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4884 Knottingham CirCITY OF EAGAN Remarks Addition RRTTTANY $th Anntu _ Lot 9 Bik 2 Parcei--1Q 15007 090 02 owner street-?$$4 Knottingham Cr. State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 19 7 6 ILAMMM 12.23 1 aaZ?E, - T? SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1 536.00 35.74 15 STORM SEW TRK 67SD 186 942.00 62.80 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET IIGHT WATER CONN, 500.00 n n aUILDING PER. 10659 if it SAC n ir PARK 0 CASH RECEIPT ? CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 , DATE 19 wcenvIto ? rnowt - AMOUNT $ I 7 a DaLLAas ?oo [] CASH ? CHECK roR - - . ,•?• , ? ? i l I_Y . , ?- PVNO CODH AfAOUNT .-'?. ` i . .. . ) • ? . . ? ? 1 Thank You , ,BY •? 1Mhite-Payerc CopY Yellow-Po6ting Copy Pink-File Copy ,# , . • (gerti#ira#e of (IDrrupanry Citp of (Eagan oP#turtritPltY Af lltdbttt J jwPttiDrt This Certifrcate issued pursuant to the requirements of Section 306 ojthe Uniform Building Code certi)ing that ar the tenre ojusuance tlus structure wa.s in compliance with the various ordinances of 1he City regulating building consrruction or use. For the following: use ctueifiouai Sf DWG' 91ag. Prrmh No. 52 Oceuprcy Type R3 Zaning District TYpe Coost. owner ora?aai-I TOI.LEFSUN Addrm 1655 f.;R:;AN 4864 KNOm. .??. L 9, h , i P. `•'.' c?, Tl' euddini aaares iouncy APRI! atc smiaing offictW POST IN A CONSPICUOUS PLACE , ? . BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipf Slte Addrea - - - Erect Ll Ooeupency Lot " Block S+c/Sub. Remodel ? 2oning Parcel No. Repeir ? Type of Const. Additlon ? No. Storiea Move ? Length -?• 7R. W Name - - ? - Demolfsh ? pepth -?? -3 ? Z Address Int impr. ? Sq. Ft. 5 - -- ----.? ?' ? f ' ? 1 ? U ..pP.vwo rws 9 Name jb Addren T Assessment Permit ul Water b $ew. Surcharye City Phone Police Plan Review ?W Name Firo SAC Address Enp. Water Conn. ' W City Phone Plonnt? Water Meter ` CouncN Roed Unit I hereby ockrawfedpe thot 1 how road this opplication ond state that Bldg. Offl /}'' Tr. PL the intormotion is correcf and agree fo comply wifh a11 appliccble A? Parka Stah of Minnesoro Starut•s ond Ciry of Eogan Ordinonus. Var. Date Copies Sipnofuro of Permitte? Total A Buildinq Ptrrnit Is issusd to: ' on the txpress conditiwn Ihat oll work sholl be dorw in accordann with a!I opplimbl• 5tote of Minnesoto Statutes ond City of Eapon Ordinonces. etglaino officioi 10652 Pwmit No. Pwnh Holdw Dsft TNephone * w??t,i?w 9 G ?= -? ,. H.?VA.C: 7' 1? - eNee.?? i ?. ? ? • 7 ?,,; , '`?,". .. f' ??2 .??j81, ?? ; ? : - sote.nK Irqpection Dsta InsP• Othw Footinys 1 Av V2gG ? Footinqs 11 . . Foundatlon Framiny Roofing Rouyh Plbg. Rough Htg. Inaul. Fireplscs r ? Ffnel Htg. Fin.l Pibg. Finsl Cert/Oca Water ?'?? ?oe io ; w?i t? ?, --? - 17 ?- Sewar Pr. Disp. PERMIT # MECHANICAL PERMIT RECEIPT # GTY OF EAGAN 3830 PILOT KNOB ROAD, EACiAN, MN 55121 DATE CONTRACT PRICE PHONE: 454-6100 Site Address gLpG. nPE WORK DESCRIPTION Lot Block Sec/Sub ' ' R ? N ? ew es. Name M lt Add m u -on Address ' ?' •' ?' "? %`- ' C R i s _ r omm. epa c City i /: •" Phone Oth er ? Name 7 ik FEES c Address RES. HVAC 0-100 M BTU -$24.00 p City ?'? •' ?? Phone"'?y ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADQITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air ?L2_ M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 (ADD $.Sd S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping OuUets # ? - Other _:-•' ? . FEE ? ,? • f ? SIGNATURE OF PERMITTEE S/C: • -- ToraL FOR CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB RQAD, EAGAN, MN 55121 Site m Name ? Addr? c City _ PERMIT # r? y r' RECEIPT # . -; DATE: /i Sec/Sub ? Name i I r-( jS?N vv _ 3 Addres5 o City J t. Pnone FEES COMM/IND FEE - 196 OF CONTRACT FEE MINIMi1M - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION New Add-on Comm. Repair Other 1?. FIXTURES - Water Closet - $3 00 TOTAL i? . L-Bath Tubs - $3.00 Lavatory - $3.00 .?__Shower - $3.00 I Kitchen Sink - $3.00 ' Urinal/Bidet - $3.00 ? Laundry Tray - $3.00 - ? Floor Drains - $1.50 ? Z ? ' Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 ' Softener - $5.00 Well - $10.00 Private Disp. - $10.00 =Rough Openings - $1.50 4 -' - FEE STATE S/C: GRAND TOTAL• ? ''?? CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS ' Correction Notice ., Located at I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: ? When corrections have been made, please call 454-8100 for inspection. Date Inspector City of Eagan DO NOT REMOVE THIS TAG Pilot Knob poad Box 21199 i, MN 55121 SEWER SERVECE PERMR PERlv11T NO.: DATE: No. of Un(ts: - ! . _.?.? RI -'?•? h @aw* wm !w Cilf of fo"n Dote of Insp.; Corx»ctlon Chorpe; ' - Aooount Depodh Permit FM: Surcimrpo: Miso. Chorpss; Totol: Duh Pold: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoninp: ` No. ot Units: - Ownsr: - - - %- ' . Addrom Sih Mdresc •? ' - ?- - - 'i l-tti,nY c Plumber. Meftr No.: Comection Clwrpe: Size: Aocaint Deposit: Ra°de* No.: Permit Fee: 1mow to eowpip nMA !IM Citir of BOWN Surcharye: ? MitC. Chorpes: Totol: BY Doh Potd: Date of Insp.: Irm.: ITY OF EAGAN WATER SERVIC P 0 Pilot Knpb Road E ERMIT . O. Bcx 21199 PERMIT NO.: agsn, MN 55121 DATE: j` Ing' . nits: - ress: tr /kidrom i *?c?3 ? ?, ,: ? , ? ?; ? • t? ? ? - •, c.<« ^ •±? !?,? ? un+ber ? r N /lcoourn Depoatt: r No.: 6 ?, S S Permit Fee: ? Mme to eo?plr N!6 !IN Citi of IMPw Surcharfls: Mitc. Charyes: ol: e of Insp.: Dats Paid: Inm_. r7- - 3 -gG RESIDENTIAL BUILDING PERMIT APPLICATION Ob CITY OF EAGAN 3830 PILOT KNOB RD - 55722 22 ? l9 i r ei 651-681-4675 New Construction ReouiremenU RemodellReuairReauirements • 3 registered sRe surveys showing sq, ft al bL sq. iL W house; an?p iooled areas • 2 copies of plan (20%mauimum bt coverage albwed) . 1 set of Eneigy Cakulatloris for heated additions • 2 copies of plan showiig beam 8 window alus; qwred tound design, ek) . . 1 sfle survey far exterior addNOns & derJca • t set of Energy CalaWtions . IrWicate fl home served 6y septic system Iw additbns • 3 copies of Tree Preservation Plan if lot platled afler 7/1193 • Rim Joist Detail Options selectlon sheet (Mdgs wilA 3 w kss wig) DATE 'S -l 9- ^ 2-CX?? 1 VAW/[ION 40 C900 JOB SITE ADDRESS IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN TYPE OF le n } L00?5 L -0E+ [?f50? ? l?7h?5 ?11rrl S4 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT S?sSi,L Core ar.r+-koy, ??,1? ?8 x?iWag PHONE# ADDRESS (?O 5L( Teq^s?? i.Z S-t• ea,3 f Wtr+ VN• { Ss-?+ y l(c,B ZIPCODE S`5-'14 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Ener9y Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential VentilaGon Category 1 Worksheet S? - Energy Envebpe Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Confractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Conhactor: Phone # Phone # Fee: $90.00 Fee: $70.00 All above infortnation must be subirtfitted prior to processing of application. I hereby acknowledge that I have read this application, state that the info tiq is rrect, I agre ply with all applicable State of Minnesota Statutes and City of Eagan Ordf?e < Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updared 1101 _ Water Softener _ Water HeaYer _ No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ 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 O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 Ot of _ plex ? 09 07-plex 'K 77 Garage ? 22 PorchlAddn. (4sea.) ? 33 EM. Alt - SF 0 04 02-plex ? 10 08-plex 0 78 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex O 19 Lower Levei ? 24 SWrtn Damage ? 06 04-plex O 12 12-plex Pibg Yor_ N X 25 Miscellaneaus 5P0lt,7--iS A-?'Lr,i}- ?7 31 New O 35 ? Int Improvement ? 38 Demolish (Interior) O 44 Siding i ? 32 Addition O 36 , Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair A 33 AlteraGOn ? 37 Demolish (Bldg)" O 43 Reroof O 46 Windows/Doors O 34 Replacement •Demolftion (Entire Bldg only) - Give PCA handout to applieant Valuation 0 (7(..o Occupancy 114, MGES System Census Code Zoning City W ater SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered TypeofConst 'jn.L Width ? REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion IiVAC Drain Tile Roof Ice & Water Final ? FrammB _ Fireplace _ R.I. _ Air Test _ Final _ Insularion _ ?rF}o'P.cP-6r?? wG7t+ t9L4 Q?,.•?- mrvda". -zA.,7ta f}- 5 Roart Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit 8 Surcharge Treatment Piant Plumbing Permit Mechanical Permit License Search Copies ?. Other Total Other Pool Ftgs Air/Gas Tesu _ Fina] Siding Stucco Stone Windows (new/replacement) Approved By T Z , Building Inspectar ? irnot'--t ? ?,) )? / / ? -_ ) 31 3 l ?, ? i 7"'r!0 r f 7 ? ? 5 ?/57'"fua? -1- G?R?LS+ipvost. ? ?? ?? ? r- • CASH RECEIPT • . . CITY OF EAGAN ? 3830 PILOT KNOB ROAD EAGAN,MINt?{ OTA55122 .6itTe ? ?" -7 +9 iz RECEIVEU /`?G () AMOUNT V I$"' ! ! Occ-v ?? FUNO CODE lo OUNT ' 3r r? ? a? o Thank Yoa ? Nc-I 68200 White-Payers Copy Vellow-Posting Copy - Pink-File Coov & ?DOLLARS ?CASH CHECK 'ao REQUEST FOR ELECTNICAL INSPECTION Eep-oooo1-os i Sea inatmc2ians lot completing this form on back o1 vellow copy. ?/6G°2 7 "X" Below Wak Covered by 7his Request nl Builtlina 1 Aooboncea WireC 1 Equiumenc Wired lectr p Fee ServieaEntranceSi:a q Fee b/anders b Fee Gircuits ?i 0 to200qm s s Otn30Am s Above 200_qmps mps E ? 31 to 100 Amps Swimming Pool _Am s Above Above 700_Am .? Transiormers ooms Pertial'Other Fee Ae Signs Special Inspection $? TOTA EE marks ? ( ...V„ 4 ?I 1. the V ? /?S 0 ? Insoector, he.aby Final y? ? certily thet Ihe above /? msoecLOn hes eaen ?d meda. requastvol0 .h/??/?? This ruquest void /. 18 mon[hs fmm ? C 7 7 5 8 7ky. l?.2 s, Co rYlO G oZ pe,,i??a3O _i? ' Fire No. ;q?h-?,I nsoc?,o. ?qeatly N?w?ya?w•.•, ill Nnl?ty InsPec- ? `'ar Wh R Yes No en eady t icensed ElecVical ConUactor I hereby reqvent inspecbon ot abovewner electrical work insGlled at: I Streat A re,is, ax o, fl e No. ? ? ho . ?t CE rY? it u- ecuon o. ownship Name or No, ange o. Counly, t ( 74 INT) ? .SUxJ Phan No ?S73 ? Po SuOD??er AAdress I cvroal Conaact r pany ame) ? M ?- C tr» t r Li ense No. ?? 5- Madm. Address ICOn ra tor or Owner Meking In ailauonl Authonze natura 1 ra tor O er king Installano Pl?uqa mber U `? Jt ?.a a ?, o MINNE$OTA STATE BOARD OF ELECTPICITY TMIS INSPECTION PEQUEST WILL NOT Gri99a-Midway BItl9• - Aaom N491 BE ACCEPTEU BV THE STATE BOAND 1827 Univernitv Ave.. St. Paul. MN 65104 UNLE55 PNOVEN INSPECTION FEE IS Phone16121662-090D _ ENCLOSED. CITY OF EAGAN N_ 10 6 5 2 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t3 yC/? BUILDING PERMIT PHONE:4548100 Receiot * ? / SitsAddrees 4884 KNOTTINGHAM CZRCLE La g elock Z Sec/Sub. BRITTANY 8 Parcel No. W I Name TOLLEFSON BLDRS ? Address 1655 NORWOOD DR - City EAGAN phone '3? `-?4-QO-+ 3- ?o Name _ ? Address (`;rv Phone 1- llU"U Name _ Address Ci2y Phone Erect X.l Occupency R-3 Remadel ? Zoning R-1 Repair ? Type of Conrt. V Addltion ? No.Stories Move ? Length _ 7 Demalish ? Oepch 54- c1 Int Impr. ? Sq. Ft. J Install ? AOM"ak iees Assezsment - Water 8 Sew. Permit sA st _ 00 SurChflrge 71 _ flf) Plen Review 96 Q 00 SAC 529; _ (1(1 watercooo. 5n.f1 - nn Water Meter FI n n RoedUnit 7R(1 nn Police Firo Erq. Plannar Gouncil I hereby ackrowfadga that I have read rhis application ond ztote tMt Bldg. Off.?/16/H S I Tr. PI. 1'37 f1(1 the Information Is correct and ogree to Comply with oll apPlicobla A? Parks StaN of Minnetoto $tatut ond Ciry f Eogon Ordiro s.? Var. Dete Coples $ipnaturc of PermiMee TOLLEFSON BLDRS 7otal 2•378.00 A Building Permfe is luued M: on tha exprem condiflon tlwt oll work shall be done in accordanee wij11 cll a,pplimbld)State of Minnesoto $tatutes ord City of Eaqon Ordinancec BuHdirq Offidol £; {' { t . 1985 BUILDING PERMIT APPLICATION - CITT OF EAGAN NOTE: ALL CONiRAC'fOR3 MU3'f BE I.ICENSED IRTH T6E CITY OE EAGAM INCLUDE 2 SETS OF PLANS ,3 CERTIFICATES OF S URVEY 1 SET OF ENERGY CALCULA TIONS U To Be Used For: SFf) Valuation: 14 Z,ocxD- 00 Date: ti?`I)L,y I G j GByS ,F, , Site Address: 4p, KINEIL i IC,E}iqM jWLLe7- OFFICE USE ONL7 Lot: r Block 7- Sect/Sub Fr?MMY 8'N=Erect X Occupancy ?-3 Remodel Zoning 2-f Parcel p Repair _ Type of Const S-L Enlarge d of Stories Owner Move _ Length LQ,2 Demolish Depth 54 Address Grade _ Sq Ft City/Zip Code Contractor Address _f L?5S I4bp3ArY'117 nl/lV City/Zip Code EAr.AN Phone 0 Arch./Engr Address Phone 0 APPROYALS Assessments Permit cJ-? 8. Water/Sewer Surcharge -7 1? Police Plan Revieu 2b`1.- Fire SAC Engr Nater Conn Soo. Planner Water Meter (03. °° Council Ro Unit 2ao. ? Bldg Off ? Parks APC Treatment Pl I 32. °` Yariance SOiAI. s ?. ? B __`'? 2 V JC C_U y' ?& -T 1< S 4- ? `i ? 3?J ?o ?&c) x ?a = 3St?4o zo x 3z = ?a? ?s4 ? ??sc?? Zo ? 32? (?40 x <<_ ^ ?040 It? ?2 7 Z-7 cD ZI(oC) 14 x ?q- - ??? x Zo = ??20 Z Z x 1 2 ` LQ, 4 - x- 8 Z I I 2 -- 141 544 I l --WALL SECTIO -- Determining "0's valuee at Roof, Wall, Rim, and Conc, Hlock ROOF/CEII.INO 1.) Interior Air r'ilm z.) 5/8's ayP. aa. 30 Ineulatiou 4.) 50 Extefilor. Air Film (STILL) (R) VALUE 0.61 .56 44-o0 .61 IOUIO a IIR= •pZr abTAL (R)=9.5.7if l 1 WAI.L 6.) Interior Air Film 7.1 1" QYp. Bd. 8.) Tnaulation 9.) LsAz" Sv,ca=Pim-7 10.) MASOnite Siding 11.) Exterior kir Film (R) VALUE 0,68 .45 19• C,o 204 •b7 .17 npll a 1/R= .O`}3 TOTAL (R)=Z3.ol ._--- ?- RIM • 12.) Intarior Air Kilm 130 Ineulation• 14.) 211 Fir Rim Joiet 15.) ZS/3z'' Bon-r-R,rls- 16.) Masonite Sidin6 17:) Extorior Air F11m (R) VALUE 0.68 l9.00 1.88 Z. 04 .67 .17 nUn = 1/R, TOTAL (R)=Ztf ? ..r• FOUNAATION 18.) Interior Air Film 19.) zo.) 21.) 1211 Oonarete Hlock 22.) ??`Ia lwsvc.. 23.) Exterior Air Film (R) VALUE 0,68 1.28 g •60 .17 nIIu z 1/R= . 098 TOTAL (R) = I0. ?- ; J; One or Two Family All Other CITY OF BUILDIN(3 DEPART1dEIJT EXTERIOR EIZVF3,OPE AVERA(iE "Ull C01•iPUTATION (To he submitted with building perroit application) Dwelling ziz Owner Contractor ,?,;,??? ?7?1 8ite pddress Date Phone LINEAL FEET OF # ^ EXPOSED 4rALL .?Q5 lClrQ.K- 5445e5T ft. above grade = ?iCjC10r TOTAL EXPOSED 4VALL AREA SQ. FT. OPAQUE l4ALL CONSTRUCTION: "Utf Value x Area j.??nE 04.3 x s . Deference ) o" nA92 x SQ. from r'iej? [xFC) x SQ. attached ux SQ. sheets npu X SQ. iiUu X SQ VJINDOWS: "Ult Value x Area FT. ` .Zl?. q3--'110 (U) (A) FT. '2i6,,"L1.= L.1..1 ?(U) (A) FT. LLY.r =cl, i2_(U)(A) FT. - (U) (!g) FT. _ (U) (A) FT. _ (U) (A) Pfake & Type _bk't+L' Ls.n"T. rrUff • 90 x n SQ. FT. K 'O- 7.3,?;Z (U) (A) u uUu X SQ. FT. - _ (U)(A) o n x "U" SQ. FT. _ (U)(A) n n upn x SQ. _ FT. _ (U)(A) DOORS: "U" Value x Area t•Ia';e & Type ?L, ??U° .?4 X SQ. ?? u PATIV ??c "7 x SGZ, n n - upu x 5q. n n nUn _ x SQ. TOTALS ZY90, ! i?, SQ. AVERADE "U" TOTAL (U) (A) VALUES 2eol, o3 _ D3-1 IVIDED BY TOTAL 4'IALL AREA 2 ?? AVLRA(1L "U" ,? t5 br less for 1&2 family dwellinge ROOF/CEILIN(3 • TOTAL AREA: •_JLx]. Th FT. 36,OCJ = 7, F :±_(U)(A) FT. CaC.? = St?;?i'Z (U) (A) FT. _ (U) (A) FT. _ (U) (A) r'T. 2 1. (o:? (U) (A) Detail reference flUll _x SQ. FT.?I? __ .3?;5 (U)(p) from 51UII • x SQ. , FT. a (U) (p) attached sheets. IIUII x SQ. FT. - (U)(A) Describe onenings itUot x , S9. FT. - (U)(A) in roof. IIUlr x SQ. F'T. _ (U)(A) ToTAL (U) (A) VALUES DIVIDED BY 2 7? 3n = TT1?L?j .?•? N,ft_ Z7. 3fi CUY?> C TOTAL ROOF/C AREA /&I- '' pZj AVERAGE ?? .025 for bentilAted roofe. -_ A kloM e?E ,) _T ?l C 4i 4?w_? ? 8.89X (41t11t-¢Zt¢z) = 14?5.78 t3'8;;x (?-z t?o+zz+z7) - y?' ?=? S, W7x ?! - 3sS.97 ito7X (42t¢zt41) = 83,75' Lao X !.S = /05?•Co C??e 'g. c?.13 ? la7x(4t+4-Z+41 t41? = III• za 700 x on Zllo? zZ * F? ?-aST XIA?,qs 2OX310 = S.t? X Z = IO,.on 24x3(P = Cv,v x 3= IS?OD Z' x4f3 '= (0,7 )0x(oo = g.4. k 3= Z5, z n Z4x4-5 = S,p X (o = -M,ao !z 146 40 x z= 8,00 ' ,`lX'o-A lvo = /S10 /5l00 I'L yt 7z. = Cv?O X ?? ?v.GYJ /S3 ? gv •? ?x?-S wJz s,c; ZI,oo ; 5?' PA-7in - ??.oo + CO c PPc'T/O cB 'z ' 1.S-,} 'I1C i IJ?T EXPa?E;A C-'gk?c' ?? „ I??rn WDw'S Lzy,y? rr j}?,??y 183, $o I>s?oo 2,990.13 - Sv?.93 ?18s. zO .? f?f? ?,;x9o = ? X f3 - ?sxJq- _ 7X !o = yz0 zi o 70 l, 7-> cl.oa.? * CITY OF EAGAiV APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NOl'f,: PAYNit:TI.P OP FL•'.E Id TDSE OF APPLICATION DOES NOT CONSTIIVIE APPR0VAL OF PERNIIT, TNsencrzort OF sEWER Arro/ox Mxm TusmAr.ramrONS WiLL NOT SE SCfIIED- UIED UNi7L PERNIIT HAS BFEN APPROVID. P ease Printl 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: IF EXISTING SIRL'CiL?RE, DATE OF' ORIGINAL BPILDING PFRA7IT ISSC'ANCE: . (Nbn Year PRFSENf 7ANING/pROPOSID USE: 0 CODMERCIAL/RETAIL/OFFICE Q IbIDL'STRIAL 0 INSTI'Ii"PIONAL/GOVF?2NMEdP 2) ? NAME: TOIS,EFSON BUILDERS, INC. ADDRESS: 12617 Fairgreen Avenue CZTY, STATE, ZIP: Apple Valley, MN 55124 PHaNE= 431-1100 3) • u c ?• - - NAME: GENZ-RYAN PLIIMBING & HEATING COMPANY ADDRESS: 14745 South Robert Trail . CITY, STATE, ZIP: PHONE: Rosemount, MN 55068 423-1144 ? 1 SINGI.E FAMILY Q R-2 DDPLEX (Zt.o CTnits) ? R-3 MWNHOL?SE (Three + Units) ? R-4 APARTP'EN'p/CODIDUMINI['m MASTII2 LI(£NSE# 1849M ( C?nits) Units) [] Active H F7cpired 4_1 Not recOrded St Initial ¢) .oae • e i?- NAD7E: ADDRFSS: CITY, STATE, ZIP: PHONE: .5) ? V' ? a• • ?: a • a. ?. ? CONNECTION ZC} CITY SEWER CONDIDCi'ION 7U CITY _WATIIt ? p2'FIERR_ nn?• 6) '' '' °?• [] PLFASE IIOLD APPROVID PERMIT FOR PICK-t-IP BY ONE OF ABOVE PLF.ASE MAIL APPROVED PEI2NLiT TO 1, 2 ABOVE ? (Circ e one) ? 7) r i• u' ` ?,?%zFlif3.ur.'91 FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ / O• SZ? WATER PERMIT ( INCLODE SURCHARGE) $ $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ o IS ACCOL'NT DEPOSIT - WATER $ d $ WAC $ U--O $ SAC $ $ ' TRUNK WATER ASSESSMENT $ $ TRL?NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRCNK SEWER $ $ LATERAL BENEFZT/TRUNK WATER $ I.l Z_LJ O $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER:. $_ (Z Zo -.yn $ 6 Z) TOTAL _ -- '?J '3 ?/ % G C? RECEIPTf ' RECEIPT DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION. LIST AS A CONDITION. ? SUBJECT TO THE FOLLOWING CpNDITIONS: ? ? W v .f ?U TITLE: DATE: •. , ?? /??/?? ` } ~ I ~ _ . . . . ~~~~.v,~~ S p~~ . 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REMARNS ~ I ` DATE~~~RE6 NO ~ • . )ERS OF ~ . . . . . . . . . , : , a„:. Y l~iV:..~~+' a ?~pd. ~`s_~L ~ ^~~i~; REVISION$'~ . , . . , , . w . - ~ - PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132391 Date Issued:08/12/2015 Permit Category:ePermit Site Address: 4884 Knottingham Cir Lot:9 Block: 2 Addition: Brittany 8th PID:10-15007-02-090 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 - Glenn Detlefsen 4884 Knottingham Cir Eagan MN 55122 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature