775 Mill Run PathINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
?? Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: •
(612) 681-4675
SITE ADDRESS: APPLICANT:
. . . , 'r:1=.. _ ?. I t? • . . . !
PERMIT SUBTYPE: TYPE OF WORK: f?
t?'.' r a I P r t rt A! Fi A" sN': r tr I
Pertnit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC •
Inspection Date Inap. Comments
FOOTINGS I
I
FOUND
FRAMING ?
ROOFING
ROUGH
PlUM81NG
PIBG
AIR TEST ?i
i
ROUGH
HEATING
?
GAS 5VC
TEST
iNSUL
GYP BDARD ?
FIREPLACE
FIREPLACE
A!R TEST
FINAI PLBG
FINAL NTG
ORSAT
TEST ?
I
BLDG FINAL
BSMT R.I.
BSMT FItJAL
DECK FTG
DECK FINAL
- , • , . _ . . '''°`??`=.,?-'r?l.!F.^ .-. ,?-.: ..
CITY OF EAGAN 18209
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 .
PHON E: 454-8100
BUILDINGfERMIT Receipt# To?be used? ?g$Wn TII9ISH Est. value =i' ? Date J?'Y 30 , ts ?
-_
Site Adl?SS w t ? °aan0 nvw snaa¦
' OFFICE t1SE ONLY
BIOCk SeC/Sub.
Lot
PBfC@I N0. Occupancy - FEES
MICHUEL D 3CHROSDSa zoning 35.00
W Name (Actual) Const _ Bldg. Permit
o Address (AJ1O'hfeb1e) - Surcharge 1.00
City rikum Phone * ot stories -
Plan Review
Length _
o Name Deam - sac, ciry
,
?` Address S.F. Toial - S
C
MCw
?
City Phone
S.F. Footpnnts A
,
CC
-
Water Conn
On 5ite Sewage _
r
W W
Name
on sae weu
- water Me?er
W
z- Addfess MWCC Sysiem -
y
<W
City Phone
Ci1y Water pcct. Oeposit
_
S/W Pe
it
PRV Required rm
_
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - gIy,1 Surcharge
information is correct and agree to comply with all applicable State oi
Minnesota Statutes and City of Eagan rdina s. ? Treatment PI
SignaWre of Permftee ?f- ?t C`- ? APPROYAIS Road Unit
MICHAZL D $CHRQBDSR Planner
A Building Permit is issued lo: - Park Ded.
on the express condition that all work shall be done in accordance with ali Council _ 3.?
applicabie State of Minnesota Statutes and City of Eagan Ordinances. k Bldy. pg. _ Copies
Building Oflicial I '
Variance
- TOTAL ?
. _ ... . ..u'
Permit No. PermR Fblder Oste Tebphone #t
WRTEA
SEWER
PLUMBING
H.V.A.C.
ELEcrRic C? 335 ? 7 34 D ?C?
InspscNon Date Insp. Comments
Footings I
FounddGon '
Framing ?
Rooling
Ragh Plbg• ^f? ?D
Rotgh Htg. 57-47-fe. dwi
Isul.
Freplace
Fnal Htg.
Final Plbg. P/ Cm's
Const. Meter P16g. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Dedc Ftg.
Ueck Final
wen
Pr. Disp.
CONTRACT
PRICE
CITY OF EAGAN pERMIT #
3830 PILOT KNQB ROAD, EACaAN, MN 55122 RECEIPT;
DATE: -7I 3 C)
Site Addre s I 1_i ?
Lot -- Blodc
.. naii?e •
V Address
c City c"C ?
? Aadress
? City !Eac,G n Phone
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
BLDG. TYPF
./ WORK DESCRIPTION
Qpes. N/ New
? Mult. Add-on
Comm. Repair
aher
RES. PLBG. ONLY • COMPLETE THE FOLLOWIMG:
NO FIXTURES TOTAL
? Water Closet - $3.00 $
Bath Tubs - $3.00
? Lavatory - $3.00 -
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Orains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMfT)
Softener - $5.00
WeH - $10.00
Private Disp. -a10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE: I <- • c ?%
STATES S1C: • `?L'
GRAND TOTAL: ? ?- _L
iiE±CT1VA,TE FOR DECK 4/27/89 , CITY OF EAGAN -
MICHAEL 'SCHROED
688-•9425 ?30 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be uspd4or Est. Value Date ,19
Site Addj$3s '•? ''•L ; ' i: OFFICE USE ONLY
Lot BloCk i i Sec/Sub. i;• On Site Sewaye Occupancy ?"3 ?'?
MWCC Syatem Zoning PO R"=
Parcel No.
v-x
On Site Well (Actual) Const
a Name City Water t (Allowable) y-8_
W Address PRV Required ? of Storiea '
0 City PhOt1B `"tj- f'? BoosterPump Length «,
?
Depth
Q
.o Name
S.F. Total
o ? Address Footprint S.F.
U<
?
City Phone
APPROVALS
FEES
0 W
Name Engr./Assess. Permit
F W
?
Address
Ptanner
Surcharge
0
q W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State ol Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
,
Signature of Permittee Road Unit
A Buiiding Permit is issued to: Treatment P1
on the express condition that all work shal I be done in accordance with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
_ Permit No. Permit Hoider Date ToIsphone ?e
Plumbing y??) 4. `?•y?--
H.V.AAC. 9 ?? .LQE?i L^ v?
ElectriC 11333
Softener
Inspectfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing ?Y PD
Roofing
Rough Plbg.
Rough Ntg.
13u1. ib & ?S 91
Fireplace
Final Htg.
Final Plbg.
Bldg. Final Z7
Cert.Occ. ?, ?l HES
Temp. LP
Deck Ftg.
Deck Final ?
Well
Pr. Disp.
Ff?..
IY ? M .
Site Address TS s
Lot -;;;, Block
? i MECHANICAL PERMIT RECEIPT #
x /^ 2. Z. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
1 7 sn w ? DWAINF• dSd_fl1Afl
? Name G- C,41 1 c NTR
? Address _12V1°/ aNcoc
c City .S4(.114E tr.
m
c
3
O
Name _
Address
City _
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. -_ _ _...r?.. SNt BTU
Vent CFM
Gas Piping Outiets # ?
Other
FEE
S/C:
TOTAL:
C
BLDG
T
.
YPE WORK QESCRIPTION
)"
Res. ? New
Mult Add-on
S Comm. Repair
Other
FEES
RES
HVAC 0-100 M BTU -$24
00
.
.
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMI7)
1
50 EA
-
-
.
.
(
COMM/IND FEE - 19'o OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
.
BEYOND $1,000)
E
S SIGN
#fiURE OF PERMITTEE
6 r{ ,
%
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT fk
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? PHONE: 454-8100
Site Address
Lot - Block
Name ? ? .? ,?•4 - _ , , ,,
m
? Address
c City '•' /- c Phone ? ?? ? ?' . •_,
? Name ?
? Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTfiACT FEE
APT. BLDGS - 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
BLDG. TYPE WORK D?SCRIPTION
Res. X New
Muit. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N9. FIXTURES TOTAL
Water Closet - $3.00 S
?Bath Tubs - $3.00 TLavatory - $3.00 ?
TShower - $3.00 ,
Kitchen Sink - $3.00
Urinal/Bidet - S3.00
Laundry Tray - $3.00
Floor Drains - $1.50 '
Water Heater - S1 50 i Whlripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
So(tener - $5.00
WeII - $10.00
Private Disp. - $10.00
--1Rough Openings - $1.50
OF PERMITTEE
FOR CITY OF EAGAN
FEE ` STATE S/C:
GRAND TOTAL•
? CASH RECEIPT ;• ?
CITY OF EAGAN ` 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
'. ?
DATE 19
RECENED
FNO1.1 y ' s 1 •
1 Lr '?
AMOUNT
& DOLLARS
ioo
O CASH ? CHECK
.
17
t. . U
AA)
I?° ?3???' ?? ??
Pink-Flle Copy
Thank You
ev
9.'. ,4.
I
(gertifirate of (Orrupanry
Citp of (f agan
EPparhPttt of Rtthing JmWPtfiMt
This Certiftcate issued pursuant to t!?e requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure wrrs in conepliance with the various
ordinances of rhe City regulareng building construction or use. Far the fo!lowing:
tsse- clAssircation SF DWG/GA:? etdg. Pbrmic rb. 15017
R3/)41 PWR' 'Vn
QCCIImOLY Typt 71101ng DtlLflCt lypE COR7(
P???? MAE. 55,16 ; WIx s"r. ; xuOK T-ME
Owm of auMing Ad&m
7 i` .., k? n,; n: ,., T, B . B?KTIF:?• R_TL?G? :.?!
?n?us naa.?
e toniuy
??CIJ
•MY iI
BUIEdIIIg OfriCial ?
D?IC:
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit Na Date:
3830 PHot Knob Road Meter No: 0 Size: 0 L
P.O. Box 21199 Reader No: /1f k? b/ Date;
Eagan, MN 55121
Conn. Chg:
Acct. Dep:_ 1 5 i'l?nd
Permit Fee:
Surcharge:
Tr. Plant ^04 ()()Pfl
Meter: -?7 8E3nfJ
R A:.... . -
CITY OF EAGAN
3830 PEtot Knob Road
P.O. J36x 21199
Eagan, MN 55121
Site Address:
ti Home
Zoning: _
No. ot Units:
1 agree to comply with the City oi Eagan
Ordinances.
ByG`
•c_lC
WATER SERVICE PERMIT
Permit No:
B/P No:
Oate:
Date:
81
Plumber: 7 :. Lre S 3c' e i l?i? ?,
MWCC:
City Chg: _ , • -,.'
Acct. Dep: _
Permit Fee:
5urcharge: • ?
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
?... BY
SEWER SERVICE PERMIT
CITY OF EAGAN ND 1$209
- 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # r-
To be used lor' BASEMENT FINISH Est. Value $1,500 Dale JULY 30 , 19-92_.
Slte Ad;lress 775 MILL RUN PATH OFFICE USE ONLV
Lot 3 Black 13 Sec/Sub. BRIDLE RIDGE 15
Parcel No o=upancy - Fees
. Z
oning -
w Name MICHAEL D SCHROEDER (ACmaqConst - Bldg.Permit 35.00
o Address 775 MILL RUN PATH (Allowable) - Surcharge 1.00
City EAGAN Phone 688-9425 r o1 Stories -
Pian Review
Length _
o Name Sp'ME Depth - SAQ City
,
?° AddBSS S.F.TOtal -
MCWCC
SAC
ua
? City PhOn2 S.F. Footprints - ,
W aler Conn
On Site Sewage _
? W Name On Site Well - Water Meler
s? AddreSS MWCCSystem -
uy? Acct. Deposit
aw City Phone Cirywater .-
P
i
d
R S/W Permit
re
_
RV
eqU
I hereby acknowlege that I have reatl this application and state that Ihe Booster Pump - SNJ Surcharge
inlormation is correct and agree to comply with all applica6le State ol
Minnesota Statutes a ity o? Eagan Ordin t?. Treatment PI
Signature of Permite ?1 APPROYALS qoad Unit
A Building Permit is issued to: MICHAEL D SCHROEDER Planner - pyrk Dea.
on Ihe express conditioo that all work shall be done in accordance with all Council -- 3.00
of Eagan Ordinances.
applica6le State of Minnesota Stawtes an
d
it
C
y Bmg.Ofl. _ Copies
/
?
y
}
{
BuildingOlficial-,????? ? Illu Variance _ TOTAL 39.00
CITY OF EAGAN N° :'I 5 O 1 7
3830 Pilot Knob Roatl, P.O. Box 27 •199, Eagan, MN 55121
BUILDING PERMIT PHON E: 454-8100
Receipt# b7'
Tobeusedbor SF OWG/GAR Est.Value $72,000 Date MAY 13 ,19 88
SiteAddress 775 MILL RtiN PATH
Lot 3 Block 13 Sec/Su6.BRIDLE RIDGE 1ST
Parcel No
a Name RSM NOMES
z Address 5516 180TH ST E
0
City PRIOR LAKE phone 440-6900
o Name_
? a Address
: City_
U¢
Ww Name_
Fw
i? Address
u
a W City_
I hereby acknowledge that I have read this application and stale Ihat Ihe
information is covect and agree to comply with all applicable State of
Minneso[a Statutes and City oL$as?n Ortli?pces. w? "Y
OFFICE USE ONLY
On Site Sewage _ OcCUpency
MWCC System X Zoning
On Site Well _ (ACtual) Const
CfryWater X (qlbwable)
PRV Required _ # of Stories
8ooster Pump Length
Depth
S.F. Total
Footprini S.F.
APPROVALS
Engr./ASSess
Planner
Council
Bidg. Off.
Variance
FEES
Permit
Surcharge
Plan Feview
SAC, City
SAQ MWCC
Water Conn.
Water Meter
Road Unii
Treatment P1
Parks
TOTAL
Signature oF Permittee ? ? L- / F? °"'-°'^^?/ 1 i
A euilding Permit is issued to: RSM HOMES
on the express condition that all work shall be done in accortlance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
R-3 M-1
PD . R-1•
V-N
_V-N _
41'
46,.
-4¢2_. QQ
i0n_on
19 [1_pp
_-5sano
-6J-.A9
325.00
204.00
1,525.CQ
BLDG. PERMIT NO.
E.-oi' -?41 N I M.? 1
Ot-3210
01-3422
Ot-3445
01-3446
01-2155
75-3860
20-2275
20•3865
20-3868
2d-s71s
20-2252
20-3713
20-3743
79-3866
28-3855
Bldg. Permit
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
i --7
? Ri l.5 ?
Nc? o0
? -, 3 I
oo
? ?50
35 a'3
3P S 00
5 44 Sc5
-,??'SU bp
(O? ?O
,?, sasloc
This request void r
,a ?n«s <<o?? ? /?/8" ? ?', 6 l?
-
oL??. rP{:o(
?
f
/ `?s_.t
?? 61
/q ro
E 1J.333 ic,-- v <
Repuest Date ' Fire No. RouAh-in InsVer,lion
fleywred?
PReady Nuw ? Will Notify InsOec-
5-( Ves ?NO Ior When HeadV
Licensed ElecVical Contractor I hereby request inspectlon of ebove
? Owner electricel wark inst allad at:
H te t?o.
SVeet Addre
ss, Box Citv
C
? 'J (t/
/
ecuon o Township Name or o. Ran6e o. Gow
5?-
Occu - nt IPflINTI Fhone No.
?. .
Vo er SuDVi ier AAdress
I.JC(
b
Electrical ConVactor (COmpany Name) Cnniractor's License No.
?s ?-}er? ?.c?r r c c. C? r
Mai
lin0 AA ress IConlractor or Owner Making Instailation
?
AuNop9ee S?g^a[ure IConV tor Owner MakinB InstallatloN Phone Number
MINNESOTA STATE BOARD OF ELECTpICITY TMIS INSPECTION flEQUEST WILI NOT
G,iaes-Midwey Blde. - Aoom N•191 BE ACCEPTED BY THE STqTE BOAND
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone161D 642-0800 ENClOSED.
Tnis rnuPSt vo a
18 nwnths Irom (y??`7l5s
E 26876 ,;e
Retjtiest Date Fire No. Rouph-in Ins ction
Renuiretl? DReady Nuw P(Wdl Notify Insuer.-
lf/ zZ g . ?],Ves ?NO Ior When ReadY
I
?Licensed Electrical ConVactor 1 hereby request insoection oi ebova .
? Owner elaehicel work inslelled et
Sbeet Address, Box or Poul No.
77S ?
lon7`- Citv
ectron o. Township Name or No. Range No. Cou y
Occv nt (PPINT) Phone No.
Power "DOlier
J Address
¦ V/ 1 1 IL._O I CJ ?' J
Electrical ConVactor ICOmpany Namel
, Contracmr's License No.
?-S G
Mailinq AddresS (Contracto, or Owner Makinfl lnstailationl
Autho igne IC ?r /Ow akine lnstallationl r hone Number
v
a - 3
MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION PEQUEST WILL NOi
Grie9s-MiAweV BId9• - paom N•791 BE ACCEPTED BY THE STATE BOAND
1921 Universitv Ave.. St. Paul. MN 55106 UNLE55 PflOPER INSPECTION FEE IS
ow....e m»i ano ncnn ENCIOSEO.
REQUEST FOR ELECTRICAL INSPECTION
, See instmctiens for completing this iwm on back o1 Yallow copy. 4mkw
E.26876 "x" eeloW Work Covered by 7his Request
Noyi Addl N4p. TyOe of Buiitling AoDlionces WkeO Equipment WireA
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtmes
Apt. ildinq
Bu Dryer Electrie Heatm
Commercial Bldy. Fumace Silo Unlonder
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm mr, na?_? v me, isi>c'Ovt
, ,1 u???ev me, om„,
7`mm..inn lncnariinn Fco P.M.
N ? Gee ?Service Entrenea$ize h Fee Fewtlers/Subieaders Circuits
0 to 200 Am 5 0 to 30 Am is t p 0 In 30 /1m
Above 200_qmps 31 to 700 qmps 31 to 100 qm
Swimming Pool Above 100_Arn s Above 100_Am s
Transiormers Irrigation Booms ,S(> Partial.er Fee
$igns Special Inspection
em?rks $49? T TVP
I, the ElacVicel
?ns0ecloq hereby
canify Ihxt the aeava
inspecfion has been
matle.
rnro.eyuast
CCj e39
_ ,z1.30/5, D n n n ,?-t
(9 JJ 5 41
Request Date ` R. No. Hougn-in Inspection
Requiretl?
? Reatly Now iil Notify Inspector
? Ves ? N. When Reatly?
tEl licensed contractor owner here6y request inspection of above electrical work at:
Jo0 Atltlress (Sfreet, Box m Foule No.) Ciry ,
?s oilill"i
Section No. Townshi0 Name or No. Range No. Coun (
?
OccuOam (PRINT)
`?c? h coE?lc? ?
N? ?ck?
?\ ?-y Phona No.
? y
; •
i
Power Supplier Atldress
??. r ??\ t Y
ElacVical Conlractor ICompany Namel Ganlractor5 License No.
Mailing Aatlress (Convaclor or Ownar MaNing Installation) ?
o onzea Sr9naWre Gonvacto?i0 r M king Installe?ion? P one Numb?er ('?' I1
_rl?C_\ J--n\
MINNESOTA STATE BOARD Oi ELECTNICITY TNIS INSPECTION REOUEST WILL NOT
Griggs-MlGwey Bldg. - Room &173 BE ACCEPTED BV THE STATE BOARO
1811 Unlversity Ave., SI. Paul. MN 55104 UNLESS PROFER INSPECTION FEE IS
Phone (812) 612-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,,,f}}}m???` ?eB-00001,07
? ???'?`? ? See in'imc[ions for completing ihis lortn on back oi yellow copy. ?4??
? "X" Be/ow Work Covered by This Request
ew Adtl Rep. TypeofBUilding AppliancesWired EquipmeniWired
ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner -
Other(s0eciry) ConUactor5 Remarks:
?uS.Qrx???- ? n ?Sh
Campute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 10TAmps
Trensformers Above 200 _ AmpS A6 Amps
Sig05 Inspecmr5 Use Only:
Irrigation Booms •
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON 5.
I, the Electiical Inspectoc hereby Rough-in ? oeta ?.
certity that the above inspection has
been made. F;,,,i oate V yQ
I
OFFICE USE ONLY
Th15 lBQVE9t WIE 18 TDl1th5 f(Ort1
?r-REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
q 1 See ins4uctions tar comOietin9 this form on beck o( vellow copy. ?:
E?1i3'3.3 "X" Below Work Covered by 7his Request
May, Hdd Nap. Type ol 9uilAing APaliancea Wired Equiuniant Wired
Home Range Teinporery Service
Duple.x Water Heater LiGhtiny Fiztures
Apt BuilAing Dryer Electrie Heaun
Commercial Bldy. Fumace Silo Unloader
Industrial BIAy. Air Condltioner Bulk Milk Tank
Fafm mr.r Pec?V .iho, ISPr.r.riv)
1 .! {)CC1i, OIM1CI OthlLf
Compute lnspecuonfee Below
N Fee ServiceEntranceSize k Fen Fexders7SVbieeders d Frse Circtiits
0 to 200 qm s 0 to 30 Am s 0 to 30 AmL)s
Above 200 qmps 31 to 700 Ainps 31 to 10oA s
Swimming Pool Above 700_Amps Above 100_Am s
Transiormer5 Irngation Booms Partial-'Other Fee
Signs Speciailnspection
$ `
S5"
TOTA
erry rks
z
EE
I1y ov
Hough-in Dow ?, the echi 'InsDectoq e?eby
ertity tMi the above
Final r?+1 ingpection has been
0 '^ ?i?A" meda.
mia reGUesl voltl 18 monllis irom
!
SINGLE FAMILY DWELLINGS
1988 HIIILDING PERMIT APPLICATION - CSTY OF EAGAN
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [JNITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF S[IRVEY - CHECK WITH HLDG. DEPT.v
1 SET OF ENERGY CALCULATIONS
CONII-IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ^ 1'D Valuat
Site Address -7-7 J UW,
Lot ? Block
i
Pareel/Sub
Owner Tj'n ?\?(,, ti`C1f?..L)? -
Address S\ `'n I?6 " h ? fi?•
City/Zip Code ?t` ?(l ? LC\ ?--?_
Phone ?7 ?-
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone 1!
l
ion: Date: S`? I J
-r--
I"` OFFICE USE ONLY
?
On site sewag e_ Oecupancy 0-3/M-1
MWCC system ? Zaning 1'r, R-I
On site well Actual Const v-N
City water ?? Allowable V- N
PRV required U of stories
Hooster Pump _ Length ?/% O
Depth 46 = d"
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 41E7Z'00
Planner Surcharge Oo
Council Plan Review 31.00
Bldg. Off. Y--4/I2SAC, City IDOlOo
Variance SAC, MWCC 5 ,6?
Water Conn 550. ?
Water Meter 6 .Do
Road Unit 251OD
Treatment P1 2 0 ,oo
Parks
Copies
TOTAL `? ' ?
' YALuA-rrC)N
(:?A2AGE'
ZC)xZC)= 40o
,z X 4
? Z X /y = Scl Xt?
,S RsT--M?Nr
SZo
??l X lS' - 2?b
`73o X13- 9v9?
Nous?
a(? x 3y = Sg`I
1/z X !o= 15
Zx?= g
SX lo - 5b
?Z x I? = Iq 2
?x? = iy
I 1?3 x 49 --
S0B9
'? 11 6 ,5,
?
,- ,
Surreilor?s 6atificate
SURVEY FOR: P.S.1:. Itom?s ?nc.
DESCRI9ED AS: Lot s, I31ock 7.3, BI2IDLE rIDGE, City of Eagan, Dal:ota County,
Niinnesota and reserving easements of record
ed
^ 0
,!/
?
! 0 `
N89°/933"E ?
g93.5 7B.00 89z.x`h?
- ?
?i
:
?
ry
1 ?
r? ?0
i rd
,
51--- ---`,o
I ,
I c,z.
R% t -7
? pNO.
u
I g? ?o
D vs;o
? ? 34
? I ProP°ecd ?
IV 0A1
1 ?o
, ?.
MI
'L5 \?
?
A'.
?, O \
o ?
? Qwa -A
\ a` 'QB,y \
\\
-~? ?? ??
)
1 15-0
?Jk
,0 6ix?
?
g93.
a?
,
-A
? t /
k???'L ? •
I o 6eo? 26, ?
? J?
? p
N e?b M'LL UY
N
_- - ? Da `
PROPOSED ELEVATIONS
7op of Foundoflon . 893.1
6oroqe Floor a 1599.3
Bosamsnt floor :89o.s
Approa. Sevror Ssrrles Elsv..
Propofed Elevofions ? O
ERistinp Elevotlom
Drainaye Dlnetions ?......r
Denefss Oflssf Sfaka ? O
lifEDLUND
P/erming Eng/needng Surweylnp
aa erw we??+?, ? w?mwon. wxwwu eHie
EAGAIV
N
SCALE: i Ineh = 30 feet
P/
,
ROVED
DEPT
BENCHMARK,
I MIN. SE7811CK REOIREMENTS
Front - 30' House Side - /O'
Reor - /5' tiaraqe SIM- S'
i n..•ey eortlfl thet Mb wrwr, vbn a r.ve.t weo or•par•a er m. J08 NO.;
or unAn mr dlreet rvpurblon anA thof i om a Auly RephbnA g?p-z36
LeeA 9wrrya under Me kvs o/ lhe Slafe ol Minoesela. •
BOOK:
Oap: 'S, 9 i88 b. lJN.N.p? PA6E:
J? y , nA0 . Llems• 414378
?A-._..
r
rXTERIOR L•OYELT-pFE AV[:RA01:1.,11U' G01?
041;JER
n,. ,.
RSM HOME3, INC:
VA7"PHY LAKE BLVD.
'RIOR LAKE, MN. 653M
L^ a.
SITE ADDRESS_ 7 7? Y 1 1, I I I{ ?4?'D-
1 h
1
.
. , . , ..
CQIJTRACTOR 125.ir??
_ . . •
Aetermine_ rrorking snuAre toatag# aT Qach.
6 ,Oq
,
l. T9tal exAosed wall area x ?1%. ,R
' • // '
2. Total r9of/ce111ng _area t,. x
:
- :k:'.
,
.
.
Total exposed xall area aqaVe t'loor g 9,?0.0 .oz?:
:
A. Total wall rrinCovi area , .-. . ., . ... ? . ? . . . ,' 9_.?.?: ; , ' .
b . Total door area . . . . . . . . . . . . . . . . . r ? r • . , . ?, ?o y
a ,
Total sliaing glass area' , + ? , ?.
,
c1. Potal Fireplace v1a11 area .?........?,,.
?
e. R'otal wall frar?ing area (average ?04);.,
P. Total net r+a11 area above i`lnor _. , , , , o, ,?
s. Total rirr Joi st area . , . . . . ? . ? , . ? ? . , . , ? •,!,?„..,, e ';?,
Tota1 exposed 1`cundatiop area P
h. Total toun3stion,rrlndpw area, .. , :,.,.; •, , ,?p. ?; ,
1. Total neC foundatioq, areA 34ave 15r40e-,.2?
Determina "U' value of each wall seCnent.
;
a, •?.a X IV: ,5,
X IfVii
X IiV:i
Dr C) X IIu'1 G.. M U .` ;. r.. ..
e. ?9su x?•p?# ?? f Y??
r.???o•y x ??u,:
?
r
?:?:
X uUro . G• a ? .,3' ? ^ .
g. 19.J. S ; '
f1. C? $'U? d F p
?.? X 1'Uj' ,p?r_; N ? - . • r r
. .. ,.., ?;.
......................
.......................Total
it Sten N3 is the same as, or less than ?Vem ql, yqu havV.99t?4e.
int4nt of QBC 6096(c)2
.
;?ee-w M j
.?rr-?fi r?.. ..??,.-f ? s•3 c G A v w C? a?
lJ
.A . ' .'
Total exposed rool'/ce111ng area
:otal skylight area ....... ....... k. Total roof/ceiling framing area (average *ph
1. Total net lnsulated roql/ce111ng area ,..,,,. y?.G
Deterrnlne "Ui yalue fqr each roof/Celling Segrlgrit,
?.....__
?.
k.-&2 Z-X 3•1
---•..?.,.._ ';; I. S, (r j( ?:V ? . L? J y a J/. `/ ,^".,..
, q ............................
............. Toca1
, •?.
?'Pe'- " j (910:? ) ?.e,?, s'oc
If total o: M4 is the same as, or less than #2a ypu nave met the
lntent of 5HC 6006(c)1.
AlternaCe Buiidltig Epvelope pesit,n
To utlilze ihe total envelope systera nethod, the values'e?tabllsheQ
by the sun oF 1.tems k3.:.and N4 shall not be ereater than xhe sur.t,of.
items N1 and i;2.
+ 2.??
3 • __ ? " '+'-4 . ?
----------
c-r-
(J---- • v ?
? i.-. E.-[??-L?ti %)'• o
?2Yz'C4-':! • S ?-- .
?----
??
C'kcl ? /1 cc ,?...
--?l?"? -C',•L? CC.?. - (L1?.. . ?j ? .
,
c.G%t?t...cer -
` ._ ,
PERMIT
GiTY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-14996-030-13
DESCRIPTION:
Vr'
... ?
rror .
? .?
REMARKS
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
PERMITTYPE: aurLoztiG
Permit Number: 031461
Date Issued: 0 2 J 13 / 9 8
775 MILL RUN PATH
LOT: 3 BLOCKs 13
BRIDLE RIDGE 1ST
GAS IN5ER7
ermit Type FIREPLACE
tyrk Type NEW
434 RIT. RESIOENTIAL
$50.00
$50.50
CONTRACTOR: - Applicant -
?TOVE & FIREPLAGE GALLERY 18981174
1278 COUNTY ROAO 42
dURNSVILLE MN 55337
6612) 898-1174
APPLICANT/PERMITEE SIGNATURE
OWNER:
BUSCH TOOD
775 MILL RUN PATH
EAGAN MN 55123
(612)688-6716
ISSUED BY: SIGNATURE
i, , !i.b a.4 . ,.
:, l . i, ', I t•. , : iii ?,
CI1Y CiF F_A.r.,AN
CA.'.:iH:l:E.R,., '3 TF4;M]'.N(-tl.. . M0;; i'i'i
r3A'TF:^ 02i11t98 T:I:MT.-n W35:34
7'.ii ,?,
NANf"..=;; 57'OUF.C £ 6' '7:FiE!"1..FlC:E GnI.L_E:F:`.'
32i.C) 9401 77`-, M'FL1.. . fii.JN PI, `;D„t?n
205 9001 I75 MILL R??N PA 0i.r:)0
9 S t.i 4. ?,,. . „.
7r:rt,a7. Rr:.•ce:i.t,l; Amounl,?, Srl,.'i.';C)
f,tSit:]F3E.3E6E6
LSIii.Fi .4:I? c NANC;`{
?;iii1; Ii"? "I•I
. , . ?I ... .. I , ,, " .
1 .ir... (owR ' P.:PHi '!ti I.i.ll\o i.A
u. r,itD41 V t'ViJD:i .. :'?
....... .?:??? i??....if.V'.i..?r
? . . ? ? . .
..il'.Y !:.{1 ih'7.. .,..? ? . . .Ih'. t . ,?i... . ..-I:? , . ,i ,., .i? C irii' i.?1"???1:??? ?ll:'n,^??? .!
fll'i { _:t,:-., ti::1. i??i?,,.. I.C? .i.,?.. .'i(,,f.• ?i ;?ir??: e?t . i ??.? it:??. ?.iii'e??flli
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1497 FII2EPLACE PERMIT APPLICATION
681-4675
DATE: PERMIT FEE: $50.50
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING
.-?INSTALL GAS INSERT ONLY
_ INSTALL GAS LINE ONLY
OTFER:
STREET ADDRESS:
LOT ? BLOCK
SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
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.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
1NSTALLER
is ? a? ?
Name: Phone
Signature:
Sireet Address:
City: - G? State: Zip:
Company: Phone #:
/
Signature:
St-eet Address Y2 W - Licease #. zm3zCfr30
City: State: 44-- Zip:
Company: Phone #:
Name:
Signatttxe:
Street Address:
_ .... . _, . .._..... ,
City: State:
Zip:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? ] 4 Fireplace
WORK TYPE
0 31 New ? 33 Altem6ons
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
f
a E;10
" 1989 BQILDffiG PERMIT PLIC9TION - ITY OF E9GAN
SIRGLE F9MII.Y DWELLIAQ(iS ?? D
?
INCLUDE 2 SETS OF PLANS, 3 CERTIF ATFS OF SIIRVEY, 7 SET OF ENERGY CALCIILATIONS
AOTSa ADDHFSSES FOH CORNER
I3 DFSIRED. NO CH9NGE
MOLTIPLE DNELLINGS
INCLODE 2 SETS OF
CALCULATIONS
COPMRCIAL
INCLUDE 2
1 5ET OE
- COATHACTOR/HOMEOWNER lIOST DESIGNATE AHICH ADDEESS
FOH SALE DBITS
# OF IIBIT3
OF 3U9YEY - CHECB iiITH BLDG. DEPT.p 1 SET OF ENERGY
OF ARCHITECTURAL & STROCTURAL PLANS,
ICATIONS AND 1 SET OE ENERGY CALCULATIONS
To He Osed For: Valuation: =L-?8t9 4C? Date:
Site Address ??? A?i AyN PA7"'Hy
Lot ? Hloek ?
Parcel/Sub SppDuE
owner /vlicNAEI,. Aa> (1A1L 300..cF]>E12..
Address 5) t} j M, LL kyN ParH
City/Zip CodeE-A-c?-Atj ,??o-3
Phone
Contractor
Address °-
City/Zip Code
--
Phone
Areh./Engr.
Address ?
City/Zip Code
Phone #
OS& ONf.Y
Oecupaney
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site secrage_
On site well _
MWCC System _
City water _
PRV required _
Hooster Pump _
APPflOVAIS
Planner
Couneil
Bldg. Off. 4/7-'7
Variance
P73$3
Bldg. Permit 14k
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
5/W Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies . S?
TOTAL
HDTE: 3ewer & Water Permit fees and aceount deposit Pees xill be iaeluded in the building
permit fee. Processing time for serrer and water permits ia two days onee a lieensed
plumber has applied for a permit at City Hall.
, U Ib U AS: Lot 3, Biock 13, BA.I?LE rII)CE _
, City of Gagan, Dal:ota County,
t,innesota and reserving easements of record
5'CNR?E ?t:/L
?
n ? l /'' i i L
+
ya
. q?
. ,o
?o
N 09` /9'33 " F_-
893.5 78.00 89t.1`hi
?
:
N
V 2
,0 9
( - ?\
GND. `_7 1
'l5 \
_ A
A ? \
0
'Q
u
? .?
m ?
I ? Ll? W z 4 ? a
g+?` ? N
Stit? ?
I '?
sp " i5 ?IL " •:? ?
? ? ,9 ? ? `-T? ?
t N
r `n
.
ProP° "d
?o
~-
v
b Ga?.
zo
? 1 gj?U
?
M I
?
289.7 ' O
a 8g? t,
,.
PROPOSEO ELEVQilONS
Top of Fvundotlon m 893.1
OoioQOfloor . 593,3
8oAamsnt Floor o 69o.S
A.pplOR. $OROf $6sYIC0 EIJy. a 0.._.?
9
Pippoco0 EIevallone
Exrollnp Eloroflona ?
f)rvlnapa Direotlona ?.,..,,.?.
p¢rwloo Ofhol 9fok6 ? p
,p,/35
E
MI 4 L
.\
\
/?
1 /0
u r ,•' ' ??? ? 6 '?
?
p?9dti?
s.`_ ?.?1 ? ? ky ,,'? •
?? • ? ? ? ?
1\ ? ` %A
i
b•9p26p ?
a ' ,.o c/
?o.? .
?
4CALE: i Ineh a 30 Rool
Reviewed WITHOUT COMMENT
for Sienna Corpo ation
this ?day of ?1908
Turpeni 'Ass r itect
?
""ICIIMAIIK,
i MIN. SETBqCK REOIREMENTS
Fronf - .30' Nouoo 91da - /O'
Roor - /5' Oa,ago eldv- S'
a
?
?
? _ ??? \
liioo
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS - MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CDRNER LOTS - CONTRACTOR/HOMEOWNER M[IST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERhfIT MUST SHOW A LICENSED PLUMBER.
JUL 2 6 Reco
To Be Used For: /?5 y(, oni'SL Valuation: /S-vo Date: ??o
Site Address lq -O?A ApaXl pPA
Lot ? Block _{g
Parcel/Sub
Owner / i? cyqEL ?, SCH2Ot=Dtf2?
Address7/5- 6?r) rc.7h
City/Zip Code E1arPq,-J 551a2
Phone 6,?y -gY,7.r
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
USE ONLY
FEES
Occupancy
Zoning
Actual Const,
Allowable
# of.stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
Bldg. Permit
Surcharge
P1an Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W SuXCharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
3S u 0
i,vd
3. O
?J4.1 It?
APPROVALS
Planner
Council ? I
Bldg. Off. 7?
Variance
L ? gL 1 CITY USE ONLY
suao. )(-- %
STATE:
1999 PLUM$INC PERMIT (USID£NTIAL)
crrY oF FAsAiv
3830 PaoT Kivo$ [tn
EAHAN. MN 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
S`'"f f't1OJGQ-0jJ PLUN f?i td(9-
?"Z67 Por+t(Ni<<c p r?
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in oUtlet " minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $ D`'= I
Water closet 3.00 x = $
Water heater 3.00 x = $ I
Water softener If dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --? --> ----> ----> $ o.
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------- ------------ ------ ---------------------------------------------------------------------- ---- --.__.
I herehy acknowledge that I have read lliis applica6on, state that the information is correct, and agree to wmply with all applicable City of Eagan ordinances.
It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no lia6iliry for any damages caused by the City during its
normai operational and maintenance activities to the facilities constructed under this permit within Ciry property/right-of-way/easement.
SITEADDRESS: 7 7 J
OWNER NAME: : I?i C_`t'I`e_ 13LA s cG? TELEPHONE #: 1,r Z STq'7-70 6
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
ciTV: M rre--A
EACH #
TELEPHONE #: 6CZ ?'3 3 (7p O
(AREA CODE)
(\j
RECEIPT #:
RECEIPT DATE: /f OCCO / J'n
PERMIT# -E-Sts 7JIR I
ziP: S5 3 Lf'3
SIGNATURE OF PERMITTEE
MECHAIVICAL (RESIDENTIAL)
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Candos when permits are required for each unit
7?)
Date kl l I / 03
Site Address -7 eU., Unit #
Property Owner Telephone #(?,$ ))? gg ^ 67 1 I
Contractor ?,?y-/I?fCIKi C? • TS' ?.QJ4 '{"1 ?- q f}'A/j,X 4t JZ- ? L' -
StreetAddress 412j yA-ti/c IV W City NP.I,J y?
State M/\) Zip ?r2&O 7( Telep6one #( gS a) 7 S13 ' ;2UI6O
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to existing dwelliug unit $ 30.00
`?. furnace replacement
C9: IU
0 ? r
? air exchanger
.
AVF
?
?
?C airconditioner
_ other BY _.r
State Surcharge $ 50
Total ga
$ 3o-
I hereby apply for a Residenrial Mechanical Pemut and aclmowledge that the information is complete and accurate; tha[ the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in tLe case of work whicb requires a review and approval oFplans
PAwI ?T. (? Rg 2 Nf,
ApplicanYs Printed Name App icanYs Signa e
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleace comple[e for: commerciaUindusfrial buildings
multi-fanuly buildings when. separate permits are no[ required for each dwellinguni[
Date 1 /
Site Address
Unit # I
?
Tenant Name (it applicable) Previous Tenant Name II
. I ?
Property Owner Telephone # ( ) ?
I?
Cantractor ?I
'
Street Address
City ?I
II
State `
Zip
Telephone # ( ) ;
?I f
?I
The Applicant is i Owner
Con4actor
Other 9
_ _ i j
Wark Type
_ Newconstruction
_ Interior Improvement
_ Processed Piping
Nature of Work:
ndergroundTank
Call for inspection du
Install _Remove
ring installationlremoval of tank i
?
?
;
i
i
9
I ?
Per[Ilit Fef $50.50 Minimum Pee (includes Siate Surcharge)
ContractValue $ x I%
• If pernut fee is $1,000 or less, add $.50 ?
If permit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$
$ I
PemiitFee
I?
Statel Surcharge
i
Totaf Fee
I
i
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurite; that the work
will be in conformance witb the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I?derstand tlus is
not a pemvt, but only an application for a pemvt, and work is not to start without a pernut; that the work will be i i acwrdance with
the approved plan in the case of work which requues a review and approval of plans. j
ApplicanPs Printed Name
ApplicanPs Signature
Approved By: , Inspector Date:
/ PLUMBING (RESIDENTIAL)
? Permit Application
City Of Eagan
? 3830 Pilot I{nob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernvu aze required for each unit
C3GD a ?%
Date?_/?/ 0-5
Site Address --7-25- /7') /W Rl.lJ'l roY"=;11 Unit #
PropertyOwner Tbd 4? -+- (,Y) tcf'ui? 1?l-L$01 Telephone #( )
Contractcr l_,(PaY'1?'['A? t,l,PYlbirlG,?k H"/a'?Gi tnG
Address I"1,}t(Qo (Yl(AS{'lfj3'LLT-1 I?CL CityPlrj(y' L-a-k-e
State f ? IVI Zip F>-7;- Telephone # (9g (?. . q -7 `zJ 7 30
The Applicant is _ Owner ? Conuactor _ Other
Septic System New _ Refurbished Submit 2 sefs of plans and MPC license $ 100.00
Includes Counry fee. Additional consulWnt fees may apply.
Alter tions To 9aisting Dwelling Unit, Includ g
Addin fixtures to lower levels or oom addition excludin water softener and water heater
"ag $ 50.00 ?
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
_ Other. Luu(Aa,.,
_ RPZ _ new installation _ repair _ rebuild $ 30A0
_ Lawn irrigation system
_ Water softener ? Water heater $ 15
00
,
.
? replacement _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Pernut and aclrnowledge that the information is complete and accurate; tbat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernrit, but only an application for a pemrit, and work is not to start without a pernvt; that the work will be in accotdance with the
approved plan in the case of work wluch requires a review and approval of plans. /9 A ,
ApplicanYs Printed Name Applicant's Signature
_...... ..._
.
APFLICATION FOR PERMIT +N=: PAM4ar OF FEE AT TIME OF ;
. • nwr mamrrw mcc erm mni +
IF EXISTING STRL'C'P[7RE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:.
Year
(Month/
PRESENT 7ANING/PROPOSID USE:
MMEE2CIAL/RETAIL/OFFZCE R-1 SINGLE FAMILY
Q INDUSTRIAL E:j R-2 DUPLEX (Tteo Lnits)
a;INSTIZL7TI0NAL/GOVEU4MENT E::] R-3 TOWNHOUSE (Three.+:Dnits) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
. . ? ._
2) ? NAN]E: ?
ADDRE55: . S? 4L?
CITY, STATE, ZIP: . o?`-.$?3 ] ?---
PHONE:
I . n f i. For Citv Lse
3)
ADDRESS: --?
CITSt, STATE, ZIP:
PHONE: ?
4) 1F1aw*4d' • 5•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
i MASTER LICENSE #
- ? Active
Expired
Not recorded
Sta Initia
CONNECTION TO CITY WATER a QTfIER
I.EGAL DFSCI2IPTION;
Lot B ock S vision or Tax Parcel ID .
*??**,t+++e****?+**?*x****??**?x*?*?*??*********,?*************t*****:r,?,r***:r+*,r?*,t**?*?******?+*****??i
* *
* THE GOLD COPY OF 'lHE PERMIT WILL BE SED7P DIRFCI4,Y TO PUBI,IC WORFCS 7.0 FACILITATE MEPER PICK-UP. ?
? PLEASE ALI,OW 7W0 WORKIM DAYS FDR PROCESSING. SOM70NE EROM 'iM CITY WILL CONrALT YOP IF 7SIERE *
* ARE ANY PROSLEMS. .?i
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLODE SURCH ARGE)
$ WATER PERMIT (INCLDDE SORCH ARGE)
$ $ WATER METER/COPPERHORN/0['T I IIDE READER
$ $ WATER TAP (INCLODE CORPORAT ION STOP)
.
$ $ SEWER TAP
$ $ C' Z' ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ `? Sl 7l . U-D $ WAC
$ c? ? ?' • G'?? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRLNK SEWEI I
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURC I IARGE
$ $ OTHER:
$ $ ?l !'`LM TOTAL
s7, ? ? .
RECEIPT RECEIPT
I
DOES LTILITY CONNECTION REQDIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSLED BY THE ENGINEERING
AS A CONDITION
. .
SUBJECT TO THE FOLLOWING CONDITIONS: ?i
I I
I I
APPROVED BY:
TITLE:
DATE :
P
Zk
II
?
RESIDENTTAL BUII,DING
Permit Application
City Of Eagan
--?j? O3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reavirements RemodeVF2eoairReauirements
3 registered site surveys shaxing sq, fl, of lal sq. ft of house; and II roofed amas 2 mpies W plan
(20% maximum lot coverage aliaxed) 7 set oi Eneqy Calculations for heated additbns
2 copies of plan showing beam 8 window sizes: poured tound design, elc. 1 site survey for additions & decks
1 set o! Energy Cakulations Addifion - indicefe 8on-sde sepfic system
3 capies of Tree Pieservation Plan'rf lot pWtted after 117/93 -
Rim Joist Degil Options setecban sheet (bidgs wlih 3 or less unBs
Office Use OnN
_ CeA a( Survey Recd
Tree Pies Plan Recd
Tree Pres Not Reqd
_ On-site Septlc System
Date
Site Address 7
76 Construction Cost /47? -OD
T?A UniUSte #
Description o[ Work
Multi-Family Bld g _ YL N Fireplace(s) ? 0 _ 1 _ 2
Property Owner + Telepho¢e # ( )
Contractor 64• (_t?s'`??µ ?L
Address ?
State '-r,2.?[7 ?? CJJL ?7c obe?T'
Zip G2h_Z City
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _
Residential Ventilation Category 1 Worksheet
(4 suhmissiontype) Submitted
. Energy Envelope Calculations Submittad ????
?
Fp
Licensed Plumber D.? - ! .,,Ie1e q
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
#(
#(
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an app?ation for a ermit, and work is not to start without a
pernut; that the work will be in accordance with the appr?v plqn in t?ecase of work which requires a review and
approval of plans.
Nms L-WT
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
?,< 02 SF Dwelling ? 08 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 (screeNgazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
x 33 Alteration ?
0 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs ?
Type of Const 1/k/
35 Int Improvement ? 38 Demolish (Interior) ? 44
36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45
37 Demolish (Bldg)" ? 43 Reroof ? 46
`DemoliHon (Entire Bldg) • Give PCA handout to applicant
Occupancy MC/ES System _
Zoning City Water
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Fixtal
?( Framing
Fireplace 'f- R.I. )(Au Test 4 Final
? Insulation
FinaUNo C.O.
` Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Ga
_ Siding Stucco Stone
? Windows (new/replacement)
` Retaining Wall
? 30 Accessory Bldg
? 31 EM. Alt - Mulfi
? 33 Ext. Ait - SF
? 36 Muld Misc.
i Siding
Fire Repair
Windows/Doors
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
Stories Booster Pump
Sq. Fk PRV
Length Fire Sprinklered
W idth
Building Inspector
r
;, yX
, •?.
Tests Final
?9,oql-
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Soflware Version 33 Release lc
Data 5lename: C:1MIdCHECK\MECcheck\BUSCH.cck
COiTNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCIION TYPE: Single Family
DATE: 02/05/03
PROIECT INFORMATION:
TODD & MICHII,LE BUSCH
775 MQ.LRUN PATH
EAGAN, MN
COMPANY INFORMATION:
K. A. WITT CONSTRUCTION, INC.
1530 280TH ST. WEST
PO BOX 86
NEW PRAGUE, MN 56071
COMPLIANCE: Passes
Maximum UA = 167
Your Home = 137
18.0% Better Than Code
Checked By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 589 44.0
Wall 1: Wood Frame, 16" o.c. 908 19.0
Window 1: Above Grade, Wood Frame, Double Pane 171
Wa113: Wood Frame, 24" o.c. 60 10.0
Basement Wai12: Masonry Block with Empty Cells, 3.2' 6U2.7' bg/3.2' insul
215 11.0
Floor 1: Alt-Wood Joist/Tnus, Over Outside Air 11 10.0
Furnace 1: Forced Hot Air, 92 AFUE
Proposed and Marimum U-Factor Averages
Proposed
Average U-Facwr
Above-Gtade Windows and Glass Doois 0.330
Includes Foundation Windows > 5.6 ft2
0.0 16
0.0 43
0.330 56
0.0 5
0.0 16
0.0 1
Maximwn
Allowed U-Factor
0370
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and otLer culations submitted with the permit applicalioa The proposed building has been
designed to meet the ' esota ergy Code requirements in MECcheck Version 33 Release lc and W
st. I
wmply with the listed in the MECcheck Inspecfion Chocvii
rl
Builder/Designer Date ?J ?D
,
u,
KR,
V
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IANp?c-aWINW CM Crva??qit ?ek I arwt.
?
,
Bearinge
are aesumed
?
IAR
1
u
r Sub,ject to easements of record if any
, ?
1 ? l
U
TO ?UR.) ?N /
Gk Q-AV:;,S (S a
, O
Denotes
eet or found iron pipe monuments
{?} Denotes sat wood hub and tack
Proposed garage iloor elevation -
'Tg¢p Danotes existing elevation
Propoaed tdp of block elevation 84.p Denotes proposed iinish grade.elevation
Denotes direction of surface drainage
Propoaed lowest floor elavation
a
%`cfl :?o TcrmoPtoiW n ?h-3V at
C t?
-to owm, ?
I hereby certi#y that thia is a true and correct repreaentation of a.survey of the boundaries
of Lot V Block Count Minnesots as on f11e and of record
2, 13, BRrfl?,?do??. ??r R?omo?l ? DWOTA
in the Otiice of the County Recorder in end for said County, also showing the proposed Location
of a house as staked thareon.
That I am a duly Regietared Land Surveyor under the F.aws of tha Stete of Minnesota,
oated:?????
?
Allan R. Hna ti++gs
Minneaots_ Registration No. 17009
212 FirSt Avenue E.
Suite No. C
" Shakopee, Minneaota 55379
Phone:95:_2 445 4027
04/04/2009 FRI 09:45 FAX 9 812 496 5512 SCHERER LLTMBER CO
?age 41
LOUISIANA-PACIFIC CORPORATION / WOOD-E DESIGNU2002.6 09/04/03 06:43:08
WARNING
?** THIS DESIGN IS VALID FOR TFIE PROJRCT NAMED BELOW (JOB ID) ONLY
*** WOOD-E DESIGN 2002_6 EXPIRES ON 12/31/2003. LP WILL MAItE
AVAILABLE TO ALL REGISTEAED USERS AN UPDATED VERSION OF TkiE WOOD-E DESIGN
SOFTWARE IN THE CONTINUING EFFORT TO MAINTAIN COMPLIANCE WIT11 CHANGING
tiUILDING CODES, INDUSTRY PRACTICES, CODE EVALUATION REPORTS AND/OR
METHODS pF ANALYSIS.
0002/00J
COMPANY: Scherer Brothers Lumber Company, Shakopee, MN
JoB ID: 773 rr,t? R? l?$rfa /2r?,e„;r?' ?A? w??%'ooa n?$?rrD2a
STATE: MN CODE:_iCHO L46?e^ 41fl1df4
PRODUCT: 2-PLY 1,750" X 17_.875" ANG-LAM LVL 2950Fb 2.OE
DESTGN CRITERZA FOR FLOOR EEAM
-------------"------------
LIVE DEAD SPAN (L) SPAN (R)
(PSF) (PSF) CARRIEll CA1iKZED
----- ----- -------- --------
40 15 .500' 2.000'
SPAN CARRIED IS-POT-COWTTNUO[T .
(UNFACTORED LOADS)
ALLOWABLE ALLOWASLE
LOADING LL DEFLECT TL DEFLECT
------- ---------- ----------
TOP L/360 L/290
ALLOWABLE / WORKING STRESS DESIGN DATA DEFF,ECTION
----------- REACTION MOMENT SHEAR I,IVE LOAD
----
-- TOTAL LOAD
-----------
--------------
ACTUAL - -----------------
4676 14033 -------
3842 -----
-
0.244 0.388
ALLOWASLE 20246 8035 0.468 0.613
STRESS iNll1CES 0.693 0.478 L/603 L/379
LOAD CASE U 1 1 1 1
**** THE REACTION, MOMENT ANO SH£AR DATA ABOVE ARE BASED ON THE MAXIMUM
STRFSS INDICES AND MAY NOT REFLECT THE ABSOLUTE MAXIMUM ACTUALS. **** FOR DEFLECTION, L IS DEFINED AS THE DESIGN SPAN LENGTH OR
TWICE TfIC LENGTH FOR CANTILEVERS.
NOTES
CONNECTION
**° DESIGN ASSUMES COMPONENTS CARRIED ARE APPLIED TO TOP EDGE OF BEAM,
SUCH THAT LOAD TS DISTRTAUTED EQUALLY TO EACH PLY.
***ATTACH THE TWO PLIES WITH 2 ROWS OF 16d (3-1/2") NAILS AT
12" OC. STAGGEF ROWS. NAILS CAN BE DRIVEN FROM ONE FhCE OR
HALF FROM EACH FACS. NAILS MAY BE COMMON OR SOX NAIL,°,
WITH A MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS (3-1/411)
MAY BE USED, f3U'1 HALF MUST BE DRIVEN FROM EACH FACE.
*`* COMPRESSION EDGE BRACING REQUIRED AT EACH ENA OF COMPONENT.
STRUCTURAL GEOMETRY
-------------------
SPAN 1
04/04/2003 FRI 09:45 FA% 9 812 498 5512 SCHERER LLIMBER CO
Page 2
12.500'
TOTAL SPAN: 12.50 FT
INPUT LOADS
SSAPETYP6 L011DING SOURCE W1
'
----- ---- -------
+C7NIF LIVE TOP
+UNIF DEA'J TOP
UNIF DEAD TOP
UNIF LIVE TOP
UNTF DEAD TOP
+UNSF DEAD TOP
+ INDICATES LOAD IS
------ ----------
FLOOR 390 PLF
FLOOR 146 PLF
WALL 80 PLF
ROOF 80 pLF
ROOF 90 PLF
FLOOR 12 PLF
W2 X1
---------- --------
BASED ON SPAN CARRIED AND
0.000'
0.000,
0.000'
0.006'
0.000,
0,000'
INPUT LIVE
X2
IR ooaiooa
12.506'
12.500'
12.500'
12.500'
12.500'
12.500'
OR DEAB LOAD PSF.
MAXIMUM SECTION FORCES: MOMENT = 14033 FT-7,RS SHEAR = 3842 LBS
MAXIMUM UNFACTDRED SUPPORT REIICTIONS (LBS) USE THESE VALUES WHEN DESIGNING CONNECZ
----------------------- - ---"--""- -- - -------------°---------"----- - ------------
SRG#1: 4676 BRG#2: 9676
REQUIRED BEARING SIZES (IN)
?G#1?3.00 BRG#2: 3 0
r
LIVE T,QAD DEFLC. TOTAL LOAD DEFLC.
SPAN ACTUAL ALLOW. L/? ACTUAL AT.T,OW. L/?
---- ------ ------ ------ ------ ------ -----
1 0.244 0,408 603 0.388 0.613 379
"'*** FOR DEFLECTION L IS DEFIf]ED AS DESIGN SPALV LENGTH OR
TWICE THE LENGTH FOR CANTILEVERS.
MAXIMUM STRESS INDICES: MSI = 0.693 VSI = 0.478
SLENDERNESS RATIO = 3.39 TJMIT = 10.0
VERIFY YOUR IiVPUT TO AVOID ?ESIGN AND FABRICATION MISTAKES. YOU ARE SOLELX
RESPONSIBLE FOR ERRORS RESULTING FROM INCORRECT TNPUT. THIS PROGRAM IS A DESIGN
TOOL AND Si-IOULD SE USED WITH EXTREME C71RE THAT INPUT UNIFORM AND CONCENTRATED
LOADS ARE ACCURATE IN MAGNITUDE'AND LOCATION. IF YOU HAVE ANY QUESTIONS OR
UNCERTAINTIES, PLEASE CONTACT LP.
DESTGN IS SPECIFICALLY FOR LP
PROQUCTS.
USE OF'-TATS-Fk76GRXNTTb D£STGN ANYTHING OTHER THAN-GR?=-IAM LVL, ux Lr?-ov?
IS STRICTLY PROHIBITED. LP IS A TRADEMARK OF LOUISIANA-PACIFIC COAPORATION
5
WI O qZ PLUMBING (RESIDENTIAL)
Permit Application ,?j'
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date A / dS / 03
F7 75 fil% L Lgud! U
it #
si
Add
n
te
ress
Property Owner Telephone # ( )
ConrraMor n`eC. l 'erUl LC i/??
Address
State Zip Telephone#
The Applicant is _ Owner ?Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
? Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
? f i S I'
li?
$
50
State Surcharge
J
?
, ? 3 c? 50
Totel
( . 1
i
I hereby appty for a Residential Plumbing Permit and acknowledge that the informaYion'is'comvlIete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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. i/I (,-?)
6AU 1 C/ V?-l1 EC??-I v_
Applicant's Printed Name Applicant's 5ignature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131974
Date Issued:07/17/2015
Permit Category:ePermit
Site Address: 775 Mill Run Path
Lot:3 Block: 13 Addition: Bridle Ridge 1st
PID:10-14996-13-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michelle L Gleason Busch
775 Mill Run Path
Eagan MN 55123
Blue Rain Plumbing Inc
8821 Woodland Rd
Bloomington MN 55437
(612) 869-7200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167886
Date Issued:04/01/2021
Permit Category:ePermit
Site Address: 775 Mill Run Path
Lot:3 Block: 13 Addition: Bridle Ridge 1st
PID:10-14996-13-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Michelle Gleason Busch
775 Mill Run Path
Eagan MN 55123
Millersberg Construction Llc
P.O. Box 155
Dundas MN 55019
(507) 301-3626
Applicant/Permitee: Signature Issued By: Signature