1389 Interlachen DrSEWER 8 WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMR = 0 12'? SEWER PERMIT #
# QD ?'?(? g,p, RECEIPT # C 33?a
# (4 ) °L B,P. RECEIPT DATE
METER SIZE
ISSUE DATE ? t - PRV - BOOSTER PUMP
SITE ADDRESS , % =' _ rI , ^1 J ' ; y l ;. I . I .,
LOT =BLOCK ' SECISUB j? ?? ? • , ?? ? - - ? ?
• ? ;
APPLICANT:
ADDRESS:
CITY,
PHONE:
PLUMBER: ' >>c! M ir) 1- 1 c4?.r" t,.+ c
ADDRESS:JZ`lifi
CITY, STATE ???. ? i ?-?? . I i ; %?.I •
PHONE: I
PERMIT REDUESTED
_4LSEWER U WATER _ TAPS
- C4MM/IND
? NEW
RESIDENTIAL
EXISTING
1 AGREE TO COMPLY WITH CITY OF
ZIP _ -5•:;? EAGAN ORDINANCES:
, ? - -- --
.?
OWNER: ? r ' f
ADDRESS: SI URE WHEN M ER SUED
CITY, STATE ZIP
-, , -
PHONE: T •-' - ? i:: _ ?n
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STOR1115EWER PERMIT3, CONTACT
ENGINEERING DEPT. , .
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERM{T DRTE f; /;/:' o
WATER PERMIT # 10720 SEYIfER PERMIT #
METER # B.P. RECEIPT #•' 31i q
READER #
9
B.P. RECEIPT DATE 8161P
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS '
I.OT BLOCK SEC/SUB
,
APPI If`ANT• , , . , .
CITY, STAffE : ZIP
PHONE: ?
PLUMgER:
ADDRESS:
CITY, STATE _ ZIP 1
PHONE: ? 'OWNER:
ADDRESS: ?
CITY, STATE ZIP 1
PHONE: -
PERM1'T REDUESTED
SEWER - WATER -TAPS
- COMM/IND
V NEW
?_ RESIDENTIAL
- EXISTING
I AGREE TO CUMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
! ?CASH RECEIPT i
CITY Of EAG- AN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
1s
r-
AMOUNT $
8 DOLLARS
,y ? ,ao
p CASH L'1. CHECK
sonl- ?, l "? r_ r L c'J ^
Thank You
BY
C "' '. 1? 0
WFNte-PaYers CuPY
Ydbw-Postlng CcPY
Pink-flle Cop)t
,._ -. ,. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-81 UO
BUILDING PERMIT
To be used for sF ?/GAR
Site Address 1389 IlRSR2.ACE1
Lot 6 Block i Sec/Sub.
Parcel No.
W Name HAWAM HOMES, I11C
o Address p 0BOX 273
City SAwAGE Phone 842-3636
:F Name ?
;? Address
?- City Phone
3W Name
I hereby acknowlege 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.
Signature of Permitee
A Building Permit is issued to: HALLIOM ROWs, iN
on the express condition ihat all'work shall be done m accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
BuiWing Official ,
Receipt #
?? 16312
OFFICE USE ONLY
Occupancy R-3 N"'Z
Zoning ?
FEFS
(Actual) Consl Bldg. Permit
(Allowable) Y? Surcharge
+Y ot stories
Length Plan Review
Depth SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well ? Water Meter
MWCC System ?
Acct. Oeposit
City Water _
PRV Required _ S/W Permit
Booster Pump - SNV Surcharge
Trealment PI
APPROVALS Road Unit
Planner - Park Ded.
Council
BIdg.Otf. _ Copies
Variance - TOTAL
19 $9
812.00
74.50
06•?
??.00
575000
SB0.00
???
?.oo
Z0•?
?100
228.00
340.00
3,2`<<>..
Pertnit No. Permit Holder Date Telephone N
WATER
SEWER
PLUMBING ? ? ` ? ?? • ?G
H.V.A.C. 'I.e. t7
ELECTRIC 9/6 /Ag
Inspection Date Insp. Comments
Footings I %O 1e uf?
Foundation
Framing
Roofing
Rough Plbg.
Hough Htg. ?
Iwl. ?
Fireplace
Fnal Htg.
Fnal Pibg. d-? •
Const. Meter Plbg. Inspector - Notily Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address 't
Lot ? Block
y Name Ki.AP'M -flECHAri1C:AL
? Address 12409 COUNt'Y RC
c City BURNSVILI,E Phone
- Name t'1F?L1sMlAIC- Li0i7t:5-
3 Address P.O. BOX #273
? p City SAVAGE. MN. Phone
FEES
! COMM/IND FEE - 1°r5 OF CONTRACT FEE
? APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAt FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
'(ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
, SIGNATURE OF PE M EE
PERMIT #
RECEIPT # s 3? y v
DATE: ? ?•?? ?
BLDG. TYPE WORK DESCRIPTION
Res. X New k
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N9. FIXTURES TOTAL
' Water Closet - $3.00 S
-?_Bath Tubs - $3.00
Lavatory - $3.00
' Shower - $3.00
' Kitchen Sink - $3.00
Urinal/Bidet - $3.00
---4_Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
---.__Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMiI)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
II STATE S/C:
FOR: CtTY pF EAGAN GRAND TOTAL•
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN,
? Site
Lot.
m Name
? Addre
c City _
Block
Name
L , -
3 Rddress
p City
TYPE OF WORK
Forced Air
Boiler
Unit Heater
; Air Cond.
' Vent
Gas Piping Outlets #
Other
BLDG.TYPEf
Res.
Mult
Comm.
Other
PERMIT #
RECEIPT #
DATE: -
For Office Use Only:
WORK DESCRIPTION
New
Add-on
Repsir
M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/Ci
FEES
? RES. HVAC 0-100 M BTU -
ADDITIONAL 50 M BTU -
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINlMUM - 1 PER PERMIT) -
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
.C REMODELS -
$24.00
6.00
1.50 FA 1
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
- (ADD $.50 S/C IF PERMIT PRICE GOES
-? BEYOND $1,000)
SIGNATURE OF PERMITTEE
J
FOR: CITY OF EAGAN
Renewal $y Andersen
350-73rd Ave. NE
Fridley; MN 55432
763-502-4777
0IN20130983 (
RESIDENTIAL
IILDING PERMIT APPUCATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruaion Reauirements
• 3 registered sRe surveys showing sq. R. of lot sq. iL of house; and all roofed areas
(20% mazimum btcoverage allowed)
• 2 copies of plan showing beam & window sizes; poured found desgn, etc.)
• 1 set of Energy Cakulatiorc
• 3 copies M 7ree PreservaUon Plan if lot platted af[er 711193
• Rim Jaist Dehail Ophons selection sheet (bldgs with 3 a less uniGS)
DATE ?,?CT•?I
?$ t? I.Tb
RemodeVReoair Reauirements
. 2 copies of plan
• 1 set W Eneqy Calculations tor heated additions
• lsttesurveyforexterioradditions&decks
(- 1-0 1
VALUATION (EXCLUDING LAND) 1 1J?Oa?
JOBSITEADDRESS_W69_ Jr1'}C.tI0`,C..kQ1Y'7_lC1,U_9 _-
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER_
TYPE OF WORK
APPLICANT
ADDRESS
PAGER #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RLTLES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Vlechanical System Includes:
Sewer/Water Contractor.
_ Air Condilioning
_ Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to, compiywith
all applicable State of Minnesota Statutes and City of Eagan Ordinan s. '
Signature of Applic
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE #
_ Wa[er Softener
_ NVater Heater
_ No. of Baths
Phone #:
Iawn Sprinkler
No. of R.I. Baths
FIREPLACE(S)c?_-?0 _1 _2 3
?PHONE# /?•?J?S•Ct?Y?
ZIP CODE 5?L
Updated 1101
CITY OF EAGAN N-0 16912
` 3839 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
??/?
BUILDING PERMIT PHONE:454-8100 Receipt u ip V - I
To be used for SF DWG/GAR Est Vatue $149, 000
Site Address 1389 INTERLACHEN DR
Lot 6 81ock 1 Sec/Sub. FAIRWAY HILLS 21
Parcel No.
w IName NALLMARK HOMES INC
o Address P 0 ROX 273
City SAVAGE Phone 892-3636
o Name SAME I
ga Address
? City Phone
•
w W Name
?'a AddreSS
<W CityPhone
I hereby acknowlege that I have read ihis apphcation and stala that the
information is correct and agree to comply with all apphcable State ol
M9 nesota Statules and Ciry,of agan?Ordinanc ' f o?
Si nature of Permitee [ c
A euiltling Permn is issued to. HALLMARK HOMES. INC
on Ihe express condilion that all work shall be done in accordance with all
apphcable State of Mmnesota Statutes and City o( Eagan Ordinances.
Building Oflicial
OFFICE USE ONLV
Occupancy R-3 M-1 FE FS
Zonmg R-1
(Actuap Const V-N eldg. Permn 812.00
(Allowa6te) y-- N Surcharge 74.50
I ol Slones
68 '
Plan Rewaw
406.00
Length
Deplh 42 ? SAq Ciry 100.00
S F.7otal - SAC, MCWCC 575.00
S F. Footpnnts -
On Site Sewage _ Waler Conn 5$0.00
On Sile Well - Waler Meter 90.00
MWCCSystem XX
30
00
Cny Water Accl Oeposil .
PRV Raquired - S/W Permit 20.00
8oosler Pump - SIW Surcharge 1.0
?
Trealment PI 228.0
4
APPROVALS Road Unn 340.00
Plenner - park Ded.
Counal
BIdg.Off. _ Copies
Variance - TOTAL 3,256.5
DATE: 8/9/89
RE1389 INTSRLAiCHEN DRIVE. L6. B1, FAIRWAY BILLS 2nd
? Yqur Sewer & Water Permit for the above property has been completed. It will be held at the
Pfiblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Aur Sewer & Water Permit for the above property cannot be completed for the following
;reasons:
a
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or accupancy allowed until further notice.
_ COMMERCIAI PROJECTS ONLY: Please pay for meter at City Hall. Meter size must b%.,
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: aL/ao
RE: 1389 1NTEBLACAEN D8IVE. L6, B1. FAIRWAY HILLS 2nd
M$ Yqur Sewer 8 Water Permit for the above property has been completed. It will be held at the
P4blic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-!t`our Sewer 8 Water Permit for the above property cannot be completed for the following
.reasons:
Your Sewer & Water Permit tor the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONI.Y: Please pay for meter at City Hall. Meter size must be ,
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CAIL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW. .
CONTACT COMMUNITV DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Request D?
?/?? Fire No. R h: Inspeqron
R uir 7 ? ReaAy Now ill NoOty Inspeclor
?
/
5
? NO ?en Reatlyi
I licensed contractor ? owner hereby request inspection of above electrical work at:
ob Address (Street, Box ar Raute o)
/3? 'nf?-,?k4o Cay
Seclron M. Tavnship Name or No. Range No Counry
OccuOant(PRINT) Phorre No
Power Supp r / f y/?
vW1 Cc/ "c-,f ?-.J( ACtlress
? /?/i ' /
C/' ?
Electrkal ntractor (COmpeny Namav n
Condractor5• oe
se No.
^
Z ?J
/ l C• /
/
?j /
DY l d O - ?
Malirg Atl0 (COntrocfor or Owerer Makng Installafion)
3
-
Aultwnzetl S` Wre ( w/ r akng Inslalla n) Phone mbey??'??? ,{
MINNESOTA STATE BOARD OF ELECTHICRY THIS INSPEGTION REOUEST WILL NOT
Grlggo-MWwey Bldg. - Poom &173 6E FCCEPTED HV THE STATE BOAflO
1821 Unlversiry Ave., St PeW, NN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 642-0800 ENCLOSED.
v
? 4G*17
REQUEST FOR ELECTRICAL INSPECTION
? S¢e mshucliona Por oompletirg fhis iorcn on back ol yellow copy.
`X" Below Work Covered by This Request
,110111% EB-OOOpI-OJ
ew Adtl Rep. TypeofBulltling AppliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
ONer (speafy) CoMracmr§ Remerks
Compute Inspection Fee Below:
# Other Fee # ServiceEnhanceSize Fee # Circuils/Feetlers Fee
Swimming Pool 0 to 200 Amps - 3 a to 700 Amps S2-
Transformers Above 200 _ Amps Above 0_ Amps
Signs Inapedor§ Use ONy. ? TOTAL ?
Irri9ation Booms a ?
Special Inspeclion
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in If
Ap?
Fnai
r o ? ?y
o ?
-
OFFICEUSEONW ? /?i?
This rBqoest voitl 18 months hom
S3 ? I I RESIDENTIAL
1 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWction Reouiremeirts
• 3 registered site surveys showirg sq. ft. at lat, sq. ft ot house; aM all roofed areaz
(20% mazimum bt cwerage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, etc )
• 15etoFEneyyCalWlalions
• 3 copies of Trea Preseivatian Plan d lot platted after 711/93
• Rim Joist DeUil Optbns selectlon sheet iWdgs with 3 or less units)
DATE 7 ^ -;, D -0 e??-
RemodetlReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey forexMrior addiUons & decks
. Indicate if home served by sep6c syslem for addilions
VALUATION4?61 06G ' c3c
SITE ADDRESS ` 3 ? ( ?? ???LAC1?iU 24:11"' L7^ MULTI-FAMILY BLDG _Y ?N
TYPE OF WORK I?? R60F FIREPLACE(S) _ 0X1_ 2
APPLICANT
S
COp5"F2wCT)d)J
STREETADDRESS (QflkL??p PtZ, CITY??=??"STATE h'V ZIP -5529?
TELEPHONE CELL PHONE # CO1?"?°?"834 ;7 FAX #
PROPERTYOWNERPL'$ ct Dfl/l.1 S0811t('17L TELEPHONE#
---------------°-----°----------------------°-----°----------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RLZES 7670 CA'IT.GORY l MINNFSO"I'A I2ULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculalions Submitted
Plumbing Contractor: __
PlumUing system includes:
Mechanical Contractor.
Mechaziical system includes:
Sewer/Water Contractor:
_ Air Condilioning
Heat Recovery System
Fee: $90.00
I[ I'L? IC ll 1!IILF?
,1111 2 2 2002 ,D
- °---------°----------------•---°----------------------------------------------i?r-------------------+-------------
I hereby acknowledge ihat 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 Applican??v
---- ----___-------- __..------------------- ------__----- ------- __-'-___--------------- ----------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water SoFtener
Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinklcr
No. of R.I. Baths
1989 BIIILDIBG PERMIT APPLIClTION
CITY OF EACAN
SINGLE FEMILY Di1ELLINGS
;? 3ElS OF PLANS
3 HEGISTEAED STTE 3DBYEYS
I 3ET OF ERERGY CALCS.
, I 9ft
lIITLTIP DiiELLINGS COMMERCIAL
2 3ET5 OF PLtNS
8EGI3T8RED 3ITE 30RVET3 -
(CHECb WITH BLDG DIY.)
1 SSf OF EAEEGS ClLC3.
lIITI.TIPLE DiiELL2NCS BEHTAL 06IT3 FOR sI.E unITS
2 SETS OF ARCHISECTURAL
i 3TBDCTORIL PLlNS
7 36T OF SPECIFIC9TION5
1 SET OF 8AERGI CALCS.
! OF DBITS
iOTEt IDDAES3E4 FOfi CORNER LOTS - COATRACtOA/HOlEOANEA lSIST DE4I(3NATE TiHICB iDDHE4S
IS DFSIRED. 80 CAANGES iiILL BE ALLOWED ONCE BOILDING PEAMIT IS ISSOED..
SEWER 6 Ui7'ES PERt+1TP FEBS 1HD ACCOUNT DEP032T l6E5 iiI.L HS INCLUDED WITH T8E BOILDINO
PERHIT FEE, p80CESSING 2IIM FOR SEKER lRD WETEA PERHISS IS TiiO DAYS ONCE 1 PERMIT HA3
SEEN MHPLETED IBDICATSNG l LICEN3ED 4L4MEA.
PENALTY 9PPLIES fifMN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQOESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISS[IED.
A:I6 Q 4 19Hi
To Be Used For: `3;ryjlc P`Y lnation: Date:
31te Address ? 114 Q 600? QFFICE D51
LoL ? Block r I
Occupaney R jM'1
I
? Zoning 9-1
Parcel/Sub ,?CZi,r`i j?F+ 11S j Actual Const V- nl
, Allowable V - i.l
Osmer r'??Irv?l'1rj?, CYl(f S SnC. # of atories
Length ?
Address 2(?. pX ?73 Depth 4y'
S.F. Total
cy
Citq/Zip Code Footprint S.F.
Phone 1;%'7 On aite sexage
On site vell
I
Contractor ,?n? 11 rYU?i E+nmPs Lr^C HY1CC System
C1ty xater ?
Addresa i? Q. ?r,u 7? 2i PRV required _
Booater P?p
Citq/23p Code _
lPPBDAAL3
Phone
_ Plaauier
ecnmCu
7
krch.IEngr.?htl?:)3 IQ 5ertlrCe Bldg. Off. tE5-
b/7
Variance
I,
lddress 1yS'?l ? nY1nC1? -? r, e- _
Gitp/Zip Code 6sk-9
Phone # ???J?•j??l?
FEES
Bldg. Permit 81z,00
Surcharge 7w,5'j
Plan Aeview
SAC, City joe),OD
SAC, MWCC 7 ,oD
Hater Conn 50100
Water Meter o 0
Acet. Deposit --&,T)o
S/H Permit .00
S/W Surcharge 1.00
Treatment Pl. p D
Road Unit 314 o 00
Park Ded.
Copies
SIIBTOTiL
Penalty
TOTAI.
?S?`?/
' V,4??-?-k.4-rtoN
GAIZAGiE
49 1
poll?,z=
??o x is= tnZDa
E>snr
35k 3?= i26o
2x?3 ? Z?.
?-?--
I???? XIN: Li
I sT +?or'`,
2" i C?
?%au 5? IZ
( y??d ?C ?7 '? c.l ?l o a
z tJ"p ?? ,? u I?
o`Z9 X 3C? = Jo?l??
l`?13? 13
ILI3bI?l
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
r?Po?0?° 5E
LEGAL DESCRIPTION: LOT 6,BLOCKL, FqiewAy uius Zt°,add„J.
ACCORDING TO THE RECORDED PLAT
THEREOF Dr-koft COUNTY,MINNESOTA
?
/
/
2?` $
5 ? 0Fo
%
w
.?.
?p a o?pii
/
, P5
(P ti?? ?1
,- ,
L '
?
?VO ? Ai
s ?
?
SITE PLAN FOR:
?
i
i
o?
hy
?.
?
/
/
0? ?
LEGENO
.
/
D Ae
a 'AGAN
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTIN6 SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I hereby certify fhat tAis surrey,plan or
raport was preparsd by me or under my
direct supervisian and thaf I am a duly
Repisisred Land Surveror under ihe
Laws of the State of Minnesota
DEPT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= o z
PROPOSED FIRST FLOOR ELEVATION = ?ozv. 7
PROPOSEDBASEMENT FLOOR = fo/G,.z
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
e" 0 ?/ ji. u.?
Bradley J.11irenson, Mn. Req.No.15235
Date: 01`1169
-- - ....••avanaivp
DATE ?'p;?k -'?q
OWNER
SITE ADDRESS u _
SS/?3
CONTRACTOR pHONE
IIC, 1 K
Determine Working Square Footage of Ea.-,h,
1. Total Exposed Wall Area.gy, Ft. X.11 .
2. Total Roof/Ceiling Area ., la_ ??,az, Sq. Ft. X.oz6 = 3,3.ao
3. Total Floor/Cant. Area
• • Sq. Ft. x .05
Total Exposed Wall Area Above Floor n J%,00
a.
b.
c.
d.
f.
. g.
Total
Total
TOtal
Total
Total
Total
Total
Wall Window Area. . . . ,
Door Area . ? ? ' ' '
Slidin ' '
g Glass Door? ? Area.. ? ' ' . .
Fireplace Wall Area . . ?
Wall Framing Area (average•108) . .
Net Wall Area Above Floor : ?
Rim Joist Area. ?
. . . . . . . . . .
Total Exposed Foundations Area = ?-
? h. Total Foundation Window Area
i. Total Net Foundation Area Abov,e Grade .,
Determine "U" Value of Each Wall Segment.
a. X nUn
b. X oluli
c. x isull
d. X ltuti
e. X loull
f. X 41ull
g. X Oull
n. x Igull
i. -- X $lull
?
?
a
a
a
. . svBTOTnL
4. . /i
TOTAL = I\ '
If item 14 is the same as, or less than item #1, you have met the
intent of SHC 6006 (c) 2.
7•vi • /
Oatermine "U` value of each wall aegment.
b. G??.(O/ X NVn l.7 ? m _ ?]???
? x •U"
.ca/el?/yl 0
C • x ? V ?
1.
(3 . x r U r s-
o ,
e. X wuy
f. x rUN a
g' - x ?U? ?C74 0 - .
h. - Y •Ur
a
i. ? x "u" 73'.7 /
SUBTOTAL a ?
7o
To?al Expoead Wall Area Above Floor 35„2,Ion
a. Total vall vindow area . ?a ?'
b• Total door area ? ? ? ? ? ' ' ' --
c. Total aliding glass door area? ???? ?-
d. Total fireplace wall area ?: 0 , * * e. Total vall framing area (avrg. 100)- : 0 0 ?
f. Total net aall area above flooc ,,,,, g. Total rim joiat area ....
. . . . . . . _13g.99
Total Expoaed Foundation Area JD 7 (99
? Total Foundation Windov Area
? Total Net Foundation Area Abova Grade
• . .
Total Expoaed Wall Area Above Floor
a. Total wall vindov ar'ea . . . ...
b. Total door area . ?
.
c. Total sliding glassdoor area? ???
d. Total fireplace vall area ???
e. Total wall framing area (avrg. 108)?
f. Total net vall area above floor ,,
g. Total rim joiaG area . . . . . . . .
1I DF, oU
. . . f?. ?. i?v
. . . ?-
.
. . . -?
. . . A
490 11;70_
. . . ?-
Total Exposed Foundation Area ?--.
Total Foundation Windoa Area
Total Net Foundation Area Above Grade -
Oetermine `U• valua of each vall aegment.
a. ICIS /IO X •U? /,7Sa ° 7_?•l'
b. ? x wUr
C. _ x •U•
d• x Mu¦ . Q .
e. Y "U"
f.
x
tZ2
"U"
La
9• ?-
x
"U• -
._- - e -
?l . ^ 7( M (J ° ? a ?-
? X mU m ?r a
SUBTOTAL
?
? Total Exposed Roof/Ceiling Area /d ? GQ J. Total akylight area
k. Total flat roof/ceiling traming area .
l. Total net inalted flat roof/ceiling area .
M. Total vault roof/ceiling framing area-10?
n. Total net inslted vault roof/ceiling area /9_310 p
Determine •U• value for each roof/ceiling aegment.
j- X •Uw _ ? -?
? ? ? • _?
UI . C?? Z : u :
O. _ .[I nC) % SVN
5• . TOTAL
0
If item 15 la the same as, or leaa than item 12. you have met the
intent of SBC 6006 (c) l.
Total Exposed Floor/Cant. Areaa
.• o. Total floor/cant. framing area (avrg.. 101)
. p. Total net insulated loor/cant. acea ...
? Determine •U• value for each tloor/cant. segment.
?
? o. x ¦p• ..
: P. X "U`
• 6. TOTAL a (-'- ?
If total of 16 is the same as, or lesa than 13, you have met the
intent of SBC 6006 (c) 3.
ALTERNATE BUILDING ENVELOPE DESIGN
j To util3ze the total envelope system method, the values established
? by the sum of items i4, i5 and i6 shall not 6a greater than the aum
I of items 11, 12 and 13.
1 ..3991 7 s. 33s. ? a 3 k3,0
4.I-L.Iw9, a 7 5. 6.
, Prepare !Z ? I . ' ?' Da te 7 -2?%?
; ,THnu sTun .
,.i u/ S.R. t SIUING
?
,I
. •1
lnt. Air GB
s•:it. ?4S
Stud
• Shtg. • ' 0?,0'9
siding
Ext. Air .17
To ta 1 "R" = /C)•%
1/R=
THRU CLG. . Int. Air ,61
MrI:BER S.R. Clg. I•tenL• 4135
. . ' V Ir.s. (1011) 30,0a
' . . Still Air .61
To.al °R"
? . .
. : .. . .. . .
THRU CONC BLOCK' ,Int. Air ' • •.68 .
. . . ?. C.B.
crau? 1,a?
. . . ? ' . .OPt. 'Ins.
Ext. Air • .17.
? Opt. S.R. •' ?
.
. . Opt. .? .
Sid.
.' Total "R"
?
' Z/R t •
olVu
TI1RU II4S. 47ALL Int. Air .6tl
w/ S.R. t SIDTNG S.R.
'¢S
Ins. 1?1 00'
. . a,o9
SHTG.
,?7?
Siding
F.xt. Ai-r ?.17
rotai
1/R = IIUII = ?.
THRI! CLG. Int. Air .61
T!ISULATIOH S . R . (&" )
. Ins. (I`F") V-00
'. • • Sti?2 Air z1
Total "R" z 11,3,75'
• 1%R
, . ?
.. , . . . :. .
1'HRU kIH
JOTST
. '. .
' : .
Int. Air .,68
?900
. , A" Wood . .1.89
. shts. ?,09
• Siding
• F.xt. Air • • .17
Opt. Brick
• Total "R"•
..'
• 1/R : ????? _?
- `..W.,. •,.., sa,ov rnn loo oll 4400 1SL'1Yb1/Al. UYAlYUl51(bC1Y
r& al
srwxneasarr
June 7, 2001
City of Eagan
3836 Pilot Knob Radd
Eagan, MAI 55122
To Whom Ic May Concern:
Elder 7ones is authorized to pull building permiYs for Renewal by Andeisen_ please allow
Elder Jones to pirovide this seivice for us in Eagan. This auchorizatien is valid fQr any
date beyond 6/6101; until a Renewat by Andersen manag.* expressly revokes it in wridng
to the City.
I request this authorization be accepted expeditiously, as to not delay in the prvicessing of
our building pcmuts any furthcr, plcasc call mo if thca-c arc any questluns. I can be
contacted at 763-502-4706.
Your immqdiate attention to tfiis mattcr 3s appreciated.
Sincerely,
Oymond R. &Rau
nstallation Manager
Renewal by AJadersen Carporation
C'c.: Kara_F.lrier.Tone_e
nnne?piCU1/L/UUL
J GHADA M. ??, :3IM2]M
?Y C
Received Time Jun. 7• 1:01PM
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Kuob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
OW 00
New Construction Reqwremenis Re?odeVfteoair Reawremenis 4fficelkebnfo
3 registered ste surveys showing sq. fl of lol, sq ft of house; and all roofed areas 2 mqes of plan Ct7ilF Surn4"p ReCtl '! N
(20X, maximum lot coverage allowed) 1 set of Energy Calculations tor heated addihons itee FreS RlehRkc2{ : _,.,Y _N_
2 copies of plan showing beam 8 window sizes, poured found design, etc 1 stle survey for addihons & decks Iree Pres fiequrced Y.,,, N
isetofEnergyCalculations AddRion - mdicafeifon-sdesepficsystem Drc-siteSeptie8ystem: _Y._N
3 copies of Tree PreservaUon Plan rflot plafled after 711f93
Rim Joisf Detail Options seleclion sheef (buiichngs with 3 or less units)
tion Cost 3,403
Construc
~
Date p( d- ?/ 6J
Site Addresa Q -
1
??7 O- 1 + YI1?fL?CICL???h.a) ?
?L s1 l,L,t UnitlSte #
Description of Work? ??? Q? C.A-/1r\&LAD i ?l 4A' SA I \01
v
Multi-Family Bldg _ Y_ N Ftireplace(s)
,
,r 'At-
_ 0_ 1_ 2 /?f]?.?,. ?
v 1-
P
t
O ?Y\ 56b
a Yl Telephone #(({/?') a( 0 si
wner
roper
y .
l
RENEWAL BY ANDERSEN
Contractor 1920 COUN1'Y RD. "C" W.
Address ROSEVILLE, MN 55113 c'ty
State 651-264-4777 _ Telephone # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeon? 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
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 Conhqctor
Telephone #(
Telephone # (
Telephone #1
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
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
ap ovalofplans. ? 2`r,?-------_
Gl1?CL p ?-2 /1 S Oy ?
ApplicanYs Printed Name App cant's ignature 'l1L( ? Z00$ ? I
vvroe?yy-.t t1iV tL.JV
re a?
rnn. roJ ?tl •4$aD?2C?lY??',?4l.95k0&CfUtSiG7g[(
WUte
rima 7 200,
City of Eagn ? - ,
3836 PiIof Snoh'Roac} '
F--ftM MI+1' 55122
. To Whom 7t May Crntcerrt:
IIder 7ones is autkorized to pttII b
Fsider lones to g uiIci?ng penn;ts forR.mevval}ry ?delsan_ plcasc sdIow
?.ide this servicc for ns ire ?. qTtix andc.aLl2aticm is vaIid for
. dato bcyond 616101: antiI a any
?'anowal bY Andr.rsen manap?er exF?IY reveskss ft in writtng
to the Ctry-
I rcquest rhis anttiox7istian bc ac4cPfed-Wpediflously, as to not deIa the
ottt baiiding Potmits aaY furt?cr. Picasc caII mc If tfi«e anc Y m
P.??rig of
r coIItactcd at'fb3-502-¢7U6 .. ?Y ?asEona..Icsn Ue '
Xour immqd;atG a#cntEon to ?U.s maKcr is e .
ated.
. :., ? `-
. ndR Ran .
uslatIation Managar
Rertowal by Andcrscn Crn-Poratian . .
C'r.: TCarn FTrter Snnec - . ?K???t-?"+?4 ?'?o?,? . f /
..
Received Tihs Jun. 1. NN-
City of Eapn
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651) 675-5694
F ---fR-CeUs--e -----------
I For O ?
I Permii#: ???????' j
? Pertnd Fee: 2 .
? Date Receivetl: ?
I Staff: Cr ? I
I ----------------- -I'
2009 RESIDENTIAL BUILDING PERMIT APPLICATION «d
Datc:?J"2-1-09 SiteAddress:
7enant: a I.
Suite #:
A
.3Y'3,
RESIOENT! OWNER Name: ?0..?? ? Q.k 0..y-\6 4 >e? &S 14 5y (Q
Address / Cily / Zip: Vb-?)I
Applicantis \?/Owner _Contractor
TYPE OF WORK Description ofwork
Yes No ?
i
F
il
B
ildi
M
l
? 1
-
am
y
u
ng: (
u
t
Construction CosY
1,000
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contad Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VeMila6on Category 1 Worksheet • New Energy Code Worksheet
Category sunminea sutminea
(4 submission type) • Energy Envelope Calwlatiore Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water ContrecWr: Phone:
NOTE: Plans and supposfing documents that you submk are considered fo be pablic infomration. Portions of
the information may be classffied as non public if you provide specffic reasons that would permll ihe Clty to
conclude that the are trade secrets.
1 hereby acknowledge that this iMOrmation is wmplefe and acwrale; that the work will be in confortnenoe witlh the ordinances and codes of Me City of
Eagan; that I undersWnd ihis is not a permit, but only an application far a pertnit, antl work is not to start vrithoW a permd: fhat the work will 6e in
accorUance with the approvetl plan m the case of work which requires a reNew and approval of plans
!? -?
x ?r-a. Seb?e.c? _ ??--
ApplicanCs Printed Name ApplicanYs SignaWre
Page 1 of 3
7(OS
"7? LI
I A
? IL?I,V„R 3 0 2009
/ 3 4??q ??-1 t4-C11,6-"1t
DO NOT WRITE BELOW THIS LINE
13
_ Foundation
_ Single Family
_ Multi
_ Ot of _ Plex
Accessory Building
WORK TYPES
New
_ Addition
Alteretion
Replace
?--?
_ Fireplace _ Porch (3Season) _ Storm Damage
Garage Porch (4Season) _ Exterior Alteratlon (Single Family)
_ Deck _ Porch (ScreeNGazebo/Pergola) _ 6cterior Alteration (MuIS)
Lower Level Pool Miscellaneous
Interior Improvement
_ Move Building
Fire Repair
Repair
Siding
Reroof
Windows
_ Egress Window
Demolish Buiiding•
Demolish Interior
Demolish Foundation
Water Damage
•DemoliNon of antlre bullding -glve PCA handout to appliwnt
Valuation
Plan Review
(25%_ 100%
Census Code
# of UniTs
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIREDINSPECTIONS
Footings (New Building)
Footings (Deck)
_ Footings (Addition)
_ Foundation
Drain Tile
Roof: Ice & Water _Final
7Y Framing
Fireplace: _yRough In _YAir Test _)(,Final
?. Insulation
Meter Size:
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
_ Sheetrock
Final ! C.O. Required
? Final I No C.O. Required
? HYAC
Other:
Pool: _Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone lath _Brick
_ Windows
Retaining Wall
Erosion Conhol
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8W Pertnit 8 Surcharge
TreatrneM Plant
Copies
TOTAL
?( `?o E)
?----------------
I ?o??Offg'e_0°se
? S?BLvD`f ?
j Permit#: (
I Permit Fee: ?
I // 7
? Date Received: 1
I ?
I ?
? Staff. ? I
L -----------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: b )? - 09 Site Address:
Tenant: Suite#:
RESIDENT / OWNER Name: r?o?e: L2 C5?1 L4 54
Address / City / Zip.
CONTRACTOR Name: V\,-,'-k-e_ Owr--112'1 License #:
Address:
City: State: Zip.
Phone: Contact Person:
TYPE OF WORK \// New _ Replacement Repair _ Rebuild Modify Space _ Work in R.O.W.
Descri tionofwork:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Ir(gation Add Plumbing Fixtures
(_ RPZ !_ PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESIDENTlAL 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 $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes 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 wlll de in contormance wim me ommances ano wdes oi me ..ity 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 permR; that the work will be in
accordance with the approved plan in the case of work which reqwres a review and approval of plans.
X x
ApplicanYs Printed Name ApplicanYs Signature
FOR OFFICE USE,_ Reviewed By -: ` Date:
Requiredinspections ;Under;Ground ? '-Rough,In?-?, _Air?Tst _=GasTesti .?._Final
For Office Use
City of Eaaail Permit
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION ~ d 3/
4t cl~
Date: Site Address: 1,61S9 T -C
Tenant: Suite
RESIDENT / OWNER Name: ? JEJI,?~ ol.~C ~'honee cos (mot S -1 (Q
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 1 ~1 ~S~ b~Q C~y~l
Construction Cost b ~ I Goo Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
('I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 %a!{G.k rar t70~ 1 Q.~ X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
I
M1€
,AR 3 0 2009
DO NOT WRITE BELOW THIS LINE
B TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement - Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace Repair _ Egress Window - Water Damage
`Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%--) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water _Final Pool: Footings Air/Gas Tests _Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace: 4ough In [Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: f Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review It"s
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122395
Date Issued:05/06/2014
Permit Category:ePermit
Site Address: 1389 Interlachen Dr
Lot:6 Block: 1 Addition: Fairway Hills 2nd
PID:10-25601-01-060
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 .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Sobiech
1389 Interlachen Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature