664 Overhill Rd, CASH RECEIPT
, i
CITY OF EAGAN
3830 PILOT KNOB ROAD
EA f AN, 99MNESOTA 55122
pATE 19
Rccsiveo
FROM
+ - _ _ - -
AMOUNT $ I
DOLLAR6
too
[:] CASH n CHECK
-? I
roR
r
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0.
01=3210 --'$Idg. Ilermit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.s
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded,
TOTAL
CITY OF EAGAN A0 177 14
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # t /0
To be used toDECK Est. value =1 +000 Date APR 13 , i g 90
Site Add"ss" ooa UvaxtiiLL
Lot , 4' Block 1 Sec/Sub.
W Name ?VIN FI.A"fAU
0 Address 666 OVBRHILL RD
City EAGAN Phone 8$"44
o I Name SAM6
Clty
Phone
?
WW Name
?
?? Address
a W City Phone
I hereby acknowlege that I have read thfs application and state that Ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: KEYIN nATAU
on the express Condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding OHicial
Occupancy
Zoning
(Actual) Const
(Aliowable)
;Y ol5tories
Length
Deptn
S.F. 7otal
S.F. Footprints
On Site Sewage
on sice well
MWCC System
City Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
eldj. Of1.
vanance
OFFICE USE ONLY
161
ib•
Bidg. Permit
Surcharge
Plan Review
sAC, aty
SAC,MCWCC
Water Conn
Water Meter
Acc1. Deposit
S/W Permit
SMi Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
FEFS
23.00
.50
ZS. SI1
Permit Ny, Permit Holder Date Telephone #
WATER
SEWER •
PLUMBING
H.VAC.
ELECTRIC
Inspedion Date Insp. Comments
Footings I
foundation
framing
Rooting
Rough Pi6g.
Rough Hlg.
Isul.
fireplaCe
Final Htg.
Fnal Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Deck FIg.
Deck Final '?- - c
Well
Pr. Oisp.
, P.rAIE FOR GARA[E FI1WSE1 PLAN R,'VIF,tJED & APPRMm l l/30/87 `
XMI ?IA 'Aill' 688--8494 CITY OF EAGAN 10
-' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
AEACTIVAIE ECIR $QIT FINtS[}-PLAN RE,'VIE+1p,D PHONE: 454-8100
8UILDING PERMIT 2/9/88 ReceiRt #
To be used for Est. Value - ` Date ' ,19
Site
Parcel
HI
Sec/Sub.
a Name ". `"v
W
= Address
o
City Phone
. o Name ; 5 i -4t!7 5
? ` Address
? City Phone
U¢
Ly W W '
Name
F
_z.
Address
? W City Phone
acknowledge that I have
State of Minnesota Statutes
Signature of
and state
l-4
OFFIC E USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Well Type of Const
City Water _ (Actual)
(Allowable)
* of Stories
L
th
eng
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments _ Permit
Water/Sewer _ Surcharge
Police _ Plan Review
Fire _ SAC, City
Engr. _ SAC. MWCC
Pianner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL
-1 -T;
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with ali applicable State of Minnesota Statutes and City of Eagan Ordinances
Buiiding Official
- Permit No. Permit Holder Data Talaphone *
Plurtlbing ' -
H.v.ac.
Electric
-,2!s g-
Inspsctlon Date Insp. Comments
Footings I 7,,lr7 `r, ,4 ?/e
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg. ?j
Isul. 07 • 5l f?? O o vtiY'i - Aoo?ti r
Fireplace
Flnal Htg.
Final Plbg. - ?
Bldg. Final o ?_t7
Cert Occ.
Temp. LP ,?o,,,,,?.w? ` -• (?? ? _/t?,6
Deck Ftg.
Deck Frmg.
Well ? a -?
Pr. Disp. - o .rdr;,V
1 ?. -
PERMIT #
. ' . MECHANICAL PERMIT fy ' ??
CITY OF EAGAN RECEIPT # ,C,!
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE:
COMTRACT PRICE: PHONE: 454-8100
Site Address
Lot _ Block _ '
? Sec/Sub BLDG. TYPE WORK DEtSCRIPTION
I
L
Res. -
- New
,
? Name , Mult Add-on
Add
1
4 Comm. Repair
c ress
City Phone i; r aher
?
?
Name
• FEES
RES. HVAC 0-100 M BTU
-$24.00
3 Address _ ADDITIONAL 50 M BTU - 6.00
O CitY Phone ` (RES. HVAC INCLUDES A/C ON NEW
?
- CONSTRUCTION)
' GA8 OUTLETS
MINIMUM
i P
PERMI'
-
(
ER
n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU '`{ - APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM PERMIT PRICE GOES
?
Gas Piping Outlets # .?_ $ 1'--) YOND $1 00)
BE
Other $
FEE:
S/C: SIGNATURE OF PERMITTEE
TOTAL• ? P '
FOR: CITY OF EAGAN
CONTRACT PRICE:
I-L
. . : .?. . . . . .
PERMIT #
PLUMBING PERMIT RECEIPT q -?&16 o
CITY OF EAGAN 9154 ?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
Site Address ? I ' `
Lot u Block SeciSub
Name
4)
? Address
c Ciry Phone ?
? Name
3 Address
0 City Phone 4-1?
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMlIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C tF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNA7URE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. X New x
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FI7(TURES TOTAI
_I Water Closet - $3.00 $
J-Bath Tubs - $3.00
D_Lavatory - $3.00
Shower - $3.00
I Kitchen Sink - $3.00
Urinal/Bidet - $100
1 Laundry Tray - $3.00
' I_Floor Drains - $J.SQ - VWater Heater - $1 50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 '
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.40
I Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
« ..
PERMIT # "
, , • PLUMBING PERMIT RECEIPT ti - '
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PFiICE: PHONE: 454-8100
Ciry
? Name
c Addre
3 L
o C'b -
c V
Phone
Phone
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS - COMM RATE APPLIES
TOWNHOUSE & CQNDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .SO
(ADD $.50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
BLDG. TYPE WORK D ESCRIPTION
Res. ,1- New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N FIXTURES
P TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
2 Lavatory - $3.00
1_Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ? - STATE S/C: , S :?
L?." .
GRAND TOTAL: ? ? • -f`-•'
r
fger#ifiratp uf (Orrupanry
titp of (Eagan
appwrhtMt# Df sltdbttlg 3wptftDtt
This Certffcate issued pursuanl ro tlie requirements of Section 306 of rhe Uniform Building
Code certifying that at the time of issuance this structure w+as in compliance with the vanous
ordinances of the City regulating building construction or use. For the following:
" ffWG/GAR ewe. n,Va No.
ux cLmiGadoa `
O-UPS-5, TYDe ?3 Tomiug piatrict `-?-? Type C.omt.
owner d sOdins Add„ms1152 1 Sr
- ;i?II.T: ? . . j;? ? 'i ,71
Huildine Addrras LOw'ty
Mre: )CRM 2.
Bw7ding Olfecid
POST IN A CONSPICUOU3 PLACE
..,.. r. r.;:. y .
CITY 4F EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at Ll?' rr i?
I have this day inspected this structure and
these premises and have found the following
violations of city codes governing same:
When corrections have been made, please
call 454-8100 for inspection.
? ?
Date - ?"
-r-- Inspector City of Eagan
DO NOT REMOVE THIS TAG
,?? ,r/ i4 'ZG 5 X ?r C?F-/ C_
' -
OF EAGAN Permit No: Dete:
Piiot Knob Rwd Meter No: Size:
Box 21199 Reader No: Datec
m, MN 55121
cr -.rRn? . ,
:,
Fatct I
Conn. Chg: C2 5•00r' !
Zonin T1
l. ? . 0 r, 9. '
Acct Dep:_ aP = No. of Units: ?
Permit Fee: ?-0• 00pc
Surcharge: I agree to compiy with the City oi Eagan -
Tr. Plant I ?'O• OOQUI Ordlnances. ?
Meter.
Misc.: gy
WATER SERVICE PERMIT '
.;
- - - - -- - --- - - - - - ..,
CITY OF,fAGAN SEWER SERVICE PERMIT
'3830 of Knob Roed ?, t./,
p?, px 21199 PERMIT NO.: _
Eayan, MN 5512 ?1 DATE:
Zoning: No. of Units:
.t?ran ()aks
Owner.
Address: Site Address:
664 QverhiJ.l Road I.A B1 Overhiil F:izr: II
Plumber. Va.2leq Plutabing
I sgree to comply wHh the Clty ot Eagan
Ordinances.
BY
Date of insp.:
Inap.:
IOO.OOpd
Connection Charge: 52 5- nCIFr1
Account Deposit: 3 S- 00, f!
Permft Fee:
Surcharge:
Misc. Charges:
Total:
Dete Paid:
CITY OF EAGAN Permit No:
693
3830 Pfiot Knob Road Meter No: P.O. Bo?c 21199 Reader NoMEE
3
Eagan, MN 55121
Owner. Cxand Oaks
Site Address: ?S,G ('verhill poad I}4 T;I
Chg:
Fee:
Tr. Plant
Meter. _
Date:
" o
Size:
Date: - -
?'ana ''I :
525.00
"ng
15.00 y?
r .
???'
1 ?? idi g?g c?1 OGdT
?IONE - E 'l??rJS E10.
???.'., gree"'4o comply with the City ot Eagan ?
WATER SERVICE
CITY OF EAGAN N2 17714
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-8100
'
QL
BUILDINGPERMIT Receipt# ---C 7
To be used frRECK Esc Value $1, 000 Date APR 13 ,1990
Site Address 664 OVERHILL RD
Lot 4 Block 1 SeclSubOVERHILL FARM 2ND oFFICE USE ONLY
Parcel'NO. Oaupancy - FEES
Zoning
w Name KEVIN FLATAU (qctuat) Const - eid9. Permil 25.00
; Address 664 OVERHILL R? (Allowabla) - • SO
° Surcharge
Cit EAGAN Phone 688-8494
y eo+stodes
161 Plan Review
Length
p Name SAME Deplh 161 SAG Ciry
i
0? Add?ess S.F7otal -
SAC,MCWCC
? City Phone S.F. Footprints -
'Nater Conn
On Sile Sewage -
r
ww
Name
OnSiteWell -
WatarMeter
i= AddfeSS MWCC Sysiem _
.w
City Phone Ci Water
N - Acct.Deposit
S/W Parmit
PRV Requiretl _
I hereby acknowlege iha[ I have read Ipis application and state [hat the Booster Pump - SMf Surcharge
inlormation is correct a?mplywit II applicable State of
Minnesota S[aW[es and City of an Or ina Treafinent PI
Signature ol Per` ee / ? APPROVALS Road Unit
KEVIN FLATAU
A Building Permil is issued ro:
Plannar -
park Oed.
on the express Condition ihal all worH shall be done in accordance with ail Council
applica6le Sta[e of Minnesota Statu
te
s and
City
f
o
Eagan Ordinances. gldy_ pff. Gopies
?
QQQ
'y
I
y
?
BWldiflgOflicial tNd,,,?i,,?,(,fA. ? 111? Variance _ TOTAI 25.50
CITY OF EAGAN N° 1 3 9 1 O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDINGPERMIT ReceiPt# 'fs539
7o be used for SF DWG/GAR Est. Value $66,000 Date JULY 14 ,1987
SiteAddress 664 OVERHILL RD OFFICE USE ONLY
4 1
Lot BloCk Sec/Sub OVERHILL FARM 2N OnSiteSewage Occupency R3
. MWCCSystem X Zoning gj
Parcel No. On site Well rype otConst
?
City Weter (ACtuap
a Name GRAND OAKS DEVEL CO (nnowable) V
W
=
Address 4521 SO HAY LARE
RD # Of SIOfIBS
Length
? City EAGAN Phone 452-8934 oevth 4g
S.F. Total
,o Name SAME 457-4075 FootprintS.F.
?Q Address APPROVAIS FEES
f City PhonC Aasessments Permit ? 384.50
Water/Sewer Surcharge ???
ww
W Name Polica _ PianReview 192.25
AddreSS Fire sac, crtv i nn _ on
595
(1
u Engr. _ SAC,MWCC _0
aw City PhOne Planner _ WalerConn. 575.00
councii _ waterMeter 67.00
I hereby acknowledge that 1 have read this application and state Bldg.Otf. _ Road lJnit 305.00
thatthein(armationisconectandagreetocomplywithallapplicable APC _ 7reatmentPl 180.00
State of Mineesata Statute tl City gan Ordinances Variance _ Parks
Signature of Permittee ?? ?j
?/ Copies
TOTAL
$?3?n5
A Building Permit is issued to: GRAN AK EL CO on the expiess condition tbat
all work shall be done in accordance with all applicable ta of Minnesota St utes and City of Eagan Ordinances.
Building Official
?
ECTI ;EQUEST FOR EL?ECT R?I CALg INSPo m oooeVck of vallow .ovv. EB-00001-06
"X-" Beloiv Wark Covered by This Request
E 14? 16
Nevv Ad? Fep. Type oi Buildmg Appliante. Wired Equipment WireA
Home &inge Temporary Service
Duplax Water Heater Lightiny Fiatures
Apt. BuilAing Dryer Elecirlc Heatin
Commercial Bidg. Furnace Silo Unbader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm inr, ae<:i v 01ne, (s.,enrv)
? .i SnecifV Other 01h,)r
COO]O!/IE l/lSDEGIIOR FPP BPIOW
p Fee ServiceEntrance5iie b Fee Feetlars/5ableeders d Pen Cirrurts
U to 200 qm s 0 to 30 Am )s 0 to 30 F?m s
Above 200 Amps? 31 to 100 qntps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers lrrigation Buoms Partial•'Other Fee
Signs Special Inspection
TOTAL FE
rrarks
e
'd
r
Fou h-in /
B Date
?e ElacUic
Insaec?or. nerebv
certify that Me nbove
Final
I ins action has baen
mee .
TNe request voiA 18 monihs fram
TAis reQOest void
IB months fmm
E 1401f ??t ??
8 9??--
Slreet AAAress, Boa or Roale No. City
CQCo`-/ CDverlli(? ?q q?1
ecuon o. Township Name or No. H?npe o. County
Occupant IPflINTL
ev i? F(ct 1'au Phone No.
Power SuVOlier
L
?
l
?
I Atldress
e o
,
e?-
a,
q
Electrical Convar.tor ICOmpany Nemel Cnnnaclor's License No.
Mailine Address IConuaclor or Owner Makinp Instailatiunl
l
SO,
Authorize ' nature (Convacto r kiny Installationt Phone Number 40 ry? szi/
MINNESOiA STATE 80AFD OF ELECTNICITV THIS INSPEGTION NEQUEST WILL NOT
Griggs-Midway Bldg• - Poom N-191 . BE ACCEPTEO BV THE STATE BOAPO
1821 Univarsitv Ave.. St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Pl?nnw 16121 642-0800 ENCLOSED.
? Licensed Elecuical Contnctor I hereby raduest inspection of above
? Owner elecVical work instelled at
-? c REQUEST FOR ELECTRICAL INSPECTION es-ooooi-o
III Sae insfructions (or compleung Ihis lorm on beck of yellow cooV.
":X" 8elew Work Covered by 7his Request
? 66142 `
Fdd Nep. Type ot BuildlnB APOlion[ea WireO Equiument Wired -
Home Range Temporary Service ?
Duplex Water Heater )(' Lightiny Fixtures
ApL BuilAing Dryer Electric Heavn '
Commercial Bldg. Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Ome, oI Mno, (sn3,fv)
t p pther Other
ompute Jnspection Fee Below
p Fee Sarvice EntrenceSize H Fae Feetlers/Subleeders ? Fee Circuiis
0 to200qm s Oto30Am s Om30An>s
Above 200 q?nps 31 to 100 Ainps 31 [0 100 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms 'OtlijWr Fee
Signs SVecial Inspection $ ? TOTAL FEE '
em?rks ?
PouBh-in Date
I, Ihe Elacvi
Inspectaq he?eby
cerlily ?hat the above
Final
o (? insDeciion hes ?aen
mae.
This repuesl voltl 18 monihs Irom
This request void p
18 rrqn[hs (rom ?/?/O F
0 66142 ? `?r
Hequest Date/ ? Fire No. RouPh-in Inspeciion
/,
/
S /Q? Re wretlt
Y ?FenAy NowKW.li NntitY lhsaec-
lor Wh
fl
//` es ?NO en
eady
E] Licens d Elecviwl Contrmclor I hareby request insoection oi above
P Ownpr elactrical work inatelled at:
Streei Address, Boz or Route No. City
6?l aYE2rfit? P.A ?A?/?
cbon o.
e Township Name or No. qanee o. f,owiry
7 -lJ
Occ?Uan IPPINTI
E F4-R-rAu. Phone No.
Power Sup0lier Address
CI-f' ?ic-
Electrir.al Cnnlraclor ICompany Nam21 Contrar,mr's l.icense No.
Mailinp AdJress IConVacmr or Owner Makinq Ins?ailatioN
Authoriz gnamre (Conhaetor/gn M ing InstallaUnn)
?l- Phone Number
8j_?l9?/ W
? So?'L
MINNE OTA STATE BOAPO OF ELECTRICITY TMIS INSPECTION flEQUEST WIIL NOT
Griges•Mitlway Bltlg. - Room N•191 BE ACCEPTED eY THE STATE BOAND
1821 Univarsitv Ava., St. Peul, MN 55104 UNLESS PpOPEH INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
] REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
0 Sae insVUCtions lor comple<ifg this form on Eack oi yellow copV# 7W?3?8'
D•`^? `?J? ^J 7`n "X" 8elow Wark Covered by 7his Request
Ndtl rce0. -Type of Boilding 11 Apoliancae Wired Equiumeo? WireO
Home Range Tempo?arv Service
I I I I Industrial Bldo. 1 I Air Conditioner I I Bulk Milk Tank I
p Fee ServiceEn[rancaSize p Fee Fepders/5ubleeda,s N Fex Ctrcuits
Z? U to 200 Am s 0 to 30 Am s Lb 0 tn 30 Am>s
Above 200 qm ps? 31 to 100 Amps 31 to 100 A s
Swinuning Pool A6ove 100_Amps Above 100-Amps
Transrormers Irrigation Booms Partial.'Other Fee
I I I Signs ' I 'Special Inspection ?S ? /?'
aemarks I ( ? TOTAI FFIE? ?(?i i.,y
. f/.f.Y "` 1
??l?Jl/IA.C[J I tha Electncel I
? ? ^ 3? Insoector, ne?eby
- certily thet the nbove
Final „ Ll? D:y1B^ m n,pection has been
7 ade.
Tnle reQUest
This rr.quest voitl
18 rtpnths tmm p
D 12?7 0?.
Renue9i, Date ' Fire Na.
1 flouPh- in InsVection
Reqwred?
[-]floady Npw ill Notify Inspco-
1
Wh
R
Yes ?NO or
en
eadV
Licensed ElecVical Contractor I heraby request inspection ol ebove
Owner electrical work installetl ar.
Street Atldress, 8oz ar Route No. City
ecvon o. Township Name or No. Range o. County
Occu nt (P0.1NT)
'
l
q 14 S L`
?KA
C) Phone No.
z
?l
?
/
l?
r.
A
,
/ -
3
-
S
Power SuOUlier Adtlress
(?/-1 d 77? ??L?R iC
Eie?ch1ical Contraclor ICOmpany Name) / Convar.tor's License No.
ly S??P 1'1 PI EG'?i" !C o! n• O I Gl fi' S-
Mailing Adilress (COnVactor or Own¢r Making nstailationl
?
?7s Gl?
cv 3 - UA? - ,
Aut rized Sienawre ICOnVactor/ ner Makine lnstallationl P one Nurnber
/
. /r]_'K_?Sdy.L'[_-? M' 36
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Grie9s•Mitlwey Bldy. - Room N-791 BE ACCEPTED BV THE STqTE BOAPD
1821 Univarsitv Ave.. St. Peul. MN 55104 UNLE55 PflOPER INSPECTION FEE IS
Phone (612) 692-0800 ENCLOSED.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
?Q d 77 S_?
NewConsWcNOn Reaufremenls RemodellReoairRaoviremeMs
. 3 registered sile surveys shawing sq. R of IW, sq. fl. of house; and all roofed a2as • 2 copies of plan
(20°k maximum IM cwerage allowed) • 7 set of Energy Calculatlons tor heated adEitians
. 2 copies of plan showing beam & window saes; poured found design, elc.) • 1 sRe wrvey (or exterior additions & decks
• 1 set of Energy Calculatiwm • Indicate'rf home served by septic syslem tor add'Rions
• 3 capies oi Tree Preservation Plan if lot platted after 1/1(93
• Rim Joist Detail Options seleGion sheM (bldgs wilh 3 or less unifs)
DATE / _I VALUATION
JOB SITE ADDRESS bq?' I D V' Gr ?? I( ?? ?l
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? S Q
PROPERTYOWNE?R '?/
, ? ctddK
TYPE OF WORK IS r?Sn,'dL/ FIREPLACE(S) _ 0_ 1_ 2
APPUCANT .S-c I q I(Ob}f-2? PHONE# ??+' CtSz3
ADDRESS L1lw ?7?CCISior VIIed ZIPCODE"J`'5?/A
PAGER #
GELL PHONE #
FAX #
rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Enerqy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULE5 7672
- New Energy Code Worksheet Su6mitted
Plumbing Conhactor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
?Z ?k? `? ?
Mechanical Conhactor.
Mechanical System Includes: Air Conditioning 2002 $70'Q0
R1
AP
Heat Recovery System F
I
Sewer/Water Conhactor:
ja?e
Ali above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Stgnature of Applfcant
Certificates of Survey Received - Tree Preservation Plan Received _
Gct, and agree to comply
c
Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg '
? 02 SF Owelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ ptex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Cade
SAC Units
Nbr. of Units
Nbr. of 81dgs
Type of Const
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof fce& Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Perrnit
license Search
Copies
Other
Total
O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Mave Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
O 37 Demolish (Bldg)` ? 43 Reroaf ? 46 WindowslDoors
'Demol(tlon (Entlre Bldg onfy) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Fina
_ UC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
.
1990 BUILDING YERMIT 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 WHICH 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 BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
^.?J0, x L' F.fCD
To Be Used For
Site Address
b Z-6L Valuation
4?6L/ 6V?e1?lttai
Lot 1? Black I
Parcel/Sub 4p,ymi
Owner 4CV//4 ( rLa71}'C-C
Address
City/Zip Code L.'4L4,Q SS(Z?
Phone c gk - W-7 v
Contractor Q(}-) lJ8iL
Address
City/Zip Code
Phone
Arch./Engr. (>(A-? tiJek _
Address
City/Zip Code
Phone #
I (70O Date:
ONLY
FEES
Occupancy
Zoning
Actual Const Bldg. Permit o25,00
Allowable Surcharge .SO
# of stories Plan Review
Length rtiT SAC, City
Depth 16 SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
ICity water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL afi_?n
Council
Bldg. off.
Variance
- .,
0•=k
384•5u+
3S•UU+
19'I_•'L5+
h25•UU+
525-(lU}
67•00+
305•OU*
180•Uu+
2, 511•75*
/3 4
1987 SIIILDING PERMIR APPLICATION - CITY OF EAGAAI
\`yID
'
SINGLE FAMILY DWELLINGS
INCLDDB 2 SETS OF PL9PS, 3
OF SDRVEY, 1 SET OF ENSRGY C9LCOLATIOHS
I .,
NOTE: ADDRESSES FOR COENBE LOYS - CONTR9CTOR/HOMEOANEE MQST DESIGAATE WHICH ADDRESS
IS DESIRED. NO CH9NGES WILL BH ALIAWED ONCfi BIIILDTNG PERMIT IS ISSDED.
M[JLTIP?E DiiEC,LINGS - RESIDBNTI9L REdTAL UFIITS FOR SALE QHITS
INCLUDE 2 SETS OF PLANS, CfiRTIFICATS OF SQRYEY - CHSCB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuat ion: Ct!:?O Date: ?-
Site Address OFFICS USE OATLY
Lot ? Block On Site Sewage Occupancy
_
MWCC System ? Zoning ? I
Parcel/Sub ??? On Site Well Type of Const
City Water ? (Actual) ?
Owner (Allowable) SC
lf of Stories
Address Length 44
Depth
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVALS FSSS
Contractor (??e A?f? ?CS Assessments Permit
Water/Sewer Sureharge 33.
Address ?S Z- ? Police Plan Review
Fire SAC, City O? o
City/Zip Code ? G'e-c' (a----- Engr SAC, MWCC SZS.
? Planner Water Conn 52S
Phone . -?3_ Council Water Meter Cn`7.
y Bldg Off Road Unit 30S
Arch./Engr. APC Treatment P1 lb0.
Variance Parks
Address Copies
TOTAL
?
City/Zip Code
s-
Phone #
i?
;
. EXTEkIOR ENVELOPE AVEFAGE .'ll' COMPUT A7TON
- GRAND DAK5 DEV't"LQPME NT COhiAANY ` •
MODEL. 0 AREA U.. U X AREA
? .
REOUIFED
TDTFlL WALL-FlREA 1800 X .11 193
i. TdTAL RpDF,ARFA 1196 X. 026 31•096
ACHIEVED
AREA U U X AREA
A. W I NDOW AREA 186. 66 . .5 9,;, 3'
6. DOOR AREA 34.8 .077 :.064Ej
C. SLIilE GLASS AREA 13.44 .40 6.45IP.
D. FIFEPLACE AREA U 0 o
F. WF:LL FRAMr AREA 1 o0 .041 i•= J
F. NET WALL AREA 1164.1 .049 57.0409
- G. RIM JOIST AREA 119.52 .0436 5.211072
H. (=OUND WINDOW AREA U G 0
1. FOUND APDVG GRADE 46.48 .135 13.024E1
3. TOTAL WAIL AREA 1800 I 1Q5.50".'.6
J: SKYLITE 0 0
K. R00P FRAME 119.6 .032 3•927-
L. NET ROOF AREA 1076.4 .025 26.91
4. 7OTAL ROOF AREA 1196 -?o•7372
SUM 1.+2. 229.09b
5UM 3.+4. 2i6.2390
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
xxxr?xrxxrxxxxxxrxxxx:sxxsx?xtt#*
*AT?': PAYMF:NP OF FEE AT TIN1E pF
p,rrrscATIoN noFS Nar CONSTITUTs
APPROVAL OF PERNII.T.
INSPF7CPION OF SETWIt APID/C2 iOTFR
II'STALLATTONS WILL NXYYP EE SCHED--
ULID tWII. PII2MIT HAS BEEN
APPROVF9.
. . - xxxineswsarxxiexxx xxararxxrwwx:arari:xxxis
P ease Print)
? 1? PROPERTY ADDRESS: 01_1e,Q / ?1244
LEGAL DESCRIPTION: L'c( 6 / °-
, %Lu«i8-LocxiouDaivision or Tax Parcel ID #)
IF EXi3TING STRL'C1T.'RE, DATE pF ORIGINAL BOILDING PERMiT ISSt'ANCE: "
; .
PRESENf 7ANING/PROPOSID L?SE: (Abn Year ..
0 CObYMERCIAL/REPAIL/OFFICE
Q IDIDCTSTRIAL
[1 INSTI'IL'TIONAL/GOVERNMEN'p
JD_-R?SINGLE FAMILY
Q R-2 DLTLEX (2WO Units)
? R-3 TUWNiOIISE (Three + Units)
p R-4 APARTMENP/CObIDOMINIIIM
( C?nits)
( tlnits)
2) ?
NAM:
ADDRESS:
C:iTy. STATE, ZIP: '
PHorE:_
• 3) ' c ?• NAME. V
ADDRFSS: L
i CITY. STATE, ZIP:
PHONE:
MASTIIt LICENSE# Z ( Cl "? ?
4) •• • i?•
tVAME: ' ?
ADDRFSS: •
QTY. STATE, 2IP:
PHONE: •
Plumbers License:
P,ctiVe
F?cpired
Not recorded
Staff Initial
5) ? v ? a: • ?• : ? - o? • ?? -
Q-E?i6NTO ciTr SEam c=Ty waTm p an?
6) u • • r
C] PL£ASE HOLD APPROVID pEFtMIT FOR PICK-LTP BY ONE OF ABpVE
__[a-+tEA9E MAIL APPROVED PERMIT TO 1, 2, q?$, pg()Ug
A n l (Circle one)
FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ (D 'S J $ SEWER PERMIT (INCLUDE SURCHARGE)
$ ?J ' Sb $ WATER PERMIT ( INCLC'DE SL'RCHARGE )
$ $ WATER METER/COPPERIiORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ /S? e-Z $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
S $ wAc
$- $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TR[!NK WATER
"'$ 1I1Q $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S /?C??• O--Z) $ TOTAL
75.5 3 j
RECEIPT
RE
E
C
IPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEIV A" PERMIT FOR WORK WITHIN PLBLZC
ROADWAY" MUST BE ISSOED BY THE ENGINEERING
Q
NO
DIVISION. LIST
AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
?
APPROVED BY: (5?, ,/
/
TITLE:
DATE: ///S 2f 7
,q? I P
2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
'I'clephone # 651-675-5675
Please complcte for, single family dwellings &townhomes/condos %%hen permits are required tbr exch unit
,450,66
6v_?
Date 0 7/ 3 1/ 0 7
Site Address 664 OVERHILL ROAD Unit #
Propcrty Owner JIM & LOUISE WELDON Telephone #( 651 ) 681-9135
Contractor GENZ-RYAN
Strcet Address 2200 W HWY 13 City BURNSVILLE
State MN ZiP 55337 Tclephane# (952 ) 767_1000
Bond 4: 929298827 Expires: 8/14/07
'Phe Applicant is _ Owner X Contractor _ Other
Fire repair (replace burned out appliances, duelwork, ete.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
AJd-on or alteration to existiog dwelling unit $ 50.00
X furnace _Additional X Replacement _ New
air exchanger
X air conditioner
heat pump
other
State Surcharge $ .50
Total S 50.50
[ hereby appty for a Residential Mechanical Permit and acknowledge that the intormation is somplete and accurate; tha[ the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; [hat I unders[and this is not a
permi[, but onty an application for a permit, and work is not [o s[art without a p)ermit; that the ork will be in accordance wi[h the
approved plan in the case of work which requires a review and approval of pl?an/s./
KIM RENVILLE
Applicant's Printed Name VLOMant'sSiynatule_ I?pl AUG
?? ?
? :YOR'S CERTIFICAT
GRAFlD OAKS DEVEL(1PMEPlT CO,
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SHEET 2 OF 2 SHEETS
PROJEC7 N0. BOOK / PA(3E
874 0 4 pp6 /13
FILH NO,
FULDER
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
81ooMington, Mn. 65431 812-884-3029
SURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENf CU.
#461
--4- DENOTES PROP05ED SURFACE DRAIN{lGE
O DENOTES IRON MONUMENT SET SCALE; 1 INCH = 30 FEET
• DENOTES IRON MONUMENT'FOUND PROPOS[D GARAGE FLOOR = 955• 3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST fL00R = 9 S 1,5 FEET
(000.0)„ DENOTES PROPOSED ELEUATION PROPOSED TOP OF f3LOCK = 9S 5.') FEET
I NEREDY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TIiAT THIS IS A TRUE AN D CORRECT
REPRESENTATION OF A SURVEY OF Ttl[ DOUNDARI ES OF:
Lot 4 Block .l, OVERHILL FARM SECOfID ADDITIOPI according to the
recoraed plat thereof, Dakota County, Ilinnesota.
AtID OF TIIE LOf.ATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENTS.
OR EIJCROACIIMENTS, IF ANY, 711EREON. AS SURVEYED 6Y ME, OR UNDER P9Y DIRECT SUPERVISION,
TIiIS ?Tt+ DAY OF JuL.`{ , 1987.
51GNED: JAF?R. LL, INC.
?
l , /,??
DY: 1
HA OLD C. PETERSON, LAMD SURVEYOR
PIINNESDTA LICENSE N0: 12294
PROJECT NO.
87404
FILE NO,
FOLDER
BOOK / PA(3E I JAMES R. HILL, INC,
226/13 Planners / Engineers / Surveyors
8200 Humboidt Avenue South
Bioolntngton, Mn. 65431 812-884-3029
i
SURVE
N
R'S CERTIFICATE
GRAND OP.KS DEVELOPMEPJT Cn.
#461
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SHEET 2 OF 2 SHEETS
PROJECT NO. 600K / PAdE
874 0 4 226 /13
FILE N0.
FOLDER
? J
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?a 950.8
W-?
JAMES R. HILL, INC.
planners / Engtneers / Surveyors
8200 Humboldt Avenue South
Bfootnin8ton, Mn. 55431 812-884-3029
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 664 Overhill Rd
Lot: 4 Block: 1 Addition: Overhill Farm 2nd
PID:10- 56151- 040 -01
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:
Window World AKA Probuilt America
2211 l lth Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
James A Weldon
664 Overhill Rd
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA083111
05/19/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119857
Date Issued:12/26/2013
Permit Category:ePermit
Site Address: 664 Overhill Rd
Lot:4 Block: 1 Addition: Overhill Farm 2nd
PID:10-56151-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
James A Weldon
664 Overhill Rd
Eagan MN 55123
(651) 238-0601
Aboveboard Roofing & Siding Inc
22909 Meadowbrook Avenue North
Scandia MN 55073
(651) 238-0601
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143844
Date Issued:06/28/2017
Permit Category:ePermit
Site Address: 664 Overhill Rd
Lot:4 Block: 1 Addition: Overhill Farm 2nd
PID:10-56151-01-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Yaming Walter Hong
664 Overhill Rd
Eagan MN 55123
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151536
Date Issued:08/29/2018
Permit Category:ePermit
Site Address: 664 Overhill Rd
Lot:4 Block: 1 Addition: Overhill Farm 2nd
PID:10-56151-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Yaming Walter Hong
664 Overhill Rd
Eagan MN 55123
(651) 347-8742
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature