4684 Kingsbury DrCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
HECErvEo
19
AMOUNT $ I
& DOLLARS
-?? , . a + o 0
? CASH El CHECK
FOR
Whita-Payers Copy
Vellow-Postin9 CoPY
Pink-File Copy
Thla/nk You
C • C_ , BY
L? 3? ? I I & GEO. SEDGWICK HTG. & AI R COND. CO. /
HOUSE HEATING TEST RECORD ?)' ? sQ LJb
ADDRESS CITY 6A N
-- S'
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY 77
Electrical Work By jc C _ Gas Line By CLC' -74? 0 G1 t
TYPE OF HEAT GA_ FA_ HW_STEAM SPACE HTR. UNIT HTR._OTHER
GAS DEAIGN CONVERSION
MAKE ? ???X MAKE OF BURNER '
Model Model fSerial /k Max. BTU Rating
INPUT MAKE OF FURNACE ?t{
Model ,rCONTROLS
THERPJIOSTAT_Heat Plug Vent Size -
s ?
Valve C)- KIND OF LINER ?SIZE NONE
Limit Draft Hood}-/-'111r 11L"? `?`?Rgaulator
Limit Setting ?vv
Fan Setting ? r /00
Pilot Type C
Pilot R4eke LAj U-4 J?ZOJ_./
Pilot Model L)? U?
Pilot Timing -?? -? ? j? r
L.W. Cut Off - /
t+ ? --y
Pressure Perceni COZ
Input CFH Percent OZ ?
Stack Temp. Percent CO
Filters Size
Numb?.rr
Inside ?
Chimney Location
Chimney Construction
Outside
Smoke Bomb Wiring ?73,,'`
Draft ? Test Tag ??
Door Pressure Lighting Inst.
Date Tested
Company Testing
Name of Tester
w FY OF EAGAN Remarks
Addition BEACON HILL ADDITION l.ot 13 elk 4 Parcel 10 13500 130 04
owner screec 4684 Kingsbury Drive state EAgan, hIIV 55122
1599 Covington Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 19$2 1$48,67 205.41 9 4 .8 A01200 -1 -8
STREET RESTOR.
GRADING 4,7 1982 537.84 59.76 9 418.32 A012003 3-15-83
SANSEW TFUNK 1976 135.97 9.06 15 6.1+ A012003 3-15-83
* SEWER LATERAL ??• 1982 3182.83 353.65 9 2 75.55 " "
WATERMAIN
* WATER LATERAL 19$2 9
WATER AREA yj 19$2 202.00 22.44 9 157.12 A01200 -1 -8
* Stubs 1982 9
STORM SEW TRK -7 1982 367.77 40.86 9 286.0 A012003 3-15-83 ?
* STORM SEW LAT 19$2 9 I
CURB & GUTTER
SIDEWALK
STREET LIGHT
240.00 33795 1- -8
WATER CONN. 420.00 it
BUILDING PER.
SAC n n
PARK
Receipt'.%? PLUMBING PERMIT Permit No. -'
' CITY OF EAGAN
Fee '
Fill in numbered speces S/C
Type or Print legibly
Tot.
1. Date !2. Installation Cost
D?' J ,
3. Job Address Lot Blk. Tract
4. Owner
?
, -
. Li
5. Contractor Phone =
6. Address
7. City State Zip - "
8. Building Type: Hesidential 1? Commercial ? Institutional ?
9. Work Description: New Add ? Alter O Repair 0
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesypool/Drainfield
" Bath tubs 5eptic Tank
? 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 ordiPances and codes governing this type of work.
Signed : ' _-
for
Rough Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT - P9rmi6No.
CITY OF EAGAN .
Fee
Fil1 in numbered spaces S/C
Type or Print/egibly
Tot.
1. Date 2. Installation Cost
3. Job Address ? Lot?TBlk. ' Tract
4. Owner ?.h a
.
5. ContraMOr . ' ' . ., „r'_ ' . ..
Phone
6. Address - 1 N. S -'?
7. City State
Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
,
10. Describe t 9' Fuel Type
11,
No. Equioment BTU - M. Ea.
Forced Air No. Equiament CFM
Ai
H
Mfg. r
andling:
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
VIP-8 do 6?1 -
CITY OF EAGAN
3795 Pibt Knob Rood Eayan, MN 55142
PHONE: 154-8100
HUILDiNG PERMIT Receipt #
Te be wed fer Est. Value Date 19
Site Addreu Erect
?
Occuponcy
Lot Blotk $ec/$.Kb. ' Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlarpe ? Type of Const.
W Nar^O Move 0 # Stories
; Address Demoliah ? Length
b
Ciw 6rode ? Depth Sq. Ft.-
,o
Z
°uu
S?
F
Name ADOrorals Fees
Address
Name _
Address
Assessment -
Water d Sew.
Police
Fire
Enp.
Pionner _
Council
Permit
Surchnrge
Plan check
SAC
Water Conn.
Water Meter
Raod Unit
I hereby acknowledge thot I hove read this application and state that Bldp. Off.
the inlormation is correct ond agree to compiy with oll applitable APC Total
Stote of Minnesota Stotutes and City of Eagcn Ordinances.
Sipnoturc of Permittee
A Building Permit Is issued to: on the express tonditfon thn+
oll work sholl be done in accordance wifh oll appliwble Stme of Minnesota Statutes and City of Eoqan Ordimnces.
Buildinq Officiol
, Parmit No.
MEMMEMIS Permit Holder Misc. Parmit No. Holder
Plumbin9 lRZ kq-M& rpl ?-13'aJ
N.V.A.C.
Wall
Watar
Disp.
Sawer
Eketric
5 (o ?$Q b 771<e ha.
?ltc • s?rJ,
l-zfi-$3
Iropeaion Dm Inap. Other
Footings
FoundMion
Freminp
Rouph Plbg G?-
Rouyh HVAC
,nsuln;on
Final Pib¢ 1-44 W ",
Final HVAC
Final
Wour Dswi6e Loeation:
Well _
Sswer '
Pr. Dhp. _
SEVIlER SERVICE PERMIT
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eagan, AdN 55122 DATE:
Zoning; No. of Units:
Owner:
Address:
Site Address:
Plumber: 7
,
,
f . ..
.
.. . . .
1 agrae fo eanplr w1lb Nw Cky ef Ea9an Connection Charpe:
O
d osit:
wuM De
A
r
inaneea. p
c
Permit Fee:
e:
char
S
g
ur
Char
es:
Mi
By g
sc.
D
f I Total:
ate o
nsp.:
Inso.: Date Paid:
CITY OF EAGAN WATER SERVICE PER MIT
3795 Pilot Knob Road PERMIT NO.: '
Eagan, MN 55122 , ?.
DATE:
-
Zoning: - Na. of Units:
Swa-er I'ros
O
wner:
-
Address:
T-
-.-
Site Address:
Plumber:
Meter No.: Connedion Charge: .
Size: Account Deposit:
Reader No.: Pertnit Fee:
f E
h
C rchor
e:
S
agan
iky o
1 agrae M aomply wil
!ha g
u '
es:
CFar
Mi
Ordinanees. g
sc.
Total:
Paid:
D
t
gy e
u
Dote of Insp.: InsP•:
,?? ? CI'i'Y OF EAC',1?Id ? Include 2 sets of plans,
'3? 1 site plan wJel.evation5 &
BUILDING PERNIIT APPLICATI 1 set of e calculati.
7.b Be Used For
Site Address: q (o$-? Ltti#?
IAt ?? B1ocJ? ?ySec./Sub.
Parcel #:
an
C'?,?- ••
?''?J'ValLiatioIl lSO?te 1 Z/1 ? .
u?iK, 1,y > Q' OFFI(E USE ONLY
Owner:
Address :
City/7ip Code:
Phone #
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Enq. .
Address:
Erect __)(_ occupancy
Alter Zoning Ir J
Repair Fire Zore ,,vi¢
Enlarge 'Iype of Const.
Move # Stories ?
Denalish Front ft.
Grade Depth fto
APPROVAUS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Check
Fire SAC So2S
Eng. Watex Conn. yao -
Flanner ' Water Meter
Council ad Unit ?
Bldg. Off
APC
Gity/Zip Caie:
Phone #:
h/dw/ d"?--
y?Z71 C)
?- ?
1 ?/
o?.a ?.a.a ...,a'u ". ?o?.., ? . .y
Griggs Midway Bldg. - Room N191
niversity Ave., St. Paul, Minn. 55704 - Phone 297•2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
S 3q « s
-A-[;§ZqA
Type of Building New Add. Rep. Check Appliances W ited For Check Equipment Wiced For
Home ? ? Range x Temporazy Wiring ?
Duplex ? ? Water Heatex ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Indusuial Bldg. ? ? ? Au Conditionex ? Bulk Milk Tank ?
Fazm ? ? ? List j List 1
Othei
?
?
? Others?
Here ) OthetsF
Here >
COMPUTEINSPECTION FEE BELOW
Service Entcance Size: # Fce Feeders&Subfeedecs: # Fee Circuits: # Fee
0 to 100 Am s. 4 00 0 to 30 Am eres 0 to 30 Am eres L?W,5-C
101 to 200 Amps. 31to 100 Amperes 31 to 100 Am eres i
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee C ?
Signs Special [nspection Minimum fe
Remarks
TOTAL EEP, -
?Q
(Fina1)
This request void
18 months from
has been m?e:
Date % - aO
,J2ate
This request voJ 7/ aco A 3?tcLS
1$ months from O
Date of this Request / Z?a1 Fire No. S 65896
I, as 14 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.L4yg'f. Cityeejar\
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No ? Yes 9 Ready. Now ? Will CallX
Power Supplier ??A ?Addres
7- C o yi/ A3a
Electrical Contracto?. ?y??n Contractor's License No.
(Company Name) n „ „ ?1 /7 . .
Mailing Address
Authorized
$j?M !S ? ?5 ro0&ED (?p'j This inspection request will not be accepted 6y the
u ??Lf" ? State Board unless proper inspection fee is endosed.
CITY OF EAGAN
5795 Pllot Knob Road Eogcn, MN 35122 N? 7742
' • PHONE: 454-8100
BUILDING PERMIT tteceiPr #
To ba asad fer SF DWG/GAR Est. Value S53 000 Date .Ta nlygrV S 19 82
Site Address - 4684 K3nA8burt] DIiVe Erect Occupancy x'3
Lot _1 "1 Block 4 Sec/Sub. BeaCOII H111 Alter ? Zoning TL"1
parcel # , 10 13500 130 04 , Repoir ? Fire 2one NA,
0
Enlarge p Type of Const.
W Name 8wager BLOB. Move
?
# Stories
Z
3 5898 Omahg
Address Demolish ? LengthllQ-
° Ci St111WateT phone 439-7810 Grode ? Depth_24Sq. Ft.-
m Nome OwnBt Approvals Feea
u
Address
Assessment 92.00
Permit
?
F.' Cit phone Water 8 Se w. Surchorge 26.50
Police Plan check 146. 00
f?
FZ Name Fire SAC 525.00
Address Eng. Woter Conrr420•00
?W
a Ci Phone
Plonner
Woter Meter 60. 00
Council Rood Unit 240.00
1 hereby ocknowled9e that 1 hove read this opplicotion and state ihat gldg. Off.
the iniormotion is correct and ogree to comply with all opplicable APC 5?
l $1709
T
t
State of Minnesoro $tatutes and City of Eogon Ordinances. .
o
a
$ipnoture of Permittee
A Bullding Permit is issued to: Swager BYOB.
Z2
on the expreu tondition thnl
all work shall be done in ocmrdonce with all li le Sta i a S otu s and City of Eugan Ordinances.
Building Official ? ?
lip, City 0? Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?_______-____-___^
? Permit #: DO ? ?
I Permit Fee: ?
I
? Date Received: f
I I
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ij- U Site Address:
Tenant:
Suite #:
RESIDENT 1 OWNER Name: f Q(A- Phone: WS 1- w Ul - V`f' 7
Address / City / ip: kd-7` i` (i{I" 1 V2 C-" Ctq 6`J Z
Applicant is: ? Owner _ Contractor
TYPE OF WORK Description of work: k0 1-0CC (' 'y ro (Jt-
?
Construction Cost: Multi-Family Building: (Yes _! No ?
CONTRACTOR Name: '?o J-P License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
A MATE; Plans and supporting docu`men'ts'that"you subriiif are consider`ed to be putilic iriforinairo». Portions of ra.
the informafion may be classified as noh-pubtic if you proriide=specific reasons tliat would perrnrt the "Grry to
, 5 = z
` • .. ?
' concluilethatthe yare1rade°secie?js.
? -
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 ithout 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 X ?"A I
Applicant's inted Name App ricant's 5e ure
Page 1 of 3
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Certificate for:
Centex Homes Nidweat Inc.
,8603' Darnell Road I
Eden Prairie, Nfn, 55344 `
.C
1
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PHONE 612 423-1769
h $-59
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DEIMAR H. SCHWANZ
- LANDSVRVEVOR
RaqisteraC Unaar Uws of The 51ate of Minncsota
2978-145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55066
SURVEYOR'S CERTIFICATE
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I hereby certii'y that thia is 'a true and correct representatlon of j,ot_13,
Block 4,•BEACON HILLS, according t,o the recorded plat thereof,-Dakot.a ' .
County, Tdlinnesota, . _ • _ - -
February 3, 1981
. . - ? .
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?? .
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OWNER
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
SITE ADDRESS
CONTRACTOR DATE (0 K/;3? PHON
? '7
Determine working square footage of each.
1. Total exposed wall area .. . sq. ft. x i? 13
2. Total roof/ceiling area . . . . sq. ft. x ? ? ? = Yd
Total exposed wall area above floor =
1 C-)
a. Total wal l wi ndow area . . . . . . . . . . . . . . .
b. Total door area . . . . . . . . . . . . . . . . . . 3 ?
c. Total sliding glass door area . . . . . . . . . .
d. Total fireplace wall area . . . . . . . . . . . .
e. Total wall framing area (average 10%) . . . . . .
f. Total net wall area above floor . . ... . . . . . .
g. Total rim joist area . . . . . . . . . . . . . . . . /3 v
Total exposed foundation area = g?b
h. Total foundation window area. . . . . . . . . . . . 5 (Oec?
i. Total net foundation area above grade . . . . . . . Sq ?,r?Z
Determine "U" value of each wall segment.
a. X ??U" ,S - 32 t Q
b. 3 I x„ull Fo 2
c . X „u„ ,S = IS?SS?
d. ? X ltuit
e X ????? ?13
f: ? ??T'? x liui,
9. l?? o x liui ,
Il. X uuii
X nun I ta? _ ?.J?Ol l
3 . .......................... ...... -
....Total ? p
It item #3 is the same as, or less than item #1, you have me.t the intent
of SBC 6006(c)2
e ?
J-
j.
Total
skylight area . . . . . . .. . . . . . ?
k. Total roof/ceili.ng framing area(average 10%).
1. Total net insulated roof/ceiling area ....
Determine "U" value f.or each roof/ceiling segment.
.
Total exposed roof/ceiling area = ?ON?
X 11u11 ?- ?
i
k. ,Oc.) xiiuii 0 33 = 3?3 ?.
1. ?oo x i,u„ ??aSS = ta t'Z
P
4 . .................................. .Total....
If total of #4 is the same as, or.less than #2, you have met the intent of
S8C 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the.sum af items #1 and 42.
, -
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?
LOT: ? BLOCK: q SUBD./P.I.D #: (?? C?' Q'/V? `_\? I`
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
C) 3830 PILOT KNOB RD - 55122 ? j J --7 ?
651-681-4675 ?D
New Construction Requirements
? 3 registered site surveys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 coples of plans (show beam & window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 cop(es of tree preservation plan if lot platted after 7/1 /93
Y Rim Joist Detail Opfions selection sheet (buildinas wlth 3 or less units)
Remodel/Reoair Reauirer`nents
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions 8 decks
DATE: I 01? - ? _ ?--(90 0 CONSTRUCTION COST: ? (s-
DESCRIPTION OF WORK: ?{'. 'PoO 'f- If multi-family bldg., how many units?
r; O
STREET ADDRESS: y& 6't k .i ,VGS Y2 [J K Y 1Jf2 -
Name: jp +j E- 5 L'41U C? Phone #:
PROPERTY I.ast Phst
OWNER
Street Address: Ki NG 5 Bv 2 V L)rZ
City E.g G- f} lJ 5tate: /1/l XJ Zip: SS l9 ?X_
Company: FPhone #:
(area code)
CONTRACTOR
Street
City
State:
ARCHITECT/
ENGINEER Company: .5 EL r . Name:
Telephone #: (
Street Address:
Cify
State:
Registration #:
Sewedwater licensed plumber (if installina sewedwater): Phone #:
Zip:
Zlp:
I hereby acknowledge that I have read this application, state that the informatton is correct, and agree to
comply with all applicable State of Mtnnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?OFFICE USE ONLY
License # Exp.
J `? u
Certificates of 5urvey Received _ Yes _ No 115M
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
O 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ?
? 36 Move Bldg. ? 43 Reroof ?
? 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applicant
VALUATION Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
45 Fire Repair
46 Windows/Doors
_ Footings: New Bldg _ Insulation _ Windows - new/replacement
_ Footings: Deck FinaUC.O. Siding
_ Footings: Addition FinaUNo C.O. StuccolStone
Foundation Fireplace: _ r.i. _ air test fmal Roof: _ ice & water _ final
_ Framing Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planriing
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
Building
5L.vo
-71T
51?.?5
Engineering
Variance
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107870
Date Issued:10/31/2012
Permit Category:ePermit
Site Address: 4684 Kingsbury Dr
Lot:13 Block: 4 Addition: Beacon Hill
PID:10-13500-04-130
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Chad Bettin
3208 First Street South
Waite Park, MN 56387
320-251-2505
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Deirdre Halligan-Hanson
4684 Kingsbury Dr
Eagan MN 55122--271
Ecowater Systems
P.O. Box 428
Waite Park MN 56387
(320) 251-2505
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173218
Date Issued:11/03/2021
Permit Category:ePermit
Site Address: 4684 Kingsbury Dr
Lot:13 Block: 4 Addition: Beacon Hill
PID:10-13500-04-130
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 -
Patrick & Jaimie Higgins
4684 Kingsbury Dr
Eagan MN 55122
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature