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
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/ 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
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METER SME 8 . : 1 ECEIPT
BATE B.P. F OPEIPTfAIE
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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