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4213 Braddock Tr Parcel Files Cover Sheet Unique ID: 2018 4213 Braddock Tr 105210004001 CASH RECEIPT } CITY OF E AN 3830 PILOT KNOB ROAD EAGAN, MINNESO '65122 DA TY~ al ! I 19 RrECEIV ~AM 16NT ,_,........r 1:00 n CASH E] CHECK 17 ~ j / Pmt e•~ FUN❑ CODE AMOUNT 'hank "I ..a. t White--Payers Cooy Yellow-Posting-Copy Pink-File Copy BLDG. 'ERM NO. i n 01-3210 44 e _ 01-3422 Plan Check 01-3445 Surc,h./Adm. 01-3446 SAC/Adm. r~ k 01-2155 Surcharge I 17-3860 Road Unit 20-2275 SAC 71 c, 20-3865 Water-Conn. 20-3868 Water Trmt. .t 20--3716 Water Meter 1 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. l 11--3855 Park Ded. i TOTAL T,-„ , Wan, AGA ~ WATER SERVICE f ERMIT Knob ad 81 1199 PEFilutiT NO.: _ 55121 DATE: Zoning: Rl No. of Units: Owner. Keyland Homes Address: Site Addess: I 4213 Braddock Trail L4 BI Northview Mdws Plumber L C Mechanical Meter No.: age: -00. pd Size: eposii , .00pd d6W -:5Z -,k.a1 uttii IeS `zo . 04pd Reader No.: q 45t~'~ta Sim ~iC. agree to comply with the city Ordinance . tMGD h 6.00pd TP V 63.50p4 meter j t+q~ By- ~rt~ Date Paid: f Date of Insp.: Insp.: clnr of ~oad WATER SERVICE PERMIT 1 14 PERMIT NO.: ~ g 14 Eagan, MN 55121 DATE: Zoning: Rl No. of Units: 1 Owner: Keyland Haines Address: Site Addees: it= 42113 Bra:l dock Trail L4 ail "orthview Wvs Plumber: D C_Mechanical. Meter No.: Connection Charge: iJt~ ° UCgcl Size: Account Deposit: 15 Reader No.: Permit Fee: 10.00pd agree to comply with the City of Eagan Surcharge: . 50pd Ordinances. Misc. Charges: 156.00pd TP Total: 63.50& meter By Date Paid: Date of Insp.: Insp.: € CITY Of EAGAN r 3830 Pilot Knob Road SEWER lCE PERM P. 0: Box 21199 PERMIT NO.: 9266 Eagan, MN 55121 DATE: _ 10--28-86 Zoning: No. of L4-,its: 1. Owner: Kepljud Homes Address: Site Address: 4213 Braddock Trail 14 131 7laxt hvie r mfto Plumber D C Mgghauical 9-12--85 66527 100.00pd . 1 agree to eom* wHA the city of Eagan Connection Charge: /4 7 5.00pd Ordiineeem Account Deposit: 1.5 . fltt;~d Permit Fee: 1 Surchraw: SOe~ BY Misc. Charges: Date of Insp,: Total- Insp.: Dote Paid: _ _..,_~r„e~•s,~7,pw~aa,., . ~--..+.--^cs,-..w..w+~.sn9re~ l ~ t CITY OP F-AGAN WW Pilot Knob Road, 'PQ. Box 21-189, Eagan, MN 5121 12613, 13U14DING P'~ IT PHOME 454-8100 Receipt # ~ d To be used for NSF' . DWG/GM, Est Value $ 67, O 0 0 bate § j- . t ~ B ►6 SReAddress 421 K Tit Erect Occupancy Lot 4 Block -.ec/Sub. MORTHVIE odel Zoning 2D Parcel No. Repair Type of Const Ski Addition No. Stories Name HOMES KEYLAND 4 173RD Demolish Depth Address Int Impr. Sq. Ft City JORD1 7Phone 1323 Install ❑ ONO= S Approvals F .0 Name Address Assessment Permit ' 00 + 30 33 City Phone Water & Sew. Surcharge Police Plan Review 100, Name H U ALLQUIST Fire SAC 575 i. 00' a s Address S003 W 80TH Eng. Water Conn.50 .00 d City Phone 831-1875 Planner Water Meter' 5Q Council Road Unit ' 00 f Bldg Off:$ Tr. Pi."U Information Isocorre to dt agree too ompiy Ith tiap and e eState that the A~innesota Statutes and City f Eagan, rdina c APC Parks Var. Date Copies _ , " -f I I Signature of Permittee 000 . Total - - KEYLAW A Building Permit is issued to $ 0blkS - on the express condition that all work shall be done in accordance with all applicable Sta, o innesop Std Eagan Ordinances Building Official ,-t" ` ' d Pwmft No. ParmftHoldw Date Telephone A phmd*lg g:), C. rh H.v .c. ? l i V- 11 o Eectrio r~ fO~a $ . QO samm Inspecoon Date Imp. COmmods FOOWW I Foof figs II Foundaflon Fnonk►g w Ro~ng h Rough Pmg. - 4 ROagh Htg./~f 8 IrML ! Fkeplm RnW Htg. y B FkW Pfgg -97 AXI Bldg. Faud cot. Occ. Deck Ftg. Deck Fang. wen pr. Disp. F 74 17, 1 11-11 P RMIT # - t r MECHANI PERMIT RECEIPT # CITY 01. EAQAN / 3830 PILOT KNOB R , EA©AN, MN 55121 QATE I~CONTRACT PAICE PHON 100 Site Address VP 3 r T1 BL.DO. TYPE WORK DESCRIPTION Lot BI wSpec/Sub. CFCs.- Res. New m Name •tO Mult Add-on- Addr 1 ~+4 al Aie M 4r 4 t Comm Repair. City R'B ; o P Phone Other ~52►7 L 'I Name Lo, (40 MAA- - FEES m Address s cI,l _ a RES. , 1 HVAC 0100 M BTU -$24.00 O City ~rc~sde t Phone I3'-333 ADDITIONAL 50 M BTU 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 GAS DITI NAL 6 M BTU _ 6.00 TYPE OF WORK AD . if Forced Air M BTU ~ COMM IND FEE -1% OF CONTRACT FEE 150 EA. Boller M BTU MINIMUM -RESIDENTIAL FEE. 10.00 Unit Heater M BTU MINIMUM - COMMAND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .60 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES . Gas Piping Outlets # BEYOND $1,000.00) Other FEE: is% a SIGNATURE OF PERMITTEE cu TOTAL" FO CITY O,F EA : PERMIT # r700 4/5 t PLUMBING PERMIT S 1 :RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE >b ~a CONTRACT PRICE-* PHONE 454-8100 Site Add L 0 4 m 71- 14 + BLDG. TYPE WORK DESCRIPTION Lot Bl k 0 ec/Suh Res. z< New Y m Name 7,1 /V f c- h #Ir` ' c -v I- Mult Add-on Address Comm. Repair k-e Phone 77 Other S City $ Name N F Water ClosetFIXTUREB iT~A c Addr th Tubs - $3.00 0 City Ur l~~ Phone Lavatory - $3.00 Shower - $3.00 /_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMMAND FEE -1% OF CONTRACT FEE /_S.aundryTray - $3.00 MINIMUM - RESIDENTIAL FEE -$10.00 -L-Floor Drains - $1.50 MINIMUM - COMMAND FEE - 20.00 _-L -Water Heater - $1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00 (ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets - $1.50 BEYOND $1,000.00 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 _Rough Openings - $1.50 S GNATURE OF PERMITTEE FEE STATE S/C: .5 U FOR: CITY OF EAGAN GRAND TOTAL- . ~ '4 ~ 1~Y. I F.. ``l 1 ~ J 1 - _ ~ i 4~ jj Cities Digital Quality 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. f x Terfiftrat.e of rru r tp eagan ~r~r~nt of ttlding ~~r This Certificate issued pursuant to the regti menu of Section 306 of the tfatt " Batild'ing Code certifying that at the time of issuance this structure was in compliance wig the vadous ordinances of the City regulating bud4ng construction or use. For the follo ttg use cwmf c"on sp Bldg. Nmiit No. 0-14-Y TYPe R Zoning Diwio PD Tn3e -cam. Owner of 8a"ag M ) Address 3(471 W. } 7._0 3-1~" Building Address 42" BRAMM,' V1.M L.oeality 1/1 y 341, ~uiWigg Offici~:< POST IN A CONSPICUOUS PLACE PERMIT # 69 PLUMBING PERMIT RECEIPT 4 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:/ 8 . CONTRACT PRICE„ v g2 C) ` PHONE: 4544100 Site Address ~Qi BLDtr. TYPE' WORK DESCRIPTION Lot SIoCk Sec/Sub Res. New Mult Add-on Name Comm. Repair Address 41 _7A, eMa Other c City ~P _bne RES. PLBG. ONLY - COMPLETE THE FOLLOWING: i NO. FIXTURES TOTAL Name u r Water Closet - $3.00 $ ' m Bath Tubs - $3.00 r 3 Address ? Lavatory - $3.00 O City 4 a- Phone LEE - k -PI Shower - $3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 i COMM/IND FEE -1% OF CONTRACT FEE Laundry Tray - $3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains - $1.50 - TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater $1.50 MINIMUM RESIDENTIAL FEE -$12.00 Whirlpool - $3.00 MINIMUM -'COMMAND FEE -$20.00 Gas Piping-buffets - $1'.50 i STATE SURCHARGE PER PERMIT - .50 (MINIMCl61- 1 PER PERMIT) e~ (ADD $.50 SIC IF. PERMIT PRICE GOES ~ Softener -1500 BEYOND $1,000.00) Well $10.00 3 Private Disp.-- $10.00 Rough Openings - $1.$0 SIGNATURE P RAITTEE . FEES STATE S/C:~ FOR: CITY OF EAGAN GRAND TOTAL.. CITY OF EAGAN Remarks 11113 Addition NORTHVIEW MEADOWS Lot 4 Blk 1 Parcel 10-52100-040-01 Owner ~,2±, Street 4213 BRADDOCK TRAIL State EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. tg 1984 76.75 177" 10 STREET RESTOR. 7.61 GRADING SEWER LAT 5" 1981 15.89 .79 20 SAN SEW TRUNK 515 1981 138.48 6.92 20 SEWER LATERAL TRK 1984 u 275.22 16.34' 18:-3 15 SEWER LAT 577 1981 22.28 1.48 WIS WATERMAIN 1984 70.67 4.71 15 WATER LATERAL 1981 18.65 6Z4' WATER AREA S 7(0 1981 138.48 6.92 20 WATER LAT 513 1981 29.52 1.4017 20 STORM SEW TRK $ 1984 392.32 8.46 G9-.e-3- STORM SEW LAT DRAINAGE 1984 33.97 34 4:49 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK This request void /6/a 18 months from ~ l f ~~U 6 2 g 7 t U~ ep.s1 `75.Od Request Date- Fire No. Rough-in Insp Coon Required? QReady Now otify Inspec ❑No for When Ready tens Electr al Contractor I hereby request inspection of above ❑ Owner electrical work instal fed at., Street Address, Box or Route No. City ection No. Tow ship Name or No. Range No. County' -0ccupant (PRINT) Phone No. Power Sup Tier Address "05phlz-~ C-1 fle t ca `Canty for ICompa y Name) s Co tractor Licen e Z Mailin d ress (SC tractor r wner M ci g' Installation) - Authorized ign (Contras ner Makin talfation) , Phone Nuwber MINNESOT TATE BOA FEiECTRIC THIS INSPECTION REQUEST WILL NOT J~W Griggs -Mi way Stdg.:-- N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 Universitv Ave., St. Paul, MN 55104 ENCLOSED. Phone (612) 642-0800 REQUEST FOR ELECTRICAL INSPECTION T 0ES-00001-05 See instructions for completing this form on back of yellow copy. 9 'T' Below Work Covered by This Request 1 Now A 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 (Sper,ify) Other (Specify) ther Other Compute Inspection Fee Below # _Jlee Service Entrance Size 21 Fee Feeders/Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amps Above 2011-Amps ' 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Am s Above 100-Amps Transformers Irrigation Booms Partial-'Other Fee R¢ Signs ]Special inspection TOTAL!trtarks /(J Rough-in ( Date? I, the Electrical Inspector, hereby certify that the above Final Date nspection has been ~de. This request void 18 months from CITY OF EAGAN !v2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5121 1 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $67,000 Date SEPTEMBER 12 9 86 Site Address 4213 BRADDOCK TR Erect )CI Occupancy R3 Lot 4 Block 1 Sec/Sub. NORTHVIEW MEADOWignodel ❑ Zoning PD Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories ce KEYLAND HOMES Move ❑ Length 40 Name W 3471 W 173RD Demolish 11 Depth 46 c Address Int. Impr. El Sq. Ft. City JORDAN phone 435-3323 Install ❑ o Name SAME Approvals Fees Address Assessment Permit $ 334.0 0 City Phone Water & Sew. Surcharge 33.50 Police Plan Review 167.00 LU W Name HALLOUIST Fire SAC 575.00 0 n Address 5005 W 80TH Eng. Water Conn. 500. 00 a z City BLMGTN Phone 831-1875 Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state thatthe Bldg. Off. 9/8/86 Tr. PI. 156.00 information is correct and ag to comply wit applicable State of Minnesota Statutes and Cit o Eag Or APC Parks Signature of Permittee Var. Date Copies Total $2,119.00 A Building Permit is issued to: KEYLAND HOMES on the express condition that all work shall be done in accordance with all applicable Sta a innesota Statutes p i Eagan Ordinances. Building Officials C LL~z-a 2005 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/Reoair Requirements l e OrtCv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan C of Survey Rend. _ Y t (20°/6 maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Free Pres 7 Recd _ Y N free Pies fi "ti _ _ N eq u~ , 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks d: Y 1 set of Energy Calculations Addition -indicate !f on-site septic system Otpslte ept~c y iein Y N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (buildings with 3 or less units) 00 JQ ~ ~ Date /6 / 05- Construction Cost 2 / l~ Site Address [ 3 kK,AP00C_1<TK_,f1C Unit/Ste # r-11ft Set'--_1 0- Description of Work e trz Multi-Family Bldg Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner Fwx' &t t PO L/C C#f Telephone # c6~ Contractor 61cej x 5T/#!Z Address oZ zxx~tl ro yt T City State AII Zip 01 3 Telephone # (o,- l 3 0 7 - 93 0 c~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (4 submission type) Submitted Submitted e Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor 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 rn des of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applic i for a it, and work is not to start without a permit; that the work will be in accordance with the approved n iTte of work which requires a review and app oval of plans. Alufml ~NN► 5t"ovN Applicant's Printed Name App cans ignature 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 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_YorN ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% 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) _ Final/C.O. Footings (deck) _ Final/NO C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ Siding ^ Stucco - Stone - Brick - Fireplace _ R.I. -Air Test -Final _ Windows Insulation _ Retaining Wall Approved By: , Building Inspector - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total r RESIDENTIAL BUILDING PERMIT APPLICATION ► CITY OF EAAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements RemodellRepair 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 design, etc.) • 1 site survey for exterior additions & decks 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE VALUATION `7 SITE ADDRESS a~f 3 y ~G L j'~ MULTI-FAMILY BLDG _Y L' III TYPE OF WORK /GP- FIREPLACE(S) _ 0 - 1 _ 2 APPLICANT STREET ADDRESS/~`~~ CITYQyk+LS'yij1° STATE) ZIP -533 TELEPHONE C27! 06~iCELL PHONE FAX - 1 DI 1 PROPERTY OWNER D iJ S WT;1 TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINN ~k (m,a X76 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted New gWele lotsMub t d • Energy Envelope Calculations Submitted By Plumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan es, Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF 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 (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 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 only) - 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 & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding Stucco _ Stone Fireplace _ R.I. -Air Test -Final - Windows (new/replacement) Insulation - Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~~rk it is*#*~t*~r1r tr* *~ctFittykiriririF~r**k*k~nk**# rt CITY O F E A G A I~ !IMP,: PAYMFNT OF FEE AT TIME OF x* APPLICATION DOES NOT CONSTITUTE APPROVAL OF PERMIT. APPLICATION FOR PERMIT * INSPECTION OF SEWER AND/OR WAZII2 * * . * IN6'TALLATIONS WIIZ NOT BE S(mm-- * SEWER AND/OR WATER CONNECTION ULED UNTIL PERMIT HAS BEEN ^g. APPROVED. * * (Please Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: - (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: C_ PRESENT ZONING/PROPOSED USE: (Mon Year Q MMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY 17 INDUSTRIAL R-2 DUPLEX (Two Units) n INSTITUTIONAL/GOVERNMENT R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) 0:5zi 4T:i i.~ NAME: ADDRESS: 3 CITY, STATE, ZIP: i^ , iei~J S S s'S"'Z PHONE: 3) NAME • For City Use _1?e -4y - Plumbers License: ADDRESS: Active CITY, STATE, ZIP: S mired Not recorded PHONE: 2,.7;7 MASTER LICENSE# 337yt7 St Initial 4) • i i~l• ADDRESS: CITY, STATE, ZIP: PHONE: JD CONNECTION TO CITY SEWER ~¢p CONNECTION TO CITY WATER OTHER 6) ! i ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - - - PLEASE MAIL APPROVED PERMIT TO 1, 2a 4, ABOVE (Circle one) ! y • M 4 4 4 ' 1 ■ o"iTiT~:~Ci 7f T rTT' iw ! l Y ~i ~1 ~1 • D • .FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ l~S WATER PERMIT (INCLUDE SURCHARGE) $ (t`'S $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ Cf'"7 ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ Ct , Gr°t> $ WAC $ SAC $ $ TRUNK WATER'ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: _ TOTAL .S 2-- 7 V5 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: Alf TITLE: DATE: ~ /Z 6,61 t t 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 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 & STRUCTURAL PLANS, 1'SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, (3a $20000 LANDSCAPE BOND rr To Be Used For:"`" " alu ation: Date: 71 Site Address OFFICE USE OnY Lot Block _L Erect Occupancy Remodel Zoning- Pareel/Sub Al 64J Repair Type of Const Addition # of Stories Ow n'hr Move Length _4T 10 ZL~ Z 173 Demolish Depth Address f Int.Impr. Sq Ft Install City/Zip Code „Phone 23 APPROVALS FEES Contractor Assessments Permit .33V Water/Sewer Surcharge_ Address C~ Police Plan Review Fire SAC S 7_. City/Zip Code Engr Water Conn Planner Water Meter' Phone Council Road Unit Q Bldg Off - Treatment Pl Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. 14 = 0.* 334.00+ 33.50+ 167.0U+ ' 575'00+ 500.00+ 63-50+ 290.OU+ 156.00+ 008 21119.00* SURVEYOR'S CERTIFICATE KEYLAND HOMES 0 0c, ~r assn 7i) ~"r?,~sos ob,, ~ o / ~001p o J ; ~9G S 51 J o3' At /2260 Z) q; Gq,Q k~ 4j 499 "°us Fo "f ~ N 4.0 S1 / 9695 use 40;r- N, ( ~91~,z) o~~q'FNTA ~r~U~ ~ \ J r~ O O 100 885? 9~.,~ 1 --tee---- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 0 gENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9015 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 94'V,7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9679 FEET I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, Block 1, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, T11EREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 22ND DAY OF SEPTEMBER,1986. NOTE: SIGNED: J HILL, IN GRADES SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS, PREPARED BY SUBURBAN ENGINEERING, INC., LAST DATED BY: MAY 13TH, 1983. HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE IJ 12294 PROJECT NO. BOOK PAGE 86932 DAMES R. HILL, INC. Planners / Engineers'/ Surveyors FILE NO. 8200 Humboldt Avenue South. FOLDER Bloomington, Mn. 56431 612-884-3029 Page 1 of Q ~I EX URIOR ENVELOPE: nVfRnG1_ "II" COMP II TAf10 OWNER:) DA I f': SITE ADDRESS: PI (ONE CONTRACTOR: Determine working square footage of each i 1. Total exposed wall area ~q---,Sq. ft. x .11 2. Total roof/ceiling area.... II f t . x .026 3 ---1 QO-- Sq. Total exposed wall area above floor= a. Total wall window area....... . . . . . . . . . . b. Total door area c. Total sliding glass door area d. Total fireplace wall area...... " ' D e. Total wall framing area (average 101) . J.- Total rim joist area ................U.............................---___ g• net wall area above floor. . wall area above floor hi• wall area above floor.... 00* j. frame wall area at foundatiori 1C Total exposed foundation area= k. -Total foundation window area. 1. Total net foundation area above grade......... j Determine "u" value of each wall segment • (e.g. window, door, each separate wall section) I a. X „ u „ i 4o X „u,l , d. X „u„ i e• 177 x ..u., 0 9------- - -1- _11 X I g •-----_L1~__ x " u . DS _ I X 11U11 j , X 11U„- k• X „u„ If item #3 is tirP Sam ______.___T_•_-_____________ as, or less than item X A1, you have met the I - U Intent of SDC 6006 •3 c c 3. .................................Total! i Envelopo Average "U" ComPutatioli Page 2 of 4 Total exposed roof/ceiling area M. Total skylight area. n. Total roof/coiling-framing area (av eraga 10%)... j 04 o. Total net insulated roof/ceiling urea........... 1q~2i_ Determine "U" value for each roof/coiling segment - M. X flute n. X nU" ~ _ . 4 . Total = 2 , If total 'of #4 is-the same as, or less than 42, you have met the intent of SHC .6006 ,(c) 1. Alternate Building Envelope Design To v tilize the total envelope'system method, the values established by the sam of items 03 and 84 shall not be greater than the sum of items Ik d 112. 1. no. $ ~ 2. ---Z17 3. + 4. ZI _ (p. . I ~ PLAQ 332! ® Li m EA L. FT, EPosED WALL. ~LoGkz(p+9 o-+ z( 41-0. 137 -U LL -uL.L2 , i' , x. ~o S D WALL A ZE.A Lac.., 3Z X = cr ICN ~E /3 Z X 5 = G. ~o rI ~uLLiI 13 L FU-LL,I Z ; x F,P, Z-- - 13-z, r 'Fo -rA L. I a Il i K~oS~D GE.I LI~JC~ Gxq~p ~ ! °~o r W DV~1.5 ~ D oo~s ~ 31b~ . 3 39 I~ 2 70(po 11 ZC RATIo DPS [ p Z X35 M~+ U v r -f-~5 ,JC/CEILI;IG • i rye/ CowntrticLIOr► R-Valuo Interior air film p•G1, ' 3 2.~~~~ F3 P R 4. Exterior ail fil« (still} 0 ► ' Total NN. 4 U - L02 inted • F IL.~1 +rf a: Heat flow 1. Int prior air Film 0.61 3. ! Su L 3'S - - ---q, - 3 S. 4. T:xLcriar ~~ir Liln (sr~.1T~"-0. 6.L Total A ric.. 5 .01 - 1_ Inside zit- film 3. 4. _ f3 ' r S. Otrtsidc air film U. 17 Total 3 1. 'Inside air filin 0:61 tl vented 3. Year ou up • 4- • S. Outside air files 0.17 ,ZIG_ ft 6., . ' . Total, 3 v 1- Ynsidc air film 0.61 F05 5. O-Lit!Ade air filin~ 0.17 Ytotc- Use additional sheets 3.f•morc spaco is Deeded for details and ealculatio-ns. 11cat - - • • Clot, up r BUILDING AND INSPECTION DIVISION `DEPARTMENT OF HEAT LOSS CALCULATIONS ROAD,,' BLOOMINGTON,NMINOESOTA 5S5431- SH8815811 Weatherstrips _ Construction No. INSULATION .Goil uide T Windows Doors Reference Out. Wall Int. Wbll Ceiling Roof Floor' Kind How Applied Yea o ( Yes-- 0 19` F1.~ Iua~ Room Length Width Height _ s' F1.1 IN Room Length Width ! 0 ' Height Windows and Doors- raekage and Area Windows and Doom -Crackage and Area Width Height No. of Lineal ft. Area Width Heir bt No. et Lineal t4 Are► No. of pane of pane 116bte of crack aQ. It. t No. of pane of pane Ilebu et crack p. ft 3al Coef. Btu Coef. Btu Infiltration yp,5 y a ` Glass Infiltration YD Glass r r Y Sa lr10 Exp. wall O + 11 X I? ah+$ Esp. wall t og Net exp. wall 0 Net exp. wall J"'Wafl- ! (e 3 ~Int:.wall (o -f- r t3 6 ~ / Ceiling OX o~20 O Ceiling Floor Total Btu. Total Ban: , Requited sq. ft. E.D.R. or'aq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l3 .1 r't} oom Length ;(D' Width : Height $ r F1.1 ; r2Nt~.► Room ILength /N Width /p Height Windows and Doors- No. of ge and Area Windows and Don ackage and Area Width Height No. of meal pr ft. Width Heil t, No. of Lineal ft. Area No. of pans of pane )tgbte of crack k No. et pane of pane lig of crack q. ft. l qq Coef. Btu Coef to Infiltration y g Infiltration . y, $ c~q L Glace C;ZVl O / Glaze C o' / / Exp. wall p y: a 8 Exp. wall i, ro `x J9L,S~ Net exp. wall X59 1 7 Net exp. wall . r t / 70 /jq~ 72 Ceiling OX J Co O 00 Ceiling 10 /y e?, S• nor Total Btu. J Q . Total Btu. r v ga Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E D.R. or sq. ins. W.A. Leader area Room Length Width / Height S+ F7, Fo e 2 Room I Length D- 'Width -jK' `Height $ Windows an Doors-Craekage and Area Windows and Doon.•,Crackage and Area Width Height ne No. of neat fa Area No. of pane of f pane lights of crank p, , ft tt. Width eight o Lineal ft, Area- a No. of pane of pane 11=bte of crack p. ft. a peR 6- 7 ,7 Coef. Btu Coef. Btu Infiltration /0( a Infiltration Glass a a 4,11--4, O Glace 7 0 O Exp. wall Exp. wall __et f (a Y Net exp. wall 95L Net exp. wall - L ~1 a.3 l"t:-,"'N--~ i 6 (d ~ Wit- /1 t. S 6 -tit- -Ceiling k 16 5 b Ceiling J Q O 00 Floor Total Btu. ,©.1 Total Btu. ~n p- BUILDING AND INSPECTION DIVISION DEPARTMENT OF COMMUNITY DEVELOPMENT 2215 WET OLD SHAKOPEE HEAT LOSS CALCULATIONS ROAD, BLOOMINGTON, MINr4ESOTA 55431 881-5811 " Weatherstrips construction No. INSULATION ptotantoil l,gton Guide Windows Doors Reference Out. Yes--No Wall Int. WaU Ceiling Roof Floor Kind How Applied Yes-No ` 19~ , F7. oom Length oZ Width .2 (e Height $ Fl.I Room Length Width Height Windows and Doors-Crackage and"Area Windows and Doors-Gaekage and Area Width Height No. ot:. Lineal ft. Area Width Height No. of Lineal ft. Area No. of pans of Dane lights of crack eq. ft. No: of pane of pane tights of crack sq. ft. y y a 3 /4 a q O of ~l y a a2, 3 1 a of S" 30.1 Coef. Btu Coef. Btu Infiltration I l y, a 75 Infiltration Glass S6~~ So O ' Glue Exp. wall ~l a + f y3 Exp. wall Net exp. wall ; GDO ^ 000, Net exp. wall ~Int:~.all Int. wall Ceiling . Floor z oZ b /oqd 7 7 `{Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. VIA. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.~ Room Length Width Height Fl.l Room I Length Width Height Windows and Doors---Crackage and Area Windows and Doors--Crackage and Area No. of p v Width Height No. of Lineal crack t.. Arse Wldtk Height - No. of Lineal ft. Area a n ne of pane lights of f crack sq. ft, No. of pace of pang lights of crack sq. ft. Coef. Btu tt Infiltration Infiltration Glass Glace Exp. wall Esp. wall Net exp. wall ' Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq.' ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R.`or sq. ins: W.A. Leader area F1.1 Room Length Width Height Fl. Room I Length ' Width Height Windows and Doors-Crackage and Area Windows and Doors---Crackage and Area Width Height No, of Lineal ft. Area Width Height No o Lineal tt Area No. of pans of Dans lights of crack sq. ft. No. *(pans of pane lights of crack sq. tt. Coef. Btu Coef. Bt' Infiltration infiltration Glass Glace Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling - Floor Floor Total Btu. Total Btu. Use BLUE or BLACK Ink For Office Use 11 u I C I 1 Permit#: q ~J I r City o EaRan 3 2010 1 $ 1 Permit Fee: aqb - b 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: r Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION L'd, &d S)7 Date: C) Site Address: `-7 L j r ciCxtSC K ~r Tenant: Uri Qo Lc C► j cLs Suite RESIDENT / OWNER Name: I.--o rl Douglas /Phone: / Address/ City/ Zip: `T2 13 O f''ack& 6 ck d Ea-L' G_+"1 ~ M N( Applicant is: Owner x Contractor TYPE OF WORK Description of work: Dec, k ~ S 14 1 r-) G Construction Cost: l Qoo Multi-Family Building: (Yes /6o 9 ) CONTRACTOR Name: Ea-c j><' BSI G(- l n(j - License 2(J`7508; of Address:/-301 C. C( -W Kid- Scu k #V 1-7 I City: 66Lr-V1 S V 1 j 1e_ State: MA Zip: 69337 Phone: 262 - qqq- I-1q42_ ~ Contact: grgf&on Tho M 6{S Email: 6t le-S 0-1 n C,(~h'1CaS~ C_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 public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the 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.clopherstateonecall.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. x g rq 0 h 1 Vl o_A cS O n x &4z-ni 1 1,1j" Applicant's Printed Name Applica s Sign ure Page 1 of 2 DO NOT T WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION /f Valuation 0 Occupancy LYE G MCES System Plan Review Code Edition WAJ 2:w 7 SAC Units (25% 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock - Footings (Deck) Final / C.O. Required Footings (Addition) >(j Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: jr Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge c: V Treatment Plant Copies 62 TOTAL Page 2 of 2 SURVEYOR'S, CERTIFICATE KEYLAND HOMES -qo 00 ` 5'iv,~~ Q.~ Tier ~ A (V "14\1 VO OQ / .Go , z ` GqR N / 1 AO p0) '0-0 A ^CJ / ~Ly 40 0, 'V S O i ';r. T ys 9G / / i 40, O o~ Amo ry / CO) r T s A'68 °O O 00,,E s ~ 885 to Z) DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET 4 gENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 90.5 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 96y 7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 16 77 FEET I HEREBY CERTIFY TO KEYLANDJIOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 4, Block 1, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO S11014 IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED.BY ME, OR UNDER MY DIRECT SUPERVISIOfl, THIS 22ND DAY OF SEPTEMBEf?,1986. NOTE: SIGNED: J HILL, IN GRADES SHOWN WERE TAKEN FROM THE DEVELOPMENT PLAN FOR NORTHVIEW MEADOWS, PREPARED BY SUBURBAN ENGINEERING, INC., LAST DATED BY I4AY 13TH, 1983. HAROLD C. PETERSON, LAND SURVEYOR i OTA LICENSE N 12294 PnOJECT NO. BOOK PAGE 86932 JAMES R. HILL, INC. Planners / Engineers,/ Surveyors FILE NO. 8200 Humboldt Avenue South. FOL.DE.R ©loomington, Mn. 55431 612-884-3029 PERMIT City of Eagan Permit Type:Building Permit Number:EA114939 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 4213 Braddock Tr Lot:4 Block: 1 Addition: Northview Meadows PID:10-52100-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . Rick Schwab Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William Douglas Jr 4213 Braddock Tr Eagan MN 55123 (651) 686-6435 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA137704 Date Issued:07/19/2016 Permit Category:ePermit Site Address: 4213 Braddock Tr Lot:4 Block: 1 Addition: Northview Meadows PID:10-52100-01-040 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - William Douglas Jr 4213 Braddock Tr Eagan MN 55123 (651) 686-6435 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature