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1630 Summit HillPERMIT City of Eagan Permit Type:Building Permit Number:EA111921 Date Issued:07/18/2013 Permit Category:ePermit Site Address: 1630 Summit Hill Lot:23 Block: 1 Addition: Summit Hill PID:10-72970-01-230 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Michael C Morris 1630 Summit Hill Eagan MN 55122 (952) 454-4772 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature Address: 1630 Summit Hill Zip: 55122 Lot: 23 Block: 1 Subdivision: Summit Hill THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent as Retaining Wall or 3:1 Max Slope Sod/Seeded lawn Trail/curb damage Porch Lower level finish Deck Fireplace • 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. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. J BUILDING INSPECTOR: r Cd/Bldg Insp/Fonns/2004/Checklists/Master Checklist For C.O. CONTRACTOR: Delta Development Inc. Site address: ft 1) S &M /X l`r 1kAX L Lot Z7 Block -L Subd. -TiJM 1v%I T'• W t t - On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater kJ41EEM d (%4 L Fumace W lr ?0 ". , Dryer rn Z 6 d? -!4 1': f: L EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen N nas -, -poe Bathroom 1 UAW /1111`14P 5z%, Bathroom 2 P)WAI-11 AXI? sz? Bathroom 3 1 he Bathroom 4 Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS MAKE-UP AIR MODEL TYPE CFM's I+e ,. c sreucw V•a ALA. I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirem s. This form is the responsibility of the General Contractor. 6 _/..s Signature Date At t? fJt:LT 4-?. Company Name g P G sal- I '-7Li45' i5 fY)? 5 alb 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 20-S-0 6 Sa l City Of Eagan - LT S S 0 3830 Pilot Knob Road, Eagan MN 55122 5'0/ 0' ?y S Telephone # 651-675-5675 FAX If 651-675-5694 J L New Construction Requirements RemodeVReoair Requirements ottit?IN"s`e' 3 registered site surveys showing sq. R of lot sq. ft of house; and all roofed areas 2 copies of plan 20% maximum lot coverage allowed 1 set of Energy Calculations for heated additions ` _t p _ -d 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after M193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date-/ 4 Construction Cost Site Address Lot 23, Block 1, Summit Hill Unit/Ste # 1630 Summit Hill l 2 3 Description of Work New Home Construction Multi-Family Bldg _ Y X N Fireplace(s) _ 0 X 1 _ 2 Property Owner Delta Development Inc. Telephone#(651 )454-1600 Contractor Delta Development Inc Address 3902 Cedarvale Dr State MN Zip 55122 City Fagan Telephone#(651)J454-1600 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING X Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan fee applies. Licensed Plumber Matthew Daniels y 2 Mechanical Contractor Wenzel Heat_in & Ai d) Sewer/Water Contractor #(651) 42 - 7 0 #(651) 894-9898 #(612) 884-4199 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 ply in the CASZof work which requires a review and approval of plans. =1 , plan? -X- Y _ N If so, 25% plan review Applicant's Printed Name Applicant's SiVature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 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_Y or_ N ? 25 Miscellaneous Work Types V31 New _ ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant V l ti C AY > O y MCES S t ua on a ccupanc em ys Census Code Zoning City Water SAC Units Stories Booster Pump # of Units ? Sq. Ft. 2, PRV I # of Bldgs / Length 3 x, Fire Sprinklered Type of Const Width -3 - Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water Final ?C Framing Fireplace R.I. _Air Test _ ' Final Insulation REQUIRED INSPECTIONS Final/C.O. FinaYNo C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone _ Brick _ Windows Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total M Y' V(v p0 ( 064 r-? , o 07S X 1r-= IT7 17? Xis 19 x 3a ? 41 ??? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: ?o 23 ?Il( y ?M r N ?? DATE OF SURVEY: Z-1Wo¢ LATEST REVISION: m rn c m r U 0 z ¢ DOCUMENT STANDARDS X ? ? • Registered Land Surveyor signature and company Jg 0 ? • Building Permit Applicant ? 0 • Legaldescription 0 ? • Address 0 ? • North arrow and scale .? ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) .? 0 D • Directional drainage arrows with slope/gradient % 0 ? • Proposed/existing sewer and water services & invert elevation H 0 ? • Street name 0 ? • Driveway (grade & width - in RNV and back of curb, 22' max.) XI D ? • Lot Square Footage ? ? • Lot Coverage ELEVATIONS Existing X 0 ? • Sewer service (or Proposed) "6 0 D • Property corners .z 0 0 • Top of curb at the driveway and property line extensions .d D ? • Elevations of any existing adjacent homes X X 0 ? ? ? • Adequate footing depth of structures due to adjacent utility trenches W • aterways (pond, stream, etc.) Proposed ? ? • Garage floor & D ? • Basement floor fd' 0 ? • Lowest exposed elevation (walkout/window) 0 ? • Property comers Jr 0 ? • Front and rear of home at the foundation ? ,ef ? ? , fd' D PONDING AREA (if applicable • Easement line • NWL • HWL • Pond # designation • Emergency Overflow Elevation • Pond/Wetland buffer delineation DIMENSIONS ? ? Lot lines/Bearings & dimensions ? ? Right-of-way and street width (to back of curb) .? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0 hoK Show all easements of record and any City utilities within those easements $ 0 ? Setbacks of proposed structure a eyard setback of adjacent existing structures 0 ? Retaining wall requirements, if y Reviewed: 6 L ¢ N me Date G:/FORMS/Building Permit Application Rev. 12-16-03 • a Surveyor's Certificate SURVEY FOR : Delta Homes DESCRIBED AS : Lot 23, Block 1, SUMMIT HILL, City of Eagan, Dakota County, Minnesota and reserving easements of record. ?a 3 951.4 EOW=950.2 951.5 ?°\n O\? ?? AS OF 6-15-04 o at 900 ¢'iJ SKIMMER0952.2 e?3o' s1.4 81• x90 v i ' 961.4 961. 5' s w?-? Pond Data 4 960.6 .7 rainogb a Area to Pond=6.0 AC. 10 orch 19. ?- r -? Wet Volume Required=0.67Ac.Ft,Per City of Eagan 951.6 961. 27.00 n 562 6 -i C? Wet Volume Between 944-850=0.71Ac. Ft. ? NWE=950.0 100Yr, Storage Required=0.67Ac. Ft. 951'6 4.5 Proposed 9.58 t00Yr. Elev.=952.0 e 2-Story Exist. Home 0 0 Cti1 0 0 O i TOO = 963.7 N 14.0 P 00 1830 N ° ?SS? "' 13.33 959.8 96019 ISLIMIKU 02 100 960.6 961.8 10.00 -i`='-?-- 961,7 1 Porch 2 0 Garage u W -14.92- `9fi2_6 ° 23.33 959_8_23 25 9 g 9601P N90.00'00'W 56.00 .00 61.5 61. 6" vc dro tile FLCB 960. d' s arm ____ 960.7 i? ? a Ni _________ pt?B yN tii 1 f1U??7 r ?p ----- 10 2? Oi -----_, '4 SOp?0 N ? 1 1 1 I I Exist. Home 2Proposed Story TOB = 961.7 rJ 12cs. I I I 1 I I r-- 1 1 I I 1 I 960.14 1 I I J L__ ------------------ J 5' s/w EMED 960.6 By , r N ®M -,1,12 064- SUMMIT HILL LOT SQ. FOOTAGE = 3,696 HSE SQ. FOOTAGE = 9,568 w?: ?d1 LOT COVERAGE = 42% r-n?n PROPOSED ELEVATIONS Top of Foundation = 962.5 !SEER `' Garage Floor = 962.1 C . 1AND CP# 9002 Basement Floor = 954.4 OP EL=953.41 '%RVEY Aprox. Sewer Service = 950.7 4376 i Proposed Elev. = 0` ?'MIN. SETBACK REQUIREMENTS Existing Elev. = e 1 Drainage Directions = Front - House Side - Denotes Offset Stake = SCALE: 1 Inch - 30 feet Rear - Garage Side- JOB NO: HEDLUN® 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 ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A SHOWN. 2005 I Drive Eagan, MN 551122 DATE /?/, O• Phone: (651) 405-6600 J E . UNDGREN, LAND RVEYOR CAD FILE: Fax: (651) 405-6606 NNES A LICENSE NUMBER 14376 Summit Hills Permit Number MECcheck Compliance Report Checked By/Date 2000 Minnesota Energy Code MECcheck Software Version 33 Release lb Data filename: C:\Program Files\Check\MECcheck\Pinebrook.cck TITLE: Summit Hill - Pinebrook COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 05/02102 PROJECT INFORMATION: Delta Homes 3902 Cedarvale Dr. Eagan, MN 55122 COMPANY INFORMATION: ESG Architects, Inc 700 Third St. S. Minneapolis, MN 55415 COMPLIANCE: Passes Maximum UA = 436 Your Home = 428 1.8% Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA 2nd Floor Ceiling: Raised or Energy Truss 1145 44.0 0.0 25 1st Floor Ceiling: Raised or Energy Truss 325 44.0 0.0 7 2nd Floor Wall: Wood France, 16" o.c. 1368 19.0 0.0 70 2nd Floor Windows: Above Grade, Vinyl Frame, Double Pane with Low-E 180 0.360 65 Ist Floor Wall: Wood Frame, 16" o.c. 1547 19.0 0.0 73 1st Floor Windows: Above Grade, Vinyl Frame, Double Pane with Low-E 276 0.350 97 1st Floor Doors: Solid 38 0.350 13 Basement Wall: Masonry Block with Empty Cells, 8.2' ht/7.7' bg/8.2' insul 1103 11.0 0.0 62 Egress Window: Basement> 5.6 ft2, Vinyl Frame, Double Pane with Low-E 15 0.370 6 Floor over Entry: All-Wood Joist/Truss, Over Outside Air 11 38.0 0.0 0 Floor over Garage: All-Wood Joist/Truss, Over Unconditioned Space 387 38.0 0.0 10 Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Factor Above-Grade Windows and Glass Doors 0.354 0.370 Includes Foundation Windows > 5.6 ft2 Floors Over Unconditioned Space 0.026 0.033 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other c ulations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota rgy Coc]FTequiments in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements e ECche k Inspection Checklist. Date ?- 04/08/02 19:19 FAA 85189499 HEATING & AC + DELTA CONSTR Z003/005 Part B. DEPRESSURIZATION PROTECTION Check option used. a Fuel burning equiPmmt (complete schedules below) 0 No fuel burning equipment UST J MAIW-- AIR SCHEDULE* - Ipiig'[alJ(TiQNS t deviC? am 300 cfm - _-:Flow "ii? M11111 Step 1 _ Complete the Combustion Equipment Schedule below. Only equipment P?ihans 1:411 with a Y (Yes) may W selected under the "Category 1" alternate. 'ice' Step 2- Complete ExAaudMake-up Air Schedule go the right if direct or power elm vented or solid fud atnlosphatic vent space heating equipment is selected. C0MI3UVROPI EQURMENT SCHEDULE chakal? :' 0 Seatedcombistioa Y_ Space heating - nonsolid fuel Sealed combustion Y . Hearth - nonsotid fuel or power vented Y. 0 Direct or power vented yo Alm call vented N Atmos hecicaH vented - N solid fuel Q Atawspberically vented Water heating -nonsolidfuel Sealed combustion Y Space heating- Y' 0 Director ower vmted Y Wear beet' -solid fuel O Atmos tt ..Y _ -Atmo bai vented N- Hearth- solid fuel is installed. then make-up au to match • If atmospherically vented solid fuel or duect of power vented 4oost: fuel space heating flow is required for each individual exhaust device which exceeds *,cubic feet ntinnte. Part Ci. VENTILATION VENT ATIOiH QuANTf'fY (Mechanical vcatilation must be provided per the larger quantity calculated below) -I LJ x 15 efmlbedroom) i 15 cfm = Cron cubic [eel x 0.00583 /minute . Cron number of bedrooms -? Part C2. VENTILATION (Submit Part `upon completion of system vermcationt) ----------------------- x----------------- ---- ------ - Permit Number Job Site Address- - TOTALS Fan d two or location chn efm cm MEASURED Intake cfm cfm cfai cm PERFORMANCEt Exhaust efrn cfin n for the t Ventilation rate must be urmeased and verified when the perfomumme option is used in lieu of the proscriptive optic seal' of o-tact in the buildm conditioned eave (from Part A). Compliance Statement: Installed ventilation system is in compliance with MN Energy Code and is sized to provide the design au flow. Date Telephone number Applicant (print name) Signature Statement or Compliance: The proposed building design represented in these documents is consistent .non me ou}lw"s r? specifications. and other calculations submitted wirh the permit application. The proposed building has been designed to meet the r uirements Vf the in esata Energy Code < to Telephone number Applicant (print name) Signature 111111111 city of aagan Name: Date: Site Address: Telephone #: Rim Joist Detail Options As outlined in the new Energy Code, buildings constructed with three units or less require that riot joists be put up according to detail options shown below. Please circlethighlight the option you will be using. # 8 Other : Date: Cityofa�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee. Date Received: Staff: J 2011 RESIDENTIAL BUILDING PERMIT APPLICATION 2- 1 L Site Address: 3St I % i 1I L (_ � Unit #: `.. Name: /1A1 L.1414 -r ----77.t.---- A4c l S Phone: ?SI. 1S'( z(7 Z Address/City/Zip: ((o1G 5iitUM(T j-((C.Mk) S --g7 z Z Applicant is: )(Owner _ Contractor Description of work: f_..()G Jt7Z- 1-01 L-- Fr"Jf sw Construction Cost: f.(000'0-0 Multi -Family Building: (Yes _ / No Company: AJ Address: W cy4--r P02 -t 'rA-K"t.% g� a rm City: State: Zip: Phone: License #: Lead Certificate #: Contact: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Hoc 2 20,4( 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: NOTE Plans and supporting] documents the you submit are considered the information maybe classified'as non-public;if you provide specific t conclude.that they are trade secrets CALL BEFORE YOU DIG. CaII 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building CRde must be completed within 180 days of permit issuance. x ( C-4/\�i1.� Applicant's Printed Name x Applicant's Signature v � Page 1 of 3 SOMrrii UT; 1/ 00 T WRITE BELOW IS L NE /0 09_5 SUB TYPES Foundation Fireplace Porch (3 -Season) Storm Damage ____ - Single Family_ Garage — Porch (4 -Season) Exterior Alteration (Single Family) Multi Deck_ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex itt Lower Level Pool _ — _____ _ Miscellaneous Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* _ Addition Move Building Reroof Demolish Interior Ai AlterationFire Repair Windows Demolish Foundation _ _ ____ _____ Replace Repair Egress Window Water Damage ____ Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Plan Review (25% 100% VI Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width -Trnc MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers .1% AIN REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final! No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Drain Tile Other: Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Y.- Rough In )(Air Test 4/Final Windows Insulation Retaining Wall: Footings Backfill Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL / t A 94 10 Page 2 of 3 Date: City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit*: Permit Fee: Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION - Site Address: 03c, ittit.kt-r- /((L *A11/4-11A4A,1 Tenant: AA t Akc-1/4.4 RESIDENT ;OWNER Name: f\A. ft.4,p/411 Address / City / Zip: 1 c' PERMIT TYPE Name- A 1 Suite #: License #: Address: ie,144,-- /504-;01-14-teD 117 ei,./AJC—City: State. Zip: Phone. Contact: Email: New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: 01.-4 t h Sgow,t_ 1 7L?1 491 RESIDENTIAL. Water Heater Lawn Irrigation ( RPZ PVB) Water Softener Add Plumbing Fixtures ( Main / Water Turnaround Lower Level) RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5 00 State Surcharge) TOTAL FEES $ 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.qopherstateonecall oro 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 wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 114( (-kite?, Ptiok-11-( Applicant's Printed Name x Applicants Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: der Ground Rough -In Air Test Gas Test Fina[ PERMIT City of Eagan Permit Type:Building Permit Number:EA117286 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1630 Summit Hill Lot:23 Block: 1 Addition: Summit Hill PID:10-72970-01-230 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 . Ashley Harrington 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 - Michael C Morris 1630 Summit Hill Eagan MN 55122 Cedar Creek Construction 23383 Redwood Ct NW St Francis MN 55070 (612) 564-6888 Applicant/Permitee: Signature Issued By: Signature