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1477 Rocky LaneCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: '111 JA1111i11 11?11.1N'; PERMIT SUBTYPE: 1 11 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: 1 .. 1 1 it 1..I. r LANI Ili AI t•I Ill[, 1 1 kt PI Al ( 61 2 ) H90 - 0I SA TYPE OF WORK: B0 I i It i NG 0,+04H'1 wt lI$,/III Permit No. Permit Holder Date Telephone # SAN PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Imp. Comments Footings I Foundation Framing Roofing Rough Plbg. Roulgh R9. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Coast. Meter EngrJPlan Bldg. Final Deck Fig. Deck Final Well Pr. Disp. '• CITY OF EAGAN Y;Q ?e 2 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 t y BUILDING PERMIT Fieceipt # To be used for SY Dlill"s/CAR Est. Value $152,000 Date HAR 26 Site Ajdress 1411 ![WILT U n Lot Block Sec/Sub. Parcel No. W Name _ e Address FAMITIG-Um City Phone Name Address City - Phone W W Name Address a W City Phone I hereby acknowlege that I have rea i application and state that the information is correct and agree t co ly w 1h all applicable State of Minnesota Statutes and CNof E?rlarn rdin s. Signature of Pemitee /nn J 7 A Building Permit is issued to: JOSEPH N MILLER CONS? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Building Official 1991 OFFICE USE ONLY 9 I-3 II1-1 Occupancy -RZ71 FEES d Zoning -?-? 822.00 (Actual) Const (Allowable) Bldg. Permit 76.00 # of Stories - Surcharge 53$.00 j Length 1 Plan Review a 100.00 Depth - SAC, City S.F. Total S.F. Footprints - SAC, MCWCC 650.00 660.00 On Site Sewage Water Conn 90.6-0 On Site Well Water Meter j MWCC System -- 30.00 , X City Water - Acct. Deposit 30.00 PRV Required S/W Permit Booster Pump S/W Surcharge . 50 276.00 Treatment PI APPROVALS Road Unit 970'00 J Planner - Park Ded. Council Bldg. Off. Copies 90 3 638 Variance - TOTAL , . Permit No. Permit Holder Date Telephone # WATER 6 l0 (?? SEWFR PLUMBING p? , / H.V.A.C. 9 -7191 440 - Q,z ELECTRIC Inspection Date Insp. Comments Footings 1 05 Foundation Fra-ming k t ing gh Plbg. gh Mg. C O w2 Lv [Sul. i Z D s Fireplace • 41e Final Hig• /.t Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. (8rdifira#r of (Orrupaury Citp of Cagan jurvarburtcz of i6aing "u= This .flow !sued pursuant to the r>equ&emena ofSection 306 of the Uniform Building Code certifying that at the dine of issuance this .structure mu in compliance with the carious ordinances of the City regula ft building constI ucdon or use For the foUowing. u n lim = 4GAR Bkt& Famit N% 18812 O-gracf'iype $33.& 1 Z dM D 1. R l Type ca" VN OWDW Of WAMV4 A4*= I R 133 EEW aV ; ??A1?1IDilfl?T Bad uAd&= 1477 RrYWY TANK r..&r T.I - R1, 9 YD ) POST IN A CONSPICUOUS PLACE SEWER &,WATER PERMIT CITY QF.EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE !larch 21 , 1991 OFFICE USE ONLY METER # PERMIT DATE 03 /2 7 / 91 CHIP # PERMIT # 11885 METER SIZE B.P. RECEIPT # C 1263 ISSUE DATE B.P. RECEIPT DATE 031261 1 PRV -BOOSTER PUMP SITE ADDRESS 4 7 7 c:?i k X Lane LOT -'BLOCK 3' SEC/SUB Sherwood Downs APPLICANT: Jo-oub M. Miller Coast. Inc ADDRESS: 1,4131 C e d r A, fi0 CITY, STATE Farmington zip 55024 PHON6:31 - 2 001 PLUMBER: c a ft•- u y s ADDRESS: S4i45 sn Robert Tr CITY,STATE Rneemount ZIP 5508;? PHON&23-1144 OWNER: - ADDRESS:_ CITY, STATE PHONE: ZIP PERMIT REQUESTED X SEWER X WATER TAPS - COMM/IND Y RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Cred' WILL NOT be given for Dedupt Meters. ,r I AQi1EE TO COMPLY WITH CITY OP EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE March 21 , 1991 OFFICE USE ONLY METER # 3 PERMIT DATE 03/27/91 CHIP # 4a ? ?? PERMIT # 11885 METER SIZE R11-G B.P. RECEIPT # C 12638 ISSUE DATE B.P. RECEIPT DATE 03/26/ 91 _ PRV -BOOSTER PUMP SITE ADDRESS 1477 Rocky Lane PERMIT REQUESTED LOT 1 BLOCK 3 SEC/SUB Sherwood Downs 'SEWER x WATER - TAPS APPLICANT: T o s a p M j i 11 e r ro n a t In C ADDRESS: 1 8 1 3 3 C e d a r Ay S n - COMM/IND X RESIDENTIAL CITY,STATE Farmington ZIP 55024 x NEW -EXISTING PHON6:31-2 001 Lawn Sprinkler Meters are to be Installed PLUMBER: r,"ZLy _R!Fae Ahead of Domestic Meters on Water Line. ADDRESS: 124 g4 5 R n Robert Tr Cre 'WILL NOT be giv for De Meters. CITY,STATE Rosemount ZIP 55088 PHON&23-1144 OWNER: ADDRESS:- CITY. STATE ZIP I A EE TO COMPLY WITH CITY EAGAN ORDI ES T E WHEN METER ISSUED ?17 Uri PHONE: IG PLEASE /ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454=5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECENED FRDM ' AMOUNT 8 DOLLARS +Do D CASH ? CHECK FOR r BY C 155-11 WNte-Pares Copy YeNow--Posbng Copy Pink-FNe Copy Thank You Address: 1477 ROM LANE Lot 1 Blk 3 Sec/Sub SHERW00D DOWNS These items were/were not complete at the time of the final inspection. Date; 6 /18/91 Yes No Final grade (6" from siding) L?I Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass tl? Trail/curb damage Porch V-4 Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. n?cruco a"x White - City copy Yellow - Resident copy Pink.- Contractor copy CITY OF EAGAN NO 18812 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt# l /C .? 111 J2q To be used for SF DWG/GAR Est. Value $152, 000 Date MAR 26 , 19 91 Site Address 1477 ROCKY LN Lot 1 Block _3 Sec/Sub. SHERWOOD DOWNS Parcel No. a Name JOSEPH M MILLER CONST I Address 18133 CEDAR AVE S City FARMINGTON Phone 431-2001 o Name SAME 0< Address i- City Phone Name Address City Phone M I hereby acknowlege that I have readpriq application and state that the n I I applicable State of information it and agree to flFdi Minnesota Statutes utes and City of E na s. Signature of Permitee ?? A Building Permit is issued to: . n IN P' PH M m r r r P. a CONK I on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official A?IlA1 f?.ll rnd OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actual) Const IL--N Bldg. Permit 822.00 (Allowable) V-N Surcharge 76.00 # of Stories 60' Plan Review 534.00 Length Depth 42' SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints - On Site Sewage Water Conn 660.00 On Site Well Water Meter 90.00 MWCC System _X Acct. Deposit 30.00 City Water _ X PRV Required SAN Permit 30.00 Booster Pump S/W Surcharge n -9 Treatment PI 0 276-0 APPROVALS Road Unit 370-0 0 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,638.50 DATE: MAR 27. 1991 1477 ROCKY LN (JOSEPH M MILLER CONSTRUCTION INC) RE: X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors- 454-8100) before issuance. i WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. 1 0 CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 O' DATE r B? 68? r3?m AMOUNT $ ? & DOLLARS r) ? CASH CHECK ?0 .4i FUND OBJECT 1 - AMOUNT Thank You BY 12638 ? //8/S/ r 39181 4134 - - Request Date Fire No. Rough-in Inspeclion Required? ? Ready Now 4D Wdi Notify Inspector . 4+p r i 1 1 6 , 19 91 ?Yes ? No When Ready? 10 licensed contractor ? owner hereby request inspection of. above electrical work at: Job Address (Sheet. Box or Rove No.) Cry 1477 Rocky Lane Eagan Section No. Township Name or No. Range No. C.Iny Occupant (MINT) Phone No. Joe Miller Constr uction 431- PowerSupplier Addfeu4300 220th St. S. W. 2 Electrical Conhacwr (Company Namel Conhactar5 License No 1 Mailing Address (Contractor or Owner Making Inswllalton) 7630 145tb St- tj Apple Val e MN 55124 AWhor d Sg ure Contrawr/Ow tellatwn) n n Phone Number. L19-6688 ESOTA STATE a CF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlgga-MMwey aMp. oom S-173 BE ACCEPTED SY THE STATE BOARD 1821 University Ava., . Paul, MN 45104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0500 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' ra EB-0ooot-0e ? See insWCtions for completing this form an back of yellow copy. ?QQ SIL <An H 3 9 181 , "X"-Below Work Covered by This Request V-;P0" / uv New Adtl Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps /5 2 0 to 100 Amps V8 Transformers Above 200-Amps Above -Amps Signs Inspectors Use Only: TOTAL 5 Irrigation Booms ' 0 63- Special Inspection G Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby fl01gh-ln case certify that the above inspection has been made. Flnal t, Date OFFICE USE ONLY This request void 16 months, from 32361 ?/Soo Request Date " ? , Fire No. Rough-in Inspection tl' R bb Ready Now, C Wh yector R d ?/ N N , ti -Yes o y en ea I X licensed contractor IJ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No. f Y -7 7 o ??? .C City 9 ?,¢ i? Seaton No. Township Name or No. Range No. County D A O Occupan?L/7pRINT) Phone No, Power Supplier Address _ Ali T, ;L- Electrical traclo?IC.st ny Namel ? rti.J /eC L tractor's License No. D?0 65r- Mailing Address (Contractor or Owner Making InstallaLonl ? 3_-54:8,p,09- l e4 y Aulbonzetl 9 nature IContraclorrOwner Magi Installation) Pho ne Number Q?rf till / MINNESOTA SaKBOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggo-Mldway Bldg. - Room 5.193 BE ACCEPTED By THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. REOUESTeFORnEP ECTRICA?L INSPECTION I See instructi 1, 'a ea-coom-os "X" Below Work Covered by This Request -y? ue Q`dd Rep. r Type of Building Appliances Wired Equipment Wired -I t- Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner loans, (specify, Contractor's Remarks: :. If p it ^u N.1 p ? . ? Ye a-? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps L Transformers Above 200 Amps 100 Amps Sgns inspectors use only. OTAI Irrigation Booms T ?? OG , Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-in Date certify that the above inspection has been made. Final Dare - t OFFICE USE ONLY r 6 rryue r WIe iu monma OVrt. REVIEWED By °" - Date S ?y 9 PAGAN 9NGINEERING DEPT ?afi ?? ??oGK 3 Skevu vv d Oaten s ko'-z,-e. Gz4auf - L.} r. very Laf 1i 13Z OGK 3 S *Ct? cl od VOwlls 4-1`l s ky ??? s?? s w E CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I zi.; R0C,ky ';I1'-RVA C('0 OOIli N3 PERMIT SUBTYPE: F(RIPLACL INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: IOir 1. FLOCK LANF f'FAT--N-GL0 t "FFPL^C:_S (o1v; £330-0I'.izF TYPE OF WORK: NFw uiri nlitiC, / CITY_bF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: r: I' I '. I) I N(: rl,-'B'..;v 4)3j ?,(S. SITE ADDRESS: I' I H : 10 676/0--010-0.3 DESCRIPTION: 1877 ROCKY i f,,ilI !.Dl a 1 SLOCK: 3 SHFRWOOD OOWEJS "5uiIrli'i:.9 Pernn.it 'type i ]-I(ilc?'hI f) k IYnp FIREPLACE. I'! E Li REMARKS: RECEIPT # CR 002832 FEE SUMMARY- Ii, `.i L1 I- c El a r(3e 1 o?t.a.L f=ee ..ea CONTRACTOR: - A p p 1 i c n 1. - I. I T cOWNER: HEAT-1`4-411-0 FIREPLACES 1891097 58 ©00,96D PETERSON FRED 3E15 13 17 HlJ 1' 13 1477 ROCKY I H BIIRIqSVTI LE MN 55331 EAGAN Mi•1 b1.2 I hereby ocknow1edc}e 'hol, S have r'cad this, appt:crlLinn :nd t-1.i. tk.:I 1.,, ii11urin i:??rn i cr,rr;(r. nd ayra? Lu c(nr,: w(t:I 1'I1,3:, end City cF tvo-,n 0 1-di.ne,ri(p • a ? } G fi 1n o;rt I ?( ro APPLICANT/PERMITEE SIGNATURE -?9UED -Y SIGNA UR REACTIVATE PERMIT # iwi CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 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 3 / /z / Valuation of work j, `70q. Site Address: '7 `7 90G,-V 6a n 10 -?_ SUITE / STREET Tenant Name: (commercial only) LOT BLOCK SUED. Z P.I.D. Descri tion of work: -r- t;rec ??4 F. 2 czC? The applicant is: Owner ? Contractor ? Other (Describe) Name ?P IQ?O/-) F,re0' Phone L152 - 3899 Property LAST FIRST Owner Address /L12-7 126rJGi i 1pnP STREET STE X City _i5?Cr n State M N Zip SS/2 Z Phone 890 - 0 '758 ? -//- G'/0 # Company ea Contractor // Address 3GO, A>A)aS/ /3 License # 29100 Exp.- city State In Al Zip 55.33`7 Company Phone Architect/ Engineer 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 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. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final 1 aepmentf.4ish 0 1tSwfim Poa ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ SAC % SAC Units V of eagan MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 681-4600 FAX: (612) 681.4612 MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681.4300 FAX: (612) 681-4360 THOMAS EGAN Mayor July 27, 1992 MR FRED R PETERSON 1477 ROCKY LANE EAGAN MN 55122 Dear Mr. Peterson: PATRICIA AWADA PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Council Members THOMAS HEDGES City AMUninstralor EUGENE VAN OVERSEKE City Clerk On June 1, 1992 I inspected the backflow preventer for your underground sprinkler system. This letter is to advise you that your backflow preventer does not meet Minnesota Health Department Rule 4715.2150 C-L which states that the backflow preventer must be at least 12" above the highest sprinkler head. I explained this to your wife when I made the inspection on June 1st. Please correct this matter and call me for a reinspection. Sincerely, William Adams Construction Inspector (Plumbing) WA/js THE LONE OAK TREE ... THE SYMBOL OF STREIIGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: GYI??rq ?a7` S Date Receipt # Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit wll be required, as well. E:dsting residential: $15.50 (Plumbing; permit not required if backtlow preventor was previously installed). Residential developments: Fee to be determined by building inspections department. May require payment of water ?permit, p binermit WAC, and water treatment plant fees. /V77 Jezdc. 6? (Address to t>e spri dered) Homeowner/Plumber: ? V'-, C "o Phone #: qua ` 3 MStreet Address: j q-77 &_-,I City, State, Zip: C. `L?-a". M n, 5 s i a a- Owner Name: ?c Q??P czr _ Street Address: IV-77 ?2oc1c ? ?L C_? Phone #: Irrigation Contractor: 7 L a 7 Phone #: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable City of Eagan Ordinances 12 13 a 1-1-12 cc: Engineering Department -mac I'T'? Permit # / Z ? ? ?t ,Q i Jtv of eagan MUNICIPAL CENTER 3830 PILOT KNOB ROAD EAGAN. MINNESOTA 55122-1897 PHONE: (612) 681.4600 FAX: (612) 681-4612 MAINTENANCE FACILITY 3501 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 681-4360 THOMAS EGAN Mayor June 11, 1992 FRED R PETERSON 1477 ROCKY LANE EAGAN MN 55121 Dear Mr. Peterson: PATRICIA AWADA PAMELA McCREA TIM PAWLENTY THEODORE WACHTER Counoll Members THOMAS HEDGES City AdmIninstfator EUGENE VAN OVERBEKE Clry Clerk On June 1, 1992 I inspected the pressure vacuum breaker on your underground sprinker system and found that it does not meet code requirements. Please correct this problem and call 681-4675 for a reinspection. If you have any questions regarding this, I may be contacted at the above number. Thank -you. Sincerely, William Adams Construction Inspector (Plumbing) WA/js THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Equal Opportunity/Affirmative Action Employer CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 CsCAy FBI FOR CITY USE ONLY PERMIT # /a?y 79 RECEIPT # O 5 DATE : &/,-7 '7 9 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON _ REPAIR OWNER NAME: Je't°tI? SY? , lF.v- \3«? ??,? 1 SITE ADDRESS: Irk ,1?>®?S:?I 1??, 1 LOT: BLOCK _ SUBD. lzk l y INSTALLER: C?r?T c,? E C? 4^E G ADDRESS: \ ??l(1G n C\. 5? CITY: t??_) ZIP: PHONE #: (oo,-(OOc?) -) FEES Y DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $ ` f';c6 STATE SURCHARGE: .50 TOTAL: $ ?? SC SIGNATURE OF PERMITTEE U4MH$RGIAL/tJbIIST1LA ` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE = $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # 07 ?? RECEIPT # O 53 3 DATE: aS PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -------------- WORK DESCRIPTION NEW CONST _ ADD ON _ REPAIR OWNER NAME: Q'J-c 296Ljjz:tI //n 0r -?G-Y/ SITE ADDRESS: /,/7 7 !/? w h -_ o LOT: I BLOCK SUBD. ra .P bwh,a INSTALLER: GENZ-RYAN PLUMBING & HEATING COMPANY ADDRESS: 14745 South Robert Trail CITY: Rosemount ZIP: 55068 PHONE #: 423-1 NO. FIXTURES EA. ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. f (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL ST. SURCHARGE TOTAL: TOTAL 3L a 9, 071 {&. av 3. 4a 3. cN 3 . vD O 0 s y .50 S 5.3. 6'd COTtt9ERGZALjINDTSTRIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: --------------------------------------------------- ti COMPLETE THE FOLLOWING: ----------------------- FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $_ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 1991 BUI?? RM TAPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS f ? BAR 2 COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Site Address Lot ! Block P l S b arce / u Owner Address City/Zip Code _ Phone Contracto Address ?? dLCf? C?C/Jt'Ci City/Zip Code jrl? Phone 'V Arch./Engr. Address City/Zip Code Zoning K°l Actual Const V-h( Allowable V-N # of stories Length Depth S.F. Total Footprint S.F. On site sewage ,On site well _ MWCC System City water PRV Booster Pump _ APPROVALS Planner _ Council Bldg. Off. $ 3-2a 9i Variance FEES Bldg. Permit 13Z.200 Surcharge r7(, 0 0 Plan Review 53y 00 SAC, City 1004 00 SAC, MWCC 65h o? Water Conn. (0(-p, 00 Water Meter 50,00 Acct. Deposit 30.00 S/w Permit 30.00 S/W Surcharge 050 Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL S`fl? Phone # Q1,71 Ae agrees that all work shall be done in accordance with 1 (Signature of Conk actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. n Date: 3-,=;2 r - / OFFICE USE ONLY 152 oaZ)- Occupancy R-3 M--1 ?ARAUE VALV 47- 10 ?4 3Z k Zy ?6? 2 x !2/? ?2{) _r ZO Y, 1S' = I oyo o 15r -?-LOt)R 1153 X/4= I?ly2 ?synr: IIS 3 112 X53= ?z ?! ? 20.25 = fj12 11`2 fr22? II'7o x53- (20/U 1,51 ob8 0?' S Z? vvJ P i onE• r En a i near i ne 6819488 , P. 03 * PIQNEEFI * engi? eating.. Certificate of Survey W H IIQ P N S ? I.0 J XF rn ?• ? ? t . s Spa So ?- / 0 d ?- D `? m 1 ? ? Mti q s , r , Q? M j Qy . )g• ? M rl q to x 300.00 Denotes Exisfin4`ffev i>vng I' T; f 00.00 Denotes Proposed Elevations Denotes oraino e [ W11[ Easement Deno}es Dra;nOhe rtow /-brows o Denotes Monument 0 O (612) 681.1914 ?/ tq dv m? IV 41 0`0 V Q M ? u NO 4 PAOF05--Q HOUSE d4EVATIONS Lowest floor Elevation T 577. ?o on8lock flevalion ?G 4111, jr1ob Zfeval'ion $e3-, 5 $earinls shown are aswined ? Denotes of sef Nab LOT 1, , BLOCANI 3 , 914LrPWOOD DOW/V5 DAKOTA COUAIWj MINNESOTA H sahjed to ea5emcnk of'record 1 hereby certify that this survey. plan or report ww?pr?e{/real by me or under y direct supervision and that I am duly Registered Land Surveyor under the lbws of the $tete of Minnesots. Dated thiS._.tiK7pNdey of A.D. ez,,{ ? ? ,SCQ'?E : j inch . ,? f of 9O2c)(0 4b R02 RT B. SIKI H R. NO. 1.359 1 2422 Enteirprise Drive Mendota Heights; MN 5512D PH M. MILLER CONST CO. NORTH 11r1UIESDIA STATE ENERGY CODE. CALCULA110115 DASEU 0111 CII?I' I ER $ 'OF THE MODEL,EIIERGY CODE - 19113 EDITION Adoptlon EFfectlve /I/Bill' - Owner p -Site Address LC l gjL_OC-k Phone Contractor > + Building ClassU lcatlon: Type Al (Single Family E Duplex) ?? TYPe A2(Resldentlal) (3 stories or ess? NOTE, Complete pages 3 and It First. (Other) (Over 3 stories) GENERAL I NFORI,AT 1011 1. Dullding Perlmeter JGG p? ?11L _f t• , 2. Nall height (ground to eave) Ft. 22? {? 2 3• 1. x 2. (above) gross wall area (/3 ?3?b ft. x (W) Ft.2 roof 6 floor area 11, Building dimensions (L) 5.• Square foot area of rim joist - Floor Jolst.s.lze (2 x _1C ) q? ft2 X Perimeter Rlm jylst area i 12 1r?-(D 6. Doors - Ai-ea 1 f 0 'I r? I¢ lhlckness In. U factor Type of Construction Perimeter Manufacturer 7• Totai door's perimeter ft•. 0. Windows: Manufacturer ?(V?jUL Ml f-o State approved, U factor 2 TYPE SIZE' AREA (Ft.2)NUMBER OF TOTAL FEET 111 EACH UNITS - - - - ---------------------- • w 9. Total ft.2 Glass ?01 7 X = Ft.2 10. Fireplace area; Width X height = C ? X 1 i.?.•_. ? 2 I1. Exposed foundation: lielght X Perimeter, Ft. COMPLETION OF Tills FORM IS REQUIRED FOR ALL 11€. C FlSTRUCT U! ITAJUR RR ?7UUE 71SiG Al1U"DUILUIIIGS DEII MOVED WIIERE EIIERGY, OMER TIIAII TIIE 11111MAL CODE ALLOWANCE, IS USED. Framing area = 10% or gross wall area. 3°I , V. C rt.2 Gross vial l area 2 X '. - . U windows U A ft: Window area A Z? U x A ft.2.' U rim Joist ' r^ Rim Joist area A A ' (0 LI??O ft. U door area Door area A* I q I je-L m ji.laCe-area A7!'-? ft. 3 I U x A J . Exposed'foundatton A 'l1 L- ft-2 U foundation ' I0 1v - I 'l 2 0U x A Z?. ?_2 a?i?? ft. U framing area = Framiny area A ? U x A 4 Z- 10 1. (O?z ft. U wall = C llet wall area A U' A = 1 (1.3D) TOTAL.'. . . . . 12 13 I A/Cod 1q• Gross wall area ?i 0.11 (A-1 single family S duplex allowable U x e (13. above) x 0.23 (A-2 other residential) tiler buildings) 15. 15A. 15B 15C. 15U 16. A 1154) '" I`? X U (co e l ' NOTE: Use U and A values obtained l. . from pages 1,r3 and ues n s f ' l 10 t n t l e Nlnnesota of State the ortexceeds t e nl Cene and tl!at here g bulldi e th s. mee described Energy Conservation Act. i S gnature Date ' X 2J (0 x 2U (Over 3 stories) DTUIl fiust be larger than 13B abovede U Co (. or t1te., same as) Ceiling framing area (Af) equals 10% of ceiling area C)CY ft.2., Gross ceiling area (L) ' la ft 2 Joist area (Af). ' 10,". ceiling area ft 2 Net ceiling area (Ac) (15A - 150) _ Q?? U ceiling x A c= 1t7 z.2 xk2 ?o n 7.1 3 U framing x A f= ............. Ceiling area (15A) x 0.026 (A-1 single family S duplex - code allowable 'U x A ' x 0.033 (R-2 other residential): x 0:`06 (other) b 0i Must be.largVr tllan.•15D (above I 'pLC I aF (or th,e samesas),. ? d 1 -.-AIIL1.11 - _..---- ?lx?? ---------- it - ......._...._..-.........__ __ ....._._;_._..:.:_._?..::..._._. - Y• UL li VALUE I CEtLIIIG -, ' FRAFlInc , l 0? 61 Ali- f11m U.GI 7j(Q, D Insulation '----- Jo1st telling •?? Ali- Film U,61 U. 61 x 7i*ICJ local R 1 ?7 i USA 70 • 1 [LAI Ruor OR CAIIIEURAL CEILING 11 Vv lire ft YALUE _ 1 q- - - - FRl111111G CE1L111G JU't? U:G) tnside air film U.GI ?:-----• Collin - JoIstiEu?) Insulation Air spacd '-"-' {toot decking -' - lnsulatlun 11uIIt-Up rout Uutslde Air f1111 U I , total h 1=U it Rudolf (nf l l tratIml 5 cinl/l meal foot of crack lasldeatlal door Inflltratlon U.5 cfnl/square loot or door dtid minimum code requlremettt ; tau-tesldenttaf door lnfllLvatlon 11.O.cfnt/lliteal IOOt 01 rVack Jb 1211 toncrete block no fnsulatton .41 R 2.1 Jb 121t toncrete block insulated cores 2G R'3.0 Jb 12i 11911t'Aelgllt block 02 R R ? 31 J Jb 12 llghtwelgl+t block lnsulated`.coves a 2 M1 J !In i4 glass = 1.13; frith storm window .54 J double glass - .55 J trlple glass = .41 1 M Werlor walls and cellings nnlst have d v por barrier (U.IU pei-m mtx.)1 , Jailor barrier must be on Lhe Inside (heated s1de) nr via] ll 1 fapor barriers of the polyethelene tilln fllm,haJe no R value. 1 t 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan G 3830 Pilot Knob Road, Eagan MN 55122 t Telephone # 651-675-5675 `v V, Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date E? / 16 / bLA , Site Address I H? f ?C%? ?! l t4lP? Unit # Property Owner Telephone # q 5Q -"S %99 Controlled Air ,? Contractor Heating & Air Conditioning Ventilation and Fireplaces Street Addres, 21210 Eaton Ave. Farmington MN, 55024 City 651-460-6022 Fax 651-460-6276 State l www.controlledair.net Telephone # ( ) _J Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger air conditioner -New Replacement / other ('t cI ' c) n 11 State Surcharge JUN 16 2004 t $ 50 Total I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature 1 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction - Underground Tank _Install -Remove 'see below Interior Improvement - Install Piping - Processed -Gas Nature of Work: "When installing/removing underground tank, calf for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $7030 Underground tank uislailatiordrernuvai 4 $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 Z* $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: 1. Location q-] 1 2. Nature of Work -T, E CITY OF EAGAN PERMIT WORK WITHIN CITY ROADWAYS ? ? r uivod t7own s ,.Icle•r ? Page 1 of 4 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction e „-. 4r-111?,,. 5. Work to start on or after v d and shall be completed by approximately D p 6. Will detouring of traffic beTnecessary? Np If necessary to detour DATE ic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of any detour being established, changed or discontinued. NAME OF APPLICANT Fr £ c\ k?, ?E CE: ? 3 PHONE yro?- f'?% CEA3 ADDRESS Wn Kock-4 l z?? r a?,a n . t'•; t ,,, 5-5-15k a NAME OF PARTY OR ORGANIZATION PERFORMING WORK ADDRESS jy7 7 I?yL?c Cc?nP E }??a , , f ; , 4 ; /aa PHONES V1 IT 5 VA It Zit" The undersigned herewith accepts the terms and conditions of the regulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. *<_. _ For: Signet.r. s 3 ?%' - l Title: Date: IFOR CITY USE ONLY AUTHORIZATION OF PERMIT Fee: $ Receipt No. ! Permit No . 4 In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: APPROVED BY: DEPT. OF PUBLIC WORKS BY:- DATE: t ! r ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. `Pf 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. ` 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without prior approval from the City. 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as/stated above. DATE: O C? SIGNED _- T City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 COL% S r Use BLUE or BLACK Ink For Office Use Permit #: / L/! 6/ / Permit Fee: g Date Received:70-1 7— [ / Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —i% - 1 1 Site Address: /Y 7 7 eae(t,( Name: V/P E �P /SGS Unit #: Address / City / Zip: " 7 7 U G K � Applicant is: Owner y Contractor LAlet -e Description of work: Re - S ;de�^- Construction Cost: a Y� Uc•c-1 Phone: 6 S/ VS" a- 3 r c e, Multi -Family Building: (Yes / No y ) Company: () Fd'e V114 r) Contact: Ct.)c, lit? R dd-e Address: /7) 5y 2'6u ✓� Via, � City: L4 lr e State: /,t4/ Zip: SCO 9 4/ Phone: 6 51- 234,-4761 License #: 02 06 J ' S 2 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) h LL,id re. 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: NOTE. g documents that you submit are considered to be public information. Portions o Is"srb ►. a non-pub!�c if you ra a spe 'ic ne lsons That would j rmit thy 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.00pherstateonecall.ora 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 issuance. x CA) ae 'I'\ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT Permit Type: Building City of Eagan Permit Number: EA105223 Date Issued: 07/03/2012 Permit Category: ePermit Site Address: 1477 Rocky Lane Lot: 1 Block: 3 Addition: Sherwood Downs PID: 10-67670-03-010 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Hayes Home Renovation Fred R Peterson 15230 Cobalt St NW 1477 Rocky Lane Ramsey MN 55303 Eagan MN 55122 (952) 380-8014 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172069 Date Issued:09/14/2021 Permit Category:ePermit Site Address: 1477 Rocky Lane Lot:1 Block: 3 Addition: Sherwood Downs PID:10-67670-03-010 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 - Fred R & Rebecca A Tstes Peterson 1477 Rocky Ln Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature