972 Wildflower Ct
Kert'tficate of cccoanc4
Witij of cpagan
T*Wxtntxr of lanows anotetidn
This Certiftcate issued pursuanr to the nequirements of the Uniform Bui[drng Code
certifying that at tlu time ojissuance this structrere was in cornpliance wrth the varrous
ordinances af the City regulating baildeng construction or use. For the following:
u- cWWrWAi?: SF IW Bld$. ptm„ ro. 21+248
00-v-r TYve R3 ZoniQE oamia R 1 rya const. VP1
ow.v ot swWg PABI41 WIG & ILVII. OW ,+ad.. 37Q4 ERjARWOM NW, EAC',AN
ewmi-s Addrm 972 wIIlF[AJE[t QOURT Lmw;,y L Is B 1, IEKINGPQd POIlM SIi
' euO&W officW
P06T IN A CXNSPICUOUS PLACE
. . INSPECTION RECORD
GI "1-Y VF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: •
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~~t ~ i~~ ~ ~i~?i ~ ~ _ i. • 1 i ni.r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~ 1. 11 i
. , ,
,~u~a{I i N I l iilli.il I N {1 I if
' I t4t~1 li~i ~ 1 IIr~!
' i r•1r1?'i ,~11 1'1 tSiS I Hkt-lt+F f'1 t3t~ ,
1
F ~ I
L
- - - -
PKmN No. Prrtnk Ho{der Date Tslephoes # ,
. S/W I!
PLUMBING 9 ~ ~ - Q I
- I
' I
HVAC
ELEcrRic 8jr ~t 9
ELECTRIC
Inspeetlon o.a Usp. Comm"nts
Footing$ i
Foundation
Fremirq
Rooling
Ra,gh PIDg. y_
Rot* Hl9•
Isul.
Fireplace 7 Pf~ `%~ly~
FmW /~3 C
Orsal TeSt
Fma' P". l. ~3 PIV- IMWSCW - nonry Pw-be.
Const. Meter
EngrJPlen
sft. Rr,s' l~3 •
Deck Ftg.
Deck Final
weli
Pr. Disp.
-9 ~
CTI'I' USE ONLY
L
. .
~---~-susne'>~~~
.:u~..._.....: DA'itE.'
1994 PLUMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
~ SHOWER 3.00 j• `'o
_3 WATER CLOSET 3.00 S• -O
d BATH TUB 3.00 G.a
LAVATORY 3.00
/ K7TCHEN SINK 3.00 3 •a
i LAUNDRY TRAY 3.00 3 v
HOT TUB/SPA 3.00
WATER HEATER 3.00 3 i~
FLOOR DRAIN 3.00 9 ~
_L GAS PIPING OUTLET • minimum • i 3.00 ~,.ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Dak.Cry. lic 20.00
U.G. SPRINKLER • nome under wui. 3.00
ALTERATIONS • ta «is~iq 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SiTE ADDRESS: ~7.2 NiaOf,~.r~;R C'
OWNER NAME: G.'!Jft/S ii
INSTALLER: /)A~L=.f/D,~
ADDRESS: `~6/~ ~ ~/~/~/r? i9?<< S v
CITY: ST:ATE: ZIP CODE: ~ 3»
PHONE (G/d ) S-'.$Y- ;~`o,
SIG ATURE OF PE MITTEE
.cTly rr99onrr;Y
<IZECM P'i':# ,x _ ,
rr.,
,
> .
. , .
17A'I'
g - : :
UBD.
1994 PLUMBING PERMTT (COMDiERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FGG: I9c OF CONTRACT FEE.
STATC SURCHARGE: $.50 FOR FACH $1,000 OF pERMT'T FEE.
I111NID1UAt FGE: S 25.00 CONTRACT PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
_ PHONE
FOR:
C1TY OF EAGAN APPLICANT
0• 2 8 5~5 2~ ~`~5 °v
Requosl 0 to ire No. RougRln Inspeclion ReqWretl inspeclion O~her Tlan qpugh-In
(YO cell Inspectar when raetly) ~ ReeGy Now ~,~Will NaOty Inspector
/ u
- Yes ? No Dele Reacty
Ilicensed contractor ?owner hereby request inspection of a6ove electrical work at:
Jab Atldress (SVBeI, Box or RoNe NO ) Qy
9
Sectwn No Township Name or No Range N. Couniy
Occ 1 (PRIlR) hona No
~ .
Power pher Atldres
Eiecvicai C. m
n r (COmpany Name) Cont iar's License No.
/
MaNng Atltlress cO ractor or Owner Making Inglallat n)
Aulhorizetl Sign ure (Conlr3ctOtlOwner Making Installalion) Phone Number
MINNESOTA STATE BOARD OF ELECTPICITY TMI$ INSPECTION REOUEST WILL NOT
Gtlgge-Mitlway Bltlg. - Roam 5420 6E FCCEPTED BY THE STATE BOARD
lePl Unlverslry ava., SL Poul, MN 5510C UNLE55 PROPER INSPECTION FEE IS
Phone(61Y) 692-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION E8-00001-0
a~~~.
z 8 55 > Se; ins~mcuons lor completing this form on back ol yelbw copy.
~ ~~4
.
& „X" Be/ow Work Covered by This Request
Ne Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Managament
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (spemty) ConVactor's Remarks.
Compute Inspection Fee Below:
H Other Fae # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s -
Transformers Above 200_Amps Above 100 -Am s
Signs InspeclWS Use Only. r TOTAL o
Irrigation Booms • '
S eaallns ec4on ~
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DfSCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electncal Ins ector, hereb Rough-in ' ~ata
cedity that ihe above nspection has /-75. /{,/o~ ~l
been made. F'"ai q f ( oeia G~ /V
OFFICE USE ONLY
This raquest vob 18 monlhs Imm
d'~
0 7,~1 1
W903 4or
Re
quest Oate Fua No Rough-I tion fleQUiretl Ins e Other T~an Rough-In
p~ (YOU mus~~all inape~r, ~w,h~fl reatly) peatly Now Wil Nolily I sge or
~ ( ? Ves INO Date Reatl
I 9'ricensed contracror ?owner hereby request inspection of above electncal work at
Job Atltlress (Streel. Box ar Roule No I City
I a w-t-ict ri oLL, e m..
SecLOn No I I Townshp Name or No Range No County 'l KOTFr
Occvpant(PRINT) PM1One No?~ J
I / l0~-CO~
Power Supplier Adtlress
AKD I r4 ~cc(2iC~. AR/
Electnwl Convactor OOmpany Name) ConVactor's Licensa No.
9dk . • r'~ ~ ie- `i; .ga- a 7~
MaiLng AtlOress (Conlractor or Own r Making Installalion)
/ ~e 78'
~ulhonzetl nature (ComracIDn e Makmg Installalio Phone Number
' ~q _ aaa.7
MW ^o50Tq STATE OARD OF ELEC ICITV I I~ ~m ^II II~II ~ II 111111 IIIII NIII II THIS INSPECTION REOUEST WILL NOT
gqs~Mitl~vay Bltlg. - Room 5-128 oi ii BE ACCEPTED 8V THE STATE BOAFD
1821 Unlv¢rsury Ave., SL Paul. MN 55104 N N UNLE55 PFOPER INSPECTION FEE IS
S
~v
REQUEST FOR ELECTRICAL INSPECTION n!'
~ ~
/ ~ Sae mstmctians lor com0leimg tM1is lorm on back oi yellow cropy, 0•. 5~l7 903 ~X" Below Work Covered by rhis Request ''~`w:•~'`
Nev Add Rep. Type of Bwlding Appl2nces Ntretl Equipment Wved
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Bmlding Dryer oad Management
Comm./Industrial Furnace Other (Specify)
~ Farm Air Conditioner
Other Ispecily) Conlrectors Remarks
Compute Inspecfion Fee Below:
k Other Fee # Service Entrance Size Fee l1 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 _Am s
Si ns inspecmrs use ony, \ TOTAL J
Irrigation Booms GCJ -
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROpe""" oata
certify ihat the above inspection has F,nai
been made ~ d
OFFIGE USE ONLY ~ B
This request vaitl 38 moNhs imm
Address q72 wn.oF[a&e cotmr Zip 5512_3
I.ot , . i . Blk i Sub r.F.xrnrr.rm room sTsa
THGSE ITEMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECTION.
Date: /11-10 9 Yes No Inspector.
Final grade (6" from siding) t/1"
Permanent steps (garage)
Permanent steps (main entry) Lll
Permanentdriveway
Permanent gas ?
Sod{Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righlof•way or installing underground sprinkler system. ~
White • Ciry Copy Ycllow - Resident Copy Pink • Comracior Copy
PERMIT
---\I~'CITY OF EAGAN /y3830 Pilot Knob Road PERMIT TYPE: a u r Lo r IG ~
Eagan, Minnesota 55123 Permit Number: 024248
(612) 681-4675 Date Issued: 0 8/ 0 9/ 9 4
SITE ADDRESS:
972 WILDFLOWER CT
IOT: 1 BLOCK: 1
LEXINGTON POINTE 8TH
P.I.N.: 10-45092-010-01
DESCRIPTION:
Building Permit Type SF DWG
Building Wo.rk Type NEW
~ UBC Occupancy\-\ R-3
ConstrucCion Type V-N
~ Zoning ~ M-1
~ Building Length ~ 50
\ Building Width ~ 52
Building stories ~ 2
. > /
.
~
r ~ .
REMARKS:
S& W PLBR - LAKESIDE PLBG
FEE SUMMARY:
VALUATION $124,000 Base Fee $723.50 MISCELLANEOUS $1.828.50
Plan Review $470.28 Total Fee $3,884.28
Surcharge $62.00
SAC $800.00
SAC % 100
SAC Units 1
Subtotal $2,055.78
CONTRACTOR: - /+pplicant - sT. LIC. OWNER:
PARISH MKTG & DEVEL CORP 14526644 0001054 PARISH MKIT & DEV CORP
3799 BRIARWOOD LN 3799 BRIARWOOD LN
EAGAN MN 55123 EAGAN MN 55123
(612) 452-6644 (612)452-6644
Z 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. ~
Ct
APPLICANT/PERMITEE SIGNATURE IS 0 BY SIGNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLozNG
3830 Pilot Knob Road Permit Number: 024248
Eagan, Minnesota 55123 Date Issued: 0 8/ 0 9/ 9 4
(612) 681-4675
SITE ADDRESS: Lo T: i B L 0 C K: 1 APPLICANT:
972 WZLOFLOWER CT PARISH MKTG & DEVEL CORP
LEXINGTON POINTE 8TH (612) 452-6644
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. .
FOOTINGS FOUNDATION
FRAMING ROOfING
INSULATION FIREPIHCE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - LAKESIDE PLBG
F
L
~
144141 CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site jlian, ~~~~'~n rgy
calcs.
COMMERCIAL 2 sets of architectural & structural s t ogf~ 4
specifications, 1 copy of energy ca____________
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 7 / 25 / 94 Valuation of work
Site Address: 972 Wildflower Court
STREET SUITE #
Tenant Name: (commercial only)
LOT 1 BLOCK 1 FUBD. Lexington Pointe 8th P.I.D. #
I U '1 I
Descri tion of work: Si le Famil Home
The applicant is: ? Owner 8M Contractor ? Other (Describe)
Name Parish Marketine & Development Corn. Phone 452_r,6ah
Property LASr FIaST
Own er qddress 3799 Briarwood Lane
STREET STE #
City Eagan State Minn. Zip 55123
Company same as above Phone
Co ntractor Address License # 1054 Exp. 3 31 95
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address City State Zip
Sewer & water licensed plumber Lakeside Plunbing - 894-7600 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 S of Minnesota Statutes and City of
inances.
ELiSgnatuure gan rd
of Applicant:
OFFICE USE ONLY . ,
•
f~.
BUILDING PERMIT TYPE
~ ~
? 01 Foundation O 06 Ouplex O 11 Apt./Lodging ? 16 Basement Finish
k'] 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
11 03 SF Addition ? 08 8-Plex 11 13 Garage/Accessary ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 0 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) /l/ Basement sq. ft. 5 7z MWCC System
(Allowable) lst F1. sq. ft. City Water ~
UBC Occupancy r-s ; 2nd F1. sq. ft. PRV Required
Zoning _kE Sq. Ft. total Booster Pump
# of Stories Z Footprint Sq. ft. Fire Sprinkler
Length 77- On-site well Census Code
Depth S z On-site sewage SAC Code
Census Bldg i
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REOUIRED INSPECTIONS
? Site ~ Footing O Framing El Insulation
0 Wallboard El Final ? Draintile ? Fireplace
Permit Fee vetwcim: $ IZY.4oa r a, '
Surcharge "
Plan Review
License iC-
MWCC SAC ~
City SAC
Water Conn.
Water Meter
Acct. Deposit S %z
S/W Permit z-,
S/W Surcharge z ` (02?
Treatment Pl. ~2 0 o ks~_ ~U~oo
Road Unit ~
Park Ded.
; Trails Ded.
Copies /23
~
Other -
Total:
SAC %
SAC Units
P.02
2422 Enterprlse Drive
~ * Mandota Hatghte, MN 55120
* ~10111~@R LMD s,,,t. • QM EWNMM (612) 6B11-1814 FAXt68T 9488
~ errg near ng LAW PUNKER11• w+DSCAPC ARMIECT3 625 Htghway lo N.E.
Blaina, •MN S5434
(at a) 783-1 aeo Fnx: 7s3--1ea3
Certificate of Survey for: PARISH MARKETING
972 wnLoFLowER couer
WILDFLOWER COURT
973.0 N 9736 973.6 iQ
d
s~ae_ 7Q00 N89006'23"E
RQ~S~O 1 973.`3 °~irfv. 9'i~a.B
BENCH MAPo( 6 _ ~ - - - g °o
TOP OF HUB g 1O I RDV~ D~ d (i EIEV.• 97522~
975.5 9778
22.0
W BfiNCN NWRK
TOP OF HLB
_ GAR. W gLEy=876.27
~ M M 975.8 x 21.67
2 2± p~ O I a 2 6 tA z .y
P HOUBE D O x\ G
~ 130 N a O w
4$0
979.8
( ~ ~ I A 976.4 C~r7• ~ 976.21 97630 k976.9
\ (
'x 8767
I o O 4 x O I 8766 O ;C {1 ~7 ti 1 V
IL m~ I I ~ RE~/IEWED
I J io I ( y~ ~ Hr l~ • '
RAINAGE 8 UTILry'YG
/~A$Ehf]d7 PER PLAT ~ 5
. `...L ~ OAYB 7Z~ ~
8~~ , ; , o a J(g 7 ,.6}
70.00 N89°06 23 ~ e~ae
F~o03h6 s76.4
p, z LEXINGTON~-POINL ~
PROPOSCD CfiADES SHOWN PER GRAOING pUN BY: TR IL O ~
NOTE: BULDIN6 WUENSION9 SHOMN ARE FOft HqLZONTPI. W10 VERTICAL
LdCATCN OF S1RUCIURES ONI.Y. 5EE MCHIIEG7UAL PlAHS FOR BUIIDING Z
I,1O FpUNDA7ION DIN[N$70N3. i' T XT1
NOTE: GaNTRACIOR MUST VEPoFY ORIYEWAY DESICN. E ~~YS
N07E: NO SPEGFlC SpLS MYE5116ATON MA5 bCFN CUMPlE77FD' CN 7MIS oTMtFt mµ tH~' SHUM ON THE ftECORUEO PUT.
l0T BY iHE SUHVEYOR. THE SURA91U7Y Of $qLS TO SUPPOFT THE g[qRNGg $rypyN pRE ASSL4E6
SPEGnC HWSE PHOPOSFD IS NOT TMC RCSPONSIBM1IIY pF THE 91RVEYOR.
OPOS V N
x ooo.oo Danoles ExIs:Lhg £lcvation
( ooaao ) Denotes Proposed Elevation Lawest Floor Elevotion: gozr
- ~ Denotes Orainage dc Ukility Easemenl
Denotes braino9e Flow Directlon Top of Block Elevoiion: T71?.0
0- Denotes Nonument ' ~~~r~
~T Denotes Offset Hub Garaqa Slob Elevatlon:
LUT I ~ BLOCK I LEXINGTUN POINTE EIGHTH ApDITION
DAKOTA COUNTY, MINNESO7A
we hc.aby ccrtiry 1~+ai mie sarvay, don ar bpwt raa OrWarea ey me ar vnAy my atrect ea{w ' that I w+ duly ragielwad 4pndiu yw
vrdc. aa b.. oi tna SmtO of umnc+ete. ooceo oJ•J7SFL.eay of dULY ~.o. 1~. ~
P~,5 90 Z'f-9~ w+eo j PIOMGGn c~r~ ca~~c„
B
Scale: 1 inch 3o feet Jo n C_ Larson. L.S. Reg. No. 19828
100 94069AI -
R- 6% 07-27-94 01:39PM P002 ft24
, LOT BIIRVEY CHECRI.IBT FOR RESIDENTZAL
~ BUILDING PERMIT APPLICATZON
~ L) ~ PROPERTY LEGAL;
~
<
Date of 8urvey:
~ DOCVMENT BTANDARDB
O~LJ 0 • Registered Land Surveyor signature and company
C-Y ? 0 • Building Permit Applicant
D' 0 0 • Legal description
CGY3 0 • Address
C-'D 0 • North arrow and bar scale
p-10 p • House type (rambler, valkout, split w/o, split entry,
lookout, etc.)
m 0 • Directional drainage arrows with slope/gradient 8.
0 • Proposed/existing sewer and water services
3`13 0 • Street name
9' 0 0 • Driveway
ELEVATZONS
Exietinc
a-'O 0 • Sewer service
~ D • Lot corners
0 • Top of curb at the driveway
• Elevations of any existing adjacent homes
ProDOSeC
~"D • Garaqe floor
l]~'II • First floor
04~~ Lowest exposed elevation (walkout/window)
0~ 0 ? • Property corners
C~ ? 0 • Front and rear of home at the foundation
PONDING AREAS (if aDplieable)
l7 ~0 • Easement line
0 C3~ ? • NwL
~0 ~0 • HwL
• Pond # designation
0 0 • Emezgency overflow Elevation
DI?SENSIONB
~ L/a.
0`10 ? Lot lines
0 0 • Riqht-of-way and street width (to back of curb)
~ ~ 0 • Proposed home dimensions includinq any proposed decks,
werhangs greater than 21, porches, etc. (i.e. all
structures requizing permanent footings)
D' 0? • Show all easements of record and any City utilities within
those easements
0 • Setbacks of proposed structure and setback of adjacent
existing homes
n ~ • Retaining wa requir ents, if any
Reviewed•
Nam / 04te
October 1992
~4- 1.5 1 4~- 76.3, ~ . I
! ,a'i•e FF 8 I I'i D ` I
~ ~ ' --i ~N / II' 6" D.I.P. \ ~ •
:FId1ERl_IIdE 01.1 nC"~r-'~-- 836
i \ CL-51- '~~f/~ ='f' ~
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~ J54.5
=37,0 _ 6C''i ~ - 5' ?.21
f~ ELEV. T.NH._ _ 97G.•a6 . - - : PEiIU ,
- - _ i -i
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_ ' - - _ - ; - 1
- ~ 50.5
' ~'45,7
~ `>'-r,~ 4 •,c, / I 4?.5 / F 1 ~ ' ! y~
FF 76.7
- 8" GATEVALVE 58.2
SlA 1119 S1'A 2+39 U .1956 `
5-965.~8 S- 956.17u I S1 A 4~Uf~ -
S- 9G4.80 , W- Z520 g66.76~
-W=-973:2¢3- W-974.63 S1A 2+67
Vd- 97r, 60~
vV-973.50 ~3_ Ufi5.5C1
W- 9 i4.80
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- - - -
PARKWAY
- . ,EE SIiF.EI ~ 'L?ni 7
- - - - - _ " / ` ~
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Owner phone Date
Slte Address
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~u
uullding ClasslFlcationt Type AL (9lnqle Fnm11y & Duplex)
Type A2 (Residentlal, ] atories or lese) (OVer ] etories) (Ol-her)
t14TEL Csmn1rYft-&n9es_"nil4 fl ret. ,
~6tl~f~Al~IIiEoI3t18TI4tl c ~i
-1. Dullding Perlmeter ft.
2. Wall lieiglit (ground to pave) E~ ft.
1. X 2. (aUove) qrose wall aree 0(4 eq.ft.
4. []ullding dlmenelons (L) 7( (W) gq,ft.roof & floor area
5. Sq. foot nrea of rlm iolet - Floor jolst tllze (2 }I
_10 X ~(F~erlmeter ~ ~sq.ft.
12
6. Doore - Area
Thickne6s ln U. tacttit' . ~
Type of Constructlon Perimeter ft.
Flanufacturer -
7. Total door's perimeter ft. -
e. Windowe: Ilanufacturer 9tnte opproved '
U factor_
,TYPE 9I2E AREA (3q.Ft.) IIUHOER OF TpTAL
EACII UIII'P9 SQ £EET ,
9. Totel sq. ft, Glass i f! 0
lo. Flreplace arent Wldtli X ileigitt = X . aq.ft. .
11. Exposed foundation: Ileiglit X Perimeter i& X_451 =Lsq.ft.
COIIPLETIOtI OI•' TIII9 FORM I9 AEQUIREfI FOR ALI, NE{i COt19TfiUCTI0I1, llA,70R
REIIODELItIG AtID pUILDI11G9 OEIIIG 140VED WIIERE ENERGY, OTIIER TIIAtI TIIE HIt1IHAL
COpE ALLOWAtICE, I8 USED.
' r
-1- ,
li. Fr.em.lljg areo = 10% of
, groen well area.
17. Grose wall nrea
Wlndow area A sq,ft. U wlitdoWe UxA
R1m joist area A 22 Z sq.ft. U r1m jolet= UxA =
Door area A_ sq,ft, ' U door area= • 14- l1xA =
Otlier doore area A~eq,ft, U otlter daors= .47 UxA
Exposed fndii A_ 1(2~7_Bq,ft, U foundntion= olo7(~ UxA =
Framing nren A v~r,4 ey,ft. U framing area=)0 S UxA =
ttot wnll oraa A~ weq.ft. U wall- ,0`f 3 UxA =1-77
(13U) ToTAI. . . . . . . . . . UxA = Z 3 f
14. Grose wall area x 0.11 (A-1 einqle famlly 6 duplex) ~ allowable UxA/Cade
(1J. pbuve)
x 0.23 (A-2 othor reeidential) •
x .23 (otlier bulldlnqe)
x .ze (over 7 etorles)
, t 1 zUTUtI muet be lnrger tl~an or eame
A x U Codo ~ °F:. ne 13Il aUove
15. Celling Eroming nroo (Af) oquale 101 of oelling area
15A. Grose celling area =(L) x
(W) sq.ft.
150. Jolnti area (Af) ~ 10} colllnq area ~ 13 eq,Et.
15C. Ilet celling area (AC) (15A - 15p) - sy,ft.
U cellLig x Ac _~3+Z g07,o~
U frnming xA f e x .~Z3 e 3
15D. TOTAL U x A -2 U
16. CeilJng uren (15A) x 0.026 (A-1 elnqle fomlly & duplex)
= allownble UxA/~ode
x 0.037 (A-1 otiieK residantlal)
x 0.06 (other)(~Y~ ~ B'rU11 muet be lurqer tl~an or same
A(15A)~x U Code '7_ oF, sg 15D above .
IIOTEt Uee U nnil A vnlues obtalned from pagee• 1, 7 and 4.
Crll'P.IEIMI0111 I hero6y certlEy that I have calculnted the "ull Factore and
"It" vnluaa hareln and Lhnt tho bulldlnq hore describad meete or excende the
9L•ote of Nlnnesuta Enorgy CondorveElon Aot,
nnte eignature
-2-•
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN -7
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675 ~
New ConstrucUon Reauirementa RemadellReoair Raauirements
• 3 registered sife surveys showirg sq. R. of lot, sq. R ol house: and all roofed areas • 2 copies of plan
(20°h mazimum lot coverage allowed) . t set of Energy Calculations for heated additions
• 2 wpies of plan showirg bearn & window sizes; poureA found desgn, eta) . 1 site survey for extenor addi0ons & decks
• 1 set o( Energy Calculatlans . Indicate d hame served hy septic system lor addi6ons
• 3 copies of Tree Preservation Plan if lol platted aRer 711193
• Rim Joist Detad Options selection sheel (bldgs wAh J or less unAS)
DATE q-° jzl- VALUATION
SITE.A,pDRUE$$-~ !R \'J',AWer MULTI-FAMILY BLDG _Y ~ N
TYPE OF WO K rva.tY9o~E FIREPLACE(S) _ 0_ 1_ 2
I'
APPLICANT % ~ ~ UJ~`N IUf' -4~?~~- •
STREETADDRESS 'S CITY CUI& STATEM-ZIPSSY)
TELEPHONE # NINO CELL PHONE # FAX #~Y~I
PROPERTYOWNER RuA &`AW` TELEPHONE# k5)
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN\GS01':\ RUL1:S 7670 CATF.CORI' 1 MIVNE507':\ RULES 7672
(J submission type) • Residential Ven6laUon Category 1 Worksheet Submitted • New-Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted ~
J
~
1. 11 S_) 9 ; 7-
Plumb(ng Contractor: Phonc #
Plumbing system includes: _ Water Softencr I.awti Sprinkler Pce: $90.00
Waler Heater No. of R.I. Baths
No. oC Baths
Mechanical Contractor: Phone #
Mecltanir<d system includes: rtir Condiuoning Pcc: $70.00
Hcat Rccovery Systcm
Sewer/Water Contractor: 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 rdinances.
Slgnature of Appllcant 04/UL'_~&Ak
.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY . . ,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM. Alt- SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce R R'ater _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ [nsulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
,.,Y
I::.:,; :..,..'_;"BI::. : =°s::.::::• : . ::::°:;°;.:::.~=:r::;.><»,
SUBD~~,>,~. _S~ <,..«..~....r~.H. . . . r,N pA'~::=;..~~•~'~~
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTT.
~ NEW CONSTRUCI'ION
ADD-ON AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE Q/ -69-`7"4
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ $3.00 EACH) O22
ADD-ON/REMODEL (EXISTING CONSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL ~D• ~
STTE ADDRESS: ~go
OWNER NAME: /A~/CS L~ %7 TELEPHONE
INSTALLER: s':~,6 d ~ 1 C~
ADDRESS: l e- 1,1
CTTY: iLL_flwQ STATE: ZIP CODE:
TELEPHONE ~%?`f ` DOS
~
SIG NATURE PERIvIITTEE
7
. _
;
CT~"Y':;T7S~='IJNL'Y
..........::~p _ .
, ,...:..,pr.S..~:s:i:>.:?sk:<°::::`.~t'ciS:~.J:?:°~:.::^twx::~,<oa, ..,..r:y~,;~ .............:..:..::..::......g3
L4:`J`.';.<.:<:....D :::.:..:..:........_....:..b:..:........:..c...r....,.....,.:.n-.....s... .
_...:.`x.......a
...q..~....:.:.2: °!:;.'r:. 3 ~:~.z.::,::~a` )n.......~....a~f ~.i~.~....>......R:.:...:'.:5.~
t...c ....~...:..........:.::...~.........nf.......,:..,..... . i...:.... .,.iS:l:~:'~!ei :::i:•.`....qG
....~:.~.+.:.r................... atm......
. ~ . ti .a.,.... . .......f..q L
~ .
. . _...._a... ..e...c.£....:.........:.£..'.' .%.f:<l:_~rr::[WS:..'.'F_~":::~" 3j:'>2~'(~,'r~:`.[
. . . ..:..~...,..:,.~.¢,.......:.f..r.,.t.a 7 £...u....,...s..,....>..,.~.....,w.:..r:.,i . ° ~^~x2
.
a. .~:d,/...s:a .......~.:n:r.:~+;'
. - ~ .i:,...a..... > . . .F•: ~..s..
a , > ~ ~ i ,~...~.::.....»c':.:'~ ' 'r.~Yi•; »t3
.~..,..r.,...._. . ,.....:.,..<.sr......:.::>... . e.......Y..::~
...,..s... _ . . ..5 . ClA.:w~....r...:......'.....
.....m..:.::._..<..~~,c...c.....R .........:.....~A..y.v,..... .3, c1J
. . . e:... :..5..........~CF"~ .~.g ...:.¢..:n... ~~.~c~ a.2'&'&C: '.2
, .,.v.: . a.7z~»:!`.~;.. ,
SUBD . . .
~.c..~i.::: . .
< . ...:._.u
~ .
. . . . . . . i:<<:..,.:;..~a .,,a.: :'Yi,i'.)7::.::.;: -
.................»..a~....a.v.3.,.............,....,....r..x..,.......,xYZ...Hu..>...w`3..»,n......~G.'w..,:3........»•.;,:a;.':. LA1'G'w:.<, ' . .
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
- - -
DATE: . CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~ONT'T2't1GT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERMTI;' FEE.
b~..,~~~....Y..>..
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENI'S ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
RESIDENTIAL
L-j `-f 7-1 `-I -7 BUILDING PERMIT APPLICATION
~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauirementa RemodeVReoair Reouirements
• 3 reg¢tered site surveys showing sq. R. of IoL sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lol coverage allowed) . 1 set af Eneyy CalculaEons lor heated additions
• 2 copies of plan showing beam 8 window sizes: poured found desgn, etc ) . t site survey for eztenoradditions 8 decks
• 7 set of Eneryy Calculatrons . Indicate d trome served by septic system for addihons
• 3 copies of Tree Preservation Plan d lot platled after 711193
. Rim Joisl DeWJ Op6ons selection sheet (bldgs with 3 or less unAs)
DATE VALUATION n
~ I~ ~I"60, ~
SITE ADDRESS l~~ W•`C~WW~~C~ MULTI-FAMILY BLDG Y~ N
TYPE OF WORK_p Z-10D-SE FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ?iW+er~~~~V~\~~~n~C1~~,n~f4G~GfS,Tv~C,•
STREET ADDRESS ~
~aay~ l Y
WAe~' hR, l. CITY :Syfm ~~kp_ STATE N ZIP i533
TELEPHONE #65~01-05`1 CELL PHONE # FAX # LSa)
PROPERTYOWNER~' ~U\G`nC TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MpNv1:50"I'A RULCS 7670 CA7'tiGORY I >9INN1:SO"I':1 RliLh:S 7672
(J submission rype) . Residential VenUlaUon Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculalions Submitted
Plumbing Contractor: _ Plionc
Plumbing system includes: Watcr Softencr _ L2«n Spriiikler Fee: $90.00
Water Hcater No. o( R.I. Batlis
No. of 13at}is
Mechanical Contractor: Phone #
Mcchanic>il syslcm includcs: Air Condiuoning L'c~$Z 00
Hcat Rccovcry System
Sewer/Water Contractor. Phone 21 2001
~ ~
IL j U
I hereby acknowledge that I have read this application, state ihat the informati InRi's:coaect,-.andagree_td comply
with all applicable State of Minnesota Statutes and City of Eaga Ordinances~(~
Signature of Applicant ~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation 0 07 OS-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OB-piex ? 78 Oeck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinallC.O.
_ Foo[ings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Warer _ Final _ Pool _ Ftgs _ AidGas Tests _ Fina]
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
S°
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan ~UUb~ ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
~
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Date -2~- / / 0 G
Site Address C)W 2.4Z- C'-~- Unit #
PropertyOwner -T Telephone#( 'pS~ ) ZO~I ~ ZFS ZZ
Cantractor k P J ' ~
Street Address l'~ c City S-~^ L`,v 1
State Zip '~S>\U S Telephone GS Z.Zk "1Z.0 0
Bond -z' 7 Expires: r ~1 zo(:;> I
The Applicant is _ Owner -)(Contractor _ Other
$ 30.00
Add-on or alteration to existing dwelling unit
furnace _Additional _Replacement AUG 1 5 2006
air exchanger
~air conditioner _New ZReplacement
other
State Surcharge $ .50
50
Total $ ~o
1 hereby apply for a Residential Mechanical 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 with the Mechanical Codes, that I understand this is not a
t r ir, that tt i c will be in accordance with the
permit, but only an application for a permit, and work is not to start witht5
approved plan in the case of work which requires a review and approval of ApplicanYs Printed Name A IicanYs Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Piease complete for: commercial/industrial buildings
multi•(amily buildings when separa[e permils are not required for each dwelling uni[
Date
Site Streel Address Unit #
Tenant Name (ifapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Con[rac[or _ O[her
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature ofWork:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢I'Illlt F¢0S: $70.50 Undcrground innk in5talla[ion/removal
550.50 Minimum (includes Stale Surchargc)
or
Contract Value $ x I% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 State Surcharge
If eo rmit fee is over $1,000, add $.50 for
every $1,000 oe rmit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complere and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand ffiis 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.
ApplicanYs Printed Name ApplicanYs Signature
Approved By: Inspector Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110477
Date Issued:05/14/2013
Permit Category:ePermit
Site Address: 972 Wildflower Ct
Lot:1 Block: 1 Addition: Lexington Pointe 8th
PID:10-45092-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Timothy M Farrell
972 Wildflower Ct
Eagan MN 55123--397
Select Evergreen Construction
1200 Centre Pointe Curve, #200
St Paul MN 55120
(651) 209-3130
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118442
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 972 Wildflower Ct
Lot:1 Block: 1 Addition: Lexington Pointe 8th
PID:10-45092-01-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Timothy M Farrell
972 Wildflower Ct
Eagan MN 55123--397
(763) 286-7987
Accoy Contracting Inc
10741 185th Cir NW
Elk River MN 55330
(612) 203-0849
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118443
Date Issued:10/31/2013
Permit Category:ePermit
Site Address: 972 Wildflower Ct
Lot:1 Block: 1 Addition: Lexington Pointe 8th
PID:10-45092-01-010
Use:
Description:
Sub Type:Garage
Work Type:Overhead Garage Door
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Timothy M Farrell
972 Wildflower Ct
Eagan MN 55123--397
(763) 286-7987
Accoy Contracting Inc
10741 185th Cir NW
Elk River MN 55330
(612) 203-0849
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136163
Date Issued:04/27/2016
Permit Category:ePermit
Site Address: 972 Wildflower Ct
Lot:1 Block: 1 Addition: Lexington Pointe 8th
PID:10-45092-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Timothy M Farrell
972 Wildflower Ct
Eagan MN 55123--397
(651) 253-0824
Thomco Heating & Air
PO Box 1
Rosemount MN 55068
(612) 386-5373
Applicant/Permitee: Signature Issued By: Signature