3813 Mill Run CtCITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt#
To be useU for Est. Value ??? ??u` ? Date
Site AqWress L`' "
r
Lot Block Sec/Sub. ? `- '' ' •
Parcel No.
m rvan
; Add
a City
°C Name _
,o
? ` Address
? City _
City
Phone
nowledge that I have read
is correct and aaree to c4
Signature of Permittee
A Building Permit is iss
Building
that the
State of
On Sit@ $eWBpe
14672
MWCC System Zoning
On Site Well (ACtual) Const
Ciry Water (Allowable)
PRV Required * of Storles
Booster Pump Length '
oepcn
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr.JAssess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holdsr Date Telephone ik
Plumbing C)?
i
H.V.A.C.
Electric
Softener
Inspectlon oete insP. Comments
Footings I
Footings II
Foundation
Framing li-' Z"
Roofing
Rough Plbg. -Itzn
Rough Htg.
T
e
ISUI.
Fireplace
Final Htg.
Final Plbg. 'f
Bldg. Final py,
Cerk Occ_
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
f?. •- • t PERMIT # 9°v g,"
PLl1MBING PERMIT
?
?- :
??:•
F??^
Site Address
Lot f Block
?
m Name
?o Address `% 6=
C
_'?-
?.11y Phone //S!? -
Name ?' ,i•?. ?? l ??ic= '
-
I '
c Address-,
-- 4-1
3
p
Ciry Phone ;
FEES
CQMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8? 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)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN RECEIPT #
? 0 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -' ?
PHONE: 454-8100
' BLDG. TYPE WORK DESCRIPTION
Sec/Sub Res. j New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_Water Closet - $3.00 S
-/
-
L_Bath Tubs - $3.00
-,/-Lavatory - $3.00
,Z-Shower - $3.00
./o_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
-/-Laundry Tray - $3.00
,/_Floor Drains - $1.50
.,/_Water Heater - $1 50 ?' -
Whirlpool - $3.00
_7-Gas Piping Outlets - $1.50 "
(MINIMUM - 1 PER PERMIn
Sokener - $5.00
Well - $10.00
Private Disp. - $10.00
- Rough Openings - $1.50 ?
FEE
STATE S/C: ?
GRAND TOTAL? -
PERMIT # -J -
MECHANICAL PEHMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Address 39 ? 3 'A r? ?ukj C1j v/ f
Block Sec/Sub
_ 9?
Name 104 ra
Addr SS
City 71 -J, f L ° ' { Phone ?"
gr3t1
Name
Address
City
Phone
E OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets #
Other
FEE
S1C:
K-;
`. TOTAL:
':
..
.-
BLDG. TYPE WORK DESCRIPTION
X
Res.
- New
Mult Add-on
Comm. Repair
Other
FEES
RES
HVAC 0
10
M BT
2
00
.
-
0
U
ADDITIONAL 50 M BTU -$
4.
- 6.00
? L (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GA5 OUTLETS
MINIMUM
P
R
u,
j--? (
- 1
PEkMIn
E
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES - 1.50 EA.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE
ALL ADD
ON &
-
-
REMODELS - 12.00
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT - 20.00
- .50
i oc r vrvv y i,Uw)
?
:?' ? •
?..?-
? SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
" PLUMBING PERMIT RECEIPT # rCITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
#;::
Site Address ? z }
?
Lot
Block Sec/Sy
..i, .?; ?..,
? Name
m
?o
Address
c Ciry '?- Phone
Name ' - '
?
c
Address
p Ciry Phone ? „ ?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS - COMM RATE APPUES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/1ND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
'
SIGNATURE OF PERMITTEE
FOR: CIN OF EAGAN
BLDG. T1f?E WORK DESCRIPTION
Res. New ._.?_
M u It. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 Z
Bath Tubs - $3.00
lavatory - $3.00
Shower - $3.00
ICitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
? (MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - 510A0
Rough Openings - $1.50
FEE
STATE S/C: '
GRAND TOTAL:
Cities Di ital ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
:-44f: PERMIT # .
MECHANICAL PERMIT
$`? •?, ' _ 4 yil'1 L CITY OF EAGAN RECEIPT #
3830 PILOT KNOB iiOAD, EAGAN, MN 55122 DATE: ?Site Address BLDG. TYPE WORK DESCRIPTION
?
Block
Lot Sec/Sub
Res. New
?
Name Mult Add-on
?o Address : Comm. Repair
c
Cit
Ph Other
y one
FE
S
? Name E
RES. HVAC 0-100 M BTU -$24.06
c Address ' ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK CaMM/IND FEE - 195 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RE5IDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: SIGNATURE OF P RM TTEE
TOTAL•
,.
:. FOR: CITY OF EAGAN
? • • y ? ..
? (gpr#xfiratt u# (Orrupanry
Citp of eagan
apvarimmt o# luilbing jwrr#intt
This Certiftcate issued pursuant to the requirements of Section 306 af the Uniform Building
Code certifying that at the time of issuance this structure was in complinnce with the various
ordinances of the City reguluting building construction or use. For the following.•
Ux Clwifiation SF MIQlZ Bldg. Flrmit No. ;"'- /Z
Occupancy Type R3 Zooing Disuicx - Type CoesL VR
rytir ; t-; •
I Fi,-- ?
OwncroFBwlding ,,•????' Address ?`•,'i?Li ? a„iwing nda,m ?.
3 y:,9, B I 1,
..
:"? ! a.tit
D.w:
suflmn8 orfidkt
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt?
To be used for •`'a O?/GAR Est. Value S83,OOQ Date MARCEI 9 119-R&_
Site Address '813 MILL =iUN CT
Lot 9 Block I 1 Sec/Sub. HkjDLE RYDtic:
Parcel No
oc Name rMYLAND HOWS
; Address I4450 E1*k1:8VILLf: Pt;WY
° City BURASVTLLF phone 894_2!;31
i
0
U
Address
Clty
WWW Name H&LIQGIST
F
_ ? A?ldress
5 W Civy ???LNGTOOPhone 631-I875
I hereby aCknowledge that I have read this application and state that the
information is correct and agiee to comply withjall applicable State of
Minnesota Statutes and City of Eagan OrdirYanos.
Sgnature of Permittee
Aguilding Perm it is issued to: ''
on tlie express condition that all work shall be done in accordance with ail
appl-cable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
/ y
OFFICE USE ONLY
On Site Sewage Occupancy 11-3
MWCC System x 2oning PD-$--!
On Site Well (Actual) Const vr
City Water X_ (Allowable) Yn
PRV Required # of Stories
Booster Pump Length 16?;
Depth 4,6 ? J3t+
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 50,0101
Planner 5urcharge 41.50
Council Plan Review 253-00
Bidg. OM. SAC, City 100400
Variance SRC, MWCC 550i00
Water Conn. $30.00
Water Meter 67.00
Road Unit 323.00
_
Treatment P1 3t34.IX)
Parks
TOTAL 2,596.50
CASH RECEIPT
GITY OF EAGAN
,
3830 PILOT KNOB ROAD
>
EAGAN, MINNESOTA 55122
/ .
DATE ig "
. r /
RECEIVED
RiOM ?..? V?' l f'. r` • Y// l ?.+C-??
/ Cy/
AMOUNT fG' ? G
? CASH
?R' CHECK
FO. xe, Lm.-
Kmne--Perefs coar
149 818oq Yelbw--PosUng Copy
Pink-File CoDY
& DOLLARS
,oo
Thank You ?
BY
BLDG. PERTiIT N0.
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
-1?'-3860 Road Unit
20-Z275 SAC
20-3865 Water Conn.
20-3868 Water Trmt,
20-3716 Water Metei
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Per=
79-3866 Sewer Conn,
? V -t'1-3855 Park Ded.
TOTAL
CITY OF EAGAN Permit No: 4-7--8°
3830 PIIoC Knob Road Date:
Meter No: 0 0 Size:
P.O. Box zi1g8 Reader No: ?
Eagan, MN 55121 Date:
Owner. N=e}-1and Romes
Site Address: 3-11 3 ??fil l ; *-
d??`?"; :? ?SIl., ` ridI n_ r':[t:t•t.
Plumber L,,merican S Yi'
°onn.Chg: ?5c7 .0?? . ?z ?;k'`,6`'ibIt;j>•` '-"_ Rl
'•
?
cct Dep: 15 r?? ?,; ti
a
-
rmit Fee: r? , ? ,? ?• ??ni? ?
urcharge:
'' ' agree to comply yvllh the City of Eagan
r. Plant
ri
"' t?clr?l Ordinances.
Meter.
Misc,: B
WATER SERVICE PE 4GAN Permit No: 11) 7, Date:
Cnob Roed B/P No; Date: - l-R?
55121
,
Address: 15 r1111. Rtin Court L9 B11 Bridle Rid
RI
,-
Fee: __RL ,??+?? ?? ?7rtA*ply with the City of
MP.' IIIBnCBS.
Renewal By Andersen RESIDENTIAL
350-73ra nve. NE UILDING PERMIT APPLICATION
Fridley, MN 55432 CITY OF EAGAN
763-502-4777 3830 PILOT KNOB RD • 55122
#MN20130983
- - - b1;-q 657-681-4675
!
New ConsW ction Reauiremenh
• 3 reglstered slte surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% marimum lot coverage allowed)
• 2 capies of plan showifg beam 8 window sizes; poured found design, etc.)
• 1 set of Energy CalCUlations
• 3 copies W Tree Preservation Plan H lot platted after 711193
• Rim Joist Detail Options seleclion sheet (61dgs wNh 3 or less unils)
RemodellReoair Reauiramenh i
? ? ? ???
• 2 copies of plan
• 1 set M Energy Calculatans for heated addilions
• 7sitesurveyforextenoradditions&decks
• Indicale'rf Iwme served by septic system for additions
DATE cRL0•SV\,.p - O I 1 VALUATION ? i ISJW `JOB SITE ADDRESS SS I'?, Y?(\,, `?V 4?S C-G .
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER r-,cSfcl[1(1_N S6\*111
TYPE OF WC
APPLICANT
ADDRESS _
PAGER #
s••- --?---' FIREPLACE(S) _ 0_ 1_ 2 t/
PHONE#25,) -?tIS• ?Od l T
ZIP CODE
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Fee: $90.00
Fee: $70.00
??r?_? IT ?
I hereby acknowledge that I have read this application, state that the'rfy? rmation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orc fiances.
Signature of Applicant - &Mnz??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ MINNE.SOTA RULES 7670 CATEGORY 1
- Rasidential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Phone
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 Naw ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)" . ? 43 Reroof ? 46 WindowslDOOrs
O 34 Replacement *Damolition (Entire Bldg onl» - Give PCA handout to applicant
Valuatlon Occupancy • MC/ES System
Census Code " - • Zontng ' City Water . .
SAC Units S4ories , Boos4er Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings, (new bldg)
Footings (deck) Fina
Footings (additioa)
Foundarion
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insularion _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatrnent Plant
Plumbing Permit
Mechanical Permit
License Search •
Copies '
Other
Total
FinaUC.O.
_ UNo C.O.
_ Pluxnbing
HVAC
Building Inspector
CITY OF EAGAN NO 14 6 7 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt# 409
To be useBfor SF DWG/GAR Est. Value $83, 000 Date MARCH 9 ,19-B8-
Site Adpress 3813 MILL RUN CT
Lot 9 elock 11 Sec/Sub. BRIDLE RIDGE
Parcel No
, Name KEYLAND HOMES
Address 14450 BliRNSVILLE PKWY
o z City BliRNSVILLE phone $94-2631
0¢ Name SAME
?a Address
r City Phone
wWlName HALLQliIST
Addr2SS
aw City BLOOMINGTONphone 831-1875
I hereby acknowledge that I h e read Ihis application and state lhat the
information is correct and a to comply with applicable State of
Minnesota Statutes antl Cit of aga Ordi n s.
Signature of Permittee
A Building Permit is issuetl to: P D HOMES
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesota Statutes and City o/f Eag'an Ordinances.
Building Official_
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3
MWCCSyatem X Zoning PI1,R_7
On Site Well _ (Actua1?Conat Vn
City Water X (Allowable) ?LII
PRV Raquired _ 7t of Stories
Booster Pump _ Length 42-1 "
Depth lyfj 18"
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 506.00
Planner Suroharge 41.50
Council Plan Review 253.00
61dg. Off. SAQ City -WO.S1Q
Variance SAC, MWCC $5Q._Q0_
WaterConn. -5d0._nn
WaterMeter 62_.00-
Road Unit 32.5..flD_
Treatment Pt 904 nn
Parks
TOTAL 2,596.50
s/a?/s? 8?5 sy
C? 5 617 5
Requesl Date , ...
?f
C3-
'?
? Fire No. RougRin Inspectio
Raquired?
VReatly Now ? WII Nofi/y Inspedw
R
d
?
Wh
'?
/?
V ?Ves o y
en
ee
1)(licensed conhactor ? owner hereby request inspection oi above electrical work at:
Job A+djdress (Street, Baz or Route No.)
? ? 13 / ? ( l/ ?/f /??Ll Ciry /
E*" ? N, /
Secibn No. Tovmship Nema or No. Range No. CouM?Y
Y/f' `!I /.A?y'/
Occupani (PRINT) ?j
4 Plwna No.
Power Supplier Adtlress
Elechica h9ctor (Compeny Nartre) ConVecMr§ License No.
yc c -/ - 3
MaiAng Pdtlresa (COMraaw or Owner Making Installatio
?
i ?. ? s G
AuNonze ' aWre (Ca ne laking Installation) - - Phon Nu be?
/ ? ? ?{
MINNESOTA TE 11OARD-DIF F ELECTfi1CfTY 1HIS INSPECTIDN REOUEST WILL NOT
GriggsMitlway Bltlg. - Hoom 5-173 BE ACCEPTEO 6YTHE STATE BOARO
1821 UnNerstty pve., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phore (814) 662.0800 ENCLQSED.
REOUEST FOR ELECTRICAL INSPECTION eeooom-m
? See instructions for completing ihis lorm on back ol yellow mpy.
C? 56175 'X' Below Work Covered 6y This Request
Ne% Add Rep. Type of Building AppliancasWired EqulpmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer O[her (Specify)
Comm.llndusirial Furnace
Fartn ? Air Conddioner
Other (speciry) ntractor's Remarks:
Compute InspecNOn Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders
Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers A6ove 200 _ Amps Above 100 _ Amps
SignS InspeclarS Use Ony: TOTAL
Irrigation Booms C?
Special Inspection F
Narm/Communication
aner Fea
I, the Electrical Inspector, hereby Roughdn .
certify that the above inspection has
been made. Final
OFFlCE USE ONLY
Tnis requast voitl 18 momhs Imm
This reauest
18 monlhg, Irom
DD 818 3 2 L9 ,61/, ,6?, 6'a!?
Nz?uest Date Fire No, Rough-in Inspeci. n
Pe
q
uiretl?
?Ready Now IN WiII Notity, Insoec-
?
-? _ ?
(
?y1"es ?NO lor When ReadY
l
gj LicenseA EI¢cVical Convacmr 1 heraby request inspeetion oi ebove
? Owner electrical work installad at:
S[reet AdAress, Boz or Route No. City
ecimn o. TownshiD Na e or No. Range No. Coun y
-Z-R
Occu ent (PpINT) Phane Ne..
Po er upplier " Atldress
Cr T//
Electrical ConVa ICompany
i V..trar.tor's License No.
i r
Mailing AdJress (Conva tor or Owner Makipg I stallation)
?
Q .+
?. C / ?.
uthorized gnature (Contractor/Owner aking Installation) Phone Number
0
MINNESOTp STATE gOARO D/ELECTflICIT? THIS INSPECTION FEQUFST WILL NOT
Griggs-Mitlwey BItlH• - Aoom N•191 BE ACCEPTEO BV THE STATE BOAND
UNLFSS PflOFEN INSPECTION FEE IS
1821 Universitv Ava., SL Paul, MN 55104
Phone(612) 642-0800 ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION %e^s-0000/1-706
? /kgp , See instruetions br comDletinp this torm on bxek of yellow wFY.
IvJ 81832 "X" Below Wark Covered by This Request
P4sw4RAdj Nev.[ TyOe ol BuilEinB I Aoolianees WireA I Equiument Wired J
f'%
ElECLfIC
imace
ir Cond
:omoute /nsoe
p Fee ServiceEntrenceSize k Fee Feedare/5ubfeeders 4 Fev Circvits
ac p to 200 Am ?s 0 to 30 qm s °p 0 to 30 An! s
Above 200 qinps?. 31 [0 7OU Ainps ?++ 31 to 100 Am s
Swinvning Pool Above 100-Amps Above 100_Am 5
Transiormers Irngation Booms Pdrtial"Other Fee
Signs SUeciallnspection 5
Ne..ks 50 T TAL_ FfL
(.y 7"r
artlly thnt th¢ above
E ? insoection hes Ceen
mede.
rnia reoua:t .oia
1988 BUILDTNG PERMIT APPLICATION - CITY OF EAGAN R
SINGLE FAMILY DWELLINGS 7a
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA'IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For-S4?eji.,?aluation: Zzj- II Date: 3{3 98
Site Address ??? 4?2? 21 Q3 OFFICE USE ONLY
r- OoO?
Lot Iz Block //
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone /!
I
On site sewag
M47CC system
On site well
City water
PRV required
Booster Pump
APPROVALS
Occupaney R' 3
? Zoning PD, IZ-1
Actual Const _ -_
? Allowable V-N
Il of stories
_ Length y'Z.T- a"
Depth Yb'-8"
S.F. Total
Footprint S.F. e
Engr/Assess
Planner
Council
B1dg. Off. 45= 8
Variance
FEES
Permit 5?6,vO
Surcharge
Plan Review 753,00
SAC, City /oC, nv
SAC, MWCC 550,00
Water Conn 50 , D u
Water Meter 67, tl u
Road Unit 325 i rio
Treatment Pl Zo4 ?o-o
Parks
Copies
TOTAL 7777 71 -
v
VALuA`71oM
GAR,4&E
ZZK?I =? ?/62 Kry? 6?f&8
_ 26u 3? ? ?f 3G
1?! X Z?? zssv
6 X .} _ (3a)
..,---
i i 86, x 13 :15,L11 s?
Nuu $\:,
1wNAT a + I $ 4
i3
1 kg - ?
ZXG = ?z
I?zq xqg
= 6o z?. ?
?
Sz In"1
-„
?
' ?
?
r +. ?
x .;??0?1I ? ?@XDOS&
r` ,..Determine working square footage of each
li area..... ?2,pL-=%-?) sq. ft. x.11 = --Dkd 11:z
. ?.?,. • < . ?..
2. .'Yatalcreoffceillrty area..... 1,:>37 sq. ft. x .026 =
s
? ..
`.,"7ota1 exposed wall area above floor=,2OO
' n a: ,
a.?,3Tatel'Wt,?windoM aree ........................................... ! 48
q.???,?otatt?Jbbt`''area ...........................................
c.,n dCal*l1t?f?g`glass?door area .................................... O
d.??fd? ?,{lreplace wall area............ ............................ e.#tr;Tdt?? 1" treming area (average 10%).
f? #Q?`•+il:,`ri?"?lofst area .. .. ................................'...... cnoo
't -dl'T area aBore floor .................. ....... '_'_ ? 5?
'°fi.; t ?t •.. irlttl grea aDove Ptoor ..................................... ? S7??z_
,.MS]14Area above floor ................... . ........
.......
raft Naii.area At fcxuxJation .............................
-; • x. r . . . . . . . .
. ?
-TOtal expused foundation area= ---r- ? 7-j
,..
. . ? . . -?---
k. Total,.;foundation window erea ....................... '-
1? 5 f4undation area a6ove grade.. ..: ... .. ?
... ?
7.40etermtne "u" value of eachi wali segment
f??!'r' (e.g. window, door, each separate wall section)
,,F? ,
, .jF 41 x „u„ ?
x „u„
x „u„
.
/\ V 11V 1'N
-
X MU"
x fluff
• 04 ' (?a? ?':
^ MUK ? ?S ? ? 724
X •U" _
x "U„
?. J. X .,U„ .„
I f i tem 03 is tlie saR
I...??? k. X"U" = as, or less tia: itae3
you Riv! N! !M
N t =??, ?Z_ X"u" .??• f 0.C33 tntent ot
j a. *.? ?,:4..x...?.......... ......Totai ?? 1? =
. ??
d
, . Parle 1 af 4
r? JR7ERIOR ENYELOPE AYERAGE "U" COMPUTATION
DnTe: ! f_L?i
PNONE:
aoo
y?,{?91Cps Avezaga ?17° 9a?nput$tl.rSA !'?y'?i ppgei'?!"?'?. i? '•:';?? :
{ $ -1 t ??` 4 ? H ?
1{ '..-? . . . . . i _
Sbtal exposed s'oof/ceiliriq sa'ee e
rRbtal skylight area ...........•........•......
;Total rooflceiling treming eres (avorage10%) .•. ? 111
?Total aot insulated roof/ccfling area........... '? ?
r, ; ?.? ?• ' ? ? r ,
; Getermina "U" valqo !or each roof/ceiling aeqment
m.: X .v.l e ? '114?,#'
?8q?
iQt Q g •V° 631- m ?s
=7 A•, t
k T? 'a . 1?. .F.
kl0.' x tlU"
G. . . . .. .. . . . • .. . . . 1'OtIIl
f .. .
tal oP $4 is the same ae, or less than 02, you have met the intesit olY?
b0A'•Sa)
, ..,
!.iAlteznAta 8ui181na EmeloPa Desi4n za the total emrelope'system method, tne values establishe? by !he`C.iat'of ....
?"?3 end d4 shall not De gzeater than the sum of items #1 and #2.'_
1: + 2. 32 Z ° ' ' . a: Zfs:? + a. 7 qA
j,
Y" •.r
?
?
r.;:.. ?
}s?y
R ?-
?t i
.5 `..
:
-' i
? a4s. ,
;
?.. ? ?
.
}
F?
?1
±
.. - ?
i
, i
r y?
+ ? . ' ? .
? .. . 1
i ?
i w
a
.
?{..+E`t
: •i! ? ? ? ° °.? ? .
Urv EAL FT, EXposE D WALL
Z(e+4q t Z(O+qq 151 - - • P ,_ _?._._ ..
I 1
/ss .
_?'u?Lt?;?? 44+za?ZZ+ ost3 +-7+?s???=? -
--
???? ?'t?l.?A?GE. ; -- ' _ , ,_ ___ _ _ ...
t--{- - -
?a= ? , ,, SGt. , PT, S1CPo5ED WA LL. t?4R.EA
?;?aLacK. f
f K , S ? -7`7 ?•
i?.NEE?` X S ? . 770 W. 0 "
X g
;
X a: / a 3 Z
S?f
M
?, -
To tA L. =
r ? (9a33 . ?
' Sct.Ft, ExPosE?.o c?Ei LIUq a? ? K-7
37
D1ti15 z_ x ZZ ? 4 q-
1A!
4,; --•. ?U ? ' D OOfc.S Ll]
z43 c0 t++q-
q `N?I, i Qa- 3 0 r
M,-PATl O DR,s . ?C
zc3t? li<< ao p •
? I
?o
4
i ? - 5S N4 uIJ (+$ i?
?'?no?/c€ir.xuc
.- . • .i+'?"?/'ri?
nced
Heat PLov
up •
' , ., .
!'3G. ?S ? •
• • , ' .
?
i
F.aat ilov vp . ,?? i ventad •
...... /
? . 1 V 1\J ? v
. •
. ? . . .' ,:
• 8II:7-VIR:TZD • •' ? .
?, •..
+. • • .
. $e?t
. ; • [lov up ? • ?
,• . • .? ?• ? ?
,
llr. 07
"
. . - .
Construc[ion ???L,' ' ,' • -7altet! •
1, Intcrior air film ,0.61
]. ? •
s. ? lJSu ?.. • D ot'?
?
4. Extcrior air filn (ati 11
b.6r
?- . "" t",? 4J.? .
. . . .
. . ? • . . .
aj - .bZ?
Fti/?+rt ? ' . ' .
1. Interior air film ' 0.61
2. S
3- ? +IIJSUt. ?D,2,?
4. Extcrioz aiL filn sMil
. TOta7.,L
(C.
• • • : ??. .031~ .
C0+4SrA ?CT/
1. InsiSe air fYlm 0•61
2_
3. "
4.
5. Outside aix film 0.17
Total
. . ? •
1. Inside air lilm 0.61
2.
3. '
4.
5, Outside air film 0.17
SbWl
. 61
0
1. Insldo air film .
4.
3. '
4.
5. Outside air film 0.17
Tptal
, ? . .. • .. . ,
. ltotca Ose additiona2 sheets i! more apaee i
paedecl tor details eusd calcu!8tians.
' ' • '
? .
, •
:at; .? .
ICALL FErTIM?tS
??? ?5•
;LkrmC tvoeaue wa?1 area (ur
'? ?raar, tvnr.tr?c? !un
-- -- - - -
_,,,?__ ----
-------
_
? -
Conrtns?c!,-?yin?u? ? . . ti^Valv.•
l. lult?i ???`i=,.
2 ?
? ??1'p EA _ •-..
?I . .. ....._?... .. •4
_$.1.W?[ba. _ .. _ .- -• ._._ _ . . .lo,Z.
6. t:r.Lcriur_nic [.iLn.. 0.17
'ruc ?? 1 Me Z7
u=.bs
lNSu?.
1. intr[Ir?7' ai!' !jlm 0.641
1. y ? 4pn&j_Hp•
n. ?` .Wsst?..__.._..._--------E3•-o
_ ? _?o?r_?/f?.... .... . - ------- -- .-`•?
5. ? ID+tx?b..
6. Erlrriu4.7ii_ liL,? .._...._._._..... .._n•?I.?.
7'ulal? 4.Q,,
. (rl=•05
3. _Z,ICJ(?-----•- - ._..__.._.------d'?al
a. _.Lj
`?• .._`Jta?r_?C?__._.. ._. _.?_..__._?.lo_Z
b, ):„tri_ior nir film _ p?1.7
-?-'l,vtal L2.?
U=.o9
?L V- '
1. I eiic,e a!r lil!i (1.(11
- • _ . _.. _... _._.. .. _.._..---
1.
3.
. ?.J. s?f??o.... ...__... ..._ ?•?_
??.
6. l:xl???'i?•t: .iir :ii?,? ,_'.
...._".'"."._".'_..' CoLa..._?
i -?-?Z? 7
? U = rrinf=- ? ?Q
,ci.nu nN +atnui:
??
?.
--
• , -r /I(
, ; (rr
' . ..
A ? ? ? ----'
. ? .
(?Il ?VF lif
l !((.?-
?? r
rtc:. 14 :j `1'I:
_ _ ____. . -•-- ---?._ .... ?
. • ? ` . ,
• :
, • . ..: ? ? ?
/ . .
. r ? /it
ll( L.__::?•'r•. • ? --St.''?i
T,..11t atr ly-,c. "`t' v,zlua, d^uCh and
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
oF eagan
NOTE: PA)MENf OF F£E AT TIME OF
; nrrLIcMox noEs Nofr cau- ;
y S12N1E APPRGVAL OF PERFIIT. ?
I[1',PFYTION OF SEMR APID/OR WATER r.
I[1STATSTTIO[15 WILL L1.ri' BE a'srvtr.zn ?
3[!Nl'IL PERPffT HAS Hffid APPROVFD.
ww?ee?xirxtfia+t.et++t?fa??ret?»?eiitax
i) PROPERTY ADDRESS: ?. ?S I'6,_ I Ll1M
T.FY:AT DESCRIPTION:. . . . . . . . . . .. .
Lot B oc S division or Tax Parcel ID )
IF EXISTING STRL'CTL?RE, DATE OF ORIGINAL BUIId>ING PERMIT ISSC'ANCE:
?. Mont Year
PRESENT ZONING/PROPOSID USE:
Q COrM7II2C2AL/RETAIL/OFFICE ,R-?l SINGLE FAMILY
Q INDOSTRIAL J F- R-2 DOPLEX (7t-,o C'nits)
a INSTITUTIONAL/GOVERNMENT q R-3 TOWNIIOT-ISE (Three + C)nits) ( Dnits)
Q R-4 APARTN]ENT/COAIDOMINIUM ( L'nits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP: ?
PHO[VE:
3) KRKMC?-M--j NAME:
ADDRESS:
4)
CITY, STATE, ZIP:
PHONE:
[a_'i;WI'ii?a
NAME:
ADDRESS:
CITY, STATE,,ZIP:
PHONE:
fk
TER LICENSE # t ' , 4
Plisnbers License:
I? Active
Expired
Not recarded
Sta Ini- tia?
5) s?• i. w. •?''Mlu ?il?..'C 7a'?? i
CONNECTION TO CITY SEWER CONNECTION TO CITY WATB2 O OTffERR
6)
*****?++***?*,???***?+r****?+*??********?*******+*****x*?x******.*?+????*..**,e********??****?****?**?
* THE GOLD COPY OF THE PERNIIT WIIL BE SENf DIRECPLY TO PL?BLIC WDRKS TO FACILITATE MEIER PIQC-L?P. *
*k PLEASE ALLAM TW0 4JURK2NG DAYS FOR PROCESSING. SONIEONE FROM TfIE CITY WILL CONPACT YOU IF TME w
* ARE ANY PROBLENIS.
?****************:*?***?***?**:?***,t**?*r*r?***?****,r****,r*??*?*****?***?x,r*??***?******,e*x*,t,t******;
.,
, .
FOR LITY USE ONLY -- `
PERMIT #.ISSUED
Pd w/Bldg. Permit
c
$
$
$
$
$
$ 0"--o
s
$
$
$
S
s
$
FEES:
$ //? • ,S?
?
?
?
SEWER PERMIT (INCLUDE SURCHARGE)
I
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE!READER
$ WATER TAP (INCLDDE CORPORATION'STOP)
$ SEWER TAP
$ /??DlJ ACCOUNT DEPOSIT - SEWER Ij
$
16? Ur% I
ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRLNK WATER ASSESSMENT I
$ TRL'NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER ?i
$ LATERAL BENEFIT/TRONK WATER ?
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ Iq 71- $ d ,--) TOTAL
" 4-/'OU I? :Oc?s-Ca ?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ?1-7 /k d
8 i3___._??? . 2?.,,.. Cai 1, t?C9 ?ll.? _??
HGAT 4.055 CALCU(ATIONS DEPAR7MEN'f OF BUILDINGS cirr oF euaNSViLu
Wra?haslrnps A.S.?I.V.E. Censlruclion No.
Guide Insulation
\Yindows I?? Uoors I Reference Out. Wall lnl. Wall Ceiling Roo( f•loor I Kind Ilow Applied
es-No es-No 19__ I---- .
FL? QY - --- RoomiLenqih Width 1
- -
-
?- ---- __ I
Windo???e and Uoore-G..4.e. .,...1 A...
\o_ tCIJ?L
of Vanr IIrIRhI
nl l'an• Kn. nf -
bRhla •'I.In?al ll'
nI rrA. N Art•
?q f6
?
Coef. I3ta
Infiltralion
a
Glaoa
U O
Fap. wall 9j. (o
[Net cap. wall -
{"e-'°'II
Cciling
/
a loor-
,
_ -, ".u O
Required sq. (1. E.D.R. or ey, ins, W,A. Leadet area
FI.? Q.rqo?kRfsomj Length jt Width }{eight
VG'indowe and no..-r...L,... ._a e---
Na. ???h
of Da"o u0Rhl
o[ D.ne No, ot
IIgM" ?Llnewl f(.
of etack Are.
Q. Il
-
cl?
CoeF. Btu
Infill?ation
? < O
Gleaa
(? Qd
Exp. wall
p
Nel exp. wall •
?
Cciling 111110
D
•Cloor..?,_.
Y
,o[aI 0111. ?
RequireEsq.fi. E.U.R, cr eq, ??s, W.A. ?ader area
FI. Roum ?Length /Y Width /! Htight
Windowe and Doon-Crackage and Aree
Btu
Glau'
Exp. wsll 5'} 1q4-/5 x
Nel exp, wall
4nt:`WSll" k''IrY\
Ceihn-_ g ?_i Y
d leer^
Totel Blv.
Required eq. It. E.D.R. or sq, ina, W.A.
?a'?4 `13 9/ y :
aaer ares 1 7 ci = 6
Room lLenqth 1s Widt6 13 f{aight
ors-Crackarte and Arra
Na, K'I4Ih
of pan• Ilrlkhl
M I:?." No.of
Ilshl• i.lne.111.
nf rruk •re?
?q ft.
a a 3 -
Coe(. Btu
In611retian Qt?C)
Glaaa .).q Jr'O 4
Exp. wall
` ? ?.
Net exp, wall 1 /4v -2- 1
+^it? a c,
Ceiling ? q 5 S?
?Flee
?
I otal?Slu. lJ7?G3
1L?LU
Required sq. (t. E.D.R, or eq. ins. W.A. Leader sree
FI.I Q¢Z -0,eµlRoom I Lengih e 7 Width Heiqh
Windowt end Doors-Crackave end Ar,a
No. Wldth
ef D??? IIelRnt
ef Dan? No. at
IIfM? Un<N It
otet?eM Are.
0 71,3
CoeL Blu
In6ltralion
Glua
Exp.wall Il+[f X? I
Net e:p. wall 1G3
-6-rae 01" 1 'f?- t
Ceiting 112 1
Elnua-,
lotal tflu. ?y
Required sQ, ft. E.D.R. or sq. ins. W.A. Leader esee
n•I MA51e.P RoomlLeaRth / ,r Width /.). HeiahiV
Windows end Doon-Crackage and Ares
Ne. width
o[ pans Hnlgh<
ef pane Ne. of
Ilfbta Llm?l lt
af cruk A?e•
q. (t.
i9,
CoeL Btt
Infiltrstion 76
Gls»
r
Esp. wall Q
Nel ezp. wall
4ne.-w.A
Ceiling
I ioul tstu. . 6r
Rcnuind sn. ft. F.Q.R ?. .,. ,... mA I ..A-- Y_ -
R •3y 77"cavJ4___
_ }IfAT'MSS CALCUl,AT10N5 DEPARTMEM OF DUILDfNGS
We81I1f13If1p1 A.S.ILV,E. -
Guide Conslruction No.
\??indows_ I Uoors I Hr(crence I_Out_Wall fn1. Wall Ceiling Roof Floor Kind
1'ee-No 19_ - - - ( ?
Ir,G,11aom ? Leneth /?, W?dih- -- H?fghi --m - ----- --
W?ndow d U $ F?•I RMl?WN ? (.engih / Widih / Ileig6t
a an oon-.Crackage and Arra
ll I.111? IIIIRI?I K.?. ??( ?.IM1?TI fl II
-:?-T??;.,?
Infif1ration
Glase
F,xp. wall
?et ?ap, wall
.i.n+...wall.
Cci6q
f F?
1 otal U1u.
Required sq. (t, I
Windows and
InfiltJation
Glata
Exp. wall g
Net eap. wall
']nh?ell-
or sq. ine. W.A
imI Length ' (0, Width p
-Geckage and Area
Geilinq-
Floor
Tola) Bti
+I eI+- aco x
xeequvea sq. IL E.D.R. or eq, jns, W,A. Leader nrea
FI. ?i+,,.F11}Room ?Lenqth (o Width
Windowa and Doors-Creckage end Area
N 0 6
ay 3?
Infillratian
Gla?a ?
Exp. wsll??j'.?.3 i
Net up, wall
imr?vail'
-------
•?erting?
Flom ?(p? ??
Total Btu.
-------_
_ Requir.,! jj. (t. E.D,
Coef.1 Dlu
AlIA
Btu
Btu
C)
Wi ndows
a nJ
D
s---
a
kagi
and
Are
Na n
M naen '
R n `
nf pnnn NO
o
ONh4 '
'
of rn•k A..6
.? 1?.
? Q ?
Cotl. ptu
In6ltration o _ jE l.leo
Glsss 7 '?'0 7(e7 p.
Ecv.wall /S+e I x 0
T1e1 exp. wall
-1nlr+'eB
Fl°°` r I fe5 q 9S
lotal 81u. d (.
Required aq. (t. E.D.R. or aq. ina. W.A. L.eader aree
Fi.l Room I Length Widih Height
Windows and been---f_nekrer .-d A...
Ner M'Idqh
ofpme ilrlthl
a[vSnO No. ef
11sh1- Lloe?l f,.
olcnok Ae,•
sa.tt.
Coef. Btu
In61tre1ian
Clsa
Esp, wall
Net esp. wall
Int. wall
Ceiling
Floor
lotsl tltv. Required sq. ft. ED.R. ot sq. ins. V1.A. l.eadtf stee
F7.1 Room I Length Width Heighi
Windowi end Doon-Crackaee .nd A...
N0* Wld?h
of Oana IIHi??
of pang Ne. e!
Ilfbls Llohl tl.
ef eeaek A?e.
op, ft.
Coef. pu
Infillration
Glua
Enp. wall
Net exp, wall
Int. wall t
Ceiling
F laor
To1el Qiu.
GITV OF BURNSVILI ?
Insulalion
l low
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
(651) 681-4675
Date: MCkli 1` ( /
a45
Description of ork: ? Consuuct new fueplace
? Install eas iiisert ondv
_ Other
i
e?$/3
Job address:
Alterations to existing
Install zas line onlv
Lot: Block: Subdivision/P.I.D. #:
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
PROPERTY
OWIVER
F[REPLACE
INSTALLER
` (P « ?y
i Phone #: Z/D S 7.3??
Name: SCN ? If2
Last I F'
Street
City ?a W y) State: ? Zip: .? S
--L/ c/s2
Company:? I' e?(? tihone #:
? r. -- -`
Sueet Address t-?> () J( J L(/ .?-
City A{^?,? lJ f 1 Ie- State:
Company:
GAS LINE
IN5TALLER Street Adc
City _
Zip:
I hereby acknowledge that I have read this application and state that the information is correct
and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan
Ordinances.
zip:
Phone #:
Sta[e:
OFFICE USE ONLY
BUILDINC PERb4iT TYPE
? 14 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterarions
? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REvtaxxs
Chimney/flue must be inspected before concealing.
1?t??i4)4::/`r?J?:T9" Ji ? ? ? S.I? )i..'?l;HA4.•1"Y, ? i.x:..yy. ?.p.;x.???.)i?a?
f?ITy r7!= G}lI_;r7i:?
^Fa.i;hlT Pft:: 3 ?"?ii:I?:M::C?!AI.. idrl: it]c3
r, ._,-, .,?.. . m:a ... . ..
... ... ; •':'?'?'
i:l:?!E;! ,. ,
r ?:'.`.?
•,.,
27..°;'; ` 3 )Oi. 3`?1.3 i!;I:I...i... F9..!i? Ci„r;0
1
,
it)i;•':f.l..Pir;t'ei?.rk idn',[P.:tri;:i G?.J,,::?(J ;
(yr_•..1. C;i. . , i
. 1
L7E:S• i7.: NKj td
Yr'???'?4?.?k.'r"ftYtWy.?l.:?:)'l?k.•l:):X:?F%kuf>FY!?mv?ly ..ir)!?M
?
Sl1RVEYOR'S CERTIFICATE SIENNA CORPORATION
, ,. ,- ><
?- ?i ? ?? \
? J
' \
.? (qo3.4? ? ?
, ??
? 148.88 N 88°02 27 E -•• •- 29.69 `-. - ?
? 46.67 d' _
?+ ? ,?s 5.52? !"f ''? :? ` p? ?
'° 20.67 ? O ? (?
--?__ -r-'?'--1- - - - ? ?\ 4 ?s,"??`?- ?iGy:'. fD
?
j/621-. ?o
M 10 _?ORAlNAGE 9 UTfUTY d 26.0 ?a N p?i? 'f? :.. -? N
£ASEMENT PER PLAT ? ? o ?\ ?+ ? ?yygy+ ?1f1?° M ? N ?
1? u w w 66T'\ _?: 4
? o 0 7 I ?a ?
i _ r?n .oi OoI ? 2S
I- N ? ^o d? i°v ?-?1 W
. LOT ? ao.o ?,-?-a ?? ?
: ? g % ? ? ?? ?
N i i o ?h
co ?, i ?? ?o co
_ J ppp M j?•a '"? 2 I
10 . ? I ?-? 1 n i
_ ?
i ,? '? -- 4667 -. ..231?..
? o-- 147.99 N 88°02?27" E o
? `, J
-? ? J
_ J
?
G
25
i 1
lJ
? '
?I / \ _?_ I / \
?_ ?/ 1 I l/
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH m 30 FEET
O DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = Q04,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 90?•5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK a 9oY•7 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9. Block II, BRIDLE RIDGE IST ADDITION, according to the recorded
plat thereof. Dakota County, Minnesota,
IT DOE5 NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ?g? DAY OF oczoi'??"i2. , 19??.
APPROVED FOR SIENNA SIGNED: JAM . ILL, INC.
CORPORATION ? ?
BY : eY:
HAROLD C. PETERSON, LAND SURVEYOR
DATED? MINNESOTA LICENSE NUMBER 12294
James R. HiII, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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BYAMERSW
7une 7, 200)
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
To Whom It May Concern:
Elder 7ones is authorized to pull building permits for Renewal by Andersen. Please allow
Elder Jones to pirovide this service for us in Ea.gan. 'I'his authorization is valid for any
date beyond 61610 1; untiI aWenewal by Andersen manager expressly revokes it in writing
to the City.
I request this authorization be accegted expedidously, a.a to noC delay in the processing of
our building pcrmits any furthcr. Plcasc call mc if thu-c azc any questiuns. I can Ue
contacted at 763-5024706.
Your immcdiate attention to this mattcr is appreciated.
Sincerely,
yuiond R. Rau
nstallation Manager
Renewal by A,ndersen Cornoration
C'r.: Kara-F.1rie.r.Tnnec
. ??4 ?•?a..??
M:GH:,AIDA M. EL GpMAL
NO?'Y F'u01k
sota
m?scian 6piref Jon 97 2pp5
LLgUUL/UU2
Received Time Juo. l, 1:01PM
? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon Reauiraments RemodeVRaoair ReauiremeMa
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) . 1 ut of Energy Calculations for heated additbns
• 2 wpies of plan showirg 6eam 6 window sizes; poured found desgn, etc.) . 1 site survey (or exterior additiora 8 decks
• 7 set ot Energy Calculatians • Indicale'rf home served hy septlc system foreddNOns
• 3 cop'ms of Tree Preservation Plan if lot platled after 711193
. Rim Joisl Detail Options selection sheet (bldgs with 3 or less unhs)
DATE s?c/? VALUATION ? 3?-
SITEADDRESS /;?w C7- MULTI-FAMILYBLDG _Y _4?D
TYPE OP WORK ?/OFF??rCp? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
• Residential Ventilatlon Calegory 1 Worksheet Submitted
• Energy Envelope Calwlatlons Submitted
STREET ADDRESS Z00 13?? CITY
TELEPHONE # 7G?'?-5?l `?-3a?ICELL PHONE # FAX #
TE-,0"1P SSY?I
PROPERTYOWNER ???? ???llz_ TELEPHONE# GS? <14-5 2'3_F0
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO'1'A RULES 7670 CATEGORY 1 MINNI:SOTA RUI.GS 7672
(J submission type)
Plumbing Contractor: __
Plumbing system includes:
Mechanical Coniractor:
Mcchanic:il systcm includes:
Sewer/Water Contractor:
Air Condiuoning
_ Heal. Recovery Systc;m
Phone #
Phone #
ree: $90.00
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 Eagan Ordinances.
Signature of Applicant ?
OFFICE USE ONLY
Waccr Softener
Wa[er Heater
_ No. of Baths
• New Energy Code Worksheet Submitted
_ Phone #
I,awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O. ,
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Shtcco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total '
RESID,IENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
Now Construction Reaufrementa
• 3 registered site surveys showing sq. ft. ot IoL sq. ft. of house; and all rooted arm
(20% maximiun lot wverape allowed)
• 2 copies of plan showing beam & wiiMow sizes; poured fomM desipn, etc.)
• i set of Energy CaIwlaOons
• 3 oopies MTree Presenation Poan'rf lol platled after 711193
. Rim Joist Detail Options seleaion sheet (bldgs wNh 3 or less units)
DATE
cWV a.)-
RemodaVReoair ReauiremeMs
. 2 apies of plan
• 1 set of Energy CalculaGois tor heated addiUore
• i site survey for eNerior additions 8 decks
• Indicate'rf Iwme served by septic syslem far additions
VALUATION M,0ne-
JOBSITEADDRESS ??13 M%U'?0'XW CPurCln
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER C. cl;u SChh k-?'.•
TYPE
APP
REPLACE(S) _ 0 _ 1 _ 2
PHONE# IOSI"o'ZIo4 •44 -4-+
ADDRESS lqc-f1 C.n&rrt?u 9A '% G4` ?.i-? •a-Y'?iA \lp 1. t`fl+1-z? ZIPCODE 55113
PAGER # CELL PHONE #
FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sub TBy :MAY Energy Envelope Calculations Submitted MINNESOTA RIJLES 7672 0 8 Z002
New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: ----
PSystem Includes: _ Water Softener _ Lawn Sprinkler ee: $90.00
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Fec: $70.00
Phone #
All above information must 6e submitted prior to processing of application.
I hereby acknowledge thpt I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Signature ot Appllcard
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFIPE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ex[. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration , O 37 Demolish (Bldg)* ? 43 Reroof ? 46
? 34 Replacement "Demolition (Entire Bldg 6nly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs , Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings(deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Ga
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies Other
Siding
Fire Repair
W indows/Doors
Tests _ Final
Building Inspector
Total
•.••• ••• ,?.•.•.+. auv i<. ov rm ? oo e/ l. 4400 itCCIL`IIAL,I3Y ECIUtSK'J151V
7una 7, 200)
City of Hagan
3836 Piiat Bnob Rosd
Eagan, MN 55122
T'o Whom It May Concern:
IIder Iones is authorized to pull huild3ng permits Por Renawai by Andexsm_ please allow
Elder Joncs to provide this servicc for us in Eagam. 'Chis authorizaticm i4 ralid for any
date beyond 6/6101; wntil akenawal by Andersan manager axpnessly revokes it in wricing
to the City_
I request this auttiorization be accepted expeditiously, as to not delsy in the prveessing of
our building pcmdts any fyrthcr. Plcasc call mc If thcrc aro any questlons. I can be
wntacted at 763-502-4706.
Yaur immpiiatc attcntion to this mauer is appreciated.
Sinceiroly,
0 ymond R. Rau
nstallation Manager
Ronewttl by pndersen Corporatiton
C'c.: KMrn_F.ltter Tnnea
G - 7?.?c3oj
LQC?N DA , ? ???
MhVIry ??
O .
O .
?
???6pOnEkplflf.kn.77,y1U9
Received Time Juo. ]. 1:01PM
quUUg/UU7
RESIDENTIAL ! R
[!JUN ? r n
BUILDING PERMIT APPLICATION
CITY OF EAGAN 0 7 3830 PILOT KNOB RD, EAGAN MN 55122 65'I-681-4675 _
? - ----
NewConstruction Reauirements
• 3 registered sRe surveys showing sq. ft. o( lot, sq. it. of house; and all roofed areas
(20% maximum lot coverege allowed)
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies W Tree Presenation Plan K lot platted after 7/1193
• Rim Joist Detail Options seledion sheet (bldgs with 3 or leu unils)
DATE ?o-?-?a
SITE ADDRESS 3813 !u`< <? kU.V1 C61AY't
RemodellReoair ReauiremenM
. 2 copies of plan
• 1 set of Emrgy Calculatbns for heated addilions
• 7 site survey for extenoradditions & decks
• Indicate if home served by septic system for additions
VALUATION
MULTI-FAMILYBLDG _Y _N
TYPE OF WORK 'D eC'L C6Y154YUC4?6n FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS -I5d4- `f-0.41i21Q k-'Ct
TELEPHONE # 1I2'3-a94-7q)41CELL PHONE #
v-eae rsoY,
'Yl PQYkSTATEMP ZIP 55
FAX # -7 Ce3- 535 - ?71`J 7
PROPERTYOWNER 5aWP.eln ?i 1+2- TELEPHONE# (o5I'Z05-9356
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RIJLES 7670 CATGGORY 1 MINNESO'1'A RULES 7672
(J submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted I
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical syslem includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $70.00
-----------°----------------------------------------------------------------------------°-----------°------------------
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant ???'a_._'
OFFICE USE ONLY
Water Hcater No. of R.I. Baths No. of Batlis ?-13
Phone # dI
WaCer Soflcner La D V
wn Sprinkler e: $90.00
(DI
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01of_plex
? 04 D2-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plax
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
O 10 08-plex ?18 Deck
? 11 10-plex 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Acce'ssor}.Bldg
? 31 Ex€. Alt - Multi
? 33 6ct. Alt - SF
? 36 MWti
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Sidingi
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy [Z,? MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV i
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) Final/No C.O.
_ Footings (addition) plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'v/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I SllR1lEYOR'S CERTIFICATE
SIENNA CORPORATION
\
? J
o (qo3.4? ?"- ?
° 148.88 N 88°02'27" E
46.67 .. 29.69
5.52t Q0 ?
? -?---'? ? 20.67 ? _. ' 10 ?V,In V
? 62r. \q.n aD o
3 _?DRAINAGE d U'fILlTY d .0 ? N PRO? 0 0 N
PLAT ? 4 \?\ N{? ?IYE N
° fo EASEMENT PfR 26
M ?
!n u w w ? m 4
- o,
i .
o= or^,i 25
I N LOT N?? W
40.0
?
N w , e a
cn M ? !?? ?? io tD
- -+ 00
lp -i i
i ?
? 1` '? _ 4&67 '' '• 23IQ,?
I N
147.99 N 88°02'27" E
?
%sr J
?
?
zs
l J
N
• DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MQNUMENT FOUfVD PROPOSED GARAGE FLOOR = 90`+• 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 901.5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - qoN 7 FEET
WE HEREBY CER7IFY TO SfENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRE5ENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 9, Block II, BRIDLE RIDGE IST ADDITION, according to ihe recorded
plat ihereof, Dakota County, Minnesoto.
IT DOES NOT PURPORT TO SHOW IMPFOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS ?g? DAY OF oc7o?jC?z , 19.',I.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3813 Mill Run Ct
Lot: 009 Block: 011 Addition: Bridle Ridge 1st
PID:10- 14996 - 090 -11
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net
- Applicant -
Owner:
Lance A Saeger
3813 Mill Run Ct
Eagan MN 55123
$30.00 0801.4088
$0.50 9001.2195
$30.50
Issued By: Signature
Mechanical
EA075226
09/22/2006
ePermit
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131454
Date Issued:06/19/2015
Permit Category:ePermit
Site Address: 3813 Mill Run Ct
Lot:9 Block: 11 Addition: Bridle Ridge 1st
PID:10-14996-11-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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: 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 -
Lance A Saeger
3813 Mill Run Ct
Eagan MN 55123
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149757
Date Issued:06/07/2018
Permit Category:ePermit
Site Address: 3813 Mill Run Ct
Lot:9 Block: 11 Addition: Bridle Ridge 1st
PID:10-14996-11-090
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 -
Lance A Saeger
3813 Mill Run Ct
Eagan MN 55123
(651) 330-3573
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature