4405 Tofte Lane
+
. ~
~Ab
. Wertificate nf Ccrupanc4
witi) of
~ Sawit"
' This Certificate issued pursuant to the requrrements of rhe Unijonn Building Code •cernifying that at the time of issuance rhis structure was in compliance with tJre various
orrlinances of the Ciry regulating building constructron or use. For the followiRg:
SF ac 24382
Uee Qassificetion: BId6. Prlmit No.
OocupencY 7ypc Zaning Distrid ft;
Owar af Building ~M E ~S Add¢sa
Bui ' Add~ess ~5 ~ r~ I.ocality f s Date: 05/20/Q3
Building cial
P06T IN A CONSPI(;UOUS PLACE
. s INSPECTION RECURD
°C17'Y OF EAGAN PERMIT TYPE:
.3830 ~ilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1 4J11rr i nMr
; Itt~~i I 1 I~I~I .'?11~ ~ 7 r,~•~ i ' ~I
' u.t~1n~ ~r~wi..,. v. . _ , . N . • ' ~-,.i - - , . -
PERMIT SUBTYPE` , .'rYPt'OF WORK:
~ ~ ) . .~I ~Ftl l I
INSPECTION DA • D•
:t!~iltt~li~ . i;i;l-1•~I. .
.
i fl'.~a• I f„~1 1 1 Nf1f
~ J
PermR No. PrmN Moldm Deft TiMpfwne#
S/1M
• , P `UMBING & 3
HVAC r8 3 ~
ELECTRIC 9~ 7~rj ~ p
ELECTRIC
Inspectbn DOb kHp. CortuMrHs
Footinvi 3-3 93 6 g '
r-ow~ 3 p- 93 S
Fra^*ig %i 3 93 S
Roofing
Rv.0 Pbg.
Rcxo ft
9 ~Opp- e , .
FR`°poNe°°
Final Htq. / S~'~ CV
Orset Test
Final Plbp. Plhy' Irspedor - NotilY Plumber
Coro. AAeter
EngrJPlen
BWC- FinW
Deck Fty.
Dedc Final
weu
Pr. Disp.
~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 PiloWnob Road Permit Number:
Eagan, Minnesota 55123 Date issued: ti+ i.~' a
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK: I
.A .
l
~ J
wrmn No. aermn rww.r oaaM TNsphoM #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Dabs Insp. CommNfls
Footirps I
FoundaYan
Frarning
Rooflng
Rough Pibg.
Rou9h H19•
Isul.
Freplace
Fin81 Fttg.
Orsat Tes1
Finai plbg, Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
8k1p. Final I
Dedc Ftg. L I
Dedc Final I
~ I
weli ~
~
Pr. oisp. I
J
d 14977 ~ ~
Requ ate Frte No. Rough-in Inspecli n y
R wretlP ? Reatly Now yy WtlI Notdy lnspectar
~ Ves C No When Reatly?
I hcensed coniractor ] owner hereby request inspection ot above electrical work at:
Job Adtlress (Street Box or Route N,I Ciry
yb S
Seqion No. Townshrp Neme or No Renge No County-~
~a~~ ?
O<cuoantlPRWTI Pnona N.
~ 2, /3?~ ~C~E~,s
Porver u001 r qtltlrass
e
Elec~n<al ntrecwr ICompany Name~ ConVactor5 License No
Mailing Atldress ICOnvactor o Owner Making Instal li ~I
3 S~Sv % 7~1~.c! sso 3
Autnonze i a re IComra toN n MaW InslallaUOnj Pho e Number
~37-~s3S
MINNE OTA STATE BOAPD OF ELECTRICIiY THIS WSPECTION REOUEST WII.L NOT
Grlgge-MlOwey Bltlg. - Room 5493 BE ACGEPTEO BV THE STATE BOAFD
1811 Univ¢nlly Ave.. SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(6t2) 662-0800 ENGlO5E0
~/(l REQUEST FOR ELECTRICAL INSPECTION •°=~`~TEB-00 noe
= See mSlucLOns br complatmg this form on oecN of yellow copY.
p ~ ii- ? I/a•y
LS 14977 "X" Below Work Covered by This Request ~0.•~~
ew Atltl Rep. TypeofBudding ApphancesWired EqwpmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heahng
Apt. Building Dryer Other-(Speciy)
Comm./Industrial Fumace
Farm Air Conditioner
Omer, (suenly) Comracmr5 Remerks
Compute Inspection Fee Below:
# Other Fee # Service EntrenceSrze Fee # CircunslFeetlers Fee
Swimming Pool ~ 0 to 200 Amps / JI o 'o ~oo Amps ° D
Transtormers Above 200 _ Amps Above IDO _ Amps
Signs inspector's Use Only. TOTAL
Irriqation Booms
SpeCial Inspection ~
Alarm/Communicauon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rouyn-~n
Certity Ihat ihe above inspection has PiiiB1 , oa~e py
been made.
OFFICE USE ONLY
This mquast wra 18 months Irom
Address 4405 mF'M LAI'E Zip 5512 3
L.at 3 Blk 4 Sub Mnm RIDCE zrID
THESE I'I'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: OS 20 93 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ~
Permanent gas
Sod/Seeded grass
TtaiUcurb damage
Porch
Basement finish v
Deck
Please verify with the builder ihe removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof•way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pinc - Contracror Copy
PERMIT 0/(60 7 s~
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: R u r i oI N r,
Eagan, M innesota 55123 Permit Number: 0,2 t9 3;+ ,i
, (612) 681-4675 Date Issued:
SITE ADDRESS:
4405 T01=TF Lf4NE
LQ-f: 3 3LOCK: 4
AUTUM N R7DGF 2N0
P I.N.: 10 12301-030-04
DESCRIPTION:
Jniidin.g Pennit Type SF DWG
ildii(i 4Jqrk TYPe N E W
' UU G Deciepni:y R-3 M-1
Lun -~i_i uci iun type V-N
~ <oninq R-1
tuit I clin(l Lcriy. h , 63
Huilding WidCh 52
~ .
. . , . ~_i.
REMARKS:
.3 & W PLBft - MATTHFW DANTELS PLB6
FEE SUMMARY:
VALUATION $135,008
E3a,e, Fee $762.90 I41SCELLHNLUUS 1.744.50
4'1an Heview $49S.39 Tol.al Fce 131824.30
Surcharya $67.59
SAC $750-F10
SqC o 10Vl
SfiC lJnit's 1
Lic. Search Fee
Subtotal $2,079.80 CONTRACTOR: - Flpplicant - sT. L[COWNER:
ICRYZER BLDRS 14501653 0e05681 KftYZER PLDRS
/310 BORMAN AVE E 7310 BOftMAN laVE E
INVER GROVE HTS MN 55076 INVER GROVE HTS MN 55076
(612) 450-1653 (612)450-1653
1 hur;:by ocknuwlc~Jgp Ch,+c i hovo road Lhis uppl,c,.[lon anu iho' :-h
+ n(orm<+1 ;nn i . correct and ,iqrec t.o comply lditli ._11 .t(-I)!ic,.lilt , c, o Mri
::t., LULas and CiCy oY ~ogon Ordinmncu~-
~ ~
PS,~""G/ ~~~!_CI
PLICANT/pERMITEE SIGNATURE ISSUED B 5 NATU E!
REACTIVATE'_ ' CITY OF EAGAN
rERMIT # 1993 BUILDING PERMiT APPLICATION
44%3 ss, .4675
FE8 2 5 REGp
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date fr-9 93 Yaluation of work ~ oi9
~
5ite Address: ~of1v'
STREET SU11F #
Tenant Name: (commercial only)
IAT 3 I I BIACK q svsn. 19L)l,141frn Rjp6)j--~ F.I.D. it
Descri ti on of work: = i' Lcs` :~INiL
The appl i cant i s: ? Owner IS Contractor ? Other (Destribe)
Name 429221- 1774w- Phone '-l<0 -/66-3 _
Property LAST FIRST
Owner Address )3I0 13yk-n~r!
STREET STE N
City 'vC-N State /lJ.I• Zip sl;~074
Company KQY24:5't- 13d%40cX~6 Phone L107°1463
Contractor Address 7.3/0 License Exp.3-9q
City 3ev4 State ~ Zip 51ro7L
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
5ewer & water licensed plumber 09a4+ ~A'ejs Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPPlication and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY BUILDING PERMIT TYPE
? Oi Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
Ar02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comn./Ind.
? 04 Sf Porch E3 09 12-Plex E3 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
X31 New 0 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V-),I Basement sq. ft. MWCC System I&S
(Allowable) -?T lst F1. sq. ft. City Water
UBC Occupancy ~1 2nd F1. sq. ft. PRY Required
Zoning ~ Sq. Ft. total Booster Pump
# of Stories footprint Sq. ft. Fire Sprinkler
Length 62.57 On-site well Census Code i~
Depth 52' On-site sewage SAC Code ~
Q~?J~ag b I ~F , I
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing O Insulation
? Wallboard ? Final ? Draintile ? Fireplace
[Permi t Fee v.i~cid,: g 135, O0o
Surchar9e
Plan Review GqRAGE;
_ 32 x Z2= 7oy
License Ib~(2= ~20
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit .?4y2 x 2(.= ~3r'7 x/S= ~J S S,r
S/W Permit .
S/W Surcharge I~T ~~a~~,
Treatment Pl.
Road Unit
Park Ded. BSM'~; ~ ~537
Trails Ded. ,~~~"1~30= 73S
Copies 2 X I I= ~ 2Z-
Other
Total : I~~= ~ y, 30 fo
SAC % 10o ZNaF I HoZ X 53-
~i'.°~°11-1
SAC Units 13-5, \
.~2N'/z.x3os.
7
~l5'2n5~ ~3~~6
Building Permit Survey for:
-KRYZER BUI LDERS
30 \
1
/N
v,, h
17
15"E 167. ~
,
,
o
4811041 . , •Y Eo_ement_...~ -o
~ Utiht
_..pranage a~ ~ - - _ 00 946. . z6.oo x
Setback Line ay
~ .guilding
3o 9
j%
,.oo'
L 0 dto~~°9e p PROPOSED e 22.00 x~s. ~ ~ CV
~ r P(oJ1de o(o oUSe / HOUSE 8 pROPOSED ~ DO ~ L l ~
da t~o~ o~ ~he ~ ~ n pRN E 1 y ° L L
G~0 pk 45. 30.00 I ~
w5 ~
51 oW°y e0s 2.00
i ~re h o
10
I I ~s ~ ^ g q~`~ L `xo ............_...........'.5:.x 20.00 °
"io:oo,o i ;
J "
_ _ond Ut _ilit_ E_ _ _osement_ _ _ _ _ _ ~ ~ _ _Ao_'^_.
-0rmno e .o
30.00 S89°41'28"W 185.00 ° '0"
s
LEGAL DESCRIPTION ~T
Lot 3, Block 4, AUTUMN RIDGE SECOND ADDITION, according l~
to the recorded plot thereof, Dakota County, Minnesota.
=~\D~ Z'~ ~ 11 r~~
B--,
o Denotes Iron MonumeM Set
• Denotes Iron Monument Found ~
960 1, Denotes Existing Elevation iS'K('~°IK~' FR1K~`-blenlPIhCh = 30 feet so. ,r Denotes Proposed Elevation
-----Denotes Proposed Surface Drainage ,
? Denotes Hub
I hereby certify that this is a true and correct
representation of a survey of the boundaries of
, the land above described and of the location of
a proposed house.
Garage Floor Elevation = 945.33 /
First Floor Elevation = 948.67 Dated thisZy/)N day of``6nleyr4 , 1993.
Family Room Floor Elevotion = 946.67 REHDER AND ASSOCIATES, INC.
8asemenf Floor Elevation = 939.33
Area = 73,882 square feet (0.379 ocre). /~QU~tJ ff ~S~~I~L
Alvin R. Rehder, Larid Surveyor
Minnesota Registrotion No. 13295
. Rehder and Associates, Inc.
CNIL ENGMEERS AND fAND SURVEYORS
3I40 leeeml Dnm • SuiPo 240 • Eaqm, Yirvwxota • Phom (614) 452-5051
JOB: 934-1 173.10
~
LOT BIIRVEY C8ECKL28T !OR kLBIDLNTI7IL
~ HIIILD2 PERKIT L PLIC7IT ON
PROPERTY .*aAi=
nate o! survey:
CIIMENT BTIM ftna
0'~ 0 • Registered Lnnd Surveyor siqnnture and company
r D • Buildinq Permit 1?pplicant •
~ • Leqal descziption
o • Address
0~,0 0 • North arrow and bar scale •
0~ 0 0 • House type (rambler, walkout, split v/o, split sntry,
lookout, atc.)
0~~ • Directional drainage arrows vith slope/qradient 4.
~`0 D • Froposed/exi4tinq sewer and xater services
51~0 0 • Street name
L~0 0 • Driveway
LLEVATIONS
Existina
D W 0 • Se?aer service
Cf~ D 13 • Lot corners
II~j 13 ? • Top of curb at the driveway
D 0? • Elevntions of any existinq adjacent homes
Prooosed
II 0 0 • Garage floor
0' 0 13 • First floor
0 • Lowest exposed elevation (valkout/vindow)
0 • Property corners
D 13 D • Front and rear of home at the foundation
PONDING AREAS (if a plieal+i.l
D ~ 0 • Easement line
G 6 0 • ,awL
0 0 . xwL
13 0 • Pond 0 designation
D ~n • Emerqeney Overflow Elevation
DIKEHSIONB '
Er Q 0 ~ Lot lines .
Riqht-of-way and street vidth (to back of curb)
0~ 0 0 • Proposed home dimensions includin an
g y proposed decks,
overhangs greater thnn 21, porches, etc. (i.a. all
/ structures requiring permanent footings)
0? • Show all easements of record and any City utilitiae within
those easements
~ 0 0 • Setbacks of pzoposed structure and setback of adjacent
existing homes
D • Retaining w ' ements, if any
- Reviewed• ~ z
Na~ / Date
Oetober 2992
Kryzer Builders
7310 Borman Avenue East
Inver Grove Heights, MN 55076
(612) 450-1653
Specifications
EXTERIOR:
Maintenance Free Vinyl Siding
Aluminum Soffit and Facia
Aluminum Clad Windows Semcos
235# Certainteed Shingles
Steel Raised Panel Garage Doors
Asphalt Driveway
Concrete Sidewalk and Stoop Where Appropriate
Steel Insulated Raised Panel fire Doors
CONSTRUCTION:
2 x 6 Exterior Walls
Biltrite Sheating 25/32"
3/4" Tongue and Grooved Subflooring
Drain Tile Lower Level
Waterprooted Foundation W/Mastic and Ploy
Concrete Block Basement
Vaulted Living Dining Kitchen
4th Level Egress Window
Brick Per Plan on Front
~ CITY OF EAGAN
ERTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
ONNER: KQ,LYLGt~, )5uIG0i~S 1290AJ/, IC~''i~Zcl~
SITE ADDRESS: 6.~,3 ,C3L.00c- Li "Ctvfu/!'/h QIl?C"x:r 2)40 f~~~%loN
CONTRACTOR: UyZG2L 6?440CJI-6 DATE: ,;7- 2,~j- ~','3 PHONE: 2 L
Determine vorking square footage of each:
1. Total exposed wall area ~s88 sq. ft. x.11 =~r'~~. (p$
2. Total roof/ceiling area )i,(_2_2 sq. ft. x.026 =36.q?
Total ezposed xall area above floor c ,;2 L130
a. Total wall window area -2~z
b. Total door area 60
c. Total sliding glass area 111,~
d. Total fireplace wall area Nor1-r
e. Total wall framing area (average 10%) -2)(4
f. Total net wall area above floor 211,0
g. Total rim joist area Jqf
Total exposed foundation area = ;Zy6
h. Total foundation window area 8$41l~
i. Total net foundation area above grade j yp
Determine 'U' value of each wall segment:
a. 42 x lU'
b. 6o x 'U'
c . U2 x ' U'
. d. NoNLx 'u' - ~
. 2. X SUl .'-~I~
f. x 'U' ~ _ 6
B. 16 x' U' . 00 _
h. 0 x 'U' 131 i. rUO x +U'
3 . Totel
If item 03 is the same as or less than item #1, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area = )q22
J. Total skylight area ~'/oY1r=
k. Total roof/ceiling framing area '(average 10%) }G/,3
1. Tota1 net insulated roof/ceiling area /2 ?`1
OVER
Determine 'U' value for each roof/ceiling seenent:
j. rlvN~ x ' U' -
k. 1q.3 X 'u' oN
i. 1279 X I o, .o;~ _ .zss~8
4 . Total
If total of 04 is the same as or less than 92, you have met the intent of SBC
6D06(c)t.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 43 and OA shall not be greater than the sum of Items 41 and 02.
-+12 8q ,da + 2. 3L 19~ = 3.21, 6 5~
s. 1 yq- i + u. 3i, 3 -2.z4-, 10
~
CPTY t9F EAGAN PERMIT cuqqitt
3830 Pilot Knob Road PERMiT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 8 5 8
(612) 681-4675 Date Issued: 0 6/ 13 / 9 4
51TE ADDRESS:
4405 TOFTE LANE
LOT: 3 BIOCK: 4
AUTUMN RIDGE 2ND
P.I.N.: 10-12301-030-04
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
~
~ ; ~ ~ . .
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: - Applicant - S7. L zc. OWNER:
KRYZER BLDRS 14501653 0006781 KRYZER BUIIDERS
7310 BORMAN AVE E 7310 BORMAN AVE
INVER GROVE HTS MN 55076 INVER GROVE HTS MIV 55076
(612) 450-1653 (612)450-1653
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 Mn.
L Statutes and City of Eagan Ordinances. ~
APPLICANT/PERMITEE SIG RE ~ ISSU BV: G TURE
, CITY OF EAGAN
~J~ ~ 1994 BUILDING PERMIT APPLICATION
681-4675 IV / ~
f
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis , 1 copy of energy
calcs.
ffi~_COMMERCIAL 2 sets of architectural ctural plans, 1 set of
specifications, 1 copy o
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work6;7,t0k_W
Site Address: yq05 1~K1,2 6,4,64c=
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD~ 4z~-~ P.I.D. #
Descri tion of work:
The applicant is: O Owner ? Contractor ? Other (Describe)
Name ./3'll#n4cel~- %Qw Phone
Property LpsT FIRST
Owner qddress L.a/rc:~
STREET STE p
City 'r..QE~qrf State Zip
Company Phone YSb-1453
Contractor Address License #4,)81 Exp.3-3f-OiS'
CityP-41e4- 17/.,t/cZ_ NU/Cy_fTS State Zip 5507d
Architect/ Company Phone
Engineer Name Registration #
Address
City 5tate Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY '
BUILDING PERMiT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 Sf Addition El 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
0 OS SF Misc. ? 10 Multi. Add'1. 0'15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
1121 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
0 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning 5q. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code y5 y
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site p Footing ? Framing ? Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee vaiuac;a,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC q
SAC Units
Building Permit Survey for:
KRYZER BU1 LDERS
ERGAiv
R.EVI&WEp
$Y D,
M~
OAT$ Z- S- q3 \
30
G 1
~
~ o Y
167.17
_ -
1°41,15~~E ~
~ ~ -
N8
O
, . and UtJity - ~ , x ~ .y~
, N .....-Drainole ~lL6.00, 16.00 ~s. .9~~1i x
n9 Selback 3
o~a ' o x•6 , 3 g
,.oo ,5. Do N
L O e d{~Jnd e ~lU~SEfD g 22.00 Y l U) 00 LLl ~
i joq~d of o o~5e g PROPpSEp ~ ~T ~
~ i ko P an e h •P ~ DRNE °
5~ ~S r G~o 5be ot 3000 ~ ~ O Q
Zgo 9~0
~ ~
10.00 10.00,
L
~~Orainaqe ond Utilit Eosement -a ~I~"""`.: ~nJo.oo
S89°41'28"W 185.00
~
LEGAL DESCRIPTION ~T
Lot 3, Block 4, AUTUMN RIDGE SECOND ADDITION, according 1V
to the recorded plat fhereof, Dakota County, Minnesota.
o Denotes Iron Monument Set ~ ~
• Denotes Iron Monument Found
960.1• Denotes Existing Elevation
eo. -
= Denotes Proposed Elevotion B r
Y
~-Denotes Proposed Surface Drainage .
? Denotes Hub Ddi '
$AGAN HNGINEBRI~iGfe~EP
I hereby certify thot this is a true an
representation of a survey of lhe boundaries of
the land above described ond of the locotion of
a proposed house.
Carage Floor £levation = 945.33
First Floor Elevation = 948.67 Dated thisty,"' day of/,f~/4(,2&g , 7993.
Family Room Floor Elevotion = 946.67 REHDER AND ASSOCIATES, INC. 8asement Floor Elevation = 939.33
Mea = 13,882 squore (eet (0.379 acre). 4=%
. Alvin R. Rehder, Land Surveyor
Minnesota Registration No. 73295
. Rehder and Associates. Inc.
CIViL ENLINEERS AND UNO SURVEYORS
~a r.ae.w ane • S.I. :ao . c~ w...om • w~. (au) ux-easi
JOB: 934-1 173.10
CITY OF CAGAN
CASHIER: S TEFMSNAL N0: 770
DATEe 07/08/33 TIMI.=: 0I:52:51.
ILr
NAHE~ SEL..A FQOFTNG G f.EMOAELING ]:NC
3210 9001. 4405 TOFTE LANE 181.25
2155 3001. 4405 TOFTE L.ANF_ 5.00
F
Tvta1 fieccil.)+, Amouri+,: 18(1.25
Ck1129qi
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55722
-I 651-681-4675
New Conshucfion Reaulremenfs Remodel/Reoalr Reauiremenh
? 3 registered sRe suneys showing sq. R. of lot, sq. N. ol houfe 2 coples of plan
and ~II rooted areas (20% maximum lot coveraae allowed) 1 set of energy calculations lor healed addBlons
? 2 copies of plans (show beam a window sizes; poured ind. deslgn; efc.) 7 sNe survey for exferlor addMions 8 decks
D 1 set of energy calculalions
? 3 coples of hee preservation plan H lot platted aMer 7/7/93
DATE: 7- 7,?q CONSTRUCTION COST:
DESCRIPTION OF WORK: AoUS P'4o ' r~c 1~. 5 0 riuP
~
STREET ADDRESS: r,, r- Te (a
LOT: ~ BLOCK: ~ SUBD./P.I.D. VV~
Name: N^6` a CT"J U(/ Phone k: 6
PROPERTY Lan Fint
OWNER
Street Address: 5a.l/40
City State: Zip:
Company: SELA ROOFING & REMODELIN:r, Ge, phone N: 6'1
4100 SIOR BLVD (area code)
CONTRACTOR ST. LOUIS PARK, A+IN 654I(i
Sfreet Address: ID #OOOloao License # iDS O ExP,
Ci1y State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sfreet Address: Registration
City State: Zip:
Sewer 3 water licensed plumber (reaufred for new consfruction onlv
Pgnalty applles when address change and lof change Is requested once permM ts issued.
I hereby acknowledge fhat I have read thls applicaflon, state ihaf the intormatlon Is conecf, and agree to comply wMh all applicabl
S,fate of M(nnesota Statutes and Clty of Eagan Ordinances.
Signature o} Applicant: "
OFFICE USE ONIY Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only 0 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee <<SI a5 Valuation: $
Surcharge 5
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
Tocal: 1 SL
SAC Units % SAC
C11"Y;USE ~;ON7;.Y
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1993 PLUMBING PERNIIT (RESIDEIV'I'IAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - - -
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00 G . o 0
3 WATER CLOSET 3•00
BATH TUB 3.00 l~ . o ~
4_ LAVATORY 3•00 °
I HITCHEN SINK 3,00
l LAUNDRY TRAY 3.00 '3.
HOT TUB/SPA 3•00
3• o 0
WATER HEATER 3.00
I FLOOR DRAIN 3.00 3' °s
I GAS PIPING OUTLET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry.lic. 15.00
U.G. SPRINKLER • home undcr consl. 3•00
ALTERATIONS • to oazting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: y c6' S ~
SITE ADDRESS: yA v S
OWNER NAME: KrT r~u...l cL ers
INSTALLER: fA f1'tT Do.-n %e.I c S rc.•
ADDRESS:
CITY: STATE: ZIP CODE: S SO
PHONE
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SIGNATURE PERMITTEE
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1993 PLUMBING PERMTT (COMMERCIAL)
CTfY OF EAGAN
3830 PIIAT IINOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMNIERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNTf.
_ rrEv coNSTRuc-norr
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 19c OF CONTRACf FEE.
STATE SURCHARGE $.50 FOR FACH $1,000 OF P.ERMTf' FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1% $
STATESURCHARGE E
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAAtE:
W STALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
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MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681A675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
-
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDTTIONAL 50 M BTU ~6.00
GAS OLTTLETS (MINIMUM 1@$3.00 EACH) 00
ADD-ON/REMODEL (ExISrtNG coNSTxUCr[oN) $ 15.00
STATE SURCHARGE .50 •
TOTAL I3 . sv
srrEADDxESS: 4Llv5 To-Pl-e, Lane,,
OWNER NAME: zJ TELEPHONE
INSTALLER: G1Lk f' G-
ADD S: UL{aC~.
CITY$sP in&t Y(it STATE: • ZIP CODE:
TELEPHONE
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MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONINERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUII.DINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTE2A:GT FEE $
k..w.............::...w.........a
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERI~32T FEE.
TOTAL $
SiT'E ADDRrSS:
OWNER NAME: TELEPHONE
TENANT NAME: (nvtPROVEMEN[s orrt.Y)
INSTALLER:
ADDRESS:
CTI'Y: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CTI'Y INSPECTOR
LOT d- BLOCK ~ SUBD. `2&iv~(:24k
RECEIPT # & DATE
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMIT
. 1993
Application Date:
_ Commemial project Gallons per minute/commercial only
_ Residential project (sprinkler systems for development pmjects)
~ Existing residence
Area/address to be sprinklered: ~-l Mr~j
Installer:
Street address:
City, state & zip:
Telephone (_v co V
Owner name:
Street address• y U O S
City, state & zip: C-7~N C-E, fl., 5-13
Phone C,e cb
Irrigation contractor, if different:
Phone
I hereby acknowledge that I have read this application and state that the information is correct and agree
to comply with al] applicable City of Eagan ordinances.
C\~ ~
Signature of Permittee
New service required
Fee due: $ X5- 50 Calculated be2z-
-93 /~~~,~/~~P~~µ~r
-C"`''%' p• K
-7a-O
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 underground sprinkler permit.
• $ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential vroiect: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed.
$695.00 oer connection - WAC.
$324.00 per connection - water treatment plant.
c. Existinp residence: $15.5.0 underground sprinkler pertnit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approva] and an application
must be filled out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify ihstaller of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are rnmplete on a new
service--(Engineering Department will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to Utiliry Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. The Public Works Department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
830 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
CITY OF EAGAN Page 1 of 5
PERMIT
, TO WORK iTITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
1. Location
~ 2. Nature of Work
3. I~dicate below items to be affected and'include a sketch or plan of work-to be done.
~ Curb & Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other
4. Method of Installation or Construction
5. Work to start on or after:~6_,L.;_C13 and shall be completed by:`I~rf ')P~j unless an
extension granted to: by:
DATE STAFF/DA
6. Will detouring of traffic be necessary? N~ If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be potified in writinp at least 72
hours in advance of any detour being established, changed or discontinued.
NAME OF APPLICANTT K-\ - PHONE 4_S q' "3 SAe
PLEASE PRINT
ADDRESS 'A4`JS \O~C. ~41~N ~N SS1Z3 ~O-~j~
STREET CITY STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK
CONTACT PERSON: ~0~1 EMERGENCY (24 NR.) PHONE `iS t- -3~3 lC~i
ADDRES S ~~~J S -~OSC- ""l7 DAY PHONE
STREET CITY STATE 2IP
The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan
as herein contained and agr e to fully comply therewith to the satisfaction of the City of
Eagan.
;:g,C~~ DN~~~ C:~s-O~-d\~
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,LOC,etc.)
Fee: $ Receipt No. Permit No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be done as described in the' above
application, said work to be done in accordance with special provi'sions as hereby stated:
APPROVED BY: DEPT. OF PUBLIC WORKS
BY:
/DATE
ALL LEGAL R£QUIREMENTS SHOWN ON REVERSE SIDE AND ON ALL "SPECIAL PROVISIONS" TO BE COMPLIED
WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER.
Pezmit No. Page 2 of 5
PERTINENT REGUTATIONS
Safety ;
1. Traffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detouz must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be attached to trees on right-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the vork vhenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on Job--Permits or copies shall be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std. Plate
P-1 shall be considered as forming an integral part of each and every permit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of.the.City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
heYein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity vith all applicable
laws, regulations and codes covering said installations. All installations shall be
made in conformity with zegulations of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate 6 timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect the City from defects in
material, workmanship or non-compliance with City Standards or specifications.
Permit No. Page 3 of S
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its sole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere with
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work shall be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
Surface shall be finished within 48 hours unon comuletion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery vithin the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be pezmitted
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles operating or parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within ttiose boulevard areas where damage to turf
trailways or other infrastructure may'occur. '
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGUTATIONS as stated above and relevant City Ordinances.
DATE: SIGNED:
Revised 5/93
LTS#1-PERMIT.FM
rn~t e vr s
' PROPERTY LINE ~
. I
I
I ~
3 1 4 ~ SAME AS REMOVED
(3" MIHIYUM)
$MdE AS ftEMOVED
. : . 5
(6" MINiMWA)
2
I I
I
TRAILWAV
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
according to specifications or Standard Plate.
2. Bituminous pavement azea removed shall be saw cut prior to patching.
3. Boulevard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May lst and November 15th for
permanent patch. Temporary cold mix patch sh'ould be used November 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with,Appendix B= Traffic Control for screet or highway
work zones - MnDOT/MUTCD.
7. Bituminous trailway closure requirements same as roadway in #6 above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95X) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (100Y.) percenc of
the above ASTM Specification.
L ~ ly ~ I eagan STREET AND BITUMINOUS TRP.I~_WAV approved : S~ndard
plate
P U B L I C EXCAVATION/PATCH DETAIL
WORKS 5/93
~
DEPARTMEN TRAFFIC CONTROL REQUIREMENTS P-1
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~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146205
Date Issued:10/13/2017
Permit Category:ePermit
Site Address: 4405 Tofte Lane
Lot:3 Block: 4 Addition: Autumn Ridge 2nd
PID:10-12301-04-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jason P Murphy
4405 Tofte Lane
Eagan MN 55123
(612) 760-5253
Allstar Construction Residential Llc
5145 Industrial St #103
Maple Plain MN 55359
(763) 479-8700
Applicant/Permitee: Signature Issued By: Signature