3713 South Hills LaneY i.LAa_E OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2695
Eagan, MN 55122 DATE: 4/1/76
Zoning: RII No. of Units: 1
Owndk. H- rnGtafcnn L AccnGiai-
Address:
Site Address: '1713 Rnni•h Hi l 1 a Tanr T.20 Rl
Plumber: Spetz & Berg (G. Henne)
1 allies to comply with the Village of Eagan Connection charge: 425.00 Pd
Ordinances. Account Deposit:
Permit Fee: 10.00 pd
Surcharge: , s0 pd
B7: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
___ ,-_. ., ... ...... ..max.. _. ..: -: ... .._??.
WATER SERVICE PERMIT
VILLAGE OF EAGAN
3795 Pilot Knob Road PERMIT NO.: 107A
Eogon,MN 55122 DATE: 417176
Zoning: .-,°aTI _- - No. of Units:
& Associate
Owner: J), H. Gustafson
Address:
Site Address: 3711_South_
HillsIan L_20 BI
Spet2 & Berg (G. Henne)
Plumber
.
Meter o.:
160:00
Connection Charge:
S' Account Deposit:
Bader No.: Permit Fee: 10.00?d
I a me t?o, t9s/ae1/nyI /?rith ho Village of Eagan Surcharge: .50 Pd
60.00 Pd
'
7
"
Ordinances/ " Misc. Charges:
Total:
_
Z.4 Date Paid:
By
i
Date of Insp.: Insp.:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4243
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Date 19
Site Address s Erect ? Occupancy
Lot Block Sec/Sub. j Z 1 s Alter ? Zoning i
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const. V
W Nome M (- - Move ? # Stories
L" '171 1.1
3 Address is aflt Demolish E] Front ft.
o 45246(• Grade n Depth - ft.
w Name '.or ti, 45tar Services
O0 Address
Pknn?
Name _
Address
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Fees
Permit
Surcharge 4 51-1
Plan check
SAC
Water Conn. _
Water Meter
hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable !„ -;.
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: a tAl- sot . ; . ? r. on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official -
Permit # pate is wd rerwMtN
Plumbing
Mechanical
INSPECTIONS DATE INSP. Rough-In Find
Footings Date Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final
Remarks:
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Pill in numbered spaces
Type or Print legibly
1. Date
3. Job
4. Owner
Permit No.
Fee
S/C
Tot.
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 41 Add Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eouinment BTU - M. Ea.
Forced Air EC?-C "C- No. Equipment CFM
Air Handli
:
Mfg. ng
Boilers
Z? _ c_
Mfg. ? Mech. Exhaust
Unit Heater ?,??? w ???
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PLUMBING
PERMIT
No. l.4
Dote: ray 9, 1977
Site Address:
3713 So. Rills Lane
Lot a? Block J Sub/Sec. _- AS
John Clark
Name _
`
Address 3713 South >iilis Lane
La(lan
city Phone:
Name Dahlquist nlumbing
q85 W. Hoyt
Address
QQe
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
alteration
New/Alter./Repair
Cost of Installation
5. f!,;
Permit Fee
.5?
Surcharge
Tota I F'. 50
done in accordance with oil applicable State of
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
PLUMBING
PERMIT
Date: Parch try, 1977
. Hills T, ne
Site Address:
Lot 2 0 Block 1
Sub/Sec. so Hills 1st
No
796
Receipt No.:
Single
Residential R
Multi Res., Comm./Ind. I
?afro Clark alteration
Name New/Alter./Repair
Address ?I3 SO. !,ills Lane Cost of Installation
C - qan 5.9r)
City Phone: Permit Fee
Nome , orth Star Services Surcharge .50
Address 688 "aque Ave.
e
0
V City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CITY OF EAGAN Remarks &PM e5crb Lozj Wiy-h (D?7(Q
Additio SOUTH HILTS 1st Lot 20 Blk 1 Parcel 10 70790 200 Ol?-
Owner Street 3713 SO. Hills Lane -State-Eagan, MN 55123
11 Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ?6.5 1975 1,290-86 129.09 10 903.62 0003396 11-16-76
GRADING 11 1973 581-88 .19 10 290.98 0003396 11-16-76
SAN SEW TRUNK S1 1971 146.46 7.32 20 95.22 C003396 11-16-76
SEWER LATERALJQk 1975 2p295-31 153-02 15 ' 3a•. ?
WATERMAIN
WATER LATERAL 1975 15
WATER AREA ?7 1972 239.22 11*96 20 167.46 C003396 11-16-76
STORM SEW TRK
STORM SEW
AT
L 0003396 11-16-76
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. lnl 1. family 3809 12-5-75
SAC
PARK
This request void I/'Z /
18 nxmths tram
T 764.62
L2°r r3)( Sotq.'IkS Isr ,'--) %-(a3X
/0,00
Request Date Fite No. Rough-in Inspection
fleuulred?
Ncady Now ? Will Nality Inspec-
1-82 El ves No for When Ready
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Be. or Route No. City
3713 South Hills Court Fagan
ecuon u Township Name or No. Range No. County
Dakota
Occupant (PRINT) Phone No.
hn Clark 452-4602
Power Supplier 1 7777
Electrical Contractor (Company Name) Cmuun tor's License No.
40828 8
Mailing Address (Contractor or Owner Makin Ins taiI S )
b42
fin
254 Lake Elmo
P
O
B
5
,
.
>
.
.
ox
A izn Siguawre IContrdctor/Owner Making Installation)
Phone Number
1 770-5046
MINWESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1921 University Ave., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Ph- !8121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION _ ER-00001-03
ee instructions for completing this form an back of yellpw copy. d
T _7G-462
X'" Below Work Covered by This Request D
N. Add Rep. Type of Building Appliances Wired Equipment Wired
X Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatinc
Commercial Bldg. X Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peo y Other (Specify)
thor (Spey Other Other
Compute Inspection Fee Below
a Fee Service Entrance Size N Fee Faeders/Sobfeader.s
H
Fea Circuits
0 to 100 Amps 0 to 30 Amps 0 to 30 Amts
101 to 200 Amps 31 to 100 Amps 31 to 100 Atas
Above 200 Amps Above 100_Amps Above 100_Amps
Transformers Remote Control Circ. Partial'Othor
Signs Special Inspection
s
'
TOTAL
Remarks lO:SO Elp.
Rough-in Date I, the Electrical
Inspector, hereby
Final certify that the above
D^1e rspection has been
t T? maAe.
This request void
Itl months horn
CITY OF EAGAN
3705 Pilot Knob Road
Eagan, Minnesota 55122
/0 P07ga X06 0/
PERMIT NO., 83
The City of Eagan hereby grants to Milbert Co. - Culligan
of 1001 Marie Ave. So.
a WATER SOFTENER. Permit for:' (Owner) John Clark
at 3713 So. Hills Lane . pursuant to application dated 11/76
Fee Paid: $5.00 dated this 16 day of *Tovemher , 19 76 ,
.50 s /C
Building Inspector
Mechanical Permits:
Bid Total:
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N? 4243
PHONE: 454-8100
BUILDING PERMIT APPLICATION $8,250. Receipt #
To be used for Finish Basement Date Mar, 29, I9--L7-
Site Address 3713 So. Hills Lane Erect ? Occupancy T
Lot 20 B lock 1 Sec/Sub. South Hills 1st Alter pg Zoning Rl
Parcel # Repair ? Fire Zone _
E
l T
e of Const
V
n
arge ? yp
.
c Name John Clark Move ? # Stories
Z Address 3713 So. Hills Lane Demolish ? Front ft.
Cir Eagan Phone 452-4602 Grade ? Depth ft.
o Name worm -scar services
0? Address 688 Hague
P- r:... St. Pa,,l o?.,_.. 99L-9AAA
ww Name
r
x? Address
<Z City Phone
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 o Eagan rdinances.
Signature of Permitteel/
A Building Permit is issued j? - Nqrtb Star Service
all work shall be done in 9cPrdanckwit applicable State of Mi,
Fees
Assessment __ Permit ------
Water & Sew. Surcharge L. 50
Police Plan check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council
Bldg. Off.
50
34
APC .
Total
on the express condition that
Statutes and City of Eagan Ordinances.
Building Official
CITY of EAGAN N° 3809
BUILDING PERMIT
Owner .A.u:._] :._ `..`.`...--./ ?:°:=-... c°l_`•J .:...............
Address (Present) .(O'?U....1'r...... .---'?.f'Y-•??""/
Builder ...................... .......'-"=...............................?............_.............
Address
DESCRIPTION
3795 Pilot Knob Road
Eagan. Minnesota 55122
454.8100
Date .. -7,?
Stories To Be Used For _Front Depth Heigh! Est. Cos! Permit Fee Remarks
' % L I I B S? I ?" ?? 3a Xvtz -`C ?Q?
-:5.) ,s n
X37/3 -& .
ao I / I,4--
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGR SS. This is to certify, lhat.A ...... :......-c-... permission !o erect L............- .....°:"::?.Z. ................. _upon
the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan. O
FJV? . ........................ Per ............................................ ..........................
yov Building Inapaelo.,
CI f .OF E0-..',N /? 7 o f 9d ?p6 O/
3795 Pilot Inob Road
Eagan, Nlinnesota 55122
PER i'FE NO.: 654
Me City of Eagan hereby grants to SPetz IPAM Inc.
of 6417 Penn Ave. -sou, a _-PSAB@?53G . Po=it for: (Owner)__D, H. Gustafson _
at __3713 So. Hills pursuant to application dated
Fee Paid: 520?w dated this 5th day of Feb.
.50 s%
Luildir:,N, Inspector
Mechanical. Permits:
Bid Total:
00 -/ S• H 111-S
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PEP,MIT NO.: 776
The City of E„gan hereby grants to A. Binder & Son Inc
of 120E Butler West St. Paul
a , _Hy_AT_ING Permit for: (Owner) roll Medallion
at !_3713 South Bills Lana pursuant to application dated yj/U/3_-
Fee Paid: _ $20.00 dated -this. 9 day of _ naa_ r. 19„15.__
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
Type of building or work contemplated.
Eagan Township
Dakota County, Minnesota
Application for Building Permit
Circle correct descriptions.
nG
PERMIT NO.....?>>...6............
------........ ® O
Date Pe
tit r. l?q
t/
00
tJ {?.? L
®?? q z q
Residential Commercial Industrial
Build Enlarge Alter Repair
c.?
/
Dimensions- '?X_` ,,II r v... /.- f ?1 VV-3
Details or
Install Move Wreck Other ...............
Location 37/3
-- ----- ---- ------- ------
se, /l/
or
Owner!lu.:...( suS.ffSc n/ Y/?SS dr.,,?? S Address .......
Coniraclo Saci-------- Address Q ?° y C /lr z??`
- ....... s-......... :.....-1..?
The undersigned hereby makes application fora permit to
`$ do work as herein specified, agreeing to do all work in strict
Total fee collected. s(?e accordance with the bu' ing ordinance ado ted April 11, 1955
.t by the Eagan Towns card of Supervisor .
Permit fees are not Vj#k-
refundable.
"'? - - - ?? - ---------- - -- .. -------
/ignad
n-ts: e?-,//a
BUI;.,OING PERMIT P. PLICATIC'1Q
LOT_ _? P.. XcV, ADDITICI I
P:,?RCLL & SECT-10111 1,117MER IF MiVTATTED
A']t _ S OF 1'A2C.r,'!, ?_, /,? /`?,I($
`--_/-,-OCi: IT:p.I,?/C`Y 1 USEar?ii 4¢???-s?r+in ?j
(?
ES''S!: i(`fii:D CC ST
ZTELEPI1401 E NO. ?S a? -5`X04 °Z
J'3
. 0 D
NO
CONTi'%'.CTO//R G /f{/ /N/t ?JfKII1 ?? 5 A IA;
ADDc ,^, Ca?o /7rrGi._? , _-5 ?R?> /yiA;
NOt. Iuclu&.' ei.te plan, building plans, and ever alCulation3 With this
anplication
Signed
OFFICE USE
VAI,UATI011
SAC r
vli"-ER C02...RCTIOYI
WATER !MTER
MILDING PEPIL411' FEE
S7=:C u2RG^ FEE
PIu1N C JX7 r=
PARR D7:)'-XATIr;.q FEE
OTHER
TOTRL*
AV
daT'P°04:?.LS
ASSESSMM111T CLERK BUILDING DEPT
POLICE DEPT.
MTER & SrimR DEPT. FI?L DEPT. PARK DEPT
+ OTq
MINNESOTA VALLEY DES ___Vq(
SURVEYORS & ENGINEERS CORP•
'. _
01!7
Certificate of Survey for: -N ti'lISTAFSQA/
-4 Ile S
ap 19
SOUTH ? ?? ?
J.e : aF r "I t
I-AMC to
x
ypfl 6.0 20
t I?
o
23 No -
`V. S112, soLrrt1 - HILL.% LA P4S _- --. ?- O
2-/
a
Lot 20, Block 1, South Hills First Addition
1.
1 h.rebye.r6ly that this is a tree ^^d <e.reet nePr•••^'_"°" Minnesota Valley Surveyors &
En¢jneers, or li RLS
of o evr.q of th, bounda.7u of the above dornib ed Iund,
and al the lero GOn.1 .11 b.rlld:ngs, thereon, and "11 .nible tly
it ony, e. en ,n'd 1•nd. 9293
A, ..r ..A b, ..., th:. j3r do, of SEP7 A. o. row. 1111 n n. R eQ. N o.
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Contractor Owner
BUILDING ?.
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING ? 7Z
-?
SANITARY SEWER
OTHER
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION L?J- a _7)'7fy7 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING
GAS INSTALLATION
? 0 -^? DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING 2 /G-z
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
E
--. _-_____-__i
? )=ogOfiji6 t7se I
Permit #:
I Permit Fee: Gb OO r, I
Date Received: ?G
I Staff: I
I ? I
2008 RESIDENTIAL BUILDING P
Date: ` Iq Site Address:
Tenant:
Suite #:
7 07971-c ) ?? V ?
RESIDENT / OWNER c Phone:
Name:
Address / City / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: 1?1 ?r
Construction Cost: Multi-Family Building. (Yes _/ No
New Lift Contracting, Inc
CONTRACTOR Nameg( 3n Old Cedar Ay" Ste 119 License #:
Mpls, MN 55425 MN Lic. #20249486
AdOWs551 27TA.6943Fa - 5199-AD&AIna
email: newlifecontracting?yahoo.com
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & water Contractor: Phone:
NOTE: Plans and supporting documents that you submit' are considered to,be public information.: Poitions of -,_
;the infoYmatron'may be classffieol as non-publicif you provrde specfffc reasons that would per?nif the City„to `a=.
.
conclude-that the `ta'r"e trade?secrets''?'
,s
I hereb ack i f anon i?s cam lete and accurate; that the work hbein nform with t ordin ances and codes of the CitY of
Eapplication for a permit, s not wit out a permit; that the work will be in
t s t I
I
ah requires a review and an
x Applicant's Prin ld".fohnson - c Applicant's Signa
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129682
Date Issued:03/06/2015
Permit Category:ePermit
Site Address: 3713 South Hills Lane
Lot:20 Block: 1 Addition: South Hills 1st
PID:10-70790-01-200
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 by law in ALL single family homes .
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 -
John W Clark
3713 South Hills Lane
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130042
Date Issued:03/31/2015
Permit Category:ePermit
Site Address: 3713 South Hills Lane
Lot:20 Block: 1 Addition: South Hills 1st
PID:10-70790-01-200
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.
Applicant: Scott Newgaard
640 W. 92nd St
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
John W Clark
3713 South Hills Lane
Eagan MN 55123
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884-3552
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153545
Date Issued:12/31/2018
Permit Category:ePermit
Site Address: 3713 South Hills Lane
Lot:20 Block: 1 Addition: South Hills 1st
PID:10-70790-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
John W Clark
3713 South Hills Lane
Eagan MN 55123
(651) 452-4602
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157051
Date Issued:08/01/2019
Permit Category:ePermit
Site Address: 3713 South Hills Lane
Lot:20 Block: 1 Addition: South Hills 1st
PID:10-70790-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
John W Clark
3713 South Hills Lane
Eagan MN 55123
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165097
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 3713 South Hills Lane
Lot:20 Block: 1 Addition: South Hills 1st
PID:10-70790-01-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John W Clark
3713 South Hill Ln
Eagan MN 55123--225
(612) 759-2879
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature