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2077 Quartz LaneCITY OF EAGAN Remarks * Cedar Gmve Ac-cpiisition Additio CEDAR GROVE #4 Lot 9 Blk 4 Parcel 10 16703 090 040 Ownei • (1 Street 2077 QLidZ'tZ L3IIe State Eagan, MN 55122 1I_ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWER LATERAL 1972 1,304.00 52.16 25 Paid WATERMAIN WATER LATERAL 19 2 WATER AREA STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: °j ' '' " "'" 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ;. . . ? 1 1,A t ?r ,t:A,r?r i INSPECTION D. . .A ? ??i??,?t t t•I i; i i, : ?: , ? ? Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing 7 Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3795 Pilef Knob Raed Eogoe, MN 55122 PHONEs 454-8100 BUILDING PERMIT Receipt # G .() '' k cr : t To M used for Est. Volue Date 19 Site Addreu Erect ? Occuponcy Lof Block Sec/Sub. /11ter 0 Zoning Porcel # Repoir ? Fire Zone E l t T f C n orfle ? ype o ons . oWe Name Move ? # $tories Z Addres s Demolish ? Length t City phone Grode ? Depth Sq. Ft. ? o Name ? u? /lddress , 1- Name _ Address 1 hereby ocknowledge that I have read this opplicotion and state thot the informotion is correct ond ogree to tomply with oll opplicable Stote of Minnesoto Stotutes and City of Eogon Ordinonces. Approvals Feos Assessment Water & Sew. Police Fire Enp. Plonner Council Bldg. Off. APC Permit Surchorge Plon check SAC Water Conn. Water Meter Rood Unit Totol Sipnature of Permittee I A Building Permit Is issued to: on the express condition that oll work sholl be done in acrnrdante with oll applicoble State of Minnesoto Statutes ond Ciry of Eopon Ordinances. Buildiny Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. Well Water Disp. Sewer E lectric Inspection Date Insp. Other Footinga 11111111 ? Foundation Framing Rouyh Plbg. Rough HVAC Inwlation . Final Plbg. Final HVAC Final • • ?? Water Dese?ibe Location: VYell Sewer Pr. Disp. a,o7-7 EAGAN T0WN S H I P BUILDING PERMIT Owner -•?--1?"?----------- - 0,•---- .? -& ............. Address (presen!) ? _ ?-/-?-------=--.= ?-t-?-t:..:_?...?% ?•?? Builder ----•---•••---•-•---------------------------- ----..................................... Address ....................••-....-----•---.----••- -------••••-•-•---...------.....---•---•------?-- DESCRIPTION N° 826 Eagan Townahip Town Hall Date y 5lories To Be Used -For Fron! Depth Height Esi. Cost Permi! Fee Remarks ? LOCATION - Street, Road or oiker Descripiion of Locaiion Lo! Block Addiiion or Trac! 7 3 7 --?-/y 13 %L. This permit does not suthorize the use of streets, roads, alleps or sidewalks nor does it give the 'owner or his agent the.righi to c;eate aay siiuation which is a nuisance or which presen3s 8 hazard !o the healih, safety, convenience and general welfare to. anyone in the communi3y: ? THIS PERMIT MUST BE'KEP ON THE Pj EMISE WHILE THE WORK IS IN PROG?ESS. This is, !o cer3ify; tha?:__?. _..._?Q-:-•----••--........ has permission to ereci a_...:! ---__G-----''°.- - - ----• -- • -•---•----upon the above described premise subjec! to the :provisions of the Building Ordinance for Eagan Townshi adopted April 11, i955. . . ? . - •-••--?? ._?2-?°--??_. .••-----•-••-••---•- ------- -------,-•----•- 4-1-1 -•---•------? l .----?._-- ..-- Chairman Tnwn Board Per ' Building Inspeclor / A? CITY OF EAGAN 9795 10 Knob Rood Eagan, MN 'SSls2 N? 7388 ? PHONE: 454-5100 BUILDING PERMIT Receipt To be wed for GAI2AGE ADDITION Est. Volue $3, 000 Date Julv 12 , 19-8.2- Site Address 2077 Quartz I,dAB Erect ? Occuponcy R-3 Lor 9 Block 4 Sec/Sub. Cedar Grove 4th Alter ? zonin9 R'I Porcel 10 16703 090 04 Repoir ? Fire Zone NA E l T f C V n orge ? _ ype o onst. W Name J?eg Adelmdnn Move p ,1# Stories Z 9 Address 2077 QL1drtZ I,AI3e Demolish ? Length ZZ Ci Eagan 55122 phone 452-1007 6rade ? Depth 20 Sq. Ft. ne Nome n+it"ahilt AnSOC IriC Approvals Fees o u . F . Addreu 7343 Ann Court Assessment Permit 3$.$0 ? ~ Cit Eden Prairie Phone 938-9350 Water & Sew. Surchorge 1.50 ?? Police Plan check FZ Nome Fire SAC ?a Address Eng. Water Conn. ?W Ci phone Plonner WaterMeter Council Rood Unit I hereby ocknowledge that I have read this opplication ond state that gld Off. the informction'is correct ond ogree to compiy with oll applicuble APC nn T t l 40 State of Minnesoto Statutes and City of Eogon Ordinonces. _ o o + Signature of Permittee A Buiiding Pertnit is issued to: Durabil oll work sholl be done in accordonce with all on the express condition thnt ond City of Eagon Ordinances. Buiiding Officiol / E?> 2?? 9 . / CITY OF EAGAN IAP Include 2 sets of plans, ' ` I a?xaQ 1 site plan w/el.eva-,:ions & BUILDING PERNLIT APPLICATION 1 set of energy calculations., Zb Be LTsed For (('n' ?q?q2 Valuation1 ? *".3, 6(3a Date site Aclaress: X77 Qi,qidz LtAA2 ?e oFFzcE usE orLY Lot t Block ? Sec./Sub. tbdE- Erect OccuPancY ?•3 Parcel #: 040 Gy Alter Zoning Repair Fire Zone OQaner : J W tyt? S Enlarge --V Z'ype of Const. ? Nbve # Stories ?cldress: o20T) 004?41 LA/r-t Derriolish Front /2_ ft.. City/Zip Code: F.q-q A,iv Grade Depth -VA ft, Phone L4 100 -7 APPROVaLs Contractor: DV?AIN &SOC. -/.?vt. Address :`7 3 Y 3 4ru•v COcI?4 city/zip code: QP•U p?04?i-e S53y3 Phone # : 73 ,7- 7-3 $d Arch. /Eng• Address: Assessments Water/S&er Police Fire Eng. Planner Council Bldg. Off. APC Perniit ' 3 8 Sflo Surcharge 6- Plan Check SAC Water Conn. Water Meter Road Unit Gity/Zip Code: yd ? pnone #: TarAL RESIDENTIAL BUILDING Permit Application "-I ?-? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & windo?,? sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservafion Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units RemodellRepair Repuirements 2 copies of plan 1 set of Energy Calculations for heated addi6ons 1 site survey for additions & decks Addifion - indicate if on-site septic system 4 31 Lo:-Vs Office Use Oniv Cert of Survey Recd Tree Pres Plan Recd Tree Pres Not Reqd _ On-site Septic System Date Construction Cost Z?7. ? ?? Site Address 9-07 7 1 )[] VT Z 1-4/ ^ ct?c, A h Unit/Ste # Description of Work ? +e?,t,`,-„r „P s, o.( ?? ??`D ti? r_9'j nnnr S Multi-Family Bldg _Y 4N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 1114 ti' i ct hn -t AG(•C. 474a ? Telephone # (6F Contractor /v -e_ XT-C..1" r Oi" S Address (J`! ,4(/'r City State Zip ZF-S'/D t/ Telephone #(??,) ? y 7=6?7 i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor;- Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowled e that the information is complete and accurate; that the work will be in conformance w40_71f-6nly ?ordin ces odes of the City of Eagan and the State of MN Statutes; I understand th:?s is not a permi an application for a permit, and work is not to start without a permit; that th rk will be in accordance with the approved plan in the case of work which requires a review and approval lans. Ap 'can t's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 11 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 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage 13 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 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors ? 34 ReplaCement *Demolition (Entire Bldg) - 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 INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CLAIM VOUCHER - REFUND BEQUEST rITY OF EAGAN CLAIMANT_ CHARLES_DOTSETH ADDRESS_ 20820 LANGFORD WAY _ JOBDAN1 MN _55352 _ Locat ion 20774- UARTZ LANE ---- ------- -------- CEDAR GROVE 4TH Receipt No./Date 22196-4/13/94 Re a s o n f o r R e f u n d OVERPAYMENT ON BLDG PERMIT-PAID FOR LI CENSE CHECY. AND DIDN' T HAVE TO___- ______ _- Type of Refund Electrical Permit 3211-9220 Plumbing Per.mit Mechanical Permit Surcharge Water Connection Permit Sewer Connection Permit Account Deposit 3212-4220 $ 3213-q220 $ 2155-q220 $ 3713-q220 $ 3743-q220 $ 2252-A220 $ Utility Account Over-payment 2250-9220 Other: LICENSE_VEBIFICATION _ __ $_5.00 $ - - --- - -------- TOTAL $ 5•pQ____ I declare under penalties of law that this account, claim or demand is just and that no part of it has been paid. _11411ILA_4 ---- ---- - -- - - -------- -- NATURE '?\ ? DATE ? _..1 ? ACtTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PeTdfd:: 20-26703-090-04 DESCRIPTION: a PERMIT 2077 QuaRrz LANE L.OT's 9 BLCICK: 4 CEDAR GROVE 4TH (RoaFxNG) ermit Type kr„k TYPe PERMIT TYPE: Permit Number: Date Issued: SF (MISC.) FtEPATF2 B L t?N? 023307 04/13/9G c WV oF czagan REMARKS: FEE SUMMARY: Base Fee Surcharge 7nta1 Fee vALuATxaN $72.00 2.50 $74.5P1 .$ J q YI0YJ C:VIVIFiAL:IVF[: - mppilcanz - b i. L tu. uWNttS: qtl7SETMs CHARLES 14923118 0006804 RC1ELMAN 20820 LANGFORD WAY 2077 ,7C1RpAN MIV 55352 EAGAN (sa.z) 492--3118 MARY ANN QUART'Z LN P9N 551 1I114 84A iIJ APPLICANT/PERMITEE SIGNATURE ISS D B SI NATURE 1 . CITY OF EAGAN Lnlof 994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address: ?-0)'7 2 Qkl cPi?z lag STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ? SUBD. A I ? J?11 P.I.D. # Descri tion of work: -P,f4? The appl i cant i s: ? Owner I? Contractor ? Other (Describe) Name ?? ?11 a1\ Cal ? Phone PPOPerty LAST F ST C)wner Address STREET STf # City CO State MY) Zip Company ::L?d4ks --e Phone 09"A :Ej l8 Contractor Address 1-0\6ofWd?[ License # ZOC1& Exp. City J k?Yjw\ Mo State ?h Zip Company Phone Architecti E11gif1e@P Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I h v a hi application and state that the information is correct and agree to comply, 1 le State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: ! r BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition 0 04 SF Porch ? 05 SF Misc. WORK TYPE ? 31 New ? 32 Addition OFFICE USE ONLY ?? .. ? ?- j? ? 06 Duplex O 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? 16 Basement Finish 1:1 12 Multi. Misc. O 17 Swim Pool 0 13 Garage/Accessory ? 18 Comm./Ind. O 14 Fireplace ? 19 Comm./Ind. Misc. [1 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move ? 37 Demolish Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site 0 Wallboard ? Footing 0 Final MWCC System City Water PRY Required Booster PumP Fire Sprinkler Census Code SAC Code Census Bldg Census Unit ? Framing ? Draintile Assessments ? Insulation O Fireplace Permit Fee 7a "" Surcharge r7 ?- Plan Review License ?500? MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total : vatuat;an: $ SAC % SAC Units PRQF-(7SED ELEVATIC.3NS: None Q? ? ?? C) o? 0 ov , Dunotes ;ron monument found. Denotes cross chise9ec6 in concrete surface. "982x5" Deno4es existing spot eIevation measured at the point marked by "x,,, in t41is case, 982.5 fee# above mean sea Ie°wleio , "982x5" Denotes proposed spod eleva#ion at #he point marked by "x„ , Denotes proposed direction of s#orm water ! unV' i f. - CLRi'FICf9l IOIV I hereby certify that thss p6an, survey, report or specifieation was prepdred by me and that i am a duly Rvagistered Lanc4 Surveyor and Profes- sional Engineer under the L.a ? af the State off,? Mir?nesota. c? t f ? H. Parker, M6nn. Reg, Nod 92135 '30 ? - "73137 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilat Knob Raad, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single famify dwellings & townhomeslcondos when permits are required for each unit 3?' -,57) Date 0 Site Address 00,29 Z-M` ..' Unit # 54 V ) M IV ? ? ? ?? Property Owner t7/- Telephone # ( 65 % "/49 O Contractor f?f?????f?f? f ????'"?`.?''??o'-? L- street Address City 4e1z'FS State ? / /?''? Zip Telephone # (lr?l "Z Z Z 4-- 6, 3 Band #: Ezpires: The Applicant is Owner ? Contraotor Other Add-an or alteration to ezisting dwelling unit $ 30.00 ? furnace ?Additionai ???eplacement New air exchanger air conditioner heat pump other State Surcharge $ .SQ . : Total $ I hereby apply for a ResidenEial Mechanical Peimit aud acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and cades af the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, bu# only an application for a peimit, and wark is not to start without a permit; that the work wili be in accordance with the approved pian in the case of work which requires a review and approval of plans. A ?4?' ?'?i/?G?-'..--??i4/'? ??-?/ / d Applicant's Printed Name Applicant's Signature City of Eakan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 NOV — 639 90' Use BLUE or BLACK Ink ForOffice?IJse Permit #:161960 Permit Fee: M VO Date Received: /43W Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ac77 aucet, LA Date: Q c3 % / Site Address: Tenant Suite #: RESIDENT / OWNER Name: l Y !, ,{OZ, OC CSV/ Phone: CPUC/ VS- Address SAddress / City / Zip: Applicant is: 010 7 71t aiS 11 �Q , / cZ40 � 9 Owner )( Contractor • TYPE OF WORK CONTRACTOR Description of work: V aP,fdnee-/� ' W(,-2 51/2 --Sa %�' v, (Q C Multi -Family Building: (Yes / No JC ) ,j Name: Ai, ey,c<3 v'�! l° License #: 'O® /7"-a City: % z O ) - Construction Cost Address: ItyC0//0 �. State: Thi/ Zip: 5:5-0/ 17 Phone: 67S/ - 7, 026 Ao Contact:7((7y? C:W./1 ) Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 1f6TE: Plans and suppoi`#ing dodentea s-thatyou•submitiris can iiteredrO the information may be classified as non-public !f yousprovid1e s if c r -ea s . ,COVALcie that-theY re.`. 0e s re s rfdrina>Ijonr.-.i?ortiofls`of uld.permi# th'e .City>to CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aoPherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. x �j els 041/1-A Applicant's Printed Name ,\\ Applicant's Signature Page 1 of 2 Use BLUE or BLACK Ink ` r For Office Use I G7S~C/~'~If~ i Permit I City of Ea ~a~ I l D~ ; I Permit Fee: 3830 Pilot Knob Road q~Xfj Eagan MN 55122 I Date Received: U Phone: (651) 675-5675 I >7 I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /JJ~ Unit Name: / 'x"' ,~5 "Jl.wl . Phone: Resident/ Owner Address / City / Zip: 72 € Applicant is: Owner Contractor Type of Work Description of work: a~ Construction Cost: Multi-Family Building: (Yes / No/~ Company: l k• Contact: L i Contractor Address: T~4zx ~[OG/ City: !J State: ~IV Zip: f5 /,7!~Z Phone: -3 7 i License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _.Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: v_ , ~.n... . m a .....a. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuanncce. x 71✓ x Applica is Printed Name A licant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA142193 Date Issued:04/19/2017 Permit Category:ePermit Site Address: 2077 Quartz Lane Lot:9 Block: 4 Addition: Cedar Grove 4th PID:10-16703-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - 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 - Marianne G Adelmann 2077 Quartz Lane Eagan MN 55122 (612) 309-8404 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142776 Date Issued:05/17/2017 Permit Category:ePermit Site Address: 2077 Quartz Lane Lot:9 Block: 4 Addition: Cedar Grove 4th PID:10-16703-04-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Marianne G Adelmann 2077 Quartz Lane Eagan MN 55122 (952) 894-0005 X5151 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature