4251 Nybro Lane NCITY OF EAGAN
.UN 6th ADDITION Lot 7 Rlk 3 Parcel 10 84355 070 03
screet 4251 North Nybro Lane stace Eagan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Oate
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 1973 161.21 $.04 20 • C010420 -2 - 5
SEWER LATERAL
WATERMAIN
WATER IATERAL
WATER AREA 19]] 162.14 11,w $-. 06- 15 64.94 " if
STORM SEW TRK 17.94 l.5 125• rj
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 51075 4/22/85
WATER CONN. 500.00 if of
BUILDING PER. lOl2rj
sa,c 525 . 00
PARK ?p (o
Sita Addren - - - .. . _. . _ _. , . . .?. .. . ...o,.. ....
Lot Block ? c.c?cub. I7.i, ;; ?:?? f, i•:?? Remodsl ?
Repe
Parcel No. i? ?
Enlarge ?
•F:.?o+ie ?
W Nsme Dsmollsh ?
? Address Grade ?
City Phone Inatall ?
Zoning
Type of Const.
No. Stories
Length „
Depth
Sq. Ft.
a Name U l'1L
?u
Address
/lssessment
City Phone Woter 3 Sew.
Pol ics
??,,,°C,W, Nane Fin
xkg
,j Addrea Erq.
W City Phone PIanrNr
Council
( hereby ocknowledpe tFwt 1 how reod this opplicafion ond srote that gld9, p{f, ??•' -? - ?
A?
the inlormotion is corcect ond ogree to comply with oll applicable
Stote of Minnesota Stotutes ond Ciry of Eoqcn Ordinnnus.
Var. Date
Permit
$urtFwrge . 1 0
Plen Review. `O
5/1C ' 10
Wotar Conn. JQ
Water Meter i. U O
Rood Unit
- , a 0
Total
Siqnofun of PemwftN .?z ,_ I
A Buildinq Pennif is issued to: ` '? LNXA D,',:, PMENT C: ?-Alti-
oll work sholl be dorn in accordante with oll
9uildinq Official
xprs
'a Stotutes ond Gfy of Eopon OrdinoncK.
C17Y OF EAGAN ? 1 ?5-
3830 PRot Knob Road, P.O. Box 21•199, Eagsn, MN 55121 -
PH ON E: 45481 b0
BUILDING rERMIT Receipt #
Pwmh No. Pormk Holder ` Dab TNe hone s
Plum6inp -?b YJ I J D C
H.V A.C. l%,?-?' -4,Q,? 5I
Electric 35 a? I, 3
Softenw
Irqpsetion Dan Insp. Qeha
Footinqs
Foundation
Fnminp ?
Rooflnq
Aoug, Plbg.
Rough HVAC
Inwlation
Final P16p. .- ?
Final HVAC
Final
Cwt/Oea ,y
Wsar Describs Locstlon:
YYsll
Sorrer
Pr. Disp.
.> . .-
Receipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee,
fiH in numbered apaces SfC
Type or Print /egibly Tot.
1. Date 2. Installation Cost '
3. Job Address Lot Blk. Tract
4. Qwner --z--,.._.,.l ; =:?.?..,..
5. Contraccor ' Phone
6. Address
7. City State Zip
8. Building Type: Rasidential 0 Commercial ? Institutional ?
9. Work Description: New O Add ? Alter ? Repair ?
10. Desaibe Fuel Type •
11.
No. Equipmept BTU - M. Ea.
Foroed Air No, EQUiament CFM
Air Handlin
:
Mfg. y
Boilers
Mfy. Mech. Exhaust
-
Unit Heater
Mf9• Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. t hereby certify that the above information is true and corcect, and I agree to
comply with all ordinances and codes governing this type af wask.
Signad : for
Rough Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 464-8100
Receipt PLUMBING PERMIT PKmk No.
CITY OF EAGAN
Fee
- `
? Fill in numbered 4mm S/C
Type or Prin[ lagidly Tot
1. Date ?
2. Installation Cost .
? AJ
3. Job Address -" ' •' iE ? Lot Blk: ,
Tract
4. Owner .. . .. - f • , -
5. Contractor
Phone
6. Address . .
7. City ' State • • Zip
8. Building Type: Residential'C7 Commercial ? Institutional O
9. Work Description: New 0 Add O Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
i
l/Dr
field
' Bath tubs poo
a
n
$e
ti
T
k
Lavatory p
c
sn
Sohne
Shower r
Well
? Kitchen Sink
Urinal/8idet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gaa Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinance and codes goveminy this type of work.
Signed : -,._ . ; '; %..;
for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
OF EAGAN
Pilot Knob Rued
Box 21199
i, MN 551'p21
_" " GlA
Address:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: No, of Units:
I e,m co emPe, wbb w. cir, of Be,e. c«awrio?? aarge:
OAimnoa. AcwuM DePOSit: -
Parmit Fee:
Surchoros:
BY Misc. CMrpe: -
Dote ot Insp.: 7afal:
Ingp.: OaM Pnid:
Run
00
L..r__,.-
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road ? ?;_, ?
P. ?1. Box 21159 PERMiT NO.:
Eagan, MN 55121 D^TE:
Zcxnino- --_ No. of Unitr 1
Addrcss: 4251 I1o N bro Lane L7 B3 W%ldernes, Ru 6
Metar No.: Connection Chorge: YvU • vu
Size: Acoount Deposit: 15.00
Recder No.: Permit Fee: 10.00
1mgm !o aomPhr wiMr !IN City of Eegan Surchnrge: .50
ardinoneas. Misc. Charoes: 132.00
Total: 6 12
gy Date Paid:
Dote of I nsp.: I nsp.:
ICE P
ER ERMIT
CITY OF EAGAN V
WATER S
3830 Pllot Knoh Road
Box 21799
O
P pERMIT NO.:
.
.
E$gan, MN 55121 DATE:
,
Zoniny: No. of Units:
Owner:
Address: `,
Site Address: ?
-, ., •, r-
- - - ' -
? , ;
-
umber.
.
Meter No.: Connection Charge:
Size: ACOOUM Deposit:
?eoder o.: Q? L a2 0.? ?.3 Permit Fee:
1son h ao"Ply wi1M !he Ci1p of leyan SurcF?arge:
Ordiwe Misc. Charoes: ?
TotaL•
B ?
Date Paid:
y
Date of Ins
P??
(
? ^?•:
CITY OF EAGAN N2 10 1 2 5
• 3830 PiIM Knob Road P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100 S! b 7?
0UILDING PERMIT Receipt #
Te M msed 1ar SF DWG/GAR Est. Value $66, 000 Daee APRIL. 22
SiteAdd?u 4251 NO NYBRO LANE erea ? occuF,ency R3
Lot ? Black 3 ?ISub. ?^1ILD RUN 6TH Remodel ? 2oning Rl
Parcal No. Repeir ? Type of Conrt. ?
?
W
?
?
f
Enlarge No. Stonee
ROYAL OAKS DEVELOPMENT COR?ove '' ? Length ?-
Name Demolish ? Depth 4$
pddras 4801 W 81ST., STE 102 crade ? sq.Ft.
City BLMTN phone 831-5330 Instau ?
Apprsvala F•as
Name 0?•+?
Addresa
Citv Phone
Name
Addrese
City Phone
1 hercby xkrowledpa that I have d this opplicntion cnd stote thae
the inlormation Is conecf and ee to?canPl oll oPVlicuble.
Stafa of Minnewta Statutes a of Ea rdinances.
Siyioturo of
A Bullding Permit Is istued 10: ROYA OAKS DEVELOE
oll vrork sMll be dona in accordance with oll o 'ooble Stat of n
Buildlnp Of(iciol
AsSessment
Water 3 Sew.
Poliw
Firo
Enq.
Plonner
CounNl
eidg.ar.4 22 85
APC
Var. Dato
Permif 331.00
Surchorye 33.00
Plan Review 165.50
y,C 525.00
Wofer Conn. S_?..9 0
Woter Meter 63???]?..D 0
Raad Unit _J1
T.P. $1,749_50
Total
1' CO an tM sxvrea c«dinon thot
Statutea ard Ciry of Eaqan Ordirancas.
5t O? ; QUEST NFOR Elo.Como'C?i? mN?«CT «i Omct of velto., coar.
i
8'506 4 "X*' 8e/ow Work £nveied by This Request
EB-00001A/
5'15'g 7
Add Rep. TYPe oi BuilGing Applian[es Wired EquiVmenc WireA
Hwne Nange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Etectric Heatin
Comnercfal Bldg. Furnace Sllo Unloader
InAustrial Bldg. Air CorMitioner Bulk Milk Tank
Fam OUe. neury Oiher ISnecifyl
t r pecity Orher Oihe,
FPB RP.IOW
p Fea ServiceEMranceSize d Fee Faeders/5ubfeeders H Fae Circuits
/ 0 to200 Amps 0 to30qm s 0 to30 Am s
Alwve 200 Amps 37 to 100 Amps 312 100 A-ps
Swimming Pool Ahove 100-Am - Above 100_Ampr-
TranslortnerS Irtigation Boorrs Partial.'Dther-Pe
Inspec!fon
? L T, the ?4ect?a I
?0 Inspector, nemby
certiW that the above
'?so?iion Iras been
This reQUest wid 5 t? Q 4
18 rtpnths from I
635 flR 4 L? B3 1...?; l?r A.°c.,?b
5 ?5-85
5?
Nequest Date -
3-_
?? Fire No. IioupA-in Inspeciion
?q
'
ec-
?
ReaAYNOw?or'IWh
n'R
d
?ryp
Yes y
e
ea
MGC?nsed Elechic?l Contractor . 1 hemb? r ?
aprest inspection of above
Owner eleetriwl work imtallad at:
Sireet AAdress, Box or Noure No. CitV
:-
ecuon o. Township Name or No. Ringe, No. County
0,9 z or1V
Occupnnt IPIiINT) Phone Nn.
Power Suppiier Address
caT /v O&2 10 2
Elecirical Contractar (COnpanV Na 1 ?. Contracto 's License No.
o Ll? 7
Mailing Adtlress ?COntractor or Owner Making Imtailationl
AuMori 5 nature ( r lor/Owner Making Installationl ne Number
YIN OTA STATE BOqRD OF EIECTIIICITY THIS INSPECTION REQUEST WIIL NOT
Griggs-Midway eldp. - R. N-791 BE ACCEPTED BY THE STqTE BOAND
1821 Univsrsity Ave.. SL Paul, NN 55104 UNLESS PNOPER INSPECTION FEE IS
ENCLOSED
.
VMm. /6121 2972111
I 2$.ZS
RESIDENTIAL
gUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstrudion ReauiremeMs
• 3 regislered site surveys shovrirg sq. ft. of lot, sq. ft. of house; and ?II roofed areas
(20% manimum lot caverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, elc.)
• i sel of Energy Calculatans
• 3 copies of Tree Preservation Plan'rf lot platled after 111193
• Rim Joist Oetail Options salecUon sheet (bldgs rrith 3 or less unBs)
DATE
g/ 1 "
RemodellReoair Reouirementa
• 2copiesotplan
• 7 set of Energy Calculations for heated additions
• 1 sile survey for ezterior additions & decks
. Indicate if home served by septic system (ar addiUons
VALUATION So i o -00
SITEADDRESS gZSt t?luhc-o L2ne, f,_1 MULTI-FAMILYBLDG _Y _N
TYPE OF WORK -7/ h -P-\oct? 4- g i 0 1 nQ FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT --T'aChe r?? ihoc?-??r?c?
?
STREET ADDRESS 4Q c?) c--?k L7fNc??t) r`-?I v Cl. CITY STATE_ZIP
TELEPHONE # -A%4 14LoLo CELL PHONE #
FAX #
PROPERTYOWNER Q_2o TELEPHONE# `?52 SqqS
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.F.S 7670 CATEGORY 1 MINNF.SO'CA RUI.ES 7672
(J submission type) • Residential VenElation Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
Air CondiRoning
Heat Recovery System
Phone #
I hereby acknowledge that I have read this application, state that the intormation is correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
_ Water Heater
No. of Baths
Lawn Sp e'r ?? t 6
No. of R. 13at?s
T
Fee: $70.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
L -7
SU80.
CITY USE ONLY
BL ?
V)ILr,nk?-SS ?rh ?-
RECEIPT q:
RECEIPT DATE:
PERMIT # 14 `"7CJ I S
8000 PLiJM$IN6 PEi.MTP (RuIDENI'IlkL)
crrYoF ensM
S$SO PII.OT KNOB RD
EA&kP,1NN 551 EE
651$$1-4675
Please complete for: ? single family dwellings '
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH
#
TOTAL
Alteretions to existing dwelling - minimum fee
Describe:
$ 30.00 ?
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Ga5 i in outlet " minimum - t 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ I
Laund tra 3.00 x = $ I
Lavato 3.00 x = $
S2 tic S stem newlrefurbished 're uires MPC lic. 75A0 X = $ !
Se tic S stem abaneonment 30.00 x = $ (
RPZ newinstallation/repaiUrebuild 30.00 X = $ ?
Rou h o enin 1.50 x = $ I
Shower 3.00 x = $ ?
Under round s rinkler if dwellin is under wnswction 3.00 x = $
Under round s rinkler if existlng dwelling 30.00 x = $ i
Watercioset 3.00 x = $ ?
Waterheater 3.00 x = $ I
Water softener If dwellfng under construetion 5.00 x = $ I
W ater softener if existin dwellin 30.?0 X = $
Waterturnaround 30.00 x $
State Surcharpe .50 -> --> --> $ .50
Total > .w? g
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- ----------------•--------------•-----• ----------------•------------- ? -•--• • ---------------------....-----------------------• •------------..
I hereby acknowledge that I have read tliis applicadon, state that the infarmation is correct, an0 agree W comply with all applirable Ciry of Eagan ordinances.
It is the applicant's responsibility la noti(y the proparty owner that the Ciry of Eagan assumes no liability fot any damages pused by the City during its normal
ope2tionai and maint6R8nt@_aEtLVi4e5 to lhe faclli6e5 consVUCted under Nis permit within Ciry propertylrighFOf-way/easement.
SITE ADDRESS: cno, wEi I
4251 NYBRO LANE NORTH
_ TELEPHONE #:
OWNER NAME: : EqGAN, MN 55123
-
INSTALLER NAMr. (651) 452-8995 TELEPHONE #: (a,Rea cooe)
STREET ADDRESS: (AREA CODE)
- MDRBl.4Md1 PIdIMB1IdQ GA.
cva?-"ae RS: _ •+.i?r?...
\C 16} O?!`-?h:Y
CITY: STATE: ZIP:
? MINIdEAPOLIu, MN 5540o
SIGNATURE O• ERMITTEE
k
INCL UDE 2 SETS OF: PI:ANS??
a
`Ra
3 CERTIFICATES OF S
URVEY'
? 1 SET.OF ENERGY CALCULATION3 ?•, -;
00_;. a
To Be Used For: Valuatione ?Cv,G?X7 "Date:
Site Address: 0 •N }pr-p 1--G n O.FFICE USE ONLY
LOt: 7 B1 0Ck ? Sect/SUb
Brect
Occu anc
P Y
Remodel Zoning
Parcel A Repair Type of Const
Enlarge U of Stories
Owner Move Length
Demolish Depth ?
Address Grade Sq FL
' Cit
/Zi
C
d
y
p
o
e ------------ -_ ----------- - ----
Phone APPROVALS
Contractor Assessments Permit 331.? -
Water/Sewer Surcharge 3 °=
t Addres Police Plan Review 15. So
Fire SAC S'LS,a=
City/Z Engr Water Conn 50D,°-°
Planner Water Meter (0
. Phone Council Road Unit -
Bldg Off •11• Parks
Arch./Engr. APC Treatment Pl 32
Variance ,/ ?• S U
Address TOTAL
City/2ip Code
Phone 0
Z(o xS 4? 5'59 C'b
Z2 ?? 22 = ?6 4
A ,
& 5 '1 -) 2
MINHESOTA SYATE E:IERC
LATI
• 1983 EDITiON
S3 tZxa
3663t: $ __?
Suildinq Classification: Type A1 (Sing]e Faaily & Ouplex)---,V.,_7ype A2 (Residentiat?
(3 stories or ess
(Other) (Over 3 stories)
iENERAt INFORMATION CL.
1. 8uildfng Perimetar ft.
?. Wall height (ground ta eave) 14, /2 ft. '
2 3. 1. x 2. (above) gross wal l??g? ZZZS, 53 ft. { ra•?
3. Building dimensions (L) 42- x(W) 2 S, r .?_ft.2 roof S floor area
S. Square fcot area of rim Joist - F1oor jai:; size (2 x 10 ? )
? x Perimeter = Rim ?oiT rea ¦ 9,43 ft2
T- ? .
6. Ooors - Area Gl?, O i- PAtk? bR - 9?.eb Thic ness n. U factor Type of Canstruction -7erimeter ft.
. Hanufacturer
7. Total door's perimeter ft
8. Nirtdo++s: Manufacturer State approved
U factor
TYPE SIZE AR-'.A (f;.2) "IUMBER QF TOTAL fEET Z
' EACH UNITS
Gl.t rr?1'C 2tx?o (7 , rD a • 2 3?- zo
" ?x I A.G o I 1$. 6o
' 16 x?G 10.9o 2 2, o
? 14- x 3to 157,60
I
?,Go
2d x 48 I-7•4Z) I t7,vo
2-20
x 3Co
?lo.so ?
Z6_so
4A1 f cs,ti' T. ?sf - -7o s8 ss, ra
g. Toial ft.2 G1ass '40
101, Fire la ; Z
p ce area. W dth x heiaht 2 ? x = Ft.
11. Expased foundatian: Height x Perimeter, ' x lo Ft.2
')MPtETION OF THIS FORM IS REQUIRED FOR ALL PZEti COPISTRUCTION. {MAJOR REta00£LlN6 AN0 BUILDINGS BEING
1JY;D WHERE EkERGY, OTHER THAY THE MINIMAI CODE ALLQFlAttCE. IS USED.
• . . ' ?
1 2 ! 4 S
il .
t
?
ii f? ?????? II IIlrt?l H IiLtc??1 il IIF?;II II Ii?I N I
_ k.
; - ? .
_ :. , , ._ . ._
Y
_ *
;:t:l.Mr, dI ri
CeiTinq , S(o
?. 0.17
.
R 'JALUE
CciLiraG
Irtside air fflm 0.6 7
C@111Rg
Jatst (stud
Iasuiatiart Air Space -"-
Rocf Qetking
Insulatfan -
Buf I twp roor
OUtside air .ft1m 0,17
TataI R .
Ra U
ttratzon .5 cfmllineai _Paot of cr.ack • s door infil tratiert 0.5 Cfrrt/Squ1r2 feot or door artd minirmJm code requirement
:iaT doar infiltratien 1I.0 cf'.n/Tineal :aat af crack
:rate bTock na irtsuiatfen =.47 R 2.1
::?ete biock insu;ated r.ores =.26 R 3.8
it'wefcht biock ? .32 R* 3.1
?tyeight block irtsutat_.d cores =.TZ R 8.3
ss = 1.13; wittt starm wfndaw .54 ' .
ss 2 .55 ,
.
.
?
. a.61
-? . /.
,
r
CEILING
;.
air Film . Q.b1
Insulation 3?, Qp
i i
JO1St ; .
l?ir Film 'Q.67
TataT 'R 3?. 7S
T
U ' T
? ar acaF a? c,?r???,az cZ*LrNc
K ',la ue
F1L;?•tiPlG ;
s?
?? •
•- • d27
i
1L . .
',CTION
ShEATN t N4a
UVALUE
. ?z
?aside air film .68
Iateriot wall
Itssulation (3,0?
Shesching (P, O2j
S id iag
Outstde atr film ,17
R TO'TAL 2 0, 17
L'D
CTZOIi
.68
s+5
Ra 4.38 '
40.40
(Framing)U
statng 4-7 : .
oucsiaa afr fflls .17
Inside atr film
Iateriaor vall
4" scud
Sheathing
& TOTAL (
) WALL
:ZZON
Iastde sir tilm R= .68
Iaterios wall
-
Insulacion (Wall ) t
She ag ?
Ext:rior wall covering
Exterior iir filla 8 ..17
R 'fCTAI.
:ST
Sheathittg (0,00
Exterfor vall eovarfng ,4,7
Exterior air film R. ,17
. ?.
8 TOTAL -2g. 4-D
Interior sir film R= .68
InsulaCion 11.00
1h inch soft wood R=1.88
(Rim
Joist)
m'4minq asea a lOX of gross wall area.
ross wa1't area_. 2225, S?
Endow area A a0 ft.2
t
'm joist area A ft.2
2
ior area A (0603,0 ft.
TlD tirL,
a 4.0, av tt. Z
;posed foundation A ft.2
,aminq area A ZZ2,?? ft.2
:t wa11 area A 1442-,/4- ft.
(13s)
361
ft.2
U wt ndows =, S_ Z U x A
U rim Joist a , 03S' U x A
U d0or dred = , r:1 U x A
. ±7 U x A
U foundation s • ?4- U x A
U frami ng area •.68_ U z A
Uwall = •04-? U x A
TOTAL . . . . . . . . . . U x A
ooss wa11 area x 0.11 (A-1 single family & duplex ¦ atlowable U x A/Code
(I3. abave) .
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
Z22 S? S?, x l! coae. , l1 =
Iling framing area (Ag) equals lOZ of ceiling area
BTUF! Must b
v or, 138 ab
{ or the s,
nss ceiling area ¦ (L) x (w) • 11
ist area (Af) a 10a csiling area a 111 ft.2
?t ceiling area (Ac) (15A - 158) • ?DOo ft.2
cei 1 i nq x A c_ lOD,p x a!?`z S = ZJE;'
framing x A f= x = 3
?TAL U x A ... . .. . .. . .. ............... ............ . 2S, 0
?iling area (15A) x 0.026 (A-1 sinqle family b dupTex - code alIowable U x A
x 4.033 (A-2 other residential)
,. n nt !„•UsM1
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCI'ION
? ADD-ON A!C
ADD-ON FURNACE
DATE I-L-12
k'EES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
qDD-ONJREMODEL (Ex15TING CoNS7RUCI'I0N)
STATE SURCHARGE
TOTAL
SITE
OWNER N
INSTALLER:
"/ 9,5) /, y .ljrv `A,n C
$ 24.00
6.00
$ l5.(10
.50
v, v?, t'v er-ve
o'I'a,\ k
d W
CITY: 6 6 '`
TELEPHONE #:
,?.
ST
TELEPHONE #:
d
ZIP CODE: ?S YZ
1993 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
1993 MECHANICAL PERMIT (COMMERCIAL)
CTIY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR AL.L COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDIIVGS OR OTHER MULTI-FAMILY BUILDINGS W'HEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DATE: CONTRACT PRICE: $
NEW BUILDING
IN`I"ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CZ7NI72ACT FEE $
PROCESSED PTPING: $25,00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF I'EK1tiMiT FEE.
TOTAL $
SITE ADDRESS:
OWNbR *IAIvIE: TELEPHONE #:
TENANT NAME: (1MPROVEMEN7'S ONLY)
INST
ADDRESS:
CITY
TELEPHONE
STA'TE: ZIP CODE:
S]GNATURE OF PERMITTEE ''T'rY INSPECTOR
1
?
C I
2/84
CITY OF EAGAN
?
APPLICATION FOR PER'KIT
SEWER AND/OR WATER CONNECTION
(PLEASE PRIHi)
1) PROP?'?7IY ACDRFSS: '-> Z 5-( na )
T_FPsJT. DweGRIpTZCV: L 7 'A ?.., , i A 4 r
(Lot/Block/Subdivisicn or Tax Parcel I.D. Number)
? I'r' EXZE^_Z:G S'?'RL'CP":2E . DATE 0F ORIGi IAL rJILDL:G =-ST ISSu.?4.NC::
_ea--;
FPFS?.'?' --.^„7rr,/P??,OPOS-7) US: ? R-1 SiNGL: FPySLY
? R-2 DUPL..z'Y ('Ih'p UDIZTS)
? i2-3 ZY'iS•.171C*rcg ('?`I?p.EE + L':IZTS) ( Wi I^_'S)
0 R'4 APARTU7--V?/CCi'Md,!DNI-.ni'1 ? ?IITJ)
? CC}AME:CTAI,/RE:'AIL?OF:'IC::
?.'nL'ST:2L?I,
?
? LVSTIT'G'TIOVP.L/GGV'EERNME ;`'T
2) APPLICc.DiP (PLEASc PRINiJ
,?
NAME:
ADD.RESS: T)F (-qk,?. _L C•?•1?
CTI"i , STATE, Z IP : L f. P? 7 w G;' ` IV1
PHOLNE: ?5 3y 3 S G
3) p?,?T?v
N71ME ? -?
(PLI1SE PH1NT) FOfl CITY USE ONLY
: ?y It.. r ? i? 11
A Z
ADDRESS:
210 'sJ 17t (- aa
) rj.?fl ?rcl4 PLU46ERS LICEVSE:
, Attive
?
CITY, STATE, ZIP: { F ,i A?c; S µW, Expired
- PHOVE:
- Not of Record
%53-?-13)% PLUNBER LICENSE N 1?l -
JL??r flltl3
`tl I.C.L:uY.q?`1'1'/(7vNER ,.-y
NA 1rLcH3c rniniJ
??: ??'c,?Al ?,q15
AUDRESS:
CPI'Y, STATE, ZIP:
PHONE:
5) INDZCF,TE :VHZCH PERMIT IS SEINC; REX7UESTID;
? CONNFl2I0N 'IC) CITY SE.Tr1ER
? COA'NECrION 'ib CITY WATift
? 071E12 (PLZASE DESCPSSE)
. Q PLE.A.SE I?OID APPR()VFD PIIZMIT EbR PICF:-L'P BY ONE OF ABCCVE
? PLFASE ?*',,II?APPROVED PEP.LIT'I'J 1, 2.1,?r 4 PBOVE
, ' . r? (Circle one)
7) SICnTL`RE: DATE: - -
???7 G
-< .. •
??l qiliAlY.IO ??? ? lYgft? ! i I? fia-Y?? !? ls i MFS?i:IY a! f!l1f.llfl? ?!???F!OFiaii? r
F O R C I T Y U S E O N L Y
PERMIT °- ISSUED
I __1
FEES: $ /l7 50
y
$
S
S
$ l S' C?V
$ I 5. vi
$
Soa. o?
$ cl7
$
S
$
$ SE71L.U. n?=TTy II?I(,LJLL JU.U.4T"!ARGGI
WATER PERA[IT (IiJCL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:vER TAP
?I`.?.?.....,T,' _^???? ?- ??
ACCOUNT D.F.pOSIT - WATER
whc
SP.C
TRU'VK WATER ASSL55MENT
TRli.dK SEWER ASSESSi1E:iT
LATERAL BENEFIT/TRUNK SE?dER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ CJz AP10UtiT PAID; RECEI?T
D0:5 UTILITY CONNECTION REQUIRE EXCAVATIOId IN PUBLIC RIG'rIT OF WAY?
7_7 YES ZF YES, THEN A"PERMIT FOR WORK WITHIN
S r PUBLIC ROADWAY" MUST BE ISSOED SY THE
NO ENGINEERING DIV:SION. LIST AS A CONDT-
? TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117277
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4251 Nybro Lane N
Lot:007 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jayme Meyers
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Wei Cao
4251 Nybro Lane N
Eagan MN 55123
Bayport Roofing And Siding Llc
10 South 5th St, Suite 700
Minnepolis MN 55402
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature
11/1612015 11:31 9529857?38 ALL SONS EXTERIORS PAGE 02/65
'_ Use BLUE or BLACK Ink
. �---------=—�- 1
r I For Oiflce Use �
� � ---- � ����, �
• � Permit#:� ���/!l1� IC �!�✓
C��� O� ����Il RECEIVED , ' ��.�; � (I �� ,
I Permit Fee:
3830 Pilot Knob Road n � 4 ��
�agen MN 55122 �V � U 20� � Date Recsived: �
Phone:(651)675-5675 � �
Fa�t:(651 j 675-5694 i Staff: �
������.��������.���J
� 20'15 RE5IDENT�AL BUILDING PERMIT APPL,ICATION
Date: Site Address: Unit#:
„ea;r:y� �strt����•'�t,";+ '
�"�,����yj�,�,�l:d�y;i���N�!�!v%i:,'we�u:nr�r�:ii l
,�,�;��.i���f;;.;.�, �y �u��'•'�,r��;Y . Phone•
�Rn+�• �'�;�"r,;,�;e��i;i�:ih.n�,� nds� ame:
i�1in��f�F'�i'<. 7'y�?i;rii„ �'�i�r....M N �Vl�
wni'5.�� ��:y•
r� x y :F�'i. �
.na��r �yp/,� �>•�:;°:'
t:469UlpVa���f'��Ol.Y���x!4.�.1'��
11�:'�j�1N+Ge14 J���{� I nt'�ir$"��` A
�.',�!��•"ra'i t ' 1���,�1�,tw�<•��;�P Add�ess/City/Zip:
�i�'ii"1��n ,� ;; ... �����.��
�;,� j. ",}'�;:"1i'4i�.,��r Iy+Y:�'�.�! �
'�`�'�'�'a���c r,:;;,,}.;�}�„1�:.•^q�Ao�•:o:R,�.
;ki:3i��ey.a:�*,`aa.�i�l��r:i�mi�!ioaii�j�a�"'�iii o
':�^;,�a�N;;�;v"r;�;:"�t;�w!��;s���.���s�� APPNcsnt is: Owner Con#ractor
��i��:i:�;;�� , �p...�,.'�d�'Rn,i�.>:a: ^\\
i:r•ai�i�x. �i��°l�!EtBiSce�C�pf.r P.'ji.x�4{S. 1 ' ,� { \^ /� 1,� 1� � 1�
i •i:IhN14.� �'-00�(al: )I 1Ntl V• wr , \ /�/ / IiC �
..y�����`;�1� C+�A'�flN1Pil"li:,•�'� li'yl Descriptiono�fwork��`��./�/ / �(r— �
aH ti:t.l�j ''Y•7
r.�; I a Jp t7`� ta
;n,�r.��^ �i�.^ap�.
;.us.�.i..,aa�r M�itii'��•!•�r.,
:�•.a�w an::•u;ini.�.r,. uc ii.�.
::'S;fyrw:�•oly� .v:r.�l�;rc��:ni�nCi�l�r"�'�.
,,;;;„p;+�;.�,:,;,�;.,:,.,���.,,,,•, ••;,:;E, Construction Cost: �i .� Multi-F�mily Building:(Yes /No_)
�,���,,,,:;.,r>
!;4S(k.`•iti%tii N>�'..:w�m,;�:,..e,:b ,�
1 i��;?V:',hRtt��o�,."^�� od��• i J �
��q»,v��:� '�Lt����:7Ni:'9�:�i[�n�� �
^,���'!�' "°"�� r�•�����`�' Company: \OS Contact: o.
� �:g., !I'�%,eu�;s3iiYu�du.i�' i•n n.
��?.�.r,"mi:y;i... n�rr.re:•.�az:i%���.��..�c1
�V�u:i..hi� �r�t�t11 h^.AFIVIfI �
�auj�� ��va.��a�.i�i�+�ar�;vhp"�iii�m"�,p Q_�
'nenv,a.ur � �y ury dq,..,ry� � p `
Vi'li4ryxr,,�o'u�r:r I$ 1,Vf+linY'"�j� `�J A
r. i �;..nv�'y'o'� � �✓V � �� Ci� Y`r {.r�, 1, /
;�YWiI� NI:�.., 'i;N% �op r{�wi� Address: �• .
�,::a.ii.'�'if'�� ..n+' ��.� '.
I�• f•��: Ink�ia�r: • /'� r �/���
tY:I. p � y h M 11`. .��A � '�► �y� /� �^�'\.�/�� �' {.J�
��J�Qi��,`'���"��:��:k, �.�� c� Phone• - �Erha��: AI(�r►S ��l"
tCel'0 1� IXI. y,4iu`�Itii�"�m re�• ��i� "'7 'i e',("�"^I^ J \l�Y�' w
(�tM.n•.� 1`174� li 14 1��.i — _
di':r�r e4isr�"e.2:.. !4"�%U'�y�����"�g nf •S�atB:�,zlp: ✓
'�iS�ie�n;,nobi5��p�'r��in,i4r��:,rMoyii�i�r.�a•"'°:°�i ri��
?- '�;'�":��;;:ili::a,e:•cw-i,ur,:b,hi�'1
4'�^�,�+,?3�ii��i,a�ii.c;��a�:iy'i:�;?�;!oK'i�iw)��'
, ;.
:;1.:p�::`"!i,re�;n�55�!:�;'��I}�';Jo�:;�,1''9ay:,"�n�iw �icense#: Lead Certficate#:
�. • �7�,�...:,�r
If the project is exempt from lead certi�cation, please explaln why: �/�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,haslhe City of Eagen Issued a permit for a similar plan based on a master pla�?
Yes No If yes,date and address of master plan:
Licensed Plumber: • Phone:
' .Mechenical Contractor: Phcne:
Sewer&Water Contractor. Phone:
Fire Suppression Contraetor: Phone:
.,,�.. . , ,,, �,.,,.,,,�> .,.�;, ....,.,,. ._,. ,a ,,.,:. ,,.�;,. ,.;,, ,. �,,.., ., :.,:�,. ,.,...,;�n. _,.�: ,
ti ,�(�y�yy ,�/ �(�
.:. �,,,, ; ,..�„ � ,
. ,. ..,, .,
� 'z;
�: � °',��
�,�� �:... .
........ C� ..P��5� . •, :�'/' -. ,.. . , ��►• �.�`..��',•;Q � .�'', ;!.�� sr'�,z'.�`.�,d, ....r�����',�1,�,,,�?!.."". �' .�.�
;.;....... ..�.�..,,., ....�� .r�.',..�..o. .:�i r,�M,,,;,X��i, ,�,�i�,r�,,,....,�.,..,.�,;,�. Y�!!'�. „rnt��Yi,itr.r�>.�..r.>r.,..��.,U�.i,a,.nrr�.t�b. .e�, .R�o ,�. •ni�';� ,
...i�:au��••�r,�, ..:.i..,ti;.g�n,a�i.�.� ,�iy.1::�✓q , ..,�,�,� a,,.,..,��N i:rt�,��.u�y,��1,,., •�a,..1.:.. .�;,� ��,,.�:ir'� ;•:;��..,,k. . ..,v�r. . d�.��te�.w.; !�y. 1�► ,I���ii���
r �9 C+ d .�';.,, �� �'r`�`'.��� !�' .��i�•�Y�i�i,1 v�i;�l� �,
"��'°,sC�ir �' ,:ct:. •W �: � �� .p�1��9•',�' •;�►.... �:�Y' .,.,� . •�..,,.,P'._. . �,i�'•. , �• ,�_..,. p h,�:.
� , . i�"
ir.r„ ��r ,� 7 ' " � �au:� �i.°.' n ., ��N,,q..ar,,..,t�i dr�R��...! i� � M t.a r�Y'h7rr. ,� ""aL... ..a��in%Sir�.rlp�5�1I�.i7Y.:r^i�"��lkuiPu ie;"k.��$� u." '� � �� '1 I,.d'r!rn r
:A�•���t�7�!•7 k�G� en .,�k�M•.F�7'��w�� ai,. ,�� c.1i�;.•'.R�., �rt��.�,.. r ,��y.,.��,,� ;p �� y"�,}�.,,�r y.ry,�, d •"6 �a���„•��eort��r�...,.�.,�iui�:.:;•�,Y�'v5,�,�,�.n �nru.••�+ ���t���..,h'i,..�.�.,�:nt,..
aa;.,•��.�?t��� ..y.� �iw�,v;ylF. n�aS;�.�n m�,:r:�•�la.�115��`,,.�i,�,�1j„� .d:�.a�.I�.���•� }, �r.d�•vrY„�,�..�•�.4:r s�.uiG�;.;..tio.p:rt:•: :��:e�f7' ���;3�:�;'AY:i
r �e�•n....�o.n.�n,.m� �"e' � :h�vn::d� �r�k..,.� � . ,� ,�' • Q�y.�A'�/,IJlx<sp .,A;Cf�'',,,�,�Rl4� ...r,.:.,:....:.lA�,.�:.��:��.�.�� .. ; P�.2�i!2:.l�'. a r..._....^S."
,r. ��.,�
.p�;�w;,:al�„�„i::�•r i....,C7 i�i..('!'�'!i e�r n !. l;�,o"�;.r�:Sq rA�r�.. " • :., • -
....... ....,.. .. . ....., ..
CALL BEFORE YOU DIG. Call(iopher State Ona Call at(651)454-0002 for prate�tion agalpst underground utllity damage. Call 4B hours
bsfore you intend to dlg to receive IoCetes of underground uklllNss. www.aoDhsrstatsonecall.ora
I hereby eeknowledge that this Information is complete and accurate;th&t ths work will be i�confonnance wfth ihe ordinances and Codes of the City of
Eagan;that I unde�stand this is not a permlt, but only an app��catlon for a permk, and work is not to start without a permlt;that the work wlll be in
accordance with the approvsd pian in the case of work which requirea a revisw and approval of plans.
Exterior work authorized by a bullding permit i6aued In accordance with tha Mlnne9 Skato 8u11 i g Gode rriust be completed within 180
days of permlt issuance,
x ���A ���19�1
Applicant's Printed Name Appli ,et's Signa u�e
Page 1 of 3
11/10/2015 11:31 9529857738 ALL SO�S EXTERIORS PAGE 03/05 I�,
����� � �� ,bt�L�i �� ' ��DO NOT WRITE BELOW THIS LINE � � ���'C� '�
. . '
SUB TYPES �
Foundation _ Fi�eplsce ^ Porch(3-Season) _ Exterior AIleratlon(Si�g�e�amily)
� Si�gle Famlly Garage _ Porch{4Season) _ Exterior A�teration(Multn �
� Multi �Deck �orch(Screen/GazebolPergola) _ Miscellaneous i
_ 01 ot_Piex _ Lower Level _ Pool � _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ pemolish Building"
�Addition _ Mov�Bullding _ Reroof _ Demollsh Interior
_ Alteration _, Flre Repair _ Windows _ DemoNsh Founda#ion
_ Replaee _ Repair � Egress Window � Wate�Damage
Retaining Wall "Domolition of entire bullding-give PCA handout to appllcant
DESCRIPTION �.
Valuation ��`� Occupancy MCES System _
Plan Review � Code Edition � SAC Units
(25%_100%� _� 2oning --��� City Water
Cer�sus Code Stories Booster Pump
#�of Units � Square Feet PRV
#of Bulldlr�gs �ength Fire Suppression Required ,�
Type of ConstrucEion Width �
REQUIREd INSPECTIONS
Footings(New Building) �Meter Size:
� Pootings(Deck) Final/C,O. Required �
� Footings(Addltion) � Final/No C.O. Required
Foundation HVAC_Gas 8ervice Test Gas Line Air Test
Roof:,Ice&Water _Final Pool:,,,_Footings _Air/Gas Tests _Final
Framing Drain Tqe �
Flreplace:^Rough In Air Test �Final Siding:_Stucco Lath _Stone Lath _6rick
Insulation Windows �
Sheathing Retaining Wall:_Footings,Backfill_Final
Sheetrock Radcn Control
Fire Walls Fire Suppression:^Rough In_Final
� Braced W8115 ErosMon Control
�,,m_.
Other.
Review�d Sy: ;'Building Irtspector
RESIDENTIAL FEES
Base Fee , _ � ��f
Suroharge E.''
Plan Review
MCES SAC � .R.
City SAC ' � --°��°,� � � �
Utility Connection Charge ;��� � y= �+°
!
S8�W Permit 8 Surcharge .
Treatment Plant
Copies
TOTAI.
Page 2 Of 3
11/18/2�15 11:11 9529857738 A�L SONS EXTERIORS PAGE 04/04
��'� ' G� ``� l .� � I� � � :� ��'�� .
I . � G , . ,
;.� . t�E�A� D� � ,�E�� � � �
. ScQ i pr�0,,1 :
�`.iM17 � •'�I
'�� ' � � � 1015 � �
.,:.;:,.,; . �oT '� . $��c s . .
..>.,.. . ,
:;.��:�. .. . _, . - ,. .
� W��c�eN��S �t�+� �xfiM �j� , .
���:�:. . . . . .
.,p,. �,�
•,k�x�; • I ,
,:`�'' 6A�A+.f, 'DA1torA c��.l'ry ' . . .
.;.F:•�. .
y�ks' ' • ,'•, i
5C ' i
� ' ' .. � f
��. " •Y � � •�.;•:r�o;'„rr.
' ''' :�
.��^,,�+9 ' , . ' ' . r ,
,�,ur�,a��4 ^.r'� .
� , �
� , � �
�„ � - ' A�/� ,ti � '
� #};�� . : � ��+s\j R . � . :• ���.,.��;; �
f ���'' , , . , �v / � � •,���i��'i��'..n�,' R .�
o ` ' • ' +�,i A: t'
� ..f i . . �*; . . .
_�4 :' . . .. : ., ,
�
�`,��yt��r�' ,
�I;Y:� . � .
�.,S�y�, , • � � . . / .
• � /r .
. � , .
' �O� .. , �
N , g0, _. . _.. , .
.
�� . ,
. � .-�, . �.,�;. , � ,
, �, , .
� , ,
: ,
. �� y � � .
� 8
, � .
. ��� � A ' '
n� d •
cn . � .
w
•w
� 6 • '
h ' �
�� • -
\� � .
,
�s' �Q ��'�S . ''�
� � .
r ���
8�.�, � ,
� Q�' . � .
/4ro , I�Iv�H_�
'�,� ` �/�8,� F�, � Sw+.�� 1''��o�_cN �
� v
� � �� � �s .J .'
\ ,� ,
��� •', � , �
� ., , � - .
. , ,_
!"
#$%&'()' *+*,
-./$%'"&0-123$45$,+
-./$%'63/7-.1 89:;<=B
>*%-'!??3-5199@9L@B<9C
-./$%'#*%-+(.&1- -./$%
D$%-'855.-??1'';BC9''6&7.('Q*,-'6''
446#$ %& ''44G)**+ + , ''?+$*:B,:99'C.,'( O
123 !45XFGWW54G5464'
89:
>-?G.$0%$(,1
-.;'<=>: -+*+,I/ ,9 B.% + ,'<=>:
? B&'<=>: C:>$D%:
3:9%B+> + ,
/:,9.9'/ *: FGF'5'L%%.>D,%=
H ,+,I
-J.DB:'K:: 4
1$:D9:'$:DN:'>B+, :*'>+% .B:9' 0'O .9:'@BD>' ,'9+ :'0 B' O:'0+,D$'+,9>:% + ,P
#(//-,%?1
?O:,'+,9 D$$+,I'N:, +$D :*'9 00+ 'MD :B+D$Q'B:M N:':R+9 +,I'MD :B+D$'S+P:P'*:;B+9' OD '% .$*';$ %&'N:, 9\\'D,*' D&:'9 :>9' '
:,9.B:'MDR+M.M'N:, +$D + ,' 'D +%P''/D$$'0 B'0+,D$'+,9>:% + ,'D0 :B'+,9 D$$D + ,P
# '5'#D9:'K::'UFVU!4GP"W'4X4!PF4XW
E--'D3//*.&1
-.B%ODBI:'5'#D9:*' ,'TD$.D + ,'UFVU"P44'744!P"!7W
TD$.D + , ''FQ444P44
"(%*41H9<CIBC'
#(,%.*G%(.1JK,-.1
5'')>>$+%D, ''5
)$$'- ,9'YR :B+ B9'2,%?:+'/D
1PLP'# R'!F(F"W!'\[=;B ' D,:'\[
D&:N+$$:'E\[''WW4FFYDID,'E\[''WW!"G
S7W"\\'F(75W""!
2'O:B:;='D%&, @$:*I:' OD '2'ODN:'B:D*' O+9'D>>$+%D + ,'D,*'9 D :' OD ' O:'+,0 BMD + ,'+9'% BB:% 'D,*'DIB::' '% M>$='@+ O'D$$'D>>$+%D;$:'- D :'
0'E+,,:9 D'- D . :9'D,*'/+ =' 0'YDID,'LB*+,D,%:9P
)>>$+%D, A1:BM+ :: '-+I,D .B:299.:*'#= '-+I,D .B:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154678
Date Issued:04/05/2019
Permit Category:ePermit
Site Address: 4251 Nybro Lane N
Lot:007 Block: 003 Addition: Wilderness Run 6th
PID:10-84355-03-070
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Wei Cao
4251 Nybro Lane N
Eagan MN 55123
(651) 452-8995
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature