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1484 Pinetree Pass?6?93 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. #/L. a / i; ?- Date 1? 1 0?7 I oY site Street Address /1"NI vo__d_4? t ? Unit # Property Owner rU L Telephone #0)( 6d 7- CIaYG Contractor 2 !r? 'U /1 Address S?L Ve s? City G!) T/e?lephone # (4 state-&AL Zip The Applicant is: _ Owner ?_tcontrector _Other AlteLations to existing dwelling _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener _ replacement _ Water Heater additional $ 15.00 ? Lawn Irrigation System RPZ?-rtevV' _ repair _ rebuild $ 30.00 State Surcharge $ 50 Total $ 90,50 I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the even plan is requiredtO be reviewed and approved. n 3C6_1? ct ? ?j 4C%C? Applicant's Printed Name ApplicanYs Signature ?°-- I., ? : II JTLs I? `? U? ? 2 7 2004 Address: 1484 Pinetree Pass Lot: 10 Block:l 55123 Subdivision: Walden Heights 2nd THE FOLLOWING ITEhiS NERE/WERE NOT COMPLETE AT FINAL INSPECCION ON Yes No Comments Final grade - 6" from sidin Permanent ste s- ara e Permanent st s- main ent Permanent drivewa Permanent gas Retainin Wall or 3:1 Max Slo e Sod/Seeded lawn TraiUcurb dama e Porch Lower level finish Deck Fire lace • Verify with your builder that roof test caps from the plumbing system have been removed. • Tum off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering DeparVnent at 651-675-5646 prior to working in right-of-way or installing irrigation system. i ? BOILDING INSPECTOR: E12 CONTRACTOR: Thomas Naurer Cons[ruction 21225 Hamburg Ave Lakeville MN 55044 t__-o A- 1 C7 61 d C1- 1,_ ('1 ? Q p ? ??Y \.?J ? c?Qpt.e. 0 4 RESIDENTIAL BLIILDING PERMIT APPLICATIO City Of Eagan fYl 3830 Pilot Knob Road, Eagan MN 55122 p Telephone # 651-675-5675 FAX # 651-675-569?4 ? New Construction Reauirements RemotleVReoair ReauiremenLS `- " 3 regislered sile surveys showify sq, h of lot sq. ft. ol house; and all roofed areas 2 copies of plan (200% maximum lot coverage allowed) i set of Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found desgn, etc. i site survey for additions & decks i set of Energy Calculations Addition - indicafe if on-sde septic system 3 copies of Tree Preservation Plan if lot platted a(ter 7/1193 Rim Jaist Detail Optlons selection sheet (bldgs with 3 or less units ta "Z I 3''i S-ll ?Sga9.i3 ff(tie U5e Onl ?Ef?7f??t?i"?'? ??! ?' ? AN -?' t " -??I?I? Date A- Construction Cost SiteAddress HIR? Px-nai= f7R55 Unit/Ste # Descriptian of.Work S? ?= Multi-Family Bldg _ Y L/N Fireplace(s) _ 0 ?1 _ 2 Property Owner ?ttow,.lc, 7S : INAMx Telephone # ( 95?\) -/(,2 - 45 LA-D - e '6? ia Contractor Address 01 a a 5 /-I grvi$1.i+G? 4 Ye - City 'I,Ay.4? U-z'G4"?5- State wi id • Zip 556 L/ J? Telephone ti (95?1) ???- /v??lv?_ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeotv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Su6mitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber weP3ZEF1.. ?LU,N2 Telephone #461) 415a- /S(?S ? v, S-Cv ?/ -1 C.>- Mechanical Contractor ? Q S Telephone #( f3,P) yO/' 38j1r Sewer/Water Contractor 9 't R EX(-A JI'iTT-K)C3 Telephone #(?j?)758 - (?? a'Y rI I hereby apply for a Residential Building Permit and acknowledge that the inforxnation 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 d approval of plans. ? O P enJ j- APR 2 2004 Applirinted Name ApplicanYs S ature ?? OFFICE USE ONLY Sub Types . , ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 'y 02 SP Dwelling ? 08 06-plex ? 76 Fireplace O 21 Porch (3-sea.) ? 31 E#. Alt - MWti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? ZZ Porch/Addrt. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 72-plex Plbg_Yor _N ? 25 Miscellaneous Work Types C? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Buildin g* ? 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy R-3 MCES System Census Code B? Zoning ?-? City Water SAC Units ? Stories Z Booster Pump # of Units ? Sq. Ft. 7517- PRV # of Bldgs f Length 16 C ' I Fire Sprinklered Type of Const ? N Width ? 99, ?g Footings (new bldg) _ Footings (deck) Footings (addition) y Foundafion 4? Drain Tile Roof ? Ice & Water X Pinal ?l Framing _A Fireplace ? R.I. CaAir Test X Final ?j Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _)k FinaUC.O. FinaUNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector I Sr FI om2 -znP lc/oGl\ C?f?ILU?G ?: lbw er, e: p S??P 13 8 ti k'n-(.o? ? l706X ?`?.Ot = 13P, `( x ls.ao = 7BS?Jf )(o,ti?a '" j S-? X 3 a, ?, sa % -? y-) 3(o. ` 6 s+2 q , - zo?b0, - /atr??2 ??'C? 17 2J,? TL) 51+ ??31 /o y -T?il • 'a REScheck Compliance Certificate 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release le Data filename: I:\Energy Ca1cs\RESCHECK\04-189.rck PROJECT TITLE: #04-189 COiJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 04/22/04 DESIGNER/CONTRACTOR: THOMAS J MAURER CONST. COMPLIANCE: Passes Maximum UA = 594 Your Home UA = 455 23.4% Better Than Code (UA) Permit Number Checked By/Date Gross Glazing Area or Cavity Cont, or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Tmss 1384 44.0 0.0 37 Wall 1: Wood Frame, 16" o.c. 3384 19.0 2.0 163 Window 1: Above-Grade:Above Grade, Wood Frame, Double Pan e with Low-E 367 0330 121 Door I: Solid 18 0.230 4 Door 2: Solid 40 0.350 14 Door 3: Solid 40 0330 13 Basement Wa112: Solid Concrete or Masonry 1651 11.0 0.0 90 Wall height: 8.8' Depth below grade: 82' Insulation depth: 8.8' Window 2: Basement <= 5.6 fr2:Wood Frame:Double Pane with Low-E Floor I: All-Wood Joist/Truss:Over Uncondirioned Space Fumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor Averages Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 Foundation Windows <= 5.6 112 Floors Over Unconditioned Space 40 18 38.0 Proposed Avenge U-Factor 0.330 0330 0.026 0.0 0330 13 0 Maximum Allowed U-Factor 0.370 0.510 0.033 ?a COMPLIANCE STATEMENT: The proposed building design described here is consistent with the buiiding plans, specificarions, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in RES checkVersion 3.5 Release 1 e(formedy MECchec? and to comply with the mandatory requirements listed in the checklns on Checklist. Builder/Designer Date x LOS SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: I e,4 IO ?? kY=k I "I deo lfrS. 2A41VW- OATE OF SURVEY: 4I,?-7/0,? LATEST REVISION 02 ? ? ? d rn c m L U ? ¢ DOCUMENTSTANDARDS ? . Registered Land Surveyor signature and company ? • Building Permit Applicant ? • Legal description ? • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ? • Directional drainage arrows with slope/gredient % ? • ProposedJexisting sewer and water services & invert elevation ? • Street name ? • Driveway (grade & width - in RlUV and back of curb, 22' max.) ? . Lot Square Footage . ? • Lot Coverage ELEVATIONS Existin ? ? • Sewer service (ar Proposed) "ff" ? ? • Property comers '0' ? ? • Top of curb at the driveway and property line extensions ?0 ? • Elevations of any existing adjacen[ homes ?? ? • Adequate footing depth of structures due to adjacent utility trenches D ?YJ ? • Watenvays (pond, stream, etc.) Prooosed ,? ? ? • Garage floor td' ? ? • Basement floor X ? ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Property corners ,4Y ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) $ / ? • Easement line ? ,e( ? • NWL ? fd' ? • HWL ? ? ? • Pond # designation ? ? • Emergency OverFlow Elevation ? ? • PondNUetland buffer delineation DIMENSIONS ,C] ? ? . Lot Iines/6earings & dimensions "ief ? ? • Right-of-way and street width (to back of curb) ??? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent fo tings) ?? ? • Show all easements of record and y Cih utilities within those easements ?? ? • Setbacks of proposed structurside rd setback of adjacent existing structures ??? • Retaining wall requirements, if ny Reviewed: Na e . Date G:lFORMS/Building Permit Application Rev. 12•16-03 , 1% r.IIOBE COPLANNERS andl L?AND 5URVEYORS MGINEEAING COMPRNY, INC. THOMAS J. MAURER CONST. ? PROJECT N0. 12177.00 BOOK PAGE (-- 1000 EAST 146th S1FiEET, BURNSVILLE, MINNE50TA 55337 PH 432-3000?? CERTIFICATE OF SURVEY Legal Description: LoT 10 BLOCK 1 WALDEN HEIGHTS 2ND ADDITION, DAKOTA COUNTY MINNESOTA. ?965,0 DENOTES EXISTING ELEVATION 6 DENOTES PROPOSED ELEVATION ?--- INDICATES DIRECTION OF SURFACE DRAINAGE 967,00 = FlNISHED GARAGE FLOOR ELEVATION 9(oa. (03 = BASEMENT FLOOR ELEVATION 969.3 = TOP OF FOUNDATION ELEVATION SCALE : 1" = 30' AREAS LOT = 12,013 SQ.FT. HOUSE = 2,413 Sq.FT. (INCLUDING CANT.) c0eRa66 = za. ly ADD((ESS: 1484' PlNEWEP?h= F{pWE T(pE:TVa STQ2Y 13c-WU-BASEMENT ?"P6AR.ac _PI_= REE PAS?? oRROS?,Q q 4. ?? &?NCN/WkK! 77VH47L3-82 O ElEU=936.69 - N 05. 5 4,• ° 88.09 R=846.18 &_ a o `65.0 a o ir??.=955.5 ?9650? ? 967, oo ?g ,, 967.o a 0 ?? C968.6? 14.00 °0 20.50 I - - PORCH 3?.s ° w o " a 10-0 ° I- ?O.OOo So °i GARAGE a o ?kap-3G GA2.--- 0W `?' 10.OOo N '? M o. ? p cp L 26. 5_0 8.00 9.. ?XlS7/N6 t" a} o o PROPOSED o 966.6? ? o 3 N HOUSE iz.oo ?•b ? 20.00 00 °0 3 •?? 60 ?p 28.00 m 3 g67. ? ,g' 968•6? 968 ° e 2% C96S.?? 2,? a ? 6 8 3 967 9 y,&T9/N?N6 WAt1, ('?7$. ?? I c?? LOT I I ? F i ?11f .i . i ? I 5? - - - - - ? o a gss.7 87.53 S89'52'51"W v ?? ?E ``_ .,,? ?' f ---_- T3z?:: s"/iola¢ .r^AGA,.N ENGY1VEERING AEPZ ?. atiec zw 0 0?61- Ew5r1N6 ? dN-? ,o ` 0 Z ? Z ? ? J ? a Z a EAGAN--? py , V, ?---- W@LDANG 8NSPECT90NS DEPT. ?PP ? ` ?'",? ? , ? h!_u , I hereby certify thot this is a true and correct representation of a tract hereon. As prepared by me this 22 day of APlZlL , 2004. ?/(dj?)??` ? r??r*-Qa- Minn. as shown and described Reg. No. )q0NO e)1 o ck I s? ?s ?c? 4C3 a ? RESIDENTIAL BUILDING ?? ? ?? , • PermitApplication VYLp ?aLf $ 3 - -70.50 r? ? City Of Eagan ? a?9 +? 0.S? y 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX ?k 651-675-5699?a? .A.y? 'U?4 t Z? ? ? D3 Ne stnuctionRe ui2m nts ?7 Ib RemodellReoairReauirements?'? '?" k ??.1-? O(ficeUseOnlv?''?"'`? 3 regisfered site surveys showing sq. ?f lot sq. ft. f fwuse; and all raofed areas 2 copies of plan .x?? ?oCertof Suney Recd ? _ N (20°k maximum lot coversge allowed) 1 set oi Eneryy Calculations ealed addBions y Tree Pres Plan Recd Y 2 copies af plan showing 6eem & window sizes; poured und design, etc. 1 sile survey for additions 8 ecks Tree Pres Reqd _Y 1 set of Energy Calculalbns Adddmn - indicafe i/on-s' septic system On-slle Septic System _ Y TJ' ?p 3 copies of Tree P2servalion Plan i( lot platted after 7103 IIY? Rim Joist Detail Options seleIXian shaet (bldgs wiN 3 or less Rs DateI IL9 /_ r:;" Site Address Constru ionCast}ydD, Unit/Ste # Description of Work AMAJ Multi-Family Bldg ?Y _ N epl ce(s) _ 0 ? 7 _ 2 Property Owner Wt Telephone # 65a ) 914- /o5?'$ Contractor Addre ss tt State i City p.s$ ?Telephone#(q5j-) COMPLETE THIS AA ONLY IF CONSTRUCT G A NEW BUILDING Energy Code Category - Minn ota Rules 7670 Cate o 1 Minnesota Rules 7672 (J submission type) sidential Ventilation Category 1 Worksheet . New Energy Code Worksheet ubmitled Submitted • Energy Envelope Calculations Submifted Have you previously constru ed a building in Eagan with a similar plan? Y N If so, 25% pian review fee applies. ?? Licensed Plumber L T Telephone #(?/ ) L{S,:: -1$6 5 Mechanical ConTractor I c Telephon #v`d Sewer/WaterContract K $R ?XCA-uA?AJG Telephone?j ,qd) 5?- 59: I hereby apply for a Residential Building Permit and acknowledge that the infoik-''? '-a 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. GRRS/ h1Fp's00 e, Applic t's Printed Name Applicant's S ?nature OFFICE USE ONLY Sub Types ' , ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg x 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi plex ? 09 07-plex ? 03 01 of ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF _ ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/ga2ebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types x 31 New ? 35 Int Improvement ? 38 Demolish (interiar) ? 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) - Give PCA handout to apptiwM Valuation X Occupancy R-3 MC/ES System Census Code /o/ Zoning City Water _ SAC Units a/ Stories Booster Pump - ? Nbr. of Units PRV Sq. Ft. Nbr. of Bldgs 0( Length 3-3 Fire Sprinklered - Type of Const _:Fdz: Width 521 REQUIRED INSPECTIONS ? Footings (new bldg) ? FinaUC.O. Footings (deck) _ FinallNo C.O. Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile Roof ? Ice & Water ? Other Final _ Pool _ Ftgs Air/Gas Tests - _ Final ? Framin Y Stone Siding Stucco g Fireplace ? R.I. jAir Test _ 417inal Windows (new/replacement) ? Insulation Jf Retaining Wa11 Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Approved By Building Inspector ---- --------------- ------- -------- - v a oNr,:, ,3.r,?> I ?96 ya---? v i-?'?A,???,Z ??- ??? .3 T1 i x9c 6' Sy = 15yvo = ?7g37? /0 Py City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1484 Pinetree Pass Lot: 10 Block: 1 Addition: Walden Heights 2nd PID:10- 83301 - 100 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Getz Construction 16138 Goodview Cir Lakeville MN 55044 (952) 891 -4208 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 $90.00 Owner: Daniel J Crouch 1484 Pinetree Pass Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Building EA085586 08/26/2008 ePermit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156297 Date Issued:06/24/2019 Permit Category:ePermit Site Address: 1484 Pinetree Pass Lot:010 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-100 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:RPZ Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 - Daniel J Crouch 1484 Pinetree Pass Eagan MN 55123 (651) 503-7340 Drain Pro Plumbing 8815 - 209th Street W Lakeville MN 55044 (952) 469-6999 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171065 Date Issued:07/29/2021 Permit Category:ePermit Site Address: 1484 Pinetree Pass Lot:010 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J Crouch 1484 Pinetree Pass Eagan MN 55123 (651) 503-7340 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:EA173557 Date Issued:11/17/2021 Permit Category:ePermit Site Address: 1484 Pinetree Pass Lot:010 Block: 001 Addition: Walden Heights 2nd PID:10-83301-01-100 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 - Daniel J Crouch 1484 Pinetree Pass Eagan MN 55123 (651) 503-7340 Tri County Water Conditioning Inc 325 Third Ave NW P O Box 65 Huchinson MN 55350 (320) 587-2950 Applicant/Permitee: Signature Issued By: Signature