4750 Narvik DrCiTY OF EAGAN Remarks
Addition Ridgecliff Fi rgt Addn Lat 1 elk ? aercei #10 6348U O10 07
Owner Street 4750 Narvik DrivroState EagaIl, hW 55122
Improvemant Date Amount Annual Years Payment Recelpt Dete
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ^ 19$2 298.08
SfWER LATERAL
WATERMAIN
WATER LATERAL 1982 1260.79 -
WATER AREA
STORM SEW TRK 19$2 638.24
STORM 5EW LAT 1982 955.45 5 955.45
Services 1982 637.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 5-16-8,4
WATER CONN. 450.00
BUILDING PER.
SAC n M
PARK
? , . .
BUILDING PERMIT
cInr oF EAGAN
3798 ?ilot Kno6 Raaa Eaqee, MN 55142
PNONti 454-8100
Te be uNd fer SF DWG/GAR Est. Volue $69,000
51te Addmu 4750 harviic Dri ve (Plan 47)
Lot 1 elock 7 Sec/5ub. RidAeclif f e lat
Parcel #- 10 63980 Qltl 07
oe Ncros Thomvson Lakea D iviaion
W
? Addrm 1712 Honkine Cr ossroad
C; l:ti;,a. 55343 phane 544-7333
? Name Owner
?
u? /lddreu
~
Cit phone
W
Ga Name
?
W
?? Addross
< W
Ci Phone
I hereby ocknowledye thot 1 have read rhis applicntion ond state that
the Jnformotion is correcf and ogree to wmply with oll opplicable
Stote of Minnewta Statutes and City of Ea9on Ordinonces.
$ipnoturc of Permittae
T omps
A Bu{Iding Pennit is Issued to: an Lakes Div s on
oll work sholl be done in acwrdonce with oll opplyCoble State of Mir
?
Buildinp Official x
4 0
Receipt # ' 7
ti._ Mav 17 ,. 83
Erect ? Occupon R-3
Altar p Zoninq 7PD) F.-1
Repotr ? Fire Zone NA
Enlarfle ? Type of Const. V
Move p # Stories
Demolish ? Length 51.6
Grode p Depth 46.3 Sq, Ft.
Aoororols feas
Asseument
Water 8 Sew.
Pol ice
Fira
Erg.
Planner
Council
Bldy. Off.
APC
Permit
Surcharge 34.50
Plun check 17 0. 00
SnC 525.00
Water Conn450.00
Water Meter 60. 00
Road Unit 25'% ,''
Total s1 a29 .50
on tha expross condiNon thaT
and City of Eaqan Ordlnonces.
Permit No. Parmit Holder Mit? Pwmit No. Hol der
3 j,D4 . 3-?s3
1
e74 t 2
1W Lfj( (Ec. b,ta$3
Iropsction Dete Irnp. Other
Footinpg
Foundation
Fnminp
Rough Plbp. ,?..?
Rouph HVA
Insulation
Final Plbp. . j;g
Fi
nal HVAC
Final e
I
W?? • Dsscribs Location:
Well
S?wer ?
Pr. Disp. -
Receipt MECHANICAL PERMIT Parmit No.
CITY OF EAGAN
Fee
J Fill in numbered spaces S/C '5G
Type or Print legibly
7ot. 50 '
1. Date ?-- -' ? 2. Instaliation Cost ??0? •L' •
?
3. Jab Address47?'.% '?R%??• y'.'L?t Blk. 7 TraCi `
4. Owner
5. Contractor Phone
825-?6r?
6. Address =?63rf C11Y.C? i?C"1 - -ii.t. :•
7. City _;? • State • zi
p
8. Building Type: Residential 13 Commercial O tnstitutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe =fnrced °it, h=:•t;Fuel Type
11.
No. Equioment STU - M. Ea.
Forced Air No. Equipment CFM
A
l
Mfg. ir Hand
ing:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
?
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with atl ordinances and codes governing thi5 type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee 5•0(,
,
Fill rn numbered spaces S/C .50
Type or Print legibly Tot 5 - 50
1. Date 2. Installation Cost 1'=?-'??'•?-%'
? f^ r
3. Job Address •' %'50 iJal'vik I?r. Lot 1 Blk. ? Tract
?.r
,.? . ..
4. Owner - ` . . .
5. Contractor -%,Y N. 1,4t.LTER MI'lI: Phone }'?25-6867
6. Address 4637 Chicapo AVt'.. .';.
7. City
1, " • State ?N
Z;P 55407
8. Building Type: Residential 99 Commercial O Institutional ?
9. Work Description: New 13 Add O Alter O Repair ?
10. Describe Inst:L71 air cond. Fuel Type ?'%lectric
11,
No. E.quioment STU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
? Mfg.
Air Cond. :3tu Other
Mfg.
Gas, Piping Outlets
12. I hereby certify tha,t the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
?
?
Signed : i for
?
Rough Final
Inspections: Date Insp. Date nsp.AC/
This is your perrti?it when numbered and approved.
Approved ` CITY OF EAGAN 464-6100
;
? P
i
N
- ?
PLUMBING PERMIT
Receipt -- erm
t
o.
CITY OF EAGAN '
Fee ?
Fi!l in numbered spaces S/C
Type or Print legibly Tot
1. Date 5/31_183 2. Installation Cost
3. Job Address f 7??? `'urViK bi Lot 1 Blk.
4, Owner .^•RRIN TNQMFSON
_ T
Tract /
5. Contractor WENZEL MECFI Phone 4526t565
6. Address 3600 Kennebec Dt"iVE
7. City Eaga! State Mn ZiP 65153?
8. Building Type: Residential I$1 Commercial ? Institutional ?
9. Work Description: New RI
10. Describe
11.
Add O Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray wtrlhtr_
Floor Drains - ShwdS E'.1"
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
3795 Pilot K.wob Roed
Ea9an, MN 55122
Zoning: Owner: - T}l(i rlj? 9 o-] T-l h e' 1=
1lddre55:
S1te Addrcss: iarv : lr Jr
Plumber.
Meter No.:
Stze:
Reader No.:
1 e9ree ta wmply with the Ciey of Ee9on
Ordlnanees.
By
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
- No. of Units: j
T
_ Connection Chorpe: ?"'0 '
- Accourrt Deposit:
_ Permit Fee: - ? ,
Surchorge:
Misc. Chorpes:
Totai:
_ Dots Poid:
_ Inm..
CITY OF EAGAN SEVIfER SERVICE PERMIT
8795 PiW- Kno6 RoW
Eogan, MN 55122
Zoninp: ?.
Owner.
Address:
Site Address:
Plumber: T'i r '
. _,
1 agm to omnply wilh 1`e Cily sf Eoyow
Ordinaeees.
By
Dotn of Irup.:
I nsp..
PERAAIT NO.: '
DAl'E: -
No. of Units:
T • •
T
1 ?,.? . ?? . . .
.... ' '
Connsdion Choros:
1lcaourM Deposit:
PertnFt Fee:
Surchorge:
_ Misc. Chorges:
_ Total:
_ Dote Poid:
`4'?s7c, i oi_
RMA HOME SERV ICES INC.
_ Home Depot Installed Sales
3200 Cobb Galleria Pkwy., Ste. #200
Atlanta, GA 30339
763-542-8826
RESIDENTIAL
NNG PERMIT APPLICATION
I - cy - C) a
CITY OF EAGAN -- `?-?-,? --?1-?7- -
t830 PILOT KNOB RD • 55122
651-681-4675 N j ?-H - 02
NewConstruction Reauirements
• 3 regisk:red site surveys showing sq. ft. M bt, sq. ft. of house; and all rooled areas
(20°h mazimum bt wverage allowed)
• 2 copies of plan showing beam & vrindow sizes; poured found design, etc.)
• 1 setof Energy Cakulations
• 3 copies of Tree Preservatlon Plan N bt platted after 711/93
• Rim Joist OeWil Optians selectian sheet (bldgs with 3 ar less units)
RemodellReoairReauirements LiLl
f ?`
• 2 capies of plan ?
• 1 set of Energy Cakulations fir healed'addi6ons
• 7 site survey for exteriw addNOns 8 decks'- -- -- -
rin
DATE q- 3(a,m •Oa-- VALUATION (EXCLUDING LAND) a?? QQ /
JOB SITE ADDRESS "'%M 4:?Sh (\?c?cv?IL 1?r?u.I
IF MULTI-fAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERC_'h<:S Sc.1,;1?uk.U:,es(
TYPE OF WOR ?"?4 4 FIREPLACE(S) _0 _1 _2 _3
APPLICAN?AA? PHONE # ?Sa•??S IDO?I?
ADDRESS ZIP CODE
PAGER # CELL PHONE # FAX #
NCIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contraetor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above informaGon must be submitted prior to processing of application.
I hereby acknowledge that I have read this opplication, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordina ces.
?
Signature ot Appll
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
Water Softener I.awn 5prinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 D2-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Vaiuation
Census Code
SAC Units.
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, Alt - SF
? 10 OS-plex ? 18 Deck ? 23 Parch (screened) 0 36 Multi
? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage i
? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding i
? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45, Fire Repair
?, 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg only) - Glve PCA handoubto appl icanV .
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Occupancy • MC/ES System ?
Zoning - CityWater . . ? •
Stories • Booster Pump '
Sq. Ft. PRV
Length Fire Sprinklered '
Width
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone _ Windows (new/replacement)
Approved By
oase Fae
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
I
I
CPI'Y OF EAGaN gy 4?O?/F0 Include 2 sets of plans,
1 site plan w/e]evations 5
BUII,DINC PERt•tIT APPLICATIdN 1 set of energy calculatiorLS.
? ?t'? f Gour-°- # ?.- ,o6a ,? -
7b Be Used For Valuation Date rj-?\-83
site Adaress: L{c`1So ?1.w-K-v.k ?s_ • oFFzcE usE orri.Y
Lot %
Parcel #:
Qaner:
Bloc}c Sec./Sub. ?:?. ...`, rect Occupancy
fb (o3`L $a w Alter Zoning ` -
oLO o`- ? Repair Fire Zone Enlarge Type of Const.
- ?
Pddress:
City/Zip Code:
Phone #_ Contractor: THOMPSON LAKE$ Q1VI$lON
?
vid-M ,
A,ddress: 1712 NOPNq18 CAQBSiOAD -
City/Zip Code= ?
Ptione n: Sk'k-'1
Arch. /Eng _ :
Address:
City/Zip Co3e:
Phone #: •
Move
Demlish
Grade
# Storres
Front .•,r , Yt.
Depth lo.? ft.
APPROVALS F'FES
Pssessrents Permit 3yp 4=:9 _
Water/Ses.er Surcharge ?v
Police Plan Chec]c J 7 d
Fire SAC ?a ?16-
Enq_ Water Conn_ 2/ 5 0
Planner Water Meter 4 ?
Council Road Unit a?S O-?
Bldg. Off. . -Q
APC
'InTAL
cirr.. oF EacnN
3795 Piler Knob Rood fagon, MN S5142
PHONF: 450.8100
BUILDING PERMIT
Te 6a utad for SF DWG/GAR F« v„i„p $69,000
Site Addrcu 4750 Narvik Drive (Plan 47)
Lot 1 elak 7 Sec/Sub. Ridgecliffe lst
Porcel # 10 63980 010 07
W IN.m. Thompson Lakes Division
? Addron 1712 Hopkins Crossroad
r:... Mtka. 55343 a,,,- 544-7333
o Name Ownex'
??f
Addreu
~ Citv Phone
Nome _
Address
I hereby ackrwwledge thot I have read this cpplication and state that
the intormation is Corrett ord agree to comply with cll appiicoble
Stale of Minnewto Statutes and City of Eagan Ordirwnces.
N° 8040
Receipt # ? :?-?_
„_,_ May 16 ,,, 83
Erect 101 Occupancy R-3
Alrer p Zoning (PD) R-1
Repair ? Fire Zone NA
Enlorga ? Type of Const. V
Move ? # Stories
Demolish ? Length 51.6
Grode ? Depth 46.3 Sq. Ft.-
Approvab Feas '
Assessmenf -
WaMr & Sew.
Police -
Fire
Enp.
Planner -
Council _
Bldg. Off. -
APC -
Permit ZtvV.VV
Surcharge 34.50
Ploa chetk 170.00
SAC 525.00
Water Conn 450. 00
Woter Meter 60. 00
Roud Unit 250.00
Total S1829•50 .
Sipnoture ot Pertniftee ?
A Building Permit Is issued to: Thompson Lakes Divisio
T-? on fhe express condition thm
all work shall be dorre in ocwrdance wifh all oppli e Sf te? i otu Sfatutes and City of Eogan Ordlnonces.
Building Offkial - ?-Z-
,7;&
,r' REQUEST FOR ELECTRICAL INSPECTION
? f 6 111, instrutlions br completing this form on beck af yellow wpy
'X:' Be/ow Work Covered by This Request
EB-00001-08
ew A{1d Rsp. '' TypeofBuiltling AppliencesWired Equipmen[Wired
Home pange Temporary Service
Duplez Water Heater Electric Heafing
Apt. Building Dryer Load Menagement
Comm./Industrial Furnace Other (SpeCiTy)
Farm Air Conditioner
OMer (speciry) Coniractor5 Rema_ rks; ?? / I
800 - fT4 w?/ j OS ih bGSPJ7&CV,'
Compufe Inspection Fee Below.' (. l
# Other Fee # ServiceEnlrenceSize Fee # Circuils/Fee rs e
Swimming Pool 0 io 200 Amps O to 100 Amps
Transiormers Above 200 mps Above 700 _ Amps
Signs InsPenors use anny: TOTAL
Irrigation 8ooms ??' s
U
a67
Special Inspection
Alarm/Communication
Other Fee THIS INSTALLATIO MAV BE ORDERED ISCONNECTED IF NOT
COMPLETED WITHIN 78 HS. r
1. the Electrical Inspectoc hereby
if Rough-in te
cert
y that the above inspection has
6een made.
•
. I?? ? f
OFFICE USE ONLY
This request voitl 18 monihslrom
633?6 ??(o°°
Reduest Oele Fc No. Rou n InpgMion Reyuiretl I s Rion Other Than Rough-ln
, ?VO muel call inspecto when reatly) qeatly Now ? WIII Notily InspMOr
? Yes N. ?Da?e ReaE
Ix licensed contractor ? owner hereby request inspection of a6ove electrical work at:
Jab AE ss (SlreeL Box or e rY?
?5 ^1 \
IV I V?
Sectmn No. Townsnip ame or No. Range No.
Occupenl fPPWTI Phone No.
Power SuppLer Mtlress
ElecVi I ConVactor ICOmOany Name) Conhatlor's License No.
G/ `,
Mailinq tltlress (COmractor or pn er Making nstallationt
-- ?.1
)D
Autnor¢ &gnamre iConlr In Ila[io Phone Number
3 3
MINNESOTq STATE BO OF EC RIGTY THIS MSPECTION REQUEST WILL NOT
Griggs-MlEway Bltlg. - Room 1]3 ? BE ACCEPTEO BV TNE STATE BOAFO
1821 Univenity Ave., 51. PauL M 10d ONLESS PROPER INSPECTION FEE IS
Phone(612)661-0800 ENCLOSED.
O O15 ?? 6 REDUEST FOR ELECTRICAL INSPECTION
jo? See iry4bictlons f0 completing ihis form on back oi yellow copy,
"X" Below Work Covered by This Request
E13-00001-09
's4txipYV>
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm.llndustnal Fumace Other (S eci )
Farm Air Conditioner
Other (speciy) ConiraCYOis FemalKS' 8`tb- 41 a= l?-les ?n bsm??
Compute Inspection Fee Be/ow: ? 2 aa{ a
ti Other Fee # Service Entrance Size Fee # Circuits! eders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Transformers Above 200_Am s ABoye 100 -Amps
SI OS Inspector's Use Only: - `? TOTAL
Irrigation Booms
cial Ins ection
Spe
S
C
?L
Alarm/Communicaton CONNECTED IF NO7
b ID
THIS INSTALLATION MAY
O
Other Fee COMPLETED WITHIN 78 MONTHS.
. f
the Electrical Inspector, hereby
, Aough-In oere
certify that ihe a6ove inspection has
b8611 rt18de.
'C..???C. ? / ?? ( L
Oate
?
OFFICE USE ONLY
This requast voitl 18 monthe Irom
'%s56
Request D e FI No. ovg n Ins on Requlretl
(YOU must nspectorwh reatly)
? YB9 Ins acf Olher Tnan Raugh-ln
eatly Now El Will NoOfy Inspecmr
Date Reatl
I licensed contractor ?owner here6y request inspection of above electrical work at:
JoE Atldr ss (Sireet, Boz or Route Na.)
5 ?i< briv City
r-- h
Seclion o. Township Name ar No. Renge Na Counry
le- ?'Ai
Do
OccuOa t( INT)
Via) P?one No.
Power Supplier Atldress
Electrical Conlr ctor (COmpeny Name)
Av- Ke, I Comramor's Licanse No.
C
+ !?
Mailing ess (COnlrector or Owner ki Insta ation) mN
1
Authorizetl S e racmqOwne Me !?s II o)
1 Phone Number 3 -3
/ r;
MINNESOTA STATE ?IoAitci Ok EL?CIiICRY ` THIS INSPECTION REOUEST WILL NOT
Gripga.Mltlway Bltlg. - 5-1281? BE ACCEPTEO 8Y THE STATE BOAFD
1821 Unlversity Ave., 31. Peul, MN SS1b1 UNLESS PROPER INSPECTION FEE IS
Pho?w (8121842-0WO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
`? ' 7 7 8 6 4? See inshuclio?+s for com0leting this form nn bxck oi yellow copy.
k" Below Work Covered by Thrs Request
EB-OOOD1-03
27
ew Add HeV. Type o( Buildiiig AVOlmnces Wired Equipment Wirad
Home Range Temporary Service
Duplex
Apt. Buiiding
Commercial Bldy. Water Heater
Dryer
Fumace Liyhtin,y Fixtures
Electric Heatin
Silo Unloader
Industrial Bidg. Air Conditipner Bulk Nlilk Tank
Farm O[ner Specily o?nee (SUCCIfy)
Other SUCCi(y Othor plher
CompUd,i? Inspeciian Fee Below
Fee ServiceEntra ae'S ? Y Fee FexAers/Sub(exders X Fee Circuits
to 7? 1qm 0 to 30 Amps 0 to 30 Amps
I-W,1 tb,2Q0?Ampp 31 to 100 Amps 31 to 100 Am s
bo q-2 \?A Above 700_Amps Above 700_F+m13s
l ran ?tormers Remote Control Circ. O Partial%Other Fee
Signs Speci?il Inspec[ion 5 ?
R':"?"k IGMDnIld/Lv Cc?.i.. c inA??i? !f o?0'i
?
Rnu9h-in D:nc
I, the Electrical
Insyector, liereby
cartify that the nGOVe
Finai Dyt irsOecHOn hes been
F
made.
?.
This reovest voitl
?.
.,
18 mmmhs fiain
ihi?.,?en?es
? t,yold 11JZ',a
t ?a6`7 1 1Z C. I
18 mo77864
/6.d0
3
Fepues( Da c
1( -??_(' j
1 a Fire No, RouNh-in InsV<'ction
Ren???reA?
?Reatly Nnw Nlill No:iiv, [nspuc-
?
?yes r When ReadY
bLi icensed Elecirical Con[rec[nr 1 hereby request inspection ui ahove
Owner alactrical work installatl aL
?t Address, Boz or Route No.
J4-750 04++ok City
cmm
ec?mn o. Township Namo or No. Ran?e No. Cou uy y ?
V10??-17?
Occanant (PHINT)
ORF+N M+oMeso? ?MFS Phone No.
Powg S'u?pplier
f?? Address
FARM IlJG 10fil
Etec rical Contra tor IC ?iFOmVa-tnyc Namel
?
? Cnnh
.ctnr's licen.
se No.
R3SSz6-z
Mailin9 AdJres
s IConVacror or Owner Making Insmilrtionl
`
I??I C• ?
Authorized S?gm[ur Con cmr
O
wncr Makiny hnvtallationl Phnne Nomb
er
.
?
y
`J7M r
cf+'
MINNESOTp STATE BOAHD OF ELECTRICITV -' THIS INSPECTION REUUEST WILL NOT
Griggs-Midway Bldg. - Room N•791 BE ACCEPTED BY THE SiATE 90AND
1821 University Ava.. SL Paul, MN 55104 - UNLESS PNOPEfl INSPECTION FEE IS,
pti??o H3121 797_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See inetructions for comoletine this iorm on beck ol yellow copy. Belo?? Co?veTed by This Request
Ne, HAU Neo. Type ol Building Appliances Wired Equipment WireA
Home Range Temporery Service
Ouplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm t er aeo v ntnerlSOUr,ifvl
t er uecify Other Othur
Compute lnspectron Fee Below
p Fee SarviceEntrance5ize n Fee Faxders/5ubfeeders # Fee Circuits
0 to 200 Am s 0 to 30 qm s 0 m 30 Am s
20
A6ove 0 qm?s 31 to 100 qmps 31 to 100 Arnps
Swimmi
ng Pool Above 100-Am s Above 100_Ainps
Transformers Irrigation Booms , D PartiaL'Other Fee
Signs Speciallnspection ?l7
S?Q TOT
E
Re?+arks
.
?
Hough-in ? 9?1e '{?, the E ec rical
Inspacbq hereby
certi?y Nat Ne above
Final inspection hes Eeen
made.
Tnlsrequeslvoitltemdnihelrom
This request voye
18 TOn111s from .
??i?? 7 W 2
4L ?, S7 Rcaded Pk- / 5± 316016,001
?(ofob
Rnquest ate
????' G` Fire No, RouOh-in Inspectlon
R?red7
CIReady Now?Will. Notily, Inspac-
oj ?
es No r. Nhan Reedy
?p(
{={?Licensed Eloctrical Concractor I hereby request inspection ot a6ove
L) Owner elecVical work installed at
SVeet p.ddress, 9ox or Route No. Cfty
5o taRV1t?- Q PaUE- WA?
ecuon o. Township Nama or No. RanBt' No. Counry
D?
Occupant(PFINT) Phona No.
'T" QSOa lk`-0
Power Supplier Adtlr
es
s
KA p?
?
Elec rical Conua
ctor (Company Name) C?
n
tr
acmr's License No.
(
?{1.. j
^
?
N ? 1?-s'Z
Mailin0 Address (COnnacmr ar Owner MakinB Inscaildtion)
C40' Ao
Aufiorized Sign r¢ ( mraciar Owner Makiny Installationl Phone Number
G Do X'S05-
l NOT
MINNE50 q STATE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL BE ACCEPTED BY THE STATE BOAND
Grie9s•Midwey 91dg. - Naom N-191 UNLESS PflOPER INSPECTION FEE IS
1827 UniversiryAva., SL Peul. MN 56104 crur.
neen
7635428227
T-828 P.001/001 F-768
?.
T.,IlWTED POWEII2 OF AiT?ORNE3C
COUNTY OF H
!,Je.1, ?2rE,)
STATE OF MIIVN'ESflTA
KNOW ALL P£OPLE BY TFIESE PRESENTS:
TFFalAT I, Todd Daniel Lewis, a resident of RAMk '/ Counxy,
M"uunesota {"Principal"), and a Iicensed contraccor of RN1A Home Services, inc.,
DBA Home Depot InstalIed Sales locazcd at 646 Mendelssohn Avemie Nonh, Gotden
Valley, IVIN 55427, having a license number of $C- 20259257, do hereby appoint,
name and constinue Elder-]ones Building Permic Service, Inc. ("Agenc") as my uue
and lawful astorney-in-fact and do authorize and grans said attorney-in-fact for me and
in my name, place sind scead rhe power co execute, acicnowledge, siga and deliver (in
such farm as may 6e rzquired by the municipaliry) a permit application, or any other
insmunent(s) which may 6e necessary and appropriate, in order to obtain the proper
permit(s) from the Ciry of Eagaii, Minnesota For the installatioa, mainteaance and
repair of windows and siding (the "Work"-).-
" The powers conveyed to the Agent by this Limited Power of AROmey are
limited soleIy to the express powers delineated herein and aQply solely to the Work.
This Limited Power of Attarney shall expire and automatically be xevoked on the tG
day of,?)2002, which dace is one year from rhe execution hereof. Fvrther,
the powers conveyed by this L'united Power of Actorney may be revoked by Principal
at any rime by express revocation and shall also be revoked by the Principal's deaih,
disabiIity, incapacity or incompecence.
L[Y WITNESS WHEftEOF this Limited I'ower of Attomey is executed this
c:.?- day o£ 7?a e , 2001.
(Z?t p
Todd Danie! Lewis
WaRN TO AND SILFBSCRIB£D BEFORE ME by Todd Daniel Lewis on
Yhis ?aay of -Z? xv? Q . 20_tk,.
? .xw.ww?n uh ic in fo ?eSuateofMinneso BUFrfON T. BROwN ?
?unrueuc-wm?ESOr? .
My Commission Expires: ?h??+?u"??•?
¦ ?
79fi8I6.rJ
Reeeived Time Jun• 1, 2:66PM
JUN-07-2001 15:63 FROk-RMA H0WE DEPOT AHS
? 4750
C. R. WINDEN & ASSOCIATES, INC.
LAND SURVEYORS fol 646•3640
FOR: 1381 fU5T15 SL. ST, fAUI$ MINN. 63109
U. S. HOME CORPQRATION
Taf N
H ' h Pot- El. 944-30+
To eT L`uM
E . 445.14 -..
yEN o
SCdle: 1" = 30'
TEIop o44f 4. C?u7rxb Z ODenotes Iron
? ?-' /? ?'p•
f q4?? ,
DC--
Eb493.c5+
D ? A
WO a
7 d
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4995?
? o? r9 u 5 z
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m
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Q -? ?_?. ? ? s ?--?••- vcr
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9ei, 94't .ro
?f DRA NAGE AND UTIL 1"Y EASENENT
Lot l, Block 7, Ridgecliffe First
Addition, Dakota County, Minnesota.
Note:
Proposed garage floor E1:99943i
(900.00) Denotes proposed finiahed ground E1.
-+-- Denotes direction of surface drainage
Vertical Datum - N.G.V.D. 1929
WE NERE6Y CERTIfY THA1 THIS IS A TRUE AND CORRECT REiRESENTAt10N OF A SURVEY OF TME
SOUNDARIES OF THE tAND A{pvE DFSCRI6ED wN0 Of 1ME IOCATION OF All WIIDtMGS, If ANY,
TNEREON, AND All VlSItLE ENCROACMMENTS, IF ANY, fROM OR ON SAID IAND.
Ootod 1his.1,DIM?da> o1119?LA.O. 1983 C. R. WINDfN a ASSOCIA7E5, iNC,
Mie"wlo Rpiuralien Ne. 7726
N7M10
TO: LOFUVn oLSON, urzLrTY nzr.i.z^ic cLEzu: 7-Z R.c(
f? . DALE PEPERSON, aizEr svzr.ozraC orFZCZau,
BILL BRANCfI, SUPERINTENDIIVT OF PUIIISC WORKS
E'R(x1: THOr9A5 A. COLBERT, DIRECIbR OF PUBLIC 690RKS Tkt?_
DATE: NOVaiBER 17, 1981
RE: RIIXMCLIFFE 15T ADDITION - SE[VER AND ulATER CpNNECPI0N5
On Seotember 10, 1981, a npsrn was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
perntits lmtil sanitasy sewer service had been m3de availahle. Because
it is not anticipated that gravity sanitary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
Thonpson Hoires has agreed to install a temporarv lift station frcxn Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridcecliffe lst
Addition. Attached to this rcnb is a copy of the letter we received
frcn Orrin Thompson Homes whereby they indicate that they will perfonn
the installation, maintenance and liability of this temporary lift sta-
tion/force main sanita.y sewer until such tiire gravity sanitazy sewer
can be extended across the future I-35E during the spring of 1982. There-
£ore, with this tenporaty system being installed and maintained bv Oxrin
Thong>son Hores, the teryxorarv hold on saaer and water perntits and occu-
pancy for the £ollowing lots has naa been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Iots 18-23, Black 9
Lots 10-16, Bloc7c 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Lots 1-6, Block 12 '
Lots 1-17, Slock 13
This tenporary sanitary force main iaill still not nmvide service to
the following lots:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Themfore, the restrictions as referenced in my previous memo will still
apply to these lots.
These lots are referenoed on the attached map for your information. If
any problems arise pertaining to sanitazy sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thot+pson Pomes for the
proper resolution. If you have any questions to this release of the re-
striction on the building and sEt,ver/water permits, please contact me.
Please insure that all personnel in your department are aware of these
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Tharpson Heres
??er#??irtt#.e af (?rru?rttnr,?
(?itp of (Eagan
BrVttrfinettf nf BuilDing 3nsyeriimt
Tbir Ccrtificatc issuul purruant to !he requiremrnu of Sertion 306 of 1be UniJorm BHilding
Code ctrtifying thrtt at tlir time o f itluancr thit ttrutturr wat in comp(iana witb the variout
oidinqruet of the City rrgulatixig bruldin$ ronttsuction or use. Far tbc followinK:
U. cm,w;uria„ SF DWG/GAR 8040
R3 &dg.P<emflNa.-__
?wuyTYV? T3'vec.?4- V Fm zo?e NA zam,rnim« LPD) Rl
0,,,,,,wB„m;,,8_Thompson Lakes Div,aa.171z Hopkins Crsrd Mtka.
eQamaaeaa, 4750 Narvik Drive L?tYLot 1 Block 7 Rid Pcliffe
t?okz Br: lst
g??BoR+ad 4Q, po«: October 7, 1983
TO: LORNA OLSON, UPILITY BILLING CLERY.
DALE PEPERSC}N, (HIEE BUILpING OFFICTA7"
BIIS, BRA[V(TI, SUPERINTENDENT OP PUBLIC [^YJRKS
Ff2pN1: THQyAS A. COLBERT, DSRECTOR OF PUBLIC I^DRKS /n?C./
v?
DATE: NOVENiBER 18, 1981
RE: RIDCECI,IFFE 1ST ADDITION - SEI9ER AND 4TATER CCIVNECTION RESTRICTIONS
On November 17, 1981, anerro was fonvarded listing several lots within the
Ridgecliffe lst Addition that had restsictions placed on the issuance of
any sewer, water or occupancy pernuts due to the unavailability of sanitary
sewer. There appeared to have been a duolication of lots that were refer-
enced for future restrictions as conpared to those whose restrictions had
been listed. Please be aware that the follaaing lots only will have re-
strictions placed on the issuance of sewer, water or occupancy permits:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any pesmits that
would allaa their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as stated
in this merm.
TAC/jach
cc - Bob Carlson, Orrin Thcrrpson Hcvnes
'Ll i R-1 t R,Q- k
T0: IfJFddP. OISCN, L7PIISPY IIILi.IIVG QF?2R
BUIIDING INSPECPIQd DII'AR'IS4•NT
BILL BRAN(H, SUPER7NrFSIDENT OF PUBLIC i40RKS
FidCM: ZS-ICN41S A. OOI,BERT, DIREC'!DR OF P[BISC WORKS
DATE: SEFPfiMBER 10, 1981
RE: RIDGEtLI'FE LST ADDITIC[V , .
Because the follaairxJ list of lots in Ridgecliffe lst Additicn does
not have gravity sewer outlet at this time, the following prooe-
dures will be initiated timtil further notice: ,
Vf2LPI^I BILLING
No water turn-ons will be allaaed prior to 8-1-82 or imtil se«er
is available in these areas. ?
BfJ2IDING IIVSPECfZQN
Bui2cling permi.ts can be issued for these lots, but the builder
should be infozmed at time of peimit issuance (perhaps stamping
the buildirtg pennit with "NO OCC[JPANCY PRIOR ?C1 8-1-82 OF. tIIVTSL
SEWER IS AVAIIABLE") the restrictions cn sewer availability.
NIP,INTIIdANCE DfPAR'IIuffSFr
See both utility billing and building inspection aUove.
The lots with these restrictions are as folloas:
L(7I5 1-9, BLOCK 7
IpPS 1-6, BLOCK 8
LC7P5 1-7 BLOCK 9
Lc7i5 18-23 BLOCK 9 LdI5 10-16 BIACK 10
LC7PS 1-10 BLOCK 5
LC7i5 1-4 BLOCK 6
LCJrS 1-6 BLOCK 12
L(7I5 1-17 BIpQC 13
an@ are also indicated cn the attached maps. _
jac
.S-3 `3 9 ?o RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conahuetion Reauiramenh
• 3 registered sile surveys showing sq. ft of lol, sq. ft. af house; and all mofed areas
(20 % maYimum lot wverage aliowed)
• 2 wpies of plan showing 6eam 8 windaw shes; paured found design, etc.)
• 1 set of Energy CalculaCans
• 3 copies ot Tree Preservation Poan iF lof plalted after 7/1193
• Rim Joist Detail Oplions selection sheet (Wdgs wAh 3 or less units)
DATE `/I/U)D
SITE ADDRESS 41SO
TYPE OF
APPLICANT
STREET ADDRESS YV DQ? Z-F-VL-5
TELEPHONE #7b?7' 44126- CELI PHONE #
J-r0-R-JSTATE Y?1k) ZIP
FAX #76g-19 PROPERTYOWNER L?COL TELEPHONE#
------------------------------------------------------------...---------------...--------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNti50TA RUI.ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor: ,_
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Confractor:
Phone #
Fee: $70.00
--------°-------°-------------------°-------------------------°-°------°-------°------.._...._..-------------------
t hereby acknowledge that I have read thls application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. . t
Signature ot Applicant
OFFICE USE ONL
MULTI-FAMILY BLDG _Y --(D
_ FIREPLACE(S) _ 0 _ 1 _ 2
Phone
^ Water Softener Iawn Sp y?`ee
_ Water Heater _ No. of R.I. sJUl 18 2002
No. of BaChs
_ Air Conditianing
_ Heat Recovery System
?S
2 a? ?
RemodeUReoair Reauirements
• 2 copies of plan
• 1 5et of Energy Calculations for heated additions
. 7 sde survey for ezterior adddions 8 decks
• Indicate if home served hy sepfic system for additions `
VALUATIO&L& OAO( `????i
V Si?, "
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
.
Updated 4102
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 192016
Use BLUE or BLACK Ink
For Ofrrce Use
Permit #:
Permit Fee:
IOC
Date Received:
Staff: IJ
2016 RESIDENTIAL BUILDING PERMIT APPLICATIONCc
Date: '-I Co Site Address 15-0 Nokr Or -7i OfN Unit#: I liC1
Phone: l 2 66i0
Cc_
d
Resident/
Owner
Type of Work
Contractor
Name:
Address / City / Zip: 4-15 0
Applicant is: X Owner
Description of work: k \� 210 x � _c
Contractor
Construction Cost: #.5 ott Multi -Family Building: (Yes / No
Comp
Address:
State: Zip: - one:
License #:
Contact:
Email:
Lead Certificate #:
If 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:
Mechanical Contractor:
Phone:
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 theretrade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaII 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 1 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 = ilding Code t be completed within 180
days of permit issuance.
x
Applicants Printed Name
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
t3(010S
SUB TYPES
Foundation
— Single Family
Multi
01 of Plex
WO TYPE
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Pian Review
(25%_ 100%4.)
)
Census Code T
#of Units
# of Buildings
Type of Construction
H icb
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola) _
Interior Improvement
Move Building
Fire Repair
_ Repair
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Final
_ Siding
Reroof
Windows
_ Egress Window
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
Final / No C.O. Required
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
/ c- 5-( °go
Page 2 of 3
FOR:
U. S. HOME CORPORATION
Top t) Curb
E1,941.77x
Top o
r 0415.`5*
,99
Hiph Po;nt-
To ch C4 -t
El. 945.19
C. R. WINDEN & ASSOCIATES, INC.
L AND SURVEYORS Tel 645- 3646
1381 EUSTIS ST., ST. PAUL, MINN. 55106
N
Tor of C,rb
El. 944.50+
`(9 5
2A'
Scale: 1" = 30'
Z ()Denotes Iron
O
+06
07"; 01/1/0("
CV
0
W O
CC CC
Q
0
� o•
(3-
cr :r)
Q
Z
W
aOo
Top es_�et x z"1
Et, 94'7, ao
1
0'.
N 89° 8 2 �/
DRAINAGE AND UTILITY EASEMENT
Lot 1, Block 7, Ridgecliffe First
Addition, Dakota County, Minnesota.
HIo
Note:
Proposed garage floor El.949.83
(goo.op) Denotes proposed finished ground El.
Denotes direction of surface drainage
Vertical Datum - N.G.V.D. 1929
4(
4-7
WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Doted this IOVI day o1 May
A D 1983
C. R. WINDEN & ASSOCIATES, INC.
hr
$urreyer, Minnesota Registrotien No. 7724,
iee/,^A„,
N7ss t9
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156494
Date Issued:07/02/2019
Permit Category:ePermit
Site Address: 4750 Narvik Dr
Lot:1 Block: 7 Addition: Ridgecliffe 1st
PID:10-63980-07-010
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 -
Rutledge Asset Mgmt Inc
Po Box 1425
Burnsville MN 55337
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160647
Date Issued:03/31/2020
Permit Category:ePermit
Site Address: 4750 Narvik Dr
Lot:1 Block: 7 Addition: Ridgecliffe 1st
PID:10-63980-07-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Rutledge Asset Mgmt Inc
Po Box 1425
Burnsville MN 55337
(612) 590-0961
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170663
Date Issued:07/14/2021
Permit Category:ePermit
Site Address: 4750 Narvik Dr
Lot:1 Block: 7 Addition: Ridgecliffe 1st
PID:10-63980-07-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Rutledge Asset Mgmt Inc
Po Box 1425
Burnsville MN 55337
(651) 373-4054
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(763) 476-1990
Applicant/Permitee: Signature Issued By: Signature