3937 Princeton TrCITY OF EAGAN Remarks J6 1 Jrl-,44 (; ;v3S C,(VA " ;P,/
Addition LEXINGTON SQUARE LoE 12 gik 4 Qarcel 10 45075 120 04
owr,er Street 3937 Princeton Trail gtate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Qate
S7REET SURF.
STREET RESTOR.
GRADING
SAN SEW TFiUNK 254.53 C009754 10-12-84
EWER LATERAL bL, z. 173.65 C010099 1-29-85
WATERMAIN 1986 68.33 4.56 15 68.33 C010099 1--28-85
WATER LATERAL
WATER AREA 1986 286.43 19.10 15 286.43 C010099 1-28-85
STORM SEW TRK 1986 501.29 33.42 15 501.29 C010099 1-28-85
STORMSEWLAT 1986 513.81 34.25 1 513.81 C010099 1-28-85
CURB & GUTTER '
SIDEWALK
STREET LIGHT
oa Unit 260.00
WATER CONN. 470.00
$UILDING PER. #9822
SAC
525.00
PARK
CASH RECEIPT
CITY OF EAGAN P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE . 19
RECEIVED -' FROM
.
q
AMOUNT $ F• ,
DOLLARS
? CASH [J, CHECK
FOR ? I ?? •, .. , ?,
J . FUND COOE AMOLNT
•?s y S L?
? .
• _? -,?)? ?? ? ?? ? ?v
Thank You
!/ t?v gy
White-Payers Copy
Yellow-Posting Copy
Pink-File CopY
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
FiII in numbered spaces S/C
Type or Prrni legibly Tot. ?, a)
1. Date ' 2. Installation Cost
3. Job Address? ? Lot Blk. Tracf -?'l .
u
4. Owner
5. Contractor ;' •< < ?+u j< - / " i Phone
6. Address
7. City ? - State Zip
8. Building Type: Residential Ll
9. Work Description:
10. Describe
11.
New O
Commercial ? Institutional ?
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Septic Tank
Lavatnry 5oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
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 Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Appraved CITY OF EAGAN 454-8100
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
Receipt #
Planner
Council
To be used for DECK Est Value $1,472 Date J UNL 13 19 66
SiteAddress 3937 Pt2IVCETUN TR Erect 11 Occupancy
Lot12 Block 4 sec/5ub. LEXIN GTON S-)UAEWodel ? Zoning
Parcel No Repair ? Type of Const
. Addition ? No. Stories
¢
DAVE WALDOCH
Move
? 12
Length
= Name
SAME Demolish ? Depth 14
o Address Int Im
r ? Ft
S
.
p q.
Ciry Phone Install ?
o Name SA"?E
I
o¢ Address
? Ciry Phone 636-3225
c~i °C
W W
F W
00
?z
? W
Assessment
Water 8 Sew.
Police
Name Fire
City Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinpoce?r
?
Signature of Permittee?f
Z •
A Building Permit is issued to: UAV E. viKLUtl?
all work shall be done in accordance with all applic State of
c "
Building Officlal - ?
12114
IC.-
Permit `' I&-# • ""
SurCharge 1.00
Plan Review
Water Conn.
Water Meter
Road Unit
BICI9. Off. 0/44/0 Tr. PI.
APC Parks
Var. Date Copie
Total
on the express condition that
Statutes and City of Eagan Ordinances.
?-Y
Pormfl No. PermR HoMer Ode TeNphoM N
Plumbiny
H.V.A.C.
Ebetrlc
Soltmer
InspecUon DaN Inap. CommoMs
IF*odngs
Foodnpa 11
Foundatbn
Fnmh?g
Roollnq
Rouyh Plbq.
Rouyh Nty.
Insul.
IFIreplac*
Final Htq. .
Final Plby.
I Bldq. Fk?al
Cart. Occ.
IDeck Fiy.
IDeck Frmp...
INeM
Pr. Dbp.
14 oPe'
euiLuiNG PERMiT
a
?
?
?
?
ories
f const.
?.
..??.........
?? ? Name
u gY- 3-) gs Assessment
u? CtY ? Phone Woter 3 Sew.
- A, -, Pol lu
t°C Fin
?uW Neme
W
?? Addresa E?q.
aW City Phone Plonner
Council
Permit
Swcho?ge
Plan Review.
SAC
Water Com.
Woter Meter
Rood Unit
I hercby ocknowledpe thot I haw read this opplicotion and stote thot gldg. Off.l •' Parks
the iniormotion is oorrect and ogree to tomply with oll opplicable APC Total
State of Minnesota Stotuees ond Ciry of Eagon Ordiponus.
Var. Date
Sipnoture of Permiftse
h BuNdiny Permit Is issued to: °^ ? -xPress ro'dinO^ if1Ot
oll work sholt be dorw in xcordonce with oll cpplicable State of Minnesota Statutes and Gty of Ecrpan Ordirances.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121
PHONE: 4548100
s22
RecelPf #
BuiWinp Offkiol
"". '".'""" --•---• Repair Type o
Parcel No. Enlsrge No. St
. Move Length
? Name Demolish Depth
? Address 'Cirade Sq. Ft.
Citv Phane Instal I O
Panh No. Pwmit HoIdK Date Telsphone #
P???ing
H.VA.C.
5a ? o .
65
? -
Eiocftic
sottmw
Irapection Date Insp. Othu
Footinps
Foundation
Framinq
RooflnB
Rouph Plbp.
1-7
e-J
Rough HVA
Inwlation /S
Final Plbp. - S gs ?
Final HVAC
O f
Final _
t
c«Voa. / ? ? L 3 0
Wmr Daeribe Location:
IMeII
Sawnr
P?. Dhp.
Reosipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egiWy
1. Date %2. Installation Cost
3. Job Address
4. Owner
Psrmlt No. _
Fea _
5/C _
Tot
? Traet
5. Contractor Phone '
6. Address
7. City State 2ip
8. Building Type: Residential Commercial ? inatitutional ?
9. Work Description: New Q Add 0 Alter 0 Repair ?
10. Describe Fuel Type
11.
No, EguGament 8TU - M. Ea,
Forsxd Air No. Equiament CFM
i
l
Mfg. " A
r Hand
ing:
Roilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. : Oth
Air Cond. er
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinanoes and codes governing this type of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
.? ?? ...?....- , :
GAS WORK ORDER 1082 Payne Ave. STAIV DARD 410 W. Lake St.
St. Paul, MN 55101 9 Minneapolis, MN 55408
651 /772-2449 b H EAT I N G0 612/824-2656
& AIR CONDITIONING
A Blue DoC: Service Co. EQUIPMENT INFORMATION
LAST (I FIRST
ADDRESS 'Yf3 ? r , ^'? e +--; `J 4-rc-
cirr P, a G ziP / 7 3
HM PH C 511 lo 8',6 7 S?3 WK PH
TECH D?? 1?- - DATE 3?? l d?-
TYPE
MAKE
MODEL 3?3'(?AU ? 'f'e(:r4
SERIAL ftCDC g`""
INPUT S ? t
ORSAT TEST RECORD
C02 °/6 METERED INPUT Cfih CHIM
02 C-) °r6 LIMIT SETTING C)O ° ? FLUE jj? ?' in.
CO °k PILOT OUTAGE sec CONN CTOR SIZE c? in.
NET STACK TEMP a 0 TOTAL CHIM EY INPUT 4 01 dCb btuh
CASH RECEIPT
CITYt OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RECRIVED
FROM
AMOUNT $ I
? CASH n CHECK
BY
DOLLAR3
+oo
White-Payers Copy
Yellow-Posting Copy
Pink-File Couv
Thank You
CITY OF EAGAN WATER SERViCE PERMR
3830 Pilot Knob Road
P. O. Bax 2+?J99 PERMIT NO.:
1 D/1TE:
Eagan, MN 5512
Zoninfl:
- No. of Units:
1
}, L 1 a*1.? ?
n
r
:
e i
IE?:
?
`
?.;???????1? t?1?jt?.? Lexinrtun Square
51 /lddrcss:
mber.
oo na
47n
Y? ??i
«±?
Me ar No.• c
_ ?°
? ' L-4 ?.' AfC?o'?r?t;'flepsit:
.
Size:
: 0 oZ a /?C
Reoder No ? - Permit Fee:
.
1ayree le complr wilb tlN Ciep of Eaysw Surdrarge:
"1 . ?; nd tnn t c' =
61
Oedineaaa. Misc. Choroes:
Totul:
e Date Paid:
y
Oate of Insp.: Insp.:
3j ?7-85 _
? CITY OF EAGAN WATER SERVICE PERMIT
? 3830 Pilot Knob Road
; P. O. Box 21199 PERMIT NO.: '
i Eagan, MN 55121 DATE: -'
? Zoniny: No. of Units: 1
Owner: Rottland Co Inc
~
, Addr+ess:
? Site hddress: 3137 Priiaceton Trail 1.12 RA Lexington Square
'• Plumber.
Meter No..
Connection Charqe: 70.00
4
P
Size: Acaount Depostt:
Reader No.: Permit Fee:
1 sea?n iw
0e? ?o V?p ?r?lii Cih? of Erqon
Surcharge: • ' ' n :
Ordinenaa.
?V1isc. CF?arses: 63 .'.1 ??' tr e t er
Total:
, By Date Pcid:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road ', i?:;
P. O. Box 21199 PERMIT NO.:
?
Eegan, MN 5512? DATE: - 4 ? ? '
i Zonlrp: R No. of Units: ?
? ?,?r, Qtt SI! CO TilC
? Addrosw ?
3537
Site Address: 'rinceton Trail L12 S4 Lexington S uare
R a anson }?xr nc
? Plumber:
12-27-84 4.,b_> IUC.00 P
1 arw to eoiary with ti. Cihr ef Eosas Conneetlon Charpe: 425. 00
'` pd
; Oraiwenou. AccourK Deposit: 1). iA
. p4
? Permtt Fee: . p
I Surrharpe: ' } p
f BY Misc. Gwroes:
Dote of Insp.: Total:
Insp.: Dote Poid:
54957
'T
.
REOUEST FOR ELECTRICAL INSPECTION
? SePmsimCtions for completing ihis form on back of yellow copy.
"J(" Below Work Covered by This Request
?? E&00001-08
?"
e Add ¢p, Type of Building ApplianceSWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uildinq Dryer Otheo (Specity)
Comm./Indus[rial Furnace
Farm Air Conditioner
Olher(syeciry) Connactor5 Remerks:
Compute Inspection Fee Be/aw: ?(f?
# Other Fee # ServiceEniranceSize Fee # ircuits/Feeders Fea
Swimming Pool 0 to 200 Amps / 0 to t00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr9 Use Onty; TOTAL
IrrigationBOOms
Special Inspection . ?
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-m oere
certify that the above inspection has
been made. Final +e
OFFIGE OSE ONLY
This request voitl 18 monRi5lrorn
d 54957
53/ /;;? ? T
Fequest Date FirB No. Roug -in etlion '
^?
? FequireC eatly Now ? Will Notlty Inspedor
When Reatl
?
-
Y ] Yes ? y
I0Ilcensed contractor ? owner hereby request inspection of above electrical work at:
Job Fydress iSireel. Box or Routa No.) Ciry
9 " i .? 7-7 /-/ - !C-
Section No. TownShip Name or No. Range No. County
Occupant(PRINT) phone No.
*A1 vL? ?.y
PowarSupplier Atltlrees
?
ElecMical Contractor ICampany Name) ConVacmrS License No.
o/-c- "5v-'e-G G
Mailing qtlarass I mractor or Owner Makinq Inslallation)
.s-/LlC 2. risi - o a
AWn ignawre (Gomrec rrOwner aking Instaliation, Phone N mber
'G zi y
MINNESOTA STATE RD OF ELECTRI Y THIS INSPECTION REQUEST WILL NOT
Grlgga•Mltlway Bltlg. - Room 5193 Q)C BE ACCEPTED BY THE STPTE BOAPD
1821 Unlversity qve., St. Peul. MN 55106 /? UNLESS PROPER INSPECTION FEE IS
Plrone (812) 842-0800 Q'\ ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-00001•04
' Sea insiructions for completinp this form on back of vellow copy.
A-n'qRA7 fj "X" Be/ow WorkTov r d by Thrs Request ; '
NaM1lWdi RaD.I Tvoe oi Builtlinu 1 Aoolianees WireA 1 Equipment Wired I
Heater
EI
p Fe ServlceEnlrenceSi:e # Fee Feeders/Subteaders H Fae Circuits
0 to 200 Am s 0 to 30
A m s 0 012 30 Am s
Above 200 Am 0
31 to 70 qmps 37 to 100 Amps
Swinmin Pool Above 700_Am Above 100_Am s
Trensformer5 Irrigation Boorcis Partial,'Othar Fee
? I I Signs ? I iSpeciai Inspec[ion
TOTAL FEE
Remarks 1 ?/ IS?7Ael
, ??-r°
Rouph.in "7 r ? Date ?
( ??% I, the Elecvica
oecbr, hereby
' cartify tliex the above
Dit?t/e' ' pection hes Geao
rrede.
This reqvest wid ?.j
18 mpn[h5 from l ? ( ?r_ •
A a98876 t? ?
9equest Oa e
.?
f? Fire No. RouBh-in Insp on
R qu red7 ,
?
?Ready ? Will Notifv. Inspec-
?
? Ves N. lor When Peady
[]Licensed ElecVical Contnctar
? Owner
I h9Febv request inspection oi above
elec[rical work installed at:
S reet Address, Box or Route No.
^ CitY
LZ44i
ecuon o. ownship am orNO. Range No. Cow?t 6111
Occupa (PHINT) Phone No.
Pow Suppl' r Atltlress
Etectr cal Contractor (COmpany Na Contracmr's License No.
5,
Mailing dJress (Cantractor Owner Makinp InstaiiatioN
Author' SiOnature (Contractor Ow r Makine InsWllatiun)
? Phone Number
MINN TA gTpTE BOARD OF EIECTRICITY
Gri -Midway Bldg• - Noom N-191
7827 University Ave.. St. Paul, MN 66104
Phnne (6721 297-2117
THIS INSPECTION REQUEST WILL NOT
0E ACCEPTED BV THE STATE 90ARO
UNLESS PNOPEN INSPECTION FEE IS
ENCLOSED.
CITY OF EAGAN
3830 Pilot Knrob Road, P.O. 8ox 27-798, Eagan, MN 55721
PHONE: 4548100
BUILDING PERMIT Re?eivt # -
*_ a_ ....n a.. SF DWG/GAR Ese. Vel.e $56,000 pote DECE
SiteAddreu 3937 PRINCETON TR
Lot12_elock 4 Sec/5ub. LEXINGTON SQ
Parcel No.
Name ROTTLUND CO INC
Addrecs P• O. BOX 383
Citv OSSEO phone 780-1848
g Name SAME
?? Address
• City Phone
k Name
City
Phone
N_ 9822
Erect L4 Occupancy
Remodal ? Zoning RI
Repair ? Type of Const. V
Enlerge ? No. Stories
Move ? Length 44
Demolish ? Depth 52
Grade ? Sq. Ft.
Instell ?
Apprmols Faes
Assesunent _
Woter 8 Sew.
Police _
Fire
Enp.
Planner _
CAUncil _
Permit '" ? ` • ? ?
Surchorqa z S- 0 ?
D
flan Review 150.5
5qC 525.00
Woter Conn. 470 _ 00
Water Meter VI_ n n
Road Unit 260 n n
I hereby acklwwledge thot I hava read this opplication and stote that Bldg. Off. ? 7 Fi /R ¢I Perks
fhe inlormotion is wrrect ond ogree to wmply with all aD licable APC Total „$1 797 _ 50
S1uta of Minrrosota Stafutes ond Ci of aQq Ordirw Var. Date
Sipnoturc of Permikea
A Building Permit Is issuad to: ROTTLUND CO INC on the express conditlon that
atl work sholl be done in aaordance y4M7Qll opplim"te of Minnesota Statutes and Ciry of Eapon Ordimnces.
Bulldinp Official
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121NO 12114
PHONE: 454-8100 /' --),( I
BUILDING PERMIT
Receipt # ?0
, To ba used tor DECK Est Value $1 • 4 7z Date JUNE 13 198 6
SiteAddress 3937 PRINCETON TR Erect ? Occupancy
Lot 12 Block 4 sec/sub. LEXINGTON SQUAREnodel ? zoning
Repair ? Type ot Const.
Parcel No. Addition ? No. Stories
W
Name DAVE WALDOCH Move
li
h
D ?
? LengM
ih 14
D
S?E emo
s ep
o Address Int. Impr. ? Sq. Ft
City Phone Install ?
a
o Name-
oa Address
?
Ciry -
a
w z Name-
? p Address
_
i W Ciry -
Assessment_
Phone 636-3225 Water&Sew.
Phone
I hereby acknowledge that I have read this application and statethat the
, inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ord' nc
Signature o( Permittee? `?an
A Building Permit is issued to: 'DAVE WALDOCH
all work shall be done in accordance with all anfic" State of Min eso
Police _
Fire -
Eng._
Planner
Council
Bldg. Off. 6/ 11/8 6
Var. Date
Permit
Surcharge
Plan Review
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies-$-2?
T..?..1
on the express condition that
and Ciry of Eagan Ordinances.
Building Ottic
. . ? ? ? ??
?? ??
I
lko _-h I-Ae,l
0
A. SPLASHLAND WATER PAR
- Splashland Water Par
,playground on 33 acr
agricultural & plann
development district
Section 19.
B.
Preliminary Plat con
20 acres of land loc
of Section 15.
C. BLACKHAWK GLEN, SIENN
consisting of 116 sin
& a Rezoning from A (
(Residential Single F
located in part of th
D. METROPOLITAN'WASTE CC
Use Permit to allow a
Seneca Waste Water Tr
the NEe of Section 18
E. LANDIS IVERSON, for a
convenience store use
located at the NW cor
in part of the SW; of
. . .
?• ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ,
??? INCLUDE Q SETS OF PLANS,
0 CERTIFICATES OF SURVEY
0 SET OF ENERGY CALCULATIONS
To Be Used For: /y valuation:Z--? Date: /2/z/
Site Address:? ? ? ?? 7?U 5(Opco • ?
Lot: 1,2 Block: y Sect/Sub: .e , t Erect-
Remodel:
Parcel #: j?A.f"o7,d C'.sz?ev7y Repair:
Owner: Enlarge:
?T??u•< ?c Zae- Move:
Address:
City/Zip Code:
Phone #:
Contractor: -14P '5?'. a n?N,
Address :'j:>, p r3 e u 3k3
City/Zip Code: 362
Phone
Arch./Eng:
Address:
City/Zip Code:
Phnna$-
Demolish:
Grade:
Occupancy: (?-3
Zoning: ?-1
Type Of Const:
# Stories:
Length: 44r
Depth: 52
Sq. Ft.:
Assessments:
water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit:
Surcharge:
Plan Rev. :
SAC: S25 "-
Water Conn: 470.?
Water Meter
Road Unit: Z(o0.-?
Parks:
/ ? ? J ? 7.s0
lgx 2? = 4G8 ? 54 - Z52?2
1coK? =2E)8 x ? ? ° I?boB
(2o x 4? = 49 20
14x{.? ? 2?c? x 4? - a?I o
¢ - 532 g-
2Z n?= 484 ?' c r
t R
Ad _yi?
•?? ' .
301 • 00 +
28•00+
1:0•50+
525 • 00 +
470•00+
63•00+
260•00+
1 r 797 • 50 *
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
. 3 registered site surveys sMwiny sq. N. of lot, sq. ft. of house; and all roofed areas
(ZO% mazimum lot wverage allowed)
• 2 copies ol Dlan showing Ceam 8 wintlow s¢es; poured lound Oesign, elc.)
• t set of Energy Calculations
• 3 copies of Tree Presenation Pian il lot platted after 7l1193
. Rim Joist Detad Oplions selection sheet (bldgs with 3 or less units)
DATE fo f ?ID?
_ Water SoRener
Water Heater
No. of Baths
SITEADDRESS 3`737 MULTI-FAMILYBLDG _Y _N
TYPE OF WORK ? C'GYCt aTIA ?? 2(o0 FIREPLACE(5) _ 0_ 1 _ 2
APPLICANT ?i? weS? ?tf?l?od?
STREET ADDRESS _/D>Gd R?.rec?;c? CITYB.+ns?? l lp STATE 2!h?ZIPS.5337
TELEPHONE #952 212-8 6vo CELL PHONE #e-l;L-,?So-O/yCoY FAX # 9?-Fyr. - 07
PROPERTYOWNER TELEPHONE# (9S'_6g??756J
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 1IIVNL•:50'C.1 RL'I.k:S 7670 G\"CEGORI' 1 MIV VESO'I`.\ RCLES 7672
(q su6mission rype) • Residential VenGlation Category 1 Worksheel Submitted • New Energy Code Worksheet Submitted?
• Energy Envelope Calculations Submitted G411
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mcch:wic.il svstcm incliulrs:
Air Condilioning
Hcat Rccovcry Systcm
Phone #
Pcc: S70.00
r .
Sewer/Water Contractor: Phone #=,
OCT 0 s; 9002
I hereby acknowledge ihat I have read fhis application, state that the information is coRect, and agree to c`oipply
with all applicable Siate of Minnesota Sfatutes and City of Eaga Ordinances. 1
S(gnature of Appllcanf
OFFICE USE ONLY
) a-8'. a?,
RamodeUReoair Reauiremenb
. 2 copies of plan
• t sel of Eneryy Calculations for heafetl addilions
• 1 site survey for exterior addi6ons 8 decks
. Indica[e if home served by seplic 5ystam foradditians
VALUATION '53' ,J v () Q
Phone #
_ Laim Sprinkler Fee: $90 0?.,
_ No. oF R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ect. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-piex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SWrm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appUcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building inspector
PERMIT # I I 16
RECEIPT DATE:
8008 iiESIDENTtlkl. PLUM$INfi PEiiMIT APPLiCATION
crrY oF KtsAx
3630 PILOT KAOB iiD
EABAN. MA 551EE
651-681-4875
Please complete for
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventerfor irtigation system
Sherry Mullen ?
3937 Princeton taxe--1-f?
Eagan Mn 55123 TELEPHONE #:
612-867-9959 (AREA CODE)
TELEPHONE #: ICA 3b-r7- (Vy(QA
VIC & SONS PLUMBING (AREA CODE)
COON RA DS, MN 55448
STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consuitant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fxtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
??Ir_ 1,? IS
?
?
_ RPZ: new installationlrepairlrebuild
$
30.00
MAY 0 1 ZUOZ
_ lawn irrigation system
By
ReplacemenUadditional: _ water softener water heater $ 15.00
State Surcharge $ 50
$ 15 •
7otal
1 hereby acknowledge that I have read this application, state [hatthe information is wrtect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicant's responsibility to notity lhe property owner ihat the City of Eagan assumesno liabili for any damagas caused by the City during its normal
operational and maintenance adivities to the facilities consWCted under this permit withi property/right-of-way/easement.
SIGNATURE OF PERMITTEE 1102
PERMIT #: / 1 C? 'T /
CITY USE ONLY
RECEIPT DATE:
SOOE itESIDEPT1FtL M£CHARIClEL PEHMiT APPLICATIOR
crrY og EwsaA
9$30 f'II.OT KAOB iiD
EAsnia auv ssi sE
651-6$1-4675
Please complete for: D single famfly dwellings ? ?A? ??????? townhomes and condos when permits are required for each unit lit
Date: Qy SF?
SITE ADDRESS: ?( M L(_7 I ?
OWNERNAME: uV1?rJ 1h.fII`P?? .
;,iNNOARD HEatiNr & Aaa rnpjgIT ONINHI) INSTALLER NAME: 410 WEST L4W,-;TR
MIfMEAFOu; s55409_2996
{ji• •
STREET ADDRESS:
CITY:
TELEPHONE #: ?V !?/ (gV ?P=[ Sb ?
TELEPHONE #:
STATE:
ZIP:
Place a check mark next to the permit work type
? Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
. other
1
Nature of work: GI
State Surchar e $ .50
TOtal $?5
? ZfU ' bFTERvIIf-TTEE
I 1102
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 COMMMCIi4L M£CHihftICAI. PEgM1T APPLICATION
CITY Ol' EAHi4ft
3$30 PILOT KR08 !iD
KA6M, b!N 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONL7):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CTI'Y:
TELEPHONE #:
STATE: ZII':
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nahue of Work
When installing/removing underground tank, cal! 651-6814675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallarion = minimum fee
Contractprice: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
LOT SURVEYS COMPANY, INC.
i.nxn svRvEYORs
R.EGISTERED UNDER LAWS OF STATE OF MINNESOTA
7601- 73rd Avenue North 560.3093
Minneapolis, Mirmesota 55428
Otrargurs (Irrtif`udr
?
?
? J
i
1a
? CO
?- Q)
-0
w
Z
X
LL)
j g?6,lE
?
_ 89'S.0
THE ROTTLUND C061PAN`:'
I
{ H6)2.3
i i
s
0
£
?
? w
i
q ?
O f
s
r Q
?-4-
?
I?,--
I
, I?2-S-. _ --?
I ;
? Unjev -_G'o.%s4r, ?
? _.-.- l (o(o ?°?°) -- N
B%34 f
1a
1 ?'n
i,
?
m
3 (,'-4"
-p i-RoposaD
N _
I
°? I N
8°IZ3 ? o
?
?
-?7op Iror?-
p) P?5.33 ? 10
UN ?
J A
? -----?( I
? ? o I
V I ?
w
22'-4 ,
?, Pro(Jose? j '
.o RSIDEUCE .. ?
_ '
?-0 ?., IZ•o" - N pY ?ve : ?
-'vs sr
?-------
22'4' 111)3.a / /0 V
al , ..,.? /
I -
8?O) °a
7. 7 7 7
31.2
? ? S . FY?.w?e aa?k
---- 3't?43__. '
We hereby certify that this is a true and correct re{xesentation of a survey
of the boundaries of the above desaibed land and the lowtion of all build-
ings and visible encroachmenu, if any, from or on said Iand. '
Surveyed by us thi 7th day of DeCembei 19 84
?
MV ?
0
w
o?
a
Signed
wvoice No, aV)n
F. B. NO. 248-21
SCALE I" 20'
0- DENOTES IRON
? Denotes Wood
Hub Set for
excavation only
'?- Denotes Surface
Drainage
? Denotes Proposed
Elevation
893•5 Denotes Fxisting
Elevation
Top of Block
? 894.7
?
Garage Floor
?-- Elevation
f 9¢.Z
Q Lowest Most
? Floor Elevation
U
Z Lot 12, Block 4,
-' LEXINGTON SQUARE
? DAKOTA COUNTY,
? MINNESOTA
Raymond A. Prasch; Minn. Reg. No. 6743
i ?
1 V
co
rt
? J
t Q
? v
P
_ ?-
N
IV
4?
FAIRV= \1?7Lp
EXTERIOR ;ENVELOPE AVERAGE "U" COMPUTATION
OWNER __Q?L Gcj
SITE ADDRESS 3G( 31 1?RlF?lC??O?(J T,??4(L ?/??,4?y"'
CONTRACTOR 5;-0L Q--
DATE 12/?Wc6 L4 PHONE 7c60-1
Determine working square footage of each.
1. Total exposed wall area ...... 201-f- Z sq, ft. x z2/'o,4Z,
2. Total roof/ceiling area ...... /0r62 sq. ft. x?0?.(? = ZF3o13
Total exposed wa11 area above floor = ?<w L}"
a, Total wall window area ...........................
6. Total door area .................................... 3c6
c. Total sliding glass door area ..... ,. ............ 'f O
d. Total fireplace wall area ..........................
---
e. Total wall framing area (average 10%) ...............
f. Total net wall area ahove floor ..................... /yy$, L
g. Total rim joist area ............................... / SL
Total exposed foundation area = 7(?
h. Total foundation window area ..........................
i. Total net foundation area above grade
••< .
Determine "U" value of each wall segment.
a. ) Z(o i? X ?,U,, _61Z 14
7
t. 3C5 xI'u" 0 0-7 = 2 a6 6?,
C. 'f-ZJ X"U„ =..)?50YO
d. g ?lUll
e. g oU,, o 00o7=/G!, O/
t. /Z/x[lv„ ,o42 = 60o$2-
g. / S Z X"U" , aLI-O = 6v0S,
n. X „Utt - _ --- .
?. 7 cr.?> X?,U,, .D 7 6
3 ......................................zotal
If item # 3 is the same as, or less than item #1, you have met the intent
o£ SBC 6006(c)2.
Total eacposed roof/ceiling area = I pq -?-,
Total gross roof/ceiling area = / a? Z
j. Total skylight area ........................ ? Z
k. Total roof/ceiling framing area ............ ('f
1. Total net insulated roof/ceiling area ...... i a o 6
Determine "U" value for each roof/ceiling .segment.
;. i Z x.,U,l o y y = So zV
k. x?,u,, , a2 '7 _/0 7 3
i. xl1u,l oo z S` = 2 Soi 5`
4 ..................................... Tota1 = 3 ?ol?
If total of !l4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and l14 shall not be greater than the sum of items lll and l12.
i. 22?, (.' (?' + z. 2<'; I 13 = LS`-/ e75'
3. \-7(0?2-Z + 4. 3???? =.ZU?o3SS
tduTE; Use ]:Di oi opaque wa11 area for
- frame construction
FIU121E S ]ALL
,? . . ..
ruge J oi: 4
Const?on ,
R-Value
1. Interior airl'film
.2• .12 'C?YP 13'RD 0.6B
Gp-
f0 0 V Q
, 9. 25/32 5/yTCr
6: Fxterior air film
,
0.17
Total
v? oog-7
l. TnCerior air film
2. 0.68
-
?c
3. dQ
9• 2 S 3Z 2?OC?. .
5. S/d/.?iG, o V E? ?EL-r- / 0 2 6
6. Exterior air film
0.17
Total 2 3,6 Z
U- 00?2
,
irr.-
?? (
, (1(
=
Fzc. 114
. ?-
1, Interior air film
0.G8'
2
3. 2 X- 12'f.?/(
. y?p
?6 b D.
4, 2 S/3 .Z S M TU
2 mOC'o'
5.
Z e,
6. Exterior air film
0.17
Totdl 2 $.O S
1. Tnterior air Eilm
0.68
2•
3, 2,,I Fu22irrc'
4. C?CfL
l:LFS"
5. '
6. Exterio: air film
0.17
motal /3a/3
.
.. i
. V . ? , .
( .
? 6 .
,. •? , . .
pr
f ? ' • ?-
?
`, ? Ill =
? = 1f;
' /(/
. il3
r, . o { .
I .L ^
RODP/CEILTNG
I `
I !
Consirucl•ion I R-Value .
1. Interior air £ilm : O.GJ.. '
2. 5/e" C?Y1? 'I3?O oS8
3. [?,Lau_,-v i.vsv< 3?,,00
4. Exterior air Pi1m (sti11 p
? • .?.. motal 3C(0a 0...
`_U L-V _ ' ° , • : , ? , V = 002S
Vented HeaC flow ? ? • ' ? . .
up , ? ?? ., , ? . ? ? ' . •
? • ?
FTG. fl5 ' ? ? I , ' ? ' . ?•
' . i . ' , • .' J'????A- ? . . ? ? . ..
.. . .I ? , . . . , , , . . .
1. Interior.air fzlm 0.61
2.
- CyYT? O
?'?. ? 3. i,vsuc ovE2 rr?vss ' 3?f ?°I ? '.
?? . 4., Eaterior aii ?ilm sti 1 ,
,r/? • ? f? ' • , Total• .
In?Ikm
% ? • ,3c???`f. ; ?} ? $ , , .•. '.: ?
l--Ol t--? ? 3 4 ? • : . , • • ., ? . , ' .
'
Y.ecc flow up . ? . •venYed • . . ? ? ? . . ,
• . .FIG. $6.'..1..
-. _ • . ___.. _I-_ , .. .. . . . . ' .
1. Insi.de ai.r Eilm 0.61 -
? . ? ?,. •.t.:?`?^.. 2.
. ' ? 05.:.: ..• .„ , ,
• 9nI.Q1?.. :??.-^• ? '
n.
?:?--:Y?•.... ;?;.;•.:•.. .
5. Outside air. P.ilm
0. ].7
Tota1
? ,.
. . ? .
: / .. . ,
• ?' HOi1-?,'?p .,' ' Not•c: Use additioiial sheets -iE more cpaco is
. •• ±;eeded for deCails and calculat•ians.
.
' . ? ?flow up ? ? '• .
. A ,
1986 BffII.DING PSRlIIT APPLICATION - CITY OF EAGAN
HOTB: ALL CONTRACfOHS M[IST BS LZCENSSD iiITH TH6 CITY OF EAGAN
SIIiGLS FANIILY DHELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DHELLING5 - RffiIDSNTIAL
INCLUDE 2 SETS OF PLANS, CEA
1 SET OF SNERGY CALCULATIONS
EENT9L DNITS FOR SALB DNITS
OF SDRYSY - CHECg WITH BLDG. DEPT.*
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SE2 OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used Fo : Valuation:,e /?P,??_ Date:
Site Address . ~2 4,40 Lot 0- Block ?
Pareel/Sub
Owner
Address 3 of 3 72 F'Ala .e &
City/Zip Code
Phone n
Addres° io? ,'J
City/2ip o e a1. A r,?J/3
Pho 6-2??
Areh. /Engr. .Syh,o_
Address
City/Zip Code
Phone #
Erect X7 Occupancy
Remodel Zoning
Repair Type of Const
_
Addition # of Stories
_
Move Length I"Z
Demolish Depth T-
Int.Impr. Sq Ft
Install
APPBOVAIS FSES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Of Treatment P1
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOHNfiR MDST DESIGNAiS iiHICH ADDRfiSS
IS DESIRSD. 80 CH6NGES itILL BB ALLOWED ONCE BQILDING PBRPIIY I3 ISSDED.
17. rt`4 ar l? x- v a !? 14 o
-L ,-(.- °t -:-- ?2" >c zs = (?4 n Z z
I -A7Z
e'
'm
14
j -
- ,
Y
?
C ITY DF EAGAN 2/84
14U1 APPLICATIOAI FOR PERP4IT
• r SESdER AND/OR LvATER CONNECTIODT
(PLEASE PRIHi)
1) PROPE4I"' ADDRE55= 2)?:?/ 37- ?
t
rFr=,L DESC-2IPT'ICN;
(Lot/Hloc'c/Su.,'-divisicn or Tax Parcel I.D. DIt,,:?.;b2r)
i ?- =:c s?.cc^ =, ca::, or ozcL'-?:. .??Gb)
P.==S?.'?' R-1 SLiGL: cP?+SL`?
R-2 CUPL'. (7,':0 L'::I':-c)
? R-3 'IC'.•IN.?:rvrcE (mF_c.j, + L>II:S) ( L17?':'S)
? ic-4 tl."-=.?mr?-.m?C'`.?.iLT_`;Si,?:•I I UNI'?'S)
? CCi-nIE.°.CLaS,/REI'?L,/C? t'2?'
a a?t;sT4.,.r.
? 1NsTZ:u7zc%1ALic:,v-=?N:•='.T
2) APPT?--,= i???asE aFt,?r?
NPi•T.E: ??U
d', f?
I?f
I
?
l?
i /
Cf vi /<
/ G
L
ADD.`'ZE.C.j:
CI^"l, SI7TE, ZIP: ?jZ,?itiF_
PKONE: -75 0 .
vG
3) PI77-=, ?
ee tn r)
FOR CITY USE ONLY
,?:
a?o?ss:9? 9L? PLUHBF,&3LIC.BSE:
,
CITY, STATE, ZIP: Active
Expired
. .
PAONE:'?6/PLl1M8EN LICENSE N ot f Recard
? df nlLl?
4) OCCU?ANT/CSzzIIIt INLEas pai;?il
NAI?: ? i`??r??J . ?
t?
ADDRESS:
CI2"L, STATE, ZZP:
PHO:1E:
5) INDICIITE WilICfI PERiUT IS BEIA'C', REQLTES'PED:
rmJ CO;INECr20N rm CITl Sa1ER
? C0:2VEC:IQ:7 'IO CITY 1•7ATL12
? OTMt (PIZ1SE DFSCRIIIE) -
b) liilliQ=Z C:Z: ,??, ?PL: ASE E?OID APPP,WID PER.'?1IT FOR PICn-U?i BY ODIE OF ?i
L?1 PI.FASE D7LL L APPRCVED PEPtiLIT TJ 10
k 3, 4 AE<7VE
(Circle one)
7) SIC:;1L'RE DATE:
: L/ ? IL /.
?f
Mll Ra4W_'f?1??.fL,W1101qlY:gfl?]qi?Yi.?i'Y??O?/ilSlfl01"i?i:?1\1R}!!}I?" ?1syf'1??1?I??SpF?y
FOR C I T Y U S E ON:,Y ...
PE7-MIT °- ZSSUED
FET'S: $ rr.: o nr ?ar?^ ? ' - r^
sa.se s_.,E s ?(z.tcr....... su.o....c:_a.p.r??:.)
+S WATE:2 P:Rd?tT_T (I`.Ci.uDE SliRC::ARGE)
$ WATER METER/COPPEBHORN/OUTSIDE REnDER
$ WATER TAP (INCLUDE CORPORATION STCP)
$ -- SEWEB TAP
S >? ?--a
$ gyCrl a. ?-zt
$
S
$
$
$ .
-_..?i;_:^ ?__c•sT__ - ?_:,_3
AC^OUiVT DFPOSIT - G7A':ER
Wr;C
SP.C
TRliVK WATER ASSESS:-LNT
T.°,u::K SE:7ER ASSE=?EJiT
LA:ER=.L BEDiEFIT/TRULIK SE:I :EF
LATERrIL BENEFIT/TRLINA WAT°R
OTHER
$ TOTl:L
+S Ai`?OUNT PAIDjRECEI^
cT
• . 3
DOES UTILZTY CON.IECTION REQUIRE EXCaVATION IN PUBLZC RIGHT OF S4AY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED SY THE
NO ENGINEERING DIVISZON. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOt4ING CONDITIONSc
APPROVED SYz:::?ct
TI':LE:
DAT_°: a-?L-g6&?
na W"+ wrsw sn wfE w.-M 8E60 wW:W MfG wtM SOW sa W?PV 044M RW Me ar M
?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139358
Date Issued:10/19/2016
Permit Category:ePermit
Site Address: 3937 Princeton Tr
Lot:12 Block: 4 Addition: Lexington Square
PID:10-45075-04-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Brian L Wood
13945 Anderson Lakes Pkwy
Eden Prairie MN 55344
(651) 249-1158
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142421
Date Issued:05/02/2017
Permit Category:ePermit
Site Address: 3937 Princeton Tr
Lot:12 Block: 4 Addition: Lexington Square
PID:10-45075-04-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Brian L Wood
13945 Anderson Lakes Pkwy
Eden Prairie MN 55344
(651) 770-0603
Apollo Heating
6510 Hwy 36 Blvd N
Oakdale MN 55128
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164248
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 3937 Princeton Tr
Lot:12 Block: 4 Addition: Lexington Square
PID:10-45075-04-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
Brian L Wood
13945 Anderson Lakes Pkwy
Eden Prairie MN 55344
(651) 249-1158
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature