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. . •4-. . r F:~ o. z .
- CITY OF EAGAN A = 87 16 ;
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ;
PHONE: 454-8100 A
BUILDING PERMIT. Receipt # ~ i
To be used for SF ~'/~R Est. value =1499~ oate ~S iS 19 91 4
Site Alf~ess 808 TROngRS ItiDGE ?
Lot Block Sec/Sub. OFFICE USE ONLY '
R-3 !S-i
Parcel No. occuPancy PD -X;1 FEES
'tVOR$0!1 PBOOtanu ItiC Zaning -~-,;u $11 *00 '
W Name (Actuaq Const Bldg. Permit
~ Address (Albwable) - Surcharge 74,50 0 M of Stories 527.00
City Phon@
Lengih Plan Review ~
, o Name BAIAN L THOR50N liM s INC Depth sAC, cay 100000 ;
~s Addf2SS S.F.7dal - SAC, Mcwcc 6~.~ ;
r Clty Phone S.F.Footprirtts - yyaterConn 6".~ ~
. On Site Sewage -
3
On Sile Well
~y W Name Water Meter ;
;
Addfess MwCC System 30.00
Ucs ~ Acct Deposit
a W City Phone City water - 30,00 ~
PRV Required _ SNV Permit j
I hereby acknowlege Ihat I have read this appiication and state that the Boosler Pump - S/yy Surcharge .50 ~
information is correct and agree to comply wrth all applicable State of 3T6~~
Minnesota 5tatutes and City..of Eagan OrdjtYapfss. Treatment PI ~
Signature of Permitee ~ APPROYALS Road Unit ~
BR1AN L ~~RSOK BMW Planner - Park Ded. ~
A Building Permit is issued to: ~
on thq express condition that all work shall be done in accordance with all Cancil ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pn_ _ Copies
• • :
- ~
Building Otficial Variance TOTAL
-
' PermR No. Permit Molder Da1e Tabphone #
WATER
sswmw
PIUMBING 1~~Zb n,~ '~pO
vQti.
H.V.A.C. 7y'I ' Y-A//
ELECTRtC 3 %10 A~ 00
Inspectlon Date In . Comments
Footings I
Foundation
Frarvirg y- s-9 s
RODrifig
RDI* Pibg-
R.* ?n9.
lsui.
F,?qAwe
Fnal Mtg.
Fnal Pibg. ~
COnst. Meter Pibg. Inspeclor - Notity Plumber
ErgrJPlan
Bk1g. Fxial S'
Deck Fig.
Dedc Final
Well
Pr. Disp.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER 1
#ZY_ 076 Jil PERMIT DATE 02/20/92
3830 Pilot Knob Rd. 011.3 k PERMIT # 1 t R 14
Eagan, MN 55122-1897 CHIP #
METER S~ZF~~ B.P. RECEIPT # C 12158
FEB la, 1991 ISSUE DATE B.P. RECEiPT DATE 02/ 19 91
DATE
- PRV _ BOOSTER PUMP
SITE ADDRESS 808 YROTTF11S RIDGE PERMIT REQUESTED
LOT 11 BLOCK 1 SEC/SUB ABIDL$ RIDGE 2iVD
X SEWER X WATER - TAPS
APPLICANT:
ADDRESS: • - COMM/IND X RESIDENTiAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 7226 CEDAR AVB S CreditWlLL NOT be given for Deduct Meters.
ZIP ` 1,r /
CITY, STATg lr~Fl Z -
PHONE:
I AGREE TO COMPLY WITH CITY OF
OWNER: TAO$SOF PROPHBTIES It1C EAGAN ORDINA CES
ADDRESS: 4466 WLDGLWOOD DS
CI7Y, STATE EAGAN MY Zip 55123 Jooj
PHO : 454-0644 S GN TURE WHEN ETER ISSUED
~ ,
! : ~ ; • ~ ~
PLEASEALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. ur 71 t; R t
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
li,01 IF{2S p 1E04
PERMIT SUBTYPE: TYPE OF 1NORK:
! •.t I7 1 r"s{ I~+r!
INSPECTION TYPE D• ON TYPE D•
. i
i~ti~~ii t 1~i 1 i i ~~'I:11
~ ~
I Pertn(t No. Permit Holder Date Telephone N
ELF-CTR4C
I PLUMBING
i HVAC
Inspectlon Date Insp. Comments
I FOOTfKGS
I
I FOUND
I FRAMING
~ •G
ROOFING
ROUGH
PLUMBING -
PLBG
AIR 7EST
ROUGH
HEATING
GAS SVC
TES7
INSUL ~
GYPBOARD
FIFEPLACE
FIREPLACE
AIR 7EST
FINAL PLBG
FINA4 HTG
ORSAT
TEST
BLDG FINAL
~ eSM7 R.I.
i 8SM7 FINAL
I
I DECK F7'G _
~
- - -
`74~> 7P
I '
I
. .a •
~~~#t#i~r~#~e u# (~rru~~nr~
,
Citp of tagan
l9rprbam of luitd"atg jmwntinn
?7iir Cem; J'wate fssuad pursuant to lke reigrunanurts of Serliori 306 ojAe Uniform Building
~',orle certilyJng 1ha at the &ru ojitsuaaoe IhLsstrudure mas irr oompliancc with lJre various
ondinanm ojMe tS1y regulaliitg huildin,g consIrmcdoa or usa Far the foUowing:
ttx Cklsrao- 4T =/,CAF Mk, nC N,, 18716
oomP,,77Yv, -R3~"L1.--7aoiec owea PD/R1 ZyMca.,,. VN
Oveer ot weWi~ UMSM ESCMTTF-q TAi': _Add,ft 44fiFi WFIYMKYI] 172. ~ EA['~AN
SOS ~RS RIDC~ ~ L 11. B 1. B~iIDq.E RID(~ ZPID
n., W 7./~iJ4 t '
Badivi 0166,
POST IN A COMSPICUOUS PIACE
RESIDENTIAL
f
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RDN 55122
'
651•681-4675
New Canstruction Requirements RemodellReoair Renuirements
• 3 registered site surveys showing sq. ry. of IoC sq. ft. of house; and all roofed areas • 2 copies of plan
(20°h maximum lot coverage allowed) • 7 set ot Ene(gy Calalations for heated additions
. 2 copies of plan showing 6eam & windovr sizes; poured (ound design, etc.) . i site survey for extenor additions & decks
• 1 set of Energy Calwla6ons
• 3 mpies of Tree Preservation Plan if lot platted aker 711l93
• Rim Joist DeWii Optbns selection sheet (bkigs vnth 3 or less units)
' DATE VALUATION (EXGLUDING LAND) UV-0
JOB SITE ADDRESS BC) 8 Ty°-rre~eS 12+ D(sra- A~' •
IP MULTI-FAMILY BUIIDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK FIREPLACE(S) _ YES ~`kO
APPLICANT /7LDAA K- • PHONE#
PAGER # (012 -B80 ' C)6-S_3CELL PHONE # 6Sl -387 -a~'~f ~ FAX #
NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted D~
n~~
~ Ic
I I,7
_ MINNESOTA RULES 7672 LS ~
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: Phone 4A~
Plumbing System Includes: Water Soltener Lawn Sprinkler Fee: `'69 :
Water Heater No. oF R.I. Batiis
No. of 13aths
Mechanical Controctor: Phone #
Mechanical Sys[em Includes: Air Conditioning I'ee: $70.00
Heat Recovery System
i Sewer/Water Contractor. Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that f have read this application, state that the information is correct, and agree to comply with
all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07•plex ? 17 Garage ekD 22 Porch/Addn. (4-sea.) 0 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
ya+ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
r
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to appli ant
P~
Valuation 7Q(1~~ Occupancy ~ MC/ES Syst m
Census Code Zoning p;City Water
SAC Units ~ Stories Booster Pu p
Nbr. of Units I Sq. Ft. laO PRV
Nbr. of Bldgs Length ~d Fire Sprinkle ed
Type of Const ~ Width ~
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ~i FinaUNo C.O.
~ Footings (addi[ion) _ Plumbing
4n Foundation _ HVAC
T Drain Tile
Roof Ice & Water Final Other
~j Framing _ Pool _ Ftgs _ Air/Gas T ts _ Finai
~ Fueplace _ R.I. _ Air Test Final Siding Stucco Stone
~ Insulation _ Windows (new/replacement)
Approved By ~9 , Building 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 N0 1.$7' 6
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
~ ( ~~~'C~
BUII.DING PERMIT PHONE: 454-8100 Receipt # ~
To be used for SF DWG/GAR Est. Value $149,000 Date FER 15 ,194L-
Site Address 808 TROTTERS RIDGE
Lot 11 Block 1 Sec/Sub. BRIDLE RIDGE 2N OFFICE USE ONLY
Occupancy R-3 M=1 FEES
Parcel No.
Zaning PD R-1
w Nyme THORSON PRQEF.RTTAS-TNC fActuapConsl -V--N BIdg.Permit 811.00
~ AddresS 4466 WEDGEWOOD DR (Anowable) V=N Surcharge 74_50
Cj(y EAGAN Phone 454-0644 x of Stories p~an Review 527.00
L~
Lenqlh S
o Name -AR7AN i. THORSON HOMF.R TNC Depth A21 SAQCiry 100.00
i
0,¢ Address SpMF S.F.Total - SAC,MCWCC 650.00
~ City Phone S.F. Footprints -
On Sile Sewage - Water Conn 660.00
tw W Name On Site Well - Water Meter 90.00
EV AddfOSS MWCCSyslem X pat Deposit 3~.00
aw City Phone crywatar X-
PRVRe9uired - S/WPermil 30-00
I hereby acknowleqe ihat I have read this application and state that the Baoster Pump - SNJ Surcharge .50
information is correcl and agree lo comply wi h all applicable State ot
Minnesota Statutes and City Eagan Ordi ps. Treatmenl PI 276.00
D
SignaWre of Permilee ~ APPHOVALS Road Unit 370.0
A Building Permit is issued to: BRIAN L THORSON HOMES Planner - park Ded.
on Ihe express condi[ion that all work shall be done in accordance with all Council -
appliwble State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Of1. _ Copies
~
Variance - TOTAL 3,619.o
Building Oflicial 'LMI ~piflj V
Addre'ss: 808 MI2'IItS RIDGE Lot 11 Blk1 Sac/Sub BRIDIE RIDGE 2ND
These items were/weie not complate at the time of the final inspection. t: 7/8/91 Yes No S
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry Ll~
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ?
Basement finish
Deck i
Pleasa verify with the builder the removal of xoof test caps from the plumbing
system and the shut-off of matar supply to the outslde lawn faucet befoxe
freeze potential exists.
w
.a¢muru~.
White - City copy Yellow - Resident copy Pink - Contractor copy
/-/r A!911
HOUSE HEATING TEST RECORD
ADDRESS 2?'CR' *7s c~- ppL_FLOOR CITY SUBURB~~~~~~'~j
IOCCtJPANT ya'61t,~ _OWNER
HEAT LOSS DATE HTG. INST. '-S `9Z SOID BY 4-= 16-74,4r- INSTALLED BY Elscirical N'ork By Cns Line By .~7~-
TYPE OP HEAT GA FA _HW - STEAM SPACE HTR. -UNIT HTR. _OTHER
GAS DE~IGN CDNVERSION
MAKE MAKE OF BURNER
Model C3 i ' "jQd=l Model
$wial Max. BTU Rating
INPUT (2 MAKE OF FURNACE -
.
Model
CONTROLS y
THERMOSTAT/ Hsat Plug Vent Sixe
' Valre ~~~d~ KIND DF LINER SIZE NONE ~
Limie DraNHoadT Rsgularor MAY+, 32C--
Limit $attinq Filter• Si:s I6~) K~ Number I
Fan Settin C`~ d U'<~-7r
g ~ Chimney Location Inside ~ Outside
Pilot Type /G ~ ~ 11 rla Chimney Cons}rudion
Pilot Make S4 44• l
Pilot Model Smeke Bomb Wiriag.Ut'~
Pilat Timing Draft X/61 Test Tap
L.W. Cut OR Dow Press e Lightiny Inst.
i ~7 q
Prossure Psrcant COZ Dots Teated f` r
InOut CFH Pereset OZ Company Tasting - ~
Sto<k Temp. Pxcent CO Name oF Yesfar f
Form 235
RESIPENtIAL S ~ ~=r
5 ola l~ BUILDING PERIVIIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements RemodeUReoair Reauirements
• 3 registered site surveys showing sq. ft of l06 sq. ft ot house; and all roofed areas • 2 copies of plan
(20°k mazimum lot coverage allowed) • i set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 site suney for exterior additiora & decks
• 1 set of Energy Calculatiore . Indicale'rf home served by septic system for additions
• 3 coples of Tree Preservation Plan'rf lot platted ader 711193
• Rim Joist DetaN Optiom selectiun sheel (61dgs with 3 or less unils)
DATE VALUATION
JOB SITE ADDRESS9M -Go~CXS~i'~A~2~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER~Oht~
TYPE OF WOR6"{O.U 07 Cu;~yS I&n(-bwn ..A.&:4ino. tfamFIREPLACE(5) _ 0_ 1_ 2
APPLICANT~ex~4+~..fl PHONE# ~OSI•,~(a~I~Y~~~-
ADDRE$S I1aDC4a~1-A"G" ZIPCODE65113
PAGER # CELL PHONE # FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGO
(check one) - Residential Ventilation Category 1 Workshe u mi e
- Energy Envelope Calculations Submitted MAY 3 0 2002 !V
_ MINNESOTA RULES 7672 ~
- New Energy Code Worksheet Submitted By
Plumbing Contractor. Phone
Plumbing System Includes: _ Water Softener _ Iawn Spiinklcr Fee: $90.00
~ Watar Heater _ No. of R.I. Baths
~ No. of Baths
Mechanical Contractor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All ahove informafion must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the inf mation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or i ances.
Signature of Applica -
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
r••••+. auu a~. au rno. f O~ O f 1'9400 1(LCIt511A1. t3Y Af1Utl1('JtSIM . .
~uuxiuu
rE al
aune t aoo] ~itY of Eagan 3836 Pilot Snab Rond .
Eab'an. MN 55122
To Whom Ic May Concern:
Elder Jones is authoriz¢d to ptill bnilding permits for Renewal by A,ndezsen. Ptease allow
Elder Jones to pi+ovide this ser'yicc for us in Fagart. 'IhiR muharlyaticm ig valid for any
date beyond 616101; uudi aXonewat by Andmen ManaM ekNewy revokes it in wridng
to the City-
I rcquest tlus au#liocization bc acceptad e,npedidously, as w not delay in the proGassing of
our buildiag pcmub mty fttrtficr. Plcasc caIl mc lf thcto at+c any questlons. I can be
contacted at 763-502-4706.
,
Yaur lmmqdiatc attcntion to this msittcr 9s appreciated.
Sinceiely, , .
and R. &Pjm
Jation Mactager
Rcnewal hy Andasen Coiporation . •
Cr.: Km-Fltler Snne.a
.~K--~'I~tI~eC4 •(i( ~Oe,~Z ee;,~
G - ?-~c7oj
ah o ~ L~Ci^nnq~
M' ~aaan ~ yn.mzoos
Received Tiine Jun. 7. 1:01pM
' . •
_.M
rtt PLICATION
1991 SIIILDING *
CZTY OF EAGAN rE. B 34'
SINGLE FAMILY DWELLINGS MfJLTIPLE DWELLINGS COZ44ERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
iAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Se Used For: <;7-3t .~..,,1-, Valuation: Date: 7- -1LI I
Site Address 303- OFFICE USE ONLY
Lot i~ Block I FEES
Occupancy R"3 M-'1 Bldg. Permit g1tP0(7
n~7 D Zoning 'A R-I Surcharge '7yS0
Parcel/Sub ~rrd(z ~cl~ja AVM) ~j Actual Const V_hl Plan Review SZr?,DO
Allowable V-hl SAC, City W 0,00
Owner # of stories SAC, MWCC (oSQ,OC~
Length fe4 _ Water Conn. 66zOfQJ
Address L/-`.~ Depth Water Meter DOD
m~ S.F. Total Acct. Deposit
City/Zip Code ~{qd- Footprint S.F. S/w Permit 30,00
r/ S/W Surcharge 14-0
Phone yfy-'~6~'jy On site sewage_ Treatment Pl. e217 ,0
^ ~On site well Road Unit E00
Contractor arlGl~ L` lho~jv~ Ars, MWCC System ?l Park Ded.
City water p/ Trail Ded.
Addzess PRV _ Copies
9 Booster Pwnp _
City/Zip Code ~S6(~ NM/ ff~Gl SUBTOTAL
APPROVALS Penalty
Phone Planner Lat Change
Council TOTAL
Arch./Engr. Bldg. Off. DS 7/59/
Variance
Address
City/Zip Code
Phone #
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . . vA LJ
4i -I
(f7 A R4(~~
'6S tXl T
~
A6x3Z =
/o KLl= yo
I4x ~;i ~ zz4
~ q K ly 15,3y~(
35m-~s I+~~G
~x8= sS
f I 04 k~'! = 5G,3 04
Z rv T> FL a o(~.
ZG. Xy~ ~ I2~1~
~~~z K I2- ~ (c~
) Z'~~ X J I=(~S Sf3~
l~-( ~ 3`? 4 0~ I'~.~?, o~ o-
SURVEYOR'S CERTIFICATE BRIAN L.THORSON HOMES
~TROTTERS RIDGE ~a,,,
°7f6. N
(884~~) 86.57 S66157'03"E (978,2)
o o i~re.s
` ~s8
t , d
BIMGN YAIIK . ~S
10P OI IRON 9 89WN µARK
(L[V.6M1.S1 7b? 01 IIION
I ri'i%:! [LNpT.M
W~'~~ o
4<e I
GAR4GE 1.88 O
ZV
M 16O ~I PROPOSED N Z
m I o HOUSE N~
~
C4I 4 O R\
ii %1 I
.
K DECK .
~ ~ C88LS)' I
0
LOT -II
_~?(oO.s), S ~NWT pUP/AT
g ' e74Z j,5~
se~~,~eaw__ ,g -
NOTE: 6ULOINO DIMENSIq45 SHOWN ARE FDR NORIZONTAI.
,
- : .,-~9~---a VOILICOL tOCATION OF STRUCTUA£ ONLY. 9Ef ~s
:.::n::,~•_,.....:b.a
A1011T$RUAL RANQ rOR SUlLDN10 6 FOINiDATION DEPT
p1~fi11101L4.
DENOTES PROPOSEP SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEE7
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -$g(.,3 FEET
X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 0184, FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 6640.1 FEET
WE HEREBY CERTIFYTO BRIAN L. THORSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I I, Blxk I, BRIDI.E RIDGE 2ND ADDITION, acCOrding to 'the recaded ptat
thereof, Dokota CouMy, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I I TH DA','OF FEBRUARY ,1991.
NoTE, NO SPECIFlC SOLS INVES7NiA710N SIGNE : AM S R. HILL, INC.
W?3 MFN COMPLETdD ON TMIS
LOT OY TN[ lYIIVtYOR. 1'ME
SIXT4111116ITY 0' !qL! • lU 9UPPORf BY,
1s~N0~HE CREtHOUSE PON91BL17Y oF JOHN C. LARSON, LAND SURVEYOR
rHE su*4YOR. MINNESOTA UGENSE NUMBER 19828
James R. Hill, inc.
~ T m a m V~ j N ~
o g o N Z rn~ Z~ c m~~ P L A N N E R S / E N G INEE R S / SURVEYOR S
_ O m
~ 9401 JAMES AVE. S. • BLOOMINGTQN, MN. 55431 a 612-884-3028
x
• •.r1~A, . KInNLJUlA oln~. u ...r.v..n~.i .
BASED OV f,HA.TER•vyOFVT ~r
% J, 1 MOULL ENGY COD DLS20N_:._~•f'
0-~ 6- t" Adopcfun EEfeetiv• t/114
~J C`o--~\. . . • . .
Ql~-~ Z-R~ Phone_ ^at~~`~q-
lwner
:1 te Address_ Lo T' 1I, ,~L-COc K 2-ivA A u)l 7-1
:ontractorc+c .•.?hane
suttding Classiflcat/on; Type A1 (5ingle Fa:nily 3 Ouplex) ~!t~Typ* A2 (Residenttai
0 storles ar ess
(Other) (Over ] stoN es)
;ENERAL INFORMATtON •
1. Butlding Perimeter Z7, ft.
tlall heigh! (ground to eave) l~, ft•
2
1, x 2. (above) gross wall orea_ Z? ft.
3. Building dimensions (L) -A, O x(w) l0 ft.2 roof S fToor area
i. Square fcot area ot rim jolst - Floor joi:t size (2 xZ
• lo? x Ferimeter ¦ Qim jo st area ~ ZZO„Cft
• Tl- X z .
6. poors - Area `r
TAtt ness ~ n. actor
Type ot Constructan ' ~.s.~erimetert(.:.3r tt- .
Fsanufacwrer - ~
7. Tatsl door's perimetar 3 z'L ~ ft "
8. Nfndows: Manufacturer State approvrJ
u tactor q'~
TTPE SIZE AREA (F:.Z) !V(JMBER OF TOTAL FEET 2
EAGH UNITS
~.-s . 1S1 • . c _e~ Z C.y • \ c~
, U1
' x-4z
w G c ~ . -eN o
X (o O Se
L.~~\~~=~rs ~/~'%ZL.•,<<< ~o.c:~ 1 e..C-~r~.~~
y Total ft.Z Gtass
IOU F1replace area: 111dthhe+.~io t• Ft.2
1 i. Expostd foundatlon; Melght a 7erimater,~,~,~„_,_x_,,,,,~,.,~,,.,~.' G~• 0 Ft'2 I~
)MPLETtOH OF THIS FORM IS REQUIRfD fOR AlL NEY COTISTRUCTION. MAJOR REto00flING ANO BUtLOt?1G4 BEING,;'
3vE0 vHERE ENERGT. OTHFR TNAV THE NIniMA1 COOE AIIONanCE, [5 USED. 4
~ 3I c: ( - t,~_- Z 2 +
_-D.
h3 area a lOZ of yross wall area. Gross ?+all area f*•Z
_ -
utnCow are a A ft.Z 1: Nlndaws J x A =
Rtn; jotss area A ZZj~ . O rc.Z u rim joist 04 u x a=
~
poor area A ft.7 door area .,V?-ZL U x- A a
Fireplace area A ft.2 U iireplace U xA •
Exposed foundation A f*..~ il foundation ~ U x Aa
Framinq area A ft.~ J framinq area •_Og U x A- Z'4.\\
Ket wall area A 1`714. \Z•`t• 'J wall U zA ¦-t~.-1 \
' (??9; 73:7,L . . . . . . . . . . U x a - --~-C
-
Gross wall area x 0.11 {A-1 single family S dt..::=x = allawable U.c A/Code
(13. above) . '
x 0.23 (a-2 other resiLen[ia'.; i
x .23 !Qcher building,s; ~
A .148 (Ovei• 3 starie.)
TUH Nust be larqer than
A x U CcCe. O.Z`( . 139 above
Cailing framtng area (Af) aquals 10: nt csilina area ~ or the same as)
~C&#~51
Gross ceiling area ¦(L) 4o x(s+ ft.
. 2
Joist area (Af) a 10'ce111ng area = ft.2
, ye: ceiifna area (AC) (15a - 15B) ¦ ft.2
U teiling x Ac• z~~,~ Z\..~\
U framing x A f- ~Cx_ 10`-\'
. :eTAL u x a . 9
teiling area (15A) x 0.026 (A-1 sinyTe `am.ily 3 duplex odei +a61e U x A I
x O.C33 (A-2 other resida.^.:41)
x O.C6 (other) s
BTUH "lust be targer Chan 1`5D (a0ove) ~
A (t5A1 WR\ _ x U_(code): °F (or the same as) +
~
r
- ,
NOTE: Use U and A values abLained f~•om !fps i. 3 and 4. I'
;
r
4
~ E
~ , . PERMIT C~o55o ~s
CITY OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BUILpiNG
Eagan, Minnesota 55122-1897 Permit Number: 027164
(612) 681-4675 , Datelssued: 04/09/96
SITE ADDRESS: •
808 TROTTERS RIDGE
LOT: 11 BLOCK: 1
BRIDLE RIDGE 2N0
p.I.N.: 10-14997-110-01
DESCRIPTION:
• 9~uildin~„Permit Type BASEMENT FINISH
~BUilding W'o-rk Type ALTERA720N
~ Cen~.us G.IIde 434 AL7. RE5IOENTIAL
;-am=
~ ~tt
'
REMARKS:
FEE SUMMARY:
Base Fee $50.00 -
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. LIC.OWNER:
TIMBERWORKS BLDRS INC 16860911 0006352 SCREEDEN JOHN
829 TROTTERS RIDGE RD 808 TROTTERS RIDGE
EAGAN MN 55123 EAGAN MN 55123
(612) 686-0911 (612)456-9474
I hereby acknowledge that I have read this applieation and state that the
informatzon is correct and agree to comply with all applicable 5tate ofi Mn.
L 5Ga:tutes and CiCy of Eagan t}rdinan:ces. ~
PPLICANT/PERMITEE SIGNATURE . I SUED : SI URE
- CITY OF EAGAN ~p
3830 PILOT KNOB RD - 55122 '~J 0affD
~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
687-4675
NeW ronarruodon Reauirements gmodeVReoair Reauirements
? 3 registered site surveys ? 2 eopies of plan
? 2 copies ot plans (indude beam 8 window sizea; poured ind. dasign; etc.) ? 2 site surveys (exterior addRlons 8 decks)
? 1 energy calculations ? t energy calwlations kr heated additions
? 3 copies of hee preservatron plan N lot plaked after 7/1/93
required: _ Yes - No .
OATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: B~ g,/~i~oT%~~ c~~ ,o~ ¢?.aQo -
LOT BLOCK _L SUBD./P.I.D.
PROPERTY Name: Phone
OWNER
Street Address*
City: 14,,.J State: PI&J Zip: SS/2?
CoNTw?CTOR Company:~ 'o&Ie&5 Phone
Street Address: 82`/ 776~ A,oegr-- 1?-b. License DO63SZ
,6F46AJ ~ ?YIN .
City: State: S`C~ Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address-
City; 5tate: Zip:
~
Sewer 8 water ficensed plumber: 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 informatlon is correct and agree to compiy with all
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY FAM C~~D
Certificates oF Survey Received Yes No jS9&
7ree Preservation Plan Received Yes No
CITY USE ONLY !
L 8L ~ RECEIPT II (P/
5UBD. z' RECEiPTDA7E:
PERMIT# T u ~ l~'' ~w*
~H
2000 PLLTMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT iINOS RD
EAGAN, tMi 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet "minimum- i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newfrefur6ished ' requires MPC lie. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler ifexisting dwelling 30.00 x =
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under constructlon 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 $ .50
Total S 3
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
-
-
d-ge- -
-application, state that the inPortnaUOn is cortect, and agree to wmpty wdh ali applica6le City of Eagan ordinances.
-th-at I have read this-
I herebya- cknowle-
It is the applicant's responsibility ta notify the proparty owner that the City of Eagan assumes no liabiliry for any damages caused 6y the City during its
normal operational and maintenance activities to the facilRies constructetl under this permit within City piopertylright-of-wayleasement.
SITE ADDRESS: eve
OWNER NAME: : \Jra~ftnn Axx-tAGxRs1 TELEPHONE LI 6L'-" 9"'I 7 Y
V^' - (nREa cooe)
INSTALLER NAME: ~P~..,~•~l~i d`a l 116~~Q X-Utit~ TELEPHONE ~ r Z' ~ 1~a ~~o I
(nREn cooe)
STREET ADDRESS:
CITY: STATE ZIP: kS 497
SIGNATURE OF RMITTEE
L~ gL / CITY USE ONLY RECEIPT 30
SUBD. DATE: '/.P 91
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NJQL TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Sa;h 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. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
J
TOTAL U ~
~
SITE ADDRESS: ~<n I ~
OWNERNAME: -7~ V"~~" w0,("
INSTALLER NAME: V~1\,,/ 8l5 a c o -STREETADDRESS: ~~A <<11 A'{
CITY: --Toc JA' STATE: (i ZIP:
PHONE ( ) (-,G a- al a '
~
SfURATUFk~~U"ER ITT
~ 2cr~ r_Ij
'.:~J~SS ~ d ~ ~.~..o'T~~'iLl ~il6e ~ • ~ ~Sl
Dece:mine Norking square foo-_ac,_ o_° f:ar.n.
r- ~
~i'otal e:cFese4 wa11 area sc.
-
,_r.a' _•oo;i-_iling area sq. f=.
"
A . :otal __1l vinca.r a==a
13 - Tntal cco= area To'-ai a._ccnq q'ass coor are_
-
=-_=:ace wa11 area.......................
. ':c__- craainq a=_a (averace 103)........... ~
Tcz=:.:__ area
..r.ea ~ove flcor . .
Tota1 ex--.as_c four.cicicn ar=a -
. T_;_a ..,_-._ei_,.n wir.COw .=_rea......... ~~y~
2rEL u~iOV2 QrS.Gc.. ~~•-~..r.." 1_20 _ ' .
Dace^tine ' vai4= cf eac:1 -.+e._: seqment.
k ..U„
- ~ -
91 _ 12i
~-1,;"
~ ~
..r k "U„ _
........................-_=a:.
=3 :s sa.r.a as. 1e~r~ -->n :rem y .u ..:.ce:rFt i,^.teat
~ _ o: ti~vo ic) -
/
Total exposed roog/ceiling area = Z2'~
j. Tbtal skyliqht area
k- Total roof/ceiling framing.area (average 22
1. Tot,al net insulated roof/ceiling area 2
6etermine "U" va2ue for each zoof/ceilinq segment.
r ~
j. x ~ti..
x. X ,.U.
1_ 2p2 X,.U„ . p2r7 r.~.
a .....................................Torzi = (i
Tf toWl of #4 is t*:e same as, or less than #2, you have met the intent of
SBC 6006(c)l.
alternate Building Envelope Desiqn .
Tb Ltilize the total envelope system method, the values established by the
sum of items #3 and 44 shall not be greatez than the sum of items #1 and #2.
1. CJU + 2.
s. ~2- +.4 /o
- ~v $
, }
` ,j VEYOR'S CERTIFICATE BRIAN L.THORSON HOMES
f
TROTTERS RIDGE .~anT
~
iC sy,3 ~sz~ ~ns. N
(894~9) 86.57 S66°57'03°E
- ~,~~.s
/i ° ~
t
~
a 8
' Y[XC14 M4111t d I :':ii;4..•... if
10r 0pp IROM UMCN YMK
•;',:{i'Ib? OF III011
,.l 0.[V.•pT.O
4 I,r 1 1`
W
4J HBt iJ ;20
a ( ~lRCe A) <e ~ N
~ O GARAGE ' 51.88 0 .
\ M
M I 160 J PROPOS!.D a N
HOUSE N SB Z
O, Q\
~ 2ao
r- i~
~ g~~--- ' n.T
_ L DECK
W cs~,s•=
~ e I I 11'Z
N ~ LOT .11 `~•s) ; y e4SZAZ;r pp~k LiAT
s
8742 .
- - P
NOTL: BULOINO DIMEN910N5 SHOWN ARH fOR NORIZONTAL
S VI1ITICft tGCAT10N OF BTRUCTURE ONLY. SEE Q.;
I~i~lf~ PI~W! ~CR O111L01N0 a FOUNOATlON
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE:1 INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -$$L,3 FEET
X000.0 DENOTES E7(ISTING ELEVATION PHOPOSED LOWEST FLOOfl - 816A. FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 6ft•7 FEET
WE HEREBY CERTIFY TO BRIAN L. THORSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
Lot I I, Block I, BRIDLE RIDGE 2ND ADDITION, according to,the recaded plat
ihereof, Dakota CouMy, Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMEINTS, EXCEPT AS SHOWN. AS
SURVEYED 8Y ME OR UNDER MY DIRECT SUPERVISION THIS I I TH DA','OF FEBRUARY ,1991.
~ 13Lf I PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date / / Oh.
1
Site Address 1 Unit #
Property Owner Telephone # ~
Conhactor , a
Address City
State Zip '~23elephone # 45"~ I
The Applicant is _ Owner Conuactor _ Other
Septic System New _ Refurbished Submit 2 sets of pians and MPC license $ 100.00
InGudes County fee. Additfonal consultant fees may apply.
Alterations To Eaisting Drveliing Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septlc system
_ Water tumaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water sottener I Water heater $ 15.00
V I replacement _ additlonal
~cJ
.50
State Surcharge ~ r
, - .
Total I $1~_
Rv
I hereby apply for a Residenrial Plumbing Permit and acknowledge that the information is comptete and aecuiate; that the work will
be in confonnance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand tlns is not a
pezmit, but only an applicarion for a pemvt, and work is not to start without a pprrnit; that th work will be in accordance with the
approve plan in th7Z, work which requires a review and approval of pl ! ~
p
~
Applicant's Pri' Name A ic y e
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 808 Trotters Ridge
Lot: 11 Block: 1
PID:10- 14997 - 110 -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: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Addition: Bridle Ridge 2nd
PERMIT
City of Eaan
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 1120
Eas t 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6047 kara @elderjon es.com
Surcharge - Based on Valuation $2K
BL - Base Fee $2K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$1.00
$69.00
$70.00
Owner:
John W Screeden
808 Trotters Ridge
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
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 with all applicable State
Issued By: Signature
Building
EA073478
05/22/2006
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 808 Trotters Ridge
Lot: 011 Block: 001 Addition: Bridle Ridge 2nd
PID:10- 14997 - 110 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replace
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
Permit closed without required inspection(s). Letter & correction notice sent to applicant on 2/13/09. (pf)
4/30/08 Notification letter sent regarding expired permit pf
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
John W Screeden
808 Trotters Ridge
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA078145
06/06/2007
ePermit
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105241
Date Issued: 07/05/2012
Permit Category: ePermit
Site Address: 808 Trotters Ridge
Lot: 11 Block: 1 Addition: Bridle Ridge 2nd
PID: 10-14997-01-110
Use:
Description:
Sub Type: e-Windows/Doors
Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection.
Comments:
Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Renewal Andersen John W Screeden
1920 County Road C West 808 Trotters Ridge
Roseville MN 55113 Eagan MN 55123
(651) 264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162028
Date Issued:06/23/2020
Permit Category:ePermit
Site Address: 808 Trotters Ridge
Lot:11 Block: 1 Addition: Bridle Ridge 2nd
PID:10-14997-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ronald Tste O Baukol
70 Spruce St
Mahtomedi MN 55115
(651) 387-1837
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167480
Date Issued:03/17/2021
Permit Category:ePermit
Site Address: 808 Trotters Ridge
Lot:11 Block: 1 Addition: Bridle Ridge 2nd
PID:10-14997-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Ronald O Tste Baukol
70 Spruce St
Mahtomedi MN 55115
(651) 485-5050
Bormann Brothers
17593 Foxboro Ct
Farmington MN 55024
(952) 891-8586
Applicant/Permitee: Signature Issued By: Signature