895 Woodcliff Ct
S i
TY OF EAGAN PERMIT TYPE: ~
J38130 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675 I
SITE ADDRESS: APPLICANT:
! 1F'i: f'i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . D.
, .~ii • ~ <<~i~ , ~ ~ , ~ ~
1' 1 ll q 13 F N t bl f. IJ L.1!\ t~ ~
~ J
PortnR Floldsr Dats Talephone #
SEWE
WATER
PLUMBING
HVAC
~~~p~ctla+ DaN Msp. b
FOOTINGS ~'10~~~
FOUND I _ //l LIC/ !~'~J „"'Y FRAMINCi
ROOFING
ROUGH
PLBC3
AIR TEST 7,11-
ROUGH
HEATING S o e yr
(3AS SVC °f ' .e'
TEST
INSUL
i
CiYP BOARD
FIREPLACE
FlREPLACE 3
AIR TEST
FlWAL PL84
FINAL HTO
ORSAT
TEST
BLDG FlPIAL
DOMESTIC
METER
IRRIGATION
MEfEFi
FLUSH
MJU S
OONDUC17VIlY
TEST
HYOROSTATIC
TEST
BSMT R.I_
BSMT FINAL
DECK FfG
DECK FlNAL
WertifiCate of CcCUpanC~
%itv of Cfagarc
#~eyartweat of Pailbing Znapection
This Certificate issued pursuant to the requirements of the Uniform 8ui(ding Cade
certifyirtg that n1 the (ime oJissuance this structure was in compfinrtce wuh the various
ontinances of the Ciry regulating building consrruction or use. For the fal(owirtg:
uY a~~raao~: SS DWU eldg Permn N. 338Q5
ryx ~ ~~.g o~suk. R ~ rra c.r.~. ~
o~ oreuaainaD R AOEt10Hi Add~ 3459 Wh4HDG7CA9 DR, FAGAN
BmMmg A~ 895 61OMM~' ' CT ~uoliry L3> B 1, GATUMM PONDS 2ND
J c , /-t~ ) : , I
_Bwltlin6~ ul
POST IN A CONSPICUOUS PLACE
.
Address ucac xmmr TFF mpmT Zip 55123
Lot I Blk I Sub GARDEIWD PONDs 2rID
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: q 3g9 Yes No Inspector:
Final grade (6" from siding) V
Permanent steps (garage) ~
Peananent steps (main entry)
Permanent driveway
Pertnanent gas f/
Sod/Seeded gtass
TraiUcurb damage
Porch ?
Basement finish ~
Deck V
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or instaliing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy
~ PERMIT
~ CITY OF EAGAN
. §830 Pilot Knob Road PERMIT TYPE: a u z Lo r. N e
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 8 9 5
(651) 681-4675 Date Issued: 11 ( 0 3/ 9 8
SITE ADDRESS: .
895 WOODCLIFF CT
LOT: 3 BLOCK: 1
GARDENWOOD PONDS 2ND
P.I.N.: 10-28801-039-01
DESCRIPTION:
Bui].diriq Permit Type SF DWG
Bi~iiJ.dinq Woi',k Type NEW
U'BC Occupancy~' 1\ R-3,U-1
~ Conctruction Type, VN
j Zoninq R-1
~ Buildinq Lenqth ~ 66
~ Buildinq Width ~ 45
Buj.lding stories 2
L4ye Code 101 1- FAM. DETACH
~ ~ . .
~ ~J_ J . . . . .
REMARKS:
PLAN REVICWED BY B7LL ADNMS.
S& W PLUMBER: M& W WATER AND SEWER PHONE#753-4383.
FEE SUMMARY:
VALUATION $203,000
Base Fee $1.402.25 MISC. FEES _$1.592.50
Plan Review $911.46 Total Fee $5,007.71
Surcharge $101.50
SAC $1,000.00
SAC % 100
SAC Units 1
Subtotal $3,415.21
CONTRACTOR: - Applicant - sT. LIC. OWNER:
HORTON INC OF MN. D R 14544663 20005657 D.R. HORTON
3'459 WASHZNGTON DR 204 3959 WASHINGI'ON DR
EAGAN MN 55122 EAGAN MN 55122
(,612) 454-4663 (651)454-4663
I tiereby acknowledqe that I have read this app].icatiori and state that the
information is correct and aqree to comply with all applicable State ot Mn.
Zutes and City ot Eaqan Ordi.nances.
~ -
APPLICAN P RMITEE SIGNATURE - SUED BY: SIGNATURE
\
7:t;:t7k7kY,t~;tnYY,OYY,(;,'(X(Y,(Y,(YFY,tJ;t~I7;!>;(3;U;;7;(Y,(7Y7Y);(XC;:(7;~:cY,:;,a; ~r,:rc~;;~;;
CITY OF EAGAN
CASNIER: S TERM?nAL N0: 785
DATEa 11/03/98 TIti7` i5:{.6305
ILi:
K'AME: ri R I-IOFTON INC
225E 3001 835 WOOUCLIFI= C 5,007.71
7
G
Tot,a7 Receipt Arovnt: S,OOi.ii
CR03'!0 i 5
USEF 7:D: MANICY
~;d:XX~m 1k 7%~X"."I' Y,:`g~cw.o..t~a r, yo,•.YYC7Y:;n:ct;;tY;7;:::'::( l:::a;qYY(~,Y7:;
l,
'~''y . "•r1~i~~~~~(._.'J
,
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOS RD - 66122
e81-4e75 9
New Construetion Requirements RemodeVReoeir Reauirements
? 3 registercd site eurveys ? 2 copies M plan
? 2 copies ot ptans (InUude beam 6 window saes: poured Ind. dasign; etc.) • 2 site surveys (ezterior addRions 8 tledca)
? 1 energy celwlations • 1 energy calculetions far heated addkions
? 3 copies of tree prcservafion plan if lot plettad aRer 7l1/93
required. `Yes _Z_ No
DATE: 10 'a'D'--`1J' CONSTRUCTION COST; 1 S~7 Y~'S
DESCRIPTION OF WORK: /IIBw
STREET ADDRESS: giS
LOT: 3 BLOCK: / SUBD./P.I.D. C'rcYaL~G~UUC~ ~tic~S ~H~,
Name: Phone k:
PROPER'CY Lmt F+rst
OWNER
Street Address:
City State: Zip:
Company:&'R, J.V,L-M.il dlh1u Sx Al1Gf- hb»eS Phone SlJ V~ yro~+3 C~,C'~1i~
CONfRACTOR
StreetAddress:3~j__ 5-1r.-?Dv License# ;?-2O0S(o.S7
City State: /Vil Zip: 557,..~
ARCHITECT/
ENGINEER Compeny: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction only): W~+i Penalty applies when address ehang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and Cily ot Eagan Ordinances. ,
Signature of Applicant
R'I~~VLSUV~ n
OFFICE USE ONLY
;
Certificates of Survey Received V Yes/ ~ No OCT 2810
~
Tree Preservation Plan Received Yes No v Not Re ired
OFFICE USE ONLY ` .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
)k02 SF Dwelling ? 07 4-plex ? 12 Muiti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex 0 15 Deck
WORK TYPE
Ok 31 New ? 33 Alterations ? 36 Move
? 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. R. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories ~ sq. ft. Booster Pump
Length sq. ft. Census Code. l01
Depth y t O" Footprint sq. ft. SAC Code
Census Bldg
APPROVALS Census Unit -7 4--
Planning Building -04& Engineering Variance
Permit Fee 1 y 0-D- Valuation: $~o a. 6~6--k5r
Surcharge
Plan Review /y,7 v X /S Z z OS~
License ~
Mcn~vssAC tooo.o~ I sT /4~~SZ/ 0
City SAC Z N,D /G SZ X~~ 0 2'
Water Conn. ~
Water Meter
Acct. Deposit ~S ~~C X~ G y 36
S/W Permit \
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
y 1
pAIi
~0 J
SAC Units
. • RTIWESO'PA STATE ENERCY G4CE GBI,S" ~ATIONS i
• BA9ED Otl CNAPTSR 5 OF Tf1E
MoDEL ENERGY CoDE - 19fl3 EQITI4tl
(I Adoption EPfeotlve
Owner / /f1 / V Phone pat:e__._
Site.Addreas
1 i
contractor s, r' P one---
Bullding classiflcation: Type A1 (Single Family 6 buplex)
Type A2 (ResidenYial, 3 storiee or lees) (Over ] atories) (Otherj
tiOTE: Com- lete oaaes J and 4 firet.
CENE12Ai. 7NFORMATION ybb
1. Building Perlmater. ~ft.
N
2. Wall height (ground to eave) ft.
a. 1. X 2. (above) gross wall area sq.ft.
4. Building dimensions (L) r X(W) I~S4q,ft.zooE 6 flanr aroa .
5. Sq, foot area of rim jo1st - F oor joiot aize (2 X 1_X "(Perimeter) g
_ rt. .12
6. Doors - Area
Thickne s in U. factorr~ 1.
Type of Constructlon Perimeter ft.
. Manufacturer
7. Total doorrs perimetier ft.
B. Windows: ManLk[acturer ~JlU~ ~~71'l' ~ State npproved~
U PactorI ~
TYPE SIZE AREA (Sq.Ft.) NUIdBER OF TOTAI,
F.ACH UN2'I'S SQ FEET
9. Total sq.Et. Glase T~ Z
10, Fireplace ares: Width X Height = X ~ sq.ft.
11. Exposed foundation: Height X Perimeter!al_X~aC)_sq.ft.
C019RI.ETIOti OP THIS FORM IS REQUIREb FOFt ALI. N&W CONSTRtJCTIOtI, MAJOR
REl10DCLINC3 hND BUILDINGS BLZNG f1oVED WHERE Et1ERGY, OTHER TfiAN '1'f1E HINIMAL
CoDE ALLO{9ANCE, IS USED.
G9ij0'd 5:~9~ ZSb ZT9 i 'Jhl1 'O~Ny~d BE:ST h6oL-Tt'i-d3S
'..'1;: F'raminq eren a 10t of groep wall area.
17. Gross wall area ~?3P, 21 eq,ft, .
Windvw area A 33 Z sq.ft, U wlndnWe c, ~6, [7xA =7zt2
Rim joist area Asy. ft. U rim joist= . a4-l UxA =-17',I
poor area A S I sq.ft. U door atea=UxA = 7
other doors erea A d eq.ft. U othor doore=14-7 UxA
C
Expoeed Pndlt A sq.lt, U founaatlon= -j~ UxA =4
~y
Framing area A eq,Et. tl Praming area=, UxA -
Net wall area J+ ~iz 27.3 eq,ft. U wall. 243 UxJ, __gZ!~
(13B) TOTAL . . . . . . - . . Uxl1 = r
14. Gross wall area x 0.11 (A-1 single fnmily G duplex) = nllowable UxA/Code
(1J. above)
x 0.23 (&-2 other reaidentiel) '
x .23 (otlier buildinge) '
x .28 (over 3 gtorioa)
HTUIi muet be larger than or same
H U Code _-j!j . °F. as 13B above ,
15, ceiling framinq area (A£) equnle lOt of ae111ng area
15A. Gross ceiling area =(L) ~ x(W) sq.it,
158. Joist area (Af) q 10t ceiling area sq.ft.
15C. Net ceiling area (Ac) (15A - 15B) sq.ft.
U ceiling x Ac e x ,C7iLZ-
U framing x A f - % • n17
15D. TOTAL U x A
16. Ceiling area (1511) x 0.026 (A-1 dingle femily & duplex)
= ellowable UxA/code
x (A-Z okher realdantial)
x 0.06 (qther)
t)~ BTUH muet be lerger than c>r eame
A(151+)I~l/~? x U Code~ijaF. as 15b above
tfoTE: Use U ant! A values obtained Rtom pagee 1, 3 and 4.
CEBTI~I-C8TI9ii= I hereby certify that I heve oalculated tha "Ull faatnre and
"itII values hereln and that tha buildinq here desoribeA meete or exaeeds the
State of Mlnnesnta Eiiergy Conaervetioq Aok.
bate 9iqnature
~ 59iFR'd 6S9i ZSV ES9 L '.~hll 'O~IdH~d 6S::SS h66T-Ti'-d3S
• ' . i
i? - ~ ~ ~
. . _ . - -
- . _ - . - . . _
. _ ~ - . - -
_:~~ll~._ ~zz.~ -_l~X 9 - ~ - - -
( Ok . _z~----- . . _ - . _
33Z.
. ~ . _
~ 2 .
- - _ _ _ ~'~Z
59%£0'd E59E zSt, zt9 T '?NI 'p;Ndld E£:ST 1,65ti-10-175
R-UALt1E ' U YALUE
• • tnltae air etw .69 • ~
uALL iqterlor woll '-45 (Nall) U - A -
~
SEcTION ~ lnsulrtlon 11,0
_ ~ 5Ng¦tl~ing : ; .04.~
~ ,$Ldtng
. ~ " .
Outelde air Ellm. . .17 o ie:x: '
R T0Tl1l. '
ti ' . • .
t ,
~[n~lde.alr fllm .68
STttD ~ . . lhtetloY wall • ^77 '
SECTION ~ k!, stud R- .&;M (p,'j (Ftwning) U - R .
5hesithing j Z •Oto
stdlns
. outslde Rlc tllro ' .I1
~ y
1'' ' • fl TOTAL
i~' •
~ .
. ~
e
.68
'IpCltIOC MALI
SECTI014. Ipaulatlon . all ) U
~ ~ g" i
,
Exterlor wall cover n
---r Fx[etlor - air fl,lm R ~.11 ~
0. TatAL ~
• ; .f:. : , i
interlor air Itlm R~ ,68
RlH jnYUlatlon 19•OQ :
. j
roIs•r Inch eoEt 5tnod a=1.68 (Rim u k~
doist) .
~ Sheathing x•o~ . d~.{
C .xterlor_~+a~l covering .10~
~ ~ .
•i.
tzterlor' air Ellm R+ ,17 •
; . " •
'R 7'OTAL Z-~ • 44~
j .
~ . + .
Interlat'alj: fllm R= .68
Insulotton 11.0
~
~ ''FounJatlon ~•1^~ ~ (Fdn.) U = R =
~ • Ixterlor etr flim R' .17
!B TOTAL
-"-`~xposed dluck
. I y. . ~ ~ ' '
. . ~Grade 3.
Soi70'd ES9£ ZSr cT9 j '71,11 'OJPINqd 9h:ST r561-'111-d36
I0'd _1t1101
• GEILIi1C FIITH YENTED ATTIC 9Pl~C:E_I$QYE
R VXLUE R VAI.UE
FltAHING ' CE;TLiNG
. 0 61 AirFilm Q_.61
~"l~'• C~ Thsulatian lL. CJ
q ~o1st -
Q 56 Celling a~.56-
0 6j-AirF1lm _n_,51
TotalRrl !-~v
u~i/tt .a2.2
t4indow infiltratlon 0.5 etm/lineal Poot oE orack
Residentfal door infiltratlon 0.5 aPm/equare Poot or dooz and minimtkm code
requirement
tion--residential door lnfiliration ll.o cfm/lineal fant of crack
ub 12" concrete 61nck na insulation °.47 R 2.1
ub 12" aoncrete block lnsulated coras A.26 R].B
Ub 12" llghtweight block =.32 R 3.1
uy 12" 1lghtweighE block insulated corea 4.12 R 8.9 .
U single glass s 1.13; with etorm Window .54
U doUble glass = .55
U triple glass = .41
All exterior walls and aeiling s must have e vapor barrier (O.io perm max.).
Vnpor Darrier mual• bo on tihe ineide (tieateQ eide) of well.
Vapor barrtere of the polyathelene thiii fllm have no R value.
/
S0iS0'd 659£ ZSh 2S9 ti '~NI 103Nt1-1d Ot:SS h66T-Tii-d35
, CERTiFlCATE OF SURVEY M 3 2-18 2 4- 9 8
for
JOE MILLER HOMES
Wescott Road q9o_
~
SS 160.65
8„E g 89~~ - - -
° o
- ~ ~p~~,4c . ~
-------15
(n'
/ t(
6
r
-I
~ ~ 91 N z,,, gp0, I,5 r w
195~
60 ~
931 Z °
z
99~~ g 7 t Eo` 'Az1 g96,-~',J, 9g ~O! ~
19'• w '(04 ~,~5 ~ Si
~G ~ `b B1K~i~ yeA ~d~9
099 bo ' g47,o ~ \y~
At. .19.
~ 9~ g g
5 ~
bV~Ne;,.,\IN~.L9D.5 0 ~
1 4 a ~
~l~i : 4 65•~ ~9G,z6~ ~ ~
r. . ~
{ ~~b~ ~ g9~,~y1
Voodcliff Ct
R- 'E ID,
~ ~ 9Top curb to Gar slab
~.~'zA.Y'd 'NGIIdE,F,R,INQ'irDFpT. Top block
Lowest bsmt flr
Scale: 1" = 30' 895 iWoodcliff Court
DESCRIPTION
I hereby certify thot this survey, plan, or Lot 3, Block 1,
report was prepared by me or under my dirert GARDENWOOD P.ONDS SECpIJ D
supervision and thot 1 am a duly Registered Dakota Count Minnesota
Land Surveyor under the Laws of the State Y, of Mi esota. Plat bearings shown
o Denotes Iron monument
Date OG' 9 Reg. No. 8140 - Existing~ Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
M32-1824-98
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• B ILDING PERMIT APPLICATION
• PROPERTY I.EGAL: ~
DATE OF SURVEY:
> LATEST REVISION:
m J ~
6
DOCUMENT STANDARDS
a ° ~
/o ? • Registered Land Surveyor signature and company
~ ? ? • Building Permit Applicant .
ff7,--~q ~ ? • Legal description
~y ? ? • Address
q0 ? • North arrow and scale
0 0 • House rype (rambler, walkout, splft w/o, split entry, lookout, etc.)
W~C] ? • Directional drainage arrows with slopelgradient %
? • Proposed/ebsting sewer and water services & invert elevation
? ? • SVeetname
L9~? ? • Driveway
ELEVATIONS
Existina
~p ? • Sewer service (or Proposed)
0--,13_ 0 • Property comers
M---~o / ? • Top of curb at the driveway
m~ O ? • Elevations of any ebsting adjacent homes
Prooosed
? • Garage floor
~q ? • First floor .
p~Q ? • Lowest exposed elevation (walkouUwindow)
[9' ? ? • Property corners
p'-~ ? • Front and rear of home at the foundation
PONDING AREA Cf applicablel
? p~p • Easement line
? C9~0 • NWL
? 3~'O • HWL
? M~'o • Pond # designadon
? ? • Emergency Overflow Elevation
DIMENSIONS
~p ? • Lot lineslBearings 8 dimensions
Q,-'13 ? • Right-of-way and street width (to back of curb)
e~---p ? • Proposed home dimensions including any propased decks, overhangs greater than 2',
~ porches, etc. (.e. all structures requiring permanent footings)
p' ? ? • Show ali easemen4s of record and any Ciry utiliGes within those easements
p~ • Setbacks of proposed sVudure and sideyard setback ot adjacent ebstlng strudures
? p~ ? • Retaining wall requireme , if any
Reviewed:
ame !D e
January 1996
CqAIC iypygLpGPitMf.FM
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
C] 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of , plex ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments X 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
O 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
O 32 Addition 0 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
b< 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Inte(or) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION ~
Const. (Actua!) 5•~ Basement sq. ft. Census Code
(Allowable) s-~F Main level sq. ft. SAC Code _J_
UBC Occupancy jj - -6 sq. ft. No. of Units I
Zoning ;R • I sq. ft. No. of Bldgs A_
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
~
Permit Fee Valuation: $-1210Q_
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit 4
S/W Permit
S!W Surcharge ~
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 U•~
651-681-4675
New Consiructlon Reaulrements Aemodel/Reoalr ReavhemcrHs
? 3 registered sHe survey> >howing sq. M. of lof, sq. H. of house 2 copies of plan
and all roofed aieas f20% maximum lot eoveraae allowed) 1 set of energy calculafioro for heafed addiNons
? 2 coples of plans (show beam 8 window slzes; poured fnd. design; etc.) 1 sHe survey for exferfor addHions 6 dec W
? 1 set of energy catculatlons
> 3 coples of hee preservatlon plan H IW ploHed aHer 7/1/93
DATE: ~I r CONSTRUCTION COST:
DESCRIPTION OF WORK: errK 2Af~L
STREETADDRESS: ~,S 5 6Jv0 oe e l /V C~• /
LOT: BLOCK: ~ SUBD./P.I.D. l?: GC~ N C~ F In UJ CSZ~rO I~G~.~~
Name: ` G( Sd~ C Phone Ik:
PROPERTY Lan Ftrst
OWNER Sheet Address: V/ S ~ooo~' e~r 4~2 jl~? •
Ciiy State: ~w Zip: J ~~a 3
Co any: Phone
(area code)
CONTRACTOR
Sheet Addreu: License N Exp.
City State: Zip:
ARCHfiECi/ /
ENGINEER Compdny: Name:
/
Telephone k: area code ( )
Sfreet Address: Regisfration
City State: Zip:
=~r
Sewer 3 water Ifcensed plumber (reaulred for rtew construcflon onlvl:
I
Penalty applles when address change and Iot change Is requested once permk Is Issued.
1 hereby acknowledge lhat 1 have read thls appllcaflon, state that }he fnformaHon is cortect, and agree fo comply wHh all appllcabl
5tate of Minnesota Statutes and Clty of Eagan Ordlnances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No _ Not Required
~ CITY USE ONLY
L ~ BL I RECEIPT#: Q
`7`C5~-/
/J/~ne
SUBD.I LY RECEIPT DATE.
1998 PLUMSING PERMIT (RESIDENTIAL)
CSTY OF EAGAN
3630 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
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x /
Water Closet 3.00 x
Scth Tub 3.00 -
Lavatory 3.00 x
Kitchen Sink 3.00 x = 300
Laundry Tray 3.00 x
Hot TublSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x cTv
Gas Piping Outlet ' minimum - 1 3.00 x
Rough Openings 1.50 x W
Water Softener `for dweilings under wnstruction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler 'tordwellingunderconst. 3.00 =
U.G.Spfinkler 'torexistingdwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
TOTAL ` ¢;5b
-
I hereby acknowiedge that I have read this application, state that the information is co~ect, and agree to mmply wRh all appliwble Ciry ot Eagan ordinances.
It is the applicant's responsibilily to notify the property owner lhat the City of Eagan assumes no liability for any damages caused by the City during its
normal operatwnal and maintenance aclivities to the facilities construcled under this permit within Ciry propertyJright-of-wayleasement.
SITEADDRESS: Y~P~ /NUUQC~~y~ Li7-
OWNER NAME:
INSTALLER NAME: 09'PyIZ- &Q-?) TELEPHONE ~I-
STREET ADDRESS: I~7~S S RD~J~"~G T~
CITY: & `Pi7'10/,ln ~ STATE: ZIP: ~SD ~S
SIGNATURt OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
CITY USE ONLY
LOT ~ BL ~ RECEIPT t7: 7' 9W
SUBD-.~..c~.~'u/~/~ RECEIPT DATE:
199$ M£CfIANICAL P£RMlT (ft£SID£N1'IAL)
C!'[Y OF £AfiRN
3$90 PILOT KNOB RD
BAcfilkN !IN 55122
(612) e61-4e75
Date•
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 U $ 24.00
ADL'il`ITGNAI. 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) ~0 DO
. State Surchazge: .50
• TOTAL:
Complete this section on/v if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minnnum fee anplies to all remodel or add-ons of existing residences $ 20.00
State Surchazge , .50
Total: $ 20.50
SIT'E ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME: PHONE ~ (p v - (o (D
~
STREET ADDRESS:
C1TY: 1 J-Q _ STATE:I n VU ZIP:
S)GN TURE OF PERMITTEE
JS/FORMS SLD/MECH PERMIT (RES) - 1998 /
f
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1998 M£CfiRNICRL P£RMIT (CO1NM£itClikL)
CITY OF EAfiRN
3$30 PILOT KNO$ RD
EAfiAN, MN 55122
(61E)681-4675
Please complete for: all commerciai/industrial buildings
muki-family buildings when separate pertnits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TY?'E: TIEW COTISTDUCTION :N; ER[UR iATYRuvEniENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of oermit fee due on all persniu.)
TOTAL
- - - - - - - - - - - - - - - - - - - - - - - - -
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
l CITY USE ONLY
L ~ BL t RECEIPT#~~-o I Uo
SUBD aQV& RECEIPTDATE: l Q('-~-~a ' ( ~
PERMIT #
1999 PLUM$INF PEiMIT (RESID£NTIAL)
crrYoF snsAu
3830 PaoT xNos Rn
e,?s,e?iv, Mrr 55122
(651) 681-4675
Please wmplete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ges t in OutlOt " minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $'!x .C
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S slem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water Softener if dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
Total $ 3C~ •5
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I have read this application, shate that fhe infortnation is co~ect, and agree W compty with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibility to notiry the property owner that the City of Eagan assumes no habihty for any damages caused by the City during its
normal operational and maintenance activities lo the facih6es constructed under this pertnit within Ciry property/right-of-wayleasement.
SITEADDRESS: Cf. ,~A ,
v
OWNER NAME: : z- Ci f s' d n TELEPHONE CSS/- 6~~ - 3 SS a
(AREA CODE)
INSTALLER NAME: TELEPHONE
STREETADDRESS: (AREACODE)
CITY: ~ 4n STATE: /VZIP: SSia3
v
• ~(~~L .f °'`1
SIGNAT E OF PERMITTEE
~q4?31~ 2007RESIDENTIAL BUILDING rERNuT arPr.icaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstrucHonReauiremenis RemodellReoairReauirements ' OfriceUseOnlv
3 registered sile surveys showing sq, fl. of lol, sq. fl. of house, and all roofed areas 2 copies af plan showing (ootings, beams, joists Cert o} Survey Recd _ Y_ N
(20%maximumlolcoverageallowed) isrAofEnergyCalculatlonsforheatedadditions SoilsRepoA Y_N
7 Soils Report if proposed building is lo be placed on dislurbed soil 1 sitesurvey tor addifions 8 decks Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes; poured tound design, ek Addifion - indicete ifonske sreptre sysfem Tree Pres Requlred _ Y_ N
1 sel of Energy Calculalions On-site Septic Syslem _ Y_ N
3 copies of Tree Preservation Plan if lol platled afler 7/1193
Rim Joisl Delail OpUons seleGion sheat (buildings wilh 3 or less units)
Minnegasco methanical venNlalion form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date '~2 / ~ / ~ Conshvcfion Cost _ /Q , G rjQ ,
Site Address _ ~`/5 Wo oc r ~ Unit/Ste #
Description af Work Re f,o r~'Y
MuIH-Family Bldg _ Y r N Fireplace(s) _ 0 1 2
Property Owner /7~z &5~ ~M,m eS We2 ?'`Zjrelephone # (&$J gay y6
Contractor AQ V/,..2A/Ae MpC/ P1-/l
Address qlv / S'/ L-lee / 1_( City ~
~
State xlevv ZipTelephonetf(~/) ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category --M-innesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672
(J submisslon type) • Residential Ventilation Calegory 1 WoNcsheet . New Energy Code Worksheel
Submitted Submitled
• Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pian8
- Y _ N If yes, da}e and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Wqter Contractor 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 understand this is not a pernut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
, ~ P hePJ`~o l/ ~
Apphcant's Printed Name App cant's Signature
411°
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use Permit#: /z/ /�13
Permit Fee: 7, J 3
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: C 7' Unit #:
RESIDENT /
OWNER
CONTRACTOR
Name: 0P E (774t/g.Phone:
Address / City / Zip: (95 0) 0 0 id/ //c'f
Applicant is: Owner Contractor
Description of work:
Construction Cost:
ati 1f 4,
25 0
Multi -Family Building: (Yes / No .-A". )
Company: /2--e ‹-- 0 r- al i ®,1 AD 17 Contact: X -Co
Address: 0 49 (r/ it -c-- /Ix' City:
State: /n l't Zip: _rS/ 7 I Phone: G S—
to `f —
License #: �C 3,4" /r2 Lead Certificate #:
If the project is exempt from lead certification, please explain
why: (see Page 3 for additional information)
t (i'1I / /l 6 ` �U' f' 7' a /% U /77 e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information may be classified as non-publicifyou provide specific reasons that would permit: the City"
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.qopherstateonecall.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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Bu' ding Code must be complete;; ithi 80
days of permit issuance. `
fa" x `
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi Deck
01 of _ Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
3ay.4
/1314
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Drain Tile
Roof: Ice & Water Final
tt Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES"
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
v0 �
�r7 JK
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
at -Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
L HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _
Siding: _Stucco Lath _Stone Lath _
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
Final
Brick
Final
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123206
Date Issued:06/02/2014
Permit Category:ePermit
Site Address: 895 Woodcliff Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 2nd
PID:10-28801-01-030
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Chareles Stuurop
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 -
Robert Evrard
895 Woodcliff Ct
Eagan MN 55123
(651) 289-2231
Signature Select Contracting
1232 Juliet Ave
St Paul MN 55105
(651) 248-4994
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149468
Date Issued:05/23/2018
Permit Category:ePermit
Site Address: 895 Woodcliff Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 2nd
PID:10-28801-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Robert Evrard
895 Woodcliff Ct
Eagan MN 55123
(651) 491-3144
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149469
Date Issued:05/23/2018
Permit Category:ePermit
Site Address: 895 Woodcliff Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 2nd
PID:10-28801-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Robert Evrard
895 Woodcliff Ct
Eagan MN 55123
(651) 491-3144
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154595
Date Issued:04/03/2019
Permit Category:ePermit
Site Address: 895 Woodcliff Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 2nd
PID:10-28801-01-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Robert Evrard
895 Woodcliff Ct
Eagan MN 55123
Riverside Mechanical Inc
12460 Zinran Avenue
Savage MN 55378
(952) 894-7600
Applicant/Permitee: Signature Issued By: Signature
l-For Office Use
t •
t ��i Permit#E AGA N
:
�y�
Permit Fee: 3‘
RECEIVED Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 MAR 2 8 2019 Staff:
buildinginspections(a�cityofeacian.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION IA, \
Date: 03/26/19 Site Address: 895 WOODCLIFF COURT Unit#:
Name: ROBERT & RACHELLE EVRARD Phone: 651-341-8187
Resident/ 895 WOODCLIFF COURT
Owner Address/City/Zip:
rk.,
Applicant is: Owner V Contractor
I
KITCHEN&MAIN LEVEL REMODEL PER PLAN,MOVE LAUNDRY TO UPPER LEVEL,INSTALL NEW WINDOW.
Type of Work Description of work:
Construction Cost: $87,500.00 Multi-Family Building: (Yes /No V )
Company: MCDONALD REMODELING Contact: KELLEY BARKER
Contractor
Address: 6015 CAHILL AVE EAST#100 City: INVER GROVE HEIGHTS
State: MN Zip: 55076 Phone: 651-289-26Z Email: kelley@mcdonaldremodeling.com
License#: BC 205832 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
BUILT AFTER 1978 3j4,-,; /,y c79
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.qopherstateonecall.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 of plans.
x KELLEY BARKER x011Z �
Applicant's Printed Name Applicant's Si at.ire
• <6- j (4)04cl , C- > q --I?j
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family)
* Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation »eV Occupancy I RG ._/ MCES System
Plan Review / Code Edition �p/c SAC Units
(25%_ 100% t/ ) Zoning 7? -i City Water
Census Code I-f 3 6I Stories Booster Pump —
#of Units ) Square Feet ^ PRV _
#of Buildings / Length Fire Suppression Required _ —
Type of Construction Width --
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test ,y- Gas Line Air Test > ,Hood
Roof: Ice Water Final Pool: Footings Air/Gas Tests Final
Framing0 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding: Stucco Lath Stone Lath Brick—EFIS
„ - Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: „ / , Building Inspector
RESIDENTIAL FEE 3 71 Øniri#'+Base Fee 7�
Surcharge 7S.0 /40.4x/CPgal- 1 �7 � 60
Plan Review /3 4 T'
MCES SAC / wAh)
City SAC / .0
Utility Connection Charge
S&W Permit&Surchargeroe
Treatment Plant
Radio Meter Read
Copies y( 5. /e4
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169028
Date Issued:05/12/2021
Permit Category:ePermit
Site Address: 895 Woodcliff Ct
Lot:3 Block: 1 Addition: Gardenwood Ponds 2nd
PID:10-28801-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert & Rachelle Evrard
895 Woodcliff Ct
Eagan MN 55123
(651) 491-3144
Twin Cities Contracting Services
140 W 98th St, Suite 202
Bloomington MN 55420
(952) 405-6201
Applicant/Permitee: Signature Issued By: Signature