4527 Whitetail WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127458
Date Issued:10/02/2014
Permit Category:ePermit
Site Address: 4527 Whitetail Way
Lot:7 Block: 3 Addition: Fawn Ridge 2nd
PID:10-25801-03-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jeanette E Fox
4527 Whitetail Way
Eagan MN 55123
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
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CITY OF EAGAN SEWER SERVICE PERMIT
, 3830 Pifot Kr1ob RoBd r~- F
I P.O. Box 21199 PERMIT NO,: 7
,r,• '1 _ (.I
~ Eagan, MN 55121 DATE:
C Zoning: Z ' No. oi Units:
Owner. `'asic Bldrs.
~ Address: j
~ SiteAddress: 4~~7 ~n3itetail way L7 P3 Faw.i Pi'.^e ZI
Plumber. CeiiL-Rvar
~ 2-9-87 7'153^ 100.00pd
; I sgree to comply wkh fhe City of Eagan Connection Charge: 5•
~ Ordinancss. Account Deposit: 15 . Q0p' ,
i Permft Fee: 10. Ut'P(~
I Surcharge: , 50,nci
I gy Misc. Charges:
Date of Insp : Total:
` Insp.; Date Paid:
i
i
~ CITY OF EAGAN Permit No: Date: 3-6-87
, 3830 Pllot Knob Road Meter No: ~7,~ •5 ~ Size: f f
; P.O. Box 21199 . Readar Na ~~N `~10~ /3 Date: 3~3d-,a
i Eagan, MN 55121
~ 6asic ~ldrs.
Owner.
Site Address: 452Whiteta ' lday 1.7 B3 F awn P.icige IT
, Plumber Cenz -Ryan
Conn. Chg: 5 2 S. 0 0,d
~ Acct Dep: I s on c: ~~r ~~d4Clfiits:
Permit Fee: ` ~DCC h ~ w
nLc
Surcharge: IWe~o comply with the Cifiy of E an '
Tr. Plant • ~ Ordinances.
Meter. ~
Misc.: ~Y
WATER SERVICE PERMIT
, ~3830 Pibt Knob R dl P.O. Box 2G-A199, Eagan, MN 55121 n 13186
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for •'r UWt'/GAR Est Value * 70, OOU Date FEBRUAFlY Ei 1937
Site Address 4527 Wti I'PETA I L WAY Erect CT, Occupancy R3
Lot 7 Block 3 sec,sub. MIN RIDGF. 2NU Remodel ? Zoning
ParCel No. Repair ? Type of Conat jT
Addition ? No. Stories
40
W Name BASIC; f3LDR5 IvC Move ? Length 4-6
; Address 3550 UPPEi2 ~r43RU ST rd Demolish ? Depth
° RnSEi•10 ' 423-3114 Int. Impr. ? Sq. Ft
Ciry ~~~re Install ?
o Name SA ~'~i Approvais Pees
,4ddress ` Assessment Permit 4 3 9 8. 5(
City Phone Water & Sew. Surcharge 35:
t; W PLA.3C4 I NC Police Plan Review~ 2.
F W Name Fire SAC 62 S. 0(
Address 3435 WASH 1NGTON DR Eng. Water Conn. 525 - 0(
i W City Phone 4 52-0724 Planner Water Meter 67•0(
Council Road Unit 305.0(
I hereby acknowledge that I have read this application and state thatthe Bldg. Off. Tr. PI. 1 ~14 0 - Q~
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Eity of Eagan Ordinances. APC Parks
' -
Signature of Permittee Var. Date Copies S 2 -3 _3 4 . 7
Total
A Building Permit is issued to: BA$ IC BU I LDERS INC on the express condition that
all work shall 6e done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official '
- Pwmit No. PemMt Holdn Date Tdaphono 11
Plumbinq
~
H.V,A.C. rS ~ .~•L l S sf ~
el.caic ~l't .
SoHanw
Inapsclbn Date Irtsp. Comrmnh
wou^a• i
Footlnys 11
Foundatbn
Framiny `76 4 ~
RooNny
Rouyh Plbq. ~
'
Rouyh Ht9. - 9- 9 7
Insul.
Ffroplace
Finel Hfy.
Flnal Plbp•
Bldy. Final ` /NS ~•4~--tc/j
L~' •
-12
Carl.Oee.
/
DeckFty. e,4=CT-,L-12
,L.
Dock Frmy.
WNI
Pr. Dlsp.
'~-w+ fp Cf,ry; . ~..7. Lr' , . _ . i'4` • . • ~w, -t., e. . . . ..;1j ,.5 . ;Z t : -r: . , . . . . ' • . . .
.t
. ' , . PERMIT #
MECHANICAL PERMIT RECE4PT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: -
CONTRACT PRICE: PHONE: 454-8100
Site Address : - ' " J ' • ~ " ~
Lot BLDG. TYPE WORK DESCRIPTION
~ Block Sec/Sub_ ~
Res. New
Name ~ L ~ v
0 i~/ 1 5. 1 ~ 7Z~ Mult Add-on
m Address Comm. Repair
c City - .1 , t )y1J!!~?~ Phone ll- -3 wv Other
Name FEES
3 Addre~s u"hES. HVAC 0-100 M BTU - $24.00
0 C~y Phone ~ ~ ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU _ 6.Q0
GA5 OUTLETS 1.50 EA.
Forced Air M BTU COMMIIND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heatet M BTU MINIMUM - COMMfIND FEE - 20.00
Air Cond. ~ M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADO $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlats # OthBr
FEE:
S/C: SIGNATURE OF PERMITTEE
.-TOTAL•
FOR: CITY OF EAGAN
• , . . PERMIT #
PLUMBING PERMR RECEIPT #
CfTY OP EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Slt@ Addr J G'` r~~' ' BLDG. TYPE WORK DESCRIPTION
Lot ~ Blpck Sec/Sub Res. ~ New (I
m Name z~~-~~ Mult Add-on
~s Addressf~f Comm. Aepair
c Ciry Phone f~- Other
.r
~t i! lD~~S NQ. FIXTURES TOTAL Name - / Water Closet - $3.00 $
~ Address -TBath Tubs - $3.00
~ ~ity T Phone =Lavatory - $3.00
Shower - $3.00
z-Kitchen Sink - $3.00
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE - $10.00 #Water ~undry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20,0p Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
ZGas Piping OuUets - $1.50
BEYOND $1,000.00) Softener - $5.00
' Well - $10.00
Private Disp. - $10.00
! I ~ ~i'• % =Rough Openings - $1.50
SIGNATURE OF P RMITTEE FEE "
a f~ ~
STATE S/C:
FOR: CITY OF EAGAN, ' U6~~ GRAND TOTAL:
~ k
. . _ . . . . . . . . . . . i .
PERMIT #
MECHANICAL PERMIT RECEIPT # -71 9 7 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55127 DATE: - CONTRACT PRICE: PHONE: 454-8100
Site Addjess" ' w'~' ` ' ` ' - • gLpG. TYPE WORK DESCRIPTION
-
Lot Block Sec/Su
Res. New v
m Name ~ Mult Add-on
~ Address 1 ,-T
`t ~ ~
Comm. Repsir
c City)<•-I °cw'-- Phone pmer
FEES
c AddKpss` RES. HVAC 0-100 M BTU -$24.00
~
p Cit~ Phone ' j I ADDITIONAL 50 M BTU - 6.04
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WQRK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - GOMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
' BEYOND $1,000.00)
Gas Piping Outlets #
Other $
F t.~~ . •
EE
<<~: c_ L
S/C: SIGNATURE OF PERMIT"ffEE
TOTAL• Z `
.(~L FOR: CITY OF EAGAN
(Itr#if ira#it af COrruptturg
Citp of (Eagan
Mrpurtmrnt nf %diding JnWtrtinn
T7bis Certifrcate issued pursuanr to the requirements of Sectiorr 306 of rhe Urriforn: Building
Code certifying that at the time of issuanee thrs structure was in compliartce with the various
ordinances of the City regulaling building co?rstruction or use, For the following.
ux clamfin,ion ; C: i r; H)dg. Rrtnit No. ; t c
Occupency Type - Zoning Disuicl 7ype Cauc
OwnerOfBwlding pddrl, f'... .
_.t~t~ ~~i~
Buildiog Address ' LoCelity {,j, ~.3¦ -1'
-
DBfe:
Bw7ding Official '
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, nnN 55121N° 13186
PHONE: 454-8100
BUILDING PERMIT Receipt# o -CL
To be used tor SF DWG/GAR Est. value $ 70. 000 oate FEBRUARY 6 1987
SiteAddress 4527 WHITETAIL WAY Erect fN Occupancy 3
Lot 7 Block 3 Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning Rl
Parcel No. Repair ? Type oi Const V
Addition ? No. Stories
$ Name BASIC BLDRS INC Move ? Length
3650 UPPER 143RD ST W Demolish ? Depth 46
o Address Int. Impr. ? Sq. Ft.
city ROSEMO[Wge 423-3114 Install ?
c Approvals Feea
o Name SAME
$ p nddress Assessment Permit $ 3 98 . 5(
~ Ciry Phone Water&Sew. Surcharge 35.0f
~ Q Police Plan Review-1 99 - 2`-
F W Name PLANCO INC Fire SAC 625 _ O(
nddreEAGANS WASH452TONZ4R Eng. WaterConn. 425.0(
a W icity Phone Planner Water Meter 67.0(
Council Road Unit 305,011
Iherebyackn ledgethalhavereadthisapplicationandsta thatthe gldg.Oft. Tr.PI. 180_0!
~ information is rrect d g~ e to comply with all applic te of
MinnesotaStatut it'yo/Ea. Ordin c s. ~ APC Parks
Var. Date Copies
Signature of Permi ee Total
A euilding Permit is. ss to: A C BUI DERS INC on the express condition Mat
all work shall be done in accordance with all applica tate of Minnesota tutes'a City of Eagan Ordinances.
Building Official ~
, "1-
1987 BDILD NG PERMIR APPLIC97ION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
Il9CLIIDE 2 SET3 OF PLANS, 3 CERTIFICAYES OF SORVEY, 1 SET OF ENERGY CALCQLATIOHS
HOTB: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOANEH MIIST DESIG1iATE WHICH 9DDEESS
IS DSSIRED. NO CHANGES WILL BB 9LLOWED ONC6 BQILD7NG PERMIT IS ISSIISD.
MULTIPLE DTiiELLINGS - RSSIDENTIAL RENTAL OPITS FOR SALE OIITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIEVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
. 70,000
dle
To Be Used For: j ~ Valuation: Date:
o Site Address ysa OFFICE QSE ONLY
Lot ~ Block ~ On Site Sewage Oceupancy 3
MWCC System ~ Zoning f
Parcel/Sub r4wn On Site Well Type of Const
~ • ,~~~7 City Water ? (Actual) ~
Owner ( Allowable ) -y-
4k of Stories
Address Length t{.D
~j Depth 4CD
City/Zip Code S.F. Total
Footprint S.F.
Phone 7 a~ / f APPROVALS FEBS
Contraetor Assessments Permit ~
Water/Sewer Sureharge
Address ~pp~~- Police Plan Review y,
Fire SAC, City ~c7a,
City/Zip Code psfil.`l~ Engr SAC, MWCC SZS-
Planner Water Conn
Phone 525•
Council Water Meter (02_
Bldg Off Road Unit OS•
Arch./Engr. ~/~?Cd,. APC Treatment Pl
Variance Papks _
Address Co ies
City/Zip Code 0-- ±t aa TOTAL ~
Phone 4r
~ -
......_...T..~ . .
!
' Certificate for:
Basic Builders Inc.
3650 Upper 143rd. Street
Rosemount, Minnesota 55068 •
DELMAR N. aCHwANZ '
rfamo r.r um 1 w. r r
tf7Ma01fTM110~Mi1YL ~O~d01MT.rMidOTA~~ IMtl?tfw
NJIK1r0" C017V1BA1t
~E
y~.7
3 / yo Scale: 1 inch = 30 feet
rJ Denotes iron monument
qy1 ~ \ 9
Ob ~ s Denotes set6ack marker .
~?51 / Drainage and
j \ Ut;lity Easement J%';; Denotes existing elevation
:.jDenotes proposed elevation
-L 6
Proposed,/ :
-;19 /ao House
hV Garage \ ~ .
. ~ \ ' 1 ~ h ~~ti• , ~ . . . ,
, . 6\ \y
ryqS/ ~ y
~ y~" /
9
\ ry~' yy~ y on
~ q
I hereby ceztify that this is a true and correct representation o£ Lot 7,
Block 3, FAWN RIDGB 2bID ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota. ~
Also showing the location of a proposed house not staked thereon.
. Dated: January 27, 1987.
~0'l~~t1Mf1011110.~f
. . . .
- . - . . . . .
. I • , CITY OF BUILDINd DEPARTf•IENT
' EXTERIOR EIVVILOPE AVERAGE IIUII COIRPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling Owner
All Other Site Addreas
Contractor t>4 Date Phone
LINEAL FEET OE
EXPOSED V?ALL fte above grade = ZZ(yZ•DO 'l~
TDTA.i, EXPOSED VYALL AREA SQ. FT.
OPAQUE WALL COpISTRUCTI0i1: "Ulf Value x Area
-~~~i11~ iiUlr . o
Detail x SQ. FT. 7(y.vo. 7(2•3(p (U)(A)
reference CO/V"u"_ ~?qp x SR. FT, D U A
from IP~I.r i nUn , 04.o x SQ. FT. (Zq,4R=~` )
flpit 5• 17 {U) (A)
attached x S@. FT. _ (p)(A)
sheets nUVr x SQ. FT. _ (U)(A)
, npu x SQ. FT. _ (U)(A)
WINDOWu: "U" Value x Area
A1ake,& Type _NSJL• 65,4II'T. "Urf "41 x SR. 7.0o FT. __ko._z-L(o)(n)
ll
u n nUn x S@. FT. _ (U)(A)
n x SQ. FT. = M(A)
v nUn X SQ. FT. _ (U)(A)
Ih00148 : "U" Value x Area
i;uke & Tyne _~21L, 11VSUl. ~~Ull
u u x S@. FT. 3.00 ~ 8.8Z (U) (A)
n n ~ut+l Uu-_ ~47 x SR. FT. 2,00- 7~(U)(A)
X S@. FT. _ ~U)~A)
_ x Sa. FT. _ M(A)
TOTALS ZZ(o7..•ct-7> SQ, r'T._ I~S.oo M(A)
AVERACiE HUll
TUTAL (U)(A) VALpES ~gj~c.pp _
DIVIDLD BY TOTAL ti'lALL AREA ZZ(aZ.pp
AVERA(3li IfUll 4~ less for 1&2 family dwellinge
ROOF/CEILING: ~
TOTAL AREA: pn
Detail reference 'IUII x SQ. FT, 11~0 = Z~i.]~ (U)(A)
from IIUII x SQ, FT. : (U)(p)
attached sheets. 'IUII x SQ. FT. (U)(A)
Describe oneninga "Ult x S0, FT, (U)(A)
in roof. x SQ. FT, _ (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY 7;~73 TT~I.~j ~~30 Z3.7'~ CUY~\
t ~
TOTAI, ROOF/CEILIT AREA f I~O;op , p~, j
AVERAGE 11 025 f r ventilated roofe.
1~~-.sn X (10+40
~-~g~~8)
l'o e .
, (F7 X ~,`}o+q-D t .~g t~g, _ /p ~ ,SZ ~
1?1 1d~sT
~J~?~~ws.
i(P x~c~ _~.o x~= 1 z. o0
Z7x 14 = Z. cv
Go x 3fo 5-o X 4 = zo~oo
z4 x s (o ^(o .o K 9 = zq-.oo
Zo x 48 = (0.7 x z= 13 -4-0
ZS x 48 = 9.4 -A ) = 9-44P
ZoX (od = 8-`J' X 4= 33.(vo
z`~k 48 = S• o x 4= ~z. o0
147• oo ~
32
y-ti.. er1T, ZI. o0
fy- ~TP-)urn
~10 S,oo ~
NET 5C~uAC.C7 ~rpe-s w~c.~ z2(~Z.oo Z4 x 3g = ql z, o0
GeSS eo~ve, 10 x/z = 14~-,00
I o4•SZ
?r !zq• 9•$ (vX S = 9-~,00
WAYJ's ~4~.~, --48~•on zx9 = i8•~o
?t
i~ pa~,2rs los.oo ZX4
177(o .o4
1 f 3°. ~
--WALL SECTION--
' Determinin$ "U" values at Roof, Wall, Rim, and Cottc. Block
i
i ROOF/CEILIN(i R VALU
S E
I 1.) Interior Air F'i1m 0.61.
2.) 5/811 (#yp. Bd. .56
3.) Insulation
4.1
5.) Exterior Air Film .61
( 2 3 (STILL)
upo = 1/R; .OZ.~ TOTAL (R)= 9'.S.7g,
l ,
$ Y7ALL R VALUE
q 6.) Interior Air Film 0.68
7.) i" QYP. Bd. .45
8.) Insulation lQ,oo
9.) g~ILT-r- 1715 2•c,4
10.) Masonite Siding .67
l0 11.). Exterior Air Film .17
11
, upu = 1/R= TOTAI, (R)= Z3rOI
~Z RIM R VALUE
• ~3 12.) Interior Air Film 0.68
~ 13. ) Insulation M,vo
~ 14 14.) 2" Fir Rim Joiet 1.88
15 15. ) F~rL 7-!~ irF Z,v~
16.) Masonite Siding .6
17.) Exterior Air F11m .17
~'U~~ = 1/R= TOTAL (R)= Z4~.
X
OQo O FOUtdDATION R VALUE
18.) Interior Air Film 0.68
zl . ~g 19.)
ps 20.)
n g° • ~ 21.) 12" Concrete Block 1.28
' e n 1n 22.) p[o1b 14e
,-rJL• $.oo
23.) Exterior Air F11m .17
n '
nUn = 1/R= r I`1-C) TOTAL (R) 1 3~
. *#*f**##****#*~****!!*tf*R*********.tf
G! TY O F E A G A N *NOTE.° PAYMENS OF FF.E AT TIIyE Op W
* r,PriscATioN DoEs Nar ooommm ~
* r,pPxovAu, oF PF.RruT. ~
APPLICATION FOR PERMIT ~
* INSPF7CrION OF SEMR ADID/OR 4WT[t *
*E rusrnr.r.amrODiS WILi, NOT RE SCfED- *
• SEWER AND/OR WATER CONNECTION ~~M UNTM PMKT HAS BEEN *
»
* APPROVID. *
µ r
. ~****~~*t***~***+r*******:**x***,e****
~ P ease Print
1) PROPERTY ADDRESS: L Y
LEGAL DESCRIPTION:
Lo Block Subdivision or Tax Pa cel ID
7.E' EXISTIhG SiRLY,'i[)RE, DATE OF ORIGINAL B[lILDING PERMIT ISSL'ANCE:
i
PRFSENf 7ANING/PROPOSID [!SE: (Nbn Year1 :
CONP'm2CIAL/RE1'AIL/OFFICE ~ R-1 SINGLE FAMILY -
~ IAIDL'STRIAL ~ R-2 DLPLEX (Two t-inits)
0 INSTI2S]TIONAL/GOVERDIINENT ~ R-3 70WNHaJSE (Three + Units) { Lnits)
. • ~ R-4 APARTbE]T/CON)ChMINlLT4 Units )
2) ADDREss:
• cIzY, srAmE, ZIP:
PHoNE:'~,~~,
3) For City Ose
Plumbers License:
ADDRESS: s Active
~ L
i CITY. STATE, zIP: fScpired
Not recorded
Frivivc: 02 i~Zss~~EE ISC~,~VSE#
St~~'tial
4) • i~•
tuAME:
_ ADDRESS: CITY, STATE, ZIP:
PHONE:
'S) ' r' ' : ~ • a • ~ CONNF.CTION 7TJ CIT'Y SEWER ~ CpNNErrION 1o CITY WATER ~ prt'EIER .
6) • ~ r PLEASE HOLD APPROVID PERMIT FpR PICK-UP BY ONE OF ABOVE
. ~ PLEASE MAIL APPROVID PERMIT RO 1. 2,0 4. ABQVE
(Circle one)
7)
• ti• ~ ui. ~ ~ ~ i- ~ • a ia~• i~ r . A.
• 1. M• 1}. ~ ' M'/• • tlP~ • 1 1 1 71 • U' 7~' ~ } .
. FOR CITY USE ONLY
PERMIT # TSSLED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /D'D WATER PERMIT (INCLUDE SORCAARGE)
$ $ WATER METER/COPPERAORN/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S• Q ACCOUNT DEPOSIT ° SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ 5 Z.S - a O $ wAc
$ $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT .
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
v $ ,~I' O C/ TOTAL 2
RECEIPT RECEIPT
DOES UTILTTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CpNDITIONS:
APPROVED BY:
n .
TITLE:
~
DATE : h/
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4527 Whitetail Way
Lot: 7 Block: 3 Addition: Fawn Ridge 2nd
PID:10- 25801- 070 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments:
Fee Summary:
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767 -1000
4/30/08 Notification letter sent regarding expired permit pf
Questions regarding electrical permit requirements should be d
952- 445 -2840.
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Jeanette E Fox
4527 Whitetail Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA080418
10/12/2007
ePermit
ected to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature