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3255 Hwy 55 Nov. 3. 2010 10:42AM No.7740 P. 2 X>4 -1 / ltd Use BLUE or BLACK Ink ` i Pamtitl ~ I City of Eqdn l I Permit Fee; gr 9 3830 Pilot Knob Road Date Received; i Eagan MN 55122 1 I Phone: (651) 675-5675 k I I Staff a i1 Fax: (651) 575-5694 v i r.U i~ 2010 RESIDENTIAL BUILDING PERMIT APPLICATION iC 14 Date: 3 Site Address: Tenant: Suite RESIDENT I OWNER (dame. Phone: (05 7 - q ~5+l L4 Address/ City/ Zip; ~f oL C t1~ 5 Applicant is: _ Owner t` Contractor TYPE OF WORK Description of work ~iNon ki -e-e m(X-4e Construction Cost: 219 3 0 - Mina-Family Building: (Yes No _ v CONTRACTOR Name: I-LC- License IP C2 0~518 nLa Address: a Si C) 1111~Pz'" t~~~L)e-City: Mir-') 1 s State: ifgzip: ~-2'5yup- Phone: I-cP"76: ~ Contact; t! i Z Email; l C~'l ra~l ~ ~ L L~f:I S 3 ~TT ~ C COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes ,No if yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the infonnatlon maybe classed as non-public you provide specific reasons that would permit the City to conclude that the are trade secrets. 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.aopherstatvonecall,or 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 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 unit be in accordanoe with the approved plan in the case of work whlch requires a review and approval of plans. Applicant's Printed Name Applica s Slgna Page 1 of 2 Nov, 1 2010 10:42AM No. 7740 P. 3 17LY,~ DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck Porch (ScreenlGazebo[Pergola) _ Exterior Alteration (Mufti) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES k L v rt nmi _ New _ Interior Improvement Siding _ Demolish Building" _ Addition _ (hove Building _ Reroof Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 2L Occupancy MCES System Plan Review Code Edition O°( SAC Units (25%-100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Ili Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I G.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: !Stucco Lath -Stone Lath -Brick _ Fireplace; -Rough In Air Test „Final Windows Insulation, Retaining Wall: Footings Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: L Gf` , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review", 1.s MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies / TOTAL Page 2 of 2 ID f; Souada l Barra Plunb T0, 6516755694 2010/11/89 11:89 P86E; 2 Use BLUE or BLACK Ink t/ . For Mice Use 4 O Eaoa D Permit#: _..l~j5_._ Ea I 01 I Y Permit Fee. 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 - : Staff: A;:j _ t Fax: (651) 675-5694 ! 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: - Irn Site Address: ~S.~Y- h Tenant: L Suite: RESIDENT I OWNER Name: ~v<Sn 1 i S tk ' k Phone Fa Si 'rr! S~ f-i6 f s` Address/ City / Zip: 32 CONTRACTOR Name: S' LicenseM 2:9,25'2 Address: , f3 or l city; C. 4 ~oL f- . State: 'L_ Zip: S' s t e Phone: 7-,?- iVW- v--.'2 22 Contact:,4/& Email- le,, Co Vsd TYPE OF WORK -Now -4!~' Replacement -Repair -Rebuild Modify Space Work in R.O.W. Description of work: h s : z k F~ f. h'r s oL ~s k u1 s PERMIT TYPE RESIDENTIAL Water Heater Water Softener _ Lawn Irrigation Add Plumbing Fixtures _ RPZ / _ PVB) Main - Lower Level) Septic System Water Turnaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL BEFORE YO! 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. 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 1 ~2 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In -Air Test _Gas Test Final CITY OF EAGAN Remarks Addition AUDITO? ?B #38 Lot Blk I ),f) Parcel 10 03800 030 1Q Owner -? .?' --.?t f-,v?.4?:. -Street 3255 Hwy #55 State 5t. Paul, MN 55111 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRApING SAN SEW TRUNK i 1,1 1970 LZS.OO S.OO 25 PBid SEWERLATERAL 2 139 .55 69.87 20 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1984 335.00 22.33 15 335.00 C008624 10-14-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATERCONN. 300.00 6578 10-11-72 BUILDING PER. s,ac 260.00 57 - -72 PARK CITY OF EAGAN 3795 Pilat Knob Rood Eagae, MinnesoM 55122 Phone: 454-8100 Date: wnm SCFMER PERMIT No. 275 5-16"'? ?979 Receipt No.: 5ingle Residentiol 1'795 ?iiat?y Site Address: Lot _'?'l Block IC) Sub/Sec. _01160•sSalk *d if I Multi CumI.fm J. Fe11dcAm Name New /Alter./ Repair - r55 Sii_c?}?r?ry 55 ; Address Cost of Instollation a F?cr? 454-1F95 - .1}tl City Phone: Permit Fee CYmne?s Soft 4?Iater O?a,?y . ?}0 Nome Surchorge ? ? 3Y,{)1 G31j.f0rZ1ia `',t. N.x. P Address e City ' Phone: Totol This Permit is issued on the express condition that all work sholl be done in accordance with ail applicable State of Minnesota Stotutes ond City of Eagan Ordinances. Building Official CITY OF EAGAN CASHIER: S TERMINAL N0: 760 DATF: 07l06/33 TIME: 12:90e:16 ID: NAMEe HEFOFiT FiOf7FING .T.NC 3210 9001 3^GJJ HWV JJ 37.25 2i.55 3001 3255 HWY 55 2.00 Tot,al Feceip+, Arnoim+,: 99.25 CRii?852 USCR ZA: NANCY 1999 BUILDING ?- New Construdion Reauirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 C? (651) 681-4675 ? RemodeVRenairRequirements CVJ_. \1 II._X_X_-D --7 _ c -? 7 t / • 3 registered site suneys ? 2 copies of plans (inWude beam 8 window sizes; poured fnd. design; etc.) ? 7 energy calculations ? 3 capies of tree preservation plan N lot plalted after 7/1/93 required: _ Yes _ No DATE: 7Ir/ 9 9 DESCRIPTION OF WORK: 4 hs .J-?. ? 2 copies of plan • 1 sfte surveys (ezterior adddions 8 decks) ? 1 energy calculations tor heated additions CONSTRUCTION COST: STREET ADDRESS: _ 3;a 5-,s- ? SS LOT: BLOCK: ? C7 SUBD./P.I.D. #: O.,Ldj-U" Nazne: Phonetl: PROPERTY Last Firsc OWNER I I Sheet Address: ? as-s- v City ?E State: Zip: S"5-/ar Company: ?" Phone #: ?2 a 7-0 86 B' CONTRACTOR Street Address: License # ac) 9 7' Exp. ,3 Gb City IJX ??J, State: prc,n. Zip: SS1d7 ARCHITECT/ ENGINEER Company: Phone #: _ Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address change and lot change is requested once permit is issued. i hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable ytate of Minnesota Statutes and City of Eagan Ordiriances. SignatWre of Applicant: &-JL.? OFFICE USE ONLY RECEIVED JUL -; i 1999 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required BY' OFFICE USE ONLY BUILDING PERMIT TYPE ? 01' Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility O 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code Census Units Census Bldg MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee 9,7. a S Surcharge ,:I,oa Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ON•`d5 ? Valuation: ' % 5AC SAC Units EAGL,N TOtdNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: October 11, 7972 OWNER• Frw:in H. He]mken NUMBER 1168 /C 4Y6-0G c_?'fc? ?G naaress 3255 xighway 5? 3agan 55127 PLUMBER Avoules Plumbing TYPE OF PIPE Heavy Cast Iron DESCRIPTION OF BUIIAING Industriall Commerciall Residential i Multiple Dwellingf No, of units Location of Connections: Connection Charge 260.00 pd 10/11/72 Acct. Deposit 15•00 pd 10/11/72 Permit Fee o• 1^-?' Street Repairs Total Inepected by: DaCe Remerks• Sy Chief InspecCOr In consideration of the issue and delivery to me of the abave pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tormship, Dakota County, Mianeaota y au<?si?a B Avoules Plwnbing Co. Please notify when ready for inspection and connection and before any portioa oE the work is covered. EAGAN 10WNSHIP 3795 Pilot Rnob Road St. Paul, Minneaota 55111 Telephone 454-5242 PERMiT FOR WATER SERVICE CONNECTION Date: October 11, 1972 Number: 1017 1o 63E,66 6E>O /a Billing Name: Erwin H. Helmken Owner: same Plumber; Avou.les Plumbing Co. Site Address: 3255 xigr,Way #55, mag? 55121 Billing Address 356697 Acct. ;Deposit 15.00 pd Meter No.22272493 Pexmit Fee o• ? Meter Reading Meter Dep. ? Meter Sealed: Yea_ lAdd'1 Chg. 70/11/72 10/11/72 ? NO ' Total Chg. Building is a: Residencexxx Mltipie go, Commercial Industrial Other Inspected by Date Remarks: ?25.00 RE-INSPECTION fEE FOR 4MPROPERLY INSTALLED METERS. Hy: Chief Inspector In conaideration of the isaue a[sd delivery to me of the above permit, I hereby agree to do the proposed work ia accordance with the rules aad regulatioas of Sagan Township, Dakota County, .nnesota. By. . , _ Please notify the above office when ready for inspecCion and connection. RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN ? 4? O I O 3830 PILOT 55122 4675 2-5 NewConsWCtion Reuuirements RemodellReoairReauiremeMs • 3 regislered sAe surveys showing sq. ft M lot, sq. ft of house; anll mofed aren . 2 copias of plan (20% maximum bt mverage albwed) . 7 set of Energy Calwletans lor heated addNOns . 2 mpies of plen showing beam & xindow saes; poured found design, etc J . 1 stte survey for exleriw additions & decks . 7 set of Energy CakwWtions . Indkate if hane served 6y septic system for edditions • 3 mpies o(Tree Preservatlon Plan'rf bt platled aRer 711/93 . • Rim Jolst Defail Optlons selection shcet (bklgs wAh 3 or less unXs) X DATE T140 ! JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? X VALU/[ION !C?, ooo. oc PROPERTY OWNER C&Jto-t L_Rec? ? TYPE OF APPLICANT ADDRESS PAGER # CELL PHONE # CODE -ST7 0 7 FAX# &S-1 -aa7-o.Pad NEW SIDENTIAL 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 Plum6ing CoMractor. _ Plumbing 3ystem Includes: Mechanicol Conhactor. _ Mechanical System Includes: Sewer/Water Contractor. _ Air Conditioning _ Heat Recovery 5ystem FiitEPLACE(S) _ 0 _ i _ 2 PHONE# 457-aa7-of(W Phone # All above information must be submitted prior to processing of application. I I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga ina es. Signature of Apptlcan?%? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths _ Phone # Fee: $70.00 OFFICE USE ONLY r O 01 Foundation ? 07 05-plex ? 73 tEplex ? 20 Pool ? 30 Accessory Bldg roL 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi ? 03 Otof_plex O 09 07-plex ? 77 Garage 13 22 Parch/Addn.(4-sea.) O 33 Ext.Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck 0 23 Porch (screened) 0 36 Mutti ? 05 03-plex 13 11 10-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y ar _ N 0 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) 0 44 ? 32 Addidon O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 pemolish (Bidg)• ? 43 Reroof OR 46 WindowslDOOrs ? 34 Replacement 'Demolitlon (Entire Bidg only) • Give PCA handout to appilcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC linits S;oriss Baoster Pump _ Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings(deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatrnent Plant Plumbing Permit Mechanical Permit License Search Copies Other Total _ /g/•aS S ov ??, aS FinaUC.O. _ FinaUNo C.O. _ Plumbing HVAC Building Inspector PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093630 Date Issued: 04/23/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 3255 Hwy 55 Lot: 003 Block: 010 Addition: Auditors Subdivision 38 PID:10-03800-030-10 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Caroline T Helta ken 1920 County Road C West 3255 Highway 55 Roseville MN 55113 Eagan MN 55121--154 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature T4TkTA78 RECEIVED JUN 01 2012 4 The Home Services Specialists Affidavit from Installers and work scope on 3255 Hwy 55, Eaxan MN: (Kitchen Remodel) Removal and installation: (Brooklawn Builders 612-247-3382) • Remove and haul away 18 If of cabinets • Remove existing soffits 20 If (10' on each side of kitchen) o One side of soffits was on an exterior wall however existing paperbacked insulation was not disturbed. (roughly 80 sq ft of sheetrock demo and repair) • Remove existing base board and window and door casings • Move appliances out of Kitchen area • Installation of 12 box cabinets and trim work • Installation of Range, range hood (recirculating) and Fridge. • Installation of new casing on 2 interior doors • Installation of 1 new interior door • Patch and repair drywall around soffit area only.... that was removed. Existing paper backed insulation was left intact on exterior wall one side where soffit was removed and sheetrock replaced.-the opposite side was an interior wall. • Repair and paint ceiling (stain blocker) • Building permit # 96911 Plumbing: Sawada and Barna Plbg: (Alex Barna 763-444-0292) • Install temp sink • Install permanent sink, faucet and disposal • Install dishwasher • Plumbing permit # EA096915 Electrical: MJ Electric (Mike: 612-598-0793) • Provide outlet for Micro hood • Provide outlet for D/W and disposal • Upgrade outlet for range • Convert existing oven out to a fridge outlet • Upgrade 2 outlets to gfci per code • Provide and install can light above sink on a dimmer switch • Provide and install 100 amp circuit box • Electrical permit # ELE1102-08475 2650 Minnehaha Ave., Minneapolis, MN 55406-1500 1 Phone: 612-276-1600 1 Fax: 612-276-1700 1 Email: info@thecrew2.com I Web: thecrew1com ® The Home Services Specialists Affidavit from Installers and work scope on 3255 Hwy 55. Eagan MN: (Kitchen Remodel) Misc project notes: • No plumbing was relocated • No HVAC was relocated • No fire blocking was required • No work scope comple d in bathrooms Signed: Date: 2650 Minnehaha Ave., Minneapolis, MN 55406-1500 1 Phone: 612-276-1600 1 Fax: 612-276-1700 1 Email: in1o@thecrew2.com I Web: thecrew1com PERMIT City of Eagan Permit Type:Building Permit Number:EA139043 Date Issued:10/05/2016 Permit Category:ePermit Site Address: 3255 Hwy 55 Lot:003 Block: 010 Addition: Auditors Subdivision 38 PID:10-03800-10-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 - Caroline T Helmken 3255 Highway 55 Eagan MN 55121--154 (651) 454-1695 Action Roofing & Siding LLC 1315 Southview Boulevard S St Paul MN 55075 (651) 457-2642 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161499 Date Issued:05/29/2020 Permit Category:ePermit Site Address: 3255 Hwy 55 Lot:003 Block: 010 Addition: Auditors Subdivision 38 PID:10-03800-10-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Caroline T Helmken 3255 Highway 55 Eagan MN 55121--154 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166726 Date Issued:01/29/2021 Permit Category:ePermit Site Address: 3255 Hwy 55 Lot:003 Block: 010 Addition: Auditors Subdivision 38 PID:10-03800-10-030 Use: Description: Sub Type:Residential 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 - Caroline T Helmken 3255 Highway 55 Eagan MN 55121--154 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature