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1961 Chipmunk CtBUIIDIN • To bs utei Site Address Lot Parcel # - oe Z ? z?, u?0 r CITY OF EAGAN 3795 Pllar Knob Road Fagas, MN 55122 PHGNB: 454-8100 N° 5427 PERMIT Rewiat # Block Sec/Sub. Erect p Alter ? Repair [] Enlarge Q Move ? Demolish ? Otcuponq Zoninp Ffre Zone Type of Const . # Stories Front ft. Depth ft. Fees Name !?art ot1 ('Wn ; r City Name Address Gty Name Address Assessment _ Woter & Sew. Police Fire Eng. Plonner Cauncil Permit Surchorfle Plan check SAC Water Conn. Water Meter I hereby acknowledge that I have read this application and state tFwt gldg. Off. the informotion is correct ond ogree to wmply with all applicoble ^PC Total State of Minnesota Statutes cnd City of Eogon Ordincnces. Signature of Permittee A Building Permit is issued to: on the express tondition That oll work sholl be done in accordance with all applicabie Stute of Minnesoto Statutes and C(ty of Eagcn Ordinances. 8uilding Official 5 Z Z 5 Z4{'. S'- z.( gv F?t' aKke Lc le c I Pwmk .# Dah IoseJ PeewittM Plumbing 15*D 013 ?9 ?? Mechanicol iGa ? li ?9 ti- y? „ INSPECTIONS DATE INSP. Rouph4n Final Footings Date Inap. Date Imp. Foundation Plumbing Frume/ins. Mechonical -/6- Final Remarks: / _2 s, gp ' ??? CITY OF EAGAN Addition Lot 34 gik 1 Parcel 10 48050 034 01 Owner ' Street 196I Ch3omunk Court 5rate Ea9Anr 1'111 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. mp. • 99 • 1589.99 C005556 10 1$ 80 GRADING 5AN SEW TRUNK Y 1970 77.95 3.12 25 6.85 41 9-26-79 SEWER LATERAL 58 -41 56 3115 65 3156.58 C00539$ ?6?8Q - WATERMAIN ? WATER LATERAL QRI WATER AREA /, ' STORM SEW TRK 1971 282.92 14.15 20 * STORM SEW LAT * CURB & GUTTER 51DEWALK STREET L1GHT 4 WATER CONN. 270.on Ti BUILOING PER. 5427 n SAC i ? PAR K 1 10/1/79 ' CITY OF EAGAN PERMIT TYPE: :')I I t! 3830 Pilot Knob Road Permit Number: o 't Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 t i ,,r ?.t +1Fc+A?, -ct cft ?, SITE ADDRESS: .j 4 t; < <, t , I APPLICANT: 1 'll. 1 CtA[PMItNk ? t 1`4 i au( I t-J i 1% N r?. t ',: r t.J 1tM11 ANI 1.? S TOVi ( (, I .• ) s r: Fa r, i, 0 1 i F ffr! I'f AiA.. PERMIT SUBTYPE: !. I . k t){iti )i I N TYPE OF WORK: I)! ', i.l<TPi I I , ': f 1 NA I I? l? N f l,l ( 411) n D f;t.IftN I N6 1 Permft No. PsrmR Holdw Data Tslaphone t ELECTRIC PLUMBING HVAC Inspectlon Dab Msp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATiNG GAS SVC TEST INSUL GYP BOARO FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? CITY QF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Roud PERMIT NO : Eagan, MN 55122 . DATE: Zoning: - -- -- No, of Units: ` Owner; . . A1dress. --?- ?i Site Address: , - i ! .: r , ;, , , • Plumber: " Meter No.: _ -------- Connection Chorge: ------ - ?? • Size: Account De ??r' Reader No.: Permit Fee: ( agree tu wmply with the City of Eagon Surcharge: • Ordlnonoas, Misc. Chorges: • : ?: B Totcl: y Date Paid: Date of Insp.: ,___ _ SEWER SERVICE PERMIT PERMIT Nn • Address: ?_. 26 ber: ^ - ee to eanply with lhe Ci+y of Eogan Connection Charge: ? i; r,rt w?ces' Atcount Deposit: Perrnit Fee: ' L?.,.!1'• ..i? Surchorge: - Misc. Chorges: of Insp,; Total: - Dote Pnid: i J Certificate for: House LcicatSon for DLinn w Curry J, f3arton Const. /M. DELMAR H. SCHWANZ 9?0 } LANOSURVEVOR NpislNM UnEer Lawt o1 The Sbte ot Minnowta 7Y78 - 1?6TM iTRE6T W. - BOX M ROSEMOUN7, MINNESOTA 66088 VHONB 612 47117iP /,\h SUpVEYOR'S CERTifICATE SCA?:: 1 inch = 30 feet 51 1I T Denotes propoaed °o Pinished grade. ' ? s a ? ? o ?O-?`?14 ? ? , ?r I 2 ? .h ?0 ?0 Top of BloCk c /QOarag,e floor 8cz?,Q ?- , ? ? U Sasement Ploor 0° y y ? ?? J ?r< q?? I herebe certify that this ia `?.a true ano correat rcpreaentution oP Lot 34, B1ock 1, t"FADOV':.A''D "'ZRST g U ? ADDTTIQN, accdrding to the rec7.rrit:a .538? ? c /o ?o plat thercof, D3kota Couity, trinnc:ota. Dated: July 16, 1979 R? ?? ? 5? '•- BENCHTaARPt: ^op hgdrant East end of ? F7•w Chipmurik Court Slev.- 887.97 CN1P,J11Ai?)? ?..01A?"r .., , ? Approved °,r Dun-i y Curr;; Poal :nt.:ta :tanagcnont, Inc. i by' -- --- - • - --- .? ' , Rvv1scd t 1 r.hw: `, ,u ?c ^V:,/79 ,,,/ ;, ? _, • y jr.;' ?., , . Reviaf,d h-ius?i 3`' T/I-) MYNNESOTAREGISTRATIONN0.8828 l ' CITY OF EAGAN???? Ir?lude 2 sets of plans, 1 site plan w/elevations & BUIIDING PERMIT APPL CATI?1 1 set of energy calculations. oa- ? 'ib Be Used For Valuation Date Site Address: OFFICE USE ONI,Y Lot ? E1ac]c sec./sub. /Erect Y' occuPMY-I' -3 Alter Zoning D Parcel #: ?L> gep3ir Fire Zone .Q?- Enlarge ?pe of Const. Qaner: .? ?JA/' /?rn Mpve # Stories AP7!? !? /v?. Deimlish _ Front ft- Pddress: 1.2 74k p City/Zip Code: ?.a FP, rld„n T IM?u k- Grade Depth Q ft. Phorie # : 'A23 - E % APPROUAIS FEES Contractor: .f-4 Address: City/Zip Code: Phone #: Arch. /ESig. .,14-42 Address- City/Zip Code: Phone #- ?o Assessnp-tits 9'S Permit ?40 ° Water/Sewer Surcharge 2 S Police Plan Check d?--j , Fire SAC . T' 2 S d g1q. Water Conn. ? '7 D Planner ? Water meter X6 „d ? Council 1?ad Unit 1.5' Bldg. Off. APC 'iC7PAL ? I liJ S '? i Dunrt & C'urry Rea! Eslate Management /nc. 4940 Vking Drirr Prntugon Offire Purk MinnrapoGs. MN 55435 ' 16121835-2808 September 25, 1979 Mr. Thomas T. Hedges City Administrator City of Eagan 3795 Pilot Knob Road Eagan, Minnesota 55122 Re: bteadowland Park Escrow for Lot 34, Block 1. Dear Tom: Attached please find a check covering the monies required Block 1 in Dleadowland, First you agree to hold this money count until such time as the properties-to be dedicated a Addition have been dedicated to the City of Eagan. in the amount of $400.00 to be escrowed for Lot 34, Addition. By this letter in an interest bearing ac- previously agreed upon > part of Meadowland First with free and clear title Please countersign this letter below as acceptance on the part of the city of the above referenced funds. It is understood that these funds will be retained by the city and returned to the owner, Cliff Road Properties, upon the acceptance of the title of the park land for Phase One. Thank you for taking care of this mat'ter, I remain Si erel yours, /?4( ` -??< Rodney ID. EIardy 1 Vice President I Ac pted for itv of Eagan l l ?ru?A Y?-???? NAME . , 1-)'9RTC ADDRESS ? 7 i ? GS el„,« AiT,( TEL. NO. , ya 3 ?.(Cmyj?zcieT?ot! CITY OF EAGAN PERMIT APPLICATION u1N4/ 55-4 6& (Submit in Triplicate) STATE OF MINNESOTA COUNTY OF DAKOTA ss FEE DATE PAID RECEIPT NO. PARCEL NO. I/WE, the undersigned, being first duly sworn, hereby make the following application to the City Council and Planning Commission of the City of Eagan, Dakota County, Minnesota. 1. Application is hereby made for: Trailer :2?]Building Permit Kennel Permit Rezoninq Conditional Use Permit _, Excavatinq Permit Plat Approval Waiver of Platting Other (describe) (Check appropriate item(s) under Ordirtance No. 2 under Ordinance No. 3 under Ordinance No. 5 under Ordinance No. 52 under Ordinance No. 52 under Ordinance No. 8 under Ordinance No. 10 2. Applicants have the responsibility of checking all applicable ordinances pertaining to their application and complying with all ordinance requirements. 3. Legal description of land to be affected by application includinq acreage or square footage of land involved, and street address, if any: ?/edclct-? /- 7.cj V 4. Proposed name of plat: 5. The present aoninq of the?above described pzoperty is: ,51RJ?IF /9-1 6. Zoning classification desired: 7. Tha nai.e and address o£ the present owner of the above descrihed land: 8. Estimated cost of improvements to be made ithin one year after issuance of permit applied for, if granted, ia $ ?,?C(DZ?? The nature of the improvement is: i /?? 4? !'6`y? rv 9. If proposed improve^ents $onsist of buildings or structures, specify in detail: Dimensions: 135'{ S? .f=ec J- Number of stories: ? Type of construction: (,`,jI,e?? Occupancy or type of business:'is/NI?c ?dA+.il?? - 10_ All real estate taxes on the above described property have been paid throug the year /J rf 2 except: 11. The method of fina cing the above improvements will be: ?? h 12. Persons, firms, corporations, or other than applicant and pzesent owner who may oz will be interested in the above described land or proposed improvements within one year after issuance of permit applied for, if granted, are: 13. Attached to this application and made a part hereof are: Plat _LDlans and specifications ::XPlot Plan Photographs Sketch of improvement layout _1/Other, (describe) --?r- / t Dated: (applicant) Subscribed and sworn to before me ? this day of , 197. U (owner) Notary Public ------------------------------------------------------------------------------------ Approved Disapproved: Planninq Commission Date Approved Disapproved: Park Committee Date Approved Disapproved: City Council Date Approved Disapproved: Hoard of Appeals Date ? C PERMIT c?zo 5e&a- ?'' .... ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber 026925 (612) 681-4675 Date Issued: 01 / 0 3/ 9 6 SITE ADDRESS: 1961 CHIPMUNK CT LOT: 34 9LOCK: 1 MEADOWLAND3 1ST P.I.N.: 10-48050-034-01 DESCRIPTION: (WOOD BURNING) Building-bPermit Type FIREPLACE Building Wo.r.k Type NEW Census Code , 9999 UNDEFINED t? S t: ? t.. '. ^'E ;_o REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Tota1 Fee $25.50 CONTRACTOR: - Applicant - sr. Lrc OWNER: WOODLAND STOVE3/FIREPLACES 13386606 0002558 SROKA JOHN 1203 WASHINGTON AVE S 1961 CHIPMUNK CT MINNEAPOLIS MN 55415 EAGflN MN (612) 338-6606 (612)726-3126 I here6y acknowledge Chat I have read this application and state that Che information is correct and agree to comply with ell applicable State of Mn. Statutes and City of Eagan Ordinances. L _ r - APPLICANT/PERMITEE SIGNATURE ? IC-dA I mk ISSUED BY: IG URE I k - INSYECTIUN KECUKll CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 026925 01/03/96 SITEADDRESS: P•I•N.: 1e-48e5e-034-e1 LOT: 34 BIOCK: 1961 CHIPMUNK CT MEADOWLANOS 1ST ? 1 APPLICANT: WOODLAND STOVES/FIREPLACES (612) 338-6606 7 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (WOOD BURNING) CITY OF EAGAN 3830 PILOT KNOB RD - 55722 1995 FIREPLACE PERMIT APPLICATION 681 -4675 DATE: INSTALL GAS LOG ONLY IN EXISTING FIREPLACE DESCRIPTION OF WORK: INSTALL bM FIREPLACE: V/WOOD BURNING INSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: T STREET ADQRESS: ju1 ?C - - ' V LOT ' I BLOCK SUBD./P.I.D. #: APPLICANT: (circle one only) OWNER Name: t'? Phone #:1-), 7a6 - 31 ;2 & ygi RRBT Signature: 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 owNeR FIREPLACE INSTALLER GAS LINE INSTALLER Street Address• City: State: Zip: f:mmn anv, ( tgfCtl? 4T? Phone #: 1?3 9- 66O 6 Signature: StreetAddress: 1?03 W ?.License#:?? City: 0/1?'?o0o-xrC State: /U Zip.c lS Company: Name: - Signature: ? ?.? _ GAS Phone #• Street Address, City: State: Zip: CITY USE ONLY ? g? R E C E I P T SUB . RECEIPT DATE: 1999 PLt7MBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NRi 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Ga5 Plping Outlet ' minimum -1 Rough Openings Water Softener `for dwellings undar constructian Water Softener " tar axisting dwalling U.G.Spdnkler 'fordwellingunderconst. U.G. Sprinkler * for existing dwelling Alterations " to existing residence Water Turn Around Private Disposal System ' MPC iic. (new and refurbished systems) Private Disposal Systems "abandonment RPZ (new installation only) EACH # TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 ' x = 3.00 = 20.00 = 20.00 = 20.00 = 75.00 = 20.00 = 20.00 = STATE S:JRCHARGE .50 TOTAL AL_? - -- •-- --------------- ----------h-ave rea • ----•d---------------- ------------------------------ • ----...-------• ---- • ---------------- ---- - -•- -- ----- I hereby acknowledge thet I this anulicatlon. state that the infortna6on is canect,and agree W comply with all applicabie City of Eagan ordinances. It is the applicanl's respon igan assumas no liability for any damages caused hy tha City during its normal operational and ma SROKA, KAREN this permit within City property/right-of-way/easement. 1961 CHIPMUNKCOURT , SITE ADDRESS: EAGAN, MN 55122 - (651) 686-9027 OWNER NAME: _ ,l,, INSTALLERNAME: ?NOI? .il?0if? ?L.U?'igl/?IC? TELEPHONE#: yAZ7'7'?3.3 StREETADDRESS: Z(OS 6VE -5" CITY: Mli`Ih1Cf1 DOLI S STATE: NIIIJ- ZIP: -15.9;ioig_ PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) • 1998 2007RESIDENTIAL BUILDING rERMrT ArrLCCnTioN ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 • Telephone # 651-675-5675 FAX # 651-675-5694 Nm Construdion Reouiremenk 3 regis[ered sfte surveys showing sq. k. of lot, sq ft. of house: and all roofed areas (20%mawmum lot cwerage aliowed) 1 Sals RepoM1 rf propoud 6uilding is to be placed on disNrbed soil 2 wpies of plan showing beam & window sizes, poured found design, etc 1 set of Energy Calcula6ons 3 copies of Tree Preservation Plan A lot plaped after 711193 Pom Joist Delail Op4ons selec6on sheet (buildirgs wilh 3 or less units) M1tinnegasco mechanical ven6lation form RemodellReoair Requirements 2 wpies of plan shomng footings, beams, joists 1 set N Energy Calcula6ons for heated adtlitions 1 site survey for adtlitions 8 decks AddVion - mdcate il on-sde sepfic sysfem 0 D ? ?5r- Office Use OnN CeROiSurveyRecd _Y _N Soils RepoR _ Y _ N Tree Pres Plan Recd _ Y _ N, Tree Pres Required _ Y _ N On•site SepOc System _ Y _ N Date I_ / 'G--7-- / 'c?.--i? O I Construction Cost 6 `c5z Site Address 'k ?' c1,t„p nn. j ? <° ? vf-`, 2R o, 'N1 (0 Unit/Ste # 2`.2 Description of Work b/'e? Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner K-t?:7tA ? (' f7j?%C"fA?A_p?TC) Telephone#(?S?) Contractor Ow N C`? ' Address ( ? ( l C ? City ? CLQOC,v?. State N1 IU Zip ?S ? Z L Teleplwne #(6.7 ?) 33 O-??(9? COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsu6missiontype) Submitted Submiried • Energy Envelope CalculaLOns Submitted In ihe lasi 12 monihs, has ihe City of Eagan issued a permit for a similar plan based on a master n_ _ Y _ N If yes, daTe and address of master plan: Licensed Plumber Telephone #( tiAN 2 2 2001 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 pennit, but only an application for a pennit, and work is not to start without a permit; that the work will 6e in accordance with the approved plan in the case of wor]< which requires a review and approval of plans. N r t-F ApplicanYs Printed Name Air1.?fS N Applicant's Signature ?d DO NOT WRITE BELOW THIS LINE Su6 Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex O 06 04-plex Work Tvoes ? 31 New ? 32 Addition ?11 33 Alteration ? 34 Replacement ? 13 96-plex O 16 Fireplace ? 17 Garage ? 18 Deck XK- 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Wndows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCfIqflOfl: WaterDamage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% - T Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Fooungs (addition) _ Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace R.I. Air Test Final ? Insutation REQUIItED INSPECTIONS _ Sheetrock FinaUC.O. ? Final/No C.O. HVAC Other Pool Ftgs AidGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 58W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 OS-plex ? OB O6-plex ? 09 07-plex ? 10 OB-plex ? 11 10-plex ? 12 12-plex ( ?3? od cirr oF eac,aN 3795 Pila! Kno6 Reod Eagaa, MN 55122 N2 5427 VHONE: 454-8100 BUILDING PERMIT APPLICATION Rxeipt Ta be uied fer SF Dwl¢ E Gars¢e Est. Volue 59.000. Date 9"26 . 19 79 Stte Address 1961 C111pIDWl1C COUTt Erect gJ Occuponry R3 Lot 34 Block 1 Sec/Sub. MeadON18IId Alter ? Zonin9 PD parcel # 10 48050 034 Ol Repnir ? Fire Zone 3 Enlorge ? Type of Const. V w Nome J. BSMOiI COilStl'?C Move ? # Srories ? Addreu 12790 Dodd B1Yd. oemolish ? Pront 69 ft. Ci ROSemOUAt 55060hone 423-3459 Grade ? Depth 40 fr. p Name $ame APVrovois Fees ?? Address Assessment _ ? Water & Sew. Ci Phone f, Police - Fw Name Fi re ?? Address Eng a'Z" Ci Phone . Planner - Council _ I hereby ockrwwledge that I have read this applicotion and state that gldg. Off. - the information is corre nd og{ee to mmply with all applicable State of Minnesom Stot te and.Ciri of EaaanAndinances. \ AP? Signature of Permittea A Buildin9 Permit ts issue oll work shall be done in Permit 140.50 Surcharge 25.00 Plon check 70. ZS SAC 525.00 Water Conn. 270_00 Woter Meter 60.00 Road Unit 75.00 Total 1 P`165 _ 75 StT11Ct1011 on the expreu wndition thot State of Minnewta Statutes and City of Eogon Ordirwnces. Building Officiai PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109825 Date Issued:04/08/2013 Permit Category:ePermit Site Address: 1961 Chipmunk Ct Lot:034 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-034 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. Janel Behrends 122 West 3rd S Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Alemnesh Reda 1961 Chipmunk Ct Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA146364 Date Issued:10/23/2017 Permit Category:ePermit Site Address: 1961 Chipmunk Ct Lot:034 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-034 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 - Alemnesh Reda 1961 Chipmunk Ct Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature