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4017 Deerwood Tr- - ,A.- , i , r BUILDING PERMIT To be used for Sr II CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, PHONE: 454-8100 Value Site Address 6017 DEERWOM TR Lot S Block 1 Sec/Sub. ENGSTM'S UEEXWUW Parcel No. W Name WORTH CONSTRUCTION. INC o Address P 0 BOX 373 City CHANEIASSEN Phone 476-0197 I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable Slate of Minnesota Statutes and City of Eagan Ordinances. ?- '" Signatu a of Permitee zy ,t-- A Building Permit is issued to: WOE; COMST1 I=10N 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 12 168-!8 19119 OFFICE USE ONLY Occupancy M-1 FEES Zoning (Actual) Const V Bldg. Permit 7301,00 (Allowable) V"N Surcharge 63.00 # of Stories 60" Plan Review 365.00 Length 43i 100 00 Depth SAC, City . S.F. Total SAC, MCWCC 575000 S.F. Footprints 580.00 On Site Sewage Water Conn On Site Well Water Meter 90000 MWCC System 30.00 City Water XX Acct. Deposit PRV Required - SAW Permit 20.00 Booster Pump S/W Surcharge 1.00 228.00 Treatment PI APPROVALS Road Unit 360.00 Planner Council Bldg. Off. Variance Park Ded. Copies .50 TOTAL 39123.50 Permit No. Permit Holder Date Telephone # WATER n/J ??C O SEWER PLUMBING p H.VAC. C ELECTRIC Q? C2 t y lellk? Inspection Date Insp. f{ y is Footings l -'u S + ! : ?- 6?c?JT t Z"t:f Z" r, - /- Foundation t•.J ?rCJ ' - -rT d .? Framing ?? p? wigGt - Roofing Rough Plbg. ? Rough Mg. ?? tv C, o, h e- f t?+e s, Isul. rz? ?C ,LIi?C r1?? L ^ C/ o,?lz Las - Fireplace ?? /Z 8 u U ?:(t "- ?7 (' ?m G 1 /3 z Final Htg• Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Ftg. f Deck Final Well Pr. Disp. F OHi U O l or y: ee se n 4 MECHANICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # 3630 PILOT KNOB ROAD, EAGAN, MN 55123 CONTRACT PRICE: PHONE: 454-8100 DATE: Site Address V " BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New ° ' Name Mult Add-on - Address Comm. Repair ? c City Phone Other FEES c Name Address RES. HVAC 0-100 M BTU - $24.00 ADDITIONAL 50 M BTU - 6.00 1 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA. TYPE OF WORK J COMM/IND FEE -1% OF CONTRACT FEE Forced Air M BTU am APT. BLDGS. -COMM. RATE APPLIES Boiler M BTU -It TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Air Cond. M BTU REMODELS 12.00 MINIM M MM CIAL F E 2 Vent CFM $ - U CO ER E 0.00 1 STATE SURCHARGE PER PERMIT .50 Gas Piping Outlets # 7 = J (ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE) 1 Other PERMIT FEE: SIGNATURE OF PERMITTEE SlC: '' TOTAL: FOR CITY OF EAGAN VILUMMINU Vr.MMr I For C CITY OF EAGAN PERMIT# - CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 454-8100 DATE: ---s Site Address [" ? 7 Lot 'Y- Block Address/- C c -( c City ?: ?T . tir Phone .r..... Address!' . City ; F FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: BLDG. TYPE WORK ULUUMIF I4 Res. New f- " Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 LL_ Lavatory - $3.00 Shower - $3.00 Ktchen Sink - $3.00 Urinal/Bidet - $3.00 _ Laundry Tray - $3.00 i Floor Drains - $1.50 - Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES SIC: ,. •S C) GRAND TOTAL: 7 n PLUMBING PERMIT For C CITY OF EAGAN PERMIT # - CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE , . _ _ PHONE 4548100 DATE: Site Adds Addre City Phone City t--- %-I .,. FEES COMMAND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PFRMIT FEE) Res. New _ Muk. Add-on Comm. Repair. Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 I _ Shower - $3.00 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: STATES SIC: GRAND TOTAL: ' f SEWER 6 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE r' J OFFICE USE ONLY METER # ?r ?a 0 V I PERMIT DATE L' f 10' 189 CHIP # d0 71 U 6-Jr/ PERMIT # :0743 METER SIZE -667 vC B.P. RECEIPT # 4 3268 ISSUE DATE - B.P. RECEIPT DATE 8/ a 8() - PRV -BOOSTER PUMP SITE ADDRESS LOT 5- BLOCK I APPLICANT: M CA%ST`, 77/UG • Clwe • ?l -SEWER PERMIT REQUESTED (WATER - TAPS COMMAND RESIDENTIAL NEW - EXISTING ADDRESS: L o d o?C 3 7 CITY, STATE s ex ZIP s PHONE: _ 0/ S 7 PLUMBER: 414 eH A e cX ADDRESS: G7=.. C) Z ??t?l / u d '•" CITY, STATE ii CA&) ZIP r? PHONE: OWNER: _ ADDRESS:- CITY, STATE PLEASE ALLOW ZIP Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES r WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR STORM EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION_ OWNER: [DATE PHONE SITE DR `70 7 64 ::- T`; AD : ESS: Ol? !/ • . ' CONTRACTOR: ly 0eT14 ( frnS?. '?• Determine working square footage of each ? 1. Total exposed wall area.... sq.-ft. x .11 = J.J?I VlJ ,,., k_ 2. Total- roof/ceiling area.... 3(08 sq ft. x 026 = 3S •seo ' Total exposed wall area above floor= J3 . ,_ a. Total ,wallrwindow area...... .................................... • 3• b. Total door area .................................................. c. Total sliding glass door area .................................... 46 ;. , ? d. Total e Total fireplace wall area ........... ............................. 'waII framing area (average 10?) ............................ -- . . f. Total rim joist area... ....................................1:.. ., .. , g. net - wall area above floor ..................................... .. h. all area above floor ..................................... _ .'.. i. fram j wall area above floor ..................................... ................. e wall area at foundation ;. . ......... . Total exposed foundation area= qG k. Total foundation window area ...................... 1. Total net foundation area above grade ............. ,,... .Determine "u" value of each wall segment ` ..- `(e.g. window, door, each separate wall section) a. 33, x u L Ar . 1111 b. S? x u .4? - 224-• 3 tJ'r•j.. •' CC.- 'V x -lull ,may //l ._ Jr ,rI •'• I ? - Hull d. X e. x IIU11 <<' 9.oa3??i x 11I'11 off ?q h. X Hull klll i. X u = I J • X 11 11 `k If item #3 is the" 11 k, X 11U as, or less than•111 #1, you have •-i igt,tf ,z X 11u11 • 14- _ / 1 intent of SBC,Udf . . i" 3. ..... ............................Total = .1 Y? D :: CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Site Address 4017 DEERWOOD TR Lot 5 Block 1 Sec/Sub. ERWROM' S Parcel No. I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes andCity of _?2 ?r r! , Signature of Permitee +^- Eagan Ordinances. r a F (lextiftrate of (orrupaury Park Ded. Copies .50 0 TOTAL 3,122.5 This Certificate issued pursuant 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 ordinances of the City regulating building construction or use. For the following..- POST IN A CONSPICUOUS PLACE _I N° 16888 Receipt # 0-1 to $ OFFICE USE ONLY Occupancy R-3 MM1 FEES Zoning RR1 (Actual) Const VV=N Bldg. Permit 730.00 (Allowable) V=N Surcharge 63.00 N of Stones 660' Plan Review 365.00 Length Depth 4' SAC, City 100.00 S.F. Total SAC, MCWCC 575.00 S.F. Footprints 580.00 On Site Sewage Water Conn On Site Well Water Meter 90.00 MWCC System Acct. Deposit 30.00 City Water PRV Required SAV Permit 20.00 Booster Pump S(W Surcharge 1.00 Treatment PI 228.00 Road Unit 340.00 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CLLCS. 1989 BUILDING PERMIT APPLICATION CITY OF EAGAN 102st HULTIPLE DWELLINGS COMMERCIAL RENTAL UNITS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL WGISTERED SITE SURVEYS - i STRUCTURAL PLANS (CHECK WITH BLDG DI's.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CLLCS. 1 SET OF ENERGI CLLCS. FOR SALE UNITS # OF UNITS BOTEi ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MST DE.SIMATE WHICH ADDRESS IS DESIRED. 20 CHANGES WILL BE ALLOWED ONCE BUILDING PERK= IS ISSUED.. SEWER i WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMIT'S IS TWO DAIS ONCE A PERMIT HAS BEEN COMPLETED INDICATING A LICENSED PLUMBER. PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. 'UL 2 8 1985 To Be Used Fors - Valuati Z 14! _ Dates 7- Site Address x I X) uxv nod -Jx' _ /"/ OFFICE USE ONLY Qc?V Lot Block ` Occupancy R- M- FEES Zoning Parcel/Sub N?57 s Qe.e%Noop Actual Const V- Bldg. Permit 00 Allowable V- N Surcharge ,o Owner It10fZT-H CANS ? G # of stories Plan Review 00 13 Length ? SAC, City ao o Address ? 0. /3? k 3 Depth y3' SAC, MWCC 00 S. F. Total Water Conn -jigo.00 City/Zip Code (?f?4?LI?/'1P?! !yam Footprint S.F. Water Meter 0,00 Aect. Deposit o-oo Phone On site sewage S/W Permit On site well S/W Surcharge Contractor 46' MWCC System ? Treatment Pl. ?2 Jo City water y Road Unit 3go'00 Address PRV required Park Ded. Booster Pump Copies City/Zip Code SUBTOTAL APPOYII.S Penalty Phone Planner TOTAL a Council / Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # RESIDENTIAL BUILDING PERMIT APPLICATION + _ CITY OF EAGAN ?/ Ql 3830 PILOT KNOB RD, EAGA ACAN MN 55122 15 651-681-4675 New Construction Requirements • 3 registered site surreys showing sq. ft. of'ol. sq. It, of house: and all roofed areas (20%rnaximum lot coverage allowed) • 2 copies of plan showing beam & window saes. poured found design, etc.) • t set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7i1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE p-36- d? Water Softener Water Heater No. of Badts SITE ADDRESS 4-C l &Q? U)cr)c' ( MULTI-FAMILY BLDG _Y _N TYPE OF WORK bt t /a D? ?ott'? /f Q. 4- r??a FIREPLACE(S) _ 0 2 SELA ROOFING & REMODELING lN, APPLICANT 4100 EXCELSIOR BLVD. STREET ADDRESS ID #0001050 CITY-STATE-ZIP TELEPHONE #CoIZ `?Zi-?i0 ?(a CELL PHONE # FAX # PROPERTYOWNER ?[cY CZ5Y)(C TELEPHONE# ro -C(c:37 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NUNNEISOTA RILES 7670 CATEGORY I _ NIINNESur.% RULES 7672 (J submission type) • Residential Venfilaticn Category i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcclt,mic.d system include: Sewer/Water Contractor: :fir Conditioning I-Icat Recovcty System I hereby acknowledge that I have read this application, state that the inform with all applicable State of Minnesota Statutes and City of Eagan Ordi one Signature of Applicant -------------------------- ----------------- -- ------- - ----------------- ------ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ 1-5 -7• Z-?; RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION Plionc # Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Fee: $70.00 #pIIC 2 Fi qnnnN Not Required _ comply Updated 4/02 Nw.r / ?•.aLr.... rated Heat floor up F'IG. 55 Ii-Va1llC Construction 1 Interior air film 0.61 2, , 7W7 F7`(? F3 3. 2,v5u?__ 4, Exterior ail: filn (still) To tal (Z it ` pO 1. Intnrlor air film 0.61 3. _Z Y- A__? I46UL 38. 35 d. fixtcrior air film (Stil - -- - - - - Total 2- 90. ?= U = . 02-41 COA,'1rrR?Cri oy?_ 1. Inside air film 0.61 i 2. 3. 4• U. 17 5, outside air film Total perC floe up ,•timacea TIG. i6.:. RMI-MM Heat flow up • PIG. !7 ` ! . 1. Inside air film 0:61 2. 3. 4. 0. 17 $, Outside air film Total ... -- 0.61 1. Inside air film 2. 3. ' 4. 0.17 5. Outside air film Total vote: use additional sheets if more spac needed for details and calculation r?/??rs / 03eq-: C 71058 5 ^ 4 OF'6- Reg(u?esl Date y / ?J( Nn Roughin In Ian RequiretlI ? Ready Now ? DJiYMip" y Ins i ector . p p No When Posey? I nsed cont t rac or ? owner hereby requ est inspection of above ele ctrical work at: Job Ad teas (Street, Box or Route No.) ' City ) 0 V Secfion No. Township Name or No. Range No. Count' Occupant (PRINT) CASTE Phone No . - p Power Supplier 7' E ecf,? ? Address Eleetn I ntracTor ( ompan 5 CoMraaor5 Liosnse No. Mng Addoeess (C//Aoonntractor or Owner Making Installation) 4 /V ?V ? Author iz Signature Mr r/Owner M g Installation) j ? Phone Number ?- y d MINNESOTA STATE BOARD OF ELECTRICITy THIS INSPECTION REQUEST WILL NOT Griggs.Mltlway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN SSIN UNLESS PROPER INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-07 q C p? See instruebons for completing this form on back of yellow copy D p ,9 71-(? 15 O X" Below Wnrk Cnt a.o.v A.. 77Ai- o„ `.J O J ewA Rep. Type of Building Appliances Wired EquipmentWingod Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace 3O Farm - Air Conditioner 3 - Other (specify) Contractor§ Remarks: Compute Inspection Fee Below.. # Other Fee Swimming Of # Service Entrance Size Fee # Circuits/Feeders Fee Transformers 0 to 200 Amps 0 to 100 Amps Signs Above 200 _ Amps Above 100 Amps Irrigation Booms Inspecrort, Use Only: TOTAL TAL S i l I 6 ? pec a nspection CJ Alarm/Communication 9 G O Other Fee r pC) , ,SO I, the Electrical Inspector, hereby Rough-in r Date certify that the above inspection has _ been made. Final Da DFFlCE USE ONLY This request void 18 months from _ U 6: Urr of pp]qur; wtlI Area for fiiw.: mwarucl Ion M.L - -- n F1G. Al T011VIIt1 OF • FIWILE WALL XTIOH 1 U=. AA ' u t Ull::t 1'111:1 Ion W-Va111.: i 11,J 6. Er.lt!rior %Ir filut -,.- •• U.17 UL .0?1 I. Tilteriov air !I I'll 6. Exulrior air fill., La Ile -z-z U= •O4 I, lntr.t'iur alr lilra __. __tt.69 3. 7-14...1n.._._iR.tw. -'o.ls}._.._..... .-- +.? 4. ?5?3Z-•- ' 6. kxtr.•rlnr Air I i Ir1 - 3, 1 / U = •a9 ?46K n, Gn I, lu ,t1141t nlr fI l•1 _ G. Y.:<tlu'iul: local le 1.13 5rAlt plI GRADE IIl?R? y •. Y d Y. Y . Flt:. 114 Illrl'l:: Y;Xnl . <F 'y...,egs 'tj -k .. Zl lit Indlt.At,:•ly??e, "1t" va1u1;, dunth and ZXC placen,tnt of insulation. W/??! FULL Il;? _ 3Loc IPWA 33 1C S - l?s WDWIS L] DoosZS____ t? . a4 - II - 4a a$ -11 33 - -26 - ao3lo =+?t. A4- r i ? ors = t+u I - 48 ¦ ?A-r i o DRS , A441- r i - l bC-T - ?I _ 8 FSSM-t uui+S Lll - spu-I ----------- Exterior Envelope Average "U" Computation Total exposed roof/ceiling area = 3 (o m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10u)... o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X "U" _ n. X 0. X 4 ........................... Total = Or /•U Page 2 of 4 'f total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope 'system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. ?. 33o• C,?:AO + 2. 3S 3. _ + 4. ;Q I.8 = . _xta/ ?. PERMIT City of Eagan Permit Type:Building Permit Number:EA106961 Date Issued:09/19/2012 Permit Category:ePermit Site Address: 4017 Deerwood Tr Lot:5 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-050 Use: Description: Sub Type:e-Reroof & Windows/Doors Work Type:Reroof & Windows/doors Description:House & Garage Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not acceptable in lieu of inspections. Windows/Doors: If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - David J Kvasnicka 4017 Deerwood Tr Eagan MN 55122--188 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126838 Date Issued:09/11/2014 Permit Category:ePermit Site Address: 4017 Deerwood Tr Lot:5 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Elizabeth Hess 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 - David J Kvasnicka 4017 Deerwood Tr Eagan MN 55122--188 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149902 Date Issued:06/13/2018 Permit Category:ePermit Site Address: 4017 Deerwood Tr Lot:5 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-050 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 - David J Kvasnicka 4017 Deerwood Tr Eagan MN 55122--188 (507) 213-6279 Norblom Plumbing 1465 Selby Ave St Paul MN 55104 (612) 827-4033 Applicant/Permitee: Signature Issued By: Signature