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575 Prairie Cir ECity of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: /L r AUG 06REM Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Cl -/116c1 Site Address: Tenant: Suite #: RESIDENT / OWNER C4. ) k: -.)--111.,,v S .. Name: Phone: Address / City / Zip: � ( c �„�3$ t tt...1 .. '�— Applicant is: V ------Owner Contractor TYPE OF WORK Description of work: C t / (£ 3 ; 1›t'-1% T s� % eyt_i �-, 11100,77 �iN/O koL-T Construction Cost: ) l7) i�AN Multi Family Building: (Yes / o ) CONTRACTOR Name: )(VVLicense #: Address:TV) nc_{ } Ci . State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of the informationmay be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.n. CALL BEFORE YOU DIG. Call Gopher State One Cali 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 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, an work is not to art without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap oal of plans. .� Applicant's Printed Name x Applicant's Signature oi26:(6: DO NOT WRITE BELOW THIS LINE 13 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New X Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%L) Census Code # of Units # of Buildings Type of Construction Fireplace Porch (3 -Season) Garage )( Porch (4 -Season) Deck Porch (Screen/Gazebo/Pergola) Lower Level Pool Interior Improvement Move Building Fire Repair Repair ‘foot:7 V REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) X Footings (Addition) X, Foundation Drain Tile Roof: Ice & Water Final y, Framing Fireplace: Rough In _Air Test X Insulation Meter Size: Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 97 i jow fOrtal TO -6W-iisew Siding Reroof Windows Demolish Building* Demolish Interior Demolish Foundation Egress Window Water Damage *Demolition of entire building - give PCA handout to applicant illio 7W% MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required r Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Pian Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /4(S4q (q 1-/ -= &/-75'; ysfau 6A0 -ix evd 4Attlit0(% v✓s (--1;(,14- fq 20 3/9045)-0 1,0043 s,6?9,f2 Page 2 of 2 46 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: / JUN 8 2010 r Use BLUE or BLACK Ink Permit #: V Q'/c302c Permit Fee: / 3 72 - Date- Date Received: Oz- / 2 /1,0 Staff: (' 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: S ,7 n4, 1 2i . Tenant: Suite #: RESIDENT / OWNER�' 1/ ,S".. Name:TE---ez ��i� 1 �i L��_,_, Phone: / " ,�� Address / City / Zip: J� �/ ---p--2, 1 4....i c �"� E. Applicant is: VOwner Contractor TYPE OF WORK S �' Description of work: 1 -"m -fit t N. -'f S �� �r.� Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: .S" i_,`i--" License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered 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. ' ---t., CALL BEFORE YOU DIG. Call Gopher State One CaII 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 ork is not p 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 appry I of plans. Applicant's Printed Name x Applicant's Signature Page 1 of 2 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 03/13/90 OFFICE USE ONLY TER # Sf(44V : PEAMIT DATE 03 J14/94 11271 IP # PERMIT # `ME'fER SIZE B_P. RECEIPT # C 6754 ISSUE DATE b B.P. RECEIPT DATE03 13 !90 _)L PRV _ BOOSTER PUMP SITE ADDRESS 575 PSAIRIE CIR E LOT t BLOCK 5 SEC/SUB COUNfRY HOLLOH APPLICANT: ADDRESS:_ CITY, STATE PHONE: -'- ZIP -TS-1 Z_2 PLUMBER: S'TAR PLllH$ING ADDRESS: 1018 NOUND SPRINGS TERK CITY, STATE BLU(?MIhvTON, MN ZIP 55420 PHONE: 8 ??4-4- 149 OWNER: _ ADDRESS:_ CITY, STATE ZIP PERMIT REQUESTED ? SEWER ? WATER _ TAPS - COMMrIND X RESIDENTIAL ...__x NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit 1A(ILL NOT be given for Deduct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES PHONE: SIGNATURE WHfs"ETER ISSUED PLEASE ALLOW TWd WORKING QAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER &VLATER PF-RMIT CITY'bF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE 03113/90 OFFICE USE ONLY METER # PERMIT DATE 03/14I90 CHIP # PERMIT # 11271 METER SIZE B.P. RECEIPT # C 6754 15SUE DATE B.P. RECEIPT DATE03 13 9 k PRV - BOOSTER PUMP SITE ADDRESS 575 PBAIRIE CIR E PERMIT REQUESTED LOT 1 BLOCK S SEC/SUB CUUii'iBY 80LLAi1 ? SEWER -WATER _ TAPS . LZ rA 13 UZJZZ? APri.:ICANT: ? ? AWRESS: 'L- - COMM/IND X RESIDENTIAL CIT*1`, STATE ZIP ?7 2 ? NEW - EXISTING PHONE: PLUMBER: STAA PLUMBINC ADDFiESS: 1018 MOUND SPRINGS TBRx CITY, STATE BLOOMTNGTOp, MN ZIP 55420 PHONE: 88+4--4149 OWNER: - ADDRESS: _ CITY, STATE PHONE: - ZIP Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. r `%l .?,lL I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ay., 4 RE 575 PRAIRIE CIx E DATE 03/14/90 x 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 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: I? Your Sewer & Water Permit for the above property has been completed, but the meter cannot ?- be issued or occupancy aliowed until further notice. ? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. b y? • $ RE: 575 PRAIRIE CIR E DATE o3/i419a X Your Sewer & Water Permit far 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 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property eannot be completed for the following reasons: t y Your Sewer & Water Permit far the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. ? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNIMG: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. COMTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ., . . - CASH RE.CEIPT ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 ?? ? aECF? ? l?( l r ? - v M I?'L . L? ? AMOUNT S 3 v? G ? ? im O CASH j.LCAEGK DOLLARS Thank You ;- BY dXA C 6754 WAils-PsY? CAVY Y00--P-unw Copr F4r*--FNe Copy 1N SYEC;'1'lUN 1ZEC;URD CITY OF EAGAN PERMITTYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 F:IIi1 11 INt'r Q?. /1 `? ?•lii SITEADDRESS: ?'1111tIR 1 Y HC11. I s?l ? ? APPLICANT: ? '+Mt I f'Ji r fBiT) 40'o C AN[JV0;014 iII 0k '17N ? PERMIT SUBTYPE: TYPE OF WORK: . At rEErnTtON Permit Holder Date Telephone A PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING _q? Q ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL a1 ?(grr#tf t.r.ate -of (Oxxupm, g Citp of (eagan Er}otnm o# luildiag jwprtinrc This CerdJkau iarued pursuant to the requirrmmb ojSaction 306 ojthe Uriifornt Building Code aerAifYinglhat at !he 1ime of iuuance Ai,s stracture wu in c»nrpliairae wrlh the rariaus ordirrances ol the G7tY reguladn8 buUdiv oongrucAion or use. Fnr the follow*g: ux a.mse. SF I7WG/CAR ea8. %c xo. 17598 om,w,-y TmC - R3/Al I zoolog nko;a RI Tya cwm VN o.acWldMgVAt+rS?'QIIi BUIIWS, IlNC. ,m. 5975 TIIM IRAII., PRIOR IAKE 575 PitAIRIE CIIUTs FAST 1, B5, CaRm HEU?OW sgmFI4m 19, 1990 sAaing oap,, POST IN A CONSPICUpUS PIACE . ' . ?.1 For OfHce Use Ony: t ' PERMIT # MECHANI CAL PERMIT CITY O F EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 ` CONTRACT PRICE PHONE : 454-8100 DATE: Site Address Lot ? Block Sec/Sub BLDG. TYPE WORK DESCRIPTION T_ Res `- New " . Mutt Add-on ? y Name Address D/ 1,1 i,j i Comm. Repafr Other c Ciry Phone L'? 4 7 , FEES ? Name RES. HVAC 0-100 M BTU - $24.00 3 Addresp 1 0 (("fj ! ADDITIONAL 50 M BTU - 6.00 p City ` ?' Phone 1 ' `• ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUAA -1 PER PERMIn - 1.50 EA. ? da ? y COMMlIND FEE -1% OF CONTRACT FEE Forced Air ? M BTU APT. BLDGS. - COMM. RATE APPLIES 6oiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 6 Air Cond. M BTU REMQDELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 Vent G CFM STATE SURCHARGE PER PERMIT - .50 as Piping Outleb # (ADD $. S1C PER EACN $1000. OF PERMIT FEE) Other PERWT FEE: + > > SIGNATURE OF PERMITTEE S(C. . ,? " y?' TOTAL: FOR CITY OF EAQAN ?lAT'??'??1e?"R?.. . , ? ; CITY OF EAGAN PERMIT # RECEI CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 IDATE: PRICE PHONE 4548100 Site Address Lot ?+ . Name m ? Addre N ? C Chy ? ? Add ? cfty FEES COMM.IIND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.lFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD,V50 S/C PER EACH $1,000 OF PERMIT FEE) BLDG. TrpE WORK D?SCRIPTION Res. /i New ?r Muh. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N5 FIXTURES Cl 3 00 $ W TO? ? ater oset - $ . Bath Tubs - $3.00 37.0 v Lavatory - $3.00 o O ? Shower - $3.00 . o 0 ? Kitchen Sink - $3.00 o u UnnaVBidet - $3.00 / Laundry Tray - $3.00 / Floor Drains - $1.50 ? ? Water Heater - $1.50 1Nhirlpool - $3.00 4 d Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIn SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 -' ? Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: ? STATES S1C: GRANQ TOTAL: ^__? R0?:. .^^ CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING P&M1T PHONE: 454-8100 Receipt # To be used for SF UWG/GAR Est. Value $115r000 Date MAI A0 175A . 19 90 Site Address 575 PRAIRiE CIR E Lot I Block g Sec/Sub. COUN'fitY liOW.Q? Parcel No. W IName VAN-SMITN BUII.DERS, INC 3 Address 5975 TIMSER ?k ? City pRIOR 1,AKE phone 440-2094 Name _ Address Ci1y _ Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State o1 Minnesota Statutes and City ol E4gan OrdinayeEs. d Signature of Permitee 1'`',x -- ` - ' ?i- `- A Building Permit is issued to: vAN"5MITH BUILDERS on the express condilion that ail work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordmances. Building Official 1 E USE ONLY Occupancy R-3 M-1 FEES R-1 2oning w V 692.00 (Aclual) Const - BIOg. Permit (Allowable) V=N Surcharge 57.50 +k ol stories 70" Plan Review 450•00 Length • ? 1 00' 00 Depth SAC, City S.F.Total - SAC,MCWCC 600•00 S.F. Foolprints - 625.00 On Site Sewage _ Water Conn On Site Well ? Water Meter 90' 0o Mwcc system 30.00 City Waler XX AccL Deposit PRV Required ? S/W Permit 30.00 Booster Pump - SMY Surcharge .50 252.00 Treatment PI APPROVALS Road Unit 355.00 Ptanner - park Ded. Council BIdg.OH. _ Copies 3.262.00 Variance - TOTAL Permit No. Permit Holder Date Telephone M WATER ? ?JC.. , • ??G? OV/S G' SEWER PLUMBWG SU? ?`? (J H.VAC. 14 01;/ ELECTRIC Inspection Date Insp. Comments Footings I Foundatan 3- p 1 Framing Rooting Rough Plbg. A Rough H19. Isul. , ? • /' ? /? Fireplate Final Htg. Final Plbg. Const. Meter Pibg. inspeclor - Notily Plum6er Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. *ja6'1s0 G `'_ 5 9 Q Requesl Date ? ? • Fire No. u ?-i n eclion ' tl? ? Reatly Now ? Will Notity Inspectar Wh R ? - ? Ves ? No en eatly I? cepsed contractor O owner hereby request inspection of above electrical work at JoD Atltlress ISiree1, Bov or Route No-j / R S R - - II Ciry F nisi,,, , , , 'e' . I a a., . SMion No. Township Name or No. Range No. Countyf? Occupant (PqINT) PM1One No. i?? S f M ? ? • Pawer Sup/Ol?ier lf oii 4?2rLT Atltlress fCif ./ / (? ' Elecincai Conlracim (Compeny Namel Conlredork Lic ense No. L O?. KA/l fG% ?? o ?07V Mailing Address lCOnhaclor or Ownar Making Installalion) 17P J Z / Pl4a - r j7-Z nn , r c / 7 Authorizetl SignaNre (COnlradodOwner Making Inslellalion) Phone Number ESOTA STATE BOAFO OF ELEGTflICITY THI$ INSPECTION REQUEST WILL NOT GrlggsMltlway Bitlp. - Poom 5-1]3 BE ACCEPTEO BVTHE STATE BOAqO 1811 UnivereNy Ave., 51. Peul, MN 55106 UNI.ESS PROPER INSPEGTION FEE IS ptwne(611) 602-01100 ENCLOSED. 0 REQIPcST FOR ELECTRICAL INSPECTION EB-00001-07 jl? $g ns for cromplatng this form on back ol yellow copy. ,??,r{ ?. ' ? ?; ?!. ?5 g 0 - ?X' $elow Work Covered by This Request '?,? ??? ew tl Rep. TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Wa r Heater Eleciric Heating Apt. Builtling yer Other (Specify) Comm./Indusirial P 'Llace Farm ir Conditioner Olner (apecity) Con[raclor5 RemaMS: Compute /nspection Fee Below: # Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps to 100 Amps p Transformers Above 200 _ Amps A e 1 _ Amps Signs Inspector5 Use Only: ? TOTAL ? 7 Irriga[ion eooms ?(?' lty) Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspecror, here6y certify that the above inspection has been made. Roui o i, ' Y=( ? Finei • OFFICE USE ONLY ? ? This request voitl 18 months tmm sfC/so 440111,. x1r ?76 L, 7V/s $'/L?' °'' nnpvasrDate Fire No, ug -in Inspedion a eq retl? es ? No eedy Now ? Will Nalify Inspector When Reedy? I censed contracror O owner hereby request inspection ot above electri Job Atlaress (Sfieet. Box or Route Noj City r ` Section No. Township Nam¢ or No. flange NoY 1 Occvpent(PRINT) Phane No. / Power Suppfer AtltlresS / ElecVcal Convaaor (Company Name) Comractor § License No. "L!'1 6l E C /'. ?G ^ ? o\ ? 76,-2 MaiM1ng Adtlress (COnlrector or Owner Making Installetion) ?,_,o,- L ?•? L 7D ? , ?? -,h y , , Aumorize aWre COntranonOwner Making Instanaiio, Pnona Number 7 MINNESOTR STATE BDARO OF ELECTRICITY THIS INS?ECTION REOUEST WILL NOT Grigga-MlAwey Bldg. - Haom S-173 8E ACCEPTEO BV THE STATE BOARD 1821 Ilnlverslry Ave., SL Peul. MN 55104 UNLESS PROPER INSPECTiON FEE IS Glwne (612) 602-0800 ENCLOSEO, 4I**4/ o'-t UEST FOR ELECTRICAL INSPECTION Eeooom-m /T'? ?1/ V ? See insVUqions for completing iM1is lorm on Eack oi yellow copy, 4 q G 41 5 7 6 "X" Be/ow Work Covered by This Request ew dtl Rep. Type of Building AppliencesWireil quipmentWired ll? Home Range - empooary Service Duplex Waler Heater Electric Heating Apt Building Dryer Other (Specify) Comm./Indusirial Furnace Farm Air Conditioner Otnee(specify) bvnlractor's Remerks: Compute Inspection Fee Be/ow: # Other Fee ServiceEnlrance5ize Fee # Circuils/Faeders Fee Swimming Pool l 0 to 200 Amp 0 to 00 mps TransfOrmers 200 _ Amps Above AGove 100 Amps Signs Inspeclor's Use Only: ? TOTAL ?. ? Irrigation Booms ? J •0 -?? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oae f cerlifythattheaboveinspectionhas been made. Final ? J 04 D e F ? '? OFFICE USE ONLY Thls request voiC 18 monihs from ; . CITY OF EAGAN N2 17598 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt # C' ?..1S?f Tobeusedfor SF DWG/GAR Est.Value $115,000 Date MAR 13 , 199-0--- S1tBAddfBSS 575 PRA7RTF. C:TR F. LOt 1 BIOCk 5_ SeC/SUb. COl1NTRY NOT i OG Parcel No. _ W Name VA'1-SMITH BUILDERS. INC z 3: Address 5975 TIMBER TR ° C{ty PRIOR LAKE phone 440-2094 o Name S? g? Address City Phone Name _ Address City _ Phone I hareby acknowlege that I have read this application and stale that the inbrmation is correcl and agree to comply with all applicable Slate of Minnesota Slatutes and Ciry ogan Ordin s. Signalure ot Permitee ?Y A Building Permil is issued to: VAN-SMITH BUILDERS on the express contlition that all work shall be done in accordance with all applicable Slata of Minnesota Statutes and City of Eagan Ordinances. 8uilding Otlicial OFFICE USE ONLY Occupancy R-3 M=1 FEFS Zoning R=1 (ACtual) Const V-N Bldg. Permit 692.00 (Allowable) Y-- K Surcharge 57.50 F of Stories - Lenglh 70' Plan Review 0 450.0 Depih 44 ' SAQ City 100.00 S.F.TOIaI - SAQMCWCC fiOn.nn S.F. foolprinls _ On Sire Sewage _ Water Conn 625.0 0 On Sile Well Wa1er Meter 0 90.0 MwCC System XX 30 0 City Water $jj_ Acct. Deposil .0 PRVRequired ? S/WPermit 30_00 Boosler Pump - SiW Surcharge .5 n Treatment PI 252.00 APPROVALS RoadUnit 355.00 Planner - Park DeO. CAUncil BIOg.INf Copies Variance - TOTAL 3,282.00 -7oSq -D- 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55722 651-675-5675 Please complete for modifications to existing residential dwellings. ?f '/s '=' Datetl l 11 ?5 / 0 G Site Street Address 64 IV (t C11' E Unit # Property Owner SuS?tn -{??dtY's0n Telephone #((pl;l )L4S 2 G135 (O H.P. PIPE`.r -!..a 3670 DODC; r Contractor ? •,^ Telephone # ( ) Address City State Zip The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes putting in a water soften er and/or water heater at the same time. !f you are insta!lina onlv a wafer softener and/or wafer heater, do not complete this section. Move to the neut section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener ? Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00 State Surcharge $ .50 Total $?U I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ri 4,J ?? ? ?. Appl cat t's Prin( ed Name Appl cant's SignatHe i ? oLr c 2D05 i) ? `. , `?;•SO C.? - -, ' l , liff 4 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ?EA 2 8 RECo SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 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 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 LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQIIESTED 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. 1 i To Be Used For: S+Z2(,t w,aluation: Site Address Lot 1 Block !?;- Parcel/Sub 0??0?j Owner yj?JJ " SM1+4 G i I,.dCTS 1A7e Address S9 ?Ti M(Ocg 1 R City/Zip Code Phone 1111 0 - "DCJ 17 q Contractor Sp M E Address ? City/Zip Code / Phone / Arch./En Address City/Zip Phone # ? Date: OFFICE USE ONLY I ( S7 oo-?' - Occupancy Zoning ?^ 1 Actual Const V-k Allowable V- N # of stories Length '76, Depth 44' S.F. Total 1%otprint S.F. On site sewage_ On site well MWCC System ? City water PRV ?f Booster Pump _ APPROVALS Planner _ Council Bldg. Off. Variance FEES B1dg. Permit ?,LqZ,oO Surcharge -z2,S0 Plan Review yyp.QJ SAC, City IOO,OJ SAC, MWCC pp.OD Water Conn kZ.SdOO Water Meter 90100 Acct. Deposit ?Q S/W Permit 3e,?J S/W Surcharge Treatment P1. ? 2.0 O Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL ? ^ " . , , I ' 3z k?a= ?60 12 x6= rs = (Imo C??rnr loGy ..----- Is 12 x 14= ZI 169 °kSe ?.----- 3S 5 ?c ? P ? S K r ? S S I `t ?432 K sp 6?oo 1 I u G ?-rd ?. _ ri .r r a 1 •. • . TRl-LAND C0. SURVEYING SERVICES 1875 PLAZA DRIVE EAGAN, MINNESOTA 55126 CERTIFICATE OF SURVEY FOR: VAN SMITH BUILDERS LEGAL DESCRIPTION; L07J-,BLOCK5 , COUNTRY HOLLOW ACCORDING TO THE RECORDED PLAT N THEREOF DAKOTA COUNTY, MINNESOTA SCALE: 1"=30' et' LOT 2 0 lw e?Na,c.E } ur?ury wm<-,rGVr Q+" S 5 ? LOT I I ql ?? . p3' 5'0 r*-- 0ti? X ?`R--? PQoposEv I ffoJir6 a? 0 0 N a' I a?IV J LL, ? J ? 5 ? ? - 28 itp ? I CJ ? ? N ?Mu N N O o ? $ °V Z w M Z 3i. 3y w.v - 41 C, - 12 N89938'31"W 85.0 E V b'- ?_ `D PRA1RlE CIRCLE EAST bEpTI LECENQ o DENOTES IRON MONUMENT o DENOTES WOOD HUB SET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATION ? DENOTES DRAINAGE DIRECTION I IureDy cartify thaf thia survey,plon or report was preparsd by me or under my di?ect supervision qnd ihat 1 am a duly Reqietered Land Surv*yor undsr fhe Laws oi ihe State of Minnesota. PRoPoSED FoLI. 2^SEr4BNT- WAL{cnJY.' I INVERT ELEVATION AT SERVICE ExTENSION= PROPOSED GARAGE FLOOR ELEVATION= a3q.4(- PROPOSED FIRST FLOOR ELEVATION = 839.'& PROPOSED BASEMENT FLOOR = B3? ELEVATION NOTE ' VERIR?L?FL? ?J FJIFD FINAL HOUSE PLANS -- ? ? , •? ,' f !?` ' :t?_ _. 'bradley J. Sweryson,-?Mn. Raq. No. 15235 - ? ?--, i Date ? -- ? ', , Lxi AVE ' OupER S1TE ADDRESS L . GON7RALTOR ' DA(fE PFfONE • Determine working square footage of each. ' • . J•4? 1, Totnl exposed wall area .:... 2 34/ sq. ft. z jV = Z s9. 9/ 2. Tatal roof/cei'ling area ...... i s s4 sq. ft. x ,31- = 90. ¢ o ? Total exposed wall area above floor = -lG 4D . a. Total Kall window area ........................... ' b. Total door area ........................:........ c. Total slidin9 glass door area ...........:......,. i? d. Total,fireplace wa77 area ............:........... s e, e. Total walt framing area (average lOX)...:.......: z3 G . f. Total net wall xrea above floor ................. ii.3o g. Total rira joist area ............................ i 8;7 Total ekposed foundation area = .S3¢ h. Total foundation window area ..................... 96 i. Toal net foundation area above grade ............ 4-38 ' Determine "U" value of each xall segment. 8. x vuu . SL ? ?2• 9L ' b. 4e?-. ' A pV~ c: G 3 'X "U" 3z• 7(- '. d._ _ ?8 X "U"_ x uu° 3 Z ' f. //30 . X nUn . • ' 9. ?g? • X mull • h. x "u" , sZ = 49. 92 1. -5?138 _ X "l'" 3 . ...................................iOtEl ° ZsS.44 .? : If item 03 is tbe same as, or less than item il. you have met the intent '?..of SSC6006(s)2. , . . . ?,?.,: Total expased roof/ceiling area J. Total skylight area ............. ........... . ? k. Total roof/ceiltng tramtng area(averagelOx)... - ss- 1. Total net insulated roof/ce111ng area........... i3 99 Determine-"U" value for each roof/ceiling segment. ?• 111? _ J. /1 y MV k, X"U" . d 3 ? 9• `-s" 1. /399 X"U" 27,98 4 ..................................Tota1 .. .JL.G 3 1f total of 14 is the same as, or less than #2, you havt met the lntent of SBC 6006(c)1. . ' •. Alternate Building Envelope Design To utilize the tdtal envelope system meihod, tht values established by the sum of iteirn 03 and 04 shall not be greater than the sum of items 01 anG !Z. t'1. 90,g0 ? a 30?. // 3, 2 s8 . f 8 + 4. 3'Z< G 3 . , . .• , ? ?. . . FERMIT CITY OF EAGAN 3830 Pilzft Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 032290 (612) 681-4675 Date Issued: 06 J 19 / 9 8 SITE ADDRESS: 575 PRAIRIE CIR W LOT: 1 BLOCK: 5 COUNRTY HOLLOW DESCRIPTION: - REROOF .. B'uilding.Permit Type auilding Work Type ,? . ?Censurr Cerde S t; S STORM qAMAGE ALTERATION 434 ALT. RESIDEN7IAL 1 3? ' e ? ' ! . ( , "-`? ., - '_ REMARKS FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC OWNER: COURTNEY I ANDERSON-BLDR 14597178 0004770 STRATHMOEN PETER 6547 77TH ST S 575 PRAIRIE CIR E COTTAGE GROVE MN 55016 EAGAN MN (612) 459-7178 z herehy acknawledge that I have read this application and state Chat the information is correct and agree to comply with all applicabW State of Mn. Statuteg and City ofi Eaga;n ardiXrances. /1) ?-- APPLICANTlPERMITEE SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) Y CITY OF EAGAN : 3830 PII.OT KNOH RD - 55122 681-4675 New Conshudion Reavirements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; etc.) ? t energy calwlations ? 3 wpies of trae preservation plan H lot platted aher 7f1/93 required: _Yps _,No DATE: DESCRIPTION OF WORK: STREETADDRESS: e,'V-74 - RemodellReoair Reauirements ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated addRions CONSTRUCTION.COST; GA0,19 ? LOT: BLOCK: ? SUBDJP.I.D. \ ? Name ! .t.? Phone k: PROPERTY First OWNER _S?%4 ^ Street Address: ,utr,e.tPJ Q ? Jrt oJ 4. City SWte: ? Zip: (? ? ) Company: C? Phone W7&? CONTRACTOR Street Address: -- ? z- License # & 4j/7767 City R%La.u? State: ?i ? Zip: ARCHITECT/ ENGINEER Company: Phone #: Registration #: Street Address: City Sewer & water licensed plumber (new constructlon onN): and lot change is requested once pertnk is issued. Zip: Penatty applies when address chang I hereby adcnowledge that I have read this application and state that the infortnation is coRect and agree to comply wfth all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required Sta[e: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dweiling ? 07 4-plex ? 03 SF Addition ? 08 &plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _ plex WORK TYPE O 31 New ? 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? O 12 Multi RepaidRem. ? ? 13 GaragelAccessory ? ? 14 Fireplace , O ? 15 Deck 0 36 Move ? 37 Demolition (" ? {?'e f* f , 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units 931721 r • DRAINAGS AND UTILITY EA88M&NT IN CONNECTION WITH EAGAN CITY PROJECT NO. 88-FF THIS EASEMENT, made this k24' day of A/cLdr?4 , 1990, between PROGRESS LAND COMPANY, INC., a Minnesota corporation, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "City". W I T N E S S E T H: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a permanent drainage and utility easement, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: The northerly 50.00 feet of Lot 1, Block 5, the easterly 85.00 feet of Lot 4, Block 5, and the easterly 70.00 feet of Lot 5, Block 5; COUNTRY HOLLOW according to the recorded plat thereof, Dakota County, Minnesota. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for drainage and utility purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits, ponds and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions, save only for the necessary removal of trees, brush, undergrowth and other obstructions. And the Landowner, its heirs ar.d assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. PROGRESS LAND COMPANY, INC., a Minnesota corporation nv • a?.._ its: ? es,nEti?r STATE OF MINNESOTA ) ) ss. COUNTY OF D^vv-A ) The for go ng instrument Of n qro? ? the t"?-cs. of corporation, on behalf of said >.+n.A<,?erJJ?,n?.,-.•.r,:;r.','.^.i.t,',n:.:..,,,i,q/,r.n?.s 5'r-! F Car'cY S ?Cpe;k.p; NCZ.YF.LLI.hI?.?w.rA GI.X?,ThGCUtJTY S } ? MY Wmm. Es.4.r es Aoc. 3. 3R94. • wiYJ\'V'??VVVS'W'Jl`!V1' aV`. v': V V l'P: : V W. APPROVED AS TO FORM: Ci y Attorney's,9ffice Da ed: ? kY? J APPROVED AS TO CONTENT: i>. AL Public Works Department Dated: 3-9 - 90 was acknowledged before me this °" day 1990, by _(Ja+-rrn -i (w,, , PROGRESS LAND COMPANY, INC., a Minnesota corporation. 1 ' No ry ublic DRAINAGE EASEMENTS FOR CQUNTRY HOLLOW -N. N e90 53'24" E 150.03 ? I' - a _ l:?i-?i`_;?_>::_2• : _:>:>: N ir c ? ? 4j;i:: ?: : i?:7?.0?': i} : ;}:j•:; N qlc Mp> ? :DR41N4GE;?i ?? h ?.r F[? :??45EMENT::::t ;:`•:b ?,7w r L 5, B5 ?>:::;<::;;::<:«::;::: ?:?: ;;:?::•;;; :•::: :•::: r?>::? ;;?•? ?:> :;i:::;`.;;?::< :: :•:: ??' ???.: ? : Q' DRAINAGE :?5;;:? E4SEMENT ?:f:;•< d i r.; ::?i:?::?: ? »>:::: : :: »:?>:;• ? ::::: ? ? L 4 B 5 ?»> :?>: ;; :?>: ::r : , ? ; ;: > c;<•i:?::<%:•i:::;;.: >:<: ? .>i:; %?;f;?i: ` - - - - - - ?'.'::-•:::;?>:?'.'»:?>::;::::;;;:;:<;: ;: 4, 3 ? N 890 36'31" W :;:;:}•,:;:::t?: ??°,:.:.:::;:, :}:::?: ? • ?::?{::?: ? , ;,;;:.;,;,;:..•....w . .. 34 E.p .. w a 3 #: 0 :?i ' ?:? ?' %?. ' :.;;•: : ui g 04.. ; ::::" :'?;. •: :; : ? : •:::...:'•:. ? •:{•:::::•:•?•i:•,:?::•::ti?{:;? Q yWQ .:::?•::::• ? O • •'•.. . Y ' W _ :f ::?:?::?:•:ti-ti?:?::•:?:? •.•:: ?:::: i. .:•:•:ti?•: r ?•?'f? r v?ri?"y'i ? ?•.?. gN ? L I, 65 ? ? ao ? ? z I I ? I ?----- I -? 85.00 N 89'3B 3l W PRAIRIE GIR. E. ? 25 5p 100 SCALE iN FEET PROGRESS ENGINEERING, INC CONSULTING ENGINEERS 14300 NiCOLLET CAURT SUITE 235 Exhibit A BURNSVILLE . MN 55337 ; ? « THIS INSTRUMENT WAS DRAFTED BY: SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldg. ? 7300 West 147th Street G Apple Valley, MN 55124 ,??.° (612) 432-3136 JPE City of Fa ll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 oFax: (651) 675-6694 OCT 011013 Use BLUE or BLACK Ink For Office � 1 O/ l(f Permit#: Permit Fee: V 0 .0 D Date Received: Staff: 2013 MECHANICAL PERMIT APPLICATION 0 Please submit two (2) sets of plans with all commercial applicatlorls. Date: site Address: S7 S P rC'-t i Ir i�. C i YG (t L Tenant: Suite #: ResidentlOwner Name: Pas4e v 5.41,-> e+Ir i- TY)O Y) Phone: Address / City / Zip: 5.7 PIztl rieCt Y VY1r"1 S5l c 3 Contractor Names ) -F»Y)eaJ Cbapcz Vi../ License t VV.) i CXD Address: 1E3 by City: S -t-1(---1 State: W.111' Zip: 1 ©y Phone: (461 —(4114/ ` 4" / 0 Contact Ton-) ")Pr) Email: ®Fr, re beehriwetti rCQ . cain Type of Work New Replacement Additional Alteration Demolition Description of work: Ye Pace -i t. Y Ce A Q I (►` c 'd 1+ c -V NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screeningmethods. Permit Type J RESIDENTIAL COMMERCIAL Furnace New Construction _ interior Improvement, ✓ Air Conditioner Air Exchanger Heat Pump Other install Piping Gas _ Exterior HVAC Unit Under/Above ground Tank (_ Install 1 Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (indudes $5.00 State Surcharge) $100.00 Residential New (indudes $5.00 State Surcharge) COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *1f contract value is LESS than $10,010, Surcharge = $5.00 = **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge 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 wodc 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. TOTAL FEE Contract Value $ _$ _$ x .01 Permit Fee Surcharge* TOTAL FEE Applicants Printed Name Applicants Sig FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test Indoor Heat �, Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146136 Date Issued:10/10/2017 Permit Category:ePermit Site Address: 575 Prairie Cir E Lot:1 Block: 5 Addition: Country Hollow PID:10-18275-05-010 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 - Peter A Stratmoen 575 Prairie Cir E Eagan MN 55123 Appliance Installers Of Mn 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169589 Date Issued:06/02/2021 Permit Category:ePermit Site Address: 575 Prairie Cir E Lot:1 Block: 5 Addition: Country Hollow PID:10-18275-05-010 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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: 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 - Peter A Stratmoen 575 Prairie Cir E Saint Paul MN 55123--163 (612) 867-3776 Legacy Restoration Llc 15350 25th Ave N, Suite 114 Plymouth MN 55447 (763) 354-7660 Applicant/Permitee: Signature Issued By: Signature