4860 Four Seasons DrIt -?.t-, :f a
W,?Jicate vf cccupanc?
' Wit4 of *agan
MCOart eat of 13,ahts axopectiott
This Cenicate issued pursuant to the riequrrements of the Uniform Building Code
certifying that at the time of issuance this stnucture was in compliance with the various
ortiinances of the City regulatrng building cartstructioR or erse. For the following:
Use Classificatioo: SF M B{dg. Pernut No. 22066
o-«w?r TYve R3/MI Zoniag nisaxt RI Tya ca,st. VN
awnu a awidng RIVE.RVIE4J OCNSTlS.2(.TION wadrm 4506 BIMtV'IIfid, MM
Building Addess 4860 ?M MA. 5 DRIVE lmnliry Q, B I. MU.?W WM 7M
o?:
ea? ar -
POST IN A CONSPICUOUS PLACE ?
'C17Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
oN
;coRn
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
, . . . .
PERMIT SUBTYPE:
i{?.r ;3 ? ?, r??i . APPLICANT:
r t?ri?tN•: r'?t? ' ,,
TYPE OF WORK:
INSPECTION .. ..
f` i; v 3 b U P k t+ Ic F A'., 1 1= Ir F' I I
F
L
Permlt No. Permit Holder Date Telephone 1k
S/W
PLUMBING
HVAC ?? rs y3 4& - .;rlo
ELECT 9
ELECTRIC
InapecHon Date Insp. Commerita
Footings I ?-"Z?_A S 9 C} /, ?Oof'? ? I
Foundation
Framing
J
SW 574AV,,, `-
Roofing
Rough Plbg.
/
Rough Htg. w
Isul.
w?,a
Freplace
Flnal Htg. dA
Orsat Test
Fnal Pibg.
?, /4
?/
Plbg. Inspector - Notify Plumber
Const. Mefer I
Engr./Plan
Bldg. Final ?
Dedc Ftg.
Dedc Fnal
Well
Pr. Disp.
424.,je (L,y( e+ IF '// - v/ / r -
' j// y? /5?335
3 913 9?. ' , fs?
Request Date
? Fre No Rou -in Inspechoi
Re rted? NOTiCE: Vou Must Gall Elecincal Inspeclor
I A
I Rough-In Inspeclion
y '
? Yes ? N. Is Requved
I licensed contractor ? owner hereby iequest inspection of above electrical work at:
Job Atltlress (Sireet, Box or Route Na )
ffio st?svw l? d c- CiTy
xr r1
SecLOn No Township Name or No Range No Couny
,'i
Omupant (PRI , Phone No.
,6/Gr
Pawar SUp r
? V Atltlress
19
//J
i ?. /{'If ]?C y\
Eli al C ntractor (COmpany Name)
EI Conir tor5 License No
? ?
'
C
/J L'?"V S
Mailirfg ddress (COntrector m Owner Making InstallaLOn) /
10 /9 r-?
Authonzetl ?u Mreele 'B Making In ta ion)
-1ji- Phone u ber {?
?
MINNESOTA STATEBOARD OF ELECTflICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway 61tlg. - Raom 5113 BE ACCEPTEO 6V THE STATE 80AFD
1821 Umversrty Ave., SL Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phone(812)6a2-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
I See mstmc[ions br complehng this form on back of yellow copy
M 3 913 9 ;X" Belaw Work Covered by This Request
CR-15"?j EB-00001-08
5
w Add.Rep. Typeof6uilding AppliancesWired EquipmeniWired,
Home Range Temporary Service
Duplex Wa[er Heater Electnc Heabng
Apt BUildmg Dryer Load Management
Comm./Industrial Furnace Omer (SpecAy)
Farm Av Conditioner
Othar (speaty) Contradors Remarks'
Compute InspecGOn Fee Below:
# Other Fee # ServiceEntranceSae Fee # Gircuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 10a Amps
Transformers Above 200 _ Amps A6ova 100 _ Amps
Signs insv?or9 use Ony: 70TAL
Irrigation Booms ///
? /f?G
? y J?
Special Inspection ?
AlarmlCommunication THIS INSTALIATION MAY 8E O D DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 THS. f
I, ihe Electncal Inspecior, hereby Rough-in tejG_? ?
certify that the above inspechon has
been made. Final ?%,
?r{ - lJ ' jr' ?d
OFFICE IISE ONLV ?
TTis requast wid 18 montha Irom
Address 4860 FoUR SF.nsoivs DRZVE Zip 5512 2
LoC 3- Blk 1 Sub w[H9rMaric woons 71H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: J/?q ?r Yes No Inspector: FOP
Final grade (6" ftom siding) ?
Permanent steps (garage)
Pennanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish r-71- ?
Deck •
Please verify with the builder the removal ofroof test caps from the plumbing system and the shuFOff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
Whire - Ciry Copy Yellow - Resident Copy Pink - Convactor Copy
v
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: s aLocK: 1 APPLICANT:
4860 FOUR SEASONS OR RTVERVIEW CDNST
WHISPERING WOODS 7TH (612) 888-1365
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
BUILDING
022066
09/27/93
INSPECTION
FOOTING .. .
FRAMING ,.
INSULATION FINAL
FIREPLACE
REMARKS: PRV
S& W PLBR - EASTER PL86
7
_----? ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
w
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
' /-? r3
,/
BUILpI?
022066
09J27/93
SITE ADDRESS:
VALUATION
P.I.N.: 10-83956-030-01
DESCRIPTION:
?-?
Bu?iding+Permit Type
?uilding lderk Type
rIIBG Ocqwpan`eje"
! Constrwctian T?y'p,e
/ 2oning 1
/ 6uilding Length
Building Width
?
'i
$881.00
$572.65
$84.50
$750.00
100
i
$5.00
67
50
REMARKS:
PRV S& W PLBR - EA3TER PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC $
SAC Units
Lic. Searah Fee
Subtotal
CONTRACTOR: -
RIVERVIEW CONST
9506 RIVERVIEW
BLOOMINGTON MN
(612) 886-1365
$2,293.15
4860 FOUR SEASONS DR
LOT: 3 BLOCK: 1
WHISPERING WOODS 7TH
SF DWG
NEW
R-3 M-1
V-N
R-1
$169,000
MISCELlANEOUS $1,744.50
Tota1 Fee $4,037.65
ppticant - sr. L1c
18881365 0006075
AVE S
55425
OWNER:
RIVERVIEW CONST INC
9506 RIVERVIEW
BLOOMINGTpN MN
(612)886-1365
' Z hereby acknowledge that I have read this application and state that the
information is correct and egree to comply with all applicable State of Mn.
, StatuCes and City of Eagan Ordinances.
L ?
?
APPLICANTlP RM SIGDlkT R 'ISSUEDB :S NATU(i-------
/
REACTIYATE _ ? ? CITY OF EAGAN
,E?Iq k ? ?`'E P-V E D 1993 BUlLDING PERMITAPPLICATION
S 2 1 1993 681-4675
? rrJ r r
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL I 2 sets of architectural 6 structural plans, 1 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 1s changed or 3) lot change is requested once permit
is issued.
Date ?.?? / - ? Yaluation of work
Site Address:l^/C-? .3 /?=? ''`?br?? -c
STItEEi ?wO!'??
Tenant Name: (commercial only)
SLOCK SU p.I.D. N
BD.
,?i?
rDe T --3
scrition of work: e aDolicant is: _Q-,Owner ? Contractor? Other (Descrlbe)
Property
Owner
Name
UST
Address _
CitY -
State
Zip
Company r ??? ?> ? ,? -,? ?C%- Phone ll"k?E
CO ntfa Ctor Address License #cL4 dExp.
City StateZip
y
Architect/
Engineer
Company
Name _
Address
City -
Phone
Sewer 8 water licensed plumber
sewer & water permits is two days once
Phone
Registration f
State ZiP
Processing time for
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply wit ?all applicable State of Minnesota Statutes and Lity of
Eagan Ordinances. r
Signature of Appl ican?-"
l
FIRSi
SiREET
fTE M
vrr?or. uoa vn&.T
BUILDING PERMIT TYPE
? OI Foundation O 06 Duplex ? ll Apt./Lodging
A02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc..
O 03 SF Addition ? 08 B-Plex ? 13 6arage/Accessory
? 04 SF Porch O 09 12-Plex D 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
R 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition O 34 Repair 0 36 Move
GENERAL INFORMATION
q? Y' • :
? lb Basemen0;fin"?i3h
? 17 Swim Ppel_s• - -
? 18 Coam./Ind.
? 19 Comm./ind. Misc.
? 20 Public facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) V-Af Basement sq. ft. MWCC System vc5
SAllowable) V-N lst F1. sq. ft. City Water y1;S
UBL ccupancy R.3 m-I 2nd F1. sq. ft. PRY Required Y=
loning 5q. ft. total Booster PumP
i of Stories footprint Sq. ft. Fire Sprinkler
length On-site well Census Code !b/
Depth ? On-site sewage SAC Code ?
APPROVALS ?
?.
Planning Building Assessments
Engineering _ Yariance
REQUIRED INSPECTIONS
O Site
O Wallboard
? Footing
0 Final
? Framing
O Draintile
O Insulation
? Fireplace
Permit Fee v.imeion: g Ibq , vu0 zNO F'woP_; I
Surcharge
Plan Review GARq& a
; 3 2 r a ?
= 768 3- ?'XZ-
8=
868
License ;,xAo = yo 7%i3_ q! . '
MWCC SAC ?x/7_ ?34 9k(6= 12y, I
City SAC
Water Conn. r3sMT; '1?4%/ 6 123?s`iJ l097X5y=
,
Mater Meter t?xta= yHa
Acct. Deposit
S/W Permit R`-1ic12= 32N
S/W Surchar
ge I x24= IfDB
1
Treatment
Pl 3 9if0
?
Road Unft IsrFi.na¢;
Park Ded.
Trails Ded ?ox ?4 =,5yo
.
Lopies
Other
Total : g x6- - 3? ,,.
%M7 q`
83, 3?
SAC % 154.(x54=
SAC Units ?
592 P01 SEP 24 '93 15:17
r
?
nI64
.'
•
?
a 9P%
t ?,s y
4 1?,? Q 111 {11
:
k
i
? s=
.s?? n?
U)
50 ?
w`
1
?
?
L
------ T-1
? .? P's'er K
D 3 40,0 (t !
h-
?o?ob?a a ?
o ? 4p.RAGG
• sa.s o sa6%0. ? m
?
= 317. //
o?(rv,3
p.+9bo•!
?....
'S'vP peL.oc+w- IEL. 46Z.%-
C-%-. 45461
k
1M
.00
? ?-
.
?
?
.s?.?i..?
[
?
q??! 9a,.s
e ?
YIG •
955ic,
i
[
4
?
?°??pV?„'- S?P•SeD?•t3 DR, v? ~?
065C171 pTION r
4 0 T $, 10 C K 1,eDattv -ajLt, -2 f /? 93 N
WY?srEnINa wooaO
SEYENTH ADDlTlON . 9cAIE
pA avtA cauNrY, ,q?? ?gAarnr?s.ASSirM?e
M I/dNESaTA e pEmOTjr$ IftoN MONlJMaNr
CPoRoWo H1E(2MJ ° ?D)
? 8 80
!Q
lo
`?
?,Y,
v?
? 1m,sn
??.? ,
4 P ?
!o i
IAereby qertify that this survey was prepared by me or
under myy direot superviaion and that I am a duly Registered
Land Surveyor under the laws of the State of D4innesota.
Date;?g' ?awrf?rl? ? •"=-----
" y ,
RN•`?q$' a' ohlen
Registered Land Surveyor No. 10795
R-97% 09-24-93 03:24PM P001 3L25
LoT 3, SLack A GlAi/sPEtmo6l, li???=:`-y':
Ac. Saex"AbbMollO
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432-2044
ER4'ERIQR ENVELOPE AVER'1GE "U" COMPUTATION
IuIE '2 Qs'? CQt? °LAAT nWMR c'f
Detezmine workir:g square footage of each
1. Total exposed wall area...... sa.ft. X .11
2. Total roof/ceiling area..... so.ft. X. .026 !
Total exposed wail area above floor =37fi?M
a. Total wall vaindow area . . . . . . . . . . . . . . . . .
b. Total door area .........................
c. "_'otal sliding glass door area........... a'?a
d. Total fireolace wa7.1 area ..............
e. Total wall framing area (average 10%)...
-°. motal net *aall area above floor ......... S a ,'?>j
g. Total rim ,joist area .................. ?i1?-? ?!'°p'? OZ-
Total exposed foundation area
h. Total foundation window area.............
-^
i. Total net foundation area above grade... 11 Determine "U" value of each ora,ll segnent
a. }( nUir .rJ'? ay? = isam, 17 56 ,
b. ??i • x ilUir
.139 =
1 M . S1 ?
c. 3Qi X ,lUll .52 = 9°i 1 f?
d. ..?" . . X "U" . .68
- ..,?.
e. 32?. g "U" .096 = 3Ca,°?5
f. WX r'U" .043
g. ?,.oo.x "U" .041 = IO,b
h. °--" Y rriTn .52
X "U" ,082 =
-- 14, lC??
3. ^lb'I'15.I,
I
.. ,_?
,
.
...
. . . . . .
F , . . . . . . . . . ..
.
. ?.?'? 4,f:?? •
If item #3 is the sar,:e as, or less tlan iterr! #1, you have
met the intent of SBC 6006 (c) 2.
-1-
?-
Total exposed. roof/ceilino area = ,> +
, Total gross rocf/ceilirg area
j. Tota:L slylight area . . . . . . . . . . . . . . . . . .
k. Total rooi/ceiling fram,ing area....... 1. Total net insulated roof/ceiling area. 1-a "; A•.'°,
4
3
Deter,nlne "U" va.lue ror each roof/ceiling seEgnent
i , °_:? . a ?', )c ??U?? ? .i ,?.
?..
k. t c: ?? , >a' X "U° .024
1• x IIUII .022
1V1.'LLi ...r....... ........ .r...• • i ?
..
I
If total of #4 is the same as, or less than A2, you r.ave
net the intent of S5C CQ06 (c) 1...
mo utilize the total envelope system method, the values
established by the si.un of j.tems #3 and 1f4 shall not be
greater than t}:e swm oi itans #1 and #2. 1
+ 2,
1.
+ 4,
Ma.terials
i
Ther,nal resistance "R"
Exterior aSr.........
Sidir,.g material......
?Sheathing............
Insulation...........
Sheetroc'r.............
Interior air.........
Studs ...............
P.im.................
Concrete blocks...:..
1 -2
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FURNACE
DATE I ? 3
HVAC: 0.100 M BTU
ADDITIONAL 50 M BTU
GA5 OUTLET$ (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTtNG CoNSTRUCI'ioN)
STATE SURCHARGE
TOTAL
S?TE
OWNER
? , r? >E 4 --gv & I S (?)
FEES
$ 24.00
<-6cb6--
'5,5 c'.0
$ 15.00
.50
2 1, S-0
? v°c-'
TELEPHONE #: Y'Fk " ? 3 6 S
INSTALLER: ?c'A?t?t?A-c_ (2Vq/; 72D L
ADDRESS: 4 L i: 4647- J?
CITY:? ? r cq (= r l_ L D STATE: M N ZIP CODE:
TELEPHONE #: O" - / o
rGLfd?u? ?
SIGNATURE OF PERMITTEE
1993 MECHAIVICAL PERMIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLUMBING PERNIIT (RESI
CTTY OF EAGAN
3830 PII.OT KNOB RD
, FAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTT.
-------- -- ----
10. FIXTURES -ACH TO
I SHOWER 3.00 3• e-z-"
WATER CLOSET 3•00
` BATH TUB 3.00
LAVATORY 3•? %?' °-`?
KTI'CHEN SINK 3.00 3• ov
LAUNDRY TRAY 3.00 3-0za
HOT TUB/SPA 3•00
? WATER HEATER 3•00 3'°v
FLOOR DRAIN 3.()0 3. oz?
/ GAS PIPING OITTLET minimum - t
? 3.00 3•??
.? ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.LTy. lic. 15.00
U.G. SPRINKI,ER • eome under oon:t. 3•00
ALTERATIONS • to austing 15.00
WATER TURN AROUND 15.00
y .s?
STATE SURCHARGE .50
TOTAL: 6e ?
SITE ADDRESS:
OWNER NAME: C'
INSTALLER:
ADDRESS: Y °i ? S Fe ?? c c 1--2e -E 17
CTTY; i e STATE:
ZIP CODE: 3
-
PHONE #: ( ) t/ 7 cl - 7 z Z --L
2007 RESIDENTIAL BUILDING rExmiT nreLicnTioN
City Of Eagan
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruction Reauiremenls
3 registered site surveys showing sq. fl. of lot, sq. fl. of house; and all raofed areas
(20% mazimum lot coverage allowed)
1 Sails RepuA if proposed 6uilding is la be placed on disNrbed soil
2 copies of plan showing beam 8 xindow saes; pou2d taund design, elc.
1 sel of Energy Calculations
3 copies af Tree Preservalian Plan if lol platled aAer 711193
Rim Joist Oelail Options seleUion sheel (buildings wilh 3 or less unils)
Minnegasm mechanical venAlalion fartn
RemodellReoair Reauiremenls O(fice Use Onlv
2copiesatplanshowingfootlngs,beams,joists CeAotSurveyRecd Y _N
1 set of Energy Calculalions fa healed additions Soils RepoM1 Y_ N
1 sile survey foradditions 8 dedks Tree Pres Plan Recd Y_N.
Add'NOn - indirafeilonsitesepficsystem TreePresRequired Y _N
OnsiteSepticSyslem _Y _N
Planc are considered oublic information unless vou state thev are trade secret and the reason.
Date 7 Construction Cast ( S,OOO.o O
I SiteAddress L{Q'60 y? /'zx-'rS(y,_jo?Lg UniUSte #
DescripNon of Work ! eo r 0,i-'F Pe-- 19dc)'f-
Mu1H-Family Bldg _ YX' N Fireplace(s) _ 0 _ 1 _ 2
Property Owner kC--S`n
- 6 7! ?
Telephone #(6s1 )CP70
Contractor Yo/ )P-y
Address ct
state zip City ?vtra.i/
Telephone # (6,5f ) ?'sr)-- /y 6 v
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1
Energy Code Category , Residenlial Ventilation Calegory i Worksheel
(J submission type) Submitted
• Energy Envelope Calculations Submllted Minnesota Rules 7672
• New Energy Code Worksheet
Submitted i
.
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the intormation is complete ancl accura[e;
that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. A
Applicant's Printed Name App icant's Signaturc
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112095
Date Issued:07/29/2013
Permit Category:ePermit
Site Address: 4860 Four Seasons Dr
Lot:003 Block: 001 Addition: Whispering Woods 7th
PID:10-83956-01-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Berrey
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 -
Kevin G Foley
4860 Four Seasons Dr
Eagan MN 55122
Northern Exteriors Minnesota Inc
6677 Timber Ridge Lane South
Cottage Grove MN 55016
(651) 230-5103
Applicant/Permitee: Signature Issued By: Signature
_
r For Office Use _. '_
d , a Permit II: / �O
i.
(�' Permit Fee: O
.W ... REGEl-`J"1'- //""/"-/?Date Received:3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 NOVO 1 2019 Staff: I
buildinginspectionsAcityofeagan.com
201 ESIDENTIAL PLUMBING PERMIT APPLICATION
? ,I
Date: J 'diSite Address: I 7erlt,-.7r/fgA/C4/>.Z. i�"V V V" I
Tenant: L _�/ Suite#: I
ResIde.00• n:er,; Name: i /Alu A� .vim Phone:Go { a', 11 WIT—
f `7.7 Address/City• Zip; ('-�/1 I
:, Name: MILBERT COMPANY dba CULLIGAN WATER License/r:: WC641376 t
Address: 1801 50TH STREET EAST City INVER GROVE HEIGHTSCcntractor? i,t
State:__Iv1N Zip: ___.550ZZ Phone: 651-451-2241
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
New Replacement Repair Rebuild Modify Space I
Ty;p:e;of V.Venk — — — fv P ce Work in R.O.W.
Description of work:
Water Heater
Lawn Irrigation( RPZ/ PVB):
y Water Softener
Add Plumbing Fixtures ( Main/_Lower Level)
DesPIOPt.ion . ___septic System • 1
Description: -
New
�_Abandonment
Connection to City Water from Well
RESIDENTIAL FEES ,_ •
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540 " "I
*Sewer&Water Permit also required for connection charges
60.00
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher Stato Ono 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.gopherstaleonecall.orq
You may subscribe to receive an electronic notification from tho City of proposed ordinances by signing up for an email update on tho City's
wobslto at www.cityofeagan.com/subscrlbo.
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 pen it, but only application for a permit, and work is not to start without a permit; al the work will be in
ac rdance wi he approved pl In th@ e of work wh h requires a review and approval or fans.r,
Applicant's Printed Name Applicant's Signature •
Page 1 of-_2
I
f
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177298
Date Issued:06/23/2022
Permit Category:ePermit
Site Address: 4860 Four Seasons Dr
Lot:003 Block: 001 Addition: Whispering Woods 7th
PID:10-83956-01-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Kevin G & Barbara E Foley
4860 Four Seasons Dr
Saint Paul MN 55122--332
Apollo Heating & Air
1167 Vikings Drive E
Maplewood MN 55109
(651) 770-0603
Applicant/Permitee: Signature Issued By: Signature