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1058 Briar Creek RdCITY OF EAGAN WATER SERVICE PERMlT 3830 Pilot K nob Road P. O:'1300T199 PERMIT NO.: ? Eagan, MN 55127 DATE: Zaning: No. of Units: Owner. !`'L''.CrO CL16tti!:l b ? /kldresa: Sira Addras:• 1?)S?S Bri.ar ? Plumber: • krv.Cthew 1laIZYc--,.O ? Meter No.: `r SiZe: ? Reode? No.: r 1*srew !o eanplr wllh 11M Ciyr of Eaqan Onoeawom ay Date of I nsp.: Raad L I Connectlon Charge: . Accourn Deposlt: r= t) y Permit Fee: Surcharge: i' Misc. Chorpss: 1` 0 . Totol: Date Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pifot Knoh Raad P. 0. Boa 21199 6555 PERMIT NO.: Eagan, MN 55121 DATE: 5-2-86 Za+inp: - t-11 Na. of Units: I Owner lafe ro .u ntcrres Hr1rs _:; Address: _ Site Address: i??° Rr3ar L'-Legk . Pa:,cl IS $5 i.r_x nntc?n fia? I_ PlUITIbl1t': ? s'l;C??ttt'!7 n.g.f'i-?1a;_ TFIC . ? ` '?•_'_? 4--1-86 62071 100,00pd I a?N bmMply wuh the Chy of Wgan 1Nn?. ?on CfqroQ: ?.i42i 00p'i Ordinaaep. Acmunt DepOStt: 15 04P4 Permlt Fee: 1L? 40pr1 5urcho?Oe: BY Mist. CFfnrpes: Dote oP Inap.: Total: Dote Pnid: - , ...2 . . , . . . CITY OF EAGAN 3830 pllat Knob Road, P.O. Box 21-199, Eagan PHONE: 454-8100 BUILDING PfRMIT ReceiE To be used tar SF DWG/UAP, Est. value $b0s000 Date_ Site Address 1058 Bli 1. AR CF:EEK £iD Erect I Lot b Block 2 SeclSub. LE:XIP!(GTC314 SQ Remodel I Parcel No. Repair ? ? 55121 ,f . 11717 / Occupancy R3 Zoning ?Z Type of Const. ??. No. Stories Length 40 N? U ? F30X 1049 Address Demolish Ll Depth t Ft ? S 44 o BCf}2IVSVI"A 454-9383 Cit Jn Impr, q. El y Insta?l o Name SIL'pja - Apprpvals Fees Address ? Assessment Permit ' 0 ? City Phone Water & Sew. Su rcharge 30.00 ?? Police Plan Review 156.50 F W Name Fire SAC 575.00 u? Address Eng. WaterCann. ?U0.00 ? W City Phone Planner Water Meter 63 . 50 ? I hereby acknowledge thet I have read this application and state that the Council ? ? Road Unit 290.00 00 156 iniormation is correct and agree to comp with all applicable State of gldg. Off Tr. PI. . Minnesota Statutes and City qan. r ces. APC Parks _ Var. Qate Copies Signature of Permitte TOtsl '03?? ? A Building Permit is issued to: `'.ftR? ????OLi jldhE5 on the express con dition that all work shall be done in accordance with aIl applicable State of Minnesota Statutes and Gity of Eagan Qrdinances. Building Official -- - - - - - ._.,? _ _,_._._.._. _ ?...._?_.._,_._..:__: . _ , ..._. ? . . r. -- -°----•----_._.. , - Permit Na Pemdi Holder Date Telephone # Plumbiny ? ? ?a' H.v.a.c. I - EI BChIC ?3 R -7 ? • Sottener InspecNon Oate Insp• CommertU Footlngs I % ?G LC? Footings 11 Foundaiion Framing RooHng Rough Plbq. / I -6 Ra,9n Mty. r?4 tL S?? .?? Insul. ln Fireplace Final Htg, Final Plbg. BJdg. Flnal cert. occ. a2 - Gc? - Dec". Ftg. Qeck Frmg. Well Pr. Dfsp. _? . .. . ... _ . R . PERMIT # ?C) t? PLUMBING PERMIT REGEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100 Si#e Ad ess IG.:>a "`e4`"- 1`L' BLDG. TYPE WORK DESCRIPTION Lot Block C?L Sec/Sub - ` '< ? Res. New ? m Name ???? _r Mulk Add-on 4 Addr??.a ?>>? Comm. Repair . c Cityrs?"'c `/A !T Phone V2 Other Name FIXTURES J . W Cl 0 ?rTr-ZT ? = Addres ater oset - $3.0 T-Bath Tubs -$3.Q0 _ , v p Ciry Phone Lavatory - $3.00 :_ ) Shawer - $3.00 ? ac =Kitchen Sink - $3.00 , ° `) FEES COMM/1ND FEE 1g6 OF CONTRACT FEE TUrfnal/Bidet -$3.00 ? - Laundry Tray -$3.00 MINIMiJM - RESIDENTIAL FEE -$10.00 T Floor Drains -$1.50 7, S v MINIMUM - COMM/INQ FEE _ 20,00 =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 / 4" -?? Private Disp. - $10.00 - Ir- ' --- Rough Openings - $1.50 - SIGNATURE OF PER ITTEE FEE ? STATE S/C: ` "J ' FOR: CITY OF EAGAN GRAND TOTAL: ?. ; ?. . • ? ? . 1 3830 PILOT 8-ite Address IL:;J6 Lot.?_ Block y Name Addr ss r??_ f- c City =?C"1 ) +i 110 I I IG c /7%' x Addres,s - p City v?;'?; Phone L TYPE OF WORK Forced Air ? M BTU - -Boiler .. :.. ..- - . - :M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outldts # ? Other FEE: _ src: _ TOTAL: _ ._:, , ; .,,. .___ ....-- . ..., r• PERMIT # kNICAL PERMIT RECEIPT # Y OF EAGAN I ROAD, EAGAN, MN 55121 DATE: INE: 454-8100 BLDG.TYPE Res. ? Muit Comm. Other WORK DESCRIPTION New ? Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ? ADDITIQNAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIDNAL 6 M BTU - 6.00 pp GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE _ - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 000 00) , , . ,?(? SIGNATURE OF PERMITTEE <? FOR: CITY OF EAGAN t Y fJF EAGAN ? WATER SERVICE PERMiT 0 Pilot Knob Road 71,??; ?. 9ox 21199 PERMIT NO.: tagan, MN 5572? DATE: 5-2 Zonin9: h1o. of Units: Owner, M2tro CllSt4IIt 3or•:eS _ AdClfE55: Site Jlddrescc ldSg EA cl L8 B. '_.::f': L--,.Rton ?;:; : ry Plumlrer: -.atthew ?l i.[) ?cl Metar No.:.??! ge dlggm 51ze: ?1l"fla?/t [. ?.?pd Acoou sit: D 3 ? 0.0(p Reader No.: -? lin . 50pd I e9rw fo oompFy qes Surchorge: d- T 15h,fli}? O Oriinanewa. Misc. Char9es: 9y Date of i nsp.: g- z9-r& Total: 63.50pd inet?=Y Dote Paid: -- GTY OF EAGAN Remarks ?_- Addition LF.XINGTON SQi?`?R.E Lot 8 eik Z Pareel 10 45075 0 $0 02 Owner Street 1058 Briar Creek Road State Eagan, MN 55123 Improvemeni Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1985 254.53 16.97 15 254.53 C009717 10-12-84 EWERLATERAL 173.65 C010061 1-2$-$5 WATERMAIN ? 1986 68.33 4.56 i 8•33 C010061 1-28-85 WATER LATERAL WATER AREA 1986 28 STORM SEW TRK 501.29 C010061 1-28-85 STORMSEWLAT 1986 513.8 1 4.2 15 513.81 C010061 1-28-85 CURB & GUTTER ? SIDEWALK STREET LIGHT WATER CONN. SUILOING PER. SAC PARK CITY OF EAGAN - 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHONE: 454-8100 BUILDING_PERMIT Fieceipt 11717 Tobeuaedtor SF DWG/GAR Est.value $60,000 oate APRIL 1 19 86 Site Address 1058 BRIAR CREER RD Erect ` 5F-u , Occupancy R3 Lot 8 Block 2 Sec/Sub. LEXINGTON SQ Remodel ? Zoning Rl Parcel No Repair ? Type oi Const11 . Addition ? No. Stories w Name METRO CUSTOM HOMES Move ? 4 0 Lengih ; BOX 1049 P O Demolish ? Depth dd ° . . Address BURNSVI 454-9383 Ciry ?e Int.lmpr. t I ll ? ? Sq.Ft ns a o Name SAME = $ ? Address ? Ciry Phone F W Name z ? Address ?S W City Phone I hereby acknowledge ihat I have read this application and state that the information is correct and agree to co ty with all applica6le State ot Minnesota Statutes and N dl} nces. Signature ot Permitle A Building Permit is issued to: M TRO CUSTOM OMES all work shall be done in accordance with all applicaplE„Soi of Mirines Assessment Water & Sew. Pohce Fire _ Planner Council BIdg.Off. 3 31 f APC N2 (/v-2 Permit T - Surcharge 30.00 Plan Review 156.50 SAC 575.00 Water Conn. 500 . 00 Water Meter 63. 50 Road Unit 290.00 Tr. PI. 156.00 Var. Date I Copies?-o O Total on the eapress condition that City M Eagan Ortlinances. Building n ucensea tiec[rmai conhacror I hereby repuest inspaction ot ebove Owner elec4wal work irtstalletl at Street Address. Box or Route No. /? US? Br/ R?-^ C.Ye 2? J?O "Ciryr G a ah action o 7ownshiD Name or No. RanBP o. Coun!?y Occup nt (PRINT) . 'Phone No. Po suoniiar aklefa. ?ec?r?G nadr s vrYrln yl Elcel Comractor (Company Namel dland glec4s-le-. Canvactor's License No . . Mailing AdJrass (COMracror or Owner MakinB Instailatmn) { 136 B A err c Authon etl Sianature o tractar?Own Mak?ng Installation) Phone Number Sa -.56 a-o MINNESOTA STATE BOARD OF ELE T0.ICITV ? THIS INSPECTION REQUEST WIIL NOT Grigga-Midwey AICB• - poom N-181 BE ACCEPTED BY TME STATE BOARD UNLESS PflOPEN INSPECTION FEE IS 1821 University Ave., St Paul. MN 55704 Phone (812) 287.2111 . , ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooom.oa ?d?0 O to 58B in3buclions br complBLng Lh.s folT On beCk 07 yB110W copy. IAP g I" ?R R 7.ri . "x"' eelow Work Covered by 7his Re,quest y plei#AAAdI Nep.I TVPe ol BuilEing 1' APPbanCes W,red 1' Equiyment Wved I Bulk ron N Fee ServiceEnfrencaSiie tt Fea Fexders/SubFaetlers N Fee Cucuits 2, 00 0 ta 200 qm s 0 to'30 Am s' /o.ic 0 to 30 Am s Above 2 0_qmps 31 to 100 Ainps 31 to 100 AMPS Swimmi? Pool Above 100_Am s : Above 100 Amps Transformers Irngation Booms 1 1 .,SD Part?al-"Oth ee Signs ? I [Special Inspec[ion ?'S _. _ ?-? c?k.SO I. the Ef?pCl ?? Inspeclar, he.aby n certdy lhat the above . ? i'??t.? f S^specbon has bea. inis .uauesi vom ?? ? 1 d b 18 mpMhs hom G .2389 Z 9-, g? bras? ReQUest Date Fire No. Rough-in Inspection i . He iretl? Ready Nuw Q Will Noufy Inspec- t?-3-8?? Yes ?NO torWhenNeady Licensed Elecnical Contractor I heraby request inspection ot above ? Ownar electricel work inatalled at: Street Atldress, Box or Noute No. k / ' B C' Qty E riar oSS ree . Q aki ecUOn o. TownsbiD Name or No. ange No. Covnt_ y . ,LC?W OccupantlPRINTI '/ . l GGS-In m rOn?eS Phone No. 4g4 - qS4?3 Po suoo?.er 4 Cl Address * r 7 a ec rir C. /1 r in - Electncal Conttactor ICompanv Nemel Mrdland i5lee+rie? Con[ractor's Liconse No, ! & lv - a- Mailin0 AtlJress (C n[ractor or Own r Making Insta' a ioN 367 e L?L? QVl rY / Authoriz Sture ( ractor Own MakinB installavoN Phone Number - ?? MINNESOTA STATE BOAPD OF ELECTqICITY THIS INSPECTION NEQUEST WIIL NOT GriB9s-Midwev Bldg. - Noom N-197 BE ACCEPTEU BV THE STATE 80ARD 1821 Univergity Ave., 5[. Peul, MN 55100 UNLESS PPOPEP INSPECTION FEE IS o?.___ ?aIn% vozoj,j ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r ea-oawt-oa ? ? See ir184uCttOOS 10r ComplBlinp LhiB IOrm On bBCk 01 ylllOw COpy. 2 3 8 9 "X" Below Work Covered by 7his Request cE' AAtl XeD. Tvpe of Builtling AaCliances Wired Equ,pmeni Wired -H6me Range Temporary Service Duplex Water Heater LighLn,y Fixtures Apt. BuilAing Dryer Electnc HeaUn Commercial 81dy. Furnace Silo Unloader Industrial 81dg. Air Conditi0ner Bulk Milk Tenk Farm Othnr per.i y ther ISOaci(yl r.? uccify Ot nr Oth.r Compute Inspection Fee Below N Fea ServiceEntmnce3ize N Fee Feeders/Subf¢edera # Fee C.rcwro 0 to200qm s 0 to30Am s Oto30Am s Above 200 qmps 31 to 100 Amps 31 to 700 q Swimming Pool Ahove 100-Amps Above 100_Am Trensformers trngation Booms Partial-Other Fee Signs Speciallnspection 5 5 TOTA Remarks ?tQ 0 L FE Y ,*n M RouBh•io Date • ?, the Elect - Inaoector, hereEy Final DA}i?' inapection,hea been? I TINn recuest rold 18 montM irom 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 _?t ?-O. 0-0 New Consiructlon Reaulrements RemodeilReoairReauiremeMS Office Use Onlv 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey R,ecd ',-';, :,1'?_ N (20% mazimum lat covarage allowed) 1 sel of Energy Calculatbns for heated additians Tree Pres Plan ReGd `, Y_ N 2 copies of plan showing beam & windax sizes; poured found design, etc. 1 sile survey Wr additiom & decks ' _ Tree Pres Req?ed'?-.`;r "t 1'Y _ N 1setMEnergyCalculations Addlflon-Mdkatelfon-siTesepGcsystem On-sakgSepNeSysf'em .TY _N 3 copies of Tree Preservatbn Plan if lot plaUed after 711193 Rim Joisl Delail Options seleclion sheet (buildings wilh 3 orless units) ??? Date T?T.Q 6O /? Construction Cost d1 ow - Site Address S-CQ_+(1 ? ( V? ??? - I ?S S ?B`( ? ( CC•etk ?GL. Uniuste # Description of Work Y?Q r,? La cv-? W? ia? w/ i Y1 ..QJX :5rk 14 4 Q.Q Y1 , Y?p • Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 Property Owner 71en,)ck Z,d V i f\? Telephone #((oSl )&a 8' O(a 91 ?PELLA WINDOWS & DOORS ? Contractor 15300-25TH AVE. N. STE. #100 Address PLYMOUTH, MN 55447 City State 763-745-1400 Telephone # ( ) LICENSE # 20165884 ? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submifted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. 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 w' a proval of plans. 1C%_(o_ 6R_y\,_,0qN UL 0 1 2005 ? Applicant's Printed Name p icanYs Signature Pella W'vndnws Sc Doors - Twin Ciries, Ittc. June 8, 2001 City of fiagan 3836 Pilot Knob Road Eagan, MN 55122 Dear 7an: t ? Wd9E:l •g •uop aNil paniaaaa 15300 ?STHAVE. N. STS. #1o0 PLYMOUTH, MN 55447 763/745-1400 WATS 1-800462-5359 FAX7631745-1401 Elder Jones Corporation is aufhorized to pull huilding permits for Pella Windows 8c Doors -'I\vin Ciries, Inc. Please a11ow their representative to provide that sesvice fnr us in Eagan. This suthorizatiom shall be valid until such time as tfie division manager expressly revokes it, in writing to the City. I request that this authoriza[ion be accepted expeditiously, so as to not delay the processing of our building permits any further. Please cail me if there are any questions, I can be contacted at 763-745-1432. Your immediate attention to this matter is appreciated. ' cerely, E Bryan . May. ? Re . LQ placeme?rrt Sales Manager y,??1ya?? cc: Kaza-EldcrJones Denna Krafty - Replacemenf Sales Pmcess Coordinator `-? Windoms, Doors, & SkyIeghts 7n^M QSITiin r,trur _?us sixr exi 7TU vwa fT:cr rua T(1/4l1/Q!1 ,? 9 ? 54p RESIDENTIAL BUII.DING Permit Applicatlon City Of Esgao 3830 Pilot Knob Road, Eagan Mn 55122 Telep6one # 651-675-5675 FAX # 651-675-5674 riNG a Nerv ( 1- : NewConsWCtionReauiremenla RemadeVFteoa'aReounemis OfiiceUseOnN 3 regemred ai0e surveys shvrirg sq. R of IoL sq. R ol hause: and @g roofed areas 2 oopiav of pkn _ Cert ol Survey Recd (20% rreximum bt ooverage albwed) 1 setd Eneigy Cakula0uis ta heaW adaitlom _ Tree Pren Pbn Reod 2mPies of plan showeg beam 8 rindow sims; Poured fwM desigq etc. 1 ti0e maveY hx additions 8 dedn _Tree Prea Not Reqd lsetofEneigyCaladatlorm AddA`bn-fndkafeAansiteselptlcsystem , _On-srteSepticSystem 3 oopias of Tree Praservatlan Plen it bf pWed aPoer 711RJ3 Rim Joist Oetad OpSOns sebcliai sheet (bldga wXh 3 or lesa unb Date --:Y / Z? / 03 Coostruettoa Cost 0 4W400 Site Address /!Eg A6 r% a r 1'1-ir PPL Ala ar.L uniusce #? Descr[ptlonofWork swg$-a ll a, 0"is c& P_(:?f?iC?,v? ? F1JhW10Ceo?rUA 6zzv&S'/in2 Multi-Family Bldg _ YY N Fireplace(s) _ 0 (% 1 2 Property Owner f/Y? ?Y` ?Jay1 p" /? Telephone # ? ) (y r`/ " (!2 ContraMor Address ? Cily C/i State Zip ? 33 Telephone # (y,% ??/? (??????? COMPLETE THIS AREA GNLY IF Energy Code Category - Minnesota Rules 7670 Category l • ResMential VentlWtion Category 1 Worksheet (d submission lype) SubmlCed . Energy Envelope CalalaUons Submilted Licensed Plumber Mechanical Contractor Sewer/Wqter Contractor AF'f`i & Telephone % '7D-00 LDING code worksrreet Telephone # (9'S? e;?O -C) Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge 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 applica6on 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. a //'r WC-1 k6Tk)_ . ApplicanYs Printed Name ApplicanYs Signa RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 New Construc6oo Reauirements • 3 registered site surveys showing sq. if. of bt, sq. ft. ot house; and gll rooted areas (20% max'unum lot cvverage allowed) . 2 capies W plen slawing beon 8 wiiMmv saes: poured round design, tlt.l • 1 set of Eneryy CaIcNaOons • 3 wpias W Tree Preservation Plan H Io1 platled aAer 711193 • Rim Joist DetalOptions seleclion sheet (61dgs wilh 3 or less unfts) DATE ?D ' a C'-IL JOB SITE ADDRESS ?6--'S a d UReoalr ReauiremeMa . 2 caPies of plan • 1 set M Energy CalculaNms far heated additions • 1 site swvey tor eztedar adddions & decks . hWiqte If trome served Dy septic system for additions ?-. va,LuASioN IF MULTI-FAMILY BUILDIMG, HOW MANY UNITS? 1 PROPERTY OWNER ? ?" Y* A ^ TYPE OF WOi (o?n •F ?t9 J?-es'D-? FIREPLACE(S) _ 0 x 1_ 2 APPLICANT ??- ??? PHONE# '?'0 3-.?3/- S?? 3 ADDRESS >S 6 ? tv C/t-t,?? At1 ZfPCODE St'19- PAGER# ? eCELLPHONE# ??'?AX?# 763-S3)-'613? Nt1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing ContractoC _ Plumbing System Includes: Mechanical Conhactor: _ Mechanical System Includes: Sewer/Water CoMractor. ? Air Conditioning _ Heat Recovery System All above Information must be submitted prior to processing of application. $90.00 Phone V a? I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina Signature of Applicanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uadated 1101 MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope CalculaGons Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Iawn Sprinkler Fee: Water Heater _ No. of R.I. Baths No. of Baths Phone # PERMIT # crrY oF EtsM 383o Pu.or xxos ftD EAenx, suv ss122 ssi-Mi-as7s Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irtigation system itESIDEPTLAL PLUM$Iftfi PERM1T A"LICFtTION RECEIPT DATE: SITE ADDRESS: 1057 -bYS I Q r CreP?K RA• OWNERNAME:: jaw ZrVI/In TELEPHONE#: ((05 L?JwST' 0(a5LI (AREA CODE) INSTALLER NAME: STREET ADDRESS: DOA TELEPHONE #: (AREA CODE) CITY: Place a check mark next to the aermit work tvue STATE: ZIP: New residentiai dwelling unit under construction and not owner/occupied $ 90.00 ? Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: W(17Cr 4 Calier Septic System, new/refurbished - $ 225.00 . includes County & Consulting Inspector fees . requires MPC license State Surcharge $ .50 Totai $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowled9e [hat I have read this application, state that the informatlon is corcect, and agree to comply with all applicable Ciryof Eagan oMinances. It is the applicanPS responsibility to nolify the property owner ihat the Ciry of Eagan assumes no liability for any damages caused by the City during its normal operalional and maintenance achwlies to the facilities consVUCted under this permit within Ciry property/right-of-way/easeme : SIGNAT R PERMITTEE Updated v01 CITY OF EAGAN APPLICATION FOR PERMIT rOT:: PaxWNr aF EIM xr xnE oF APrrscxTzoN noEs Nom aorsTzTUTE APPROVAL OF PF.RNIIT. nErnMorr oF s3M Arm/CR W= TTLSTATSATTQjQ$ j+]I'j,L NOP $E $Q-]$}- ULID [MII, PEEtMT HAS MM APPRaVE9. SEWER AND/OR WATER CONNECTION - xw..:x,.?,.,.x,.x?,.,.? _------,.-x,.,?-- P ease Print 1) PROPERTY ADDRESS: /t'?,S/ ?j/2.iF?.2 (',e/? `L?? • •- LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ZD ) IF EXQSTING STRL'CIL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSL'AN(E: ' (Mon ear) PRFSENT ZONING/PROPOSID C'SE: • ? COiVYdERCIAL/REPAIL/OFFICE ? R-1 SINGLE FAMILY ' ? I'STRIAL m R-2 DL'PLEX (1D.o IInits) n INSTIZ[.'TIONAL/GOVERIZMir Q R-3 1UWNH0[7SE (Three + Units) ( Dnits) . ? R-4 APARTMENT/CODIDOMINIUM ( ^Units) 2) ? NAME: m!7Z0 Cl[S43>» • ADDRESS: 1???'/,c11 ?T?vzJ 77? • CITY. STATEr 2IP:_ ?F??/9nj PHONE: 3) • u m ?• - NArE:_?"1!B-iv7-fFx.l .?9r.'t£l S Z?c- P,DDRFSS: CITY. STATE. ZIP: PHONE: `f2-3 ---D 7 3(9 MASTER LICENSE# 3o?rti Active Fxpired Not recorded Sta Initial 4) •?« • • i?• NAME: ADDR£SS: CITY, STATE, ZZP: PHONE: ?d .5) n vt r: • a• :? • w a? ?.j CONNECI'ION TO CITY SEWFI2 /4 CONNFX,'PZON 2U CITY WATEFt ci pngI2-' j 6) - ? 7) [3 PLF.FISE HOLD APPROVID PERMIT FOR PICK-C?P BY 0NE OF ABOVE MAIL APPROVID PERMIT TO 1. 2, t?V 4. AHOVE ? ?71ASE (Circle one) / /Sr, FOR CITY USE ONLY PERMIT # ISSCED ?<<D S 72 7,1 Pd w/Bldg. Permit FEES: $ $ /D, 5 D SEWER PERMIT (INCLDDE SC'RCHARGE) $ $ /O WATER PERMIT (INCLUDE SL'RCHARGE) .. S ? 3•S O $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC'NT DEPOSIT - WATER $ 0--o $ wAc $__ $ sAc $ $ TRL'NK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRL'NK WATER $ $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ ?a J y 5? $ TOTAL R ECEIPT RECEIPT DOE S DTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? F--j YES IF YES, THEN A" PERMZT FOR WORK WITHIN PLBLIC Q NO ROADWAY" MUST BE DIVISION ISSUED BY THE ENGINEERING . LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ??' .CSszc/?? TITLE: DATE : 0 C-.NC96y cnLC-s. oN _+ /;?/ ? li? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COl4MERCIAL SINGLE FAlIILY DifELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF '1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Valuation: ,f?D• 4igg Date: Site Address 10y2 BRI,?A /.!?RPIT J?,Pr ? OFFICE USE ONLY Lot ? Block ?. Erect Y, Remodel ? Repair ^ Addition Move Demolish ' Int.Impr. ? Install ' Occupaney Zoning Type of Const 11 of Stories Length Depth Sq Ft 3 Parcel/Sub ..?? ? Owner c? ) 17D etJ S In-m A}ne5 Address Ip!`d City/Zip Code &kI15 0'???j ?YI hs ?3 7 Pnone Contractor Address City/Zip Code Phone Arch./Engr. ?-La?i-rLp/ Address City/Zip Code Phone # *1 APPROVALS FEES Assessments Permit 313. Water/Sewer ' Surcharge 30. Police Plan Review ( a-.` Fire SAC 5?S. Engr Water Conn Sco. Planner Water Meter (03.1 Council Road Unit 2y04 Bldg Of€, Treatment Pl IS(a APC ? Parks Variance Copies TOT9L -5-4174 J??" No y ??avG 2 ' 'i ZZx 3v =??o X s5 ? 3828c) (? x ? ??? 25Z x sv - 14-(. 232v SSo? 2Zx22 ??'¢x ?2 ?roZ4- ? ? a 373^+ 30 ^ + 1:?6=5+ -75<+ 7co° + 63 ^: + 290 ^ + 156 - + 2Y084- * .- ? SK.38 4f5,43 /AOBE ?pHSUlTINO EliO1HEERS ENGiNEEftING PIAHNEAS and LAHC ?URVEYONS COMPANY, INt. 1000 EJIST 146N 57REET, BUANSVILLf, MINHESOTA 55337 PN 4S2'3000 ?,¢OaI .DwC7'4P2ZOrt: L07 8, BLOCK 2, LEX/N6TON SQUARE) DAKOTA CouNTY, MlNNESOTA NORTH SCALE : 1" = 30' r? gR/AR CREEK ROqO _ , ?.E?--? <844_3 N N ' ?SERricc 1 -O 'o f 30' FRO.tlT eu/GD/Alb SETEACK L/NE -?) ;) 845.IJ ?_ C$99?: DElJOTES EXISTlN6 ELEV,qTIOAI ? ?8?? J° ?qRAGE 'O•° ? ? N? (6'Y14&) DEnIOTES PROPOSED ELEVqTION iso ?s.5 I fIN ?' I Z•5 (g95.r) ? ? '? ?? ?,? L I P¢ovosen o C??..O? I tlO s'-- lNDICRTES DlRECTIOA/ OF SURFACE DRqlA/A6r ?? I IN W ? N ?-- I-` ? ? 84?•3: = FlA/ISNED 6ARA6E FLDOR ELEVAT/Cti' (? I(?_95_U BQS.o) ?? , J ??4L.o ,?8 DRAINA66 AUD LEL uTiLITY EA'?EMENT I5 ?f1 oi C893?) 7. N 87° So' 27"E C84a.D ? L _lJ/ ?- I hereby cartity that thin ia a t:ue and correct representation ot a trac! of f land as ¦ho+m'and deacribed hereon.• Aa prepared by mn on thit zan+ day o ?n?_, 19 84 . %?••L Hinn. 1lsa. No. 14vvtr Agenda Information Memo September 2, 1997 ACTION TO BE CONSIDERED: To consider a claim from 1058 Briar Creek Road and authorize/deny requested driveway replacement. • City Council has received a letter from Thomas and Jean Ervin, property owners at 1058 Briaz Creek Road. T'heir letter is requesting that the City resurface the entue driveway as a result of a patch performed by the Public Works Department around the water service shut off valve. • The property description is Lot 8, Block 2 Lexington Square addition and was constructed during the summer of 1986. Building pernut application site plan shows the driveway being constructed over the water shutoff valve. • The modification to the water shut off valve and subsequence patch performed by the Public Works Department are part of a preventarive maintenance program min;.,,izing the number of water service leak repairs saving major repair bills to either the City or the Property owner depending upon which side of the water valve the leak occurs. A memo from the Superintendent of Utilities fiuther explains this program. . The staff has responded several times to the property owners reviewing the patch and replacing it. There is no further action available within City staff resources. • Pmperty owner's letter/claim, pages and • Staff s report, pages through • Photos (available at the Counci] meeting). Agenda Information Memo September 2, 1997 ACTION TO BE CONSIDERED: To appmve the plans for Contract 97-13 (Southern Lakes- Trunk Utility Extensions) and authorize the advertisement for a bid opening to be held at 1030 a.m. Friday, October 3, 1997. • Contract 47-13 provides for the extension of trunk utilities to the Inver Grove Heights border to service the Southern Lakes Development. If Project 723 (Southem Lakes Trunk Utilities) is approved as a result of the Public Hearing eazlier on the agenda, it would be appropriate for the City Council to appmve the plans and authorize the solicitation of competitive bids for this public impmvement. • The preparation of these plans was initiated simultaneously with the feasibility report at the request of Inver Grove Heights on behalf of the developer to facilitate construction yet ttris Fall. r2 ? ky,,?^'? .41 August 1, 1997 Eagan City Council 3830 Pilot Knoh Rd. Eagan, MN 55122 Re: Driveway Dear Council Members, R I am writing in regards to our asphalt driveway. 1 have talked with Wayne Schwanz on several occasions and he referred me to the council. We have a water pipe in our driveway which is approximately 2 feet in from the side of the drive and 5 feet up from the bottom of the drive. Approximately 3 years ago the pipe rose up above the driveway. We called the City of Eagan and it was lowered to the height of the drrveway without any problems. In April of this yeaz we called the ciry again regarding the pipe. During the winter the pipe rose up again. We were concemed for safety because visitors have tripped over the pipe. I was told the city would come out "in a few weeks" and take care of it. I was told a lid would be put over the pipe and we would no longer have probiems. It wasn't unul June and another phone call that anyone came out. We were at work when the pipe in our driveway was repaired. The lid was put on the pipe but part of our drive was cut out. The driveway looked terrihte. The black top patch around the lid wasn't the same height as our drive, it was a different texture from our drive and was a total eyesore. We tried to sealcoat the drive to improve it but it did not wark. I made more phone calls to the city and my phone calls were not returned. Finally a worker came out and admitted the job was poor quality. It was repairsd again the exact same way. I again called the city several times and finally talked with Tom from the street department. I told him of our concerns and didn't get any satisfaction. He told me the blacktop patch was probably better qualiry asphalt then our driveway. That really doesn't help us. Tom said he realized the patch didn't match but that was how the City of Eagan repairs the pipes. I asked £or the supervisor and spoke with Wayne Schwanz. He looked at the drivaway. T told him of our concems and he refened us to the council. The city should have told us that a patch would be cut in our drive and that it would not match the rest af our drive. The patch is not estectically pleasing and decreases the value of our properiy. We had numerous asphalt companies come out and give us advise. AIl the companies have told us that the patch was poorly done. It is not the same texture as our drive, it was 40' a city oF eagan THOMASEGAN Moyor PATRICIA AWADA BEA BLOMQUIST SANDRA A. MASIN SEPTEMBER 9, 1997 THEODORE WACHTER Council Members THOMPS HEDGES THOMAS AND JEAN IRVIN citvAdministrator lOS$ BRIAR CREEK ROAD E. J. VAN OVERBEKE EAGAN. MN 55123 City Clerk RE: DRIVEWAY REPAIR CLAIM -1058 BRIAR CREEK ROAD Dear Mr. and Mrs. Irvin: Your letter of August 1 requesting the City of Eagan to resurface your driveway was presented to the City Council at their September 2 meeting. After giving due consideration to your request, I regret to inform you that the City Council has denied your claim. I am enclosing a copy of the report prepared by our Superintendent of Utilities that describes the purpose and the benefit of this program. While we realize that it results in a small patch near the water shut off valve, this program has significantly reduced the number of water service leaks that many times are the responsibility of the homeowner. I am sorry that we were not able to satisfactorily address your concems and claim. Sincerely, , 'Z'ho?mas A. Colbert, P.E. Director of Public Works TAC/das Enclosure: Report G TECHSq'OMIL['IT[R$/1058 enwCredAdDnvcwayAcpanClaim dw MUNIqPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESO7A 55122-1897 PHONE. (612) 681-4600 FAX (672) 681-4612 TDD (612) 454-8535 THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Oppor}Unity/Affirmatlve Actlon Employer MAINTENANCE fAqLIN 3501 COACHMAN POINT EAGAN MINNESOTA 55722 PHONE. (612) 681-4300 FAX (612)681-4360 TDD (612) 454-8535 ._? 4-1b! TO: FROM DATE: SUBJECT: MEMO city of eagan TOM COLBERT, DIRECTOR OF PUBLIC WORKS WAYNE SCHWANZ, SUPERINTENDENT OF UTIITIES AUGUST 28,1997 DRIVEWAY CURB BOX COVER,1058 BRIAR CREEK ROAD INTRODUCTION: Water services to individual homes are controlled at the property line by a curb box. This valve allows the Utility Division to shut water on and off to the home in the cases of emergencies or when other plumbing work needs to be done. Usually, these curb boxes reside somewhere within the frnnt yard. However, at times, because of the type of construction of the home, the curb box inevitably ends up residing within the driveway. In the winter, when the driveway has been cleared of snow, the frost is able to drive deeper into the ground. As the frost expands on the driveway, it lifts the driveway. As the driveway lifts, it also pulls up on the curb box through the winter. In the spring, when the frost goes out, the driveway settles down with the ground. However, the curb box usually remains one to three inches above the existing driveway pad. In the past, the Utility Division would go out and drive these curb boxes back down flush with the driveway. However, after yeazs of this cycle of lifting and being put back into proper position, curb boxes have a tendency to leak. At this time, depending on whether the leak is on the street side or the homeowner side of the curb box, the driveway needs to be exposed, dug, and the curb box repaired at the copper service line. This results in an expense upwazd of $2,000 for the excavation, repair, and replacement of the driveway. In 1989, the Utility Division standazdized the specification requiring all new homes, where curb boxes would be residing in the driveway, to have what is known as a driveway cover placed over them. The driveway cover appears to be a small manhole which is embedded in the asphalt or concrete around the curb box. In the winter, as frost lifts the driveway, the driveway cover will ride up and down with the driveway as the frost either raises or lowers throughout the year. The curb box underneath the driveway, no longer being attached to it, stays at its normal level and is protected from damage and or movement. In 1992, as residents began calling the Utility Division to request curb box in driveways be lowered, the Utility Division started to install curb box covers in existing driveways over the curb box at no cost to the residents. To be able to accomplish this, the Utility Division would cut an approximate 16" square in the driveway, place a driveway cover over the curb stop and resurface the driveway back to its original level. Since the initiation of the program, over 259 driveways have been repaired this way by the Utility Division on existing homes. BACKGROi JND• In the spring of 1997, Jean Irving of 1058 Briaz Creek Road, contacted the Utility Division to report that the curb box in her driveway had been raised through the winter. She stated that this was not the first time that this happened. The Utility Division informed her they could resolve the problem by placing a driveway cover within the driveway, to which 7ean Irving ageed to. In June, the Utility Division, in its normal routine of replacing driveway covers, repaired the curb box problem at 1058 Briaz Creek Road. Shortly thereafter, Jean Irving called the Utility Division complaining that the repair was unsightly and that the blacktop was poorly patched azound the newly installed driveway cover. At this time, the Utility Division again went out and removed the blacktop, replaced another patch around the cover, sealing the edges and tamping the asphalt to original grade. Jean Irving made numerous other calls to the Utility Supervisor, Kelley Janes, complaining that the patch was not adequate. At this time, Kelley Janes approached the Street Supervisor, Tom Struve, to review the situation and to advise him as to the technical aspects of the patch which was completed. Tom Struve inspected the patch July 14th, 1991, and informed Jean Irving that the patch was of the standard the City uses in all of its repairs not only azound driveway covers that aze being placed by the Utility Division, but also as standard pracrice to street repair and that the integrity oF the patch was of high quality. However, at this point, Jean Irving was still not satisfied with the quality of the patch and contacted the Superintendent of Utilities, Wayne Schwanz. I personally went out and inspected the patch in approximately mid-July. I found the patch to be of quality standazd and not unlike other patches which have been done in the past five years. I then contacted Jean Irving and, after a lengthy discussion, was able to discover that it was not the quality of the patch that she was concerned about, but the aesthetics of the patch. Her main concern was that the color of the blacktop did not match the existing driveway blacktop color and that you could indeed see that a repair had been made in the driveway. At this time, I informed Mrs. Irving that the Utility Division could not go any further in regazds to eliminating her concerns about the aesthetics of the patch. I suggested to her to write a letter and direct it to myself and that I would forward it to Tom Colbert, Director of Public Works, and he would then have to review and pass it on to the City Council for review of the situation. CONCLUSION• I again inspected the patch on August 20th, 1997. I didn't observe any problems with the patch as far as integrity or quality of work were concemed. I have noticed that the driveway at the residence 1058 Briaz Creek Road has, over the years since construction, seemed to have se.ttled approximately 1/2 to 1 inch both at the curb and the gazage, and the existing driveway has extreme weather cracking throughout its surface. I believe that the driveway cover and patch which was installed by the Utility Division was not unusual for the quality of work which has been performed. Again, this work has been performed over 250 existing driveways, and to this date, Jean Irving is the only complaint we have ever received as to the quality or aesthetics of the work which had been done. I believe that this is a good program and should be continued in the future. The benefits of the program far outweigh the possibility of damage being done to driveways and to public right-of- way streets. I am also of the opinion that after approximately one yeaz of weathering that the color of the patch and the existing driveway will be very similaz due to fading which.is caused by the sun, traffic, etc. Wayne Schwanz Superintendent of Utilities WS/cm /:145wAlco1be274      ÷ï÷    îúú  ÿ þýý  üúÿüú     ùýý ðû í  ê þòý Þ   þý÷  þýüûúù  ñý    ûúù â í   ùñý   Üý        ù ë òý ë   ïýü   ä  ÿþ      ù  ÿ  ý  ïöë  å î ä æèè öù  þý ï ñê æèè ç ý ôÿè  õððó ÷ òñ ùù  öëö  Ýõ õûïë  î    õ ø  äâô äâô àìßôô ï üú í  ï ï î  ï  ùù     ï ï ÷ ë     ëùúíï  ùù ü þ   ÷ä  þ ý  õú÷ ð   è ùù é  ý úþ  ý PERMIT City of Eagan Permit Type:Building Permit Number:EA114920 Date Issued:09/20/2013 Permit Category:ePermit Site Address: 1058 Briar Creek Rd Lot:8 Block: 2 Addition: Lexington Square PID:10-45075-02-080 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 . Audrey Flattum 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 - Thomas E Irvin 1058 Briar Creek Rd Eagan MN 55123 (651) 398-1745 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159691 Date Issued:01/09/2020 Permit Category:ePermit Site Address: 1058 Briar Creek Rd Lot:8 Block: 2 Addition: Lexington Square PID:10-45075-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Jean M Irvin 1058 Briar Creek Rd Eagan MN 55123 (651) 398-1745 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164764 Date Issued:10/07/2020 Permit Category:ePermit Site Address: 1058 Briar Creek Rd Lot:8 Block: 2 Addition: Lexington Square PID:10-45075-02-080 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 - Jean M Irvin 1058 Briar Creek Rd Eagan MN 55123 (651) 398-1745 Intelligent Design Corp 10907 93rd Ave N Maple Grove MN 55369 (763) 315-0745 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171148 Date Issued:08/03/2021 Permit Category:ePermit Site Address: 1058 Briar Creek Rd Lot:8 Block: 2 Addition: Lexington Square PID:10-45075-02-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Daniel Albin Opitz 1058 Briar Creek Rd Eagan MN 55123 Schwantes Heating 6080 Oren Ave N Stillwater MN 55082 (651) 439-3331 Applicant/Permitee: Signature Issued By: Signature