4806 Shevlin Ct
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CITY OF EAGAN SEWER SERYICF PERMIT
J795 Pilot Kneb Road PERMIT NO.:
Eagan, MN SS122 DATE: ,
Zoning: No. of Untts: ~
Qwner: - - - ,
llddress:
S~te Ia4~fCSS: r~~ ::L''~ _ , _~.f~ ~ftt:
Plumber: i.:: T~ ~ - -
t ~~..,r~ - , l~n,~n rrl
1 e~re~ fo oomphr witb tiw GMr of Eagan Connection Chcrge: .
Ordinan~as. Account Deposit:
PeRnit Fee;
Surchorpe:
BY Misc. Charqes:
Date of Insp.: Totol:
Insp.: Dote Poid:
cirir oF ~aaN WATER SERVICE PERMIT
3795 Pitot Knob Roed PERMIT NO.:
Eogae, AAN 55]ZZ DATE: j
Zoning: No. af Units: `
,
~O~.i"~: U: :i
Owner. . .
Address: . . _ . , •
Site Address: ' i: . ;:+r'~ - -
Plumber: , .
Meter No.: Connedion Chorge:
Size: Account Deposit:
Reader No.: Permit Fee: ~
1 ogree to eomph~ wlth the CFh oi Eayon Surcharge: , .
, .,'t t
Ordinaaeet. Misc. Chorpes: ~
Totol:
gy Dote Paid:
Date of Insp.: ~^SP•~
cir~r oF E~c~?N
~7lS Pilof Knob Road Eogon, MN asi2!
, ~ PHONEs 454-8100
'BUILD~NG PERMIT Receipt #
Te b~ w~d for Est. Volue Dote - 19
Slte Addreu Erect
? Occuponcy
Lot Biock Set/Sub. ' Alter p Zoning
pa~~ Repoir ? Fire Zone
Enlarfle ? Type of Consc.
W Name - r _~L • Move
p # Stories
; Address f - Demolish ? Length
b
Ci phone G?ade ? Depth Sq. Ft.
p Nome Approvols Fees
Address Assessment Permit
~ Cit Phone Water 8. Sew. Surthorge
Polite Plan check
u °C
W W Ncme Fire SAC
H
Address Enp. Water Con~.
<W Ci Phorxs Planner Wc~er Meter
Councll Road Unit
I hereby acknowledge fhat I have reod fhis application ond stote that Bldg. aff.
the informotion is correct and ogree to comply with oll applicable APC Total
Stofe of Minnesoto Stotutes ond Cify of Eagan Ordinances.
Sipnature of Pertnictee
A Building Permit fs issued to: on the express condition thnf
all work sholl be done in accordonce w~th oll appliwble StaFe of Mlnnesota Statutes and Ciry of Ea9on Ordinances.
Buildinq Officlol
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s;j Tbia CMificatc i.uuad pn+axam to tlx requiremtnrr of Sectron 306 of thc Uniform Bnilding i"'
n q .y i
y
S'. ?;i ~~~frng ~ of t~~c thir nructurc was in complianu witb tbc variax.r ~
ordina~ru of tix City ng~lating buiGding ~oe.rtrxction or xte. For tix following:
) ~_'8; ,~i °
/ , 9:~ SF DWG/GAR ~~-~~No. 7760 ~ ~
~ r~~ ~i''hr~ R3 Trn~ cA.w~~. V F~ ~o.~. NA y~;ro ~ Rl
~ ~ Tollefson Builders 1655 Norwood Dr. , $agan
~ d~- i o.,~ ~ erra~ ~aa~w r~. .
/~~R~ 4806 Shevlin Court ~,~,Lot 11,Block 1,Brittany 4thl~~
~ ar~ •
~4~ n.a: April 29, 1983 1~~~~~'.
I - ~,I s- IO~T IM A 0011VIC110Y~ KAC[ - ~
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1~_ _ . ' ~~,r~o..usn.~-•
~ C:.o.s •a ~
Receipt ~ ~ ~ - ' PLUMBING PERMIT ~ Permit No. ` ~
CITY OF EAGAN a
~ Fee
- Fill in numbered s,paces ~ S/C
Type or Prinf legib/y ~
Tot. ~
1. Date~ - / - {J 2. Installation Cost i •
~ f-'! ; i:,' ~ ~ , r ~ '
3. Job Address ~ Lot~Blk. ~ Tract /
4. Qwner • ' i :
5. Contractor ~ i y i/ Phone ~ 1 ? `1 ` ~
6. Address ' / ' • - ; j T~~ .-l , ~
7. City State f~'l r~ i Zip - "
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter O Repai~ O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
' Bath tubs Septic TanR
~ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
' Laundry Tray ~ ~ ~ r '
J Floor Drains ~ ~ , ~
Drinking Ftn.
Slop Sink
Gas Piping Outleu
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 : ~ far i ~ ?
Rough Final
Inspections: Date Insp. Date Insp.
This is you~ permit when numbered and approved.
Approved : CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No. -
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini legib/y
Tot.
1. Date 2. Installation Cflst
, - f
3. Job Address ~ Lot Bik. ~ Tract
4. Owner -
5. Contractor Phone ' /
6. Address ' ' ' ~ ' j~
7. City ~ " " State Zip
8. Building Type: Residential Cl Commercial ? Institutional ?
9. Work Description: New 0 Add O Alter ? Repair ?
10. Describe Fuel Type
11. No. Eauioment 8TU - 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 governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
CASH RECEIPT
CITY ~F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ~ 9
RECEIVHO
FROM
AMOUNT $ I
8 DOI.LAR3
~oo
, ~ CASH CHECK
FOR
FUND COCE AIAOUNT
Thank You
` sY
YVhite-Payera Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Femarks
Addition BRITTANY 4TH ADDN ~ot 11 eik 1 rarcei 10-15003-110-O1
owoer ' " ~ street 4806 SHEVLIN COURT scate EAGAN P~IlV 55122
KP ~.JP I; ` llr: ~~_s .
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, v."• ~ 1982 452.94 ~ 90.59 5 2 1. 8 A 222 -1
STR EET R ESTOR.
GRADWG t.~; v 1981 23.82 1.59 15 19•08 A012223 -1 -83
SAN SEW TRUNK ~s.~ 1976 173.90 11.59 15 81.18 A012223 -1 -83
* SEWER LATERAL 1981 246.32 16.42 15 1 .Q(
~-;~Sewer Lateral (trk 1983 133.33 8.89 15 106.6 " "
wATERMAiN g'.}S 1984 629.29 62.93 10
WATEF LATERAL 1
WATER AREA _.~j~f~ 19$1 229.95 23.~0 LO 1(Q. 8 A012223 -1 -8
STORMSEW TRK ~"^^st 1981 596.40 39.76 15 k77,12 A012223 5-19-83
'Y STORM SEW LAT I
CURB & GUTTER
SI~EWALK
STREET LIGHT
WATER CONN. 420. 00
BUILDING PER.
SAC u n
PARK
• ` CITY OF EAGAN _
~795 Pilet Knob Rood Eayan, MN SS113 N~ 7'76'~
~~t PHONE= 4S1-B100 ~ -
~BUILDING l~ERMIT Rece~pt # . ,S ~ r/ r/
re b. wee Fo. SF DWG/GAR En,ya~1e $63,000 pOfeJanuary 14 _~q 83
Sire ndd.ou 4806 Shevlin Court
Erect ~ Occupancy R-3
~or 11 Biock 1 Sec/Sub.Britt3riy 4th Alter ? zw~i~o R91
pa~~ # 10 15003 ~.1~ ~1 Repair ? Fire Zaro NA
Enlarge ? Type of Const. - V
W Name TOZI.ef50ri Builders, INC. M~,e ? # Stories ~
~ ~m~ 1655 Norwood Orive ~moi;,~, ? Lenqch_
aqan 55122 ph,,,a 454-6873 Grade ? Depth sq. Fc.-
p Nome O~,rner Approvals Faea
Address Assessment Permit '
Cit p~~e Water &$ew. Surcharga 31. 50
~ Police Plan check161.O0
~w Name 525.00
Fw Fire SAC
Addrazs Enp. Woter Conrf} 2 0. ~ ~
iW CI phone Plonner WoterMeter60.00
Council Rood Unit 24~.00
I hereby ocknowledge that I hove read this applicu~ion and stote thot Bidg. Off.
the inlormatian is correct and ogree to wmply with oll opplirnble APC Totol 51759.5~
Stota of Minnesota Statutes and Ciry of Eogan Ordinoncea. ~
Sipnature of Permittee
A Building Permit Is issued to: ~"D. on tha express condition 1hm
all work sholl be done in acmrdance with oll applim 6 Stote esotu Statutes und City of Eagan Ordlrances.
Buildinq Officiol ~ ~ f"~I`
This reauest void 2~ ~ L~ D~ ( OCl ~~Z~j b
18rtronUsfmm
W 059351 `~~`s°
Raquest nte ~ Fire No. Houph-in InsyecUon
/ R~q ~red? ~Reatlv Nuw Wiil Nntifv.lnsuer
`./~`(~3 ~Ves ~NO ~tor When ReadY
Y
~LicedsC:! ElacVical Contrector I hereby reqvest inspection oi above
Owner eiactrical work instelled et
Sireet A ress, Boz or Route No. Cirv
~D S - 1.~.. ~ . ~ ,
ecuon o. Townshi0 Namo or No. anye No. Cnw
~ t~ INTI Phone No.
~ ~
Powe S olier Aadress
~
E c rmal Contractor IComP'~a-n°y Namel Convacror's Licr.nso No.
~C' O ~ -
o~linB Ad ss ICOntractor or Owner Makine ~~stailationl
~ ~5 S - I~ r,.~ l~•-~ ~
Authorizod Sig^ature (Contractor~Owner Makyiy Installationl hone Number
~ ~a(.o c~c-~ o
MINNESOTA STATE BOAND OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Blde~ - Raom N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
7821 Universiry Ave.. St. Peul. MN 56104
o~___ ia~o~ oo v~~~ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-D0001-D4
' Sea instluetions for com0~e~itg this folm on back ot yellow copy.
"X~ Be~w
~r~Co ~ red by This Request 3`t ZS g
AA~ ~eo. Tvoe of Buildinp Apo~iances W~red Enuipment Wired
Home Fange Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buildinc~ Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloader
Industrial BIAy. Air Conditioner Bulk Milk Tank
F~rm ~ ~~~her ISUer,ify)
1 er suec~ v o~ner
Compute lnspection Fee Below
d Fee ServiceEntranceSize k Fee feedars~SUbfaeders H Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 qmps j- 31 to 100 qm s
Swinvning Pool Above 700_Am s Above 700_Amn
Transiormers Irrigation Boorr~s ..;Z? Partial.`Other Fee
Signs Specialinspection S~~ C~
Ferrwrks TOTA E
~ J~
Rough-in 7 r,~ ` ~ Date I, e Electri
p ~ ~ ` ~ Ins ereby
~ cartity thet the nbove
Final " Da~e inspection hes been
.
. ~ 7 ~ made.
Tl~iereaueatvoltll8mon11~81mm ~ ' ° - "
r '
CITY OF EAC',F1[J Include 2 sets of plans.
~ ~¢p ~ 1 site plan w/elevations &
BUILDING PERMLT APPLICATION 1 set of erergy calculations.
1b Be Used For ,r,~ aluation
~i ~ 3 00 a ~ate ~ r a' ~
Site Address .yj/l %u~~ GZ,. OFFICE USE ONLY
Lot ~ sloclc sec./sub Erect ~ Occupancy ~3
raroel t v ( St~o ~ i ia O~ A7.r.er zoning s'~l
FEpair Fire 7qne - ~
Owner: Erilarge _ 4'y~e of Const. ~ ~
Addzess: Move # Stories
Dsrolish Front 4%3 ft.
City/2ip Code: G~ Depth ft.
Phone q:
APPI30VI~LS FEES
CORtraCtOZ:_~~ A48E?SSIPIP1ltS PP1iR'Lt ~~7~
' Water/S~aer Surcharge 3 /
~
Address: Polic:e Plan Check 1
i%~~
City/Zip ~de: ~ ;~T_ Fire SPC ,Sa6~~
Phone ~r~~~ ~ ~ z , Watpx Conn. y~~
~ Plaruier ' Water Meter L„~-~
Arch./E1xj.: . Council Unit ~N6,
Bldg. Off. : ~
Address: AYC
City/Zip C.ode:
Phorie # : 7OT f ~ [ ~
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' . F[OI~T[RSU UIiOIR AWt OF /TAT[ 0I MINNCSOTA ~ Y~•
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~ I \ ~ ~ ~ 3616 EAST 55th ~YREET, MINREqpOUS; MN 55417 7~73494 ~ ~
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I hereby certify tha[ this is a true and c~rrect pl~i ~ I
plat of a survey ~f: . . ~~,D
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Lot 11,BLock I,Rrittany 4th. Addition,Uaknta C~unty,Minn~"~ ~y~y:~.','; P~
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~j ~ ~ ~ 651-681-4675 _ ~'a _ ~ q
New Co~struclion Reauirements Remodel/Reoair Reauirements l
? 3 registered site surveys showing sq. R oflot, sq. ft ofhouse ? 2 copies of plan
and ~7l roofed areas L% maximum lot covereae allowedl ? 1 set af energy plalations for heated additians
? 2 copies of plans (show beam & window sizes; poured fid. design; etc.) ~ ? 1 site survey for e~cterior additions 8 decks
? 1 set of energy alalations
? 3 copies of Iree preservation plan if lot platted after 7l1/93
DATE: ~.~2 / CONSTRUCTION COST: / ~
DESCRIPTION OF WORK: /P/,.ri ~~~v.~ t~-~ S~
STREET ADDRESS: Y~ D~ f~e v~.~ CD` .
LOT: I i BLOCK: _1_ SUBD.IP.I.D. ~ti~ V~ ~ ~
Name:_ G`i «!I'o~ _~4~_ Phone #i: ~J 02~~7/
PROPERTY F~~
O~VNER /
Street Address:_ ~ v~i~ C.~~__
City ~ k State: ~G Zip: -~T~/~~
- ~S~ -
Company:~0~~f77',~G .fti h ~ks~/~ ' _ Phone tf: ~ G> O~ a ~'I ~ I
CONTRACI'OR 7
Street Addmss:~J OZ__~~~~_ License fl E~cp. l
City Sta[e: Zip:
ARCHITECT/
ENGINEER Company:-~--------- Phone
Naine: Regishation tl:
Street Address:------------ -
Cily - S[a[e: Z~P'
Sewer & water licensed plumber (reauired for new construction onlv):
Penalty applies when address change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is c ect, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~ ~ ~ ~
OFFICE USE ONLY ~ a ~ ~ ~ U_! ~ \1~~ ~
Certificates of Survey Received _ Yes _ No ~j
- - - I MAR 2 2 IS~~
Tree Preservation Plan Received Yes No Not Required !I-I~I ~
~ I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
~ 05 3-plex ~ 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE "
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
{Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS ~
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Council Minutes
April 19, 1983
TOLLSFSON BUII.DSRS - SIDSYARD SETB9CH
The application of Tollefson Builders for five foot sideyard setback
varianee for Lot 11, Bloek 1, Brittany 4th Addition, was next considered.
There was no appearanee on behalf of the applicant and the Advisory Planning
Commission at its regular meeting on March 22, 1983, recommended approval,
sub,ject to certain conditions. Upon motion by Smith, seconded Thomas, it was
resolved that the applieation of Tollefson Builders be and,it hereby is
approved, sub,ject to the following: ~
1. That either a 10 foot or 15 Poot side setbaek be required from the
easterly line of Lot 10, when the construction commences, depending on whether
a garage or principal residence is located on that lot, closec to the property
line.
2. Complianee with all other applicable ordinance provisions.
All voted yes.
TRI-L~AD C0. REZONING - PR~-~NAItY PLAT - SONS6T ADDITION
The application of Tri-Land Co. for rezoning from R-1 to R-1 PD to allow
deviation from R-1 zoning requirements and preliminary plat of Sunset Addi-
tion, was then reviewed by the Council. A request from Brad Swenson on behalf
of the applicant, that the Couneil authorize the withdrawal of the application
was upon motion by Wachter, seconded Thomas, approved and authorized to be
withdrawn. All voted yea.
~ 3Nll ADDITIOB - RBZOAING AND PRE[,IliINARY PLAT
The application of Windtree Company, Riehardson Properties, Ine., for
rezoning from R-1 to R-1 PD to allow deviation from R-1 single family lot size
requirements for Blocks 1, 2, and 3, Windtree 2nd Addition and for preliminary
plat approval of Windtree 3rd Addition, came next before the Council. A
request from the applicant that the application be continued until the May 3,
1983 regular meeting, was upon motion by Wachter, seconded Thomas, approved.
All voted yes.
CLARRSON PLACS - FINAI, PLAT
The application of Elmer Scott for final plat approval of Clarkson Place
Addition on Highway U3 was presented to the Council. The staff recommended
approval and upod motion by Wachter, seeonded Smith, it was resolved that the
final plat of Clarkson Place be approved subject to compliance with all City
requirements. All voted yes.
7 ~
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105499
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 4806 Shevlin Ct
Lot: 11 Block: 1 Addition: Brittany 04th
PID: 10-15003-01-110
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Renewal Andersen Colin A Carrico
1920 County Road C West 4806 Shevlin Ct
Roseville MN 55113 Eagan MN 55122
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139787
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 4806 Shevlin Ct
Lot:11 Block: 1 Addition: Brittany 4th
PID:10-15003-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Bojan Hoover
4806 Shevlin Ct
Eagan MN 55122
(612) 360-0681
One Hour Heating & Air
1904 Vermillion Street
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149582
Date Issued:05/30/2018
Permit Category:ePermit
Site Address: 4806 Shevlin Ct
Lot:11 Block: 1 Addition: Brittany 4th
PID:10-15003-01-110
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 -
Bojan Hoover
4806 Shevlin Ct
Eagan MN 55122
(763) 670-7387
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151086
Date Issued:08/07/2018
Permit Category:ePermit
Site Address: 4806 Shevlin Ct
Lot:11 Block: 1 Addition: Brittany 4th
PID:10-15003-01-110
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: 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 -
Bojan Hoover
4806 Shevlin Ct
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(952) 895-8100
Applicant/Permitee: Signature Issued By: Signature