2841 Highridge TerCITY OF EAGAN Remarks
Addition Valley View Plat 1 Lot 1 Rlk 2 Parcel 10 81400 010 02
Owner ''' Street 2841 Highridge Terrace State Eagan, MN 55121
Improvement Date Amount Annual Years r Payment Receipt Date
STREET SURF.
STREET RESTOR. Paying 1962 735.00 73.50 10
GRADING
,3P SAN SEW TRUNK 1968 100.00 3.33 30 ye, .71-
* SEWER LATERAL 1970 20
WATERMAIN
*g6WATER LATERAL 1970 2510.00 125.50 20 to
* WATER AREA 1970 20
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC 2. 9449 11-14-73
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
I I ' ' sor]NW)
fI11r$A!
+it1.nrrt+
PERMIT TYPE: ; rt 4 r
Permit Number:
Date Issued
t rsc ? APPLICANT:
TYPE OF WORK:
F RAN 1 No,
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL AV6 /4.v5 . 4e id alau? u
' n.?e.-w a e !? Igor
BSMT R.I. I +t?'? L°„ 4FA? s?J A. do- s ,
BSMT FINAL IV?a •'1^` a"w^° f ° i n,
PQ <,e kaeka? p r
DECK FTG
DECK FINAL
VILLAGE OF EAGAN
3795 Pilot Knob Rood
Eagan, MH 55122
Zoning: R-.
Owner: Au!
Address
Site Address: 28
Plombe
SEWER SERVICE PERMIT
PERMIT NO.: 2109
DATE: 11/14/73
No. of Units: 1
I agree to comply with the Village of Eagan
Ordinances.
By:
Date of Insp.
lnsp.: -
Connection Charge?75.00 pd
Account DePosit: -1 5 00 pd
Permit Fee: 10.00 pd
Surcharge: .50 pd
Misc. Charges: 300.50 pd 11/141
Total:
Date Paid: Nov 14. 1973
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ...... ........e.L.n/ -'--'---- 7....?-L
_ --................---'--
....' -
Addsess (Present) ._... .....1....1 q
.: -------Hr......
Builder ll......../???z- -
Address ..................Kl .........cl.-o.."° ..... .......
.......... ......................
X? 2272
Eagan Township
Town Hall
Date ...71..x_°1_.7° ......................
Glories To Be Used For Front Depth Heigh! Est. Cost ' Permit Fee Remarks
LOCATION
Street, Road or other Description of Location Lo! Block Addition or Tract
This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent
the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.
This is to certify, that.... "..._..has permission to erect upon
the above described premi subject to the provisions of the Building Ordinance for Eagan Township adopted April 11,
1855.
.... . 1.."." ...... ..........°.'.......... Per ................ F?'?"`:`......0 -?i .._P.........
!!!/// Chai?en of Tnwn Board Buildin Ins eclor
g
MECHANICAL (RESIDENTIAL)
?JJ Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
4 ?30'50
Date /03
Site Address l-V (/
Unit #
Property Owner Z)OSt 26)61ga1-0 Telephone#(&Sl
j (7i X j
Contractor
/
-y
Street Address
Cit
/
t 19 ,9cV n
y
State 1I ? /lJ Zip S. /? (p Telephone # (69 )jo - 5? V ??y
Ot([?
The Applicant is Owner t Contractor Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
T
t
l
o
a
I hereby apply for a Residential Mechanical Permit and acknowledge that the i
be in conformance with the ordinances and codes of the City of Eagan and w
t, but only an application for a permit, and work is not to start without
?a pr ved plan in the,c a wor w ch requires a review and approval 071,
Applicant's Printed Name Apx
ormation is complete and accurate; that the work will
the Mechanical Codes; that I understand this is not a
permit; that the work will be in accordlance with the
Signature
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date /
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Contractor Other
Work Type
New construction Underground Tank -Install -Remove
Interior Improvement Call for inspection during installationlremoval of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
...;t •,..o..},.r ir:,.i(:F.:.i_:;:.fri:`Mr(',(,•?":..k?'_.?Y ,?(... ?:r ?:. p... p,.w ..
rv..
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t r,
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'rr-r'I::.C,:I. ..... a<_±i.:,'•`. •gri!r; 1::71 ?:.: 7E; •• '.:3
PERMIT
-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
CARPORT
ermit Type GARAGE/ACCESSORY
grgk Type ADDITION
i'71"-P 438 ALT. GARAGE
BUILDING
030487
09/29/97
SITE ADDRESS:
2841 HIGHRIDGE TER
LOT: 1 BLOCK: 2
VALLEY VIEW PLATEAU
P.I.N.: 10-81400-010-02
DESCRIPTION:
REMARKS:
FEE SUMMARY:
PERMIT TYPE:
Permit Number:
Date Issued:
Pte. q? ka® a
N
„? uaarcl
VALUATION $3,000
Base Fee $74.75
Surcharge $1.50
Total Fee $76.25
CONTRACTOR: - Applicant - ST. LTC OWNER:
HARTGERINK CONST, FRED 14473733 0006420 ZUCCARO GUS
16450 WEBSTER CT 2841 HIGHRIDGE TER
PRIOR LAKE MN 55372 EAGAN MN
(612) 447-3733 (612)454-3813
ISSUED 1B ?. SIUNAI UHe /' kk
- 1997 BUILDING
3a??7
(RESIDENTIAL) 4 76• Z?,'
- RemodeUReoair Reauiremante
PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
? 3 registered site surveys
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
e 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
2 copies of plan G
2 site surveys (exterior additions & decks) 7/a5
1 energy calculations for heated additions
DATE: -) - 2- I -9 7 CONSTRUCTION COST:
DESCRIPTION OF WORK: ,4t1jV1elC carr?or
STREET ADDRESS: ` ???) iC Nl(7?c IcRR.Ae S-
LOT BLOCK SUBD./P.I.D. #: ?° """ ;7 (mac ?cl
PROPERTY Name: 677IiS Zy?90 Phone #: L4Sq-3 Sj 3
OWNER .m„
Street Address: aal l4ic, HRIDr,,ff TERI?,4CZ-?
City: _ L:46-, Atl State: /V , Zip: -fit/-??
CONTRACTOR Company: ED,-D pTr ??In/9C (- Phone #: ?Yq?-3713
Street Address: J(o!45?(D Lt,4i3ST?lZ 07 License#: 01,20
City: _A1 lal? Lf}kE State: /V& - Zip: ,5673 7 2
ARCHITECT/ Company: fr6C Phone
ENGINEER
ECEI Name: Registration #:
95
??VED
JUL 2?Y?Ao Street Address:
997
.. /?/ City: State: Zip:
Or & water licersed plumber (new construction only):
lot change are requested once permit is issued.
Penalty applies when address change
I hereby acknowledge that I have read this application and state that the information is correct and ag ee to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
n 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
)a`"32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
,gr` 13 Garage/Accessory ?
? 14 Fireplace a
? 15 Deck
n 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Permit
SAN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code G/
Census Bldg
Census Unit 10f
Engineering Variance
Valuation: $
% SAC
SAC Units
71. F)
.',] Tr.?,., r ,.n. . y...
?j 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL
?? `? b CITY OF EACAN I a ?j
3830 PILOT KNOB RD - 55122 444
651-681.4675
w Construction Reauhement
3 registered site surveys showing sq. ft. of lot, sq. ft. of house
and all roofed areas (207* maximum lot coverage allowed)
2 copies of plans (show beam & window sizes; poured Md. design; etc.)
? 1 set of energy calculations
3 copies of tree preservation plan N lot platted after 7/1/93
DATE: Od a09
DESCRIPTION OF WORK:
STREET ADDRESS: GX\
LOT: BLOCK:
PROPERTY
OWNER
Remodel/Repolr Requirement
2 copies of plan
1 set of energy calculations for heated additions
1 site survey for exterior additions & decks
CONSTRUCTION COST:
ffi
Name: l A G ? K_ Phone #: I [S 7Q - f? l
Last First
Street
V?
City pan 6 State: Zip: EL- Q)3
ie#: (qIr &L 1
(area code)
CONTRACTOR
ARCHITECT/
ENGINEER
License # ?]? m3-3-2?
Street Address: C
-? IS city C"L?? State: Zip5 3I 8
Company: Name:
Telephone C area code
Street Address: Registration #:
City
State:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change is requested once permit is Issued.
Zip:
T hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicobl
State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant.
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Building
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
MASTER CARD
• LOCATION f I ? G ? Y? a ?i Qr_ (,?--e rl' o?.(,• ?-. ?1/ RTf ! j// /?
OWNER 7 , j ? ? AY- I G L!S V' V
STRUCTURE
LAND USED ASD n) A-) of K? .III nat. . br- G a rA G °!-
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PLUMBING alga ^' 7! 4
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
0
r 1
U
Items Approved
(Initial) Date Remarks
Distance From Well
' FOOTING -J!'-;V SEPTIC
FOUNDATION D • IS =Jo CESSPOOL
FRAMING TILE FIELD FT.
FINAL
EI-ECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
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
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE OF REINSPECTION
CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require.
ments for off-site improvements relating to the property inspected.
0
ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
3.
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2841 Highridge Ter
Lot: 1 Block: 2 Addition: Valley View Plateau
PID:10- 81400 - 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Total: $90.00
Owner:
$88.50
$1.50
Joann M Zuccaro
2841 Highridge Ter
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801.4085
9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091380
09/30/2009
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2841 Highridge Ter
Lot: 1 Block: 2 Addition: Valley View Plateau
PID:10- 81400 - 010 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Total: $90.00
Owner:
$88.50
$1.50
Joann M Zuccaro
2841 Highridge Ter
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801.4085
9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA092230
12/04/2009
ePermit
04/22/2015 10:52 FAX 651 451 7740 CULLIGAN f�0001/0001
������-�r,..�,�. �F���.. c� ������ C.�c��� � '" ,� ��� ��
/_ �-y,.r�`�'�..�_.����/ _ Use BLUE or BLACK Ink
lC2 < �-- -,
�-J���'��� � For Offlce Use I
If�,-~'' � �t�-'����i
Clty of Ea�a� r �� � � Pe�.t#:
i G� ,
� Permit Fee: � I
3830 Pilot Knob Road `� � � i �
Eagan MN 55122 I Date Received: �
Phone;(651)675-5675 � i
Fax: (651)675-5694 � Staff;
����������—__����J
2015 RESIDENTIAL PLUMBING PERMIT.APPLICATION . .
Date:�~�''� SiteAddress: t7` �� ���'��"�� �'�"��"'����,
Tenant: � �G���'Gt-'i✓�i � Suite#:
�,; +����r� �� : �;�
����y���s �s /"' ,� D ,� ,'�-�
����,, r � , l.'��9.5 r.Jv�s�-.`��-''�-�'�7 J -°' ��J
�5�������,�,� .':. Name: � Phone: �n�i�'�� � �
�.: � *� ,
r �x�'�'�''�h��,���.,f ''�. Addres5l City/Zip: d ,/L'���1� ,�'�
5'��';� Y' yS. .
x��'�'��� '� � „ Milbert Carr�pany Inc dba Culligan WaCer WC641376.
�
� �
���p�a ����� rf . ;�:. � Name: l.icense#:
k't,..Rt,,�'�s$ '4 L. :', . .
����,�� 4 � T•?° Address: 1HQ1 SOth St East ����,. Inver Grove Hgts.
•� �,�� ��
� � 55077 651-451-224r
v; � ����'� - ; St�te: Mn Zip: Phone:
� �
�`�,'���� �� ' ;r~ William R Milbert
s�, r��i �sY�,:� p � �xip Contact: Email:
'�a 3u ��. ...
;��s� � �New Replacement _Repair Rebuild Modify Space Wo�ic in R.O.W.
4 r�� �1��`�� �i� — — -- —
h ui �'"-.fr
,�.��-',�:��;. ..:w:,��„ ' '' ` Description of work:
�k�`��'��� i °�h � ; RESIDENTIAL
kui� c'S�x nf•r �
�"a���� a�,y�����s'���wx..�4�{�r
� � 4 ��..��;.•�` �' _Water Heater
��a� ; � � "i;� �,�Ys y�Wate�SoRener
t � f Lawn Irrigation(_RPZ! PVB)
��, _ _
r� �r� �� Add Plumbin Fixtures Main/ Lower Level
'��' �� ��� , � , Septic System — 4� �— — )
,��,�,����-::�.- �>, �4. —
�-%���:��{ ar. v;� Water Tumaround
��� r� - New —
Y��
� �'� '�; � �' Abandonment
RESI�ENTIAL.F�ES:
$60.00 Water Heater,Water Softener,or Water Heate�and Softener(inciudes$5.00 5tate Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seatic Svstem Abandonment,Water Turnaround'"(includes$5.00 State Surcharge)
"Water Turnaround(add$200.00 if a 5/8"meter is requiredj
$115.00 Seatic Svstem New($10.00 per as 6uiit)(includes County fee and$5,00 5tate Surcharge) ��• O O
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One CaU at�651)454-0002 for protection against underground utllity damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. WWw.S�OpI1E�rstateonecall.ora
I hereby ack�owledge that this IMormation is complete and eccurate;ihet Ihe work wlll be in conformanice wlth the ordinances and codes of the Ciry of
Eagan;that I understand Ihis is not a permlt, but only an appilcatlon for a permit, and work is not to starl without a permit;that Ihe work will be In
accardance with the approved pian In the case of work which requires a review and approval of plans.
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04/22/2015 10:52 FAX 651 451 7740 CULLIGAN �j0001/0001
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Cltof Ea a� � � � Pe�,t#: ��� �
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� Permit Fee: � j
3830 Pilot Knob Road � I
Eagan MN 55122 I Date Received: �
Phone;(651)675-5675 � Staff� j
Fax:(651)675-5694 I ' _�
2o�s RESIDENTIAL PLUMBING PeRnnir aPPucaTioN .
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Date: � �'�� Site Address: e7' � �vVG ����'�'�''�"�" �-����� " ��l
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��.R4���I�.rfu�� �'���� Name: ,�.�'�sC�,��..'� Phone: jn�s�'"���'���"�
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<<,�.���'w�x���. x Name: Milbert Cor�pany Inc dba Culligan Water WC641376.
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� r�i�� �° Address: 18�1 SOt" St East ���y_ Inver Grove Hgts.
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�z' �'� �' p. 55077 65�1-451-224r
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� ��`�4��'`� k� �New _Replacement _Repair _Rebuild _Modify Space _Wo�c in R.O.W.
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'�a r�',�" �� � i���:1�� ':
xs �,z, r�� � '����, EQ� Water Heater
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t �r � t�^ ,. _Lawn Irrigation{_RPZ/_PVB)
�' ' �� ��� _,Septic System _Add Plumbing Fi�ctures(_,Main/_Lowe�Level)
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RESIDENTIAL,F�ES:
$60.00 Water Heater,Water Saftener,or Water Heate�and Softener(inciudes$5.00 State Surcharge)
$60.00 Lawn irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seotic Svstem Abandonment,Water Turnarour�d"(includes$5.00 State Surcha�ge)
"Water Turnaround(add$200,00 if a 5/8"meter is required)
$115.00 Seotic Svstem New($10.00 per as built)(includes County fee and$5,00 5t�ate Surcharge) �R. O O
TOTAL FEES$ V
CALL BEFORE YOU DIG. Cail Gopher State One Call at(651)454-0002 for protecaon against und"erground utiliry damage.
Call A8 hours before you intend to dig to receive locates oF underground utilities. wuvw.qonherstateonecall.ora
I hereby ack�owledge that thls Information is complete and accurate;thet Ihe work wll�be in conf��rmance with the ordinances and codes of the City of
Eagan;that 1 understand Ihis is not a permlt, but only an applicatlon for a permit, and work is not to staK wlihout a permlt;tNat the work will be In
accordance with the approved plan In the case of work which requires a review and approval of plans.
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ApplicanYs Printed Name AppllcanYs:5lgnatu�e
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162434
Date Issued:07/15/2020
Permit Category:ePermit
Site Address: 2841 Highridge Ter
Lot:1 Block: 2 Addition: Valley View Plateau
PID:10-81400-02-010
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 -
Joann Tste M Zuccaro
2841 Highridge Ter
Eagan MN 55121
(651) 454-3813
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature