The URL can be used to link to this page

4549 Lake Park Dr? CITY OF EAGAN Remarks Addition tAKF. PARK ODDITI0N1Shores Lot 7 aik 1 Parcel #10 44200 070 01 Owner streec 4549 Lake Park Drive State Eagan, NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2529• 52 505• 90 5 15 .? r STREET RESTOR. GRADING SAN SEW TRUNK $EWER LATERAL WATERMAIN ,WATER LATERAL 1981 WATER AREA 9 Z$O.OO I8.67 iS . D STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK e .? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_° 13153 BUtLDING PERMIT PHONE: 454-8100 Receipt # To be used tor `? DW?'/?'A"? Est. Value $99,000 Date JANUA-ZY 29 Ia 87 SiteAddress 4599 LAKE Ph,ItK DR " Erect IN Occupancy R3 Lot ? Block ? secisub. LAK E PARlC S IIORSigrnodel ? Zoning Parcel No. Repair ? Type of Const j? Addition ? No. Stories W Name GRA"» OAKS Df:VF:i. CU Move ? Length 91? 4 1 Demolish ? Depth ,Q.(?._ ; SO f3AY I,A1CE kU Address 5 Z ? o Int. Impr. Sq. Ft Ciry ??GAN Phone 952-8934 Install 0 ? ¢ Address Assessment ~ City Phone water 8 Sew. - Police I W Name ? Fire ¢ Z Address ? En g. z s W City Phone Planner Council I hereby acknowledge thai I have read this appiieation and state that the Bldg. Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC ; !. ' . ? , ) Var. Date A Building Permit is issued to: all work shail be done in accoi Building Official Permit ? 500•00 Surcharge -49:50 Plan Review254..44 . SAC 625. t?U ; Water Conn. 525.00 Water Meter 67.00 Road Unit 305.00 Tr. PI. 180.00 Copies Total +' , . S U on the express condition that City of Eagan Ordinances. ' Permk No. Permit Holder Date Telephone k Plum6ing V7 (J.". ? !f'" H.V.A.$. j? ?-?CG eJ ? ..?:Ci. eie?tric , Sottener Inapeciion Date Insp. Comments Footlngs l Footinga II Foundation Fnming 3/,? S- Rooflnq Rouyh P16g. "IZ'Q ?/ ? Rouyh Hty. L ?Ql P Insul. Flreplace Finsl Htp. d?A Ffnal PIb9• Bldg. FI11i11 CeR. OCC. y? o '' C" ? • Deck Fty. Deek Frmg. Well Pr. Olsp. , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-81 DO BUILDI.N?'a?PERMIT Receipt # r To be used for F:[TtEPLACE Est. Value Date APk Site Address 4'-143' LA,KE Paki: ':rR Lot I- Block I- Sec/Sub. i:AiCE, PAr!_ ?•!: J?tL: OFFICE U5E ONLY Parcel No. occuPancy - Fees Zoning ? Name R?'•°*??A ULE (ActuaqConst - BIdg.Permit 4b.Q? ; Address 4:'49 Z--MIZE FA+tv `}R (alowable) - h S ? o City FAGW? Phone ?f 8-01njD• # or siories .- urc arge - Plan Review Length _ ? o Name . A br-3`-pILF& rJ:;ONRV Depth - Ciiy SAC = . oQ Address %' 1 t () S.F. Total - SAC , MCWCC ? ty :,,tftBEGx7?I Phone 4 14--` •?+t? Ci : S.F. Foo mts _ ? Water Conn On Site Sewage _ t- W W Name On Site Well Water Meter z Address MWCC S stem Y - U = a W City Phone cicy warer _ Acct. oeposit SiW Permit PRV Required - I hereby acknowlege that I have read this application and state that the Booster Pump - S+W Surcharge information is correct and agree to comply wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI 5ignature of Permitee APPROVALS Road Unit A Building Permit is issued ta ?= ? o-•':Bir•++ MAyi ?A1F?Y Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pH. _ Copies Building Official , Variance - TOTAL ?, • c''? Permit No. Permit Hotder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC km4acdon Date Insp. Comments Footings I FourMation Framing Rooflng Rough Plbg. Rough Htg. Isul. v (? Fimplace y 1?? D s j/ 3-?9 Zo,-N Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notily Plumber EngrJPlan Bidg. Final Deck Ftg. Deck Final weli Pr. Disp. A Site Address Lot Block ? Name m Addre c City _ MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 E vr a rJ ' II - Name ` c Address p City Phone? - ' TYPE OF WORK Forced Air ? Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # i Other FEE MBTU M BTU M BTU M BTU CFM I PERMIT # 7-26" C RECEIPT # DATE: $ ? BLDG.TYPE .? Res. ^ Mult Comm. Other S/C: TOTAL: WORK DESCRIPTION New ` - - Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATURE OF FOR: CITY OF EAGAN PERMIT # ? PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN - 3830 PILOT KNOB ROAD, EIIGAN, MN 55121 DATE: Site Address -I ?) `1 L . L? Lot I Block ? m Name ? Addre c City - Name FEES COMMlIND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) y. PEFiMITTEE BLDG. TYPE WORK DESCRIPTION ? ? New Res. Mult Add-an Comm. Repair Other O. FIXTURES TOTAL Water Closet - $3.00 $ t Bath Tubs - $3.00 =Lavatory - $3.00 L ' ! Shower - $3.00 ? ? Kitchen Sink - $3.00 UrinalfBidet - $3.00 T- Laundry Tray - $3.00 Floor Drains - $1.50 _L___Water Heater - $1.50 Whirlpool - $3.00 1 Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 ?_Private Disp. - $10.00 Rough Openings - $1.50 FEE 5 ' FOR CITY OF EAGAN STATE SlC: GRAND TOTAL ' ' ? `! ^ INSPECTIUN RECORD 7 Control No. 0360 ` CITY OF EAGAN PERMIT TYPE: bUxlltlMQ 3830 Pilot Knob Road Permit Number: 000421 Eagan, Minnesota 55123 Date Issued: 05101192 ? (612) 681-4675 ? SITE ADDRESS: ? 4649 LAKE PARK Dk ? tAKE pA17K SNORES PEiM ,I?,T SUBTYPE: I af-anRrs: kt-cfip r * I .:? APPLICANT: KAL.E (612) 641--0109 TYPE OF WORK: ? New n Permlt No. Pannlt Holdsr DaDe TWephoM a SNV PLUMBING HVAC ELECTRtC ELEGTRIC Irapeetlon dats, Mgp. Commanto Faotligs I FoundaUon Freuning Roofing Rottgh PfbB• Rough Hly. lstl. Flreplace Fnal Hty. Orse Test Rnel Plby. Plby. hBpedor - NWNY Plumber Cor?st. Meter Engr./Plan Bldg. Final Deck Ftg. ,? • ? oeck Flne, w+eu Pr. Disp. INSPECTION RECURD ' CITY OF EAGAN PERMIT TYPE: '"" ""H '' 3830 Pilot Knob Road Permit Number: it.' 1 t y" Eagan, Minnesota 55123 , l Date Issued: ?'" ` ? •' ? '' ` (612) 681-4675 SITE ADDRESS: APPLICANT: I AAf_ ? I'Itt:i .1111017': ' PERMIT SUBTYPE: III I '1I1I Mr, I I r 1 s., Fi 1 TYPE OF WORK: I.r I?I?Ek J , t .4 1 1 1 i t?N I?t.{'AI H Ri11 11 ft f l tJllRS . r?V.ui f,r rcrN Permk No. PemiR Holder Date Telephone 1t Sl1N PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. j ... Isul. Fireplace ? Final Hlg. Orsat Test Fnal Pibg. Plbg. Inspector - Notily Piumber Consi. Meter EngrJPlan 81dg. Flnal Deck Ftg. Deck Final Well Pr. Disp. , CIYY OF IAGAN ? 3830 Pllot Knob Road P.O. Box 21199 Eagan, MN 55121 ? Zoning: p 3! Owner. GrLnat . Meter No.: Size: -IiMl No• ot Units: F z5.Tn I agree to comply wHh the Clty oi?€«?(}T'r'?.SU?t?a'Fge v •° f Ordinances. e Y Date Paid: ? Date of InsP•- Insp.: ? _ - --!-f--_ _ _..---- -- ?? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 13153 PHONE: 454-8100 BUILDING PERMIT Aeceiptn U?/?p / 7obeusedfor SF DWG/GAR Est.Value $99.000 pate JANUARY 29 19 87 SiteAddress 4549 LAKE PARK DR Erect ?l Occupancy R3 Lot 7 elock 1 Sec/Sub. LAKE PARK SHORII£amodel ? Zoning R 1 Parcel No. Repair ? Type of Const. ?V Addition ? No. Stories ? Name GRAND OAKS DEVEL CO Move ? Length SR 3 Address 4521 SO HAY LAKE RD Demolish ? Depth40 ° ciry FAGAN Pnone 452-8934 In?lmpr. ? sq.Ft. Install ? ¢ SAINF Approvals Fees i o Name 0 ¢ Address ? Ciry Phone x W Name F ? ? Address z i W City Phone Assessment Water & Sew. Police Fire _ Eng. Planner Council Iherebyacknowledgethatihavereadthisapplicationandstatethatthe Bldg.Off. information is correct and agree to comply with all applicable State of Minnesota Statutes and ty of E% a ?rances. APC Signature of Permitte/`?.??? I1 h .li - Var. Date ? A Buildmg Permit is issued to: , ? f RAND all work shall be done in accorXance with all ? Building Official Permit $ 500.00 Surcharge 49.50 Plan Review250..00 SAC 625.00 Water Conn. 525.00 Water Meter67.00 RoadUnit 305_00 Tr.PI. 1.80_00 Parks ? - Copie ? Total 2,501.50 on the express conditwn that M`? so?Statutgs d City of Eagan Ordinances. ? -A CITY OF EAGAN NO „ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDdNG PERMIT Receipt # Tobeusedfor FIREPLACE EscValue $1.000 Date APR 12 Sde Address 4549 LAKE PARK DR OFFICE USE ONLY Lot 7- Block 1 Sec/Sub. ?? PARK SHORE P8fC81 N0. OccupanCy - FEES Zoning - w Name BARBARA KALE (Actual) Const - Bldg. Permit 26.00 ; Address 4549 LAKE PARK DR (qnowaole) - S 50 h e 0 Cit EAGAN Phone 688-0108 y x oi stones - urc arg - Plan fieview Langth _ F Name M H KF.RRF.R MASONRV DepM - SAQCiry i o AddfESS 9711(1 W Fi7ND ST SF7olal - ¢ ? CISy SHnRFWf1nI1 Phone 474-7464 SF Footprints SAC,MCWCC - 'Nater Conn On Sita Sewage _ ? ww Name OnSneWell - WaterMeter z AddfeSS MWCC S stem '0 aW City Phone Ciy Watar Accl Deposit - SN! Permit PRV Requrted _ I here6y aCknowlege ihat I have read ihis apphcation and state that the Boosrer Pump - SMl Surcharge infortnation is correct and agBe [o comply wrth all apphcable State ot Minnesota Slatutes and City of Eagan Ordm ances. Treatment PI / Signa[ure of Permitee APPpOVALS Road Unit A Building Permit is issued to' M H KERRF.R MASONR V Planner - park oed. on ihe evpress condition that all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9 pry_ _ Copies Building Olficial 6,ry_T ? '???j *4? .?_ Vanance _ TOTAL 26.50 16282 This roQUesi vold ?/?/?'? 18 months /wm C-77_592 ouNn-? rsVCCUOn ? , ?? Repuiretl? [3fleaEy NowJ3Will Notify InsDec- 3 ?Ves ?No lor When PeBdy WLicensed ElecVical ConVattor I hereby raquest insDec[ion oi eDove ? Owner elecf.icel work insfelled ar. Street AtldreSS, eoz or R e No. 1 A ?9 ou ? v, 4 6 2k Ax.e , ection o. I Townshi0 Name or No. anga o. Couiity O ant (PRINT) ?'?3,v.? Phon No, s? -8 3 er Su00her Adtlress f Elec al Contractor IComp Namel ?L ?? Cnniractor's License No. s?e,J ?e MadinB Atldress IContractor or Owner Meking InstailaL nl -7(o`7S 3 SS3?? Amlrorized Sienature (oMr ct Owne InSlallalion) Phone Numb MINNESOTA STATE BOARD Of EIECTqICITY THIS INSPECTION REQUEST WILI NOT Gripga•Midwey Bldy. - Room N•191 BE ACCEPTED eY TME STATE BOARD 1871 Universifv Ave., St. Poul. MN 65104 UNLE55 PNOPEN INSPECTION FEE IS Phone I6121 642-O800 ENCIOSED. ,?,?/$ 7 REQUEST FOR ELECTRICAL INSPECTION Ee-00007-05 ? If, See instructions for comDleLm thia torm on Geek oi yellow copy. q 2 "J(" 6elow Work Covered by Thrs Request 1ryawlAAd Reo. Tvoe ol Bwidina Anolioncea Wired Equipmem Wired k Fee ServiceEMmnceSize M Fee Feeders/5ubfeeders p Fee Cirouics llgQo 0 to 200 Am s 0 to 30 Am s ? 3E1J0 0 tn 30 Am Above 2 0 qmps 37 to 100 qmps 31 to 700 A s Swimmin Pool Above 700-Am a Above 100_Am ? Transiormers Irrigation Boorc,s D Partial.'Othe I ? I Signs ' I ISpeciallnspeclion C ?f.?YJ emarks , TOTAL FLt'b ? I the Elecbicel .r ? I nspe claq hareby Final f ?Ak ? O I -fy thet the aEOVe napecdon hes bean da. Thi.reqimi,,rola,a PERMIT ? ? CITY-OF"EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55723 (612) 681-4675 SITE ADDRESS: 4549 IAKE PARK OR LOT: 7 BLOCK: 1 IAKE PARK SHORE3 DESCRIPTION: Building.-Permit Type Building Work 7ype ?. ? . J REMARKS: RECEZPT N PERMIT TYPE: Permit Number: Date Issued: DECK NEW Control No. 0360 BUILDIN6 000421 05/01/92 1 % FEE SUMMARY: Base Fee $25.00 COPY Surcharge Y.50 Total Fee Subtotal $25.50 CONTRACTOR: 5.50 $26.00 OWNER: - pPPlicant - KALE BARBARA 4549 LAKE PARK DR EAGAN MN 55122 (612)641-0709 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 Pln. Statutes and City of Eagan Ordinances. I L APPLIGANT/PERMITEE SIGNATURE n?? n R,Q,A I TII.t! ? - ISSUED Y STGNATURE INSPECTION RECORD CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 7 4549 LAKE PARK DR LAKE PARK SHORES PERMIT SUBTYPE: DECK REMARKS: RECEIPT M F- L PERMIT TYPE Permit Number: Date Issued: eLocK: i APPLICANT: KALE (612) 641-0709 TYPE OF WORK: A1 ? i ? .,, ? i„ •! . i;r,i?? , Control No. 0360 BUILDING 000421 65/01/92 BARBqRA NEW ?- t ? ? 1)( :'ERf4I° # cinr oF eaGAN . ?-a ? _ cTv 1992 BUILDING PERMIT APPLICATION WpR 2 7 RECO 681-4675 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of specifications, 1 copy of er?ergy calcs. Penalty applies when typing of permit is requested,-but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date -? ?- 2- / / Valuation of work --74Z;9? Site Address• ys`?°! & ??c- STREET STE X Lt- '? ?? l?6 a 4 -v Tenant Name: LOT -7 BLOCK -L- SUBD. T ,-es ? sti ic Pa l P.I.O. I a .? ? . ?. Descri tion of work: k_ The applicant is: tQ'Owner ? Contractor ? Other cbesersw) Q har?c Phone 627?-a1aF Name , Property u5T FIRST GC//'07Q? Owner Address ll5q9 Lu?c Parlc ??,- (°Ay) STREET STE i' City ? -V- State Zip ff/2-'2? Company Phone Contractor Address License N Exp. City State Zip Company Phone Architect/ Engineer Name Registration 8 Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: VrriLit uat UnLr BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement finish ? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. 008 Deck ? 12 Comn./Ind. WORK TYPE 19 31 New R 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move . GENERAL INFORMATION ? 37 Demolish O 99 Undefined Const. fActual ' Basement sq. ft. ? 110YTd0ll?/ (R ' . 1$f. F1. Sy. TE. "_"-- UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total M of Stories Footprint Sq. ft. Length On-site well Oepth On-site sewa9e APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site IMj Footing ? Framing ? Wallboard Final / 0 Draintile ? Insulation ? Fireplace Permit fee ZS, v.uet;a,,: Surcharge ? Dlan Review license MWCC SAC i. i iy Sni. -?? Mater Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ?-p Other Total: sac % SAC Units s 1? 0 13 Public Fac. ? 14 Agricultural ? 15 Miscellaneous MWCC System 1.I't,y WaLer PRV Required Booster Pump Fire Sprinkler Census Code Assessments Y - ' ? • '? r i 5 U R V E Y O R'S C E R T IFI C A T E. 6RAfJD OAKS DEVELOPMENT C0. ?, "a LAKE PARK DRIV \\ ss '1'%o?;?o X 7 i ? i? V , (y? T X ? ' • ; ? (9rJwy) . !&66 9! tW a M? ^ID r s? h 0 M? 1 N ,e X , - GAR,. o I ?n ? ?ROPOSED I N ? / HOUSE 1 _ ? , 27.39 _ 53.50 p : ? 2T.26 ? fk ;9 SXlSiYAvG PRePcSFd ? ?? PECK? DEGKiK T I ? ?.. _Z . /5 L a -4e' ° ?- ra'- „ :a ? _ r z•? a ? iU oT -rb scn r..E ??Z6\Nf yp. RE LINE pgR pLA7 X 905; % - _ - - 0'7 y 0 S L A h?ao?C E p NI A . ? °43'06°w IO A N x4/1•`? ? =44w m V1 ?`e 1/1 D 0 ? /1 0 ? • N r9?1•Z ' A ?l ) ? m . r 9?.d \ ? ? :k ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Datelssued: c ;?? ??. ? BUILUING 02170s 08/12/93 SITE ADDRESS: P.I.N.: 10-44200-070-01 DESCRIPTION: c !r ? .? , ,.- ,? ?"N 4549 LAKE PARK DR LOT: 7 BLOCK: 1 LAKE PARK SHORES r., REPAIR ROTTED FLOORS Bu'ildi g?Permit 7ype SF (MISC.) Building td'ork Type REPAIR REMARKS: FEE SUMMARY: VALUATION Base Fee $35.00 Surcharge $.75 7ata1 Fee $35.75 $1,500 CONTRACTOR: OWNER: - A KALE 4549 LAKE EAGAN (612)641-0709 BARBARA PARK DR MN I hereby acknowledge that I have read this applicatian and state that the in'Formation is correot and agree to camply with all applioable State of Mn. Statutes and City of Eagan Ordinances. ? APPLICANT/PERMITEE SIGNATURE 2S4:A? 4&?-D ISSUED BY: NATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: Lor : 7 8 L 0 C K: 1 APPLICANT: 4549 LAKE PARK DR KALE LAKE PARK SHORES (612) 641-0709 PERMIT SUBTYPE: TYPE OF WORK: 3F (MISC.) DESCRIPTION ? ? F:ri: ?r?r;iri ??? tic I?Ahc , cIICK ,':?'?• :i.t i?r.Lnr?? ?AI: 't ti??l,-:?'1 Ui? h'./ I 6 H: I I.I :l ! 1 1 I(11! 1;'?•??•? 6) ! i V Vi- 4•V IiV i'014f ? JK' ? 1'1(V (ii". BUILDING 0217@6 08J12J93 8AR8ARA REPAIR REPAIR ROTTED FLOORS -1 k:l! I i rl ? L?q ? J REACTIVATE _ ??C) PERMI? ?Y BUILD NG ERMIT APPLICATION '?' AUfi f Q 1993 681-4675 c?(7 SINGLE & MULTI-FAMILY 2 sets o plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, i set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2} address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ?5'b D Site Address: AL15.46.ad MN. STREET ? SUITE / Tenant Name: (commercial only) LOT 7_ BLOC& _L SUBD P.Z.D. N ' ?b0A12 RcY7? Destri tion of work: 2? gr2 f?oz jA/,? AnIA Oo RE?R NMR DEc „r - The applicant is: 04 Owner ? Contractor ? Other (Describe) Name eA t.E (3iF4B4 2A Phone G7?f d j a g' r>^. Property ?.ST FIRST a-761 w-r-. Owner & Address `l5?q Z-AK& PAgK PERW, IT q pP)_1eANT . STREEi STE M City State ?°r/. ZipxSS/2Z ? Company .?M? 1a C s? m T. Phone /c 6( Contractor Address 13oi /? D?L 1 vE2 A License #. Exp. City arJA-NSVi?« . State M?+ Zip 5_53?2? Company Phone Architect/ Engineer Name Registration k Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. ? Signature of Applicant:!/ - ? ?. iV ? S3 a 7986 BOILDING PEl1lSIT APPLICATION - CITY ( BOYS: ALG COATEACTOHS MDST BE LICS9SED iiIYH THE CITY OF E9G6N SIBGLS FANIILY DWELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF EN1 MULTIPLS DiiEI.LINGS - RSSIDffiTfIAi. BIIiTAL DEIITS F08 SAI INCLUDE 2 SETS OF PLANS, CEETIFIC9TE OF SDRVEY - CHECg fiITH BI.Di 7 SET OF ENERGY CALCULATIONS ' COHIlERC7AI. INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSp 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Site Address o. ? 500•UU+ 49•50+ 250•OU+ ? 62ti•U0+ 525•UU+ 67•0U+ 3U5•OU+ 180•OU+ 2, 501•5U* Valuation: ? q`?Gn''7 Date: /- a - Lot -2 Block ? Pareel/Sub ?Q.??????e7ZILni Owner ?.ca ?C• - p ??-?.2 Address City/Zip Code _ Phone Contraetor Address 7 5 a City/Zip Code Phone `7 5 .) -U / 3 ? -? Areh./Engr. Address City/Zip Code Phone U Erect ? Oecupancy iz•3 Remodel Zoning 12•I Repair Type of Const ? Addition # of Stories Move _ Length S8 Demolish _ Depth 1+0 Int.Impr. _ Sq Ft Install APPSOVALS FEFS Assessments Permit E'c 0 • Water/Sewer Sureharge 49 Police Plan Review 2 5D, Fire SAC (C' ZS. Engr Water Conn 57-5.- Planner Water Meter la"I. Council Road Unit ''?c?5• Bldg Off Treatment Pl I 60. APC Parks Varianee Copies TOiAI. ?. NOTE: ADDEESSES FOR CORNER LOTS - CONTA9CTOR/HOHEOWNER MDST DESIGN9TE iIHICH ADDRSSS IS DESIRED. NO CH9AGFS WILL BE ALLOSiSD ONCE BIIILDING PSEIIR IS ISSIISD. CS U (3 x 3°0 ^??I? ?' S? ? 2f3Co S Z (??C Zb ? 2 8? x Sg ? (4£?? ? ?cozq-c) ('?2 33(,? AW ? ???? i-.:,t I L-:ki O1-! LIJ'w6J_.OI'E qVIERFitSC: iJ' CCiI°iF'1.11 Fi I IOfd Gfi'r'ih•.IU ClAl-:ti .t)EVIE.L_I.iF'I•II_IJI Gtil°II'i"JQ, hluLEl.. i:.,=,1_f.= 1=tC_D r=d{Ciri l.l VFII....I.llii. 1 .l IS rvRl_F, I"I!-1XI1•1UI°i ril_I..UWEL 1?'•r i:.OLE. fU7Fll_. 1.JALL AREc:r=i 2:t'l2 .11 .-w_.._. _.._ TOl F3L. Ftf..]OF- F'7tti:.P tL. 3,a . t:}::6 39.801 f t7'I Pd_. rd..l_ 01.4f.=1) ..:.hi. 204 FlL:I1.IJ:_VL'-"A.1 Wr=11._L rakiE.A W.ll'dllULliS .l7J.l ..,_ 9U.;:i I'.iOCIPf::'.i /I (.i .077 :;.. trt:t :31_.iDL- Gl_AE_E3 94 .=LSt 4lb. F .I.I-ILIr.,I_AI_'k: CI ,..[..,. .? b1HLL. F=R('d°_ r=itit_H ?:1.:1..<: .tj47, t:t„b`i=>'' R:[hI oClis( 17L3 ,u436 7.7E,u;i I=111.11VU f-iliOVlr Gfiti.VL 92 „07b5' 7..0742:; NI_l WFiLl._ r:4filc.H 1611.3 .0376 =69.:7072:4 I i.l I't,L 4draLL ::11.9.=;_!.> fiOCJI- HF:Lrj ? bb. r L.. .l I E. 16 •_,_ PJ .i! F{OGI= f=f@AI'll= I53,. 4 .032 4.9t.,ii;:t IVI=.T HOUf= 1=:8ti.6 .0227 11.3::9a.2' l0'(AI_ i±U(:!i= =41,8484;! 7- i.i fmL. Ai.:H J:G'VL.D 253.7805 hlARB].N 1.1'd F:xivt::.;:i5 fJ; f:DCiE_ its,42::5/1 ,, PIiiF:O.l.lu LiJ Ic:;CL;G`i;> n„768::0•I 1989 BDILDING PBHlIIT APPLICATION - CITY OF E9G9N SINGLE FAMILY DWELLINGS ° ? 212. INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTSs ADD&FSSES FOE CORNER LOTS - CONTRACTOA/HOMEOiiNER M03T DFSIGNATE i1HICH ADDRFSS IS DESIRED, NO CHANGES WILL BE @LLOWED ONCE BOILDING PEAMIT I3 ISSUED. MULTIPLE DWELLINGS RSNT9L UNITS FOH SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SORVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtRMRCI6L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: S Valuation: Site Address 41,54,17 L ? ". l)/? Date: % f Lot q Block _(_ Parcel/Sub jrJo 4nJ Ama,l Owner %3qh?qrk Aj 4/e Address y5 H`/ -K P/? OX. City/Zip Code ,?7/4?I Phone G -r' b' -C/ G $ Contractor Address ;27//G City/Zip Code Phone Arch./Engr. 6ddress City/Zip Code Phone # 03E Oecupancy ?? Zoning Actual Const Bldg. Permit ? Allorrable Sureharge Z1 U of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter 9ect. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water _ Road Unit PRV required Park Ded. Booster Pump Copies _ TOT9L ? APP&OVAIS Planner _ Council Bldg. Off. Varianee Couneil NOTE: Sewer & Water Permit fees and aecount deposit fees will be included in the building permit Pee. ProQessing time for ser?er and srater permits ia tiwo daqs onae a liaensed plumber has applied for a permit at City Hall. L BL CITY USE ONLY SUBD. gWYK RECEIPT #: RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGPN 3830 PILOT fINOB RD EAGAN, NAI 55122 (612) 681-4675 Please complete for: ? single fami?y dwellin s ? town omes 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 TublSpa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dweiling 20.00 x = U.G. Sprinklel' " for dwelling under const. 3.00 = U.G. Sprinkler ' tor existing dwelling 20.00 Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATESURCHARGE 50 TOTAL a o. ?0 ----------------dge that --------I have read th-------------isa-----pplica6on---------•---------------------is-cor-----red-,----and-ag--re-e--to----comp----ry-with-•---all------applicab----le-City-of E----agan- ---ordina--------- I hereby acknow, state that the infortnation nces. l e It is the applicanPs responsibifity to notify the property owner that the City of Eagan assumes no lia6ilfty for any damages caused by the City during its nortnal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITEADDRESS: `YS`1"I LaKe Yark .lI OWNER NAME: 6drri2?d an C/ 5'E eI 2 INSTALLER NAME: STREET ADDRESS: TELEPHONE #: o°???A -2 CITY: STATE: 74? ZIP: ?- ? 1r;;1 /_ n / O ITTEE CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1998 I'mova CITY USE ONLY SUBD. cz?u.?-? 'JQ.It/L ?U.loS.(7/LC0.? RECEIPT #: RECEIPT DATE: PERMIT # 1999 PLUMBING PE{14IIT (RESIt}ENTTEAL) CfCYOF ERfiEkN SSSO PILOT KNO$ RD £AfiAN. MN 5512E (651) 661-4675 Please complete for: ? single family dwellings 9 townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES LEUNG,STELLA 4549 LAKE PARK DRIVE EAGAN, MN 55122 (651) 4523847 TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - 1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee 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 = _ $ Rcu h e^erJ,-i- 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 = $ Water Softener if dwellin under construction 5.00 x = $ Water softener if existin dweilin 30.00 x = $ Waterturnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 Total --? --> ----? ----> $ .30-50 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ciry of Eagan ordinan-ce--s. - - - 6W6 I hy acknowledge that I have read this application, sfate that the info-rtnation is correct, and agree to comply with-all applicable- It is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by lhe City during its nortnal operetional and,maimanance acfivities_m thefacitifies mnsvucted.under Nis permit within City property/right-of-way/easement. SITE ADDRESS: , OWNER NAME: : I INSTALLER NAME STREET ADDRESS: cirv: EACH # TELEPHONE #: (AREA CODE) . ? NOABL011R_P_Ll1MB1NG GO; TELEPHONE #: 4 - (AREA CODE) ' 2905 CARFiFI n nvG cn hiUNNEAPOUSm E6iN 55403, STATE: ZIP: G U E OF PERMITTEE 7, 4V ? 1iEAT LOSS CALCULAt10N -qTL° TEAAr. DIFf, ? GiMOnr M??r ? ??s? ?12 Tr1rOwwrvlw rai '^' -) &Tmt ckv &e ooo..-a.eup n,e a. w r ? ?~a. ow ?11111if1iq?1 GLOw Eap. asl? IlMI itup. wNII / Mi. wau ?lwv oa iba 600 . Toui 8w. 146 ;,c 11 W. MoeTlLo.m 17wian wMt wi ',.Wa a?+-aw . we w . • w rr?. • ? « r M Lr R . ? Mf?ltr??ion c?. E¦p...n? ? fn'f? ?oo Men e.v...u 141 Mt. MII elpil+v obw r3G ? / iloa ..y ?YI?IN M1d ?00?1?Q? vw A ... ? ?. _' M 4/5 3 . obtu MliltnllM? `ba / O Ero. wil s2 X No .v...ii 3 -l Uuu. wi puw4 3 iba Tsnl hu. I #S'/ f? .? ?a L Fu 1??9 wooniLow 1? .1 w?.. .?e Dom-CmdLIP .d k .. r r ?/ - Mlibnion 0 aw 3 0 0 t.o. wNl ho ao...n 6 Mt. rYl ' Cmh% ? O iye, o Qm?? itu. , ToW lhu. i?.l • weom l ??5 Oi? ! 1 t iLllr ' ?een?ILri/A q MIfM J q ?M/? Q R7 Ar wwdtwn a?n oaon-o.a rd ? r" ?M+w? .?yyr w? ?r M M M l+W h. 51 a ? ?[Y MhUoron p GVa a0 wrll Mo esp MI ??? Fkw. a - TeW liu. ... ;?.?. zin iM «?. K - ay . ? ? 611r CdlMI rbs G i.w au. I 67 3.S : 74 HEAT LOSS CAICUTA ; ww,,.wT. CnY - Dr?r t+am. o a ?. __ , ?-? ? a..? ---- ukr -- and CoarGedsP ?rd Arr TION TEMP. DIFf. Trp Oerr?„wrn Mfmdew ?tan? f? rIM w. Me n? ?y M +? • u 1• w C.0?1. ?LY Iwhltrltan G Iau Eap arsll INf 1ap. waII i= Inl. w?il Gdh,y .> f ba %/ , Toui Bw ii l+' -'' Iloanilwnth l l Wideh r lNiMt f? W mtlorn n+d Ouas-Crbap and A M ' N ? in?iftfNiO? n Gim f,p+ Na'1 frD. MII Mi wll ?Iwq r ?'i 7 v,., Btu. 1 _ 03 wirwwvs aM Doon-0rada vW A m ?tY ?11??IINIpI1 "~ ? ' Q f' G4d r C ?"/; ?J ,'? EaD wdl J! / /M ??p WII : C ? 2 _ Toui stw rd Oeera-8ahaw wd Arr M M ? 1111i1t??tI0f1 '? Grs EaO. wl? 77 Mo Ml. MII " Fr« 3 c" Tow nu. --7 7 pi.1 awn1 rrnenrn rid Osrs-0a?af M/ Am M ww,,, r unI„ w w ? Mt?baton Gr? /y. w?ll IM ltD WMI 11M ?? W Ll ? /IYd I T.w lka ?`? '?? . , , . ? .- . , `?_- . . ------ - - StsR1TEY0R'S' CERTIFICATE GRAND OAKS UEVELOPMENf CU. BENCH MARK: TOP NUT Of HYDRANT AT THE NORTHEASTERLY END OF LAKE PARK COURT. ELEV. = 932.46 FT. -4-- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCIi = 30 FEE7 O ? DENOTES DENOTES IRON MONUMENT SET IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 91?,2?; FEET .X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -•_`qt#.i?,?,;: ` '•" FEET FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =f 9?g;? I HEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF: Lot 7, Block 1, LAKE PARK SHORES, according to the recorded plat thereof, Dakota County, Minnesota. AND Of THE LOCA7IOh! OF A PROPOSED fiUILDING. IT DOES NOT Pl1RPORT TO SIiOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, TIIEREON. AS SURVEYED BY ME, OR UNDER h9Y DIRECT SUPERVISION, TIiIS 23RD DAY OFJANGAtiI , 1987. SIGNED: JA . ILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR SHEET 1 OF 2 SHEETS PIINNESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAOE JqMES R. HILL, INC. 87028 /3Y-7S Planners / Engineers / Surveyors FILE NO, 8200 Humboldt Avenue South ' FOLDER Blootnington,Mn. 66431 612-8e4-302e ? , S U R V E Y O R' S C E R T IFICA T E, GRAND OAKS DEVELOPMENT' C0. 6 IGS_ LAKE PARK DRIV \\ 9i(p-1 9ide,y ° M ? i •- ? l? V . T ?i X C 9 ? ?y) ?: , Ffi? 91Y•? +?I?S _ ? ',?? ", 18.66 26.50 / W .. 7.0 v ' a /? ? PROPOSED I p n HOUSE ? x s,i., t. ' 27.39 9J 6X '- _ • 53.50 X911,$ ' 1C/ h/ ///f 909'?.) ? M J M ? LOT 7 ? ?V . ^S?RVer ??a'r M \Nf 'SMORE LINE PER PLAT w ? ?vsFM?NT? n<iry, 1 O M A 5 L .k? s?3 i ? ti0e2sot^? 3`3•E'.. i 2 _ F+ROJEC7 NO. 87028 FILE NO, FOLDER x'9oy,l --?e 10 7) I -$ a I io I 41 AK E d . -tb N x`(l1.4 m Z Z N oy r - 1 ? 1 m? / 0 \ /1 I N ? A ?) ) ? m z9?y r \ i ? ? SHEET 2 OF 2 SHEETS BOOK / PAGE JAMES R. HILL, INC. ?7 -YI-7 5' Planners / Englneers / Surveyors • 8200 Humboldt Avenue South Blootnington, Mn. 66431 812-884-3029 Use BLUE or BLACK Ink ~ ~ i=or~fiee_ I 1 oQzcl O City of Eajan RECEIVED Permit Permit Fee:. 55-60 I 3830 Pilot Knob Road DEL U 9 1011 I 1 Eagan MN 55122 1 Date Received: I - 1 Phone: (651) 675-5675 I Staff: D f~ Fax: (651) 675-5694 L 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 17-15-hi Site Address: H54-1 Latt, Fkkic- J)y Tenant: 5V 1 O V Suite RESIDENT/ OWNER Name: sycflaACL O J1~bl~ Phone: B1' 4124' Address/ City /Zip: LjcJ4.. liu-k Y lLaaak) W) ~ZZ 1 CONTRACTOR Name: )goRh'ancc ~-r7SfiG( s 8y'-IIZG License '591V -00M Address: I L410r Q.1 i~~ Sic' kc City: 'Pt rli, Late_ State: J M_l~ Zip: 6531-2: Phone: q 5 Z yL''_ S'3L1l Contact: Ml4O-Y.j ji'. MaV1-Ir) Email: TYPE OF WORK _ New Replacement _ Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 55 , TOTAL FEES $ 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.orn 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. x Akm mw-Dn x Applican Printed Name A icant's Si ature FOR OFFICE USE Reviewed By: Date- Required Inspections: Under Ground -Rough-ire -Air Test -Gas Test Finai Unf MfW7 Anw, Dsft PERMIT City of Eagan Permit Type:Building Permit Number:EA141827 Date Issued:04/03/2017 Permit Category:ePermit Site Address: 4549 Lake Park Dr Lot:7 Block: 1 Addition: Lake Park Shores PID:10-44200-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Svetlana Kopylon 4549 Lake Park Dr Eagan MN 55122 Estate Claim Services Llc 934 Cromwell Avenue, Suite 2 St Paul MN 55114 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174286 Date Issued:01/13/2022 Permit Category:ePermit Site Address: 4549 Lake Park Dr Lot:7 Block: 1 Addition: Lake Park Shores PID:10-44200-01-070 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, Pete DeGrood at (507) 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 - Svetlana Kopylon 4549 Lake Park Dr Eagan MN 55122 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176947 Date Issued:06/08/2022 Permit Category:ePermit Site Address: 4549 Lake Park Dr Lot:7 Block: 1 Addition: Lake Park Shores PID:10-44200-01-070 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Svetlana Kopylon 4549 Lake Park Dr Eagan MN 55122 Water Heaters Now Inc 6432 Penn Ave S Richfield MN 55423 (952) 688-2222 Applicant/Permitee: Signature Issued By: Signature