4433 Woodgate Pt
C7r CTTy pg-E;,qC.r1A7 Include 2 sets of plans,
~ ~ 1 site plan w/elevations &.<` gUII,pING PERMIT APPLICATION 1 set of energy calculations.
Th se vsea ror 5F b w o0.C- Valuation ri ~ 0 ll ~ Date S- ~f 3
site Aaaress yq33 LJoC)~*AE Pok-AA- ` OFFICE USE ONLY
Int !y slock sec./sub. T,baro,~ L~'- -Py.ec.e X_ occupency
Parcel Alter Zoning
Repair Fire 2one AIA
oc.mer: DENwi S Enlarge _ Zype of Const. _
Nbve # Stories
Address: P-o c.A-,P-- ~ Demlish Fmnt /a61 ft.
City/2ip Code: Akc r@ c- 55 7(P U Grade Depth ft.
Phone "7 Io`6 - a S'-l Y 3ot -oo0 C3
APPROVALS FEES
ContracY.ur: u' e~ Assessments Pem~it
Surcharge ,
l4ater/SE*aer ~f
Address: w~ police Plan Check f~
City/Zip Code: v S S ~ G`t Fire SAC
g7g. Water Conn.
Phone Planner Water Meter ~
Council Road Unit -5 op
Arch-/Eng• ; Bldg. Off.
Adclress: APC
City/Zip Code: _
TOTAL
Phone n:
,
1 i~
CTO L/
L~~Ig~l ~~~~~^o~ lg~- . . ...M_.._
HOUSE'HEATING. TEST RECORD
' ADDRESSqqJ3 APT._FLOOR CITY SUBURB~,
OCNPANT OWNER ~ ' HEAT 1055 DATE HTG. INST.
SOLDBY INSTALLEDBY~~~ ~Z~1 tYIEC~JI~' --.y+
. Elechical Work By Gas Line By
TYPE OF HEAT GA -FA HW -STEAM ._.-_SPACE HTR. -UNIT HTR. -OTHER
GAS DESiGN CONVERSION
MAKE MAKEOFBURNER
~ Model 7~LIl C O~Q Model ;40
Ssrial~~~ L~ig Mo:. BTU Rating
, INPUT ~-_-C3QC::R f3l~U - MAKE OF FURHACE
• Model
CONTROLS ' THERr O-,ST!
~i Heat Plug Vent Siza
' ValvelJ~ ~ KINDOFLINER SIZE NONE Limit Drah Hood Reyuloror
limit 5sttin9 - Filrors Sizs Number
0
Fan Setting Chimney Location Inaida Outside -
Pilot Type Chimney ConstruNion " Pilot A1aks `~t-W-E^S--
Pilot Model _ $moks Bom6 Wiri^9
Pilot Timing Draft Test Taq
. L.W. Cul Off2 / ( Door Pressuro Lighting Insf.
Prossura
iJ( ~J `VPercant CO~ Data TesTed
+p11
IrryutCFHPercent 02
Stock Tamp. Compony Testfng
Nama of Tssr
rnt CO N
~Ps ce
Fwm 235
. . ' . . w=1"K:. .«n'§,.a:. t - .xe .
~-..l" y_, ~ ^ . . ."l. "--•y~.?'.i....., ,~,a.w _ , L,,,,-._ _
E?daN ~T 8178
9795 Pikf Kne6 Rmd Eegan, MN iit41 lr ? PHONE3 454-8100 BUILDING PERMIT Receipt #
Te M used for SF DWG/GAR En yalue $63,000 Date June 21 83
19
Site Address 4433 Woodkate Point
14 1 Tiberon lst E`QCt ~ ~cu~^h' R-3
Lot Blxk See/Sub. Aiter ? Zoninp R-1
Porcel # 10 Repoir ? Fire Zone NA
0' ryorne Dennis Gelhat Enlarye p Type of Conat. V
Z Move ? Srories
9 Addrea 7668 W. 150th St. pe~~ish 0 Length6(L
C; Apple Valley phone 432-0000 Grode ? Depth25_Sq. Ft.-
}p Name OWner Apworals Fees
u
Addrea Assessmenf Permit
s~ Qt phom Water 8 Sew. Surchorge 31.50
N°^10 Police Plan check 161.00
G
P. Fire SAC 525.00
~Z ~re~ Erg. Water Conn. 450.00
<W CI Phone Planner Woter Meter 60.00
Council Rood Unit 250.00
I hereby acknowledge that I have reod this application and stote ihat gldg. Off.
the intormotion is correct and agree to comply with oll opplicobla $1799.50
State of Minnesota $totutes and Gry of Engan Ordinonces. APC Totol
$ipnoture of Permittee
A Bullding Permlr Is issued to: Dennis Gelhar
on tha express con6itlon thm
oll work sholi be done in accordonce with all ooJo'1i'~C'1pb~le~StaM o Minneao
Bulldino Statutes ond Ciry of Eagon Ordinances.
Olficial - ~X-L~~ y~
-•~Z
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_nq
' Sae instruelians for completing this torm on back of yellow copy.
"X" BeloO N a ~6~ vered by 7his Request .3(v
Atld PeD. TVpe ot 8uiltling Appliuncas Wiretl Eauiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloa(ler
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm ther pea v ther 15necity)
1 2r peci y Othor Other
Compute lnspection Fee 8e/aw
p Fee ServicaEnhenceSize !t Fee Faeders/Subfeedars IX Fee , Gimoils
0 [0 200 qm s 0 to 30 Amps a 0 0 to 30 Amos
Above 200 qmps 37 to 100 Arnps J ~,O 31 to 100 qm s
Swimming Pool A6ove 100_Amps Above 100_Am~s
Transrormers Irrigation Booms ~$p Partial'Other Fee
RIMEY, Signs Speciallnspection S
Remarks i TO 4 FEE
a•
Aouah.;n
me ohicnl
A;V Inspectoq hereby
Final ' Unte carti(y that the above
InsDeation has bean
TBdB.
This reaueat voltl 18 monlhs Irom
This re9uest vaid q ~f
18 months tmm
G,~ .7~362
Henuest Date Fire No. Houuh-in Inspect ion
Required? C]Ready Nuw Q Will Notify [nspee-
1 ?1'es ?NO mr When Featly
-icensed EI¢cVical Contraclor I hereby repuast insPaclion of ebove
? Owner electrical work ins[alled et:
$vaet Address, Boz or Route No. Ciiv
3 W ~'4 (,An!
a uo o. Township Name or No. Ranee No. CountY ~D 101P16
Occupant (PFiIN7) Phon No.
or iF 01ti-RAP
Power $upplier Addre s
/440t,
EI¢c[~yris ti•w+•-v'1 1LS.iv ~r~~,.].y~yGyl{,~pm~I~yIlV~nl+~ Co actor's License No.
11 ~
--•Y.' ~ t.^i +-.rt T
Mailing AtlJ
AIMT-E aMduAr+pW B np 1~~t~~ytypr~
( l ' j L
1t::"y :'.3 1Gk
A11L:.) J ~ . 9
Auffioriz~ Igna}yr m~or19TMc U I Ide I Phone Number
11
L11LY ~L/11
MINNESOTA STATE BOAND OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Grigas-Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 UniveraitV /+ve., St. Paul, MN 66104 UNLESS PHOPEH INSPECTION FEE IS
. ,e,.I ..e-...... ENCLOSED.
. . ~ . . _ .,4..,
. C1TY OF EAGAN .-.U
~ 3795 ~Ilet Knob Road Eogsn, MN 55 122 •
PHONE: 454-8100
BUILDING PERMIT Receipt ~qt
To be o.sd for SF DWG/(7AR Esr. Value $63,000 pore Jur_e 21 19 83
Site Address _ 4433 koo3gate PuitZt
14 1 Tiberun lst Erect ~ Occuponcy --3
Lot Block 5ee/5ub. Alter ? Zoning R-i
Parcel 1o _ Repoir ? Flre 2one YA
1)eunis Ctlhar Enlarpe p Type of Const. v
ae Name Move p # Stories
; Address 7568 W. 150th St. DemoIish
~ A» le Va11e 432-0000 ~ ~ngth ~
Ci - n Phone Grade ? Depth 2 .LSq. Ft.
o fYame Owiier Approvals Fees
o~ Address Assessment Permit •
UWater 8$ew. Surcharqe 31.50
~ Ci Phone~r ~.oAE - 53l0-43q '1fi1.00
Police Plan theck
FW Nome Fire S,e,C 525.00 ~
~a Address Eny Water Conn. `'50. Od~
<W Ci phone Plonner Woter Meter 60 . r0
Council Road Unit ~y~• d~
1 hereby ocknowledge that I have read this opplicotion ond stote thet Bldg. Off.
the informetion is correct ond ogree to comply with oll opPiicobie S~7g9,54
State of Minnesoto Statutes and City of Eogan Ordinnnces. aPC Totu! _
-
Siqnoture of Permittee
enn os :e tiar
A Building Permit Is issued to: an the express condition tFxii
all work sholl be done in accordonce with oll oppliaoble Stote of Minnesote Stotutes and City of Eagan Ordirwnces.
Buildiny Officiol ~ "
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 3~j02~ • v i~ 17 ~~D ~f $"'?j
H.V.A.C. -j(0 t0(0
Well
Water
Disp. .
Sawet
Electric wo723(O2 ((~i'lqlitifL- ~l -113
Inspection Date Insp. Other
Footings
Foundation
Framing , ~ C = i , 'f~a d~ t.
Rouph Plbg. _Z j_
Rough HVA
Insulation
Final Plbp.
Fina1 HVAC f
Finai
Weter Describe Loeation: .
MYeI I "
Sewar ~
Pr. Disp. -
Receipt - ' PWMBING PERMIT Psrmit No. ~
, CITY OF EAGAN Fee ,
Fill in numbered spaces S/C
Type or Prini legibly Tot. .
1. Date - 2. Installation Cost
3. Job Address~-4 ~ -D ~ Lot~Blk. ~ Tract
4. Owner ,
5. Contractor Phone - -
6. Address .
7. City • , State Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory
Softner
Shower Wel I
_L Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No. -.-,i-,
CITY OF EAGAN
• ~ Fee -
Pill in numbered spaces S/C
Type or PrinL /egib/y Tot -
1. Date 2. Installation Cost
3. Job Address`' Lot Blk. ~ Tract
4. Owner
5. Contractor Phone
6. Address • ' ' c
7. City • State Zip .
8. Building Type: Residential Lrl Commercial O Institutional O
9. Work Description: New Add ? Atter ? Repair ?
10. Describe Fuel Type
11. No. Equjprnent STU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is youK. permit when,numbered and approved.
,
Approved -,GLTY OF EAGAN 454-8100
...j
CASH RECEIPT .
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RtCmV6D i ~
F
/ A OUNT $ I
& DOLLARS
~oo
~ CASH ~ CHECK
FOR
1-
FUND COD6 AMOUNT
Than You
~ BY
~ White-Payers CopY
~i Yellow-Posting Copy
Pink-File Copy
Reoeipt MECHANICAL PERMIT Perht~t No. L` r
CITY OF EAGAN ' t Fee u~:--
! j
Fill in numbered spaces . i, S/C
Type or Prini /egib/y " Tot.
1. Date 2. Installation Cost
(,Uo d a
3. Job Address y1/3 a~ Lot"' Blk. . Tract
4. Owner ,~`~f]2 ) - /'7`Q/?~ PS -
' i
5. Contractor Lbek 2 e l/).)Pc" ~l Phone
. ' '
6. Address ~G 00
Z
7. City State Zip
8. Building Type: Residential ~ Commercial ? Institutional O
9. Work Description: New ? Add~ Alter O Rlpair ?
'
10. Describ4-
c,/? T~. p- ~Lt~./ F'uel Type~^
11. No, Eauipment 8TU - M. Ea. No. Equiament CFM
~
~ Forced Air Air Handling:
Mfg. .~l,r
Boilers Mech. Eochaust
Mfg. i
Unit Heater
Mfg. Other
Air Cond. ~
Mfg. ;
Gas, Piping Outlets ~
.
i
12. I hereby certify that the above information is true and correct, and I agree to
comply wi-O all or inan(js and cdes governing this type of ~ork.
Signed :
a for
Rough - Finel j
Inspectios: Date Insp. Date Inip.
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 464-8100
• J l
CITY OF EAGAN Remarks
Addition TIBERON ADDITION Lot 14 slk 1 Parcel 10-76400-140-01
Owner street 4433 iMO0DGAlTE POINT OT stace EAGAN hlld 55122
Improvement Date Amount Annual Years Paymeni Receipt Oate
STREETSURF. 1977 307.21 30.73 10 61.45 A013393 12-30-83
STREETRESTOR. ~ 1981 9 190,65 5 190.68 ~t n
GRADING
SAN SEW TRUNK 2 34.34 A013393 12-30-83
tr SEWER LATERAL S tl 899.87 to
WATERMAIN
• WATER LATERAL SLllb 1979 iS
WATER AREA 2 59.90 A013393 12-30-83
STORM SEW TRK
STORMSEWLAT dl~cl Ivi 1981 79.71 15.94 S 15.95 A013393 12-30-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36596 6-21-83
WATER CONN. 450.00 « to
BUILQING PER.
SAC 575-00 n n
PARK
CITY OF EAGAN SEWER SERVICE PEWT
3830 Pilot Knob Road pE~?~T NO.:
P. I~. Box 21199
Eagan, MN 551~i No. of Units:
Zor+iny:
Gelhar uoate s
prvner:
Address: 44 ate pt I1u isl Tibercn lst
$ite Address:
,-r z P ~ 10~?.OG
Plumber nd
. ~
425.04 Pa
I .9e« te ownnM wkb w° G'r °f E°'°" Co"nection ~°/~ccount DW• .
Or~in~~. Permk Fee: ,
$Urthar0et '
, Misc. U+oro~ I
By Totnl:
Date of Insp.: poTM Paid: ,
I nsp.: '
CITY OF EAGAN WA?TM SERVICE pBMR
3830 Pilot Knob Road 4L' f'f.
PERMIT NO.: 7J t3~~3
P. O. Box 21199 p/~TE:
E~igan. MN 55121 1
R1 No. of Units:
Yonina: Gelhar Homas
pwner.
A,ddrass: ~ 33 Wao atie Pt Ll Bl :iberori lst
Site Addross: *to t 7 P lumb in
Plumber: Ca 50.00
Connectia+ Char9e:
µst~r No.: peposit:
10 . Qd pd _
Permir Fee: , 50~d
Reader No.:
I G/rM ee ae~dfi whh 1M CN1t of lop" Surchorge: GC. a0 1~ a1a'ter
1Vlisc. Chorom
' Oir~lMSaw Totoi:
pote Pald:
BY irap.:
Date of Insp.:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
~ ~ • City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons4uction Reauiremenis , RemodeUReoair Reauiremenls
3 registared site surveys showing sq. fl. of lol, sq. it. of house; I rp ed areas 2 copies of plan GeT10F $urcE+/ R~ecc{ Y t~
(20% maximum Iol coverage allowed) 1 set of Energy Calculations for heated addhans ~:r~a~r'e~1"PIat11~ECd Y~k
2 ctpies of plan showing beam 8 window sizes; poured foun n, elC. de survey fw additbns & decks ~ree Pres Be~yuiied N
L% ~di - rndicefe 0 on-sife sepfic system . (Jh+3~te 3ephc~j+StefA `f: (J
1 set of Energy Calculations
3 copies of Tree Preservalion Plan if lol plafled eker 711/93 Mq R I ~
Rim Joisl Detail Oplions seleclion sheet (buildings wilh 3 or less unils) 3 2QQ8
Date -A/ 2,c) ! _j[0 Construction Cost VC~0n
Site Address ~ l A 1c~~~oCaAT~ ~ UniUSte #
~
Description of Work ~
Multi-Family Bldg _ Y z~-- N Fireplace(s) _ 0_ 1 _ 2
Property Owner 1,,`, Telephone #((,pSl ) 3-13 O0 CD
Contractor ~vt-v.7 i ~is yCzC. S
Address 10C» la-) CO~),:>~ r- City S~DP~~J l~isJ
State Y`{V~ Zip ~Q Telephone#(&Sl)2~~'-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Nfinnesota Rules 7672
Energy Code Category . Residential Ventllation Category 7 Worksheet • New Energy Code Worksheet :
(Jsubmisslontype) Su6mitted Submitted
. Energy Envelope Calculations Submitted
Hrne you previously constructed a building in Eagan with a similar plan? _ Y _ N If so. 255'o plan review
fee applies
Licensed Plumber Telephone )
Mechanical Conhactor Telephone J
Sewer/Water 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 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.
Applicant's Printed Name Appitcant's Signatu
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex . 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex-.. _ O 76 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01of_piex ? 03 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OB-plex O: 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. "
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int lmprovement ? 38 Demolish lnterior ? 44 Siding -
? 32 Addition ? 36 Move Buildin9 ? 42` Demolish Foundation- ? 45 Fire RePair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 ReplacemeM 'Demolition (Entire Bldg) - Give PCA handout to applicaM Valuation Occupancy MCES System
Census Code Zoning . City Water
SAC Units Stories Booster Pump .
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Foorings (addiUon) _ Plumbing
Foundaflon HVAC
Drain Tile - Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulauon _ Retaining Wall. ;
Approved By: , Building fnspector
Base Fee
Surcharge
Plan Review
MC/ES SAC .
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Planf '
License Search .
Copies
Other
Total
RESIDENTIAL
r~ rL 7~ ` BUILDING PERMIT APPLICATION
:J ~ CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWetlonHeautremeMe BemadeVHanairBeaulrementa 1 1~ .79
• 3 repistered stte surveys showing sq, fl. of bt, sq. ri. ot house; antl lift ruofeC areas • 2 coples of plan ~
(20% mar.imum bi coverage eibwed) • 7 Set of Energy Calalaihns for heated adtlttions
. 2 copies af pl2n showlnp beam & wirMow slzss; poured fourid Oesign, etc.) • 1 stte survey for eAerbr adtlAbns 8 decks
• 1 set of Energy Calculatbns • Indiqte if home served hy septic syslem for addilbns
• 3 coples of Tree Preservatbn Plen if bt plattetl afler 7/1199
• Rim Jolsl Detail Optbns seleclian sheel(bldgs wnh 3 or less unfts)
0
~
DATE Co~ /d2 VALUATION 000 1J
SITE ADDRESS W33 C,JdY30 6/1TX: T -1 MULTI-FAMILY BLDG _Y I-IJ
NPE OF WORK ~ile 1200F lQq5(l~S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT f1rnE2rc.ow /~u~<s?iw~ ~O/~JTK.~cTO~'S IN(' -
STREETADDRESS iaay7 u~LQ«~y- c~~ ~ CIN ~,+eNSVi~~~ STATE~i'JZIP SS23~
TELEPHONE #`/5a-7o~-6~59 CELL PHONE l FAX #9S2}~
PROPERNOWNER --I01LC TELEPHONE# CS/'4/SC-J ga??
COMPLETE THIS SECTION FOR °NM- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 GATEGORY 1 MINN rrg5VN JLES!Y6yg (d submission type) • Realdantial Ventilation Category 7 Worksheel Submitted New 2 8 ZDOI u d
• Energy Envelopa Calculations Submitted U
Plumbing Conkactor: Phone # BY
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Contracfor: Phone A
Mechanical system includes: , Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge ihat I have read this applfcation, state that the informatlon is correcT, and agree to comply
wfih all applicable State of Minnesota Statutes and City of Eagan Ordlnances.
Signature of ApplicaM AC,
._.e---....._.-----------------°---°-.._._._........._.Y.o.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
I
OFFICE USE ONLY 1' '
? 01 Foundation ? 07 OSplex ? 13 16plex ? 20 Paol O 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi
? 03 01 W_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 D8-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex 0 12 12-plex PI6g_Yor_N O 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 O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WlndowsfDOOrs
? 34 Replacement "Demalltion (ErHire Bldg only) - Give PCA handout to applicaM
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) FinaUNo C.O.
_ Footings (addition) _ Plumbing ' -
_ Foundation _ HVAC
_ Drain Tile Other
RooF _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas TestsFinal
_ Framing _ Siding Srucco Stone '
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retsining Wall
Approved By , BuiWing Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /O
DATE:
~LCi~ ~..~_..u:
RESID~~71'~AS~~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
'71 LAVATORYSINK 3.00
OWNER NAME:
/ LAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA ' 3.00
WATER HEATER 3.00
LDT:~ BLOCK I SUBD. _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER _
F~ WATER SOFTENER 5.00 ~
CITY: ZIP: PRIVATE DISP. 15.00
~ U.G. SPRINKLER 3.00
PHONE fl- ~ ~ I
SUBTOTAL S
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE ~
a TOTAL: $ `5'S0
Cp~iM$RG~AL(iNDIISTR~AI.;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1% OF CONTRACT FEE.
STATE SURCHARGE - $.SO FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
~
Determine vrorlcing square rov",o
1. Total exposed Mal l area I q I 5-5 sq. ft. x .18 a~
2. Total roof/celling irea (033.56 sq. ft. x .04
~ Total exposed wll area abore floor • I fe9
a. Total wa11 wlndo?r area 152
•
b. Total door area
c. Total sliding glass door area
d: Total fircptace wa11 area '
e. Total Kall framing area (average 1E1x)...:........ f. Total net wa11 area above floor ! i. •
` g. Total rim 3o1st area 134
_
Total exposed foundation area ~ $ 5.5
h. Total foundatioa windaw area
- t. Toa] net toundation area abpve graEe
Determine "U" value of each ?ratl seyment. ~
. i
a. I SZ X"U" ~ 55 3, lp
b• 3FS X MUM .134 . c. yq x "u".~..._ • 22 -
' . ' . ' d. A Y III~Y , S . . . . ' ' _
V
I~~
e.~ I l ~ ..L ^ NV
I~~~~ _ . • . . ' .
f. 13 is. s xmuN • o~S~'- . 4.zr ~
x Mu°
n. - x .UN
I. 85.5 x "u• qO.Oy
~
' s 1.a.! 5 : 5.. . .rocal
,
If item #3 is the same as, or less than iteu~ 01. you have met the intent
of SBC 6006(c)2. ~
~ - _ ~ ~
. ~ Tota1 exposed roof/ceiling erea 1033.5
B
. - • .
Total gross roof/ceiling area ¦ I033,9B .
_ 3. Totat slSylight area
-
k. 7ota1 roof/ceiling framing area
1. Total net insulated roof/ceiling area....... R3o.tst Determine "U" value for each roof/ce11in9 segment. J. _ X NUN ~ -
k. ro3.3sa x•u• , 035 • 3,1e 1
~
~ 1. 930,22'Z X"U" 103 m 77•9
4.......... ....~.Q.~l~•.S$......Total ¦
If total of /4 1s the same as, or less than 12, you have eiet the tntent ot
SBC t:006(01,
To utiltzed the total envelope system method, the values estabtished by the
sum of items i3 and 04 shall not be greater than the sum of iteras 11 and /2.
.
li
1. + 2.
;
3: + 4.
lUl4IIIeLS 13~r~r. Esaistanae
Ezterior eir ,10
SlQins Material .45_
SRsaihibq -A -
=a,sulatioa Jq
Sbeetrock ~
Interiax Air ,
YtuIIs .
Aiw
Ceno, t].ks.
'I
~
-----------i
. ~ ~ For O~ce Us
, Permit # l 5 ~
City of Eapn
~ 01,
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i Date Received: j
Phone:.(651)5I5-5625
- 1 staff: --f~~.:...---•_.,..._..._.
Fax:(651)675•5694 I i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:7/2-/ i C&~ . Site Address: Ti Ex .
Te . U&CQ Suite
RESIDENT 1 WNER Name; L.11JQA iia4 i!~ Phone: .
Address / City / Zip: V'~bC) 7 .
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: Ra 'lp
Construction Cost: 7 0,0-0 Multi-Family Building: (Yes No ~J
CONTRACTOR Name: S'1ajh`zj" t".g License#:;PSG `LU~"°1bsC%~7
Address:
City: 'bw R! -4/L~ , State: A]i-_ Zip: 753
Phone: ra<;~-l y3~ 114-7 ContactPerson:~{J1A~ `~Alflf~ ~ v-
.7V%"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitted Submitled
(4 Submission type) • Energy Envelope CalculationsSubmitled
In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan? ,
_Yes _NO If yes, date and address ot master plan:
Licensed Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Coniractor: Phone: Plans and suAPortm9 p, .p k'
NOTE: documents that ou submit are considered To be ublic lntormation. Porhons o
.
the ~nlormallon may be c/assrfled as non-public If ou,provrde sLcrfic reasons (hat would ermi[ the City !o
coriclude that the are trade secrets.
I hereby acknowledge ihatthis information is complete and accurate; that the work will be in onformance with the ord' ances and codes of the City of
Eagan; that I understand this is not a permit, bN only an application br a permit, and wor is not to start without permit; that the work will be in
approval plans
accordance with the approved plan in the case oi work which requires a review and
x-.
Applicant's Printed Name Applicant Sig
Page 1 of 3
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i G«~. i3].uck I, TIi~~tO?I .~;T ~~Da~'TO~, Da~~C~,~~ Ca~u~~:~; hi'~rn~~~soi:a. AIsQ B.t~. El. 100,00 (ass~ai~)
. _ _ _ . _ , ~u~w:~s-~y ~ ~'~~~use ~ °stakeel this 3rd datr ~f :~a. 13:t~, _ . _ _
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i ! 100.7 d~notes ~,~~.stinc~ ~r.~~r~ ~levati;~:;i
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the:,sta1e of m4lines0d,
~
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t3(#eZ~..~'~r -.R," NS 14183' ~~mOtes irCan monurfier~t f"txtn d
o De~otes iron monurrient se#. .
yf 1~'T ~'IL E N~ P~iG ..._..,,.w:..: ~ ~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4433 Woodgate Pt
Lot: 014 Block: 1 Addition: Tiberon 1st
PID:10- 76400 - 140 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
If altering the opening size, a framing inspection is required.
Smoke detectors are required in
all sleeping rooms prior to final
inspection. When wall studs or
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Owner:
Linda K Ellis
4433 Woodgate Pt
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA077261
04/11/2007
ePermit
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Use BLUE or BLACK Ink
r
For Office Use i l
Permit 6 l j
City of Ea I
Ed~ I Permit Fee: -
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: U")
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: %Icl Zor3 Site Address: &t)k Unit
Name: Phone: \bJ~` 7 Se ' W-03 7?y
Resident/ L 3
Owner Address / City / Zip: ` Ord ~~Q
i Applicant is: Owner XContractor
I Type of Work j Description of work: 8c ` le)e
Construction Cost: / `4 Multi-Family Building: (Yes / No )
Company: A f/,S ~X l (OJ S Contact: /SON
Address: lPl~ e l~ City:
Contractor
State: l/`~l Zip: Phone: 7G3
y d~
~
License j~ l~C 3' ( 4(S -t Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of~
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.org
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 n
accordance with thZrized roved plan in the case of work which requires a review and approval of plans.
Exterior work by a building permit issued in accordance with the Minnesota State B g Code be completed ithin 1
days of per suance. I' J
x Z,~, J x
Applicant's Printed Name Appli 's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127234
Date Issued:09/24/2014
Permit Category:ePermit
Site Address: 4433 Woodgate Pt
Lot:14 Block: 1 Addition: Tiberon 1st
PID:10-76400-01-140
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 or installing Bay or Bow
windows, 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 -
Linda K Ellis
4433 Woodgate Pt
Eagan MN 55122
(651) 373-0006
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
From:Taylor Gable Fax:(763)ADO-4503 To: Fax: +i (651j 675-5694 Page 2 of 2 02104120151128 AM
Use�I.U�or BLA�CK tnk
� �orafliaetJ s r--�..�. �:�
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���� �� 1J���� j Pesrssi6�ee: I
3ssi0 3�itoc Knob:Roaa � '
. Eag�n M�t 5�122 � 8ate R�ceived: i
F'hone:�551y 6T5•5675 � S�n•
' �'ax.(651�675•5694 !----------__�_W...�
2�'�5 RESI��NTI�►►L P�.'UNiBING P�RM[T APP�.1G14TION
bate: ��a'�� sltoAddress: 'q��r7 Uti1�� ` �Gl 7rt �
,
Tenants �i����(I �1/'� Su(te#: �
I r r K t
( Reside[4tl�Wttier �ama�„��lrt� i����� Phone. !
� Add�esg��i�y�7r : �� M�6�d �� �'�. �
. I
�l�mer Ucens�#•��4��G��'��— �
F 0 ' ut� �l�R���?(^���-e� '
Contcac�or kddress: City� !
i /� �.
Stat�;���rA. Phane• l��l�''`���'�!�JL1 �
�onta�t: l�A1� E�na� !� � • � �
�. _�Jeni 14Reptacemenf _Rcpair _Rebuild ,Modity Space ._Woric in R.G.1N.
7ype of 4�Jcrk �
Oesoript(4n a4 work: I
RESIaENT�AL t
� �WaterHeaiter i
— _1M��erSa�enes �
Permit 1� e —�.awr�C�igaticn(_RPZ/_PMB) �
YP Add PJumbing FGctures(,,,,_Main f_,Lower Levei) �
_Sept�c�yskem ..�.
. �New 1_Water�umaround I
,
Aaaruloement � _ .._....._�
RES1�ENTCAt FEES:. j
S6D.ao 1PJater Heate��Water S�oftener,or Water Heate��n �vitener�Inctudes 55 0�S�te Surchac�o) �
S�0.00�wn Ir�ig�tion(indud�s SS.OD�in"unam State Surcharge�
S6�i.00 Add Plumbing FixturesE 5e�plie Svsl:em Abandonmenl,V�ilater T�srnaro�nd' ,finclude$$S.�O State Surctaargey �
�
�Water Tucnaround(add 52a0;�it a 5f9•meteels requEnQd) i
Si!S.OD Seokia Svstern hlew{514.00 psr as buitt)(includes C+�unty fee and 55 04 Slate Surctias�e} i
TQTAL FEES S�''�� �
CALE.B��ORE'Yt�U DIG. C�!!Gbphct st�tc�Ona C�1[ai(6S1)�54�0002#cr�protedinn against undergrouRd uf�ry damage.
CaN A8 hbues betars�ycw Tntend 4o dig to:re�eive locates af underground u#ilities; ww.u.gochecstateonecall,grg
I hereby acknowted$e lhat thit Intorrnalion is�ornptefe aad acauate;thaf ihe wafc wtll be(n cantorsnnnce wilh the�d�ancex and t�des of tho City ot
F..�g�;lhat 1 unde�sW�,!Rhts(s not a�rtrtii4 hu!o�fy an appGcalion tor a PertniL and wo�3c Is not to sta�t wnhout a pecmi�U�at:t�e vrarls witl�0 4t
acc�±dan�e wilfy qv�approv�!p���Jn 1�e'Cas�e ol�reatk which te�uirc3 a rc�view at�d apptav�afptans.
A ,.
x H��t� t'r,ti���.G`'" x �- ' -
Applle�nPs Pr.Inted Nar�o ,Appllc�nt's Sfg�a pre
fQR OFF1�E IJSE Revlewed Byt tlato:
Rec�uitet�Inspecticns: l�r�der�raund Rough•IR AirTesi !�as Te�t ,,,_,,.,�inat
Motcr Retated lt�ms: Meter�izo �tad�Q Read Maraomeler S�atf:
. f-gcc)e.
, ,
For Office Use
a 4 t ;
:::::ee ' °o
44 4.° E AGA N
RELIEVED S- �D_ Ar'
Date Received: -4�
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginsoectionsacityofeagan.com MAY 2 2 2018
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: i,,,J alt\(L h ' ,3 Phone: ,5 J -4S2-8 Z,20
� �
Address/City/Zip: -4433 Q -,. ` aic, T
V � Applicant is: Owner Contractor
pp
,1 4 '1 fS dY J f 4�L 1,�.
Description of work: Ai e_(,,c) r..-b{',Z k_ p 1N1�t(C em !1`]
,-.4.ymit,Worka
{ Construction Cost: Multi-Family Building: (Yes /No )
Company: j�
P Y� �(,��TCsrn i'1 e.--c3)PP C4Cf/hontact: M f KyP i\i‘CD de_iic0 1`,
Address: a C.21, / T !l 7'� City: Ef3-e.,'31 Oct e )4
�tiit 1 ��' "`
State: 1\ A ip:5S"t- 3 Phone:L-�'/ .'L 5 6, Email: /PA irkie ✓? ti-et ii , 0 t'j
License#: M r! Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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�yyiContractor: yg Phone:
�.�� p of ��F��t- bF ��tobe•Pi r J E t d L k &1 4 d
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.citvofeaaan.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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance ' th ordinances/ d codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, d work is not to st wit, app it' at the work will be in
acc1rdance with the ap roved plan in the case of work which requires a review and ap aloffpia .
x !'111.iit ,€./ der Ie )r. ', '
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 4"V3
SUB TS'PES
foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Y 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 r _
ValuationLit/ k51>2 S ' Occupancy -1--P C I MCES System
Plan Review Code Edition Ill" ?°,S SAC Units
(25%_ 100%Y) Zoning ?D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V ' Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) )0 Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
Framing 30 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: 1-4= vv\- k'1 ' cid- , Building Inspector
RESIDENTIAL FEES y Z X 2 3 '� = 2 �Z s9 • ��
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
/fir /tii
SURVEY PREPARED FOR: Valley Engineering Co., Inc.
DENNY GELHAR SUITE 204, WATERS EDGE OFFICE PLAZA
RR. NE 2 P.0. BOX 478
McGREGOR,MN. 55760 PRIOR LAKE, MINNESOTA 55372
TELEPHONE (612)447-2570
(612)447-3241
SSA.M M
M 10000
I
Poe 09 50 1 .�i .
r
I '
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'
rt
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I TOP E i�65 TOP MVO e
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-- ..._..--.-.----_`----__----.__-"-_ _.__---"---FILE tp I?ti�,._ �FfTCR L:,.� AgogI,....�.��-----..._`
Custom Home Specialties, Inc.
2026 128th St. Rosemount, MN 55068
651-269-6812
morty@frontiernet.net
Customer name: Linda Ellis
Address: 4433 Woodgate Point, Eagan MN
Contact numbers: 651-452-8720
Date: 07/16/2018
Project description: new deck 16'x 12' with landing and stairs
Permit no# EA149570
I Michael Mortenson owner of Custom Home Specailties Inc. swear
that the footings dug for this deck project were dug 48" deep and 18" in
diameter for all four new footings.
Michael A Mo tenson 0 7/16/20
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