3060 Pine Ridge Dr
CITY t- EAGAN WATER SERVICE PERMIT
?3795 I dot Knob Rood PERMIT NO.:
Eagar., MN 55122 DATE
Zoning: _ No. of Units:
Owner. - 1=.'z-, ;
-,+ • ,
ddress:
Site Address:
Plumber: ?
Meter No.: Connection Charge:
Size: Account De
posit:
Reader No.: Permit Fee:
1 agree to eomply wifh !he Cety of Eogcn Surcharge:
Ordinances. Misc. Charges: • -
Total: . ?= ?-
By Dote Aaid:
Dute of Insp.: _ ins
p..
+ CITY aF EAGAM SEWER SERVICE PERMIT
3795 Pilor Knob Road PERMIT NO,: -
Eagan, IvtN 55122 DATE: _ • ? ? ..
Zoning: No. of Units: ?
Owner:
Address: ' _ .._
',Site Address:
?Plumber: . . . . .. _.: . _. .
1 ogree M coreply with the City of Eogan Connectiort Charge: : ;d
------------
rdinances. Account Deposit:
Permit Fee•
Surcharge: '
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Pcid:
CITY OF EAGAN
.. 3795 Pilot Knob Road Ecgan, MN 55122 N2 4507
PHONE: 454-8100
BUILDING PERMIT
I I
57s000•' I Receipt #
Site Address •}'='?U t'1C'-`='ilZ'.
Lot Block Z Sec/Sub. 'Z'1mh@T'line
Porcel # ? -, ?;3oa 12 "' 02
?
z
3
0
lne
z
ot
v?a
?
- Erect Occupancy T
AC'.''i Alter ? Zoning
Repoir p Fire Zone ?
? Enlarge ? Type of Const. J
Nome -'iabert Feldkamn Move ? # Stories ?
Address .67 gnep8rd Rd. Apt lnn Demolish 0 Front ft.
Narm ' vn/Da1e Iiomes Inc
Address l?? ?8 Yan'tee I)ooale Rd.
Name _
Address
Assessment _
Water & Sew.
Police
Flre
Eng.
Planner
Council
Permit ? • Q 0
Surchorge • ?'--
Plon check
SAC ' 9 • 0 t)
Water Conn -
Water Meter -' • 70
I hereby ocknowledge that I have read this opplication ond state that gldg. Off.
the information is correct and agree to comply with a!I appficable APC Totol
State of Minnesota Stotutes and City of Eagon Ordinonces.
Signature of Permittee r
A Building Permit is issued to: on the express condition thet
oll work shall be done in accordonce with all opplicable State of Minnesota Statutes and City of Eogan Ordinonces.
Grade p Depth
Approvals Fees
Building Officiol - f--'v
PwMk # Dete Imwd PaskMs
Plumbing
Mechonical
INSPECTIONS DATE INSP• Rouph-In flnal
?
Footings Dote Insp. Dote (rrp.
Foundation ?• z s- ? Plambing ,S - )
Frome/ins. Mechanicol
FinCl
Remarks: Lt1
cinr oF EA"N
? 3795 Pilof Kaob Road
i • Eugon, Mlnnesota 55122
Phane: 454-8100
PLU11BING _ PERMIT
Date: January 26, 1978
Site Address: 3G?.p Pirie RilnQ ?7rivf,.
Lot IBlock 2 Sub/Sec.k-)`Ii'-n"' "=-^l <,rline
I Name T • rA1dkarnF)
Addres
City
_ Phone: -
No
- ?:
Receipt No.:
Single
Residentiol X
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
?,.
Permit Fee
Name "?'er.z'?• Stuzm Pluntbincl ? .50
? Surctarpe
? Addreu '449 Gunflint Trail
0
u -?-r-uok]. zi Fark55444
lCity Y Phone: Total
This Permit.is issued on the express condition that all work shall be done in occordance with all applicable State of
Min!ne spkr'Statutes ond City of Eogon Ordinonces.
/
Building Offfciol
CITY OF EAGAN Remarks ?
Addition Oslund Timberline Loc 12 aik 2
Owner!?'?.' ••,-? "" ?1??/ ?1-E'c??treet 3060 Pine Ridge Dr.
Improvement Date Amount Annual Years Payment Receipt Date
STR EET SUR Fpg 0
3
1976
STREET RESTOR. 1971 $$$(j. 00 $$$. (Q 10 A004830 10-4-77
GRADING
y SAN SEW TRUNK 1968 $100.00 $3.33 30 66.70 A004830 10-4-77
I?L*SEWER 1970 2005.00 100.25 20 1203.00 A004830 10-4-77
*WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA al-A 149.34 A004830 10-4-77
*STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
s,ac 475.00 7632 0-6-77
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, M I N N ESOTA 55122
DATE
RECEI V HD
19
AMOUNT $ I
& DOLLARS
?oo
[:]CASH ? CHEGK
??.
..? B Y
NUMERICAL FILE COPY
- INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot KnOb Road Permii Number: 4C,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 '
SITE ADDRESS: APPUCANT:
11Jt; ?, til kii ,
{t fllfif_ 1312 i:: t.?Iti Nl???i I: •. i r, I*d?? z t?
U?1i Uldf? i 1M?f.RI IFlF
PERMIT SUBTYPE:
; vI i I
TYPE OF WORK:
::? rs?RAt toN
i r t,, i i-. l! i!;. 'N .I11i N(3 ? A l l I Pl Tk I M
INSPECTION .. • DA
? 111.11 1 M ti 1??
? s
? ?
Pertnit No. Parmft Holder Date Telephone #?
ELECTRIC ?
PLUMBING
HVAC
Inspection Date Inop. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIqEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029546
02J27/97
SITE ADDRESS:
3060 PINE ftIDGE DR
LOT: 12 BLOCK: 2
OSLUND TIMBERLINE
P.I.N.: 10-55300-120-02
DESCRIPTION:
.? SIDING & ALUM 7RIh1
?dJ??.n?;Permit rype sF (Mrsc.)
pUxI'di ng= T y p e ALTERATION
??'?gg^vry434 ALT. RESIDEN7IAL
? Y $
xp
?
%.
•'??.5 OiYF
ae'R??seg??
9 k?.u
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Swrcharge
Total Fee
$137,25
14.@0
$141.25
$8,000
CONTRACTOR: - ppplicane - sT. LIC OWNER:
B,EISSEL WINOOW & SIDING CO 14516$35 0006453 FELqKAMP , BOB
153 E THQMPSON AVE 3060 PINE RIDGE DR
?ST PAUL MN 55118 EA6flN MN 55121
""(512) 451-6835
_.., . w .-, ..
I.heretiy d???t0?.tkBdg? ?h?,t. T hsu-e??^??d,?hts ',?`pplirs'a`tlattY?fit1's't??e; tba'C t=hs
irnforrfi#tttcirr -19 e0r?"r0a?d?? a.g-t-e?- ?cs yo2i??ky With`a,1L appli?zabi°e° Sta? 6f tin.
"s ta??te-, s ?nd ;City Eglg'an -Drdinar?????-- ,-;
?.... . . . _ __ ?"_.__.._ .._. _. . .__.. r, __. ,.r.?.. . _ ?
APPLICANTlPERMITEE SIGNATURE
W997 BUILDING
New Conatruction Reauirements
SemodeVReoair Raouirements
5?lql as
;7?.
? 3 registered site surveys ? 2 wpias of pfan
• 2 copies of plans (inGude beam 6 window sizea; poured fid. tlesign; etc.) ? 2 slte surveys (exterior additi?onc 8 dedca)
? 1 energy wlwlations ? 1 enaigy calculations for heated addRions
? 3 copies W tree preservadon plan if lot platted after 717/93
requiretl: _ Yes _ No -
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK -, ?
STREET ADDRESS: c7 e .
LOT _IA BLOCK o2- Sl1BD./P.I.D.
PROPERTY Name: ????? ?e???<<-•-f? Phone#:
owNeR
Street Address: n-
City: State: Z d Zip:
CoNTIUCTOR Company: 11, <<f i Phone #: y5'i l u3s'
5treet Address: License #: ? 41s- ?
City: ???,<??. /-?w ? State: /? Zip:S S r? ?
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalry applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iMnrtnation is correct and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
L
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No
PERMIT APPLICATION (RESIDENTIAL)
cirr aF E?caN
3830 PILOT KNOB RD - 55122
881-4675
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. o
0 03 SF Addition ? 08 8-plex n 13 Garage/Accessory ?
0 04 SF Porch ? 09 12-plex ? 14 Fireptace n
? 05 SF Misc. ? 10 _-piex ? 15 Deck
WORK TYPE
0 31 New 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main levef sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq.ft.
Building
Permit Fee /3 7 a 5 L
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Tocae ? i41 a s
y . ^• ;?;:..:.r,
16 Basement Finish
17 Swim Pooi
20 Pubiic Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Engineering
Variance
-77
o?
/
?
Valuation: $ Oz?-,
% SAC
5AC Units
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
5 / ) R
Date
/
Si
? -pi U
it #
te Address n
?
Property Owner Telephone #(
Contractor
?
StreetAddress
lU?-l?l `f
W1'A?l?
State Zip ? elphone #
Bond #: Expires:
The Applicant is _ Owner _ Confractor _ Other
Add n or alteration to existing dwelling unit $ 30.00
furnace Additional -
Replacement
air exchanger
- -
?
air conditioner New
Replacement
other
" ? 0
State Surcharge -4
MAY 2 p 2
004 $ .5
By S
?D ?
Total
,
I hereby apply For a Residential Mechanical Pemut and aclmowledge that the information
A/? ?? 1-w& ;omplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mec
pemut, but only an applicarion for a perxnit, and work is not ro start out a perm?t f
approved plan in the case f work which requires a review and appro
1 // al of plans.
ical Codes; that I u s d this is not a
the work will m ac, dance with the
ApplicanYs Prfted Name Ap Jie6fit's S
2064 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separa[e permits aze not requued for each dwelling unit
Date
Site Street Address Unit ti
Tenant Name (if applicable) Previous Tenant Name
ProperTy Owner Telephane # ( )
Contractor
Street Address _ City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _ Remove "see 6elow
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*'When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
P¢r117it FeeS: $70.50 Underground [ank installapon/removal
$50.50 inimum (includes State Surcharge)
or
ContractValue $ x 1% _ $ PermitFee
• If ermit fee is $1,000 ortess, add $.50 ? $ State Surcharge
If Vermit fee is over $1,000, add $.50 for
every $1,000 pemut fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemilt and acknowledge that the information is complete and aceurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is
not a permit, but only an applicafion for a permit, and work is not to start without a perrnit; that the work will be in accordance with
We approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
._.,,,a 18 months from
llate of this Request 7
1, as Q Licensed Electrical Contractor wner, do
cal wiqng installed at: ? a
i ?
Street Address or Route No. ?o tp o?„
Section Township
Which is occupied by
o?4,1 a i -
P 32864
request inspecti &a(the above electri-
Range Couniy
Is a roughin inspection required on this job? No ? Y Yes [R`? Ready Now ? Will Call ?
Power Supplier ? r?• (?p Addres,/.? •`?°?
Electrical Contractor A?-- ? Contractor's License No. _
(COmpany Name) ;ef./O
Mailing Addressz0 !o? • ?'?-.?rSi / ?
?Q?,J ?(E,?lettll?cal-.o?n(?j?ttur or Ownaf Makln9 Thls Installatlon?q d -
Authorized Signatur/ il`?l `+wl ? o(111NJ ''? Phone No,,Z Z.
7
(Electrical contractor or Owner Makl g This Installatlon)///?/i(+? ?.
minnesota State Board of Electricity
ia54 University Ave., St. Paui, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
£HEOK BELOW WORK COVERED BY TH1S REQUEST
,'? '? .sl a /
p 32864
Type o[ Building Naw Add. Rep. Check pppliances W i[ed For Check Fquipment Wired Fot
Home U" ? ? Range @ Temporary Wiring ?
Duplex ? ? ? WaterHeater El LightingFixtuies ?
Apt. Bldg. ?? ? Dryer El Electric Neating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ?
Industrial Bldg. ?? ? A'v Conditioner 0 Bulk Milk Tenk ?
J
List List )
Other
? ?
? y
p
HerelSf p
y
He[ej8f
COMPUTEINSPECTION FEE BELOW
Senice Enhance Size: # Feei Feeders&Subtceders: a Fee Cucuits: # Fee
0 to 100 Am s. 0[0 30 Am ere 30 Am res
101 to 200 Amps.
Above 200 Amps.
Transformers 31, to 100 Am i
Aove 100 A
RemoteControt c. 00 Am eres
bov 00 Am s.
orothecfee
S' s Special Ins tion Minimum fee $5.00
Remazks
TO
I, the Electrical Inspector, hereby ce that ovg inspection has been made.
(Rough•in) ?_ Date
(Final) ? ) Date
This request void 18 months from
T}f#quest void 18 months from
Date of ihis Request /- J3 - 9? r+ 51662
I, as EiLicensed Electrical Contractor 0 Owner, do hereby reques?t `pection of the above electri-
cal wiring installed at:
??i .:5, <:O a 6
Stieet P?ldress or Route No. ?y 6 l/ 0?l (?- h7 /v City_
Section Townstup
Which is occupied by ?
Is a roughin inspectioo required on this job? No ?
Range County
Yes 0 Ready Now ? Will Call &?
Power Supplier Address XP l. ?
? 3y[?
Electrical Contrutor Contractor's License No.
Mailing Address
Authorized Signature ?.fi1? r4/?..tiJ Phone No.
(E?'?ctrlcal Con ctor or Owner Making Thls InstallaHon) STATE BOARD COPY This inspection request will not be accepted by the
" State Boaid unless proper innpeetion feeis eudosed:
Minnesota State Board of Electricity
'A#Wq'University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION. P 51662
(,°fiiCK BELOW WORK COVERED BY TH1S REQUEST
Type o[ Building New Add. Rep. Check Appliances Wired For Check Fquipment W'ved For
Home ? ? El Range ? Temporary Wiring ?
Duplex ? ? ? Water Hea[ei ? LighUng Fistu[es ?
Apt. Bldg. ? ? ? Dryec ? Elecuic Heating 0
Commeicial Bldg. ? ? ? Fumace ? Silo Unloader ?
v.
Industnal Bldg.
?
?
?
Au Conditionei
?
Bul Milk Tank
?
Fazm ? ? ? oList
ls?
??
Othei ? ? ? Hehe re (`l1MPI1TF INRPF.CT1f1N FF.F. RF.I.OW It??Z\ ?i
Seivice Enhance Size: S Fee FcedersdSubfced # Fee C'vcuits: # Fx
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eces 00
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres
Above 200 Amps. i, ' 1 1 Above 100 Amps. Above 100 Am s.
Transformers RemoteControlCirc. Paitialorotherfee
Si s
S ecial Ins ection
mum fee 55.00
Mini
Remazks TOTAL FEE
I, the Electrical Inspector, hereby certify that the above
(Final)
This request void 18 months from
has been made. ?? ? G
?te _ _
te
CITY OF EAGAN
3795 Pilee Knob Rood Eagan, MN 55122 N0- 4507
PHONE: 4548700
BUILDING PERMIT APPLICATION 57, 000.00 Receipt #-7-632-
ro sa o.aa fa. SinRle Family Y&Garage Dote 10/5_ 1923-
Site Address 3UOU rinexiage llT'.
Lor 12 ei«k_Z- sec/sub. Timberline
Parcel # 10 55300 120 02
w
z
0
a
0
o'~'
u?
r
- Ereci W Occupancy 1
AddrAIter ? Zoniny R1
Repair ? Fire Zone 3 _
? Enlarge ? Type of Const. d
Narrie Robert FEldka= Move ? # Stories ?
Address 2067 Shepard Rd. Apt 106 oernolieh ? Front fi? N.
Nome T vn/Dal P HomPa Tnn_
Address 1458 Yankee Doodle Rd.
Name _
Address
Assessment -
Water & Sew.
Police -
Flre
Eng.
Plonner _
Council _
Permit 171 . V V _
$urcharge 28.50
Plan check
snc 475.00
Water Conn2 3 0. o 0
WoterMeter 60.00
I hereby acknowledge that t have reud this applicotion and state thot gldg. Off.
the In4ormotion is carred ond o9ree to tomply with all opplicable q??
SMte of Minnewta Stotutes /qnd City';of Eogon-Ordi ances. APC Total 5-0
F /
Signoture of
A Building Permit i5 is5uea ro: Lyz'?/Dale Homes TI1C on the express condition that
all work sholl be done in ocmrdonce with all a{3p4cable $tate ofj!)linnesota Statutes and City of Eagan Ordirwnces.
Grade ? Depth 30 fi.
Aoorovols Fees
Building Official
- ? ? ,P
;
, DATE
BUILDING PERMIT APPLICATION
include 2 seta of plans, 1 site plan w/elevations and 1 set of energy calculations.
7b be use8 fox {?
,WS'7 O (? <J
Vdilidti0l1 ;;z ?-
Site Address:
Lot Block Sec./SUb. Parcel Nwnber
5S3D0 / a O U 2.
ioto
Owner F.?-g
Address 1067 S 7' S
Contractor ? y!
Addresa
E s - %z
Arch./Eng.
Address
Telephone j,;' ?O ? 3 ?f r?Z
Telephone ?f Sz - uvcFd
Telephone
OFFICE USE
Erect `
Alter
taepair
Ehlarge
Move
nemolish
Grade
Occupancy ?
Zoaing
Fire 7Ane ?
Type of Const. v
$ of Stozies .-Z
Front
Depth
OFFZCE USE
Aate of A pproval & Initial
Assessment 7
Water/Sewer
Police
Fire
Eng.
Planner
Oouncil
Rldg. Off.
A.P.C.
r
FEES
?
Yermit
Surcharge
Plan Check
SAC 4(7.q'. 00
taater Conn. Zan °?
L-]ater Meter ?
v
TOTAL
/
?
. 401101,
City of Eaaau RECENE°
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
For Office Use
Permit #: //"52
Permit Fee:
Date Received:
Staff: 661
` 1
2012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: 30 ( 0
J
Ve
Tenant Suite #:
RESIDENT / OWNER
Name: F e 6\-1<-61)-Y\Phone: / –'15 /
Address / City / Zip: 3060 P ' y\(y k, c7%e.._ ("‘k Vie.
CONTRACTOR
Name: 1TyV\'j akdka 1 + 19/ td_ rivb ; V\ License #: 4, 0 4/11) Pill
Address: 3i ,Q 3 C e r\ -1. --co ! Ave mkt City:
State: b Zip: 1(Y\ Phone: (.O 51- LK /010
Contact: 17- t'Y\ L N:.1 Ko I 'Kt
TYPE OF WORK
— New A Replacement Repair Rebuild _ Modify Space Work in R.O.W.
\ — —
Description of work: ' C' e ?bY\ Q (Jl t4e. ( i \t4it
iof
PERMIT TYPE
RESIDENTIAL
X Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures ( Main /— Lower Level)
—
Septic System
Water Turnaround
New
— Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water
Heater, Water Softener, or Water Heater
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water
and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation
$60.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
Turnaround* (includes $5.00 State Surcharge)
and $5.00 State Surcharge)
TOTAL FEES $ -66160
(add $189.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee
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.aopherstateonecall.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 gprmit; that work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x a� _ BJbcbq
Applicant' Prinked Name
x
Appli
FOR OFFICE USE
Required inspections:
Ground Rough -In Air Test W
Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179029
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 3060 Pine Ridge Dr
Lot:12 Block: 2 Addition: Oslund Timberline
PID:10-55300-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robt & Mary Jo Feldkamp
3060 Pine Ridge Dr
Saint Paul MN 55121--190
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature