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4626 Lenore LaneCITY OF EAGAN Remarks Addition Rid.gecliff First Addn Loc 35 Rik 2 Parcel4l0 63980 350 02 Owner Street 4626 *BTi-s-?(,EAa(-t (AAf.stateEaQaII, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STFEET SURF, STfiEET FESTOR. GRADING SAN SEW TRUNK 1980 184.49 1 1?# .(2 coo7675 2-1?82 SEWER LATERAL WATERMAIN WATERLATERAL ZJ$Z 1260.79 5 1260.79 C00761 WATER AREA STORMSEW TRK 1982 638.24 5 638.24 C007616 12-23-81 STORMSEW LAT 1982 955.45 5 955.45 C007616 12-23-81 Services 1982 637.75 5 637.75 C007616 12-23- 1 CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD I 240.00 #29587 4-13-82 WATER CONN. 420.00 BUILDING PER. 7176 sa,c 525.00 PARK , I CASH RECEIPT , CITY OF EAGAN Z 3795 PILOT KNOB ROAD 35 EAGAN, MINNESOTA 55122 DATE 19 NECEIV6D FROM AMOUNT $ I & DOLLARS ,oo ? CASH R CHECK FOR White-PaYers Copy Yellow-Posting Copy Pink-File Copy '1'hank You -- ?&• e v Receipt ? PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egib/y Permit No. ' Fae S/C Tot 1. Date 4-20-32 2. Installation Cost 4626 Lenore Lan -'> ? 3. Job Address qot -->-.-) Blk. Tract 4. Owner ORRIN THOMPSON 5. Contractor,4"-n2El 1"eCh. Phone 452-1565 s. address 3600 Kennebec Drivc 7. citv Earian state '?inn zip 55122 8. Building Type: Residential ;0 9. Work Description: New ? I 10. Describe I 11. Commercial ? Institutional ? Add 13 Alter ? Repair ? No, Fixtures Water Closet No. Fixtures Cesspool /D rai nf ield Bathtubs SepticTank Lavatory Softner _ ? Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray i Floor Drains Drinking Ftn. Slop Sink 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. Signed: for Rough Finel Inspections: Date Insp. Date Insp. . This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 ' Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Pill in numbered spaces S/C Type or Prini /egibly T t i o . 1. Date -2. Installation Cost 3 J b Add ' B ' . ress Lot o lk. Tract 4. Owner ' 5. Contractor ' Phone 6. Address • 7. City State t•SN. Zip 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 13 Add O Alter ? Repair ? 10. Describe " 11. No. Equipment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: - Boilers Mfg. - Mech. Exhaust Unit Heater _ Mfg, Other Air Cond. 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. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CeG Fuel Type CITY OF EAGAN 3795 Pilof Knob Raod Eagan, MN 5512= PHONE: 454-8100 BUILDING PERMIT Receipt # ,., Site Address Lot Block Sec/Sub. ? W Name _ ; Address b Nome Nome _ /Wdreu I hereby ocknowledge thct I hove read this opplication and state that the informotion is correct and ogree to tomply with oll opplicable State of Minnewta Stotutes ond City of Eogon Ordirwnces. Sipnature of Permittee Erect Q Occupancy Alter ? Zoning Repcir ? Fire Zone Enlorye p Type of Const. Move ? # Stories Demolish ? Length Grode ? Depth Sq. Ft.- Approvals Fees Assessment Water 8 Sew. Police Fire Enp. Plonner Council Bldg. Off. APC Permit Surcharpe Plon check SAC Water Conn. Water Meter Road Unit Total A Buiiding Permit is issued to: on the express conditian thnt oll work shall be done in accordonce with oll applicable State of Minnesota Statutes ond City of Eugan Ordinances. Buildinp Officiol Permit No. Permit Holder Misc. Permit No. Holder Plumbin9 H.V.A.C. Z Well Watar Disp. Sewer . Eleetrie uOg(p(p g£/I E(Eci 6 Q'O? ' Inapection Date Insp. Other Footings ?>_ Foundetion Framing u)til l Rouph Plbg. &4) Rough HVAC 3. ? Inwlation Final Plbg. . Final HVAC ^ Final Watar Dx??ibe Location: VVell Sevuer ' Pr. Disp. /?` CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN S5122 Zoning: Owner. Address: Site Address: Plumber. 1 ay?ee ro eomplp with fhs Ciry of Eagan Ordiaence& R? SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: - Connedion Charge: AcmuM Deposih _ Permit Fee: - Surcharge: Misc. Gwrgez - Totul: Date of Insp.: I nsp.: 100.00 pd WATER SERVICE PERMff CITY OF EAWN d pERMIT NO.: 3795 Pilot Knob Roe DATE: FAgop, MN 55122 No. of Units: Zoning: Owner. ,. . Address: , , - - Site Address: _ Plumber: Connedion Chorge: Meter No.: Account DepcsR: Size: permit Fee: Reoder No.: p M eoAVh ?' H1O C'? °f EO? Surtharge: 1 ag?ae Misc. Char9es: Ordinanees• Total: Date Paid: BY Insp.: Dute of I nsp.: . y , ? . New Constructfon Reauirements • 3 registered site surveys showing sq. ft. of lat, sq. ft. of house; and all roofed areas (20°k maximum lot coverage allowed) • 2 coples of plan showing 6eam & window s¢es; poured found design, etc.) • 7 set of Energy Calculatians • 3 copies of Tree Preservatian Plan it lot platted afler 711193 . Rim Joist Detail Op6ons selecGon sheet (bldgs with 3 or less units) DATE ??JO JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNE RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 TYPE OF WORK 14"4 43 lr-,e dIj ? FIR PLACE(S) ? 1_ 2 A P P L I C A N T I? ??L 1-I'? ?S 1 G?tS?h- ?L?'c?S ??- ?I?- pHONE# tv rS- - XIJ 2- Z-244?? ADDRESS /12`D'2-b?XKAI? ZIP CODE .S?6Jd7 7 PAGER #&/2 -350 -S$?*'-CELL PHONE # 2-:LtV6? FAX # Cph'l '?cS ;S??zLa q C.&17' 3 6" Z b I nCA;- c14 ?IL? /f44.c9. NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes Mechanical Contractor: Mechanical System Includes: 5ewer/Water Contractor: All above information must be submitted prior to processing of application. Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the' formatio is corr ;rcan;dagree t mply? with all applicable State of Minnesota Statutes and City of Eagan d' " Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 _ Water Softener _ Water Heater _ No. of Baths RemodeUReoairReauirements C) ? • 2 copies oi plan • 1 set of Energy Calculations for heated additioris • 1 site survey tor exAerior additions & decks . Indicate if home served 6y septic syslem for additions VALUATION ?5??? 9 Lt 2' _ Phone #: Lawn Sprinkler No. of R.I. Baths Y Air Condihoning Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage K 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding )K 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant ? Valuation y? Occupancy MClES System Census Code Zoning ? Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) FinallNo C.O. _X Footings (addition) _ Plumbing ? Foundation _ HVAC ° Drain Tile Roof Ice & Water Final Other _y Framing Ftgs _ Air/Gas Tests Pool _ Final Fireplace _ R.I. _ Air _ _ Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By 1:7- , Building Inspector -------- --------------------------- ----- Base Fee ------------------------- - -------------------------------------------------------------- -- L'{ ?-?- ? ----------- --------------- Surcharge 1 Lj . 0 0 ;"(34,-7,v Plan Review MClES SAC 3 el av? CirySAC oolv Water Supply & Storage ?'t/j ?j-,?'?? J 5? ? ? S&W Permit & Surcharge r Treatment Plant Pl mbin P it g u erm Mechanical Permit License Search Copies Other Total -1 l U. 3 S/ CI'Ii` OF b A?(',F1.'?' BUILDING PERh1IT ? 'Ib Be Used For Valuation Site Address: Lot -S 5_ Block ? Sec./Sub. gA. ParCel #: 1[) Gn'3q ? 35-0 c)? F;r!"t O.mer: Pddress: City/Zip Caie: Phone #: Contractor: (1RRIN TI-IfIMPCr1N unnnrc Address • e Division of U. S. Home Corporation • .7 City/Zip Code: MINNETONKA, MINN. 55'43 Phone #: 54 a- 7 333 Arch. /Eng. . Address: City/Zip Code: Phone #: s/ Erect _ Alter Repais Enlarge Niove Demolish Grade Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. r:etr Date R,?ri1 8 1?t8?___ -?? OFFICE USE ONLY _ OccupancY Zoning Fire Zone Type of Const. # Stories Front 4 ft. _ DePth '?r? ft. APPF20VALS F'EES _ Assessments Water/S2wer Police Fire ? er Council Bldg. Off. APC Pez7nit Z ?S ?? Surcharge Plan Check SAC Water Conn. 20 ? Water Meter 'eQ Road Unit y p e? TOTAL I ? ?? ? ?`? ? CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 PHONE: 451-8100 BUILDING PERMIT , ,' 000 N? - 717s Receipt # $ite Addre55 40L0 Ll?q[L7i"E?' liiI7IC 1'tla[1 1VVJ Lor 35 si«k 2 secisub. RLdgecliffe lst Pa,mi # 10 63980 350 02 W Name ?i11 ?SOL1 H7IIIeS Z Addreu 1712 IWkins Ccossroad. 9 rcete c/.G_7099 ? Name ??-'r 0 v? Addreu ? r.., o?.,...e Ncme _ Address I hereby acknowledge that I have read this application and state thot the intormotion is torrect and agree to comply wifh oll opplicable Stofe of Minnesata $tatutes ond City of Eogon Ordinances. Signature of Permiftee - A Building Permit Is issued all work sholl be done in c Erect XX Occuponty R-3 Alter ? Zoninq R 1 (PD) Repoir ? Fire Zone NK Enlarge Q Type ot Const. Vn Move ? # Stories split Demolish ? Length48 Grode ? Depth --3-6Sq. Ft.- Approvals Foes Assessment Woter d Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit %h'? -UU Surchorge 711-00 Plen check 3-32•50 snc 525.00 Water Conn. 420.00 WaterMeter 60•00 Road Unit 2M_00 Taoi 665_60 ti7dKp8on the ezpress condition thai of Minnesoto Stotutes und City of Eogen Ordinances. Building Officiol. Ardifirtt#t of Orrupaury ? Citp of (Eagan Erpttrtmrnt nf luilbing Jnsprrtiun Tbit Ccrtificate i.rsutd purtuant to tbt requirementt of Sectron 306 a f thc Uni form Burlding Cadc mtifying that at tlx timt of usuance thit ttmttua war in compliana with t{x variaru ordinanccs af the City ngrdating 6ailding tonnrxction or uir. For the f ollowing: SF DWG/GAR Wd& Pe,,,k N,. 7176 um cwaec,um pMWyTy.pQ R3 .7yPCmauuctlwVn_Firoznnn ?A 2oNftD4vict R-1 (PDI p„.,fm,od,y (A-rin Thempaon HpmwaaI,,,Ne7 712 Hopkj!±S rrSTd. . Mtka. 1St . OMW JulY 19. 1982 MAGt .. .. . . . . .. ? . I011T M A ?04011 ?BI V.S.A. Muest void ! ?/ Q s from ?? 1 8ss . est Dat . ?,cf ? Fire No. Rough-in.lnspection Required?- DReadv Now ill Notitv. Inspeo- X 2_ V?..? Yes ?NO r When fteady Licensed Electncal Contrac[or i hereby request inspection ot above ? Owner electrical work installed at , t Address, Box or Rnute No. City ??r(t! 6 F.-.c-Nv)" 64bw ecvon o. Township Name or No. Range o. Cowiry beV?rA Occupant (PRINTi') ?? ?? ?? ?? Phone No. ` ti. • Pow ier r Suppl ? AAdress •??? Electrical Contractor (Company Neme) ?3 C ntractor's License No. Z - Mailing Address (Contractor or Owner Making Instailation) Aut h or iz ed Sign ture Cmtracmr/Owner Making Installation) ? ? Phon e^ Number . ? / ? ,?j ~ YA?? ? ? ? V '? ?7`? MINNESOTA STATE BOAHD OF'EIECTRIGTY THIS INSPECTION REQUEST WIIL NOT Griggs-Midway Bidg. - Room N•191 8E ACCEPTEO 8Y THE STATEBOARD 1621 UniversifY Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnw (612) 297•2111 . ENCLOSED. REQUEST FOR ELECTRiCAL INSPECTION „-,? EB-00001-03 66? '. . i See inshuctions torcompletine this form bn back ot Yellow coFV. "'X" Below Work Covered by Ihis Request - 96? Z---7 N Add Rap. Type of Building Appliances Wired Equipment Wirad Home rA . Range Temporary Service Duplex Water Heater ` Lighting Fixtures . Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Rldg. Air Conditioner Bulk Milk Tank Farm Other pecifv Orher(SUecify) Iher SGecity) Othcr Other . ComDute Inspectron fee Below S Fee Service EntrenceSiza k Foe Feedurs/Su6feeders # Pee Circurts 0 to100qm s 0to30Am s 0to30Am s 107 ta 200 qinps 31 to 100 Amps 31 to 700 qm s A6ove 200 qm 5 Above 100-Amps Above 100_Amps Transformers Remote Control Cira Pariial%Oth Signs Special InSpection ? $ C T ? Remarks .i .?l..? j OTAL . i • Rough-in Date /+f' 6 I, the Electrical t h b , nspec or, ere y if th t Yh b Final D?te cert y a a a ove (,?f???/ L ?? j ?ISpac[ion has been made. . This request void 18 months irom ExISnNC HoUSE ELEVATION LOWEST FLOOR ELEVATiON: 945.7 TOP OF BLOCK ELEVATION: 949.1 GARAGE SLAB ELEVATION: 948.6 T08 0 LOOKOUT ELEVATION:_ X 000.00 DEN07ES EX1571NG ELEVATION ( 000.00 ) DENOTES PROPOSED ELEVATION --- DENOTES DRAINAGE AND UTILITY EASEM ? DENOTES DRAINAGE FLOW DIRECTION • DENOTES MONUMENT e DENOlES OFFSE7 HUB ! i / 946.1 - ? ? 945.8 945.3 . ,? 21 ? I ? • I. ? / saa.s 3p 945.2 ? EXISTING aC947.3 949•9 HOUSE .. 1 31 ?* * IONEE * ..ngine, * * * * L.wO Pl?FRS. 2422 Enterprise Orive Nendota Heights, MN 55120 ,,,IM, (631) 881-1914 FAX:6fl1-9488 625 Highroy 10 N.E. Blaine. MN 55434 (612) 783-1880 FAX:783-1883 Certificate of Survey for: KIRK DAHLSTROM 4626 LENORE LANE 946 EB 947.1 92 c,-v m]? 5 947.8 S ?-?- ? 022 „w 3 6 946.6 ? . I 70 947.2 45.7 ? b 948.5 rs8?23 I p/ /VE C 9/ i.6 M 26.0 947.8 ` 777 03A 5 ( AY? ---?;? 9475 9?8.6 J 948.6! 9.7 N ,I3pS0 `?!N ?0 40 os 945.9 CNV k r 948.5 ? ? 36• 0 ? o o' ? ry/ 945.7 76 °0 , NOTE: PROPOSED GRApES SHOWN PER GRAOING PI P.N BY- _ o NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONiAI AND VERTICAL LOCATON 946.5 ? OF S7RUCTURES ONIY. SEE ARCH17ECTUAI PI.ANS FOR BUILDING AND ` FOUNDATON DIMENSIONS. ? NO7E: NO SPECIFIC SOILS INVES7IGATON HAS BEEN COMPLETED ON TNIS l0T BY iHE 947.0 945.3 SVRVEYOR. iHE SVITABILITY OF SOILS TO SUPPORT THE SPEqFlC HOVSE rkOIStjI7IVG PROP OSED IS NOT THE RESPONSIBILITY OF 7HE SURVEYOR. Se946.5 NOTE: THIS CERiIFlCAlE DOES NOT PURPORT TO SHOW EASEMENTS OTHER iHAN 7HOSE SHOWN ON THE RECOROED PLAT. NOiE: CONTRACTOR MUST VERIFY ORIVEWAY DE9CN. cl - 1645'31 "E i W,? 935.2 ? ?? 7 0o X940.3 ? \ \ \ X943.0 I ? ?00 ? - a _- ? J ~J ~ X943.8 W ? 35 a da ? W O W f- ?Z ? I ? ¢? ? Z Q ? ? N?C• ~ ? ? ? OW 00 ? 04'po.w i ? 939.3 W co NOTE: BEARINGS S70WN ARE BASED ON AN ASSUMED DANM 34 WE HEREBY CERTIFY TO KIRK DAHLSTROM THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 35, 6LOCK 2, RIDGECLIFFE FIRST ADDITION DAKOTA COUNTY, MINNESOTA IT'pOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNJER MY DIRECT SUPERVISION THIS 13TH DAY OF AUGUST, 2001. SCALE : 1 INCH = 30 FEET 669 101266 933.4 90.94 ? __---- -----1------- 1 r k933.4 i (if ? o W a / OW ? Wa ? ? 933.5 2j6.35``'27.03_ SIGNED: ///PIONEER ! Ch 00 cV ? .- 221 W ? 0 ? ? O Z P.A. Larson, '??CRGGaicG??ccvvvvG=O=c=eaG?'c?s?c'eeac? _'meataao6c'o??'°?oc--e_ecoo=_'n=?eeesea????m??a?a1 , ALLlAN1' MECMANIGAt ? ??vvcc?c_o'c-c?eaQaiou?vc====--cccc_nan?uumoc??x-'=''?=_z_c--aaa.°.'.'.r....rrrrr??amrc?a RESIDENTlAL MEA7ING DATA SHFE'I' een?sm?oao??c_c"v=?'ee??r?eeeocc=__c_=cen_ee-eeessac?ee"'?'?_?==c==v_=vv=o_a-e-_=xneeaaae dUTD00R DESIGN TEMP. -26 INDt)OR DE$IGN Tr=MP. 68 TEMP. DIFFERENCE 89 'c=-_ e?esnac'??..-vcn=='eeeeeaeoecc?'??"'_-_=====a=eaeae??s?e?oaevavr??=='nc-=-===='==c=a' W INDOWS SQUARE FEET COEFFIC:EN"f HEnT LOSS ?'..c__ _ eeee? csa?c ??..?'_=_-==suau?ia vac ????"==='-c='c. s?.. rru ?uu s?? v?m?am? a=?==_o=c-' OOUAi.E GlAS:+ 62 ? QQUBLE 'Nt cTORM 105 49 5o40 °?at======--_eoee?aa_av?vr=======oonr?uneoex?c?==v=v___==_-_ooarasee?emaewwaw.?.n__z--c_=_ C,+LA$$ PATi4 DQQRS Sf}UARE FEET COEFFICENT HkA'T' 4O$5 ec'='=vv c=a ce eee eaas asce-v' ccc'__eee eau?a?ae?e ?:.==c='__=='-e eee eueau?ue vca ?v:ac cc===v' _' UC?U0i.S G_.ASS 07 0 pQUBLE W16 i t7RhA 66 0 _'c_c=n=eeeeeamncc????"-vc'cceaeana?aocv?"?'.._v==oc'c'_naana??vouevrn?cc-- cc'_'="'_ ENTRY DOaR5 SqUARE FEEf COEFFICENT HEA7 LD$$ nmus??o"--cve=n=eeernuaemvovv___v__ee9aeu??a¢aancc?nov__=ac'_c_'ca?r?usaeamr?aeoa?ac?'???c ? a+nLIn WOOD . E3 0 INSUL.4'?'EC MF7AL. 40 0 LlNGAk FpOTAt3E x G[lLING tiEIOH" FA WALLS GRfJSS WRLG 432 WIN13C7VJlPUOR AkE11 705 hiETWALL fiRkA ZC? ??eoa?e--ee__coc =eenas???mee??o-e_o_ove-ee=aemn?e?sY9¢?oaB???cPC--veo___o_ocneemauauu??? $QUARC FEET C4EFFICENI' HEAT LOSS e_eeeeara?ec"'???vcvc_'a eeean?oaevv?'?m???cv=vc=-=-_ eaemasoomov¢°'o???"??..?'==c==_=c !fl10.01l 3 112' R• 93 Fi C7 1N40D G" R-19 327 a lauti GEMEN7 13i_OCK R-5 9 0 ?oraeea.-.'=' -'eee?nurvuvevo?c'c'__==_'?ee?urouaaco'?°?°"=s"----_c----nneaesuu?uov? INFILTRATI4N SQUARE FEET riEnT LOSS (CU(f•T. x,d !$p Q CFM) (GFM x CrJ' EF, 94 o HEAT t,p$S) 1785 u?? a e oao _?? ?..=====n=:?... ar?eo? uea=?=x __-___ _ c_??enme ?e a s?u.wo...e.=e===-?_=====ea--' ROGF AREAS SQUARE rEET COEFFIGENT MCAT LdSS ???¢G?i"'v_c'-_ _na?ee??s?ca+ovaca?.cee=cvc_'eadme?eoosuo?a?'??a?------c-c'__e=e_an?nao??r R-3C 3 0 it-38 .'. 0 ?w?rzav??v ==="=eevenaeoee_?"'o-----?-nzeene?nuoevc???°??'t'c==ec'c===aeaaeaae?aeuuoee?_'x? FLOOR AREAS SQUARE FEE'C COEFFICENT HEAT LqSS =-eeaeau...?uc?o?o======vae_eaeeura?me:acTv--ecx?a-ce: eeneaeaoceoa--???..?r-c?_===___ n_' C.RaW I_ SPACEIPORCH 5 ri BASEMEVT ARFA 352 3 e6a LINEAk POOIAGi 19 U aacaen?e?s??o??a ?-=--=v_== e_aeeoovczc???==_=o=?===nyemenwnmea?ac?aoav?c.==='==_=c-ceaaasi? T4TAL HTU NFAT LOSS 9091 =v-'-'=easeeneae?aa??ar?ccvc-='=__"ce_e_e?ee?ussoeamc=c_v'c_c'v-eeaaeou?aeaza?:=c.-v__=_c__c NUTE; All HEAT TRANSFER MULTIRLIER$ FROM AGCA MANUAL'.:" SIXTH ACDITiON i;??H??I00?-9I-'1i1? w s ? .4LL{ANT ihFC:t-iAr1iCAL . RESIpEM'TIAL HEATING DnTR SHEET ?'?????'??'_=a=e?""ee'e'eaeeee?eeaeeemeaemeneeeeevv?v'°er_eee=?-ee"er_e->==_ ____'__'_'_'_? pUTDQOR QESIGN TEMP. -2p INQOOR DESIGN TEMP. fi@ TEMP. OIFFERENC@ 88 wINOQWS SQUARE FEET CGEFFICEM7 HEAT L055 JJLIF3Lr-- CaLF$.`: Si U ?DUpLE W; srorann '180 ae eoao ___"__"_'_'____ ______'?_?...?_??__.?....??....??eaee????seemaeeeeaeSxn••,??••?••--____________"_cv==' GLA$S PATIO DDORS SQUARE FEET CS7EFFICEN i FIEAT LOSS __o___a=yxaeaee?mnae?uaoa?a??aaacaomo?ao?oo::ocna?c?xca?naoacaavooommcaoococ?iaoau?auo??e DGilE1LF GIASS 8{ a DOIlSLE W/ STQRM 66 D EWTR`/ 6QORS 8QL1AftE FEE7 G4EFFIGEhiT HEAT lOS5 _?___________-e-c-ce-meeeeean?auui?uaie?e?oao:noxooxeooaaeenavnonoosaa?sv??au?aveesama- ? :iLJ?.1?1 QOiJ 53 Ih18lJLP.TtQ METAL Zl $U 840 .WeWvuo???w?????o??osooaa??o?q=ea??c-e-==tvccv---vc___=_c?_'es'cc='?c__c?=c=???a?pxazoxavei L1ititiAR FUC} (llv.L `ad ?:E'LiFlG, i-iclGFt! u W,4;_LS GFtiJSS WRL:. 432 WINCJUivlU4OR ARF? 201 "JE, T ifd AL L ARE4 23 as?seevsa=ve¢?sn?aYrnu?nsama???Cl???i?a?s?eOiY0lOeamCasaim?erei??Y??mi?SYesii6irWaYIiPYYYsmeSaa WALLS SQUARE FEET G6EFFICENT NEAT LQSS -------------------- -----------°-' ---- --_======_= -- _'°-°-°----'^^-'-^-___°-------------------°----r- °--_____-----__---_-----,-• Vd[70D 3 9f2" R-93 G 0 WOCD 8' R-19 23'I 4 393 GCMCNT BLOi;K R•9 9 0 u?aseu??oueee?aoaa?aaoaacooocaacaa?am?c?v,=_r=a__c'ccv_n?v=?xma????wa_wac:c?vaoooca?v?a lNFlLTRATION SQUARE FEE7 HEAT LGSS ........... ne.eeBnn.a.a.anoeaeanav..oaYOauaaveae.oamen?9emQaesaeOaaea (CU/K7. x.4 !tia = CFAA1 (CFRA x CdEF. 94 = HEO.T L055) 1765 oeorrmn?ceac????e.:?--''_________'___________cn_en-ee=eaeaae_'_ne_eeeeeee c_ •• ? ? •• ?? RQdF ARFA$ SQUARE FEET COEFFtCEN; MEAT LOSS ?'a???c??'???e.-=c----vv_c=_c===3vv?=cve=cn_c'c'vnaerce?unne?evrmaenaesnucon?semna5ndmno?mc-=a= R•8ti M2 ? PiQ suo?a?.vovcw?s:?===______=________________r===-Yna?aeaaeseemaeeamnnnamnaams?aneenm?nemn_ FLOOR AREAS SGlUAREFECT CQEFFICENT ME4T LOSS -----°------------------- ------°_________________-___-________= CRAWL SPAMf'ORGH 5 u F3ASEPd'eNT AREA 3 Q LItdEAR FOd"fAUE 13 a exeD'?neaeezedeeeneaaa?sa?uumoaao?susu?uesu???uaso amsssauu?lmooo?ufaueleee ?noe- Tp3Al, 87C! wEAT LO$$ 13048 N4TE: ALL MEAT TRAh1SFER MULTIpL1ER5 FROM ACCA MANUAL'J" SIXTM ADDITI4hi ??? uu? o?u?? ua? a? suuua uausn ? s?? usunuu eu ou??u?uu oa ?o? uoou eau ??u?u u? e c nn ;tn A 'I Ct?IiChi??t?:F'?1 9l+^ilV?llialaf Ih!b'I??b' fiG?Sl (?1N.111?Oi-9T-rlflh` A G 7 L ??Q C. R. WINDEN E? ASSOCIATES, INC. v (J !??'1? ? V? LAND SURVEYORS Til 643- 3648 1381 EUSTIS SL, ST. VAUL, MINN. 65108 FOR: U. S. HOME CORPORATION ? ? 'Q ? ? 363 ? -J LJ O \ e ? /T i-- Lat 35, Blcc'.s 2, P.iay_Cl1'.1fz First Addition, Dakota County, Minnesota. N \ 3 \ Scale: 1" = 40' O Denotes Iron / 1c'? 9> , a l rss 9? 9? 4V ?SS P' -- °/? c ? ?/ / \v 03 ? ., ? WE MENEBY CER11fY TMAT TMIS IS A TRUE AND CORRECT REiRESENTATION OF A SURVEY OF THE 60UNDARIES OF THE IAND A60VE DESCRIEED AND OF TME IOCATtON OF ALL 6UILDINGS, OF ANY, THEREON, AND ALL V{SIBIE ENCROACHMENTS. IF ANV, FRQM OR ON SAID LAND. Dofad Ihis.7 tH doy oF &fa A.D. 198z C. R. 'vVINDEN 3 ASSOCIATES, INC. / ?! ?? ,? ?? ?, /• f?, br C.??..?..,?'"a?1'? '?,,Z?-?C.. Survoror, Minnesoto Ropi:?rolion No,],]],,Q VTJS 19 PERMIT #: q7q37 CITY USE ONLY RECEIPT DATE: M' I`O RESIDENTIAL MECHAftICAI. PEiMIT APPLICATION crrY oF EAsAx 3930 Pu.oT icivos RD EAsAx buv 55 i Es 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 9 ? ? ? SITE ADDRESS: "t(JIw U`V r-C/ t-1 { OWNERNAME: 1JWIlIs-b-DV11. TiUYYIQS TELEPHaNE#: (AREA CODE) INSTALLER NAME: Alw- WuLI (_G?X TELEPHONE U1552= LP5 (AREA CODE) STREET ADDRESS: 'AO 5D Ki.n6eL.C.I'i br Sw 4? I CITY: STATE: i"jv zIP: 55122 Place a check mark nezt tn the nermit work tvne New residentiai dwelling unit under construcfionand not ownerloccupied $ 70.00 ? Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement l? air exchanger • air conditioner • other ? . [? 'D ?? r ? L c& OJA a; . ? Nature of work: l? ?? I mer . <..? State Surchar e $ .50 Total $ ?. sb Reminder: Call for inspections. 0?I ? I- LUU1 ? ?By ? ? L I? IGU? SIGNATiJRE OF PE ITTEE Updated 1/Oi CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMNIEftCIAL MECHANICAI. PFJiM1T APPLICATION C[TY OF EAfiAN 3$30 PILOT KNOB !tD KAeM, Mx 55Y s2 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLl): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping Specify Nature of W ork When installing/removing underground tank, cal! 651-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1% _$ (Base Fee) State surcharge TOTAL $ calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/Ol PERhIIT RECEIPTOATE: )0_'q_'"QL RESIDENTIAL PLUMBINfi i'EftMIT APPLICAT(ON CtfY Of E46AN 3930 PILOT K,YOB RD ERHA:Y, M.Y 55122 651 -6$1-4675 Please compiete for: : single family dwellings ? townhomes and condos yvhen permits are required for each unit % backflow preventer for irrigation system SITE ADDRESS: ?(02(0 ?/ln?wlr? ?}(p? ? OWNER NAME: :TELEPHONE #: 457 1455-• o?ao?S (AREA CODt) INSTALLER NAME: M&+Ll2etc) ZtinieJS, INC . TELEPHONE #: 651 423 -3730 (AREA CODE) STREETADDRESS: /?'230 ?rl?ot?eJ W d CITY ??erYlnun'? STATE: Mr/ ZIP: S"S06j? Place a check mark next to the oermit work tvne New residential dwelling unit under construction and not ownerloccupied $ 90.00 I i 'L,/ Add-on, modification or alteration to existin dwelling unit, including: s 50.00 • abandonment of septic system ' • new installation/repair/rebuild of RPZ ; . lawn irrigation system . waYer tumaround , I Nature of work: Septic System, newlrefurbished - ? $ 225.00 . inGudes Ccunty 8 Ccns::;ting !nspector fe2s li • requires MPC license i State Surcharge $ .50 TOtal $ 5a.?j Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, sWte that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYS responsibility to notify the property owner tha[ the Ciry of Eagan assumes no lia6ility for any damages caused by the City during its normal operational and maintenance acUvilies to the facili5es constructed under lhis pertnit within City pSpperty/right-of-wayleasement. SIGNATURE OFPERI411TTEE lJpdated 1/01 - 2004 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? d ?--`_] Telephone # 651-675-5675 FAX # 651-675-5694 L{ _ I ?- ? ? New Construction Reauirements l RemodellReoair Reauirements /?nace ?? ?? ?7?? 3 registered site surveys showing sq. f! of l04 sq. ft. of house; and all roofed areas 2 copies of plan i3 QfS@e? ROcd'? Y ?l (20°h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions ?? P« i?dan'"`?e?d a>? Y ?33 ir?? 2 copies of plan showing beam & wirniow sizes; poured found design, etc. 1 site survey for additions & decks fijee Ps'fte99 1 set of Energy CalculaGons Addition - indicate if on-site septic system Qn IVApbc,Sqstgm 3 copies of Tree P2serva6on Plan'rf lot platted after 711l93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units . Date Z/ Construction Cost ? a 2(`)21 Site Address UniUSte # Description of Work ? 's -- Multi-Family Bldg _ YJ?-N Fireplace(s) Y-0 2 Property Owner Telephone # (('o?j? ) `/57 -?3 69C_$ Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 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 pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ? alp 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 fo a permit, and work is not to start without a permit; that the work will be in accordance with the approved planhe case of work w ich requires a review and approval of plans. ' ? Z Applicant's Printed Name e OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex x 18 Deck O 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding g 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy I1-3 MCES System Census Code h?,3?4 Zoning l? ? 1 City Water ? SAC Units ---- Stories ?- Booster Pump ` # of Units - Sq. Ft. ? PRV - # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ? Footings (deck) ?FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding _ Stucco _ Stone _ Brick Fireplace _ R.I. _ Air Test _ Final _ Windows _ _ Insulation _ Retanvng Wall Approved By: _ Base Fee v Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Building Inspector - ;)-5 EXISTING HOUSE ELEVAT70N 2422 Enterortse orive 945J Nendoto Heights, MN 55120 LOWEST FLOOR ELEVATION: 'IONEER ???o?+?s•owa?s (651) 681-1914 FAX:4&1-9458 lW0 Pl/HMpR. LNaSGN[ N1p?lECR TOP OF B?OCK ELEVATION: 949 1 / ?-.tigineenng ezs wyn?y io H.E. sa Bloina. NN 55434 a.e 30 * * * ? GARAGE SLAB ELEVATION: EXISTING r ? (612) 783-1880 FAX:783-1883 T09 @ LOOKOUT ELEVATION:_ ?C947.3 949?9 HOUSE / ? Certificate of Survey for: KIRK DAHLSTROM x 000.00 DENOTES EXISIING ELEVATION 946.1 4626 LENORE LANE ( 000.00 ) DENOiES PROPOSED ELEVATION 946 7 EB 947'1 - - - DENOiES DRAINAGE AND UTIUTY EASEk. 37,5 ?? ' ' DENO'fE5 DRAINAGE FLOW DIRECiION ?N a ? 947.8 Vs'ry2? 6 - • DENOTES MONUMENT ? 945.8 g46_6 < 8 DENOiES OFFSET HUB ? )0 ? «jr` . 45.7 945.8 947.2 , ! ? saa.s ? - ? 168.23 I _ ?? 945.3 . 945.5 , £kl$7N 9 _6 947.8 G ? 26,p 43A 5 • > Z, ? WAri '.) _---2;?.971 `? 45 31>,E 90 94 y47s ? sas.e ? jRACE ?, y? , ` ? ?? ?• sas-Z 933.4 ? h 948_61 9 N I ? .7 ? i ny ? zW scs.s O X94.3 0) .? ?/3p•50 _ i 4-0 76.00 ? ? -L--------- ? ? '! N 4?T O ? 2 X943.0 W 1 _ - - - - - - / 945.5 ti 0 O Q ? 1 -?? ? o 0 0 00 36.0 I / ry ? f 944.5 7? l 0 11 4 Q I L Mf 945.7 J0. ^ ? ,30 945.2 vl ??/l 7 6•00 X943.8 ' w =W 35 ? NOTE: PROPOSED GRADES SHOWN PER GRAOING PLAN BY: 31 Jr ?? ?`` I I Q 933 r? 2 NOTE BUILDING DIMENSIONS SHOWN ARE FOR HpRIZONTAL AND VERi1CAl IOCATON yy? 5 IlO wi- '4 L I OF 51RUCiURES ONLY. SEE AHCHtTECiUAC Pi.ANS FpR BVILDING AND C.9Z ? - ? ? j FOUNDAT1pN DIMENSIONS. p Q? F?W- ?! ? Ctf ; NOTE: NO SPECIFIC SOILS INVEST1GA710N HAS BEEN COMPLEiED ON TFIIS LOT BY THE 947.0 945.3 Z Q? 3? ?W ?yJ , SURVEYOR. THE SUITABILITY OF SOIlS TO SUPPORT 7HE SPEqFlC HOUSE ek?SnN ?? ?? + pW p0 $ ? O PROPOSEO IS NOT THE RESPONSBIIITY OF 7ME SURVEYOR, HOUSE C' 946.5 w Q NOTE: 1HIS CERTFlCA7E DOES NOT PURPORT TO SHOW EASEMENTS OTiER iHAN ?S•07 DOh?/ ? I ?? OJ 110 ?- / 939.3 01 THOSE SH014N ON THE RECORDED PLAT. W M O W ? ?F NOTE: CONiRACTOR MUST VERIFY DRIVEWAY DESIGN. WQ / Q NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DANM 34 933.5 Z WE HEREBY CERTIFY TO KIRK DAHLSTROM THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A 27fj'.35``` 721 SURVEY OF THE BOUNDARIES OF: LOT 35, 6LOCK 2, RIDGECLiFFE FIRST ADDITION ----- ^AKOTA COUNTY, MINNESOTA -'ES NOT PURPOFT TO SHOW IMPROVEMEN75 OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR ? I ti1Y pIRECT SUPERVISION THIS 13TH DAY OF AUGUST, 2007. ' SI NED: PIONEER EN EERI G, P.A. • ' 1 INCH = 30 FEET B Y: ? ? ohn C. Lorson, L.S. Reg. No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`D3&B\[\]S:WN88&8V87N!8V; G--'C3//*.&1 /13$M23.,9I*-,)S7N88&W887NU7W: "(%*41 HB<I<<' #(,%.*F%(.1JK,-.1 9&&(AA#*$2+&&9 GM2KA*+&4#1K>*+."23>232&E&F1+)2M# '\\;8&6))&E)NP&b788!\\U\\&,+3,&2+, X2.2+&FZ&&::7U'X2.2+&FZ&&::7UU Q\\:7\]&'\\:97'!8Q\\:7\]&!:!9!'UV 5&M,3,>@&2$%+C#,).,&M2&5&M2L,&3,2)&M*=&2AA#*$2*+&2+)&=2,&M2&M,&*+O3K2*+&*=&$33,$&2+)&2.3,,&&$KA#@&C*M&2##&2AA#*$2>#,&/2,& O&F*++,=2&/21,=&2+)&G*@&O&X2.2+&J3)*+2+$,=N (AA#*$2+D4,3K*,, &/*.+213,5==1,)&"@ &/*.+213, PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148175 Date Issued:03/12/2018 Permit Category:ePermit Site Address: 4626 Lenore Lane Lot:35 Block: 2 Addition: Ridgecliffe 1st PID:10-63980-02-350 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. 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 - Barbara R Mundahl 4626 Lenore Lane Eagan MN 55122 (651) 454-4328 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA150558 Date Issued:07/16/2018 Permit Category:ePermit Site Address: 4626 Lenore Lane Lot:35 Block: 2 Addition: Ridgecliffe 1st PID:10-63980-02-350 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Barbara R Mundahl 4626 Lenore Lane Eagan MN 55122 (651) 454-4328 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA154212 Date Issued:03/04/2019 Permit Category:ePermit Site Address: 4626 Lenore Lane Lot:35 Block: 2 Addition: Ridgecliffe 1st PID:10-63980-02-350 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 - Barbara R Mundahl 4626 Lenore Lane Eagan MN 55122 (651) 454-4328 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature