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"?'? ??!
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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
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• '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
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rn
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¢ 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
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ElEU=936.69 - N 05. 5 4,•
° 88.09 R=846.18 &_
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`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
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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$.
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S89'52'51"W
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.r^AGA,.N ENGY1VEERING AEPZ ?.
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EAGAN--?
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W@LDANG 8NSPECT90NS DEPT.
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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
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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