3805 Mill Run Ct,. . . .. -.m- ?w?wc'r ?r..- ,.?rq• arq're•w?-.:?.. •.,.,_.,s.?v,.,' -• 'r?,•.n?_ _ . . . . .. ,
' CITY OF EAGAN ? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILRR+QG PERMIT Receipt # ?•--- l `-? ? ?2?_
r-
ToilT?e used for DLCIC Est. Value Date JUL 2S , ig_91
Site Address - 3805 !lILL RUli CT
Lot -7 Block 11 SeGSub. ERIDI.g AIDGE 1S OFFICE USE ONLY
Parcel No. occuPancy _ Fees
Zoning _
W Name JE" pWT?g
' (Actual) Const _ Bldg. Permit 25•00
o Address _3803 kILL RO C
t (Allowable) - Surchar e • ?
9
City BACAN PhOi1@ # of Stories _
Plan R
i
Length ev
ew
1?
t F Name ?1 ?$ ??? 5??? Depth SAC, City
OU Q Address Z9a7 PILD'T 1QfOb lD S.F. Total
-
~ Clty LAGp Phone 454--"14 S.F. Footprints _ SAC, MCWCC
? On Site 5ewage _ Water Conn
W Name on siie weli
Water Meter
Address MwcC System _
i W City PhQne City Water _ ?t. Deposit
PFV Required _ S!W Permit
I hereby acknowlege that I have read this application and state that the
f Booster Pump - SNV Surcharge
in
ormation is correct and agree to comply with aIl applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signalure of Permitee ? :?rn ! lr,;? /? ? _ t . ? . ?? ?. • { ? APPROVALS qpad Und
A Building Permit is issued to: wul$wos 8EQVICB Planner - pazk Ded,
on the express condition that all work shall be done in accordance with all Councii
applicable State of Minnesota Statules and City ot Eagan Ordinances.
Bldg. Olf. 1•00
_ Copies
Building Official °' ! i
Variance
- TOTAL ' ?
26
.
Permit No.
Permit Holder
Da1e
Telephona #
WATER ,
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
inspection Date Insp. Comments
Foolings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Consl. Meter
EngrJPlan
Bldg. Final
Deck Ftg. ?- 4 ps
Deck Final e.71 `g / D f%? D S r,,1 0", /•? i?C?
Well
Pr. Disp.
? • • ?.:... ? CITY OF EAGAN
` 36W Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NQS/0 UNrTL IIVC:IMMME APPR"a PHQNE. • 454-8100
BUILDING PERMIT (L? ?=CR Receipt
? to be us6d for Est. Value Date
Site,4ddress OFFICE USE ONLY
i ?: }?
?.) I.
Lot BloCk Sec/Sub
On Site Sewege
_ Occupancy
. MWCC System _ Zoning
Parcel No. On Site well ? Type of Const
City Water (Actuaq
Q Name • _
(Allowable) `
W .
Address ' * of Stories
Len
th
3
° City Phone g
Depth -
F
Total
S
p Name .
.
Footprint S.F.
? 4 Address APPROVALS FEES
? Clry Phone
Assessments
Permit
f CC Water/Sewer _ Surcharye
yVj W Name Police _ Plan Review ?
= Z Address Fire _ SAC, City ?
? Engc _ SAC, MWCC `•j
Z
? W City Phone Planner _ Water Conn. ?
Council _ Weter Meter
I hereby aCknowledge that I have read thia application and state Bldg. Off. _ Road Unit
that the infwmation is correct and agree to comply with all applicable APC _ Treatment P1
5tate af Minnesota Statutes and Cfty of Eagan Ordinances. Veriance _ Parks
l
C
Signature of Permittee op
es
TOTAL
'
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eaflan Ordinancea
Building Official
' Pormtt No. Wrmit Nolder DaN Telsphone ?t
Plumbing
?
`•??. 'i? ?-?
?%'}'/ -j
-
H.V.AC.
Electric 7
Softener
Inspection Date Insp. Commenta
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg• g
Rough Htg.
Isul. 4;.
Fireplace
Fin81 Htg. ? r
Final Plbg.
Bidg. Final
cert occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
? PERMIT #
• MECHANICAL PERMIT REC
9 9 ? ?
IPT
E
#
-
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' `"Z ?5 14;j ? I gLpG. TYPE WORK DESCRIPTION
Lot Block, / ec/Sub 'r
Res.
New
e__?
?
Name
l;.
+ " c
Y -'-,. Mult Add-on
Addr ? ' '? Comm. Repair
1_1 ess -
City Phone 4 - Other
(.l ?
Name
`' >
, . , , ? . ,, ? : •
'
` S '
FEES
?
RES. HVAC "0-100 M BTU . - $24.OU
ADDITI
NAL 50
B
U
?
p Address
City / i; 1 r:t
:? -i_ Phone ? yi
i:'. O
M
T
6.00 ,
-#RES. HVAC JNGLUDES ACC.;ON NEV1f -`
'
CT
CONSTRU
ION)
GAS OUTLETS (MINIMUM
1 PER PERMI
1
50 EA
-
.
.
n -
TYPE OF WORK COMM/IND FEE - 14'o OF CONTRACT FEE
Forced Air M BTU 11 ,. APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. -) r j M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
-,
.
S/C: r?
'
SIGNATURE OF PE MI EE
TOTAL•
FOR: CITY OF EAGAN
. ._ _ . . . . . <..
?. , .
PERMIT # -7 ?---
.{; . ?
PLUMBING PERMIT RECEIPT p ?
CIT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: z?
Site Address Iv.y,c ,L A 1 = -1 r
Lot ;z Block ,/ / Sec/Sub
Address
Ciry ,
a?
c
3
0
Name _
Address
City _
Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLOGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMiT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00
?
?Bath Tubs - $3.00
?ZLavatory - $3.00
_LShower - $3.00 3 -
_/-Kitchen Sink - $3.00
Urinal/Bidet - $3.00
---L-Laundry Tray - $3.00 3 "
,1 Floor Drains - $1.50
_,1__Wa1er Heater - $t 50 /
Whiripool - $3.00
___j__Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
_,?-Raugh Openings - $1.50 Y ;
FEE: ' '-
STATE S/C: A '
GRAND TOTAL: e?? ) 1l
? , +-4
(gtx#iftratt uf (IDrrupttnry
Citp of (eagan
mrpartmrnt of lutlbing lnsprrttaa
This Certifrcate rssued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construcdon or use. For the following.•
use cUssirK.tkm ? MrGA?: RId& Perm;t No. ? .. _
occupaocr Trpe zoniag nisu;ct }' - Tme '-
Owoer d Buildiog Address ,7
&n7ding Addrm I.opliry
Da[e:-..?-e' ?s?'' :? i7 ir?•?.'.
&ulding Official • , ? -
POST IN A CONSPICUOUS PLACE
?
, CASH RECEIPT
CITY OF EAGAN
. . - - 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
REC61V6D ,I. i
FROM
c /
AMOUNT $
,
6 DOLLAR!
I oo
? ? CASH CHECK
(. ?j / ? ?
row ly ? .! ??/i ? . a?( L
r-BY
?
. YVhite-Payers CoPV
Yellow-Posting Copy
Pink-File Copy
Thank You
--•--..r,?-..R?. ?.?
BLDG. .,,?-,?-t---?---?.. - - -...r _ .
. w-,--?--- --
PERMIT N0. _.
'?
?
/
?? D
._ .? ; , % { ,'; , , ;
, _: .,; ; ; f=-
01-3210 Bldg. Permit
01-3422 Plan Check'
01-3445 Surch. /Adm.
01-3446 SAC/Adm.
0 , 1-2155 Surcharge c.. Z
17-3860 Road Uni t ?, ?!•' ? c<-?
20-2275 SAC
20-3865 Water Conn. ?-J ?
20-3868 Water Trmt. I j
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN Permit Na. 919" Date: 11-3-87
4?- Size: F?? t
3830 Alot Yoob Road Meter No:
P.O. Box 21199 Reader No: QO;E ?.]Tf-,1 Z Date:
Eagan, MN 55121
Owner.
Site Address: 3 ? 0' - i1 17 Bll II •' F> '
Plumber. Take Si'z Pl»mb1nc-
Conn. Chg: 52 5. OOPUi' A k+ea,.???'ng: F.1
Acct. Dep:_
Permit Fee:
Surcharge:
of Units: i
wlih the City of Eagan
Tr. Plant 1 ` Urtlln??lls•
Meter r' , D R ? ?
M isc.: By
WATER SERVIGE PERMIT
C1TY OF EAGAN Permit No: - ? ? Date:
3830 Pibt Knab Rosd B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
- e
Oak 51drs. 1
Site Add
Plumber
MWCC: 52-5_.0'?F-d
City Chg: lotT' u ?P a
00
Acct. Dep: 5.
P`
Permit Fee:
Surcharge: S?'r` ' - s•
Misc.: ?
Zoning•
No. of Units: '
I agree to comply with the City of Eagan
Ordlnances.
SEWER SERVICE PERMIT
CITY OF EAGAN N2 19480
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDIiql"a PERMIT PHONE: 454,8100 Receipt # Li (a
/ 6,-2=
Tolae used tor DECK Est. Value Date JUL 25 79 91
Site Address 3805 MILL RUN CT
lot 7 Block 11 SeGSub. BRIDLE RIDGE 1S OFFICE USE ONLV
PBfCBI N0. Occupancy - FEES
Zoning -
w Name JEFF FOSTER (Actual) Const Permit 25.00
Bldg
? Address 3805 MILL RUN CT -
(Alloweble) - .
50
Sumharge .
City EAGAN Phone s o( Srories -
Plan Review
Length 2JOL-
a Name DON' S DOOR SERVICE oePU, 14
SAQ Cit
$a
Address 2987 PILOT KNO$ RD
S.F. Total - y
?
Ciry EAGAN Phone 454-4474
S.F. Foofprinis - SAC, MCWCC
r C
n
W
t
On Site Sewage _ a
e
o
n
?Q
W
Name
On Si[e Well
W
t
M
? - er
eter
a
zz
' Addl'eSS MWCCSystem _
?? Acct. Deposit
aW City Phone ciiywater -
PRV Fequire0 _ S/N Percnit
I here6y acknowlege that I have read this application and slate that the Booster Pump - S/W Surcharge
information is corcect and agree to comply with all applicable State of
Minnesota Statules and i?y ol Eaogan OrdinarnS??/ /`
V(
? Trealmenl PI
SignaNre of Permitee af-X?/?
' Yl
+ APPHOVALS qaad Unit
A 8uilding Permit is issued to: DON'S DOOR SERVICE Planner - Park Dad
on the express condition that all work shall be done in accordance with all Council -- 1
00
applicable State of Minnesota StaWles and City oi Eagan Ordinances. gl?, oK .
Copies
Building Oflicial
?
Variance _
TOTAL 26.50
MODEL HOME - NO C.O. GNTIL CITY OF EAGAN o
PLANNING APPROV3F9g b Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ?- 13939
3
BUILDING PERMIT PH ON E: 454-8100
Receipt # ??- 7,5 q
/
To be used for SF DWG/GAR Est. Value $78>000 Date StiLY 17 1987
Site
MLLL HUIV GT
Lot 7 Block 11 Sec/Sub. BRIDLE RIDGE
Parcel No.
a Name BtiRR OAK BLDRS INC
; Address 11473 GOLDENROD ST NW
? City COON RAPIDSphone 452-2906
,p Name SAMF
0 a Address
I
i-
City
Phone
Clty
I hereby acknowledge that I heve read this applicetion and state
that the information is conect and agree to comply with all appliCeble
State of Minnesota Statutes and City o•agan Ordinancex
Signature of Permittee
A Building Permit is issued to: BUR OAK BLDRS INC
all work shall be done in accordance with all applir,able tate of I
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCCSystem ? Zoning R1
On Site Well Type of Const v
City Water X (ACtuaq
-
(Allowable) ?
# of Stories
-
Length ?
Deplh 46
S.F. Total
PootDrint S.F.
APPROVALS FEES
$ 426.50
Assessmenta _ Permit
Water/Sewer _ Surcharge 39_nn
Police _ Plan Review 213.25
Fire _ SAC,City 100.00
Eng[ _ SAC, MWCC --- i25--W
Planner _ WaterConn. 525.00
Council WaterMeter
0
67.0
Bldg. Off. _ Rosd Unil 0.00
APC _ Treatment P1 180.0
0
Variance _ Parks
copies
-
-
TOTAL 75
f 7
38(Y
on the expreas condition that
nnesos"tatutes and City of Eagan Ordlnances.
; SQUEST VFOR EL ? EC?Tfl?I CA? Ithi. NSP om T on O beck of yellow oopv. " EB-00001-06
" 74 .37?
D_ `Z 11??' 82 "X" Below Work Covered by Thrs Request
Atld fl9D- TVe ol BuilCing Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztuies
Apt. Building Dryer Electric Heatm
Commercial Bldy. Fumace Silu Unbader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
farm Otner oenrv .tnor ISimcityl
t ,r Sucaty Other Othcr
Compute lnspection Fee 8elow
k Fee Sarvice EntrBnceSiie H Fee Fexdars/Subtenders b Frtx Circuits
! 0 ro 200 qm s 0 to 30 Am s 0 s'l?. 0 in 30 Am s
Above 200 Amps. 31 to 100 Amps < S 31 to 100 Am s
Swimming Pool Above 100-Amps AAove 700_Amps
Transiormers Irrigation Boorris / d Partial-'Oth -ee
Signs Speciallnspection
51
5 '
T
Nemerks ?, OTA
/A
floueh-in the E,' I
Insvectoq nereey
. ? certify thnt the above
Final , / ?ilw/7 insoection hps beBn i
d1-l maaa.
Thie reyueet volU 18 monllu hom
?
This request voitl
18 months fmm
D 215 8
Jf- 37?
penue t U e Fire No. Rauph-in InsUectinn
fle iretl? ?
?ReaAy Now?Will Nnlily InsPer.-
?? g 7 , 1'es ? No lor When Feady
ticensed ElecVical Contractor I hereby reQUest insvecfion ol ebove
? Owner elec[rical work instelled at:
Street Atldress. ?9Jox or Route No. -
? f? I i///T v// .y
l olJN l C??Y K/
gq4
ecu n o. Townshi Name ur No. ?
,? ? ! P 4'a?ele?o?a
? Range o. Count
?G
i
Occupam IPRMT/) ?
?afl= C!G 4 Ph?o/ne No.
7°7 - ?Il
Pnwer Supplier
?t44 ?i!c Address
/?...?r.? /
fro1?
Electrical CQ9? ?crar.tor ICO ua?v Namel 7+
Q' /!?A Conv?ec/to/r's License No.
41
LAailing Address IContractor
?SA P Cr M?c.. or Ow,per MakinA lns auationl
? R Y L .,.c?-"/? ?
Authorized 5' u I r or Own Makiny Ins[allatioN Phone Number
77.f4j ,- 7?f01?
IOfINNESOTA STATP"BOAPO OF ELECTRICITY THIS INSPECTION XEQUEST WILL NO7
G,iqgs-Midwey Bdg. - Room N•191 gE ACGEPTED BY THE STqTE BOARD
1821 Universitv Ave.. 51. Paul. MN 55104 ?1NLESS PNOPEP INSFECTION FEE IS
Phone (612) 642-OBW ENCLOSED.
79$
SINGLE FAMILY DWELLINGS
OAKLEAF III
CNG PERMIT APPLICATION - CI7
??"RniOAR'r" PLAm-1
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVSY, 1 SET OF ENERGY CALCOLATIONS
NOTE: ADDRESSES FOR CORHER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGBiATS WHTCH 9DDRfiSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCfi BIIILDING PERHIT IS ISSQED.
MtTLTIPLE DWELLINGS - RESIDENTIAL RENTAL OP7ITS FOR SALE DNiTS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVBY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE SOND
-I °O, Oo O
To Be Used For: Single Famil? Valuation: 55,80e Date: July 8, 1987
3,?0 S
Site Address -;='G*PP4o" COUrt OFFICE USE ONLY E
Lot '7' B1ock'11- • p !?7 I On Site Sewage_ Occupancy R'?
- F-??L
_ _...
Parcel/Sub
Owner Burr Oak Builders, Inc.
Address 11473 Goldenrod St. N.W.
City/Zip Code Coon Rapids, mn. 55433
Phone 452-2906
Contractor sdme
Address
City/Zip Code
Phone
Arch./Engr. Russell Plan Design
Address 4940 Viking Drive
City/Zip Code Mpls., Mn. _55435
Phone S 835-5970
MWCC System ? Zoning 2-I
On Site Well Type of Const
City Sdater ,/ (Actual) .?L
(Allowable) ?
# of Stories
Length Q-?
Depth
S.F. Total
Footprint S.E.
ArraovALs FM
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit ?
Surcharge
?
Plan Review 2-13-
t
SAC, City IOO
SAC, MFICC SZS •
Water Conn S25 •
Water Meter
Road Unit 3 d 5
Treatment Pl f89
Parks
Copies
TOTAL ?
5
k
SURVEYOR'S CERTIFICATE
BURR OAY. 6UILDERS
UEPIOTF.S PROPOSEh SURrACE DRAINAGE
O UENUIES IItOW MUtIl1P1EN7 SET SCALE; 1 INCII = 30 FFET
0 UENU'CES 1RON MpNUMENT fOUND PROPOSEU GAI1l1GE fLUUR • 904.3 FEET
X000.0 UEN07E5 EXISTING ELEVATION PROPOSEU LOIJEST FLUUR - %oG,S f`EET
(UUU.U) UENUTES PItOPOSEU ELEVATION PROPOSEU TDP OF IfLOCK - 5'0 9. 7 FEET,
1 IIEREIIY CERTIFY TU GURR OAK GUILDERS TIUIT TIIIS IS A TRUE /1NU COIiRECT
REPliESENTAT1OPl OF /1 SURVEY OF TIIE UOUNDARIES UF: •.
Let 7, Block 11, G"IGLE1 P.I:?GE 1ST ",DIDITIOtI, accerdinn to Lhe recorded -
?lat thereof, Cakota County, Plinneseta (THE LEGAL DESCP.IPTIO"1 USEf' FOP
TfiIS SURVEY l•;ILL 6CCQP':E V;LIC UPM? FILING TNF PL,1T 6RIDLE RIDGE 1ST P,DDITION).
AfIU OF TIIE LOCATION OF I1 pRQPOSEU OUILUING. IT p0E5 NUT PUIlPORT T(] 51104f IPiPItOVEI•IENTS
Oli EIICRUACIIFIFNTS, 1F AFJY, TIIEREUH. AS SUItVEYEU DY I•tE, UR UIJUEII hIY UIRECT SUPEftVIS10W,
TIIIS I4TI4 UAY Uf J'ULy , 1987.
51GIJEU: JJlt•1E5
DY: ?
IIAROIU C. PETERSON, LAIIU SUIiYEYOR
SHEET 1 OF 2 SIIEETS P1INIIE50TA LICEWSE IIO. 12294
PflOJECT N0. . BOOK / PAGE JAMES R. hl(LL, INC.
07422
zD y/7/ Planners / Engineers / Surveyors
FILE N0.
. 8200 Numboldt Avenue Soutli
F 0 L D E R eloomineton, Mn. 65431 812-884-3029
RVEYOR'S CERTIFICATE
N 89059'38"E rFOUND HUB
? -- 53.65 - -
0
1' ? \
10 ??RAlNAGE 9 UF/LlTY
¦ ?
6URR OFlK BUILf:ERS
I
?J
EASEMENT PER PCAT?
?
L OT
7 s?0
0
w
ihrn "'i '\'s
i ?
to 0
O
Z I ? O 4633 19'"0?..
a?•°? y? ? 90,?*/i ?°P s
1 Q y Q' \g ?.a
a Q-° l 0 1,; P 1? ??? ?
1??•, y s q0?`?9?, . ??+ ? q0 i?
r. '
a)
?fv- NO?p?
io /0 i ?H ry?a-'J ¢-J?
FOIND HUB, ? %908.? I '
X906.3 57.23 ? ?-42.81? 9%.3
122.46 N 88°b2'27"E
? L_
,
HEET 2 OF 2 SHEETS
PROJECT N0. BOOK / PAGE JqMES R. HILL, INC.
E7422
Z?4l-71 Pianners / Engineers / Surveyors
FILE NO,
8200 Humboldt Avenue South
F O L D E R Bloomington, Mn. 55431 612-884-3029
?;-
OAKLEAF III
Planninq Uesiyn Inc.
1611 Hiyhway 10 N.E.
1linneapnlis, MN .°1543?_
612-760-1920
CUMM. N0.
Minne,ota State Eneryy Code Calt_ulations
Pased on Chapter- S of the Model Fnergy Code
1983 Ediiion -•- F1dapted 1/1/84
Uwner:
Site Address:
Contractor: HUFiR CJAk:
CUMM. IVO: 86693
Phone:
&1dg. Class: Ai A1 fur Single Family/Duple::
A2, residential < .i stnries
Over 3 stnrie::,
Uther
GEIVERAL 'iNFURI''IA'1'IUIV
Note: 'fhe section desiynatians ("Section A", "Section Fi" etc.) are for
convenitric:e in r_alcu.la1:ions only, and are nat related frprn une saPi: nf
calculations below tn the next.
i. HlcJg. Wa11s F'er•imeter „ Wall heights,
graund to eave
Section A : 136 14.12
_
Section H : i)
Section C q
Section ll : 0 p
Gross WGill ArEa =
2. Buildiny dimensions
Length ;; Width =
Section Fl : 40 26 •-
:i(?C'tlpll B . - 1?:.?.J s •_
SL'Ct10n (; : 7,5 !} -
Section ll : U 0
7ota1 f 1 oor or• cei 1 i ng area --
= Area
1920.32
ii
4
192G.::2
Floor ur-
Cei 1 i riy
Area
1040
25
30
C)
1095
3. Rim Joist F'erimeter = 136
Floui^ joist 2 by (Ei", 10", 12" or 16")): iC)
F1im Jqist Area = 113.3333
? 4. lli7c?r s
_AreA''-- __- -_ 37,8 7hic{;ness (inches): 0
? Perimeter'- (f'eet-)-e----? -- ii
Type uf construction: ' -
5. "I'otal cioor's perimeter: _ 0
6. Wi ntJows
hlanui act.urer t
:it.c7t'.E' clppY"OVPCj:
TYNe
C(-aSf-f'ILIVT
CASE:hItIV'1'
CASEMEIVT
CF4fiiEMF_Nl'
LASCMEN"f
CASLM["N7'
STAT I C)IVAFiY
TYpc
U. I"'at.io Daor-:
9. A'L I" l l.l lil :
10. f=ireplace area
Widtti:
-rotai Sq e't =-
il. Er;posed Fcaundatiori
Hei ytit area A:
5q Fi awea A =
E::postecl F=uuridation
F-leiyfit area is:
Sq Fi area B -
12
C3r-oss 4Jc11 ). e3Y-G-'a
minus
ldinclow ar-Fezi
Patin cioor- area
Atrium arca
Rim jaist ar°ea
I?oor zar ea
rii^r_place area
Lxposed Fouuid.
? f=rarniriy ar-ea
E'qUdi], 5
T'otals for net wFtll:
U fdCiGY": 0:52
YES
fleight x t_enytFi „
, Nt.imbc?r• -• l"c?t.a1
(inclies) (Inches) af ylass SyF=t
uni ts
:S6 16 2 8
60 16 .._ 13.33
EJII 20 3 .':J
'
>6 ;?4 7 1Ir`
(?
A
"Y"I /
2^Y 1
1 7.33
4B ::'.4 :? 16
60 42 1 17.,`:i
ii C) 0 n
O V V ii
0 O O 0
ii i) p ii
0 0 Ci 0
V p <? n
7. WiricJuw glass area fSyF='L) = 129. i.6
Fieiyht ,. I._enqtli ., IViambt=r -- T'uL-tial
(4eei) (•feet) unit> FqF-t
6.85 , .: 41.1
11 (1 f! 11
0 Her _yr,t: o
„
0.67 F'ca rimeter ar ea A. 136
91.1w'
ii F'c r i meter ar Ea F.+: O
0
SGFt U iactur U:: A
1920.32
129.16 0.52 67. ].E)
41.1 0.47 19.32
113.333333333 0.041 4.65
37.8 0.14 `J.;'S'
11 S_1 1.1
91.12 0.14 12.76
19!?.?'_
C.;2
0.093
18.24
1315.7746667
0.043 :`ib. °iF3
7ot'al.=.s for yr-uss wal.l ttr-ea:
W
* 1=raminy area is ]G% ol yrass wall area
1:5. Gr-ost; wa:l .l area :: f acl-or- be:l ow = U:; Fa [lE'Y COdF2
Factur is .11 for 0-1 sinyle famil.y °- duple.;
....._; For A-2 zand U{=Flc?l'" Y"Bs3CjE31ltlcll
.23 for oL-Fit>r bui.:Lrlir7gs
.:::8 felr nvci^ _ stor-ies
F:ar_hor is: ti. i.i
uruH 211.2352 MUsr t:,r.. : ut. ?- 184
(cEi.LCLIlit:eCI anove)
14. (:ir-oss reiliriq area ::. 1095
15. Cr:ri:l.irig framing ar ea (iii% oF c:.caali.riy area) = 109.5
ib. Joi ,t Ar-caa (:LV",: n4 ce.iling area) = 109.5
17
. Net r_e
il
iny area ( f:irus> ce.il. area •-
,:Ic?ist ?area) 9t3:
';..3
J
1r1?)n lIL
?.? CCC?].yG3n
?? 1
I). I,Iq;..? i• P{C'=IC CFP.]I..? n cZY?Qa ]
i1LI.6?pJ.J
19. L.1 iramir'iy: ii.iia'h ;. ,]oist area = 2.62E3
20. I"otal uF iLem 18 ;; item 19 = 23.3235
21. Lir ciss cei. 1 i nq area s: factnr bel i:iw == U:: F-1 Fir r cocie
FdC{:OY' :I.s .f)'r:fJ fOY' A'-1 !5711g1E' feifh7.l}/ ¢K dIIF]ZE?::
,033 fur A•-2 clfld otFier rcasidaniial
.Oh •tor otFier- buzlding<s
Far.: t.c,r in: C!. 026
E? 1'W i 28.47 I`iUS T [if-_' :> fJFl - 23.3235
(1_etl[:t.llrl'tBd clbOVE])
?
?'ANALL
' S6Ct10N
srun
sccrton
2Nb i1AL4
atctton
u inlUt- 615LWL111 tUN.,
RIIALUE U YALUE
lnslde alr [llm .68
lAter(or wall
insutatlon
??OD
Sheechln3
Std 'Z A(o
I ?I'?
lnd
ouutae •1r [tlm `.ll
R iviAL 'Z'3 U
Instde alr ttlm .69
loterlor wall ?} 5'
??' .eaa a= 1o716.5'0 1
(frunl?e/U. ?. .
9heaehln6 -2?rp
Sldlns
vue.iae alr [tlm .17 `-'
R iOiAL?(V
Inslde alr [llm Ra .68
Interlot r.ll .
tn,ut.eien
Shaikthln `
s ?
Latartvt well eoverlnd '
Exlertor •lr Ellm R 0.11
-?
A iviAl.
RIN r"'?7 tnterlor ?l? [tlm Rs .68
J019T f?- ! [naulatlon ?`?,no .
IS Ineh en[t wood q-1,88 (Rlm f
SlieethLnd -7,CKO Jols!)
Laterlor wall eor '???-?
erlnS r(?"]
` E?tertor alr [llm R- _11
?? .
, . .
R TOtAL
Ineerlor alr lllm Ra .68
, tnsulatlon ??Ub • '
? toundattnn
` 6aterlor alr (llm p¦ , tFdn.) U¦?( ¦
?7
` R i01'AL
?
w
`,`?
7
. :(
. `
?.
?
. ... ..
FM111t1u : _ - _ _ .
Cellinq .?G
. h.81 Alr Fllm ?U.61
r .
. JG.VV In9uletlnn Qq.uU -
?
, A •3U Jalst ?
. U.61 Alr Fllm 0.61
. 41.q? total R 456f0 .
. .vc4 u , d. .v?l
F!M. nvqr un c,1111EUItAI. ?E????la
fl^?,i iiin
Fq.ti;iuiu
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irt rlltra tlnn .9 Cfnrlll?1B0I
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sIdeutlal dnvr Inflltrallun
iotal !1
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fl -
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r,ellln
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punf deckin'q .
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rt,tic nr crat:t . I
cfm/11pl,1re fnat ?Ir ddtlr nn,f minlmum caJe requlremen!
I1.0 cfm/Iinea l font df crack
? cvncrdtn ?t?11Ch Rtt ?117U?1??tl11 +
.Q? n 2
?
cnnr.ret? hlnr.k Insulated cnrts
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,?rrlr_r nn?9! be nn the i1111de (hnat24 flJo of vell,
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*******?**************?*****#k**x
C I T Y O F E A G A f? *U1?' QAYMFTTi' OF FEE AT TIME <?
*
_. . . . .. * APPLICATION DOES NC7r CO?1b`i'=
? APPRWAL OF PIIt1,11T.
APPLICATION FOR PERMIT *
. . * INSPECTION oF SEWM ALID/OR WA2E
TNSPA77ATT6N5 FTIIS. Nl7i' BE SC'=
SEWER AND/OR WATER CONNECTION ?131'UNTIL PERMIT HAs nEm
. . . ? APPZZOVm.
?
?
****??***********?**,?k:*********?,
P ease Print)
? 1) PROPERTY ADDR,F.SS,:.
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STR(:CLL'R°, DATE OF ORIGINAL BL'ILDIi?G PERMIT ISSL'P.I=: '
(bbntn Year)
PREScNP ZONING/PROPOS"D USE:
q CG:a.4CIAL/RETr1LL/0FFICE J2!?/__R-1 SINGLE FAMILY
Q INCL'STRL=IL ? R-2 DUPLEX (Two Units)
? INSTIZL'TIGNAL/GOVERNMENT ? R-3 TOWNE3CUSE (Three + Units) ( L?nits)
? R-4 APAinTN43V'r/COiIDOIVLiNIL?,1 ( Units)
2) •,.ratv,
ciatvE: Z-a-4e- S;?.u
ADDRESS:1-26
cITY, srATE, z2P:_Sa-?.???,
PxcrE:
3) For City [Jse
.Q plUmbers License e
ADDRESS: -? Active
FScpired
CZTY, STATE, ZIP: Not recorded
PHONE: MAST'ER LICIIVSB,'ir 60?.3 87 /710
-St-aTf 7nit1al
4}
NP.ME:
_ aDnIP r•ss: /La oe' ,17.GJ
CITY. STATE, 2IP:?'? 17-7,aJ
PAONE: `7S7 - ?S?ST Q'
5} ia v• u- j•I cra •'A •i u
' CON'..L'TION 7CJ CITY Sc"r.4?TE.R ??CONNF?TICN 'IO CITY WATII2 QOTHE'c? '
--?
6) i,: n (r: i- PLEr'? SE HCLD APPHOVID PIILti1IT FC?R PICF{-L'P BY ONE OF ABf JIE --
PLFIISE MAIL APPROVID PERMIT 7U 1. 2. ?4. ABoVE
(Circle one) .
7) .-yrr n u•i• ?
Cities Di2ital Oualitv Control
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l
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
1991 BUIJIIPL TWPLICATION ?
CZTY OF EAGAN ?
MULTIPLE DWELLINGS COMMERCZAL j?
2 SETS OF PIAIVS 2 SETS OF ARCHITECTURAL ?
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIIIATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT SS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF liONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS AEQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUII.DING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
9
ENLA12C : ,
To Be Used For? Valuation
Site Address ?7
{, • OFFI
Lot 7 Block I I I
7
Parcel/Sub
Owner
Address `?j p?? ?1 f f ,Q?tN (?-4.
City/Zip Code jra9Q1J
Phone
Contractor ?t,5' Se4(4)eC
Address ??( K• / 121L-riT O&rf0 Z 0W
City/Zip Code ?="Ar AA/ . y'S ) Lf
PhoneX
Arch./Engr. _T}},.-r, 4.1' (?tj?'ypA.e
Address
City/Zip Code
Phone # `TY'
Seweri(Water, Licensed Contr.
7
, r L
Date:
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length cl-•rwlk ;)cxiv
DepCh
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off
Variance
EES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
5/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
soaTOTai.
Penalty
Lot Change
TOTAL
'ao
?
-s::::) agrees that all woik shall be done in accordance with
(Signature of ontractor
all applicable State of M nnesota Statutes and City of Eagan Ordinances.
iRVEYOR'S CERTIFICATE
-i-
? I
? N 89°59138"E (FOUND HUB
? -- 53.65 - -
o , o N
1 10 -\DRAlNAG£ 8 UT1LtTY ?
? £AS£MENT P£R PLAT? ?
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122.46
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,
PROJECT NO.
07422
FILE NO,
FOLDER
L_
BOOK / PAGE JAMES R. HILL, INC.
Za 41-7/ Planners / Engineers / Surveyors
8200 Humboldt Avenue South
BlooMlnBton, Mn. 65431 612-884-3029
?
i •
S? LI 6 )
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion ReauiremeMs
• 3 registered sile surveys shawifg sq. R. of lot, sq. fl, of house; and all roofed a2as
(20% mmimum lot coversge allowed)
• 2 copies o( plan showing beam & window sizes; poured found design, etc.)
• 7 set of Energy CalcWations
• 3 copies W Tree Preservaiion Plan it lot platted aRer 7/1193
• Rim Jaist Detsil Options seleaion sheet (bldgs with 3 or less unAS)
DATE b - h 'O?(
RemodeVReoair Reauirements
• 2 capies of plan
• lsetofEnergyCakulationsforheatedadditions
. 1 sAe survey for eMerior additions & decks
• Indicale if home served hy septic system for addNOns
VALUATION 4,6 0 C7 ?
SITE ADDRESS ?_?90S 4d ( %, MULTI-FAMILY BLDG _Y )< N
TYPE OF WORK ?C,r a?` RP' Qa9F FIREPLACE(S) _ 0 k 1_ 2
APPLICANT /7/"Y ()(r.d lSUtl7%l'9 1o.1Y71,(ID6 i kti' '1- ?
STREET ADDRESS Io?a y NI CO CITY.
TELEPHONE # 9S)-762-6" CELL PHONE #
13 V,/it STATE _ ZIP ?
FAX # 9Sa -??- 99as
PROPERTYOWNER l?G?ly ?-WnG.? TELEPHONE# 6.5?-6?'?-0/eZS
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA Ri7I.FS 7670 CATEGORY 1 MINNESOTA RUL,ES 7672
(4 submission lype) • Residential Ventilation Category 1 Worksheel Submitted 7NnJ • Energy Envalope Calculations Submitted ?.
1 0 2D02
Plumbing Confractor: ____
Plumbing system includes:
Mechanical Contractor:
Mechanicalsystem includes:
Sewer/Water CoMractor:
_ Air Condirioning
_ Heat Recovery System
Phone #
Phone #
Pee:
Fee: $70.00
-----------------------°-------°----------------------------------°-----------°-°--°---------°---° °--°----------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EaganrOrdinances.
Signature of Appitcunt
--------------- ------------- ---"--..--------------- ------- -..,..._..------ °---------------------- ------------- --°°°---°------------ --°'°°--
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated M02
Phone #
Water Sof[ener _ Iawn Spru
Water Heater No. of R.I.
No. of Baths
OFFICE USE ONLY
? 01 Foundation ? 07 DS-plex ? 13 16-plex 0 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Ext. Alt- MWti
? 03 01 of _ plex ? 09 07-plax ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fraavng _ _ Siding Stucco Stone
_ Fueplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
PlumBing Permit
Mechanical Permit
License Search
Copies
Other
Total
-:?5 (oq q
2ao6RESiDENTIAL F'Ll1MBIIVG PERMIrAQPLIcATioN
CITY OF EACAfV
3830 PILOT 3CNt7B ROAD, EAGAN SNIiR 55122
651-675-5675
>e complete for modificaYions io exisiing residential dweilings.
4,5 - s°
Street Address
llnit #
eRy Owner eew) Uz e7elephone #(CS7)
ractor ? f Telephone#
,
? i
ft Zi
?IVZ St
-ess
l e
a
._
City
Applicani is: _ Owner x Cantractor _Other
New _ Reiurbished Submit 2 sets of plans and MPC license '
ic System Includes Coun'ry fee
_
?
. $ 100.00
Per as-built $ i0.00
rations to exisfing dwelling ? $ 50.00
Add plumbing fixtures. This iee incWdes installation oi a water sof?ener and/or water
heater at the same tlme. if you are installing onl a wafer softener and/or water
'
tn2
heater, do not complete this section; move to *he nexi s2ction and check
apptiance(s) you are installing. i
?
Septic System Abandonment
Water Turnaround (add $130.00 ii a 5!8" meier is required) I
?
Other
.
Ut'ater Softener Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _R?Z _PVB _new ^repair _rebuild $ 30.00
:e Surcharge V f- $ 50
ncT 2 7 ?nnfi
I S ? 7. S
31
reby appiy {or a Residentiai Plumbing Permit and acknowledge that th2 inrormation is complete and accurate; that the
k will he in conformance with the erdinances and codes of the Ci'ry oi Eagan and the piumbing codes; thai i
erstand this fs not a permit, but only an applicaiion `or a permit, work is nof to start withoui a permit and work wiii be in
xdance with tne approved plar in the event 2 plan is required to be reviewed and ap/pr/o?v,ed.
? 7 . C?
,Iic?? ted manYs Pe ? ? App(can4's Signatuie
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3805 Mill Run Ct
Lot: 7 Block: 11 Addition: Bridle Ridge 1st
PID:10- 14996 - 070 -11
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Randy G Larsen
3805 Mill Run Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091243
09/22/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112537
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 3805 Mill Run Ct
Lot:7 Block: 11 Addition: Bridle Ridge 1st
PID:10-14996-11-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Heather Brockman
21210 Eaton Ave
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Randy G Larsen
3805 Mill Run Ct
Eagan MN 55123
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170159
Date Issued:06/22/2021
Permit Category:ePermit
Site Address: 3805 Mill Run Ct
Lot:7 Block: 11 Addition: Bridle Ridge 1st
PID:10-14996-11-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Randy G & Danette M Larsen
3805 Mill Run Ct
Saint Paul MN 55123--168
(507) 327-5507
Minnesota Valley Roofing & Restoration Inc
1251 W 82nd St
Chaska MN 55318
(507) 327-5507
Applicant/Permitee: Signature Issued By: Signature