3345 Heritage LaneCITY OF EAGAN Remarks
Addition MCRAE ADDITION Lot 12 Rlk 1 Parcel 10 48000 120 01
Dwner kd}af i . ?c. street 3345 Heritage Lane state Eagan, t-IV 55121
;
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 64 1978 895.84 89.58 10
STREET RESTOR.
GRADING
SAN SEW TRUNK 1968 Paid Unde Letender A diti n
* SEWERLATERAL I973 Faid unde Letender A d.iti n
WATERMAIN
* WATER LATERAL 1973
WATER AREA 1977 Paid unde Letender A diti n
STORM SEW TRK y10 1979 411.84 27.46 15 329.49
* STORM SEW LAT 1977
Ct1R8 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
?
HEAT I,OSS "STIMATE City or Village ?j
FORM 17-690ir .
ADDRE55-3L`? 1:2?L.Qe % Floor ! Date /?
J/- `? ?Owner Phone
NAME 12Contractor
Heeting bill to be paid by
PIRST NAME INITIAL LAfT NAMR
Make of GWA MWA GHW FHW S V UH SPACE Firepot
Plant ? 0 ? ? ? ? ? ? Siza
Boiler No. Installed Radiation
Type of Domestic Gas Equipment:
Gas Ranges W. Htrs. (lnput ) ?ryers Not Plates
Remarks: Ji j
7
Date
Checked
Heat Loss 3$ 11,4 Input-??-? Cert. No.
Equipment to be
Installed
On
Main Size Off_
Installed by DOK_
.,
Sold by 5ervice Renew
NORTHERN STATES POWER CO.
Well
CONS?'RUCTION Ceiling
• Floor
WEyATHERSTRiPS INSULATION THICK-
NESS TYPE ATTIC
Windows Doors Wall Vented
Yes-No Yes-No Ceiling Yes-No
FI. Room Length Width Height
FI. Room Length Width Height
FI. Room Length Width Height
W INDOWS A ND DOOR S-CRACK AGE AND AREA
?-
No. Width
of pane Height
of pane No. of
lights Area
sq. ft.
inea t.
of crack
Ccef. B[u
Infiltration Door
Infiltration Window
Gross Wall
Glass
Net Ex . Wall
Ceil. or floor
Ceil. or floor
Fireplace
Total Btu
r _
' - cirr oF E?c,AN
3795 Pilet Knob Road Eagon, MN SSl u N! 6458
PHONE: 454-6100
BUILDING PERMIT Receipt #k
Te w wsd hr ' Est. Value Dote , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter p Zoning
Paroel # Repoir ? Fire Zone
Enlarge ? Type of Const.
W Nome Move Q # Stories
3 Address Demolish ? Front ft.
°
CI Phone
Grade ?
Depth ft.
? Nome ? Approvais Fees
,o
u? Addreys
Assessment
Permit
Cit Phone Woter & Sew. Surcharge
k
Ncme Polite Plan chec
Fire SAC
/lddress
i Eng. Woter Conn.
Ci Phone
m Plonner Woter Meter
Council Road Unit
I hereby acknowledge that I have read this applicotion and state that gldg
Off.
the infarmation is oorrect and agree to comply with all applicable .
APC Totol
State of Minnesata Statutes and City of Eagon Ordinances.
Siynature of Permlttee
A Building Permit is issued to: on t he express condition thot
all work shcll be done in cccordance with all applicable State of Minnesota Statutes and City of Eagan Ordirroonces
Building Officiol
POMM # pah Iwued PasfltN '
Plumbing .?? 0 ? / - ?2 f -?'?
Mechaniwl
7-/?_s?
INSPECTIONS DATE INSP.
Rouph-In Finol
Faotings ? Irop. Dnte Insp.
Foundaiion Plumbing
Frame/ins. •,?7? + • • Meclwnicol ?/ ?/ p?/
JL
-
Final ?
Remarks:
. CIT1f OF EAGAN
3795 Pilaf Knob Rood
F'No. • Easan, Minnesota 55122
Pbone: 464-8100
PERMIT
pate: 1--29-81
Site Address:
3 345 Iie.Ataqe
Lot Block , Sub/Sec.
mante Adc3.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
Multi Res., Comm./Ind. I
Nome ,.. ] 'A L,, .
New/Alter. / Repair
c Addreu
Cost of Instollotion
City Phone:
Permit Fee
Name
? 5urcharge
? Address
?
City Phone: Total
This Permit is issued on the express condition that all work shall be done in octordance with all applicable Stnta of
Minnesota Statutes ond City of Eogun Ordinances.
Building Officiol
No. '
cirY oF EAGaN
3795 Pi{ot Knob Reed
Eagan, Minnesota 55122
Phem: 454-8100
PERMIT
Date:
Site Address:
Lot
3345 Iieritage
Block Sub/Sec.
r,fCR.ae Add
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residential
N°^'K /Alter
oir
N
/R
.
ew
ep
.
;
/iddress
Co
t
f I
ll
fion
st
O a
s
o
n
a
City Phone: P
it F
erm
ee
Nome SurChar
e
` Address g
?
City P?ne: Total
This Permit is issued an the express condition thut all work sholl be done in accordance with all nppliwble State of
Minnesota Stotutes ond City of Eogan Ordinonc?s.
9uilding Official ' ?-
1
CITY OF EAGAN SEWER SERVICE PERMIT
3y95 Pilot Knob Rood PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Sife Address:
Piumber
1 agree fn eanply wifb 1141e CitY of Eagon
drdinonces.
By
Dote of Insp.:
Insp.;
CC ITY QFEAGAN WATER SERVICE PERMIT
-87' Pilof Knob Rood PERMIT NO.:
1
r
ogon, MN 55122
DATE:
?
Zoning:
- Na• of Units:
O
wner;
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge:
SiZe' Account De
Posit:
Reader No.: Permit Fee:
1 egroe to eomplY with the Cifp of E
o
ag
n Surchorge:
Cedinances. Misc. Charges:
Totol:
B
Y Dete Paid:
Date of Inm • .
Connection Charge
Account Deposit: _
Permit Fee: -
Surcharge:
Misc. Chorges: _
Torol:
Date Paid:
0
Th,z .icquest void r?? S
ie mootns aom
T 71662
LiZi P?11 mc ?ap- 4d6 < ,2) ii? S -7 3
Raou?si-Oaila
a Rre No. Rouph-in Insoection
Reuuiretl7
L]Feady NowgWill Nanfy, InsPec-
J-/? ?j Z 2'Yes ?NO tor When FeadV
E] Licensed Eleclrical Contnctor .' . . ' I herab
y reques[ inspection of above
516aw -.- r electrical work installed ar.
Stree[ Address, 9uz or R te No
.3y5 ,,?;?r
owa Cib
ecvon a. Township Name nr o. qange No . Co
G'y
Occupent(PFINT) Phn?-e 7N?
Power SuoDi? Adtlress
EtacGical Contractor (COmpany Name) Coirtmctor's Gccnse No.
NYy
Mailing AdJress (C?oJn?Vactnr or Owner lMaking Instailationj
Li7 /
GG Cr "`
Authorize i mr o tr, kod0 ner Making Installation) Phune Numher
MINNESOTA STqTpj$OAPO 9F ELECTRIQTY ' THIS INSPECTION REQVEST WILL NOT
Griggs-Midwey BIB9. - floom N•191 BE ACCEPTED BV THE STATE BOAFlD
1827 University Ave.. St Paul,'MN 55104 UNLESS PROPEft INSPECTION FEE IS
w?,....e (ai It "17_1111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-03
' See instmctions fur cumpleting this torm nn back of yellow copy.
Y -71662 ?`-
573
"'X"" Be/ow Work Covered by This Requesf Ne AAd Rap. Type oi Buiidin9 Appliuncns Wired Equipment WireA
Home Range Temporary Service
Duplex Water Heater - Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tani<
Fflrin Oiher aucJV thou (SUecilv)
lher 15uccify 01ha 01o,
Campute lnspectlun Fee Below
N Fae ServiceEntrenceSize R Fee Fnadees/Sub(eeders il Fed Cirwi!s
d to 700 Am 5 0 to 30 qmps ? N to 30 Am>s
101 to 200 qnips 31 to 100 qmps 31 to 100 Am s
Above 200 qinps Above 100_Amps Above 700_Amis
Transiormers Remute Control Cira Partial%Other Fro,
Signs Special Inspaction •$p
S 'l ?'??? - ?
Rumarks OTAL FEE
Rovyh-in Un?e Elxctrical
a
?
?
i
?
t
?
? ?0 ?
b
15Vactor. heraby
•s..;.`..
.,Fw
f
.
n
+
.
j. if
h
Flnal ,. .
??"' cert
y i
at tlie abova
'nn i
n has b
u
een
This request vuid
18 months irom
This request void ? l-7 )51'/?
18 months from ?
w Q
Dste o this Request /2 - Z 9 ^ g 0 Fire No. ?1 V501 .
I, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the a oye electri-
cal vhring installed at: ZS(Od/C
J jy, c?'?,
Street Address or Route No.
Section Township
a n1
Range County
Which is occupied by
Is a roughin inspection required on this job? No ? YesA Ready Now O Will Call
Power Supplier ZrtJ4 4- ??Address 1 /l1
`? g, s?
8lectrical Contractor Contractor's License o. _
(COmpany Name) I J
Mailing Address
Authorized
No. 3 -S?& ?
(Z ???? ??[,? (,? ?? ?? :?? This inspection request wiil nat be accepted by ffie
J 1? State Boerd unless properinspection fee is enclosed.
enw?ncuy
61iggs Midway. dg. - Room N191
.1821 University Ave., St. ul, Minn. 55104 - Phone 297-2711 ?
RfQUEST-RU LECTRICAL INSPECTION y
CHEjK BELOW WORK COVERED BY THIS REOUEST
I '1 0 EB-00001-02
d-
T 18501?
-PfPe of Building New Add. Aep. Check Appliances Wired Foi Check Equipment W'ved Foi
Home ? ? Range ? Tempotary Wiring ?
Duplex ? ? ? Warer Heater ? Lighting Fixmres ?
Apt. Bldg. ? ? ? Dryec ? ElecMc Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? ?
Industrial Bldg. ? ? ? Av Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List
Other ? ? ? Rthers?
ere ) Others?
Here )
COMPUTE INSPECTION FEE BELOW
ServiceEntrance Size: s Fee Feeders&Subfeeders: # Fee C'vcuits: x Fce
0 to 100 Am s. 0 to 30 Am eres 0[0 30 Am eres O 0 d
101 to 200 Amps. UO 31 to 100 Am eres 31 to 100 Am e[es / ,o O
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformexs RemoteConUolCirc. Partialor otherFee
Signs Special Ins ection Minimum fee ES
Remarks
'lOTAL FEE
3 .S
I,the
(Final) U
This request void
18 months from
abo?i ciion been mad?'?
e i-/ -t-'y
?D? 7 • ?? - /
CITY OF EAGAN
3795 Vi1M Knob Rmd - Eagan, MN 55122
PHONE: 434-8100
BUILDING PERMIT APPLICATION
To be uaed for "???'" DWG/GAR Est. Value 36,000
. ? uo,.., +.... r„
Site Address
Lot 12 Block 1 Sec/Su6. MCR32 Add.
Parcgl # 10 48000 120 Ol
w Namy Trend Homes Inc.
; Addreu 910 Selby Ave.
O .4t Panl Parlr LFG_4A9A
p I Name
Addre
~ Citv _
H
ww Nume
NO- 6458
K? ? 31Z?
Receipt
b.,. 12-12 , 0 80
Erect 1] Occupanry n3
Alter ? Zoning Rl
Repair ? Fire Zone 3
Enlorge ? Type of Const. V
Move ? # Stories
Demolish ? Front 57 ff.
Grade ' ? Depth 23 ft.
Apvo,rals Fees
Water & Sew.
Police ?
Fire Eng.
Plonner _
Council _
Permit 1V/.JV
Surcharge 18.00
Plan check 52.75
snc 525.00
Water Conn305. 00
W ater Meter 60. 00
Road Unit 1$5.00
I hereby ackrrowledge ttroi I have read this epplicMzzz?- state thot gidg. Off.
the infortnation is Correct ond a e to comply oppliwble APC Total 11251.25
Stote of Minnesota Statutes o of Fagan es.
Signatureot Permittee .
A Building Permit is issued to: Tr2nd Hori12@ IriC, on ihe express condition thaf
oll work shall be done in occordunce with oll applicable Stote of Minnewta Statutes and City of Eogan Ordinonces.
Building Offitiol
_ -_=- ---- <---
Crlerfifirtttr af (Orru,panry
Citp of (cagan
BrVttrtmrnf irf +uilbiitg jJnsvrrtimi
TbiJ Cnti fitatt rrturd purruant to the tequirementt of Sertion 306 of the Urtiform Building
Code mtrfyrng th4t at the time of htuanct thrr nrurture wut irs compliuna wirh the vuriout
o.dinarsree of the City nguluting building contt+rutiars or utt. For the (o![ourug:
u:c?r??- SF DDC/GAR 6458
BIGg. Pnmit No.
°'-w'"rrra R3 rywc?.w?? V FiRZ?. 3 zam?au.m« ?
o,,..ore.a-a Tx'eIid HQiIES InC ?a, 910 Selby Ave,St.Paul Park
BY
M,, 3-19-81
.e.. ,. . ??«..???a. ..,?.
o:,., .,,
PERMIT#
RECEIPT DATE:
2002 (tESIDENTIRL i'LUMBllVCx i'ERMIT APPLICATIOtV
CITY OF £AfiAN
S$SO PILOT KNOB {iD
LAfiAN, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME::MEiK Y'LL [JOdU ? AnC.lNI TELEPHONE#: L?5 1 -1, g 1 - O4 -l12
(AREA CODE)
INSTALLER NAME: Y- y, p t wo ?r's TELEPHONE #: IDS I D
STREET ADDRESS: 3 CO J D DD I)D R,b (AREA CODF)
CITY: _?C? Ct?Ln STATE: rn N ZIP: S S? Z
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, exGUding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installatioNrepaiNrebuild $ 30.00
lawn irrigation system
ReplacemenUadditional: _ water softener I water heater $ 15.00
, r7?.,- ?-.-
State Surcharge 9 7,??
i $ .50
I $
Qv _ _ -- I
TOtal
---?
I hereby acknowledge that I have read this application, statethat the information is correet, and agree to camplywith all applicabte Ciry of Eagan ordinances. It
is the applicanPs responsibiliryto notily the propedy ownerthat the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activ@ies to the §cilities constructed under this permit wthin ty pr erty/rlgFttof- a/ea ent.
L?el OZ,L2U-tl?
SIGNAy?{PlE Or PERMITTEE (?2
?/
CITY liSE ON-LY
LOT A,2 BL RECEIPT #:
S??"L• RECEIPT DATE:
1999 MECi?lNIC?1L P?MIT (gESIDE1VTIi4L)
CITY OF £kfiRN
3830 Pu.oT xxoe ELn
gnesx MN s51 fa
(651) 6$1_4675
Date:
Complete this section nnly if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
.4Dll17 'IONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section oielv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
-X- New _ Repiacement
Repair _ Other
Furnace
Air exchanger, i.e. Vanee system, etc.
Remiirder: Ca!! 681-4675 for inspections.
SITE ADDRESS:
? Air conditioning
_ Other
$ 30.00
State Surcharge: .50
Total: $30.50
OWT`ER NAME: C h Q ?6 D. 7?S PHONE #: (p?? y? r- CS??
LVSTALLER NAivIE: 'rn rI ?l G PHONE #: C{Z ?? C/-
STREET.4DDRESS:. '7
C1TY:
JS,FOR.\1S BLDMECH PERM1T (RES)- 1999
_ STATE: ZIP: ss?yz?
NATURE E I EE
L BL
SUBD.
APPROVED BY:
iai/industrial buildings
buildings when separate permits are no
CONTtWCI rKiCE:
W C STRUCTION ? IN?9
1999 MECHrl1VICAL f£RhiIT (CQMMERCII4L)
CITY OF £AfiAN
3$30 i?ILOT KNOS iiD
£A&AN.1KN 55122
(651)6$1-4675
Please complete for: all
DATt:
WORK TYPE: _ NE
DESCRIPTION OF WORK:
each dwelling unit
C-L-
IMPROVEMENT
FEES: 1% of contract price OR S30.00
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
CITY USE ONLY
INSPECTOR
. :7 V
RECEIPT #:
RECEIPT DATE:
is greater.
(5.50 Nr $1,000 of gennit fee due on all permiu.)
---------------
SITE ADDRESS: g 3T/
OWNER NAME: h
TENANT NAME (ID
INSTALLER:
ADDRESS:
CITY:
CIL cr
ONLY):
PHONE #:
#: !r/ L-
_ STATE: ZIP: -S5 ?/Z3
G
S ?. TURE P ITTEE
(Y
CITY OF EAGAN Include 2 sets of plans,
?.? ? 1 site plan w/elevations &
BUILDING PEI?NIIT APPLICATION 1 set of energy calculations.
Be Used For Valuation 3lc , 000 Date
Site Address: ? elz OFFICE USE OfII.Y
rAt /? slocx ? sec./sub. 7??e °`?`?rect occupancy
Parcel #:
Owner. -
Pddress:
City/2ip Goc7e:
Phone #:
Contractor:
Address•
City/zip Code•
Phone #:
Arch./Eng.
Address: _?
City/Zip Code:
Phone #:
Alter Zoning .P I
_;»1Q ° i
Repair F
re Zone 13
Enlarge _ Type of Const. ?/
i
1 Move # Stor
es
!D l?2? Denolish Front 3 7 ft.
&?I ?-Q 7/ Grade Depth p q ft.
APPROUAIS FEES
/
?e Assessments Perndt S6
Water/Sewer Surcharge a p
Polioe Plan Check 7,f
S / Fire sAC o d
? ? ?6? Eng. Water Conn. ,aoS. o 0
Planner Water Meter 4,0 .06
COUricil- ROd[Z Urilt / 8cf, D O
?t d ?u ff
Bldg. O
.
?Z? APC
Z+orzL /? 2 E4 ? S
ONNER
SITE AOORE55
EXTERIOR ENVELOPE AYERAGE "U" COMPUTATION
CONTRACTOR pATE PHONE
Determtne worktng square footage of each,
1, Total exposeC wall area .,.,., sq. ft. x ,1? • ??
2. Total roof/ceiling area .,,.. / sq, ft. x .Of? • D, ??
Tota1 exposed wall area above floor •
a. Total wall window area ........................... a_
b. Tota1 door area ,.,,.,.........................., _3 ??
c. Total siiding glass door area ................... ?cq
d. Total fireplace wall area.,...,..,..........,....
?
e, Total wail framing area (average 10%) .,,.,,..,.,, zS
f, Tota1 net wall area above floor ................. sV,
g. Total rim joist area ............................ .! 3r,
Total exposed foundation erea = ` 6
h. ToCal fo!mdation window area .....................
`-
i, Toal net foundation area above graue .,,...,.,... ?
Determine "U" value of each ri411 segment.
a . ( x 'lu° _ ,T5- , __.1'/._._
b. x nuoi i
C. X nUn ?S-S • ri-Y C-a
d, `- g flull - ? -
e. R „U" ? ??? • l3. ??-
f • /?t??(- . l? l1 HUp [ 0(67 y. !_341 z ^u°
n. - x „u• s.- q . `76 z ^u•
3 .................. .7.( ......... Tota1 `
If item 13 is the same as, or less than ttem /1, you have aet the Sntent
s,y of SBC 6006(c)2.
.
-' - - - - _ - .. ?-- = --- -. - - - -
1
- ---j
CertiPicate for:
Wally Hafstad
DELMAR H. SCHWANZ
LANDSVRVEYOR
NeqifbrW Untler Laws 01 The Sble ot Minnasota
I 2878- 746TN STREET W. - BOX M R08EMOUNT, MINNESOTA S60B8
SURVEYOR'S CERTIFICATE
3I Lor Iz
/
BLOCk-
i
O
,
?o
SCALE: l".30'
/80.Oo
N89'3(??f5".
PHONE 872 472-170
30
aa
N?
0
?
,Fz
?
30
N89°3d '#s'E
/p0. 00
I hereby certiPy that this is a true and correct repreaentation of
Lot 12;' Block 1, MC RAE ADDI'PION, according to the remrded plat
thereoP, Dakota County, Minnesota.
Dated: October 24, 1990
NOTE: No property cornera eet for the purpose of this certificate.
?
W
2
J
?W
?
?
QZ
W
?
MINNESOTA REGISTRATION N0.86Z6
PLUMBING (RESIDENTIAL) $15-4st
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuu are required for each unit
Date / l y?l 643
Site Address .5 3 L/,aT ?l ?r iklC4 e I Ckn h Unit #
Property Owner At Q? {?Ol 6 Ya bo rfi?.l Telephone #(? ? 1) (o
Contractor )0 Pl
Address J l' I v Dn dd Rood City F-0 0? ?
State Zip 1?7 Telephone# (?'jYf)f Q?? 6/0
The Applicant is X, Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eristing Dwelling Unit, Including $ 50
00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water tumaround (+ 518" meter if needed -$121.00)
Other:
_ RPZ _ new inst211ation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water'heater /
MC! ateF 15.00
replacenti-
additional JAN 3 1 20 3
s
State Surcharge $ .50
Total $ f?d
I hereby apply for a Residential Plumbing Pemilt and acknowledge that the information is complete and accwate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlns is not a
permit, but only an applicarion for a permit, and work is not ro start without a pemut; that the work will be in acwrdance with the
ap roved plan in the case of work wtuch requires a review and approval of plans.
amlP 5-l-C'nII}-Yk1 pplicanYs Printed Name &?iicant's Signature ?'
i
PLUMBING(RESIDENTIAL) ?j
,
Permit Application
? ?0\ City Of Eagan ?
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
\ Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date
Site Address J 'i ? ? ? ? C-oaaa IW Unit #
PropertyOwner ha?ir / elephone#6vK/
?
Contractor ? 10
Address ?5'b City EQ 00
State Zip? Telephone# (? ,l(J// ?,l'l?_
The Applicant is _ Owner >5? Co actor Offier
Septic System New _ Refurbished Xub2 s of plan s and MPC license $ 100.00
Includes Counry fee. Additional eonsultant fees may a
Alterations To Esisting Dweting Uni[, I $ 50
00
_ Adding fixtures to lower levels otions, excluding ter softener and water heater .
_ Abandonment of septic system
/
_ Water turnaround (+ 5/8" met-$121.00)
needed
Ofher:
_ R PZ _ new installati n _ repair _ re $ 30.00
_ Lawn irrigation syste
Water heater
2C Water sofrene/ 15.00
readditional
cement
State Surcharge $ .50
Total $ . 6
I hereby apply for a Residential Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
percnit, but only an application for a pemut, and work is not to start without a pemut; that the work will be in accordance with the
M proved plan in the case of work which requues a review and approval of plans.
l ? STGhW
Applicant's Printed Name Ap cant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137896
Date Issued:07/28/2016
Permit Category:ePermit
Site Address: 3345 Heritage Lane
Lot:12 Block: 1 Addition: Mcrae
PID:10-48000-01-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Anjan Chakraborty
16538 Fallbrook Dr
Farmington MN 55024
Building Code Tech
4183 Jansen Ave NE
St Michael MN 55376
(612) 919-4768
Applicant/Permitee: Signature Issued By: Signature