1690 Skywood LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128097
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 1690 Skywood Lane
Lot:7 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Rita Cox
1690 Skywood Lane
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
r; L? r31o 1 LAP-',g01HO
/L• RESIDENTIAL BUILDING Vti))P ' S S-TD "4
Permit Application n h ?0? y
City Of Eagan T
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Requirements RemodeVReoair Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mofed areas 2 wpm of plan
(20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate ifonske septic system
3 copies of Tree Preservation Plan if lot plafted after 711193 n '
Rim Joist Detail options selection sheet (bldgs with 3 or less units O
(, C`1 °t a?
D Use nl
A of Survey Recd
Pres Plan Recd
' Pres Not Reqd
on-site Septic System
Date j 77 /
Site Address 16 ci b S l y ., Construction Cost 14o 0'-
? L0-4- Unit/Ste #
Description of Work -'j
ale . S
Property Owner 1 ! , 1 Telephone # ((037) S?sL Szua
Contractor Ii., \ n
Address 1 r \jortk.?r
State ?A? c f ? r d-!?j / Yd City CaA
zip S5-77 f Telephone # ((O:-( ) y sz s t?U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber 'Jwk?±4 Telephone #(?(Z) !?22--?I2 (
Mechanical Contractor ??b? ?fP 1Y? -? s di- Telephone #(SS2-) FSY mDms
Sewer/Water Contractor _MP,6-. 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 N IN
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 pl in a case of work which requires a review and
approval of plans.
u>?? ?n
? ?t?
App
licant's Printed ame Ap I` i is gnature ?I ?EQ i 4 2003
OFFICE USE ON LY
Sub Types
)$ 01
/ Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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. Alt - 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 Plbg_y or_ N ? 25 Miscellaneous
Work Types
/ 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation
Census Code f D J
SAC Units d
Nbr. of Units
Nbr. of Bldgs
Type of Const i (A2-
Footings (new bldg)
Footings (deck)
_ Footings (addition)
)( Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Framing y
K Fireplace -E` R.I. _K Air Test X Final
X Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy / MC/ES System
Zoning City Water
Stories / Booster Pump
Sq. Ft. PRV
Length 7- (Z Fire Sprinklered
Width 5 <7'
REQUIRED INSPECTIONS
)! Final/C.O.
_ Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new)replacement)
Retaining Wall
Approved By 7 Building Inspector
M ff' 1/`?
31
TU!-27-2099 15:33 PULTE HOMES
. 4
MNahnck COMPLIANCE REPORT
Minnesota Energy Code
Mr?check Software Version 3.0
CGUNiYs Dakota
STATB: Minnesota
ZSINE : 2
CONSTRUCTION TYPE: Single Family
DATE: 7-27-2000
DATE OF PLANS! 7/27/00
TITLE- DIAMOND WALKOUT ELEVATION #2
COMPLIANCE: BASSES
7bquirsd UA 5 473
Your Home . 371
21.6* Better Than Code
P. 92:02
Permit #
Checked by Date
Area or cavity Cont. Glazing/Door
Perimeter R-value
---
--- R-Value
--------- U-Value
-------------
--------------------------------------------
CEILINC-S 1887 --
-
44.0 0.0
WALLS! Wood Frame, 1611 0_C. 2297 19.0 210 1
WALLS: Wood Frame, 16" O.C. 247 10.0 2.0
BSMT: Conc. 9.0' ht/8.3' bg/9.0' insul 152 11.0 0.0
B3MT: Conc. 3.5' ht/3.1' bg/3.5' insul 20 10.0 0.0
GLAZING: Windows or Doors, Above Grade 406 0.360 1
DOORS 38 0.360
HVAC EQUIPMENT: Furnace, 92.0 AFUE
-
--------
--------------
---------------------------------------------
COMPLIANCE STATEMENTS The proposed building --------
design described here Is
consistent with the building plans, specific ations, and other calculations
submitted with the permit application. The proposed building has been
designed to meetxuiremeriLar at`!i-M?n ne®ota Energy Code.
Date 7 Z
TOTAL P.02
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: La? Q? pL L?k I(E 6/4- le/V; f iL
DATE OF SURVEY: .;2- / 2)- D2
LATEST REVISION:
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? • Registered Land Surveyor signature and company
d/0 ? • Building Permit Applicant
rf /0 ? • Legal description
d 0 ? • Address
Y C ? • North arrow and scale
dp ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
@//c ? • Directional drainage arrows with slope/gradient %
B ?? 0 • Proposed/existing sewer and water services & invert elevation
6 ? ? • Street name
flt ?
d/ ? ?
? •
• Driveway
Lot Square Footage
tq ? ? • Lot Coverage
ELEVATIONS
/ Existing
E? 11 0 • Sewer service (or Proposed)
B/? ? • Property comers
fi? 0 /? • Top of curb at the driveway and property line extensions
? L9'// ? • Elevations of any existing adjacent homes
? W 0 • Adequate footing depth of structures due to adjacent utility trenches
? V n • Waterways (pond, stream, etc.)
Proposed
0 Garage floor
GY ? ? Basement floor
? it ?
0 ? • Lowest exposed elevation (walkouttwindow)
Property comers
? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
?
? Cad 0 • Easement line
NWL
? ?
? •
• HWL
? ? • Pond # designation
? 0/11
11
;-' • Emergency Overflow Elevation
El 0
D • Pond/Wetland buffer delineation
Nit/z ?
? ?
B?p0 ?
?
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any 0
Reviewed:
G:/FORMS/Building Permit Application
Surveyor's Certificate
SURVEY FOR : PULTE HOMES
DESCRIBED AS :Lot 7. Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
FEB 14 REC'0
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or Retaining Well
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SPECTIONS f__ r"P I
Storm Sewer
LOT SQ. FOOTAGE
HSE SQ. FOOTAGE
LOT COVERAGE =
# 17951
PROPOSED ELEVATIONS
Top of Foundation = 954.5
Garage Floor = 953.4
Basement Floor = 946.5
Aprox. Sewer Service = 942.5
Proposed Elev. = (Z:::)
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
0;
= 3, 7,7
= 2,04 7
55%
SCALE: 1 inch - 30 feet
BENCHMARK, -- -- -. --• .,
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB NO:
HEDL IJND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 03R-065
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OWN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE CAD FILE:
Phone: (651) 405-6600 F R P. LINDGR . LAND VEYOR
Fax: (651) 405-6606 NNE TA LICENSE NUMBER 14,376 Ookbrooke 5
T
` LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL:
DATE OF SURVEY: l Q ' D3
LATEST REVISION: 2 - / 6 3
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DOCUMENT STANDARDS
/? ? • Registered Land Surveyor signature and company
3// ? ? . Building Permit Applicant
Vd /? 0 • Legal description
Y ? ? . Address
? ? . North arrow and scale
at/ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
U/ ? ? • Directional drainage arrows with slope/gradient %
,l-V/?
r ? ? ?
? • Proposed/existing sewer and water services & invert elevation
St
t
4
e • ree
name
? ? . Driveway
C/ ?
, 0 • Lot Square Footage
t9
? ? • Lot Coverage
ELEVATIONS
Existin
Q /C] ? . Sewer service (or Proposed)
V n ? • Property comers
0/0 ? • Top of curb at the driveway and property line extensions
? 2/? . Elevations of any existing adjacent homes
p?? • Adequate footing depth of structures due to adjacent utility trenches
? G ? . Waterways (pond, stream, etc.)
Proposed
[?0 0 • Garage floor
CA?? 0 • Basement floor
Gl/? ? • Lowest exposed elevation (walkout/window)
? I- ? • Property comers
Q'/? 0 • Front and rear of home at the foundation
PONDING AREA (if applicable)
? I? . Easement line
? ?? . NWL
? LA/ ? • HWL
? @' ? • Pond # designation
?
S
'/
' • Emergency Overflow Elevation
? ?
? • Pond/Wetland buffer delineation
DIMENSIONS
e(?? ? • Lot lines/Bearings & dimensions
E? ? • Right-of-way and street width (to back of curb)
? f_i . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
0, ? ft . Show all easements of record and any City utilities within those easements
E3/ J CI • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? ? • Retaining wall requirements, if any
Reviewed: C L '
Name ? Date
G:/FORMS/Building Permit Application
' Surveyor's Certificate
SURVEY FOR : PULTE HOMES
DESCRIBED AS :Lot 7, Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
;1:9 mmimun
or Retaining
Be ;R3quired
LOT SQ. FOOTAGE
HSE SQ. FOOTAGE
LOT COVERAGE =
g 179,51
PROPOSED ELEVATIONS
Top of Foundation = 954.5
Garage Floor = 953.4
Basement Floor = 946.5
Aprox. Sewer Service = 942.5
Proposed Elev. =
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
orm Sewer
-
3, V27 ?? - 3 r, .L., >t
55%
SCALE: 1 Inch - 30 feet
HEREBY CERTIFY THAT THIS
HEDL UND OF THE BOUNDARIES OF THE
BY ME OR UNDER MY DIRECT :
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCF
2005 Pin Oak Drive
Ea
an
MN 55122 3 C
DATE
g
,
Phone: (651) 405-6600
Fax:_ (651) 405-6606
Ft: .:........ .. .
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
t6E AND CORRECT-REPRESENTATION
DESCRI8ED:PROPERTY=AS SURVEYED
/ISION_AND DOES NOT PURPORT TO
IENTS.-EXCEP-VAS SHOWN.
14376
JOB NO:
03R-065
BOOK: PAGE:
CAL) FILE:
Ookbrooke 5
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
,
/ A'/7 L
PROPERTY LEGAL: I-- o+ - ?/i) C / )? , .l7 r7m KPH /64- ?D
DATE OF SURVEY: 2- IO' D-:?
LATEST REVISION: 3 - ( 3
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d ? • Registered Land Surveyor signature and company
? • Building Permit Applicant
C}?? ? • Legal description
? ? • Address
fY// 0 ? • North arrow and scale
Cd? ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
6yi? ? • Directional drainage arrows with slope/gradient %
?? t7 ? • Proposed/existing sewer and water services & invert elevation
d ?
Q?0 ?
? •
• Street name
Driveway
? . Lot Square Footage
V L1 • Lot Coverage
ELEVATIONS
Existing
tl/ ? ? • Sewer service (or Proposed)
I? ? ? • Property comers
ID/ 0 • Top of curb at the driveway and property line extensions
? ? • Elevations of any existing adjacent homes
? ?
V • Adequate footing depth of structures due to adjacent utility trenches
W
? o • aterways (pond, stream, etc.)
Proposed
-/
? ? • Garage floor
IW ? 0 • Basement floor '
H ?
? ?
? •
• Lowest exposed elevation (walkout/window)
Property comers
g ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? V/ ? • Easement line
?
? ?/ 0
? • NWL
HWL
? t3 •
P
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ti
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?
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on
es
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/ mergency
ver
ow
eva
on
? L7 ? * Pond/Wetland buffer delineation
0/0 ?
I/? ?
12/0 ?
V? ?
?
? 0
DIMENSIONS
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements,
Reviewed:
G:/FORMS/Building Permit Application
Surveyor's Certificate
SURVEY FOR : PULTE HOMES
DESCRIBED AS :Lot 7, Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
0 4 RUB
Z., B wdmum Slopes
; Ftetaining Wail W'i19
Be Ftequired
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Shy 160
5°.5 d Lq4?
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4,31 o.1j ;
IN
44.
LOT SQ. FOOTAGE
HSE SQ. F00 TA GE
LOT COVERAGE =
# 17951
PROPOSED ELEVATIONS
Top of Foundation = 954.5
Garage Floor = 953.4
Basement Floor = N/A
Aprox. Sewer Service = 942.5
Proposed Elev. =
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
= 3, 72 7
= 2,04 7
55%
<s
SCALE 1 inch = 30 feet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB NO:
HEDL UND HEREBY CERTIFY THAT THIS IS ' TRUE AND CO-ROPE EN 03R-065
OF THE BOUNDARIES OF THE ABO VECDESCRIBEDiPROPERTY TY,AS AS SURVEYED
BY ME OR UNDER MY DIRECT:SUPERMSION,•AND; DOES NOT`PURPORT TO BOOK. PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS;', EXCEPT AS SHOWN.
2005 Pin Oak Drive ?'°
Eagan, MN 55122 DATE 2/-7/03 ?ry'? CAD FILE:
Phone: (651) 405-6600 Y D. LINDGREN,-LAN SURVEYOR
Fax: (651) 405-6606 NN OTA;CiC'ENSE NUMBER 14376 Ookbrooke 5
rus-
Site address: I &k31--4 6x ? Lotj6j Block! 2_L Subd. ®d Y
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater y I
Furnace ?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1 FVr-05 v
Bathroom 2 ilk ? `D
Bathroom 3 S V -90 o
Bathroom 4 r v t V -,S-Z::>
Other
FIREPLACE 5
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
o ?OCO-Tr 74OW v
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
SC `p'->
Signal ur Date
Company Name
This form is the responsibility of the General Contractor.
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PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105495
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1690 Skywood Lane
Lot: 7 Block: 1 Addition: Oakbrooke 6th
PID: 10-53765-01-070
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
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: 10,397.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc KRISTINE A TROMBLEY
5866 Blackshire Path 1274 WILDERNESS CURVE
Inver Grove Heights MN 55076 Eagan MN 55123
(651) 688-6368
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:Building
Permit Number:EA107791
Date Issued:10/29/2012
Permit Category:ePermit
Site Address: 1690 Skywood Lane
Lot:7 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-070
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
KRISTINE A TROMBLEY
1274 WILDERNESS CURVE
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124886
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 1690 Skywood Lane
Lot:7 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Kristine A Trombley
1274 Wilderness Curve
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169498
Date Issued:05/28/2021
Permit Category:ePermit
Site Address: 1690 Skywood Lane
Lot:7 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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:
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 -
Renee J Tste Iwen
1690 Skywood Ln
Eagan MN 55122
(612) 325-6649
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature