3470 Trails End RdC!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK ink
Permit*: q O ( Lj 7 -
Permit Fee: R .00
Date Received:
Staff;
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Sk it Site Address: i C Tx-TAU+,1� �llC
Tenant:
RESIDENT / OWNER
Name: �1 `- 6t]r itt
Address / City / Zip: u •Y"Y 151
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name:
Suite #:
J
Phone;
'gCt
h.....YV1,3
p � pp
Address: -- ckIrrl > \'1 flViL.
State: i 1 I Zip: 5`S1. a_
Contact: �-atlf C� Email:
Phone:
CDS- 83(),S --
iii M ' S-118
License ft: C. S 83 -`Is' -Pr' 1
City: ,t'—.1_,a
11S'I -'c 2kE-901 1 -
`�Ave C: 'VV\..
New Replacement Repair ,, Rebuild _ Modify Space Work in R.O.W.
Desert tion of work: N ' C A1ar)-
RESIDENTIAL
Water Heater
_ Lawn Irrigation ( RPZ /
Septic System
New
Abandonment
_ Water Softener
_ A:fd Plumbing Fixtures ( Main / Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes 85.00 State Surcharge)
$35.00 Lawn irrigation (includes 85.00 State Surcharge)
855.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 55.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New (810.00 per as built) (includes County fee and 85.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 85.00 State Surcharge)
TOTAL FEES $ SS.. 00
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454.0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, www.gooharstateonecall.ora
1 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
Fagan; 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 pf plans,
Applicant's Printed Name Applicant's Signature
'Required In4'j action;;' ;. _Under Groun
C�
Z00 E 9NI01111d S ddN0g 9900 T8Z T29 XVd 85: CI TTOZ/t'O/CO
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
~ 3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 ~ Date Issued:
(612) 681-4675
SITE ADDRESS: t- Il r)t; I APPLICANT:
, , , Y E; :~•f? ~ ~ , , ? PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
. t , ~1~ . ~ ~ . .
; 1 f i!~ i-J r1 l t" 4' ~#*~pl if' i~ A tl (d r~ 9 4
L ~
~ Permit No. Permit Holder Date Telephone N
5LECTRIC
`PLUMBING
HVAC 9110 9--&•170 G
Inspection Date lnspll- . Comments
FOOTINGS w
FOUND
FRAMING
l
ROOFING
PLOUM ING '7 ~ ~ g o~(v Z 67-
PLBG
AIR TEST
ROUGH
HEATING _ j-
GAS SVC ^ 3~
TEST
INSUL
GYP BOARD
FIREPLACE t2- _IC
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT I
TEST
BLDG FINAL
BSMT R.I. ~
I
BSMT FINAL
DECK FfG
DECK FINAL
le
INSPECTION RECORD
' CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT $UBTYPE: TYPE OF WORK:
INSPECTION • .A
..t:t
f. bJt ti & !w! A 11, is t° t.: k!W I # A 10 0 ! 1 v4
F7 ~L~~
~~i r ,a ~ ~ ~y ~~e§2 ~a r~
ry,~
r~r a~~.~',~~~
_ Pertnk No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING '7 Tc;fe /M/
HVAC y35 ~
Inspection Date Insp. Comments
FOOTINGS p
C
FOUND
0
FRAMING J
L
ROOFING
ROUGH
PLUMBING
AIR TEST ~ y
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG /
FINALHTG 4
dt7U
ORSAT A- . - 470 ,
TEST
BLDG FINAL
C
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'T`. e ' i lY21
1
9 ~ +
.w~ t .
. WCl-'ttfiCQtC df cCC1tpQn.0
" 6itij of W agan
- ~e~rartraeut o~ ~uitbing ~n~#~¢ctiott
`
This Certificate issued pursuant to the requirerrtents of the Uniform Building Code
- ° certifying that at the time of issuance this structure was in compliance with the various
ordinartces of the City regulating building construction or use. For the following: :
SF DWG 30295
Use Ciassification: Bldg. Pertnit No.
Occapanry T,ype R-3 U-1 Zonin Disaict PD Type Consi. Vn WOODLAN Owmr of Building ~
COUNTRYHO~ESs 7625 METRO BLVD., EDINA MPl
A
- Builaing Aadress3470 TRAIIS END RD ,c;h L19, B2, THE 6d00BLANDS AiA 3RD
aie:
<J auikting ofrwW
POST IN A CONSPICUOUS PLACE
,
V
.liCQte df CCCup~ QnC .
weL`tt
~it~q of ~agan .
' ~a~artmeut oF ~ailbittg ~a~~ection
?
This Certificate issued pursuant to the rr.quir nts of the Uniform Building Code
ce?tifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: ti SF DW6 Bldg. Permit No. 30296
00-p-r Trpe R-3 U-1 Zoning District pD Type Const. VTl
OwnerofBuilding WOODLANDS COUNTRYfiOV&c,.,S 7625 METRO BLVD.. EDINA MN
BuitdingAddress 3474 TRAILS END RD Lo,:~jry L209 B2* THE WOODLANDS NO 3RD
,
nate: 7
awwing ot~i~l l ~
- ~
POST IN A CONSPICUOUS PLACE
2422 Enterpriee Dr)ve
' .K Mendota Helghta, MN 55120
~P'0NEER LAND SURVEYORS • CIVIL ENCINEERS (612) 881-1914 FAX:681-9488
~ LAND PLANNERS • LANDSCAPE ARCHIlEC1S 625 Hlphwoy 10 N.E.
Ong neer ng Blolne. MN 55434
* * * 7k (612) 783-1880 FAX:783-1883
Certificate of 5urvey for: CO UNTRYHOME BUILDERS
House Address: 3470-3474 Trails End Road
House Model:
~ATE
BU9LDING INSP CTIONS DEPI
T LS .~ND~B~.~D
N89'4155
-57.47 --wz-9
882.9
i L91 .
Up ~ ` 883.t .
M
• ` ~ gg~,z ~ 1
19 ~
~ .o
k•
1 8~ q- ° / o ,o`',~0 8 w
~ ~ 4Y CJIV
00) °o e~
o~~5 0 ~ ;oy g,
for.q a Q ~ s ,1 ~o
41 s 1 z
~ ~ g \;Ppl
t `S`8~ ~ ~ rn
r m ~ is I 20 >o >>o.oo X
o
o
~
A $87,
'eo P 2.aa ~
IR S.9 g8-~•8 886 1
- E E Ds 1 55. 7g719 ~s E BB~.y &p
~
~GAN E G'~~~~
g9o, i
Sac~: cc, i.». = 9 6 1
Se~v . ~ Nv = 6'61 Step Down 1 Couras
PROMM aLjYAi'1DN LOi' je0 _ FBp=._v~9lD JZYir10N LOi' 10
x eoo.o Denotes Exlsting Elevation LO~ t ~ s v i o t l o n: $8~_ Lowssf Floor Elevatlon: 687.3
Elsvation: 9~..
of Block
dc Elev~atlon: 4$~ ToP
~ Denotes Propo~ed Elevation Top of Blo
Garage Slab Eiewtlon: $aZ+l Garaqe Siab E1evation: 868•8
- Denotes Dralnage Flow Dtrectlon (ot door) (ot dow')
Denotea DraJnage dc Utipty Easement
NOTE: Propopd buNdMq db grodtng ts M occordoncs wifh the
.-o- Denotes Monument qrodMq pian• approvsd Dy ths cily enqinser.
Det10tA9 Olfset Mub Bearinga shown aPA O33U1?led NpTE; contracta must wrily aN dlmenelons dc driwway dssiyn.
LOTS 19-20 , B.LOCK 2 WODDLANDS NORTH 3rd
DAKOT'A COUNTY, MINNESOTA
We hereby certify that thie survey, plan or report was prepored by me or under my dlrect supervision and that I am duly Ilcenced
Land Survey~or under the lowa of the State of Minnesoto. Dated this Zc°~~`N day ot ~a A.O. 19~.
Revfaed: Ploce new buliding on both lots. 5/20/97 Signed: P EER ENGINEERING,.A.
Seale. 1,~ch = 4-Qfeet
Robert B. Sikich, L.S. Req. No. 14891 or
93169 7errence E. Rothenbacher, L.S. Reg. No. 20595
334 .15_
. LOT SURVEY CHECKLIST FOR RESIDENTIAL
. ' UILDING PERMIT APPUCATION ~
PROPERTY LEGAL: ;?)J ?4- Z O Z t1,12, I '
~ DATE OF SURVEY: ~S Z
LATEST REVISION:
~ m DOCUMENT STANDARDS
0' 0 0 • Registered Land Surveyor signature and company
&-'13 C3 • Building PermitAppiicant
R-113 C3 • Legal description
2--'13 o • Address
0"~o ? • North arrow and scale
~0 C3 • House type (rambler, waikout, split w/o, spiit entry, lookout, etc.)
0-' 13 ? • Directional drainage aROws with slope/gradient 96
0-' ? ? • Proposed/exassting sewer and water services & invert elevation
B" ? 13 ~ Street name
0--"C3 C3 • Driveway
ELEVATIONS
Ebstina
0' o ? • Sewer service (or Proposed)
Cr' ? D • Property comers
EY' ? ? • Top of curb at the driveway
0""13 ? • Elevations of any eiasting adjacent homes
Proposed
0*- 0 13 • Garage floor
0" o ? • Frst floor
, C?"' ? ? • Lowest exposed elevation (walkout/window)
m'/' O ? • Property comers
0 0 • Front and rear of home at the foundation
PONDING AREA fif applicable)
o cr' 0 • Easement line
? C)", ? • NWL
0 2" 13 0 HWL
? 2r' 1 13 • Pond # designation
0 ? ? • Emergency Overtlow Elevation
DIMENSIONS
[7/ D ? • Lot IinesBearings 8 dimensions
a' 0 ? 0 Right-of-way and street width (to back of curb)
a" ? 13 • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring permanent footings)
? ? • Show afl easements of record and any City utilities within those easements
~;--09 • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? • Retaining wall requiremenis ' any,
- Reviewed: ~o O
ame / Dat
Jantiary 1996
CRA1G199BBLDGPRMT. FM
~
~ E~. . -T „r, T, ~ ~ ~ • -
. . . . . . ~ \l.= - - . . , . . . . _ . .
, , , _ ~ q . ~ ~~p p -•l~ - .
. ' . . i. , . . , . . 1
~ ! . . . , ~O~c e. , " . . . ~
~ . 9 tl ^
I 15 1.s 1, 7
,
~ 1?+q.8 `
~
45' 8" BEND j
d
I
I 32
BASELINE "A" TE TE--------- 0 -
Ln TE ~
tn
a o ~E o
co
v `t r.~ - \ _ N --1 - - - - - -
MH
P ~ ~ o
72.8~N
qb
70.3° 1 1 +87
~
~ Z PE ~r / N 883.7
~ ~-r~4.72 T= 'v pr~np cLqQ =
45' 8" BEND ~ -
50.41 i3 ' . jcr ELEV. 887.0 =
~ ~ i Pr = s.~~
~ ~ , ~ T 3=..,
6 .6 885.8
PROP. SLAB .
I A ~ d'?o, ELEV. 887.0
14+00 '
END STREET ~ ! 1 ' X[]TE
PLUG PPE A„'vD -
MARK INi:4„ I ' i `
14+13 CUR\a -
~ ~i DELTA
,.,7 ~„a ~ ~ l ' i ~ • _
i -
15' 00
0 ~ _
e"N: I T7 0 L
~
u; UTi D- 41,
T H:~.~ ~ 30 ~ 30
~ . ~Jy, PU i;~i.s P.T. F • ' ':'~a IT s,
.~,•.~;vO~~TY`t`_..1
I 15+73.94 , .
rn
Cities Di itg a1 Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
;
-
:
. . . . . . . . . : s . _ _ . . , f _ . 6,_
- ~ ; . . . . ~ . . . . . . . . . . . . . i . . 4 . PVC, ~ND
. . . -
. . . . . . .
. ' -
SDR 35~ @ -1-~%t ~
x r~ ~ j ' f > 5 tr. a c :~-.i V wi.,l d-. : ~ ~ • . ~ . . . . . . E - ~ .
~ . . ~ 1L OO
~r'r- (~Ct " ('•i ~r;r°f~'?9 ,~,~~r'~'' M1 ~ 1 ~ r e , ~ . . . .
.01'~" j UU 1fF. CON~TRUC:T. 17.,
g
. . .
. • ~9~( ~ OU r • trt ~ ~ ~ . . . . . . . ~~`.ll DE DROP
' # .
,Q ~
' a ~ j S . . 1 . . . . . . . . . . . . .
. . ~ .a•• .
,
TQ...... UT
. S
. .
, : . . . .
_ . _ . . . . .
. 4 i . . _ . Q H. .
~ e. ir ' f.. ..Rti~O .
" ~ ' i . 5 ~ , ~ : . . j ; . . . . . .
fNV.: ' . . . . ~ . .
~ . ~ , 1~ tl: ~ . . . . . -1 ::.?e':9:t , , ! . . . . . . . . . ~ ' ; : . . , ~I~. ~ . .
ri . ,.i j'•~i ~ i~~ ~ , j . . , ' . . . j , ~ .
~ ~890,~ MH;_31 . . .11,~ J ~ 25 . ~ : : : ~ . ; : : ~ : : : : : : ~ : : : ~ .
~ . . . . . 5- ~ .
11, 6,
~
.5.._.._.w..__ , . . . . . . . . . . . . . . . . . . u
. . 'R 4~
~ . , . . . . . ~ . . . . . . . . . . . .
......y'... ~ . . . . . . . . . t . . . . . . . . . . . . . . . . ~ i I ~ ~
i _ t • • ' . . . . . . . . . . . . . , ~ . . . pQ ; . . . . . . . . . j~ ~ ° . . . . . . . U I ~ ~
~ ~ . . . . . , i»~ _ . . . . . ( . . . . . . ~ CJ~5.'6 . . . . . . ~ . . . C.lU'Y'. . . . . . . . . . ~ . . . . . . . . . ` . . . . . . . . . . . . . . . .
,
i . . . . ' . . . . . . . . ' ~ . . . . . . . . . i . . . . . . . ~ . . . . . . . . . F . . . . . . . . . ~ . . . . . . . . , .
~ .03 ' .
.Z 7
~
. . . . . . . . . . i . . . . . . . . ! . _ _ . . . . . . F . . .
>
-
~ . W.
. ~ !
; . . . . . . . . . FuTU ~ : : : : . : : : : : : : : : : _ . , . . . . . . . . + . . _
r. F. 880
.f .
. ~ R E. . .
. . . .
. . . . . . . . . . . . . . . . .
= . ~ . . . . . . . OTH . . . . . . . . . . . . . . . . . .
.
. , :
.a . . . . . . . . # .
~ r . . ~ . . . ~ , . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . ~_m_..~...~~....._.._....._.~. ~ ~ . .
33,_......
:
~ . .
• . ; ~ ' 8
, ~.........i..... ~ i ; . ; .DTP... .M,.
W
, F . . . . . . . . . . . . . . . . . . i . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . ~
~ , ~ ~ . . . f . . . . . . . ; . ~ . . . . . . . . . : . . . . .
~ 870 '
` . .._:..w_.,~w
..i~ " . ~ : : : : : : : : : ; ~ ~ : : : : ! : : : : : : : ~ : ~ .
. . . . . ~ . . . . , Q , , i. _ ~ , z . ' „ ! . . . . . . . . . . . . . . . . . . z .
w:.~,.. '
~y.. i. ~ . WI-;- ~.........I ~ ~
. . . . . ~ J. . . ; . . . ~ . . ' . . ~ ~ . . . . . . . ~ ~ . . . . . . : . . . . . . . . . . 0
. . . .~0. r.: • • A~
. . N
LY]
' , f . . . . . ~ CL~ . . . . : . s ~ ~ ~ . . . . : i : . . : . . . . . ~ . . . . . I
; F UTURE : g _x:
. . ~ . ~
> $ 6O ; OTH~f~S ~ ; ~:Lr) : : : . . . : . . . . + iri : : . i : : : : : : : . . . . . .
. . . . . o c~ I
, . ~ _ ~.~.,~.R~P • ~ d- . . . . ~ ~ ~ . . . . . . ` . . : : . : : . i
~ ^ , . . . . . . . . . . . . . ---_--.._,._....._.....~_i~ ~ ~ . . .
j . . . . . . } F . .
i . . . - . r-r-. f : . . . . . f . . . . . . . . . . . . . . l . . . . ' . . • . . ^ . . . . . . . . . . . . ' . . . . ,
. • . ; ~
; .
~ . . . ' . . .
' ~ ~ .
P;LI~G . . . . .75 -g:' : DIF. , . ; . . . . 92,
,
: : : : : : : . : i . . . . . . .
~ .
50
. . . .
Cl:.: 2:C~?:~~~ &::DIP; ::::::::::::::~::::::274:.,~.:.
, .
.....................................3....... . ~ . .~c~ .0.~40...;...:....cL:....~2..:...0~.:....:...;...:...:.. DIP
, . . . . . . . j J. . . . . , ~
~
.
.
; .
W i
~~.4 ~
. . . . i
.
. ' .
, .
:::..::..~0 6~ , N..
t6 (p ; . . . . ~ LO . . . . . . : ~ . . . . . . . . .
, . . . . . . ~ 00
.C~j. t.~„ .X . . . cD ~O . . . i . . ~ ~ . 1 . . . . . . . . . ( p d" . . . . . : . . . . . . . . .M~d-. . . ! ~
;.........a ~
I
; . . . . . . . . . ~ ' ~F: ~ tn • ~ ~ . . . • ~ ~ . . . ~ . . . , . . . . . . . . . . . .
x x ' ^ ~
N
........_.__....._.__...W• oo~ao~ : : . . . . oo . . : : : : . . . . . . : : : : . . . . . . .
. . , . ~ ; . . . . . . +
_.........~__..W_ ._L___.. . . . . . . . : c~, o~ : . . .
.
, . :
..._..____...~.._._.:.._....~..._....__.__....._.....:...I
i~- 13 ~2
. .
OO B0NESTR00, ROSENE, ANDERLIK
AND ASSOCIATES, INC. 1991 \ 9\49504\9504C24.DWG
PERMIT
,
-CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: BU I L D I NG
Eagan, Minnesota 55122-1897 Permit Number: 030295
(612) 681-4675 Date Issued: 07/18/97
SITE ADDRESS:
34741 TRATLS END RD
LO1`s 19 BLqCK: 2
THE WCIODLANDS NORTH 3RD
PeI.N.: 10-75892-190-0.2
DESCRIPTION:
(a. aF 2 uNr-rs)
B~~,l~firT~:y Permit Type SF pWG
04411 dipg ;Wp rk Type NEW
..:~lie 66 dp!arne'YR,--3 u--1
can.~trurt'1orr, :T'y~ae V-N
°~Onirig '~PD
BUl-
-1C{ing ~~..st~~~h ~ $8
,
t.}1 40
f. F~~'~ 2,523
102 1- FAM. ATTACM
~
Oiy ~M
~~~~~AM
S.~ ~ ~ m ~ -
~1e, c~C5
REMARKS:
ZERO LQT LINE
SEWER & WATER PERMI7 PAIp 07J94
FEE SUMMARY: VALUATIC1h1 $117,000
Base Fee $572.25 MISCELL.Rh1EnUS 11,439.00
Plan Revi.ew $631.96 Total Fee $4,051.71
Surcharge $58.50 .
SAC $950.00
SAG % 1.00
a SAC Ut1]I.ts 1
Subtotal $2p6.12.71
a
II CONTRACTOR: -AP Pli c a n t - ST•Lx C pWNER:
COUtVI"RYHQME Bl.pR5 18354126 0008508 WQQDLANDS CQUNTRYHOMES
7625 METFtO BLVD 145 7625 METRO BLVD 145
EDTNA MN 55439 EpINA MN 55439 ,
(612) 835-4126 (612)835-4126
I 'herr~k~Y ~+ek~R ~;iI~A~~ th r~ ap'A~.~~~~~t~~
ttQ.n. a n ,q~r~;~
- a~ ,+,r~~~.
~:~.~~~'~;~s~. ~.~.;t~" E
. , . , ..H . . r , aM. . . _ ~ e._.Y.~
~
APPLICANT/ ERMITEE SIGNATURE SSUED : SI NATUfRE ~
CITY UF EAGAN ?
. 3830 PILOT KNOB RD - 55122 T1996 BUILDING PERMIT APPUCATION (RESIDENTIAL)
~
681-4675
New Construction Reauirements RemodeURepair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations tor heated additions
? 3 copies of tree preservation pian N lot platted aRer 7/1/93
required: _ Yes X No
DATE: CO~~~r 97 CONSTRUCTION COST:
DESCRIPTION OF WORK: 7-Ow4 Hd Ui~la
STREET ADDRESS: - 4"?0 72AILS ENC) ROp O
LOT R BLOCK 0)- SUBD./P.I.D. ~~dLA ^1? A1,10 72Y 3 Rp
~o~ ~ t~ni S
PROPERTY Name: rv~ot-AN05 COvN7`Rr~fdM~S Phone 8~?S-4/Z~
OWNER ""ST
Street Address:.7&25 M62-0 aLvO. Su'?e /¢S
City: 9DI^/A, M~ State: M'J Zip: S5¢'39
CONTRACTOR Company: 6000RYNaW, ,~ulGD~..~25 Phone 8S15• ¢/?-4'
Street Address: 7Co2S MLT2o F~~~D, License 000 gs'DS
City: -F-V/A/A State: /hA/` Zip: 55439'
ARCHITECT/ Company: YZ,4 Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: 1-6AlNOAI f-JCCdVAI(o1-1 6094'1¢00 . Penalty appiies when address change and lot
change are requested once permit is issued. '
I hereby acknowledge that I have read this application and state that the inf ation is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
/ RECEIVED
Certificates of Survey Received Yes No 19~-
Tree Preservation Plan Received Yes No
BY:
OFFICE USE ONLY
•
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging a 16 Basement Finish
~ 02 SF Dwelling ? 07 4_plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8 plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE ~ 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37, Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Atlowable) ~p~ Main level sq. ft. City Water
UBC Occupancy ' 13 {~J! sq. ft. . . ,Fire Sprinklered
Zoning ~ sq. ft. PRV
# of Stones r - . sq. Booster Pump
Length ` sq. ft. Census Code. ~ 2
Depth ~ Footprint sq. ft. SAC Code 01
Census Bldg A
Census Unit
APPROVALS Planning Building FM ° Engineering Variance
Permit Fee Valuation: $
Surcharge 4
Plan Review
License
MCNVS SAC
City SAC es~-
Water Conn. Water Meter
,
Acct. Deposit
S/V1/ Permit
S/W Surcharge ,
Treatment PI. ~~e~ ~ Y
Road Unit
Park Ded.
Trails Ded.
Other -
Copies P ~ ~~900_ do
Total:
% SAC
SAC Units
EXTERIOR EtL ,ELOPE AVERAGE "U" COMr jTATION
OWNER:~D~ND~ " -~UN~'R~~ML? .
S1TC ADDRESS_~~7d._.~_7RAILS tNl R040 PNONE•-S~~¢~Z~O s
CONTRACTOR: COUN•rizY110HE nvzLDEr s,- INC.. DATE: &-`0- ?7
DETERMtNE WORKING SQUARE FOOTAGE OF EACH:
1. 70TAL EY.POSED WAII AREA . 174-2 sq ft x"U" 0.110 =I M• (p2 I
2. TOTAL ROOF/CEILItiG AREA . 4-- - sq ft"x "U" 0.026 =~~q•~$
3. TOTAL EXPOSED V'JALL AREA CALCULATIONS:
,2= t
Total exposed wali area above floor........ 7¢ sa f
a1 Total window area:
Double gtazed........... sq ft x"U" 0.430
fllazed - sq ft x „U.. -
, ~j ~ = 2•~~
bl Total door are.a sq ft x "U" 0.070
- -
c) Total stiding door area:
Double glazed sq ft x "U" 0.430
glazed sq ft x "U" _
d) Total fireplace wall area NA sq ft x"U" 0.370 =
e} Tocai wal( framinfl area
(AVERAGE 10%) sq ft x"U" 0.095
'
f) Total net wail area ~ ~
~
above fioor (insviated) sq ft x"U" 0.043 = 54.57
g) Total rim joist area sq ft x"U" 0.034 = 3• ~`y`
Total foundation area (exposed) ..............NA sq ft
h) Total foundation window area NA sq ft x"U" 0.430 =
i1 Totai net foundation area abovo grade..... 1,1Q sq ft x"U" _ 0.045 s
3 7otal a) thru i)
If item /!3 is the same as, or less than item tf 1 you have met tha intent of 2 MCAR 1.16008 A and 0.
Page -1-
: -
.
l. TOTAL EXPOSEfl ROOF/CEII.lNG CAICULATtONS:
Total cxposed rooE/ceilii-ig area . sq ft
j) Total sl:ylight area N/A _ sq ft x"U" ~
.
Total roof/ceiling framing area ~S 3~ f,~•~9
k) (Average 10°o _ sq f: x"U" 0.039 =
. ~
d) Totai net insufated :7~j ~
roof/ceilinq area Q' sq ft x"U" 0.024 = ~ -
1 Total a) thru i}
If item x4 is the samc as, or ?ess than item #2 you have met the intent of 2 MCAR 1.16008 A and 0.
ALTERNATE BUiIDING ENVELOPE DESIGN
To utilize the total evelope systerr, method, the values established by the sum of Items #3 and Item K4
shall not be greacer thaii the svm of ltems R1 and #2.
1. • 2 - -
3, + 4 =
CERT(FICATION
1 hereby certify that I have calcutated the "U" factors and "R" values herein and that the buiidinp here
in described meets or exceeds the state of Minnesota Enarfly Conservation Act.
(Signa ur~)
c~~«, .
PERMIT
~ CITY OF EAGAN BUILDING
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: 030296
(612) 681-4675 Date Issued: @ 7/18 /97
SITE ADDRESS:
3474 TFtATLS END Rp
LOT: 20 BLOCK: 2
THE WOOCiLANqS NQRTH 3RD
P.I.N.: 10-75892-200-02
DESCRIPTION:
@ (a. oF 2 uNxrs)
p~~,Permit Type SF QWG
Bula dg1-
n~~ t- 49 rk Type NEW
R.--3 U-1
S e U -N
~ ~fcsr~ing ~ ~ PD
~ L e°r? t~~ 88
.e~.~,~~~~~E 4 e ,
2 , 5 2 3
102 1-- FAM. FITTACH
y~-..
~4
~
%A& 14',: ~
REMARKS:
ZERO LOT LINE
SEWER & WA7ER PERMIT pAID 07/94
FEE SUMMARY: vaLuATx~~ $117,000
Base Fee $972.25 MISCELLANEOUS $1,439.00
Plan Review $631.96 Total Fee $4,061.71
Surcharge $58.50 .
5AG $960.00
SFIG % 100
SAC Units 1
Subtotal $2,6.12.71 ;
CONTRACTOR: Applicant - ST. LIC pWNER:
COUNTRYHOME BLDRS 18354126 0008508 WOOpLANn5 COUNTRYMOMES
7625 METRO BLVD 145 7625 METRO BLVD 145
EpINA MN 55439 EDINA MN 55439 .
(612) 535-4126 (612)835-4126
x a
~~i ~at ~
• , y, ~ , " a ~~~s~ ,y ~y~
- ~ ~w,ld ~f~i~i'~~:1:~ ~~::1..g~~,~~~!'I~~wv~
3"~JT1 s~ ~ I? S t~C~ .~~§g~~~~~ ~E? Tt~t
~
APPLICANT/PERMITEE SIGNATURE ISSUED Y: StGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 R
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ~
Nr Sr en Remodel/Repair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inciude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calcutations ? 1 energy calculations for heated additions
? 3 copies of tree preservation pian ff lot platted after 7/1/93
required: _ Yes X No
DATE: ~0'/d "CONSTRUCTION COST: Mouoo
DESCRIPTION OF WORK: 7vc, L *j H duG-F-
STREET ADDRESS: SN4) R0,40
LOT BLOCK o2 SUBD./P.I.D. WaOOLA NOS
~
PROPERTY Name: MODLAn~ CD~A&R44~~ Phone
OWNER UST ""g'
Street Address•7&.40 1WEX92 43LvO SU179 145
City: 25VlN4 State: RAI Zip: ~~4 3T
CONTRACTOR Company: 420J&M,940-~2 Phone 55S' 414~-"
Street Address: 7W25 lkr72c5 P-~-VO• License 0006508
City: F- VVNp State: MAI ~ Zip: 5t¢' 3
ARCHITEC7/ Company: lV IA Phone
ENGINEER
Name: Registration
~ Street Address-
City: State: Zip:
Sewer 8 water licensed plumber. ~zNNOd ~5jCC,d (/A71Dd 6~ 90"1¢0,:~> . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the in rmation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received ZYes No
• ~
Tree Preservation Plan Received Yes No BY:
"I
OFFICE USE ONLY
BUiLDING PERMIT TYPE
Y
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0~ 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
a 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE '
~ 31 New o 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION . .
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy U , sq. ft. Fire Sprinklered
Zoning sq. ft.` PRV
# of Stories I sq. ft. Booster Pump
Length ~ sq. ft. Census Code.
Jepth ~ Footprint sq. ft. '572 ~ SAC Code (0)._
` Census Bldg f
Census Unit ,
APPROVALS '
Planning Building ~ Engineering . Variance
Permit Fee Valuation: $ I1'4 0~
Surcharge
Plan Review
License
MC/WS SAC F I-OW-
City SAC
Water Conn. ~-4
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge . . Treatment Pf.
Road Unit -
Park Ded.
Trails Ded.
Other
Copies -
Total:
sac
~ SAC Units
~ i
~ EXTERIOR ER. ELOPE AVERAGE "U" COMr .jTATION ~
owNE:
ILAI65 5N0 RDA9 PHONE:
CONTRACTOR: COUN•ritY110HE BUILDERS, - INC. DATE:
DETERMtNE WORKING SQUARE FOOTAGE OF EACH:
t. TOTAI EY.POSED WAI.L AREA sq ft x"U" 0.110 = ~ I 1•(v~- i
! 3~ t'X .v~ o.o2s =
2. TOTAL ROOF/CEILIivG AREA Sq f
3. TO7Al EXPOSED V'JALL AREA CALCULATIONS:
Total exposed wall area above fioor........ ~~¢2 sq ft
a! Total %vindaw area: /'50 Double c~lazed sq ft x"U" 0.430 ~o¢'S
fllazed ` sq ft x "U" -
b) Total door area sq ft x'U" 0.070 = o2•jv~
c) 7ota1 sliding door area: ~ -
Double plazed sq ft x"U" 0.430 = 34•~
glazed ' sq ft x "U" _
d) Total fireplace wal( area NA sq ft x"U" 0.370 = .
e) Total walf framinfl area
(AVERAGE 101,10).......... sq ft x"U" 0.095 = 1?~
f} Totai net wa11 area ~ ' s!1 ~S-~
above ftaor (insulated) ~a'~~'•?b sq ft x "U" 0.043 a
g) Total rim joisc area sq ft x"U" 0.034 =
Total foundation area (exposed) ..............NA sq ft
h) Totai foundation window area.. NA sq ft x"U" 0.430 -
i) Total net foundation area abovo grade..... N~ sq ft x"U" _ 0.045 =
3 Total a) thru i1 .~j_~•~ ,
T
If item 113 is the same as, or less than item ff 1 you have met tha intent of 2 MCAR 1.16008 A and 0.
Page -1- '
~
. 4,
TOTAL EXPOSEO ROOF/CEILING CALCUlA710NS:
Total exposed rooflceiiing area . sq ft
j) Totai skyiight area AJIA _ sq ft x"U" _
.
7otal roof/ceiling framing area q
k) . lAverage 10°'0 sq f; x"U" 0.039 = Z!
1 '
d1 Total net insulated
rooflceiling area sq ft x0.024 =
^ Total a) thru i}
If item #4 is the samc as, or less than ;tem #Z you have met the intent of 2 MCAR 1.16008 A and 0.
ALTERNATE BU(LDING ENVELOPE DEStGN
To utilize the total evelope systerr method, the values established by the sum of ltems #3 and Item #4
shall not be greater than the sum of Items R1 and K2.
1. • 2 = -
g, + 4 -
CERT1FtCAT10N
I hereby certify that I have calculated the "U" factors and "R" values herein and that the buildinp here
in described meets or exceeds the state of Minnesota Enerfly Conservation Act.
(Sib alurc)
/ L` 1q gL ~ CITY USE ONLY RECEIPT#: 9 'l~~
V _1 ,
~ 8 7
SUBD.,,,/~_ G(~ .4 Y~ 4 ~ • ~r r/S
' RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NO. TOTAL
Shower 3.00 x 7,
Water Closet 3.00 x =
Bath `I ub 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 = 1 0
Gas Piping Outlet * minimum -1 • 3.00 x = Rough Openings 1.50 x =
Water Softener "for dwellings under construction 5.00 X =
Water Softener " for existing dwelling 20.00 x =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler * for existing dwelling 20.00 =
Alterations " to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
Ciry property/right-of-wayleasement.
SITE ADDRESS: I/Z&A;
TAX06YIna c~u
OWNER NAME:
INSTALLER NAME: GENZ-RYAN PLUMBING & HEATING TELEPHONE 423-1144
STREET ADDRESS: 14745 SO ROBERT TRL
CITY: ROSEMOUNT STATE: MN Zip; 55068
SIGNA URE OF PERMITTA
" CITY USE ONLY
L ~a BL ~ RECEIPT#: l d~
SUBD.~ RECEIPT DATE: 7
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH NO. _ TOTOAL
Shower 3.00 x !Qf uu
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x loo
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ~
Floor Drain 3.00 x 3~1 Gas Piping Outlet * minimum -1 • 3.00 x
Rough Openings 1.50 x =
Water Softener "for dwellings under construction 5.00 X =
Water Softener * for existing dwelling 20.00 x =
U.G. Sprinkler " for dwelling under const. 3.00 =
U.G. Sprinkler * for existing dwelling 20.00 =
Alterat'tons to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL
1 hereby adcnowledge that I have read this application, state that the infoRnation is corred, and agree to comply with all applicable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance adivities to the facilities constructed under this permit within
City property/right-of-way/easement.
SITE ADDRESS: 34-141- iV
OWNER NAME: l'I
INSTALLER NAME: GENZ-RYAN PLUPIBING & HEATIN TELEPHONE 423-1144
STREET ADDRESS: ~ a~a5 SO ROBERT TRL
CITY: ROSEMOUNT STATE: MN ZIP:55068
%
SIGNATU E OF PERMITTEE~j
' CITY USE OIYLY
LOT ~ BL RECEIPT
SUBD. ~ Qqo_~" 3 r' RECEIPT DATE: Q I.~S I G~
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY Of £AfiA1V
S$SO PILOT KNO$ ftD
£AfiAN MN 55182
Date• (618) 6$1-4675
4 /
Complete #his section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
b" -Install furnace 61 Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: 061 PHONE
INSTALLER NAME: PHONE -/.3 ~ C 64
STREET ADDRESS: l: 0
CITY: ~ t STATE: 14i ZIP: .J
SIG TURE OF PERMIT E
JS/FORMS BLD/MECH PERMIT (RES) - 1997
: . .
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1997 MECHANICAL P£RMIT (COMMERCIi4L)
CITY OF EAfiAN
3$30 PILOT KNO$ ftD
EAfiAlv, MN 55182
(612) 681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of permit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY iNSPECTOR
~ "CITY USE ONLY
LOT o~D BL ~ RECEIPT
SUBD~J~ ~ 9Q'J. RECEIPT DATE: qT I G~
1997 MECHANICAL PjER14IIT (RESIDEN1'IAL)
crrY of EAsAN
3$30 PILOT KNO$ itD
EAsAv Mrr 55122
(612) 6$1-4675
Date• /
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onl if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit 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
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME: PHONE Y2
STREET ADDRESS:
CITY: STATE: ZVA2 ZIP:
SIGNATURE OF PERMITTEE
]S/FORMS BLD/MECFI PERMIT (RES) - 1997
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMM£$CIAL)
CITY OF EAfiAN
3$30 PILOT KNO$ gD
EAfiAN,MN 55128 .
(612) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE STATE SURCHARGE ($50 per $1,000 of rmit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (nviPxovEMErrTS orrL,Y):
INSTALLER:
ADDRESS: PHONE
GITY: ` STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126647
Date Issued:09/04/2014
Permit Category:ePermit
Site Address: 3470 Trails End Rd
Lot:19 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-190
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 .
Barbara Bessent
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 -
Judy A Pryor
3470 Trails End Rd
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153433
Date Issued:12/19/2018
Permit Category:ePermit
Site Address: 3470 Trails End Rd
Lot:19 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Judy A Pryor
3470 Trails End Rd
Eagan MN 55123
(651) 457-4830
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153434
Date Issued:12/19/2018
Permit Category:ePermit
Site Address: 3470 Trails End Rd
Lot:19 Block: 02 Addition: The Woodlands North 3rd
PID:10-75892-02-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Judy A Pryor
3470 Trails End Rd
Eagan MN 55123
(651) 457-4830
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature