3085 Shields Dr0.1 1 OF EAGAN WATER SERVICE PERMIT
3830 Punt Knob Road
P.O.'' . ,dg ZRMIT NO.:
Eagan, MN 55121 DATE: 1 2-86
Zoning: ^, No. of Units: 1
Owner
Address:
Site Addess: 3095 9?4 1-1 111 r ekr
Plumber. 1 t ° Ai,lls
Meter No.:
Size: i"'An?/4 -•^ - arge: snn LlOTd
fleadOr No.: r 16N1k Gal
1 agree to comply with the Clty o1 ??+ Wftw_ '
rdinances. MT n
REC?Uti:'? .
Date Paid:
to of Insp.: Insp.:
CITY OF EAGAN SEYM SERVICE PNMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
2e.,in..•
Owner: Tipln NO. of Units:
?oa
Address: -
Site Address:
Plumber
1
nlMras aeaply wttr ow City of Eaton Connection Charge: ordl Account Deposit. 1 c
Permit Foe:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21 1 99
Eagan, MN 55121
Zoning: PA
Owner. 92a-t'-Tlomn_ ?
Address:
SiteAddess: 308.5 5:hlel,i° nra•
Plumber. 2-1-d8 Sower-
Meter No.:
Size:
Reader No.:
I agree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.: 2.00 7
DATE: 10-22 -& 6
- No. of Units: 1
11 31 1,014a T-M`.c P N i 1 1 P,
19-at -r
-Connection Charge. 500-00=4
- Account Deposit: 1 5 na) a
Permit Fee: 10 flnDd
Surcharge: SD^d
Misc. Charges: 1 -,c oopd
Total: ?,? Sr1^-r
Date Paid:
- Insp.:
CITY OF EAGAN ? .1 c
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 12156
PHONE: 454-8100
RUILDING PERMIT Receipt ft
To be used for SF DWG/GAR Est. Value $62,00U Date JULY 2$ 19 8 6
Site Address 3085 SHIELDS DR Erect 1? Occupancy R3
Lot 1 Block 1 Sec/SubLEMAY LAKE HILLAemodel ? Zoning PI)
.
Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories
Name 2SM HOMES Move ? Length
i 18308 MURPHY LAKE BLVD Demolish ? Depth 4b
oAddress p. . _ Int. Impr. ? Sq. Ft
city IOR P6ne Install ?
o
1 Name rli 1 E.
0
3
Address
~ City Phone
W W
W
0 0
?_
W
Assessment _
Water 8 Sew.
Police
Name A . P . S . DESIGN Fire
Address Fnn
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 Or ' ances.
Signature of Permftte 7%!P7,711
e A Building Permit is issued to: Ra@1 HOMES
all work shall be done in accordance with all applicable StaP of Minn eso
Building
Planner
Council
Bldg. Of
APC_
Var. Dat
Permit JIV.00
Surcharge 31; 00
?? 50
Plan Review 15Y
SAC 00
Water Conn. ?_ 50
Water Meter ?6.U 0
Road Unit ??? 00
Tr. PI.
Parks
Copies
. 00
Total
on the express condition that
of Eagan Ordinances.
'f
I Permit No. Per" Holder Date Telephone K
IPlumbing / t0?j O 7/7-7
7
337
p
EIsectric
Ifloftener
Inspection Date Insp.
1
Footings I 1-7
LlJO
Footings 11 1 1
FIFounclation
1
1
Framing q/
IRoofing
Rough Plbg.
I Rough Mg.
insul. /
Find Mg.
IFInal Pibg.
X1.17 ?? 6k
Bldg. Final
sv
Cert. Oeo.
Deck Fig.
Deck Frmg.
Weft Describe Location:
Pr. Disp.
J 3)
PERMIT # 7
MECHANICAL PERMIT RECEIPT # (-2
' CITY OF EAGAN
3830 PIL
';
V OT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRIC!!?(p ? PHONE 454-8100
Site Address 1 = BLDG,,, TYPE WORK DESCRIPTION
LotBlock Sec/Su
b
Res. New
Name I t e - i k-r'
Mint Add-on
S Address 3 Comm
R
ir
.
epa
c City Phone na ,L- O
ther
Name FEES
c N
Address T• C-7- RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
40° GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 SIC IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE:
S/C: c;7 SIGNA URE OF P E
TOTAL-
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT # r ll C' ?' y
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Address ' --? d' .
Lot Block Sec/Sub
? Name ?
`
as Address !' v f ?`
co
co
City
Name s -
3 Address
O City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE -$10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $60 SIC IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New A_
Mult. Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
/ Bath Tubs - $3.00
Lavatory - $3.00
,7 Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00 "°-
1-Laundry Tray - $3.00
` Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: 1 `
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
J
DATE 19
RECEIVED
FROM
AMOU1%Tr
& DOLLARS
too
? CASH, CHECK
FOR .'?j?IJ x .. . -I ?..?
FUND I CODE I AMOUNT
Thank You
650J%"?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT` N0.//?/
01-.3216 Bldg. Permit
01-3422 Plan Check
01-3445 M,,rch.'/Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. I -•rJ
11-3855 Park Ded.
TOTAL- ?:
CITY OF EAGAN
_ 12156
3830 Pilot Knob Road, P.O. Box 21-199, Fagan, MN 55121 NO
PHONE: 454-8100
BUILDING PERMIT Receipt # 3
To be used for SF DWG/GAR Est Value $62,000 Date JULY 28 1986
Site Address 3085 SHIELDS DR Erect IN Occupancy R3
Lot 1 Block 1 Sec/Sub. LEMAY LAKE HILL%emodel ? zoning PD
Repair ? Type of Const. VA
Parcel No. Addition ? No. Stories
RSM HOMES Move ? Length 36
x
W Name
18308 MURPHY LAKE BLVD Demolish ? Depth 46
o Address Int. Impr. 11
432-2440 I
PRIOR IX
ci
t
ll ? Sq. Ft
one
ty ns
a
o
SAME
Name
Approvals
Fees
0 z Address
City Phone
UQ
W W
r
U
WZ
a
Assessment _
Water & Sew.
Police -
Name A.P.S. DESIGN Fire
Address Fnn
City Phone
I hereby acknowledge that I have read this application and state that the
information is correct d agree to comply with all applicable State of
Minnesota Statutes afid Citvof Eagan Ordinances. _
Signature of PA Building Permit
all work shall be c
Building Official!
RSM HOMES
in accordance with all applicable Star of
Planner
Council
Bldg. Off. 6/19/86
Var. Date
V,
Permit '' ' w .v
Surcharge 31.00
Plan Review 159.50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. P. 156.00
Parks
Copies
Total $2 ,094.00
- on the express condition that
of Eagan Ordinances.
S
S
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
I NCLUDE 2 SETS OF PLANS
CERTIFICATES OF S URVEY
L?1 SET OF ENERGY CALCULA TIONS
avoz
Sr ?
To Be Used For:
Valuation : Date: /7
Q `
Site Address: ?C) BS ??11???$ JJPC, OFFICE USE ONLY
Lot: Block Sect/Sub Erect X Occupancy F"
1 Remodel Zoning E
Parcel # Repair Type of Const
Addition # of Stories
Owner S ?0 V' n Move Length
.
Address Demolish
Int,Impr. Depth
Sq Ft
Install
City/Zip Code L rn I- ---------- --------------- ------
Phone U APPROVALS FEES
Contractor Assessments Permit 3Ir
Water/Sewer Surcharge :51
Address Police -
Plan Review 1,5f, 3-0
Fire SAC 57
City/Zip Code Engr Water Conn ?
rD
Planner Water Meter ?
?
", •? O
Phone Council Road Unit `L%O
Bldg Off / 1 6?&Treatment Pl
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ='
City/Zip Code
Phone S
/ROBE (ONSULTIHO EN0111EIRS
ENGINEERING PLAHHIAS and LAND iuAM0, 115
COMPANY, INC.
? 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA SS337 PH 412-3000
cep VJFie- Z CCOC suf-?y
rl` 2fon: LOT l! BLOCK I LEMAY LAKE HILLS,
DAKOTA COUNTY, A(JIMME50TA
C``Oi S'' DENOTES EXl5TIAJ6 ELEVATIOA/
(spa :) DENOTES PROP05ED ELE VATIOA/
WDICATES DIRECTIOA/ OF SURFACE ORA1NA6f
905.B3 ° FIAJI5HED OAKAOC FLOOR ELEUATIO.U
QO,?CC1 N 89° 59' 53" E 51
h \
0
ti
O
J
,W I
? W
? I \ Z
ti
h
O
O m
o?
a?
0
0
Io'
55.00
Oy.
LOT 1
0% L- LJ
30' FK"T BWW1A1(;
5ETBACK LIWE --?
i
NORTH
SCALE : 1" = 30'
/M\ N 1
0 In ??)I
o P/WPo.SED '? , ??I go.o
o Havs& r--
I 8.on n 1y,I
m 6ARA" N '}/?\ lv G
/Ir 25.6] I N T
c of o
c? J` o
M v
_ _ CS y N
l27. l7
5 89° 44' 2s" E
! /?
L_l.J
I I0
5.
I hereby certify that this is a true and correct representation of a tract of
land as shown' and described hereon.. As prepared by me on this l day of
i ! HInn. Ref. No..//°
EXTERIOR ENVELCFE AVERAGE 'U' CU4,PUTATION
OWNER
SITE AD
CONTRACTOR
Dere.mine. I king square footage o each.
1. Total exposed wall area .... /??O.O sq. ft.. x
2. Total roof/ceiling area .... sq. ft. x .'04 =
.v?
Total exposed wall area above floor = 950.0
a. Total wall window area ................. 9?•y
b. Total door area ........... ....;?o y
c. Total sliding glass area ..............
d. Total fireplace wall area ...... ..
e. Total wall framing area (average lOx)... / 5•D
f. Total net wall area above floor qo•
S. Total rim joist area ..................
Total, exposed foundation area y(?. v
h. Total foundation window area .......... O
I. Total net foundation area above grade . To
_
Determine 'U' value of each wall Segment.
a. x ?U: = yG•?
X 11 -1
X "U"
e. /9:i -v X :.U" _ 13. 7
f . /6"iG • Y X : U': osYs? ° G q• y
g. /.9 J. X "U?. Off? = S..?
X ;'U' a a
X 1:U11 ,od3 =
3 ............................................Total = 6 7
if item M3 is the same as, or less than item N1, you have met the
Intent of SBC 6006(c)2.
6 oO6CC,) a.
C S--? /c?
Total exposed roof/ceiling area =
j. Total skylight area .. D f.
k. Total roof/ceiling framing area (average
1. Total net insulated roof/ceiling area ....... 99fTG
Determine "U' value for each roof/ceiling segment.
,, G X IVT U c a
k. U
4.............. .... .Total
A y C,s.o? L - "i ?L.J) oil/u. 5l?c 4 oaa(c,/
If total of #4 is the same as, or less than #2, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To utiliZe the total envelope system method, the values established
by the sum of items #3 and #4 shall not be greater than the sum.of
items #1 and h2.
3- r+4
. _
?- C/. ??
?2??? .sue
i
12= h,, y
Xys. ?= - 0.7'-k
n
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NCYT5': PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AN D/CR FFkTE:2 '.
=MLATTONS WILL NOT BE SCHED-
ULED UNTIL. PERMIT HAS BEEN
APPROVED.
P are Print)
1) PROPERTY ADDRESS: yV
LEGAL DESCRIPTION:
Lot Block Subdi Sion or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: "
(Mo Year)
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE
INDUSTRIAL
C] INSTITUTIONAL/GOVERN4MT
2)
ICI R-1 SINGLE FAMILY
Q R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINILM ( Units)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) For City Use
NAMEL `? J??i, C ?cr Plumbers License:
ADDRESS: [] Active
Expired
i CITY, STATE, ZIP: Not recorded
PHONE: y- G?JO MASTER LICENSE# QOM' 3??/?lQ StafF t1a1
4) i:-
NAME:
ADDRESS:
CITY, STATE, ZIP:
CONNECTION TO CITY SEWER JM CONNECTION TO CITY WATER 0 OTHER
6) • r PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVED PERMIT TO 1, 2, LID 4, ABOVE
r A - (Circle one)
7) r r. u. • / / ?/• ?J "C' c,SYYJi k , C V-/&-
FOR CITY USE ONLY
I
PERMIT # ISSUED
7 -
Pd w/Bldg. Permit FEES:
$ $ 7O• S SEWER PERMIT (INCLUDE SURCHARGE)
$ $ A
(7
WATER PERMIT (INCLUDE SURCHARGE)
$ 6 3'•Sp $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ DU ACCOUNT DEPOSIT - WATER
$ (?C ^ o O $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$- ?!7? •d-? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$/?
TOTAL
T
RECEIP
' ''RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
N
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
O DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : L-
r
7q l sq 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reguirements
3 registered site surveys showing sq. it of lot, sq. tt of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoatr Reavirements
2 copies of plan showing footings, beams joists
1 set of Energy Calculations for heated additions
1 sde survey for addilions & decks
Addison - indicate If on-site septic system
70 . 6)L7)
-111-T
_
Ce+torSllMeYAeod s `Y'..,?N.
'{reeFresF?janeca? Yz_ ;tJ
)ieePresRequtied Y
OrES_Re?S?P>7gl?stem y, S`am'-N
Date D r / f d ?. Construction Cost
Site Address
Unit/Ste #
tion of Work
Descri
p
Multi-Family Bldg _ Y - N Fireplace(s) _ 0 2
Property Owner --Pa2pA ,? ? [ AGrX Telephone #
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
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.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AN - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PGA handout to applicant
Description: Water Damage_Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
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 bldg) Sheetrock
- Footings (deck) _ Final/C.O.
- Footings (addition) _ Final/No C.O.
Foundation _ HVAC
- Drain Tile _ Other
Roof _ Ice & Water _ Final _ Pool
Figs
Air/Gas Tests
Final
- Framing _ _
_
_
Siding
Stucco Lath
Stone Lath Brick
- Fireplace Air Test - Final _
_
Windows
- Insulation _
_ Retaining Wall
Approved By:
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4100 City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax: (651) 675-5694
Date:
2008 M
Site Address:
?oralfi? I
Sy33 '
j Permit
I I
Permit Fee: Sd • S Q
I
I
j Date Received:
I I
I Staff:
I
APPLICATION
Suite #:
RESIDENT / OWNER Name: V\' Phone: W -W-
Address / City / Zip:
CONTRACTOR Name: S 4t-u, A_A Li nse #:
Address: r
State
Ci
iP
ty:
'
rr??
sq-3->--contact Person:
Phone: V t 3-l
TYPE OF WORK - New Aeplacement Additional Alteration _ Demolition
Description of work:
NOTE: Both roof mounted a d ground ounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction - Interior Improvement
F
rnace _
u
1Air Conditioner Install Piping _ Processed
_ Exterior HVAC Unit
Gas
Air Exchanger
- -
` HVAC units must be screened
-Heal Pump Under / Above ground Tank (_ Install / _ Remove)
Other " When installingtremoving tank(s), call for inspection by Fire
- Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $50 State Surc ge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 Stale S harge)
TO AL FEE
$
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ '- x 1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit g is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
?
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the oromances ana cones or me ury of Eagan; mar
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 in cordance with the approved
plan in the case of work which requires a review and approval of plans.
?ir \ ?. x
Ap n 's P trit'ed Name me App an Sig ture
By:
-Under Ground - Rough In -Air Test -Gas Service Test _In-floor Heat -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107331
Date Issued:10/08/2012
Permit Category:ePermit
Site Address: 3085 Shields Dr
Lot:1 Block: 1 Addition: Lemay Lake Hills
PID:10-44650-01-010
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:JoAnne Burr
990 Lone Oak Road Ste. 114
Eagan, MN 55121
651-905-0105
Valuation: 4,395.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Ralph Knight
3085 Shields Dr
Eagan MN 55123
Window Concepts MN
990 Lone Oak Rd #114
Eagan MN 55121
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178543
Date Issued:08/23/2022
Permit Category:ePermit
Site Address: 3085 Shields Dr
Lot:1 Block: 1 Addition: Lemay Lake Hills
PID:10-44650-01-010
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ralph & Jerona Knight
3085 Shields Dr
Saint Paul MN 55121--135
(651) 681-9256
Binder Heating & Air Conditioning
222 Hardman Ave N
South St Paul MN 55075
(651) 457-8781
Applicant/Permitee: Signature Issued By: Signature