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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