1988 Overland CirRESIDENT / OWNER
Name: C LLt 0 Willi I la Phone: LoT I `7 `l `7 I I ® I
V
/,/D
Address / City / Zip: , v � ' ` vema ' M L4 r
CONTRACTOR
Name: S I c License*
f ,
Address: 131 L City:
State: Zip:Shakk® eo, rte
9524454803
Contact: Email:
TYPE OF WORK
New ('Replacement Repair Rebuild _ Modify Space _ Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / — Lower Level)
Lawn Irrigation ( RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
"Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
1 10 1 ` ° CityofEaali
3830 Pilot Knob Road
Eagan MN 55122 ED
Phone: (651) 675 -5675
Fax: (651) 675 -5694 JAN 10 2011
Applicant's Printed Name
Opel
Staff:
�
2010 RESIDENTIAL PLUMBING PERMIT P APPLICATION
j
Date: 1` O 1 Site Address: O O V tJr (/w' ' 0 y
Tenant: U O A dr r ► YL-1
Applic (it's Signature
Use BLUE or BLACK Ink
1
Permit #: Q1701
f
Permit Fee: � ✓ OV
Date Received:
J
Suite #:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gopherstateonecall.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 with the approved plan in the case of work which requires a review and approval 4' fans.
FOR OFFICE USE
Required Inspections:
Reviewed By
tough -In Air Test
/A- Y
10
4E
r-----
For Office. se
Permit
City of Ea
b I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 j Staff: I
Fax: (651) 675-5694 I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
7 7 f
Date: 7 f! Site Address: 1'779) i 21 1 c 1`t~ I q 94~1 1 n~ e`5/cor~lL ,r ? l r'C!1'
"tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: & xeil)
Construction Cost: Lr>C~ Multi-Family Building: (Yes- / No
CONTRACTOR Name: L-2 /,r/ ife. License Z~lb
Address: /G>G~ ~dG1 7YY~zai' 5-xe-1 l e 2'Y,:0
City: State: /1W Zip: -533 . )
Phone: /C-'1 3 (0 b4,0 Contact Person: /`7i p SCf7 _
COMPLETE HI AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last '12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Dater Contractor: Phone:
NOTE, Plaits and supporting,da.curments that you submit are'considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets:
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 I
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
occordance with the approved plan in the case of work which requires a review and approval of pla . i
x 'A) V►~ l~Vls C~_ x
Applicant's Printed Name Applica s °gnature
Page t-3