972 Pointe Way? CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
, EAGAN, MINNESOTA 55122
OATE ?LJ 19 • I
*EcE
"?°
n
w
V
. AMOUNT
$ ? `"" i r
?.
' 8 DOILARS
,oo
? CASH CHECK
;F7/ ,d._ h
Thank You
BY
.. . . . VYhAo-PayeB COpy
Yellow-Postinq CoPY
Pink-File Capy
, 01-3210 Bldg. Permit
01-3422, Plan Check
.01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
2Q-3$68
20-3716
20-2252
20-3713
20-3743
79-3866
28-3855
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 15'7'? ?
PH O N E: 454-8100 '
BUILDING PERMIT Receipt ?
To be used for SF DuG/uAR Est. Value 6 9, %00 Date OCTaBER 13 g L,
Site Address 972 POINT$ 1dAY
Lot Block 3 Sec/Sub. LEXLN?N POiNTE
Parcel No
? Name JOE dILLEx COlISTRUCTION
z Address 18133 CEL+AR AVE S'
? Cityp _ FAj?MINMN Phone 431-2001
=o Narre_
? ` Address
? City_
Ua
y? W
W
Name
_ g Address
U
Z
i
City - Phone
W
I hereby acknowledge that I have read this application and state that the
information is correcLand agree to comply with all applicable State of
MinnAsota Statutes and City of Eagan Ordinances.
Signature of Permittee --
.'0:; ' :t,L±?k
A Builging Permit is issued to:__________
on the express condition that all work shall be done in accordance with all
applicgble State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _
OFFICE USE ONLY
On Site Sewage Occupancy R-3 H-'I
MWCC System Y Zoning pp R,--I
On Site Well (Actual) Const ef "'11°
Ciry Weter X (Alloweble) IV-ts
PRV Required # of 5tories
Booster Pump Length 4 '
Depth 46 '
S.F. Total
Footprint S.F.
APPROVALS FEES
450.00
Engr./ASSess. _ Permit
34.50
Planner Surcnarge
225.00
Council Plan Review
100000
Bldg. Off. SAC, City
Variance _ SAC, MWCC 550•00
WaterConn. 554.00
Water Meter 67• (W
RoadUnit 'Zti•,-?o
TreatmentPl 204•?-?
Parks
TOTAL
. rK^'- ???? ? - ' . ? _ .. .. . . . ?'d.: •. . . .? . ' t
CITY OF EAGAN ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUILDING PERMIT Receipt # I
To be used for iF +???/CAR Est. Value 69•0M, Date OM'O8ER 13 ?1 9E4E J
1
SiteAddress 972 PUtI8TT8 1JAY
Lot ? Block ? Sec/Sub. LEXZNGTUti e'OINM
Parcel No.
a name ` -? •
? Address 1AI-?? f:?n.7?t A1/L? S
a City T' ''I `fC -Phone 431-2(!C!1
°` OName
.
? ` Address
?M- City Phone
a Name _
W
Z Address
a
W City-
I hereby acknowledge that I have read this apptication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances.
Signature of Permittee
_y+.__.???*}_._____.____.
??Y yle.._._}X
A Building Permit is issued to:__
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan OrdinanCes.
8uitding Official
OFFICE USE ONLY
On Site Sewa9e Occupancy P"3 s^
MWCC System ? Zoning F? P
'??
On Site Weil (Actual) Const v-N
City Water X (Allowable) d-N
PRV Required # of Stories
Booster Pump Length 45*
Depth 46'
S.F. Total
Footprint S.F.
APPROVALS FEES '
a?• '?'?
Engr./Assess. _ Permit -
Planner Surcharge ??
Council Plan Review ?
BIdg.Off. SAGGity i?'?
Variance _ SAC. MWCC
550' 00
Water Conn.
Water Meter 67'00
325•00
Road Unit
Treatment P1 204•00
Parks
`t
?-?{?71- 0
TOTAL -'
Permit No. Permit Holder Dats Telephone 7f
Plumbing ?
C.?l
H.V.AC. ? ? I. , •? C/5
EleCtric
Softener
Inapection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
,
;
?rdi#tratt uf (Orruvttury
titp of Qlagan
Dppa1't11tPitf Df S1TSlllg J1tSpP1'tZQIi
Thrs Certificate issued pursuant ta the requerements of Section 306 of the Urriform Building
Code ceNifying that at the ti?ne of rssuance this structure was in compliaMCe with the various
ordinances of rhe City regulating burlding corrstructian or use. For the following.•
Ux Classifiation SF D93+t'k',` Hldg. Pertoit Mo.
/?,?
OocaP+ncY ?'Pa P3F? e' ?.onlug District Type Const ?
....----?o...,?:-- ?:^',S: ?r?1? ?< ..'.- .??____ ? .' -_,;_: . ., -?... •.cS. ?? :_t.,;.i
?/ress L" - - - ?r,. l.ocality ??,? ? ? )i •: ! `"_;
Dar.:
POST IN A CONSPICUOUS PLACE
^
MECHANICAL PERMIT RECEIPT # ?X
CITY OF EAGAN r
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?-
Site Add ss
Lot Block
.-,
m Name
?a Address ?
c City
Sec/Sub
WORK DESCRIPTION
New Y?
Add-on
Repair
M BTU
M BTU
M BTU
M BTU
CFM
?
-+- ,. FEES
Name ` ` ` ' `? • RES. HVAC 0-100 M BTU - $24.00
Address ?- ADDITIONAL 50 M BTU - 6.00
Citv C1. (RES. HVAC INCWDES A/C ON NEW
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
BLDG.TYPE
Res. ?.
Mult
Comm.
Other
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMII) - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
" MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
??- BEYONO $1,000)
FEE: ? c-?-- ti. ?'??', I ( / ,?! /?? ( • ?. ;j -
S/C: SIGNATURE OF PERMITTEE
TOTAL: ' Y
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT
Name
Phone
L Name
; Addr?
O CitY'=
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLdGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES_ RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF EAGAN
Res. New ,
Muit. Add-on
Comm. Repair .
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES
W
C
3
00 TOTAL,
ater
loset - $
.
?
Bath Tubs - $3.00
/Lavatory - $3.00 -?
Shower - $3A0
--?
Kitchen Sink - $3.00
Urinal/Bidet - $3
00
.
-,7- Laundry Tray - $3.00
Floor Orains - $1.50
'? Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
h O
0
=R
oug
penings - $1.5
FEE - `
STATE S/C:
GRAND TOTAL: ( `
CITY OF EAGAI
3830 Pilot Knob Road, P.O. Box 21-19
BUILDING PERMIT PHON E: 454-8100
Site Address 972 POIM YAY
Lot '9._ Block Sec/Sub.
Parcel No. -
Value
W Name ?Ig PItI _iK?tr
; Address _972 tOllf'!E YAY
0 City FAG?N Phone 454-4707
o Name _ K2DYR!? CdlB ttc'ri0N
° Address ?3 ANnA1.1- 9T_
Ucc City LIM Lnts.s Phone - 780-9749
bName
WW W
?z Address
a W City Phone
I hereby acknowlege that I heve read this application and state that the
in(ormation is correct ahd agree to comply with all applicable State of
Minnesota Statutes and Ci}y of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued ta: MI?MST WN$TRUMON
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BUlldllg OffICIBl
4
OFFICE USE ONLY
Oaupancy - FEES
Zoning -
(Actual) Const - Bldg. Permit 95-00_
(AllowaWe) - Surcharge - 50
# of Stories -
Length ,1ALI Plan Review
Depth ? SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On 5ite Sewage _ Water Conn
on site weli - water Merer
Mwcc system _
_
City Water
ct. Deposit
Ac
PRV Fequired _ S/W Parmit
Boosler Pump - $ryy Surcharge
Treatment PI
APPROYALS Road Unit
Planne? -
Council Park Ded.
--
BIdg.OH. _ 1.00
Copies
Z6
?
Variance - TOTAL
'
vermit No. Pe.mit Holder oste rekplwne
WATER
SEWER ,
PLUMBING
H.V.A.C.
ELECTRIC
Inspectfon Date Insp. Comments
Footings I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Pibg. Plbg. Inspec.Hor - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. Q aS
Oedc Final
Well
Pr. Disp.
CITY OF.,EAGAN
383? PilctKnob Road
P.O: gox 21199
Eagan, MN 55121
Permit No :
B/ P No:
1--e ?`311sr t',onst
Owner.
Site Address:
Plumber: ?Slvvo- - n?-?I_r:
MWCC: Zaning- .
City Chg: No. of Units:
. p? `. Acct. Dep: I agree to comply wilh ihe City of Eagan
Rl",.nr
Permit Fee: Ordinances.
Surcharge:
Misc.: BY
SEWER SERVICE PERMIT
? I Permit No: Date:
Road Meter Na: Size:
Reader No: Daie:
Eagan, MN
Jee Killm Const.
Conn. Chg: =' • ?6%? = Zoning: '
Acct Dep: No. of Units: '
Permit Fee:
Surcharge: • 5fi?'`? 1 agree to comply with the City ot
Tr.Piant 204•007t?! Ordinpnces.
Meter:
Misc.: gy
Date:
Date: ? ` `
'IoEK ob Road permit No: 1J- I56 :0-14-? ?
B/P No: Date:
x 21199 Date: -
MN 55121
: E Yil l er
Const.
MwcC: 550 ?On?
City Chg: 100. 00 d Zoning•
Acct Dep: 15, f?0 ? Na• of Units: i
Permit Fee: 10. OOpd I agree to comply wlth the City of Eagan
Surcharge: • 50pd Ordlnances.
Misc.: `-
By
SEINER SERVICE PERMIT
CITY OF Et.GAN Permit No: S
_
Date: - .:4
383A, oilot Knob Road Meter No: -W yYS 3
P.O. Box 2 t 1 9 9 Size: c
Eagan, MN 55121 Reader No: pate:
Owner. .?ae ^til_ler Const.
SiteAddress ^27 v.?i„ro c,? ?
01-1_ L?tlon Point,,
Conn. Chg: _ssn ,?n a
Zoning:
ACCC DBp: r
No. oi Units: ?
Permit Fee: -
Surcharge: ? I agree to comply with the City of Eagan
Tr. Plant
Meter. _ O?dina?ces. ,
Misc.: "
By
WATER SERVICE PERMIT
RESIDENTIAL
BUILDING PERMIT APPLICATION i
3830 PIL0T KNOB RDN 55122
1
651-681-4675 v
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot sq. k. of house; and all roofed areas
(20 % maximum lot coveraqe allovred)
. 2 copies of plan showng 6eam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 cnpies of Tree Preservation Plan it bt platted atter 771193
* Rim Joist Defail Options selection sheet (bldgs wiN 3 or less units)
DATE / -,S / ` 0 /
JOB SITE ADDRESS (r) Z A?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
RemodelfReoair Requirements
. 2 copies ot plan
• 1 set of Energy Calculafions for heated additions
• 1 site survey for eMenor additions & decks
VALUATION (EXCLUDING LAND)
?
PROPERTY OWNER E P, N"4 ??, i J 1? Se_ k-
TYPE OF WORK s !d?Hz fIREPLACE(S) _ YES _ NO
APPLICANT SSJ-4r• ?f_Li"er PHONE# G.t-/->3?=6aS`i
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculahons Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Vtcchanic.il Syslcm Includcs:
Sewer/Water Contractor:
Phone #
Fee: 590.00
Fee: $74.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
atl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates ot Survey Received _ Tree Preservation Plan Received _ Not Required _
CELL PHONE # G?L-:?%? ?•???? FAX #?? ? ?38-6 d(?G'
_ Water SoFtener
_ Water Heater
No. of Batlis
Phone #:
Lawn Spriukler
No. of R.I. Baths
Phone #
Air Conditioning
Hcat Rccovcry System
Updated 1/Ot
OFFICE USE ONLY
? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (lnterior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to appl icant
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Wa[er Final
_ Frammg
_ Fireplace ^ R.I. _ Air Test _ Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucw Stone
_ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
REQUEST FOR ELECTRICAL INSPECTION
? See insirucnons for complBUng this torm on beck ot yelbw copy
0 1 "X" Below Work Covered by This Request
EB,00001-0]
" ?'?/(p0
e Atld Rep. TypeotBuilding AppliancesWired EquipmaniWired
Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apt. Building Dryer Other (Specrfy)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specity) Con[actor5 RemaMs
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSrze Fee # Cirouils/Feetlers Fee
Swimming Pool 0 to 200 Amps 2 // o to 100 Amps po
Transformers Above 200 _ Amps Above 100 _ Amps
SIgfIS Inspeqor5 Use Only TOTAL
Ircigation Booms
Special Inspection
Alarm/Communication
Other Fee (
I, the Electrical Inspector, hereby
tif
th
t th
i
b
i Rough-in oa e,
y
a
e a
ove
cer
nspect
on has
been made. F,,,al
44 oe?a
04
OFFICE USE ONLY
Thm request void 18 monihs Irom
/
?U
?
70 / U_l/l
Z
T
Requasf Oa[2 ,
? ? Fire No Ro in Inspedkon
Req retl?
? Ready Now R{y^All Notlty Inepec[or
Wh
R
d
?
Yes ? No en
ea
y
I1? licensed contractor ? owner hereby request inspection of a6ove electrical work at:
Job Adarew (Slreei, Box w Route No )
9t 7;t P
n4'e Wa Ciry
E
0 1 ?x a!J
Section No Township Name or No Pange No. CoUrN
G'X G c <-
Occupant IPRMT)
0
4
:ll phone No
'31
II,.
0n5
?
Power Suppiier qddrqss
lgx QKo CI6c4wic F4h1V%l.O'4GfN
Electncal Contra.ct?o7r (COmpany Nname) CoMractor? License No.
?.'!4?lCZ
MaAmg Ftltlress (COnVaaor or Qwner Making In tion)
?
?
?
'
°
lyoSS Cn
,-a?.
S. E
u..
+ 55
337
Au[M1On 5 re (COntre Insfallatron) Phone Number
? g:z - Gs ?8B'
MINNESOTA STATE 60ARp OF? THIS INSPECTION REQl/EST WILL NOT
Grlggs-Mhhvay Bltlg. - Hoom BE ACCEPTED BYTHE STATE BOARD
182I Universily Ava., St. Paul, 5510A IINLESS PROPER INSPECTION PEE I$
Phone (612) 662-0800 ENIXASED
CITY OF EAGAN
, Ea9an, MN 55121 ? r1571 `?
3830 Pilot Knob Ro PHOE: 454-8100
d
BUILDING PERM'IT ' Receipt # _-Y o ?42
Tobeusedfor SF DWG/GAR Est Value 69,000 Date OCTOBER 13 ,1988
SiteAddress 972 POINTE WAY
Lot 9 Block 3 Sec/Sub. LEXINGTON POINTE
Parcel No.
s Name JOE MILLER CONSTRUCTION I
i Address 18133 CE?AR AVE S
° City FARMINGTON Phone 431-2001
¢
.o Name_
? a Address
? City_
w°W Name_
w
zg Address
U
Q W C1tY-
I hereby acknowledge that I have read this applicabon and state ihat ihe
mformauon is correct and agree to comqy tlh all ap0licable State ot
Mmnesote Statutes and y of Eayan Ord' nces.
Signature ot Permittee
A eudding Permit is issued to: J E MILLER CONSTRUCTIQN
ontheezpressconditionfha[all rkshallbedonemaccordancewithall
applicable State ol Mmnesota Statutes and Ci}ty of Eagan Ordmances.
Bwlding Ofhcial .vA? li
LIM___-----
OFFICE USE ONLY
on site sewage _ occupancy R-3 M-i
MWCCSystem X Zonin9 PD R-1
On Site Well _ (ACtuep Const V-N
City Water x (Allowable) V-N
PqV Required - # of Stories
Booster Pump _ Length 451
Depth 46'
S F. Total
Footprint S.F.
APPROVALS
Engr./ASSess.
Planner
Councri _
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAQ City
SAC, M WCC
Water Conn.
Water Meter
Road Umt
Treatment P1
Parks
TOTAL
450.00
34.50
225.00
100.00
550.00
$$0.00
67.00
_ 325.0
?
204.00
2,505.50
CITY OF EAGAN N2 19804
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE:454-8100 (L
BUILDING PERMIT Receipt # o
To be used for DECK E51. Value Date OCT 15 , 1991
SiteAddress 972 POINTE WAY
Lo[ 9 Block 3 SeGSub. LEXINGTON POINT OFFICE USE ONLY
Parcel No. omuPancy _ peEs
Zoning _
W Name DENNIS PHILIPSEK (nnuap Const Bid
Parmn 9 S_ nn
-
g.
?
o Address 972 POINTE WAY (Allowa6le)
- Suicharge
.50
City EAGAN Phone 454-4707 aatStories
' Plan Rewew
Lf
LengM i
o Name MIDWEST CONSTRIICTION Deplh '2' snc
Cit
t
U
Address 503 ANDALL ST
S.F. Total ,
y
SAC
MCWCC
? CIIy LINO LAKFS Phone 780-9799 SF Footpnnts ,
_
On Site Sewage Water Conn
W w Name on Sue wen
'w - WaterMeter
1,30 AddfBSS MWCCSystem
a? City Phone City Water _ Acd. Deposit
PRV Raqmred _ S/W Permit
I hereby acknowleg? at I reatl this application and stata that ihe Booster 7ump SNJ Surcharge
information is correct a gree to comply with all applicable State of
Minnesota Statutes and Ciy f E gan Ordinances.
Trealment PI
???1
Signature al Permitee ?^? 1 ?^"'? APPROVAIS
Roatl Unil
A Bwlding Permn is issued to: MIDWEST CONSTRUCTION Planner - park Deo.
on the express condition that all work shall be done in accordance with all Go+ricsi
1
OD
applicable Stata of M
in
n
ota S
es
tatutes and City
ot Eagan Ordinances. Bldg. off. Copies .
{
?
_
?
y7
u
Building Official 1? 1\•0 ' IIC Vanance _ 7p7qL 26.50
sb RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWttion Reauirements
• 3 registered site surveys showing sq. fl. of IW, sq. ft. of house; and all roofed areas
(20% maximum lot coverage ellowed)
. 2 copies of plan showing beam & window s¢es; poured found design, etc.)
. 1 sel of Energy Calculations
. 3 copies of Tree Preservation Plan if IM platted after 711193
. Rim Joisl Detail Oplions selection sheet (bldgs with 3 or less units)
DATE 5- ?C•
SITE ADDRESS
TYPE OF
;.V,Ve_
APPLICANT 70chQ?py RodD I??mg & 5?Elmg, Nc.
STREET ADDRES$ _ 49 S0U1h OW8SS0 BIVII.
t,ittle Canada, MN 55117
TELEPHONE #
PROPERTY OWNER ? 0 nrlfl?S `
MRemodeliReoair ReauiremeiAs
• 2 copies of plan
• 7 set of Energy Calculatlons for heated addRions
• 1 site survey forentenoraddNOns & decks
• Indicate If home sarved by septic system for additions
VALUATION
MULTI-FAMILYBLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
CITY STATE ZIP
FAX # taZ ? r?
c % TELEPHONE # CT
-----------------°-------------------°-------------------------------------------------------
COMPLETE TH15 SECTION FOR KNEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNTSO"1'A RiTI.FS 7670 CA'PF,GORY 1 MI.
(4 su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • I
• Energy Envelope Calwlations SubmiNed
Plumbing Controctor: ___ ______ ______ Phone #
Plumbing system includes: _ Watcr Softener L.awn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor:
Mechanical system includes: ? Air Conditioning
Heat Recovery System
Sewer/Water Conhactor:
-°--------------°--------------°----------------------------------------
I hereby acknowledge that I have read this application, state thot the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Appltcant
OFFICE USE ONLY
Phone #
Phone #
MAY 2 2 2002
Fee: $70.00
-------------------
Aion is correct,-Qn
to
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE U5E ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Firaplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration Cl 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bidg onl» - Glve PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zening City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FivaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile pther
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
P,pproved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
:. , lqqo
'
1991 BIIILDING PERMZT APP CATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
H[TI.TIPLE DWELLINGS
. , ;
COHMERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL YLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUEp
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: e L C? Valuation.142ww"-w-e-
Site Address cj-7? ?-
Lot 0 Block 9_
Parcel/Sub
Owner P-, Lc?
Address Gj'? wn -1
City/Zip Code
Phone L SL- L( v
Contractor Yl'iZ?wc.!-
Address S-03 R?o-L( g Iv-
City/Zip Code 1;r' I nt(c„ (`I'+
Phone TdU- c) 7 5 n
Arch. /Engr.
Address
City/Zip Code
Date: /G/ -i - ; 1
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIISTOTAL
Penalty
Lot Change
TOTAL
Zs? ?a
,Sd
APPROVALS
Planner _
Council
Bldg. Off. 162
/C5i Ds
Variance
Phone #
S /Wat
ewe r Licensed Contr.
0 agrees that all work shall be done in accordance with
(5lgnature o Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
IGOV TNPII%CC UVVULt HVAD
_ EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION: LOT 9,BLoCK 3, LEXINGTON POINTE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKUA COUNTY,MINNESOTA
?
? Scale:l??=30?
350 E 9Bi
42.86 ,?W S13°2?
N12045?p5
976.
? N
- 1 V
ro \ LOT 1 ?
W 1 9 9go
91,8
96.?"
1
I
L_? ?
..
l?
NOFSngT9.6
. Gp?
l ,N P NpUSEo
c?i?1
.16
1+ ? N
1
1
?
?
?
Gps
I h
` ?R FN g4.t
,
\
? l9HUe sgp.99
i
Q
l ?
$5UU g?yytgc 16
?-
? 977g?C ...??1
?-
t?
n ??,
L E?
o DENOTES IRON MONUMENT
o DENOTES WOpO HUB SET
500.oDENOTES EXISTING SPOT
ELEVATION
(9oo.o) OENOTES P OPOSED SPOT
ELON
? DENOTES DRAINpGAEIO RECTION
PROPOSED SPLIT ENTRY NO W10 INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 981.4
PROPOSED FIRST FLOOR ELEVATION = eei s
PROPOSED BASEMENT FLOOR = 27e.e
ELEVATION
NOTE ' VERIFY ALL FLOOR MEIGHTS WITH
FINAL HOUSE PLANS
, w...Il.. ?..???.. ..-- "-
,
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
, •
SINGLE FAMILY DWELLINGS 106 17 j 11
INCf,UDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG, DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 S6TS OF ARCHITECTURAL & STRUCTURAL PLANS'
t988
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS OCT 1 1
°
To Be Used ror: y? ??2q Valuation: .' Date:
F"t ? -. !? a' i
Site Address 7 1-4 /& t l'lVdi?
Lot I Block J ?
Parcel/Sub L, '? ?( ((+? C 7Y/vr !G) y'??i
Owner
Address
City/Zip Code
Phone •
Contractor
Address 1 35 1
City/Zip Code r:?-
Phone /, j1' ')- tv 0 d 3"SaaY
Mch./Engr.
Address
City/Zip Code
Phone If
(c11OOD -
On sAe sewage_ Occupancy
MWCC system r/ Zoning
On site well Actual Const V- N
City water Allowable
PRV required ll of stories
Booster Pump _ Length ?
Depth ?fL
S.F. Total
Footprint S.F.
APPROVALS FEES
gngr/Assess Permit 11 D(
Planner Surenarge i
Council Plan Review Z S.OC
Bldg. Off. ?plj2SAC, City tl .OC
Variance SAC, MWCC
Water Conn 5S0, O4
Water Meter 6'7• OC
Road Unit 32$.O0
Treatment Pl o,1po
Parks
Copies
TOTAL
?
6ARAG?F
,, .
2Z,xzZ= 484 x IH= 09 6
H
--------------- -
Z`+X3? = I ) 2
1? G, p
f 0 o2 X 6z1" bZ"l -zy
Golon
r ,
.
88-168
- - ,
TRI-LAND C0. SITE PLAN FOR:
SURVEYING -
SERVICES J OSEPH M ILLER CONST.
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
LEGAL DESCRIPTION; LOT 9,BLOCK 3, LEXINGTON POINTE
ACCORDING TO TH RECORDED PLAT
THEREOF DLIKOT? COUNTY,MINNESOTA
? Scale:l"=3d 1 8 '
?g
35?,0A, 90
4 p
tm 5??w S13°2?
3 2° N? ? ?? .Ns
l
?o \ LOT 1 Q,
9 ,,-
?? ?
sE
9'g A 3$ N ?ti1 \ ??? f1`G g g4.1
I r'__ ?9 ? ? I' D P HpUSED
l! 1 1 2? N GAR N. ? 19 q4 g00g9
1 ? ? NUB
V Z2 gg0.2 ` ?
?
ExHOUSE 9q9.6
GAR
? ? 1 ? ?. / g79I
W ?/ W o 8FJo0? 8795S6?
NN ?
97?? N?4?28?
91T5'CgC
'?`ED
.,,.?.__. _... ._._.....?L.C?'Si, T':-1
T.
LEVEND
o DENOTES IRON MONUMENT
o DENOTES WOOD MUB SET
soo.oDENOTES EXISTING SPOT
ELEVATION
(soo.o)OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
oonoaSED S?L!T EyTay Nn Win
INVERT ELEV,4TION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATiON= 981.4
PROPOSED FIRST FLOOR ELEVATION = 9e1.e
PROPOSED BASEMENT FLOOR = 978•9
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
t herahy certify that tAis aurvoy,plan or
report wes prepared by me or under my
diracT suparvision and fhat I am a duly
Reqistered -land Surveyor under the
Laws of fhe State of Minnesota.
A w a ?4...0....?,..,..
Brodle Swenson, Mn. Req. No. 15235
Date ? 1012198
. ,'
One or Two Family
A11 Other
CITY OF BUILDINCi DEPARTI-lE1JT P'
EXTERIOR ENVII,OPE AVERAGE tiUii C017PUTATION
(To be submi±ted with building permit apylication)
Dwelling Owner
Contractor JOE:G'? M" g.
LINEAL FEET OF iI
EXPOSED WALL I?Q?4 4??ft.
Site Addresa LcT-i
?.exrn?c?,» ?n?hle
V
Date Phone
above grade = I 1D(_Q,4-jz,
TOTAL EXPOSED VYALL ARN:A SQ. FT.
OPpQUE WALL CONSTRUCTION: "Ull Value x Area
Detail "u" ) b 57 x ga,
reterence iful? x Sa,
from "p"_Ii?x SQ.
attaclted "U" x SQ.
sheets , l'u" X SQ,
nUn x SQ.
WINDOWSs "Ull Value x Area
Zl,r'"lZ+ (01147M (A)
FT.
FT.?=
FT. _ (U)(A)
FT. _ (U)(A)
FT. _ (U) (A)
Malce & TYPQ npn l?
n n (1> x
SQ.
FT.
M4()(A)
n ?? nUn x Q. FT. _ (U)(A)
n it uUn x SQ. FT. _ (U)(A)
nUn x SQ. FT. _ (U) (A)
DOORSt "Utt Value x Area
Ifalce & TyPe t:?)DD S liUll
x Q
i, ,
ifUll I c?'1 x SQ.
n n pu x Sa.
_ npn x sq.
TOTAI,S D(p, Z6Gj,
TOTAI, (U)(A) VALUES 7 AVERpGE ??U??
/ (? _
DIVIDED BY TOTAL 17AI,L AREA I q? 4? 1 ?
AVERADE ?
•11$ less for 1&2 family dtivellinge
ROOF/CEILINat
TOTpL AREA: ??
FT. ? ` (U) (A)
FT. I-q CD (U) (A)
FT. _ (U)(A)
FT. _ (U)(A)
r'T. C.U (U) (A)
Detail reference
fr x SQ. FT. l41 t7
=
7iDi(U)(A)
om
attached sheets, uU„ x Sq. „
FT. " (U)(A)
Describe openings „utl x SQ. FT. _ (U)(A)
in z'oof. n
Uu X 3Q. FT. _ (U)(A)
x SQ. FT. _ (I1)(A)
TOTAL M(A) VALUES DIVIDED BY ZO1 I(,Q
. T7'w?j
_ Z0, JwCUr
?>
TOTpi, ROOF/CEILIN(3 pREp LiI?Q ?
' ° ' - D `
AVERpaE ?L:025 ventilated roofe. -?'
? ??.
,P,"%-na
?J. o 4-
?,a X( ?•i? -?---??a?35, _
??o 1?, IJJ = z?? ?
??N s
;(2 o
"f ? ?• ?tJ ? 2J(p ? } ? ?j(p , ?
Jb i?
+ 3?0
1'1°i ? oo ?-
??
742c) 0
? I 1 ! W
L? Co?c? 92 ??
? wp?GJ' I f1o
5a??
I C-1 oLO- 5z
?1'Z?5v
Uetarmining olUll veluea at Roof, Wallp . Rimp and tlopa. Bloalc
ROOF/OEILINU
1.) LiCerlor Air !'ilm
2.) 5/81, 4YP• gd.
3.) IneulaCion
4•1 .
50 Exteriar Air Film
(sTZLL)
R VALU
0.61
.56
44.cv
.61
?OZ.1 iOTAL (R)=
• i•
WALL Il VALU
6.) Interior Air Film o,68
7,) }" aYp. Ba. .45
8.) Inaulstion l9.00
9. ) P?urL:-r-?f1F Z.n?}-
to.) Maeonite slding .67
11.) Exterior Air Film .17
I?ull C 11R= ?TAL (R)_ 23.01
"I I
12.) Interior Air Film
13.) Ineulativn
14.) 211 Fir Rim Joiet •
15.) EviGr-IRI7S
16,) lfaeonite Biding
17.) Exterior Air Film
vwU
0,68
19,00
1.88
z,o4
.67
.17
up" e IIRd P04-D TOTAL (A)n
..'J-
FOUIIDATIOi1
18.) Interlor A!r Film
19.) •
zo. )
21.) 12" (Jonorete Blools
: 22.)
23.) Exterior Air Tilm
u?n a 1/Ro -07(b
?-
li YALU
0.68 ,
Il.c?
1.28
.17
zoTnL (tt) e 13.1z,
APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTION
y N3PE: PAYMNf OF E'EE AT TID+E^ OF
? APPLICATiON DOFS N(ri' CON- t
• STINIE APPRQJAL OF PE[7FIIT.
+
i INSPFXTION OF SEWM A!ID/OR WA1II2 *
? INSfA[d.ATIONS WII,L NpP gE S['fnnrsn ?
? [!NPIL PERhIIT FiA$ 8@] ppPROVID. ;
dtv fwk??+;?t?r?a?eifif?w,??.t++f<x+?e???tw?
OF (zaC?'on
(PLEASE PRINT
1) PROPIItTY ADDRESS:
T.FY;AT DFSCRIPTION;
IF EXISTING STRL'CTL'RE, DATE
PRESENT ZONING/PROPOSID USE:
Q CONIIIEEtCIAL/RETAIL/OFFICE
Q INDL?STRIAL
? INSTITUTIONAL/GOVERNMENT
)F ORIGINAL BLILDING PP..E'2MIT ISSGANCE:
mont Year
SINGLE FAMILY
? R-2 DCPLEX (3WO Units)
? R-3 TOWNHOQSE ( Tl,see + Cnits ) ( C'nits )
? R-4 APARTMENT/COiVDOMINIL'M ( Units)
z) NAME: 7?c- ^ [/C_ 1,
AnDREss: _ 433
CITY, STATE. ZIP: 4,,,, r
PxorE: `f3(_2.0c, i
For City Use
3) NAME: (?mufl. Pl eriuns License:
ADDRESS: I? Active
S14 u 2M??i ,4? G?- / Expired
CITY, STATE, ZIP: µty??j? Not recordec
PHONE: 443-sY111 MASTER LICENSE #/y1oG,f Staf In'?itia?
4) e ., ?l
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
+ n? ?' ? • a?e a?m
Cg-eONNECTION TO CITY SEWEF2 Eg-C9NNECTION TO CITY WATER O CTHER
6)
' ?' G?.e.?.,.? !J/?i?-/ ? • ? /G - l(-?b?
?***?*?:???*********??:?**+?**W*??*****?**.?***??*?***?**+*******************?***??*?«*.?**,.,r*****.?,
*
* THE GOID COPY OF THE PERhffT WIIS, BE SENf DIREXTLY 'iO PUSI,IC WOE2KS 1O FACILITATE MEIER PICK-IIP. ;
PLEASE 11L7AW 'IWO FARKING DAYS FOR PROCFSSING. SOME'ONE FROM TfIE CITY WILL CONfAC.T YOU ZF 2YIQ2E ;
t ARE ANY PROBI,ENiS. t
:?***?**?**a**+*?*t*??*****r***:r****,??*****?,?*??*t?,tx?*?+t*******te:t***,t??t*tt*t**?*********r**?*****?;
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
FOR CITY USE ONLY
PERMIT # ISSCED
fn /t/
Pd w/Bldg. Permit
t
$
$
$
$
$
$
$
$ $
$
$
S
S ?r ?• crz)
$
$
FEES:
$ SEWER PERMIT ( INCLLDE SORCHARGE )
$ WATER PERMIT ( INCLL'DE SC'RCHARGE)
$ WATER METER/COPPERHORN/0[;TSIDE READER
$ WATER TAP (INCLCDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOONT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL SENEFIT/TRUNK SEWER
$ LATERAL BEN°FIT/TRtiNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
S TOTAL
?? /G 5l j-S -
RECEIPT # RECEIPT #
DOES UTILITY CONNECTION REQDIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PL'BLIC
ROADWAY" MCST BE ISSL'ED BY THE ENGINEERING
? NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
/?? /? t//,, F.
1oit)i ~0 Use BLUE or BLACK Ink
For Office Use---------
City of Eapn Permit
a~
I Permit Fee: a~
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
l I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 1 Phone:W J f,la]
Resident) ~-E
Owner Address / City I Zip: ~a
Applicant is Owner Contractor
Type of Work Description of work: T=~ B-r-A OA)ioc C-'
Construction Cost: C Multi-Family Building: (Yes / No
Company: ~~-~--J -~7~t:)) de--nA-va1 Contact:
Contractor Address: o r--? Yl as n. City:
State: -Y16 Zip: ] C-~a Phone: -
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you ,.e ere c "
you submit are considered to to be public information. Portions of '
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. _
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.org
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.
x Yl Y l x llti PCs
Applicant's Pr ted Name Applicant' i ature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124888
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 972 Pointe Way
Lot:9 Block: 3 Addition: Lexington Pointe
PID:10-45070-03-090
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 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 -
Dennis J Philipsek
972 Pointe Way
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature