Loading...
4248 Malmo Lane N.. , CITY OF EAGAN ? 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT • Receipt # T'e kn used Eer Fc* VnL.e nn4n Site Address Lot Parcel # - oe Name W 3 Addre 0 ? Ncme _ 0 8u Address Name Address I hereby acknowledge that I have read this application und state thot the information is correct and agree to comply with all applicable Stote of Minnesoto Statutes and Ciry of Eagan Ordinances. N4 5980 ?-21 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front fi. Grade ? Depth ft. Approvoils Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC Permit Surcharge Plon check SAC Water Conn. Woter Meter Rood Unit Totol Signoture of Permittee I A Building Permit is issued to: on the express condition thot all work shall be done in accordance with all applicable State of Minnesoto Statutes ond City of Eagan Ordinances. Building Officiol PsnnM # oaM Iawd Panniltes Piumbing ?'.31 ' ifO ?1??? ?.L???-a_ Mechanicol 33 - oe-,?Q _ t/ ?I O 1? - w , INSPECTIONS Footings Foundotion Frame/ins. Final DATE INSP. Plumbing Mechanical Rough-In Finol Data In:p. Date . Insp. ? ? Remarks: CITY OF EAGAN Remarks ,4ddition WILDERNESS RUN 6TH ADDITION Lot_ Owner ?'? ??%' r PQ I,_.;?r? Street 4248 North y Rlk Parcel ;" ", " Malmo Lane state Eagan, Minnesota 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK ? 1973 161.21 8.04 20 96.73 A009588 0-15-80 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1977 162.14 15 118.94 A009588 10-15-80 STORM SEW TRK SC) 1rj 235.17 A009588 10-15-80 S70RM SEW LAT CURB & GUTTER SlDEWALK STREET LIGHT Ro d Uni WATER CONN. if it BUILDING PER. rr it SAC 525-00 1+ }1 PARK 94, 5677 INSPECTIDN RECORD C1TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ? Date Issued: (612) 681-4675 SITE ADDRESS: 14 + APPLICANT: ,I t: l1A1 Mit? t riN1 N ri l i .tk?4t'-, r t, f:t kNf'i'! iti)M 1::1 4l i ?• t.' 1 954 • L2H5 PERMIT SUBTYPE: .,? r1! 1" t 1 ta:'?{I TYPE OF WORK: F?1 it?P+'1 inrj ? INSPECTION i f,'•.rl ? t.. .. . , i-. ,. ? DA laf:MARK';; ll ts'ETAftAl! r>ER011 I: t7CQUIPEi] FE]R ANY k'f1JiRl:tT1411 E!R Flff FhtTiAi I.li1F?h at - £? } ,. 1 Permlt No. Pertnit Holder Date Telephone N ELECTRIC QOa ,ZQ 9 a? PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FOUND FRAMWG ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING JD"?6 GAS SVC TEST INSUL d ro? GYPBOARD FIREPLACE FIREPLACE AIR TEST FlNAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ! DECK FfG DF_CK FINAL /1t35,P, 1?/?ori?c`??ivc? 7 FIV" ON 00111A1,5 ? r OF EAGAN en, MN 551 Z2 ning: [Reader 95 Pilot Knob Road ner: dress: Address: mber: ter No.: e: hio.: gree ta wmplr with the City of Eagan dinaniea. PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit; _ Permit Fee: Surcharge: Misc. Charges: - Totul: P 'd• gY Dute ai . Dote of Insp.: Insp.: ? Y OF EAGAN 745 Pilot Knab Road gae, MN 55122 nir?g: ner: jAddress: Site Address: lumber: 1 ngree to eomply wilh t6e Cily of Eagan Connettion Charge: Ordinances. Account Deposit: _ Permit Fee: Surcharge: gy Misc. Charges: - D te of Ins : Totol: p. o Insp.: Date Poid: PERMiT NO.: DATE: No. of Units: SEWER SERVICE PERMIT ?// CITY OF EAGAN Include 2 sets of plans, l h?,? 1 site plan w/elevations & ?? ? ?BUIZAING PERMPP APPLICATION 1 set of erergy calculations. Zb Be Used For S' ?,?.9 dc,rv Valuation Date r0 ) site Address: 41-/v oFFICE USE ONL.Y .?o I,ot ?l - Elorac -$?- sec./sub. w. lLA44„ (o Parcel #: ,/// 0'04S?6' 47G Owner: T/ ? 5 t N Nu.t1 t< ??. t.. Address: GLI City/Zip Code: ./In,. 5 S//G Phore #: Contractor: Address: City/Zip Code: Phone #: Arch./Eng.: Prk3ress: City/2ip Cade: Phone #: Ereot k occupancy Alter Zoning Repair Fire Zone 3i Enlarge _ Type of Const. Move # Stories Demolish Front ft. Grade Depth a!o ft. APPROVALS FEES 1 l Assessments / y& Permit Water/Sewer Surcharge Polioe Plan Check )o "• Fire SAC Eng. Water Conn. 66- ? Planner Water Meter GO `., Council Road Unit Ii Bldg. Off. APC 'IbTAL CITY OF EAGAN - 3795 Pilot Kno6 Road Eagan, MN 35122 PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt .# Te be ueed for SF/DWG/GARAGE Est. Value 50,000 Date N2 5980 7-21 , 1980 Site Address 424% N. Ma7Sri0 Lri, Erect f}', Occupancy R3 Lot 7 Block 4. $ec ub. W11d2ZI1BSS R11I1 6 g ?? Aiter ? Zoning R.l 3 0 04 ?5 Porcel # 10 Repair ? Fire Zone Enlarge ? Type of Const. V w Nume Tilsen Homes, IriC. Move 0 # Stories - 3 Addrea 627 So. Snelling Demolish ? fi. Front ? ? Ci St. Paul, MT1.phone 698-5501 Grade ? Depth 26 ft. ApOrovalc Feas p Name S3II1@ ? Assessm?i!£ 7-14-SO Permit 140.50 o Address u? WaMr & Sew. Surcharge 25.00 Cit Phone Police Plon check 70.25 2. Name Fire SAC 525.00 Address En9. Water Conn. 305.00 '?" CI Phone Plenner Water Meter hn • On < Council Road Unit MA I hereby acknowledge thaT I have read this aDDlication ond state that gldg. Off. the informotion is correct and agree to wmply with oll applicoble APC Total 1,125.75 State of Minnesota Stntutes and Ciry of Eogon Ordinances. Sfgnature of Permittee A Building Permit is issued to: Ti l qan Hpmac., Tnt+. on the express wndition that oll work sholl be done in accordante wit all?caylq $tate a_ f Minnespta Statutes and City of Eagan Ordirwnces. / ?-'? Building Offlciol ?? ? REQUEST FOR ELECTRICAL INSPECTION '// ? Ea-ooooi-o :00 " 111,, See insimmions foi cnmpletlng this form on back of yellow copy ?? J;5460 VCP "X" Below Work Covered by Thrs Request Neni. Add Rep. Type of Budding App5ar5ces 04ired EqwpmeM Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Speafy) Farm Av Conditioner O?her(spnciry) Comracmr's Remarks Campute Mspection Fee Below: -3$mP ??L?Sh # Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A6ove 100 -Amps SignS lnspedors Use Only ? TOTAL SO Irrigation 8ooms 1-11 O Special Ins ection Alarm/Communication THIS INSTALLATION MAY E 6RU RED DISCONNECTED IF NOT Other Fee COMP ED WITHIfJ 18 I, the Electncal Inspector, hereby if h h oa cerl y t at t e above inspection has been made. F,nai r, oa ? OFFlCE USE ONLY This requesl voitl 18 montps fmm " 6? -024 ? &- `?'? Req esl Dat Fne o ough-In Inspec0on Reqmretl InspecUOn O?he?Tha Pougn-In s? (VOU call inspector when rea ? Ready Now Will Notdy Inspector T Ves ? N. Da[e Reetly I? licensed contractor Kowner hereby request inspection of above elechical work at: Job Atltlreu (SVee[, 6ax or Route Na ) City s? /. U L y, E s , ,o , y . a s, Secnon No iownship Name or No Range No Gtlunty Occupant (PRIM) Phone No Je.•.cr h? Power Supplier / E/?cY?ic P 4 f Adtlress 5'a y?'' L-, a, o F Eledncal Contraclor (Company Name) GonVactor's License No Mailing Atltlress (COnVactor or Owirer Making InstallaLOn) Authonzed SiqnaW?e (COntrdctonOwner akmg In tallallon) ? Phon e Number / ?S 5 ?CITV 8 ? II I I I II I I I II I T M Bw Id . 5 a GNg9 m S?N8 II I ?II I I ?? I I I ? ? P 5 'N 1821 u u i N H ? N B UN E S PROP ER INSPECTION PBE IS Phone f6121 642-Oe0n c RESIDENTIAL BUILDINC PERMIT APPLICATION / CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConsW ction ReauiremenRs . 3 registe2d site surveys shOwing sq. R of lot, sq. ft. of house; and all roofed areas (20% maximum lat coverage allowed) • 2 copies ol plan shomng beam & vrindav sizes; poured found design, Nc.) . 1 set of Enargy CalcWations • 3 copies of Tree Preservation Plan rf IW platted after 717193 . Rim Joist DetaB Options selection sheet (bldgs with 3 or less unAS) DATE /I'ZI -o SITE ADDRES TYPE OF WO APPLICANT RemodetlRaoair Reaulrementa • 2 capies of plan •'1 set of Energy Catculalions tor healed addihons • 1 site survey for exterior addi6ons & decks • Indicate'rf hame served by septic system for adddions VALUATION? 19i406 _15- ULTI-FAMILY BLDG _Y YN FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADORESS 27dr 3f,tkAra S CITY_J ?I?I_STATE m ZIP 35?{U TELEPHONE # (012-31-[5SS` CELL PHONE # (012-969-6323 FAX # PROPERTYOWNER Tm I1njecraN- TELEPHONE# kSLI'I205- COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Cqde Category _ yIINNESOTA RULES 7670 CATGGORY 1 MINNESOTA RLZES 7672 submission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Gode Worksheet Su6mitted - Energy Envelope Calculations Submitted Piumbing Coniractor: __ Plumbing system includes: Mechanical Contractor: Mechanical svs[em includes: Sewer/Water Contractor. Phone # I hereby acknowledge thaf 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 O?r?di nces. SlgnatureofApplicant __..------- _.._..__.__.--------------- ___------------ ------- ---°--^--------------- --------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Phone # -- Water Softener Iawn Sprinkle ? r r, Ff Water Heater No. oF R.I. L'a -- No. of Bafhs ? N? 1/ 7 1 P222 I,?IPhon # - - Air Conditioning Hcat Recovery 5ystcm , q??G? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) `^! CITY OF EAGAN ( 3830 PILOT KNOB RD - 55122 651-681-4675 New Conafniclion Reaulrements RemodeVReoalr ReaulremeMs ?.?1 i?'1 ? 9 registered site surveys ahowing sq. tt. of 1p1, aq. fl. of house q I 2 copfes of plan antl QII roofetl areas (2Q96 maximum lot coveraae allowe? ?J? f?? ? ? 1 set of energy calcWaMOns for heatetl atldifiona ? 2 copies of plans (show beam & window alzes; poured Ind. deslgn; etc.) ' 1 alfe survey for wctedor atltliHOns & decka ? 1 set of errergy calculanona ? S copies of hae preservallon olan il lof clatletl aHer 711/93 DAiE: / -/ 2S ^ DESCRIPTION OF WORK: I\1.7- R D STREET ADDRESS: LOT: -7 BLOCK: ? 5UBD./P.I.D. PROPERTY OWNER last Sheet CONSTRUCTION COST: If multi-tamtry bidg., how many units7 C? Phone #: 21p: P,one C f2- <area ccae> CONfRACTOR license ?cP 5Exp. 3- a f ARCHITECT/ ENGINEER Ciry State: Company: Name: Telephone i: ( ) Sfreet Address: Regishafion #: City Stcte: zip:f 7 2 Zip: Sewer/water licensed plumber (H installina sewerhvaterl: Phone #: L----) I hereby acknowledge that i hove read ihia applicafion, stafe ihat ihe informafbn is cortect, and agree of Minneaofa Sfafutes and Cify of Eagan Ordinances. o Signature of ApplicanY. ONLY Certificates of Survey Received _ Yes ? No Tree Preservation Plan Received _ Yes _ No ?Not Required JUL 1 Q /r? INSPECTION RECORD I CITYOFEAGAN PERMITTYPE: euiLorNG 3830 Pilot Knob Road Permit Number: 027166 Eagan, Minnesota 55122-1897 Date Issued: 0 3/ 19 J 9 6 (612) 681-4675 SITEADDRESS: P'I'N.: 10-84355-070-04 qppLICANT: LOT: 7 BLOCK: 4 4248 MALMO LANE N UPDEGRAFF JAMES WILDERNESS RUN 6TH (612) 454-1205 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: ALTERATION INSPECTION FRAMING D. . INSULATION D. ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMTT I5 REQUIRED FOR HNY PLUMBING OR ELECTRICAL WORK ? .J PERMIT ?"y?or X CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027166 (612) 681-4675 Date Issued: 03 J19 /96 SITE ADDRESS: 4248 MALMO LANE N LOT: 7 BLOCK: 4 WILDERNESS RUN 6TH P.I.N.: 10-84355-070-04 DESCRIPTION: ? P'uild??g,wPermit T y p e =,`B uildxng Tuio rk Type r? Census Code I- ,1 A! ?' y f ? pl f f? ? ? BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL i J REMARKS: Fl SEPARATE PERMTT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $50.00 5urcharge $.50 Total Fee $50.50 CONTRACTOR: OWNER: - Applicant - UPDEGRAFF JAMES 4248 MALMO LN N EAGAN MN 55123 . (612)454-1205 4 I hereby acknowledge that Z heve raad this application and state that the I infiormation is eorrect and agree to comply with all applicable State of Mn. , SCatutes,and CICy of,Eagan 4yrdinanQes. .,. . r , . ,.. ? /? ?rw?? `R.?.? ?ll 11?.t-QXS ? APPLICAN ER IGNATURE ISSUEDBYSIG ATU- E-k ? 3830 G PEaM T APPLICATION (RESIDENTIAL) 4-6 O o-50 1996 BUILDIN 681-4675 New Conshudion Reouirements RemodeVRenair Reauirements ? 3 registered aite suneys ? 2 copies o/ plan ? 2 copiea ot plana (fnclude beam & windav sizes; poured ind. design; etcJ ? 2 ske surveys (exterlor addRions 8 decks) ? 7 energy ealculaNona ? 1 energy cokulaUons for heated additions ? 3 eopies of tree preserveHon plan M bt platled after 711193 requlted: _ Ves _ No DATE: 3 19'1,' CONSTRUCTION COST: DESCRIPTION OF WORK: ir?l 6s-IN A7 F' T STREET ADDRESS: ?17,os-?h o GA,' LOT BLOCK SUBD./P.I.D. #: PROPERTY Name: Phone #: 0 3 OWNER Street Address- City: ? State: /1'V Zip: s S/d 3 CoN7RacTOR. Company: ' Phone #: ARCHITECT! ENGINEER Street Address: City: Company: _ Name: Registration #, Street Address, City: Sewer 8 water licensed plumber. change are requested once permit is issued. State: Zip: Penalty appiies when address change and lot I hereby acknowiedge that 1 have read this applicatian and state that the infortnation is correct and agree to comply with all appiicable State of MinnesoNa Statutes and City of Eagan Ordinances. Signature of Applicant: 4 -^' ? ?' 4 OFFICE USE ONLY ??I???[?? Certificates of 5urvey Received _ Yes No P?iQR 5? 4$??j Tree PreservaGon Plan Received _ Yes _ No ----------- License #: State: Zip• Phone #• OFFICE USE ONLY BUILDING PERMIT TYPE ?. "?= ,r ?y .?^'•-:,. ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?16 Basement Finish 0 02 5F Dwelling ? 07 4-plex o 12 Multi RepaiNRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE 0 31 New ?33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ? Depth Footprint sq, ft. 5AC Code 19 Census Bldg Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ °k SAC SAC Units , F??j ? , ; ( ?- ?,???v PEAR- AeoOER T Y l.avE n ? -?? ? ? w Q ? . i oa?l ry SEWF,R IN RT LinrC ? ,?--? I??J ? lw ? S 3 ?9U ? ? 75 3 3 ( TILSEN HOMES INC. , IAT AND BLOCK.L-" ? AADITIQN NAmE s&0 &s ADDRESS 4,>-S?FN CITY pn?T i?R?e?Ff1_Tl? _ L! N G ? r T V?LAN PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079554 Eagan, MN 55122 . Date Issued: 08/31/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4248 Malmo Lane N Lot: 7 Block: 4 Addition: Wilderness Run 6th PID 10-84355-070-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: Owner: - Applicant - James H Updegraff 4248 Malmo Lane N Eagan MN 55123 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA083071 Eagan, MN 55122 . Date Issued: 05/15/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4248 Malmo Lane N Lot: 7 Block: 4 Addition: Wilderness Run 6th PID 10-84355-070-04 Use Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840. Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: -Applicant - Owner: Angell Aire James H Updegraff 12253 Nicollet Ave S 4248 Malmo Lane N Burnsville MN 55337 Eagan MN 55123 (952) 746-5200 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use / I 11100, Permit#: City of Ea Ed~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: t^C,,_Xk Phone: 6 ( -4s4 - i a OS" RESIDENT / N\ OWNER Address/City/Zip: M cn'MO ZX-ti-0_ f~ rc UYuto Applicant is: Owner Contractor TYPE OF WORK Description of work: K c©o4 o~ Construction Cost: C mo ' Multi-Family Building: (Yes / No ) Compan . Joe - 5C L ,k-rZ_ ~~r`51 nnGr► o~ 1nc. Contact: 5c,h itr-, CONTRACTOR Address: ~a1 bezr cc~! City: Na"A-2~ State: 9l\ Zip: a(no t ( Phone: ell (o(~ Ba-~~Sc! License #:~t Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~CC,~ 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: 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 information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.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 State Building Code must be completed within 180 days of permit issuance. x J L,. , (4-z, x ,1, ~ Applicant's Printed Name pplica s Signatu Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159950 Date Issued:01/30/2020 Permit Category:ePermit Site Address: 4248 Malmo Lane N Lot:007 Block: 004 Addition: Wilderness Run 6th PID:10-84355-04-070 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 - James H Updegraff 4248 Malmo Lane N Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature