1620 Summit HillcS'G? D7 go -a7
Address: 1620 Summit Hill
Lot: 29 Block:1
Subdivision: Summit Hill
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON / J Z, 7 107
Yes No Comments
Final grade - 6" from siding vl?
Permanent steps - garage
Permanent steps - main entry ?
Permanent driveway
Permanent gas ?
Retaining Wall or 3:1 Max Slope ?
Sod/Seeded lawn ?
Trail/curb damage ?
Porch ?
Lower level finish
Deck
Fireplace ? AtA F(de t?
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
o Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
I
V BUILDING INSPECTOR:
CONTRACTOR:
Delta Homes
3902 Cedarvale Dr
MN 55122
?? a q (31oc?,- ( bP
2Q04 RESIDENTIAL BUILDING PERMIT APPLICATIO?
>M i
u?t " 6 ` City Of Eagan I'll (l
3830 Pilot Knob Road, Eagan MN 55122 p0 n
Telephone # 651-675-5675 FAX # 651-675-5694 r
New Construction Requirements
3 registered site surveys shaving sq. ft of lot sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan Slot platted after 711/93
Rim Jost Detail options selection sheet (bldgs with 3 or less units
RemodellReoair Requirements
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate if on-site septic system
io q I t `t -I 6 , 5-o
(04 I t? S-0
5-13u. ( I
Office fJseOniv"
CirdSu6Webidr, -- -N
TrrePtes $fik-y
Tree?res,Required`1-.- ? w
Oij??e SpFticSYSleflla^z"?"'s;? '<?7?.
Date
Site Address
Lot 29, Block 1 S
1620 Summit Hill Construction Cost
ummit Hill unit/Ste #
Description of Work New Home on inn
Multi-Family Bldg _ Y X N Fireplace(s) _ 0?L 1 _ 2
Property Owner Delta Development , Inc Telephone#(651 )454-1600
Contractor Delta Development Inc -
Address
State 3902 Cedarvale, Dr
MN City Fagan
Zip 55122 Telephone# (651) 4 54-1600
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
R Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? .j_ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Matthew Daniels Telephone #(651) 421-3710
Mechanical Contractor Wenzel Heating & Air
Sewer/Water Contractor Star Plumbi
I hereby apply for a Residential Building Permit and acknowledge
that the work will be in conformance with the ordinances and coi
Telephone #(651) 894-9898
APR 2 2 2004
to information Is
the City of Eagan
fete and accurate;
the State of MN
Statutes; I understand this is not a permit, but only an application for- a pen of to start without a
permit; that the work will be in accordance with the approved plan in the cas of work which requires a review and
approval of plans.
Oaf lines 51tvov a lve
Applicant's Printed Name Applica4Si4elr
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X 02 SF Dwelling ? 08 O&plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_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 O 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation S1 40 D Occupancy f1MCES System
Census Code Zoning City Water
SAC Units of Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs / Length 6 Fire Sprinklered
Type of Const VIN Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) Plumbing
Foundation _
_ HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final
Pool _ Ftgs Air/Gas Tests -Final
?
Framing _
Siding
Stone
Stucco Brick
J
Fireplace 7' R.I. 'AirTest [
/ _
_
_
Final
Windows _
(!` Insulation -
Retaining Wall
]
Approved By: Bui lding 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
r?r /!yl , ' i'= I7OO K
!7r -
l6Yy
a
ppmav
6q l L iV A""
04/08/02 13:19 FAX 6518949955 WENZEL HEATING & AC DELTA CONSTR
i.. -
Part Be DEPRESSURIZATION P'DOTE 13 ?4o Fuel burning CTIONQuipm<m
Check option used: C1 Fuel buming equipment (complete schedules below)
T I MAICF.f}P AIR 5C
IrisTRUCnONS over 300 efm
Stcp 1. Complete the Combustion Equlpmenr Schedule ol0 1" only
alternate.
with a Y (Yes) may be selected mulct the "Catcg ig t if dire" or power
Step 2. Complete ExhaugWake•up Air Schedule on the right
vented or solid fuel atmospheric vent space heating equlPment is
selected.
space heating - MM041o mu
Watt heating- nomsolid fuel
If atmospherically vented
flow is required for each is
- 4ypyrvv ?_?.?. _
. (ehei:kaH 'es" to osdd) _•- : .
Sealed combustion Y • Hearth - avasolid A
Direct or power veined yo
AmiosPhcrrc?llt vented " N
Sealed combustion Y space heating- solid
Direct or r vented Y Water tea - sow
.A ai "vented w " Hearth-solid fuel
fuel of direct of power veined noasolid fuel space tea
or power
Z004/005
r 'Y
ented -`Y:'
vented N
YOU" ":
Y''
vented Y
vented .-Y
tip sir to match
Part C1. VENTILATION
(Mechanical ventilation muse be provided per the larger quantity calculated below)
z 15 cfmlbedroem) + 15 cfm = ®cfm
cubic feet z Om W luunute cfm nuns
e rooms
Vsw't ATION FAN SCHEDULE
Check method(s) proposed 4
AJ VLJiV?ayv -.?--
Statement of Compliance: The proposed building dcsign represcnted in these documents is consistent With the building Pte'
specifications, and other calculations strbmitted with the permit applicatom The proposed building has been designed to meet rbe
requizeats of rl?e ota Energy Code.
??,,c fe Telephone number
Applicant (print name) signature
system t)
Part C2. VENTILATION (Submit Part c2 upon completion of----veitftca----
---- ---- -- PemutNumber ?-?•?
Job Site Address: TOTALS
PERFORMANCEt Exhaust efin CR° ve option for
Ventilation rate most be measured and verified when the pecforenanee option is used in lieu of the p[estmiptiseaHn¢ nC'oiats in the building conditioned envelo (from Part A),
f
and is sized to provide the design air
fiance with MN Energy Code
Compliance Statement: Installed ventilation rystc[n is in comp
flow. ?-
ber
Date Telephone nun
Applicant(print name) signature
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release lc
Data filename: C:\Program Files\Check\REScheck\Temporary Files\example.rck
TITLE: Ashwood with 4 season porch
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/03/03
DATE OF PLANS: 06/25/02
PROJECT INFORMATION:
Summit Hill
COMPANY INFORMATION:
Delta Homes 3902 Ccdarvale D. Eagan, Mn.
COMPLIANCE: Passes
Maximum UA = 501
Your Home UA = 468
6.6%Better Than Code (UA)
Ceiling 1: Raised or Energy Truss
Ceiling 2: Raised or Energy Truss
Ceiling 3: Raised or Energy Truss
Wall l: Wood Frame, 16" o.c.
Window 1: Above-Grade:Vinyl Frarne:Double Pane with Low-E
Wall 2: Wood Frame, 16" o.c.
Window 2: Above-Grade:Vinyl Frame:Double Pane with Low-E
Door 1: Solid
Wall 3: Wood Frame, 16" o.c.
Window 3: Above-Grade: Vinyl Frame:Double Pane with Low-E
Door 2: Glass
Basement Wall 1: Solid Concrete or Masonry
Wall height: 8.0'
Depth below grade: 7.5'
Insulation depth: 8.0'
Window 4:
Basement > 5.6 fit: Vinyl Frame:Double Pane with Low-E
Proposed and Maximum U-Factor Averages
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
742 44.0 0.0 16
684 44.0 0.0 15
280 44.0 0.0 6
1121 19.0 0.0 61
88 0.360 32
1835 19.0 0.0 91
259 0.360 93
38 0.360 14
414 19.0 0.0 18
94 0.360 34
12 0.360 4
1510 13.0 0.0 80
10 0.360 4
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0360 0.370
Includes Foundation Windows > 5.6 ft2
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements i REScheckVersion 3.5 Release le (formerly Iv1ECchecl? and to comply with the mandatory
requirements listed in the eck n Checklist.
Date - 2 e
Builder/Designer i,
r
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
d
01
c
R
L
U
Y Q -'Oa
0 7; ¢ DOCUMENT STANDARDS
g? ? ? • Registered Land Surveyor signature and company
2'? ? ? • Building Permit Applicant
e ? ? • Legal description
®-'? ? • Address
Z ? 0 • North arrow and scale
gr 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
V o ? • Directional drainage arrows with slope/gradient %
?
? 0 • Proposed/existing sewer and water services & invert elevation
? ? • Street name
B? ? ? • Driveway (grade & width - in R/W and back of curb, 22' max.)
?
G ? • Lot Square Footage
t C
L
8
0 ? • overage
o
ELEVATIONS
Existing
l SU,w,m,+
e ? ? • Sewer service (or Proposed)
V? ? • Property corners
H/?? ? • Top of curb at the driveway and property line extensions
g ? ? • Elevations of any existing adjacent homes
e-1 ? ? • Adequate footing depth of structures due to adjacent utility trenches
? F? ? • Waterways (pond, stream, etc.)
Proposed
2?? ? • Garage floor
V o ? • Basement floor
B' ? ? • Lowest exposed elevation (walkout/window)
IY ? Property comers
t ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
0 B' ? • Easement line
? Er ? • NWL
? W ? • HWL
? E? ? • Pond # designation
? W ? • Emergency Overflow Elevation
? V ? • Pond/Wetland buffer delineation
DIMENSIONS
I? ? • Lot lines/Bearings & dimensions
Y1 ? ? • Right-of-way and street width (to back of curb)
F3? 0 D • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
51/0 ? • Show all easements of record and any City utilities within those easements
V ? ? • Setbacks of proposed structure s eyard setback of adjacent existing structures
? V11 • Retaining wall requirements, i any
Reviewed: ¢ 9 0
ame Date
31FORMS/Building Permit Application Rev. 12-16-03
Surveyor's Certificate
SURVEY FOR : Delta Homes
DESCRIBED AS : Lot 29, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
Exist. Home
TOB = 961.8
r
E
U,
4/3al --F°
14.0 Jl?,'_' 18.il, ?f+ `_s r i
h N
y N
37.2
n??
'?'
vc drain file
24.0 -1 "t 2.8 a arm
961.8 0.
_-- 962.2
,n 23.33 961 . M
3 n
Garage N
6
.aa
O
F
iy oo p Porch
962
2 y
9 .3 .
18 10 963.0
CC 0 . 0 n
n 22:67 i9fi3_0
P,
°
o N
Proposed
Exist. Home
p o 2-Story a° TOB = 964.4
y ° 162
0 4
46.00
SUMAMT HILL
L Jo Lo lr oQU0R:51ED
PROPOSED ELEVATIONS
Top of Foundation = 964.0
Garage Floor = 963.6
Basement Floor = 955.9
Aprox. Sewer Service = 951.5
Proposed Elev. = c::D
Existing Elev. _
Drainage Directions =
Denotes Offset Stake =
LOT SQ. FOOTAGE = 3,696
HSE SQ. FOOTAGE = 2,223
LOT COVERAGE = 60%
c?
SCALE: 1 inch = 30 feet
BENCHMARK,
CP# 9002
EL=953.41
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB NO:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 04R-222
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING ENGINEERINC SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS; EXCEPT A SHOWN.
2005 Eagan, I MN Oak Drive DATE A/?f/ ?A(? ?+• ??? CAD FILE:
Phone: (651) 405-6600 R Y? D. LINDGREN, LAN URVEYOR Summit Hills
Fax: (651) 405-6606 64NN OTA LICENSE NUMBER 14376
i
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS
PROPERTY LEGAL: 4r^T c?c1 R loC K i
PROPERTYADDRESS:-/(r,)n A M l
INSPECTOR: P C A) 9-' :(C, ,y
INSPECTION DATE: -` ? - ) -7
do
r Z a
Z
SITE GRADING
IF ? ? All slopes 3:1 or flatter?
? ? Slopes steeper than 3:1 require retaining wall. Are retaining walls present?
® ? ? Does grading conform to As-Built Grading Plan (+/- 1 foot approximately)?
? ? Does perimeter grading tie in well with adjacent properties/undisturbed land?
? ? Is there proper grading and/or drainage around Lookout or Egress Windows?
EROSION CONTROL
? ? Is Silt Fence (or approved equal) installed and in good working order?
? ? Is Sod/Fiber Blanket installed behind curb?
a ? ? Is the Rock Construction Entrance/Driveway installed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
D ? Is temporary vegetative cover w/ mulch present?
of ? ? Is permanent vegetative cov w/ r w/o mulch present?
cle one)
CITY EASEMENTS AND UTILITIES
1 ? ? Are all easements clear-no part of any building/deck/porch/retaining wall/etc.
encroaching in easement?
# ? ? Are catch basins present within the property or in the street in front of the property, if so
are they clean, do they have the proper erosion control in and/or around them?
? J2 ? Does the property have an Emergency Over Flow (EOF)? This can be found on the
Certificate of Survey. If so, is it present and has it been graded properly?
MISCELLANEOUS ITEMS
? ? Is there tracking present on Public Right-of-Way/Street from construction site?
? ? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
40 ? ? Is the site clean, no trash and/or construction debris lying around?
? ? Was the proper type of building constructed according to the approved grading plans?
(LO, WO, FB, R, etc.)
703
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
RemodelrReoair Requirements
2copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated add'Noris
1 sle survey for additions & decks
Addition - Indicate if on site septic system
13D,60
"Only
office-use
Cerlof Survey Recd" ;- Y. N
Sdis Reppf.. Y` N
Tre4 Pros Plan Recd:== _Y-- N.
Ties Pres Required;,;;:; _Y,r-_ N
Oh=sfts Septic bystsm' ._Y`, ' N
agmd ???
Plans are considered public information unless you state thev are trade secret and t e eason.
New Consbucbon Requirements
3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(2D%maidmum lot coverage allowed)
1 Sods Report l proposed building is to be placed on disturbed soil
2 copies of plan showing beam & vdndmv sizes; poured found design, etc.
1 set of Energy Calculations
3copies of Tree Preservation Plan l lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3or less units)
Minn-am mechanical ventilation form
Date 5 ?7 Construction Cost
?L)Lyf\M
Site Address
Unit/Ste #
Description of Work b(tixl-e?r?i
Multi-Family Bldg _ Y ? N Fireplace(s) 0 _ 1 _ 2
1 °
Property Owner ?NA\ ?? ?P4u/,?. Telephone #(6SI )1.)s?,-5
Contractor
Address city
state Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Fn-) FS (P 5z I V
Mechanical Contractor 1 11 L
Sewer/Water Contractor
4
Telephone # (
Telephone #(
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 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. n
K Q 'I t dl k In r
Applicant's Printed Na A hcant's Signature
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32 Addition
33 Alteration
? 34 Replacement
DO NOT WRITE BELOW THIS LINE
? 13 16-plex
? 16 Fireplace
? 17 Garage
8 Deck
19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 22 Porch/Addn. (4-sea) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: waterDamage_ves
Valuation ?-OO 0
Plan Review _ 100% or 25%
Census Code3 ?f
SAC Units
# of Units /
# of Bldgs
Type of Const S6
Occupancy oe - / MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
- Footings (new bldg)
- Footings (deck)
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water _ Final
Y Framing
_ Fireplace _ R.I. -Air Test -Final
Insulation
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
X Final/No C.O.
HVAC
Other
Pool _ Figs _ Air/Gas Tests _ Final
Siding _ Stucco Lath - Stone Lath -Brick
Windows
Retaining Wall
Approved By: -- Y ?' «-'* 7. 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
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 to-
[3 12 12-plex
/. O :5 o
2007 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existina residential dwellinas.
0 - 6-D
Date (02 / 03 / e_??
Site Street Address 1ba0 S N M? ?/u0??n SSIa)' Unit#
Property Owner Y(k'4\1a `h tt?p(u P Cjy (?Nk: Telephone # (G51 1 4 Sb -5
Contractor -Sq Telephone # ( )
V
City State Zip
Address
(
The Applicant Is: V Owner & Occupant _ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee applies when extensive plumbing re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
V Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. N you are
Installing only a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
-Septic System Abandonment
Water Turnaround (add $138.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $
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 a plan is required to be reviewed and approved.
v'1 L4 Cn=c° -
Ap licant's Printed Name p _ i Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126349
Date Issued:08/21/2014
Permit Category:ePermit
Site Address: 1620 Summit Hill
Lot:29 Block: 1 Addition: Summit Hill
PID:10-72970-01-290
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Scott Rise
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 -
Kevin Byrne
1620 Summit Hill
Eagan MN 55122
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888-5550
Applicant/Permitee: Signature Issued By: Signature