967 Savannah Rd _ . • .
CITY OF EAGAN
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' ~ r~~^
t ' PHONE:454-8100
.BUILDING PERMIT Receipt#
To be used for ~'F Est. Value ~~4 y~ Date ~ 1' ,19 r~
Site Address 7 SAYAi!~AR R:; OFFICE USE ONLY
::3 P,1
Lot r Block ` Sec/Sub. ~~z?°""'T(k~ SQUARF On Site Sewage x Occupancy ~
, ~ MWCC System Zoning
ParCel No. l On Site Well (Actual) Const ~n
j~;, :(",1'j t,(~'~ ~Q City Water x (Allowable) Vn
a Name
W i~,~ ~ ,~X ~ PRV Required ik of Stories
z Address gg
~ Ciry """'V Phone -0 Booster Pump Length
Depth
, p Name S.F. Total
v Q AddfeSS Footprint S.F.
~ City Phone APPROVALS FEES
~ a Engr./Assess. _ Permit V•~
W ~
~Z Name Planner Surcharge ~
~ ~ Address ~~Ot
`W City Phone Council Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC ~
~
I hereby acknowledge that I have read this application and state that the ~~r~~
info?mation is correct and agree to comply with all .applicable State oi Water Conn.
Min~esota Statutes and City of Eagan 0rdinances. • Water Meter _~M
Signature of Permittee _ _ _ _ _ Road Unit ~
'*i~c NO'T~'id;D1D cJ 2~.=.i;;
A Building Permit is issued to: _ _ Treatment P1
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official_ -
„ , Permit No. Permft Holder Dat~ Telephone ~
Plumbing `i L ~~~c~^~ 9
'LC
H V.A.C. CI N~ ~
Electric _ '~~'O~ GG , / ~ ~ I.,NI'D
~ ~~l , - ; ~~/i~/~ ~58'°,~
Softener
Inapectlon Date Insp. Commellts
Footings I ~J~ ~ W
Footings 11
Foundation - ~
Framing ~
!G r ' f~ S
Roofing
Rough Plbg. ~~p
Rough Htg. ~ ns'
Isul. = ~
Firepface
Final Htg. ~_,Sj ~ ;
Final Plbg. , . G /
Bldg. Final
Cert Occ. ,Q,S
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
, , , PERMIT #
, PLUMBING PERMIT RECEIPT li `r' ~J-' ,
CITY OF EAGAN , ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRIC~: PHONE: 454-8100
Site Address " ~ f~ ~ ~ ~ ~ ` •~~BLDG. TYPE WORK DESCRIPTION
Lot Bloc~k. Sec/Sub Res. New
y E r* Mult. Add-on
, ~
~ Name ~f~~ ~ ' ` ~-C" . ~Comm. Repair
-°1 h ~ .
Address F' ~ Other
c Ciy r~ ` j~ ` Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES TOTAL
~ ~ i • r, ~Water Closet - $3.0o S
Name - - Bath Tubs - $3.00 }
3 Address 3 Lavatory -$3.00 ~
p City ~,1 r,' ' ~ Phone ~ ~ ~ ~Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - 53.00 ~
FEES ~ `
COMM/IND FEE - 19b OF CONTRACT FEE ~-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES T-Floor Drains -$1.50
TOWNHOUSE & COhJDO - RES. RATE APPLIES ~Water Heater -$1.50 '
MINIMUM - RESIDENTIAL FEE - $12.00 Wh~ripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~-Gas Piping Outlets - $1.50 ' y ~
STATE SURCHAFiGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
; ~ ~_Pri~ate Disp. - $~0.00
~ ' Rough Openings - $1.50 ~
~ ~ ~ ~ ~,i. ~ 4 ' 1 . . ~ . _ _~..~,~.~r~
~ / ~~L
SIGNATUFiE OF PERMITTEE `r ' FEE:
r
STATE S/C:
; f ' ~ U
i FOR: CITY OF EAGAM GRAND TOTAL: '
~
. R.,~,n.,,g-...z: ~
~ . . ~ ~ 2 MECHANICAL PERMIT PERMIT ~i ~ / ~i~ ~
, ~ ~ CITY OF EAGAN RECEIPT # - / ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: /~G'
CONTRACT PRICE: ( ` ` PHONE: 454-8100
Site Address f` BLDG. TYPE WORK DESCRIPTION
Lot r' Block, Sec/Sub Res. New ~
_ r
Mult Add-on
~ Nam
~ Address~n~p~,,..,~~ Comm. Repair
y ~*~T~^ 5 y~- i~~,- ~ other
c City
_ ~
+-f t ; ' ~ ~ r-
Name F-"~'' ~ RES. HVAC 0-100 M BTUEES _$2400
c Address U~ r ADDITIONAL 50 M BTU - 6.00
p Ciry Phone ~ 7~~ c 3` ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
' GAS OUTLETS (MINIMUM - 1 PER PEfiMI'n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMI7 PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
~ - ; ,
FEE: ` s ~ ' , i
S/C: SIGNATURE OF PERMITTEE
_ ~ ;
TOTAL '
F,: FOR: CITY OF EAGAN
's... _ _ _ _ -
CITY OF EAGAN Permit No: ! Date: ~ ~ " `
383a Pilol Knob Raad ~ Meter No: ~~~f 7~~f
r Size: ~/6' /?a~'K
R0. Box 21199 Reader No: j V~~ 7' ~ Date: L/~-~~
Eagan, MN 55121
,
Owner. - ~ ~
SiteAddress: c~.»nt•~h <<~.:~ LS B1 I^aington .~~i 'i!
Plumber._ `.~alle;r nl,;:n},in~
Conn. Chg: `r'~
Zoning: ^ 1
Acct Dep: No. of Units: '
Permit Fee: . ~ 0
Surcharge: •~4~ I agree to comply with lhe City oi Eagan
Tr. Plant ' . ~aOF~ Ordinances.
Meter. - t;? nr~ _
Misc.: gy ~ ~
WATER SERVICE PERMIT
CITY OF, EAGAN Permit No: 1{-'~'- ~ Date: ~ Z"
3830 Pilot Knob Road ~Meter No: Size:
P.O. Box 21199 Reader No: Daie:
Eagan, MN 55121
Owner. r r lts~ Co .
Site Address: '~=•2 S~vannah Rnad t~ 91 ' e~' i°~~ t on St} L t'-
Plumber._ ~':Li~~ PI_:~nh nv
Conn. Chg: ' ~ Zoning: ; ~
Acct Dep: No. of Units: j
Permit Fee:
Surcharge: I agree to comply with the City oi Eagan
Tr. Plant ~il~ Ordinances.
Meter F.7 ~ "~t~~
Misc.: gy
WATER SERVICE PERMIT
CITY O~ EAGAN Permit No: 1~ 1 f' Date: ;1-1-" 8
3830 Piloi Knob Road B~P No: $g3~4 Date; 1~?-1~-8c~
P.O. Box 21199
Eagan, MN 55121
Owner. 't~-,t~Yun~~ Co,
SiteAddress: Savzinna~ P.nac~ LS• R1 Le~:~r.;~tc,n ;a !tzt:
Plumber. ~Ialley P't,°,} + ^
5 50 . C~Opd i
N1WCC: Zoning•
City Chg: ~ No. of Units:
Acct Dep: 15.OQpd
1J . f~0 ~ agree to comply with the City of Eagan
Permit Fee: ~ Ordinances.
Surcharge: ' $ `~P`~
Misc.: By
SEWER SERVICE PERMIT
~ CASH RECEIPT a~~
. ~x
CITY O~ EAGAN
3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
DATE ~ + t ! . 19
r+~~o ~ ~ ~ ~
. cnow L':: ~ { ~ = ~ _ •
I
aMOUNT s ~
& DOLLARS
~oo
O CASH `Cl CHECK
~ ,
ron i
_ i - - ` ~ !
0
, - ,
, ; ;
-
~ FUND OB.IECT AMOUNT
Thank You
,
Bv ;
~ , YVhit~PaYere ~PY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
PHON E: 454-8100
BUILDING PERMIT Rece~pt #
To be used for S~' U~IG/GAK Est. Value ;6'`~~ Date ~~T~~F~` 1 ~ ,19
Site Address ~67 SAYANNAH kD OFFICE USE ONLY
3 1 I1t$INGTOIi SQUARB On SRe Sewage Occupancy '1~ r' ~
Lot Block Sec/Sub.
~ MWCC System Zoning r 1
Parcel No. On Site Well (ACtua1) Const
T~IB RdTTL~TIID CU ci~v water x (Allowable) ~~n
rc Name
W p p gpg 3 g PRV Required * or sto~~es
z Address ' • ~g
~ City ~$$ga Phone 571-03 Booster Pump Length
~ Depth ~
, Q Name S.F.Total
~ ~ i~ddress Footprint S.F.
r°C- City Phone APPROVAIS FEES
~a Engr./Assess.. Permit + '~'~~•a
W
Name ' .0(
~y W •
~ Planner Surcharge
Address -~~OR
a= Cit Phone Council Plan Review
s'L Y~ Bldg. Off. SAC. City
I hereby acknowledge that I have read Ihis application and state that the Veriance SAC, MWCC
i~formation is cOrreCt and agree to comply with all applicable State of Water Conn.
Mionesota Statutes and City ot Eagan Ordlna~ccs. ~ --~T 0~
. 1, t ~ - Water Meter
Signature of Permittee _ _ _ _ ~ ` Road Unit 32S.a
A euilding Permit is issued to:_ Tli;: ~OTTI.Ur1D CO Treatment P1 20~?•01
on.the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Park$ .~.'f~~ O'
. TOTAL ~
Buflding Official _
t CASH RECEIPT
~
; • CITY OF EAGAN ~
3830 PILOT KNOB ROAD
.
EAGAN, MINNESOTA 55122
DATE ~ " ! 19
~rvED
Fnow, ~ r ~ 1 ,
AMOUNT $ v ! _
& DOLLARS
~m
O CASH ,!-3 CHECK
.
Pon .
i
FUND OBJECT AMOUNT
, ~
` .
~ -
j~ '
~~~r , -
Thank You
BY
WhR~--Payers Copy
Yellou~Posting Copy
Pink-File Copy
~ 9
5
9 s.9,~.~ ~ i~~~
Reques[ ~~~~jj}e~~/ .J Frca No. ygh~in Inaperlfon
! O,/y ~ ired? ? ReaOy Now~ll NMiTy Inspaclor
j/~ CJ y~ ~ No When Reaay?
I ~ licensed contiactor ~owner hereby request inspedion of above electrical work at: ~
,bb Atltlress (Sireet, Box ar Raute No.) Ciry
~ 7 ~`9 Va r7.~a ~i ~c~ ~t1 an~
Section No. Towirehip Name or No. Range No. Courny
Da ka
OxupaM (PRINn P~one No.
/L7~tr/C. ~v{{mu.ci 12-45y-~1767
PowerSUpplier AtlCrees
Eleclricel Contractor (Company Nama) CoMraqw§ Licenee No.
Mailirg Pdtlrase (ConVac~or m bxner Making Inslellation)
q,-7 5a ~a v~ na ~~c~
ANlarized Sig re~acta rie 'ng InelalWtion) Phone Number
-~%l (~lz-'!Sy-~hb
MINNESOTA STAiE BOIIND Oi L HICRY THIS INSPECTION REOl1EST WILL NOT
6rigga-MlAway Bltlg. - Hoan 5773 BE ACCEPTEO BV THE STATE BOARD
18II7 Univerelry Ave., SL Peul, MN 55Y00 UNLESS PROPER INSPECTION FEE IS
P~o're (612) 862-~800 ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION eeooom-o'~/
, ~
? See Inswctions tor completing Ihis krm on beck of yelbw copy. C/~~/ ~f u
5 9 9 9 X" {~elow Work Cove~ed by This Request
e Add Rep. TypeofBuilding AppliancesWiretl EquipmeniWired
Home Range , Temporary Service
Duplex Water Heater Eleciric Heating
ApL Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm ~ Air Conditioner
OMer (specHy) ConlractorS Remerks: /1 [
Compute lnspection Fee Below: ~~l r/ n 1 S!v
# Other Fee # ~ServiceEntrance5ize Fce # Circui[s/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransfortners Above 200 _ Amps Above t00 _ Amps
Signs i~specrors use oniy: 70TpL
Irrigation Booms
Special Inspection
Alarm/Communication 3~
Ofher Fee
I, the Electrical Inspector, hereby pough-in ` oam
certify ihat the a6ove inspection has F„~ ~ oe~e G
been made. " 7-z~
OFFICE USE ONLV \
~ 7
Thie request void 18 manMs irOm
li/7/8~8" 8895~•3
~ 67687 r ~ ~ . Z ~j~°~'
Repuest Uata F' No. Ro~ghin I 'on ~
Re ire0? ? Reatly Now WII Nolity Inepactor
I- Ves ?NO W~enReady?
I O licensed. contractor ? owner hereby request inspec6on of a6ove electrical work at:
.bb Adtlreee (Slreat, Box or Rou~e No.) City
9 ~t 5~. E
Seclpn Na. Tamship Name or No. Range No. Couny
tCcrCfl
Occupent (PRIM) Phone No.
PowerSUpplier , Atltlrees
Y.t~fA -~r~
Eledeical COntrador (Compa~ry Neme) ConVac~or5 Liceree No.
c ~ ~i "1 -
Mailing Atkress (ConlraIXOr or Owner Makinp InstallaGOn)
y
HuthOnzed SigneNre (COrilrectalOxnar Makirg Installetlon) Phone Number
MINNESOTA STAiE OAflO OF ELECfA1CITY THIS INSPECTION FE~UEST WILL NOT
Grigge-Mitlwsy Bldg. - itoam &1]3 BE ACCEPTED BV THE STATE BOAR~
1821 UnHersiry Ava., SL Paul, MN 55106 UNLESS PPOPER INSPECTION FEE IS
Phone (61P) 842-W00 ENCIASED.
I j/Jv~`g"f~ REQUEST FOR ELECTRICAL INSPECTION ee-oaooi-m
C ? See instructlona br comple[ing tnis krm on back oi yeilaw copy. ^ ~~3
~ fl 7 6$ 7 `X" Below Work Covered by This Request
ew A~a- Rep. " TypeofBuilding AppliancesWired EquipmentWired
Home Range emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndusVial Furnace
. Farm ' Air Condi[ioner
Other (speciry) Contrador§ Remarka:
Compufe lnspection Fse Below:
# Other Fee # SenriceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 m 10o Amps
TranStormers Above 200 _ Amps Above 100 _ Amps
Signs I~pector5 Use Only: TOTAL
Irrigation Booms ~ ~j, 5
Special Inspection
~
Alarm/Communicarion ~J •O
Other Fee
I, the Electrical Inspector, hereby R°°9n-'" oere
certify that fhe above inspection has F~~i oa~e
been made.
OFFICE IISE ON~Y ~
This request vwd 18 monihs irom ~
~~/i~/~ - ~9~:~0
6 7 7], 3,~- ~ G
Request r j Flrk No. Raughin In '
` ~ Re 'red? ~ ? ReedY ~ ~ AI Notify Inspec1or
~5?-'4'"~ Ves ? NO When RBady?
I p licensed contraclor ? owner ~~fiereby request inspection of above electrical work aC
Job Addrew (Slreet, Box a RaRe No.) Cily
Gb~ Sa~anah "
Sedion No. Towr~s~ip Name or No.. . qange No. Counry v_~,
_ ~{1QT~
i
Occupant (PRIN'~ Phone No.
PowarSUpplier Addreas
DO.~-'D'R'G.' E~R[~t('CG:~..~~~.:~
EleMncal Contrec~or (Comparry Nema) ConVectorS Licanse No.
S nr se.. 3q1~ a-
Mailirg AEtlress (COniredor ar Owrier Maltinq~lnsblletlon)
u B3~ t~[i m PL_~ . ' , 5.
Aut~onzed Signature (COntaqo~/Oxner Meki'g'Installetion) Phone Num~er
• 5
MINNESOTA STATE BO qD OF ELECTHfCRY- : THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlway Bldg. - floom S1T! BE NCCEPTED BV THE STPTE eOAFD
1821 Universiry Ave., St. Paul, MN 5510I-', ~ UNLESS PROPER INSPEGTION FEE IS
Phone (61P) 892-0BW ~ ENCLOSED.
~~/~~ig~ REQUEST FOR ELECTRICAL INSPECTION eeoooo~~o~
~ See insnuctions ror complefing this iwm on back of yellow copg QC~ ~(J
-'X" Below Work Covered by This Request
~ ~7~3
ewAdd TypeoiBuiltlings~.~.= AppliancesWired Equipmen~Wired
Home ~,f.~ ~ Range TemporaryService
Duplex - Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJlndustriali~..:~. ' Fumace
Farm - Air Conditioner
Ot~er (specify) ' . Contractor5 Fema~k4:
Compute Inspection Fee Belowr;~,;~?'~'
# Other Fee: ServiceEMranceSize Fee # Circuds~eeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amps Above 700 _ Amps
Signs ' Inspactors Use Onry: TOTAL
Irrigation Booms ' ~
Special Inspection /1
Alarm/CommunicaUon ~ff ~
Other Fee
I, the Elechical Inspector, hereby ~ aO1~n-io ~ - o~ ~
cerfify that the above inspectioryFas:- F;ne~ o
been made. ~ ~ -~6
OFFICE USE ONLY
This request void ~8 monihs irom -
~ CITY OF EAGAN .
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 15732
` PHONE:454-8100 ~ ~ , 1
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $64, 000 pate OCTOBER 17 ~ y 88
Site Address 967 SAVANNAH RD OFFICE USE ONLY
5 1 LEXINGTON SQUARE OnSiteSewege - Occupency R3 Mi
Lot Block Sec/Sub.
4TH ADD. MWCCSystem X Zoning PD Rl
Parcel No. On Site Well (Actuap Const Vn
THE ROTTLUND CO cirywater X (Allowable) Vn
a Name
= AddfesS P•0. SOX 383 PRVRequired _ atofStories
o C~ty OSSEO phone 571-0304 Baoster Pump _ Length 58
DePth 48
, p Name Sl~ME S.F.TOtal
~Q Address ~ FootprintS.F.
~ City Phone APPROVALS FEES
~ W Engc/Assess. Permit ~ 430.Oi
Fw Name pianner Surcnarge 32.0~
i ~ Address 215.Oi
aw City PhOne Council PlanReview 100.0~
Bldg. OfL SAC, City SSO. Di
I hereby acknowledge that I ha e read this applicption and state that the Variance SAC, MWCC 550.0~
information is correct and agr to comply wit ty'$II pplicable State of Water Conn.
Minnesota Statutes and Ciry of agart~ tli ~ A~.~ 67.0~
cfi~~tr~~ _ WaterMeter
Signalure of Permittee 1- Road Unit 325.0~
n Building Permit is issuea to:_ THE ROT~LUJ~]D_._49 Treatment P~ 204. 0~
on the ezpress condition that all work shall he tlone in accordance with all
applicable State of Minnesola 5t utes and City of gan O inances. Parks _
Building Otficial _ TOTAL ~2 ~
473 ~ ~
~
BLDG. PERMIT NO. ~ ~ ~ ~ a
o'~" ~~1 r~ C.~ ~ ~~a. ~ S~ ``~~4
+ 01-3210 Bldg. Permit 3 c'n
01-3422 Plan Check ~ I 5 C'30
01-3445 Surch./Adm. ~
yl 01-3446 SAC/Adm.
01-2155 Surcharge ? ~ 3~-~'
75-3860 Road Unit ~~s
~ 20-2275 SAC --`f~ ~-j
~ 203865 WaterConn. S~a Q~
~ 20-3868 Water Trmt. c L~
~ 20-3776 Water Meter Cc- 7 OC~
20-2252 Acct. Dep.
~ 20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ ~ O
283855 Park Ded.
TOTAL ~ ~ ~ ~ ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ~
v
New Canstructlon Reauirements RemodeVReoair Reauireme~rts
• 3 registered site surveys showirg sq. fl. ol lot, sq. ft. of house; and all roofetl areas • 2 copies ot plan
(20% maximum lot wverege allowed) • 7 set of Energy Calculalions for healed additians
• 2 w0ies of plan showinq beam & window srzes; poured found design, etc.) • 1 site survey for ezlenor additions & decks
• 1 set of Ene~gy Calculations • Indicate if home served 6y septic system far additians
• 3 copies of Tree Preurvation Plan it lot platted after 711193 ~
• Rim Jaist Detail Oplions seleclion sheet (bldgs with 3 or less units)
~
DATE ~~~G~(~L" VALUATION ~3 J~v
SITE ADDRESS ~ S N~4 Ji -1- MULTI-PAMILY BLDG _Y ~FI
TYPE OP WOR C ~'%~~c o~ es rel~• ~sf~ FIREPLACE(S) _ 0_ 1_ 2
i
APPUCANT J',~~sSe / ~.?~.v~.,,.~ sE- .S~J „°,r
STREET ADDRESS~Io 3 5 c~a ~-a ~ii.~. CITY SP STATE ZIP s~~
TELEPHONE #~57'~ S~' 3~ CELL PHONE # FAX #
PROPERTYOWNER ~A1LR .SeTSr~ n~~ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'fA RUI,ES 7670 CATEGORY I ~IN~ESOT-A-RL%L-F3;7672'
(J submfssion type) • Residential Ventllation Category 1 Worksheet Submitted New~Energy Code Worksheet Submitted
• Energy Envelope Caiculations Submitted ~ i' ~I
: S_P i 6 2~02
~
Plumbing Contractor: Phone # I
Plumbing system includes: Water Softener _ Lawn Sprinkler =Fee:-$
Water Heater No. oF R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mcchanic~il systcm includcs: _ Air Conditioning Fce: $70.00
_ Hea[ Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, sta e information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O i~ nces. .
S(gnature of Appllca
.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Update0 4l02
OFFICE USE ONLY
? 01 FoundaUon ? 07 05-plex O 73 16-plex 0 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB 08-plex ? 16 Fireplace O 21 Porch (3=sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Poroh/Addn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? O6 04plex ~ 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 ~emolish (Interior) O 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Atteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement "Demolition (Entire Bldg onl~ - Give PCA handout to appltcant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ p~~b~g
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
l APFL1^vATION rOR PERMIT 4' pA'~uan' °F.~ AT T~ oe f~
• . ; Are~.xcaTTON uo~s r~r ;
, ! . ~ ~ ~ STI'N1E APPR(NAL OF PIItFIIT. ~
SEWER AND/OR WATER CONNECTION : I~~ ~~~i~
; xeisraaa..aizaas wIIa. Nar ee scl~no[,~o ;
y IRII'IL PF]26IIT HAS B@] APPftOVm. ~
~ . • . }!l~1f4;1rMl~eiek4ifff~k4R*l~Sff#itlt+f/R4
l
s~ty ~F e~~c~n
(P E PRINT
~ ~ PxoPSa~t aonxESS: ~ (a] S _ ~ R ~,I
i.F1f;AT• DESQ22PTION: . . . S . . . . . L~C~:,: ~ 5 ~ -
Lot Block S ivision or Tax Parcel ID )
IF EXISTING STRL~CT[JRE, DATE OF ORIGINAL BUILDING P~2MIT ISSIJANCE:
• Nbnt Year
PRESENT ZON2NG/PROPOSID L~SE:
Q COMh1II2CIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDL~STRIAL ~ R-2 DLPLEX ('it~,ro C'nits)
Q INSTITfJTIONAL/GOVERPIINENT ~ R-3 TOWNHOLSE (Three + Dnits) ( Units)
Q R-4 APARTI~NT/CO[+IDOPIINILM { Onits)
2) ~ NAMEc Uu( Ic ; P~ 6a~ T~~
AD~RESS: Cpl C.g~tztc. L.-~
CITY, STATE, ZIP: S v,~ S~~ . r~
PHONE: 9 d- a.1 a~
For City Lse
3) ~ NAME; Plumbers
License:
Active
ADDRESS: Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICELVSE # i„ -r Sta In£~tia~
4) a
[VAME: ~ t]'~'f C v
ADDRESS: 1JUx ~ u ~
CITY, STATE, 2IP: ('j g~~,~
~
PHOt~: Sl ! - V~~'~
5) s ~ ~ a
~ CONI~CTION TO CITY SE4~1ER ~CONNECTION 'PO CITY WATER a 0'Pf~R
6 ) ~ ( Xn. _ ..il~-a~-- /2 6L- ' ' _ I~l?~,L vY
*****'kIk*]F*tM'k*********'k'k'k***'ktF'k'k'k'k'k14******:k**'k*'k*:k*A"k'ktF'k'k***'k'k:k****'k'ktF***:k****'1f`k'k k*********'k'k*fF'k****k
*
* Z4IE GOID COPY OF ~iIE PEE2NffT WILL BE SETIr DIREX.TLY TO PtBLIC WORKS 'i0 FACILITATE MEPER PICK-DP. ~
*k PLERSE ALTAW 7W~ WORKING DAYS FOR PROCFSSING. SOAIDOI~ FROM Tf~ CITY WILL ~NPAGT YOL IF 7gIERE *
ARE ANY PROBLEMS. +
* * *'A"A' A"/('k ~ A"k yf'k'k * ]~"A"A"~"k'A"A' *'~f'A"A"~f'A"A"~"A"A"~' y~"A' * i.' lE ~1' ~"A"("h'~[Y['k'~('~f 9('A"~('A' *'A"~' ]~"A"A"A' *'A"p'k * lt f' * ]F * * * ]t * ] k'A' ~"A"A"~[ 9['F'k lt * *'A' i' 1' *'A' 9k * * #"k ik'k y
, t
. ~OR CITY USE ONLY °
PERMIT # ISSL~ED
!1 ~ 7
Pd w/ ?EES:
$ ~ n ~D ~ 5~% SEWER PERMIT (INCLL~DE SL~RCHARGE)
$ 'S ~ WATER PERMIT (INCLODE SURCHARGE)
S WATER METER/COPPERHOR[V/OL'TSIDE READEI2
$ WATER TAP (INCLL'DE CORPORATION STOP)
$ ' SEWER TAP
S y $ I S` ~v ACCOUNT 1]EPOSIT - SEWER
S ~c~ 'Q CJ ACCOL'NT DEPOSIT - WATER
$ 5 ~ ' ~r'~ S wAC
$ ~ S 0 •Crt~ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ ~ LATERAL BENEFIT/TRGNK WATER
$ ~C~~~ U~ $ WATER TREATMENT PLANT SCRCHARGE
~ $ OTHER:
S ~ 7- ~ ~ G~Z? $ ~ ~ D--~j TOTAL
~.~J .J / ~ ~0 ~ cc~ (o
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLIC
Q ROADWAY" MLST BE ISSLED BY THE E[VGINEERING
NO DIVISION, LIST AS A CONDITIOLV.
SLBJECT TO THE FOLLOWI[VG CONDITIONS:
APPROVED $y; c~ ~f~,
TITLE:
DATE : ~ J
i I
I ~ . ' •
198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN - _
SINGLE FAMILY DWELLINGS ~ S ~ ~
~
INCLUDE 2 SETS OF PLANS~ 3 CERTIFICATES OF SURVEY~ 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 4l OF UNITS
INCLUDE 2 SETS OF PLANS~ CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
CONQIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
- - ~~CT 1 4 1988
To Be Used For: cr"~i~ ~~iu~~~t Valuation: (04~ Date: I~ -~~c~
Site Address ~y(o~ 5p~~ OFFICE USE ONLY
Lot S Block ~ On site sewage_ Occupancy /1~-
MWCC system Zoning -I
Parcel/Sub C~~q~
~pY.,~ ti'~ On site well _ Actual Const Y-
City water _ Allowable y-/~f
Owner ~-~~„~,~p ~p. PRV required lk of stories
Booster Pump Length ~
Address ~J_~. ~x 3~d3 Depth y ¢3'
S.F. Total
City/Zip Code }`~((~.Q, Foatprint S.F.
Phone S'-l I- [~80~ APPROVALS FEES
Contraetor 5}~{vtE Engr/Asaess Permit y ~ Oa
Planner Surcharge 2,00
Address Counc3l Plan Review Z 00
Bldg. Off. io ~7 SAC, City o0~
City/Zip Code Varianee SAC, MWCC O~OD
Water Conn 550~~
Phone Water Meter pa
Road Unit Z5i~
Arch./Engr. " Treatment P1 2 D o0
Parks
Address Copies
, ~ ~ TOTAL
City/Zip Code
Phone If ~ ~
},ol~ 9
-4rX ac~ ~ c~X~~
~1G1S 7C~'lE/~~
~h_c siCJ
RLLh~ =bfiX~'~fl
i
Z~ - ZZx~
0 o i, ~ - y~,..~ c~
~~h4~-I
~'0~91 =~ix oo~~ : o,y ,c
9 ~~9 =r,~X r~+, _-Z.Z x zz
~9ya~ d ~
` ~ ~ ~ rrQ~~.~v~~~j~ -
K 1 U~~;vcx~~. ,
. EXTERIOR .ENVELOPE AVERAGE "U" CG1iPUTATION -
OWNER T~l O~T L.__ V~I C7 C 7
SITE ADDRESS ~D~ ~ ~ ~XlAlibA~/d '7'~ /s~l.
CONTRACTOR S~'' 1 E DATE PHONE ~7I-O ~O 4
Determine working square footage of each.
1. Total exposed wall area . 2 I~~ sq. ft. x./ = 2~f SK
2. Total roof/ceiling area sq. ft. x ~d~(~ = 36~
Total exposed wall area above floor = ~ c~ 3~o
a. Total wall window area 1 S Z
b. Total door area :'=t
c. Total slidittg glass door area U
d. Total fireplace wall area ?
e. Total wall framing area (average 10~) 1 7~)
f. Total net wall area above £loor / 5?(~
g. Total rim joist area . /6 2
Total exposed foundation area = _ 7~
h. Total foundation window area
i. Total net foundation area above grade 7~'
Determine "U" value of each wal~ segment.
a. ~ ~Z X ~~U~~ ~ S!! ~~oCl ~
b. ~ ch. X„U„ 7 = 2, 6~
c. ~ ~ g °Un ~ ~r ~j = ~ ; ~O
d. $ nII" v _ ~ .
e. / 7 U o g ~~U~~ ~ D`S 7=/`f. 7°l
f. ~ 5 36 x.~,U~, ~Guz = e.t,S
g• ~ E9 X~~Un nfj~-'U a~.~~
h. ~ X "U" v` ~ .
i. X nII~~ . e 0~'~a = ~j^ C, ~
3 ......................................Tota1 = C t1, ~S.S
If item 0 3 is the same as, or less than item N1, you have met the intent
of SBC 6006(c)2.
Total eicposed roof/ceiling area =
Total gross roof/ceiling area = / / y
Total skylight area ~
....0~..... Ss5
k. Total roof/ceiling framing area .
1. Total net insulated roof/ceiling area I 3 2 3
Determine "U" value for each roof/ceiling segment.
~ X„U„ ~ y u = z,~Y
k. ~S"~ X,~U~~ .G2-? = 2~?J
1. ~ ~Z ~ i~U~t Tl ? C~ = 2i. ~C~
4 Total = 3~.~ U 2.
If total of ~k4 is the same as, or less than f12, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope sy.stem method, the values established by the
sum of items Il3 and 114 shall not be greater than the sum of items 111 and li2.
i. z~` /,S`~ + z. 3G~ 7~ - z xE~30
s. 1°i~'~c S~ + a. 3~,G2 232,~s 7
+Y~_ALI. -:CUY~1~~... ~ 1•agc J ol ol
iU'1'C: ~Use 102 of opaque wall area for
•irame construction ~
~ Const~p~ , -
R-Va1ue
~ ~ ~ ^ . ~ 1. Interior air~ ~i],m ' ~ D.68
'I --~J 2. _~/L"C~-Y P f3 R t7
dvS~
. 3 3. 1x~ 57CiV°i ~OO-$~ -
~ - .~~-{9~ , 9. 2 S/32 5 /-rTC~
nsIC 2 4OC~
~aA~ , , 5. ~i~v.~v ovcc FECZ~
lo2ro
I 6: Exterior air fxlm
Tota1 f'/,
FIG. f~l . ~ IE[4 0~
_ . . . ~ ' F.R7121E [9ALL ~ . ~ ~ o Og ~ - :
,f . _ _ . . 1. Interior air gilm 0.68
. . , ' • . 2. V1'~G9.7'P l>~ D ~
( ~ , 5`
I 3• FUL L 4/.') L C._~ '/iL5!
L bCU
1~_l I~.._._. ~ 4. 2 5 32 7r/7~'
I i'IG. tr1 I~~~ . -f U 2_O(~ '
I --------Q~ 5. 5/ d/.liG O V E,t~ C EL~^ J o Z 6
. ' I~ `I-~~ 6. Exterior air £i1m
~ 0.17
. Total 2 3, 6 Z
I~-_---~-~! . ' • . ~ r. U~ o0y" Z
'`'~~I I U ' 1, Interior air ~ilm .
1SGr,Lc.1( I - o.GB'
ScPal l •i ' % 1,~`~ 2. ~ /tiSV'L. . ' yv
i~,
, _.,a 1 1„-1~~~.:;i~~'~ ~~-_.~_._.O U . 3 ~ 2 X _ f /f / G'O
1 IIJ+L~~`~~...~'\i ~j. ~6b U
, ~p p • ~ . G
'1 ~~I, ~•f:.~ 1 . 4 . :2 S~3 ~2 S t-I Tls. .
. . , 2 OC~
I ^r- i 5. S/O/.c~C~ ~~/~tC `F~"2.~- / e~2 E;
I- ~"n µ
~.,ti 6. Exterior air film 0.17
~ ~ , ----------:--o
ITIChi,.~_.-..`~ C { Total 2$.OS
~ ~ C_` _t1-:~+'
~f~,~_~ tl' . , .
~ „ , o ~tU
. :s~ .
I -I~?' `n ~ ry p ~ ~,'`.,.~-J 1. Interior air ' ~
~i1 film 0.68
~V~ ~ ~ ~~J' /
_ . . . 2' /-v5vC, UG
3, 2x-'1 FuR k l N C~
n. I2'~cn.•~<. /3Co~r~-- /aLFS
s.
~ , 6. Exterio: air film Q.17
Total /30/3
. .
: , ' v0'7~
, ` u . ( . ~ ' . r . ` .
rt~ . •~Str=,~~n~T~ • , . ,
~ . ` ` 66~ ~ ~ / „ ~ -
, ~ = /r~ rr~~ - ~ . .
! l~( t .I.
, ii--- . ~ ' . ~ v . ' ~ '
: ' ^ • b . ! II! -
~f 3 7 ~ FIG, ' . . . . / / I t Y
1t9
fY y ` ~ . r<< k ~ Q` _ ~~r
- \ . , ".~i i ~
,.IT ~ ( ' ` , ?
, : , . _ .
. ~ Rcor/cciziNc
li .
,
: ~f , Construclion R=V.iluc
L' . .
r 3 . L Interior air film ,0.G1 '
3 ~
n 2. s/~ vYn r~ ~o o ss
~ ~114, s. r~~o~...~ :.~~~,on
~'~il iI,' ' 4. Exterior air film (still 0,
. vu~ r.+ _ t ~Il
1~ .
. ~ Total 3~{,gU.
\I I ~ --1 L / . ' 4 ~ . ' ' , ~ V - 0~2~ '
~ i
Venced Heat flow ' • ' • ' .
up , ; , , ~ ,
• ~
, ~ ,
. i . , , ~ : ~ , .
. i ~ ~ • , .
FTG. #5 ~ ~ , ' •
. I . . . . ' ~ . . .
. . ~ . . ~~a~JL-~ .
I . . • ~ . ~ - . . . . .
' _ _ i ' 1.. 2nterior.air film 0.61
.,,,,~rr;._.au-;',u~sn.:..~r_~~Z~sct'.~nc~rn~,e.'
~ ~ 2. S .
- - vYt~ r>~~D s'~
_~.T__t7' r"'-'~.. ~ 3. i.vsric ovEiz rirus : 3~( `7 T
~ ~ . A., Eaterior aiL Eilm sti • , I'
/n n . - . Total 3(e,~~
ll~ I ~ : i~~~ _ C if ~ . . ~ _ .oz,
~
' 1 ~ i3 . . :
~
Y.s:.c f1ocJ up . ~ ~ .•vented • . . ~ ~ ' •
i .
. . . • , .
. : ~ . .
' ;i.. . , ~
FIG. A6.'..~... , ' . .
. . ,
- . -r-... ; . . ,
3 5 ~u 1. Inside ai.r film 0.G1
. .r°.~.:~.~
~ ai o~l~Yi~`.~.~:
•91.t`."t~`r~-;~.. ' j. ' .
nn '
~ ~ n.
q: =r~•+'.'
, • • .
~ 5. Outside air. film 0.J.7
ToCal
; • i .
'r~%~~ ~ . . ~
. I , Z ° , . . .
. :i : . . • • . ; . , • .
• NOi7-V!'1~°PP.A ' Notc: Use additioi)aI sheets •if more ~pace i~
' • ^ reeded for de~ails and calculatians.
' . Hent ~ ' .
' . . ' ~f1ow up • ' • `
. ~ .
. . • • •
' fi.T.r,. ~p9 ~ ' . , . . ; ~
+ COIIIJIdIIIBS 6875 I lighwuy 65 N.E. CO. 6ox 32308 Minnropulis. MN SSR32 f61'LI .`.7I-GP(G
SUBURBAN ENGINEERlNG. ~NL. ~ZZ23 Nicollei Aue. So. fiumsullle, MN 55337 Ibl'U H!NI L510
L1Wl. Mumclpd 6 Enulronmsnlul En91n<eAng ~ Lond mrv<yln4 ~ Lond Pbnnln9 ~~4 7anng
Certificsto o! 6urveq for /lOft~LCYt~ ~ompanc/
Bearinga Shovn Are Assumed ; '
o Denotes Iron Mon~ment ~
o Denotes Foundation Corner Offset Sxake. PROPOSED p.EYA110NS
~ ~ z Denotes Ezisting Elevetion
- Q Demtes Proposed Elevetion , . Top of Bloc~C 88 9 8
Denotes Direction of Surface Drainage LoxeaC F~oor .8~8~..l
' Denotes Dreinage and Ilcility Easement Garage Floor 889.f/
u
~ ~ ~s~
~
~ ~
' • ~"8s3 d` _
- - s y . A~j ~ ,
~ sz-
~ O~p sca~e: ~ ~ncn = ao raef
- 9 / \ ~ . Q .
i "P ~
G ~ \
\ V 1~ y SP
3 /r~~~O S o ~e7~ Y
9~ 1~ y~~j• ,o , s7
\ ~ A~ ~ \ /-reF'~~e'`~ J ' s ~~~6.C
/ i
~C~ i ~ oo S
G°O' \
6,~ a ~ S~ p
~ , n
~1 s / ~ l' \ ~ ~ / \n V.
.o ~ Qex yti~ 5~_ \
~ . 2` ~ ` ` m ~
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s ~ G~~. S
. tt \ ~'fl 23~ N
u/ I . - .
\J . osf ~ `
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8~
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~
~ \ \ ,
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\ \
LOT 5 ,BL~CK 1
LE)CINGTOIV SC~UARE 4th ADDITION
Subject to easments of. record
Dakota County, Minnesota
I hereby certify Chat Chis survey, plan or~report vas prepered by me or under my direct
supervision and thac I am,a duly licensed 4xnd Surveyor under the lavs o£ the State of
Minnesota. !r
Signed [his~
~day of ~ A.D., IA~.
~[D(npaiiles
~ ~ UBUR N ENGlNEE NC.
Xo[ publlshed: All rightr reserved ' ~ - ~
Copyrlght 1987 S8 Companlea, SuburEan En8lneerSng, t~~. ~ 6obert 6. tcnnt}t, Mion. BeQ.,No. U915
RFi4'7~ ~i iJ
City of Eaffail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
1
For Office Use
Permit #: 1D(0 3' 3
Permit Fee: (® '
Date Received: 1 .
Staff:
2012 MECHANICAL PERMIT APPLICATION
l-3- Site Address: GILD -1 A..„) yOJ' 2
Tenant:
Name: Cid kaL
Address / City / Zipq LOC) c'1X f i lrr)1/4.1\ (!L(
Suite #:
Phone: loS1 _ l O- Z�J
JOrl
Name:
Address:
State:
Contact:
BURNSVIN:E HEATING &AIC, INC.
3451 W. Burnsville Parkway
p Suite 20
Vrrisville, MN 55337 Phone:
1 Email:
New ?< Replacement Additional Alteration Demolition
Description of work: U,
1C) f.orfOfd Ate.
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other b1/4. Crt 9.
New Construction
Install Piping
Gas
COMMERCIAL
— Interior Improvement
Processed
Exterior HVAC Unit
_ Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) _ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(Le. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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.boaherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with approved Ian in the case of wor which requires a review and approval of plans.
x v(Yik •. ` (,), (-1 x [ �l .. (�,���`" all
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138908
Date Issued:09/26/2016
Permit Category:ePermit
Site Address: 967 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Crystal Luck
967 Savannah Rd
Eagan MN 55123
(651) 210-8275
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154978
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 967 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-050
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 -
Crystal Luck
967 Savannah Rd
Eagan MN 55123
(651) 210-8275
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164716
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 967 Savannah Rd
Lot:5 Block: 1 Addition: Lexington Square 4th
PID:10-45078-01-050
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 -
Patrick Schultz
967 Savannah Rd
Eagan MN 55123
(651) 249-5655
Elite Restoration Pro
1120 E 80th St, Suite 201
Bloomington MN 55420
(952) 322-7773
Applicant/Permitee: Signature Issued By: Signature