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4270 Stirrup StCity of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 S(5' yes •6,9% Ford Use BLUE or BLACK Ink Permit #: Permit Fee: / Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION % ,� - Date: ! Cr Site Address: ge7o S -i S� e h� � ) Tenant: Suite #: /ri /li RESIDENT / OWNER Name: Davi Gl ('1 O c r:,.,h4.. Phone: C..5-7 "GSi " �i 0/4 / Address / City / Zip: Q� /�J 5-7411.-.7) See, ,Fa� c, .. —5 - -� 1 a 3 Applicant is: X Owner Contractor TYPE OF WORK Description of work: Gc..S /---ire. 72/ctcc ---,S�a�l.•'1` ; - 1 0, o -mw ‘ ,..e Construction Cost: /oaa, ad Multi -Family Building: (Yes / No X ) CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 4 e approved plan in the case of work which requires a review and approval of plans. 1 Av: X (/ OrFi/4. Applican s Signature Applicant's Printed Name j 17Av; r� Kacemv.. Page 1 of 2 os- exIsk, LID -70 LCLu t DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New At Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code #of Units # of Buildings Fireplace Garage Deck Lower Level _ Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool % av— Occupancy Covasp Code Edition /o 07'Zoning Stories Square Feet Length Width 171341 Type of Construction 03 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final _,26 Framing Fireplace: #Rough In *Air Test *Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 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 Acv? /D 3- MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers 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 to Pi@ 7/ /'i 44941.4i Page 2 of 3 ::v ti . - q�� l =..:: " Z q, 7o siie_a_u( 'ZiL t.,kr,. ti, a.4 1 "" \ i -1--, u ..„,c,...?-'nji. „_n .tzc• 'Le)a.---1-H apriON .... .1� r T _.'A' %SY _.. - T. __ _ .9 0/ ,.o l,X re gilt Pg-oc 6vmA oar CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilo+ Knob Road P. U. bi- 11199 PERMIT NO.: Eagan, MN 55121 D/~TE: 4-'~ Zonirq: _ 1 No. of Units: ~ Owner. ='eborah Fditt Addrosa: Site '~"7~, S.*_irrup St. L9 ~i:? F 3dle "iorn Addn. Plunber: n L . ont h I«ia Meftr No.•-J 7 S~0 'SI 500. OC~pd Cor Stza: - ~ QefBiE~t~~?~ r ,~pce~c~t.~ IS.OOpd Reader No.: O~ Tr+ ~n- `~jIb ~II t) . 00 c? ee: I.le.. to aowpyr wifh th. Ciry .i . 50pd OAiM~oM. R~~~~R~ I56.00pd Tl' Total; 63.50pd tnetez BY Dote Paid: Dote of Irnp.: Irap.; CITY OF EAGAN 3830 Pilot KMb Raad WATER SERViCE PERMIT P. O. 3ox 21199 PERMIT NO.: Eagan, MN 55121 pATE. Zoning: _ No. af Units: Owner: - - ~r 3- Ilddrosx : Sfto /lddress: PlLRflblr: Meter No.: Sixe: Connection Chorye; Reader No.. Acoount Deposlt: Parrr?it Fee: ' . ~"rM M ooiwoir wilh !lu Ckr of EfYep Su?chorye: OrAnenpw Misc. Chorges; - ` -,p Taol: , ~f7 . ~ ^.et•dr, BY Date Raid: Dote of irup.; F?mp.: - . ~ CITY OF EAGAN 3830 Pilot Knub Road RWER SER1/ECE PEmR P. O. dox 21199 PERMIT NO.: Eagan, MN 55121 DATE: 2onlnp; Owner: No. of Units: Addrcss; Site Address: Plum6er. ' N ~M* WIA d' Cky °f S.O. Ca,nectlon Cha?Qe; A°°°unf DePosit: PenMt Fee: ey Surel?orpe: Dote of Inap,; INisc. Qqrom Total: InsP.: Qah Phid: . _....r~~ cirY oF EAG?N ~ 3795 Pilet Knob Road Eogon, MN 55122 N2 6353 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be uaed for Est. Value Date , 19 5ite Address Erect p Qccuparticy Lot !I_ 8iock .2=_ Sec/5ub. ~ Alter fl- Zoning parcel Repoir ? Fire Zone Enlarge ? Type of Const. W N0fT1e Move ? # Stories Z Address Demolish ? Front ft. o - CI phone Grode ? Depth ft. ~ NQrrke Approvais Fees ,o u~ ~d~~ Assessment Permit ~ Ci Phone Woter & Sew. Surcharge Pofice Plnn check r~ FZ Name Fire SAC Address Eng. Water Conn. a W Ci Phone Planner Woter Meter Council Road Unit I hereby ocknowledge thot I have read ttris application ond stote thot Bldg. Off. the informution is correct and ogree to comply with all opplicuble ApC Total State of Minnesotn Statutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit is issued to: on the express condition that oll work sholl be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinonces. Building Officiol hrmk ~t Dah laoed Ponnifhe Plumbing Mechaniwl INSPECTIONS DATE INSP. RouyM I n Final FOOtingS Date Insp. Dcte tnsp, Foundation Plumbing Frame/ins. Mechonicol Final Remarks: crrY oF EAG,?N 3795 'ilat Knob Roal Eo9an, MN 65122 , PHONE: 4514100 BUILDING PERMIT Reteipt # Te be wod fm Est. Value Dote 19 Sita Addreu Emct ? Occupancy Lot Block $ec/Sub. Alter Q Zoninq parcel # Repair ? Fire Zone Enlaroe O TYPe of Const. W Nome Move O # 5tories ~ Addreas Demolish p Length ; C; p}one Grade ? Depth Sq. Ft. ~ Nome ~ ApPeovab Faes v~ Address Assessment Permit ~ Cit p~~ Water $ Sew. Surthurpe G~ Police Plon check F W NO^7Q Fin SAC /lddress Enp. Woter Conn. tW Ci phone Plonner Woter Meter Council Road Unit I hereby ocknowiedge thut I hove read this opplicotion ond stote thot gldy. Off. fhe informotion is correct and ogree to comply with oll appliccble APC Total ' 5tote of Minnesota Statutea and City of Eayon Ordirwnces. Sipnoturc of Permittae Building Permit Is issued to: on the exproas condition thnt oll work sholl be done in occordonce wlth all opplicable 5tote of Mfnnesofa Stotutes nnd City of Eopon Ordinonces. 9ufldlnQ Offlciol : o , 'o 2 0 Z m s E `m d M C ~ O ~ ` O O E ~ ~ ~ c 0 2 r E ~ d° G a ; ,1n o ~ c ~ Q c a 0 ` ~ w e n = a ~ E ~ r d = ~ L- a ~ .2 p ~ @ d = ~ W ~ D ~ ~ ~ ; ~ C C C ~ O ~i ~ fn ~ 7i ~ LL. U. LL Q ~ ~ LL U. U. CITY UF EAGAN Remarks Addition Saddlehorn Lot g aik 2 Parcel 65800 090 0 Owner-~'?~, Street 4270 Stirrup :5~-` State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ILnp. 19$1 1944.00 97.20 20 13 0-gi7 0!0 1,3 A-111 5_70 1210.00 60.50 zo g~{ oo Cocl 13 GRADING SANSEWTRUNK 1981 280.00 14.00 ZO ~(p.pp C~O//~'/3 t~ / 6 *SEWER LATERAL S 1981 3359.51 167.98 20 ~ eo ~I oa!3 ! WATERMAIN *WATER LATERAL I981 WATEA AREA S( f 1981 280.00 14.00 20 /94 • t70 eo (o STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. SUlLDlNG PER. SAC PARK CI'1"1T 0F EAGAN 37: 5 Fi.ht Knob Raad Ea.gan, N,innesota 55122 , PERP+IIT I1~T0.: 38 The City of Ea.g2n hereby gr4nts to Milbsrt Oo. - Culli+gan o£ 1001 M[it Ave. Sc.. So. 8t• Paulj M 55075 J. gersann. K. Stroskp. J. Draqar, C. Irish, a sarrmmR. Permitsfor: (Owner) p. Gaus~an. B. MOiraan. and M. Harris 4270 Stir 1 , ~+r Her • a !,~046 ['i~-~+a~ ian r to application dated 5/5/76 ~ Fee P.:.id: 835.00 dF.ted this day oF Mnq 3.50 s/c Fuiiding Inwp°G GJl' •w , Mecizanical Permits: ' Eid TotW ~ ~ CITY OF EAGAN Include 2 sets of plans, J 1 site plan w/elevations & BUI ING PERNffT APPLICATION 1 set of energy calculations. Zb Be Used Far ' aluation Date C d0 Site Address: -447 0 54;rrqp S4 OFFICE USE OfII.Y -T Lot ~ slocx sec./sub. - y~.~-~~/f ~~,2,~-ErecC occupancy Parce7. A1ter Zoning Repair Fire Zore OMmer: A r^ s'.1 @ n EnlarCje -TYPe of Const. Move # Stories Psldress: z( 27b Sfi r'-"u Deimlish Front ft. City/Zip Code• r 2 3 Grade Depth ft. Phone 4/s.,2 - 6.s 9 41 APPROUALS FEE.S Contractor: Oz) Y1~ Assessments Pexmit Address: N7ater/Sewer Surcharge S D Police Plan Check City/Zip Code: Fire SAC Phone ]En5• Water Conn. Planner Water Tvieter Arch./Eh9• = Yllh YLQ Council Road Unit Bldg. Off. Address: APC City/Zip Caie: Phone TOTAL 5' : 5 4 CITY OF EAGAN 3795 Pi1M Knob Road Eogen, MN 55144 N~ ~3 " PHONE: 450.8700 BUILDING PERMIT APPLICATION Receipt # To be ueed for WOOD BURN.FURNAC$st. Value 350. Dote 11-10 Site Addc~jess 4270 Stirrll St. Erect ? Occupancy Lot ` Blotk f - $et/Sub. - - 401'^ • Alter kj{ Zoning Parcel # 16 ~Sg-00 0p D 0;;2- Repoir ? Fire Zone _ Enlarge ? Type of Const. w Name Norman Witt Move ? Stories z Address SaMe Demolish ? Front ff. Ci Phone 452-6394 Grade ? Depth k. ° o Nnme ApProrals Fees Address S~e Assessment Permit 5•00 F P~~e Woter & Sew. SurcFwrge _5IL_ Police Plnn check Fw Name Fire SAC Address Eng. Wofer Conn. iW Ci Phone Planner WoterMeter Council Road Unit I here6y acknowledge thot I have read this opplicotion ond state that gld9. pff. the Informotion is correct and agree to comply with all applica6le AP~ Total 5 5.0 State of Minnewta Statut~es.,/o/n,Q City af Eagan Ordina~cec Signature of Permittee A Buildin9 Permit is issued to: NOTfIIan Witt on the express condition thm all work shall be done in atco nce~th oil api 6195Ypte-of Minnesota Statutes and City of Eagan Ordinances. Building Officicl CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & !O ~ BUILDING PERMIT APPLICATI 1 set of energy calculations. To Be Used For b LcAL Valuation Date Site Pqdclress: 1 ~ OFFICE USE ONLY Lot l Block ~ Sec./Sub. s v"?\Erect l~ Occupancy Parcel jv (0 58'-06 6qCD Oa Alter Zoning q~ Repair Fire 2one Qwmer: /U[~y'47G~, Enlarqe _ Type of Const. Move # Stories Acldress: ~,~70 ~'~`rr~.f) Demolish Fxnnt ~ ft. Grade Depth ft. City/zip Code: E~-czqG.,.-~ Phone # : APPROUALS ~S Contractor: Assessments Per[nit ~ Address: S c C-V v Water/Sewer Surcharge T~- Police Plan Check City/Zip Cocle: Fire SAC Phone En9• Water Conn. Planner Water Meter Arch./Ehg.: Council jeSad Unit Bldg. Off. - 7/ Pddress: APC City/Zip Code: ~ Phone TOTAL CITY OF EAGAN 3795 Pilot Knob Rood. Eagon, MN S5122 N? 7389 r PHONFs 4348100 - BUILDING PERMIT Receipf # '309/S Te 6a wad fer DEClC Est. Volue $500.00 Date Ju y 13 , 19-j2_ Site Address d970 StiTYUg--SY,T°°t Erecf CR Occupancy Lot 9 Block 2 Sec/Sub. SaddleholH Alter ? Zoning Porce1 # 10 65800 090 02 Repolr ? Fire Zone Enlarge ? Type of Const. w Name Normar1 6 Deh0L8h Witt Mova ? # Stories Z Addreu 4270 StiYiup St. Demoliah ? Length 18 ~ Ci Eagan 55123 phoM 452-6399 Grode ? Depth 10 Sq. Ft.- p Nome Own= ApProrals Fees t~ Addrett Atsessmenf Permit 11.50 s~ C~~ PhoM Woter & Sew. SurcFwrge • 50 Police Plan check tW Name Fire SAC ~ Address Enp. Water Conn. Plenner Worer Meter Council Road Unit I hereby acknowledge thot I have read this application end stote thot gldg, pf{. the information is correct and ogree to comply wlth all applicnble APC Tmal 512.00 Smte of Minnewta Storutes and City of Eagan Ordirances. Signoture of Pertnittee A Building Pertnit is issued to: 14o!'m8n & DEHOidh Witt on the expresi condition thm ell work shall be done in occordonce with oll opplicoble Stote of MinnesoM Stotutes o Ciry o4 Eagan Ordinonces. Buildin4 Official ~ i~j"A~~ WELL RECORD DRILLER'S SIGNATURE DATE PERMIT NUMBER ~8/ ; /9ss- ...~~.~~/ZP ssiz 2- BISSON'S WELL & PUMP C0. , . PHONEy9491= ~ SIZE OF WELL ~ INCHES WATER LEVEL /SO FEET WELL DEPTH ~ACl- FEET DRAW DOWN FEET CASING DEPTH !(J l FEET CAPACITV GALLONS PER/HR. L/ CASED WITH DEPTH OF IMPERVIOUS fORMATION 1 FEET ? ! WELDED JOINT SAND POINT--f?-- FEET~ INCHES/BY_-Z-,ZL INCHES MAKE AND TYPE MATERIAL: SCREWEDJOINT ~ REMARKS: Kind of Formation Cobr Started Ended Width of Remarks Depth Depth Forma. i, ~ . , I ~ . r' L~%, 11.1?. `S 6 . d a RESIDENTIAL f- BUILDING PERMIT APPLICATION CITY OF EAGAN r 2~ 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4875 New Constmclion ReauiremeMe RemodellRanair Reauiremenb . 3 registered site surveys shovring sq. fl, of lot, sq. ft. of house; and all rooled areas • 2 copies of pan (20%maximum lot coverage allowed) • 1 set of Erergy CaIWIaGons lor heateE addilions . 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 sile survey for ex[erior additiom 8 decks • 1 set of Eneryy Cakulations . Indicate if home served 6y septic system for addNons • 3 copies of Tree Preservatlan Plan if lot platted after 711193 • Rim Joist DetaB Options selection sheet (61tlgs with 3 or less unAs) DATE -10,CP VALUATION S Y65 /o SITE ADDRESS MULTI-FAMILY BLDG _ Y 4L~ TYPE OF WORK O• j cf~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT ~ STREETADDRESS 170 r3~rf~c Af CITY A~A STATE&LZIP153;1f/ TELEPHONE # Z 3^571-030Y CELL PHONE # FAX # PROPERTYOWNER'7~ iC (4S';" f`+C~TELEPHONE# 6s/-s87-9ay COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"1'A RULFS 7670 CATEGORY 1 MINNL'SOTA R[iLCS 7672 (4 su6mission qpe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatians Submitted Piumbing Conhaetor: _ _ Phone # _ Plumbing system includes: _ Water 3oftener _ Iawn Sprinklcr Fee: $90.00 Water Hea[er No. oF R.I. Baths No. oFBaths Mechanical Contractor. Phone # Mcchanico-il system includcs: _ Air Conditioning _ Heat Rccovery System D ~ 0 T ~ Sewer/Water Conhactor. Phone # JUN 1 200 I hereby acknowledge ihat I have read this application, state that the information is c ply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignaFure of Applicant oFrici: vsi; oNi.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Uptlatetl 4102 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Starm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entlre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Staries Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIQNS _ Footings (new bldg) _ FinaUC.O. _ Foo[ings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee - - W Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' EAGAN TOWNSHIP BUILDING PERMIT N° 2866 Owne: Eagan Towaship Address (Preseni) ......-----"41--, ------'r9 _.1......----_°°--------.........._... Towa Hall Builder Dale ""./.4..c.1..~-.7_................. Addxess DESCRIPTION 6loriee To Be Used For Fron! Depfh Heighf Esi. Cost ermi! Fee Remarke M, aoo ~ -5-7~-Op 1.~. ~ ,a-c-R-~- LOCATION Sireel, Aoad or oShes Deseripiion of Locafion I Lo! Bloek Addifion oe Traet 70 This permit does aot aulhorise !h uae of streels, :oads, alleys or sidewalks nor doec it give the owaer or hia agen! the righ! !o create anp sifuafion which Is a nuisanee os which presenls a hasard !o the heallh, safelp, eoavenienee and genezal welfare !o anyoae in the commuaiip. THIS PERMIT MUST BE/ KEPT ON THE PAEMISE WHILE THE WORK IS IN PROG SS. on This ia fo aerrifY. ffial--1.~!'!-f.4.w-'-?._g!-rre~ ....-°---.has permiasioa !o ereet a...._--.----- . !he above deseri6ed premioe subjeet to the prov'uiona of the Building Ordinaace for Eagaa Townahip dopled Apcil 11, 1855. ' Per ~p.'!.6:""'••-...J"""'-_'.............. Chairman of Tnwn Boerd Sufldinq Iaspeelor 16 4 9-~ ~a VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, hiinnesota 55122 PERI4IT NO.7 The Uillage of Eagan hereby grants to Wexizel Plumbing & Heatiag of 3600 xeunebec Drive, Enim 55122 a15T IPermit for: (Owner) HarvqP Eiirol'nex' at ~427n cti,~rtp , pursuant to application dated 3/26/73 Fee Paid; ~pp,pp dated this 28th day of Maroh , 1973 .50 s/c Building Inspector Nlechanical Pexmits: i3id Totale , VILLAGE 0F EAGAN s'LtQ~C!/~PGLD{~~ 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: ~J13 The Yillage o£ Eagan hereby grants to _Kiselin$ Excavatinz . o£ TGR a-Soptic Tank & CesanBornit for: (Owner) Harvenr Kirchner at ~e 5ummp , pursuant to application dated Fee Paid: IJp:Qo dated this 30th day of ApM], , 19-n-. .50 s/c Building Inspector Mechanical Permits; Bid Total: sac~%hor~ VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 5$122 PERN32T NO.: 1112 The Village of Eagan hereby grants to Biesan Well Dri]11ng Co. of 3600 Keimebeo Drines Eegen 55122 a WELL _ Permit for: (Owner) H~V Kimbiior at E70~ 251-L259 3tirrup , pursuant to application dated 4/27/73 Fee Paid: $3007b. dated this 27th day of April 19 73 , 1.50 Building Inspector Mechanical Permi.ts: did Total• VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 5$122 PERMIIT NO.: 978 . Air The Village of Eagan hereby grants to ComPlete/Hesting 6 Ceoling Inc. of 5611 - 152nd St.. Bugo, HIR 54038 a HEATING permit for• (Owner) Harvsq Airchner - Ruilding Coatsactor 7,73 Hackamore at 4251 S 427 Stirrup & J pursuant to application dated 6/28/73 Fee Paid: $60.00 dated this 9th day of July ~ 19 73 • 2.30 Building Inspector Mechanical Permits: ` . xfi ttid Totals , . . . ~ - . . . ~ ~ - ~d ~ - - i i ~ ~ ~ ~ i cn ; G ? a ~ ~ - I, ~ rn 70 ~ 1 MASTER CARD , LOCATION dior7,rr•,,_ ~Ty,~~o ~-c) OWNER STRUCTURE AND v LAND USED A5 Issued To Permit No. Issued Conirador Owner BUILDING IL ~ PLUMBING ~ CESSPOOL - SEPTIC TANK W ELL f y'?i {~,p•~I,. ELECTRICAL c HEATING ~ GAS INSTALLING SANITARY SEWER OTHER I OTHER I Approved Items (Initial) Date Remarks Disfance From Well FOOTiNG 51.. 1- SEPTIC FOUNDATION CESSPOOL FFiAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HE.4TING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL - DRAINFIELD PLUMBWG weu y. p .7 SANITARY SEWER ? Vialations Noted on Back COMMENTS: ~ COMPLIANCE INSPECTION REPOR,TS ; TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITION$ OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUIIDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS fOLLOWS: ~ REINSPECTION REQUIRED DATE OF REINSPECTION REINSPEC710N REVEALED CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospactive, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE COMMENTS: ~ :3 , L 4 n lp ' ~ ? ~ p ~K I ~ S ~ . ~ O ~ ~Z% . '~ik7i+9 tL~ r T Ar,Y i1 ~Ji<t S ~ Tr! r y ~ n^. t(. .v 7 !4? . ' - ~f''•• i~ ~ . . , . . , v'j~ ` . CITY of EAGAN Na 3389 BUI ING PERMIT d 3795 PiloY Knob Road Ownes Eagan. MinnesoSa 55122 - Address (Pz sanl) .....•~.~d ~ 954-9100 Sutlder .~~...1fR . .A.............. a L~Q..~...~~ •.r~...7 Address Dela l.1 ~ DESCHIPTION Sfories ' To Be Uced For Fronf Deplh Heigh! Esl. Coa! Eprmilbo Ramnrks ~ 26 xb LOCATION Slreel, Aoad or oihe= Descripiion of LocaSion I Lo ]oek Addilfoa o Tsaet 9T_ C'r~__,~ This permit does nof aulhoriae the use of atraefs, roads, alleys or sidawelks~ noz does il give the ownez or his agent the xigh!!o create any siluffiion which is a nuisanee or whiah precenls a hezard !o the heallh, safelp, convenienee and ganeral weliare 2o anyone in the communiiq. THIS PERMIT MUST 8 KEP OIi E PRE 1SE WHILE THE WOAK IS IN PROGRESS. This is !o eerfifY, ih .R~.~. /.-A&!f!V.Permiscion !o aseet a...._._.... .~?L.~+ ...................._upoa the above r se subject to the provisions of all applieable Ordinances far the ~p ¢an. described p ~.'L~r.a........................... Per ...------C F..:!~..^?i`.:°~.-. . = BuAding Impeclo: I IP .3s h o b H , r- ~ ~ ~ f~ rr) ' MASTER CARD LoCATIoN OWNER Ve r rrt a ti r~ STRUCTURE AND ~ 4/1 / LAND USED AS ~ ~ Issued Ta Permit No. I Issued Conhactor Owner BUILDING J~ 9•~~ p~'Q, yyLe PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Approved Items (Initial) Date Remerks Distance From Well FOOTWG v / SEPTIC FOUNDATION CESSPOOI . FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ' PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CON5TRl1CTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ~ ACCEPTABLE SUBSTITUTIONS OR ? DEVIATIONS COMPLETION OF CERTAIN IMPROVEMENTS . WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspec[ed the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions oburved to be at variance with ordinances of the Town of Eagan, approved plans and specitications, and any specific require- ments for off-site imprwements retating to the property inspected. F-I ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILOING INSPECTOR DATE COMMENTS: ~a ~ T0: NORIv1AN WITT FROM: DALE PETERSON, EAGAN BUILDING OFFIC a RE: WOODBURNINCr SUPPLEPdENTAL FURNACE 4270 Stirrup St. - Lot 9, Block 2, Saddlehorn Addition Eagan, Mn. 55123 'I'he inspection of the above installation was done on 11-12-80 and was found to be installed according to the manufacturer's recommendations. The clearances from combustibles met the requirements of SBC 8406 for unlisted appliances. DP/jac cc - Parcel File CiTY USE ONLY ~ ~ B~ `d RECE~PT M )aa ~ 5~ I SUBO. sA~A1 P N DY'Y1 RECEIPT DATE: ( 3 1'0D PERMIT# DSJOJ~ 2000 PLUNIDING PERMIT (RESIDENTIAL) CITY OF EA6AN 3830 PILOT KNOB RD EAGM, bN 55122 651-681-8675 Please complete for: ? single family dwellings D townhomes and condos when pertnits are required for each unit ? backflow preventer for undergraund sprinkler system FIXTURES EACH N TOTAL Aiterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 1 3.00 x = $ Hot tubfspa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Se tIC SYStERt new/refurbished • requires nnPC iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 x = $ Rou h o ening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rfdwelling is underconstruction 3.00 x = $ Underground sprinkler rf exisfing dwelling 30.40 x = $ Water closet 3.00 x = $ Water heater 3.00 x $ Water softener if dwelling under construction 5.00 x = $ Water softener if axisting dwelling 30.00 x = $ Water tumaround 30.00 x $ State Suroharge .50 $ .50 70t3! -a $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - I hereby acknowledge that I have read this application, state that the inforrnation is cortect, end egree to comply with all applicable City of Eagan ordinances. tt is the applicanYs responsibility to notify, the pfoperty owner that the City of Eagan assumes no liabllity for any demeges caused 6y the City during its nortnal operational and maintenance activRies tD the Ydcilities constructed under this parm@ wRhin City property/Nght-of-wayleasement. . S1TE ADDRESS: T Z76) OWNER NAME: :~2L~e 4NMINII Gl C'~ TELEPHONE ~4,15v-.!5 EA CODE) fNSTALLER NAME: Jt-eT~- f fL-~ ~ TELEPHONE#: ( ~~/20 rn/ STREETADDRESS: 0'900 ks ~``z', (ARFA CODE) CITY: STAT : WW Z : SIGPIATUREOF PER EE ***f*******~*~*#*~****tf*******~#*** ~ ~ ' C I TY O F E A A i~ *~cn~ m~ r7(~~ ; ~APPROVAL OF PF~2NffT. APPLICATION FOR PERMIT INSPDCIZIX~I oF SfiTWTt ANID/OIt i~,TIIt IN$LAiTATTON$ WILrL NOT BE SCf1FD-- EWER AND/OR WATER CONNECTION ~ ULED UNrIL PERMT HAS BEM * ArPitavID. . ~'***3i**FlrF**f **l**aF#*****t*rt*'k*f#*k P ease Print) 1) 4LEALD TY DRESS: ~'70 s~-ri~,~y~ SCRIPTION: ~,~1~ ~Jop~ AW " Lot Block Subdivision or Tax Parcel ID ) Io -1-7-72 - L IF MSTING STRL'MME. DATE OF ORIGINAL BLILDING PERMiT ISS[:ANCE: ~ , PRESENT ZOt1ING/PROP0.SID LSE: (Mon Year ='P]ERCIAL/REI'AiL/OFFICE R-1 SINGLE FAMILY ' Q IDIDL'STRIAL ~ R-2 DC'PLEX (7.t,o Onits) INSTI'iL'TIONAL/GOVERPH+'~,'NT ~ R-3 MWNEiOLSE (Three + Units Dnits ) p R-a aPaxzrair/co.roorurnLm ( onits) z) L~ 4-,L NF1ME: e0 P • ADDRESS: N u Jr'4I'-H4,- IQS 3) CITY, STATE. ZIP: ~ . PHONE: 3) , u I: NP1„E° ? 14 tnio w`~ ~'?c., Pl Fumbers LicLense: ADDRFSS: FiTed CITY, STATE. ZIP:recorded PxoNE:_S~? 3(n7J MASTEa LlcENsF.# _a-u6 s -St-a-fF initial g) • • NAI"lE: eo~q- i , aoDREss: CITY, STATEr 2IP:_ ~14ari4~ PHONE: . •5} ~ v ~ ~ a• : a • o~ - a~ EL CONNECTION TO CZTY SEWER G~sON~=ION ZYJ CITY WATII2 ~ OZ'fM . 6) ~PI.EASE HOI,D APPROVFD PERMIT EY)R PICK-L'P BY ONE OF ABDVE ~ PIEASE MAIL APPROVID PERMIT TU 1. 2. 3, 4, ABOVE (Circle one) 7? $(o '/IJ•1Ct: ~ Y' Y I: M ~ ~ ~ I' i• 9 I.A ~ / Y91 JI 9 ~ S~ ' ~ 1~ 1 ~ . r M.!• •,(~?1 1 1 1 ' a" ~ ;A' • 11 Y' ' . . FOR CITY USE ONLY PERMIT # ISSOED Pd w/Bldg. Permit FEES: $ • `J ~ $ SEWER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ ~ ?'~G $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ $ ACCOIINT DEPOSIT - WATER S :57-o C) Ct G $ WAC $ ~ 75 G S saC $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ ~ LATERAL BENEFIT/TRL'NK WATER $ / ~ ~if% $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ 43 vs, s G $ TOTAL RECEIPT RECEIPT DOES UTILITY CONLVECTIOLV REQDIRE EXCAVATION IN PC'BLIC RIGHT OP WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL~BLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING LbNDITIONS: APPROVED BY: TITLE: DATE : To Gene VanOverbeke, City of Eagan: As per our conversation concerning 4270 Stirrup, Eaqan, on March 26, 1986, the fees for permits and hookup fees will be deducted from the proceeds at closing. Fees are not to exceed $1,345.50. Sincerely, , Ka en Johnson Edi a Realty ~C° ~ 3 \ I ~ , a ~ I N~ ;L4 \ \ > City of Fagan 3820 Pilot Knob Eagan,Mn., 55122 $1,.345.So Vater Hook-up for : 4270 Stirnm St. Eagan,'+In., 55123 Ordinance No. 114: Pemtit No. WELL CONSTRUCTION AND ABANDONMENT 91-2036 WELL PERMIT DAKOTA COUNTY PUBLiC HEALTH DEPARTNIENT ENVIRONMENTAL HEALTH SERVICES SECITON WATER QUAI.ITY MANAGBvIF;NT TJNIT 14955 Gala)ue Ave„ Apple Valley, MN 55124 Telep6one: (612)891-7556 WHEREAS# the NON-TRANSFERABLE PERMITTEE/DBA: Kelly D. Koch ADDRESS: 4270 Stirrup Street REVIEWED BY DS Eagan, MN 55123 has paid the sum of fifty ($50) dollars to the County of Dakota as required by ordinance 114 and has complied with all the requirements of said ordinance necessary for obtaining annual Reclaimed Use Well Permit for the well(s) described herein: The private, non-potable, water supply well is on a property served by • municipal water and is located in the municipality of Eagan. The well has been tested, results of the test have been given to you and are attached to this permit. The well is permitted for non-potable use only (i.e., lawn and qarden watering). The well is located in the municipality of Eagan as follows: Well Location Propertv Owner Well Owner and address and Address(if different) if different 4270 Stirrup Street Kelly D. Koch Eagan, MN 55123 NOW, THEREFORE, Kelly D. Koch is hereby permitted and authorized to keep and use the well(s) located above for the purpose described for the period through December 1991 to December 1992. This permit must be renewed at the end of this time period. Upon failure to renew this permit the well(s) will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said Ordinance. Given under my hand this 20th day of December, 1991. 1 ATTEST LIY~/Fnw1 /l 1.,r. ENVIRONMENTAL L E TH EK ON NTAL HEALTH DIRkCTOR ~pzCn ~'.it - • - . . _ , 4~,~r,.~ . . . r... ',r . . . . ` ,~,~t. ' . ' . . O~dioaoceNa.110: . ~ ' i'. WELL AND WATER SUPPLY MANAGEMENT Pernut No ~ WELL PERMIT ~ DATCOTACOUNTYENVIItONMENTALMANAGED'IENTDEPARTMENT 92 2036 WATER AND LAND MANAGEMENT SECTION > . . tavss caw~e M.~,. Md. v.ft. nv+ssixs . . - TdeQ6ooe (612) 891-7011 . _ . . ' , j P x. x~ . ~ - WHEREAS, the NON-TRANSFERASLE PERMITTEE/DBA:'Sandra Tousignant ' REVIEWED BY: Farr p•,x?'. ADDRESS: 4270 Stirrup Street Eagan, MN 55123 ' - ~ has submitted a.permit::application,.has paid.the sum of $50.00>.-- dollars to the Count of:Dakota as re y. quired by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary ;x for obtaining a Reclaimed Use Well permit described herein: x A private water supply well is on a property served by a municipal water supply. The well xs permitted far non-potable use anly, such as iawn and garden watering. This well is subject to inspection by the Department of Environmental Management. . TFiE WELL IS IACATED IN THE MUNICIPALITY OF EAGAN AS FOLIAWS: WELL ?ACATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS w 4270 Stirrup Street Sandra Tougisnant Sandra Tougisnant = 4270 Stirrup Street 4270 Stirrup Street Eagan, MN 55123 Eagan, MN 55123 NOW THEREFORE, the property owner is hereby permitted and authorized to keep and use the well located above for the purpose described for for the period of December 1992 to December 1993. This must be renewed at the end of this time period. Upon failure to renew the permit the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is suhject to all provisions of said ordinance. Zf the property is sold or otherwise- transfered in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with ordinance requirements. Given under my hand Friday, August 20, 1993 L~ ATTEST iV ONMENTAL SUPERVISOR ENVIRONME MANAGEMENT DIRECTOR t , , : . . . . . . . ; : . . . . . . ,~.,k,+, . , . . . , . . . IY5"'~~~~t ' WELL'AN1D WA,TER SUPPLY MANAGEMENT' ;xm Permit No. / ~ 4 1 Y!' L'ufuL".r L' iV.V1E 1 . . }T~ i .a~ v~.. 1 y i. . . . . . . `'DAKOTA COUNTY ENVIRONMN.NTAL MANAGED'II:NT DEPARTMENT r WATER AND LANll MANAGEMENT SECTION , Y iavssc.llik s..vu, APPkV+L-Y.nwss1u 93-2036 ' P. Tdephom (612)8917011 . . . . WHEREA3, T8E NON-TItAN3FERABI,E PERMITTEE/DBA: Sandra Lee Tousignant REVIEWED gy;pg ADDREsB: 4270 Stirrup St. Eagan, NIN 55123 •has°rsubmitted.a permit application, has paid the sum of fifty dollars "'($50.00) to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining a reclaimed-use we11 permit for the wells deseribed herein: A private non-potable water supoly well is on a property served by municipal water supply. The well is permitted for non-potable use . only; such as lawn:and garden watering.` This well is subject to inspection by the Department. This well is subject to inspection by the Department. • , This well is located in the municipality of Eagan as follows: Well Location Property Owner Well Ovmer (if different) Sandra Lee Tousignant 4270 5tirrup St 9270 Stirrup St Eagan, MN 55123 Eagan, MN 55123 NOW, THEREFORE, the property owner is hereby perntitted and authorized to keep and use the well described and located above for the period of December 20, 1993 through December 20, 1994. This permit must be renewed at the end of this time period. Upon failure to renew the permit, the well will be considered to be abandoned, and will be required to be sealed within 90 days. This permit is subject to all provisions of said Ordinance. If the property is sold or otherwise transferred in this time period, the owner must inform the buyer of permit requirements and the buyer agrees to maintain the well in accordance with Ordinance requirements. Given under my hand this 3rd day of January,199 ATTEST xx- ON ENLTAL~~~SUPERVISOR ENVIRONMENT MANAGEMENT DIRECTOR F-Nl 14;~r Jwv eb, ;:~bb6 FR: THERESRSCHOSTRG #29319 PRGE: 1i1U-h~ I frf-- ~{~JL . C 0 U N, ENVIRONMENTAL MANAGEMENT DEPARTMENT GROUNDWATER PROTECTION SECTION 14955 Galaxie Avenue • Apple Valley, MN 55124 952.891.7557 • Fax952.891.7586 - www.ca.dakota.mn.us C L' ~'i. I F{, (i MUNICIPAL NOTICE OF WEL ~PERMIT APPLICATION DATE: Januuy 6, 2006 TO: Tom Co16erUWayne Schwanz (EM) Fax (651) 675-5694 RE: Well Permit#: 06-11242926 Well Type: Domestic Municipality: Eagan Environmental Specialist: Rutten The Water and Land Management Section of the Dakota Counry Environmental Management Deparhnent tias received the fo]lowing permit application for the well described. If you require futther review of the applicarion or if you have any quesfions or concerns about it, contact the Environmental Specialist listed above or our office at (952) 891-7557. If there is no response from your office wit}iin 24 HOURS (excluding weekends and holidays), we will assume that you have no objecrions to the issuance of the pernut. Please note that pernut issuance is always conditioned on the perrnit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Harhnann WellCompany DaCe Application Received: 1/3/2006 Anticipated Drilling Date: Time: Anticipated Grouting Date: Time: Property Owner: David G Kocemha W ell Owner: David G Kocemba WELL LOCATION: PLS Coordinates: 1/4, 1/4, 1/4, 1/4, Sec Town Range Street Address: 4270 Stirrup ST PTN Number: 1065$0009002 WELL INFORMATION: Diameter: 4 Casing Depth: 177 Total Depth: 182 Static WaYer Level: Aquifer: COMMENTS: LOGISMap Output Page Page 1 of 2 City of EAGAN Lec N ~ Med F l.luniqal B. . wntla Painl Slree!s U SireetRame ~ ¦ Lakaz N Pahs ~ E:1 Parwk I ~ I y i ~ I ~ A p ~ O C O j 5 Q y o y I U ti ~ cl'_'J~GCSm~s p . PID:106580009002 4270 STIRRUP ST EAGAN, MN 551230000 http://gis.logis. org/servlet/com. esri.esrimap.Esrimap?ServiceName=ea_LOGI SMap_O V... O l/10/2006 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108212 Date Issued:11/26/2012 Permit Category:ePermit Site Address: 4270 Stirrup St Lot:9 Block: 2 Addition: Saddle Horn PID:10-65800-02-090 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Heather Brockman 21210 Eaton Ave 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 - STEVEN J FREUND 4270 Stirrup St Eagan MN 55123 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160264 Date Issued:02/26/2020 Permit Category:ePermit Site Address: 4270 Stirrup St Lot:9 Block: 2 Addition: Saddle Horn PID:10-65800-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Eric Spaen 4270 Stirrup St Eagan MN 55123 Window Store Home Improvements 2924 Anthony Lane #115 St Anthony MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature