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1015 Boston Hill RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1015 Boston Hill Rd Lot: 15 Block: 1 Addition: Lexington Square 2nd PID:10- 45076- 150 -01 Use: Description: Sub Type: e- Reroof Work Type: Repair Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Minnesota Exteriors 8600 Jefferson Hwy Osseo MN 55369 (763) 391 -5514 PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Ryan G Holler Tste 1015 Boston Hill Rd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA089209 05/18/2009 ePermit If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Parcel Files Cover Sheet Unique ID: 1968 1015 Boston Hill Rd 104507615001 CITYOF EAGAN 3830 itot,K*ob Road P.O. 416X 21199 Eagan, MN 55121 Permit No: 120 Meter No: 4 Reader No. Owner. Metro Custom Homes Date: 10-5-87 Size: '1 Date: Site Address:. 1015 Boston Hill Road L15 1 Txingtnn Sq IT Plumber. Dresher Exa/Olberg Const. Conn. Chg: 525.00pd Zoning: Rl Acct. Dep: IS - 0f Units: ?- Permit Fee: ^?•?? 10-no a Surcharge: re digging ca 1 rVVW %mpiy with a City of Eagan Tr. Plant PH i?E - E ECTf,c. Meter. ? 7 1111 #IHDAY LAW Misc.: V?VbtNiIRGV" WATER SERVICE PERMIT INSFECTION RECORD CITY OF EAGAN PERMIT TY : r AM Pilot Knob Road Permit Number Eagan, Minnesota 55123 Date t ed 19) 681-4675 SITE ADDRESS: LOT i *i t W 1? I APPLICANT: I0114 t$O41ON HILL Rte A 1:(kAF't O i1N INC PERMIT SUBTYPE: TYPE OF WORK: IIFC NEW a=; f:.-..' °r, -.pis ?.....a.,......"._.?:.,a.. a 4 n` EARN A b A 2 fZ ......._.._._.,,- 19 AMOUNT 08 rot ? CASH CHECK FOR 6.6 c 422-7 FUND ... CODE AMOUNT Thank YOU BY Payers Copy Q d 1J 4.? Mite- Yellow-Posting Copy Pink-File Copy a-4 Cities Digital ality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CASH RECEIPT ,.? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55192 C),A^rE G... 19 RECEIVED FROM AMOUNT $C? f C1 DOLLARS goo 0 CASH CHECK " ,d 1€ y + r, i_ - f r FOR "_'ek FUND CODE 6x4OUNT Jr_ Thank You I 77 66 ;C Y,.a Wit. 4, i z C3 v.?? 9 r; ?. B v White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. 01-3kk 01-3422 01-3445 01-3446 01-2155 17-3860 20-2275 20-3865 20-3868 20-3716 20-2252 20-3713 20-3743 79-3866 11-3855 PERMIT NO. ' / . iu , f f:.= ikd Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. Water Trmt. Water Meter Acct. Dep. Water Permit Sewer Permit Sewer Conn. Park Ded. TOTAL 03 trtifirale of (!rrnpanrj QLttp of eagan frpartmrnt of Nnithing Jni,prrtinn This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use Classification Bidg. Permit No. ! 4 L. T-T,r ?tlr Occupancy Type Zoning District Type Const. ^-??7?'^ is r y*f i.,;? ry L; ;s Ii,,?C; 4 1tv 11.?L 8.. Owner of Building `Address ?\ - Building Address Locality Date Building Official' POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3 3Q*iiot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t PHONE: 454-8100 BUILDING PERMIT Receipt # Td be used for 5i• ° ?J{'/tM Est. Value $194, 000 Date `'t`PT 't1S ' ` 3 f , F.. 19 a Site Address 10 15 "n? o`'i HILL' Re" OFFICE USE ONLY f 1:,, ON SQUARE On Site Sewage Lot t Block Sec/Sub. Occupancy X _€. ?? MWCC System X11 -t,ri1 Zoning Parcel No. On Site Well _ Type of Const _ ,Vp City Water X (Actual) _ ti -V"r* a Name (Allowable) z Address i'-0- 13U I:Lig Stories O City z ,y A )F).f Phone Length Len Depth - Total o Name Footprint S.F. o Address APPROVALS FEES 1- City Phone Assessments - Permit cc Water/Sewer Surcharge 47,()0 Q w- Name Police z Fi Plan Review . 2 5 C C0 re Address Engr. _ SAC, City SAC MWCC . ' w City Phone Planner , Water Conn. 2 Council Water Meter 6 r. Ct t I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit • that the information is correct and agree to comply with all applicable APC - Treatment P1 State of Minnesota Statutes and City.otEagart-Orettnancee: Variance - Parks Copies Signature of Permittee TOTAL A Building Permit is issued ft' on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing H.V.A.C. Electric Softener ?o/ / Inspection Date Insp. Comments Footings I z a24 Footings II Foundation Framing ° Roofing Rough Plbg. Rough Htg. isul. Fireplace Final Htg. ff) Final Plbg. Bldg. Final Cert.Occ. l Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. ------------- - .. _ ? n.a- .. .. .K ...... F?.'i_ 1. .ter-A3? ??? *•? .r{ ? 5 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE/ WORK DES IPTION Lot BI ck Sec/Sub Res. New n.- r Name Mutt Add-on 1 Comm. Repair city ret,[f .lIL/1 Phone =- ''°" Other - III Name ' if I fil Addres p City c Phone TYPE OF WORK Forced Air M BTU $. Boiler M BTU $_ Unit Heater M BTU $_ Air Cond. M BTU $_ Vent. CFM $_ Gas Piping Outlets # Other $_ FEE: S/C: TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARG€PER PERMIT .50 77 (ADD $.50 S/C IF PERMIT PRICE GOES 1 BEYOND $1,000) . SIGNATURE OF PERMITTEE ' FOR: CITY OF EAGAN CONTRACT PRICE: Site Address !r.%.= r? c fr r'ii Lot/ Bi ck _ Sec/Sub Name m Address 1:?''. C City Phone Name 3 Address 0 City `fir k Ga.dn ' '`-: Phone ` ?•%??«% FEES COMM/IND FEE - 1%OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM -COMM /TND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF RMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 PERMIT # RECEIPT # DATE: BLDG. TYPE WORK DESCRIPTION Res. New '- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES T TAL Water Closet - $3.00 Bath Tubs - $3 00 . Lavatory - $3.00 Shower - $3.00 _-Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 '> x -Floor Drains - $1.50 -+^ -Water Heater - $1.50 .`J Whirlpool - $3.00 Gas Piping Outlets - $1.50 ? 4, {MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 -S Rough Openings - $1.50 FEE: .'_ t STATE S/C: ' GRAND TOTAL: ?. ._ , CITY OF EAGAN it3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMI , Receipt To be used for I Est. Value $ *' Date _; OC1 Site Address lots )ISM HILL RD SQ Lot 15 Block I Sec/Sub. WINTON OFFICE USE ONLY Parcel No. Occupancy FEES I w Name RYAN Zoning (Actual) Const - Bldg. Permit 36. Address 1015 BOSTON HILL (Allowable) 1.00 0 City RAW Phone 456-0934 # of Stories Surcharge - Length Plan Review Zo Name SAME Depth SAC, City O? Address S.F. Total SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn Fw Name On Site Well Water Meter Address MWCC System A D i o aw City Phone City Water cct. s t ep PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: RYAN HO OR X= WW Planner P k D d on the express condition that all work shall be done in accordance with all Council ar e . _ _ 50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies - Building Official Variance TOTAL 37*3 fi of 17221 Permit No. Permit Holder Date Telephone # WATER 1.. SEWER PLUMBING °J nj 7 jJ H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing 90 /2 Jit Roofing /?/ .07 Z/vG "? Rough PIbg. Rough Htg. J --.4s papa Isul. /G. L. -- Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. 3? L PLUMBING PERMIT For Offige[Ina ¢nly CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # .7 PRICE PHONE 454-8100 DATE: Site Addr ss I01, i/ // At Lot 111nolk Sec/Sub Name _ ..r A/1 0? Address City 1Phone Name OCr?F f?fl.l Address v° 1S diAr 117 18 1 / City Phone FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND.IFEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 PER EACH $1,000 OF PERMIT FEE) SIGNATURE OF PERMITTEE BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N FIXTURES Water Closet - $3.00 $ TOTAL Bath Tubs - 00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well-$10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: ,STATES S/C: GRAND TOTAL: FOR: CITY OF EAGAN PtkMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN / 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address /U1-3d 10 Al Loth/5 BI, ck Sec/,Sub L?l. a - Name J Address c City Name t) d f L L L /- c Address f 0/ 1 3r}' 1'-_)A., f(,*L L o p City -.r.? Phone ST TYPE OF WORK Forced Air M BTU $ Boiler M BTU $ Unit Heater M BTU $ Air Cond. M BTU $ Vent CFM $ Gas Piping Outlets # $ Other FEE: 0 S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION Res. V New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 - 6.00 (RES. HVAC INCLU _44 W 7.4044 7440 CTION CONSTR 4^4v^%1 ) U GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MIF,U tlUAR RESIDENTIAL FEE : ALL-ADP-QN& REl? OD LS 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) S EE FOR: CITY OF EAGAN CITY OF„AGAN 3830 Rgof Knob Road P.0:' Box 21149 Eagar?t MN 55121 Permit No:_ Meter No: _ Reader No: Owner. Metro Custom Homes Date: 10-5-87 Size: Date: Site Address: 1015 Boston Hill ROSd 1,15 R Lexington Sq TT Plumber. Dresher Exc/Olberg Const. Conn. Chg: 525 _ Zoning: R;1 Acct. Dep: 15, GOnd No. of Units: Permit Fee: 10.40nd Surcharge: - 50nd 1 agree to comply with the City of Eagan Tr. Plant 180 _ C(3pd Ordinances. Meter. 67.OOpd Misc.: By 9120 WATER SERVICE PERMIT CITY F EAGAN Permit No: 102 70 Date. 10-5-87 3830 )MM nob Road B/P No: 77066 Date: 9-4- 87 ; W43ox 2.99 Ell„ - 55121 Owner. Met: Custom Bo e, Inc. Site Address: 1025 Boston Hill Road L15 B1- Lexington Sq 11 Plumber: Dream &X Exc/Ciberg Coast, MWCC:. $2S.f141pd Zoning : lri Cit Ch of Units: No y g . Acct. Dep: 15 - 4t3 I agree to comply with the City of Eagan Permit Fee: 10. 00-0-d Ordinances. Surcharge. .500 Misc.: By SEWER SERVICE PERMIT CITY OF EAGAN N2 17221 .3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 11 23 BUILDING PERMIT; Receipt # C To be used for BASEMENT Est. Value $1, 500 Date OCT 2 0 1 9 9 Site Address 1015 BOSTON HILL RD Lot 15 Block 1 Sec/Sub. LEXINGTON SQ 2ND OFFICE USE ONLY Parcel No. Occupancy FEES Zoning w Name RYAN HOLLER & KYLE HOWE (Actual) Const Bldg. Permit 36.00 3 Address 1015 BOSTON HILL RD (Allowable) 1.00 c Surcharge City EAGAN Phone 456-0934 # of Stories Plan Review Length a o Name SAME Depth City SAC Z O u< Address S.F. Total , U SAC, MCWCC City Phone S.F. Footprints Water Conn On Site Sewage UUj w Name On Site Well W Meter t t w Address MWCC System a er aw City Phone City Water Acct. Deposit PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agre to comply with all applicable State of Minnesota Statutes and City of an Ordi ances. Treatment PI Signature of Permitee ' APPROVALS Road Unit A Building Permit is issue to: RYAN HOLLER OR KYLE HOWE Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- 5o applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. . Copies Building Official ?,?_1Q1l Variance TOTAL 37.50 Request Date 2 Fire No. Ro in Inspection R fired? y Now El Will Notify Inspector Wh R d ? No en ea y I ' ensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Stet, Bo , Route Nom J/° am City Section No. Township N e oorNo. Range No. County Occupant RRIINT) Phone No. P er Supplier Address Ele ntractor (Comps Name) f - Contractor's License No. d v © 41 C Zef ,e fling Address (Contractor or Owper Making Installation) Authorized gna (Con or ner M g Installation) Phone Number MIAESOTA STATE BOAR F ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. oom S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. F 47930 REQUEST FOR ELECTRICAL INSPECTION No- See instructions for,Fompleting this form on back of yellow copy. X" Below Work Covered by This Request EB-00001.07 Jew TypeofBuikiing AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor' marks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms y Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final sew 0, Date OFFICE USE ONLY This request void 18 months from This request void,//yG IS months from E 19203 Request Date s ire u re qui Now 0 Will Notify. Inspec- tor Wh R d - es ?Y en ea y Pcensed Electrical Contractor I hereby request inspection of above 0 Owner electrical work installed at: Street Address, Box or Route No. O ihas % 4 f ?- City ection No. Township Name or No. Range No. Count Occupant (PRINT) Phone No. Power S plier Address es- 3- 6 f Ele trical Contracto C npany Nme) 4r Contractor's License No. 7 Mail in ddress (Coot ctor or Owner Making In?stadiiation) Cam" ty Z ?t Authorized Signature (Contractor/Owner Making Installation) R 7e Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es-oooot-os ? See instructions for completing this form on back of yellow copy. F 1 q 2 - "X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water ter Lighting FiXlLJ(e--, Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) Other Specify Other Other r mmniir /ncnarr/nn r-.a Ka/nMl # Fee Service Entrance Size ft Fee Feeders/Subteeders `e Fee Circuits 0 to 200 Ams 0to30Amps Anq)Ei Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Am s Transformers Irrigation Booms Partial. Other Fee Signs Special Inspection $ TA Remarks /)? - -- 31 dif sough-in Date I. e ectricei Inspector, hereby certify that the above Finaly nspection has been • J made. Min reouest void 18 months from This request void9/,F/9 7 r?/rx 18 months from 7 D 4120All ??.?_:I Le) ?_ Request at ®t Fi e No Rouges-i nspection Require Ready Now Q Will Notify, Inspec- ?Yes No tor When Ready Licensed Electrical Contractor 1 hereby request inspection of above Owner electrical work installed at: . j/ Street Address, Box or RouXo Unc'?S Jf7// )?,,,4d M/5' City lO ? , Section o. Township Name or No. Range No. Coun Occupan!.IPRI T) Phone No Po QSZP r Addres ?" , Electric 1 Co a or 1 mpany Name) Contractor's License No. Mailing Address (Contractor or Owner Making staii/lation) ,ay Authorized Si lure for/Owner Making Installation) Phone Number MINNESOTA STATE 1OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 1 /r 7 REQUEST FOR ELECTRICAL INSPECTION P. EB-00001-06 0 See instructions for completing this form on back of yellow copy. v 7 7/r S D 4 "X" Below Work Covered by This Request N Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specify Other (Specify) ter Specify Other Other nSDeCtiorl Fee Service Entrance Size # Fee Feeders/Subteeders # Fee Circuits 0 to 200 Amps 0 to 30 Am s O to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms Partial-`Oth r Fee ?Igns special inspection TOTAL EE Remarks 1.0 ) Rough-in { Date I. the Eta Inspector, hereby certify that the above too/ Final 1®>f /®,C inspection has been `fir 0 made. This request void 18 months from This request void 18 months from / af! D41852? Request Pate Fir No.;! Rough-i?? nspection Ready Now ill Notify Inspec E] 7 W E] No L or When Ready ,Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Box or Route No. ? City ? ection o. Township Name or No. Range No. ounty Occupant (PRINT) Phone No. l-e Power Supplier Address (?'G f /-. C A-I ! .G 7 7.iU SS?o Electrical /Connttractor (Company Name) ?c Contractor's ? ? Liccense No. wner Making Installation) Mailing Address (Contractor or O ®- W+ c , 12 tt a/1 Uf'NSUI Aut rized Signatur ontractor/Owner Making Installation) C Phone Number (]o? NESOT TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT riggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION EEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 1 See instructions for completing this form on back of yellow copy D 4185? "X'" Below Work Covered by This Request ?.. EB-00001-06 S' 0,Z Now Add Rep.' - Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecry Other (Sper.ify) Other (Specify) Other Other (.ornoute /nSDecrion 1-Pe lie/nw # Fee Service Entrance Size if Fee Feeders/Subfeeders if Fee Circuits Z-5-,00 0 to 200 Amps 0 to 30 Amps 0 70,00 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100- Amps Above 100-Amps Transformers Irrigation Booms ,`D Partial-Other Fee Signs Special Inspection TOT ' Remarks 5 j .tab EE v Rough-in ate I, the cal (((I / Inspector, hereby certify that the above Final Date inspection has been made. This reauest void 18 months from / 1 / J CITY OF EAGAN NO 1 41 2 8 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt* 170L.Lo To be used for SF DWG/GAR Est. Value $94,000 Date SEPTEMBER 3 19 87 Site Address 1015 BOSTON HILL RD OFFICE USE ONLY 15 1 LEXINGTON SQUARE Lot Block Sec/Sub On Site Sewage Occupancy R3 . 2ND ADD MWCC System ?; Zoning PS Parcel No. On Site Well Type of Const City Water X (Actual) Vn ac Name METRO CUSTOM HOMES INC (Allowable) W Z Address P.O. BOX 1049 # of stories Length 55 0 City B' VILLE Phone 454-9383 Depth 5 6 S.F. Total o Name SAME Footprint S.F. Address APPROVALS FEES City Phone Assessments Permit $ 482.50 Water/Sewer Surcharge 47.00 mw Name Police Plan Review 41-25 E Address Fire SAC, City 100- n0 00 Engr. SAC, MWCC 525_00 a m City Phone Planner Water Conn. 599- n0 Council Water Meter 67.00 I hereby acknowledge that I have read this application and state Bldg. Off. PC Road Unit T t t P1 305.00 180 00 that the information is correct and aree to comply with all applicable - A men rea . State of Minnesota Statutes and ita nan Variance Parks ? Copies 5 L Signature of Permittee TOTA A Building Permit is issued CUSTOM HOMES INC on the express condition that all work shall be done in accordance with all ap lica State of Min"sota atut es and City of Eagan Ordinances. Building Official ?? I Ol C9 RESIDENTIAL BUILDING Permit Application City.Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found sign, etc. 1 site survey for additions & decks 1 set of Energy Calculations Addition - indicate if on-site septic system 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units g_?6, b C) Office Use Only _ Cart of Survey Recd -Tree Pres Plan Recd -Tree Pres Not Reqd On-site Septic System Date O 6 Site Address /D /5 / 01 5' A Qh Cost / yy l i/I Jed Unit/Ste # Description of Work 5 ; d %,,A,2 c3. 5.0-w% 'A R E A o VVQ Multi-Family Bldg - Y - N Fireplace(s) _ 0 - 1 - 2 Property Owner R H o l(e f Telephone # ( (06-1) 6 - C93 V Contractor Llih N e5U GX4Crf'or5 Address 86O State fli IU O Sc ec ss3 ti, 4vJ V City Os eo Zip 5536g Telephone # ( 763) q13 - 6-J-60 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category Residential Ventilation Category I Worksheet • New Energy Code Worksheet ('I submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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 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. ' 1, _71 _ ?( j] ?o._ -'S eS l r 7 7 f 1; V Applicant's Printed Name Applic s Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 1 0-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg__Y or, N ? 25 Miscellaneous Work Types ? 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 (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES 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 Width REQUIRED INSPECTIONS - Footings (new bldg) Final./C.O. Footings (deck) Final/No C.O. _ Footings (addition) Plumbing Foundation HVAC Drain Tile _ Other Roof _ Ice & W ater _ 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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector 2004 RESIDENTIAL MECHANICAL PERM ` 'PLICA'I'T City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675=5675 Please Mete for si ralefanily dwellin'as & townhomesfcondos when nermits are r&iu d for od wit Contractor 410 ST LAKE SMET W "t AddMPMAMUS MN OMW2M city State Zip Tel { } ?w. Bond #z Expires: The Applicant Is Owner Contractor Other Add-+on or alteration to existing dwelling unit $ 30.# {1 furnace Additional Replacement .,_ air exchanger air conditioner Now Replacement other I hereby apply for a Residential Mechanical Permit and acknowledge that the infornAtir is pt' atii epee; tit q1 U Wk Silt be in conformance with the ordinances and codes of the City of Eagan and with Meebai+ 1 ' `this is not a permit, but only an application for a permit, and work is not to start witho a p t; that t e t4 with tlio ap ved plan in the case of ch requires a re w and approval o lads. op kl/ r2 Applicant's Printed Name Applicant's S' 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are pq,( required for each dwelling unit Date t 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 oving underground tank, ! for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70-% U n td t hWallation/removal` MUhnum $50.50 (includes State Surcharge) or Contract Value $ x 1% $ Permit Fee • , If permit fee is $1,000 or less, add $.50 $ State Surcharge If perm t fee is over $1,000, add $.50 for every $1,000. fee pSnpil $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.tile case of work which requires a review and approval of plans. Applicant's Printed Name Applicants Signature Approved By: Inspector Date: PERMIT 411 Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 C T7 1) .-1 4 PERMIT TYPE: BUILDING Permit Number: 021192 Date Issued: 06/14/93 SITE ADDRESS: 1015 BOSTON HILL RD LOT: 15 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-150-01 DESCRIPTION: Building Permit Type DECK Building Work Type NEW Building Length Building Width REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee 12 16 $25.00 .50 $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: PANELCRAFT OF MN INC 17216628 0002179 HOLLER RYAN 3118 SNELLING AVE S 1015 BOSTON HILL RD MINNEAPOLIS MN 55406 EAGAN MN (612) 721-6628 (612)456-0934 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 Mn. Statutes and City of Eagan Ordinances. L 1 Alz?' 16114 APPLICANT/PERMITEE SIGNATURE I SUED BY: SI UR I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 021192 Eagan, Minnesota 55123 Date Issued: 06/14/93 (612) 681-4675 SITE ADDRESS: LOT: 15 BLOCK: 1 APPLICANT: 1015 BOSTON HILL RD PANELCRAFT OF MN INC LEXINGTON SQUARE 2ND (612) 721-6628 PERMIT SUBTYPE: DECK TYPE OF WORK: NEW INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR FOOTING . FRAMING . INSULATION FINAL FIREPLACE REACT IAT? PERMrT # i1dI2 ;? 6 u CITY OF EAGAN 1993 BUILDING PERMIT PPLICATION J U N 0 8 1993 681-4675// t --------------- SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address:T STREET SUITE Tenant Name: (commercial only) `fA T I BLOCK ( SUBD.,f4 F.I.D. Description of work: z-C The applicant is: ? Owner Contractor ? Other (Describe) Name o c-(_(Y phone -, Property LAST FIRST Owner r? Address O ? `5Y0/) STREE STE I State J Zi Cit y p Company Phone __ C_ Contractor Address License #?21? Exp. -? Cityl State Zip •?S'd Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this appplication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Z 1 ) 1 Signature of Applicant: 41, OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-flex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. r'V'15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finis h ? 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st Fl. sq. ft. City Water UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning - Sq. Ft. total Booster Pum p # of Stories Footprint Sq. ft. Fire Sprink ler Length On-site well Census Code Depth On-site sewage SAC Code T APPROVALS Planning Building Assessments Engineering Variance REQUIRED INS PECTIONS ? Site f3 Footing ? Framing ? Insulation Wallboard 1 Final ? Draintile ? Fireplace Permit Fee ZS, o 0 Vatustion: S Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units Cli? JVf tN j (Q92,z) 5 89°43'03"E (6-) ( 9o2, j DENOTES PROPOSED EL EVATION 75 00 _n I-SW in INDICATES DIRECTION OF - - =J" - 15 - -- - - 15 LOT SURFACE OPAINAGE FINISHED GARAGE FL0R 9?g3= ELEVATION ??- III e??E? F 9 W o I r33,o o ? ?j ? , `? I K Lty0 ° FRePc5E'J Q ?? ?0 -? ro }.1eulE I o 10 0 co 0- -_j 0 p ? C'n0 ?•'1 _- _ _ w, rt- o I 0 13T Z,Sa P N saA. 1? 30' FRoNj Bvf1.DiNG u,o 90212 90Z.S oZ,g? Q9 ? SMACK LINE 5 5 099,s1) - - - - - C9?,1) 75.00 S B99°43' 03" E BOSTON HILL ROAD SCALE : i36 589:) (899.671 I hereby certify that this is a true and ccr:ect representation of a tract of :land as shown' and described herton. As prepared by me on this 2.v day of .S?rEfia 19 V-7 . cusToM?r?; . H ,,W ? ? j ? l?{ I't E .-- ? Vii. r A;?/?N MI CUB OEr` 1!e t?f? ?`?,? !:,_''-_ 'hNr. :--F- FT J, ?IILRt? 1987 BUILDING PERMIT APPLICATION CITY OF EAGAAT SINGLE FAMILY DWELLINGS 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 BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTkJRAL.PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Single Family Valuation: 00 Date: Sept. 2, 1987 Site Address 1015 Boston Hill Road OFFICE USE ONLY Lot 15 Block 1. On Site Sewage Occupancy MWCC System I/ Zoning PD Parcel/Sub Lexington Square-2nd Addition On Site Well Type of Const City Water v (Actual) Vrn) Owner Metro Custom Homes, Inc. (Allowable) v-0 # of Stories Address P.O. Box 1048 Length 5Sr0 Depth 5?. D City/Zip Code Burnsville, MN 55337 S.F. Total Footprint S.F. Phone 454-9383 APPROVALS FEES Contractor Metro Custom Homes, Inc. Assessments Permit $2. $? Water/Sewer Surcharge Address P.O. Box 1049 Police Plan Review Zgl • a Fire SAC, City )0-0.00 City/Zip Code Burnsville, M!2T 55337 Engr SAC, MWCC ,OO Planner Water Conn t0 Phone 454-9383 Council _-rt--- Water Meter 617.00 Bldg Off 4771a 9f3 Road Unit SOS, 00 Arch./Engr. Metro Custom Homes, Inc. APC Treatment Pl 12O.Oo Variance Parks Address P.O. Box 1049 Copies TOTAL aV7a? 75 City/Zip Code Burnsville, MN 55337 Z2xZ2 y? X?2= 58o8 oy.S? 33X3&.= 1122 I2) 34 = yob ( Z lso8 xss= 8???y ?3z-7Z `METRO ROBE CUSTOM }? COHS11t?1Hd EHt3iHEE?1S, I ENGINEERING PLAHHE9S and LAHD SURVCV0ft3 HomEs compfm INC. 82-7.0/ IIOco EAST 14&L% sr :. BURHSVSLLE, UtHHE_4iA 55217 PH 4"" -Zaaa Cer z `zctz e o ? 3-0p"40 LOT 15 BLOCK I, LEXINGTON SQUARE 2ND, DAKOTA COUNTY. MINNESOTA DRAINAGE AND (, L7Y (899.9 ) DENOTES EXIST}NG F-LEVAm CN EASEMENT C?9z•z? 5 89°43'03'E 6-89.1 ( 902. J DENOTES ?2= 75.00 ?$g4 INDICATES - - - - X15 .o- oT a PZ SURFACE L PROPOSED ELEVATION DIREC nON OF DRAINAGE FINISHED GARAGE FLOOR EL EVA17ON (894 ?j 894-. S? :-?- I I ??±. * BW D (893, ) 0 L loo "' o pRePo D iz.a I or-1 to ) o m ,?usE I - 0 _ V 2 ( o o I d MO `? '? - uo 14n 4: 0:?5 0 - Z,5V sal 9, I " 30' FRONT BUILDING - C902s) u.o I SETBACK LINE 8 5 15 68 9 9,5? ---- -----• ?.} ? (93) _ -75.00 ° " ' E 43 U3 S B9 BOSTON HILL ROAD SCALE r698_95 C.b? I hereby certify that this is a true and correct representation of a tract of land as shown' and described hereon.- As prepared by me on this day of ?CARCR- , 191R7 SINGLE FAMILY DWELLINGS IPLE DWELLINGS COMMERCIAL 2-'SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS SET OF ENERGY CALCS. (CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS I OF UNITS ROTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/80MEOVNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.. SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY2 APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 00 to Be Used For: L IS 1') Valuation: / 5 Date: _ t ? - Site Address Lot Block Parcel /Su?4, QxJ) . d, j Owner J? 11 r''??f?.?r_ Address jc' City/Zip Code ;'-?, spry r1 ' r, ?. Phone Contractor Address Occupancy Zoning Actual Const- Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well MWCC System City water ...... PRV required Booster Pump APPROVALS Planner Council Bldg. Off. (ofd Variance Bldg. Permit ?C Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL City/Zip Code Phone Arch.IEngr. Address City/Zip Code 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN I *lot IVL Phone # O•A 36-00+ 1 *00+ O 500 37.53*+ CITY OF EAGARV : Pffi". a* OF ON AT TIM OF APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT * IN?'PECTION OF SUM AM/CR WATER _Il?ti'I UJAMONS WILL NOr BE s0 - SEWE RAND/OR WATER CONNECTION tu.ED t14rlL PERMIT HAS BEEN ? . APPROtTFI3. lip! *********************************?*** (P Lease Print) 1) PROPERTY ADDRESS: 1 ohs' ?o oni ¢ L LEGAL DESCRIPTION: Lot Bock Subdivision or Tax 'Parcel ID IF EXISTING STRUCIL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: Nbn ear PRESENT ZONING/PROPOSED USE: C) C:O! 4ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) 0 INSTITUTIONAL/GOVERNMENT o ; R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTmw/CONDO MINIUNI ( Units) 2)i4sihii NAME: 2 6's C p J,4 r ADDRESS: D b L w iz? CITY, STATE, ZIP: PPe l/ y4 L [ E J I ?.1 Sd.2 PHONE: y .12 - k7 ? S` 3) ?: ?• For City Use NAME: O 1 - B C C ?,.?? ?- Plumbers License: ADDRESS:_e 6o I3 ?''° . s C 0 Active CITY, STATE, Expired recorded PHONE: 3 2 76all MASTER LICENSES SUfff =t1al 4) [sue •_' :?M?-0Q?2s ADDRESS: I?0 B0X t0' CITY, STATE, ZIP: _ c? Q rry L e1t'` „? PHONE: f.3'3 CONNECTION TO CITY SEWER CONNECTION TO CITY WATER aI'HER ' 6) ?? •_ ?? [ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1,Q 3, 4, ABOVE (Circle one 7) its FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ % L WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP ACCOUNT DEPOSIT SEWER ACCOUNT DEPOSIT - WATER $__ , Z ` 4 $ WAC $ Z-,5- , , r C'0 $ SAC $ $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $- $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ 7 c? $' /' ?} C TOTAL 7.7?CP -7 Z RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES 'IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ?)--?? TITLE: DATE: S 7 30,6Z) 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date Site Address O o C Unit # Property Owner 2 d (/e Telephone # {6S( Contractor STANDARD HEATING & AIR CONDITIONING 410 K BEET Street Address MINNEAPOLIS, MN 55408 - V 1 L?$z24 2656 City State Zip Telephone # ( ) Bond #• Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30 00 furnace Additional ,Replacement New . air exchanger air conditioner T heat pump other State Surcharge $ .50 Total SEP2s LLJ $ 3o _s I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit but only an application for a permit, and work is not to start without a mit; that the work ccordance with the appr d plan in the case of gr,?r"_R hich requires a review and approval of pl s. Applicant's Printed Name Applicant's PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174911 Date Issued:02/28/2022 Permit Category:ePermit Site Address: 1015 Boston Hill Rd Lot:15 Block: 1 Addition: Lexington Square 2nd PID:10-45076-01-150 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Ryan G Tste Holler 1015 Boston Hill Rd Eagan MN 55123 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature