4308 Kirsten CtCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT -
Nce 59QC
Receipt # i
Te 6e uad for ;?;' DWG/C,AP Est.Velu e ', i?;;ODote A PRIL 24 , 19 &4
Site AddrBSa 4 ? 0 f"'' KTP'.`T•DT! ?•`?. Erect [y OcCUpancy
Lot 1 ?- Blcek ?Sec/Sub. Alter ? Zoning
Percel No. Repoir ? Fire Zone
E
l T
f G V
n
arpe ? ype o
onst.
W Name Iq T?UCTI("r' 1 'N C:' Mova p # Stories r,
; Address • q "n.` 29297 Demolish ? Length 5 0
b City "' z.L`I'id PK Phone '7 ?? 7 Grade p Depth -? ? Sq. Fi.-
cF_?,r
O Name
?? Address
f- City Phone
Name _
Address
City -
Phone
I hereby ocknowledge that I have read this opplication and state that
ihe intormotion is correct and agree to wmply with oll applicoble
State of Minnewta Stotutes and City of Eagan Ordinances.
Siyncture of Permittee
- ,. -,,. . . ,..,.
Assessment
Water 8 Sew.
Palice
Fire
Enq.
Plonner
Council Z/17/84
Bldg. Off.
APC
Permit +c' 298.00
surcha.9e 2 7. 5 U
Plon check 149.00
SAC 525.00
Water Conn. 4-10• n n
Wcter Meter 63 • OC)
Road Unit 2E 0. U G
Total
A Building Pertnit is issued to: -'iC' on tha express condiNon fhm
all work sholl be done in accordorxe witFroll opplicable Sfote of Minnesota Statutes ond Ciry af Ea9an Ordinances.
I 1 ` ?
Buildinq Officioi
?1
Permit No. Parmit Holder Misc. Permit No. Holder
PlumbinY SOME
H. V.A.C.
Well
Weter
Disp.
Sewer
Elect.ic DyGg 3 La2,ey- Y .
Inspection Date Insp. Othar
Footings
Foundation
Fremin9
Rouph Plbp.
Rough HVAC
Inwlation
Final Plbg.
Final HVAC
Finel
Watar Dascri6e Location:
Well
Sewer
Pr. Disp.
Zl ? A/ i L t/ i i V 1 \ itL V V ? ,(,' 1
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, , ,;?, ?• .
SITEADDRESS: APPLICANT:
, ii, iiN ? I f i. i1 ri i
-.,.ir?,t. ? .•Nis ?,r.i.) :??,; t:i It+ .
PERMIT SUBTYPE: TYPE OF WORK: _
,.,A Yn
;,?,:
INSPECTION .. . D•
,,, ..
?
a_
,5Y
I I ) ? ?l Fti ?' .
e ??
Permit No. Permk Molder Date TNephone N
ELECTRIC
PLUMBING
HVAC
Inspsctlon Doq Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
TY OF EAGAN SEWER SERVICE PERMIT
30 Pilot Knob Road
0. Box 27199 PERMIT NO.: _
9an, MN 55127 DATE:
^in9: No. of Units:
'IfEr: •`-:oIl i!•_.
Address: 'I^M)° rirsten Ct L11 Bl. Sunset Z
_-
I agroe to eomoly wkA fhe G1y of Eagan Connedlon Charpe: 4 -
Ordinanees. Account Deposit: 15 • 23 ?
Permk Fee: I ? rnl? r""
Surcharge;
Bv Misc. Chorpes:
Date of Insp.: Total:
I nsP•: Date Poid:
CITY OF EAGAN WATER SERVICE PERM(T
3831+? Pi'rst Knob Road -
P. O. Box 21199 • PERMIT NO.: -'
Eagan, MN 55121 ' ' ' '?•
DATE:
ZO^i"g' No. of Units: ?
Owne?: r, -"%`=" `.X'L:Ct1Gi7 II1C
^dd.ess: Kirsten Ct L11 B1
No.: f-040=y Connection Charge:47Q . 00 Ad
Account Deposit: 15.00 pd
?
,,.Permit Fee: 11. (ir) pd
ageN to
? ?"" "lGllx. Chorges:
QUIR? Y L yOtal:
By Paid:
Date of Insp.: Insp.:`
CITY OF EAGAN Remarks
Addition SUNSET 2nd ADDITION Lot 11 lk 1 Parcel 10 72986 110 01
a
Owner
streec 4308 Kirsten Court State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1981 196.67 9.83 20 aid unde ori inal ar el
SEWER LATEflAL
WATERMAIN
WATER LATERAL
WATER AREA s'/ - 1981 196.67 9.83 20 paid u d ori inal ar el
STORM SEW TRK 03 1985 668.45 44.56 15
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 260.00 #42767 4-24-84
WATER CONN. 470.00 ti 11
§UILDING PER. #8996
SAC 525.00
PARK
CITY OF EAGAN
,
` ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 . ? 8996
PHONE: 454-8100
BUILDIN6 PERMIT Receipt
To be wed for SF DWG/GAR Est. Va1ue $ 55, OOO? Dote APRIL 24 I q 84
SiteAddress 4308 KTRSTF.N C'T Erect [}K Occupancy R3
Lot 11 Block 1 SeclSub. SUNSET 2ND Alter ? Zoning R1
Parcel No. Repair ? Fire Zone N/A
l
E f C
t
T U
n
arge ? ype o
ons
.
a Name OXFORD CONSTRUCTION INC Move ? # Stories -
Z Address P• O• BOX 2 9 2 8 7 Demolish ? Length 5 0
City BRKLYN PK phone 571 -8257 6rode ? Depth 37 Sq. Ft.-
CK N SAME Approvals Fees
0
o?
u?
r
ame _
Address
City -
Phone
WW Name
?
x-? , Address
? City Phone
?W
I hereby acknowledge thot I have read this application and stote that
the informotion is correct and agree to comply with all applicoble
Stote of Minnesota Statutes and City of Eagan Ordinances.
Assessment
Woter 8 Sew.
Police
Fire
Eng.
Planner
Council 4/17/84
Bldg. Off.
APC
Permir $ 298.00
Surchorge 2 7. S 0
Plan check 149.00
SAC 525.00
Water Conn. 470.00
Water Meter 63 _ 00
Road Unit 2 6 ?_ Q 0
Torol , • 5 0
Signature of PertniMee I
A Building Permit is issued to: OXFORD CONST INC. on the express condition Ihnt
all work sholl be done in accordance yAthv,*U oppiicoblefstqte of Minnesota Siatutes and City of Eagon Ordinances.
Building Official
UC9?vff95? ?CITY OF EFIGP,N Include 2 sets of plans,
1 Certificate of.Survey &
BUILDING PERMiT APPLICATION I set of enerc.r7. cal.culations .
?r- <1? 0-?s
ao? -
,
' D
t "?
,?
Zb Be Used For„ a
e
Valuation
-- y
Site Address: Q? OFFICE USE ODII,Y
?
Lot f? Block 1 Sec./Sub. aAI.O ACCAI Erect occupancy
Alter Zoning
Parcel #: Repair Fire zone N a
' Enlarge 7'ype of Const.
owner:OX?DRb CD+
1?5?UL°T? pti7
1?19C'
,
. move # stories
Address: ? Q. ?pjC a29a. S? Front
Denblish ft.
City/Zip Code_13PQDKLSriI/ _
Grade Depth 3 7
^- ft.
Phone # : 15? - ? APPRfJ`TAIS FEES
Contractor: oXroRi-? Assessments Permit ? ?
Water/Sewer Surcharge a 7
Address: ? 4•? ?? k'n Police Plan Check //-/ 9?
City/zip CodeZRCi9KLViU Fire sAC S"zLj-
Phone #= gng, Water Conn. ?f
plamer Water .Meter 4. 3
Council - - Road Unit g ?.o -?
Arch./Ehg.: Bldg. Off. - -'8"
Address: APC
City/Zip Code:
Phone #
TOTAL h 7 9a..5(3
1-
,1/? ???' ?` .
s- ' ? '?
??_? 5_ 7 ?-
. ; PERMIT
^ CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
CK t{-q V_J(
PERMIT TYPE: B U T L D I N G
Permit Number: 026557
Date Issued: 18 / 16 / 9 5
SITE ADDRESS:
4308 KzRSTEN cr
Lo-r: 11 aLoch: 1
SUNSET 2NU
P.I.N.: 10-72986-110-01
DESCRIPTION:
SIDING/SOFFIT/FASCIA
Bu"ild3,ns?;„,Per?nit l°YPe 5F (MISC
tluiZding Wd.rk 7ype REPATR
s= '.
?.
F
,;
?
? L
\\
. ^ .'-
£?
Y
^-
{ i'°t& f t ls? W 'Ft
?'e,3
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge.
Total Fee
VAL,UATIOhI
$137,25
-----------? 4 . 0 0
$141,25
$8,00m
M3
L ?? 4
L
iarv3?
CONTRACTOR: - Applicant - S7. LTC. OWNER:
QUALS7Y EX7ERIORS T.NC 14578710 04101887 MILLER MARK
1022 S ROBERT 4308 KIRS'TEN C1'
W ST F"HUI. MN 55118 ERGAN MN
(612) 457-•8710 (612)688-0735
F he.reby, acknnwlectge that i haue reac4 this application and state that`the
info6't- mation is corre ct and a gree 'L-n cvRrply w3 th = 611 app,3;S.wabJ.e?` t
StaCutes, and Cz:ty ofi Eagan: Ordinances.
re r _ ,. APPLICANT/PERMITE IGNATURE ISSUED B4 SIONATUREI
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P. i. N°LOTe-
43@8 KIRSTEN CT
SUNSET 2Nb
PERMIT SUBTYPE:
GF (MISC,)
suILDiNG
026557
1ca/16/ys
700-41 1 V-Vl APPLICANT:
ia B L 0 ch: i
QUALS7Y EXTFRIORS INC
(612) 457--8710
TYPE OF WORK:
REPAIR
OESCRIPTION 5IDING/50FFTTiFASCIR
FINAL
? -
? ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
95 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered eite suiveYe i 2 copies oi plan
? 2 copies of plens (indude beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks)
? I enefBY calculations ? i energy calculations for heated add'Rions
? 3 copies oi hee preservation plan if lot pladed after 7/1193
mquired: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: Ay ? ,?y7y 4,v-%
STREET ADDRESS: QY
LOT _?_ BLOCK SUBDJP.I.D. #: ?
PROPERTY Name: ?'?? ? • ???? ?. ?1 ? ??..p ? Phone #:
OWNER
Street Address•
City: State: Zip:
CON7RACTOR Company: Ll & ? Y? ^ yn Phone #:
Street Address: License #• 12W
City: A? State: Zip•5511x
ARCHITECT! Company: Phone #•
ENGINEER
Name: Registration #•
Street Address
City: State: Zip:
-._.__ .. ?
Sewer 8 water licenssd plumber: . Penalty appfies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
correct and agree to comply with all
Certificates of 5urvey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition ? 08 8-plex
o 04 SF Porch o 09 12-plex
0 05 SF Misc. ? 10 _ plex
WORK TYPE
n 31 New ? 33 Alterations
? 32 Addition a 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging o
? 12 Multi Repair/Rem. a
a 13 Garage/Accessory a
0 14 Fireplace o
0 15 Deck
0 36 Move
0 37 Demolition
f?
A ?
..?••. .>.:?e . ..,.?.
?a. ... ?
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. R.
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Valuation: $
% SAC
SAC Units
TRI'-LAND INC. Certificate of Survey for
SURVEYING
SERViCES OXFORD CONSTRUCTION
Eoqan, Minnesota 55121
?
SGLL: /"slA'
?os nr 87's4
? fws.7 7. ?
Ip s
s
s:
^ , 30 $ 3 W
?o Q?,? ? ^ o
? iAp T as ?
M sq'ss's?
t
o OENOTES /RON MONNM6NT SfT
935-9DEN07&95 ilSSt/MAff4p 4CX/ST/?Vb BLEvATiDN
(9?> OLNOfiS PROPOSEO 02OOR ELfNATiON
PRavosEa SANiYARY SEWER SENv/GE EtfvA>ioN 9/e.00
LE4AL DESCR//TiDN : LOT //, 6LK / SUNSET SECOND A00/TION
I hereby certify thoi fhis survey, plan
or reporf was prepared by ms or under
my direct suporvlsion and thot I am a
duly Reqistere0 LarM Surreyor under ihe
Laws of ihe S?afe of Minnesolo,
8 rad ley JK Mn. Req No. 15235
oare: 5' ?7/c4'S/
?
JOB # 8403 OXFORD MODEL
ENERGY CALCULATIONS
TYPE A R-VALUE
int air film
1/2" gypsum board
3 1/2" insulation
thermax sheathing
12" masonite lap
ext. air film
.68
.45
w/ 6 mil v.p. 14.00
(3/4") 5.60
siding .50 '
.T7
21.40 U= .047
TYPE 'B
type A 21.40
-lap siding - .50
+ 1 1/2" softwood siding +1.89
22,79 U= .049
TYPE C
type A 21.40
-1ap siding - .50
+4" brick veneer + .44
air space + ,84
22.18 U= .045
TYPE D
windows , U= .55
patio doors U= .55
ext. doors, wood U= .133
ext. doors, steel U= .066
TYPE E (RIM JOIST AREA)
int. air film .68
1 1/2" softwood 1.89
3 1/2" insulation 14.00
thermax sheathing 5.60
lap siding .50
ext. air film .17
22.84 U= .043
.
. .
•
, :
.
PAGE 2
TYPE F ( FOUNDATION)
int. air film .68
12" concrete block 1.28
vapor barrier ------
2" blueboard N/A
1/2" plywood, treated ------
ext. air film .17
2.13 U= .469
TYPE G (ROOF/CEILING)
int. air film .68
1/2" gypsum board .58
insulation, cellulose, blown 40.00
asphalt roofing .44
ext air film .17
41.87 U= .024
TYPE H (ROOF OVERHANG)
int. air film .68
3/8" plywood soffit .47
6" insulation 19.00
ext. air film .17
20.32 U= .049
TOTAL EXPOSED WALL AREA 1640 .9sf x.19 = 280.44
TYPE S.F. U-VALUE
tyoe A 904.0 .047 42.49
type B 258.0 .044 11.35
type C 88.0 .045 3.96
type D
windows 147.5 .55 81.12
patio doors' 40.0 .55 22.00
ext. doors 20.0 .133 2.66
type E 125.0 .043 5.37
type F 78.0 .469 36.58
160 238.53
TOTAL EXPOSED ROOF/CEILING AREA 1104 sf x .04 = 44.16
type G 996.0 .024 23.90
type H 104.0 .049 5.11
29.01
itv oF
3830 PILOT KNOB ROAD, P.O. BOX 21799
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8700
OCTOBER 1. 19$4
OXFORD CONSTRUCTION CO INC
P.O. BOX 29287
BROOKLYN CENTER, MN 55429
RE: 4308 KIRSTEN-CT.: _ --
LOT 11, BLOCK 1t?-SUNSET--2ND-ADDITIOCJ_ -?
EAGAN, MN 55123
TO WHOM IT MAY CONCERN:
BEA BLOM9UIST
Mwa
THOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
Council Members
THOMAS HEOGES
City Atlminisiraiq
EUGENE VAN OVERBEKE
Ciry Clerk
Field Inspector, John Vuyovich, made the final inspection as requested on
August 15, 1984 at the referenced dwelling. He was unable to issue the
Certificate of Occupancy because of the following reasons:
1. No electrical power was supplied ta the dwelling; UBC Section 1210
requires smoke detectors to be in operation and connected ta a permanent
source af electricity.
2. UBC Section 3306j Handrails - The handrail tp the basement was not
installed.
3. Exterior deck joist hangers - not installed per UBC Section 2517d3.
To my knowledge, none of these correetions have yet been made and/or
inspected.
Sincerely,
ale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
? 111 C90 2005 RESIDENTIAL BUILDING PERMIT APPLTCATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair Reauirements Office Use Oniv
3 registered site surveys showing sq. tt. oi lot, sq. ft. of house; and all roo(ed areas 2 wpies of plan Cert of Survey Recd _ Y_ N
(20°k maximum lot coverage allowed) 1 set of Energy Caldilations for heated addilions Tree Pres Plan Recd Y_ N.
2 copies ot plan showing beam 8 window sizes; poured found design, etc. 1 site survey for add8ions & decks Tree Pras Required _Y _ N
1 set of Energy Calculaf+ons Addition -'md'icate lf on-sfte septlc system Do-site Septic System _ Y_ N
3 copies of Tree Preservation Plan i( lot plaried after 7M l93
Rim Joist Defail Oplions selection sheet (buildings with 3 or less units)
Date < c-) Construction Cost
Site Address -I 'f 0 O t rS7(iJ UniUSte #
Description of Work
Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 2
Property Owner
???P•S - r
Telephone # (Gj'( ) b4 Re f ? 07.3 25
Contractor 7447,f
Address ;;P A?f Mc/?SCrS AC Il? City
State /t/] /,3 Zip ,5r4'22 Telephone #((pfZ ) byy ? Q2? c
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category * Residential Ventilafion Category 1 Worksheet New
• 9Y
(J submission type) Ener Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitled
In the 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 # (
Telephone #(
Telephone # (
7
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 ' in accordanc ' the approved plan in thec hich requires a review and
approval of s.
?
Ap 'cant's Printed Name Applicant's Signature
/?Z tEbeJ M14,AS (J-Lj
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aif - Mufti
? 03 01 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) ? 36 Multi Misc.
Q 05 03-plex ? 11 90.plex CI 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demati6on (EnHre Bldg) - Give PCA handout !o applicant
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies Other
Total
100% or 25%
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
I
MCES System
City Water
Booster Pump
PRV .
Fire Sprinklered
REQUIRED INSPECTIONS
, Final/C.O.
_ Final/No C.O.
? Plumbing
HVAC
? Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
------------
40? ?
Clty of E; Permit #:
3830 Pilot Knob Road ? PertnitFee: ?
? I
Eagan MN 55122 ? Gate Received: ?
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
` L -----------------?
2008 RESIDENTIAL>PLUMBING PERMIT APPLICATION
Date: I? ?I'YJ ' Site Address: j`?r'Sle(l
Tenant: Suite #:
RESIDENT ! OWNER Name: _M Ctr k M 1=:' 1 0 r Phone: Y! ( -(O 66-0/ 3S
Address ! City / Zip:
CONTRACTOR Name: License #: ? ? ? 10- 12JL/1,
Address: 651-3C r1-1340
38?0.
Ciry: ?,?gs[(?AN;55?23-1339 State: Zip:
Phone: Contact Person:
TYPE OF WORK , New ?Repiacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: ?
PERMIT TYPE RENTIAL
7
.
?
Heater -Water Softener
_ Lawn Irrigation Add Plumbing Fixtures
L_ RPZ / _ PUB) C__ Main _ Lower Level) ?
Septic5ystem . WaterTurnaround JAN 16 2008
New
_Abandonment
By
RES/DENTlAL FEES: -
$50.50 Minimum Water Heater, Water Softener, or,Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter i$ required)
$100.50 Septic System New ($10.00 per as built) (incfudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 staR 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? x ApplicanYs Printed Name Appf7C ' s SignatuoO%"
FOROFFICE USE Reviewed By Date
Reqi?rretl fiispections Urttler G'round T'Rougrh in ? Arr Tes# ?Gas'Tss? ' F+rtaF ` x? '.?°i ?
,v.?.
02.
?o- 50
?
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139072
Date Issued:10/06/2016
Permit Category:ePermit
Site Address: 4308 Kirsten Ct
Lot:11 Block: 1 Addition: Sunset 2nd
PID:10-72986-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Mark S Miller
4308 Kirsten Ct
Eagan MN 55122
(651) 688-0735
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature