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2073 Emerald LaneINSPECTIaN RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 - ? 9 Date Issued: ' (612) 681-4675 I SITE ADDRESS: W O V P ? ; APPLICANT: . ;sf?k?t u i ANr- PERMIT SUBTYPE: TYPE OF WORK: f ?; ? rsARn '"; : Pt. aN PFvr t-wrr t) Hv EIt1. 1 AIIA111L, ;': '::;.:Jr-?k.'V?t?.:Ji Permit Holder Dat9 Telephone p PLUMBING H VAC Inspection Date Insp. Commenls FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST , INSUL GYPBOARD FIREPLACE FIREPIACE AIR TEST FINAL PLBG I FINAL HTG ORSAT TEST BIDG FINAL DOMESTIC METER 4RR{GATVON M ETE R FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition EDAR G Lot 13 Blk 7 Parcel 10 Io???iao ()'7 Owner v( bC r a,,V t 'n'? Street 2073 Eiter8ld LBIIB State Qan? MN 55127 ? l -,o- vi Improvement Date Amount Annual Years Payment Receipt Oate STREETSURF. 885 1985 1266.95 84.46 1 1182.49 C010 i6 -26-8 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL 1972 1.304. 00 52.16 25 PBid WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 1 w BUILDING PER. SAC PARK - . i 1 -1 1 1 s?INSPECTION REC- - - - - - - - - - - - - - - - - - - ORD - ? ??i? ?,,;??; CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ?;i l ANF , h,.;.?r l;ia : 1 1;, 1 t I Ifril; Ii1 11V{ { (. 1 ..' 1 441 PERMIT SVOTYQE: TYPE OF WORK: 1, F{, AT I F L ? 111 111 t. lflr t nN i. io & kr rf rIto I Permit Holder Date Telephone M PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ! <<? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL EAGAN TOWNSHIP N0 359 BUILDING PERMIT Own_ Eagan Township \- Addreas lPresenil ---...: _...:._.--------,..--------------...-_----.._...... ? . ? Town FIell . Huildar .................... . ..._..R-c-,F2..-------- ----------- -'--------- . -- Dale Address ----_....._......_--- .?.__.. _:.'...?._?.--- ...................--.---`-'-'--............ ........ -------- . DESCRIPTION ? Sioriea To Be Used For Fron2 Depfh Heighf Es1: Cosf Permif Fee Remarks ? C.- ? D.^ J ` ? ?i??a? ,???? ;•?. /f LOCA'fION - Slreei, Roado olher Descripiion of Location I.Lo! Block Addilion oa ra i . ? i __?__`- ? ?' -(?? This permif does no! av rize !he use' of a4reels, roads, alleys or sidewalks nor does ?! give ihe owner ox has egeni the righf !o creafe any sifuatioa which is a nuisance or which presents a hazard !o the he.slih, safety, convenience and qeneral weliare !o anyone in the communiYy. THIS PERMIT MUST B Ey?[ ON ;OiE PRE ISE HILE THE WOAK IS IN PROGRESS.?/'? ? This is fo certify, lhai_?LZLG;.?,_(-_ has permission to erec! t./B_.-C!(!?.'?!?(r?_'?' ._.upon the ebove de!5xibed premise s the provisions of the Suilding Ordinance for Eagan Township ?adnpied April 11. - ---- - ?'-----...--'-'----- er .... ............. ......_. -._ _.... ....------------.._. _ f-?- - of T oard ? $uilding Inspeci ;r EAGAN TOWNSHIP BUILDING PERMIT Ownex .--,-/-----/-?-p-........... Addxess (present) ---5;;???-73----_?^?"? Builder Address ---------..._....... N° 815 £agan Township Towa Hall Daie ?------.'-- T Siosies To Be Used For Fron! Deplh Heigh! - Esf. Cosf Permi2 Fee Aemazks ?Y-- _d . _ .. •x 2 Z/ 1 1 /e'z?-z? ? 'J ? ? This permit does not auihoriae the use of sYzeeis, roads, alleys os sidewalks nor does ii give the owner or his ageai the righ! !o creaie anp siluafion which is a nuisanee or which presenSs a hezard fo the healYh, safelp, convenience and general welfare !o anyone in the communiYy. THIS PERMIT MUST BE IfEPT OAEMISE WHILE THE WORK IS IN PROGAESS. Thie is !o cerlify, lha3...0..... _. .. ._.__ :.. . '_ ................. has pesmission !o ereck a ............. --------------- ...................... -'-- upon ....... ....- the above described remise_subjeet fo the provjsions ot the Buildinq Ordinanee for E n Town ip adopfed Aprii 11, 1955------...i...../-.:..--=-..................-----i/-.-.'••--: .......... 1- Pex ....... --°-'---`-'y ??°.......'.`.?c?...---...... Chairman of Tnwn Boazd ? / Suilding Inspecios EAGAN TOWNSHIP BUILDING PERMIT Ownet "..•%?-`-.i.?_'......._...._'-'---.__ ..J..?..........."--""_ Address (Presenf) ..... ?.?......°:£--.f.}a :................. Builder -------- ------:!a?........................... ..."'--......---............... A Addresa .............................................................................................. DESCAIPTIOIQ N° 2232 Eagan Townahip Town Hall Dafe -_ ............... J...' . - ..... 7 ..• D _• Storiea To Be Used Fos Fron! Deplh Heigh! Eel. Cos! Permi! Fee Aemaeks I -?a?r.. /?+-?-y,..J m-?C.f?-? /G ?2 ? oZ.mo-a ?? ?- I (iV' A? ) LOCATION Siree2. Aoad or oiher Descrintioa oi Localion I Lo! Bloek I Addiifoa or Trae! /3 1 -7 I (f - -47 z This permit does not auShoxise the use oi stxeefs, zoads, alleys or sidewalks nor does it give the owaes or h[s agen! the sigh! !o create anp siluazion whieh is a nuisance or whieh presents a hasard !o the healih, aafelp, convenSence end ganesal welfare !o anpone in the eommunity. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGyAESS. This is !o cerfifp, ihal..... .& .......?....?......a................................... has Permission !o erect a."__ .T..?'c'.'::.. ?:.°..-`.. ........"-""".._upoo the above described premiee subjeai !o the provisioas of the Suilding Ordinance for Eegan Township adopled Apsll 11, 1955. o ?jI l ....-?----?-?----....?-F?..? ...................... Per ------------ ,?:--:-?.....,1......?. ??.--:-?-"?..._....:.------.----......------. ChaiYman of TnwnriBoard ?s Building Inepactor Eagan Township Dako3a Counly, Minnesoia Application fo: Bnildiag Permit Tppe of building or wozk conlemplated. Resideniial?l Commercial Iaduslrial Euild ?nlargeN Alter Aepair Dimenaioas.....l..?-?.?.(_- °----...... Delails or Loca}ion ? Circle eorreai deseriplions. OSher'-"........ ----------------- ........ InsSell Move Wreck ?j?OG L5 Cosl. :---t ............. ........... PERMIT NO. ?3 ?. Dale / ...-........................................... Numher SSree! Br;ween whel cross sireeis Sizo Est. Valuation p % ! f i?Jc2?l! ? L17?'G' Lo! Bloelc Addition Rearrangemeni os Teaci Z?',ZRQ Vr- -'t-tL/ Owner ....... Address ..?Ut ...._? --? . "?//viY. Coniractor _'•-.'--"----'......__._.....-.-"'-'-_"---- Address ? .?...... ?.-'--'- -"----....-'--'..."----_..."-_'- Tke undessigned hezeby makes apalicaSion for a Bermif !o $ do woxk as hereia specif?ed, agxeeing fo do all worlc in sfriaf ToSal fee collecied. aecosdance wiYh !he building oxdinance adopYed Apxil 11, 1955 by !he Eagan Township Board of Supervisors. Permit fees are aof refundable. ...z 2???1?F ...---- - ??"_''-- -`....-'°---• Signed RESI6ENT'iAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reouirements RemodellReoair Reauiremenls • 3 registered site surveys showing sq. fL of lot, sq. fl. of house; and all roofetl areas . 2 copies of plan (20 % maximum lot coverdge allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window s¢es; poured found design, etc.) . i site survey for eztenor additions 8 decks • i sel of Energy CalculaGons . Indicafe if home served 6y seplic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail OpGons selec6on sheet (bidgs with 3 or less unhs) DATE D_? • _5UT-e ' (2) 2? VALUATION LI COOT SITE ADDRESS EM c \(j LQ?, c MULTI-FAMILY BLDG _Y lp N TYPE OF WOR EPLACE(S) _ 0 _ 1 _ 2 . °i^Arlcr ' ci APPLICANT'??? pd? ° T? STREETADDRESS I9?(? COkrrt?n ?. ?'C' I.t)-e-S+ CITY?STATEVTA_?lZIP 55113 TELEPHONE # I• ?Dy' CELL PHONE # FAX # PROPERTY TELEPHONE#Io5I- Y 5q' ?93t0 --------------------------------------------- ---------------------------------- ?--------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y[IiVNL„SO'I'A ItU11:S 7fi70 CATEGORY l MINIVESOTA RliLES 7672 (d submission type) . Residential Ventilation Category i Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Phonc # _ Plumbing system includes _ Water Soltener Iawn Spnnkler Pee: $90.00 Watcr Heatcr _ No. oF R.I. Ballis No. of Baths Mechanical Contractor: Nlech.utical systcin inchidcs Sewer/Water Contractor: Phone # Phone # f cc: $70.00 I hereby acknowledge that I have read this application, state that ihe info ation is correct, and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ord nces. Signature of Applicant OFFICE USE ONLY Air Condifioning _ Hcat Recovery Systcm Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 -, v• ,`," '"" ?<. °° r,+A 104 a 'i aeoa nluru..nr. nr.anutsuntstr rC a,j ..+??,. - Tune 7, 200J City OF Eagan 3836 Pilat Knob Itoad Ea$an, MN 55122 To Whom It May Concxrn; Elder Jones is authorized to Ptili beuld9ng parmits Por Renawal by Andaisen P(ease allow Elder Joncs to proyide this service for us in Fasan. '11iis aurhrnyyaz;cm ia valid fvr any date beyond 6/6101; wodi a 1i"enewal by Anderm maaam exptessly revokee it in writing to the City- Im4uest this auchorizaflon bc accepted expedidously, as to not delay in the grooessing af our building Ponmita aay Rarthcr. Plcasc caII mc If thcro acc any qnesttone. I can be contacted at 763-502-4706_ Your imm,;diatc attcntion to Wis matter is appxectated. Sinceiely, Osyinoiid R. Rau tallarion Ma[iager Ranowa( bY Audascn Corporakian C'r.: Kftrn_F,Tdeh. TnnPa j2??4 9%2L,,6?? G - 7-,-tozV, GH o g- Wuuziuu Received Time Jun. 7. 1:01PM PERMIT CITY OF EAGAN 3830 Pilot Knob Road -Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-16700-130-07 PERMITTYPE: gurLp7NG Permit Number: 0 3 3 3 9 2 Date Issued: 0 9 J 2 3/ 9 8 2073 EMERALD LANE LO7: 13 BLOCK: 7 CEDAR GROVE #1 DESCRIPTION: _ T.O. & REROOF Bu.a:ldliYg, Permit Type Building"Work Type ,.6ensu5 Gode?- , r STORM DAMFlGE REPAIR 434 ALT. RESIOENTIAL ? i >> ? ''t + ;? ?i''• , :+ E > _. ?. ...? J REMARKS: FEE SUMMARY: FfRMAN'NAC?N'S7. - HPPlicanti - 5 ? . L11'. ?UF?B€R?2UCTION 14972820 20091775 ALLEN 304 SOUTH MAIN ST 2073 EMERALD IflNE ST. MICHAEL MN 55376 EAGAN MN 55122 (612) 497-2820 (651) ' I hereby acknowledge Chat I have read this application and state that the information is correct and agree to<comply with al1 app„ticab?.e State Qf Mn. 5tatute-s and Cit,y of Eagan Ardznances. ? APPLICANT/PERMITEE SIGNATURE t? Y??ll_S//f? -GL%UED B-URE I 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OTKNOB RD - 55122 ? 681-4675 ? ?--a-3- ? New Construction Raquirements • 3 registered site surveys • 2 cvpies of plans (include beam 8 window saes; pouretl fnd. design; etc.) ? 1 energy calculations ? 3 copies oi tree preservation plan if IM plattad after 7/1193 required: _ Yes _ No DATE: DESCRIPTION OF WORK: RemodeURepair Reauirements ? 2 eopies of plan ? 2 site surveys (e#erior additions S decJcs) ? 7 energy calculations for heated additions ? CONSTRUCTION COST; ?r ? t-a a4 al e- - `&/M DGMQ9to STREET ADDRESS: LOT: BLOCK: __7_ SUBD./P.I.D. CD \j Name: '_?td /!`•B Vti Phane PROPERTY Lazt First OWNER StreetAddress: ;L ?'' q?? ? • City State: Zip: Company :vL /4 YJM?,o Phone t, #: ?` 1 07 CONTRACTOR Street Address: 3o4z S, License # coLQot ? 7 75- City J? Y M' 1 G1, State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new conshuction ony): and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicaNon and state that the State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant I_ l? 7 OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No ` Tree Preservation Plan Received - Yes _ No _ Not Require, Penalty applies when address chan and agree t/comply with all applicai 1 \ CITY OF EAGAN 3830 Pilot-Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 FERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 032357 66/26/98 SITE ADDRESS: 2073 EMERALD LANE LOT: 19 BLQCK: 7 CEDAR GRpVE #1 P.I.N.: 10-16700-130-07 DESCRIPTION: U7ILITY aWED Permit Type MSSCEL4ANE4U5 ?u?ldino Uark Type NEW ?ens9;is Ga;i,?p 434 ALT. RESID€NTIAL F? €n 4S 31 ?? 2tg !. tl.; * ? ? ? fi. ?Y^ uG `P"-?-s' f k-es a y F i t°n ? i tt ii ns ti ? t '.t:I xtE va e? - ? s si REM?RWREVrEwEo BY BILI ADAMS P k i?t ac "y ? ,zPt s? a? nm ??mr FEE SUMMARY: Base Fse Surcharge Total Fee VALURTION $40.25 , $.60 $40.85 $1,200 f ,` S236W 998 BUILDING ? New Construction Reauiremants PERMIT APPLICATION (RESIDENTIAL) ??U 11?Z5 CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 L?.tl ' ? 3 registered ske surveys • 2 mpies of ptans (Indude beam & window sizes; poured fid. design; etc.) ? 1 energy qlculatlons ? 3 wpies of tree preservation plan 'rf let ptatted after 711I93 required: _ Yes _ No DATE: RemodeVReoair Reauirements j,Z ? 2 eoPies of plan ? 2 stte surveys (exterior eddRions S der,ks) ? 1 energy cafwtatlons for heatetl additions CONSTRUCTION COST; "tl, 04v DESCRIPTION OF WORK: /,:? / STREET ADDRESS: BLOCK: Name: A- C ? Phone #: ??`? ?'/ ?? w PROPERTY 1.azt evn owrtEx 73 .?' Street Address: /1?i?/???,,/? city C ?f?GLl?1! state: AlN, zip: Company: ?ELF Phone #: CONTRACTOIt Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: 527L c=- Phone #: Registration 1!: Sueet City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalry applies when address chang 1 hereby acknowledge that I have read this applicatian and state that the infortnaUon fs correCt and agree to comply with all applicabl State of Minnasota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not State: . .a ' #"91,«!, ? ?i x r `i OFFICE USE ONLY 14 .+ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition O 08 8-ptex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE g 31 New O 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi RepaiNRem. ? 17 Swim Pool ,?r 13 Garage/Accessory ? 20 Public Facility ? 14 Fireptace 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Total:`r ' v uW %SAC SAC Units MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ , Y vV y3 y 0/ ? ? MASTER CAKD • LOCATION emerald La 2073 13-?- OWNER / STRUCTURE AND LAND USED AS Permit No. Issued Issued To Coniractor Owner BUILDING 2 '1 3 2• PLUMBING I CESSPOOL - SEPTIC TANK VJELL ELECTRICAL H EATI NG GAS INSTALLING SANITARY SEWER OTHER OTHER 0 • Items Approved (Initial) Date Remarks Distance From Well FOOTING • + SEPTIC FOUNDATION CESSPOOL FRAMING F I NAL ELECTRICAL ?- -?---f- TILE FIELD FT. HEATING i DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL - DRAINFIELD PLUMBING u WELL SANITARY SEWER Vialations Noted on Back COMMENTS: L . Co. Fe f`5..,0 Ie @J ACKi7 O71 LAMD BVRVF\'Oq ? RSa'qt2neo 14pea ;eeyN n• ...rc LICqh04p pY p1!01NANC6 UY _iIY O/ MIMw?p/.?•?? 3610 CART 98TH BrRaEi PA J 1, .. lbucbcpmr's p'rrti[icatr 13o-j ? 4 0 L ; ; t I , 5??? CtqT?ry TpAI TNE ApyI 10 A iRUQ AMD ODAOBCT P{.AT M A YURV(v p? L'OL 1U 1310oi 7, Gder QroVO 110. T ? 4s?uw?a.ca e.`ra *??i• lath 7h nA. x_ AUS. 4 n i9.S0 • , i ? F C JACK60N. OAIIMqeWYn.F(9 ' ?.._.. _ _ .. ? I misrcpresente[ion made focpo'se o£ influrncing [he issuen<e ot any guarenty or insurance ar tl C? -4 ? ? ? OTM11oM. }?p ?.? making f ? Use BLUE or BLACK Ink 1 For Offi ce Use non j Permit#: ~ 1,431)1 1 City of EaV 1 Permit Fee: 106.2)5 3830 Pilot Knob Road Get ' j Eagan MN 55122 I Date Received: l Phone: (661) 675-5675 1 M Fax: (651) 675-5694 1 Staff: I V - - - - - - - - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Dater 1 _ Site Address: a Unit Name: LI~` Phone: Resident! t / f~ Owner ?Address /City /Zip: d7 A,,; Applicant is: Owner Contractor Type of Work Description of work:; 1 lyw' Construction Cost: Multi-Family Building: (Yes / No nr i Company: contact: eC1,il <r,n Contractor Address: ) _C> i C ln-Q-/'1~ G City: 6 2enr rr2 I te i/)\~ State: ~ ' iN Zip: Phone: 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of s the information may be classified as non-public if you provide specific reasons that would permit the City to P 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.aooherstateonecall.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 IA~ x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174304 Date Issued:01/18/2022 Permit Category:ePermit Site Address: 2073 Emerald Lane Lot:13 Block: 7 Addition: Cedar Grove 1st PID:10-16700-07-130 Use: Description: Sub Type:Water Heater 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 - Michael S Litke 2073 Emerald Ln Eagan MN 55122 HomeWorks Services Co dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature