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1938 Berkshire Dr ? CITY OF EAGAN SEWR ?MCK PWM 3830 Pilot Knob Rwd , P. O. Box 21199 PERMIT NO.: - Eagan. MN 55121 DATE: Zaninp: No. of Units: Owrwr. Address: Site /lddross: 4 ; . r'r it-c Plumber. E: ?.se.. eo ...py wM +i. cly .f h?.. OrAMmom By Dote of Insp.: Co.v,eccion O,o,p.: AcOOUnt Depodt: _ Ponnk Fee: Surchorpe: Misc. Chorpss: - Totol: Dah Pold: ? `+; :. CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Rosd P. O. Box 21199 PERMIT NO.: Eagan, MN 56121 DATE: Zonirg:. • No. of Unlts: ; I OMRNr: ROi°'ieE /,MfNm Sih/lddrels: ?•,?•? •= r?.iiv 1? _ ': ;?f.••;'r':.f.?r: PU_it?? Pluxnber: MeW No.: --- Comectia+ Qwrps: nd - Size: AooouM pepoait; u " , Reoder No.. Parmit Fee: 1som b a?w0ir wkb 1M Ciqr of aom Surchome: 0wi...e.a. Misc. C1,orpes: d'I`P ; `?; .,?1 meter Total: 63, 9Y Dafe PaW: Dote of Insp.: Irsp.: I ..?.?..?? CITY pF E,AGAN WATO SERVia PERM 3830 Pilot Knob Rwd P O- - . . ox 21199 PERMIT NO.: Eagan, MN 55121 DATE: zo"i^s: No. af Units: Owrwr, r 5`' /1ddrom -Am Site Addresc 19"8 Berkshi ? plumber S i e1 Meter No.: 3 70 /8/?di ggivig, B Siu: s/It " R.r (C . F_ zva. 47s- rE l'Ondg Reoaer No.: 4) , IV - ???? 1.fl.(lr,?cl 1 Mrw ft aph vie6 !Iy CIR? urcfia?ys; -.5"P;j Orli • Misc. CFaroes: I?6.00p.. TP TotoL• • 50[),'• rieter BY Date Pcid: oote Insp.: S _ Insp,; CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 3 lk 4 4arce4 10 13750 owner Street 1938 Berkshire Drive State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ' j 1982 239.09 23.91 10 STREET RE5TOR. GRADING SAN SEW TRUNK ? 1982 176.04 11.74 15 SEWERLATERAL L' 1982 57.24 3.$2 15 * 427.88 .53 WATERMAIN e ') 19$2 46.09 3.0`7 ? WATER LATERAL 1989 WATER AREA 1982 176.04 11.74 15 STORM SEW TRK 7 1985 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONIV. BUILDING PER. SAC PARK Reosipt PWMBING PERMIT Permit No. , CITY OF EAGAN FN i? -??• ( ? fill in numbened spacer S/C Type os Print leyibJy Tot 1. Date 2. Installation Cost 3. Job Address` %, . f ?-• Lot Blk. Tract - , L? ? 4. Owner • ? ?. > ? " ? Phone 5. Contractor.4 6. Address 7. City - State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New-? Add O Alter El Repair O 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p $eptic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I 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 Fiouyh F inel Inspactions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN 115 ? 7 rt Knoti Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 BUILDING PERMIT Receipt # To be usedior ?? LAvGJGA-'? Est. Value r f>2,OU0 08te FEBRUARY 18 198b 1938 Bi:its;s'rtl?tr: nFc .:? Site Address Erect ? Occupancy Lot-3 Block 4 Sec/Sub. BERI{SHikE PONDglemodel O Zoning H1 Parcel No. Repair ? Type of Const 1.1 Addition ? Na. Stories ¢ Name ''' " `1O'•ir? Move ? Length 41 = 183Jf3 ?lJxPtiY LAKi: ?3LVU Demolish ? Depth 46 3 Address Int Impr. ? Sq. Ft. ° Ciry .-^ 7.I O:t piM?e 4 3 2-"l 4 4 0 Install ? ADOrOYela FBlf Phone W W ?vame r1. 2. S. HOM£ DESIGN ? ? Address i W City Phone I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Permittee A Buitding Permit is issued to: i{,Sh F101•1ES all work shall be done in accordance with all applicaple State of Minnesa Assessment Water & Sew. _ Police Fire Planner Council Bldg. Off. 2f 3 4/8 6 APC Var. Date Permit ? 319 . 00 Surcharge 31 . UO Plan Review 159.50 SAC -- 575'p0 Water Conn. 500 . QO' 63 50 ? Water Meter . OU 2`•• 0 Road Unit . Tr.PI. 1`.i6 .00 Copie Tot81 ' , ' .00 condition that - PnmN No. WrmH Holdor Dah TNephone N Plumbin9 ?/ . / J k ?,A? N.1FA.C. ENctrlc Soltener Inape.Nion Date Insp. Commenh Footlnysl Foodngsll Foundatbn Framinp Roonn9 RouyhPlby. 'V-Y6 . Y/S Rough Hig. y % f ln.ul. ? Fi..place a ft v,.t? " e.??.• "r FInN Hty. Final Plbp. ?.tl"? A. ?• ? ?. ?_ Bldg. Flnal CKt. Oce. Doclc FEp. Dock Frmp. ?. WON Pr. Disp. , • + • PERMIT # CITY OF EAGAN MECHANICAL PERMIT RECEIPT # 454-8100 1 MINIMUM RESIDENTIAL FEE - S10.00 + $.50 ? DATE MINIMUM COMMERCIAI FEE - $20.00 + $.Sa r: 1. Bldg. Type: Res -f Comm Inst 2. New ?- 3. Total Bid Price Job Address O ? LotuL Block Sec Owner .: 6. Contractor cNe?ne? ?i? S 'G cs,?ee? ? 7. Contractor Phone # RESIDENTIAL HEATING - RESIDENTIAL COOLING - MODIFICATIONS/ALTERATIONS ?HEATING0V?y6)' " VEN" ?IR PIPING ? RES. GAS PIPING OUTLETS - COMM./IND. Signed: 1 FEE SIC TOTAL Alter (crty) (ZiP) 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 -$10.00 minimum fee ILATING HOT WATER STEAM AIR COND. DROCESSED PIPING AIR HAND. EQUIP. RCFRIG. $1.50 TANKS: LP. UNDERGROUND OTHER 'AL,BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH $1,000 OF FEE. for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # CITY OF E/kGAN FEE PLUMBING PERMIT s L RECEIPT 0 454-8100 S/C ? MINIMUM RESIDENTIAL FEE - $10.00 +=,50 TOTAL DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New X Add Alter Repair 3. Total Bid Price '10 4. Job Address ?931?1 Lot 2 Block?Sec -2'11 1eJA'1•dz- 1000MO'.r 5. Owner 6. Contractor ?' ?`: ??..? _?i? ? ? ?'?l /?yGS _^•.>.. .'iki?'- .?.,-j? ? _ (Name) „ (Streeq (City) (Zip) 7. Contractor Phone # NO. FIXTURES __LWater Closet - $3,00 / Bath Tubs - $3.00 =Lavatory - $3.00 Z Shower - $3.00 LKitchen Sink - $3.00 -Urinal/Bidet - $3.00 NO. FIXTURES ? Laundry TYay - $3.00 ? Floor Drains - $1.50 ?JNater Heater - $1.50 _Whiripool - $3.00 ! Gas Piping Outlets - $1.50 -Softener - $5.00 NO. FIXTURES -Well - $10.00 Private Disp Syst - $10.00 c ?Rough Openings w/o Fixtures - $1.50 COMM.IIND. RATE - 196 OF TOTAL BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH $1.000 OF FEE. Signed: for AppTOVed Inspections: Date Rough Insp. Date Final insp. t.- Site Adess 1 Lot ? 81ock ? Name ? Addre c City _ ,_. PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 6/],?yFi6 $13(?U . 00 ? PILOT KNOB ROAD, EACAN, MN 55121 DATE: PHONE- 454-8700 c Address 8ame as ut p City TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Ou#Igts # an M BTU M BTU M BTU 24, 000 M BTU CFM e? I A.???? (/n-?Ys .-fuuae+ ?0-30 FEE: S/C: TOTAL• BLDG. TYPE WORK DESCRIPTION Res. XX New Muit Add-on •`?-Y Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT - 20.00 - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 Site Address .? Lot c _.?' m Name _ .T Address c City ? PERMIT # ? ?-' ~ S RECEIPT # DATE - J BLDG.TYPE Res. ? Mult Comm. WORK DESCRIPTION New Add-on - Repair Other ' - ' Name -`• n ?'??-• NO. FIXTURES Water Closet - $3 00 TOTAL $ ' . 3 Address ? ? 1 ? ?.Q Bath Tubs - $3.00 p City Phone ' - , - ` Lavatory -$3.00 Shower - $3.00 FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE -$10.00 MINIMUM - COMM/IND FEE - 20•00 STATE SURCHARGE PER PERMIT - •? (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ISitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray -$3.00 Floor Drains -$1.50 Water Heater -$1.50 Whirlpool -$3.00 Gas Piping Outlets -$1.50 Softener - $5.00 ? Well - $10.00 Private Disp. - $10.00 - ? ZU'l Rough Openings - $1.50 SIGNATURE OF PERMI7,%f E FEE STATE S/C: - FOR CITY OF EAGAN GRAND TOTAL• ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Boic 21-799, Eagan, MN 55121 N? 11527 PHONE: 454-8100 BUILDING PERMIT Receipt q Tobeusedtor SF DWG/GAR Est.Value $62.000 Date FEBRUARY 18 SiteAddress 1938 BERKSHIRE DR Erect t Occupancy R3 Lot 3 Block 4 Secisub. BERKSHIRE PONDSRemodel ? Zoning Rl Parcel No. flepair ? Type of Const 11 Adtlition ? No.Staries RSM HOMES Move ? Length 1 z Name Demolish ? Depth 46 o Address 18308 MURPHY LAKE BLVD lnt Impr ? Sq. Ft ciry PRIOR TpAine 432-2440 Install ? o Name SAME i ? ? Address `- Ciry Phone ?W W W f I V ? Q' W a Assessment water 8 Sew. Police Name A.P.S. HOME DESIGN Fire Address Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable Stste of Minnesota Statutes and City of Eag Ordinances. Signature of Permittee ? A euilding Permit is issued to: RSM HOMES all, work shall be done in accordance with pli ' le of Mi nesc Building Otticial Planner Council eid9. ott. 2/14/86 APC Var. Date Permi9.00 Surcharg?r 0 0 Pian Review?' 5 0 00 Wat rConn. 50(F. 00 Water Meter? 50 Road Unit 29(5--' 00 rr. PI. 156.00 Copies4. 0 0 Total ' on the express condition that and City of Eagan Ordinances. ????3 / PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot ICnob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Sin.-le Family Dwellings Townhomes and Condos when permits are required for each unit ,s -0 -7 03 Date / KAGAN, ALEX Site Address 7938 BERKSHIRE DRIVE Unit 1/ EAGAN, MN 55122 (651) 454-4991 Property Owner Telephone # ( ) Contractar NOi'BLiiIIII P.7.i6Yi0ING V'V, (612) 82T-4033 Address City • State ip Telephone # ( ) The Applicant is _ Owner $/- Contractor _ Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant faes may apply. Alterations To Existing Dwelling Unit, Including $ 00 50 _ Adding fiMUres to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Nater softener x Water heater $ 15.00 x replacement _ additional I D - - State Surcharge AUG .50 Total $ ?S. SD ? I hereby apply for a Residential Plumbing Permit and aclatowledge that the informl[ion'is"comp e e and -ecwrate;that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a pemut, but only an application for a permit, and work is not to start without a pernut that the work will be in accordance with tlie approved plan in the case of work which requires a review and approval of plans. NoCUO-v, e Applicant's Printed Name Appl n s Signature ?- "?? ` o PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are requited for each unit Date Site Address ! ?Z& Unit # Yroperty Owner A 6}( Telephone # a7) - ??.-tK 9 9'/ Contractor Address C?t f?iC4L/ ? L y -. State Zip?6'52Zxy Telephone# The Applicant is _ Owner ? Contractor _ Other Septic System New ReTurbished Submit 2 sets of plans and MPC license $ 100.00 Indudes CounTy fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 _ Adding fiMures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system X Water softener _ Water heater $ 15.00 g replacement _ additional State Surcharge $ .50 Total g I hereby apply for a Residential Plumbing Pernut 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 with the Plumbing Codes; that I understand this is not a permit, hut only an application For a pertnit, and work is not to start without a permit, that the work will be in accordance with the appro;ed plan in the case qf work which requires a review and approval of plans, „ n App icant's P6nted Ndme/ ` ApplicanYs Si'gnature CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *iOTF: PAYMRNf OF FEE AT TIME pF APPI,ICATZON DOFSS N(YP ODI1S`PIZSJIE APPROVAL OF PII2IYIIT. . .. x,.?ne?r:s?e?e:?ex?eaexx..x?ne,rxa.xxie?zaxxxtryr P ease Print 1) PROPERTY ADDRESS: 1938 serkshire Drive - Eagan LEGAL DESCRIPTION: lot 3 Block 4 Berkshire Pond - . Lot Block Sub ivision or Tax Parcel ID ) IF EXISTING STRC'C!S]RE, Dp,TE pg ORIGINAL BL'ILDING PERMLT ISSC'ANCE: PRFSEIVf ZONING/pROPOSID LSE: (Mon Year ? CMHMCIAi'/RErAII'/OFFI CE M R-1 SINGLE FAMILY Fl IbIDL'STRIAL, Q R-2 DLPLEX (Tuio Onits) INSTII[)TIONAL/GpVERRNMENI? 0 R-3 TUWNHOUSE (Three + Units) ( L?nits) Q R-4 ApARTME'NT/CONIDOMINlUM ( Units ) 2) ? tuAME: Lake Side Sewer and Water, Inc. ADDRESS: 12469 Zinran Avenue SoutlA CITY. STATE, ZIP: 5avage, Minnesota 55378 rxorE: 894-7500 3) • c?. - NtaME: Lake Side Plumbing & Heating, Inc. ADDRFSS: 12469 Zinran Avenue South CITY, STATE, yjp;Savage, Minnesota 55378 PHONE: $94-7600 MASTER LICENSE# uuzjb/mu 4) •• • ? • i?- . NAME: RSM Homes, Inc. ADDRFSS:18308 Murphy Lake Boulvard ' CITY, STATE. ZIP: Prior Lake, Minnesota 55372 PHONE; 432-2440 . Plimbers License: Active EJcpired Not recorded St?a f?Initial 5) ?:? i r: •?• : ? • a? - ?? ? CONNE(,'TION 1n CITY SEWER ? CpNNpCi'ION 10 CITY WATER ? pnM_.- 6) ? • ??- ? PLF.ASE HOLD APPRpVFD PERMIT fOR PZCK-UP BY ONE OF ABpVE ? PLEASE MAIL APPROVID PERMIT TO 1. 2.,?4. ABpVE / (Circie' one) INSPEGTION OF SE4dZt ADID/O2 WA'LEft 7j$'T},T.TATTONS WIIS. AIOT BE SCfIID- ULID UNTrII. PIItMIT AAS BEEN APPF20VID. FOR CITY USE ONLY PERMIT # ISSUED Vf -3 13/PY Pd w/Bldg. Permit FEES: $ $ 16,56 $ $ /0 • ?? $ t,?? •S: ? $ $ $ $ $ $ $ ?57, $ $ $ `J 00 ?rD $ $ .J 7,5 , ? $ $ $ $ $ $ $ . $ $ $ $ $ $ SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLLDE SURCHARGE) WATER METER/COPPERHORN/OOTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRiJNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRDNK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: I TOTAL " ?a.i_ R C?IYT ? ? RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PCTBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSDED BY THE ENGI[VEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: ?/? ?e 6 2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete foc single family dwellings & townhomes/condos when permits are requircd for each unit Date Site Address I Cl?? 7r Unit # Property Owner ? v'rn Y-- ? LICg ? r? laCJ1 Telephone # ( &S? Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 14e St.,1#106 Street Address Apple Valley, MN 55124 City (952) 431-7099 State Telephone # ( ) Bond#: Expires: The Applicant is _ Owner ? Convactor _ Other Add-on or alteration to exisHng dwelling unit $ 30.00 ? furnace _Additional _Z,.Replacement _ New air exchanger ?- air conditioner heat pump other $ .50 State Surcharge I ? s? Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 id tfie case of work which requires a review and approval of plans. (,) v?cL ,i f E'-rS ?? /? ?? /,? l r .?? _ Applicant's Printed Name pplicant's Signature . . . It NOTE: MoPaL- A ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COl41ERCIdI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1'SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Site Address I Lot J- Block Parcel/Sub ? ? Owner Z .s?----• Address SINGLE FAMILY DiIELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS 4. AQ. Valuation: (n2,000 Date: City/Zip Code ///p/ z'6'b 01,zaJ(a? Phone ?? ?'b Contraetor Address City/2ip Code Phone Arch./Engr. ? Address City/Zip Code Erect X Occupancy Remodel Zoning Repair ? Type of Const Addition 4 of Stories Move ' Length Demolish Depth ? Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit Water/Sewer ^ ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner ' Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL ? Phone If AOBE ENGiNEfRING COMPANY, INC. ? 1000 FAST 146Q1 S7REE7, ? zleocz Cescrtriier - ?lo(?TN ?`E; !,_30;-?o_ o ) c? arES CeT?Z}'Z CQ?G O? ?SZI.?"'Z/"e l.? CDNSUL71Nd EN6iHEf!!S. _ 11 PtANN(9S ond IAHD SUAYEYOQS EURHMLLf, YfNH£:'u7a 6S'S',7 p.y 4_2-3000 1.O'T ?i/ FxouC ¢) gE"-'?*ME ppJD61 RAKOTV GoVnfT`/, M uluE'2oTA . "n•v?? EX1STirJO F1Ea/,oTIoO fY-OPOSED ELEV4Ttonl IUDIGd,7ES DIREG71o?.1 ?F ?7VRFA? ...t? ?6 ? K \ X ? V ,tiO?Qt' ? C? , ? / 33 \ ? i , Q,, • 39a 30 oS> 41_ \ \ \ ?[` L. \ \ \ 1-j\ ¢9 •? ?r Fi??SHEA ?raRac?E FLcetL ELEVA-rio.! = =I.iklawE? v-nLlN EA?MEtJT i ; S .\ i Shlb ?M _ h I beriby cartify that thia ia a trse and car:YCt reprasent:tioa of a traeZ ot land aa shovn' and described hertan.- Aa prepared by me on this 7n1 day ot ?fa?uAR? , 19 SG . ' 3?A?/? ?CJ Hian. 1les. No. 16ozr- PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA109573 Date Issued:03/19/2013 Permit Category:ePermit Site Address: 1938 Berkshire Dr Lot:3 Block: 4 Addition: Berkshire Ponds PID:10-13750-04-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Wade T Brown 1938 Berkshire Dr Eagan MN 55122--361 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature