4816 Slater CtC!tyofEaan
3830 Pilot Knob Road ��N 6 2011
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694 •/�5
BUILDING PERMIT APPLICATION
Zoe o RESIDENTIAL � ✓ � �
Date: tG b r / I Site Address: 9V62`774 )-e r C- o u r
Suite #:
Use BLUE or BLACK Ink
For Office.USO
Permit #: 5-7q
Permit Fee: G � ` 0
Date Received: 1
Staff:
Tenant:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utlhty damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. gooherstateonecall.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 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.
x [ Gtw+ef/
Applicant's Signature
x
Applicant's Print ' a e
Jte
Page 1 of 2
RESIDENT / OWNER
Name: kevi f d` Les 1i a' 6 -al no Y1 Phone: 6 51- 9/v -' 2 5'6
/ City / Zip: L/$1( S/g fry cogr-- E4 ad n 1 )1'7 it) 55 ) aa;
Address
Applicant is: Owner ` Contractor
_ /
TYPE OF WORK
ep I iS dye 4-0 Wa4Pr' c4,ez 7)47 6
Description of work:
Construction Cost: di Sf 7 (Zid Multi -Family Building: (Yes f No,
CONTRACTOR
ero 'ess(pile1S License #:40396)y
Name: tso57-661..1..) en
Address: /Om /7mn e ha ha Ave• Gtr• City: '.i-. arsl
,Cb5
Phone: , S 1- Q69- 5-7 g /
State: MO Zip: 57 %63
ii ()Ale_ Email:
Contacteq/7')'e) -
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Phone:
Plumber:
Licensed
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE 04, is 1 . sy Ottirrg dOctrrrre402:4f:You_Submlt are.'cgnsi14derwe .4c9 1 publl4,Lrr)fomtati .ige° 0,. of
�fh ` itror ti016 r 1 —e a a0i6d as non 00011051t40tr4pt vide 00,014',#0 0:011 woultl pe Jt 'OA* tot
4,r 1ra :„ ,�{': - A ;coinsruiethftheyaretrade;secrets.` ;'� °n <A�'�? : :f _
f
;
.
F.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utlhty damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. gooherstateonecall.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 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.
x [ Gtw+ef/
Applicant's Signature
x
Applicant's Print ' a e
Jte
Page 1 of 2
y&Slak-g-
DO NOT WRITE BELOW THIS LINE
gq5-7
Gi
SUB TYPES
Foundation
Single Family
Multi
01 of Piex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% X )
Census Code
Fireplace
_ Garage
Deck
Lower Level
_ Interior Improvement
_ Move Building
Fire Repair
Repair
A
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Porch (3 -Season)
Porch (A -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Siding
Reroof
Windows
_ Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building"
Demolish Interior
_ Demolish Foundation
Water Damage
`Demolition of entire building — give PCA handout to applicant
Occupancy r MCES System
Code Edition jRL 40"7 SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Roof: Ice & Water _Final
Framing
Fireplace: Rough In Air Test _Final
V Insulation
Meter Size:
Reviewed By: 4 / t % / l f
Sheetrock
Final / C.O. Required
$ Final /No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
Siding: _Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: — Footings Backfill _ Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
CITY OF EAGAN SEWER SERVICE PERMIT
' 383Q Pilot Knab Road
P. O. Box 21199 PERMIT NO.:
, ~ •
Eagan, MN ~a5121 DATE:
ZoninD: Na. of Units:
Owner: ' E' -
/lddress:
, Site ~Iddress: 4; iu :ST~d~~;..- - - - _ _ _ -
P(umber: '1.n.vIOCk ' i~ ;i:,
. - ? - f' '
! 1 pn~ to as~~lp wiN~ ilr Cthr af l~p~ CAnrNCflon C~wrps:
' OdiNSar. Acoo~wit Deposif:
P~rmif Fee: -
~ 5urehorpe: .
~ BY Mise. Chorpea:
Date of Insp.: Totd:
Ins~?.: Dah Pcid:
~ - . . - - i
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN ~57,21 DATE:
~~r'~" I No. of Units: -
~r~ t~~ ' f_~
~
~ .7~~0 ~R7~fe'~ i ' T - ~ • r -f r. ~ ' ~ _ .
Plumber. 1 , , , . . _
AAeter No.: Connection '
Slze: ~r~' - -
/locount Deposlt:
Re°dar No.: Pertnit Fee: '
1 Mn~ te eo~ply w~ !6~ Cihr ~f Hy~~ Surcho?pe:
~"~0M' Misc. Cfwrpe~;
Totol:
BY Date Paid:
Dote of Irup.:
CITY OF EAGAN ~ . WATER SERVICE PERMR
~3p Pi{ot Knob Road pE~~T NO.:
P. O., Box 21199 D/?7E:
Ea9an, MN ,~S5? 21 No. ~ ~~its:
Zonino• T ;;stat~s Inc. I
_lonie
pwner, ~I
~ ~ , ~ -~e.Ti.^.~, `,ica~s
~,~t 6 Slat~r CourL - . I
~ ~ tit • ,
,.i . .11C?t p~.L'.`l~~'1` ti1~i fj1.7. - ~C.
Plumber. 3 yo ~g•~l •'Z O ~on~~~~L• ,~.',,~,n;• I~I
i, ?Neter No.: ~~p~t. , :.1. i1(?~
~ Siu: rr D~ ~ ~ 'I
i 3,~ ~ ~'-~a
I Reader No.: r ~p.
t'f.Y~(1 I
~ yrM fe Oow~l1~ - ~ I
` ",i`p,! m.,e C.i
~ pr/INnaM. n~~`~ Total: ;
p~te Poid: I
BY Irap.:
Date of InaP. ~ ~ ~ ~ O ~ - - - '
I
~e~`~'~"i~J~
~ ~~I: ;7~: 3/?1/37 CITY OF EAGAN „
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Q~~
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used 1or 1~ fraG/i;Ai2 Est. Value 8 2, O O U Date A'LT~Y ~ ,19
Site Address ' Erect ~ Occupancy ~~3
Lot~Block 1 Sec/Sub. W~ZSi~ERiI3G ~h'00~1$nodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Name _ Move ? Length a ~
i _ Demolish ? Depth I
o Address ~ Int. Impr. ? Sq. Ft ~ ,
c~~y r;rrit~~.~;lrp~,~ 435-6556 insran ?
Z o Name Approvais Feea
~ Address Assessment Permit $ 379 . 00
~ City Phone Water & Sew. Surcharge 41. 00
~ ~ Police Plan Review~l$.4~ SU
W W Name
~ Z Fire SAC 5'75 _ 00 '
Address Eng. Water Conn. ~ U 0. 00
< W Ci~y Phone Planner Water Meter_ ti3 _ 50
Council Road Unit 29[l _ 0~
I hereby acknowledge that I have read thisapplication and statethatthe gldg. 4ff. 5~7/86 Tr. PI. 1 S~ - 0 0
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. _ APC ParkS
Signature of Permittee ~c,~.._ _ _ Var, Date 4Copies
Total S 2.19 4. ~ J
A Building Permit is issued to: ~O~~SL ES'I'ATES ZNC on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
i
Building Official
PermN No. PKmR No1Mr Oale Telephone N
Plumwrw ~ ~ J d",..~ ~ ~ 4
-
H.V.A.C. ~J Fj lp - ~yL4.c.. ~''D
eie~.r~ C~. ~ ~ L~ ~ ~r-` ~ ~ ~
s~~a.
Inspectfon Dats Insp. Commente
i ~
Foodng~ 1 ~J o ,
Foodngsll " ~
Foundatlon _ G
Fnmtng ~ ~ ' ~ ~'~-Z~
Roofiny
Rouyh Plby. - /3
Rw?gh Hty. 'J
Insul.
Firsplace f , ~
Final Htg. °
Final Plbg. ~
Bldy. Final d ~
C~rt. Oec.
Deck Ftg. ~ ? ~
Deek Frmy. ~ ~
Well
Pr. Olsp.
. . ~ . ? . . . . . . , - ~ . - .V - .
~t y PERMIT #
~ ~ MECHANICAL PERMIT RECEIPT # ~
CITY OF EAGAN p
CONTRACT PRICE ~(~J ~~3Q PILOT KP ONE 454-8100 N, MN 55121 DATE: a-~O
Site Ad ress , ~t- c r` ,
BLOG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
~ ~ ~ "I f
~ ' ' ~ Res. New
~ Name ~ " ~
~ Address (.l ~ ~MutL Add-on
~ Comm. Repair
c Cit~r 0 Phone Other
Name ~ ~ ~ ^ ~ FEES
c Addr ~ v ~ C rRES. HVAC 0-100 M BTU -$24.00
p City << f Phoqe _ ADDITIONAL 50 M BTU - 6.00
' S ; ADD-ON AIR COND. 0-24 BTU - 12A0
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air ~ Ur 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
Vent CFM (ADD $.5U S/C IF PERMIT PRICE GOES
f r BEYOND $1,000.00)
Gas Piping Oudets #
Other ~
FEE ~v ,
S/C: S NATURE OF PERMI E
:'~U
TOTAL• -
FOR: CITY OF EAGAN
. ~.w„ . ,.~k „4 r'a::.~r~.. - :t, r, , . . , . "~T ` ` . , . /
~ ~S ~
PERMIT #
~ • PLUMBINQ PERMIT RECEIPT # CO v
CITY OF EAGAN ~ -
3a3Q PILOT KNOB ROAO, EAGAN, MN 55121 DATE:
: CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WaRK DESCRIPTION
Lot Biock ~ Sec/Sub
Res. New
~ Name Mult Add-on
eo Address Comm. Repair
c City Phone ~ Other
NO. FIXTURES TOTAL
. Name Water Closet - $3.00 S~
3 Address ' Bath Tubs - $3.00 ' ,
p City Phone °l J Lavatory -$3.00
Shower - $3.00 '
FEES Kitchen Sink - $3.00 ~
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _$~p,pp l.aundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20 pp Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES . Whirlpool -$3.00
BEYONO $1,000.40) Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
. . . ~
~ CASH RECEIPT ~
, . CITY ~F EAGAN
4
' 3795 PILOT KNOB ROAD
EAGAN, MINNESQTA 55122
/ ~s .
DATE ' ~9 CI ~
REC61V6D ~f. /e. : ~,l!'. s -~'I 7 • i ,
FROM ~
~
AMOUNT $ ~ , lu `
e oo~~wns
,ou
? CASH ~ CHECK
. '
FOR ~ . ~ ~C, . ~ ~ i
Y 1'f ` ~
J
~i-~ . , ~`--f
~
FUND COD6 AMOUNT
~ p ap
~ ~ l~ D
, G~
,
r
Thank You
~~~'65 ' .
White-Payers Copy
Yellaw-Posting Copy
Pink-File Copy
a , . . .
~ f~~
SEWER & WATER ~ERMIT OFFICE USE ONLY
CiTY OF ~EAGAN C" 7,~
383d Pilot Knob Rd. M~ER #~37'SIO~`~`~ PERMIT DATE
Eagan, MN 55122-1897 cHiP #4~~ Q}~~~ PERMIT # j~ 55~
METER 51ZE S ' ~ B.P. RECEIPT # ~ GS1:~
DATE AL 1 f~1 l t~(' ISSUE DATE ~D -S- ~I/~ B.P. RECEIPT DATE 1 1 y' ~
y PRV - BOOSTER PUMP
SITE ADDRESS PERMIT REGIUESTED
LOT ` BLOCK 1 SEC/SUB Fi~,iSP~RI~;C; ylC;~':S ~t;i)
• SEWER ~ WATER - TAPS
APPIICANT:
ADDRESS: - C~MMIIND - RESIDENT{AL
CITY, STATE ZIP 7~. NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~~'~~x ~'j~~?~~~'~G Rhead of Domestic Meters on Water Line.
ADDRESS: ~01 ~ t4UUP7D SF~~i.~S ~ F?,P,~: Credit WILL NOT be given for Deduct Meters.
CITY, STATE 1~LC~i~s 3 NC:TOP; .~9?v ZIP ;
PHONE: 384-~~] ~a ~ P, i v _ ,
I AGREE TO COMPLY WITH CITY OF
' OWNER: ~~~~-~~'UF ~1'~j `='~''~';-~'~'r:t'~:',`.IC:.: EAGANORDINAN
ADDRESS: 151ST Sz
''t'PLE VALI„3Y, : 1 =
CITY, STATE " ZIP
PHONE: ~ ~ ~ ~ ~ ~ SIGNATURE WHEN METER ED
i
~ PLEASE ALLOW 1'WO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERAAITS, CONTACT ENGINEERING DEPT.
i
RESIDENTIAL
BUILDING PERMIT APPLICATION
rq CITY OF EAGAN
T' J I 11 3830 PILOT KNOB RD - 55122 ~ ~ a~
651-681-4675 ~
New Construelion Reauiremenh RemodellReoafr ReouiremeMs
. 3 registered site surveys show6g sq, ft. af Iot, sq. ft, of fwuse', and all raafed areas • 2 wqms W plan
(20%maximum lot coverage allowetl) . 1 set of Energy CalcWatians for heated addilitlns
. 2 capies of plan showing beam & wiMow s¢es; poured found desgn, etc.) • 1 site survey for extedor addiitions 8 decks
. i set of Energy Calwlatiora • Indkate if hame served 6y septic system for addiGons
• 3 copies of Tree Preservation Plan'rf bt platted aRer711193
. Rim Joist Defa~l Options seleGian sheel (Wdgs wRh 3 ar Iess un~s)
DATE - VALUATION
JOB SITE ADDRESS S~D ~ ~ [ ~i`9~~
~
IF MULTI-FAMILY BUILDINlG, HOW MANJY UNIT5?
PROPERTY OWNER .P/J~rL/Nqf~ %/'.(CC~°
TYPE OF WORK Db FIREPLACE(S) _ 0_ 1_ 2
APPLICANT CLN ~ / °c- ~ O ~ ~ • PHONE#~S~Y-l~~O~
ADDRESS ~ S ~~F ZIPCODE .S~S_/o~ ~
PAGER # CELL PHONE # gU~-o2DYD FAX #~~~4~ -Od/~~
NEW RESIDENTIAL BUILDING ONLY - fILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residantial Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbing Systcm Includes: _ Water Softener _ Lawn Sprinkler Fee: ~"90.00
~ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mech~nical System Includes: _ Air Conditioning Fee: $70.0
_ Heat Recovery System ~ ~ 2 ~ ~ ~
1 r, l
Sewer/Water Contractor: Phone # D '
All above information must be sutrmitted prior to processi~g of application.
By
I hereby acknowledge thaT I have read this appliCation, state that the information is orr ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi a es.
Signature of Appllcanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dweliing ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 D1 of _ plex ? 09 D7-plex ° ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex, ? 19 Lower Level ? 24 Storm ~amage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair °
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof Q 46 Windows/Doors
? 34 Replacement 'Demolitlon (EnUre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (oew bldg) _ FinaUC.O.
_ Footings (deck) _ FinalYNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs ~ Air/Gas Tests _ Final
_ Fireplace ` R.I. _ Air Test _ Final _ Siding Smcco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC '
Ciry SAC
Water Supply & Storage
S&W Permit 8 Surcharge "
Treatment Plant
PlumBing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN RemarksC~.k II~d ~3~
Addition~Ih;~per;p,~ T,f00~6 Lot 8 Blk 1 Parcel 1o-R395n_pgp_p~ ~
Owner Street ~R1Fi C~g~eFS 6BUiE State
~ ' ~ , ~
Improvement Date Amount Annuai Years PaYment Receipt Date
STREETSURF. 523 1981 657.79 65.78 10
STREET RESTOR.
GRAOING
SANSEWTRUNK 69J 1982 179.39 11.96 15
SEWER LATERAL 524 1981 463 .23 46.32 10
WATERMAIN 836 1984 87.97 17.59 5
WATER LATERAL
WATERAREA 698 1982 179.39 11.96 15
STORM SEW TRK
STORM SEW LAT
CUfl6 & GUTTER
SIDEWALK
STREET LIGHT
WA?ER COfVN.
BUILDING PER.
SAC
PARK
Th~s ~equest voitl ~i G 6 ~ S~
10 momhs lrom ~ •
4 2 2 6 0 ~ ( , '„-a-~-~,-.-.- l~~ ~ ~ ~ -
Request D Fire No. RouPh-in InsPecbon
r/ ReQVrted7 ~Ready Nuw ill No1JV InsOOC-
d SO es ?NO ~or When Readv
lice~sed Elecv~cal Contractor I heraby re0uest mspeci~on of abova
Owner electrical work instelled at:
Street Address, Baz or Route No. C~tv
~ ~
ection ownship ame or No. Ran9e o. County
OccupaM ( pINT) Phone No.
Power Supp ie Address
~GO'T~
Electnc ntrector IComp ~-~Jamel Con~rar.lor's License No.
~ r-
m A Jr 5 IComracto or Owner Making InstailatioM
~ ~~v ~ ~3
Authon Signa re(Contractor~ wner Making Installation) Phone Number
~
MINNESOTp STATE BOAND OF ELECTflICITV THIS INSPECTION NEQUEST WILI NOT
Gr~eBS•Midwav Bltlg. - floom N-197 BE qCCEPTEO BY THE STpTE BOAHD
1027 University Ave., St Pe~l. MN 56104 UNLE55 PflOPEfl INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
ap REQUEST FOR ELECTRICAL INSPECTION ee-oouoi.oa
w-
~ See inatructions br como~evng th~s fwm on back o~ vellow cooV. / C~l G S
4 Z Z 6 O x" Below Work Covered by This Request o J~~
tiyry Peo: ~ Type ol Builtlinp ApPhancea Wned . Eqmumant Wved
Home Range Temporary Service
Duplex Water Heater LighLn,y Fixtures
Apt. 8wldinc~ Dryei Electnc Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tenk
Farm mr. oer.i y ,iner ~Sros~Wi
~ e yccify ther O~ner
ompute lnspection fee Below
p Fea ServiceEnvence5ize tl Fea Fexders/Subleeders 4 Fne Cvcwts
U to 200 qm s 0 to 30 qm s 0 tn 30 Am>s
Above 200 qmps 37 to 100 Ainps 31 to 100 Am s
Swimming Pool Above 100-Amps ~ Above 100_Amps
Transiormers ~rrigation 13oorc~s PartiaL"Other Fee
Signs SVeciallnSpecLOn S
TOT F~E, !
Nerrerks
~l
7
flouBh-~n r ~~.[i ~ I. th EIecV'
~ nspec aroby
certi~v ~hnt the nbove
Final ~ ^~e mspeedon has been
, ~ ~ 7 de.
t~breQuestvoltli8monlblrom ,
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~~? 1~ 3 J
~ BUILDING PERMIT PHONE: 454-St00 ~ ~
Receipt q
Tobeusetlfor SF DWG/GAR Est.vaWe ~82.000 Date MAY 8 ~g86
SiteAddress 4816 SLATER CT Erect Occupancy R3
Lot 8 Block 1 Sec/Sub. ~ISPERING WOOD(~'emodel ? 2oning R1
Parcel No. Repair ? Type of Const. `J~
Addition ? No, Stories '
W Name HOME ESTATES INC Move O Length dF
3 Address z004 W BURNSVILLE PKWY Demoiish ? Depth~~
° Ciry BURNSVI~~ 435-6556 Instampr, Q Sq.Ft.
o Name SAME Approvals Fees
Address Assessment Permit S 379.00
~ City phone Water & Sew. Surcharge 41 . 00
Police PlanReview~-50
W W Name
Fire SAC 575.00
Address En Water Conn.~~~ 0
a w Ciry Phone Planner Water Meter~~50
Council Road Unit 290 _ 00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 5~~~86 Tr. PI. 7 56 _ 00
information is corre t and a ee to comply with all applicable State of
Minnesota Statutes a Ci of Eagan Ordinan s APC Parks
Var. Date 12/18/8 Copies
Si9natureofPermittee Total $2.194.00
A Building Permit is issued to: HOME TES INC on the express condition that
all work shall be done in accordance ith a a ~cable State i Min o tutes and City of Eagan Ordinances.
Building Official ~zo-~
CITY OF EAGAN FOR CITY USE ONLY
. 3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # OS
i4~C~LAN~.C14I:;~3'~R13I'~ DATE: S
1~S~p,~~~'~AX.:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 5
. . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON _ ~~'~S `~S~tSHVAC 0-100 M BTU 24.00
REPAIR _ C. ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM`~j 3.00
OWNER NAME~ ~ Y l ~ C~ 1-~Cl~r~o. \~~~5~ OF 1 PER PERMIT
~r~~- ~ SUBTOTAL: $ ~3 -0~
SITE ADDRESS:_~~Y - STATE SURCHARGE: .50
LOT:~ BLOCK ~ SUBD. _ C~~ ~ S TOTAL: $ 33~~
INSTALLER: CCS~61`~.`C~C7 ` \E' ~ ' ~ _
` - L~~-C_.I -
ADDRESS c~' ~ ~~c1 J eU SII NATURE OF P ITTEE
CITY: ~ t~~ ZIP: ~~L~ ~ ~ ?
( J
PHONE ~~G~ ~CL~~c°~~.
~lS3+I~i~1~~IALf~NI3U5TKTFix:;.: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
°P.QCESSED PI?INr_ s $?5,pn
LOT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: S
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Y
,
1987 BQILDING PERNIIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS .
INCLIIDE 2 SSTS OF PLANS~ 3 CERTIFICATES OF SQBVEY, 1 SST OF ENERGY CALCQLARIOHS
NOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOANER MOST DESIG~ATfi WHICH ADDRESS
IS DESIRSD. NO CH9NGES WILL BE 9LLOW6D ONC6 BOILDING PERMIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDEN?IAL RSNT6L O~ITS FOR SALE IJA?ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK HITH HLDG. DEPT.~
1 SET OF ENERGY CALCULATIONS
COi~RCIAL ~
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF '
ENERGY CALCULATIONS, ~
$2,000 LANDSCAPE BOND
To Be Used For• Valuation: ~~.5
U~ Dat ~,~r- F~
Site Address 'y~/f ~~q7EK ~dy,r - OFFICS USE ONLY
Lot 0 Bloek / On Site Sewage Occupancy
1~ MWCC System Zoning
Parcel/Sub ~pp~r.~,,., ~K?+ On Site Well _ Type of Const
City Water (Actual)
Owner ,~-Lf Y.SbA, /~cSHLf= ( (Allowable)
/ 1F of Stories
Address y ~ T~ ~Z ~U C(~ / Length
Depth
City/Zip Code L~(ray-~~ .,5.~~~.2 S.F. Total
Footprint S.F.
Phone APPROVALS FEBS
Contractor~= w ~.5 ~dyt~w Assessments Permit
7~ Water/Sewer Surcharge
Address O tJ cb~//~[~~~~/~ y Police Plan Review
Fire SAC~ City
City/Zip Code L ~,v Sy/ ~J` ~ Engr SAC, MWCC
Planner Water Conn
Phone -T. S Z-/)' 7~ Couneil Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOT6L
City/Zip Code
Phone ll
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icaLE t = wNtSPE¢aa4 WooDg,
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o~rclJOYE~j lRol~i MDIJl1f~1?EH'T
~ntual E so,rA.
I hereby certify that this survey was pre~ared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
,1 i ~o
Date:,~~,~{.~b~- ^ ~ • ~O ~~h ~
LeRoy . Bohlen
Registered Land Surveyor No. 10795
;
_
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M~f.ilJ6so~'A
I hereby certify that this survey was pre~ared by me or
under my direct supervision and that I am a duly Registered'
Land Surveyor under the laws of the State of Minnesota.
Date: ~ 2~~~'t~_ F /A
LeRoy , Bohlen
Registered Land Surveyor No. 10795
; t.
~
7985 SUILDING PERMIT APPLZCATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
COMRIERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1
SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND ,
To Be Used For: ~T~.rf~~l~ Valuation: Date: S~ ~
Site Address ~g''~ ~L~}T~ Cok OFFICE USE ONLY
Lot g Block Erect ~ Oceupancy 3
! n_ Remodel Zoning /
Patcel/Sub ~,Jh; ¢2~N ~~Dd1~ „ Repair ~ Type of Const
T Addition I/ of Stories
Owner _~rH E CS~k}~S ,y.~/ Move ~ Length ~
/ Demolish Depth
Address o2~0`( u] ~t,tRNSJI'1.~ Int.Impr. , Sq Ft
n~ ( Install
City/Zip Code y~ J~~\R. 55331
Phone y35'- I,SS,~ APPROVALS FEES
Contractor Siin,E Assessments Permit ~
Water/Sewer Surcharge
Address Police T Plan Review ,
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter ,
Phone Cvuneil ,Road Unit
Bldg Off s/~~ Treatment P1
Arch./Engr. APC Parks
Variance~z-~~,-9~ Copies
Address TOTAL ,
City/Zip Code
Phone p
~ Zco = J~' ~
~ _ " ~.-z° 4-`~ - "1 ' .
ZS ~`-~Z.S = ~ Z..r`~ ~~~Z.. ~ ~ y:~-~"~
~ Z~ ~ ~ ~t ~e y~.._..._,F.----
y`' ~`-C~r
. ~ EXTERIOR INVELOPE AVERAGE "U" COMYUTATION
, (TO be submitted with building permit application) ~1
One or two famil.y dwelling Owner
All other
Site Address
i--
contz~actor ~~o~ r ~5 f ~t ~~5 -~J c oate s / ehone ~~35 "6 S~ _
LINEAL FT. OF
EXPOSED WALL + + + + + + + + above grade = lin. ft.
~ ~ TOTAL EXPOSED WALL ARE7~
OPAQUE WALL CONSPRUCTION: "U" value x area
sr~~9 ~~~:~r ,a4 X s4. ft. ~SI_ I=~6. a4 co~ c~~
" ~ c0 ~J' AC4 aY x sq. ft. i43s,S'= 1; ~ (U) (A)
Detail refeY~nce a.e_~~ "U",ey2x sq. ft. ~36.3 (U1 (A)
flom ~xme~&' n . ~~U"~X sq. ft. f o</. 2= '1, I Y (01 fA)
attar_hed sheets "U" x sq. ft. _ (U)
"U" x sq. ft. _ (v) (A)
"U" x sq. ft. _ (U) (A)
WINDOWS: "U" value x area
Make & type G- 10~ SS x sq. ft. /5~.3.-?~/= By.a~ (0) (A)
,9~ 1',+~ ,~U„ . s s x sq. ft. i i (o) (a)
~~U~~ x s4. ft. _ (U] (A)
"U" x sq. ft. (U) (A)
DOORS: "U" value x area
t~lake & type SC "u" .-~`tx sq. ft. h,~') ° `~~~s tv) (A)
n ° SC1- Co"~PS uU".~6 SQ. .ft. 1~.sz ~U) ~A)
~~U~~ x sq. ft. _ -~j (U) (A)
TUTAIS o7~-Z-2
Sq. ft. (7~b • 1 (o (U) (A)
TOTAL (U) (A) VALUES pVG. "U"
DIVIDED BY TOTAL WALL AREA 2~yL-
.17 Av ~"U" value. State Code
HOOF/CEILING: ~ ~ ~ /
ToT1~1~ ARST: l0 sq. [t.
Detail teference ' "U".OZS x sq. ft. /~2$•$-~
38~ ~U) (A)
from n,Q "U" .~x sq. ft._ Sbs ~ ~j/ ~U) (A)
attached sheets. "U" x sq. ft. s (A)
Oescribe apenings "U" x sq. ft. _ (U) ~A)
in roof "U" x sq. ft. _ (U) (A)
TOTALS J~~~ Sq, ft. 3~7•~ (U (A)
~ 1
TOTAL (U) (A) VALUES 3~~ - ~a~ AVG. "U"
DIVIDED BY TOTAL ROOF/
CEILING AREA , ~ Avg. "Y7" Value, State Cbde, Vented
Avq. "U" Value, State Code, Unvented
~::.`i.:: ~:~it+ c::lEicC r Ci.in' .IAi(iAiUM THIS BUILDING ESTIMATED
BTU LOSS TH25 BUILDING BTU LOSS
SQ. FT. OPAQUE WALL @.17 = '
SQ. FT. CEILING @.OS =
SQ, FT. UNVENT CLG. @.10 =
TOTAL BTU LASSIHR,/SQ. FT./
DEGREE OF TEMP OIFFERENTIAL =
_
'~r
- -
.~r.~..r.r- - - -
3
ROOF/CEILING "U" _ ~
Construction R-Value R-Value
~ 3 1. Interior air film 0.61 0.61
2. ~~2 ~ ~ ~ ~s
3. SSW°~-• L~i'TTU~r /2,")'J''"'~~ ;~.di~
4_ Exterior air film (still) 0.61 0.61
vFNT . . . Total 39„ 67
2
~ _ ~b~ _ •'°.2S = 1 -
4 Heat Flow Up
Vanted ~
1. Interior air film 0.61 0.61
Frc. ~F 15 z. ~i, G~apr~,..,~. g,p. ,~s
4 3. Cord Depth yY ~~.35~
FIG. # 16C` ~ 3 4. i~YS....~~?~LN ~9.60
5. Exterior air film (still) 0.61 0.61
- Total 3~, L2..
L1 .l 2 ~~U~. = 1 = .,_~d~, _ 1 =
35. ~L
1. Interior air film 0.61 0.61
n~r z.
~j V~ 3.
4. Exteriox air film (still) 0.61 0.61
. . . . . . . . . . Total
~ Z 3 4 _ _ 1 = ,.U„ = 1 =
~Heat Flow Up Vented
FIG, # 7 (
. •
3 ¢ 5
. 1. Inside air film 0.61 0.61
-
' _ l- 2.
. ~ ~ 3.
~ ` 4.
I 2~ S. Outside air film 0.17 0.17
Total
NON VF,tvT~
~~Un ~ nUa _
~ ~ _ - ~ _
Eeni
Flow Up
FIG. # 8 NoTE: Use additional sheets if more space is
needed for details and caloulations.
4
~ Ena_r~jcy Use Form
Estimate No. Date
Customer
~d, .
~1.methad.to figure "U" values for walls and ceilings to conform with State o~ Minnesota
neW code "Energy Conservation in New Buildings, Additions and Remodeled Elements of
Buildings". This code to be effective January 30, 1976.
Window Areas Door Lite Insulated Glass Area Special Insulated Glass Areas
NOTE: Unit Quantity=Number of units in group Sg1=1, mu11=2, etc.
~ DESCRIPTION UNIT TY S9 FT/i1NIT TOTAL SQ:FT
~ 5., a ~ ~f,~~
~ 3 2 3 ~ "
~ 5"I S' 7, z~ 26 2
a 4~ ~ ~ 03 3
~~~~3~ 6.a3 ~G,.IR~
3 _.3~s ~ oy
~ v~'~~ -~y ao, i~
. TOTAL WINDOW SQUA
~.FEET J S3 i~.~I
~~U^ Ftated @ S~
Entry Doors
Doors With Insulated G1ass Figur2 Glase Area With Alindows
Entry Units With Side Lites List Side Lite Only Separately-DOnble Door Equals 2 x Single
pTy DESCRIPTION UNIT TY SQ FT/UNIT TOTAL S4 FT
_L ~g~ Sc, / i~.~')
/ J- ~i~Ml3 /
- z~,~~
TOTAL DOOR 5QUARE FEET J~
~ Door "U" Rating
, Side Lites ~ ~
QTy DESCRIPTION S4 FT/UNIT TOT~ FT
~
- Side Lite "U"
- Itdted
TOTAL SQUARE FEET ~~I ~ -.~."u"~
~
Patio Doors ~
QTY DESCRIPTION ilN2T QTY SQ FT/UNIT TOTAL SQ FT
~ ^
"U" Rated TOTAL PATIO DOOR SQUARE FEET
• i ~ • i ~ ~ . . i~ .
~ ~ •a~ • • ~ ~ ~ • ~ :
. ~
CITY OF F.FIGAN '
APPLICATION FC)R PII2I~IIT SE.'4~R AfID/OR WATII2 CON[~PION
' Please Prin ) ~-7~-
1) PROPII2TY ADDRF55: t 2 ~~ic c'~ . .
T•FY~AT, ~~sazi~.zoN: ~X ' G~~/cr,/cr_ ~r:~ ~ Gc.l~. , Q .
Lot Bloc Subdivision or Tax P cel I(. . Number)
IF EXISTII~ STRL'CTURE, DATE OF ORIGINAL BLILDING PERNffT ISSLANCE:
(Nbn ear)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DL'PLEX (7+ao L'nits)
R-3 Z~30L'SE (Three + [)nits) ( Units)
R-4 APARTMENP/COAIDOMIDIIOM ( Units )
COMr~RCIAL/RETAIL/OFFICE
IN~C'STRIAL
INSTI'iL'TIONAL/GOVEEtI~~]'P
2)
~I~~r~o~lC ~Iu~ti~h;•~c~ ('Uk,~~,~~~
aoDxsSS: % J~~ I ~ ~U ~ . ~
CITY, STATE, ZIP: ~ ~ ~ E' ~d ~ ~~~a-~
PHONE: k~%' JS.~%
3) ~ r~• L /d For City L~se
~IFI ~/I~~` f` ' r I~~ ~r~l~!//(-7 ( On1+J~1~(Ji/ Plumbers Licensc
ADDRFSS: ~,3 / - ~ ~ IJ f :~o . r- ~,j` I~tive
CITY, STA`PE, ZIP: ~l~ Il ~ ,
j~ C=7 Expired
PHONE: I- ~~5._~,/ MASTER LICIIVSE # O Not Recorc
Staff
Initial
4) ~ ~r -7~
NAh]E: ]~~~7`1 ~ ~5 ~t7 ~ti" ~ ~ /9C.
Aon~ss: ~~l ~l0 S- ~u c~i~~;,~-/ ~i
o~ rL
CITY. STATE. ZIP: ~/l~ (/i~~~ ~~1 q~ v ~ ~ ~
PHONE: L~-_-~j~~S - fc ~5.~~
~
5) i~ • • a•
~ CONNECTION 'PO CITY SEWECt ~I CONI~]CTION TO CITY WATIIt
Q OTi-IEEE2 (Please Describe)
6) u • •
Q PLEASE HOLD APPROVID PERNIIT FOR PICK-L'P BY ONE OF ABOVE
d PLEASE MAIL APPAOVID PERN1iT 1CJ 1, 2, 3, 4, ABOVE
, ~ ~ ~ (Circle one)
7) '~i' 6/
1~ E,y ~-e~ .iu ~ ~ d~.
F O R C I T Y U S E O N L Y
PE°~IIT TSSUED
~T r7 U ~,7 -Z,j ~d~~j
Fr': S' +S %G .`l G' SE:•:c..°. ?~~4~~ri ~I\IC~L..~L~ JU.'n.~t:~~CLJ
$ S U WATE~ PERPtIT {INCiuDE SliRCHAc~Gc)
$ (~-.3• C~ ~ W~TER i~1ETER/COPPEBHORN/OUTSZDE READER
S WATER TAP {INCLUDE CORPORATIOV STOP)
~ S~'.dE4 TAP
$ ~~~•C~ 17 =C~C'i:::'T ;_=GcI= - .:_..=3
$ I~~ CJ " ACCOliNT DEPC~SIT - S^IATE?2
s ~ v-~ wac
$ d ~5~, OZ~ SPC
$ TRu`7K S~AT°R ASSESS:?E:JT
S TRu?di: SE:~IER 15SP.SS.lEAiT
$ Lr,TE?.?~L SEVEFIT/TRUVK S~?:EB
$ LATERr~.L BEVEFIT/TRU~IK SVAT~R
$ / S/.,•Cr-~' WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
s/.~ 5~/ s" t~ Ariou~T Pam~~~c~z~T ~ C z 34~5~
02 c c G zg > S
DOES UTILZTY CONNECTION REQUIRE EXC.~IVATION IN PUBLIC RIGcIT OF WAY?
0 YES IF YES, THEN e~. "PERMIT FOR T?10RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C] NO ENGINEERING DIVISION. LIST A5 A CONDI-
TION.
SUBJECT TO THE FOI.LOWING CONDZTIONS:
APPROVED BY: )~C:{~~ ti,
TITLE:
DAT°_ : f I
~lo
i
F
0•#
379•00+
47•00}
789•50F
575•00+
500•D0+
63•SOf
290•00}
756•00}
2194•00#
__..__~.1 _
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4816 Slater Ct
Lot: 8 Block: 1 Addition: Whispering Woods
PID:10- 83950- 080 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Questions regarding electrical perm
952- 445 -2840
Cindy Lilienthal
21210 Eaton Ave
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Dirk Perless
4816 Slater Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA079350
08/17/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA131500
Date Issued:06/22/2015
Permit Category:ePermit
Site Address: 4816 Slater Ct
Lot:008 Block: 001 Addition: Whispering Woods
PID:10-83950-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Leslie J Gagnon
4816 Slater Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143611
Date Issued:06/21/2017
Permit Category:ePermit
Site Address: 4816 Slater Ct
Lot:008 Block: 001 Addition: Whispering Woods
PID:10-83950-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Leslie J Gagnon
4816 Slater Ct
Eagan MN 55122
(651) 414-9256
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature