3884 Calcite Dr
CITY OF EAGAN WATER SERVICE PERMIT
U,95-Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units.
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit: _
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.-.
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No, of Units:
Owner:
Address:
Site Address: _
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING 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 _ Type of Const
City Water (Actual)
w Name (Allowable)
_ # of Stories
Address Length
l City Phone Depth
I S.F. Total
p Name Footprint S.F.
02t Address APPROVALS FEES
r
City Phone Assessments Permit
F ¢ Water/Sewer Surcharge
F W Name Police Plan Review
_ Address Fire SAC, City
u Engr. SAC, MWCC
z w City Phone Planner Water Conn.
Council Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. - Road Unit
that the Information is correct and agree to comply with all applicable APC _ Treatment P1
State of Minnesota Statutes and City of Eagan Ordinances. Variance Parks
Copies
Signature of Permittee TOTAL
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 Molder We Telephone
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final OgI
C4ty
ert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well Sr 2L-fr7- r
Pr. Disp.
ys/ /Gi~✓S ~G
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N2 4509
PHONE: 454-8100
' BUILDING PERMIT Receipt #
To be used for . , Date 19
Site Address Erect ❑ Occupancy
Lot Block Sec/Sub. _ Alter ❑ Zoning
Parcel # _ Repair ❑ Fire Zone _
Enlarge ❑ Type of Const.
W Name - Move ❑ # Stories -
Z Address Demolish ❑ Front ft.
3
_ Grade ❑ Depth ft.
City Phone
Nome Approvals Fees
0
ua Address Assessment Permit
0 Water & Sew, Surcharge
~ City Phone
Police Plan check
r- _
FW Name Fire SAC
Address Eng. Water Conn.
$ aU, Ci Phone Planner Water Meter
Council
hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee
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 -
•
r
Penult # Dale lumd Pennittee
Plumbing
Mechanical
INSPECTION DATE INSP. Rough-In Final
Footings Date Insp. Date Insp.
Foundation _ Plumbing Jp/-) -7
Frame/ins. Mechanical -7
Final
Remarks: jA - f ¢ - 7 7
CITY OF EA"N
3795 Pilot Knob Road
Eason, Minnesota 55122
Phone: 454-8100
PERMIT No. 1 3`
November 22, 14'77
Date: Receipt No.:
Single
Site Address: c.n_c, `u ? ' Residential
Lot Block Sub/Set. Multi Res., Comm./Ind.
7?111rs.
Name New/Alter./Repair. Address Cost of Installation
o i,-r '1C VHZiCv o'
City Phone: Permit Fee
r.edrickson Heatinc. r
ame Surcharge
30 Beau d' Rae Dr ive
Address
c
City Phone: , r
Tota I
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
I
Building Official
c
CITY OF EA"N
3795 Pilot Knob Road
Eagan, Minnesota 55122
Phone: 454-8100
I".._ 51£ Ii'' PERMIT No. '
1ov
Date: iber. 1, ] O77 Receipt No.: 711' i
Single
3884 Calcite Drive Residential
Site Address:
Lot Block Sub/Sec. ~r Multi Res., Comm./Ind.
Nome New/Alter./Repair. 0
Address Cost of Installation
City .11e Valle;
Phone: Permit Fee
enz-Ryan Plumbing & Heatinr.: Inc. • 5G
` Name Surcharge -
1 l'-:_5 South I~Dbert Trail
P Address
e
0
Clty Phone: Total
This rmit is issued on the express condition that all work shall be done in accordance with all applicable State of
Mi esota Statutes and City of Eagan Ordinances.
Building Official
r
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phone: 454-B100
PERMIT No.
Date: )'ruary 8, Receipt No.:
Single I
Site Address: Residential
Lot Block Sub/Sec. Multi Res., Comm./Ind.
Name New/Alter./Repoir '17 re Address Cost of Installation _
City Phone: Permit Fee
-^-t 'Ja ter o c . Nome Surcharge
Address 'A Cam,
City _ Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
V
Building Official
CITY OF EAGAN Remarks
Addition CEDAR GROVE #9 Lot 4 Rik 2 Parcel 10 6708 040 02
Owner street 3884 Calcite Drive State Eagan F MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. '39s 978 035.45 103.55 10 911-11 AOOS481 1118/79
STREET RESTOR.
GRADING
SAN SEW TRUNK )4b 1968 55.16 1.83 38 35.03 A005481 1118178
* SEWER LATERAL 1975 1,289.38 257.87 5 257.90 AOOS481 1/18178
*Nat. Lat, Stubs, Ar. 1975 5
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1976 279.12 55.82 5 111.66 A005481 1/18/78
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 7639 10-6-77
BUILDING PER. #4509 7639 10-6-77
SAC 475.00 7639 10-6-77
PARK
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prim legibly Tot.
1. Date September 20,PV,stallation Cost $2..150.00 _
3. Job Address 3884 Calcite DrI of U Blk. _ Tract
4. Owner David Shelton
5. Contractor FRBDRICKSON HTG. & A.O. Phone 452-2775
6. Address 4030 Beau D' Rine Dr.
7. City Eagan State j2, Zip "r, i
8. Building Type: Residential] Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter V Repair ❑
10. Describe LI NAOX G1403-60 Pulse Fuel Type ;natl. Gas
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 with all ordinances and codes governing 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
west void 18 months from e / `'l 7
P 317 3
71 8
Date of this Request Cd A (o -
I, as Il l icensed Electncal Contractor ❑ Owner, do hereby request inspection of the above electri-
cal wiring installed at: ~ 4 / ~ f
Street Address pr Rglyte No. ~j -7 Opb (?a y2c ~'o i City
t=1-5/ CSC
Section Townshiipp7 C Ran ge County
Which is occupied by
(Name of Occupant)
Is a roughin inspection required on this job? No U Yes 09,`~! Ready Now 0 Will Call Q'
Power Supplier .?C1~slL, Address dn~c c°l
Electrical Contra o z+ ,A t Contractor's Uc
W i r3
V.il l (c dao l'
Mailing Address
13 8 13 H lactr a6 b "actor or own fin it latio n)
Authorized Signature Phone No, o _
C _ c nor Making This Installation) SAW T BOARD COPY
1w Minnesota State Board of Electricity e 7
University Ave., St. Paul, Minn. 55104-Phone 645-7703
_ REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 31783
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home M ❑ ❑ Range ® Temporary tarring
Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ,❑1
Apt. Bldg. ❑ ❑ ❑ Dryer ) Electric Heating
Commercial Bldg. El El 1:1 Furnace 19 SU, Ulmer I-]
Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑
Farm El El El List ) List
Other ❑ ❑ ❑ Others} Others
1lere 4~jw' 12 19 Here 111
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Feeders&Subf Circuits: # Fee
0 to 100 Am s. 0 to 0 to 30 Amperes
101 to 200 Amps. 31 to =010'
31 to 100 Am res
Above 200 Amps. Above 1 Above 100 Amps.
Transformers Remo I Partial or other fee
S- ns Special ' do Minimum fee $5.00
Remarks
TOTAL FEE 44 13
I, the Electrical Inspector, hereby certify that the above-in~ection has been m (de. O- 0CS
(Rough in) /~1_ !1'4 Date
(Final) A „ Date CJ - 7
This request void 18 months from v
e CITY OF EAGAN NO- 13 3 4 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN55121
BUILDING PERMIT PHONE: 454.8100 Receipt # `?/2 G
Tobeusedfor PORCH Est. Value $4,000 Date MARCH 16 119 87
Site Address 3884 CALCITE - OFFICE USE ONLY
Lot 4 Block 2 Sec/Sub. CEDAR GROVE 9 On Site Sewage _ Occupancy
MWCC System Zoning
Parcel No. On Site Well Type of Const
City Water _ (Actual)
a Name DAVID SHELTON (Allowable)
W # of Stories
z Address SAME Length
c City Phone 456-0039 Depth
S.F. Total
a Name PATIO ENCLOSURES FootprintS.F.
0u Address 6219 CAMBRIDGE ST APPROVALS FEES
City ST LOUIS F%ne 920-1575 Assessmems Permit 51.50
0
t Water/Sewer Surcharge 2.0
wa Name Police Plan Review
!t Fire SAC, City
x- Address
uo Engr. SAG,MWCC
aw City Phone Planner Water Conn.
Council Water Meter
I hereby acknowledge that I hav read this application and state Bldg. Off. Road Unit
that the information is correct an agree to comply with all applicable APC Treatment Pt
State of Minnesota Statut a Ci f Eagan Ordi. nces. Variance Parks
Copies
Signature of Permittee --4 r!cor TOTAL ~3~-~0
A Building Permit is issued t PATIO ENCLOSURES on the express condition that
all work shall be done in ac ordance with all appli le State of Mi esota Statutes and City of Eagan Ordinances.
r
Building Official
bar
3
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
Be Used For: Valuation: Date: Z-12-e7
Site Address 3 i? CAI- OFFICE USE ONLY
Lot Block On Site Sewage_ Occupancy
MWCC System Zoning
Parcel/Sub On Site Well Type of Const
City Water (Actual)
Owner __Qy/iiQ S/~%~an (Allowable)
/l # of Stories
Address ~~~7 GAGCIT>° Length
Depth
City/Zip Code ~Gaen yJ,,, ~~/,Zz S.F. Total
Footprint ~/s6 -ao7~ APPROVALS FEESS.F.
Contractor fJG~ic E~./asi. Assessments Permit SI
Water/Sewer Surcharge Z.
Address G:Z /p G~nd ,~1~ ST Police Plan Review
Fire SAC, City
City/Zip Code ST, Lacer ~4.k Engr SAC, MWCC
Planner Water Conn
Phone CJZG -/f~f Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies
TOTAL. 53 5
City/Zip Code
Phone #
~__l _ _ _ - I I FR_ ~S If^-
- 41
- # 1
lea . - - I -
_ - t 1-~ - _ l-- - - - 1- L - _ 1
t- _ _ - - - - DAR ~ - _ _
CITY OF EAGAN N? 4 5 0 9
3795 Pilot Knob Rood Eagan, MN 55122
s PHONE: 454-8100
BUILDING PERMIT APPLICATION $31r 7639
000. Receipt #
To be and for Sine- Fam_ Dwle. d Gate- Date October 6, 1977
Site Address 3884 Calcite Erect ❑X Occupancy I
Lot 4 Block 2 Sec/Sub. CG 9 Alter ❑ Zoning R1
Parcel # Repair ❑ Fire Zone 3 _
Enlarge ❑ Type of Const. V
Name David Shelton Move ❑ # Stories
3 Address Demolish ❑ Front 42 ft.
0 24 ft.
Ci Phone 454-3387 Grade ❑ Depth
o Name ee_t 1 eF•..yl~~, 1n~ Approvals Fees
Xo~ Addre~ 816 Holyoke Ln Assessment Permit 95.50 _
u~ Ad a al 'g 454-6873 Water & Sew. Surcharge 16.00
City - Phone Police Plan check
Name
FZ Fire SAC 475.00
Address Eng. Water Conn. 230-0
aw Cii Phone Planner Water Meter 60.00
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable APC Total 876.50
State of Minnesota Statutes/ aA/'d City of Eagan OOrdinanc/Jes.
Signature of Permittee !lam gc-k
A Building Permit is issued, to - Tollefson B1drS. Inc. on the express condition that
all work shall be done i cordance ith II o licable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official _ ;e'L<• 1-~
Date: .2 0
BUILDIUG PERMIT A?-PL•ICATIO:T
LOT BLOCK a2 ADOTTI07~ # 9
PARCEL & SECTION HUJIBER IF MIPLATTED
ADDRESS OF PARCEL
7.OedT;G _ r OCCUPP2ICY__ USE
e i
. ESTLiArTM COST
otilsaaJ e LDA) TELiPxor,Is NO. SAS- X338 7
AME-ESS e,- o cl.
CO!•1RZICTOR TELEPxOI•JE 170. '71- JP ~
AnnRESS 1.3 g/ Lid / Up
Note,. Include site plan, building plans, and energy calcuI ?ons with this . '
application
Signe
h 01-TICE USE
ILWT3R CO.PTEC^_IOiI ';~"tjn Ed - -
TIATER TJETER L l
BUILDING PERMIT FEE;
SURCHARGE FEE
rum CEnCK FEE - . '
PARR DEDICATI0t1 FEE
OTRER
TOTAL* -
P_PPROVALS
ASSLSSA4MIT CLprlx 0) BUILDING DEPT. POLICE DEPT.
T.TATER & SM ER DEPT. FIRE DEPT. PARK DEPT.
Yolrefson Builders Inc. Or. 10732
y( 179-80
t ES-~'~i
F. C. JACKSON
LANG SUR%*L"VM
PtWMTRWD YNOM LAWS OF WrAT! OF IIINNtaOTA
LNUMO » MY ORONiANC[ OF CITY OF MIW/tAFOLIG
ssis CAST seTN zmmm 55417 727 -3484
~btrr'~c ~crttl~ts -
fi' y
ZZ,
40 1
1
~c)
1 Ma>~Y CMWnVT TMAT TM AMVVa M A Tw AM CONMEQT PLAY Cr A
Lot 4.Block 2,Cedar Grove Na. 9,
Dakota Countr,Minnesota.
AS suln►sVW BY IM THIS 7th. DAY of Sept. A.D. 1977
i
SMN
F. C. JA SON, MINN'SOMA, NITRATION. No. 3600
CITY USE ONLY
~7i
LOT BL RECEIPT ± J - l
SUED. RECEIPT ATE:
V 3 I
1999 MECHANICAL PtRbIrr tRESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: (651) 681-4675
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New X Replacement _ Repair - Other
~r amp +bn ~l(C.
_ Furnace Air conditioning
550flNX0D' q
Air exchanger, i.e. Vanee system, etc. Other
Reminder. Call 681-4675 for inspections. $ 30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ~R l G IC
OWNER NAME: PHONE tp~ 1 ZS -d~ b
INSTALLER NAME: - I T 1 Y C~ C • PHONE '-14
STREET AD RESS:
CIT~ STATE: M~_ ZIP: 553 /
SIGNATURE OF PERMITTEE
JS/FORMS BLD/MECII PERMIT (RES) - 1999
city of eagan MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 9 (18 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 9 Addition.
Block 1, Lots 1-13 13
Block 2, Lots 1-5 5
18
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
/ i
Ed and J. 5cht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
RESIDENTIAL
BUILDING PERMIT APPLICATION
64q CITY OF EAGAN
f 5 3830 PILOT KNOB RD - 55122 01, 75
651-681-0675
New Constmction Requirements RemodegReoalr 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 ff lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units) r
DATE ? V C IV (016(
VALUATION I JJ
JOB SITE ADDRESS 3 ~Sf' y I G: C
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER Td~N L Iy ~a v a
TYPE OF WORK n ~~eefrte ~''^~o~- ~~s l l ( FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ItPNG ~5S c ce C Ffrr a~ PHONE#
ADDRESS_ ZsS~. t}~n~ic~-~ I 1~la~rcQS ytPte. ZIPCODE SS/(Z
PAGER # CE L PHONE # 1 FAX ~3~ 72"0 -Z0 3
3 7 d ^2o~a
NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
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 #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inform tion is Cgcrgct, and ee to comply
with all applicable State of Minnesota Statutes and City of Eagan~di es. GfC/
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 1/01
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114463
Date Issued:09/16/2013
Permit Category:ePermit
Site Address: 3884 Calcite Dr
Lot:4 Block: 2 Addition: Cedar Grove 9th
PID:10-16708-02-040
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Joy M Ranft
3884 Calcite Dr
Eagan MN 55122--160
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143184
Date Issued:06/06/2017
Permit Category:ePermit
Site Address: 3884 Calcite Dr
Lot:4 Block: 2 Addition: Cedar Grove 9th
PID:10-16708-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Anthony Dagostino
3884 Calcite Dr
Eagan MN 55122
(612) 710-4120
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature