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4221 Diamond Dr PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA084539 Eagan, MN 55122 . Date Issued: 07/22/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4221 Diamond Dr Lot: 4 Block: 8 Addition: Cedar Grove 2nd PID 10-16701-040-08 Use Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy: Zoning: Square Feet: 0 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. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Apex Roofing & Siding Donald Roemhildt 944 Oriole Dr 4221 Diamond Dr Apple Valley MN 55124-0000 Eagan MN 55122 (952) 891-1919 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. Applicant/Permitee: Signature Issued By: Signature PERMIT # MECHANICAL PERMIT RECEIPT # _ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?G PHONE: 454-8100 ^wm m Name Addre S City _ Name I TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # t Other BLDG. TYPE WORK DESCRIPTION / ub Res. XX New N N TIM % A/C Mult Add-on XX C DR. Comm. Repair 452-2775 Other Phone 75,000M BTU M BTU $ M BTU $ M BTU CFM $ R R 12 00 FEE: . .50 S/C: 12' 510 TOTAL: FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM = 1-PER PERMIT) - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) 'r ,''3c . OF EAGAN CITY OF EAGAN Remarks Cedar Grove Acquisition Addition Cedar Grove #2 Lot 4 Rik 8 Parcel 10 16701 040 08 Owner Street 1221 Diamond Dr. State Eagan,MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ?J 1 qjq5 1966 95 84 46 15 STREET RESTOR. --- - GRADING SAN SEW TRUNK *SEWER LATERAL ( 1972 1 .00 2.16 2 Paid WATERMAIN # WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. t BUILDING PER. SAC PARK EAGAN TOWNSHIP BUILDING PERMIT N.o 1554 Owner ------?.,..../r.??.(0_•' ----...-...------------------ Eagan Township Address (present) ....... .t'-,' ?att+-tom t{.....µar..... Town Hall Builder `-4.c----------------------------- ... ,Q ....^..".^.....`.??.??.?,'.`.-... Address .......?.?-.../7.......r.4...._- 4?...... Date l? / DESCRIPTION Stories To Be Used For Front Depth Height Est. Cost Permit Feel Remarks / LOCATION bireeI, noon or oxner Uescrlpnon or Locanon Los block Aaaulon or Traci This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the, community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, thet--'? ?`i---e..!': ....?.......... has permission to erect a............ .. --°...' .......................... upon the above described premise subject to the provisions of the Building Ordinance for Ea n Tow ship adopted April 11, 1955. ............................ ._'°---........' ?? .-'....... p -c- ----- Per z -?........ oar ---...- --'--- --- l? - ..................--........... Board" Chairman(f Tnwn Boerd Building Inspector CITY of EAGAN BUILDING PERMIT Owner d.!nn.......?1 D..Q?.J.YJ?1.. Cl.l...l.Q... ..................... Address (present) .........?.'/s!/ .Qn-d.......Y..kp Sunder .......Gc'...,Z...?6.L ...................4,?p1.'{?j-.-......-.. Address .-..-.D...,1`.......x:f'..Q.I..A...?i .............................. wig N2 3869 3795 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Date ... ..-. z- 7 ............ ................ Stories To Be Used For Front Depth Height Est. Cost rmi! a Remarks /?6 S? ? or TION --r-o-C) i 4'?- -? / /2Q WI"l J?x1?1P I I I ? (? '0jr, 9RDde -Z-r:7 Thia permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST REJf?EP THE P EMISE WHILE THE WORK IS IN PROGRESS r' This is to certify, that...? y .?-.....-..-? t".'S.-r!....--..has permission to erect aA.........Q1?1. a ............ .upon the above described p i subject to the provisions of all applicable yces r She Miinj ..........................•-° Per ..- .. ° - ?f . l h Mayor ac tor •-•-------.------ EAGAN TOWNSHIP Ns 614 BUILDING PERMIT Ownfsk{l4ha..4^/,,Z-V.7?-,..IKllL1 Eagan Township Address (preser??'-7.z .:, - . -. .. ... Ll Town Hall Builder ........ .............- 9 -------------------------------- Dat'? _l/ n4e> '-/-----°--......._"----.._.--- Address DESCRIPTION Stories To Be Used For Front Depth Height E s l. Cost Per mil Fee Rem ar ks ?'?) lQ1"/d -Y , ? r ? G LaY'" I / 4,0 - J LOCATION Street, Road dr other Description of Location of Block Addition or Tract This permit does not authorize, the use of 'streets, roads, alleys r sidewalks nor does i! give the owner or his agent the right to create any situation which is a nuisance or which presenis a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERM IT MUST - ,/?#/?-T TH SE-WILE THE WORK IS IN PRO?,0ES ,, This is 20 certify, the ? -has permission to erect a-C...- ---......... _...--"-'----...upon the above described p emise subject to the provisions of the Bui ng Qrdinance o s adopted April 11, 1955. \ - / d ......_......_......._.... Per "r Chairman of Town Board 'M .15 Iyrc?osed . Qddit?°n ? Pres q n f J?wel?rn? M Yy yea 1 ,D-gb?o?d 1Jr 2-- 0 tit p 6o 5 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reaukements 3 registered site surveys showing sq- ft. of lot sq.I of house; and all roofed areas (20% maximum bt coverage allowed) 1 Sails Report it proposed building is to be placed an disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan If lot planted after 711/93 Film Joist Detail options selection sheet (bulldirgs with 3 or less units) ASnnegasoo mechanical venblabon form 90.00 Remodel/Repair Requirements 2 copies of plan shaving loodings, beams, pists -+ I set of Energy calculations for heated additions I site survey for additions & decks X Addili'on-indicate Hon-site septic system Q..?P1tdsw?.. Plans are considered public information unless you state thev are trade secret and the reason Date 2 Construction Cost 100 Site Address Z 2- If 1 T-- A^^ e R U ggI Description of Work T V) C? Multi-Family Bldg _ Y r N t Fireplace(s) _ 0 2 Property Owner I ry ((?? ?1 , O'" L u ? / IUD e, ' 1 ll ?- Telephone # (6!'-o 4 ?? ?t 3;z Contractor C`7fl it ?- L"'t kS S1 Lj (c')- Address c ?4 " 67 (w J-q P? tC ?i 4 / fP/ 2 City State M) Zip ?3 r uj Telephone # (q( -t) 9 °1 ( 3 ?y COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv I • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building 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 State of MN 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 p in the case of work which requires a review and approval f plans. Kit" 00-, ?J"k ?j IJ Applicants Printed Name A plkanti s S/gnatule 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ff. of lot sq. ff. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window saes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after M193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Remodel/Repair Requirements Office Use OnN 2 copies of plan Cart of Survey Reod - Y _ N 1 set of Energy Calculations for heated additions Tree Pres Plan Reod - Y _ N 1 site survey for additions & decks Tree Pres Required -Y _N Addition - indicate 1I on-site septic system On-site Septic System -Y _ N Date 08 / AV l 05 Site Address _ Construction Cost 057 3 & Unit/Ste # Description of Work 4 F Multi-Family Bldg _ Y !?N Fireplace(s) _ 0 - 1 _ 2 Property Owner Telephone # (?51 p7 - 6??3? Contractor Address 655B State ?y 1 I i City Zip Sc3 Telephone # ACD 9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeory I _ 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 # ( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building 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 State of MN 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 f plans. -? HI {y ? 9 ? Appli is Printed Name Applicant's Si tune i ° <005 ?? /SSA PHONE 27-4511 CHAS. M. _ 22 PLANTS AT Lf LnS Q` ?' L?ST. LOUIS PARK COMPANY & - OSSEO 4221 1-Lamond Dr. 22X22 etached arage ---Don--Roemhi--ldt - Siding -- - - - -- 454-5837 _-_ - 41090-10a _ Place Garage lo, To_The_Rear _Of House & 51 --From-South Line. - - --- 00 -- -pn?zs_ a_o?rtr-- its6- -- ---- --f.-L?N T_°_'"_"^f3y!n ---3_7_9r-? P_1?or Kk^_e_.-??44? Gedar'Grove Permit Jerry PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit CS 16-?M Date/ "q / 63 Site Address Unit# Property Owner )o"ok,\ V o e,Yn\\ l Telephone s 9 3 7 Contractor OCa\? -1S C o 1 `? 1 Yl 4 , 1 Address City LQk?y\??Q State Zip 5,56 Telephone # ( 95;? 4/(a 9 - a g q 9 The Applicant is Owner Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPG license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system - Water turnaround (+ 5/8" meter if needed - $121.00) Other: - RPZ _ new installation _ repair rebuild $ 30.00 - Lawn irrigation system Water softener Zwater heater - $ 15.00 replacement additio L ;u $ .50 1 State Surcharge . P y y Total $ /6,156 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be m conformance with the ordinances and codes of the City of Eagan and with the Plumbing 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. J aria 5????r.?e Applicant's Printed Name AppWant's Signature 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 3 c -7 651-681-4675 - 7 Q New Construction Reauiremerds Remodel/Repair Renuirements l I D 3 registered site surveys showing sq. ft. of lot, sq. ft. of house 2 copies of plan and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions 2 copies of plans (show beam i window sizes; poured fnd. design; etc.) 1 site survey for exterior additions b decks ? 1 set of energy calculations ? 3 copies of free preservation plan R lot platled after 711/93 DATE: 7 /151 9 ? CONSTRUCTION COST: S 0 DESCRIPTION OF WORK: 400-1:, Tor oTf STREET ADDRESS: L712 ! ycV ? o1 no oA? •y61, e ?- LOT: LA BLOCK: SUBD./P.I.D. #: ?n ! (1A ,?- C V60 Name:_ A7&A Ro e 1Nl li"4, /- Phone #: ys ??? 593 PROPERTY Last First OWNER Street Address: . a. w4aMIJ On City State: n Zip: 89/ 17'q Company. lgQ04 e!!' Phone #: 6 1 2 (area code) CONTRACTOR q Street Address: 9141Y GRTO L f pr- License # I dD yz?g7 Exp. City A /eAr? Va /1. State: M .+ Zip: S -2Zf ARCHITECT/ ENGINEER Company Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer L water licensed plumber (required for new construction only): Penptiy applies when address change and lot change is requested once permit Is Issued. I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:. ?S ?+ • - OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required MASTER CARD LOCATION Z OWNER LAND STRUCTUREUSED AS / ,dd [, -"- ` Permit No. Issued Issued To Owner Contractor BUILDING PLUMBING ?y ?y ? of / z--/!P l ?bht CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING -f( ??(p TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD - PLUMBING WELL SANITARY SEWER `. 77 Violations Noted on Back COMMENTS: g?y 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. R of lot sq. R of house; and gg roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Jasl Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Remodel/Repair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions t site survey for additions & decks Addition - indicate if on-site septic system qf. a-!!? Offloa Use Only Cad of Survey Recd _ Y _ N Tree Pros Plan Recd Y _ N. Tree Res Required _ Y _ N On-sdeSepticSystem _Y. N Date 6 / 1,z / j?L l Site Address a Construction Cost ? 1 3y Dec Da - Unit/Ste # Description of Work ' f A3? 1 -+? 1b D0&1- Multi-Family Bldg _ Y _ N Fireplace(s)) _ 0 _ I _ 2 Property Owner `061Vci- ?Gl ?ZUe-•Alk 1i)r Telephone#((aSf)q•Sy-_9_1 .T7 Contractor 6714`-'c}"I`'Gs U) i,u oU'q--S CJ d Address C 6-7 "J 4 ,Il'hY State _ te, 10+-1(e4 I /?t cy ? City L1? • Zip _.117 Telephone#(JS'2) 6q, -3Y60 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category I Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted In the lost 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber ---- Telephone #( Mechanical Contractor - (",I- Telephone # II Sewer/Water Contractor JUN Z _ ZUU'c ! I Telephone #( I hereby apply for a Residential Building Pertnit`arnd 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 State of MN 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. (C9 44 ??- Y, Applicant's Printed Name 4AVs' n Vur:'^? Use BLUE or BLACK Ink r For Office Use (n Permit [ion City of EaEd I e ~ 3 I g~ 3830 Pilot Knob Road Permit Fee: I I Eagan MN 55122 Date Received: ! ~.I Phone: (651) 675-5675 I I Fax: (651) 675-5694 01Staff: y 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: AI o)~ ( V ! t~ ► n~ c(~ Unit M Name: 00 v%f Y 0 V kin ~ J W4. Phone: G 5r - yS 4 - ~ 5 3 RESIDENT / OWNER Address / City / Zip: Applicant is: Owner L-Co-ntractor TYPE OF WORK Description of work: es -e 4 c-Ke ~ a o A" WO ~ti Ln ~d er 4•k1 -1 4u 4 Construction Cost: &L v G Multi-Family Building: (Yes / No ) Company: ~ t) i '511-1 -0 , 5,4 Contact: ~ -e I CONTRACTOR Address: 3 `7 K 0 1-J) City: t4 5,14 State: L^ Zip: S I 3 Phone: e I/ - -1 7 License Ig L. y ,~s i~ 5 4.1 Lead Certificate N A ~1 rv ! " If the project is exempt from lead certification, please explain why: (see Page 3 for additional in r ation) C l 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 thex 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.orq 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 i DO NOT WRITE BELOW THIS LINE Z,Z) I +CjVfj O'd r- f b ~ 67z- SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review {4, MCES SAC City SAC Utility Connection Charge '0 S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118083 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 4221 Diamond Dr Lot:4 Block: 8 Addition: Cedar Grove 2nd PID:10-16701-08-040 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 . Kathleen Myrman 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 - Donald Roemhildt 4221 Diamond Dr Eagan MN 55122 Apex Roofing & Siding 944 Oriole Dr Apple Valley MN 55124-0000 (952) 891-1919 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160577 Date Issued:03/23/2020 Permit Category:ePermit Site Address: 4221 Diamond Dr Lot:4 Block: 8 Addition: Cedar Grove 2nd PID:10-16701-08-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - Donald Roemhildt 4221 Diamond Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature