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4137 New York AveINSPECTIUN RECaRD Contral No. 0983 ` CITY OF EAGAN PERMIT T1fPE: p"' I I L' 1146 ' 3830 Pilot Knob Road Permit Number: 00 4' 4=; Eagan, Minnesota 55123 Date Issued: psld4 f9` (612) 681-4675 SITE ADDRESS: !. ci T; qb ? t Oi, R. .4 APPLICANT: 41 = i NEW YORK AVE. %itf'PSi CQfIST Co iMC RAY al'AFFt112G I01lACE i (?`al?) 631_.01543 PERAAIT ?,q{BTYPE: TYPE OF WORK: NEW INSPECTION } iirt I t t1ro .. . f'f:A M C P4f] D- 31141`1 Itl A f ItiNI ?'1MA1 U J I Rt"P1 ACE RFMARVSs REf:F.lPl # !?;&Ll RLBR m ItlilIlCA CQ. P, v PermFt Na. PermR Halder Date 7salephone # S/W PLUMBING ??? ? ? ?d.. HVAC EIECTRIC ELECTR IC ingpectton Dsh insp. Commenta Footings I 5 Faundatian Framing RooNng Rough Plbg. Rough Htg. 4 ty Isul. Frceplece 21 Flnal Ht9. Orsat Test? Final Ptbg. ZA Plbg. Inape ctor - fVot? Plum bq? Const Meter + I . _ . Q ,. . EngrJPlan - Bldg. Final Deck Ftg. Dedc Flnal Weil Pr. Disp. w .?? i ? Address 4137 NEW FORK AVE Zip 5512•.3 Lot . .45 Blk Sub STAFFORD PLACE THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 1/29/93 Yes No Inspector: Final grade (6" from siding) Penmanent steps (garage) Permanent steps (main entry) ? Permanent driveway ? Permanent gas Sod/Seeded gtass ?' TraiUcurb damage ?' Porch ?' Basement finish 3 ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze poten[ial exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contrecror Copy -? ' 0 260 5 5 Repuest D e Fire No. ough-in Inspection Re iretl? Nolify InSpedar O Ready Now XWill 1 4 es u No h Wen ReatlyP I9lice4d contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (SVeel. Box or Route No.? - City f! 3 aIrc A??- Section No. Township Name or No. Panqe No. Counry ?/?, yJ? ??/?'// / r? OCCUOani A 6C)Allu e? ,?s ?, ?. Phone No. y 3/ Power Suppller ?160 7-AV ,?il??i• Atltlress OJ ' 2, 2JT•(iJ 11'?4N11rli Becttical Convamor IGomp ny Name) _ Conttactor License No. ? if<= C? oo g Maibng Atltlress (ContractOr or pwner Making Inslallation) / 6 1 (?rGcn) d/'r- r.d z- FWM1Orizatl S,gn ture lCOnlractonOwner Making Inslalletionl Phone Number' ? MINNESOTA STFTE BOAHD OELECTqICITY? ' THIS INSPEGTION REOUEST WILL NOT Gtlggs-Mitlway Bltlg. - Room Stl3 ? BE ACCEPTED BV THE STATE BOARD 1821 IlNVarsity Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Plrorie (612) 81 ENCLOSED. // 3 9v2 REOUEST FOR ELECTRICAL INSPECTION ea-oaom-oe I? S... nslmctions lor completinq Ihis form on back oi yellow copy. =T??`3 /08573 ? 02005 "X" Below Work Covered by This Fequesf e Add?Rep.? TypeofBuilding AppliancesWired EquipmentWired Home ? Range Temporary Service Duplex Water Heater Electric Healing Apt. Building ryer O[her.(Speciy) Comm./Indusirial umace Farm Air Conditioner Otner (syecity) Contrecmr's Remarks: Compute lnspection Fee Below: # Olher Fee # ServiceEntren5ize Fee ce # Ccuits/Feeders Fee Swimming Pool 0 to 200 Amps J otg- mps Transtormers A6ove 200 _ Amps ?- Amps 7 S1911S inspedor's Use Only: O 7Q L Irrigation eooms z ? ?c/. Special Inspection , Alarm/Communication THIS INSTALLATION MAY BE ORDERE D?SCONNECTED IF'NOT Other Fee 0, COMPLETED WITHIN 1 NTH . di I, the Electrical I spector, hereby AougM1-in ? oa ` 7r?rZ d certify ihat the above inspection has been made. Toei /? , ,7 ,yn..?Cyr oaie OFFICE USE ONLY This requesl void 18 months Irom INSPECTION RECORD Control No. 0983 CITY OF EAGAN PERMITTYPE: suzLoztvG 3830 Pilot Knob Road Permit Number: 001243 Eagan, Minnesota 55123 Date Issued: 08 / 2 6/ 9 2 (612) 681-4675 SITE ADDRESS: LoT : 45 8 L 0 C K: q APPLICANT: 4197 NEW YQRK AVE KREPS CONST CO INC RAY STAFFORD PLACE (612) 631-8543 PERMIT SUBTYPE: SF pW6 TYPE OF WORK: NEW INSPECTION FOOTING .. . fRAMING DA INSULATZON FINAL FIREPLACE REMARKS: RECEIPT # S&W PLBR = RUMKA C0. ? ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT Control No. 0983 PERIIAITTYPE: BuzLoznG Perm it Number: 001243 Date Issued; 0 S J 2 6/ 9 2 4137 NEW YORK AVE LOT: 45 BLOCK: 4 STAFFORD PLACE DESCRIPTION: ?3uildi,ia,g Permit Type SF DWG Building- Work Type NEW UBG Uocup-a.ncy R-3 M-1 Canstruetion Type VN 2ortittg ` R-i Building iength^ 61 6uilding Width 36 ? 4t? x ? REMARKS: RECEIPT #ft) 0-? 7 G? S&W PLBR - RUMKp C0. FEE SUMMARY: Base Fee Plan Review Surcharge SAC SAC % SAC Units Lic. Search Fee Subtotal VALUATION $741.00 $481.65 $64.50 $700.0@ 100 1 $5.00 $1,992.15 $129,000 MTSC FEES $1z610.50 Tota1 Fee $3,602.65 CONTRACTOR: - Applicant - sT. I.I OWNER: KREPS CONST CO IMC RAY 16318543 000236 KREPS CONST CO SNG RAY 1676 CHATNAM AVE 1676 CHATHAM AVE ARDEN HILLS MN 55112 ARDEN HILLS MN 55112 (612) 631-8543 (612)631-8543 I heretry acknoaledge that I hava read' this applicatidn and sta"Ge th-at the inPormatian is corract arrd agree to comply with all appiicable State af Mn. StaGutes a-nd City af Eagan Ordinances. ? 4, ?: (2 r0 APPLICANTlPERMITEE SI ATUFIE ? 1.IX1.? 9Lf.LLI -ISS?? EDB-Y: IGNATURE? PERMIT N REA: T: VATE / CITY OF EAGAN 1992 BUILDtNG PERMIT 681-4675 APPLICATION _4,.' 7Z?? ??d ? StNGLE 8 HULTI-FAMILY Z sets of plans, 3 registered site surveys, I copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest ts made or lot chan e is re uested once ermit is issued. Date /!) 7 yaluation of work } G'd 5ite Address: _IV/ 3 7 Iv' K, Y t2.k /-/-y-t - S7REEi SUIiE R Tenant Name: (commercial only) LoT Y5- 8??? ? SUBD. P. I. D. N`? ?? o ? y -v /'11 a P? Descri tion of work: ??; >a f'n ^ if The applicant is: ? Owner 19 Contractor ? Other (Deseribe) Name Sler=[.- 4 eQ Phone Y s` 7' 3 s"v `l Property . «ST f,RS, Owner qddress yo rK ,,) STREET STE N City Pdzss ST,' guzt- . State ?rr??Zip 's-5`/l3 CompanY Wdl he v"OS S/: ??. ,t'.) c . Phone 6 5 i- S-5-Y 3 Contractor Address /&/ License #2 3 6 4 Exp.a3 341 City _/y.2rJ F") /f'4-t-5 State 1?'•?N. Zip S.s 11 Z Company GQ,•-E 1?t...ye- pt ri4,v s Phone ySy- X5'99 Archltect/ . , Engineer Name e.?e L?..?,? e Regi stration N r Address 7 SiLJ-e,< ,(3'ez-,c. ,(a? City eF A-..> State irr.?; Z i p -5-S"/ ;?- z Sewer 3 water licensed plumber Y w? Processing time for sewer 5 water permits is two days once area has een approve . 1 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 C1ty nf Eagan Ordinances. Signature of Applicant: C' ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation pt 02 SF Owg. ? 03 SF Addition 0 04 SF Porch ? 05 5F Misc. WORK TYPE Uf 31 New ? 32 Addition GENERAL INI Canst. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS ? 06 Duplex ? 01 4-Plex ? 08 8-Plex ? 09 12-Plex O 19 Multi. Add'1. ? 33.Alterations ? 34 Repalr :ORMATION V-N V- N 2_3 M-I fZ - i 36' ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 FSove Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building IL? Ozr'° ? Engineering Yariance REQUIRED INSPECTIONS ? Site 11 Footing ? Framing ? Wallboard ? Final ? Draintile ? Insulatian ? Fireplace Permit Fee Surcharge Plan Review LiGense MWCC SAC City SAC Nater Conn. Nater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Yeluatian: ? Ga,aa.??, ?6x36_ 936 Xi6= 1?9'74 ? NrE 3a?x2? _'136x 12/= I 231? ?. ? 16 Basement Finish ? 17 Swim Poal ? 18 Comm./Ind. O 19 Comm./Ind. Misc. 0 20 Public Facility 0 21 Miscellaneous ? 37 Demolish MWCC System YES City Water YEs PRY Required Booster Pump Fire Sprinkler Census Code lai SAC Code o l Assessments SAC % f po SAC Units - ( CONSUI,TIN6 4N31NEE8S PIpNNERS ond LqND fUNVEYONS NGINEEAING COMPANY, INC. ? 1000 EAST 146th STREET, BURNSVILLE, MINNESOTA 35337 -'-`"------- CERTIFICATE OF SURVEY Legal Descriptlon: "7 Q.s 4 STAFFORD ??? 0.9.C?OTA OLW? /?7/NNES07f1 DENOTES EXISTING ELEVATION (893,o) DENOTES PROPOSED ELEVATION .?.---- INDICATES DIRECTION OF SURFACE DRAINAGE 893- 33 = FINISHED GARAGE FLOOR ELEVATION 889,67- - BASEMEN7 FLOOR ELEVATION 893. bb = TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' ? ?892.5? `892.6` . ?u ? ? 0 , ? f? (N?ST /54.35 I Ln 36,33 v 1893o? lO ? ? I,? 6ARA6E N o ? 5I?J -Ij RAY !(,QEyS C'o.US'7?uc'r?a.? ???K. i79 PE. 75 PH 432-3000 3o i7 FFONT BWLIJ/NC-, .567994K G/NE ?j 2s.oo ?09n, x? J32o,_2i II ? 84i,50 m f T U) ?(893,0? I ?D I 1 0 ? 30.33 iZill C$93. o? ? ri ?lo Yi ? 'Q?' j 6.00 ? ? 4P, to ?, 3/By2,4n \ (893_O-) 156. 57 C93'D? WEST ^ I P ,, \ , // F7^ 4 OI?F,I1NA6E ANd`w? UT/L/TY V ?6E GA 10 ? EAG AN I hereby certify that thie is a true and oorrect representation of a tract of land as shown and describad hereon. As prepared by me.this 3f57 day o] JJL?Y , 19?Z-• ' Minn. Req. No. J6oB5 ai Q ?I W ? ?) .. 7 G, e-Lrl s s MIt14E561-n 5tr;.L }sUttLTriG !;ui, ;[ViS10t! EXTtHYOR ENVELO?t_ AVERAGE "U" GOMPUTATION ONNER SPER' L RES, Si7'[' AOdRE5S .?? ?_.?.£'?'?.2? ? ?? ??.? CONticACTOR KAyK 5?'DN.Si. ppTE 7-31-72 PNONE Detennine workSt,g sGuara, fuotage af each. .l l 1. Total exposed wa?i arra ..... _ 2.z3Z sq, ft.• x ? a 5 S 2. Total roof/ce111ng area .:... sq. tt. x ?U'tl,, _[-??, Y? Total pxposed wall area above floor - 11.0q. a, intat wall wlndow area....,. ...................,. 200 b. Total door area ............ .. . . . c. 7iti1 sllding ;?a5s da^r aree ............ ...... efZ- d. 1'otal fireplace N311 a!•ei........................ -` e. Total wall fra+-i'n9 area (averaye 10%)............. !9?- " Total net watl wrea abave F;aor .,.............. ?/S q. Total r!m jotst area ........................... . }4.f--Z - Total expused foun:lntton area = ZSO . al Coundation window araa..................... 9 i:jdt net fouraJat{en 3rGa above grade .........,,. ,- ( Determine "U" value of eacti wall segment. a-_.__..__?40 x „v ,yd r 9G.00 n. ------'?Z x ?.----yZ----- x ao./ (o d. -' X °(I11 - _ -" ?__ __.-------- -------- r'---- X „Ij.,. f. --- - r?.. 9 x +, 7- 3 ...................... , ,. t;. , Intenh ?,s ct?; ?,i,,;,,,. .•, Total exposed roof/ceiling area w 1?O j. Total skyllght area ............................. b k. Totat roof/ceiling framing area (average lOX)::: 1. Tota1 net insulated roof/ce111ng area....... . Oetermine "U" value for eath r0of/ceiling segment. 3•- !b x "U" .z8 x"U" s'2? Z.??p."•: 8 C21 t. 30 x °un 4 ..................................TotaT . 2? If tatal of 04 is the same as. or.less than 12. you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system me:thod, the vatues esta6Tlshed by the sum of items 03 and 14 shatl not be greater than the sum of ltems ft and 02. 3. Z4G. 3 7, p q ?, + 2. ?-V, S/'f - z.109. 9G - + ,2-70, o ,? -7 0.t y ' . . •,06!23/91 11:19 FA\ [i27 0623 . , . I l T ARL k No. 1 .. =_ 1+REA No. 2 5?cL ?StnCfX Petipnen?l -` i)A. v . ? ? _.?ii:k ido,t 3 FGuaI i?NT10N WiwL ??? • ??? • 'p? u ? i AoOT/CEILINC ? ? !•,1}y {?`+,r ?"? I _....a . ?? SCIIGRER 13R05. ... r[edber?2nd Plr 91002/003 /UtEp 'PlPICAL WALL SECTION "R'f 1. Interior Air Film rT-X g 2. Interior liallboard 3. Insulation k. Extecior Sheething 1 o U g. Exterior Siding .21 R 6. Exterior Air Film ?r? 1 Total STUD & t{EAUEB AREA ? Total Area No. L ,???? Lese Insulacion "R" Plus 3h" Softvocd 1= U Total 7.7g U =_,.L,2„ ? RIM JOIST AREA • -0 ' 1, Interior Air Filrn 2. Insularion 3. 1k?? SofGwood i ? 4. Exterior Sheathing ? 5. Exterior Siding 1 ? U 6. Exterior Air Film .19 A ? 'fotal i,.,??I, u j FOUNDATION WALL AREA 1. Interior Air FSlm vz 3 Z, Insulation • 3. Insulation ($lock) J•? 7 a ? 4. Exterior Air Film .K ToGal ,/3*au °'Q ROOF/C6ILINC ARCA j, Intcrioc Air rilm ?Q z. 7necrior Wall6oarC f, '). Insu1:iCion Al>c-fb 4. L;xI.Crior Alr PSlm (Still) Ta t81 F. CITY OF EAGAN • 3830 PILOT KNDS ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 ?"L'?B?'NG PE??? FOR CITY USE ONLY PERMIT # RECEIPT # (' O :? 1 14q?i DATE: l6W 9 Ic1 Y PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- - WORK DESCRIPTION NEW CONST X ADD ON _ REPAIR OWNER NAME: ?C•LU V_YePS cms+' Cc ?- SITE ADDRESS: LOT:'14p?' BLOCK Z SUBD. t ' INSTALLER: ADDRESS: '"IZ IO ZAGI'ta V\1 CITY: JZIP: ?'?3Co ! ------------ CONTRACT PRICE OWNER NAME: SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: PHONE #: FOR: CITY OF EAGAN ZIP: ---°-------------------------- COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 3 WATER CLOSET 3.00 a o -5 BATH TUB 3.00 3 LAVATORY 3.00 ! KITCHEN SINK 3.00 3.ao J_ IAUNDRY TRAY 3.00 3•? HOT TUB/SPA 3.00 1 WATER HEATER 3.00 3.? e_1 FLOOR DRAIN 3.00 ? GAS PIPING OUT. _J_ (MINIMUM - 1) 3.00 ?•dn _ ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: ( S I GNAT[JRE ) $ COMMEM I{?LfINDiTST&IA3.3? PLEASE COMPLETE TRIS PORTION FOR ALL CONR4ERCIAL/INDUSTRIAL BUILDINGS AND -----MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CTI'Y OF EAGAN cITY USE ONLY ?v L? B MECHAHICAL PIItMIT RECEIPT #/d 574 SUBD. (612) 681-4675 DATE, /? -09 9.0- , RESIDENTIAL PLEASE COMPI.ETE UPPER PORTION ONLY FOR SINGLE FAMILY DR'IIddNGS. AI30, COMPLEfE FOR TOWNHOMFS/CONDOS WHIIV SEPARATE PERMII'S ARE REQUIRED FOR EACH DWELLING UNff. OR'NER:GFG f/'ifI'.2 S Erl ADD-ON A/C ADD-ON FURNACE ? SITE ADDRESS: q, ,3 /(/ew /iC/k -c ADD ON/REhiODII. (E7IISTIIHG CONSTRUCI'ION ONLI) $ 15.00 INSTALLER: HVAC: 0.100 M BTU 24.00 FHQNE _#< 7.3 (F5;Y(p ADDIMQNs% S!I M B'!'[J E.00 ADDRFSS: ?L?u ,rcGN?/?f GAS OUTLEIS - MIIdIMUM 1@ $3 EA. CTlT: ZIP: SURCHARGE $ .SO SIGNATURE TOTAL: $ I-d / NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAIJINDUSTRW. BUILDWGS. ALSO COMPLEI'E FOR APARTMENT BIIII,DINGS OR OTHER MULTI•FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR FACH DWELLING UNTC. WORK DESCRIPTION: SITE ADDRESS: TENANT: SiJTI'E #: INSTALLER: ADDRESS: CI1Y: PHONE SIGNATURE: CONTRACf PRICE I FEES 196 OF CONTRAGT FEE. STATE SURCHARGE LS $•50 FOR EACH - $1,000 OF PERMTf FEE. $ a hIIPiIMUM FEE - $25.00 TOTAL: $ CITY SIGNATURE YAW City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4137 New York Ave Lot: 45 Block: 4 Addition: Stafford Place PID:10- 72500- 450 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Applicant/Permitee: Signature PERMIT City of Eaan Construction Type: Occupancy: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. 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. BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Owner: Lee J Sperl 4137 New York Ave Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA087917 01/06/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA168458 Date Issued:04/21/2021 Permit Category:ePermit Site Address: 4137 New York Ave Lot:45 Block: 4 Addition: Stafford Place PID:10-72500-04-450 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - Jason & Jocelyn Steere 4137 New York Ave Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172343 Date Issued:09/27/2021 Permit Category:ePermit Site Address: 4137 New York Ave Lot:45 Block: 4 Addition: Stafford Place PID:10-72500-04-450 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Jason & Jocelyn Steere 4137 New York Ave Eagan MN 55123 (651) 402-0047 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature