967 Northview Park RdSEWER & WATER PEFiMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
METER # _
CHIP # -
METER SIZE
ISSUE DATE
- PRV _ BOOSTER PUMP
SITE ADDRESS - PERMIT REQUESTED
LOT ? BLOCK SEClSUB
? SEWER ??DVATER - TAPS
APPUCANT;
ADDRESS: %'j ? 1 COMM/IND .? RESIDENTIAL
CITY, STATE ZIP
PHONE: *
PLUMBER:
ADDRESS: ?, °•r ` ? l
CITY, STATE • ZIP °
PHONE:
PHONE: ' OFFICE USE ONLY
OWNER: %rv1-lf?/l?.e7?!!r S ?. ?.75 ._= ?c
ADDRESS:
CITY, STATE - %1: . . •--?I : / ? ,%?? , `. ZI P "? i/,?
PERMIT DATE 918/== y
PERMIT # 10874
B.P. RECEIPT # ? 3 7'' ?
B,P. RECEIPT DATE 4/ 7/'',r}
? NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
'
? CASH RECEIPT'
CITY OF EAGAN
3830 PlLOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ' 19
_ i
iIECE?
nMOUnT s ? r
;.? - .
8 DOUARS
im
? CASH [J CHECK
?
BY
??371, Whn*-Payom Copy
C ?
reNow-Posung copy
Pink-.File cai„
Thank You
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # 3 S 3 ?L -- PERMIT DATE CHIP#-0 ?) g? :7Z Z ?_ PERMIT# 10874
METER SIZE S.P. RECEIPT # : 1713
ISSUE DATE - B.P. RECEIPT DATE ° ? ? /W'
_ PRV _ BOOSTER PUMP
SITE ADDRESS PEpMIT REQUESTED
LOT ?BLOCK ?' SEC/SUB
_??SEWER ---'WATER -TAPS
APPLICANT: ?'•?3r;2.,..:?u ? •? > ? ,? : . ?,, ?
ADDRESS: S 11 L -C.4-f COMM/IND RESIDENTIAL
S?L- -
CIIY, STATE ; - , -;JQ2a ZIP
-..a,--NEW - EXISTING
PHONE: - ?
Lawn Sprinkler Meters are to be Installed
PLUMBER:
?--- Ahead of Domestic Meters on Water Line.
ADDRESS: ' 2--ff-61 Credit WILL NOT be given for Deduct Meters.
CIN, STATE ZIP
PHONE: ?Zy? - '/<. %
OWNER:
ADDRESS:
CITY, STATE ZIP ?-` PHONE:
PLEASE ALLOW TWO WORKINCi DAYS FOR PROCESSING. CALL
SEWER PERMITS, CONTACT ENGINEERING DEPT.
AGREE TO COMPLY WITH J2 OF
INSPECTIONS. FOR STORM
=•,W _??, i ' ' . . . . . , . .. _ _ . ,-?. . . ? . . . . . . . ?' . ?. , ..? .. .. . ; _ . ' . . •. !T . . . ..
CITY OF EAGAN
w?y
.
? 17025
.
-
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt # L
To be used for SF ?/GAR Est. Value $?? .000 Date SEP 5 , 1989
Site Ad&ess ` 967 No&TuvIzw TARK RD -
Lot 17?..._ .Blopk 2 Sec/Sub. ?xr?'?N ? 6T? OFFIC E USE ONLY
Parcel No
y 1 R_S 1
Occupancy
FEFS
? PD R-1
2oning
W Name TIHBERiJORKS BUILDSxS, INC (nciuai)cons( Y? BIdg.Permil 4%•?
; AddfBSS 1821 WALSH LU (Allowable) y-N h ?'?
° Surc
ar
9e
City ?NWTA ? Phone ??81-0112 k of sio?es ?
??
471 Plan Review •
Length
o Name SAME Depth "I SAC
City 100•00
?q Address S.F. Total - , Srs•?
? SAC, Mcwcc
'
' City Phone S.F. Footprints _
Water Cann ?0• ?
r On Sfte Sewage _
F Name On Site well W
t
M
t ?•?
W ? er
a
e
er
_? Address Mwcc syscem 30
00
? Accl• DePosit •
i W City PhOne City Water 20•00
PRV Required _ SJ1N Permil
I hereby acknowlege that I have read this application and state that the eooster Pump - SrW Surcharge 1•00
information is correct and agree to comply with all applicable State ot
Mi
f 228
00
nnesota Statutes and City o
Eagan Ordinances. Treatment PI .
Signature oi Permitee APPROVALS Road Unit 340•00
2IMBElSHORK$ S[(YI,D?R$
A Building Permit is issued to: Planner
-
Park Ded.
on the express condition that ali work shall be done in accordance with all Council
applicable State of Minnesota StaWtes and City of Eagan Ordinances. gwg. pry. _ Copies
Building Official
Variance -
TOTAL
2.742.00
Permit No. Permit Holder Oate Telephone #
WATER
SEWER
PLUMBING 11C-f LP2,.?.
?'.
H.V.A.C.
ELECTRiC ?qk 57 t-
Inspettion Date In . Comments
Faotings I f-7 ?
Foundation
Framing
Roofing
Bougn Pibs.
Hough Htg-
Isul. z
Fireplace /O
05'
Final Htg.
Final Plbg-
Const. Meter Plbg. Inspector - Notity Plumber
Ergr./Plan
Bldg. Final
Oeck Ftg.
Deck Final
Well
Pr. Disp.
? , s a
(Itrtt#iratt nf (Orrupttnry
titp of (Eagan
ar.prarhnptct af lovmding Atoornimt, .
This Certifica[e issued pursuant 101he nequirenienu of Section 306 of rhe Unifonn Building
Code cenifying that at the time of rssuance tkis structure was in compliance with the various
ordinances of 1he City regulating building coristruction or use. For the fo!lowing•
iJse Qaasf'xauon SR TI.X:('JIR Bldg, Rtmit No. 17025
00cupa-Y Trrx F3JMl Zonina oWrict PLl/R) Type coft. VN
o,vM,ota??nt T- RG-019- We SmLOr TDE Aaeim I821 WALSH IAtE , IrFlurn'A EEi=
a-Ida aaa.m 967 1?''?iV]?1?1 PARfC. P19I1- Lmsty T.17, q[xlm
Dow. ARIL 27, 1990
POST IN A CONSPICUOUS PLACE
rpV ..."?" •. *? ir: jo .,.-i'Fl Z
Y
PLUMBING PERMIT For
CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGiAN, MN 55122 RECEIPT a
PRICE ,' , PHQNE 4548t00/?? - DATE: _
__?? ck Sec/Sub
Lot Res. - New "
` , Mult. Add-on
Comm. Repair
?
Name
Other
? Add
res
RES. PLBG. UNLY - COMPLETE THE FOLLOWING:
'A Cfty P
- N FIXTU R ES
Cl
t
00
3
W 3 TOTAL
$ -?
Name , ? r `- ose
ater
- $
.
Bath Tubs - $3.00 ?
c Addre Lavatory - $3.00
? City ho ? Shower - $3.00
IGtchen Sink - $3.00
UrinaUBidet - $3
00
FEES
1% OF CONTRACT FEE
FEE
COMMJIND .
Laundry Tray - $3.00
?- Fioor Drains -$1
50 ? r
-
.
RATE APPLIES
G
COMM .
? Wat
r H
at
-$1
50 •.?
APT. BLD
S. -
.
TOWNHOUSE & CONDO - RES. RATE APLLIES .
e
e
er
Whirlpool -$3.00
MINIMUM - RES1DEiMAL FE?- - $12.00
MWIMUM - COMM.IND./FEE' $20.00
STATE SURCHARGE PER PERMIT .50 ?
? Gas Piping Outlets -$1.54 '
(MINfMUM -l PER PERMIT) '
Softener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. - $10.00
'
Rough Openings - $1.50
?
s Tua oF a PERMIT FEE:
,
,? v v?
r
ST
e
yD
FOR: C N OF EAGAN GRAND OTA7 '
PERMIT #
• ' ' MECHANICAL PERMIT RECEIPT i
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
RACT PRICE PHONE: 454-8100 For Office
Site Address
Lot
? Name
? Addre;
c City _
BIDG.TYPE
Res.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
Name RES
HVAC 0-100 M BTU -$24
00
?
c Address .
ADDITIONAL 50 M 8TU .
- 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn 50 EA
- 1
TYPE OF WORK _ COMM/IND FEE - 1ai6 OF CONTRACT FEE .
Forced Air )
M BTU =APT. BLDGS. - COMM. RATE APPIIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
BOiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond M BTU MINIMUM COMMERCIAL FEE - 20.00
. STATE SURCHARGE PER PERMIT - .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
FEE
SIGNATURE OF PERMIZ'fEE
S/C: '
TOTAL• FOR: CITY OF EAGAN
REQUEST FOR ELECTRICAL INSPECTION • e`a oo/om-m
( ?/c7? ??P y ? See insVUCtions for wmpleting this brm on back of yellow copy. ~ 9Y ?ib? J
? o 9175 X" Below Work Covered by This Request
Ne% Add Rep. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
? Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Other (specity) Cumraclor5 Remerka:
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize # Circuits/Feeders ee
Swimming Pool 0 t0 200 Amps 0 to 700 Amps
Transfortners Above 200 _ Amps ve 100 _ Am ? Q
SignS Inspeclor5 Use Only: TOTA?.
Irrigation Booms
( ?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Aough-in
?lJ
'
certify that the above inspection has
6een made. , -
Finai ; r. r ?%?..h
OFFlCE USE ONLY
This requesl void 18 maMhs Imm
ReJUMLP
ete ?
J
Fre N.
ugh-in Imspecli
equiretll
0 Y. ? N.
? Ready Now
? Will Notity Inspecmr
When Ready?
IP4tensed contractor ? owner hereby request inspection ot above electrical work at:
.bb tlre (Stree Baz Roule No.) . City? ?
Se ion No. Tow ip Name or No. nge No. Counry
n PRINT PhoneNO.
?
Power Su ie qAdress
Electri I ntraclor (COmparry Neme Con or4 License No.
Mailing Atltlress (Contraclor or Owner Makirp InstalWtion)
,
P.utlwnzetl Synazure (COnirao
1odOw et Making Installatlon)
?o?O
M . Iz?s
Phone Number
_(AA CGC
Z
NINNESOT?BOARU OF ELECiHICRV • THIS WSPECTION REQUEST WILL NOT
Grigge-MMway Bltlg. - qoom S-113 BE ACCEPrED BV THE STATE BOARD
1837 Univenlly qve., $t. Paul, p1N 55104 UNLE55 PflOPER INSPECTION FEE I$
PMne (812) 642-0800 ENCL0.SED.
DATE:
918/89
RE: 967 NOBTHVIEH PARK ROAD, L17, B2, LEX SQ 6Ch
xR Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
?ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
-;Your Sewer & Water Permit for the above property cannot be completed for ihe following
y reasons:
- Your §ewer & Water Permit for the above property has been compleied, but Me meter cannot
,. be issuetl 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.
- HEQUIRED BY LAW.
v
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
'.
' DATE: ' 9/8/89
967 tdORTftV1HW PARK BoAD, L17. B2. LsX SQ 6cb
3cx Your Sewer & Water Permit for the a6ove property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
ICALL 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:
?
- Yo4r Sewer & Water Permit for the above property has been completed, but the meter cannot
6e issued or occupancy allawed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at Cily 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.
- REUUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN Np 17025
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700 /1 ?-7?
Feceipt # ? ?
To be used for SF DWG/GAR Est. Value $68,000 Date SEP 5 ,1g89
Site Address 967 NORTHVIEW PARK RD
Lot 17 Block 2 SeGSub. LEXINGTON SO 6TH
Parcel No.
W Name TIMBERWORKS BUILDERS. INC
; Address 1821 WALSH LN
° City MENDOTA HTS phone 681-0112
}F Name 5?
ga Address
? City Phone
r¢
?W Name
Address
`aw Ciry Phone
I hereby acknowlege that I have read this application and state that ihe
intormation is correct and agree lo comply with all applicable State ol
Minnesota Stamtes and Cit ot agan Or/dinances.
Signamre of Permitee 246
A euilding Permit is issued to: TIMBERWORKS /fiUIEDERS
on the ezpreu condition that all work shall be Oone in accordance wi[h all
applicahle State of Minnesota StaWtes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Zoning PD R=1
(ACwap Const V-N Bltlg. Permit 496.00
(Aiiowable) V-N Surcnarge 34.00
d or stodes 248
00
Len9Ih 4 ' Plan Review .
Deplh 44 ' SAC, Ciry 100.00
S.F.TOtal - SAC,MCWCC 575.0
O
S.F. Foolpnnis -
OnSiteSewage _ WaterConn 590.00
OnSiteWell WalerMeter 90-00
MWCC System )?X-
XX
,qcct. Deposit
30.00
Ciry Water
PRVRequired - S/4YPermit 20-00
Baos[er Pump - 5/W Surcharge 1.00
TreatmentPl 228.00
APFROVALS Road Unit 340.00
Planner - Park Ded.
Council
81dg.OB. _ CoPieS
Variance - TOTAL 2,742.00
5VC5W,`-?9
6 7141 ? ? 97i? ?
,?--
Requesl-?te >
( ? ? Fire . in Inspecli
eqNretl?
? yes ? No
? ReaGy Now ? Will Nolify Inspecror
When Ready?
I icensed contractor ? owner hereby request inspection of above electrical work at:
dob ress (Slreel, BM ot oule No.) -
f / /
1 Clty
e
Satlion No. Tawnship Name or No. ? Renge No. Counry ^
OcaPaM ( INT) !/ L? P/
^ { V
PowerSUpplier Adtlress
Eleqricel Conheciw (COmpeny Name) ConlradorY license N0.
a
MaiFTg Atldress (Cororactw or er Making Installation)
Aullfonzetl SignaNre (Conhactor/ er Meking Installeibn) Phona Number
MINNESD`?A)"fE 130A1iD OF ELECiFICITV ? I
GrlggslditlWeY Bltlp. - Room S173
1821 Unlwrofty Ave.. St Peul. MN 55fOC
Vhare (612) 644-0800
THIS INSPECTIIXJ REOUES7 WILL NOT
BE ACCEPTED BYTHE STATE 80ARD
UNLESS PROPER INSPEGTION FEE IS
ENCLOSEO.
I- _ _ _
ia •vLE afiMILY DiIELLIRGS
2 SETS OF PLAAS
3 HEGFSTERED SiTS 3d8QEYS
t SEf OF ENEitGY CiLM.
1969 SIIILDISG PERMTT iPPLIClTION
CITY OF EAGAN
lIJLTIPLE DiiELLINGS
2 3ETS OF PLlNS
HEGISTBAED 3ITE 30RVET3 -
(CHECH iTiTH HLDG DIV.).
t SET or EAERI3T CALC3.
;? .
COPMERCIAL
2 SETS OF IRCHIiECTURiL
i STHOCfIIRIL PLiNS
1 SST OF SPECIFICATIONS
1 SET OF E1IERGS CALC3.
!lITLTIPI.S DiiELLINCS FER£dL Op'13S FOB SLLE WiITS i OF 9NI2S
IDDAfiSSES POR CORN£R &tbT3 - WAiBAGTQA/80MWiRiER tlQ3T DESIGNATE Y8IC8 1DDAFSS
IS DESIM. HO CEMMS iTfLL HS iLLdWED ONCE BUILDING PERMIT 13 LRSQED..
SEiiER & YATBR PEl4MIT FEES JLND ACCOONT DEFOSIT FSES UTILL Bfi INCLQDED KITH SHE SUILDINd
PERMIT PEE. PAOCFSSINC TIME FOA SEWER lAD HATER PERriIT3 I3 Ti10 DAYS ONCE ! PERMTT HAS
HEEi6 CBMPLETED INDIClTIAG 1 LICEHSED PLUlBER.
PENALTY APPLIFS WHEN: PERMIT IS NOT PAID FOR IN 59ME MONTH IT I5 REQOESTED.
LOT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED. If
_p 1 1969
To Be Used For: '!?IA)U. f/ Valuation: 6 0$000? Date:
31te Address 96?n1o? VIL ? OFFICE DS8
Lot / ? Block ?- ?Pareel/Sub
Oimer
Addreas 42-1 W,4-[.S'tf
1?IbEHS !l?"
City/Zip Code t 1'4 h.?
Phone 16/2) 68/-D/!Z
:°oxitractor ??yB?%e;a/o? ??s
address
City/2ip Code
Yhone
Arch./Engr, - 45
'
lddress 3?.3` rc'?ys c?t. Love
-sa.ra
City/Zip Code ?
urlp? ?h,^?
/?
Phone #!(0/20
Occupaney R-3 m- I
Zoning (V
Actual Const ?
Allowable V-N
f of atories
Length 47?
Depth 114
S.F. Total
Footpriat S.F.
Oa aite aewage
On eite vell
MWCC Syatem ?
CiLy vater ?
PR9 requfa ed _
Boostxr Hmp -
APY80QALS
Flanner
Couneil
Bldg. Off. -1G
9ariance
??es
Bldg. Permit y%-ov
3urcharge 3 .oa
Ylan Review 24 B,oJ
SAC, City
0
10010
3AC9 Mi1CC 5 5 00
Water Conn
0
500,0
Water Heter qD.oo
Aeet. Deposit 3°,00
SJii PermiE 20,00
3/W Surcharge ?.? 0
0
Treatment F1. .?
ota 8,va
Road Unit 3L10,?
Park Ded.
Copies
SOBSOTAL
Penaltq
lOTAL
553- 9670
v!A-? ic>
? . Y
G?TZA,?E
Zz,cz2= ?I?4 xls= r12G?a
6 s?.-r
X4t,; rSSo
I o Y 5
43? x 14= I`3ozo
I ST FLp ora-
3`- "wl' ^, r. 3 ?
I A1 Xq l?
r
,
a
T Rl - LAN D C 0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
TIMBERW4RKS
LEGAL DESCRIPTION: LOTIZ98LOCK2.,LEXINGTON SQUARE 6fh ADD.
ACCORDING 70 THE RECORDED PLAT
N THEREOF DAKOTA COUNTY,MINNESOTA
9°43'03"W 75.00
I ?
SCALE: I"=30'
LC)T Ih
4nit. Fcoae
° LOT 17
CV
?
?? GsioP05EO
a House
a
w?
?- lio
N89°43'03"W
tiGRTnVIEW
GTAIZ
LEGEND
o pENOTES IRON MONUMENT
* DENOTES WOOD HUB SET
(e972)DENOTES EXISTING SPOT
ELEVATION
e+7•ooDENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I Iroreby certify thaf this s?xvsy.plon or
report was prepared by me or under my
direcf superoision and that I am a duly
Repistered Land Surveror undsr ihe
Laws ot the Stote of Mirmesota.
0
LO
N
Ih
I ,
LO^I ICJ
? /4" V
IN I
i -----?
Ig '?AN EIVGgpdJ?:.E
?JM
?le9?.s1
75,00
4A -o
p ?
optrSFD ? ?TR ^ INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = g?8?
PROPOSED FIRST FLOOR ELEVATION =
PHOPOSED BASEMENT FLOOR = e?
ELEVATION
PARK RGaG
. .?u.?0??
Bradley J. SwJsA ; Mn. Rep. No. 15235
Date
x John Brodley ?
architecturo?I tonsulta?nts inc.i
600B bLST. S.E. 059EO,YN. 66389 VX. (612)-4.24-9772._
?u. i?fi ? wt i?? A?? 11, ?11 w^ur
Plan *" z°O -B 'T Date
?
rlwnc?, c"7T- I'7 .? L
Contractor= `r?n'?B?2wo2.KS
Site Address:
I)TOTAL EXPOSED WALL AREA Z-I S$ sq. fL x'U'-' I ( = Z37, 4
2)TOTAL EXPOSED ROOF/CEILiNQ AREA LV bj sq. ft. x"U=aZCP-
WALL AREA CALCULATIONS:
70TAL WINDOW AREA
GLAZED
70TAL DOOR AREA .__
70TAL GLASS DOOR AREA
GLAZED
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMtNG AREA
NET INSULATED WALL AREA
TOTAL RIM JOIST AREA
1,4 r- sq.ft.z'u". 3S_ s , s
3 8 5y.tr.x'u" , o?? Z- 7'
997 sq.fcx'u"- 19 = i 3, 3
3r ' , sq.ff.x"U"??•7
9C? 7 sy.ft.x,U,, r 4=---s, !f--
____. r ?6-'? sq.ft.z'u".443= L?9.'Z...
-TZS sq.fr.z"U" .04= S. C>
TOTAL FOUNDATION AREA (EXPOSED) !!z 9 sq.ft.x'Uk'1L= f S.S
TOTAL FOUNDATION WINDOW AREA sq.ft.x'U"
_ 3) TOTAL ?a, ?
-?
If item 3!s the same as,or less fhan item 1, you have me? ihe Tnteni of
2 MCAR 1. 16008 A and O.
ROOF/CElLINO CALCULATIONS,
TOTAL SKYLIGHT AREA
"Ov q.ttx'U??
?OTAL ROOF/PEILING FRAMING AREA /6 7 aq.ft.x"U°-aZL Z. ff
NET INSULATED ROOF CEILING AREA 9g?Z sq.ft.x"U"•aZZ= 2), 2
TOTAL .??
If item 4 ls the same as,ar less ihan ifem 2, you have mef ihe Jnfent of
, 2 MCAR 1.16008 A ond O.
ALTERNATE BUILDING ENVELOPE DESIQN
To uTilize ?he total envelope system method, the sum of (tems 1 and 2 shall ?.
be qreater than ihe sum of items 3 and 4. . ?
--._ - U ' +2) _
_.__3) +41 = --.
1 hereby certify that the buflding here described meets or exceeds the State of Minnesofa
Enerpy ConservoNon Act.
(signed) ?
. _?-•
? % ?.l LD ?-.?'?'i.?CS ?.?/ s`'?' ?.I?F.
• ?.? ??.
'RMIN8 SECTION
?brlor a!r_jjfm 0.68
5'yinMss ol sof? wood (nF?? , ` P?ibDFr? Z •? ?0??1[-? .SI
, etlerior oir /ilm 0.17
TOTAL R • ±'PG{'
U a 1/R 'G
ECTION (INSULATED)
interlor Qir film
? ?z 4 !? .4S
S5j'B r.Ya (9 0
??y?R-r}fc.- 2 •?C[?
exterior oir film 0.17
TOIAE.``
, 3....:. , i
U '31fR
ST SECTION
' t ri r ir fflm 0.68
' ca+44 ?.rs 19?
1bg . ,
2.cre
5lp1?.lG. ??
oxftrior oir film 0.17
TOYAL R Z+4Ed .
U = 1/R fE4:
TION 3ECTION
interlor oir Iflm
i'•-??' ?'°
i2 ?. ?.,?• ? ? .7.s
•xledor oir lilm
.". 0.17
TO?Al R
? u ..)/R • ir
.
,;<.: -?• ' ?>_
. . .._. -y. ..
1
' ' ' . . . .. . - " . .
.
CONSTRUCTION
CEILING SECTION (INSULATED)
{ t ?nterior air film 0.61
_ (2 ?a ?-vF?rQ.? K ?•
, (3 (4 exterior air lilm (siill) 0.61
TOTAL R2
U = _i%R , OZZ
_ CEIIING FRAMING SECTION .
( I inferior air fJlm 0.61
(2 ?''t? Sr c ,a?cK SN
( 3 32,
(q interior air film 0.61
, 5
(5 SlSinches of soft wood 4,r
" TOTAL R 32, t 3
U = I/R dDZIp_
V.ENTED
CEILING SECTION (INSULATE0)
_ ( 1 interior air film 0,61
(2
(3
(q exterior air film (stilf) 0.61
_ TOTAL R
U = i/R
CEILING FRAMING SECTION _
I.inferior air film 0.61
(2
(3
(4 interior air tilm 0.61
inches of soft wood
TOTAL R
U = I /R
EXPOSED BEAM CEILING SECTION
o interior air film 0.61
{p
(3
(4
(5 exferior air film 0•17
TOTAL R
L = I/R
-4 ?'?g`1
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5644
New ConstrucGon Reauirements RemodellReoair Reoulrements Olfice Use Onlv
3 reg45tered s'de surveys showing sq. tl. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeA ofSurvey Recd _ Y_ N
(20% mazlmum lot coverage allowed) 1 set of Eneigy Calculations for healed add'N'ons Tree Pres Plan Recd _ Y_ N_
2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N
isetofEneryyGslcufations Add'Aion-indicateifon-sifeseplicsystem On-siteSepticSystem _Y _N
3 copies of Tree Preservation Plan if lot platted atter 711/93
Rim Joist DetalOplians selection sheet (buildings wAh 3 or less unils)
/D
D
t t,
?
t
C
s
e
i ?
o??
o o
os
iUS
#
S
te Address Un
te
? ? ?
Description of Work UlYrw? ?C A/UL?N /
Mul[i-Family Eldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner /kkrf?-, Q Cj.(i Telephone #&?l ) 41 -24!?-'?
Wjndo'+' CmceM of Mnnesota Inc.
Contractor
Address City
?
State Zip Telephone # ( ) ?,
-
, ..?
,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
7elephone #(
I hereby
that the
Statutes;
apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
work will be in conformance with the ordinances and codes of the City of Eagan and the State of MI3
I understand this is not a permit, but only an application for a permit, and work is not to start without a
p,l?n in the case of work ?ch requires a review and
hat the work wil? be/in accordance with the approved
/f?
of plans. i
Name /r Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessoiy Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03,plex ? 11 10-plex ? 19 Lower level ? 24 Storm Damage
? 06 04-plex ? 12 12-p10x Plbg_V or_ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Sitling
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 48 Windaws/Doors
? 34 Replacement •Demolitlon (Entlre Bldg ) - Glve PCA handout to appliwnt
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) ? Plumbing
_ Foundation FIVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Stucco
Siding
Stone
Bri ck
_ Fireplace _ R.I. _ Air Test _ Final _ _
_
_
Windows
_ Insulation _ Retaining Wall
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
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 967 Northview Park Rd
Lot: 17 Block: 2 Addition: Lexington Square 6th
PID:10- 45080- 170 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
Permit closed without required inspection(s). Letter sent to applicant on 2/18/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA082704
04/23/2008
ePermit
Cllyof Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 875-5076
Fax: (651) 675-5694 •
Data: tab
Tenant:
Use BLUE or BLACK Ink
Permit*: IDI
Perrnit Fee: 7�)
Date Received: I - 7 -
Start: M
2011 RESIDENTIAL PLUMBING PERMIT APPLtCATIO
} Site Address: 11-7- N fl r ikt 1 CA P -
r v C
RESIDENTI OWNER
Name: AV -0 ►ee•-,
Address / City /Zip: P �(
CONTRACTOR
Suite tit:
Name: MILBERT COMPANY INC.dba CULLIGAN W_ _ATER
Address: 1801 SOT" ST EAST city, .:1NVER GROVE:IIGTS
State: MN • Zip: 55,T• Phone: 65.1 ;:451=2241 •
Contact BILI.•MIL.11#0 1 • Email:
TYPE OF WORK
PERMIT TYPE
__Nevi eplaeement _ Repair _ Rebuild __ Modify Space _ Work Ir1.R.O.W.
Descrlptlon adorn: r
REIDENTIAL
• • Water Heater
• Lawn Inigadgn (__ RPZ /_ PVB)
Septic System •
•New •
: _Abandonment
•
Water Softener
Add Plumbing Fixtures (_ Main / Lower Level)
Water Tumaround
RESIDENTIAL FEES:
355.00 Minimum Water Heater, Water Softener, or Water Heater to • Softener (lncludee 35.00 State Surcharge) •
$35.00•Lawn Inigatlon (includes 35.00 State Surcharge)
355.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes 55.00 State Surcharge)
'Water Turnaround (add 3166.00 Ka 5/8' meter Is required) • •
3105.00 Septic System
p yet 1► (310.00 per as built) (includes County fee end 35.00 Stats Surcharge)
385.00 Flre Repair (replace bumed out appliances. ductwork. eta) (includes 35.00 State Surcharge) Ob
j TOTAL. FEES $ t CV)
CALL BEFORE YOU 0IO. Call Gopher state One Call at (851) 454-0002 for protection against underground utility damage.
CaII 48 hours before you Intend to dig to reeety locates of underground utilities.. www.000herstateonecall•orr
•
!hereby that this Inflxnnation N complete and =unite: 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 in appllcitlon for a permit, and work Is not to start without a permit; that the work will be In
accordance with the orive
d pia In the ass d work which requires arsvlew and approval d • no.
LA) n f�'icl�eft
' Applicant's Printed Nam. •
Appl
cants S gnature
["y p
�. F
1 0 R 0
4 s ,
a.�
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,: 1ui ,.atni r
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:. i d 5_l4'A •+IMP S•
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Y ;:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108545
Date Issued:12/17/2012
Permit Category:ePermit
Site Address: 967 Northview Park Rd
Lot:17 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-170
Use:
Description:
Sub Type:e-Siding & Windows/Doors
Work Type:Siding & Windows/doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
Twin Cities Siding Professionals
664 Transfer Road, Suite 22A
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108545
Date Issued:12/17/2012
Permit Category:ePermit
Site Address: 967 Northview Park Rd
Lot:17 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-170
Use:
Description:
Sub Type:e-Siding & Windows/Doors
Work Type:Siding & Windows/doors
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
Twin Cities Siding Professionals
664 Transfer Road, Suite 22A
St. Paul MN 55114
(651) 255-2844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120954
Date Issued:03/06/2014
Permit Category:ePermit
Site Address: 967 Northview Park Rd
Lot:17 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-170
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.
St Paul Plumbing Heating Air St Paul Plumbing Heating Air
640 Grand Ave
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 -
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
(612) 369-4320
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
City of Eapt
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR Z52016
r
Use BLUE or BLACK Ink
For Office Use I p �t
Permit /35% 44
Perm # 76 ! I j��
0
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/25/2016site Address: 967 Northview Park Road, 55123
Unit #:
Address i city zip: 967 Northview Park Road
Applicant is: ✓ Owner Contractor
Description of work: Residential Deck Replacement
Construction Cost: $/51 /0/7 Multi -Far
gym= t Co. Contact: Joe Stafki
Minneapolis
City:
651-757-6660
Email:joe@deckandbasementco.com
lone.
d certification, please explain why:
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:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
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.gopherstateonecall.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 Building Code must be completed within 180
days of permit issuance.
xAaron Cabbage
Applicant's
x
Applicant's Si
Page 1 of 3
Qty
WRITE BELDWTHIS LINE
/36 Qf I
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
ICAddition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season) _
Porch (4 -Season)
Interior Improvement
Move Building
Fire Repair
Repair
(25%_ 100% X)
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Final / C.O. Required
7- Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Xlc - ytio�
Page 2 of 3
89-128
TRI LAND CO. 4c�7 /�`�2�v;ew ��zk,� , /3�91
SURVEYING SITE PLAN FOR
SERVICES TIMBERWORKS
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 1Z, BLOCK , LEXINGTON SQUARE 6th ADD.
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
N
SCALE: 1"=30'
(MooN89°43'03"W 75.00 ql)(817I )
LCAT 16•
(RAR. FG004.
1397.60
CV
M
I4'(#1
R
(„0
0
d
A7
LOT 17
N
Ih
!' Thi1
a
40"
PROPOSED
NoUSE.
[DAR
2r.o7'
ia34
/5,
8
1,F?
g= GAN
(947 40.5' *w.v.
N89°43'03"W 75.00
01417./ )
IEW
ENGIINTE
gqU
NORTHVIEW , PARK ROAD
LEGEND
o DENOTES IRON MONUMENT
• DENOTES WOOD HUB SET
(897 2) DENOTES EXISTING SPOT
ELEVATION
M7.00 DENOTES PROPOSED SPOT
ELEVATION
�— DENOTES DRAINAGE DIRECTION
sr
RII
P CovbSED Sind r EA/TM' - gym WALKOUT
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= �8
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT BASEMENT FLOOR = 895
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby certify that this survey,plan or
report was prepared by me or under my
direct supervision and that I am a duly
Registered Land Surveyor under the
Laws of the State of Minnesota.
.17,0,0"02,72..eteeQe.ft•9-^•---
Bradley J. Swift , Mn. Reg. No. 15235
Date: ilic‘
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146125
Date Issued:10/10/2017
Permit Category:ePermit
Site Address: 967 Northview Park Rd
Lot:17 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-170
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 -
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146990
Date Issued:11/29/2017
Permit Category:ePermit
Site Address: 967 Northview Park Rd
Lot:17 Block: 2 Addition: Lexington Square 6th
PID:10-45080-02-170
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Aaron T Cabbage
967 Northview Park Rd
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature