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4472 Woodgate PtRESIDENT / OWNER Name: Mar \j L naQi c 11 Phone:G 5/ 686 (] Address / City / Zip: q `"'I 7' J0od 3 c.*o Pc 1 i Applicant is: Owner Contractor TYPE OF WORK Description of work: \ O QQ, 6 WI r\c\_ ©W s I Y "e' 1 st-- ' ' 1 i -1-e. / dpt/°� Construction Cost: - 39 Multi- Family Building: (Yes / No V I S ( CONTRACTOR Name: W'IIZ o 1/4J.3 C ewe e s> - V5 License #: -O �D \ Z 9 -. I Q l Address: 0 Lone_ Oak R:1 I/Y Cit Ea Q r State: PA Zip: S 1 c? I Phone: 6 5 1 10 b 0105 Contact: I ` 0.'m e\-t -- S® Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: OTE titans r d up ortrn do rrr tint t ►at you ubnn e yed o # e aub i inf r Po fhe anform maysbe assified r or i i lrc t ovid ii i eason owe � � f con clude, that tlhe�r are tra 4 11116 CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 RECEIVED Fax: (651) 675 -5694 MAR 2 2 2011 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: — E 1 1 3 — l 1 Site Address: e I I 7 Wood 5 Tenant: Suite #: Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: 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.gopherstateonecall.orq f 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 of plans. x ��Ql1C S /Z° SI� Applicant's Print Name Applicant's Si VIOL 1E OF EAGAN WATER SERVICE PERMIT 3795 - Uot Knob Road PERMIT NO.: 1842 Eagan, MN 55122 DATE: 9/26/75 Zoning: RII No. of Units: 4 Owner: New HOriZOf Address: Site Address: 4472-74 -70-68 Wocdgate Point Plumber: 'Peon Plvmlbing Meter No.: Connection Charge: G4 © Pa Size: Account Deposit: Reader No.: Permit Fee: 10.00 billed agree to comply with the Village of Eagan Surcharge: .50 billed Ordinances. Misc. Charges: r Total: 13y r / Date Paid: Date of Insp.• Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2601 Eagan, MN 55122 DATE: 9/26/75 Zoning: RIT No. of Units: 4 Owner: )V Rorizon Address: Site Address: 4472 - 74•7068 Woodgats Point Plumber: Thompson Plum bins Co. agree to comply with the Village of Eagan Connection Charge: 1700.00 pd Ordinances. Account Deposit: Perm Fee 10.00 billed Surchar e: .50 billed By: Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Wow a I r4rammuse i AOIL-of~ Dow fbmko* f wd } 30- EWWrM f5l I t (W) 2©13 RES1DENTA- BU'LDING PEfVMT APPUCATION 4; k • a ta`l Phone: 7777- ~ NOW C.it~► / Zip: = AppC owner Imoric Type of WOrk Descxl MulEl-F~ l► Ould / / No ) z cons"cdon Cost rs Vrw I ~/~AYYVM SEW campy ~A P,; Q ~Slau1 AddmW 15631 w c; -7 ff w&aCtOr tr 5 Pbow 573` 6 2VC : explain (see Page 3 for adc mv lead p If the I is Soffit *M COMP(- TM AREA ONLY IF CONSTRUE A -ROASSM = two Nis Cf4/ of ~ ~d a ptor a air P~ based On s a~ P~~ to the ~ 1Z wwnswi Yes No if yes, dab and address of masbr Plum Phone: OdOr- g L kmwed Pb Phone: CiOpMANCIpl; Pbda~ fr~~ Of _CRY to ilia ~ _ _ ' - owe car art A~1 ~~elator prada~ apaYmt 11i1e~°ua°t d~ CaY 9a doors Al I C' iderrd b db b moetre locales of %x de wwd and codes des CRY Of refoce you I hereby adcnatdes Ind flea + ~ and app fta foruP~ and weak is sfadf wi11or1R s P~ wadlc vA be to Hs is 04 s pa~• but ~ an a of p~ EMM" its a fi Uw afwdxkwlrid~ a rsrlerr and a , aeret M coa vflp1n lw SWOWNMVAb MMMrwork b►'b PmMWrtsuedisaooo 'mss °e°b ft" of pas WMML PA Pao 1 ofs PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132829 Date Issued:09/08/2015 Permit Category:ePermit Site Address: 4472 Woodgate Pt Lot:013 Block: 002 Addition: Woodgate 3rd PID:10-84602-02-130 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Mary Lou Anderson 4472 Woodgate Pt Eagan MN 55122 (651) 686-8070 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature