Loading...
4578 Cantebury Cir INSPECTION RECORD I Control No. 0470 CITY OF EAGAN PERMIT TYPE: "1140204 3830 Pilot Knob Road Permit Number: 0"606 Eagan, Minnesota 55123 Date Issued: 90/14 /22 (612) 681-4675 SITE ADDRESS: LOT s a -sL OCtr i 2 AP..P_LI,CANT: 4678 CANTEDURY CIA GARDNER MASSI" CHES MAR E 19T (612) OSS-0140 PER%TCSUBTYPE: TYPE OF WORK: , INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOT INO FINAL 11EINA098t RECEIPT tF Permit No. Permit Holder Date Telephone Y SM/ PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing = Roofing Rough Plbg. Rough Htg. - Isul. Fireplace Final Htg. Orsat Test - Final Plbg. Plbg. Inspector- Notify Plumber Consl Meter EngrJPlan Bldg. Final Deck Fig. /27 tiIG~T ~$QetLt to _ Jj _ Deck Final Well Pr. Disp. INSPECTION RECORD~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 I SITE ADDRESS: I I APPLICANT: f. , ; r , ~f~RY t" l1t i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i Permit Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING 1 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE ~f~ AIRTEST II. 4•6Ie din FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: IM f l 11 1 rill 3830 Pilot Knob Road Permit Number: ti ' Eagan Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: ` ,1 APPLICANT: vI lljLi .i I' PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING ' GAS SVC TEST INSUL GYP BOARD FIREPLACE 3 FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Cj Y Or EAGAN WATER SERVICE PERMIT 37115 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: Insp.: T`! . o~4aGAN _ SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NQ: _ Eagan, Mld 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: a4hAGAN WATER SERVICE PERMIT 3795 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: 1 agree to comply with. the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: a4hAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: _ Site Address: Plumber: _ s 1 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: 117 CITY OF EAGAN ,.11830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 a ti PHONE: 454-8100 'BUILDING PERMIT s Receipt # ' fr } To be used for DECK Est. Value $1.9000 Date JULY 12 V 19 91 Site Address 4392 CANTEBURY CIRCLE Lot 10 Block 2 Sec/Sub. CHES MARE } OFFICE USE ONLY Parcel NO. Occupancy FEES Name ERIC & NAATALIE STEVE Zoning $25.00 w (Actual) Const Bldg. Permit o Address S (Allowable) - - Surcharge • 50 J City Phone 452-+2019 # of Stories 16 J Length Plan Review :j r p Name SAM, Depth SAC. city '0~ Address S.F. Total SAC, MCWCC City Phone S.F. Footprints h On Site Sewage Water Conn 1 W W Name On Site Well Water Meter w Address MWCC System W City Phone City Water - Acct. Deposit 3 PRV Required - SAN Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to dipmply with all applicable State of Minnesota Statutes and. Qityrof EVaT rdma1 cps. 1144 ~ ~ 7 Treatment PI Signature of Parmitee " APPROVALS a Road Unit A Building Permit is issued to: ERIC & NATLAIE STE Planner Park Ded. j on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota States and City of Ea an Ordinances. Bldg. Off. Copies - 0 Building Official Variance TOTAL I Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. r ELECOFRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector- Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. T~13 9l Deck Final fz~l Well Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 5619 PHONE: 4546100 BUILDING PERMIT Receipt # To be wed for Est. Value Date 19 Site Address i'f-0 Erect Occupancy Alter ❑ Zoning Lot Block Sec/Sub. Parcel # Repair ❑ Fire Zone - ,ryL Enlarge ❑ Type of Const. W Name 1., ,'j'°an C. - Move ❑ # Stories Address Demolish ❑ Front ft. Ci Phone Grade ❑ Depth ft. Name Approvals Fees .O u0 Address Assessment Permit ~ City Phone Water & Sew. Surcharge Police Plan check wW Name Fire SAC uZ5 Address Eng. Water Conn. aW City 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 APC Total State of Minnesota Statutes and City of Eagan Ordinances. 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 Permit Date p4"InIttm Plumbing Mechanical /F0 ! 30-4 2_ %z>Z?C> 5 ~ 3d 3 9 d - ~1~~-~ INSPECTIONS DATE INSP. Rough-In Final Footings - Date Insp. Date Insp. Foundation Plumbing 15S 7.7 Frame/ins. 5--~o Mechanical Final - 1 - 6 -57 Remarks: / CITY OF EAGAN 3795 Pilot Knob Road No.Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-5100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Dote: .l ' 1 = Receipt No.: Leo) Single Site Address: ~'%~2 Ci~~.bu"' Residential Lot 10 Block 2 Sub/Sec. E•1st Multi Res., Comm./Ind. Nome -.ros ; ° LetU,r,n Tnc, New/Alter./Repair. Address "0 Box 1211 Cost of Installation City arnsvflle yY° Phone Permit Fee `i Nome ProJeet Plumldr- j : Surcharge Address i' (4"Humboldt e 0 City 1 a r'.~ ; 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. Building Official CITY OF EAGAN 3745 Pilot Knob Read Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW }mT` 'r PERMIT FOR ALL INSPECTIONS Date: Receipt No,: Single t: Cart,,',ur - Ci:rc-J.r, Site Address: - ~ Residential Lot - 81ock Sub/sec. Multi Res., Comm./Ind. Name Gros'a Lihn n 7:rc11 . New /Alter. /Repair Address Cost of Installation O r City 1312]'88V'1~.15,,;~' Phone 1~ Permit Fee Name --ay fl. V'Pl'ter : i,a ul r Surcharge Address 4637 fft1~C~ .t 1° ,Tr . 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. Building Official CIT,.,X OF EAGAN _ 5 6 1 6 3795 Pilot Knob Road Eagan, JAN 55122 No PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Dote 19 Site Address Erect ❑ Occupancy Lot Block Sec/Sub. Alter ❑ Zoning Parcel # Repair ❑ Fire Zone Enlarge Q Type of Const. W Name Move ❑ # Stories z Address Demolish Q Front ft. 00 Cit Phone `Grade ❑ Depth ft. Approvals Fees it Nome a Address Assessment Permit city Phone Water & Sew. Surcharge Police Plan check gW Name Fire SAC u~ Address Eng. Water Conn. z city Phone Planner Water Meter 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Psrndt # Dots Iwued Pstmittse Plumbing 5- 7 Mechanical / z 09 ~o 0 INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Dote Insp. Foundation Plumbing 3 Frame/ins. Mechanical Final 11 - 1.7- Remarks. o t/ ' (H c fZ o G~•iw~O~/go ^G 8~yr aaHh`.5..~~~ ,/!lhollj~~fn1~,0/.p~Cy.P 6hc , CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Na. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: 7 19GJ Receipt No.: i<- L.y Single Site Address Residential Lot Block Sub/Sec. Cher Multi Res., Comm./Ind. Name New/Alter./Repair. I Address PO Box 1211 Cost of Installation Airrisville. :11; City Phone: Permit Fee frolect 11-C.', Name Surcharge lhu bole g Address e City Phone. Total This Permit is issued on the express condition that all work shall be done in actor once with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN t ' 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone: 454-8100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Residential Site Address: Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter./Repair Address Cost of Installation city Phone: Permit Fee Name Surcharge Address z V 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. Building Official CITY OF EAGAN Remarks Addition' CHES MAR EAST FIRST ADDN. Lot 9 Blk 2 Parcel 10 17150 090 02 Owner WJI .L~, It Street 4578 Cantebury Circle State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF._ 1982 1311..07 262.21 5 138$.42 C007286 - - 2981 STREET RESTOR. GRADING SAN SEW TRUNK 11 1991 280.00 56.00 5 . 224,00 0006917 1/12/80 *SEWER LATERAL Sd- 1991 3395-18 679-04 2716.14 C006917 1/12/80 WATERMAIN *WATER LATERAL 1991 WATER AREA S~/D IqR1 980-00 56 - 00 224.00 C006917 1/12/80 STORM SEW TRK SO / P19 14 5 2 280.88 0006917 1/12/80 *STORM SEW LAT CU RB & GUTTER SIDEWALK STREET LIGHT Road T~ WATER CONN. 305, 00 IT ~i BUILDING PER. 5610 It n i SAC r,25 - 00 PARK Q CITY OF EAGAN Remarks Addition' CHES MAR EAST FIRST ADDN. Lot 10 Blk 2 Parcel 10 17150 100 02 Owner Hf lV ` Street 4582 Cantebury Circle State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 3. 82 1311.0 262.21 STREET RESTOR. GRADING SAN SEW TRUNK J~ 1991 ?An nn nn q 225.00 A010257 6-1-81 ,SEWER LATERAL j /)9 1981 ssgs-18 679-04 2716.15 A010257 6-1-81 WATERMAIN *WATER LATERAL WATER AREA 04 1991 280-00 56-00 224.00 A010257 6-1-81 STORM SEW TRKdg 1981 351.10 2 5 280.88 A010257 6-1-81 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 17995 2/25180 WATER CONN. 305.00 BUILDING PER. 1;A1 Q SAC 1; - 00 PARK Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address _ Lot i Blk. Tract r i 4. Owner 5. Contractor Phone 6. Address 37 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ i 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe - - Fuel Type 1 a 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air £1 FCC t `C 305 Air Handling: Mfg. _ 1 Boilers ~a s4 'o E f'Ec ' Mech. Exhaust Mfg. Unit Heater Mfg, _ Other Air Cond. Mfg. Gas, Piping Outlets j 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 hL CITY OF EAGAN 97" Pilot Knob Road Eagan, MN 55122 N4 5618 PHONES 454-8100 BUILDING PERMIT APPLICATION Receipt #t i~i&~ To be used for j Duplex Est. Value 50.200.00 Date 2/25/80 19- Site ress 4578 Cantebury Cr. R-3 Erect Occupancy Lot Block 2 Sec/Sub. Ches Mar East 1stAlter ❑ zoning R2 Parcel # 10-17150-090-02 Repair ❑ Fire Zone III y Enlarge ❑ Type of Const. W Name Gros o & •phman Tnn_ Move ❑ # Stories split duplex Address PO BOX 1211 Demolish ❑ Front 28 ft. Burnsville, IMpW37 454-2815 Grade ❑ Depth 46 ft. q Name Same Approvals Fees 0 Assessment2/22/80 Permit 1 2.00 u5 Address F Water & Sew. Surcharge 25.50 CI Phone G Police Plan check 5271.90 5.00 Name Fire SAC sZ Address Eng. Water Conn. 305.00 0 <w City Phone Planner Water Meter 60.00 Council Rd.Unit 185.00 1 hereby acknowledge that ave read this application and state that Bldg. Off. the information is correct nd agree to comply with all applicable APC Total 1,313. 50 State of Minnesota Stotutt/armed ty of Eagan dinances. Signature of Permit... C- A Building Permit is issued to, Grosz Lehman Inc. _ on the express condition that all work shall be done in actor y/ wi r all icable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 4 ztzc ~ ads / CITY OF EAGAN 3795 PBet Knob Read Eagan, MN 55122 N2 5619 PHONE: 4546100 BUILDING PERMIT APPLICATION Receipt # ~~S To be used for z Duplex Est. Value 50,200.00 Dote 212C 19 _ 80 Site Address 4582 Cantebury 0t. R-3 Erect Occupancy Lot 10 Block 2 Sec/Sub. Ches Mar East 1st Alter 13 zoning R-2 Zona I Parcel # 10 17150 100 02 Repair ❑ Fire rc Name Grosz & Lehman Inc. Enlarge [3 Type of Const. V w Move ❑ # Stories split duplex Z PO BOX 1211 Demolish ❑ Front 28 ft. o City Burnsville, IM A2,13 454-2815 Grade ❑ Depth 46 ft. W Name Same Appravoit Fees 0 Permit 142.00 Assessment 2/22/8t Address F CI Phone Water & Sew. Surcharge 25.50 Police Plan check 71.00 ~w Name Fire SAC 525.00 s~ Address Eng. Water Conn K5 - 00 <W Ci Phone Planner Water Meter 60.00 Council Rd. Unit 185.00 1 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 1, 313.50 State of Minnesota Statutess n_d ity of Eagan Or in noes. Signature of Pem+itfee " A Building Permit is issued to: GTOSx2 hman Inc. on the express condition that all work shall be done in accords eyiyith appli bl fate of Minnesota Statutes and City of Eagan Ordinances. Building Official ~`d~ CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION Al set of energy calculations. To Be used Fort' p, kx evaluation E29 2 OD ' Date 2 -A., -f d - Site Address: ..41rf2 A n P A a,,/ - ~ r - OFFICE USE ONLY Lot /0 - Block 2 Sec./Sub. /-Erect Occupancy e- -1 Parcel - Alter Zoning d'_ 2 Repair Fire Zone Owner: lv~,Vs z. - Zr Enlarge _ Type of Const. V Move # Stories fp/. t D oleF Address: P19, dx /2// Demolish _ Front g ft. City/Zip Code: 4,,,r n r y i //e M n ~ -137 Grade Depth ft. Phone 935' -A01; d 5-4 -1'fT /f APPROVALS FEES Contractor: 6 xd .to Assessments Permit ~92 Address: Water/Sewer Surcharge Z S Police Plan Check -7 - City/Zip Code: Fire SAC f 2 S Phone Eng. Water Conn. 3 D- Planner Water Meter d D Arch./Eng.: Council Road Unit / A~fO Bldg. Off. Address: APC City/Zip Code: Phone TOTAL 3 (3 • T d . ~sG: r 3 CITY OF EAGAN Include 2 sets of plans, e n site plan w/elevations & • BUILDING PERMIT APPLICATION t- set of energy calculations. y j 4'.-f0// 2 00 00 - - To Be Used For Gar Valuation fbfir,496~ Date Site Address: -Jr OFFICE USE ONLY Lot 9 Block o2 sec./Sub. "S Erect occupancy K -.3 Alter Zoning 2 Parcel f'~P--~G3Q- , D~~--- dom... _ Repair Fire Zone Owner: A'A~A 2( Enlarge - Type of Const. Move # Stories i, -C -VY ►4 eX Address: yn /~jiy~; /a// Demolish _ Front s * rft. City/Zip Code: . SSA 3~ Grade Depth q A, ft. Phone 6,P APPROVAIS FED Contractor: lliJ Assessments Permit ~Iz Address: Water/Sever Surcharge I- Police Plan Check City/Zip Code: Fire SAC r~ s ao Phone Eng. Water Conn. ~S f!r Planner Water Meter Arch./Eng.: LD~G Council Road Unit Bldg. Off. Address- 6 /O APC City/Zip Code: SSy~la Phone TOTAL l,J ( 3. S~ -41 o e lP .Si e 10 anS 4 / Noc r Are pith . CITY OF EAGAN N2 19411 3130 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT % PHONE: 454-8100 Receipt # !Y~ To be used for DECK Est. Value 44s800- Date JULY 12 19 91 Site Address 4582 CANTEBURY CIRCLE Lot 10 Block 2 Sec/Sub. CHES MARE 1 OFFICE USE ONLY Parcel No. Occupancy FEES Zoning w Name ERIC & NATALIE STELAE = $25.00 (Actual) Const Bldg. Permit c Address SAME (Allowable) Surcha a .50 City Phone 452-2019 #of Stones ro Length 1 Plan Review a Name -SAME Depth 12 SAC, City g Address S.F. Total SAC, MCWCC C City Phone S.F. Footprints - On Site Sewage Water Conn ~w Name On site Well 1=i Water Meter Address MWCC System Acct Deposit °dm City Phone City Water - PRV Required SrW Permit f hereby acknowlege that .1 have read this application and state that the Booster Pump S/W Surcharge information is correct and Pgree to mply vAtth all applicable State of Minnesota Statutes antt6kdbf an rd s.~ I Treatment PI Signature of Permilee-- h1 ~fV/IL/./~-~}I APPROVALS Road Unit A Building Permit is issued to: ERIC & NATLAIE STEN71 Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.00 applicable State of Minnesota Sta sand City of E Ordin ces. Bldg. On. Copies 1 7767.50 Building Official - Variance TOTAL ~:_.<:~=..S•ct. _~'~-s+-.rte .i-:T.-C '~':~„i~i :_ssc; ~tCr.~-:^:rc.is -2^~ V.Prrtifiratr of Orrupaury „ citp of Cagan A~ r Depa meat of 'Sw1bing Ittopertion Thu Certificate issued pu I suant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various 6 ordinances of six City regulating building construction or use. For the f ollouing: r } DUPLEX 5618 On CW20n6m Mdg hmmt NO. i i Y 0=u Typ R'J IyPCIm+ d= V Fim Zm Z.,Dumct R2 1 p an<oraoati` Grosz &,Lehman Inc.. PO Box 1211,BurnsvllUle,Mn P 4578 Cantebury CiL,.,r L9,B2,Ches Mar East 1 61 DWdWS A" a 12-15-80 DIcltoaa ~'yI wm: r % r OF= I IRWO, Odor ~Y " . m O T V.Sa CORRECTION NOTICE p DATE: wo _ 45 o _ - Site Name t Cj't9 J-7- - ~ ~ Telephone gent Address dance Nos. and Corrections -Correct By ~e a~~ a e Gc e ce-s s fL~ L f C~ 0 nfl,h,-l5. / O {1 OL 1 1^ re. O /l OL For reinspection Eagan Dept. of Inspection Inspector: 3795 Pilot Knob Rd. Eagan, Minnesota 55122 454-8100 Dept.: This request void 18 months from L,, q, 6, 2 a 00 ~ 1 + --7 ~.5>n~lqr ~~f I S Hate of yOus Request #-9J 23054 I, asiLicensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. !5E: TLr "ue f WUY ~i ~~'e Cit _ Section OrTownship/ / Range County Which is occupied by 5 2 L>o~ (Na a or occupant) Is a roughin inspection required on this job? No ❑ Yes )d Ready Now Will Call ❑ Power Supplier C. Address l+h/ ii4 7- r ~j Electrical Contractor QeContractor's License IQo D 7? (Company Name) Mailing Address b~ '7"h- S~/ow (Elec Ica Cont rA ner Maki Ms Installatl ) Authorized Signature i / Phone Noj~1247f_3' [ (Electrical Contractor or Owner aking TA s Installation) STATE E BOARD COPY This inspection request eri not accepted the State Board Board unless proper inspection fee is is enclosed. nnesota 0 1 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Q REQUEST FOR ELECTRICAL INSPECTION r4. CHECK BELOW WORK COVERED BY THIS REQUEST r Type of Building New Add. Rep. Check Appliances Weed For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Wate r Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Drye Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ F. Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air diti r Bulk Milk Tank ❑ Farm List )y Lpist ❑ 11 11 Hehersl Hehreers~ Other COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 210/ 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5. Remarks o TOTAL FE 3p ~ cs 1, the ~t abgU'pe n Yeee~ad~ (Rough -in) !!'yl~ (Final) %t1ti ~q Date d g- 6~ This request void 18 months from This request void 1 8 months from Date of this Request c2 --2~ 8' a S 2 3 0 4 2 I, as icensed Electrical Contractor ❑ Owner, do hereby request inspection o above electri- cal wfiring:installed at:S- r , Yock c r~7 V .Street Addressor Route No. lOi 1 h_ CheSw~a City Section - Township / Range County - Which is occupied by Jcno 05 2 Lel?modn (Name of Occupant) Is a roughin inspection required on this job? No O Yes Ready No~ . Will Call ❑ Power Supplier In G 7ec , Address , /OOni ~'I Electrical Contractor Contractor's LicensE~lo. (Company Name) Mailing Address ( lec 1 I ontr r pr n r aking his Ins tion) Authorized Signature Phone No. 19 1 A 5 (Electrical Contractor or Owner Making TIM Installation) ,pyE BOARD C®y This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. . ae oar ol ectricity ' 3 . REQUEST FOR ELECTRICAL INSPECTION C,Te a CHECK BELOW WORK COVERED BY THIS REQUEST 4 FS 21n42 Type of Building New Add. Rep. Check Appliances Wired or eck Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace ❑ Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ 0 E] [3 List List Farm Other -O 11 ft ❑ El 11 Rehmeers# Otehers# 11 COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. 11 Above 100_Amps. Above 100 Amps. Transformers 11 Remote Control Circ. Partial or other fee Signs 11 Special Ins ection Minimum fee / Remarks V IZ~. TOTAL FEE V, 0(~ tr I, the Electrical Inspector, hereby certify that the above inspection has been ma . (Rough-in) Date (Final) 7/7 j A) Date. This request void 18 months from This request void L 91 8.A / c, M 1 18 months from Q Date oft is Request - ( r1 - Fire No. 94253 1, as ILI'Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. ~7 f O/at///J City Section Townshi Range County Which is occupied by y Tame of occupant) Is a roughin inspection required on this job? No O Yes ❑ Ready Now-Bill Call ❑ Power Supplier Address S~l~ll ~ Electrical Contractor Co ract is License No. lr pany Name) Mailing Address ( V41 E trice ntr owner Making This installation) Authorized Signature Phone No. _-~VV90 (Electrical contractor or w er akin his installation) NAM {Wll'~ ® COPY This hispection request will not be accepted by the cJ lT tl State Board unless proper inspection he is enclosed. minnesota mare Mara or necrncIty Griggs Midway Bldg. - Room N191 Lj EB-00001-02 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 ~p 7 I `REQUEST FOR ELECTRICAL INSPECTION° CHECK BELOW WORK COVERED BY THIS REQUEST S 94253 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater' ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner ❑ Bulk Milk Tank ❑ Farm ❑ E] List List oo Other _0 ❑ ❑ Heiers~ Biters 39 COMPUTE INSPECTION FEE BELOW 11 Service Entrance size: F* Fce Feeders&S eerie _ Circuits: # Fee 0 to 100 Amps, 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes Above 200 Amps. 11 Above 100_Amps. Above IO(L_Am s. Transformers 11 Remote Control Circ. Partial or other fee Signs 4= S ecial Ins ction Minimum fee $5.0_ Remarks TOTAL F • O 71-6 t' I, the Electrical Inspector, hereby certify that the above inspection has been ma. (Rough-in) Date (Final) ey n~ _ 5ate_~ r~ This request void 18 months from t This requa~t void&IQ gBnwnt9h,,2i 308 l f /O lllQU Reques't Oa Fire No. Required Ins uecb on Required s I(~eanV Now WWII Notify Insper.- P % 8 ❑yev ZKo mr When Read, W,r,`ceqscd Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at Street Address, Box or Ro to No. Gty 445 7 &al ecUOn o. Township Name or No. --h Be No. o Occ... IPRINTI Phone No. Power Supplier Address Electrical on raclOr I~ompan%Nam /tl ^ J C'0 /,Z s L1 ~=o.~ MIailing Address (Contractor or Owner Making lnstailat I ~1. /w l0 SS' / J %~i 2-4 Authorized Sign re (Co m,mr/O ner Installation) Phone Number MINNESOTA' STATE BOARD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED By THE STATE BOARD 1021 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS .1 rc. ni my o... ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 See instructions for completing this form an back of yellow copy. O l l T 92-394► "X" Below Work Covered by This Request 3 I A ep. Type of Building Appliances Wired Equipment Wired Him Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. V Air Conditioner Bulk Milk Tank Farm Other peu y 0n,.r (Spi,, fy) Specify Other 01hor Compute Inspection Fee Below # Fee Service Entrance Size # Fen Feeders rSubfeaders # Fee Circuits 0 to 100 Amps Oto 30 Amos Oto 30 Am us 101 to 200 31 to 100 Amps 31 to 100 Am s Aho %ZUNA ml,' Above 100_Amps Above 100_Amps rai - e Remote Control Circ. Partial/Other Fee g s.~ - Special Inspection $/QcOC TOTA FEE/D, Remarks ~i Hough-m oat, I the Elecin cal Inspector" hereby "'Y that the ,have Final nspacf= has been ma e. This request void 18 months Iron, This request void 18 months from / /Q d X - &4,w 4d~ rQ fsr 7-7 /,a>t Date of this Request S 2 3 0 5 3 1, as 3K , Licensed Electrical Contractor ❑ Owner, do hereby request inspection of the above electri. cal wiring installed at: ~q Street Address or Route No. f 22 C014164 C r/2?kCit ~ Section Township Range County. Ar'~-'_ Which is occupied by v)2 -,.P- (Name of Occupan ) Is a roughin inspection required on this job? No ❑ YeReady NowCl-' Will Call ❑ Power Supplier ~Lo~ 140W 4' Zrr- Address Electrical Contractor i JAM4 rContractor's License No~3~3 (COmp Y N aphp) 1 ' _K':kW'g CA Mailing Address (Electrical ntr or he This Authorized Signature ~ Phone No. No. (Elect al contrac or o Ow r Ma np This Installation) STAVE BOARD ®PY This inspection request rn not be accepted the State Board unless proper inspection fee e is ls enclosed. '1954 r.*v Ave St Paul Minn 55104-Pho~° R49-7703 j~5 d vg~- 1,7 . REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST S Type of Building New Add. Rep. Check Appliances Wired Check Equipment Wired For Home ❑ ❑ ❑ Range - 41 Temporary Wiring ❑ Duplex K ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt. Bldg. ❑ ❑ ❑ Dryer ❑ Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Fuma Silo Unloader ❑ Industrial Bldg. ❑ ❑ ❑ Air C N& Bulk Milk Tank ❑ Farm ❑ ❑ ❑ ppList pLList Other ❑ ❑ ❑ Herers Herreers~ COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feed &Subfeeders: # Fce Circuits: # Fee 0 to 100 Amps. 0 to 30 Am eres 0 to 30 Amperes 101 to 200 Amps. / 31 to 100 Amperes 31 to 100 Am eres ° Above 200 Amps. Above 100 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fe Remarks II /Lo wt ~ TOTAL FE CG -YW un v 39- 1, the Electrical Inspector, hereby certify that ove . p ftign has been ma e. (Rough-in) J 7 l/ ^~y (Final) .This request void 18 months from oid ~b a 511 O Ponrths from Date of thi quest 1 Fire No. V 80704 1, as tcensed Electrical Co ractor ❑ Owner, do hereby request inspection of the above electri- cal wiring installed at: /Xt c, eaiY / Street Address or Route No. S^[Ya OAZ'bl-u1 &/lZZ, Cit ."J Section Townshi~.Range County Which is occupied by iq-7 d, ' (Name or occupant) .Is a roughin inspection required on this job? No ❑ Yes 11 Ready Now'! Will Call ❑ Power Supplier p~ Address Electrical Contractor , GliLCG/ ~C1 Contr ctor's License NA.w f Com any Name) _ Mailing Address y ~j O (Electric contr r o Ow er MAking This installation) Authorized Signature Phone No. 4Z_Qd (Electrical Contractor or Owner Ma g This nsta ation) MA Ar E PH no CON This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Hoard or Electricity iversity IAve., St. Paul! Minn. 55104 19Phone 297.2111 3 EB-00001-02 ' REQUEST FOR ELECTRICAL INSPECTION A0 NECK BEVOW W(7RK COVERED BY THIS REQUEST S 8 U 7 0 4 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ❑ ❑ ❑ Range ❑ Temporary Wiring ❑ Duplex ❑ ❑ ❑ Water Heater ❑ Lighting Fixtures ❑ Apt.,Bldg. ❑ ❑ ❑ Dryer [3 / Electric Heating ❑ Commercial Bldg. ❑ ❑ ❑ Furnace yy Silo Udoader ❑ Industrial Bldg. ❑ ❑ ❑ Air Conditioner Bulk Milk Tank ❑ Farm ppList Other List El ❑ ❑ Heiers# ~eheis# COMPUTE INSPECTION FEE BELO Service Entrance Size: # Fee F e s f r ° Fee Circuits: # Fee 0 to 100 Am s. 0 A ere 0 to 30 Amperes 101 to 200 Amps. 31 t 00 A-mperes 31 to 100 Amperes Above 200 Amps. 11 Above 100 Amps. Above 100 Am s. Transformers Remote Control Circ. Partial or other fee Signs Special Ins ection Minimum fe Remarks TOTAL F (yspy S~ I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough-in) d.-, 1 / f Date (Final) to This request void 18 months from :~tlrf'1V~7. •li, F:N J]:S3r r r~ DELMAR H. SCHWANZ LAND SURVEYOR Registered Under Laws Or The State or Minnasota 2978- 165TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55038 PHONE 612 4M 1739 SURVEYOR'S CERTIFICATE i 72 y N• t h 1 \ /C/ T Z r~' i r f , <0 heron; ;,crtify that thin i3 L ti ac -tra co^:,r:.; t .Tot 9 and rot 10,, Block 2, C14ES f',^Y F:-+aT '71TOfi of rrocord In the office of the Co,.W-ty R::-ardor, :":;c.•' VOTE: NO p.onorty correra sct or rclcc~tcd far mi%ry 3, 1980 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date C / l ~p / 0S~ Site Address 'L.' cJ p a (1 W~ b t'~-k4r ( AJS/ J Unit # Property Owner C~ l CI a-~ Telephone # ( ) Contractor O'Connor Street Address! Plumbing, Heating ex Cooling City 7804 Vermillion St (~Sl - ` 1 State I Hastings, UN 55033 Telephone # Bond Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional ` Replacement _ air exchanger air conditioner -New Replacement other State Surcharge $ .50 Total $'J v 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 in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's 'ignature p D FEB 1 4 2005 By 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. MENTON, LOU Date 4578 CANTEVBURY CIRCLE Site Street Address EAGAN, MN 55123 Unit # (651) 994-1554 Property Owner elephons # ( ) NORBLOM PLUMBING 00; Contractor (612) 827-4033 Telephone # ( ) Address 2905 GARFIELDAVE. 80, City state Zip MINNUPOLIS, MN 554M The Applicant Is; _ Owner xj Contractor -Other Alterations to existing dwelling $ 50.00 -Add fixtures to rooms, excluding water softener and water heater -Septic System Abandonment -Water Turnaround (add $121.00 If a 5/8" meter is required) Other: _ Water Softener Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair -rebuild $ 30.00 State Surcharge $ .50 Total $ S• S~ I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. JQ~ ~erbkcv~ ; Applicant's Printed Name AppB a ign ure 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan C 0 1 3830 Pilot Knob Road, Eagan MN 55122 to Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements L)ffiiey~~t3se%0-6 3 registered site surveys showing s q. ft. of lot, s q. fL of house; and all rooted areas 2 copies of plan CaFof'S`ii 60e0Aecd°~``- (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions T'8070 " ~•'c .r 2 copies of plan showing beam & window sizes; poured found design, eta 1 she survey additions 6 decks Pies-;¢eggr, d~aj"' l set of Energy Calculations Addition- inicate if0"HO septic system f, eptlC jgf4 ka"- 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail options selection sheet (bldgs with 3 or less units Date /O If Y 01 I Construction Cost 2 6 ~S Site Address f S 7Y C4N U!V C~/e. Unit/Ste # Description QfWork ~vDU~ fD Rl'~U Gorr5< v45 64iM1V&- ~V N%.-O 1 r v7l5 ~~e+vw c K t /~+wJ ce-M uFp Multi-Family Bldg Y - N Fireplace(s) - 0 - 1 - 2 Property Owner `o j III_e*U >ti Telephone # ( ) Contractor Address City 4100 EXCELSIOR gLy(7iP Telephone # ( 617) 2 90 7 771 State ST. LOUIS PARK, MN 55416, 650 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category 1 - Minnesota Rules 7672 Energy Code Category . Residential ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone D~ Sewer/Water Contractor Telephone OCT 1 5 2004 I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accur te; that the work will be in conformance with the ordinances and codes of the City of Eagan and e 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 which requires a review and approval of plans. Z ,y Applicant's Print Name Applicant's Sigifature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN r~ 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Now Construction Requirements Remodel/Repair Requirements L" ~i- . 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan C> 3 _ O (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing been & 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 If lot platted after VM3 . Rim Jost Detail Options selection sheet (bldgs with 3 or lass units) DATE ~I I S~ cZa , ~DO~ VALUATION SITE ADDRESS UCi Ra (aY1ff'6tj ryl n rO`P./ MULTI-FAMILY BLDG _Y _K N TYPE OF WORK par'I"1hn n w6LI ( Alkaor FIREPLACE(S) _ 0 X 1 _ 2 APPLICANT 'it)-a) ~)LLY}eJ~Ie lc~a.hn STREET ADDRESS U Si D_ (/a tai CVYUr U Gil C~ CITY EEG"STATE wiN zip 551 aA TELEPHONE # U61-0414-G3612 CELL PHONE # (DID' I51 ' 3lgGI FAX # PROPERTYOWNER tk~S~ ~ \GL(a6 c Vz~ In TELEPHONE# 1f51`~1a~"a3R8 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 tll ee Submitted r~y dg {V¢1 (d submission type) . Residential Ventilation Category 1 Worksheet Submitted r8 Energy Envelope Calculations Submitted I ~f 2 002 Plumbing Contractor: Phone # _ Plumbing system includes: Water Softener _ Lawn Sprinkle FecL 1 0 Water Heater _ No. of R.I. Ba No. of Baths Mechanical Contractor: Phone # Mechanical system includes: - Air Conditioning Fee: $70.00 - Heat Recovery System Sewer/Water Contractor. Phone # I hereby acknowledge that I 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 Ordinances. Signature of Applicant P OFFICE USE ONL Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY fff❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ,~y 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 EM. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex Plbg_Y or - N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation U6 °0 Occupancy 1Z - 3 MC/ES System Census Code 4?a Zoning City Water SAC Units 01 Stories Booster Pump Nbr. of Units fl Sq. Ft. PRV Nbr. of Bldgs I& I_ Length Fire Sprinklered Type of Const V • tJ Width REQUIRED INSPECTIONS - Footings (new bldg) Final/C.O. - Footings (deck) Final/No C.O. Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests -Final Framing _ Siding _ Stucco _ Stone Fireplace _ R.I. -Air Test -Final _ Windows (new/replacement) Insulation _ Retaining Wall 8W601_1 Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies , d ur Other Total PERMIT Control No. 0470 CITY OF,, EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 00590 (612) 681-4675 Date Issued: 05/19/92 SITE ADDRESS: 4578 CANTEBURY CIR LOT:. 9 BLOCK: 2 CHES MAR E 1ST DESCRIPTION: ,-Buildln_g Permit Type DECK Building~Work Type NEW Building Length 14 Building Width 12 1t (G( ~ REMARKS: RECEIPT M FEE SUMMARY- Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - GARDNER MARILYN 4578 CANTEBURY CIR EAGAN MN (612)683-0140 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 Mn. Statutes and City of Eagan Ordinances. ,A P,lIt1 ~.PLt,~ 1111,1 APP ANT/PE MITEE SIGNATURE ISSUED Y IGNATURE INSPECTION RECORD Control No. 0470 CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 000590 Eagan, Minnesota 55123 Date Issued: 05/19/92 (612) 681-4675 SITE ADDRESS: LOT: 9 BLOCK: 2 APPLICANT: 4578 CANTEBURY CIR GARDNER MARILYN CHES MAR E 1ST (612) 683-0140 PERMIT SUBTYPE: TYPE OF WORK: NEW DECK DATE INSPTR. INSPECTION TYPE DATE INSPTR. INSPECTION TYPE FOOTING FINAL REMARKS: RECEIPT 0 L - PERMIT # CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 4 Recb SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural.& structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re guest is made or lot change is re guested once ermit is issued. Date Valuation of work Site Address: `f57g CAA)MCBoPY CIRct-e- STREET STE # Tenant, Name: (commercial only) LOT BLOCK c~ sue0."1~{S MAP f ~s P.I.D. R f iRaT ,A, peTT/c~J Description of work: e / ti 71 ac The applicant is: Owner Contractor ❑ Other (Describe) Name G A R.0 dE Y- )C ya Phone 6_2?3-019~) Property LAST FIRST Door, - 5c51/ - 64? Owner Address 1+51V CA't-~Tesvev GP-C('E C„ 1EPA)Cg STREET STE # City C-6 (;AA) State M+~. zip 55193 Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this applic n and state that the information is correct and agree to comply with all applicable ate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE i ❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13 Comm/Ind New O 06 Garage/Accessory ❑ 10 Swim Pool ❑ 14 Comm/Ind Add 03 Two family lace ❑ 11 Res. Add. ❑ 15 Comm/Ind Rem ❑ 04 Multi-fam. T.H C 08 Deck ❑ 12 Res. Porch ❑ 16 Public Fac. ❑ 17 Agricultural WORK TYPE 931 New ❑ 33 Alterations ❑ 35 Move ❑ 32 Addition ❑ 34 Tenant Finish ❑ 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Al owable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length -PW-74/ On-site well Census Code Depth 4!NL-/2 I On-site sewage SAC Code APPROVALS Planning Building 5-iL IzOS Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ooting ❑ Framing ❑ Insulation ❑ Wallboard inal ❑ Draintile ❑ Fireplace Permit Fee 26,00 Vatmticn: S Surcharge , SP Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 2 ,40 SAC % SAC Units For: 5(p/ hmen Box 1211 ~i ville_, { =5337" " DELMAR H. SCHWANZ LAN06URVL. uH RaYlstsfoa under Laws of Tl%,a Stale of Mmnvr 3878 - 116TH STREET W. - BOX M ROSEMOUNT, MINNESOTA SKI- PHONE 612 423-1788 SURVEYOR'S CERTIFICATE 1 1 11a 3° o f UR"'vIC,E' - ' Iv 15.0 ~t fs k 1 I IN l vre v nnT+*+ r1,ak is #e-a-tz•ae--& rrectN representation at' QLot 9 and Lot 10, clock 2, CH ES MAR EAST FIRST ADDITION, as cn file and 37~r3 n t e o c o he County Recor er, Dakota County, idinnasuta. NOT&s No property corners set or relocated for the purpose of this certil'1 January 3, 1980 Revised to show proposed house February 25, 1980 MINNESOTA REGISTRATION NO 862-•'~ PERMIT. CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 4 9 (612) 681-4675 Date Issued: 10/02/96 SITE ADDRESS: 4578 CANTEBURY CIR LOT: 9 BLOCK: 2 CHES MAR EAST 1ST P.I.N.: 10-17150-090-02 DESCRIPTION: Wo© D 9-" INSERT Be >4afrv, r ermit Type FIREPLACE . k Type ALTERATION E3-fit R! pe~L GB( 434 ALT. RESIDENTIAL x g -g s, x i~ s . F S'^ d 8 Y 0 t: F. P colt'' LTaqan REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: OWNER: - Applicant - + GARDNER MARILYN 4578 CANTEBURY CIR EAGAN MN (612qq)683-00y140 yy{ y yyq % Y g _ N'3~'~Y 4~hT dC34Lrr'I'a.nrdS:a't eFm }'LIaL 116 ~k T herd6 WV wlstle} ~t r0 ~i P S pax a s<~ f a( x5. a '4f t~fn g° ' normaitSn .sarr~trd ryta y y~ '+14Y tU 4eS kA3# V'>t+°F _ `".yy -f Y4n" v~e~gY 'li Hi eM1 4 &1,§AF ~Ia'S'a t .1 i Fs'?E 6.h k 4f S ~ex5o tr as & s4rna ac .9ii2$ . B AP ANT/PERMITEE SIGNATURE ISSUED BY: G ATURE ~j CITY OF EAGAN a I 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: - CONSTRUCT NEW FIREPLACE: x WOOD BURNING _ GAS INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE ~nrls7'/~5 _ OTHER: F11116 GLA(-r InLIC T l nrrb q yr 4 s 6wyey -je)) -4166 ROOM TOBEINSTALLED IN: STREET ADDRESS: LOT BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: C4 A W~tO A)gW- W,0)e lLy,s) Phone -Dl D OWNER Signature: Street Address: G4XIT~Ww y C ))e cuff city: bsA SSG' State: 14A). Zip: ~51 a 3 FIREPLACE Company: Phone INSTALLER & Signature: Or 61 Street Address: 54+41 5 A 5 A g 61) -4 License city: eg'O S A State: zip: S5) a3 GAS LINE Company: Phone INSTALLER Name: Signature: Street Address: City: State: Zip PERMIT VU OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 033831 (651) 681-4675 Date Issued: 10/28/98 SITE ADDRESS: 4582 CANTEBURY CIR LOT: 10 BLOCK: 2 CHES MAR EAST 1ST P.I.N.: 10-17150-100-02 DESCRIPTION: GAS INSERT/GAS LINE Bu~'! H'9-tTPermit Type FIREPLACE Building Work Type ALTERATION JQnsus Code K" 434 ALT. RESIDENTIAL L. /r•a _ ` ! Fr~~ REMCAIM1 Y/FLUE MUST BE INSPECTED BEFORE CONCEALING. FEE SUMMARY' Base Fee $50.00 Surcharge x.5Q Total Fee $50.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 20090911 DUNLEVEY JUDY 2700 N FAIRVIEW AVE 4582 CANTEBURY CIR ROSEVILLE MN 55113 EAGAN MN 55123 (612) 633-1042 (651)688-9549 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 Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUE[) BY. SIGNATURE 3830 CITY OF EAGAN II 1998 FIREPLACE IERMIT APPLICATION / 681-4675 DATE: _l ~'y f PERMIT FEE: $50.50 DESCRIPTION OF WORK: Construct new fireplace Alterations to existing Install gas insert only ✓ Install eas line only Other JOB ADDRESS: ff-~SD 2- ~M LOT: 1 r? BLOCK: p SUBDMS /P I.D. ~ w a APPLICANT (circle one only): OWNER CONTRACTOR I S~ 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. I ' p Name: bu.h)V V UAW Phone L6L PROPERTY Last First OWNER Signature: Street Ad ss: City State: Zip: 59c)-3 \ Company: / Phone#: IL L7Sf 11 (y W FIREPLACE INSTALLER Sign Stre Ts: License# City Vt State: Zip: SS33 Company: salnv Phone GAS LINE INSTALLER Signature: Street Address: OCT 2 81998 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reaulremerrfs Remodel/Repair Reautremenh D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam & window skier, poured Ind. design; etc.) 1 site survey for exterlor additions L decks D 1 set of energy calculations D 3 copies of tree resew ton plan R lot plaited after 7/1/93 ,J` V DATE: qz/ CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: 78-8y / ~✓(~Gd~ y1 'GAG L LOT: BLOCK: 1 SUBD./P.I.D.#: l~1 Mk~l 1/i /17 I St Name: Phone PROPERTY Lad First OWNER Street Address: City State: _ Zip: ) J Company: "5kyr UA2) / C© one (area code) CONTRACTOR Sheet Address: License # a-'666(z-'Sl Exp. ~ City o~State: Zip: Ss ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water licensed plumber (required for new construction onlv): Penalty applies when address change and lot change Is requested once permit Is issued. 1 hereby acknowledge that I have read this application, state that the Information is correct, and roe t omply itl 11 appl abl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No SEP 1 4 Tree Preservation Plan Received Yes No Not Required N4 a\ 1991 BUILDING PERMIT'* 1ICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL" 2 SETS OF PLANS 2 SETS OF PLANS 2,SETS OF'AR'CHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS- STRUCTURYAI.ELANS.' 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF"OEGIFIQATION9~' 1 SET OF ENERGY CALCULATIONS 1 SETT 04NERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT-PICKED UP BY!IAST WORKING. DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS'-ISSUED. o1., NOTE: ADDRESSES FOR CORNER TATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AIDDRE_SS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT-, IS IS SUED'.;' ' PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS`ONCE A PERMIT 'HASI;BEEN>COMPLET.ED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:' Valuation: -Dat-lt A.~g, Site Address OFFICE,.USE~ONLY Lot Block FEES Occupancy Bldg. -Pe-rmVt,9', C " oning Surcharge Const Plan Review,4F; . Parcel/Sub Ckes A Zctual 1 t, Allowable SAC, City Owner E6(~`¢ ,1,6$\1e1 E~^# of stories SAC, MWcc Length ivl-- Water Connsyr., Address Depth /2' Water Mete,'ryr . s ` S.F. Total Acct. 'Deposit City/Zip Code &O'RaC\ Footprint S.F. S/w Pe S/W .Surcharge.,:: r Phone On site sewage_ Treatment ,Pl t," On site well Road Unit Contractor Fjogrj J&W50rJ WcJw CC System ~Tark Ded•. ; City water _ ` Trail De3.' Address Z-7q3Z bAij fJ[_ AJF-• PRV Copies? Booster Pump City/Zip Code C.A5•TL E ocIL n1fl) - .SUBTOTAL ' ' q60- / "5000 APPROVALS Penalty- ai Phone twz Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code agrees that all work shall be done in.accoidance with ature tractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Use BLUE or BLACK Ink I--------------- For Office Use I ~f Eap I Permit ttU of - I I I Permit Fee: 3830 Pilot Knob Road I 1 Eagan MN 55122 1 Date Received: __l9_ f l 1 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 : Staff: C- 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~ f Site Address: _ 455 8--CCa COY------------ - Tenant: Suite RESIDENT / OWNER Name: LOL"- (1 Phone: Address / City / Zip: Name: ___-Appliance Connections Inc- License CONTRACTOR Address: 1313 Danlta Cr _--Sha ---Shakopee, MN -5-537 City: State: Zip: ~ -445-48(nne: Contact: Email: TYPE OF WORK New Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater PERMIT TYPE Lawn Irrigation RPZ PVB) Water Softener ! Septic System Add Plumbing Fixtures Main / Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge) `Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) d TOTAL FEES $ jQ - CALBEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, a d work is not to start without a permit; that the work will be in awith the a_roved plan in the case of work which requires a review and app val of plans. ~c--__---_- k Applicant's Printe N a et Applicant's Signat e FOR OFFICE USE Reviewed By: Date: Required Inspections: ---Under Ground ---Rough-In ---Air Test ___Gas Test ---Final PERMIT City of Eagan Permit Type:Building Permit Number:EA112818 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Lou Ann Menton 4578 Cantebury Cir Eagan MN 55123 (651) 994-1554 American Exteriors of Minnesota LLC 1408 Northland Drive #106 Mendota Heights MN 55120 (303) 865-3328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114789 Date Issued:09/19/2013 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 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 . Ted Mckinney 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 - Lou Ann Menton 4578 Cantebury Cir Eagan MN 55123 (651) 994-1554 Cityside Exteriors 1623 Norwood Dr. Eagan MN 55122 (651) 379-9899 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129299 Date Issued:01/28/2015 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Applicant: Jennie Wood 5720 International Pkwy New Hope, MN 55428 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 - Lou Ann Menton 4578 Cantebury Cir Eagan MN 55123 (507) 202-4861 Benjamin Franklin Plumbing 5720 International Parkway New Hope MN 55428 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155024 Date Issued:04/24/2019 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Lou Ann Menton 4578 Cantebury Cir Eagan MN 55123 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165081 Date Issued:10/16/2020 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Lou Ann & Mark S Menton 4578 Canterbury Cir Saint Paul MN 55123 (651) 994-1554 Homestead Remodeling & Consulting Llc 6053 Hudson Rd, Suite 340 Woodbury MN 55125 (952) 994-6102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA175646 Date Issued:04/11/2022 Permit Category:ePermit Site Address: 4578 Cantebury Cir Lot:9 Block: 02 Addition: Ches Mar East 1st PID:10-17150-02-090 Use: Description: Sub Type:Water Heater 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 - Lou Ann & Mark S Menton 4578 Canterbury Cir Saint Paul MN 55123 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature