1363 Jurdy RdCITY OF EAGAN Remarks ?-? -t'
r
Addition Dcntiywood Addn. - Lot 23 Rik 1 Parcel 10 20960 230 01
Owner wL+ t_ UtL( I street 13Jur'd3'' Rd•- State Eagan,MN 55121
i?(lI['?.lililll '?.16(i/? Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
# STREET RESTOR, 197
GRADING
SAN SEW 7RUNK 97Q 2? Q , 6/9/80
* SEWER LATERAL 9T5
?
. .5
WATERMAIN
*WATER LATERAL & Stl1US 197
# WATER AREA 1975
* STORM 5EW TRK 1975
* STORM SEW LAT 1975 ?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
CITY OF EAGAN PERMIT TYPE: '"' '' F"6
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,,;)i ,.'I! if
1NN YW(14iCi
PERMIT SUBTYPE:
I I? - : I J 14 41 '.
( 0; .1 .' ) 4 !, A 0
TYPE OF WORK:
I i F1Al
,
? I
J
ParmN No. Permit Holder Dats Telephone 11
ELECTRIC
PLUMBINQ
HVAC
InspecNon Dab Inap. Comments
FOO7INGS
FOUND
FRAMING
ROOFiNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATiNG I
GAS SVC
TEST ?
INSUL
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FtNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
E ADDRESS:
i , , ???:??•,?;?,
+0I414 rlJiiiA lI
PERMIT SUBTYPE:
1.11 ,
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
( ?. 1 ,' ! •1!,4 ?Y(, i.i
TYPE OF WORK:
01, [; 1 F t ; 'Ira
t+iI?
i.1i I: F' A 114
{411 Ntifil l•.-.
/:? ft i fl?i J
PermH No. Permlt Holder Dets Telephone !
ELECTRIC
PLUMBING
HVAC
Inspectlon Dat* Insp. Commanb
FOO7INGS
FOUND
FRAMING
ROOFIN(3
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
YILLAOE OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55127
Zoning: RII
SEWER SERVICE PERMIT
PERMIT NO.: 2013
DATE: 10/21/75
No. oF Units:
Owner:-11°"h°•"° T^d Tnr
Address:
SiteAddress: "" -'^ o,a T,21 n7 nannvwood
. Kotz Plumbing
Plumber.
9/21/76 #9173
I aym ro eemply wiM ths Villayr of Eayan
Ordinanees.
By:
Date of Insp.:
Inap.: -
100.00 pd
Connection Chazge350.00 pd
Aceount Depos: d
Permit Fee: 10.00 pSurcharge: .50 Pd
Miec. Chazges:
Total: -
Date Paid:
YILLAOE OF EAGAN WATER SERVICE PERMIT
3795 Piher !Fnob Rood PERMI'C NO.: 2063
Eogon,MN 55123 DATE: 14_L?76
Zoning: R j;_ No. of Units: i
Owner: Mathews Ind. inc.
Address:
Site Address: 1363 Jurdy Rd., L23 B1 Donnywood
Ylumber: Kotz Plumbinq
ter o.n7r`-=_??.._? Connection Chargc? 20 . 00 pd
? S Account Deposia
Reade No.: ?
Permit Fee: 10. Od
1 agree to mply ith the Villoge of Eagen Surcharge: •$0 pd
Ordi a? ??1 7 Misc. Charges: 6 0_r_
I, rJ TotaL
Y Date Paid:
Date oF Insp.: Insp.:
CITY of EAGAN
BUILDING PERMIT
Owns: ....... Ra.th.e ws...Sad_....S.nc.. ......................................
Addseas (psesent) P• ...... O... .... Box 306 Northfield, MN
....' .............................................................
.s ..... I.nd..
..s ...... I.n.c ... -
Builder......... a.t.h.ew.
..........................................................
Addreu ......P.:..... O ......__BOx_..306._N.. O ... r ... t ... h.. ..f.. i .e. .......ld..,..... MN ...
........
DESCRIPTION
?
r IM
N4 4082
3795 Pi1o3 Knoh Road
Eagax, Minoesofa 55122
954-8100
Dsle ..........8?2Y?.7.6 ..................
Siories To Ba Uaed For Fron! Dapih Haighi Eel. Coc! Permi! F*aI Remsslu
I 125.S p
2 Sin le
g Dwl
g. & Gar_ 48
' 26
' 000
44, 22.O b
This permit does not auihorise the use of clreefs, roads, allays or aidewalks aor does it giva the oaner o= 6ie ngan!
the xightfo eseale anp siluation which ia a nuisance or whieh presenta a hesard to the healfh, safelp, eoavanlenee and
geaeral welfexe !o anpona ia the eommunily.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAR IS IN PROGAESS.
This is !o Mathews Ind. In..c...... .......has permlasion to ereo! a Sin.gl. e .... Dw.
.l.g ........ & .... G . a . r .. . .._upon
.
.
.
_
.
Wsc Hflhat .............•--...-.-...._....--••---•...... ?A..n.gl.
-
-fo..
.ihe..
above d premi.se.suj•eci.
-provisions.
. of all applieab rdinana s for--' '- !he Ci gan.
....- f-•••'•? -- ....?Z .......................................... Per ........ ° '-- ... .? ............ .._. .....
? ....... .... . .•---..............
Meyor SuAdiny Im eclor
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS; r.l.".: '"-?"?) b O-Z -? `°-`dy pppLICANT:
I.OT: 23 BLOCK: 1
1363 ,7URD1' FiD BOLDUC
OONNYWOOD (612) 454-0633
PERMIT SUBTYPE: TYPE OF WORK:
DECK
E3UILDZNG
026674
11/H2/96
1'ERRY
REPHIR
a . . . - . . , , .
. . .x. .
. _. _ . . , . _ ? - - . .. . ... ? °f
'- ' CITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
cPqG44.3
6UILDING
0 2 6 6 iq
11/02/95
SITE ADDRESS:
!'.I.N.: 10-20960-230-01
1363 ,7URDY R.0
LO"I': 23 QLOCK: 1
OONNYWOOD
DESCRIPTION:
Btd;t 3: ci i: er'4:W,N s, r m i T. 7 y p e
f`u, iI ding"4brk Type
?
?
DECK
REPfilfi
?
t
?._.?A
?
REMARKS:
FEE SUMMARY:
6use Fee
Surcharge
Subtotal
$30.00 COPIES
$.50 ToCal Fee
$30.5?d
$3'2.50
Uurv i rsf?u i Urt:
OWNER: - NPP7.ir,ant .-
80LOUC `f'ERRY
1363 JURDY RD
EAGAN MN 55121
(612)454-0633
f . . . v . . , . : . . , . . . , _ .. -?
I!^rareby acknowlerdgo Ghar., T hdve r^?.?d, ?h?,s opp11.c:itidn an&` s6to' t#tbt t'Ms' `
50formartiors 1%3 cvarrecr vId agr-,ee to camplY W?thnal t ?aPPiloble`?"?tat?"a?
' Sta'tutes and CztY ?uf Eagan Drdinances.
? ?_ _:_ . ° _ .. ? _. .._ , . v . .. ., . , ,:? . ._. ?. . .._.. .,?.?
I v? .
LI ANTlPERMITEESIGNATURE ISSUEDBY SIG TURE
EAGA 3830 PIL'OT KNOB RDN 55122 4'3Z°jo
? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 reghterod aita aurveys ? 2 eopka ot plan
? 2 wpies of plens (Mduda beam 8 winEow a¢es; poured fid. design; etc.) ? 2 atte suneys (enterlor atldiUons &dbdcs)
* I enerBY caluuletions ? 7 energy eelalations tor healed add'Rions
? 3 eopies of 6ee proservation plan H lot platted eRer 7/1/93
required: _ Yes _ No
DATE: 16 12 ?19 S CONSTRUCTION COST:
DESCRIPTION OF WORI
STREET ADDRESS:
LOT ?2 BLOCK __ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHRECTI
ENGINEER
Name: /era Phone y?5-Y-06
wr swar
Street
City: ? OL?
State: `'?h- Zip: S3124
Company: ? Phone #:
Street Address:
City: State:
Company:
Name:
License #-
Zip.
Phone #'
Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowiedge 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 Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No ---------------
w&.4,,? 1zs-2X6 .Dkt- / 7q8
qo
S 3 v° va' /o ?/ V?/
SG,o.3
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1
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0
M?
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I
I
dl,od
L c T ? 3 LOCK 1 D oniNy'w'naD
/?63 Jvrd7 RC?
?
0
w
0
0
Date a GI 3 7 ? L? °?
BUILDIIIG PERMIT APPLICFITION
LpT_r-2 -3 BIACK / ADDITIOI?_
PP.RCEi & ^aLCTIOPi P1I3S-'lDER IF SPSPLATTED
.ADpRFS5 Or PARCEL
70IQTidG
:d5TLMATED COST ?
O?•7IdER
anDxESS ( _' AlftrZ'e,,,)
?
USE
TELEPHONE NO.
PS )hC,
SG /
TF.t.FnxorrE rTO . 411,
Q
'C
i
i3ote: Include site plan, building plans, and energy calculations vaith this
application
Signed?=?/'??
OFFICE USE
VALUATIOid
SAC
YdAi'ER C017N$CTIOT7
YJATER METER
HUILDING PERI4IT FEE
uURCHARGE FiE
PLAP1 CI-S.CK FEE
PARR AEDICATIald FF'E
l0/3 . /l' O
! "l
?
OTfiER
TOTALx Sf ? r r .?d _ .
APPROVALS:
BUILDSNG DEPT. PQLICE DEPT.
ffej?
ASSESSME,PP CLERK
4JATER & SL'U1ER DEPT. FIRE DEPT. PARK DEPT.
.5' 3 v '
SG,o3
?
:
? a
n n
0
\
?
?
_ 2o'.SP-t.6a?E' 3A
i Y E,9 SE7 mrNT
G 3 , y,?
SS-, od
L c ? 23 i3Loc? 1 Da1v1vy'w,7a?
1363 J u rd7 R e
?
0
w
n
0
? _
i
,
MASTER CARD
LOCATION \
d
OWNER TA S ..F Kat , YI C. ?
STRUCTURE AND
LAND USED AS
? F
Permit
No.
Issued Iszued To
Coniractor Owner
BUILDING
?2
PLUMBING
CESSPOOL - $EPTIC TANK 73 7 -- 0
?? .
WELL
ELECTRICAI
HEATING
GAS INS7ALLING
SANITARY SEWER
OTHER
O7HER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
f-OOTING SEPTIC
FOUNDATION
FRAMING
0_7 CESSPOOL
TILE FIELD fT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violetions Noted
on Ba[k
COMMENTS:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: ?'l.r?°: 10-`Hy?e-zsv?-e? APPLICANT:
LQT: 23 BLOCK: 1
1363 JURDY RD BOLDUC TERRY
DONNYWOOD (612) 454-0633
EUTLt]ING
025675
11/02/95
? __.. . .... ...
a. . . . .._. . . . _. .. , ?.. . _ ? .?_ . _, .
?
.
.. . . ? .. .
PERMIT SUBTYPE: TYPE OF WORK:
SF (M:CSC.) REPAIR
DESCRIPTTON (WINDOWSJSIDING)
' CI7Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-20960-230-01
DESCRIPTION:
PERMIT
a ?9M
PERMITTYPE: surLoING
PermitNumber. 026676
Date Issued: 11 J 0 2 J 9 5
1363 JUF2p'f R17
LOT: 23 BLOCK: 1
CIONNYWOUD
(wzNDaws/sxoxNC)
ldig?..Permit 7ype SF (MI5C.)
?,di;ng ?"?,3s4,rk. l YPe REPAIR
r '-
?.?{
ry ?
7 {? ?p ?,.e?"'.a w ? y I ? c ? :?y,?? ef' ? d? ? , ?d?'f 4C.`y Ii???r
N?? ..?i;.1 ?^?'",n)?1??La ?
REMARKS:
FEE SUMMARY:
VfiLUATION $15,000
6ase i°ee $224.75
Surcharye -t7.50
Total Fee $232.25
CONTRACTOR:
OWNER: -
BOlDl1C
13G3 JU
EAGAN
(612)454-0533
Appl.icant -
TERRY
ROY i2Cl
fAN 557.21
? . . .. ° • .. °-. . r ?e; ? . 5? '
' ,. .. _ . .. ?.. eE. ..• ?. .?e .. y . ,..,,` 2° . : 'n;;.?.
Z hereby ackrravledge that I.have read this app?.iratiorj an&state tHat . t#it
snd ra,gre# tcs,c00P t'y ?atpr.?l?;`,P PP'A iq*b 1.q .R?te,Upf Mrt....
StaCUtes aaid C3ty af Eaqan €3rdinance"'
? a . ,?.
??
n ? ?:r,? . I 711..?
APPLICAN PE ITEE IG TURE -'IS ED BYJSIGNATURE'
--. - . . . .r . ,.
3830 PtLlOT KNOB RDN 55122 ??.:J?• a-:1
? Lff1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Gonsbuetion Reauiremants RemodeURecair RenuiremeMs
? 3 iagistsmd sfte surveys ? 2 coplea of plan
? 2 aopies of plena (mcd+da baern 8 wiMow saes; poured fid. design; etc.) ? 2 stte aurveys (axterior additions 8 dedcs)
? 1 enerpy calaAations ? 1 energy calculatlons for heatetl additions
? 3 eopiea ot 4ee presenation plen If hi pletted after 711193
required: _ Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ? -1dL
STREET ADDRESS: l ''> S `
LOT __2L- BLOCK ___ SUBD./P.I.D. #:
PROPERTY Name: 136 /4'e- ??y Phone #: '?S`f-°? 3 3
OWNER W* '"•7
Street Address, /•343 -J? ' .
City: State: Akt- Zip: 57S7 2-1
CONTRACTOR Company: ?9 Phone #:
Street Address: License #:
City: State: Zip•
ARCHITECT! Company: Phone #'
ENGINEER
Name: Registration #*
Street Address*
City: State: Zip:
Sewer 8 water licensed plumber. . Penalty appiies when address change and lot
change are requested once permit is issued.
I hereby acknowletlge that I have read this application and state that fhe information is carrect and agree to comply with all
appficable State of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicant:
OFFICE USE ONLY `, ?' ?
?u;?vt:.?1U
Cerdficates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No ---------------
OFFICE U5E ONLY
, ..,
BUILDING PERMIT
TYPE „
..rvfi .. ..J..A ,t
0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelting ? 07 4-plex ? 12 Multi Repair/Rem. a 17 Swim Pool
a 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
,Q( 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
a 34 New a 33? Aiterations a 36 Move
0 32 Addition o!f- 34 Repair o 37 Demolition
?£PGyCL ?AKCj
GENERAL INFORMATION
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. ft.
APPROVALS
Planning Building
Engineering
MCNVS 5ystem
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
?
/
?
~
Permit Fee Valuation: $ 1,5-1000
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acxt. Deposit
SIW Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
r.?--
r ?
% SAC
SAC Units
1999 BUILDING PERMIT. APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
?n 651-681-4675
New Conshuction ReautremeMs Remodel/Renair Reauirements
? 3 registered sHe surveys showing sq. ft. ot lot, sq. ff, of house
and aLl roofed areap (207, maximum lof eovemae albwed)
D 2 copies of plana (show beam i window alzes; poured fnd. design; etc.)
D 1 set o( energy calculations
? 3 copies of hee preservWion plan 81W plvlted aFler 7/1/93
DATE: 7-2/-F 7 ,1, ) _ n _
DESCRIPTION OF WORK:
STREET ADDRESS: J u
LOT: _> BLOCK: 1 SUBD./P.I.D.
PROPERTY
OW N ER
CONTRACTOR
ARCHITECT/
ENGINEER
2 copies W plan
1 seT of energy calculations for heated addRlons
1 sMe aurvey fa exiertor oddHtons a decW
CONSTRUCTION COST:
r
d1? ?? Ol
iY
Name: Dvla6Lc- ?eX?y Phone 3--3
Last Fl
Sheet
3?
City ? 4 ?.. State: ? Zip:
Street
Phone #:
. (area code)
license # Exp.
Ci1y
State:
Company: Name:
Telephone #: area code ( )
Stree't Address: RegistraNon #:
CiFy State:
Sewer 8 water Iicensed plumber (reauired for new conslrucHon onNl:
PenatFy applfes when address change and lof change Is requested once permft is issued.
Zip:
Tip:
I hdreby acknowledge that I have read thls appllcatlon, state that the information Is conect, and agree to comply with all appiicabl
State of Minnesota Stafutes and City of Eagan Ordinances. '
Signature of Applicant "
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
i
Tree Preservation Plan Received _ Yes _ No _ Not Required
/D C?O 9(4D ?a o/
?G?2!lu?u? c9eo?
%
ABATEMENfS-- February 21, 1978
Real Estate: Approved
Lumber and Millwork Bern, Inc. After a review of this property was made it was
#10-55300-060-03 determined to be over-valued. There is not a
Eagan, City house on this property and it isteing assessed for
one. Therefore the value must be reduced to vacant
larnd. Reduce the assessed value from 5488 to 1232
for taxes payable in 1978.
Robert Beale After a review of this property was made it was
#"10-20960-230-01 determined to be incorrectly assessed. This house
Eagatt, City was assessed on lot 24 and the house on lot 24 was
assessed on this lot #23. Therefore the value on
on.this lot must be reduced and added Lo lot 24.
Reduce the assessed value from 10876 to 8628 for
taxes paoable in 1978.
City of Eagan After a review of this property was maae it was
#10-02300-012-26 & 013-52 detexmined to be erroneously assessed. The propert
Eagan, City is owned by the City of Eagan and has been since
July, 1977. Therefore the value must b2 reduced t(
nil. Reduce the assessed value £ron 4322 on parce!
#012-26 to nil and reduce from 7337 on parcel #013-
52 to nil for taxes payable in 1978.
Dennis M. and Kathleen Bartel After a review of this property was r.:ade it was
#10-02400-012-58 determined to be incorrectly assessed. The ;ro-,e=t
Eagan, City was over-valued in comparison to like propert, i.,
the same area. Reduce the assessed value £rom 493;
to 2093 for taxes payable in 1978.
City of Eagan
#10-00800-011-06
Eagan, City
City of Eagan,
#10-02300-012-52
Eagan, City
After a review of this property was r.ade it was
determined to be incorrectly assessed. The properi
should be tax exempt as it is owned by c're City of
Eagan and has been since Jan. 1977. Reduce the
assessed value from 5590 Com, to nil and reduce fr<
3698 Res, to nil for taxes payable in 1978.
After an investigat= n of this proaerty was mude it
was determined to b incorrectly assessed. The
property is owned b,the City of Eagan, Was pur-
chased November 19,1'1976 and there:ore the 1977
tax assessment should be exempt. Reduce from 7887
to nil for taxes payable in 1978.
•
-
,?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168749
Date Issued:05/03/2021
Permit Category:ePermit
Site Address: 1363 Jurdy Rd
Lot:23 Block: 1 Addition: Donnywood
PID:10-20960-01-230
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Terry & Paula Bolduc
1363 Jurdy Rd
Saint Paul MN 55121--211
Minnesota Roof Contractors
5500 W 25 1/2 St
Minneapolis MN 55416
(651) 206-7609
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176710
Date Issued:05/27/2022
Permit Category:ePermit
Site Address: 1363 Jurdy Rd
Lot:23 Block: 1 Addition: Donnywood
PID:10-20960-01-230
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Terry & Paula Bolduc
1363 Jurdy Rd
Saint Paul MN 55121--211
Mikes Custom Mechanical Inc
P O Box 171
Champlin MN 55316
(763) 568-7148
Applicant/Permitee: Signature Issued By: Signature