1287 Balsam Tr EWATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units: eader No.: -
ogree to eomply wifh the City of Eogan
Dote of I nsp.:
CITY OF EAGAN
3795 Pilot Knob Road
Engon, MN 55122
Zoning:
Owner: .
Address:
Site Address: •' r
Plumber. "-?'
y . On x)d
I agree M eomply with the City of Eagan Connection Charge:
Ordinoncas. Account Deposit: _
Permit Fee:
Surchurge: _
By - Misc. Chorges: -
Date of Insp.: Total:
Insp.:__ Dote Paid:
_ Connection Charge: -
_ Account Deposit:
_ Permit Fee: Surcharge:
Misc. CFwrges:
Total:
_ Date Paid:
_ I n5p..
SEWER SERYICE PERMIT
PERMIT NO.
DATE:
No. of Units
• CITY OF EAGAN
3795 Pilot Knob Rood Eogon, MN 55122 N2 4706
PHONE: 4548100
BUILDING PERMIT $41 ,QO(}. Receipt # `• { ` `
To be used for ' '%?• 6 Garg. Est. Value Date '?-' '• , 19 '`l
Site Address =' BAI S am Tr. : ErecY 41 Occuponcy I
Lot Block Sec/Sub. Alter ? Zoning t?•?
Partel # Repair ? Fire Zone 3
l
E e of Const
T v
arge ?
n .
yp
? Nome tiike 4wen= Move ? # Stories
3 Address Demolish ? Front _ 65 ft.
O
Cit Phone
Gr-:.1c
DcPth - -- - -
- --- --- ft.
0' Ncme
,
o
?
?a Addre:
?
Name _
Address
I hereby acknowledge that I hove read this opplication ond stote that
the information is correct and agree to comply with all applicable
State of Minnesoto Stotutes ond City of Eogan Ordinances.
Signoture of Permittee
A Building Permit is issued to:
all wvrk shall be done in acco
Building Official ?
AVe.
Assessment -
Water & Sew.
Pol ice
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Fees
Permit L 18 . J?!
Surchnrge 20 • 5`• ?
Plon check
SAC 500.0{1
Water Conn. "50•???
WaterMeter 60.-00
`
Toral 948.50
nues, Luc.. on the express condition that
ite of Minnesota Statutes ond City of Eogan Ordinances.
Pamk # DaM laued ' PpwilfM
Plumbing
Mechanical ,I??1o - a. - 7 ? , •
INSPECTIONS DATE INSP. Rouyh-In finol
Footings - oote Insp, Date Irup.
Foundation Pfumbing
Frome/ins. ? -? Mechanical
Finol
-
•
-
? ??
?
/
Remorks:
.. cirir oF Fr?"N
8795 Pilot Knob Rood
Eagan, MinnesoM 55122
Phone: 454-8100
PERMIT No.
1103
•-7
Date: ? Receipt No.:
Single
Site Address• ?''% Residentiol X
Lot Block - Sub/$ec. _ t ' _ I Multi Res., Comm./Ind.
Name ?-lsen Homes Inc. New/Alrer./Repoir n("?
.
? Address Slielllnc7 Ave. Cost of Installation
City Pall 1 55116 Phone: Permit Fee ^1• n0
Nome alph lS Plwnbinq Surchorge ?
.
? Address ? 900 Ke3W1Ci _
City ^ Phone: Total "
This Pgrmit is issued on the expreu condition thot all work shall be done in accordunce with all applicoble State of
MinneWa Stututes and Ciry of Eagan Ordinunces.
Building Officiol
? , _. .. CITY OF EAGAN
3795 Pilot Knob Rosd
Eagoe, Minnewte 55124
Phone: 454-8100
? F'A'?' I ?•1C_; _ PERMIT
Date: 'aY'Ch 20, 1978
Site Address• 1287 E. $al?clit TY'a1l.
Lot Block ' Sub/Sec. W1: i _
Name;_ L ?_ (7;F?t; :) n
?
3
/lddreu
O
City ? Pd:ll_ Phone:
Name B1T1dE?r ?i SOIl
No. 1.141)
Receipt No.:
Sinflle ( -
Residential
Multi Res., Comm./Ind. I
New/Alter./Repofr. Cost of Instollation
?-
Permit Fee $urclwrge
? naaress _ I
City Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordance with all applicable State of
Minnesota tatutes and Ciry of Eogan Ordinances.
Buildtng Official -
I CITY OF EAGAN Remarks
Addition WILDERNESS RLTN 6TH ADDITION Lot 8 Bik 2 Parcel 10 84355 080 02
Owner m iC1ir P?f street 1287 EaGt Bal sam Trail State Eagan, MN 55123
? ;' z1PnS ?
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK ? 1973 161.21 8.04 20
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA JYJ 19]] 162.14 ,`dD,B. 06 15
STORM SEW TRK 9-1.9-77
STORM SEW LAT ?
CURB & GUTTER
51DEWALK
STREET LIGHT
WATERCONN. 250.00 9374 3-16-78
BUILDING PER. #4706
sac 500.00 9374 3- 6-78
PARK j-?? SS
}7V-- I 1044
s reques voi 18 months from ?-
? ?1,v,e L s?`iir P 6 9 98 2
Date of this Request F_d_1 Q?8
I, ass? Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 12237 Eaot Balsam
Sectibn Township
Range County Da.kota
Which is occupied 6y Tilaon Hoatoo
. (Name of Occupant)
Is a roughin inspection required on this job? No ? Yesim Ready Now ? WID Call gx
Power Supplier nn,kn+4 f;+y- Address Farmir.aton
Electrical Contractor O.B. Thoripoon Eloctria Co. Contractor's License No:?33735
(Company Name)
Mailing Address 12201 L'Itka Blvd. R4tka 6043
Authorized Signature
(Eiectrlcal Contrac[OP ar Owoef
SVQVE 0000 MW
No.
This impectian request will not he accepted by the
State Board unless proper inspection he is enclosed.
mmnesota state esoard or tiectncity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
'? EIIUEST FOR ELECTRICAL INSPECTION
H'?
CCK'3ELOW WOEtK COVERED BY THIS REQUEST
09 y??-
P 69982
Type oP Building New Add. Rep. Check Appliances W'ved For Check Fqitipment Wirdl Fot
Home
Duplex
Apt. BldS.
Commexcial Bldg. M
?
?
? ?
?
?
? ?
?
?
? Range RC
Wat te[ lib
Dry
Fu Tempo[ary Wrsing
?LightingFi?ctuies
Electric Heatin
8
Silo Unloader ?
?
?
?
Industrial Bldg.
pum ? ? ? A"v ndi er
List t Bulk Milk Tank
Lis[ ?
Othei O ? ? Rere`51 Diop.Dlah. _ RehersI
COMPUTE INSPECTION FEE BELOW
Semice Entnnce Size: # Fee Feeders&Subfeeders: # Fee Crtcuits: # Fce
0[0 300 Am s. 0 l0 30 Am eres 0 to 30 Am eres
101 to 200 Amps. l to 100 Amperes 31 to 100 Am eces
Above 200 Amps. j ;j Above
100 Amps. Above 100 Amps.
Transformers emoteConltolCuc. Partialorotherfee -50
Signs pecial lnspection Minimum fee
Remaiks Eta11 TOTALFE o.0 40•50
I, the Electrical Inspector, hereby?e?Fy th?Hh abpve inspection has been mae.
(Rough-in) ((./
vcm .?) Date S.N-T?'
(Final) J,,, ?) Date 9_i?'-'7
This request void 18 months hom '?-
L V BL '2 ? ?
sueo. ?/ll 1 ?C'?eYl(1?,SS ILl?IVI
CITY USE ONLY
6-1.6-
RECEIPT #: ??oC O ? 5
RECEIPT DATE: / IA/
PERMIT # 3 (y 1/2'-, L--
1999 PLUMBINfi PEiMIT (RES1DENTIAL)
crrY of EAsAN
3830 Pv.or Krros Rn
E,asAN.MxssiE2
(651) 6$1-4675 ?
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
0uaai i `tu5
? .'.UU
X _
a
Floordrain 3.00 x = $
G85 i in oUtlet ' minimum - t 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $ .
Lavato 3.00 x = $
Minimum tee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater_=• 3.00 x = $
Wetei softener if dwelling under constmction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ 50
Total
-->
--? >
---- ----> $ , SO
CL
Reminder. caii {ar inspeciions oi aiieraiions, i.e. water heaters, waier soiieners, eic.
--------•-------------------------------------------•---------------------------------------------- •-----------------------------------
I hereby acknowledge that I have read this application, state that the iniormation is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibiliry to notiry the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry during iLs
normal operational and maintenance aclivities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITEADDRESS: 1,)-f 7 L,-?3'r -&:w«
OWNER NAME: : /i' ?i ?G7JP ?S TELEPHONE #: 6 J / y,f`f S13Z q
(AREA CODE)
INSTALLER NAME: _/(CJ - fIZ6Z lzpol(P/L TELEPHONE #: l0/ L S SJ C, SSS-
n
STREETADDRESS: ;ZrDO (AREA CODE)
L?Y•s2//?,( "?2 ??/v
CITY: _ /?Ir/?"or-7 STATE: XWL/ ZIP: .?? 9'/
SIGNATUREIIOF PERMITTEE
CITY OF EAGAN
3795 Pilot Kno6 Rood Eagan, MN 55722 Ng 4706
?
` PHONE: 4548100
BUILDING PERMIT APPLICATION
41 2eceipt # 9374
$
,000.
To 6e ueed ior SF Dwlg. S Garg. Esr
Volue Dare MBt. 16 1q 78
.
Site Address 1287 E B alsam Tr, Erect Occupancy I
10
LotB Biock 2 Sec/Sub. WR 6th Alter ? Zoning RL
parcel ,# Repoir ? Fire Zone _ -3
E
l e of Const
V
T
n
urge ? .
yp
w (yame Mike Ow ens Move ? # Stories
z 1287 E.
Add Ba1s81i1 Demolish ? Front 65 {t,
ress
? Eagan
.-:... - 483-6651 Bus
- Grade fl oeMh 26 ft•
o jNa,o Tilsen Homes, Inc.
?< Addre 627 So."Saelling Ave.
m SSt. Pau -
1- r... t eL___
Name _
Address
1 hereby ocknowledge that i hove reud this applicetion and stote that
the informatlon is torrect and agree to comply with all applicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
aN work sholl be done in acco?tt
Building Official
Assessment _
Water & Sew.
Police -
Fire
Eng.
Plunner ._
Council -
Bldg. Off. _
APG
Feea
Permit 118.00
Surcharge 20.50
Plan check
sAC 500.00
Woter Conn._.Z2Q..d0
Woter Meter --601Q_o
Tom1 948.50
ts, II1C. on the express conditlon that
ot Minnesota, Statutes and City of Eagan Ordirwnces.
? A? ` ??m
nAxE a - /? -'7 2C
HUILDING PFRMIT APPLICATION
Include 2 sets of plans, 1 site plan wJelevations and 1 set of energy calculations.
To be used fox Valuation
Site Address;
6
Lot Block Sec. Sub,
Owner
Address
Parcel Number
Telephone `7`'Oa3 '(e (4
Telephone le
Address
Arch./Eng.
Address
Telephone
OFFZCE USE
Erect ?i
Alter
Repair
Enlarge
Move
Ilemolish
Gxade
Occupancy
Zoning )IC'/
Fire Zone 3
Type of Const.
#1 of Stories
Front (ocS ` Depth
OFFICE USE
Date of Approval & Iaitial
FEES
Assessment Permit
kiater/Sewer ? Surcharge
Police Plan Check
Eire SAC 5-7+0
Eng, tk?ater C'onn. a't6o
Planner Vlater Meter
Council
Rldg. Off. j
A.P.C. TOTAI,
ities Di2ital Qualitv Control
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PERMIT #
H O;)-I -I
RECEIPT DATE: I 1 -? -?) v'
USIDENTIA1. PLUM$INfi PEi141IT APPLICATION
CITY OF FAfiakN
S$SO PII.OT KA08 RD
EAHAA, MN 55122
631-8$1-4675
Please complete for:
SITE ADDRESS
9 single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
?I
OWNER NAME: :?1?? °? ?-`? DI.IUQY'f? TELEPHONE #: LOSI
(AREA CODE) .
INSTALLER NAME: TELEPHONE #: (DFIA_ 4Z3-I I 4y
STREET ADDRESS: -'TP-P) I L (AREACODE)
CITY: loj?1' 1DI.U??T STATE: M-+" ZIP: ssoI00
Place a check mark nezt to the oermit wnrk tvne
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to exlstina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepairlrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: 6Pl
i Flw
Septic System, new/refurbished - $ 225.00
• inciudes County 8 Consulting Ir,pector fees
• requires MPC license
State Surcharge ? ", 50
T
l $ SD _
ota
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this appliration, state lhat the information is correct, and agree to comply with all appiipble City of Eagan ordinances. It
is the applicanCs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
-?rational and maintenance acfivifies to the facilities consVUCted under this permi[ within Gity pr¢perty/right-of-wap/easeme?t.
SIGNATURC{OF P
Updated 1/01
/ d4
/ ?D
(
City of Ea??? ??i J ?
3830 Pilot Knob Road ew ?D ?
Eagan MN 55122
Phone: (651) 675-5675 Fax: (651) 675-5694
?______________'__I
? ?]/ ?} I
? Permit#: Z `?-C
I Permi[ Fee: 6
? Dale Re/c?eived:
j StaN:
1 ?
_J
20D8 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -/+' I/• ri Y Slte Address: IA 77
li4t?.e?
Tenant: ,O' / / GK-e aiYLl.e
na?
RESIDENT/OWNlApplicantis: Name: Phone:I
Address / City / Zip: /? S 7,
_ Owner K Contractor
TYPE OF WORK I Description of work:
Construction Cost: /a',
CONTRACTOR IName:(
Address:
City: ?7) //ltd OS (2-/Gt?
Phone( 4sl/ Vel" a1o Contact Person:
Suite #:
4-1 - L/??`f
? ..ss1a3
Multi-Family Buiiding: (Yes _/ No I
License #: 17 4/ V
State: P In n' Zip:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential VeNilation Category 1 Worksheet • New Energy Code Worksheet
Category Submined Su6mitted
(4 Submi55ion type) • Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based an a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Waier Contractor:
Phone:
Phone:
I hereby acknowledge that this information is complete and accurate; that the work will 6e in conformance with the ordinances and codes of the City of
Eagan; that I understand this is nct a permit, hut only an application fcr a permii, and work is not to slarl without a pertnit; that the work will be in
accordance wilh the approT in the case of work which requires a review and approval of plans. -
x j ? x ?? I . )?? -
ApplicanYs Print Name Applic Ys Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory BuilAing ? Pool
?$ingle Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AN.- Multi
? 07 af _ Plex ? 07-plez ? Garage ? Porch (Mseason) ? Ext. Alt. - SF
? 02-Piex ? 08-plex 14Y Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Oemolish 6uilding*
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
A_ Replacement ? Egress Window ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCESSystem
Plan Review Code Edition SAC Units
(25%_ 100%, Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Bufldings Length Fire Sprinklers
Type of Const. \r _ Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
? Footings (deck) Final/C.O.
_ Foolings (addition) yG FinaVNo C.O.
- Foundatlon t HVAC
Drain Tile Other-
Roof: Ice & Water _Final Pool: _Footings AidGas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
_ Insulatfon Retaining Wall
Reviewed By: 41.
----- -------- ---- , Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
P,?/ (?l ?7NUi
?`?
(
Page 2 oF 3
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Use BLUE or BLACK Ink
r..________________-
I For Office Use I
Permit
I /
City of Ea ~.a
I Permit Fee: ll~
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
-•n i
Date: Site Address:~`~w 1 s~.. ! Unit #
Name: 0WCA Phone: LS-1.
Resident/ 1 ~
Owner Address / City / Zip: 1Z-7S-7~~y.~
Applicant is: Owner. Contractor
i
Type of Work Description of work: yI LI'bW
Construction Cost: i Q f Dub Multi-Family Building: (Yes / No )L)
Company: U`fit"~ Zoo ~ b I ~ Contact: A AiA L '
t e.
Contractor Address: _'A-IL r o City: Shoilviiie,A.>
State: MA/ Zip: SS1Z6 Phone:
License Lead Certificate IV 1-' 06 -1-7 01
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
D
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
i
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 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, 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146598
Date Issued:11/02/2017
Permit Category:ePermit
Site Address: 1287 Balsam Tr E
Lot:008 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & 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.
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 -
Katherine Tste E Owens
1287 Balsam Tr E
Eagan MN 55123
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154477
Date Issued:03/25/2019
Permit Category:ePermit
Site Address: 1287 Balsam Tr E
Lot:008 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Katherine Tste E Owens
1287 Balsam Tr E
Eagan MN 55123
(651) 454-4324
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164614
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 1287 Balsam Tr E
Lot:008 Block: 002 Addition: Wilderness Run 6th
PID:10-84355-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Katherine E Tste Owens
1287 Balsam Trl E
Eagan MN 55123
(651) 454-4324
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature