712 Stonebridge Cir
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- - - 7-21-5~
Date: 1
CITY OF EA'GAN Permit No: _Uate:
' 3830, PI101 Knob Road B/P
~
P.O. Box 21199
Eagan, MN 55121 1
Owner. ~ 1•_ ~ onabrldve CirCle 77 i 7 Aills of :to:~e--
Site Address: br idy; e
~ ymc~ut P umbing
Plumber: Ri
SSO OOpd _ Zoning•
MWCC: - 0Opd No. of Units:
' City Chg: .0 c3
Acct DeV. 1 agree to comply wNh the Cfty °t Ea98^
p
Permit Fee: Ordinances•
.
Surcharge: By
Misc.:
SEWER SERVICE PERMIT
~ CITY OF EAGAN Permit No: ~~$g Date:
3830 Pilot Knob Road Meter No: ~ -Size:
P.O. Box 21199 Reader'No: Date:
' Eagan, MN 55121
;
Owner. C~tez Hotueg ' SiteAddress: 71 A Stg 'a's *`t''"Z" 'T g7 H'lls of Stoue- ~
( Plumber F1;~nth ~Iumbfais rid ~
- '
i
Conn. Chg: 550_~Qnd Zoning: i ;
j Acct Dep:_ 15.0~ No. oi Units: '
'
j Permit Fee: 10,001314
~ Surcharge: 5bg I agree to comply with the City oi Eagan ~
Tr. Plant 204 • Qbd Ordinances. i I
Meter. 62 0O^4
Misc.: By
~ WATER SERVICE PERMIT _ J
CITY OF EAGAN Permit No,
~ ~
{3830 Pifol Knob Road Meter No: Date: 7-21-F Size: " aclf
P.O. Box 21199 Reader~No: ~ /
Eapan, MN 55121 Dale:
Owner. ('pn-AY u., „s
-
51tBAddfBSS:---1? Stnnx=hrirlga (`ir~la 17 R7 H?17o f e.
Plumber. L1 ymnut}, ~1 1~inn
Conn. Chg: C,_ 51, nnnd Zoning: _ u1
ACCC D6p;~15, (1(?'A NO. U1 Uf1ft5: _ Y
Permit Fea 1_0
Surcharge; .50p"? 1
Tr. agree to comply with ihe City ol Eagan
Plant- %i)/.,~0(1 ~
Meter. Ordinances. '
Misc.: '
6rN2-11~o, WATER SERVICE PERMIT
~
CASH AECEWT
CITY OF EAGAN ~
. 430 PI~T KNOB ROAD
~ EAGAN, MINNESOTA 55122
DATE 19 I
nECErven - + ;
FF40M _ , • r > i r
I
AMOUNT
~
1
a oounas i
iw
O CASH e'CHECK I
I
Fa1
h
• t
1 G
FUND OBJECT AMOUNT
Thank You
ev
v
° t7 r ^ wn+le-a~ ~ar
YeAOw-PoatlnB CoPY
r• L l,~ v Plnk-Fil9 Copy
CITY OF EA'GAN i'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ~
To be used for Sg DWG/GAR Est value ;139,()00 ! patg JGLY 1
Site Address 712 STQNEBjtIDGF C IP OFFICE USE ONLY
On SRe Sewage Occupartcy
Lot 7 B(ock 7 SeGSub. STOIiEHRIt?GB MwCCSystsm X zonine PD R-1
ParAI No. On Ske Well (Actual) Const v"N
¢ Nam@ tEh,TEX h(3MEs Ciry Water x (Allowable) V-N
Address 5959 BOTLEO ItU PRV Requtred * or scories
City Z' Itt?:E'fONKA phone 936-7ti33 6ooster Pump Length 62 `
Oepth 321
Name SAM S.F. Total
~ ~ AddreSS Footprlnt S.F.
~ City Phone 423-21 S 5 (.Tnl° ) APPROVALS FEES
~ ¢ Engr./Assess. Permit 100.00
yVj W Name • 69.50
Addfe~s Planner Surcharge 350.00
Council Plan Review C 4 W City " Phone Bldg. Off. SAC. City 100•00
I hereby acknowtodge that I have read this applicatlon and atate that the Varlance SAC, MWCC 550.00
information ia correct and agree to comply with all applicable State oF Water Conn. 550.00
Minnesota Statutes and City of Eegan Ordinances. "
~ water Meter 67.00
Sjgnatureof Permittee - Raad Unit 325.00
A Building Permit Is issued to:_ CEBjLX ti0m ^ J Treatment P1 204'M
onthe express condition that all workshall be done in accordance with all
applfefeble State of Minnesota Statutes and City of Eagan Ordinances. Parks ~
Building Official TOTAL ' _
CITY OF.EAGAN 16C FU-llC- S' 6(FE ; •~T ~
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121 3^ ~
PHONE: 454-8100
BUI~DING PERMIT Receipt#k
To be used for Est. Value $1 39,UW Date JULy 1 ,19
Site Address OFFICE U3E ONLY
•
Lot ' Block ~ 5ec/Sub. Sl'-~%Ebk ! RC, On Sfte Sewa4e Occupancy
~ MWCC System x Zoninq
ParCel No. On Site Weli (Actual) Const
Gt
ac Name y1Nater x (Allowable)
W PRV Required * of Stories
z Address
~ City -r`. Phone ~'3(s-7b3.3 BoosterPump Lenqth
Depth 32'
°oC Name S.F. Total
,
o ~ Address Footprint S.F.
U~ City Phone 2 } (JGF ) APPROVALS FEES
~a Name Engr./Assess. Permit
~ = Planner 5urcharge
z ~ Address
Q W Gity PhOnB Council Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC
I hereby acknowledge that I have read this application and state that the
information is correct end agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Qrdinances. Water Meter
Signature of Permittee - Road Unit
....~1,?Lk ,l4.ft~Lti 1~~4.?
A Huilding Permtt is issued to: Treatment P1
on the express Condition that all work shall be done in accordanCe with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL r
Buflding Official
- PermR No. Pe?mit Holdw Dots TeIbphons it
Plumbing
H.V.A.C. Elect?ic
Sotfener
tntpection Date Insp. COmments
Footing3l
Footings II
Foundation
Framing
' Roofing
Rough Plbg. w
Rough Htg. -3_
Isul.
FirePlace ~JAea n e~ c O-
Final Htg. /
Final Plbg. _
Bldg. Final
Cert. Occ. j
Temp. LP
Deck Ftg.
Deck Final
Wel1
Pr. Disp.
r,
'
r 4•
&rtif iratt uf (Orrupanrg
titp of eagan
' ~p~tPtlx ~ ~fthta jt[S}1PttiDtt
This Certij?cate rssued pursmant to the requiremenu ojSeoction 306 of the Uniform Btulding
Cade certtJying lhat at the time of issuance rhis structure twrts in compliance wfth !he mrious ~
ordinance.s of the City regulaliRg bu!lding constnection or use. For 1/ce following: ~
I
ux a.semdm 5F U~.'1GAR Mg. PWin;, rb. 15295 '
OMvInrTYa R31*1 zoning naaria P!),rRI .~CoML Vn
oww ot eu,aing cw1FX Fcl~.'S Add= 5959 B(7TU]b R(IAD, MffINEMNCA
Ibildtag Ad&= 712 SDCIiBRIDGF. CIF= Lo-ky L7, B7, KndS C,F STaEBRID(E '
' o.m SFYMeR 2. 1998
Bwlding OMcW :
POST IN A CONSPICVOUS PLACE
PERMIT #
' PWMBING PERMIT _
CITY OF EACAN RECEIPT # -
.~Ili_' ...•'r ,.,u
3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ' SeciSub Res. New
!--*'1J.e * 7, c•Z _.unp b r. iv ci n ta:?. Mult Add-on
- Name Comm. Repair
m
~ Address 2474S Other
c Ciry%I Phone ~a--11`°~ pES, pLBG, ONLY - COMPLETE THE FOLLOWING:
5506~ FIXTURES _JOTAL
Centex Ho¢aes ~Water Closet - $3.00 $ • ~
~ Name Bath Tubs - $3.00 ' c Address 5959 nakez Road Suite #300 47- Lavatory - $3.00
p City HinnOtOnkm• MN Phone 936-7833 1 Shower - $3.00
55345 ~ Kitchen Sink - $3.00 ~-'d
FEES Urinal/Bidet - $3.00
COMM/1ND FEE -146 OF CONTRACT FEE _7-laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPUES TFloor Drains -$1.50 1•
TOWNHOUSE & CONDO - RES. RATE APPLIES ?-Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM -1 PER PERMI'1)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
, Private Disp. - $10.00
~3__Rough Openings - $1.50 "
SIGNATUR OF PEfiMITTEE FEE: 4,05"60
. 3-0
STATE S/C:
FOR: CITY OF EAOAN GRAND TOTAL: j SU
..k.x.._~._. 4 . .
PERMIT #
' MECHANICAL PERMIT
CITY OF EAGAN R~CEIPT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE;
CONTRACT PRICE: CCL- PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Bloc c/Sub ~
Res. Jz New ?
11 , Mult Add-on
m Name Comm. Repair
~ Address
c Ciry ~ hone Other
FEES
~ Name ~q RES. HVAC 0-100 M 87U -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City ~Y1t1~ . Phone CONSTRUCTIONUDES A/C ON NEW
- ' - - - -GAF OIJTLETS(NUNIMUM -.1 PER PERMIT). -1.50 EA.-~:
TYPE OF WORK COMMIYND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODEL5 - 12.00
Air Cond. M BTU MINIMUM COMMERCtAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.54 S!C IF PERMVT PAVCE GOES
Gas Piping OuUets # BEYOND $1,000) ;j
Other 9
. FEE:
, _ .
S/C: ~61AAT~ATURE O PE MI E
TOTAL• g~2.
FOR: CITY OF EAGAN
BLDG. PERMIT NO.
71A .S/wt¢, o( L Q 7!~`,Le° ~ cfo.
01-3270 Bldg. Permit 7 0 0
01-3422 Plan Check 350 Cro
01-3445 Surch./Adm. 119
01-3446 SAC/Adm. 5CJ
01-2155 Surcharge
75-3860 Road Unit
20-2275 sAC 5yl 5Z)
20-3865 Water Conn. 55 o ov
20-3868 Water Trmt 12611
~O
203716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. DU CIO
28-3855 Park Ded.
TOTAL /5~ SO
This request void n//~ ~-j ~f
IB iw Ihs Irom ~ ~00 OO
E 2 9 4 3,8._
Nequest Ryle' ~ Fm No. Rooph-in InsVection
fl rted? ~ReaAy Now Will Nouty Inspec-
9- Fd" 1"es ?NO or When Reatly
tcensed Electncal Coniractor I hereby repuast inspectwn ot ebove
Ownei elacbical work mstalled et.
$iFeet AdAress. Bo• te No. G
rz
eclion o. Township Name or No. flange No. Counly
Occau.+ '~IPRINT) Phone No.
e
Power SupuLer Atltlress
6 f
Eleclncal Cnn~ cbr (COmUanV emal Cnnvacmr's L~cense No.
f ~e O =
Mailinp AdJiess unVactor or Owner Makinp Insiailauon)
0 3z
Aufio; e inamre IContmctodOwner Making Installalian) P one Number
ii~ 24
THIS INSPECTION HE~U ST WILL NOT
MINNESOTA STATE BOAFD OFELECTRICITY
Gria9s-Mitlwny Bldg. - Hoom N-191 BE ACCEPTED 6Y THE SiATE BOARD
1871 Universitv Ave.. St. Pnul, MN 55104 UNLESS PROVER INSPECTION FEE IS
o..__ 1..a, cna_nann ENCLOSED.
~'J~ 91V REQUEST FOR ELECTRICAL INSPECTION r~ EB-00001-06
, Sae mslruclwns lor completing this form on beck ot yellow copy.
"X" Below Work Covered by 7his Request
E 'Z9-,f3& ~
N~AAdajllmp.j Tyoe o1 Buiimne AOOliancen WveE E~uq~mem wired
Home Ranye Tenµiorary Scrvice
Duple;x Water Heater Liqhtiny Fixtwes
Apl BuilAmg Dryei Electnc Heatin
Commercial Bldy. Fumace Silo Unluadr.r
Industrial Bldg. Air Condrtioner Bulk Milk Tdnk
Farm Om, oeci v ino, itiu~;uty1
t , Succilv tn, pih,:i
ompute lnspecuon Fee Below
p Fee ServiceEMraneeSizo M Fea Fextlms/5ableetlers N Fnn Cvcwts
U to 200 qm ps 0 to 30 Am s 0 tn 30 Am s
Above 200 qinps 31 to 100 qinps p 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation FioonLs Partial.'Other Fee
Signs Speciallnspection S
Nemirks E
A
Rough-in 1 Dnt
le
^ ~ ~/~'fns I he ctnca
n ~ pect , oby
ortily thet the nbova
Final inspec4on nes baen
~ mede.
mb reQUesl voiC 18 monlln tmm
CITY O,F EAGAN N° 1 5 2 9 5
3830 Pilot Knob Roac, P.O. Box 21-199, Eagan, MN 55121 ,
PHON E: 454-8100
BUILDING PERMIT Receipt# R5 3)-Y-
Tobeused(or SF DWG/GAR Est.Value $139,000 Date JULY 1 ,1g 88
Site Address 712 STONEBRIDGE CIR OFFICE USE ONLY
O
Lot 7 Block 7 Sec/Sub. STONEBRID(:E nSite Sewage _ Occupancy R-3/M-1
MWCCSystem x Zoning PD R-1
Parcel No.
On Site Well _ (ACtual) Const V-N
a Name CENTEX HOMES Cirywater x- (Allowable) V-N
W Address 5959 BOTLEO RD PRV Reqwred a of Stories
oz MINNETONKA Booster Pump _ Lengih 62'
City Phone 936-7833 oePtn _32!
, p Name SAME S.F.7otal
~a Address FootpnntS.F.
¢ City Phone 423-2155 (.10E) pppROVALS FEES
Uw Name Engr./ASSess. Permit 700.00
W
~ i Planner Surcharge 69.50
i- Address
aw City Phone Council PlanReview 350.00
Bldg. O1L SAQ City 100.00
I hereby acknowled9e that I have reatl this applicabon and state that ihe Vanance snc, Mwcc 550.00
intormation is correct and agree to comply wrth all apphcable State of Water Conn. _5~5Q..QO
M9 nesota Statutes and Cdy ot E a~ Ordinancgs. ,
C Water Meter _6I .9.0
Si nature of Permittee Road Unit r2. QO
A Building Permit is issued to: CENT~X HO S Treatment P7 204.00
ontheezpresscontlitionthatallworkshal bedoneinaccordancewithall
appliCable State of Minnesota Slatutes and City of Eagan Ordinances Parks
Bwlding OHicial_ _J_LU V~.1~~I TOTAL 2,915.$0
1
RESIDENTIAL
, . BUILDINC PERMIT APPLICATION
~ CITY OF EACAN j-
3830 PILOT KNOB RD, EAGAN MN 55122
1~~ C) o ~ 651-681-4675
NewConstruclianReauirements RemodellRepairRecuirements ~ ~y
. 3 registered ste surveys showing sq. fl. of l04 sq. % of house; and all roofeE areas • 2 copies ol plan
(20%maximum lot coverage allowed) . 1 set of Energy Calculations lor heated additions
• 2 wpies of plan showirg heam 8 window s¢es; poured found Oesign, etc.) . 1 site survey for exterior adddions 8 decks
• 1 set of Energy Calculalions . Indicate d home served by septic system lor addiGons
• 3 copies of Tree Preserva6on Plan d lot platted after 711193
• Rim Joisl Detail Options selection sheet (bldgs with 3 or less units)
"
DAiE '7 I Z I b Z VALUATION CQ 0426,
SITE ADDRESS MULTI-PAMILY BLDG Y
TYPE OF WORK CotkyZj i_- FIREPLACE(S) d 0_ 1_ 2
APPLICANT 11,L •
STREET ADDRESS lb CITY LR6~ ~Ay" STATE]WA-ZIP h'-iI n
TELEPHONE #451 z{SZ- CJ8I/ (CELL PHONE # lo IZ• °tYU 017 V FAX #
PROPERTY OWNER ~~f1U~t°F t'444 L V~A t, TELEPHONE# C,5 W541 745z_
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNL•'SO'f:1 RUL1;S 7670 C.41'LGORY l MINNLSO"I'A RliLLS 7672
(V submission type) • Residential Ventllatlon Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submilted
Plumbing Contractor: Phonc # _
Plumbing system includes: _ Water Soltcner I,awn Sprinl:ler Fec $90.00
Wa[cr Healer No. of R.I. 13adis
No. of Badis
Mechanical Contractor: Phone #
Mcch<mical sys[cm incfudcs: Air CondiUOning
_ Hcat Rccovcry Syslcm ~5 1!! ~
Sewer/Water Coniractor: Phone 0 2 2007 ~
I hereby acknowledge that I have read this application, state that the in rmation is ect, and agr, to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord ance .
Sfgnature of Applicani
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bld'g
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex ? 09 07-plex (B 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt • SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
k]' 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation (v ~ 410 Occupancy UT- MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const _ (lL Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Foorings(deck) ~ FinaWi o C.O.
~ Footings (addition) _ Plumbing
}0 Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Warer _ Fina( _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee Cr L
Surcharge X~~ ~
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
• ~ * 2422 Enterprise Drive
* PIONEER LANOSURVEYORS•CIVILENGINEERS I Mendota Heiglits, MN 55120
en ineerin LANOPLANNERS•lANDSCAPEARCHIlEC19
* g* g°. ~I (612) 6e1-1914
* ~c *
Certi(icateoiSurveytor:. CENTEX / /QwS
s
y~ + s
so NoaTN
. VI a ~rs i
~ g~ 0 9
~
I ~ 9p °Ta
m°~ `3gS~~ u C°
nss 3 yt y9
a
V1 ~0~ y
~ 9js .'M1' f `'/aa
3 ~
M1'
~ ~ I I 9f)-ry
ti ~)o
~Nah
~ / Mti
/
~~~PROV ED
By-- ~ -
~
9kgx I - - - - - - - -i Date Co
75.02 K 89'9 ~AG141V ENGINEERING DEPT,
* 900.o DtnOfes exlstlnU EIQVOfIOn PRapOSfO NOUSf ELEUATIOIYS
• 900.o Dtnofes propoW Elevot%on Cowesf Fl~r Eleval~on =
DenofesDriainaeEufilil~fasemenf -94.&
T denates 0?YJina eFlow Arrows Top ot Slock Elevation = 901.&
o Omo{es monumtnf C'iarafe s/ob E/evvtion = 900.9
8e4rihisk shnwn drQ assumed
LOT 7, eLocK 7 , NrLrs- oF SToArEearaGE
DQKoTA CouNty, MiNNE5o1'A SuatfcT 1p EASfMENrs oxaEraad
I hereby certily thet thif le e true and correct repraeentation of e survey of the boundariee o} the ebove Aocrlbed len end oi Ihe locetlon of ell
buildinge, thereon, and all vblbla encroechmente, H any, from or on eald land. AS eurveyed by ma thie~day o1 D. 19",
Sca/e ~ Pn = 40 ild
AOBERT 9 . SI ICH L.S. RE NO. 14891
~
~ ~ .
1988 BUILDING•PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 15 ~ q .6
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HQILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CAECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
~ J(~f~ l ~ i98B
To Be Used For: SFDG,tx Valuation: / ODi) Date:
i ISite Address Cah, OFFICE USE ONLY
Lot ~ Hlock ~ On site sewage_ Occupancy
/l G MWCC system V Zoning pD ft-I
Parcel/Sub On site well Actual Const V-N
City water ? Allowable V- N
Owner PAV required _ # of stories
Booster Pump _ Length fo Z"
Address SSS-'j F-lei-ill po.._ Depth 32-
S.F. Total
City/Zip Code P A4V Footprint S.F.
Phone ~z,3 C APPROVALS FEES
Contractor /vv~cg Engr/Assess Permit DD'00
Planner Surcharge 49,15
o
Addrass ~
Councii Pian Aeview 350,
Bldg. Off. SAC, City JpD•OD
Clty/Zip Code ~k)h F- Variance SAC,'MWCC 50.00
I Water Conn S 57).p o
Phone -5°(Z 44.'-3- 2 i St Water Meter . DD
Road Unit 32510
~
Arch./Engr. 'freatment P1 .o 0
Parks
Address Copies
I
City/21p Code TOTAL
Phone 1!
.
3~m-r
~
~1 'L X ~7 ~ i i 3~
1229 X13= ~59~~
Isr F<<~~rc. _
l ~
aL
~
1271X49= (o2Z-~~
~ N D
S2 5 9
z'~X ZI
k7v,
~ Z? ~~z = 4 3
5 xs =
~ loy
3gs~2~
2422 Enterrrisr, Drive
* PIONEEF! LIINDSURVEYORS•CIVILENGINEERS Mrndota Heights, MN 55120
~ hgineering"• L4NOPLRNNEAS• UNp5C ~1FE l~ RCHITF.CTS
Q.
* If Is12168t-tsi4
Cert,f,cete of SurveY For: CENTEX 140ML-5 .
~
so NoaTN
~C9
I '6~'•
o ~
O
~ ?68 M1- ~4} g1 ~ ~n;
~ g e
~
~
I r~ `!o
9kg I . _ ---~~J/0,'--
~
75.02 _ . . . _ - '
~ 900.0 Denoies exisfinQ flevafion PAVVOSeo NOUS£ ELEVA710N5
R soo.o Denofes propcOd Elevot%on
------Denofes DriamaeEvtilrl £asemenf Lowesf Fl~r ~leva~ion 94.(0
denates Draina tFlow 14rrowf 7'ap ot elock Elevat;oo = 901.&
o Otnalcs monumtnf G'ara#e 5/ab Elevation = 990•9
e e4rihiss shown ore assum ed
LOT 7, BLOCK 7 114IL15OF '4STd 11JEBRIDGE
DpKOTq COUNTy, MiNNESOTA $UBJECT 1D fASEMENTS OFRE'COGd
1 hereby cerNly thet Ihh If e true end correct reprmentetion of e furvey ol the haunderies of the above Agjcribed len nnd of ~he locetlon ol ell
bulldings, Ihereon, and ell visible encroechmenn, II nny, from or on said land. Af eurveyed by me this~day of~n_o. rea,
SCQ/ C~ 1 incll , An f~
`CV
6VOG4 aoaenT n, si ICH L.S. RF11'.~NO. 14991
. • ' , . . I.~C"T / ~~CX-,t~ TIiLLS (7G .~7VJt/E1~ii~~ I1 6"1
EXTERIOR EPlVELOPE AVERAGt "U' COPiPUTATIOP!
CEtJTEX HOMES CORPORATION
h10DEl #780
SQ. F i . U. ALLOWABLE
1. TOTAL EXPOSED `NA.LL AREA 3056.879 0.110 336.257
2. TOTAL ROOF/CEILING AREA 1753.000 0.025 45.578
3. TOTAL EXPGSED WALL CALC.
Total exposed wall area above floor 2740.000 ACTUAL
a. Total wall window area ` 279.420 0.420 117.356
b. Total door area 37.700 0.060 2.Z52
c. Total sliding glass door area 40.Q20 0.39G 15.608
d. Totai fireplace wall area 0.000 0.000 0.000
Total exposed wall less a,b,c,d 2382.860
e. Total wall framina area 238.286 0.097 23.090
f. Total net wail area abova fioor 2144.574 0.045 95.569
g. Total rim joist area 215.49'j 0.042 9.024
Totalfoundation area(ExposEd) 101.384 -
h. Total foundation window area 8.010 0.420 3.364
I. Total net found area above grade 93.379 0. 123 11 .485
TOTAL 277.759
4. TOTAL EXPOSED ROOF/CEII CALC ,
Total exposed roof/ceiling area a. 1713.000
b. 40.000
j. Total skylight area 0.000 0.000 0.000
k. Total roof/ceiling framing area a. 171.300 0.025 4.280
b. 4.000 0.023 0.093
l. Total net insul. roof/ceil area a. 1541.700 0.024 36.998
- b. 36 0.025208 0.907
TOTAL 4Z•Z79
ALLOWABLE 1 + 2 = 381.835
ACTUAL 3 + 4 = 320.038
DIFFERENCE 61.797
Signature: f)ate:
MODEI #780
# of sq. ft. total
32x28/28 3 12.4 37.2
20x28/28 4 7.8 31.2
24x15/16 1 5.3 5.3
28x20/20 1 7.$ 7.8
28x4'8/28 19 10.9 152.6
1/4 round Z 5.93 11.86
I/2 round 1 3.53 3.53
20x30 fixed 2 , 4.16 8.32
28x30fixed 1 5.83 5.83 '
48x24 fixed I 8 8
14' sideiites ! 7.78 7.78
TOTAL 279.42
Total wall above floor lin ft height total •
Vault Kneewalls 0
4'-10 I/Z' high walis 6 4.875 0
12' high walls 72 12 864
8' high walis 234.5 8 1876 i
2740
Total rim joist 2x10 279.5 0.771 215.4945
Total exposedfoundation (8') 152 0.667 101.384
-7
c. vall rrarrtina 'R' U.
1, interio^ air film 0.66
2. 1!Z' dryNall _ 0.45 .
3. 5 1/2'' soit wood 6.88
4. 1/6' Thermopiy Sheathing 1.53
5. Alum. aiding 0.61
6. Exterior air tilm 0.17 ~
Total 10.32 0.0968992 •~~7
f. Net vall area
t. interior cir film 0.68
2. t!?' tlrywall 0.45
msula!ion 19
4. 1%E" Thermaply Shea}hing 1.53
S. A.lum Sidino - ~ 0.61
6. E::terior air film 0.17
Totol Z=.44 0.0645633 • O ~S
_ rlt, i.nl! 1
7n1p~)0!' Pl.• rll!"' ' .:.0:' , .
i ..Z" SCft „.pnd
a, ThtrmoDir :neathing 1,`-3 ,
, S. aivm. eidinc 0.61
.
. . . E1 :=ricr air fi!:-: , ~ . 0.11
" f ?atai
. . .
. tf~..
r:= :c•snaac:or ac,,,,f erooe F. . .
oi^ fi:m i09Ol.?
!•?f'
!?r 10~ alf :iim L. 1 i .
TC!il ..._7:n:: , f2S
9l~+ra,
,
k. roof/csilina framina CT'+zL)ssra> o,r=r p, ,INJI7 R-'38
1. Interior air film 0.61 0.61
2. a.Riowninaulation/b.insulation 34 27
3. 5!8" dryKOil 0.45 0.45
4. a.3 112" aft Yd/b.l l 1!4' sit vd 4.35 14.175
5. Er.terior air fiim(atiil ! 0.61 0.61
Total 40.02 12.845
0.0249275 0.0233399
• oss , oz3
1. ne± "of?csilinQ oreo C. b.
1. !ntPrior air fiirn 0.61 0.61
2. a.Elc~n insula?ier,it+. Insulctian 40 30
3. 5f£" aryvall O.iS 0.45
. 4. Extsrior air film!s!il' ~ 0.61 0.61
Total 41.£^ r0.67
0.02=°°0+. 0.925:00
:;;;t~,~ - . : • . - . _
.~.':te° • ' . " . ' ' ' .
. .
'r~} • . ` ' . r ' . t . . . -
; •
-~S
. • 2:co
• ' V . ' . _ . •k. roof!ceilino fromina. Zx12 RAF"rER p, b.
1. Interior air film 0.61 0.61
2. a.EloMn insulation/b. insulotian 34 0
3. S;g- ~ryvail 0.45 0.45
4. 0.3 1/:' zfi wdib.ll 1!4' stt +ed 4.35 14.175
5. °_-terier air tilm(stili? 0.61 0.61
Toiat 40.02 15.845
0.02496?5 0.0631114
. esJS . o a 3
1. net roof!ctiling area a. b.
1. In?•rior air film 0.61 Q.61 -
3~ •
'G.EiCYr. ina~]ationfG. Inauiatton 40
0.45 0.45
. 3. e" drYrrol i
' 4. Er.terier air filrn{ttill} 0•61 0.61 ,
Sotal ".':_.4 t . 87 ?9. 67
• . - : ~.^~3°S31 . 0.9253p8 ;
. ` r~.....• - ,;,r. I
oz4 OtSZ
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APFLICATION FOR PERMIT iNUM° pAYMfNf OF FEE AT TIME OF ;
; nreLxcaTTON ooES rxrr corr- t
STliVI£ APPAGVAL OF PQ24IIT.
' SEWER AND/OR WATER CONNECTION i ICISPFZTION OF SF3d~R ]1ND/O2 WA1II2
3E'T_111_dtV Irasruzr,ri«ais waa. rAr ee sc~n.m [!NPIL PF7thIIT HAS ~7 APPRCNID. oF eagan
(PLEASE PRINT
1) PROPII2TSt ADDRESS: '7/aZ J'?V tvG.br; A G G'L~+~+ (
~
LF7GAL DESCRIPTION: . 7 7 N~t ! s u! s'+. ?-c-w~c ~
-(LotB oc S ivision o Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BiJILDING PERMIT ISSUANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COfM9EE2CIAL/RE.~`AIL/OFFICE SINGLE FAMILY _
Q INDL~STRIAL E__1 R-2 DOPLEX ('ik~D L'nits)
Q INSTIZS)TIONAL/GOVEE2NMENP ~ R-3 TOWNHOL~SE (Three + Onits) ( Lnits)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
2) Nu+nE: AktLe3 L°oPp
AwDxFSS: Tc1-4 P/W-z.a .S : f
CITY, STATE, ZIP: f1'J f-~k/Q-
PHONE:' 'rl'.36- 7 833
For City Use
3) NF1ME: }7,7 ~ssm w1µ Y ni~, Pl risns License:
ADDRESS: 40 7r4c. 4+~a-r G? Active
I~ Expired
CITY, STATE, ZIP: /Ylq.Q)e (Tyuy-c- yYln/ Not recordec
PHONE: Yrr3_ .2 L/MASTII2 LICENSE # Me2~(0J t ff t~al
4) 1577%a'[~5~3:~a
NAME: s
ADDRESS:
CIT'Y, STATE, ZIP: PHONE:
5) ~ ~ • a •~o
'TION TO CITY SEWER ~CONNECTION TO CITY WATEFt O dP[-III2
6)
*k '1HE GOID COPY OF 1HE PII2MIT WIIS, BE SENP DIRFX'1ZY TO PUffi,IC WORKS TO FACILITATE [EI'ER PIQC-[JP. ~
PLEASE ALTAW ZFA WORKING DAYS FOR PROCESSING. SOHIDONE FROM 74IS CITY WILL CODIPALT YOU IF 14imE *
* ARE ANY PROBLENIS.
~****r~*+*****,r**~~~r***«*+**+++r**r*,r,r**+**+***«**+*rr+***+,t**,r~,t*+r«r+**«**+«****,r*t,r+r***r~*+~***;
,
. FOR CITY USE ONLY' PERMIT # ISSUED
/;7~
Pd w/Bldg. Permit FEES:
$ $ J(' • 5Z~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ S~ WATER PERMZT ( INCLC~DE SC'RCHARGE)
$ S WATER METER/COPPERHORN/OC•TSZDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ " SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ d SC~ •CA C~ $ WAC
$ S D~ OC; $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC7NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S 2 O y- e'~ C1 $ WATER TREATMENT PLANT SI7RCHARGE
$ $ OTHER:
S I ~ / G~ ~ $ ~ C`Z~ TOTAL
RECEIPT RECEIPT ,
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PC~BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
U NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
TITLE:
DATE:
1
• i . ~ . . p. .
~12- 57-a~v
• '.,'..i;,~ y g~ . ,•.-~.'~:.'YR;
"r 'wrAi2>
LUM9FH SYF.GIFlCATIpNS ~MENtlER FORCE^u FROM LEFT TO RIGNT: , I
TOP CHOH:] 2X~ Sfi30F-1.SE NSN S-P-F TOP CHORD 90TTOM CHOHD MEBS HE/~LTIONS
T 1- -1693 B 1- 1410 M 1- -448 M 3- BOB NEACT20N 0 B 3N 1320
80T CMORO 2%4 1650i-1.5F. MSB S-P-i T 2- -3458 B 2- 944 X Z- gpe M~ -448 REACTSON 0 B 020
MEBS 27f4 03/STlril S-P-f T}-1A58 B 3- 1410
T M-189J
BEAR2N8 NEOUIREMENTS . ~ <.r~.•~••••••'
?LL BEAPINGS SX017N ME 3.5' E%LEPT AS NOTER • ~ .
THUSS LOAUIN6 (CON i)
UNIFOrw LL ON TaP LHORD -<o.o PSF I MEREBY C:R71FY T4 };IS PLAN, SAECtFICA7tON ~ ?~~„-^,^f!l :
l1NIFOWI OL ON TOP CMOAO - 10.0 PSF • R" :r ;
udIFOwM oL ot+ eoi ttwao - 10.0 v5F OH R[PQ"T N.'A3 ::17.'D UY P.1E Ofi U:~DER MY OIAECT ~c •;;.L
TOTAI OESIGN LWO ~ B0.0 PSF m.• -~~•i„~~
L0A0 OiAUTION It+CaEAsE -!.1J 3~1P~•.+ I' AT. T I.1f.1 DJLY RE. D
puy3 ~Q .
7 UNDE ' c L"n a OF Tr1E STA~ , .
LOCATE INTER-PANEI SPlICES AT !/t PWEL LEN6TH PRC~= fj i£C
12 INCHES FROM EI7HFA END OF 7ME P1NEL IW1IGTm. Of M y$C^ ~ G
~ ~0
~ o ~ ~sss q'~f oF r;~~«'~
PR08lEM: TRUSS NEEDS A 5.5' ,.~fiNE SY RICAI ABOUT
7 CIGYATUfl DATE
END OF TRUSS ONLY.
REO.N0.8848 '
REPIAR: INSTALL REINFORCING NEMBER AND PLATE ROTATM 90 00 '
ATTACH NITH CDX PLYN000 GUSSETS 4037
TO BOTN FpCES OF TRUSS HITH NAILING
. SHOMN, PER FACE.
. ~
163
=x4x3~ 12
8 ~
r1AxL,
Q 24
. 5.5z. 12 .
~
4.33'-
u
3252 io- 0d 4852
rJ~x~S
2445 N.S.
~ 3245
3b~ I
- ..1
REF: 59726- 22 0" -SPAN• 22'-0.0' OVERALL SPAN
PIATE COOE SV~QNG DATE .l IS T~( PESPOx4lBttiiv 0~ OiKM LO ASCEPiqw lNai iK L0A04 OiRtEEO Oe *nli OESIGx w[Ei ON ExCEEO TK
Ciu~L OEAD L0A05 fWO5F0 BY IIF SiqJ[lUF x0 iK LtvE L0105 IMOSEO By T~E :aLL BUILDSNG COpE W
fl5000 UBC 24.00~ O.C 7/31/88 Isroauu n:.erm u[caos. w xsca~stenrt• ts asuEO ou oc.ansIoH., cna.ct. veavr uL
UIMEMSINS PGIM ID fA&11[AitOrv COMrtC1pR VLAiES SXOWN YE tRVSVA 16. 18. Ql BO WGE 5 SGE.IfIEO.
f1BPIC1fI0N 5lULL COAVIV YIiN iNE W1lIlY CONiIICI MANUK' Cf IIE iPU55 cLIfE INSi1TViE IiGll Np IME
1PU5W4 IWSCOW "M10.. 4L PArvELS Wt SOECIqCKLY pE5I4xA1E0 UY *0 BE EOl14LY OIVSOEO. ~ OEMi'S
~ SGECIK Nll:u6, ON.Y ULEIYL BWCIxG PEWSPEO 0~ 3MOIVIOU4 IRIAS eEMBEAS IS uOiED ON 1MI5 01UMuG.
/lN 0 P TI ~ S OES(GN SSUES TME tli CIqNU 10 BE CCn1IW0UAV pPA[EO BV y(AMIHG UrvLE55 UiMEPWISE Si4fO. aE
( M XR ~ D E SIG N , iHIAQ410 ~p50M5 EPECi[tfi ,E~W5Y5T4PE C IIiIK00f0 SEER VNOFESSIOnA DVICECuEG61p (WEIEWO~NAPV EFPEC~
O ION
C7((~ 9F4ING N1I[N IS LMAYS ROUIPEO IO NEVExi iMPLiMG AW '004MIN4'. PEi'P i0 'BAACING e000 i9p55E5.
~ya~yJ [OwEML»1 ~p RECCw~EtN+IiWK' Iiv11 wERE COKUStOM M1v E~Iii [ON[EBeIrvG PROVEP GIELO EXCtIOM.
~N6wMfr50~6~.GSWUqASytipGfYw~ CLEA(CV Wt INiER10N BEYIMG LOCAlIMS, GM11tEVEA9. NO iM CMWOS Oi' !M 7W55 10 OnEVExI IMVPOOEP
OMGI ~z~~~03~ fILE/ YILL.-NN ~pOpAiOAEiaCO 19~a w0/OSP Cu5ETCB~E[IWEOR~~ENC EON~105IOx~~C ME0.yM~xCHECE55iPV~ISTB~ESTCp~E1EMINEO1Br
1 OF 2 M.S. .uoInars .aPL:cATIa. or [~niE.c[ ..a rKKrmrt Is arscoc TK scoae oF n¢swHs[eIitrr or iws..L.
1702 e MARVIN STRZYZEWiKI /eaize
~.~o;cX;:,,'>$7;c~:ta';, "0~)6;;a,o;o"Y,;:;~;tYr.; I:Y,:tc.; •:o:tt: v,a;:Y.o':Y,:);'
C,ITV 0- EA!>AN
CASN.T.'c'R: JS TLRt17W_ RU' 766
Dfi~rE: 09/-.5i1i9 'i1.MCs 1.4:03;01
_ri ,
;JAIFEc I4'cS7UF;N CEIK-?F l_I.LF.
:'.210 9001 712 STONEsR]:G r:l: L55-f'_S
21°_S 9071 712 S'i'ONi{k:f., W 3.50
. `
To~:a:l Rece;nf, Amoun+,; 'r.'?OU.'i'S
Ck i 7q'33
1S,?.:R Iilc Jfaid
):c7:::YhY•'c~::7;;Y,;:;c>;tM~;t;d~FY.o%;~;M: ;nr&D~;M~t~:M%cM%X):~Y,:~'~:~;<~'~7X
~j 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122 ~t
651-681-4675
tlew Constructlon ReaulremeMs Remodel/ReoaU ReaulremeMs
? 3 reyisfered sNe suneys showing sq. tt. ol lot, sq. fl. of house 2 copief of plan and Qg rooted areas (ZO% maximum lof eoveraae allowed) 1 set of energy calculallons lor heated addHlonf
? 2 coplef of plans (show beem a window siza; poured Ind. deilgn; etc.) 1 efle suney lor exfedor addHions 6 decks
D 1 set of energy calculaNons
D 3 coples of hee preservaflon plan B lof plaHed aHer 7/11/93
DATE: C~- 9 / CONSTRUCTION COST: 1
DESCRIPTION OF WORK: (-Ccit ~ouSe c_r, ~~~af4 c e-
STREEf ADDRESS: -717 S C-
tOT: ~ BLOCK: 7 SUBD./P.I.D.It:
Name: LU C ~4~c-',!i ~ c)L- Phone .1os1 - (-15-q-7 yJ`^Z
PROPERTY Lan FUst
OWNER --?I2
Street Address:
City CJ.n State: Zip:
Company: W E' 1''1 1l v`(~F I n Q Phone M: UL2
(area code)
CONTRACTOR
SfreetAddreu: C~~ ~ J~ •i2 Licenselk 71>/
City \ \V(v'1pt-)+h State: Zip: SSy~ ~
ARCHITECT/
ENGINEER Company: Name:
Telephone area eode ( )
Streei Address: Regishation M:
City Sfate: Zip:
Sewer 3 water Iicensed ptumber (reaulred for new conslrucHon onNl:
PencHy applles when address change and lof change is requested once permR Is Issued.
I hereby acknowledge thaf I have read this applicatlon, state that the Informotion Is cortect, and agree fo comply wRh all appllcabl
Stare of Minnesota Sfatufes and CMy of Eagan Ordinances.
Signafure of Appllcant: 5
OFFICE USE O
Certificates of Survey Received _ Yes _ No
' Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorGVAddn. (4sea.
? 03 1 of _ plex ? OS 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 OS 3-plex ? 10 8-ptex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) O 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. y
Park Ded. ~
Trails Ded. ~
Other
Copies
Total:
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165341
Date Issued:10/28/2020
Permit Category:ePermit
Site Address: 712 Stonebridge Cir
Lot:7 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-070
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
David E & Patricia Lueth
712 Stonebridge Cir
Saint Paul MN 55123--164
(612) 802-5632
Brigley Roofing Inc
13585 Gardenia Path
Apple Valley MN 55124
(651) 458-5760
Applicant/Permitee: Signature Issued By: Signature