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