4477 Reindeer Lane• r...
CASH RECEIPT
?
? ` CITY OF EAGAN
. i'`. O. BOX 21-199
dAGAN, MINNESOTA 55121
DATE
RECEIVED
19
AMDUNT $ I 1
& DOLLARS
?oo
? CASH ? CHECK
ROR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY
BUILDING
Ts w wW f CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
rERMIT Receipt #
a - . ,- Est. Volue Date ' , 19
Site Addrea a a? Erect ?
I Occupancy
Lot Blo ck ?c1Sub
r' ? 'Remodel ? Zonfng
. Repair ? Type of Const.
Parcel No. Enlarge ? No. Storiea
Move ? Length
W Name Demolish ? Depth
? Addrees Grade ? Sq. Ft.
City Phone 13. 5 ? 8 4 4 = Instell ?
Name APProrols Fees
Address Assessment Permit
j ? . _, .?
? City Phone Woter 3 Sew. Surcharye
I. 73 ;.' l/
?°C Polioe Plan Review.
' ? .
"n
+ Name Fin S/1C
,
?t3
W
Addresa
h
Erq.
P !; t
Wofer Conn. '? ?' •;;?
t
M
t
"
W
t City one
P fonner er
er
o
e
faundl Road Unit ?
I hereby acknowledye thot I how reod this cppliwtion ond state thot gld8, pff_ -i-f pefks
the inlormotion is torrett ond ogree to tomply with oll opplitable APC Totel 11
Stob of Minnesoto Statutes ond City of Ea9an Ordinonces.
Var. Date
Sipnoturo of Penniftea a. , ?
,,
h BuHding Permit is issuad M: ', T .. F. u7 on the express conditfon thot
all work shall be done in xcordance with oll applicablt State of AAlnnesoto Statutes and Gty of Eopon Ordinonces.
Buildlnp OfflNol
parmk No. Pwmit Holder Doa Tel?phone #
PlurtMno ? L V 3jndfx?
?
H.VA.C.
Ehmb ri
?
(rqpection Date Insp. Other
Footinip
Foundktion
Frnniny
Rooflnq
Rouah Plbq.
Rouqh HVA ?
Inwlatiaa
Finsl PIb4
Finai HVAC )V
Fiml JC
Cwt/Ooa.
Wour Dacribe Location:
MNII
Sewnr
Pr. D'ap.
MECHANICAL PERMIT PERMIT # -
CITY OF EAGAN RECEIPT #_
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?
pWewF• e-ra.ninn
Block
Address
City
Name =
Address
City Phone _
PE OF WORK
ced Air M BTU
ler M BTU
t Heater M BTU
Cond. 'M BTU
t CFM
i
a Piping Outlets #
FEE:
SlC:
TOTAL•
L,
BLDG.TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPT
New
Add-on X
Repair
FEES
RES
HVAC 0-100 M 8TU
$24
-
00
.
.
ADDITIONAL 50 M BTU .
_
- 6,00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT)
- 1
50 EA
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADO $ - .50
.
BEYOND $1,000)
SIGNATUR
FOR: CITY OF EAGAN
?
?. CASH RECEIPT ?-
?,; ;
CITY OF EAGAN
P O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19 -` J
reacervso
FROM
AMOUNT $ I
de OOLLARS
1 oo
? CASH F-1 CHECK
L6, 7 7
/ .h.? ? ??ld•? ?/..? . ? l?? . ? :?
FUNO CODE AMOUNT
?
Than ou _ g Y .
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN ?
Fee
Fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date 2. Installation Cost
3. Job Address yyrJ4Nv?4 Lot Blk.Trdct?
4. Owner ?fd% a/P??
5. Contractor U/lONEM SWF1171*6 Phone 73y" 09S9
?'/?FSTGVODO ? C/z/rrJ<?
6. Address 7 b90
7. CityevEN State /hA? Zip??
8. Building Type: Residential 0' Commercial O Institutional ?
9. Wark Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Ty w /?7
11.
No,
? Eauioment BTU - M. Ea.
Forced Air No. Equiament CFM
Air Handlin
:
Mfg, g
Boilers
Mfg.
Unit Heater Mech. Exhaust
Mfg. Other
? Air Cond.
Mfg.
? Gas, Piping Outleu
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.
/ f
Signed : :L? -a r-d for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
/
Receipt
PLUMBING PERMIT Permit No.
r CITY OF EAGAN
Fee
? FiN in numbered spaces S/C
Type or Print legibly Tot.
? •
?
/ ?/2t
? _
,
I
1. Date?
-
nstaliation Cost
2.
? ? ? ?Q 1 ? ?? ?? r- ?- N •
3. Job Address LotBlk. ? Tract?
4. Owner
5. Contractor Phone
6. Address
'v
7. City Zip
State ///
8. Building Type: Residential 2? Commercial ? Institutional ?
9. Work Description: New 9 Add O Alter 0 Repair ?
10. Describe
11.
No.
3 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
?
Lavatory
Softner
? Shower Well
/ Kitchen Sink
Urinal/Bidet Other
f 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 wi?h all ordinances and codes governing this type of work.
Signed : s !-?GlL?nn"'L°???i"? for
Rough ? Final
Inspections: Date Insp. Date Insp.
This is your permit when num6ered and approved.
Approved CITY OF EAGAN 464-8100
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
1 . , SITEADDRESS: APPLICANT:
? ,: uiI; t ril?
?•i ic I I Nnvf Ft I ANl ;, 1.?1111
1-AIJAI H 1 UIiF. ( f. 1 l 1 t398 -39i1v1
F
L
H!! T i t? 1 M+i
p
PERMIT SUBTYPE: TYPE OF WORK: ; I.AI I?
PermR No. Permk Holder Dete Tetaphons t
ELECTRIC
PLUMBING
HVAC
InapeeNon 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 HTQ
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
Addition FAw1 R= AMMON L tI 7 ctlk
Owner Street
4477 Reindeer Lane
10 25800 070 03
5tate Eajzan, MM1 55123
Improvement Date Amount Annual Years 5 Payment Receipt date
STREET SURF, - 2 1981 229.35 47 2
STREET RESTOR. 19$4 499.46 49.95 10 399.58 it
GRADING 19$1 61.26 4.08
SANSEWTRUNK
jN, 1951 205.44 10.27 ZQ 154.09 I
SEWER LATERAL ^ 1$1 33.07 1.65
22.07
n
n
1981 23.57 1.18 20
. 17.72 "
WATERMAIN
WATER LATERAL 19$1 43.67 2.18 20 32 77
?
WATER AREA '(y 1$1 205.44 10.27 20
154-09
1981 27.68 1.38
STORM SEW TRK 1985 557.79 37.19 15 520.61
STORM SEW LAT- S(' 1984 222, rj1 22.25 10 178.01 "
CURB & GUTTER
SIOEWALK
STREET LIGHT
Road Unit 280.00 #491 4 1-24-85
CONN. 500.00 t
BUILDING PER. n ..
5AC
?t
n
PARK
CITY OF tAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road , 1 -3C,
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoni
nG-
No. of Units:
Owner. 'e?atu;. e :l.urs
Address:
Site Address:
Plumber:
1 yree to ean* wil6 !iw C&y ef Eagon
OediMnoa.
ev
Date of Inup.:
Conrwction C3+arps: '495. 00 pd
Account Deposit: 5' p
Pertnit Fae: 7
Surohoroe: , .
Miac. Chorqes:
Total:
'
'
CI
(
Y QF [.AGAN WATER SERYICE PEAMIT
3830 Pilot Knob Road
P. O. Box 21799 - - PERMIT NO.:
Eagan, MN. 551t1 DATE: `' ? _• - -?: :,
Zoning: F`1 No. of Units: 1
pr,,,,er. Featura Bldrs
Addross:
Site Addm,; 4477 Reindeer Li2I7E' L7 P; "-own Ridre
P(umber. ? a'•:eviZle F1{;-. ?'i ;
Meter No.: Cannedion CharQe: 500.00 pd
Slze: ilccount Deposit: 13.00 pd
Reader No.: Permit Fee: 1!? . G ? p t!
IgYm to aawplp wilb tbo Ciy of Eayan Surcharge: • 53 nd
OWiwa.G«. Mtsc. Ct+orpes: 132.00 nd
Totol: _ 63.00 p d meter
gY Date Paid:
Date of Insp.: Insp,;
CITY OF EAGAPd
3830 Pilot Knab Road WpTO SERVICE PERMIT
P. O. Box 27199 PERMIT NO.:
Eagan, 1ON 55121 DATE:
Zoniny: '
No. of Units:
Owner FeatuTe 1;1: ?- ,
Addross: ?
Site 1lddress: 77 RF ig????."? ?
?
Plumbee e . • , c
- ?•-' D
??
3 `/ ?rYCCtlon ?1? r.?e:
f ? fl. ?? i '
?
Y?'L ec_
S?? ?0r?}%
J?U'OOW?1F'
Rebdx No.: O?L.. Ql l d!5tl_ Permit Fee: ? • ''
1 agm to eompFr wtFU tM Cih of Eaoee 5urchorge:
`
Ordieawa.. Misc. Charflsa: - %2. 0,`? 3
Totul:
BY a --? D
id
P
ate
a
:
Date of Insp.: Irnp.:
CITY OF EAGAN N? 9 8 5 9
; 3830 Pilot Knob Hoad P.O. Box 21-799 Eagan, MN 55721
PHONE:4548100 9?7
BUILDING PERMIT Receipt #
Te 6e mad Mr SF DWG/GAR Esf. Volue $71,000 Date JANUARY 24 jy 85
siteAddrea 4477 REINDEER LN
Lot 7 BIock 3 Sec/sub. FAWN RIDGE
Parcel No.
W Nama FEATURE BLDRS
? Address 15513 LOGARTO LN
citv BURNSVILLFpnone 435-8443
tG NmB sAME
s? Address
? City Phone
Nama _
Addresa
C{ty -
1 hereby acknowledge tMt I hava read rhis opplication end state that
to mply with oll opplicable
fhe inlormofian is totre and ogree w
Stafa o4 Minnesotn St ute and Ciry of E on rdironces.
Sipnature of Parmittea ?
A RE BLDRS
erect fR
Remadal ?
Reoair ?
Enlarge ?
Move ?
Demolish ?
Grede ?
Install ?
Occupency _
2onin9 _
Type of Conrt.
No. Storias
Length 66.
Depth 3 2
Sq. Ft.
Assessmenf
Woter & Sew.
Police
Ffre
?ro•
Vlonner
Councfl
Bldg. Off. 1/24 /8
APC
Ver. Dete
Fea
s
?
Pertnit +? ?
}?
3`l o • b o
Surthorpe 35.50
Plan Review 173.00
SAC 525.00
Woter Conn. 5 0 0. 0 0
Water Meter 63, 0 0
Rood Unit 280 _ Op
Parks 132.00
rucal $2,054.50
A Building Dermit is issued ro: FE on ths axpreas cond7Hon that
oll work sMll be done in xcordanca wjnLJ tK?qll =bt= of Mi. nneaata Statutes and Ciry of Enpon Ordinonces.
Bulldinp Offlciol
q
5 o I(p Ji IEQUEST FOB aECTWCAL INSPECTION Ee-ooooi_oa
, Sea i-truetima for mmpbti?y u:s form m haek ot ?ra11o. cooY- ?1161k5
B206.73 •X.. Be/ow Wo?,[?Gm?ered by This Requesl • Fee ServiceFiM1nneeSiie b fee Feetlers/Subleedem k Fee Circuits
Aups o?son omaoan
31 to 100 Arrys 31 to 100 Anq?
a Above 100_Mnps 46ove 100_A?ps
f Irrigation B?s Partial: Oiher Fee.
Sigs Special Inspection S/QI?-a TOTAL
Re?rks !Q. V
ppyph-in Da? 1. the ElecVuol
? I.pqc[or. herebr
cenih tMt the ahove
F;nel ;rrs?.,cst bs besen
. .? ? mxmd..
,a.gowje:g .oid 18 ?Its
This r¢puest voitl
18 18 5 V( It, Z
3(? C/ 6(?
?-? ? O
?7 3
L? ?
-he l
t oa a
Requesl Oate Fire No. Ib?qh-in lape
s on
¢d?
?Weadv Now
ill Notitv I? cec-
? v ?NO
Yes ? ??^ ??
Lice1aed Electripl Contrac[or 1 MrebY reYmst inspection ei abore
Owner . alectriml wark :rtvmlled at .
SVeet AA?A?re1ss, Bo?-a 7or Rou[e No. Ciry /
uon; a. Township Nare w No. Ranqe No. Cauntv
Occopant (Ni1NT) phon, No_
PorW Supplia Address
Z' v ?72:7n
EI ical Contractar lGOnip?py Namel
/ %/r^s ?, Cmtrac?l/o,'. pLic?¢nse N-o
Q 7 /U J
Yaili Address (CmtracW?r Yakiap 1 taila[ion)
A orized -gna[ure 1 cmr MaN?g I?Tallatim)
? r
YINNESOTA STATE BDARO OF ELECli11CITY THLS IGLSPECTION pEQUEST NIIL NOT
Grigps-MidwreY Bld9- - Ibom N-791 BE ACCEPfED BY 7HE STATE BOAOD
1821 Universih Ave.. SL Paul, YN 55100 UNLESS PROPEN INSIECTION FEE IS
P, 16191 29791111 ENCLOSEp.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooom_w
7 ' Sae iaotructions far completim this form on bac, of ,???. cap.. Y/ 15ig 5
2 Od? 3 ??X'" Below Work.Covsred by This Request
4dd Rep. Type ol Builtline A.POtiancm Nirad EoriOment Wired
- Home Range Temporary Service
Duplex Water Heater Ligh[iny fixtures
= Apt. Building Dryer Electric Nea[in
Commercial Bldy. Furnace Silo UnloaAer
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm otner oeci v etne, ISner.ieyl
t.r SVeu y t er Othnr
omnute lnsnection Fee Below
N Fae ServicaEntrenca5ize 8 Fee Faeders/Subteaders
4 0 to 200 Am s 0 to 30 Am s 0 ui 30 Am s
1 Abave 200 qiflps 31 to 100 Amps f s 31 to 100 Amixs
Swimming Pool Above 700_Am{x Atwve 1(10_AmP`>
Transiormers lrrigation Boorcs Partial,'Other
Fee
Si gns Spec ia l I nspe ction
S<Q
TOTAL PEE
1lenurks
,
Ro
h-in
„a
,
o:?ie
e Ele.- Mce?
?.7y f insoecWr, hweby
ce ilv tMt t1?p aDOVe
Fi?l Dnte
d?
3
7 ???ction has been
i-
- ,?aa.
inis repuest wia 61161 ^?
? 2 rU I /- --1 A 3 -5M
H s ate
.1??,_?? Fire No. Rough-in Inspection
a retl?
I Y Inspec
? aA NowWill Notify.
- [or Wh
F
.f Ves ?NO
en
eatly
?qlicensetl Elecbical Cailractor 1 heraby reqaesf inspecM1On ot above
-?j OwnerC electrical work instalied at
YINNFSOTp STATE BOABD OF ELECTRICIiY THIS INSPEC710N RC-0UEST P/ILL NOT
Griyys-MiAwaY Bldp. - Room N-191 eE ACCEPiEO BY THE STAiE BOAND
UNLESS PqOPER INSPECTION FEE IS
7827 Uaiversity Ave., St. Paul, MN 55104
Plpns (672) 297Z111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-os
? '.
See instmcROns br compialin9 Ihis fmm on back of Yellow copy.
E????? "X" 8elow Work Covered by 7hrs Requesf
Nsn? ade neo. rvoe of suiiaina acuuaoca. W.,ae eauini,ent wiren
Home Range Temporary Service
Duplez Water Heater Liyh[iny Fixtures
Apt. Building Dryer Bectric Heabn
Corrunercial Bldy. Furnace Silo Unloader
Industrial Bldg. AIr Conditioner Bulk Milk Tenk
Farm ON, aec? V Oiher ISponivl
tmr Su?cify Other Oth?;r
Compute lnspection Fee Below .
# Fee ServiceEntrance5ize N Fee Fende,s/Subleaders p Fee Circuits
0 to200qm s Oto30Am s 0 tn30Am s
Above 200 qmps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amn Ahove 100-AmPs
Transiormers Irrigation 6ooms _110 Partial.?Other Pee
Signs SVecial Inspection T?/_F
f
?
Nem3rks
V ?
?
%
V
RougA-in ?`11e ? t nical
' Inspector, hereby
certifV <het <he above
Final inspection has been
. d? meee.
Thla reaueat valG 18 moNtu irom
Thls rnqvesl voitl
/8 nwnths./rom ? O v
E 27 5 K.1
Request Oare '
< Fire No. Roueh-in In er.tion
Re u retl7
eady Nuw Will Nntity Insoec-
?
J
G ? ?'es No tor When fleatlY
'I?.Licensed Elecvical Contractor 1 herabv repuest insoection al abova
? Owner elactrical wnrk instelled at:
Sv¢ei Atldress, Box or floute No. City
(?v
q
ti
YY7 7 Kfi/I-oUK Ct1iil,iL f
+
e.ction a. Township Name or No. Range No. CounlyQ y?
OccuuAnt IPfiINTI
sV-a/i)Q 'xff Phone Nn.
Qk-???
Puwer SupOller Atltlress
Elect,icnl Convaclor (COmpany Name) Contractor's License No.
GAc.axij-
Mailine AdJress (Conhactor or Owner akinB InstailatioN
Y7 3 R.cof-? willi.n A*L ?ra(,? /+1A,
Au[hori'[ 5? awre ICO tracl dOwn r Makin
Installatinn)
?
?
?
Phnne Number
? :?
MINNESOTA STATE 60AHD OF ELECTPICITY THIS INSPECTION PEQUEST WILL NOT
BE
Grigps-MiAwev Bltl9• - Noom N-191 ACCEPTED BY THE STATE BOAND
UNLESS PROPER INSPECTION FEE IS
1621 UniversitvAVe..Si. Pnul, MN 65104
o..,...e m?m cnvnnnn ENCLOSED.
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ? 1 ? 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
i? ll
?Q,j nr? 9
IL, L , UU., ?
Date ? I ? 0 I 6S ? I
??Y-
n
Site StreetAddress y
/ gPln deey'' 1..8/1,P -
Property Owner ?ix 7TlG?? ?U fiGk Telephone # ( )
Contractor ?j? ?I L d SAn5 ??i m
- Telephone # (7(3 )
Address eZ a ` ?. /?Lf/?rft4
A Rd.;;J?S' State-L&[- Zip V
The Applicant is: _ Owner L16ontractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
new W11replacement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
$ ?S'
?
Total -
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be.. in conformance with the ordinances and codes of the City of
Eagan and tr:e plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
PAJA 672A/A 'C, ?
ApplicanYs Printed Name ApplicanYs Signature
' 2005 RESIDENTIAL MECHA1vICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address ?-7 71 L^l/1 Unit #
? ,/ /'
Property Owner Ll?l?LCf/l Telephone#(L'st
Contractar
Street Ad?reNDAflD HEATING & AIR CONDITIONING City
MINNEAPOLIS, MN 55408
State 612-924-2656 ZiP Telephone # ( )
Bond #: Expires:
The Appiicant is _ Owner ? Contractor _ Other
Add-on or al[eration to existing dwelling unit $ 30.00
? furnace _Additional _'&,Replacement
air exchanger
l
ent
N
?R
diti
i
?
ew
ep
acem
rcon
oner _
a
other
State Surcharge $ .50
T
t
l $ ?• S?
a
o
[ hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start witho ermir, that the ill be in accordance with the
approyq plan i the case of,yr8,tt'yhich requires a review and approval plan
Applicant's Printed i ame Applicant's Si ature s ?
c ?J05 I
i?,?_
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
. multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢I'Iltit FEes: $70.50 Underground Wnk inslallatioNremoval
550.50 Miieimum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If eo rmit fee is $1,000 or less, add $50 ? $ State Surcharge
If pe rmit fee is over $1,000, add $50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector
5ri ?. a? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NewConsWction Reouiremen[s
• 3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all rookd areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & windaw s¢es; poured found design, etc.)
• 1 setof Eirergy Calculations
• 3 copias of Tree Preservation Plan if lot platted afler 7/1193
• Rim Joist Detail Opfions selectian sheet (bldgs with 3 or less units)
DATE IuZ•WG- O`a
RemodeURepair Reauirements
• 2 copies of plan
. 1 set oF Energy Calculations for heafed addflions
• 15ilesurveyforezterioradditions&decks
. Indicate if home served 6y septic system for addNOns
VALUATION )l9,CJOa12?"
SITE ADDRESS 44++ JReC-mkC.A' I.Q.1\A.. MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORKILpkeM K. i+ a tS i 36 &UcS1-?;-Fl^w.r? FIREPLACE(S) _ 0_ 1_ 2
APPLICANT?
STREET ADDRESS RENEwaL BY ANDERSEN i CITY STATE ZIP
1920 COUNTY ROAD "C" WEST
TELEPHONE # ? xosEVILLE, MN 55113 FAX #
I x??3o983 rc?s?)aey•y?}? ?
PROPERTY OWNER TG:?f i CV.. Wnc_4N TELEPHONE #(051•994 -133 a
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATF.GORY 1 MINNESOTA RUI.ES 7672
(4 submission type) . Residentlal Ventilation Calegory 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
P1umUing systcm includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Water Softener _
Water Heater
No. of I3alhs
Air Conditioning
Heat Recovery System
_ Phone #
Iawn Sprinkler
No. oF R.I. Batlis
I hereby acknowledge that I have read this application, state that the i
with all appiicable State of Minnesota Statutes and City of Eagan Ord
Signature ot Applicanf
OFF'ICE USE ONLY
Fee: $90.00
Phone #
Fee: $70.00
V
Phone #
xmafiion,is.c "_ect, and agree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OF?ICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ' ? 37 Demolish (Bldg)" ? 43 Reroof '? 46 W indows/Doors
? 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning ' City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O. '
_ Footings (deck) FinallNo C.O.
_ Foorings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile OTher
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
-..,vI?YV•?1 a,av ai.ov ran roa arJ, ?4400 kMW ,ryALlfY!!l'IUtStWlSIY
re al
ru„e *7. Zoo,
c2cy of ram
3836 Rilot gnob Ro?
Ea8&4 MN 55I22
bl uu:
To Whom It May Cortcxrn:
IIder Jones ie authodud to ptn buUxgng p?its for Reaiewal by Aadeisea_ plcase allow
Slder Joncs to pmvide this srsvicc for us in fiagmi. `Ittis authori2e6an i.a valid far any
date beyond 6/6/01: uAtil at6newa! by An.dersen mmaor ex prawlY i+evo]oas ft in wiitfaQ
to the Ctty -
I rcquest this autliodzsflan be ac,eepted axp&fidously. as oa
ottr not detay in the pro?sing of
baildiaS Pr,nnits anY fvrthcr. Elcoac call mc If thc? au+c nny q¢eat[ona. , I i?u? be
? contacoed at 7b3-S02?4706. - ? :
Your imm?atc Mcation to $is matter is ?arPA
.
a
Sinc?ely,
ond R Rau
ffstallarion Managcr
r
Ronowal bq Audwsan Corporadon
('.n: Karn-FJdr.r 7?nec
?2?4
???
???
Received Tiroe Juo. 1. I,01P}d
w • • ,• ?.??"? ?/ ? a_.
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED iiITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To He Used For: 7zew-/?A?,?, Valuation: 71,006 Date:
Site Address: A"77-- )Zp4,xfQDo1? ?t
Lot: !L Block :3 Sect/Sub
Parcel f!
Owner 9046 ?Q •" ? - -"? n
- 0?' LC-C.ieYl'dk-l4
Address
City/Zip Code
Y
Contractor 'A,&% a ? , ?11 ?Qwe
Address 1.5-.Sl13-
City/2ip Code ?fj.Q,e ?rz7-?
?
Phone A
Arch./Ehgr
Address
Phone #
OFFICE USE ONLY
Erect ? Occupancy
Remodel _ Zoning ?Z-?
Repair _ Type of Const ?
Enlarge /1 of Stories
Move ? Length ?
Demolish _ Depth 37-
Grade _ Sq Ft
APPROVALS
Assessments Permit '}- (,2?
Water/Sewer Surcharge 50
Police Plan Review ?Lo
Fire SAC 52-5, 29
Engr Water Conn f =°
Planner Water Meter (03.r°
Council Ro d Unit Zgp. °°
Bldg Off arks
APC Treatment Pl I32,°?
Variance
-7
v •SC?• S
1
iOiAL
?
2gx 42 = l 1?1? x 54 ? e35o¢
...ti .,
2Z K 1-Y ? 52- 8 X l' ?O c?) C7
.
C:;>°? ''? 12
?.
Total c;;poseQ foundatSOn aiaa • 94- 47 ,
h. Total fonnCatio^ t-indox area ..................... 2.G 2
i, Toal net fotindatic,n 3rea above 9rr?ta ............ ?.?
• El(TERIOR ENYELOPE AYERAGE 'U' COMPUTAT[ON
oaxEa Doed 4 pEf D RE c. K'?PAX
S(TE AOORE55 44-?1? -RE] NoF.rQ LN.
CUNTRACTOR
GATf I I I ra 1 %5- PHONE JP 5'V3
peterniine working squere footag* ot each.
1. Total exposed wa11 area ...... 19(j"Z:9,Z_ ta. ft. t .17 •?
2, Total roo°/ce;lin•) arca ..... sq. ft. : ,OS' •
Total expused vail area above floor •I&t:T
a. Total Nail windovr area ........................... r20.Go
D. Total doar area ................................. z z.4i
c. Total sliding ylass door area ................... G o.03
d. Total fireptace wall ar?a ........................ ?-
e. Total xa11 fraainy area (averaqe tOS),,.,........ ??O.7cR
f. Total net xalt area above floor ................. r3 n.o3
9. Total rim joist area ............................ 9 9_2 O
Detcrmiae "U" value of cach ::cll segment.
t. (zQ•& &- x "U' _.?_Si_ ___ • 46 34
b. 3 7.EV lI 'U' '? • Q•°!i
c. a p.aZ ft 'u" gr • ZZ.a
a. ?- x •u• -
. ^
e. ?9 0.'?9 x •u• •!t • LL?_
r. (4SZ.e3 I •u• •07 . 4 a
g, q9.ZO 1c •U• •06
h._'LGZ 1t •u•- •' 1.44
I. gP.S?f x •u' ? • 47 • .?
. "'?
3. ........... q ? 7 97 .............Totat ' ?
I"N •
If itew 13 is !he sanra ss, or less than 1lem !1, you t+ave Mt L1w 1ntMt
of S8C 6006(t)2.
.?
?, - •, .
? `otal exposed roof/ceiltng area • ?f2S•Sv
j, Tota1 skyl5qht area ............. ....... ... . -
k. Tota'i roof/ceilinq rraminq aree (average 10i)... .
1. Tota' net insulated roof/ceiling area...........
?,? _
Determine "U" value for each roof/cellinq segment.
: X "U" •
k. x "U" •
1. jG2.S',ta z °u° JOE ? S?G•Z7
4 ............. !/.ZS%jv............Total
If total of 14 Ss the same as, or less than 02, you have met the intent of
SBC 6006(01.
Alternate Buildinq Envelope Design
To utflixe the total envelope system method, the values establfshed pr the
sum of items 13 and 14 shall not be greater than the sum of items I1 ana 02.
1._3 2a , -2? T-- ' 2'-5k. Z7 ' 0-(e Z
3. 2 57-11 + 0. S7•22 ° 9 ? qv
Uea Mwioay L.» eeo3053
BumfvilU, MinnMOta
WFP/A CO. PLA1V SERVlCE
CD AND6R60N
•,wew?rscr?wn? eauw+u+a uw ?uu+rnna
t•?o r?:s?... . -a . . _ 0lfier.
9umNi1M, MinrrspU 89M14636
88•2 10
i
?
? a9
N a
?
?)S•3
iF'iCATE OF SURVEY
0
N ?
? ? f' v ,4`T? ?PSgM
l
0
?
00
N ?D
` 1i? q?i ? 42 9 , (N ? T
rv v? { rt1 ?
1 N
?p ?yAR. a0)
w w 42 ' zl.l8 O
1 0 z2
'h 30.2 i _
0?-_?rr _0 9S ,
0 1 r oa8 o?t S -
?
0 10 1?' / 4 4? ps !a
tn p V4?'?q' 1\Z \?
?
N
°` 9 S • Ca
A,aQ??? ?PaE
??•s ?
96•8
Elevation,s 9hown are exisCfng g[ades and are assumed datum.
Prnposed garake floor elcva[inn = 97.i
L herehvi certi'v th+rt this is a correct representation of a survey of:
Lot 7, Elnrk 3, PAkN RIDCF., Dakota County, Mi.nnesutn, accordi.nK tn the recorded
plat dioreof.
Arad that I am a dulv rey;istered laod qur veyor undrr the laws of the State of Minnesota.
Datedthi s 15t1i day nf lanuary, I485 Cene 1.. Jarobson, inn. Reg. No. 7734
IDR. BY GLJ I SCALE - I= 3107] o DENOTES IRON MON
?Prrpared for:
I'eaturo l3ui l.der,
lLngac[u I.:ane_
Burn?villc, hW 55317
BEARINGS ARE ASSUMED DATUM.
JAC06SON SURVEYORS
LAKEVILLE, MINN. 55044
PHONE 469 -4328
N :
C!rYy OF L_pGAW
1. r_F2!1IA!4?_ `9'7rt. . 33 rr7 _-. 2A?/r12/'Sr i 'NfT_,. °.W4.123 .
u
n1A''_i: HJn"70\' YfEn.I'7 S _'_C s
?.
r-
.r ',;.'f.'..: :
:^: . I!.7-' 'r.. .:_ t tAm?.c?r. . . 13i.2._i
, .-07 ?Y2ii' 1N.Q?.7;. ? "c?.C;Q
? ,y '
!I e
1
T.. _.. wec`B; o" p .J•1'. y 99.0;?.
.-..._ .:n,W
?laracv
?. z? w,, , xu ;.s u???•a:. w??w?
?
1
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.a 10-25800-070-03
PERMIT
PERMITTYPE: BuILoING
Permit Number: 0 2 9 6 6 9
Date Issued: @ 4/ 0 2/ 9 7
4477 RETNDEER LANE
LOT: 7 BLOCK: 3
FAWN RZDGE
DESCRIPTION:
(ROtlFING)
ermit Type
8y?k T y p e
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
f wy ??rFy, ?y
,? ?@ h3A?w¢ H'2 ?4"2' Ya
yCi i!,?
? +r?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Tntal Fee
VALUATION
$$7.25
$2.00
$89.25
$4,000
CONTRACTOR: - Applicant - ST. LIC OWNER:
HQRIZON ROOFING 18903900 2001279 JEFFRIES DON
.1333 LARC TNDUSTRIAI 6LV0 4477 REINDEER LN
BURNSVILLE MN 55337 EAGRN MN 55123
(612) 890-3900
?
ISSUED By: SIONATURE
CITY OF EAGAN
U'1
lqtLq 3830 PIL0t KN08 RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construclion Reouirertrenls RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies ot plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions & decks)
? 1 energy calculalions ? 7 energy calculations for heated addilions
? 3 copies of tree preservatlon plan if tot platted efter 7/1193
reqWred: _ Yes _ No
DATE: ?? - 31- q -l CONSTRUCTION COST: ? -?
DESCRIPTION OF WORK:
STREETADDRESS: kk/ldee+' LaYIe
LOT BLOCK ? SUBD./P.I.D. #: ni LA11D
PROPERTY Name: ?()(1 ? l eS Phone #:
OWNER `I"'T
• ann p LO-41e-
Street Address
City: 22?Q Cc (1 state: IIU_ zip:
CONTRACTOR COIllPelly: 14prl ?.CYI EXkenUrs Phone #: u 90135C)o
Street Address: ? 333 License #:
-
i?
•
?
City: Bu?IISUl ?E'- State: Zip:
ARCHITECT/ Company:
ENGINEER
Name:
Strset
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Phone
Registration
Zip:
Penalty applies when address change and lot
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 Applicant:
OFFICE USE ONLY
Cectificates oi 5urvey Received _ Yes
Tree Preservation Plan Received _ Yes
No
No
/0? =S
OFFICE USE ONLY
BUILDING PERMIT TYPE
• . ? :??:
.
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misceilaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MC1WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
Gi!y SAG
Water Conn.
Water Meter
Acct. Deposit
S!W Pertnit
5/V11 Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total
Valuation: $
% SAC
SAC Units
1 t
,
C;6 ? 2/84
t
CITY OF EAGAIV j
APFLICATIOI3 EOR PERMIT
SEWER AND/OR WATER CONNECTIODI j /> L
? (PEEASE PRINT) ?
1) PROPES7PY ADDRESS:
r.Frar DESCRIPTION:
(Lot/Block/Subdivision or Tax Parcel I.D. N
1 IF E{IS;'::G STRGCPu:cE, DAi:. OF'ORIGNiAL BliI:,DZ:G FEP:ST ISSu?AiG: .
. `
? PRESaT -?:.^II?/P??OPOS--J t?:,E• ? R-1 S?VGL:. FArvtri,v
D R-2 DUPTEX (TV0 litiITS;
p R-3 'PGWNHOUSE (TEIlRE^ + LINITS) ( UNITS)
? R-4 APARZP1ENT/CONDCNLQVIIM ( UNITS)
? COM?E2CIAL/REPAII/017FICE
Q I%MUS'T`RTAT.
Q INSTITUTIONAL/C',OVERMv=
2) AppLICANT (PLEASE PRINT)
PUiME:
ADDRESS:
CITY, STATE, ZIP:
PHOHE :
3) PIUMBER PLEASE PR NT)
?: t? FOfl CITY USE ONIY
ADDRESS: PLU RS LICENSE:
Active
CITY, STATE, ZIP: ?? ?e0d --P, /?t/?!y ? ?,??' ' Expired
y?j ITAS7tf?"?
PHONE: g? I??„i.,. pLUMBER IICENSE N .
Not af Recor
a ni ia
4) OCCUPANT/OA[dEFt
NAME:
ADDRESS
CITY, STATG, ZIP;
PHONE:
(PLtASt P 1N1)
???, l
5) INDICIITE WIIICH PERMIT IS BEING REQL7ESTED:
bl 1NDiG`,7.'E ONE:
7) SIi•N[S+V[\.:
0 CDNNECPION 'Ib CITY SETr7ER
ED CONDTFX,TION Tp CITY WATEF2
? dtfER (PLEASE DESCRSBE)
[-] PL£ASE HOLD APPF20VID PERNLiT FOR PICK-UP BY ONE OF AHOVE
?L?SE MAIL APPR()VID PERMIT TO 1, 2,6 4 IaSC7VE
. (riYl`lP nnc)
DATE:
F O R C I T Y U S E O N L Y
'&'
PERMIT - , ISSUED
F°ES: $
$ ?O. Sd
$
$
S
i
$
$
S
S
14
5°:^IER PE!2;4IT (I'JCLUDE SUP.CHARGE)
WATER PEWIIT (INCL'JDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:dER TAF
ACCOUNT DEPOSIT - SEWEg
ACCOUNT DEPDSIT - WATER
WAC
SAC
TRUNK WATER ASSESSP4ENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER •
$ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiIT OF WAY?
0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSliED BY THE
NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: d?ef_O
TITLE:
DATE : fz?
04sm}afo itw:00 MUM +tMMMMs-;wt ws?
, . . !!4+?w???w?w??ue?sas?wa?rrt??er.?w?
rp.
/5-- 8C?5-& l
. ?C fE oW
2007 RESIDENTIAL BUILDING PERMIT APPLICA I xOCT 0 2 7ppfi
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CanstrucAOn Reauirements
3 registered sXe surveys shovnng sq. ft ot lot, sq. ft of house; and all roofed areas
(20% mammum lot mreage allawed)
7 Soils Report il proposed building is W be placed on disturbed sal
2 wpies of plan shovnng heam & wiMow sizes; poured found design, ew.
7 sel of Enefgy Cakula6ons
3 mpies of Tree Preservation Plan if lot platted after 711193
Pom Joisl Detail Opfions selectlon shaet (huildings with 3 w less unifs)
MinnegasCO mechaniWl ventila6an foRn
RemodeLReoair Reauiremenls Office Use Onhi
2 mpies N plan shoxing footitgs, beams. ]dss Ceit of SurveY Recd _Y _ N
i set W Enargy Calalatlons tw heated addi0ons Soas Repa[ . Y_ N
1 sile survey br aOditlons & decks Tree Pres Plan Racd .Y _ N.
Addifion - uMitate Noresife sepht syslem Tree Pres Required Y _N
OrttiOeSephcSyetem . _Y _N
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date O?C/ /Off Con ction Cost (?t?, ?0 O
Site Address ? 7 7 ?
W / ) UnitlSte #
Description of Work V CY
Multi-FamilyBldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone 1i Q?
n
Contractor
J
C
Address ?
State ? ` 0 City
Zap Telephone # ((?57 C.i
J
COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING
- Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672
Energy Code Category . Residentlel Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) SuCmitted Submiltetl
• Energy Envelope Celculations Submined
In ihe lasf 12 monfhs, has The Ci}y of Eagan issued a permit fw a similar plan based on a masfer plan8
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical ConTractor
Sewer/Water ConTractor
I herebv
that the work will be in conformance with the
Telephone #(
Telephone # (
Telephone #(
t and acknowledge that the information is complete and accurate;
ordinances and codes of the City of Eagan and the State o£ MN
Statutes; I understand this is not a pecmit, but only an applicatio for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved p in the case of work which requires a review and
approva of plans.
( ?&
Applicant's Printed Name pp icant's "Signafture
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122202
Date Issued:04/29/2014
Permit Category:ePermit
Site Address: 4477 Reindeer Lane
Lot:7 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
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: 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 -
Patrick J Lynch
4477 Reindeer Lane
Eagan MN 55123
(612) 281-9994
DuBois Conservatories
11825 Point Douglas Dr S
Hastings MN 55033
(651) 458-0844
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144948
Date Issued:08/16/2017
Permit Category:ePermit
Site Address: 4477 Reindeer Lane
Lot:7 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-070
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: 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 -
Patrick J Lynch
4477 Reindeer Lane
Eagan MN 55123
(651) 994-1332
Capital Construction Llc
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature