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1538 McCarthy RdCASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVEO FitOM AMOUNT $ I OOLLARS 1 oo E]CASH ? CHECK FOR BY L ? NUMERICAL FILE COPY cirir oF ?A"N C ?g 7795 HIoF Knob Raed Eagan, MN 55142 ? O1J J PHONE: 454-8100 .DING PERMIT Reteipf # Site AWdreu 1 S0R MrCarrhlz Rnad Lot 11 Biock 4 See/SubOslund Timberline Parcel # 13 55300 110 04 W IN.m. Fred & Irene Ferrie ; Address 1638 ifcCarthv Road b o IName Owner ? Address ? ?:... e?--- I hereby acknowledge that I have read this applicotion and stote that ihe intormotion is torrect and ogree to tomply with all npplicable State of Minnewtq Statutes ond City of Eagan Ordinonces. A-d Slpnaturc of PermitteE ?--' `-?- _--z= T'r d & Irene -17erris A Building Permit Is issued to: oll work shall be done in accardance with ell opplicable Stme of Mir Buildin9 OfNciol Ered Cl OccupancY Q-3 m.,1-_ Alter 0 Zoning R-1 Repoir ? Fire Zone VA Enlarge ? Type of Const. Vn Move ? # Stories Demolish ? Length 4 Grade ? Depth_l4-Sq. Ft.- Approvala Fees Assessment Water & Sew. Police Fira Eng. Planner Councl I Bidg. Off. APC Permit 3ti _ 50 Surcherpa 1.50 Pian check SAC Woter Conn. Water Meter Road Unit Totol $40 nf)_ _ on tM exprcss condition thnt City of Eagan Ordirwnces. I Jf 3g /uc G i94,77i/2 2 44/7' ,# / 37 G9v EXHAUST SYSTEMS. / KN4"S7 j` a4l467x Mae 340 fiat %/rcc r t/Vi.4!/% / PA/Pik Cs MO 7r4r tG 'ar, 11'x ,lit PIZ,;f1+ rgs. /fl ie r.44 -C.,: @,17,e- • TABLE 501.4.3(2) PROCEDURE TO DETERMINE MAKEUP AIR QUANTITY FOR EXHAUST APPLIANCES Mt _ (Refer tolt€ fl 5'fit Section 501.4.3 to determine applksabl{ity of thie`.ieble A... se this column if there are other than fan -assisted or atmospherically vented gas or oil appliances or if thera.are no combustion appliances. B; Use this column If there is one fan -assisted appliance per venting: system. Other than atmospherically vented -appliance., may also be included: C. Use thiscolumn.if theta is one atmospherically vented (other than fan -assisted) gas or.oil appliance per venting system or one solid fuel appliance. D..Use this column if there ate multiple atmospherically vented gas or oil appliances. using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances, - E. As an alternative, the Estimated liouse.lnfiltration:may be calculated by performing a blowerdoor..test and multiplying the conversion factor by .the CFM50 value. 40 2015 MINNESOTA MECHANICAL CODE ONE OH MULTIPLE POWER VENT OR DIRECT VENT • APPLIANCES OR NO COMBUSTION APPLIANCES." ONE OR MULTIPLE FAN. ASSISTED APPLIANCES AND POWER VENT OR DIRECT'VENTAPPLIANcESB .. ONE ATMOSPHERICALLY VENTED RAS OR Olt. APPLIANCE OR ONE SOLID FUEL APPLIANCE° MULTIPLE APPLIANCES THAT ARE ATMOSPHERICALLY VENTED GABOR OIL APPLIANCES 013 SOLID FUEL APPLIANCES° 1.Ilse-the. ppropriate'column to estitinate house infiltration a) pressure factor ' (cfsn/sf) 0.25 0:15 0.10 0.05 b) conditioned t floor area (sf) 3, 090 0 - - - (including unfuushed basements) Estimated House�f c""' Infiltration (cfm):" [la* 1b] 1 • ✓ — — — or Alternative calculation (by•usingblowet ' door test)e ... c) conversion factor 0.75 .0.45 0.30 0.15 d) CFM50 value . (from blower door test) — — — Estimated Flouse Infiltration —. — — — (cfm):[lc x.I.d] 2,Exhaust Capacity 80% of exhaust- rating = exhaust capacity (cfm): ,,3' — -_ — (not applicable if recirculating system Or if powered _makeup air is electrically interlocked and matched to exhaust) 3. Makeup air requirement a) Exhaust capacity (from above) ✓ — '— - b) Estimated House • �� Infiltration (from above) — — — Makeup air quality (cfm): [3a - 3b) —91Z. 9 6 t — _ — 'fvalue is negative, no makeup air is needed) 4. Por makeup air opening sizing, refer to Table 501.4.2 A... se this column if there are other than fan -assisted or atmospherically vented gas or oil appliances or if thera.are no combustion appliances. B; Use this column If there is one fan -assisted appliance per venting: system. Other than atmospherically vented -appliance., may also be included: C. Use thiscolumn.if theta is one atmospherically vented (other than fan -assisted) gas or.oil appliance per venting system or one solid fuel appliance. D..Use this column if there ate multiple atmospherically vented gas or oil appliances. using a common vent or if there are atmospherically vented gas or oil appliances and solid fuel appliances, - E. As an alternative, the Estimated liouse.lnfiltration:may be calculated by performing a blowerdoor..test and multiplying the conversion factor by .the CFM50 value. 40 2015 MINNESOTA MECHANICAL CODE Parmit No. Permit Ho1tMr Miae. Permit No. Holder Plumbing H.V.A.C. ? Well Watar Disp. Sewer Eketric Inspection Date Insp. Other Footings _2 • Foundation Framinp 8 4 ? Rouph Plbp. Rough HVAC Inmlation - - Final Plbp. Final HVAC Final s Watar Daacribe Location: YVell _ Sawer Pr. Dup. ? CITY OF EAGAN ., ' 3795 Pilot Knob Raed Eagan. Minnesota 55122 Phene: 454-8100 , .. _. " - PERMIT No. 1?'-7.`! Dote: :jJ ? .` Receipt No.: Single I Site Address: Residential Lot ? BI«k Sub/Sec. _ . ` ? . Multi Res., Comm./Ind. Name New/Alter./Repoir ' '``4' 71 1I7ts, . -. ., . ; Address O Cost of Installation GtY . Phone: , Pertnk Fee 5egw-ici: iipoc.'- ,._ Nome . Surtharge t Address e 0 CitY Phone: Total . _ • . This Permit i s issued on the expreu condition thot oll work shall be done in occordance with all applicable State of Minnewta Statutes and City of Eagan Ordirances. Building Official + . .. CITY OF EAGAN ?.J . 9795 Pilot Knob Road Eagan, Minnesoh 55122 Pharo: 454-8100 PLUMBIIVG _ pERMIT Date: 1/7/78 Site Address: Lot J 1538 McCarthy Rd. Blxk 4 Sub/Sec. Timberline Steve Holton Name 14471 117 t-:: ?,t. ?. Address ? i:astiny:, City Phone: Richfield Ylumbing Name . ? t Address .?JS T.. 77t St. e 0 V City Phone: This Permit is issued on the express condition that all work shall be Minnesota $tatutes and City of Eagan Ordinances. No. 1156. Receipt No.: 10701 Single Residential Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation 20.OU Permit Fee .50 Surcharge Total done in accordance with oll opplicable State of Building Officiol PLUMBING PER CITY OF EAGI CONTRACT ' 3830 PILOT KNOB ROAD, EA PRICE PFIONE a5411.91 T For C PERMIT # _ ?N, MN 55122 RECEIPT# I -a f Lot m ? N C c AddreSS AS 2 8 }7 2 r ? Cays?.?..? FEES COMM./IND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO- RES. RATE APLLIES MINIM ; RESIDENTIAL FEE $12.00 INIM M - COMM.IND./FEE $20.00 ? S AT SU CHA PER PERMIT 50 ( D.50 ?/C P EACH $1, OF pERMIT FEE) ! SI i Res. New ? Mult. Addon Comm. Repair ? Other ; ?. ? ?t- RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO; FIXTURES TOTAL _ Water Closet - $3.00 $ 3 Bath Tubs -;3.00 _ Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaUBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpod - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) - Sottener - $5.00 _ Weil - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: 1: GI 1 Y UrtA(iAN GRAND TOTAI AN CITY OF EAGAN 3795 Pilor Knob Rood Eogon, MinnesMa 55122 Pbone: 454-8100 PERMIT Dcre: ? 1-1?_7g Site Address: l.ot Block Sub/Sec. Name "anuel Lydal1 . 1.530 ?4'?=.r'fihV ? Address ? City Phone: Name <'crriers Soft 4•;a*.c-1 41-10. p. L e°'11 Ca11f0'I'[11.a '?3'. ,,;... Address e O r.,. V ? :.. . . ??. .;.?.' ,?.1 ... City Phone: This Permit is issued on the express condition thot all work shall be Minnesota Statutes and City of Eagan Ordinances. No. 252 Receipt No.: ; 2693 Single Residentiol Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installotion Permit Fee ?.fl Surcharge Tota I done in occordance with oll applicable State of Building Official ' CITY OF EAGAN Remarks Addition Oslund Timberline Lot 11 Blk 4 Parcel ownerrvf l `lV( ti cfi V L; st,eet 1538 McCarthy Road State Eagan, NIN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOii. GRADING SAN SEW TRUNK Lib 1968 $100. 00 $3.33 30 60.04 A007170 12-7-78 SEWERLATERAL , WATERMAIN WATER LATERAL WATER AREA - STORM SEW TRK * STORMSEWLAT 1970 ZO CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Char e 75.00 9971 5-15-78 wnreR corurv. imberline reement BUILDING PER. SAC - - PARK rY OF EAOAN d795 Pilot Knob Roai Eagon, MN 55122 Zaning: Owner. Address: Site Address: Plumber. _ I agree !o complr witb the Citr of Eagan Ordinances. BY - Date of Insp.: _ Connedion CharS Account Deposit: Permit Fee: _ Surcharge: - Misc. Chorges: _ Total: Dote Paid: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connedion Charge: _ Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total: Dote Paid: - ? ?Ty pg ??7 Include ? sets of plans, 1? + 1 site plan w/elevations & 1;? 6?s?' l?0. ? ` /?,?yo1lT? BUILDIIJG PEE&IIT APPLICATION ? 1 set of energy calculations. Be Used Fbr aluation Date sit.e Aaaress I5-:36 MCQ414I NY te66D OFFICE USE ONLY r.ot ll $locx 4_ sec.ysub. B-s-lux. k 7--i7t4?-'<<F.?xect pccupa??cy Parcel #: ? D 5 S? o O i(c) U`i Alter zoning , Repair Fire Zane owner: FIZED F I I?N C. FE?.1-S E?large-? 7.ype of Const. ?. Address: i5'_ M ?i4Q TNY 1Z014.C) MO? # stories ??? D? nolish Front ft. Cii-v/Zlp Grade Depth _ ft. Phone #: ccMEN? Contra Address: City/Zip Phore # : Arcti./Eng • : NDNt= Address: City/Zip Code: Phone #: p,ppgpVALS rr? v Assessments Pexmit ?dater/SEwer Surchan3e Police Plan Check. Fire SAC ? gng, Water Conn. Planner W r Meter Council ad Unit Bldg. Off. - - APC - TO'rAL ? CITY OF EAGAN 9795 Pllot Knob Road Eagan, MN 53122 No 4794 PNONE: 454-8100 BUILDING PERMIT APPLICATION $58,000 ReceiPt #k - 9977 Te 6e used for SF Dw1g cC Garg.Est_ Volue • DateMay 15t 1978 Site Address 153$ McCatthy Rd. Lot 11 • Block4- Sec/Sub. Timharl ina Porcel # cc Nume Steven Bolton ? Address I 4471 1 1 7 th S t S? 0 Ci Hastinpas Phone 437-2721 p Name S.amP Erect ?X Occupancy Alter ? Zoning - - Repoir ? Fire Zone Enlarge ? Type of Const. Move ? # ' 5tories Demolish p Front $0 ft. 28 Grade ? Depth ft. Approvata Fees ?? Address Assessment_ Water & Sew. Ci Phone ?? Police Nome Fi FW re Address Eng aW Ci Phone . Planner - Council _ I hereby ocknowledge that I have read this application and state thot gldg. Off. _ the information is correct and agree to compiy with ell appli able State of Minnesota Statu s c?City 'f Eogan Ordinance APC L '-` Signoture of Permittee - Permit 1 52 Surcharge 29 (3(1 Plan cheS00. SAC Water Conn. Water Meter60 QQ Road ttn;t 75.00 Total S 7 6_ 50 A Building Permit is issued to: Stpven RAlton on the express candition that oll work sholl be done in acrnj a%nce? ith I plicable State of Minnesota Stotutes and City of Eagan Ordinances. Building Offitial ?d.?{;'?e CITY OF EAGAN N° 815 9 3795 Pilot Knob Rood Eagan, MN 53132 ? PHONE: 454.8100 /f BUILDING PERMIT ? To 6e uted /er GARAGE ADDITION ? Site Address 1538 McCarthv Road Lot 11 Block 4 Sec/SubOslund Timberline p,?l # 10 55300 110 04 or Nome Fred & Irene Ferris W 1438 McCarth}' Road ; ., Address . _ o .,.. , _.. _,,,._ o Nome Owner ? Address ~ Cft Phone ? W 1W Name ? _? Address I hereby acknowledge thot I have read this application and stote that the inlormofion is correct ond ogree to comply with all applicoble Stote of Minneso tu and Eagan Daiinpnces. . Sipnature of Permitt Fred & Irene erris A Building Permit Is issued to: oll work sholl be done in accordance with all apaN?able Stote.ofin Receipt # 'J Date .Tnne 16 . 1983 Erect Occupancy R-3 M-1 Aiter (] Zoning R-1 Repair ? Fire Zone NA Enlorge C] Type of Const. Vn Move ? # Stories Demolish ? Length 24 Grade ? Depth 14 Sq. Ft.- Approvals Fees Assessment - Water & Sew. Polite Fire Eng. Pianner _ Council - Bidg. Off. _ APC Permit JO.JV surcharga 1.50 Plon check SAC Water Conn. Water Meter Road Unit T,tQi $4n _ nn on the express wndition thnt and Ciy of Eagan Ordinances. Building Official PEFdnIT CARD MISPLACED . « " i CITY OF EAGAN ' 3795 Pilot Knob Rood Eogan, MN 33732 N2 4794 Firidl Plbg• 11/30/78 PHONEs 454-8100 BUILDING PE IT APPLICATION $58,000 Receipt #_-.-.- 9971 Te be usod0for SF Dwl g S Garg. Est Value • Date May 15 ?__ 19 78 Site Address 1538 McCatthy Rd. Lot 11 Block _4 Sec/Sub. Ti mh arl i na Porcef # Steven 8olton ? qddym 1 4471 1 1 7 t h S t T_ 0 .... u-*4? L37_9791 Erect QX L Occupancy Alter ? Zonin9 Repair Q Fire Zax Enlarga ? Type of Const. Move ? # Srories Demolish ? Front 80 ft. 28 Grade ? Depth h. Approvulf Fees OC N 0 Z' ome Asseument _ Permit 1 52T.50 o U? Address - ' Water & Sew. Surcharge ?Q 00 F' Ci Phone P li Plan che k o ce WW Name Fire SAC. F- ?? Address Eng. Water Conn. -- <W Ci phone Plenner Water MeMr 60,$( Council Road LTni t 75 OC I hereby ackmwledge that I have read this application and state that Bldg. Off. the informction is correct and agree to comply with all applisable APC TOYe1 A1 6_ 5n City f Eagan Ordinonces, State of Minnesota Statutes ?^ ? Signcture of Pem+ittee - - . A Building Permit (s issued to. Steven Eo1 on 6n the ezpress condition that oll work sholl be done in accor nce with 61 ppliwble State of Minnewta Stctutes and Ciry of Eagon Ordinances. _ ' 't ? l Offi i ildi B ? o n9 c u Z- ? . ? This request void 18 months from /40 'F-ov -7 % ? P 98893 Date of Request ? I, as Licensed Elect ' Contta or ? Owner, do hereby request inspection of the above electri- cal winng mstalled at: Street Address or Route No. Section Township Which is occupied by Is a roughin inspection required on this job? Power Supplier_ Electricai Contractor Mailing Address ? Authorized Signatun HIM , 5^rcfcak This inspection request will not be accepted by the State Board unless proper inspection fee is endosed. (Electrlcal Contractor or Owner ? CLUB ???? mmnesota 5tate tioara ot tiectncity ?8 1954 Universijy 61ve:-St. Paul, Minn. 55104-Phone 645-7703 l ?,_-.REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REOUEST P q R?q.,A Type of 8uilding Ne Add. Rep. Check Appliances Wired Foc Check Equipment Wited For Home ? ? Range ? Temporary W'ving ? Duplex ? ? Watcr Heater ? Lighting Fixtures ? Apt. Bidg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Si1o Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List List Other ? Qthers? ne:e Others? Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersBcSub[eedeis: # Fee Circuits: # Fce 0 to 100 Am s. 0 to 3 ere 0 to 30 Am eces 101 to 200 Amps. S 31 to 1 e d D 31 to 100 Am eres Above 200 Amps. Above Vf-" A I" Above 100 Amps. Transformers Remote ,ontr Circ. Partial or othec fee Signs Special lns ection Minimum fee $5.00 ,1 Q Remazks ?7 '-p / r dpsl TOTAL FEE ? 1, the Electrical lnspector, hereby c6AWhaOlf e' suacsfion has beer?m? Z p, 6 (Rough-in) d . ?J Date y (Final) Date /!J - 2 3- 7_ This request void 18 months from ADDRESS-?? OCCUPANT_ HEAT LOSS_ TYPE OF HEAY ,/"?- SOLD BY Electrical Work By INSTALLED BY .w` - -S Gas Line By t,? 0 GA_ FAJCflW-STEAM SPACE HTR. UNIT HTR._OTHER_ GAS DESIGN CONVERSION MAKE Model- "/ `7 Serial f INPUT CONTROLS ? THERMOSTAT Valve 15 Heat Plug ?f Limit ? Limit Setting ? Fan Setting Pilot Type 7; l2eY' -,Ini7 CJ(,C y'/E Pilot Make Pilot Model Pilot Timing L.W. Cut Off Pressure ? Percent CO ? Input CFH Z Percent OZ Stack Temp. Percent CO ? MAKEOFBURNER_ Model - Max. BTU Rating - MAKE OF FURNACE Model Vent Size 7~ 0 KIND OF LINER • SIZE NONE Draft Hood ° G Regulator Filters Size Number,J Chimney Location Inside Outside Chimney Construction Smoke Bom6 Wiring ? Draft e!V-AC Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester Form 235 GEO. SEDGWICK HTG. & AIR COND. CO. 90 HOUSE HEATING TEST RECORD CITY USE ONLY LOT BL RECEIPT U ?- SUBD. ?S ??l V?._? \ I WLV???t_,v??-- RECEIPT DATE: MECHANICAL PERMIT # ?? q It 3 1999M£C?ANICA1? ?ERMi°C (RESIDE1V'I'IA1.) crrY of EAsnN 3850 PILOT KNO$ ftD E14FtkN bllv 55122 (651) 6$1-4675 Date: ? 't?-. lb Complete this section oniv if you are installing HVAC in a single family dwelling, townhome ar condo under construction and not owner /occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 State Surcharge .50 Tota1 $ Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration ?-/Repair _ Other Reminder: Ca11681-4675 for inspections. ? Furnace ? ?i: eir"}+onarta-r _ - V Air conditioning v?iia?,.' $ 30.00 State Surcharge .50 Minimuxn Total Due $ 30.50 SITE ADDRESS: OWNER NAME: 1A1fQ.1 PHONE #: ( INSTALLER NAME; T. Y ?&r 1?K-SG? ?A CO?)? PHONE #: G?,J STREET ADDRESS: (AREA CODE) CIT1': STATE: ZIP: /1???? SIGNATURE OF PERMITTJ CITY USE ONLY L BL SUBD. APPROVED BY: , INSPECTOR Please complete for: all commercial/industrial buildings multi-family buiidings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 M£Ciil4NICAL PEftMIT (COMMEKCIAL) CITY aF EA6AN 3$30 PILOT KNU$ RD EAfiA1Y, MN 55122 (651) 681-4675 NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of conuact price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 i,ONiR.4CT FRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL ------------------------------- SITE ADDRESS: ($.50 per $1,000 of pCriIllt fee due on all permits.) OWNER NAME: TENANT NAIVIE (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CIT'Y: PHONE #: - (AREA CODE) STATE: PHONE #: - (AREA CODE) ZIP: SIGNATLTRE OF PEAMITTEE . File"ko. 10136 Lot 11, Block 4, Oslund Timberline Addition Property Address: 1538 McCarthy Road, Eagan, Minnesota 55123. ?c, , i ? \ \ ? . x Exhibit A ? ? ? /? s1-- . q / .S . C?! /N ?? r J "The plat above shown indicates correctly the size and location of the buildings on premises herein insured; also the improvements now located on premises in question are entirely within the lot lines, and ihe improvements on a3jciring Dremises do not encroach on the premises herein insured." ? ? ?? -? nAn r" BUILDIYdG PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy aalcuZations. (37d&*?rj '"' To be used for Site Address: Lot Valuation 'j ! ? . Block ? See. Sub.. ' Parcel Number /! p Owner t??----- Address f o-??-?? .4vE Contractor 0;'? ? ?/??? Address ( y?j/??`4 . ?` Arch./Enq. Address Erect Alter P.epair Enlarge Nove Demolish Grade OFFICE USE I3ate of Approval & Initial Assessment tFiater/Sewer Police Fire $ng. Plantier Council Bldg. Off. A.P.C. _?-.- ? ._?-----°- Telephone Telephone .2-1 Telephone OFFICE USE Occupzncy Zoning ~ Fire Zone 13 Type of Const. # of Stories Front ro Depth 4PT _ FEES ? fs? Permit ----_ ? ?-?,-?- Surchar9e pi.an Check SAC rp7ater Conn tqater Meter ?O . TOTAI, ' s--J ? T1mbeYlfxle C.oTpm M Li.. ? . ? . ? ? s ? ? - ? i 7 ? ? ?j 4i W ? ? Ox.1Q858-C 18f-)3 S ?'' ? • : 1- YC 1? ? A ? ? ly f I ?• i ? ?- ----- . ? 1!ilRGfY CQRT2FY T}iAT TN6 Ao0Y6 IY A TRU[ AND OORRlCT PLAT OF A SURV[Y OF F. C. JACKSON uwD suRVEroR 727-3484 RtG1>TERED UNDBR LAWf Or BTATC O? MINN[SOTA UGtN![D tY QftDINANC[ OP CITY OF MINti[APOLIB 3e16 ewsr aaTM STREET 55417 ? ibucbepor'g QCertifitate /.rd, of Lat i1,Block 4.0slund Timberline Addition, Dskota Csunty,Hinneaats. A! 9UAY[YED /Y M! 7H18?_1&t'__DAY OF-A.O. 1978 F. C. JACK30N. MiNN? Ri6isrw.rtON, No. 3000 ? ? ? 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ?----------------- ? Fo[<Office Use I j Permil#: ? Permit Fee: ? Date Received: ? j I ? ? I i Statt: J ---------------- 1... 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Clty of EaV? Date Tenant: Suite #: RESIDENT 1 OWNER Name: P ne: Address I Ciry / Zip: 1L?_3 G? Applicant is: Owner ? Contractor TYPE OF WORK Description of work: LZZ Construction CosY. Multi-Family Building: (Yes _ 1 No )L-) ? ?d-O ?3? t i? ? CONTRACTOR License #: D?d . a Name: Address: : <'<-o01 : v??Zi St t Ci p a e ty: tP Ph 0 C t erson: one: on ac COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 SubmiSSiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a peRnit 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 Cuntractor: Phone: NOTE: Plans and supporting documenis: that you su6mit are considered `to be public information. Portions'o/ ` the information may,6e classified as non-public if you provitle specific reasons that would permit the Cify to; conclude ihat the are trade secrets. ' I hereby acknowledge that this iniormation is complete and accurale; ihat the work will be in conformance with ihe ordinances and codes of the City of Eagan; that I understand [his is not a permit, but only an application for a permit, and work is not lo start without a permit; ihat the work will be in accordance with the approved plan in the case of work which requires a review and a ov lans. <? Y^?'v x Applicant s Printed Name Applican 's ignature Page 1 of 3 SileAddress: ??3? "?" C' 4 SUB TYPES DO NOT WRITE BELOW THIS LINE ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 07 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Exi. Alt. - SF ? 02-Plex ? OS-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage DESCRIPTION: ' Demoli[ion (entire building) - give PCA handout to applicant Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%? Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Lengih Fire Sprinkiers Type of Consi. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test _Final Insulation Reviewed By: ------------------------------°-°--- RESIDENT/AL FEES: Base Fee Surcharge Plan Review MC/ES SAC City 5AC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock FinallC.O. Final/No C.O. HVAC Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall . Building Inspectar ---------------------------------------- Page 2 of 3 90 ? /`9 2007RESIDENTIAI., BITILDING PExMiT aPPi..icaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction ReQUiremenfs 3 registered site surveys showing sq. ft. of lot, sq. ft. of hause; and all roofed areas (20%mxcimum lot coverage allowed) 1 Soils Repod if proposed huiiding is to be placed on disNrhed sail 2 copies of plan showing Ceam & window sizes; poured faund design, etc. 1 set of Energy Calcuia6ons 3 copies of Tree Preserva6on Plan if IW platted after 711/93 Rim Joist Dehail Options selection sheel (6uil(fings with 3 or less units) Minneguco mechaniral venfilafion form n 96. Z) 0 deURepair Reauirements lv Office Use Onlv ies of plan showing foofings, beams, joists Cert of Survey Recd _ Y _ N 1 set of Energy Calcula6ons for heated additions Soils Repod _ Y _ N 1 site survey far addi6ons & decks Tree Pres Plan Recd _ Y _ N. Addi6on-indicateifoo-sitesepticsysfem Tree Pres Required _Y _N On-sifeSepOcSyslem "_Y' _N :.Jnr.,.! r,.hlin infnrm?4inn iinIoCC Vllll CI'AtP t}lPV 21'L tCHde SBCCet aCld the reaSOCi r11011.7 QIG .... V. . . Date I7- C nstruction Cost -- Site Address UniUSte # Descri tion of Work 14o p Multi-Family Bldg _ Y_ N Firep?ace(s) _ 0 2 O Telephone # (6j 1) ?'O1 -" ??Lz 41 Property wner t t C lrl? or on rac - Cit ' " ' Address 7 , / : Tetephone # (6(v Zi State /? Yv p COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 _ Minnesota Rules 7672 Energy Code Cdtegory • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission rype) Su6mitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( T hereby appky 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 )1lann the case of work which requires a review and approval of plans. r Applicant's Printed Name ApplicanYs Signature ? DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bidg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex Q 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/gazebolpergola ) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demofish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - G ive PCA handout to applicant D05CfIptiOn: Water Damage _ Yes Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units 5q. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Canst Width Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing i _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS _ Sheetrock _ FinaUC.O. FinallNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco Lath _ Stone Lath _Brick _ Windows Retaining Wall . Approved By: , Building Inspector Base Fee Surcharge Pian Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant • License Search Copies Other Total ?- PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA079142 Eagan, MN 55122 . Date Issued: 08/03/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1538 Mccarthy Rd Lot: 11 Block: 4 Addition: Oslund Timberline PH) 10-55300-110-04 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Brian Welke Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Haley Comfort Systems Walter Knosp 122 West 3rd St 1538 McCarthy Rd Hastings MN 55033 Eagan MN 55121 (651) 437-0338 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. Applicant/Permitee: Signature Issued By: Signature _ _ _ -Use _B_LU_E_o_r_B_L_AC_K_ I_nk For Office Use I I I Permit 41 City of Eallifidn ' 3830 Pilot Knob Road i Permit Fee: D . CO Eagan MN 55122 I I Phone: (651) 675-5675 CT i Date Received: Fax: (651) 675-5694 I Staff: 1 - I i 2012 MECHHAN]IICA~PERMPA PPLICATION Date: I~ Site Address: Tenant: cri ((Suite' * 7 RESIDENT /OWNER Name: ! I ~~1 J Phoneb L- [J~ Address/City/Zip: Name: Ron' s Mechanical Inc License CONTRACTOR Address: 12010 Old Brick Yard Road City: Shakopee State: MN Zip: 5 5 3 7 9 Phone: 952-445-8585 Contact: Linda Email: New Replacement Additional V "'Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace _ New Construction _ Interior Improvement PERMIT TYPE -Air Conditioner _ Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit Heat Pump Under / Above ground Tank Install Remove) Other ^ VQ Y RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) ~r~11 $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ (Q0 • VD TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the Permit Few, is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 4$ hours before you intend to dig to receive locates of underground utilities. www.oopherstatoonecall.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. x LY lxnaa r x Applicant's Printed Name App (cant's Signat r FOR OFFICE USE Required inspections: Rovieered By: Dots: Underground , Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110980 Date Issued:06/06/2013 Permit Category:ePermit Site Address: 1538 Mccarthy Rd Lot:11 Block: 4 Addition: Oslund Timberline PID:10-55300-04-110 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 - Walter Knosp 1538 Mccarthy Rd Eagan MN 55121 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA113591 Date Issued:09/05/2013 Permit Category:ePermit Site Address: 1538 Mccarthy Rd Lot:11 Block: 4 Addition: Oslund Timberline PID:10-55300-04-110 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Andrea Preusse 4145 Sibley Memorial Hwy Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Walter Knosp 1538 Mccarthy Rd Eagan MN 55121 (651) 452-7225 Wenzel Heating & Air Conditioning 4145 Sibley Memorial Hwy Eagan MN 55122 (651) 894-9898 Applicant/Permitee: Signature Issued By: Signature Date: City of Eau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 'JUL 0 6 2016 r Use BLUE or BLACK Ink For Office Use / Permit #: 7t r / j . 10 Permit Fee: Date Received: Staff: / � / • 2 Q I l �'ry �� 2016 RESIDENTIAL BUILDING PERMIT APPLICATION / r 6 //j Site Address: / JJ Name: Address / City / Zip: C /Q- 114 Applicant is: Owner Contractor 6-4.4144 Unit #: Phone: 61.2- ^)aa—ls.j Y9 Description of work: Construction Cost: e.r(7/rte /`'r1'1 r_)L c._. Multi -Family Building: (Yes / No Company: Address: d City: ST pU-+�.C Stater Zip:"::. •16 Phone:A lb .1 ti Wail: Ph (14-47C1650( 41 14" Q License #: /«J G // 6 c) Lead Certificate #: I i i l 7 if U Contact: If the projec is exempt fro/flpivLi m� 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: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documents that yore submirtaare considered to Abeinui e` information may be classified as non ublic if you provide specific 'reasons t conclude that fhey are trade secret c information Portions at mould permit the City to 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.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. l/ 1&L—/ /pis A plicant's Printed Name er ican 's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%)/) Census Code # of Units # of Buildings Type of Construction Y' col - Fireplace Garage Deck Lower Level NOT RITE BELOW THIS LINE Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing y 30 Minutes 1 Hour Fireplace: Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window / 376 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required x Final / No C.O. Required x HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 Citi of Ea all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use f n Permit #: Permit Fee: Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 1-14— t /VJ Site Address: Tenant: Suite #: Resident/Owner Name: IC X� tVC..VUl� Phone: U Address / City / Zip: 1 Name: Address: State: Contractor ROYALTON HEATING & COOLING 4120 - 85th AVENUE NORTH License #: BROOKLYN PARK MN 55443 City: 763-424-8333 Zip: Phone: Contact: Email: k OUL ork Descriptio Permit Type RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge �@R��e��pla� Replacement Additio of work � G�x.sL.�+t o 0) l NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger I Gas Exterior HVAC Unit _ Heat Purrp Under/Above ground Tank (_ install I _ Remove) 1!'/ Other COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge I Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge 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 cnly 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. ©,a0 TOTAL FEE Contract Value $ = $ Permit Fee = $ Surcharge x .01 _$ TOTAL FEE , C. .. Applicant's Printed Name FOR OFFICE USE Required Inspections: Underground Rough, in Air Test Gas Service Test In -floor Heat x Applicant's Signature F cr Reviewed By: Date: HVAC Screening Use BLUE or BLACK Ink r----------------- I For Office Use I I City of �a a� j I ,Permit#: r' ` 4 E I Permit Fee: '� I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L-----------------I 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 1 c�- rJ - E4 Tenant: 0 Suite#: Ai to nt/u m rw> Name: ' Phone:GI 2 2 2 6 8 Address/City/Zip: c Name: �E� YJ t tN1 License#: v '6 ..r I Col�tractc�r r Address: City: i ` � CAA �;4 � A:f-7x. g State:—� Zip: -_ Cj / °I Phone: . . Contact: C IO✓iL Email: j00 S lc4 r,ki�t, C- t New .replacement _Repair _Rebuild _Modify Space _Work in R.O.W. x . Description of work: rn RESIDENTIAL Water Heater Water Softener :.: Lawn Irrigation(_RPZ/_PVB) Type = Add Plumbing Fixtures(_Main/_Lower Level) r Septic System New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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 ermit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv Applicant's Printed Name Applicant's Signature Metert sated�te�s � � � da Read; tnetel= f '� : � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175504 Date Issued:04/07/2022 Permit Category:ePermit Site Address: 1538 Mccarthy Rd Lot:11 Block: 4 Addition: Oslund Timberline PID:10-55300-04-110 Use: Description: Sub Type:Furnace & Air Conditioner 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: 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 - David J Worms 1538 Mccarthy Rd Eagan MN 55121 Centraire Heating & Air Conditioning Inc 6811 Washington Ave S Minneapolis MN 55439 (952) 941-1044 Applicant/Permitee: Signature Issued By: Signature