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1391 St Andrew Blvd
41,I1°. City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK ink Permit #: /� Permit Fee: i V V Date Received: Staff: -z 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-24 -200 Site Address: /0 c1 Tenant: J Suite #: RESIDENT /OWNER Name: Address / City / Zip: / 3 9 c�i �' sof l /tt)5 Applicant is: Owner Contractor Phone: TYPE OF WORK Description of work: / i CQ I•t..'L/C-i444-1f Construction Cost:l 0 Multi -Family Building: (Yes / No X ) CONTRACTOR Name:/2C tV C7 (L.; /,(1, a s- /94(.0,4-&7; ` / Licensee #: .Z o 6 ? / 790 Address: 4075-94/V / O / (.0,4- �7; S •/ J e City: 4®!%GiZ_ State: KAI Zip: 57.E: p / Contact:'i Email: 4i,L 417 iii Qy k7e- AI 7✓cl t4/j/y/Lf, C -t0 Phone: 671 Z r /-.5/' 9 0 - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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.gopherstateonecall.orq 1 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 isnot 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 Applicants Printed Name X / '( eI ,li ' t.(,)efilf : efi Applicants Signature Page 1 of 2 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMITDATE ',,20/89 WATER PERMIT # 1()24i SEWER PERMIT # 11381 METER 4JI- ?2 79f B.P. RECEIPT # r+ q # odd 3'// y-3 B.P. RECEIPT DATE 1119/8 METER SIZE ,S-F lfkc C ISSUE DATE o' - PRV X BOOSTER PUMP SITE ADDRESS ik • SLR' LOT BLOCK 5 SEC/SUB FAIRWAY HILLS 1 ADDRESS: CITY, STA? PHONE: - ZIP PLUMBER: t t" ADDRESS: 12201 MINNETONKA BLVD CITY, STATE MTKA ZIP 55343 PHONE: 935-2521 OWNER: SUNSHINE CONST ADDRESS:- CITY. STATE PHONE: t-_52-0995 ZIP PERMIT REQUESTED SEWER X WATER _ TAPS COMWIND X RESIDENTIAL NEW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: en 12 SI TURE WHEN MET UED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN 3830 Pil t b Fed k ; ; , /ti C. PERMIT DATE o + no . ER PERMIT EWER PERM T P.O. Box 21199 WAT # S I # --7-T Eagan, MN 5?121 METER # B.P. RECEIPT # 1 READER # B.P. RECEIPT DATE - ` METER SIZE ISSUE DATE - PRV y BOOSTER PUMP SITE ADDRESS PERMIT REQUESTED LOT BLOCK SEC/SUB FAIRWAY HILLS APPLICANT:' - ??? - SEWER x WATER _ TAPS ADDRESS: COMMAND X RESIDENTIAL CITY, STATE, ZI P PHONE: NEW - EXISTING PLUMBER: ADDRESS: 12201 MI NNETONKA BLI; I AGREE TO COMPLY WITH CITY OF CITY, STATE ;T::A ZIP EAGAN ORDINANCES: PHONE: ?5-221 OWNER: '"' S'i 1NE CON' T ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT --cliY OF EAGAN r 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ' ! I i8 RECEIVED t .. FFK*A l AMOUNT $ d & DOLLARS IW ? CASH n CHECK FOR l _ -, I f a T11 I± t-: White--Payers Copy Yelbw-P-*V Copy Pink-File Copy Thank You BY 01-3210 Bldg. Permit 011-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. /? o0 TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 iY . •) PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GU Est. Value $126,000 Site Address 1391 ST ANDREW BLVD Lot 2 - Block 5 Sec/Sub. FAIRWAY HILLS W Name SUNSHINE CONSTRUCTION It Address 2121 CLIFF DR City HACAN Phone 452-0995 Name _ Address City - Name Address Phone 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. Signature of Permitee A Building Permit is issued to: SUNSHINE CONSTRUCTION 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 Receipt # 19 89 OFFICE USE ONLY Occupancy R-3 K-1 FEES R 1 Zoning - V-Nt 730.00 (Actual) Const Bldg. Permit (Allowable) V-N Surcharge 63.00 # of Stories 365.W Length ST ' Plan Review s 100.00 Depth SAC. City S.F. Total SAC, MCWCC 5759W S.F. Footprints 550.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System 30.00 City Water ? ??• Deposit 20' PRV Required SIW Permit Booster Pump XX S/W Surcharge 1.00 Treatment Pt 228.00 APPROVALS Road Unit 325.00 Planner Park Ded. Council Bldg. Off. Copies 3, 077.00 Variance TOTAL x.6063 DATE: 1/20/59 1391 ST ANDREW BLVD., L2, BS, FAIRWAY HILLS 1 x Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO LL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following ,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. 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. DATE: 1/201§9 -1491 ST ANDREW BLVD., L2, B5, FAIRWAf HILLS 1 XX Your Sewer & Water Permit for the above property has been completed. It will be held at the Publ Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO QAI L PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. `Your Sewer & Water Permit for the above property cannot be completed for the following jeasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until turther 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. 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. BUILDING PERMIT To be used for • DWC r GAR :126.000 Site Address 1391 ST ANI)F0.; DLYD Lot Block 5 SeciSub. FATFWAT HITU Parcel No. W Name SUPSUINE CONSTRUCTION o Address 2121 CLIFF DR City E G 0, Phone 452-0995 c Name SAME Ov I cc U< Address city Phone Name - Address City - I hereby acknowlege that I have read this applic tien?d state that the information is correct and agree to comply WIVall applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A Building Permit is issued to: `f ' C.rJtd51'riUC'tIOP! 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 CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # 16463 OFFIC E USE ONLY Occupancy -j hi-1 FEES t .-1 Zoning N I3U .'?`. (Actual) Const - = Bldg. Permit (Allowable) V-N ?• Surcharge 63.00 # of Stories ? ' 3 E 3 00 ' ,,Length -on, 5Z ?'- -PIa n Review SAC. City 100 000 S.F. Total 335.00 SAC. MCWCC S.F. Footprints 550.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System XX 30.00 City Water XX Acct. Deposit ?C" 0r) PRV Required S/W Permit Booster Pump XX S, W Surcharge 1 ' 0 2 2S ' CC' Treatment PI APPROVALS Road Unit 3 2 J 00 Planner Park Ded. Council BIdg.Off. Copies '?,J77.OC Variance TOTAL Permit No. Permit Holder Date Telephone # WATER - G A? SEWER PLUMBING ?? ] l L (• G ` / 7 / H.V.A.C. ru?3:nb i?C //t3 ? ELECTRIC 9 yL ,, q 3 7 / ?? Inspection Date I.W. Comments Footings 1 3p LL Foundation Framing Roofing Rough Plbg. -/c - A -G Rough Htg. Isul. 20?? r fCr ?v ?O/S 6? / ?'?l Fireplace ?/Y ,( ?N DK 3- 2 z-e Final Htg. ,?•g Final Plbg. V Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final y-t l\ ?JS /? ?, e f b c k * f ll ep &.A Deck Fig. Deck Final Well Pr. Disp. y . . -4 (Urtifiratt of Orruvaurg Citp of Cagan Deportment of Wui bfttg JnsVtrtion 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 huddt'ng construction or use. For the folio wing: Use cla ae .tion SF MIGAR Brag. Permit No. 16063 Occupancy Type R3M 1 zoning Mtrict R 1 Type Const LVN owner of Building SMME (W$& }- CN Address 2121 ?.IFF 17R1?1E, EAGAN Building Address 1391 ST. ANC J BLVD. Locality L2, BS, FATRWAY IMI S APRIL 27, 1989 Building Ofii POST IN A CONSPICUOUS PLACE PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # RECEIPT # DATE: lK?. r Z5 Name 'ia Addre: c City Name 3 Addre: p City _ BLDG. TYPE Sec/Sub Res. ? Mult. Comm. 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 CITY OF EAGAN WORK DESCRIPTION New Add-on Repair NO. FIXTURES Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 _.4-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 ,-Laundry Tray - $3.00 --/-Floor Drains - $1.50 -,4-Water Heater - $1.50 -/--Whirlpool - 53.00.:. ? _/-Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) -4-Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _.,?LRough Openings - $1.50 TOTAL s . r f ! FEE: STATE S/C: GRAND TOTAL MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN PHONE: 454-8100 Sec/Sub Name C41'44_143 M ! /A/(9 PA m Address ^? - ?? f f c City r r i; Phone a_ Name r c Address iia 1. p City Phone TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other r M BTU M BTU M BTU M BTU ?- CFM 1 FEE: S/C: TOTAL- # Office Use Only: BLDG TYPE WORK DESCRIPTION Y Res. X- New Mutt Add-on Comm. Other Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU HVAC INCLUDES A/C ON NEW RES - 6.00 . ( CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 146 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) r NATURE OF PERMITTEE FOR: CITY OF EAGAN 5 3 '21eq/ 3 4 99.07 4,z, RNW Data ?/? ( Fire No. Rough' nspeciion 9 Tt eatlY Now ? Will R ? I ( O Yes ? No ead I licensed ntractor ? owner hereby request inspection of above electrical work at: Job Atl x or Route No.) / /31 / x City tee Section No. Township Name or No. Range No. Cou 7^^''^^ `` ? Occupant (PRINT, a r f Phone No. T/ .??I r! ? Power Su 'r S Address Electrical CpnbaMr (Company Name) ContractJor§ Licens?ej No. Mailing Atl ss (COmractor or Owner Making Installation) -X 3 S OL, L? c I / - Aulho gnature (CardractodOwner Making, lla0on) ( l ? Phone Number I 6 _ , 1 . za L -?, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phi (612) 6024800 ENCLOSED. 3j/ 2 irg, REQUEST FOR ELECTRICAL INSPECTION 11: Ee/-0-WM.m _ ? $ee instructions for completing this form on back of yelbw copy. 5?r1 S 9 7 4 "X" Below Work Covered by This Request ew Add Rep. Typeot Building Appliances Wired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace 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 0 to 100 Amps - Transformers Above 200 Amps A Amps Signs Inspecbrt Use Only: L) U TOTAL .v Irrigation Booms ( -77- J pecial Inspection S 2 Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in . Dale Certify that the above inspection has been made. Final r 14 p, pp -! Oey1 V,5,? a QC OFFICE USE ONLY IThis request void 18 months from PERMIT JI a? RECEIPT DATE: Q3 8008 RnII)ENTIAL PLUMBING PERMIT APPLICATION CITY OF RA 6AkN 3630 PILOT KNOB RD EALCiAN, MN 55122 651-661-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: /3 J S-/ AA ?eLI) r3/r<d OWNER NAME:: ff?Pl e TELEPHONE #: (AREA CODE) INSTALLER NAME: TELEPHONE #: ? -?? 73 - S?yU c/ STREET ADDRESS: (AREA CODE) CITY: STATE: 114 t^ ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ft h t Addi fi t t l l l di t d t ddi i l 50 00 er ers. ng x ures o ower eve s or room a ng wa er so eners an wa ea t ons, exc u $ . - Abandonment of septic system. Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ sv . I hereby acknowledge that I have read this application, state that the information is correct, and agree to com h 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 n damage caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City p p Irighto a ent. SIGNATURE OF PERMITTEE 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN LJ o 3830 PILOT KNOB RD, EAG AGAN MN 55122 651-681-4675 New Construction Requirements . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 5 - ?o -D ?- SITE ADDRESS 1. I. - cQi ?+? rJ?n ?ra? 1W1-tt MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK/. Q -a-0 6unt ? FIREPLACE(S) _ 0 , 1 _ 2 APPLICANT VtA e ro4'r STREET ADDRESS c=)1a00Q i_A; GCCITY LAI iay,1( " STATE WtPn ZIP SSO (k TELEPHONE # CELL PHONE # 61a - ?(0 SDQ FAX # 4'56-`I- /oR -- / Sal rt bst Lips-67" PROPERTY OWNER C-CA- TELEPHONE# ------------------------------ ------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ 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 Fee: $90.00 MAY 2 8 ZOD7 ----------------------------------------------------------------------------------":- . - _---- -+------------- 1 hereby acknowledge that I have read this application, state that the infor rrect, and `agree to comply with all applicable State of Minnesota Statutes and City of Eagan nances. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths Remodel/Repair Reautraments -? • 2 copies of plan . 1 set of Energy calculations for heated additions • 1 site survey for exterior additions & decks . Indicate if home served by septic system for additions _ Phone # Lawn Sprinkler No. of R.I. Batts g? VALUATION 4 Lt Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 002 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. 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 Windows/Doors ? 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 Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) - Plumbing _ Foundation _ HVAC Drain Tile Other _ Roof _ Ice & Water _ Final - Pool _ Figs _ 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 MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 7 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft, of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE r/ I j 911- SITE a O 0a SITE ADDRESS TYPE OF WORK '# r7o, ;?5 C'ecf,1 q _23 va RemodegRerrair Requirements • 2 copies of plan • t set of Energy Calculations for heated additions • 1 site survey for exterior additions& decks Indicate if home served by septic system for additions VALUATION Andrew Ah/d APPLICANT T0-'/_MC/7k MULTI-FAMILY BLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS ?74S 36- hL /t CITYLakgo I/gOSTATEAIAI ZIP 0 Y-2, CELL PHONE # 6671 a 0F- 6 9A'/S- FAX # Q i'ce: 6SI -'7704/6d? PROPERTYOWNER SC'074 /410)0k TELEPHONE# t/Q_f_6?c2 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY pR ( 0 T M Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINN FFeehu (,f submission type) . Residential Ventilation Category 1 Worksheet Submitted . New rgy Code WEnergy Envelope Calculations Submitted _ I SD Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Phone # Phone # Fee: $90.00 Fee: $70.00 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 Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Air Conditioning Heat Recovery System Updated 4102 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. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex 11?19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor` N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant V l i 2 ?u¢ MC/ES S t a uat on Occupancy em ys 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 Y HVAC _ Drain Tile 7 Other Roof _ Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ _ - Siding _ Stucco _ Stone _ Fireplace _ R.I. - Air Test _ Final Windows (new/replacement) Insulation - - Retaining Wall Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Z5 Approved By Z Building Inspector ------ - ------------------- ------------ - ------- - - - - -------- - - - - - LL ??3? ?n?7° 7 a CITY OF EAGAN CASHIER: JS TERMINAL NO: 765 DATE: 08/14/00 TIME: 09:00:24 ID: NAME: J. SCOTT APPLE 3210 9001 1391 ST ANDREW 60.00 2155 9001 1391 ST ANDREW 0.50 Total Receipt Amount: 60.50 CR135712 TTCTM: TT)- TATT 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF FJ?GAN ,- .? a5 ` 3830 PILOT KNOB RD - 55122 -1b U , 851-681-4675 New construction Requirements Remodel/Repair Reaulrements ` U > > 3 registered site surveys stowing sq ft of lot, sq. ft. of house and go roofed areas (20% mrndmum lot coveroae allowed) 2 copies of plans (show beam A window sites; poured find. design; etc.) 1 set of energy calculations 3 copies of free preservation plan it lot platted offer 7/)/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: 2 copies of plan 1 set of energy calculations for healed additions 1 site survey for exterior additions & decks CONSTRUCTION COST: Name: APPLf, !( I I Phone#: 651 L4OS8ga0 PROPERTY Last First 1 ?) l (? OWNER Street Address: 151 J A! ?I ?-E-AI V O??° D City 7?k?-A y State: I? Zip: Company, Phone #: _ (area code) CONTRACTOR Street Address: Ucense # Exp. City State: Zip: ARCHITECT/f ENGINEER Company: l?r I Name: y Telephone #: ( ) Street Address: Registration C City State: Zip: Sewerhvater licensed plumber (if installing sewer/water): Phone #: i hereby acknowledge thal 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 Ordinances. -S aQnZA_ Signature of Applicant. ci r I OFFICE USE ONLY Certificates of Survey Received Yes No F2ECEIVEI) ; AUG 14 2000 Tree Preservation Plan Received Yes No Not Required BY: BLOCK: 5 SUBD./P.I.D. #: C' %,( W Q lit L(--, OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16 plex E3 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? ?.7 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 aned) Porch (sc ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 m Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WO K TYPE 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 ding Si Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code f 3 # of Stories sq. ft. No. of Units G 1 Length sq. ft. No. of Buildings U Width Footprint sq. ft. Const. (Actual) I Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Ston e APPROVALS Planning Building Engineering Variance ? 31 Fact. Aft -Multi ? 33 Fad. Aft - SF ? 36 Mind Permit Fee X60 • S O Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: ?( f1. S 0 Valuation: SAC Units % SAC SURVEYOR'S CERTIFICATE SUNShIN@ CONSTRUCTION R liy all. t 'aL ;aio..4- /g V ? ?p ./p/ rya / /a,^ 4r *01 J /0 c. x ' hll?-`\ i A rona.e i4 .d Osy JII, <JOJn,a \ \?O h v Y o Q? h sa3 IL z / Ad ql \ A?? ?°aRa ? APO o?1EAGAIN O 'REV1EWE13 --- - -- DENOTES PROPOSED SURFACE DRAINAGE / O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET 0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR- 1037.3 FEET XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - IOZq. !o FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 1037.7 FEET WE HERE13YCERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 5, FAIRWAY HILLS, ACCORDING TO THE RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF JANUARY 19S9 PROPOSED GRACES SHOWN WERE TAKEN SIGNED; JA E A. L, INC. PX7,4- FROM THE GRADING, DRAINAGIE,ft ER OSION DONTROL NTROG PLAN AN FO FOR FAI FAIRWAY HILLS, PMPARED BY PROBE ENG.CO., c_ INC., LAST DATED 5-5-88 BY HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m ,1 n O - O r m `m N? y it t3 L', r j n M z V G' G) Z mn . 21 O James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. a BLOOMINGTON. MN, 55431 a 812.884.3029 REQUMED...... ; 1989 1UILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS W O INCLUD40SETS OF PLANS,?VERTIFICATES OF SURVEY, 6; ET 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 # 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 1 To Be Used For: a1 Valuation Q? Date: Site Address Lot 2 Block -,'?? I I Parcel /Sub;&tp jA?4 `aiw=-- YET Owner Address City/Zip Code Occupancy Q-3 M / Zoning < Actual Const V41 Allowable 1141 # of stories Length S2 Depth 3 6?_3 3 S.F. Total Footprint S.F. FEES Bldg. Permit 7 3 0 Surcharge G3' Plan Review 3(? - 5-SAC, City /'?10 SAC, MWCC C9-5- Water Conn SS Water Meter 0 D Acct. Deposit 30 S/W Permit zD S/W Surcharge Treatment Pl. zZ Road Unit 3Z- Phone On site sewage - h Contractor ??-?hY(?.Gt te On site well ? MWCC System _ City water Address 2(? ?L(?-- PRV required r2 e ( Booster Pump City/Zip Cod ice J n ?r ?? APPROVALS P Phone ?b lanner Arch . /Engr . ? Mmro;?--Iz • }/?cr?FLL(- Address .:fMok ?•? City/Zip LCCW(l -EY Phone # ep4- Council Bldg. Off./(b Variance Council Park Ded. Copies TOTAL NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and water permits is two days once a licensed plumber has applied for a permit at City Hall. V vex ?y = Z /bs6 X /3 !s fi ?r Ygk JS' ? ?2Z 3z?r/z ?gY X6;0 Zti? y2xiy = ??z z 'Z = ?i?Y,rly- f'}? 4 ? ?72P S-2 x/30 5z) v30 CITY OF EAGAN N9 16063 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 PHONE: 454-8100 Cl i-'r -C.d BUILDING PERMIT Receipt # t,To be used for SF DWG/GAR Est. Value $126,000 Date f 9 . 19 89 Site Address 1391 ST ANDREW BLVD Lot 2 Block 5 Sec/Sub. FAIRWAY HILLS Parcel No. W Name SUNSHINE CONSTR UCTION o Address 2121 CLIFF DR City EAGAN Phone 452-0995 o Name SAME ?? Address City Phone w Name w ?w _3 Address 0 aw 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. Signature of Permitee teeCF7 A Building Permit is issued to: SUNSHINE CONSTRUCTION on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City y,ofyE?agan Ordinances. Building Official h 0114 ,id, i y ? f tl-1 OFFICE USE ONLY Occupancy R-3 MM=1 FEES Zoning RR1 (Actual) Const -V-N Bldg. Permit 730.00 (Allowable) V-N Surcharge 63.00 # of Stories 12 ' Plan Review 365.00 Length - Depth 36' SAC. City 100.00 S.F. Total SAC, MCWCC 575.00 S.F. Footprints Water Conn 550.00 On Site Sewage On Site Well Water Meter 90.00 MWCC System %}L Acct. Deposit 30.00 City Water X}L PRV Required SAN Permit 20.00 Booster Pump X1L SiW Surcharge 1.00 Treatment PI 2 2 R - 00 APPROVALS Road Unit 325.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,077.00 SURVEYOR'S CERTIFICATE A ' j ti o4 „ vje'3 a ^ti?? l°'b•4 V P, ?i --f a / )?v p0? A ^? ?`k Qr 1 SUNSHINE CONSTRUCTION LC r V 11 E By--- Date Date 1-_I $ X84 EF?GAN ? EiZTGZ:`;li iG ` ??L171' 70 , r ?03? dg l1 r \ ?sa roses \ .d Ao, o64 1 ?O :I p to .4 r? V 0 1 p h ^ 30 03 ?a ' a7 ?t? 9 /3 u A, A, ?l yo-( M / / 9 ? /J Q oae.r , 0 I roa ???41 I ft}9Y? H° ??4y ? re\ ? Q?? / 903 i/p32aa d S REOUlmal L /,>I a, e 0 ..9Mi -? DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION r tg ?1 ql / ?V .* 1,?Ib*rr,* EVIEWE0 ?Y ?.. . SCALE: 1 INCH - 30 FEET PROPOSED GARAGE FLOOR - 10373 FEET PROPOSED LOWEST FLOOR - 107,9- & FEET PROPOSED TOP OF BLOCK - 103'7. 7 FEET WE HEREBY CERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 2, BLOCK 5, FAIRWAY HILLS, ACCORDING TO THE RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13TH DAY OF JANUARY .1989t PROPOSED GRADES SHOWN WERE TAKEN SIGNED: JAf E;,, L, INC. 07?4_Ak= FROM THE GRADING, GF C/ EROSION CONTROLNTROL PLAN AN FOR FAIRWAY HILLS, PREPARED BY PROBE ENG.CO., INC., LAST DATED 5-5-88 BY' HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 s M n -n ? A O O a? v a m ? C1 - 0 NE ? :. a N L O ? rn? ? ? V O ? rn p 0 m tp James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812.884.3029 ,` .. ' .. ?.?..J;I -.I•? '1....012 CITY OF BUILDING DEPARTMENT. ' ` EXTERIOR ENVELOP AVERAGE "U" COMPUTATION (To be submitted with building permit application) One or Two Family Dwelling All Other Contractor <L-0-1 a(4 k , Owner?i??? ??. Site Address 11 ST .?? Date Phone. LINEAL FEET OF ! EXPOSED WALL 4PAQUE WALL CONSTRUCTION: "U" Value X Area' ft. above grade = CJ I TOTAL EXPOSED 14ALL AREA SQ. FT. ;?De[ail "U" X SQ. 4reference "U" ./ X SQ. C? CIA from 7 "U" X SQ. attached `T "U" X SQ. 4 64- ;,'sheets. fluff X SQ. full x SQ. ?o- . "U" Value X Area FT. 2G (,Q?+ Z`3.fo? (U) (A) FT. MC-? A) (u) ( FT. .! (U) (A) FT.? 11 4?, (U) (A) FT. _ (U) (A) FT. _ (U) (A) ke & Type null , X SQ. FT. f _ cx ??A (U) (A) ke & Type "U" X SQ. FT. (U)(A) ke & Type "U"? X SQ. FT. ('J) (A) ke & Type _7"U" X SQ. FT. (U)(A) "U" Value X Area 6 Type 47;75,`,, , " " 71 •: G (U) (A) & Type lull X SQ. FT. (U) (A) & Type "U" X SQ. FT. _ (U) (A) & Type "U:! X SQ. FT. _ (U) (A) TOTALS ? ( ::5)4 P ej4- SQ. FT. 2S?5 . O? (U) (A) AVERAGE "U" DIVIDED UBY A VALUES TOTAL WALL AREA Z / '?-C Z ©? AVERAGE "U".11 or less for 1 &01 family dwellings f RDOF/CEILING: yyFTOTAL AREA } l Old ??" Detail reference "U" 0 '[,??J X SQ .. from "U" X SQ attached sheets. "U" X SQ {Describe openings "U" X SQ to roof. X SQ ,:TOTAL (U) (A) VALUES DIVIDED BY TOTAL ROOF/CEILING AREA VERAGF "U'..025 for ventilated roofs. FT. I ??) L .I (U) (A) FT. (U) (A) FT. (U) (A) FT. _ (U) (A) FT., _ (U) (A) TOTALS (422e? SQ. FT. Z_ ? ) (A) ---WALL SECTION Determining "Uu values at Roof, Wall, Rim, and Conc. Block ROOF/CEILING 1.) Interior Aix rilm 3.) Insulation 4.1 5.) Exterior Air Film (STILL) R VALUE Mt 4D .61 "U'r = 1/R= C?' •?J TOTAL (R)a 4 1-7& WALL 6.) Interior Air Film 7.)'112' 8.) Insulation _ 11.) Exterior Air Film (R) VALU$ 0.68 l c}, c?O .17 ffult = 1/R= O TOTAL (R)_ I'-J ,Ot RIM (R) VALUE 12.) Interior Air film 0.68. 13.) Insulation C2n,-) 14.) l'?'L' C6Z ?Li`f , as 15.) Y3(_IIIT ?1=z lrtG 7 O4- 16.) V?tQ?t-?CT'r? SrCf?C9 (n'j . 17'.) Exterior Air Film .17 oUn = 1/R= + O?? "TOTAL (R)=,2 4.4? FOUNDATION 18.) Interior Air Film 19.) 20.) 21.) 22. 23.) Exterior Air Film (R) VALUE 0.68 t I, e2 rj, 00 .17 0 uUu = 1/R= ( TOTAL (R) (VIA 2?k1?= I??G7? x 4 4.0, 2 X41, (off 0 '9- 7o lf as c1ty OF acican ZZ 1W 3 713 9 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE! (612) 454-8100 Special Assessment Search Date: /-e20-L??J Requested By: D C R Re: On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the city Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly your ^s, v SPECIAL ASSESSMENTS Attachment VK: EWSON Ma of THOMAS EGAN DAVID K GUSTAFSON PAMELA MCCREA THEODORE WACKIER comma Membe THOMAS HEDGES OIy A*n bftalor EUGENE VAN OVERBEKE alycl" Z.5 J THE LONE OAK TREE ...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY TRANSACTION ID: 8768 SPECIAL ASSESSMENTS SP ECIAL ASSESSMENTS SEARCH SU MMARY PROPF =tT'V '.D.. T ODAYS DATE: 01/20/89 ----SPECI AL FLAGS-- -- 1-2-3-4- 5-6-7-B-9- 10 10-25600-020-05 S.A.# ASSESSMENT :DESCR. YR YRS RATE TOTAL ANN.PRIN. PAYOFF COMMENT 1,01350 .--era SEW TRI: :: 87 5 9.00% 66.48 73.29 219.88 101351 WA' -TRK 87 5 9.00% 352.3B 70.47 211.42 10135 'SIR' RI< . 8 7 .00% 586.96 11.7..39 352.1E 101353 ; ICI WATER i.-a p B7 .., - 9.00% 17._L-?.56 35.71 107.14 101354 STREE! 9 5 9.00% 195.56 39.11 117.34 101355 TRAIL. 87 5 q.00% 273.69 54.74 164.21 1OP466 PILO`' KNOB PD 00 0 .00% 27.00 87.00 87.00 PEND i x x# t .UMW A OF ACTIVE 1953.63 390.71 1172.17 COMM ?#•??r*? THIS _`i::A4t'.. - TOT P°; I 531.42 ## # }.> SUMMARY OF PEED IN 3 07.00 B7.0--) PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155505 Date Issued:05/20/2019 Permit Category:ePermit Site Address: 1391 St Andrew Blvd Lot:2 Block: 5 Addition: Fairway Hills PID:10-25600-05-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christopher P Martin 1391 St Andrew Blvd Eagan MN 55123 (612) 723-1354 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature