4741 Oak WayCITY OF EAGAN Remarks
Addition VTF.NNA WC)ODS Lot 6 RIk 2 Partel ld 81950 060 02
owner screet 4 7 41 Oak Way 5tate EaQan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Ifip._V7 1981 '2$34.45 283•45 10
STREET RESTOR.
GRADING 1981 $57.73 ' '5$.77 ID
SAN SEW TRUNK 1973 129.78 8.65 15
* SEWER LATERAL 4232.34 423.23 10
* services 198 10
WATERMAIN
* WATERLATERAL 1981 lO
* WATER AREA 1981 1
* STORM SEW TRK 19$1 ZO
* STORM SEW LAT 1981 lO
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4 O. OO
SUILDING PER.
SAC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
nECgiveo •
PROM
AMOUNT $ I
Q DOLLARS
+oo
? CASH ? CHECK
roR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
?°z---I B Y
Receipt PLUMBING PERMIT Permit No. ?:--- '
CITY OF EAGAN
Fee
' Fill in numbered spaces S/C
Type or Prin[ legibly Tat.
1. Date 2. Installation Cost
3. Job Address Lot Bik. - Tract
4. Owner - i
6. Contractor Phone ' !/'•- 6. Address
7. City State Zip .
8. Building Type: Residential d Commercial O Institutional O
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe
11.
No, ..
Fixtures
Water Closet
No.
Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
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 numbered and approved.
Approved CITY OF EAGAN 454,8100
BUILDING PERMIT
CITY OF EAGAN
3795 PIlet Kwob Rood Eayon, I
PHONE: I54-3100
?;••r•-::?s;,e ? --
r;.,.
7865
Receipt # ` f
s?te Adarcss 4741 oax wgv Erect o«uponc, ?-?
Lot 6 Biock 2 Sec/Sub. Viemla Woods /11ter ? Zoning --
Pnr'cel * 1G 8195?) 060 02
- Repoir ? Firo Zone =lA
Enlaroe D TYPe oF Const. V
a Name Michael & Linda PSoore
W
Move
?
# Srories
I Addmss 8223 Garfield Ave. So.
I oemoiish [] LengthSA
.-.- ?'nls. 55420 0L.,.- 823-9756 Grade r-I Depth28-Sa. Ft.
? Nof11e 1 iI1Rea 1L:oneLruccion uo.
Address 20936 Holyotce Avenue
u
r,..,.. vi 11 P c?.,,... Gfi9-2144
Nome
Address
I hereby ocknowledge that I hove read this applicotion cnd stote that
the informotion is corrett and agree to tomply with oli applicoble
Stote of Minnewta Statutes and City of Eagon Ordinances.
Sfpnoturo of Pertnittee
Ti
A Building Pertnit Is issued fo:
all work sholl be done in occordoncs
Bulldinq Officiol
of
Assessment
Woter 8 Sew.
Police
Fin
Enp.
Plonner
Council
Bldp. Off.
APC
and City of
Permit 14911 U?1
5urchorfle 43 Q•'J
Plan checkl 9 5_ SCl
SAC 5 S_(l0
Water Conr4Sn nn
Woter Meter6Q ():J_
Rood Unit Z5.G..,,Q?
Totol S l 5lll
ihar
.Ak. 4LOvtElz-
Pe?mit No. P-mit Hold?r Mise. Permit No. Holdsr
Plumbiny f
Z_
X.A.C. H 1171d
ue?c1 s
_a
w.u
w?.
Disp.
ENMric LVQ(I(oZ,?
Irup?ction Date Insp. Other
Footin¢ -23- POl E
Found?tion
FramiiW ??3
Rouph Plbp. ?
Roudh HV 40
Insulation
Final Plby.
Final HVAC
Ffnal
waur a,c?ibe Location:
w.n -
Sower •
Pr. Disp. '
Receipt - MECHANICAL PERMIT Permit No.
CITY OF EAGAN
?; Fee
fiN in numbered spaces S/C
Type or Print legib/y - '
, Tot.
1. Date ' 2. Installatiorl Cost
3. Job Addressr Lot_L_Blk. ? Tract =
4. Owner
5. Contractor ? Phone
6. Address
7. City, ? State r/ Zip
.? -
8. Building Type: Residential ? Commerciat ??nstitutional ?
/
9. Work Description: New 'Q Add 0 4r 13 Repair ?
eSType
10. Describe ? Fu/?
11,
No.
_ Fquinment . Ea.
Forced Air ? N?
\ i ment CFM
A H
dli
Mfg. ng:
an
Boiler
Mfg. Mech. xhaust
?
Unit Heate
?
Mfg.
Other
Air Cond.
Mfg. O
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 : - t! ? ---- for ~ ? -
?
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
ctTr oF FAcaN SEVIfER SERVICE PERH
8796 Pilot Ki?ob Rood PERMtT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units: "
Owner:
fldtlre55:
Address: `"iQ71.r..s. "GC?l'
5ite ;
Plumber: ' .-
,?
t asrea !o oomplY wtll? dse CZtq sf Esgan Connedtom Chcrge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharpe:
of I nsp..
Misc. Chorges:
Total:
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
,. ,
Eogon, MN 55122 DATE:
Zoning: No. of Units:
.....?]., -..,..
Owner,
Address:
Site Address: In., ?
Plumber.
?
MeYer No.: Connection Charge: '
5ize:
Reader No.:
1 agros to eomplp with H+e City of Eegon
Ordinanon.
ey
AcCOUnt Deposit:
Permit Fee: Surcharge:
Misc. Charges:
TOTOI: _
Dote Paid:
Date of I nsp.: I^SP• :
New Constructian ReaulremeMa
• 3 registered site surveys showirg sq. R of IoL sq. ft. ol house; and all roofed areas
(20% maximum lol coverage allowed)
2 copies of plan showing beam & wiMow saes; poured (ound design, etc.)
. 1 set o( Energy CaIcWaUons
• 3 wpies of Tree PreservaUon Plan ii lot plafled after 711/93
• Rim Joist Detal Optior?s selection sheel (bldgs wBh 3 or less uniLS)
?al ?101 5?
DATE
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UN
PROPERTY OWNER L1 v1 d19-- M 0-0-
RemodeUReoair Reauiremanta
• 2 copies of plan
• 1 set af Energy CalculaGons for heated addilions
• 1 site survey for extenor addilions & decks
• Indicate if fwme served hy septlc system for adddians
VALUATION *50 0 a?
6"4-1-L Iv1rv
YI V 1
TYPE OF WORK P O'P-t-4" fj-????4 1?'?
APPLICANT ?'14I7" D.Q.T.L--JDIRn.u,r.vw J j'?dyf ,Lnc .
ADDRESS IYI PJ ' I.Ul/(&t'Y1I
PAGER #'?SL • 2`41' u30 CELL PHONE #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential VenGlatlon Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Confractor: _
Plumbing System Includes:
Mechanical Confractor. _
Mechanical System Includes:
Air Conditioning
_ Heat Recovery System
Phone #
1 36 . ?
C?
Fee: $90.00
7" F'?
?
Sewer/Water Contractor: Phone # U
Ail a6ove infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the inform io is correct nd gr ? to omply
with all applicable State of Minnesota Statutes and City of Eagan Ordinan es.
Signature of Applicant -11
Certiflcates of Survey Received _ Tree Preservation Plan Rec ed _ Not (quired _
Updated 1I01
RESIDENTIAL
BUILDING PERMIT APPLICATION
CtTY OF EAGAN
3830 PILOT KNOB RD - 55122
657 -681 -4675
_ Water Softener _
_ Water Heater _
_ No. of 13aths
Phone
Lawn Sprinkler
No. of R.I. Baths
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE# gS2--9119• '2-&30
w`v ZIPCODE J-J-3 '/J
fAX# °I.S'2-`(l,/!'- 0.1') 4-
OFFICE USE ONLY
? 01 FoundaGon
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 72 72-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
OP 22 Porch/Addn. (4-sea.)
? 23 Porch (screened),
? 24 Storm Damage
? 25 Miscellaneous
? 30 AccessoryBldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
?P 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
13 33 Alteretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code `/ Zoning" ? City Water
SAC Units G/ Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
? FinaUC.O.
Footings(deck) T:? FinaUNo C.O.
?o Footings (addition) Plumbing
? Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_?O Franvng _ Pool _ Ftgs _ Au/Gas Tests _ Final
Fireplace _ R.I. _ Air Test Final Siding Stucco Stone
? Insulation _ Windows (new/replacement)
Approved By V16 , Building Inspedor
ease Fee 3G .0 O
Surcharge S V
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
&? > r?- st? ,p? ? --Z?p
oF EacArr of'P
site plan w/elevations &
I.LDING PERMIT APPLICATION 1 set of energy calculations.
To Be Used For S? valuation???, /> ?1 ? Date
Site Addre55 ?/7y/ [?a?LJcw_ ? OFFICE USE ONLY
Lot slorac sec./sub. ect /<:._ OccuAancY'T 17°.3
Parcel #: /LR /91-' v c?, GO na
Oomer: 5L X4?,4
address: .0,,ve. z.
City/Zip Cocle:
Phone #: 43' 2 3
C?e
Contractor: ' ,
Aaaress: 5R 6 q 3 G A?n ea„?, P
City/Zip Cocle:
Phone #:
Arch./Eng..
Address:
City/Zip Cale:
Phone #:
Alter Zoning ,/'c/ _
gepair Fire Zone /L'
Ehlarge _ Type of Const. -?
Nbve # Stories
Damlish Fmnt
Grade Depth aS ft.
APPROVALS FEES
Assessments Perndt 39/
?aater/Sewer Surcharge ?7
Police Plan Check /9S"
Fire SAC
gnq. Water Conn. ?y,.s/? °?
Planner Water Meter OQ ?
council Roaa unit _4so
Bldg. Off.
APC
TarAr., - l q I ? S O
y?; 9?s
? ?g°
3?%?i"
g? ?3?
\
BUILDING PERMIT
Te M und fer SF DSlte Addreu 4741 0.
Lot 6 Block 2 See/Sub. Vienna Woods
pa,nel # 10 81950 060 02
W Name Michael & Linda Moore
9 z Address 8223 Garfield Ase. So.
r,., Mpls. 55420 e?___ 823-9156
a Nama
o? Address 20936 Holyoke Avenue
u
1- ,-,.,,Lakeville ok,..,. 469
Name _
Address
N° 7869
Receipt jk
7
Date
Erect gg Occupancy R-3
Alter ? Zoning R-1
RepaG ? Fire Zone NA
Enlaroe ? Type of Const. V .
Move ? # Stories
Demolish ? Length 58
Grude ? Depth 28 Sq. Ft.-
Avororal% Faes
Asussment Permit Sy1.UU
Water 8 Sew. Surchorge 43.00
Police Plon check195.$0
Fi.e snC 525.00
Erq. Water ConrA50. 00
_
Planner Water Mefer 60. 00
Council Road Unit S
BId9• Off.
APC Total $191 4 _ 50 .
on the express cordition Ihnt
wta SfMUtea ond City of Eoyon Ordinances.
I hereby uckrawledge that I have read this opplicotion and state that
the inlormotion is correct and ogree to comply wilh oll oppficoble
State of Minnesota Stotutes and City of Eagan Ordinonces.
Sipncturc of Permittee
ction Co.
A 8uilding Pertnit is issued to: Tillges Constru
oll work sholl be done in accordonCe withall AD'oJf tate of Mlnna
CITY OF EAGAN
9793 Pllot Keob Reod Eagan, MN 55122
PNONEs 431-8100
$86
Buildinq Offlc{al
C?edifirtt#r af Mrrupttnry
Citp of (tagan
33e}rttrfmrnf of luilbing Jnsprdinn
71tir Cati/irate inued purtaunt to t!x rrquisemeAU of Srrtion 306 0( tbe Uniform Building
Codr arti fying rhat at tbe ei+u oJ irtuantt 1bi1 rtrnctun wqr in tom pliance witb thc vanoar
ordinarueJ of the City regwlating beildirsg ronnrnrtian or uJe. For the fo!lowin$:
U„cINNf,;m SF DWG/GAR BId6.hmtitNo. 7869
Doo,Iv+aYTYVN R3 bwcm?rm V Fin7an NA zom?omda Pl
?,?saft,Tillees Const. Co. ,aa„20936 Holyoke Ave., Lakevil
4741 Oak Way L?t.Lot 6,B1-ock 2,Vienna Woods
-"& - By June 24, 1983
BuWL, OiiftlJ 2? p ple:
? IN A CMOM1CV04IS IYG.
REQUEST FOR ELECTRICAL INSPECTION
. ' See instructions for comoleting ihis torm on beck ol yellow copy.
IX" Be?w V1TOr?Co?red by This Request
Ey-00001-04
,.-"
3sz3o
kAd flep. Type ol BuildinFl APPliencns Wired Equipmenl Wired
Home Ranye Temporery Service
Duplex Water Heater LightinG Fixtures
Apt. Buildinq Dryer Electric HeaUn
Commercial Bld,y. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm ther uec, v Ct er ISnnc:itv)
t nr Sueci y Ot or Othor
Compute lnspection Fee Below
d Fea Servlce EntrenceSiza q Fae Fexdars/Sub(eetlers p Fee Circuits
0 to200qm s 0 to30qm s ? 0 to30Am s
Above 200 qmps 31 to 100 qmps / 5• 31 to 100 q y
Swimming Pool Above 100_Am s Above 100_.4m s
Transiormery Irrigation Boorris PartiaL'Other Fee
Signs Speciai Inspection
Remarks FE?
e J
floueh-in
??G ?i
?.? ? atpp
rical
Inapec[or, lieroby
tif
th
t th
b
Final cer
y
a
e a
ove
inspeciion hes been
Tetle.
Thla reoues[ vaid 18 monihs irom
Tnis request void z( U? ?n(f? a W00a-:5 ?s Z 3 V
18 months from
W 066215 ?4 ?So
Faquest Date Fire No. RouBh- iilnsuection
He u?reA?
[]ReatlY Now [?Will Notity InsPec-
p
?` ?es ? No 1or When Ready
Licensed Electrical Contrector I harehy request insDection of above ?
Owner alectrical work installetl at: ^
Street Atldress. Box or Route No. City
Li,i / U e/L- grQ
ecLOn o. Townshlp Name or No. Range No. County
Occupant IPflINTI Phone No,
?//
Power SupDli
all-Clt r Atldress
Electrical Contracmr (COmpany Numel CoNmctor's Licensa No.
i D4F11
Mailinq Adress (ConVactor or Owner Makine lnstaila[ion)
75s S4 . NcJ ?J AA?L
6?#orv
Amhorized SiBna e ICommctor Owner Making Installa[ionl Phonn Number
S-Z? (23?- ?8?9
MINNESOTA STqTE BOAND OF ELECTHICITV THIS INSPECTION qEQUEST WILL NOT
Grigga-Midwey Bidg. - Room N•791 BE ACCEPTED BV THE STATE BOANU
7821 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS
... ....... .......... ENCLOSEn.
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Permit Type:
Permit Number:
Date Tssued:
Building
EA042739
]0/11/2000
p 6? !rv
?
Site Address: 4741 Oak Way
Lot: 6 Block: 2 Addirion: Vienna Woods
PID: 10-81950-060-02
Use:
Description:
Sub Type: Porch/Addn.(4-season) UBC Occupancy:
Work Type: New Construcrion Type:
Descriprion: Zoning
Census Code: 434 Square Feet
?
? ?c? !
?
Gk.f a?ou? ,S
So C?
Remarks: Plan reviewed by Bill Bruestle.
Call (612) 445-2840 regarding elechical permit and inspections. (ld)
INSPECTION CARD MUST BE POSTED PRIOR TO SCHEDULING INSPECTION
Base Fee 181.25 9001.4085
Fee Summary: Sta[e Surcharee 5.00 90012195
$186.25
Valuation: $10,000.00
Contractor: - Applicant - Owner:
Sunsarional Sunrooms Rmlg St. Lic.: 20174272 Linda Moore
7404 Oaklawn Avenue 4741 Oak Way
Edina, MN 55435
9529156491 ? -Eagan, MN 55122 '651-452-6480
I hereby acknowledge [hat I have read [his applicarion and state that [he information is conect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
ApplicanUPermitee: Signature
Issaed By: Signature
Lno-L
$ ?{ 2 73
?
4741 Oak Way
Eagan, MN. 55122
June 4, 2001
Da1e Schoeppner, Chief Building Official
City of Eagan, 3830 Pilot Knob Road
Eagan, MN 55122
Dear Mr. Schoeppner:
Per our telephone wnversation earlier today, i am writing to request that
fees to renew a building permit for a sunroom addition be waived. The
original permit was obtained 10-11-00 by Sunsational Sunrooms. The only
work performed by this company was to pour the footings to reinforce our
deck on 10-19-00.
As you may know, this contractor is no longer in business, which you may
confirm by contacting Greg LeCuyer, investigator for the State Department
of Commerce Enforcement Division. Stan Johnson of the Ramsey County
Sheriff's Department is also conducting a criminal investigation into
Sunsational Sunrooms on behalf of many other victims, who also have lost
significant amounts of money on uncompleted projects by this company.
Four Seasons Sunrooms, a New York supplier of the sunroom materials, has
set up a new franchise, Solarium Systems in the Twin Cities area. The
primary purpose of this new franchise is to resolve Sunsational Sunrooms
complaints. I have contracted with them to buiid the sumoom. They will be
contacting your office to renew the permit.
In summary, my request to waive any fees for renewing the building permit
is based on the fact that the room was never built. Please advise me of any
other information you may need to make a decision on my request.
Sin ely, .
Linda Moore JUN 0 6 2001
oSi • VY a - b
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
.. ? CITY OF EACAN
3830 PILOT KNOB RD - 55122
`) 651-681-4675
RBrnod_??R6DGII G?R16f1A ? '
New C«,.tn,cHOn Rerndremenb
a 3 reylafered sIh wrveya ahowiny aq. fl. of bt, aq. R. of houae
antl gd rooled areat (20% maxlmum lof coveroae allowecD
> 2 coples of plans (ahow bean & wlndow sizes; poured fnd. dealgn; etcJ
> 1 sef of eneryy colculaHaia
> J caples of hee PreservaMon Plan H lol Platted after 7/1 /9J
DATE: 9'-7-6x)
2 coplas of plan
t set of energy calculaNons tor heated addlHau
1 site survey for exfedor adtli8ons 8 tleoks
CONSTRUCTIONCOST: z?, 4jSoo
DESCRIPTION OF WORK: CS?r?t-,,-
STREET ADDRESS: 474 1 OAk I,.JAY
LOT: BLOCK: Q- SUBD./P.I.D. #: \( -kA ln /V-s
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
/9cn?cE UNaA
Name: 6I nEN g-71D PhoneM: CS(-'4SZ- S¢SO
LCit First
Slreet Address: ?? ? ? o4, L1,JAv \
city E,F+ G ih 1v srcte: 11'1 N
Company: S0NS,f?ON?LSI?XIl2C?1"'I Phone#:
Zip_ ss J'L Z
`9s2 1s- 6991
(area e)
Sheet Address: 3S 3J6 l/wY /00 S ucense a2aa4W Exp. 3l of
City S f 1QU15 FA2K State: IyA/ Zip: ?adIs
Company: Name:
Telephone #: (
Sheef Address: RegishaHon #:
Gfy
State:
Sewer/water licensed plumber (N inretallina sawerMrateri: Phone #:
Zip:
I herebY acknowledye Ihaf I hwe read this apPlication. dcdo that me ln(om^OtlOn Is COffect, and agree to comply wifh an applioable State
of Minnesofa Statutes and CMy of Eagan Ordinances. ?
Signature of ApplicanY.
OFFICE USE ONLY ? CF,1VED
Certificates of Survey Received _ Yes _ No ' $EP 7- 2000
Tree PreservaUon Plan Received Yes - No _ Not Required -- ,
- :z__
OFFICE USE ONLY
, • • ?
BUILDING PERMIT SUBTYPES
7 01 Foundation 0 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ext IUC - Mutti
7 02 SF Dwelling ? 08 06-plex ? 17 Garage 0 22 Poroh/Addn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
j 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Pibg _Yor _N ? 25 Mfscellaneous
? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 ' Accessory Bidg.
WORK TYPE
0 31 New ? 36 Move Bldg. ? 43 Reroof
Eg 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 7 ? # of Stories sq. ft.
No. of Units L Length sq. ft.
of Buildings
No _
Width Footprint sq. ft.
. Census Code
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft. 1ra MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Gc Engineering Variance
Permit Fee ??'S ?•?? Valuation: $ ) u'?'o
l
Surcharge ?vY sE?SokP w?,C " T
Plan Review !y !c/ 3? l$.z
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Tocal:
SAC Units
°k SAC
hM, r
y I
(
L?
t ,
?
. .?L, ` r 3P a a„
?.
•13? , ? . . . .' '.i' .;:SIA.';r.
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EXTERIOR ENVELOPE AV"tRAGE "U" COMPU7A710N
O;;NER/J/C/irlI-4'? o L,/.C???a?ean?45-
SiTt ADDRtSS .'P'/`h! ?24t= /!-?e'l?? ? Grl?r`r'lu' /t?1N'?7G4G?E? <GYV..`>'?G"G?'v'7iGYJ
COf;7RAC70R e?r1 `?...?'i>T 1??.%.??., _ DA7E PHONc
Oetermine working square footage of each.
l. Total exposed wa71 area ..... 2,7,?1? ?sq. rt. x .17 = ?aG?•,9'I
2. Total rooi/ceiling area ..... i v G ? sq. ft. x .OS 0
Total exposed wall area above floor = d/v?
a. Total wa11 window area ........................... .`zoL
b. Total door area ... ............................ _?? ° !
c. Total sliding glass door area ...................
d. Total fireplace wall area ....... ............... Od
e. Total wall rraming area (average lOm)...:........ ??ZZ
f. Tota) net wall area above floor . ......... .....
g. Total rim joist area .................... ...... al*A.nnn
Total exposed foundation area s_?ZU _
h. Total foundotion window area..................... i..7oa1 net foundation area above grade ............?.
Determine "U" value of each wall segment.
a._ aoi,9 X .,u„ , 45 ;? - /a4,9 ?r
u. 77
,
X
., U,.
, Dlo
c. - X %11
d.. X „u„ ? o?
Z'7 x ??U"
r..??+'?i'? X
g. 2..??- ?-• G':? x ,.U., L7 Gx to
?. h. 2, e?'&' X „Ul, 12-
zl, 410 X ,)U„ ,?f7 0 0-
3 . ........................... .... ...: iQtal = 3 ?aCv
Sf item #3 is the same as, or 3ess tnan titem P'1, you have met the intent
of SBC 6006(c)2,
.._'....•-- , __.,.._.._.___.___......_,....W..._... ,.._........,..,? ..... ..................._...-...-._. .,..
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?•1?..• .11 Y•A?'.y ?? . 1'!': 1 \ .Y .W?4L. w.?rr.
CITY USE ONLY ,.
PERMIT #: RECEIPT DATE:
fiUIDENTIAL M£CHANICAI. f*FRMIT APP11CATION
crrY oF EA?sm
SSSO PQ.OT KROB iiD
eaeeuv ruv 55 t Y2
681-681-9675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Dafe:
SITE ADDRESS:
1 _
__------
1 /
OWNERNAME: ?'?-c?-- sF"3M L?n?{u YUi ct) f-e TELEPHONE65V _4/S?-G Lay 0
(AREA CODE)
INSTALLER NAME: &J f Ylra1/1 [t _4 .(W-0 a,6 V)CI TELEPHONE #: 96';L Rg(/ -OCo%--
(AREA CODE)
STREETADDRESS: 1pZ4?)I VhfYa `SUNI& AU C
CITY: c)a _C.xiU(L- STATE: "k? ZIP:
Plaro a rharlr mar4 narf tn thP narmit wnrk tvnn
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: /1 QIoZe&?t o
State Surchar e $ 50
Total $'9?. sn
Reminder: Call for inspections.
SIGNATURE OF PERMITTEE
Updnted 1l01
PERMI'i #:
APPROVED BY:
?
r- ,... r use c.:Lv
INSPECTOR
RECEIPT DATE:
CObIMMClAL bIECH"CAL PERM1T A"LICATION
C1TY OF EA6AF
3$30 PILOT KNOB RD
EAeLkN. MN 551 EE
651-6$1-4675
Please complete for. all commercial/industrial buildings
multi-family buildings when separate permits are not required'for each dwelling unit
DATE:
SITE ADDRE5S:
OWNER NAME: PHONE #: -
(ARE4 CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOIIS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE:
PHONE#: -
(AREa, conE)
STATE:
ZIP:
New conslruction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = miuunum fee
Conhact price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL g _
SIGNATURE OF PERMITTEE
i
Updated 1/01
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
; w? --.- - --------
I Permit #: 9
I
? Vg (??__
I
i Pertnit Fy??yp_de
A?rit '6Y L-? a
I Date Received: I
I
I 5tah:
--------------- --?
2009 MECHANICAL PERMIT APPLICATION
Date: .?.2ScJ °/ Site AddreSS:
Tenant:
,
RESIDENT/OWNER Name: Li.vnA Nc20,eE
Phone:/o
$7?5?- (?,?{ g(J
Address / City / Zip: "?/ ? k ??? ??G.y /v, ?/f N s?.//?2
CONTRACTOR
Name:? ?,v.vo?Q lzlluznqidV? £?ly,arnis Lic?es ? L.r.SRf3
?P ?/? 2
r--
?
f
Address:
/ M/
City: A ST i N?S StBtB:Zi
:55a
33
p
-
Phone: 6 S/' tf 3 `7- (// -,-7
Contact Person:
TYPEOFWORK -New n Replacement _Additional _qlteration _Demoliiion
DescripUon of work: !j Cp?,?+c E??,P N.Yt-c ? ??Sra?E.VTr Ad_
:be s?"reei
k
?
?f ,
'
`
?¢
? ?GIRG
?[?
$ I?,
Y H?
PERMIT TYPE RESlDENTlAL COMMERCIAL
? Furnace _ New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger - Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank (_ Install / Remove)
" When installing/removing tank(s), call for inspection by Fire
Olher Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FirO f2p8ir (replace bumed out appliances, duciwork, etc.) (includes $.50 State Surcharge)
/
?.SC7-SO T07ALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
- If Permit F =$ Permit Fee
,?g is less than $1,000, surcharge is $.50.
- If rmi Fee is >$1,000, surcharge increases 6y $.50 for each =$ State SurChBrge
$1,000 Permit Fee (i.e, a $1,001 -$2,000 Permit Fee requires a$1.00 surcharge).
$ - TOTAL FEE
I herebv acknowledne Ihat thic int--»;,... J, ,.,,.,,..i.... ..... ___..._._..?_.... . . ... ,_ _ . . ... ..
.----.- -- --- -°-..°-..-.? .? ??? ??r...= ?„o a1'..aw, ,nat tne warrc wni ue m conwrmance wim me ordinances and Fodes ot the City of Eagan; [hat
I understand Ihis is not a permit, but only an application for a permit, and work is not ta start without a permiC that the work will be in accordance with the approved
planTin the case' o/f work which?re/quires a review aRd approval ot plans. .
G-?N 7"/EYBt-'7'%W5 F l,qT//Z
x X
?LI Y! ?'??C/?^
ApplicanYS Printed Name Applicant's Signature ,
411? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
2009 RESIDENTIAL PLUMBING PERMIT APPLfCATION
nate:.3-a(o-o `I Site Address: / ?ssfK (?(,//¢ -1.717 Tenant:
Sulte #:
RESIDENT ( OWNER I Name: 1000,?P- zF -
Phone:69-??- c/ 25 ?)o
Adtlress / City / Zip:
CONTRAC7GR
Name6?? r.1oQ Y(" ml3iNSPry?Pr-riNq License#: se_ 53_,pM
Address: I?by ??? oo m i ?I ,,',u Sr
City: ,?f
State: f `1 N Zip; .,:6?$033
Phone: LSI - 43'7 , ?I I7 ? Contact Person:
TYPE OF WORK
PERMIT TYPE
RESiDENT1Al FEES:
_ New XReplacement _ Repair _ Rebuild _ Modify Space = Work in R.O'.W.
Scrip[ian of work: ??ll
RESIDENTIAL
-X- Water Heater
_ Lawn Irrigation
(_ RPZ / _ PVB)
_ Septic System
New
_ Abandonment
W ater Softener
Add Plumbing Fiztures
(_ Main _ Lower Level)
Water Tumaround
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonmens, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required) $100,50 Septic System New ($70.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repaif (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ ?d- SO
I hereby acknowledge fhat this information is complete and accurata; that ihe work wili be in conformance with the ordinances and codes of the City o1
Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to slart withouf a perrnit ihat the work will be in
accordance with the approvedp I n in the case of work which requires a review and approval of plans.
x ?Nx ffv«? H?,4r:rt?l Fi?iK /??,?ez?<r?P
?''L'bN--4c" x
ApphcanYs Prmted Name Appl(canYs Signature
Sd.So
-------
?,------ --?
j Permit#: SB(e 33 I
? PermitAeR oVA9 j
I I
I Date Received: ? . <so I
? Statt:_
-----------------
J
SO o
•
City tY of Eaall Permit ~ 3,3 1
I 3830 Pilot Knob Road Permit
Eagan MN 55122 I
Phone: (651) 675-5675 1 Date Received: ) , o
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:J_&_O 9 Site Address:
Tenant:
J Suite
RESIDENT / OWNER Name:
Phone: 65-1'" 490
Address / City / Zip: 5~7 ~ ~lt~ ? ~~G f 'k,
~ N' ~S/~ -
CONTRACTOR Name;/n o jZ P t
L~,mc~, ry5 rT. License #:~~~R~S_~ PM
Address:
i i I R
k:4-ml AJ Sj
City:
-11eL 6-1- State: t `1 f,J Zip: 5$033
Phone: L5_/-14:37-_q
`7 Contact Person:
TYPE OF WORK New 72- Replacement Repair _ Rebuild Modify Space = Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
New _
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ S"d. So
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 approvedpfln in the case of work which requires a review and approval of plans.
wit/ /4'c/! f ro.z7`- v'y'y /e
x
Applicant's Printed Name Applicant's Signature
777
FOR OFFIEF USE
R
evfeweOlOr Date.'
Required Inspections ..Under Under Ground Rough-In _,___Air Test , Gas Test -Final
'Por:office Use -
n
City of N aka n Permit (D 3 _
3830 Pilot Knob Road Permit F J•
Eagan MN 55122 t
Phone: (651) 675-5675 I Date Received: I
Fax: (651) 675-5694 Staff: G
2009 MECHANICAL PERMIT APPLICATION
Date: .31-2610 Q/ Site Address: 7 ~sFKLt,~t4 (f
Tenant:
Suite
RESIDENT / OWNER Name: L'N_n A / 1Oc'Re Phone:
6 5-f
Address /City / Zip: 7 / k
p
CONTRACTOR Name: e ~tiyd~ ~Lrun6I J 7 / /y Lic se ~ l` _ -g t/
Address: 9'V U /cgl4-Li, 5r
City: / 6,7rHy3 State:,Q[
Phone45-/"4f 3`7•-91/77 Contact Person:
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: C 4 E ~r. N ~'5~dJE.VTrAL
NOTE: Both roof mounted and ground mounted mechanical equipment is, required to
be screened by City Code. Please contact the Mechanical Inspector orone of the
Planners for information on permitted screenin methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
X- Furnace New Construction - Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install / _ Remove)
" When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ 2 - Sc7 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x t%
$50.50 Minimum (includes State Surcharge)
If Pgnniam F E = $ Permit Fee
- is less than $1,000, surcharge is $.50.
If Perini Fee is > $1,000, surcharge increases by $.50 for each $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and Bodes 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 • ~Nt x sCJ
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required inspections: ;-Under Ground Rough In _-Air Test _Gas Service Test -In-floor Heat --Final
Exterior HVAC Screening Inspection
/
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Use BLUE or BLACK Ink
r
For Office Use I
City of Ea Permit#:
Permit Fee: ~1~J I
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date :~1 r Site Address: (4 Unit
w. i
Name: L-I Phone: ~ Al ' Ci L ,
Resident/ V ~ 'lnQ'~1 M ] z- 'L,
Owner Address / City / Zip:
Applicant is: U--Owner Contractor
Description of work: ! l)-e C_K__
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
Company: fL )1 1~-2rt4 Contact:
Contractor Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
2D ,
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:
s
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 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 S ate Building Code must be completed within 180
days of permit issuance.
X_ L. X10 01l,e,_
Applicant's Printed Name A licant Signatu
Page 1 of 3
DO NOT WRITE BELOW THIS LINE ( Iola
SUB TYPES
- Foundation _ Fireplace - Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
- Multi Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of _ Plex Lower Level Pool Accessory Building
WORK TYPES
_ New ' _ Interior Improvement _ Siding _ Demolish Building*
Addition rhI _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy (QL MCES System
Pla >evie Code Edition /✓l 7 ~DL~7 SAC Units
(25% 1 Zoning City Water
Ce us Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings -(Addition)Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , 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 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113071
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4741 Oak Way
Lot:006 Block: 002 Addition: Vienna Woods
PID:10-81950-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Eric Brehe
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 -
Linda L Moore
4741 Oak Way
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132453
Date Issued:08/17/2015
Permit Category:ePermit
Site Address: 4741 Oak Way
Lot:006 Block: 002 Addition: Vienna Woods
PID:10-81950-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Linda L Moore
4741 Oak Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151688
Date Issued:09/07/2018
Permit Category:ePermit
Site Address: 4741 Oak Way
Lot:006 Block: 002 Addition: Vienna Woods
PID:10-81950-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Linda Tste L Moore
4741 Oak Way
Eagan MN 55122
Elite Exteriors
1513 Southcross Drive West, Suite A
Burnsville MN 55306
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175022
Date Issued:03/08/2022
Permit Category:ePermit
Site Address: 4741 Oak Way
Lot:006 Block: 002 Addition: Vienna Woods
PID:10-81950-02-060
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
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 -
Linda L Tste Moore
4741 Oak Way
Eagan MN 55122
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature