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2109 Quartz LaneCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2109 Quartz Lane Lot: 17 Block: 4 Addition: Cedar Grove 4th PID:10- 16703 - 170 -04 Use: Description: Sub Type: e- Reroof & Siding Work Type: Reroof & Siding Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: Restoration Resources 6850 Shingle Creek Parkway, #C -175 Brooklyn Center MN 55430 (763) 561 -2698 Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Paul Hunder BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: 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 Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: $132.75 $3.00 $135.75 Owner: Elwood G Ochsner 2109 Quartz Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA084438 07/17/2008 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 2109 Quartz Lane Lot: 17 Block: 4 Addition: Cedar Grove 4th PID:10- 16703 - 170 -04 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276 -1680 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 - Applicant - Construction Type: Occupancy: Owner: Elwood G Ochsner 2109 Quartz Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. $88.50 0801.4085 $1.50 9001.2195 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. Issued By: Signature Building EA085380 08/19/2008 ePermit CITY OF EAGAN Remarks * Cedar Grove Acquisition Addition CEDAR GROVE #4 Lot 17 Bik 4 Parcel 10 16703 170 04 Owner ?'?'°??? ?• fMXK U I Y1 (r Street 2109 Quartz Lane State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 991.04 A004340 7-1-77 WATERMAIN • WATER LATERAL 1972 ' WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? EAGAN TOWNSH' P N° 1606 BIJBL.DING PERMIT Owner ---." ..._-• ---••-•-•--•••--°--•-•--•--•-•------•-•--•••-----•---••••-----•-- Eagan Township Address (p=esent) .--•`-'•?L-?-?•------Ser. . ........ ...... A--=---------- Town Hall Builder ---•--- ..... .------e?-........ &--'---------------------------- --- (oy Address Date_???..??.??...l.. ---•-.-•....-•-••-•••-•---••----•-•----------•••----••-•----------------------•---•--•-------- DESCRIPTIOId 5iories - - To Be Used For - Froni --- I7epYh Heigh! Est. Cost ' Permii Fee Remarks AO .it a.- A?r.'t.5:, i ?-' S? -' LQCATION Streei, Road or other Descripiion of Location ? Loi I Block ; Addition or Tract / ? -1/ 1 1i' This permit does not suthorize the use of sfreets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situaiion which is a nuisance or which presenfs a hazard to the healYh, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT O THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, tha2????,._??______________________has permission to erect a........ ........ ? ...................... upon !he above dESCribed premise subject to the provisions of the Building Ordinance for gan To ship adopted April 11, 1955. ............. -.............. ----/? ,`- -?............... .-------- ...-------- Per ............. -147, ....."--•----•-------------•-•--•••--------...----°- CH?irman of Tnwn Board Building Inspector d- 46, EAGAN TOWN S I-I I P aIoJlLDIN[; PERNIIT Ownes -•-?------ic'c'--`-'= --------------------- ----- (Preseni) .?.-=---?----_??_--..-----------= -- ---- Builder ----------------- --......... ..................................------------ ---•-------- ._._ Address ----- ------=------------ - -•---------•-•-----------------'----- -----------._...-------.. DESCRIPTION N° ..'79j Eagan Township Town Hall Date /. - `?.__ . ................ ---------. S2ories To Be UsEd For Fsonf Depth Fieigh# E:>i, Cos! Permi! Fee Remarks ? LOCATION Sireei, Road or ather Descr:ption of Lacation i Lot _I Flock ? Addi2ion or Trac2 7 _ ?- J?" ? - --I-- - - This; permii . does r.ct auttiorize the use of stree2s, roads, alleys or sidewalks ncr does it give the owner or his agenf llie righi io creaie aray s:iuaiion which is a nuisance or wtiicr p:esen4s a hazazd io the heal!h, safeiy, convenience ar.d gerieral welfare to anyone in the community. 'PHIS'PERMIT MiJST BE KEPT,QN THE REMISE WHIL£ THE WORK IS. IN Pt?.GC,,RESS. ? This.is to certify, tha?--??. ?'---<-•-- ``C-----•---••--•----has permission fo ereat a------ „........ ----`"- - - - 7 ------- "- ---------- upnn !he above dESCri,;t.,3 pr2mise subjec2 to the Frovisions of the 13uilding Ordinance fo* Eagar Township opted April 11, , 1955. , ----------- --- - "-•"-`?-`_'`° Z -----•- - --=-?-?'--- -- ...... Per ----------- ------- ---- --F ?? ---/?'?----_-=-----•-ri - - -- ---- ------ --------- --- Chairr?7an of ? n Bo d Building Insp or ? ? &vp,* /` oG SLAB LOCATION AND BUILDING PERMIT SLIP . ?. Name • ?-a?? Address -22.1 b / ?--' Cj ' `.1 ' Home City or Village Phone Work Home Home Phone Days AIII Evenings Salesman Garage Size -:;2 e',?` Countour of Lot Gradual Steep At Garage Site Flat $lope Slope Permit to be obtained by: Miles Customer Permit No. Lot No. Block No. Addition -- Lot Size S7REET r./ al&__ a ` - I N j -- ? ns? - ? ? N 7? Itn N . " N ? JV ?'? ?? 0, ? 0, Iv'q- LJ ? j J I '? ? 'J ? ? J i r ? ?J ?' .0 . j'7, _ I ? Check ere if alley F-I Paved 7 Not Paved Width ? Office Copy 7 Cement Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reaufrements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% mauimum lot coverage allowed) • 2 copies ot plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted aiter 7/1/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE S zi`Z l V ? SITE ADDRESS TYPE OF WORK_? APPLICANT (Q STREET ADDRESS '(U t- _-)r-_'C0\U J? TELEPHONE # 06)3SI-3L 4 6 CELL PHONE # RemodeuRepair Reauirements • 2 copies of plan . 1 set of Energy Calculations for heated additans • 1 site survey for exterior additions 8 decks . Indicate 'rf home served by septic system for additions VALUATION J, SO 0 ' (D C) 'jdV1 STATEOU ZIP Sy(2/6 FAX # 6 ? l 5) MI -1 365s C) PROPERTY OWNER Qw oc?? C)Crl SA-er TELEPHONE # ----------------------------------------------------------- ------------------------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDtNGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 N submission type) • Residential VenHlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: -___ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Conhactor: MULTI-FAMILY BLDG FIREPLACE(S) Phone Fee: $90.00 ----------------------------- - - 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 Ordinances Signature of Applicant . OFFICE USE ONLY Water Softener r Water Heater No. of Baths _ Phone # Lawn Spi-inkler No. of R.I. Baths Phone Air Conditioning ? Heat Recovery System Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bidgs Type of Const ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) 13 23 Porch (screened) ? 24 Storm Damage O 25 Miscellaneous ? 30 Accessory Bidg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Inte(or) ? 44 Siding ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing REQUIRED INSPECTIONS _ FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Fina1 _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector ---------------------------------- ?--------------------------------------------------------------------------------------------------------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ñ ÿ ÿþ ÿþþ ýûýû úþþû æ çé ãòó ÿôê òí Ýãòã ÿþõ ý üûú ÷ÿ ÿ ÷üûú Þ ö ú÷ÿ ÿ à Û à üûú àÿýÿý ÿÞýì ù ì Þýì Û äî þ Ýãù ÿ ÿþìáá ÝáÝáò ìï è÷øõ÷çåáëâëòâã ÷ú ýíÿ åáëë á æÿýÿâòâë ôññò õðï úúÿ óíÿìúýì öôîí ÝãùëþÜ ÙýÿÛÿ ÿ ÿ ÿàÞáá èÝáçÝáò í ûÿö íÿíÿê ÿíÿúúÿÿÿ íÿí ìÿ ÿÿ ìúûöíÿÿúúÿ ÿ à ÿÿý ÿóû ÿ ÿîÿ ë úúÿõ ì ý û ÿý PERMIT City of Eagan Permit Type:Building Permit Number:EA112777 Date Issued:08/23/2013 Permit Category:ePermit Site Address: 2109 Quartz Lane Lot:17 Block: 4 Addition: Cedar Grove 4th PID:10-16703-04-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Elwood G Ochsner 2109 Quartz Lane Eagan MN 55122 Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118776 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 2109 Quartz Lane Lot:17 Block: 4 Addition: Cedar Grove 4th PID:10-16703-04-170 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Robert Blackstone Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Elwood G Ochsner 2109 Quartz Lane Eagan MN 55122 Storm Innovations Inc 1949 Geneva Ave Oakdale MN 55128 (651) 500-1905 Applicant/Permitee: Signature Issued By: Signature inilli&I Use BLUE or BLACK Inn- - . ..... .9----- -----,\ I For Office Use11 11* Permit*: /41(0 ,,, .......• -......... 0. i , I Permit Fee' , __. 4 0 i I ' //. / )/ 7 Date Received: ••••„. 4 tssc9 ",..." 3830 Pilot Knob Road 1 Eagan MN 55122 Staff: I Phone:(651)675-5675 1 Fax:(651)675-5694 buildinclinsoectionsacityofeagerixom ',.: 1 3 1311 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 11/09/2017 2109 Quartz Ln Unit 8: .,„. .. $44140Alk:,!1,47,,i, etriv Name: Elwood & Terry Oschsner Phone: 651-681-0291 , •,,, .0.,•01,X."1 'Anil, Address/City/Zip: 2109 Quartz Ln, Eagan, 55122 is: Owner ,„Irt",.4 Ilitil itlyhtm ,.;) ApplicantContractor _ ,, . . Vit. . qi... .041.,-„..,..ilir. Bathroom Remod See Site Plan For Details I- i -e, ',:k ,..,..iiti Description of work: IiIIIIItV Construction Cost: 5500 Multi-Family Building:(Yes I No X 1,..t.."0•;fri ;:il L11.'4141E1 Company: Great Lakes Window & Siding Contact: Derek Address: 14690 Galaxie Ave City: Apple Valley State: MN Zip: Phone:55124 952-891- Email: 3400 derek,g1wsco@gmail,com .,...?„. ,.,..•i.. .2.... 411.1r il BC060427NAT-23297-2 License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: l''''.-,-..,-.17iiiii72.-r-v''::1...r,it- TI: -.'4"t°;111174".''' '''''';:''''''''',f'"Yl-nn!..4-4'. : :•4::':4,-I.,....",„;;.;.:;V.4 v"4"4.1.1'.'":4::„.; ".;;',.;-;,.4' -^' .4;; 4.;".--; ; ''I''44-44 f'4.--";r: , ;:; iti"2.14:t.4.14'-,'..W.t.„0,1„,;:e.,,4,,,;..,,,„,,,;14.14.01..:,,,,,..;•,...A.4q,k.;;;,ci.. 4.1"i;A•; ,,,L•ii;%.-';-:**11'051•'•1'.';''"4-••11,1•14"Vinif,!•-;.11;.t...;;;;,..,;;;;.4J;;;51".Atut.tt,"....,.:.;.".."-..i:;•,,s1,,i;;,,;.4i1,:.-''''",:- . ; ;;;•-•":,•;;;;11'I"••• •:',;;;...g••''. •" ,'"..'„,!.•,•...'•• ..i"...;-;":"U.:T....." . • ,."........:„..".A L.A.A'AA.:.A...t..•....;, ;,•:...i,',.,;';`,....;,`:!;..•.; .• .. ;.,•,I. ,'„,•!..,..,,...• ...-.":..... .1.;":,;'-•_.-: ' . . ..; :,:', . . . . , , . • . . . You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's webslte at Nsiwwcitrfuttrian.cornisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU MO. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. vywoLgooherstateimecali,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 accordanceh the approved plan In the case of work which requires a review and approval ans. i A .x .„ r x i ..... Applicanrs Printed Name Applicants Signature Page 1 of 3 c--2/ o (AKA-z_- i_hAtt 4,-/LiGS° DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Ng Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation &OD.'" Occupancy p_ - MCES System Plan Review Code Edition .2 (ST SAC Units (25%_100% ?C) ) Zoning ) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 13 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final!C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill )(3 HVAC Gas Service Test Gas Line Air Test Roof: ice&Water Final Pool:_Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS )0 Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Wails Fire Suppression: Rough in Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: T Vt4 %-e Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 For Officeel Use 0/4--/O (-/ / 4"? . . %� ® j0 00 Permit#: EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 ,, ,, ,,,,,....... (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(c�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION (2)o-7 Date: �' B Site Address: 9 RTS 1') Q � G - Tenant: Suite#: Reslfdent/Owner Name: )l,t,vuc.� CG� ri 4.- Phone: x Address/City/Zip: Wet a( ` Name: �Q� Ct✓�C.1� �lu►v1b�'� License#: r'C7)�711 Address: 09 i U-CT / i' COtitfaCtOr;.,: �✓/ C� �I City: P -eSL° i State: vim— Zip: ,��j Phone: �I S ' X21- /6a Contact: Email: Jam, (\c1►�(� UI w 'ij. CDS t� New I" Replacement Repair _Rebuild _Modify Space Work init.)R.O.W. 'Type©f ork� — t — Description of work: C � :�Y��< n �(�(,�E / RESIDENTIAL + 1 Water Heater Water Softener h (�� i� , + Lawn Irrigation(_RPZ/_PVB) 4 mit Type' Septic System Add Plumbing Fixtures(—Main/_Lower Level) . _New Water Turnaround # _Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic.System Abandonment, Water Turnaround(includes State Surcharge) *Water Turnaround(add$280.001 f a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.gooherstateonecall.org You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 start ithout 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 �c1v�LC x . Applicant's Printed Name Applicant' ig re FOR OFFICE'USE die By, 774 . ,ate -;::**31:42:'- ',,,44:',.:' Required Ins: tions r . Under Ground Rough-In yest Gas Te F Meter Related ItemsMeter Sizes' m i; meter l�eaci � meter � y: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159429 Date Issued:12/17/2019 Permit Category:ePermit Site Address: 2109 Quartz Lane Lot:17 Block: 4 Addition: Cedar Grove 4th PID:10-16703-04-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: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 - Elwood G Ochsner 2109 Quartz Lane Eagan MN 55122 (651) 681-0291 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature