4857 Wellington CtCity of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink?
Permit #: 1�
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING G PERMIT APPLICATION
Date: 1� Site Address: `afar �'\
Tenant: it *
Suite #:
RESIDENT / OWNER
Name: 1 k 6;&ti1 e Phone: 1,c60 1
Address / City / Zip: `Ii:7 1 i y • tjx'i.
k. LTt.1 't 55�
CONTRACTOR
i
Name, [iNt_ ftt X'
ic�'nse #: 10 ITV OC
jta ('�
Address: IQ,l o
City: e
State: IVO\ Zip: Th --T �A Lo Phone
t -MICki, k f 1..6
,�!
Contace . u ° Email:
TYPE OF WORK
_ New NpReplacement _ Repair Rebuild
- Modify Space Work in R.O.W.
_
Description of work:.
PERMIT TYPE
RESIDENTIAL
°. Water
Softener
Plumbing Fixtures (, Main / _ Lower Level)
- Water Heater
Add
Lawn Irrigation (_ RPz / _ PVB)
Turnaround
,
Water
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softeper
(includes $5.00 State Surcharge)
und* (includes $5.00 State Surcharge)
State Surcharge)
State Surcharge) I-', z Cr)
TOTAL FEES $ ` i
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Rep, ir (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnar
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.0
burned out appliances, ductwork, etc.) (includes $5.0(i
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities:, www.aooherstateonecali.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wo is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o p • ns.
Applicant's Printed Name
FOR OFFICE USE
Required Ins'Oections:
x
Applic . is Signature
CITY OF'fAGAN SEWER SERVICE PERMIT
i 3830 Pllot Knob Road 9704
. P.O. Box 21199 PERMIT NO.:
i Eagan, MN 55121 DATE:
Zoning: Rl No. of Units: 1
~ Owner. Tollefson Bldrs.
~ Address:
! Site Address: W ~?$toII uZt r t?n~• .
I Plumber. "-1A S e, ever enz _ qan
f I--23. , 70149 , p
~ I ayree to compyr wMh the Clty of Eagan Connection Charge: 52 S. OC1pd ~ Ordinsnces. Account Deposit: 15 , 0!? pd
' Permit Fee: 10 • 00pe '
~ Surcharge: • 5~~''-~ ~
~ By Misc. Charges:
Date of Insp.: Total:
~
! Insp.: Date Pafd:
CITY OF EAGAN Permit No: `,354 Date: 3-1
3830 Pllot Knob Road Meter No: -3711 S Size: R
P.O. Box 21199 Reader No: 0~N 409 D 9 Date: 3- 30 -97
Eagan, MN 55121
Owner. '-",on Bldrs.
SiteAddress: 4 6 5 7 "•e11inrton rot~1-~_ ~ 'r,ttanv 9Ch
Plumber La<Ce Side Sewer Ger,z !',•ar.
Conn. Chg; 5 S. t)Upt! 9; Y7 I
Acct Dep: 15.0 Dd ~sbWS 1
Permit Fee: 1o. 0'a Cfe EtC.
u
Surcharge: ~ ;1,-,~~~L ~ I a r 1 ly with fha Clry oi Eaysn
, Tr. Plant a A.
Meter. h7 . ~~+1 _ .
, Misc.: gY
- WATER SERVICE PERMIT
~
w
.CITY OF EAGAN 1312 0
•
3830 PilOt Knob Road, P.O. BoX 21-199, Eagan, MN 55121
PHONE: 454-8100 -
.r= BCIILDING PERMIT Receipt# _('7 - -
To ba ussd 1or S'r DWG/GAn Est Value $1.17,000 Date JANU11K Y21 19 67
SiteAddress 4357 k'ELLINGTON COURT Erect L3 Occupancy x3
Lot-3- Block 2 Sec/Sub. BRlTTANY 9TH Aemodel O Zoning K1
Parcel No. Repair ? Type of Const
Addition ? No. Stories
¢ Mame Z'nLLEF50N HL')kS ".[JC Move ? Length 44
; Address 12617 FAIRGREEIY AVE Demolish ? Depth 44
o. Int Impr. ? Sq. Ft
City Phone 43I"'11,50 Install ?
= o Name c,p;,~ Approrsls Fees
~°,Q Address- Cl~-f 12-:4 ~X Assessment Permit ~ 554.S1;
~ C'ty Phone ' Water & Sew. Surcharge 5$ •5c
~ Q Police Plan Review 1 77• 2!
Name Fire SAC 625. 0c
Address Eng. Water Conn. 525 . 0 C
<W City Pnone Planner WaterMeter 67.OC
Council Road Unit 305.01C
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 1$ 0. U r
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Pafks
5ignature of Permittee Var. Date Copies j~
Total 52, 5~ ~2.:..,
A euilding Permit is issued to: TOLLI:FSOIJ BLDRS I T3C on the express condi6on that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
9 vs o n T r T s a aT -m i T g 0 m x v_
IL
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INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i+: f I 1HI~fllld f( i, : irJ~
PERMIT SUBTYPE: TYPE OF WORK:
•
INSPECTION .
~ ~
PertnR No. Permit Holdw Date Telephone M
ELECTRIC (pgag D 9 Q °D
PLUMBING
HVAC
Inspoction Date Inap. Comments
FOOTINGS
FOUND
FRAMING ~
7
ROOFING
ROUGH
PLUMBING /
PLBG
AIR TEST
ROUGH
HEAT7NG
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDCi FINAL
BSMT R.I.
BSMT FINAL
DECK FTG DECK FlNAL
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE: 1 i r•i
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS• ' ~ ' ~ • ' ' ~ ; ` " APPLICANT:
'
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• •
S t~l~ I I fll,'. I l~.i':t11 r3~~
~
~ J
Permit No. Psrmit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectton Date Insp. Commenta
FOOTINGS
"LJ
FOUND
FRAMING
l (P
ROOFiNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
Alfi TEST
FINAL PLBG
FINaL ?irG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'CITY OF EAGAN A1 p
- ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I v- ~ 1~~
PHONE: 454-8100
BUILDING PERMIT rteceipta
To be used far SF DWG/GAR Est Value $117 ,0 00 Date JANU Y 21 jg$ 7
SiteAddress 4857 WELLINGTON COURT Erect CX Occupancy R3
Lot 3 Block z Sec/Sub. $RITTANY 9TH Remodel ? Zoning Rl
Parcel No. Repair ? 7ype of Const.~
Addition ? No. Stories
W Name TOLLEFSON BLDRS INC Move ? Length 44
3 Address 12617 FAIRGREEN AVE Demo~ish ? Depth ¢q
° A.V. 431-1100 Int.lmpr. ? Sq.Ft
Ciry Phone Instell ?
a Approvals Fees
o Name SAME
$a nddress Assessment Permit $ 554.5(
~ Ciry anone Water&Sew. Surcharge 58.5(
Police Plan Review 277 • 2-
Name Fire SAC 625.0(
Address Eng WaterConn. 525.0(
<W ciry Pnone Planner waterMeter 67.0(
Council Road Unit 305.0(
Iherebyacknowledgethatlhaveradthisapplicationandstatethatthe gldg.Off. Tr.PI. 180.0(
information is correct and agr omply with all ap licable State o(
- Minnesota Statutes and Ciry a an Ordinances. APC Pal'ks
Signature of Permittee Var. Date Copies Total $2,592 . 2'
A euilding Permit is issued to: TOLLEFSON BLDRS INC on the express condition that
all work shall be done in accordance with all applic State of Mineso Statutes and City of Eagan Ordinances.
Building OHicial
P
RESIDENTIAL --75
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConaUuotion Reauirements RemadaUReuair ReauiremeMs
• 3 registered site surveys showirg sq. R. of lot sq. fl. of house; arM all roofed areas • 2 copies of plan
(20°k mazimum lot cove2ge allowed) . 1 sel of Energy CalcWations for healed additions
. 2 copies of plan showing beam 8 window s¢es: poured found desgn, etc.) • 1 site survey for exlerbr additions d decks
• 1 set of Energy Calculations . InMicate'rf home served 6y seplic system foradd'Aions
• 3 copies of Tree Preservation Plan if lot plattad after 711193
• Rim Joist Defail Optlore selection sheet (bldgs with 3 or less units)
DATE 3 ? ~ Z VALUATION
SITE ADDRESS lI (~~~C~,v~ r'~rYl 06" MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK ~Djq 5a.r46.Z - FIREPLACE(S) _ 0_ 1_ 2
SELp` ROOFING & REMODEUNC
APPLICANT
4490 EXf'ElGina BLVD
STREET ADDRESS ST. LOUIS PARK, MN 5541 CITY STATE_ZIP
TELEPHONE # KO~(~CELL PHONE # FAX #
PROPERTYOWNER r> 6 a,?G~.a_c,[,4 TELEPHONE# 6~3 ' bZ7 Z
COMPLETE THIS SECTION POR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ Y[INNESO'f:1 RULES 7670 CA'1'LGORY t MIN ~ ~I~
(J submission type) • Residential Ven6lation Category 1 Worksheet Submitted • Ne ~Iergy,6ode Worksheet-Suqmil ed
• Energy Envelope Calculations Submitted I~< S` P 0~ Z~OZ ~I I~ I;
~ V
Plumbing Contractor. Phone #
Plumbing system includes: _ Water Soltener _ Lawn Sprinklcr Py -Fee: $90.-00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Contractor: Phone #
Mecfuwiical system includes: _ Air Condi[ioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contraetor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Stotutes and City of Eagan nces.
SlgnatureofAppllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4f02
BOILDING PBRMIT APPLICATIOH - CITY OF EAG9N
NO'PB: ALL C09TRACI08S MOST BE LICENSED fiITQ THE CITY OF EAGAB
3INGLE FANIILY DiTELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLE DAELLINGS - RESIDENTI9L RENTAL ONITS FOR S9L6 ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRV6Y - CHECg iiITH BLDG. DEPT.,
1 SET OF BNERGY CALCULATIONS
COIRlERCIAL -
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSv
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: ~ ~ 1,COU Date: ~ 070- 87
Site Address OFFICE DS6 ONLY
Lot 3 Bloek Erect ~ Oecupaney
. Remodel Zoning l,l
Parcel/Sub Repair _ Type of Const IZ
Addition 8 of Stories
Owner Move _ Length ~4-
Demolish _ Depth '14
Address Int.Impr. Sq Ft
Install _
City/Zip Code
Phone AppR09AIS FESS
Contraetor ~ Assessments Permit `Jrsq"• so
. Water/Sewer Surcharge ~
Address / Police Plan Review Z~'~.25
Fire SAC 6 2 S,
City/Zip Code Engr Water Conn 3~ .
5S/a Planner Water Meter I07.
Phone 43/-// [j Council Road Unit 3OS.
Bldg Off Treatment P1 ~ O.
Arch./Engr. APC Parks
Varianee Copies
Address TOTAL
City/Zip Code
Phone U
NOTE: ADDRESSES FOR CORNSB LOTS - CONTRACTOR/HOMEOBNER NUST DESIGHATE WHICH ADDFESS
IS DESIEED. NO CBANGFS iiILL BE 9LLOWED ONCE BDILDING PERMIT IS ISSQED.
~ 7Coo x ~ 440c30 " -
x I 4- Z~~ x sS _('S 4z6
24 x ~Z ` I cob x r2 ~ 9 2i(o
x~~ ? 4~~~2
~ I ~s
-
, - ,
nO B` COHSU
L71N6 EH6iHEf95 ENGiNE~i~ING PtANNE9S nnd LAHD ~UACOMf~ANY,, INC.
N
~ 1000 E~15T f4S111 STREF.7, BURNSVILLE, 11IHHESOTA 5-337 pri 4:2-30CU
C~! rZ z~'z ccLz ~C sSi Lc~-Ye y
~~GI .0c4C7"4a2207Z: LOT 3, BLOGK 21 $72I77-ANY 97FI AOD/T/O/Jy
. OAKOTA GoUN7'Yj /y!/NNESOTA
I~9a~,4~ S s8°z~ :a2E
~96J.9) . /3~ 9(p 9a3.5
9s 3.5
u'
5r ° L
10 1 WELC/NGTON
~V,~ ~q ~ GdU2T
~y.e'
49czY ^ ~ o v'-
e
!J
N LW'~c7
P
~ o o~ v 5 ai~
ry a M ~y ~o
o g °
\01 Ly1~~?s,
NORTN
~ `t ~ /G{ Vo•O7 % s.ale ' So.
S{ ~f ~ 3 ~ 3D' ~aaNT ._4!i/LOiNG'
l ~ ~ SETBAGK G./N~
c' ~e
n
S . . h
R9e
R ~ pQA/NAFE ~ UT/L/Ty EASE/~'1C/I/'
C4~s--47 DENOTES EXISTING ELEVATION
(949'.0 , 3•'f ) DENOTES PROPOSED ELEVATION
(9K9. o~ \
~ DENOTES DIRECTION OF SURFACE DRAINAGE
~f~G,33 c FINISHED GARAGE FLOOR ELEVATION
I her:by enrtify that thia-ia a t:ue and correct repraeaatttion of a tract of
land as aho+m'and dcacribed heraon.• Aa prepared by mn on this wr+!, d:y.of
3'a1100he--Y ~ 19 `d7 . .
Rinn. ltea. )(o. /~oBS
~ f . CITY OF BUILUINa UF,PARTMIENT • . EXTEI2IOR ENVEI,OPE AVEItA4E IIUII C014PUTATION
" (To be subraitted with building permit application)
one or Two Eamily Dwelling Oxner~Dllf'-k,(X'1 i7IAivlCln _
N.1 Other 61te Addreee _1502 61i/',IiYV6Lrj W.l_~)
Contractor Date ~ Phane
LI[IEAL FPFT OF
EXPOSED 47ALL 630 fte above grade
1OTAL EXPOSED WpLL ARLA S(Z, F'1'.
o?f,qUE Wl:LL CUT'S'PRU"ITIOtii "Ull Value x Ares
Uetail -,~~,~~1' 3q. FT. U ~8(,f±l (U) (A)
rererence x 8
up~~ r R, FT. = 1lG.t i.(U)(n)
irom npn .040 X 3Q. FT. _ "7.5h(U)(A)
attached IJuII X 8Q. FT. e (U)W IIUII sheeta npu x gQ. FT. - (U)(A)
WIIJUOWS: "Ull Value X Area
Ffnlce & Type >L,72- stUff •4~_x $Q. FT. .S/ (U)(A)
n n npn x 8Q. FT. - (U)(A)
x Sq. FT. _ (U)(A)
n n nun _
n u apn x Sq. FT. = (U)(A)
AOoRS: "Ull Value x Area
i•Ia_ce & Type ,j7Z•7~1~~/ nUn x Sq. FT. O (U)(A)
n n %~f#Y-!f) IIUn ~
x Sq. FT. (U)(A)
n npn x Sq. FT. = (U)(A)
u n npn _
_ x Sq. FT. _ (U)(A)
TOTALS ~SQ. !'T. (U)(A)
Ati~ 4& npn
ToxnL (u)(n) vnt,uES 15-.93 a
UIVIDLD BY TOTAL 17AI,L AREA
AVE1tAQE "U" ,115 or leea for 1&2 family dwellinga
RUOF/CEILIVas
TO'f/lL AREA: lletAil reference •a7/ x Sq. FT.-=~(U)(A)
from IOUto a SQ. FT. . (U) (A)
lttnched elleete. toUit x $Q. FT. _ (U)(A)
llescribe openinge x 8Q. FT, e (U)(A)
in roof. x 8Q. FT. - (U)(A)
TUTAL (U)(A) VALUES DIVIDED BY .3iQ.ft CVAA>
~~•.~73 a TO''AL R005/CEILII~(i pf2EA 9~ ? Qz-
AVERAaE "U" .025 for ventilated roofe.
~ L ~D WAc,
9 ~D X _ ~~06. oO
883 x (d ! 431 1a0 4.90 ) _ 0110•66 -
CO! C •
- ~ 7 X (393 t3g 4-34434) = g6 • ~ -jE
i
I-gLMTisT
• 93 x (ke 187. 58 -3~
' ,
Z4 x6b = io- oU X 3 = 30~ O
zo }c 36 )6.0
04x36, = 6-o x, J= ti• o
. i . .
5TL VV15L Zg. ob
Zg ~ = ZI• G~
(o' uhv
.
fXRO,,GCD Mc~ -E~&u+465
~
G~a55 Mtlall t' ` z,4~1~• 66
Ce~ Cm"c .
r. erM /87• 58
GcJ~~GfC DO - ~Z~o• D(~
LYIOPS 9/.Oo
, ~ a~0~0• ~D-'r~
R~~ . .
31 x.30 = 936-)4-
• . 1 . \ ,
. `
1 ~
. . . ' ~ . , . .1 . .i`, .
~ . ~ ' ~ ' ' 1 ' 1 . . .
_ ' . .i. ~ ...i.1li' .
:;,4 1 _j
~
CITY USE ONLY
LOT " BL ~ PERMIT
SUBD. ~il aklV l7il RECEIPT
RECEIPT DATE:
2000 MECHANICAL PEliMTT (RESID£NTlt4L)
crrY oe snsnx
3830 eaoT xxoa sn
F-A6AP MLV 551 EE
651-881-4675
Date: $-2$-00
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo uader
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section vnlv if you are remodelinQ, adding to, or repfacinQ an exisring single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or replacement. ,
_ New X Replacement _ Other
R
Fumace X Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
State Sutchazge .50
Total $ 30.50
Reminder: Call for final inspection.
SITEADDRESS: 4857 Wellington Court
OWNERNAME: John & Deborah Gareau pHONEq. 651-683-0271
(AREA CODE)
INSTALLERNAME: Quality Heating & Air Services, IpMNE#; 952-403-1110
(AREA CODE)
STREETADDRESS: 12912 Ventura Court Suite 21
CITy; Shakopee STATE: MN ZIp; 55379
SIGNATURE OF PE EE
~ CITYti OF EAGAN PERMIT ~55~0 ~
3830 Pilot Knob Road PERMITTYPE: gUILDING
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 3 4 9
(612) 681-4675 Date Issued: 04/2 G1g 6
SITE ADDRESS:
4857 WELLING7tlN CT
LOT: 3 BLOCK: 2
HRI7TANY 9TH
P.I.N.: 10-15008-030--02
DESCRIPTION:
(3-sEAsoN)
Aw11dPermit Type SF PORCH
,
~u~1tF~Rj f*~st~rk Type NEW
Gado434 ALT. RE3IDEN7ZAL
;
~ 5gEe 6_3 `y' .,R g~
Q £3'# pF &5 X~,y 3~ 4
Yf p
3 ~ .pw P 4 Y i
~d P b 5 F t
*~yY ~ i's?
v 4r iE ' ~;isr ~5
REMARKS:
FEE SUMMARY:
VALUATION $9.000
Base Fee $149.75
Surcharge $4.50
7ota1 Fee $154.25
CONTRACTOR: - Applicant - sT. I,IC.OWNER:
i I BLDRS INC 17575274 9094748 GAREAU JOHN
437 126TH AVE NW 4857 WELLINGTON CT
COON RAPIDS MN 5544$ EAGAN MN
(612) 757-5274 (612)683-0272
hav'e: rea'd this" apP~.i~,'C,it~t1a~i!' .s~ate tfiat ttre
.;~:`nfesrmat~an'~s c~~"r`~ectA+~nw agt~eo ~,,t,Q, camply' n`t,1+in. .
~ ' _SCaGut~~. ~tM1#'x:-G4t~ of ~a~~r~ E}rd3.~i'a'nGes•
a/P" j
APPLICANT/PER E SIGNATURE I SUED BY: IG 7L1RE T-
" CITY OF EAGAN
3830 PILOT KNOB RD - 55122
~ 1996 BUILDING PEFiMIT APPLICATION (RESIDENTIAL)
681-4675 4-25
Wew Gonstrudion Reouhementa RemodeVReoair ReauiremenM
? 3 registered efta surveys ? 2 copks ot plan
? 2 eopies of plans (Mdude 6eam 8 window sizes; poured fid. design; ete.) ? 2 sfle surveys (exterior addHions 6 decks)
? 1 energy cakulalbns ? 7 energy calcuWtiona for heated addilions
? 3 mpies ot tree preservation plen B lot pletted efter 7!1l93
required: _ Yea _ No
/ Ur
DATE: CONSTRUCTION COST:
1
DESCRIPTION OF WORK: '~r'`=~ " -
STREET ADDRESS:
LOT ~ BLOCK ~ SUBD./P.I.D.
PROPERTY Name: Phone
OWNER ~
Street Address v f,5
_J
city; State: ~ Zip.
CON7RACTOR Company: re-*
9 L" Street Address: s<- 3~- /a C'~~'~ ~~9'- •
V l
State: t~~ Zip:
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
City; State: Zip:
Sewer 8 water licensed piumber: Penalty applies when address change and lot
charige are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all
appiicable SWte of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY ~~:~VMEDD
Certificates of Survey Received _ Yes _ No AI'R 1996
Tree Preservation Plan Received _ Yes _ No
3 PG;
} AOBE
CDH511L71H8 EH6iHEf45. ra//efson B/c,.s
ENGiNEEiI1NG PLRHHEAS nnd LAHD SURVEYOfIS
COMPANYl. INC.
` ~1004 EAST fiSri SiAEZ7, BURH-EvtLLF, YtNHEZOTJ1 =337 pH IZ2-~p00
C4erZZ~'Z ca~e o~ e !f
~vcl ~_.scr{p~zcrt-
~ LOT -23 , BLOGK ,2 ~$R /T TANY 9 TN APD/T/pr/ ~
OAKOTA GOUNYY, /1JINNESOTA
I~9u_4~ s s8'z~ %a2 E
136; 4/a . I T~3,5
~n 963.5 96z
Ln !
- - - - - _ D
-L '7. ~WELG/Iy ( TON
ccuRT
OP 0 0
r~ ~ 0 6o W 49~Z,y
T ~ ° " ~ ~83 . \
W (
`m ~ r ~ o qV~•e7 ~ ~ ,~~a ~e" 2 `qi,~"°7 ~0 oL
Q. ~ Z o ~ L ° • ~,,,1~ . ~63.0~
v ~
N` O O C O v ~3A~ .
~ ~N ~
~~2' ~0~
NOR?N
i
y~ ~up~7 ' scnle J•'-i~.
S C 1 30'FRON T,gU/LG/N~r
` ~ ` ~ '`r8~°c.r uNE
s
~h ~ '~i° ~ ' \ °•'a. S,
b ~ V~~ Y e 2 So
,bL
197^ n Jt r
s ~
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S ka
561
DRA/NAFE i UT/L/TY EASE/~7CyT'
EA G A N ~
R E V I E W E D C9c3•71) DENOTES EXISTING ELEVATION
(444.0~ . \~9`3•¢ ) DENOTES PROPOSED . ELEVATION
aY ~yvs.o)
-DATE pENOTES DIRECTION OF SURFACE DRAINAGE
9~L,33 c FINISHED GARAGE FLOOR ELEVATION
2 heriby cartify ihat thia -is a Y:ue and cflsrect rspr_aentation ot t trtet of
lind as ahoxa'and dencribed hereaa.. As praparad by me on this &n+ day of
19 $ 7 . .
~~r~,~ /.,1*-•-~C Hinn. lle~. No. /~~BS
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Permit Number: B U T L D T N G
Eagan, Minnesota 55122-1897 0 2 6 3 7 3
(612) 681-4675 Date Issued: 09/13 /9 5
SITE ADDRESS:
4557 WELLTNG70N C7
LOT: 3 BLOCK. 2
BRITTFINY 9TH
P.I.N.o 10-15008-039-02
DESCRIPTION:
(ATTACHED)
B#ilt{inq-s~ermit Type GARAGE(ACCESSDRY
Ruiltf3.n9 k~ TYPe NEW
t
. . . . ~
~ r
a :
T ¢ ~ .,y
Yry u ~
xS"R~ ° *Fi sa S ~ $ t ^a ~
~0°.s.'~£'tS~. ~
a?'~r.:x ,.a~.~;. - 3 " _ 1-.,.~•
REMARKS:
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25 COPY
Surcharge $5.00 7otel Fee $167.75
Subtotal $167.25
CONTRACTOR: - ,qpplicant - ST< I.IC. OWNER:
J I BLDRS INC 17575274 0904748 GAREAU JOHN
0.37 126TN RVE NW 4857 WELLINGTON CT
COON RAPIDS MN 55448 EAGAN MN
(612) 757-5274 (612)683-0272
I" Joreby acknawledge cFiat _I h~ve, raad,this' Opplfcatl en anc~ statethat th'e
i,ntormataorr as; carrsct and' tn c4mp7,y witNr aI,l aPPlicabie 5~~te, 01~ Nlri.
statutes, and'C3ty o'f EagotlOrdlnanoes.
tG~ o~ ~,(17r11..~
APPLI' T7 ITEE SIGNATURE ISSUED BY: S GNA RE
j CITY OF EAGAN
C•~~ 3830 PILOT KNOB RD - 55722
~ 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construdion ReaWrements RemodeVReoair Reaufrements .
? 3 registerod 611e surveys ? 2 copies of plan
? 2 copies of plene (indude beam 8 window s¢es; poured fM. 0esign; etc.) ? 2 ske surveys (euterior additions & dedcs)
? t errorgy cakuletions ? 1 energy calwlations for heated atldwons
? 3 topies W Lee piesarvaticn plan if lof platted after 711l93
required: _ Yes _ No
DATE: s~, CONSTRUCTION COST:
DESCRIPTION OF WORK: ~
STREETADDRESS:
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: Phone
OWNER
Street Address- 4/
City: - State: ~ Zip:
CONTRACTOR Company: 7 -T. Phone
Street Address: 37- /a License ~
Ciry: State: G ;Z= Zip- _s~4iek-/'i
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #Street Address,
City: State: Zip:
Sewer 8 water licensed plumber: Penally applies when address change and lot
change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable SYate of Minnesota Stawtes and City of Eagan Ordinances.
Si9nature of Appliqnt:
OFFICE USE ONLY RECENED
Certificates of Survey Received _ Yes _ No 5EP 0 5 1995
_ _ _
Tree Preservation Plan Received _ Yes _ No -
OFFICE USE ONLY
r
BUILDING PERMIT TYPE
? 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ~13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscelianeous
0 05 SF Misc. 0 10 plex o 15 Deck
WORK TYPE
n 31 New o 33 Alterations o 36 Move
32 Addftion o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Len9m sq. ft. Census Code. 38
Depth Footprint sq. ft. SAC Code o/
Census Bldg ~
Census Unit
APPROVALS
Planning Buiiding Engineering Variance
~
Pertnit Fee Valuation: $ ~~~QoO
Surcharge
Pian Review
License /3. r x = Ly7
MC/WS SAC s.SX& " ~3m
City SAC Z Z" 6
Water Conn. ,sX z Z x~ ' 110
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
.
B,e , G 3 PG ;
F~O B E raii~fson 6/c.s
ENGiNEfiiING ~~NSllLT1H6 EHl31HE{q5.
PLAHl1EAS and LAHD SVAVEYOQS
COMPANY,, INC.
L lOC? EAST 1i61ts SRE_7, flUAN5YILLE, YIHHE_OTA SS".137 p4i 412-300G
C4ff rZZ~'Z ctzj!C o~' SZLrYe c~
1-6?r 3~ BLOGK z, BRJ'rT.vNY 97-N acairipIv~
. OAkOTA GcuN7y. A7/NW-46SOYA
l.. /
~4cn4~ 5 ss'zro :a2"E
L961.9J . 135.9(a ~ 9e3.5
5~ ~t - wecuNyTON
o ° /s %.e7 ~8 \ c' ~ ~ Y
I o 1 5~c~ A ~J 6 Q /
i~ " ` ~ ~6_ i3• ~ p ~ } Q ~
jn ao /
ry~ o ~ o e S'oi% ` 63.e~
N~ / b N N Y Uy 'o
0 ~ y Q
N ~10o~ L''1°T'?•'.
S ~ ~ ` / 30' F-¢ONT Avi[..oiNCr
` ~ ~ r8i+c.c ~NE
r r
1 y ~1
\ ~ V/Y~ lr' ~ ~ • ~ L r~ O
S• ~ {~O
y ~
• xs,
`T..c'R ~ DRA/NAFE ;i UT/L/Ty EASEMC/j/T
EAGAN
R E V I W E D C4c3.-J) DENOTES EXISTING ELEVATION
~94q•a DENOTES PROPOSED . ELEVATION
BY ~9H9.o~
DATE ~~Z~g~ ~ DENOTES DIRECTION OF SURFACE DRAINAGE
9(ob.33 ~ FINISHED . GARAGE FIAOR ELEVATION
I heriby eartify that thia -in a t:ue and car:YCt rspz'aaentitioa o! a trac* of
Ijnd as :hovn'and described heraon.. Aa praparsd by me on this &nl d:y ot
T.wa?~Y , 19 $7 . .
Hinn. l~eS. No. 14-0gS
~ IT ~ INSTANT TESTING COMPANY
4000 BEAU D' RUE DRIVE
_ ~ O EAGAN, MINNESOTA 55122
GEDAR AVE. at T.H. 13
PONTABLE TESTINp OF MIGNWAY CONSTRUC410M MATERIALS
. G.J.KOGACEK,VROFESSIONALENGINEER CAlL45r~
INSPECTION RCP:IP.T FOP,
Tnllef=_.on P,uilder=_-
12^i.7 Fe.irgreen Aoenue
Appie L'all.ey, hfiV 55124
PR0,7ECT= BrittanU 9th pc+ditian
bIOCf:: iq Lqt ,3
D!=TE i>F IPJSPECTipN: January 279 1=r2; a 3 PM
uerfnrmea fl V]SV.dI. 1T15pBCtlOfi ofi bior_k: 2, lot 3. Tpp5Ri1 had 'ueen.
e:.;cava.ted to r te.sal snil consistirg ar a siightla plastic sandy loam with
gr,-=-:e:i. ^oing from 3' ro 2 in death. Material sraduallu chcnyed Eo sandu
.
C c. r:. . O l. l. cht qY B'J rl~i_.~: . .,1
_ __..e to biuisi~ 9rey _r.J,ay, a~et but t~.rrr,. Snil ..t±: NA,
, - cnd Sl. . t i y s pon , y.
, . n. WP=. at,Gr, a.': aoPrt` , im,:.te r=.iitrr af house Pad. 1
i* l.r.-d b .;.1b( . _ G.: -r.. . c,i.cb 9.nEa hFnri oroa.nic material tO
, : . r . . ~..._._~'ID; s.:. . . ; i 7 r e . ..c.. 1 f ct Y' B c'. 1 = 1' O ~q ~
_ . . i'.
fC] Ga1`kGt bi.C. t c w<:3 coo-vc . _ ' *o adG tli..e Wh_cr: wc:u_d
r_c.u' iY`r ii; i'Y1o ,
,
i4{:.' c-: r".r.J ~.c~rl i.-1 iar:,ic c:i i.. ~,.c,u r,.rn a-vto
L.?.Y'r_ t'E'iE't^_--q
~~..s~_:.~.C'_l+~YFiP~!~~
~
INSTANT TESTING COMPANY
~ C O 4000 BEAU D' RUE DRIVE ItVPLACE DENSITY
EAGAN, MINNESOTA 55122 TEST REPORT
Phone 454-3544
PRGJECT= Brittanw 9th Addition
FOR; Bloc4:: 2, Lot 3
DATE TESTED: Jrnuary 27, 1987
a 2:30
Tollefson Ruilder=_ DATE REPORTED: January 29s 1987
12627 Fairgreen Avenue
AppiE Valiey, Plinnesota. 55124 AUTHDRIZEP BY= Mar{:n
AREA TESTED : Housepad bac}: fi i 1 1
FIELD DENSITY TEST RESULTS
TEST N_i. 1
LOCATION, aPproximatelU center
Of hOUSE'PaO,
DEPTH P,ELoW GRr',DE: 3' t+elow natural surface
VISUAL SOIL CLASS: Sliyhtly Flastic Sandy Loani
PROCTOR CURVE NO. : i (f987)
MOIST4J.RE: 14.5
OPTIMUM MUISTURE: 11.2
RELATIVE MOISTURE: 129
FIELD DENSII"Y, PCF: 121.9
STANDARU MAXIMUi'1
DRY DEtJSITY. FCF: 124.8
RELATIVE DENSITY. %e 9E3
REQ'D UcIV5ITY: 95+
Test meete density requirements.
Relative den=ity result ba=_ed on standard proctor. Mcisture density test
sampled with field test s Lab. Na. TE87-1
CHARGE CUDE: 1 - #306,
+ hrly - #601 t0.50i
MILEAGE: 11 - #612
CUPIES T0: Tollef=ori Ruilder=
City of Eagan Ene Dept.
i
signea
.v
G. J. Kopacek Professionat Engineer - Registration No. 7254
. . . . --_._.___._r.~-.:-.-.--.,...,..p,-..,...-___ ....."----•,a.m.--- r:r--.,,...
I T° INSTANT TESTING COMPANY MOISTURE/DENSITY
~ CO 4000 BEAU D' RUE DRIVE
EAGAN, MINNESOTA 55122 TEST REPORT
Phone 454-3544 Lag- NO_ TR87-1
Tollefson Puilders PROSECT: Rrittanu 9th Addition
Lot 3. Black 2
SUBMITTED EY: Larry Py ITCO
DATE SAMPLED= Janltary 27, 1487
DATE ftEPORTEL: .Ianuary 29, 1987
SAh1PLEL+ FROs"I: House Pad area
SAhiFLE REFRESENTATIVE OF: Field density test 1
- - -
MOISTtJFtEiPENSITY T,F_.ST ASTht D698-70, PIETHUP C:
rURJE Nt1MRER: TRS7-1
ViSUAL SOII._ CLAgS: Slighcly Plastic Sandy Loam
7TAFJDARD MA=:IMUM DR'x" DEtJSITY'= 124.8 PCF
+?PTIt•11sP1 h1OISTUFtEe 11.'~7:
C.HARGE CODEz i - #303, f - #302
gL>~CE~r
Signed
V
t',. J. Kppacek Pro/essional Enaineer - Regisiraticn ND. 7254
_ ...M, ~
MEMO TO: DALE PETERSON, CHIEF BUILDING OFFICIAL
FROM: THOMAS A COLBERT, DIRECTOR OF PUBLIC WORKS
DATE: MAY 8, 1986
SUB3ECT: HOLD ON BUILDING PERMIT ISSUANCE
LOTS 3, 4, 5& 6, LOT 2, BRITTANY 9TH ADDITION
CONTRACT 86-4, (STREETS & UTILITIES)
Under the above-referenced City contract, the City will be install- _
ing sanitary sewer and storm sewer down the common lot lines of the
above-referenced lots during 1986. Attached please find a copy of
the site plan layout showing the configuration o£ the permanent and
tenporary easement configuration dedicated over each of the
above-referenced lots.
Because of the pending construction activity and the extent of the
pernanent and temporary easements required for the installation of
these utilities, no building permits should be issued on these lots
until the expiration of the temporary easements (Decenber 31, 1986),
or completion and written acceptance of the public improvements by
the Engineering Division, whichever occurs first.
Your cooperation in helping to protect the integrity of these
easements will be greatly appreciated by the Engineering Division
and the contractor involved.
/ HL
Director of Public Works
TAC/jj
cc: Jerry Bourdon, Consulting Project Engineer
Rich Hefti, Assistant City Engineer
Carl Tollefson, Developer
Attachment
y
t' r _ • .
' . ° PERMANENT EASEMENTS
• That part of Lots 5 and 6, Block 2, Brittany 9th Addition, Dakota County,
Minnesota, lying 10 feet each side of the following described centerline:
Commencing at the southwesterly corner of said Lot 6; thence southeasterly
along the common line of said Lots 5 and 6, a distance of 80.00 feet;
thence deflect to the right 29 degrees 00 minutes 00 seconds to a point of
J intersection with the survey line-drainage easement line as shown on the
plat of BRITTANY 9TH ADDITION, and there terminate. The side lines of said
easement to be lengthened or shortened to terminate on said survey line-
drainage easement line and the platted right of way line of Wellington
Court.
TEMPORARY CONSTRUCTION EASEMENT
That part of Lots 5 and 6, Block 2, Brittany 9th Addition, Dakota County,
Minnesota, lying 25 feet each side of the following described centerline:
Commencing at the southwesterly corner of said Lot 6; thence southeasterly
~ along the common line of said Lots 5 and 6, a distance of 80.00 feet;
thence deflect to the right 29 degrees 00 minutes OO seconds to a point of
intersection with the survey line-drainage easement line as shown•on the
plat of BRITTANY 9TH A?DITION, and there terminate. The sides line of said
easement to he lengthened or shortened to terminate on said survey line-
drainage easement line and the platted right of way line of Wellington
Court.
SHEET 1 OF 3 SHEETS
.
_vl"R Y CERTIFICATE OF SURVEY
` FOR I oL-LeF4oN Bu„vcRS KURTH SURVEYING INC.
INEREBY CENi1FY TlIAT TNIS StIRVEY. PLAN.ORREPORT y/A$ pqEiABEO - ROOY JEFFERSON STREET N.E.
BY YE OR UMOER MY DIREtt SYPERVISION ANO TNAT I AM A W{,Y . COLUMBIA HEIGHTS MINNESQTA 55421
RE STENEO lA OD SygVEYOR UND TNE AWSOFTNE STATH OF MINNESOTA. 612-T88-9769 . DATE ~
li U
scaLe I"- 30MINNESOTA RE(il RATION NO. 1(e113 o-IRON MoNUMENT
I S;~
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CARI.IGSi , 1.CTS' 3
«yp~GqTCS p1.ATC~O EqS&METIT~.~NG
- - 4NDICATW_S #e- OF NEWEA.E.EMENTS 11kOlCATE.S 1_tM1T OF XEW PERI~ENT Ey+\`T
-1NPICA~'C~ 1.1M1T CF '(EMPO~~R~C .
CpFkSTRUCTION EASLt+~~NT '
`..07 i!~. ~~~~R 4..... BFZ\77M1`( 9-r`vk
ADO\T~ON.
DAKOTA COUNTY, M\NNESOTA.
SlJE.GT ZOF3SI~.~CZ'S
- ' CERTIFICATE OF SURVEY
FOR "7oL~FSON ESU~.D-RS KURTH SURVEYING INC.
111EREBY CERTIFY TNAT TIIIS SYpVEY, GLAN,OR pEPoRT WA9 PREMRED 4002 JEFFERSON STREET N.E.
BY ME OR UNDER W qRECT SUPERVISqN AND TNAT 1 AM A WLY COLUM61A NEIGNTS MINNESOTA 58421
Rl6K7`FEGLAN V~OR NDy ~.y T11E~L1NYg OF TNE STATE OF NINNESOTA. 812-988-9788 DATE aW
l )~Y-!ri
~ J~~ ' ' SCALE 1 . 3
MINNESOTA REG TRATION NO. ~,t13 om IROw MoNUwENT
111PIC.ATES PLA,'CL-D C-AS~cM~NT l.\13C
INDIC+~TES OF MEW EASCM'LNT 9
tND%GqT@S LIM\T OF NEW 4VRM44,\'ENT ESM~C
- 141D1[A'cES L.%M\Z' OF'CEMPOR RK
CG1STi~uc.T 10K EAsE.M~'c.N~
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M\~nIESOZ' A. I
SHEE't 30F'~SM1EE"CS
CERTIFICATE OF SURVEY
' FOR ~~~FsON ZavkL-S~rzzRza KURTH SURVEYING INC.
I XEREBY CERTIFT TNAT TXIS SURVEY, PLAN, Olt REPORT YGS PpEPAREC 4002 JEFFERSON STREET N.E.
BY YE OR UNOER YY OIRECT S1IPERVISIOM AND TMAT 1 AM A OULY COLUMBIA HEIOHTS MINNESOTA 58421
RE614TEfiED LAMDuRyEYpJt YqDER TNtLAWNE STATE OF MINNESOTA. 612-788-9788 DATE H 17 $6
YU \ \ SCALE I°a 39'
MINNESOTA REfiISTR TION N0. 1~e11'3 On IRON MONUMENT
- - - - 11.1DtCATES p~~TcEp Ep.SE.I+\E,1yT L1NE
fWMCATEfb 4LOF NEW E~asE.ME7N'S'O~'
lub%CAZ'eS LIMVr oF KEW ptRM4t~~~'
W E~1~` O~ ~ 1}IDICATE5 L1MlrT Or- TEY~DOZZARY
0 c.c~s~c~u~~~oN rAS~M~.~vT
COlS,RT CWL~(.CR.
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ZRVC"CNN`( 9zA ADD1~C10t4. F"44.-77
VAKOTA COV,NTY, M\~1~lESOTA.
gFLGt_T 2,OF 16 S+.OEET~
• PERMANENT EASEMENT
` That,part of Lots 3 and 4, Block 2, Brittany 9th Addition, Dakota County,
Minnesota, lying 10 feet each side of the following described centerline:
Commencing at a point on the southwesterly line of said Lot 3, a distance
of 30.88 feet, northwesterly from the most southerly corner of said Lot 3;
~.J thence northeasterly to a point on the line common to said Lots 3 and 4, a
distance of 69.03 feet, northeasterly from the most southerly corner of
said Lot 3; thence northeasterly along the said common line of Lots 3 and
4, to the platted right of way line of Wellington Court and there
terminate. The side lines of said easement to be lengthened or shortened
to terminate at the boundary lines of said Lots 3 and 4.
TEMPORARY CONSTRUCTION EASEMENT
That part of Lots 3 and 4, Block 2, Brittany 9th Addition, Dakota County,
Minnesota, lying 50 feet northwesterly and 20 feet southeasterly of the
following described centerline:
Commencing at a point on the southwesterly.line of said Lot 3, a distance
~ of 30.88 feet, northwesterly from the most southerly corner of said Lot 3;
thence northeasterly to a point on the line common to said Lots 3 and 4, a
distance of 69.03 feet, northeasterly from the most southerly corner of
said Lot 3; thence northeasterly along the said common line of Lots 3 and
4, to the platted right of way line of Wellington Court and there •
terminate. The side lines of said easement to be lengthened or shortened
to terminate at the boundary lines of said Lots 3 and 4.
SHEET, 1 OF 3 SHEETS
, .
CERTIFICATE OF SURVEY
FOR l0LLLCS0K Av~t,..DcRa KURTH SURVEYING INC.
1 MEREBT CERTIFY TMAT TN18 SYRVEY. PLAN, OR f1EPORT WAS PIiEPMRED 4002 JEFFERSON STREET N.E.
BY M6 OR UMDER MY OIR6CT SUPERV1410N AND iMA7 1 AM A WlV COLUMBIA HEI6MTS MINNESOTA 68421
RE615T ED LAND SY EY~Y TH LAWSOFTXESTATE OF MINNESOTA. 812-788-9768 '
OATE 1 ~
- $CALE Iu+ 30'
MINNESOTA REGI8 ATION NO.)bll3 ~OSIRTON NTN` NNT
1NDlCA1-ES ~OCN~W ~O.,yLlnF,NY^S
"1NALCP.TtLS LIMk'C OF 1,1r_-W PEW+V~NE.K'C E.S1'~~'
LIMIT OP TL-MPORAPCK .
C.O~,IOYRI.~CT~Ot~( ~AS@.!'ti'LNT .
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Z:~Z\1C~ A.AY 9-c"k A991T10N.
DAKOTA COU,n1TY, M\t~~ESOZA.
SKEET 3 OF 3 SFI.GETs
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144774
Date Issued:08/08/2017
Permit Category:ePermit
Site Address: 4857 Wellington Ct
Lot:3 Block: 2 Addition: Brittany 9th
PID:10-15008-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Kurt S Gengler
4857 Wellington Ct
Eagan MN 55122
(651) 681-8564
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature