3040 McCarthy Ridge RdREC6IVED
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $ ? -,
& DOLLARS
1 oo
? CASH Q CHECK
FOR ? " .. . ? ./' .. . ..? ? I
I
FUN? COOE ? AMOUNT
/ I
.. _ .???.... ._
-
.
/ j'
Thank You
!°_ i.'"?l? %
l 1
7 ? 1S? ?? . •^ ?
gY ?
,-
_
White-Payers CopY
Yellow-Pasting CopY
Pink-File Copy
CITY OF EAGAN Remarks
.4ddicion MCCarthy Ridize Lot 6 eik Parcel 10 47700 060 00
Owner Street 30!}0 MCC3'Nthy Rd. State Eag2T1,MN 55121
v:
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. _L4 1 6 1381.34 118.13 966.95 005640 3-2-78
STREET RESTOR. -
GRADING
SAN SEW TRUNK t4v 1968 100.00 0 ?kr
? SEWERLATERAL %?<Q 1274 11 0 247.)12 1 2474.30 A005640 3-2-78
*
WATERMAIN
iE WATER LATERAL j 1
WATER AREA
1977
160-00
10-66
15
138.68
A005640
3-2-78
STORM SEW TRK
STOFM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Swim Pool 2 2 0 2844 -7-76
WATER CONN. 916179
BUI LDING PER. 11
SAC
87 I I
PARK .
CITY OP EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address: _ -d0
Site Address:
Plumber. ?
Meter No.: _ Connection Charge:
Size: Acwunt Deposit:
Reader No.: Permit Fee:
I agree fo eomply with fhe Ciryr of Eagan Surcharge:
Ordinanees. Misa Charges:
Total:
BY Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilo' Knob Road PERMIT NO.:
Eagan, idN 55722 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address
Plumber.
1 ogree to comply with the Cify of Eagon Connection Charge:
Ordinanees. Account De
posit: _
Permit Fee:
B
v Surcharge:
Misc. CFwrges:
Date of Insp.: Totol:
Insp.:__ Date Paid:
I COPY A-OFFICE
COPY B-INSTALLATION CREW
COPY C-CUSTOMER P,qCI FIC PALM POO LS BY
r . .?
COPYD-EXCAVATOH MINNESOTA PACKAGE PRODUCTS, INC.
6922 55th Ave. No. Dr. No. St. Paul, Minn. 55109 770-1313
GENERAL INSTALLATION INSTRUCTIONS
PACIFIC PALM POOLS
? CUSTOM E R NAM E DATE
ADDRESS PHONE
POOL SIZE TYPE DATE SOLD
Diagram pool site in relation to house, garage, driveway, etc. (Allow 3-inch variance)
U f> ;
I
. ? Pm .,t
\f ever so? 1 ?( M
.
1. Indicate deep end by (X), j
2. Mark location of filter and/or heater by X. '
3. Indicate approximate elevation of pool in relation to permanent fixture on property.
A. Elevation '
4. Will trees, clothes poles, power lines or any other obstruction be encountered during installation?
Yes No
If yes, explain:
5. Does customer wish to retain any or all of dirt from pool excavation? Yes No
If yes, explain:
6. Indicate and explain any special instructions not covered above, (Example: Placement of backfill for walls,
patios and fill dirt, etc. Customer agrees to added charge if dirt is handled more than once.)
7. Pacific Palm Pools recommend that the customer construct a retaining wall as soon as possible after pool is
completed. Yes No
If yes, explain:
Customer agrees and understands that any changes or additions in the above outlined installation which occurs
after excavation has begun may require an added charge.
This charge shall be computed on a cost plus 30% basis.
Seller Signature Customer Signature
EAGAN TOWNSHIP
BUILDING PERMIT
,- .
Owner •-•?--?"r•=`•?---- J.,.?J!c.,?r..:J
- °/----- --° ------.....---•--°.............. .... ...........•
Address (Preseni) ........................ ........ ........
Builder ?' '
...... .-•....--- -- ............................. - •
Addrass .................. ................. -............................................
DESCRIPTION
N°
Eagan Township
Town Hall
2058 ?
aa:e ... ...................
To Be Used For Front Depih Heighf Esf. Cos! Permit Fee Remarka
f? I ?'--
LOCATION
Street, Road or other Descripiion of Location I Lo! Block Addition or Tract
?I
This permit does ttot authoxize the use of streels, roads, alleps or sidewalks nor does it give the ownes or hia ageni
the xigh! !o crea3e anp situaiion which is a nuisance or which presenls a haaard fo the health, safety, conveaience and
general welfere to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
1? .Le-?E..?-..1 ..,,..e?. _ ?.
This is !o cerYifp, thal..... f---- .................................................. --.has permission !o ereei a_...---- :- - •°----2- ................................ _upon
the above described premise subjeei !o the provisions ot the Building Ordinance tor Fifigan T6 nship adopted April 11,
1955.
?V-ti'. _ ? ??y,,1 ?[.?...-.. P'?? P: J'.?:L R.-C.. C-?(.C./?,?L./
--------------- -----°-°---•• -- . .`•---- =•'--' --- °---°•••....-°...-•----.. Per ......................... ?'°---°----?:••---°- -
-- - ".__...
- ?r---_•••••.. .. . . _ ......
airman of Tnwn Board Suilding InspecYOr
?
CITY of EAGAN
BUILDING PERMIT
Owaer 1.9,(.l..•Gr ........... IZ.Cl..1,..A ..... .................??
/ ?y?
Addrecs (presenf) ....e?l.!/ Q....... G. ..t. : . ./..
Builder .. ... .. .r? ......
.?^.v..o.?- .... . .._..... n. c .
a ......... , ... . .._.... ??
//.lg /"?
Addresa ?..?L.,,?.?•••••••-????{•'•'•••.j/?.?..p.....,l.l..'.••---!•l..t
rrM q DE3CAIPTION
N2 3929
3795 Pilot Knob Road
Eagan, Minnesofa 55122
454-8100
.01Dale ? ..T .. ./.?',r?.........
?
5lorias To He Used For Fron! Depth Heigh3 EaL Coa! Permi! Fse Remarks
I
/
or
Lv?w-ravr s _
or
00
Thia pe:mit does aot suthorize lhel'use of streets, xaads, alleys oi sidewelks nor does it give the ownes or his ad'en!
!he right !o create anp siYuation whieh is a auisance o: whieh presents a haaard !o the health, safelp, convenience and
genexal welfare !o anyone ia !he c muniip
THIS PEAMIT MUST B PAO/co HE D? J'??M? ?//yy H?ILE THE WORK IS IN PROG S. "
Thfs is !o ceriify, that.?r.r.has permisaion !o eree! a - ••. ..- •••• . ..?.._upoa
for the Ci of E n.
ihe ahove described eise subhe provisions of all applicabl W..
......................
' _ .....
..----.....-----Per ........• ••••• •• -• -• •• -
? ?Mayor u?ldinq Iaspeclor
Eagan Township
Dakota County. Minnesota
Applicatian for Bniiding Permit
A- . ,?
Type of building or work contemplated. Circle coxrecY descriuSions.
Residential Commezcial Industrial 03her_...._..__..._? --------- .------ - ?. ?---
uild j Enlarge AlYes Repair Ins3a11 Move Wreck Oiher
,
----- --- ---C
Dimensions...-, ---.. .
`? ??----....- ---- Cosi CJ
---f -f • y ? ?
De3ails or remarks--------------- ____________
Location
FEIiMIT Nm_
Dafe - ? -- ??
....................................
Number Sfree3 $etween what cross s3reeis Sizo EsY. ValuaLion
I
Lot Bloclc Addit_on Rearrangemeni or Tracf
IqcCFTiC-7)4'-1 lb6S
... ..
l.S. ...
Owner `,C ................................... ............... '----°--•-•-
, Address --`-? C---- ........
/7t
ConiracYox
- ?--`--• . ... .... ......... Address ------°c-, '-.......... .........N...------------....r... . ..x.... ...............
The undersigned hereby makes apnlication fos a permit to
$ do work as herein specif'sed, agreeing 3o do all work in siricY
Toial fee collec3ed. accordance with the building ordinance adopted April 11, 1955
by 3he Eagan Township Soard of Supezvisors.
Permit fees are noi '
refuadable.
........./- e.-E'.l?/Gf :..: .- `
---------.-----
. . ?:?? i5ned
CTTY USE ONLY
PERMIT #: RECEIPT DATE:
l0-8'
RUIDMUL MECHkNICAi. PEItM1T APPLICATiON
crrY oF EmAv
3830 Pu.or xxos Rn
EAsM auv 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: nq
I
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
U- 2'f)Zq
INSTALLER NAME: ??O a? cSe? TELEPHONE #: v5 I"-' 32:?--89Z.(.p
(AREA CODE)
STREET ADDRESS: ?? C, \? 4. ? I ? ??? S?- . ? • , P_ l 1 . l." '4,55
CITY:
STATE: Mk?_ ZIP: SSU?i'?LI.?SPlaca a r_hpr.k marlc npuf M fha narmif wnrk tvna
New residential dwelling unit under constructionand not ownedoccupied $ 70.00
? Add-on, modification or alteration to existinn dwelling unit $ 50.00
c• ai?T"r ex a er
_
o
• other
Nature of work:
State Surchar e $ .50
Total S.
Reminder: Cal[forinspections.
Updated 1101
CITY USE ONLY
PERMIT #: RECEIPT DATE:
APPROVED BY: , INSPECTOR
CO1HMEitCLekL MECEMICAI. PERMTf APPLICATiON
CITY OF EA6m
3$80 P1LOT KAOB RD
EA6lkN, Mft 55188
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
STTE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CTTY:
PHONE#: -
(AREA CODE)
STATE: ZIP:
WORK TYPE: New construcrion Install U.G. Tank
_ Interior Impcovement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing underground tank, cal! 651-6814675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = *n;n;mum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/Ol
MASTER CARD
LOCATION // /I K/lo/C T hj-l (? ` ?• K:
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor , Owner
BUILDING
r
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I I
Items Approved
(Initial) I
Date Remarks
Distance From We11
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTAILATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
_ c
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION ftEPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REIM1lSPECfION
REINSPECTION REVEALED
CERTI FICATION -1 cettify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all signiticant conditions observed to be at variance with ordinances of the Town of Eagan, approved plansand specifications, and any specitic require-
ments for off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABtY COMPLETED
BUILDING INSPECTOR
COMMENTS:
23
?
? M` CARTHY RpAD
36 ,
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lPa'??"? RESIDENTIAL BUILDING ?-?
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWclion Reauiremenls RemodellRepair Requirements Office Use Onlv
3 registered sife surveys showing sq. fl. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd Y_ N
(20% mazimum lot couerage allowed) t set of Energy Calculations for heated addilions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured Found design, etc. 1 site survey for additions & decks Tree Pres Reqd Y_ N
1 set of Energy Calculations Addition - Indicafe if on-sffe sepfic sysfem On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted afler 7/1193
Rim Joist Detail Options selection sheet (bldgs with 3 or less uni4s
Date 11 / O S / O 3
Site Address Construction Cost ql 7S
Unit/Ste #
Description of Work ?..-e4A
Multi-Family Bldg _ Y Y N Fireplace(s) _ 0 k 1 _ 2
Property Owner Telephone
Contractor 9,_? ?
Address / 7S S fqf,? Avt.
State ?M N City ?
Zip Ss /o STelephone #(6Sl 3 7n S-?O
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(^Isubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
lephone # ( )
Licensed Plumber p7TMil Te
Mechanical Contractor NOV 0 5 2003 Telephone #( )
Sewer/WaterContractor ?By_ I 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 work which requires a review and
approval of plans. Q ??
Applicant's Printed Name Applicant' ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbA_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addifion ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Fina] _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
8uilding Inspector
j„ aL4 I RESIDENTIAL UILDING
?Y Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
,5 -70°?'-
?.a'l,Ce_ d a'q/d
New Construction Reauiremenis RemodellReoair Reauirements Oifice Use Oniv
3 registered site surveys showing sq. (t. of lot, sq. (L of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addi6ons Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & decks Tree Pres Not Reqd
1 set of Energy Calalations Addition - indicate if on-site septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Detail Options selection sheet (bldgs with 3 orless units
D
t ? 7g0/ ' o U
a
e
Site Address 30 ?{o Construction Cost
?1) e. ??'Cc;oLr? ??(? I? I? 65Lf Unit/Ste #
Description of Work /,1J Lt) • '
u'1Po Dp
tLWJ
Multi-Family Idg _ Y S? Fireplace( _ 0
TN _ 1 _ 2
Pro
ert
Owner Y e T
le
hone #(&J/) 75`r '
p
y p
e
Contractor
Address 555U City
State Zip 653 /S Telephone #(9SZ)
r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category 0 Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber -- - -- - , Telephone # (
L U V
Mechanical Contractor Telephone #?
I! I JAN 3 0 2004 ;
Sewer/WaterContractor Telephone#(
. ,
I hereby apply for a Residential Building Pernut 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 ofplans.
Z•
Applic t's Printed Name Applicant' Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Types
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N )h 25 Miscellaneous
? 31 New O
? 32 Addition O
? 33 Alteration ?
? 34 Replacement
Valuation 2000
Census Code ?3T
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const ?
35 Int Improvement ? 38 Demolish (Interior) ? 44
36 Move Bldg.. . ?- 42 -Demolish (Foundation) ? 45
37 Demolish (Bldg)• ? 43 Reroof ? 46
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy ? MC/ES System _
Zoning City Water _
Stories • Booster Pump _
Sq. Ft. PRV _
Length Fire Sprinklered _
Width • _ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
WindowslDoors
REQUIRED INSPECTIONS •
FinallC.O.
p FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retauung Wall
Approved By ` 7N Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
•
ql —Ir
•
yrk T-
REC..ti.:/C l.:sem «
T y
MAR 0 8 2019 For otllce.use '
yt`,1 f.e/Vr l ...
Permit
s.„11,A
- Permll#:. Is �
...,,---..1/4., -.. '� Permit Fee;
•
3830 PILOT KNOB ROAD.I EAGAN,.MN•55122.18.10 Date Received: �— I
•(651)675.5675 I TDD:(6.51)454.5535 FAX: (651)'675.5694
•
•
build inglnsoecll9fl5 tyofeaoni
Staff:
�' J
2018 RESIDENTIAL PLUMBING PER.IV'fliT AP�DLICATION
Date: 'd 'f°Site Address; 1M ) Tea) ` 53t
I
Tenant. lll/V// 7 \\ �Jrj`� `/ ;/� �{
.:66%42<AAL P 4/...1.494"'
R! .�v(` �j^ ^ f i suite#'
rr of tZ., A .1110 Name: �'` _
• -t, �I �,'%' 1t yi. _ mill . 1.----&"
. Phone:
ia414i,Yeil�i; O,iy.;ua'A Address/City/Zl.;7 V 11'wro __' tri A�JL`' r `�/ f
r x00 110 Name: MILBERT C• 'PANY dba CULLIGAN WA•R T •
1100.st��� License tt• wC641376
, ` s� l�%'° li kli; Address: 1801 50TH STREET EAST
0 4iicf� " D,'tliac ',,,; `{I:i City: INVER GROVE HEIGHTS
a 3 4(41.a ,}, t
'y j' r}�if���ur1' }, Slate:
'y,-r(:�1,'4 ti i),' :staff MN Zip: 55077
f,; \, 'n Phone: 651-451-2241
Wk
k,4 .a ;t �,.'� ;?;61 w Contact; BILL MILBERT
Hma : oria.abas✓culligan4water,co'
m
_M'a? \t ,t.�� RNT`• hs, __ ew Replacement __Repair Rebuild Modify Space WorkIn.R.O.W.# . 1 o: "a 0,00 t, �A .,a, 0Description of work:
•r ,
�
i
_rj71 ' l '0 {, RESIDENTIAL0
—
�
.___
...'".". -_.
.--.
• . «.14 � 4 `41.St". n0 ,�fig WalerHeater •
At +} --
OA
_
� A � ` A • X Water Sohener�trr ,?�TY '6r. __Lawn Irrigation(_RPZ/ PV8)etI,�ig' t�. , 9' ts0�kalke� A`; 1n,1/44 _•Septic System _Add Plumbing Fixtures L_Main./ Lower Level),(.V;1y1�i� e ilaj, ` tWater Turnaround lfi. igqa ", .,4;
.;:?,P,:44,0144,11,0110____________
Abandonment
RESIDENTIAL FEES: __' _— __ _
$60,00 Water Heater,Water Softener, or Water Heater and Softener(Includes Sta.le'Surcharge) _-------
r —Y.—__ — _..
$60.00 Lawn Irrigation(Includes State Surcharge)
$60.00 Add Plumbing Fixtures, ail tic Sy51em Abandonment,Water Turnaround"(includes State Surcharge)
'Water Turnaround(add $280,00 if a 3/4"meter Is required)
$115,00 otic SVslem New(Includes County fee and State Surcharge)
CALL BEFOREYO `ail O.epher Sfoty One Call al(651)454.0002 for protection against underground uuttility ems FEES$ O o0
Intend to dig to receive locates-of underground Militias, wwwgouherstalvonecalLor
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I hereby acknowledgethol this ihformallon Is complete.and accurate: that the work will be in conformance with the ordinances and codes of the
Eagan; that I understand this Is not a
c ordance h the' nhp an in a permit, but only'en application fora permit, and work Is not'lo start without a permit; that the work will be In
a " " ` I „ 6 Vase of wo which requires a review and approval of.la sr City of
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174614
Date Issued:02/08/2022
Permit Category:ePermit
Site Address: 3040 Mccarthy Ridge Rd
Lot:6 Block: 0 Addition: Mccarthy Ridge
PID:10-47700-00-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott & Kerri Nelson
3040 Mccarthy Ridge
Eagan MN 55121
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179238
Date Issued:09/26/2022
Permit Category:ePermit
Site Address: 3040 Mccarthy Ridge Rd
Lot:6 Block: 0 Addition: Mccarthy Ridge
PID:10-47700-00-060
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Scott & Kerri Nelson
3040 Mccarthy Ridge
Eagan MN 55121
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature