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1444 Ponderosa CirCITY OF EAGAN 3795 Nlof Knob Rood Eayan, MN SSIZ'l PHONEs 454-8100 BUILDING PERMIT ReceiPt # 7581 Te be used Eer r: Est. Volue Date 19 Site Addreu - Erect ? Occupancy Lot - Block Sec/Sub. Alter ? Zoning Parcel .# ' Repolr ? Fire Zone Enlorge p Type of Const. W Name ' Move p ?qk Srories ; Address Demolfsh ? Length ? Ci Phone Grade p Depth Sq. Ft. cc Name - 1 Approrab Fees D Address Nome _ Address I hereby acknowledge thot I hove reod this applicotion and state that the intormotion is correct and agree to comply with all applicoble State of Minnesoto Statutes and City of Engan Ordinonces. Assessment _ Wuter & Sew. Police Firo Eny. Planner Council Bldg. Off. _ APC Permif Surchorge - Plan check _ SAC Water Conn, Water Meter Road Unit - Totol Sipnature of Permiftee ? /1 Building Permit Is issued to: on the exprcss tondition that oll work shall be done in accordance with all applicoble State of Minnesoto 5tatutes ond City ot Eoflan Ordinances. Buildinq Official Permit No. Permit Holdar Misc. Permit No. Holder Plumbing ? H.V.A.C. Well Water Disp. Sewer Ekctric In"ction Date Insp. Other Footingt Foundetion Freming Rouqh Plbq. Rouph HVAC Inwlation Finsl Plb? Final HVAC Final ? Waftr Oese?ibe Locstion: 1Nell Sewer Pr. Disp. CITY OF EAGAN Remarks Sew conn chg must be pd. at time of hook=up Additipn Everereen Park Lot 17 eik 5 Parcei 10 24880 170 Owne sireet 1414 Ponderosa C1T'Cl2 State Eagan,MN 55122 Improvement Dat Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 5AN 5EW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK ' _Z 1981 3 63-00 24-20 1 STORM SEW LAT - - CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 300 00 9232 10-1 - BUILDING PER. 1 6 1 . 10-73 sac 2 0 00 232 10- -73 PARK RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reouirements RemodellReoair Reauiremenls • 3 registered sile surveys siwwing sq. ft of lol, sq. R. of house; and alt mofed areas • 2 copies of plan (20°k maeimum lol coverege allowed) . 1 setof Energy Calculatans for heated additions • 2 coples ot plan shawing heam 8window sizes; poured found design, etc.) • 1 site survey for exterioradditions & decks • 1 set of Energy Calculatiore . Indicate'rf home served 6y seplic system for addilions • 3 copies ot Tree Preurvation Plan if bt platted aHer 7/1f93 • Rim Joisl Detail Options selection sheel (bldgs with 3 or less units) DATE tO 7I1a/0 VALUATION40& JOB SITE ADDRESS /S?SC? AA0kzos.a L'/iCGGL IF MULTI-FAMILY BUILDING, HOW MANY UN?ITS? PROPERTY OWNERLoistE C ?-o?L/N6f/sfs*? TYPE OF WORK Ii--5/?inf6L,r_ IZoaF PIREPLACE(S) _ 0_ 1_ 2 APPLICANT ???'1to~ i? PHONE# ADDRESS PAGER # CELL PHONE # P CODE FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: _ Plumbing System Includes: Mechantcal Conhactor: Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone # Phone # 1P PF_ $90.00 m \ _?-, I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. ? • Signature of Applicant Certificates of Survey Received _ Tree Preservation Pla ceived _ Not Required _ Updated 1/01 _ MINNESOTA RULES 7670 CATEGORY 1 • Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Spiinkler Water Heater No. of R.I. Baths _ No. of Baths Fee: OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 6d.Alt- SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire 81dg onl» - Give PCA handout to appli cant Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Footings (new hldg) Footings (deck) Footings(addirion) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ Au Test _ Final Insularion MC/ES System City Water Booster Pump PRV Fire Sprinklered Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (newheplacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Occupancy Zoning Stories Sq. Ft. Length Width REQUIRED INSPECTIONS Final/C.O. FinaUNo C.O. _ Plumbing HVAC Building Inspector CITY OF EAGAN 3795 Pibf Kno6 Rrod Eegan, MN 53122 NO 7581 - ^ VHONE: 454-8100 BUILDING PERMIT Receipt Te bs wed Ier SmORAGE SHED Est. Volue $800.00 Date OctobeZ 18 iq_82L Sifa Address 1444 PonderoSd CiZ'cle Erect [g Occupancy Lor 17 Block 5 Sac/Sub. LVergreen Park qirer ? Zonirkg Percel 10 24880 170 OS Repoir ? Fire Zone Enlaroe ? Tyce of Const. w Name Jerome CO1linqhRm Move ? # Srories ? Addroa 1444 Ponderoaa Circle pe,,,oiis, ? Length_ ci Ea4an 55122 phone 454-2036 Grade ? Depth Sq. Ft.- ? Nome btick Aeilman Avprorals Faea 0 Address 1438 POIIdBt088 CiI'CLB Assessment Permit 14.50 ?? Es an 55122 454-1599 M/arer 8 Sew. Surchorpe .50 g Ci phone Police Plan check Ww Name Fire $AC f = Address ?? Erp. Water Conn. <W Ci Phone Pldnner Woter Merer Council Rood Unif I hereby acknowledge thot I hava reud fhis opDlicotion ond state thct Bldg. Off. fhe intormotion is corrett and ogree to comply with oll opplicoble State of Minnewto Statu(gs and City of Eogon Ordinances. f P ? ? AP? Totol Sipnoture o ertniHee --+ A Building Pertnit Is issued to: MS.Ck HEiSIIId pn tha express condltlon lhnt all work sholl be done in cccordante wit 11 oppliwble te of Minnesota $totutes and ? Ciry of Eayan Ordinonces. BulldinqOfficiol ?.(? J az.4 4 CITY OF EAGAN Include 2 sets of plans, J? ?> 1 r 1 site plan w/el.evations & BUILDING PERMZT APPLICATZON 1 set of ener9y calculations. Zb Be Used Eor ? i a r-a ? e .S4rj Valuation J,c Date Site Address: / c nj e r a 5 a- Cy, rc OFFICE USE ONLY Lot f? Block ? Sec./Sub. ?UEV'?f'cFJ? }?i?rErect ?4- Occupancy Parcel 10 Z?MC) ?70 G? A1ter Zoning gepair Fire Zone Oo-mer: ? Enlarge - 2'ype of Const. e r b ?,..? u Nbve # Stories Address: c? rc I.r Demolish Front ft. Grade Depth ft. City/Zip (bde: Phone #: r-f S`f' a 0 3(O Contractor: M ? c K A,/v?o ---- Address: 14 3 g Prh d;r.:.._ c ?`ref., City/Zip Code: Et'??` SS iZZ Phone #: Arch./Fng.. Pddress: City/Zip Code: Phone #: APPROVALS P'EES Assessments Pernv.t ? Water/Secaer Surcharge Police Plan Checlc Fire SAC Eng, watex Conn. Planner Water.Meter Council Road Unit Bldg. Off.? -/ ? APC TC7PAL ? ' 1? ? ? ?. V ? v - _ ?' n I ? ? W I? I I ! t ? ?. ' - -i r - ? ,i ' I y ? ?i ?? -?? I= ??;'; - '?=_ - ?-- -- - U - i, 2 :4 ? ?? CJ 7 N ? ? ? ? ?`?? ?l R ? ? ? ? ?- / ? ? ? \ V V .90 -.00 .00 .00 9.00 .40. .00 89.00 .DO .00 6.00 81:9.AtY .GO .06 890.00 . .flD' '2 4 7i2.Q0 .00 -.00 .,,.. .Up .GO 294563.00 -yqd q I BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55922 657-681-4675 New Construction Reauirements RemodellReoair Reouirementa • 3 registered site surveys showing sq. R. of lot, sq, ft, of house; and @II roofed areas • 2 copies of plan (20%maximum blcoverage allowed) . 1 sef of Energy Calculalions for heated addNOns • 2 copies of plan showing 6eam & window sizes; poured faund design, etc.) • 1 sita survey for exlerior additions & dacks • 1 sel of Energy Calculations . Indicate "rf home served 6y septic system for addidons • 3 copies of Tree Preservation Plan if lol plattad aRer 711193 • Rim Joist Detail Options selection sheet (hldgs wAh 3 or less units) DATE 03/oZ 0 JOB SITE AD IF MULTI-FAMILY BUILDING, HOW MANY UNITS? P RO P E RTY OW N E R 7UomE 5' C 4- cini RESIDENTIAL TYPE OF WORK QFP44,C9,N9?'U/,,,100ws +- 5iD/ N(a FIREPLACE(S) _ 0_ 1_ 2 APPLICANT '??s?rJYlt£ CC_ (?? 4 4 , y6PHONE# G?/'`?5 5l a'o36 ADDRESS 1?4KY ?NaAIt.OSA ?lIteLL ZIP CODE 5-5-/ ZZ PAGER # CELL PHONE #??/ v?0a - 9a ?/ FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code category _ MINNE.SOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovcry System All above information must 6e submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan 4 Signature of Water 5oftenec Water Heatcr No. of Baths VALUA'fION ?d, 000- Phone #: L.awn Sprinkler Pee: $90.00 No. of R.I. Baths Phone # is Fee: $70.00 compiy Certificates of Survey Received _ Tree Preservation PladAeceived _ Not Required _ Updated 2002 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (EnHre 81dg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTION5 _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water J Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucw Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector i7- s-/ F ??-een Ait CITY OF EAGAN 3795 Pi1ot Knob Roaa Eagan, Minnesota 55122 PERNffT N0. • 449 The City of Eagan hereby grants to Neil c Hubbas4.1jeatina 6 a/C Co. of 99 N Snellina Atro a?AT=? Permit for: (Owner) Tilsan Caasstrucsion 1381 OosmoB, 4354 Garden '!'rail, 44 Fonderosa, at,,3 eeon S=..,.k Tmpo , puz'suant to application dated 114!74 Fee Paid: pn .nn dated this _15tyyday of Jan. , 19 74 . 2.00 s/o Building Inapector Mechanical Permits: - Bid TotaL• . ` EAGANi TOWNSHIP BUILDING PERMIT Ownee .... O-D-nw'-?-..................................... Address (Presen!) .Q:_0.7........... a...... ?'?:::=SGLc:?..._'-"--'.......__. Builder ..................._........----........---.........----....................................... Addrese ---....-'----........_"-_ .....................................------...._----........_. DESCRIPTION N° 3156 Eagan Towaship Town Hall Dete .. /o-//?-7-3 .............'---.....--- Siories To Be Used Foz FronS Deyfh Hatgh! Esl. Cost erma! Fee Remasks LOCATION /o•S'o Sireel. Road or oldei Deseriofion o! LocaLOn I Lo! I Hlaek I AtldiSOa or Tratf / . /7 I -T- This permit does not au2hoxize the use of s!=eefa, :oada, alleys or sidewalka nor does it glve the ownes oc his agent the righ!!o areafe enp ailuafion whfeh is a nuisanae or which presents a hesard !o the heelSh, satefp, conveaience aad general welfara fo anpona in the communitp. THIS PERMIT MUST BE ?gE?RT? ?ON TFIE PREMISE WHILE THE WORIC IS SN PROGRESS. This is !o eerlifY. lhat.-•_--_2(:cG.M? ---------------hasPermisaion to ereeY a.......a.L........._.._upoa the above described premise subjac! !o the provisiona of the Buildiag Ordinance for Eagan Township adopied April 11. 1955. ........................ ?.?..If - - " ... ' - - "'_""'....._.--....... Per .... ................... "_......."'... ......."""".....'---.... 1?.------.......---..._------... Chairm of Tnwn S-4oard ? Suilding Iaspeator MASTER CARD Q?UQ'y - PK- STRUCTURE AND Permit . No. Issued Issued To Coniractor Owner BUILDING PLUMBI NG ? ? CESSPOOL - SEPTIC TANK T. WELL ELECTRICAL HEATING ? GAS INSTALLING SANITARY SEWER ? OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING ?. TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD . PIUMBING •h 18.71 WELL SANITARY SEWER Violations Nofed on Back COMMENTS: . COMPLIANCE INSPECTION REPORTS TO BE USED ONtY IN fiVENT OP OBSERVEG VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. NONLOMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: D COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROI. ? REInSPECTION REQUIRED REINSPECTION DATE Of REINSPECTION CE RTI FICATION - I certify that I have carefully inspecxed the above In which I have no interest Dremnt or prospective, and that I heve reported herein all significant conditions oLserved [o be at variance with ordinances of the Town of Eagan, apprwed plans and spacifications, and any specific require- ments for off-site improvements relating to the property inspected. F? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR COMMENTS: OATE s. EAGAft TOWNSHTP 3745 Pilot Kriob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SEBVICE CONNECTION DATE: 17L2`?r?' i,ilg! 711 NUMBER /7-5 E'•? • Ponderosa Circle OWNER:Tilsen Construction Co. Address 16klffiffljf? iaaa bWXd=AaYeeaac3Rx Bey-ROC Co., PLUMB&R 7Nw.TYPE OF PIPE heav.v cast iron DESCRIPTION OF BUI7A ING Industriall Commercial Residential I Multiple Dwelling No. of unfts Location of Connections: xx Conaectioa Charge 240.00 paid (still owes 2A/00)?-? Permit Fee 10.00 nd 12/29/72 .50 pd 12/29/72 Stseet Repaira Total Inspected by: DaCe Remarks• Sy. Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree Co do the proposed work in accordance with the rules aud regulations of Eagan Toxactship, Dakota County, Minnesota Sy Pleeee notiiq when ready for inspection and connection and before any portion oE the work is cavered. A VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Piloe Nnob Rood Pf:RM(T NO.: _ 1339 Eogan.MN 55122 j)Al}i .11/9/•?3. __- '__ _ .. _ .. ... ZnuiuR: _ R-1 Nu. uf Units: . _ . - - -'------ --- rn, w - r:._ Tilsen? Constsueti9n Co.-..- ---- _ --S?--- . -- i\ddress: -- ste ad<tro,h . 1449 Ponderosa Ci;cle Eagan 55122 - --- -- --- f'lunih?:r:. $?...weea,.idfl?h}9te SEY-ROC CO. Conne,?tion Charge900-.DII.pd- - Siic: Accuunt fk- - posit kc:idur No.S_/?_o o_/ Permi[ Fee: 10.00 --Rd.______._ I ogree to comply wifh fhe Village of Eoyon 5urcharqe: __._$0__jd_ _ _-'_ Ordina c Misr. Charges: - . A - _- - Cotal:I3Date E'aid: Date uf Insp : ._ ___-__._ ._ Insp.: S?Dg ? MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. Single Family Dwellings Townhomes and Condos wfien pemvts aze required for each unit 24, . S-D D / 0 'J ate Site Address I I44 P^ W SGt., Cj{ (/L. Unit # Property Owner jQ iyQ-GY't1L lo1 l 11/140xr?1 Telephone #( Contractor StreetAddress I? I"l? J? ?l .U? ??C.?• CiTy State MVI Zip 1'7? Telephone# ((fjl/,? The Applicant is _ Owner ? ConhactoL _ Other ?rz rFnMl?.lni . ? ? p tln ? t u•- ?? i? aed-on, modi5cation or alterafion to existing dweuing unit MAY 0 g 2003 ? $ 30.00 furnace replacement air exchanger gy X? air conditioner other State Surcharge $ :50 ?fotal $ 3V . ? ' I hereby apply for a Residential Mechanical Permit and acknowledge tha[ the information is complete and accurate;.. that the work will.. be in confotmance with the ordinances and codes of the CiTy of Eagan and with the Mechanical Codes; tUat I understand this is not a perxnit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. fS = ApplicanYs Printed Name ApplicanLs Signahzre ' ôïô ø ÿþ þýý ÿüÿîüûÿ úýýÿ ý Ü ÿ ãñÜ þýô ýüûúùø îü úùø á øîü Ûü ÿ ÿ ø ë ïü ë ìüû â þý ø þ ý äãññãñ ÷ î ããõ ù â ëî Þ÷ ø ë Ýæééñ óú ýü ì ÿ îè æéäéãä òùùñ ôðõ øø ó Ú÷ù üëûÿôõ ÿà ë òÿìë ãã õÿì ñññ ò ü âáÜ ÿâáãã ÞäãÝÜÜ ì ûù ÿ ìì ìøø ìì ö ë ÿ ëøù ìøøû ý öâ ýü òùö ÿí é øøê ë ýÿü ü ùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA114369 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 1444 Ponderosa Cir Lot:17 Block: 5 Addition: Evergreen Park PID:10-24880-05-170 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jerome E Collingham 1444 Ponderosa Cir Eagan MN 55122 (651) 454-2036 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171776 Date Issued:08/31/2021 Permit Category:ePermit Site Address: 1444 Ponderosa Cir Lot:17 Block: 5 Addition: Evergreen Park PID:10-24880-05-170 Use: Description: Sub Type:Residential 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 - Darcey K Wera 1444 Ponderosa Cir Eagan MN 55122 (612) 280-8086 Aeshliman Plumbing Inc. 307 Jackson Avenue, Suite 4 Elk River MN 55330 (612) 280-8086 Applicant/Permitee: Signature Issued By: Signature