604 Middle LaneCITY OF EAGAN
. .3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
@UILDING PERMIT Receipt # ,
To be used for st OW/0" Est. Value i133+000 natP 'Nm S , 041
Site Address a
Lot _I Block
Parcel No.
W Name ??S B1t CKA?a
3 Address 1801 KNOX C1RCl.e
0 City DI V11.11.9 Phone 695'5
=F Name g?
gOC Address
City Phone
Name
City
acknowlege that I have
Dn is correct and aaree
Signature of Permitee
A Building Permit is is
on the express conditi
Building
Phone
this application and state that the
)mply with all applicable State of
of
OFFICE US E ONLY
Occupancy R-3. M-1 FE ES
Zoning R-1
(Actual) Cons1 YU
Bld
P
it
_ 755.00
Alb
l -
VIL g.
erm so
?
(
wab
e) - Surcharge .
# ol Stor+es 491
OG
Length 62 Plan Review o
Depth 31 SAG City i???
S.F. Total d?*?
S.F. Footprints _ SAC, MCWCC
On Site Sewage _ Water Conn b?'?
On Site well - Water Meter 93.00
MWCC System Y? 3Q*QQ
Ciry Water ? A?? ?Posit
???
PRV Required ?._ S1W Permil
Booster Pump - S/yy Surcharge • so
276,00
Trealment PI
APPROVALS Road Unit 3?000
Planner
Council -
_ Park Ded.
Bldg.OH. _ Copies
=3?sZ`•?
Variance - TOTAL
-' Pxmit No. Permlt Holder Oste Tekphone #
WATER /?p3L G 9
SEVlER
PlUM81NG 8 ??4y PU "2
H.VAC.
ELECTRIC lp 3 ?/02 1?I W??
Inspectlon Date Inap. Comments
Footings I
Foundation •
Framing I?S
Roofing 4
Rough Pibg.
Rough Htg. 49, ?5?
Isul.
Fireplace
7I?
?
Fnal Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Fnal
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
. ?,... a: ,?, ...?+.?... .?
e
CITY OF EAGAN
454-8100 -
DEPT. OF BUILDING INSPECTIONS '
Correction Notice
Located at
I have this day inspected fMis structure and
these premises and have found the following
viola ions of city codes governing same:
X14 1 Co'- mu5t ?V?1 (7,.:..r
e
p.K ss
When corrections have been made, please
call 454-8100 for inspection.
Date ? 911 1) ?
Inspector Ciry of Eagan
DO NOT REMOVE THIS TAG
7" .
. .?
. •i '
?r, ?-.. .? = F .
a. • ? _
&r#tftra#e of (Orrupaury
(titp of (Eagatt
Depatttettt of Buitbittg inliperlian
This CernJ'rcate issuedpursuarrt to 1he requumrexts of Seclion 306 ojlhe ilniform Building
Code ce?tiJying [hat at the time ojissuance thrsstruclwe K+as in cornpJiance with 1he variaus
ordinancas of de City regulaJing building construdion or usz For rhe following.
Me a.tion SF DWG/GAR ekig. Ptnk w. 19178
00-p„gy Tra 1*/14? ZDdingD&rkt R 1 TYPC CIMM VN
o.,,,, a Wd.C M-ES BY aiASE ,,,dd= 1601 KNOX CIRCIE, B'VIIIE
.,.,.--...--- 604 MHM LAI+IE . .---,.-- L1, B4, MANCIR IAKE 2TID
7/29/91
POST IN A
i
SEWM864ATER PERMIT
cmr oF EAcaa
3830 Pilot Knob Rd.
Eagan, MN 55122•1897
DATE JUNE S, 1991
OFFIGE USE ONLV
METER #E ? & i? (o PERMIT DATE 6;1 ? ; a ±
CHIP # 2ka? g 0/1 PERMIT # 1203 i;
METER SIZE Se-h -St' s B.P. RECEtPT # C 13798
15SUE DATE B.P. RECEIPT DATE Qb OS 91
Xx PRV _ BOOSTER PUMP
SITEADDRESS 604 MIDDLE LANE
LOT I BLOCK 4 SEC/SUB riANOR )-°-KL ZNv
APPUCANT: HUME5 BY -HASE
ADDRESS: 1601 KNOX C1R
CITY, STATE 3tIRNSVILLE ZiP 55337
PHONE: 895-5337
PERMIT REQUESTED
? SEWER X WATER _ TAPS
- COMM/IND
x NEW
-k- RESIDENTIAL
EXISTING
ALTA MECIHAtiICAI. Lawn Sprinkler Meters are to be installed
PI.UMBER: Ahead of inestic Meters on Water Line.
AODRESS: ?' •?? •?X 24211 Credit WI?OT be given for)Deduct Meters. CITY, STATE APPLE VALGEY Zip 55124
431-2931
PHONE:
/I AGR O C PLY WITH CITY OF
OWNER: ;EA R S
ADDRESS: /CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLF-ASE ALLOW TWO WOiiKING DAYS FOR PROCE,SSING.lCALL_ 454-5220 FOR INSPECTIONS. FOR STORM
SEWFR PERMITS, CONTACT ENCINEERING DEPT.
Al. i , _
-SEWER & WATER PERMIT
CITY 0'F YEAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
fUNE 5, 1991
MEfER #
CHIP #
MEfER
ISSUE DATE
OFFICE USE ONLY
PERMITDATE ! 5 r':'
PERMIT # __ 1 tU?L
B.P. RECEIPT # C 13798
B.P. RECEIPT DATE 06 / G 5/ 91
xR pRV - BOOSTER PUMP
MIDDLE LANE
SITE ADDRESS
LOT-6LOCK ` SEGSUB A`-
APPLICANT:
Li "'._' f,;:,
ADDRESS: i00"
CITY, STATE
i37
`jURCi5VILI_ Z?P
PHONE:
895--5337
PLUMBER: ALTA r1F:%CHANI::AL
ADDRESS: P• O• BOX 24211
`.?,
CITY, STATE ZIP
PHONE:
OWNER: _
ADDRESS:_
CITY. STATE
PHONE:
ZIP
PERMIT REQUESTED
A
- SEWER - WATER _ TAPS
- COMM/IND
X NEW
?- RESIDENTIAL
- EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
HOUSE HEATING TEST RECORD
?
?0'9 N-_?
ADDRESS ??? th
??r1 LAJ APT. FLOOR CITY SUBURB
OCCUPANT b vk" 1a OMIFIER 4G.41DA 6S P
HEAT LOSS DAT9HTG. INST.
50LD BY ?LC A `r INSTALLEO BY
EI•chieol Work Bp -{ Gkk`•,Q Gos Lfne Bp d•l ?C? ?/ id
TYPE OF HEAT GA FA X NW STEAAA SPACE HTR. UNIT HTR. OTHER
? GAS DE51GN CONVERSION
MAKE V ?kj MAKE OF BURNER
Mod.l (.1 Modol ?
Seriol Ma;, STIJ ReN..a
INPU7 !0? MIAKE OF FURNACE----?
Model '
COHTROLS
?o
Valre
Limit
Limif Settinq
Fon Sottiny -
Pilot Type _
Pilot Make _
Pilot hbdol _
Pilot Timinq
L.W. Cuf Off
Hoar Plup Vont Sis.
KIND OF I.INER ? 51ZE ~ NONE
Droh Hood f? 6i r1 Reyularor =-
i
Filt.rs Sise
Q ChImner Loeotion ?sids Outside
4 C1° Chfmney Construction C. -- 1/,D
Presaure ?Z Poieent
Inpur CFH P.reent
Stack T.mPwpnt
Fwm 235
Snwke Bomb WiNny
Diroh ( I L- Test Teo `-'
Doer P.euur. `? Liahtino In¦#- C-
Date T.shd
Compsey Testiny i
Nonw of Testor `?
1NSY1:U'1'lUN KLI.;UKI)
CITY OF EAGAN PERMIT TYPE:
,3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: fili t
?' I th ( 41(l t fi I II FI IMANttk I.AK h -.•;E.t.ON(1
PERMIT SUBTYPE:
;6 .
F
L
-i APPLICANT:
TYPE OF WORK:
I .. 11; , „ ,1
1i1? I 1 1, t Nfi
0 't.?10;4
0 7/iK/QK
1?[ MAH?"'; :P 1 AM iik.vl I 4iF fl BY .'tO?1 V17F I'.? .
f.' trr?n1 p?•,??Nrt:v tin?x +and C?' frol? hou?se?
Vai 1 4 4IN :°>t4 0 (ti ii w<I) ) NG FI t E: Tli lr'A! Pf:RM'i'1 AN() 1p%PFC1ION`: •? ?
Permit Holder Date Telephone il
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS _ T ,5
V"
FOUND `
h u ?o B)OV
FRAMING
RpOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNDucnvirv
TEST
HVOROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
OECK FINAL
CITY OF EAGAN N? 19178
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, M N 55727
BUILDING PERMIT PHONE:454-8100 C, 1 -3 ,79 2?
Receipt #
e $133,000
Tobeusetlfor SF DWG/GAR Est
Val -
.]UNE
5
91
.
u pate 19
Site Address 604 MIDDLE I.ANE
Lot I_ Block _4 Sec/Sub. _k1?10R LAKE 2ND OFFICE USE ONLV
ParCel No. occupancy R-3, M-1 FEES
1
Zoning R-
a
? Name HOMES BY CHASE
(ActuapCOnst
Vip_
emg.Permit $ 755.00
3 1601 KNOX CIRCLE
Address (Allowable) VDI- 66.50
° City B'VILLE. Phone $95-5337 # oistories 9
surcnar e
Pl
491.00
Lergth b? an Review
F Name SAME oe
m 51 s 100.00
? P nc,ciry
Address S.F.TOtal - 650
00
City Phone S.F. Foolprinis _ SAC, MCWCC .
660
00
? On Site Sewage _ water Conn .
?W Name Onsitewen 95.00
_ Wafer Meler
? Address MWCCSystem X}L 30.00
a City PhonB City Water Xx_ Acct Deposit
30.00
PRV Requiretl XX__ SPN Permit
I hereby acknowlege that I have ea this application and state Ihat the
i
f
i
i Booster Pump - gryy Surcharge • 50
n
ormat
on
s corcect and agree io fibriniply wi[h all applicable State of
Minnesota Statmes and Ciry W Ea Ord' an . Q Treatmern PI Z?6.00
Signature of Permilee APPqOVALS
Road Unit
370.00
A Building Permit is is ed to: HOMES BY CHA$E P1e^^ar - Park Ded.
on ihe express condition that all work shall be done in accortlance with all Council
applicable State of Minn ota Statutes and ity ol E gan Ordinances. gltlg Qff. _ Copies
BuildingOfficial Variance _ 707AL . ?P3,524.00
CI7Y OF EAGAN
rAsFi.r.:r.r,: s TEkHINAI... N0: 809
DA'iEs 07l21/96 TIME; 009:30
ID:
NAME: KATHL.EEN M. FRELiftICHB ,
306 :]OCIi 604 M1bDl.F_ L.AN[" 39.75
205 9001 604 MIDDI_I- LANE 2.50
7ota7. Recei.pk An,oun+,; 102.25
CF0?t',i.23
L)SC::R ID: RlANCY
?k?k?X??k #!k%?X? ##Xc!X?k##?%??k?%#%?X???k?k#?k?kc??C%ck?X?Xc?CXc%c
a 64153
REOl1EST FOR ELECTRICAL INSPECTION
ji? See insimc[ions tor complebng this form on Dack of yellow wpy.
"X" Be/ow Work Covered by Thrs Request
?•.-
e Atld Rep. TypeofBuilding - AppliancesWiretl EquipmemWired
X Home X Range Temporary Service
Duplex Water Heater ElectriC Heating
Apc Building Dryer Other (Specity)
4 Comm./lndustrial ' Furnace
Farm Air Conditioner
Ol?
er (specity) GonhactorS Rem&NCS'.
Compute Inspection Fee Below:
# Other Fee S ServiceEmranceSize Fee 8 Circuits/Feedere Fee
Swimming Paol 0 to 200 Amps 111 0 to 700 Amps
Transformers Above200-Amps LAb-ove Amps
SiJns Inspecti Use Only: ,
? TAL
Irrigation Booms ?a• $62 . 50
Special Inspection
Alarm/Communication THI5 IN5TALLATION MAY BE ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18MONTHS.
I, the Electrical Inspector, hereby
cenify that the above inspedion has
been made. pouyni /12 1,
Final om -T
-T/
oFCice use oNLr
Tnis repuest voia 18 rtwnths irom
.3-
o
a 6 ? ? ?
0
153
Request Dale
6/ 06/ 91 ` Flough-in Inepeclion
Ra4ui,ec?
? Feady Now 0 wn Noty InSpeclo,
R
tl
7
W
Vas ? No lren
ee
Y
I p licensed contrector p owner hereby request inspection of above eleclrical work at:
JoU AAtlress (Street, Box a Route No.) ' Cq .
604 Middle Lane Ea n
Section No. Township Name or No. Renge Na. CouMy
Da t
OccuPeinIPRINrI Phona No.
Homes by Chase 895-53 7
Power Suppller AEOress
Dakota Electric 4300 220 St r'
Elecvkal CoNrecmr (COmpany Name) Camrac1ar5 License No.
Joos Electric Co. AM01895
MaJirg AtlCress (COnvector or pmer Making Installatqn?
2104 Great Oaks Drive Burnsville MN 55337
FuMOrixeomneNre (COMractor/Owner Makinq I - n) Phone Number
431-4755
MINN OTA STpTE BOAFOOF ELECTRICITY - THIS INSPECTION REOUEST WILL NOT
GdpyYNWwiy Bby. - Room S1T! - BE ACCEPTEO 6Y TNE STATE BOMD
1821 UnWVYIy Are., St. Pwl, 1AN 55101. . UNLES3PROPER INSPECTION FEE IS
PIpM (812) 662-0B00 . ENClOSED.
FERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: auzLozNe
Permit Number: 0 3 2 5 5 4
Date Issued: 0 7/ 16 / 9 S
SITE ADDRESS:
P.I.N.s 10-47276-010-04
604 MIDOLE LANE
LOT: 1 BLOCK: 4
MANQR LAKE SECQND
DESCRIPTION:
ABOVE GROUND
B-Uilda;ng Permit Type SWIM POOL
43uildin6`''Work Type NEW
r
? . .. ?a., .
l
?
'x.
•?
....... +,It. .
l
=
f
REMARKS:
PLAN REVIEWED BY JOE VOELS.
5' from property line and 5' firom house
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTTONS.
FEESUMMARY: vALu,aTZON $5,00e
8ese Fee $99.75
Surcharge $2.50
Total Fee $102.25
CONTRACTOR: ?
pLL-AMERICAN REC
912'9 OLD CEOAR
BLOfOMINGTON MN
(612) 854-5454
Applicant - W ?p?
18545454 ?FF2ED?tTCHS RICHARD
AVE 604 MIDDLE LANE
55425 EAGAN MN 55123
(651)688-2045
I hereby acknowledge that I have read this application and state that the
infiarmation is enrrect and agree ta comply with all applicable StaCe of Mn.
Statutes and' City oY Eagan Orekinances.
4?4 APPLICAN ERMITEE SIGNATURE
?-
SSUED BY: SIGNA URE
1998 BUILDING PERMIT APPLICATION (RESIAENTIAL)
' CITY OF EAGAN
3830 PII.O'.' KNOB RD - 55122
l181-4675 Lau? _ „p _ ?
JJ '( ??
New Conshuclion Reauirements RemodeVReoair Requirements
? 3 registered site surveys
• 2 copies of plans (inGude beam & window saes; poured fid. design; etc.)
? 1 enargy ealalations
? 3 copies of tree preservation plan H bt platted after 7/7l93
required: _ Yes _ No
DATE: 7- ?`l' ` / /3
DESCRIPTION OF W
STREET ADDRESS:
• 2 oopies of plan
? 2 sRe surveys (exterior add'Rions & dedcs)
? 1 energy wlculations for heated adtlitions
CONSTRUCTION COST;
`Ke, cooa ?
1 YY\ah.o r
LOT: ? BLOCK: ,"C SUBD./P.I.D. #: ?1Q-VyX_, 'P ?JCCOCA ClA,)i ZM
-- - ----- G? / ?j 9 ?/ \
?? Name:?/`??/? /?? /? ? G7? v< 0? hone #: `7 Jr
PROPERTY Last F'usc
OWNER Street Address: ?-P C v??
City State:,__? Zip:
,U
Company: Phone#:
CONTRACTOR
1/ytK£?Street Address: License
?2C5
ARCHIT'ECT/
ENGINEER
City ?\ocr'm?CtC\ 33X1 State:^'(-'61(1 ZiP:
Company: .
Name:
Street
City State:
Sewer & water licensed piumber (new construction only):
and lot change is requested once pertnit is issued.
ad this appliptlon and sfate that the
.y of Eagan Ordinances.
Signature of Applicant:
USE ONLY
_ Yes _ No
Phone #:
Aegistration #:
Zip:
Penaity applies when address chang
is correct and agree to comply wRh all applicabl
I _ . ---I ,
Tree Preservation Plan Received _ Yes -- No - Not Required
OFFICE USE ONLY
SiJiLDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-piex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _ plex
WORK TYPE
)J(31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem.,-0-17 Swim Pool
? 13 Garage/Accessory ? 20 Pubiic Facility
? 14 Fireplace ? 21 Miscellaneous
? 15 Deck
0 36 Move
? 37 Demolition
Variance
?
t
0
Permit Fee
5urcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
n7 9. 7S
2.?
Valuation: $ S 06 d
Total:
% SAC
SAC Units
?D2. Z5'
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering
Zy ` ?
I
lO+ca r4-•-
V°v?t ?af'e • ?
. = ?OR'S CERTIFICATE
\
/
3a ?
M i DD_ LE lLANE935.0
?
O?-? ?<s ZO oo\ ? .
b
R' a Q2
A=?Oq 68., Q°13°32 11 9jy `r,S 890 24'46" W
3? ;2 --- 69.6 R-29464 2.89
93? 9
0
o? c .?u.,?--- o e• 1\ C933; .
01
.? i
HOMES BY CHASE
?
00
yC v \ -
,?a •
r 5r
3
? (V
I!') co
M? I
o ?
Z,. 5L
? n
?I:OMG`O o/ ?A5 oW ,
°
;`
ntn wamc
ee
P OF IRON
TO 1
o PROPOSED
DRIVEWAY /
r I
q M=
M '
? BENCH MARN
Q V.+93?.q
ELf p (G?bA\ w ? ?TpP OF IRON
? ELEV.+930.21
r / ? 'r--? 32.0
? `
0 ? M
? o
1 O ? - GARAGE N O 0 /
(934•0)
I 23.67/
I ?
? o ? P?R{OPO E
?.-
-? ? o N .(J{+?''?
DRAINAGE B UTII.ITY
EASEMENT PER PLA
146.34
/N N
?4.0 M
3 _ 9I 0
0
?- Oi
-- ?9JG•?1 ? ? 1 ?
?L 0 T I y Is N
i ( )
S 89° 24 47" W' y3)'?
.
, •
.., ? .
,.
.
NOTE: NO SFECFIG 501L5 INVESTIGATION HAS BEEN COMPI.ETEI ? • ,`v ON THIS l07 BY THE SURVEYOR. TFE SUITABIl1TY OF
SOILS TO SUPPORT THE SPECtFIC HWSE FROPOSED IS /t
NOT 7HE RESPONS{BILITY AF THE SURYEYOR
?-- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES 1RON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
I :-
SCALE: 1 INCH - 30 FEET
PROPOSED GARAGE FLOOR - 936.3 FEET
PROPOSED LOWEST FLOOR - 428.(o FEET
PROPOSED TOP OF BLOCK - 936.7 FEET
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SGRVEY OF THE BOUNDARIES OF:
Lot I, Block 4, MANOR LAKE SECOND ADDITION, according to ihe recorded
plat thereof, Dakota County, Minnesoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH. DAY OF MAY , 1991.
SIGNE : JA E$?t• HILL, INC. ?
/ /
CITY OF EAGAN
3$30 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454 8100
00459wk'ERMTfi:
FOR CITY IISE ONLY
PERMIT #
RECEIPT # 101
9 3 3
DATE: a5
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMESfCONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------
WORK DESCRIPTION
NEW CONST _
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITI023AL 50 M STU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
le? STATE SURCHARGE:
LOT:BIACK A-1 SUBD. ? v
INSTALLER: \ Q??'TC?I II'?? 'N\ c
ADDRESS: P• ? \ C?? ??O ( Dj
CITY: ZIP: 55r_)ay'
PHONE #:
DWELLINGS &
$15.00
24.00
6.00
3.00
S .JC7. M
.50
b,AMM?Ii?IAT./?I?7DUSTK?A:Lii PLEASE COMPLETE THIS PORTION FOR ALL C021ERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARR
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
°2CCESSED PIPZNG = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
TOTAL: $ 50450
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /
P.T:U
mB;?I?G:?:???? DATE: aP rl
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
---°-----------°------ ---------------------
WORK DESCRIPTION
COMPLETE THE FOLLOWING
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 .3
REPAIR WATER CLOSET 3.00
OWNER NAME: l_. 1C.t.S?/ KITCHEN SINK 3.00
SITE ADDRESS: HOT T[JB/SPA 3.00
LOT:_L BLOCK ? SUED. P???
l?
?1 GAS PIPING OUT.
U '
INSTALLER: 1'7
?
S
iiD
? 2?
?
?
I
?
D
n1
/
f•
o'?
ADDRESS:
. ?• OTHER
CI?: ?rnso'lle, Mnl zir: .5'5337 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE 377
SIGNA OF PERMITTEE S ?{/
TOTAL: ,
?OMlSERCII??,??IDtIST&IAL; PLEASE COMPLETE TFITS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°-----°------- ------°--- ° ° -------°--°-
CONTRACT PRICE:
FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
0
-- ------------------------°--------
:
-:?
N0. FI%TURES EA. TOTAL
?
e"?. (o
BATH TUB 3.00
LAVATORY 3?
.00
% LAUNDRY TRAY 3.00 3
,
-T WATER HEATER 3.00 3
T ?LOC : ?xn:v ., . ce 3
? (MINIMUM - 1) 3.00 .3
a- ROUGN OPENINGS 1.50
? WATER SOFTENER 5.00 S
SUBTOTAL $ ST. SURCHARGE .50
5D
--°--------------°___-°____---°'
18 t7F CuiviBACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
Q99r BII? YERMIT APPLICATION
. ?
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
?N
CONAIERCIAL
?
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CAECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS JI ,
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PI
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS IS
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST
DESIRED. NO CHANGES WILL BE_ALIAWED ONCE BUILDING PE.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: -?71jValuation: ? Date:
Site Address V"`r`'- '
Lo,t Block ?
Parcel/Sub d?/7p 4?_ ol°ye c-?
Owner 42z,':PG /? 4ra?S°?
Address?jlZi?-x ei-4e"- ,
City/Zip Code l% liJt?? S'f`a37
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. ., ?
Address
City/Zip Code
1331000 ? OFFICE USE ONLY
FEES
Occupancy R 3 M'1 Bldg. Permit '7 $5,00
Zoning R-I Surcharge (26,5o
Actual Const V- N Ylan Review L/91- W
Allowable V? N SAC, City /Q§, A
# of si.ories SAC, MWCC 6 60.00
Length ? Water Conn. 160100
Depth 51' Water Meter 176100
S.F. Total Acct. Deposit 301rv
Footprint S.F. S/w Permit 30.00
S/W Surcharge 150
On site sewage_ Treatment Pi. 2%.00
On site well Road Unit 3r)O,Oo
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV Copies
Booster Pump _
SUSTOTAL
Penalty
Lot Change
TOTAL ? ) a
i
APPROVALS
Planner
Council
Bldg. Off. J
Variance
Phone #
agrees that all work shall be done in accordance with
( ignat re of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vAUua-r'rCW
GAaAGE"
31--, 7o y
?---
6 6 S x ??`?= ?a o 2 u
BsM-r,
60DX14= $4oJ
'S7', ?t,oDjz
1 ? 8=
qx
sxi8=
t
?Zoo -
?
?y
qo
33$ x 53= 09?y
Z N o
?c,x3? = 80?
$l4 x53= 43_ ??
?32y'16 aF2 133,00?'
?
SURVEYOR'S CERTIFICATE
HOMES BY CHASE
N
I DDLE
- LANE93so
-
? ?- ? ? .
0?p0
TO ?. 95lA ? 994.8
D` ZcF 6•_ A a 13°32 II R, S 890 24146" W
3 i q318 69.6 I 2?`64 %r 2.89
? o .
-933•%
4j•.?Q ?o ? '-? o\ ?
(L h1 PROPOSED M=
W
5 ° ;
BENCH I XON . o DRIVEWAY e I M.
B[NCH M11FK
lLCV.-934.00 {n ro i ?TOYOFIXON
<<13toa) a
4__7r?. 6LEV.=9 39.2l
f -
32.0
I g /
° l o
3p a\ DL1 6 i N GNiAGE N d O
,, (9J4•o} ia o M tn
I i0 6.3
930.7 23.67 ??OPbD HOUSE N o ? g Oo N / 0,? ? .
i
% 48.0
IN) N
?? DRAINAGE 6 UTILITY 36O ?? ?9N?'?? ? ? • -
EASEMENT PER PLAT? f
z. 5 LOT I? 15 N
? - - --?- - - - --? ? `?'
In ? s..: .
?? , ` , tf33p)
146.34 S 899 24'47" W?
,; -
NOTE: NO SPEGFIC SOILS INVESTGATION HAS BEEN COMPLETfiI?
- ON THIS LOT BY THE SURVEYOR. TFE SUITABILITY OF ` ?• r7.
SOILS TO SUPFDRT THE SPECIFIC HOUSE PROP0.5ED
? NOT TME RESPONSIBILITY OF THE SURVEYOR ?? r; ,? .
Et113A1tl GApG?y?alE??111?'4 j L?
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 436.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 928•(o FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 934. 7 FEET
P R.V. n _11
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 4, MANOR LAKE SECOND ADDITION, according to the recorded
plat ihereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACWMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20TH. DAY OF M AY. , 1991.
HILL,INC.
NOTE: BUILDING qMENSIONS SHOWN ARE
FOR FIOR20HTAL 6VERTICAL LOC-
ATION OF STRUCTURE ONLY. SEE ARCHITECrUAL PLANS fOR BUILDING
6 FOUNDATION DIMENStONS. m ?c0 ?WO mf77 p
? = 0 ? O D
- r
m N
fT m ??` ? ? D 2 *
Q z m
?
N D
O
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.J f?n
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'i ? o0m u
i ? ? <
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
. .
James R. Hi , inc.
PLANNERS / ENGINEERS./ SURVEYORS
2500 W. CTY. RD. 42 * BURNSVILLE, MN. 55337 * 612-890-6044
UUfltll• % J ••.. r. ? ,? 1*.
stre nDnnESS: ,_ • • •
??.
coirrnncTirn: p nnre: .
, bEiERHINE. NOflYlll(' SOUA4E FOOTA OF EACiIs
. ? ? .
• • • .? . ., • ? ?'.:
i.. iotnL ExrosEo VInLL nuCn,,.,.. sn rt x"u„'
2. TornL nooF/cEtLtIIn nr;?;,,..... ..?
/?,?c?;Z ? sq rc x ??u???•
SQ?
3. ToTnL ExrosEo ,IInLL nnEn cnLcuLnrioIis, . ...
, . „.
Total axposed wall . . . ..• . .
' areo abovc floor'........ sq rt
' . .. r
n) Total 4ra11 wlndow areas •? . • ..
?glazed.?.... • ??7r1? aq (t x uUn "? ..'.
,rylazed...... sq rt x "U" •
L) 1'otnl Joor arca .......... 'sry rt x "U'e,
c) •1'otnl slldlng gless'door
, 'areat."
.-??_ . . ,. ??.• . . ... . ., . .. ., . ' ' ' ? • . : .
'-, glnxad....... sq rt x r,Un
qlnzeJ.'.?... s4, rt x nvn . e .
d) Totai flrcplace wol) erca _•• ,?• sq rt x"U"
c) Total t.jall frArnlnq arca
(Avcrnge 109,1)............
sq ft x °/./7
? f) Total net wo11 area abovc
floor (Insulated).,..... ft x "U" 67 c7,1
c)) 7ota1 rim Jolst .area...... sq ?t x"U" _w Q
L?
Total foundatlon '
.irca (ExposeJ)......... sq.ft
. , .
Total foundatlon '
talnJaii area ............._ sq ft x "Uli
O Total net Foundatlon. . '. ' •,,.,' , ' .
area above.graJc% .....,,' sq ft x"U" ? ..
TOTAL a) thru 1) n
tem P3 Is tl,c samc as,• or lass tllan ltam pl, yoU hovc met tlle Intent of
. S•h•C. Sectlon 6006
(c) 2. ' •
I , i " . .
. .,? 1.
CiJ? 7 ^?'57? ^.?W?'? ?R ?,p?!' 3''? A', ?:5 ( Y"PRrAL H'J'. T j, ^• R
. .
ot:il cxposed' .a.s' '
..? . .'.'. :.fPOF./CC1:.1??h(? . ?.?y s .9.?4 f? ^r•' f •S+t??? ? ?'' _ .
.. . U• .r
i)-. Tofa?l skyllalii., are'a:'?.:':?. s? tq ft"x'„Un
? .
? ? -.. .. ,,? .,i,,•?1 ?,, - ..:,. . ? . , .
k) Total roof/celilnq.iraming
; arca (Averaqe 1Q9,)...... F 0 sq, ft x"U't
. . •,'., ? .
1) lotal nct Insulated,_ 1?.
r O ,,. ??, ..•., .
. ovf/celllnq nrea.,,.,,. sn ft x nUu
, ? ???•':? '
? . , • -. ;?, .
Tornl ))? cliru I) ?;:
, ., ..
total'oF Pli Is thc same as, or lc9s then 02. you hnvc met the Intent'of •' ???'' ,
I.C. Sectlon 6606 (c) 1. - ' ';:• ?
• , ,? . . .. • .
, • ... • . , , .?.:• ?: • ? .:? ••?. It'ry'?..?;.•;
. . . ? ? . • .._ ?. • ? ' •. ???' ? . . . ? ?' .• .. ? . .
ALTEhHATE IfUlLblllr EItVELOPE bE51r,N . .t',.
utl lizc thc tota) envclope system meUrod; the values.estobllshed'by the sum .•
Items 113 mid pq shal) not be grentcr than- the.sum of ltems NI'and 92. '.
1. , +?';,... ?_. a • ..
3.
' • . '` . -. . .. ; ..
. ,•.? ., •
, . . • ? ?. , . • ?
• 1 .
. 1. . . .. • • .. ' CEN.T1F,IfATIoII
r ?..? r? 4
I hereby certify thnt 1 have ealculiited tlie "U" factors and "R"
values hercln and that thc bulldinn here.dcscrlised meets or exceeds the State •
of I{Ilvicsota Encrny f.onservatlon Act.
• • ?J?'?r ???°? , _
11; ZWIqnature •• '
'
.. . • . .. . . ' . . , . .
. • • 5. ? o.? ? `?'/ .
`.
M1MING SECTIDU:
Interlor alr f11m
7
/,'//i.InEfies so(t
m
WALL SECTI011 (111SULATED)
-{1 Ioterlor eir f11m
-{2 i .
--(:? _ ti?. i ? ,.
----(4 • a?s??? i?.,.
- i15TRUCi 10i1
-?5 ?T-W1
----??+ Ext er?or illN JOIST SECTIOtI:
--(1 Interior
R VALUE
n.
. I
L R ?
TTA a
U - 1/R
(1.RA
,.., i
TOTAL R -
U- i/R - ?
p
ne. r•?^ ?
• ,/? - ? ?d` ??
6 • .• • •
• ? • ?•/y r
G .
,6'?' '•4.• G A,?p
/
a ..4 a?-E
? .;
;
U? 1/R
FOUIIDAT1011 SECT1011: . `
-(1 Interior alr' film q,6A
-----ti A! .. ?
-`-{3 e{!r
if txtCr of Aif 1 lm n-.17
(S
I?
1nrnL n
U
SLA4 ON GRADE
. Y
? ,
,• _? ? ?_
4
?,??? • ;
;
•
4 ?,, u,?,,Q
? . .?
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•
°
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:' ¢ . , , ; ?
.
: ? d :,? ••. ? . ;
,
,• N
d,
.• ? •. ? ;. .. •?io , ,
.'_` .. .
. ., .
. -. .. . . , . . .. ......
CQNST RIICT ( ON
. . . , R VAIUC
CEIl111Q SECTIQN (IIISUTATED)s
1 Interlor nIr flim p F?
2 i ?ri.?.! J _;,,1 ?a
3
4 Exterlor a flim stlll) n.FI
TOTAL R -,eZ4/.
u- t/a -?y
CEILING FRAHINr. SE[71pN:
1 Intertor alr f11m • •?,(,
7
s,
?. Inter(or alr' m st tl.
5 'i y,- nchcs so t WooA _A<
TOTAL R . iii_
U°
CEtlllM eEf.T10N (IIISULATED)t
1' Interlor elr fllm n,61
2
3
4 fxter nr i r film (still) Q. 1
TOTA ?
U VENTED
CEILItt?. FRANINr SECTI011:
1• Intcrior nir film p,Fl
z
3
f.xtcr or e r m st ?
5 ncl,es ao t?wood -
T07111. R ?
U - 1/R?
`':•.
I Inside als ??Ir A.FI
Z
3
4 '
5 Outside alr lit.. n,Ij
TOiAL R ?
li •1 "/R .
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118632
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 604 Middle Lane
Lot:1 Block: 4 Addition: Manor Lake 2nd
PID:10-47276-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Ball
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 -
Kathleen M Fredrichs
604 Middle Lane
Eagan MN 55123
(651) 470-1884
Action Roofing & Siding LLC
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135749
Date Issued:04/01/2016
Permit Category:ePermit
Site Address: 604 Middle Lane
Lot:1 Block: 4 Addition: Manor Lake 2nd
PID:10-47276-04-010
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Kathleen M Fredrichs
604 Middle Lane
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
G
* ` rFor Office Use ~ '/�C
Permit#: I
,tom
'
EAGANPermitFee: 111
�
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinsoectionsOcitvofeaaan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /1- I`t-/ 7 Site/ Address: tOt/ dA'�-dd! . lv, t-064-0 ' ti 55-al Unit#:
Name: Kit k cJ /30gt'd"-'el v r�1IS Phone: L�:J,y7i $1/Resident/ V
Owner Address/City/Zip: (,d yeen,to lye t t46.4/4 410 5(i z 3
Applicant is: Owner r' Contractor
Description of work: 6/.6. i n Lf� i r l7 rAGL -
Type of Work
Construction Cost: `/i1 /. 7S Multi-Family Building:(Yes /No W )
Company: 6149 v r t3 f Q15rS p Contact: ice-evict? r
Contractor Address:, 2 V t Ale b
/ill ke,": ' 4-71-4 City: )eii2-Tin
State: tZ'J Zip: PO a i i Phone:f'00-77e-63y>"Email:Ofi'r'tnd,9,L� alvr7f�yd�•'S fti et tin=[c
License#: ,U1 15 6 r.`4f 5.s? Lead Certificate#:
If the project is exempt from lead certification, please explain why:
A`t''ee<kc
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:
Fire Suppression 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 ff you provide specific reasons that would permit the Cly to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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,0opherstateonecall.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.
x 5 Tc4/cG'14TrG h13e
x c 'ri
Applicant's Printed Name Applicant's Si natur
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161819
Date Issued:06/15/2020
Permit Category:ePermit
Site Address: 604 Middle Lane
Lot:1 Block: 4 Addition: Manor Lake 2nd
PID:10-47276-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen M Fredrichs
604 Middle Lane
Eagan MN 55123
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179433
Date Issued:10/05/2022
Permit Category:ePermit
Site Address: 604 Middle Lane
Lot:1 Block: 4 Addition: Manor Lake 2nd
PID:10-47276-04-010
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kathleen M Fredrichs
604 Middle Ln
Eagan MN 55123
(651) 470-1884
North State Mechanical
16136 Excelsioor Court
Rosemount MN 55068
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature