4725 Berkshire CtClTY OF EAGAN WqTER SERVICE PERMIT
3830 Pilot Kna,b Road ?
P. Q Box 2i 199 PERMIT NO.:
Eagan, MN 55121
Zonin9: DATE:
Owner; Je M NO. of Units: 1
Address: ?
,?Sife Address: ?J-?r e` u ks'iirc ?? I
?? ..J
lumbar. ?.'::: s
Meter No.:
?ize: onon Chorge: 470.0(? nc,
Reader No.: Q1[ 1 f? ?S o ?Z ??pOSit:
1 ? Permit Fee: t• J p?.1
aq? b ?
vh? wiNh HN City of. Eaqan Surcharge: • p?.
Ordinoeon,
Mtsc. Charpes: p ci m fI?r: r-
BY Total:
Oote of In Date Paid:
sp.:
Insp.:
- - - I
CASH RECEIPT ?
C` ? CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
,
' DATE ? J f1 9
R6CEIVED l:
FROM ????
AMOUNT
• ? I:rs
u
Than Y ?
,
---
" BY
White-Payers C.oPY
Yellow-Posting CopY
Pink-File CoPY
gk DOLLARS I
1 oo {
I
? CASH ? CHECK 1
CITY OF EAGAN SMR SERVICE PERM
3830 Pil • Knol: Rwd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121? D^?:
Zoninp: .. No. of Untts 1
Owner. .3oe
l4ddress:
Site Addi
Plumber:
1 aorM te eomplp whh !bs Cfty oi Eagan
o.ar.eno...
By
Dote of Irnp.:
co„recro, cha,go: _ 4 25. oo 'Da
Aooouw,t Deposit: 15.00 pd
Permtt Fes; _ 1 'j.00 pd
Surcharpe: - • 5a Pd
- Misc. aorpes;
Total
-
:
- Dob Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Kncs'? Road - : .
P. O. Bux 211 9? PERMIT NO.:
Eagan, MN 55121
DATE: _. •+-- . :?
Zoning: r' I - No. of Units: I
Owner. 5ort 'ilicr
Addrosx
5;t, Addnm: 472? Berkahire :;ourt L4 SZ '!t:r:.s hire on a
. u
Plumber:
Meter No.: Connection Charfle: 470.00 P
Size: Account Deposit: . •
M
Reader No.: Permit Fee:
1 s9m to aowoly wilh !M Cihr oF EMea $urchorge:
orahmsem M?? Chorgm 63.00 p meter
Totcl:
BY [bte Paid:
Dote of Insp.: Insp
:
.
.3 ?? (f
1. Date 2. Installatior
3. Job Address `Lot
4. Owner _
5. Contract
6. Address
7. City _
8. Building
Tract
Phone ? ? L• - ?!' ? ._? . ?-
.??
Commercial ?
C? ' - (
Zip ? ' y ?-,
9. Work Description: New E1= Add ? Alter O Repair ? _
10. Describe Fuel Type
11.
No.
-
L- F.quioment STU - M. Ea.
?_
Forced Air P C) No.
- Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
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.
,I Signed c `-?----q for
Rough? Finai
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
S --?
'EAMIT Permit No.
iAN
Fee
Ispaces S/C
gi6ly Tot. v .
Receipt PLUMBING PERMIT Permit No.
C17Y OF EAGAN
-?_r3-?Sy Fae c.a I
Fill in numbered spaces S/C • S??
Type or Print legibly
_ Tot.
1. Date 2. Installation Cost
3. Job Addr ss? ?_Aot?Blk. Trac??i'?
4. Owner _j c ?-? ??. , , c•?.
5. Contractor / 1 l,(, ltJti-- Phone 41_ ??/
6. Address
7. City State Zip
8, Building Type: Residential Commercial O Institutional O
9. Work Description: New 19'? Add ? Alter ? Repair ?
10. Describe
I 11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
4? Bath tubs ? Septic Tank
lavatory f Softner
? Shower
i 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 cpdes governing this type of work. ?
???. • Signed : • ,c` ? -t.., - F?<< for ' .
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN 1
3830 Pilot Kno6 Roed P O. Box 21-199. Eaasn_ MN 55121
PHONE: 4548100
BUILDING PERMIT Receiat # ," ? % / °
-
Te M wud fw SF DWG/GAR Est. Volue $51,000 pm e J ULY 17 , iq t! 4
Site Addreas 4725 BERKSH I RF CT Erect [N Occupancy R 3
Lot 4 Blxk 2 ScISub. BERKSHIRE PONDS Remadel ? 2oning
Parcel No. Repair ? Type of Const. V
Enlerge ? No.Stories
JOS MILLER CONST INC Mo+re ? l.enstn
SO
? Name
1 13 CEDAR AVE Demalish El _
Depth
'I
Z
b Address
CitY FARMINGTON phone 54-9 53 Grade 0 _
Sq. Ft.
ZO Name _
u? Address
? Citv -
Name
Assessment
Wnter & Sew.
Pol ice
Firo
Eny.
Planner
Council
I hereby ecknowledye thof I have read this opplicotion ond stote that gldg. Off.
the informotion is correct and ogree to comply with oll opplicoble A?
StaM of Minnesota Stotutes ond Clty of Eoycn Ordirances.
Var. Date
Sipnoturo of Permittee
A BuJlding Pem+it Is issued to: JOS NIILLr.R CONST
oll work shall be done in acoordarxe withroll oppliooble State of M?
Permit '' -j v -2 . v v
Surchorpe 28.50
Plan check 152.00
SAC 525.00
Water Conn. 470.00
Woter Meter 63. 0 0
Rood Unit 260, 0 0
Perks
Total $1,802.50
on the expreas conditlon thal
Statutes ond Ciry of Ecpcn Ordinances.
9uildinp Ofiicfal ?L?= C `' ` ` .
Pxmit No. Permit Holdw Drte
Plumbfnq y y U-,y Y 13' g
H.V.A.G. (U hy0i(Q `tl ? 3 I g y
Elsarie Il\ 04 q(?
Softsner
lnspsction Dste Insp. Other
Footings '1113N
Foundatian
Frominq
Rouyh Plbq.
Rough HVAC
Inwlation
Final Piby.
Final HVAC ?
Final
c.rt/oce.
wa"r Describe Loeation:
VYell
Sewer t
Pr. Disp.
CITY OF EAGAN Remarks - -
Addition RERKSHIRE P Ol??S Lot 4 Blk 2 Parce! 10 13750 040 0'' .
Owner Street 4725 Berkshire Court State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ¢l 1982 239.09 V 23.91 10 167.39 A014564 9-14-84
sTREEzReszoR. 1985 123.80 10-15-94
GRADING
SAN SEW TRUNK ? 1982 176.04 11.74 15 140 . 85 A014564 9-14-84
SEWER LATERAL ' 1 1982 57 . 24 3.82 15 45.81 A014564 4•-14-84
Sewer Lateral-A 1985 > 54.27 3.62 15 54.27 C009658 10-15-84
WATERMAIN 105 1982 46.09 v 1,07 15 36.88 A014564 9-14-84
WATER LATERA ? 1985 373.61 30'.r 373.61 C009658 10-15-84
WATER AREA 1992 176.04 ? 11.74 15 140 . 85 A014564 9-14-84
STORM SEW TRK 1985 385.03 25.67 15 385.03 C009658 10-15-84
STORM SEW LAT
CURB & GUTTER '
51DEWALK
STREET LIGHT
Road Unit 260.00 #44778 7-17-84
WATER CONN. 470.00
BUILDING PER.
SAC
PARK
Swlude 4 asb o! plims .
dts p?? M/elavatlcai r=.
S.?.C7,ac? ?c?z HUIIDIPX: P?RT l?4PLICATI? .? !wt af WMt9Y calculsticm.
.. y? t3on D"e" /o !9` ?? -
'!b He tleed tbr Q!lDCS UBE CtNLY
sice aaarese: 441/6-
r ? ?.._ o?y R-3 _
? ? slodc ? sec./sub. ? ?? todm
Patvel i: ?? Fire ser ?
1?lax?A _ -
a?nar= p?w -? 1 ?foei? ,.........?...5?""'""""u?
kldre?si ? p wtb
r.
City/ZiP Code: .
Pttione t :
aontractcr=
Addresas )
CitY/ZiP Code ? ?•" .-'=-
rhow
Arch'Ang' -
11ddress:
ctty/zip ooaB:
Ftnw i: -
_ _W
--
,fy Ali-rilxwf
xat?r/8ei+ar _ pLn Cgfeck
Police
Fire
? ?-- 4Q
Ilat?r ,?
SM.
council ?___ NtE?C Heter 'o' o°
plwgw
? Uhit ?._..--
B1d4. Of . !T
AFC
???
•
e ,.
so4•co,
za•se+
i5 2•o1? +
7 2 5• 0 0+
470^U0+
6 3 • G C ,
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1 E 0 e• 5 0*
C17Y OF EAGAN
3830 Pilot Knob Road P O Box 21-199 Ea an MN 55121
? • • . 9 .
PHONE: 4548100
y
IN
BUILD
C PERMIT ReceiPt #
Te 6a mad far SF DWG/GAR Est. Value $51,000 Date JULY 17 jq 84
SiteAddress 4725 BERKSHIRL? CT Erect IN Occupancy R3
Lot 4 elock 2 Sec/Sub. BERKSHIRE PONDS Remodel ? Zoning Hi-
Parcel Na. ' Repair ? Type of Const. V
Enlarge ? No. Stories
W Name JOS MILLER CONST INC Move ? Length S_Q_
Z Address 18133 CEDAR AVE ' Demolish ? Oepth19;
? City FARMINGTON phone 454-4753 Grade ? Sy. Ft:
p ? Avorovals Faes
o Name S E
?? Address
• City Phone
Name _
Address
Clty _
PhOne
1 hereby ockrwwladge fhot I hove•read this applicnrion ond stote that
the inbrmotion Is corre[t and oqree to comply with oll opplicable
$tote of Minnesota Stotutes and City of Eagon Ordinances.
Signafure of Permittee
A Building Permit Is issued to: JOS MILLER
oll work sholl be done in accordance " h 1 ppliwbl
Bulldirq Officiol
Assessment
Water 8 $ew.
Police
fire
Erp.
Plonner
Council
Bldg. Off.
APC
Var. Date
Pertnit 304. 0
Surchorge 28. S 0
Plan check 152.00
SAC 525.00
Water Conn. 47Q. 00
WoterMeter 63.00
Road unit 260.00
Parks
Total $1.802.50
on tha expreu CAndifion Ihoi
Statutes and Ciry of Eagan Ordinances.
This request voad
1$ .6thy(ram
Request Date Fire No. pouBh-in Insuacbon
ep ired7
[]Ready Now , II Nouty InsOec-
Id?
?
1-31
1'es ?No
?ot When peady
? Licemr lactncal Canlractor I harabv requast inspection oi above
Oxrner elecVical work mstalletl at
Sheet dress. Box or Flou A?af '
? CrtY
ec o o. ownshi , me or No. flanDe No. Co
OccvPantIPRINT) .
z? Phune No.
iq
P.
i'
(C/f mpany Namel
ElecVical Coniracmr Cuntracto/rs L/icense No.
?
Matlin9 .4tldres ICOn[ractor or Owner Makmg Iretailatwnl
67
S/J.3
Autlhoriz Signature ? n tarfOwner Makmg InsWl Lon)
. Phone Numbm
sa-szav
MINNESOTA STqTE 80ARD OF fLEC1RICITY THIS INSPECTION REQUEST WILL NOT
6riqpa-Midwey Bldg. - 11oom N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 UnivaraitV Ave..St Peul, MN 55104 ENCLOSED.
nn..... let212972111
REQUEST FOR ELECTRICAL INSPECTION EB-o°°°i.°°
See inslroetiana tor complelin0 thi8 torm on beck o/ yellow copy.
"X" Below Work Covered by This Request
q Fee ServiceEntmn<eSize k Fee Feetlere/3abfeeders p Fea Crtcurts
p U to ZQO Am s 0 to 30 Am s ?.v t iO to 30 Am
Above 200 qm 31 to 100 qmps 31 io 100 AnVs
Swinvning Pool Above 100_Am s Above 100_Am '
Transformers Irrigation Booms Pertial'Other Fee
- Signs -Special Inspection S .?l TOTAL FEE
Rene?ks
Rough-in
? DV e
I ; the Elecbical
b€
? Insoectoq hereby
certity that the abovo
Final D,i1Le nspection hea Ceen
?,+el mede.
TIMS iapuest roiA 18 monins irom
/AOBE coHsuLTtHa lNOINttAS ENGINEEAING PLpNNtfli and IAHD iURY(YOIIf
COMPANY, 1NC.
??1000 [A3T 149Iq STRCCT, OUfIHSVILL[, HIHHClOTA 33337 PM 43;-3000
CerLt Cczz 3u.r-Y? y
crlpltort • LoT µ, BLOCK 20 BERKsHIRE FacNCS,
DAKOT,h COUNTY, MINNESOTA
,
V ?? {
f ?
A7.?GEJ9r9.
M.r/. Fad. 925.n I
AP-u, FZan
pw?uNA?? ?as?EraT
1- '?T? iro
? ? sy-°j ' fRetaeED °
1.? ar?
L I 1T I LL &35e?L',?? 83bo )?
-?r .4w.,;J? ? _•??i13?
NB9°5b? Sk??
? ?•?'i' ? ?
,. -?- ?-
..-?.? ? .i
?
DENOTES EXISTING ELEVATION '
?93s,o? DENOTF-S PROpOSED CLE/p,-rloN
`?-- (NDICATES txRF-c.T101A OF' SURFACE pqAINAGE
FIN?SHED Gr.RA%r?z Fl-OR EI.iNATIoN = 93,33
?O
I,r
?y
?-?06 Y
?
N L?
NoR7H
SG\L.E l "• 50'
[ hereby certify that this is a true and cot7vct ripraientation of a tract ot
tand a• tho+m'and Cescribad hereon.. Ai prepared by m• on this ` dar ot
5L,*-v , 19 2+a
:, j . N
,. . n,
L ?_:
1 nw,iunaE w unuTr \
}.? ?9°59'54YE L/?cEMEUT
281.94 ---? _ a _ ? •
3 l(lC?? J -?F
`
? i
?
2/84
J
? CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHT)
1) PROPEfrPY ADDRESS: 4 7.2?j ?C d. ? lj : f e
LEGAL DESCRIP'PION:
(Lot/Block/Subdivision or Tax Parcel I.D. Nisnber)
I iF WZI ;;'= :G ST2L'CI"uTcE, DATE OF ORIGINAL nliIT^L`;G F=T ISSUA1:=-:
F:si
PRES=1 :.'.:IS-NX;/PT20POSEJ II;L,- lt R-1 SiTG'iE r^P?TI,Y
? R-2 DUP= (`7+70 L'.iITS)
? R-3 TONIIQHDUSE (THE2F:r, + TJNITS) ( UNITS)
? R-4 APARU-SQVT/CON=ILM ( UNITS)
p COPMMERCIAL/RETAIL,/OFF'ICE
p I?.iUL'STRTAT,
? INSTITUTIONAL/C'?OVERNAENP
Z) APpLICkW (PLEASE PRINT)
NA1,1E= ?ue Y+'?tlfe?-
AvDREss:
CITY, STATE, ZIP;
PHONE:
a
3) PLUiMBER
NAME _ P/LEqSE PPINT)
?( Y
? POR CITY USE OHLY
n o u-
/ K w? ? u
ADDRESS: PLUM?ERS LICENSE:
?
[
] Active
CITY, STATE, ZIP: ??u ?cw-I.? ynu5jr ?}cf? 0 Expired
PHONE:
,559- 36 73" PLIIMBEN LICENSE // ?p(o +j'
? 0 Not of Nec rd
c??
a nitia
4) OCCUp71N'r/aJNEFt NANIE: (PLEASE PRINi)
ADDRESS:
CITY, STATG, ZIP:
PFiONE :
S) INDI(ATE WHICH PERMIT IS BEING REQUESTID:
6) iND1GlTE OiVE:
?R CONNECPION TO CITY SEN7ER
? CONNFCI'ION TO CITY WATER
? OTHEE2 (PI,EASE DESCRIBE)
ELPLEASE HOLD APPRqVID PERMIT FOR PICK-UP BY ONE OF ASOVE
? PI,EASE MAIL APPROVEp PERMIT TO 1, 2, 3, 4 ABd(IE
(Circle one)
7) szGNATURE: jk,c?219 ?64? DATE: Qu5 ?s. ?'f
? ,
?Mlwl:?kiwflA?Prfl?:?:?fAnllLai.7i?;?.-???is?1?Fr,.s' ar?lu?krlk.lt?I:?ftJlt?a?f?a.sRS+#eR-.aK+?.
- ? . .. . . . . . . ? p
F 0 R C I T Y U S E O N L Y
PERMIT °- ISSUED
F°ES: $ /.0 ? o SE;^7En nE?224_TT (I2dCLGD: SUP.CHARGc)
$ WATER PERN4IT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEi9ER TAP
$ AC`CUNT DEPOS ZT - SEi17ER
$ ACCOUNT DEPOSIT - WATER
$ WAC
SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEATE4 ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER
t
$
TOTAL
AMOUNT PAID/RECEIPT # ?-r 7 -? 5°
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO THE FOLLOWING COIVDITIONS:
APPROVED BY:
TITLE:
DATE: i5?'- 'r?-/'
. . ?Fr? . . . . .. . .. . . .
------------------
? Fq{yCg??ice;Os? ?
j Permit #: j
I I
i Permit Fee: ?
? Date Received: %) -z I
I Staff: I
I
Date:
Tenant:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: / 7 Z ,- &4-?
Sulte #:
RESIDENT / OWNER Name: ? Phone:
Address ! ity / Zip: + ?,5- ALA
Applicant is: _ Owner _)L Contractor
TYPE OF WORK Description of work: Kx.yll4vf 1Xaha Qn?
Construction Cos[: t7 E?? •??ulti-Pamity Building: (Yes _/ Nox__j
CONTRACTOR Name: V• s License #: &,?,?0-20 73¢ I
Address: 1
City: Sta . W Zip: wQp:)
Phone: 61 a- 7,)-7.=jq7A Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitled
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE; Plans and supporting documents that,you submit are considered,to be public:information. Portiotts of. _
fhe information may be'classified as non-public if you provide specific ?easons tHat would permit the City to
° condude thaCthe are trade secrets. I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance with [he ordinances and codes of the City
of
Eagan, that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that ihe work will be in
accor h the approved plan in the case of work which requires a review and approval o . ^
Y
.. W, k x s &= a_
X ' S?_
Applicant's Printed Name L??/ ? ?plicanYs Signature
? ge 1 of 3
U
u u SFP 2 4 2008
' DO NOT WRITE BELOW THIS LINE
SU6 TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pooi
? Single Family ? 06•plex ? Fireplace ? Porch (3-season) - ? Ext. Alt. - Multi
? 01 of _ Plex ? 07•plex ? Garage ? Porch (4season) ? Eut. Alt. - SF
? 02-Plex ? 08-plex Y Deck ? Porch (screen/gaze6o/pergola) ? Multi Misc.
? 03-Plex ? 70-plex ? Lower Level ? Storm Damage
? 04PIex ? 12-plex ? Miscellaneous
WORK TYPES
Ir New ? Interior I mprovement ? Siding ? Demolish Building`
? Addition ? Move Bu ilding ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Uamage
' Demolition (entire building) - give PCA handout to appiicant
DESCRIPTION:
Valuation . 3/ 0C?D . a ? Occupancy MCES System
Plan Review Code Edition ?l1\ 2Oa-) SAC Units
(25%_ 100% _J Zoning Ci{y Water
Census Code _q3? Stories Booster Pump
# of Units Square Feet PRV
JI of Buildings Length ? n Fire Sprinklers
Type of Const. Width I'L
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
_?,2? Footings (deck) Final/C.O.
Footings (addition) 7?1 FinallNo C.O.
^
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: _FooGngs _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Reviewed By:
--------------------- * -- Building Inspector
----------------------------------------------------------------------------------
-------------------------------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
JROBC' .
AS
C P?pNHtAi andOlAND 11.1RVtYO
ENGINEEAING
COMPANY, INC. L .1000 [A3T 1491h 3T11C[T, EUfIHSVILIC, IIIHN[SOTA 55377 PH 472`700G
C,er,? cctz ?9'zrcr-y-c y
U.9at -+^'' ? o? • LOT 41 BLOCY, 7.1
BERKSHIRE
DAK07A\ CAUNTY, MINNES07A
2 '/?g
?
, l
--
v
AP - u, F&3a
pRPJNAvE EAS?MEn?r
Yu ?4° 58 54"E
? 281,94 ---
????- - -
*AjNlwE * lrnuN \
c?.seMFUr
- -' -
L C,T 4
l N?°SS?5H°?!
i... '.. ? ?C:
.. _'.: . . _ ;
4Ebj,c) DENOTES Ex15TIV4C. EI.EVATION '
DENDTeS pR0?OSE0 ELEVATfoN
-"'k-- 1NDICA'i'E5 DtREC-TlOty OF' SURFI.CE pRAiNAGE
F INPSHED G).RA4wZ Fl-OCR ELtNtiTIoN = 955.33,-
PoND6,
.? ?
?fP
t?N ?
?f
? a 6 ?L
?
z/
?I;i co
?
NoRTH
SCA?.I? 1?• 50'
[ Tetvby cartify thit this ir a trua and correct-reprasentation ot a tract ot
tand at •ho,m'and described hereon.. Am prepared by me on this `_ dar ot
3u-y , 19 aa , '
¢/.... ?.,.c ... _
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166859
Date Issued:02/09/2021
Permit Category:ePermit
Site Address: 4725 Berkshire Ct
Lot:4 Block: 2 Addition: Berkshire Ponds
PID:10-13750-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Julie B Sandberg
4725 Berkshire Ct
Eagan MN 55122--360
(952) 210-1655
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature