1319 St Andrew BlvdCITY OF EAGAN>?0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 °• v
PHONE: 454-8100
BUILDING PDERMI 3 Receipt #
To be used for 3-SEA" po]M Est. Value $ 9,000 Date- MAY 2 19-2L-
Site Address 1319 ST ANDREW BLVD
Lot 7 Block _2 Sec/Sub. FAIRWAY HILLS
Parcel No.
W Name J G RUTKYORD & L L WI9Y710"
Address 1319 ST ANDREW BLVD
City EWAN Phone 688-2212
Name SANZ
0
u
04 Address
? City Phone
Address
City -
Phone
I hereby acknowlege 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, -.4.
Signature of Permitee . (- I ''
A Building Permit is issued to: J G MIDNIM (2 L
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
occupancy R,-31--2 FEES
Zoning -
(Actual) Const Bldg. Permit 108.0
(Allowable) Surcharge 4,50
# of Stories
Length ft + ?+ Plan Review
Depth Do* 1bd12 SAC, City
S.F. Total SAC, MCWCC
S.F. Footprints -
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System -
City Water Acct. Deposit
PRV Required S/W Permit
Booster Pump S/WI Surcharge
Treatment PI
APPROVALS Road Unit
Planner
Co
ncil Park Ded.
u
Bldg Oft Copies
Variance TOTAL 112.50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC 38 9 Q Q°
Mspection Date Insp. Comments
Footings I s? ?!J
oht
Foundation
Framing E
Roofing
Rough Plbg.
Rough Htg.
Isul. ?s I 4S?
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final /r? 2
Deck Fig.
Deck Final
Well
Pr. Disp.
3830
BUILDING PERMIT
To be used for
Site Address
Lot Block
Parcel No.
CITY OF EAGAW
b Road, P. 0. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
Receipt*
Est. Value =Date
19
OFFICE USE ONLY
cc Name v .. ...,.
3 Address ' ``.. '
C City Phone
°C
o Name
.
o a Address
City Phone
W Name
= E Address
cc W City Phone - '"
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.AC. r i L . 4,
Electric i (C J.
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
Foundation
Framing 404
Roofing
Rough Plbg. ?f
Rough Htg.
Isul_ s9 GlJ?f
Fireplace
Final Htg. ,
Final Plbg. `
Bldg. Final
Cert.Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
,r .-4 .0
Ter#ifiratr of Mrrnvanry
citp of eagan
Orprimml of 11uilbhT JtwVrrtt=
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
SF D GIW,. 15085
Use chwificetion Bldg. Permit No.
R3 , 1
it .
R!
Vn
Oxupnncy Type boning District Type Cons
SM MNStR )MON CO. 1341 ST. MWXW BLVD. , EACM
Owner of Building Address
1319 ST. ANDREW 1-7AT. L7, B2 FAIRWAY HIIIS
Building Addre s ,
L-11W
Date: i1 WST 12, 1988
Building Official
POST IN A CONSPICUOUS PLACE
V
k -
MECHA PERMIT #
NICAL PERMIT RECEIPT # 'Vex-
^
CITY OF EAGAN
CITY
3830 PILOT KNOB JUNr
I98A
ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHO NE: 454-8100
1319 S
54teAddes t. Andrew's Blv d, S
T
?, BLDG. TYPE WORK DE
CRIP
ION
Loth', Block sec/Sub xxxxx
Res. New
_
a- Mull Add-on
m Den
Name
Address 14745 S P
, H
outh Robert Tr
ail Comm. Repair
U)
City Rosemount,
III Phone 423
-1144 Other
55068
FEES
L
c Name Songs C
1334 St onatruction
i
'a nl
d
d RES. HVAC 0-100 M BTU -$24.00
00
ADDITIONAL 50 M BTU - 6
Address .
in
v
rey - .
3
0_
City
W Phone (RES. HVAC INCLUDES A/C ON NEW
?. CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 125 M BTU 0.00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
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 GOES
Gas Piping Outlets # 1 1.50 BEYOND $1,000)
Other '
31.50
FEE:
i
S/C: ' 50 SIGNATURE OF PERMITTEE
TOTAL: 32.00
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
:T PRICE PHONE: 454-0100
Lot T, Block
Name
Addre,
c City
Name _
3 Address
O City -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # ck` `1
DATE: r
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
(?0. FIXTURES TOTAL
7 Water Closet - $3.00
-
- S
f
Bath Tubs - $3.00
=Lavatory - $3.00 _
Shower - $3.00
z
Kitchen Sink - $100
Urinal/Bidet - $3.00
/ Laundry Tray - $3
00
.
/ Floor Drains - $1.50
/ Water Heater - $1.50
Whirlpool - $3.00
-
Gas Piping Outlets - $1.50
/
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
T
STATE S/C:
GRAND TOTAL: - ` ?? `?
CASH RECEIPT
CITY OF EAGAN
. 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AECErvm I
FROM
AMOUNT
& DOLLARS
100
? CASH CHECK
FM -c;
BY TL
WhOe- Copy
K-8 ellow-Posb ngn9 Copy
WOo 84150 Ye
Pink-lie Copy
1
Thank You
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt
To be used for 5F !,,4G/GAR Est. Value 4148.0oo Date KAY 1,7 ,19 88
Site Address 1319 ST ANDRM BLVD. s
Lot 7 Block 2 Sec/Sub. FAIRWAY HILLS
Parcel No
cc Name SONS CONSTRUCTION CO.
i 1311 ST.
AGAN AANDQFWS BEY-1Address 452-898
o
Cily F. Phone 4
o Name SONS OONSTRUCTIOA' CO.
;k - SAVE
0 4 Address
f City Phone
¢
Name BII; ASTING
UW
i ST ANDRS11iS BLVD.
z Address
X
"z City Phone
W
< .
I hereby acknowledge that I have read this application and state that the
information is cogect and agree to comply with. all applicable State of
Minnesota Statutes and City of Eagan OrdMancds..
•
Signature of Permittee .6
A Building Permit is issued to:. SONS ?Ji+ST. CO.
on th4l express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy R-3/N-1
MWCC System A Zoning K-1
On Site Well (Actual) Const Vt1
City Water X (Allowable) Vn
PRV Required * of Stories
Booster Pump Length 461
Depth 45,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 032,00
Planner Surcharge 51.00
Council Plan Review 316.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
Road Unit 204.00
Treatment P1 325.00*
Parks
TOTAL 2,803.00
BLDG. PERMIT NO.
/-,?o+ 7 ,-P-Poelz. a f-ar
01-3210 Bldg. Permit
?°`
U?
01-3422 Plan Check 3 I co OU
01-3445 Surch./Adm.
` 01-3446 SAC/Adm. s c
r, 1 01-2155 Surcharge
75-3860
Road Unit rr??
`.v
Od
20-2275 SAC j 44
S
20-3865 Water Conn. O dO
20-3868 Water Trmt. (f?) LA CXO
20-3716 Water Meter -co
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
1 79-3866 Sewer Conn. O O
28-3855 Park Ded.
TOTAL
CITY OF EAGAN Permit No: Date
3830 Pilot Knob Road Meter No: '7'd r S 7 g-3 Size: ce
".O. Box 21199 Reader No. 447D '7 Date: Zy?B?
Eagan, MN 55121
Sons coast.
Site Address: 1119 Sr _ AndrLyw Rl u 'J A-- Fairway Fills
Plumber._ TnImAnn Fxe jR C Pl an!biny
Conn. Chg: '.? BAPd Zoning: Rl
Acct. Dep: `> ` iQPd No. of Units: 1
Permit Fee:
Surcharge: I agree to omply with the City of Eagan
Tr. Plant __ In 4 Ordin c (??I?
Meter.
Misc.: By
MIT
Conn. Chg: 550-OW
Acct Dep: 15 _ tZQl d
Permit Fee: 1 - 0 cj? '
Surcharge:
Tr. Plant 2 Q1 4 .0a
Meter. 00P4
Zoning: _
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
CITY OF EAGAN Permit No: Date: 5- 2 -as
3830 Pilot Knob Road-- B/ P No: Date: ` -7
P.Q. Box 21199
Eagan, MN 55121
Owner. °nst
Site Address: 1 19 S [ 1,7 1rw-av J
Plumber. Jnhnsotl
MWCC: Zoning, r'
City Chg: 1010 00 No. of Units:
Acct Dep:
I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
CITY OF EAGAN Permit No: °' Date: 6'712 "'
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121 ?
CITY OF EAGAN NO 8994
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 }
BUILDING PDE IC Receipt a . ?. 1
To be used for 3-SEASON. PORCH Est. Value $'9,000 Date MAY 2 19 91
Site Address 1319 ST ANDREW BLVD
Lot 7 Block 2 Sec/Sub. FAIRWAY HILLS
Parcel No.
I x. I Name J G RUTHFORD & L L WIETHOFF
o Address 1319 ST ANDREW BLVD
City EAGAN Phone 688-2212
R Name SAME
gg Address
City Phone
r
Name
23 Address
aw City_
Phone
I hereby acknowlege that I have read this application and state th9t the
information is correct and agree to comply with all applicable St le of
Minnesota Statutes and City G'Eag?an Oyrc?ya?Pces 'f
Signature of Per?a?"
A Building Permit is issued to, J G 14M M OR L L WIEITUFF
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3-IL-2 FEES
Zoning
(Actual) Const Bldg. Permit 108.00
(Allowable) Surcharge 4.50
k of Stories
Length Porch 14x16 Plan Review
Depth DeCk ].8X12 SAC, City
S,F, Total
SAC, MCWCC
S.F. Footprints
On Site Sewage Water Conn
On Site Well Water Meter
MWCC System
Acct. Deposit
City Water
PRV Required S/W Permit
Booster Pump SAN Surcharge
Treatment PI
APPROVALS Road Unit
Planner Park Dad.
Council _
Bldg. Off. Copies
Variance TOTAL 112.50
X338432 ??oa /
Request Dale Fire No. 'on
?y / fl Q uiretl? ? Ready Now )(Will Notify Inspector
When Ready?
Yes No
10 licensed contractor• tRowner hereby request inspection of above electrical work at:
Job Atldress (Sl"L Box or Route No.) City
131`( ST. &w 3L90 GAGA
Section No. Township Name or No. Range No. County
i?AK0'fA
Oocupant(PRINT)
' Phone No. -
- RUTNFCQD/
t_L WlcF7-r+-0r-r
Power Supplier Address
Ko T A EU_zTE Lc
Electrical Contractor (company Name) Cordraclor§ License No.
ct F
Meiling Aodress (Connector or Owner Making Installation)
Autho tl 'nature (CO ectorlOw ki ns IW6on PMne Number
$3S /4d$ Ales.
MINNESOTA STATE BOARD OFELECTRI THIS INSPECTION REQUEST WILL NOT ..
GNgg"Idwey Bldg. - Roam S-073 - BE ACCEPTED BY THE STATE BOARD
1621 University Ava., St. Paul, MIN 55104 UNLESS PROPER INSPECTION FEE IS
PNOrw(612) 642-0660 - ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
I? See instructions for complefing this form on back of yellow GUpy.
a 3 8 4 3 2 - x' Below Work Covered by This Request
New A8o RcIT- . Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial ' Furnace p2coQ T\ `'= F PuAi.?
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 100 Amps
Transformers Above 200 _ Amps 00 Amps
Signs Inspectors Use Only:
2 TO
TAL SD
Irrigation Booms ?
Special In spection
Alarm/Communication -DISCC.
THIS INSTALLATION MAY BE O NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby RO1sh-in oats
certify that the above inspection has
been made. Final oats.
OFFICE USE ONLY
This request void 18 months from
This request void l_/p/%pyy
18 nwnths from Ui ^X JO
D 30506 ,-A
S?Zs-7?;'
!'? Oj
?y ucenseo t,ectnco, -mnracto, 1 hereby request inspection of above
? Owner electrical work installed at:
Street Wires., Be. or Route No. 1 City
17>(9 ? ORs (5Cv D left
ection No. Township Name or No. Range No. County
Occupant (PRINT)
So n.S Ca 2c?
o? Phone No.
sq'z
Power Supplier
may.,
OJ T-v \ t t of
Address
ocsl
Z--0 J? ?`
Electrical Contractor (Company Namel
1
Contractor's License No.
'
?.?t?c R 4C o?f23Z1-?
Mailing Address (Contractor or Owner Making I nswilat i onI
DU
L
N
z IJ? T I A
-
Authorized Si ature ICont to nor Making Installation)
??? Ph/o n?er.N umber ?1 ?t?
C..1 lY ? ? ? ( W
v
MINNESOTA STATE BOARD OF L CTRIC ITY THIS INSPECTION REGUEST WILL NOT
Griges•Midwey Bldg. -Room N- 1 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
IF See instructions for completing this form on back of yellow copy.
5 0 6 'k" Below Work Covered by This Request
Add Rep. . Building Appliances Wired Equipment Wired
Home Range Temporary Service
DuPlex Water Heater Lighting Fixtwes
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo llnloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other specs v Other si,"fyl
t e pacify Other Oth„r
Compute Inspection Fee Below
a Fee Service Entrance Size H Fee FeedersrSubfeeders # Fen Circuits
0 to 2Q9 Amps 0 to 30 Amts 0 to 30 Amos
Abo 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms Pa rt is l•
Signs Special Inspection ?j
$ T
em»rks 237 OT FEE?
final
the
or, hereby V
that the abo,?
'.ion has,F'
515`11
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675
New Construction Requirements
• 3 registered she surveys showing sq. ft. of lot. sq. ft. of house; and lig rooted areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• I set of Energy Calculations
• 3 copies of Tree Preservation Plan it lot platted after 711/93
• Rim Joist Detail options selection sheet (burgs with 3 or less units)
DATE
g.Es-
Ramodel/Renair Requirements
• 2 copies of plan
• l set of Energy Calculations for heated additions
• l she survey for exterior additions & decks
• Indicate h home served by septic system for additions
VALUATION 4 Q 3?K,d ,
SITE ADDRESS I ?tl OI ?& Jmcke.W Q) \S1 MULTI-FAMILY BLDG -Y _N
TYPE OF WORK ?C?r ?6 /?_ 1(. I¢ <e FIREPLACE(S) _ 0 _ 1 _ 2
SELA ROOFING & REMODELING. lief,
APPLICANT 4100 EXCELSIOR BLVD.
MN 55416
STREET ADDRESS Inannmn5n CITY STATE_ZIP
TELEPHONE # CflIZ'?Z3-$?tf(a CELL PHONE #
FAX #
PROPERTY OWNER ?)ct--?A y-e? l t\ TELEPHONE # yS`( - 9a 3 S
COMPLETE THIS SECTION FOR %%NEWa RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the Information Is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
j/,.
Signature of Applicant
and agree to
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
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.) ? 31 Ext. Alt- Multi
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. All - 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 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
- Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - lee & Water - Final _ Pool _ Ftgs _ Air/Gas Tests - Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
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
Building Inspector
LOT Z BLOCK -,I- SUBD. ?a ri u, n g/ IU10
RECEIPT #411L 9r / DATE ' /&fs
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: eCommercial GPM
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated, lY// &? , W,,-e- ,r 9141.
Installer: ?eot, &,(,- A?4 Owner ? Plumber W
Street address- C20,P - 7
City, state & zip code: /zr1,9/?<<. , /?ys r??4hone #: f,7,?
Owner Name- G49r
Street address, / 3t 9 Jl: /A&«. ? c
City, state & zip code: ?I< - Ss/o2? Phone #:
Irrigation contractor, if different than installer:
Telephone #: ?yll & 3
I hereby acknowledge that I have read this application, state thatthe information is correct, and agree
to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify
the property owner that the City of Eagan assumes no liability for any damages caused by the City
during its normal operational and maintenance activities to the facilities constructed under this
permit within City property/right-of-way/easement.
L6
Applicant's signature
Approved by:
PRV ? Yes ? No
Meter Size & Cost
Ir"Le
Title
Date:
New service ? Yes ? No
Fees due: a? Calculated by!ac?
-b ?/ 5? zn?fc
74
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protective Inspections at 6814675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 oer connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer - (not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on anew service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water tum-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
1991 BUILDING P Il"APRICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
qq
APR 2g
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
3 - 54-P A-bM4
To Be Used For: n
rOKCM 4NQ DUCK, Valuation: - '-?69- Date: o2S 9/
Site Address 13113T }ADf_'E' O BLVD.
Lot 11 Block ?
Parcel/Sub
owner .T RU FOP.-J) L, L. 1,?11LsTlft?FF
Address 51M14c
City/Zip Code
Phone6 a
Contractor &A-Mir
Address
City/Zip Code
Phone
Y
Arch./Engr. _
Address
City/Zip Code
Phone #
Signature of Contrac
JG"OOV OFFICE USE ONLY
FEES
Occupancy 2 3 M.2 Bldg. Permit II9,D?
Zoning Surcharge S10
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length?4N" ?4 w Water Conn.
Depth peZk /B X/Z' Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit ,
S/W Surcharge
On site sewage- Treatment Pl.
On site well Road Unit
MWCC System Park Ded.
City water Trail Ded.
PRV Copies
Booster Pump
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL l`1
Bldg. Off.
Variance
agrees that all work shall be done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?n2G
Ahxiy= ZZv x yob a
D?? j crz7 D
??Gd flA' ??? Ova-'
0•*
17-00+
5.00+
w 0.50+
122.50#
Sous CniusT.
ROSE 0 '400'°'
ENGINEERING C pLAHNIEAS S and LAdLA D
LAHHRD 9UAVEYOIlS
COMPANY, INC.
1000 EAST ISSN STREET, 6URHSVILLE. UIHHEEOTA SS337 PH 432-3000
Cnr"j_ cCXzjC S tr ?e r.?
gcl crf?p>?iox: L077, BLACX 2, FAIRWAY HILLS,
S 89'48'07"E DAK0 7-A COUNTY,MINNFSOTA
120.00
(I°rs:O)
r N CO
-r ,
a 0
- - - - - - - - - - - - - -
'I LOT -7
I - ?
DRAINAGE AND %_mu-rY
EASEMENT
, ED
(IOU, 5) - 11
1 c E l
'141 P? zs oo ?.
X5I ,00 ? V 4tSL'y /4, S?n
.?
L _
Js
?? ?? 5g o
l7BA,r2255.. '
S7- gNDR ~
L .'?a zs` 3 VV
\
.i
(b v,
J P ?
/
/
3C' FRONT BUILDING
SETBACK tJNE
DRPL
SCALE I "- 30'
(/2_z`7:o) DENOTES EXISTING ELE NATION
(1o7 7,S) DENOTES PROPOSED ELEV4VON
INOKATES DIRECTION OF SURrACE
DRAINAGE
/oZ7.83 MNISWED GARAGE FLOOR ELEVATION
I hereby certify that this is a true and correct representation of a tract of
land as ahOwn and described heracn. As prepared by me on this &,7k say of
_/?AY 14 88 .
?Sinn. Bas. No. /6095
CITY OF EAGAN N_ 15 0 8 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #344 ISO
To be used for SF DvIG/GAR Est. Value $118,000 Date MAY %7 ,19 88
Site Address 1319 ST ANDREWS BLVD.
Lot 7 Block 2 Sec/Sub.FAIRWAY HILLS
Parcel No,
: Name SONS CONSTRUCTION CO.
T Address 1311 ST. ANDREWS BLVD
City EAGAN Phone 452-8984
o1Name SONS CONSTRUCTION CO.
o< Address SAME
City Phone
wW lName BRIAN ASTING
i? Address 1322 ST ANDREWS BLVD.
M- w City EAGAN Phone 452-8984
I hereby acknowledge that I have read this application and state that the
information is correct and agre to comp Cable State of
Minnesota Statutes and City o an c
Signature of Permittee
A Building Permit is issued to: SO S NST. CO.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes y of Eagan Ordinances.
Building Official r
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3/M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const Vn
City Water X (Allowable) Vn
PRV Required # of Stories
Booster Pump Length 461
Depth 45,
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 632.00
Planner Surcharge 59.00
Council Plan Review 316.00
Bldg. Off. SAC, City 100.00
Variance SAC, MWCC 55000
Water Conn. 55D100
Water Meter 67.00
Road Unit 204.00
Treatment P1 325.00
Parks
TOTAL 2,803.. C
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS It OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: #jqm - Valuation:
Site Address
Lot J- Block ?i
Owner 50/1 J CG rrsT
Address /3// 57-AN bnecr s l3LuJ?
City/Zip Code 'L A&A'ty 11 a-3
Phone _/' ,-- p `JAS/
Contractor 5611 3 6-'Prr Ca
Address i 3, j ST ANDI A4'
City/Zip Code t?+4'&AiJ S SJi3
Phone ?S /i_ P?Y'f
Arch./Engr. ?? I m/d ?sT/.iCs
Address [> // ST AdDaeIeds'
City/Zip Code EA-&A) ST Jai
Phone S y, a-'F 9,f LJ
i ^:t s'i iJt38
Ian
Date: S - 17-
OFFICE USE ONLY
On site sewage_ Occupancy F-3 M-1
MWCC system ? Zoning R-I
On site well Actual Const V• N
City water Allowable V-0
PRV required # of stories
Booster Pump Length_
Depth AIS
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 62)Z,0
Planner Surcharge 00
Council
Off Plan Review
City
5 524 SAC , OO
O
1
0.0
.
Bldg. ,
CC 0
SD
00
Variance SAC, MW .
Water Conn ASQ • ?O
Water Meter /or?, 00
Road Unit Oy.00
Treatment Pl Of)
Parks
Copies
TOTAL O
VALIDATION
G,sF RA?Gl:
12n2Z a/. ((
12 X 20 ;N o
2 x ( / of
2x3 r (??
4s8 x /y. U?3Z
gAs??r
I X2LI - 50,1
ss-b
M
112-4x12= )34s??
ZN'D fLoop?
Z/ ?K y 2 Sgt
3x 20= `o
I x PL (2
1 G 6
'7600 X 4? . 1-1 o?! Z)
Mr_liN rLooR
ZNn r[ooh = 160
KX - = S4
L nS : I'?
)03 yq= 5656$
? 17°128
t
i
,S°us CavsT
ROBE ? CCHSULT i42
NG CHAS AS and d LA LARD
D ?UAVEYOBS
PIAHHE
ENGINEERING
COMPRNY, INC.
MOO EAST 1461h STREET, BURN-VtLLE, MINNESOTA SS337 PH 4:!2-3000
cl ?'-=??P?2O7L' LOT 7 BLACK 2, FAIRWAY HILLS,
5 89° 48'x7'rE DAK07A COUNTY, MINNESOTA
120.00
0015..)
I ?Go
- M
In
O_ .? O_
r _ _ _ _ _ _ _ _ _ - - - -
5I LO T -7 ?s
I 1
lloZ 4o?
DRAINAGE AND unu-nY
EASENAENT'
By,
PIEG
L) QVL6,5) Q°24.0) .1027,0, ?uv
Q 2r,an Sew, `
?I
I
L
L- i
I zs-.o 4
P,eo? ?
O
t 7
IZSe ?'.r+0
ea `y ig ? (la 22
iuG7i 8
.i / /
-'•58 0
4 ?255
r; •3
S7_ ANDREVV
q Co V, -
A • ?
y •i
?
Mn,
SCALE I'= 30
3C' FRONT BUILDING
SETBACK LINE
(joz-7_o ) DENOTES EXISTING ELEUA"nON
L.Z (/oz7.5) DENOTES PROPOSED ELEVA77ON
INDICATES DIRECTION OF SLAW-E
DG,4)NAGL
rte` /02? 83 FIN)SHED GARAGE FLOOR ELrwnON
,o
I hereby certify that this is a true and correct representation of a tract of
land as shown'and described hereon, As prepared by me on this 47,w -day of
IN4y 9.1988. =.
1? / Jiinn. Its. `1to. /bn85
r '
OWNCR:
L.oZ91'd EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
i?1 21E
•TE ADDRESS: L'7 T3 2 F, )xuy,41/
iONTRACTOR: SOad ? tD^IS'riZ?pl( DATE: PHONE: LFSZ?S3SS
DETERMINE WORKING SQUARE, FOOTAGE OF EACH:
TOTAL EXPOSED WALL AREA........ ?fy? 41 sq ft x "U" all
TOTAL ROOF/CEI LING AREA........ ? rJ G( of sq f t x "U" 026 41.45
3• TOTAL EXPOSED WALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,.. ?- sq ft
t
a) Total wall window area:
glazed,,,,,. ft x "U"
glazed,,,...
sq ft x "U"
b) Total door area III sq ft x "U"
c) Total sliding glass door area:
32- M-L
v ?g
glazed..... 12-0 sq ft x "U" _ , 72
glazed...... sq ft x "U"
d) Total fireplace wall area tVv sq ft x "U"
e) Total wall framing area
(Average 10`+.).........
SO 1 sq
ft
x
"U" 9
o l O
f) Total net wall area above
floor (Insulated)...... .
sq ft x "U"
q) Total rim Joist area..... r?
. sq ft x "U" a0 . (
?t
p ?
p
Total foundation
area (Exposed)......... ( 2(y sq ft
h) Total foundation
window area ............ . sq ft x "U"
i) Total net foundation
area above grade....... . g?to sq ft x "U" a O 7
y' TOTAL a) thru 1) Zofv
• If Item M3 Is the same as, or less than Item NI, you have me
:flCAR 1.16008 A and 0. t the Intent of
Page 1
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/ceiling area........ { sq ft
J) Total skylight area....... sq ft x "U" `
k) Total roof/cellinq framing
area (Average IOY,)...... [51 sq ft x "U" •9 Z- >l
1) Total net insulated
roof/cellinq area...... . sq ft x "U"
4. TOTAL J) thru 1)
If total of e4 is the same as, or less than R2, you have met the intent of
2 MCAR 1.16008 A and 0.
I
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items H3 and N4 shall not be greater than the sum of items N1 and 02.
1. Z(74- 14 + 2. ?l 4 S ` 33 !57, t:> 4
3. 2-.52.3ep + 4. 31-93S f-LI-4 ,2-4-
C E R T I F I CAT I O N
i hereby certify that 1 have calculated the "U" factors and "R"
values herein and that the building here described meets or exceeds the State
of Minnesota Energy Conservation Act.
S gnature
-5 --Z 3 -a8
(Date) page 2
19 ?..
• EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: ?c tiS ?f /J rT
ADDR ESS:
C`?9TRALTO R: Sati's Cc-?J? DATE: 5-- 19- PHONE: 7)?-d J? `?
DETERMINE WORKING. SQUARE FOOTAGE OF EACH:
TOTAL
EXPOSED WALL AREA
I g1 r sq ft x "U" 11 2I 7,30
!. TOTAL ROOF/CEILING AREA,,,,,,,, I sq ft x "U" .026 3 Z•6a
i. TOTAL EXPOSED 14ALL AREA CALCULATIONS :
Total exposed wall
area above floor,,,,,,,, sq ft
a) Total wall window area: t
(
glazed.. I g z sq ft x "U" r" r '7"1
P?
.
glazed , , , sq ft x "U" `? , 20
b) Total door area ,,,,, ^ sq ft x
C) Total sliding glass door area:
glazed...... o sq ft x "U" S a -7 3
glazed....., sq ft x "U" '
d) Total fireplace wall area sq ft x "U" o
e) Total wall framing area
(Average IOg).......... ! G I sq ft x "U" I O (
O
.
f) Total net wall area above
floor (Insulated)...... 1451 sq ft x "U" .04
a j$,04
q) Total rim Joist area...... 2. sq ft x "U" 014- m o
Total foundation
area (Exposed)......... sq ft
h) Total foundation
window area........... sq ft x "U" m
1) Total net foundation
area above grade........ sq ft x "U" a
` TOTAL a) thru 1 )
If item w3 Is the same as, or less than item NI, you have met the Intent of
."CAR 1.16008 A and 0.
Page 1
4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
Total exposed
roof/calling so -ft a
J) Total skylight area....... sq ft x "U" •
k) Total roof/ceillnq framing
area (Average int)...... 125 sq ft x "U" .o%7(a 3.4S
1) Total net insulated
roof/ceiling area...:... 11 2. ci sq ft x "U" • 02-+ 21.10
4• TOTAL J) thru 1 ) 3°,SS
If total of 04 is the same as, or less than 02, you have men the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items /3 and N4 shall not be greater than the sum of items NI and #2.
i. + 2.
3. + 4.
C E R T I F I C A T'I O N
I hereby certify that I have calculated the "U" factors and "R"
values herein and that the building here described meets or exceeds the State
of Minnesota Energy Conservation Act.
S gnature
(Date)
Page 2
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*x xxxxxxxexxxxxxxxxxxxxxxxx.rxx x}
NOTE: PAYMEW OF FEE AT TIME OF xxx f
APPLICATION DOES NOT CON- '
y*, STITVTE APPROVAL OF PP3b1IT. ?
r t
f INSPBMCN OF SEWER AND/OR WATER
INSTALLATIONS WILT. NOT BE SCIDOLfD
,*} UNTIL PERMIT HAS BEEN APPROVED. ;
++ttr+++f»frrtr++fffatrfttrrrrrrr+rrf
of eagan
(PLEASE PRINT
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q INSTITUTIONAL/GOVERDP=
2), NAME:
ADDRESS:
CITY, STATE, ZIP:
(Month/Year)
SIDLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
c
kl?
Z., LCr 62rd v'f if C , -,W ? .S--f-V ' ?S?
PHONE: Z L/
9 Slo
- For City Use
3) m NAME: P1 eru rs License:
ADDRESS: Active
Expired
CITY, STATE, ZIP: S irO f ?? Not recorded
PHONE: MASTER LICENSE # St
afT Imtia
NAME:
ADDRESS: 1,17-7 A
CITY, STATE,. ZIP: z ? m e-? -?*7 r,---,
PHONE: C/« -
S) • •? a• t ?•
[?R`ONNECTION TO CITY SEWER CONNECTION TO CITY WATER a OTHER
6)
** THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP.
* PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONTACT YOU IF THERE +
* ARE ANY PROBLEMS.
?**************,t,t*****,r**+e******w***?*t******+*********+*****:t***,t**?tt*t****,t*********,t*,t+*******,t`y
FOR CITY USE ONLY
PERMIT # ISSUED
r 77
Pd w/Bldg. Permit FEES:
$ $ /
C .S-Z) SEWER PERMIT (INCLUDE SURCHARGE)
$ /
$ WATER PERMIT (INCLUDE SURCHARGE)
//
$ lr^-;7 O $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ ACCOUNT DEPOSIT - WATER
$ °C'o Z1 $ WAC
$ 4' ?C O Z7 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ y',D $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ / C, 7 / ` on $ TOTAL
RECEIPT Tf-f
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1319 St Andrew Blvd
Lot: 7 Block: 2 Addition: Fairway Hills
PID:10- 25600- 070 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451 -6835
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Kerry 1 Guerin
1319 St Andrew Blvd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA092291
12/11/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158642
Date Issued:10/23/2019
Permit Category:ePermit
Site Address: 1319 St Andrew Blvd
Lot:7 Block: 2 Addition: Fairway Hills
PID:10-25600-02-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kerry J Guerin
1319 St Andrew Blvd
Eagan MN 55123
(651) 454-9035
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179570
Date Issued:10/11/2022
Permit Category:ePermit
Site Address: 1319 St Andrew Blvd
Lot:7 Block: 2 Addition: Fairway Hills
PID:10-25600-02-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Kerry J & Pamela J Guerin
1319 St Andrew Blvd
Eagan MN 55123--215
(651) 454-9035
Eroof Llc
5220 Richwood Drive
Edina MN 55436
(763) 286-7742
Applicant/Permitee: Signature Issued By: Signature