3916 Princeton TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127951
Date Issued:10/21/2014
Permit Category:ePermit
Site Address: 3916 Princeton Tr
Lot:8 Block: 5 Addition: Lexington Square
PID:10-45075-05-080
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
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles P Rawson
3916 Princeton Tr
Eagan MN 55123
Spotless & Seamless Exteriors
8715 Jefferson Highway North
Osseo MN 55369
(763) 428-1111
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
Addition LEXINGTON
Owner
Remarks 1:? J l ?-3_]- V
Lot 8 Blk 5 Parcel 10 45075 080 05
Street 3916 Princeton Trail state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 254.53 16-97 19 254.53 C009773 10-12-84
?SEWERLATERAL 173.65 C01011$ 1-28-85
WATERMAIN 1996 68-1 4-511 19 6$.33 C01011$ 1-2$-$5
WATER LATERAL
WATERAREA 1986 286.4 19.10 15 286/43 C010118 1-28-85
STORM SEW TRK 1986 501.29 501.29 C01011$ 1-28-85
STORMSEWLAT lgg 513.81 34.25 1 513.81 C010118 1-28-85
CURB & GUTTER
SIQEWALK
STREET LIGHT
WATER CONN. 500-00 n n
BUILDING PER. 9961 it +t
SAC
59500
PARK
CITY OF EAGAN `
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 " ?F.,
PHON E: 454-8100
BUILDING PERMIT Receipt ?
,1g t38
To be used for FLwEPI.ACB Est. Value #1,0W Date NUY 14
Site Address 3916 PRiriCXTOf1 TK
Lot 6 Block 5 Sec/Sub. LEXI:U."tQN 3QL?ARE
Parcel No.
a Name JO" KIMpE
z Address 3'aIl5 PRIDICETOIC TA
? City KAW Phone 432-4711
°C Narr
.o
? < Addi
? City
¢
W Name _
W
Z Address
a
W City _
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.
Signature of Permittee
f??iSIG°N DUIL.aEZtS
i A Building Permit is issued to:__BI-M__
4-on the express condition that all work shall be done in accordance with ali
? applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
w
w
p+Building OHicial -------- --- ---
OFFIC E USE ONLY
On Sfte Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner
Council
BIdg.Off. _
Variance _
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
24.00
.50
Psrmit No. Permit Holdor Date Tolephone 7t
Plumbing
H.V.AC.
E lectric
Softener
Inspaet{on Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
FirePlace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Disp.
E
CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
ecccIveo ? .
FROM
AMOUNT $ ,
& DOLLARS
?oo
? CASH ? CHECFE
Fole_ .:
/ . 1 ?Y/i 1?111144_1 , .) ;P11 . ??T' C..J'2u
FUND CODE AIAOUNT
Thank You
' BY
White-Pavers Copy
Yellow-Posting CopY
Pink-File Copy
CITY OF EAGAN
3830 Pilat Knob Road, P.O. Bax 21-199. Eagan, MN 55121
PHONE: 454-8100
dUILDING PERMIT Recera #
*_ L- ....A s.. 9a0 Vwl.- s63,ve-, MFa 3 ?
" 19
Site Addjess - - - - - - T'D . 7;
Lot Block Sec/Sub.
Parcel No.
? NertIB
Address
City rPhone '? ? a- C1 %
? Name
Addreas
? City Phone
Neme
?W
i? Address
? W Citv Phene
and stote
Erect Q OcaiPencY ' -3
Remodel ? Zoning cl, i
Repeir ? Type of Const.
Enlerge ? No. Stories
Move ? Length ? y
Oemolish ? Depth ,
Grade ? Sq. Ft.
Inatall ?
Approvels fee.
Assessment
Woter & Sew.
PoHp
Fin
Erq.
Planner
Council
Bldg. Off.
APC
5ror• of Minnesoro Sea
Sipnoturc of Permittee
Var. Date
I ,
Pertnit ' • J
Surcharqo . ?
Plan Review ?
.?
SAG `
Woter Conn.
Woter Meter 00
Rood Unit
. ..,,?
Total . ' ?
A Build?nq Permit Is issued to: on fhe exprots ca+didon thoi
oll work sholl be done in accordance with all opplioobta Stote of Minnesoto Stotutes and City of Enpon Ordinonces.
Buildinp Offkiol
Psrmit No. PKmit Hvldar Dow Talsphone #
Plumbinp r 24 - ' d (/ -3 j
H.VA.C. 97 1) ?t 0't IC-i
e?c s-07/ 3?v
7d 7•rG
InWection Dste Insp. Other
Footir?¢
Foundation
Fnminp
Rooting
Rouyh Plbp.
Rough HVAC
Inwlation ?
Final Plba
?
Final HVAC
Final ?
c.rvow. q- g
Water Dycribe Location:
NNII
Sewrr
Pr. D'ap.
Receipt PLUMBING PERMIT
C1TY OF EAGAN
' ?- fill in numbered spaces
Type or Print legib,fy
i;-
1. Date ' ' ` •` ' ; 2. Installation Cost
, ,
3. Job Address Zot Blk.
4, Owner
Traci
•+? ?^ -
5. Contractor ?+??!-TTY''? ?• ? Urr )?' c . Phane
6. Address
7. City
8. Building Type: Hesidential g
9. Work Description: New
10. Describe
11.
State Zip " Commercial ? Institutional ?
Add ? Alter ? Repair 0
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_L Bath tubs Septic Tank
l.avatory Softner
; Shower Well
Kitchen Sink
Urinal/Bidet
Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Qutlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ?/. - - for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permii wrhen numbEred and aPProved.
Approved CITY OF EAGAN 454-8100
i?
Pertnit No.
Fes
S/C
Tot.
PLUMBING PERRAIT Permit No. ?
Receipt ?
CITY OF EAGAN
• Fu
.a ?
fill in numbered 4aces S/C
Type or Print legibly Tot
1. Date --?' 2. Installation Cost
+x- „?.. ?,'?-sc ,,•f ?-t.'
3. Job Addreu `' Lot Blk: ? Tract
4. Owner
5. Contractor
6. Address
Phone
?
7. CILY State Zip j
8. Building Type: Residential Q Commercial ? Institutional 0
8. Work Description: New ID Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
- Lavatory Softner
Showcr Wel I
` Kitchen Sink
Urinal/Bidet Other
laundry Tray
Floor Drains
Drinking Ftn.
--
Sfop Sink
Gas Piping Outlets
12. I hereby certify that the above inform ation is true and correct, and I agree to
comply with all ordinance9 ertd Sodos
t governing this type of work.
Signed : ;r" --
for
Rough Final
Inspections: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recaipt MECHANICAL PERMIT Permit No. _
CITY OF EAGAN
Fea
Fill in numbened speces S/C
Type or Plrini Jegibly Tot. -r ,
1. Date 2. Installation Cost
3. Job Addreu Lot ? Bik. Troct
4. Owner
5. Contractor Phone '
6. Address •
7. City / i Stet! rZip 8. Building Type: Residential O? Commerciel ? Institutional O
9. Work Description: New ?Add 0 Alter 0 Repair ?
? 10. Describe Fuel TYpe
; 11.
No, F,quinIDgnt 8TU - M. Ea.
Forced Air No. Eauiament CFM
Air Handling:
Mfg.
Boilers h
h
M
E
Mfg, r ?. ec
.
x
eust
Unit Heater
Mfg. Other
Air Cond. •
AAfg.
Gas, Piping Outlets
12. 1 hereby oertify that the above information is true and correct, and I agree to
comply with all ordinancea and codes governing this type of work.
Sig^Qd : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
il ff QF' Cr.NAy WA1ER SFR1r'ICE PERIYUT .
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zoninp: No. of Units: '
OM/MI: .Prrr) ?..U?.
A1ddroES:
f5i% /lddreas R;9 !i?j! Lexin ton S uare
Plumber -° ?_nc .
Meter Na.: u 9 a 7 Cory 500.00 Dd
$tze: /4.?1+-. ??? ?
J?c?r`? &po3tt: l .? . `•) `? n d
? Reoa.. No.: _ d 9L a o a s a Per„it Fee: .00r?!
I yme to om'y WMli 1r. Citi oF E.gs¦ Swcharys: . r'J ;+d
Ordlw..ar. Misc. Chorpes: _ 132.00 nd
B Totcl: _ ?" 3_ R0 J???1 „c -i ,•
y Dote Pbid:
Date of leup.: lnsp.:
CITY OF EAGAN WATER SERVICE PERNUT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 oATE: _- 1-' _Zonino: No. of UMts:
Owner. Metro cuatau ttomes
rworsss:
?? Addrow 3916 I'rincton Trail L8 BS Lexin tor. S uare
Ya iew n e s ..nc .
No..
to amply MrNb 1iw Citp of Eapo
CITY OF EAGAN
3830 Pilot Knob Road
, P. O. Box 21199
I Eagan, MN 55121
OwMr. Metro
/lddress:
Site Add?ess: 3916 1
Plumber: 14atthel
Connedion Charge: -Jvv. vv E.U
Aocour?t Deposit: 1 , • o^pe
Pertnit Fee: 1??.1)171p, c'
Surd,ar9e: . 5^v n d
Misc. Chargm 132.00 pd
TotaL• 63. 10 pd meter
Dote Paid:
SEWER SERVICE PEIlIMIT
;3?0
pERMIT NO_:
OAl'E:
_ No. of Units:
1 yrM h 0ow19 wNL !IN CNfr of "N¦ CO^^octiO^ Charge'
Ordin.woa. Ac°°""t Depalt:
P.rmr F..: 10
Surchar"t 5L ?
By Misc. Charpm -
; Dots of I nsp.: Total:
[ Insp : Doft PoW:
t
7his request voitl S13"
-18 ?5(1r?1
B
Renue Date Q?
r ? fire No. NougA-i 7Insoer,tion
?
NeadV N. Q
[]
'
'
of
? V' QYes ? b
r
MIhe
l4adY
[PL'cepsed Electrical ConVactor I hereby request inspactian of ebova
? Owner elecirical wwk irotalled et:
Street Address, Bax or oute No.
+?Ki CitV
ecuon o. Township Name or No. Range No. unty
Co
^
Y /
06cvpan[ IWIINT) Phone No.
ETIZO o ?? ? - 7
Povmr Supo?ier AGdre/ss? p?
Elechical ContractorlCOmpanY Namel ' Contractoff's Liceose No.
t
X ? G O O :S'
1/+ddress (COntractor or Owner Making Instai a[ionl
??l
2
6
U?
V&
-
AutAorized gnature IContra /O ner king Installationp Phone N?m?ber
7370
b11NNESOTA STATE BOARD U$rELECTPIG4 THIS INSPECTION BEQUE$T WILl NOT
Griygs•Midway Bldg. - Noom N•191 ' gE ACCEPrED BY 7ME STATE BpqpD
1821 University Ave., SL Peul. MN 65104 UNLESS PROPER IN5IECTON FEE 0
ENCLOSED.
?ho?ro 16121 29 .2t11
REQUEST FOR ELECTRICAL INSPECTION Eg'00001 "04
r? C ' , Sae inslructions for campleiirg ihis form on beek o1 ?.ellow copy.
{? . J v71 eelow Work Covered by This Hequest
Add RaO. Typa ot BuilEing Apoliancea Ylired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixmres
Apt. Buildinq Dryer ElecvicHeatin
Commercial Bldg. fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Fafm Other SPeci y Other IScecilvl
t ier SUeu Y Other Other
omaute lnsaectian Fee Below
N iae ServiceEntraneeSiie k Fee Faxders/Subfeedars k Fea Gircui[s
SO U to 200 qm s 0 to 30 Am s 0 to 30 Am
Above 200 Amps 37 to 100 Amps 31 to 700 A
Swimming Pool Above 100-Amps Above 100N
F--
1_._. Transformers Irrigation eooms 'fO PartiaLbtl?Sign
s Special Inspection S
Remarks 00. OQ TOT fEE
( 7 - _)_C)
Rough-in D`i1e 1. the E e ral
1mpaclar. heraEy
ceni(y ilnt the above
Fllldl /
? ?'AI¢ 1 imY?<mM hi5 bBBA
-tG ?E'V
m.aa.
"h repuest voM 18 monllu fram
. REQUEST FOR ELECTRICAL INSPECTION Ee-00001,0+
, See instroC[ions for comDleting this form on back oi Yellw copy.
62U7 2 S. 3-d'SX'" Below Work Covered by This Request
NamnAAAdi Neo.l Tvoe of euilaina 1 Aooliancea wired 1 Epuioment WireA I
Fixti
Heat
I BI
# Fee ServiceEMranceSize p Fee Feedefs/SObfeeders # Fee Clrcuits
QO U to 200 Am s- 0 to 30 qm s / .,SQ 0 tn 30 M? s
A6ove 200 qm? 31to 100 qr?s 31 to lOQ Anips
Swinvning Pool Above 100_Amps A6ove 100_A
Transformers rrigation Boorc?.s PartiaVOther Fee
? I I Signs - ? I ISpeciallnspec!ion 5 l '
f `fd'', .
Oa TOTAL F@?E
Herrerks f7
RouBh-in Date
l ?
'
' ? (
?i?'^?J Me Elec
laspectw. hereby
r[i!y [hst tha alrove
Final DCi:y:jJ inspection las bee.
d rtmda.
tryq r9puest vaid 18 moMtm hom
This reQuest wftl
1?h072 ? ?, ?s ?.? . ??J ??•sd
Nr?e.set Oates
??- ?? Fire No. flouBh-in n pection
?9u?rC5 . ?ND
ORCatlV Now lurlWhentfleadV ec-
Wicensed Electrical ConVactm 1 herebv request inspection of abova
? Owner electrical wnk installeC et:
5[re AAddrass, Box or ute No.
I
, ?
` City n
)
P
?
/ ?4/"?A
ection o. Townshi0 Name or No. Itinge No. County
Occaunnt IMiINTI
-
- Phone No.
?"-
7Sy
om Mrs
O (lis
l /
Power Supplier Atldress
?^' /J
Q? `7Y? lq
Electrical Contractor lCOmpany Namel Conhac.tor"s License No.
Mailing Atldress IConVacto or Owner MakinB Instai [ion
l
-
- [ y- ?/ Mn1 55!
Au[hor' ed Signature (COntracbr O r Making Iretailationl Mone Num?er
- a2?
MINNESOTA STATE B RD OF EIECTRICITI TMIS INSPECTION REUUEST 1NILL NOT
Griggs-MiEway Bldp. - floom N-191 M ACGEPiED BY THE STqTE BpppD
1821 University Ave., St. Paul, MN 65104 UNLESS PqOPEN INSPECTION FEE IS Plqne 16121 29]2177 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
See instruetions tor completing lhis torm an back ot yellow copy.
- ;"X".Below Work Covered by 7hrs Request
9,4 Addj Xep. Type ol BuildinB Auvliancea Equipment Wired
Home Range Temporary Service
Duplex Water Heater Ligh[iny Fixtures
Apt. Buildinq Dryer Electric Heztin
Commercial Bldg. Fumace Silo llnloader
Industrial 81dg. Air ConAitioner Bulk Milk Tank
Farm ther occ, fv .thcr ISUeniy)
t er SVecify Ot cr . Other
ompute lnspeciion Fee Below
p Fee SarviceEntrenceSize fl Fee Fnaders/SUbfeeders 'N Fe,e Circuits
0 to 200"Am 5 0 to 30 Am s ? 0[n 30 Am s
Above 200 qmpy 31 to 100 Amps S 31 to 100 A
Swimmin Pool A6ove 100_Amps Above 1 W_Amps
Transiormers Irrigation F3oom5 Partial'Other Fee
Signs Sueciallnspection
S
TO
Rem?rks `6 TAL FEE ?
PouBh-in
? Uate ?, che Hacvic
InSpBCtor, herehy
certity that the above
Final • f?e
- inspection has been
?
? made.
fhis request voiA 18 monthe fw.
This requesl void
18 nron[hs from ?
; nR? 7.qF; ?
Lc,e
__.. --
R ?fteLju?retl? ? ?NeadyNo. illNotity.lnspeo-
? ? ?N'es No tor When Ready
Licensed Elec[riwl Contnctm I hereby request inspection ot above
Owner elaehicel work inslalletl er.
Stre t Address, A. or Houte N
.
o. Ciry
n
?
ecbon a. ownship N2me or No. R.npe No. C,b[ml
?
OccvVant(PRINT) Phpn No.
? '? 07 Q o!
Pow
Supplier A s
D
E t' onhctorICOmyany Namel - C, ha's Lic ?e N
c or
/
Mailin9 AdJress 1 hactor or w r MakinO insnaila[ioN '
A thorized Sipna ure (C nt act O ner-Makin Installati9n) Phon. umber
? Z-
MINNESOTA STATE BOA D OF ELECTRICITY iH15 ?NSPECTION HEQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTE? BY THE STqTE BOAND
'1821 Universitv Ave., St. Peul. MN 55104 UNLESS PROPEA INSPECTION FEE IS
Phone 16721 297-2111 . ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NQ 15863
PH ONE: 454-8100 ?(1 I , 1 ?
BUILDING PERMIT Receipt# `"? `-t
To be used tor FIREPLACE Est. Value $1, 000 Date NOV 14 ,19_88_
Site Address 3916 PRINCETON TR
Lot 8 Block 5 SeclSub. LEXINGTON SOUARE
Parcal No
: Name JOHN KEMPE
W
zAddress 3916 PRINCETON TR
0
City EA,GAN Phone 452-4711
o Name DIMENSION BU1ILDERS (MIKF.
?a Address 10363 UPPER 78TH ST LABRUYERE)
m
i- City LAKEVILLE phone 435-8040
¢
w Name_
? Address
?
W Ciry_
I hereby acknowledge lhat I have read this applica[ion antl state that the
iotormation is correct and agree to compty with all plicable State of
Minnesota Statutes and o Eagan Or ina ?
Signature of Permittee ?
A euilding Permit is issued to:_DI NSI aUSLDERS
on the express condition ihat all work shall be done in accortlance with all
applicable Slate of Minneso[a Statutes and Ciry of Eagan Ortlinances.
Building Official_J?A?S?A?_??Q,????' I.`.?
I `
OFFICE USE ONLY
On SHe Sewage _ Occupancy
MWCCSystam _ Zoning
On Site Well _ (Actuai) Const
Ciry Water _ (Allowa6le)
PRV Required _ # of Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 24.._4Q_
Planner Surcharge _ 50
Council Plan Review
Bldg. Off. SAQ City
Variance SAC, MWCC
Water Conn.
Water Meter
Roatl Unit
Trealment P7
Parks
TOTAL z4.50
CITY OF EAGAN No 9961
3830 PiIM Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT R°wia #
Ts M wd 4or SF DWG/GAR Est. Vaiue $63,000 pOfe MARCH 13 lq 85
3916 PRINCETON TR erect 12 occupency R3
SiteAddreu
8 LEXINGTON
5 SQ Remodel ? Zoning Rl
Lot Sec/Su6.
Block
• Repair ? Type of Const. ?7
Parcel No ?
. Enlarge No. Stories
METRO CUSTOM HOMES INC Move ? Length 39
W Neme Demolish ? oepth
P
O
BOX 1049 52
? .
.
Address Grede ? Sq. Ft.
City RURNSVILL?hone 894- 759 Install ?
Aoororab faes
i? Name SAME
s Address
? CitY Phone
Name _
Address
City Phone
1 hereby ackrwwledga thaf I
fhe inlormation is correct
State of Minnewto Stot?
Sipnatun of Permittes _?
A Bullding Pertnil Is issueCl
ali work sholl be dane in ac
Buildinp Otllciol
reod ihis ooDlication and stata that
w ?ree mpl ii all opplicoble
es.
O COSTOM fiOM!
ice with all oli ble State?
Assessment
Water 8 Sew.
Polica
Firo
Eng•
Plonner
Council
81dg.Off. 3 12 ?
APC
Var. Date
Permif . y
Surcharpa 31.50
Plan Review16 1 .00
SAC 525.00
Water Conn. JQQ+0
Woter Meter 6 3- ? 0
Rood Unit 980-00
T.P. 132.00
Tow1 S 2. O 1 4_ 5 0
INC on tha express wnditlon thai
ra Statutes and Ciry of Eapen Ordinonces.
L59 RESIDENTIAL BUILDIVG
Permit Applicatioo
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemadeVReoair Reuui2ments Offce Use Only
3 registered site surveys showirg sq. ft of b4 sq. ft of house; and all roafed a2as 2 copies of plan Cert of Sumey Recd
(20% maximum bt ooverage allowed) i set o( Eneyy Calwla6ons far heated addiGons Tree P2s Plan Recd
2 copies of plan showing 6eam & window sizes; poured found design, etc. 5 site survey for add'A'rons & decks Tree Pres Not Reqtl
lselofEneigyCalculations Addifion - indicafeilon-sdesepticsystem _ On•siteSepticSystem
3 copies of Tree Preservetion Plan it lot platted aNer 711193
Rim Joist Debil Optlons selec6on sheet (61dgs wiN 3 or less units
y ?
i
t
C
°°
Date on
os
struct
?
..
SiteAddress ?
UniUSte k
.
Description o( Work
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ( )
?
Coptractor
Address Cjt3' ? ??
State Zip Telephone # T???
gNy)• q ()
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsudmisslontype) Submitted Submitted
. Energy Envelope Calculadons Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
#
I hereby apply for a Residential Building Permit and acknowledge Xlt the mfonnahon i mplete and accurate;
that the work will be in conformance with the ordinances and codes V?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
proval of plans
?QIA 1 N-h Crk
Applicant's Printed Name Applicant's S?L?mahire
V-
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45. Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (EnNra Bldg) • Give PCA handouf to applicant
Valuation Occupancy MC/ES System
Census Code Zoning 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
_ FooYings (new b(dg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool
Ftgs _ Air/Gas Tests _ Final .
_ Framing _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _
_ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
E3ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?
Building Inspector
1985 BUILDING PERlIIT APPLICATION - CITY OE EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:? Date:
Co3,GL'77. =°
Site Address: OFFICE I1SE ONLY
Lot: ? Block ? Sect/5 ? Erect ? Occupancy ?
?Remodel Zoning ?-I
Parcel II Repair _ Type of Const ?
Enlarge 1/ of Stories
Owner T42 /?.1 Z? I)Move Length -39
Demolish Depth _,-2
Address JO Grade _ Sq Ft
City/Zip Code ??jll ?l?lyd/ !
?r 1 /? 21 n >?3? r -----------------------------------
Phone ZCf z APPROVALS
i
Contractor
Assessments Permit Z2,'
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone !!
Water/Sewer Surcharge 3I.So-
Police Plan Review (o 1, `=
Fire SAC L S°
Engr Water Conn 500,
Planner Water Meter f0 3
Council Road Unit 280. 50
Bldg Off ? arks
APC Treatment Pl I 32 •?
Varianee
TOTAL
?? 14?
' S Q
. . N
S¢ - 5 (8 ¢d
51 1
Z
?3Z4-
,
BeoK lb WUff SI
iAOBE CoNsuLrtHO 4140IH44flt ENGINEEAING PLnNr+ens ona LnNO 3unvtvoas
- COMPAN4', INC. 1000 [IUT 146Ih STIIECT, EIxtNSVllI.[, MINN[SOTA 55177 PH 472'7000
Ce =1 zf c ac,? S`t[.t-v-? y
LgQ'Rr ?C6fCf^4'e7c?0,t' Loi 8) BLO[.1e S) LEXiNbTOK! sauwzE pdco7n covNTY?
rn Wug5oTt1,
kl
I,IOZT H
Sf.4L: : I"= 30 '
/ge9
?
? t
O ?
?
3O NT BIJILDIaIb 5 "4
urJc
5 84459, 36"E
I_
?
!I
I
.. ----
?o ?
u: ?qo.z
?5 <E9a?
I ?.¢ac? (84?i, 3)
?
? N LOT
?8 ( (8q0.f? ? --
$ ? ?841.3) 17.0 ?. ?
? n oO
p O FI?R75sD
IOV'
` ` Z
.4
r
?
? 39 o
-
21Y 7 11
7
;
gva 13G.08 pQpinl?tiE??T11.??5'
(g5o.z) 5 89 °59 ?iL"E ?SE.WFN i -'
?
i pR_o.0 j D6J OTES ??C I ST? r,? G?VaTOr.?
( 8900 ) DEalaTES 1'R-oP+x.c.D b?.C?r,T?aJ
.? 1NDlLV'1'ES Dl2ECTioN OG SJPFACc^ ?€1.I1.W(vG
FIh1t5!-?cp Ca+R?(sE FLDO(C ELEd4Ti = ?I.?o
!%.
? her+br c?Mify that th.ii in a true and corrict reprasentation ot a tract ot
'?and ulho+m'and de.cribad hereon„ As prapared by me on this i`_ dar ot
/yi?/ ? 17 85 ? '
ltinn, Reis Moo /60?%
E%TERIOR ENVFI,OPE AVERAGE "iI" C0I4E'UTATION
O1dNER: MetrolCustom Homes Inc.
SITE ADDRESS: Savage, Minn, 2*6 w/R-19 batts
CONTRACTOR: MetrolCustom Homes Inc. PHONE: 894-7959 PATF: 02/14/85
Deteimine working square footage of each.
i
1) Total exposed wall area: 1820 sq. ft. x.11 = 200.2
2) Total roof/ceiling area: 1092 sq. ft. x.026= 22.? M AQ
Total exposed wall area above floor: = 1820
a. Total wall window area: 150
b. Total door area: 20.25
c. Total slidingiglass door area: 33.75
d. Total fireplace wall area: 0
e. Total wall framing area (average 10%): 182
f. Total net wall area ahove floor: 1638
g. Total rim joist area: 84
Total exposed foundation area: = 0
h. Total foundation window area; 0
i. Total net foundation area above grade: 0
Determine "U" value of each wall segment.
a. 150 X "U" .55 = 82.5
b. 20.25 X "U" .066 = 1.34
c. 33.75 X "U" .55 = 18.56
d. D X "U" _
e. 182 X "U" .096 = 17.47
f. 1638 X "II" ,043 = 70.43
g. 84 X "U" .028 = 2.35
h. Q X "Ull _
i, 0 X "U"
3) Total: = 192.66
Note: If item #3 is the same as, or less than item #1, you have met the
intent of SBC 6006('02.
?
Fnergy Calculation 1
E%TERIOR ENVII,OPE AVERAGE "U" COMPUTATION
Total exposed roof/ceiling area: = 1092.00
j. Total skylight area: 0
k. Total roof/ceiling framing area (average 10%): 109.2
1. Total net insuI lated roof/ceiling area: 982.8
Determine "iJ" value for each roof/ceiling segment.
j. 0 X "U" .55 = 0.00
k. 109.2 X "U" .023 = 2.56
1. 982.8 X "U" .020 = 20.13
4) Total: = 22.69
If total of #4 is the same as, or less than #2, you have met the intent
of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by
the sum of items #3 and #4 shall not be greater than the sum of items
#1 and #2.
1. 200.20 + 2. 28.40 = 228.60
3. 192.66 + 4. 22.69 = 215.35
Energy Calculation 2
i
?
1 2/84
? CITY OF EAGAN
i tiSrr., i
APPLICATION FOR PERA'IIT
SETQcR A.ID/OR WATER CONNECTIODi
(PLEASE PRINi)
1) PP.OPE7PY ApDRESS: _3 /IG //Z/A14,00d 72
r.FrAI, DESGR?PTT_CN: . .r/? IV /uIL S 4L/4•?r.Td1uI COC
(IctBlcc'c/Si;baivisicn or Tati 2arcel I.D. NLz:taer)
'.::iIS':'_:G STM.C=M?E, DlTE 0° C..IGI:AI., u;Z'?..^,Z:G _=_,:IT
?i':=' _•,--c=,
PP::SL"'_' VR-1 SZGIE :AMSLY .
? R-2 DCTP''Y (?•,v'O L^1ITS)
? R-3 :C7.,,iW.CLJSE (7'1??.? + L"lZTS) ( II.IITS)
? r--I
p CCi•±?..?CZ?I,/RE:AII,JOF'F'IC::
? ?,L'S i2L?,I,
? L1'STITI'PIONAI,/CO1?h?TMT.-,"P
2) A°PLI= (PLFaSE ?fltnr)
ISA?.?: ?.5
l?AN ?ft_f
ancRESs: 37e 1ootxAaAm1 T?
CTT`_'. ST.AT:', ZIP: `1iLf.IAs-I ? .
PI:OM:
3) pIV,.mPER NP
hIE: FOR CITY USE ONLY
.
ADCF2$GS?_ /?j ` . ? •' "'ft?. ?...- - -----. :_ ? PLl1HBEAS IICEHSE:
?
ive
CZTY, STATE, ZIP_- Expired
/ ?L
P??% ?? H???? - ????
Z4J'373D PLUMBER IILENSE N Q Not Record
91 C.?LIiYAN1'/G?'IC7f?j lr?cH?c rni;?1?
NANIE:
ADDRE55:
CITY, STATE, ZIp:
PIiaNE:
5} INpZG*,T'E ;qliICH PERh1IT IS BEItiG REOCTESTLD:
CC.=ICN 'IO CITY Sa7ER
CL'`%N' .T_O:I To CITY NP.TE.Tt
C7."fMR (PI.EASE DE,CRZBE)
bl C:±E:;
. U P7._-_'ASE F?OID APP??M1ID PER+ILT FOR PICF:-L'P BY O;IE OF AFOVE
°0 _-21Z?ASE APP?tOVED-PEF.lIT T'J 1, 2, ?- 4.ABOVE
? ---- (Circ2e- (ine) l
7) SIaz%'IL'RE: DAT:,': 9j0
!?lqil_aAfs?l i? i satl??.?ra a s r+??aiaar a? s s?s?a:?a ? f??ff?y?? a1 ? rR ??'?` "' :, '•
0 R C I T Y
PEP-`4IT '-' 255UED
ro°5: $ ??•i0
$ 'c'
$
S
$ ?.S':?CJ
S j.?ud
S G" f ?. cr ;J
$
$
$
$
S .
U S E O N L Y
(I_`iC?.:iD° SURC-:rRG2)
WATE2 PERD4IT (Ii7CL'uDG JLRC.Ti.ARGL)
WATER METER/COPPERHORN/OUTSZD: READcR
WATER TAP (INCLCIDE CORPORATIOJI STOP)
5EWE4 : AP
=C-Ci::i." ..:.=C,SI'= - a_..=3
ACCOUNT DzPOSIT - P7ATE3
wac
SP C
TRGNK IVATER ASSLSS??E\T
TRli:1K SE:dER ASSESS.;E:iT
LATERI`-.L $ENc.FIT/TRUDIK SE::R
LATc?2rZ.L BENEFIT/TP.UNK SOAT°_2
WATER TREATMENT PLANT SLRCIIARGE
$ ?-?? fl p OTHER:
$ TOTAL
$- PSIOUNT' FAID/REC°I?T
DOES UTILITY CON:7ECTZON REQUIRE EXC?VATION IN PUBLIC RIGHT OF SJAY?
C; YES ZF YES, THEN n"PERMIT FOR WORK WITHIN
PfIBLIC ROADWAY" MUST BE ZSSUED BY THE
?l+v ENGINEERIDIG DIVISION. LIST AS A CONDI-
TION.
SG2JECT TO THE FOLLOWING CONDITIONS:
APPRdVED BY:
TITLE:
DAT_° : y?? 0???t? -
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 762
DATE: 05/01/00 TIME: 09:02:51
ID:
NAME: FOUR SEASONS ROOFING & REMODL
3210 9001 3916 PRINCTON T 153.25
2155 9001 3916 PRINCTON T 4.00
Total Receipt Amount: 157.25
CR128648
USER ID: JAN I
t40blj7
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
cirv oF EAcaN /?'j ? S 7? s
3830 PILOT KNOB RD - 55122
651-6$1-4875
geniodet/Reoair Reauiremenla
> 3 reglatered dte wrveya showing sq, R o( lot, eq. M. of houae
and gj{ rooletl areas (20% mmclmum tot covemae ailowed)
> 2 coples of plaru fatww beam 8 whkfow qxea; poured hnd. tlesign: etcJ
? 1 aei of energy calculallons
> 3 coples W tree preaervaflon plon If lot platted aRer 7/1/93
DATE: ?" ?p )D „
OF WORK: tGA? m ?
STREET ADDRESS: -1"1I W t't`? ? 1l?lul 1 It-
LOT: U BLOCK: ? SUBDJP.I.D. #:
PROPERTY
OWNER
2 coples W plan
t aet of energy calculaHons for heateC addNlons
1 site aurvey lor exfedor addtlons & decka
? n
CONSTRUCTION COST:
Name: Raft? &k?
Wy} Firsl
Sheet Address: I?-
qty Stute: Zip: 95?L)
CompanY* Phone q:
(area code)
CONTRACTOR Sheet Address: M1 Ucense # A?cExp.
city L?SAci srate: 1Yl ziP: 2
ARCHRECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Address: RegishqHon q:
Ciy
P,one #:LO) ? - A05
Sfate:
Sewer/water Iicensed plumber (if instalflna sewerhvater): Phone #:
21p:
1 hsreby acknowledge fhaf I have read this appikation, state thaf ihe info pfion is cortec?t' a to comph/ wflh all appqcable Statc
of Minnesofp Stahifes ond City ot Eagan Ordlnances. \`X4 9?J
Sigrwture of ApplicanY.
OFFICE IJSE ONLY
Certificates of Survey Received _ Yes _ No 7?1 f?
Tree Preservation Plan Received _ Yes - No _ Not Required y°`J
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 08 06-plex O 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bid9•
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Inte(or) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to appl icant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main Ievel sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPEC110NS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq, ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
p 31 Ext. Alt - Multi
? 33 Ext. AR - SF
p 36 Muki
SAC Units
% SAC
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I ? 9 4 ,3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH flLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
rnnnKWcrrnr
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCIILATIONS
To Be Used For: F1REPLq(! E Valuation: Date: //-9- ge
?Site Address
0
Lot I Bloek -ir
' ParcellSub JD 7,imT?.a)t:)
owner ?CI14 il.) kE ?j!6'E
Address
City/Zip Code
? Phone -q 5?1 '"`V
IA-
Contractor
Address /03 03 (i(PPE&-
City/Zip Code L1TK& !/ILLG ,`?,SUvy
Phone 7 3
Areh.lEngr.
Address
City/Zip Code
On site sewag
MWCC system
On site well
City water
PRV required
Booster Pump
APPRDDALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
e Oceupancy
Zoning
? Actual Const
Allowable
4p of stories
Length
DePtlz
S.F. Tota2 -
Footprint S.F,
?
FEES
Permit
Suneharge
Plan Review
SHC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment Pl
Parks
Copies
TOTAL
?
?
. .-?....
Phone Ik
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
I �
. I
� Permit#:���� � I
Clty of E���� � � _ - �
� Permit Fee: �' �
3830 Pilot Knob Road � j
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � �
Fa�c: (651) 675-5694 L Staff:_ �
-------------�
2015 RESIDEIVTIAL PLUMBING PERMIT APPLICATION
Date:� � 1 ���- �� Site Address: �� �� �i�CSL�sl� ��'A` �--
Tenant: Suite#:
R�Sidet�#���n/l1e1' ' Name: � t S�! ��Se� Phone:
_
Address/City/Zip: �5�2�
Name: �'1Ac�-`Z�,`�. � �'�`F �'`v''�.J �icense#: o(0(003$' ��-t
�,e,n���3
COtlt1'�CtOT Address: 2Z�3 ��,�L.J ��l City: � S`} '��-�
State: �� Zip: '�J�'� 0� Phone: ���" Z 3�-(� Ci��t
Contact: ��� �'��� Email: M' U'� �"`���'� �— mq i L� �
T�pe of�/�rk —New 7�Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation(_RPZ/_PVB)
��������� Add Plumbing Fixtures�Main/�Lower Level)
Septic System
New
Water Turnaround �� S�'O �� V ��
Abandonment �— l�:s-✓ C-j't� �`�-h — � - '�`� �'��`
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround"(includes State Surcharge)
'Water Tumaround(add$210.00 if a 5/8"meter is required)
$115.00 SeptiC Svstem New(includes County fee and State Surcharge)
TOTAL FEES$
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
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 1 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.
Sl��w� ,�►�.,�.:�.�2e�. o
X X r��---_...
Applicant's Printed Name App'cant' Signature
�OR OFfIC�USE ` Reviewed By: Date;
`Requit�etl lnspections: Under Ground Rough-ln Air Tes#' Gas Test Finai
'iNeter Related Items; Meter Size Radio Read IVlanome#er 5taff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157472
Date Issued:08/21/2019
Permit Category:ePermit
Site Address: 3916 Princeton Tr
Lot:8 Block: 5 Addition: Lexington Square
PID:10-45075-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Charles P Rawson
3916 Princeton Tr
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
For OfficeUse
Permit#:EAGANJ
Permit Fee: n'
yM
Ircs
IE1:3
�D Date Received: ! 7-/9
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 0 C T 17 Zp�19 Staff:
buildinginspectionsta,.�.citvofeagan.com _
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /1)--/ 7"1? Site Address: 3 9/ ► f ' 7vo rori L Unit#:
Name: ‘.1101:-K I;34 ki 14'son Phone: Z57 ,,z r " J c 14.
Resident/
Owner Address/City/Zip: 3 Y/1, P k Ali le-1;:I Tart-.1- e 41141 ma 7 5 2-3
Applicant is: Owner Contractor
Type of Work Description of work: 64• l'e f L¢c►= i�/1;,- i° i /44-I.'itGcd- �c,i 1 7.112:/)Construction Cost: i �'/5-5.00 Multi-Family Building: (Yes /No k )
Company: (1 I4i kilt'i 13 ji (7110 Contact: i3ic' 44'
Contractor Address: /�'I? Nc".rt, Of.pae14y' City: if UI
State: WI' Zip: Y/v// Phone:84,0- Tip•t'igf Email: t9ft'v/4• de57�, L' 6,43'!'%L,u'141
License#: 1i'l 13 4'y` 1+>zif Lead Certificate#: - _ 4 tG S
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as nonpublic if you provide specific reasons that would emit the C/ to conclude that they are trade secrets. _
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.com/subscribe.
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.
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.00pherstateonecall.orq
1 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.
x $Truer' $f'L;rrr4:tz&74x ' f,
Applicant's Printed Name Applicant's Sig ature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164608
Date Issued:10/02/2020
Permit Category:ePermit
Site Address: 3916 Princeton Tr
Lot:8 Block: 5 Addition: Lexington Square
PID:10-45075-05-080
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Charles P & Lisa J Rawson
3916 Princeton Trl
Eagan MN 55123--152
(952) 210-4988
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature