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3909 Calcite DrINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: CE:?[?f]k HKUVF Ni. PERMIT SUBTYPE: ; . 1 1' "'11 1Nt? rsutI D rNIn e?.s01 91 0hfic+l4r APPLICANT: TYPE OF WORK: EtF ",l fr LP t 1OM kI PAlhti RE_FIAik ( kt!(#F I Nti 1 - --------------------=-_------------------J Permit No. Parmit Holder Dete Tetephone # ELECTRIC PLUMBING HVAC Inapectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7 / ?,S197 ROUGH PLUMBING PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIH TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FiG DECK FINAL CITY OF EAGAM Street Improvement date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 40 1968 92-43 .d8 30 P2j.C? .#. SEWER LATERAL 1 O 1472.00 20 Pad"L WATERMAIN , # 1NATER LATERAL 1970 20 WATER AREA * STORM SEW TRK 1 O ZO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 210.00 I 6-2-69 BUILDING PER. sac 200.00 1455 -2- 9 PARK 0-171P78 ? °V 3 Zao flequest Oele ? ? J Fire No. ou Rln Inspectian Fequiretl (VOU musl call inspecMOr en reatly) I lion Other Than Rough-In ReaOy Now ? Will Nolity Inspector ? Ves No te qead 44 I icensed contractor ?owner hereby request inspection of above electrical work at: Jab Adtlress (SVeet, Box or RoNe N ? 3 qB 9?? ?! ?2 2. City a Section No. Township Name or No. Range No. Goun - I. ?Ge?sD OccuOantjPRIN b j'1 vlSd vl Phone No. ?s' 6 Power Supplier Atltlress Elecm onVactor (CO pany Name 16 a rL?d-r L e, Conhactors license No. 00 Mailing tlress (Contractor or Ow) Making I stallation) E K / ? / a 5 Authorixetl Silgraturef(Cynhoactor/Owner Making Installation) Phone Number ? c/ 7f1/ ao MINNESOTA STATE BOARD OF ELECTRIC THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldg. - Poom S-128 St Paul, MN 55109 6 I ? BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPEGTION FEE IS Phone f6121 2-OBOn FNC.I ORFfI. Q-J'7Q? REQUEST FOR ELECTRICAL MSPECTION e[s-ooo?Joi-o3 ?•?o/QS a ? Sea inslmqions for completing ihis form on ?ack ol yellow copy. -r "X" Below Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplez Water Heater Elecuic Heating Apt. Building Dryer Load Management Comm./Industrial Fumace t r pecify) Farm Air Conditioner e Other(speciy) o tracmr's Remarks: , Compu[e lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Slgns Inspearors Use Onry: TOTAL Irrigation Booms Special Inspection AIarMCommunication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ihe Elecirical Inspector, hereby tit [h t th b i ti h Rough-in oa?e cer y a e a ove nspec on as been made. Finai , o OFFICE USE ONLY This request voitl 18 manths irom , A I , ?, c?vv o?' fC? 01 4418 #?(.P $o?o U° ReOUeat Oata ? ? pi?e No. Rough-In Inpsaciqn qepuiretl (VOU must call inspe r when reatly) ? Yae N. 1 8 ction Othet Than Rouph-In peatly Now ? Will Nolity Inepettor Dete PeaO P icensed contractor ;] owner hereby request inspection of above electrical work at: Job ntlaress (Sireet. Bax or Rome No.? - 3 9t? 9 ? 1 c / fe ,1? ?2 , Clry ?. Seciion No. Townsnip Name or No. Range No. Counry OccupantlPRIN? h nsQ ? Phon6Np.?? &lq o Y L Power Supplier Atltlress Eiearicai Comractor (Campan Name? Comrector's License No. ? l'70 Mailing qtla SS fConfractor or Ownar Ma ng InsYali tion) avtno?rzeo S?gnamre (Con cm ' r Mawng insraliationi anone Number ?? -6av? MINNESOTA STATE BOARD OF ELECTHICITY . ? Grigga-MlEway Bltlg. - Room S173 I831 Univerciry Ave., SL Peul. MN 55104 Phone1612164I.0000 THIS INSPECTION REQUEST WILI NOT BE ACCEPTED BY THE SiATE BOARD UNLESS PqOPER INSPECTION fEE IS ENCLOSED. ?Q? REQUEST FOR ELECTRICAL INSPECTION p ? See instmctions lor completing fils form on back o( yellow Copy. C?I/ 0 6 4 0 "X" Be/ow Work Covered by Thrs Request 9XEaooom.oe ? ew Add Rep. Typeoleuilding AppliancesWired EquipmenlWired Home Range Temporary ServiCe Oupiex Water Heater ElecVic Heating Apt. Building Dryer Load Menagement Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (syecily) Contrector5 RemaMS'. Compufe Inspecfion Fee 8elow: # O[her Fee N ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ill Transformers Above 200 _ Amps Above 700 _ Amps SigOS Inspector5 Use Only: TOTALaa. ' Irriqation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY li?E ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby f Rough-in ( oa?e certi y that the above inspection has been made. F;nai ? OfFICE USE ONLV Tliis request voitl 18 mmths trom EAGAN TOWNSHIP BUILDING PERMIT owae: ....?a-e...?-'^-t.... `..c-r..--?...._..??...•.----.....-?--- Address (Precent) .... 'I..:3...`.7!.3--°. Builder Address DESCRIPTION x? zozs Eagan Township Town Hall Daie .,f............... Storiee To Be Used For Front Depth Heighf Est, Cos! Permi! Fee Remarks =" ct LOCATION This permit does not auShorise the use of slreels, roads, alleys or sidewalks nor does it give the owner or his agent the righ! !o ereale enp siluation which is a nuisance or which presenis e hazard !o the healih, safety, convenienee and general welfare !o anyone in the community. THIS PERMIT MUST BE KE?T ON?TyH'E?PREMISE WHILE THE WORK IS IN PROGRESS. This is fo ceefify. !hal....G_' ..... .....:............ ?................. has permission to ereat a._ . . .... ? ?..upon ._...--- - .... ....- ..... .......... the above described premise subjeef !a the provisiona of the Suilding Ordinance for Eagan T nship adopied April 11, 1855. _...._......_....._. .. """? ....................._ Per .................. !;-:e ??<2<5'.J............... -? ?" . r-.......... Cheir an of T,wn Board Suilding Inspectoz 4 „Ci - ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ~., (ROOFrNG) Bjti a,3.dinq?-.F?ermit Type Bu:i.3.ding 41d,Ck rype `G+ansuv Gode ? . ? ,... . .:,:i i.. . . . .. . . a?? '' .... . 3909 CflLf,ITE 6ft LOTa 18 BLOCK: 3 CEDAR GRCVE #6 P.S.IV.: 10-16705-180-03 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fae Surcharge Total Fee PERMIT PERMITTYPE: euzLnzraG Permit Number: 030191 Date Issued: 0 6/ 10 J 9 7 SF (MISC.) RCPRIR 434 /?L7. R"c`.iIDEIVi"IFl1.. 5,3 r a 7 a \?.? vALuArxorv $99.75 $2.50 $102. 25 $5, 000 CONTRACTOR: - n p p l i c a n t - s t. L z c. OWNER: 6EME'S HOME CARE 5 REPAIRS 14543402 0002715 JOHNSOP! HAROLD 2'017 FLIMi LN 3909 CALCITE DR 'EAGAN MIV 55122 EAGAN MN 55123 (612) 454-3402 (612)454-6196 ? . , - . _ . . - .. . , . . . . { I heretry acknawlad`ga that I have read this ippiic6l:ian anc# state,that the inferrmatYon Ss carrecC and agree to`camqly with all app'licdble_Statry af Mn., 5tatutos arid r-ity o# Eagan Ardinemaes.-. , ,. APPLICANT/PERMITEE SIGNATURE AOl?? k.Pir,?,? ?1111 ISSUED V: SIGNA J?R 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 301ql 3830 PILOT KNOB RD - 55122 daw Conshuetian ReouircmerMS RemodeURecair Reauhemenp CITY OF EAGAN 681?675 ?1o I.jI' ? 3 registered site surveys ? 2 copies of pWn ? 2 copias of plana (indude beam 8 window saea; poured fnd. design; etc.) ? 2 site surveys (extedor addlGons & ded(s) ? t energy plaletlons + I Bn8 rgy esiculadana for heated additlons • 3 coplee ot tree praservation plan 'rf fot platted eRer 7/1193 required: _ Yea Ib/- No . ' D'4TE: ?27A / ? 2 CONSTRUCTION COST: ? DESCRIPTION OF WORK: ? STREET ADDRESS: LOT _LL_ BLOCK SUBD./P.I.D. PROPERTY OWNER CONTRACTOR ARCHITECT! ENGINEER Name: ?iyso?i? Phone #: Street Address: 3Sd 9 C"??'??' City: ?Afvs?.? State:Zip. Company: e5;?,F Phone #: Street Address: aY407 1010,v7- License #: a 7/--_5? City: 6;ifHW State: _?dr? Zip: ?S/?''? Company: Name: Phone Registration Street Address: City: State: Zip: Sewer & water licensed plumber (new construction onty): and lot change are requested once permk is issued. Penalty applies when address change I hereby acknowledge that I have read this appliption and state ihat the information is correct and gr to comply wifh all applicable State of Minnesota Statutes and City of Eagan Ordinancea .? $ Signature of Appiicant: OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation P)an Received _ Yes _ No _ Not Required ? CITY L15E ONLY L BL suso. ? ? i?.A mH _? D .. RECEIPT #: RECEIPT DATE: PERMIT # 3445,1 1999 PLUM$IN? PER14IIT (RE.SibENTtAL) crrY oF f-AsArr 3830 Pv.or tcivos eo g.teRN. MN 55t EE (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit : 6ackflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub ------ - -- -$ 3.00 - - x $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 7 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ I Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water tumaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ 50 TotaF --? --> ----> ----> $ ??Sv Reminoer. Caii iar inspec4ians oi aiierations, i.e. waier °r;ea4i?rs, wai.er sc,fteners, etc. --------------------------------.....---------- -------•-----•--•--------- ----------•--------------•--------------------.. 1 herehy acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanfs responsi6ility to notiTy the property owner that the City of Eagan assumes no liability for any damages caused by lhe Ciry during its normal operational anl ?---- - ?--- -nder this permil within City property/right-of-way/easement. JOHNSON,HAROLD SI7EADDRESS: 3909 CALCITE DRIVE EAGAN, MN 55122 OWNERNAME:: (ssi)asa-stso TELEPHONE#: (AREA CODE) 1NSTALLER NAME: BORBLOM PLUMBING CO TELEPHONE #: STREETADDRESS: 827-4033 (AREA CODE) cirv: MINfVEAPOLIS, MN 5540$ . STATE: ZIP: ? RE OF PERMITTEE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTf. NE J4' CONSTRUCTION ADD-0N A/C ADD-ON FURNACE JC FIREPLACE INSERT DATE _ a FEES HVAC: 0.100 M BTCJ $ 24.00 ADDTTIONAL 50 M BTU 6.00 GAS OUTI.ETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExISTIlVG CoNSTRUCITON) $ 20.00 STATE SURCHARGE .50 TOTAL srrE ADDRESS: Px/, OWNER NAME: TELEPHONE #: 25'/ -L9 a TELEPHONE #: - ? 1 SIG ATURE OF PERMITTEE 1994 MEG'HANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 CITY: STATE: ZIP CODE: L _4L CITY USE ONLY ?T RECEIPT #: SUBD. ? BL L ? DATE: 7?°Z/95 &2,J• 1995 MECHANICAL PERMIT (RESIDENTIAL) ? ?¢?• - 95 X02,0 " CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ?Ada-on air condiiioniug i,uuncn i air wxul lariyar, I.c. vaii.'.c5ySiSiTi,.'-,w. Date: ? "3 0 ? Minimum Fee: Add-on/Remodel (existing residence oniy) $ 20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge TOTAL SITE ADDRESS: ? y o OAC_C r OWNER INSTALLER STREET D bSI - 24.00 6.00 .50 ,:;?D. Sa PHONE #: r?(FQ CITY: 41A1)WDL.(S - STATE:? ZIP: SS(/o k=a-W PHONE #: MEMO TO: DIANE DOWNS, tl'i1LtTY BILLtNG CLERK, FROM: ED KIRSCHT, SR. ENGINEERING TECH DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: BloCk 1, Lots 1 1 Block 2, Lots 1-8 8 Block 3, Lots 1-18 18 BlDCk 4, Lots 1-11 11 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) Block 7, Lots 1-12 12 Block 8, Lots 1-18 1$ Block 9, Lots 1-11 11 TOTAL 141 The City is currentiy being billed by Dakota Electric for streetlighting in the above listed subdivision. Ed KirsCht ` Sr. Engineering Tech cc: Mike Foertsch, ksst. City Errg. EK/je EAGFN TOWNSHIP 3795 Pilot Xnob Roud St. Paul, Minnesota 55111 Telephone 454-5242 PERI41T FOR WATER SGRVICE CONNECTION Date: May 26, 1969 Number• 27q Billing Name: Cedar Grove Const. Co Site Address• 3909 Calcite Drive Ocrner: Cedar GroueConst. Co. Plumbei• Stein Building is a: Residence X 22ultiple go, Commercial Iadustrial Other Billing Address 7343 Concord Blvd. E. Meter Size? AK Connection Chg. 210.00 -w-{ Z Meter No-/ ?? 9 Permit Fee 7•50 Meter Reading4444ou Meter Dep. Meter Sealed: Yes_ Add'1 Chg. NO____ Total Chg. Inspected by Date Remarks; Hy: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regalatfoas of Eagan Townahip, Dakota County, Minnesota. BY:_? 4fh?r? _ Please notify the above office when ready for inepecYion and connection. ... EAGEN TOSdNSHIP '1795 Pilot Knob Road SG. Paul, Minnesota 55111 Telephone 454-5242 PLRMIT FOR SEWER S&RVICE COIdNECTION DATE• maY.?. 1459 06JNEP.: Cedar Grove Const. Co. PLUMBER Stein NUMBER 406 _ P.ddresS1:8-3-6 3909 Calcite Drive TYPE OF PIPE Cast Iron DESCRIPTION OF BUIIAING Ipduatriall Commerciall Residential I Multiple Dwelling f No. of units Location of Connections: Connection Charge 200.00 Pd.. Permit Fee 7.50 pd. SCreet Repairs Total Inspected by: Date Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordamce with the rules and regulations of Eagan Tocroship. Datcota County, Minnesota By G? Please notifq when ready for inspection aad conaection and before any portion of the work is covered. , , EAGAN TOWNSHtP BUILDING PERMIT N? 2620 Ownex ........... ............".....--........................... Eagan Towaship ...... . Address (psasent) ....... ?!-??:.`.?-_?.... .`.? :. :.................. Town Hall Bullder .....?^.-.:Ce:.... ?.t ........................ .................... aa:e ..l il.?'.../...?l. ....................... Addrass ------------ ............................ .................................................... .. SSOSiea To Be Used For .Fson! Daplh Heigh! Esl. Cos! Pasmi! Fee Remarks ? C i y 31 pi H I Ja a°; ? IOCD /L?....+./ LOCATION Slree2. Aoad or olhe: Desoription of Looalion I Lo! Black Addilion os Trac! This permit doas aol aulhori:a !he use of aireals, soads, alleys or sldewalka aor does it give the owaer or Lie agent !he righ2 to creafe anp siluaSion whieh is s auisenae os whieh yrasanls a hasard to !he healih, safelp, eonvenieace aad general welfare !o anyoae !n the communify. THIS PERMIT MUST BE PT ON TFIE PAEMISE WHILE THE WORK IS IN PROGAESS. ?`-_- , Thb is 2o eerrify. !hal .... ....................----c?rCi?...°---...-------has permission !o erect a._.....'.'.6.....:..'.._..."?Y...._upon !he abave described premise subjee! !o !he provisiona ot !he Building Ordinanee for Eagan Township adopted Apr11 11. 1955. (n n ' ............................ . .............. .....C-?=:rs,.?............ Per ........----------...-°°----.................. ?'._.`.`...........:'.. Chairman f Tnwa Board is, Baildinp Inspeclor & Y ? ., a, . . , , . . ..._ - ? ° -.- ? i 09 1 , ' ? . ' ?. . . " : . , ` . . . t , . • . . .. . ? . .. ? t ?, .: .. _ . . . ? . . . . : Li r . '° A` ?EO'r?mnr?. Q.?C? ?.... . ?i V4N?4= - ?.O -O P THE SUSSEL CO. 645-0331 I - OF -7 . 1850 COMO AVE., ST. PAUL, MINN. MASTER CARD • LOCATION `/q Le- / J C Ox 9 D q OWNER D 41 57RUCTURE AND LAND USED A$ ? X • . Permit No. Issued Contractor Owner BUILDING ???_ _ ?.? _ ! __1L ?CI,:IrL PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL H EATI NG GAS INSTALLING SANITARY SEWER I OTHER I O7HER I Items Approved (Initial) Date Remarks Distan[e From Well FOOTING ? ? •? ' / SEPTIC FOUNDATION __ ?/ 2 ? ?` ? ? CESSPOOL FRAMWG ? ? TILE PIELD FT. FINAL ELECTRICAL - HEATING DEPTH OF WELL GAS INSTALIATION SEPTIC TANK I CESSPOOL DRAWFlELD I PLUMBING WELL SANITARY SEWER ? ? ? Violations Noted on Batk COMMENTS: City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3909 Calcite Dr Lot: 18 Block: 3 Addition: Cedar Grove 6th PID:10- 16705- 180 -03 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: e - Water Heater New Water Heater Meter Size Meter Type Cherie Pung 1424 3rd St N Minneapolis, MN 55411 Contractor: McGuire & Sons Plumbing & Heating 1424 N 3rd St. Minneapolis MN 55411 (612) 604 -4285 X61 Total: Manufacturer PL - Permit Fee (WS & /or WH) Surcharge -Fixed I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Harold R Johnson 3909 Calcite Dr Eagan MN 55122 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA089933 06/29/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Building Permit Number:EA115132 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 3909 Calcite Dr Lot:18 Block: 3 Addition: Cedar Grove 6th PID:10-16705-03-180 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. Valuation: 8,000.00 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 - Harold R Johnson 3909 Calcite Dr Eagan MN 55122 That Construction Company 14105 Heritage Court Apple Valley MN 55124 (800) 380-7069 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144316 Date Issued:07/20/2017 Permit Category:ePermit Site Address: 3909 Calcite Dr Lot:18 Block: 3 Addition: Cedar Grove 6th PID:10-16705-03-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Harold R Johnson 3909 Calcite Dr Eagan MN 55122 (651) 454-6190 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature