859 Ventnor Ave411`fr
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit*: qL/w L/9
Permit Fee: / 70, '36,
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 � 10 Q 9 Site Address: v � r ey1tor Ave
2c /-/O
Tenant: Suite #:
RESIDENT / OWNER
Name: TO Ya {A S C. f A NI( 6 r3 c°' Z-0" 6 Phone: 6 5 1 "6a ` i `? 5 7 --
Address / City / Zip: 0 J7 IAA /oT 4i/ ""
Applicant is: Owner < Contractor
TYPE OF WORK
Description of work: /41 ;t ' Of Cg- GSA' U r, /-
Construction Cost: Multi -Family Building: (Yes / No/ )
CONTRACTOR
Name: SU 1 I, j���+A. 414 d g .0 550C;A D''u M tense#: ? ( 6 5 o 3
t..
Address: (1&f`, c JOI A i24 5 City: Woo bo'r3
State:yo Yl. Zip: �� 5 i? 5 Phone: 61d- L tO 6 t
Contact: 71-6;141A., l'j(k t 1 v 0)A-- Email a 4 ` C0 n St)" 14 t 1 6i\ (f Io lLMa l l,..
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
$ a
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is n. to start wi ,• t a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pia
x.... G��►vt- Su 1
Applicant's Printed Name
�
C�C�L.M�
JUN 1 8 2010
x
App ants Signature
Page 1 of 2
g..5q
tie -A -nog_ PrU6,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
4, Addition
Alteration
_ Replace
_ Retaining Wall
_ Fireplace
_ Garage
Deck
Lower Level
Porch (3 -Season) _
Porch (4 -Season) _
_ Porch ( rgola) _
Pool
_ Interior improvement
Move Building
— Fire Repair
_ Repair
DESCRIPTION
Valuation o
Plan Review
(25%_ 100°!0)
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
T Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
_ Framing
— Fireplace: _Rough In Air Test Final
Insulation
Meter Size:
fig
Reroof
Windows
— Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire bending — give PCA handout to appirant
VILA. MCES System
4 " SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
/,/
Sheetrock
Final t C.O. Required
,( Final 1 No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests _Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Sackfill _ Final
Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
fc-
- 3tn(7
Page 2 of 2
El, ENEER I1J(
TEL Ho .612-888-6439
Feb 1,90 1.3:26 Ho .002 F.02
CM6q9 fe-(ccit,ts(-,-)1 2c(62,2)
S,Infcqorns Certi,fcatc
SURVEY FOR: Frontier Development Corp.
DESCRIBED AS: Lot 33, Block 4, STAFFORD PLACE. City of Eagan, Dakota
County Minnesota andreserving easements of record.
N90' 00' 00' E 76.28
LOT SQUARE FOOTAGE =
PROPOSED ELEVATIONS,
Top of Foundation • ete,0
Dorogo Floor •Q9l.4
Rosemont Floor i ggq,g
Appros, Sower Service ENv. • 8BC.t...
Proposed EIsvoflone r CD
Emoting Elevations
Droinoge Directions r ..,.,.,.
Denotes Offset Stoke r O
SCALE: 1 Inch • 30 Foot
eptgHMARK
T.t1. NA. a.
13.K. 4 en
ttw.
MIN. SETBACK
�•� L,"4. 14 1 S5
Naw iret;.
s -t
REQIREMENTS
Front • 3e Hone $ItM — IO
Rebr -. IS Oere's $IQs -
HEDL UND
Planning Engineering Surveying
ns
eros I'N.?p q* . nIe►ett i.MM.MNWM/1
1 Mreby eerttfy Met this Purvey, peen er report ries prepared by me
er under my direct supervtston end the! f em a duty Rsstetered
Lend Surveyor under the laws •l the Meta of Minnesota.
Doc) . 3 I . 90
JOS NO.:
(fa -015
ROOK:
PA Off
g
rzs
0
y
!ROO.?ILt s Duo. t•+4,
. Fo? omce uw ony:
MECHANICAL PERMIT PERMIT #
CIT1l OF EAOAN RECEIPT # l r' ~ fJ
98W PILOT KNOS pOAD, EAQAN. MN $5122
CONTRACT PRICE: pHpNE; 454.81pp DATE:
Site Address =nwor AVe• BM. TYPE WORK D~RIPTIOM
Lot Block Sec/Sub Rea. ~i New
~ Name `'cn@- ydn ig,. i@c flg Mult Add-on ~K'
~ addreaa •4705 Su. rwbert Trai Comm. Repair
~ C;y Rose~zic~un6 Mlr phone 4~3-1i44 ~
en •er usuii FEes
~ Name RES. HVAC 0-100 M BTU - $24.00
c Address o~ f'I7~QC1" ,Y2. ADDITIONAL 50 M BTU - 6.00
0 Ciry iN Phone (RES. HVAC MlCLUDES A!C ON NEW
CONSTRUCTiON)
GAs ourLErs (iwrGMuM - 1 PER PEaMrr) - 1.50 E+.
TYPE OF WORK COYMAND FEE -1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
8oiler M BTU TOWNNOUSE & CONDOS - RES. RATE APPLIES
Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 3
Air Cond. M 8TU REMODELS 12'00
MINIMUM COMMERCIAL FEE - 20,00
Vent CFM _ STATE SURCHARGE PER PERMIT .50
Gas Pip{ng Oudets N (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMR FEE:
src: p ~ ; G~T19o
TibTAL: •u FOFt CITY OF EAGAN
CITY OF EAGAN ;`f q 17515
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for . SF W1iG/GkR Est. Value ;73+000 Date FEs 13 , 19 90
site Address f'859 VSIYTNOR wVE ~
33 4 STAFliORD PLACE OFFICE USE ONLY
Lot lock Sec/Sub.
Parcel No.` occuPancy R j~1 FEES
Zoning
W Name MN'j'IE4 D~VEiAP!!8N't (ACtual)Cpnst BIdg.Permit 51~•~
~ AddreSS 1285 CORPORI?TB CBp?SR DR (Allowable) Y-M
0 CllY "GAN Phone 454-0433 # of Stories Surcharge 36+50
Lengtn 400 Plan Review 337.00
~ Name
SAM Depth 44 SAC. Ciry 100000
~i Addf@SS S.F. Total _ 60o•oo
~ CIty Phone S.F. Footprintg - SAC, MCWCC 625•00
On Site Sewage _ Water Conn
~
W w Name on sae w~i water n~ecer 90•00
~ ; Address MwCC System ~ -
i W City PhOnB Gty Water ~ ~t. Deposit 30. 00
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application~n d state that the Booster Pump - SNV Surcharge 1.00
information is correct and agree to camply with al adnlicable 5tate of
Minnesota Statutes and City of Eagah Ordir~ces. ~ Treaiment PI 252.00
~ ~
Signature of Permitee f~ `c APPROVALS Road Unit 355.00
A Building Permit is fssued to: FW"I$R aBVSLOPMEW Pia""er - Park ped
on the express condition that alI work shall be done in accordance with all Council -
appticable State of Minnesota Statutes and Ciry of Eagan Ordinances. gldg. pff. _ Copies
Building Officisl ' ' 1l, '.p Vaziance - TOTAL 2,974.30
PermN No. Permit Holder Dats Telephone N
WATER 19 C1 t L ` ~ ~G/yL~
SEWER
PLUMBING ~ (~J ~ yL~ IfA
r+.v.,?.c.
ELECTRIC
Mspsction Dah Insp. Comments
Footings I
foundatan a~/ S p 2' 20 ~ p~
Fra„ing
Roamg
Rou,h Plbg
Rough M9 6 D
ls,l. AS
Fireplace
FirW Htg. 7 - ~
Final Ptbg
Consl. Meter P{bg. Inspedor - NoUfy Plum6er
Ergr./Plan
erd9 Final 9p w
Deck Ftg.
Deck Final
weu
Pr. asp.
PLUMBING PERMIT For Otiice Use Only
CITY OF EAGAN PERMIT # ,i~ _?k~/
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #
PRICE PHONE 4546100 DATE:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot B Sec/Sub Res. iz New
Mult. Add-on
Comm. Repair
~ am ' Other
~ Address
c CRy - Phone RES. PLBG. QNLY - COMPLE7E THE FOLLOWING:
- NO. FIXTURES TOTAL
Water Closet - $3.00 $ ,4,.,aQ_
~ Name ~ Bath Tubs - $3.00
~ Address Lavatory - $3.00
~ Gity Phone S1O1Ner -
~ Kiochen Sink -;3.00 jig=
UrinabBidet - $3.00
FEES Laundry Tray - $3.00
COMM.IIND. FEE -196 OF CONTRACT FEE Floor Drains -$7.50
APT. BIDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES 1Nhirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets -$1.50 4 _!5 4--_
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHAFiGE PER PERMIT .50 Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
~ Private Disp. - $10.00
>e Rough Openings - $1.50 -
Z
NA URE OF PERM PERMIT FEE: 9150
STATES S/C: ~
FOR: CIN OF EAGAN GRAND TOTAL:
~
-a-
r•or omce us. ony:
' MECHANICAL PERMIT PERMIT # ~
dTY OF EAGtAN RECEIPT #
3930 PILOT KNOB ROAD. EAQAN, MN 55124 ~7,~~
CON?'RACT PRICE: 17 8 i. G CPHONE: 454-8700 DATE:
3ite Address r_, 2 'er t r ni A• r.. BLOQ. TYPE WORK DESCRIPTION
Lot Block 4 SeciSub`; tnt.r o r-,' .
Res. New
m NartSe ~+-=:^r~ E:• FF..?^'TT`G <<, tl, C Mult Add-on
~g Address 1955 Cl~ar.:Pe .;osd Comm. Repsir
c City °Aean Phone .16 5 Other
FEES
Name r,~ 'N T1•v p "A'-7 „z
RES. HVAC 0-100 M BTU - $24.00
3 Address ' t. c: C; e; ir_ e rDr ADURIONAL 50 M BTU - 6.00
p City r.F :-~r Phone ~ ~ (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS DUTLETS (MIHIMUM -1 PER PERMI'T) - 1.50 EA.
TYPE OF WORK COMMIIND FEE -1X OF CONTRACT FEE
ForCed Air •~12L M BTU 2 4• C" APT. BLDGS. - COMM. RATE APPLIES
BoIIBr M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Unft Heater M BTU MRpYUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
Air Cond. M BTU MINIAOUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Outlets # 1.50 (qpp a.50 S/C PER EACN $1000.00 OF PERMIT FEE)
Other
PERIIIT FEE: 25 . 50
SIGNATUAE OF PERMITTEE
Q
1'OTAL: FOR CfTY OF EAGAN
SEMIER &WATER PERMR OFFlCE USE ONLY ' CITY OF EAC~aAN METER PfRMIT DATE 2/ 16:' J
~ 3830 Pibt KnOb Rd.
~811, MN 55122-1897 CHIP # ~Z'f l PERMIT ~ 11231
METER SIZE oc/f B.P. RECEIPT # 3U2
DATE ISSUE DATE B.P. RECEIPT DATE ! 90
PRY _ BOOSTER PUMP
,=,-c 1.-j•; ^ . 'iAG~,14 MPV ~ ' •
SITE ADDRESS ' PERMIT REQUESTED
LOT _BLOCK SEC/SUB ' r !7 SEWER ~ WATER - TAPS
APPLICANT'
AdDRESS: -COMAA/IND ~ RESIDENTIAL CITY, STATE ZIP X- NEyy _ EXISTING
PHONE: 1-ij433
;
<«~fiING Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 1`11' M011IJU >P~ T'V ' ' Credit WILL NOT be given for Deduct Meters.
CfTY,STATE 3i-00014C-;0~', '1^i ZIP '
PFIONE: 4
' i AGREE TO CQMPLY W(TIi CITY OF
I OWNER: `~ERCUSO^i . KEF',.VTH AND ';~FR/iJt EAGAN ORDINANCES
I ADDRESS: r'~)27 w. ``t~ S rR~cT
~ CITY, STATE ZIP 55437
'
pNpNE; ' SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKINLi DAYS FOR PROCE33tNG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERAAIM CONTACT ENOINEERING DEPT.
CASH RECEIPT ~
~
CITY OF EAGAN
3830 PILOT KNb6 FlOr/kQ
a
EAGAN, MINNESOTA 55122
~
a?TE ' S s
~n~a~ t-~l'UIf~~~V 4.1t~.-lV101T4.1(1{'
nMOUrn
a oow+Rs
,ao
O CASH ? CHECK
F4M i1`4 • ~ ~ ~ ~ ! 5n 5~
J 4 V I I~~ Lo1
SFpc..~
!~~Oc..L - ze-~- ,
",av4 tocg
FUNO OB,IECT AMOUNT
Thank You
1
BY
~
C s 30?
ft*--F. Coff
~
.
J T.exttfiratP af Orrupanry
.
. titp of eagan
loppt'btiptlt of g11IowiJ 3tiBpPltwtt
This Certificale bssued pursuont to the requirienrents ojSeoction 306 of 1he Uniform Building
Code cern; fying that at the Aiw of issuance teis strricture ww in compliance with tlee various
ordinances of the City negulating building construction or use. For the foUowing.
use chnificado, SF DWG/GAR Hkh~ Pama t„o. 17515
O-wa--y T~w R-3 M-1 Zon*DWAiCI R-1 Tya com V-N
owwdaw 4-RDNTIER DEVELOPl4ENT _J285 CORPORATE CENTER DR
ei,dd;,,gAdd= 859 VENTNOR AVE L-firy L33, B4, STAFFORD PLACE
~ .
i~, ~i T^~ 1} 1~ aw. APRIL 24, 1990
Bu" officiw
POST IN A CONSPICUQUS PLACE
` -
31515o . 4~ ~ ~y
13016,~ ~~o -
ReQUev Date Fre No Rougn-in Inspection 96 Fe wretl? ? Reatly Now AWJI Notily Inspector
- . Yas ? No ~'~'hen ReaW4
Ixiicensed contractor ? owner hereby request inspection of above elecirical work at
JoC Aactl~ress ISlreel. BoK or Ro te No ) P
d
Section No Township Name or No. Range No Counry ~
OccupantlPRl T~ Ppone No.
Power Sup ligr Atltlress •
EleclncayCOnlractor(ComOeny Nama ~ Conlrecl L¢ense No.
J D s
MdAmg AOar s51COnVdcmr or Owner Meking Installanan)
-7 6 75
mmhonz tl S~gnature IConlranorrOwn r MaMing Installauon) Pnane Number
.3 lo ~
MINNESOTA STATE BOAHO OF ELECTqICITV THIS INSPECTION REOUEST'NILL NOT
Gtlgga-Mltlwey BICq - Hoom S173 BE ACCEPTED BY THE STNTE BOARO
1821 Univeralty Ave, St Peul, MN 55100 UNLESS PROPER INSPECiION FEE IS
Flpne(612) 642-0800 ENCLOSED
REO,UEST FOR ELECTRICAL INSPECTION A'~~ R z es-oaamm
? See insVOCnons lar mmpleting this lorm on Eack ol yellow wpy g~° Y~
7.'~. J T
C~ I~ 016 °X" Below Work Covered by rhis Request
ew Atld Rep r ' TypeofBwlding ApphancesWued EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eieciric Hea[ing
Apt. BwlOing Oryer Other (Specity)
Comm /Industnal Furnace
Farm Av Conditioner
Olber (spocity) Convaclor's Femarks
Compute Inspection Fee Below:
# ONer Fee 8 ServiceEntranceS¢e Fee # Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps l ~ 0 to 100 Amps a
TranSfOrmerS Above 200 _ Amps Above 100_-~ Amps
SIJnS InspectorsUSeOnly. '7 Tp7pL ~'O
Irrigation e0oms
Special Inspection
Alarm/Communication 7HIS INSTALLATION MAYrBF ORDERED DIPCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18&MONTHS.?~
I, ihe Electrical Inspedor, hereby Rougn-,o . oaie
certify that the above inspection has F,nei p oe~e
been made. 6
OFFICE USE ONLY M~f'Y•_-Y."•'G~
This repuesl witl 1B monlhs Imm
CITY OF EAGAN N2 17515
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~ ~30 ~
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. value $73, 000 Date FES 13 1990
Site Address _ $59 VENTNOR AVE
Lot 33 Block 4 SeclSub. STAFFORD PLACE OFFICE USE ONIV
Parcel No. occupancy R-3 M-1 FEFS
Zoning R=1
w Name FRONTIER DEVELOPMENT (nctuap Consi V-N Bidg. Permit 518.00
3 Address 1285 CORPORATE CENTER DR (Allowable) V=N
36
0 City EAGAN Phone 454-0433 k of Siories surcnarge . 50
Length ~+0' Plan Review 337.00
~o Name SAME Depih 9 ~ snc, ciry 100.00
gQ Address s F roiai - snc, nncwcc 600.00
~ Cdy Phone S F Foolpnnts -
0
On Sue Sewage _ Water Conn 625.o
r
F w Name On See well - Water Meier 90.0
0
Address rnwccsy:cem xx
00 ncci.Deposn 30.00
aw City Phone City Water XX
PRV Required S1W Permit 30•00
I hereby acknowlege that I have reatl ihis applicanon nd stata that ihe eooster Pump - SiW Svrcharge 1.00
mformation is correct and agree to comply wq a I alicable State ol
Minnesota Statutes and Cit Eag Ordi ces Treaiment PI 2 52. 00
Signature ot Permtlee A~PROVALS Road Unit 355.
A Bwiding Permit is ¢sued to: FRONTIER DEVELOPMENT Planner - park Ded.
on ihe eapress condmon that all work shall be done in accordance with all Council
applicable State of.(M~innesota Statutes anydy ~Ctly of Eagan Ordinances glag Off _ Copies
Building Ofhcial 1/~11~~1 i I I~ Variance - TOTAL L, 974. 50
. • 1q~~
<1989-BUIL.DIAG PERMTT APPLICI?IOP
CTfI OF EAGAN
SINGLE FAMILY DWELLIAGS lIDLTIPLE DflELLINGS CO!@ERCIAL
2 SEfS OF PLANS 2 SSTS OF PLANS 2 SETS OF IRCHTiECPUHAL
3IIEGISTERED SITE SOR9EYS SEGISTfiRED 3TtE 3UAVESS - Q STEDCTQAAL PLANS
1 SET OF ENERGZ CALCS. (CHECE iTITH HLDG DIV.) 1 SET OF SPECIFIClTION5
1 3Sf OF EItEAGI CiLCS. 1 SET OF ENERGT CALCS.
MULTIPLE DHELLINGS AENTAL DNITS FOA S?LE 06ITS ! OF QNITS
iOTEt IDDAESSES FOd CORNER LO'PS - COATRACfOA/80ME01iNER MIDST DFSIGPASE YHICH IDDRFSS
IS DFSIRED. UO CHANGFS WILL BE ki.LOftED OHCE BOII.DIAG PEAMIT 13 ISSIIED..
SEWER 8 11ATER PERMIT FEES lAD ACCOURT DEPQSIT l6ES KILL HE IRCLIIDED VTPH THE HOILDINa
PENSIT FEE. PAOCFSSING TIIM FOA SEHEA lAD WATEA PERHIIS IS CE l PERFI,
HEEA COMPLEfED INDIClTIBG A LICEN3ED PLOlBEA.
PENALTY 9PPLIFS WHENs PEEiMIT IS NOT PAID FOR IN SAME MONTH IT I ESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS IS
~
To Be Dsed For: new construction Valuation: ~ Date: 9_7_9fl
Site Address 859 VENTNOR AVE. 73,000"' OFFICE OSfi ORLT
Lot 33 Block 4 Occupaney R-3 M-i FEFS
- Zoning R-1
Parcel/Sub STAFFORD PLACE Actual Const V-N Bldg. Permit 518.00
Allorrable V• N Surcharge -=0
Owner FERGUSON, KENNETH AND KATHERINE 1 of stories Plan Reviex 3z9,00
Length y0 SAC, City l00,00
lddress 5027 W. 98th STREET Depth 49 SAC, MIiCC 00,GY7
S.F. Total liater Conn 2
City/Zip Code BLOOMINGTON, MN 55437 Footprint S.F. Water Meter O.oO
Aeet. Depoait 3400
Phone 832-5949 On aite eexage S/W Permit alc~
On site xell S/W Surcharge I,m
OD
Coatraetor FRONTIER DEVELOPMENT !lWCC System _ ireatment P1. 251Z.
City vater ~ Aoad Onit 35510~
Address 1285 CORPORATE CENTER DR. PRV required _ fark Ded.
Booster Pump _ Copies
City/Zip Co&AGAN, MN 55121 SIIBTOTAL
IPPHOVAIS Penalty
Phone 454-0433 Planner _ lCfAL 1717-70
Council
Arch./Engr. nrrv f'F16R1 TFR Hldg. Off.
Yariance
Addresj?41f1j GARnFn VtFw nR
City/Zip Code APPI F 1fAI I FVMN FSt?a
Phone f 432_F)40
i n--f• . ~ • .
S~'AF~pRO M oPEL = - -TI.
GARAC,_E Z y,Zp= Li OX(S=
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~tEiL-~~li~, Elli_IfIEEF,IIdG TEL I10Fel.i 1.0 11:1 I•In.ij0 2 f'.U-
~
2`i6~-
Siirveyorgr G'ert~fieflite
SURVEY FOR: Frontier Development Corp.
pESCR18ED AS: Lot 33, Alock 4, S'I'AFPORD PLACE. City of Eagan, Dakota
County Atinnesota and reserving easements of record.
>
:
oa3 A L_ ( ..+'f
SV~
~ N90' 00' 00' E 76. 28 ~
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LOT SOUARE FOOTA~E13-
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By%~~ p~ -
T3a4e
• ERGA-M ]ZATIGIFsTFOR113TiG DEPT
PROP09E0 ELEYAtI0M9 lENCNMARK~
Top ef Feundoflon ¦ g96,o ~ T•µ• µyA• 4L•; L'"~ ss
Oeraqs fleor .iql.C B6K. 4•~ N•v 1.~r bx.
Boormenf Floor ?qqd,Q
ApMox. Bowtr 9errleq ENr. 9 eBG.L MIM. ~EilACK REDIREMENT9
PrepootA Eleretlons I
Q ~ ~
ERUllnO Eqvellen$ I frM1 -30 Newe IIN -10
protnog• Dlreelknt Rsyr -IS Oere~~tld~-s ~
o•nai.s oia.r sio~• , o scALE: t tnen . ao F..r
$
I MH6y eerllfy M01 Ilde Nrvryr Olen a foperf wO Hqend MMe JO! NO.: 1Q
'~~D~~~D a uneer mr eir.tt ito.r.Ili~ e„e tn.t i.m . euir nsrioul.d 9oa-ol8 ~
lanA Swn1a unAv Ms Nwo N IM tlate •1 MlnneqN.
Plenn/np frp/nse~fnp 8~ip OooK: rAec~
'"'"^i'X~`~` aN, 31. 90 • cAee rlu ~ o~.. ~»K
M • ¦_U~MU ~M Mflb_~
~'II" f,OMFUTAf10N
' OW rl E R : ______~-Z' G ?L~n ! / .
sIrE aooaFSs: 1 arIoriE: ~oM'IrrL -459 --Oy
CONTRACTOR: Fz-= _ " r.w~ ~ . PLPA1 4 S-r"p =~=orci~ 'Z~- Cc
~
De_ermine working square rootace o` each
l. Total exposed wall area..... sa.
2. Totai roor/ceiling arez..... I~ D sq. ft. x 026
Total ezpcseG wall area above `ioor=_ k 15~ T<- 1-1~5 '
a. Total wall winCota area lZ2, L
b. Total door area
c. Total sliding alass door a-°a ~2.
.
d. Total fireplace vrall ar°a 4
e. Total wall `raming area (av°rage 10')... i$ 55~14 C-
f. Total rim joist area i7t, C-) _
g. net wall area above floor
h. wall area above floor
i. wall area a6ove floor
j. frame wall zrea at `ou.-:catior
Total expeseC foundaticn area= -'J
k. Total foundation window area
l. Total net foundation area above arade
Deter-i-nine " u " value of each.wall segment
(e.g. window, door, each separate wail section)
d.~z .C, X „u„
b 38 ' X %1.
c. 32,4 X ljuii 7 = 15.22
u„ , lo = I~ Z
e. x ~,u~~-~J--
f, i" X ~lull p-) = 5 Z
~
9. i r_•:. r l, ul, O ti = 9~,4
h. X 1,u„ _
i. C 'lull _
X U.,
- If item =3 is th=
as , or less than .
" - '1 you have met '
x in'ent of SSC 60r1`
3 . ...........r0id~ =L
(J oit - •
~':tr.rior En~icloi~c Avera c "U" Conput z ~i
Tota1 exposed roof/ceiLing area
• m. Toea1 s}:y1iS;1t area ~
n. Tota1 rcoP/ccilin, f_-am:nq arca (avcr.a~tc 102).•- I n I~n
o. Total nct ir.sulaccd rocP/cciliag il=ca........... '
Determine "u" value for eaci: roof/ce:liag segn.ent
M x ,U..
n. x ~~U., ~
X.. U,~
c. --7
_ ZO, J 3
4 1bta1
total c` ~4 is the sa;~a as, or less t:han It2, you have met the ir.teac. of
S;Sr c,J~S i%? 1.
e\1`errate Bui'ding Er.ve'_one Desiq.^• '
-io _tiiize t'r.e total envelope'system method, the values established by the s:in o-4
±.tems n3 a.^.d '4 sha11 not be greater than Cze sum of items °1 and ;2.
zl co ~o~ T z. Zco. Lf 1= zyZ,S-
3 . 7 1 '1 ~ + 4. 7, J ~ ~3 = ~ 3.5 • .
• . PI: N ~
` LS`(ZaL, F`FT E<POSz:) WP.LL
ELCCiC• L, ~
1CEE: 13 J
W.O.: ~
FIJLt. 1 : l
FJLL 2: ~
FPR..t?LACE :
RI2*:
^ SQUARE £c.cT EX.°OSc.~i WAIL ARFA
=
ai.ocK: L~ x .5
KNEE; x s= C~ S
w.o.: X s = -
Ftnt. i: X e=
. FZ7LL 2: x 9 = -
' FLTZEPIACE: Lp X q_ L-( ~
RIM: x 1
* SQt1ARE FEEP F:<POSID CEILSNG ~ o l lo .
Dooxs 38 -
~
z = PATIO DOORS
a c° 3Z,9
- . 2 .5
- * aPS~rr urrrrs
~
~d:~: iJ3c 11,9, o= °f=°Que I..al 1 ore~ R`r :e- reu.ut _
1. l~'~=r- IOR AIR FILF? 0.68
. I ~ 2. 1 2 Gf?5D .4
, 3. 5 12SOf'P 'nCOD 6.8
~ 4. 7NEKMO FpLY SHeArH .2
5. SIll_i,IG .b
6. ,IOR ?SR FILM 0.17
w w ~ T-~ R= 8.99
, Lr= • 1I
- ( =c,. r .I,i (::F O
x•r~ NnL~ ~ .
1. I,=I0R AIR 'rZI2-f 0.68
3._'! 2 GY?BD .45
b 'L.
~ 4 T)+E~o R.Y sriEA'n+ • 2
" S. SIDP7G - ~
,Y,,. t I I 3 6. ! R AtR FILM •
= ZJ-12
1~-----~ • . U= ..05.
o ri- o _
1. _TN'i'R?OR AIR FIL"i 0.68
2. 6 INSIJL. 18.00
4 7~+~r-w ~Y st~r~rH .-2
S. SIDING .6
6. ' =-,OR .4IR FI .
~ L R= 12.Sb
U= ~.04
. 1 ~ Q
~
~ ~ r°BLOCK
{~1rDhi:C~1 ,
W*F! L ~~~~•'p` 1. INTE.E2I0& tLTR FIISi 0.68
f 0 , ~ IIE 2. .
r 3. 111 S'I'YRO S . 0
• ~ 4. PRO'?'ECTIVE BARRIER
6. EX-L'-P'.D-TOR P. R F
TY)TAL R= 7.13
U= .14
~ SLAB ON GR?DE
I t, '
;~/Il
~
v
LLL S
r_G j ft ~ I~ r lI(
~o- r•fc'? IrfDZCF.'?'E TY?E, ~~R" vAL:rE. D~?'r~ p~I~
~ . . ~ ? DL1=.="~!: OF IN-SlR.4ZION..
= • ~
a Cp F_CE: L I*IG
. • . , %`t~ CONSTRUCTION
.
IivTERtOR AIR FILM 0.63,
z : sr . . ~ In
--~--o~
i~
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u = . o -
' '-tJ
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~
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v~ a~ L~ F~aT r-vo',r z:
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I
L 4
=T_G. a5 li =
~ CONS'I'4UCTION
i INSIDE AIR FZLM
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3.
S. i
, f . ,l~.,..~_.....1 , TOTAL
•V ( ~ ~
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_
~ „ ~ rf0':'=': USE PDDITIODfAL SN'~`TS I:' NO~. -
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u?
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
Site Stre ?ess ,p unic u
PropertyOwner&NA l"JR`,C Z/7/9/v Telephone#4;
,sj)ZaL- Y
Contractor _J:LUL~ S~/ /Te/le~phone # (9~A -
Address /~DD S~ City' /LLP State~
The Applicant is: _ Owner ~ Contractor _Other
Alterations to existing dwetling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
x replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 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, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the ev)nt a plan is required to be reviewed and approved /
~~,~a~~ ~y~~ ~ ~ Ap icanYs Printed Name App canYs Si ature ~
~7 -7 Z6-S 2007 RESIDENTIAL BUILDING PERMIT APPLICATION C6
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construd'pn Reouirements RemodeUReoair RewiremaiLS Office Use Onh
3 regatereA site surveys shovnng sq. ft d lot, 5Q. ft of hwse; and ail roofed aeas 2 oopirs of plan showing footiigs, beams, jds6 Ceit of Survey Recd _ Y_ N
(20%mazimum lot mverage albwed) 1 set of Eneigy Cakulations for heated addfiau Sa1s Repat _ Y_ N
1 Sdis Report 'rf propased buildiig is to be placed on disWAbed soil 1 sile wney far add6ais & dedcs Tree Pres Plan Recd Y N
2 copies of plari showing 6eam & windax sizes; poured found design, etc. AddRiar - i/Micafe i/orvsite sepfic system Tree Pres Required _ Y_ N
lsetafEnergyCalalations On-siteSepticSystem _ Y _N
3 copies of Tree Preservadon %an it bt platted aRer 7/1/93
Rim Jast Detail Optims selecUm sheet (buildings wiN 3 or less unas)
Mnnegasco medianical ven6latian fortn
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date q/ Construction Cost C)
Site Address ~ 59 V~N ~Q.. Unit/Ste H
Description of Work cl D f'e - V~
Multi-Family Bldg _ YK N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner Telephone k(~JJ )696- /Y 5Z
Contrector ! CdN 5~ Oti1 N
Address 9J .5 J fYKLAe s L SS-461 z~City
State ~J Zip S.Sy;3 ! Telephone DO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
EnBrgy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitled Submitted
. Energy Envelope CalwWtions Submitted
In the last 12 monihs, has the City of Eagan issued a permii for a similar plan based on a master plan2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Coniractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to staR without a
permit; that the work will be in accordance with the appr d plan in the ca s which r quires a review and
ap r val of lans.
Applicant's Printed Name Applicant's Signature
• DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ent. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcFJAddn (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Rep18C0mBnt •Demolitlon (Entire Bldg) - Give PCA handout W applicaM
Descriotion: water oamage _ ves
Valuation Occupancy MCES System
Plan Review 100°k or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addi[ion) _ Final/No C.O.
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool Ftgs _ AidGas Tests Final
_ Framing _ Siding _ S[ucco Lath _ Stone L.ath _Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insula[ion _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S6W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 1 /-
Tenant:
Use BLUE or BLACK Ink
;%
Permit #:
Permit Fee: 9()
-use
c?/
Date Received: //
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
-a
Site Address: y5 t C' - r no r -
Suite #:
RESIDENT / OWNER
Name:
34. h k 5 2 Cl 6' Y �/ L 2t ,Phone:
Address,/ City / Zip: E�, z ,��� 1 ;2,, /
Applicant is: Owner Contractor
5-7 6'P �5
TYPE OF WORK
Description of work:
`fid k e 0 S G' y
Construction Cost: / ,j5 C° '� Multi -Family Building: (Yes / No )
5; e ti A 4/';i-
CONTRACTOR
Name:
License* d 63 5 3 a
Address: 1 `/ 1‘ 3 Vir"--r5fir41-‘.
City: et,"///k? G�a-7(_.cc1
r
Phone: Ci 2- _. Y %O-i/a 6 Contact Person:
State: /It 4 Zip: Cr / 2 LI
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
OTE: Pans and supporting documents that yarn submit are considered to be public information. Portions of
he information may be classified as non-public if you provide specific reasons that would permit the City to
concludethat they are trade secrets:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
I e d^dy R
Applicant's Printed Narrre
CityofEaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /1,2. Y—O 9
Tenant:
Site Address: Pet? tiler QUA
Suite #:
RESIDENT / OWNER
Name: f(- h y 6r,_>/ }a /"� Phone: ' 57-(
Address/City/Zip: fcr
Applicant is:
Owner Contractor
TYPE OF WORK
CONTRACTOR
Description of work: L, S ,+ G.. /( AA& !r.1 / it/ AP,14.5
Construction Cost:
Name: e/ 5(f; i lv; r7S
Address: p (6i PGI
City. State/ 1 �L Zip: %%C5 I
Phone: 0.2- Yeo /(, " Contact Person:
Multi -Family Building: (Yes / No )
License #: 2 d 373 1/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be publi
the information may be classified as non-public: if you provide specific reasons
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
nformation. Portions of
ould permit the City to
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x re rf/
ApP licant s Printed Name
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 859 Ventnor Ave
Lot: 330 Block: 04 Addition: Stafford Place
PID:10- 72500- 330 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
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
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
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:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$1.00
$69.00
$70.00
Owner:
Janusz Gryczman
859 Ventnor Ave
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Building
EA074230
07/10/2006
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA110334
Date Issued:05/06/2013
Permit Category:ePermit
Site Address: 859 Ventnor Ave
Lot:33 Block: 4 Addition: Stafford Place
PID:10-72500-04-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Janusz Gryczman
859 Ventnor Ave
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153061
Date Issued:11/19/2018
Permit Category:ePermit
Site Address: 859 Ventnor Ave
Lot:33 Block: 4 Addition: Stafford Place
PID:10-72500-04-330
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Janusz Gryczman
859 Ventnor Ave
Eagan MN 55123
(651) 686-9452
Schwantes Heating
6080 Oren Ave N
Stillwater MN 55082
(651) 439-3331
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169787
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 859 Ventnor Ave
Lot:33 Block: 4 Addition: Stafford Place
PID:10-72500-04-330
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Janusz & Anna Gryczman
859 Ventnor Ave
Saint Paul MN 55123--158
(651) 686-9452
Archer Exteriors
820 N Concord St Ste 106
South St. Paul MN 55075
(651) 493-4156
Applicant/Permitee: Signature Issued By: Signature