4892 Storland Ct SEVIiER & lil'ATER PERMIT OFFICE USE ONLY
CITY QF EAGAN METER # PERMIT DATE ='4~~3/y0
3830 Piiot Knob Rd.
Eagan, MN 55122-1897 CHIP # WATER PERMIT # 11343
METER SIZE B.P. RECEIPT # 1
ISSUE DATE B.P. RECEIPT DATE ~_+U
PRV - BOOSTER PUMP
SITE ADDRESS - r PERMIT REQUESTED
LOT BLOCK - SEC/SUB 'j -
; , u::~ •
- SEWER WATER - TRPS
APPUCANT: ~ ~ " ' -
ADDRESS: , r' ~ r~ _ COMM/IND - RESIDENTIAL
CITY, STATE ZIP ~
PHONE: = ~ • ri! NEW - EXISTING
PLUMBER: ` ~ - - , , -
ADDRESS: - . 1 AGREE TO CO~IIPLY WITH GITY OF
CITY, STATE Z~p EAGAN ORDINANCES:
PHONE: ~1 _ - _ _ . '
~
OWNER: ~ ' - -
ADDRESS: SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
~ DATE: 04/23/90
s,~`.
4892 STOSLAND CT
RE:
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) untii 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 following
reasons:
Your Sewer & Water Permit for the 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.
- RE~]UIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
04/23/90
. • DATE:
r ~ 4892 STORI.AND CT
RE:
~ Your Sewer & Waier 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 8 Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above p~operty has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry 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.
- REGIUIRED BY LAW.
CONTACT COMMUNITY ~EVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. .
. ,+a : .
CASH RECEIPT ~
CITY OF EAGAN ~
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
r
DATE a~9 ~
~~~a F~5 I.~ ~°,~~1.~~f~G~I 1. ~ ~ -
Fi1pA
AMOUNT S a
J
8 DOLLARS
? CASH RCHECK
Faa ~ ~ ~ ~
,~I"j
/t
, l~
FUN~ 08JECT AMOUNT
Thank You
BY
C 737~
SEWER $yWR?TER PEFiMIT OFFICE USE ONLY
CITY QF~LAGAN ~~R ~ ~/,37 ,f
~D ~0•3 PERMIT DATE ~ l ~ l }a
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ ~6 0 WATER PERMfT #E 11343
METER SiZE ~ B.P. RECEIPT # C 7371
ISSUE DATE ''~~^~a B.P. RECEIPTDATE.9~123.L~0
x PRV - BOOSTER PUMP
SITE ADDRESS ' - ' v f~ PERMIT RE~IUESTED
LOT LOCK SEC/SUB ~N ~ s ~
µ1UG0 r
~ SEWER ~C WATER - TAPS
APPUCANT: ~ % _ ~ ~ i rr ~ ~ ; iiv ~ -
ADDRESS: ~1~~~ ~ ~~f _ COMM/IND ~ RESIDENTIAL
CITY, STATE ~ ~ ~ f , ,"?i'? ZIP ~ ' : 7
PHONE: ~'1!~ - -2 ~ ~ '~NEW - EXISTING
PLUMBER: ~~~/L 'if r ~ i s r,i"',. ~.u ~
ADDRESS: 5 i/- ~ ti ti-~ • I AGREE TO C~!l~IIPLY WITH,CITY OF
CITY, STATE ~ = ~!r` Z~p ' ~GAN ORDIMANCES:
.
PHONE: ~~~5 C~ s~i,~ 7 -~-.,,~T~ ~
OWNER: ,f` 1 • ~
ADORESS: SIGNATURE E ETER ISSUED
CITY, STATE ZIP
PHONE:
PLEASE kl`LOW 'f WO WORKING DAYS FbA PFiOCES~ING. FOR STORM SE R PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTiFIED WHEN PERMIT IS PROCESSED.
r -
~---~„~.,,~.~.~,,.vt r . c -~r;~•,~,•~r~~~t:~7c.,.y-~.-;y„~..~ -r -4qP•~v,~•.i~,.....ny7
CITY OF EAGAN i~Q ~'~?4~
+ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt # - '
To be used for SF Di~1G/CAR Est. value ~ 131 ~ 000 Date 20 , 19 ~
Site Address ~92 STOALAND CT
Lot 14 Block 1 Sec/Sub~ISPEHING fi0QD3 OFFICE USE ONLY
PBfC@I N0. Occupancy R?"3 ~1 FEFS
Zoning ~
W Name F S B COI~13'1~UCTION (nctua~) Const Y-~'1 eidg. Permit
~ Address 120U6 l~iELFTt{ AVB {Allowable? Y'~ su~cna~ge 65.50
City ~~sYi~ Phone 890-2~13 x oi s~o~~es ~6 ~
Length S ~ Plan Review •
, o Name S~ Dep1h sac, c~ty 100.00
Z~ AddfeSS S.F. Total - ~
cg. 4 SAC, MCWCC •
~ City Phone S.f. Footprints -
On Site Sewage _ water Conn bZ~~ ~
U~
W W Name ~1 S~l@ w8~~ Water Meter ~O~w
W W
~z MWCC S siem ~
Address Y ~ A~ct.Oeposit ~ ~
<W Clty PhOne City Water
PRV Required ~ SlW Permit
I hereby acknowlege that I have read this application and state that the Boosier Pump - ~IyV SurCharge
information is correct and agree to comply with all applicable State of 2sZ~00
Minnesota Statutes and City of Eagan Ordinances. Trealment PI
Signature ot Permitee APPROVALS Road Unit 3SS•~
A Building Permit is issued to: F S B GO~ISTRUCTION Plan~er - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ord~nances. g~dy pft. _ Copes
Building OffiCial Variance - TOTAL 38~
, ~ Permit No. Permit Molde? Date Telephone A~
WATER ' LLG- G~' . j O
SE1AiER
PLUM8ING 7 : ~ ~ ~3' J~U
H.V.A.C. ~1~~I~ //,1/Y ~ .r~ ..,F`~.3I~O
ELECTRIC ~c~ ~ ~
Inspection Date Insp. Commenis
Fooc~~9s ? 2'! ~
Foundation
Framing
Roofing
Rough Plhg.
Rough Htg. ' f
~s~~. ~ _ o DS
F~ep~aoe
Final Htg. Z,
Final Plbg. - ~Q . • G ' . ~ ,C ! i
Const. Meter Plbg. In pector - Notify Plumber
Engr./Plan
Bldg. Final ~ ,2~
Decic Flg.
Detk Final
weu
Pr. Disp.
. ~ .
s . . •
. f~~r#if ir~t~ ~f (~rrix~~nr~
~Citp of ~agan
~r~rtc~ nf ~iu~[d'mg ~.~rrtior
Tkis Certificate issued pursuant to lhe requirementr of Section 306 of the Uniforni Buildfng
Code cerrifying tl~ar at the time af issua~ce thir struc[ure was in compJiance witk lfie various
ordinances of rhe Crty regulating Fuilding cons~ctior~ or use. For the faNowing.•
Use Qa~sfineon Bldg. ltmut No. ~ n~f~i
~~r rya z~ nmu;« R ~ rya r~~c. ~
o~ ~t e~a;~ FSB O~lvl'ICN 12006 IWII~'1Z AVE, B"VII.I~
~ 4892 00[lRT L 14, B I, WHISP'IItIl~IG b7[ICOS 2I+ID
~ J[II.Y 24, 1990
e„~m;~ oer~'>' .
POSF IN A CONSPIpJOUS PLACE
.~,e~- _ - . . . . '~'_=`."r"~...
1y~ '~I7"
, , PLUMBING PERMIT For Office Use Only
~ ~ CITY OF EAGAN PERMIT # ~
CONTRA T P~~OT KNdB ROAD~ EAGAN, MN 55122 RECEIPT # ~
PRICE~ fL PHONE 45481~0 DATE: 1
( x '-M ~.{"cF~..-~Mp•G":,. ,~'.*1+;~t~'t. 7~;~"~i..l:e~. ~.e,r ..._;~~rri . ~-nry...y
Site AddreSS ~ ~ - BLDG. TYPE WORK DESCRIPTION
Res. New
Lot Block Sec/Sub Muit. Add-on
,
Name ~ Comm. Repair
~ Other
~ Address - ' '
Phon RES. PLBG. ONLY - COMPLETE THE FOLL~WING:
c City N0. FIXTU RES TOTAL
, Water Cioset - $3.00 $ ~
~ Name ~ ' ~ Bath Tubs - $3.00
~ Addres~v~1Q~ ~ , ~ Lavatory - 53.00 -
~ City ~ ~ Phon .
f - Shower - $3.00 _ ~ r.
~ Kitchen Sink - $3.00 ~
UrinaUBidet - $3.00
FEES ~ Laundry Tray - $3.00 ~
COMMJIND. FEE -1% OF CONTRACT FEE Roor Drains -$1.5~ ~
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 ~
TOWNHDUSE & CaNDO - RES. RATE APLLIES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE• $12.00 ~ Gas Piping Outlets -$1.50 ~
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMI~
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. - $10.00
- ~._,Z, Rough Openings - $1.50
~
uRE P RM PERMIT FEE:
STATES SIC: -
r~/~
FOR: CITY OF EAGAN GRAND TOTAL:
, . . . s . . .
. ~ ~ PERMIT #
; „
~ ' MECHANICAL PERMIT RECEIPT # ' l~-
CITV OF EAGAN " j ~
3830 PILOT KNOB ROAD, EACaAN, MN 55122 DATE: y t' r ~
CONTRACT PRICE ' T'~ ' PHONE: 454-8100 For Office Use Only:
Site Address ~ ~ ~ g~pr,, npE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
~ Name ~ ; , Mult Add-on
, , a
m _
Comm. Repai~
~ Address - ' . ~r~ : - ! .
c Ciry ~ ~ Other
y { . i L Phone ' ~ '
FEES
~ Name , _ ~ j"~ ' ~ ~ ti' " ' ~ RES. HVAC 0-100 M BTU - $24.00
c Address '~~`~f r~ f•! - ADDITIONAL 50 M BTU - 6.00
p City - Phone ~ 3 ~RES• HVAC INCLUDES A/C aN NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU ' APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM R-~, (AOD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE ~ - •
SIGNATURE OF PERMITTEE
S/C:
TOTAL• ~ FOR: CITY OF EAGAN
l4lAqet°?7~inR'lR~j'R7R~'+q"'~'~s_ -v~ewy~•~~lp~ . ~ . . ~.-r**~'~`f?~*~r"7~7lP1lR"y'+g*~"e~"-R~`
. . . ,._~e~.~:.vra.~ew....~:.k ,
CITY OF EAGAN ~?f~ ~ 9~~ O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~~i
P HON E: 454-8100
BUILDING PERMIT Receipt # ~ ~ ~
To be used for b Est. Value Date ~Y ~ , 1 gs~
Site AddresS _~$Q~$'j'QR(,~qp ~ QFFICE USE ONLY
Lot ~h_ Block Sec/Sub.i~$~~~.ypppg
Parcel No. ZpD occupancy _ FEES
zon;ng -
W Name RRwn1.~Y .I TQITR f1~flt~I (Actual) Const _ Bldg. Permit 1 S_DA
p Address ~4Z STAII[Jlilf] CT (Allowable? - Surchar e
City R~r-~w Phone 1~RL81SA +r ot s~o~es _ 9
Lenglh _ P~n Review
Z~ Name Depth - SAC, City
~Q Address S.P. Total - SAC, MCwCC
r City Phone S.F. Fooro~~ncs -
On Site Sewage _ 1Naier Conn
~
~ W Name o~ s~ce weu - wa~e~ Me~er
~~~-y Address MWCCSystem _
i W City Phone City Water _ ~ct. Oeposit
PRV Required _ S!W Permil
I hereby acknowlege that I have read this application and state that the Boosler Pump - S/W Surcharge
information is correct and agree to comply with all applicable 51ate of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature o( Permitee~ y APPROVALS Road Unit
A Building Pertnit is issued to: AR~flj.~Y 1 TjtU$MQ~,je.~,~- P~a^^ef - Park Ded.
on the express condition that all work shall be done in accordance wilh all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. 8~~. p~i. _ Copies
Variance - TOTAL iS•~0
Building Official
Parmit No. Pe~mit HoWer Date Telephorw #
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
InspecHon Date Insp. Comments
Footings I 5
Foundation -
Framing
Roofing
Rough Pibg.
Rough Hlg.
Isul.
Rreplace
Final Htg.
Orstat Test
F~~~ P~9• Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Fnal / ~
weu
Pr. Disp.
INSPECTIUN RECURD ~
CITY OF EAGAN PERMIT TYPE: 1~'""
3830 Pilot Knob Road Permit Number: p~A~r
Eagan, Minnesota 55123 Date Issued: • 3/ 2 9 x
(612) 681-4675
SITE ADDRESS: ~ t e e~. +1t' K~ t APPLICANT:
~892 S~ORLAt1D CT 7RUSKO~IbKi' AMY
WHI3P~RYM6 L~iOqUS 2M~1 (5~2) Eli1d-T72•
PEF~~~ ~UBTYPE: TYPE OF WORK: Ron t Y i vM
~
1 t3Ul 1Nt~ fFAM1116
IM5ULAf10N I~pLL80ARD
tiNAl
I
- - - ,
- _
-
P~rmk No. P'~rmk HoWsr Did~ Tal~phone 0
SAN
. PtUMBING
HVAC -
ELECTRI a /J ~ p,~ ~ ~
ELECTRIC
Inspection Dete inep. CommaMs
Footings I
Foundation
Framing ~ 7~ ~ D
G~
RoOflng
ROUgh PIb9•
~ ~9•
Isul.
RreplaCe
Fh'ial Fitg. ,
Orsat Test
Firtal Plbg. Plbg. lnspecta - Notify Plumber
Consi. Me2er
EngrJPlan
~ S.
Bkip. Flnal
Deck Ftg: . .
o~ F~~i 9/~ s-
we~i
c~?. ots~-
~~4~74 ~ ~ ~ ~
30~~
Request Date ~ Fire No. ough-in Nep
Re~uiretl? ReaGy Now ~ Will Notity Inspector
f O y~ G When Reatly?
I'~ liceinsed contractor ~owner hereby request inspection of above electrical work at:
JoDAOaress~~p~8ox~uteNo.~ \ Ciry~
' . CI \ S~~'~ (J~V`~„ ~
Section No. Township Name or No. Range No. Counly
~41
Occupant(PqINT~ Pho o. ~ ~
~ V/ ~r~~~~~~\ f\ °lo I ~ ~n
Power Supplier lWOress
Elecvical Conlrada ~COm~ Nam¢1 ~ CqnVaclor§ License No.
~
Mailing Atl~ress IConVaclor or OwnenMaking Installation)
~ ~ C.
AWhorizetl Signalure IGOniracto0pwner M~ g Installa~io Phone NumOer y`
. . `
MINNESOTA ATE B i ELECTRICITY THIS INSPECTION RWl1EST WILL NOT
GriggsMidway Bltlg. - Noom 5-1]3 BE ACCEPTEO BV THE SL1TE BOARD
i821 Univenily Ave., 5[. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PMne (812) 862-0800 ENCLOSE~.
60 ,5/rj~- RE~UEST FOR ELECTRICAL INSPECTION 6'"•~ ee.oooo~ os
? See Ins~mctia~s lor com0leting ~his form on back W yellow copy. ~
- 42747 ~~'-~'a~~~s/
J ~ 'X" Below Work Covered by This Aequest
s
ew Rtld Rep. 7ypeoBUiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heatar Eleciric Heating
Apt. Building Dryer Other (Specity) •
Comm./Industrial Furnace E ~V"\ .
Farm Air Condilioner 5- - ~ ~
Other~specity) ConVac~or's Remarks:
~ ~
Compute Inspection Fee Below:
# ' Other Fee # ServiceEMranceSize Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps o to i00 Amps
Transformers Above 200 _ Amps Abo _ Amps
~ Signs Inspector's Use Only: ~ TOTAL
~ Irrigation Booms .~O
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
• Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby fl~ugh-ln ~ oaie.~ C~
certif that the above ins ection has ~
y P Finai Date
been made.
OFRCE USE ~NLV
This repues~ voiG 18 montM1S imm ~ -
~ ~ 3 ~ ~ i ~-yj~~
R uest a1e / ~ Fire No. ugh~in nspection
3 ~ Fequiretl7 ~eatly Now ~ Will Nolity Inspec~o~
G ~es o W~en Ready?
I~I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldrass ($veet Box or Roule N ~ Cpy C
~ q o~l ~~Dr ll,crl ~OGt.!^~ cQ Cc_/~
Section Na TownsM1ip Neme or No. Fange Na (.'E~M~ Q~~
~1
~ Occupant~P~ ~O ~ ( PM1One No. 7
~ ~ ^ ~ / ~ ~
Power Suppller Atltlress
Eiemncal Gon ctor(COmpeny Na e) Conly dor's Ucense No.
~ a r l~~ ECzc.~f~^ 1 c. ~ l 7o v
Mailing naaress comractor or pw Mekin Installationl
aIi c~s .st. ~l M,~is.
Aulhonzea Slgn ure iCOmrac~o~/Owner Meking Installation~ P~one NumbBr
~ 7 -baoo
MINNESOTA STATE BOAR~ OF ELECTPICIT THIS INSPECTION REQUEST WILL NOT
Griggs~Mitlway Bltlg. - Boom 5-013 8E AGCEPTEO BV THE STATE BOARD
18Y1 Univereity Ave., St Paul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone (612) 6C]-0800 ' ENCLOSED.
~~"/O~ REQUEST FOR ELECTRICAL INSPECTION E8~00001-08
1 ~See insimctions tor comple~ing ~bis torm on back W yellow copy. ~ I. ~
1,~ O
2 6 0 8 3 `X° Be/ow Work Covered by This Request
ew n`dd Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater - Electric Heatinq
, Apt. Building Dryer Other_(Specify)
Comm./Industrial Furnace
Farm ~Air Canditioner
OIM1ar ~sNecity~ GonVactor's Remarks:
• Compute lnspection Fee Befaw:
# Dther Fee # ServiceEntrenceSize Fee Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abova 100 _ Amps
Signs ~nspeciors Use Onry: TOTAL~
Irrigation Booms ~J
- pU J ~
a
Special Inspec[ion
Alarm/Communication THIS INSTALLATIDN MAY 8E ORD ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°°9n-~o oa~a
certity that the above inspection has F~,,,ai Date G
been made. /
OFFICE USE ~NLY
Thls request voitl 18 mont~s trom '
~ a ~'/s~ ~a y~
~ ~
~ 4 917 9 ' /,c~~/ 8t"o
Request Oa~e Flre No. Rough-in I ion
~~~'Q O F quiretl? O Ready Now ~I
Will Notify Inspec~o~
~ Yes ? No When ReadyY
~
I~I licensed contractor ? owner hereby request inspection of above electrical work at
Jo0 Atltlress Streeq Box or Route No.) 1 - J CiTy
~ ~Q~ l!~
Senion No. Township Name or No. Ranqe No. Gvu~ry
Occupa~RINT P~one No.
5
PowerSup00er Atldress
D~. ~IeC`I~r~G
ElecVical Conlracmr (Company Name) ~ Conlraclor5 License No.
e lec.~~c N ~ -
Mailing Atld (Comrador or pwner Mak'mq Installation)
83 un NL-~ 15~ m~J 55 3
Authorixatl S1qnaWre (COnhactoripwner Makin Installation) PboPe Numbe~ ,,p
1 ~ ~ - 310 I
MINNESOTA STATE BOAHp OF ELECTflIGTY THIS MSPEGTION REQUEST WILL NOT
Griggs-MlEway 61Cg. - Room 5-i]3 BE ACCEPTED BY THE STATE 90ARD
182/ Unlverslty Ave., St. Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Plwne (61P) 602-0800 ENCLOSE~.
S~~S~ REOL'IEST_FOR ELECTRICAL INSPECTION ee-ooam-o~
~ 6ee -nsVUCtions lor completing Nis form on back ol yellow copy ~~@ 0~~~ r
~ ~ ~
~ g~ g X" Below Work Covered by This Request ~
ewAdtl Rep~. Typeof8uilding pppliancesWired EquipmantWired
Home Range Temporary Service
` Duplex Water Heater Electric Heating
Apt 8uilding Dryer Ofher (Specify)
CommJlndustrial Fumace
Farm Air Conditioner
Other (specify) ~ntraotor§ Remarks:
Compute Inspectian Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuils/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 fo 100 Amps
Transtormers Above 20D _ Amps A ve 100 _ Amps
SIg05 Inspectar's Use Only: ~A T~TAL
Irrigalion Booms ~,~J~
Special Inspection
Alarm/Communication THIS INSTALLATION MAV E ORDERE DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN NTH f
I, the Electrical Inspector, hereby RO09n-~~ ~ oare~„^
B'
certify that the above inspection has F;nai oa
been made. ~~/,2-~O
OFFICE USE ONLY ~
This reQUest witl 18 months imm ~
CITY OF EAGAN ~0 ~ QOOO
~ 3830 Pilot~Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 C I3.~-a-1
BUILDING PERMIT Receipt # _
To be used for ~ ppg~ Est. Value Date MAY 3 , ~gs~_
Site Address 4892 STORLAND CT
~ Lot ~ 14 81ock 1 Sec/Sub. ~ISPERING WOODS OFFICE USE ONLY
Parcel No. ~ ~ occuPa~~y - Fees
Zoning _
w Name BRADLEY J TRUSKOWSKI (ACtuap Const _ Bltlg. Permit 15.00
3 Address 4892 STORLAND CT (Allowa6le) - . SO
~ City EAGAN Phone 885-8180 :v W Swries _ Surcharge
Length _ Plan Review
~ Name RAMR Depth - SAq City
Q
~a Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Footprints _
On Sile Sewage Water Conn
~ -
W w Name On Site Well - Water Meter
~3 AddfESS MWCCSyslem _
~i Acct. Deposil
a W Clty PhOf10 City Water -
PRV Required _ S!W Parmil
I hereby acknowlege that i have read Ihis application and state that the Baosier Pump - SNJ Surcharge
iniormation is correct and agree to comply with all applica6le Stale oi
Minnesola SlaWtes and Ciry ot Eagan Ordin~an-c1es. Trea~ment PI
Si nalure of Permi[9 +J~ A F~.../ ..rs: ) APPROVALS
9 t Road Unit
A Building Permi[ i5 issued to: RRADi.F.V 7 TRIISK(1WSKT P~~~~ - Perk ~ed.
~ on ihe express conditipn Ihat all work shall be done in accordance with all Council
applicable Slate of Mi~n/n~esota Stalules +and City~o/l Eagan Ordinances. gi~, pry, Copies
11,n(1~ ,OI.fA.,,~,/J Variance _ TOTAL 15.
Buitdirg Official ~ '
~
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
~~~~3 3830 PILOT KN 651 6075 5675 GAN MN 55122
Please complete for modifications to existing residential dwellings.
Date~! ~ 1~ \ ~
Site Street Address ~i C- Unit #
Property Owner ~ l`l- Telephone # (~Iy ~
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ~wner _ Contractor _Other
Aiterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
~Septic System Abandonment
_Water Turnaroy~nd (add $121.00 if a 5/8" meter is req,~ired)
Other. ~CtAu.`lY~.u ~ ~f v~ ~ y
~
Water Softener Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Totai $
I hereby apply for a Residential Plumbing 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 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 is required to be reviewed and approved.
t rGi Ubvs ' ~
pplicant's P in ed Name pli Ys Signature ~ ~
SEP 1 5 2004
ay_---~
~ ~ o a ~ ~P ~ ~ I~~d v ~
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan U ~
~(p 3~'~ 3830 Pilot Knob Road, Eagan MN 55122 U'
Telephone # 651-675-5675 FAX # 651-675-5694 ~ _ ~
New Construction Reaui2ments RemodeUReoair Reauirements Oflica Use OnN
3 regislered site surveys showing sq. ft. of lot sq. iL of house; and all roofed areas 2 copies of plan Ced of Surrey ReW _ Y~ _ N
(20°k mazimum lol coverage albwed) 7 setof Eneyy Calculations for healed addltbns Trce Pres~PWn Recd _Y~ N.
2 apies of pWn showirg 6eam & window sizes; poured found design, etc. 1 sRe survey (or addPoons & dedcs Tree Pres Required _ Y_ N
1 set of Eneqy Cakulations AtldNOn -!nd'icafe if on-sife septic sysfem On-sde Septic System _Y _ N
3 apies of Tree P2servalion Plan If lot platted after 711193
Rim Joist Detail OpUons selecfion shcet (bldgs with 3 or less untts
Date ~ / / Construction Cost
Site Address L~ ~~~~~o~y~ L-'~- UniUSte #
~
- A
Description of Work ~ 0 \~n\S ~ / G U"J o J,
Multi-Family Bldg _ Y~ N Ftireplace(s) _ 0~ 1 _ 2
Property Owner ~u- \C ~ ~ Telephone # (~?J( ) ~ ! 7~~~
Contractor ~
Address ~,~j~r~-,~b~~~.~~ City ~
State ~j~ _ Zip S~ Telephone t~ q C~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
• Enargy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan~ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ~ ~ ~~7 ~ a " ~ Telephone # ( )
Mechanical Contractor ~~N ~ 9 Z004 Telephone )
~
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential 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 w k is not to start without a
permit; that the work will be in accordance with the approved plan in the case of which requires a review and
approval of plans.
~~yv~ `I~~~~~S~U~J~ ~
Applicant's Printed Name Ap 's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 1&plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-piex ? 16 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 (screen/gazeba) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm ~amage
? O6 04-plex ? 12 12-plex Plbg,~Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ~ 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation 45 Fire Repair
? 33 Alteration ? 37 Oemolish Building* ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy ~?`3 MCESSystem ~
Census Code <i 34 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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Foorings (addition) Plumbing
_ Foundarion ~ HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~ Framing - Siding _ Stucco _ Stone _ Brick
Fireplace ~ R.I. ~Air Test ~ Final Windows
Insulation _ Retaunng Wall
Approved By: , Building Inspector
-
- ~O
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CITY OF EAGAN N~ 17744
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE:454-8100 1~~~'~ I
BUILDING PERMIT Receipt # ~
Tobeusedfor SF DWG/GAR Est.value $131,000 Date APR 20 ,~g_Q~
Site Address 4892 STORLAND CT
Lot 14 Block 1 Sec/Sub~ISPERING WOODS OFFICE USE ONLY
Parcel No. occuPancy R-3 M 1 FEES
Zoning
w Name F S B CONSTRUCTION (AcNaq Cons~ V-PI Bldg. Permit 748.00
o Address 12006 TWELFTH AVE ~Allowable) Surcharge 65.50
City BURNSVILLE phone 890-2813 x ol S~ories -
Lenqlh SS!, Plan Review 486.00
o Name S~ Depth 44' snc, c~~y 100.00
Add~055 S.F.Total - SAC,MCWCC 600.00
~ City Phone S.F. Foolprinls -
On Site Sewage _ Water Conn 625.00
~
~w Name On Si1e Well _ Water Meter 90. 00
x~ Address Mwccsys~em ~
~ AccLDeposit 3n.nn
aw City Phone ciywa~er
PRV Required ~M1N Permi~ 3~• ~0
1 hereby acknowlege that I have read Ihi plication an ate at the eooster Pump -
5/W Surcharge • 50
iNortnation is cortect and agree to co with all icabl tate ol
Minnesota Statules and City ol Eagan nances. 7reatmenl PI 252. 00
Signature 0~ Pefmitee APPfl~~A~s Road Unil 3 55 _ 00
$ B C N$ TION Planner - Park Ded.
A 8uilding Permit is issued to: ~
on the ezpress condition chat all ork shall be done in accordance with all Council
applicable State ot M{innasota Stawtes an-dv~,C,iry~11of Eagan Ordinances. BIdg.Ofi. _ Copies
Building Otticial I 1~'1~~ DA '~1. `I ~ariance - TOTAL 3, 382.00
t'~~~~
e ~ ~ ~
a
1990 BUILDING PERMIT APYLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENf~~ (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
~ - 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES W[iEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
YAR 18 RECU
To Be Used For: ~sa~i~~ Valuation: ~~Jr'r~ Date: / `
T
Site Address ~~92 ~TG~~,~1-~,..p OFFICE USE ONLY
cT. ~31~L7Ot~"
Lot ~ Block / FEES
Occupancy R'?J
Zoning
Parcel/Sub (.cJ~iSF'~~~ ~~c~u ~ctual Const V~ Bldg. Permit 7'a,OZ~
//1 AZlowable ~ Surcharge O
Owner P= f/,3. G v..~-STn~ci~~- # of stories Plan Review Pa~W
Length SAC, City IODi~G
Address /~~p( T-` ,¢,i~ Depth SAC, MWCC (v00~
S.F. Total Water Conn ~
City/Zip Code /~~/i~,~,~ •~333 ootprint S.F. Water Meter a,OD
~j Acct. Deposit ~OD
Phone [J °/U' Z~~ 7j On site sewage_ S/W Permit .30~0~
/ On site well 5/W Surcharge ,,Sp
Contractor j~. MWCC System ~ Treatment P1. ~
City water ? Road Unit 5~iOG
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL ,gi3~,~.~Q~
Council ~
Arch./Engr. ~~/C ~/IGr/, Bldg. Off. ~ ~
Variance
Address ~S
~ ~ o6G
City/Zip Code ,r~. ~rlv~
Phone # a9/-0,3C>~
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,",I hereby certify that this survey was prepared by me or ~
r•;.'~ ;under my direct supervision and that I am a duly Registered
~ , Land Surveyor under,.the.laws of the State of Minnesota.
' , ' ~ „ o/~
:i Date: Ma-. isoo,,, ~~,~~f'~
' LeRo,y li llohlen
' Regis'Lered Land Surv~~ior. Nn. 1,n~~i-;
. ~ :
:.~.:vne¢nrvrs~.-eaa:ar,^, ~~anm:~ac..._.,..r.,"'_.... ..nrx~ne..:summv~'.e.-.iru.uw.::~...w
? ~
J
ESB Construction, Inc.
12006 12th Avenue South Office: 890-2813
Burnsville, Minnesota 55337
EXTERIOR ENVELOPE AVERAGE "U" COMPllTATION
PLAN # DATE: 4/16/90
OWNER. Trukowski
CONTRACTOR # F.S.B. CONSTRUCTION
SITE ADDRESS : 4892 Storland Ct PHONE: 890-2813
Square "U"
Footage Factor
1) TOTAL EXPOSED WALL AREA 2994 x 0.11 = 329.34
2) TOTAL EXPOSED ROOF/CEILING AREA 1141 x 0.026 = 29.67
WALL AREA CALCULATIONS:
TOTAL WINDOW AREA 218 x 0.41 = 89.38
TOTAL DOOR AREA 82 x 0.07 = 5.74
TOTAL GLA3S DOOR AREA 82 x 0.41 = 33.62
TOTAL FIREPLACE WALL AREA 52 x 0.36 = 18.72
TOTAL WALL FRAMING AREA 146 x 0.08 = 11.68
NET INSULATION WALL AREA 1983 x 0.043 = 85.26
TOTAL RIM JOIST AREA 238 x 0.04 = 9.52
TOTAL FOUNDATION AREA(EXPOSED) 119 x 0.16 = 19.04
TOTAL FOUNDATION WINDOW AREA 0 x = 0.00
3) TOTAL = 27 9
If item 3 is the same as, or less than item 1, you have met the
intent of 2 MCAR 1.16008 A and D.
ROOF/CEILING CALCIILATIONS:
TOTAL SKYLI~HT AREA 0 x = 0.00
TOTAL ROOF/CEILING FRAMING AREA 114 x 0.026 = 2.97
NET INSULATION ROOF CEILING AREA 1027 x 0.022 = 22.59
4) TOTAL = 25.56
If item 4 is the same as, or less than item 2, you have met the
intent of 2'MCAR 1.16008 A and 0.
I hereby certify that the building here descr bed m F s or exceeds th
State of Minnesota Energy Conservation Act. i `
" ~j
Sig ture at
FSB Construction, nc.
I
' . .
, t, ~ ,
~ . r, .
~ ,
.a
' CONSTRUCTION -
WALL FRAMING SECTION
• 1 3nter{or air film 068
~ ~ 1/2"'Sheetrock .45
` 35 1/2'Hnches of sof~,wood 6.87
. ~ 25/32 " Bildrira 2.06
~ : 5 Sidina 0.17
8ir
i7~ •017_
. o~
• TOTAL R 11.04 •
• U e I~R .08
" ' WALL SECTION (INSUI,ATED)
1~ter~or air fjlm .068_
' p 1/2" Sheetrock .45
,~5 5/8., i4_n ,
~ ~ 4 Bildtrite
~ 5 Siding .81
6 Exterior air film ' .017
, TO'PAL R ~ 3.~ 7
C • • . U ~ I/R .043
, RIM JOIST SECTION
1 Interior sir film .068
~ - . . ~ ~ ~ ' ' ~ T 5 S/R Rattc Tnc ~Q-~ ~
. ~ ~ ~ ~ 1 1/9•• k'ood 1 -A9
~ Bildtrite 2.06
_ y Siding .81
A,~,y~,terior air fitm '.017
• TOTAL R 24.61
• U ° I/R .04
FOUNDATION SECTION
1 s_ r„_ .068 .
' ~ • Y 1" Stvrofoam 4.0
~ • ; 12 Conc Block ~-~R-
r• r 'or a+r film .017
•
~ . . , TOTAL R y_ 1 _
-
~ w.. . , ~ I ~ ~ U ~ IIR . 16
. A`
. . ' ' _ '
CONSTRUCTION
4.~ . `
. CEILING SECTION (INSULATED)
i; (1 T.,rarior a~r fi7m .61
' ~ ~z ~8" Sheetrock .56
~ ~ ~3 ,$jown Tnc G7.00
~ (4 F.xte ior air film .61
' TOTAL R ~,7g
' i°,; . U a I/R .022
.
>i •
~
, ~ , . rj CEILING FRAMING SECTION
, ~ ~ r~ . . . • (1 ~rorinr air 11m ~ .61
fLOw . , G . . (Z S/R" ShPatfnnk - 56
VEN7ED. • (3 ni.,...n rns. 33.00
~ , _ _ ~4 Interior air fi7m .61
4 (5 3 1/2" Soft Wood 4.35
TOTAL R 39.13
.
. ` U = I/R .026
.
. ~ ~ . . ~ i4 . ~ . . , '
" CEILING SECTION (INSULATED)
(1 Interior air fitm .61
. ' . . . . „ . - . ~ . . (21 i~ 9h~rk GS
el:, (3 o i!~ r 'iu nn
- ~ , (4 Fxterior air fi~m (aGi77) .61
' ~ " . TOTAL R 39.67
. ~ ~ I~R ' .0245
i
, CEILING FRAMING SECTION
2 3 (2
' ~ ~ 5 (1 Interior air
i~~ •61
• VENTED ~3
.61
(4 Interior air fi m -
' ~5 inches of sofr ~~~d
! , TOTAL R
• ~
, . .
, _ „ U I/R
; , 5
~ 4 EXPOSED BEAM CEILING SECTION
3 ~ - (1 3ncerior air fi~m .61
- . , ~2
r (3
' (4
' (5 ~YeLior air film 17
~ . . - - . TOTAL R
U ° I/R _
, ~ . I
;f
.;k;
~r.w~r .•.J_o.~. i••Y'.Y^ME.4~.i•... ~ : Iv-•
PERMIT ~ontrol No. O O 71
CITY OF EAGAN eux~oiNc
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minn~sota 55123 Permit Number: 0 0 0 0 7 5
Date Issued: 0 3/ 2 0/ 9 2
(612) 681-4675
SITE ADDRESS:
4892 STORLAND CT
LOT: 14 BLOCK: 1
WHISPERING WOODS 2ND
DESCRIPTION:
Building Permit Type PORCH
Building Work Type ADDZTION
'
,
x i ~ ~ ~
i ~ r ~ ~1 '1 ~ i . ~ fi ; ~ .
~'.i l~fi . _
REMARKS:
C U l ~ ~~U 3/w/4z-
FEESUMMARY: VALUATZON ;e,eee
Base Fee $108.00
Surcharge 34.50
Total Fee $112.50
CON~~iACT(~R: - Applicant - OWNER:
U3K0 SKI AMY 18947720 TRUSKOWSKI AMY
4892 STORLAND CT 4892 STORLAND CT
EAGAN MN 55122 EAGAN MN 55122
(612) 894-7720 (612)894-7720
I hereby acknowledge that I have read this applicat3on and state that the
information is correct and agree to comply with all applica6le State of Mn.
Statutes and City ofi Eagan Ordinances.
I L-
~i
/ ERM EE SIGNAT E ISSUED Y SIGNATUFiE
I -
INSPECTION RECORD Control No. O O~ 1
CITY OF EAGAN PERMITTYPE: eui~oiNe
3830 Pilot Knob Road Permit Number: 000076
Eagan, Minnesota 55123 Date Issued: 03/20 J92
(672)681-4675
SITEADDRESS: ~oT: iq BLOCK: 1 APPLICANT:
4B92 5TORLANO CT TRUSKOWSKI AMY
WHI3PERING WOODS 2N0 (612) 694-7720
PERI~A~~~SUBTYPE: TYPE OF WORK: poozrioN
. .
FOOTZNG FRAMING
TNSULATION WALLBOARO
FINAL
~
-
PERMIT CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION ~1AR 1 7 RECo
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 ~r lot chan e is re uested once ermit is issued.
Date ~\~~'~1~~ / / Yaluation of work / pd~
?
Site Lacation: '~-~~°\.T`'~,~i~~v~ ~ C~ .
STREET STE ~
T ant Name: ~~m.l~~'Jvu_~~Vv~~~c~-~~~`~-\
LOT ~ BLOCK ~ SUBD.~-~\~~~~r,~ 1~\\ P.I.D. Y
v~t -~v~.~ U'~v ~ ~
Descri tion of work: Qo~~. ~r.~--~>- ~c_\L...
The appl i cant i s: ~ Owner ? Contractor O Dther (Deseribe)
Name-'C~~~~~~•_•~ S~~ ~~`n'~~`\i Phone r~~'-~ ll Id~ 0
Property ~AST F~RST
Owner Address a\~^~^-~ ~ ~
~ STREET STE /
City ~~r. ,~c^v~ _ State ?~r ?Z Z;p ~
,'-~\d~:3-
J
Company Phone
Contractor Address License # Exp.
City State Zip
Company ~ y-~~: Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer 8 water licensed plumber . Processing time for
sewer & 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 of Minnesota Statutes and City of
Eagan Ordinances. ^ ~ ~
; /i
Signature of Applicant: L~~/~7/'~'" /,~,~.6=~~'~"_`-
OFFICE USE ONLY
BUILDING PERMIT TYPE I
~~k d - - -
? O1 Foundation ? 06 Garage/Accessory ~ 11 Res. Add./Porch ? 16 Agricultural
O 02 SF Dwg. ? 07 Fireplace ? 12 Comn./Ind. New ? 17 Building Move
? 03 Two famity ? 08 Deck ? 13 Comm./Ind. Add O 18 Demolition
? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
? 31 New ? 34 Remodel ? 37 Move
~ 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Basement sq. ft. MWCC System
Zoning lst F1. sq. ft. City Water
Const. (Actual) 2nd F1. sq. ft. PRV Required
(A1Towable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code 3~
Depth On-site sewage SAC Code .
APPROVALS
Planning Building Assessments
Engineering Variance
RE(~UIRED INSPECTIONS
O Site O Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permi t Fee /D ~ vai~c;an: s
Surcharge y, SD
Plan Review ~Orc~ / Z fi~( k y~ _~~b
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. . ~ ~ .
~ n CITY OF EAGAN ~~#Q ~ ~
9000
3830 P~Iot Knob Road P 0: Box 21-199, Ea an, MN 55121 ~ 13~ ~ ~'~r ~ or c, ~
~ ~ . 9 ~ 8~i'E~~ t10 CJVaIFa,FB.. ~~1... w~ rr~~~ . _ _
~ ; '
s . . PHONE 454-8100 - r ~ _ r _ ~
BUILDING. PERRAI~ ; , , , , Receipi # ~ _ _ . .
. . _ • ~ r , . . : . . . . . . . oc~
a _
Tobeusedfor d` % Est.Value ~ ~ ~ate -MAY A 1941.._ , -cr.=o . _
. . . . . . . . y + . . , . p ,.p. ;.N~ 5'' - ~
Site AddtCSS b892 4TORt A/di) GT ~ ~ ~ ~ . OFFICE USE ONLY~ ' I ~ f~?~Tk~ FARn^; ~ATIOh' SPECIALfSTS - s~:~~= - J - / - - -
Lot 1~- Block _1- SeclSub. - ? 1
PBfCeI NO. . ~ ~ . Oaupancy ~ - ..KEES . . ~ . 1
~ 7Anirg ' " " ; +f
~ ~ '
W Name B AD .RY 1 Tg SRO{JSKI IACtua~l Const - Brog. Permit t S•~ ~ „ x K n~~ ~
~ Address , 4892 STOBT et~ CT la~owame) - surcnarge i , l i C~~ '
City EAGAN : Pho~B ~885-5280 ~ YolS~ories - PianReview J - ~
LengM - . L% J l ~ (
o Name-SA*^~ ~ev~n _ SnC,Cay ' v' ~ r~.~~
gQ Address S.F.TOtal - g,qQMCWCC ~ t; • t_ ' ~ , ~
~ Clty Phon6 S.F. Faolprims - Water Conn ~ ~ ~ ? ~
On Sile Sewage A ~ v~ (J ~
W w Name on sue w~i - waie~ Me~a~ r. (
. ' MWCC Syslem ~ - . Accl. Deposit . ~ ~ C C i
z- Address
gu~i City c,.;~: PhOne Cin/ Watar - ti•5 . ~ -~s, i
S/W Permil ~ ~ . ,y. r
. . PRV Required - ~
I here6y acknovAege I~at I have read Ihis applicalion and state that the Boosler Pump. - SlVJ Sumharge ~ f 5 ~~J ~ - ~
inlortnatian is corract and agree b comply with all applicable State~ ol , i r ~ i~ ~;1
Minnesota Stawtes and Ciry at Eagan Ordinances. ~ Treaiment Pi ~i ; S'~ . _ ~
Signetur6 Of Permlte APPHOVALS Road Unil , .
~ ~ ` ~ ~ ~ . ~ ~ _ w!' , ~ _ _ ~ .
A 8uilding Permi/ is issued to: ~Ani.RY .i 'j'F11$~jSRT ~ ~ P~enner - Park Ded. ~ ~ ; ~ . t'~ _ ~ ~ ~ ~ ~ ~ _ I
on ihe ezpress Contlition that all work shall be done in accordance with all ~ - ~ F ~ ~ ~
rn ~ ; 'LT
applica6le State ol Minnewta Sta(~tutes and City 'oIf Eagan Ortlinances. g~, pry, _ Copias 1S. SO ~ ~ ; - ~ A ~ ~ ~ d ...~1 ~
7r1 '1Dllj rnlJ Vanance - TOTAL ~ ` . , f . ~ _ ~ .
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACiAN
3509 I 3a3o ~~~~o ~ _ ss~z2 ; { _ ~ ~ qz ~
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured tnd. design; etc.) ? 1 site surveys (exterior additions 8 decks)
• 1 energy ealculations • 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _Yes _ No
DATE: ~d CONSTRUCTION COST: S, O C~
DESCRIPTION OF WORK: ~O'a~ " S~d" 1'a1 I~9 ~J ~~P7°
STREET AD_~DRESS: /c /1 LL
LOT: BLOCK: ~1 ~ SUBDJP.I.D.#: ~~.~~~l.Ld~.1~~'1~ Z~
v
Name: !~(~J~~~l),SJC / (J~Q~'~ ~l/ Phone#: - ~~T
PROPERTY LaSt Firs[
OWNER StreetAddress: ~~T f ~l/1
City ~l'j
C} ~ }'1 State: / v Zip: ~
~
Company: ~--I ~G O c7~~ J1 Phone ! S"- V 6 7~ D
CONTRACTOR ~ 2 ~
Street Address: ~ ~ J ~ License ~/7d Exp.
City ~J~'J~,S ~J! E State: / v . Zip: ~SJJ~ ~
ARCHITECT/ I
ENGINEER Company: Phone
Name: Registration
Street Address: I
City State: Zip:
Sewer 8 water licensed plumber (new construction only): . Penalty applies when address
change and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the infortnation is coRect, and agree to comply with all applicable
tate o innesota Statutes and Ci of T_ -
ty Eagan Ordinances.
' Signature af Applicant: ~ _ _ - -
;
_ ~ ; ' ;111~
~
OFFICE USE ONLY I
~ - I 19~`~ ij~
Certificates of Survey Received _ Yes _ No ~I.'~,~ ~
?
I'!,_!
Tree Preservation Plan Received Yes _ No _ Not Required
i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
~ 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION ~
Const. (Actual) Basement sq. ft. Census Code ~13-f
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. Census Units
Zoning sq. ft. Census Bldg
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit ~
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies •
Total: ~
% SAC
SAC Units
~ .J i / /
~ V (J L.
1991 BUILDI G PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MC~ST DESIGNATE WHICH ADDRESS IS
UESItZED. NO CHANGES WILL BE ALLOWED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
FooTINC~ ~'c{2~rt1'r ONLN ~p/Q1
, ~
To Be Used For: JJf~~C ?~~c~ Valuation: Date: ag~~
Site Address y$~Z S;prlr~„~C~ Cp; OFFICE USE ONLY
Lot ly Block ~ FEES
Occupancy Bldg. Permit ' ~$i00
Zoning Surcharge ~.SU
Parcel/Sub ~/~f h;_S k~~ ~'Z.~,a Actual Const Plan Review
A1lowable SAC, City
Owner Qn„~,~~.:t '~~-,,,.~~,.,,,~S~c, # of stories SAC, MWCC
Length ~ Water Conn.
Address y~~1Z 5~pc-IAn1Y~ C~r 7 Depth - Water Meter
S.F. Total Acct. Deposit
City/Zip Code FASf r~ .~51Z.2 Footprint S.F. S/w Permit
l S/W Surcharge
Phonew, $~S-Q,I~ a~N-1-"1120 On site sewage_ Treatment Pl.
On site well Road Unic
Contracto~ S F~~ MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV Copies
Booster Pwnp _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ~5.~ ~.O
Arch. /Engr . Bldg. Off . S Z•5%~S'
Variance
Address
City/Zip Code
Phone #
~ agrees that all work shall be done in accordance with
(Si n re of Contractor) ~ ~ ~
all applicable State of Minnesota Statutes and
C~ity of Eagan Ordinances.
S'
VALU A~1o~1
3-S~A rr I~o~cfl
12K~6s 1~2 ~ =
D~ k
i
/uo~
86go ~ ~oo~
,
-rverirvv-5 0~ `7
, , l 1 ,
~ " f , ~
~ ~ rx 1 ` ~ ~ ~ •
n S . II'GVI~ V\„li ~~i9-:~\\ ~ ~ 1 , f .
• ,
• y N . ~ I~~ J. :
V~ / U C~ p ~C~~: ~ \ . ~ '
' ~li v~,~~~t ..-11 7 }5~ ~ .
~ ~ : t y . Q
. _ ( _ ; f~ rc~ , '
~ . r ::z , ' r . ~y/~y,, Y,~ ~ e~f Iv - 1- ,~r~ ~
~ ~ . ,
~ , ss .y, ~ ,
• ; ~ O~/ 0 ° o I~ ~ ~
, 79 t~ ~C a ~ ~ , : . !
+a yl ~ Z I ( ~ ~ , ~ ~.1 ~ V~
~ 9 , i ,
a~ ~ d
~ ~n~ , ~ : .t ~ ;
~ ~4 ^ Oe~'~f/ ~ ~
,
~ : ~ °'I ~ ,rS~yS;B ~ ~.~jj ti
1'~ ' \~e~ I N 'Q°~„\6 dy[ ' .~Q`~j4' y
F
~ , ~ ' ~ - r 1
, ; 4, ( ~ '1~ .,1 , ~n -1 n T r~ ~ c. ~ r z .
~ 4 ~ _ . I ~C' .
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I ~ ~ i m~amrn r:~ c~µ ~
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> ~ I ~ i ~ ~ ~ -1 ~
. ' r'; 7 ~r r1~a~5'aq .i, . ~ . '0 S7. : ~
l} . G ~ n n„v ~ 1 { . a - t ~ . . . . . . 1 , p r. = i r.;
x r:_~I c}~e~ a`~ 1. , , r= c~:..
V 1 U~ n ~ .*'~""--',_ql ~.1.-~. 1 ~ ~ ~ I ' CJ ~ G7 G ~
c~, i - A~ r~ ~ ~ 1; ~._p! J , 1 W O ~ G' .
U~ ~i ` ~ v\ .~.,I~` s~: * clir¢'"r"~F.);
f$c r ' , ~ ~ . . . : ~ r a N n n C
n
~ ~ ~ . • ~ 1n tc, ' ~ ~ '~C' ~T ~Z ~Z 1 ~1~ +~4 ~ o Ul c~ ~ -
J` ( ` _ _ '~"I ,n ~ ~LI ~ , ~DRC ~ jV t i ~ O ~ i .'J h~~
~ ~ ` ~ I O '~"I -i
f . ~ i-~_~ .~doM~., T . - ~ C
/ ~ ~ Da-cC ~ _I- _1:.~,__t ~ E -i'
16 1 12 4` ~ ' ~ I
i
~ I - - - - . ;
~ , ; M
. ~~s~. ~ ~ 1 ~
- J - - ~ ~ r ~ .
:oo ~ -io~~ss~~~> ~ ~ ~8.-~ -
N,.D -`f ' . 2C~/.8~-- - ~ ~
ti f~n ~
1 ~/~~.~~n-e,~.~V 4-0•,=,~`{/,1' %
1,:~
/ b' ~.J
:SSE~YJ6Ti]!RTaasrnre^~
,~---/ti/, p°.23'~9"1~'Y. ~ 2~'~/.£32.-
~a~DB~ yg` po CZTY OF EAGAN FOR CITY USE ONLY
- ~~/9~' 3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE (612) 454 S10D RECEIPT #~y3 _
M~G~~A~~CA~ ~,~`eI~'~' DATE:
~S~p~A7T~AT.. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACR IINIT.
WORK DESCRIPTION ~ „ ~ ~ ",F.EES ;
: ~ , ~ , .
NEW CONST , ' ADD ON~ MINIMi7M ' ~ $15:0
ADD ON ?~1/G ~A HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OllTLETS - MINIMUM 3.00
OF 1 PER PERMIT
OWNER NAME: ~~i,,~n~r.~, '1 nu:v~n~,`''J~
~~~y~ 1 SUBTOTAL: $ 15.~r?
SITE ADDRESS: 4R-~5~- li~t~,r~ Cwc~:,l d STATE SURCHARGE: .50
LOT:~ BLOCK ~ SUBD. W~.~/ TOTAL: $ IS „~ZJ
INSTALLER: . I
+
STANDAAD HEATAi6MIDAQI CONDI~ONWkkiCR
ADDRESS: 4se wEST li;K[ STP.EET SIGNATURE OF PERMITTEE
~ ~ LIS, hi1J 65308-2888 ~ ~
CITY: PHONE8242858ZIPY~ ~ /~r/S.~ ~/G f~
7 V'.•-
~
PHONE
G~MMERGIALJII!IDETSTktI~7.,:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BiIILDINGS,
APARTMENT BUILDINGS, AND MULTS-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE ~ $.50 FOR
SITE ADDRESS: BACH S1;000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUbD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNATl7RE )
FOR:
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129772
Date Issued:03/12/2015
Permit Category:ePermit
Site Address: 4892 Storland Ct
Lot:014 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-140
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 -
Bradley J Truskowski
4892 Storland Ct
Eagan MN 55122
(651) 204-1651
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
� � r-----------------�
I For Office Use � I
' � Permit#: � �J��"'��� V I I�I
Clty of ����� � — . � � �
� Permit Fee: �
3830 Pilot Knob Road � � �i
Eagan MN 55122 � Date Received:��` � "�1`�� � �i
Phone: (651)675-5675 I � I ',
Fax: (651)675-5694 ► Staff: I II
I I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION I'
Date: ���`���� Site Address: �g`�l Z b��`t�� C'r Unit#: I
Name: ��`�� �`�v IC.v��%S j�,�, Phone: III
Re�ic1�#1 : �
�}yy��;�^ Address/City/Zip: ��f� ��a�`�G� ��
Applicant is: x Owner Contractor
Description ofwork: �S� ����� �� �0�5�-
Ty��'a'F tlllOrk
Construction Cost: ��O��C� Multi-Family Building: (Yes /No�
��� Company: Cpi1��i1�'c�.C.;�,`UL, ��((;�i0(�� Contact: ��"� �'���-
Address: ���� �U�,�i�"j''� �� City: ���Uv�����
�����C1C'�Dr �
' State:�l 1� Zip:;��A Z. Phone: ��Z����VZc�.S Email:��SZ('"cf`ue'Sdd`�'"t►t�l�5l.���Ik
������ ��c,� �?�
License#: �� 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?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�1�C37";�:�ta»s�r�tl'�v��tork`�ng a[�cu��er�t���f�r#yr�tr�e�btn�t ar�c+�i�ter�d tci i�e p��rb�ic��#arEa�a#fon. i?c�rt�o��v#' '
' t�e irrt'or�at�on may be class��ed as�on pc�ib����}�o�pro�����eci��c rea�c�►�s t�at w�ould per�t�i�Ci�y�o '
c�ir��t��'e fhat#� �re t�a�rs i���e�. .
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.aopherstateonecall.org
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 Co completed within 180
days of permit issuance.
r
X ��1�n 1�c�-Ll�- �
Applicant's Printed Name Applica t's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137410
Date Issued:07/05/2016
Permit Category:ePermit
Site Address: 4892 Storland Ct
Lot:014 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley J Truskowski
4892 Storland Ct
Eagan MN 55122
(651) 204-1651
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150654
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 4892 Storland Ct
Lot:014 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-140
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: 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 -
Bradley J Truskowski
4892 Storland Ct
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155700
Date Issued:05/30/2019
Permit Category:ePermit
Site Address: 4892 Storland Ct
Lot:014 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-140
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.
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 -
Bradley J Truskowski
4892 Storland Ct
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature