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4010 Hosford Hills RdCASH RECEIPT (D ? CITY CrF E/4dAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE i ?w ?g ??? RE?? aMOUrn 1(rX? ? ?= & DOLLARS tm p CASH ?I CHECK ? ? C 4940 W^;l?e? ? Yego,--4losssng Covr a:*--Fae covy Thank You BY bATEj 12/6/89 RE: 4010 HOSFORD ROAD, L1. B1, HOSFnRD xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. *ur Sewer & Water Permit for the aboue property can?at be completed for the foilowing rea?ons: .? .;?• " Your Sewer & Water Permit for the above property has been campleted, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for rr?eter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CON7ACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. . . . . _ , . :.,?n••..hTCI,.t..:. .,..,op.. .,?.....,r.w;e: ? F-i..+.r:.? ..?, ..r-e,±rra?. .. - s . , .. _. , . . . . CITY OF EAGAN p 1? ??357 . 3830 Pilot Knob Road, P.O. Box 21- 199, Ea gan, MN 55121 . PHONE: 454-8100 , BUILDlNG PERMIT Receipt # -' To be used for SF DSwGJCAR Est. Value $151, 000 Date__ _IlEC 5 Site Address 4010 NO3FORD HILLS RD Lot 1 Block 1 Sec/Sub. HOSFORD OFFICE USE ONLY ParCBI NO. Occupancy R-3 M-1 FEFS R 1 ZoNng - W Name f'MTt'+*ERY DESIGN (ACtual) Const V-N Bldg Permit 818•00 ? ; Address 37? NIN3)'CREE UR (Allowabie) V'N . 75 ? 0 Surcharge ? Cit EA?K Phone 481-9230 y +? of Siories 681 Plan Review 409.00 f Length o Name SAME oevtn ? s ac c+i 100.00 = , , y ? O AddreSS S.F. Total - 00 575 U SAC, MCWCC • ? Clty Phone S.F. Footpnnts _ C W 580.00 ? W Name On Site Sewage On Site Well ater onn W M ? ? x? AddreSS MWCCSystem - u- ater eter • <W City Phone Ciry Water zx_ Acct. Deposit 30•00 00 20 PRV Required _ S/W Permit • I hereby acknowlege that I have read this application and state ihat the Booster Pump - SiW Surcharge 1•00 information is correct and agree to comply with all applicable State ot Minnesota Statutes and City of Eagan Ordinances. Treatment Pi 228•00 Signature of Permitee ? APPRUVALS 34 Road Unit 0.00 A Building Permit is issued to: ?NTGOWRY DESIGN Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutas and City of Eagan Ordinances. gidg, pry. _ Copies Building Official _ Variance - TOTAL 3,266.50 Permk No. Perm it Holder Uate Telephone # TER SEWER PLUMBING w H.V_A.C. ?y ? ?/0?3 O ELECTRIC z x Inspection Date Insp. C omments Footings 1 Foundation ! Framing Roofing Rough Plbg. e ?j , O" Rough Htg. ? ** 0 Isul. - ;,/' e " v ? Freplace /' p . Fnal Htg. -/3 J'rJ .?/ Fnal Plbg. /3'QJ ?{ ;Q ? _ • Const. Meter Ptbg. Inspec lor - NotiFy Plum r Engr./Plan Bldg. Final '?? OS CtO OI' C?OSv/"e ?/' .? ?`ti rz •'•, Ef - Deck Ft9 % H4 ? /?t cY fro 4•- Deck Final , Well Pr. Disp. Cities Di2ital Oualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE: 454-8100 For Office Use Onl Lot Block Sec/Sub m Name y Address c City Phone L Name c Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other $ FEE: S1C: ?s. TOTAL• BLDG. TYPE WORK DESCRIPTION Res. New Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MiNIMUM - 1 PER PERI1 COMM/IND FEE - 1% OF CONTRACT FE APT. BLDGS. - COMM. RATE APPUES 1.50 EA. MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 1 REMODELS - 12.00 { MINIMUM COMMERCIAL FEE - 20.00 ? STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) i ? SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: r?vmo???w rcnMN ¦ FOr CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT a PRICE pMAmF dr.d.R?AA neTF• ? Site Address ']'Ul U ! Lot -I/ Block ? Addr s s City? ?e q (- ?'crVf- Phone ? I Addre 3? $ 6 Wr hd J;'c.? -? 8 City 4 a r1 Phone FEES COMM./IND. FEE -1% OF COMTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO- RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) FOR: CITY OF EAGAN Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COIr1PLETE THE FOLLOWING: NO. FIXTURE3 TOTAL waeer cioset - $3.00 $ 9- d0 Bath Tubs - $3.00 ? Lavatory - $3.00 Shower - $3.00 0 T- Kitchen Sink - $3.00 UrinaUBidet - $3.00 ? Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 " ? ? Whi?lpool - $3.00 Gas Piping Outlets - $1.50 •1 . S{J (MINIMUM -1 PER PERMIT) ? Softener - $5.00 wau - $10.00 Private Disp. - $10.00 ? 7:a- Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: • ? ? STATES S/C: ? GRAND TOTAL: -? B ?- - . INSPECTION RECORD j' CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ? (612) 681-4675 SITE ADDRESS: t 0 1":1 tilo(_ F:? APPLICANT: Aete? ttosropt) MIA. t, Krt R 0 caNsr aa,FVkn :t?Fi?ir) aad--?sr? PEW!T %4?Typjf?H TYPE OF WORK: Control No. 0237 a????/ 04/1b/yl NFW "rf, '?' Permft No. PermN lio9dsr Dste Telephona N SNV PLUMBING HVAC ELECtRiC ELECTRIC Inspection Date Insp. CommerRa Foo6ngsl 7 Foundation Framing _ ? 9Z Roofing Rou9h Pl49- Rough Htg. Isul. Rrepiace Final Htg. Orsaf Test Flnal Plbg. Plbg. Inspector - Notify Plumber Const Meter EngrJPlan Bidg. Final `s?Z 7 Cq Deck Ftg. Deck Flnal Well Pr. d'sp. ? . ( Irr#ifiratt af Orrupanry titp of (Eagan 10epttrtmrrit nrf Mtitbmg 3mpPrtinn This Cenificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of usuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: u? ciusifica6on `'? DW/?'? sWg. eerniit No. I6M 17357 oa„p,ncy TyM R3/M 1 Zomng nWrict Ri Tra ConsL VN owner or auilaing MMTC,1QrM PIESIIN Add,.3786 WDIDrIm DR., EAGAN p.AA.. ,AA- 4010 H06FRD HIILS %kD L1, B1, IiDSM-M D,te: JUNE 4, 1990 POST IN A CONSPICUOUS PU1CE 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE SITE ADDRESS LOT i BLOCK SEC/SUB R CIIY, ? ZIP PERMIT REOUESTED A SEWER ?:?WATER - T, i - COMM/IND ? RESIDEN' ? NEW - EXISTING Lawn Sprinkler Meters are to be Inst, Ahead of Domestic Meters on Water l Credit WILL NOT be given for Deduct Me PERMfT DATE PERMfT # 11135 B.P. RECEIPT # " 494;' B.P. RECEIPT DATE 12 5"?9 - PRV - BOOSTER PUMP CITY, STATE . c • ` . • , . '-.._._ ZIP ' -, PHONE: OWNER: - - - ADDRESS: CITY, STATE ZIP PHONE: I AGREE TO COMPLY WiTH CITIf OF EAGAN ORDINANCES METERISSUED ;ESSING. CALL 454-5220 FOR INSPECTIONS. FOR WER A WATER PERMIT OFFICE USE ONLY Y OF EAGAN METER # ' 3'I??7-3 3 PERMff DATE 12 b Pibt Knob Rd. CHIP # U/.S.S PERMIT # ;an, MN 55122-1897 METER SIZE B.P. RECEIPT #?''•=L rE ISSUE QATE -9o B.P. RECEIPT DATE - , 39 - PRV - BOOSTER PUMP ICANT: IESS: STATE ZIP i ? IE: r' `Z 3 C? SO (En -'? , STATE ZIP PERMIT RECIUESTED _.ME_V?ER AWATER _ TAPS - COMM/IND ? RESIDENTIAL ? NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. 1 AGREE TO COMPLY WITF,*V OF EAGAN Q06INANCES // - SIGNATURE VlffiEN METER ISSUED TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM CONTACT ENGINEERING DEPT. CITY OF EAGAN NO 17357 3830 Pilot Kn2b Roaa, P.O. Box 21-199, Eagan, MN 55121 ??? PHONE:454-8100 I BUILDING PERMIT Receipt p To be used for SF DWG Est Value 151,000 Site Address 4010 HOSFORD HILLS RD Lot 1 Block 1 Sec/Sub. HOSFORD Parcel No. .. W Name MONTGOMERY DESIGN o Address 3786 WINDTREE DR City EAGAN phone 681-9230 o Name SAME I ai. Address Ciry Phone ? ww Name t: ; Address aw Cfry Phone I hereby acknowlege that I have read this applicalion and state that the inlormation is correct and agree to comply with all applicable State ot Minnesota Statutes antl C?ty, 1 of E?Ordinpnces. V[ Signature ol Permitee A Building Permil is issued to:? MONT O.IZYiHE I N on the ezpress contlition that all work shall be done in accordance with all applicable State of Minnesota StaWtes and ?City o,`l Eagan Ordinances. BuildingO(ficial-.?1?I QI? I11 rI OFFICE USE ONLY Occupancy R-3 M=1 FEF.S Zoning R=1 (ACtual) Const V-N Bidg. Permit $18.0? (Allowable) V=N Sumharge 75.50 R of Slories 681 Plan Review 409.00 Lengih Depih 40 ? SAQ Cily 100.00 S.F.TOtal - SAC,MCWCC 575.0 O S.F. Footprints _ on Sita Sewage _ water Conn 580.00 On Sila Well Water Meter 0 90.0 MWCCSystem Ax- Acct. Deposit 30.00 City Water PRV Required _ S.M! Permil O 20.0 Booster Pump - ShV Surcharge 1.00 7reatment PI 228•00 APPHOVALS Road Unit 44n nn Planner - park Ded. Council BIdg.Oif. _ Copies Variance - TOTAL 3, 266.5(? 1? 0 4 0 FeQUest Dat _e ' ?(? _ Cj/) Fire No ' ? Rougtrin Inspecfion Re uiretlP ??i/// ? Reatly Now I?Will Nofify Inspedor ? Wh R d ? / Yes ? No en ea y IX licensed contractor ? owner hereby request inspection of above electrical work at: JaD Atltlress (SVeet, Box oe Rome o.) /^,? / Glty?? /'"?" Section . Name or No. IT.w.sNjr qange No. CounTy Occopa (PqINT) Phone No. PowerS .pliar ? Atldress`? D N J Eleotnc ICOnVettor (Campany Name, Conlra rk Llc e nse N o . ( J ? y r Mailing Atla!ress IConVactor or Owner Making Installation) Aunhorize Signamra (Coni ner Making Installa[ion) Phone Number l MINNESOTA STATE fiOAqD OF ELECTtiICITY THIS INSPEGTION REQUEST WILL NOT GtlggsMidwey Bldg. - Room 5-113 BE ACCEPTEO eY THE STATE BOaRO 1821 UNVerslty pve., SL Peul, MN 55104 ONLE55 PiiOPER INSPECTION FEE IS PMmre (612) 642-O8D0 ENCIOSED . ?/??jp - REQUEST FOR ELECTRICAL INSPECTION lo See inslmclions for completing this brm on back oi yellow wpy. @ 1,30 y Q 'X" Below Work Cavered by This Request ??"`'?. 11 ee-aoooi-o? 2 4° ew Add Rep TypeofBuilding AppliancesWiretl EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Eleciric Heating APt, Builtling Dryer Other (Specity) Comm./Industrial Fumace Farm Air Conditioner Other (speclty) Convaclor's Remarks Compute Inspection Fee Belaw: # Other Fee /t ServiceEntrance5ize Fee # Circuit5/Feeders Fee Swimming Pool 0 ro 200 Amps ? 0 to 700 Amps 5,2 Transformers Above 200 _ Amps Above 700 _ Amps Signs Insi Use Only_ TOTAL ? C Irrigation Booms Speciallnspection ??? pu Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCON Other Fee .(f COMPLETED WITFIIN 18 5. ( I, the Electrical Inspector, hereby Rougn-m . oate5` ? e? certify that the above inspection has been made. F;nai ? oaie OFFICE USE ONLY ? Tllis lequ¢5t vOM 18 month5 flOm ?qll? ? . ? 2007RESIDENTIAL BUILDING rExMiT nrrLicnTioN ` City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenis 3 registeretl site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°k macimum lot coverage allowed) 1 Soils Repod if proposed building is m be placed on disturbetl soil 2 copies ot plan showinq beam 8 wintlow sizes; poured found design, etc. 1 se[ ol Energy Calculations 3 copies of Tree PreservaGOn Plan if lot plafled after 711193 Rim Joist De[ail Options seiection sheet (buildings with 3 or less unils) Minnegasco mechankal ventilation form RemodeUReoair Reouiremen6 2 copies of plan showing footlngs, beams, joisLs 1 set M EneTgy CalalaGOns for heated addifions 1 site survey foraddifions 8 decks Addibon -irMicate Aoo-sife sepyc system / La2e6ed 4?'6 Plans are considered oublic information unless vou state thev are trade secret and t e reason. ConstructionCost ?S?r3 Date J' /_2-7/ 6 -/' / Site Address Y,6`l d 1:2?US 4rJ N, ?l S Unit/Ste # Description of Work lra.r c?.C {. Multi-Family Bldg _ Y -/- N Fireplace(s) _Y- 0 _ 1 _ 2 Property Owner poi rn. ? 0.WA J e? A-NO-V So i? Telephone # ( (, 9 ) 3 YU l 4147 $ 9' ContrectOr V</A W1dI- L t7rJS?/ (4 G11?^J, ?4-- Address 1 3 o a ,7-3 51-`J , ;,4. City State - iV Zip -570Y Telephone#(6/?) y? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 9670 Cateeorv 1 _ Minnesota Rutes 7672 Energy Code Category , Residential Ventilalion Calegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitletl Su6mitted • Energy Envelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan? _ Y _ N if yes, date and address of master plan: Licensed Plumber nD Mechanical Contractor Sewer/WaterContractor appiY Telephone #( Telephone #( Telephone # ( '572i 3?1 Offce?Use Onh Cert of Survey Recd _ Y _ N SalsReport : _Y _N TreePresPlanRectl _Y _N, Tree Pres Required Y _ N OnsileSep6cSystem _Yi N and acknowledge that the information is complete and accurat e; 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 requires a review and approval of plans, y lyla/?t `iv Vvvk 2 ciltA Applicant's Printed Name ApplicanPs Signature DO NOT WRITE BELOW THIS LINE ? Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EnT. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteralion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitfon (Entire Bldg) - Gi ve PCA handout to applicant DBSCfIptlOf1: Water Damage _ Yes Valuation /0 <rto Occupancy R-3 MCES System - Plan Review Z100% or 25% - Census Code ti 3y _ Zoning ?C `! City Water SAC Units -' Stories ? Booster Pump ?- # of Units ? Sq. Ft. PRV ? # of Bldgs ? Length ? Fire Sprinklered Type of Const Width 2= REQUII2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock Footings (deck) Final/C.O. # Footings (addition) ? Final/No C.O. ? Foundation HVAC Drain Tile Other Roof ice & Water Final Pool Ftgs Air/Gas Tests Final ? Franiing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ Windows _ _ Insula[ion 7 _ Retaining Wall Approved By: uilding Inspector B - -------------------'---'-- ----------- BaseFee -------- -------------- - - -------------- - ------------------------------- -----------------V -------------------- 33 surcharge Plan Review MCIES SAC City SAC Utiliry Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 ? i New Conatruction Reaulrements • 3 regisle(ed site suneys showin9 54. ft of ht, sq. it. of house; antl all mofed areas (20% maximum lot coverage albwed) . 2 capies ot plan shaxing beam & window sizes; poured foaW design, eta) • 1 setof Energy Cekulstbns • 3 copies W Tree Preservatbn Plan B lat platled afler 711/93 • Rim Joist Deteil Opibns seledbn shaet (hltlgs wim 8 or less unt) DATE 5r?a ?O Z_ 1 3?s,7s RemodeuRepair Heauhements • 2 copies ol plan • 1 set of Energy Calculatlons ror heated add'aions 1 sttesurveyforexterbradd8bns&decks • Ind'rcate 4 home served Dy sepBc system lof atlditions U VALUATION 0,)_ o l b-D O SITE ADDRESS 41Wd 40Sd'o 2D 41CL .S MULTI-fAMILY BLDG _ Y XN iYPE OF WORK leL_° (Z-DO F FIREPLACE(S) _ 0_ l_ 2 APPUCANT STREET ADDRESS 7'-f (o b GtJ?ti TELEPHONE# qS__NYI-Y232- CELL PROPERTY OWNER K r /Z1L [ S C-A'2 !e- FAX # J? 3 TELEPHONE# COMPLETE THIS SECTION FOR uNEWm RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission lype) • Residential Ventilation Category 1 Worksheet Submitled • New Enargy Cotle WoAcsheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanicpl Contractor: Mechanical system includes: 5ewer/Water Conhactor: Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone q Fee: $90.00 D?? 0 MAY p p 2002 ; ? Phone # i .! '.______'-_'..'__"_'___..__..."_"'.-_._..'.'_'.__"""__'______.__.".."'__'"""""_ i_'r."' I hereby acknowledge that 1 have read fihis appllcation, staYe that the information is correct, and agre t comply wiTh all applicable State of Minnesota Statutes and City of Eagan O' ance . Signalure of Applicant - . _..---- °-----°............ _.... --...... --.. -..?.?e.? ` ..rd._..._..._.?.._........_._ ............. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 _ Water Softener _ _ Water Heater _ No. of Baths OFFICE USE ONLY O 01 Foundation ? 07 05-plex O 13 18-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Poroh/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y ar_ N O 25 Miscellaneous O 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding O 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Btdgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new b1dgJ _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water i Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco _ Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing permit Mechanical Permit License Search Capies Other , Building Inspector Total r . SINGLE FAMILY DWELLINGS 2 3EP3 OF PLANS 3 HEGISTERED STTE SIIRVEYS 1 5ET OF ENERGY CdLCS. 1989 BUIl.DZBG YERMTT APPLICATION CTTY OF EAG9N I 1'5?fi MDLTIPLE DWELLINGS 2 3h'f8 OF PLANS BEGISTfiRED SITE 3IIRYEYS - (CHECB TiIITH SLDG DIV.) f SEf OF ENERGY CALCS. MTLTIPLfi DWELLINGS RENTAL IINTTS FOR S9Lfi IINITS # OF DNITS HO't&s ADDRES3ES FOE CORNER LOTS - COATRACTOR/SOMEOWNER M[T3T DE4IGNATE WHICH ADDRESS IS DFSIRED. NO CHANGFS WILL BE ALLOiTED ONCE BIIILDZNG PERMIT IS I33DSD.. SEWER A itATER PERMIT FEES AND ACCOIIAT DEPOSIT FEES 1iILL BE INCLTJDED idITH T8E HUILDING PEAMTT FEE. PROCESSING TIME FOR SEWER dND iIATER PERMIIS IS TWO D9Y5 ONCE A PEAMIT HAS BEE9 COFlPLETED INDICATING 9 LICEN3ED PLIJMBER. PENALTY 9PPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS &EQDESTED. LOT CBANGE IS REQOESTED ONCS PERMIT IS ISSIIED. h10Y 3 a 1989 To Be Used For: Valuation: Date: 0. Z ' a Site Address Io 465?-dl of 41 LL5 V-C-/ Lot I Block ( Parcel/Sub LS ELd (1?dd ? Owner ?-? 9ddress (?, ?"2uo UJ City/Zip Code ? Phone - f-1Z36 Contraetor Incj?? p 3'u Address ?,c• ,?- -? City/Zip Code Phone Arch.fEngr. _ Address City/Zip Code Occupancy R-3 M-I Zoning R-1 6etual Const V-N Allowable V-N 0 of stories Length ' Depth ? S.F. Total Footprint S.F. On site sewage On site well MWCC System v' City water ? PRV required _ Booster Pump _ APPROVALS Planner Council Bldg. Off. ? Varianee COI+AfEACIAL 2 SETS OF ARC$ISECTURAL 8 STSOCTiTRAL PLANS 1 SET OF SPECIFICATIONS 1 3ET OF EAERGY C9LCS. ?y?? N Bldg. Permit 8VB,00 Sureharge 1155o Plan Review p9 0- 0 SAC, City IbO,oC SAC, MWCC ,5')S,? Water Conn 0,07 Water Meter p?Do Aect. Deposit 30,00 S/W Permit 20,00 S/W Surcharge hoo Treatment P1. 22,oo Road IInit 40 100 Park Ded. Copies SIIBTOTAL Penalty TOTAL J0 ?j Phone # ` V'?A?uATIfli?1 - .? Z? ?C2t( =. 6Z(4 43?BSm T, ? 1 ST - v a y'C_ z2xso? 660 G X L 3 t I 3r3 ? I 3SS X?Y = g?g ? 2 FLOOJ2 ?Sn'tT: t35? Gu23;! ?_. ?Z2t?X SO- p ,4 r2e,4 ?e?pnu? 1 5?? Z?Z d ?l xt ? - ?.,3 xs? = '? i ?? 0- . ,_ ? v d ?.oT EL oc- K I H oSFor?,b A aZ?' N. E:XTEFt101'; E:_N41EL._(IF=E f','JEFtF3GG "U" C;Oh1f•l1.fAlTilN I`IUIV'1°GGt'IE'R`r Df::'3:[GtJ °. EtLJ(I_1:7 CLl 3786 W:f.i:lf)'I'EiE_.F.: DR Er-jGAN, riN 5512_ ruOnFL riar;i.+i ?'iE'G!U t RE.T} I.. l Ol AL WALL. FaFikc:A <_. FiiJl7F AttEFi t-lFif.::A ll 1..1 X AREA 3503 . 1 1 385 1370 .026 16 AcHIEvE::r.i .a waranow AFtF:A E: DOi i6y r;kiEA t. t3LIr)ING LLAJJ HkE:.t'i D f` IREf'LF-71..E AREA E. W«i_G.. E hArtE ahEH r= raF: r wAt_L AF,EFa G RIt°I JCIIST AREA i-+ rOUniD wiNxiiaw AREA I F iJIJND AE30VF: GF;AL7E: °:. .ri7lAL.. wAl_L AI,I_r, J ;F-::Yf_ I Tk( I: hOfJF F Rrih1E: L. NE::`I` F:UC1F FaFil'-:A 4. TOlfdL RO(:iF AREA JUM t)f' 1.'k'2. Slll''I OF :::.+4. 360 .33 119 :=b .07r . 117 .33 ._iY 0 .5 o 350.3 .041 14 2639.7 .044 i'a 130 .0436 6 [,) .v !} H:; .135 11 ,..:1 ..i? U 137 . Cr-3::' 4 1233 .025 31 35 421 r,.,: i6 7 `_,_' 'Y & EAGAN ?ilot Knob Road Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: Control No. 02 3 7 BUILDING 000257 04/15/92 SITE ADDRESS: 4010 HOSFORD HILLS RO LOT: 1 BLOCK: 1 HOSFORD 1ST DESCRIPTION: Building Permit Type RES. AOD/PORCH Building Work Type NEW .UBC Occupanoy., R-3 ' Building Length 18 Building Width 10 _ j -7 , ?. JlJ i l •? _ " _ ??J REMARKS: e O 1 $3rj ( FEE SUMMARY: Base Fee Surcharge Subtotal VALUATION $5,000 $72.00 $2.50 $74.50 LICENSE SEARCH $5.00 CpPY $.58 Tatal Fee $80.00 COI?TF1qbq? _ App1i14523575 0004 88WR %RCONST 980 STONY POIN7 RO 980 STONY POINT RD EAGAN MN 55123 EAGAN MN 55123 (612) 452-3575 (612)452-3575 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinanees. ? APPLICANT/PERMITEE SIGNATURE I ISSUE : SIGNATURE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ? Control No. ? ? ? ( BUILDINO 000257 04/15/92 SITEADDRESS: Lor: i aLocK: i 4010 HOSFORD HILLS RD HOSFORD 1ST PEREST SAD-D/P96 H FOOTIN6 FINAL ? ? APPLICANT: R 0 CON3T (612) 452-3575 TYPE OF WORK: FRAMINCa r .+ , t:u? ?-J i:" ,10 1; 1 rth. 41;('1 ?iu,1 1,..tiur1 inn.. i? 1 ?;llii?t,LF?rI{ Nn. F ili:tl I:: I. I?i I.' ? l; ? ui I? 1 !IPtI f? Ilu. ?.n;-,n It I! i' L? NEW f:f; I I 11 1 'nI1 ?-- a PERr?IT # CtTY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-0675 ? ge_ o 0 APR g 1 RECO ?V Y) W, ??? SIMGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date q /? z- Yaluation of wor yspd ^ Site Address: yD l ? 1409'fn. " STREET - 8TE f R /o & t N T 4 u..r enan ame: LOT 1 BLOCK j- 5Lgp.H05PbRD ST DaJ4 P.I.D. / . Descri tion of work: SereeK+-Or The appl icant is: ? Owner . JW Contractor ? Other (Describe) Name Ra J`er Phooe 6$%7 'Oti g7 Property LASZ FIRST Owner 14cD10 14ms-Fdrd N"lls Address STREET ' STE Y City State ?-? Zip 4-?' Z- 3 Company 2• ?• 0m.,. RIcK Oc.+Ne Phone'rSZ Contractor Address 9?? S?Tm ?.?.4 License 9 g xp. ?" 9 City State w. G Zip 5s i z 3 ? Company Phone. Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber N/?+ . Processing time for sewer 8 water permits is two days once area has been approved. 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. i Signature of Applicant: i urrmoe uat unLY BUtLDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 13 Public Fac. ? 02 5F Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Agriculturai ? 03 Two family O 07 Fireplace ?11 Res. Ad . orch ? 15 Miscellaneous 0 04 Multi-fam. T.H. ? 08 Deck ? 12 Comn./In WORK TYPE %=3INeZ' 32 Addition O 33 Alterations ? 34 Repair O 35 Tenant finish ? 36 Move GENERAL iNFORMATION ? 31 Demolish ? 99 Undefined Const. (Actual ? Basement sq. ft. MWCC System (Allowable lst Fl. sq. ft. City Water UBC Occupancy ?- 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length I8' On-site well, Census Code y 3 y Depth /°, On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Yariance REQUIRED IN SPECTIONS ? Site 19 Footing 10 Framing O Insulation ? Wallboard IZ Final ? Draintile ? Fireplace Permit fee 20 a n,a,.t;o,,: s 5? n o Surcharge ? . So P7an Review License `u /9 =? SS U X 2 s: = LI 5 0 v ? SAC MWC / K City SAC ` Water Conn. Yater Meter - Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Raad Unit Park Ded. Trails Ded. Copies Other ? Total: z SAC % ? 5AC Units CITY USE ONLY yq L ? BL ? RECEIPT#: /o?0 Q/ Sl1BD. RECEIPT DATE: 1Z1? 9 7 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 65122 (612) 687-4675 Please complete for: . single tamily dwellings . townhomes and condos when permits are requited for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - i • 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construction 5.00 x J_ = Sc)O Water Softenef ' for existing dwellNg . 20.00 x °. U.G.Spritlkler 'Pordwellingunderconst. 3.00 = U.G. Sprinkler ' forexisting dwelling 20.00 = AlterdtlOnS "roezisting residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` Dak Cty lic. 75.00 = (new and refurbishad systems) Private Disposal Systems' Abandonment 20.00 = STATE SURCHARGE TOTkL .50 M-0, I hereby acknowledge that I have read Nis appliration, stete that the infortnation Is correct, and agree to. ramply withall appliwbleCiryof Eagan ordinences. It is the applicarrt's responsbility to notify the Droperty avner thet tha City oi Eagan assumes no.liabiliry for any damages pused by the City durin '?' N dlities constructed under this pertnR wn Ciry property/rightcf-wey/ease 4010 HOSFORU H I LLS RDflD SITEADDRESS: EFOM ' 55123 H 434-3328 W OWNER NAME: INSTALLER NAME: STREET ADDRESS: ciTV: NORBLOM PLUNIBINU CU. DBA VENTCO/APPLIANCE INSTALLEHS (812) 827-4033 H 290 MSNNEAP'OLISAMN 55408 . ZIP: SI RE OF PERMITTEE 1?? 2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single (amily dwellings & lownhomes/condos when permits are required for each unit Date '1. ? / (./ (!/ Site Address Unit # Pro ert Owncr1 )P I j hone#(? 5? !Srm Tele J 0 p y ?_ p r 7 -t Contractor ?il1l f' (?lJ)1111 ? 90? V %/ 6 S[reet Address rr?? ,v City J , State _ ? UAI Zip ? Telephooe # / '7 Bond #: Expires: The Applicant is _ Owner Y Contrac[or _ Other Add-on or alteration to existin g dwelling unit $ 30.00 ? furnace _Additional 1/eplacerue-nt_ New air exchanger - ? --- -- ; !`' ? air conditioner -.; JUN heat pump ? S other ? State Surcharge $ 50 T t l $ ?? s /) o a • c I hereby appty for a Residential Mechanical Permit and acknowledge that the infoanation is complete and accurate; that the work will be in conformance with the ordinances and codes of [he Ciry of Eagan and wi the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start withou permit; that the work wi be in accordance with the appro d plan in the case of ork which requires a review and approval of p s. ? re- vi Applicant's Printed Name App icant's Signature 5URVEYOR'S fERTIFICATE "0 DENOTES f' tOPOSED SURFACE DRAINAGF O OENOTES IkGN MONUMENT SET 0 DENOTES i' :',N MONUMENT FOUND XOOQ.O DENOTES f .'STING ELEVATICN (OOOA) DENOTES F'Rt)POSED ELEVATION s SCALE: 1 lNCH - 3c FEET PRUPGSED GRRACE FLOOR - 8e1.7 FEET PROPOSED LOWEST FLOOR -- 874?.?,-) FEET PROPOSEp TOP OF BLOCK - 85::. r FEET WE HEREBY CERTIFY TC MoNT4onqe&Y Dgsiv N THA7 7HIS IS A TRUF AND CORREC:? REPRESENTATIQN OF i•'iURYEY OF THE BOUNDARIES OF: LOT . BLOCK I, HOSFORp tST ADDITION, ACCORDING TO 1"}iE REC' ;:pEp PLAT THEREOF, DAitOTA GOUNTY, MlNNESO7A. IT DOES NOT PURPOR' 1 0 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWIY. ,^:S SURVEYED BY ME OR ( '!)ER MY DfRECT SUPERVISION THIS 23RDDAYOF htovepnpF ?L , 19F« SIGN[D: JnNtES ft. HiLL, iNC. C 5._.__ JOt-1N C. LARSON, LAND SURVEYOR MINNESQTA LICENSE NUMBER tA828 ? s ? 0 T ob Y ? a ?>ntF rx? m Z ? , ::: • ?, ?, *; ,?.,? !V ?. /J ='At"aFiiY ETQGIs`:qEE}$7p ?:; I?F'PT Im?°1?? K. Hill, IrIc?. PLANNERS ! ENGINEER i / SURV :YORS I ? 9401 JAMES AVF. S. a BLOOh11NGiON, MN. 55431 0 6?^84-3029 -- '?-- ..: ?? ? NlV-20-' R9 TUF 14: 1 0 I D:.THMESIR H I LL I iJC TEL h1O: E1 ^ 8,:34-55] 8 #" s FO1 ? '8u$' aq?EYOR'S CE6" ?« g?lYQy9!IFICATE ? DGE?WC?V?J ?'q F i ?- o ?- ? i c I?t 1 ?I 0! ? ? ?s 0 N _../7 EAS£M£NY PER PLAI o 4" F ., ?o rpR-07NAGEB UT277". ?._., ..,y ?...., S » ? E I i ?I ! I? 1 2$ j ?P f4 ? ? a 0 0 EtVX ? n 25 ` a 1I. y „ 2z.52 y6°' Z` Q R 3S 6039 ? , 40.0 o ! v_ OD 05 J.?Oj 4?0 7 ? I I 111 m ? ? . 40?0 V ? YI Q ? J Z ° , eBtb `! ? tl i jlS.tip ' II? `. q/86c.d f ? -'`.. ?SU• ? h?? 9 N $Q' ZI'^ ? p90 'G 1 ? m ? O v? ? tn ••? ? D 1i y ?(2 d 111 O ? 0 -D O L rn z ? O m N ? m I DcNCN tnF¢r ? P oc ?µpO J ? EL¢'4..e?Q.94 J+ ? e /?oJ9 ? 1 + . 1 ?.-yI5,Op ? ? ? 673.7 • I 1 g11) '? ? teo9 ? 10 f ?? Le41CH M+&? 70P cp ItOrJ 15teY.. 866,5} l I-Q ? ? ? d ? 0 ? 0 O Ki 9 ? ! 6NC1i & $O FCE" ?arwcnte-'?%s R. 1-?111? ir ??? PLANNERS / ENGiNEERS V! "JRvEroRs 8401 JAMEu AVE. S. • BLOOMliJUTOM, MN. 5:' 31 o 612-884•3029 Y. . weeue. ? .- -JgLL?.M1lS:iYtiJ.>nv.1:t?.ut . . . i'iriGAT?'°b ._ DEE_' ?VS?oOC? ? ? ? ? N V, lo ?p,qalNAGE 8 UTIL!'. ^' ? ? EASEdfENY N?R PL, C/ ui N? t,q.r j V + ^, I i? O ( e ? 'U V) ? ? ^ O n 2j ? ? lo 21..52) 4=23°27'S9'`1 oPi R=35.00 yn> i C ? "g o f ? v? ? 6FUtH n?RY 'roP cf iqnn? EtF14.1 BH6.53 ?z 4D I ,' I pEGCH MrPL I 16P oc ?naJ w I . ?pe ? 873. Rcw-8 40 I ? /0 . f J y?i W ? ? Vt O •+y -^i 1 L_ ? T ? p p W O o p r m ?l m ? 0 o ?' y R'li O ? ? tn ? ? 0 Ln y ? m l' . • .Y: .:S °YfC .. . TFI.- I lil: (. I 2?:; ?;=t-•-dF? I R tt-c,^ F'tl1 __?.,..,......?......... _:..._?.,..:..::, _..? ...:._:. ..? F? 0 NM ?Ci I U4rl r ?r a I ? ( ? ? E ff f? to` ?l n 0 / o I a 10.0 ? 1 ? ? ! f ? I ) ? 7 ( i ? I O I --"?1';s'ae rri I f tl \ 4?? \ rL..aec.? + I J"?, ?• \ ? ? 1- 24.95 .-l IitJCN<SpFd"r- N 896 5(08(0"8 I ,.-asYArtTx?:.2-:;.?:.?ucatShYt:?,L::?.v?4.?.?.?:a?L'i:,;•J2X'?:V3nY.21?20-• - Jai-nes R. tl 1[ 11, 1 li14.,,,, f'LAh1NCRS / F_iVUlNEGRS / ::;UFtVEYORS 9401 JAtdES AVE. S. + 6LOOMI14GTON. MfJ. 51;. 131 , 6I2-804-3029 , .. SURVEY FOA: KIRK FISCHER JOB N0. =806018 (805049) DEf.MAR H. SC.HINRNZ PLOT FILE=805049A LAND SURVEYORS, INC. 14555 SOUTH ft08FRT TRA7t ROSEMOUNT, MINNE30TA 55068861-423-1 769- 1 SURVE'YORB CERTIFICATE 0 I J J Z ? ? ? y ? .l? z ?a' 3 C IQL- ?J N L Z- ` y cn ? ?-•`y ? ?--------- --- ? 1 25 DEERWOOD DRI VE e 101.00 N89°55'04"E N I - - - - - ? 5 10 I I I LOT 1 ? 0 BL OCK 1 ? w ? ?I Q ? ? I H w O U) ? - EXISTING PDfNN ----- ? I ? a5 ( `I ? ? 10 o = - --- ti i tiz ? ? nI I w I o° • ? •? ------- ? d?vl ? ll ? ?? I I ? ? ? ? ` ? I vv ?ol ? k W 44. 87 ? U I cy p S s ? I Q° ?i. 5 ? 'X °ON ax? ?.to NE?. MALi 26.95 N89° 56'36" E PROPERTY DESCAIPTION.• L01' 1,6LOCK f,NOSFORO 15T ADOZrION,ACCOROING TO THE RECOFOED PLAT TNEREOF, OAKOTA COUNTY, MINNfSOTA. ,,.......,.#?. ' I hereby cedly lhAt lhls survey, plan, or repod wae prepared by ma ?*? SGH,r,?pplZ t? or under thy'dlraEt suprarylsloh an8 thel I am a duty Repigtared Lend - • = 8urveyot 40deP ihb lawa'oT 1he 8tate'6f Mirrneaota. ? ?g625- 07 ? dfBd :e....:.•???4: .? ti... _ , . ? . a SCALE.' f INCH = 30 FEET o = FOUNO IRON PIPE MONl/MfNT 0 - SET IRON PIPE MONUMEN7' y ? 2 ? H W Minneeota Llconjib No. 8625 ? ? i ? o ? h ' G. ?Z 0 Z ? J ? m A PERMIT City of Eagan Permit Type:Building Permit Number:EA114598 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 4010 Hosford Hills Rd Lot:1 Block: 1 Addition: Hosford 1st PID:10-33600-01-010 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Fireplace:1,MAIN FLOOR, ST-CFL-24NG-B Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Paul E Anderson 4010 Hosford Hills Rd Eagan MN 55123--140 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141840 Date Issued:04/03/2017 Permit Category:ePermit Site Address: 4010 Hosford Hills Rd Lot:1 Block: 1 Addition: Hosford 1st PID:10-33600-01-010 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 - Paul E Anderson 4010 Hosford Hills Rd Eagan MN 55123--140 (651) 338-9871 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature