3265 Random RdCITY OF EAGAN
Remarks
Addition SEJMRK ADDITION Lot
l?"?a re 1 r?? F Street 3265 Random
Owner
abt, , K ? h o ut
lk 1 Parcel 10 67100 060 Ol
State Ea'gan v M 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 53-00 2.12 25 Paid
SEWERLATERAL 973 1f700.00 113•33 15 Paid
WATERMAIN
* WATER LATERAL 197-3 ].
WATER AREA
STORM SEW TRK 1984 421.00 28.07 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 220-00 6674 -27-72
BUILDING PER.
SAC
PARK
Road
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4799
PHONE: 454-8100
BUILDING PERMIT J' ReceiPt # 10014
To ba used for C„-:,Ya ?;e
Est. Value
Date 7A
, 19
Site Address 3265 `'`?*tldnrn Rd^ Erect 0 x Occuponcy ?
Lot 'J Block I Sec/Sub. S e I ma Y:C Alter ? Zoning
Pcrcel # Repair ? Fire Zone 3 _
Enlarge ? Type of Const. rr
w Name kQher? K'nhnut Move ? # Stories
3 Address 32 L' ;) tf `An?`;'':? '? ` Demolish ? Front ft.
o
Cit
Phone 4.,?.?
Grade ?
Depth ft.
?
o
Name t?f. ? rF, GgE'a p, ?,^.. APProvals Fees
?U Address 4 5f}i`` ; x•rtrjal ,? ^,ti.?- _ ;?ri, Assessment _
•? 1588 i-s
Cit Phone
'?''''
Water & Sew
Police
Name Fi
FW re
?? Address Eng
.
a'Z" Ci Phone Planner _
Council _
I hereby acknowledge that I have read this application and state that Bldg. Off. _
the information is correct ond agree to comply with all opplicable
State of Minnesota Statutes and City of Eagon Ordinonces. APC
Permit 21-Q0
Surchorge
Plon check
SAC
Woter Conn.
Woter Meter
Totol 74 .11f)
Signature of Permittee I
A Building Permit is issued ta ;ot1t ? '?± 1 t 5 ?:? ?r" ?• on the express condition that
all work shall be done in occordance with oll opplicable State of Minnesota Statutes ond City of Eogon Ordinances.
Building Official
??. .- ?.. ... ... . _ .._. . - . r . ... . Q.. . , - . . . . . . ,v. .. . . _ i ... . ??.-c?'f?
? v
?.? . .. . r . . 4 ? . _ .. I-4
Parmtt # I Doh Issued
Rough-In Finel
Footinas Date I Insp. Date I Insp.
Remorks:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
,, t
(61.1) .72; .. A 1`N 0
? f l. Fi fl K V
PERMIT SUBTYPE: TYPE OF WORK:
; Arra
INSPECTION D. . .A
F- ,
L
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
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
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
? 3795 Pi)ot Knob Rood Eagan, MN 55122 N? 4799
PHONE: 454-8100
$ 6 ,000.
BUILDING PERMIT APPLICATION
ReceiPt # 10014
To be used for Garage Est. Value Dote May 17 , 1 q 78
Site Address 3265 Random Rd. Erecr ? x Occupancy -T
Lot 6 Block 1 Sec/Sub. Selmark Alter ? Zoning RI
Parcel # Repoir Q Fire Zone 3
Enlarge ? Type of Const. V
w Name Robert KohOUt Move ? # Stories
z
3 Address 3265 Rattdom Rd. . Demolish ? Front ft.
o Cl Eagan phone 454-8563 Grade ? Depth ft.
? Miles Garages APProvals Fees
Zo Name ?? Address 4500 T.??ndale Ave. No.
?' Citv MDis Phone 5$8-9700
Ncme
?
?? Address
a W CiN Phone
i hereby ocknowledge that i have read this
the informotion is correct ond agree to c
5tate of Minnesota Statutes ano City oj'
Signature of Permittee
A Building Permit is issue
ali work shall be done in
Building Official r?
and stcte that
oll applicable
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Counci!
Bldg. Off.
APG
f/7?
?
Permit - - - 71 n(1_
Surcharge 3.0
n
Plan check
SAC
Water Conn.
Water Meter
Total ? 4?80
phout / Miles Garages on the express condition that
W
icable State of Minnesoto Statutes and City of Eagan Ordinances.
?e
F EAGAN TOWN 5 H I P
BUILDING PERMIT
Owner --•---?.?`'`:• - -°•-•-.``?' _ .. .- ' -•-••--- --•- - . ?c:a?-:;?rr-;
/c 74 ?'? ?P^`?'"?fr.
Address (presenf) ...--- ?• • ----•- -----•---••-•--•--•-- - - ??._.S.'.rSE_?:a
Builder ...••-••••-•-•-•-•-•---•-------•.........---••--•-•-•••-•-•--•---•-••-•---•••••---••-•-•......_.
Address -•••-.-••---•--• .............•-•----•--._...----•-••--•---------•---•-••-•••-•--•-•••----••---
DESCRIPTION
N°
????
Eagan Township ? ? ???
Town Hall
Date ..._l.°..--° ?-1c--? •--?• ?---•--•-••-.......
5tories To Be Used For Fron! Depth Height Est. Cos! ermi! Fee Aemarks
? `{ ) ?2? ? 77
' 7?,0 ?
/l?,T°O /o i ?,.?,? .,C?-??,4-K=e_
? ?a ? D,t?-,?-- °
L 9• ?O ??? ? (Y,e? < ,?st6 7 3 Q . LOCAnT?OTJ fl??S'o ? ?,4.?,?-?'??l4o p )
Streel, Road or other Description of Localion ? Lot I Block I Addition or Trac!
? ? ? :?- ???? ??? ? ? ? / ? ,??.????
This permii does noi suihorize ihe use of stree2s, roads, aileys or sidewalks nor does it give the owner or his agen!
the righ! !o create any situation which is a nuisance or which presenis a hazard !o the health, safety, convenience and
general welfare fo anyone in !he communiYy.
THIS PERMIT MUST BE K T ON THE PREMISE WHILE THE WORK IS IN PROGRE S.
This is !o ceriify, that-•--•- -•---- •-•- ?•'-•-........•-••-------••••.has permission to erect a ....... ........? . F .? .. :........._upoa
!he above described premise subje to ihe provisions of the 8uildiag Ordinance for Eagan ownship ad?ed April 11,
1955.
'
a- ,?„? ?,Q? .---??.: .
?1?-?-•---...•°-°---°°-•-)•-°----••• Per -•-••---•-•--•-••---•...........•-•••-•---•-- - ....-•• ..............
------•--...-•-- -•-••-•-•- 9 P
Chairman of T?wn Board? Buildin Ins ecfo;_
,?'
.,.
EAGAN TOWNSHIP
BUILDING PERMIT
oWne: .......-.14 ..-------- ....... ............................................. .........
Address (Preseni) .... ---•- -•- -• `_ ....?-?.• .............•--•
Builder .............. z.°. ................................................... -.........
Address ..•-• ................•-••••....•-•------------------------------------•----••-•-..._...._...._ ? a
DESCRIPTION
N? 2673
Eagan Township
Town Hall
Date .... /? ° . l? ............ y....... .. ... ? . ......?-?----
5tories To Be Used For Front Depth Heighf Est. Cos! ' Permi! Fee Remarks
" `' LOCATION
Street, Road or other Descripiion of Localion I Lo! Block Addition or Tsac!
3 .2- G'S' lfLo----X, I 4 /
This permii does noi suthorise !he use of stseets, roads, alleys or sidewalks nor does it give the owner or his ageat
!he right to create any situation which is a nuisance or which presents a hazard to !he health, safety, convenience and
general welfare !o anyone in !he communily.
THIS PERMIT MUST BEVPT N THE PREMISE WHILE THE WORK IS IN PROGR SS.
-••:-•••-•--....._
This is fo certify, thal--- es-e--ul!e- ?--•-----,-•-------•-•-••---...has permission to erect a---. ._. upoa
!he above described prest to !he provisioas of the Building Ordinance for Eagaa ownship dopted April 11,
1955.
?
................................ .................................................:......... Per .......................
.1............ ` ............................ -..........................
Chairman of Tnwn 8oard?16 ,oSuildir?g Iaspectoz
TOWN OF EAGAN
3795 Pilot Knob Poad
Eagan, Minnesota 55121
PEaYIT N0. ?2,?
The Board of Supervisors hereby grants to R%r N. Weltow Co•
o f 4637,Ch1ioaM Ava?;? Sa. - .lvt?. :.?.??•:tl?
r
a IMTM Permit for: (Owner) ??,ir Cp.
at _3265 R,wdCn..RQad , pursuant to application dated
Fee Pafd:- U,?G ao Dated this _oAtb day of , 19??,..
Bui'!ding Inspector
`o
, o-o
N o
? N.
31 p, •i?: ?
\ ey?4s? . ? / • ? ?-73., .
KD
ioT s BLOCx _ i sEi.MaRx
i bsrobycerf3ly tAut th{s is o fruo ond, correci reprooeetation MiflbCBOtY VAlOey SureeYore 6C
oi a anrvoY p1 the 6oundaries ot the above dofaribod land, Ep? e@fe• C0.
and a1 aha locatioe M all buildiogs, rheroon, and all viaible by -??? ??_. x •??. s
ancro0ehmeaM, ii onr, irom w en said laod.
As •wrveyed br ma 1A:f,%f4? day of AF8/,( A.O. 1424. MiAp. Reg. (VO. 9'ZY-2
i
,.,e, ... .tr;.N*_,a=...r, . .. _ .`?5.. .. .. .. r _.u a' ?S . . _ . ..: ..s . . . .
,
vZ 4 73
IF
4
s?v
.?
.?-
9 ?
? o a
4Sp, Cp
? ent ?
? A
rn
aDeno%s iriron
a9
? ? ; .
. , . '
LOT 6 BLOCK 1 SELMARK
l hanby urtilr ?het this is a trua and cor?sct represeeto?ion Miaoeoot a vil18y 3urveyors &
01 o survsy of fhe bovndorisf ol fhe obove dssaribed lowd, EAlo«+?C?
ond o/ the tocafion o1 all bvildings, thereon, ond aN vitibM bSr R L S
ensroochments, if any, from or on said land.
As surveyed br me ?tiis W22?,dor of APR/L A.D. 19ZZ. Mipp. Re8. Np. 9e9.3 :
- -,
r
«= -
w
?"
? .. .:_#- . .?r. ?' r
c ?? +"?. -? w .
w1
4 ?f,?`.,+?' ? A ?' } ??'.._??
't' ? ? '?7 ? ?1U"??s"^?'?` -?',• ?
?` ?
?
,r
,
,.
r
'+'r_ i ,
F . .
?
STRUCTURE AND
LAND USED AS
t
Permit
No.
Issued Issued To
ContracTor Owner
BUILDING
024 7 .3
7
PLUMBING
CESSPOOL - SEPTIC TANK
7 -7 ?
V'?ELL
ELECTRICAL
HEATING ?
GAS INSTALLING
SANITARY SEWER
OTHER
O7HER
•_ Items
FOOTING
FOUNDATION
FRAMING
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
•
COMMENTS:
c
0-
Approved
(Initial) Date Remarks Distance From Well
SEPTIC
CESSPOOL
TILE FIELD FT.
DEPTH
OF WELL
? ig w
I -.A
I Violations Noted
on Back
MASTER CARD ,
COMPLIANCE INSPECTION REPORTS .
70 BE USED ONLY IN EYENT OF OBSERYED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUICDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMERITS
WILL BE DELAYED BY CONDITIONS BEYOND
NON-COMPLIANCE. BUILDER WILL COMPLY y
CONTROL.
t WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS: .
l
F-I REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSRECTION
0
C
CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ord'+nances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED '
.. BUILDING INSPECTOR DATE
CONIMENTS:
?
23 .
CITY pF EACAN
CASHIERn S TERMINAL NOe 59
DA7Eu 05/12/97 TIMF_a 15„I.2ai8
IL1 a
NAMEn DONNELI..Y WINDOWS IIdC
3210 3001 3265 FiANLtOM hU 'r..'99p 75
2155 9001 3265 FAAlDQi"i FiD 10.50
w
To+.al Rer_eipt Amosint n 310>2S
CRCl736C i
liSER ILi: NANCV
- --? .
C11°Y C)F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675 ,
SIT'E ADDRESS:
Pa Ie N. ? 10-67100-060--01
DESCRIPTIOIV:
s? (Mxsc e ?
REPAxR
434 AL-ra REsIDENrIAL
?
16
?Z?
? ?? ?:
? ?.; ?"
?0, f
BurLDxNG
029951
05/12j97
RGIYIMA"0Ke7.
wsNDaws SIoxNG
FEE SUMMI4RY:
`JALIJATTt7h!
E3ase Fee ' $299 0 75
Surcharge 1,0 <5P
'1'otal Fee $310e 25
CONTFiACTOR: - Appl.icant --
DoNNELLY co 17224200
2519 E 25TH 5T
MIhliVEAF'ClLIS MN 55406
(6102) 722--420 0
?
APPLICAN IPERMITEE SI AT
(JI
PE1ZMIT
PERMIT TYRE:
- Permit Number:
Date Issued:
3265 RANDraM RD ,
Lar4 s BLocKe 1
SELMARr
?21, 000.
OWNER:
?ILLER BOB
3265 RANDQM RCl EAGAN h1iV 55121 ( 612)q56-05.?"a4
Awin k p"d.1 rhd
ISSUED B : SI AT
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
V I ? 1996 BUILDING PERMIT APPLtCAT10N (RESIDENTIAL)
I t, 1 681-4675
RemodeUReoair Reauirements
? 3 registered site surveys ? 2 copies of ptan
? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree presan?ation ptan i( bt platted after 7/1/93
mquired: _ Yes _ No
DATE: CONSTRUCTION COST: 2D01bn .0O
DESCRIPTION OF WORK: 11s+a,11 6E QjQ?a&mD,•?4- lQt.meue r- l?of,?ie S??i?a
STREET ADDRESS: 3a65 Atndom Ad- Eaq?n ,1-n iJ s,S-)Z) /
LOT ? BLOCK SUBD
/P
I
D
#:
.
.
.
.
PROPERTY Name: ?b Ib1IIL1r Phone #: ys 6.-ass?
OWNER • LmT
Street Address- 3 :1LS FiR6i
R?n?o?n ,Pd
City; Ea 2&:' State: M /J Zip; ss/ a 1
CONTRACTOR Company: OOn ncI I y 0, n do"vA, ??? - Phone #: 72';I y200
Street Address: a c, 9 E a s t!" sT License #:
City: M o Is State: rn,,,J Zip• ssyo 6
ARCHITECT/ Company: Phone #:
ENGINEER
Name: Registration #•
Street Address•
City: State: Zip:
Sewer & water licensed piumber: Penalty applies when address change and lot
change are requested once permit is issued.
ply with all
1 hereby acknowledge that I have read this application and state that the information is correct and agreT?4/
applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: r
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Yes No
Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation a 06 Duplex
0 02 SF Dweiling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
0 04 SF Porch a 09 12-plex
? 05 SF Misc. a 10 = plex
1NORK TYPE
0 31 "New o 33 Alterations
o 32 Addition _? 34 Repair
GENERAL INFORMATION
Const (Aetual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt.ILodging o
0 12 Multi Repair/Rem. ?
o 13 Garage/Accessory o
0 14 Fireplace ?
0 15 Deck
a 36 Move
0 37 Demolition
Basement sq. ft.
Main Isvel sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
16 Basement Finish
17 Swim Pooi
20 Public Facility ?
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAG
City SAC
VV3iei Cui in.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL
Road Unit Park Ded.
Trails Ded.
Other
Copies
Totat: 310.
? s
% SAC
SAC Units
y??q
nATE S?? ?' • ?'! ?
BUILDII3G PERMIT APPLICATION
2nclude 2 sets of plans, 1 site plan w/elevations and 1 set of en,ergy calculations.
To be used for
site Aadress: 3?? 6 S
Valuation C"rl> -?--
A dA { K
Lot ? Block See. Sub..?P ? Parcel Number
1
chumer
Adclress `3 C
Telephone 45-Y -?L6 3
Contractor
Address
Arch./Eng.
Address
Telephone 7 -7 17---cJ
Telephone
OFFICE USE
Erect
Alter
P.epair
Enlarge
Move
Ller;iolish
Grade
OFFICE USE
Date of Approval & Znitial
Assessment
trlaLer/Sewer
Police
Fire
Eng.
Planner
Counci2 B
ldg. OfW7,
A.P.C.
Occupancy td
Zoning A:1-d
Fire Zone '
Type of Const.
# of Stories
Front
Depth
FEES
?
Permit
`
Surcharge ..3 ,_._.._
plan Check
SAC
Tp)ater Conn. / n J
67ater Meter
TOTAL
E. - .
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Augu.st 28, 1972 Number: 957 l-/
. -
Billing Name:Sa,y Corp. Site Address: 3265 Randam Road
Owner: same Billing Address
Plumber: Thompson Plumbing Co.
cation of Connection
Building is a:
Resi.dence xx
tlultiple Ro. Units
Commercial
Industrial
Other
Meter Siz e_ Connection Chg. • p 10/27/72
Meter Nqo? Permit Fee10.00 pd 8/25/72
.50 pcL 5/25/ 2
Meter Reading {,MeCer Dep.
Meter Sealed: Yes xA$$°1 Chg. 60.00 pd 8/25/72
NO lTotal Chg.
Inspected by
Date
Remarks;
$25.00 RE-1NSPECTlON FEE FOR
NPROP?RLY lfdSTALLED MC7'ERS.
By:
Chief InspecCor
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do ttm proposed work in accordance with the rules and
regulations of Eagan Township, Dakota Count, Mianesota.
By: Xle'?2?7?
mhompson P'iumbin-a Co.
Please notify the above office whea ready for inspection and connection.
o - -
EAGAN TOWNSHTP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Te].ephone 454•5242
PERMIT FOR SEWER SERVICE CO1vI3ECTiON
DATE: Auost 28, 1972
r
OWNEF.• Sa11y CorPoration ,
PLUMBER Tharnpson Plumbing Co.
NUMgER 1116
Address 3265 Randcrn. Road ? -? , ?yy17?2/C_
TYPE OF PIPE Heavy Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commerciall Residential { Multiple Dwelling I No, of units
xx
Location of Connections:
Conuection Charge 240.00 pd 10/27/72.
Permit Fee 10.00 pd 8/25/72
.50 pd 8/25/72 s/c
Street Repairs
Tota 1
Inspected by:
DaCe
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toi-inship, Dakota-County, Minnesota
By
Thampson Plumbinp: Co. .
Please notify when ready for.inspection and coanecCion and before any portion
of the work is covered.
073
? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% manimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preseroation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellRepair Reauirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
Telephone # (
Date Construction Cost !5_16V ?
Site Address (? 1> Unit/Ste #
?Z?
Description of Work ? -?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?j,??- /" ( -a ? Telephone # (? ( ) 6--6- OS .5-1/
Contractor /6? ?
Address It'll Cih'
State Zip - J Telephone # ( aTf}
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CategoEy 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Office Use Onlv
Cert of Survey Recd _ Y, ,_ N
Tree Pres Plan Recd Y. N
Tree Pres Required ' _ Y_ N
On-site Septic System ._ Y_ N
Telephone # ( )
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. .
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ' ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - G ive PCA handout to applicant
DeSCI'iptlOtl: Water Damage Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests FinaC
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
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- , Building Inspector
- ?
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Base Fee -------
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Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge .
Treatment Plant
License Search
Copies
Other
Total
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA160836
Date Issued:04/17/2020
Permit Category:ePermit
Site Address: 3265 Random Rd
Lot:6 Block: 1 Addition: Selmark
PID:10-67100-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Robert F Miller
3265 Random Rd
Eagan MN 55121
(651) 456-0554
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163869
Date Issued:09/15/2020
Permit Category:ePermit
Site Address: 3265 Random Rd
Lot:6 Block: 1 Addition: Selmark
PID:10-67100-01-060
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Robert F Miller
3265 Random Rd
Eagan MN 55121
United Exteriors Midwest
7455 France Avenue South
Edina MN 55435
(952) 881-8700
Applicant/Permitee: Signature Issued By: Signature