4330 Meghan Lane,- --_,
< .CITY. UF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
? Permit Number:
Date Issued:
t;11 t1 11 tFa?,
SITE ADDRESS: Fi f01 r APPLICANT:
. . in! ?i'.It?t'd I 00t :y!ai'.
,. . ? ... ? ? , , .. ? . ,. i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION ..
? . .A
/ 33.2 ? ? Sl?30 $?oo
,.
•
A
. 3 aa -
1
I 'lfr ? ? ?, 15 3 40
17
QO /5 u ! °
53 p s
?, - .? • -
i101"; 43;12. 4314.. 4 s iEi. A3:ift, q 440, 944: .}y 4344 Mi IiNflN 1 N
F'
- ? -
L
PermR No. PermR Holder Date Teleplwne N
S/NV
PLUMBING 3 ? 93
HVAC ? ?i/ J3 a 7 Q??$
ELECTRIC
ELECTRIC
Inapection Date Insp. Comments
Footings I '3 . Z 9 3 b S
Foundation
Framing
mO*1
Roofing
Rough Plbg.
l
4?
Hough Htg.
Iwl.
Flreplace
Fnal Htg.
CJ.
orsaiTest ?</93
Final Pibg. Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
L
Deck Ftg.
Deck Final
Wall
Pr. Disp.
Wertif icate of Cccupanc?
" of ??an
Mqwtmmt of loaaiNg 3x60ecH+a
This Certificare isswed pwsuant to the requiremenrs of tke Uniform Building Code
certifying that id the time of issuance this structure was in compliance with the various
ordinances of the City regrdating building consrruction or use. For the following:
use c1XSdFK3fton * 8- P L ER BaB. eerro6t No. 2 0 3 5 2
O-WMCY TAM R3 M I Zmdag DMMU R ? VN
o?orem?MARV ADID?ER90N tMS ? L ??AVE 9,-IEFCM-
emWmg AM? 4330 NkJMAN LAA? 1?iryLS, B1, rflUiANS
06/Il/Q3
°are:
p,L9p ItrU.UDWNT11, 4334, 4336, 4338, 4340, 4342, 54344 M(3W IRE
P05f IN A CONSPICUOUS PLACE
?
a
?
SITE ADDRESS y330 ct? r,-Z? unit # Permit # d ?-
L ? B ? SectJSub. •?•J???
INSPECTION INSPECTOR DATE COMMENTS
/11
,• _
• "G ?G- 33g o N -
yd" 43 33 ?-?io y Z, y
- y-9- 320-0a 3 3-
n)s C) L 0 y t43 q d' 3. - o+ 3 D
iv-".Q DS % 13 r_3 y3.?Y 3 z- 36 30
1 N3 U L ?IIJ y/!G 3 3? -?i- ? Y- 36
-6
INSPECTION INSPECTOR DATE COMMENTS
4 y337 - 1/7 yy
'S0 i'?{ a
d -` - 5C3 3 6 ?3 ? ?.?
W
0
1 ? ? ?'°°
3 5
'
9
Req est Date Bre No.
1 14? Inspection
Ready Now dl Notiy In5pec10r
?
Wh
R
d
7
G No en
ea
y
IXlicensed contractor p owner hereby request inspection of above electrical work et:
Job Adare ss (Sireet. Boz or Rome No.) Giry
? L
Section No. Township Name ?r o. Range No. Coun
Ottupant (PRWT
? Phone N0*
v? ?c
e?
P,ower SuvPlier
F address
.e
- o00
Electric Conir acror ICOmpany Na e) Conttactor§ License No.
. ? v- CAa a -a
Mailing Atltlress (Contrador O r Owner Making Installalion)
? ?
(01
Authorirea SignaWre IConvactou0wner Making InstallaLO ' Phone Number
1 -
minrveaV In alal t tlVaNU Vt tLEGTHIPTY ' - THIS INSPEGTION REQUEST WILL NOT ..
Griggs•Mfdway BIAg. - Room 5-173 CA lo BE ACCEPTED BV THE S7ATE BOARD
1821 University Ave., St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone 0672) 642-0800 E(,i G, C{ ? ENCLOSEO.
? REQUy€,STf OR EL?ECTRICAL INSPECTION ?„
3 /2a f?
See in5nuctions tor completing Mis form on back of yellow cop¢
L
15548 "X° Below Work Covered by This Request
e Add' Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
i Apt Building Dryer OtheF{Specify)
Comm./Industrial Furnace
Farm Air Condilioner
Other (specity) ConGaclor? Remarks?
Crsmpute Inspection Fee 8elow: WA . Ne "0
?i Other Pee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 00 j 0 to 100 Amps rl?l I
' Transformers Above 200 _ Amps Above 0_ Amps i'p
SignS Inspecwr's Use Only. . TOTAL
Irrigation Booms
?
Special Inspection T
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M0filT9HIi
I, the Electrical Inspector, hereby
if
h
t th
h Rouyn-io ? oete
3._. -l3
cert
y t
a
e above inspection
as
been made. F;,,ai oete
OFFICE USE ONLY
7his request voitl Ifl montns trom
341
8
3 X 02 sl 00
- L45A nV1
911
equ st Oate ' Fir No, P gh m nspection
Re ?
? Ready Now III Notify Inspector
g r No When fieatly?
A licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Atld:ess (Sireet. Box o r Route No.) ,
a b Ciry
e
a?tic_ a co
Section No,
I Township Name or p.
I Renge No, Counly
PJ
_D
Occupam (PRINT) Phone No.
Power Su lier
? vl Atltlress
' ?
` 0 G ine
Electnca Contractor (Company Name) ContrectoPS License No.
A U b?
Mailing Aotlress COmracmr or Owner Making Installation)
2-1 ? fe J c ?S . u I ss i ?
Aulhonzetl SiqnaWre ICOntrattol Making Insfalla6on) . Phone Number
LL) ? 2Z -Z&3`
MINNESOTA STATE BOARD OF ELECTRICITY Q?L THIS INSPECTION REOUEST WILL NOT
Griggs-Midwey Bitlg. - Room 5473 BE ACCEPTED BYTHE STATE BOARD
1821 Universlty Ave., SI. Paul. MN 55104 ? a UNLESS PROPER INSPECTION FEE IS
Phone (672) 602-0800 5°"' 1 ENCLOSED.
?3 REQUEST FOR ELECTRICAL INSPECTION .;6,3a?q6'-?fe
, d 15578 Se_instruCt+ons for completing this form on 6ack of yellow copy ?'
"X' Below Work Covered by This Request ?4a?-?+
e Add Rep. -- TypeoiBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
ouplex Water Heater Electric Heating
Apt.Building Dryer Other_(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (syecify) Contractor's Remarks:
Compute Inspection Fee Below: ' v-e w Incvi k nw, ` ooA
# . Other Fee # Service Entrance Size Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps IGj,00 1 13 0 to 100 Amps .00
?x Transformers Above 200 _ Amps ov 100 _ Amps -( , DO
. SignS Inspector's Use Only: TOTAL
Irrigation Booms 0
• Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby
tif
h
i Rou9n-m oai?
y t
cer
at the above
nspection has
been made. Fi„ai oere ^(
OfFICE USE ONLY
This request voitl 18 months tmm -
5
5 9
3
)
?
Aeq est Date
3 ! `- _ Fe No. R u9h- spaclion
Re ir .
? Reatly Now Will Notiry Inspecror
7
h
R
tl
I , es ? No en
ea
y
f,licensed contractor p owner hereby request inspection of above electrical work at:
Joh Address (Street. Boz or Roule No.) Ciry ,
Section No. Township Name or ?1 Range No, Counry
?Q i
V 1"
Ocwpant (PRINT) I I
.6.V",/?'+f L VIiI?'?^-J Phone No.
Power Supplier Address ?
- ed Ko c 3 0o w-?.
Electri I Contraclor (Company Name)
? Contractor5 License No.
c? .A ao o?
Mailing Atldress (Coniractor or Owner Making Installglion)
Authorizetl Sign Wre (ContractonOwner Making Installation) Phone Number
L Z '
MINNESOTA STATE BOARO OF ELECTRICITY ?I ? .F I THIS WSPEGTION REQUEST WILL NOT
Grlgqs?Midway Bldg. - Roam 5-173 V` ?• BE ACCEPTEE) BV THE STATE BOARD
1921 Univarsily Ave., SL Paul, MN 55104 ?i UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 l. ? i a'V1 ENCLOSED.
d 15549
REQUEST FOR ELECTRICAL INSPECTION
lb. See instructions for completin2 Ihis torm on back ol yellow copy.
`X" 8elow Work Covered by This Request
Pf ZS V)
Qdd Rep. _ 7ypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
Apt. Building Dryer Other-(Specify)
Comm./Industriaf Furnace
Farm Air Conditioner
Olher (specity) Con[rettor5 RemarNS: .r ? ?? ?
Compute fispection Fee Be/ow: N "?? I?? `'u?'
# Other Fee # Service Entrance Size Fee # CirCUits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ?" 0 to 100 Amps ,pp
Transformers Above 200 _ Amps Above 100 _ Amps ??
Sigf15 Inspector5 Use Only. TOTAL
Irrigation Booms UU
Special lnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby
f Rou9n-ir oate
certi
y that the above inspection has
been made. F;nai oate
?
OFPICE USE ONLY
This request void 18 months irom
k'W 9
(o °n
$ a3 57
3 5 - qfe
Req est Date y. Fire f.D. R gh= nspection
e
O Ready Now Will Notify Inspector
R
h
tl
?
Yes ? No en
ea
y
I Jicensed contrador ? owner hereby request inspection of above electrical work at:
Jo Adtlress (Sireet. BoK or Route No.) Ciry r
e c ,t G Gt a V1
Section No. Township Name' No. Range No. Counry b? l?
Occupam (PRWT) Phone No.
V Y '
Power Suppher Address n
Etecvic Contractor fCompany Name)
Il
i
E_
7
&
6 Confractor's License No.
A
(v
62
A
e . ?, .
6-
0
00
G
Mailing Aotlress (Conlractor or Owner aking Installation)
Authonzec Si naNre IContractonOwner Making Installa on)
i Phone NumOer
Y
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Midway BId9. - Room 5-173 V?-H?1 T 6E ACCEPTED BY THE STATE BOARD
1821 Universily Ave., St. Paul. MN 55100 ? ?/? UNLESS PROPER INSPECTION FEE IS
Phone (672) 692-0800 ?lj{ ? ? • I ENCLOSED.
130?-# ?.
• d 15550
REQUEST FOR ELECTRICAL INSPECTION
? See instructions tor completing this form on back of yellow copy.
Belo;v- Work Covered by Thrs Request
ew +Odd Rep'. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Othar (sUecify) Comrector's Remerks:
Compute Inspection Fee Be%w: ' vJ-,W I 1?Wn V l??? I D`? ?
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1.6 ` 0 to 100 Amps 5.00
Transformers Above 200 Amps Above 100 Amps ?, pa
SignS Inspector's Use Only: TOTAL
Irrigation Booms (
t-
Special Inspection 2
?
AlarmlCommunicalion .
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MOWT
I, the Electrical Inspector, hereby
tif
th
t th
i
i Rough-in oace?
cer
y
a
e above
nspect
on has
been made. Final oec J?lo ,G
?
OFFICE USE JNLV
This request voitl 18 months from
Re esi Date
1^ No. o -in Inspection
ed?
? Reatly Now ill Notity Inspeclor
Wh
R
tl
?
' es G No en
ea
y
I licensed contractor 7 owner hereby request inspection of above electrical work at:
J Addrass (Sireet. Box or Route No.) l ^
3 cku h V a(il.C. City
?a Gt v) -
Sec6on No. Township Name 01 Range No. County ,
.
OcCUpam (PRINT) Phone No.
Power Supplier
NS - b Adtlress ?
?6C?0 G? ?-?
Electric I Coniractor (Gompany Name)
(1
C
? ? Contractor5 License No.
G
,4
1?.
e
a?s c
Mailing Atltlress (Contractor or Oviner Making Installation)
. 5 e
Amhorized SignaWr ?ContrectonOwner Making Installation) Phone Number
0 2
MINNESOTA STATE BOARD OF ELEC7RICITY / fTI THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S•173 ' v{ 1"? O Y 6E ACCEP7ED BY THE STATE BOARD
1821 Univereity Ave.. St. Paul. MN 55104 1!? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 G a9 QP) ENCLOSEO.
?e?' ?/fr 3 REQUEST FOR ELECTRICAI INSPECTION 3 Q40.d
? See instructions toi completing this rorm on hack of yellow copy.
15576 :'X" Below Work Covered by This Request V
Add Ref. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (Specify) Contractor5 Remerks:
Campute Inspection Fee Below: NG VU lo" {/1 cw-t- I DDIA
# Other Fee # ServiceENranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ?,Qd D to 100 Amps r52.Cb
Transformers Above 200 _ Amps Above 100 _ Amps ,6 o
Signs lnspecror6 use Only:
? TOTAL
Irrigation Booms 7? Q O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTKS.
I, the Electrical Inspector, hereby
if
h
h Rouyn-io . oece•?
cert
y t
at t
e above inspection has
6een made. Final Dete
OFFICE USE ONLY
This request void 18 months Irom .
Aeq est Daie
3 y I - Fire No, o gh-in Inspection
quired?
? Ready Now?Will Notily Inspedor
Wh
R
tl
?
- es G No. en
ea
y
I licensed contractor D owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No.)
( Ciry
C
q? v?
? a u v?
Section No, 7ownship Name or N. Range No. Counry ?
a?k co
fei
Oc[upent (PRINT)
Motyv li`-+lN Ptlone No.
Power SuvPiier
N= Adtlress
?
A-
a - o tAt o v
Eleclnc Comracror ICompany Name) Contraci License No.
CA
)
(
0
,5)
oC
Mailing AtltlreSS (GOntraClor or Owner Making Inslallelion)
t o7
l Gr-
-
.
ao
-
)
Authorizetl SignaWre IConlractor)Ownar Making Installauon)
P?A V__1) r _ /
. _!._[4`7.. Phone Numbar
2
MINNESOTA STATE BOAfiU OF ELECTRIGITY r ?G THIS INSPECTION REQUEST WILL NOT
Griggs•Mldway BIAg. - Room S-173 BE ACCEPTED BV 7NE STATE BOARO
1821 Univerally Ave., St. Paul, MN 55100 1l?n . UNLESS PROPER INSPECTION FEE IS
Phone (812) 692-0800 ENCIOSED.
319s?' 93
d 1 577
REQUEST FOR ELECTRICAL INSPECTION
? See instrAtions for completing this form on back of yeuow copy.
'X" Below Work Covered by This Request
Q? ???? 1212.572
?.,?.
e Adtl Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF{Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
Other (sUeciy) CoMractor5 Remarks:
Compute Inspection Fee Below: v 0-A7.
# Other Fee # ServlceEntranceSize Fee # Circuits/Feeders Fes
Swimming Poal I 0 to 200 Amps Gj,p 0 to 100 A ps pp
Transformers Above 200 _ Amps bove 00 Amps 06
Signs inspecrors use onty: ! 6 TOTAL
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALIATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in r oate
certify that the above inspection has
been made. F;,,ai oare
OFFICE USE DNLY Thi3 requesl void 18 months from -
7
5 3a?lo S
? a?
9 . ? ?
Requesl Date
y?
^ Fire No. o ?in Inspection
i d? `/
? peatly Now 7? Will Notity Inspeclor
R
d
?
/? Wh
? es G No en
ea
y
I iicensed contractor p owner hereby request inspection of above electrical work at:
Jo6 Addiess (Street. Box ar Route No.) Ciry
25 2 k
Section No. Township Name or o . Range No, Counry
v
L
Ocapant (PRINT) Phone No,
a e
Power Supplier
r Atldress nn 1
?V-X..? / \VK
Elecirical?Contractor ICompany Name) Contractor's License No.
? % - AoO O?
Mailing Atldress IConiractor or Owner Mi
?- aking Installati 1
fv?e t ?
Sf . ??f 5s10
Autnoraetl Sig awre fContractovOwner Making Installationl
rA" I Phone Number
zz4- Z -35
MINNESOTA STATE BOARO OF ELECTflIqTV !1 y THIS INSPECTION REOUEST WILL NOT
Grigga•Mitlway BIAg. - Room 5473 vI 8E ACCEPTED BY THE STATE BOARD
1841 Univerelty Ave., St. Paul. MN 55104 ? n n UNLESS PROPER INSPECTION FEE IS
Phone(612)642•0800 eENCLOSED.
? ._ ? 5-579
REQUEST FOR ELECTRICAL INSPECTION
? See inelructions IOrcompleting this torm on back ot yellow copy.
`X" Below Work Covered by This Requesf
3CQ041-6
??'???f25?+
ew Add Rep? Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Wa Electric Heating
Apt.6uilding Dr Other?Specity)
Comm./Industrial g
Fur
Farm Air
Olher (specih/) Comractor§ Remarks:
Compute Mspection Fee 8elow. ?tx) l 1 ` 00/?
i'C
# Other - Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,p(J O to 100 Amps z,ap
Transformers Above 200 _ Amps Abo 00 Amps '? , CD
Signs InspectorS use Only, 70TAL
Irrigation Booms Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
it
th
h Rough-in oec? _ 3143
cert
y
at t
e above inspection has
been made. Final Date
--/ _
1
OFFICE USE ONLY
This requast void 18 moNhs irom
?3 a G?
L
5?5 0
Re est Date Fire No. gh-in Inspection
? ed?
? Ready Now?VJill Notify Inspector
9
?'N1h
R
d
2? l Yes ? No .
en
ea
y
?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adaress (Stteet. Box or Route No.)
? Cily ?
?
L1 I?t.L.?
0 o Gt Gj V)
Section No. Township Name r o. Range Na, Counry
?
a D
Occupant(PRINT)
aYV ? l. Y'71: Y I
62 Phone No.
Power Supplier
N?P. ? ? Atldress
W^'?/?. Awvv-?_
Electrical Gonlraqo r (Gompany Name) Coniraclor5 o-
. Vol" . W' . O V lJ7Gl
Mailing Atldress IContractor or Owner Making Installation)
2] ? C7-ha' ?C' G cJ t. ccU 55' V
Authorrzed Signalu IContrad ouOwner Making Install tionj Phone Numher
2
?JCJ /Vty - L-
3
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Mldway Bldg. - Room 5-173 BE AGCEP7ED BV THE STATE BOARD
1821 Unfversity Ava., St. Peul. MN 55104 ?a „• tA ./1 UNLESS PROPER INSPECTION FEE IS
Phone (812) 6A2-0800 ' ? ? ? ENCLOSED.
3laa1y3 REQUEST FOR ELECTRICAL INSPECTION
jl? p See insirUdions for completing this form on back af yellow copy.
"'X" 6elow Work Covered by Thrs Request ?V=??y?
L 55O0
e 'Add Rep. ' Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt.Building Dryer Other_(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (specily) Contractor's Remarks:
Compute Inspection Fee Below.• mtw ` D DA
-# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,OO I-3 0 to 100 Amps . 2., Qa
Transformers Above2D0_Amps Above100_Amps ,00
SIJnS Inspector5 Use Only: TOTAL
Irrigation Booms
H -14-50
Special Inspection
Alarm/Communication THIS INSTALIATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Electrical Inspector, hereby Rough-in _ Date?_
certify that the above inspection has
been made. Final Dale
OFFICE USE ONLY
This request void 18 months from
Address 4330, 4332, 4334, 4336, 4338, 4340, 4342, 4344 MPGEAN u1NE Zip 5512 2
Lot ' 5 " Blk I Sub
THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPEGTION.
Date: 0611 93 Yes No Inspector:
Final grade (6" from siding) V/
Permanent steps (garage) V?
Percnanent steps (main entry)
Permanent driveway i
Permanent gas
Sod/Seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
3
Serial # kl4
cnip #? 7 a 9 a a?
Permit # 3
Address:
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
\ Signature: ;Pe?
U aLk-v P/b?
?
?-t
el
?
V
?" ?? `?
?61TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: p u1 t- rrH C.
Permit Number: 0 2 r? ?-_' S ;_
Date Issued: 0 2 j 22 ,l 9.3
SITE ADDRESS:
-13 3 0 riC ("i rl„i+! t..A 11 E
L0 '1"s 5 8, I.OCY: 1
!+1CG I1 1,lN S
DESCRIPTION:
_ 2-»R r;I Z F. P. t,arL I _s
E;ukidzia?, P :i't- 7yp?> F1.Er
Bui?(Jing?xi?ork lype N EW
UI3C 0f,('.upa1"fi^.a;
Cons truc'Cian? "6vpe ti - j%I
Z pninq - 4
8ui.ldinq Lenui:h
Btaildiny bJzdl-f-t
B ui;ld'zn q st o r iWa
6 ?3
,
? .- • r , ?? . ? ": ? r : _. --z'v
`-:L? a k ? { ??':l { t ?''u
REMARKS:
Ih!CLfJO?S q 332„ 41 331 4, 4 3:16 , 9:.'.38 , 4 3'I0„ n?l3/4-1! MEGHFl!'d LIV
q z 1.1 P I r I-Z - V! L1 I I tz V p I "t (.FEE SUMMARY:
[iciP;il 'r`B3
Sui°e;riar c;?e
l? ?^
S flC '.?
SAC Un.if??
SLiLT.ot:al.
V!A L Ll lh T:L C? fd
.L
$
9 i^ s.
!;i 'Vh
pl. , 2 /5 e 6 ,S
r2q. 0c?
aa?
$? ,=??.. 13
$ :i17 E=0 G]Gh
(. F. 1 V 5 A ?,
WAf?R C:0 N N E C I ItJid
I.,I F' f= ?i i'h T I
S & l,l `z;Uf{CI;AR.GE
7}; i_ F'a T m f_ i`J l' i' LA iV'T
RURI) UPlI'f
l c;t::a) F e ;..
$ 8 N f1 . !?l c')
a:5,560,00
0 G?
?. e 5(4
------_-=??-?_'. d_0 0
,6 449o63
CONTRACTOR: - R p i) i_ L ca n c- si, ?. i c.OWNER:
A1vDEf;;QIV I-IOi•IES INC., hIARV 18812661. 0 13: ?i tl AR V (A N [`;LR SC)N I-I(1h1E5 TI+lC:
8901 L'YiVC)FLE r,`JL' S F?c,i,,):1 LYi'JC1r'11_F A`?`: ri
f3L0Uii:CINGTDIV ?ifJ 554?0 R LC1QM TNf.;I`C1fd P4iV 55'-1?0
Therehy acH;nowl.edge that C have raad t'hi.s appl.icaCs:on arld statv thE,t thv
znfvrination is r..orr<cC: arjd aqree to eoariply wit:h all appliu.,frlc :;4'at.e r>'. Mn_
Staitu tes arici Ci c:,y Gf Faqan br c1;;:nar-ice5 .
? J
APPLICA )PERMITEE SIGNATURE ISSUED B': SI NATU
PERMIT #
REACTIH
V-IE??
IDA-4 dt
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
sz I1 (??qj,l,3
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy 9f energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Da3e /9 / y Valuation of work
Site Address: 330 3 2 v33Y y- g6 33 y Ho 3yZ '/3Y ECy 16 1914 ,E
SiREET $ ON/T [?OURT hb/nL SUITE M
Tenant Name: (commercial only) ,
LOT ? BIACK ? SUBD. p,I,D, #
m r9 19oQi ?anl
Descri tion of work:
The applicant is: Owner 0 Contractor ? Other (Describe)
Name Phorie
Property .
LAST FIRST
Owner
Address
STREET STE R
City State Zip
Company AND.t,esoN 1.lo,mES Phone 88/-266/
C011tf8CtOt' Address 6)9oi 4x9,v4;;/4G.e License # oooisv Exp.3 L
City 'Dc.oov'n<NG r2:5.v State /I?IN Zip 5S'V2o
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
eorrect and agree to comply witn all applicable State of Minnesota Statutes and C1ty of
Eagan Ordinances.
Signature of Applitant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
0 05 SF Misc.
? 06 Duplex
? 07 4-Plex
0 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 31 New
O 32 Addition
O 33 Alterations
? 34 Repair
GENERAL INFORMATION
:.? •
? 11 Apt./Lod-4i g '0`16'`Ba'?ment Finish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory O 18 Cortan./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
11 15 Deck ? 20 Public Facility
O 21 Miscellaneous
,? 35 Tenant Finish . ? 37 Demolish
0 36 Move
Const. (Actual) Basement sq. ft. - MWCC System YES
(A11owable) lst F1. sq. ft. City Water Yes
UBC Occupancy R-1 Nt-1 2nd F1. sq. ft. PRV Required
Zoning ;?4 Sq. Ft. total ? li
Z.?? Booster Pump
#? of Stories ?, ,
Foot rint S ft.
P q• ?-G-z'•7Z
? p er ??
Fire S rinkl
Length 12• On-site well Census Code f bS
Depth bg On-site sewage SAC Code 0 A
_
&,-„sus aldg i
APPROVALS ?r NorE: 2- HR. AREA LuAt.I.S C3E1wEPN uN175 ?,,,Sws ,,t,.&,ts 8
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
? Site M Footi ng Eg Framing ,ff Insulation
tg Wallboard Final O Draintile ? Fireplace
9 3F
Permit Fee 62 .Sd veiu.cson: g14 98OOO •
Surcharge g39, ob
Plan Review E27.5,63 -- ^
License
MWCC SAC (0000.00
-"-
City SAC
Boo.o?
Water Conn.
Water Meter
Acct. Deposit
S/W Permit F0 o.oo . . ,
S/W Surcharge
Treatment P1. ?4712,0, ? -- .
Road Unit 317-o.oo
Park Ded.
Trails Ded. -----
Copies --
Other ?-
Total:
SAC 96 ( oa ; .
SAC Units _
. [?[/I??-T )4v'? C (?- .{
' .• • w '? .1- ?`r 2 ?
? / /? '
EXTERIOfi ENVELOPE AVERAGE "U'.? COMPUTATIaN E? ?= `NN??A ec,u2r
. ? ' Ol1N C R :
51TE ADDRESS: 1?S .?A ,) / 77c)t-?
CONTRACTOR: DATE: PHONE:
,
DETERMINE VIORKING SQUARE FOOTAGt OF EACNs
1. TOTAL EXPOSED 1lAlL AREA,, , , , //„ ,5sq f t x "U"
2, 70TA1 ROOF/CEILING AREA,,,,sq ft x"U"
3. TOTAL EXPOSED IJALL AREA CALCULATIONS:
Total exposed wall
area above floor,,;,,,,,, sq ft
a) Total wall wihdow area:
DOUBLE glazed...... 60. b!5 sq ft x"U"
H,? glazed...... sq ft x U"
?j?,•?'I sq ft x?????.
b) Total door area ,,,,,,,,,
c) Total slidlfig glass door area: [)nUFiLE y ---?." q ft x?????
lazed.....4 s
lazed . 59 ft x ?full
.....
g
d) lace wall area
l fi
T
t sq ft x "U"
o
a
rep
.
S
e) Total wall ff-aming area?M?
(Average 100/;) ... ..:..... IC??, ?i
sq
ft
x
"U"
f) Total net wall area above •
04?
?
r3
?• 3o?t• 5_?
floor (InsulOted).if?:":".f4!`r q7 6..5 sq ft x ."U" .
.067 - ,
?a?•?y
`m'l 2`f .049
I?I v
z
) CP:": °? ?7
J
lst area
i
T
i sq ft x "U"
°
• 044
3
?4
g m
o
.
.
ota
r
Tota) foundation
Area (Exposed)..:......
sq
ft
h) Total foundatlon ?
'
ft
x
????? ---"?
window atea........ sq
I) Total net foundatlon
area above grade....,... 5q ft x"U" i. ' --
3 TQTAL a) thru I)
If item R3 is the same as, or less than item R1, you have met the lntent of
2 tiCAR 1.16008 A and 0. Pnge 1
h.TOTAL EXPDSEO ROOf/CEILING CALCULATIONS:
Total exposed
roof/ceiling area........ sq ft .
--
J) Total skyliaht atea....... sq f t x "U"
k) Total roof/celltnq framing • ?'Z 6
area (Avera4e 10g) ...... .59 ft •x ??U" •??-- °
.•
Total net lnsulated f( ?
roof/cel l inq area...... . sq ft x"U" . ?? ° r
?i TOTAL J) thru 1) IZ ?
If total of #?t is the same as, or less than N2, you have met the intent of
2 A1CAli 1.16008 A and 0. ,
? ? .:. .
ALTERPIATE BUILDIfiG ENVELOPE OESIfN
To utillze the total envelope system method, the values estabilshed by the sum
uf items 93 and k4 sha11 noi oe greater than the sum oT items N1 and H2.
. ?, + 2. a
+ 4. _
C c R T I F I C A T I 0 N
I hereby certify [fiat ! have calculated the "U" factors and "R"
values herein and that the hulldinci here.described meets or exceeds the State
of Minnesota Energy f.onservation Act.
Signature
(Date)
r;,ro 2
--TISTRUC710N
----
R VALUE
AMING SECTION: ? ??
Interlor air fllm
i ", U. . o.s
I-pq ` (nches_soft wood ?
u G ,,
Exter or a r tilm 0. 7
, TOTAL R = . Z
U - 1/R - . ((o
?
• WALL otCT10N (INSULATED)
?1 Interlor alr f11m n,68
2 ?r/ O . 6
3 91 /3 4c.S /.•lS UL ( I ' CD
4 G I'P
? BD o. Sb
' S
F+ Exterior air
film
• 0 7
T07AL R = 14. • q1
U ° 1/R ° ,d(o7
RIH JOIST SECTION: ?
6A
1 Interior air fllm ,
2
3
4 7l? G'??. BP
5 --
---{fi Exterlor al r
f I lm 17
, TOTAL R .7
FOUNDATION INSULATION REQUIRED:
U°I/R
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
A
-? ? FOUNDATION SECTION:
n
?g
-.
e. - - 1 Interior alr film
'•A . P ' 2
3
.•'
•-•ar
4 Exterior a r
film n .17
,
. .
• (5
. d. (6
- d
.. TOTAL R =
A•
?IV? }
?....?..JI ?-.? ' U a I/R a
SLAB ON CRADE
?
J?.q ?
-?. ?., ,..
,•4' ?. A,
Heated Slabs:
Minimum R = 8.5
Unheated Slabs:
Minimum R ° 6.2
4 . . •'
llw? ? '.. ? Q?:_ 'q•. l .. .'d _• .:?. -v`. .i
.:, a • .
.'4 ?. •??-a q,
., ,. .?.
?.1{'1 ,?, ?? • ? _ ' a•- ?,c
. . ' .? ' c? ? • • ..d ,,,?
?• Q c2 •? . .' ?•, ? •'
?, ? . • . ? . Q,
? ? •. . . '.
r ? . : M• ' ' ?' ' ?? ?
?. • ?i' . ' 1
.. • ? ? . ?; , ?
.4 • • ? • c1 ''
. ? 41.
?v
• ' q' . ?? .
?a ?
PnFc 3
?
?
?
?
LXT??o?
erlor air tilm
WALL SeCTION (INSULATED)
-{1 Interlor air fllm
-{2 ! &' /?yP •BP•
---? 3 _?J_3_?L15 u ? •
-? 1? ?.} P IJ6A'rttEW-w oc
-2 cv/ f-4 L4
R VALUE
Q.6R
o •cot
0.17
TOTAL R gf
U = 1/R = .o?Z
n.6R
O.,4y
14 OD
Exterior air film • 0.17
TOTAL R = Z2.91
Ua 1/R= _Q0
R+t1-?e1 '
--{1 Interfor alr fllm n.68
--(2 _J2 I? W' /iC 5 fA-'S /> >---?-?"
---( 3
6 Exterior air tiim U•It
TOTAL R = ZZ_ 51
FOUNDATION INSULATIOPI REQUIRED: U= 1/R J
4
Min. R-5 on entire wa11.OR -
Min. R-10 down to frost depth
? A FOUNDAT I ON SEC LOlJ • n??
e; -
•: n erior air film
2
b•; 6_ ::•
.-', -_ •.3 Y --?3
4 Exterior a r i lm n.i7
o • a'. ' G (5
4. o
4 =
?
. TOTAL R
A
..
? . U= 1/R=
"'ISTRUC710N
AHING SECTION:,.
41 I.ntertor air film
S4AR ON GRAOE
:•` a'
.a?
,a;•Z? ,,•.: rv
,-? , .•a` ?, A
. ? 'v .•?. G` ? r ? ?iji? ,.
?Q,_ • " ' G? ? !'
U,• .
' Heated Slabs:
Minimum R = 8.5
Unheated Slabs:
Minimum R ? 6.2
a •, 'o '°M1? ;4`: 4.? '.
2 .6 (? A-?V / v !N r?
.,, a , • u, , a ,
(.41..,?,••'_ `q ?•'?.Q,' •;nc
. . ?' - . V ?• '' a
,?,..
. • d ? . .• •, , ,. .
4 • , : • d ?!' . 4, 4,
I ? • •., ?.
,q , . . . •?? _ 1 ?
. ?
i , • ?
. . 4 • . , ,a ' , q ' . .
? ? . . . ?v
. • Q • . ?? .
.
; 4. • . . , ?
?? " , ? r:,?;? 3
CONSTRUCTION
R VALUC•
CEILING SECTION (INSULATED):
I' Interior afr fllm
w?n_ R?: O.y6
AIR Z CHUTE 3 ?? gc.owr.J• l,.tsW ?. ?} .oa
?
4 Ex -.Lzterior air ftlm stlll) n•1; 1
TOTAL R = Af'!8
U - 1/R = .OLZ-
?
CEILING FRAMINf SECTION:
1 Interior atr fllm
2 GfP Ba O. 46
3 IZ-3 l?csu?. 3 °O
4 Interior alr film still ?. ?
5 " Inches soft wood 4,3y
' TOTAI R ? 34.13
U a 1/R = .DZb
?
CEILING SEf,TION (IPISULATED): ? ??
1' Interior alr film
2
3 n. 1
4 Ex[erior a r film stlll
TOTAL R =
U- 1/R°
VENTED
CEILING FRAMIMR SECTION:
1• Interior air film
2
3
4 Exterlor air fiim stlli
5 inches soFt wood
TOTAL R =
U= l/R°
?
Inside air film n'6i
2
3 '
4 ?.17
5 Outside air film
TOTAL R =
t)n 1/Rs
Par_e 4
.
. . ? ,_...?_ ... ? __. _.
. 70
;.
,,,
...
, a
. ?
_ _ .
17,77 '7?
17a `?? _ .. . . ?' ? ?. . ._...
6,47
' EXTERIOR ENVELOPE AVERAGE "U'.i COMPUTATION G??. ??E?!>Y ?O?M
01•RIER: , SITE ADDRESS:
PHONE:
COIITRACTOR: DATE: ,
DETERMINE VIORKIFiG SQUARE FOOTAGE OF EACNt
2.
3•
TOTAL EXPDSED GIAIL AREA, , , sq f t x "U"
TOTAL ROOF/CEILING AREA,,,,,,,?y7Z §q ft x"U"
TOTAL EXPOSEU 14ALL AREA CALCULATIQNS:
Total exposed wall
area above floor,,,,,,,,, L(? 0- sq ft
t
a) Total wall wtndow area: DOUPI.E 9lazed...... sq ft x "U"
?E glazed...... •'-"-' sq ft x U" - -- -?
_sq ft x iiull _17 = ?f?R?7
b) Total door area ,,,,,,,,,
c) Total slldlhg glass door area: ' ' •
d)
e)
f)
9)
..
:
lazed
I-) ft k IIUII
..
.
pUgI-E. 9
laxed `- sg ft x touli
.
g .....
ll
l fi
l area sq ft x "U" ---
ace wa
rep
Tota
*1r. a?' y • ?42 ?+??
Total wal l framing a
(Average 10?).... . rea
Com?qv
.,...,
sq
ft
x ?? ??
U
?(o y2
° I3•
?
Total net walt area above
floor (insulated). ?•
4:'".':'Q"? 7?015
sq
ft
x
."U"
Total rim Joist area
?.'?'.?';': tj ?Z
sq
ft
x
"U" , 04-4
0?{ 2. 29
L
Tota) foundatfon
erea (Exposed)..........
-?" s q f t
h)
3
Totai foundatfon
...
wlndow area..........
1) Total net foundation
area above grade........
?Sd it X iiU" ..r -?
,: •. . `
' sqftx"U" i ' -
TOTAL a) thru I)
If Item N3 Is the same as, or less than item P1, you have met the tntent of
2 PICAR 1.16008 A and 0. •
Pa ge 1
_ . ' .
h. 70TAL EXPOSED RQOF/CEILIHf CALCUtATI0t15:
Total exposed
ft
roof/ceillng area........ sq
J) Total skyllaht atea....... sq. ft x "U"
k) Total roof/ce(lfnq Praming
•X
p h? 6
?????
y
1.1
O
area (Averaqe 103,) ...... Sq t __SL=
.
Total net Insulated
s
ft x -
"U" -.?
°
roof/cet 1 tnq area....... q ?
h
L
) 1)
ru
t
J
TOTA
If total of N1i is the same as, or less than N2, you have met the intent of
2 A1CAIt 1.16008 A and 0. ,
i .i...
ALTERPIATE BU I LD I NG ENVELOPE DES I f N
To utilize the total envelope system method, the values established by the sum
u( items b3 and H4 shail not ne 9reacer than the sum of items N1 and N2.
+ 2.
3. 113..3? + 4. 1*0
?? n T I F I - A T I 0 N
I here6y certify [hat 1 have calculated the "U" factors and "R"
values herein and that the hulldinq here.described mests or exceeds the State
of Minnesota Enerny f,onservation Act.
? Signatul-e ? f
, i7193 -
(Date)
1 ?'?B?' 2
? . . • Lpi?`l rN6?1
'-'9STRUCTION
R VALUE
0.HiNG SECTION:. o.61
I.nterior atr fflm
y' tnches.soft wood Gr'I ,
n, 7
Extertor a r film
. TOTAL R = Z
U - 1/R - , (!a
13
wqLL acCTION (INSULATED)
--{1 Intertor alr ftlm n.68
-?2 S/ G .. . o. 6
---'{ 3?/3 40 4?S SGIG ? ?• R',
--( a,A124," G rP 25D o. sb
-1%5 n.17
--(F Exterlor air film •
TOTAL R ? 1?f.97
u a t/R = .a'i?1
?
I -J
RIN J015T SECTION: n,?R
-{1 Interfor afr fllm
-?Z -9-ra c /?15uc_. l?O
--(3
--( 4 " &u'p. r, > >
-{5 n.t7
--{6 Exterlor air film
- TOTAL R = 2o,-4l
FOUNDATION INSULATIOPI REQUIRED:
U a I/R =,04q
Min. R-5 on entire wall OR
Min. R-10 down to frost depth
p pT
A: FOUNDAT I ON SECT I ON : nA8
] Intertor alr fllm
Q
2 i ??a?p? 0
s•; 6.
.', •A Y 3 " A/G .
4 Exterior a r f i im r 5(0
n•»
°' (S
,Qq;o•--0.
-
q V//I$,, l6
TOTAL R =
.
±; .
V --J1-- U = 1/R
SLAB QN GRADE
I-o
.•?.,4
'Q _ , . .. .U•`4
. ?
., ,..
.?'.?• A'
Heated Slabs: I
Minimum R = 8:5
Unheated Slabs:
Minimum R ? 6.2
?- ,•
? `.. 4,•; q.?: 4^?' • • , q.' ,
?') '4 t- ``-//2 ? ? ?pq-?T
&`l`''4``•q')
?'.
t . . ??
? :'•y ,.?. ..d.?.l
d .? •, ,,..?
4 ' • . ? d ''? . `?• 4'-
; "•q2.
. 4• • ?,? Q ''
• ' Q' . '? .
: q, . .•? ,Q ?
?d, ,• 4?, ??
P?igc 3
v 11'1
.. ? .
1dALL stCTION (INSULATED)
--() Interior atr film
-{2 ?' /,?V $D•
-{3 ?19 lw15uL
--{ 4 W 6 L,3a
-1%5 n.r1'c?
--16 Exterlor air film
"-T15TRUCT I ON
AMING SECTION:,
I.ntertor alr film
411,2," inches.sort wooa m•
?? ?? ? 5 ? 2.0??
N ? ?Dr?t o.fo(
Extertor a r m 0. 7
, TOTAL R = ?
U = 1/R ? .o
?
?
?
R VALUE
0.68
69
A-6
00
TOIAL K ° zz.'Ir
U ° I/R ? ?-O
"ti-M ?
6R
1 Inter(or alr fllm n.
Z . ? GG5 ?S dL
3
? f GJ.?r? >? ?Sn 5??-"-? 2 .06
: ,? 1
5 a
Vt?! YL f?rti
6 Exterlor alr film 0.17
TOTAL R = ''?• S
FOUNDATION INSULATIO PI REqUIRED:
U a IIR
Min. R-5 on entire wall OR
h
Min. R-10 down to frost dept
? FOUNDATION 5EC
e; -?
. "•: erior af r fl lm
'•a. P • Z
.', a •? 3
4
Exterlor a r f i lm 0.17
v ' ° ". ' G ( S
4
; q:?•-'-
• Az
(6
'%. ,,,
--
-
=
1 f. -Q r?Ta? n
U° I/R?
SLAB ON GRADE
?
.•` 4?
.Q ` •
•
'
o ?a'?
• A
.
?
?t ''`
'
4 • ? a
., •
a
• ,,,
?
,
, . u
? .
Fleated Slabs:
5 ?
Minimum R = 8
.
,
, , ti• 4? Unheated Slabs:
Minimum R = 6.2
.I• ' 4 ??
?
? ? ' ' 'a i:
'
° q", ? ,
a _ ..
.. _
.
?.
,: •. _9` •. tl
.
"..• . ••, • •?., `1.,--cj ,
titl?7 ? .. ,. .?.4
4k -'a
?? ^ ? ? • • \? •?\ 1 ' ?? V`
? F+ ' . , d r• . , 4` .4..
i ? . • ?.,
? ?
? ? . : q• • • ? .'1410?
4gc 3
.. ?
CONSTRUCTION
R VALU[•
CEILING SECTION (INSULATED):
I' Interlor air film c1.F1
AIR 2 GYP• 8?. O.y6
3 Iz-44 G?w?• l,.?suL. ?}.oo
CHUTE
4 Exterlor air film still) n.A1
TOTAL R = ?FS48
Us 1/R= .O?Z
?
CEILINf. FRAMING SECTION:
1 Inter(or air film
' 2 GYP • Ba .
3 !z-3 uc-.
4 tnterlor air f lm
§ 3 '/2". i nches sof
0.61
p,s6
3•?
?•?
stl 11
t Wood 4, 35
TOTAL R - 39,13
U a 1/ R = ,d2(p
CEIIING SECTION (IFISULATED):
1' Interlor air fllm
2
' 3'
4 F.xterior air film still 0• 1
TOTAL R =
U - 1/R =
VENTED
CEILING FRAMIPIR SECTION: 0.61.
1• Interior air film
2
3
4 Exterlor air film still 1- ?
5 inches soft wood
TOTAL R =
U= 1/R°
?
Inslde air film n'?]
2
3 '4 n.17
5 Outslde air film
TOTIIL R =
U ^ 1/R -
Pnna 4
.1;
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
SHOWER 3.00
tc, WATER CLOSET 3•00 ys-
9 BATH TLJB 3.00
? LAVATORY 3.00 `{,.
? KITCHEN SINK 3•00 IV?-
LAUNDRY TRAY 3•00
HOT TUB/SPA 3•00
rb WATER HEATER ' 3.00 ay -
5? FLOOR DRAIN 3.00 ay
_
? GAS PIPING OUTLET • minim„m - i 3.00
? ROUGH OPENINGS 1.50 ? -
WATER SOFTENER 5.00
PRIVATE DISP. • natcry. ua 15.00
U.G. SPRINKLER • home under oonst. 3.00
ALTERATIONS • co adsung 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: ? a %3 _ S 6
SITE ADDRFSS: LI 3J O'A 3 yL4 1- IEGaA 1J LiAN C.
OWNER NAME: MAed Ofac\(e ao-j
WST
ADDRESS: L 1 O C-P A'(x vL...?
CITY: So.?? ,.? STATE: el-J ZIP CODE:SS3
PHONE #: ( (,\a ) WO - a ? '& 1
C A&2if M?'
S AE O PERMITTEE
1993 PLUMBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
6 -
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KN+OB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNIERCLAUUINDLTSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
NEW CONS?7?TJMON
ADD ON .
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: i% OF CONTRACf FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 UF rKWIM FEE
MINIMUM FEE $ 25.00
CONTRAC'T PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRES S:
CITY:
STATE:
ZIP CODE:
PHONE #:
FOR:
CITY OF EAGAN APPLICANT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI_SO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
y NEW CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
DATE
_-- - -?
?VAC: 0-100 M BTU? -
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
60
FEES 0 C
?
$ 24.00 ? ?
6.00
$ 15.00
.50
SITE ADDRFSS: ? J:3 C%' ? P I?'?--i.
?
OWNER NAME:y))&rV A-)-wIy r`s't%; LTELEPHONE #:
INSTALLER:
urnsvi e eating & A/C, Inc.
ADDRESS: 12481 Rhode Island Ave. So.
.,.,? c 1 1 nn
CITY
TELEPHONE #:
894-0005 STATE: ZIP CODE:
W3361 S NATRE OF PERMITTEE
1993 MECHAIVICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 68141675
COMMERCIAL
2002 SUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Zip:
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) . Code Malysis (1)
• CerGficate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Malysis (1) " . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. 8 Testlng Schedule • Certiflcate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be established . Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (i)
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (i)
1 • Soils Report (1) 1
• MC/E5 SAC determination letter • MC/ES SAC determination letter • MC/ES SAC determination letter
call 651f02-1000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST:
SITEADDRESS: y 1-4 P\JS l,r`I
TENANT NAME:
FORMER TENANT NAME, IF APPLICABL.E:
DESCRIPTION OF WORK
PROPERTY
OWNER
VI-D () FS
'C56 (
5 S'k?5/
3`7g? 023?
Phone #: ( e3 C) ( ) ) 92t!!?
CONTRACTOR
Street Address: ? ? ? ??
cIty: srace: n'\ N zip:
11 !? (r E fl fl?l ? ? ?.
ARCHITECT/ ;
ENGINEER Company: G?T !", :: 2002 I I Phone #:
?L ?1 U
Name: ' Registrarion #:
Street Address:
SUITE #:
Name: C/tl J Q-3" ty 4DN??iS OF c, /x??, WD63:;? Phone #: (Gl
Last First
Street Address: Z dtW o-?
City:
WUS
S? 3Lti ?
State:
company: L. c-
City:
State:
Zip:
Licensed plumber installing new sewer/water service: Phone I ()
I hereby acknowledge that I have read this application, state that the information is orrect,? comply with all a plicable Sta f
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
_, -
Updated 7/02
SUBTYPE
? Ol Foundation
? 14 Apartments
? 15 Lodging
? 25 Miscellaneous
WORK TYPE
? 31 New
? 32 Addirion
? 33 Alterations
? 34 Replacement
OFFICE USE ONLY
? 26 Public Facility
? 27 CommerciaUlndustrial
? 28 Greenhouse
? 29 Antennae
? 30 Accessory Bldg.
? 32 Ext Alt - Apts.
? 34 Ext Alt - Comm.
? 35 Ext Alt - PF
? 37 Nail Salon
? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doars
? 36 Move Bldg j? 43 Reroof ? 47 Repair
? 37 Demolish (Bldg) ?? 44 Siding ? 48 Authorization
? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Hearing
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SNV Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
? Insularion
Engineering
VALUATION $
% SAC
SAC Units
Meter Size
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MCBS System
City Water
Fire Sprinklered
0 Plumbing ? Stucco/Stone
Variance
Total
?G'??'?_
2004 RESIDENTIAL BUILDI1Vij PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Requirements RemodellRepair Requirements t7ffit;e t3se Oiilu
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cerkof Suivey Recd > Y' N
(201,G maximum lot wverage allowed) 1 sel of Energy Calculations for heated additions Tree PrAS P(an Recd ::: Y,,;? Ni
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 'free Pres;ReqUHed Y 'N
1 set of Energy Calculations Addition - indicate rf on-sde septic system Or?sifs S.ept?C?*tem ! YN!
3 copies of Tree Preservation Plan if lot platted afler 711/93
Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units
Date i
C
C
onstruct
on
ost
Site Address I<, ?(p UniUSte #
? ? ?
C) _Z
Description of Work tc? C???
Multi-Family Bldg ? Y_ N Fireplace(s) 0 1 _ x ?
- - C?,
Property Owoer Tclephone # q [2))
RMA HOME SERVICES INC
Contractor .
Home Depot Installed Sales n
? --
Address 3200 Cobb Galleria Pk
wy., Ste. # 200 City
State Atlanta, GA 30339
BG20268257
- Telephone# (?? ) DEC
v
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miiuiesota Rules 7670 Cateeorv 1 Mirmesota Rules 7672
Energy Code Category
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted 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
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved p]an in the case of work which requires a review and
appr. al of plans.
.. Socll"D
pplicant's Printed Name pplicant's Signature
OFFICE USE ONLY
,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 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.
? 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 Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplBCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units 5q. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ FooUngs (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Fooungs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof
Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_
_
_ Framing _
_ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
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
Building Inspector
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
c;uuN i Y ur c:OBs
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Services, Inc., DBA Home
Depot Installed Sa1es loca±Pd at 660 Mendelssohn Aver_ue North, Golde^ Vulle;r, PANT
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary arid appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work"). -
The powers conveyed to the Agent by this Limited Pov?er of Attorriey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and autorriaticaliy be revoked on the 21 st
day of iviay, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
1N WITINFSS WHFREOF this Limited PoNver of:q.ttorney is exetii.rtcd this
21 st day of May, 2003
David . Katz
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 2003.
Notary P ic in for the State oMeorgia
N7y Commission Expires: January 21, 2406
3968I6.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
Sumeyors G'ert«ca?`e
o?
00000,
-,
. .
SURVEY FOR: Atarv Rnderson 1[omes Inc.
DESCRIBED AS:r,ot .5,Biock )_,Mr:cnnNS nuulTiorv, city of 2:a g'ar,,
Uakota County, Minnesota and reserving ea.sements of recorcl.
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Torn-Hose own-Hou Town^Hose oxn-Frose
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Exisling Elevetlons
Drainage Directlons
Denoles ollset Stake
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MIN. SETBAGK REC]UIREMENTS
Front - Nousa SidA -
Rear - (3arage Side -
SCAIE, I tnch = 30 Feet
AP/anning Engineer/ng Surveying
9201 ESeI Bieominplon Fteewey. Blppminyton. Mlnneavlo 56420
ftleohona 16121088DZB9
I HEIIEBY CER11f-V 10 MARV ANDERSON HOMES 7NAT 711I9 19 A TRUE
ANU COliRECT FIEPRESENTATION OF T11E 80UNDARIE3 OF 711E ABOVE
OESC1118Eb PIIOPERTY /13 SURVEYED BY ME Oti UNDEq MY bIRECT
SUPEtiVISION AND bOES NOT PURPORT 70 SHOW IMPqOVEMENT3 Otl .
ENCqUACHMENTS,EXCEPT AS SNOWN.
o??. ?? ZLi 93 ? J 'MINND NDOREN,LANU URVEYOR
E 7A LICENSE NUMBER 14378
JOB NO.:
42R-469
BOOK: I PAGE:
CADD FILE: I DWC3, CHK.
mHnq2-4
t-
oo
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O
Use BLUE or BLACK Ink
Ilk For Office Use
~n I Permit Q-7
I
I
City of Ea 1
Permit Fee:
3830 Pilot Knob Road
Date Received:
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 JAN 2 4 2012 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /te Address: / Unit C) I t
\o 1 t^, Phone:
a Name: (tCt
RESIDENT / ~ lit ~ C~
OWNER i Address / City / Zip:
1
I
Applicant is: Owner Contractor
TYPE OF WORK Description of work: l,,r- 0-Li )AD-6~:FJ MV1U SlCtlt~1 f~ /Jtti cE IZPr~ llr`it S
Construction Cost: C4, oo 0-0-0 Multi-Family Building: (Yes /No
Company:- 5rtlt.t 1il i~ Contact-TEL
CONTRACTOR I Address: City: )Jof lti~fiC9j
State: .V ~\)1) Zip: 7 Phone: U trc~ ' c101 ( ---)-7 44 0
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date 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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil in ode ist be completed within 180
days of permit issuance.
N `
X x
Applicant's Pr nted Name pplican ture
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB 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)
-7 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
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation U Occupancy - MCES System
Plan Review Code Edition y . 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 V Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) x Final / No C.O. Required
Foundation T HVAC Gas Servic Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings ^ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee Zo 0
Surcharge
Plan Review MCES SAC
City SAC x,11
Utility Connection Char 5
ge J
S&W Permit & Surcharge
Treatment Plant r~
C 1
Copies Hr- f
TOTAL ri-
Page 2 of 3
Use BLUE or BLACK Ink
_ _ _ _ - _ _ _ _ - _ _ -
I For Office Usej I
1 Permit
City of Ean~fl I 1531.
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: l
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: jQ -Q I -Site Address: 330 3 V- Unit
Name: ~A;r(f~AVt.~ ~C~Z~ I Cc c as Phone:W);~-&_7D -(2 I
Resident/ y33~ 1, 3`I - t(39
Owner Address / City TZip: -x(-13-1
-~j33(o -~I.33-~ 3 yo h L~
Applicant is: Owner -L Contractor AI&O
Description of work: R_c'~
Type of Work
Construction Cosi Multi-Family Building: (Yes Y / No
{ Company: _ L" e S ~ Contacfi J-t2d e~-(L~~
Contractor Address: (~~y-t~ Rpj' City: N_ 00
State:V'V'Jkj zip: Phone: tZ--'t ~-7~tv
License ( ('o J '~5 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I <
COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
I 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:
6
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name - PP mature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137736
Date Issued:07/19/2016
Permit Category:ePermit
Site Address: 4330 Meghan Lane
Lot:501 Block: 03 Addition: Meghans
PID:10-48250-03-501
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Anthony S Wisnew
4330 Meghan Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature