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3828 Fairhaven Rd Use BLUE or BLACK Ink I F~ ice tJes I ~lty Of ~Il Permit / r tr I Permit Fee: ~e 001 3830 Pilot Knob Road I 1 i i Eagan MN 55122 Date Received: Phone: (651) 675-5675 D rl),i Fax: (651) 675.5694 Staff: I 2011 MECHANICAL PERMIT APPLICATION Date: Site Address: ~1,E 1 1~~ yni ' Tenant: I Suite M RESIDENT / OWNER Name: LWU N(uho ( Z Phone:( S( q9 -7 -l' Address / City / Zip: 3 QL CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License 301 W. Burnsville a Address: Suite 120 City: Burnsville MN 55337 qS2 ~sqQ State: Zip: Phone: Contact: 61 aA Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: l , NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL _ Furnace _ New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under I Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other JIJ- Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) / $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) l k TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One 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.aooherstateonecall.ora 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 1 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. xf- ry I N I, ( V n x App ant's Prints Name Applicantsgna ure FOR OFFICE USE Reviewed By: Data: Required Inspections: Under Ground _ Rough In _._._Air Test _,Gas Service Test -In-floor Heat ____Final Exterior HVAC Screening Inspection CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eaqan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt ? To be used for Est. Value ?%° ?OUt ) Date Site Address Lot Btock Sec/Sub. On SRe Sewaqe Occupency MWCC 5ystem ` Zoning On Site Well (Actual) Const Ciry Water (Allowable) ' PRV Required ? of Stories Booster Pump Length `` 1i Depth S.F. Totel Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge ' Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. • Water Meter Road Unit Treatment P1 Parks TOTAL Parcei No a Name W 3 Address ° City Phone City 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. Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . Permit No. Permit Holder Date TeIephona ik Plumbing ??`?'r,1 ? 4.??Cr. . , • ?C ??/? ? H.V.AC. 9 Electric Softener inapectlon Date Inap. COmm@nt8 Footings I %s Footings II Foundation Framing Roofing Rough Pibg. . Q ? Rough Htg. lsul. - Fireplace Final Htg. ? Final Plbg. f Bldg. Final Cert.Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . . . . PERMfT # / C-? ?-?.=-- • ' MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNO OAD, EAGAN, MN 55122 DATE: ' ' CONTRACT PRICE: P E: 4-8100 . Site Address BLDG. TYPE WORK DE$CHIPTION ? Lot % Block Sec/Sub ^ Res. .L? New LJ -? y ? ? Name-` `? ?9 ?? ? Mult Add-on m m Addre 7 ? < L ? Comm. Repair c - City ? /? ? Phon ? I Other ? ? Name ?-oAl' ? FEES RES HVAC 0-100 M BTU -$24 00 . . c AddreSS ADDITIONAL 50 M BTU - 6.00 O Cit ?-' `,',-r ph n (RES. HYAC INCLUDES A/C ON NEW } e ? ?, CONSTRUCTION) ? GAS OUTLETS (MINIMUM 1 PER PERiVIII) - 1 50 E A - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU &'?? APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) FEE: S/C: ' J SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN ? PLUMBiNG PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address ? Lot Block SeclSub ? Name ? =1 m Address c City Phone ? - Name ' ; Address p City " Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHO.USE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMMIIND FEE - $20.Q0 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT RECEIPT # DATE: f ? BLDG. TYPE WORK DESCRIPTION Res. Mew Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES TOTAL ? Water Closet - $3.00 ? ' Bath Tubs - $3.00 Lavatory - $3 00 Shower - $3.00 Ki?chen Sink - $3.00 " Urinal/Bidet - $3.00 Laundry Tray - $3.00 - Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping Outlets - $1,50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 i_Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAI: ? ' ' ? w ? (Itr#ifiratit nf (Orru?aury Citp of eagan lopparwmt of suilding jwrrtian This Certificaate rssued pursuant to the requirements of Section 306 of the Uniform Building Code cenifying that at the tt»re of issuance thrs struclure was in compliance with the various ordinances of the City regulating building corrstruction or use. For the following.• uw c?? SF DMG.;: M4 Permit xa. 15061 R3 f i PD/R 1 {N com. ? a?wa? WESTM iCZ1? 9401 XYT?ON AVIIV[1E S, mnS Btnldiug Addres '- - I.onliry , , EiII i?S QF FTI?t7DGE Dau: .?Jl,'1 Zr, 1938 eWein$ officW POST IN A CONSPICUOUS PLACE CASH RECEIPT CITY OF EAGAN . 3830 PILOT•'MCNOB ROAD . EAGAIV, MINNESOTA 55122 DATE ? 19 ? xcErvw v J ` FROM nMOUNr L Thank You BY m 84052 rim-rile u0Pr & DOLLARS O CASH C?I CHECK t? CITY OF EAGAN PermitNo: ?68-!' 3830 Pilot Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 Date: Date: Owner. '; le LvI?s 9_ . . . , ' ' e ;28 Fairhaven Rct . `--'` Site Address: i?t, Plumber. L - - \ Cann. Chg: ;_ 1,.?1Q Zoning: Ii?I ? Acct Dep: 15 • 0 0 No. of Units: Permit Fee: 10.00 5urcharge: • S0 1 agree to comply with the City ot Eagan Tr. Plant 204.00 Ordiaances. Meler. ?( , V ?ry. J =? ? M{sc ? B? WA's .:: i SERVICE PERMIT CITY OF EAGAN 3830 Pibt Knob Road P.O. Box 21199 ' . Eagan, MN 55121 Owner: Site Ad PlumbE Permit No: - - B/P No: - Pd Date: A Date: Zoning' •. MWGC: i `1 ? nQ ? No. of Units: • • City Chg= : D I agree to comply with the Cit]I of Eagan ep Acct. V C, Permit Fee: Ordinances. Surcharge: B Y SEWER SERVICE PERMIT RESIDENTIAL 4-7?V BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651•681-4675 New Construclion ReouiremeMs • 3 registered sRe surveys showing sq. ft M tot, sq. IL o1 hoine: and all roo(ed areas (20% masimum bt crndage allowed) . 2 copies of plan yMxing beam & window sizes: poured MiaW design, etc.) • 1 set of Energy CalalaGau • 3 copies of Tree Presenation Plan i( lot platted after 711/93 • Rim Joist Detail Optbns selection sheet (bldgs with 3 a less uniis) DATE .;JB SITE ADDR IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWNER 1LVf TYPE OF WORK FIREPLACE(S) _0 _7 _2 _3 APPLICANT SELA ROOPING & REMODELING, INC. v PHONE #(a(Z SZ3 - d? 410 L . ADDRESS RT IOIIISPARK nnN rsa1F ZIPCODE PAGER # MoMWE # fAX # 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 Gontractor: Plumbin; S}•stem Includes: Mechanical Contractor: _ blechanical System Luludes: Sewer/Water Contraetor: )Ag, A s RemodellReoairReauiremenls . 2 copies ot plan . 1 set of Energy Calalauom for heated additions • 1 site suney Por exterior addNOns & decks VALUATION (EXCLUDING LAND)!kE;-cI?0 6-11 _ Water Softener _ _ Wa[er Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Stgnature of '??k v Z Certificates of Survey Received _ Tree Preservation Plan Received _ No Required _ Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # Updated 1101 CITY OF EAGAN N2 15 0 61 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ? PHONE:454-8 100 ?r BUILDING PERMIT Receipt# ? u' d To be used for SF DWG/GAR Est Value $79,000 Date MAY 24 ,1988 Site Address 3825 FAIRHAVEN RD OFFICE USE ONLY Lot 6 Block 2 Sec/Sub. STONEBRIDGE On Site Sewage _ Occupancy R-3 M-1 MWCCSystem X Zoning PD R-1 ParCelNo. V N - On Site Well _ (ACtuap Const - a Name WESLEY CON R iCTiON Cirywater 1L - (Allowable) V-N z Address _ 9401 XYLON AVF S PRV Required _ # of Stories 0 City MPL4 Phone 944-7092 BoosterPump _ Length 45' Depth 32, _ ¢ ,o Nam2 S.F.TOtal Oa Address FootprintS.F. U ¢ City Phone pppROVALS FEES wW Name Engr./ASSess Permit 490.00 l-z xr Address Planner Surcharge 39.50 - , aw CityPhone Council PlanReview 245.00 BIdg.OfL SAC City 100.00 , I here6y acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00 information is correct and agree to comply with all applica6le State of Watei Cona ?5CL.M Minnesota Statutes and Cityot ga r irran s. Water Meter _61,110 -- Signature of Permittee _ Road Unit 7 S,:QQ A Building Permit is issuetl to:__t_1ESLEY CONSTRUCTIO$__ Treatmenf P7 204.00 on the express condition that all work shall be tlone in accordance with all applicable State of Minnesota S[atutes and City of Ea9an Ordinances. Parks TOTAL 2,570.50 Building Official_ r-'{ - REQUEST FOR ELECTRICAL INSPECTION es-00001-o/o7 ? , See instructions for completioy this lorm on back of vellow coOY. E 4207 "XBelow Work Covered by 7his Request AdA PeP. TVPa ot 8a0dln9 Aoolinncee WireE Euuipment Wired Home Ranye Temporary Service Duplex Water Heater Liyhtinp Fixtures Apt. BuilAing Dryer Electrie HeaUn Commercial 81dy. Furnace Silo Unloader Indusuial BIAg. Air Conditioner Bulk Milk Tank F3tn1 Olhrvr Peci v -lFie, ISPecllvl t nr Suaci(y Other 01hor Compute Inspecflon Fee Below M Fee SarviceEn4anm5iza II Fee Fenders/Subleetlers # F. CircvNs 0 to 200 Am s 0 to 30 Am s 5fif tn 30 llm. Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swinmiing Pool Above 100_Am s Above 100-Am? Transtormers Irrigation Eiooms Partial."0 r Fee Remorks Signs Special Inspection $ yr/? TOT L F / y) cartify that the aeove insOeclion has bean mntla. e, ?eQuesl voitl i ?„o?ms ??om G' ?o ?? E 4 2 0 7 .1, i /,- v l?l1? ?l',}-?; ) v,-; '4c.e Request Date Fire N. / Rouph-in InsVe ion Requiretl? []fteady Now Will Notitv lospeo- (V pYes ?NU ? ?er When Reatly ? Licensed Eleclrical Contraelor I hereby request insoection ot ebove ' ? Owner elecVical work installad at: Straei Address, Box or Route No. Ciry 397-81 Q io ecuon o. Township Name or No. ftange No. Counry C OccupantlPRINTI • Phone No. s eT?r,.i Ss o s?f Power Supplier Atldress ?r ?/cD 4lLC /G ElecVica l Conhacmr (COmpany Nam e ) Contractor's License No. y / 1 LC ? ? / Mailina ?.dJress lContractor or Owner MakinB Instailationl Authorired Sig Wre (COnhaclor Owner Making Installation) Phone Number MINNESOTA STATE BOARO OF ELEUpJ11CITY Griggs-Midway Blde. - Room N•791 1827 UniversiN Ave.. SL Peul. MN 56104 Phone f6121 642-0800 TNIS INSPECTION REQU[ST WILL NOT BE ACCEPiED 9Y TME STqTE BOAHD UNLESS VROPEN INSPECTION FEE IS ENCLOSED. BLDG , 01-3422 Plan Check 01-3445 Surch./Adm. 01-34p6 SAC/Adm. 07-2155 Surcharge 75-3960 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 SewerPermit 79-3866 SewerConn. 28-3855 Park Ded. k TOTAL .? 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN '?0 to I SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME04lNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS RENTAL UNITS FOR SAI.E UNZTS 4i OF UNITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLODE 2 SGTS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULA'TIONS .,' ?,:,.. To Be Used 'r'or: Site Address Valuation: 00 Date: ;f )Prfil' OEFICE USE ONLY Lot Se ?lcek Parcel/Sub ?111?5 i? SToNC dtid?_ Owner ? ?S(?? ?o,.v,r?,ra?'7o,c• Address ,/ yv, X ?/?u,t? /7d r .fo City/Zip Code 6`/.4- v-i y-V Phone Contractor .???/'!C Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # On site sewage_ Occupancy ? 3 M-I MWCC sysl:em ? 2oning PD 'R-I On site well Actual Const _ '• N City water Allowable '4N PRV required Ik of stories ? Booster Pump _ Length Depth .32 S.F. Total ' Footprint S.F. APPROVALS FEES Engr/Assess Permit Q J Planner Sureharga ?G Couneil Plan Review S-OJ Bldg. Off. SAC, City 00 100 Variance SAC, MWCC Water Conn O - DO Water Meter (V 9 10_Q_ Road UniL 31s,? Treatment F 1 D , 00 Parks Copies TOTAL ?5'70.50 VAw.#TI oN -----.-- CsA RR&c Zy X7-2= 528 x ry =??,92 QAs? M EN r 32?c z2 = 90y X I 3, = 9152 Houst 3Nxz2= -7 4 8 Zo 1( 2'4 = 4 `6 0 ?6 = 32 2 Y. 7?1'/2= 1d ? 111fl x 4y= b2z3o , i ed ggoc? r 6b 2007 RESIDENTIAL MECHANICAL rERlvtiT arPLicATroN 7 City Of Eagan c Pl- 3830 Pilot Knob Road, Eagan MN 55122 Teleplione # 651-675-5675 f, Please complcte for. single family dwellings & townhomcslcondos when pcrmits are required for cach unit Date?/oZ? /o ! ' Site Address .3oc-?Lg Kp?(.' ? Unit # - - PropcrtyOwncr -1Ll 27C- eL ?QQt/ L NpQ,?017 4 ? 'fclephone # ( (b@ ) qS U" A7`4 a-. THE SNILING C9NFANY, INC. Contractor 4404 rntdPf Rfll n ? ST. P,1tJL, MN 55104 Strcef Address F,E'-646 7381 City Statc Zip Telephone # ( ) Bond #: Expires: 'Phe Applielnt is _ Owner ? Coatractor _ Odher I'ire repair (replace burned out appliances, duchvorly etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a buiiding. Add-on or alteration to existing dwclling unit $ 50.00 ? fumace _Additional _Replacement _ New air exchanger air conditioner heat pump other State Sm-cUarge $ 50 ? Total I hereby apply for a Residential Mechanica] Pennit and aeknowledge thal the information is eomplele and aceurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and witli the Mechaiiical Codes; that T understand this is no[ a pennit, but only an application for a penrtit, and work is not to start witliout a ieLi"Ludi • iat the work will be in accordauce wit11 the approved plan in the case of work whicli requires a review and approval of pla (I177 Applicant's Printed Naine App cant's Sign u-e 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION 0 CITY OF EAGAN yy IS-. tS-0 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I I ? ' r (,?_ ?-` Site Street Address ?JOa2 rG7,llr 1?VQXI RU Unit # PropertyOwner l,Q,co1 ??cld\Z Telephone# (V31) -154-2lLf contractor ?'P ? I ?2VJ0 ? K S Telephone # v-., 1) .? (05 Address 300 'bQdll P-6 City FAQan, StateM? Zip 3 The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener _Z(INater Heater $ 15.00 ? replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 StateSurcharge F0 F .50 Total NOV 1 72 04 $ U I hereby apply for a Residential Plumbing Permit and acknowledg hat the inform`afioJn is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the piumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ? (J? Applican 's Printed Name ApplicanYs Signature ct 1S.Sv ? 1 ., I ?(4 RESIDENTIAL BUILDING ?x Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ???,Gb New Conslnuclion Reauirements RemodeUReoair Reauirements Office Use Onlv 3 registered site surveys shawing sq. R of IoL sq. ft of house; and all ioofed areas 2 copies of plan Cert ot Suney Recd (20% mazimum lot caverege allowed) 1 sel of Energy Calculalions for heated additions Tree Pres Plan Recd 2 mpies of plan showing beam & wiMow s'uxs; poured fowW design, etc. 1 sAe survey for addNons & decks Tree Pres Not Reqd isetotEneqyCakulafions Addifion-indicateifon-s8esepticsysfem _On-siteSepticSystem 3 mpies of Tfee Preservation PWn if lot platted after 711193 Rim Joist Detail Options seledion sheet (bldgs wiN 3 or less uni45 Date ___? / -a / -02 Canstruction Cost Site Address 3 ?????( I '/ I ?(' h (] 1? ? ? , UniUSte # Description of Work 1N s G ri'? f VP 6)10GIt GYN }?f??'L 0 a?`?/?7?,. T ??w ? Multi-Family Bldg _ Y X 1V Fireplace(s) _ 0 X 1 _ 2 Property Owner cjy- z- 05- Telephone # 6v)/ `-7 SL,1-97219 Contractor j? 62 ?Yl YHO/1/1 ? naar?s 3X'Sc) j? /,v(,, 13 csTy 13,.-4cv?//e State M{')_? ? Zip ,`J"?.37 Telephone # (?S2_) 0228? COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 CateQOrv 1 • Residential Ventilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculadons Submitted Licensed Plumber A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone # ( Mechanical Contractor Telephone #(Ot5:b 1Ti '12- a2.Scir Sewer/Water Contractor SEP i 22003 'Jli i ; I hereby apply for a Residential Building Permit and acknowledge tha fie information is complete and accurate; that the work will be in conformance with the ordinances and codes 'Oythe_City_ of_Eagan_and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work ts not to start without a permit; that the work will be in accordance with the approved plan ' the case of work which requires a review and approval ofplans. . V-?c? Sk^ G? 1 ApplicanYs Printed Name ApplicanYs Signature alsl?l EXTERIOR ENVELOPE AVERAGE "U" COh1PUTATION OWNER SITE ADDRESS .Zy!?b A P, bpLdpe- CONTRACTOR Cl/`SCt'??/I?r7? pATE 12 ' i' FG PIiQNE ?.5?? `015,e ? Determine working square footage of each.. 1. Total exposed wall area ..... /g /I9 sq. ft. x_ii_ 2. Total roof/ceiling area ..... f?7z sq. ft. x _026 Total exposed wall area above floor = //v yE- _ a. Total wall window area ........................... b. Total door area .. ........................... c. Total sliding glass door area ............ .. d. Total fireplace wall area ....... ...... ...:..... " e. Total wall framing area (average lOX)...:........ ? r f. Total net wall area above floor ................. /329_1 __ g. Total rim jaist area ............................ _13Q Total ekpased foundation area - h. Total foundation window area..................... i. Toal net foundation area abeve grade ............ ? Determine "U" valse cf each wall segment. a._ 114 , ? Z x "u" b. 37,72 x °u° ?sz = ?o?y3 ?i,;23 = yGs C. - X .,u„ d. X "U" e. 16f/,•b0 X "Ulf , 0 = 1'?'1*3 f. 1.729.?./ x flusi .?y = s3-/7 9. 130 x °u° s.;?o . n. - x „U„ ;. /4l x liusi ,13 = 13,13 3 ........................... ..... .Total If item q3 is the same as, or less than item #1, you have met the intent of S8C 6006(c)2. Construction R-Value v.oa 1? r rtim 2. t' ,t?9 • 3, i.nches soft lqood G.? 4. ? 5. ?Gr?? SiD/iV? .G 7 6. Exterior air •f31m = 0.17 Total 1691 Q:.09 FAAlfE WALL 2. 7. 3. 4. 5. 6. t J, s 3 ,Oy 5itL Pc:is r• . ? F00.7il2TlCN U'ALL 1. 2. 3. 4. 5. 6. ?u i .o ? Iiv if ? OG ?ar?6 G 7 ' rior a r film 0.17 . Tctal 2 S?? f/G • ? ? .Of/ 1. Interior air film 0.68 2. 3. ifil GOrIL 1,26 4. e' ifB r.&AW S' 1G 5. , 3/ . 6. Exterior air film 0.17 Totdl Z 7& Z/ = ./3 SLAB ON GRADE e L 1 /? . • ,? i /( ( ? t • • ' 1 ! , 6 ? FIG. B4 !f1 ? - ? ! X X lC ? ??I NOTE: Indicate type, "?:" value, depth and placenent of i nsulation. s • r . ? • a$ W11LL SECT:f1N5 ' No7'6c Ose 15% af opaquc wall.area for frame construction 1 Coustruction .. R-Value . l. Intcri r iir film 0.61 2. 3. /O " sil/iGA.fE 38 P4 q. Extcrior air,film (stLll) 0.61 Tocal 3?46 40 :o , v,zs Venced FIG. NS Heat flov up • l. Intcrior air_film 0.61 2. 3. ?? 4. Er.tcriur air lm sl-i Tutal [Y.ea[ flow up FIG. R6 . ven[ed 1. 2. 3. 4. S. Nol•e: Uso additional sliects if more space is neoded for details and calculutions. • ? , ? ^- Roor•/cezizNc • HQBc ?./ , flov up ' FT.r.. 07 , • . ? Total exposed roof/ceil9ng area = 4?2 7-2 J. Total skylight area ............................. k. Total roof/ceiling framing area (average 10%),:. .2 7-.2 1. Total net insulated roaf/ceiling area........... . 9 Determine "U" value for each roof/ceiling segment. J'- - X "Ulf -k. x„u^ . 026 = 3- 3/ 1?: // yy S X „u„ 4 ..................................Tota1 If total of N4 is the same as, or less than ti2, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values estabtished by the sum of items #3 and #4 shall not be greater than the sum of items Bl and #2. + .239,? 3. + a. 3/93 = /83. 3 P Z , APFLICATION FOR PERMIT SEWER ANQ/OR WATER CONNECTION aty oF ecagan 1) PROPII2TY ADDRF_SS: i'FY:AT• DESQtIPTION; ? N01'E: PAYMENf OF FEE AT 1'IME OF ? APPLICATIOPI WES NGf CYkI- .*k ? STI'N1L' APPR('iJAL OF PIItMIT. i ? INSPflCPION OF SESM AN7/OR MTIIi .'`. •y ItYSl'ALIATIO[SS WIIS. NOT BE S'FTIRVn ,+R y[TTfIL PIIt6IIT FVS Bffii APPROVm. flif4f fiklRYefift?t?f4liii?ff?ieYtwitlf IF EXISTING STRPCTORE, DATE OF ORIGINAL BUILDING PII2MIT ISSI7ANCE: bbn Year PRESENT ZONING/PROPOSID USE: Q COD'A7ERCIAL/RETAIL/OFFZCE Q INDLSTRIAL a INSTITf7PIONAL/GOVERNMENT 12-4 R-1 SINGLE FAMILY E:l R-2 DCPLEX (1WO Cnits) ? R-3 TOWNI-IOL'SE (Three + Dnits) ( Units) Q R-4 APARTMENT/CODIDOMINILM ( L'nits) 2) NANIE: PvPll-,z 6srl` -- - ADDRESS: CITY. STATE, ZIP: PHONE: qL/CI - 7/J `J 7 3) i:?• NAME: Pltun re s License: ADDRESS: Active Expired CITY, STATE, ZIP: Not recorded PHoNE: G.S (f -G15 J MASTII2 LICENSE # 3 2 3 G Sta rnitia 4) NAME: ADDRFSS: CITY, STATE, ZIP: , PHONE: 5) s a '?• •au .i ?? M CONNECTION TO CITY SEWER [? CONNECTION TO CITY WATER O 4TfER ' 6) C * * ******** *** * ***** *'k* ******`k* * * **1' SF'k'k*'k *** ** * *'k*:F* **'R* ***** *'k* * *'k* **** *** * *`k **** **** *** * **** *-** ***1 * TfE GOLD COPY OF THE PIIMT WILL BE SENr DIRFX.TLY 7U PUSLIC WRKS TO FACIISTATE MEPER PICR-UP. i ,*t PLEASE ALIOW 1W0 FARKENG DA}[g FOR PROCFSSING. SOMFANE FROM TfM: CITY WILL CONfACf YOi) IF 74EtE ? * ARE ANY PROBLIIMLS. ??*+.-k***,r*?*?* **:**??**?****??*******,?,r,r?** ***++*:?*??*,t*?*?*«****?*?****,t* **+**** *,r,e**?*+****,t+****; FOR CITY USE ONLY PERMIT # ISSUED _ Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SC'RCHARGE) WATER PERMIT (INCLPDE SC'RCHARGE) -7, 06 $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCODNT DEPOSIT - SEWER $ S n O ACCOONT DEPOSIT - WATER s 0e) $ WAC $? Sb. O o $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $- $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: TOTAL RECEIPT i RECEIjPT 5 DOES UTILITY CONNECTION REQDIRE EXCAVATION IN ppBL2C RIGHT OF WAY? T,yEs IF YES, THEN A"PERMIT.FOR WORK WITHIN POBLIC ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIO[VS: APPROVED gy; TITLE: I DATE: ( C, q 4 Q-E-z::?- -% ?7o.Q) () 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsVuaionReouiremenb RemodeVReoairReauiremenis Olf?ceUseOnN _ 3 registared site surveys shawing sq. ft of IoL sq. fL of house; and all roofed areas 2 copies of plan Ger[RfiS?N??„ftecd , s Y r.,f?. (ZO%maximumlotcove29ee0wred) 7setolEnergyCalculationsforheatedaddi6ons Trce'Fres;PCaniieo7 = Y =i?t 2 capies of plan shaxmg beam 8 wiridow sizes; poured faund desiqn, etc. 7 sile survey for addi6ons 8 decks - ireePres.Reqwred Y isetofEne(gyCalculatlons Addifion - uMicateifon•sifesepticsysfem On-s?Ig:SepCic_,$yste?__M Y^?„r•jJ 3 apies W Tree PreservaM1On Plan "rf bt plalled afler 7/1/93 Rim Jast De4il Options seleuion sheet (bMgs with 3 or less un'rfs Date I "F)! Constr 6 on Cost Site Address 2Q p J OIX O7:l '{ UniUSte # Description of Work? ?? ?u -?> ,.l?%nc?Qu1S S-mdak L??? l Fi 1 2??"' 0 Multi-FamilyBldg _ ace(s) _ rep Y lQ N _ _ ALK O P -? 1 V\(Jr\L !` 1 -Z Telephooe # (tcsj) 45?1" wner roperty .' RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, bIN 55113 c<<3' State 651-264-4777 Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING - Minnesots Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submiried Submittetl • Energy Envelope Calculations SubmiCed Have you previously constructed a bvilding in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Coniractor Sewer/Water Contractor Y_ N If so, 25% plan review Telephone #( ) Telephone #( I? Telephone #( I hereby apply for a Residential Building Pemut and aclrnowledge that the informatio l rmmpl0 +??; that the work will be in confortnance with the ordinances and codes of the City of E an t e 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 th case of work which requires a review and appr alofplans. Sov\'D f a, aA'nL pplicant's Printed Name Applican s Signature ••"•••s• ?.••••+. ruv sc.o? 1`tia !OJ O11 '44CD !(GPlL:llrtf %YBtI'UISI('J1f1V re a.l June t ?AO] City of Eagau - 3836 RiIcrt Kncb goad - E8mu, MN 55122 To Whom It Maq Conccrn: F1dcr ]ottcs W??otized to pUli buiIding pernr;ts for Re?tewal by Andccsen Pteasa nllow d Provide this servicc for us in Fagan. TWs euthotizaticm is valid fvr any ate beyond 61610I; until aXMov4 by And=n manaM to theClty. eummdy mvoloes tt in wiidag I request this autfiodiation bc a?wtpeffi • ovr bailding Pctmib aa Abflous)y. as W eot deley in the p??,? of Y. rtficr. Flcasc caII mc If cOntacbed at 763-502-.4706 thac arc nnp qneacfona.. I can ba _ _ ,. Xour immqdiatc aftntion to U1Js matter is Sinoei+ely> ond R Rau ostallation Manager RenewAl bY Andpscn CorporaUtan C:c: Karn-FJAPr 7onec ?.?%L?4 G[ •?0.,;2 a„P a? o,?, ?aAr?. ?'?aenMi ? n?s . ,, cuu, Received Tiroe Jun. ]. I:01PM -IUuu?c 2005 RESIDENTTAI. BUII,DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4-7D.oo New Construction Reauirements RemodeUReoair Reauirements - ? OKce Use Onlv 3 regis[ered sife surveys showing sq. ft. of bt, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Reoi ' -:_ Y -=N (20°hmaximumlotcoverageallowed) isetofEnergyCalculationsforheatedadditions TreePresPlanRecd. 2 copies of plan showing beam 8 window s¢es; poured fauM design, etc. 1 site survey for addNons & decks 7ree Pres Requued `Y N isetofEnergyCalculations AddiUon - irMicateifoo-sdesepficsysfem OnsBeSepticSystem _ _ Y_-_N, 3 copies of T2e Preservation Plan if lot plaked afler 717193 Rim Jost Defail Oplions selection sheet (6uOd'vigs with 3 or less units) Date A__/.W/ 05 Constructioo Cost 3 j y"IU - Site Add c ?? ? ? ? s U iUSt # ress p p ) / n e DescripHon of Work ??_v CO ((/1 5-?1? ? Lpymi Multi-Family Bldg _ ? Y_ N Fireplace(s) _ 0 1 _ 2 Property Owner C, Telephone # 7? Z Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 - cin' State 651-264-4777 elephone # ( ) License 420130983 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 (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( 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 Stahztes; 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-anci-771 appr val of plans. d' Sr - ?--` L pplicant's Printed Name A icant's Signature - i ??.•.r.s?•,i astv i<.o? rhn. ro? o?l 446D ltt4Pl"Alr 951°@IYUtSE[72ftt ?ewal .. ,?? . . . r?b ?, Zoor - _ . - - ;.- City orEam . 3836 PiIcrt Kucli Road - EaSan. MN 55122 . . . . To Wham It Map coitctrn: . EIder Tones is sexthorized to pttll bniIding permits Por Ren Eldcr loncs to pivvidc this 5cK'vi0e for us in Bagan. Thia autvacth]by Andotlzatianeisea PteaseatIow is valid for atty date bcyrond 616I01; uutiI 0 16ngy„al bY AndGrsenmanagar oxMsiY ravakes It in wilcing W the Ctty_ ??est this autfior?zafian 6c ac,cePted-e?pedidously. ac to ttot daIay in rhe Fcvc?,?sin gof ?S POmub aay fvxB?or. Elcasc caII mc If tfictc C6abmted at 763-502-47Q6_ a M any qnestiona.. I can 6e r .. . Yaur lmmgdiatc attcntton to tIts matter )s e?ISL8C1ATm ' a •,? Sinoei01y> yuiondR &Rm ustallarion Managcr Renowai bY Andascn Corpora4ion C'c.: Km?a-P.l?er 7nnee . MY?` M? r?ac. :- uuu Recaived iime Jun. 7. 1' OlPU 73oa3 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7o. nD, New Construction Reauiremenis RemodeVReoair Reouiremenis Office Use'Onlv 3 2gistered site surveys showing sq, ft. of lot, sq. k. of house; and all roofed areas 2 copies of plan Cert ot Survey Recd _Y _ N ' (20%macimumlotcoverageallovred) isetofEnergyCalculationsforheatedadditions TreePresPlanRecd,- _YN_ 2 copies of plan showing beam 8 windowsizes; poured found design, elc. 1 site survey foradditions 8 decks Tree Pres Required D _Y _N isetWEnergyCalculations AddNOn-indicateifar-sdesepticsystem On-stte5epticSystem'," X'?°_N. 3 copies of Tree Preservalion Plan if lot platted after 7/1193 Rim Joisl DefalOpGons selection sheet (buildings vrith 3 orless unAs) Date 1' l? l G? Construction Cost SiteAddress 7-v,?2? A' UnitlSte # Description of Work ,S 4 Muiti-Family Bldg _ Y X N Fireplace(s) 1 _ 2 Property Owner /y/A//VZ/0 1 Telephone # Vol $?Zt6z Contractor ' - _ . ? .... Address 4100 EXCELSiOREUV:J City State • T. LOUIS PARK, IViN 5,5ylr: Zip Telephone 7;7:2 l COMPLETE THIS AREA ONLY IP CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheef • New Energy Code Worksheel (q submissiontype) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in €agan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/W ater Contractor Telephone # ( 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 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 requues a review and approval of plans. - Applicant's PrinfedName - App icant's Sigiature SURVEYOR'S CERTIFICATE aa / .? f ik/ o' e a, ao? / ? va ? y ?6\` '? / e a. i . 0 GPR I n6/ Q A p4 ? o oJ y?o RR? p ????? C . / ??•?V? $a ? ? WESLEY CONSTRUCTION ( ) ? , s v ??o ? \ ?? ??4 ? ? ? \ S ? O? .1- „? \ . r Ne { t? , ? r J , . ._.? ? ?Y. Da Dp? - --, ? ?J\ X C, \ OVED ENGIP3EERING d)EPZ No- DENOTES PROPOSED SURFACE DRAINAGE N. O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 906. G FEET XOp0.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 903. 8 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 907, o FEET WE HEREBY CERTIFY TO WESLEY CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 6, Block 2, HILLS OF STONEBRIDGE, according to fhe recorded plat Thereof, Dakofa County, Minnesota. !T DCES N`JT PURPORT TQ SHOW IMPROVEMENTS Cn cNCRORi.IiMENTS, r7CCEPT AS SHOWiv. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 19tH DAY OF M19V .19816. PROPOSED ELEVATIONS 511041N 41ERE SIGNED: JA LL, INC. P,1570' TAKEtI FROFI TI1E DEVELOPPIEN7 PLAhI ? FOR FIILLS OF STONEBRIDGE, PRE- P A R E D B Y P I O N E E R E N GI• N E E R I N G A N D B Y LAST DATED 11-05-87. HAROLD C. PETER50N, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 ? O T ? ? ? V 33 n? r - Cp O _ m ?? A? cn ? a Z r ? O Z ? O O O ? m ? ? hmm kmmm O hmmm m b { James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 os`'olr ? S ? Use BLUE or BLACK Ink 1 For Office Use. Permit I City of Eajan 1 Permit Fee: ! 3830 Pilot Knob Road 1 Eagan MN 55122 1 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 Staff: 1 INFLOW & INFILTRATION PERMIT APPLICATION zc Plumbing I Sewer & Water Date: ,$ite Address: 3 919' 'G 1 / t~ e,-JC Jam- Tenant: O Z Suite M Resident/owner ' Npme'-f`-~ urf- Ine l z- Phone: Address 7 City /Zip: Name: License cl C' q / Address: l G i!s 64% Creg } 4--e- city: 5e-%l C Contractor n/ / State: ~ +l zip: S~ Il 3 Phone: e~ f - `l 9 7 77 Contact: ©ck-, ~ Email: (jt5 e-~ I'~® (r2JSle~ ll.~n, ti,:y .Ca,,1 PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Type of Work k Sump Pump Repair Repair Other: Other: Description of work: Q t ►~i S Ct~ ct ~y ® O v-~5 i Description FEES $60.00 Each (includes $5.00 State Surcharge) 0 0 TOTAL FEE $ 616 - *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting, www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One 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.oor)herstateonecall.org 1 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 without a permit; that the work will be in accordance with the approved plan in the case of work which r quires a review nd approval of plans. )1101-J I-6 e-h 1 jC<- x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA168746 Date Issued:05/03/2021 Permit Category:ePermit Site Address: 3828 Fairhaven Rd Lot:6 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Inderjeet Oberoi 3828 Fairhaven Rd Eagan MN 55123 (612) 741-8726 Three Rivers Contracting Llc 2676 47th St East Inver Grove Heights MN 55076 (651) 214-6640 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174319 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 3828 Fairhaven Rd Lot:6 Block: 2 Addition: Hills Of Stonebridge PID:10-32990-02-060 Use: Description: Sub Type:Water Heater 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 - Inderjeet Oberoi 3828 Fairhaven Rd Eagan MN 55123 Champion Plumbing LLC 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature