610 Sally CirPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128433
Date Issued:11/12/2014
Permit Category:ePermit
Site Address: 610 Sally Cir
Lot:1 Block: 3 Addition: Selmark
PID:10-67100-03-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
David T Green
610 Sally Cir
Eagan MN 55121
(612) 554-1273
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
3795 Ptlof Ksob RoeA MN as~ u N~ 5 3 8 8
' • PHONL:4S4-8100
BUILDING PERMIT Recetpt #
Te be ~aed for Est. Value Dote , 14
5(te Address Erect ? Occuponcy
Lot 81ock Sec/Sub. Alter ? Zoning
pa~~ # Repoir p Fire Zone
Enlnrpe ? Type of Const.
W Name ~ ~ Move ? # Stories
~ i4ddress ~ Demolish ? Front ft.
Ci Phone Grode ? Depth ff.
°C Nome - • APV~~'als Fees
,o .
u~ ~re~ Assessment Permit
~ Ci Phone Water & Sew. Surchorge
Police Plan check
~,Z Name Fire SAC
Address Eng. Wnter Conn.
~W Ci Phone Plnnner Woter Meter
Council
I hereby ocknowledge thot I have reod this opplicotion and state thot g~d9, p{f.
the information is correct and agree to oomply with all cpplicoble APC Total
State of Minnesota Statutes and City o~ EagarLQjs~inances.
Signature of Permittee
A Building Permit is iuued to: ~ on the express condition tfiot
oll work sholl be done in accordonce with all applicoble State of Minnesoto 5tatutes and City of Eogan Ordinances.
Building Officlol
~ , w. . _ . . --T---- ~
~~ewk ~j Dah I~u~ ?~r~lMe~
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rouph-In Final
Footing5 ~ D~e Inap. Date Ir~.
Foundotion Plumbing
Frame/ins. Mechonical
Finai d
Remorks:
CITY OF EAGAN Remarks
Addition SEIMARK ADDITION ~ot 1 sik Parce~ 10 67100 O10 03
OwnerDLiui c~ Ff ,Di~cr~
t.Si~ 1_n st~eet 610 Sally Circle state Eagan, r~ 5512Z
~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 1 0 .00 2.12 2 Paid
SEWERLATERAL 1 1 00.00 11 1 P
WATERMAIN
'x' WATER LATERAL ].9 1,
WATER AREA
STORMSEWTRK 1984 41.g.~~ 2~.8~ 15
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
~UILDING PER.
SAC 2 1Q-2 - 2
PARK
PERMIT # ~3~
MECHANICAL PERMIT RECEIPT # 1°~'1 r~
CITY OF EAGAN ~ 5 h' ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad~lress " * T " BLDG. TYPE WORK DESCRIPTION
Lot~
~ 81ock , Sec/Sub Res. " New
J' l,/c Y i~~,'C-JL.
Name T Mult Add-on
~ Comm. Repair
c~,o Address ' ~ i ^ ~
c City V 1~gF Phone - -
FEES
Name ~ RES. HVAC 0-100 M BTU -$24.00
c Address SAME ADDtTiONAL 50 M BTU - 6.00
p City Phone 4 5 2- 2 8 3 8 CO STRUCTION UDES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PERnRin - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPLIES
Boiler M 8TU MINIMUM RESIflENTIAL 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 Oudets # BEYOND $1,000)
Other
FEE
S/C: ' SIGNATURE OF PERM EE
TOTAL• '
FOR: CITY OF EAGAN
~
~
~
~
~
~
, ~ cirir oF ~?~aN
3795 Pilot Knob Rood Eogan, MN 551?~ N~ 6 6 7 4
PHONE: 454-8100
BUILDING PERMIT Receipt
To be uted for Est. Value Dnte 14
Site Address Erect ? dccupancy
Lot Block 5ec/Sub. Alter ? Zoning
pa~e~ # Repair ? Fira Zone
Enlarge j] Type of Const.
W Ncme Move ? # Stories
= Address Demolish ? Front ft.
~ Ci Phone Grode ? Depth ft.
~ Name Approrols Fees
,o
Address Assessment Permit
~ ~h~ Water & Sew. Surcharge
Pofice Plon check
W W ~a"1e Fire SAC
~
Address Eng. Water Conn.
<W Ci Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have reod this applicotion and stnte that gldg. Off.
the informotion is correct and ogree to comply with oll applicnble ~PC Total
State of Minnesota StaYu#es ar+d City of Engon Ordinances.
Signcture of Permittee
A Building Permit is issued to: on the express condition that
oli work shall be done in nccordance with all applicable State of Minnesota Statutes and City of Eagan Ordinonces.
Building Officiol
~
v«nk # oet. r.w.e ~.n.~rr..
Plumbing
Mechanicai
INSPECTIONS D~ INSP. Rough-In Final
Footings (c 5- ~ Date Insp. Date Insp.
Foundation Plumbing / - g/
rome ins. Mechanicol
Final
Remnrks:
~ ' f~' -3 .T~t ~ f t ~'1~t + j f i
~ ~
~ • , _
4 ~
-rr~`f'%; :.r„ ~y'..~.,~ ~r?.f' f,jJi ,,.~z.,;,/
! JOHN ,1. RYAN GO. I
' 1595 SELBV ~VENUE, ST. FAUL 55104 . ~
I SCnLE: 1 INCH___.~):~._._.___FEET ~ . . TF.IFFHCNF., 64ti-6H5£)
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CERTIFICATE OF I OCATION UE' RL~ILd?ING ( I.EZT P~ ICAI OF 5L'RV";y il
~
~ I hereb~~, ce:+,~:g ~ h~t nn t~ 'l ^ f 1 on t.t ~ erUt) I~ n• , r.
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d re:.[ supc v.m~ nrtd thet 1 am o duly`Rcgistcnd I,nnd tiur di ~ i?~~prn i_:inu nnd chut i mm ~ du'~ I~'f.i. t.•red I.ui.~' ~i,
vevoruadc! tf,~eu~<~~.'~hBS~a[col~T~tlnenia. SUn~~~rnnd~,rthrla~v~ufthnti~ute~fRlinnisotn
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~ , cirr oF ~?caN '
" ~ 9795 Piler Keob Rood Faqan, MN SS1~ N~ 5388
• • PRONB~ 450-8100
BUILDING PERMIT APPLICATION Re«~pt # ~ ~772
To bs oted ler Gdrd4e & DI'iVEWd~st. volue 4,600. Date 9-d 1979-
5ire ndd~a 610 Sallv Circle E,~y ~ pa~P,,,~, g3
Lot 1 Blak 3 Sec/Sub. Alter ? Zoninp ~
Porc01 # Repalr ? Firo Zona 3
Enlarpa ? Type of Const. V
oe Nume ~~d F. Sltt]CO p # Stories
~ 610 Sally Circle _ Demorsh ? F~o~r z4 h.
C~ gan arw„e Grode ? oeven 24 ft.
o~ BaS1C Bl1i1dPS3 I11C. AVM~'ab Faea
Name
u~ 0 0 145 StL2Et W23t qssessment Permit
sm
Water 8 Sew. Surchorg~
G Phone
G~ Polite Plan check
~w N~^ro . Fire SAC
Address Enp. Water Conn.
<W CI Phone Plonner Water Meter
Councll
-I hereby ackrrowledpe that I ye read this appf~atlon and stcte that Bldg. Off.
the informetion Is correcf n ag ro oom ~ wit all appliwble 20.50
State of Minrresota Sta e ond LI ap nces. APC TWaI
Slgnature of Permitte~ ~'t ~~~jjj
A Building Permit Is issued D~l~~~ on the e~ress oonditlon thot
all work shall be dorre In a.rdan ~ Ith II ap ble State of Minnewta Stotutes ond CHy of Eapan Ordirances.
Bulldlrq Offlcial 'K -«~O ~•"~C~ ~
. • QTY FAC~,N ~3~ VInclude 2 sets of plans,
1 sit~e plan w/elevations ~
gUIIAiNG pgd~II'p ApPLi oN 1 set of energy calculations.
'!b Be Used Fbr CT f~+ ?q~L' V~t~1on ~ ~
s~te Aaaregs - 61 o SAI) C~.~ ~ or~ic~ oss au,Y
Lot 1 Eloc-x ~ sec.~sub. Iw, ~ Erect occupancx
Pazcel ~'4 ~
f~ Repair Fire zone ?
owrtier: 1~~ Rv; c~ F. S~'~ ~'t o f.hlarge Zype of Const. d
6~o SA1~4 ~iYt~e ~ # stories
Address• Darolish Front ~y ft.
Qty/Zip Code: ~A M~~ i~ Grade Depth ,~y ft.
Phone ~ S'~- SS 3SS
~~~vats ~s
Contractor: ~ A 5 i L L I I c' e v S~T,,,<. Assessrents Pesmit ~
Address: ~ ~ [4ate~/Sewer Sui+chan~e a ~
n Police Plan Check
City/Zip Oode: ~`.~Gervv,i.v~~ Fire SP~
1 ` ~q. Water Conn.
Phone # : ~ ~i ~ ~11--i ~ Planner Water Meter
Cotiu~cil Road Unit
'~'r~•~• ~ Bldg. Off.
Addiess: ~
City/Zip Code:
Phone '1C7i'AI. ~o?D ~
EAGAN TOWNSHIP
BUILDING PERMIT N~ 2~~8
Oweer Ea9an Toavnship
Address (preaent) .1.~..7..!..°........~~'....n.'~.."..`.'`- ~0.:...._. Toam Hell .
Bulldes ..................19~.-..^...::~.:..............................---........_............. 7- a-r~ - 7 L
Dale
Addreae
DESCRIPTION
Bforiea To Be Used Fos Front Deplh Heighf Eel. Coe! ermit Fea Ramarb
p ~ /o ~ .O.<-~-~-
/ Ar-:y 8'~G" ~G /7, ~°'O S 9~d° su~ ~-<.-r-,a.~-Ce..
LOCATION
SlreeL Roed or othee Deseription o! LoeaHon I Lo! Bloak Addiiioa os Trae!
(o/a N.cntiL..r_~ I ~ ~ ~aa~-^'~c~
T6L parmil doe~ no! aulhortse !he uee o! alreeL, roada, alleye or sideaelke aor doea f! gfvo !he omnas or 6L egen!
!he rSgh! !o ereate aap sftuatioa which L a nutseaea os whfeh preaeele a hesard !o !he heallh, setetp, eoavealanee and
genaral wellare !o enpoae !a the eommunltp. .
THIS PERMIi MUST BE EPi ON THE PREMISE WHILE THE WOAR IS IN PROGRE 8.
Thls !a !o easfify. !hel...~I
.s.^~:e.'-~......~-~..°
.................................has permiseioa !o arec! a.....~......~............._apoa
fEe above deearlbad premiae subJed !o !he provielona o! !ha Bu[]dlag Ordinenee !or Eagan owoeh~p a pled Ayrfl 11.
1855. ~I
_ ............................I~,~L:~:~.....~.'.~:'~:~--............. ra~ .........__......---..........4~:-li:.......
Chairman o! 7nan Hoard ~ Huild~g Inspeelor ~
• ~ / ~3 .S~inG.c,~
rowiv on EacaN
3795 Pilot Knob P.oad
Sagan, Minnesota 55121
PERMTT N0. ~
The Board of Supervieore hereby grants to N. lieltes HeatinQ_CO.
. of h63T Chioaao~6ve. So., Mple. 551t~7
a ASATIN6 Permit for: (Owner) 9s]~y Caa'poration
at 610'9a17y C11'C18 • , purauant to application dated
A/~c~/72
Fee Paid: $20.00 Dated thie day of ~Pt• , 19
~2.
. e 0
Bc~!.ding Inspector
/C1 /07/60 G/6 63
xowrr or $ncnrr S'~ /~n~r.C
3795 Pilot Knob Road
~ Eagan, Minnesota 55121
P~Rt-IIT N0. 2~
1Y~e Board of Supervieors hereby grants to ThCmPeCRI P11~b1nB Co..
of 12201 !4lnnetmka Slvd.
a P7mnBa16 Permit for: (Owner) 3a1~9 Camp~
at 610 38114 Cis'Ole &~~~"R6ed, pureuant to application dated
8/3t/72
Fee Paid: 0.00 Dated this 3~et day of ~~et , 19
72
1.09 0
Bu:lding Inspector
~ r
~ ~ ~ MASTER CARD ;
~ ~
LOCATION ' ~j 7 D ~ . . . ' ~ - -
!
OWNER ~ ~ '
STRUCTURE AND J X 2 - - _
LAND USED A$ ~Y/ Ot/
, ~ ~ ~ . ~ Issued To ~
Permif NO. Issued Confractor Owner "
BUILDING ~ ~ Q ~
PLUMBING ~ ~ ~ ~ - .
~ CESSPOOL - SEPTIC TANK ' ~
WELL °
' _
ELECTRICAL . -
HEATING ~ ~ .
~ GAS INSTALLING ~
' SANITARY SEWER ~ ~ ~
" OTHER ~ ~ 9~
OTHER -
~
Approved
Items (Initiaq Dete Remerks Distence From Well
~ FOOTING -7~'~ SEPTIC
FOUNDATION CESSPOOL
FRAMING ~ TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
~ ~ HEATING ~ 9 ~ ~ OF WELL
GAS INSTALLATION .
SEPTIC TANK .
~ -CESSPOOL . \
~
DRAINFIELD ~ .
~ PIUMBING 9 -/y~ ~
WELL
SANITARY SEWER ia-3 ~ 7~
L ~7'4./
w , ~
Violations Noted ~ .
~ on Beck
COMMENTS: ~
e
~ .
' h
r ~ • j
1
I Y
COMPLIANCE INSPECTION REPOR,TS
TO BE USED ONLY IN 6VENT OF OBSERVED VIOLNTIONS
PERMIT NO. OATE OF INSPECTION ~ ' ~ ~
i
CONDITIONS OF CONSTRUCTION AT TNIS -INSPECTION ~
~ ! ~ NO EVIDENCE OF NON{OMPLIANCE ? NON{OMPIIANCE. BUILDER DOES NOT ,
OBSERVED. INTEND TO COMPIY.
. ~ ACCEP7ABLE SU&STITUTIONS OR . ~ ~
DEVIATIONS. " ~ COMPLETION OF CERTAIN IMPROVEMENTS
~ WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NONLOMPLIANCE. BUILDER WILL COMPLY ~ '
WITHOUT DELAY. "
. { ,
. ITEMIZED AND DESCRIBED AS FO~LOWS: •
! t
~
~ ? REINSPECTION REQUIRED DATE OF REINSPECTION -
REINSPECTION REVEALED
t
' CERTIFICATION-Icertif thetlhavefarefull - ~ ~ '
Y y inspected the ebwe in which I have no interest prgsent or praspective, and thet I~ heve reported Aerein
all eipnificant condi2ions oluarved.to 6e ef varianea with ordinences of the Town of Eepan, epproved plens and ~ecificetiona, end any ~acifio requira ~
ments for off•sitn imprwements releting to tha property inspected. ~
ALL IMPROVEMENTS ACCEPTABIY COMPLETED /
~ ,
~ ' , BUILDING INSPEGTOR . DATE '
' ; COMMENTS: ~
. ~ O
~
~`aa . . . , - ' ,
~ 1
~ _ , 1 ~ . .
-y
~ EAGAN TOWNSHIP
BUILDING PERMIT N° 2969
OW6B= . . E9Q9I1 Township
...e~ ~
Address (Preeent) ...b.l......~ Town Hall
Sullder .....~fu-:~/.:~,~....../..~....................................:..................
Addsess .~LJ~i...:...Ll....°..'...`..~.~ Dale .~.-3.-...~3..........-----....
DESCRIPTION
Stoxie To Be Ueed For Froa! DeD~ I Hefghi I Esl. Cos! jPerm[t Fee~ Remask~
~ ~~~~I ~v
LOCATION
8lreet, Road or ofher Desariptton o! Lxatlon I Lo! Bloek Addi!!on os Trae!
~ ~ ~
T6is perml! doas no! aulhorlse !6e use oi atseale, roads. elleys or e[dewslka nor doae 1! giva !he omaae o: 61e ageat
fhe rfgh! !o ereale anp eltuation whleh L a auiseaee os whleh psesents a hasard !o !6e heallh, eafelp, eoavealenee aad
goneral walfare !o aapone !a f6e eommunity.
THIS PERMIT MUST SE REPT ON iHE PAEMISE WHILE THE WORB IS IN PAOGR S8.
Sh1a b!o eertllY. !he!_~,.....~'Sd- ..............................hes permission !o eree! a....... .........--•--....................................._apon
!ha ebove daxribed premiea sub~ea! !o !be provbloas oi !he Bullding Ordinaaee !or agaa 7'owaehip edopled Aprl1 11.
18bS. ~
a ~ ,n _ a'
................~~:`'.`.'T..........................~-~....... Per ....._......~7.~""`.........P....~.."~'~........'Q~....._-.'...................................
Cheirmaa ot Tnwn Board ~ " ~BuSldinq Impeelos
, ~
I'
~ ~ MASTER CAftD
LOCATION ~ ~ ~ /0 ~ ~ ~ -3 S~ m~,e%
OWNER
STRUCTURE AND
~ IAND USED AS
. ~ ~ . ' Issued To
• Permit ~ No. Issued Contractor Owner
BUIIDING 29 ~/,~rf 3 ~
~
VLUMBING ~ ~ ~ '
CESSPOOL - SEPTIC TANK ~
WEII
ELECTRICAL ~
HEATING
GAS INSTAILING ~
$ANITARY SEWER ~
OTHER
OTHER
Approved
Items (Initiel) Dete Remerks Distance From Well
FOOTING ~ SEPTIC
FOUNDATION . ' CESSPOOL ~
fRAMING TIIE FIELD FT.
FINAL
ELECTRICAL ~ DEPTH
HEATING OF WELI ~
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD ~ ~ ~ ~ . . .
PLUMBING
WELL
SANITARY SEWER
r
. Violations Noted
. . . - . on Back
i,
COMMEN75: ~ ~ ~
.
. i
; ~ -
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN 6VENT OF OBSERVED VIOIATIONS y.. ~
PERMIT NO. DATE OF INSPECTION ~ ~
~ CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON{OMPLIANCE ? NON{OMPLIANCE. BUILDER DOES~ NOT _
OBSERVED. INTEND TO COMPLY. ~
~ ACCEPTABLE SU&STITUTIONS ORr~ ~OMPLETION OF CERTAIN IMPROVEMENTS'
DEVIATIONS.
~ ~ WILL BE DELAYED BY CONDITIONS BEYOND
- ~ CONTROL.
? NON{OMPLIANCE. BUIIDER WILL COMPLY . .
WITHOUT DELAY..
ITEMIZED AND DESCRIBED AS FOLLOWS: ~ ~
, ,
~ ? REINSPECTION RE~UIRED DATE OF REINSPECTION ~
. ~
~ REINSPECTION REVEALED . - ~
CE RTI FICATI ON - I wrtify thec 1 have carefully insyected the ebove in which I have no interest present or D~o~tiva, end thet I heve reportad herain
all significent conditions obssrved to be at vaHance with ordinanees of the Town of Eepan, epproved plans end ~ecifieations, end any ~e~ifie require-
rtlen6 for oH~site imprwements releting to the property inEpecmd.
' ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED ' ~
. - . .
~ BUILOING INSPECTOR . ' - DATE . ' ~
•
COMMENTS: ~ . ~
~ . . . . . _ . ~ . . . . .
y ,
,
~ - -
EAGAN TOWNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
Telephone 454-5242
~ PERt~IIT FOR WATER SI3AVICH CONN6CTION
Date: August 28, 1972 Number: 958 .~Plh7~r~
Billing Name: Sa17.4 Corp. Site Addrese: 610 Sall,y Circle
Owner: same Billing Addresa
Pl~ber: Thompson Pitanbin~ ~o.
Location of Connectioa Meter Size Connection Chg. ~~~27~72
Meter No ~i3 Permit Fee ~o•~ ~ 8~25/'~
' :5~ p-cT"87"Zr/2
Meter ReadingL_ ~t~e,r Dep.
Meter Sealed: Yea ~ Chg. 60.00 pd 8/25/72
, NO 1bta1 Chg.
Inspected by
Date
Buildiag ia a: Remarka:
xes~aence ~ $25.00 RE-!f! i~tCl':OiJ FtE FO~~
Multiple No, vn~ta IMPROPERLY INSTALLED M ETERS.
Co~ercia 1
Imduetrial Hy:
Other Chief Inspector
In conaideration of the iseue and delivery to me of the above permit, I
hereby agree to do tt~e proposed work in accordance with the rules and
regulatioas of 8agan Towaehip. Dakota
Co~ nesota.
B~v
Thanpson Pl~bing Co.
Please aotify ehe abwe office when reedy for inypection and connection. ~
IiAGliP 10WNSHIP
3795 Pilot Rnob Road
St. Paul, Minnesota 55111
. Telephone 454-5242
, PERMIT FOR SEWSR SffitVICE CONNECTION
DATB: Aueust 28. 1972 NIR~ER 1117
OWNER: Sa1'I~p Cogporation . pddrees 610 Sal].v Circle S~/rki,P.~L
PLUI~ffiSR ~~nson Plimbine Co. TYPB OF PIPE Heav.Y Cast Iron
DFSCRIPTION OF BUIIDING
Iuduetrial Co~ercial Reaidentiel Multiple Dwelling No. of unita
~oc
Location of Copnectione: . Connection Charge~~•~ ~ 10/27/72
Permit Fee 10.00 pd 8/2$/72
.Opd 2 72 sc
Street Repaire
Total
Inepected by:
Date
Remarke•
By
Chief Inepector
In coneideratlon of the iaeue and d'elivery to me of the above peimit. I
hereby agree to do the proposed work in accordance with the rulea and
regulatione of Bagan 1bc•mship. Dakota~County, Mioaeaoea
Bp
Tho¢nnson Plwnbine Co.
Pleaee notify when ready for inspection and conneetion and before any portion
of the work is covered.
. ~ cirr oF eac,AH
~ 9795 itlot Kneb Rmd e~~e, MN 8S1]3 N° 6674
PHONF: 4348100 ~
BUILDING PERMIT APPLICATION ReteiD~ #
7o be mad ~o~ ADDITION Esr. va~~e 6500 oote ~9 21 ~9 81
Site Address fi10 SB11.9 C3TC1E Erecr ? Occupancy R3
Lot _ 1 Block 3 Sec/Sub. ~~rk Alter ? Zoning ~
parcel # ~O ~DT ~O O Cb / O O 3 Repair p Fire Zone -
David Sittko E"i°~° Type of Const. ~Tl
~ Neme Move p # Stories
~ Address 610 Sally Circle oemou~n ? Fronr 18 h.
G FA28i1 Phone /.52-2838 G~ade ? Depth h.
~ Basic Huildere, Inc. _ Aov~~~ F~•
Ncme
o~ Address (1 Lh~ifar 1~ -Assessment Permit 24.~
?Ci5 r. S ~.JR-
V~ CI ~ Rne~m^ t
- Phona _~i2.~~~~ Water 8 Sew. Surcharge 3. SO
Police Plan checklz•~
G„~W, N°^~ Fire SAC
Address Eng. Water Conn.
~W G p~~ Planner WoterMeter
Council Road Unit
I hereby ackrawledge tFrot 1 ho ryryryread this application and i te that Bldp. Off.
the Infarmafion Is wrrecf d dgre comply with a~H[abla $';q.50
$tate of Minnewta Statu a,orhf of a ~ onc ! APC Total
i /
SlOnature of Pertnittee
A Bullding Permit Is Iss ~ on the express condition that
oll work sholl be done I occordance it II opp ' nesota es and City of Eapan Ordironcea.
8uildirg OHlcial ~ ~
~ CITY OF FAGAN Include 2 sets of plans.
. 1 site plan w/elevations &
BUILDING PEfd~IIT APPLICATION 1 set of energy calculations.
Gy
Rb He Used Fbr ~j~g, ~f~v~E Valuation ~ Date 1~~~
s~r.~ Aaaress ti//7 .5~, D~, ~P OFFIC~ USE d[~II,Y
~t r B~~ 3 S~.is~ % 1 Ip 2 k' ~~v Q- 3
Paroel !v ~a ~ / ° ° 01 o a Atter zonirx~ ' - I
l1 Repair Fire Zone ~
Owner: ~v ~ d T'~' o Ehlazge ?'lYPe of Const. I/ n~ _
Address: (o I ~:41 ~ ; rcc~~ ~ Move # Stories .
Danolish Front / Y ft.
Qty/Zip Code: ~~9~r~nl f~~nn ~ Grade Depth Sl ft.
~
Ptwne ~ S~- ~ Fl3 8'
" 1 APPROVAI.S Ff~S
Contractor: ~.~5 ,c.. ~a.. l~F_f~ S r1-~.vt , Assessrn.nts Permit ~ 4~--
Pddress: ~(o ~U l~(c»z2 -~71~ •I,~ .?4ater/Sewer Surcharye
.3
~~7 Police Plan Q~eck / ? -
City/Zip Code: f~n;~n2a~,~v~~ ~m,.~.~ . ~Sb68'Fire SPG . /
~ ftg. Water Conn. ~1 /
Phone /r~a.~- ~J/!~ Planner Water Meter l//Ti'
Council / Road Unit ' "
P'rdi'/gxJ" Bldg. Off. (
Pddz+ess: APC ' I
City/2ip Code: ~ C~ ;~/i
Phame • 7l7PAL ~5 7 -
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165026
Date Issued:10/14/2020
Permit Category:ePermit
Site Address: 610 Sally Cir
Lot:1 Block: 3 Addition: Selmark
PID:10-67100-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 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 -
David T & Debra A Green
610 Sally Cir
Saint Paul MN 55121--232
Gold Star Contracting
3025 4th Ave E
Shakopee MN 55379
(612) 221-4553
Applicant/Permitee: Signature Issued By: Signature