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4555 Johnny Cake Ridge RdCITY OF EAGAN N.? 9?Q? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , BUILDING PERMIT Recelpt # 1/-= Te b? w?d Mr 3 SEASON PO?aIe $16,000 ?e JUNF: 25 , 19 tSZ. 4555 Site Address JOHNr?Y CAKE RIDGE RD ?3 Erott 0 Occu anc 18 p y ti n I . Lot Blo? . . Sec/ h. Alter ? Zonin '? ? _ L ? I ? 1 lJ _ g Parcel No. ' N/A air p Fire Zone Re p ? E l T f THGk? NFLVIN arQe Q n ype o Const, ac Name S?E ?Ve ? # Stories Z Address Demolish p Length 24 t City Phone 454-7259 Grade ? Depth ?_ Sq. Ft. ? [rVttLwr,?"1 iSUlLUC.Kb , o Name D AVE SO ?? Address.,. - 70 1-- Citv Phone Name _ Addresa City - Phone I hereby acknowledge that I have reod this application ond state that the informcfion Is correct and agree fo comply with all applicoble Stote of Minr?esota Statutes ond City of Eagan Ordinances. Sipnoture of Permittee N0?1',)F]FST BUILDM A 8uilding Permit Is issued to: oll work sholl be done in occordonce with all opplicoble State.:of Mir Buildinp Officicl - ApProvals Feas Assessment Woter & Sew. Police Permit Q Surchorfle 8.00 Plon check 56.25 Firo SAC Enp. Water Conn. Plonner Water Meter Council Road Unit Bldp. Off, ? APC Totol • on t ha exprcss condition Ihnr wta Statutea ond City of Eapon Ordinonces. Parmit No. Permit Holder Miac. Permit No. Holder Plumbing H.V.A.C. Dc? ? ?,( ?3It`I Well Water D"isp. Sewer ele«.ic Inspeetion Date Insp. Other Footinpt Foundation r Freminy 7vn? Rouyh Plbp. Rouyh HVA Insulation Final Plbg. Final HVAC Final 4 -' ? Water Dacribe Locatio n: Well a C?9 Sawar Pr. Dbp. Receipt MECHANICAL PERMIT CITY OF EAGAN Permit No. Fee Fill in numbered spaces S/C Type or Prini legibly Tot. 1. Date 2. Installation Cos? 3. Job Address -? 4. Owner 5. Contractor Phone ;?S `/ ?- 6. Address C/1 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add O Alter ? Repair ? 10. Describe 11. Type No. Equi ment 9TU - M. Ea. Forced Air No. Equipment CFM A Mfg. ir Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe ` Air Cond. . r Mfg. ? Gas, Piping Outlets ? . ? 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and Codes governing this type of work. i?._ -- Signed : ? - ' !%for Rough ? Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition Wood ate 2 d Lot 18 Blk 2 Parcel fg 84601 l? i d Owner 7• Street 4555 r74bnny ['alce RdQ, Rck-`State F.agan,Mt3 5I ?? l... .. i Q - Improvement F Date Amount Annual Years Payment Receipt Date STREET SURF, 1974 5.11 1.02 5 Paid STREET RESTOR. 1976 1034.75 344.92 3 Paid GRADING SAN SEW TRUNK 1974 99.42 6.63 15 Paid * SEWERLATERAL 1976 3068. 1 1022.90 3 Pdi WATERMAIN * WATER LATERAL 1976 * WATER AREA 97 * STORM SEW TRK 1976 3 * STORM SEW LAT 1976 3 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sa,c 400.00 12109 11-8-74 PARK ? , ? ???? 1Y------ :;? , ? ?? ? ,?•. CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued; (612) 681-4675 SITE ADDRESS: APPLICANT: nr r rit,rtr I? i? 1iii???it.ll f I .'i?li i4 4 d ? PERMIT SUBTYPE: TYPE OF WORK: V f' F A T R k1f RI1tlF Pertnit Holder Date TNephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ? FOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucnvm TEST HYDROSTATIC TEST BSMT R.I. • BSMT FINAL DECK FTG DECK FINAL REQUEST FOR ELECTRICAL INSPECTION O o?? 5 40, see insiru^Aans lor campleting Ihis form on beck ol yellow capy. "X" Below Work Covered by This Request `?°1`?oZ?EB?00001A9 ywH. ? Ne Add ep. Type of euilding Appliances Wired Equipment Wired Homa Range Temporary Service Du lex Water Heater Elactric Heatin Apt. Buildin Dryer oad Managament Comm./Industrial Furnace Other (Specify) Farm Air Conditloner Other (specly) Contractofs Famarks: Compu[e Inspection Fee Below: # Other Fea # Service Entrance Slze Fee # CircuitslFeeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200_Am s Above 100 -Amps Si ns inspactors usa oniy: p/ TOTA?"? Irrigation Booms ,, 5 eciel Ins action Alarm/Communication THIS INSTALLATION MAY BE ORDEHED DISCONNEC7ED IF NOT Other Fee COMPLETED WITHIN 1B MONTHS. I, the Electrical Inspector, hereby certlty ihat the above inspection has 6een made. R°u9n-in - F'"ai oate oe?a ? 7 OFFICE USE ONLV ? This raquest voltl 18 months Irom Y(W 54'/_54 7 l8-aA Fequest Date / Fire No. Rough-In Insp ion RaQUiretl (VOU m st call Inepector reetly) Ina ectl n blhar Than RaBh-In Will qHy Ipepector eedy N4w -?, 9 ?] Ves ?ao ? Dale Reatl 9 V? I icensed contractor ? owner here6y request inspection of above electrical work at: Job Atltlress ($Vael, Box or Roule No,) 5's5!E? iMT•M cA?C R?q. ?d Clty rfvq?I ,.C Section No. Township Nama or No. Renge No. County /9Kd`Ti4 Occupanl PRINT) Phone No. ae ?L r/?'? Power Suppller 34??A L, Atltlress ARr1//i/?! 7-x( Md ElecMCal Conirador (COmpeny Name) r ` e 9 F Contractor's Llcense No. Ao-az7`1 ,e???? r u P.? , -1 ? Mailing Adtlress (COnVactor or wne Making Installatlon) ? ? D / .? ANhotlze eWre (Coniract wne Making InstalAaNon) PhOne Number 5 ` 9 _0 B 6, $ LMHIkESOTA STATE APO OF LEGTq THIS INSPECTION REOUEST WILL NOT GN88e-Mltlwey Bldg. Room 5-128 BE ACCEPTED BY THE STATE BOARD 1827 Univeralty Ave., St. Paul, MN 65100 UNLE55 PROPER INSPECTION FEE IS Phone (672) 692-0800 1 ENClOSEO. YILLAGE OF EAGAN 3795 Pilof ICnob Road Eogan, MN 55122 ZOtliOg: ??rtn 1 ogree fo comply with fha Villoga of Eagan Surchazge: . nV Yu Ordinancos. Misc Chazges: L'- C6° Total: ? Da[e Paid: _ Date of Insp.: ? - Insp.: WATER SERVICE PERMIT PERMIT NO.: 1629 DATE: 11/15/74 No. of Units: rILlAOE OF EAOAN SEWER SERVICE PERMIT 1795 Pilot Knob Road PERM[T NO.: 2329 Eagan, MN $5122 DATE: 11/75/74 !.oning: PUD No. of Units: lwner: New tIOriaon Homes Woodqate II \ddress: ii[e Addreas: 4555 Johnnv Cake P.idne ?lum6er: - Thompson Plwnbinq Co. ograa to comply with fhe Villags oi Eogon Connection Chazge:.eTOO. 00? d Jrdinoncas. ay: lare of Insp.: nsp.: - Accoun[ Deposit: Permit Fee: 10.00 pd Surchazge: • 50 pd Misa Chazges Total: Date Paid: SEDGWICK HEATING & AIR CONDITIONING CO. HE^TiNC JOB NO.?° 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD .\A_ 0 . CIN 7 ADDRESS `lS?S?I.Ct?F?`a IuCr OCCUPANT Iv?ul'J OWNER J SOLD BY? j INSTALLED BY MAKE ? p I-jrn SEFIAL NO. y -s ?z?` FAN SETTING ` b Hv-C,C` PILOTTVPE IGNITION MODEL I l..l?krCJW?- PILOT TIMING _ PRESSURE INPUT CFH STACK TEMP. b?? PERCENTCOz PERCENT PERCENT CO v FORM 235 (REV. 11189) MODEL 6-60(t N V 7G'N INPUT VENT SIZE TYPE OF LINER ? v i/ LINER SIZE n FILTERS: SIZE -- ;?26"" NUMBER WIRING ??rJIJ-r102w?- TEST TAG T? i- LIGHTING INST. DATE TESTED Q t i. COMPANY TESTING NAME OFTESTE FORM OISTRIBII . HITE FILE YELLOW COPV - CRV CITY OF EAGAN -3$30 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMI7 ReceiPt # N° 9209 Te M und fer 3 SEASON PORgpValue $16,000 pate JONE 25 1984 5itenddress 4555 JOHNNY CAKE RIDGE RD Erect ? Occupancy R3 Lot 18 slock 2 Sec/Sub. WOODGATE 2:N? qlter ? Zoning Rl Parcei No. 10-$4601-180-02 Repair ? Flre Zone N/A eniarea p Type af Const. V w Name THOR NELVIN Move p # Stories ; Address Sp'ME Demolish ? Length 24 b City Phone 454-7259 Grade ? Depth L2 Ft Sq . .- ? NORDWEST BUILDERS Avvro•als Feos p Name ?? Address 12505 XENWOOD AVE SO i- City SAVAGE pnone 894-3770 Name SPECIALTY SYSTEMS Address City _ Phone Assessment _ Water & Sew. Police - Fire Eng. Plonner - Councll _ 1 hereby ockrwwledge ihot I have read this opDlicotion ond state thot gldg. Off. the inlormotion is torrect ond ogree to camply with oll opplicoble APC - Stote of Minnesota Statutes and City of Eogan Ordirwnces. SiOnuture of Pertnittee Perrnit $ 116.50 $urcFwrge $ • ?0 Plan check 58, 25 SAC - Water Conn. Woter Meter Road Unit _ Total $ 182.75 11 Building Permif Is issued to: lNVt(UWES'1' riUlLUri1tS on the express condition thm oll work shall be done in accorda w rh II apDlicable ot f 'nnewto Stututes ond City of Eagon Ordinances. BuHding Offkial ?'?' , _ HOUSE HEATING TEST RECORD D-21429??/?,'?"? ADDRE55 4555 Johney Cake Ridge ppT. - FLOOR CITY SUBURBEagan OCCUPANT Thorleif Nelvin nwNFp Yea HEAT LOSS SOLD BY - Elactrieal Work By TYPE OF HEAT % GA _ FA X HW -STEAM INSTALLED BY Sedgwick Htg. Gas Lins By ft if SPACE HTR. UNIT HTR. OTHER GAS DESIGN Williameon MAKE 111?-10-5 MAKE OF BURNER_ Model Model Ssrial 7421065 Max. BTU Rating- INPUT 100,000 BtH MAKE OF FURNACE Model CONTROLS THERMOSTAT Cm 280 Heat P?Iyg M H Valvs • ?Z300C • Limk P-obshaw RF'L 750n Limit Sstting 200of Fan Settin9 90 f& 120 P Pilor Type Couple Pilot Make Vent Size KIND OF LINER A1um• SIZE 8" NONE Drak Hood Vertical Regularor Filterz Size 16° % 25`' Num6ar 1 Chimnay Location Inside Ye8 Outside Chimney Cons}ruction Metalbeatoe Pilot Model $moke Bomb Wiring Pilot Timing 52 Seconda proft OK Tsst Tug Yeg L.W. Cut Off Daor Pressure Lighting Inst. Yee Prossuro 4.3°W•C, PmcentCOZ 7.0% Defe Te:tad 1?30?5 Input CFH 100?_-Peresnt OZ 8•7% Company Teating C ? ..v ???..+ emp. `?50 f psrcent CO . 0•0? Stuek T Name of Tesfar ? Fwm 235 DATE HTG. INST. CONVERSION fb? CITY OF EAGAN Include 2 sets of plans,, ' 1 Certi£icate of Survey 6 BUILDING PERNQT APPLICATION 1 set of ener9 y cal.culations. ? SF?? PoRCf-?- ? `?A tooc+? °° T'o Be used For Valuation Date ress: ?Zsss ja NN Site P,dd Ny C44F Iro, OFFICE USE ONLY r? Int /d slock -?, sec./sub. [Jooov,?rE Z?Erect . Occupanc5' Parcel #: /D ?yC/100/ - 1d U -- O 2 Alter Repair Zoning Fire Zone ?E? V?/1J E??e ? ?'?'? of Const i ?? 0 Move # Stories Address: ?5ss S04 NNY Demolish _ Front ft. ft Grade Depth . 1 2 City/Zip Code: ?Af ,A-n/ Phone # : qS? -72 Sq APPlZO?1ALS F? Contractor: & aQ GtJ S-? ?fU/?Q?S Address: City/Zip Codev 55?3 ] Phone #: Arch./Eng.;lL Adclress: I City/Zip Code: Phone #: Assessments water/Sewer Police Fire Eng. Planner APC O££. Per[nit ? i ?v • ? SuY'ChaYge Plan Check 58, ? SAC ? Water Conn. ? Water Meter ? Road Unit TOTAL /?'a . 7 S CITY of EAGAN BUILDING PERMIT Ownoi ..........(.leS:.'^r.-.............. Addsess (presan!) Builder ................................. Addreea ...... . ;, ? N6 3459 3795 PiloS Kao6 Road Eagan, Minnesota 55122 454-8100 a.:. ... .. ...:'. l a-. 7:y .............. Bioriea To Ba Used For Fron! Depth Heigh! Eat. Coc! Perm!! Fea Aemuko qX ? 4 " LOCATION or >-- This permit does aot aulhorise the use of sfsaefs, raads, alleys or sidewalks nos does i! 9iva the owaer os h[e agent the zighlto ereale any siluation which is a nuisenee or whieh psasente a hazard !o the heallh, safelp, tonvaaioacs and general welfare !o anyone in the communilp. THIS PEAMIT MUST SE KEPT ON TIi;, PREMISE WHILE THE WOAK IS SN PAOG ESS. Thla is !o certifp. !hal....?:.':?t?.._ .... . . .. ... . .?._..-._hm permiuion !o exeet a- _--•• -• `?`.°:?_?. on the above described premise subjeci io e pxovisions of all applicable Ordinances for ihe C of Eagan ?-."... """"...a ....... ............'--.. Per ..........................._?.Y:'`?`-....??? .""__""__'.......'_""'..Y_""' "_ Ma _..................""" or Buildiny Impcefo[ Xs / I'- ? C.ITY OF EACAN 3795 Pi_].ot tu:cb Eoad Eagan, Minnesota 55122 PERIvi[T NO.: 594 _ The City of Ea.gan hereby grants to ceo. SeclRwic}_. Fieatina of 1002 Xenia Ave. So. . i . .C.. ?, ... aPermit for: (Owner) tlew 1 . Cake Rddge at 17na cw,.+,* ggiTny er„v, purauant to application dated FPe Paid: snn_nn dated this1.ci__day oY 1.00 s/c Building Inspector PQzchanical Permits: Bi4 Total: rnis reauPSa vaia 18 iranths hom UJ 35968 YSSx , e - av-F v ftequest ate Fire No. peug fea? nsPeciion qeatlv Now Q Will Nntifv. InsDec- ? Yes ? No tor Wh.n PeaAv Lidnsed ElAclrical Contrac[or I . I hereby request inspection of above Owner ' electrical work installed et Sveet AaAress, eoa or R/oute No. ? / Citv ? h S$? C 4 1 c '1 v r n r ecbon o. Townshlp Name r No. Ra e o. ouuty b /a Occupent (PflINT) hone No. Power SuDplier . Address E ectrica Conv2ctor Ifompany Namel Contracfor's License No. ? r Ti-?? o t?s,sic ?/??c7 Mai l ine.4ddress IContrac?or or wner MakinB ?nsta'lationl y - j Nuth rized 5? ?a ure IConhaCmr Owner kin0 Installation) Phone Number y? rS U -7 ?L"O 4INNESOTq STqTE BOARD OF ELECTtJI&Y 7HIS INSPECTION REQUEST WILL NOT Gri99s-Midwey Bldg: - Noom N-187 BE ACCEPTED BV THE STATE BOANO UNLE55 PPOPEfl INSPECTION FEE IS 1821 University Ave., St. Paul. MN 66104 ow...e 16121 297_2111 ENCLOSEO. , 59 19 -'J REQUEST FOR ELECTRICAL INSPECTION EB-00001.03 0 59 68 0 See instructions for completiin9 ihis form on back of yellow copy. "X" Below Work Covered by This Reqc?.6t - ? . N Ad,01 Hep. Typo ot Builtling AnPliances Wired Equipment Wirad Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apl Building Dryer Electric Weatin Commercial Bldg: Furnace' Silo Unloader Indusinal Bldg. Air Conditionr.r Bulk Milk Tank Farm Offier peci y Other (SUOCify) - t er Specify Mer Otner Caaipute lnspection Fee Below 4 Fee ServiceEmrence5ize II Fea Faetlars/Subfeeders ll Fee Circuits - Otol00Ams 0 to30Am2s 0 to30Ams 101 to 200 Amps 31 to 100 Amps 31 to 100 Ai Above 200 qmps Above 700_Am s Above 700_Amps Transiormers Remute Control Circ. ' Partial% herF e Signs Special Inspection g_ ? . \ T ' ? Remarks Z S OT I 9EE / /?? flough-in 1, the Nachicel ' Inspectoq h¢reby c rti(y that tha above Final . napectiun has been ? ? ? mede. This request void ia mnnNS hom IM, iM?•1?MI? _ ?? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMIT TYPE: Permit Number: Date Issued: PROJECT NBR: BUTLDING 032563 07/17/98 92563 SITE ADDRESS: P.I.N.: 10-84601-180-02 DESCRIPTION: 4555 JOHNNY CAKE RIpGE RD LOT: 18 BLOCK: 2 WOODGATE 21VD REROOF 8uildiFtg,.Permit Type Buikding W;ork Type Census Codea- "N s , • ? ? , ?'_., ?. z?. STORM DAMAGE REPAZR 434 ALT. RESIDENTIAL r ? 3 ??! q ? r ?? + ? •;}'_ REMARKS: FEE SUMMARY: CONTRACTOR: - RPPllcanr - si. LiL .0??pp RONEL RE9TORATTONS 14351932 0002158 NE'LVI'N THOR P 0 60X 240744 4555 JOHNNY CAKE RIDGE RD APPLE VALLEY MN 55124 EAGAN MN 55122 (612) 432-3444 (651)454-7012 I hereby acknowledge that 3 have read this applicatinn and sCete that the ? i>nfdrmationx'soorrec't and agree to comply y,rith aJ;l apgl.i.cable St3te, of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE " Q" I-go ISSUED 8Y: SIGNA7URE ?as.? 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 Naw Conshuction Reouirements RemodeVReoair ReauiremeMs ? 3 registeretl site surveys • 2 wpies of plans (inGuOe Deam 8 window saes; poured fiE. design; etc.) ? 7 energy ealwiffiions ? 3 copies of tree preservation plan H IM pWUed after 717193 required: _Yes _ No DATE: _ -j DESCRIPTION OF WORK: yS-TREET ADDRESS: _ ,/ LOT: )155 BLOCK: PROPERTY OWNEg ? CONTRACTOR ARCHITECT/ ENGINEER ? 2 copies of plan ? 2 site surveys (extenor addkions 6 decks) ? 1 energy calalations tor Aeated additions CONSTRUCTION COST; i? ? ? 3- SUBD./P.I.D. #: W OOC? !Vv c1v ; PA Name: N-et V/N ??' Phonet7: `L?v' 701?3 Last First Skeet City State: Mf-- Zip: j! a;L- Company: ?Ne? La?14726,f Phone #: StreetAddress: edF aelU 7?Lt? License# 00U a/J-,p ? City 4*(/r Stare: Zip: Company: Phone #: Name: Registration #: Street City Sewer & water licensed plumber (new construction onty): and lot change is requested once permit is issued. State: t hereby acknowledge that I have read this appliqtlon and state that the information State of Minnesota Statutes and City of Eagan Ordinances. ,, Signature of Applicant: OFFICE USE ONLY Certificates af Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Not Zip: Penalty applies when address chang and agree to comply with all applicabl L f" gL a• CITY USE ONLY RECEIPT#: 950,3 9 SUBD. UJA.? 5;,2?A RECEIPT DATE: / 11-7/( o 1998 PLLTMBING PERMIT (RESIDENTIAL) CITY OE EAGAN 3830 PZLOT IINOB xD EAGAN, W 55122 (612) 681-4675 Please complete for: D single family dweliings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system -------------------------------------- ------ - _- FIXTURES - - ----- -------- EACH -- ----------- ---------------- # TOTAL Shower 3.00 X - Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tu a 3.00 x = ater Heat or rain Fl 3.00 3.00 x = x o Gas Piping Outlet ' minimum - 1 3.00 x = RoughOpenings 1.50 x Water Softener `for dwellings under constructian 5.00 x = Water Softener ` for existing dwelling 20.00 x =.. U.G.Spflftkl8f "fordwellingunderconst 3.00 = U.G. Sptinkler ' for existing dwelling 20.00 ° AIYer2tI0n5 ' to exisNng residence 20.00 = Water Tum Around 20.00 = . Private Disposal System ' MPC iic. 75.00 = (new and refur6ished systems) _ Private Disposal Systems " Abandonment 20.00 - RPZ (new installation only) 20.00 = STATE SJRCHARGE .50 TOTAL S •- ° ------------------------•------------------------- I hereby acicnowledge that I have read this appiication, state that tFre information is canec[, and agree -to - comply - wilh all applicable City of Eagan orclinances. It is the applicant's responsi6ili?-'^^^'?R•.?"? ^•^^°?•.^W^°• "'°'-"'°?"'•"'`-`--an assumes no liability for any damages eaused by the City during its normal operetional antl mainte NELVIN, T is pertnit within City propertylrighROf-wayleasement. 4555 JOHNNY CAKE RIDGE ROAD SITE ADDRESS: _ EAGAN, MN 55122 (612)454-7259 04NNER NAME: INSTALLER NAME: ?I Q?.?i lAN/I ?-l.l>"191?MGI / TELEPHONE #: STREETADDRESS: CITY: ( ijC OLI S STATE_ Nl?- ZIP.: ??o g s OF PERMITTEE CO/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4555 Johnny Cake Ridge Rd Lot: 18 Block: 2 Addition: Woodgate 2nd PID:10- 84601 - 180 -02 Use: Description: Sub Type: e - Fumace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Crystal Gemuenden 8910 Wentworth Ave S Bloomington, MN 55420 952- 881 -9000 Crystal.Gemuenden @Se viceExperts.com Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Surcharge -Fixed ME - Permit Fee (Replacements) Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Thorleif N Nelvin 4555 Johnny Cake Ridge Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA075804 11/07/2006 ePermit