839 Ventnor Ave
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~ CASH RECEIPT,
CITY aF EAGAN ;
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
OATE
AMOUNT
~ i
E DOLLAHS
loo
O CASH tCNECK
FM
FUND 08JECT l AMOUNT
I
I
G- u
~.C=~...: C ~<<{ L?
~ Thank You
BY
~ . C 14696 V*90--p.yms c
~
i
• .
df • M ,
. ~ (gertt#ixatr of (Orrapanry
s
Citp of Otagan
]rmtatpd o# NuiMaM JU*extimc
7his C.arij'caale Lttuodpursuant !o the rMurmatts ojSeclion 306 ojlhe unijosn Building
Cak curijying lhct at the tinre oJiuuaim this strudur+e ww in carrpliance wide rlre mrious
ondinanas oltlu GYty n.'gulaknS buflding onawucdon or rese For lhe jollowin,g:
um c6mscrAm SF DWG/GAR sk Pa tim 19465
R3/Ml Rl VN Type o..~da.~a~.s GAR ffim~~ ~ ~450 FXiE c~ IOD D, ST PAUL
~ 839 VFNM AVM Lacmay . B4.
Do= 9/ li/Q 1
POST N A OONSPICUOUS PU1CE
- - _ ~ ~ - - -
. . • CITY OF EAGAN IC, , J i
. _ . ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt # ~
To be used for 3f OiiK'IGAR Est. Value $77,000 Date J1J1. 24
8ite Address 839 VEH'fNOR Al?$
Lot 29 Block 4 SeGSub. BTAFFM B.ACE OFFICE USE ONLY
Parcel No. occuaancv R-3 -W-1 FEES
Zoning .~1
Name ncru~const Y- 536.00
W ( 1 Bldg. Permit
~ Address 430 E CW1lRY ROJIa D " (,~~le) - sa.so :
o Surcharge
City ST p/?11I. Phone 4a1-9600 r or stories
~~~h
Plan Review 3~•~ -
Zo Name SHE Deptn SnC. City 100000
Address S.F. Tolal _
City Phone S.F. fooqxints _ SAC, MCwcc 650•00
~ On Sile Sewage _ Water Conn "0•00
V W Name qS•~
F W On Site Well = Water Meter
Q~ Address MwcCSysiem
a W City PhOnB • Ciry Water ~ Acct• Deposit 30.00
PRV Require0 _ S/W Permit 30.00
I hereby acknowlege that I have read this application and state Ihat the Booster Pump _ ~~rdwge
intormati0n is conect and agree Io comply with all applicable State ol
Minnesota Statutes and ( City of Eqgan Ordina s. Treatment PI 276•00
5igneture of Permitee 'I : - ~ • .+-~.s.c~ APPROVALS 370.00
Road Unil A Building Permit is issued to: r+~~ ~MIERS Pla""ef - Parlc Oed.
on the express condition that all work shall be done in accardance with all Council -
applicable State of Mlnnesota Slatutes and City ol Eagan Ordinances. gldg, pry. _ Copies
Building Official Variance - TOTAL 3,134•~
PeNmn Mo. P.rmit How.r TNephorn •
WATER
SEWER `
PLUMBING
H.VAC. I5~ ~1 0 75~~~v
,;~~y - ~ -
111-p.s„ Deft lnsp. coffmwft
FootingS I- , g;,-I e f•~, ..6/~
Foundation
Freming ~
Roofinp
Rough Pbg-
Rough Hfttg'
ISUI. ~
Frepleoe
Finel Htg. ~
Orstat Test L-/ -41,L,4
Finel Plbp. PIb9. Nispeclor - Notiy Plumber
Const. Meter
EnprJPlan
91dp. Final ~
Dedc Flp.
Dedc Fmel
WeN
Pr. D'ap.
SEWER A WATER PERMR 7 OFFICE USE ONLY
CiTY OF EIIGAN METER # PERMIT DATE 0 7/ 31 / 91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 ~~P ~ PERMR 12190
MfiTER SIZE + B.P. RECEIPT # C 1469b
~ pATE _ ISSUE DATE - f B.P. RECEIPT DATE 071291 1
s I
PRV _ BOOSTER PUMP I
I SfTE A[lbRESS 8?9 Berltner Ave PERMIT REQUESTED
lOT 2~- LOCK ~L-SEC/SUB staf ford Place
X SEWER X WATER _ TAPS
APPUCANT: _ carclizar Hma Congh _
ADDRESS: -50 F,• Cty Rd. D, Lit le Canada 55111 -COMM/IND x RESIDENTIAL
C(TY, STATE ZIP -ANEW _ EXISTING
PHONE: nRt_aa)n
'"I ~ Lawn Sprinkler Meters are to be Installed
PLUMBER: - ~ Ahead of Domestic Meters on Water Line.
ADDRESS: 92 7.ACHARY LN Ceredit WILL NOT be given for Deduct Meters.
~ CITY, STATE MAPLE GROVE ZIP 55369
I PHONE: 493-2474
I REE TO COMPIY WITH CITY OF
I~ QWNER: EA AN OR ANCES
ADDRESS:
~ CITY, STATEL ZIP
, pliptf; SIG ATU W EN METER ISSUED
! . 4G-, i~ •
PLEASE ALLOW TWOk WbRKINC4 bAYS FOh PROC"NIi. CALL 45"220 FOR INSPECTIONS. FOR STORM
8EWER PERNIITS, CONTACT ENIIi1NEERING DEPT. ,
CY
2 3 92 9 9
Reques' Due~ ~ Frte N. ough-in Inspactian ~ ~
i~pp? ? Reatly Now '_~yini Notity Inspector
V Ves C No /OJnen Reaay+
0
I: licensed comractor owner hereby request inspection o1 above electncal work at
Jo5 Ac¢e Ir(ee]l~. Bor or R te o) CitY
Secli., NO Townsnio Name or N. Range No CouNy
Occupan f RINT1 ~ Phone No
Powei sup resA
Eie Convacmr ICOnpany Nimel GoNractor's License No
n~
Pdahng Aatlress onVac~o O ner Ma g talla o)
~ 311-~
Awnor. 0 5^awre i omr 0 gr Makng Instanauom Phon¢ Number
~ 7,~a13 ~e
MiNNE50TA STATE BOARO OF ELECTRICITV THIS INSPECTION RWUEST VJILL NOT
Grlggs-MiEwey BICg - Roem S173 BE ACCEPTEO BY THE STATE 80ARD
1801 University Ave.. St Paul MN 55104 11NLE55 PROPER INSPELTION FEE IS
Phone (612) 662-0600 ENCLOSEp.
/p/ REQUEST FOR ELECTRICAL INSPECTION eeo m-oe
7 ? See ms:mmmns lor comple;ing Ihis form on baca ol yelbw copy '`4`=~
i"~~. t`
' 'T"Below Work Covered by This Request '~~ro'.~s'r
TypeoBudding AppliancesWned EquipmentWned
Home Range Temporery Service
Duplea Water Heater Elechic Heating
Apt ewltling Dryer Other (Specify)
Comm /Indusirial Furnace
Farm Air Conditioner
Olherlsyecdyi Conlraclor5 Remarks:
Compule Inspection Fee Below
u Other Fee k ServiceEmranceSrze Fee # QrwtlsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Amps
SiJnS Inspeaar'sUSeOnly. TOTAL O_1
, CCa
Irngauon Booms
Special Inspecbon
Alarm/Communication THIS INSTALLATION MAY BE O DE IS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, [he Electrical Inspector, hereby Rouqmin , ~D
certdy that the above inspection has F,nai
r Date
7 .14
been made. _
OiFICE USE ONLY C~~
TM1iS rPQuest Witl 18 monIM151lOm '
CITY OF EAGAN NO 19465
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
, ~
I
BUILDING PERMIT PHONE: 454-8100 Receipt # ei + `i
Tobeusedfor, SF DWG/GAR Est.Value $77,000 Date .TUL 24 , 1991
Site Address 839 VENTNOR AVE
Lot Z•9 Block 4 Sec/SubSTAFFORD PLACE OFFICE USE ONLV
.
PdfCCINO. Occupancy R-3M-1 FEFS
Zoning R_1
w Name GARDNER BROTHERS (nctuapConst v-P1 BIdg.Permil 536.00
3 Address 450 E COUNTY ROAD D (Allowable) V-N 38.50
0 Cit ST PAUL phone 481-9600 # ol Stories Surcharge
y Length 44' Plan Rewew 348.00
, o Name SAME Depth -50-' snG ciry 100.00
ga Address S F. Total - SAC, MCWCC 650.00
~ CIfY Phone S F. Footpnnts -
On Site Sewage _ Waler Conn 660• 00
~
$w Name On Site Well Water Meter 9 S_ O(1
~z Address MWCCSystem X
AccLOepostl 30_00
aw City Phone cnywacar X
PRV Required _ S!W Permil 30. nn
I hereby acknowlege that I have read this apphcation and state that the Booster Pump - SiW Surcnarge .5
0
mformation is correct and agree to comply with all applicahle Sta1e ol
Minnesola StaWtes and Cit, y ol E~qan OrdinanFes~~~ - Treatmani PI 276 - nn
SignaWre of Permitee f-%1r-!~ c APPROVALS Road Unn 370.00
A Buiiding Permi[ is issued to: GARDNER BROTHERS Pianner - park Ded.
on Ihe express condition that all work shail be done m accordance with all Council
applicable State ot Minnesola Statutes and Ciry of Eagan Ordmances gld9 pff _ Copies
U
8mlding Oflicial ~1LH,. in R C1.(~ I~A Vanance - TOTAL 3. 1:~4. 0
Address: 839 VININOR AVIIVUE Lot 29 Blk G Sec/Sub STUT17gp p[,A{;E
These items were/were not complete at the time of the £inal inspection.
9/17/91 Yes No ,
.
Finai grade (6" from siding) ~
Yermanent steps - garage
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass IZ
Trail/curb damage LI/
Porch ?
Basement finish ~
Deck
Please verify with the bullder the removal of roof test caps from the plumbing
system and the shut-o£f of vater supply to the outside lav[t faucet before
freeze potential exists.
acmEOr.ren
White - City copy Yellow - Resident copy Pink - Contractor copy
1991 BUI LDII40 E ZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
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 SPECIFZCATIONS
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 IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSJED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: S~ 7A~ Valuation: Date: "7
Site Address WEq VQ an ,15 et1 t Q x~D OFFICE USE ONLY
Lot ~ Block L/ FEES
Occupancy Z-3 M-I Bldg. Permit ,536,00
Zoning 9-1 Surcharge 36,50
Parcel/Sub @, Co- Actual Const V-N Plan Review L/,~ B,OD
Allowable V'N SAC, City /OO,ov
Owner, le # of stories SAC, MWCC 650,00
Length ~ Water Conn. 0100
Address Depth 5 p Water Meter 9s"00
20
S.F. Total Acct. Deposit ;jD.bO
City/Zip Code S SI( Footprint S.F. S/w Permit 30,0
O
' 1S/W Surcharge ,So
Phone On site sewage_ Treatment Pl. ,00
On site well Road Unit $']a,OJ
Contractor MWCC System -LeLl Park Ded.
City water ~ Trail Ded.
Address PRV Copies
Booster Pump _
City/Zip Code SUBTOSAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. pS 7-/~pj~
Variance
Address
City/Zip Code
Phone #
*\-(&'kzWature agrees that all work shall be done in accordance with
of Co t actor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VAII
ayx~6= rozy x 14= g'73~
z z ~22~ yst kiso '7Zbn
IST FLODIZ
35 mT: ~ z y
e2o x 23 = y6 0
9!zx6- Sr7
/x g= Q
Zx3- (G~
1 3 x 5,3 =
~,057q
76~ S~S an ~7, o~~ ~
JUL~-OB-1991- 09: Zy FF.OM Kurth Surveying TO Gardner Bros P.96
THIS IS NOTA BOUNDARY SURVEY.
,~~.,n ~c CER7tFICATE OF SURVEY ~
p
FOR.~AU"""• ' , KURTH SURVEYING INC.
INEAEHYiFRTIF17MA7TMi53uHYE/,~PL4N. ORAEPONiMASPNEPANEO ~ 400$'JEfFERSQN$TREETN.E.
!BT ME OR UNGEN 4T CT SuPEHYi`TB wMO r„Ar i wr A ovLr • CGWMBIA MEIGHTS MINNE30TA 53421
,
REGISIENED SuNV OH u io SUT£ OF MIN1rE$pTA. ' 6t2-7B8-9768 DATE 1I g)
' PROPOSEO scaLE I"-
MINNESOTA REG ATION NO. 1(p11'3 ' 0 -IROHMONUMEN7fCUN0
GRADES ~ BEARINGS ARE ON AN
ASSUMEO OATUM
~ . GARAGE SI~AB • • • 60 D SPIKE SET
TOP,Of'BLOCK• SPOT EIEVATItN•
DASEMENT FIOOR• 503.4 ~ pROP05E'0 ELIiNl'--
- , • . • ORAINAGE: ARP OW,
( . , ~ . ' " 1 - .
-7,~~
i ~
~ A~
~ j
~ w~ • > ~ ~ ~1 ~
~ . ; ~ ~
IV
: ?
r 90'x.y
3RD I
I i 1
/a(~i u.~.K.OJT 1S-p
J . .
V
V7 ~ 6 Q
LP
9~O •g~cao$$` ~ t„ I~ a ~ .
oc"i
3Z.0
' % ~KT`i'J.i? b'____"_ 0~1~•9 ~ . . r
~ . ^ ~'~`~•$1 . ! . ; . I' _ '
S~ 0
` rQ( ~9~1 I~
.
' OQ
9p`6~~
\`r¢!` 3 {~a~ pO~~ ~x ~QO.\~ ~Z~ \Z \L~`Jf ii i
1~7
~ y.. , ~ r, ~ . •
FL~°.~F_VS.40'.;~ v`f-p.3R'O ~ +.A~'C!i' ~ .GT'S11GA~7fi~~Qi • i' ~ .
~ ~ ~ ~ . . _ _ _ _ . • " 1I .
. . , . . . ..~m._ . ~ . . . . I
. TA'fION
EXTERIOR EhlV[LOPE AVERAGE "U" C..OMPU.
OWNER: ~r,1~:_ I-Z~J'~JI c•
SITE ADDRESS: Ph;ONE:_~/~ I` (~(00 C.) CONTRAC?OR: PLAN # OSFwDUD ~ / I ~
\vA-~.I~ov' ~v c.r~w- 5~c-&
Determine vrorking square foq*a;e o each
5'::
i. Total exposed wall area..... I sq. ft. x .li = ~vl I ?
2. Total roof;ceiling area..... IZS~~ sq. ft. x .026 = JZ~ `705 ~
Total exposed Wdll area a6ove.floor=__ I Ib .
a. Total wall window area 3~
b. Total door area......
c. Total sliding glass door area.................................... Q,b
d. Total fireplace wall area - i`
e. Total wall framing area (average 10%)
¢
f. Total rim joist area
g. net wall area above floor 2 1'7•
h, wall area above floor
i. wall area a6ove fluor .
j. frzme wall area at focndatlo±
Total exposed roundation area=
.
k. Totzl foundation window e,rea
1. Totzl net -roundation area above grade.•...•..•••••• ~
Determine "u." value of each viall segment
(e.g. window, (loor, each separate a+all section) •
. , v,.
~
a.~--
1,ull
J,~ ; 9
c . A 4
d
e
9. , u~~
y, ~
h. X 'lull _
i. 'U"
_ ` - ? f i tem : 3 i`5 tn~
zs, or less thzr
` - y - , =1, ;you -.ave mer-
V ~4 ir.t2r:t c= Sy 6&
~ . . . . . . . . . . . . . . . . . . . .
~
.
p
. ~ LiNLAL rGET EXPOSED WALL . '7ig
. . . . .\1.::'
BtOCK :
; ~ •S ~ ~_,~-~I ~ f- ,S'~-(o-rlOf 4-t22= I`K~;i~'~y`
~ KNEE:
WALKOUT:
F U L L 1.
FULL 2:
FIREPLACE:
R I M :
` SQUAI:G PEET EXPOSED WALL AREA '
BLOCK: ~ I4(0 x .5 = T3
r
KNEE: x 5
WALKOUT: Zc~ x g
cULL 1: 8=
r:? Y
FULL 2: • ~ g -
FIREPLACE:
r . .
TOTAL
SQUARE FEET EX°OSED CElf.,1NC
' WINDOWS: DOORS:
73r7 .
PnTlo DooF:s
F Lt1 I- ZIo~~U- I I -!~,l
IiASEiiENT UNITS: -
F6f1
F C-P,
SKYLIGHTS: ~
IJA
:x-
__..r. ~ , .
~wr-~.r.iLltw~ . _
~
CONSERUCTION R-VPI;
1• INTERIOR ATR FTi M n c.A
2.. 5/e" GYP. Rn. . . .-5.8.
v~•' 9_ I 3, INSULATION i r nn
4• EXTE
VDqT 45.80
U -02
FRAME VFN= L,HFqT FDpw 1. INTERIOR AIR FILM 0.61
2.
u~ 3. 5 II IVTSULATION 385~5
4. Z.'X'IERIOR AIR FILM o-Fl
FIG. #5 40.15
U = 0.024
CONSTRUCTION
..r~„.~ :r ~.•.•{ai^..:s,,~,,,. 1. INSIDE AIR FIC,M O F,i
- - - , . . . _ 2
3.
4.
/ S. OUTSIDE AIR FILM 0.17
"L'OTAL.
U =
FRAME
I 1 JZ ~O LO, ' 1. INSIDE AIR FILM • 0.61
~ 2.
~:--AT F_;JS`' U" 'JENTED 3 •
Ll 4.
a. E`r.S'r r. a~ T
:_TG. #6 •
. U =
~ 1. INSIDE AIR FILM n,6;
2'
4 .
i - ;..•i v-~-- ~ 5. UUTSTUE A_R FI LM 0.17
TOTA?,
U
i ;
~ . LO
,
NGN-b'-7v ~ ?vOTE: 1dEUSE ADDI~iIONAL SE-EE?'S I~' i'~c:, SPPC IS
r'D}~ rOR D'I'f;ILS A~v1~ CALC ~ZP~Q*fS.
, F-:FuT Fi,11r i_._
U°
==C• =7
F
4._ TOT'IL EXPOSED RQOF/CEILitIf, CAICULATIONS:
<
• •
~
' • Totzl exposed Q
roof/ceiling area.....,.. ~SC.J sq;ft
4 n
r u
j) To[al skyliah[ arca...... sq_ ft x I1UII
k) Tocal roof/ceilfnq framing
area (Average 10%)..... ~Z~•U Sq.~ft x'lull , VL4 '•-3.o i
---r
16.
a, .
. -
1) Total ne[ insulated I17 ~ 7 ~ n'7 c/!n' ~ .
roof/cei 1 inq area... s9 :tt xU" t vc.
L TOTAL j) thru 1)
If to[zl of °li is the same as, or less chan (12, you, have met the intent of
. 2~iC _Z 1.16008 -4 zrd 0.
"
ALTER~IATE BUILDING ENVELOPE DESIGN
To ucilize the total envelope syscem me[hod, the values established 'oy tne`+sum
of items .63 and :-4 shall no[ br. nrca[er than-the sum of items N1 and "2. P.. 3Z`?v8 = Z33 .8ci8 y :e
3. ~ ~13. I ~3?~ t a . 25, ~~3 = /ZI 8~551 .
. .
.
.
• J~. .
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ~ 0
PI.U?iBING 'YERHZT DA1'E: S
"$IDENTIAL: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~O ADD-ON MINIMUM 15.00
ADD ON SNOWER 3.00
REPAIR _ Z WATER CLOSET 3.00 (,.C`f,
Z BATH TUB 3.00 L-L-M
LAVATORY 3.00 ~•GL
OWNER NAME: v~1~l,lSt"~SZ_ B~S ~ KITCHEN SINK 3.00 ~•CZ'
LATJNDRY 3.00
SITE ADDRESS: 33~ V~N 1~?.Y~SZ YN ~ HOTTUB/SPAY 3.00 ~
Q WATER HEATER 3.00 :'S OZ?
LOT: O~1f / BLOCK SUBD. FLOOR DRAIN 3.00 ? C%T)
GAS PIPING OUT.
INSTALLER: P~-~~~NM (MINIMUM - 1) 3.00
ADDRESS: a~~ 7-oc~" Lt ~ ROUGH OPENINGS 1.50 ~
_ OTHER
WATER
CITY:M"~ GeuL Zip; 5~36°? - SOFTENER 5.00
_ PRIVATE DISP. 15.00
PHONE 4o13' U.G. SPRINKLER 3.00
SUBTOTAL $
•~l'
ST. SURCHARGE .50
SIGNAT E OF PERMITTEE
TOTAL: $ 3 ~ • a7J
COMMERCIALJiNDIISTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CZTY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNO$ ROAD
. --EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
24 tGHAN#C t+I. PE~T: DATE: /
REST.AENTxAZ;' PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15 0
ADD ON HVAC 0-100 M BTIJ 24.00
REPAIR ADDITIONAL 50 M BTU 00
GAS OUTLETS - MINIMUM - 00
f ~~J~~~ OF 1 PER PERMIT
OWNER NAME: GARna/6R. 1 )raQ6S. /`RSfLzFJ
SUBTOTAL: $
SITE ADDRESS: k3lI VE.i/7".U6;k STATE SURCHARGE: .50
LOT:~ BLOCK 'S SUBD. TOTAL: $ ~?sr,
INSTALLER: DII-61?G.lJ3- A/"Ahnb- d~ /Mr
ADDRESS: I/~J/ ~ C~ICE 1Q SIGNATURE OF PERMITTE$
CITY: %c1Jllk.tS?~~ ZIP: O ~2 3
PHONE ~l S --os /D
,tOMMW;IWINDIISTRTALt: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BiIILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CZTY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #1/ C
YLUHBING'.:PERHIT DATE: ~~4z x
RESTDENxI'AI.;: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
! LAVATORY 3.00
OWNER NAME: ~~x~~~ J I-3A/h~ _ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
-LiJ I WATER HEATER 3.00
LOT:BLOCK ~ SUBD. ~'J'"~C~ _ FLOOR DRAIN 3.00
/ GAS PIPING OUT.
INSTALLER: ~1 </_0,1 (MINIMi1M - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS:ADb 46-0 OTHER _
/ WATER SOFTENER 5.00 ~
CITY: r ? ~ ZIP: SSv7~ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $
ST. SURCHARGE / .50
S NATUR OF PERMITTEE
TOTAL:
COMMERCIALJINDDSTRIAL:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MOLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE. .
STATE SURCHARGE 6 $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~
651•681-4675 ~ 0C)
Naw Conatruction Reouirements RemodelfReoair Reouirements
• 9 registerea site surveys showing sq. (t. o11oL sq, ft, of house; and all roofed areas . 2 copies of plan
(20%maximum lot coverage allowed) . 1 set of Eneryy Calculatlons (or heate0 adddqns
• 2 co0ies of plan showing beam & window sizes; poured lound desgn, etc.) . 1 srte survey for exterior additions & decks
• t set of Energy Calculations . Indiwte il home served 6y septic system for adddions
• 3 copies of Tree Preservation Plan it bt OlatteE afler 711/93
. Rim Joist Detail Optbre selection sheet (bld9s with 3 or less unAS)
DATE VALUATION ~"3 -
SITE ADDRESS MULTI-FAMILY BLDG Y ~N
TYPE OF WORK FIREPLACE(S) ?"0_ _ 1_ 2
APPLICANT Catastrophe Restoration Services Inc.
STREETADDRESS 2489 Rice St Suite 70 CITY Roseville STATE_MM ZIP5511'i
TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219
PROPERTYOWNER ~ TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINN1:S0'1'A RULES 7670 CA'I'E(;ORY 1 M[NNESO'1':1 RULES 7672
(d submission type) . ResidenGal Ventilalion Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Enargy Envelope Calculations Submitted
Plumbing Contractor: Phonc #
Plumbing systcm includes: _ Watcr Softener _ L:iwn Sprinklcr Fcc :690.00
Water Healcr No. of R.[. 13aths
No. oF Balhs
Mechanical Contractor: Phone #
Mccliviic.il systcm includcs: _ Air Condiuoning Pcc: S70.00
Hcal Rccovciy Syslcm
Sewer/Water Contractor. Phone # - -
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Cit~e~ Ordinan s.
Signature of Ap t
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Faundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (EnNre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES 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 Widih
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ PLunbing
Foundation FIVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , 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
RESIDENTIAL
2~~ ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN ~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
!
New ConsW elian Reauirements RemodellReoair Reuuirements
• 3 registered site surveys showirg sq. R. of lot, sq. N. of house; and all roofed areas . 2 wpies of plan
(20% mazimum lol coverage allowed) . i sel o( Energy CalculaUons for heated additions
• 2 copies of plan showng beam & window sizes; poured found tlesgn, efc.) . 1 site survey for extenor additions 8 decks
• 7 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 wpies ol Tree Preservation Plan if bt platted after 711193
. Rim Joist Detail OpUOns selection sheet (bldgs with 3 or less units)
DATE (s,-ZO - 02 VALUATION lD 0(2~_~-S
SITE ADDRESS MULTI-FAMILY BLDG _ Y ~
TYPE OF WORK ~ FIREPLACE(S) Y-9 _ 1_ 2
APPLICANTCztaS-~~
STREET ADDRESS ~ZLI~59 '?-k ca S\ . Sll 0Z!ff_'_ -+O CITY CNW't STATE Vu ZIP 'l 1
TELEPHONE #(6;k- 33'LI-9SO.Z CEII PHONE # F A X # USZ~_ 021 9
PROPERTYOWNE N~a TELEPHONE#losl-~-l~U-Z~~,
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNCS07'A RULCS 7670 CATEGORY l MINNl:SO"CA RULL;S 7672
(4 submission type) . Residential Venfilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitled
Plumbing Contwctor: Phonc #
Pluinbing system includes: _ Water Soflencr _ Lawn Sprinkler P'ee: $90.00
Watcr Hcatcr No. of R.I. I3aUhs
No. of 13aais
Mechanical Contractor: Phone #
Mcchviic:il systcm includcs: _ Air Conditioning Pce: $70.00
Hcat Rccovciy Systcm
Sewer/Water Contractor: Phone #
~ __n-----------
II
I hereby acknowledge that I have read this application, state that the informat r~e to comply
with all applicable State of Minnesota Statutes and City of Eag Ordin nc s J ~
Signature of Appllca 1
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-ptex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. All - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Misceilaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MCIES 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 W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
Insulation _ Retaining Wall
Approved By , 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
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCOnstructianReouirements RemodelfRapairReouiremants C v_~r_Q V_)~
• 3 registered site surveys showing sq. ft. of lot, sq. tl. of house; and all rooled areas • 2 copies of plan __Q_L_' , v,_.e G
(20°h mazimum bt coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes, poured found desyn, elcJ . 1 site survey for exterior additions 8 decks
• lsetofEnergyCalculations . Indicateilhomeservetlbysepticsystemforaddihons
• 3 copies of Tree Preservation Plan if lot platted aker 711193 1 1
• Rim Joist Detail Options selection sheet (61dgs with 3 or less units) ~
DATE e3
LIC9 ()7-- yALUAiION
SITE ADDRESS _~3GI U~NTI~L MULTI-FAMILY BLDG _Y ~V
TYPE OF WORK I 1JP0¢A_\,j FIREPLACE(5)/~: 0_ 1_ 2
APPLICANT
STREET ADDRESS CITY STATE i^'!~'VZIPL56~-~
TELEPHONE # ~IZ'Z~'Z^~~~ELL PHONE # FAX #
PROPERTYOWNER TELEPHONE# Co(Z Z~Z-i ~'S~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI:SOTA RULFS 7670 CA'I'EGORY 1 MINNLSOTA RULLS 7672
(4 submission type) • Residenlial Venlilation Calegory 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phonc #
Plumbing syslcm incladcs: ~ Walcr Soflcner _ I,awn Sprinkler 0.00
VVatcr Hcaler No. of R.I. 6 V~
No. of BatYis 03G 1
Mechanical Contractor: Phon \
Mechanical systan includcs: _ Air Condi(ioning gy Fee: $70.00
_ Hcat Rccovcry Systccn
Sewer/Water Contractor: Phone #
f hereby acknowledge that I have read this application, state that the information i orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances
Signature of Applicant
-
OFFICE USE O LY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Acce'sso~ry Blug
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
O 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 EM.AIt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck )f, 23 Porch (screened) ? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous
::nc IeDIC S DecK
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
41 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entira Bldg only) - Give PCA handout to applicant
Valuation ~00c) -o0 Occupancy MC/ESSystem
Census Code ~ y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) ~ FinaVNo C.O.
'j4- Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water J Final _ Pool _ Ftgs _ AidGas Tests _ Final
Framing _ Sidmg Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge cr, ,,y o ~o -~70 . o c~
PlanReview P~R~i~ izxlz=lvY - ~yYk 3o_o~ =~`l3zo,~.
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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Gardner Bros P.06 _
THIS tS NOTA BOUNDARY S(?R ~ ° , •
CERT1FICqTE OF SURVEY -
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2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephoue # 651-675-5675 -31
Please complete for. single family dwellings & townhomes/condos when permrts are requved for each unit
Date
Site Address_ g 3~ V~ ?1'EV ~ A L~ ek- Unit #
PropertyOwner ~PC`Telephone#(6S/
Contractor AC'~,~4 Aq 414~ i /4l (L
StreetAddress 41~O AfA? Sf N`(- City -~Qfd~
State /n,L/ Zip r~5 Z Telephone# (_)6 3 ) ~o-oy~FSZ
Bond 9_~/C)6 $ 7 Expires: 9/1jr8 fz~
The Applicant is _ Owner ~ Contractor _ Othec
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additional Replacement
air exchanger
~ airconditioner _New ~Replacement
other
State Surcharge s 50
Total ~ ~ g 3G
MMAY 2 1 2004
I hereby apply for a Residential Mechanical Permi[ and acknowledge Iha[ [he info By e; tha[ the work will
be in conformance with the ordmances and codes of the City of Eagan and with the hanical Codes; that I understand [his is not a
pemtit, but only an application for a permit, and work is not to start wuhout a pemut; that t work will be m accordance with the
approved plan m the case of work which requires a review and approval of plans.
J°`f~ /Td v lov~ p~ s ' -
Applicant's Printed Name App ' ant's ignature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City O( Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc complete for. commercial/industrial buildings
multi-family buddings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
*`When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector
P01'IIII[ F¢CS: $70.50 Undergaund IanA in5lallation/rem0val
$50.50 hfinimum (includes Statc Surehargc)
or
Contract Value 5 x 1% Pemtit Fee
• If ep rmit fee is $1,000 or Iess, add $.50 ~ S[a[e Surcharge
If pe rmit fee is over S1,000, add $ 50 for
every $1,000 permit Cee $ Total Fee
I hereby apply for a Commercial Mechanical Perntit and acknowledge that the infomtation is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a pemilt, bu[ only an application for a permit, and work is no[ [o start withou[ a permit [hat the work will be m accordance with
the approved plan in [he case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signature Approved By: , Inspector Date:
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date V-L.'v1,` v\C'~Y
_1~ I ~ ! ~ /J
Site Street Address /27`G1e Unit #
Property Owner Tefepfione # (~p'~~~ ,.S`~j~-,~7•~
Contractor e ' lephone #
Address v City Z StateAg Zip,rS~~
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnarountl (add $121.00 if a 5/8" meter is required)
Other.
_ Water Soffener ~ Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
77
State Surcharge y`. $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, b t only an application for a
permit, work is not to start without a permit and work wi~r,
A(7 ~ r i approved plan in
the event a plan is required to be reviewed and approv1 ,2 ApplicanYs Printed Name ApplicanYs Signature ~
~ NOV 1 5 2004
U
By
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109800
Date Issued:04/04/2013
Permit Category:ePermit
Site Address: 839 Ventnor Ave
Lot:29 Block: 4 Addition: Stafford Place
PID:10-72500-04-290
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey S Bray
839 Ventnor Ave
Eagan MN 55123
New Windows for America
609 W County Rd E
Shoreview MN 55126
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168911
Date Issued:05/07/2021
Permit Category:ePermit
Site Address: 839 Ventnor Ave
Lot:29 Block: 4 Addition: Stafford Place
PID:10-72500-04-290
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jeffrey S & Lori A Bray
839 Ventnor Ave
Saint Paul MN 55123--158
(651) 925-6273
T. Dunham Construction Inc
831 Ventnor Ave
Eagan MN 55123
(612) 819-0480
Applicant/Permitee: Signature Issued By: Signature