4480 Reindeer LaneDate:
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit /4:
LiU�
Permit Fee: L/ O Qb
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Z�g-C
Tenant:
Site Address:
Suite #:
RESIDENT / OWNER
Name: ' /..--,er-„;„7ee'�s -e'- Phone:
Address / City / Zip: 47ems/ `` J— .c
Applicant is: Owner V Contractor
TYPE OF WORK
Description of work: �, ' �.,; - > _ A11411,
Construction Cost/p ft Multi -Family Building: (Yes / No )
CONTRACTOR
Name: -!r = License #: 1i 3 T /7'z...
62e
Address: :.S'J' 41 City:�dl e -rd,, /4/e/,_,..__, _
State: Zip: i7127z,V Phone: CPI --/9— /A7 6-/--
YContact:Zifii-feeEmail:
Contact:/
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information- Portions of
the information may be classified as non-public if you provide specific reasons that would permit the. City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and 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 / 74 � trr.✓.�
Applicant's riname
Aliph ant's Sig
Page 1 of 3
BUILDING PERMIT
Receipt #
N.
l?
114 IOJ 3
SF DWG/GM Est value $61 1000 Date FEBRUARY 5 19 86
Site Address 4480 RE I NDEER LN
LotBlock 4 secisub. FAwN RIDr,r,
Parcel No.
a
W
2
0
?
OV
v?
¢
?
Mame kTn--L"u
$
Address 1881
City E11GAN Phone
Name SAME
Address
City Phone
? W Name
? p Address
i W City Phone
Erect [21 Occupancy R3
Remodel ? Zoning k ?
Repair ? Type of Const ?
Addition ? No. Stories
Move ? Length g d
Demolish ? Depth A e
Int Impr. ? Sq. Ft
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Surcharge OV • ZPV
Plan Review 158 . OU
SAC 575.00
Water Conn. 500 . 00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
Total $2.089.00
Counal
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 2/5/86
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances. APC
---;-- - .
? Var. Date
Signature of Permittee `k'`-, . I A-
GRAND OAICS D CO
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
A Building Permit is issued to: on the express conditlon that
all work shall be done in accordance with all applicable St oi Minnesota Statutes and Ciry of Eagan Ordinances.
"` J
Building Official
?,t?
PwmN No. PNmH Holdw Dafe TNphone k
lumbinp ?G 7 -,qL- ; CCc^ !3' Pz 5 C,
H.V.A.C. a lP ? ?j Q L
Electrk
SOMMN
Inspectbn Dab Insp. Commenh
Footlnqs I LaJ
Footlnqa 11
Foundatbn
Fn"
Rooliny
Rouyh Plbp.
RouQh Hty.
Insul. 4 q L
Fheplace y q O(/
Final Hty. Y ?
Flnal Plbg. ?
Bldp. FInN
Cert. Oca (,ZAnl?
Dock Fty.
Dsek Frmy.
WON
Pr. Olsp.
PERMIT #
i 7
RECEIPT #
DATE ? J lj J ? ?O
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - =20.00 + $.50
FEE ?
S/C
TOTAL
1. 61dg. Type: Res •' Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address
t ? Biock ? Sec
L Owner
5 `
o .
6. Contractor
(Name) (Street) (City) (Zip)
" 7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or iraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTILATING HOT WATER STEAM AIR COND.
_fUR PIPING PROCES8ED PIPING AIR HaNO. EQUIP. REFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT # CITY OF EAGAN FEE
PLUMBING PERMIT so_
RECEIPT # 454-8100 S/C ?
MiNIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL ? 7- ?- ?
DATE - ? MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: Res X Comm Inst 2. New Add Alter Repair
3. Total Bid Price y9L'o' ? d. Job Address
Lot1L_Blockel Sec 5. Owner 6?^?nc? G'i9KS ,(?i/ _
6. Contractor 4ilve.
(Name (St?eeq (CnY) (ziG)
7. Contractor Phone # yr
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
:TKitchen Sink - $3.00
-Urinal/Bidet - $3.00
NO. FIXTURES
?Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
7,--Gas Piping Outlets - $1.50
-Softener - $5.00
NO. FIXTURES
-Well - $10.00
Private Disp Syst - $10.00
:TRough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 146 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:
Approved
for
Inspections: Date * Rough Insp. Date Final Insp.
GITY OF EAGAN
Addition FAWN RTDGE AnDTTTON Lot 10 elk 4 Parce110 25800 100 04
Qwner street 4480 Reindeer Lane State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ; 1981 229 . 35 ' 11.47 20
STREET RESTOR. 1984 499.46 - 49.95 10
GRADING r 1981 61.26, 4.08 15
SAN SEW TRUNK r? 1981 205.44 - 10.27 20
SEWERLATERAL 1981 33.07 , 1.65
Sewer Lateral 1981 23.57 - 1.18 20
WATERMAIM
WATERLATERAL 19$1 43.67- 2.1$ 20
WATER AREA 19$1 205,44? 10.27 ZO
Water Lateral ? 1981 7 g' 1.38
STORM SEW TRK 1985 557. 79' 37.19 15
STORM S LqT - 1984 222. 51' 22.25 10
CURB & GUTTER
510EWAlK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
TY OI 4GAN SEYM s?VWE PEmR
30 Pil. -tob Rwd
O. Sox 99 PERMIT NO.:
gan, MN 55121 OATE:
nlnp: No. of Units:
nmr:
Addrea:
Isow h*hr w1eA eM Clep oi se"a Connection Charpe:
OraingooN. Acaourn Deposk:
Pormlt FM:
Su?daryo:
By Misc. G+oeom
Dote of Insp.: Totol:
Irop.: Datt Pald:
CITY O AAN
3830 Pit, -tob Rvsd
P. O. Bo) 99
Eagan, MN L;i121
Zonirg:
Qwnsr:
Addrefs:
Site /lddress: :n d
PlYRIflQ/:
Mato/ NO..
Size: '.lr .
Reodsr No..
1«m 1o eomply wI& 1w Cihr ef Epois
OemeeweM.
COr1RRtTiOR 010fQl: ^ti .
llooount Deposlt:
Permit Fee:
Surtfiarpe: ,. ?
1Wsc. Chorpas:
Total: ? 3
By Dah Peid:
Date of Insp.: Imp.:
ITY OF EAGAN WATER SERVICE PERNIIT
Filot Knob Road
. O. Box 21199 . PERMIT NO.:
agan, MN 55121 DATE: '
inp: No. of Unin:
r; Gra::d Oaks
?
Addrou: i'i 8?? ?;e indeer T ai, 71 Rid
` urdmr. V::1' ev Plumbir.g
r ro.: (0 7 c«,.ecio, cna.fl.:
u: Ro ??0 h-1 1-fi ? Aeoumt Devowr: 15. Uopd
M "n+ te aiA
.............
LE
of Intp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE: .
- No. of Units:
_ Pem+it Fee: 1 0• O'7 pd
10%urchorys: . 5 0 pd
i ' . '*T
?isc. Owr?pss: ? i -;n d -
?'!r;i r^eter-
?. Pold:
y - iq - g.6
CITY OF EAGAN N o 114 9 8
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptx S y
$ 61 ,000
SF DWG/GAR F EBRUARY 5 86
To be used lar Est Value Date 19
SiteAddress 4480 REINDEER LN Erect Occupancy R3
Lot- 10 Bbck 4 Sec/Sub. FAWN RIDGE Hemodel ? Zoning Rl
Parcel No Repair ? Type oi Const V
. Addition ? No. Stories
a Name GRAND OAKS DEVEL CO Move ? Length 44
W
o
Address
1881 SUNRISE CT Demolish ?
? Depth d$
Fr
S
City EAGAN phone 452-8934 Int. Impr.
Install ? q.
o Name SAME Approvals Feea
$a Address Assessment Permit $ 316.00
" city Pnone water&Sew. Surcharge 30.50
Police Plan Review 158.00
w
8w Name Fire SAC 575.00
:
?a
Address
En
WaterConn
500.
g. .
w
a
Ciry
vhone
Planner
Water Meter 63.50
fhereby acknowledge
information is correct
Minnesota Statutes ai
Signature of Permittei
Council
read this application and state that the Bldg.Off. 2/5/86
to comply with all applicable State of ___
A Building Permit is issued to: GRAND
all work shall be done in accordance with all at
CO
of Min
var.
RoadUnit 290.00
Tr. PI. 156.00
Parks
Total $2,089. 0
on the express condition tha[
Ciry of Eagan Ordinances.
Buildin9 Oflicial
(Pil? -gr? REQUEST FOR ELECTRICAL INSPECTION lee-ooooi_oa
See instruetions lor eomolelinB thia farm on back of yellow copY. ?/-
p n C, 73'? 1 %" Below Work Covered by This Request
Np. AAtl Aep. . Type at 8uiltling ApOlianeen Wired Equipment WireA
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. 6uilding - Dryer Elec[ric Heaun
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Pafm Ne.r Deci y 7ther ISnecifyl
t T, Suem y Oiher Oiher
Compute lnspeciion Fee Below
k enceSixe d Fee • Fxnders/Subieeders # Fee Circuits
m s 0 to 30 Am s 0 to 30 Am s
qmps to 100 qmps 31 to70
n Pool
o Above 100_Am s Above 100-Amps
r5 irngation Booms Parta; Ot
Special Inspection TOT
e J '5FA.
Y
N /1
Rough-in the E '
nspactor, hereby
ce?tify thal the abov
'
Final r D:ite
? e
inapection hes been
?O' meda.
Thiarequeatvoltll9montlretrom 1 7 - '
This requesi witl i /
? ? f a7311
Request D Fire No. Rouph-in I ?nspeciion
fl q red? ?Ready Nowill Notifiy, Inspec-
3 . ?/ ?es Na ?)? When Reatly
Licensed Elec[rical Contrecmr I herebv ?equast insoection ot above
? Owner alec?rical work installed et:
Street Addres`y, Bon ar Hout a.
T V 4/ •L/ ??? ? CTi1?' +?/ \
ecUOn o. Townshio Name or No. Range o. County
O uuen J
` ? J (PRINT) Q? ?
Pho4??2
?
Supplier
. AKDi' AAAress
Ele rice Co-hactor ICo an?ame) - :,.1; ^ /
?L Cui?aCtor's LiCense Nl. ?
Mailine AdJress (COnlractor or Owner Makine ImstailatioN
76 / Gc? l3 -SA i//9 Cxf ,::5537
Auihori d Sienawre (Conva dOwner Mak' 7
stallalionl
? Pho e umber
?
C>' ?
3 ?
??_r
rw:? O
? THIS INSPECTION HEQUEST WILI NOT
MINNESOTq STqTE BOA0.O OF ELECTHICITY
Griggs-Midwey Bida. - poom N•791 BE ACCEPTED BV THE STATE BOAXD
1821 University Ave.. St. Paul, MN 56104 UNLESS PROPEfl INSPECTION FEE IS
Phone (812) 297-2111 ' ENCLOSED.
5?.? 4 ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaW ction Reauiremenk RemodeVReoair ReauiremeMs
• 3 registered site surveys showing sq. ft o( lol, sq. ft. of hause; and all rooted areas • 2 copies of plan
(20%mazimum lol cwerege allowed) . 1 selof Energy Calculalians for healed additions
• 2 coples of plan shawing beam 8 window sizes; poured found design, etc.) • 7 sile survey for exterior additbns & decks
• lseto(EnergyCalculatbns . Indicate'rfhomeservedbysepticsystemfaraddNons
• 3 copfes of Tree Preservation flan if lol platted after 7/7193
• RimJoistDelailOplionsselectionsheet(6ldgswith3arlessunits)
DATE
?- ?2 3 -OL
VALUATION 7,2?)v Jv
SITE ADDRESS 4??IdO MULTI-FAMILY BLDG Y N
TYPE OF WORK 571 c?n5 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS d??m-/ . STATE "- ZIP S?5J
TELEPHONE #A 6,9-?;?Zf"-48tELL PHONE # 6?,2' ?y?/-1?bs3 FAX #
PROPERTYOWNER A61?/ K?ers TELEPHONE# 6?r ySV 3906
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J su6mission lype) • Residential VentilaUon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ I-Icat Recovery System
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance`?
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
lVo. of R.I. Baths
Phone #
Fce: $90.00
AUG 2 3 2002
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 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 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ 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
_ Franung _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
. • • • ? L/ . ? .
rN ? ..
1985 BUILDING PERMIY APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
COlQIERCIAL SINGLE FAMILY DifELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OE ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Osed For: Valuation:
Site Address ?? •
00
Lot ? Block
Parcel/Sub l, ,4 J4 ,Z,-.,
Owner ??
Address
City/Zip Code
Phone T
Contractor
Address
City/2ip Code ?
Phone
Arch./Engr.
Address
City/Zip Code
Phone 1/
Date:
Erect Oecupancy
Remodel
' Zoning
Repair
? Type of Const
Addition
? 1i of Stories
Move Length
Demolish Depth
Int.Impr. Sq Ft
Install
APPROYALS FEES
Assessments Permit
Water/Sewer ^
1 Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg OfQ
=? Treatment P1
APC rT Parks
Variance Copies
TOTAL
?
» . f," '.? . . .. ?? ?'? f .: ? 'm ':'r X` ?.Y??; Y s? ? 4 :e i t?? ? • . 'e= i
_ e' 'd F '* f? ?? k J dcj li ? e n,. s. r P ?o e?'f ?•t ?..Tn%^+{;:p { h.?X' wy? r? r r . '?'..Cn' ?aH . '?x
sx
,
EXTERIOR??ELiS???(??"???'?,?
- C3RAN•U"?C1AK8'r?EVELQPMEN7 Gy?'Y'"?r"'?y
. . y r 1 Y?: it `NI
, MODEL ?' 3 ''?}?".t? .` `?',?? Afi?ii•Y `??r?„"3` :`U U % AREA ?.?, °?''?*.'`?'xtr.r. n:??rv ?y? ?'i , ' ' ' , • ' REOUIRED^ %;" .?'' .,. ?i, ,,,,;,s'?w??.? .?; , ?
i. TOTAL. WAl.V? F1REA ., :. , ° 1? •X". 1 t, " 198
2. •`. TOTAL,RDOF AREA .°.•.:` . x...,3196, 1f.026 . 31.096
' ' ?yr•;! ? , ; . 4t k . .
ACHIEVED
, 4 , !.._, _ ... .. . AREA. U U X AREA
, A. WINAQW AREA=? , 186.66 °,? `.5 93.33
B. DOOR RREA : ;. ;r. .. . ?. -! ;`. .. 39. B "- :,077 -. 3.0646
C. SLIDE'131AS8;.ARER 13.44:`, '..: .48 6.4512 .
D. F I REPLACEI' AREA': k,.. .' ; 0p 0
E. WALL"FRAME:.i3REA'' .180 ; ?'.041 . 7.38 _
F. . NET WRLC' F1REA ).:'":° ' 1164: 1 r' ... 049 ' S7.0409
G. RIM::!JOIST AREA ' 119.52s'..0436 5.211072
H. FOUND WINDOW AREA °, pd 0
1. FOUND A90VE ORADE,•,,," 96.48. .135 13.0248
3. TOTAL? `WALL AREA. .. + 1800't: ; . , • . ! 85. 5026
., ,
J. SKYL%TE?•:.: ' '• ..".,e... 0;':, .... '. 0 . . O
K: " it00F FRRME". '•. 119. 6'., , .032, : 3.8272
L. NET RODF AREA . 1076.4 '., .'025 .'.'26.91
. : .
4. TOTAI. RdOF . AREA ' '1196 . ? • , - 30.7372
.:. ;:: , ' . ,F?'. . . . . .. . .
SUM Il . +2.', 229. 096 '
:> > .. "•> .
SUM 3.+4.1 - •• , 216.2398 .
a k ? C
? F o.
t'
. .. &is ? i.: . , . .. . .
I
; ?. CITV LF EI3GAN
i f?1?i#9tFFi? 8 TERi•SINr1L N"J? 769
v.I7t1TS06/21J99 "TML-"z 14s2001.
II? ,
? NAMF_ hi.T.TiIA!EST SUSNC:6 h\D F'fi"rt DEL:I:Nr,
k-Fin -.'. 4480 R-.ItdIiE'cR L 153.25 .
J& ;C:;S- 4.fµf3 f2c7'.NTeaI?.R 1_ 4.00 .
:79 ;,G.RQ fiEINDFEF' t.C('.
1cl+,a: fie,_=ipt Ar?our.' .. Qf1,.25
E Sfi9.i170
? USE"', TU: NANC1"
. r
:.i
` S .i
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQN06 RD - 55122
651-881-4875 ? a
NaW t'.,nSi.Uctlon ReauhemeMs Remodel/Reoah ReauhemeMs /
> 3 regkfered sHe surveys showing sq. H. af lol, sq. H. ol house 2 copies of plan
and all roo}ed areas f207, maximum lof coveraae allowed) 1 fet of energy cakulaNons fw heated addiHonf
Y 2 coples of plans (show beam 6 window sizes; poured fnd. detign; efc.) 7 sBe survey tor exferbr addHions 3 decks
> 1 set ol energy calculaNons
> 3 coples o1 hee presenaHon plan @ lot plalted aMer 7/1 /93 DATE: ?- <<` ?1 S CONSTRUCTION COST: AZ i
DESCRIPTION OF WORK: SI2 ??I C[LA ?c?L ? I6`? 56 ? 7 S an+?-. P, -, 4
STREET ADDRESS:
LOT: ? BLOCK: kq SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:-'?x kQ /7A/' K Phone #:
tasf Ftrs?
Street
yO
? I
city ?;RSA.. state: JA -%. ziP: rs127
(9*{)
Company:, ecK? Ln,? : w: I c C' Phone #: r" 12, 0s?`t^?`i Lo
(area code)
SheetAddress: 1el 73 A? license# L-t Li 95 ExP•
Cfty State: t-v-, Tip: 5,S ?! '-/ S
Company: 5Rb` t Name:
Telephone N: area code ( )
Sheet Address: RegistraHon M:
Cffy
A Sewer 8 water Iicensed plumber (reaulred for new conshucflon onN):
State:
PenolFy applles when address change and lot change is requested onee permH Is tssued.
1 hereby acknowledge that 1 hove read this appllcatlon, state thaf the
Stcte of Minnesota Sfatutes and CMy of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
Zip:
and agree to comply wffh all oppllcabl
i
,r -%
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
P? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex '
? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE ?
45 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code y3'f
(Allowable) Main level sq. ft. SAC Code 9)/
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engi neering Variance
Permit Fee Valuation: $
Surcharge H,Oo
Plan Review 3 $?cso4.)
License ?y y?,7 =/6?6 x h'D = 6 ?aa
MC/ES SAC
City SAC ??
Water Conn. as ?
1`? X?y ~
water Meter
Acct. Depasit
2? / p0
? a ?
•
S/W Permit k//?7- -?----
7 9a?•? ?"
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
/.bc)
?
Total:
SAC Units
% SAC
?Y7KYdX? xt? ?k??# ?X ?%MMMYF k?k???%X<X+1kk??WkC?K ?k? ?k 7K k(Y,tiKk? ?kM ?kk?
CTTY (.lF EA(;AN
CA3411tiRa JS T'F_I2MTNrlI.. NQ: 692
?AT[::,: 08I1.0/99 '17:MI=: 13:36aC19
Sli ;,
NAMF: ALI_ILD I"IftEi'f.UEy TNC.
3i!1.0 900i. 175I1 DRAF([: DIi 60.0(]
2155 900:1. 1750 I?RA(QE': DR 0.50
32t0 900:L 448!7 RFINDEER L_ 60.00
'i'=,t°, :=)00:1. 4•490 fCESi1I?C:E:I; L 0„50
Y
1'ota:l. Rec csipt Amnun+,: 121.o17
rfi:lit5i.4;
115E'R :f.I:!: .7F•1N
MX<Y,:#>X?Fm%d?XY6X?X??XB<?k?a"b??,t9i<?okXi:?XM?:;YkX(?%PF7k?kYd%?XcX? '?F7X
113
.So
1999 F[REPLACE PERMIT APPLICAT[ON
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ?Xa
I v? L ?
Descriprion of Work: ? Construct new fireplace X Gas _Masonry _ Alteradons to existing
_ Install gas insert onlv _ Install gas line anlv
Other
/
Job address: 90 r Q ??-?
Lot: Block: Subdivision/P.I.D. #: k-W
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
Name: r_ Phone SL -
PROPERTY Last First
OWNER
Street Addrass:
City State: Zip:
Company:E1 Y' e`7 [-(X ?&hone #: V-a-58
azea code)
City
FIREPLACE
INSTALLER Street
?
State: iwv, Zip: Sc?3?
Company:
?
?
GAS LINE
INSTALLER
City
m
Phone #:
(area code)
State: Zip: _
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 anity of Eagan rdin c.
?j ``
?`? E 0 \'l i lr`1,
signan,re'
A? 8i?, i f! IQC.:1 ,
? ?II ?II
OFFICE USE ONLY
BUILDING PERMIT TYP
? 16 Fireplace
WORK TYPE
31 New p 33 Alteratious ? 39 Gas Line
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAI. INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
? 41 Wood Stove
, . . CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*RYPS: PAYMFTTC QF FEE AT TIME OF
APPI.ICATION DOFS DIOT CONS'PIZSTIE
APPROVAL OF PIIiNIIT.
xxxxxxxxxxxxxxxxxx?xx??x?x?******?*
P ease Print
1) PROPERTY ADDRESS:
LEGAI. DESCRIPTION:
IF EXISTING SIRC'CiLiRE, DATE OF ORIGINAI, BC'ZLUING PERMIT ISSC'ANCE: .
PRESENi' 7ANING/pROPOSID C?SE: (Ybn ear}
? CaIMERCLAL/RETAIL/OFFICE
C2 IAIDL'STRIAI,
n INSTI1i.7TIONAL/GpyERNMg,'NT
2) ?
NAN1E:
ADDRESS:
CITY, Srp,TE, ZIP:
PHONE:
? R-1 SINGLE FAhffLY
Q R-2 DL'PLEX (7WO 0nits)
? R-3 TOWNHOLSE (Three + (}nits) ( IInits)
R-4 ApARThg3VT/COPIDOMINIUM ( Units)
3) • m ?•
NAME:
ADDRE$$;
CITY, STATE,.ZIP:
PHONE:
lP
I
p 1' 6 -ls*
MASTER LICENSE#
Plumbers License:
ActiVe
EJcpired
Not recorded
St Initlal
4) C6XNuvaw5
NAh1E'??_
. ADDRFSS: CITY. STATE, ZIP:
PHONE: .
«, , Di,
_ :a •a. • ?a
? CONNECPION 2U' CITY SE4JIIt C3 CONNECPION TU CITY FIIITER 0 p'IgM '. .
6) '? •' •?• ? PLEASE HOLD ApPROVffD PERMIT FY)R PICK-C?P SY ONE OF ABC7VE -- --- -
?e PLEASE MAIL APPROVID PERMIT 10 1, 2. & 4, ABpVE
?/? (Circle one)
7) ? ?"?'" y?, ?""'? ??:- / -
INSPFXTION OF SETrEt ADID/OR FF,?[2R
TTSCI'AT.TdTTQjQ$ jQR7• NOT gE ,S(HED_
Ui.ID i]NTrII, PERNIIT HAS BEENI
ArPitovID.
FOR CITY USE ONLY `
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ /O• }?b SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ 90 ^ 5ZJ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ C, $ ACCOONT DEPOSIT - WATER
$ 7Z` G • C,'- ? $ WAC
$ 75 ?`Z? S SAC .
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ ? SZ• •r-C: $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
$ /-3•2 Y" SZ $ ?v TOTAL
.) D G°/a'7S
RECEIPT RECEIPT
DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MDST BE
DIVISION
LIST ISSUED BY THE E[VGINEERING
. AS A CO[VDITION.
SUBJECT TO THE FOLLOWING CbND2TIONS:
APPROVED BY:
TITLE: ,
?
DATE: 12 A,
? 15 .50
1?\
Zoos RESIDENTIAL PLUMBING PeRnniT kQPUCAriorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
e ,
Sit
5tre ress Unit #
Property Owner Telephone #??? ) -
Contractor ? ?-?1 ??f? ' `-??S • ?L?`?? Telephone 4J? TO?
?f ?? -- City ? r•
Address
? State
Zis7ib 3
The Applicant is: _ Owner ? Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets vf plans and MPC license Inciudes County fee
$ 100.00
Per as-built $ 10.00
Alterations fo existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inciudes installation of a water softener andlor water
heater at the same time. !f you are installing onlv a water sofren er and/or water
heater, do not complete this section; move to the next section and check the
appiiance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
-
?I ?{
JUpd?r
Water Softener . ? ? "r Water Heater 1Ij,J ? ZQOE
$ 15.00
_ new K replacement
Ia, ?-
Lawn Irrigation _RPZ _PVB _new' _repair _rebuild $ 30.00
State Surcharge $ .50
T
l
ota
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumping codes; that 1
understand this is not a permit, but only an application for a rmit, work is not to start without a permit and work will be in
a?ord^a e with the a proved pian in the event a plan is re uir ?d to,? review d ap r
I?nL S ti
AppiicanYs Pri ted Name ApplicanYs Signature
. rY . .
SURVEYOR' S CERTIFICATE : GRAND OAKS DEVELOPMENT C0.
., . ?/
LqNE
REINpEE R
?l3?.3 N
?
!?e.4
50
?894.49 i,3,.3 g10
?' ?0°19'51 ???1165•00 ??-
,
p
5.16 932.a ? w\
b?2'p
O. 5 0 ?
" ?
?
? ` ?
A
,? I W N
iw
4
« o
Z ,
co
Oa
! ?
1
S'•?Il ____,_`T?:15_00.
W 1?
,
2.0 YI
? 1
?
?N i U OD
G1 ? A
r.
{93 1
\\ 22.0
+
in PROPOSE\m I
cn ? \ 0
?v\ ?u? ? .--'
?
? ? . q39N?j?? ,V}N??''3fSJ "•--•V I
? ?- LpT 10
l{? g UTIUTY I
1 I?DRAINAGE PER PLAT? ?
EqSEMENT ?
5? ? f N
n O'
?
-
1
I
i
? I
L
'
1
L _L?
? DENOTES PRdPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
* DENOTES IRON MONUMENT FOUND
.X000.0 DENOTES EXISTING EIEVATION
(000.0) DENOTES PROPOSED ELEVATION
N79013113
Z
CP
10
i_cD
R.?
J
wco
IN 1
Im
\
I qyb.T ??
4_ e1 ?
L?
r
SCALE: 1 INCH =
PROPOSED GARAGE FLOOR =
'PROPOSED LaWEST FLOOR =
PROPOSED TOP OF BLOCK =
30 FEET
c?-?4.1 FEET
931.3 FEET
q3? FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF:
Lot 10, Block 4, FAWh RIDGE, according to the recorded olat thereof,
Dakota County, Plinnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS.
OR ENCROACNMENTS, IF ANY, THEREON. A5 SURVEYED BY ME, OR UNDER P4Y DIRECT SUPERVISION,
THIS 24TH DAY OF JarIUARY , 1986.
SIGNED: 5 R. HILL, INC.
BY:
HAROLD C. PETERSDN, LAND SURVEYOR
MINNESOTA LICENSE N0: 12294
PRaJECT NO. BOOK / PAGE JAMES R. HILL, INC.
86336
141 / 59 Planners / Engineers /. Survey,ors
FILE NO, 8200 Humboldt Arsnus South•
FOLDER - aloammgtpn, Mn. 55431 612-8e4-3029
y ?33•?
rn
=x
R
mZ
?
99113
ciURVEYOR'S CERTIFICATE GRAND OAKS DEVELOPMENT C0.
,
. ?
LpNE
REINDEE R „a.b
:,..
. ?13 ?'3 ro
?
17o.V
'0Z??E.?--
R I ?j 0j81°50
N a894;49 ?.
„r?65.00 ?
6
5.1
?S o
$..
e s o
9??•? W
,
? I
?
o
Z
o
mZ
c co
0
. N,
I I ' 931!? ? ?',
co
?
?
I I
`
A;
.I ?
.
15.00
? u +
? I M
u ? A
co
D ? I m
( 953'1,
Zz.; ?
N\ROPOSE\o I
oi HOUSE
\ \\
` ?10
RAINaGE? ? UTILITY
gASEMENT PER PLAT ? I
l ?
5
_ i P _ .. w ?
r"
L _;J
?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
.X000.0 DENOTES EXISTIN6 ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
79° 13'
N , ,.,-
L _,? I
7r:?
co
0
10
I lD
'. t7i
J
?mOD,
?
51 /
3" E 1
L-
r
?
SCALE: 1 INCH = 30
PROPOSED GARA6E FLOOR = 9 54.1
' PROPOSED LOWEST FLOOR = 931,3
PROPOSED TOP OF BLOCK = 9 34.15.
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS I5 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10, Block 4, fAWN RIDGE, according to the recorded plat thereof,
Dakota County, Minnesota.
FEET
FEET
FEET
FEET
AND OF TNE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SfiOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 24TH DAY OF JAFIUARY , 1986. . 1
SIGNED: S R. HILL, INC.
B Y : l.. ? `.c"°?'`?-r
HAROLD C. PETER50N, LAND SURVEYOR
PtINNESOTA LICENSE NO:42294
PROJECT NO. BOOK / PAGE JAMES R. MILL, INC.
86336
14 t /5s planners / Engineers / Surveyors
FILE NO, 8200 Humboldt Arsnu* 8outh•
FOLDER Bbomingtpn,Mn. 55431 ai1z-eaa-sos9
.,u.?
L- LJ X
c-u'i
rs? 3
øúú
þ
ý
þýý üûúîû ú
ùýýüüÿï
ðí
öò
äð
ÿ
þý÷
üûúùø
÷
ô
ô
÷ôùø
ó
ö
÷
ô
ô
ã
ôüØ
ã
ôùø
ã
ûé
ûô
ü
ô
óû
ú
ò
óû
ú
üØ
ý
ùçúù
Û
ôé
ë
ü
ã
øýãóðä
ô
í
æêäêðä
öù
üûô
ô
íè
æê ê
õøôø
÷óò
øø
óôú
û
úôó
Û
ôé
ë
ððäò
ô
ã
þ
ãó
ÝßÜäð
ô
úù
ö
ë
ô
øø
éô
ôô
ô
øùö
øø
ú
ü
éã
ü
û
ñùéþ
ìô
ê
øø
õ
ô
ü
ûô
û
ùü
ûô
Use BlUE or BLACK Ink
r-----------------�
I For Office Use �
. � �- �3� i
� Permit#: �
��� U� �� �� I Q�° I
� � I Permit Fee: �
3830 Pilot Knob Road j �
�fe Received: t
Eagan MN 55122 � �
Phone: (651)675-5675 i �aff; �
Fax: (651)675-5694 �----------------�
2014 RESIDENtIAL PLUMBING PERMIT APPLICATION
Date: l � l �-�SiteAddress:
Tenant: � Suite#:
, ���
� � f �
� ` Name: Phone: �� � °e �
� R��v[��i�i�'1�P � {
�� �
� Address/City/Zip: .
� �
� T+iame: . .. . ��ce�75e#: 7 �
, k
�
�
� %1
� ' CIt . �
Address: r
� ������ � _ //�f //�'�/� a
� 5 y����� ��IY i� �
� < State:��� Phone: �
�
Con EmaiL _ r ,�,, �
�_ _�,.,�.�
� � ` �� _New �Replacement _Repair _Rebuild _Modify 8pace _Work in R.O.W. �
� ���d��E�l�
s ,: �- �
Description of work: _ �
� _ _ ,��.: �
� RESIDENTIAL � �
� �
Water Heater �
�g �Water Softener,
�; ; Z8WT't rffPg8ffOR����Z/_��f8� �
� ���� �
� �'� . � Add Plumbing Fixtures�Main/_Lower Level) �
� Septic System "
� New � Water Tumaround �
� _ � �
� � Abandonment �.�,:.��s�a.� .�„� `
�. ,� � —
z»�
� RESIDENTIAL FEES: � � � �
� $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 state surcharge) �
r
� $60.00 Lavvn ItTigatior�('sncl�sdes$S.UQ minimum St�te Surchargel �
� $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.40 State Surcharge) �
� '''Water Turnaround(add$200.00 if a 5I8"meter is required) �--- �
$115.00 Septic SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �
TOTAL FEES $ � �
��,h���
CALL BEFORE Y�U DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wuvw.aopherstateonecall.ara
I hereby acknowledge that this irrFormation is complete and accurate;that the work will be in conformar�e with the ordinances arui c�des of the City of
Eagan; that I understand khis is rwt 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#he case of work which requires a review and approval of plans.
X '. � ; /\. ��'��� � x �'�' ` �
Appl�cant's Printe+d Name Ap licant's Signature
: � ; ; ,
��1������� ; , ; ��'�t@t�t�t#��r' ��t'�Y�
�+�a�r�1�����r�s� . ���r�e�z�r� �,��►����"r� ,�.,,,.:,�'�`�� �:;r,�,,,,.�� �i��i:
�.. �"'�
;
�l��e�'��!I�ti���s' ;; �Il��r�t���,�, ��1��� ` �#�#�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144392
Date Issued:07/25/2017
Permit Category:ePermit
Site Address: 4480 Reindeer Lane
Lot:10 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-100
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 -
Brion D Neese
4480 Reindeer Lane
Eagan MN 55123--209
Beaver Creek Companies
7226 235th St. W
Farmington MN 55024
(612) 819-1334
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169766
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 4480 Reindeer Lane
Lot:10 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Brion D & Erin D Neese
4480 Reindeer Ln
Saint Paul MN 55123--209
Bob Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179612
Date Issued:10/13/2022
Permit Category:ePermit
Site Address: 4480 Reindeer Lane
Lot:10 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-100
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brion D & Erin D Neese
4480 Reindeer Ln
Saint Paul MN 55123--209
Bartylla Plumbing & Heating Inc
15657 Forest Blvd N
Hugo MN 55038
(651) 429-3877
Applicant/Permitee: Signature Issued By: Signature