4334 Nicols RdINSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE: I I " "`-t
3830 Pilot Knob Road Permit Number: 4 f{ 4
;?'?i,•?:; ,:t
agan, mnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I r? ., , i i i ?,' 1 ii 1 Ni.,
.I ?.j
PERMIT SUBTYPE: TYPE OF WORK: 1; r. 1
F
L J
t?t1-6tklF, tl«N T.ri & fiFPrltiF
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING !? 9. p
i
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
t.i , ? f ??•. i, ?,
. . . ? ?
PERMIT SUBTYPE:
PERMIT TYPE: ' "' "''
Permit Number. ' 4 H`'
Date Issued:
APPLICANT:
TYPE OF WORK:
i11 ,1 r )1 11 1114 i; i
?
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
r7 0
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST .
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
NOUSE iiVATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANT OINNER ?+?W + -? ? ??
HEAT LOSS DATE NTG. INST.
50LD BY e -. INSTALLED BY '??- ? '`?'• '?'•''` ?
Elechical Work By Gas Line By
TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS?DESIGN CONVERSION
MAKE Ls, -ti,9 /" MAKE OF BURNER
Mod.l ,,v Ll ? S G' 7; iZ}' jj j Abd.l
s«iaI C?91j9? y97a Max. BTU Ratiny ?
INPUT Zi., vGG MAKE OF FURNACE
Modsl
CONTRaLS
THERAIOSTAT Hrat Pluy
Vo Ivo
Limit ? ;?;?
Limit Setfiny
Fan Sotf iny
Pilo1 Type
Pilo1 Mok• ?? • - ?!
Pilot IrAodal ?
Pilot Timiny
L.W. Cut OFf
Pnswn ?• S Percent CO
2
Inpul CFH PNCfIIt 0
Siaek Tem 2
p. PKC•nt CO U /
w„t si:. S ,. " /*
KIND OF LINER S' C Iq>> BSIZE NONE
DraFt Hood R.yuloto.
Fiifers Siz• Number ?
Ch{mner Loeatien Inside ? Outside
Chimney ConslruNion
Smoke, Bomb Wirin9
o,aft v" T•st Tay-
Dow Pressur• ??-Liyhtinp Insf.
Data Tosted ? -
Company Tesiiny -
Nan» of Tester -
/I.,.I .0.: «/
F«m 235
CITY OF EAGAM Remarks * Cedar Grove Acquisition
Addition CF+DAR GR(JVE #4 l.ot 8 Blk 6 Parcei 10 16703 080 06
Owner Street 4334 :_Cedar Avenue State Eagan, MN 55122
- - ?
?-
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK '
* SEWER LATERAL 1972 1,304.00 52.16 25
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDI NG PER.
SAC
PARK
,' .1
INSPECTI4N REC?RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
•,f ? i?t •, ?;?i ;,,; , 1 1 1: ,:.??i1 1 r?+? + u
• ? . H4 i ..I . r ?It?c)
PERMIT SUBTYPE: TYPE OF 1NORK:
t PPA1R
j;i . ; ! : ; ; :-i; 1 .O. Sr RE'1tfl[1F
Permit Holder Date Telephone N
PIUMBING
HVAC
Inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING y? //??
(7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST .,
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY of EAGAN
BUILDIN[3 PERMIT
• ?
Owna: ....... ..... .:..L. . C . ? . „
.... ............ ... .............................................
33'
...................................----.............
...
?.......>? .......
Addrees lPrasenll
Builder
................... .....---..-.- .................-•- ---................----............
Addrasa ..............................................................................................
DESCAIPTION
.:,
N2 3784
3795 Pilo! Knob Road
Eagan, MinaesoYa 55122
454-8100
/ ,-' _,z 9-- 7.1_'
a.:. ....................................
Bioriee To Se Used For Fron! Daplh Heighf Est. Coo! *smi! Fea Romesks
`
9 ?? v2 a2 •cl-v j?i' .s-? ?
LOCATION -?-?' -6 z'
? ?? ?? ,b y
or
This permii does not aulhorise the use ot aireefs, roade, alleps or sidewalks nor does it give tha ownes o= 6U ageat
the righ! !o areale anp aifualion which is a nuisanoa or which preseNS a haaard !o the heallh, eefety, canvenlaaea and
geaeral welfare !o anpoae in the communiip.
TFIIS PERMIT MUST BE &EPT? ON> THE-?AEMISE WHILE THE WOA& IS IN PROGRESS.
This ia 2o cerlify. !hal... 022.p .. .. ............................................... hes permission !o erect a........ ........_...........
. ..... _ uPea
the above described premise subjec! !o the pxovisions af all applicable Osdinanees for ihe itp of agan
??'
?J? ?' Per ........ ....................r
................................. ........
.?:,_-......Mayor. , ._........""......... Bufldiny Iaspee!°s
? ?
CITY of EAGAN
1BI L NG PERMIT
Ow00: . ...........
Address lPresentl ................ ......?rfetl.Y:........_.
auclae: ......................... .? I ...................................................
Addrees .........
N2 3971
3795 PiloY Kaob Road
Eagea, Minnesola 55122
454•6100
ae:. . 4.?......1T.7?.?.
/
Siosiss T a Uaed For Fson! DepSh Heigh! Eet. Coe! rmit F a Aemarks
pa
zoa
/! LOCATION 35 / / - 1'
or
6
Thls permit does not aulhorize the use of cireels, zoeds, alleys or sidewalka aor does it give the oaess or hh agaa!
the righifo eseale enp siluafion which is enuisanca or whieh psesenls a hasasd fo the health, satelp, convsaieaee aad
genexal melfaxe !o anyone in the communifp.
THIS PERMIT MUST BE "PT P/?/.g M WHILE THE WORK IS I O ESS. ?
This is to ees3ifY. lhat... _444 . -° +_-?F.!^..?.?.LY.7P.2.^....has permisaion to a.. ... .. ?. ? .. L._..... . . ._upoe
the above desc ibed premise ' ci to !he provisions of all applicahl/e ?nan s tor 3he ?!
' --..._-------------- Per `??f?rti?•--4.A? I ......_-----°^°-..............
..................- gan.
--•-----Mav...?W BuSldinp mpeclos
Eagaa Township
DakoYa CouaYp, Minnesoia
Application for Bnilding Fermit
Tppe of 6uilding or work confempla2ed. Circle coxreoi descriplions.
ResidenSial? Commereial IndusYrial 03her................................. -------------------- _..............
Euild J?Enlarge Aliex Repair Insiall Move ?Wreck Oiher ...................
Dimensions..................................... -----...... Cos!-'---... . ....??DD.
?- -
Details or
Loeation
PERMIT NO ? . 7..1 ....__
aate ..P_?..?.?._??..
Number Slree! BeSwaen whai cross sireels Siso Esl. Valuaiion
1?? 2
3S`
Lo! Blo ddiYion Rearrangem ni or Traci
L aAov-f
_------.... ........
Owner -°-----'?°-`---'-'----- lz
./
Coniracf°z .............. - f _"" _-"'_--.'-_.'--"""-'-"'-_'_-----"_
Tofal fea eollecled.
Permif fees are noY
sefundable.
e``?
Address " . 3 .......................................... 11 -'-----'... ----------'
...... --................ ...'-"-"'°------'-"""-_""-'-'-.--""_ ....................................
Address
The undexstgaed hereby makes apvlicaYioa for a pexmiY ta
do work as herein specified, agreeing !o do all work in strioi
accordance wiYh !he building ordinance adopfed April 11, 1955
bp !he Eagan Tawnship Board of Supervi rs.
""----'---?? .::. ------ -....._.."'_-'-"--l---"• --'-----"
Signed
EAGAN TOWNSHIP N? 1277
BUILDING PERMIT
Ownex --dC---------- - Eagan Township
Address (Presenl) ...-- ?j0._.....sF-?..?....??ic`^."?_.. Town Hall
Builder ..... .:...................... .----....._.------- .
.-__.._._.
----..._...
' ._.........:___._..____...---......_.
Address ...__._..... ? . Pate
.._..........--_..-------I ----._.-----....----.....___.......
DESCRIPTION
_
Slociesj__ To Be_Used For__j Froni I Depih Heighi Esi. Cos1 ?Pexmit Feel Remarks
-
- -- -- _?
. - er•. _-. _ - __
_ ? .???
LOCATION ? - -
? Slreef, Aoad or oihe Desaripiion of Localion - I? LoS Rlock ? Addifion or Tracf -
_ .__-
- -_- 7-
This ' ?-< & ? ? ? 3 ,v-<' '7 ??' permit does noi auihorize the use of sireeis, roads, alleysor sidewalks nor does if give the owner or his ageni
the righi fo create any sifuation whi[h is a nuisance or which presenSs a hazard fo ihe healih, safefp, convenience and
general welfare fo anyone in the eommunity. .
This is fo C0tli4y, fhef:iT.s-?S:ra-2,...i11"':C!'?:c; _
THIS PERMIT MUS BE KEPTON THE PP E?MSSE HI he Bu' ding Oirdinanae foO?Eagad?ownshi?
_....._.. _. _ _.? ----- u p on
the above described remise sub''ect to the p adoptedApril 11,
1955. ' . . . . . . ..
? r
..._........_-_........:.?-:-Z'--.?..-::`:'....._..1.------?.E.-._.- ...._.........._........?......L?+ .._>...---..._.-
.?.......... _.. Per 8 ld
? ......._...
? Chairman of Tnwn Saar ui ing Inspeclor
cL ?.
REQUEST FOR ELECTRICAL INSPECTION
7 ? See instructions for completing Ihis form on back of yellow copy.
:4_ 4 5 7 0 "X" Below Work Covered by This Request
?a,
EB-00001-OB
? V?-
ew Add Rep. TypeoBuiltling Appliances iretl EquipmentWired
X Home Range Temporery Service
Duplex Water Hea[er Electric Heating
Apt Builtling Dryer Loatl Management
Comm./Intlusirial Fumace Other (Specify)
Farm Air Conditioner
Other (specity) ConVactor5 Ramarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 10 Amps
SIgnS Inspeclar5 Use only: TOTAL
Irrigation eooms f? GJ 15.50
Special Inspection V
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecior, hereby Rough-in oeie
certify that the above inspection has
been made. F;nai oa
?/f' `'q-
OFFICE USE ONLY
This reqvest voiG 18 monNS fmm
M 4 5704g a t
Request Oa?e . Fi e No. ugh-in In°Pectu^ NOTICE: Vou Must Call ElecVical Inspecior
2/18/94 Required?
?va: io NO II A Rough-In Inspedion
i:aeaunea
I f211icensed contractor ? owner hereby request inspection of above electrical work at:
Job AGdress (Slree( Box or Route No.) City
4334 Nicholes Road Ea an
Section No. 7ownship Name or No. Range No. Counly
Dakota
Occupant (PRINn Phone No.
Kyaw Aung 454-4535
Power Supplier Adtlress
Dakota Electric Co. 4300 220th St. Farmin ton
ElecVical ConUactor (Campany Name) CoriVector's l.iCense No.
Total Electric, Inc. CA 1834
Mailiig Atltlress (COnVacror or Owner Making Installation)
1537 92nd Lane N.E. Blaine MN 55449
Authonzetl Signawre (
COntractodOwner Making Installalion) Pho?re NumOer .
n
'???-c.K? G?ov- 786-8484
MINNESOTA STATE BOAHD OP ELECTFICITV THIS MSPECTION REQUEST WILL NOT
Griggs-Midway BIEg. - ROOm 5-173 BE ACCEPTEO BV THE STFTE BOAFO
1821 Unlversity Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) e42-0800 ENCLOSED.
xv17Y
CtTY OF EAGAN
3745 R'l.?.^.T KNOB RCSAD PF ?
EACsAld, ARtNNFSf`tA 55122 Phone 454-8100
5/17/77
F ?
• Mrs. I.inda su111van
4334 Cedar Av. So.
Eagen, MN 55122
25.,oa I
DETACN AND MAII WITH 70UR CNECX. TO ?ELLFD G KN IS YOUR RKEIM.
v j
#o19u ?
?
5/17/77 i
I
, 1977 (orid7.tiazal IIse to opmat i
shm
at 4334 Cedar Av. 50. ? 25.00
?.
b D
? r
\1 ?
n.eiry.me
85 Bss rAw sx cnecK rw. . .
vULYPAK?505P1518G89a ' ' ' - ,
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
(o(-eq 140 ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
At-(() .U l?
New Consbuction Reauhnents RemodeVReoair ReauiremeMs
3 registered site wrveys shaxing sq. R of IoL sq. R of house; and a0 mofed areas 2 coples of plan .
"
(20% maDdmum lot coverage allaved) 1 set of Eneqy Calculetiore fw healed additions 00
2 copfes of plan showing beam & window s¢es; poured fand design, efc. t sKe survey fa addNOns & decks
1 set of Energy Calculations Addition • indicate non-s(fe sepfk system ,.. . ,? ?.,=.„ .
3 copies of Tree Preservalion Plan if lot platted afler 711193
Rim Jast Detail Options selection sheel (bldgs with 3 or less unAs
Date /
/ CoustrucHonCost I? UUo, ?1)
?
SiteAddress TJ3 "(C-C1k }` (? (?aGll UnttlSte #
DescriptiouofWork PlhW2, ? f'CT??GLe 7 L+t'JWS
X
Multi-Family Bldg _ Y
N Fireplace(s) _ 0_ 1 _ 2
Praperty Owner I'"^ Telephone #(C$ ))
(? c
ContracWr t°4E'-"SAtu. V-4u r"T
7.351
Address ?G,r?vex?? ?.c•n6 A1 UJ(-L City 111(40(c 07IG
^
State Zip Telephone # (76?) 4?17- L O00
COMPLETE THIS AREA ONLY IF
Energy Code Category -M??ota Rules 7670 Categorv 1
. Residential VenGlatlon Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Y_ N If so, 25% plan review
Telephone #(
Telephone
?
kP 2 2 2004
I hereby apply for a Residential Building Permit and aclmowledge that the info 'i i?ast nis 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 trus is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the appmved plan in the case of work which requires a review and
approval of plans.
? ?
C:?r, r
ApplicanYs Printed Naxne Applicant's Signature
0._ty RESIDENTlAL
5-7I 3 0 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-687-4675
New Construction Raauiremenb
• 3 registered sAe surveys showing sq. ft of lot, sq. R. of house; and all roofed areas
(20% maximum lol coverage albwed)
. 2 copies of plan showing beam & window s¢es; poured found design, etu)
• 1 set of Energy CaICWa6ons
• 3 wpies of Tree Preservafion Plan if lot platted after 7/1193
• Rim Joist Deleil Options sHecGon sheef (bldgs with 3 or less uni(s)
DATE 4 /
SITE ADDRESS 33 y °U/ (-n/S ",
TYPE OF WORK -? Sr L?) n e,
APPLICANT
Ulg. ?S
RemdeVReoair Reauiramenb
• 2 capies of plan
• 1 set of Eneyy Calculations for heated add'Rions
• 7 site survey kt exferior additions & decks
• Indicate if hnme served 6y septlc system for additions
VALUATION 4 "fZ>06 • ? ?
1--.x S^''j MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS CITY `E/fM. STATE -f ?_AlIP
TELEPHONE #A3=55D 00Y3 CELL PHONE # Ce2 FAX #
PROPERTY OWNER'T-h _t'l' `-'A`
TELEPHONE#
-------------------------------------------°------°------------------------------------------
COMPLETE THIS SECTION FOR "NEW".'RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO"1'A RLJLES 7670 CATLGORY 1 MINNESOTA RULES 7672
(J submission type) . Residential Ventllation Category t Worksheet Submit[ed • New Energy Code Worksheet Submitted
• Energy Enveiope Calculations Su6mitted
Plumbing Conhactor:
Plumbing system includes:
Water Softener
_ Water Heater
No. of Baths
_ Phone #
Iawn Sprinkler
No. of R.I. Barhs
Fee: $90.00
__--- ; -_._"i '-j
Mechanical Contractor. Phone . r?
Mec6anical sys•tem includes: _ Air Conditioning Fee: $7000
_ Heat Recovery System V.; 5 7??7 ? J
L ' A
Sewer/Water Conhactor: Phone
By
---------------------•---•--------------------------------•------------------------------------------------•--------------
I hereby acknowledge ihat 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 i???yri¢e
'(/
Signature of Applkant-
1.1?/?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
1998 BUILDING PERMIT APPLICATION (RESTDENTIAL)
crrsr oF EAanx ?
- 3830 PILOT KNOB RD - 55122
? 681-467b
? ? _ ? ?7 l) ` c?0
New Constrvdion Reauiremenls - RemodeVReoair Reauirements
? 3 registared site surveys
• 2 wDiea of plans (inGuCe beam 8 window sizes; poured fnC. design; etc.)
? 1 energy calculations
• 3 copies of Vee preservation plan 'rf lot plattad after 717/93
required: _ Yes _ No
DATE: G? - ?.y 19F?
? 2 copies of plan
? 2 sile surveys (exferior additions 8 decks)
? 1 eeergy wlwlations for heated add'Rions
CONSTRUCTION COST; .'3tafX'? a ?
DESCRIPTION OF WORK: ? " S
STREET ADDRESS:
LOT: BLOCK: G SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHIT'ECT/
ENGINEER
Name: A P•,Ln= %rr9-2 Phone #:
Last First
Street Address:?'c ZiC./ ? ? r_ e,J C '
City Lqa? nn State. '(Yl Yl Zip:
City ??Ajmlt NAn ?L?Y? State: 9?1 1? Zip:
.T'
Company:Q I Wd , Phone #: Q?00 '., 3 aGs
Street Address:QAW License #-DQ
Company: Phone 1t:
Regiscation #:
Street
City S[ate:
Sewer & water licensed plumber (new construction onry):
and bt change is requested once permit is issued.
Zip:
Penatry applies when address ch;
1 hereby acknowledge that 1 have read this application and state that the intortnation is cortect and agree to comply with ail applic
State of Minnesota Statutes and Ciry of Eagan Ordinances.
, ??/? ?
Signature of Applicant: "'1 I J 4Ql /Yl/'..! "?c Q tb
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes , No - Not Required
FERMIT
CITY OF EAGAN
3830 Pilnt Knob Road
Eiagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.S.N.:.10-16703-080-06
T.O. & REROOF
Permit T y p e SP (MISC. )
B?,3114-iCrqw`Oburk T.yPe. f2EPAIR
Cotls,? ? 434 ALT. RESIDENTIAL
?
?
PERMITTYPE: BuzLozrdG
Permit Number: 9 3 9 q 8 5
Date Issued: 09f28/ 9 g
DESCRIPTION:
,
?E L P ?
R$
REMARKS
c .&€ ?°:° a d?? a
?8
'? ? ,.? s? Y@ i'.°F
M:fr?l
FEE SUMMARY:
Base Fee
Surcharge
7ota]. Fee
4334 PdICOLS RD
1-01': 8 BLpCK: 6
CEDAR GROVE #4
VAI.UATTON
$87.25
00.
$89.25
$4,0@0
CONTRACTOR: - upplicant - ST. LIC. OWNER:
ABETTER ROOFZNG CO 14603326 20144134 AUNG JOE
32428 CHIPPENDALE UNIT A 4334 NICOLS i?D
FAF2MINGTON MN 55924 EAGRN MN 55122
(612) 460-3326 (651)492-3258
APPLICANT/PERMITEE SIGNATURE
CITY OF EAGAN FOR CITY IISE ONLY
0930JI7AT RNOB ROAD
EAGAN MN 55122 ybco PERMIT *
PHONE (612) 454=8140 RECEIPT # oJ?
?fECHet7ICAI:;:?'ERMTT DATE: .??
PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONST /?
ADD ON ?K?OoUm fatr
REPAIR ?
WORK DESCRIPTION
U"
FEES
OWNER NAME: ? ?sl2.lJ ANG'
SITE ADDRESS:
LOT: ? BLOCK ? SUBD.
INSTALLER: Rnn's MPChanical Inc.
ADDRESS: 1812E. Shakogee Avenue
CITY: Shakonee. Mn. ZIP: 55379
PHONE #: 612/445-8585
ZIP:
COPAI£RCiALfiNDDST&IAL;; PLEASE COMPLETE THIS YORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND TSULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
.____--------------- _----- _--------------- -___--------- --------- _-__--_
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMITM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ j-4'./
STATE SURCHARGE: .50
'!'OTAL: -:7)
vz??J
SIGNATUR 0 PERMITTEE
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
o;;OCESeRp nlpZ"}s = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
S
(SIGNATUAE)
CITY OF EAGAN
MASTER CAKD
LOCATION
?
STRUCTt1RE AND
LAND USED AS
PermiY
No.
Issued Issued To
Coniractor Owner
BUILDING
PWMBING
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING
GAS INSTALIING
SANITARY SEWER
OTHER
OTHER I
items Approved
(Initial)
Date Remarks
Distance From Well
FOOTING SEPTIC
FOl1NDATION CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
EI_ECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TA.NK
CESSPOOL
DRAINFIELD
PLUMBING
WEIL
SANITARY SEWER
Violations Noted
on Batk
COMMENTS:
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MASTER CARD
LOCATION I
OWNER *&Xda C-I 4=? iv //I?Q f1
STRUCTURE AND
LAND USED AS 2 1 xX6 9a V?
Permit
No.
Issued Issued To
ContraCtor Owner
BUILDING
PLUMBING
CESSPOOL - SEPTIC TANK
V'JEIt.
ELECTRICAL
HEATING
GAS INSTALLING
SANI7ARY SEWER -
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ?3 • ,) SEPTIC
FOUNDATION
FRAMING
/V .
? r CESSPOOL
F4E F404 / ltAfT.
FINAL
EI.ECTfiICAL
HEATING DEPTH
OF WELL
GAS INSTAILATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Vio!ations Noted '
on Back
COMMENTS:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4334 Nicols Rd
Lot: 8 Block: 6
PID:10- 16703 - 080 -06
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Capstone Bros Contracting Inc
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882 -8888
Addition: Cedar Grove 4th
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091924
11/06/2009
ePermit
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Than Than Hla
4334 Nicols Rd
Eagan MN 55122
0801.4085
9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150120
Date Issued:06/21/2018
Permit Category:ePermit
Site Address: 4334 Nicols Rd
Lot:8 Block: 6 Addition: Cedar Grove 4th
PID:10-16703-06-080
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 -
Than Than Hla
4334 Nicols Rd
Eagan MN 55122
(612) 930-7499
Hoffman Refrigeration & Heating
5660 Memorial Ave N, Suite 2
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature