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2044 Vienna LaneCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA101057 Date Issued: 09/19/2011 Permit Category: ePermit Site Address: 2044 Vienna Lane Lot: 012 Block: 06 Addition: Vienna Woods PID: 10-81950-06-012 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Don Istel 2500 Hwy 88 #215 Minneapolis, MN 55418 612-354-3350 Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $55.00 Contractor: Istels Installation LLC 2500 Hwy. 88, Suite 215 Minneapolis MN 55418 (612) 354-3350 - Applicant - Owner: Phouthavong Sivongsay 2044 Vienna Lane Eagan MN 55122--233 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. Applicant/Permitee: Signature Issued By: Signature Date: City of 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 riEd- L Use BLUE or BLACK Ink For Office Use Permit#: / 22 6--S c Permit Fee: 0 Date Received: Staff: INFLOW ,,INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Tenant: Site Address: 90 LIL r1-\ 1.Iotft.� Suite #: RESIDENT /OWNER Name: Address Ot t- -\cAVOnl �)"t �n /C1 6.5711 - Phone: sl — 6ct yci,b 1 l / City / Zip: 9bL'4-{ a Ili Pi A I_ il-ti. i gitaf'L �n ! 4 6 /..DD CONTRACTOR Name: Address: State: Contact: License #: City: Zip: Phone: Email: TYPE OF WORK PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building Repair envelope) Other: DESCRIPTION Description of work: l g6C ` \ CiLt—k 1 GSC jI e P , It # /;1 410 6- 0 FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 5-6 ' 00 * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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 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. oAA'1UWo Vooct S Applicant's Printed Name x 'ST Applic nt's Signatur FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Final S & WA t iPER # OFFICE I NtY - "c Y t}F A AN METER # PERMIT DAB 5/ l�4 Pi1Qt i b Ri i. • CHIP # WATER t tMIT t 1 •, Eol iaMl �1 � 1897 -'` .:. • . �' ; • /21 X68 METER SME 8 . : 1 ECEIPT BATE B.P. F OPEIPTfAIE 5 XX PRV _ EiD9 STERPUNMP S ITE A RES.S " . . ' � R #ESTED LOT _ LOCK SEC i =rri .® ►PPLIC G r40e. . # C o - ._ SEWER, WATER TAPS A D ADDRESS: Z �3 6 • /7orv , rt e ' b. S . " COMM IND �! RES NTIA L. Y STATE ' ' (p / °+v k ' 1 ZiP ' / f . , . Z9 Z ora 2 . EWi . _� EXI + R el/ . , . R ..� 1 AGREE COMP W IT t CflY'OF CITY, STATE s ci -t ZIP .s ' �� ' `1 A PNQNE: ��?'? r ZFZf , °ER: Q NA' RE WHEN R. QED 11' COY.. STAVE. , _ '` PHONE .lt: . ALLOW- Q _ . ' FO RM R P EA S, ` AND = ` ".BE NOTIFIED 9 R IS°I SSED . - f PERMIT City of Eagan Permit Type:Building Permit Number:EA118737 Date Issued:11/07/2013 Permit Category:ePermit Site Address: 2044 Vienna Lane Lot:012 Block: 06 Addition: Vienna Woods PID:10-81950-06-012 Use: Description: Sub Type:Reroof & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Windows/Doors: If altering the opening size, a framing inspection is required. 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 - Phouthavong Sivongsay 2044 Vienna Lane Eagan MN 55122--233 (651) 681-9420 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature