992 Wildflower Ct401' City of Eag,au
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECCE!
JUN 7 7 7011
Use BLUE or BLACK Ink
Permit #: a I
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: f' ) I 1 Site Address: vl qgV� I 1010 /O wL I�
Tenant: k,Ou�hoVo VLa
J
Suite #:
RESIDENT I OWNER
Name: KDI.%t0 til x V D fig Phone: (0 Ji'�� "1'�1'%1P
Address / City / Zip: A Wildflower � Vt • Q-%�1 ''J"/ ��-
I�
CONTRACTOR
Name: License #: 631-1 'P / i71
Appliance Installers of MN, Inc.
Address: City:
14105 Rutgers St. NE
State: Prior MN 55372 Phone: q6a' 410 8314
/&ka�
Contact: t(��..1 Le_ Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_
ww ,A,,^, (�
Description of work: r.e.() Gl.�.�lc wafer 5n� l.e ,\LI"
RESIDENTIAL 1
Water Softener
PERMIT TYPE
Water Heater
Add Plumbing Fixtures (_ Main / _ Lower Level)
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ ., 00
CALL BEFORE YOU DIG. Call 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.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval • plans.
xt'rmartin
Applicant' Printed Name
INSPECTION REC4RD '
CITY OF EAGAN PERMIT TYPE: W~ ~ ~ IN" ~
3830 Pilot Knob Road Pesmit IVumber: ti / +a M>
Eagan, Minnesota 55122-1897 Date Issued: ~ 1~fti
(612) 681-4675
SITE ADDRESS: 1' ' 1`4 - t" 0A. 0.1 APPLICANT:
101. a,slr+tlr?I,FFr
i r r~+. ~~~hd i~r~ s N i j ~t 1 t! ~ r, ~ R L~, t
~ PERMiT SUBTYPE: TYPE OF WORK:
wir tr
I INSPFCTION •
~ l!11? 1 1 Nlt , - I Nf1 i~ ! II inj
rt~r;~~?tira+, ~,-r~~~r tn~c~
1N'.111 r1t ((1" f IHI I'! At f
1, tlittrll fpj 4' { t:li 1.'llflt~~~ 1 tJ 11It,
k
t IMitl !'f f{l; 1 THAt
E
E
C'f MAHK'~ W F! tsh , I Illf i't 1.;(1
I '
!F
~
~
Permit No. Pennit Holder I?Gte Telephone M
^ ELECTRIC Q ~ I
i
I
PLUMBI
HVAC
, ~ Q I
Inspection In . Camments
FOOTINGS ~ -1/no
/
FOUND
FRAMING 11 rn~ I
ROOFING I
ROUGH
PLUMBING
PLBG
AIR TEST I
ROUGH I
HEATING _
GAS SVC I
TEST
INSUL
c~rti
GYP BOARD i
I
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSA7
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ~
DECK FTG
DECK FlNAL
~ -
INSPECTION RECORD
CIP( QF EAGAN PERM{T TYPE: I
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
1'•~ 4~ ~,l,6i N<~
SITE ADDRESS: t, I A , APPLICANT:
~;Il•; ~,.•„i4r, i~I~ t i~.~l4i'.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
I
gi'p
i~~ 1 f~
- - - - - - - - - - - - - -
~
Parmk No. Mrmft HoWsr Date Telephone #
ELECTRIC
PLUMBING
' HVAC
Inspwtlon OaN Insp. CommNtts
FOOTINGS I
I
FWND I
FRAMING ~i
ROOFING I
ROUGH I
PWMBING
PL.BG
AIR TEST
RQUGH
HEATING
GAS SVC I
TEST
INSUL
GYPBOARD
FIHEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BIDG FIWLL
BSMT R.I.
BSMT FINAL
OECK FfG
DECKFINAL t3-q Lb $ /1147 M.B Ste L'c.vvecs~'~v~5
-
ett*tiCQte of cCC1tpQnC~
~
2*VWrfttxr .f ISNaWS
This Certijcate issried pursuant to the requireneents of the Uniform Building Code
certifying that at the tnnt of ruuanct ihis structurie was in compliance with the variau
I
ordinances af the City r+egulating building carwnrction or use. For the following: ;
uw ahmr,csbos: SF M ewg. Peme NO. 27~30
O-UP-y'iYvm R3/UI Zonin oeu;a _pn/R I rype const. NN
O..v d Buildm LFii 7.TAU1$ILM fX= Ad&- L1eTMM r~ X"_
emwmg waeR.. 992 [dnMnM WM Lomhcyr
A,41 X
Bild" Olfieial
POST IN A CONSPICUOUS PLACE
i
c ScSlv %~ty
VA43WLI,
Rep 1 Date Frt No, Rw h-In MspecLOn Requvetl Inspection ONer Than In
( ou must II inspector whan reaEy) ~ Reatly Now II NoUty Inspecior
es ? No Dalo Reatl
I~icensed contractor ? owner hereby request inspection of above electrical work at:
Job I+tlOress (Slreel. Box or Route No ) Ciry
~ Z. cL Uwo~.-
Section No TownsM1ip Nama oe No Range N. County ~
Occup (PRI T) Phone No
Power uOPlier Atltlress
x- 14
Eleclncal Co mctor (COmpany Name) Commcta's License No '
D I C'Aoo68.1-
Mmling Atltlress (Conlraclor or Owner Making Inslallati nt
Va ,551
Aulhorixed Signoture onVndor/Owner Mabng Inslallalion) Phone Number
I-63
MINNE50 STATE APD OF ELECTqICITV THIS INSPECTION REOUEST WILL NOT
GriggsMiE Poom S428 BE AGCEPTED BY THE STATE BOARO
1821 Unlversity Nve., SL Paul. MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 5A2-OB00 ENCLOSED.
~REOUEST FOR ELECTRICAL INSPECTION =~=~:~G ee-
~ ~ .-~-95~e 9Ce
0 ~ 72 ~ See ans~lmns for cti 'i'eting Ihis torm on back ot yellow conY. ,
60 X" Below Worked by This Request K:•~'"
e d Rep. Type of Building 8qp4an Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer load Managemenl
Comm.flndustrial Furnace Other (Specity)
Farm Air Conditioner
Olher (specily) Gommclors Remarks.
Compufe Inspection Fee Belaw:
# Other Fee N Service Entrence Size F N Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 700 Amps G
Transformers Above 200 Amps Above 100 -Amps
$19fIS Inspectofs Use Only ^ TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication TNIS INSTALLATION MAY BE OR SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON S. r, ,4
I, the Electrical Inspector, hereby Rouqn-an
cetlify that the above inspection has
been made. F~a~ ~ y~ •
OFFICE USE ONLY
TM1is request voitl 18 montM1S Irom
Address. 9q2 wu..nFjnaFR an r Zip 55123_
L.ot 5 Blk 2 Sub LEulumrr Polrrm 8ni
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector. .
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway LZ
Permanent gas ~
Sod/Seeded grass v
TraiUcurb damage ~
Porch ~
Basement finish ~
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Comact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
/
RESIDENTIAL
- BUILDING PERMIT APPLICATION ~
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Reauirements RemodeVReoair Reuuirements
• 3 registered site suneys showing sq ft of bt, sq ft. of Muse; antl all roofed areas • 2 coDies of plan
(20°h maeimum lol coverage allowed) • 1 set of Energy Calculations for heated addrtions
. 2 copies of plan shovnng beam 8 window saes; poured found tlesign, etc.) • 1 site survey for exterior additions 8 decks
• 1 set of Enefgy Calculations . Indicate if home served by septic system for additions
• 3 wpies of Tree Preservation Plan if lol platted after 711193
. Rim Joist OetaA Oplions seleclian sheet (bldgs with 3 or less uniLs)
DATE ~ I 1 JQ2_ VALUATION
SITE ADDRESS fA + MULTI-FAMILY BLDG _ Y V N
TYPE OF WORKI O v`w QafOQej FIREPLACE(S) _ 0_ 1_ 2
•
APPLICANT I l.
STREET ADDRESS lff & CI ~ STATE ILl ZIP~
TELEPHONE #ld"CSdn'q I640 CELL PHONE # FAX #&I
.
PROPERTYOWNER ~1 I~1UL~~ Y~1.L1~BtY~V~Q TELEPHONE#(LL*~1'vbS_ HI~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INVL:SO"G112ULLS 7670 C:1"1'[CC012Y" l >fIN\LSO"I':\ RULIiS 7672
(q submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code WoAcsheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contwctor. Phonc
Plumbing sysLem includes: _ Water Soltencr L.a«n Sprinlder Pee $90.00
Water Heater No. oC R.I. I3aUis
No. of 13alhs
Mechanical Contractor: Phone #
ivIccliviical systcm includcs: :1ir Condiuoning I'cr. $70.00
_ Hcat Rccovcry Systetn I2
I
Sewer/WaterContractor: Ph I~~k
u If~ IC ~ ~ ~
~
I hereby acknowledge that I have read this application, state ihat the inform ipn is correct, an agr to comply
with all applicable State of Minnesota Statutes and City of Eaga inances.
Signature of Applicanf
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatetl 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt • Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12•plex Pibg_Yor_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 (Bldg)' ? 43 Reroof ? 46 WindowsfDoors
? 34 Replacement 'Demolition (Entire Bldg only) - 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 of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice R Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Frartting _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ \Vindows (new/replacemen[)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
\ ~ ~ ~~3
PERMIT 0~ ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 027080
(612) 681-4675 Date Issued: 0 2/ 2 3/ 9 6
SITE ADDRESS:
992 WILDFLOWER CT
LOT: 5 BLOCK: 2
LEXINGTON POINTE 8TH
P.I.N.: 10-45092-050-02
DESCRIPTION:
/Euilding.,,Permit Type SF DWG
Building 'l%Jo.rk Type NEW
f~ UBC Occupan y, R-3 U-1
!i Construction Ty,pe V-N
Zoning PD R-1
~ Bu3lding Length 52
~ Building Width ~ 48
Building stories,'` 1
' S~Vuare Feet-~.~ 1,941
`
Ce.nsus,,,Cbde 101 1- FAM. DETACH
REMARKS:
S& W PLBR - STAR PLBG FEE SUMMARY:
VALUATION $99,000
Base Fee $881.00 MISCELLANEOUS $1,923.50
Plan Review $440.50 Total Fee $4,144•50
Surcharge $49.50
SAC $85@.00
SAC 8 100
SAC Units 1
Subtotal $2,221.00
CONTRACTOR: - Applicant - ST. LI OWNER:
HUTTNER CONST, WILLZAM 14523088 000165 WILLIAM HUTTNER CONST
960 WflTERFORD DR W 960 WATERFORD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 723-4161 (612)452-3088
I hereby aeknowledge thet 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 Cit of Eagan Ordinances. ~
Amia
APPLICAN /PEFMITEE SIGNATURE ISSUED BY: 'IG TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 7 0 8 0
Eagan, Minnesota 55122-1897 Date Issued: 0 2/ 2 3/ 9 6
(612) 681-4675
SITEADDRESS: P•I•N.: 10-45092-050-02 pppLICANT:
LOT: 5 BLOCK: 2
992 WILOFLOWER CT HUTTNER CONST, WILLIAM
LEXINGTON POINTE 8TH (612) 723-4161
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION D. .
FOOTING3 FOUNDATION
FRAMING ROOFING
INSULFlTION FZREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - STAR PLBG
J
L
~ CITY OF EAGAN ,fl I r,~O
1q040 3830 PILOT KNOB RD - 55122
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
New Conslruetion Reauirements RemodeUReoair Reauirement<
? 3 regislered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior add'Rions & decks)
? 1 energy ealculalions ? t energy ealculations for heated addilions
? 3 copias ot trx preservatlon plan H lot platted after 7!7193
requlred: _ Vee ~ No
DATE: CONSTRUCTIONCOST:
DESCRIPTION OF WORK: /v
STREET ADDRESS:
LOT ~ BLOCK Z SUBD./P.I.D. Z~-
PROPERTY Name: Phone
OWNER
Street Address-
City: State: Zip:
. , /v, ~c
coNTw?cTOrt Company: 0,~, r-~/ c_o,~ fl Phone
Street Address: ~461 ~z~l~/l~' ~ IJr• License
City: State: ~n Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address-
City; State: Zip:
Sewer 8 water licensed plumber: f la'kt (~!L~4 Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
applicable State oi Minnesota Statutes and City oi Eagan Ordinances. L~
Signature of Applicant:
OFFICE USE ONLY / ~~~EMED
Certificates of Survey Received i Yes No FE6 S5 5996
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ' w
~
. •
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O°102 SF Dwelling a 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
.6--31 New ? 33 Alterations ? 36 Move
? 32 Addition a 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 110-691 MC/WS System o`
(Ailowable) Main level sq. ft. z99 City Water
UBC Occupancy 9 u-/ sq. ft. Fire Sprinklered
Zoning P-D/2-/ sq. ft. PRV
# of Stories L13 s Mr, sq. ft. Booster Pump
Length sq. ft. Census Code. /U/
Depth q$ Footprint sq. ft. TY/ SAC Code 61
oe „ Census Bldg ~
~I ~pD q Census Unit
APPROVALS ,~F ~3
Planning Building Engineering Variance
~
Permit Fee Valuation: $ 99 600
Surcharge
Plan Review
License
sM~-
MCMS AC
City SAC
Water Conn. , 5- y q s' ' ~y ~i•> x S. y
Water Meter ~
Acct. Deposit ~ "
S/W Permit y 7.7 s'
S/W Surcharge ~ Z
Treatment PI.
i ~j (p0
Road Unit
Park Ded.
Trails Ded.
Other
Copies , p? X17 Z
TOteL' " Zo x Zf. 33 ° S87
2 X /9• T ~ ` 39
% sAC
SAC Units G (6 _
/~I /z ~
P.02
42422 Enterprisa Orive
dOtv HOighia, MN 56720
2) 881-1914 F/1X7881-9A88
Lvro vuNr~nsuHighwoy 10 N.E.
aninne, MN 554J4
x) 7e3-1880 FAX:7B3--1883
*
Certificate of Survey fnr: HUTTNER CONS RUCTL_N_
992 WILDFLOWER CDURT
~ WILDFLOYVER _ COURT - J
H89°08'23"E N
982.8
983,5 J
963.5
984.3 5 ELEC
~ 1 I
~Q $ 984.5 I od
~ K 985.7
985.3 6
T£LE, ~ o ~yN~g PROPOSED ~ Z~ BENCH AiARK
B~1CH MARK T.~. ~ ORIVEWAY r:) 70P OF PIPE
ToP OF PIPE $1) ~ ~o ELEV.=985.80
ELEV.=986.25 ~pj32.33--- ( 8986_0 d Wx
_ ~----986.1 0~3 c0oJ,9_67
WA7ER uNE ON PROP. UNE---- 0 986.0
I
I i 8.1 ~ ~ 0qAG o ~
M ~ 986.311'98~•8) i6 f7 4
n ~
14. e .o g~ d?~
ses.o ~
ROpOSE r,
2c, 3 ~ N r+ouse/ N O
6 I as.oo _ N
986.6
986.6 5.~0
-~32.35--- 986.8 f9W7.0~
-
997.9 I x ~
saa.a 986.8 ~ 5
~7y ~ tlR 991.6 ~ DRAINAGE k U71LITY
EASEMENT PER PLA Ep,Iq ENGgg~~gyNG DEPT.
~ -
L/ - - - - -
'n if) -
31 ~GL987.9 988.0
~ ~fj 'LV 7 F' . .~9~6~ OW ~9$S.o~
LEXINGTON POINTE PARKWAY
NOTE PROPOSEO GRApES SHOwN VFR GRADINC PLAN B7: 1'M-uND PROPOSED HOUSE ELEVATlN
NofE BUILDac GqlEN51Dq5 SMOWN ARE ?OR HOPoZDNTAL AND 1fER7ICAL LOCATION LOWEST F1,00R ELEVATION: 9A 5, 3
OF SI(tUCNREg OI1lY, SEE Md717ECRJti.i- PUN9 COR BURDPIC AND
roUwDnnor+ oiMeNSIons. TOP OF BLOCK EIEVATIaN: 2130.4
MOTf: NO SPEGfIG S04$ INVE5710ATpN HAS BEEN CONPLETED ON 1HI5 LtlT BT THE
sunv¢roa. n+e swrasiun a soas ro siaaoar nHe svEaAc Naue GARAGE SLAB ELEVATION: 081
PROPOSED IS NOi THE RESPON5161UTY 0F 7ME 5URVEYOR.
NOTE: 7NIS CERTFICATC OOES NOY PURPORT 70 SHOW EASEMFNTS OTMER MAN X U00.00 OfN0TE5 EMIS7WC ELEVATION
7Hp5f 9NOWN CN TME HECOROFA PLAT. ( 000.00) UENOTES P1tOPOSE13 ELEVATON
DENOIEB ORNNAGE µD VT7l1TY EASEIIENT
rypM: CON7RACrOR N{1ST VERIf1' UPoVEWAY pESIGN. pET107ES DRa.MACE FLOW OtR[CiIdN
N07E: 9ENRP7G3 SNOMX AflE BASCO ON NI ASSUMEO UANM 0 OfN07E9 MONUl1ENT
(3-UEN07fS DFfSET NU8
WE HEREBY CERTIFY TO HUTTNER CONSTRUCTIDN THAT THIS IS A TRUE ANp CORREC7 REPRESENTATION OF A
SURVEY OP THE BOUNpARIES OF:
LOT 5, BLOCK 2 LEXINGTON POINTE EIGHTH ADDITION
DAKOTA COUNTY, NINNESOT~
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EKCEPT AS SHOWN, AS SURVEYED BY h/E OR
UNDER MY DIRECT SUPERYISiON TH15 71H DAY OF FEBRUARY. 1998.
CNE • PIONEER IN RING, P,A,
SCAI,E : 1 INCH = 30 FEET B L, _ f
1008 95330.01 BJM REVISEP 2-21-96 SHOW WATER LINE John C. Lorsa , L.S. Reg. No. 19828
R-96% 02-21-96 10:26AM P002 St15
LOT SURVEY CHECKLIST FOR RESIDENTIAL
B ILDING PERM APPLICATION
~ PROPERTYLEGAL:
DATE F S RVEY:
LATEST REVISION: ;2-& 1, Cf ~
~
DOCUMENT STANDARDS
Q~'13 0 • Registered Land Surveyor signature and company
0-' 13 13 • Building Permk Applicant
M~'O , O • Legal descriptlon
CY ? O • Address
E~- ? o • North arrow and scale
Q--0 0 • House type (rambier, walkout, split w/o, splft entry, lookout, etc.)
Er' 0 0 • Directional drainage arrows with slope/gradient %
Er- o o • Proposed/exdsdng sewer and water'services & invert elevation
0/0 ? • Street name
o~-'o O • Driveway
ELEVATIONS
Exdstina
P-~Ci ? • Sewer service (or Proposed)
C-~'? ? • PropeRy comers
EY ? o • Top of curb at the driveway
0/0 13 • Elevatlons of any existing adjacent homes
Prooosed
Er' 13 ? • Garage floor
Cf ? ? • First floor
2---13 o • Lawest exposed elevation (walkouUwindow)
W`O ? . Property comers
3~o O • Front and rear of home at the foundaUon
PONDING AREA fd aoolicablel
o ~o • Easement line
? B-'O • NWL
o ~ • HWL
0 ? • Pond # designatlon
o ~o • Emergency Overflow Elevatlon
DIMENSIONS
B-,o O • Lot IinesBearings & dtmensions ffl-~o 13 • Right-of-way and street w(dth (to badc of curb)
Ir- 0 ? • Proposed home dlmensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all struclurea requiring pertnaneM footlnps)
Er' o o • Show all easemeMs of record end any Cily utllPoes withln those easementa
4e~ o 0 • Setbacks of proposed strudure end sfdeyard setback of adjacerrt exstinp atructures
13 Cr~0 • Retaining wall requiremenb, if y
Reviewea: Z Z
Na / Date
.lanwry tMe
cnMtw&etooawt.w
Cities Di i~ ta1 Quality Control
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USING IT S OULD VER1=Y THE ~
{idS`On;OftiTI0N ON THE 'ITE. . STA 4+28 ~ STA 3+88
976.58 ST
S-976.15
S-
W- 984.90 W-984.19
W-
W-98428
. 9
.8"x6" TEff 8 P YD. 1 O 1.
W /35' 6" D.I 1
4+40 CL-52 STA 2+70
. ~ 52.6 g,q ELEV. T.N.H. 987.24 S'TA
S- 973.18 e1.x6„
S- 977.43 8 7o.s-.r~ ~ W- 981.00
.
= ~ ~ W / I I'
_~85.515 a
e.9 ' / .
,:r -s-62,5 87.7 V- CL- 5;
~a.ar- ~
e.,~> .
24.
I /4 EN
_ '
97.8< ~ - _ p . ~ 8,. DIP ~
• a~n
1~ <1 ~
7 45.9C
''~`~STA 4+35
7977.13
97,6
k~ ~•40.3 ~
~'~"'-"-=W=985.36 ~ 93.e ~-i- - ;
A'r.9 ~ i, CEN SAC 4e.3=
6 4.60:00 5516 4 ,
CJ 4984
, r STA 2+96 'TA 2+
STA 4+23 I I ~ S-973.83 s-~72.E
~ s-976.45 I STA 4.14 W- 980.70 ih~98~
W 985.40~985;8* 5-976.80
ROVE PLUG 8 W-979.
W-983.93
o' l0'
INECT To EXISTING w,X\I2T6ED p YCL-52
>J.P. . '
. SEE SHEET 2434 U. 933 s
8" DIP.
- ~ - LEXINGTOt
. -.70'Row ; . - - -
~ ~ . - . W. I.L;DFLOWER C
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ZO EE SUB`1ITItD LlI7il IIUILDIItC PERTIIT /J'PLICATIOY
t7:TE.".IOR }:`7VF.LOPE AVEfU,CE "U" C(1`tPUTATION '
CZA.
S?TE ADDRESS: / 7 Z ~i -Of/~U" v! •
. CAtiTRACI'OR: 4,_, eLlell. DATE: P210NE: KSZ 30J?~
Determine vorking aquare footage of each
1. Total exposed wall-area........ Z70 ~ eq.ft. x
2. Total roof/ceiling area......... sq.ft. x 3. SS
3. Total exposed wall area calculations: .
Totnl exposed wall area above floor ~ 2S9p
s. Total wall vindou'area
biotal door area .....................................3ff
c. Total sliding glass door area "'f0 d. Total firep.lace wall area -
e. Tota1 wall framing area (average 107.) 2 S?
f: Total ne[ wall area above floor 1S y~
g. Total rin joist area ................................J L~ Total expoaed foundation area h. Total foundation vindov area -
1. Tota1 net foundation area above grade
Determine "U" value of each wall segment
8. R $iUll
b. 3 8" X„U„
. C. ~{o x olUse ,ss . 2.2, o .
d. X n V n .
, • e. Z J X uUn • 07
f. ~ 9 Y9 X fo„" , oy
g. / 7,0 X .,u„ , o q - ~g
.
R uVwi
X olust //S
,
3. • TOTAL . . • Z2 F4 1 •
If i[ca 03 is Che same ns, or less [han item 01, you havc met [he intcnt of
SOC 6006(c)2. '
•4. Total cx-posed roof/ceiling calculations:
To[al e>cposed roof/cailing arca ~ ~Z O O
To[al skyligh[ arca ~
k. Tota1 roof/ceiling frnming arca (avcray,e 107.)......... /Z
1. Total net insulated roof/ceiling area
Deternine "Q" value for each roof/ceiling segaent
J. . X flpff ~
k. ~ RlfUll
R„u„
4. :TOTAL - ~
If total of 04 is the sarae as, or•less Chan 02, you havc net the intcnc
of SBC'6006(c)1.
Alternate Building Envelope Design
•~':l.'~, . ' . . • • .
To ucilize the total envelope system method, the values establislied by
the sum of Steas 03 and 04 shall not be greater than the sum of items 01
and C2.
1. + 2. ~
3. + 4. - '
. ,
C E R T I F I C A T I 0 tt
I hereby certify ttiat I have calculated the "U" factors and R values
herein and tha[ the buildinr hera described meeta or exceeds the State of
Ninnesota Energy Conservation Act. .
. • ' ~ i~~~Zi////~,
• • (Signacure). • 7 /S
• (Aa[e)
: . , PERMIT
~ CIT1F OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 8 4 0
(612) 681-4675 Date Issued: 0 5/ 0 5/ 9 7
SITE ADDRESS:
992 WILDFI.OWER CT
LOT: 5 BLOCK: 2
LEXIN6TON POINTE 8TH
P.I.N.: 10-45092-050-02
DESCRIPTION:
j \
Buildin§.Permit Type DECK
Building Wurk Type NEW
~ Census Code ~ 434 ALT. RESIDENTIAL
~
~
. ~i
~
. : .
REMARKS:
FEE SUMMARY:
f3ase Fee $50.00 COPIES $5.00
Surcharge $.50 Total Fee $55.50
Subtotal $50.50
. ,
ti
CONTRACTOR: OWNER: - applicant -
VIXAYVONG KOUTHONG .
992 WILDFLOWER CT
EA6AN MN
(612)348-6752
I hereby acknowledqe that I have read this application and state that the
information is correct and agree to comply with a11 applicable StaY.e of Mn.
~ 5tatutes and City of Eagan Ordinances. J
~ J" ,~aur Ro~~l.I~ J~~
A IC / RMI7E URE ISSUED B: S N T RE
CITY OF EAGAN
CASHIER: S TERMINAL N0: 13
DATEe 05/05/37 TIME: 09:55:03
.
'ID:
-51AME: F:OUTHONG VIXAYVONG
3210 3001 992 WILDFLOWER 50.00
3430 9001 332 WILIiFLOWEF 5.00
2155 9001 932 WILDFLOWER 0.50
Total Receipt Amaun+,: 55.50 +
CR073212
USER ID: NANCY
, ~
'4 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) S'S- S O
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
681-4675
New Construetion Reouirements BemodeVReoeir Reauiiemenh
? 3 registered ske survays ? 2 copies of plan
? 2 copies of plano (Indude beam 8 window saes; poured fid. desipn; etc.) ? 2 ske surveya (exterior addRions 8 tledcs)
• 7 energy calalaUons 0 1 energy nlwleUons for heated aOditions
? 3 copiea of tree presarvetion plan H IM platted eRer 711193
reQuhad: _ Yes _ No •
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: Il~C r-
STREET ADDRESS: ~1 l a7 ~ ~ U C ~U vG 'V-
L T ~ BLOCK ~ SUBD./P.I.D.
J
b4ri,Yl~
PROPERTY Name: VI gnt.; f~ cri-i Phone
OWNER
Street Address: Ciry: State: Zip: 2 j
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction oniy): . Penalty applies when address change
and lot change are requested once pertnit is issued.
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. ~
n I~'
Signature of Appiicant:
OFFICE USE ONLY RECEIVED
CertificatesofSurveyReceived _ Yes _ No APR -21997
Tree Preservation Plan Received _ Yes _ No _ Not Required BY'
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex a 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex z'~l 5 Deck
WORK TYPE
0 31 New o 33 Afterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water -
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 14311
Depth Footprint sq. ft. SAC Code C)l
Census Bldg ~
Census Unit c7
APPROVALS
Planning Building /Vg Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies c~) iPs. o v
Total:
% SAC
SAC Units
a
% 1 2122 EnterPrfee UAw
# * MenEOla Nelghlf, MN 63120
i~ m~ (912) 681-1914 FAX:881-9498 1
eng neer ne 625 Highwop 10 N.E.
Blalne, MN 55434
-iaa-+eeo Fnx:rea-1e83
*
certificate of Survey fnr: H T~ONSTRUCT10N
992 MIILOFLOWER COURT
WILpFLOWER_COURT
N89408'23"E
9828
9.s1
Q- • _
9N].5
00 ~984.3 ELEC ,
~ 15 .
~iseaa i I R '
sss.7
TELE~3~ PROPOSED 1 BENCH MARK 6ENCH MARK T•V, pR14EWAY F ~ TOP OF PIPE
7aP OF PIPE ` gi rJ ~ g~ ~ ELEV.-889.60 ELEV.=986.25 iQj22.33 _ ( B ~fl88_0 • 4 wx .
r--'986.1 203 00~9.67
WAIER LINE ON VRGP. UNE---' I j o y,~ 886.0 G AG o p '
996.3YQB"~•8) i617 n O~ 4 .
^ 1 u.se .o y d~
989.0 26 ROPOSS[E m I ~ . 'ri
C I N tWj N
I 6.00 sae.e
~~887.9 'y32.35-" y7.0~ 988.8 S.tiO
ccVV~~ ~ ,n "~1
988.4 ~Be.l I 986. '~'C989.t) _9e_a' fj
5 B9 ~ L d
k aGAN 987.8 ~ _ DNRINAGE M UnL1T t_ .
~ E Q (qth6~ ~ EASEMENT PER PLA ~ ENG MRIL7G DEPT.
REVI ,o u :
n 0
985.0
90.00
u S89°OB'23"W
LEXINGTON POINTE PARKWAY
MOIE PRWOSEO CRMES 5I01N YFN CNMIHO PLN! Bi: IW-IAND PR^onCFn unQ5 ELEVAT[1N
rrohi BURO~ M,,MNS mro'xr iaE MR nowza+T4 uND MM•l laairox LON'EST ROOR ELEVATION: 98 5, 3
Of 61RVCNiR9 Of0.v. !CS MOGIEGMAL PLINJ NA BUUMMO uip '
rdMOAnOx onaHSimS. TOG OF BLOCK ELEVATION: q,_ 88,5
norc w amrw aoae mnno~nw Ius eZa couPenn or+ na Lor e. nc
wm[wx. ixe x.rauir a saO ro suvronT mc ssccnc Hwsc CARACE SLA9 EIEVAlION: a
vq0vO5E0 19 NOi TE PE9F`p1901UiY Of TuC 9JINE1P1.
MOiE lMif LFNMCrAi[ OR] NOt klRPpiT T0 !MM FAYMWfl OTMEw TMAN % OOO.OD OCxOlE9 EA9*W4 CiEVAIIW
MQ,S( SHpIM ql ME PECIXi0E0 MT. ( OOO.W ) TIENOiCS FPaPO6EU FL[vAnd1
OENORB ONANAO[ INO UIIUtt [I.5£YfN*
NM EOIITNACM YUBT YERIM1 DwVfllAi OL9O1. ~F DfNOIE! DMNAOE iLON OIIICCtIW
NOIE: EEMNR SWIM ME WSW fN N1 AlANEO OANY OENOIE! Yb4YQIT
$ Ow01[9 OFfEEY HV9
WE NEREBY CERTIFY TO HUTiNER CONS7RUCTIDN THRT THIS IS A 1RUE ANU COFiRECt REPRESENTaT10N OF A
SURVEY Oi 7HE BtlUNpMIES OF:
o~o a5ouBLOCKs 2d LEXINGTON POlN7E EIGH7H ADDITION CNTY.
ir DOES NtlT PURPORi TO SHOW IMPROVEAIENTS OR ENC20ACHMENTS, E%CEPT AS SHOWN, AS SURVEYEO 6Y AIE OR
UNDEH MY DIRECT SUPERNSION THIS 7TH DAY OF FEBRUMY, 1998.
CNE • PIONEER IN RING, PA.
SCALE : 1 INCH = 30 FEET e ~
1008 95330.01 BJA1 REVISED 2-21-98 SiON WATEN LINE John C. Lerso , L.S. Reg. No. 19828
R-96% 02-21-98 10:26AM P002 #15
'
CRY USE ONLY
L ~ BL RECEIPT
SUBD.C~.1~'-rL DATE:
T
1996 MECHANICAL PERMIT (RESIDENTiAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681a4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
~ New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 311Z 19 ~
FFFS
? 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
SITE ADDRESS• 992 CT
OWNER NAME: f-?U77NP.C /UO!"+e.s PHONE 'y52"308b~
INSTALLER NAME- Ll F D'
STREET ADDRESS: 3/ 31-S TZA'~
CITY: STATE: ZIP:?~~1~
PHONE#:(G~2) 3gd Z
U 1T
=
.
CITY USE ONLY
L BL RECEIPT 0:
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUndustrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit. DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee QL 1% of conUact price, whichever is greater.
. Processed piping - $25.00
? State suroharge of $.50 per $1,000 ot Rm= fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
CITy; STATE: ZIP•
~ PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL ,'7_ RECEIPT
SUBD. DATE:
1996 PLUMBING 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
FIXTURES EACH NQ. TOTAL
Shower 3.00 x _oo
Water Closet 3.00 x
Ba.h Tub 3.^n x = 3•CD
Lavatory 3.00 x
Kitchen Sink 3.00 :c
Laundry Tray 3.00 3.60
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 ;c
Floor Drain 3.00 x
Gas Piping Outlet ' minlmum - 1 3.00 :c =
Rough Openings 1.50 :c 3 = ~6v
Water Softener 5.00 :c =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Spflnkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 992 Wi~ldflower Court
OWNER NAME: Huttner Construction
INSTALLER NAME: MatthewDaniels, C~nc.
STREET ADDRESS: 15230 Carousel way
CITY: Rosemount STATE: MN ZIP: 55068
PHONE ( 612) 423-3730
OFFICE USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ~ all commercialrindustrial buildings.
w multi-family buildings when separate permits are pgs required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINiCLER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge o( $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
ciTF e,DQRESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITy; STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
CITY USE ONLY
LOT ~ BL o~7 RECEIPT 169&
SUBD.(~4 • ~ o ~ RECEIPT DATE:
1999 MEctAlvlcaL PERMrr (REstnExT[AL)
crrY oF ewearr
3$30 PILOT KNOB RD
EAfiAN MN 551 fE
Date: y ^ 7 - / (651) 881-4875
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T LJ $ 30.00
ADDITIONAE SQlM BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
~X New _ Replacement _ Repair _ Other
_ Fumace X Air conditioning
_ Air exchanger, i.e. Vanee system, etc. _ Other
Renrinder: Cal! 681-4675 for iuspections. $ 30.00
State Surcharge: .50
Total: $30.50
.
SITE ADDRESS: ~9J, V V I Id~Io W l, r CI .
ONVNER NAME: P h OU n I h Yl V j XQ\4 UOY-lq PHONE U5 I-LI rJoZ - I y 7(p
I:VSTALLERNAME: WD'~~I.PirS SOyT1" ISAc II I"l .°l'*&PHONE#:
STREETADDRESS:
CITY: -~06 Vn I fC. V STATE: ~ ZIP: 15 5 I~
a'j-, ai~~
S[GNATURE OF PERMITTEE
1&FORbIS BLDAIECH PERM1T(RES)- 1999
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR
1999 MECHANICAL P£ftMIT (COMM£RCIAL)
CffY OF £AfiAN
3$30 P1LOT KNOB RD
£AfiAN, MN 55122
(651) 691-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PFdCP-: -
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR 530.00 mioimum fee, whichever is greater.
Processed piping - 530.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (5.50 per $1,000 of nermit fee due on all permitsJ
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENPuNT NA,'v1E (LvtPROVEMENI's ONLY):
INSTALLER`.
ADDRESS: PHONE
CITY: STATE: ZIP:
S[GNATURE OF PERiMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116066
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 992 Wildflower Ct
Lot:5 Block: 2 Addition: Lexington Pointe 8th
PID:10-45092-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Matt Kral
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 -
Kouthong Vixayvong
992 Wildflower Ct
Eagan MN 55123
(651) 216-0468
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature