3321 River Bluff DrCityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 / S3/6; �.� /� ` / / 23
Date: 4 • n • a0 // Site Address:
x ��oe/I te.601
Applicant's Printed Name
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
A .pl nt's Signature
Use BLUE or BLACK Ink
Permit #: ClO 9)*(9
Permit Fee:
Date Received:
Staff:
RESIDENT /
OWNER
TYPE OF WORK
CONTRACTOR
.3/3 At i RJa Pr
Name: Om
Address / City / Zip:
Applicant is: Owner x Contractor
Phone: 76.E - Hy9 - WO()
IL Ad
Description of work: RP ,�f7)p
Construction Cost: 49y G //. $ 5
Multi - Family Building: (Yes X / No )
Company: . t ,t o ke ,h 61 o f ) 7 - Contact:
Address: 59 760 14
State: M f\J Zip: 55//O Phone: 6 - 76 - 9029'5
License #: c15 /5 /g
City: it Pit c1,
Lead Certificate #: NAT-- 3 -0
�I Pe l
lithe project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 & Water Contractor: Phone:
i TE: Plans a
nfor
Unit #:
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. wvvvv.gopherstateonecall.org
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 app , val
Page 1 of 3
V�l7�i L71.YV V� Y�/'��.ra�����•
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1 For Offfce Usa �
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C�t af �� � ; PeRnit#:_ ' S I
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I PeRnit Fee: ,
3830 Pilot Knob Road � I
EagBn IIAN 55122 � Dake Received: �
Phane:(657)675-5675 I �
Fax:(651�576-5694 ' � Staff: j
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2015 RESIDENTIAL BUILDING PERMIT APPLICAT1t]N
C-e�.�;:,r' �3(,u�'-� Tc���+ h�� s-c� .
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Qar�:?�-/�'� r? Site Address: 33 i 3 ��v��t�,�r I,c,���'j�-:v'�e., 55�a��n��:
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Name: �hone: �
� Residentl ;
; pW�� ; Address/City/Zip: r
;
�S 3 Applicant is: Owner ,,,�,�Cvntractor �
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Y 1 �
T e of Wor1c � Descri tian of work: ��� C� n 4� �
r yp • p
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4 ; Construdion Cost: � ��: �v�� Multi-Family Building:(Yes 1 No !'
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� �s Cornpany:Cj�.'�Y1 r��{-' 1'S-�w1 �c�-z.�t'S Contact: ,J c�(?.� �-�'_� .��iY 1
� At�dress:�-l'� lG' �R:��� �l 1/1-� Cily: �'�'� �t�t 1
, Co�rtractor (' �
� State: �1/t� ZEp: � C� !v Phone: Ernail: �Yi`'t'v P S-t tn r� ��'2�^�-�'��.�5�
t ! i - (���T-�a :���.
� License#: � �V � i S ,� �_Lead Certif+cate#: '� �3� � °
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? �f the pro�ect is exemp#fcom lead certi#icati�n,ptease expiain why:
;
i :
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GOMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
€ !n the tast 12 months,has the City of Eagan issued a permit for a similar plan based o�a master�ian?
;
5
' Yes No If yes,date and address of master plan: '
t
� Licsnsed Plumber Phone• �
�
s '
i
: lNechanical Corrtractor. Phone: '
�
�
; Sewer 8 Wate�Contractor: Phone: `
i �
� Fire 5uppression Cor�tractor. Phone: a
� NOTE:Plans and s�pportfng docurnents thatyou submitare considered to be public ir�format+on. Potfions of ;
r the intorr�ation may be cla�ed as non public if yvv provide specff'rc reasons that wo�ld permit th�e City to �
�y�� --- ----.._.�...,�..�..�. conclude that they are tr�de secrets. �.�._._. ..�...-
CALL BEF�RE YOU DIG. Caa Gopher S1ate One Cali al�651)d5�E-OD02 for prolection against underground uliliy da�nage. Ca1148 haurs
before you iMend to dig lo receive locabes of�dergraund utillties. wwir�.ga�herstateor�ecall.om
I here6y s�[cnowledge that ihis infamation is compiete and accurate;that the work wiil be in coaformance with lhe orclinances and codes of the City of
Eagan; that 1 understand this is not a permit, hvl anly an application iw a permit, and work is not to sfart without a pennit;that ihe woiis v,riEl be in
accordanfle with the approved plan in the case of work whic�h requir�a review and�proval of plans.
Exieriorwork authorized by a 6uilding permit issued In accordancewifh fhe Minnesota State BuUding Code must be complated within 180
ilQ�f 9f pV►lnit isal��nwo _...
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AppiicanYs Prinded�lame A s ignature
,` Qage i ot 3
- ` ������� O ___Use BLUE or BLACK tnk �
�{�
�i � For Office Use, �
• j Pertnil/: �� j
City a����a� � �v- ;
� Permil Fee: � .
3830 Pilot Knab Road
Eagan MN 65122 � Date Receivad: j '
Phone:j651)676-5675 I � ,
� Fax:(65'i�6755684 I SWfl: I
� �----------------'
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, 2014 RESIDENTIAL BUILDING PERMIT APPLICATlON =
o j� �tf� '
`� Date: Site Address: ���' K-•� � ��� ��{v�__ Unit l�: �
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o : . _ ys:`-=_{�;(`':';';' Name: , IIP.�_ � ► `�SY�vf ` Phone: � ��L �-��� '
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c� -==f��li%�er;��rf�, Address I CiEy I Zip.
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� -- ---`>x�_F;-`��"r`;`.�� ApplicanE is: Owner Contractor
��sr��:•<rs"'"
;;��:='��=s;��.;:�,�:.:::;:.�. — ..� � ,� � - 1�� �1 �°�' -
'`s`r>s�'.�::�'�'Y`"�y;."=''' OescrPplion of work:
::.fi���,�t;'Wo�kY. � � ✓ � -
�t_:"-`..}..�ri<�:..>.i i'c:: :
-.�G'•:sR�%i�.`.�:`•t•^_:-�::<� �� 1 ..
�.�;_Y:_:;:�:.�:�.;;.: Consl�uclionCost Mufti-Family Building:(Yes_!No_} �
-'::-.:�l.:.-�=n+e.'iit::"�''-_.
,--::.��:_:_.., _.._>.��•:�.; ryEARTH & H '
,-;:�' __ ::. _�_.--�`;�� Company: QME TECHNOL�GIES Contact: Z,.Q� �QGJ����� !
���'- _- == -�'' =�"-` HOME I
- :�=`:':_-:;��:'=-;�:::�;:- Lic 8CG62656 ,
-�r:•- -.;.: Add�Css: Cily: :
_-:Cont�acto%_,� W AVENUE !V �
_; �;;.::�E:,;:;�:_;�,;: OSEVIL
--:�_-;��; ``- .::."::`==-- Slate: ZipR LE.-MN 55Pbane:
:-.=�:�r;:=•:';:«: °"
;�'t.�;:=�s'"c;x;zir r 651.633.2561. �
4-z�:��`��;i' = - License�:F:C.«Af1�,I��D - Lead Certificate#:
=,- .ka f
If the projecf is exempt trom lead certi8cation,pfease explain why:(see Page 3 for additional information)
COMPLETE THIS AREA ONIY IF CONSTRUCTING Q NEW BUILDING �
In the last 42 months,has the Cily of Eagan issued a pem�H for a slmilar plan based on a master plan�
e
Yes _No li yes,da(e and address of master plan:
Llcensed Plumber. Phone:
i
i
� Mechaaical Cont�acbor: Pf�one:
�
� -
u- Sewer&Wale�Cootractor: Pbune: -
`O •-:NO � :=.lai�s=;a�i'dsu�' `or.#in�'�d'ocuitrelits; -a � -�`7=:�`ttti/IM/f��`:aire°oRs1(J''erei��fo=ba- G/�lic`in'/oi'" "onr�°Po� `oiis=y/`�f<'y�� ;
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� CALL BEFORE YOU DIG. Call Gopher State One Call at(657)45d-OOU2(or prolecUon against underground u[ility damage. Calt 48 houts :
Nbefore you inlend to dig to receiws Docates of underground ul7ilies. www.u�oaherstateonecaA.ora �
O
� I hereby acknowledge Ihat Ihis in(ormation is complete and accufala;that the work will be in contormance wilh the ordinances and cndes of lhe City of �
p Eagan;Ibat I undersland Ihis�s no!a permit,but only an applfcallon for a permil,and work is nM fo start without a permit;that 1Ne work will 6e ia
acoo[dance willi lhe approtred plan in the case of work which repuires a review and approval of plans.
Exterlor work aulhorized by a building permR tssued In eccordance wlth Iha Minneaota State 8uilding Code must be completed wlthin 1H0
days of permitlssuance.
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Applicant's P�inted Name A cant's SI ture I
Page f oF 3
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Nov 25 2015 3: 20PM HRUCKMUELLER PLUMHING INC 8516882160 page 1
Uso B�UE or BLACK Ink
jFor Office usa i
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(tit� of F�n�� ; P.�,��� �
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3630 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
�I.���./QtA\R7C CC7G � � � ' I
Fa�c:(851)675-5894� �5�--------------�
20�5 RESIDENTIAL PLUMBING PERMIT APPLICATION
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RESIDENTIAL FEES:
i�v.GO'viiaier HeaFer,i�vaier Soiiener,or Wafer Fieaier an S6�'i�l�r�inciudres 3iate 8urc'r�arge} �
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a60.00 Add Plumbing Fixtures,Sentic Svstem Abandonment,Water Tumaround'(indudes Stete Surcharge)
. N�I��::T::�GMii�J/GJiI P�.�'�n.,�;�_�b.�sa:�_-_-:::-:re �
;115.00 Seotic Svstem New(indudes Courrty tee and State Surcharge) �
TOTAI.FEES:i
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I hereby adcnowledge thet th�informalion is oomplete and aocirate;thal fhe work will be In corNomn�ce wilh fhe ordinanc�and oodes of Me Gty of
Eag�;Ihat 1 undersland this ls not a permit,bul only an applicaHon fir a penmit, and work�not to start without a permil;ihat the wo�k will be in
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Use BLUE or BLACK Ink
� r----------------�
I For Office Use �
C' � Permit#: /��//�� j
��� O� `���� I Permit Fee: / �J� � j I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I �
Fax: (651)675-5694 � Staff: I
� I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
—� �'`-���.�
Date: Site Address:� ���.����� ���G� ��� Unit#:
, Name: Phone:
ReS�+C1+�� / -�
(}yy�g� ;�; �: Address/City/Zip: ��! � �iVLR13�u,FF� .�R • �6•�ii �1'1�✓� SS/�3
Applicant is: Owner �Contractor
� �` � ` Description ofwork: �C'P��4c� �'�r+-R.ia.t,-rf �oOlt,�
T�p+R 4��►�rk '
w
Construction Cost: � .3 Multi-Family Building: (Yes�/No�
Company:(_�}-i1,YVo�J Vil-U��w, ��Crri° d�Dizs�,L[,C, Contact: �7Fi1�'��0�✓�'"�
��������, Address: 357RD 91�� AI.E�. City: (_.�9'NNd�✓�i??�LS
: State:�Zip: SSUO Phone: �oS/-�y5- 03�/ Email: SJohtAtSav�CA+✓�N✓ki��/��qd�"� ns,c�„
License#: /J�� Lead Certificate#: N�f}
If the project is exempt from lead certification, please explain why:
,No Le� Pafs�.vr'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�OT�';Pta�is.�r�d;sr��por�g t���ur��e�,s f��,�uu��br�i�are;c���d��ed to bE�trf�c�nai��.:Ptrrfio�s.�rf :
�e i�fvrr»�f1c�n�a,�y��cla�st�'ietl�rs��n pubt��if y�u}�ra���l�s�ecifrc r�p�s tt�a#t�c��l�l per��f�e C��°�. '
�or��ud�.t�a#fh are tw��(e�e�r�:
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.qopherstateonecall.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 of plans.
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.
x S�'�VE" �uN�NSc�N x
Applicant's Printed Name Appli ant's Signatu e
Page 1 of 3
08-02-'16 12:13 FROM- FIRESIDE T-369 P000110003 F-902
„it,ovoof /^UUIU
*City aiP,atan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675.5694
MI6 U.101i
Use BLUE or BLACK Ink
For Office Use
Permit*:
379&3
Permit Fee: 9° • C Q
Date Received: 8 ' 2 - ro
Staff:
/2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: j Z-1 !G Site Address: 3 321 River BI w b tr ► ve.
Unit #:
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Name: T`GV`tv:5 0. I Y1o'Wt,s P% Phone: (o (2- 309— Z/Oy
Address / City / Zip: ..54,M -C a 5 Sr
Applicant is: Owner _ Contractor
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Description of work: � t roi. 0 Id � /ref ce, 7 '1,542:111 %lY°.1rtl As Fwe
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Construction Cost 2. D. Oe Multi -Family Building: (Yes ___• / No _)
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Company: r e 51 c' -t. R-c_a_r 4-� 1 4 0 v►ve.Contact: pay -le -vv.- 65 i -65f, 3 '• •
Address: 2100 thr'i-e,J Ave.., AJ City: ROSevi11
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State: M4 ip: 5VI J3 Phone: IBJ �ro4,5.5D mail: ADS•eu j Ii 4 644.i (142.0e- QPSa0 h
License #: AC 6t0 2 6'54, Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes If yes, date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Pbone:
Sewer & Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.ttopherstateonecall.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 of plans.
Exterior work authorized by a building permit Issued In accordance with the Minneso i=tate = uilding Co ust mpleted within 180
days of permit issuance.
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Applicant's Printed Name
x
plicant's Signet
Page 1 of 3
h
C!ty of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 0 /1-.3
Use BLUE or BLACK Ink
For Office Use (/
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
ird
Site Address: 1221/2.--. tL, W 1\ Unit #:
Name: e%Z Ij4- 11,-.13-4 d/v
Phone:
Address / City / Zip:
( l Lv Gtls l-1Zf
Applicant is: Owner P Contractor
Description of work: '17iai--i---- t,.\zrc-t I rc L
Construction Cost: `' - 2-. ..
Multi -Family Building: (Yes
/ No )
Company: G t206-1- r t.- ? M,osContact: Y -A 13
Address; �� � _ City:
State Zip:/.X;40(e)Phone:17(2 -75(- Email: P ,jC�P %'c ( 4°J 6/144,-
LicenseLicense #: 06-6610(6 (0 Lead Certificate #: OA- F t 2l IP
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
shone:
NOTE: Plans and supporting documents 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, y
CALL BEFORE YOU DIG. can 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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minneso •te Buildi ''Code „ 7.e c•mpl•ted within 180
days of permit issuance.
Applicant's Printed Name
x
Applicant's Si
r
.1
"rature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01of6Plex
WORK TYPES
New
Addition
jt Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Interior Improvement
Move Building
Fire Repair
Repair
1134
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
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
ItilFinal / No C.O. Required
VAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
— ;
33--31
looe
Page 2 of 3
Aug 291611:32a NICE NEAT PLUMBING, LLC
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
6127886181 p.1
For Office Use
Permit
Permit Fee: (O -
00
Date Received:
Staff:
1
J
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
AUG 29, 2016 3321 RIVER BLUFF DRIVE
Date: Site Address:
Tenant:
Resident/Owner
Contractor
Type of Work
Permit Type
Suite #:
TERESA THOMPSON 612.309.2104
Name: Phone:
3321 RIVER BLUFF DRIVE
Address !City / Zip:
NICE NEAT PLUMBING
Name:
PC643627
License #:
2227 NE 6TH STREET MINNEAPOLIS
Address: City:
MN 55418 612.788.6181
State: Zip: Phone:
Contact:
STEVEN MEMORICH
Email:
BIGDRIP1 @MSN.COM
New ✓ Replacement _ Repair Rebuild _ Modify Space _Work in R.O.W.
Reinstalling toilet, sink & tub/shower faucet for new tile install
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround*(includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
"• $115.00 Septic System New (includes County fee and State Surcharge)
Water Softener
Add Plumbing Fixtures (✓ Main /_ Lower Level)
Water Turnaround
TOTAL FEES $
CC
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.aooherstateonecall.orq
1 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 1 understand this is not a permit, but only an application for a permit, and work ' 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 approv- • a
Steven Mernorich
x
Applicant's Printed Name
plicant's ature
FOR OFFICE USE Reviewed B
Required Inspections: Under Ground Rough -In Air Test Gas Test
Meter Related Items: Meter Si7e Raclin RAM Manometer Staff.
Date:
Final