4060 States Ave ,.r,-T,r„"~.-^- . ~ . . . _ . • ' • . . . . T~~f•+~,+.~_..
CITY OF EAGAN "
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 20158
PHONE:681-4675 -
BUILDIfVG PERMIT Receipt # ` ~ -
To be used tor SF d~/GAF Est. value ;12Z+4()G Date FEa 27 , 1992
Site Address 4060 S?ATEa AVE
OFFICE USE ONLY
Lot 13 Block 4 Sec/Sub. HI LLS OF FEES
Parcel No. occupancy R-3 -36-1
zoning PD-R-1 Bld9• Peffnk 717.00
Name CEN'TEX (nduaq cor,st ~ &M"arge 61.00.
w qddress 5929 DiAKER (/Ubwable) Plan Review ~
~ City MIllKt'TOlfKJ1 M Trp 55345 ~e5 5.00
Phpng Depih _&I SAC, City 100,00
a: Nwne S.F. Total
SAHE - SAC, MCWCC
S.F. Foolprints
~ Add(2SS On Site Sewage _ water Conn 67 S~~
~CRY ZP on sice wen X Water Meter 95.00
P}10t1e MWCC System Acct. Deposil jp .,(o
p City Water x
~ce~ # 0001333 PRVRequired _ SNVPermit
1 hereby acknowlege that I have read this applicalion and state that the Booster PumP - SMI Surcharge •50
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City olEagan Ordinances. Treatment PI 3W•00'
SignaWre of Permitee ' `'f I - APPROVALS Road Unit 380•00
A Building Permil is issued to: CEWEX Pla^^ef - Park Ded.
on the express condition that all work shall be done in accordance with all courcii 1~
applicable State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. OH. - COP'~ ~
Variance - TOTAI 3 ~ 5~ ~~1
Building OHicial .
Permit No. Permit Holder Date Telephone #
3~3
Pu,MainG
FnrAC ~ lr 9a- ~?5-l~~'G7
EL.EcrRrc &
ELEcTRic
Inspation Date Insp. Comments
Footings I 3- " p z D$
Foundation 2 S
Framing
Roofing
Rough Plbg. ,-/-~S' y~
Rough Htg.
Isul. a-
Fireplace
Fnal Htg.
Orsat Test
Final Plbg• Plbg. Inspector- Notify Ptumber
Const. Meter
EngrJPlan
Bldg. Fnal ~Z 2~ f L D
Dedc Ftg.
Oedc Final
weu
Pr. Disp.
• ~IF .r ,
(ger#i#irate uf (Orrupattry
Citp of (Eagan
Erpotnma of lWiding 3mprrtinn
M Cerrijka1e issued pursaant m the r+equirrnients oJSeuton 306 of the UWornc Brrflding
Code cernfYiRB tJrat at the pime of issuaxce this stnictrur Mws in conrpliance wtth !lu uarious
ordinanc+es of the Cih' regukidn5 buiUlnS cbnstneckon or wm- For tie folloWng.
SF DWG~lC~R 20 I 58 t:
~rr ~ z~c aw;a I TYa~ co~,c ~ rtt,
o,.~ ~r e~ae~.~ r'"FI`~''K ~ 592~1 BAKE!t, ICA .
SICOMEDGE
DwUm Addm~ STAIF.S AV@1[JE L-aty L 13p B4, HIIIS (lF
DUC 6/12/q2
&M*Omcw
Posr w A corSFncuous Puce
INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: r. , APPUCANT:
~„r l;kI l , AvF
II I I I. ill { UF.11 I:1" 111~~1 :1'li ( i, I.' 1 .;'~n? 4)~) 14
PERMIT SUBTYPE: TYPE OF WORK:
~.i ~ ; ~ i i ~~~i ~ ; ~ • i
INSPECTION .
r.i
? rr~r,i
l~FMII~;F •.1 !'NkA I t l 1 f t 114 I f A1 F'1 kNl i I FtE011 I I;[ (i
#
I ~
L
J
PermN No. Pertnft Holder Dats Telephone !1
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Rnal Htg.
Orsat Test
Fnal Ptbg. Plbg. Inepeator - NotHy Plumber
Const. Meter
EngrJPian
Bkdg. Final
Declc Fig.
Deck Final D
Well
Pr. Disp.
SEWER & WATER PERMIT, • OFFtCE USE ONLY
CITYOF EAGAN METER #.q -6-2 7( Zg PERMIT DATE 03103/92
3,30 Pilot Knob Rd. ~
a- 12587
Eagan, MN 55122-1897 CHIP PERMIT #
, METER SIZE srA' ' B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE 02/28/92
DATE FEB 27. 1992
_ PRV - BOOSTER PUMP
SITE ADDRESS 4060 STATES AVE _ PERMIT REGIUESTED
LOT 13 BLOCK 4 SEClSUBHILLS OF STONEBRIDGE 3RD
~ SEWER X WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
• Lawn Sprinkler Meters are to be Instafled
PLUMBER: PLYMOUTH PLBG Ahead f Doters on Water Line.
ADDRESS: Credi n for Deduct Meters.
9290 ZACHARY LN
CITY, STATE ~LE GROVE MN Z{p 55369 ~
PHONE: 493-2474 IL 1 AGREE TO C LY WITH CITY F
OWNER: CENTEX EAG N ORDI A CES
ADDRESS: 5929 BAKER V~a'~
CITY, STATE MINNETONKA MN Zip 55345
PHQ{VE: ` SIGNATURE WHEN METER ISSUED
% , Z/ y _ cr
PLE S~ALLOIK TWO ~ WORKING DbY9'FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. •
r~'
, .,..,r ,xr . _ . . , .~.s:.. F. ~ , . . . . - r ..-a. . - . , r . . , .;~Fw...,. -,..r...T_ .
SEWER 8 WATER PERMIT OFFICE USE ONLY
CITY OF EAtIAN METER # PERMlT DATE 03/03 J92
38~0 PilorKnob Rd. 12587
Eagan, MN 55122-1897 CHIP ~ PERMIT #
METER SIZE B.P. RECEIPT CS
DATE FEB 27. 1992 ISSUE DATE B.P. RECEIPT DATE 02/28/92
- PRV - BOOSI'ER PUMP
SITE ADDRESS 4060 STATES AYE PERMIT REDUESTED
LOT 13 BLOCK 4 SEC/SUBHILLS OF STONEBRIDGE 3RD
X SEWER X WATER - TAPS
APPL{CANT:
ADDRESS; - COMM/fND ~ RESIDENTIAL
CITY, STATE ZIP x NEW _ EXISTING
PHONE:
Lawn Sprinkl2r Meters are to be Installed
PLUMBER: PLYMQtfTH PLBG Ahead . f Dome Meters on Water Line.
ADDRESS: 9290 ZACHARY LN Credi#"~ IL CyT given for Deduct Meters.
CITY, STATE MAp~ ~~OVE HN ZIP 55369
PHONE: 493-2474 1 AGREE TO COM LY WITH CITY OF
OWNER: CENTEX EAGAN ORDINANCES
ADDRESS: 5929 BAKER
CITY, STATE MINNETONICA MN Zlp 55345
PHONE:, SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSIPIG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' ~ !
oAre ,s~
FIEceNEo
Fnw i
AMOUNT $ 8 DOLURS
loo
p CASH ~ CHECK
41
~
j: 1
FUND OB.IECT AMOl1NT
Thank You
sv
017578 W„te-.Pe„em Copy
Yaao»--aos*v co,y ~
w*--Fdo covy
t3 5 y~- ~ ~~GD/~i
~ J 9 0 4 J ~
qequast Date Fire No. ugh-in Inspeclion .
uiretl? ? Reatly Now NWill Notity Inspector
3-4-92 ves ? no wnan RaaaY?
IX- Ifcensed contractor D owner hereby request inspection of a6ove electrical work at
Job.Atltlress (SVBet. Box or Fovte No.) Gry
4060 States Avenue Ea an
Section No. Township Name or No. Range No. Couny Occupanl (PRINT) Plwne No.
Centex Homes
Power Supplier Atldress
Dakota Electric
Elecvical Conhaclor (Company Name) ConVaclorS license No.
LazQr Electric, Inc. CA 01110
Maling Atlcress (COnvactor or Owner Making Installation)
8383 Sunset Road N.E. Minnea lis, [•II9 55432
Avfhonzee $isnatore ICOntracmu0wner Making Installation, Phone Numper
MINNESOTA STATE BOARO OF ELECTRICITY TNIS INSPECTION REOUEST WILL NOT
Griggs-MlOway BIGg. - Poom S-173 8E ACCEPTED BY THE STATE BOARO
1821 Unirerslty Ave., SI. Paul, MN 55104 UNLE55 PFOPER INSPECTION FEE IS
Phone(612) 642-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION eaoaao,-oe
' 39504 See msttuctions for mmpleting Ihis form on back ot yellow copy
J ~ {OTQ%~
•
"X" 8elow Work Covered by This Request ew AJd Rep. Type of Building AppliancasWired EquipmeniWired
' X J Home Range Temporary Service
Duplex Water Heater Electric Heaiing
Apt. Building Dryer Olher (Specify)
Comm./Intlustrial Fumace -
Farm Air Conditioner
Olher (syecify) Canlracmr5 Remarks:
Compute Inspection Fee Belaw.# - Other Fee it ServiceEnVanceSize Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecrors Use Only. TOTAL
Irrigation Booms $86.$0
Speciat Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN I#WNTH%
I, the Electrical Inspector, hereby Rou9It-in
certify that the above inspection has Final Deta3
been made. on,
OFFICE USE ONLY
This request voitl 18 mon[hs Irom
REOl1EST FOR ELECTRICAL INSPECTION ee-oooo,-oa
? See Insimcuons lor completing Ihis form on back of yellow copy.
72276 "X° 8elow Work Covered by This Request fi`~•~~~•'~
ew ArSd Rep. , TypeoBuilding AppliancesWired EquipmenlWired
Home Range ~ Temporary Service
Duplex Water Heater ~ Elechic Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace `
Farm Air Conditioner 13
~ OIM1er (syeoily) Gonlrector'S Remark5. o Compufe lnspection Fee Below:
a Other Fee # Serv iceEntranceSize Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Si90S Inspector5 Use Only. TOTAL
Irrigation Booms ~ 2(j s~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby RO09n-1° oata
certity that the above inspection has Finai oate
been made. O
OFFICE USE ONLV ~I3' 6 a
This rapuest vottl t8 monms Irom ~~nsp-r.~J i~ani LCN b ~ 1 yY IIYr~/," j ~
~+i
e/ P HOU I G~ST RECORD ,
ADDRESS '~DIs~ .SJy~ ~f
APT._FOR~CITY SUBURB
OCCUPANT OWNER
HEAT LO55 DATE FiTG. INST.
SOLD BY INSTALLED BY ~ 1,4
Elec}rical Wo.4 By Gas Lins BY .
TYPE OF HEAT GA FA _HW _STEAM _SPACE HTR. -UNIT TR. -OTHER
GAS DESIGN CONVERSION
MAKE "'e4 MAKE OF BURNER
Moa j2j-)Ja01.5 7 G Moaei MAY pt 1 ,'fil~fl00.
Sviol Max. BTU RaNng .
INPUT ! f MAKE OF FURNACE
Model
THERMQS,T ~NTROLS
Haat Pluq VaM Size l
Valve !N~ KIND OF LIN SIZE NONE
limit h~ "~C ~ Drah Hood J Rayularor
Limit SaHiny Filtera Siz~ Nu~gb r
Fan Setting ~ Chimnoy Locafion •fd « Oufsids
Pilot Type cr I C f]+imney Conatruaion
~
Pilot Maka /
Pilof Model ~ Smoka B0 Wiring
Pilot Timing e c , 0.aft LTast Tay
L.W, Cut 0(F !~Dou Prssaure y_ Liqhtinp Inst.
r c ' PsrcantCO •O ' ~ats Teatsd
Prossure ~
ompany Teafing
Input CPH~ Peresnf O, `
Staek Tsmp. eZ! ~ Pero~nt CO ~ Noma, ef Tssar
Fwm 235
DATE: MAR 3, 1992
. RE: ^4060 STATES AVE (CENTEX)
_]L Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the follo.wing
reasons:
_ Your Sewer & Water Permit for ihe above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
Address': 4060 STATES AVEN[JE Lot 13 Blk q Sec/SubBIMS OF 5LONEBRIDGE
These items were/were not complete at the time of the final inspection.
,
D [ : Yes No linspprtor,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry Loe~
Permanent diiveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch
9asement finish
Deck
Please verify with the builder the removal of roof test caps from tha plumbing
system and tha shut-oPf of water supply to the outside lawn faucet before
freeze potential exists. &
unnEOwe'
White - City copy Yellow - Resident copy Pink - Contractor copy
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
q 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
/
DateZ~ l 2,~7 lo 1~'~` Q
Site Street Address ~LlUnit #
PropertyOwner rN ` Telephone# j-1q) 67V_07D
Contractor I~QA r, Telephone #(9~) b 4 a b
Address 0 1 W'q"~~°r t ~ City a 2 V I~ e Stateh-\ It) Zip~o
The Applicant is: _ Owner 4Contractor _Other
I Alter tions to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
_Other. BC'A-;-VV~-e vj- 171, Fs-~-
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
D '
Total 2 2 2004 $
I hereby apply for a Residential Plumbing Permit and ackno (pdge that the info ation is complete
and accurate; that the work will be in conformance with th codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approv .
ApplicanYs Printed Name ApplicanYs Signature
(D~3g ~ 2004 RESIDENTIAL CBUILD l'ty Of E g n~T APPLICATION
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 WAe3b b y
~
ts OA
NewConstructionReaui2ments RemodeUF2eoairReauiremen - -iUse
3 registered she surveys showing sq. R o(Iot sq. fl of house; and all roofed areas 2 oopies of plan CeRof SuiveyRecd
(20°6 madmum bt coverage allowed) 7 set of Energy Calcula6ons for heated addNons 'free R2SPWri I~ectl` i:y N
2 wpies ot plan slwwing beam & window sizes; poured (ound design, etc. i site survey for additions & decks Tree Pre's fiequired _ Y' N,
1 selof Energy Calculatiore Addfi'on • indkate ifonsife sep6c system Cn~s010¢cSystgm' _N
3 wpies of Tree Preservation Plan iF bt platted afler 711193
Rim Joist Detail Opiions selectlon sheet (bldgs with 3 or less unils
Date `7 / 0GI / Construction Cost
SiteAddress T1
y060 V2- UniUSte #
E~ - l a 3
Description of Work I~ 1VIlij Vl I.,Q OV.cR 4
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 x 1 _ 2
Property Owner L/ (A V\, /I v1 /J~ SQ Yl 1) V 1' ne- Telephone #((y$l
Contractor 15Ci m P tL 5 Q E16 UP
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residen6al Venlilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
LicensedPlumber u'iN iv?4p Telephone#( )
I~u ° = eU04 JII
Mechanical Contractor Telephone )
uL~
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residentia] Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
p ct o, a n u S
Applicant's Printed Name anYs S v re'
OFFICE USE ONLY
Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex O 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-piex 5V 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PibdLv or _ N ? 25 Miscellaneous
Work Types ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
fif 33 AlteraGon ? 37 Demolish Building' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demalition (Entire Bldg) - Give PCA handout to applicant
Valuation 2"eU O Occupancy /Z- 3 MCES System
Census Code 4-f 3~ Zoning City Water
SAC Units Stories Booster Pump
# of Units O Sq. Ft. PRV
# of Bldgs i Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Footings (deck) 1[ FinaUNo C.O.
Footings (addition) ~ Plumbing
Foundation ~ HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Au/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
)r Fireplace R.I. AirTest Final Windows
Z~ Insulation _ Retairung Wall
Approved By: :56' 5-~r~ U, Building Inspector
- - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies 5D
Other
Total
!yz 1 S~ 259q
RESIDENTIAL
BUILDING PERMIT APPLICATION -15
1 ~
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauiremenb RemodeUReoair Reouirements
• 3:egistereC site surveys showing sq. R. ol:ot. sq. R. of house; ar,d all rooled areas • 2 co0ies of plan
(20%maximum lot coverage allaweA) . 1 sel of Eneyy Calculations !or heated additions
• 2 copies of plan showing beam 8 window saes; poured found jesign, atc.) . 1 sile survey for exlenor aaaitions & aecks
• 1 set of Eneryy Calcula6ons . IiMicate if home served by seplic sys[em for aaditions
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selecUOn sheet (bldgs wilh 3 or less units)
DATE 7//1 JoZ VALUATION (o I 7S 00
SIiE ADDRESS qO(vQ Sta~C ANC• MULTI-FAMILY BLDG Y?N
TYPE Of WORKFIREPLACE(S) _ 0_ 1_ 2
APPUCANT W¢o..'~{nerw.ku~ ea.s~'•
STREET ADDRESS S(oyl /VIg.xorJe.I A&&. A.I CITY5~111.ja.~~ STATEMA) ZIP SSoYt2
TELEPHONE #b51-134- 4/31A CELL PHONE # FAX #(c5)-351- Z096
PROPERiYOWNER SuSav, 13-,@ rne TELEPHONE# (051-16 88-o`L9_-?
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ MINNE50T:A R['LES 7670 GCI'F.GC)ItY I . rw.E11 t 1~4i(d submission type) . ResitlenGal Ventila6on Category 7 Worksheet Submittetl Code Worksh ~ ubmitte,:
• Energy Envelope CalculaUons Submitted UL 1 5 2002 U
Piumbing Contractor: _ Phone # By
PfumUing systcm includes: _ Water Softcner Larvn Sprinkler Fee 590.00
Water Hcater No. of R.I. Baths
Nn. of Baths
Mechanical Contractor: Phone #
Mcch.mical ,y,tcm includes: Air Condiuoning Pcr. 570.00
_ He1t Rccovcry Syslcm
Sewer/Water Contractor: Phone #
° ° °
I hereby acknowledge that I have read ihis application, state that the information is correct, and ogree to comply
wifh ali applicable Stafe of Minnesota Stotutes and City of Eagan Ordinances.
Signafure of Applicanf ~ ~A-=-
.
OFFICF. USE OVLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4i02
OFFICE USE ONLY
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Oweliing ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (In[erior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to appiicant
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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaL'C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumhing
Foundation HVAC
Drain Tile Other
Roof - Ice &Warer _ Final _ Pool _ Ftgs _ AiriGas Tcsts _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air i'est _ Final _ Windows (nzwlreplacemeny
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ ~sg y
RESIDENTIAL
S~.~~~ BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstruction Reauirements RemodaUReoair Reauirements
• 3 registered sde surveys showing sq. ft. of bt sq. ft. of house; and ail roofed areas . 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Eneyy Caiculations for heated addi[ions
• 2 copies of plan showirg beam S wndow sizes; poured found desgn, etc.) . 1 site survey for extenor addi[ions 8 decks
• 1 set ol Energy Calala6ons . IrMicate if fwme served 6y seplic system for additions
• 3 copies of Tree Preservatbn Plan if lol plaHed aRer 711193
• Rim Joist De[ail OpGans seleCfion sheet (WOgs with 3 or less units)
DATE '7 I2R IOZ VALUATION 722S , OO
SITE ADDRESS 40(00 S+a1eS .4-U49 MULTI-FAMILY BLDG _Y lle~_N
TYPE OF WORK fIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 5b41 MQinorieA AAa. A)CITY <94-JIk-'a~STAT0AJ ZIP SSUQ2
TELEPHONE #(Al-0`I-~320 CELL PHONE # FAX # csl- 351- 2_096
PROPERTY OWNER !So~v, ~n_¢_ TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ 3
MINYE;501':1 RULF:S 7670 C_AT1:GORY 1 MIV\I:SO"1':A RCLLS 7672
("I submission rype) . Residential Venfilation Category 1 Worksheet SubmitteC • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: Plione
Plumbing system includes: _ Water Softcner Lawn Sprinkler Fee: S90.00
_ Watec Heater iVo. oF R.I. Baths
No. of Baths
Mechanical Contractor: Phone N
XIcch.uiical scstcm includes: Air Condiuoning Pcc S70.00
HeaC Rccove~}• Sys[c ~ 'Sewer/Water Contractor: Ii ~ Al~ phone # i
I ------------------------:I------------ g------------P Y
1j"
I hereby acknowledge that I have read ihis application, state Phat the information is correct, and a ree to com I
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcanf c0ot~
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
Cl 01 Foundation ? 07 OS-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (J-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Slorm Damage
? 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 (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MCrES 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 Width
REQUIRED INSPECTIONS
_ Footings (new bldo) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ F[gs _ Air,Gas Trsts _ Final
_ Framing _ Siding Stucco Stone
_ Firepface _ R.I. _ Air Test _ Final _ Windows (new!replacement)
Insulation Retaining Wall
- -
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
~ 01 CITY OF EAGAN ~t
3830 PILOT KNOB RD - 55122
651-681-4675
New ConsVUelbn Reauiremente RemodellReoair Reaulremenri
• 3 registered sde surveys showing sq. ft. of bt, sq, fl. of trouse; and all roofed areas • 2 copies of plan
(20% marzimum lot croverege aliowed) . 1 set oT Energy CaIcWa6ons for heated additions
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 site survey for exterbr add'Nons & decks
• 1 set of Energy Cakwlatians . Indkale H Iqme served by septic system for add'Nons
• 3 copies of Tree Preservafion Plan'rf bt platted after 7/1/93
• Rim Joist Detatl Optiorx selection sheet (61dgs witli 3 or less unils)
DATE z$ VALUATION
JOBSITEADDRESS~~~~~/9T~,~ ~I~6+
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER4k,V ¢ f+/`~"'v 64"
TYPE OF WORK Ji^'S °)Iw4V ~ WI XWOW- FIREPLACE(S) _ 0_ 1_ 2
APPUCANT G444~53 GAI•AG Sy5 -5 PNONE# G/.Z 724 5r6-?
ADDRESS 5'~13 a S.3 ~06- l~ ~ drg0 IVI) ZIP CODE Sd"A*/
PAGER # CELL PHONE # Gi ,7P FAX # A! 2 77 7"3 r"F
NE1V RESIDENTIAL BUILDING ONLY - Fill OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residentiai Ventilation Category 7 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNE50TA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: Phone
Plumbing Sysfem Includes: _ Water Softener _ Lawn Sprinkler rce: $90.00
Water Heater No. oF R.I. Baths
No. of Balhs
Mechanical Contractor. Phone
Mechanical System Includes: _ Air Conditioning T$P I
HeaC Recovery System
MAR 14 2002
Sewer/Water Contractor. Phone
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all ppplicable State of Minnesota Statutes and City of Eagan Or i a ces.
Signature of Applicant ~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 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 EA. AIt- Muld
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. AR - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N A 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Altera6on ? 37 Demolish (Bldg)• ? 43 Reroof 2< 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation P17 Occupancy "4l4 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 VN Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Framing _ Siding _ Stucco _ Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
BaseFee ~~1 ~ ~
Surcharge t/57 c.,~
Plan Review
MC/ES SAC rf `
City SAC KdYV 0 U P%--'
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
` PERMIT S-~G
---'C~ CI"FYY ~D~ EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z Lo i N G
Eagan, Minnesota 55123 Permit Number. 021723
(612) 681-4675 Date Issued: 0 8/ 19 / 9 3
SITE ADDRESS:
4060 STATES AVE
LOT: 13 BLOCK: 4
HILlS OF STONEBRIDGE 3RD
P.I.N.: 10-32992-130-04
DESCRIPTION:
& 25' X 18' DECK
Bf~in Permit Type SF PORCH
Bung rk Type NEW
Construction ype VN
Building LengtFr~ 14
Building Width 12
~
vU/
~C,o~
REMARKS:
SEPARATE ELECTRZCAL PERMIT REQUIRED
FEE SUMMARY:
VALUATION $6,000
Bese Fee $81.00
Surcharge $3.00
Total Fee $84.00
CONTRACTOR: OWNER: - Applicant -
pIRCZ STEVEN
4060 STATES AVE
EAGAN MN
(612)890-0414
! I hereby aaknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
f- _ - - J
T~ APPLICANT/PERMITEE SIGNATURE (ASUED B: SIGN RE
REACTIVATE CIIY OF EAGAN
PEfUiIT 1993 BUILDING PERMIT APPLICATION ~
681-4675
T-
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty appTies: 1) when permit is typed, but not picke(i up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date e / g 93 Yaluation of work S4.000.00
Site Address• 4060 States Aveneu, Eagan, MN 55123
SiREET ~ D
Tenant Name: (commercial only)
T 13 BLOCK 4 SUBD.Hills of Stonebridge P.I.D. M
Descri tion of WOT'IC: Deck/Screen Porch
The applicant is: Owner ? Contractor ? Other co«oriee>
Name Dircz, Steven & Kathryn Phone 452-1363 Home
Property LAST FIRST 890-0414 Work
OWner (This i.s a new home occupi.ed 6/22/92)
AddY255 4060 States AvenLe. STREEi STE Y
City Eagan State m Z;p 55123
mpany Not Applicable, we are building ourselves phone
Contractor rhddres License # Ex
City _ State ,Zi
Archttect/ [Company _ - - Phone
Engineer Name ~ Regi\ion #
Address
~
State ~ _Zip
Sewer & water licensed plumber . Processing time`for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State af Minnesota Statutes and City of
Eagan Ordinances. `
Signature of Applicant: ~
OFFICE U5E ONLY
BUILDING PERMIT TYPE ` •
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition ? OS S-Plex 0 13 6arage/Accessory ? 18 Comm./Ind.
,!104 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ?.lO.Multi. Add'1, ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
CvnSt. 'nCiuo1j O.?.S°T8.^.Y sG. f*_ MWCL System ~
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy R..3 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
of Stories Footpr9nt Sq. ft. Fire Sprinkler
Length Tq-l On-site well Census Code t~3~
Depth On-site sewage SAC Code
_1--
APPROVALS ID
Planning Building Assessments
Engineering Variance
54 r2CEII_~ `Pc cK, ~ -
REOUIRED INSPECTIONS qLs o ZS X~sJ
? Site 15~ Footing C~ framing ? Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit fee J,60 v,lLmtian:
5urcharge s:o~
Pl an Rev i ew W
ceiisc
CC SAC '
City SAC ~ (L. • ~ , 0
Water Conn. a--~
Water Meter 51 Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. , -
2422 Enterprise Drive
* PIONEER LANOSUNVEYORS•[IVILENGINEER9 M@lld0(8 HBIJIIIS, MN 55120
~erIgICIeQrIrlg•. L/NOPLIINNEPS•LANOSCAFEIIRCHITECTS * *~c - .f6121681-1914
~
Derfificafe of SurVey for: C8C1teX I_nCOrporated .
Model Name: 745 ~ I I
I I I
I I
I
30 30
I I I
I I
I I
° STATES AVENUE
i- i
` i i
° 697.98 I I
~ ~°'Iql R 0= 04°49'46" S 89°10'15" W qoa.8`• I I
L 58.83 ~ I
46.46 eoZ.fi I I
so5.o orsroEwnv SPYV~~e. 0 4o:.L I I
m~ ~ ~
I f ~
Z
zz.a3 T'-- -~~-m~
~ 806.5
I 36.31r
e ~ I~ R I ~ I
I CARAGE o ~
cN N I ~ I
W ip~
~°n~ nS•) 5.0 20.66 0)
9 I^ 1~ Il °(0 I W 1
t? PROPOSED HOUSE
~ ~ I r+ FUIL BASEMENT n ~ J 11
Q~
o I 14.16
rv ' Q ~
0
0 M 18.71 J2.3S I 30.64 R~"~`
z a°Y r
a' 1' CAN i. ~ Z' 1 1
~ K 903, fr n7o~i~1 ~
~ ,1 f
LLJ ~
I 1 W
i ~ 04
L---- r~ o i m r
J
2 r U
85.61
N 86°01'09" yy
~ I J
• soo.o Denotes Existing Elevatlon ! r ~
• soo.o Denotes Proposed Elevation PROPOSED HOUSE ELEVATION
Denotes Drainage & Utility Easement Ldwest Floor Elevation:899.05
yDenotes Drainage Flow Direction Top of Block Elevatlon:g07.16
--o- Denotes Monument Garage Slab Elevation:g06.83
---e- Denotes Offset Hub gear(ngs shown are assurfied
LOT 13, BLOCK 4 HILLS dF STONEBRIDGE
DAKOTA COUNTl,'MINNESOTA 3 R D A D D I TI 0 N ;
I here6y certlly that lhts survey, plan or reporl was pr-epdeored 6y me or undor my direct supar~f(b~lon end that I am duly ReOislared Land Surveyor
undet lhe lewa af the Stete ol Minnesote. Daled thla 2L.S'~ y of . A p 19N_Jc~,
_ f ~
p~•i Ad~( F
f Irvs . ~f /7
r;54
SCQIe. 1inch=30fae
>NI r!~ r ~Lt,i
ROB RT U. SIKICH U.S. REG. NO, 14891
103 91336.09
' CITY OF EAGAN N0201 5$
! 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:681-4675 Receipt # 1-7.C^'70~
~
Tobeusedfor SF DWG/GAR Est.Value $122,000 Dale FEB 27 , 19 9?
Slfe Addf2SS 4060 STATES AVE OFFICE USE ONLY
Lot 13 Block 4 Sec/Sub. HLS RF FEES
Parcel No. TO occupancy R-3-1
Zoning PDR-1 BbB Permit 717.00
N2flle CENTEX (Aclual) Const V=N gumherge 61.00
w p,ddrp,ss 5929 BAKER (nuoweeie) VL-N Flian RRview 466.00
x of stones
~OIly MINNETONKA MN Z.IP 55345 Length 48' License, 5"11
n
Phone Deplh --5II' sAC, ciry 100. 00
cc: N2(fIB SAME S,F.TOtal _
SAC,MCWCC 700.00
~ S.F. Footprinis _
0
~Add« On Site Sewage _ 'Nater Conn 675.0
~ cq ]'jp OnSiteWell X WaterMeter 95.00
Phone rnwcc syscem AccL 30.00
p City Walar Deposit
U Ucense # 0001333 PRV Requiretl - SfW Permit 30.00
I hereby acknowlege ihat I have read Ihi application and sfate that the 8ooater Pump - SNJ Surcharge .5
0
information is correct and agree to co y with all applicable State of
Minnesota StaWtes and Ci ol a g r ances. Treatmem PI 300_ nn
SigneWra of Permitee APPROVALS Road Unil 3R(1 _ O(1
(:F.NTFX Plannar - park Ded.
A Building Permit is issued lo:
on Ihe express condilion that all work shall be tlone in accortlance with all Council 1.00
applicable State of Minnesota Stalutes and Ciry ol Eagan Ordinances. Bldg. Ofl. _ Copies -
~
Building Oflicial ~Zlq_4,pjd'.j m_,q Variance TOTAL 3,560.5
. cinr oF EAGAN
1892 BUILDING PERMIT APPLICATION
1 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 7i /Z L /2~ Valuation of work
Site Location: ~ e7
STREET S 0
Tenant Name: z
LOT 13 BLOCK. SUBD. .I.D. #
Descri tion of work:
The applicant is: wner Contractor ? Other (oe=rtbe)
Name Phone
Property LAST Fi ST
Owner Address
EET STE R
City State Zip
Company Phone
Contractor Address License a~~~
City 101411;Trla"~ State Zip 5_~
Company ~ Phone
Archttect/
Engineer Name Registration #
Address
City S ate Zip
~ ~ . Processing time for
Sewer & water licensed plumber il i- rlv
sewer & water permits is two days once ar a has been approv .
I hereby acknowledge that I have read h' apjai nd state that the information is
correcanagree to comply with all pi bMinnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY BUILDING PERMIT TYPE
? 01 Foundation ? 06 6arage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
tg 02 Single Family ? 07 Fireplace ? 12 Camm./Ind. New ? 17 Building Move
? 03 Two-family ? 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Camm./Ind. Rem. ? 20 Mlscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
C3~90 New ? 93 Remodel ? 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish ? 92 Alterations 13 95 Tenant finish ? 99 Undefined
GENERAL INFORMATION
Occupancy F-3 M-I Basement sq. ft. MWCC System YES
Zoning pD R_1 lst F1. sq. ft. City Water Yp-s
Const. (Actual) .~_N 2nd F1. sq. ft. PRY Required
(A1Towable) v_N Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code Io i
Depth ,50• On-site sewage SAC Code 01
APPROVALS
Planning Building Assessments
Engineering Variance
REC'iUIRED INSPECTIONS
? Site ? Footing O Framing ? Insulation
? Wallbaard ? Finat ? Draintile ? Fireplace
veluac;an: $ 1 Z'Z o Do '
Permit Fee `~1'l.0 0
Surcharge I . oo
Plan Review yL,e,oo yy/0Dt2.. 7US~ 121, ~13'l
License 5. bD
MWCC SAC oo. 00
City SAC Ioa.ao
Water Conn. (,rts, oo
Water Meter °l5 ,oo
Road Unit 3go.oo
Treatment Pl. 30D, o0
Re$d-hrit
Parlc-6ed.
T--, '~-I~-Up~ .
CoPies 00
Other
Total:
5AC %
SAC Units
*-jC 2422 Enterprise Drive
PIONEER LANOSIIHVEYORS. crvaencir+Ferrs Mendota Heights, MN 55120
* eng* eeringr. LANOPIANNERS•LANDSCAPEqRCHITECiS 11,1612) VCH1'1n1A
' y
C-erfificafe of Surivrey for: Cet'1teX. Incorporated
Model Name: 745 ~ I I
~ I I
I
I I 30 30
~ I I
~ I I
- - - - -
I I
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0
STATES AVENUE i ~
i i
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i
R = 697.98 I I
~ A= 04°49'46" S 89°10'15" W ~ I
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l FDRWEWAY 46.46 902.6 I I
sos.o ~ ~
2 - _ - -----1 ~ ~ ~
~
SL_ 20~I I = I
19.18 22.31 S6.$
I 906.5
n o I I c ~ cl:~ ~
I N GARAGE I I N N I O
I
C'j
N
Cy c00
~
t.s o ~
w N i 5.0 ~ 20.66 ' ~ Q O M f ~
O O) I L-14 PROPOSEU HWSE ~ 1) ~ FULL BASEMENi oi ~
~ 1 4 ce I I
O r ~1971
.32.33 30.64 1
Z 1-
~ , cANT. ( I 1
~ I 1 -_I f
w
I ~1 ~ ~ f ~ ~
~ fo M o° f1 m 1
o _`_`-----_j
1D FC ~
r ` Al
85.61 N 86°01'09" W
! e
/AAGAN Z1tTGINE~RIN{G DEPi
~ 900.0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
~ 900. Denotes Proposed Elevation Ldwest Floor Elevation:gg9.05
Denotes Drainage & Utility Easement Top of Block Elevation:gp7.16
- Denotes Drainage Flow Direction
-o- Denotes Monument Garage Slab Elevation:g06.83
Denotes Offset Hub georings shown are assurned
LOT 13, BLOCK 4 HILLS dF STONEBRIDGE
DAKOTA COUNTY,-MINNESOTA 3R D A D D I TI 0 N
I hereby tertify thet this survey, plan or lepOrt ared by me"""o!!!r,,,uuunder my dlrect super ision end thet 1 am duly Registared Land Surreyor
under the laws of 1he State of Minnssota. Dated thiswa5 pre ~ day of - A.D. 19 ~
1_7 ~ i
ch-_ feet
1-~' ~-w rL ' r-1. Z.c..!'.~
Scale: 1 -m ~ 30-
ROB RT B. SIKICH L`. . AEG. NO. 14891
105 91336.09
- cnrirl. rar.~. °p~02S ~
F'?ar;ning I;c.=iyn Inc:.
I.;'.,.t 1;.ii qt'iwa•,' I.!.! IV. E.
',`lirnn__r•nolls MD7 55432
612-'700-1" _?0
hlinnrs_,i_aa =te.te F_neryy (.;ode La.lcul<rt.ian=
1:?a:aerl nn ,'vhap;:er S n; the h'odeJ. Erer-;`r CocEe
1980 E_:Jif_;on F:daF;l_ec1 liA!89
own0rr. M0;::Et 0741 CCii1h1. IIC.-s: 0 /O`~J~
te F;ddre_>!., ~_CT 13~'StcY'.K i{ H1[.l"~ B'~= `•~7DN~~i~f-~
Cl: i 7''. Y' icU= oY'. : .
c~:.rarEi: HoME.s Ft,onF_;
;?ldg, :;trx:_s,c Fii A1 For :;iny:le Family!i"i.iple::
H2, residentiul .=.,tories
OvE>r• _ stor:i es
i!ther
6ENrRAl_ :it`!F(7R;•1(1TIf]h!
iJc:tP: Ttie scctior~ ;irszqnatinns ("Siection A", "Srcti.cn £t" etc.) ~ure aor
corr:=nience in c:alr_ulation= only, anci are net relat=d from one =et nr
i:c.lri_L12t:LC3I'1S i:7C?iOVJ CC'1 t'.hE' fiE:>1t.
1. BICIC. GJa:I.; a F'crimeter Wa11 IlP3CJF1't4, = Ai'12d
greund to °AVP
c
SCCtko!'! . °t) i!1~71 _ J J
. 0. .
, wCill B . 11 I1 18.5C) _ ;?!1 1
. . ....'1.~. f:
r,.~(_~~_..t.~7.ni5 . rl
„ C! '
.:E3Cti;..;ii D
GY'USS 1ia11 A1"P_cl = 2577.3
L-suilding :Jimension=_ Floor c,r
Criliny
Length Wi dth = Fir-ea
Serfiuit A : 16.5 20.6 = 3'.9.9
Section Ei : 2$ 27 = 75E
sNC f 1 Ufl C ; 0 f) _ 0
Sect:liln , 0 Q = Q
Total floor or ceiling area = 1075.9
y. ftim Jo>.sl-. I'Frime'ter = 160
Floer joist by !8", 10", 12" ar 1G"?!: In
Rim ,loist Area = 133,3333
4. Daor=
area: 37.8 T"hickness (inches):
Ferimeter (fPE'C): 0
lype o` r_orist-ucticn:
S. Total dec;-'s perimeter: p
i: .;=J i n d e:? '
~ f•I81)i~f ar::i.=Pr: C:.lEATHI-F;,,HIEl_I) U 4artor: 0,4-,
,r~~;:~,;:,.,
:t[:?;: t:l : Y'L-'c:
l`y pIlei.c]hc . Lfenc:it.h , I'J~.un::?er fr:~t.~:l
!inc.h~.s1 (Ir.t_.hf~>s)~ caf q1:ass -tc:tFl:.
. un;. t=.
B:=l'IT. C..'idlT I-T 77 3 7, f70
t?OLJBLE FIUP•!GS 16 16 4 7.13
":".'i 16 i 4.44
16 2 6.22
^4 214 6 ;'!F
:'8 24 6 8 .
16 20 C-..
28 14 65.
28 <'ci 10 54.41
32 28 4 24Ms'
16 36 2 i!
.12 .J(? 1 _
ciF::`(I_ I'i'ES 40 24 ^ 16
7. 6•J:indow gla.=_s area (:;yl-'t) - 2;.'5.
riPc, f-Eraiqnt Length hliAmber Total
:fcaf; {fce:ti ur.it.s SyFt
u, Pai:io Ooor; 0 p 0 0
9. F;;:rzum. 6.8 _ 1 20.4
10. Fir-eplar•c= area
,•!idt.n: _ c, Ht,z.at,r:
Total s:;q F+: - -
r *
AA. f-xpL]sed Fc:;c.;r;dakion
t!e>iyht area A: 0.67 F'erimeter area A: 145
S'q f-t ar-ea_6=i = - 97.15
Exposed Fni!ncJatiqn
Fleiyht area Be 4 Perirneter area B: u
Sq Ft area P= p
1=• SqFt U factor U>; r1
G:-v55 wal 7 are-, 2577.7.
minus (,lindow area iSJ.JZ 0.47 120.1
Patin door area ci tl 0
Atri um area 20.4 0.47 9.59
Rim joist area I33.3330333' II.J,}J 4.67
Door- area 37.0 0.14 5.29
.=irePlace area 30 0.17 5.1
[."xposNd round. 97.15 0.14 iu•. G
¢ Framing area 257.73 0.069 17.70
eyual
Totecl.z for net wrl l: 1745.1566667 O.437 64.SEJ
> , . .
i'~•,_,~.LSd i'_1Y Cil";.;_._.: :V~i.l.~ :qi'rci: r'`.j
F rezm:n;.; arc:a i=_. :L;?V or ur[;=_.y auall r.;rei
~
I.sl^n=B iwall Fit^Pdt x
;ctor rolu u Fi per c_orlr
1=aCLur t.E, .:1 Fr:;r Fi 7. nqle ,amily t:lupxt;;
tcr- A--2 and Othc?i r'E'3i.ClEflt.ie..:t
.21 i or othc_r hui 1 di ncks
, % for- oveir _,to-.i e=;
i..mc1-o,- i . 0.11
rui..~ ~,-t .
~ ,:c.._,..~J._• !`Ilft_'f' ('Ei : (:il=: _ 240., : :l
(calculatEd :bo+rr_)
14 U- . .:-i:!i.r. _
.0.~
, a 1
7~ :
%b CE'iiiitg ......0' I't(:k a':?l 110'.. l?{ iE'tllrlg arE'ciY 109.59
16 Joi3C Arr•a 10i o6 Cei.l1 iq area) _ . 107 :ir.7
17. M1la.,t :_t:z;li.n._ _,rEa 4Brn<_=.a cF•il. area -:toist arcal = %6.51
13, I.! ce.i l.i nc; C, . f-i 2 S. Nct ce:i l, area =20. ;T1':?.`";t
ls?. U framing: 0_024 t7oist area - :.63016
J'otal of i*ern 18 itern f.'a^= 13.3~b_~S;
21. Gi' oss cei 7, i ng area n; f acLOr bel ow = l1` x R per code
Facccr is .C'Z.w fnr A-1 single family duple;:
.003 for A--:'_ aizd uthc r rFasi denti al
.06 for nther buildinq;
f~~rri~.r,i- i_=.,: ~~,tr26
ii T!!i-1 = 28.4934 MRJS7 LcE . OF: _ 23.34267
(calcutatFd abave)
u vnr.uc cnr,car,ntlotvs
2 X 6 / HIQH "Ra .SHFATHINCs'
. tt vnLvc u vnr.ur•,
- - Inside air L-iLn .GII
wAI.L InCerioc wall .45 (Wall) U= 1=
SWTION Insulation 19.00 R
Sheathin9 6.0 .037
Siding .67 - -
' Outside air fiLo _17
R 2UTAG 26.97 .
Inside air film .GO •
STIID
Interiot vall -95
SL•CrION
scud - 6° 6.50: (Lcamin9) U= 1=
Slieathing 6.0 12
Sidirg .67 • .069
LAF' Outside air film .17 '
R TOlAL 14,47
Interioc air film .60
ItIPl Znsulation 19.00 -
JOIST, ~ 1 2 inch soEt voocl * 1.88 (iti.w Joisl) U= J.
_
( Sheatlting . . 6.0 it
Caterior vall covering -67 = .035
Cxtecior air film .17
~ .
R 1VPAG 28.4
Interior air Eilm . .68
FDN_ 7.nsulation . 5.00 ,
. '
FW][1d1t10R (12 ~ SZOCIC), 1.28 (pOII[dr1tl.0[l) U- j e
GxCerior air film .17 K
R T4T1?L 7.~,3 .14
. .
. . . .
CEILING WiTH VFNPID ATTIC SPACE AHOYE
R VALUE R YALUE
FRAMIIdG CEILING
~
i~ 0.61 Air Film 0.61
. /
36.00 insulation 44.00
4.38 Joist
/ .56 Ceiling .56
. / I
~ 0.61 Air FiLn 0.61
~ 41.55 1bta1 R 45.78
.024 U = R .021
CA7.'HEDRAL CEI[.IING
R VALOE R VALUE
FRAMniG CEILIIIG
0.61 Inside air film 0.61
- i
.56 r Ceiling .56
14.375 ~ Joist(Spacer) -
- - Insulation 33.85
. - Ai.r space .50
.67 Roof decking .67
.06 Felt .06
.94 Shingle .44
0.17 Outside air film 0.17
16.88 Rbtal R 36-86
.059 R = II .027
Windw infiltrati~ .5 ~/~;~i foot of crack
Residential door infiltration 0.5 cfm/aquu*-a foot or dooc arid minim cor3e +-eg,;rement ,
Non-residential door infiltration 11.0 cfm/lineal foot of crack
[b 12" concrete block no insulatian _.781 R 1.28
double glass = .52
triple glass = .31
All exterior walls and ceilings ast have a vapor barrier (0.10) perm max.).
Vapor barrier must be on the inside (heated side) of vall.
Yapoc bariers of the polyethelene thin film have r?o R value.
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOS ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 9,50a
DATE:
It~SXpEI`TTI~I,,< PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
>
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DCDMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CDNST _ ADD-ON MINIMUM 15.00
ADD ON L SHOWER 3.00
REPAIR WATER CLOSET 3.00 O U
BATH TUB 3.00 O
LAVATORY 3.00 /Z~JD
OWNER NAME: KITCHEN SINK 3.00 /=O
//~y/' LAUNDRY TRAY 3.00 t3 O O
SITE ADDRESS: 'Z V U~ y- HOT TUB/SPA 3.00
~ WATER HEATER 3.00 900
~
LOT: ~2 c~~ .:.OCK SUBD.) FLOOR DRAIN 3.00 OC'
GAS PIPING OUT.
INSTALLER: v~'~? ~ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: 7 i~~l/ULL// _ OTHER
~ WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~
~ SUBTOTAL $ a ST. SURCHARGE .50
SIGNATURE PERMITTEE ~
TOTAL: S
CtSMMERGZALZ'It9UtTST&IALPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
M[ILTI-FAMILY BUILDINGS WHEN SEPARATE YERMITS ARE NOT REQIIIRED FOR EACH
DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SD FOR
SITE ADDRESS; EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
I
CITY OF EAGAN
L~ B p dMECHANICAL PERMIT RECEIPT #
SUBD. ~ (612) 681-4675 DATE ~e 9
RESIDENTfAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLE!'E FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PERMI'fS ARE REQUIRED FOR EACH DWELLING UNIT.
OR'NER: y -mC ~ FEES
STI'E ADDRESS: / CADD ONSTRU ION M, S1'IIVG $ 15.00 ?
D~ Cy ,
ftVAC: 0-100 M BTU 24.00
~ r
INSTALLER: 2 Z ~ ADDITIONAL 50 M BTU 6.00
ADDRESS: r GAS OUTLEI'S - MINIMUm 1@ S3 f-
CITY: ~ ZIP:,~SL SURCHARG& $ .50
SIGNATU ~ TOTAL: $
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWlINDUSTRIAL BUILDINGS. ALSO COMPLEfE FOR
APARTMIIVT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELi.ING UNTf.
WORK DFSCRIPTION: CONTRACf PRICE: FEES
196 OF CONTRACT FEE.
SfATE SURCHARGE IS $.SO FOR EACH
S1,000 OF PERMIT FEE. $
PROCFSSED PIPING • S25.00 $
- MITTIMUM FEE - $25.00
.
OR'NIIt: TOTAL: $
SI1'E ADDRFSS:
TF.NANT:
SUITE
INSTALLER:
ADDRESS:
CITY: ZIF:
PHONE CITY SIGNATURE:
SIGNATURE:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA113140
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
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.
Crystal Cochran
7588 Washington Ave S
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 -
Daniel J Byrne
4060 States Ave
St Paul MN 55123
Pronto Heating & Air Conditioning
7588 Washington Avenue South
Eden Prairie MN 55344
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142147
Date Issued:04/17/2017
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
Millersberg Construction
32971 Northfield Blvd
P O Box 155
Northfield MN 55057
(612) 839-6783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142791
Date Issued:05/18/2017
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
Millersberg Construction
32971 Northfield Blvd
P O Box 155
Northfield MN 55057
(612) 839-6783
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148006
Date Issued:02/28/2018
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
(612) 615-6175
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163806
Date Issued:09/11/2020
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
Millersberg Construction Llc
P.O. Box 155
Dundas MN 55019
(507) 301-3626
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170642
Date Issued:07/13/2021
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
Millersberg Construction Llc
P.O. Box 155
Dundas MN 55019
(507) 301-3626
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175302
Date Issued:03/28/2022
Permit Category:ePermit
Site Address: 4060 States Ave
Lot:13 Block: 4 Addition: Hills Of Stonebridge 3rd
PID:10-32992-04-130
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sriram Ganapathy
4060 States Ave
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature