2101 Quartz LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2101 Quartz Lane
Lot: 15 Block: 4 Addition: Cedar Grove 4th
PID:10- 16703 - 150 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
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:
Maus Construction
1502 Cty Rd 42 E
Burnsville MN 55337
(612) 703 -5025
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:
William A Calmbacher
2101 Quartz Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA084901
08/04/2008
ePermit
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
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CIDAR GROVE 04 Lot 15 eik 4 Parcel 10 16703 150 04
Owner TE V VLlY1 C,L ` W treet 2101 4udY'tZ Ix1ne State Eagan, MN 55122
Improvement Date Amouni Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWERLATERAL 1972 1,304.00 52.16 25 Paid
WATERMAIN
WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "'+' I t' I N`'
3830 Pilot Knob Road Permit Number: 0• `"`04
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: , r?
„ t , 1 ?, ?s ?", . ;, APPLICANT:
F+ ? ?.i"nir ?,' tAWe Mr r raNt Atdt_ t,l Uk [A
(_t l?1%r, ?i:??„r? n 1"N ( r.i.x ) 4 F>i
F
L -?
PERMIT SUBTYPE: TYPE OF WORK:
a,t ?,? ?;?,?i t1,r.1 ,.rrPtacJ?artl r?
Permit No. Permit Holder Date Tetephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
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 FTG
--
DFCK FIP:rL
"7 F2 --- i
i
? EAGAN TOWNSHIP
BUILDING PERMIT
Owner -----`??-•'i.1 ................................... --------
Adflress (present) ?.?_..-• . 41r!1-0c415 ---14x?e . ---
•••-••-• • - •-••" ?
Builder .......... &-'... ?'. r?-- ?S ?-••-•---••-----------•
-.. --------
Address ---••- -----"
DESCRIPTION
NOW 1_111
Eagan Township
Town Hail
Date ..... ._....-_...
•-•..---....•----•-•-•..
Stories To Be Used For Front Depth Heighi Est. Cosi Permi! Fee Remarks
!l +;I s-r
' LOCATION
Stree3, Road or other Descxipiion of Location Lot $lock Addiiion or Traci
This permit does noi authorize !he use of streets, roads, alleys or sidewalks nor does it give the owner or his agen3
the right to create any situation which is a nuisance or which presenis a hazard to the health, safety, coavenience and
general welfare !o anyone in the comrnunily.
THI5 PERMIT MUST SE EPT ON THE PRENiISE WHILE THE WORK IS IN PROGRESS.
This is !o certify, Yhat--- •:--------------------------- has permission to ereci a..... ?`.--•- ............... -- ......... upon
!he abone described pse ise subject io ihe provisions of the Building Ozdinance for Eagan T nship adopted April 11.
1955.
......................... -•...... • - -----• -•-.?............................ Per ....._..-•----- - •••- _+C._.1??.??<.••--?..... =.. . _Z:'_..-• ...................
Chairman of Tnwe. B?ard Building Inspeciar
s?.
EAGAN TOWN S H I P
? BUILDING PERMIT
- owne: --- ------- "":=-........
........... -------=
---?---- ?--•- -- .....................................
Address (Presenij
Builder --------------------- -- - ---- •----•••------ ---•----- - ----------•--••------------ --•
Address -- ......:-•--•---- -- - ---- - :..--- -------------- -----:.._...__...••:••-: ----
DESCRIPTION
N° 805
Eagan Township
Town Hall
Dale .......----1-7•?E?--?---?-?
52ories To Be Used For Front Degth Height Est. Cos! Permi! See Remarks
. ?? ?? . , -Q-N • J? ?
?
? LOCATION
Street, Road or oiher Descripiion of Location Lo! Block Addiiion or Tract
4 - '7 -? ! 5' TI
This permii does not authorize the use of streets, roads, alleys oz sidewalks nor does it give the owner or his ageni
fhe righi to creafe aMy siiuaYion which is a nuisance or which presents a hazard !o Yhe health, safefy, convenience and
general welfare to anyone in the community. _
THIS'PERMIT MUST BE KEPT O THE PREMISE WHILE THE WORK IS IN PROGRESS..
;s -
This is to certify, ihat---- - --- ---------------- --`--!'"?`.'•---,---..... ..._has permission #o erecY a--•--•,l.l.-•- .......••?-?'-•`•?-----.......... upon
!he- above dEscribed premise subj?ct io the provisions of the Building Ordinance for Eagan. Township aflopted April 11,
1955.
-
?-;-, ? , ..._...•-•• .... . ........ .............................................................. Per .................
-------- • - - - ....
..------ ?-- --
--•------- ---- --
Chairman of Town Board ? BuildinS Ins Peclor
T3 (0 C)? ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 c ,
651-681-4675 ? `T
New Construction ReQUirements
• 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 & window sizes; poured found design, etc.)
• 1 set of Energy Caiculations
• 3 copies of Tree Preservation Pfan if lot platted aRer 7/1/93
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE - /
RemodellRepair Reauireme?ts
• 2 copies of plan
• 1 set of Energy Calculatioils for heated additions
• 1 site survey for exterior atlditions & decks
• Indicate if home served by septic system for additions
?
VALUATION DOO
SITE ADDRESS a f D/ (?2 L( 4'& Z 6• 4 sV c_ MULTI-FAMILY BLDG _ Y x N
TYPE OF WORK
APPLICANT
Lia /A r-
STREET ADDRESS,?. 3 A ,pJl,7;T Rr? CITY STATE /?/U Z I P SSyL-2-
TELEPHONE #76 3 7F35_-y Z?CELL PHON E# G/AA SvL -,9oZ,?,?_ FAX # 7ly 2 7657- ?,'6167Y
PROPERTY OWNER 2 i4L 6c3 Lvi-?,?C? c, ?[?'? TELEPHONE #65IL83 -
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'EGORY 1 MINNESOTA I2ULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor; _
Plumbing system includes:
Water Softener
Water Heater
No. of Baths
Mechanical Contractor:
iVleclianical sysCemincludc5:
Sewer/Water Contractor:
I hereby acknowledge that I have read
Air Conditioning
Hcat Rccovciy System
FIREPLACE(S) _ 0 -4 1 _ 2
Phone
icryUQn state that the information
with all applicable State of Minn a Statutes and City of Eagan
Signature of AppUcant _
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
S F P 12 2002
.e=?l
A
compfy
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation
? 02 SF Dwelling
? 03 "01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-piex
O 08 06-plex 0 16 Firepiace
O 09 07-plex 0 17 Garage
O 10 08-plex O 18 Deck
0 11 10-plex 0 19 Lower Level
O 12 12-piex Pibg_Y or _ N
O 20 Pool
? 21 Porch (3-sea.)
A 22 Porch/Addn. (4-sea.)
[3 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
)KL 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 oniy) - Give PCA handout to appUcant
ezz
Valuation ?-
Occupancy
12 ?.3 MC/ES System
"-
Census Cade 1{3 17' Zoning City Water '-
SAC Units - Stories Booster Pump -?
Nbr. of Units Sq. Ft. PRV -
Nbr. of Bidgs - Length Fire Sprinklered
Type of Const W idth _-?
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ,Z( 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
Fueplace X R.I. kAir _
Test / Final Windows (new/replacement)
Insulation = Retaining Wall
---------
Base Fee ? ?19 -
Surcharge
Plan Review .
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Building Inspector
___--- ?
? ?-?
?
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Software Version 33 Release lc
Data filename: C:\Program Files\Check\MECcheck\AL2.cck
COiJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
DATE: 10/01 /02
COMPLIANCE: Passes
Maximum UA = 55
Your Home = 46
16.4% Better Than Code
Checked By/Date
Gross Glazing
Area ar Cavity Cont. or poor
Perimeter R-Value R=Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 198
Wall 1: Wood Frame, 16" o.c. 320
Window 1: Above Grade, Metal Frame with Thermal Break, Double Pa
35
Door 1: Glass 20
Floor 1: All-Wood Joist/Truss, Over Unconditioned Space 198
Proposed and Maximum U-Factor Averages
40.0 0.0 6
19A 0.0 16
ne with Low-E
0.330 12
0.330 7
38.0 0.0 5
Proposed Maximum
Average U-Factar Allowed U-Factar
Above-Grade Windows and Glass Doors 0.330 0.370
Includes Foundation Windows > 5.6 ft2
Floors Over Unconditioned Space 0.026 0.033
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been
designed to meet the 2000 Minnesota Energy Code requirements in MECcheck Version 3.3 Release lc and to
comply with the mandatory requirements listed in the MECcheck Inspection Checklist.
Builder/Designer 4 Date 0,,?_
7
d I
?
\
9
,
?C /A
o? l b/?k u 4 K?Z L• a vt. ?--- ?--,; f: 0' ?°, ,,
?
r•
2?1
Q , .
?
\
?. ? ?
r? CITY USE ONLY f
L l BL ? RECEIPT #: )-76
SUBD. _ C-e- A01r RECEIPT DATE:
PERMIT # ? ? ? I?
2000 PLUMBING PERMIT (RESIDENTIAL) -
CITY OF EAGAN
3830 PILOT IQNOB RD
EAGAN, NN 55122
651-681-4675
Please complete for. ? single family dweltings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkier system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished * requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler 'rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softenerif dwelling under construction 5.00 x = $
Water softener if exist;n9 dwenin9 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 --> ----> -> $ .50
Totat --> -> ---> --> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby-that----I -have--------read--this------application-------, ----state---that----the----------information---is--corre-----d-----and---agree-----to----comply-----w-it-h--all------applicable------C-it-y--of--Ea---gan-----ordinan-----ce-- s-.-
acknow ledge,
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITEADDRESS: -;?IOv Ott /q 2f Z ?? 64,gmw
OWNER NAME: :?-??? ?r-ln6TELEPHONE #: 6?-) w '"
(AREA CODE)
INSTALLER NAME: 12ooI-EB? TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
CITY: STA7E: ? ZfP:
SIGNATURE OF RMITTEE
CITY USE On'LY
LOT G ? BL RECEIPT #:
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PERMIT (RESIDEN1'IJAUa
crrY oF EAsM
3$30 PILOT KNOB RD
EAsArr Mrr 551 Qs
.
Date: 7'33'-99' (651) 661-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section ortlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhame, or condo. Please indicate if it is a new item, alteration, or repair.
i
New Alteration Repair _ Other
Reminder: Call 681-4675 for inspections.
Furnace ? Air conditioning
Air exchanger Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: o? ?? / !?2 (Jel / I Z L- ? L.,- en.
OWNER NAME: 31,11 CaAA-1"-c, ?-c r PHONE #: 4 S^ ? -?nb 3' ??' 3.3
(AREA CODE)
INSTALLER NAME: -Dc Y? r' c- PHONE #: 4 / y -Lt 1 Y Sx y
(? , (AREA CODE)
STREET ADDRESS: g Z o T?l?-QiIJ /S??\ _
CITY: ?.?? p? STATE: ? ZIP:
S NATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT #:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT #:
1999 M£CH"ICAL PEftMIT (COMMEiCIAL)
CITY OF EAfiAN
3$30 PILOT KNOB RD
EAfiA1V, MN 55182
(651) 6$1-4675
Please complete for: aA commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
**NOTE: When installing/removing underground tank, call 651-681-4675 for inspecrian by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE
TOTAL
($.50 per $1,000 of nermit fee due on all permits.)
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IlOROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
PH(ONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
I . -- ,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
S19?9?,
PERMITTYPf: BuILDxNG
Permit Number: 027504
Date Issued: 05/08/9r
SITE ADDRESS:
P . Z . N . : 10-16703-150--04
2101 QuAR-rz LaNE
LpT: 15 BLOCKs 4
CEDAR GF20UE 4TH
DESCRIPTION:
(REPLACEMENT) ?
Permit Type
Ty p e IdE-M
434 ALT. RESTpENTIAL
?
?.?
.?,2sFS ? ;? d
r
A d
Sx3,
REMARKS:
FEE SUMMARY:
Base Fee
5urcharge
Tntal Fee
CONTRACTOR:
$45.00
1.50
$45.50
? .' ' . ?' •' . . r. r. ._ _ _ w . . _
mcFaRLa?? GLnRr,a
2101 auaRrz LN
EAGAN MN 55122
(612)452--3020
` - CITI( OF EAGAN ?
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) -,
. 681-4675
N? t`nnctnic#inn Rnnuiroman}c RemodeUReDait_Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot piatted after 7N/93
?equired: _ Yes No
DATE: y?,._ CONSTRUCTION COST:
DESCRIPTION OF WORK: ??? ?Ci- ?x02, 10 &4?a Df = /L
STREET ADDRESS:
LOT ? BLOCK ? SUBDJP.I.D. #:
PROPERTY Name: I'A? Phone #:
OWNER • ?* FIR6T
Street Addresso g-
City: State: 111 ,A/ Zip:
CONTRACTOR Company: Phone
Street Address: License #:
City; State: Zip:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address•
City:
State: Zip:
Sewer 8 water licensed piumber: . Penalty applies when address change and lot
change are requested once permit is issued.
i hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. n '/ ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Yes No
Tree Preservation Plan Received Yes No
,???? `?.
?
.?
?_. _ _....?. : -,?_.....'_ -
OFFICE USE ONLY
BUILDING PERMIT TYPE
?
R
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dweiling a 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
?. 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ?;-?-g 15 Deck
WORK TYPE
a 31 New a 33 Alterations ? 36 Move
pl?K-32 Additio6-;" RepayoT37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code ?
Census Bldg
Census Unit D
Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
k tio
MUO
,
CIo
BR
Clo
C lo
BR Bath
? Clol
?
- ?- I
2?`)
?EU) 4JCOD
JtGk /
V
i3'--4.444--
£xis7-ih6-
Wood Deck
T'
LR
^ , -?- ---------- . . _ .
-Y-
?
.?
I
(itJD R
i
J
I Cio
,
??/cb £?? y
Lr ?
Garage
,- -- - --- - -
?r
;.
2008 RESfDENTIAL BUILDING PERMIT APPLICATION
Date: "1-?? Site Address: 2 ) C)
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:1?5W3 'b?L,7:j
Address ! C+ty ! Zip: Q V??F ?--? L-Yl
Applicant is: Owner ZX Contractor
TYPE OF WORK Description of work: k?`ir 1:40,11 (?- 8 ?`'`'C
Construction Cost: C?U Multi-Family Building: (Yes / No
CONTRACTOR Name- ,?- z /-tvwtr ?-YJ?? LLC License #:
Address: ?T-
City: '? I I'? Yl?'7 State: ? Zip:
Phone: ?k 7'`) U(/ 7` Contact Person:
COMPLETE THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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:
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 1 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
Applicant's Printed Name plicanYs S' ure
. Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154010
Date Issued:02/11/2019
Permit Category:ePermit
Site Address: 2101 Quartz Lane
Lot:15 Block: 4 Addition: Cedar Grove 4th
PID:10-16703-04-150
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Amy L Marcil Sanchez
2101 Quartz Lane
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature