4107 Cashell GlenPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148796
Date Issued:04/20/2018
Permit Category:ePermit
Site Address: 4107 Cashell Glen
Lot:011 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-110
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Daniel W Schulz
4107 Cashell Glen
Eagan MN 55122
(406) 231-0543
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
'CiTYOF EAGAN
3830 Pilot Knob Road
._ Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
l ro. ts+ - H_i!.rn 71 c+ 4
L(1 I a'L t11 1if ?
iia
PERMIT TYPE: i ; i+ 1 r16
Permit Number. 4 ! /
Date Issued: o 1 ? ) "
APPLICANT:
. :,
TYPE OF WORK:
INSPECTION .. . DA
,? . .? , .1 1; , ? • ,
& ti VI Ei R
?
?
PermR No. Permit Molder Dat* Telaphone •
ELEC7RIC
PLUMBING -?? fL
HVAC 7 ? ??yl
Inspection 1366 I sp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING ,?
c?
V
PLBG
AIR TEST
ROUGH
HEATING
-
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
[
FIREPLACE
AIR TEST
FINAL PLBG
a
wr?v
FINAL HTG ?Y Ir
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT C? y p-??? ? ? 121-12
PERMIT TYPE: u z ? o z N G
Permit Number. B 025477
Date Issued: 0 5/ 01 / 9 5
SITE ADDRESS:
4107 CASHELL GLEN
LOTe 11 BLOCK: 4
WEN2EL
P.I.N.a 10-83570-110-04
DESCRIPTION:
,ir
REMARKS:
S & W PL6R -
FEE SUMMARY:
vALuArxoN
Basa Fee
Plan Review
Surcharge
SAC
5AC ?
5AC Units
lic. 5earch Fee
Subtotal
$944.00
$613.60
$93.50
$850.00
100
l
$5.08
$2,506.10
SF DWG
NEW
R-3 U
V--N
PD R-1
69
54
2
2,444
a,llI
? ??§ ?$?'b;a m? ?
x ? w re? ?S 3
a's? ??m?a?,?? ?.
f
$187,000
MISCEI.LANE0U5 $1,892.50
7otal Fee $4.398.60
CONTRACTOR: - appiicant - 5T. LIC. OWNER:
WENSMANN HQME5 14231179 0001458 WENSMANN MOMES
3312 151S7 ST W 3312 1515T W
RpSEMOUNT MN 55058 ROSEMOUNT MN 55068
(612) 423-1179 (612)423-1179
-?awre-451
_ RJAI rn21
APPLICAN ERMITEESIGNATURE ? ISSUED BYI SI TU(i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I.N.: 10-83576-110-04 APPLICANT:
LOT: 11 BLOCK: 4
4107 CABHELL GLEN WENSMANN HOMES
WENZEL (612) 423-1179
PERMIT SUBTYPE: TYPE OF WORK:
sF owe
NEW
BUILDING
025477
05J01/95
INSPECTION
OOTINGS D. .
FOUNDATTON D•
RAMING RQOFING
NSULATION FIREPLACE
OUGH IN PLBG ROUGN IN HTG
INAL PLBG FINAL
REMARKS: S & W PLBR -
?' . . : . . . . . . : . . . ri.
CITY OF EAGAN q 3 0. b o
? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? a registerea 8rte survevs ? 2 copies W plan
? 2 copies of plans (include beam 8 window sizes; poured fid. design; etc.) ? 2 site aurveys (exterior additione 8 decks)
? 1 eirergy calculatiorw ? 1 energy calalafions for heated eddttions
? 3 wpies of tree preservation plan K lot platted efter 7l1f93
required: _ Yes _ No
DATE: ? ?tUf.I • ZS CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 40-1 CASLI---A GLQti-( -
LOT BLOCK ? SUBDJP.I.D. #: (Aje116 ?
PROPERTY Name: I A)p a[svuwu Phone #: (-
OWNER ??l Z 15 I y} l?Sf
Street Address•
Ciry: State: Zip: 55UCQS -
coNrw?CTOR Company: ) n 4s ?46?-- Phone #:
Street Address: License #•
City:
State:
Zip:
ARCHITECT! Company: SArne As A-?y-c--
ENGINEER
Name:
Phoree #•
Registration #•
Street Address-
City:
State:
Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation is wrrect and agree M comply with all
applicable Shate of Minnesota Statutes and City of Eagan Ordinances. / j?
Signature of Applicant ? ? rX
OFFICE USE ONLY UhIF?"=0 " `_-
Certificates of Survey Received V Yes _ No
Tree Preservation Plan Received _ Yes ? No -- '"
OFFICE USE ONLY
.. , ,
».. ,„
' •. , ? •? - ?
y, . a.
.*.?. .
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
?02 SF Dwelling ? 07 4-plex o 12 Mutti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
,P:? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ?N Basement sq. ft. /, 7ZCo MC/WS System ?
(Allowable) Main level sq. ft. %7yo City Water C><_
UBC Occupancy ? sq. ft. f6l Fire Sprinklered
2oning •p 0/R i sq. ft. PRV
# of Stories v 6s?r sq. ft. Booster Pump
Length lvB. e. 7 sq. ft. Census Code. /. o/
Depth 5y Footprint sq. ft. 2 < SAC Code nT
`? S?v
s ,
'
APPROVALS S
!,1 57 Census Un
d
0
Planning
Building
Engineering
Variance
Permit Fee Valuation:
Surcharge
Plan Review ?
License 3 X F ? 2-7 ?-
MC/WSSAC rX1z = iou / f'G??. = /,7Ya
City SAC ? 7z $y>
? Zx?• _ ? _
Water Conn. ?J s ?°, , 711
Water Meter b 3 3ts7-
Acct. Deposit b.ss?s F,,,,S,vc? /'Z6 z zs'
12.3ax 0.0
SNV Permit ? _ es G/3 /SO
S/W Surcharge
Treatment PI. ? 7yo x S•/ - ?y' 3, 9?O ?
Road Unit
Park Ded.
Traiis Ded. ?--
Other yx8 .7z ? - (a?Y
Copies Zo.a? x3o. ? -
x l1% 17 roeai: y
% SAC \ ?-
SAC Units -L81/ (o(o?x?` _
?9,(o x sy = 3?s? y jo, s76
\
r
MT,r
o?p9• ?
r" f,l
1
<?b. %.. H Sy---? /
4? = G
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fA o ?l Er??Yi?y
ry r Ho?56
-?-
? 410'? CASk4ELl. ULEN
EK 9t1?4 ? 7?3? ?.5 t9,5 ? .
LL'x1A7-r lwllq
i
E ? 4ARA4E i3.6'?
HouS i
EJS 9ob.7 ?
? u
? 911.5 j 9.5
a
o ??
HousC-
? 10
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1%14.ge 9: ? 1??Os3? '?kq ? 14,o io
S%? ;f?'?? ro?w N o ?s,o ` N+N ,
S ??
+ ,' ? ? ? 12,0 01G??.
? _ h183°4T' 19• v?/ ?, u? ? ?
II
4T?R4? A6£ A
EqSZ'?ENT
•_ ?
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/Y e ? ? <?ti o
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NORTH -'
,
SCALE 1":% 30'
ALL BEARIN6S ASSUMED
o DEIYOTES IRON MONUMENT
ToP 5L.+x K EL, 911. 8
aa5e mews tn-. 9og.z
D6SCR/PT/ON
LOT 11 , 6LOCK
WgNZ EL
FiRSr ADO/TiON,
DAKOTA COtINTY,
M1NNE SOTA
?-
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date:
LeRoy Bohlen
Registered Land Surveyor No. 10795
LOT SQRVEY CHECRLIBT FOR &E6IDEDiTIAL
? SOILDING PERMIT 7?PPLICATION
? BROBERTY .enar.= t
Dat• o! 8urveys e .?
DOCIIASENT eT wnAtina
&I- ?0 0 • Registered Lnnd surveyor signaLure and company
fiY? 0 • Suildinq permit Applicant
Y 0 • Leqal descziption
0 0 • Address
fYD D • North arrow arfd _bar acale
6Y D C • House type (remblez, valkout, cplit w/o, aplit entry,
lookout, etc.)
@r 0 0 • Directional draisfage nrrows with clope/gredient t.
0 CI • . proposed/exictinq sever and water ssrvicea
F 0 • Street name
13 • Drivaway ZLEVAT20N8
M,? 13
D
• Zx3st3nc
sewer serviee
IY D 0 • Lot corners
0 • Top of curb at the driveway
D' 17 0 • Elevations of any existinq adjacent homes
4ronos
d
0' 0 0 • e
Garage lloor
IY 0 D • First floor
0-- 0 C] • Lowest exposad alevation (walkout/window)
0,1-0
L?D D
0 •
• Property corners
F
ront and rear ot home at the foundation
1?' D
?
• pONDING 7?REAS (if acpllcable)
Easement Iine
13-? 0 D • NwL
D?
? D • HWL
? ?0 • Pond # desiqnation
D?' ? • Emergency overilow Elavation
axMEpazoN
?a n°
Mr'n a
tf 0 D
0 II' D
October 19
• Lot lines
• Right-of-way aad street width (to back of curb)
• Proposed home dimnnsions inoludinq any proposed decks,
overhangs qreater than 20, porches, eLc. (i.e. all
structures tequiring permanent footinqs)
• Show all ensements of record and s?ny City utilities within
thoee easements
• Setbacks cf proposed structure and setback of adjacent
existinq homes
2
7+27
? 911.1
0
7+13
910.6
$
?HELL
20
. .... ,- .:? . . r,,.. , , . F. . .•.:.r.
. . ' t CURVE DATA,, , ' :•
? t4+74 o a acas'
3 8"x6" TEE R- 250.00' . ;?
T = 108.22'
, 13'-6" OIP L s 204.26• ' •
' HYD. 905.4 PRC - 13+73.8B
? 6+,44 ( ) PRC = 15+79.q .
5 v ?+?
908.0 .4
?8 -1/16 BE D ?+55 4+52 ,, ,
904.7 903.9
8"-1116 BEND 87-1%1 ? PEND !
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,
MH ,
MH 18
19 3+66
6+13 • :906.6
906.9 5+33 b+46
? ? so3.s sos.e 14
? 4[
9 CU?
A = 24'08' R = 250.C
R = 250.00' ' T m 50.15
T a 53.43' L a 98.98
L a 105.28' '. . • PC. =, 12+
PRC = 15+78.0 .? 2 ,? 3 PRC w 13
PT = 16t83.36 ` , . ? .
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ERTERIOR EW ELOPE AVEkAGE "U" 20MI'UTAT1"
SITE ADDRES
CONTRACTOP.
' PflONE
/?DORESS
DETERMINE NORRIA?C SOUARB FOOTA(SEdF EACI[•
^42/& fe. z
e
1. Total espoeed vall
.... ?-
area q.
Tot . al roof/ceiling
.•2,
area 1r?f'tL_
.... _
sq• fC• 7C pab a
_ ?
.
Total eapoeed vall area ebova,iloot ?&9 .--
•A,
tfotd•L
wellnwindoan aces ?1M?hF4Y? ? ..•.«•• «•••.••• •-•
' 27 el_.-
?.,a
• 'I: Tote•Y .?.?...... .?_.
door• area ..?...?..........? ..................:.«
• ?s
g
7rotal'.'_s3j.4{n8':gl1ase. door?.acRS,...«..«...••«•••.•.•.••:..-• --
?_
?- *TeYal --
iPireplace. aa11, ar.ed .««.......,......... ??«•,•.• e: e.• ?
----?----
'% vTotdh a'a]:Svfaeming, aiea•r(qvetngo lOx) ...... ..._ .;.,
'?. .:Tatal .net. vall• aiea abdvn•ifloot ....«... .....,.. . . ..
?
?
°g.
'Total
:..:.?,..
••••••
:•••.•••••••••,
iim joist area j-
?
• Z_____? ? -
Total expoeed foundation area
i
h.
Total •
'foundation aindav area ?.ti...•??•??•?" •"
d
---T-?' -
2
`?
?
?
? •?.•. Total e ..•..•...•.?;;
net..foundatioa.afaa• abova..gra _
..?._
.
-
,AdcerdiYl{e ',U',.vsYitcm!? eaEli waU'csegmenl.
y 7? . .x ,onl$ 71 9e?-
- x nnu 2b - 7• 06
b
jpC7 x Ifuli`'
r x 11U11 2 ?
a. ,. .
x ?lu?? • a94 -
e . ---?--_'
x nyn
g, 34? x "u"
' x
h. •
' 016 x ;ouo$
s. .
.? / ' •
/ 2? 9v
? r-
45• 7 ,_
' Tetal
3 . ......... *64*
If Item E3 ia the aama •s, o[.leso than itam dlt 7ou hava met the intent
e,f SBC RnnR (c)2.
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Z_
7'otAl exposed tooflcnl!!ng erea A.----
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•?'- ? k. T.+tnl rooE/eeilinR trnnl.ng nren(nvnrnp,e107.)..
. 1. Totnl net insalated tooE/ceill.ng nren ........._
• Dntermine I'U" vnlue [or rncli raoF/celltnp, segment.
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IC tmtal mf 01o le the esme es, or leee tLnn 02, you LnvP met Nhe 1.ntanc
... aC SAC•?6U(1(i(c)l.
,%1 r-!•ALterrlrttij.eBuiJ ding :F.ryvelopP ;Dpsl pn
. 1 .. •
utiliae ttle total'envelope eyetem metliod, tlie vnlues estab11ehPA by
''" j{li+s eum ^f itema 03 end 04 ehe1L not be grentpr tllan the sum of items
and A..
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W-ertificate nf CccupancV
(Fit4 of Cftgan
Teoathaeut vf $uiIbhrg 3ubpection
This Certificate issued pursuant to the requirements of the Uniform Building Code
cenifying that at tlie time of usuance this structure was in compteance with the various
orrlinances of the City rrgulating building construction or use. For the following:
UseClassification: SF DW Bldg. Pemiii No. ?5477
OC-P--Y TYPe RMAI- ZoninE M%ftict Type Consi.
oanwaBu;kungWENSHAtdQ HMS namnms ?'+ 19 t t cr' Sr W,-?40SElCM
euiw;,g AaaT,,, 4107 CASHL QEN Lomnr L! I. $4. G1EI+pL1'.
' ,.
i /.? y/Cp•;
- Due: ?
Build"iog Offida! i '
POST IN A CONSPICUOUS PLACE
Address L107 rpGM7, Q.,FT7 Zip 55122
I.ot 11 Blk 4 Sub
THPSE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Cv o't9 q$ Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Petmanent steps (main entry)
Pemtanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of watet supply [o
thc outside lawn faucet before freeze polential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
-
? 7
?
6-)l r 9S Ul,ft
Request Date Fre No Ro h-In Inspection R ired Inspecnon Other Than Rough-ln
5/ 16 / 9 5 (YOU musl call inspecmr when reatly)
? ? Reetly Now ? Will Nobiy Inspector
4Xves
No oale Read
IKI licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireel. Box or Route No.) Qty
4107 Cashell Glen Eagan
Seclion No Township Name or No, Fan9e No Counly
Dakota
Occupanl(PRINT) Pnone No
Wensmann Properties 423-1179
Pawer Supplier AGtlress
Dakota ElecCric 4300 220th St. W., Farmington
Eleclncal CanVector (COmpany Name) Contrac[ofs Lloensa No
Soos Electric Co. CA 00961
Matling Adtlress (CoNractor or Owner Making Installellon)
3980 Beau D' Rue Drive, Eagan, MN 55122
Authorizetl SgnaWre (COntracror/Owner Makinq Insta on)
Phone Number
1 688-6180
MINNESOTA STATE BOAPU OF ELECTRICITV THIS WSPECTION REOl1EST WILL NOT
Gdggs-MiCway Bltlg. - Raam 5426 BE ACCEPTED BY THE STATE 86ARD
1821 OMVerslty Ave., St Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Phane1619 642-0800 . ENCLOSEO
REOUEST FOR ELECTRICAL INSPECTION s
10o Sae mshuctions for campletinq Uis form on back oi yellow copy.
? "X" Below-Work Gbvered by This Request .?qa.
Ne Add Rap. Type ot Building Appliances Wired Equipment Wired
X Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Bwiding Oryer Load Management
Comm./Industrial Furnace Other Specrfy)
Farm Av Contlitioner
Other (spea(y) Conttactofe Remarks.
Compute lnspechon Fee Below.
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Amps Above 100 -Amps
$i OS inspectors Use Oniy. TOT L
?
Irrigation Booms 93. 50
S eaal Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby Ro.qn.,c oai
ceRity that the above inspection has
6een made. ?
/
OFFICE IISE ONLV
This request vaitl 18 monihs from
ITY USE ONLY
C
BL RECEIPT #:?
BD. ? DATE: 3? 7 95
Est
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: 4??
FFFS
? Minimum Fee: Add-on/Remodel (existing residence only) $20.00
? HVAC: 0-100 M BTU /?? 24•00 ? pv
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) &.00
? State Surcharge .50
TOTAL 43& "='o
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING C0.
STREET ADDRESS: 14745 S. ROBERT TRAIL
CITY: R05EMOUNT STATE: MN ZIP: sFn6R
STGI
li?
PHONE #: ( 612 ? 423-1144 ?
OWNER NAME: WiI-6{7npa TIU/i[.`? PHONE #: ?- /17?
(r ol CITY USE ONLY
L ? BL 4f. RECEIPT #: 8
'?
n r'F??-
SUBD. w DATE: -3° 5
1895 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Plping Outlet * minimum - 7
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprinkler * home under const.
Alterations ' to existing
Water Turn Around
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
SITE
OWNER NAME:
x
x
x
x
x
x
x
x
x
x
x
x
NO.
o?
--47-
?
_ r--_
?
?
TOTAL koo
I5.6?
?
?
.?.?
7; ?6
.50
?
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING C0.
STREET ADDRESS: 14745 S. ROBERT TRAIL
CITY:
ROSEMOUNT
STATE
MN Zip; 55068
PHONE #: ( 612 ) 423-1144 ?
Use BLUE or BLACK Ink
For Office Use
I I
City ~f E n on ~ j Permit 11~0 t<x~ ~
Q>~Sjui i Permit Fee:! ~o
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
I I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /J Site Address: 1110;7 atd UnitM
Name: 7-`,O V Phone: / u ol,
Resident/
ly'1 01+
Owner Address/ City/ Zip: `7 M7 C A5
Applicant is: Owner ,f!~ Contractor
of Work Description of work: wty' S
Type
m
Construction Cost: a a ~p Multi-Family Building: (Yes / No V )
A r
Company: Contact: /lt Ki
Contractor Address: City:
State: Zip: S « `t Phone:
License /3C 66
Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets:
CALL BEFORE 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.goaherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conforms rdinances 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 n to start without a rmit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of p ns.
Exterior work authorized by a building permit issued in accordance with the Minnesota tate Building Code must be mpleted within 180
days of permit issuance.
xiF x
Applicant's Printed Name Ap c is Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
°f
Permit
City of EaRdn I Permit Fee:
3830 Pilot Knob Road; , r~
Eagan MN 55122 I Date Received: L.~
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: _3 es&'j 017Phone: _ Ga` '-F5 j
Resident//6 f ~O /AVM/
Owner Address /City /Zip: t
sr/
Applicant is: Owner pp Contractor
Type of Work Description of work:
Construction Cost: IS- '(03
`'f Multi-Family Building: (Yes / No
rEl
Company: ~ &Af fo)A) Contact: 1/ ~
Contractor Address: e y~'17 ~~iy City: State: Zip: C Phone: License 1!! 60 7__ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE 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 ackno
od' a that this infor ion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that nderstand this is not a rmit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accorda(ermit ith the approved plan in the ase of work which requires a review and approval of plans.
Exterior k authorized by a building rmit issued in accordance with the Minnesota State Building Code must be completed within 180
days of issuance.
X x
Applica t' Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158967
Date Issued:11/12/2019
Permit Category:ePermit
Site Address: 4107 Cashell Glen
Lot:011 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-110
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 -
Daniel W Schulz
4107 Cashell Glen
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature