4622 Kingsbury DrReceipt PLUMBING PERMIT Permit No.
, CITY OF EAGAN •
Fee
!
?- ` fill in numbered spaces S/C
Type or Print legib/y
Tat
7. Date z 31, L9 '3
2. Installation Cost
F - '
3. Job Address 1`"i22 Kj=`GS ".T'±'i Lot 3 Blk. ? Tract
;i
4. Owner
5. Contractor ;c G(I,.TRE 49CIIAATICA.L 5`.: ZV. Phone «9-4:??V'
7. CitY L.A.:: :.'ILi, State ? `T Zip
8. Building Type: Residential 13"A' Commercial ? Institutional ?
9. Work Description: New 0: Add ? Alter ? Repair ?
10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
i I_ Bath tubs Septic Tank
Lavatory Softner
I Shower Well
-
? Kitchen Sink _-
? Urinal/Bidet
Laundry Tray Other
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: tor
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4545700
Receipt -
MECHANICAL PER!
CITY OF EAGAN
Fill in
or Print
1. Date 2. Installation Cost
3. Job Address Lot_
4. Owner ;
. , -, -
Permit No. '
Fee
S/C
Tot. ? / Tract
5. Contractor Phone
6, Address
7. City . State Zip L+
8. Building Type: Residential C1 Commercial ? Institutional ?
9. Work Description: New £7 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
Handli
:
Mfg. _ r
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 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: "?------
foi
Rough Finai
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
BUiLDIN6 PERMIT
CIT7 OF EAGAN `
3795 Pilof Koob Raed Eeyan, MN 53122
?? ?
PHONE: 454•8100 ? F ?
,
Receipt
Te M wed fer SF TIWr/GAR Est. Volue 957_000 Date T„no R , 19-a3_
Siro Address 4622-yiu-aabury-Drive Erect ? Occurwncy R 3
l.ot _3..._ Blxk _4 $ee/$ub. Beacon Hill Alter ? Zonin9 R-3
Parcel # I9 1.35L0 030 04 Repoir ? Fire Zone A-
a
W
Z
?
O
Z
uV
?
t-
Enlarge ? Type of Const. v
Name Joao?h" ?S Mil7.ar--Co??e' T?-.?-- ^^ - Move ? # Stories
Address 13133 rafja= A`xoc,. Demolish ? Length_39
CiHFax'minet,?? Phor+e_4SL,-4753 Grade p Depth--4,,6-Sq. Ft.-
Name nureT Approvala Fees
?
Name _
Addreu
I hereby ocknowledge that I have read this application and state that
the inlormation is correct ond ogree to wmply with all applicable
State of Minnesoto Statutes ond CiTy of Eagan Ordinances.
Siqnature of Permittee
A Building Permit Is tssued ro: Jospeh M. Miller
all work sholl be done in accordorxe with oll ouolicabb St
Assessment
Water & Sew.
Police
Fira
Enq.
Planner
Council
Bldg. Off.
APC
., Inc.
of Minrxsoto Statutes ond
Permit 3[14 _ nfl
Surcharye 28 50
.
Plan check i ?z0
SAC'5,15.90
Water Conn.¢50.?(!).
Woter Meter..{0.0G}_
Road Unit ?59?,9n^.r.
Totol $+59
on the express wndition thni
y of Eopan Ordinances.
Buildinp Official --"'?
. ?
Pormit No. Parmit Holder Mix. Permit No. Holder
Plumbing 3SqZ Akt`p ll lrQ t0 - Zy -
H.V.A.C. tD'(7- ,i
Wsll
Watar
Disp.
Sawer
Elect.;c ?070$0 •a?,?a ?c?. ?-ze-ss
kmo ZL 1Xj%dlanQcC1 1I 30 83
Impection Date Insp. Other
Footingt
Foundation
Framing z
Rouph Pibg.
4or
Rouyh HVA
Inwlation
Final Plbp. 7-2 tda
Final HVAC
Finai
Wahr Dsseribe Location:
Well
Sevuer .
Pr. Diap.
CITY OF EAGAN Remarks
o.ddition BEACON HILL ADDITION Lot 3 RIk 4 Parcel 10 13500 030 04
? owner - st,eet 4622 Kingsbury Drive State EaPan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. rqV 1982 1806.93 200.77 g 1806.93 C007575 - 10-1-81
STREET RESTOR.
GRADING 1982 526.46 58.50 9 • 7 5 10-1-81
SAN SEW TRUNK
* SEWERLATERAL .,53 1982 3116.46 346.27 9 3116.46 C007575 1-1-81
WATERMAIN
* WATERLATERAL LJHZ J
WATER AREA 1982 198.01 22.00 9 198,01 C007575 10-1-81
* Stubs 1982 9
STORMSEW TRK n2j 1982 359.82 39.98 9 359.82 C007575 10-1-81
* STORM SEW LAT 19$2 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36258 6-8-83
WATER CONN. !}rj0. 00
BUI LDING PEFi. $116
sac 525.00
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEIVED
FROM
19
AMOUNT $ I
& DOLLARS
?oo
? CASH []CHECK
?OR
? j WMite-PaYers Copy
\./ Vellow-Posting Copy
Pink-File Copy
T You
? BY
\1
CITY OF EAGAN SEINER SERVICE PERMIT
3795 Ptlat Kneb Read PERMIT NO.:
Eagan, MN 35124 DATE:
ZO"ing' No. of Units:
' _.
O
wner:
Address:
,
Sire Addreu:
Plumber:
?°Y" LO C0111PIY WIM HM City O{ FAAf10 CA1f11@CfI0I1 CI10IgB:
Ordinanees. Ac.count Deposit:
By
Dote oF Insp.:
I nsp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Z?ing; R 1
Owner: ?o9CF:1 : eT oR
Addrcss:
Site Address: L 622 K3 sb
Piumber: c •u Te _ eC
Meter No.:
Size:
Reader No.:
I °ome M eomPly wilh fha Ciry of FAyen
Ordlneecp,
By
Date of Insp.;
PertnM Fee:
Surcharge:
Miu. Ghorges:
Total:
Dote Pald:
WATER SERVICE PERIWIT ?
PERMIT NO.:
DATE: ' -- . ?
No. of Units:
Connection Charge: 50• 00 Pd
Account Depesit:
Permit Fee: 10.00 pd
Surchorge; . SC nc'
Misc. CFwrpes: 0UNO pd .?m@te2'
Total:
Dote Poid:
Inso.:-
CITY QE' EAGAe1 rocln3s 2 rft af plws, i
1 sits pSan M/elwatioen & . ?
met at am19Y '??wiaw- ?
' • `' ??.e?t? : ,
1b Be ITSec] F+. V81Ueti0n y DabB
S1t+E Addr2S8: ,??°? ?Cer??s'b;.?r b('• Q!'Tt'E m QIIaY
;?-? . ; •.
Lot ...? Blodc Sec./:?hab.?? ?+ect 'OF
t,
Pat?oel #: D3p O Alber ?
? TIP v[ oxwt,
Q?rrtiers
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JddreM:
,
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City/Zip Oode L''?.•,•??'°??`- .S.SD?
rhcQ #1 ?
oontraceor:
Address:
city/zip Code• .
Ptione i :
Arch. ..
.
1Ar3rrsrxs;
City/"t.ip doc]es "
Vwm ?i
?
wi??•?
? ?..?%
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?
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waber/geas'r ? ?? ?8:, °}
Poiiae _
Plan Cl?eclt i s'a: ? M
Fire 8iC
.
?
??. •
V`a
?
Planner ?ab?,lyat?er m o . ?
Oouuicil usit at Cs7J ?..
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APC
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REQUEST FOR ELECTRICAL INSPECTION E8-00001 -04
' See instructions for completing this form on beck of Vellow copy.
,070800
" " Below Work Covered by 7his Request 7 3
?j
J? a?!
New Add ReD. Type o( Bullding Applinnces Wired Equipmanl Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electric Heatir.
Commercial Bldg. - Fumace Silo Unloader
Industrial Bldg. Air CoRditioner Bulk Miik Tank
Fdrm Other peciFy OtherfSoeciiyJ
t er SVeci(y Other Other
CO/DUU1B InSUBCI/On FP@ BP.IOW
N Fee Sarvice EntrenceSize k Fee Feeders/Subfeeders # Fee Circuits
0 8 0 to200Am s 0 w30Am s 47 ,Sb Oto30Am 5
Above 200 Amps; 31 to 100 Amps 31 to 100 Ai s
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms e
.612 Partiai-"Other Fee
Signs SUeciai Inspection "?
Remarks TAL bEE
1.
}_ 7 _ni4 ?)
?
Rough-in I Dat ,
? ?? ?, the EI cal
nspeClor, h0,eby
? CAItIfY f?1AI ShB dbOVD
'I Final r ' D/rjeinspection has been
; y' made.
Thin rwnuwat vniA tA monlRs fmm .?
.-,s request void 7-/Z(p L 3 ( gq j '?j?3
18 months from
WQ7-0800 3.;? •SCs
Requesi Uate Fire No. Rough-in Insuection
Requfr .
?Ready Nuw ?II Notify Inspec-
8 ?No
es tor When Ready
?censed Electncal Contractor I hereby request inspection of above
? Owner - electrical work installed at:
Street Address, Box or Ro,ut No.
?6
o2 ?%
- lV L
s6 City
F
e v
n e Gt Q
O
ecuon o. TownshiD Name o No. Range No. County
6I ?O
. pant (PRINT
u-
' /
? Phone No.
y? ? V ' y7
5 3
Q r ! e:.
:
PoweL Supp Ierr y7r+ )? Addre?s!s'??
Electrica Co yactorA (Company Na e)
' ?/
, Contr ct/or's L' 6ense No.
41
?
? ??
lQfI
F Q
SGG `?Ir?r?? ?t?
MailinB A.ddress IC
??? o?n},?( ?c,tor or O??y/qer Makin`g InslaJ,ilatAionl y
Q
'?4
0
?
t? .S
l7' a' 90/?L?
. NW
7
Auth riz d SiPn re (Co ractor?Owner aking Instaliation) Phune Number
MINNESOTASTqTE BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILI NOT
Griggs-Midwey BIdB. - Hoom N-791 BE ACCEPTED BY THE STATE BOARD
7821 University Ave., St. Paul, MN 55106 UNLESS PROPEH INSPECTION FEE IS
u?___ 1c1o1 on, n,,. ENCLOSEO.
CITY OF EAGAN *T
. . 3795 Pilot Knob Roed Eegan, MN 55122 lr ? 8116
PHONE: 454-8100 ?
BUILDING PERMIT ReceiPt
To ba wed for SF DWG/GAR Est Volue $57,000 pOYe June 8 _ 19 83
Site Address _ 4622 Kingsbury Drive Erect
?
?cuPancy R-3
3 4 Beacon Hill
Lot Block 5ec/$ub. Alter ? 2oning R-1
Parcel # 10 13500 080 04 Repoir ? Rre Zooe NA
V
Enlarge ? Type of Const.
W Name .Toseph M. Miller Const., Inc. Move ? # Srories
= Address 18133 Cedar Ave. SO. Demolish ? Length 39
c; Farmington phorve 454-4753 Gmde [I Depth 46 Sq. Ft.-
p Nome OwneY Approvals _ Fees
?
?U Address
F? r:...
Name _
Address
I hereby ocknowledge that I have read this opplication nnd state thot
the inlormotion is correct ond ogree to compty with oll oppiicable
State of Minnesoto Statutes and City of Eagon Ordinonces.
$ignature of Permittee
-:-?ospe ]
A Bullding Permit is issued to:
all work shcll be done in acwrdnnce with ull
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner -
Council _
Bldg. Off. _
APC
., Inc.
Permit av? . vv
surcnarga 28.50
Plon check 152.00
SAC 525.00.
Water Conn. 4S(1. f1f1
Water Meter 60. 00
Road Unit 250.00
Totol 81769.50
on the express tondition thm
Statutes and City of Eagon Ordinances.
Buildinq Officiol
ntQUEST FOR ELECTRICAL INSPECTION
, See instructions for completin9 this form on back oi yellow copy.
tn? 07 8 8 2 Z ?/?308'3
"X" Below t?oik Covered by Th s Request
? EB-Q0001-04
$Zo/ 717
A48 Rep. Type o1 6uilding Appliances Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater 10 Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Siio Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pecify ther ISpcr.ifyl
t er Suecffy Other Other
c,ompute insnectJOn Fee 8elow
N Fee Service Entrence Size !t Fea Feeders/Suhfeeders # Fee Circuits
U to 200 qm s 0 to 30 Am s 10-0 0 to 30 Am s
Above 200 Amps' 31 to 700 Amps 37 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transtormers Irrigation Booms PartiaL'Other Fee
Signs Special Inspection /?
Rertv?rks
.KAt...?.?...1? ?_':...eL _ i TOT EE''??
?i:a o-lf+]?
ftough-in 1, the al
InSpector, hereby
tif
th
h
Final
DJ?'lE??_c at c
ter
y
e above
ispectio?? has 6een
?/? ? made.
ihin rwauest voitl 18 montRS fmm
This request void
8mFnt(75 trom3 r 6 ? ?? ?¢?.e.?-?? ? • ? ? `l 9
1W078822
?il3o J?3 ?aa.oa
Request Date '
;;v - 13 1
Q - Fire No.
1 Rough-in InspecUOn
Required?
?Ready Nuw- gJ411i'lI Notity Inspec-
t
h
" ?s [I Na or W
en Ready
twrl icensed Electrical Contractor t hereby reques1 inspection of a6ove
?.Owner electcical work installed at:
Stree ax or Ro CitV
ection o. Township Name ur No. ange No. o
Occupant (PRINT) Phone No.
ower u plier . Add ss -
Electr I ntr cto (Company Name) ont act r's License No.
Mai ing AAJre s(C/Q' ntractor+o?r wn`er mp In/g taila o 9
Authorized Si naVure(Conr or/o ner Making instali- ionl Phone Nu bei
MINNESO A STA7E BOARD OFeL;CTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bidg. - Noom N-791 BE ACCEPTED BY THE STATE BOARD
1827 University Ave., St. Peul, MN 55704 UNLESS PROPER INSPECTION FEE IS?
u1 ___ Ic, o? Ie, n... ENCLOSEO_
' -Cea°'f;lficate f'or:
' _ Cvntex Hnrses M:idweat 7nc. Plar,
E1601 Darnell Road 93033 (FLdFPSn UJf?ucoJ ?
2den PrsiriE, Fin. 55344 ?K (a3??7
Joe N[ll]?er Const. '"
18133 Cesar ave, so. QEI.MAR H. SCHW101NZ
Farr.rington, Mtl. 55024 L,qNDSURVEVOR-5, /AIt.
RpittaraE UnOar Laws of The $tsts of Minnesota
2979 - 146TM STpEET W. - BOX M ROSEMOUHT, MINNESOTA 68068 PHONB 612 423-1789
I $URVEYOR'S CERTIFICATE
61q Top I+?B Top 1¢0'X1 ?
aLJW:9409•53 E?.??,=91?????` .?
-rop leoa ??a s,EJ ._?e1.5 ,?''? !? 84 3 K;? w i j U, oc?
30 30. 0 4Cv.33
6
o ' • ? ( 0
/o ?
?
22,W7
pe?lv6 , ?o.?'?
f 4 Q , ?` k, QA(f ?
W4
{ I <
,
! ?\ q-1
21 ' ?1 l
i Qb ?54.`??' 3o zs
?v ? To IRe.t ?6? % ?6 33 ? ? t ? ' GG
f 63 b P ?'r rop ?to ra
96k? E..,? .= 965.i5 ? Top le.ok1
? ?? l Q ProPoaed garago f'loor ?J ? 9 65.8
Propoacd top of foundation
Propo?ed baoement f loor 9?Z.? ?. ?I
1'roPosed floop at wf?lkout 9?6.?..__._
? ?-- Denotes propoaed drainage
G9 Denotes proposed Piniahed grade.
q Denotes setbac:k enonument
9(o4.7_Denotes existing elevation
I nereby certify that thts is a true and cc,rreet repreaentati.on of
I,ot 3, Block 4, FIEACON HII,L, according to the recorded plat i,Yteiyeof,
Dakota County, Minnesota.
Dated: June 1$, 1979
Revised Dec. 17, 1992 to ahow proposed houme.
Reviaed on thie 1.4 day of March, 1983 to ahow a proposed houae No.9L)?38
not staked thereon.
Revised: April 2', 1983 etaked hse and elevation.
RE,Grr4ti•F Uo-tcF ?1R+t 2b , 1`)$` .
!'
AI
,
??
_ j?,}.y, .. ''. ? ' •,; ?/?1 ?? l /
i ?
MINNESOTA REGISTRATION NO. 8825
/? .
/3I4 r r : J / Z
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA085165
Eagan, MN 55122 . Date Issued: 08/11/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4622 Kingsbury Dr
Lot: 3 Block: 4 Addition: Beacon Hill
PID 10-13500-030-04
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Permit closed without required inspection(s). Letter sent to applicant on 4/8/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Rybak Brothers Construction Kevin M Doyle
2206 East 117th Street 4622 Kingsbury Dr
Bumsville MN 55337 Eagan MN 55122
(952) 405-8871
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137846
Date Issued:07/26/2016
Permit Category:ePermit
Site Address: 4622 Kingsbury Dr
Lot:3 Block: 4 Addition: Beacon Hill
PID:10-13500-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Kevin M Doyle
4622 Kingsbury Dr
Eagan MN 55122
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:EA137847
Date Issued:07/26/2016
Permit Category:ePermit
Site Address: 4622 Kingsbury Dr
Lot:3 Block: 4 Addition: Beacon Hill
PID:10-13500-04-030
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Kevin M Doyle
4622 Kingsbury Dr
Eagan MN 55122
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:EA167923
Date Issued:04/02/2021
Permit Category:ePermit
Site Address: 4622 Kingsbury Dr
Lot:3 Block: 4 Addition: Beacon Hill
PID:10-13500-04-030
Use:
Description:
Sub Type:Residential
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 -
Kevin M Doyle
4622 Kingsbury Dr
Eagan MN 55122
(651) 325-8506
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171932
Date Issued:09/08/2021
Permit Category:ePermit
Site Address: 4622 Kingsbury Dr
Lot:3 Block: 4 Addition: Beacon Hill
PID:10-13500-04-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 M Doyle
4622 Kingsbury Dr
Eagan MN 55122
(651) 325-8506
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature