736 Saddle Wood DrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128220
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 736 Saddle Wood Dr
Lot:14 Block: 7 Addition: Bridle Ridge 1st
PID:10-14996-07-140
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 by law in ALL single family homes .
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 -
Gene R Lavallie
736 Saddle Wood Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
SE1'~IER & WATER PERMIT OFFICE USE ONLY
CIT ~ OF EAGAN PERMIT DATE
3830 Pilot Knob Rd. wnr~R PERMiT ~ t r~ SEWER PERMIT #
P.O. Box 21199 • . v ;
Eagan, MN 55121 METER ~ B.P. RECEIPT 7~,
READER ~ B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PFiV _ BOOSTER PUMP
SITE ADpRESS i''.;~ _ _ ~ " ; ; " ~ • -'^"r" PERMIT RE(~UESTED
LOT ' "BLOCK : SEC/SUB ~-=a ~t ~ ' 'E'- = i
APPLICANT: _ - SEWER - WATER - TAPS
~ _ "~~i - ~
ADDRESS: ' ~ J' ---'-s- _ CpMM/IND - RESIDENTIAL
CITY, STATE ~ ~ ZIP ~ . -~'~L'
PHONE: ' • ~ L- - %"r ~ - NEW - EXISTING
PLUMBER: ~ ' a'^'-=
ADDRESS: - 1 AGREE TO COMPLY WITH CITY OF
CITY4STATE =r~~~'~} ' ~-J- ' ~ ~ Z~p ' ;.l ~ EAGAN ORDINANCES:
PHONE: ~-rl~ ~ ~
OWN6R:
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
DATE: 4/26/89
RE• ~36 SADDLFil00D DR1VE, L14, B7. BRIDLE R1DGE 1ST
:XX Your Sewer & Water Permit for the above property has been completed. It will be he{d at the
Public Works Ga~age {3501 Coachman Road) until the meter is picked up. BE SURE TO
CALI PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be oompleted for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the mster cannot 1 ~
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
Confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
I~ARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 4~26/89
RE_ 736 SADDLEiJ00D DR1YE. L14 B7, BRIDGE R1DG8 1ST
~7C_ Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be compieted for the foll~wing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be 'issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
~ confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before isSUanCe.
~'C
~
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
SEVI?ER 8~ WATER PERMIT OFFICE USE ONLY
CIT# OF- ~AGAM ~ ' " `
3830 Pilot Knob Rd. PERMIT DATE,,
P.O. BOX 21199 WATER PERMIT SEWER PERMIT #
Ea an, MN 55121 , METER # B.P. RECEIPT Z bA
9 # B.P. RECEIPT DATE 4/ f~s~~
METER SIZE ~
ISSUE DATE - PRV - BO~STER PUMP
SITE ,ADfJRESS ~'l ~ f~~~=~~~~ PERMIT REQUESTED
LOT • BLOCK ~SEC/SUB~~ ~ (
~ r `~~G _ SEWER _ WATER _ TAPS
APPLICANT: ` ~ . : ~ } i
ADDRESS: ~ ~ ~ ' ~ • _ CpMM/IND - RESIDENTIAL
CITY, STATE ZIPt = y~='`~
PHONE: - _ NEW _ EXISTING
PLUMBER; n L- '
ADDRESS: ''~-~j ` I AGREE TO COMPLY WITH CITY OF
CITY, STATE, _ Z~p _ EAGAN ORDINANCES:
PHONE: ? ~
OWNER:
ADDRESS: SIG TU WHEN M R ISSU D
CITY, STATE ZIP
PHONE: '
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER MITS, ONTACT
ENGINEERING DEPT. - - ~ ' _ y r? ;
,
r~~/19190 CITY OF EAGAN ~;+o: ~ s~fl~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ , ~ .
BUILDING PERMIT Receipi # ~ '
To be used for ~~G~~ Est. Value = t~ ~ r Date , 19
Site Address fi35 SADyI,E '*[)v~ 1'}' OFFICE USE ONLY
Lot Block 7 Sec/Sub. ERiL'~L~ R~DGE ~ST
Occupancy R'~~ ~.'~i FEES
Parcel No.
Zoning kD R~-1
Name ',~r~~ c:C~r?3T'f;I~CTT.(;:"3 (AcluaqConst V-~'~ BIdg.Permil b~Qt.Oi~
a Address • ~%1 CLIi'F DIt, ~i24 ~ (Albwable) V'~ Surcharge SS•~
City '"`~N Phone ~+51-0995 # of Stories
Le~gth 7~~ P~~Review 337.«7
, o Name ~~''C oeP~n 3$
~ sac, c~ry 100. DO
o~ Address s.F. To~i - 575 Op
~a SAC. MCWCC •
~ City Phone S.F. Footprints -
On Site Sewage _ Water Co~n S80 ~ CO
~
W u~i Name On Site well - water Meter 9d
Address MWCC System !~k A~ ~ 3U.40
aw City Phone City Water X~+ posit
PRV Required _ SrW Permil 4~' ~
I hereby acknowlege that I have read this application and state that the Booster Pump - S+'W Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. Treatment PI
Signature of Permitee i.,' APPROVALS Road Unit
A Building Permit is issued to: "~*'~~"1 ~L G~F°~T~LiG"~?~SO:~ P~anner - park Ded.
on the express condition that all work shall be done in accordance with all Councii
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Official Variance - TOTAL 3! 0 3 i.~xw
Permit No. Permit Holder Date Telephone #
` WAF~I O ' . C~
SEWER
PLUMBING ~fi'.~ p( L ( ' O /
`~.l~.c.# ~ ~ `J' l~ ~ ~ ~ ~'/9
H.V.A.C. ~IVI ~ 1P-9~ /
ELECTRIC ~ ~J~CJ~ ~ , ~ ~ ~ ~~f~~
iospection Date Insp. Comments
Footings I
Fou~dation s ~ ~ ~ ,.,;a.,:~ r- ~i;cuSS.~rO
Framing ~
Roofing
Rough Plhg.
Rough Htg. ~
Isul. C r' ~
Fireplace r"'
Fnal Htg. - ,.~j-
Fnal Plbg. ~3
~
Const. Meter Plbg. Inspector- Notify Plumber
Ergr./Plan
Bldg. Fnal ~ ]
o~k F~. 5-~~ - c p s
Deck Final a ~ ~ ~C
weu
Pr. Disp.
.
~ p PERMIT # Q~~~
, • PLUMBING PERMIT RECEIPT ti
~ ' CIT1f OF EAGAN ~ ~ ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE: PHONE: 454-8100
Site Address h S a d d 1 e wo o n r BLDG. TYPE WORK DESCRIPTION
Lot Block , Sec/Sub Res. ? New "
. • ~ :L 1~-I Mult. Add-on
m Name Thorapson Fr rnbft~Q Comm. Repair ~
~ Address `12Z01 MtkB Blvd Other
c City '•t t ka Phone 9 3 3- 2 5 21 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO FIXTURES T TAL
_~Water Closet - $3.00 ~
Name Sunahine Conat Bath Tubs -$3.00 < G
c Address ~I21 Cliff Dr ~
Lavatory - $3.Oo
p City EBRaa Phone 452-n995 _~Shower-$3.00 '
_~Ki?chen Sink - $3.00 - l
FEES Urinal / Bidet - $3.00
COMM/IND FEE - 19b OF CONTRACT FEE -~Laundry Tray - 53.~0 ~ l G
APT. BLDGS - COMM RATE APPUES ~~Ffoor Orains -~1.50 -r L~'
TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~ CVUater Heaier-- ~t.50.
MfNIMUM - RESIDENTIAL FEE - $12.00 ~Whirlpool - $3.00 ~ r ~ ~
MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50 S U
STATE SURCHARGE PER PERMIT - .50 ,(MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES !Softener -$5.00 4j L,~
BEYOND $1,000.00) Weil - ~10.00
Private Disp. - $10.00
;i /;i~ ; ~~j~~_-- Rough Openings - $1.50 ~
SIGNATURE OF PERMITTEE FEE: ~7~ L~
STATE S/C: ~ ~
FOR: CITY OF EAGAN GRAND TOTAL: 1~~ ` L'
' • ' PERMIT # '
• MECHANICAL PERMIT RECEIPT # l~~" ~ r~
~ ~ CITY OF EAGAN l ' ~
3830 PILOT KNOB ROAD, EAGAN, MN S512Z DATE: ~ J1 y~ •
CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address ` ~ ' ~ • ' ~ ' ' g~pG,, n/pE WORK QESCRIPTION
Lot Block ~ Sec/~Sub ~
~
. Res. , New r.~x
~ Namer P r~` `.c~' i• Mult Add-on
~ Addres~a ~ ' / ~ ~mm. Repair
~ ~ Other
c Ci ~ ~ i 'r'~ Phone ~
~ ; ; J FEES
~ Name • ~ ~ ' r RES. HVAC 0-100 M BTU - $24.00
c AddreSS ~x ~ ' + t-- ~ t ' ~ k'.- ~ ~ ADOITIONAL 50 M BTU - 6.00
p City :`~'y Phone~ `1~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINiMUM - 1 PER PERMIT} - 1.50 EA.
TYPE OF WORK C( APTABLDGS.FE COMM. RA E APLIES EE
ForCed Air M BTU 1~~ TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE G~ES
Gas Piping OuUets # ~ ~ BEYONA $1,000)
Other ,
FEE: ` " ~ *:J~ J l~.-~ .'-c ~t.
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
~j~j~'y 9a~ 0 5`
09492,~i,~ ~ ~ j~ ~j~°~
Request Dale / Fire Na. Rough-in nspe n yy~~
l Fa uired7 f] Reatly Now ,y~ Will Notlty Inspector
Ves ? No ~ ~ H'~an Ready?
~licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (SVeat, Boz or(p°' ute No.) Ciry
~J~' ~e Qi-
Seqion W. Township Neme or No. Rarge No. Coumy
Ocwpent (PRINn PFrona No.
7
Power ooiie~ .~7 Atltlress
c / L~ : ~i
ElecMCal Conlractor ~Compairy Nam ~ Co _ clor5 liwnse No.
, ~ . ~S-3
Mailing FCtl ess (COnVeclor or Owner Making Ins~alla~ion) ~/J'-~
L<
lwlhara nalure (COnMeCOr r Maki nslallatlon) Phme Number
/ ~ ~ ~
NINNESOTA STATE BOAND OF ELECTflICITY THIS INSPECTION RE~UEST WILL NOT
Grlppo-M19Wrey Bltlp. - Room S1]3 8E ACCEPTED BYTHE 5T.4TE BOARD
182I UniversYry Avo., SL Paul, MN 5510G UNLESS PHOPER INSPECTION FEE IS
Phona(61~ 602-0800 ENCIASED.
8`~ REDUEST FOR ELECTRICAL INSPECTION ee-ooooi-o~ /
? See inswdlone br compkting this Porm on back of yellow wpg ~ GL~7~ ~ LG
X" Below Wosk Coveced by This Request
G~. Q 4 ~ ~
ewAdd Rep. TypeofBuiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air CondNioner
pthe~ (apecMy) Contrecto~5 PemaMS:
Compute lnspection Fee Below:
# Other Fee # ServicaEniranceSize Fee # Circui~s/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above t00 Amps
Signs Inspector5 Uae Only: pTp~
Irtigalion Booms ~ ~ -
Special Inspection J ~
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Roug~-in - ~ oa~e
certify that the above inspection has Fi~ . oa~J
, ~ d
been made. .
OFFlCE USE ONW
T~la request void 18 months hom
~
~ ~ 10 ~ ~ dP.~.~-
Request Dffie Fira No. Rough-in Inspecti
/ uiretl? ? Ready Now~Wili Notify Inspactor
Ves ? No When Ready'!
I licensed contractor ? owner hereby request inspection of above electrical work at:
ob Adtlress (St~eet, Box or~ No.) Ciry
i~3 q
Seqion No. Township Name or No. Range No. CouMy`/y~l t~~L/'~.`~
Occupanl(P TJ Phone No.
C~~Y~rl ' ~
PowerS plier Atltlress
1
Ele~lrical ntrector (Compan Na e) Mradw9 License No.
/C, ay~q~s3
Mailing Adtl (COnt actor or Owner aking Install tion)
~ l~- ~Il~I-
Au[horizetl ature (Cont c[or/ Makirg In I ion) o Num r ~
~3
NINNESOTA STA7E eOApO OF ELECTRICITY THIS INSPEGTION REOUEST WILL NOT
GrlggsMiAwey Bldg. - Room S1TS BE ACCEPrED BV THE 5T.9tE BOHRO
182t UnlveraHy Ave., SL Paul, biN 55100 UNIESS PAOPEft INSPECTION FEE IS
Phone (MY~ 892-08~0 ENCLOSE~.
REQUEST FOR ELECTRICAL INSPECTION ~ ee-aoam.o~
~ ? Sea inshuaions for completing this form on back ol yellow copy. C~'a7~
9 5 Q X" Below Work Cavered by This Request
ewAdd Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl. Building Dryer Other (Specify)
Comm./lndusirial Furnace
Fam Air Conditioner -
OlheKspecity) ConVactpr~ Remarks:
Compute Inspectim Fee Selow:
# Other Fee # ServiceEntranceSize Fee # Cimuits/Feeders Fee
Swimming Poa 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps . e 1 Amps
Signs Inspector5 Use Only: Of. , 7p7p~
Irrigation Boorr ~ ~~1
Special Inspecon
AlarmlCommmcation
Other Fee ~ ; ~ ~ ~ o ~
I, the Etechical nspector, hereby ~ugh-in J~ oa~
:,y;:ie:::./ ~ J'
certifythatthe abve inspection nas F;nai
been made. J 1 A~? oa ~_r
t-C~
OFFICE USE ONLY
This reW est voitl 18 mn~hs from
CITY OF EAGAN N~ 16361
, , 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 G! / /_8~
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $110, p00 Date , 19 ~
Site Address 736 SADDLE WOOD DR OFPICE USE ONLY
Lot 14 Block ~ Sec/Sub. BRIDLE RIDGE 15T
Parcel No. occ~Par~~y R-3~L1 FEES
Zoning PD R-1
w Name SUNSHINE CONSTRUCTION ~qctuaqCOnst ~!-N BItlg.Permil 674.00
a Address 2121 CLIFF DR, #224 (Allowa6le) ~-N su~cna~ye 55.00
City EAGAN Phone 452-0995 # o~ stones -
Lengih 7Q' Plan Review 337.00
, o Name S~ Depih snq c~iy 7 on _ nn
Address s.F. ro~ai snc, McwCC 575.00
UQ
~ City Phone S.F. Footprinis -
On Site Sewage _ Water Conn $80.00
ww Name On Site Well - Wa~er Meter 90.00
i~ Address n+wccsysiem ~YX 30.00
~i ~ Acd. Depasit
<W City Phone arywate~ 20.00
PRV Required - SNV Permi~
I hereby acknowl e ihat I h ve read~,~s applicatlon a d state that the Booster Pump - SrW Surcharge 1. 00
information is corr and ag e to c pty with all ap icable Stale of
Minnesota StaWtes City o a O ~ inances. 7reatmeot PI Z28 •
Signature of Pefmltee APPR~~p~s Road Unil 34n _ nn
ABuildingPermi[isissuedto: SIfNSH7NF. CONSTRII(:TTON Plannar - pazkDed.
on ihe express condition that all work shall be done in accordance with all Council
applicable State of MinnesotapStatules andW
Cyi~ty ~o/f Eagan Ordinances. BIdg.Off. _ Copies
Building OifiCial ~P~_I;,QAl~ I 1 I.U Variance - TOTAL 3, 030. 00
j F4r DN~~q`.t:i5~ I
~J I
Clt~ Of ~~~18Il j Permitri: ~l/'~ I
, ~ ,
~ Permit Fee:
3830 Pilot Knob Road ~
Eagan MN 55122 j Date Receiv~Y 04 2009 ~
Phone: (651) 675-5675 i ~
~ Staft: ~
Fax:(651)675-5694 i
2009 MECHANICAL PERMIT APPLICATION
Date: ~~~9'~9 SiteAddress: ~J~~a S~~l£ ~r~OC{ U{^
Tenant: Suite ~
RESIDENT/OWNER Name: GCYI~ ~-(A Ua,{~If. Phone: I~sl-~g~-~IO`Ja
Address / City / Zip: . ~~e ~~~OC~ !J{'. ~ Q i`l M~ J.7 ~
CONTRACTOR Name: ~~0~~1If 6'l~1 NCLL~~9 YtIV'~;t!71~~L'~~ice`~se u:
Address: ~0`t~ LU ~ ~{,Zj~~ Jl
City: U~~~~11HIQr~k'1 State: ~4N Zip: ~.1.J~-I~-~
Phone: -t `t ".3JJ`~~- Contact Person: J~COft 1U C1,fl LtCL1''~
TYPE OF WORK - New ~ Replacement _ Additional _ Alteration _ Demolition
~s~R+C"onc€vvcrk= %ep~QC~.E: fUi~ilCtCe 2.y~c~ C~iY ~h~1~~1~Di~FI~
NOTE: Both roof mounted and ground mourrfed mechanfca! equlpment is required toy,
`"6e screened by City Code. Please contactitie MeahanPcal Mspector o`r or~ of the ,
Planners for information on Ymined screenin methods.
PERMITTYPE RESIDENTfAL COMMERCIAL
X Fumace _ New Construction _ Interior Improvement
~ Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under 1 Above ground Tank ~ Insfall 1_ Removej
- " When inslalling/removing tank(s), call for inspection by Fire
Other Marshal and PlumWng Inspector
AESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifB f@p81f (replace burned out appliances, duchvork, etc.) (inCludes $.50 State SurChafge)
$ ~~D~~iO TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Va1ue $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit fe~ is less than $7,000, surcharge is $.50.
- If Permit Fee Is >$1,000, surcharge increases by $.SO for each State SurCharge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.OD surcharge).
$ TOTAL FEE
I here6y acknowledge that this intortnation is complete antl accurete; that the work will be in conbrmance with Uie ordinances and cotles of ihe Crty ot Eagan; that
I unders7and this is not a permi[, but only an application for a permi6 and work is not ro start without a permit; Ihat the work will be in axordance wllh the approved
plan in [he case ot work which requires a rwiew and approval ot plans. ~ /
x cSCQffi ~PWQCQ(4YC~ x ~'~9
ApplicanFs Printe ame ApplicanYS Signature ~ ~
POR OFFICE USE ~ ~ ~ ~ - . . " - . -
° . . . . Reviewed 6y: " ~ ~ ~ Dated . ~
Hequired Inspections: ~,Undet~~Ground _ Rough~ln. ~ _Air Test ~ _Gas Senice Test.. _In floor ~Heat _Fnal ~
. _E~c[erlorHVACScreeninglnspection ~ ~ . . ~
~ ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 I ~ ~ ~
Naw Conatructbn Repulremenis BemotleVReoelr HeaulremeMs
• 3 repistered stle surveys showing sq. fl. W Wt, sq. fl. ot fwuse; arM gll roofed areas • 2 copies of p~n
(20% mewmum lot caverage allowed) • 1 set of Energy Cakulations for heated addilbns
• 2 coples of plan showing beam 8 window sizes; poured found tlesign, etc.) • 1 stte survey tor a~Aerior additions 8 decks
• t setof Energy Cakulatbns • IrWicate if home served by septic sysfemfor additbns
• 3 copleS of Tree Preservatlon Plen tl Id platted aflB~ 7/1/93
. Rim ,bi~ Detail Optbns selec~bn sheei (bldgs wXh 3 or less untts)
DATE ~ ~-C~ ~ VALUATION~ l V~
SITE ADDRESS ~ ~ ~i~'`'~ MULTi-FAMILY BLDG _ Y _ N
TYPE OF WORK ~n FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~ ~`S ~ V~~ ~ ~ c~ ^S ~
STREET ADDRESS 7" R ~`~Cr ~ L~ CIN ~ G~ r~-~~ STATE ~ 21P ~s r( 7
TELEPHONE# ~g~-84I~ CELLPHONE# 6~~-36R`~2~~ FAX# K~`~-~S~S
PROPERTYOWNER ~ ~ ~lC~o~ \ ~ TELEPHONE # h~~ ~0 ~ ~
COMPLETE THIS SECTION FOR ~NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Categary _ MINNESOTA RULES 7670 CATEGORY 1 _ M ~~~E~~(~
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • e ~~V mitted
~n7
• Energy EnveloDe Calculations Submitted MAY 2 0'LU02 ~~f ~
U
Plumbing Contracror: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkier Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
MeChanlCal CoMractor: Phone ~i
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contracfor: Phon6 ~1
I hereby acknowledge that I have read this application, state that the ' rmatlon i c ect, d agree to comply
with all applicable State of Mfnnesota Statutes and Ci1y of Eagan Ord nces.
Signalure of Applicant
. _ _
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
updasea 4/02
` ~ } „r~
1989 BOILDING PfiRMIT APPLICATION - CITY OF EAG6N
SINGLE FAMILY DWEL6INGS 1 G.3 t~ 1
INCLU?E 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES I~OR CORNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE W[iICH 9DDBE43
IS DESIHED. AO CHANGF3 WILL BE ALLOWED ONCE HUILDffiG PERMIT I3 I38DED.
MULTIPLE DWELLINGS AENTAL DNITS FOH SALE UNITS ~i OF UHITS
INCLUDE 2 SETS OF PLANS, CEATIEICATE OF S17RYEY - CHECR WITH BLDG. DEPT.~ 1 SET OF ENERGY
CALCULATIONS
CO[~1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
st~.t~c.~ 1~ 7~ ~
To Be Used For: Li~ Yaluation: F~~ ~ Date:
Site Address OFFICE USS ONLY
Lot `~Y' Bloek ~ Oecupancy R'3 FE69
Zoning PQ R_i
Parcel/Sub~Q~ Actual Const V-N Hldg. Permit ~/.Do
Allowable v=N Sureharge S.b O
Owner~.~~[~-(~~. C~--~ . # of stories Plan Review 3`l~ o0
~y~~ Length ~F
/TZ SAC, Citq ~ 00. o 0
Address G(~(~~~ ~Ys' 4~ Depth 38' SAC, MWCC S~S,Q~
S.F. Total Water Conn Si~O,o~o
City/Zip Code ~j~'!~~ Footprint S.F. Water Meter 90,ou_
~ Aect. Deposit a v ~
Phone On site sewage_ S/W Permit .~o,a o
~ p On site well 5/W Sureharge I~oo
Contractor ~`~'l,~ MWCC System ? Treatment Pl. 22B.w
City water Road IInit 3yo, o0
Address PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code TOTAL .ytQ~~
APPROVALS
Phone Planner _
~ ~ ~y~~ Couneil
Areh./Engr. ~F~Yl~7~• ~ Bldg. Off. ~4~ZI
Variance
Address
City/Zip Code
Phone ~ ~
NOTE: Sewer & 4iater Permit fees and aecount deposit fees will be ineluded in the building
permit fee. Yrocessing time for aewer and siater permits is two days once a liaeneed
plumber haa applied for a permit at City Hall.
r
~ ~ VA~u,~~ ~of•J ~ ' '
~AR ~hG-t ~ 3 ~ R
2c~ x Z~ = 52.0
:lox z~( = z~ro
gSMr 76 o X ~ S= I 1 ~f o 0
1`~ x = 350
~`6 x 40 = I 1 zo
~ X21= ~-IZ
IS 12 X/y = Z I 16
FI ~S~
13~rn~ = r S~Z, ° -
~3 ~r"~S ~ ~ ~
15~Go k sp = .l~~o0 674~OU+
55 • 00+
f D'~ S/$ 337 • 00+
1~964•OU+
ti~.`l~ 3+ U:i r] • 0 0*
~~}x~t`
6'74~UU+
55•00+
~ >37•UU+
1~9o4•Ou+
3~030•U0~
CUSTOM -
~ St~RVEYOR'S CERTIFICATE SIENNA CORPORQTION
1~ ` aevise~ a-ir-ss To
aso.e ~~Oh ~ ~ SFpW PROPOSED HOUSE
3/'~) cs~.' e GJ< L~ FUR SUNSHU~ CONST,
N ~ 9 ~2 Rr` !'f/~ \ `
0 6'2s OD
~ i ~ s ~ ssQ~ o~a pR,~
~ ° V
:
~ .se,e v . T
r. ~3 ,~.aF
t. .
_ _I\ ~ O~ ~
~ 2. . r:w,i;ti, ~k~x:~r1a:
li'.. ~
+t/ Q~ : i'~~in!r!:.,
;.~:i+ ~!':~.rv 45Y.1
N J ~G1I ~ •ie~
J.y~# ...xij~;j G `
~ V I ' ~ ~~~.k.~., .'b~e~ j r"/3\/
:fi..,, nr .f''' ~ '
i ^n;~~~~y~ „~d~„
' „ ~
qze.v. / r - r ;i~~,~' . °f~i;}~'"~a:,~ . 0
! ~
°ror o~ r~pe~ ~..~`J32,7~ p.0~ 2~.pp. ~ ~
[L[V.~9t0.T4 ~/f ~N/~.~ p / 86 OI1TOP~~PIVLK .
Z A a ~ GqRa~E $ i`Q eLCV..oa~.is
. ~ ' wipqpF'OSEp
O ~ ~ HOUS~ ~
~ aaa. a _
_ 0 oYS. i,~ 69.45 d q 2~ I
~ 1 ~ 92Sa~ - $ ~ ~ ~ o )
~ ~ _ l , ata.o ~ '~'x ~ ^j
n1 ' ~ Z ar.e
N
' C7!
,~~a ~
s~L o ~
`~,o~ `T /4 I t~ ~ rv
4
o~s.o~ ° ( . . R ~ V~.~`YV E D
r BY
f%/ n .
r lJ ~ ~ ~ q ~a aATE
, s
~ry~, ~ ~9LI.o)
~ ~ 9Y0.0 :
L'ate Z d \
~ ~e~C~~ ENC~I~T~&i.I~G . ~E~T
= DENOTES pROPOSEO SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: f INCH - 30 FEET
~ DENOTES IRON MONUMENT FOUND pR4POSED OARAQE FLOOR - 933.D pEE'I'
X000.0 DENOTFS EXISTING ELEVATION PROpOSED LOWEST FLOOR - 92'S.3 FEET
(000.0) OENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - q;3,q- FEET
WE HEREBY CERTlFY TO SIENNA CORPORATfON THAT THIS IS A TRUE AND CORRECT
REPR QF;
ot 14 Block 7, BRtDLE RIDGc' I ST ADDiT10 accardinq to the racorded
p R 9reo . a w , , 1f~~n~es .
I7 DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY M£ OR UNDER'MY DiRECT SURERVlSION THIS 2(s-r DAY OF ~AN~ARy ,198d.
APPROVEO ~OR SiF:MHA SIGNED: JAM , INC. ~
cnni~nnnrrnr~ ~C,
IlY ; BY:
HAAOLD C. PETERSON, LAND SURVEYiDR
DATEp~ , MINNESOTA UCENSE NUMBER 12294
~ ~m';'oA0 ~~O~D ~ames R. Hi!!, inc.
- o ~ o ~ Z ~ ~ ? ~ ~ ~ { PLANNERS / ENGINEERS / SURVEYORS
x O - m
: ~'j~ 9401 JAMES AVE. 5. • BLOOMtNpTON, MN. 5543i ~ 612-884-3029
~
' 4..
~ CITY OF ~o~ BUILDING DEPARTMENT ~'Lt~' ~
~;XTERIOR ENVII,OPE AVERAGE ~~U~~ COMPUTATION
' (To be suhmitted with building permit applicatioa)
One or Two Family Dwelling Owner ~C.~i~-(~4.~~ GO~~~•
All Other Site Address
n ^ ~
Contractor ~t1/~~1UlE C:OJ~X~"r Date ~1,~,0 ~ Phone~rJ2-'~
- J 3S
LITi ~sAL FET OF ~I
E}C~'OSED 47ALL ~'~bRK- ~71tE.ET ~ Yt. above grade = ~i0$5,00
TOTAL ~~OSED WALL ARr^,A SQ. FT.
0?iQU~ !'dE:LL CONSTRUCTIOt1: °U" Value x Area
Detail ~1~/9rY1E r'U~~ •4¢Zi x SQ. FT. ~,30 ~~dn•ID (U)(A)
L~owC• "U" .O9$ x SR. FT, l09•44 = lo.7L (U)(A)
reierence R~`,y~ ' nU° ,p~f~_x S. FT, S . U
from 4 4 3s ( ) (A)
attached ~~U~~ x SQ. FT. _ (U)(Q)
sheets "U~~ x SQ. FT. _ (U)(A)
~~U~~ x SQ. FT. - (U) (A)
'iJIIQIbSYS: ~~U~~ ~Jalue x Area
!r
N~ake & Type ~IEE~~U~oRKS1~F~T °U~~ •SO x SQ. FT. lb5~70 = SZ.85 (U)(A)
" " ~~U~~ x SQ. FT. _ (U)(A)
" " ~~U~~ x sQ. FT. _ (U) (A)
u n vprr x SQ. FT. _ ([1) (A)
DOORS: ~~U~~ Value x Area
i•la:;e & TYpo ~a7L• IWSVL, nU„ .~4 x SQ. FT. ,OD =~•~ilo (U)(A)
" " PATio ~'u~~ .47 x SQ. FT. ,00 =„y~(U) (A)
" " ~~U+~ x SQ. FT. _ (U) (A)
" " ~~U~~ x SQ. FT. _ (U) (A)
TOTAI,S ZOSS~00 SQ. r'T. ZIO.~}D (U)(A)
AVERA(3E ~~U~~
TUTAL (U)(A) VALUES 2ID•~}D I Z .
DIVID~D BY TOT SlALL AREk Z~SS.~O
AVER~GI; ~~U~~ ,7~ or less for 1&2 family ngs
R~OF/CEILING:
TOTAL AREA: JD~J'S '
Detail reference ~~U~~ +OZTj x SQ. FT, /D = Z.~a (U)(A)
from ~~U~~ x SQ. FT, _ (U) (A)
attached sheets. "U~~ x SQ. FT. _ (U)(A)
Describe onenings ~~U~~ x SQ. FT. - (U)(A)
in roof. ~~U~~ x SQ. FT. - (U)(A)
TOTAL (U) (A) VALUES DIVTDliD BY zG`.~~ _ T~'4~~ ~ ~Q.;T ~,V~~l )
'I'C':~AI, ROOF/(`.E "G ."Li:A ID~g •OZ3
AVERAGI: "U~~ .025 for ventilated roofs.
--WALL SECTIOH--
Determining ~~U~~ values at Roof, Wall, Rim, and Conc. Block
.
ROOF/CEILINCi (R) VALUE
S
1,) Interior Air r'ilm 0.61
z.) 5/8~~ Gyp. Bd. .56
3. ) Insulation 4n pp
4.1
5.) Exterior Air Film .61
(STILL)
~ 2 3
~ uIIu = tIR= .OZ?i TOTAL (R)= ~,78
l
8 WALL R VALUE
9 6.) Interior Air Film 0,68
7.) G~p. sa. .45
8.) Insulation ~9.00
9. ) 2~3L~~ $dlta-R~TE 2. 04
10.) Masonite Siding .67
l0 11.) Exterior Air Film .17
11
uUn = 1/R= ~ 04,7~ TOTAL ~R)=Z3.OI
RIM (R) VALUE
I~ ~3 12. ) Interior Air l~ilm 0.68
73.) Insulation 19•d~
1 Ih 14.) 2° Fir Rim Joist 1.88
15 15. ) ~;L~~ g~it~ ~i7'~ Z~o4'
16.) Masonite Siding .67
1?.) Exterior Air Film .17
. o
. • . ~ nUn = 1/R= ~QQ•Q TOTAL ~R)=Z~.4q'
~ Q
~ .Op •
~ FOU2iDATION (R) VALUE
18.) Interior Air Film 0.68
l$ 79.)
Z~ u 2~~ ~
n ~ 21,) 12" Concrete Block 1.28
' e ^ k~ 22. ) ~~bf.b ~/~SVL• $.00
Z3 ~"b 23.) Exterior Air Film .17
o
U° • °Un ~ 1/R= . Q~S TOTAL (R)= ID•I~!'
~
I
I.
i1 1~JoRK SI~E~T
~ ~R~ ExP~ w~cr
/4.5oX C26+zf~?-4o~ = J334,o0
r1•SoX 40 ~ 7op.oo
3,~ x ~ _ _ zl.oo
Z, 055.00 ~
Co~uC .
. ~a7X (40~¢o t-ZIo+~Z6) = 88.44
3•~x7 = zJ.oo
1°9'g4~
~Int So~T
, 83 x (,4o+4otz~~Z~) = 109.5~ ~
~31NDou~S
I(oX3Z = 7•f X 7.10
ZoX 36 = IO.o x~~ lD.ov
24X31~= (o•o X 2 ~ 1Z•oa
ZoX36= S•o x4 = Zo.oo
24X4o = ~3.4 X~ ~ l3.40
Z4x¢$= ?(o.o x ~ ~ lfo.oo
z4 x48 =~,o X z~ t~.oo
zo x(oo = S•4' X q. - h7, Zo
Z4 XZ4 = 4r o ~ ~ _ ¢,oo
L~o~S ` 1 lv5.?0 ~
3° sTG w~s.L. = 28.00
Z~1 St~ swt. - zl,oo
(o ~ Pq,7to ~ Z = 84, o0
1~3.~~ ~
a0
1~~T ~X~oseD ~ Ecz~,ac.5 Z6 X gv _ l040
~Qa~.S wALC... Z,osS.oo ZXS -
L8S5 C«ue, Zx L= 4
~ ~ R,.~ r ey,~4 ~~ss = - ~ _
~,,~b,,~5 ~ q. s~ -5/77v
~hs~~o ),o4g,oo
u DooR'.S 1~3.00 1~537•30
. I~~i
-f ` , -
. . ~~.~G~
~a~~'
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
t
~ SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
E
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
, 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
4 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
; 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
~ # OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
; OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
~ NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
~ DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PRDCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
1
~ To Be Used For: ~£C_~ Valuation; Date; ~/~/S~
r
~ Site Address ~,~(p s'~~d~F~aQa OFFICE USE ONLY
~ Lot I~'~ Block ( FEES
~ _
i Occupancy
Zoning
Parcel/Sub~~i]~[.C ~i~-,~ ~s? QDD~I.~~ Actual Const Bldg. Permit
Allowable Surcharge
~ Owner (~~,t/~ ,C~¢VAGC.(~ # of stories Plan Review !
~ ~ Length ~ SAC, Gity
Address ~sj~ s/~-DOt~ /,~/p~ D(L Depth ~ SAC, MWCC
/ S.F. Total Water Conn
City/Zip Code F/~~s¢N~ SS/~L-.3 Footprint S.F, Water Meter
Acct. Deposit
Phone p0 S"2~ On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor SEL~ MWCC System _ Treatment P1.
City water Road Unit
Address PRV Park Ded.
Booster Pump Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner - TOTAL:' -
Council C
Arch./Engr. S'E~~ Bldg. Off. ~q~b ` ' " '
Variance
Address
City/Zip Code
Phone #
VV.71 VM
~URVEYOR'S CERTIFlCATE SIENNA CORPORATION
_ ' ' \ eev~seo a-~~ ea To
oso.e ~~O ~ SFpW PqOpO3ED HWSE
e9 A ` FOR SUNSHIt~ WNST.
~93i ~ ~
N o,,., ~
\ ~ ro Rss~ 1'i'o o ~
. a
1 S ~ sssQ~e awe Q
~ J ~b4.6 V ' \ `~:f`w.i,r
+ ~3T~ ao.e~
_ ~ O~ ~k,,k:t~' V ~
~ ~ A~ Ui1 Mi~:
ti MV 53~~~~ ~j~~.
/~,y ~ ' ;;aj[~. ` y, ..!~'Knc iYSY.I
g p ~ . ,;~~~'~'Y~.. ; ~Y3(,s)
/ / ~ '
~i • .
YYD ~ ~ ~ ~ \
~ . + '
~5.4 ! f t. '~i>~. . ti 1'' 'r. q'~. ~
~ ?''~~•z \
TO~cOf ?~ip! f ~~/3Z,7 pA121, ~ / s
t~[V.~OLl.74' ~ ~8.l/ N/~.~ O/ ps . I~~BENCN MARK
2 A ~~8 r ~qRAGE 8~ 0 a[v.°:osi~~e
O i ,~",~PRHO
S~ ~ ~ w
~ ~ r„ ase.a _
O ozs. i ~ 69.43 u I
1
~ ~ / ~ 92sd 8 , ~ qg ~ l
~ - s j ~~~:a. , ~ y~ ~
' b 2
~ _
~ ~ o
~
~ 3~L~r~4 " ~ R~~a~~~v
os.oa ` ~1 ' , j'W E D
( 11 ~ ~ 8Y ~~DJ~/~~..
/
y . 1~. 3 D 8
`J ~ ~ ~J ' ~ • R_,J , ~ ~ ATE y~ Zp_
/ ~
,r a `S ' ~ ~yzL p' ~`~r
~ ~ ~ - seo.o ~
~.'~.'-at e Z Q
' EAGAN ENGINEERII3G DEPT
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 iNCH - 30 FEEf
• DENO7ES IRON MONUMENT FOUND PR(3POSED (3ARACiE FLOOR - 433,0 pE~'
X000.0 DENOTES EXISTING ELEVATION PROP05ED LOWEST FLOOR - 925.3 FEEf
(000.0J DENOTES PROROSED ELEVATION PROPO5ED 70P OF BLOCK - 933,4 FEEf
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS !S A TRIJE AND CORHECT
REPR~~~I9T10P1
ot 14 81ock 7, BRIPLE RIDGc t ST AODITIO accordinq to fhe recordeQ
p o eteo . n t .~{~u~esef
17 DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SuFc'vctci: d'f ivtE vfs iiiv~EK ~YiY ulnE~ i Si.iPtRVlsION i HIS Zist UAl' UF ~pNUqrty , 198~?.
APPRQVfII Ft1R S1EPI11A SIGNED: JAM~ ~Pt~~.
F , INC. , n
CQRI'ORA'f Illlt ~ ~ ,~.~2~~~
V
nv : av:
HAROID C. PETERSON, LAND SURVEI~DR
DATE~~ MINNESOTA UCEN5E NUMBER 122~4
~ ~m~~AO ~AO~; James R. Hill, inc.
~ o ~ o ~ ~ ~ Z ~ m ~ ~ PLANNERS / ENGINEERS / SURVEYORS
N~
- _ a O- m { g401 JAMES AVE. S. • BLOOMINOTON, MN. SSd31 ~ 812•884•3029
Cn
~
Use BLUE or BLACK Ink
r -+
For Office Use
Permit#:/y r7 �--
City of Foam , .5.,
Permit Fee: /0✓`
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
........_., ,..,.. ,,,,,,,, ,,,,,, ..- ..................,...... ., ,.„..Nmwnxrs.,.x.
Name: ()"8-ISL )-j i R1-1--! t. Phone:
Resident! 0 �t h�-,, U)o0d I)I E.E-11(14/1?E-11(14/1?Owner Address/City/Zip: 15( r f�A,,
Applicant is: Owner ,X Contractor a
Tyke Of Work i Description of work: .C>OF
Construction Cost: 1• 1 to Multi-Family Building: (Yes /No
Company;D. )"{j&I.-Cc-Eel) (.>U"- _ Contact: A)0?
ContractorAddress:t �' p' 1.4„5,1-ohs 1 4ll.J ,. . City: ) 065' 4
1 State ilf Zi Email:
Phon )�Oj-�
' S ��( 1 d
t License#: � Lead Certificate#:
If the project is exempt from lead certification, please explain why: i
I
1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i Yes No If yes, date and address of master plan: ).
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
i Sewer&Water Contractor: Phone:
i Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are consideredto be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
I conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x . 11)A)15 Kl C (1_ xD43--:.-
Applicant's Printed Name Applicant's Sign t
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177036
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 736 Saddle Wood Dr
Lot:14 Block: 7 Addition: Bridle Ridge 1st
PID:10-14996-07-140
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
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 -
Gene R & Georgia A Rev Trust Lavallie
736 Saddle Wood Dr
Eagan MN 55123
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature