4654 Stonecliffe Dr Address_ 4654 Stonecliffe Dr Zip 5512 2
LAt ~ Blk ~ Sub Pinetree Pass 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspectot:
Final grade (6" from siding) ~
Permanent steps (gazage) ~yn ~ ~rfD~~
Peananent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck ~j ' ?
Please verffy with the builder the removat of roof test caps from the plumbing syscem and the shutoff of water supply to
the oufside lawn faucet before freeze potential exists,
Contact engineering division a[ 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
~ F.,g~o~c"~EUse ~
C~b~ Ol L~~~11 j Permit# V J~ 1 j
~ ~~~.D~1 ~G
I pe~it Fee:
3830 Pilot Knob Road ~ ~
Eagan MN 55122 ~ Date Received: a
I~ j
Phone: (651) 675-5675 i ~
Fax: (651) 675-5694 I staff: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ~ ~~t1~ n 0(~ d-~i 1J'(~
Tenant: Suite
RESIDENT 1 OWNER Name ~~0..VLl P~~ ~ ~ _ Phone:
Address/CitylZip: ^fLJ~ cJ~l/~~~iL~i _
Applicant is. _ Owner ~ Contractor
TYPE OF WORK Description ofwork: r{ir(~~~
Construction Cost: ~-C ~i0~~ Multi-Family Building: (Yes No
CONTRACTOR Name: e License#: Zv~{~Zg f~0
Address~ ! ~ "t'~ Ti
City: ~_~i.1~K~~ ~ Slate: Zip:
Phon~O ZT~n-~~ ~ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
5ubmission type) • Energy Envelope Calculahons Submitted
In the last 12 months, has the City of Eagan issued a permit for a simitar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contrector: Phone:
NOTE: •Plans and supporting,documenfs that you submit are considered=fo be public inforriiation. Por(ionsof
the information may be classified as non-public if you provide specific ieasons that'would perrrmit fhe Cify to
conGude that the are trade secrets: ' _
I hereby acknowledge that this information is complete and accurete: that the work will be in conformance with the ordmances 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, lhat the work wdl be in
accordance with the approved plan in the case of work which requires a rewew and approval of plans.
x '~-/Q ~V ~I / / ~ X
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 729
DATE: 09/05/00 TZME: 10:24:41
ID:
NAME: BLAYLOCK PLUMBING CO
3212 9001 4654 STNCLIF DR 3~~.00
2155 9001 4654 STNCLIF DR 0.50
Total Receipt Amount: 30.50
CR136841
USER ID: JAN
CITY USE ONLY
L ~ BL ' RECEIPT#:
5~ao. Pine3re~, palss' 3~~ RECEIPTDATE:
PERMIT #
2000 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EA6AN
3830 PILOT KNOH RD
EAGAN, NAI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventerforunderground sprinklersystem
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas piping outlet ` minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC Iie. 75.00 X = $
Septic S stem abandonment 30.00 x = $
RPZ new installatioNrapaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under wnstruction 3.00 x = $ ~
Under round sprinkler H existing dwelling 30.00 x = $ D. O
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwemng under consvuctton 5.00 x = $
Water softener if extstin9 dwemna 30.00 x = $
Waterturnaround 30.00 x _ $
State Surcharge .50 $ .50
Total 3 0.
Reminder: Call for inspectlons of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I have read this applicatlon, state that the infoimaGOn is correct, and agree to compty with all applicable City of Eagan ordinances.
It is the applicant's respoosibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its
nortnal operational and maintenance adivities to tha facilities constructed undar this permit within City property/ ~T
iJ
/
SITE ADDRESS: ~ o
OD _ = uu i
OWNER NAME: : ~'L~~ /.'t~ ~ TELEPHONE
(A
INSTALLER NAME: +~.TELEPHONE ~ O fo 75~~
y-~ ~ (AREA CODE)
STREET A ESS: -
.
CITY: S A E: ZIP: ~
SIGNATURE OF PERMITTEE
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1999 SUILDING PERMIT APPLICATION (RESIDENTIAL)
~ , CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ L~ -a ~
~ ~ U (651) 681-4675 ~n ~n
New Construc~ion Reauirements RemodellReoair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fnd. design, etc.) ? 1 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated addihons
? 3 copies of [ree preservation plan if lot platted after 7/1/93
reqwred: _ Yes _ No
DATE: li~P'~~ CONSTRUCTION COST; ~i~ Z~Lf
DESCRIPTION OF WORK: V~~i1iV I~~SI ~}l11 ~Q,Q " SJG~
STREET ADDRESS: S C.t~
- LOT: BLOCK: SUBD./P.I.D. ~J~~
N~mie:- Plione
PROPERTY Lu~ F~~s~
O\~N L•:12
Su-cet Address:--------------
Citv State: - L~p'
P~- ~ -~d ~ s
r. y~yl 1^
(;omp:vil'~-~!"`~~ IG~_1u'_~
-`~IL!!~~Sd_fl!, Plt~c n: ~4~~' t ~!~1-
cox~~iz~croit I' / 1/~, 2
Street Address:_ .~S ~~~[+~~J~.- Ql License #_l_I~ ,J__Exp. 3~~~
c~« ---~1~~~- s~.~<<: - S~g -
ARCHITECT/
ENGINEER Compan}',-------- Phone k:
\';une:------------- 12coristntion
Strcet Address:----------,- A
Statc:
Gty - Z~~'
Sewer & water licensed plumber (new construction only): ~t'VV,V~ Penalty applies when address
chart~e and Iot change is requested once permit is issued. ~ ~ a _ 4~~_~~ e~
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
Stat~ of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ---~.~y-
OFFICE USE ONLY
CeRificates of Survey Received ~Yes _ No
Tree Preservation Plan Received _ Yes _ No ~ Not Required r`
~
OFFICE USE ONLY ~ ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~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 ~ ~ ~
. ' ~ y.'.'
~31 New ? 33 Aiterations 36 Move
? 32 Addition 0 34 Repair ? 37 Demolition ~
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. . Census Code J~/
(Allowable) Main level sq. ft. SAC Code ~
UBC Occupancy --G/~ sq. ft. Z N~ ~ Census Units /
Zoning - sq. ft.~jd~' ~ Census Bldg
# of Stories sq. ft:
? MCNVS System
Length sq. ft. City Water
Width Footprint sq: ft. ~ Booster Pump
~ - PRV
. . . .
• • Fire Sprinklered
ARPRO~/ALS ~ ' ' • , , . »
Planning ~ , ~ • Building ' ~ /,7' Engineering . Variattce
~
Permit Fee Valuation: $ ~ s ~
surcharge f~[~~~ x ~ Z(~ /Lr~'
Plan Review /
License ~7~` j 5~ C'~ .S
MCNVS SAC s-~ - l ~~G';
cry sac JSGG X ~ - ~ ~j', ~
Water Conn. ~~d X "
Water Meter
Acct. Deposit
S/W Permit • • ' .
S/W Surcharge ' .
Treatment Pi.
Park Ded.
Trails Ded. `
Other .
Copies •
Total: ~ S ~ 4 g ~
% SAC
SAC Units .
• i
R ~ ~ i
- _ :~fN
~ ¢ ~ ~ ~ l
~~an~~~~r~
EXTER IOR EPtVELQPE AVCRAGE U COMPUTATION
corisutucnoru •
iric
3ite Address Q'(ps~ ~J~jJK,p[~(~~_Lot~Block~
R S U Factors R U
Opaque Walls .043
~n, E wayzx~, nmd.
Wall Framing Areas .09
Mt~¦unop553~i Ceiling [nstuation Area • by~
Ceiling Framing Area Y .B2r
Rim Joist .04
Masonry Wall _ 6~ • ~f'
Windows .~i
Doars ,31
Skyliqhts .55
1) Lawer Level {pasement)
Total Exposed Wall Area ~ ~
Opaque Nall Area ~Z'/'$ X(U) .043 n 7i~i'~
Waad Frame Area X (U) .09 = `~~2
Rim ~oist ~~!'S X (U) .04 =
Exposed Block ~ X (U) ~.,g1~2 = ~
Window Area ~~'u % (U) .35 =
. S1lding Glass Ooor X(U) .35 =
Door Area ~ X (U) .31 = ~
Totai ~~'y
~ : L~~~ ~
L~f1p~aR~f~
a~~~' 2) First Or Main Floor
COhISiRUCIION ~
Total Exposed Wall Area
tNC
Opaque Wall Area R(U) .043
lJood frame Area J'~ X(U) .09
Rim Joist ~~l.I•`X (U) .04 = ~"'p
Wi ndow Area ~ X( U) . 35 = I D
73 i L Wayuila 131vd.
w,iyraii Sliding Glass ~oor ~ ~ X(U} .35
Minimwla55791 Door Area X (U) .31 = ~ ' _I
, T ~I
(fi121473-i231 Total ~ Li•~
3) Second Floor If Two Story '
Total Exposed l~all Area
Opaque Wall Area ~~~X (U) .043 = "r(/'~
Wood Frame Area X(U) .09 = I
Window Area ~~~?X (U) .35 =
Sliding Glass Door~ ~ X (U) .35 = ~
Door• Area ~ X (lJ} .31 = ~
7otd1 i
4) Total Ceiling Area ~ d!/
Wood Frame Area X(U) .~82`7 =
Opaque Ceiling Area ~ I~l/ X(U) ~ 2
Skylight ~ X (U) .55 = ~
Total
. - ~
l0T SURVEY CHECKLIST FOR RESI~ENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL Lt~'T I OLCL~K ~ ~NET,~EE /~'ASS 3~D
DATE OF SURVEY ~ ~G ~ ~ ~q
LATEST REVISION: 8
3~
DOCUMENTSTANDARDS
~a ? • Registered Land Surveyor signature and company
? • BuddingPermRApplicant
7~ ? ? • Legal descnption
m~ ? ? • Address
~ ? ? • North arrow and scale
,r? • House rype (rambler, walkout, split w/a, split entry, lookout, etc.)
? • ~irectional dreinage atrows wdh slope/gradient %
m~ • Proposedlebsting sewer and water services & invert elevation
? ? • Street name
~ ? : Driveway
? Lot Square Footage
a~ ? ? • Lot Coverege
ELEVATIONS
ExisGna
? o • Sewer service (or Proposed)
ra' ? ? • Property cotners
? • Top of curb at the driveway
~ • Elevatons of any e~dsting adjacent homes
? i9' ? ,Adequate footing depth of structures due W adjacent utility trenches
Prooosed
e~ ? ? • Garage floar
~ ? ? • First floor
o ? • Lowest exposed eleva6on (walkouF/window)
? ? • Property comers
? • Front and rear of home at the foundation
PONDING AREA (if acdicade)
~ ? ? • Easement line
~ ? ? • NWL
rv~ o ? • HWL
~ ? o • Pond # designatian
~ ? ? • Emergency Overflow Elevation
DIMENSIONS
o ? • Lot lineslBearings & dimensions
7/? o • Right-of-way and street width (to back of curb)
tr' a? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
~ / (i.e. all structures requiring permanent footings)
o? • Show all easemenLa of record and any Cily uti4tes within those easements
? • Setbacks of proposed strudure and sideyard setback of adjacent epsUng sVUCtures
o 4~0 • Retaining wall requiremeMs, iF any
Reviewed:
ame / Date
March t9eB
CMIOIBLDGPRM! FM
' ~ ~nsars sY
eoR
R c~ ~R
~ ~ ~
a,~ $ t
a ~o~o~m
\ A~ • ~ ~
~
N~KO ~ ~x g26 6 ~ ~ n
~Z•°~ xlg2,l LEGEND U ~
6 ~ ~ y
~ g2~ ~ QS ~ENOTES SANITARY MANHOI.E R:
~ DENOTES ITYDRANT m
~ I ' \ ~ DENOTES CATdi BASIN ~ ~
/ O ~ ~ ~I,~Lyg S DEN07ES SlWITARY SEWER ~ i
0 /Q X 926.2 \ ' q~'_~ ~ 9 ~ W DENOTES WAlER1~lAIN ~ F
/ ~~4j• ~ ~ ~ ~e~~ ~ ST DENOTES STORM SEWER ~
~ ii ii / h ~ ~ $ ~ OENOTES STORM MANHOLE :
m ~~O ~ k9 ~ ELEV s26.32 ~ DENO'IE$ ST~R11 APRON ~ gi
ry0 ~O / ry 2>8 ~ ~~O ~ ~~~~5 ~~ICY O~w W&
~ / } 91as /oi~ S ?so x ~ ~ SETBACKS ~ €
r } ~ ~ ~ 923.6 t~. d ~
_ \ ~ ~3 ~ ^ r, ~ ~ ~ h ~g aas MIN. FRONT YARD SE1BACK = 30' ~ $
a ~ a r~ e°' MIN. SIDE YARO SET6ACK = 5, f 5 BO1H SIDES
~ / Q , m } ~1 X 9~ MIN. REAR YARD SETBACK = 15' ~+~`O~
¢ ~C / ~ C`3~ !Q Q~ 3 ~i ~ %~1 1 ~rL~ "
~ Q / ~~e"Q ~ G~'r e}~~~ rI f ~EAdL''~ OT~AREA~ 15
7 67 S.F. '~`'An
/ ~t o " ~ ?3 ry / ` ROOF AREA ~ = 15.87G
~ r ~ ~ / sz~.2 ~ ~,tie } / 9~ ,~~.~1
~c V X ~N } ~ 9p~s~~o~ V~~ ~
~ Z k~' ~ ~~Y~ P~PP
~~N~ } U~
~ ~ T ~ pR ~ F, POtJO BLP-6 Propoeed Top af Foundotion Elavatione93217 ~ ~
Q ~`3i.69 1 sz2.o ~-8.78 NYYL 898.00 ~ Proposed Garaqe Floor Elsvafion~ 930.5 ~j ~
° ~ ` 75.ig ~•47 i 4.87 HYdL 905.70 ~ Proposed Lowsst Floor EJevation~ 923.17 Z~
~ X (szs.o} ~
¢ Ti2AlL f1j84o~~' ~ J
r.,./~/X(s20 p
~ EMERGqyCY O V
E
R
F
t O W ~ x s i os ~W W W
z ( ~ 8Jr. Jr2 Csra.o~ ~ (908.3) O Denotes Iron Monument F~~i E"' ~
X T
I~
A I L + 9 1 0.
0 D e n o
t
e e E
x
i s
t
ing p e
v
o
t
i
o n < C
h ~
a, 1" +(910.0) Denotes Proposed Elevatton V~j A~~
~ ~ ta Denotee ~i~n~ or surface F a z o a
~ ~ ~ 910.0 Dsnotss 5anftary 5ewer Sarvics ~ ,.~.7
u' g _ EJevation
N -
v ~ , ~ ~ ~ fllflby 00~ U'IOt ~I~B ~ G tflls Ofld COfMCt fM~~O~MI i
~ ~ ' of o survay the boundarfes of:
~ _ ~y ' LOT 1. BIOCK 1, PINETREE PASS 3RD ADDR10N
~ OWCOTA WUNiY, MINNE50TA 0~
m - ~ - " F:;a.-> ~
n ; Md ths location of oll buitdings, if any, theroon, and all vieibb ~E~
N ;;~i~~,~ . = encroachmen4s. ff any. from or on soid land. A~ surwyed by GRG
Q r• ;C`~'iy'~ERZIVGAEI"T « me this 23nd day oi st, 1999. DATE
~ ~
~ • OB-23-99
• . SCALE
~ Gary R. Germond s ~~s~
~ . Lice~med Land Surveyor, Minn_ LIc. No. 24784 J~6 N0.
~ 5402-519
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 699
DATE: 08/25/00 TIME: 07:06:08
ID: '
NAME: R.W. OR NANCY L. HENNEBRY
3210 9001 4654 STONCLIF ? 60.00
2155 9001 4654 STONCLIF D 0.50
Total Receipt Amount: 60.50
CR136478
USER ID: JAN - ~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ cirr oF eacau
~2~1 1_K 3830 PILOT KNOB RD - 55122 ~~1 O
~'~~~~J 651-681-4875 V~/. ~
NewCOnshuctlonReauiremenh RemotleUReoairReauiremenri rQ~'e(~ O
l. 6
n J reglsfered elte wrveYs ehow~ny aq. H. ol lot, aq. k. ol house 2 copies ot plan
and g~ roofed areaa (20X nwxlmum bt eovemae atloweCf 1 set ol energy calculaMons tor healetl addllloru 11 w w
? 2 copies ol Plans <ahow beam & wlndow slzes; pouretl fnd. dealgn; etc.) i site wrvey for exfedor addiHons 6 decb rnj y~
n 1 sef ol energy cdculallona
D S coples of hee preservaflon plan H bl platled alfer 7/t/93
DATE: F~' I~- DD CONSiRUCTION COST:
DESCRIPTION OF WORK: ~7/- GK l~ r> IJl i/w1
STREET ADDRESS: ~~S S~" S/'o/~fIL G~ i Gi= ~7R/dif
LOT: BLOCK: _L_ SUBD./P.I.D. N: 1J/N/`rTi¢if.~ f~/Jt1 2~ /3,OV~.?ir.i~/
Name: _ ~7~1 L G ~,JiR M ~ f~/r~ _ Phone u: ~J
~
PROPERTY b~ Fin?
OWNER
Sheet Address: }~s S~" S i
~Mrz GL i rr U.¢ i~'~
Ciy 1:' /a G A ti1 State: MT/ Zip: S:s ~a ~
. Company~Jfffz i7~Ca .N.~n i7oon <d • iN~- Phone A: ~~L • d'~ - y~/iv <<ric~)
(area code)
CONTRACTOR 1
SheetAddress:l/l3'~ A~Ro,~ ~/~`/c Llcense# ~S7 Exp.`~?3i °
Cly ,~N//r`.~ G.evr%~ ff/ii~/t~S State: ,h~.~i Zip: S~ 07~
ARCHtTECT/
ENGINEER Company: Name:
Telephone ( )
Skeei Address: Regishatlon p:
City State: 73P:
Sewedwater licensed plumber (if Installina sewer/wate~l: Phone
I hereby acknowledge ttwf I ~wve read Ifiis appikafbn, afate that 1he infortnatbn is cortect. and agree fo compty wHh ap app8cable Stafe
of Minneaota Statutes and City of Eagan Ordinancea.
Signafure of Applicanh ~ h''~~?~tr~
/ OFFICE USE ONLY ~CENED
Certiflcates of 5urvey Received ? Yes _ No AUG i l 2000
Tree Preservation Plan Received Yes No Not Required -
- - BY:
OFFICE USE ONLY ,
, )
BUILDING PERMIT SUBTYPES
? Ot Foundation O 07 O~plex ? 13 16-plex O 21 Porch (3-sea.) O 31 ExL Alt - MuW
? 02 SF Dwelling O OS O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ piex ? 09 07-plex ~~18 Deck ? 23 Porch (screened) ? 36 MuIG
? 04 02-plex ~ 10 08-piex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex 0 11 10-plex Plbg _V or_ N? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK NPE
~,~31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to appticant for demolition permit
GENERAL INFORMATION
SAC Code ~7 I # of Stories sq. ft.
No. of Units _{L Length ~o' sq. ft.
No. of Buiidings t Width i~c ~ Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code u3N
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
PermitFee ~60.So 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
Totat: ~6d.5o
SAC Units
% SAC
~ x , RE1A90NS 8Y
~ ~
~ R ~ ~ER
„ $
°-4 ~ ~o~a~. ~
i~~~~~~~
N6~c A`~ ~x9~66 -~d
\ , ~a
129 ` 19~11 LEGEND UR
~ ~ ~i
~ q1 6 ~ QS DENOTES SANITARY MANHOLE °
~
~ ~ DENOTES ITYDRANT o
/ p~ / \ Qii DENOTES CATCH BA9N ~
p~ ~Q x sza.z \ ytd~~~ 929'~' S DENOTES SANITARY SEWER ~
~ ~ 2 f-pN W DENOTES WAIERMAIN Cq ~
/ Gj ~ ~ ~ ~ v ST DENOTES STORM SEWdt ~3
` r~ 1°•~ ~ $ ~ ~ $ ~ ~ ~ ~o~s s~~ au~atF ~
kg ~ J ELEV . 928.32 ~ DENOlES STORM APRON
ry0 ~o ~ 2jg g ~CS~ o~ DENOTES EM~Y OVFRFLOYY W
/ } 918.5 /o~. ~ ^ ~ 9zso ~ ~ X j ~
~ ~ s , A~ 923.6~ g>~. SETBACKS ~
~ 3 ~ w,, h ~ aa MIN. FRONT YARD SET~ACK ~ 30' v~ s
/ ° MIN. SIDE YARD SETBACK = 5, 15' 807H SIDES
Q ~a 3 ~ e ~ ~ MIN. REAR YARD SETBACK = 15' ~~`O~
~ / ~ ~ y~~ ~ ~ X 919.3 QS~~ ,3° _ ~
~ / ? ? ~,yT '3' e ^ ~ ~ ~ ~ ROOF AREA = 2.457 S.F.
/ 4 Q ` • ~3 ~ ^ ~ ` ~ ENC~ LOT AREA = 15.776
~ ~ .,A ~ ROOF AREA 16 = 15.67G
J ~i o-, ~ sz Xz /y ~rv`°~ k/ ko~1 ,•yti ~ C~
I G ~ N~ ~ry ~ o~ s~~°~ `~T~ ~
2,~ m~ L i~ ~ ,q~° Ey~t }
f k` ~ ti \ e~~-P~t~P S~' ~ U!O .
~ ~ ~ 3169 ,oR ~.P POIJD BLP-6
` s2z.o` ~
a8,78 NWL 898.00 ~ Pn~ Garog Fioor EJsvation~930.5 3217
~ ~ ~ +,;4~ ~~aa
x cszs.o~ 78.16 i l4.87 HWL 9!)5J0 ~ ~Po~ Lo~rest Floor Ebwtion= 923.17 ~ z~
I TRAfL IY84°10'15p~/x(szo.o~ EMERGEI~CY O1~F'~OW . xe,os
~ ~ (908.3) ~
~ 85.52 c914.o, o oe?wtes ~ron Monuma,t ~ W~'„ ~,1~
k TFt~tl~ + 910.0 Denotee E~deting pevetton < ~
~ 6 +(910.0) Denobea Diroe~Uo~n of Surtacs ~i ~ z O a
n?n~~e ~ a ~ v
ao . 910.0 oenotes sonftcry sm.er senice
` ElevaGon
' ~ . ~ ~ ~ AerobY cerUh that thie is a trua and eorroct ropr~sntcUon
of a survey o# the boundarfes of:
~ t LOT 1. BLOCK 1, PINEfREE PASS 3RD ADDRiON
DAKOTA COUNiY, MINNESOTA DRANN
~ ~--=2~ " Md the location ot all buit~ngs. H ony, thaoson. and all visibk
encroachmenta, ff any. from or on ooid la~d. l1o wnaysd by CHE~~
==-~L~Ji^_- 7x,~. , me this 23rd day of et, 1999.
08D-23
98
SCME
Gary R. Germond 7'~30'
Liesneed L.and Surveyor. IAinn. Lie. No. 24784 ,~pg NQ
, ~ 3402-519
L CITY USE ONLY RECEIP7 ~ L~~a ~
SUBD. ~ ~ ~ ~ A ~~r~ RECEIPT DATE: ~ ~ ' ~ (o - l
PERMIT # ~ ~ ~ ~
Y 999 ~LUMS1Nfi ~~MIT (f~SID~NTI~FL)
crrY o~ ~,as,tri
sSso ~u.or icivoa ~tn
~ws,4cr, nuv 5512Q
(651)68]-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x 2 = $
Floordrain 3.00 x = $
Gas i in outlet 'm~nimum-~ 3.00 x Z = $ ~o -
Hot tub/s a 3.00 x ^ _ $
Kitchen sink 3.00 x I = $ 3°-
Laund tra 3.00 x = $ 3°O
Lavato 3.00 x S = $ / S°°
Minimum fee alterations to existin dwellin 30.00 x - _ $ -
Private Dis osal S stem new/refurbished ' re uires MPC i~c. 75.00 x - _ $ -
Private Dis osal 5 stem abandonment 30.00 x - _ $ -
RPZ new installation/re air 30.00 x - _ $ -
Rou h a enin 1.50 x ~ _ $ SO
Shower 3.00 x / _ $ , ou
Under round s rinkler if dwellin is under construction 3.00 x = $ -
Under round s rinkler if existin dwellin 30.00 x = $ ^
Water closet 3.0o x = $ f°-°
Water heater 3.00 x Z = $ b°°
Water softener If dweiling under consVUCtion 5.0~ X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
Total $ 9 00
Reminder: Call for inspections of alterations, i.e. water heaters, waier softeners, etc.
I hereby acknowledge that I have read this application, sle[e that the information is correct, and agree to comply with all applicable Ciry of Ea9an ordinances
It is the applicant's responsibihty to notify the property owner that the City oi Eagan assumes no liabihty for any damages caused by the Ciry during its
nortnal operational and maintenance activihes to the facilities construcled under this permit within City property/nght-of-wayleasement.
SITE ADDRESS: ~7(0 .5~~ ~'~PnL/'i~~~.~ ~!2-
OWNER NAME: : ~iGt ~LTS~-~-~^ /..S~~S Co~ST. TELEPHONE
~ (AREA CODE)
INSTALLER NAME: /r <I .P ? (~tCritlLrfC TELEPHONE ~d ~rl 7 Y~ Z ~Jn~
(AREA CODE)
STREET ADDRESS: S7 ~ ~/3~ le s-1 /!!~-L
ciTV: SGs.s~l~o.o~/~ STATE: ziP: SS-37i~
`
~
SIGNATURE OF PERMITTEE
CITY USE OVLY
LOT ~ gL ~ RECEIPT ~ ~ ~1 ~ ~ ~
susD~ ~4 ~ r'C~.o~ 3 r~ RECEIPT DATE: ~ I- ~ t., ~
MECHANICALPERMIT# ~~g~~ ~
'1999 M~Ci~NIC~L ~P~iiMIT (ft£SID~NTI~CL)
CfI'YOF £AfiHNT
S9S0 PILOT KA06 fiD
gA&AN MN 551YY
Q tss~~sai-as~s
Date: 7 ~
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
~a
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total
Complete this section or:lv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder.• Ca11681-46~Sforinspections.
_ Furnace _ Air conditioning
_ Air exchanger _ Other
$ 30.OU
State Surchazge .50
Mini um Total Due $ 30.50
SITE ADDRESS: _ S~d~/~ l'/~~~-~ ~/Z
OWNERNAME: ~liL f~ ~~'?!~-z PHONE#: Cd _
INSTALLER NAME: f~ C a3 ~c G'~~ //~~e G/~e a.v/~i~lC PHONE A~!//~
~ ~ (AREA CODE)
STREET ADDRESS: S~~ KCt Sl o.~c a?~
CITY: S~~~0 P~~ STATE: ~v/~? ZIP: S-~ -3 y/
~~=:<~L~2~'~ r
SIGNATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
19991KECi~Ii4BT1CAL ~ER141Tf (COI~IMERCIAL)
CITY OF ~AHAN
3$SO ~ILOT KNOB fiD
~46u~4N, MN 55] SE
(ssi ) s$i-as~s
Please complete for: alt commercial/industrial buitdings
multi family buildinQs vvhen separate per:nits are not rPauired for ~ar,h dwel!ing unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
_ Processed Piping (Nlinimum Fee)
•'NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fire mazshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE ($.50 pcr 000 of ~emvt fee due on all peimits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1~:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
C1TY: STATE: ZIP:
SIGNATURE OF PERMITTEE
city oF eac~~n
PAiRICIA E AWADA
October 21, 1999
PAULBAKKEN
Mr. Eric Olson BEA BLOMQUIST
PEGGV A CARLSON
Lundgren Brothers Construction $ANDRA A MASIN
935 E. VV8yZ8t8 B~Vd. Co~nni rnembers
Wayzata MN, 55391 Tr+onnns HE~~Es
651-473-1231 Ciry Atlmmisiroto~
~ j~]~GZ 61U OI CiryCeAk OVERBEKE
RE: Pinetf~ Pass - Erosion Control Concerns
4654, 4658, 4662 SWneclitTe Dr.
A City staff person has observed the site where the permitted work is taking place and has found
deficiencies in the erosion control efforts.
The City Code cleady states the authority of City staff in enforcing the removal of siltation, dirt, clay,
or soil (SILT) upon any street within the City (Section 7.05, Subdivision 5.1 of the Eagan City Code).
Due to the failure on your part to respond to previous notices, the following actions have been
taken in regards to the aforementioned properties.
1. Ordered the installation and maintenance of approved silt fence and fiber mat (where
needed) at curb and property lines.
2. Charge/mail installation invoices to devdopment contract obligee or permit holder.
We appreciate your cooperation with our erosion wrnroi efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Chief Building Official
Engineering Section Dale Schoeppner, Assistant Building Official
Department of Public Works Stan Lexvold, Construction Supervisor
City ofEagan
MUNICIPAL CENiER THE LONE OAK TREE MAIMENANCE FACILITY
3830 cI~OT KNOB R0,4D THE SVMBOL OF STRENGTH AN~ GRON/TH IN OUR COMMUNIN 3501 COACHMAN PO~NT
EAGAN. MINNESOTA 55122-189] EAGAN. MINNESOTA S5122
PHONE (651)h81-4600 PHONE (651)681-4300
FAX. (651) 6B I-46I 2 EqU01 OpporfUfli}y EmplOyef FAX~ (651 J 681-G360
TDD~(o51)454-8535 WWW.Ci}yofeagan.COm TDO (651)454-8535
~ ~
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date_~/ ,
Site Address ryio.'] y- 1[~,[1 p ~ Unit #
Property Owner ~a~yy~ ~p.( Telephone # ( ~.s~~T=/QP~'
Ccntractor ~1l~ ~ l l / n '
Address /
S''~~~p ,l~r/.ev D. ~ Ciry i~_r~ , y~t e,. s~l'~
Sta[e `i')(y~ Zip~"j~~ Telephone# ~J) ybl,%S•s37i3~
The Applicant is _ Owner ~ Conh~actor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
Altera6ons To ExisGng Dwelling Unit, Including ,f $ 50.00
'~I=17ru~
? Adding fiMUres to lower levels or room additions, excluding water ftener and waterih~~ ~
~ ~
_ Abandonment of septic system ~ ~ 1~J
_ Water tumaround 5/8" meter if needed -$121.00) 'O ~~C` ; 1
_ Other. !~Y__
_
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ R'ater softener _ Wa[er heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
Total $ ~p.g~
I hereby apply for a Residenhal Plumbing Pemilt and acl~owledge 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 with the Plumbing Codes; that I understand this is not a
pemrit, but only an applicarion for a perxnit, 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 requ'ues a review and approval of plans.
Elayn~ /Y(- 1,u~cvin7
Applicant's Printed Name Applic t's SignaEure
RESID~ENTIAL BUILDING ~ ' ~
6 Permit Application /
~ j~ City O[ Eagan c~~~~ ~~ZL Qj
3830 Pilot Knob Road, Eagan NIn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reauiremenls RemodeVReoair Reawrements Office Use OnN
3 registered site surveys shovring sq. fl of lot, sq. R of house; and all roofed areas 2 copirs of plan CeR of Survey Recd
(20°k maximum lat coverage allowed) 1 set of Eneqy Calculations tor I~ted addifions _ Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured tound design, etc. 1 site survey far additions & decXS Tree Pres Not Reqd
1 set of Energy CalcuWtlons Addi6on ~ indicate ilon-sAe sep6c sysfem _ On-site Septlc System
3 copies ot Tree Preservabon Plan if lol platted aRer 711193
Rim Joist Detail Options saledion sheet (bidgs with 3 or less uniLs
/
Date ~ / / ~ Construction Cost ~
Site Address 7~'S~~ ~~.Vi~GL/Fi-'!~ ~,f~'-I V~ UniGSte #
Description of Work r~lrt~vua~^~~ ~~~SN~
Multi-Family Bldg _ Y_ N Fireptace(s) _ 0~ 1 _ 2
Property Owner ~ /
/A~l Telephone # ( (pS( ) ~.S ' (GZi
Contractor /~/7H s ~t~51D~ /%u~LOdxS -
!
Address ~~`f~ f~l7U~(S City ~//O~ `A'k~
State jf~(/J Zip ~S3~J2~ Telephone#(~ ) Z-ZL~y3/v ~
asy
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residentlal VenUiation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor T r1~, n
~L II
JUL 1 5 2003 ~
I hereby apply for a Residential Building Permit and acknowledge tha the info~is comQlete and accurate;
that the work will be in conformance with the ordinances and codes khe. City~of-Eagan.su$ the State of IvN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approva s.
Applicant's Printed Name Applicant's Si~ature
~j7"/.f /~N9.~~~f
' OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ~Q 19 Lower Level ? 24 Storm Damage
/ '
? O6 D4-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alterafion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ~ •Demolftion (Entire Bldg) - Give PCA handout to applicant
Valuation ~1~~~ Occupancy ~ 3 MC/ESSystem
census code t-? 3 zoning city water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ~ ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O. -
_ Footings(deck) * FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
Frazning _ Siding Smcco Stone
~ Fireplace ~ R.I. ~Au Test k/Final _ Windows (new/replacement)
~ Insularion _ Retaining Wall
Approved By / Z , Building Inspector
Base Fee
Surcharge ~ ~ j1f ~
Plan Review ~ ~
MGES SAC
City SAC a
Utility Connection Charge `f~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
FEB/05/2015/THU 02. 02 PM Heating & cooling FA� No, P, 002
Usa BWE or BLACK Ink
-----------------,
� For Offic¢Use I
Crto��a a� � Permit#: /+ ����/� 1''�
� � ' �zc�.���...,.�'
3830 Pilot Knob Roed � Pertnil Fee:
Eagan MN 55122 1 �
Phone:(651)675-5675 � Oate Received: �
Fax:(651)67'S-5694 j I
� Staff• _____— �
----��....�... .-�
2015 MECHANICAL PERMIT APPLICATION
❑ Piease submlt two(2)sets of plans with all commercial applications.
Date: � �S Site Address: L 8 �""�'�D
Tenan�: Suite#•
� �" m Name: ��� �Lh �� Phone: �5��3V �v ld �
e 'r el�t�'..,... ..
'� Address/CitylZip: 5 '}Ori�.�1� 1�2. 4' 4 /WL) �'�
,.. .
� � °' Name; 1�eG�j InR � �����F I w� _License#: �1� OO�YU�
r `
�, -��• Address• 1 � 55(� � , (�� � � City: �G��p �
' � � � State; � Zip: J 5��� Phone: ���3� ��6 ��� 77
�
.' _ � , y�
�(q`� q 'I�p�. 'r � Contact: �11L �, Email: � "C' Go6I o� . Ca'1ti
C!!!�0 !1� .•W:�. �. . � 4��t�
t • � �
� ____New �Replacement _____Additional _Akeration Demolition
? °1 p p' z Descrlption of work: w � o � r ce
d.� � �� �
r e7nr��.rn�.�,a.np;.�e�r..u: �.�w���h. I...a.x •��M'� M�w'i:yk..r�!'.�Aerry, :.!,..v:h��a " ,L.RiC�":. !_�.� '1�n.. �r.S.a�. 'NU n"N 4�v�t.a .
'ii� "mdM :� �� � 'N, 11�li pf.�j��j a C�p' �Q�. . .�..���Q,l11 lil@Jlt���,.�: Qd�� 5 ,('i. Y��� ���'r
b o .. . � "'7; }�Q.iR u•y" T eT�•,$"�� .:� n �iG'"'i'j�� �Iti6 �S'�"�d'm' .�.i �i �� �w�y4�
°`�f/�r�ji'.+Npd"� �`'�9 A�Y w a dW hM��41.1:�{ '1. N �r.i��r�i�u::., w 9 d 4: 4 �M74°I.'t.�. �,,.
y
�,
' � ' ' �.. (�n' � '�^�n �•° e:Jl�aoha �C� ns Bc i r�n atiof��ori�D�• tC ' y�{ .�•
. . I�y�
, �� . . � .� I�M.r..i.�K`IT 'x�:��1�Iv41i'NJ�iin:.Ni.....li..u.h�Yr..n� �:� : �� � � C::. 1�;K...r • .�J. ��/. ��I! F9��'r.'I
.fr .a i�' awa�T+.t� � i`'''Ir.,7 �=_ .::eY�.,. i'..ar.�...'.<x•.. 'we: i a w �m-.c:�
..Y .�nN1lT.4k a! MN � .
- � � ' RESIDENT/AL COMMERCIAL
� , ;. �. � �; `I
, � «,• s� �- xFumace New Constructlon _Interior Improvement
„. . .. ' � " 1 ,_AirCondiiioner Install Plping Processed
�_, r : t��= w � —
� � ��•' "�� ' Alr Exchanger ^�S E�cterlor HVAC Unit
' a �°.m.il - -
� _
,� � '� ,;��_ ei ' _Heet Pump _UnderlAbove ground Ta�k (,,,_Inetall/�Remove)
��
`� „
,,�a.. s � �. •
"-"°Y.9'F�" :,i9'�'�"�.c�.<,.a i!��' Olhef .
�.air.::...�'...p:0. �I�:�:".o•..�.�
RESIDENTIAL FEES �
$60.00 Minimum Add or akeration to an exlsting unit(Includes$5.00 Stete Surdtarge) r.
$100.00 Residential New(inGudes$5.00 State Surcharge) _$ lOp•°D TOTAL FEE
COMMERCIA� F�ES Contract Value$ x.01
a55.00 Permit Fee Minimum
570.00 Underground tenk installatlonlremoval =$ Pennit Fee
'Ifi contract value is LESS than$10,010,Surcharge=$5.00 =$ � Surcharge*
"ff contract value is GREATER than$10,01�,Surcharge=ContraCt V81ue X$0.0005
""If the prnject valuaiion is over$1 mlllion,please call for Surcharge �$ TQTAL FEE
1 hereby acknowledge thet ihis Infortnatlon Is complete and accurate;that the work wlll b e In confortnance with the ordinencee snd codes o(Ehe City of
Eeyen;thet 1 understand this is not a permlt,but only an appllcadon for a permit,and work is not to rt�nnthout a pertni t thet the work wiu be in acco�dan�
with the approved plan In the case of work which requires a review and approvsl of plans.
.
x � e' � z�
Applicant's Printed Nam Appl a ure
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA141843
Date Issued:04/03/2017
Permit Category:ePermit
Site Address: 4654 Stonecliffe Dr
Lot:1 Block: 1 Addition: Pinetree Pass 3rd
PID:10-57662-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel L Hall
4654 Stonecliffe Dr
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
c./- d •&_ r — \ . .c..)/',+1 f. i
FOLDER/SITE
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163122
Date Issued:08/17/2020
Permit Category:ePermit
Site Address: 4654 Stonecliffe Dr
Lot:1 Block: 1 Addition: Pinetree Pass 3rd
PID:10-57662-01-010
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 -
Nathan A Dey
4654 Stonecliffe Dr
Eagan MN 55122
Hero Plumbing Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature