4373 Nestling CirDate:
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
() Zf i
to 5
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Resident/
Owner
Type of Work
Name:
Site Address: /- ✓ "� I I/� C r
Phone:
Unit #:
Address / City / Zip: 3 ,3 A)'-(2-)-4)/4-/- C (1" COz-
Applicant is:
Description of work:
Construction Cost:
Company:
Owner )C Contractor
/oanL
Multi -Family Building: (Yes / No )
Contact:
Address: (j J C( �J City: 7t } 0/4 /4 c� ✓`�
State: _ t AL Zip: . 53 CMZ Phone: j (L- Zf/f�"' — // Z —7 --
License #: C3 "7 3 Y I Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific' reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B ding Code must be completed 'thin 180
days f permit issuance.
Applicant's Printed tame Applicant's Signature
Page 1 of 3
QUILDING PERMIT
000
4373 NESTLING CIR
Site Addreaa Erect ? ??ncY R3
Lot 54 Biock 2 Sc/sub. MALLP,RD PK Remodel ? Zoning
Parcel No. Repeir ? Type of Const.V
Enlarge ? No. Stories
it Name STEPH-AN HOMES Move ? Length 56
-
-
Z Add Demolish ? 7
F
Depth
? ress
City APPLE VAL phone 423-1179 Grade ? sy. Ft.
?C SAME Apvro vab F.e. - - - - -
, F Nane
?? Addres5
11-- City Phone
Name
Address
City Phone
I hereby acknowledge thct I h sgad this opplication and stote that
the information is correct d p ree 4 comply, ith oll opplicoble
5fote of Minnesota Stotutes 'ty? rdir?onces.
Sipnoturc of Permittes
' STEPH-AN HOMES
A 8uiidin9 Pem,ir is Issued to:
oll work sholl be done in xwrdonce with oll opplicable Stote'._ o'f Mir
--_
Buildinp Officfal
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # _
Assessment
Water & Sew.
Polite
Fire
Eny.
Plonner
Countil-?7? 9
Bldg. Off. 1 "7'' j ? "
APC
Var. Date
84
Permit ' - - - - - -
Q
Surchorfle 37.0
Plon check 17 7. 5 0
s^C 525.00
Water Conn. 470.00
Water Meter 63.00
Rood Unit 260.00
xPWcopy ) .50
Total 4 tluv o.
on the exprcss condltfon 1hai
Statutes ond City of Eayan Ordinonces.
1) -
i'? ?. 9V I
Permit No. Permit Holder Date
Plumbing ? ? ?a - a ? ? ? ,? •
H.V.a,.C.
Electrie ? P t:f¢? $ v r? ? W?? ? by 'T'c).
Sohener
Inspection Date Insp. Other
Footinyc
Foundation
Framinq /µ-„?] " ? ?+
? „ • ?
Rough PI6q.
Rouqh HVAC
Inwlstion ? ??? V? •
Finil Plbg
VAC
c.
E Describe Location:
Sewer
.
CITY OF EAGAN Remarks
Addition Mallard Park Third Add'tinn Lot S4 sik 2 Parcei #10 47252 540 02
Owner sc.eet?4373 Nestling Circle state Eagan, MaV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 0 Im . 1981 2698.43 5
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWERLATERAL 7 1981 3412.34 682.47 10-25-84
WATERMAIN
* WATERLATERAL 1981
WATER AREA 0
jgz '
-
STORM SEW TRK 7 1981 467.74 93.55 5 93.58 A014788 10-25-84
* STORM 5EW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #47416
11-1-84
CONN.
' 7p. 00
A
11
ti
BUILDING PER. #9661 " "
sAC 525.00 ''
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. t 9 N
Eagan, Minnesota 55122-1897 Date Issued: o ;
(612) 681-4675
SITE ADDRESS: APPUCANT:
I I?T ',?i tcl u? r
i F•}) `ii ! 1 NC] f 1N rii51 I! I" T
MHI t r?ttli 1'i?kk `tlt[, ( l? l:} ti9N ? 1 l 14
?
s.. -
?. ?
?..
_ - , .. .
PERMIT SUBTYPE: TYPE OF WORK:
14 rw
tt ,?,?? ? ??r? ( UAS
)
Permit No. Permlt Molder Date Telephona M
ELECTRIC
PLUMBING
HVAC
Inapection Date insp. Canments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
Gas svc
TEST
INSUL
GYP BOARD
FIREPLACE
R TEST FIREPLACE
A I
HC?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DEGK FTG
DECK FINAL
CITY OF EAGAN SE1NEit SERVICE PERMIT
3830 Pilpt Knob Road 7 ; -, 1
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 p,,?; 1.-?-`' r'
Z°^i^p: ? No. of Units; 1
Owner. StE-pil Azt
Add?ess:
5tte Address: 4373 _Iestlixir "2 :allarc: Far?r; 3
Plumber. "''en'e -1 '?c:Z
11 ' _ _ "?:I•. . , p
1 •afe• to 008*1y wiN? e6. eie,r of E.". conneccion aarge: 425.00 pa _
ddhweas. /kcount Oeposit: 15.04 v-i
Parmk Fee: - I0. `)o r•d ?
Surchorpe:
By Misc. CMrpes:
Date of Insp.: Total•
•
Insp.: Dote Pald:
Ci'TY OF 'cAGAN
3839 Piiot Knvb Road
P. O. Box 21199
Eagan, MIV 55121
Zoning: 1
Owner. t
ress:
ito /lddross:
Plumber,
?Meter No.
SiZQ: SC9 r r
Readef No.: 0 `7 L ol6 K / h
1 yrw ta oooply wtlh IiN Cihr of Eaysn
Ordiwewa?.
ey
WATER SERVICE PERMIT
PERMlT Np.:
DATE:
No. of Units:
COn?1@tt1011 'Chorg6: 4710. 9
Permit Fee:
Surchorge;
Mise. Cha.pes: ., e t e
Totcl:
DoM Pnid:
Oote of Insp.: a 7 8-S (nsp,;
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Koob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt $ -
Te 6a umd fm SP DWG/GAR Est. Value $74, 000 Dote NOVEMBER 1 lq 84
Sireqddresa 4373 NESTLING CIR Erect ,-j' y
I R3
Occupancy
Lot 54 Block 2 SeclSub. MAI'I'ARD PK 3 Remodel ? Zoning -71-
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
STEPH-AN HOMES Move ? Lenyth 50i
?
Z Name Demolish ? Depth 46
Address
9 City APPLE VAL prypny 423-1179 Grede ? Sq. Ft.
}o Name SAME
Address
? City Phone
Name _
Address
City _
ADOrovals Fees
Phone
I hereby ocknowledge thaf I ha ad this opDlitation ond state thal
Ihe inlormotion is torrecf o o ree Q comply with all opplicobie
Sfate of Minnesota Stotutes it?of1Eag Qrdirwnces.
f )" /
Slpnoture of PermiMea '??"?"° = -'-?
"
A Building Permit is issued fa: STEPH-AN HOMES
oll work sholl be done in accordance y(W,?(I oDOlimbte tafe lrynr
Assessmenl -
Water 8 $ew.
Police
Fire
Enp.
Planner
CAUncil
81dg. Off. 10/31/8
APC
Var. Date
Permit T ?• "'"
Surchorge '47 _ f10
Plan check 177.50
saC 525.00
Water Conn. 470. ? 0
WaterMerer 63.00 Road Unit 260.00
zp*i&(copy) .50
Total $1, $a8.00
on the express condition thoi
Statufes and Ciry of Eapan Ordirwntes.
N?° 9661
`Y/2l(:v
Buildfng Official
? ? Du _ _ •? •
ALL CONTRACTORS MUST BE LICENSED WITH THE CIT e OF EAGAN
?e-
C?? c;? LUDE 0 SETS OF PLANS,
CERTIFICATES OF SURVEY
?? SET OF ENERGY CALCULATIONS
To Be U? ed For: Valuation: Date:
Site Ad?ies : j??i.C ?4.o00.pO • •? '
Lot_? ? Block: .,? Sect/Sub: ????,?;--Erect:
Parcel/#: Remodel:
Repair:
Owner: Enlarge:
Move:
Address:
City/zip Codee
Phone #:
Contractor:
Address:
City/Zip Code: f? i-
Phone # :
Arch./Eng:
Address:
City/Zip Code:
Ahnna$n
Demolish:
Grade:
X Occupancy: 9_3
Zoning: R-?
Type Of Const: S'
# Stories:
Lenqth: ?j(p
Depth: ?
Sq. Ft.:
APPROVALS
? Assessments:
ater/Sewer:
? ??Police:
-r-Fire :
Engr.:
Planner:
Council: ?
Bldg. Off.: ?
APC:
Variance:
o?
Permit: 355.?
Surcharge_
Plan Rev. :
SAC :
water Conn:
Water Meter (?3. =
Road Unit: ZccO.V
Parks:
l?r-f
?
?.?
a8?.(j
J
Z¢x 4? = 1&a xS4 = 840
;°lio x _>q
?? x?- C?4 x 5Q y 345?
32? 22 ??oa, x it --7-74 q-
?3?24
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
crz0s1dl 7',J"Al
BUILDING
027198
03/27/96
SITE ADDRESS:
P.I.N.: 10-47252-540-02
DESCRIPTION:
4373 NESTLING CIR
LOT: 54 BLOCK: 2
MALLARD PARK 3Rp
(GAS)
ermit Type FIREPLACE
?k,rk Type NEW
434 ALT. RESIDEN7IAL
p?
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge .50
Total Fee $25.50
XK%40W 'dol , %
CONTRACTOR: - Applicant - sT. LIC.OWNER:
S70VE & FIREPLACE 6ALLERY 18381174 2003208 Gl1LNER DENISE
1278 COUNTY ROAD 42 4373 NESTIING CIR
BURN5VILLE MN 55337 EAGAN MN
(612) 898-1174 (612)681-9299
T heYeby aCleervw?edge`tE?at7'? k?asv?tP??tt.th4 sappliv'*at;3an ?l7d sYaCt t?at, ?hs
? 4 ? tc?°f3 9;f 1¢Ei r,
?informa%tib?re`?s earr?e? ?a??? a t^'? to ?
?
Staxute sr andr6:ity itf ?? ,qcdi?rkan?es - ?•r E _
'
APPLICANT/PERMITEE SIGNATURE ISSUED? EIY: 51 NATURE??
14194 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
?
DESCRIPTION OF WORK: _e)?INSTALL NM FIREPLACE: _ WOOD BURNING
_ INSTALL GA5 LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
??.50
Z, GAS
AREA TO BE INSTALLED IN: ?i•?o,?---._??_ -_
.
STREET ADDRESS: L-r 4 1 S 1\9 eS??y
LOT ? BLOCK r _ SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER
CONTRACTOR
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.
PROPERTY Name: C ?U? v.-er tc.c Phone #:
OWNER ust MBT
Signature:
Street Address•
City: ? State: Zip:
FIREPLACE Company: Phone #:
INSTALLER
Signature,%A? -?
?Street Address: t-2--t6t, C oZQ cS2 w License
City?Qk-W?ILJ ,11?.sL. Nh? State: Zip:21MD
GAS LINE Company: Phone #:
INSTALLER '?
Name:
Signature:
Street Address,
Ciry: State: Zip:
ow
.
v
a?r, a? ?i• ?' •. ?a ?,''?
s
N ?
i ?
r
?? V•+ ?n ??
$ r ?'
a0''? ? $? $ AP •''?i? .r- - ~ i ?° = Vf
; N
q ._-- ??' ` ?+ ? e r:
\,e? •
ryq.,'?'
H \ I ?i? ? 9 'qQ _'o ;:' \ e ?
\ '?` ` t ?e o 4r = ?? ?
4t
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ry ?. ..
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Pi..? ?f;4.If
??S.?bPTl??+l?1
LoT 9 ? Si.a?t.t?.. Z r
MALLAAD P6.R1t
NORT 1k TH1QD A00Iat1 owo
S?-A??-6c. l"s3ol 04MtoTA GDUNT`f,
?.1. f8CA1RWay A+41lINft MIN1.1E40TA
606NoTE.h IRWJ MoNUMeNT
I hereby certify that thie eurvey wae prepared by mo or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws oP the 5tate of Minnesota.
Date: 04fo6er 311, 19e4
Le oy ohlen
Registered I,arid Surveyor No. 10795
,A>
2/84
l J
CITY OF EAGAN
l ?
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
'St
1) PI20PER'L7 ADDRESS: • /-TS'?7- _ /1JQ3'f7?Ina ?
i'i`['IC
/?
r•F3ar, DESCRIPTION: Nla./?a.v? 1'k ?
(Iot/Blocic/Subclivision or Tax Parcel. I.D. Ntmber)
1L •..LLJTJ1C??.?1?., 1\A_J ?/rlT '1'JTr???R.L ??T-iJ-i r? ? ??LL'J.T I?ili? -•
v
PRESEN'P Zi i7IDr,/PROPOSFJ LTSE: R-1 SINQE FP.MILY
? R-2 DUPLEX (ZY70 UNITS)
? R-3 'POWNHOUSE (THIREE + UNITS) ( TJNITS)
? R-A APAR'lPAENT/CbNDamINI[M ( UNITS)
? CU1,IERCIAL/REPAII,/0FFICE
? II'?US'IPJAL
[y INSTITf.PrIONAL/G90ERIZ2PP
2) pppLICANT (PLEASE PRINT)
rTlaME: 7"rN
ADDRESS: ? 1'r ?o'f' T.?la? ?d
CITY., STATE, ZIP:
PHOLNE:
3) , P?? ?AME PlEASE PRINT) FOR CITY USE ONLY
' A
WENEEt 1MECHANICAi-
PLUNgERS UCEHSE:
ADDRESS: yQpO KENNEBEC DRIVE. EAGAN, MINN. 55122 ?
Attive
•
CITY, STATE, ZIP: 452•1565
C] Expired
P??: PLUMBER LICENSE N 001445M2 Not o ec d
a nit3a
4) OCC(JpANT/ai[,t (PLEASE PRINT)
NF1ME:
ADDRESSs ?-
CITY, STATE, ZIP:
PHOD]E :
5) INpICATE WHICH PERNIIT .IS BEINU RBQUESTED:
? CONNECrION TO CITY SD]EEt
? CONNE7CTION TO CITY WATEft
? di'fER (PLEASE DESCRIBE)
6) IlVDZGZTE ONE:
Q PLEASE HOZD APPROVID Pg2MLT FdR PICK-UP BY ONE OF ABUVE
? PLFIASE MAIL APPROVID PII2hIIT TO 1, 2, (D 4 A&7VE
(Circle one)
?
7) sz?sv • DATE:
Fw+iiiii;ki6i+i?fr'!P+!iijq!k'..•.?rSr!?!Firy..i?.fii .,:..:...
?wrr i?
F O R C I T Y U S E O N L Y
pERMIT ISSUED
FEES_ $ SEWER PERMIT (INCLliDE SUP
CHP
RG
.
.
E)
$ io S a WATER PERN4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READE
R
$ WATER TAP (INCLUDE CORPORATION STOP)
? SEWER TAP
ACCOUNT 'DEPOSIT - SEWER
ACCnUNT DEPOSIT - WATF..R
WAC
$ Lr?? . ?tJ SAC
$ TRUNK WATER ASSESSMENT
_ . ._.. ......,..
$
TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
,._... , _ ,. _. $ TOTAL
AMOUNT PAID/RECESPT::,#
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVIST_ON. LZST AS A CONDI-
TION:
SUBJECT TO THE FOLLOWING CONDITIONS;
APPROVED BY:
TITLE : .??
DATE : 7 - ?r e-I
murteap:pqwdw w_w +ww
....'-... i w II dL
}+ ?. =?fr1.? ? Addrea
!To{at Haat Loss [ 7 ? • P1°^ -"' _Dace "?
F NEAT LOSS CALCULA710NS
' ._ .. -----u-??.? + .efi x ? ? ?Tofal Btu Input
All windows a doan ero weatheratrippetl
?LI/ .. __f'.._ ../_?"! Room ? L71h. •, Wtfi. . „Ht. , ?mo. wnin rb?un? rvo,o? 6oe?u1. Aro FI. RoOT Lpth. , Wtb.
oi ner.k W. h. Na. Witlth w?ipM ? No. ot linunt. An,
al p?m ol p?n?
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- ,
i
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Inlllvulo?? Wintlaw? Z 47 - IdoOn Cod. BTU
13
INilnsr;on W/ooor, 11B Infihmlon Window, 47
INih.Iilnn B/Dpaq Inl l Ivetlon W/Oaan ?
71 8
{ InfOtnnon8/Doon 71
1 B/A. WYi1 !?
EvP. WUI
1 tll?µ 6 Dooq
48 Q GbM d Doon
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? Tow tilu. 7 108 Flaer .
- , I Tp(al BN. ?
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No. Wieih Haipht No.el Line. t FI.
t. I Aree RtlOlfl Lgih. •'• Wth. H
w f1 NO. t,.•
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Inlipntion WinUqr. 47 (Gaon Coet gn
ilv?? a w? 07
in?i:vniem W/OOwi 718
IntillraHOn 178
I?tilnrtlon 8/Doon E.p. Wau 71 Infiltrit(iOn $/Dppn »
- I ExD. Well 1
GI»?& Dow? 48
G Wc d Dod? ?
Nrf Evp. Wa11 7 Net E?p, WNI 7
Ceir"
r„wr g c.ilinp 6
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No. W'd??
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Inflitretion W{nyaw# 47
Infilveiion W/Dpart 178
InfiltrRlonS/Doon
. E.P. Wdl
G4H 8 DOOf1
N-t 6 yp, Well
Glllrp
Floor
Dete
Addran Plan $k-Lu_</a
.oVil Haat Lotk T x =ToEal 8tu lnut MEAT LOSSCAICULATtONS
s6 +,ls ° P ? All windowli& doan are waatheratrippad
.' .. ..?i . ? _ 1 . . i ? ..... . i ..r .. .. . .. I _. i n n ? I . .. 1 . . ....... . .. .?_ O ?
? PI• i' /. f1001O I LBin _wcn. f_j --- m.p - ri. noan LOSII. W vvm. p n?.
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et cnek An,
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, .
uun wrooan
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7 /
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n?ii?mini?W?M6w? 47 INilhationWinMOw. 07 adkE 0.0
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nlitution 8/Doars
71
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»
Q
!xP. Wall EvO. Wa11 7
,lau 6 Doon 4a Glu. & Ooon v 48 G
in E.p. WaI
?
7
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LLCI
?
CallinB J Q 6 , v
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2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
?-?() ??o
Date 7 /•1 B / 0 S
Site Address S/.3 73 /VC S }? ;-7e/ r-[. 4t-+ Unit #
Property Owner /vi -4 Q ? i rti Telephone #(j6S! ) J'.?(e +TS/L
Contrsctar ANGLII f "010 ry'
12259 Nkoqet Aremie SipA
Street Address c Ci?
State Telephone # ( )
.?...
Bond #: -5'$0 Sb 7 Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? furnace _Addition al V?Replacement
air exchanger
airconditioner _New ?Replacement
other
State Surcharge $ .50
l $
Tota
I hereby appty for a Residential Mechanical Permit and acknowledge that the information is complete and accurate, that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical 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 i;4,case of work which requires a review and approval of plans.
n r nn
Ar
Applicant's Printed Name Applic t's Signature ? - ra L??
SEP 9 .9 2005
Jul. 25. 2008 4:47PM R. A. UNGERMAN CONST. 0128252401
No.9459 P. 2
- __----------------
?
? Permitq: ?
I ?
? Percnft Fee: 90 . Oo ?
j Date Received? I
I I
I Stafl: I
i I
2008 RESIDEN7IAL BUfLDING PERMI7 APPLICATtON
Slte Address:
Nes-F-lI'Wry CI' Y
7enant:
Sulte u:
RESIDENT/OWNER Name: M1jW' eqlGk Phone: L-61- 33 (p?5,61
Address / Ciry 7Zip: 4"2V3 N Csjj( yjG Or. - - Applicant is ,_ Owner 11-/ Contracior -
TYPE QF WORK I Description of work: M -rM r
Consiruction Cost: rti O MuRi-Famity 8uilding: (Yes „` ! No?
CONTRACTQR I Name: LnnafVmfAVI wV15L- L-V. License#:
address:.!$Vr'Io N i'[o l ?C?` 77?VC 1--.1 ..
?,t
City: 1YI?lS. - State:mi? ? Zip: 25
Phone: IVIL-?LS'?Z9QD Gontac[ Person: I ef/? r'JY?I?VI Jc-yy?,(iyV]
COMPLETE 7'HIS AREA ONLY IF CONS7RUCTING A N€W BUILDING
? Minnesota Rules 7670 Catecoty 1 .MinneSota Rules 7672
Energy CodB .Resltlentiel VenWa[ion Calegory t worksheet • Mew Energy Code Worksheet
Category sabmined submined
Subml93ian type) • Energy Enveiope Calcalatlons Sobmitted In the last 72 monihs, has the City of Eagan issued a permit for a similar plan based on s master plan?
_Yes _NO If yes, tlate and address of master plan:
Licensed Plumber:
Mechanical Cantracfor:
.50WlP & Watel COI7tY8cfOr,
Phone:
Pb011C:
Phone:
I nereoy acKnowietlge ma[ ihts informa6on is complete and acxurala; that tbe work will be fn conl0rtnance wllh the ordinances and codes oi lbe City of
Eagan, that I undersiand [his is noi a percNi, but only an applicatlon lor a permlt, and work is no1 to ta wdtwut a permit, that Ihe work will ba in
accwdance wilh !he approvetl plan in the case ol work which requires a review antl appro plang.
X X.
App(icanHs Printed Name . App anPs S ature Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4373 Nestling Cir
Lot: 54 Block: 2 Addition: Mallard Park 3rd
PID:10- 47252 - 540 -02
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 4,000.00
Contractor:
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578 -9205
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Surcharge - Based on Valuation $4K
BL - Base Fee $4K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard -wired detectors are re quired. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be
removed to install a smoke detector. Siding: When installing ventilated soffit material, remove existing soffit material
(i.e.debris that could block vent openings) and take steps to ensure maximum ventilation into attic space. Windows/Doors:
$2.00
$97.25
$99.25
Owner:
Michael D Begich
4373 Nestling Cir
Eagan MN 55122
9001
0801
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 with all applicable State
Issued By: Signature
Building
EA075950
11/21/2006
ePermit