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4640 Pilot Knob Rd'. CITI( OF EAGAN 3830 Pilot Knob Road , Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4640 [ FLl11 f"AikbJAY lili 1 ', :•N PERMIT §,y,5TYPE: TYPE OF WORK: Hfu INSPECTION i l 1N6 . . 1-RAM3146 .A ? i N''111 11; i6H F 114AL f lfsf't'l At:F INSPECTION RECORD Control No. (J U? -wAmwm mm mff r-msH lolar/92 PERMIT TYPE: ??? I 1 0 11414 14W Ir'YS'TM 452-9680 Permit Number: 001149 Date Issued: o I/:• 1/ 42 i. u j: I ,tli,ir; t APPLICANT: K14011 Itll NkR12MANlt C.QN,?',TRtiCT1Of4 At n (6t;!) !1g1. 1100 ?t4MAi?1:`, '+ 1e 14 l'ESNTRAt: 101t -SCFIFREN PLCip Pertntt No. Permft Hokbe? Data Telephone ? . SNV PLUMBING HVAC ELECTRIC ,?? r `??? /i y?. ? ELECTRI? ,?a ? I ?9 ' cS' y? ? Inepection ly Daft Msp. Commsr?ts Footings I 12- 7/C?i ? FoundaNon ? Framing /7 y2- Roofing Rough Plbg. Rough Htg. g ? isul. 04,00 i ? Fireplace Final Hig. Orsat T88t Final Pibg. Plbg. Inspector - Notity Piumber Const. Meter EngrlPian Blag. Final Deck Ftg. Deck Final weli Pr. Disp. ,:?4 F?8 YS-? V- D .0 •,x „? ( :, 0' ..? wtmficate nf cccupanc4 (FU4 o? Wasax _ everimi? of tonai" 3x0edi" This Certificate issued pursuant to the r+equiremerets of the Unrform Building Code certifying that at du time of tssuance this structure was in conepliance with the variaus on[inances of the Ciry rregulating building constnrction or use. For the following: ox clawirwofi.: SF DWG sW Perai;, rro. 1148 7 Const. Oocuq-CY 'Iype ' Diaaict V I?? OwIlcrDf BYI{ft ?S 4640 F1IArT ? ROAD, ?ry L 1, B 1, FAIIbIAY HIi1?S 2ND ?g ?= ; -7 9/24/92 °atc eadinx offici.i POST IN A CONSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?''? ?? ?? r a?? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: •1t.40 F' I t tt! h Ntlfi 14lt MHi;i. i i, 1P61AY H"i l. l S ?M1, PERMIT SUBTYPE: TYPE OF WORK: 1.1 1 ! _ - M!"1.! ? ? Permtt No. Pertnk Holder Date 7elephone 11 ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Commants FOOTINGS FOUND FRAMING ROOFINO HOUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL • BSMT R.I. BSMT FINAL DECK FfG _ n?Jf DECK FINAL 5 (Inc ° o ° ° Raquest Oalf _ Flre No, oug in Inspeclbn p ? Reatly Now C) Will Notiy Inspector LVes G No When Ready? I D licensed contracror y] owner hereby request inspection oF above electrical work al: Job Mtlress street B. or Route NoJ Ciry 4(4 q0 ;/c/- fCuuS v?u '?- Section No. TownsM1iD Name or No. Range No. Coun /l UG KC9'f?C OccuvaN (PRMr) 14,.W dtl?l? ?v sf u„K Phone No. ys2 -;?j?8d r Suppiier Pow e Mtlress ' \ ?+ ElecVical Coni (COmpany Name7 ConWactw§ Lweree No. Mailing Atltlress (GOntreotor or Owner Mektng Irwtallallon) ? Authorizetl Signeture C racttqr/ kio' Ilailon) 1 Phone Number , / 7 MINNESOTA STATE BOAND OF ELECTFIpYfY THIS INSPECTION REOUEST WILL NOT GriggS-MlOway BIEg. - floom 5473 1? BE ACCEPTED 8Y THE STATE 80ARD 1821 Univereily Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ptwna(612) 6624)8p0 ENCLOSED. Q Q? REQUEST FQ?R ELECTRICAL INSPECTION ?°.i+ ??"a$ A ee-oOMl-08O -?-'/? e? ? See inructions lor completing this lorm on back of yellow copy. F"FQ' ?? '?n ,,?a ` ?? "X" Below Work Covered by This Request ???ti ` e Add 11 Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Warer Heater Electric Heating ApL Builtling Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Condi[ioner Omar (sVecify) Conlraclor's Remarks' Compute InsAecfion Fee 8elow: # - Other Fee # ServiceEntrence5i2e Fee # Citcuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Amps Sig05 Inspecmr's Use Only, TAL Irrigation Booms (3ojco)( ?O • O T Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPI.ETED WITHIN 78 MONIHS, I, the Electrical Inspector, hereby i Rouymin oe certity ihat the above nspection has been matle. F;nei oaie OPFICE USE ONLY TM1is reQUest voiG 18 monlhs irom -bose K 31409 d /°7? ? 811119 13 ? c? ? Reque t ? ?c ? Fire No. F ?in Inspection e IreEP ,1 ? ReaCy Now L,?wlll Notiry Inspector / ?lNh R O ? ? es ? No en ea y IXlicensed contractor ? owner hereby request inspection of above electrical work aC Job Addrass (Sireet x ar Rouh No.) ? l u-?- CI Section No. Township Name or No. Rarge Na. ? Oc upant(PRINT) Phon No ? S pp6 r ? ? 6 n Atltlress ElecVi I Contraclor ( Company N ) Contr 1or5 icense No. Mailin Atltlress ICOnV ctor or Owmer Making Inst ilation? / Aut e 51 ! ttacton ner king In Ilalionl Phone Numper --3 ? MINNESOTA STATE BOARO 0 LECTPIGI7Y _ THISINSPECTION REOUEST WILL NOT Griggs-MWwey Bldg. - P "St)3 gE AGCEPiED 8V THE STATE BOARO 1821 Univenity Ave., SL Peul, MN SStOa UNLESS PPOPER INSPECTION FEE IS Phone(B1Y)6q2-O800 ENGLOSED. HEQUEST FOR ELECTRICAL INSPECTION ?q f? EB-00001-08 K 314,09 ? See instmctions 1 mpteting this lorm on back ot yellow copy "X e/ow Nork Covered by This Request ??7.4 " /0IV;76 ew A?_ Rep. " TypeofBUilding AppliancasWiretl EquipmemWiretl Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Builtling Dryer Other-(Specity) Comm.llndustrial Fumace Farm Air Conditioner Other (speciryl Contractor9 RemeM1S'. Compute Inspection Fee Below: 8 Other Fee # ServiceEntranceSize Fee # Cimuitg/Feeders Fee Swimming Pool j 0 to 200 Amps f, dQ 0 to 700 Amps XC Transiormers Above 200 _ Amps Above _ Amps Signs Inspeao.s Use ony: OTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTNS. I, the Electrical Inspector, hereby Rough-in oafte certiFy ihat ihe abova inspection has been made. 6 OFFICE VSE JNLY • This requesl wi0 18 monlhs Irom .? AdiiYess: 4640 PIIAT KNOB RDAD Lot I Blk I Sac/Sub gAIEWAy HEJ,g 2M These items wera/were not complete at the time of the final inspection. Date: 9/24/92 Yes No Final grade (6" from siding) Permanent steps - garage ? Permanent steps - main entry ? Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage Porch y Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plvmbing system and the shut-off oE water supply to the outside lavn faucet bafore freeze potential exists. ? •ecrumxum White - City copy Yellow - Resident copy Pink.- Contractor copy `A CITY OF EAGAN 3830 Pilbt Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: C&D 5G1e35 BUILDING 027503 05J13/96 I SITE ADDRESS: P.I.N.e 10-25601-010-01 4640 PILtlT KNOB RD LOT: 1 BLOCK: 1 FAZRWAY HILLS 2ND DESCRIPTION: ?uild'in'4-„Permit Type DECK (-6uiltling Wark Type NEW Gensus Code ? 434 ALT. RESIDENTIAL si {, . j' S ii?tg x ' .a c? . REMARKS: FEE SUMMARY: Base Fee 5urcharge l"otel Fee $45.00 $45.50 CONTRACTOR: OWNER: - Applicant - NYSTROM MARK 4640 PILOT KNOB RD EAGAN MN 55122 (612)952-9680 I hereby acknawledgo thaC_I have read th}s applicatian and state that the informatian is porrect arrd agree to comply with ali applicable State of Mn. L Statutes??ry,tl C/}'ty of Eagan Ordinances. ? . // ISSUED ; SIGN E i4503 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 State: ? 3 registerod site surveys ? 2 copies of plan ? 2 copies of plens (indude beam 8 window sizee; poured fi0. Eesign; etc.) ? 2 si[e suneys (ezterbr eddHions 8 decks) ? 1 energy calalaGons ? 1 energy calwlationa for heated addkions ? 3 cnpies ot tree pmservation plan iI lot plaCed efier 7/1/93 reQuired: _ Yos _ No DATE: 4//z?Z f4 CONSTRUCTION COST: ? DESCRIPTION OF WORK: STREET ADDRESS: ?? lof k"V ? LOT _[_ BLOCK I_ SUBD./P.I.D. #: PROPERTY OWNER Street u., Ciry: )65;&0 e4<- State: AOV S C( m e.. CONTRACTOR Company: ° - - -T Street Address: City: 5tate: ARCHITECT! Company: ENGINEER Name: Zip: Street Address• Ciry: Sewer & water licensed plumber. change are requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No Penalty applies when address change and lot R E Phone #: `/?-2-WO Zip: 5'?VZz Phone #: License #: ?4-T. g D COflw?'J -l Zip: Phone #• Registration #q is cyja`ect and agree to wmply with all M AY 0 3 VM9b ?--------- OFFICE USE ONLY BUILDING PERMIT TYPE n 01 Foundation o 06 Duplex ? 02 SF Dwelling ? 07 4-plex 0 03 SF Addition ? 08 8-piex ? 04 SF Porch ? 09 12-plex o 05 SF Misc. 0 10 _-plex WORK TYPE ,o4ll- New o 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const (Actual) (Aliowabfe) UBC Occupancy Zoning # of Stories Length Depth APPRO`.!A!_S Planning ? 11 Apt./Lodging o ? 12 Mufti RepaidRem. ? 0 13 Garage/Accessory o 0 14 Fireplace o 5 Deck 0 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Permit Fee Surcharge Plan Review License MC/WS SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W: Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? 5 d Total: Engineering Valuation: $ 4 • ,?. ?.. ? y w.y 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance o/ ? _Q- % SAC SAC Units ' ' ? y •i?NEERt .:,----.... ? ?eng rneer ng ( *? ?* 2422 E/+tarprlaa ?rlva Mendota Heiqhta. MN 35720 612) 661-1914•Fax 681- ._ 625 F{lyhway 10 NOrtheost Blaine, MN 55434 1612) 7e3-18e0•Fax 783- Certificdte of 5urvey for: Herr[nann Construc House Address: Piiot Knab Road Model Name: Countrv Home ???an, MN ? , ? ? .. I I o, I N e9'08'46" E C C) < rr? C? W ?- z o 0 _J n LL- 4J_ .?. N 0 Q N ? m io ? ,?. ??..:... ? . ,cCna I ?T,, . 'xloa.z z p q9'1.3 a ? cn • rn r? A9W ? .?;.? 8, ?z ?y ? .. , ?.,. . ? ?n R w??upY i0 I U o 22.87 ~ "L'O0. I eS .:i 9 n C A? -J y? r992.Ic. ? i N n 9346 "94t.Sll ? tn ? '., . . ?? ' I ? N ' J N . a Orc : ' .. $ 93$ ? : ??? \ ?. :..r ! ? k .. 3 13Q.49 ?' N 89'dJ'46" E . vf?m / / L . 900.0 Denotes Existing Elevatfon .c9oo_s, penates Proposed Elevation ?!?QP_aSEQ_ f.{OU$E EIEVATION ---- Denotes Drdinage & Ukflity Eesemer,± LoWQSt Floor Eleyo{i4n; -?Denotes Droinage Flow qirection Top of 81ock Elevuttoh: tonz.33 ---o- Denotes Monument Denotes Garage Slab Elevatlon: IOOZ.o ---e-- pffsef Hub 8earings shown are assumed LOT 1, BLOCK_1 FAIRWAY HiLLS,.,,;, ? DAK07A coUNTY, MINNE.SOTA ? I hP.ebY cCnify 'hat this survev. plan or renol r 2ND DDfTlON waf ` .. . '?h ontler ihe f.v,s of iA fwoared hv me or under mv direc9 :uPervis;on and that 1 nm dul ft,+ :..' e Siaie oi M?nn?soia. naied this ZI sV Ke?. 7-2I- dav or? Sv? qp„ Y 9isce,rd Lend Survayor ? A.U. 19._._ ?w+ouo {-o efWn< . Scale• Inch _ Z0 t--- ept . J -- ?•_ .? . H09EN/ p,51K Cr1 ,.5. qpG. onmf nt N O. 14E91??-? . ?T-- - °.___---_----- ..; ?.. _ ? `?; ?r CiTY (3F EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612)681=4675 PERMIT C°" °"° 0867 PERMITTYPE: euiLorNG Permit Number: 001148 Date Issued: 0 7/ 2 7/ 9 2 SITE ADDRESS: 4640 pILOT KNOB RD LOT: 1 BLOCK: 1 FAIRWAY HILLS 2ND DESCRIPTION: 4u!fd3:ng Permit Type SF DWG B•uildin-g,`Work Type NEW U8C Occupartoy R-3 M-1 ConstrucCipn'Type V-N 2aning ` R-1 ' Building Length51 Quilding Width - 48 f' . , n ?:.? ? ,? . .,... REMARKS: 0- Q Zx e1 S 5& W CONTRACTOR - SCHERER PLBG FEE SUMMARY: Base Fee Plan Review Surcharge SAC 5AC % SAC Units Subtotal CONTRACTOR: - HERRMAIVN CONSTRUCTION 535 3TONE RD MEMDOTA HETGHTS 17N (612) 891-1100 VALUATION $608.00 $395.20 $46.50 $700.00 100 $1,749.70 ;93,000 MISCELLANEOUS Totel Fee pplicant - ST. L AL 18911100 00826 55050 $1.610.50 $3,360.20 WNER: AL MERRMANN CONST IMC 535 STONE RD M£NDOTA HT5 MN (612)891-1100 55120 I hereby acknowledge that I infarmation is carreat and Statutes and City of Ea-gan ? APPLI ANT/PERMI EE SIGN URE have read thi.s application and state thar t{ie agree ta ccmply with all applicahle State of Mn. brd'inancas. ? flnue J4 V:r?( ? m.1 ISSUE BY. SIGNA UF?- PERMIT N REACT[VATE _, i _'4 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 _ J U L 22 RECD SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 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 work9ng day of month in whi h c re uest is made or lot chan e is re uested once ermit is issued. Date 199,a Valuation of work S?ll Site Addr)ss:?Y? ?a ln?f kn?? ?„? 57REET SUITE N Tenant Name: (commercial only) IAT _L BLOCK ? - I SUB T P.I.D. * _ Descri tion of work: s.w Qibv The applicant is: O Owner uo Contractor ? Other (Oeaeribe) Property phone Name LAST F]RS7 Owner Address 5 T STE N City 5tate Z;p Company _f4L }+QrY'YYlftol.?N ClavL6t' 1+ Phone j91 - (loU Contractor Address 5a.'5 ?&aru. License q?e Exp. City 3tate YYIN Zip55 126 Architect/ Company zc Phone Lcfl- IR tq Engineer Name Registration # Address oZ pr City ?Mk__,?=?a 1?r•.4?1a 5tate YY?? Z i p 67i5_/ 6 Sewer 3 water licensed plumber Processing time for sewer & water permits is two days once area has. been app ved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wit all appl,icable State of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. 03 Sf Addition ? 08 8-Plex ? 13 6arage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. p 10 Multi. Add'1. ? 15 Deck WORK TYPE ? ... ? , V? Y fi w ? 16 Basement finish ? 17 5wim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. O 20 Public Facility O 21 Miscellaneous 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System ?'? (Allowable) V-N lst F1. sq. ft. City Water YES UBC Occupancy 2nd Fl. sq. ft. PRV Required Zoning R-1 Sq. ft. total Boaster PumP N of Stories Footprint Sq. ft. Fire Sprinkl er Length ?+T On-site well Census Code l0 / 3 Depth 4 8, On-site sewage SAC Code 0/ APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS ? Site ? Nallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Nater Conn. Mater Meter Acct. Deposit S/M Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % u0 SAC UMts vatuat;o,: $ 9 3, 000 - URaAC.e; zoxZZ? qyo x i6= 70 va `J; 2Gxy?v I? 9? `Ix 7 - Z8 ..?-- ?Zz?i X IS ? I?3C p IST FLoOR, 13e'1VcT= Ix-? _ ZxS- 2 x7 : 122t+ ? IS 12G3? ?3= 6G.93q qZ? 339 T4t T * PIONEEA 2422 Entcrprlac Drivv Mentlota Neighly, MN 55120 * . e IANUSVlt1?ti(M?a•C?nlINpNECH$ / \612) f)81-?914•FUK 681-9 ng neer ng 7? UNO FtAHNERi • UNO'aGAFF, ANp111CCP' 625 Flighway 10 Northcast * . * ? * Blaine, MN 55434 (612) 783-1880•FOx 783-1 Certificate of 5urvey for. Al Herrmann ConstruCtipn,.. InG. _.,? House Address: Pilot Knab Road. Eg.gan, MN Model Name: Cou,n_t_r Home ca ??- (Y` C? -, C? ?J n LJ_ Q ? L.L.I Q ry it ?? q?1f . (f) 0 Q ? a cl rD ? ? frI Z O ? a U? O? ? ? ? I I I I ? N 89'08'46" E 130.50 50 34.75 I ?}8,30 ( In ? i ? ? xrool.z ? 9y '? . by 942.y1 I t ? _f ..- - 28 .17 ? I o ` ? I /OC v ? y v m ' I ? o i V d.O y ? Z ? , n ?e.aa ? E? 5 ° I J ? >A?. ?`9 C?Rrv?inPY ? ? . yt,? ? ' m 2 b7 5 i io ? --- - 22 67 u ? . OoI Z t L- . . ? vJ ? 35.? :?S.o 45.33 5.0 ?1 v? R96.2 ? 130.49 Ss 1 i N 89'03'46" E I I,f,,,Jr ,'' B Y Le -??,??1-`?- JACwAX ??tGT?ti???iIRG, T'rEnT . 900.0 Denotes Existing Elevatlon =C9oDenotes proposed Elevation P!?9PpK0_f.iOUSE ELEVATION ----Deno{es Drciinage & Utility Easeme nt Lowest Floor Elevotion:_y 21 '_L2 ? ---Denotes Drainoge Fiaw Direction Top of Block Elevatioh: aooz,33 --o- Denotes Monument Garoge Slab Elevation: Iooz o ---a- Denotes Offset Hub Bearings s . hown ore assumed • LOT 1, BLOCK FAIRWAY HILLS oA MINNESOTA 2ND ADDITION I hP.46Y r,Crdfy that [hii surv¢y, plan or rennrt wa1 U,fOarcd Iy uoder the liw5 ? Of thp Stale 0f Minnctot2, pated thls i 3 me nr und¢r m Y di.¢ct :uoervislon qnd th3t t nm dulF' ft,,g;;;q,?.d land Surveyot 10<< .;: 1y p ' (ZeV. ,. ? Mola {-" .- i SCQIe' ??n,ch=JOfset i - ?i?7 %.. , . ? •1 ?i.JJi.. . ' NbB R7E ?[S,SIftf4'V t-S.nEr.Nn,1AB91 .W Ln . ? CA ? rn One or Two Family All Othor CITY OF BUILDIN(3 DEPART1-IEVT EXTF;RIOR ENVLIOPE AVERAGE °Ulf COtdPUTATION (To be oubmj;ttad w k itti building permit application) Bwolling __ Owner _ Contrractor Site Address _ t.o7 1, gt.oQt I FAIRuAY HiI1_S1V Date - Phone ?r ?d LINEAL FEET OF EXPOSED VlALL '_?j?5 u V/0R.14 11 ft. above grade TOTAL EXPOSED 4VALL AREAq SQ. T.,- OPAQUE WALI, CONS'1'RllCTIU14f "U'l Value x Area De tail -E- U/Pt'L'tU " ? 0 d4-3 x S2. reference tiU" - VrAo x SR, from 0 O x 5Q, attachod lou'l x SQ, snoot a tiUll x SR. WI14 D04YS: "Ulf Valuo x Arna FT. 9s?? I ?U) ?A) FT. n7, FT.-L?-/67,.43 -7- SU) (A) FT. - (U) (iS) FT. _ (U) (A) FT. _ (U) (A) Malce & Type i ?q?/?? 41 x SQ. FT.? ZZ ?J U) (A) n n n 11 - U x SQ. FT. _ (U)(A) IIUII rr u rrUrr x SQ. FT. _ (U) (A) , x SQ. FT. _ M(A) DOORS: I!Ull VAlue x Area Aialse & Type ?i „ 32009Z4 -- U il • 4 x SQ. (? B(p FT (U)(A) it i U X sR. . FT. _ (U)(n) i i it X S4j. FT. = (U) (A) I Un - x SQ. FT. - (U) (A) TOT/tLS L0r> 7 S@. F'T. (U) (A) AVERAQE "Ull TOTAL (U) (A) VALllES DIVIDGD BY TOTAI, 1YALL AgEp ) (p 931575, ??? z'?? , AVERAQL ??Ul? lvos for 1&2 family dc+ellinga • ? ROOF/CEILIN6 TOTI?L AREA: --??3 Detai), reference nUn Prom , npn z c• x SR. FT.1 ?3= (U)(A) flttuched sheots. ttU" X SQ• FT. ° (U)(A) Describa ononingo iiUt x SQ. FT. r = ( U) (A) in roof. x S0, FT. _ (U)(A) nUi? x SQ. FT. - (U)(A) ToTn?. (v)(n) VALUEJ llTVIlll?;u nY ?,fr I?'?5~Cu?? .'TO'PAL R001?/CLIL,ii Q AUhIA l AVLRAaE "U .025 or voritllatod roofe, ? 3;t ?r. 'a. rr 4: x C.44-I-4- 4` + . 1 ?uco I V`1tDa UjS wi x3 = 2?5X 3,S = 8,?s"X I= 8.ns w?_:- ?,,; x 4?S = II?Zsx`? = ZZ?S 44 Uu4vj,5 ? B,co -?/, 5, (o ?tj 2 x 4= 4 ?ux ¢,L, = Zl???c l= 2???. ?. .kW /v 6 Z ?L S?'12 = ? 2) '-- -?4- ??-ss Uo? io7, z ... ? ?xlz = I2- 2C8.4(, . I2lp X2 1;5 5 41r&V 2"z 95t ? i 3c? 3 PERMIT N REACTIYATE ? 1 I?i CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION SEp 2 8 RECa 681-0675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, I 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 is made r lot chan e is re uested once ermit is issued. Date e4nher / a& / Valuation of work 5ite Address: wclo RG ?,(? n; MN S1_1a2, STREE7 SUfTE R Tenant Name: (commercial only) IAT SIACR ? SUBD. 7'a /'rW,,I- P.I.D. k Descri tion af work: /'YMe WlYe- aw ,?/??=?rvL b ?`cdyY-, The applicant is: Ld'Owner ? Cantractor O Other (Deseribe) Name A/VS ?z7Y+n T1^k Phone q?I6Z Property iAs,/ F,RST ?- Owner pddress 116110 STREEi STE R City EdiG{av} , 5tate A1 ? Zip Company Phone Contractor Address License # Exp. City State Z;p Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 8 water licensed plumber Processing time for sewer 3 water permits is two days once area as een approved. 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. 5ignature of Applicant: OFFICE USE ONLY BUtLDING PERMIT TYPE O 01 Foundation D 02 SF Dwg. ? 03 SF Addition O 04 SF Porch 'FL 05 SF Misc. ? 06 Uuplex ? 01 4-Plex ? OS 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. WORK TYPE ? 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move Const. (Actual) Basement sq. ft. SAllowable) lst F1. sq. ft. UBC ccupancy ?-3 2nd Fl. sq. ft. Ioning Sq. Ft. total # of Staries Footprint Sq. ft. Length On-site well Depth On-stte sewage APPROVAIS Planning Building Engineering Yariance REQUIRED iNSPECTtONS ?roam in 6wse.w+ew+ ? Site ? Footing - O Framing ? Wallboard ? Final ? Draintile 443,1 ? Insulation ? Fireplace Permit Fee 35,00 v.iunc;on: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter . Acct. Deposit S/W Permit SJW Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: S 3( ? S . • ?1 ?. . :_ ? 16 Basement Finish ? 17 Swim Poal O 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous 0 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units 1Q 9 fl 5- ? ye" `7v Zp? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephoue # 651-675-5675 FAX # 651-675-5694 New ConstNClion Reauirements RemodeVReoair Reauiremenis Office Use Onlv 3 registered site surveys showing sq. ff. of lot, sq. ft. of hause; and all roofed areas 2 copies of plan Ced of Survey Recd Y N (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additlons Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; pouretl found design, etc. 1 site survey foradditions & decks Tree Pres Required Y N 1 sat of Energy Calculations Add"rtion - iiMicete 8on-sRe septic system On-site Septic Sysfem _ Y_ N 3 topies of Tree Preservation Plan If lot platled atter 711193 Rim Joist DeWil Options seledlon sheet (buildings with 3 orless unAS) Date /_ /L/ 1_05 Canstruction Cost b,% 9 7 Si dd L (? ?? ? / ? ? h ? teA ress y? ? 6 , 07 Unit/Ste # / hvi Q - Description of Work QCP l) e q (.?/??ytUG,/ S ? .i ,p ?`S/ ??zs?' ? ?-),?nc.S , Multi-Family Bldg _ Y? N J Fireplace(s) _ 0 _ 1 _ 2? Property Owner Telephane # Contractor GL n'1 e/'r Ck-7 S G/ inS 7, Address I/ LILI /), I.4/ u.-?7a•7GG.u?E City f9itnd?trlv% State t,' s7 Zip Telephane #(N/S) a S?'49 3gg_ o??9 LE uu? COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cate orv 1 ?_ Mmnesota Rules Y672 Ene[gy Code Category . ? ResidenYial Ventilation Category 1 Worksheet e eAe Workshaet (d su6mission type) Submitted Submitted • Energy Envelope Calculations SubmiUed Have you previously constructed a building in Eagan with a similar plan2 , Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Wpter Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant' Printed Na e Applican ignature OFFICE USE ONLY Su6 Types ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBtdg ? 02, SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03. 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) O 33 EM.AIt-SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc. ? 05. 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31. New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors ? 34, Replacement 'Demolitlon (Entire 81dg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) f Final/C.O. _ Footings (deck) _ Final/No C.O. _ xootings (addiCion) _ Plumbing Foundation H VAC Drain Tile Other [ce & Water Roof Final _ Pool _ Ftgs _ Air/Gas Tests Final _ _ _ Framing _ Siding _ Stucco _ Stone _ Brick Fireplace R.I. Air Test _ Final _ Windows _ _ _ Insulation _ Retaining Wal] Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector nt(;EIPT7i: iZ5 ?eu?-- I?S a" r' SUBD. RECEIPT DATE: _ S- ?) - C3C) PERMIT# 2000 PLZJIMING PERMIT (RESIDENTIAL) CITY OF EAGAN ' 3830 PIIAT KNOB RD EAGAN, MAI 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES eeru --- - Alterations to existing dwelling - minimum fee Describe: A IVIAL $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = g Gas pipin outlet • minimum - i 3.00 x = $ Hot tub/spa 3.00 x = g Kitchen sink 3.00 x = $ Laundry Va 3.00 x = $ Lavato 3.00 x = $ Septic System new/refurbishad • requires MPC Iic. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new instailatioNrepainrebuiid 30.00 x = $ Rough apening . 1.50 x = g Shower 3.00 x = g Under round sprinkler ifdwelling is underwnsWction 3.00 x = $ Undergraund sprinkler H existing dwelling 30.00 x = g Water closet 3.00 x = $ Water heater 3.00 x i = $ Water softener If dwelllng under eamtruetlon 5.00 x = g Water softener it exisUng dwening 30.00 x = g Water tumaround 30.00 x $ State Surcha e 50 -> ::? -> g .50 TOtdl Reminder. Cail for inspeetions of aiterations, i.e. water heaters, water softeners, etc. --••----------•--- ----------•--------°-•------------------------ ------•--••----------------------•--°•- •--•-- •••----•--I hereby aeknowledge that I have read this applicatlon, state that the infortnation is cartect, aiM agree M mmpty wM all applicable City of Esgsn ordinances. It is the applicanFS responsihility to notiTy the property owner that Ne City of Eagan assumes na liability for any damages wused by the City during its nartnai operational and mairrtenanoe activdies to the facilitcs constructed under this pertnR within Ciry properrylrightof-way/easement. SITEADDRESS: -lIDLI(> F?1 IC+ f lroh Pc1F?cYr r, rnn 5-011LL. OWNERNAME:: ?? U9-rQ TELEPHONE#: t,O i-A?-YlQ(.so (? (AREA CODE) INSTALLER NAME: rn r IC DY ) K J- TELEPHONE #: a-&)Q?l h YY ?? L 1 hJ N_ SX \?AREA CODE)? w` STREETADDRESS: CITY: 01 vmm I±h STATE: ZIP:? ? .-- ?1? SIGNATURE OF PERMITTEE 401?dtVoFaagan ???? ? oto o r THOMASEGAN Mayor December 6, 1993 PATRICIA AWADA SHAWN HUNTER AL HERRMANN THEODO E WACHTER BRIDLEWILDE JOINT VENTURE Council Members 535 STONE ROAD THOMAS HED6E5 MENDOTA HEIGHTS, MN. 55120 City Adminishator E. J. VAN OVERBEKE RE: Earth Berm Construction for Drainage Probiem at cH clerk 4640 PilOt KnOb Roed Dear AI: In my letter dated August 31, 1993 I mentioned some deficiencies in the storm drainage area that resulted in water entering the basement of Laura Budweg and Mark Nystrom's home located at 4640 Pilot Knob Road. The first item was the lack of berming at the CB MH located at the rear lot line of Lots 9 and 10, Biock 5. This work has been completed by Schaaf Construction to the satisfaction of the home owners and the City of Eagan. I am enclosing a copy of the bill we received for this work and am asking you to reimburse the City of Eagan for the amount we had discussed as per our telephone conversation. Please send payment to the Ciry of Eagan to my attention. The other item was the removal and replacing of a C.B. casting located in the low area north of the Budweg and Nystrom residence. This work was completed by the City of Eagan maintenance personnel. As I mentioned before, with the completion of these items I feel that tHe possibilities of water entering the basement of the residence at 4640 Pilot Knob Road have greatly decreased. If you have any questions pertaining to this letter, please call me at 681-4646. Thank you. Sincerelwy ? ?? Stan Lexvold Construction Supervisor CC: Mike Foertsch, Asst. City Eng. Wayne Schwanz, Supt. of Utilities Enclosure MUNICIPAL CENYER 3830 PILOi KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX:(612) 681-d612 TDD:(612) 454-8595 THE IONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV Equal OpportunNylAffirmaNve Actlon Employer MAINTENANCE FACIIITY 3501 COACHMAN POINT EA6AN, MINNESOiA 55122 PHONE: (612) 681•4300 FAX: (612) 681-4360 TDD: (612) 454-8535 . INVOICE ? R?cEnr?? n?c SCHAAF COMMERCIAL LAWN CARE f? and SNOW PLOWING SERVICE 7978 E. Courthouse Blvd. Inver Grove Heights, MN 55077 (612) 454-1349 CUSTOMER CitY Of Ea9dt1 pATE 11/ 29 I? 93 •TR[6T 3830 PilOt Knob Road YOUR ORC.NO. eirr_ Eaadn, Mn. 55122 u.rvoicE r+o. 02582 TERMS: 30 DAYS Rate• Laborer @ $ 27.00 per hr. Equipment Used Location ----- W.O. # --------- Hours ------- Cost --------- ---- ----------- 3 Laborers ------------------- 1393 lnt,erlochen Ur. 4007 5.00 $405•00 3 Laborers 4808 3.00 243.00 2 Leborers 4809 1.50 51.00 Equipment Total $723.00 "tat.eriaY Used Location Cost ----------------------------------------------------------------- 6.5 Yds. F3laclc dirt 1393 lnterlochen Dr. $65.00 50.00 50 yds. Sod Ptaterial Sub Total $115.00 Sales 1'ax 7'48 Material Total Equipment Total Total --$122.4E3 729.00 $851.48 Pkase pay on inwlce. StaMment sent only on request. r dlewilde Juint ?? 1,Lls r- ??= Stan Lexvold Construction Supervisor C9ty of Eagan 3830 Pilot Knob Road Eagan, Mn. 55122 Dear Stan: January 5. 1994 ? lJe are in receipt of your letter of December 21, 1993 which again indicates some sort of compliance on the part of Bridlewilde with the earth berm that no longer exists at Fairway Hills II, If you check your files you will find a letter from us early on stating that we had no responsibility for the herm problem or for cost sharing discussed by you. However, after receiving your last letter we have decided to honor your request and pay one half of the total invoice amount. A check for that amount is enclosed. Sincer ly, 1 Herrmann Presj9Qht, A1 Herrmann Construction, Inc. Roger D Preside Partner Enc. , DMS Investments Wenture 8723 Highwood Way • Apple Valiey, Minnesoia 55124 •(612) 688 0696 BRIDLEWILDE PROPERTIES 8723 HIGHW000 WAY - APPLE VAI.LEY, MN 55124 FAY TOTHE - 7 OFlp( E?F _ . {? .'r ? 4 .. . . . . _ . `/ c?.2.. \ __ ? ? 2036 ?- ? 22-G1/960 ? $ DOLLARS ? ? ? midway national ba? . ? ? 730pweet tqtn Sbeel. AoM? lhv. ME nnppme S?R? M?ji 11000 2036II' 1:0960006?1: 010 03 34 2f" ? .. .._?_. , . ° ,--... .... . - -- - ? .?.?.. _...??. _.. ...? ._ ?....... ....,,?. _. ,?.._-- - °--- . _........__.. . IN„o,CE 11ECF4,1Q? l' nEc ? SCHAAF COMMERCIAL LAWN CARE l? and SNOW PLOWING SERVICE 7378 E. CouKhouse Blvd. Inver Grove Heights, MN 55077 (812) 454-1349 cus,oMEn Citv of Eagan oATIE 11/ 29 93 srwscr 3830 PilOt KnOb Road VOUR ORD. NO. eIrv Eaaan Mn 55122 INVacE No. 02582 TERMS: 90 DAYS Rate• Laborer @$ 27.00 per hr. Equipment Lsed Location - W.O. # --------- Rours ------- Cost -- 3 Laborers 1393 lnterlochen Dr. 44607 5.00 $405.00 . 3 Laborers - " 4E308 3.00 243.00 2 Laborers 4803 1.50 81.00 Equipme.nt Total --$729.0O "taterial Used Location Cost ----------------------------------------------------------------- 6.5 cds. f3lack dirt 1393 lnterlochen Dr. $65.00 _ _ ' 50 yds. Sod ___50_00 Platerial Sub 7'otal $115.00 Sales 1'ax 7'48 Material Total Equipment Total Tota.l $122.4E3 ' 729.00 $851.48 ? 11 city oF eagan .?'S60 ( o/o cs r THOMASEGAN Mayor PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN AUgUSt 31, 1993 THEODORE WACHTER - Councll Members THOMAS HEDGES MR. AL tiERRMANN City Adminisfrotor BRIDLEWILDE JOINT VENTURE E. J. VAN OVERBEKE 535 STONE ROAD City Clerk MENDOTA HEIGHTS, MN. 55120 RE: Dralnage problem at 4640 Pilot Knob Road Lot 1, Btock 1, Fairway Hilis 2nd Addition Mr. Herrmann: On August 19, 1993 the Ciry of Eagan was notified by Laura Budweg and Mark Nystrom, residents of 4640 Pilot Knob Road that storm water runoff had entered their basement level for the second time. The two occasions were on June 17 and August 18, 1993. In reviewing the situation, we have found several deficiencies that contribute to the drainage problem. The flrst item is the C.B.M.H. located at the rear lot line of Lots 9 and 10, Block 5. This C.B. was designed and constructed to drain the backyards located ta the east of its location. The deficiency of this situation is that no berming was constructed to direct the drainage to the C.B. If this C.B.M.H. could function property, the drainage amount to the problem area would be decreased by approximately 40°h. The second item is the finished grading of the rear yard. When surveying this area an elevation in a location directly east from the walkout door and also in the cut out swale was found to be approximately 5" higher than the basement floor elevation. If the grading plan shows ft or not, it is a common practice to have a properly graded drainage swale across the rear yard for drainage purposes. The third item is that the basement floor elevation located at 4640 Pilot Knob Road was designed and built approximately 2.0 feet below the highest elevation of the emergency overland drainage swale. It is required in the City of Eagan that an overland drainage swale be constructed for ponds or areas that have the potential for ponding to alleviate the problem of flooded basements. This requirement was apparently ignored in this situation. Please see that these construction deflciencies are corrected as soon as MUNICIPAL CENTER THE LONE OAK TREE MAINTENANCE FACILITY 3830 PILOT KNOB ROAD THE SVMBOI OF STRENGTH AND GROWTH IN OUR COMMUNRY 3501 COACHMAN POINT EAGAN, MINNESOiA 55122-1897 EAGAN, MINNESOTA 55122 PHONE: (612) 681-4600 PHONE (612) 681-4300 FAXt (612) 681-4412 Equat Opportunlty/AfNimotive Actiion Employei cnx (e12) 6e1-4360 iDD: (672) 454-8535 1DD: (612) 454-8535 Page Two August 31, 1993 The City of Eagan will remove and replace the C.B. casting located in the low area north of this residence. It will be replaced with our ditch grate, siool type casting to eliminate any possibiliry of plugging. Thank You. Sincerely, Stan Lexvold Sr. Engineering Technician/Construction cc: Tom Colbert Mike Foertsch Doug Reid Craig Knudsen Laura Budweg & Mark Nystrom SL/je J ? -_______________ _..? .. ? FotOff_ice;U .se ' j Permit #: ? PertnR Fee: ? Date Received: I Staff: ? ?O I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: io Z9 d$? Site Address: ?h ?d /" "LOT K?Q ho?1'n G?w% ?'?'? Tenant: ?i?L971/ ?7f /Tt/ Suite #: i' RESIDENTlOWNER Name: ?fl?/n.'"V 5;X/17/ Phone:6?l- ?S2^ 67O17 ??F /!'! ?? Address / Ciry / Zip: qPYv 1146T ?,n" FORa ?, Applicant is: _ Owner KContractor TYPE OF WORK Description of work: A.V-- /S'O/.&"K Construction Cosh /Z ak.?' Multi-Family Building: (Yes _ I No ? CONTRACTOR Name: ACCCAt^, Ay-r4,ra. L.?C License #: 70Y`td-Jb/ Address: l %57 SIE+QQA Ae/Ge'__ City: State: 14V Zip: . Phone: a5/' ??.3 S-11-VeZ Contact Person: / ? L cx .4_- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the Ciry of Eagan issued a permit for a simllar plan based on a master planT _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: : NOTEr Plans and,supporfing documents thaf you submit are considered to be public information. Portions of the;information may be; classlfied as rion-publip if you provide specific reasons that would perinit the City to ? conclude that the "are trade secrets. I here6y acknovAedge that this information is complete and accurate; that ihe work will be in conformance with the ordinances and codes of ihe City of Eagan; that I understand this is not a permft, twt only an application for a pertnit, and work is not to start without a permR; that the work will be in accordance with the approved plan in ihe case of work which requires a review and approval of plans. - X ?.e?y /ie_ X Applicant' Printed Name App canYs ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA168231 Date Issued:04/14/2021 Permit Category:ePermit Site Address: 4640 Pilot Knob Rd Lot:1 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-010 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Tamara Jo Bussert 4640 Pilot Knob Rd Eagan MN 55122 (651) 329-7196 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172235 Date Issued:09/21/2021 Permit Category:ePermit Site Address: 4640 Pilot Knob Rd Lot:1 Block: 1 Addition: Fairway Hills 2nd PID:10-25601-01-010 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 - Tamara Jo Bussert 4640 Pilot Knob Rd Eagan MN 55122 (651) 452-6700 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature