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1055 Briar Creek Rd CITY OF-EAGAN WATER SERVICE PERMff 3834 Pilot Knob Road P.'O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Ri. Zoning: _ No. of Units: Owner ottlund Co, In-. Address: Site Address: 1055 Teri ar Cr.ef- j, ? ; (=:~i 11 a - Plumber: N"i cke l s-m ?1 utr;.A nq Meter No.: Connection Charge: 2Cit7. J3 Size: Account Deposit: 15.100.a; Reader No.: Permit Fee: Lo.007'xlr c 1 some to oem* wu& the city of Eeyoa Surcharge: . 5Dpd ordinonow Misc. Charges 132 • (10P~=? T-3 r 7•: Total: By Dote Paid: f Date of Insp.: Insp.: CITY Or, EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road 7 7 , 3 P: O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: i Owner tluncl 0:3. im!, Address: Site Address: _ 11755 -11r ar Creel-, x.,7=%jI'jgtcri '3q - s Plumber: »1.C`C.@n ~dd2 t~ '?2! b . t? 1-35 54737 I som to eewph wuh tb Gtp of Egon Connection Charge: 425. ,i -h 0"I eeeee. Account Deposit: 1.5.00pd Pormit Fee: v7'. Surcharge: - By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: CITY OF EAGAN 3830 Pilot Knob Road, P.Q. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUIL40ING PERMIT Receipt To be used for Est. Value Date ,19 Site Address - OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage Occupancy MWCC System Zoning Parcel No_ On Site Well (Actual) Const rc Name City Water (Allowable) w PRV Required of Stories Q Address City Phone Booster Pump Length . Depth 'or Name S.F. Total o e Address Footprint S.F. ~F City Phone APPROVALS FEES s Engr./Assess. Permit w w Name Planner Surcharge z. Address a W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that al I work shall be done in accordance with all Parks applicable State of Minnesota Statutes and City of Eagan Ordinances. TOTAL F Building Official Permit No. Permit Holder Date Telephone # Plumbing H.V,NC. Electric ¢ sj~~°J Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. G o Rough Htg. 6W-4-c.6-1120 - Isul. 2 f~O Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 0 8 13 v 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILQING PERMIT Receipt # To be wed for ''r - GAit Est. Value `,'7-s Date 19 . Site Address "'PT, Erect Q Occupancy Lot ^ - Block 1. J, L -t:'t Remodel ❑ Zoning Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories Move ❑ Length F1 , 77N'- Name Demollsh ❑ Depth Address = Int impr. ❑ Sq. Ft. City Phone 2 Install El Approvals Fees o Name s Address Assessment Permit n City Phone Water s Sew. Surcharge Police Plan Review iW Name Fire SAC Address Eng. Water Conn. OcW City Phone Planner Water Mater "1" U 7 is Lj . (u Council Road Unit 1 hereby acknowledge that 1 have read this application and state that Bidg. Off. Tr. Pl. 713 -2). the intormotion is correct and agree to comply with all applicable APC State of Minnesota Statutes and City Qf Eagan Ordinances. Parks Var. Date Copies Signature of Perrnittee Total s A Building Permit Is issued to: 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 3,6/ H.V.A.C. 1 f~ S o~ I I Ia Electric ( 1 f A ~iJ Softener Inspection Date Insp. Other Footings 1 P Footings 11 Foundation Framing Roofing Rough Plbg. Rough Htg. Insul. Fireplace Final Htg. qq Final Plbg. - Final Ci1t/Occ. Water Describe Location: Well Sewer Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ' CONTRACT PRICE: PRONE: 454-8100 Site A dre BLDG. TYPE WORK DESCRIPTION Lot Black Sec/Su ~ - Res. New `m C t't t. r Name L; Mutt 1r/ Add-on Address 7 Comm. Repair U City L Phone 1-15 7-7776c) Other Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 O City 6- phone4f ,ADDITIONAL 50 M BTU - 6.00 f"4I i, r ADD-ON AIR COND. 0-24 BTU - 12.00 t ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Piping Outlets # Other FEE: JtU SIGNATURE OF PERMITTEE SIC: _ TOTAL: ,r/jIg7 FOR: CITY 0 F EAGAN Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? j f Fill in numbered spaces SIC i Type or Print legibly Tot. 1. Date ' 2. Installation Cost 3. Job Address - Lot Blk. f Tract 4. Owner 5. Contractor ! Phone j 6. Address 7. City = State Zip - 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield 1 Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray 1 Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply wiffrlall ordipances and codes•f overning this type of work. Signed : • for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt )'Je MECHANICAL PERMIT Permit No. y CITY OF EAGAN Fee Fill in twm&md spaces SIC Type or Print legibly Tot. 1. Date 3 i i J t 2. Installation Cost 3. Job Address lid er Blk. Tract" 4. Owner i l __.u ~?4 - r w`^; ~ , hi_:d ► ~r e 5. Contractor ! r ' f i Phone; L 6. Address 7. City. =rAL.i' .k 1(-'\j State ! Zip 8. Building Type: Residential .0~ Commercial ❑ Institutional ❑ 9. Work Description: New C]' Add ❑ Alter ❑ Repair ❑ 9 10. Describe ' 1i 1 i Yr Fuel Type vt."(( Y ~-y b 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply,witliall ordinances and codes governing this type of work. Signed: for F'Q-Ugh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks ~J' 0-e-e j Addition LEXINGTON SQUARE Lot 23 BIk 1 Parcel 10 45075 230 01 Owner Street 1055 Briar Creek Road State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 254.53 16.97 15 254.53 0009696 10-12-84 SEWER LATERAL ben trk 1986 171-6 11-58 is 173.65 C010040 1-28-85 WATERMAIN 1996 68.3 4.56 15 68.33 0010040 1-28-85 WATER LATERAL WATER AREA ffZ 1986 2-96-41 19.1() 19 286.43 C010040 1-28-85 STORM SEW TRK Dir 1986 501.29 33.42 15 501.29 C010040 1-28-85 STORM SEWLAT 513.81 C010040 1-28-85 CURB & GUTTER SIDEWALK STREET LIGHT Road Uti. 280.00 54737 8/20/85 WATER CONN. 500.00 tt 't BUILDING PER. 10830 if II n tt SAC 525.00 PARK - CITY OF MEAGAN WATER SERVICE PERMIT 300 Pilot Knob Road - , P. O. Box 21199 PERMIT Eagan, MN 55121a f~%c4TI:~ Zoning:. ;1 `No. of URIt¢: .P.. I„ 1 Owner: - - Dttl. lt - r 4 f-~-Fr Address L- Site Address: ~ ' t ~n l ~('i • . IT, 'ILI ,,.It I1i7 l:.(-X1 30. Plumber. Meter No. -5-.2 41 Connection Charge: n U l .x` Size: /sn Amount Deposit: •'.iC. Reader No.: 6 & rn 4.110 63 Permit Fee: 1 pne to with the City *F Eagan Surcharge: 132 . t~t?(ici Orainenas. . Charges: MISC WIN Total: ~3 • "'ter By Date Paid: 4 Dote of msg.: f t map.: / CITY OF EAGAN N_ 15 2 6 9 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUI PH ON E: 454-8100 Receipt # 8 1J-O-' LDING PERMIT To be used for POOL Est. Value $10,000 Date JUNE 27 -19-88- Site Address 1055 BRIAR CREEK RD OFFICE USE ONLY Lot 23 Block I Sec/Sub. LEXINGTON SQUARE on Site Sewage _ Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const a Name STEVE BISHOP City water _ (Allowable) W Address 1005 BRIAR CREEK RD PRV Required #ot Stories 3 o City EAGAN Phone 452-1584 633-1343 Booster Pump Length Depth o Name PACIFIC POOL S.F. Total u< Address 6922 55TH ST Footprint S.F. City OAKDALE Phone 770-1313 APPROVALS FEES w W Name Engr./Assess. Permit 106.00 Address Planner Surcharge 5.00 U W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn Minnesota Statutes and C~ly a 111inances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to. PA FIC POOL Treatment P1 on the express condition that all work shall be done in accordance with all Parks applicable State of Minnesota ~ Statutes and City of Eagan Ordinances. 111.00 Building Official11~1.f6i_I~- TOTAL CITY OF EAGAN N°- 10 8 3 0 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 • PHONE: 4548100 y BUILDING PERMIT Receipt # --~~2~-- Te be used for SF DWG/GAR Est, Value $77,000 Date AUGUST 20 / 19J1- Site Address 1055 BRIAR CREEK RD Erect Ek Occupancy R3 Lot 23 Block ---1-Sec/Sub. LEXINGTON SO Remodel ❑ Zoning R1 Repair ❑ Type of Const. V Parcel No. Addition ❑ No. Stories ROTTLUND CO INC Move ❑ Length 46 e Name P.O. BOX 383 Demolish 0 Depth 36 Address Int.lmpr. ❑ Sq Sq. . Ft Ft. City OSSEO Phone 780-1848 Install ❑ SAME Approvals Fees o Name .00 Assessment Permit g Address 38.50 City Phone Water 8 Sew. surcharge police Plan Review 182.00 tW Name Fire SAC 525.00 E! Address Erg. Water Conn. 500.00 ,c City Phone Planner water meter 63.00 Council Road Unit 280.00 1 hereby acknowledge t I hove read this application and state that Bldg. Off. 8/20/8 Tr. Pl. 132.00 the information is car ct and agree to mp It oil applicable APC Parka State of Minnesota 5 tut s and City o E rdinances. Var. Date Copies Signature of Pennines Total 7J 0 TTLUND CO INC A Building Permit is issued to: an the express condition that II work shall be done in accordance ith all appli to ~Statte of nne Statutes and City of Eagan Ordinances. ullding Official f "'~'v This request void d months from -S- 18 C 27339. r o - Request Date ire o. Rough-In Inspection 7„ Ran." ad? eady Now 0,Wdl Notify Inspec- t/ ❑yes -2<- for When Ready ~ L,censed Electrical Contractor 1 hereby re uest inspection of above ❑ Owner electrical work installed at: Street Address, Box or Ro to No. ~ Cit section e. Township Name or No. ange No. Count Occ. a I (PRINTI Pone No. i Power SuPPller Address X33-~ 3s~3 Electrical Contiaclo,frMiNI) ELECTRIC CO. ar, C5 License No 14 Mailing Address (Contra VP1or 1V `f r "13M. CT, rT 31i1 'N' Gc~ Auth ed igna re (Contractor/Owner Making Installation) Phone mbT THIS INSPECTION REOUESTWILL NOT MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul. MN 55104 GCJ ot. ENCLOSED. ralot 74z91t1 ( REQUEST FOR ELECTRICAL INSPECTION ; 4f% ES-00001-04 -3o Sea instructions for Completing this form on back of yellow copy. (ra%,~F 2 C 2 7 3 3 9' ' X- - Below Work Covered by 7hfs Request ew1Addj Rep. TV" of Building Appliances Wired Equipment Wved Home Range Temporary Service Duplex Water Heater Lighting Fixtures I Iding Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm then tg-Pe-c-177- other IS,uifyj t er l,eci v the, Othe, onipute Inspection Fee Below a Fee Service Entrance Size a Fee Feeders/Subfeeders a Fee Circuits 0 to 200 Amps. 0 to 30 Ants 0 to 30 Amps Above 200 ginln 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 S /0. se, TOTAL E Remarks O Rough-in Date I, the Ele Inspector- hereby car',fy that the above Final inspection has been 1'~f/ made. This request void 18 months from Th,s request void //1~C~/S% , _ ~5~ 0 y Is months from 6G CJl E 30983 1,?3 Al 4.-3o °a Request Date Fire No. R..0 in Inspection Requ ed? ❑Aeady Nuw ~W, 11 Noufy Inspec- <X ( n ,[Yes ❑No for When Ready Licensed Electrical Contractor I hereby request inspection of above 190wner electrical work installed al: Street Address, Box or Route No. City C) f Cr e e r 1; C? (4 ,l ecLOn NO, Township Name or No. Range No. County 0, KO 7~4 Occupant (PRINT) Phone No. Power Supplier Address Eleal Contractor (COmpa nv Name)Contractors License No. l"I ~~vC~/rc ~19! C7`~~~ Ma,lmg Address (Contractor or O ner Making Installation) vz o:~ r1`ei, 6c'VI C l-SvA11d~ Authonzetl n ore IC nlractor Ow Mato no Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 h University Ave.. St. Paul. MN 55104 v..,.o retm Rai-fmnn ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION eey000n0-1-C06 0 See instructions for completing this form on back of yellow copy. ti 8~U / E 3 49 8 3 "XI, Below Work Covered by This Request Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryei Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peel y Other ISpe rely) t ar pool y the, Other Compute Inspection Fee Below N Fee Service Entrance Size H Fee Feodars/Subfeeders H Fri. Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amos Above 200 gmpsi 31 to 700 Amps 31 to 100 Am s 17 Swimming Pool Above 100_Amps Above 100_Am Transformers Irrigation Booms Partial.' e Signs Special Inspection S~O TOT 6pp7~F^. d Remarks r V Rough-in r t^~~' I, the cal Inspector, hereby certify that the above Final O'}e Tj. inspection has been metle. This request void 18 months from This request / void 11 1 18 months from m i' 06-7530 iii 6-1 57~ ReJ;u€st to l~ Fire No. Rough- n Inspection _ qu []Read, Now, ill Nnbty Inspec- - ~ Yes ❑NO When Ready ❑ Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Be. or Route //jJq J Crty ) Uon NO, Township ame or No. Range No. Cmr y Occupen PRINT Phone No. -C/"" Pow r Su plier Address Electra I Contractor (Company Name Contractor's License No. Mailing Address (Contractor or wner akkiingg installation) Y ELK/"' Authorized Srgna a (Contractor/Owner Making Installation) Pho urpber (d/ MINNESOTA ST BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwa Idg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 66104 UNLESS PROPER INSPECTION FEE IS Phone (672)-297-2111 ENCLOSED- REQUEST FOR ELECTRICAL INSPECTION . EB-00001-04 'See instructions for completing this form on back of yellow copy R 75 30 , .1 X" Below Work Covered by This Request Nft4Addj Rep. I 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 peer Y Other (Specify) t .r poprfy Ot er Other ornpule Inspection Fee Below e Fee Service Entrance Size a Fee Feeders/Subfeedars A, Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swintr Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms U Partia 6'Other Fee Signs Special Inspection ' t 1'11 " TOTAL Remarks - I e Rough-in fj~~ 1, the Eleet7ical Inspector, hereby rlity that the above Final 'It inspection has been F metla. This request void to months from A ~ + 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS /614 4 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 RENTAL UNITS FOR SALE UNITS # OF 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 ~4 (~Q'GbiV r~ 7 To Be Used For: L Valuation: Date: 3 Site Address S\5 ~i~ OFFICE USE ONLY Lot ZS Block Ad On site sewage Occupancy MWCC system Zoning Parcel/Sub LUIt•W AON SQUARE On site well Actual Const City water Allowable Owner o PRVr required _ #ofwstories ' Booster Pump Length Address /y/ Depth S.F. Total City/Zip Code p p Footprint S.F. Phone (O Sip/~ w3APPROVAL3 FEES Contractor Engr/Assess Permit )Oh . o~ Planner Surcharge S.00. Address S S J Council Plan Review ~'~y p Bldg. Off. SAC, City City/Zip Code / Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL City/Zip Code Phone # l V?1 Ur(,~u 3 cop;: Copy:CfeW Office Chief Pacific Pool & Patio 3-2 ~,t^~ yen Copy: Municipality 24C 4 Copy: Customer A Minnesota Package Products Company Brooklyn Center Store No. St Paul Store Burnsville Store Ridgedale Store 4321 - 68th Ave. No. 6922 - 55th St. No. 1278 W. Co. Rd. 42 12500 Wayzata Blvd. Brooklyn Center, Mn. 55429 No. St. Paul, Mn. 55109 Burnsville, Mn. 55337 Minnetonka, Mn. 55343 (560-6442) (770-1313) (435-3500) (541-9180) F -CREW CHIEF 1198 lk X 36 S/b U",::2 G/2C/~F Equipment Needed ACCOUNT NUMBER POOL SIZE DATE Uackhoe 1obCat Steve GEehop 452-1506 ❑ at Truck NAME HOMEPHONE Snow Fence ❑ Uni-Loader 1055 Blatt Cneeh Road 6r'3-134a STREET WORK PHONE Eanan t~ r.:1et o fn 551: 1,15 Inspections Contract CITY STATE ZIP CODE ❑ Walls ❑ Plumbing ❑ Footing DIRECTIONS ❑ Before Backfill 1 EZF;nZR%C VE'R.*Ari P,Eb D - - ` i t' ! 1 / -"77Diagram.pool site in relation to hpuse,.garage, property line, and wires. Allow 3" variance - - - /i I _ Pacific Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the responsibility of the contractor doing the work). The actual cost of the permit is the responsibility of the home owner and Pacific Pool & Patio will expect to be reimbursed for this permit cost within 30 days of obtaining the permit for you. Signe)Y Date / i Q jviak location of filter and/or heater by (#2). ❑ Location for disposal of dirt Indicate deep end by (X). l O'Does Customer wish to retain any or all dirt from pool Pacific Pool & Patio recommends that customer install excavation: J (As soon as possible following pool construction); Q/Will any obstructions be encountered - such as trees, 1. Rain gutters adjacent to pool clothes poles or power/phone lines etc.: iC41 2. Retaining wall where diagramed 3. Run off control or drainfield f 4. Permanent or temporary fence /Elevation from location marked "A" in diagram: m Show type and location of slide if applicable: f * * * CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING Normal Excavation time using a back hoe and dump truck is less than one day. X If Limestone, Sandstone, S hale or any unusual substance, like construction debris or backfill material that is unuseable In the construction of this pool, the customer Is responsible for the cost of removal and replacement of suitable materials. X If removal of dirt requires cat or uni-loader or any special equipment customer will be charged by the hour for the extra time and equipment used. X Tress and or tree stumps are the responsibility of the customer and must be removed before construction begins. X Some damage may be done to the yard and/or driveway entering and leaving the yard during construction: Initial Customer assumes responsibility for electrical wiring and grounding of the pool (including permit if required): Initial Customer assumes responsibility for the gas installation of heater if applicable (including permit if required): Initial If debris, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling and/or disposing - Customer shall assume responsibility if any extra costs are incurred. Initial If you wish to change: filter position, slope of land, or anything else stated in this outline, please call our office - 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any changes that are not authorized by the office will be charged at~ersiandefd, rate - no exceptions. Pacific Representative Signature Customer Signature or Mrr~Ollp 6116006 Y\uRRAM „ MOIMtYRIMO 66 S Min^MOa1l M~Mnnu~50a32 (.d a A(.WW 94p..M • Soy Two, • 1. Sy...yws • Soma Onw 41006610 LW Plrwy Bw.ft. Mw 66W Certificate of Survey for 77Z 611140 CO r, o Denotes Iron Monument. PROPOSED ELEVATIONS a Denotes 10'QD Foundation Corner Stake. Top of Block x100 ° Denotes Propoi*d Elevation. Lowest Floor ..i Denotes Direction of Surface Drainage. Garage Floor ► 301 p ~9~s °F Gy f9PaT 7503 i'FJp`~cgs y<`I~s N8.9°¢6'3Z"Lv ~y0 S~ ~T 900 a o 9D1= ' ti IOPi1/NgGE fUY/UTy ESMT. PER RZ`C0,2U PEAT' I ro I ~ I I { i5 I ,n r v o ~vJ ' 1 I ? 21. s W.s ° Irj y l I p PROP~D. °m'1 N M In HsE. O 1 I N 8~ 14.83 ~ I I 22.33 -'=9~ r Io.S I o o 61 Ax 8934 ° 894 ix IV 88 ° ¢0100 "E N 7500 B,eAiz C,eEEK •PoAo L dT Z3 gc oc K 1 46-XI/VG Tory SO UAPE DAKOTA COUNTY A411V1Vl:z,"SOT,4 1 hereby asrgly, 1Met Ala Is • Irvs ssd asrrsar rspssssrasl" of a, ssrwy of the Asswdsriss Of the sAsvs dssarl►sd load. sd ss *0 Iwsrlss N all Avlldl ti Aft y sod all vi ssarssaMssssrs. 11 any, Ir- sr ss sold hied. As surveyed by sae rAlaM_dsy s1 A. 0. H suwee F/LE /551 985 33¢ y Not Published: All RIy1Y Reserved Yu I' 2/84 CITY OF EAGAN tlui APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: /QSS dolel ie 16 J ' LEGAL DESCRI ICN: DT nar Alec A / (Lor/Block/Su;aivisicn or Taff Parcel I.D. Numer) Ir E:{IS ::-G STRUC LME, DATE OF GRTGuAL EU==:G . U T ISS ::Cr: PRES n Z /P?DPCSED USE: ® R-1 SL*,=- F-AMILY ❑ R-2 DUPS.: (7;.0 mm=S) ❑ R-3 TCr,;ticCr S (T=-~ + L-TITS) ( TiNi 'S) ❑ F-4 A^ ? T/CC_7 i• r lr?i ( UNI^_S) ❑ CCi•?~Lc:.?CL'~.:/:Z~".r,II✓Cc 'ICE ❑ ~~T;SiRI:S, ❑ LAS-r.-.TICNAL/G- bR T 2) A~PLIi:_T (PLEASE ~PR1NT) ADDRESS: CZ Y, STATE- , ZIP: '7 c/V./~i iJ PHOI%7E: 2/.3.3 -S/ 7/ 3) (PLEASE PRINT) FOR CITY USE ONLY NAME: ,411c--I,- /g c7-4, PLUMBERS LICENSE: PICiFSS:Q~ cove CITY, STATE, ZIP: Exp" ed OF R Ord PHONE: ? 33 S/ 7/ PLUMBER LICENSE f{ /d3~Z /Jj c~ ar- :ntctal 4) O=LP NT/G?•I•?E t (PLEASE PRINT) NAIE: O G//,/C/ CO ADDRESS: "d O>C fl3 CITY, STATE, ZIP: 0 S.SE "s 35 S PMNE: 290 5) INDICATE WHICH PEP_-lIT IS BEING, REQUESTED: ® CC2:,N=ION TO CITY SMER CC.',Z, I 1ON TO CITY WATER ❑ 0171Et (PLEASE D..SCRIBE) 6) I::DT = O: : ❑ PT-v-71SE HOLD APPROVED PER,+ST FOR PICT:-L? BY ONE OF ABOVE ® =SE :•1AIL APPROVED PEP-%11T M 1, 2, 3, 4 ABOVE z (Circle one) 7) SIG:,:,TL~E: //G ~c~ DATE: ~Rq'K~allJSS 1~Ql~1a~lSipi-ia+~+~sis~:aaiil~F.f~ayrF~! F O R C I T Y U S E O N L Y PERMIT ISSUED rrr. S. $ SE..ER _°E?'?T_T G :nR"v $ WATER PERaT_T (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/CUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE:•:E7 TAP $ =CCC::::_ ..C30SIT - Sc. cR $ ACCOUNT DEPOSIT - "riAT°R $ WAC $ SAC $ TRUNK WATER ASSESS::=:; $ TR~:NK SL:'iLR ASSE:._.._`iT $ LAT. RAL BENEFIT/TRUNK S',' =R $ LATERAL BENEFIT/TRUNK $ WATER TREAT=T PLA`:T SCRC:ARGE $ OTHER: $ TOTAL $ A-MCU_`;T PAID,"RED _ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? L YES IF YES, THE:: A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUZC BY THE 7_7 NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: a.~ nc 'a w-ow ata wa M w s~ OR ow Ra swam /a an ~m MPG aa+ a* sa 10 ~m wee ■cam ae a. la on m 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS--- 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: Sl,L, C'gµt/L'r 96-Valuation:y~z Date: Site Address: f05r " 2- &WZ CREEK R- OFFICE USE ONLY dbra Lot: 2 7> Block Sect/Sub S Erect Occupancy 3 Remodel Zoning R-I Parcel # Repair Type of Const 31 Enlarge 11 of Stories Owner -\-yr\i~ Qo T~Uni~ ccj /.vc Move Length 4(, Demolish Depth 17i(p Address P-.C2 ~g 3 Grade Sq Ft City/Zip Code C~SS~ c5 w! N SS 3G~~ Phone -7 3- Q I\ +K APPROVALS - Contractor Sim f~ Assessments Permit Water/Sewer Surcharge 3g•5D Address Police Plan Review l g2.°° Fire SAC SZ,S, City/Zip Code Engr Water Cann ,Soo.t= Planner Water Meter X03. Phone Council Ro it Bldg Offs Parks Arch./Engr. r~ APC Treatment PI Variance Address TOTAL rr ,~(c~Q J City/Zip Code Phone 0 15X 3~ =SIB n S4 2.7` 'O 22 ` Zr K Q I = X062-4- - 532~- 'LZ x 22 " 67 'lCP ~ d~ ~ J 0. y I m I 364-00+ 38.50+ 182-00+ 525.00+ 500-00+ 63-00+ 280.00 + 132000+ 2,064.50* I r ' ! U Mnn ff. H.; 6IN N E WMAN I MB)b No bb NE N6lINti~RINO M. rr W. M. r MbtlY ■--_-1nc So.1n Off. 006610 C'4 A lf..wW EN4wrwr • 9aY Tn)W • IAN .9..4yW • 1<M PWwry 6ufOMJk, Minnn4 b61]) .Certificate of Survey for 'OTTL lJND CO. Bearings Shown are Assumed. o Denotes Iron Monument. PROPOSED ELEVATIONS U Denotes 10'(D Foundation Corner Stake. Top of Block look Denotes Prcposad Elevation. Lowest Floor Denotes Direction of Surface Drainage. Garage Floor 300, 41k S 7503 ~'~'D S~~cyT 900 a \ 902 x ` IDPA/NgGE!U7/C/Ty ESMT N IPER,QECDRU F~Ar I I ~ ~S I I b ` Ij z1.5 14.5 I N M a „ Hst. a1 22:33 ~ B h' ~los ~I ~ 0 M x8934 ° 894 ~ x /V88° ¢0'00"E N 2500 aeA/t C&461( /fOA,O LOT 13 B[OLK I LEXIIV~ 7-e J/ SOUAPE 0407-A COU1TY A IIV%/ -50TA 1 11,60`6hy 46 11#y 910,60 thiS It • 9r66 6wd s6rr66t rwp606wt6HM 6t w t6rvey of 0116 ►wwd6rlu of the 0166 d600r1►6d load. sod of the 1M6t16w Of 611 WWI ti th r w0, 6wd 611 rl lbl* 6wtr66<hw0,eNt0, If 6wy, fr6w0, W • all 060,0,d. As t6rwev" by me #%I,~~My of A.C. 11& susuRe too WC .waw«rt • F1L0, "561 98S334 w Not P4blWW: All Rights ReWrwd • «P\STR f-\~`1 ~j EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION 1 OWNER R 1 T-L V4- Du/)j,- CJ SITE ADDRESS 1055 Duce,- C2, CONTRACTOR 5/VM G- DATE 12-/(r6)`-6 U PHONE 71O-1 b` 'cp Determine working square footage of each. 1. Total exposed wall area 2- -11 1 sq. ft. x -300,92- 2. Total roof/ceiling area ( 3 S (9 sq. ft. x sO2& = 35, /O Total exposed wall area above floor = 2 3 9S' a. Total wall window area .)s 3 S b. Total door area 3 % c. Total sliding glass door area H C-? d. Total fireplace wall area - e. Total wall framing area (average 10%) 2J`/ f. Total net wall area above floor .....................J ~l 1,S g. Total rim joist area 0 f~f Total exposed foundation area = cll/ h. Total foundation window area i. Total net foundation area above grade G 7 Determine "U" value of each wall segment. a. 1 ~6 3~ S X fluff Sq _ O(,0 b. 3 ~6 X "u" ue)-7 = 266 c. L/U X "U" a `f = 1C"L d. X "u" X fluff f. / rj72, S X "u" GY Z = ~b0~~5 g. Z of V X "U" d CS~U = 0 7 h. X "U" i. X nu,, 007 e 2 'f 3 ......................................Total = z.3y,S If item U 3 is the same as, or less than item 1l1, you have met the intent of SIC 6006(c)2. Total exposed roof/ceiling area = ( 3 S G Total gross roof/ceiling area = f S U j. Total skylight area ( Z k. Total roof/ceiling framing area °b U 1. Total net insulated roof/ceiling area 17 S `6 Determine "u" value for each roof/ceiling segment. I Z X "u" "44-1 = 6 o 2 J• k. X "U" a2_7 -2nl = 3/,45 L - 1. /2S~ X "u" 025- 4 Total = If total of 114 is the same as, or less than 112, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items 113 and 114 shall not be greater than the sum of items 111 and 112. 1. 300 r%2 + 2. 3~olU = 33~,D2 3. 23Y-,52 + 4. 3~,~ 1 = ? 73a`// !WALL SLUY'1u.•., Y4ye J of 4 HUM Use'.-10% of opaque wall area for frame construction Construction i R-Value 1. Interior air film 0.68 .2. 'L CmY P 13 R n n 4 S 3. 1xi~, -s-•uaS (oofs8 CASIC 9. 25/32 SH7U Z~OIo WALL 5. S/GYfils UVC/< FEGT / a 2 G I_ 6. Exteriorair film 0.17 , Total FIG. 111 TOPVIEP OF eO$-7 FMIC [TALL 1. Interior air film 0.68 2. z- (:Crr- 13 Oz D o S!5` III ,I 3. A//44_ Gt/L)4.4'/iL5LG 1__-^_^-'- ~7 2 S 3L SHTV O ~ rzc. 112 4. 2 -U - 6 5. !:Q Ove-e FELT- J a1 6. Exterior air film 0.17 Total 2 3, 6 L -0 61= oo~t 2- ~ ~ I I I 01 1. Interior air film 0.6B' L l SGr, L,- r ~ , ,Seal 2. / v5v'L 4?a ~l . 3. -2 A .T1 ~ .r;,.r '',~v~1 [I 4. 25 2 5t ITGr 2c:O~o P 5. ~f ~~I • ~1 P /aZE, 6. Exterior air film 0.17 LTITICT i t l~ i 3 Total 25'.05- [(_y. ~l r \ `J 1. Interior air film •r1 •~•i. ,6 0.68 i. 1 3 2A-4 Fu2R1h4 C' 4. J2 ~CO/ri~ r /3000 (C. Is~`ls S. 6. Exterior air film 0.17 I To ta/l 13.13 = ~/r r- in 413 FIG. If4 ! / • L ° ''-ROOP/CEILING Construction RRValue 1. Interior air film 0.61. -s 3 n 2. _5/P;" C~YT~ 13RO 058 3. C.Ow.v i,vgv~ 3E'.,roD II 111 j}I 4. Exterior air film (still 0. VEITT X1il Total 3~°0D. fenced Hear flow.' up FIG. #5, r' 1. Interior air film 0.61 .^r~;•_•e--,u\,n._~^`'Gi~u' a~~~ca~ee~ 2. TS20 SS =----r - ~af-~ - r . 3. i v5vt ovEiz •rlZUs_s 3y ,q i 4., Exterior air film sti Q. _ bi. Total. 3(;,-7 ~I t : MUCH Peat flour vP• ~ -vented r FIG. #6....~... r. 3 v 1. Inside air film 0.61 r~'• S. Outside air film 0.17 ~y Total _.Hoi7-P1Tpp Note: Use additional sheets -if more space is needed for details and calculations. Heat flow up F.T.G. $7 r' BUILDING PERMIT RESIDENTIAL ?ea APPLICATION gCZ/S CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851-881.4875 New Construction Reauirements RemodelfReoair Reouirements • 3 registered site surveys showing sq. IL of kit, sq. fl, of house; and all roofed areas • 2 coplas of plan (20% ma)dmum lot coverage allowed) i set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes: poured found design, etc.) 1 site surrey for extedor additions & decks • 1 set of Energy Calculations Indicate ft home served by septic system for additions • 3 copies of Tree Preservation Plan q of platted after 711/93 • Rim Joist Detail options selection sheet (bklgs with 3 or less units) DATE 7,Z6 VALUATION SITE ADDRESS 4-1Yyr~ P t= T MULTI-FAMILY BLDG _ Y I~CN TYPE OF WORK FIREPLACE(S) ~ _ 1 _ 2 APPLICANT O STREET ADDRESS CITY STATE-ZIP TELEPHONE # 1 CELL PHONE # FAX # PROPERTY OWNER c J C t k TELEPHONE # 601 331 -!S ~ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • !tied • Energy Envelope Calculations Submitted D D JUL 31 2D02 Plumbing Contractor: Phone # Plumbing system includes: Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths By 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 Eaga;Rces Si gnature of Appl a_..... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required Updated 4/02 Use BLUE or BLACK Ink ' I For Office Use I I~ City of Evanj Permit I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: n^- lea C~~r.' Phone: { RESIDENT / OWNER Address / City / Zip: i Applicant is: Owner Contractor Description of work: TYPE OF WORK } Construction Cost: Multi-Family Building: (Yes / No Company: , 1,~,C_ Contact:7~e)-~ e i I Address: 1 DO ~t Aj,, City: CONTRACTOR j State: /~-/L/ Zip: Y? l Phone: 61/- Z 13 ~G License /S/ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 I 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.gooherstateonecall.ora 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. r x 'J a x Applicant's Printed me Applic nat Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA104634 Date Issued: 06/01/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1055 Briar Creek Rd Lot: 23 Block: I Addition: Lexington Square PID: 10-45075-01-230 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Crystal Cochran 7588 Washinaton Ave S Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Pronto Heating & Air Conditioning US Bank National Association Tste 788 Washington Avenue South °o Chase Home Finance LLC Eden Prairie MN 55344 10790 Rancho Bernardo Blvd (952) 835-7777 San Diego CA 92127 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA110484 Date Issued:05/14/2013 Permit Category:ePermit Site Address: 1055 Briar Creek Rd Lot:23 Block: 1 Addition: Lexington Square PID:10-45075-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Donald J Goldsbury 1055 Briar Creek Rd Eagan MN 55123 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114669 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 1055 Briar Creek Rd Lot:23 Block: 1 Addition: Lexington Square PID:10-45075-01-230 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 . Kathy Espelien 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 - Susan Casey 1055 Briar Creek Rd Eagan MN 55123 (651) 260-9244 All Sons Exteriors Inc P.O. Box 146 Lakeville MN 55044 (952) 469-5221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA132858 Date Issued:09/09/2015 Permit Category:ePermit Site Address: 1055 Briar Creek Rd Lot:23 Block: 1 Addition: Lexington Square PID:10-45075-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Susan Casey 1055 Briar Creek Rd Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164324 Date Issued:09/24/2020 Permit Category:ePermit Site Address: 1055 Briar Creek Rd Lot:23 Block: 1 Addition: Lexington Square PID:10-45075-01-230 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 - Susan Casey 1055 Briar Creek Rd Eagan MN 55123 (651) 260-9244 Evergreen Construction Company Inc 1200 Centre Pointe Curve, #175 St Paul MN 55120 (651) 209-3130 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166653 Date Issued:01/26/2021 Permit Category:ePermit Site Address: 1055 Briar Creek Rd Lot:23 Block: 1 Addition: Lexington Square PID:10-45075-01-230 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Susan Casey 1055 Briar Creek Rd Eagan MN 55123 (651) 260-9244 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature