4350 Sean Ct + . , . INSPECTI~N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: t;
Eagan, Minnesota 55123 Date Issued: ~ ! ~ ~ ~
(612) 681-4675
SITE ADDRESS: i„ ~ , APPLICANT:
~ ' . „ 1'1 i r ,fi.,,.~~I' ~ ii~i~li
, ~ f ili~ ~ IiII ~ ii .;i ~ t N j r~ ~ ~,t
PERMIT SUBTYPE~ ~ TYPE OF WORK:
~ r~ ~ :
• s• •
~ ~+~r I 1 f`ai~', ~ tillh~l~+~ I I~•I~±
f iiltP71 tl~, ~ ~~~~I 1 tl~,
( i'I',Ili i 1 tt~4 ~ 1! ~!'I rtii I
~~~~~~+i 1 t! i'~ r:~~ ~~tli:Il I fJ f~ I i,
i (~-~1 1~ ( ~ i ~ r I 1 r~ ri !
a-1 t~iilf ~ , l-J ('I ~;t f i~p , , ,,rit 1•i
~ ~
~ ~
. Permft No. Permft Holder Dete Telephone #
~ SNV
, PLUMBfNG " .f/~!r ~ ~
HVAC o~T~;~~D~-'
ELECTRI gav ~J
ELEGTRIC
Inspection Date insp. Comments
Footings I ~ ~~[l
N ~ i1rJG
Foundation , o~ ! ~U ~ L / '
Framing
Roofing
fiough Plbg. f _ ~
6
Rough Htg. / LY
0
Isul. / ~ ~/~y/Q ~ ~
Fireplace ~ l~f
z
Final Htg. ~
~ ~ • ~
Orsat Test ~ ~
Fnal Pibg. aJ ~ Plbg. Inspector-Notify Plumber
Const. Meter
Engr./Plan
I~
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . ~
i' k a -
(~~t~iCQte d~ ~CCli~tl~iC~
~t#~ o~ ~agan
~e~rtmcar o f ~~~4bing ~x~~cctiou
This Certificate issued pursuant to the reqairements of the Uniform Building Code
certifyireg that at the tirse of rssuance this structure was in comptiance with the various
o~dirtances of the City regulating building construction or use. For the following:
use class;ratioo_ ~ i~ awg. Pertni~ No. ,?r(}~~-
~Y ~~'Pe Zooing Distria $~/R
1 _ Type Cons1. ~j
~
~~e~,~ ~crr K ~n~s ,,~y~51 ~nor~ ~".x
Building Add~ss 4350 SFAN ~O[1[tT Localiry TB~ R~~ 1~~"~'~ MTNfl~ !~i
i
/ /
f'~ ' . , r , / J /
' i i Dste- ~ I~.
Buildi~g OflSci~
P06T IN A CONSPICUOUS PLACE
Address 4350 s~ ~tr Zip 5512 3
t .
Lof ~s Blk l Sub L~G7~ON PoIlVTE I lTx
THESE 1'TEMS WERE !~1~ NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTIQN.
Date: / [o Q5 Yes No Inspector: '
Final grade (6" from siding) ~
Permanent steps (garage) ~
Permanent steps (cnain entry) ~
Permanent driveway
Permanent gas t/
Sod/Seeded grass ~
TraiUcurb damage ~
Porch j~
Basement ~nish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering divisioa at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
INSPECTI~N RECORD
CITY OF EAGAN PERMIT TYPE: ~ .
3830 Pilot Knob Road Permit Number: ,
Eagan, Minnesota 55122-1897 Date Issued: •
(612) 681-4675 e ~ t i ~ ~
SITE ADDRESS:' ' ' ti~ ` APPLICANT:
iui~ ~s i,~„~t .
~ , ~ N r 1 ~ ~ !
~ ~ ! I~~ ! ~~t1 , !i ~ 11 I I ~ f i lt ~ ~ ~ t
PERMIT SUBTYPE: TYPE OF WORK:
,
; ~ ~
. .
~ ~ ra~,~ , ;
~ ~
~ _ ' ~
P~rtnft No. PertnR Holde? Date Til~phone t
ELECTRIC
PLUMBING
HVAC
InspecUon Wt~ Insp. Comments
FOOTINGS
FWNo
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FlNAL
DECK FfG 1
DECK FINAL q_ z.7 , _ a.~ ~ ~ G
i
//~g~9 33 b~
~ 0 4 2 0 ~ - ' ~ ~jG~
Repues~ Date ~ i~e No. Ro -In Inpsection PeQUiretl nspection OMer Tnan Roug~-In
' ~ ust II'nspacbrwhen r¢aCy) ~ qeatly Now ? Will NOllly Inspeclor
b ~Ves ? No Oate Reatly
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo~ Adtlress IS~reeL Box or FoNe NoJ Cily
~350 -E .~a ~-n
Section No. Township Name or No. Range No. Co
.1~~ td
OccupanllPRINT~ Phon No
~.~a - ~so
Po Suppuer Atldress~ ~ Z~zO~ S~ 5'
~a I m ~v -.SSaL`~.~/
B~ecin i"Conhactor (COmpany Name~ [ , ConVacto~§ License No.
/r~~a~/c~~ G~ec.{~Lr~- Gf~ Ola-3~
Ma~~mg Atleress IConVacbr or Owner Making Installation~ ~
a~l~9i i~'e~ .~..ai~v~l~ rn~~ ss~
Au izetl Sign Wre 1 nvacror~Owner Making Installation) . P~of e~ Nomber
`f~0/-i~~y
M NNESOTA STATE BONND OF ELECTHICITY THIS INSPECTION REOUESi WILL NOT
Griggs-Mitlwey Bltlg. - Noom 5-113 BE ACCEPTED BV THE $TATE BOARp
1821 University Ave., SL Peul. MN 55t04 UNLESS PFOPER INSPEGTION FEE IS
Phone~61P~64P-0600 ENCLOSED.
///~'/C!`~ REDUEST FOR ELECTRICAL INSPECTION "-"`'~~~~4ma~a~
~ Sce insbuctions ~o~ completing ihis form an back ol yellow cropy. ~
~ ~ 4 9.2 ~ - ~7C" Below Work Covered by This Request
~ r ~
ew Atld Rep. TypeofBUilding AppliancesWired EquipmeniWired '
Home Range - Temporary Service
~uplex Water Healer Eleclric Heating
Apt. 8uilding ~ryer Load Management
Comm./induslrial Furnace Other (Specify)
Farm Air Conditioner
O~her~syecity) ConVac[or§ Ramarks'.
Compute Inspecfion Fee 8elow.~
# Olher Fee # ServiceEntranceSae Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 _ AmpS ADove 100 _ AmpS
5gns inspecior's Use onry: ~ TOTAL
Irrigation Booms GQ ~
Special Inspection
Alarm/Communiration THIS INSTAlLAT10N MAV BE ORO CONNECTED IF NOT
Other Fee COMPLETED WITFIIN 1 NTM .
I, the Elecirical Inspector, hereby Ro~qn-~~ , oa~~6 •.~S'Q~
certity that the above inspection has Final o
been made. ! ~ - ~
OFFIGE USE ~NLY V ^
T~is reques~ witl 1B months ~rom
RESIDENTIAL
BUILDING PERMIT APPLICATION
L 4, ` 2~/ CITY OF EAGAN
J~~ I J o 3830 PILOT KNOB RD, EAGAN MN 55'122
651-681•4675 /
New Construction Reuuiremenq RemodellReoair Reouiremenb
• J reg¢tered site surveys showing sq. fl. of lol, sq. fl. of ~ouse; and all roofea areas ' • 2 ccpies of pian
(20% rnaximum lol coverage ailawed) • 1 set of Ene~gy CalcWalioiu for healed aCaitions
. 2 copies of plan showirg beam 8 winaow saes; poureG found desgn, etc.) • 1 si[e survey lor extenor adtlitions d decks
• 1 se[ of Eneryy CalcWations • Indicate if home served by seplic system tor additions
• 3 copies o(Tree P2servation Poan if lot platted afier 7i1193
. Rim Joist Detail 006ons selection sheet (bldgs wilh J or less units)
DATE U1I S Ib Z' VALUATION LGUl~.
~ n~ /
SITE ADDRESS ~~_~a 2~.~. MULTI-FAMILY BLDG _Y vN
TYPE Of WORK~V~ fIREPLACE(S) _ 0_ 1_ 2
" r~,l
~ - ~'wr___
APPLICANT_~ ~ ~`z~vv7~.~y~~h.. r c.S
STREET ADDRESS IU 31 Zw 9 nL~u~ d12~ CITY ~141~ ~Ul~ STATE~I l~ ZIP 5`sl'Z?Z
TELEPHONE # l~l~r 9Nd Dt Zp CELL PHONE #~,ol~ -91-lU U iZU FAX #
~si +-ES'y H6r
PROPERTY OWNER ~~,1~" ~kiw ~ TELEPHONE # ! `~h y 7iaS5
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~II~\E50"1':1 RULk:S 7670 G~'C1:GORY l ~r~L~~-~- n
(d submission type) • Residenlial VentilaGon Category 1 Worksheet Submitted { D~ E,h,~'
r~j~COCe~o ~~eS;Submitted
• Energy Envelope Calculalions SubmiKed ~ I~ ~
~ S~ P 0 5 2002 ~~Jl
Plum6ing Contraetor. _ Phone ~
Plumbing system includes: _ lNater Soltener _ La~m Sprinkler~B~-' =-£ee:-~9(~00
Water Heatcr _ No. oF R.I. Baths
No, oF Batl~s
Mechanicai Contrac}or: Pho~e #
~[ccli,uiic.il s~'slctn iticludcs: :~ir Concliuoning r~r y70.~0
- Hcat Rccovcry' S}'stcm
Sewer/Water Contractor: Phone #
I hereby acknowledge ihat I have read this application, state that the info ion is co rect, and agree to comply
with all applicable State of Minnesota Sta~utes and City of Eagan Ordin es.
Slgnature of Applicant
^ OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
~ O6 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)' p 43 Reroot ? 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) Final/i
Io C.O.
_ Footings (addition) _ p~~~g
_ Foundadon HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding SNcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newJreplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
~ PERMIT e~eo ~ ~ ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: B U I L D I N G
(612) 681-4675 Date Issued: 0 2 5 9 9 2
07/11(95
SITE ADDRESS:
4350 SEAN CT
LOT: 8 BLOCK: 1
LEXINGTON POINTE 11TN
P.I.N.: 10-45095-080-01
DESCRIPTION:
B:uilding'Permit Type DECK
f.~uiSding Woi-k~~Type NEW
~
_u
i'
l
~
~ , , r.
t
'S
>4 „
E ~
~ 'r i ~
1' 4 ~ ~
, . ~ _ ` '
,
REMARKS:
FEE SUMMARY:
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: OWNER: _ ppplicant -
CARLSON JACK
4350 SEAN CT
EAGAN MN 55123
(612)725-1328
' I hereby acknowledge that I fiave read this application and state that the
information is correct and agree to comply wiCh all epplicable State of Mn.
L Sta~utes and City af ~a an Ordinances. ~
~ '
PPLICAN , MITEE IGNATURE ISSUED eY:51GNA U E
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: gUILDING
3830 Pilot Knob Road Permit Number: 0 2 5 9 9 2
Eagan,Minnesota55T22-1897 Datelssued: g7/11/95
(612)681-4675
SITEADDRESS:P-I•N,: 1m-asees-ese-ei APPLICANT:
LOTa 8 BLOCK: 1
4350 5EAN C7 CARLSON .7ACK
LEXINGTDN POINTE 11TH (612) 725-1328
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
FOOTINGS FINAL
_ _ ~ w _ - ~
_ . .
. ~.v
. - ~ ~ ~ ~
~r.~ ~ ~ ~ ~ ~ __.n
~ ~ . ~
_ F,
~ .
, +
~ CITY OF EAGAN ~ . J ~
~ 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Naw Construction Reauiremerrts Remodel/Renair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plena (inGude beam 8 window saes; poured fid. design; etc.) ? 2 sRe surveys (exterior additions 8 decks)
? 1 energy calculations ? t energy calwWtione fo~ heated edditions
? 3 copies ot Vee preservetion plan 'rf IM ptattad eRer 7/1/93
~equired: _ Yes _ No ~
5/~}
DATE: ~ ~ S/ CONSTRUCTION COST: ~ ~O
DESCRIPTION OF WORK: ~ ECK
STREET ADDRESS: T 3 S~~ 5^~A^~ ~
oU2T , G Ani ~%y ~ N S~Sr/~3
LOT g BLOCK SUBD./P.I.D.~/'+~
PROPERTY Name: ~A /Z~Su+v .1A~k Phone j 5~~ 3~ S~Sr
OWNER ~ ~(.d~ 7 - ~ 3~Ff
Street Address~ ~ 3S ~ S£~~ ~'ou~T
City: ~ r~ ~1 nl State: ~ ~t/ Zip: S~~ / 2 3
CONTRACTOR Company: ~e I Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
5ewer & water licensed piumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this appliption and state that the information is~ an -;agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. f 4
Signature of Applicant: ~~y~1
OFFICE USE ONLY ~I~~IE~~~~
~
Certificates of Survey Received _ Yes _ No J U L ~ 5 1995
Tree PreservaUon Plan Received _ Yesr-_ No
OFFICE USE ONLY ~M`
~ ~ ~
:
~ . . .
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscelianeous
0 05 SF Misc. 0 10 = plex 15 Deck
WORK TYPE
/U 31 New o 33 Afterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuat) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. i~;~
Depth Footprint sq. ft. SAC Code 4/
Census Bldg i
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies . SD
Total:
% SAC
SAC Units
, F
, TRI-LAND C0.
~-L, SURVEYING
~ S
SERVICE
S IT E PLAN FOR ~ Sl~r~o~.. 1~, t{o,.~Q,S
LEGAL DESCRIP ~I.S)`~,: LOT_F~,BLOCK_~,1.~~~-~--
~ y ACCORDING TO THE RECORD D PLAT
~ THEREOF COUNTY, MINNESOTA
. RESS: y~co ~c
By
EAGCiI`d ~r~GL`~1~:-TT-r=T'i~PT.
py,~ : -•oa. i ~
d ~ ~ { j I :
.ti~~,~,,'~~~~ '
g~° ..~`~'~i. ~ 1._._ ~ B~Q• as• s
~ ~ • ~ 1~ f""--- -
'P~` 'g tP~ ~
I~"'`
~1, -,r
~ ~ ~~~~~~33pp,^---
$1 ` ~
Sean Ct.
, / \ ~ ~ ~ r~` ~-zs.
~
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e`.
(a~~~a~y, ~ ~ ; \
~••ve 73• ` ,S ~ Rr55b
~ 58 '0 ~
B'1, y('j~ ; ~ ~ ' ~
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• • i ~ ~ ~s { ~ GnR. c~ev.
6r,~,,
s 1 qp {
:
~9qv.6'~Ve~ I..,Bpii.oo~zi:ss~~~ w~~
. , w ~ ' X87' 12.00' ' ~ ~ I
I I I : N y~ ~ l`
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, ~4?.. 'i ~ ~ ~ ~ ~CiE 4.~ i ~ .
f~l ~ ~ees.o) y.oo ~,f:, ~ N
~ ~ ~
_ ~ - - Hous~ ~ i ~
_ ~es. :
~ ; ` ` :
, , ~ :
~ 4200' ~ : ;
~ , 4~ ~ ~ ~
. i~~k.:~~~;~ ,...1 r ~:s, 1 .
sc~tF ~'-sa ~ ~ 9~ y'," ~ i
I~; ~ , _ l , $
i~ ~
IZ - ~ ~ ~
` I ~ , ~.y:
~ I ~ ; i- ~ , : f~ ,
i
_~Z~f'y~ ~sl ~g~ !
,
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eoow ~ eo.ao~ ;~A~,o) a~.ss~
9~,p S 89'S9' 17' W 982A
~ ~ - -
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~EGEND INVERT FLEVATION AT SERVIGE EXTENSION-
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
~ DENOTES WOOO HUB SET PROPOSED FIRST FLOOR ELEVATION =~qS67
DENOTES EELEV~ATION~T P~ELEVATBIONEMENT FLOOR =
DENOTES PROPOSED SPOT
ELEVATION NOTE' VERIFY ALL FLOOR ME~6NTS WITN
~ DENOTES DRAINAGE DIRECTION p~NAL HOUSE PLANS
I hw~by c~rtify that this turvey,plon or
rsporf was prepared by ms or undsr my
d~ract supervision and fhat I am a duly Bradley J. nsoo, Mn. Req. No. 15235
Repistered Lond Surv~yor und~r tM pate • ~~~~y -
^ Laws of tne State oi Minnesoto.
, _ ;
i ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ J`-'' ~r
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,
681-4675 h ~~-r ~ r~
~
Naw Construetion Reauirements RemodeUReoair RecuiremeMs
? 3 regiatered eite surveys ? 2 wpies of plan
? 2 eopies oi plens pnGude beam & window sizes; pouretl fid. tlesign; etc.) ? 2 eite aurveys (exterior additions 8 dedcs)
? t energy cakuladons ? 1 energy wiculations for heated addkions
? 3 coplea of trea D~servetion plan ff IM plaCed aRer 7/1l93
required: _ Yes _ No
DATE: CD' Z4~" `~S CONSTRUCTION COST: `~z' O°o
DESCRIPTION OF WORK: ~ce k .
STREETADDRESS: ~0~/9 ke-N~lt ~Ec~.
LOT ~ BLOCK ~ _ SUBDJP.I.D. ~r'.~MAAl1}1 i ~!~"11(1~'Jl
PROPERTY Name: f~U~DA-l1,q- arr~~r-y Phone#:
OWNER
Street Address• `~g ~p ~~c ~~r~ ~
Ciry: State: ~ Zip: ts'r~~
CONTRACTOR Company: ~O~U e • Phone
Street Address: License
City: State: Zip•
ARCHITECTI Company: Phone
ENGINEER
~ Name: Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortna6on is corred and agree to eomply wfth all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~~N 2 6
1995
Tree Preservation Plan Received Yes No
: i
OFFICE USE ONLY ' ~ ~ ; ; ~,r . ~ .
~ ~ ' ~
~ . r ~ ..F.:~.
BUILDING PERMIT TYPE ~ _
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ~=15 Deck
WORK TYPE
~31 New ? 33 Alterations ? 36 Move
a 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft, MCM/S System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code ~
Census Bldg _L
APPROVALS Census Unit ~
Planning Building Engineering Variance
Permit Fee Valuation: $ _ / Zoo ~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
{
' ~ ~ : . ~ ~~'~f"'/
j j,.l/r1E
~ ~
f >~r X
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I
ff ~ ~s~ ~t
~
1
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~ ~ L~
~A N~ ~ ~'(o i~ V u3 SP~'
4 - ; ~ ` ~
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~ ~ i x~ c ct~/~~' ~t'r ~.S`s
3~ '~Z~~ ' ` ~ Fo ~ PR e~
.ro F ~ ! !
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~ ~:~~~~N;-
~ ~
PERMIT Q~ 3~' 3 ~
CITY OF EAGAN 9_~~~y~
3830 Pilot Knob Road PERMIT TYPE: a u r ~ o z N~
Eagan, M in nesota 55123 Permit Number: 0 2 4 5 3 3
(612) 681-4675 Date Issued: 0 9/ 2 9/ 9 4
SITE ADDRESS:
4350 3EAN CT
LOT: 8 BLOCK: 1
LEXZNGTQN POINTE 11TH
DESCRIPTION:
B,uilding~-P~ermit Type SF DWG
9uilding Wor_k Type NEW
~UBC Occupancy~~ R-3 M-1
~ ConstructSon Type V-N
j~ Zoning ~ PD R-1
Building Length 65
Bu3.lding Width 1 42
~ Building stories ~ ~ 2
' -~,i .
~V~! • L
a
\
>
P ~
~r',
J. ,r,
~L~ V ~7J~(' ~ 1 ,
r J ~ ~C '"2J ' ~ r t .
4 ~
REMARKS:
S& W PLBR - TOM HESSIAN PL6G
FEE SUMMARY:
VALUATION $154,000
Base Fee $828.50 MZSCELLANEOUS $19828.50
Plan Review $538.53 Total Fee $4,072.53
Surcharge $77.@0
SAC $800.00
SAC ~ 100
SAC Units 1
Subtotal $2.244.03
CONTRACTOR: - Applicant - 3T. ~IC. OWNER:
SHARON K HOMES 14527850 0007826 SHARON K HOMES
4351 JENNIFER CT 4351 JENNIFER CT
EAGAN MN 55123 EA6AN MN 55123
(612) 452-7850 (612)452-7850
I hereby acknowledge that I heve read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances. J
~
APPLIC /PE ITEE SIGNATURE ISSUED B SIG URE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u i ~ o i N s
3830 Pilot Knob Road Permit Number: 024633
Eagan, Minnesota 55123 Date Issued: 0 g/ z 9/ g q
(612) 681-4675
SITE ADDRESS: ~ o r: s B L 0 C K: 1 APPLICANT:
4358 SEAN CT SHARON K HOMES
LEXINGTON POINTE 11TH (612) 452-7850
PERMIT SUBTYPE: TYPE OF WORK:
5F DWG NEW
. .
FOOTINGS FOUNDA7ION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - TOM HESSIAN PLBG
~ ~
~ ~
(
' CITY OF EAGAN
~ , 1994 BUILDING PERMIT APPLICATION D'~Z • J,3
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s~ s,~E~Pc~p~ oyf9~ne y
calcs.
COMMERCIAL 2 sets of architectural & structural pl ' '
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ~ / ~ ~7 / Valuation of work Q!~~
Site Address: U~ .~£Y't.n Nni c i2 T'
STREET SU1TE #
Tenant Name: (commercial only)
IAT ~ BLOCK ~ SUBD ~x I Yl~ rl OI h fQ] P I D *
E~eti~:i~/ fhtdn.
Descri tion of mork: ~ ~
The applicant is: ? Owner ~Contrac or ? Other (Describe)
Name Phone
Qi~JF~~91 LRSi F!R5:
Owner qddress
STREET STE #
City State Zip
Company ~~~lC~-frlY~ `I~YYi~S Phone U~2-~~5~
Contractor Address ~~`~JI ~)~l111(-t~.2. C?~ License #--~ga~ Exp.~~
City F-~ State Zip Z~
~ ~
Campany Phone
Architect/
Engineer Name Registration #
Address ~
City State Zip
Sewer & water licensed plumber ~SCIQh ~~(I3~La+nC'~ Processing time for
sewer & water permits is two days once area has been approv
I hereby acknowledge that I ~ad this ap lication and state that the information is
correct and agree to compl 11 applic e 5tate of Minnesota Statutes and City of
Eagan Ordinances. ~~i~~i'V? V
Signature of Applicant:
OFFICE USE ONLY „
~
BUILQING PERMIT TYPE ' '
.
? O1 Foundation ? 06 Duplex ~ 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~.31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
~ 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) N Basement sq. ft. MWCC System
(Allowable) ,v lst F1, sq. ft. City Water
UBC Occupancy 2-s 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories y Q,,,,~ Footprint Sq. ft. fire Sprinkler
Length ~e~ On-site well Census Code
Depth i~ On-site sewage SAC Code
Census Bldg
APPROVALS Census Un9t
~lanning Bu~lding Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ~Footing ~Framing ~nsulation
? Wallboard ~=Eina1 ? Draintile ~ireplace
Permit Fee vei~c;a,: g /S~~ooo
Surcharge
Plan Review ~
License ~S+.r
MWCC SAC ' z x 8'
City SAC ?i~.bJ Ky:- ssi /~1,~~ - /z~s
Water Conn. ~/~p,/7 XyL ' ZS9 CZKS> ~G~~O ~
Water Meter
Acct. Deposit - i x z.s ' 3 ~ G 3>
S/W Permit rB x 3~ ' z'~B
S/W Surcharge y8 iay~- ~ s- _/7760
Treatment Pl . ~ Z r Zy ~
Road Unit ?vX ~z = H8
Park Ded.
Trails Ded. Z w`~ ~L°3 xsy= l~y96z zgK 22•G7 =~3S
c~f~>> - <:r~
COp 12S ZG~7K l!•13 = zv~
Other Z~ X yz = bvo ~ r,~ L. s~ a)
Total: ~x3~ ~ Zya
Z~ 2Y ` '/B 37 x 8~ 3 ~
$AC % ~ x i z - 7z
$AC UnttS reoe $S/ x«=
~:.sFr~.m~) = /~/G~ /3/0~%
i,croz xsy :~7, 3`1~
Tor,~` iss,~~~
~ n TRI-LAND C0.
L~ SURVEYING
~
SERVICES _
S IT E PLAN FOR ~ shw~N ~c. Ho,„~
LEGAL DESCRIPT~ LOT~_, B~oc?c~, ' ~
ACCORDING TO THE RECORD D PLAT
THEREOF COUNTY, MINNESOTA
RESS: ~1~tO Ses„~ C'~
-
EAGAI~T iVGINEE ING DEPT.
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ye°%~ '1-- ~s ez'ze~o4+
F
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Sean Ct.~`~;, ~ ~ ~ ~
~ea.24.~~; '
~ af~{.~,~`. t'°~.94~
l o R'\
.t~~Qa~_~~oe.~ 3 s ~ ~p~~ . .
~~~.s~ ~V~ ! j V • •N
' j• ~ ~I ~ • . ~S ~ , 6 6AR. [:lav.
6N~ C~ ev. ~ •.t..1. ~......~1.33' ~y • w~~.0) ~ ; i : \~~~5~
(9°rF.6'~' 1 "a~ ~zow up~~ {N+! xsr ~2.00 ~ I
. ~la,., f; E ~ ~ ~N K~ ~ ~~~.~i `
4 E~, eQ' ~ L. ~
4.87' l~~
f `R (995.0) 7.00 ~ ~ ~ ' N
1M+ ~ ~HOU ~ ~
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~
~ , ~~....L~. azoo~ _ ~ I ~ ( 3 .
. ~
sc,u.E , »..ao• i ~ ceas.e) ~ ; ~
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. k LOT 8 ~ ~ $
, : ~ ; : : ~ ~Z . Z
I. 1 ~it-e'd I.~~ ,f ~ c y ~~1i~-
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l ~ i ~ 1
f'~~ ! 1 ~ ~ .
E 5 0 ~+'cMa9e ana UNIIRy
a~ansnt o g
eo.oa l ~1 so.oa -~,,ol at.~s~
~A s swsa~ ~r~ w 9szo
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LEGEND INVERT E~EVATION AT SERVICE ExTENSION-
o DENOTES IRON MONUI~NT PROPOSED GARAGE FLOOR ELEVATION=
o OENOTE5 WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOO~ = 3~i_
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE VERIFY ALL FLOOR HE~GHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL MOUSE PLANS
1 Mr~by c~rtify tAat thic tiuvey,plon or
report was preporsd by ms or undor my
direct suparvision and that I am u duly Bradley J. nson, Mn. RsQ. No. 15235
^ Reqistered Land Surv~yor unMr th~ p
Laws of the Stote of Minnesota. Date ~
~ LOT BIIRVEY CBECRLIST FOR RE6ZDENTIAL
~ ~ ~ ~ BIIZLD2NG ERMIT J1P LICATI
+q ~ ~
~ pROPERTY LEGALs
< ~
~ ~ ~ Dats of Surveys
DOCIIMENT STANDAR~B
H~D 0 • Reqistered Lnnd Surveyor ciqnature and company
~0 D • Buildinq Permit Applicant
Cd~O ~ • Legal description
S~ 0 0 • Address
B~b 0 • North arrow and ~ar scale
B~D 0 • 8ou~e type (rambler, wnikout, eplit v/o, split entry,
lookout, etc.)
~ 0 • Directional drainage arrows with slope/qradient
~ 0 Proposed/existing sewer and watez services
0 • Street name
Pl O 0 • Driveway
ELEVATIONB
Exietina
H'~~7 0 • Sewer aervice
0-~~ D • Lot corners
~ O-~ • Top of curb at the driveway
0~ O • Elevations of any existing adjacent homes
Prooosed
0 • Garage floor
6' 0 0 • First floor
~ p • Lowest exposed elevation (walkout/window)
0 • Property corners
D 0 • Ftont and rear of home at the foundation
PONDING AREAB (i! afl,glicable)
0 0~0 • Easement line
~ Q~0 • NwL
D 8' D • HwL
0~ ~ • Pond N designation
D • Emezgency Overflow Elevation
D2MENSIOliB
P~J~~G ~ • Lot lines
L~ 0 0 • Right-of-way and street width (to back of curb)
~b D • Propose9 home dimensions includinq any proposed decks,
overhangs qreater than 2', porches, etc. (i.e. all
structures requirinq permanent footings)
0 0 • Show all easements of reaord and any City utilities within
those easements
!YS 0 • Setbacks of proposed structure and setback of adjacent
~ existing homes
Retaininq wall requ ements, i! any
Reviewed: ~
Na e / ate
Ootober 1992
~iA ~;-78
1 J~
TA 1+10 i ~
iA 1+a ~ ~ 981+3 O 5=982.3 ~ W=~9~`.~ -
=979.4 5=980... W=~92 w=~92.5 ~
=sas.s w=ss~.~ ~ ~
`NILL NEED WILL NEED CLEANOU
3 4 5 ' -
CLEANOUT
~(yT
STA 3~-82
s' ~=980
( ~ W=993.5
10'
I I WILL NEED CLEANOUT
M.H. 3
i : 1~ 2 CEYfER ~F :
AC =
2 i. , WATERMAIN ~ END 5+02.? 8
n~`' 3 I ~ 4 ~
i ~I ~A ~ STA 3+80
~ ~=~80
: i \ ,,v=ss~.~
, „ ~.II ~
~
~
,
1 2 -
TA ? -?4 ~TA L+~4
=~~3.} ~ STA 2+83 1 1 ==9EC
~=~80.., 5=981.3 ' yy=.~o:;..:
=y89.:3 W=~91.3 W=992.3 ~TA 3+h8 q^
5=982.::
W=993 I i ;
~
WILL NEED CLEANOUT
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' _ ~ u~!R!`G~` T,AL . ~~ua~o:,~s ,
_ _ ' : . ~.~l11G IT S~ C:S~~ . ,
, i::::~;. :.'.;i;'~ Gf~ Thi~ SITE.
SCALE
i r+ r• n n i I! f'~ T ~ ~
~
SE~N C0~1RT
MH 38
_ .
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. .
5TA 5+10.
A ' ' TC~993. ZY~
.10
86.2'
_
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7.5 MIN
488 CF 6" DIP CL 52
;
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`.~s ; ; c0a LF OF 8" °VG S:DR 35 @ 1.48% : INV _ 97918
INV 973.26
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EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
PLAN #
OWNE
CONTRACTOR SHARON K HOMES, LIC. NO. 0007826
SITEADDRESS: ~.a~~ ~r~'in'~ ~'ht~.~:l-
1. Total exposed waR area ~JC2- sq.ft. x.l l 2
2. Total exposed roof/ciling ~ sq.8. x.026
Wall calculation
Total window area s4. ft. x.35 ~
Total door azea ~ s4.ft. x.07
Total glass doot area sq.ft. x35 -
Total fireplace area sq.R. x.36
Total wall framing area ~ sq.ft. x.09 ~
Net insulated wail area - ~"'~34.ft. x.043 ~
Total rim joist area ~ 14- sq.R. x.04 ~
Total foundalion azea sq.ft. x.14
Total foundation window sf.ft. x 35 ~
3. Total ~
It item 3 is the same as, or leas tban item 1, you bave met the intent of 2 MCAR1.16008 A aod O
Roof/ceiling calculation _
Total akylight area - sq.ft. x.35
Total roof/ceilittg framing~ sq. ft. x.026
Nat insulated roof area ~ sq. R. .022
4. Total~~.
If item 4 is the same as, or less tMan 2, you met the intent of 2 MCAR 1.16008 A and O
Altemate building envelope design
To utilize the total envelope system method the sum of items 1 aud 2 sLall be geater than the smn of
items 3 aod 4.
3~~~.~~ 2 , ~ , 22
I hereby certify thac the building here desccibed meets or excee o 1' esota Energy
~
Conservation Act..
Signed:
s ~
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7(' .a s ~ y6s c~ ~~st„~,n~` ~ ~'~Y>x~+b ~ ~'~.2~ q ~ ~~sk 8a 4 xa:q'~
hi` ~7 i ~ ~ i 5 ~4 s 4.~:>+u} 3 ~ e~ ~~c?~`~y%aiex'1~.b,x~fi'F ~ic ?i'E $l,~ov,x. ~.rc ~ x r
e'@'~..:. ab~ ~e~'~~",~`Y,.w%,'"~'~'&~a~~~S~-~°~xKc"~~E°.£a~~~~i£~xt3as~::L~"~"y'9~„~ti:3y d~,~`*`',fa =a§ ~i~ ~~~Y~
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~'~~~3°~~a~,r.bss.a.x'S¢Y~'. nu ~ <z ~ pc4S~...S~
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1994 PLUMBING PERMIT (RESIDEN7TAL)
CITY OF EAGAN
3830 PIIAT IINOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLWGS. ALSO, FOR TOWNHOMES AND
CONDOS WI~N PERMTTS ARE REQUIItED FOR EACH UNTT.
10. FIXI~JRES EACH TOTAL
~ SHOWER 3.00 -3
~ WATER CLOSET 3.00 ~
BATH TUB 3.00
LAVATORY 3.00
~ KTTCHEN SINK 3.00 ~
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER I~ATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • ~~~m - ~ 3.00
ROUGH OPENIIVGS 1.50 ~ , 7~
WATER SOFTENER 5.00
PRNATE DISP. • n~.c~y. 20.00
U.G. SPRINKL,ER • nome uoae, oons,. 3.00
ALTERATTONS • w ada~mg 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: i
O
SITE ADDRESS: .~5~
OWNER NAME:
INSTALLER• SG
'~-~-~rII~:A.'~`eeni, i r n7~~f, ~R~P
I~ir'ri
ADDRESS• eool ~ -
L~ ~4'~"_rr-t';,r.,~T£~
CI'~'~ STATE: ZIP CODE:
PHONE ( , y3~
;j~i~, ~
SIGNA OF ERMITTEE
~
~p g~ ~q ~7~~ T~;gry g
p~~pi 17~ 't~ ,t'<¢f¢ s`s~~'p\~s3; ~`S?YFa3j£Y~) .nylyd&~~'~a~~~~k~tL~J~7~~R1~~y~F~~~b+`"~~k~ ~ fiaa3~M .
~ ~ ~ . M i4 i~~3~
i t ~,~F~~ib i~92 ~~.~J~£ ~ ~s~R ~E'~~~€RtQ'33£ ~ fi.> F~~ ~~Si34A~~ ~9
R ~ ~f~se~3 ` .
K r . . ~ A ix>.. R . ~E; :$.•3~i`N ~ ~~}~¢~~3, r r ~ ~ ~ ~a'?. +1 3:~~~Y;z^°''4;p~kd¢yA,y , . .
. . . n ~a FA ~~.:r.x..&11:.~.,>..+tn,.a.a~~~:~?s~s3~L~, :x
~ ~ ~~ti*~~+,e;: . 3.~.. :
1994 PLUMBING'PERMIT (COMMERCIAL) ,
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 'S5122`
(612} 681-4675
PL,E;4SE COMPLETE FOR ALL COMMERCIAI_/INDUSTEtI??L BUIL:DINGS. ALSO F'OR MLJL.'1'L-
Ft?.MILY BUILD:WGS WHEN SEP?ARATE PERMTTS ARE~ NOT REQ.UIRED FOR -EACH
DWELLING LIIVIT.
_ NER' CONSTRUCTION
_ ADD' ON
REPAIii -
WORK DESCRIF`I'IQNa
CONTRACT PRIGE: $
FEE: LRo OF CONTRACT .I+'EE.
STATE SURCHARGE! '$,'S0 F.OR;EACA $1;OOD OF REE.
MINIMiJM FEE: $ 25.00 . " _
CONTRACT PRICE ~ Y% $
STATESURCHARGE; $
TUTAL $ '
SI1'E ADDRESS: _
TEIVANT NAMEs gT~. ~ -
_ . _
OWNER NAMEs
~z _
r., _
INSTALLER; . ; _
ADDRESS: _ . ,
CITY; : STATE: ~ "'ZIP CODEd. ,
RHONE : ~
FOR:
CITY OF EAGAN A~PP•LIGANT _ -
~ ~
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q SY f
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sPa~^k~ ,~~,t~ ~ 3 x Mab~~ ~.,~~.~„C,.x ~~F ~ ~y%~ a:~,.~te~~~w,4s
0£ "~iz i x E a ~ y~~f
i L ~ i ,~s b A h`Y ~ >f ~7 tii~l ~ ~ ~.~9 ~ f Y
.
,~,:E~~'~~s.~~w..`! `~PK.~,.~'i~?.~ ii~, 3`£8. .:t_~'`'«~z,~:;'~.~"~e`~.. . fic€
iC°.2«w~?:'x.;.~:e?.,~2d~.~'~~Y~..~,.<. .a~~~,i~'+~o.~.°~,w., ~~..~E.h..,'~ ~~ss°i
3~~~
1994 MECHANICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
~NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE I
FEES
H~VAC: 0-100 M BTU $ 24.00
ADDTfIONAL 50 M BTU 6.00
GAS OLJTLET$ (MINIMUM 1@$3.00 EACH) 3'~ . U O
ADD-ON/REMODEL (ExisTiNG CoNSTRUCi'IOx) $ 20.00
STATE SURCHARGE .50
TOTAL 3 3 - ~
SITE ADDRESS: y 3 s~ S 2/o N G T
OWNER NAME: ~~/~4'2D~/ /1~B l+, ~ S TELEpHONE ~S~ -7 $SJD
WSTALLER:__G~D~t= s ~ITA .K1Nfl /~l ~/t ~d.tJ~O. _%~t.
V7
ADDRFSS:~ ~ 5'S" ~ 3/ 5 7' G?
CITY: S~ N7 G~ y~"
1 STATE: - ZIP CODE: S~ d~~
TELEPHONE ~l 2 3- 38~ 2 .
SI
~ OF'PE ~ TI'TEE
r ~
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~~a F~o x~+Y ~ . x a Y'~'9 .£'Y' z<3 s r~ a r< x. 's e~~~'~~'<v.~u ~'x~ t s~> ~ F'~ s~
~ :u ~t y <y ~ +4 e ~a i ~ ' ~ lk ; ~ %t y ,~t ~rz'~ L . '~'~d as'.~ss- Y .~'x< ~ c ~ _ ~ a aa g ~ bd.i
qe x ~9,`~'s a.;es s~.c r,u £'n;F ~'~a x;°~`~a a,~.H.,~ 5~,¢~ j. F'~ ,.¢"^q~SiFf£5'4'L iF 4'~'~~~a a aa3~~) `~~ci 4~r ~~3.. 3 f ~r~Pn'~ ~'fr' ~
~~....F~t ~._:.~asors~ .,,::.a
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m..a ......-,Sk.'~S`',...zdb&{.:a..~:Y:c:~,~.%f.cxr.... Sks"~.a;.'zi.:o. .s~'e...<~ .............s
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACII DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~j?T'~'Rt1,G"I' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ;:'R~I`~'~' FEE.
TOTAL $
STI'E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (n~tpxovEMErrrs oxr.~
INSTALLER:
ADDRESS:
C~TZ'~ STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMIT'TEE CTTY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118250
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 4350 Sean Ct
Lot:8 Block: 1 Addition: Lexington Pointe 11th
PID:10-45095-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jarrod Stenzel
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 -
Jack L Carlson
4350 Sean Ct
Eagan MN 55123
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature