805 Wilderness Run Rd
~ oF FAGM S!:WER SERVICE PERMIT
, 3830 Pllot Knob Rwck " 1006S
P.O. Box 21189 PEFiMIT NO.: _
Eaqan, MN 5tv1 DATE:
Zoning: - No. of Units:
i
~ Owner. Rinn '
Address:
Site Addresa: ,
Plumber. 100. 00
' BPr#753fi0 7/8/37
I agM to comply yRh the City of Eagan Conneciion Charge:
Ordlnancos. Account DepoaR: . • '
~ Permit Fee: ~ . !
SurCharge:
By Misc. Charges:
Daie of Insp.: TotaL•
Dats Psld:
Insp.:
w- ---r~ - - - -
~
OF EAGAN Permit Na gylb Date: 7-9R-R7
j530 Pllot Knob Road ~Meter f!Io: ' Slze:
P.O. Box 21199 ' Reader Na Date:
i
Epsn, MN 55121 i
Owner. Son's Const SiteAddress: 905 Wilderness Run Li B1 Fawn Ridtxe -
Plumber Eagan Plwbin ;
i
Conn. Chg 525.00 Zoning: ~
Acct Dep: 15.00 No. of Unfts: ~
Permit Fee: 10 . 00 ,
I agrN to comply wNh the Clty of Eagan ;
Surcharge: .50
Tr. Plant 180.00 OrdinancN.
Meter. 67.00
~
M lsc.: BY
WATER SERVICE PERMIT
~ GTY OF EAGAN*Z Permit Na 8916 Date:
` 3030 PNot~~ Ro@d' fJfeter Na: .3~ "!ra Slze:
P.O. Box L't199 Reader Na Datec ~
~ Eagan, MN 56121
" tion's
Owner. Const
. SlteAddresx 8tl' w`ilderness Run L$ B1 I-awn P.idge -
Plumber Eagan Plumbing
Conn. Chg: 525.00 83 ;I
Acct Dep: 15.00 ~o oJ~ii 1
Permit Fec~ 10 O(F3piOfE diiQ v r~ i
Surc~targ~ • 5~ mplr with tM Cfty of Epan
Tr. Piant IW"W i
Meter. UIKS
'
Misc . B~ • ~
WAT SERVICE PERMIT ~
(ger#i#iratit af (Orrupanry
titp of eagan
~~W of adt?&u~ ~trtim
This Certifrcate issued pursuant to rhe reyuiremenrs of Section 306 of the Uniform Building
Code certifying thel at the tinre of issuance this structare was in compliance wieh tlre various
ordinances of che City regulaling building rnnstruetion or use. For the following:
- ux cIAMifinrioo SF Ix,G1CAR ewg. tVsmk nro. 11963
ooUP„n, 7* R3 zomg oeMa R 1 Type Cam v
ow= or euMng 9CNS OMSTRih.;ZM O"ANYAdd. 4506 LLM IANF, EWAV
~M Ad&= 905 W'IIUIRSS RIRZ 1tU Lomhq L!,$1, FAWV RIDCE
j.. ! a~; 9CIDEM I. 1987
Wding Oftid
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN ~ - ^
s.~.i_. .
3830 Pilot Knob RoaM, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 -
BUILDING PERMIT Receipt
To be used for Est Value 5• uUU Date JULY 1 ,19
Site Address ~~`•+il.:lt.t~'~t :,5 :~l t<ll OFFICE USE ONLY
i~ I IX;E ADD On Ske Sewage Occupancy 4~
Lot Biock Sec/Sub. MwCC Syscem Y zon+ny 7 T--
ParCAI Na On 5ite well ,T 7ype of Const v
Ciy Water n (Actuaq
a Name 1 !41`, CO (Allowable)
W ` L' * of Storfes
= Address Length
~ City Phone Depth
S.F. Total
a Name Footprint S.F.
0
0 Address APPROVALS FEES
~ City PhonA Assesamenta Permit
WateN3ewer Surcharpe 37. ~ W NBmB Police _ Plan Revlew
= a Address Fire _ SAC, City
Engr. SAC, MWCC
~W City Phone Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledye that I have read this application and state Bldg. Off. _ Road Unit
that the Informatbn i8 Correct and ayree to comply with all applir,able APC _ Treatment P1
State of Minnesota Statutes and Cky of Eagan Ordinancea Variance _ Parka
Copies
SiQnature of Permittee TOTAL -
A Building Permft is issued ta ('1 10" on the express conditfon that
all worlc ahall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
~ PormFt No. Permit Nolder Dmto T*Isphone ~
Plumbin9
H.V.A.C. El9CtfiC (.'lJ ' ~i L-I • 'g n/S 2 ~ ~
Softener
Inapection Dste Insp. Commerrts
Footings I
Footings II Foundetion ~
Framinfl .s<< t,a~•~c-~-: • ~-f7
t.
Roofinq
Rough Plbg.
Rough Htg.
IsuL ~47 ~A•
Fireplace
Final Htg. ~
Finel Plbg.
Bldg. Final
Cert Ocx.
Temp. LP
Deck Ftg.
Deck Frms.
Well
Pr. Disp.
~r.s:r'ew~ , ~`i „,;~»;...:.,~:?n .'~„~.'r'~Cr' . n.r+%. ~ - . . r
' PERMIT 0
PLUMBING PERMIT RECEIPT # 13 ~
GTY OF EAGAN
3R30 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-a700
Site Address BLpQ, npE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
~ Name lum 'ln 7 Mult Add-on
m
Address ~?OX 99 Comm. Repair
~ ~
~ C i't : i ~'ld Phone C; b 1- Other
:on~ (.:onstruction NO. FlXTURES TOTAL
L Name Water Closet - $3.00 •
c Address 4370 c~ ~,d Bath Tubs -$3.00 ~ C~ r; zn Phone 4 5 -47 'I -2- Lavatory - $3.00
Shower - $3.00
_LKitchen Sink - $3.00 •
Urinal/&det - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray - $3.00
MINIMUM - RESIDENTIAL FEE - $10.00 ~loor Drains -$1.50
MINIMUM - COMM/IND FEE - 20•00 Wa~ He~ter -$1.50
STATE SURCHARGE PER PERMIT - .50 J
(ADD $.50 S/C IF PERMIT PRICE GOES Whiripool -$3.00
I Gas Piping Oudets - $1.50
• ~
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
.
' Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
. . u. • ~ ~ ~ STATE S/C
1
FOR: CITY OF EAGAN GRAND TOTAL:
: PERMIT #
~ ` • MECHANICAL PERMIT , RECEIPT # 7&
CITY OF EAOAN
~
3830 PILOT KNOB ROAD, EAGiAN, MN 55122 DATE ' / ~
CONTRACT PRICE PHONE: 454-8100
Site Address 2' j ~ BLDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec/S
~ . Res. ~ New
9,. ~ „ Mult Add-on
m Name Comm. Repair
Addre r zfd6
City -~~~W,-07_ Phone ~ Othw
'
c ~F
Name ~ ~ s ~ . • FEES
~ RES. HVAC 0-100 M BTU - a24.00
c Addr ADDITIONAL 50 M BTU - 8.00
p City i ~Phone ~ (RES. HVAC INCLUDES A/C ON NEW
CON3TRUCTION)
GAS OUTLETS (MINiMUM - 1 PER PERiIAIT) - 1.50 EA.
TYPE OF WORK APT^BLDGS FE COMM. RA E APUES EE
Forced Air M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20,00
Vent CFM - STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PER T PRICE GOES
Gas Piping Outlets # ~ BEYOND $1,Oa0
Other
FEE W-"/ S/C: • 5v SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
. , .
. • . < ~
~
/ l/ ~L~ Z't'~'~il ,
~
C~
I
i
. .
CITY OF EAGAN p' ' -f
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date , 19
Site Address ' ~ -
Lot Black SeclSub. ~1,'~i ?OFFlCE USE ONLY
PdfCBI N0. Occupancy - FEES
Zon'ng -
W Name • A'A,- C': (Actual) Const - Bldg. Pertnit
~ Address • r; n i) (nuowable) -
Surcharge
0 City Phone ' 1-9232 # of Stones
Lengm Plan Review
Name Depm 1 ~ Sac, ciry
00 Add~eSS S.F. Total - SAC, MCWCC
~ Clty PF1011@ S.F. Foptprinis -
On Site Sewage _ Water Conn
~ W Name On Site Well - Water Meter
0I Addr2SS MWCC System _ Acct pepOS1t
i W City Phone City water _
PfiV Required - SNY Permil
I hereby acknowlege that 1 have read this application and state that the Booster Pump - SNV Surcharge
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances. Treavnent PI
Signature of Permftee APPROVALS Road Ung
A Building Permit is issued to: - Planner - Park Ded•
on the express condition that all work shall be done in accordance with all courxil
applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg. pry, _ CoPies
Building OlfiCial vanartce - TOTAL
Pwmit No. Psrmit HoWsr DNe ToMphorw #
WATER
SEWER
PIUFABINO
H.V.A.C.
ELECTRIC
Irapoctfon Dsb hap. Commsnts
Foolings I
Foundation
Framing
Roofirig
Rou9h PIb9.
Rough HiB
Isul.
Fweplace
Final Htg.
Final Plbg.
Const. Metei Plbg. Inspector - Notily Plum6er
EngrJPlan
Bldg. Fnal
Dedc Ftg.
3Disp.
PLUMBING PERMIT For ON ~jO I
CITY OF EAGAN PERMIT # ~ v~~y
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 454-8100 DATE:
WORK DESCRIPTION
=r 'C15 .41'rY P. BLDG. TY!E
~ Siie Address o 1-
Lot Blodc SeGSub Res. New
' Muft. Add-on
. Name 01- ~ C Comm. Repair
Other
~ Address C i n / - C,
~ City ~~~LF ~ r~LLF~/ phone R~• PLHG. ONLY - COMPLETE THE FOLLOWING:
~T iY2 . FIXTURES TQTAL
Water Closet - $3.00 $
` Name Bath Tubs - $3.00
~ Address ~ ~ t ~ ~vataY - ~.00
~ City Phone Shower - S3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00 ~
COMM./IND. FEE - t% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES WaUer Heater - E1.50
TOWNHOUSE & CONDO - RES. F1ATE APLLIES Whirlpool - $3.00 ~
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (IYIINIIiAUWI -1 PER PERlllln
STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Weq -$10.00 ~
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System -$12.00 t v1.
51GNATURE OF PERMffTEE PERMIT FEE• I~l
~ • ,
O. I . -7-q0 STATES SJC:
FOR: CITY OF EAGAN.-
GRAND TOTAL: • ? •
CITY OF EAGAN Remarka
Addition Lot 1 Rik 1 parcel 10 25800,)010 01
Owner Street 805-8n3 Wi 7 dernecs Run Rci State
Improvement Date mount Annual Years ' Payment Receipt Date
STREETSURF. - ~ 1981 37.07 1.$5 20
STREETRESTOR. 1984 267.6$ 26.77 10 ~F
GRADING - l 1981 11].]7 7,$5 15
SAN SEW TRUNK _ 1981 81.84 4.09 2 5-r9
SEWER LATERAL ~ '7 1981 197.77 9. $9
Sewer Lat. - 1981 124.76 6.24 ,61
WATERMAIN
WATERLATERAL -16 1981 62.25 3.11 20
GS
WATER AREA - 19$1 81.84 4.09 20
5.~ .59 Water Lat -529 1981 165.58 8.28 6/3
STORM SEW TRK 1985 557.79 37.19 15 4i
STORM SEW LAT - l 1984 151.41 15.14 10 /3
~ sW+4e-&-GWT-TC-R Sew Lat 1982 84.11 5.61 71
~ SIDEWALK L9
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PAR K
CASH RECEIPT
~ . ~
CITY OF E-AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
w~ 'm ' •
~ ~ -
AMOUNT $ I-`
ti
4
8 DOLLARE
IDO
? CASFi ~ CHECK
rOR f + ~ ~ I
L rUND CODE AMOUNT j
Thank You BY /
'
~ White-Payen CopY
Yellow-Posting CoPY
Pink-Flle Copy
BLDG. PERMIT N0.
~ / c~` i , ~ :~/'-•t~~ .
l
' ~l91-3210 ~ Blag: `-Per 3t
01-3422 Plan Check
~
01-3445 Surch./Adm. ~ 01-3446 SAC/Adm. o~ !
01-2155 Surcharge '
17-3860 Road Unit
20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. ! 7 v~ ~
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
~
TOTAL
~ CASH RECEIPT ~
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
D A T E 1~~--- ~ 19
wccitvICo
FROM
AMOUNT $
6 DOLLARf
~eo
? CASH ~CHECK
Foe
+
ruHO cooa •MouNr
L4
Thank You .
BY
White-PaYers CoPY
Yellow-Postinp Copy
' Pink-File Copy
(~/~~/g9 REQUEST FOR ELECTRICAL INSPECTION ee-0ooo1v7
? See inslru[LOns lor compleling Ihis lorm on pack oi yellow copy.
L
E _ 94w),9 4 1 'JC" Below Work Covered by This Request
ew Atld Rep. TypeolBUilding AppliantesWued EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl. Bwlding Dryer O[her (Specity) aOL, P
Comm./Indusirial Fumace
Farm ' Air CondRioner
Olner(speciry) ConVactor5 Remarks.
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5iza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIynS Inspector5 Use Only TOTAL
trnga[ion Booms ~n • -~L./
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-m
.
certify that the above inspection has Fwi
been made.
OFFICE USE ONLY
This requB51 vptl 18 months from
E Q 5 9 41// J.,
RequWl Date~1 Fre N. flough-in specl
ReqwredP ? Reetly Now ~i WJI Notly Inspecmr
'~Yes ? No When ReaEy'!
IX licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Address (Shaet, 8ox or Routa No.) Ciry
--95 ~D 5 1) t A-
Sedion No I I Townshlp Name or Na. Range No. County
D
Occupent (PRINT) Phone No
PowerSUppller Atldrass
CO L_ / 94 A/,
Eleclr~cel Contractor (COmpany Nama) Comrazt r5 Lkensa No.
QAe~E y v1icE ~2 s. s
MaAing PAtlress (COnVaclor or Oxner Making I Aallatwn) '
9250 747~- A1,41, M Al
Aulhonzetl ' tur mractorlOwrier M InsWllaOOn) Phono Number
93/'- /7
MI ESOTA STATE BOARO OF ELECTqICITY THIS INSPECTION REOUEST WILL NOT
GNggo-Mltlway Bltlg - Room S173 BE ACCEPTED BV THE STATE BOARD
1821 Univenity Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plane(612) 862-0800 ENCLOSED
, j t REQUEST FOR ELECTRICAL INSPECTION EB-00001-06
, Soo insvuctions lor completinB "is form on beck ol yellow copy.
D` 6 4 713 "x' BeloW Work Covered by Ihis Request
W-qAdul R.P. Troe oi awie.re AppLancee WireE Equiumeni w„ed
ervice
Duplex Water Heater tures
ApL Builtlin~ Dryei ' tint
Home Fianye Mmir"
Commercial Bldy. Fumace er
Industnal 01dy. Air ConAitioner nk
Farm Oinri nec, y vl
ly e~• s
ompute lnspecuon fee Be/ow y.R, e
N Fee Se
rviceEnvance5ize TnF.. fexEees/Sublenders e Foe C~~...'y
0 10 200qm s O~a30qm s Otn30An>s
Above 200 Amps 31 to 100 Amps 31 ro 100'Am s
Swinuning Pool Above 700_Amps Above 100_Amms
Transrormers Irngation Boonts ParhaL'Other
Signs SpeciallnsUection
Rerra~ks TOTAL F ~D
oi.dev' S~ -No, ~nJfr.s/ CA le
Houph- ^ Date
I, the Elact -
Insoector, heioby
Fnal cenilv thnt ~he nbove
~DI~~/ ~L) inSpBCti011 M1BS EBBn
~ ~ \ RIBQB.
ttim reQueat vo1C t8 monlln Irom
Tnis reauest voia
18 momhsIrom('~ fJ
C 1/~ lJa~nVO/C.1. .-22I1
Reqaest DaT~ ' ' Fire No. R~ouph:etl7 nspecfwn ~peady Now4 Will Notify, Inspec-
gy ~ ~,es ONo tor When Reatly
~Licensed Electncal ConVactai I hereb
y request inspaction of ebova
? Owner elechicel work installed aL
Sveet Atldress, Boa or Poute No. Urv
~S GviGD ~6E25
•'euR/ G~ ~
ect~on o. Townshio Name or No. RanBe No. County
D ~
OccupantlPRINTI Phone No,
Powef' SupDl ier Atltlress
o e G - a ZZO"e- S:1w
Electncal Convactor (COmpanv Neme) Con[rar.m~'s License No.
ff.4c~r~LL~r,~G o~z3a-l
MaJinB AdJress (ConVactor or Owner MakinB Instailauon)
G U 7'-
Amhoraed Si re (COnu tor Own Mak~ nstall onl P Number~{
i Z - V~l J
MINNESOTA STATE 60A OF LECTqICITY TMIS INSPECTION NEQUEST WILI NOT
Grnpps-Mitlwev Bltlp. - Rbarnr~N-1911 BE ACCEPTED 8V THE STATE BOARO
UNlESS PflOPEN INSPECTION FEE IS
1821 Univereitv Ave.. St. Peul. MN 55104
Phone (6121 642-0800 ENCLOSED.
S-/~aIF~ REQUEST FOR ELECTRICAL INSPECTION es/-oopoo/i-o?s
1 IliSee instructions br completirrg this lam on back n1 Yellow coDV. 7V
'"7 "X" Be/ow Work Covered by 7his Request Hde Reo. 'Tyue oi a,,,~eone APGtioncef WveA Eauiument wi.ed
Home Range Temporary Service
- Duplex Water Heater Lighuny F4xtures
Apt BwMinc~ Dryer Electric Heavn
Commercial Bidy. Fumace Silo Unloader
Intlustrial Bldg. Air Conditioner 8ulk M, Ik Tenk
Farm 01nr, peci v ine, Isnc,tVi
~ er Vec~fy Other Othe,
ompute /nspection Fee 8elow
p Fee SarviceEnbance5ize tl Fee Feeders/5ubteeders p Fee Urcuits
U to 200 qm HAmps 0 to 30 Am s O d 0 to 30 An~ s
Ahove 200 31 to 700 Ainps p-iY° 31 to 100 A s
immmg P4g
Above 100-Am s Above 100_Amps
nsiormerIrngation Booms Partial.'Ot
Signs Special Inspection $ TOi F~ ~
Nem~rks ~
~ s
Rou9h-in Dnata I. tM1e mal
Inspaclor, heraby
Vi cer4fy thet the abave
Final D"te inspeclion hes been
~aa.
Thle reQUeal volG 1B monlhe Irom
/
CITYOFEAGAN nJ° 13863
3830,?ilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
--1 ~j 5~;1
BUILDING PHONE: 454-8100 Receipt# lJ
PERMIT
Tobeusedfor SF DWG/GAR EstValue $75,000 Date JULY 1 19 87
Site Address 805 WILDERNESS RIiN RD OFFICE USE ONLY
R3
Lot 1 Block 1 Sec/Sub.FAWN RIDGE ADD OnSiteSewage Occupancy
MWCCSystem X Zoning R17--
Paro61 NO. On Sile Well Type of Const It
City Water X (ACtuaQ _v_
a Name SONS CONSTRUCTION CO (Allowable)
w # ot stories
z Address 60 LENORE LN
Length -1,01„-
° Citv EAGAN Phone 52- 5 ?ePth 39
S.F Total
p Name SAME FootprinlS.F.
~Q Address APPROVALS FEES
c
i- CityPhone Assessmems _ Permit $ 416.00
l-Q Water/Sewer _ Surcharge 37_50
w W Nam@ Police _ Plan Review 208 00
~z Fire SAQCity 1M_!)p
x - Address -
pu Engr. _ SAC,MWCC _5.95,.00
aW City Phone pianner _ waterConn. 595 np
Council _ WaterMeter _6_7 ...q0
I hereby aCknowledge th~t I have read ihis applicati0n and state Blde. O«. - Roatl Unit 7(15 _(lp
Mattheinformationisco ctand gr etocomplywithallaDPlicable A~ - TreatmentPl 1R(1_np
State of Minnesota Stat s an y~of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL E2 363. 50
SONS CONSTRUCTION CO
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all a lic e State of Minnta Sta~tu~te~s and City of Eagan Ordinances
Building Official
~
CITY OF EAGAN M 16621
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /1 1~ J J
BUILDING PERMIT aeceipt # < <y ~
To 6e used for POOL Est Value $10, 000 Date .TUNE 13 1989
Site Address 805 WILDERNESS RUN RD OFFICE USE ONLV
Lot 1 Black 1 Sec/Sub. FAWN RIDGE
PefCCI NO. Occupancy - FEES
Zoning -
w NBme LYLE & BARBARA QUICK (qcmal)Const - Bidg.Perme 117.00
3 Address 805 WILDERNESS RUN RD (Allowablef - Surcharge 5.00
~ City EAGAN Phone 681-9232 x of stones
36' Pian Review
Lengih
,o Name VAL.L.EY POOLS, ING Depih 18' SAC.Cny
00 Address 651-CLIFF RD S.F.TOtal - SAC,MCWCC
~ City R11RN4VTLiF Phone 894-1480 sF.FOOtpnnts -
On Sne Sewage _ Waler Conn
~
ww Name OnSneWell - WaterMeter
~ MWCC S stem
Address y - Acct Deposn
¢w Clty PhOne City Water _
PRV Reqmred _ SrW Permit
I hereby acknowlege th t I h ve read ihis applicauon and state ihat the eoos[er Pump - S/W Surcharge
infortnation is corred a d a ee ro comply wnh all apphcable State ot
Minnewta Statutes a i f Eagan Ordma ces. Treatment PI
Signature ot Permit92 ~ APPROVALS Road Unit
A Bwldinq Permit is issued to: VALLEY POOLS. INC Planner - park DeO.
on the express condihon that all work shall be done in accordance with all Coumit - 1.00
app6cable State of Minnesota StaWtes antl yCyiry~ oNi €agan Ordinances. Bldg. OfL _ Copies
BuildingOificial r ~~1~ ~ 111 /J Variance - TOTAL 123.~0
S 9~~ 3 RES[DEYTIAL BUILDING
Permit Applicatioo
City Of Eagan
3830 Pilot Knob Road, Eagan NIn 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Constmdion Reauirements RemodellReoair Reawremenis Offce Use Onty
3 registered site surveys showing sq, ft of IoC sq fl of house; and all roofed areas 2 copies of pian CeR of Survey Recd
(20%macimum lot coverage allowedJ 1 set of Energy Calculations for heated addi4ons Tree Pres Plan Recd
2 copies oi plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addrtions 8 decks iree Pres Nof Reqd
lsetofEnergyCalculallons Adddion - indicatedoo-sResepficsystem _ On-srteSepticSystem
3 copies of Tree Preserva6on Plan d lot platted after 711193
Rim Joist Delatl Ophons seleclion sheet (bldgs with 9 or less units
Date (n 1/9 163 J Constjru~ctio Cost
Site .4ddress .(./i/11.6 ~U~ UniUSte #
~aS~Do
Description of Work 00
Multi-FamilyBldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2
Property Owner - / S Telephone #
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I unders[and this is not a permit, but only an application for a permit, and wark 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.
A2T,d A r-'N 1/js ~ce,u-ea-
App]icanYs Printed Name Applicant's Signature
' OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
p 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mu{ti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIhg,V or _ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ' 'Demolition (Entire Bidg) • Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Foocings (new bidg) _ FinallC.O.
_ Footings (deck) _ Final/\o C.O.
_ Footings (addition) _ Plumbine
Founda:ion H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retainine R'all
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
This reques~ void
18 mpnths irom .
D°64,713
I Request Uate Fira No. RouP~-~~~ In cr.bon
Reymred/ Aeatly Now Q Wi11 Nouly InsPec
?yes N. tor k'he±n ReaAY
Loensed EIecVical ConVactor 1 hereby repuest insDection ot above
? Owner elecincal work instelletl at.
Strent Address, Bos or Rovte No. C,Iy
O.S erNPSS iPal. ~
ection o. Towns~ip Namc ur No. Rande No. Coumy
TJ.4Ko .T.4
OccuUant (PRINT) Phone No.
Power Sapphel AAdress
T'114Ao TA-
Electnr~ CnMrac~oi ICOmuuny Namel Contr.¢ oe's I.icense No.
/~i^o7f/ers' E/ecfrlc Co. O 1?3 /
Mailinp Address IContrnctor or Owncr MakinN liistailauoN
7u~ E AkE ll~'1rU. --5"SVo 7
Authon ~ S,gnat e ICo aclor/Owner ny Inslallalion) Phone NumOe=/6
THIS INSPECTION flEQUEST WILL NOT
MINNESOTA STATE BOAND OF ELECTHICITV
Grie9s-Midwey Bitlg. - Noom N-191 BE ACCEPTEO BY TNE SiATE BOAFD
1821 Universilv Ave.. St. Paul. MN 55106 UNlE55 PPOPEP INSPECTION FEE IS
Phonelfil21 saaoxao ENCLOSED.
. •
, f
1987 BOILDING PERMIi 9PPLICATION - CI1R OF EAGAN
SINGLE FAMILY DWELLINGS •
THCLIIDE 2 SEfS OF PLANS; 3 CERTIFICASES OF SQRVEY, 1 SST OF ENERGY C9LCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOHEOWNER MOST DESIGHATE WHICH ADDRESS
IS DFSIRED. NO CHANGES iTILL HE LLLOWED ONCE HOILDING PERMIT IS ISSQED.
MOLTIPLE DWELLINGS - RFSIDENTIAL RfiNTAL iTNITS FOR S9LE OBI2S
INCLUDE 2 SETS OF PLANS, CERTIEICAYE OF SDAYEY - CHECK fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATION$
COFMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
. $2,000 LANDSCAPE BOND
~51 v c=
To He Used For: {~e -e_ Valuation: b Uate: (o -
Site Address OUS ~/i~c~,e~ lU20 Jluid OFFICB USE ONLY
Lot ~ Block On Site Sewage_ Oceupancy 2- ~
I MWCC System Zoning R
Parcel/Sub ~QJ/iJ~ IZ/ ~rC ~'F~GY/r 0n Site Well _ Type of Const ~
n City Water (Actual)
Owner ~G/d5 G/uS7" . Q. (Allowable)
/ U of Stories I
Address N(G~/(p ~ -C /?G/z C' 241, Length 79 f/_ "
t- Depth 3 d
City/Zip Code C~iG i„ A) S.F. Total
Footprint S.F.
Phone y ApPROVAI.S FEFS
Contractor ~U /J S Assessments Permlt
/ Water/Sewer Surcharge 3 7•~
Address y!D(/~O GP /?G/ ~ zz~y, -e Police Plan Review dos
I- Fire SAC, City lo~~
City/Zip Code Al w Engr ,SAC, MWCC
~ Planner Water Conn S-75 Phone L~.~~ - S3 ! l Council Water Meter
A Bldg Off Road Unit
Arch./Engr. j~~/Ai, e, APC Treatment Pl ,,po
/ Variance Parka
Address y(~ d~ LC /?e/~ ~ &6LQ~ • Copies
City/2ip Code L71~KA .~J 1;"11V - TOTAL ~ 's0
Phone U j-
TRI-LAND C0.
SURVEYING SITC PLAN FOR~
sERVicES S ONS CONST.
1260 YANKEE DOOOLE ROAD
EAGAN, MINNESOTA 55122 (,~~~ele, L; k",)
LEGAL DESCRIPTION: LorL,BLOCK.1
ACCORDING TO THE RECORDED PLAT
THEREOF vA6001 COUNTYs MINNESOTA
W! A p Fh n, z s S ~2 ,t ti +
~ov~t o
.
~
\ 239.f 9 , ~
/ yl' 6 ~
` . J~~~~/~(~I
Ol
~ J 1
~ 101 r '
~9 ~ ybo', zs ~
~ 153•54 _ - ~
- ~ - _
.
Fi .s
SCALE~/'-.•p' ` -
LEGENR INVERT ELEVATION AT SERVICE ExTENSI0140
c DENOTES IRON MONUI~NT PROPOSED GARA(iE FLOOR ELEVATION•
* DENOTES WOOD MUg SET PROPOSED FIRST FLOOR ELEVATION
roofo DENOTES EXISTING SPOT PFipPOSEDBASEMENT FLOOR •
ELEVATION ELEVATION
- y s x~-
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINpGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGNTS WITH
FINAL HOUSE PLANS
1 Mnpp certify thot tAis turwy. plon or report was prepond pY nis or under mr
dinct suprviWan ond fhat I am o duly BradIey Menwne Mn. Req. Na kl,23s
~ Raqiatered Land SurveYor undr tM
~ Lawa of tM Stafe of Miroesotd pale:
; _ - - -
. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
01411 R: 6 A) S Cp7uS-r2t.,
Si TE AnpRE55: g6S / CbErt,,,et c
:i'+TRAL70R: SONS CONSTRUCTION C0. DATE: - 2-3- pHONE: 452-5355 .07 r
l1ETERMINE WORKING SOUARE FOOTAGE OF EACH:
TOTAL EXPOSED 11ALL AREA, 155'L sq fe x"U" 110.1 z
TOTAL ROOF/LEILING AREA,,.,..,, fJ - 3 a
Sy re x 3o~f
1. TOTAL EXPOSED I,IALI AREA CALCULATIONS:
Total exposed wall area above floor,,,,.,, ( 5 5 2, sq ft
a) Total wall wlndow area: c 9lazed...... ( 2. 4- " sq ft x"U's . S g • 73.
qlazed...... Sq ft x "U" .
b) Total door area . 4a sq ft x"U" .23 . q,2p
c) Total sllding glass door area:
' 9lazed...... 000 sq ft x"U" .'S8
21
glazed...... sq ft x "U" .
d) Total flreplace wal) area sq ft x"U" .
e) Total wall framing area
(Averaqe 10`±).......... 11 D sq ft x"U"
•~O ~ 11 00
f) Total net wall area above •
floor (Insulated)....... 9 9 O sq ft x"U" . O 4 ~
39.60
q) Tocal rim Jofst area..,... 1 3$ sq ft x"U"
.04
Total foundatlon
area (Exposed).......... sq ft
h) Total foundatlon .
Window area............. sq ft x"U" .
t Tota) net foundatlon
area above grade........ ~Ilo sq ft x"U" . 0 1 .
TOTAI a) thru 1) ¦ L 6su/0
If Item 03 is the same as, or less than item pl, you have met the incent of
: ::I;AR 1.16008 A and 0.
•
• - -
4. TO7AL EXPOSED RDOF/CEILING CALCULATIDNS:
Total exposed
roof/cetling area.....,.. / 1sq ft
sq ft x"U"
Total skyliaht area......
k) Total roof/ceillnq ;raming ~ 0 8 sq ft x
"U" •0Z~ 6 ` z,g 8
area (Average 1n9,, •
1) Total net Insuleted
roof/cetllnq area..,.... sq ft x"U" •a24 ~ aS.S
4 , TOTAL J) th ru 1) a8. sa
If to[at of 04 Is the same as, or less than p2, you have met the intent of
2 AICAR 1.16008 A and 0.
I,
ALTEtUTATE BUILDItIG ENVELOPE DESIfN . ,
To utilize the total envelope system method, the values establl•shed by the sum
of ftems d3 and M4 shail not be greater than the sum of ltems NI and 02.
1. + 2. •
3, +4.
CERTIFICATION
I hereby certlfy that 1 have calculated the "U" factors and "R"
values heretn and that the bulldinn here descrihed meets or exceeAs the State
of Minnesota Energy Conservation Act.
Slqnaturn
***t**}*i*#*******#t#4t*****fkf*##*YM
~
~~I T Y O F E A A I~ *N~F' PAYM6TTC OF FF~ AT TIIM OF *
• ; ArrrscAworr noFS Nar corsriTum ;
APPROVAL OF PERNSIT. *
APPLICATION FOR PERMIT * *
, INsrEcrIota oF sE.WM rsm/oFt Fm= *
. *
n.srAr.ramrONS WIId. NOT BE SCIIIm- *
SEWER AND/OR WATER CONNECTION *MID UNML PmPffT HAS
w APPROVID.
* r
r *
r *
r
*t**r~*++r+***:~.*r****,t#+***t*:**w,ir*
P ease Print)
1) PROPERTY ADDRESS: QS GU 'lie ~-ne-rs c_n.. -
LEGAL DESCRIPTION: ~ j 13 / ,~aa) h
12I Q,
Lot Block Subdivi ion or Tax Parcel ID )
IF EXISTING SIRCY.ZL'RE, DATE OF ORIGINAL H(JILDING pII2MIT ISSL'ANCE: '
-
' PRFSENf ZONING/PROPOSID CSE: (Mon Year)
~ C0,ti'A7EF2CIAL/REfAIL/OFFICE rR-1 SINGLE FAMILY
Q IDIDCSTRIAL C-j R-2 DL'PLEX (Two C~nits)
~ INSTI7[.'TIONAL/GOVERm&-NT ~ R-3 'IOWNIOL~SE (Three + Units) ( Onits)
R-4 APARTTENP/CONIDOMINIONl ( Units)
2) v r, / t-
NAI"fE: ~!J ~I R.J 1 h 'L~ 3CC 4!~'f / p 1
ADDRFSS:
(/~a.//r.i /T
CITY. STATE. ZIP: h47I
.
PHONE: 3) • u i: 1 For City Use
~`~'~1 Plumbers License: ^
ADDR£SS:_ ~b/S~ ~rasSY'ort~ °L~ Active
~ CITY, STATE, ZIP: Expired
Not recorded
PHONE:_ 9 7--a- MASTER LICQdSE# - .?a ~
- St Inltial
q) ~a• :.i NAME. cJ ~h.f' C:d~'Ef ~
- '
_ a,DDxESS : 5~6 0.G L~ n o,-e L4 e~
CITY. STATE, ZIP:^
PHONE:
-5) n v ~ a: : a • o~ a~
~ CONNECTION TO CITY SEWIIt ~ CpNNECrION TU CITY WATII2 ~ p2'FIER .
6) • • r Q PLEASE HOLD APPROVED PERMIT FY)R PICK-UP BY ONE OF ABOVE _
~ PLEASE L APPROVID PERMIT TO 1, 2, 3.0ABOVE
7' r ' U p~ (Circle one) "
7
- 7: • r i: M - • •,r - ~ r • • a is• . n n c~- • ~ • • • a• r • ~ ~
~ . •~I' 10. 1 ~ : i M:/. •,l1J~ / 1 I :1' • :1' 1 1
?
!
. FOR CITY USE ONLY PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLCtDE SC`RCHARGE)
$ 67• cZ} $ WATER METER/COPP.ERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSZT - WATER
s 5~. n O $ wAC $ ~ ~5 . c3v $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRC'NK WATER
$ / O D. D U $ WATER TREATMENT PLANT SL'RCHARGE
$ $ ' OTHER:
S 7- b U $ TOTAL
6- v ~s93 ~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
71 YES IF YES, THEN A"PERMIT FOR WORK SVITHIN P[)BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
,
- ,
' 1989 BIIILDIBG PERMIT APPLICAYION CTTY OF EAGAN
144st1
SINGLE F9MILY DWELLZHGS lIDLTIPLE DiIELLINGS COl84ERCIAL
2 SETS OF PL9NS 2 3E15 OP PLANS 2 SETS OF IRCHI?ECfURAL
3 EEGISTERED SITE SORYEYS BEGIS2SR6D 3ITfi 3Q99EIS - 6 STHOCTQAAL PLANS
1 3Ef OF ENERGY C9LC5. (CHECb WITA HLDG DYY.) 1 SSf OF SPECIFICATIONS
1 3Ef OF ENERGZ CALCS. 1 3ET OF ENERGS CALCS.
tt6'LTZPLB DiiELLINGS AENT9L DNIT3 FOR SAI.E DNITS E OF DNTTS
HOTEs ADDRESSE4 FOA CORNER LOTS - CONTR9Cf0R/flOMEOWNEA !lOST DFSIGN9SE YHICH IDDAFSS
IS DFSIRED. NO C$ANGES AII.L HE ALLOWED ONCE HOILDING PERMIT IS ISSIIED.:
SEHER 3 ii9TER PERMIT FSES lHD ACCOUNT DEPOSIT P6ES VII.L BE INCLIIDED ATfS THE HOILDIN(3
PERMIT FEE. PROCFSSING TIME FOR SEWEA i1QD 1i9TER PE149ITS IS TWO DAYS ONCE A PEAMTj' HAS
HEEB COMPLETED INDIC?TING A LICENSED PLDlIDEA.
PENALTY APPLIES 61AENs PERMIT IS NOT PAID FOR IN SAME MONTA IT IS REQUESTED.
LOT CHANGE IS AEQUESTED ONCE PERMIT IS ISSUED.
. ~17~i 0 i tga~
To Be Used For: iir7 Ao'/ Valuatlon: ~ Date: 6~-l -~l
Site Address OFFICE OSS ONLS
1 . ~
Lot ~ Bloek r Oecupancy rRC
Zoning
Parcel/Sub Actual Const Bldg. Permit ll .oo
A12oirable Sureharge v
Owmer'e~y/e ~h~f<1~Lar i~ eC~G 0 of stories Plan Aeview
Address L~S Length 36 ~ SAC, City
~ Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code if~C~/,E'- Footprint S.F. Water Meter
' Acet. Deposit
Phone On site aewage S/N Permit
On site well S/W Surcharge
Contractor v~'f L[ ~'Ci~ / 2- M1iCC System _ TreaYment Pl.
City water Noad ilnit
Address PRV required _ Park Ded.
~ Booster Pump _ Copies
City/21p Code~i~jfJ~ S~/ 308TOTAL
_ SOSdL
Phone ~f ~ anne~ t~
Council
Arch./Engr. Bldg. Off.
Varianee
Address
City/Zip Code
Phone ll
. . 'riJ~~ ~p=; ~o%.?ESS ~CilqP) ~ol
~v \ Ile7/ 7,300 ~o ~d'/ 9a~
~
~
a . \ a3~D~ ` ' O4~
2 6•
Q ~ib ,o trfcuri S'
, I ~6"'V~,? ~ ~
. ~ ~
G . .
` : ' ~ a4 Y~. •~Q~,~ ; \ i
. .
. ~ L~• • • ~ 'rTK11iI/ C
~ I ` V~k ` G'~G ~y~~ `ui~7
? B/
ti ~ ~'c~an,iC6
9 r~
s~
Y
. N
ScAle ~ 1" =40' ~ s y. LUT 2
.'t'''
~
GEN , U«f,_ uT
. o DENOTES IRON MONUMENT IN~T ELEVATION AT SERVICE D(TENSIC~A{s
~ DENOTES WOpp ~ SET PR~Po~ ~AGE FLOOR ELEVATIOII•
DENOTES EXISTING SPOT ~~OPO~D FIRST FLOOR ELEVATION •
ELEVATION POSED INASEMgNT FLOOR • C
DENOTES PROPOSED SPOT ELEVAT1011
ELEVATION ~ DEtiOTES ORAIW?GE pIfiE,CTION NOTE: VERIFY ALL FLOOR'HE"TS WITH
. FWAL NWSE PLANS
1twow coAify tAot tNs surwy, pion or •
nport Ma prepared py ~ or und~r my /
~ ,if 00 wpwisian ond thw.l am a duly w„wI.,, .~,°L,~ u_ e•. Y.
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 805 Wilderness Run Rd
Lot: 1 Block: 1 Addition: Fawn Ridge
PID:10- 25800- 010 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Permit required
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
hout required inspections. 3/19/2009
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.50
Owner:
Martha G Davis
805 Wilderness Run Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA085340
08/15/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA107521
Date Issued:10/16/2012
Permit Category:ePermit
Site Address: 805 Wilderness Run Rd
Lot:1 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-010
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Ashley Orman
130 Plymouth Ave N
Valuation: 2,637.00
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 -
Martha G Davis
805 Wilderness Run Rd
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature