1845 Gold TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1845 Gold Tr
Lot: 11 Block: 4
PID:10- 16705- 110 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Fee Summary:
Valuation: 3,000.00
Contractor:
Bradach Construction, Randy
18267 Italy Ave
Lakeville MN 55044
(952) 892 -6015
Addition: Cedar Grove 6th
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Mary P Kissel
1845 Gold Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA080347
10/10/2007
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1845 Gold Tr
Lot: 11 Block: 4
PID:10- 16705- 110 -04
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
Addition: Cedar Grove 6th
Quesetions regarding elec
952- 445 -2840
Larry Leacock
15966 Fennel Ct.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Mary P Kissel
1845 Gold Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
cal permit requirements should be directed to Mark Anderson, State Elec
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA091141
09/14/2009
ePermit
cal Inspector,
S+y??,c•?./ ? CITY OF EAGAN 16366
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILQING PERMIT Receipt # / f
To be used for ?gKp?pN ppgCN Est. Value $8,000 Date JULY 31 ,19 89
Site Address 1845 GOLD TR
Lot i 1 Block 4 Sec/Sub. CEDAR GRM 6TH OFFICE USE ONLY
'PBfCeI NQ. Occupancy FEES
W
Name pAT 8 ED ICISSEL Zoning
(ACtual) Const
-
Bidg. Permit _
? Address 1?5 '?? ? (Allowable) -
? Surcnarge _
City
Phone 8 ot Stories
ponb
Plan Feview
a 1?E'fA0 SUl?l?IT Sl1ILD8R8
Name Length
?,n ?k ?6
_ _
sAC
Cdy
=o
g? Address 9401 JAMBS AVB 5.F.7otal - ,
B
I?
?
8
9 SAC, MCWCC _
? City
?
'Z
Phone ?
'?
S S.F. Footprints _
Hlater Conn
On Site Sewage _ _
?
? W¢
Name
On Siie Well
-
Wat
l
M
er _
er
e
_? Address MWCC System -
i W City PhOne Ciry Water _ Acct. Deposit _
S
P
PRV Required _ NV
ermit _
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - SM! Surcharge _
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Ea
an Ordinances
g
. Treatment PI _
Signature of Permitee APPROVALS Road Unit _
A Building Permit is issued to: NZM $UMIT EUILDERS PLannet - Park Ded. _
on Ihe express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City oi Eagan Ordinances. 91dg. Oif. _ Copies _
Building Ofiicial - ? Variance - TOTAL -
104.00
Permit No. Permit Holder Date Telephone 8
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC (f O ?&0
Ir?spection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Flou9h Htg.
Isul.
Frceplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Fina? -,/-f
weli
Pr. Disp.
CITY OF EAGAN
Owner ??i•?fj,? rk ? 4 I}? ll n?.l
&
11
Gold Trail
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK qb 1968 92.43 3.08 30 P31d I
* SEWER LATERAL 1970 1472.00 20 Pa,'I.d
WATERMAIN
* WATER LATERAL 1970 20
I
WATER AREA
K STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200.00 1294 -lo-E
BUILDING PER.
SAC 200.00 Z 4-10-69
PARK
L
BUIIDING PERMIT
DECR
7o be used tor 'A _SF
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Value $8,000
N° 16866
Receipt # C,
Site Address 1845 GOLD TR
Lot 11 Block 4 SeclSub. CEDAR GROVE 6TH OFPICE USE ONLV
P9fCBl N0. Occupancy -JL-3 FEES
Zoning _
W Name PAT & ED KISSEL fActual)Coosl Bltlg Parmit 100.00
3 Address 1845 GOLD TR (Allowable) _
-
4
00
? Surcharge .
Cjt EAGAN phOng
y # ol Stones
t
P
' 14X12 Plan Review
l
C
Lengih
oI
o Name METRO SUMMIT BUILDERS oepm ?eck 12x16 sqc
c
?
pO
U
Address 9401 JAMES AVE
S.F. rotai ,
iry
? City BLOOMINGTON phone 888-$a95 S F. Foolprinis _ SAC, MCWCC
Nl
t
C
On Site Sewage - er
onn
a
?
F W
Name
On Site Weil
W
3
Addf@55
MWCCSystem -
_ ater Mater
0
a W Clty Phone Gty Wafer _ Acct Deposit
PqV Reqmred _ S/W Permit
I hereby acknowleg
v d is ap tion and state that the Booster Pump - SiW Surcharge
aagre
inlormallon is correc wi all applica6le State of
*
Minnesota Statutes es. Treatment PI
Siyna[ure ot Permrte APPAOVALS FOad UN[
A Qudding Permit is ME 0 IT BUILDERS Planner - Park Dad.
on tha express condiLOn that all wo 11 be Cone in accordance wdh all Council
applicable State ot Minnesota Stalules an
d City ot Eagan Ortlinances. eldg. Off Copies
+
Building OHicial
1 ? Vanance - TOTAL 104.00
EAGAN TOWNSHIP
BUILDING PERMIT
Ownax .. - pt?"'°_ -'- ?"
? ?'
--------------/?
------q------ _-. _... _?. _--,-C-'-?----?-----------
Addres5 (PresenS) `-----
Builder
Addrese
DESCRIPTION
N° 19'75
Eagan Township
Town Hall
Dafe ..... ........ ..... Siories - To Be Used For Fron1 Depih Heig6f Esl. Cosi Permii FeJc Remarks
?
? a ??• - ?1
? ..-a I
TION
Sfreef. Aoad or olher DescripYion of Localion Lot Slock Addition or Traet
,?. ? L - 7 w 9 r'S-e ^7 ? / d- ?d !3-e S / ! -
i..•, i
This permit doen aot aulhoriae the use of slreeSs, roads, alleys or sidewalks nor does if give the owner or dia agenf
the zighS 2o ereafe anp sifuation which is a nuisance ox which presenls a hazard !o the heallh, safety, coavenience and
ganeral walfara !o anyone in the community.
THIS PEAMIT MUST BE KEpT ON?TH'EREMISE WHILE TIiE WORK IS IN PAOGAESS.
This in io eerliip, thal:--?=--??:..'...._............__........ ................haspermission !o exec! a_.1.?:_ .._... ....... .._.___. oa
. . . .. ----------- uP
the ebove desezi6ed pramise subjec! !o the p:ovisions o! the Building Ordinance for Eagan T wnship adop ed April 11.
1955.
- ----- - C`'. -.-. ....__.--------------- Per -- "--?-
... ...... of Tnwn Baard ?,---??-----J ...........
Chai an Suilding Inspactor
A- ?
Bradach Roofmg, Siding
& Seamless Gutters
18267 Italy Ave.
Lakeville, MN. 55044
952-892-6015
License# 20316070 Bonded/[nsured
To: City of Eagan
Regazding property
1845 Gold Trail
Eagan, MN
To whom it may concern:
We replaced six sheets of 4x8x'/?" OSB roof sheeting at the above mentioned address
because some board were weak and delaminating. There wasn't any mtting on these boazds
due to shingles leaking. Thank you, any questions please contact us.
RESIDENTIAL BUILDING ? 359
Permit Application
City Of Eagan
3830 Pilot I{uob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4I I 3.7.5-
New Conshuctlon Reauiremenfs RemodeVfteoair Reaui2ments Office Use OnN
3 registe2d site surveys showing sq, k. of lot, sq. R. of house; and all roofed areas 2 copies of plan _ Cert of Survey Reo1
(20°h mazimum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres PWn Recd
2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for addNOns & decks Tree Pres Not Reqd
1setofEnergyCalculations Add'dion - irrdiceteifar-sifesepfksystem _OnsiteSepticSystem
3 copies of Trce Preservation Plan "rf Iot platted after 7/1193
Rim Joist Dehail Optbns selectian shcet (bldgs wfth 3 or less umis
Date __? / -j__ / &a Construc[ion CosN40
L-I .6-y
Site Address `??r?,?? I -
Unit/Ste lt
Descrip[ion oF Work
Multi-Family Bldg _ Y?QV Fireplace(s) _ 0_ 1 _ 2
Property Owner 'n%rC( Pil Telephone #(&sp??j Y- ?2
Contractar Cedar Valley Exteriors, InC.
Address 1700 93rd Lane NE
Bidine ?ity
, Zip
State Tetephone#(?(p`3)?7?-???1
COMPLETE THIS AREA ONLY IF
Energy Code Category
(J submission rype)
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
( J ?, `t? O r
inueu 1
n^ 1
I^ . ,
A NEW BUILDING
Minnesota Rules 7672
• New Energy Cade Worksheel
Submitted
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.
Minnesota Rules 7670 Cateaorv 1
. Residential Ventilation Category 1.1
Submitted
• Energy Enve?ope,Calculafions Subi
1-119
Apl? tea4t 's Printki!l N e Appli nt's Sign e
?
1
.4
SINGLE FlMILY DfiELLINGS
2 SETS OF PLANS
3 BEGISTEAED 3ITE SQBVEYS
1 3Ef OF ENEAGS CALC3.
1989 B(IILDIBG PfiAMTT iPPLICI?ION
CITT OR ?
o jTt
!lJLTIPLE DIiELLINGS
2 3ET5 OF PLlNS
BEGISTfiRED 3IiE 3IIAVESS -
(CHECH HITH BLDG DIV.)
1 SET OF ENER(}2 CILCS.
ltITLTIYLE DWELLINGS HENTAL IINIT3 F08 3ALE DBITS #OF UNrTS
NOTEt IDDRES3ES FOH CORNER LOTS - COATRACfOA/HOMEOtiiNEA MlOS! 0E4IGFliE UHICH ADDAFSS
IS DESIRED. 50 CHANGFS iiII.L BE ALL.01iED ONCE BOILDIN4 PEAMIT IS IS50ED..
3EfiER 8 119TER PERMIT FEES 1ND lCCOi)NT DfiP06IT FSES idII.L Bfi IACLODED IiITH SHE BDILDINf3
PERNIT FEE. PROCES3ING TIIM FOR SEHER lAD WATER PE9KIlS IS TWO DAYS ONCE ! PERRMIT HA3
HEEti (OMPLEfED IBDICATING A LICEN3ED PLOlIDEA.
PENALTY APPLIFS HHENt PEEtHIT IS NOT PAID FOR IN S9ME MONTH IT IS REQUESTED.
LOT CAANGE IS REQUESTED ONCfi PERMIT IS ISSITED.
?cCK? ND
ro se Used F: t+ .J Valuation: n9te:
Site Address I iS`15
Lot 411 Slock y
Pareel/Sub GLDq/! ttya
Ormer K1550"
lddress 1??{S Go?? Trfl:I
cityiaiP coae MAO .k5itt
Phone
Contractor kTQo \Vi11r^14 D1&ri'
Address 9q6l J" ilw
? ?J
City/Zip C;t::
Ph
one ?Arch./Engr.
Address
Citq/Zip Code
Occupaney
Zoning
Aetual Const
Allowable
# of stories
Length R?ccH I+4 x/2
Depth DEtiK 1 z x
S.F. Total
Footprint S.F.
li0Ui1C11
Bldg. Off.
Varianee
2 SETS OF 1RCHTlECfURAL
& STBDCfQRAL PLAHS
1 SST OF $YECIFICATIONS
1 SET OF EIiEdGS CALC3.
FEES
Bldg. Permit 104.vD
Surcharge 41'oc
Plan Aeviex
SAC, City
SAC, MIiCC
Water Conn
Aater Meter
9eet. Deposit
S/YI Permit
5/fi Surcharge
Treatment P1.
Aoad Unit
Park Ded.
Copies
SIIBTOTAL
Penaltq
lOSAL
27 7989
COlS'IEACIAL
Phone #
L // BL CITYUSEONLY RECEIPT#: 71?330
SUBD. .O?dc? L # RECEIPT DATE: 7 g/9
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612)687-4675
Please complete for: . single family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EAC!! N?o TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 7.50 x =
1Nater-Softener _'ror dweninys under conswaion 5.00 x =
-
CWater SoRener= "-ror e:istinq dweniny 20.00 x ?
U.G. Sprinkler ' for tlwelling under const. 3.00
U.G. Sprinkler * for existing tlwelling 20.00 =
AltBfetlOnS ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` Dak Cty lic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' ntandonment 20.00 =
STATE SURCHARGE .50
so
TOTAL ad ?
I hereby acknowledge that I have read this applicetion, stale that tha information is corred, and agree to wmply wkh all applica6le City
of Eagan orclinances. It is the applicanPs responsibiliry to notify the praperty owner ihat the City of Eagan essumes no liability for any
damages caused by the City during ils nortnal operetional end maintenance aGivities to the facildies constructed under this penni[ wRhin
Ciry propertylrighl-of-wayleasement.
SITE ADDRESS: gn_n uicr i r ww r
OWNER NAME:
INSTALLER NAME: TELEPHONE
STREET ADDRESS: ??3 r [,n ?UY vl -c ' SL/' _
ciTV: ST ?4,,?STATE: ? ZIP: -
IGNATURE O PERMITfEE
fiAGhN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:__ NUMBER 377
OWNEF. G + P.ddress//"y-?
PLUMBER_? ?yl,(• TYPE OF PIPE ?
DESCRIPTION OF BUILDING
Industrial! Commercial' Residential I Multiple Dweliing I No, of units
Location of Connections: I Connection Charge 200.00 nd.
Permit Pee 7.50 D.d.
Street Repairs
Total
Inspected by:
Date
Remarks•
Sy
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Towmship, Dakota Couaty, Minneaota
By l o?'
?
Please notify when ready for inspection aud connection and before anq portion
of the work is covered.
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PEUIIT FOR WATER SCRVICE CONNECTION
Date• Number• 255
Billing Plame: Site Address: j/-y-)Ayz &0?
Owner: Billing Address
PlumbeY:
t3on I Meter Size iConnect
Meter No. 'Permit Fee 7.50 r)d.
Meter Reading IMeter Dep.
Meter Sealed; Yes_ IAdd'1 Chg.
NO i Total chg.
Inspected by
Date
Building is a: I Remarka:
Residence_j_
Multiple A'o. Units
Commercial
Industrial I gy;
Other Chief Inspector
In consideration of the isaue aM delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Fzgaa Township, Dakota County, Minneaota
By: ?.?
Please notify the above office when ready for inepection and connection.
?,??•??-?.;. ??,???r,t
-city of eagan
MEMO
TO: DIANE D01{VNS, UTiIfTY 8fLLfNG CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate eflective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lots 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, should not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 18
Block 9, Lots 1-11 11
TOTAL 141
The City is currerrtly being billed by Dakota Electric for streetlighting in the above listed
subdivision.
V?
Ed Kirscht t
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EK/je
f
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e ?
QI
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K i ?'RoPo?E?K i
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HoHE '
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CUSTON! O£S16NE0 Fo/?
Pl97 )qNd ED KlSSEL
18Y5 601-D 79RlL
E%GI9n] D MN
; SQUEST FOR EL?EC?TR?1 CA? INSPECT ? IONck ot veuow covv. ?I3CP fy
s? 68498 "X" Belnw Work Covered by 7his Request
A?1d fleD. Tvoe ol Building AppLantae Wrtatl Eqwumenc Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fiatures
Apt. BuilAing Dryer Electnc Heahn
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Contli[ioner Bulk Milk Tenk
Farm m" a.,i v em(,f (s,o,rvi
t er Suomfy Othor Oth(.,r
ompute lnspection Fee Be1aw
p Fee ServiceEntrence5ae b Fae Fexders/5ubiaxders N Fer. Cirewts
U to 200 Am s vD 0 ta 30 qm 5 0 In 30 An s
Above 200 qmps 31 to 100 qmps 31 to 100 qm s
Swmmiing Pool AGove 100-Amps Above 100-Am 5
Transiormers Irngation Booms 0 Partial. Other Fee
Signs SUeual Inspection
?
5
TOTA EE
AertNrks n a3.i ?
??.
c i ,.
Pough-m
? (rfJT'i
?/ p the Ele al
insoecto,. ne.env
rtHy that the aEOVe
Final /?] ( ??'? specLOn M1es been
ae.
minrequealvoiAlBmonthatrom '" ?
Thls request void ?
18 mon[hs trom
.D 68498 z8g
Owner
131-0 7
Electncal Conlractor
9;?6, 9?
h-in InsUecUan rn?.r
reA? ?Ready Nuw p..?ll Nolrty Inspec-
'us nNo tor When ReadY
1 hereby request ms0ecbon ol above
electncel wark installad at
Street Address. Box or Route No.
ie ys' e ? ?IQAi r City
4?^ &?f y
er,tron o. Tawnshio Nome or No. Hange No. Counlv
A
OcCUpant(PPINT)
kQ ??ssrL Phone No.
725
`POwer Suppber Adtlress
o
mpany Namel
Electncal Cmitractor IC Contmctor's Lwense No.
/
a
G??S?LUhY 104I?AC?I?-c C
/"Y Y (J 7z 2__
Ma?linB ?+dJress 1 on[rac?or or Owner Ma
ri lla
Instauonl
?
Z717 7-
Authonred S? . ure ( tractor/Ownm Mabng Installationl Phone Numbee
MINNESOTA STATE BOANO OF ELECTRICITV THIS INSPECTION NEQUEST WIIL NOT
Gri09s-Midway BItlH- - paom N•191 BE ACCEPTED BY THE STq7E BOAND
1821 Univera,tv Ave.. St. Pxul. MN 56106 UNLESS PHOPEH INSVECTION FEE IS
PhOne (612) 642-0800 ENCLOSED.
Th,, e? a o d
18 nwnths from
D 68499
y.,? i._?
-s?&/ -V
Aanoest L]ale Frte No. Re4uveA?ln.-Uer.lion I?,adY Nuw QWI II Nolitv Insuec'I
? 17 ?l ?e ?N' 1or When HeadY
r
'Ej-r_._?ensed Eleclncal Contnctor I hereby reVUest inspectmn ot above
electncel work mstalled eC
U Owner
?iiy
Street Address. Box or Foure No.
i?ys ?o r? 6,. R,
ecUan oTownship N2me nr No. R?^Be No. County
IPPINTI
Occuu.+??t Phone No.
?
672
Power SupVherAtldress
'
ny Namel
a
onhacmr IComo
lC
tnca s License No.
Camrar,tor
7
?
?
/
W?l?wn ?
ress ICon[ at
AtlJ
r
,7
a
Sigriaiueq.iContracloJOwnor MakinB tnstallallonl
Authorized
?y THIS INSPEGTION flEQUEST WILL NOT
MINNESOTA STATE BOAHD OFELECTNICITY
Griggs-Midwey Bidg. - Noom N-191
1821 Universitv Ave.. St. Paul, MN 55104
BE ACCEPTED BV THE STATE BOAAD
UNLESS PNOVER INSPECTION FEE IS
ENCLOSED.
Phone (612) 642-0800
REQUEST FOR ELECTRICAL INSPECTlON y /e7s-a/oo,oi-r
U/ , See inshucbons br compleling thia form on b»ck o( vellow co0v? P?
D 6 8 4 9 9 -x- BeloW Work Covered by 7hfs Request
I 4Ad 'NeO. Type of 8wld?ng AOOliancee Wved Eqmument WveA
Home Range Teinporary Service _
Duplex Water Heater LiyhUny Fixtures
I Aot. BuilAinq Drvp.r EleCtnC Heatino
? l,Omm2rC?a1 tlltly. hUmdCC aiiu unroauer
I I__;
y__}
I I I Industnal Blda. Au Conditmner Bulk Milk Tank
mm?u/a Imm?rtrnn
k Fee Se1viceEn[ranc05ize b Fee Fexders/5u1ofeeders N Fee Cucwts
0 to 200 Am ?s 0 to 30 Am s 0 ta 30 An s
A6ave 200 qmpy 31 to 100 Amps 37 to 100 Fa
Swimming Pool Above 10U_Amps Above 100_Amps
Transtormers Irrigation 8oorc-5 1 1 - Partial-'Other Fee
Signs SpeciallnSpecUOn ?
Hemarks _ $ TOTA EE?
lJ '
i ?napecei?a.xar
Instor, herebv
? ?mal /? nspectionM1as beene
'
G ?aa.
Use BLUE or BLACK Ink
r-----------------
I For Office Use I
City of Ea (fin ~ Permit#: I
Rd I '
I Permit Fee. 105"95
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: 0 6 f~
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: Phone: c, ` Z(z,
Resident/
Owner Address / City / Zip:
Applicant is: Owner A_ Contractor
Type of Work Description of work:'
Construction Cost:` Multi-Family Building: (Yes / No
Company: Crc-t,' C S ~ ru (_~►1l ey L(kLontact: 1tit I l C~.
Contractor Address: 61 City:
State: W k~ Zip: Phone: rjJ 2
License 12,E Lead Certificate W8T- 62
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
the information maybe 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 m t be completed within 180
days of permit issuance.
Applicant's Printed Na~1m~/e_ y App is is Signat re
6-c"4 in 4~ ~ S ,.L>,o c- Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA121494
Date Issued:04/04/2014
Permit Category:ePermit
Site Address: 1845 Gold Tr
Lot:11 Block: 4 Addition: Cedar Grove 6th
PID:10-16705-04-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Mary P Kissel
1845 Gold Tr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature