4341 Stirrup StPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128221
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 4341 Stirrup St
Lot:5 Block: 1 Addition: Overview Estates Replat
PID:10-56210-01-050
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
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Theodore J Lebens
4341 Stirrup St
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN WATER SERVICE PERMR
3830 Riiot Krwb Rosd
P, 0. 3ox 21199 PERMIT NO.:
Esgan, MN 55121 DATE: 19-66
ZaninD: No. of Unitr. '
Owner: - - '
Addmss:
Sih llddress:
Plumber. aAm
Mefsr No.: 37-o g o2• yo. ttfon Chorqe: 00pd
n A
Reodsr No.: I *4vv&ft
M &ALM
1 wkh
7 REC~UIRE fl _ Totol: , - e Pr
BY Dco. Paid:
of insp.. ~ i~.:
CITY OF EAGAN VIIATER SERVICE PERMIT
3830 Pilot Kno6 Road
P. O. Bc .21199 PERMIT NO.: "
Esgs", MN 55121 DATE: '
Zonirg: ~
No, of Units:
O+vror:
Addren:
Site Addren: j -'f ~ L .'C". J _ •le )
Plumbar. . ' . - "
Mster No.: Connection Chorqe: ~ •
Slze: /lecount '
R°°dsr N°.. Pertnit F ~t:
1 Nne te eMPhr wm Nw Gh of alsm Surcharpe: ^~1
Oldhw1Or' Mlsc. Charges: ' ,,d '!'P
TotoL• • ~ -
By Dats Pbid:
Date of Irnp.: Irnp.:
CITY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Bo:: 21199 PERMIT NO.:
Eapan, MN 55121 .
Owr»r. No. of Units:
llddross:
Sit! Add/E3E: ' r ~ _
Plurriber.
h My11 rvi& ey Cft of y"a Connoction U+orps: ~ n 0•~~Q~x;
ONFasofte.
Aocouu+t DeOosit:
Penriit Fee: ' tN
By Surchorpo; _
Dote of Insp.: Mioc. Chorom Total:
Inip.: DoM Pald.
~ , _ _
CITY OF EAGAN
.r
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 .,_~}i~ •
PH O N E: 454-8100 ~
BUILDING PERMIT Receipt #
To be used for ~ ~ ~ L14--0"Est. Value Date ,19 '
Site Address 134-1 S'fIT°hi;,-' OFFICE USE ONLY
1 ',3yE:;~V2 = a E" .i° :j'X'~$ On Site Sewage Occupancy
Lot ~ Block Sec/Sub.
~ MWCC System Zoning
Parcel No. On Site Weu (Actuary Const
oc Name =~oodore and t8t1^y l.ebens City Water (AllowaWe)
z Address .4341 3t 1 r_ ru;; bt PRV Required # of Stories
o :Sa ~S6-t~421 Booster Pump Length
City a•n Phone -
Depth
a Name = r?; S.F. Total
o
Footprint S.F.
~ ~ Address
P City Phone APPROVALS FEES
~ a Engr./Assess. Permit •
W Name
~ z Planner . Surcharge • `
Address
~ W City Phone Council Plan Review
Bldg. Off . SAC. City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
r. ~ Water Meter
Signature of Permittee RoadUnit
A Building Permit is issued to: Treatment P1
on the express condition that all work shal I be done in accordance with al I Parks
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
TOTAL -
Building Official-------.--- - - - -
Permit No. Permit Holder Date Tslephons it
Plumbing
H.V.AC.
E lectric
O?L
softener °D
Inspectfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ~ L
Isul.
Fireplace ~
Final Htg.
Final Plbg. p L r~ Z~/QG
Bldg. Final p-
Cert Occ. 2 ,
Temp. LP 3/2 %171
Deck Ftg.
Deck Final i
Well
Pr. Disp. ~ ` ~
-
Ai,
'12 s-..
~ . ; ~ . PERMfT # 7C) 1 U
• MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHbNE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block % Sec/Sub ' •
Res. New
~ Name Mult Add-on
2 Address Comm. Repair
c City Phone Other
~ Name FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1%OF CONTRACT FEE
Boiler M 8TU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU ~ STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets # ~
Other
FEE J
s/C. SIGNATURE dF PERMITTEE
TOTAL
FOR: CITY OF EAGAN
• , . . , . . . r.. ~ . _ .
, CITY OF EAGAN 11745
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ti--
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor 'F OWGfVAR Estvalue $66r000 Date APKIL i 19 86
Site Address 4341 STIRRUP ST Erect LJ Occupancy R3
I.ot 5 Block 1 Sec/Sun. OVERVTEW ESTAT$6model ? Zoning Rl
Parcel No. REP£.AT Repair ? Type of Const Y.
Addition ? No. Stories
GREtiiVD 011?{S J'r.VEL : U Move ? Length 5fl
a
W Name Demolish ? Depth
o Address 1t381 SUyRZSE CT Int Impr. ? Sq. Ft.
city EAGAN phone 452-8934 Install 0
~ 5A,.L APprovals Fees
o Name
0 i Address Assessment Permit $ . 0 U
33
~ City Phone Water & Sew. Surcharge '00
Police Plan Review 165.50
~
~ W Name Fire SAC 575.00
= Z a Address Eng. Water Conn. 500.00
U
i W City Phone Planner Water Meter 63.50
Council Road Unit 23U• 04
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 4/7/84 Tr. PI. 156.00
information is correct and agree to comply with all applicable State o1
MinnesQta Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copie
Signature of Permittee Total Y l r 1 l 4. U0
A Building Permit is issued to: GRA.'VD OAlCS I)k:VEL CU on the express condition that
all work shall be done in accordance with all applicable Stete qf Minnesota Statutes and City of Eagan Ordinances.
Building Official
' PwmN No. Prrmlt HoIdK Ods TN"hom N
~u ni" C~, G.c2 ~ / ~,6
N.V.A.C. 0 Elacbic L~~
Softener
InspacNon Data Insp. Commenb
Footlnyi I
FootinW 11
Foundstbn
Framinq
RooNny
Rouyh Plbp.
Rouyh Nty.
Inwl.
Fireplace
Flnal Mty.
FMaI Plbp.
Bldp. final L
Cerl. OeC.
Doek Fta.
Dock Frmp.
w.u
Pr. Disp.
PERMIT # :2Q'7 ~
MECHANICAL PERMIT qTY OF EAGAN RECEIPT # ~ - -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 4544100
Site Alriss , gLpG, TypE WORK DESCRIPTION q3yf Lot Block Sec/Su
New
~ Name Mult Add-on
Address ~ Comm. Repair c City Phone Other
- Name , FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone - ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU ' STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRiCE GOES
BEYOND $1,000.00)
Gas Piping OuUcits #
Other
I
FEE - ~ ~
S/C: SIGNATURE OF PERMITTEE
TOTAL• ~ • ~ ~ ~
FOR: CITY OF EAGAN
181 'd
~jV/
ironQhs~rom41
E 14 0 4
Heque~ Dal Fre No. Rouph-i Insper.lion
Ne iretl? ~Reatly N. ~Will NoIify InsPec-
Ves ?NO Ior Whe y
? Licensed E1ecVical Connactor I herebv neauest insDectfon o bove
Owner elec[rical work installed at:
S1reeaAtldress, 9ox or Rav[e No. Ci1V /
. S l S ~
ecuon o. TownshiD Name or N. Range No. Count ~
OccupantlW11NT1 Phone Nn.
Power Supplier A dress
e*o ~ e%Gt/_1 c. 3 i rrN S1t
Elecvical Contracto ICompany Namel Con ar,tor's License No.
Maifng AdJress IContractor ar Owner Making Insrail ion)
Authoriz atwe I nVaclor/ - aking Instail on1 Phone Number
MIN E OTA STpTE BOAR F ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Gr'~ggs-Midway Blda. - Aoom N-191 BE ACCEPTED BV THE STATE BOAXD
1821 Ilniversitv Ave.. S2. Pxul, MN 55104 UNLE55 PPOPEN INSPECTION FEE IS
Phenef6t21642-0800 ENCLOSEO.
REQl1EST FOR ELECTRICAL INSPECTION ~ -oooo
~
See instractions for campleting ffiis torm an back oT Yellow copy. ~op~
E~~ ~.0[~ 9' ' X"' Below Work Covered by This Request ~0(D
Nm4AddjRep-j TVOe o1 9uiiaing Appllancea wi.ed eauiumett wi.en
Home Range Temporary Scrvice
Duplex WaTer H¢ater Lightin(
q Fixtures
Apl. Building Dryer Elec[ric H¢abn
Commercial 81dg. Furnace Silo Unloade,
Industrial BIAy. Air Conditioner Buik Milk Tank
' Parm omv. DerJy nm~, isn„~_~~v~
t ,r ue,irv ome, o,nu,
nmpute lnspection Fee Below
N Fee ServiceEntranceSize !1 Pee Fenders/5ubfeedels N iee Cir uits
0 to 2~~ Amps 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 A MPS
Swimming Pool Above 100_P.mps Above 100_AmPS
Transrormers Inigation Booms Partial.-0ther Fee
Signs Special Inspection -5~0
Rgm3rks ~y Q TOTAL F
F-fE 3G
, c~ ~ p •
flough-in ~ ? ~ Da1le 1, {he Electrical
4/~ a 11~~ ~ insDector, hareby
~ certify thei tbe above
Final ~G'~-' insoection has been
o1O asiee.
ThiareQuestvalalBmonlhalrom j Z)
%~)3
('91PA1150 C' 0041,96,
~ 335 55 ~
Raquest Oate Fire No. flougp-in Inspectian
R iretl? ? Reatly Now MWill Notiy Inspector
Yas G N. When Reatly?
t 0 licensed contractor ` owner hereby request inspection of above electrical work at:
Job Atltlress (Street, 6ox or Rout No.) City
Sec~ion No. To nsnip Name or No. Range No. Counry
o q
Ocoupam(PFWT) PhoneNO.
-Tk e O k-e Dr~- `f' ~ ~t9 22
Power Suppli r Atltlress
f,7d
Eleclrical Conhactor lCompany Name) Gontractor's License No.
Mailing Atldress (COmroctor or Owner M1a~king Installalion)
f'l~f..n C Qf ~f9d d e
Authorgnature ~Conlract IOwner Z94 Phone Number
MINN SOTq STATE BOARD OF E THICITY THIS INSPEGTIDN REOl1EST WILL NOT
GriggrMlEway Bltlg. - Foom 5-173 BE ACCEPTED BY THE STATE 80AR0
1831 Unlvarsity Ave., SL Peul. MN 55106 UNLES$ PPOPER INSPECTION FEE IS
Phone(813)6<2-0800 ENCLOSED.
P v'ja S~ REQUEST FOR ELECTRICAL INSPECTION
? See insimctii for completing this form on oack ol yellow cnOY.
9 3 3 5 5 5 '°X" Below Work Covered by This Request
ewAdd Re TypeofBuiidinq AppliancesWired EquipmenlWiretl
Fbme Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
Olher (specdy) Conlrac1or's Remarks: ~ ~ r qr~.
~snTf.~nls~ ~
Compute lnspecti0n Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensiormers Above 200 _ Amps Amps
„SignS Inspector5 Use Only: ~t 7 ~
Irrigation Booms ~~~(LV ~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORihER ONNECTED IF NOT
Olher Fee COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspectoc hereby aou9n-m ~ oei
certity that the above inspection has Final aie
been made. •,J
OFFICE USE ONLY
ThIS repuest voitl 18 months trom
Coq
Hequest Date Fire No. qeQe, -ed? Ins~Ve'
r,[ion eatly Now d Will Notify. Insnec-
~ ?1'es ($'NO mr Whan Reatly
p Licensetl ElecVical ConVaCtor I hereby request inspeclion ot eEeve
? Owner elactrical work installe0 al:
Sbeet Address, Box or Noute No. Citv
eclwn o. Township Name or o. HaoBe o. Covnt
Occupant (PpiNT) Phone No.
7`~aG L e e
Power Supplier Address
N .5 /el -
Electtical Contractor ICOmOany Namel Cnniractor"s License No:
_ et~~ . e~-'lee~.td- G-, O
Mailina AdJress IConvactor or Owner Makine /Jlns~tailationl
G? `7/D uda'"
AuMorizeA $ignaIDre (ContractoJOwner Making Inslallation) Phone umber
MINNESOTA STATE 90ARD OF ELECTIIICITY THIS INSPECTION NEQUES WILL NOi
Grigpa-Midway Bldp. - Room N•791 BE ACCEPTED BY THE STATE BOAPU
1821 University Ave., St. Paul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phona (612) 297-2711 ENCLOSEO.
HEQUEST FOR ELECTRICAL INSPECTION ea.ooooi-no
1 Seo instructions for comoletiny this form an haek of vallow cooV.
C 20553 "X" Below Work Covered by lhis Request 6--9,60-2
AAd fleD~ TYPe of BuilOing AoOliantea WireA Equipmenl WireA
Home Range Temporary Service
iiplHx Water Heater Ligh[iny Fixtures
Apt. BuilAing Dryer Elec[rie Healrn
Commercial Bidy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
Farm in., uec, v m,, ism.,jW1
1 .r ucuty Other Other
ompute lnspection Fee Be/ow
p Fee Service EntrencaSizett Fee Feeders/Subfeeders N Fee Circuits
U to 200 qm s 0 to 30 qm s 0 tn 30 Am s
Above 200 qmps] 31 to 100 Ainps 31 to 100 A 5
Swimmin Pool Above 100_Am s Above 100_Am s
Transrormers Irrigation 8oorr~s PartiaL'Other Fee
Aemarks SignS Special Inspection $ `,DTOT L FEE Vv'
V /
flough-in Dnta I,the Elecvical
Inaoectoq hereby
ceriily thet the above
Final e inspeclion hes baen
? /y mede.
(Ma repuest voltl 18 monthe irom
m.s request void~ llYi ~ ~
,e„h' '$-9 81~~ ~ ~Pi Vf ~
Rnqves[ Da Fire No. RouPh-in Insuection
Reqmred? ~ROady Nuw~Will No~i(y InSPec-
~ar When Readv
J cy(~ VYes C] N.
cense0 ElectriCal Convaclor I heraby repueslinsDeetion otabove
? Ownar electrical work installed at:
Street AAAress,% ox or Rou No. I CI
ecUOn o. T Counry
ownship Name or No. AT~ee No.
O ypuntlPRINT~ Phane No.
e k~-
Power SupOlier Address
r
EI icjal nCoMramor (Co n/yn N/ame) . Contrac}~ i'^s License No.
'."tJ/-~~ ~-Ls
Mailin0 A-'tl7Jress ICOnv ctor or Owner Making Instailationl z~/
7~O/S vQ L c..ISV/
Author' Sj naIDre IConttac or Ow9er Making In alla ~inn1 Ph ne Number
' 9v
MINNESOTA STATE BOAflD OF ELECTqICITV THIS INSPECTION NEQUEST WILL NOT
CriB9s-Midwey Bltlg. - Naam N•191 BE ACCEPTED 9Y THE STATE BOAflD
UNLESS PflOPER INSPECTION FEE IS
1827 Universitv Ave., St. Vaul. MN 55104
Phnne 18121 297.2711 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oocwi-oa
- J ~ 5ee in9trucliOnS br CoTplBtirg 1hi4 ferm On beck o1 Veilow copv.
~C,,81 "X" Be/ow Work Covered by 7his Request
AAd Xep. Type o18uilEine Appliancea Wired Equiument WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buf IAing Dryer Electric HeaUn
Commercial Bldy. Fumace Silo Unloader.
InAustrial BIAg. Aii Conditioner Bulk Milk Tenk
Farm 01her peu y iher ISner.ilyl
t>r ~y iher Oth.,
ompute nspection fee Below
p Fee Servica EnhenceSize p Fee Feeders/Subfeeders N Fex Circuits
- ~Q U to 200 qm s 0 to 30 Am s in 30 Am
A6ove t2Am ~s 31 to 100 qmps 31 to 100 qrn s
Swimml Above 100_Am s Above 100_Am~s
TranstIrrigaiion Booms Pdrtial-"Other Fee
Signs Special InsUection
Xemarks OTAL E
.W
floueh-in Date ~i ~he Ele '
~ ~j~~`Q Insoeccaq hereby
' cer/ify lhat lbe above
Final D~~~ insoec[ion hes baen
matla.
TMe request vdC 1B monihs irom
CITY OF EAGAN ~T 16017
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~ ~
' PHONE: 454•8100 C;.
BUILDING PERMIT Receipt# I
Tobeusedfor BASEMENT Est.Value $1,500 Date JAN 6
Site Address 4341 STIRRUP ST OFFICE USE ONLY
Lot 5 Block 1 Sec/Su6. OVERVIEW ESTATES O^SiteSewage - Occupancy
REPL-AT MWCCSystam _ Zoning
Parcel No.
On Site Well _ (ACtuap Const
: Name Theodore and Cathy Lebens CiTy Water _ (Allowable)
w PRV Fequired # of Stories
= Address 4341 Stirrup St -
3 Booster Pump Length
° City Eagan pnone 456-0422 -
Depih
, p Name SP7 f S.F.7otal
~a Address FootprintS.F,
0~ City Phone pppROVALS FEES
W W Name Engr./Assess. Permit 36.00
rZ Planner Suroharge 1.00
i- Address
uz City Phone Council _ Plan Review
aw
Bldg. Oif. SAC, City
I herebyacknowledge t0at I heve read this application and state ihat ihe Variance SAC, MWCC
iniormation is correct and agree to comply wilh all able State o Water Conn.
Minnesota Statutes and Cit ~egan Ortlinanc Water Meter
l ~
Signature of Permitt~__ Road Unit
A Building Permit is issued Ia-ThpgdOl-Let1eIIS- ',II- TreatmeM Pi
on the express condition ihat all work shal I be done i n accor~ce with all
applicable State of Mi/n~nesota Statutes and City of Eagan Ortlinances. TO7AL Parks 37.00
y~~„~, R~~,_ _
Building0tfieial_~.,.axezay__i{-
I
CITY OF EAGAN
- " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 11745
PHONE: 454-8100
BUILDING PERMIT Receiptp
To be uaed for SF DWG/GAR Est. Value $ 66 ,000 pate APRIL 7 79 86
4341 STIRRUP ST R3
Site Address Erect LJ Occupancy
Lot' 5 elock 1 Sec/Sub. OVERVIEW ESTATEkamodel ? Zoning R
Parcel No. REPLAT Repair ? Type of Const V
Addition ? No. Stories
a nlame GRAND OAKS DEVEL CO nnove ? Length 50
; Address 1881 SUNRISE CT Demolish ? Depth d
Pr. ? sq.FC.
° cry FACAN phone 452-8934 IInt nstall ?
o Name SAME Approvals Feas
05 Address Assessment Permit ' o
~ City Phone Water & Sew. Surcharg~u 0
~Q' Police PlanReview 165.50
F W Name Fire SAC 575.00
i Address
u ~ Eng. Water Conn.
a W City phone Planner Water Meter 63. 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatme gldg.Off. 4/7/86 Tr.PI. 156.00
information is correct and agree to compl with all applicable State of
Minnesota Statutes and C'ry of Eag r nces. APC PBrks
I Var. Date Copies
,Signature of Permittee ' Total $ 2•114 . 00
ABUilding Permit is issued to: GRAND S E L CO on the express condition that
all work shall be done in accordance with all applica te Minnesola St utes Ci of Eagan Ordinances.
Building Official
. ~1
CITY OF EAGAN Remarks
Addition_(]ygT~+}g/ri+I, ~-Elt6r,RgplaT, Lot 5J BIk } Paicel #10 $6210 0$0 01
Owner Street 4341 $z;£xup Stxast_ State Fn gn, _5512Z
r I
Improvemient' Date Amount Annual Years Peyment Receipt Date
STREETSURF. IIDP.S9l 1981 3242.41 216.16 15 ~ µ
STREETRESTOR. 5T/ 19$1 1021.16 6$,0$ 15
GRADING
SAN SEW TRUNK .y' g, 7981 300.00 20.00 15
*SEWEFiLATERAL 590 19$1 5096.85 339.79 1$ -
WATERMAIN
*WATER LATERAL 1981
WATER AREA 1981 300.00 20.00 15 j
STORMSEWTRK 37r,j 1981 $91.82 39.45 1$
*STORMSEWLAT 19$1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
~
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
j S~~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~-7
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdon Reauirements RemodeUReoair Reauirements O~ce 0`se ~OnN
3 regatered site surveys showirq sq. ft. of lot, sq. ft. af house; and all roofed arws 2 copies of plan CeA of~SuiYayReai 'N _ N
PCd,. ~Y;_ A
(20%maximumbtmverageallowed) lsetofEnergyCalculaGOnsforheatedaddilions TreaPrQSPIprip
2 copies of plan showing beam & window sizes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres R-equiretl
1 set of Energy Calculafbns Add'rtion - rndicate Konstte septic system Orvmrite Sepfic.System: V _°Fl
3 copies of Tree Presenation Plan if lot pladed aher 7/7/93
Rim Joist Defail Optlons selectlon sheet (bldgs with 3 or less unils
Date _J! ~ / Construction Cost Zv~~s
SiteAddress Ll Unit/Ste #
E ~C 1,7 Description of Work C'/'nr4'I / G1 S/ n
Multi-Famity Bldg _ Yt N Fireplace(s) _ 0 _ 1 _ 2
Property Owner eoWmI°v ~ - Le ~ P''fS Telephone
Contractor
Address ' City C-5'CL 5P4"Z-7
State Zip Telephone # (6fl ) ~e5 J3~'/7
ce
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submiked
Have you previously consiructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Coniractor Telephone # ( )
Sewer/Water Contractor Telephone # p ~
n
i, I hereby apply for a Residential Building Permit and aclmowledge that the inforniation is a~e an ccurate;
that the work will be in conformance with the ordinances and codes of the City<qf___aR g n an~_ d the S~at of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to stact without a
pemut; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans. ~GrEc~c~d vP ~ e t= ?
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 A 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex O 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation G~IJ Occupancy /2 MCES System
Census Code Zoning City Water
SAC Units - Stories - Booster Pump
# of Units ^ Sq. Ft. PRV -
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
~ Foorings (deck) FinaUNo C.O.
_ Footiugs (addition) _ plwnbing
_ Foundation HVAC
_ Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee -
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
,J4jfikEYOR9~'J CERTIFICA.TE :GRANU OAKS UEVELOIMENi C0.
EXISTING #361 I
JX93_5'
HOUSE n
L
I 972.8 X 30
W
1 F II
yj 2
J Q
' N 89046'05"E 150.00 ~
~ s
e31.0x . 48.00 931'07 30.00 930A
931.9% 930,3
~ N 930AX
s W
' ~ I ' •I ~ 10 ' .
W
N NI
0 I0 s3i.zx26.0 xsaa Q
00
O N : p
~ L.OT
I 'S N7_ %930.1 (9307
3 ~ R/o I~ -
a 22.0 .,,~.t cokc~a, jn :
5
o gtZOP SED ~t . sao.e
°6RIV EWAY
0 25.67 0~ v..,„:..v..
O I W~ ' 930.9X v 22.33 Ox 930.7
N
Z , j~- !I~- I
Z «
$I ~
5 ^4 ' IN NI 10 ~
~ ~ I I_~ • ~ N
~ 931.8 X ~
1 vl 931.6 932.0
933.3% 4B,OO "830.94 30,UU...~ .
9ao.ax N 89°46'05°E 150.00
.I
I • I 30
X833.B
931.4%
EXISTING HOUSE
DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCII = 30 FEET
O DENOTES IRON MONUMENT SET T FEET
• IIENOTES IRON MONUMENT FOUNU PROPOSED GARAGE FLOOR = 93'?~ fEET
(000.0) UENOTES PRUPUSEU ELEVATION PROPOSEU TOPEUF BLOCK = 933-5 FEET
I fIEREBY CERTIFY TO GRAND OAKS DEVELOPMENT CU. ThIAT THIS IS A TRUE AND CORRECT
REPRESENTATIUN OF A SURVEY OF THE DOUNOARIES OF:
Lot 5, Dlock 1, OVERVIEL+' ESTATES REPLAT, according to the recorded
plat thereof, Dakota County, Minnesota.
ANU OF TIIE LOCATION UF Fl PROPOSED 4UILDING. IT UOES NOT PURPURT TO 5110W 1MPROVEMENTS.
OR ENCROACIIMENTS, IF ANY, TIIEREUN, A5 SUIZVEYED BY ME, OR UNUER MY UIRECT SUPERVISION,
TI l i 5 25Tw DAY OF MAQ.C.N , 1986.
SIGNED: JFlMES R. HILL, INC.
1/f~ved S/'1r'lm~f to slfow
fj7+~'
iylTCPVncw` Pi? 6
DY:
gviyi`kial dareVf`an HAROLU C. PETERSUN, LAND SURVEYOR
PIINNESUTA LICENSE N0. 12294
hIIOJECT N0. BOOK / PAOE JAMES R. HILL, INC.
86 444 146 / Planners / Cngineers / Survey;ors
FILE N0. 36 8200 Humboldt Avsnue Soutli,
FOLDER eloominglon, Mn. GG431 012-084-3029
1986 BQILDING PBRMIT APPLICATION - CITY OF EAGAP
HOTS: ALL COAYRACTOES HOST SS LICENSBD WITH THE CITY OF EAG9N
SIAGLS FAPIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS
lIOLTIPLS DTiELLING3 - RESIDfiNTIAL RENTAL W1ITS FOE SALS DRITS
INCLUDE 2 SETS OF PLANS, CE@'PIFICATE OF SDRYEY - CHEC[ iIITH BLbG. DEPT.,
7 SET OF ENERGY CALCULATIONS
C014lERCI9i:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date:
Site Address q34IJhriu„S ~ OFFICE IISB ONLY
Lot ~ Block L RErect emodel ~ Zoningney ~
Pareel/Sub oYOWU i& f5k- Repair Type of Const 'SC
Addition # of Stories
Owner ~Q~ ~L-Q~ 5 Move _ Length 50
Demolish Depth 4v
Address Int.Impr. _ Sq Ft
Install
City/Zip Code
Phone ~ APPROVALS FEES
Contractor Assessments Permit
Water/Sewer Sureharge 33
Address Police Plan Review
Fire SAC 5"1 S .
City/Zip Code Engr Water Conn SoD
Planner Water Meter 63 T
Phone '7 ~J 3`7 CouneilRoad Unit 2q0.
Bldg Offj~- / hC> Treatment Pl I S(o.
Areh./Engr. APC r~ Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone 4F
AOTE: ADDRESSES FOR CORNEE LOTS - CONTRACTOR/HOMEOiiNEB HOST DESIGN9TB WHICH ADDRESS
IS DESIRED. NO CH9NGFS fiILt BE 9LLOiiED OBCE BOILDING PERMIT IS ISSDED.
I • SURVEYOH'S' CERTIFICATE ~ GRANU OAKS UEVELOPMENT C0.
EXISTING #361
HOUSE n
I ~
L_ I 832.8 X JX932.9 y 30
I
~ F rl
IY 2
N 89°46'05"E 150.00
~
931.9% 931.0X . 48.00 931'07 30.00, 9302
~ 930.3
~ In 9304X ~ ~ •
~ g 10 oI 10 W
' -
o,
~ N NI W
I LV
$ s3i.Zx'~ ~
° ~ F-
~r 26,o X930.6 i 0
OD aD : . A VI
0 0 ~
M O N ~ . ~
- ~ LOT ~ /NN'/N
0
iA 5 ~ a/0 2 930.1 X 930.7 .
ea a t
o ~ ekOP SED ~T aao.e
O j . ~ ~N ~R+VEWAY O ~ A
LL
O m eat.i 25.67 0 ~ v,....,,.....
Z ~ ' _ _ 930.4 X p 22.33 %B30.T
- , 2 . ~
5 qY . ' I~ ~I
^ IN N~ I IO
I 1 I I-~ / ' (n
931.8 X ~ 931.5 932.0
930.4% 833.3% 48.00 830,9q 30•00_/ ,
N89°46'05"E 150.00
( , ' I 30 ,
%93A8
I I I \ 931.4X
FEXISTING HOUSE
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT 5ET SCALE: 1 INCH = 30 FEET
• UENOTES IRON MONUMENT FOUNU PROPOSED GARAGE FLOUR = 933. ( FEET
,X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOUR - 430.3 fEET
(000.0) UENOTES PROPOSED ELEVATION PROPOSED TOP UF BLOCK = 933.5 FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. TNAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SUR1fEY OF THE QOUNDARIES OF:
Lot 5, alock 1, OVEP,VIEbJ ESTATES REPLAT, according to the recorded
plat thereof, Dakota County, Minnesota.
AfJD OF TIIE LOCATION Uf A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIIOW IMPROVEMENIS.
OR ENCRUACHMENTS, IF ANY, TNEREUN. AS SURVEYEU BY ME, OR UNDER P1Y UIRECT SUPERVISION,
TI1I5 25Tµ UAY OF ~1AQ2A , 1986.
SIGNEU: JAMES R. HILL, INC.
Qy~ l~i i%U~u,! U V~' ~i1;7_.87,..?/
.
HAROLD C. PETERSUN, LAPIU SURVEYOR
PIINNESUTA LICENSE N0: 12294
PROJECT N0. BOOK / PAGE JAMES R. MILL, INC.
86 444 146/ planners / Engineers / Surveyors FILE NO. 36
8200 Humboldt Arsnus Soutli•
FOLDER ebomlneton, Mn. 56431 012-084-3029
.
, •
EXTERIOR ENVELOPEAVERAGE 'U' CQMPUTATION
GRAND OAKS pEVELOPMEN7 COMPANY MODEL 0AREA , U. U X AREA
kEQUIRED '
1. TOTAL WALL AREA 1800 X.il 198
2. TOTAL ROOF AREA 1196 X.026 31.096
ACHIEVED
AREA U U X AREA
A. WINDOW HREA 186.66 .•.5 93.33
B. DOOR AREA 39.8 .077 . 3.0646
C. SLIDE OLAS5 AREA 13.44 .48 6.4512-
D. FIREPLACE AREA • 0 O O
E. WALL FRAME AREA 180 .041 7.38
F. NET WALL AkEA , 1164.1 .049 57.0409
0. RIM JOIST AREA 119.52 .0436 5.211072
H. FDUND WINDOW AREA' O 0 0
I. FDUNA A60V6 QRADE ° 96.48 .135 13,0248
3. TOTAL~WALL AkEA i B00 185. 8026 -
J. SKYLITE O. O:
K.ROOF FRAME'' 119.6.032 ,3.8272,
L. NET ROOF AREA 1076.4 .'025 . 26.91
4. TOTAL ROOP AREA 11,96.:,' 30.7372 . i
SUM 1.+2. 229.096 .
SUM 3.+4. ~ 216.2398
_ ' .
WYn.`y
~ 1989 BIIILDING PEF2IIT 9PPLICATION - CITY OF EAG6N
SINGLS FAMILY DiiELLINGS I~ o~rl
INCLQDE 2 SETS OF PLANS, _ ,~ET-0F-ENER~--GA6eUErff5R-
ROTEs ADDRESSFS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER M03T DESIGNATE iiHICH ADDRESS
I3 DESIRED. NO CHANGES WILL BE ALLOiiED ONCE BOILDING PERMIT IS I330ED.
M[iI.TIPLE DWELLINGS RENTAL ONITS FOH S6LE DNITS # OF ONZT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH HLDG. DEPT., t SET OF ENERGY
CALCULATIONS
COMAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To He Used For: Valuation: ~~Date:
Site Address Y 3~~ 'Vr~"?'N,~ OFFICE USE ONLY
Lot --,9- Block ~ Oecupancy FEES
Zoning ~ ~
Parcel/Sub (~l (~rvjPiU F,~C[ts ~~2~jj~% Aetual Const Bldg. Permit .
7;- Allowable Surcharge
Owner h rL PG1 , n 8 of stories Plan Review
Length SAC, City
Address ~CH i1.i'r't7/° Sf Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code fc?'9q/~7 J75 Footprint S.F. Water Meter
Acet. Deposit I
Phone y i 6 On site sewage_ S/W Permit
r On site well S/W Surcharge
Contractor l~e~7 MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV required _ Park Ded.
~ I Booster Pump Copies
City/ZSp Coda
APPHOP9LS
Phone Planner _
Couneil
Areh./Engr. S ~ ~T Bldg. Off.
Var ianee
Address Couneil
City/Zip Code
Phone 0
NOTfi: Sexer & Water Permit fees and aeeount deposit fees will be inaluded in the buildiag
permit fee. Processing time for sexer and water permits is two days once a licenaed
plumber has applied Por a permit at City Aall.
*xxxzxvx~xxxxxxxx=xxxxaxxx~xxrx~xzx ~
C I T Y O F E A G A fV *"T07'' PAYMfM OF FEE AT TIM7E OF *
APrLIcrazoN noFS Nom coNs-riTUM *
APPROVAL OF PF.RNIIT. ~
APPLICATION FOR PERMIT
* INSPFX•i'IONI OF SEFffR APID/OR WA1FR
* r.raTTONS WILL NOT BE SCHED- ,*f
SEWER AND/OR WATER CONNECTION ~ULED UNTIL PMWT HAS MN *
* APPItOVID. *
* *
»
* * * * * * +r * * ~,r *,r * x,r r *,r,r *,t * #,r * a * ~ x,t,t ~,t
P ease Print
1) PROPERTY ADDRESS :
LEGAL DESCRIPTION: ~C~ 'e y!' ~ Gj"
Lot Block ubdivision or Tax Parcel ID )
IF EXISTING STRL'CIL~RE, DATE OF ORIGINAL BOILDING PII2P7IT ISSOANCE: '
i
(MOn earJ -
PRESENr ZONING/PROPOSID USE:
Q COf11EEtCIAL/RETAIL/OFFICE ef R-1 SINGLE FANffLY
f-7 IDIDPSTRIAL Q R-2 DLPLEX (1Wv Lnits)
n INSTI'IL"fIONAL/GOVERNMENT ~ R-3 40WNHOUSE (Three + Units) ( Onits)
, q R-4 APAR7TENT/COPIDOh1INIUM ( Units)
2)
NAME: 1°l
P,DDRESS: %-rj4~1 'C O/ /S'
CITY. STATE, ZIP:~
rxorE: 89 c3 y
3) • NAME.~~ z For City Use
Plumbers License:
ADDRESs: c tiC4 ,-7 Active
I?~ rn Ekpired
~ CITY, STATE, ZIP:_D Not recorded
PHONE: MA$TER LI(MPISE#
St~a f Initial
4) • i~•
.NAME:
_ aDoxESS:
CITY, STATE, 2IP: ~
PHONE: 5) N 6 r • Dq• : a • aa •
~ CONNECTION T0 CITY SE4VER ~ CObNIIX,.'rION 1C) CITY WATER 0 OTEER .
6) • i~ PLPIiSE HOLD APPROVFD PERMIT FY)R PICK-UP BY ONE OF ABOVE
W PLFIISE MAZL APPRgMp PERMIT TD lr 2. V, 4. ABOVE
(Circle one)
A.
7)
_ ' 7• • ur ~ . . ~ r ~ ~ ia~• . n r • ~ . ~ . . 60
r n • x ~ r:r. •,rai ~ ~ ~ ~ ~ • ~ .
1, -
. fOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 0-e $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL[VK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I.~~ V' S-Z) $ Z~• G-Z1 TOTAL
- - b/z f?
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MLST BE ISSLED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING COLVDITIONS:
APPROVED BY:
TITLE:
DATE :
~~iqfy 30- ,5z)
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomeskondos when pernilts aze required for each unit
Da[e/Z/7/ -07,9
Site Address~~~T~~: Y?~ r S~ Unit #
Property Owner Telephone # (
0
Contractor
Street Address ?06 srf2~ City 7/GI
State Zip Telephone #(^~l"L
Bond ~:S~lo a QL Expires: zd0 2
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional ~Replacement _ New
~ ~exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accwate; that the work will
be in confo:mance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a
pemut, but only an applicarion for a permit, and work is not to start without a pernnt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Z-7/J~~,.~
ApplicanYs Printed Name ApplicanYs Signature
2006 COMMERCIAL MECHANICAL rExnziT arrLicaTiort
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. comaierciaUindustrial buildings .
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicahle) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip ' Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
NewConstruction _Interior Improvement _Install Piping _Processed _Gas.
UndedAbove ground Tank Install Remove
When instaqing/removing tank(s), cafl ior inspecSon by Fire Marshal and Plumbing Inspector
Nature ofWork:
Permit FeeS: $70.50 Underground mnk insrallation/removal
$5050 Minimum (includes State Surcharge)
or
Contract Value $ x 1% Peimit Fee
$ State Surchazge
If peimit fee is less than $1,000, add $.50
If oermit fee is more than $1,000, surcharge
is $.50 for every $1,000 owed.
$ Total Fee
I bereby apply for a Commercial Mechanical Pernvt and acknowledge that the information is complete and accurate; that the work
will be in conformance with Jhe ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand trtis is
not a peanit, but only an application for a permit, and work is not to start without a pe:mit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name ApplicanPs Signature
Approved By: , Inspector Date:
Required Inspections: _ U.G. _ R.I. - A'u Test _ Gas Service Test - Infloor Heat _ Final
Use BLUE or BLACK Ink
r -+
For Office Use
:::e. � � 'City of EaalV l
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
/- 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: CP / 2-/2-631/7Site Address: /? '( 7T/ 5/i r nit#:
i I Name: Phone: b6"/ c454 Z )27
Resident/ 5/3 i/ if-4-(f) �S�e
OWnec I Address/City/Zip:
A licant is: Owner Contractor
Type of Work Description of work: -°
Construction Cost: Multi-Family Building: (Yes /No )
(
Company: / C �� //
t � L-/� r/4�� Contact: ���/�Z�./ZI•t
Contractor Address:„22-9g2 CPi1 (2 4 CIIe /4-4)e City: rrKii/ j4,-//
State! Zip: 2$ Phone:651/1 /0/g/ Email: 5-f./ //_
License#: t�w3 7 5 2 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
fi
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
I Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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 the 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 with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building de must be completed within 180
days o rmit is anc .
Scqkfl
App cant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161582
Date Issued:06/03/2020
Permit Category:ePermit
Site Address: 4341 Stirrup St
Lot:5 Block: 1 Addition: Overview Estates Replat
PID:10-56210-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Adam T Auger
4341 Stirrup St
Eagan MN 55123
(651) 439-3331
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature