4286 Svensk Lane I
cinr oF EAGAN
. 3795 Pilot Kaob Reed Eogan, MN 551u N! 4901
, ' PHONEs 454-i100
BUILDING PERMIT ReceiPt #
:'~v: lt~ & Gar 7 . .
To be ussd for ~st. Vaiue Date , 19
r
Site Add?ess ~ TYO V(= k Erect ? Occuponcy
Lot Block Sec/Sub. Tr111d• RLn 5th qlter ? Zoning
"3 170 0.l
Po~~ # Repair ? Fire Zone
Enlarpe ? Type of Const.
ce Nome Zr! C- Move Q # Stories
3 Addre t1c i~V . pemolish ? Front ft.
b Ci Phone " r4 - 72- 2 5 Grade ? Depth ft.
~ Name Approvab Fees
u~ ~d~~ - Assessment Permit -
~ Ci Phone Woter & Sew. Surcharge
Police Plan check
~W Name Fire SAC
Address Eng. Water Conn. - ' =
u
Q W Ci phone Planner Water Meter
Council '~r~.' . - n•
I hereby acknowledge thaY i hnve rend this opplication ond state that gldg. Off, .-the informotion is corred and agree to comply with oll upplicable APC Total State of Minnesotu Statutes and City of Ecgan Ordinances.
Slgnoture of Permittee
A Building Permit is issued to: on the express condition that
all work sholl be done in accordance with all applicable State of Minnescta Stctutes and City of Engan Ordinances.
Building Officinl'
~
. ~
POewlf # Date luued Permttfr
Plumbing 2;1 Cd e
Mechanical f y - ?.a
"'~i - 7 El n -
INSPECTIONS DATE INSP• RougFfln Finol
Footings Date Insp. Dote Insp.
Foundation Plumbing
Frome/ins. ? Mechanical S'' • ~?v~ a
Finol J
~ I I
Remorks: / /-(G 5
• r
, CITY OF EAGAN
, 3795 Piloe Knob RoeA
Eagan, Misnesote 55122
Phone: 454-e100
r'LU~~11ic~ = i f
_ PERMiT No.
,
7i,~5/",
Dote: ' 1 Receipt No.:
I
42$6 N. Single
Residential ~
Site /lddress:
z
Lot Block Su 1.1u r.L~, 5~ir~ I
yb/Sec. . _ Multi Res., Comm./Ind.
Name New/Alter. /Repair
~
Address I0800 :.yI:d'_.1:". ,Ve. •
Cost of Instcllotion
i>iGO:it1R~'jtCC: CG.~"+- ~ :_r.'.:l ~U•u'~
City Phone: Percnit Fee
Thompson Plumbing •
Nome Surtharpe
.
~ 2201 vu.
~ Address
Cfty Phone: _ Total
This Permit is issued on the express condition thot all work shall be done in uccordance with oll opplicable Stcte of
Minnesota Stotutes and City of Eagon Ordinances.
Buildinp Official
~ CITY OF EAGAN
3795 Pilot Knob Road
~ . • " Eayen, Mlnnesoto 55124
Phem: 454-8100
- PERMIT No.
=,,'14/7i.
Date: Receipt No.:
4186 N. iVBflSk Single
Site Address: Residential ~
! 1 1'_ I
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
Nome Now/Alter./Repair. ~ ioa0oiaL; za , .
~ Address Cpst of Instollation
City -OC
Phone• Permit Fee r'O•GG
• :1 ftie~ t:: -
Name Su?charge
.
~ Address - : LhiCd9o .
~ .-:)._b• ."i.`r%`..
City ~Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with oll applicable State of
Minnesota $totutes and City of Eagan Ordinances.
Building Official
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 4? I tt~,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ' APPLICANT:
.V s N,:K I nN k WnM+"f
PERMIT SUBTYPE: TYPE OF WORK:
i,; ! r iis 11
INSPECTION rA •
i t i4
~ , J
PertnR No. Permit Holder Date TNephone #
ELECTRIG
PLUMBING
HVAC
Inapectlon DaU Insp. Comments
FOOTINGS
FOUND
FRAMING
HOOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLdG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG d 12-1Q;-
DECK FINAL
a~
CITY OF EAGAN Remarks
Addition Wilderness Run 5th Addition Lot 17 Rik 1 Parcel 10 84354 170 01
Owner Screet 4286 No_ Svensk Ln. State EacTan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRAOING
SAN SEW TRUNK aa.~ • • 92.82 A006431 8-3-78
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 138.68 A006431 8-3-78
STORM SEW TRK ~I^ 1981 256.70 17.11
STdRM SEW lAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 250.00 10949 7-21-78
BUILDING PER. # 4901
SAC
PARK
OF EAGAN WATER SERVICE PERMIT
Pilot Kno6 Rood
Eogon, MN 55122 PE~IT NO.:
Zoning: DATE:
Owner: No. of Units
Address: " -
Site Address:
Plumber: . . .
Meter No.; -
Size: Conneciion Charge: Reader No.: /~c~unt DeposiY:
1 °9ree M Comply wilh t6e Ci ~ Ea PermiY Fee:
~dieon~es. ty 4O^ Surcharge:
O
Misc. Charges:: -
By Totol:
DaYe of Ins DaYe P°'d:
P• :
I nsp.:
cl-r OF EAGAN SEWER SERVICE PERMIT
3• . Pilot Knob Rocd
Ea9en, MN 55122 PERMIT NO.:
Zonin9: DATE:
Owner: No. of Units:
Address:
Site Address:
Piumber.
1 agree fo eompfy with the City of Eagon
Ordinonces. Connection Chorge; r ra ;
` Account DeposiY: ' ' ' ' " '
Permit Fee:
gY Surchorge: _
Date of Insp.: Miu. Charges:
Toto1:
Insp.:
Dote Paid:
cirr oF EAcaN
3795 Pilot Knob Road Eaean, MN 55722 N2 4901
41 PH01,1E:434-8700
BUILDING PERMIT APPLICATION Receipt #
Te be wed ior SF DWlg. & Gax'-Est. Volue 35 r500 ~re 7/21 78
Sire ndaress 4286 No. Svensk Ereci ~j o«uvomY I
Lot 17 Block 1 Sec/Sub. W11C1. RllII 5tl'1 qlter ? Zoning RZ
Pamal # 10 84354 170 01 Repoir ? Fire Zom 3
Enlarye ? Type of Const. V
W Name MGAR12P1 Inc Move ? # Stories 1
3 Address 10800 Lvndale Ave. Demousn ? Front 64 Ft,
o ci Bloomington phone $$4-7225 Grode ? oevrti 26 rr.
~ Name Approvala Fees
oG Address Assessment7./.2]17$ Permit ln_Sn
Phone Woter $ Sew. Surchcrge i Rzo()(1
Ci
G Police Plan check
~w Ncme Fire SAC G~ 00_~~ Address Erg. Woter Conn. ~
aw Ci Phone Plonner WaterMeter
Council Rna.7 tt;;+ 7S o(
I hereby ackrwwledge that I have read this application and state that Bldg. Off. Piar
]k 00.
the information is cnrrect and agree to comply with oll upplicable
StaM of Minnesota Statutes ond City of Eogen Ordinances. APC Total - anQ c5n
-
Signature of Permittee
A Building Permit is i d t• on the express cordition thof
all work shali 6e do n acc a e w cll applicab , ote of Minnesota Statutes and City of Eagan Ordinances.
Buildirg OfftNal ~ ~
This rec{ttest void 18 months from
,
Date of this Request 6 4 4 7 3
I, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: L, 17 Pj 411
' Yp_ ,wc,~ n ~~n ~ f h
Street Address or Route No. 42 8`b City
Section Townstup Range County Q.
Which is occupied by
(Name o1 upant)
Is a roughin inspection qui d on this jAob? N? Yesv Ready Now ? Will Call ?
Power Supplier Gbvco~~ C Address
Electrical Contractor_ k'"'~`jP~ Contractor's License i~?ry!
(COmpany MaTne)
Mailing Address ~
( ctrical C n ~Owner Makln9 Thls Installatlan)
Authorized Signature Phone No. 096-72 47467
(Elettrlca ntractor or Owner Ing 7hls Installatioll)
~IM p~~~~ ~~,p~~ ThisinspectionreqPespwillnPtbeaccepted6ythe
U ~ State Board unlass ra er ins ection fee is enclosed.
Minnesota State Board of Electricity ry
1,954 tJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION P 64473
GiIECK BELOW WORK COVERED BY THIS REQUEST
Type of Building Ne Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? D Range El Tempoiary W'uing ?
Duplex Watec Heater ? Lighting Fixtures ?
ApL Bldg. ? ? 0 Dryer ? Electric Heating ?
Commercial Bldg. ? Furnace ? Silo Untoade: ?
Industrial Bldg. Au Conditioner ? Bulk Milk Tank ?
List List
Farm
Othei ? ? ? ' 2eie s~ OHeheers~
COMPUTE INSPECTION FEE BEIAW
Service Entrance Size: Fee Feeder' [ F Citcuits: # Fec
0 to 100 Am s. 0 to m 0 to 30 Am eres
101 to 200 Am s. 31 to A res 31 to 100 Am etes
Abave 200 Amps. Above 100 Amps. Abave 100 Amps.
Trnnsformeis 11 Remote Control Circ. Paztialoroffierfee
Signs 11 S ecial Ins ction Minimum fee $S
Remarks
TOTAL F
I, the Electrical Inspector, hereby certif the s~ection has been
(Rough-in) n . Date
(Final) / f Date
This request void 18 months fcom ~ ~
J Y• '~9~,
nATE 7 - 2-D - 2t
BUZLDING PRRMIT APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and l set of energy calculations.
. S.N " i-e 1," 1, /i ~
To be used far Valuation ~gr-D te
Site Address: e*t Sk G~
Lot I-' Block ~ Sec. Sub, ^y~ Parcel Nwnber ~D ~1y35~ /70 O/
~'U ~ I~2f P%mSS " u
Owner 1 V\c L Telephone
Address /'ox
Contractor Telephone
Address
Arch./Eng. Telephone
Address
OFFICE USE
Erect Occupancy
Alter Zoning
Repair Fire Zone
Flslarge Type of Const.
Nbve # of Stories /
ilemolish Front s~
Grade Depth ~
OFFICE USE
- Date of A roval & Initial FEES B
- ~7
Assessment Q Permit
Plater/Sewer Surcharge / S 5.
Police Plan Check _a
Fire SAC
Eng, Water Conn.
Planner t7 tei eter ~
Council ~~U'~
Rldg. Off. "
A.P.C. TOTA7
r9z4
,
t~.lOO~ ~~~,:(l,^, .~i ~•.•iJC 'I~ . . . ,
DELMAR H. SCHWANZ
LANOSURVFVOR
FeqislefeO Untlm Laws Of The Slate oi M...newta
14515 SOUTH ROBERT THAIL P.O. BOX M ,JiOSEMOUNT, MINNESOTA 55068 PHONE 812 423-1789
SURVEYOR'S CERT4F{CATE
90
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q-<4-77
MINNE50 A REGISTFA1 iON NO 8615'~
~i
PERMIT w4707ro
`CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u x Lo r NG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 4 9
(612) 681-4675 Date Issued: 0 8/ 18 J 9 5
SiTE ADDRESS:
42$6 $VENSK LANE
LOT: 17 BLOCK: 1
WILDERNESS RUN 5TH
P.I.N.a 10-84354-170-01
DESCRIPTION:
B,ilildl.ra=~„~Permit Type DECK
~uiltlfng Wz,~rk Type NEW
v
. . i..~,-~
,r d
r~. . "
u sq ~ i yr `
~{,Y~Q':~~ [~.:..a 5..~i.?
e. ~r<„
~ d
'3 t~~._n i 4r G„!
REMARKS:
FEE SUMMARY:
Base Fee $30.00
5urcharge $.50
Totel Fee $30.50
CONTRACTOR: OWNER: - Rpplicant -
5CHULTZ NANCY
4286 SVENSK LANE
EAGAN MN
(612)452-4656
~T hare,by achnowlat4g~that 1 havp reed thi s app,iication and~-statOthat th~ i.pfarm~tl~an '1:~ Qorrott end,agree to aitmply, w3th aIl~applicafile• Stdte oi~~ ~n.56 tute~-5 ana€ity..afEagan'o rsizna ncsi&. . ,
APP ICANT/PERMITEE 5 RE ISSU Y: SIGNATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u r Lo z rv s
3830 Pilot Knob Road Permit Number: 926249
Eagan, Minnesota 55122-1897 Date Issued: 0 8/ 18 / 9 5
(612) 681-4675
SITEADDRESS: p•I.N. ` 10-e4354-17e-e1
pppLICANT:
LQT: 17 BLOCKa 1
4286 5VEN5K LANE SCHULTZ NANCY
WSLDERNESS RUN 5TH (612) 452-4650
PERMIT SUBTYPE: TYPE OF WORK:
OECK NEW
iNSPECTION . D•
FOOTINGS FTNAL
. . . _ . . -
~ . _ . . `
~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reoufrements R9modetR?eoeir Reauirements
? 3 reghteied afle surveys * p cppie$ p( plan
? 2 copba ot piam (hidude beam & window sizes; poured ind. design; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 7 energy cakulations ? 7 energy calwlations for heated additions
? 9 copies M 6ee preaervation plan H bt platted aTter 711/93
iaquired: _ Yes _ Na
DATE: A'1nQS ~a 14f1q4S- CONSTRUCTION COST:`' 3"-w
U
DESCRIPTION OF WORK: ClIf r`d ~4~rrPR, twdc'
.7"ET ADDRESS: LigRb AI. SJen,f, I c',~ n.Pi
r
LOT 1 -7 BLOCK ~ SUBD./P.I.D. ~ J&V1MSs E+•n
PROPERTY Name: I"L IV~YNW Phone #:145Z'465d
OWNER
StreetAddress, 4~& d, SJrr,sk, lrk„u.
City: State:MN Zip:5-5 L 23
CONTRACTOR Company: ST'Li-- Phone
Street Address: License
City: State: Zip-
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration #Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: PenaHy applies when address change and lot
change ere requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correCt and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~ - . •
BUILDING PERMIT TYPE
n 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
o 03 SF Addition o OS 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 5F Misc. 0 10 = plex AT'-15 Deck
WORK TYPE
:::~31 New ? 33 Afterations ? 36 Move
0 32 Addition n 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Adual) Basement sq. ft. MCM/S System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Y3~/
Depth Footprint sq. ft. SAC Code d/
Census Bldg i
Census Unit 10
APPROVALS
Planning Building Engineering Variance
~
Pertnit Fee Valuation: $ tly° °
Suroharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeposR
SNV Permit
S/W Surcharge
Treatment PI.
Road Unk
Park Ded.
Trails Ded.
Other
Copies
TotaL
% SAC
SAC Units
qt7o r
~ . ;
. . ~ ~ , . , . . .
DELMAR H. SCHWANZ
LpND SIiA"F VON
01fp,S1ljeE Untles Uw5 of Tne $Idle Of ti~~~ne~41•
74515 SOUTH ROBEHT TRAIL P.D. BO7( M .Ji05EMOUNT, MINNESOTA 55068 PMONE 612 423•1769
SURVEYOR'S CERTIFICATE
~
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VINNGISTFGI ipNNO 8675' ~
~ '
DAR 544
20NING - NOTIFICATION OF INTENT
Foster Family Homes
Day.Care Homee
T0: 6F ; ./j,C1s ~LZ
(Municipslity or Political Sub-Divis )
~7~15 ~vCaf ~eG
(Streft Addreea)
f/x?
( tY (State) (23p)
1rROM: Dsknta CountY Social Services
357 9th Avenue North
So. St. Paul, M 55075
APPT,ICANT: 'E~PUY ~2i9/.SR )a0Lt1/i77an.7 •
(Name
~ -
~ .z~'~6 /Uo . ~uP.~s,t LfJ~?P )
~ - (screet)
(Citq) (State) (21p)
Number of Natural Children under 18 in homa: 6103 4 Y', ' •
(circle.number)
Number of Foater Cpildren.iacluded in license: (Q 1 2 3 4 5 6 7 '
(circle ttumbes)
Number oP Natural Preschool Chi.ldren in.Homa: 0 19 3 4 5
' (circle number)
Num6er of Day Csre CHildren included in license: 0 1 2 4 S 6 7 8 9 10
(circ e mmmher)
nnxs oa xolzFIcnzzox: 8 I
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
rescaivec
FROM
AMOUNT $ I
& DOLLARS
oo
? CASH ? CHECK
FOR
FUND CODE AMOUNT
T nk You
~ BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
r
r
City ofEathall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
/6- 3-12-
2011
-12
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant:
RESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name: 50,44
Address / City / Zip: 7 aq
Suite #:
gj" /Phone:
g
1r�
Name: MILBERT COMPANY INC.dba CULLIGAN WATER
6.115
Address: 1801 50Th ST EAST City INVER GROVE HGTS
State: ' MN Zip: 55°77 Phone:
Contact: BILL.MILBERT.;
Email:
65.T .:45.1.-2241
New eplacement Repair _ Rebuild _ Modify Space Work in,R.O.W.
Description o work:
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ / PVB)
_ Septic System
New
Abandonment
,L9Iirater Softener
Add Plumbing Fixtures L_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater EV 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)
$106.00 Septic System New (810.00 per as built) (indudes County fee and 55.00 State Surcharge)
$95.00 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes 85.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Cali Gopher State One CaII 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.aooherstateonecall.org
1 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 1 understand this Is riot a permit, but only an application for a permit, and work is not to start without a permit; that the work win be in
accordance withha approved pla i in the case of work which requires a,review and approval p'
/ (/
/th
Applicant's Prnted Name
41,11
City of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use _
Permit#: s77 7
Permit Fee:
( (r.
Date Received:
Staff:
j2015 RESIDENTIAL PLUMBINGg(0 PERMIT APPLICATION
I/4/6 j�/6 Site Address: c 1}.eAs 4 \ � " /
Tenant:
Suite #:
R@-
Name: i'Vc Y\.C�j. ti\t'l'l Phone:
28/ IL /1/`"'
Address /City /Zip: qQ j e SS/4
/ C V5e
Name: .7"-Z- k:- ��+,�,WL b► �1 �� License #: �� � `Lv' 2
IA 2Fy
Address: %3 6-70 (' d d ✓e Or City: 4 '/ 6 Id ✓C ,*
State: Zip: 5-5 /( Phone: 625/ - 2/‘-/3/
Contact: Email: fn / T2 °)-',..Pe Pl�0%-,t'i s ..(oma
New ,Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _
Description of work:
t .TYP
{
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures ( Main / _Lower Level)
_
Septic System
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.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.
Applicant's Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169431
Date Issued:05/26/2021
Permit Category:ePermit
Site Address: 4286 Svensk Lane
Lot:017 Block: 001 Addition: Wilderness Run 5th
PID:10-84354-01-170
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Nancy R Schultz
4286 Svensk Ln N
Saint Paul MN 55123--171
(612) 306-7738
Sandau Construction
9025 Hwy 101 W
Savage MN 55378
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature