4364 Yorktown Dr
CITY QF EAQAN WATER SERVICE PERMIT ~
3830 Pilpt Knob Road
P. 6; Box.21195 t PERMIT NO.: l 1
EaWn. MN 55121 DATE:
i Zonirp: Na of Unlh: ~
Owne?; -,)oe Miller .^,onst. ~
/1ddnm-
StM Addnm 4364 1' ktot-m Dr ve I_S r,3 '7un ,e* Ilth I
~ Plun*.a H l tner Plunibin
~ M't+r No•. 500. QQpd S1u: S" /~co t11~~G~ ' 15.O~pd I~
ttwd.r Wo.: ~~~(~l~~t~~ lo. oux,d
~ Miw te o~w~yr rdN~ ey •~'~`iiRFw : . 50 d
, . 156.OOnd TP
: , REQV~R~ -
63 - ? ini-ter
By R. Daft PoW:
Daft of Imp.:
CITY OF EAOAN wA~ ~v'~ P~~
3830 Pilot Krqb Rwd '
P. O. Box 21159 -
~ EmWn. MN 55121 ~MIT NO.:
DATE:
ZOf11fIQ. . NO. Of UI1itS: i
Owrwr - -~11 iP'_!" r•~11'.•,* ,
Addrom
{ /
511e A~rlit: "j ~ V YO kt o WT.i ~;t .'._•?t' ' r r. ~v
plumber ~;i~tnr~~ PI:?.~.• :~,~.:s~:i T t'.
Mohr No.:
Size: Corr»cNon Chorge; r•~. i)t? n c2
ReOder No.: ^000unt DePowt: 5 . !)dbci
Permit Fos: LO.OI?p+t
em* wim as CNS oi Surcharge: .5
f}pc;
Miic. Chorpm
- 1 ~ 6 . ~~0 =r^ ,
By Total: Doft Piotd: f a ul.
Dotr of Irqp.:
Irrp.:
CITY OF EAGAN
3830 Pilot Knob Road s~~ ~RM~
P. O. Box 21188 PERMIT NO.:
Esgan, MN 55121 DATE:
Owrnr: Zoring:
J~~e ~.i11e No. of Untts: Z C:3nb L .
Mdl!!S:
SieoAddr,=: 4354 forktovm T)riw. il;}: i
vftmi+bm: 1111finer r1l.n~rIn.,
F ' 7 h - ;-4
~ Mm bamp1f wMh 1w Cby M ypa
CaxNCtlon CJ+arpr.
Accon+t DeposlN
~ P.nnit F«: I. t3 .00
Surdwrpr . 5 k?n.I
~ By
Dotr of Irop.: Misc. Chorpp; .
Totol:
oat. POa:
f
ti~.-_. CITY OF EAGAN ~t - e
~ 3830 Piloi Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 Q 1 o j
PHONE: 454-8100 % ~
_ ' ~
,
BUILDING PERMIT Receipt# r
i
To be used for SF DIrF(`i/GAft Est value $ 66 ,000 Datg AUGUS`P 8 1g $6
4364 YORKTOWN DR R3
Site Address Erect ~ Occupancy
Lot 5 Block Z Sec/Sub. SUNSET i1TH Remodel ? Zoning Pp
Psrcef Mo. Repair ? Type of Const Vn _
Addition ? No. Stories
~
W Name JOSEPH MILLER CONST Move ? Length 39
~ Address 18133 CEDAR AVE Sa Demolish ? Depth 46
0 F,~1IH[~ (~N Int Impr. ? Sq, Ft
City 7~tonL* Install ? {
o Name SAME ~9a `/0 Approvals Fees
~i Address Assessment Permit 331.00
I
~ City Phone Water & Sew. Surcharge 33.00
Police Plan Review 165.50
W W rva???e Fi re SAC 575.06
~ n Address Eng. Water Conn. 500.00
~ W City Phone Planner Water Meter 63.50
Council Road Unit 240• 00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bla9 ~ff fg( Tr. Pi 156.00
information is correct and agree to compty with efl applicable State ot
Minnesota Statutes and City of Eagan Ordinances. APC ' Parks
Signature of Permittee Var, Date Copie
; ' • 12,114000
JbSEPA l~III.I,ER CONST Total
A Building Permit is issued to: on the express conditian that
a1f work shalf be done in accordance with aA applicable StBte irrnesota Stafutes and Gdty o1 pgan Ordinances.
Building Otticial ? ! l `~wJ Zr~f
PrnnM No. PKiN! Ilolder Dole TiNph" N
Pk*Ab+n9
H.v.n.c. rl rl3 5~' o ~ ' r 9/~2
moc"'c ' 7-3-~ ,3 -
Impetlbn DaM Imp. Comm~nts
r~oounw i
, Footlnys u
FoundaNon
Framb p
~ RooAnq
Rouph P11q.
RoupA H1y
liuul.
Fi?epiace
FMaI Htp. SP
Final Plbp.
Bldp. Ffnal ~
CNI.Oee.
Dock Fty.
Ooek fmp.
w.n
Pr. Dfsp.
. . , i . .,ss~,~.,--.~'--..` , . „ . ~^l.'~'~,~v+"~".y""'"rT"'~"•
~ PERMIT # 1
r PLUMBINCi PERMIT RECEIPT #
GRY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 56121 DATE:
CONTRACT PRICE PHONE 4544100
Site Address L'`" BLOG. TYPE WORK DESCRIPTION
Lot 2 Block c' Sec/5u :c:t1•. _
L/
Res. Z/ New
m Name ' w Mutt Add-on
~ Addr Comm. Repair
c City ~r, t`- L!~, phone - Other
NO FlXTURES TQT,AL
~ Name y Water Closet - 53.00 s ~
3 Address ~Bath Tuba - $3.00
~
p City << Phone /0/0 Lavatory - $3.00 _
- Shower - $3.00
FEES ~_Kitchen Sink - $3.00 -
COMM/IND FEE - 196 OF CONTRACT FEE --T Urinal/&det -$3.00 ~
MINIMUM - RESIDENTIAL FEE - $10.00 --~^~undry Tray - $3.00
Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 --,-We~r Heater - s1.50 , s J
STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRtCE GOES -7-Gas Piping OuUets -$1•50 S ~
BEYOND $1,000.00) Softener - $5.00
wen - $10.00
i _ Pmace Disp. - a10.00
=Rough Openings - $1.50
31C3NATURE OF PERMI7TEE FEE
STATE S/C:
FOR CfTY OF EAGAN GiRAND TOTAL• , 5~~
~a: . _ . .;r . , . . .~~:r~';-,'Y')~P-,z.'ct: ~..~V ~.F~-,;:• n.+ ~•~-T~ / 135. ~t-
PERMIT #
MECHANICAL PERMIT RECEIPT # '
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ,
CONTRACT PRICE PHONE 454-8100 -
Site Address ` k! ` ` ~ C7 ~ ~ gLDG, TypE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New ~
m Name Muit Add-on
a AddreS$ Comm. Repair
c City Phone ' . • Other
Name
FEES
3 Address RES. HVAC 0-100 M BTU - $24.00
p City i Phone~" ADDITIONAL 50 M BTU - 6.00
k/' ADD-ON AIR COND. 0~24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
: GAS OUTLETS - 1.50 EA.
Forced Air - ~ - M BTU COMM/1ND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent ~ CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000.00)
Other
FEE
S/0. 51GNATURE OF PERMITTEE ~
TOTAL•
FOR: CITY OF EAC,AN
L ~ , .ti~.,+~ . j +S'.. u~'{il~ 7B'r'~t;~R~'~S~~tw';_'`li:~;~i.`4s'?C~ , '
4 .
PERMIT
, PLUMBING PERMIT RECEIPT # ~
CITY OF EAGAN I ~
3830 PILOT KNOB ROAD, EA(iAN, MN 55121 DATE
CONTRACT PRICE: PHONE 434-8100
Site Address L LZ?" BLDG. TYPE WORK DESCRIPTION
Lot
Res. New ~
m Name Muft Add-on
~ Address Comm. Repair
c City Phone Other
• NO. FIXTURE$ TOTAL
~ Name Water Closet - $3.00 $
3 Address Batli Tubs - $3.00
p Clty Phone Lavatory - $3.00
Shower - $3.00
FEES Kltchen Sink - $3.00
COMM/INO FEE - t% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMUM - RESIDENTIAL FEE - $10.00 Laundry Tray - $3.00
Floor Drains - $1.50
MINIMUM - COMM/IND FEE - Water He~ater -$1.50
STATE SURCHARGE PER PERMIT - .50
(ADD t.50 S/C IF PERMIT PRICE GOES Wh~~~~ ~~.00
BEYOND $1,000.00) Gas Piping Outlets - $1.50
SofDener - $5.00
Well - $y 0.00
Private Disp. - $10.00
_Rough Openings - $1.50
SIGNATURE OF PERMITTEE 'FEE
STATE S/C
FOFt CI1Y OF EAGAN GIRAND TOTAL: -
- _ - - - - -
IN5PECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897 • ~
9 Date Issued:
(612) 681-4675
SITE ADDRESS: ; ' t~ 1 `i APPLICANT:
t: 4;
;4-10 1( 1 r114" na
PERMIT SUBTYPE: TYPE OF WORK:
, . ~ ,
INSPECTION D. . .A
! I Fi;;l
i F Fil~I~F , '.t 1114fIAtF 11 1`Ff 141 I 1 , f!11111:! Et 1 t3i f'.1J'~ : I I~ 11 f fl~~i•F
f't E'tkl h:t '•.'11 l1f 1+ FIY 11 f~ ,".f: 1 F
I ~
I
Psrmk No. Pennk Holder Dats TN"hone +1 I
ELECTRIC
PLUMBING
I HVAC
~ InspocUon DaM Insp. Commarb
FOOTINGS 7.,.'7 ~cff DO
FOUND
FRAMIN(3
(
ROOFING .
ROUGH
PLUMBING
PLB(3
AIR TEST
I
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FiREPLACE ,
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL -
BSMT R.I.
BSMT FINAL
DECK FTCi
OECK FlNAL
~
CITY OF EAGAN
- 12418
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np
~ z PHONE:454-8100 / (/~i
BUILDING PERMIT Receiptq (0S70
Tobeusadtor SF DWG/GAR Est.value $66, 000 oate AUGUST 8 ig 86
SiteAddress 4364 YORKTOWN DR Erect IN Occupancy R3
Lot 5 Block z Sec/Sub. SUNSET 11TH Remodel ? 2oning PD
Parcel No Repair ? Type of Const. lI.A
Addition ? No. Stories
w nlame JOSEPH MILLER CONST nnove ? Length 39
18133 CEDAR AVE Demolish ? Depih 46
o Address Int Impr. ? Sq. Ft.
Ciry FARMINC494 431-2001 Install ?
a SAME Approvals Fees
o Name
$Q address Assessment Permit 331.00
Ciry Phone Water & Sew. Surcharge 33 . 00
~M Police PlanReview 165.50
Fw Name Fire SAC 575.00
~ ~ Address Eng.
a w
Ciry Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off, 8/6/86 Tr. PI. 156.00
inlormation is correct and agree to comply wtlh all applicable State of
Minnesota Statutes and Jry of Eagan Ordt ~nces APC Parks
ies
Signature ot Permittee Var. Date Cop 2 114 . 0 0
Total ,
A Building Permit is issued to: J SEPH MILLER CONST on the express condition that
all work shall be done in accortlanceith all applicable e innesota Sta tes an C' of Eagan Ordinances.
Building OHicial
uest Iaimon~hs Irom void ~ - ~ -O yG' cP ~87
C 176 910 g-
Re~uest Da~a Frte No. ReQUh id InsVection C]Reatly Now'3'Will Noti1Y Insoec-
- &Yes ?No I.
I When Ready
~ Licensed Elecincai Convacme I hereby repuast insPeetion of abova
? Owner elechical work installed et:
Sv 9ox or Route No. CitY
oRK ~ "o L0rv DR. E"AGAN
ectwn o. Township Name or No. RanBe No. County
QRY~p~'R
Occuuam (PpINT) Phone No.
oE, MIL.L~E-R ' 3
Power $uOPlier Atldress
tAoT'~ 6 T u 3cro -R.-P-0
Electncal Cnnhactor (ComVany Nume) Convar.mr~s License No.
Y''1 tD LAti~ cc~cr' ~v -a
MaibnB ActdTess IConVacmr or Ownar Makfnp Installatmnl
1 CERRV QGre, RD ~AC~ rv
Author zed Signature on[ractor Owner MakinB Ins[allationl Phone Numberfjyd-q(pJ ~
MINNESOTA STATE BOAND OF EL CTNICITY TMIS INSPECTION qEQUEST WILL NOT
Gri9es-Mitlway Bldg. - Noam N-191 BE ACCEPTEO 9Y THE STATE BOAHD
UNLESS PFOPEN INSPECTION FEE IS
1821 Umvers,tY Ave., St. Peul. MN 55100
pti- lpill 1472111 ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION
See instrvctions br comolebny thus lorm on beek ol
~ yellow coOYc 16 910 "x' Be/oW Work Covered by This Requesf
s~
AAd Neu Troe ol euileine ADOlioncee Wiietl Equ.pmenu wired
~ Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildmg Dryer Hectric Heahn
Commercial Bldy. Fumace Silo Unlonder
InAustnal BIAg. Air Condrtioner Bulk Milk Tank
Farm otner oeu v iheel5oer.~ivl
t a,r ucci y ther Othi;r
ompute Inspection Fee Below
p Fee SarvweEnbenceSize n Fee Fexdees/SUbteeders u Fe.o Cireurta
Jo70 ro 200 qm ps 0 to 30 qm )s GO 0 In 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 Am
Swinming Pool Above 100-Am s Above 100_AM3s
Transtormers Irnga[ion Booms ~ O Partial.'Other e
Signs Speciallnspection 03q U
Remarks 5 g TOT FE
3
Nouph-m ( D t th Electn
- nspec eraby
cartily the, the xbove
Final ~ ~'.soaction has been
~aa.
fhlc roquest voiC 18 monilo Irom
~ RESIDENTIAL ~ 113 S
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
bew Conetructbn Heaulremente RemodeVReoalr Reauiremente
• 3 regislere0 sfte surveys showing sq. fl. of bt, sq. fl. of trouse; antl all roote0 areas • 2 copies of plan
(20% maitimum lot wverage albwetl) . 1 set of Energy Calculatbns Mr heated adtlttbns
• 2 coples of plan showing beam 8 window sizes; poured tound desgn, etc.) • 1 sAe survey for ezterior ad4Kbns 8 decks
• 1 set of Energy Cakulatbns • Indipte 8 home sarved by septic system foraUd'Abns
• 3 copies o1 Tree Preservatbn Ptan 0 bt platle0 after 1/1/93
• Rim,bist Detail Optbns selection sfieet (bWgs wAh 3 or less unAS)
DATE ~ f I/O o2 VALUATION vfS O~(7
SITE ADDRESS 436)7 YO ~'K-~ UWi'L ~Y. MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK 4 00i FIREPLACE(S) _ 0_ 1_ 2
APPLICANT il'DOG , YYIQAjrQ, ,(514•
STREET ADDRESS `T SOS rP . J CITY rni~ STATE ~ZIPSS~/a 0
TELEPHONE CELL PHONE # CI'VA~~IA'tf1(a,(~o(-075_FAX # 912- V Q- Sqlq
PROPERTYOWNER 0CC,YIIVI I TELEPHONEtf6s~- YL/$5-0
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RLJI.FS 7672
(4 submission type) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhacfor: Phone #
Plumbing svs[em includes: _ Wa[er Softener _ L,awrt Spiinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone M
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge That I have read this application, state That the information is correct, and agree to comply
wiTh all applicable StaTe of MinnesoTa StatuTes and City of Eagan Ordi
Signafure of Applicanf .
OFFICE USE ONLY
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
1986 BDILDIHG PERlffT APPLICATION - CITY OF EAG9N
NOTE: ALL COHTRACTOBS MQST BE LICENSED WITH THE CITY OF EAGAN
SINGLE F9MIILY DiiELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CAI.CULATIONS
MOLTIPLE DiIEI.LINGS - RESIDENTIAL RENTAL ONITS FOR SALfi QNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SDRVEY - CHfiCB iiITH HLIXi. DEPT.,
1 SET OF BNERGY CALCULATIONS
C0MMERCTAi.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND CG~G(-/`-'C~
To Be Used For: Valuation: Date: O
Site Address OFFICE IISE ONLY
Lot ~ Block ~ Erect ~ Occupancy J
~ Remodel = Zoning 'O
Parcel/Sub ^,ln~pe~ 1l ~ Repair Type of Const JUL
Addition li of Stories
Owner Move - Length ~
Demolish Depth
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVAIS FEES
Contractor 2!~ Uo_ Assessments Permit
Water/Sewer Surcharge
Address C-i? d C(~ Police Plan Review ~
Fire SAC
7S 7~
City/Zip Code Engr Water Conn
j Planner Water Meter
Phone ~~j I~ Z00 j Council Road Unit ~
Hldg Offg,;-% Treatment P1
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone 0
NOTE: ADDRESSES FOR COBNER LOTS - CONTR6CTOR/HOHEOi1NER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES RILL BE ALLOHED ONCE BIIILDING PERMIT IS ISSOED.
Zc/x s ~~o ~ ~t3 ° y73Z~ . • , ,
~n /7=/6~
TRI-LAND C0. SITE PLAN FOR:
SURVEYING t:.
SERVICES JOSEPH MILLER`
4655 NICOLS ROAD • EAGAN, MINNESOTA 55122
N00901'45`W ,
75.00
?,.......ar.wr„T'...ro.r,
S ~ rti°
I ls~ Z ~
r 4 LOT 5 I ~ SCALE: lu= 30
~
0
z
z
y ,t0
"'L l i ?
P' ' ~rFp~s~ k 2
m ~
t 1 <
t i 4~i ~ o C
b ~ 7J
'o ~
m
~I" .prr ~r.~.rr
~-,54.94 09t; ,
6Aj
YORKTOWN DRIV~
--T~ - -
PROPERTY DESCRIPTION
LOT_, BLOCKZ,
SUNSET ELEVENTH ADpN.
xeordinq fo the raeaded plat ihsreof
D/4KOTA c«erry, Minnesora
LEGEND
o DENOTES IRON Ia0NUMENT PROPOSED GARAGE FLOOR ELEVATION •`~S~.Z
a DENOTES WOOD FN1B SET PROPOSED FIRST FLOOR ELEVATION
DENOTES EXISTINQ SPOT PFipPOSED8A8EMENT FLOOR ¦
0.E VATION ELE VATI ON
OENOTES PROPOSED SPOT
ELEVATION
,,e,-DENOTES DRAINAGE DIRECTION NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I Iwokiy wrtifY TAat this surwy, plon or ~
ropo?t was prspand by ms or uod~r my r
direcf supervision and that I am a duly Bradley J. S n, Mn. Rep. No. I5238
~ Reqistered Land Surwyor under tM
~ l.aws of tM State of Mimosoto. I
. CITY OF BUILDINa DEPARTMENT
NKMMOR ENVII,OPE AVII2p(iE "Ull COMPUTATION
, (1b be submitted with building permit application)
One or Two Fsmily Dwelling Owner
All Other Sfte Address
Contractor dlyzp_ ~otiJ~ Date 3-4- 04 Phone
nbJGF}~ n .
LIIe EAI, i r;ET OF Q j~
E:{_'OSED FWLL Op~J,' ft, above grade = ITJIO- "J~0
TOTAL EXPOSc;D WALL ARr.A SQ. FT.
0:,^UE corS'fRUCTI01+: "U" Vtalue x Area
Detail rgAN1~ "U" .p'43 x SQ. FT, iJp$.70• f00•q4 (U) (A)
CoovC-, flUto ,14o x Sq. FT. 93•90= (U) (A)
:e:erence _R~~ „UII ,/>4.p x SQ. FT. II .ZD=_~(U)(A)
from ifUlr x SQ. FT. - (U)(R)
attached liU" x SQ. FT. - (U)(A)
sheets trU" x SQ. FT. - (U) (A)
:7I]dD0',VS: "U" `lalue x Area
fda::e & TYPe 14SUL. i~SN7'T np" • SZ x SQ. FT. 110-SO =57- JU) (A)
" " x SQ. FT. - (U)(p)
n n x SQ. FT. - (U) (A)
n u upit x SQ. FT. _ M(A)
ADORS: "U" Value x krea
:iH:e & Tyoe _ST!_• (JSUI_ loU" .14 x SQ. FT. Z•od = .SS$ (U)(A)
" „ n IIuII 147 x S@. FT. 42.00= /9~74. (U)(A)
n n nUu x SQ. FT. - (U)(A)
"Ul' x SQ. FT. - (U)(A)
rJTpLS Igi10•So SQ, r-T. /(ol.1(2 (U)(A)
AVERA(lE "U"
TOTkI, (U)(A) VkLUES 162/~9/ _
DIVIDED BY TOTAL 17/S,L AREA
AYi;RAGc; "Ut' ,115 or less for 1&2 family dwellings
ROOF/CEILING:
TOTAL AREA: 10000_
Detail reference IIU" .OZS x SQ. FT. Do = zS.00(U)(A)
from flUti x SQ. FT. ~ (U)(A)
attached sheeta. "Ull x SQ. FT. - (U)(p)
Describe onenings IOUll x SQ. FT. - (U)(A)
in roof. IIUlr x SQ. Fri'. - (U)(p)
TJTAL (U)(A) VALUES DIVIDED BY TT~L~j 000 NfT z$.00CUyA>
7500 - ~
R007/CEILIi:G ,`1;EA ~QOQ,Od ~OZS
AVERAGL•' "U" ,025 for ventilt:ted roofs. f
, --wALL Sht;1'1011--
Determining 6101' valuee at Roofg Wall, Rim, and Conc. Block
ROOF/CEII,INC3 R VALUE
S
i.) Interior Air r•ilm 0.61
z.) 5/8,, ayp. aa. .56
3.) Ineulation 38.00
4.)
5.) Exterior Air Film .61 '
~ 2 3 (STILL)
6 uUn = 1/R= .OZS i'OTAL (R)= 39•78
8 WALL R VpI,UE
9 6.) Interior Air Film 0,68
7.) GYP. Bd. .45
8.) Insulation 19.D o
9.) Zs/sL" Bu1L7-,Fi7E z.oc}
10.) Masonite Siding .67
to 11,) Exterior Air Film ,17
l l
flUft = i/a= .043 zOTat. (R)_ 23.o I
RIM (R) VALUE
12.) Interior Air r'ilm 0.6$
13.) Insulation 19.0 0
14.) 2" Fir Rim Joist 1.88
ts 15• ) ~3z'~ Butc~- 2r7e Z. 04
16.} Maeonite Siding .67
77.) Exterlor Air EYlm ,17
_ o
. • . . roUu = 1/R= , 0 TOTAL (R) = z¢,"
d~
~ Do 7:~
O FOUNDATION (R) VALUE
18.) Zaterior Air Film 0,6$
21 • ~S 19.)
pe 9 20.)
n b° ' 21.) 12" Concrete Block 1.28
' e A 1.~ 22.) t7ubER- '~,2,• $.00
23.) Exterior Air Film .17
e
~d e> . ,,,,f, _,/R_ .140 ToTAL (x)= 713
~
. C~~~`- 4)AU-
Z4)
9.so X ~jzttZ+17) = 389.sD
I S10. 50 ~ ,
.(v7 JC C 34+34 3(0+310) = q 3. 8~
m So/sT
•83X (34+34+3(0t36~ = II~v,Zo~
w~n~Dow~
1(oX 3C~ _~{.O X Z = g•p~
. 7-0 X3(, = S.o x 4 = 00, 0
O
Z4x3~= ~•o x4 = 04.oo
zox48= ~•7 X 4 = z&•$o
Z4x48 = 80 x 4 = 3Z.oo
]~o~s I/a• 80
STL. Z).Op
Z$ 57t_. Zl.vo
° ~",io ~}Z, o 0
g4.oo~
oa
z4 x ~ = 9162
1 z x iz= /44
s X 8 = 40
I,ovo ~
NET WAc.s EQiJfk-S
LJf}u_ 1 SI D. S~
Z-6ss dovc-• 93. So
" 9im U lo.Zo
" wDw'S Ilo•So - gp¢ 80
„ Doo~.s 84.00
1905. 70 -
4--
CI TY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L O I N G
Eagan, MinneSOta 55122-1897 Permit Number: 031981
(612) 681-4675 Date Issued: 0 5/ 11 / 9 8
SITE ADDRESS:
4364 YORKTOWN DR
LOT: 5 BLOCK: 2
SONSET 11TH
P.I.N.: 10-72997-050-02
DESCRIPTION:
Building Permit Type GARAGE/ACCESSORY
Building Work Type NEW
Census Code ~ 438 ALT. GARAGE
.
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY EIECTRICAL WORK
PLAN REVIEWED BY MIKE BARCK '
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25
Surcharge $5.00
Total Fee $167.25
CONTRACTOR: OWNER: - ppplicant -
FLOCCHZNI WILLIAM
4364 YORKTOWN DR
EAGAN MN 55123
(612)681-1850
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.
- Statutes and City of Eagan Ordinances. J
APPLICA , ITEE SIGNATU~ ~~n _ R4 A~I 1 ~ 1~~
, 1998 BUILDING PERMIT AIQPLICATION (RFSIDENTIAL)
~ i 3830 PII.OT KNOB RD 66122
681-4675
New Construdion Reouirements RemodeVReoair Reaui2ments
? 3 rogiatered ske surveys ? 2 copies of plan
• 2 copies of plans (inGUde beam d window saes; poured fiO. design; etc.) ? 2 ske surveys (exterior addkions 3 dedcs)
? 1 enargy celwletions ? 1 energy calwlations for heated edtlRions
? 3 copies of tree preservation plan H lot ptatted after 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST; .a1~ S) OUn• M
DESCRIPTION OF WORK:-s-l,-P n CS~C\e _ Ck C`~ ~-6 (7)
STREETADDRESS:
LOT: 'S- BLOCK: SUBD./P.I.D.
Name:
V-V1C C' Y1 \ ~ 71 \ \ k (3-Phone
PROPERTY I.est ° Pirst
OWNER
StreetAddress: L--1L"or-\ -
Ciry 'FrA CC C',l v1 State: Yr\_ Zip: a",)
Company: Phone
CONTRACTOR
Street Address: License #
Ciry Stare: Zip:
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the informaGon is correct and agree to compty with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
,
Signature of Applicant: -
OFFICE USE ONLY L5
Certificates of Survey Received _ Yes _ No ~r~Tree Preservation Plan Received _ Yes _ No _ Not Re 11
• L I .
TRI-LAND C0. S . ITE PLAN FOR:
SURVEYING SERVICES JOSEPW MILLER`
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
N00°01'45"W
75.00 `
S •
' LOT 5
4 y ~ ~I SCALE: I30'
.
i t 0 .
z ~ ~ y N Z
W `n y ~ ~0
• . ~ i + ~
. ~8 ~ fyi
, , , q ?
~ ~ .
Q w Pbt-
10 0
~ <
•47R m
p R '1GUf iulY "y 0V
. ~
y,54.94 4~ 09+g ,
YORKTOWN DRIV~ _
PROPERTY DESCRIPTION
LOT_, BLOCK_Z, ~
SUNSET ELEVENTH ADDN. ,
xcordlnq to the ncaded plat thsroof I
DAKOTA Cwdy, Minnesata. ;
i
LEGEND ~
c DENOTES IRON IaONUMENT PROPOSED GARAGE FLOOR ELEVATION • 9SG.7
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATIONa
DENOTES EXISTINO SPOT PRQPOSEDBASEMENT FLOOR • '
0.EVATION !
DENOTES PROPOSED SPOT EI.EVATION i
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHT5 WITH i
~ FINAL HOU$E Pl.ANS '
~
~
CITY USE ONLY RECEIPT#: 1~
L BL 4,
SUBD. 1W44_,i DATE: 4 a/ 9,5
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
~ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
~
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
~ Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL 6~011~
SITE ADDRESS:-`a? ,y~~7Uovj
OWNER NAME:1,UjLU,/11~ ~~LDCI'///y~ PHONE x- /~o
INSTALLER NAME:
STREET ADDRESS:~~I kzZC~v/) 40,
CITY: STATE:~fj ZIP:
PHONE ( ) OW
***f**f*i##*****+1f****i***###*f#*##
C I T Y O F E A A i~ ~*~F' PAYMEN!' OF FFE AT TIME OF *
* APPLICATION DOFS N[7P CONSPINm *
APPROVAL OF PF~P141T. ~
APPLICATION FOR PERMIT * *
. INsPEx.-riota oF sEWM At,ID/ott VATEt ~
rrisrarsamrONS WILi. Mi' BE SCHED-- *
SEWER AND/OR WATER CONNECTION +UI UMM PEPMIT HAS MN :
s APPRavID. •
* •
µ w
• ~
»
. *s~.~+,t:..r*w*.**,r,r:..e*~.*~.*+rt~#k+
P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ~ r
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL BLILDING PE.'ftMiT ISSL'ANCE: .
;
PRFSENr ZONING/PROPOSID C'SE: (MOn Year)
MtiME2CZAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY
F7 IbIDL'STRIAL ~ R-2 DL'PLEX (T4,o C'nits)
n INSTI4[)TIONAL/GOVII2NMENT ~ R-3 'IOWNII-IOL~SE (Three + Units ) ( Units )
~ R-4 APARTNffS1T/CONIDOMINILTM ( Units)
2)
NAA'lE:_ „ d A
d`-
ADDRESS:
CITY. STATE, ZIP:
PHONE:
3) ~NAME- For City Use .
P1wiUers License:
ADDF2ESS: Active
~ CZTY, STATE, ZIP: ExPired
NOt TeCOIdEd
PxorE: g 2q - ~ s nC rusTm r,icErrsE#
sta Initial
4) • • i~-
taArE: ~
ADDRFSS: .
CITY. $TATE, ZIP:
PHONE: .
•5) ~ ~n i ~ a• • : • o~ a~
~ CONNECrION 70 CITY SE[9fS2 ~ CpNNfCTION ZU CITY WATII2 ~ 024ER .
6) ~ r ~ PLFASE HOLD APPROVID PERMIIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVID pERMIT ZU 1, 2, 3, 4, ABOVE
(Circle one)
. YI' M ~ ~ • 1' ? I:' i~ h Y71' . ~ .
'
~ ' N • 1}. 1' : i M'I. •.H7~ I 1 1 - ':A" ~ Y 11 } .
. FOR CITY USE ONLY
PERMIT # ISSUED
7J72
Pd w/Bldg. Permit FEES:
$ $ /0' S--o SEWER PERMIT (INCLUDE SURCHARGE)
$ $ -S-0 WATER PERMIT (INCLUDE SL'RCHARGE )
$ G^ 3~ $ ' WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ • n i~ ACCOUNT DEPOSIT - WATER
$ 5 nn - 0 O $ wr.c
S -7 S, o O $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ 15-6 • O~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 5~-I' S C S ,S f d ~ TOTAL
~n5 qfd
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PIJBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~~(~J d],lJYO
TITLE:
DATE : / 6 (p
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION h~
City 01i Eagan ~ d
3830 Pilot Knob Road, Eagao MN 55122 Q 17
Telephoue # 651-675-5675I FAX t! 651-675-5694 ~ oc~)
New Construmm Rewvemenls RemodellReoeir Reauiremen6 ORice Use Onlv
3 m8'stered eie wrveys showing sq. ft d lul 9Q. ft of house: end dl roofed areas 2 copies d plan shoviin9 botinAS. 6eams. joisls Cert af Survey Reod. _ Y_ N
. (20%maximum bt coveiage albweO) 1 se1 of Energy Celcula6ons for heled atlddhms Shcs Repat _ Y_ N
1 Sals Repwt if ProposeC bwMmg s W be placed an dishubeA sail 7 sd¢' wrvey for addihans 8 Aecks Trea Pres Plan Recd _ Y_ N
2 copies of plan showing beem 8 wintlax s¢es; poured fountl tlesign, efc. Ad~4ion - in6cale if orrsite sepSc sysiem Tree Pres RequireC _ Y_ N
I set m Energy caiwWnom 3 copias o( Tiee Presavation Plan'rf bt platGed afEar 711193 S1s~ - Y_ N
Rtm .bist Dateil Options selec4on sheet (buildimgs with 3 or less units)
Minnegazm meWaniral venhlatim fam
Plans are considered ublic information uniess ou state the are trade secret and the reason.
Date CI nstruction Cost
SiteAddress _43~ 4 yl}1~![._-~/VYl D(2-. I
~ Unit/Ste #
DescriptionoCWork I P/%1-ki U r/CUI
Multi-Family Bidg _ Y v N Fireplace(s) _ 0 _ 1 _ 2
Property Owner w ~ '~'VVl t~ 1 1~/;- ~1 U CC, ?l i?1 ~ Tetephone #(((f 1 j [D i?1 6r?O
Gontrector Sudget Ezteriors
8017 Nicollet Ave S.
Address Bloomington, MN 55420 City
State 1-877-310-I742
- F: 952-887-1659 P Telephoae N{ )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission type) ' Residential Ventilation Calegory 1 Worksheel • New Errergy Code Worksheet
Submittetl Submitted
• Energy Ernebpe Calculations Submittetl
In ihe last 12 months, has }he City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone )
Mechanical Conhactor Telephone J
Sewer/WaterConhactor - Telephone#( )
1 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; 1 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 ofplans.
Sft?TrY
Applicant's Printed Na e AppLcanPs Signature
411.
Cite of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
i
NOV 1 2 2009
Use BLUE or BLACK Ink
Permit Fee:
37/, O
Date Received: / 1 /01—
Staff: L ��
2009 RESIDENTIAL BUILDING PERMIT APPLICATION L' -61- ` I '1
Date: Ulu /01 Site Address: ('4 york-AWA A A4 Ai 5 i 23
bat._ U F[ o C (IV n„ Suite #: pv,k
RESIDENT / OWNER
Name: LAJA Ft c Il IA Phone: (0S1- (a 1 I SD
j-�
Ij A'trJ 5512_3
Address / City / Zip: Li 3G Lf yos,rie..?&A,.—, ., dr_ IS -2
Applicant is: Owner X Contractor
30,„
TYPE OF WORK
Description of work: , V .0t(\Q dr...
Construction Cos ;i; IWC ' /69‘, tZ
Multi
-Family Building: (Yes / No )C )
CONTRACTOR
Name: 1,:..ara0 n Ji Ki@m.rainS
IN 1.04 icense #: 0205-1o21I
Address: ( 7) l f" /014 l
City: P/j w I..ol.ld,.t.. State:M61 d Zip: S3 3 7 Z
Phone: el SZ•''? 61"I- 3 3 9") Contact Person:
1-h 0-,n
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING iv IA
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone: ' '
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are consideree i to information. Port es of
the infarmatlon may be classified as non-public if you provide specific reasons that t ould; ertruit the City to
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.gopherstateonecall.orq
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 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.
x VIA I. SUV.
Applicant's Printed Name
JA7k
Appii ants Signature
Page 1 of 3
L(3&6-1 DLL,
DO NOT WRITE BELOW THIS LINE
qdo 7s
SUB TYPES
_ Foundation _ Fireplace
,*, Single Family _ Garage
_ Multi _ Deck
01 of _ PIex _ Lower Level
Accessory Building
_ Porch (3 -Season) _
Porch (4 -Season)
Porch (ScreenlGazeboiPergola)
Pool
WORK TYPES
New ` Interior improvement
_ Addition _ Move Building
,t Alteration* Fire Repair
_ Replace ____ Repair
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% ✓)
Census Code
# of Units
# of Buildings
Type of Construction
it 34/
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
A Framing
Fireplace: Rough In Air Test
41- Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FBESS
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
/k3 1
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
o
PD
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: — Footings Backfill — Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130869
Date Issued:05/19/2015
Permit Category:ePermit
Site Address: 4364 Yorktown Dr
Lot:5 Block: 2 Addition: Sunset 11th
PID:10-72997-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Linda S Flocchini
1625 Oakbrooke Dr
Eagan MN 55122
(651) 329-1111
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141598
Date Issued:03/21/2017
Permit Category:ePermit
Site Address: 4364 Yorktown Dr
Lot:5 Block: 2 Addition: Sunset 11th
PID:10-72997-02-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the 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. Call for final inspection after installation.
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 -
Laura Cox
4364 Yorktown Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167906
Date Issued:04/01/2021
Permit Category:ePermit
Site Address: 4364 Yorktown Dr
Lot:5 Block: 2 Addition: Sunset 11th
PID:10-72997-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Shad Bauer
4364 Yorktown Dr
Eagan MN 55123
(651) 357-6499
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176763
Date Issued:05/31/2022
Permit Category:ePermit
Site Address: 4364 Yorktown Dr
Lot:5 Block: 2 Addition: Sunset 11th
PID:10-72997-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Shad Bauer
4364 Yorktown Dr
Eagan MN 55123
The Window Store Inc
2924 Anthony Lane Suite 115
Minneapolis MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature