4805 Shevlin Ct _ ~
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WATER SERVICE PERMIT
CITY OF EAGAN -
3;rps p11or Knob Road PERMIT NO.:
DATE: ~ ~ -
Eagon, MN 55142 ~
No. of Units:
Zoning: , ~
:~C1r' ::lll1.L-~'~r'~ '
Owner: -
/~ddress: • r T , . _ . ~ s, ,
~ C~u -
Site Addrcss:
Piumber: - G
Meter No.: ' Connection Chorge:
Account Deposit:
S~ZE: ~ . l7 V ~
Reader No.: Permit Fee: .
1~9~ M oo~wP~lr tIN Cit~r of Eayan Surchcrge: .
Ordinana~. Mist. Chorges:
Totol:
Date Pcid:
By
Date of Insp.:
- Y - .'t P,.~ r1u ! , ~ j'. `F
. . . '
?:r, "S~ _ . in
~r
SEWIER SERVICE PE~1~
CITIf OF ~/?GAN PERM~T NO.~ - -
Sy 95 Pilot Knob Rond pATE:
Ea9ae~ MN Sbt~ ~.lo. ofSJnits:
' ~ . c
; ~ , c :
Zonl~~ ,C,_,_.-:r"-
, ~r tta.^-4
pw,ner. ~,urt
~ress: ~ Gh~_in ,
Slte Address: ; ~ , ; ' ~ , ~ r;
. r
Piumber ~ ~ ~ ~~lon Cha~~ - -
Eagon
~ ~~py wiH~ M~ ~ 04 pccourrt DePosit: , , p,~
1 Permit Fee~
~i~~~ Surchcr9°~
M~~. CFarqes~
By Totol:
pote of Msp•: pote Poid:
Ir?sP•
I
. , . . - ~ .
cir~r oF ~AC~?N ~ ~ ~ ~
.~o
, , ~7!! Pilet Knob Rood Eegon, MN 5612'l ~
. PHONEs 454-8100 ~
BUILDING PERMIT ReceipT ~qt =~.3: ~7
To be wad fer SF DWG/('IAR ya~~$56,OOC pa~~ ApriZ 12 ~g 8:3
~ _
Site Address 4305 Shevlitl CGUrt Erect
Occupancy
Lot s Blxk 1 5ec/Sub. arittanv 4th Alter ? Zoning `~i
parc~~ ~ Z~} 150Q3 08Q Ol Repair ~ Fire Zone il=
Enlorga ? Type of Const. ~
' oWC Name To~lefsOn s;ttilders, InC. Move p # Stories
Address 1d55 :iorwOOd Drive Demotish p Length 42
I:aQan 55122 pF,o~ 454-5Fi73 6rode ? Depth 4o Sq, Ft.
°C Name ~IIer Approrals Fees
,o
o~ Address Assessmenr Permit 3dZ•
u~ Cit Phone Water 8 5ew. 5urchorge 2~
Police Plen check 150.5U
r~
FZ Nome Fire SAC 525.OU
Address Eng. Water Co~n 4 S~ _ flt7
~W ph~ Plc~ner WaterMeter 6Q_(]il
Council Road tlnit ~ 4n _ nn
I hereby acknowtedga thot I hove read this cpplicotion ond state that Bldg. Oft.
the inlormotion is correct ond agree to comply with oli opplicabla APC Totol $1764.5()
Stote of Minnesota Stotutes ond City of Eogon Ordinances.
Sipnoture of Pertnittee
A Building Permit is iss~ed to: TolleFson Builders . Inc . ~ the express tondition thrn
otl work shel! be done in occardonce wlfh oll opplicabls State of Minnesota Statutes ond City of Eagon Ordinances.
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f
icate issucd pursxaxt to tfx rcquiscmcnts o
f Sation 306 of thc Uni f
orm Br~ilding
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o
d
t ccrtt fYrng t h
at at t h e ti~nc o
f itsuamc t b il rtrxcturc wa.r in ~omp lianrr wit h t i
x varioru ~
, , ,
osdina~n.r o f tix City regxlating 6xilding mnnruction or usr. For thc f ollowing: ~a
~r ~
SF DWG/GAR ew~.n~uxo. 7918 Is, '
~ " ~ .
~ r' occvw~r ~Yw R3 ~Yw co..w~non V Fin. N`~ zow~ ocwiec Rl
~ i~
~~y Tollefson Builders ,~~1655 Norwood Dr., Eagan 3
' ~~~a~,,, 4805 Shevlin Ct. ~,ti Lot 8, Block 1, Brittany
4th ,
. Au ust 16 1983 F~ '2~~:
~'~r' ~ , e~wm orea.i ~ n,a. g ~
' ~ ~
~ . . _ _ _ ~O~T IN A_CON{?ICUOU~ IKACt _ ~
~ ~ ~ ~
r: _
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~
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~f . „f+ww0 ~~~1,. ~;,s-`~. ~•"~,A.~`?~ ~a,-wl,~~~,~~~.,~..ef~,.t,>.~.t~r~,~.A.~.~ ,
-
Receipta~ ~ ~ ~ ~ PLUMBI~(d ~ERMIT Permit No. 3 ~ ~ ~
CITY OF EAGAN F~ C'-
Fill in numbered spaces 1`~/~';
c~ r;7~_;`
Type or Print /egib/y ~ To~ u
i -
1. Date ~ ' ~ - G 2. Installation Cost ~ ~ 'i ~ 5
~%~I~`~ -,.ir?Lliv ' - ~~ir~t(
3. Job Address c-T . Lot ~c Blk. Tract ~
4. Owner ~c ~ r1/ ~ ~
5. Contractor : ` -
-t-T_/~T~
j , Phone ~.2.3- ~ / il
7
6. Address ~ f y S .:i
c~. '~o ~ , "7 ~ 7~ 1
~
7. City ` I ~ : ~ I , i State ~t /L. 2ip - C.
S. Building Type: Residential ~l- Commercial O Institutional ?
9. Work Description: New Add ? Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
' Bath tubs Septic Tank
Lavatory Softner
~ Shower ~ye~~
/ Kitchen Sink _
' Urinal/Bidet pther V
' Laundry Tray ~ ~ ~ , t~•'
_ Floor Drains ~ ~ , ~ ;
Drinking Ftn. T
Slop Sink - - -
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - - - for - `
, i /i?
Rough Flnal
Inspections: Date Insp. Date {nsp.
This is your permit when numbered and approved.
Approved ~ CITY OF EAGAN 454-8100
~ ~ L
Receipt ~ MECHANIC~ PERMIT PermitNa. ~ ~
CITY OF'EAGAN . , ~
Fee r
~ Fill in numbered spaces S/C
Type or Prini legib/y ~ To~ 1' ,
1. Date l 1 2. Installation Cost
~ ~ ` ri •
; '
3. Job Address ~ ~`Lot_~_Blk. / Tract r ~ f
~~r v Y4~ l. ~ _
4, Owner
, ~ ~ / ~.i
5. Contractor Phone '
6. Address ~ 7 ~ ~ '''~-f „'L
i
7. City State Zip 5 S~ . i
8. Building Type: Residential e( Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter ? Repair ?
i-
I 10. Describe Fuel Type "~''~v~ ~ t"~
11, No. Eauioment BTU - M. Ea. No. EquiPment CFM
' Forced Air " Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes goa@rning this type of work.
Signed : ' ' _ f ~ . . t .
~ for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4fi4-6100
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE: ~ ; ' ` ,.t:
3830 Pilot Knob Road Permit Number: i g~ a
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
~ , , , ,
SITE ADDRESS: , , , , , APPLICANT:
i I i:! l. ~ ~ ii; iili ,~i~~i I ri~
. i ~ ~ , i ~ I i , ~ . - . ~ ~ • . .
~ PERIIAIT SUBTYPE: TYPE OF WORK:
. ~ . ~
.
~
.
~
' ~
~ ~ - .
~
Permft Holder Date Telephone IY
PLUMBING
HVAC
Inspection Date insp. Comments
FOOTINGS
FOUND
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
BLDG FINAL
DOMESTIC
METER
IRRIGATION i
METER
FLUSH
MAINS I
CONDUCTIVITY
TEST I
HYDROSTATIC I
TEST
I
BSMT R.L I
BSMT FINAL
DECK FTG
DECK FINAL
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD •
EAGAN, MINNE50TA 55122
DATE 19
RECl1 V ED
FftOM
AMOUNT $ I
& DOLLARS
~oo
~ CASH ~ CHECK
FOR
FUND CODE AtAOUNT
T~h/~ank You
'~~1'^ ~ B Y
White-Payers Copy
Y Yellow-Posting Copy
Pink-File Copy
cialiAN Remarks
Addition ~RITT~Y 4TH ADDN ~ot 8 R~k 1 Parcel 10-15003-084-01
Ow~er 5treet 4805 SHEVLIN COURT State EAGAN ?~IlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, j9H2 452.94 90.59 5 71 78 -13-
STREET RESTOR.
GRADING LO 1981 23.82 1.59 15 19.08 A012754 9-13-83
SAN SEW TRUNK 1976 173.90 11.59 15 81.18 A012754 9-13-83
~k SEWERLATERAL / 1981 246.32 16.42 15 197.06 " "
Sewer Lateral trk 1983 133.33 8.89 15 106.b7 " "
WATERMAIN gy 1984 629.29 62.93 1Q ~
~k WATERLATERAL 1981 iS
WATER AREA 1481 224.95 23.00 1~ 160 98 /4 1275 -1 -
STORMSEW TRK 5/ 1981 596.40 39.76 15 477.12 A012754 9-13-83
* STORM SEW LAT 1981 IS
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO 2 0.00 24 k-12-8
WATER CONN. ~5~~a~ n n
BUILDING PER.
SAC » n
PARK
CITY OF EAGAN N~ 7918
~ 3795 Pilet Kneb Rmd Eagan, MN SS142
' ~ PHONE: 434-8100
BUILDING PERMIT Receipt # ~s°Z ''l7
Te M med ?er SF DWG/GAR Esr. Volue~56,000 Dore April 12 19 83
Site Address 4805 Shevlin Court Erect ~ pccuponcy R-3
Lot $ Block 1 Sec/Sub. Brittany 4th qirer ? Zontn9 R-1
Parcel # 10 15003 080 Ol Repoir ? F~m Zone NA
Enlarga ? Type of Const. V
rc Name Tollefson Builders, Inc. Move ? # Sror~es
Z Address 1655 Norwood Drive pe,,,oi;~, ? Length 4Z
's°~ Eagan 55122 p~,o~ 454-6873 Grode ? Depth 46 Sq. Ft.-
'c Name OWileT ApProrala Faes
0
Address Assessment Permit 301.00
~ Ci Phone Water & Sew. Surcharge Z$ • 00
Police Plan check 150. SO
~w Nome Fire SAC 525.~~
~Z-„~ Address Eng. Water Conn.450.00
i W CI Phone Planrrer Woter Meter 60. 00
Council Road Unit 250.00
I hereby ocknowledge that 1 hove read this opplicotion and state that g~dg. Off.
the inlormotion is correct and ogree to comply wi~h all opplico6le APC Total $1764.50
State of Minnewto Statutet and Ciry of Eogan Ordirwnces.
Sienuture of Permittee
Tollefson Builders, Inc.
A Building Permif Is issued to: on the expreu conditlon lhnr
cll work sholl be done in uccordan[e with all plicoble Stafe Mlnnewt~tes ond City of Eagan Ordirwnces.
Bui~dinp Officlal -C e~i
07'
~ n~ ' _ I`~( CITY OF FAGAN Include 2 sets of plans,
/{'p~' ~ ~ ~ 1 site plan w/elevations &
~/l% BUILDING PERMIT APPLICATION 1 set of energy calculations.
4b He Used Fbr
valuation ~Sl, dd D AI~~ I 4~~' 1~3
site Pddress ~j P~, f I I vl Co( LV~ oFFIC~ osE oNi.Y !
Lot 8 slocx sec./sub. ~ gxect _ Occupa¦cy
, Parcel ~Soo'~ ngo o+ Alter Zoning
Repair Fire Zone
Owner: 0 Ehl.arge Type of Const.
Address: hbve # Stories
Da~elish Front y~- ft.
City/Zip Code: Grade Depth y/Q ft.
Plm~
~J~~I APPR~t/AiS FEES
Contractor: IoIIP,vOVI YxA.1~U~UF'i ~~.YI(~ Assessnents Permit zni
' ~I [4ater/Sewer Surcharge~
Addx~ess: ~(~i~ NUYIA,~C~CY;I ~~V' • Police Plan Check /cS0 ~
City/Zip Oode: Fire ~C <5.~6`
~
Enq. Water Conn. .5~
Phone 454-- ,7.~ planner water Meter /n~
Ardt./Erxl.: Council Road Unit ~,S-p ~
Bldg. Off. ~
' Acidress: APC
City/Zip Cocle:
Pr,o~ # : nrr~, ~ l `7 (e ~ S ~
.
.omanlhstroma ~••(J~ ~~l_ll~-~n~ ~`~~3~
!l~Q73992 ~I~+,so
flaquest
D~I Fire No. Ro~ehetl7 nsUec~~on ~Reatly Nuw~ Wiil Notif~, Inspec-I
`n Yes ? No tor When Ready
a LicenseG Electrical Convactor 1 hereby request inspection ol above
Owner ~ eleciricel work ins~elled at
Street AdAress, Box or floute No. City
SI~~L ' C, ~
ecvon o. Townshi0 Name or No. RanBe o. Coamy i i
~a~t~- '
OccupantlPRINT~ Phona No. ,
~ I ~ ~'F~
Po er Suppli¢r Adtlress ~
~K,~
Ele srical Coniractor ~COmpeny Namel ConVacmr's License No.
" 4 b _ -
Mailina /1d. ess IContractor or Owner MakinB ~~s~aflatioN ~
')SS , u~ IJ.e~ /'~.t_
Authorized SipnaNre IConhamor/Owne Maki}g InslallatioN ~ Phone umber
(.p 3c~ - ~~99
MINNESOTA STqTE BOARD OF ELECTRICITY THIS INSPECTION qEQUEST WIIL NOT
Griggs•Midwey Bldg. - Poom N•197 BE ACCEPTED BY THE STATE BOAPD
7827 UnivetsitY Ave., St. Peul. MN 55704 UN~ESS PHOPER INSPECTION FEE IS
..e-..,... ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oa
~ ' See inslructions tor comp~eli~q this form on back ot Yeilow copy.
~_G~73992
"`R"`Below Work Cove~ed by 7his Request ~IOZ 3 Z
Adtl Nao. Type of Buildin0 APplionces Wiretl Enuipment Wired
Home Range Temporary Scrvice
Duplex Water Heater ' Liqhiiny Fixtures
Apt. Builtlin~ Dryer Electric HeaUn
Commercial Bldg. Fumace Silo Unluader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm O~ .:r IS~~ur:ffyl
[ er Specify er Oth~;~
Compute lnspection fee Below
k Fee Service Ent~enceSize u Fee Feeders/Subfaetlers # Fee Circuits
U to 200 qm s 0 to 30 qm s '~S ~ m 30 Am s
Above 200 q~n ~s 31 m 100 Amps / ~ 31 to 100 q
Swimmin Pool Above 100_Am s Above 700_Am s
Transiormers ~rrigation Booms , 5Z! Partial-'Other Fee
Signs Specialinspection
S LL T AL FEE
Remarks
7.~"°
Bough'i^ ~ ~~e 1`y~c~. I, tha ecVical
~ ~il~ ~~spactor, ~eraby
Final p certify that the above ~i
(,~j insoection hes bean
C-. . ~2/~~ mede.
TMa renuast vold 18 montlq trom
S~O/f' REQUEST FOR ELECTRICAL INSPECTION ~,'""~q~ eB-oooo,-o!e't
p ? Sea ins~mctions lor completing ihi5 form on back o! yellow copy. al~/
~v
C3 ~ 6 J O "X" Below Work Covered by This Request y~'
e Add Rep. ~ Typeol8uilding AppliancesWired EquipmentWired
X Home Range Temporary Service
Dupiex Water Heater Eledric HeaHng
~ Apt. Building Dryer Loed Management
Comm./Industrial Furnace Other (Specify)
Farm X Air Conditioner
Omer (w~iry) Contractor§ Remarks:
Compuie lnspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cireuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspeclor's Use Onry: TOTALZO. SO
Irri9ation Booms ~ ~
Speciel Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDER D~SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa~e .
certify that the above inspection has F;oei aie
been made. .9-~
OFFICE USE'JNLV
TNS requesl voitl 18 manihs irom ~
rasoss5sa ~ ~a
~
Repuesl Oare Fire No. gH•In Inpsection Requiretl Inspeclion Otner Than Rougn-In
S~S~9~F ~ oumusl.~liinspeqorwhenreaCy) ReatlYNOw ? WIilNOtilylnspetlor
? Ves g] No Date ReaOy
I''`~,fi.licensed contractor !7 owner hereby request inspection of above electrical work at:
doo naore:s ts~ree~. eo. o~ Rou~e Na.~ cm
4805 Shevlin Court Eagan
S@ction No. Townsnip Name or No. iiange No. Counry
Dakota
Occupan~IPRINT~ Ppone No.
Keith Anderson 681-0323
Power Suoo~ier Atldress
Dakota Electric Co. 4300 220th St. Farmington, MN
Elechical Comracror IGOmOany Name~ ConVattorS Licensa No.
Total Electric, Inc. CA01834
Mailing Atltlress ICOnlraclor or Owner Ma4inq Installafion)
1537 92nd Lane N.E. Blaine, MN 55449
Avt~orized SignaWre iGomrector/Owner Making Installalion~ Phone Number
~ ` - 786-8484
MINNESOTA STATE 80ARD OF ELECTHIGITY THIS INSPECTION PEOUEST WILL NOT
Gdggs-MlEwey BIOg. - Room S.1'!8 - BE ACCEPTE~ BY THE $TATE BOARD
1B21 University Ave.. SL PauL MN 55100 UNLESS PflOPER INSPEQION FEE IS
P~one~81]~BGf-0B00 ENCIOSED. .
~ For Oflice Use ~i I
, ~
City of Ea~a~ I Permit it v~~ ~
~ Permit Fee: ~
3830 Pilot Knob Road ~ ~ i
Eagan MN 55122 I Da~e Received: ~ ~
Phone: (651) 675-5675 ~ C i
Fax: (651} 675-5694 i Stan: ~
2008 MECHANICAL PERMIT APPLICATION
Date: ` ~ Site Address: ! c~ b ~ C~' ~ ~
~-Q ° C
Tenant: ~7~ J ~ e ~ ~ "P~ ~1 ~r{ Y 5 ~ Suite
RESIDENT/OWNER Name: ~~5 sl C ei ~YCt~ ~?~'~S<phone: `°~Z- /~~J~~'~
~ Address / City / Zip: 7 U~ s ~ l r' .
CONTRACTOR Name:~~'''' 7a"tn s° ~ ' 3~~ ~ License
Address:/ l 4 ~a i~ ?Y
~ City: C O ot./~! ~~~G ~'t State: ~ Zip: ~S ~
Phone: ~J a 3 s'7 Contact Person: T~ ~v ~ h S v~
TYPE OF WORK -New ~ Replacement _Additional Alteration _ Demolition
J / /
Description of work: ~ /L '1 c r ( ~ c r .,--..c ti .~I
' NOTE:'.8oth'roof mbunted and ground mounted mechanical equlpment is requlred ta
be screened by Cify Code. Please contacf the Mechanlcal Inspector or one of the
Planners for information on ermitted screenln methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
~FUmace _ New Cons~ruction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed .
_ Air Exchan9er _ Gas _ EMerior HVAC Unit
' HVAC units musl be screened
_ Heat Pump Under I Above ground Tank Install 1_ Remove)
Other " When installing/removing ~ank~s), call lor inspection by Fire
- Marshal and Plum6in Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FirB repeir (replace burned out appliances, duciwork, e~c.) (includes $.50 State Suroharge)
$ TOTAL FEE
COMMERCIAL FEES:
$T0.50 Underground tank installation/removal OR Contract Value $ x 1°/a
$50.50 Minimum (includes State Surcharge)
- $ ~ Permit Fee
- If Pennit Fee is less than $7,000, surcharge is $.SD.
- If P r i Fee is >$1,000, surcharge increases by $.50 for each State SufCharge
~ $1,000 Permit Fee (I.e. a$1,007-$2,000 Pertnit Fee requlres a$1.00 surcharge).
. $ TOTAL FEE
I hereby acknowledge Ihat Ihis infortnation is compleie and accurete; that ihe wo~lc will 6e in conformance vnih ihe ordinances and coCes of the City ol Eagan; ihat
I urMarstand Ihis is rwt a pertnit, bui only an appllcation for a permit, and work is rwt ro start withou~ a permi[; ihat a work will be in accordance wi[h the approvetl
plan in the case ot work which requiSes a review and appraval oi plans.
x 1 ~D`~~'25 3~ ~ x "
ApplicanYs Printed Name Applicant's S' ature
FOR OFFICE USE Reviewed By: Date:
Requlred Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final
- - -
`Tvllefaon Buildere Inc. ~ Or:11347
. .
. ' " 183-77
JAGK50N - SUi3VEY03~S ' ~
Rfi6YfT[RED UNDRR L4M'i 0/ lT~Ti OF MiMNLfOTA - ~ .
. , 3616 EA57 SSth STRfET, MIIiNEAPOLIS, #4N 56117 771~3454 ' .
~ . . ~rtIL~KPOL~B ~tTtI~U&~C ~ . ~ .
~ r 19:
3~ ! i 1~• ~ ~
• -
N SZ.61 N ~ ` Scale: 1'-40'
~ ~ =Iran
~p°~ =D6U Eaeemrn[
O i ~~=Hxie[ing E1ev.
~ : Dra ina g e
~
1
i
~ ~oT
g ~
(D ~ ~ ~0 .9
N ~
N '
~ io ~ ' ~ .c OD
, rj/9_` 1~ - 4":{~v109 e~ a~- `''S
7ic5.a ~~o ~ b,~c
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~ - ~ ~ - ~ . b 1'(Gr ~ ~ ~fP2.L
- ~ ~~ti..`~ -~D io ~ ~ - .
, b t$ ~ ~ ~ ~ \ ~-f E v Z
~ ~;..z , ~.ao~ ,e 5 ~ ! ~
` ~ 46 ` 'ID. ~
I iiC86QY CENTIFY TM~T TkE ABOYE f! ~ Z~RUE AMD GORRlCT ALAT OF A YUI~Y[Y OI ~
~~~°-op- `~ir~
Lot S,Bloek I,Brittany 6th. Addition, ~ C~ i~•
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.c3`... ie r.. 7-
. FERMIT
,
~CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u i ~ o x N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 0 4 4
(612) 681-4675 Date Issued: 0 8/ 2 7/ 9 8
SITE ADDRESS:
4805 SNEVLIN CT
LOT: 8 BLOCK: 1
BRITTANY qTH
P.I.N.: 10-15003-080-01
DESCRIPTION:
REROOF/STORM DAMAGE
By~i'~dinc]~Permit Type STORM DAMA~E
B~rilding Wark Type REPAIR
fG`ensus Code~ q34 AI.T. RESIDENTIAL
p •.•1.....
I
1~~~ ~ ~
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"u~',
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i~ ~ ~1 _ _ . .
. ~°^~i~_.,e::'t
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. ~IC. OWNER:
FOUR SEASONS ROOFIN~ 18901899 2013$780 ANDERSON KEITH
2107 1/2 W. BURNSVILLE PKWY 4805 SHEVLIN CT
BURNSVILLE MN 55337 EAGAN MN 55122
(612) 890-1899 (651)681-0323
S here6y acknowledge that I have read this application and sta~e that thQ
3n~ormation is correc~ and agree to comply with all applicable State pt Mn.
Statute5 ~nd G3ty of Eag~n Ordinances.
~
~ . _ ,
~ ~._~~1..QJ
APPLIGANTlPERMITEE SIGNATURE - ~~~UED BY: SIGNATURE
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
?j!
j ~ ~ 681-4675 U d
New Construdian Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inUude beam & window sizes; pouretl fid. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 7 energy calculations ? 1 energy calwlations for heated addkions
? 3 copias of tree preservation plan H lot pWtted after 7J1193
required: _ Y s _ No
DATE: CONSTRUCTION COST; ~-zlCo~~ •
DESC I ON OF WORK: ~~n.r~~c~ S~ ? tiM ('~C~V~,1sJ~~
~T~•~•
STREET ADDRESS: ~S c~~_v~~ GT.
LOT: BLOCK: SUBD./P.I.D. ~~1.~,
Name: As~~c^f~~a°~~ ~~~-cl-! Phone#: cc~l-6~Z3
PROPERTY 1-ast First
OWNER
Street Address:~Q,p~ Su,
=v tv C1'
City =Aa,n~w~ State: M1J Zip: ~SC\22
Company:~.u clsas~-.wea~yy-L~G.zz'R~e~~~.l~~~c.~ f~4d-7R9~'7
CONTRACTOR
StreetAddress: 21D~"'~%z t~cr+~.~1g~14t,L= I~1w~~License# -7r~~~R*'!f'~j
City _ if2,A jp~~.~? State: J~1 Zip: ~c~ c'~~
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applipbl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
D - u ~
~ OFFICE USE ONLY '
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ N
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Afterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demol~ion
GENERAL INFORMATION
Const. (Actual) 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.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License '
MCNVS SAC
City SAC
Water Conn.
Water Meter
ACCt. Deposft
S!W Pertnit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
. . . ~p~o~ Q-~i
~
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x.~zryyqu;~.:-. ` ~~?r~~~3N i~tf^ .w ?;~A< ' j~F ~a ~
~ +~~'"~`~r?"3~r',.<,.~.',~,:A'i' `.s:.....;,...,.r~.tf..~,~.e `°.,:I~;~ ~ ~.y
3.e.' _
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~
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~ , ~ ~ ~~'T~ , ' ~ < ` 'd T''
*Ci~ ~;Sr§o, r~~ea .N>.~~.~ x..~ .:y.~':_ '£'x ''E'.i~.
iie . c~w. . . . . ....,x :'h° . ' . : . ; .F' . /
1994 MECHANICAL PERMIT (RESIDE1V17AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AI.SO, FOR TOWNHOMES AI~TD
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
~ ADD-ON A/C
~ii-viv i'T~.rTCt~ ~
FII2EPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTtJ $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS ~MnvnvitlNt i@ S3.oo EACr-t~
ADD-ON/REMODEL ~ExISTII1G CoNSTRUCI'[oI~ $ 20.00
STATE SURCHARGE .50
TOTAL o?D ~5J
SITE ADDRESS: ~50~' S'~ ~ U`Gf N (.pUYL ~
OWNER NAME: /5 E i 17? ,,~~U(~~~?~so~I.7LG L'f,~NOf~~TELEPHONE /v 8/- 63
23
INSTALLER: Ron's Mechanical, Inc.
pDDRE$g; 1812 East Shakopee Avenue
CjTy; Shakopee $'I'ATE: 1"n`' ZIP CODE: 55379
TEL,EPHONE 445-8585
e ~ 9iv3.~4..,
SIGNA'I~CJCJR~ OF PERMITTEE
~ d~~
~ .
}~T
~tt _*.c :.[Y~ k~T"c~:`~~` ' a~'~'~+~>.~.~`"3S'~z' v& ~i~ a'~as:g~ R ~34'>mx~$~A~i_q Y "~~l~Jl : .
~
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'w`j.a 'x"~a,4c 3 5~..~ o a`o .~i ~ ,3>S`::kf
. a~v.
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C 4 's.
'..~r::.>...>;':::..,:£`~a..:: :s>a~i,.:~".t:`;~&a ~<i^;~.,;~•.-: """.i,~:9 :o>:.'b~3,e,.:2.:r,~a'~..y(~~•`..1.•`~, "~;•~'.:`~.3.~a
v'~:. y.i3~,~~.€;.x:.`~" '°'„"..ty2s3
3 .._..~..t..~.>z:>.%„?',x~~,«.. •...:.,.a~,: ~:~,:•,....~3_.~,..3.,:~.`i., s, 4»"%~ad:=~::~: . ~Ya~.. ~ .:?°r~ ,o-....4<:..: ri~:?>.~ . :x :3., . . . ~
a ~
.~i~.~ ;:..o.cr;;~..~v
adC;c.:r.oA..:.3...._.~e.~sp,5,, f.F... d.:.:: ~.•..v..`.53': ~i~~.~ar~4ra..?,~a:::~>:.>,: . <~~3¢'~3 i:.v ~
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C~$a~~i ' ~i~.~,~. s::~~z~> : '~~'`~'~~a ,.r.~"s~~a~..~'
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF F.AGAN
3830 PILOT 1K1VOB RD
EAGAN MN 35122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT 1tEQUII2ED FOR EACH DWELLING UNTT.
DATE: CONTRACI' PRICE: $
iv~W BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FE$ $
:r.a;,:~a
a~::<~;:~w~.
PROCESSED PIPING: $25.00
MIN~IUM FEE: $25.00
STATE 5URCHARGE $.50 FOR EACH $1,000 OF FEE.
at>. nw.>..n
TOTAL $
SIT'E ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: ~t~ROVEtv~Etv~rs oNLI~
INSTALLER:
ADDRESS:
CITI'. STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
C~ ~~"t zoo~ RESIDENTIAL BUILDING r~Arruca~uoiv ~(~jJ~ ~,t7
~ City Of Eagan ~ ~
3830 Pilot Knob Road, Eagan MN 55122 n~(,
Telephone # 651-675-5675 FAX # 651-675-5694
_
New Construction Reauiremenls RemodeVReoair Reauirements Office'Use~Anlv
3 registered sRe surveys shaxirg sq. ft of lot sq. R of house; and all roofed areas 2 cop~.s of plan showing foolings, beams, joisLs Cert of Survey~Reoi Y~_ N
(20% maximum bt coverage allaHed) 1 set of Enert~y Cakulations (or heated additions Soils RepoA _ Y_ N
7 Soils RepoR if proposed 6uilding is to be placed on disturbed soil 1 site survey for addRions 8 dedcs 7ree Pres Plan Recd _ y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. Add'bon - indicafe i(on-sife sepfk system Tree Pres Requlred Y:~~_ N
1 set of Ene~gy Cakulations ~ On-sile Septic System~~.- ~_Y' _ N
3 o~pies of Tiee PreservaUon Plan if bt platled after 7/1 f93 ,
Rim Joist Defaii Options selectlon sheet (buildings wIN 3 or less units) ~ ~
Minnegasco mechanzxl ventilation fam
Pfans are considered ublic information unless ou state the are trade secret and the reason.
Date I Construction Cost ~p I 2p0 uc
Site Address "1 S .S ~ V ` ~ ~'1 C,.`I' UnitlSte #
_ ~i `t ~ .
Description of Work ~ i cl 1,~
Multi-Family Bldg I Y)_ N Fireplace(s) 1 _ 2
Property Owner ~ t_ SU 5~J i 2Ch-Q_p,~ Telephone 6 SI ) y Q~ q~-
Contractor F}ZJYI~~
Address ~L~ O~ G~-~-~i ~ ~ ?1 ~ C<<3' ~ ~
State P!1 f3 Zip 55l 2 Z Telephone GIS I o 6-~ 5`~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone #f J
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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 the approved plan in the case of work which requires a review and
approval of plans.
lll~~~C~CX~°1 ~ (~2~ie ~Gt T/In~ n<~fr~1~ ~(ie:~cr
Applicant's P tenn
d
amN e Applican St
s
ig
ature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 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.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroot ? 46 Windows/Doors
? 34 Replacement 'Oemolition (Entire B~dg) - Give PCA handout to applicant
DeSC~iptiOn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) Sheetrock
_ Footings (deck) Final/C.O.
_ Footings (addition) _ FivaUNo C.O.
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149129
Date Issued:05/08/2018
Permit Category:ePermit
Site Address: 4805 Shevlin Ct
Lot:8 Block: 1 Addition: Brittany 4th
PID:10-15003-01-080
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: 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 -
Lee Davis
4805 Shevlin Ct
Eagan MN 55122
(612) 618-7781
Apex Energy Solutions
9655 Newton Ave S
Bloomington MN 55431
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature
cc
r For Office Use Lyn
` r r ;CEIVED Permit#: /564/ga—
EA6tGIA( F'J
JUN 14 2019 Permit Fee: •
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:
buildinginspectionsCa).citvofeadan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:51. 112-019 Site Address: 2/td c 5141,146/1C Ea/4 M c�i"Unit#:
Name: Lee 4 cihaktd(2t_ 00AI IS Phone:(U[Si)07-6 I /o d 5
Resident/ Sas- vi ' 4- a.� 1J S'S /2-a-
•Owner ��: Address/City/Zip:
Applicant is: !/ Owner Contractor
ype of Work. Description of work: iI /CC Ct. De-GF
TConstruction Cost: ((OOO Multi-Family Building: (Yes /No 1/ )
Company: Se-17f Contact: —
Address: , City:
Contra-ori m
State: — Zip:_ — Phone: — _ Email:
� License#: - Leod Certificate#:
If the project is exempt from lead certification, please explain why:
Z3 /4/ 41.)u s) fc)
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 u submit are_considered to be public information. Portions?of the Ifrifrormation pray'be
classified as nonpublic If you provide specific reasons that wouldpermit the City to conclude that they are trade secrets. .
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.citvofeauan.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 damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecall.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 isl 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 approva plans.
Cdl-& Dais _-- xteure.c
- a am-IL_
Applicant's Printed Name Applicant's Signature
L--&06 Skev i i`n Cf . / 61/e-/ -
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 Y Occupancy 'Zj —1 MCES System
Plan Review Code Edition %Q.( SAC Units ---.
(25%_100%_) Zoning Z City Water
Census Code Stories 3A Booster Pump
#of Units Square Feet PRV 1
#of Buildings Length /0 Fire Suppression Required
Type of Construction Width tr.
REQUIRED INSPECTIONS 1
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) —#— Final/No C.O. Required
03,11cdation Foundation B f—re Eackfili HVAC_—Service Test Ge:? Lir,..Air Test i-Ir r
Roof:_Ice&Water _Final Pool: ,Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
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 336(14 k-g Q iott/j� �� �j ! ev
Base Fee f 30 ?' ✓�`
Surcharge
Plan Review rG
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read _
Copies 34 Ofi
TOTAL
Page 2 of 3
Tollefaon Builders Inc . ' , Or.11397
X05
5v1.;.�.. C' ,
183-77
JACKSON - SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINNLfOTA•
3616 EAST 55th STREET,MINNEAPOLIS.MN 55417 727.3484 '
. tPurlttpot'ii Certiftatt
J -
N 8z. 6I ..- � Scale; 1'=40'
— l 0 =Iran
. r
1�
_ �D6U Baeemrnt
Q �� j 000.00 7. Existing E1ty
N _. ._Drainage
N
J
i
LOT a
8 s
\ .
® rI -hP. :10,.9
N br�K
II o • s ---_,,,-i-,24 .2 p tea./ ,'o \
. 41torzw. PRniebilAy JD' \\5\t:
e
35116 -- 'I'i !
I HERESY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A 9RJifv[Y OF �.
I
Lot £,Block ' ,Brittany .4th. Addition, C_O
Dakota County,Minoesota,
� /
EAGANl
�
V r v EDProposed Garage -Floor Elev. 101.5 ^`
BY: Prop ed First Floor Slee. 105.5
Proposed Basement Floor Elev. 97.5
f
DATE:_ __CAViV
EUIL iNG :: -T1ONs DIVISION
As SURVEYED ■r ME TMS 5t 1, ___.DAY or. April A.D. 1983
ir..C..•JACKISON. t4tttwasoTA :•• l5TRATIOMI, . 3800
J
.
/
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156438
Date Issued:06/28/2019
Permit Category:ePermit
Site Address: 4805 Shevlin Ct
Lot:8 Block: 1 Addition: Brittany 4th
PID:10-15003-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lee Davis
4805 Shevlin Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161263
Date Issued:05/14/2020
Permit Category:ePermit
Site Address: 4805 Shevlin Ct
Lot:8 Block: 1 Addition: Brittany 4th
PID:10-15003-01-080
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 -
Lee Davis
4805 Shevlin Ct
Eagan MN 55122
(612) 618-7781
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature