The URL can be used to link to this page

4760 Westminster Cir SEWER & WATER PERMIT OFFlCE USE ONLY CITY OF EAGAN METER #4Yy V0 9 ~-7 PERMIT DATE 3830 Pilot Knob Rd. ~ 1'/ Eagan, MN 55122-1897 CHIP ~ d J~rz~ '7-(P ~-3 PERMIT # 1207 5 METER SIZE ~ eAJ3u S B.P. RECEIPT # C 14032 DATE JUN 18, L 991 ISSUE DATE B.P. RECEIPT DATE ~ 1 b 91 ~ PRV - BOOSTER PUMP SITE ADDRESS 4760 WESTMINSTER CIR PERMIT REGIUESTED LOT 6 BLOCK 1 SEC/SUB PRIT'I'A:•17 1OT!± _ SEWER - WATER - TAPS APPLICANT: ADDRESS: - COMM/IND y RESIDENTIAL CITY, STATE ZIP X NEW - EXISTING PHONE: • Lawn Sprinkler Meters are to be Installed PLUMBER: L;ENZ-",YAN ?I,L1•ibING Ahead of Domestic Meters on Water Line. ADDRESS: 14745 S ROBI:RT TR Credit WILL NOT be given fOr Deduct Meters. CITY, STATE ROSEMOUNT "•:P, ZIP 55063 PHONE: 423-1144 - - ( AGREE TO COMPLY WITH CITY OF OWNER: M W JOHNSON EAGAN URDI 7va ADDRESS: P 0 ~X 24389 CITY, STATE APPiX, VALLEY :iN ZIP ,5124 PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORN SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 / Receipt # To be used for SF DW(i/GAR Est. Value $181 *000 Date .)UN 18 Site Address 4760 YE51?lINSTEA CIR Lot 8 BloCk 1 SeGSub. Di[I?TAHY lOTN OFFICE USE ONLY Paroel No. occuPancy a-3 -N=-l FEES zoning tE-1 cc Name M w 3W311SON W (Actual) Const VN Bldg. Permit 923.00 ; AddresS p Q aox 24389 v-~a pn~tn o (Allowable) Surcharge City ~P~ 1?A•Z•~'Y Phone 432-6~13s # or stodes Length 731 Plan Review 6W• ~ to Name s~ DePtn sAC, city 100.00 ~Q Address S.F. Total - SAC, Mcwcc 630•00 ~ City Phone S.F. Footprints - ~ On Site Sewage _ Water Conn 6~ ¢ ~ W Name On Site Wel1 ~ water Meter 95000 ox~ Addr6SS MWCCSystem ~.00 s W City Phone C;y yyater x Acct. oeposit PRV Required S/W Permit 30•00 I hereby acknowlege that I have read this application and state that ihe Boostef PumP - SMI Surcharge •50 informalion is correct and agree lo comply with all applicable 51a1e ol Minnesota Statutes and City of Eagan Ordinances. Trealment PI 276.00 ' APPROVAIS Signature of Permitee Road Unit 370•00 A Buildmg Pertnit is issued to: m W JOKNSM Planner - park Ded. on the express condition that all work shall be done in accordance with all Council - ~ applicahle State of Minnesota Statutes and City of Eagan Ordinances. gldy, pil _ Copies • yariance - TOTAI 3,825.50 8uilding Official - Permfl No. Permit Holder Dffie Telsphone # WATER J ~/'Jr SEINER PLUMBING H.VAC. Q I ELECTHIC a 3 ~ ~ inspection Oate Insp. Co"ts Footings I (-/A Foundalion Framing Roofing Rough Plbg. Rough Htg. ISUI. Freplace a Final Htg. -20 g ~ Orstat TeSt Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan _ Bidg. Finai ` 7O - ~S Dedc Ftg. pedc Final wen Pr. Disp. + I~ i ; prI 4 . ~ ~ S ~ ~Citp of eagiari j Erprhurttt af Wuildictg inspprtsm 1'liis Cerlifraale issuedpursuani to the requirements of Seclion 306 of the ilnijorm ButldiMg Code ceWfyinS thw at the linre of issuanc9e lhiss7ructure xxu iir rarrpiiance wilh the various , ar+dinaMau of !he GFt}' re8uladn8 b&dWS conurrecnion ar use Far lhe following. ~ use a.m,rkatio SF IW/GA.R BW& Penmk Nm 19281 00-wNKr rrve R3/M l Zooibg nw,;u R l Tyy, r~,,,,, VN oN.ad amaaiva mw •J006M r-~J Add.. BCIK 24389, APPIE VAiM 4760 WE511~IINSTF~R ~ I,B, B 1, &tITTANY 10Di 9/20/q1 Bud4ins OMCLIO rosr w A coHSPIcuous Pucs . 4 \ CITY OF EAGAN No 1928 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 BUILDING PERMIT Receipt # C/ q Tobeusedfor SF DWG/GAR Est.Value $181,000 Date .1lJN 18 , igsl_ Site Address 4760 WESTMINSTER CIR Lot 8 Block 1 SeGSub. BRITTANY lOTH OFFICE USE ONIY Parcel No. occupancy R-3 M-1 FEES 2oning R-1 w Name M W JOHNSON (AcWa1) Const V-N BIdg.Permit 923.00 ~ Address P 0 BOX 24389 (alowsble) V-N 90.50 p Surcharge City APPLE VALLEY phone 432-6838 u of Staries 73 1 plan Aeview 600.00 Lenqih o Name SAME Deplh 54' sac, ciry 100.00 gp Address S.F.TOIaI - SAC,MCWCC 650.00 ~ City Phone S.F. FootprinGS - ~ On Site Sewage _ water Conn 660.00 w W Name On Site Well - 95.00 'w X WaterMeter Addf8S5 MWCCSyslem a W City PhOnB Ciry Water x_ Acct. Deposil 30.00 PRV Required ~ S/W Parmil 3~.0~ I hereby acknowlege lhat I have read this application and state that the Boosier Pump - SnN Surcharga . 50 inlormation is correct and agree to c ly with I applicable State of Minnesota Stamtes and City of Eaga f inances Treatment PI 276.00 SignatureofPermilee _ APPROVALS qoadUnit 370.0 D A Building Permit is is5ued to: W JO'HNSON Planner - park Ded. on Ihe express wndition that a w rk sh be done in accordance with all Cw^eit .50 applicable State of M{in~nesota Statutes an~ryd,~Cqity of Eagan Ordinances. Bltlg. Off. _ Copies BuildingOflicial RJ1fl.! yy~ Varianca - TOTAL 3.82$.50 \ Addrgss: 4760 WESIhffNS'PER MU.E LOt g Blk I Sec/SubgRII'LANy IpIH These items were/were not complete at the time of th final inspection. 9/20/91 Yes No Final grade (6" from siding) ? - 2~4ia/ Permanent steps - garage Permanent steps - main entry f/ Permanent driveway Permanent gas Sod/seeded grass ? ~gK.e p~o~~ Trail/curb damage Porch 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. ~ xcrnmr,v~~ White - City copy Yellow - Resident copy Pink - Contractor copy ` 1991 BUILDIGIERLIPPILICATION ~ CITY OF EAGAN ZNGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COI~IMERCIAL SETS OF PLAN~ 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL ~ REGIST~-SF~'E-St3RVEYS_.` REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1~5~-T~6F ENERGY CALCULATIONS y (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 QF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMIT5 IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 5"J(>LE F~.~.tiW To Be Used For: ~w,r,,.,,~c Valuation: ~ Date: /o G!~ Site Address ~mt-„flAt OFFICE USE ONLY Lot ~ Block ~ FEES Occupancy -3 M-I Sldg. Permit V23.00 Surcharge 90.Sv 2oning 9-1 thl Parcel/Sub 7~Qiy/,ta DDlN Actual Const V-N Plan Review 600,00 Allowable Y-N 3AC, City Int),00 Owner # of stories SAC, MWCC ,OZ) Length `72'/z ~ Water Conn. O P00 Address Depth 5N., Water Meter 96, QD S.F. Total Acct. Deposit D.l.b City/Zip Code Footprint S.F. S/w Permit 3O4UV S/W Surcharge 1$0 Phone On site sewage_ Treatment Pl. ;2r7G.00 ~ On site well Road Unit ,00 Contractor ~,C.L~ 'y,p~.Y~.tlQ.A'70 MWCC System Park Ded. f~,f~ .~f~r/ r~ City water ? Trail Ded. Address ~/'~`~y ~ 7~1~ -qi'~~' / PRV IZ Copies ~ Booster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone `t32, -4og39 ~ Planner Lot Change ' Council TOTAL ~ Arch./Engr. (~/~-aCS ~~/LC..if's /t~r? Bldg. Off. Address c/~,,q~ /~-y1E Variance ~7/ S~ City/Zip Code ~J,OLT~/4Ir?' Phone # 3 ~ ^ VT%Q a~ agrees that all work shall be done in accordance with (/(Sikrfa t e f ont actor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. `CrI R~Z =L.l~thl h~s =~zY.Z2 py,13 Z ~ _-w---~~---~ g_~Al •l~u~~j hRhsZ =hi X 95~! 1 I,$ 'hI x5 h h/ YF = T zi,I l ~bz1 °~-L ~ _ u Rh 9 zI ) °9~ = zZ xc~~ a~du~r~ - V/1 ~ . ~ ~ ~ ` ~P'~ wES'CMiust~ ' C~C`~ 95S'U0 F.J ToP 6l.oc.1L EL. ~ST.~o ~ ~AS~ MENT EL. 949,5 ' ~ lo ~ cv lo ~ T` 3 Sg , : " ~ 1r 'b S•6 ~ 1 F~ I L x 03 i~.. O Y yo ~ ~ ~ %p•p ,v1 .I v a O ~ I ~ • 0) 0)~ 1&p'i P h ~\n° 1~P 9948g No ~ r ~ \ 'O IV ' p~Q~l~ tiopl~p 4"'k •d- I ~r4 7 P,~J ~ . . / Oo ~ ~ r DR-P'~T P MEVa~ N ~ UY~1. f i i s- Ex 9a4, 4 ~ --Ir F"..9"•4~,/ 1 175 „ 44 ScAL~ 1=30 2~~ O A1.1. l~~A~lU45 Ay~UMED 2 ~ o4ENOTES IRo~I Mt~.?vME~JT S~s bESGR.1PTId~1 ~ J g~IT7ANY 10 t~1 ADptTI 0 Ni 1.`0 oA.v-o-ra couN-rAN I~G RTEE IATG I3Er i. M~NNEgoTA I hereby certify that thie aurvey was prepared by me or under my direct supervieion and that 2 am a duly Registered Land Surveyor under the Laws of the State of Minnesota. Date: M. .zo~csL Z QE\I 4_n_91 LeRoy Bohlen REN Registered Land Surveyor No. 10795 FA~x 43Z.-~872 . , TERIOR ENVELOPE kVERAGE "U" COMPUTA7ION OWNER SITE ADDRESS StZwk. I/ 13e 1-1 tAk N y/e7r1 j.~ I)a'k-I: ' CONTRACTOR Gv DATE . A /I/--.PHONE 4Z.12-6B Determine working square footage of each. - 1. Total exposed wall area 3192.94 sq. ft. x 2. Total roof/ceiting area Iqa 8 sq. ft.*x •02(~° Total exposed wa11 area above fToor L9 Z 5.Z 8 a. Total wall window area b. Total door area + g ' c. 7ota1 sliding glass door area Total fireplace.wall area . e. Total wall framing area (average 10%)...:........ Zt q f. Total net wall area above floor ?,p1o q. • g. Tota7 rim joist area Z,n q.to~. , Total exposed foundation area = '1 88 h. Total foundation window area..................... i. Toal net foundation area abvve grade............ 19 D'etermine "U" value of each wall segment. • a. 3Z$.44 X ltuli .3Z = bS,oB b. S6 zHull 139 = 5.L8. , c. W4 X itu„ .5 - 37 d ~ X loull _ z e.214.94 Ey X ~~U" ~091~ = 22.03 f. 20to5.04 x "u'. .oy = 88.81 . 9. z17 9.10 1o X„u„ . oy1 = Il.yle h X foull ~ X?lull ~ G$Z 3 31~ Z..9.l....Tota7 If item #3 is the same as, or less than item ; you hav the intent of SBC 6006(c)2. v . . , , • ' _ . . j ' • . . . . . . • . . j,- Total exposed roof/ceiling area J 90 8 • Total grass roof/ce97ing area = lqp 8 . _ . . , ..Total skylight area - ' k. 7ota1 roof/ceiling framing area ~q0 1. Totai net insulated roof/ceiling area..... 17147.7.. Determine "U" value for each roof/ceiling segment. . . • , . _ j. x liuil _ . ~ k. 190. ~ X l,u„ . 1. 17f~.L X "u 11, ~oLt 3~ 4 ...................1,90.......... Total V , if total af q4 is the same as, or less than #2, ave met the intent,of • SBC 6006(01. ' To utiTized the total envelope system method, the values.established by the sum of items #3 and #4 sha17 riot 6e greater than the sum of itens #1 and #2. . + 2. 3. + 4. _ , MA2'ERIALS Therm. Eesistance "Rl^ Ezterior Air . ~.R " Siding atat erial , V 5. - Sheathing 2.0 4 _ It~sulation Sheetrock 5 Intarior Air Studa ~ Ritn COnc. BllCS. ~ . , . , . ispatsto RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J J I 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 New Conetructlon Reauiremanta RemodeURewfr ReauiremenW , • 3 registered site surveys showing sq. ft. of lol, sq. ft of house; and all rooled areas .'2 coples of plan ' (20% maximum lol wverege allaxed) •1 set of Energy Calwla6ore for heate0 additions • 2 capies of plan slwwing beam 8 windav sizes; poured tound design, etc.) . 1 site survey for exlenor adEiOons & decks • 1 set af Eneqy Calculalians . hMicate if home served by sepUc syslem far additions • 3 copies of Tree Preurvation Plan if lol platted aRer 711/93 • Rim Joisl Detail Opdons seledion sheet (bldgs wiM 3 or less uniLs) DATE VALUATION SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2APPLICANT , STREET ADDRESS ~ G• CITY.'~]jj~ I~UI t STATE_WZIP 3~'b 'y` TELEPHONE# CELL PHONE # FAX # . PROPERTY OWNER TELEPHONE # 1Y51 " (Du" ~ " 1 ~ -----------------------------------------------------z---.__-=--- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA R~,~_7g7g ' (J submission type) . Residentlal Ventita6on Category 1 Worksheet Submittad .~r$ c` r-~ ~ - M Er~°j ~rgyt 2o~le WOrkshget I ubmitted • Energy Envelope CalculaEons SuGmitted j} ' i{ ScP 1 2 2002` Plumbing Contraefor: - Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler ~BY =,-~-.Fe~ .--$g0:00 . _ Water Heater _ No. of R.I. Baths . _ No. of Baths Mechanical Conhactor: Phone # Vlechanical system includes: _ Air Conditioning P'ee: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # 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 Ord~ Signature of Applicant r ' a~ -/4~z/ - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireptace ? 21 Porch (3-sea.) ? 31 Ext. AIt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 porchlAddn. (4-sea.) ? 33 Ext. Alt • SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 porch (screened) ? 36 Muld ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 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 Bldgs ' ' Len 9th Fire Sprinklered - Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. Footings (deck) FinallNo C.O. . _ . . . : _ . . . _ Footings (addifion) _ Plumbing _ Founda6on HVAC . _ Dnin Tile Other Roof Ice & Water Final Pool E_ Ftgs AirJGas Tests Final - FramB _ Siding , Stucco Stone _ Fireplace _ R.I. _ Air Test _ Fina1 _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By : Building Inspect6t.------------______-------------------------------------------- , Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN FOR CITY USE ONLY ' 3830 PIIAT RNOB ROAD ~ EAGAN, MN 55122 PERMIT PHONE: (612) 454 8100 RECEIPT # /D /8 'I DATE : PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMITM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: IV~ . W~C~Y 1 VIF~CSY\ 6~~ ~ OF 1 PER PERMIT I ` SUBTOTAL: y?~~ SITE ADDRESS: t~~OC~ ST STATE SURCHARGE: .50 LOT: v BLC(C~Kr 1 SUED. C' \ o, TOTAL: $V v~ INSTALLER: ADDRESS: G ATURE OF PERMITTEE CITY: ~ q~~ ZIP: PHONE # : r) a ~ ~rOkR4~RCIALf~NYIUSTRTAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSSD PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ° CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # "'O G DATE: R~SID'~NTZA~::f PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. t WORK DESCRIPTION CfSMPLETE THE FOLLOWING: N0, ~FIXTURES EA. TOTAL NEW CONST t*" ADD-ON MINIMUM 15.00 ADD ON ~ SHOWER 3.00 REPAIR WATER CLOSET 3.00 ~ BATH TUB 3.00 LAVATORY 3.00 ~ OWNER NAME: M. W. JOHNSON ODNSTRUCTION ~ KITCHEN SINK 3.00 / LAUNDRY TRAY 3.00 SITE ADDRESS: 4760 Westminster HOT TUB/SPA 3.00 ' ~ T WATER HEATER 3.00 IAT: ~ BLOCK ~ SUBD. _j FLOOR DRAIN 3.00 3 aa GAS PIPING OUT. INSTALLER: GQVZ-RYAN PLUMBING & HEATING COMPANY ~ (MINIMUM - 1) 3.00 ~ ROUGH OPENINGS 1.50 ADDRESS: 14745 South Rober Trail _ OTHER WATER SOFTENER 5.00 CITY: Rosemount ZIP: 55068 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE (612) 423-1144 SUSTOTAL S y9..SU d ST. SURCHARGE .50 SIGNA E OF ERMITTEE c~ J !i TOTAL: $ ~OMMERCTALj~22DU&TRTAli; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/IND[75TRIAL BUILDINGS AND -MITLTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNHR NAME: 18 OF CONTRl.CT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BIACK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN -75 7Y 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION , CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ /y Site Street Address V76~~ !~/es~/~U)vL(i l~ (/m~. Unit # Property Owner JILW 6aLh/ke~ Telephone #0," 8dZ- 77L9 Contractor 'Telephone# (~/5) S~~p-glp Address ~7,3 ~ Q(j R ~~~jI~ I,,/( 1-I Ci4y t- V?O~ State (A_T9_ Zip The Applicant is: _ Owner ~Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Ahandonment _Water Tumaround (add $125.00 if a 518" meter is required) Other: ~ Water Softener _ Water Heater $ 15.00 _ new ~ replacement Lawn irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $15, I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ApplicanYs Printed Name A plicanYs Signature D FEB 0 9 2005 8y 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. / Date Site Street Address ~'f7' &'2 ~ZPa ze unit # I Property Owner I \ Tel ~hone # Contractor \ ~e Telephone # ~'vf~ Address ~ ? City State~ Zip~j,S:3~ , The Applicant is: _ Owner ~ontractor _ er Alterations to existing dwelling $ 50.00 _ Add plumbing fxtures (excludes water so en and/or water heater--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" eter is requirec~ Other: \ ~ Water Softener _ Water Heater $ 15.00 _ new " r lacement Lawn Irrigation RP _PVB _new _repair \ uild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved 'mm .~,a~ - ~ App~anYs Prin ed am~~ A plicanYs Si a ure :726 0 q 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consimction Requirements RemodelfReoair Reauirements Wy 3 regislered site surveys showing sq. ft of lol, sq. fl. o( house; and all roofed areas 2 copies of plan showing footings, beams, jdsfs G6r[cfSumY;Recd _ Y-y (20°k maximum lol coverage allowed) 1 set of Energy Calculations for heated addilions TteeYtOS PEen. ROCd _Y _IV. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 7 site survey for additions & decks 3'raz Pre5 Reqmretl _Y, _N. 1 set of Energy Calculations Addilion - indicafe rf on-site septic system Oa-sde Sepiic~S~s1em _.iY. N3 copies of Tree Preservation Pian if lot platled afler 711/93 Rim Jast DeWil Oplions selection sheet (buildngs with 3 or iess units) Minnegasco mechanical ventilation form Date 3 a Construction Cost SiteAddress 5176 Q 'C/efA")/''~~~A/- Unit/Ste # Description of Work 34Je "?C'%2-.,` Multi-Family Bldg _ 1' ?1~ Fireplace(s) _ 0 Z ~ Property Owner ~1-2 G'e.~ Telephone # ( 9r-4) o~? 7 ` Z '71 Contractor 179Ch¢P/ "PC1 Address 6'01l'7 City State G ~ ~p? ~~Y ~ ~ Zip r~Y y Telephone # ( j ~ ~ ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 _ Mirmesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has the Ciiy of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Contractor Telephone # Sewer/WaterContractor Telephone#( J I hereby apply for a Residential Building 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 the 9tate of MN Statutes; I understand this . an application for a permit, and work is not to start without a permit; that the work will b~~~c~ VviYp~ apProved plan in the case of work which requires a review and approval of plans. MAR 10 2006 \ l Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW TAIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt- Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair V' 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant DBSCfiqt10O: WaterDamage_Yes Valuation ~O e) Occupancy dz- 3 MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units ~ Stories Booster Pump # of Units % Sq. Ft. PRV # of Bldgs ~ Length Fire Sprinklered Type of Const Width REQUII2ED INSPECTIONS _ Footings (new bldg) Sheetrcek _ Footings (deck) FinaVC.O. _ Footings (addition) FinaUNo C.O. _ Foundarion y HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final Fratning / Siding _ Stucco Lath S[one Lath Brick ~ Fireplace _ R.I. /AirTest /Final _ Windows Insulaflon _ Retaining Wall Approved By: L7 1,3 Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge _ S&W PeRnit & Suroharge Treatment Plant ILicense Search Copies Other Total V1 ~ 3 IQ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION ~O City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUReoair Reauiremenis pp~ 3 registered site surveys shaxing sq. ft. of IM, sq. ft, of house; and all mofed areas 2 copies of plan showing foolings, beams, joisls Ce~{ofSuroeyRecd _Y N (20% maximum lot coverage allowed) 1 set of Energy Calculafions for heated additions irEb Fres PlBn Recd Y_N 2 copies of plan shaxing beam & window sizes; poured found design, elc. 1 site survey for additions 8 decks iree Pres Re:qwrad _ Y_ N 1 sel of Energy Calculations Addition - indicate if oo-sde seplic sysfem On-site SepUc S~stem Y W N3 copies oF Tree Preservation Plan if lot platled aher 7l153 Rim Joist DeWil Oplbns selection sheet (buildings with 3 or less units) Mimmegasco mechanical ventilazion forni Date 3 / z- / U C. . Construction Cost 0 SiteAddress L~\ '1 (o CJ ~~SI/~/\tv.z~ Unit/Ste # Description of Work r ol C, .r-2 ~ l C, L4 L ~ Multi-Family Bldg _ Y~ N Fireptace(s) _ 0 1 _ 2 Property Owner w~ Telephone #((,sl ) 6 K~ - 6 Contractor C-f- city iJ ~ ~k+-~-e Address State Zip 155_~Lt i6 Teiephone # ((r,s( ) 331'l - ~ ~ ~ S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Mimiesota Rules 7672 Energy Code Category Residential Ventilation Category 1 Worksheet NewEnergy Code Worksheet (J submission fype) ~ Submitted ~ TISutimitted; . Energy Envelope Calculations Submitted In the last 12 months, has the Cify of Eagan issued a permit for a similar plan based on a master plan?' CL~p ~ Y N If yes, date and address of master plan. ' ~ Licensed Plumber Telephone Mechanical Conhactor Telephone ~ Sewer/Water Contractor Telephone ) I hereby apply for a Residential Building 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 the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wor s not to start without a permit; that the work will be in accordance with the approved plan in the case oh eh requires a review and app oval of ns. c ~ . ~ ~ ~ ~ S _ \ ? i...c. \ 1 L Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvqes ? 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 (screen/gazebo). ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46, Windows/Doors ? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant DOSCfiqtl011: WaterDamage_Yes . , Valuation Occupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock _ Footings (deck) Final/C.O. _ Footings (addition) Final/No C.O. _ Foundation HVAC _ Drain Tile O[her Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ $iding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Tes[ _ Final Windows Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~a7s~ s-v soos RESIDENTIAL PLUMBING PERMiT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address Unit#- Property Owner Telephone # ( ) Contractor EFi AIOO/~'FS L, Telephone# (Sd~_~z35~-(v~~~ Zip ~ Address City 17T6 oyl~,er~ State,A2 ~u rY1P~/~- The Applicant is: _ Owner V Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 ,---~Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are instaNing only a water softener and/or wafer heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Tumaround (add $130.00 if a 5/8" meter is required) ~Other: ~l NIC - Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ so S-Z) I hereby apply for a Residential Plumbing Pertnit 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in a cordance with the approvf,~ plan in the event a plan is requir to be r~viewe and a ~ ved. Q ' cn-- ApplicanPs Printed Name Applicant's Signature ~ v~ ðñ ÿþþýüñüû úýýþþ íòïþ þ ø ûò ÿþ ÿþýüûúùæþø øüûú÷ö øúñ ùø ñøÿÞñøüûúñ þå þøøÿø ÷þôýøêô÷þôýøÿÞ æ ø þ ãæ ä ø ñ÷ ßáïïïðð èççïß ÷ú ÿþøò øùæèççð þ ç öõõô ùó úú ÿö ø ôûäö û ïß ôøäø ä øñ÷ ñ÷ðð ëßáéïïïðð òøýû öò ò ìø ò úú ò òåøô øø øôúûöò úú ýÿ åñ ÿ þ äûå ãø ç úú à þûÿ þø PERMIT City of Eagan Permit Type:Building Permit Number:EA122140 Date Issued:04/28/2014 Permit Category:ePermit Site Address: 4760 Westminster Cir Lot:8 Block: 1 Addition: Brittany 10th PID:10-15009-01-080 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 or installing Bay or Bow windows, 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 - Amy L Conway 4760 Westminster Cir Eagan MN 55122 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156372 Date Issued:06/27/2019 Permit Category:ePermit Site Address: 4760 Westminster Cir Lot:8 Block: 1 Addition: Brittany 10th PID:10-15009-01-080 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Matthew Nohelty 4760 Westminster Cir Eagan MN 55122 (715) 212-8837 Kat Construction Llc 8833 79th St Annandale MN 55302 (320) 266-3455 Applicant/Permitee: Signature Issued By: Signature EAGAN 3830 PILOT KNOB ROAD! EAGAN, MN 55122-1810 (651) 675-56751 TDD: (651) 454-85351 FAX: (651) 675-5694 bu i ld i ngi nspectionsta'�citvofeagan. com RECEIVED SEP 2 5 2019 r For Office Use v Pemiit #: /.5 Permit Fee: / 3 So Date Received: Staff: 9a 1-/Y /0--/—t9 2019 RESIDENTIAL BUILDING PERMIT APPLICATION H'7bo ImoJ G- ti t # cc Date: '/P's/l1 a site Address: nAt-, ni W. Resident/ Owner Name: MI* t Keir nick. ;t j Phone: PT' -5.4.3 —1(-3113T‘ U ( / . ' Address / City / Zip: 12120 Vck";40 t/ C -i r' Applicant is: Owner Q Contractor T of Work y�Construction Description of work: K.Gp)11 &X1.74 )4 t J Cost: Ia/CW Multi -Family Building: (Yes / No ) Contractor Company: lA ►`i; -G Wt, CORA-at vh.► (OAP) LIZEontact: G�3 Jr 7 Address: 3 flt1 l� eiA j l" Tr1 SL✓ J Pnb h Art city: / State: ,14V Zip: $� 32 - Phone: t7 iot"69 iEmaiI: CS katOrta4 Lo.lorK License #: OC -60S I Lead Certificate #: If the project is exempt 5„►adna c44r1i1M'v-1473 from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor. Sewer & Water Contractor Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit ins considered to be public information. Portions of the information may be classified as nonpublic if you provide specific mesons that would penNt the City to conclude that they are trade secrets. 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.citvofeaaaan.com/subscribe. 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 DIG. CaII 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.aopherstateonecall.orq 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 the approved plan in the case of work which requires a review and approval of ns. x x Applicant's Printed Name Applicant's Signature • I.#% % U •1111\I OS= 1.016.11.016/•• SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review 21-22-(2 (25%_ 100% y) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) icFootings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan 111111V VII•V Fireplace _ Garage Deck Lower Level 7 (Q 0 klz s -/-In; 51- e / C ; /SSS / Porch (3 -Season) _ _ Porch (4 -Season) _ Porch (Screen/GazebolPergola) Pool _ Interior Improvement Move Building _ Fire Repair Repair Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 17/1 , Building Inspector Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Siding _ Demolish Building* _ Reroof _ Demolish Interior _ Windows Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final ! No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: (7,6 ($It ; 7 9 Page 2 of 3 • w141Niu4 ttitestx .9;c• i I l� °)S" •• 3 A Tor >LOC_t - EL-. 9 SZ . Cp. 6AE MENT Et-. 949.5 SG30 S /4s p9N • w 0 0 0 — —r if 1 1 do Mfr fla A/° b 1(960 ,r 44 0.0 be 0 69 DES.G2.1PTIO N Lo T° t Bt_ocu. sarrr'AN ( I0 Th ADDITt o 4-.11 s�ce D t�C-o T A. Co UN -r f y�.GAN NG N E' ING DET A Ex 944-.4 p `'RE 00 Pt 6/6(C Pc OND(//4 P 4 ii SCALE i13d AL.L bEAZ:t1444 A1/2ON D o DENOTES Mow Matv14• 14T' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159060 Date Issued:11/19/2019 Permit Category:ePermit Site Address: 4760 Westminster Cir Lot:8 Block: 1 Addition: Brittany 10th PID:10-15009-01-080 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. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Matthew Nohelty 4760 Westminster Cir Eagan MN 55122 (715) 212-8837 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178818 Date Issued:09/06/2022 Permit Category:ePermit Site Address: 4760 Westminster Cir Lot:8 Block: 1 Addition: Brittany 10th PID:10-15009-01-080 Use: Description: Sub Type:Water Heater & Water Softener Work Type:Replace Description:Standard Water Heater & 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: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Matthew & Kelly Nohelty 4760 Westminster Cir Eagan MN 55122 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature