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1840 Taconite TrPERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127454 Date Issued:10/02/2014 Permit Category:ePermit Site Address: 1840 Taconite Tr Lot:6 Block: 2 Addition: Cedar Grove 7th PID:10-16706-02-060 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. Renae Frienwald 2200 Hwy 13 W Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Paul J Kielty 9600 96th St N Unit 203 Scottsdale AZ 85258 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Remarks Addition CEDAR GROVE #7 Lot 6 Blk 2 Parcel 10 16706 060 02 Owner i ' ` Street 1840 Taconite Trail State gan• 55122 I_ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK r 1970 58.18 2.08 28 Paid # SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL nr 1971 1,615.00 80.75 20 Paid WATER AREA * STORM SEW TRK 1-4, 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 3511 5-7-71 BUILDING PER. SAC 200.00 35ii 5-7-71 PARK . Parmit .$ Date Imod yarmilt» Plumbing Mechanical INSPECTIONS DATE INSP. Rough-In Final Footing Foundation s Plumbing Date Insp. Date Insp. Frame/ins. Mechanical Final r' 7f ? Remarks: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 5477 PHONE: 454-0100 BUILDING PERMIT Receipt # To be used for Est. Value _ Date 19_ Site Address _ Erect ? Occupancy Lot Block Sec/Sub. - Alter ? Zoning _ Parcel # Repair ? Fire Zone _ Enlarge? Type of Const. W Name -' -' h Move ? # Stories Address _ Demolish ? Front fr. city Phone Grade ? Depth ft. Name Approvals _ Fees o - Address Name _ Address 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. Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off. - APC Permit Surcharge Plan check SAC Water Conn. Water Meter Total Signature of Permittee A Building Permit is issued to: _ 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 4,-a-7 TOWN OF EAGAN 3795 Pilot•Knob road St. Paul, Minn.'55111 "'PE1@fIT NO. 106 The Board of Supervisors hereby granta to:' - - Co. of :., :'_L'0 Permit for: (Owner) same at 4049 '_innsbar :'ri et i;,<;0 Taconite Trail, 4 u P gnet to @o nt ridot Patho 4::G7 ualite i.„ac 4 IC Cinnabar Drive: - , pursuant to application dated :7-1, 6-7, !4-5, ^°Or --!0, 10-.0 0: C 7 Fee Paid: "?'.C0 , Dated this 7th day of May , 197 J _ Building Inspector TOWN OF EAGAN 3795 Pilot Rnob oad St, Paul, Minn. 55111 PERMIT NO. _110 The Board of Supervisors hereby grants to Cedar Grove Construction ;o. of 7343 Concord Slvd. E., So. St. ®ul 55075 a I. Permit for: (Owner) same at w.; . . in is bar r_.ve' 18 40 ' aconite Trail, "x'758-[fdv'i5?t - , ridot Path, 4067 ,silice roy 4060 Cinnabar Driva - e ursuant to application dated 'D71 Fee Paid: yI=? ' _ Dated this 7th day of _MaY 197 1, Building Inspector e, ?/7 OMCE USE ONLY This request void 18 months from wlidmion date mined in is box. ' / 7j 91V I IIIII II II III II III IIIII II III VIII III II,II??/?? l..rr?^i•?r--°..? / ? i°?" ' D'? * 0 4 2 2 2 6 6 7* LEASE PRINT OR TYPE Request Dole ,;iL. RoughNm inspection required? 0 Yes (You must call the inspector when ready) Inspection Other Th.. RougMn: early N. 0 Will Coll Date Ready I, licensed contractor ? owner hereby request inspection of the above electrical work at. Job Addmss (Street, Box, ar Route No.) 19tio I mil/ City r.o Zip Coda Section No. Township Name or No. Range No. Fire No. C.ni O I Occupant Phone X 72 Power Supplier Address Electrical Contractor (Company Name) Harrison Electric, Inc. ConnaGor Ucense No. CA00808 Manor Lk. No. (Plant Elect. Only) Mailing Address (Contractor m Owner Pudomdrg Installinawl 2 Neva ve. N. #301, Golden Valley, MN, 55427 Aothari ign "If - do iig Install ti I Piema No. 544-3300 7 a q/?7© REQUEST FOR ELECTRICAL INSPECTION g 2 y 2 {, 6 Minnesota State Board of Electricity L v 1821 University Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New R Addn Commercial duslrial Farm ead Re it Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem .Service "X" above the work covered by this request Enter remarks in this space and on the back of the white copy only. sez> Calculate Inspection fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeden Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Sheet 0g./Traffic Sig. Above 200 Am s Amps Transformer/Generator INSPECTOR'S USE ONLY OT AL Sign/Outline Itg. Xfmr. Alarm/Remote Control Swimming Pool I 4.,eby certi that I i A" eleedml In.talla 8xd he.em on the does 9wi Irrigation Boom R.,WM D? ecial Ins ection S p p Investigative Fee r;nal' THIS INQTAI 1 ATION MAV RF OR F r IR :ONNFC Fn 1 -OMPI_ETFn wITHI 1 MONTHS s,. EAGAN TOWNSHIP BUILDING PERMIT Owner ..... 'a, ........& :!<!C ... I................. ......................... Address (Present) ...It4 .... -11k........ R<'.-`..... ....................... Builder .............. 4c!.C,+y-'......... ................... .................................. .... Address .........................................................................................--.... DESCRIPTION N° 2439 Eagan Township Town Hall Date ... Stories To Be Used For Front Depth Height Est. Cost ( Permit Feel Remarks Street. Road Or Other V0BCrIp11On 01 LOcaIlon LOf ttlock Addition or Tract //O ?/ y 0?,-- 4 yo o: .Pi.....I..G G vi 7 /OV O Two.., - : y 1f o L 'I /*+cPe1-4L . •.aI-t Re- This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ....-'.'. ?r...-j..-?-.-!r -------has porn-duion to erect a...... ??....a?:-: `a ... -.? upon the above described premise subject to the provisions of the Building Ordinance for Eagan `'Township adopted j?'pril 11, 1855. p ? n ?Cc .. ? s - ......IF.:. ....................... Per .................. ng Inspector CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 N2 5477 r ¢ PHONE: 4548100 BUILDING PERMIT APPLICATION Receipt # To be used far Remodel Est. Value 3,700. Dare' 10-23 19--19- 1840 Tacctite Trail R3 Ad ress Site Erect ? Occupancy 2 Cedar #7 Grove ? Lot Block Sec/Sub. Alter ? Zoning - Parcel # Repair ? Fire Zone 3 Enlarge Type of Conn. V Cia}?Yl el You a: . Name Move ? # Stories z Taconite Trail 1840 Address Demolish ? Front 12 ft. CI Eagan 55122 phone 454-8912 Grade ? Depth 7 ft. 0 Name Same Approvals Fees 86 Address Assessment _ City Phone Water 8 Sew. G Police w Name Fire ?? Address Eng. <W Ci Phone Planner Council _ I hereby acknowledge that I have read this application and state that Bldg. Off. _ the information Is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Gabriel Yau A Building Permit is issued to: all work shall be done in accordance with 011-0pplicoble Stare of Minnesota Permit Surcharge T. 0 Plan check SAC Water Conn. Water Meter Total ?.0 _ on the express condition that and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, ,)V 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For fj F ?! DJ7 L valuation-3 70 2, v Date ?? a 7 q Site Address: /g D 7460U17-E 7-1?141L _,,_ Block o2 Sec./Sub. G C:;, 507 Lot / Parcel #: Owner: C:7-Ag Pl, L Ye U Address: I ??17 -rA6bW1725 7-PAIL- City/Zip Code: .E46AAI AIN SSI-2? Phone #: n - ?f2x - Contractor: S?JyI r_ Address: _SJJYI City/Zip Code: Phone #: Arch./Eng. - Address: City/Zip Code: Phone #: OFFICE USE ONLY Erect Occupanc Alter y Zoning Repair Fire Zone Enlarge- Type of Cont. Move # Stories Demolish Front /k7 ft. Grade _ Depth 7 ft. APPROVALS FEES Assessments Permit Water/Sewer Surcharge Police Plan Check Fire SAC E ng Water Conn. Planner Water Meter Council Road Unit _ Bldg. Off. APC TOTAL / 7 RESIDENTIAL BUILDING PERMIT APPLICATION ?- CITY OF EAGAN J , 3830 PILOT KNOB RD, EAGAN MN 55122 851-881-4875 I New Construction Reaulrements • 3 registered site surveys showing sq. ft. of lot, sq. R. of house; and i3U roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tres Preservation Plan r lot platted after 711/93 • Rim Joist Detail Options selection sheet (bidgs with 3 or less units) DATE d5 '?29 - 0 .2- RemodegReoah Reaulremitril • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1site survey for exterior additions &decks • Indicate if hone served by septic system for additions VALUATION 5 ,goo 00 SITE ADDRESS 18/O 7COn4e -7 -fa-r MULTI-FAMILY BLDG _Y _N TYPE OF WORK Q5 44i2Gt e Luu,SF - , a?,/aae. FIREPLACE(S) _ 0 _ 1 - 2 APPLICANT /--Q6 rZ c?7-r STREETADDRESS &00 C44, TELEPHONE # 703-790--%&&( PROPERTYOWNER C ?TATE MN ZIP 5Sg32 FAX# 363- -4I-4-?2 /.2 --T TELEPHONE # 6S-/- ?'7s`/-f COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNES A &S 4 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Eno i 11 ocumrl?Ot goitt. Energy Envelope Calculations Submitted 5 , 3o Plumbing Contractor: __ Plumbing system includes: Mechanical Contractor: _ Mechanical system includes: Sewer/Water Contractor. Water Softener _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and with all applicable State of Minnesota Statutes and City of Eagan Ord( ances. C Signature of Applicant AA? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Phone # Lacvn Sprinkler No. of R.I. Baths Fee: $90.00 to comply Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bklgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No 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 Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total i MASTER' CARD • LOCATION ??/???? ?O y6 x 7 w OWNER STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING 2 7? PLUMBING _Zia CESSPOOL - SEPTIC TANK WELL ELECTRICAL _ HEATING lo6 GAS INSTALLING SANITARY SEWER OTHER 0 OTHER • L? Items Approved (Initial) Date Remarks Distance From Well FOOTING t? 0• SEPTIC FOUNDATION _ CESSPOOL FRAMING V TILE FIELD FT. FINAL ELECTRICAL TH E HEATING D P OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING - 91 / WELL SANITARY SEWER { -IO Violations Noted on Back COMMENTS: t COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS • PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. DATE OF INSPECTION ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED DATE OF REINSPECTION • REVEALED CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. El ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING DATE I .. CITY USE ONLY L B?BL a?oZ// y SUBD. (tea n /.J?1K? RECEIPT #: 5? DATE: j/e 7 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: single family dwellings ? townhomes and condos when permits are required for each unit New construction I Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: /)-A-614 L ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ' ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL L D SITE ADDRESS: LLIQ c2ZL- nj C 'L?;Z OWNER NAME: ZZ:2'l a'. 462& INSTALLER NAME:- ==* a *0 STREET CITY: STATE: PHONE #:_x/ L ZIP: RHONE M ( 61,x) 1-C/DOD CITY USE ONLY L BL SUBD. RECEIPT #: DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681.4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are l1QI required for each dwelling unit. DATE: WORK TYPE: NEW CONSTRUCTION CONTRACT PRICE: DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee a[ 1% of contract price, whichever is greater. ? Processed piping - $25.00 State surcharge of $.50 per $1,000 of ermit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: TELEPHONE #: .1AUI w...r i.,,,?' `.l ?,..: •t. .i 1^gg4/;r r.r .x.eli ADDRESS: ?% . ,,:ij .::; ..e CITY: PHONE #: SIGNATURE: SIGNATURE OF PERMITTEE STATE: ZIP: CITY INSPECTOR • • WTELEDYNE POST 20EH-0OJ iOxIO PER INCH • ? LITHO IN U.S.A. • • i1, k s V RAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: May 5. 1971 Number: 602 6-2-7 Billing Name: CEDAR GROVE CONST. CO. Site Address: 1840 Taconite Trail Owner: Same Plumber: Stein, Inc. of 5/7/71 Meter No, 'Permit Fee 10.00 pd 5/7/71 Meter Reading Meter Dep. Meter Sealed: Yes_ jAdd'l Chg. NO I Total Chg. Building is a: Residence Multiple No. Units Commercial Industrial Other inspected by Date Remarks: Billing Address 7343 Concord Blvd. E. South St. Paul, Minn. 55075 $25.00 REANSPEOi10"N H EE IMPROPERLY INSTALLED METERS. Hy: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with,the rules and regulations of Eagan Township, Dakota County, Minnesota. By: CEDAR GROVE CONSTRUCTION COMPANY Please notify the above office when ready for inspection and connection. J EAGAN TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454.5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: May 5, 1971 OWNER: CEDAR GROVE CONST. CO. NUMBER 761 (Lot 6, Bock 2, Cedar Grove #7) Address 1840 Taconite Trail PLUMBER Stein, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No, of units ten: Location of Connections: Connection Charge 200.00 pd 5/7/71 Permit Fee 10.00 od 5/7/71 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota By (:F.nAR GROVE roNSTRi((:TToN rmpANV Please notify when ready for inspection and connection and before any portion of the work is covered. PERMIT City of Eagan Permit Type:Building Permit Number:EA109991 Date Issued:04/17/2013 Permit Category:ePermit Site Address: 1840 Taconite Tr Lot:6 Block: 2 Addition: Cedar Grove 7th PID:10-16706-02-060 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 - Gabriel Yau 2045 Royale Dr Eagan MN 55122 (612) 770-6340 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113782 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 1840 Taconite Tr Lot:6 Block: 2 Addition: Cedar Grove 7th PID:10-16706-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Luanne Yang 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 - Paul J Kielty 9600 96th St N Unit 203 Scottsdale AZ 85258 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159492 Date Issued:12/23/2019 Permit Category:ePermit Site Address: 1840 Taconite Tr Lot:6 Block: 2 Addition: Cedar Grove 7th PID:10-16706-02-060 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 - Paul J Kielty 9600 96th St N Unit 203 Scottsdale AZ 85258 Homeworks Services Co Dba Homeworks Plumbing Htg 1230 Eagan Industrial Rd, Suite 117 Eagan MN 55121 (612) 400-9020 Applicant/Permitee: Signature Issued By: Signature