4851 Sheffield Cir CITY OF EAGAN WATER SERYICE PERMIT
383(! Pilot Knob Road ~ • , ~ _
P. O. Rox 211'99 PERMIT NO.:
Eagan, MN 55121 DATE: -
, i`
Zonlnp: ' No. of Units:
Ovmar: •~„-'_1n
Addrass:
Sita Mdr~• t . . ~ ~ , ; ~ r, 7 ~ ~~i
Plurriber. ~ 1 ~ :;,i ~~tti~lt~'"_.
Met~r No.. J~o S.~5~ l'~ (;(a i~q6 `~sCrr' ie~t'CFfor~a: r n C'- r~
51ze:~ ii se~.. ~l GPIi~_ ~~,~~t: ~ ;,=,.-k~
Reodsr No.. ~ r1'T - ~ I{' Fee ~ t 1 lT,~h'
1«rM /e a~~y w~ if ENr¦ Surd+orps: J~;
O~i~a~. M~~c. Cho~s: 1_' ~;~JpG :
Tofal: ' ~ 0'~c; ~-k_ • .
By a+.~Qi ~J. Dot~ Pald:
Uote of Insp.: Irap.:
/a/J gs
CITY OF EAGAN SEWER SERV~CE PERMR
3830 Pilot Knob Rwd
P. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zontnp: Na. of Unlts:
~r: i:42.'~ i~;' ' i .
/lddrcsx
Sits Address: ~F35I S;Z2ff.i:_i;' _ - ; -:;;i
Plumbsr: ^"-~i "Iur-~~i,~:_
_ i -~•.:r, 1 -
. ' . . . ci.. L
1~/w~ to eaqlp wM6 fM CIh eF Mpw Conrnctlon Choq~: ~ 2'' ~ ~t~`~
i = ~ .
Or~ifM~ew. Acaourrt Deposit: .
Prm~it FN: -
Surrlwrpr °
BY Misc. Chorpss:
DaAr of Irnp.: TaRd:
Insp.: Dat~ Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DI~TE: - ' - }
Zanirp: - No. of Units:
Ownsr:
~1~1lfi: '7~Z ti'- ' i r<~r ' ~rs.f ~j'~yh
Site /lddfe~s: ,
Met~r No.: l• ConnecNon Chor~e: 5~0,0~
llccount Devosl~. ~ 5 F ~l
Siza: Z .Zr•,.
Read~r No.: Ptrmit Fes:
1~~w /o eawPlp wNh Iw Gh ~f ~f~p Surcharps:
OAi~wor. Misc. Cho?Oes: ~ ~ ? '
Total: . r
ey Dota Paid:
~ate of Irap.: Irap.:
• CITY OF EAGAN ; a c~ ~
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ~
PHONE: 454-8100
eUILDING 'ERMIT Receipt #
T~ w ~Md fee `T ~J; Est. Volue ~ r'~t1 Date ' ~ ~ 9 `r.
Site Addres~ ~ ` i r' ~ r ` ~ ; i~ - Erect Occupancy
Lot ~ Black ~/Sub. ` 1.4~- Remodel ? Zoning
Repeir ? Type of Cona.
Parcel No.
~ Addition ? No. Storiea
, . , Move ? Length
' ~ Name lA~,i2: _ ~~1'T~i ~
. W ' Demolish ? D~pih !
t ~ Addreas 1~.A~~ ~L=~ Z~' Int Impr. ? $q. Ft.
t City . -'i,~ ;~y T.T ~ phone Qj.3~~ ~ Install ?
~ ~ Aporm~ol~ f.n
~ O Name
~ A~~~ Assessment Pe?mlt n~
~ Water d~ Sew. SurCherge aa _ nn
r Clty Phone
• Poliu Plan Review ? `~~j. h~1
~W Name jT~~~~~ 1 ~ ' - • Fin SAC ~ ~ , _ cl(1
=Z Address T~~~:~1~T`~~,,'f~!~~, _,T r, E WeterConn. .~;1Q
u~ ~ i r ^G'
tW Clty Phone Vlonrwr WaierMeter
Counci) Road Unit
I herrby atknowledqe that I how rcod this applicotion ond state that Bldg. Off. I Tr. PL .~s;: r;:ti~
the info~mation is correct and agree to comply with oll opplicobl~ A~
Stoh of Minnesoto Statutes . and Ciry of Eoqon Ordino~ces.
. % Var. Date Copies
~flOfUff Of PlfifNnM ~ ~ .~l(' ~s='ir~Y'' 'i-' ~ ~ ~ .
i .aV. K ; : , . - 7ata~ ~
h Buildinq Pennif is issued to: " on tM ~xpr~ss ~a~dltlw? ~ho~
oll work sholl be don~ in oocordanc~ with oll appliaobl~ State of Minnesoro Stotutes ond City oi Eoqan Ordincnces.
8uildinp Oifidol
Parmit No. Permh Holdn D~b TsleRhon~ it
PlVmbi~y 5 ~ ~ g ~ q
H.VA.C. ' rl c~ ~ 3! U~j
Elretria , c~r~ , r, -
r' ~r C, / /,r / 7 ~ '
Softsmr
Irupsction Daa Insp. Othar
Footinysl b?
Footinys II
Foundation
Framinq
Roofing
Rough PIb9.
Rouyh Htg. ~ B
Inaul.
Firoplace
Flnal Hty. ~
1 [l~,p~ ~ !ol i, ~k - , f ~C., r ~ ; ~2 ,~r
Finsl Plbg. /C ~ "
Final
C~t/Occ. i.j Gl~ ~ v . ~
Water D~saibs Location:
We11
Sswer
Pr. Dlsp.
R~pipt MECHANICAL PERMIT P~mtit No.
CITY OF EAGAN
i ~ F~s,
- Fill in rwmhered speces S/C
Typs or Print le~ibly T~
1. Data ~ I 1. 2. (nst~llation Cost
3. Job Address ' ~ i: ° ' ~ ~ ~ Lot~,81k. L_ ~h'~c'C' .
~
4. Owner . . , f . . , . ~ - r : 5
5. Contractor ~ s~ v Phone ~ `1
6. Address ~ U _ ~
G% c~
7. Gty t' ` St~te R Zip ~~..5
8. 8uildiny Type: Residential Q Commercial ? Institutional O
9. Work Desaiption: New D Add ? Alter O Repair O
10. Dascibs Fuel Type s~.~: ;
11. No. ~ BTU - M. Ea. No. Equiament CFM
- Foroed Air Ai~ Ha~dliny:
~9•
~ 8oi1~ Mech. Exha~t
' Mfp.
Unit Heater
Other
Air Cond.
Mfp.
s~
Gac. Plping Outlets
12. 1 hereby certify that the above information is true and correct, and I ayree to
camply with all ordinanoes and codes gcverning this typa of work.
5~gned: _ : i for
Rou~lf Flnal
Inspections: Date Insp. Date Intp.
This is your permit when numbered and approved.
Approved CITY OF EA(3AN 464-8100
' ~ -
R~aipt ~ ~ ~LlNY181N~ PERMIT PKmk No: ~ ~ '
CITY OF EAGAN
F«
( t fl// in numbsnd ~Asces S/C
Typ~ or Prfnr /a~ldryr Tpt •
1. Date 2. Inttallation Cost '
3. Job Addreu Lot Blk.~ tnct
4. Owner
b. Contr~ctor Phone
8. Addrea
7. City Stste Iip
8. Buildinp Type: Rasidentisl -O Commercial ? Institutional O
9. Work D~scription: New O Add ? Alter ? Repair ?
10. Desaibe
11. No. Fixture: No• Fixtures
Wate? Closet ~p~1/Dninfitld
Bath tu6~ SePtic Tsnk
l.~v~tary Softntr
" Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tr~y
Floor Drains
Drinkin~ Ftn,
Slop S'ink
Gas P'ipiny Outl~tt
12. 1 h~nby artify that the abow infamation is true and correct, and I ayne to
oomply with all ordinanc~ and codes govsrniny this type of work.
for
Rou~h Fin~l
Inspectiont: Date Insp. Date Insp,
This is your p~~mit when numbered and app~oved,
Approwd CITY QF EAGAN 464-8100
" ~ CASH RECEIPT
?
- CITY OF EAGAN ~
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
i r
DATE '~r ~ 19 r/
~
RtCtIVtO ' l r • r r
rwa.~ i~l/i J _ 1- : _
i` AMOUfIT $ _ I~ a
. t~.,
,
~ DOLLAR$
~eo
? CASH ~ CHECK
? ,
~.I ~ ~ 1 r ! ~ ' ' ~B~ .J--,~
rOR
~ 1 ~ / ' .
' t . ,
. .
FuNO cooe ar.iouNr
s -t
~r ~ ,
~,L/
j ~ ~ ~ -
. ' ~ t : . x- -
. , .
~
Thank You
e v ` ~ ' . :
. E . , ,
IMhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks ~1• ~~DS ~ i
Addition ~T'PAI~Y STH ADDR Lot 6 Bik 1 Parcel 20-150o4-o6aoi
Owner street k851 3HEF1'IELD CIRCI~E state ~ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
N SEWER LATERAL 8O
WATERMAIN
N WATER LATERAL 2
WATER AREA
STORM SEW TRK 1 2 ~i6. ( 12 . j~
iF STORM SEW LAT 1 2 S
CURB & GUTTER ~
51DEWALK
STREET LIGHT
WATER CONN. u n
BUILDING PER.
SAC
PARK
This request void ~ F~ / 0']~~ p ~S~'
18 nwnlhs from ~ ~
o ~ 0 ( Bi ~~7~ ~ 5 Z~
Feu 5t Date Fire No. RouPh-in InspeqCi n
Repwred? V ?Aeady Nuw ill Notity, Insuec
es ?No or When Reatly
Lfcensed Electrical Contractor I hereby request inspection ol above
? Owner electrical work installetl at:
Streat Address, Bax or Fouc o. C ity
D~.SY/ /GZ/, ~'i~
ecUOn o. Townshi0 Name or No. Hange No. Cowi~y
Occ Oant IPPINT~ ~ Phone No.
~///V
Pow $uppli2r Atldress
l
EI ri~al Q~~c[or~ICo
.~el N~~ 1/J Cor~ractnr%s 'cense ~}i~
L ~ ) Ij i~~~I ~
G.J~ ~l~ L~ V l ~
M- in Address Conlrec or or O er Making Instailationl
LU ~J'~ YC-- ~r~ ~'f'
u[h ' namre ~Cont act r ner MakfnB ~ns allati nl Phon u er
r~n ~ ~ 3~
MINNESOTA STATE BOAXD OF ELECTNICITV THIS INSPECTION NEQUEST WILL NOT
Griexs•Midway Bidg. - Noom N•191 BE ACCEPTED BY THE STATE BOAHD
1821 Univarsity Ave., SL Peul, MN 661U0 UNLESS PROPER INSPECTION FEE I$
Phone (612~ 297-2t11 ENCLOSED.
~5~~ ~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
G ' See instructions for complelwig thisiorm on baek of yellow copY~ Li
~o ""X'" Below Work Coveied by This Request ~ L~
HAd Xep. Typa o~ Builtline APP~~~~C03 Wi~ed Equipment Wired
Home Range Temporary ServiCe
Duplex Water Heater Liyhtiny Fiztures
Apt. Buildinc~ Dryer Hectric Heatin
Commercial Bldg. Fumace ~ Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm [her Peu y ther (Specifyl
t e. Suecity Other Other
ompute lnspection Fee Below
Fee Service EnfrencaSixe A Fae Fexders~S~bfeeders k Fee Circuits
(1 to 200 qm s ~ ' 0 to 30 qm s 0 In 30 Am s
Above 200 qm ~s~ ^ 37 to 10~ Amps 31 to 700 A s
Swimming Pool Above 100-Am s Above 100_Amps
Transformers Irrigation Booms 5F~ Pertial.'Other Fee
Signs Special lnspection ~j~
Pemarks )~J TOTAL FEE
~ ~~y
flOUgh-in I , [he Eiectrical
i3' O Inspectoq hereby
certit thet the above
Final Ds e pection has been
/ ede.
TMa requesl void 18 months irom
' ~ CITY OF EAGAN N° 10 612
3830 Pilot Kmb Road, P.O. Box 21-199, Eagan, MN 55121 !_n
PHON E: 4548100 1 .iSL~ /
BUILDING PERMIT R«~+a # ~ J~~
Ta M m~d 1w D~~~ Est. Volue 88~000 octe J[TLY 19 , 19 85
Slte Address 4851 SFI~'FIIId1 CIRQ'E Erect :~7 Oceupancy R 3
6 ~ ~ BRITIAj~jIT S Remodel ? 2oning R-1
Lot Block c/Sub. Repair ? 7ype of Conrt. ~3
Parcel No.
AddHion ? No.Storias
Mova ? Length 6~-
m. N811;e IAWRINCE E. MAi~PIN
~ Demolish ? Depth
qddreys LSdR7 11RFCf1FTT TR Inl Impr. ? Sq, Ft.
City '~Phone Q23!]].i{S ' Inetall ?
o Neme S~ ~vo~e.als f~u
~~j A~~ Assezsment Permit ~~i%. L'U
S Water 6 Sew. Surcharge 44 _ 00
~ City Phone
Pollce Plan Review i 9R _ 50
~W Name P~~• B`~• Firo SAG 57r+-nn
A,~,~, 3435 [~1SfIII~1G41'S.i DF.IVE E„y. we~arco~~. snn nn
~W City ~ Phona 452-0724 p~a~~ WaterMater ~3~Q~
Council Road Unit ~$Q~QQ
I hereby ackrrowledge tMt 1 heve raod fhia epD~~wtion ond stote that Bldg. Off, 7~T/R5 Tc PI.~v„~~
nn
tha inlormotion is torre[f ond ogree to wmply wfth all applicoble A~ Pe~
State of Minnewro Stotutes ard Ci of Eoyan Ordinn s.
~ Vea Date Copies
Sipnatum of PertniMee • Ta~a~ ~ 2~139.50
A Building Permit Is issued ro: ~ E• I IN on ths exprosf canditlo~ Iho~
NI work sholl be dons in acmrdante with all app~l(~'o/pq)la~ Stq(/~a_ of Min ro Statutea ond City oS Eapan Ordlnonte~.
Bulldirq OHicfol (/1~^^x~ ~ -
4 g (v ~C~ ~v> sa
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings Bi townhomesJcondos when permits are required For each unit
Date / / ~
Site Address ~2S S~ J~ e fT ~ Q I~ Unit #
Property Owner I r ~.~L ) ~~~C ("(.l C~(1 Telephone # ( ~5 ~ ) ~~'l ~ ~ d f
Contractor
street Aaar~~~~p NEATING & AIR CONDITIONING C0. City
s
State M~~~~S~ MN 55408'2~ Zip Telephone )
Bond Expirea:
The Applicant is _ Owner Conlrac[or _ Other
Add-on or alteration to eaisting dwe?ling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner _New /
~ Replacement
other
State Surcharge $ 50
Total $
I hereby apply for a Residential Mechanical Pemtit and acknowledge that the information is complete and accurate; that the work will
be in conformance wi[h the ordinances and codes of the City of Eagan and with the Mechanical Codes, that I understand this is no[ a
permi[, bn[ only an application for a pemat, and wo is no[ to start without a eraut; that [he work wi e in accordance with [he
appr d plan in the case of w ch requires a r ew and approval of pl
~S~Z--~v ~~~'1~}
ApplicanYs Printed Name Applicant's Signature _
f ~I~; ~i~ I~ I
"I
APR ~ ? "ruu5 ~i
ey
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindus[aal6uildings
multi-family buildings when separate pemu[s are not requved for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applica6le) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephonc # ( ) '
Bond Eapires:
The Applicant is Owner Contractor Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "'see below
_ Interiorlmprovement _ Install Piping _Processed _Gas
Nature of Work:
"*When installing/removing underground tank, cal! for inspeciion by Fire Marshal and Plumbing Inspector
PQ1'I[Ilt FQQ3: $70.50 Undergrnund ~a.nk ins[allatiodremoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1°/a Pernrit Fee
• If permit fee is ~1,000 or less, add $.50 ~ $ State Surcharge
If en rmit fee is over $1,000, add $.50 for
every $1,000 ermi[ fee $ Total Fee
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the information is complete and accuraze; that the work
will be in confomiance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that 1 understand this is
not a perrnit, bu[ only an application for a peanit, and work is not to stazt wi[hout a pernrit; that the work will be in accordance with
the approved plan in the case of work wtdch requires a review and approval of plans.
ApplicanYs Printed Name ApplicanYs Signature
Approved By: Inspector Date:
~ ~~3~ ~s~
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 ~ rl
Please complete for: single family dwcllings & rownhomes/condos when pem~its are required for each unit ! d
Date~Q/~/~
Site Address r ~ ~ 1~ Uni[ #
Property Owner 1 V 1~-1~--~ ~ok re~ ~KX~ Telephone LS,1-( l
Contractor
410 WE8T LAKE 9TREET
Stree[ Address ~111JNFADN C~~S
State 612$24-285~ Z~p Telephone k( )
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or al[eration to eaisting dwelling unit $ 30.00
~ furnace _Additional !
~teplacement
air exchanger
air conditioner _New _Replacement
other
State Surcharge $ .50
To[al $
I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complet accurate; that the work will
be in conformance with the ordinances and codes of the ity of Eagan and ' the Mechanical o I understand this is not a
pernut, but only an applicatio a rmit, and work is not to start wi out a it; that ork will e in accordance with the
appro plan in the case of k whic requires a review and approva f plan
c,f-(~~ ~ M~1 y.~t
App icant's Printed Name Applicant's ~ atu
2004 COMMERCIAL MECHANICAL PERMiT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. commercial/indusvial buildings
multi-family buildings when separate permits are not requircd for each dwelling uni[
Date / /
Site Street Address Unit #
Tenanf Name (if applicable) Previous Tenant Name
Property Owner Telephone k ( )
Con[ractor
Street Address C~~y
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see be/ow
_ Interior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
"*When insta!ling/removing underground tank, call ior inspection by Fire Marsha! and Plumbing lnspector
P¢I'illlt F¢¢S: $70.50 Underground tank installation/removal
550.i0 Minimum (includes Slnte SurcLargc)
or
Contract Value $ x 1% _ $ Permi[ Fee
• [f ermit fee is $1,000 or less, add $.50 ~ $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an appiication for a permit, and work is not 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.
ApplicanCs Printed Name ApplicanPs Signature
Approved By: , inspector Date:
. ~ r-' ~ i
~ 2/84
~ ~ .
~ ~fl'~ CITY Or EAGAN
~ ~~,r~` %
~ APPLICATI0.1 FOR PERI~IIT
SES4ER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROP~7!^I ADDRESS: ~X S I ~~f ~/E ~ ~ I!e('i~ (
rcrai, n~sc~brzc~: 4,o-f- te C3G~o~r,c I ~rz,++~•~,l 5~= /~1~0
(IAtBlock/Su:oivisicn or Tat Parcel I.D. Ni... r)
! I"r ^;IS':':G STDL'C.^~
v~'., DaT' O° 0a2?G~^.AL c~;ZLD~:G :.j:•S: ISS~r~:G:
_e=-t
PDr..LT ~:.^,`]T~C;/p?pPpS~ IIS: C9'R-1 SD;GL: F?~~SLY ~
? R-2 D(JPT~..`{ (T:'O L^1ZTS)
~ R-3 'IG:~.~?CLrcg ('?'I?R.T + L"7I':S) ( AA7I':'g)
? ~-~.~~^+~rr/cc:~ct•s~rr~i ~ UNI`rJ~
p CCi~M~'.CZ-lL/RE.'^-AII,/Oi?'ICY
? ~1'CCSZ~I.~,L
Q L~STI:LTIOVIL/GGVEP~:~'~'T
2) A~PISG
v'T (PLEdJc PRlfii) .
N~•~: ~/9 w~.C rvC G L. 2-f-, w
a~n.~ss: _1s~c SZ ~D~L~s.C~~'u
cr~^r, s:a~, zzP: _ Y~~~Le v~ t,~ c~r •rn~v- Ssr z<{
Pxo~: ~-I L ' ~f ~ ~ S
/ ~~PLEdSE PR1NiJ
3) Pu:~tE~° ~pp~_ `ST~ 2 yJ(,_~ m~~ ~ FOR CITY USE O4LY
~ PLUHBERS ;ASE:
PDD~SS: //yfc «n.n S,o.Ciw~S 1 ~@2 Acti
~ CITY~ STATE, ZIP: ~[,~4,,.,~ ~e'v j~ti Ex red
PHO,]E; ~~~f -Lf ~"~~`r ~ t of Record
PLUNBER LICENSE N
' r tnitia
4) CX'C.'U?Pl'`1T/CT,vi`;ET~ (PLEASE PRI,Ii)
~n~ss:
CITY, STA'i~, ZIP:
i
PIiO.^IE:
5} INpIG.TE :JFIICH PER~LIT IS BEI\G RE~)UESTIa:
~Cri~.TIF.CTIO.I 'Ib CITY SEYiER
[~CO:~^7~PIC:1 TO CZTl' <<TATIIt
~ di[~R (PIS'1~.SE DESCRISE)
6) ~:GIG,.:: C:s.: .
. ~ PT.~~SE f?OID r1PPP,WID Pg2,'~tIT FOR PZC1:-Gs SY CNE OF AFiGZ/E "
°~=+.SE D?aIL APP!2aVID PFP~LIT TJ 1, 2. 3, 4 A60VE
(Circle one)
sz~~zt.-~: ~rz.~~.~z~~r,~ ~'~~'l~
DATE: J"
~ w OliMlllJY ~ 1~ l~gfl! f~ ~l PR ii/ i~~1 i i i f isii:~ a!!!!fl~y 1~~f~ f~ S S! i iR,~ ~
F 0 R C I T Y U S E O N L Y ~
P~-°-`1IT " ISSUED
gc^S: $ ~l!.j(i
$^"'.yo DrDVT'_' ( ~,..r---~-- or-_^..
I_ Sli..,._.r:
+S /~''S
C; WAT°~ PE:Z"lT~' {Ii.CiuD.-". 7 r ~
Su C_.ie~Gci
S G 3"~ h;~T°R MET°R/COPFE3HORN/CCTS=~~ R~„p~g
S WAT°R T~,P ( INCLUDE CORPORATIO~I STOP )
$ SE:~;c..''i T~?
$_~/S=a;~; -_...~'i;:._ Gc~_ - .:=.,c3
$ ~5'~'~' AC,^_Ou:IT DFPC`SIT - PiA':~~
^5 ~ WnC
$ S~- . S~C
$ T'.1'~iVK [J.'-~TrR ASS~SS:::::T
$ TR~VY SE~•;c'.R ~SS~SS?:EJiT
$ L..T ;3aL BEc;EFIT/T3L'VK S: i:~-
$ L.=,': ERaL Bi,VEr IT/T4U2~K :•7a^_ z'?
$ - ~`3-~'0~ ZdATER TREATMENT PLANT SURCHARGE
~ OTHER:
$ T0~'~L
cy J/ cL' rl~rOti`:T PAIDi~R-^,~~°~?^_ R
. ~~r~-
D0: S UTI:.ITY CO.::IEC:ION REQUIP.E EYC~IVATION Ii~1 2UBLZC RIGHT OF Wr1y?
YES ZF YES. THE:: ~y "PE.^~MIT FOR D70R?C WIT??1:]
PUnLZC ROADS4AY" iylUST BE ISSliEO BY TEE
NO E*;GI:7EERING DIVZSIOi7. LIST AS A CONDI-
TION. °
SUSJEC^ TO ~:HL FOLLO:~]I.IG COVDITIO`:S:
/
APPROVED BY: ~ l.«~P?
TZ:LE: .
DAT_°: `1/~'1~ -
A~wws ~~sr.~a ~c~.a~ t~w~w
~st ~e~ ~t+ ~t~ w~w~ wf~ ~t~ st wa wt~ ia w..
~
1 ~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACYOES NUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
_ =
To Be Used For ; j r a~ ~r F, Val uation : ~S'{~- Date : '1- f U~~~
Site Address: ~f g5 .S G~~• OFFICE USE ONLY
Lot: Bloek ~ Sect/Sub S Erect ~ Occupancy Q-~j
Remodel _ Zoning
Parcel /1 Repair ~ Type of Const
, Addition 0 of Stories
Owner „~u,~'En~C,G G. m~.~,;i,~ Move _ Length ~
Demolish Depth 57
Address ~sy~ ,Qa/Le.c,pC~? ~Q. Int.Impr. ~ Sq Ft
Install
Ci t y/ Z i p Co d e ~~~L6 (1F,~ LLs ~i ss 1 Z`1
Phone C.( Z3 - t-t ~ 6{S APPROVALS FEES
Contractor ~ ~''~'1 ~ /,}S /j-~~~~ Assessments Permit ~ ~
Water/Sewer ~ Surcharge 4y-.-°
Address Police ~ Plan Review ~~j$.g'
Fire SAC 525~ ~
City/Zip Code Engr Water Conn 5q-j.°~=
Planner Water Meter co3.
Phane Council Road lJnit ~,go.
Bldg Off Treatment Pl ~3Z. =
Arch,/Engr. Q~}rU'(,r~ ~+LC• APC Parks
Variance Copies
Address ~c{3~ wr}sH~w~•4~ ~~~W~ TOTAL 2139.50
City/2ip Code ~t~c~~qnl ~1~. S's i 7~
Phane ~ L.{ S Z-(j'? Z~{
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2G, x~- l 300 )c 54 -?0 2~
Z.~12~ 24-x s4-` 1Z9~ °
C~ x zc~ = f~ o x Sa- = ~4~
22 ~2 i ~ S~I~- ~ rl ~ ~~3¢
(Zx 2qr ~ 2gg ~ fl - ~ ~
~ ~ cP7g
~ Larry Martin Or.11640
~ 188-3 ,
JACKSON - URVEYORS , l ~
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11WI~TtR[D UNO[p LAW~ {T11T[ O? f~OTA r I
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3818 EAST 66M STREET, MINNEAPOLI MN 55417 7273486 ~ ~ ~ ~
~u~l~`~ ~ecctu~at ~ / I ~ v~ l ~ lJ
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a~~ '2_ ~ J
I I ~ 6 ~ ~p ~ 8" ~o\~ ( fl~ .
~ ry Scale: 1"=30'
~ , ~ • Denatea Iron
I w • ~'J eDrainaae 6 Utility Esee~en
~ ~ 000•O:Exieting Elev.
~9 - -Draina~e
~1 f '
~ I •
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- / -5~' D%'D
I N[RWY C[RTI?Y 1XAT TN[ ABOVi U A TqUL AND CORN[CT PuT OF A SURV[Y OF
Lot 6,Block 1.Eritteny 5[h. Addition,
Dakot• Caunty,Minnesota.
13th. June 1985 -
w~ ~unvivco ~r rc rN~ owr or-_ •.o. j
` s~oN~a-~=., <~.i ~ a sr-r-.
F. C. ~ JACK90N, M~M wr j IiTMT10N. NO. ~J6OO
/
~ . ' HINNESOTA STATE E:lERGY ~:ODE r.ALCUL.~TIONs
BASED OV f,IiAPTER ~ GF THE
MO EyEBCY ~:~1DE - L9 EDI'LiON ~."J'..:,
Adoptiun E[fr.cr.ivr l(1/84
I_t l~~ o~
Avner~~2\T7 ~y~``(~~ ~ ))1
~~`t'IJ~I Phone ratP~~
;ite Address •
;ontractor ' • ?hone
iuilding Classification: Type A1 (Single Fa~ily 8 Oup7ex).~Type A2 (Residentiat~
(3 staries or ess
(Other) (Over 3 stories)
~cNERAI INFORMATION
I . Building Perimeter5~,&~ GUDRe- ~f~ft.
Wall height (ground to eave)S~,GliD~~ Syfft.
2
3. 1. x 2. (above} gross wall ar~p. ft.
3. Building dimensions (l)~{c=GU?~p_k_~,~tr x(N) ~ L ft.Z roof S fioor area
i. Square fcot area of rim ,joist - Floor jai:: si:e (2 x C+ ? )
~U? x Perimeter = Rim jaist area D ftZ
-T 2 , -
6• Doors - area ~~(Q ~
' Thic ness ~n. U-~ctor , ¢
7ype of Construction Pertmeter ft.
Manufacturer
7. Totat daor's perimeter ft ~
8. Windows: Manufacturer G~I•,r ~T ~11~2~-- ~d.g7 ~=fl. S~ate approved
U factor ,
2 °IU~~16ER 0~ TO?A~ FEET 2
TYPE S[ZE AQ:A (ft. )
' EACH UNITS
G()rJ;~ k=, ~'./T , . -
g. Tatal ft.2 Glass Z
Fireplace area: Width x heiuht = x ~ _ Ft.2
11 . Exposed foundation: Height x Perimeter , 7l x_~~_ = ~Z(7 Ft.2
;)hiPLETION Of THIS FORM IS R~QUIRED FOR ALL ttEi~ COPISTRUCTI~tJ, MAJOR REI~t00ELING Ak0 BUII.DINGS BEI~
4~V:D'dF!ERE ERERGY, OTHER 7HA~ THE t4INIMAL CODE ALlO:•lar1CE, [S uSED.
' 'r ~ G~~ I ~
12. F:~m1ng area • l0S of grross wall area.
13. Gross Hall area ft.2
Window area A ~7Z ft.2 U windows = Z U x A~ ,7~`~, ~
Rim joist area A ft.2 U rim ,~oist ¦ ,d U x A= 5,7~f
2
< Ooor area A ft. U door area ~ U x A=
r
; f3~e~
aDee area A ~Z ft,2 U fireplace ~ .~'7 U x A¦~~
Exposed foundation A Az 0 ft.2 • U faundation = .0 ~ 7~ U x A= ~=i
Framing area A z D~ 7c,'roft,2 U framing area a,Q9~ U x A= ~,7L%
~ 1
Net wa11 area A /~7Z ~ ft. U wal 1= ~ "3 U x A= ~~~l
_ .
• (13H) TOTAL . . . . . . . . . . U x A = Zf/~77
14. 6ross wall area x 0.11 (A-1 single famiTy 3 duplex = allowable U x A/Code
(13. abave)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
~ BTUH Must be larger tF
• A 2~ x U Code, ° ~Z J~ 136 above
15. Ceiling framing area (Ap) equals l0Y of ceilfng area or the same as)
(SA. Gross ceiling area ¦ (L} ~j'~j~j (,~/~/~,,.C~j~~'(y) : ~ ft.2
156 Joist area (Ap) ¦ 10% ceiling area = I~1'y' ft.Z
15C. Net ceiling area (Pl~) (15A - 156) ¦ ~3fJ0 ft.2
U ceilfng x A ~a , 025~ x /~~00 = 3Z.~0
U framing x A f= , p2~ x 14~_ a 3, ~J
15D. TOTAL U x A ~cj:?~~
16. Ceiling area (15Aj x 4.026 (A-1 single family 6 duplex - code allowable U x A •
x ~.033 {q-2 other residential)
x 0.06 (other)
,1 j~ ,I BaUN Must be larger than 150 (above
A(15A) ~~f`~`1 x U(codel= 7J~~~JGi- F (or the same as)
e 0~(0
NOTE: Use U and A values abtained from nps 1, 3 and 4.
, ~ -
oc~/n~,
e (J~~~/(I'l~F - -
y rTT ~
Y
• 1 2 9 4 3 6_
3
_
~ _
~
~
o _
~ ~,L.
1 Q ~ 1
t . ~'J 2
1 / ~
1 1
S ~ 5
~ 8
7 ~ ~
~ e
! 9
10 10
il il
12 ~ 12
1~ i ~ I / 13
U 1{
li - - • '~7 IS
11 2 t~l/ ~ 1i
n , Zo I n
u w-L 3(~ u
19 19
1D t0
!1 ~ 21
72 p2
2~ 7i ~ 2]
21 ~ ~-.,(~a' 24
a ~
ti 25
1{ /,O.D te
«
n n
:e
7! 39
; 70 70
71 ' 31
~2 72
3~ 33
~t
35 _ 35
3i 38
]7 31
3~ 71
~e ~e
~8 40
~.,~~_~..,a..u m.....rc aoeon aeciw >nu ~u~r oveeac coviw~cae ...oc m u.e.w.
~ ~~Co W/~1.L - ~Ul~ ~lZc u ~~we l.NII.ULM ~ tUN~
. C~''~'~TCT~~U VALUE U VAIUE
_ Lnalde atr fil.m .68
,
i'
HALL ' I~~ Lnterioc ra11 (Aall) U~ a .
~ i
SEG7IOH k Insula[lon ~qiCQ
~ l~ Sheaching ~L.~ .A~-~j
: ~
~ { Siding ,(d
~1 OucsLde atr Eilm .17
' R 70TAL 2 3,a 3
~1 Inaide air £flm .68
5'nID Interiar vall ~ 4$~
SECTION ~ M+ scnd ~(~4) R= L.s~.Y~! , rjp(Framing} V. a .
~ Sheaching 'j,OLo
~ Siding •!07 •d9S
\1j~ Outsida air filca .!1
~ R SOTAL I b . ~.3
Instde air EiLm R= .68
ZND VALL Lnterior yall '
SFC'MON Inaulacian ((iall ~ U . g .
,
Shsat
. . ' Exterior rall riag
' Extarior air film a
8 SOTAL
~ Interior air £ilta R= .fi3
j
8IH ~~~/t ~ Lnsulacion • `i . ~
JOLST ,y 1 l~i inch soEt voud R=1 .88 tRj"~ U= R=
_ JOist}
Sheathing Z~D~O ^O~
` r~
Exterior vall tovering .~7
ExterLor air fllm I~ .17
_
~ , R TOTAL ?Cq', Q-(o
.
.
~ Iateriar ai: Ei1rs R= .fi8
~ InaulaCior. ~0.~ ,
~ Foundacion (,2g (Fdn.) U ~ R ~
~ Excerior air film R° .1~
f R TOYaL ~2. ~'~i e 0~2
~ ~
xposed 91uck
C
, , ~=:LiJlr :lI-H `!E7lTc7 ~^IC ~aAC~ A80YE
, . ~ R 'hil'1c • i.UE .
• f~k:4I;~G CcILING
. O.ef „ Air Fiim 1 O.6T
~ ~id,m Insuiation 35~,C~D ~
;
' , 4~3g ~aist ' .
,~i~ Ceitinq , S~
; { , J =
~
s . ;
• , . 0.61 l~i.r Fi1m Q.61
~ ~fa ~ ~l~ Tata1 R 3~. ~7 g
t . 027 U ~ ~ • ~
~
~ ~ • •
F!.4T RCOF OR C,~1'-iE~RAI. C~?LI'1G
i :e Va ue R `lALUE
I FR,;1•tiPIG , CEILITIG • E
k
D.6i Inside air film 0.61
Ceiiinq
I . Jaist {stua
I ~ Insulaticn.
I I Air space
f Racf dec'xing
i. Irtsutaticn
i
~ 8ui1t-up roof
~ O.t7 Outside dir,fiIm 0.17
. TotaI R ~
~ ~ U
R ~
iindow inf;ltratian .5 cfm/lineai ..faat or crzck ' ~
~es:derttiai door infiltracien Q.5 cfm/sgusrz foot or door and miRimum code re7uir~nent
,cn-residzntial door irtTiltratian 1T.0 c.°n/lineal :aat af crack
Jb 12" cancrete bTack na insuiatfen =.47 R 2.1 .
!b 12" cnncretz black insulated cores ¦.Z6 R 3.8
Jb 12" tighr.veiant block =.32 R 3.1
:6 ~Z'~ ifi9n n~ei;ht block irtsuiated cores ~.TZ R 8.3
! single gtass ~ t.13; v~ith starns.~rindaX".54 ~ ~
1 daucle glass = .55 . •
1 LTiple gid55 = .4]
3i1 extarior walls and ceilirtgs must have a vaaar ~arrier (Q,1p perm max.).
~a?or 6arrier must be on the lnside (heated side) of wa?1,
,apor barriers of the poiyethelene thin film have no R value.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135879
Date Issued:04/11/2016
Permit Category:ePermit
Site Address: 4851 Sheffield Cir
Lot:6 Block: 1 Addition: Brittany 5th
PID:10-15004-01-060
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Charles G Boxrucker
4851 Sheffield Cir
Eagan MN 55122
(651) 331-6102
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
E C
A-tla
•
RECEIVED C ( 1
For Office Use mg
% �
.. .. ,, ... E AG A N
' ' � � DEC 31 2018
Permit l� 55V
� �
..,
Permit Fee:
a.�1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:L^oi-
buildincinspections(a citvofeacan.com L
2018 RESIDENTIAL
BUILDING PERMIT APPLICATION
Date: I L 3 f ? Site Address: /Jr , , -G 12L Unit#:
t :
Name: CITrJc�E- N �JK k Phone: V i 33I-6 Co3,..c.—
Resident/ ....0_,....------
1 L
Owner Address/City/Zip: "[X,..5, S tt t C/1
• Applicant is: Owner X/Contractor
Type of Work Description of work: ,t001i1 C7 P b u 1
Construction Cost: ' {(0t7 Multi-Family Building:(Yes /No/1( )
�Companye---
IV DQS 1
1/1 115
Lii�ILL—
Contact:
e__Address:1SI-1/4 641 t 1L,jc.,,Ql City: I -afe.74�v n
i--
ContractorState:Zip: SGD&S
Phone:(Q5(^+ISS 4155/mail: 5'Tp-uIQ 46,:t. Ybt A
License#: C-1/2- 5- S6I C- Lead Certificate#: t. t,S
If the project is exempt from lead certification, please explain why: t.
.-11:1=0.--ci--1- - /
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: Phone:
Sewer&Water Contractor: Phone:
•
Fire Suppression Contractor: • . . . Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed'prdinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility dama.-. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance witty • dinances 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 std out a permit; that the work will be in
accordance with the1approv�dd Ian in the case of work which requires a review and approval of plans.
x L�l T JX- \�� Li x /
Applicant's Printed Name J _ • .plican 'mature
_i„.„ •
Lx,ii), ,. .-- „, •,_
he ( ,, /,,,i e.,,z • ,, ,,,,,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage —
Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation iN Occupancy -Til.p-/ MCES System —
Plan Review v Code Edition j2I SAC Units --
(25% 100% ) Zoning n -! City Water
Census Code 4{ 3 1f Stories Booster Pump
#of Units I Square Feet PRV
#of Buildings I Length — Fire Suppression Required
Type of Construction .43 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) ,, Final/No C.O. Required
Foundation Foundation Before Backfill +• HVAC_Gas Service Test Gas Line Air Test Hood
Roof: _Ice Water Final Pool:_Footings _Air/Gas Tests Final
Framing V 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: Stucco Lath _Stone Lath _Brick EFIS
j.- Insulation Windows
Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls - Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES 30 r, P*.i,. a /i-1 bow
Base Fee 7 3. 77- ��"ri✓/ �I�/ J fy'
Surcharge
Plan Review ii 7. lit
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For Office Use
Permit#: /S
E AGA N
"` Permit Fee: �v - Li
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675(TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections( citvofeagan.com L
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I- R-19 Site Address: (-65- 1 e_
P-P
Tenant: Suite#:
Name: ll/ kk ( i) C .Qv/ Phone:
Resident uni
G' Address/City/Zip:
Name: 11 Y v / N License#: C 3 O .
41 Address:_g2/___L /7 3 r_ (C7` City: G
� Stater Zip: ��3 37 Phone:
Sa — g7/— .2 V v
Contact: �S r7 Y1 Email: JCCS D✓1
New X,Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
—
Description of work: _
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
Permit Type Add Plumbing Fixtures(_Main/—Lower Level)
Septic System
—New
Water Turnaround
a_ o
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
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.000herstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work .. be in conformance wit'\he or lances and cod=. of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, . work is not to start wi ,out = •ermit; th- th'•rk will be in
accordance with the approved pla in the c e of work which requires a review and ap, • :I of plans.
7-66
ex tc �. o� 1404
Ant's Printed Name A lic•nt's Si nature
PPP 9
�+., + �� � 1 �� h�� I.�Ihav
Require t`� �� , eGround R rlft fief T t: s�T t Ftrtat
-00
1 ;v
e ...w..
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177801
Date Issued:07/19/2022
Permit Category:ePermit
Site Address: 4851 Sheffield Cir
Lot:6 Block: 1 Addition: Brittany 5th
PID:10-15004-01-060
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Charles G & Nikki L Boxrucker
4851 Sheffield Cir
Eagan MN 55122--273
(651) 331-6102
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature