1508 McCarthy RdCASH RECEIPT
?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122
DATE
RECErvEo
19
AMOUNT $
& DOLLARS
106
E] CASH [I CHECK
FOR
?`• ,I B Y
\llr ,. - ,--.
, . "7';
NUMERICAL FILE COPY
CITY OF EAGAN
, . 3795 Pilof Kno6 Road Eagan, MN 55122 N? 4312
? PHONE: 454-8100
BUILtlING PERMIT Receipt .#
f o ba used for Date , 19
Site Address Erect ? Occupancy
Lot Block Sec/$ub. Alter ? Zoning -
Porcel # Repair ? Fire Zone
Enlarge ? Type of Const.
a
W Name -" t itt Move ? # Stories
; Address Demolish ? Front it.
0
City
_ Phone Grade ? Depth fr.
o Nome ^vv..,....,
?
?Q Address Assessment
'e
~ Cit Phone Water & Sew.
Police
uw ,,,w Name Fire
?-?? Address- Eng.
aW Ci Phone Planner
Counci I
I hereby ocknowledge thot I have read this opplicotion and stafe that gldg. Off.
the information is correct and ogree to comply with o!I applicable
State of Minnesota Statates and City of Eagon Ordinances. APC
Signature of Permittee
Fees
Permit .` "?• --
Surcharge 6"• `
Plan check
SAC
Woter Conn. ' -'
Water Meter
Total `'•'v
A Building Permit is issued to: -_'"- - on the express condition that
all work shall be done in occokdonce with all opplicoble State of Minn=sota Statutes and City of Eac-on Ordinances.
Building Officiol -_-
_ -i
Parsik # Dats lewed PWsNtw "
Plumbing 7_ i--7 -
Mechanicai
INSPECTIONS DATE INSP. Raglfln Finol
Footings X-1(-7 7 ' Data Inap. Date Imp.
Foundation Plumbing • yL-7
_Frame/ins. Z- -7f Mechanical
Final ? z6. 77
Remorks:
cirr oF EAGAN
? . . . 3795 Pilot Knob Rood
? Eagan, Minnasofa 55122
Phone: 454-6100
. PLiR1BI"•- _ PERMIT
Date: .'u1y dj3,
Site Address:
Timberline
Lot Block Sub/Sec.
c .. ?>
Name ,
.
Y
; Address
O
City -- Phone:
n Boutin Plum2.,i c:,-
Name
.
Rte. 1, P,ox C-12
P Address
e
0
V 7,c,i'r,tto 553r,7
City Phone:
This Permit is issued on the express condition ihat all work shall be
Minnesoto Stotutes and City of Eagan Ordinances.
?
No. -
ReceipT No.:
Single
Residential
Multi Res., Comm./Ind. I
New/Alter. / Repair
Cost of Installation -
?n.7i1
Permit Fee
. ?0
Surcharge
Total
done in accordance with all applicoble State of
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Raed
? Eugen, MinnamM 55132
' Phorte: 454-8100
PERMIT
No. , jc
Date: Receipt No.:
Site Address:
' I
Single
Residential
Lot Block ? $ub/$ec. [2-Old"49CJ l,?r 'vd.e Multi Res., Comm./Ind. I
Ncme ?:_._...... ._ „G:ii. ... .. Ci
ai r
New/Alter
/ Re
.
p
?
;
Address i?iU:: ..;:... ;:9:;:'.;
Cost of Instaflotion
O
Gity Phone: Permit Fee
` Name Surcharge ..
? maaress
e
0
U _ .. .
I City _ Phone: I Total
This Permit is issued on the express condition that oll work shall be done in accordarxe with oll applicable State of
Minnesoto Statutes and City of Eagan Ordinances.
Suilding Official
CITY OF EAGAN
3795 Pilot Kwob Road
Eogan, Mineosoto 35122
Phone: 45I-8100
_ PERMIT
Dote: "'-ary 19, 197f:
Site Address: _
0- ?mberl/ n e
Lot ? Block _L?4 Sub/Sec.
1 Name
.
?
Address 5n?s 1•'cCarthv I
City Phone:
Name =-].he7't: i - Culli<:'dn
Receipt No.:
Single
Residential
No
Multi Res., Comm./Ind. ?
, ;..
New /Alter. /Repair
Cost of Installation
Pertnit Fee
5.00
50
. ----- a- -
0
t
?2, Address '1 '?.'3rie F,v-,
c
0
U
City Phone: Total
T'his Permit is issued on the express condition ihot all work shall be done in accordance with all applitoble Stote of
Min?E
SOta Statutes and City of Eagan Ordirances.
?
?
Building Official
CITY OF EAGAN
Addition? ?Oslunc
Owner
ine
Lot 6 lk 4 Parcel 10 55300 060 04
McCarthv Rd. gtate Eagan, NIN 55121
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SUR F,
STREETRESTOR, pavin 1971 88.60 10 PAID
GRADING
SANSEW TRUNK . 1968 3.33 30 PAID
* SEWERLATERAL 170 $102.25 ZO PAID
* WATERMAIN 1970 ZO
WATEFi LATEFAL
WATEF AREA 1977 4160-00 10-66 15
* STORM SEW TfiK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, po
?UILDING PER.
SAC - -y7
PARK
cITr oF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eaaon, MN 55122 DATE:
Zoning: No. of Units:
Owner.
Address:
$ite Addresr
Plumber:
Meter No.: Connedion Charge:
Size: _ Account Deposit:
Reader No.: Permit Fee:
I agree to eomply with fhe City of Eagan Surcharge:
Ordinanees. Misc. Charges:
Total:
BY _ Dote Paid:
Date of Insp.: lnSO :
CITY OF EAGAN SEWER SERVICE PERMIT
3795 P'bf Knob Road PERMIT NO.:
Eaq?,, MN 55122 DATE:
Zoning: No. of Units:
Ownee -- - - ----
Address:
Site Address
Plumber:
1 agree to eomply with tfie City of Engan Connection Charge: _
Ordinances. Account Deposit:
Permit Fee:
Surcharge: -
BY Misa Charges:
Date of Insp.: - Total:
Insp.: Date Poid:
?
CITY OF EAGAN
3795 Pibf Knob Road Eagan, MN 55122 N2 4312
PHONE: 454-8 i 00
BUILDiNG PERMIT APPLICATION $539OOU Receipt # 5873
May 9, 19 77
To be used for R;ng_ Fnm f]ml?_ A Gnr? Date
Site Address 1508 MCI:Hr Ct1y EZd. Erect [k Occuponcy -??
Lot b Block 4 Sec/Sub. 08111i1d `PimiDetlinfAlter ? Zoning °L
Parcel $E'
x Name Charles ShustKe
z 3461 Rent
3 Address _
? - - --
o Name Sam G Sesgl
?? Address z512_.7?g1E+wood
?- r:.., Mols oti,,..a 922-6335
Name _
Address
I hereby acknowledge thot ! have read this application and state that
the information is correct and agree to comply with oll applicable
Stote of Minnesota Statutes and City of Eagan Ordinances.
Signature of
A Building Permit is issued to:
all work sholl be done iracco
Repair ? Fire Zone _
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 70 ft.
Grade ? Depth 38 ft.
Approvals Fees
Assessment Permit I45. UO
Water & Sew. -- Surcharge 26.50
Police Plan check
Fire SAC 475.00
Eng.
Plonner Water Conn. 230.00
Water Meter 60•00
Gounci I
-
Bldg. Off.
APC Toral 936.50
on the express condition that
Minnesota S#atutes and City of Eagan Ordinances.
?ing Official
This request void 18 months from 0-;,S9--3
' ?-:.•. _,
Date of this Request LU i a?? 7,7 P 2 9 0 3 4
I, as ff-icensed Elecetrical Co tractor 0 Owner, do reby equest ins n o'fthe abyve electri-
cal wiring installed at: (? ,? !1 ,??-u-? •??@'?'??-"°
Street Address or Route No. City???-°--
Section Township Range County ? l
Which is occupied by
Is a rougt?in inspection required on this job? No`B-- Yes ?
Power Supplier Address
.?
Electrical Contractor
J y(C;Ompany Name
Mailing Addresx? Ut ?
a ,, Eleetrical CQnt???
Authorized Signature
(Electrical Contrecto or ONwne Ma ng This
????? n(DA Q PY
Ready Now Ci- Will Call ?
's L' ense Isi3iG 7c Y%
Rlon) 7
No..???
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
''* -REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
p 29034
Type of Building New Add. Rep. Cheek Applian ces Wired Foc Check Equipment W'ved Foc
Home ? ? Range ? Tempotary Wiring ?
Duplex ? ? ? Wate: Heater 0 Lighting Fixtuces ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? HeiersI Rehers?
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fce Feedeis&Subfeeders: ,#' Fee C¢cuks: # Fee
0 to 100 Am s. 0 to 30 Am res ,% = a. 0 to 30 Am eres r_
101 to 200 Am s. 31 to 100 Am res " 'r '? _'.?^ 31 to 100 Am eres
Above 200_Amps. - (meyV Above 100 Above lOQ_Amps. /e
Transformers Remot ti Cir . Partial or other Fee
Signs Speci Fps cti . Minimum fee $5.00 ?
Remazks p
? `D '77 '
.s? v..K
k?OiVCFE_E
[, the Electrical InspeEtor, hereby certify that the above inspection has been?' ade.
(Rough-in) Date
(Finat) r Date
This request void 18 months from ° r ?
77?st void 18 months from 40',,4L i aa .3 ?
23325
Date of this Request ?'W ?? ? 1`?? .`?,e,yY?C•F?C
I, as CO Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on [his job? No
Power Supplier
Electrical Contractor ? ?i???a•
(Company N e)
Mailing Address tD??
(E1ectri tr
Range County
of Occupant)
Yes ? Ready Now C? Will Call ?
Contractor's License No. ?%0
-ka.?). 'Wk,
Th
?1.
Authorized Signature ' Phone No. "I J`"' 11
ctrical contrac or or O iAaking This Installation)
? i? (??;? GJ 5?? g? This inspection request will not be accepted 6y the
L! L Zino ? State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
1!?FA University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTtON " F '
CHECK BELOW WOAK COVERED BY THIS REQUEST 325
Type of Building New Add Rep, Check Appliances Wued For Check Equipment Wired For
Home ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heatez ? Lighting Fix tures ?
Apt. Bldg. ? ? ? Dryec Elect:ic Heating ?
Commercial Bldg. ? ? ? E'umace Silo Unloader ?
Industrial Bldg. ? 1:1 ? Au Conditi r 0- Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? 1 p
1 $e Hehers?
COMPUTE fNSPECTION FEE BELO
Se[vice EntianceSize: # Fee Feed '& Subfeeders: # Fee 11 Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am etes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amos.
TOTAL F(ESQc)
I, the Electrical Inspector, hereby certify that the above inspection has been
(Rough-in) Date
(Final)
7'his request void 1
months from
1 ? 1 I?a1i' 1 1 1 1
Ct7Y QF 1-;1f;AN
CAtiiH:f.Ef1N JS Y'rPiMTN(1l... N(]e `?t.!]
DFiTEe 0806/99 7':tM}-g ti'WW•
IS:! :
I!AMf:"o t'AL1FMAN ilHr:E_r rETAi._ 4, Ror.?r-:r.Nc
3210 90(:)1 1308 MC:CAfil'HY IY: 111.25
205 9001 15043 MC:C(tR'rl IY F'. , 2.50
;1
'roh,a7. PieceiErl: Air,,:aun•F,n 111.75
005479
USI=:P: :LDc ;IAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3? a Q ? 3830 PILOT KNOB RD - 55122 ? 1 ??•
? 651-687-4675 g l 3 (? ?
I !
New Conshuctton Reaulrements Remodei/Reoalr ReauiremeMs
? 3 registered sMe aurveys ahowing sq. H. oi lot, sq. ff. of house
ond all roofed areas l2076 maxlmum lot eoveraae allowed)
D 2 copies of ptans (ahow beam 3 window sixea; poured ind. design; efc.)
D 1 set of energy calculations
? 3 copies of iree preservaHon plan B lot plaMed affer 7/1/93
DATE: S I la l1 c?
DESCRIPTION OF WORK:
STREET ADDRESS:
2 copies of pian
1 sef of energy calculations for heated addMions
1 sMe survey tor exfedor addftions 3 decks
CONSTRUCTION COST:
LOT: (c BLOCK: L-d SUBD./P.I.D. #: 0SI lJA &,11 --r i Mb `e, r ? ? Y1 -R?
Name: 'R4-'e'r5oyl
PROPERTY Last
owNeR I Jc ? 4
Street Address: ?
Debbic
Fhsf
') c, G "
Phone #: ? S I' f S? - I/ lo ?
Ciiy State:
?m IV
zIp: 55 I a i
Company: Phone #: c ?a a-c 'i
(area code)
CONTRACTOR Street Address: ??J? 1 ? "v license # J? Exp.
City u'` p l 5. State: rY1 'v Zip:
ARCHITECT/
ENGINEER Company;
Y:.:eFho:se Y: a:ea ccde ( :
Name:
Street Address: Regishation #:
Cffy
Sewer L water Iicensed plumber (reautred tor new conshuetion onlv):
State:
P4nalty applies when address change and lot change Is requested once permit is tuued.
Zip:
I hereby acknowledge that 1 hwe read this application, stale thaF the tMormaHon is correct, and agree to comply wNh all applicabl
Stafe of Mtnnesota Statutes and Cffy of Eogan Ordlnances. n; I _ I/ , A0-,1
Signature of AppllcaM:
Certficates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
?
AI,IG I 3
' ' __... . ..
1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Porch (screened)
O 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level 0 24 Storm Damage
? 05 3-plex ? 10 8-plex O 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 Dsmolish (Interior) ? 42 Remof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Census Code
5AC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC :.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/V1f Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies T
Total:
Valuation: $
?
i
SAC Units
% SAC
BUILDIc3G PERPqIT PrPL•ICATTON
LOT BLOCK ?4 AJDT TIOA
?. ?
PrlRCEL & SECTIOrd TdtTI43ER IF Ui3PLATTED
JiDD?iESS OF PARCEL
ZfSd3IcfG ',
L5I`L4AiED CQSi
pc•7;tF'sR ?` ?
AIDllFcFSS 7' 6
COiS`t P..ACTOR
AIJJa2E5S 217
'tlote -
USE
Include si.te
epglication
DFT'TCE U5E
TELEPHOA]E N0. ?? 0611 ?
? ? Z ft-43
enexgy calculations
VF3?M-1s'IO??
sAc 1175 . ? /2
1'is1111"M COiTi*ECTM7
ri.'1TEk !>YETER
?D
AUILDIPIG PF,Ft[3IT FE8 -
d
sJRcHAzrcr rEE
FI.h.i Ci.PCR FNE
PAftK DEDICAT2O'sd FEE
bT,' yIt
TOTAL*
P.PPP.OVALLS: 7;
ASSEaS;?lE?]T CLEP.K?.BUILBIN6 DEPT. P07GICE DEPT.
?'SATER & SEF?TER DEPT. EIZL DL+'PT. PF1.'2K DEPT.
Sianed
0 Zc.)
• ! ? r; ,
EG
---
ANq ?? ELD& NOWAK !
=
7415 WAYZATA BIVR
? j ! Q
?
?
CERTIFlCATE OF SURVEY
For Charles Shuater
g7.2 ?
R?A
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90.1 ? f,S DO ? o
/W ? Ss 0 0
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1F?N ' - 98.0
It
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Q? g?5
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0
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°
SCALE:1'T-40'
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DESCRIPTION: Lot 6, Block 4, OSLUND TIMBERLIIJE ADDITION
We h2reby certify thal 4his is a true artd correct representation of e sUrvey of
the boundaries of the land above described and of the location of alf building!4
!if any, thereon, end aiI visibie encraachments, if any, from or on said land.
?
pa ted th i s 6th day of April 1977
, EGAN, F I ELD d N41YAK,1t!G
J?i7r v e y o r s /? ^y
F i I P ?10„ Dak 124 Book Na _ 2f1a?_T7 bY ?1..,€ ja..a ,}-,? ?( ?.1 !
?- _
MINNFAPOLlS, MIMf1ESOTA
.'
'' ..
?
\ 5g?/
`? ?`
R P
Use BLUE or BLACK Ink
For Office Use
41011 of Eaali
Permit#: (--/
City Permit Fee: i O,,-- --1-
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
buildinginspectionscitvofeagan.com Staff:
L J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
h
Date: i2 6 ii 1— Site Address: \SCS tom--C-4'0CA-t^-k 2b c3,,141)MAI - 5-1 L f Unit#:
Name: B i T 'rr✓l5 0 ld Phone: Gi 51-•ZS ci;SS'
Resident/
Owner Address/City/Zip: /5-0g ine 677 / /.7 /4{44.1/ fii-ti _7)7.57Z
Applicant is: Owner ' 'Contractor
Type of Work Description of work: c�c�. Ai(.. 5 1�vb � , v e vtS} ,2 .__.„Fc„4 Ski/ 4 -.-i.
t' 1�
Construction Cost. [I-15 Multi-Family Building:(Yes /No )
Company: S a1i>t-IL e34.(01..-5 t 5-Pj1 Ur-C.-LS Contact: \ 4Lip
5,74
Contractor
Address: 3 WS--- cA, �_ cit City: .,r _.
State:110Zip: 6-Sit t Phone:(2-7C0-.Y?mail:/74942514 rff-'cl-Cc4451. (titvi
License#: pVkN It-Tiz t Lead Certificate#: #�-yi 'i2.—7—
If
7If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeagan.com/subscribe.
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.
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.gooherstateonecall.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 w k i not to start without a permit; that the work will be in
actor ante with the ap d plan in the case of work which requires a review and approv of ans.
x A.As?A t ,S\ x
Applicant's Printed Name Ap ca is Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158952
Date Issued:11/12/2019
Permit Category:ePermit
Site Address: 1508 Mccarthy Rd
Lot:6 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Steven J Peterson
1508 Mccarthy Rd
Eagan MN 55121
(651) 428-4596
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177750
Date Issued:07/18/2022
Permit Category:ePermit
Site Address: 1508 Mccarthy Rd
Lot:6 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-060
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Steven J & Deborah A Peterson
1508 Mccarthy Rd
Saint Paul MN 55121--190
Beckendorf Plumbing Llc
9466 Birch Lane
Lakeville MN 55044
(952) 994-2202
Applicant/Permitee: Signature Issued By: Signature