844 Northview Park Rd•
? CASH RECEIPT 01
? CITY OF EAGAN '
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ( 19 ? ?-
'EGErvEO
f11UA ? 1 l_i ? `?? l ? V-/ ?? ? •
AMOUNT $ & DOLLARS
loo
? CASH k CHECK
L4
ev ?1?' C , ` `. c_ r
C rnnNre--Par- COor
7523 Y"OW-PO-V COP„
Pwik-File c,ovr
Thank You __ .
SEWER bYVATER PERMIT
C& OF fEAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
; ?• r r??
DATE ?
SITE
LOT.
NoY+1ii.1,c
APPUCANT: .11
"
CiIN, Si
PHONE:
i
PLUMBER:
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE: 5 ' r
METER #
OFFICE USE ONLY
CHIP # -
METER SIZE
ISSUE DATE
PERMIT DATE C'5102/90
PERMIT # 1 1 364
B.P. RECEIPT # C 7 523
B.P. RECEIPTDATE'S,"'j 1 9a
X PRU - BOOSTER PUMP
Kc? vt1-
• PERMIT REQUESTED
X SEWER ?, WATER _ TAPS
- COMM/IND
X NEW
}= RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
L YER PERMITS, CONTACT ENGINEERING DEPT.
SEWER b WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DarE f
SITE
LOT.
APPLICANT:
AODRESS:!
CITY, STATE
PHONE: -
P
OFFIC?F USE ONLY
PERMIT DATE
;?.-HIP # Y 5 ? 3 PERMIT #
METER SIZE ` ? B.P. RECEIPT # ? 7 523
0
ISSUE DATE 9v B.P. RECEIPT DATE- {)119
? PRV _ BOOSTER PUMP
{Y1/1
?K ? SEC/SUB -iZ---
:-:
PERMIT RECiUESTED
X SEWER X WATER - TAPS
- COMM/IND x RESIDENTIAL
X NEW
PLUMBER:
ADDRESS:
CITY, STATE? ZIP
PHONE:
OWNER:
ADDRESS:
CITY. STATE -
PHONE:
PLEASE ALLOW TWO
SEMfER PERMITS, COb
ziP 3
DAYS FOR PRt
INEERING DEPT
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
V .,? ?4," J . ?-,1ft., ..! tCi
I AGREE TO COMPLY WITH CITY OF
ES$ING. CALL 454-5220 FOR
ISSUED
FOR STORM
- ?.. ?. .:? ? :-? --- T,.? ,4.,.?-?•.e.??.:,.+ ?'v?'+?*r -? -- ? . . ? .?.,,,n-. ?.,..
CITY OF EAGAN
? 1777'
3830 Piloi Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ST DWIGAR Est. Value $73.633 Date -MAY t
Site Addre,$S S" W)RMIEW PARK RD
Lot 6 Bloc{c 6 Sec/Sub. 5TAgrO? P?CE
OFFIC
E USE ONLY
PerC21 N0. Occupancy R,--3 i FEFS
W
Name F??IBIt DeVE1A!!lBNi CORP Zoning
(Actuat) Const
?
eldg. Permit
SZ3??0
; Address 1285 CORPOIt/1TLS CENTER DR (Allowable) s 37•00
° City ?AGAN Phone 454'•0433 # of stodes urcnar9e
Plan Review 340.00
o Name
?? Length
oepm ?
SAC
City
1? 0?
i?
v`
Address
S.F. Totel
-
,
b???
SAC, MCWCC
¢ City Phone S.F. Footprints _
?Nater Conn
62s.?
On Sile Sewage _
~
? W
Name
on Site weii
Water Meter
90000
?
= AddC@SS MWCC System 30s?
Q Ci Water
Cit ? ???It
aW ty Phone y
?-
S/W P
i 30000
PRV Required erm
l
I hereby acknowlege that I have read this application and slate that the Booster Pump - SM/ Surcharge .
?
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Treatment PI 252.00
? Signature of Permitee APPROYALS Road Urnt 355.00
' 1"RO:iTIER DSVBIAPMENT
A Building Permit is issued to: Planner
-
Park Ded.
on the express condition that all work shall be done in accordance with all Council
awlicable State of Minnesota Statutes and City of Eagan Ordinances. gidg. pff. _ Copies
2.992.50
Building Oflicial Vanance - TOTAL
. Permit No. Permit Holder Date Telephone #
WATER ?.? Jr SO
SEWER
PLUMBING 1 C3 ,3
H.V.A_C. IO ?? -5 O
ELECTRIC JF-
Inspection Date Insp. Comments
Footings I S;3 jp ? i
Foundation 4+ p"?? _ j r,, -?
Framins 3
Roofing
RoughPlbg.
Fough Htg. I? 5 O
Isul.
RreplaCe
Final Htg. ? ?`y?
Finai Plbg. ? l - )
Const. Meter Plbg. Inspector - Notily Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
o? • s
fItr#if trate u# Mrrupanry
titp of eagan
EP#181"httPt[f 0f lidtblt J JwWPMDtt
This Certifuale issued punuant to the requirements of Secdon 306 of the Unijorm Building
Code certifying that at lhe time of issuance tlris structure was in compliance wrih the various
ordinances of the City regulating building construcNon or use. For ihe following.•
use cwaif-16- sF nWc/caR ews. Rrm;t rro. 17777
1 RI VN
o? .?. FRQQTIF? Il?'VEL. 0?0. ? 1285 ?IiP. ?c? DR., FA('1N
844 . A?? ?1 PAAK Rf.IAD L6, B6, ST1?PM Pl+A(L
.][lLY 17, 1990
8wlding CWKW
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT For C
CITY OF EAGAN PERMIT #-
CONTRACT 3830 PILOT .KN.OB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
Site Ad ress 844 ort v ew oa BLDG. TYPE
Lot n . Blockr Sec/Sub BeS' ?
City
? I Add
? cfty
Phone
FEES
COMM./IND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - CAMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESiDENTIAL FEE , $12.00
MINIMUM - COMM.IND./FEFr . $20.00
STATE SURCHARGE PER PERMIT' .50
(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE)
FOR:
New X
Add-on
Comm. Repair '
Other
RES. PLBG. ONLY - COAAPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00 $ o
? Bath Tubs - $3.00
::::z Lavatory - $3.00
Shower - $100
?- Kitchen Sink - $3.00
UrinaVBidet - $3.00
?- Laundry Tray - $3.00
?- Floor Drains - $1.50
?- Water Heater - $1.50
Whirlpool - $3.00 --???-
? Gas Piping Outlets - $1.50 ?
(MINiMUM -1 PER PERMIn
Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
?
? Rough Openings - $1.50
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C:
GRAND TOTAL: a ?
_ o For Offlce Use Ony:
PERMIT #
MECHANICAL PERMIT ? I?
? ?
?
CITY OF EA(3AN RECEIPT #
•-
'
' 3830 PiLOT KNOB ROAD, EAGAN, MN 55122
OC
'0 ?--
A
CONTRACT PRICE: . 6
Yu PHONE: 4548100 D
TE:
Site Address
TYPE WORK DESCRIPTION
BIDG
Lot BIoCk
Sec/Sub ? ? t-c.
.
- Res. New
? Z• _ " , .: . x
_•
Name ,
1
' M uR Add-on
?
i '?
`
' `?13h?t,.,?? Comm. Repair
•
Address
df
c
, • F (
Ciry
r.t
Phone
? Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
L
c Address :";r ADDITfONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI? - 1.50 EA.
TYPE OF WORK COMM/IND FEE-1Rb OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TQWNHQUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MIIMMUM RESIDENTIAL FEE - ALL ADD-ON &
Air Cond.
M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Qutlets ti ?•? t (ADD $.50 S1C PER EACH $1000.00 OF PERMIT FEE)
dther
PERMIT FEE:
`. SIGNATURE OF PERAAITTEE
S/C:
T'aTAL: ?`'? •? FOR: CiTY OF EAGAN
RE: 844 NORTHVIEW FARK RD
QATE:
OS/02/90
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
, Pub,o Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
C/41L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
.e
Your Sewer & Water Permit for the above property cannot be compJ,eted for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untii further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 05/02/90
RE
844 NORTHVIEW PARK xD
X Your Sewer & Water Permit for the above property has been completed. it will be held at the
Publie Works Garage (3501 Coachman Road) untif the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
.?
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN NO 17777
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
? ?
PHONE:454-8700 ?.j S d ^?
BUILDING PERMIT f1/1 oo Q Receipt # 7
To be used for SF DWG/GAR Est. Value
Site Address 844 NORTHVIEW PARK RD
Lot 6` Block 6 Sec/Sub. STAFFORD PLACE
Parcel No.
w Name FRONTIER DEVELOPMFNT CORP
; Address 1285 CORPO AT . .NT R DR
° City EAGAN Phone 454-0433
o Name SAME
Address
? City Phone
?
WW
Name
w
? ;
Address
a W City Phone
I hereby acknowlege thatl have read this application and state lha[the
iMOrmation is correct and agree to wmply with al plica6le Sta1e ol
Minnesola StaWtes antl Ciry of qa rdin
SignaWre of Permitee _
A Building Permit is issued ro: FRONTIER DEVELOPMENT
on the ezpress condition Ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes antl City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M-.1 FEES
Zoning R--1
(ACtuaqConst V-N BIdg.Permit 593-0
?
(Allowa6le) V-N
Sumharge 37.00
8 o15tories
40 '
Plan Review
340.00
Lenglh
Oepth 47 ? SAC, City 100.00
S.F. Tolal - SAC, MCWCC 600.0
O
S.F. Foolprints -
On Site Sewage - water Conn 625.00
on Site Well - water Meter 90.00
MWCC System xx qcb. Deposi[ 30.00
City Water xX_
PFV Requiretl xx_ S!W Permit 30.00
Boosler Pump - SNJ Sumharge
0
.5
Trealment PI
?
252.0
APPROVALS Road Unit 355.0?
Planner - park Ded.
Council _.
BIdg.Ofl Copies
varianca - TO7AL 2.982.50
?
? 44533 $;70 0Z'
Request Date Flre No. ough-in Inspection
uiretl?
? Ready Now
win NoHry Insoector
/ Ves n No hen Reatly?
Alicensed contractor ? owner hereby req = sp ction of above electrical work at:
Job AEaress (Sireel, Box ar Raute No.,
Vy Cily J
Sechon No. Townsnip Name or No. nge No. Counry
?V
Occupant(P NT?
? Phone No.
Power S plier Adtlress "
4 ?.
.
Ei tric I G ractor (COmpany N) ; Conhaclor's nse No.
?yr'J D J
Malling Nptlress (C iractor o,OwnerMaking Instellation)
I
-?
/+mhoriie ignature (COnrcacpor;Own Making Installalion) Phone Number , /
MINNESOTA STATE BOAND OF ELECTRICITY tHIS MSPECTION FWUEST WILL NOT
Grlggs-MlEway BIEg. - Poom 5-113 BE ACGEPTED BY THE STATE BOAPD
1811 Unlverslty qve., SL PaW, MN S510A UNLESS PROPER INSPECTION FEE IS
Phone(611)6C2-0B00 ENCLOSED.
a7/so
044533
REQUEST_FOR ELECTRICAL INSPECTION
? See insimctions for completing this lorm on Dack oi yelluw copy
"X" Below Work Covered by This Request
3 ??a E&00001-07
ew Atld Rep. - TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Olher(specify) Contreclor5 Remarks:
Compute Inspection Fee 8elow:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? ? 0 to 700 Amps ?
TransfOfiners AboVe 200 _ AmpS Above 100 _ Amps
Signs Inspecror's Use Only.
Irrigation Booms
Speciallnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1?141pNTH . !
I, the Electrical Inspector, hereby
tif
th
t
h ROUgh-in
, oate
cer
y
a
l
e above inspection has
been made. F;oai
°
. , ?>> r. ; oace ? ?L
7
OFFIGE USE ONp This request voitl 18 months lram
70??5?9D REQUESTFOR ELECTRICAL INSPECTION eaooom-m
?:`` a, yr80lof?
W See insimc[ions br completing this lorm on back oi yellow copy ?.6.? ??
Csj 2 g,?? 2 ''X" ?elow Work Covered by This Request ??D` ?
ew Add Rep. Typeof8uilding AppliancasWired EquipmenlWired
X Home Range Temporary Service
Duplex Wa1er Heater Eleciric Heatinq
ApL 8uilding Oryer Other (Specity)
Comm./Intlusirial Furnace
Farm Air Conditioner
Other (speciTy) ConUactor's Remerks'
Compute Inspecfion Fee Below:
# Other Fee # ServiceEnhanceSize Fee # Circuds/Feetlers Fee
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ AmpS Above 100 _ Amps
Sigf15 Inspector5 Use Only 70TAL
Irrigation Booms
Special Inspection ?
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON.
I, the Electrical Inspector, hereby
tif
ih
th
i Rough-in ' Date ?
cer
y
at
e above
nspection has
been made. F;,,ai ?
? oe e G
,? ?
OFFIGE USE ONLY '
This reques[ voitl 18 monihs Irom
9 2 9 244
ReQUest Date Fire Rough-in Inspection
Require0? C3Q1ea0y Now ? WII Nofiy Inspector
Jul 23 1990 ?vas q{?.m WhenReetly?
I[N licensed coniractor ? owner hereby request inspection of above electrical work aC
Job Atltlress (Sheel, Box or Route No.) Ciry
844 Northview Park Road Eagan
Section No. Township Name or No. Range No. County
Dakota
Occupanl (PRMT) Phone No.
John Phelps
Pawe? Supplier Atltlress
DEA Farmington
EiecVical Gonlrador ICOmpany Name) Contractor5 License No.
Corrigan Electric Company 039549 8
Mailing Hdtlress (COmractor or Owner Making Installation)
P.O. Box 475, Rosemount, NIN 55068
Autho i tl Iqnature ICOntreclov er Making Installationl Phone Number
4,0
` Qlll-
423-1131
MINNESOTA STATE BOARD OCELEGTflICITY THIS INSPECTION REQIIEST WILL NOT
GrlggwMitlway BIEg. - floom S173 BE ACCEPTED 8Y THE STFTE BOARD
1821 University Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PMne (612) 602-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered sfle surveys showing sq, ft. of IM, sq. R. W house; and all roofed arem
(20%meximum lot coverage allawed)
• 2 capies of plan showing 6eam & window sizes; poured found design, elc.)
• 1 set W Eirergy Calculation5
• 3 copies of Tree Preservation Plan if IM platted aRer 717193
• Rim Joat Detail Options seledion sheet (tldgs w(ilh 3 or less urks)
DATE
SITEADDRESS
TYPE OP WORK
APPLICANT
MULTI-FAMILY BLDG _ Y _ hl
FIREPLACE(S) _ 0 _ 1 _ 2
?Ldbw(? ^&? CITY J1"A4^-. STATEkVrd` ZIP .Z?
STREETADDRESS V6015T'1
TELEPHONE # ?Sr? "-Ty) CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIlVNFSOTA RUISS 7670 CATEGORY 1 MINNESOTA RULES 7672
(Jsubmission lype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Appllcant
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
113.??
RemodeVReoair Reauirements
. 2 copies of plan
• 1 set of Energy Calculations Por heated additiom
. 1 site survey for enterior additions 8 decks
. Indicate'rfhome served 6y septic syslem for additions
VALUATION ?0ce, m
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
MAY 21 2002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4102
ii
OFFICE USE ONLY II
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory BWg
13 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) i? ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ;? ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ?
I 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
II
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
II
? 31 New ? 35 int Improvemant O 38 Demolish (Interior) y 44 Siding
? 32 Addition
? 36
Move Bldg. i,
O 42 Demolish (FOUndation) O^ 45
Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)" O 43 Reroof O 46 WindowslDOOrs
0 34 Replacement *Demolition (Entlre Bldg only) - Give PCA handout to applicant
G"
Valuation
Occupancy u
' MC/ES System
Census Code Zoning City Watel? ,
v
SAC Units Stories , Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
ii
Type of Const W idth P
REQUIRED INSPECTIONS''
_ Footings (new bldg) FinaUC.O, li
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
l
Foundation HVAC
i
_ Drain Tile Other 4
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall;
jl
---------------------------------
--------
--------- -
------------- ------- - - Approved By
- ----------- ----------------"- -- Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
51413>
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruc6on Reauirements
3 registered site surveys showiig sq. ft. of lot, sq. ft. of house; and all roofed areas
(20%maximum lot coverege allowed)
1 Soils Repah if proposetl builtling Is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured fountl tlesigq etc.
1 set W Energy CalcWations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Jaist Depil Optians selection sheet (6uiltlings with 3 or less un"AS)
Minnegasco mechanical venfilffiion form
Remotlellftenair Reouiremenls
2 copies of plan shoving fooiings, 6eams 7oists
1 sei of Energy Calculations for heated atltlitions
1 sRe survey for additlons 8 decks
Addifion - infficafe ii on-sife sepUc sysfem
?? ?
0ffice umooN
Ce?tof5urvegRatd ?4 Y ._AI
Soils R?arf = ' ?a ?l _A]
FreePresPf anl2esal Y ='?
Tr"eefhesReqnred
ansiteSeP4cSyslem.. : _Y
Date /a, / 1 Ly /fvl
Site Address 2l-f q bl ey-p-? YL lo Constroction Cost
pCZ r^ 1< ci OniUSte ti
----- `
Description of Work .yid1C-YCim G
Ci_
S ,V--? -?3-QY? i
.
Multi-Family Bldg _ Y4 N Fireplace(s) _ 0 _? 1 _ 2
Property Owner \ 0 Z,
-? Telephone # ((P S I ) (0%9 - ? ?0-D-
Coutractor l\L`YYl P_
Address ?a`k ?Cll?
State City \n 4''C'
Zip ? S25,--) Telephone # ?.) t{-q--)-'
COMPLETE THIS AREA ONLY IF
- Minnesota Rules 7670 Cateeotv 1
Energy Code Category . Residential Ventilation Category 1 Worksheet
submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In ihe last 12 monThs, has the City of Eagan issued a permii for a similar plan based on a master plan?
Y _ N If yes, date and address of masier plan:
Licensed Plumber_???? i,?l, ?I
Mechanical Contractor
?P_ .. 1. IUU(
Sewer/WaTer Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge 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 application for a permit, and work is not to start without a
permit; thaY the work will be in accardance with the approved plan in the case of work which requires a review and
approval of plans. ?
-rm n;mt'IL
Applicant's Printed Name Applicg'nlt`s Signat e
*?******?*?***************?************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 765
DATE: 08/14/00 TIME: 07:27:36
ID:
NAME: ?',AIL L PHELPS
3210 9001 844 NRTHVIEW PR 60.00
2155 9001 844 NRTHVIEW PR 0.50
Total Receipt Amount: 60.50
CR135699
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675 c/New ConshucMan Raaulremonh Remodel/Reoair ReaulremeMS
? 3 registered slfe wrveys showing sq. tt. ol lot, sq. M. ol house
antl 5?1 rooted arear Q,°§ maximum lot coveraae ollowe?
? 2 coples of piaru (ahow beam 8 window alzea; poured (nd. design; eTCJ
D 1 S9f Of BnBlgy CpICUlOM0115
? 3 coples ollree preaervadon plan Il lof piaNetl aNer 711/93
oA,E: ?-u-zo oo
DESCRIPTION OF WORK: (? 541^ ?<),
SiREEf ADDRESS: -t tA
LOT: (-) BLOCK: l _ SUBD./P.I,D. p:
PROPERfY
OWNER
2 Copies of pMn
1 set of energy calcWanons ror heated addlMOns
1 site survey lar extedw addmons & decks
CONSTRUCTION COST: H.O 00? 00
If mulH-famlly bldg., how many untis? _
tli A n ,1 /1 M/U SS / ?-3
D
Name: GAII' Phone tl: lJ ?? ?O (? ? ? ?J ?Z
Last Firef
Sfreet
N ? N0o
ci,y Zip: S5/ ? 3
ompuny; Phone ri:
(area code)
Sheet
C!ty
State:
ARCHITECT/
ENGINEER Compdny: ? Name:
Telephone q: (
Sheef Add?ess: Reglshatlon q:
City
State:
Sewer/water licensed plumber (if InsWllirta sewerJwaterl: Phone #:
Zip:
Zip:
I hereby acknowledge that I have read This appllcaNOn, sMte thaf the information is correct, and agree b comply wilh all applicable Sfc
of Minnesota Stafufes and Cify W Eagan Ordinan
Certificates of Survey Received
_ Yes
Tree Preservatfon Plan Received Yes
License # Exp.
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation p 07 05-piex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex O 09 07-piex
? 04 02-plex , ? 10 08-plex
? 05 03-plez. .; . p ' 11'., 70-plex '
? 06 04-plex O' 12 )2-plex
WORK TYPE
Pp 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
21 Porch (3-sea.)
,
22 ,
' Porch/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damaw, ' ' •
25
30 "Miscellaneous !I
''"Accessory Bltlg"
p .
?
? 73 1&plex ?
? 77 Garage ?
tV 1 S Deck ?
? 19 Lower Level ?
Plhg Y or _ N ?
? 20 Pool ' b
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' 0 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair ?
? 42 Demolish (Foundation) O 46 Windows/Doors
* Give PCA handout to applicaM for demolition permit 11
GENERAL INFORMATION
SAC Code Dr
No. of Units
No. of Buildings
Const. (Actual) S-
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
sq!'ft.
sq.
Footprint sq: ft.
Census Code
MC/ES System
City Water ?
Booster Pump
PRV
Fire Sprinklered
i?
Building 6,t,1A_ Engineering Variance
I
Valuation: $
r,
•.• J
? 31 Exc. nn - Munl
O 33 EM. Alt - SF
O 36 MulU
,. ? • •
?.,.?... . .? ..
Y,--T
;
?
Llil,ild`cfJ?lilb ?? IkL Hpr- 12:111-1 Pd1-1.U01 P.Cl-
- ?I?ecP
Savewis eedifindc,
SURVEY FOR:
0£SGRIBEO A5:
Eagan, Dakota
of record.
Bya 9
/ a
' i
?
Frontier Develonment
Lot 6, t3lock G,
Cvunty, Atinnesota ?
R?
L?
i
i
A vi Kk.y
fnrn.
STAPFORD 1'I.ACL•, City of
Nn \ ana reserving easements
6 Artiv ?
I F? qA? ?
? /? AD? \
410
_ --/ A.b,,i-I
LOT SCJUARE FDOTAGE
y
-? ?
PROPOSEO ELEVATION9
top of Foundotlen • 974•(V
Oatape Floor • E 74• 2-
BoumeM Flooi j e it • 1-
Approx. Beser Bwrlet Elw. •
Propoud EIeraNons C:)
EksolIna Elerellom ?
Dreinaoe Dheetleos ?......r.
DenoNs ONu1 SIOA• . O
?
sCAIE: t fnoA • 30 FNf
13, 463f
Qc` t
\\
.,'`.
Z?
? ?
REQIJiRr--.
•`C?11MARK!
7 aim m H. - F•onv eE
Lo+ it,dft b
f lao : d7)");
MIN.lEilACK RE01 EMENLB
?renl -30 News oIM - 10
Mbt - iS atr"ot10o-5
/iIEDLUND
P/ann/np Erpfnssrlrrp Sur?*fnp
M1pl? I???IINM1"00.4M. M1»
1 Mn?r urnry tnot nN$ axvq, own x nrert •es N•r•r•ll h? ooe Ho,t
•r nnaa mr aina .uv.rvistan ene tnei I .M • euy n.N+lnmil OOR- nj
LeM bwrfrx uM?r Me bwl N Ml 91900 N MInM9N4.
ar.r a, i &, ao ?.
Lr=-
?? • nn. U??ni? M f?
138
?AW
42
?FIU N I ?, CNf..
C ?. b&
?
?
a
0
?o
,
W
1990 BIIILDING 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 WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WNICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILUING PERMIT IS ISSllED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
WAR 11 RECO
To Be Used For: OeW[.O?I 44,CCjVQy( Va uation'? E F Date : ? ?
Site Address 9-1-4 tJ pv+W? 3, 6 33 OFFICE USE ONLY
Lot (0 Block ? FEES
Parcel/Sub S4JAR"O"lt-4) P1-ft[jC-.
Owner ?YlBl,ps cJ&M a-
Address I 1,Uj -7 ?Sy2CQ?
City/Zip Code e IVh (v Sr423
?
Phone ?c) g
Contractor
Address 129S cavrpUyY.ik (vye?-? Vr
City/Zip Code _Ot4a?" rnN '?;51'2-1
-?.-,
Phone
Arch./Engr. IJ IGAC. C??.?a,v??2.?
Address 14103 GG?'?VtLW Q/.
City/Zip Code
Occupancy R"3 ?'1
Zoning
Actual Const V-N Bldg. Permit 523,00
Allowable V-N Surcharge 3`1."D
# of stories Plan Review 3'-Ia'ao
Length J{D, SAC, City 100-00
Depth y 7 SAC, MWCC 00 1 aa
S.F. Total Water Conn tb s,oo
Footprint S.F. Water Meter 100
Acct. Deposit 3a,oa
On site sewage_ S/W Permit 3D,m
On site well S/W Surcharge „5'0
MWCC System ? Treatment P1. 2$2,00
Gity water ? Road Unit ,DO
PRV PaYk Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council ?
Bldg. Off. / S $
Variance ?
Phone # 4 2-, Z - !?4 °i Zi
r 1
G 4rzA Ge
VAl.l?,?/VT??,..• k ..
y , .
? .? . .. ?
ao?22 = yyv x ?s= G?oa
oZS"`? ?p = (00 0
S KS^ = 2S
/???'x?y= Iv3so
IsT FL?oR
BSm7
?
jo33K,M =52 19V3
3633
:. ,
I
hFI, EhdI-, IIIFEF:II'Ili TEL I'I12 s;s 6 4 3, 1 Rpr 16,90 12 :OQ PIo.001 F'.02
. -- 1
Surrve?or?? ecra0zeac
SVRVEY FOR: Frontier Develonment r` n. s?•nFroan PI.ACti, City of
OESGRIBED AS: Lot 6, Islock 6, ?
Eagan, Dakota County, Atinnesota ' NO ? and reserving easements
of record. ?.6 ATH \ \
L/Fw Aq ?
a e•a „ 90qQ?
/_,
C>
.+
?
Byo.4
?
1 `4 qji"L
LOT SOUARE FOOTAGE
m ?4
ED
0
?-?
e?6 Z
?
ec?8
r ?
I?
?
EAGIIN EYdGINEERING DEPT ? RMo
PROP09ED EIEVAT10N9
1op ol feuodollea ¦ 074•(,
Oaraqe Fleor • E "l4.Z
Basomsnl floor i s 11. d-
Approe. Bdwa Bvrkt Elw. •
Propoad Elwallont I Q
Emntlna Elorellom ?
Orolnaqe dhecNens ? ?...•?
peneus OIHH 8toke ? O
/ifEDLUND
Plarminp Enplnserlny suw)4RD
MII I M wiwWM?I w1=V.1II ??M?'MMR YMeMI IMN
? MIpN
? T. RirA MN.- froM Of
Lo+ 16.ein.b
eleo: M.13
iront -30 MaM* to
Reer - i6 9er"o
aCALEt t I111Oh • 30 Feef
I Mr?lM ntllf? IMI INa swvyr, Obn a n?erl was 040wed M' ^'? 409 N0.1
.r er-e•r mr aina wo«.i.ien ene Mei I .m • euie nwleug.d aaR• rr3
LaM lurrqx uMU IM hwi O/ IN 20410 st MMnaNs. OWK: ?4Oh
r3a ?z
? tAOO?ut? Ow[6.CNK.
Aul
Mut?•l •QO
,p r@ry lU?n?? Mft? FMNC 2 v?
13, 463f
?
?
?
?
w
r,oMrurnrtari -Vq" 6ci.i.f.+ IZI, 4-e-,
' awriER Phd S c?vuk-e? 4A.MIX41 aa(,rl nn Tr
g44- N611?IJie,W ?
[rE nooaESS PworiE: ?n1T1?IL? -45 4 -Uy ?`
:
s
CONTRACiGR: F
-= ' - - ??" _
n
Oetern>ine wcrking square `a o*_age af each
sed wa'1
T
t
l
1 . sq.
area Ft. x .11 =
expo
a
.
o ...
2. Total rooi/ceiliaq are:..... sq. ft. x .026
Total ezvcsed wal l area above `ioor=_ ?IP) ???7
a. Total wall windew area ........ ................. .................. IZZ•C.
b. Total door ar=a ......... ... ................. ..................
c. Total sliding glass docr area. ................. .................. 32.
d. Total fireplace wall area ..... ......... . . ....
.
. ...............
... =?
.
e. Tota1 wall framing area (a'?°ra ge 10?)...." .
..... ..................
f. Total rim joist area .......... ................. ................. i7, O
G:-
1 C
°IC
g. net wall area a6ove floor.. ................. .................. „
o
h. wall area above floor .. ................. ..................
i. wall area above floor .. ................. ..................
j. frame wall area at _`o=catior . ................. .........._......
Total ex;os=d fo undation area= ??? ?
k. Total foundation window r.rea .. ................. ....
l. Total net foundation arez abov e grade .......... .... ?7,C?"
Determine "u" va lue of each.wall segment
(e,g. window, do or, each separate wail section)
d. 1i7.(, X LI.47 _ .I`I
, b 38 " x .. ull
C. 3z,4 X ', Jl, ? y 7 = 22 .
? X
?
d u??
.
.
e. z "U" ? I I = 2c7. "13
f. i`'?- X u?,
g. I f_-c;C u„ .?J'. = GZ?I•,3
h. X "u"' _
i. x „U., _
X
]
.
_ [f item =3 is th.,=
? x ^;?^ - d5, Or 1055 than -
- -- - ?
< =1, you have me< '
intent of S5C 6G;,
?-_? ?----- ? iJ
) . ro t ? l - ---..1=i , -7
Yau
?._Y .,,... ._.....-.___ ___._..----- -._._...--------
?•:ccrior Emicloi)c Avcraqc "U" Con[)uticioii
Tota1 exoosed roo£/cei'_ing area = I O{tU
. ?
m. ?btal skyLi.S:iC a=ea ............................
n. Tota1 rooc/cciLin, f_-am!nq a=ca (;lv°r.a7c 102; ... Ir"' l?r+
o. ^•otal r.et ins•_1accZ _rocE/cc:ling +i-e............
I Getermi::e "U" •raluc L'cr cacL rco=/ceiLinS segr.ient
x ??u" L1
X„U„
C.
4 ........................... Total = ZQ? / ?
raye ui w
totai is the sa.,e es, or less thzn 112, you rtave met the ir.t_nc o'
Syr
.
Alternate Bui2diac Er.ve_ooe Desig^
To _ti:ize tne total eavelooe'system nethcd, the values established by tne s'.n of
:.teams n3 a_^.d -4 shz11 not be greater thzn tze sum of ite.ms ;l and ;2.
, . zl lo LO'? + z. z? ? ? ( = Z?-IZ,?
3. 71=1??:1 + 4. 7??J?-73
PIAi'T #
? * I..MAL, F'r..: =SED' War.r•
BL.eCx:
,.q=: 1 ? J
W.O.: --
FJLL 1: l --? ?)
ELJLL 2: ?
FIR_?"2LACE:
= SQUPRE r.r.i FTOSID W.9LI. ARFP.
BLOCx: L. ? x .s = 3?r
KD1i:.: G' X 5- ?.o 1?s--
W.O.: x 8
fULLl: x 8=
. FLTLL 2: ? x 8= __--
' FIRE.'flIACE:
RI*f:
1"30 . x 1= l 3 Q
TOTAL
I?LCo`f,?
= SQUARE FEE7 EXPOSED CEIiMG
*,Nmm3m A DOORS 3 S -
? y 3
•:•. PATIO DQORS
,zp _r? _ ?.? " 3Z9
- • rt easE= uxrrs
?Jc'I,-, 3i '_ ?I??au? ?•n{ t or?'J Rr
. ^? •??rjrl??:.._ ?Uh
? ?II C)
\
I I ?_?? I ? a
a-?--?
k1,=?
l v't1A/G
rmrrs=UcT*crF.- FRAru*ic - '
1. I-\":".j??OR AIR FII2? 0_68
2. 2 G!`r9D .45
3, ".? SGF':' LvCOD 6. 8
G
4. 3/4-" 3-0
4Tg FTjli 0.I7
T nt. ?- (o, SS
U_ , 09
Ni:
1. IV=IOR AIR f'ZLM ? 0.58
7i 2 G!^?BD .45
3. b 1N 'L. 19.00
? 'L
??I I C 5. SIDPlG .5?
? -v
T\I_r rQR PIR F'Iili -. ' 0.68
2. T ZNSUL. 19.00
3. x: . JOL
s;L? <.wk?? ? _• u ?¢.;-- ?' - 2
? s. s?DINs .s?
OR tLR FrLr. . . 7
. K= . 24.4-Z
? / -
U= o¢
aLOC_<
{?c7-rtDhTILY1 ? ? -"'
LJkLL tN?; ?--? 1. L'it'E??0& Pl R £II1d 0_68
i p , ,%? 2
5.00
_? ? 4. FROTECfIVE RAR.Tt?
1 5
? 6. Al
TOTt?I, R= 7.13
U= .I4
I ? SIAB ON GR.ADE
t ' ?'
?• D? 1 ?": ; ; _ ??? _ ? p 1 ••, ??l
? • ?=?(/ Ifl ? •
I • - f''..Ao. nll
?y ? ??
r= _ ? `• r
fI i ? I;( =
i _`iD?C :'?'=. 7_7--- i?R" VPr:.i:. D??i"rI ?
.CE:`F`+'!' 07 T_NSCfCP?'Iritl.
• ?GO"-??-Li?iG
. . ?..`% ?
I r?- r.r
? r,
FLAT FMOW
„?r J I A
U L?
CIG. ,J
CGNS7RUCi10Df , p_
? nAI? FIL`? 0.6i1
3 ? -
'a.?3 L
U = .0=
7?o,?C
l. 1N=70R AIR tILI-t
2. ..! , . .J?
s .
4.
? v_P1? L • '-=
U = •0-''
.
CONS?'FUCI'ION
1 ?NSIDE ASR £ILM 0.6"
2.
3.
4.
5. - _ ,pL -
U =
FR4?E
? FEAT F_.OW U?
iIG. =c
J ?
? ..'•'•.'?? !.: ' ?,??/ ?'? ?.
?r
YE `1?ED
?
,
? .
?
1. D4SZDE ALR FILM
2.
3.
4. ?? ._.
U =
1. INSIDE AIR FIIM 0.E1
2.
3.
u,
u._.
S 1 1 L
TOTA?.
U =
PfG'? : U5--, 6,DDITIOPI.4L S=S Z- t`aR= S•'CE -
rr_-uEED FoR Dr.a`<r s?11r c?? ctr =='=?'??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 844 Northview Park Rd
Lot: 6 Block: 6 Addition: Stafford Place
PID:10- 72500- 060 -06
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Gail L Phelps
844 Northview Park Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA092093
11/18/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA121280
Date Issued:03/24/2014
Permit Category:ePermit
Site Address: 844 Northview Park Rd
Lot:6 Block: 6 Addition: Stafford Place
PID:10-72500-06-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Linda Jernander
2026 Colburn Drive
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gail L Phelps
844 Northview Park Rd
Eagan MN 55123
(651) 687-0022
Ron's Mechanical
12010 Old Brick Yard Rd
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131296
Date Issued:06/12/2015
Permit Category:ePermit
Site Address: 844 Northview Park Rd
Lot:6 Block: 6 Addition: Stafford Place
PID:10-72500-06-060
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)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gail L Phelps
844 Northview Park Rd
Eagan MN 55123
(651) 231-1336
Air Rite Heating & Ac Inc
15731 Hallmark Path
Apple Valley MN 55124
(952) 250-5913
Applicant/Permitee: Signature Issued By: Signature