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4230 Malmo Lane NCITY OF EAGAN 3745 Pitot K+wb Rosd Eogon, Minnesota 55122 Phoete: 454-8100 PLtME PERMIT Dnte: 10-26-78 Site Address: 4230 W. Ea.lmO LsYu ' r,? F Lot ?` ?? Block 9 Sub/Sec. WP, 6 th No, 1254 Receipt No.: 12192 Multi x Nome T31sen How3, Inc. New/Alter./Repair 9 0 Address 627 SO. St=ellirtg Cost of Installotian City 99' p8Ul Phone: 698-73,04 Permit Fee 20'00 Name `Alpb rs plumbfng Surchorge .50 ? Address 1?? V. e?awick Aw. e City Phone: <F _ , !1• ? ? Total This Permit is issued on the express condition thot all work shali be done in accordance with oll oppliwble State of Minnesoto Statutes ond City of Eagan Ordinances. Building Officiol CITY OF EAGAN Remarks Addition WILDERNESS RUN 6TH ADDITION Lot 10 Blk 4 Parcel 10 84355 100 04 Owner 1??' J A !' ? street 4230 North Malmo Lane State Eagatt, Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1 973 . • 104.79 A007163 I2-7-78 SEWER LATERAL WATERMAIiV WATER LATERAL WATER AREA 162-14 ,&d • A007163 12-7-78 STORM SEW TRK ],9..59 ?,r)_ 254 76 • 07I 12-7-78 SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 25a 00 lj']']$ 9-22-78 BUILDING PER. SAC 9-22-7$ PARK :5-9 - 77 BUILDING PERMIT CITY OF EAGAN 3830 Wlot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHON E: 454-8100 Receipf Site Address Erect L.,J, Occupsncy ?Y 1 1, `.- Lo2 I j Block eC/Sub f I N Remodel ? 2oning . Perc;el No. Repair ? Type of Consc, Addkion ? No. Storiea Move ? Length •? ? rs i . .?. ; s Name ? Demolish ? Depth ? Address Int Impr. ? 5q. Ft. City Phone - - Install ? A Nams ?? Addrea 1- City Phone Neme Addross City Phone ( hercby acknowledge that 1 haw reod this application ond stote thot fhe inforrr?otion is torrect ond oqree to comply with all opplicoble State of Minnssoto Stotutes and City of Eayon Ordira??us. Sipnature of PennittM A Buildinq Partnit Is Issusd to: "?'--- ;3'• all work shall be dorw in oooordonce with oll applitobls Stott of Mfr Buildinp Offitiol ? Assessment Woter 3 Sew. Poliu Fin Eny. Plonner C,ouncil Bldg. Off. Permit Suroha?ge Plan Revlew SAC Water Conn. Water Meter Road Unit APC I Parks Var. Date J /??p - CoP+es Total _ on fM -xpro- oonditlon fMi City of Eaqon Ordinoncss. Plumbioq H.VA.C. I Inspeetion Date I Intp. I Other I Framing Final Htg. Final Plby Flnal Cert/Occ. Water WNI Sowor Pr. Dlsp. CITY OF EAGAN 94R(; 3830 Pilot Knob Road, P.O..Box 21•199, Eagan, MN 55121 PHONE: 454-8100 QUILDING PERMIT RKe+vt # Te M w"d fer DECK Esf. Value -Dote _- -_ • , 19 `S 4 -- Site Ad 4 2 3 0 NO N1ALM0 LN Lot To Block Seclsub. WILD RUN b Parcel No. l Name -.,-- ? ,.,..t,." ; Address A}IE b City ----Phone Z, o Nane _ ul Address F- Citv Name Address City Phone I hereby ocknowledge that I hove the informotion is corretf ond o Stote of Minnesoto Stotutes ond Sipnoturo of Permiftee A Buildinfl Permit Is Issued to: all work shall be done in atoa \ Buildinp Offidol oll ;f • ond state thot oll opplicable Erect ? Occupancy R3 Remodel ? Zonfng Repair ? Type of Conat. V Enlarge ? No. Storiejj Move ? Length J Demolish ? Depth 16 Grade ? Sq, Ft. Appro rals fess Assesvnent Woter 3 $ew. Police Firo Enp. Planner Countil eiay. otf. 8/21/84 APC Var. Date Pennit " ` Su?chorya • 5 0 Plon check SAC Wcter Conn. Water Meter Rood Unit Parka Total on the lxpress condition Ihat Stotutes a.+d Ciry of Eagon Ordinorxes. Permlt No. Pwmit HoWer Dsto Plumbiny H.V.A.C. Ebctrie Soheosr Impection Date Insp. Other Footingt Foundation Fnming Rough Plbq. Rouqh HVAC Inwlation Final Plbq. Final HVAC E Final Cert/OCC. Waar De?ibe Location: YVell 5swer Pr. Dbp. ; Site Address ' Lot Block ? ,. ? Name ? Address c City L c Name Address p City TYPE OF WORK Forced Air PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ?3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE: ' PHONE: 454-8100 ' BLDG. TYPE WORK DESCRIPTION A"' Sec/-§ub Res. New ? r -~- Mult Add-on . Comm. Repair • Phone Other FEES RES HVAC 0-100 M BTU . ADDITIONAL 50 M 8TU Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - i PER PEFiMln COMM/IND FEE - 196 OF CONTRACT FEE M BTU M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES MINfMUM RESIDENTIAL FEE - ALL ADD-ON & M BTU REMODELS - $24.00 - 6.00 - 1.50 EA. - 12.00 - 20.00 _ 5(1 fi' r CASH RECEIPT , CITY OF EAGAN ? 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RcciIvao 19 AMOUNT $ 1 i 4't v ? Ek oa?L.nRs ?oo p cASH ? cHEetc Thank You sY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3795 Pilot Keo6 Road Eagee, MN 55122 N2 4974 PHONE: 454-8100 BUILDING PERMIT $ite /lddress ?+c .; v iw. . . _ .... Lot Block?Sec/Sub. Paroel # 0: Nome i:ber z llddress 1052 i;eete.c Reteipt # _i..,. ' n..&- CntC;;f?ET 1` , 10 78 ? PIpmC 'i ann H?g,, ]iy,? : 0' Address 1 isig ,48-5501 Name _ /lddress I hereby acknowledge that I hove reod this application and state thot the information is oorrect ond ugree to mmply with ell oppliwble State of Minnesota Stotutes and City of Eagon Ordinonces. Signoture of Pem,ittee A Building Permit is issued to: ,.- otl work sholl be done In uccordance with oll applicable Stote of Mir Buildirg Official Erect Q Occuponcy Alter ? Zoning ' Repair ? Fire Zone Enlarge Q Type of Corrst. Move ? # Stories Demolish ? Front ft. Grode ? Depth ft. Apvrovah Fees Assessment _ Water & Sew. Pol ite Fim Eng. Plonner Council Bldg. Off. _ APC Permit _ Surcharge Plan check SAC Water Conn. Water Meter Total • 51 on the express condition thot 5tatutes and City of Eagan Ordirances. Pensk # poh Inuad PermMfM Plumbing ! ?S ? rp •,z?> - 7 $ (, T Mechanicol ?-t?- INSPECTIONS DATE INSP• Rouph-In Final Footings Dote Date Inaa. Foundotion Plumbing 0- Frame/ins. ? /j- , Mechnnical Firwl Remarks: ' SE c , r EACAN WER SERVICE PERMIT 9195 Pitot Knob Rood PERMIT NO.: Eogan. MN 55122 DATE: Zoning: No. of Units: , ner: ._:. . - ., .. ? - . ddress: ite Address: -? 'LL} ! .n Jumber: '+? ,??rn,r• ..r,?.?., . . . , .., , ,• _ - ogree to eomplp with the City of Eogae y . . is Connection Charge: ^e4!: :???, dinances. _ ? Account Deposit: - Permit Fee: Surchqrge: BY Misc Ch . orges: Date of Insp.: ToYal: Insp.: D t P d a e : oi 'Amp- r EAGAN P l '9 WATER SERVICE PERMIT 6 i ot Knob Road PERMIT NO.: gon, MN 55122 DATE: oning: - No. of Units: ner: 7.8G- `i - - Address: Site Address: F ' . r • Piumber: Meter No.: Connection Charge: _ dbLEize: Account Deposit; der No.: Permit Fee: grae to eomplp wilh the Citq of Eagan ta Surcharge: dinances. Misc. Charges: Total: By Dote Poid: Dote of I nsp.: - I nsp.: CITY OF EAGAN 3795 Pilot Kno6 Rmd fuean, MN 55123 N? 4974 ' PHONEs 454-8100 j17? ? BUILDING PER MIT APPLICATION Receipt #-_ $51, 000. ba used ior T Volue Est SF D S G T 1 Date September 19, 19 78 - o . e. w P a Site Address 4230 No, Malmo Ln Erect Occupancy I 4 10 WR 6th Alter ? Zoning RL Block Lot Sec/Sub. oir ? Re Fire Zone ? Parcel # p Enlorge ? Type of Const. V ? Name Robert J 0'Brien µove ? .#Srories 3 Addrew 1052 Keefe pemolish ? Front 64 ft. ? Grode ? Depth . 40 fr. Ci Eagan phone 454-7304 u Avvro"y Fees g Name mt1 STIR6 ?? Address 622 o Sn 9ng ? ,.;,,, St. Paul Pti,,,,, 698-5501 Assessment _ Water & Sew. Police - Fire Eng. Planner _ Cauncil _ Bldg. Off. _ APC _ Nome Puldress I hereby acknowledge that I have read this appiication and sMte thot the infortnotion is correct and agree to comply with oll applicable State of Minnesota Stakutes and City of Eegan Ordirwnces. Signoture of Permittee A Building Permit is issued to: Tils Homes, Inc nll xrork shall be done in acw (nf? w?i all p' able State of inrv Buildinp Official ?a G- Permit 14L.UU surcha.ge 25.50 Plan check ye,C 500.00 Water Conn. 25? • ? WaterMeter 60, 0 Total 977, 50 on the express rnndition that Statutes and City of Eagan Ordirwnces . BUILDING PERMIT SiteAddress 4230 NO MAI,MO LANE Lot10_Block4-sec/Sub. WILD RUN 6 Parcel No. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8700 ReceipT # - ? I Narne ROBERT O' BRIEN ? Address SAML'' city Pnone 454-8544 rc s0 u f Neme _ Address City - Phane LW Name FW i? Address u tw City Phone I hercby ackrwwiedga rFwt 1 hove road this cpDlication cnd stote thaf Nq inlormotion is Correct and oy ,ree to wmply wioh, all appliwble State of Minnewta Stctutes an9 Qihnof Eaaan CKdihancas. Siprwturo of Permittee r v?i A Building Permif Is issued to: ' BhIEN dl work sMll be done in occordance witlrall a oobla Stafe of N_ 9y?8 J ?/OV Erect ? Occupancy Remodel 2oning flepair ? Type of Const. Addition ? No.Stories Move ? Length Demolish ? Dep2h Int. Impr. ? Sq. Ft. Instell O Approvab Feas Asuument Permit ?c nn Wofer d$ew. Surcharge 1? n n Police Plan Review Fin SAC Erq. WaterConn. Plunrxr Water Meter Council Road Unit Bldg. Off.7 / 76 /8 S Tr. PI. APC Parks Var. Data Copies Total on ths axpreaf eonditlon thot xs9t1_t utea and Ciry o£ Eapan Ordirances. BuilNrq Official . . . ? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN #I t INCLUDE 19 SETS OF PLANS, /6 CERTIFICATES OF SURVEY p ? Q SET OF ENERGY CALCULATIONS To Be Used For: Q.c?fL Valuation: Date: o'? site Address: L?23a k,p ?nd:,"'? ?- • • Lot: Id B1ock:?Sect/Sub: bda Erect: x Occupancy: ?-3 Parcel #: /o Remodel: 2oninq: (Z-I Repair- Type Of Const: Owner: Enlarge: # Stories: -- - Move: Length: 3n Address: Demolish: Depth: ? City/Zip Code: &Va. ? JnZ ? Grade: _ Sq. Ft.: Phone # : y !N? F)V? Contractor: Address: City/Zip Code: Phone #: Arch./Eng: Address: City/Zip Code: Phone#: Assessments: Water/Sewer: Police: Fire: Engr.: Planner: Council: Bldg. Off.: APC: Variance: ? Permit: Surcharge: ,?25 Plan Rev.: SAC: Water Conn: Water Meter ? Road Unit: /.l/z? Parks: ? /s,0?) CITY OF EAGAN N9 9486 - '? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 & BUILDING PERMIT Receipt # 3 3 Te M wad lor DECK Fst. Value $1,000 pate SEPTEMBER 7, lq 84 SiteAddress 4230 NO MALMD LN Erect N Occupancy R3 • - lot 10 Block 4 ?ec/Suh. WILD RtTN f Remodel ? Zoning ? Parcel No. Repair ? Type of Const. V Enlarge ? No. Stories ? ROBERT O'BRIEN Name Mave ? Lemgth 3? ^ Z S?E Address Demolish ? Depth 16 9 ? 454-8544 Grade Sq. Ft. • citv vhone o Name SAME Address ? City Phone ?w Name ?W 20 Address = City Phone °L<W I hereby acknowiedge thot I have reod this applicotion ond stote that the intormotion is corrett and agree to comply with all applicoble State of Minnewro Stotutes City of oyon Ordino. i Z?r Sipnoture of Permittee A' ? Approrob Faes Assessment Water & Sew. Police Fire Enq. Vlonner Council BIdg.Off. g 21 84 APC Var. oate Permit Y1 I . JV SurcFarge • 50 Plon check SAC Wafer Conn. Woter Meter Rood Unit Parks Total ?I8.00 A Building Permit is issued to: ROBERT O BRZEN on the exprcss tondifion thal oll work shall be done in ac once w h all applic ble Slote of Minnewta Stotutes and City of Eugan Ordirwnces. ' / Bulldinp Otficial This request wid 18 nwnths from E 318 0 4 9/15/88 "?YeS°> ?No glReatly Now Q W,II NoUfy InY ec- ?or When pead ? Licensed Electncal Convactor I herabv reauest insoaction ot above ? Owner electrical work inatalled a[. Street Atldress, Boa ar Pome Na. (Liry 4230 North Malmo Lane Ea an ei o. TownShiD Name or No. Range o. Counly Dakota OccupentlPNINTI Phone No. O'Brien Power Supulier AAdress Dakota Farmin ton Eleeincal Con[ractor (Comoany Name) Convactur"s Llcense No. Hilite Electric, Inc. 040445 Matmg AAJress IConiractor or Owner Makin9 Installavonl 953 Shawnee Road Au )ed S,8^atur n ctor/0 ner Makiny Installationl Phone N um0er MINNESOTA STqTE BOAND OF ELECi11tICITY THIS INSPECTION REQUEST WILL NOT Grigps-Mudway BIAg. - Room N-091 eE ACCEPTEU BY THE STATE BOAPD 1821 Universilv Ave.. Sc Paul. MN 55104 UNLESS PPOPEP INSPEGTION FEE IS o......e oa»1 ana_nnnn ENC LOSEO. REQUEST FOR ELECTHICAL INSPECTION pee-ooaoi-os See insirucnons tor co ? ?? ? mpletiny t`is form on back of Vellow coOK r?3180 4 "'X?' Below Work Covered by 7his Request pdd ReO TVPe of Bwldinp ApDliancea WireA EquiUmem WveA Home Range Tem{wrary Service Duplex Water Heater Liyhtiny Fixtures Apt. BwIAmg Dryer Electric HeaUn Commercial 81dy. Fumace Silo Unlonder Industrial Bldg. X Air COndrtionfr Bulk Milk Tenk Farm Othet Peu v Other ISne,1y1 , .. sveoiiv me, ntn., omaute lnsnection fee Below - M Fee ServiceEnvaneeSIxa k Fee Feadees/SUbfexders k Fer Circwts U to 200 qm s 0 to 30 Am s 0 tn 30 Am 20 A6ove 0 qmps 31 to 100 Amps 31 to 100 Am s Swinmi ng Pool Above 700_Amps Above 100_AmPy Transformers Irrigation Booms U Partial-'Other Fee $igns Special Inspection 5 i O/ r TOTAL FE xemarks J _ .. ? 19352 Pough-in. D1Le I.the Elac 'ca InsDectoq M1ereby cartdy lhet 1he above Final peclian has baen mede. myrepuealvoidl8monihsirom --. ?'?• --• Minnesota State Board of Electricity 10947Jniversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ' ABMJLST FOR ELECTRICAL INSPECTION CHECK fsi.RK COVERED BY THIS REQUEST R 28251 Type of Building New Add. Rep. Check Apptiances W'ved For Check Fquipment Wired For Homc 3M ? ? Range pgx Tcmporary Wiring ? Duplex ? ? ? Watcr Hea[er ? Lighting Fixtures kk Apl. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace oC Silo UNoade[ ? Indus[rial Bldg. ? ? ? Ait Condi[ionet„, ? Bulk Milk Tank ? Farm ? ? ? L?? ' 4 List Other ? ? ranz.' o Fjt thers# R ere COMPUTEINSPECTION F 0 to lU0 Am s. 0 l0 30 Amperes ?? 0 to 30 Amperes 11111 I 101 to 200 Am G 31 to 100 Amneies 3] to 100 Amoeres ? Remarks H811 I TOTAL FEf 6.0?) I406 I, the Elec[rical Inspector, hereby certi?f the ' mspection has been maae. (Rough•in) ?Date (Final) Date This request void 18 months from *As CequeSi 4oid 18 months from . !0 • 4- / d[ / vG w /2-G oH R 28251 Date of this Request 10-17-1978 I, as M Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 4230 North Malmo City ? _ Section Township Range County Dakota Which is occupied by Tilsen Homea fName oi OccuDant) Is a roughin inspection required on this job? No ? Yes g; Ready Now ? Will Call EX Power Supplier Dakota Cty. Address I''armi.ngton Electrical Contractor O.B. Thomgeon IIectric Co. Contractor's License No. A3?W5 (COmpany Name) Mailing Address 12201 Mtka Blvd. 9 Mtka 55343 Authorized (ElactHCal Contra4l11 or }Owner C/-VElllVE MOM C VIl ?p fJ No. _ 933 This inspection request will nat 6e accepted 6y the State Board unlas proper inspection fee is enclosed. 50S2-2 BUILDINCRPERMIT PPLICATION 70 CEI CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conawdion Raauiremenb RemodaVRaoair RauuiremeMs • 3 registered sRe surveys shoxhng sq. (f. of lot sq, fl. of house; and all roofed areas • 2 coPbs nf Wea (20% maximum bt coverage allowed) • 7 set of Eneigy Cakvlations fw heated addiGons • 2 copies of Man showirg beam & window sizes, paured (ound Oesign, etc.) • i srte survey fa extarior additiore & decks • 1 set ol Energy Calculalions • Indicate if home Served by septw system Por additions . 3 copies of Tree Preserva6on Plan rf lol platted aRer 1/1/93 . Rim Joml Detail OpUOns seleCion sheet (ddgs wAh 3 or less unifs) DATE VALUATION */ ? (D0 O SITE ADDRESS '12-30H0.I Ghp L.ati o? MULTI-FAMILY BLDG _Y _ N TYPE OF WORK IiP /nrs ,0 1 AlL FaDno 40C) mn fIREPLACE(S) _ 0_ 1_ 2 ? 3?5 ??C?rcl??a•? ?e, feSe (-v i APPLICANT Qo- ' STREET ADDRESS I3$ 3 6 C Cc1/`vo,%. (?i lr?(1-e CITY ntosewvu 4eh STATE H!?ZIP 5'20 eN TELEPHONE # 6S'(-Y23^7163 CELL PHONE # Sgi /-751S =L-2V1t . FAX # 65`f -YZ!3-7/6 s PROPERTYOWNER (ZO 6eir-tii/LDS-e O f6G4e x) TELEPHONE# 651- `/5'Y-9541 y ---------------------------°---°-----------------------°--------°-----------°------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yfINNESOTA RULES 7670 CATEGORY I M?I?nC?U?77l (J submission type) • ResidenUal VentilaUon Category 1 Worksheet Submitted • ?E?y e??'Ja???s • Energy Envelope Calculations Submitted II ? MAY 2 2 2002 Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor. Mechanical system includes: Sewer/Water Contractor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 --------------------°----°-----------°-----------°-----------°-----------------°-----------------°------°--.._._.. 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 Eagan Ordinances. Signature of Applicanf OFFICE USE ONLY _ Water SoFtener _ _ Water Heater _ _ No. of Baths _ Phone # Lawn Sprinkler No. oF R.I. Baths Certificates of Survey Received - Tree Preservation Pian Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 Sf Dwelling 0 OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) C3 36 Multi ? OS 03-plex ? 11 10-plex A 19 lower l.evel ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plhg_Y or kN ? 25 Miscellaneous 0 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation M2 Occupancy 2`3 MC/ES System Census Code 434 Zoning k-I City Water SAC Units ? Stories - Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs ? Length ? Fire Sprinklered Type of Const JF? Width " REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) Plumbing _ Foundarion ? HVAC Drain Tile Other Roof Ice & Water Final Ftgs _ AirlGas Tesu Pool _ Final _ )t Framing _ _ _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) y? Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector .J.ros97 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-681-4675 New Conetructlon BeouhemaMa HemodelRieoslr ReaulremeMs • 3 regisiered ste surreys showing sq. tl. of bt, sq. tt. of house; and ?II roofed areas • 2 copies of plan (20qamexinumhtcoveragealbwed) • lsetafEnergyCekulatlonsforheatedatldlGOns • 2 copies ot plen showing beam & window sizes; poured tound design, etc.) • 1 stte survey for ezterbr addAions & decks • lsetofEnergyCakuletbns • Indicetetlhomeservedbyseptksystemforadditions • 3 copies of Tree PreServatbn Plan it bt platled after 711/93 . RM Joist Defall Optbns selection sheet (bMgs wM 3 or less unils) DATE S- 2? - 0 Z VALUATION SITE ADDRESS `1 Z 3 0 ?w ?+'vt--b ? f V MULTI-FAMILY BLDG _ Y _ N TYPE OF FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & f?EMODELiNC v APPLICANT 4100 EXCELSIOR 8LV0 . STREETADDRESS ID#UO01o5o CITY STATE_ZIP TELEPHONE # CQ12-`6Z3-`?j'Dy(oCELL PHONE # FAX # PROPERNOWNER C?d?) CJ l'a,rrc.?..i. TELEPHONE#e4-? COMPLETE THIS SECTION FOR uNEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculatians Submitted Plumbing Conhactor: Plumbing system includes: Mechanical ConhacMr: _ Mechanical system includes: Sewer/Water Conhactor: Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone # MAY 2 1 2002 S Fee: $70.00 I hereby acknowledge that I have read this application, state ihat the information is correct and agree to comply with all applicable State of MinnesoTa Statutes and City of Eagan Ord),nances. / n Signalure of Applieant OFFICE USE ONLY _ Water Softener _ _ Water Heater _ No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ??i -7 1 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Constructian Reouirementa RamodellReaair Requirements • 3 registered site surveys shaxing sq, ft. of lot, sq tt of house, and all roofed areas • 2 copies of plan (20% manimum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window s¢es; pou2d found design, elc.) • 1 site survey tor e#enor add'N'ons & decks • 1 set of Energy Calculations • Indicate if home served by seplic system for additions • 3 coples of Tree Preservahon Plan it lot platted aNer 7l1193 • Rim Joist Defail Options selection sheet (bldgs wAh 3 or less uniGS) DATE b. '?4'aa VALUATION $0?(10() ?' JOB SITE ADDRESS ya 13 () 19). h`7q.11Lt (1 /- Qyl IF MULTI-FAMILY PROPERTY OWNI TYPE OP WORK] APPLICANT PiO ADDRESS 3 k PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM Energy Code Category _ MINNESO'1'A RULLS 7670 CATl.('>ORY (check one) - Residential Ventilation Category t Worksheet S - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Cade Worksheet Submitted Plumbing Confractor: _ Plumbing System Includes: HOW MANY UNITS? Walcr Softencr Watcr IIeater No. of Batlis T 0 dm 13 2002 SN Phone #: Lawn Sprink]er Fee: $90.00 No. of R.I. I3:dhs Mechanical Contractor. Fl ?l G' S/' L) c.-Oryl A1n Mechanical System Includes: _ Air Conditionitig _ Heal Recovery Systcm Sewer/Water Contractor: Phone # Fee: 470.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OyiJinances. Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 ay°'"FIREPLACE(S) _ 0 '1 _ 2 2 PHONE# 45? ?qD- J7? CODE? I ! 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN [iOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS lJa To Be Used For: Valuation: Sst Date: ?_IS-$J' Site Address: ?a?p }ip ?p.Qy,ti,p, OFFICE USE ONLY Lot: ? vBlock ? Sect/Sub?r,Jtc? Erect ? Remodel Parcel # Repair Enlarge Owner Move ? rt Demolish Address Grade City/Zip Code trv, , Phone Contraetor Address a City/Zip Code Phone & -? - as-o 7 Areh,/Engr. _ Address City/Zip Code Phone 1! APPROVALS X Occupancy _ Zoning _ Type of Const Il of Stories _ Length _ Depth Sq Ft 2 5 Assessments Permit - . Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council oad Unit Bldg Off? Parks APC Treatment P1 Variance TOTAL a[ C'? , (7? ? ? qi ? ? nnTE rl 14r, '1 e) BUILDIPdG PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. -4?'(,o'j- fd" To be used foz Valuation `j J,C?0C7 ? site Address: {/9- 30 A! /U sl Lat Block Sec. Sub. Owner `n..C1-tJ??hl. ?' Address /p?-? Parcel Number Telephone 4G4-7&0,V Contractor t,Cn.e? 5??-r.?d, c?c? • Address (o a 9 ,40, .Q.? 0:55/ Arch./Enq. Address EZ'BCt v Alter Repair Enlarge Nbve ber.iolish Grade OFPICE USE Date of Approval & Initial Assessment water/Sewer ` Police Fire Eng. Planner Council Rldg. Off. A.P.C. Telephone & C! ?' sod / Telephone OFFICE USE Occupancy ? Zoning Fire Zone .4 Type of Const. 11 of Stories Front Depth N FEES ad? Permit Surcharge Plan Check SAC ?DO ( Ulater 4bnn. Water Meter 40 TOTAL ?? i ? ? ? I ? I I ? ? , 1? ? 1- ??oP?e rv Liwc : M ? _Fq-o7 ? f " ,v_Er?? All&70ERTY LaVE ? i ? ? ?? UNc y ?Q NovSE I s' ? --? --- ? ? ? Y ?/ ( . ??`- Waw N'l"`ma-? A,-I,--- ? LoT /D BLack ? rkoNT._?ROpFrLTY _LI_Nt O F`?LOT -PLAN 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan ? ?? 3830 Pilot I{nob Road, Eagan MN 55122 Tclephone # 651-675-5675 FAX # 651-675-5694 % Tj 0_C?U NewConsWctionReauiremenis RemodebReoairReauiremeMs _ 3 regisle2d site surveys ahowing sq. ft of b4 sq. ft of house; and ell roofed areas 2 copies of plan ?? n', z ??_ '?•`'??'?` ri?? r. ;? .'+ aw ? r s€?=+ :'"'? (20% maximum lot cov?age allowed) 7 set of Energy Calculations for heated additions r? =:x ??.. ?;s?,???•- 2 copies of plan shairing heam & window sizes; poured fou? design, etc. 7 sde survey for add?ions & decks '?, 1 set o( Enetgy Calculations AddRiar ? Ndicafe Non-s7te sepfk system 3 copies of Tree Presenation Plan if bt platted aker 711/93 Rim Joist Detail Options selection sheet (Wdgs wifh 3 or less unifs Date ?_ I? 0 l64? Construction Cost Site Address eyZ 3 D /16-?Q f tts•t o -? ?2- UniUSte # Malmu Ldne N Description of Work f9 ?//??C Y/ / n s e4- WC ltiGt d W S Muiii-Family Bidg _ Y & N Fireplace(s) _ 0 _ 1 _ 2 Property Owner E4 1P tn Telephone # CODlI'8Ct07 C- Q Y? E Y e r /? / Address City 6\.p Setl f C( C State ?p? Telephone # ?`?I' S ?6RQ r? r zooa I II ?I COMPLETE TF113?-ii4RREA=0NIL1f°iF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy CAde Category , Residential Venfila6on Ca[egory t Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculafions Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; 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. S"Peve 6Arlsoot Applicant's Printed Name i?? ?a/?'K Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement 0 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation Q 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump • # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding , Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test ` Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector --------------------------- Base Fee ---- -----------------,-?--,-?i -?-- - ----- ?B -v V ----------------°----------------------------- ----------------------- Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge ' 5&W Permit & Surcharge Treatment Plant License Search Copies Other ?? Total • 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsUuction Reauirements RemodeVReoair Reauiremenls Otfice Use Onlv 3 registered site surveys showing sq. ft. of lat, sq. ft. of house; and all roofed areas 2 capies of plan Cert M Survey Recd Y N (20% maximum lof coverage allaxed) 1 set of Energy CalculaGons for heated additians Tree Pras Plan Recd _ Y_ N. 2 cropies of plan showing beam & wiMow sizes: poured found design, etc. 1 site survey foraddNOns & decks Tree Pres Requlred _Y _N 1 set of Energy CalcuWtlons AddMbn - indicate ilon-site sepfic system Dn•site Septic System _Y _ N 3 copies of Tree Preservation Plan if lo( platted after 111193 ' Rim Joist Defail Options seleclion sheet (bugdiigs with 3 or, less units) Date i / l 7 105 ?' Constraction Cost -Ygy (7 . C317 SiteAddress 14z30 tVoe,? Malr»a 1" l V UnidSte # ? acL m iv s I z3 Description of Work a Pafi-o dbOYS Muiti-FamityBldg _ Y_ N rirep3ace(s) _ 0 _ 1 _ 2 Property Owner &b Ob{' j y.n Telephone # ( > !05/ - `15 ?l- ?5 y? Contractor l?Il*" Address a F r U(e' City &rr2iJ( ((,.g State /Y? N z;p 5 5/13 Teiephone #( ??O5/- ? 95 -3?S-0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Galwlations Submitted Have you previously fee applies. Licensed Plumber / . Mechanical Contractor"' SeweNWater Cant-racto .. : <; Telephone #( Telephone #( Telephone #( I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and wark 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. )IniP_ile V nWuGhe?- Applicant's Printed Name.J a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review pplicanYs Signature City otEapu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Name: �Qdl./ Phone: Address / City / Zip: -340 //4L40 L,i-14/k' Applicant is: Owner ontractor Type of Work Description of work: Construction Cost: ? /DQe�-Co Multi -Family Building: (Yes / No Company: QV -F at -R-L Contact: Deja u p k / Address: 1 �p LOCI �iL9Si: 11 IrCity: -9,44,1041Z5 State: NA/ i Zip: S-5-3 7' Phone: 40/O — 0 / 4) — / License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: NOTE; Plans and supporting documents you submit are `considere the information may be classified as non-public if you provide specific conclude.:that the are trade Seer ublrc information .... 'arms rio CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.org 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota S uilding Code must be com • • ted within 180 days of permit issuance. �j x /2 nJ / `��U�' �ly/119 Applicant's Printed Name / Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use Ill0- 7City of Eaaall :::e: 6- 0o 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L 2017 RESIDENTIAL PLUMBING� ) /hUMBINGnPERMIT APP ICATION Dater 1 Site Address: �d (9 , /' D Tenant: Suite#: £ ..� Name: /44/ V`,,� J" v C I / � � $4(Resident/Owner I1(iy7J41S'G1 y-7, Phone: ev- 3 Address/City/Zip A0 YY/4/i/vo LA/ g Name: A)70/C)5i/C.)W1 Piin License#: l /' COntraCtOr 7 i Address: n 066ft i o(-- ^ J City: 5r0°le/Y-4 �7/ State: �` ` IV Zip: ������ Phone: L�� ^ <�7��� �� / i Contact 4 IU O's'7/"Email Type Of Work )( New 1` Replacement Repair _Rebuild _Modify Space _Work in R.O.W. lDescription of work: �-t�/j0 (� ' � `"1 t�I �'11► �OUd� �CE��I�( ��u''��� RESIDENTIAL CF~ i._ ..~ t Water Heater Water Softener Lawn Irrigation ( RPZ/_PVB) ;' Permit Type Add Plumbing Fixtures( Main/_Lower Level) li Septic System i _New Water Turnaround Abandonment e RESIDENTIAL FEES: <,, $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.gopherstateonecall.orq 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. f x 79V' p fU Y C) '7/O ' x /1I�� Applicants Printed Name Applica • Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: Use BLUE or BLACK Ink r For Office Use *' City of Eaaall :::: /17/ 9/6 : I c`+ `j -3=-5- 3830 Pilot Knob Road Eagan MN 55122 Date Received: `6' `l7 Phone: (651)675-5675 Fax: (651)675-5694 Staff: ni .... 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 44 270 MAL-P-4' t-"' N £A' rr,ZT Unit#: Name: ►,�� C1+aur€NI Phone: Resident/ i Owner Address/City/Zip: LI a•70 Ara/N.0 Lev ^, r CAN rbiev f7/2-7 I Applicant is: Owner k Contractor Description of work: I Ni^"' /LEA.,,. ^T Type of Work x 4 Construction Cost: ?oo Multi Family Building: (Yes /No >c ) r Company: Igf"14. Qu fl fric Contact: 1?(Lb1 V 2A°+,vg. I Contractor g Address: 2-Cp7 LAO fiefrrr,F q„( City: Sr_ (A - i State: Zip: rrl11 Phone: C[2-uo--� Email: bride, e grr'.e.bwiVeiin,.><,c„�. € License#: t C Cq$fi.o Lead Certificate#: NAr-ft;7( pf—1 If the project is exempt from lead certification, please explain why: 1 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I Yes No If yes,date and address of master plan: Licensed Plumber: Phone: > Mechanical Contractor: Phone: % Sewer&Water Contractor: Phone: > Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. M 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.qopherstateonecall.orq 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Pt(A' 2A01. x ! ?______ Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r -. For Office Use y ::::e: )*0 Clty of Ea�a� LO 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 42 TO f7A c.•-lo LN N- Unit#: Name: /yjlki CH/t.1rFNikebe �. a.�u,,. .,.. ,�.�,-.-.�...,.�....�.Phone: .21P- 2.7.4 'Nye Resident/ Owneri Address/City/Zip: 14,2.L MAIC Liv N- I t i Applicant is: Owner ?c- Contractor Description of work: r�l�c.q no. Type of Work Construction Cost: *to,- Multi-Family Building: (Yes /No )r ) �•� �Company:. . m ft�fPr.� 9(441,00.-^,f ��/G��. e...�..n r Contact: U nry 2-4 Contractor i Address: 2CF3 Lkir fit : 04+,K City: Sr. PAti., I State: Jae✓ Zip: -Jit) Phone: 6,t -245 2.1 mail: 1124A,Y e 1:41PovfQur ,,,f`gN_C,,,te z 1 License#: Oc c,5:(2.0 Lead Certificate#: PIA'r Fire)yFT-1 If the project is exempt from lead certification, please explain why: i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING IIn the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? i Yes No If yes, date and address of master plan: i 1 Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: i Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to s conclude that fit are trade secrets. _ ___ __ _ _ _ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48hoursbefore you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159176 Date Issued:11/26/2019 Permit Category:ePermit Site Address: 4230 Malmo Lane N Lot:010 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - James M Christensen 4230 Malmo Lane N Eagan MN 55123 (218) 234-9448 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature