITHIN
PUBLZC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDT-
'?'ION.
SUEJECT TO THE FOI.LOS4ING CONDITIONS:
APPROVED BY:
TI:LE:
DATE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4329 Leg Pointe Pkwy
Lot: 11 Block: 3
PID:10- 45070- 110 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Addition: Lexington Pointe
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
Total: $70.00
Owner:
Richard P Holtan
4329 Lex Pointe Pkwy
St Paul MN 55123
$69.00 0801.4085
$1.00 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA075379
10/05/2006
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4369 Leg Pointe Pkwy
Lot: 5 Block: 1 Addition: Lexington Pointe 3rd
PID:10- 45072- 050 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
- Applicant -
Owner:
Juanita 0 Mora
4369 Lex Pointe Pkwy
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$69.00 0801.4085
$1.00 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA075380
10/05/2006
ePermit
Use BLUE or BLACK Ink
---------------,
� For Office Use I
I
� n j Permit#: � I
��� �� �d�a� � . �}= �
3830 Pilot Knob Road � Permit Fee. �
Eagan MN 55122 � I �
Phone:(651)675-5675
� Date Received: �
Fax:(651)675-5694 � j
� Staff: �
� ________________�J .
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 3/11/15 Site Address: 4 3 2 9 LEX INGTON POINTE PARKVdAY, EAGAN, MN 5 512 3
Tenant: Suite#:
, � ��� � ��� � � � �
;� ����� �,��� Name: RICK HOLTAN Phone:� 651-295-721�4
oo�, � �
� �
� �'� 'r� ' °���"�� � Address/City/Zip: SAME
-���� —
_ - s_ y
�, , � `� � rvame: K&S Heating, Air Conditioning & Plbg LLC�.;�„se#: MB5216 �
� �����'�" � �� address: 4205 Hwy 14 W c�ry: Rochester �
�#r�a��` ` _
,��; State: �MN zip: 55901 Phone: 507-282-4328
m ' ��� =
�= ��� Heidi Brown� hbrown ksheatin com�� � � �
_- Contact: Email: @ g•
� 'tm. 4"a� . .... �. � � . �.. .
�, ,��� ,� � ' New XX Replacement �� Additional ����Alteration Demolition
��°��� � ��ii�'���� � p REPLACE FURNACE AND AIR CONDITIONER.
�p� ����,� Descri tion of work.
i il i.�.� � _ . ._ � i �= � I 7N 'Iue�lil�UGlii,nu��N6��ri . . �
� ���� X = �E��fiIC��It��U�`k � � �1��_��#1i'n � h �! ������+��'��t�k"}It'�� ��i� °
�� � i!i � 5 - �r � �� ti �,� �d�,r �il,��� I�'M ��k�f��M'� =
,d,�i�� � e ati����itC1'�C #�hM��� �`� �
u1�� i, i�a � i� —
�= u , � a.,�,_ �v .•.�. .� x= ��=a���
sr� .. � _ , � �� �,. ��.�
��a�f�; �, 'i �
,,�;�,� � RESIDENT/AL � � COMMERCIAL � ���
a��i�� � °�u _ � ��
� � � � XX Furnace _New Construction _Interior Improvement �I
; , � —
������1 '� �XX Air Conditioner � _Install Piping �� _Processed �
����� ' �
�_��h �_ � _Air Exchanger � _Gas ��� � _Exterior HVAC Unit �
��� �� -����"� —Heat Pump _Under/Above ground Tank �Install/ �Remove)
�- � —
'���� ��� p�,'I'� Other � � �
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.0� TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
"`"`If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
*"*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X Rick Keehn X� �, _
ApplicanYs Printed Name Applicant's Signature
� _ �' ., -� �i� - ,y�I+�Y� - pl�l� � ' �qlpli� :. � � � ��`$< <r��aa'���� . .
� % I p d ( 5 I �i �i �d I ii�'�hbti �tiA.�.;rw�4,".�ui 4�5�� -�� *�� q i = � r� ,.
�!�.=�8i4 tYt�Si� ��' ' 7 _°,� �-F����IN��� ,��� �1�"�t � n ���r�i�dai��7�=� — �,I,��
�} ir �� �±-�� „�'�—'" (. ... +J� �,� �5 - ��-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172070
Date Issued:09/14/2021
Permit Category:ePermit
Site Address: 4329 Lex Pointe Pkwy
Lot:11 Block: 3 Addition: Lexington Pointe
PID:10-45070-03-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. Call for final inspection after installation. When a weather barrier is installed or
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 -
Richard P & Lori K Holtan
4329 Lexington Pointe Pkwy
Saint Paul MN 55123--192
(651) 295-7214
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature