4685 Parkridge DrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be amd hr EF I'Sl113/13AR Est. VnIue $111 , 000
Site Address
Lot 2 elock 4 Sac/Sub. PARKCLIFF 2ND
Parcel No. 10-56701-020-04
W Name LGYriLVrL.ll?7 L.VLYa?l
Z Address 1101 CL I FF RD
? City BLJRNSVILLFphone 890-6194
O Nsme _
?? Address
? City -
Neme _
Address
City _
( hereby ocknowledge that I hove reod fhis opplication ond state that
fF?e information is correct ond ngree to comply with oll applicoble
State of Minnesota Stotutes and City of Eagon Ordinances.
Receipt #
n,,... JU N E 1$
84
Erect [] Occupancy ---IKI
Alter ? Zoniny NIA
Repoi? ? Fire Zone
Enlo?9e p Type of Const,
Move D # Sroriet
DemoHsh ? _
Length--
Grode p su
Depth Sp. Ft.
Assessment _
Water & Scw.
Police
Firo
Eny.
Plonner
Council
Bidg. Off. `
APC
N°
fOes
Permit . 5 0
Surcharpe 55.50
Plon check?? ' L 5
5AC ? 2 • 0 0
Wnter Conn. 470.00
Water Meter 6 3. C U
Road Unit 260.00
Totol $2,064 • 25
Sipnuture of Permittee I
.
A Buildiny Pertnit is Issued to: nT•';i:LOPF;RS CONST on tha express condition Ihar
oll work sholl be done in oc4ordonce wiih oll opplicoble,5tote of Minnesota Statutes and City of Eapan Ordinnnces.
SAME
91so
Bulldirg Offitiol
Permit No. Permit Holder Misc. Psrmit No. Holder
Plumbinp
H.V.A.C.
WII
Watsr
Diap.
Sewer
Ekm.ic
Impaction Date Insp. Other
Footinpt L/
Foundation
Framinq
Rouyh Plbq. . `.9'
RouQh HVA
Inwletion
Final Plby.
Final HVAC
Final f/-
Water Dftcribe Locstion:
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks Li", '
Addition pARKCLIFP 2ND AUDN Lot 2 Blk 4 Parcel 10-S6701-020-04
owner screet 4685 PARIQRIDGE DRIVE 5tate EAGAN MIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ?
STORM SEW TRK Q(p 1984 642.60 128.52 rJ
STORM 5EW LAT 110 1993 2$3.60 56.72 S 170.1 vi ti
CURB & GUTTER '
SIDEWALK
STREET LIGHT
$260.00 #44142 6-18-84
WATER CONN. 470.00
BUILDING PER. 9180
SAC 325.00
PARK
CITY O FAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199
PERMIT NO.: 6731,3
Eagan, MN 55121 DATE:
,
Zoning; No, af Units:
Owner '`?velo?rrr? cen?L
Address:
46 °.; Paz-l;ri<ls-e :)xive L2 34 ^nrk
Site Address:
Cliff 2nd
Plumber:
0- lti-R'? 4 414.2 100.00 pd
IaOroa te wmPlp wilb Hhe Ciryr of Eagan Connection Charge: 425 .00 nd
OrdiMenm. Account Deposit: 15.10 pd
Permlt Fee: Z 0. 00 Pd
Su?thorge: •50 od
BY MFsc. CMrpes:
Dote of Insp.: Totol:
I^SP•: Dob Poid:
? CITY G EAGAN
? 3830 Pilot Knob Road
P. D. Sox 21 ? 99
Eagan, MN 55121
? Zoning: R1
I q,,,,,,er: Develo ers const
Addross:
Sice Address: 4685 Parkridga
pIL,,,be,; Weierke
Meter No..
1 SizP! --
Reader No.:
I agroe to eomplp wieh !IN City of Eogon
Ordfnanea.
By
Dcte of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.: 5,549
DATE:
_ No. of Units: 1
ve
- Connection ChOrye: " / V. v V pQ
- Account Depos?t: 15.00 pd
- Pem+it Fee: 10.00 pd
Surcharge: .50 pd
Miac. Chorges: 63.00 pd meter
Total: -
- Date Poid
- insp.._
t,. ..
0 • P.
460•50+
5 5 • 5 C +
23C•25+
525•U0+
4 7 0• 0 0+
63•00+
260•00f
2064•25*
??'`?' ?' ? ?'?' ?` a ?? CITY OP EAGAN Include 2 sets of plans,
'k;-47(7)? Gi-E1-JaT1vtAS 1 site plan w/elev4ticros &
, BUILDING PERMIT APPLICATION 1 set of energy calculations.
7.b se Used For ? '' ? I I I, D DO, °-°
?wL- Valuation Date
Site Pddress pFFICE USE ONLY
Lot _.L Block Sec./Sub. t
Parce.t #: -/d - S lo `1 b l -o-a y? X o`?ncy
REpair Fire Zone N A
Owner: Enlarle _TYpe of Const. -¢
P.ddress:
c4zz
City/Zip Code: ? IlJ '
Phone #: ?'94 G /y S?
Contractor:
Address:
City/Zip Code:
Phore *# :
PSCll./Fttg.: 2? 4el{4
Addx2ss:
City/Zip Code:
Pnone #: A'? - d 7,;Z ?
P'love # Stories
Dgmlish Front foCo ft.
Grade Depth it.
Assessments Pezmit c?(p0, "50
?aater/Sewer Surcharge _
? R2
Police Plan Check 25
Fire SAC ? o0
Ehg. water conn. 4"1 O. ,-°
Planner Water Meter (03. °O
Council Road Unit 2(oD °°
Bldg. Off.
APC
TUrAr. T? ;? , Q 6 y, ,Z S-
:?.. _
??x4z=
?
2? x ?Z-
ID°I 2 K
?? Z4 x ?? -
?oQ2 x 4 I ?
5 8)q (oe)
(vS&¢
?4 -7 -7 Z
I(d,& Cq
1 ? 1:00 - D)
po?
?
CITY OF EAGAN N. ? 91gO
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454•8100 (lj`„/
BUILDING PERMIT Receipt # ? ?? ?1
T. M wed for SF DWG/GAR Est. Value $111,000 pafe JUNE 18 Iq 84
SiteAddress 4685 PARKRIDGE DR
Lot z eioct 4 cM/sub. PARKCLIFF 2ND
varcel No. 10-56701-020-04
I IN,ma DEVELOPERS CONST
Z Address 1101 CLIFF RD -
9 c;jY BURNSVILLPpnO1e 890-6194
9 Name SAMF'
?u Address
1- City Phone
Name
City
1 hereby ackrwwledge fhat 1 hove read ihis application ond store ihat
the in}ormation is corred and ogree to wmply with oll npplimble
Stote of Minnesoto Stotutes and City of Eo9an Ordirwnces.
Erect 11 Occupancy
Alter ? Zoning
Repoir
? N/A
Flre Zone
Enlorge ? Type of Const. -
Move ? # Stories
Demolish ? Length 66
Grode ? Depth 30 Sq. Ft_
Anorovala Feei
Assessment
Water & Sew.
Pal'rce
Fire
Eng.
Planner
Council
Bldg. Ofi.
APC
Permi?W. 50
Surcharge 55.50
Plan chxk 230.25
SAC 525.00
Water Conn. 470 . 00
Wnter Meler 63 00
Road Unir 260.00
rotol ?;2' u25
Sipnature of Pertnittee I
A Bullding Permit Is istued to: DEVELOPERS CONuT on tha express condition thai
all work sholl be done in a rdonce wl h all ppli oble ,t,oJMof M?innesota Stotutea and City ofi Eagpn Ordirwnces.
Building Officlal
?•
S3 7 ? c?L RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681•4675
New Construction Reauirements
• 3 registered site suneys showing sq. ft. of l06 sq. fl, of house; and all roofed areas
(20% maximum lot coveraqe allowed)
• 2 copies of plan showing heam 8 window sizes; poured found desgn, etc.)
• 1 set of Eneyy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Oetail Options seledion sheet (bldgs with 3 or less unils)
DATE -;7 -o2 / --C) :D -
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS %Y<
TELEPHONE # 9-??4lLCELL k ONE #
LTI-FAMILY BLDG? ,LY ?
°IREPLACE(S)'?-! 0 _ 1 _ 2
i C?STATE AkhIP
FAX # ?-5 ,R-S/ /
PROPERTY OWNER ? l /r. / I TELEPHONE # laS!'?C)_? o
-----------------------------------------------------°--°-------°---------------------------
COMPLETE THIS SECiION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ >IIV \LSO"I':\ RULES 7670 C:\7'CGOI2Y I MI\NF50'I':N R[iLLS 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Emelope Calculations Submittetl
Plumbing Contractor: Phone #
Plumbinn systcm includcs: _ Watcr So[tcner I.awn Sprinklcr
? Watcr Hcaccr No. of R.I. Batiis I?
No. of Baths
Mechanical Contractor:
Mccliuiical svstclu includcs:
Sewer/Water Contractor:
-- :1ir Conditionittg
-- Hcal Rccoacry Systcm
Phone #
Phone #
$70.00
----------------------------°----------------... --------------------------------------...------------ ° ° ------------°--
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan ?Ord?inan s.
SignafureofAppiicanf 1 X U???/r\
?°
OFFICE USE ONLY
/.
RemodellReoair Reauirements
. 2 copies of plan
. 1 se[ of Errergy Calculafions for heated additions
. 1 site survey (or extenor addiUOns & tlecks
• Indicate if home served by septic system for additions
VALUATION ?/C,, /L/ 2. ? 1
Illl 2 9 2002
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UpAated 4102
OFFICE USE ONLY i
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravemen[ ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuation Occupancy I MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. G PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Final/C.O. i
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbine ?
?
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftg's _ AidGas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By, Building Inspector
Base Fee I °/ L2 Cj
Surcharge r?
Plan Review ?
MC/ES SAC
City SAC
Water Supply & Storage ?
S&W Permit & Surcharge
Treatment Plant ?
Plumbing Permit j
Mechanical Permit
License Searoh ?
Copies
Other
Total ??"?
Certificate for:
DeveloperD Con3trizctlon Bk: 67/9
1101 Cliff Road
' Burnaville, t;n, 55337 ?
? -
DELMAR H. SCHWANZ
LANDSVRVEVOR SI I UC,
0.eqisteretl Untler Laws of Tna Slata oi Mlnnesota
1
2978 - 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHONE 612 4237789
?
C?
SURVEYO 'S CERTIFICATE
ab?'?9 ?ti.o 1 '
3c A?` ? - ?
?
0
w
v
?
Scale: 1 inch = 30 £eet
0 Denotes iron monument
p Denotea set waod hub
VI
?
?
9H3 S Denotes existing elevation
O Denotes propoaed elevation
0
0
(j
t7 ,:, V/
/io . yy
,(pP p')E
y,. ?. '163 `l 7if' 7
?
i
?
#?6(B
?
2roposed
HouQe
Garage ? i
;.q
--= I5I?
I
rAt z,
Block 4
0
?
?
rl1
Drainage and?
UY.ility
Eaaement ?
0
1 I c
0
?' ? B>'
o
66 -7
Ng9 et ijw
J ?
?QX
Propoaed garage floor elevation_LZ,2x
I hereby certify that thia is a true and correct repreaentation of
Lot 2, Illock 4, PARK CLIFF Z,JD ADDITION, accordinr, to the recorded
plat thereof. Dakota County, Minne3ota,
Also shor+ing the location of a propocsed houae staked thereon as
oP June 12, 1984,
Garage size changed Tune 14, 104.
.
_????,?' i -' ? ? ,
MINNESOTA REGIS7RA710N NO.8625
/ .
.
exrenioii eNvELoPe nuERnrr: ''u'' c oi•tii,i rrAT iuN
OWN E R : -- ??., o 1??G7?T?6 ?iltilo Ll • ! . '`i ? r`
SITE AODRES:
.
CONTRAC70R'; Dl1TE: . PHDNE.a??'??/?"
, , . ,.
,
s
t
DETERMIPIE 410RY.IHG SOUARE FOOTAGE O
'
..
F EACH .
.
`..
.. . .,..
. . , . '
,..' '.. . . -... .
;
...
y i :.` I
4
1.. TOTAL EXPOSED'LIAI,L AREA 1 T, f
sq t
2. 70TAL ROOF/CEILING AREA
,.:
,
,;;
Sq
ft
x.
?
3•`.:TOTAL EXPOSFD 1JALL;AREA CAICULA7IQNS:' i i`
' ? •
'
Total exposed wall , ? y?
. area above floor "
s
q
a) '. Total'wall window'erea i ' ? "' i,."y,' ? ?,?J;i'r >1 ,?';•
? 9lazed s9 ft x nUi?
qlazed'.... sq ft x nuii o
b) Total door area
sq Pt x''U" 0 17'? _'?_ ?'•
;,,
c} Total '
el ld1nqglass door e1rea;
?? ', '''? t.•1i? 0 l?
?.
?iglazed
. sq ft x,''U"
y 1?'
1.
%
9lazed , s4t ft x nuii
d) Total fireplace wall area sq ft x:"U" C
' ??
.
. e).: •
Total wal] framing area •
, (Average 109;) ...... sq ft x.'rUn
' f) Total net wall area above "
floor (Insulated)........
? sq
fC
x"U"
.
,
g) Total rim Joist .area...... _ 72 ? sq ft xI lUill
?
'
Total foundaF-lon .
. area (Exposed):...... .. _82_/D sq .ft
h) Total foundatlon
-
i w(ndow
area.............
sq
ft ?
x nUi
? 1) 7ota1 net foundaLion
area above.9radeti... ?3? sq ft x"U?? 't
'
.t3
3• TOTAL e) thru i). ..= v
If'item N3 Is the same as,'or less than item N1, you h eve met the intent of
. S,R.C,
I? Sectlon 6006 (c) 2.
1 .
• .
4.
70TAL.EXPpSED ROOF/CEIIIPIG CALCULATIOtIS: J?ql
:. ,
,. , .,
'Total exposed `
roof/cellln9 area sq ft
,
- ;.,. ..,::
' •
,
.
..:
. . .
' = sq ft x
)) ,. Total skyl Iah.t area ':f o
?lun, '
.
,
I,) 7ota1 roof/ceillnq framing o
(Averaae 1p9') sq ft x
.
area "U"
,:
?i . , . .. .
.
?
'
-
v '
?.? 4
.
,.
.
,
.?. ,
.... . :. ,
1) Total net insulated? ? i ? q
? sq ft x
roof/ce(linq area ,.....
=?=?.?
' -
l'U'?
- 70TAL`?J)`thru'1)'
;
If total `of °1i Is.the same as, or,less,than I12, ydu have met 'the lnt0nt
?
S.D.C.: SecUon 66Q6 ?c) 1• '.,, ...... .. . . ._
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` ALTERP{ATE DUILDIhlG ENVELOPE DESIGN
,
. ,.. , , ,
? To utilize the total envelope systemmethod, the values established by thesum:
?of ltems 113 and 1/4 shall not.'be greater'then the sum of -items 1/1andtu2
?+
3 9
;
3. ?-??26 'Q ''4 1'
?-
- .
? I
?b'. .
CITY USE ONLY
LOT ? BL L_ PERMIT #: 41231
SUBD. 6V C fiC i A RECEIPT #: . CIZ I3I7q'I
. RECEIPT DA'i'E:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQ108 RD
EAGAN 2M7 55122
/?,?-? 651-681-6675
Date: ?J
Complete this section onlv if you aze insta(ling HVAC in a single family dwelling, townhome or condo under
construction and not owner/occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outleu (minimum of one required Q$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodelin?, adding to, or renairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New ? Alteration _ Repair
_ Fumace ?
_ Air exchanger _
Reminder: Ca11 for inspections
Other
Air conditioning
Other
Fee
State Surcharge
Totai
$ 30.00
.50
30.50
---------------
SITE ADDRESS:
?_- ?OB7' Oyl
OWNER NAME: DOI??? PHONE #: ?
INSTALLER NAME:V ?D I PVS ()h 1.f :kbS JCKJ y7/9. PHONE #: (ARE?-y?I ? 7OGI('I
_ V v . ?`7 LO ? f 4_( ?Q EA CODE)
STREET ADDRESS: ?
C[TY:
STA7'E: MA) ZIP: 5,2 L
'r
9
?m
OF
CITY USE ONLY
L 8L
SUBD.
APPROVED BY: • INSPECTOR
PERMIT #:
RECEIP?T#: _
RECEIPT DATE:
2000 MECHANICAL PERMIT (CObIl?ff?+FtCIAI,)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, MN 55122
651-681-4675
Please compiete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, ca11 651-681-4675 jor inspectiox by f:re marshal and
plumbing inspeclor.
Description of work:
Fees: I% of contrsct price OR $30.00 minimum fee, whichever is greatec ,
Undergraund mnk removaVinstallation = minimum fee
Canhact price: $ x 1%= S (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL S '
SITE ADDRESS:
OWNER NAME: PHONE *
(AREA CODE)
TENANT NAME (iMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#:
(AAEA CODE)
STATE: , ZIP:
SIGNATURE OF PERMITTEE
C
a
411? Clty Of Eatan
3830 Pllot Knob Fioad
Eagan MN 55122
Phone:(65Y)675-5675
Fax: (651) 675-5694
2008 MECHANICAL PERMIT APPLICA
Date: ? 119.- 0O Site Address: Dir
Tenant:
ESIDENT / OWNER Narne: tcjAt
R Address / City ! Zip:
C
O Narne: L
CONTRA
T
R Address:
Ciry: S[ate:?
Phone: ? Contact Person:
TYPE OF WORK -Ne" _4 ReplacemeM
Descriptian of work: _Add'3ional _
?
1 FofO?ae`.Us9 I
I
? Pertnd k: -7 67L ?
5 a ?
? Pertnil Fee:
I ?
i
j Dale Received: ?
i ?
i s?n:
HM T m
Zip:
Alteration _ Demolition
OTE: Bo?h raofroounted and ground mounted mechanhhalJ"equlpment /s requ(real to
be xreened by CJty Code Please cantad the Mechanlca!lnspector or am of the
PERMR TYPE
. • . RESIDENT/AL
4- FUmate
Air Candi6o?er
_ Alr Exchangar
_ Heat Pump
Olher
- COMMERClAL
New Corutructfon Interior Imprwement •
-
_ Instali Piping _ Proce9sed
_ Gas Extj FyAC unlis mus?t 6e scteened
Under I Above ground Taok (_ Install /_Remove) .
" When inslallinyremwinp tank(s), call far impedron by Fre
MarshfllantlPlumdnlas tar
RES/DENTIAI FEES:
$50.50 Mlnimum Add-on or afteration to an existing unit (includes 5.505tate Surcharge)
$90.50 Fife fep2ir (replaca bumea oul eppliancea, ducnvork, etc.) (includes $.50 State Surcharge)
$ . TOTAL FEE
COMMERCL4L FEES:
$70.50 Underground tank instaUatioNremoval • OR Contrect Value 5 xl?
$50.50 Minimum (inGudes State Surcharge)
? g ?v permit Fee
- II Pertnlt ? is lass than $7,000, surcharge is $SO.
X
- If Pertnit Fgg is > S1.000, surcharpe increases. by S.SO lor aech State SurCharge
=$
$1,000 Pertnit Fee (i.e. a$1,001-52.000 Pertnit Fee requires a 51.00 surcharge). a TOTALFEE
I hereby acNnowladge thal Itus inlomauon ia wmpele anG aCaurate; tllat ihe work vnll be in confarmmce wnh tne ordinancee antl ootlea ol iM Giry ol Eaqam, that
I understantl thu is nat a permd, but anly an appliealion lor ¢ permit, anC work is not ta stanN+ilhaut a pertnit; Ihat the vrork will be in accoNance wilh tAe appr ed
pl in tAe caae of Veflc whicn requues a review antl appr of ptans. ?
x x
Ap c nYs dnted Na App ant's Slgnature
FOR OFFlCE USE ReWewed By: Date:
Requlred Inapectlons: _Under Ground Fough In - _.Air Test Gas Service Test _In•flaar Heat Fnal
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175642
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 4685 Parkridge Dr
Lot:2 Block: 4 Addition: Park Cliff 2nd
PID:10-56701-04-020
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 -
Kenneth Edward Ii & Rachel A Baierl
4685 Parkridge Dr
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature