3613 Woodland Tr
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: i t~,,; t' APPLICANT:
~ i11r)(,11 F!s W 1, 1 „H ; I
~
I t i Et 1 4 il~ r rI;: . ! f: 1 Rti4--~i~ 91
PERMIT SUBTYPE: TYPE OF WORK: _
, 1 , ,I,, . ,
INSPECTION .
i I/?rf
~ ~
i
PermR No. Pertnk Holder Date Tefephone M
ELECTRIC
PLUMBING
HVAC
Inspoctlon Deft Insp. Canmenq
FOOTINGS
FOUNO
FRAMINCa
ROOFlNC3
RouGH
PLUMBING
PLBG
AIR TES7
ROUGH
HEATINCi
vc
INSUL
GYPBOARD
FlREPLACE
FlREPLACE
AIR TEST
FlN11L PLBG ~ _y,~ •
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DEqC FTG
OECK FlNAL
!M
CITY OF EAGAN . 15448
'L... ~ _,g~ .
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
' -r, GF~s; % 152,000 ilAY t 3 3n
To be used for ~ Fl Est. Value Date , 19
Site Address "0 13 ~ii)0t?4_~',G E~,?'~ L
Sec/Sub. THF t~k'l.k!,13 OFFICE USE ONLY
~ "
Lot Block
Parcel No. I 57 !la~ Occupancy R~ 3 FEES
Zoning P"1 r ~
~J?
~ Name t)*? i(Actual) Const Vn Bidg. Permit
Address (Allowable) fL- Surcharge . 76.00
° CitY - - Phone # of Stories , Length 0 Plan Review 411.00
1C10»QQ
:
a Name Depth ~ sAC, ciry
r
A s Addr2ss S.F. Total g 7
SAC. MCWCC
~ City Phone S.F. Footprints - 1 00 Qn Site Sewage _ Water Conn
W W Name On Site We11 water Meter E40• 00
~ ; Address MWCC System ~ ~;1 00
i W Cit~/ Phone City Water X Acct. DeposR
PRVRequired S/WPermit 1~3•~
I hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge
information is correct and agree to comply with all applicable State of 228.00
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit 340.40
A Building Permit is issued to: ~!,PV Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ CoPies
Building Official Variance TOTAL
~
Pertnft No. PermR Holder Date Telsphona #
JNATER
SEWER
PLUMBING C•C k Lc d!
H.Y.A.C. 119 G `LG~ ~ ~'"o?C gC
ELECTRIC I 3~9
Inspection Dste Insp. Commenta
Faotings I S~S
Foundadon
Roofing
Frami^9 vw$
Rough PIh9• Hou9h Ht9. Isul. Fireoace 7 ? ~ , - " ~
' Fnal Htg.
Fnal Plbg.
ConsL Meter Ptbg. Inspector - Notiy PIu
Engt.IPlan
eag. Finai ~2s'f
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
- Ttr#i#iratr uf Mrrupaurg
, titp of (Cagan -
lorpwamm uf liuilmng Jwrrttotc
Thrs Cerfifwale issued pursuant m the reqrtirentenu ojSection 306 of tlle U?rijorrn Building
Code cerrifying that at tlre eime of issuance this structure was ln compliance wrih the vartotcs
ordinances ojtlre City regulaling buiJding cnnstruction or use- For tke following.•
vx a.Mrp600 S F DHG/CAR By. Pand ro. 16448
O-VP-r TYve R3 yonjr4 DWrict R 1 7~jm r,,.,.. Vn
chvw or MARK .70E2M 001ST. A46~ 1614 E. MIFF RD, B' VII.iE
3613 IQ~ Locm,;ty L12, B3, IlE 6a0CDlt4t+IDS IST
aw: ADC,UST 25,1489
~
POST IN A CONSPICUOUS PLACE ~
f
SEWER & WATER PERMIT • OFFlCE USE ONLY -
CITY OF EAGAN MEfER #4/0~ ~DT ~ PERMff DATE 5117189
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # 0 WATER PERMIT # 10442
METER SIZE B.P. RECEIPT # C 1960
ISSUE DATE ~ B.P. RECEIPT DATE 5~ 15/89
- PRV _ BOOSTER PUMP
SfTE ADDRESS PERIAIT REQUESTED ,
LOT 1Z..BLOCK ? SEC/SUB 'U~ fo•~~~ "
SEWER
APPLICl4 ~WATER _ TAPS
~l'T: ~ • '
ADDRE3S: " COMM/IND RESIDENTIAL
C(TY, SjATE ~i•-~.• - ZIP
L%
PHONE: NEW _ EXISTING
,
PLUMBER:
~
ADDRESS: ~ `~Q• ~ L1tF~ I AGREE TO COMPLY WITH CITY OF
CITY, STATE d/n. ZIp SSy?! E/?GAN ORDIHANCES:
PHONE:
OWNER:
ADDRESS: StWTURE WHEN METER ISSUED
CITY, STATE ZIP C
PHONE:
~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
~ ENGINEERING DEPT. APPUCANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED.
~ CITY OF EAGAN N9 16448
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 p~ O
BUILDING PERMIT Receipt # - / i7
To be used tor SF DWG/GAR Est. value $152,000 Date MAY 11 19 89
Site Address 3613 WOODLAND TRAIL
Lot 12 Block _3 SedSub. THE WOODLANDS OFPICE USE ONLv
Parcel No. 1ST ADD occuPaocy R=3 FEES
Zoning R=1
w Name MARK JOHNSON ^,ONST (ACtual)Consl Vn Bldg Permit $ 822•00
o Addtess 1614 E CLIFF RD (Allowable) Yn Surchar9e ~6.00
City B'VILLE Phone 890-2242 xol5tones 411.00
Length _58' Plan Review
~o Name SAME Deplh Si snGCiry 100.00
gQ Address S.F.Total - SAC.MCWCC 575.00
~ City Phone S F. Footpnnts _
On Site Sewage - Water Conn SaO. 00
r
~w Name OnSiteWell Water Meter 90.00
rw X
xi AddfBSS MWCCSystem
,i Acct. Deposil 30.00
aw City PhOnB Ciiywater _x-
PRV Required _ SM/ Permil 20.00
I hereby acknowlege that I have read this applicahon and state ihat the Booster Pump - SiW Surcharge 1.00
mformauon is correct antl agree to comply wtlh all apphcable State of
Minnesota Statutes antl C~ity yof~Eagan Ortlinances. Treatmem PI 228.00
SignaWre of Permitee 0~~ pPPROVALs Road Unit 340.00
A Building Permit is issued to: MAR JOHNSON CONST Pianner - park Ded
on Ihe express condition that all work shall be tle in amordance with all Counal
applicable State of Minnesot 'Statutes and Crt oI Eagan Oprdi'nances. gid9, pry Copies
BuiltlingOthaal Variance - 70TAL $3+273.00
oolSWs~ ~ ~vm
Request Date Fue augh-In Inspeclion Reqmretl Inspechon OlherTh Rough-In
(YOU ust wll mspeclor wM1an reatly) ~ Reetly Now WAI No1iry Inspector
~ L Ves ? No Oate Reatl
I~ licensed conUactor ? owner hereby request inspection of above electrical work at:
Job Atltlress (StraeC Boe or Route No ) ~7-• City
~e0~ ~<,C~ld~//~ /f • Ccn
Seclion No Tonnship Numa ar No. Fenge No Counlp-~
J
Occupant~PR NTI Phone No
I~ : " 1/' , Jc,~ e,^-~~ 4 5 ~I - 51 5 I
Power Suppher Atldress f ~
I A r!'~~
~~:_1ca ,
Elec~lnc^al Con/Va'ctor (COrypany Name f Con[r/ac~lor's Licensa No.
` C~ ~ ~7 ~ 0
MaAing Atltlrass (COnlractor or Owner Making Inst~lmn)
/ % O S~- Sr~ A-s I-~ ~
Authonzetl Sig u(Co tacro w r Makmg I la on) Phone Number
- 3 6 - ~ ~ (5) /
T~SIATE Grlggs-MiEway Bltlg B Room 5~12gECTRICITY NII II II IIII I~II UNLESSEPROPER NSPECTIONFOEE IOST
1821 Umverslty Ave.. SL Paul, MN 55100 III II MII II~I I I I I~ I~V III
PM1On¢16121692-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-cos
00- Ifte mslmc0ons br completln0 this form on beck of yellow capy --I
-7
"X" Below Wqrk Covened by This Request
0 071 "8 6 6
Ni Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Condilloner
Olher (specily) Contractor's Pemarks/ r ~
'AasC'Ment
Compute Inspecfion Fee Below; I
# Other Fee # Service Entrance Srze FegAb%ve uits/Feeders Fee
Swimming Pool 0 to 200 Amps Amps
Transformers Above 200 Amps 00 -Amps
Si ns msPecrors use oniy TOTAL
Irrigation Booms y~
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ON f
I, ihe Electrical Inspector, hereby Ao~9murf
certdy that the above mspection has
6een made. F~~a~
OFFICE USE ONLY ~
This requesl voitl 1 8 manihs irom
, RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
ts-b c 651-681-4675
New Construction Reauiremenls RemodellReOair Re4uiremenfs
• 3 registered site surveys showing sq. R, of lot, sq k. of house; and all roofed areas • 2 copies of plan
(20 % maximum lot coverage allowed) . 1 se[ of Energy Calalations for hea[ed additions
• 2 copies of plan snowing 6eam 3 wmdow srzes, Foured found design, etc.) . 1 sile survey for extenor additions & tlecks
• 1 set of Energy Calculations . Indicatz if home served by sephc system for additions
• 3 copies of Tree Preservation Plan d bt plaltetl after 711193
• Rim Joist Detail Options selecnon sheet (hldgs wdh 3 or less umts)
DATE _7-2 3 -v < , VALUATION
S,~1T~E ~Ay-DD wOOd (am~ Ir1 MULTI-FAMILY BLDG _Y ~,N
TYPE-OF WORK ~~ZN"i ?l~ ~Cl ~S(~' • FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT A-19 c, TYIG-
STREETADDRESS LqrI Nl(,O INU', CITYhWTW 0, STATEJ% ZIPC)e] AJ`1
TELEPHONE # ~152'7D~6y~~1 CELL PHONE # FAX # ~nS~J'7D7-`1~JZS~
PROPERTY OWNER b(Q~+ J,~1a,4-h0'A~ TELEPHONE# !//rl-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ A(IVNPti0"I'A RULES 7670 C:A'l'ILGOR]' l MINNGSOT:1 RULE5 7672
(J submission type) • Residenhal Venhlahon Category 1 Worksheet Submdted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: I'I~onc #
Plumbing s}'stcm includcs: _ Watcr Soltcncr L-iwn Sprinklcr Tcc: $90.00
Watcr HcaUCr No. ol' R.I. 13aths
No. of Baths
Mechanical Contractor: Phone #
INIcclianical i}stcm uiclurlcs: _ :1ir Condiliouing' Pcr. 570.00
- Hcat Rcco~crc 5~'stcm
Sewer/Wa}er Contractor: Phone # I _
U ~ -
I hereby acknowledge that I have read this application, state that the information is ~~yect, and agree to co ply
with all opplicable State of Minnesota Statutes and City of Eagan Ordinance "
Signa}ure of Applicanf a'J ~
OFFICE USE ONLY
Certificates of Survey Receroed _ Tree Preservation Plan Received _ Not Required _
Upoated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi
? 03 Ot of ! plex ? 69 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demotish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Oemolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footin,s (new blde) _ FinaVC.O. '
_ Footines (deck) _ FinaWi o C.O.
_ Footin~s (addition) _ Plumbing ~ •
Foundation HVAC
Drain 'Ci le Other
Roof _ lce 3 Nater _ Final _ Pool _ Ftgs _ AiriGas Tests _ Final
_ Framin, _ Siding Stucco Stone
_ Fireplacz - R.I. _ .4ir "I'est _ Final _ Windows (new/replacement)
_ Insulation _ Retaining 4Vall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumlaing Permit
Mechanical Permit
License Search
Copies
Other
Total
' 1989 BDILDING PEEBlIT APPLICATION - CITY OF EAGAN .
SINGLE FAMILY DWELLINGS / 6 vve
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSFS FOR CORNER LOTS - CONTRACfOR/HOMEOiiNEA MOST DESIGNATE i7AICH ADDRFSS
IS DESIRED. NO CHANGFS HILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSOED.
MOLTIPLE DWE[.LINGS RENTAL QNITS FOR SALE QNITS t OF ONITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SURVEY - CHECR WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COhASERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JIpY p B 1989
To Be Used For: Valuation: vv Date: c5~/I89
Site Address WOFFICE OSE ONLY
000"-
Lot ~ Block 3 Occupancy -R 3 M-I FE€S
Zoning R -1
Parcel/Sub (~aoaQ (n•~1 c(~/~dt~r . Actual Const V-N Bldg. Permit 82Z,00
Allowable V-/~ Sureharge (0,00
Owner a.,~~l C~r;~ lJ2lke/ ll of stories Plan Review /411.00
Length Sb" SAC, City OI O1DO
Address Depth SS' SAC, MWCC 5175A0 S.F. Total Water Conn 580100 i
City/Zip Code _EpQ Footprint S.F. Water Meter 10,00
Aeet. Deposit 36,oo ~
Phone L qss On site sewage_ S/W Permit za,oo ~
On site well S/W Sureharge /,O a ~
Contractor Ma-Y- ~n nso,~ (o,1s~'" MWCC System v Treatment P1. Zg,oo
City water ? Road Unit 3yo. oO
Address /(oIq E, C/;Fr. 123 , PRV required Park Ded. F3wnsol M1 e Booster Pump _ Copies
City/Zip Code ~ ~ mn 5533 TOTAL
APPROVAIS
Phone ~9v ~ 4 2 Planner
Council •
Arch./Engr. p/cA"'C0 Bldg. Off. S/io
Variance ~ ?
Address "ov~ Council
City/Zip Code 3 43 S v~iM;..,~.. l
Phone # q sol - U
NOTE: Sewer & Water Permit Pees apd aecount deposit fees w7.11 be ineluded in the building
permit fee. Processing time for sever and saater permits is two days once a licensed
plumber has applied for a permit at City Hall.
I
VALuaTivN
~jA2ACvE. . - r ' , .
3Ox2.4= 720 X1J:- IoeOOr
~SmT
48x"y- 6~2
15,t ?3 = Igs-
-29 )r
13~o x t~i_ Iloyo
H ouSE
t-----
IST ~~ooyL
~Sm? = 1'~ ~ ~
I/zx~j= ?y
~ x 5b = 69 Loo
Z-o
2a Y 3 2'12 = 9H2
6%tX /L; lo~
~ "2 X `6 = I Z
1058 X50= 52~900
lS1 gyo
1
I [ IlHi-Ll~~j-c~! 191JI'I U'(:42 111; IHI9t'a K HILL IfJ,_ ItL
' S U H V E YO R' S C E R T I~ I A T E MARK JOHNSON CON8TRUCTION
. i
,
y vo
- z°
Dat3
• DEN07ES PROPOSED SURFACE DRAINAGE EAGA1V gid~INy^~Tr~~-
O DENOTES IRON MONUMENT SET SCALE: i INCH - P30pF FEET
• DENOTES IRON INONUMENT FOUND PROPOSED GARAGE FLOOR -'qp8.0 fEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 900,3 FEET ~
(000,0) DENOTES PROPOSED ELEVATlON PROPOSED TOP OF BLOCK - 9v8•'1 FEEf
WE HEREBY CERTIFY TO MARK JONNSON GONST, THAT THIS IS A TRUE AND COARECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 12, Block 3, THE WOODLANDS, according to the recozded
p.le.: thereof,_ Cakcta County, c4:nnesota.
1T DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCRQACNMENTS, EXCEPT AS SHOWN. AS
SUAVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4 TH DAY OF MAY .1989
SIGNED: JA~E LL, iNC.
v
BY: ~
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12284
N
z~~~~ yWDmF James R. Hill inc.
o~ Z~~ Z~ m W
PLANNERS / ENGINEERS / SURVEYORS
m cn {
N ~ p
9401 JAMES AVE. S. • BIUOMINGTON, MN. 55431 • 812-884-3028
I'IHI-JO- C7 I'IUIY Lli:93 111:JHI'IC'G K Y11LL 11Y'~ ICL I'IV:ri1.= rc'_7 '
S U R V E Y O R' S C E R T 1 F I C A T E MARK JOMN80N CON 8TAUC710N .
TRAIL
- o~..
, ao,a ,
soa.e
R•514 06 M
p,100 0207 ^
90.04 ' , C9os.8)
BENCM MA11K
~ S cWT~ TOP OF 1110N '
[LEY. ~ i11.Y9
~
O o $ I
I N ~ PROPOSEO ~ 1 ~pD
p pRIVEWAY ~
N, Yo 7, XIST/ .
BENCN MAqK 30 33 HOUSE .
ToP OF tRON
[L[V.II O . ~
E` NNAGE t)
(9o 7'7) II N s ~
. ~ 1 1
y 0O 1267 (11 ~ r wo PROPOSED/
•w HOUSE
as o
'o ~900:0~ •~a
O ~ J I I 1
040 T0/ 1 I ~ Enrelep.
frem Iron -
~
Y` p
? I
` DRAINAGE 6 uTILIrY
EASEMENT. PER P~r
\Z~ / 5' (8600)
. / 1~ ~y9 \ry~~ Z
' . ~B~•o~ ~ ~ ~
Z ' LOT 12 ~
.Po
~ •
:
S
~
,i
I INCH • 30 FEET
' Q~ •
2•.'t~N
r~ ~11 Q ^ i r ~ ~~-r r-
NZy,32 ~_~~J ~ ~
N
~o~~~oo ~NO >
James R. Hill inc.
o~ o~> m m Z
N PLANNERS / ENGINEERS / SURVEYORS
Z0 W m w
a 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
~
rlINt1ESOTA STATE ENERGY CODE CALCULATIOI4S '
, ~BASEO ON CHAPTER 5 OF THE
L EIIERGV CODE - 1983 EDITION
Adoptlon Effectlve 1/1/ IT- ,
aner t4~4Li MIi«
Phone Date
Ite Address_ LoT IQ Bl.oC.EC 3• WbflpLAU'1~ IS'1 t\-mi Aj
:)ntrac[or_ Phone
ulld(ng Classlflcation: Type A1 (Sfngle Famlly E Duplex)Type A2(Residentlal)
OTE: Com lete (3 storles or less p pages 3 and 4 flrst. (Otlier) ~
. (Over 3 storles)
ENERl1L IHFORIIATION _
. Bul lding Perimeter~r, vk~ c-~~ ft, . 1 .
. lJali helglit (ground to eave) ft.
l' 2~
. I. x Z. (above) gross wal l area i~ft.
. Bullding dlmenslons (l.) - x(W) - ft.2 roof.6 floor area
. Square foot area vf rlm Jolst - Floor Jolst slze (2 x d1
f97 X Perlmeter = Rlm o st area' ftZ
12
. Doors - AFea L?
Thickness • in. U factor 14
Type of Constructlon Perimeter ft. '
I
Hanufacturer .
. To[al door's perimeter ft.
. lJlndows: lianufacturer fN2UL I C,~nf State approved
U factor
TYPE SIZE AREA (Ft.z) NUMBER OF TOTAL FEET Z
' N N ' EACH U'NITS -----~zG~~b~
I
i
.
. Total ft.Z Glass 4O I/5 •
. Flreplace area; Wldth X helght ~ X = Ft.2
. Exposed foundatlon; Helght X Perlme[er /y/~,,~~~ X I 1 ~ 7 Ft.Z
ItPLETION OF Tfi15 FORH IS REQUIRED FOR ALL A€W C07F~R CTU ION, Mqj Ofi REMODEL NG RND BUILDINGS BEINf
VEO WfIERE ENERGY, OTf1ER THAN TIIE NINIMAI CODE ALIOWAtICE, IS USED.
. I
~ aiea - ivt. uI y1 v5s waI,i area. . . I ri.. ,l.
vss wall area 34Z,~~ ft.2
. '
Window area A .411 1 ft.2 U wlndows U x A n I, DZ
. Rim ,joist area A + 3 {U 3 ft.Z U rim Jo1st = U.x Aa
Door area A'~i ~ ft. Z U door area - 14, U x A- (Ol
' fireplace area A ~)26~ ft.z U fireplace = U x A~ 3`l g
Exposed foundation A ft.Z U foundatlon U x A~
Framing area A -34I2jl ft.?, U framing area -_L U x A~ 3~51
. .
tlet wall area A ~ft. U wall U x A,° L i
(138), 10TAL. . . . . . . . . . U x A~_ 1 v i
. .
4
4. Gross wall erea x 0.11 (A-1 single family S duplex = allowable U x A/Code
(13. above)
z 0.23 (A-2 otlier residential)
x .23 (Other buildings) , , I
, x .28 (Over 3 stories) . ' • '
n 2 -1 aruii Must be larger than
~ x U Code,~ Jjl i vF. 138 above
or the same I ~
5. Ceiling framing area (Af) equals lOX of ceiling area as
,
15A. Gross ceiltng area - (L) r--- x(W) )4 Z4- ft.2 ~
I58 Joist ared (Af) = 10» ceiling area = Z ft.z ,
15C. Ilet ce111ng area (Ac) (15A - 15B) - ~ Z Uz- 0 ft.z .
U ceiling x A ca ~0,z2 x z, 7i ='ZSV7~Zi ~ ~
U framin9 x A f= 1 OZ ~j • x
. ~ ~
IS~. T07A1'U x A -~z '
16. Ceiling area (15A) x 0.026 (A-1 single family 8 duplex - code allowable U x A •
x 0.033 (13-2 other residential):
x 0.06 (other) •
OZ(O BaUll hlust be larger tlian 15D (above)
A(15A) x U(codel= - ~710z F (or the same as )
170TE: Use U and A values obtalned From pages 1, 3 and 4.' .
LERTIFICAT1017: I liereby certlfy tfiat I'have calculated tlie "U" factors and "R" values
tierein and tlia[ tlie bullding liere descrlbed meets or exceeds the State oF Hinnesota
Energy Conservatlon Act. • ~ . . , , , , . ( ~ I
Da[e 5 gnature
. ~ , '
2. , . , . , , •
1 .
. ~vV I
i
. - - -
54Fa["
G~s. ~c. _.~}lPo~a.. _ . _ - - - -
S~oX(~s-?t o>~~o~o_ . _ _ - - - -
~
~ I 4z4-
w 1 rJ u~S - _ _ _ _ _ - -
~I ~c4 - R z 5X
ZoXoo-. I~ LoX
i ( I 51
I ZSX3v = la,s~ ?
!I 1.vX3o = -1 X z= I,~ao - - ~ -
?I
- . - di~ . ~ - - -
. . _
- - - - -
3 s~~-W~., w/ SGr = Z~~v...- - - - - -
Pmb. ~g~ 4 -z
~ - . . . . _ . . - - -
. _ 133, D _ . _ . . - .
cirv use oNLr
L ~ BL ~ RECEIPT ff/94.3~
SUBD. &Zo/~/~y ia'• DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -L675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EgCH ~ TOTAL
Shower 3.00 x = .~:Oo
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ` Dakota cty. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to exisciny 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME:-
INSTALLER NAME:-a2~~n~
STREET ADDRESS: f.? ?
CITY: ".V STATE: /77 ziP:
PHONE#:(lp/~) y$~ -/S(o ~
SIGNATURE L)F PLKMI I I
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for o all commerciaUndusVial buildings.
0 muiti-family buildings when separate permits are = 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 FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$7,000 of permA fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
' PERMIT c2 S-1 ~~z Z
` Ci 1`Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026914
(612) 681-4675 Date Issued: 12 / 2 9/ 9 5
SITE ADDRESS:
3613 WOODLAND TR
LOT: 12 BLOCK: 3
THE WOODLANOS
P.I.N.: 10-75875-120-03
DESCRIPTION:
Building Permit Type BASEMENT FINISH
Building Work Type ALTERATION
Census Code 0434 ALT. RESIDENTIAL
REMARKS:
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - ST. LIC.OWNER:
VALLEY INVESTMENTS CONST 14545191 0004241 ALLEN DEMI
2401 LEXINGTON AVE S 3613 WOODLAND TR
MENDOTA HTS MN 55120 EAGAN MN
(612) 454-5191
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 Mn.
Statutes and City of Eagan Ordinances.
/ APPLICAN /PER I EESIGNATURE ° ISSUED BY.~QNATURE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auiLorNG
3830 Pilot Knob Road Permit Number: 026914
Eagan, Minnesota 55122-1897 Date Issued: 12 / 2 9/ 9 5
(612) 681-4675
SITEADDRESS: P•I•N.: 1e-75875-12e-e3 pppLICANT:
LOT: 12 BLOCK: 3
3613 WOODLAND TR VALLEY INVESTMENTS CONST
THE WOODLANDS (612) 454-5191
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION D. . .
FRAMING INSULATION
ROUGH IN PLBG FINAL
I ~
~ J
\ CITY OF EAGAN
3830 PILOT KNOB RD - 55122 JW10
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) QQ_/
681d675
New Cons!rvdion Reuui/ement~ RemodeVReoair Renuirements
? 3 regiaterod site wrveys ? 2 copias M plan
? 2 copies of plena (mdude beam 8 window s¢es; poureA fid. Eesign; ete.) ? 2 sNe surveys (eMerlor addNiona 8 deeks)
? 7 energy calalations ? 1 ene
rgy calalatlone for heated additions
? 3 copies ot 4be preaarvation ptan if bt piatted efter 7/1/93
roquhed: _ Yes ` No
DATE: CONSTRUCTION COST: ~ o (D
DESCRIPTION OF WORK: - ?,~Sje-MEv?? t-r~S/7`
STREET ADDRESS: ~da d0(ff/?.O TiE'-A ~G
LOT ~ BLOCK SUBD./P.I.D.
PROPER7Y Name: Phone
OWNER
Street Address•
City: State: Zip:
CONTRACTOR Company: v~~~~h ~nl ?~sT/h~N7~ N,s;~phone
Street Address: a~f0( Zinl677+J 4S License
City: /~'I~e?0071t ~~~r~iS State: Zip.
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address•
, City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once pertnit is issued.
1 hereby acknowledge that I have read fhis appliCation and state that the information is cortect and agree to compiy with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certifiptes of Survey Received _ Yes _ No
DEC 2, 6 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
r^_ ~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging c:-~16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch a 09 12-plex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
? 31 New 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL fNFORMATION
Const. (Actuai) 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. 8ooster Pump
Length sq. ft. Census Code. y~Y
Depth Footprint sq. ft. SAC Code o~
Census Bldg i
Census Unit ~
APPROVALS
Planning Building Engineering Variance
~
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. DeposR
S/W PermR
S/W Surcharge
Treatment PI.
Road Unft
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
• Use BLUE or BLACK Ink
4Pijb City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
N 0 V
r
For Office Use
Permit #: o2 U --?
Permit Fee: 6 re/. . £ 7
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
11
Date: Date: J.' f 3 - /1' Site Address: 3 6 / i/ -* �( %//.tet 2L _ Unit #:
RESIDENT
OWNER
Name: P!G a`-. PA"'"" 5i4,a. )4,4„ ,Lf' Phone: C. CI - 9 4 <.- ° 7-2.- 54
747:9,0
Address / City / Zip: 4,/ 3 s 0,40-, t e
Applicant is: Owner /Contractor
TYPE OF WORK
Description of work: M *2 i/'z _ - ' ' SA-it/2�
Construction Cost: 6 a Multi -Family Building: (Yes / No% )
CONTRACTOR
Company: $ / de -g --7/--/A/ ,f4 de /-tiS Contact: 7-47i1 HEeti -> .¢ /
Address: ii: -S-7(24-'4=4 8l✓C/ City: 4/d�P- l ,14"'• ?
State: Zip: 537-2 7 G Phone: 4f -Z /- 2 4 / °
License #: 2-45- 92 7 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
7u gct, + /1- ie. 1
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
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-public if you provide specific reasons that would permit the Cify3to
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.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 Building Code must be completed within 180
days of permit issuance.
x /1/4-7E-6
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
74)00174-vcci, DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
X Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Q 6 r tk Vl F 1/11 006c
Interior Improvement
Move Building
Fire Repair
Repair
Y
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy MCES System
Code Edition 4'i jh,,,r;, 0) SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings Backfill — Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
ftg 110101&" /3>(22
5-.4,D
if)
rorty
Dy x 90.
)-(ig 40.
Page 2 of 3
*D
City of EaQall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For=Office'Use
Permit #:
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /7-30— I f Site Address: 36 /3 (A/CO3( /CLL c( *041
Tenant:
Suite #:
RESIDENT / OWNER
Name: /3 CE S0_0_ --t-\ (9-I P Phone:-/ _
Address / City / Zip: ,,c7< /4 ft/
CONTRACTOR
Name: Bite K, IikP/ License #: 6417:Z--
' :Z--
.)
Address: /'LY!/J /22,/_:r- i'.' 1.76/7 City::7 Y—\ S
•
State:i,L Zip: ,� h3#/ Phone: £-- %� 7.6T ----O �G�
Contact: /((�U Email:
TYPE OF WORK
New _ Replacement Repair) Rebuild >. Modify Space Work in R.O.W.
Description of work: A. (� �__..
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
.9 Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation
( RPZ / PVB)
Septic System Water Turnaround
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 $
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. wiw.gopherstateonecall.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 ure . t2�. t is is ,• permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance nth the ed plan.irr he case of work which requires a review and approval of lans.
/���x iii. v
x
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Use BLUE or BLACK Ink
r-----------------
I For Office Use �f I
Permit#: 1 �
City of Ea I I
AY 12 2416 I Permit Fee:
3830 Pilot Knob Road M
Eagan MN 55122 Date Received: / ./
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ��° CitJ � �°� /" Unit#:
Name: j�'�� f f S�a 4-11� � � • M'A/°- Phone: (r/ 2
Qyy Address/City/Zip: /� G.� G /� r C^c- „ H,�, 57 Z
AV
Applicant is: Owner Contractor
Description of work: 8014 c c e x r S/-.._, Of c i� �i2 L�c3/ice /fJG�✓ `-t"d�c !x
4` Construction Cost: l Z Multi-Family Building:(Yes /No )
Company: Ids./��� ;.a% t4f tit oel�ell-c5 Contact:/v f
Address: ��`�(t- /'7i rL� ; � City: wit t/--L
—Z Email: ✓/ .� 4 State: XVIIZip: Phone: 5 Z /
t j License#: \JG 5 �)q 3 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 Contractor: Phone:
NOT1 and s portt� urnents# subm�f are c n alered"fo berabl�c inia eion Pa of
1
the$ farma# tntay
.' rtclu
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 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 Building Code must be completed within 180
days
,�off permit issuance. —�y
X /
All GI/ x/l/ <26----
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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 00 Occupancy MCES System
Plan Review Code Edition ..6 SAC Units
(25% 100% ) Zoning ! City Water
Census Code 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/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation 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
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 FEES tss'
Base Fee
Surcharge
Plan Review ,
MCES SAC
City SAC
Utility Connection Charge j
S&W Permit&Surcharge t
Treatment Plant
Copies
TOTAL
Page 2 of 3
r
a SURVEYOR'S CERTIFICATE MARK JOHNSON CONSTRUCTION
rT'RAIL 13
YOD.4
9047 p,re�
' aoa,e
R*514.06. *
1 004 °`10 0 47
,.� 9 0 , (905.8)
BENCH MARK
TOP OF IRON
O tLEV.rOt1.Y9
N� PROPOSEQ O
DRIVEWAY
N l-
��A -t XIST.
BENCHMARK --; HOUSE
TOP OF IRON • 1
ELEV.■007.62
GARAGE O 1
N ` b
(907'7) 1 04
'8 w
��, _ ONO 12b7 m
N A in -o l � l •J
LA w PRO POSED 1 !V
HOUSE 6.0 Q
LA
1 v
480 ."
,O�i ---• --'(q o, b
0.40
Enwlopr Cor. ��
From Iron
m
>t
riLlrY
DRAINAGE PER PI.Ar
EASEMENr. (gg°°)
r
0
2•
UV-o) co
1
�. LOT 12 .�
� N•
m
I INCH =30 FEET \ ��
4�
o � cr:0 to 1>0 R. Hirm � o � � a1nC.
° 0 `' co co 0> ° m Z NNERS / ENGINEERS / SURVEYORS
0 m AMES AVE. S. • BLOOMINGTON, .MN. 55431 • 612-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172454
Date Issued:10/01/2021
Permit Category:ePermit
Site Address: 3613 Woodland Tr
Lot:12 Block: 3 Addition: The Woodlands
PID:10-75875-03-120
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Bret D Tste Saathoff
3613 Woodland Trl
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature