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4272 Meghan Lane�City 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fob Q ce£xlse "(Z6 Permit #: lI, Permit Fee:` 6) `-' Date Received: Staff: 2011 RESIDENTIAL—PLUMBING PERMIT APPLICATION of1 Date: 1— l J — (� Site Address: 1 a N -it hah Lane. Tenant: < J Suite #: RESIDENT / OWNER CONTRACTOR Namel—O jm Went n9ar Phone: (PS I - 4O5- d17 //, Address / City / Zip: Ll. y _,ig a Ln MI) 55iaa. Appliance' nnections Inc Cr 1313 Dania License #: Address: City: State: Zip: Name: Contact: 952-445-480a: Email: TYPE OF WORK New ) Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PV8) Septic System New Abandonment XWater Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) �C ^�1 TOTAL FEES $ �hJ .00 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. x TgrnFe �.w Applicant's Printed me x Ap cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ' _Under Ground Rough -In Air Test Gas Test Final 41' City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 242012 2011 RESIDENTIAL BUIL �./ /°(-77-7.—erite Address: / 06 Name: Use BLUE or BLACK Ink For Office Use Permit #: 0243 Lr Permit Fee: 01--13te Date Received: Staff: ING PERMIT APPLICATION C /n forf/i Unit#: CLOMG444-: Phone: J Address / City / Zip: Applicant is: Owner Contractor v c 1 DArn(Aci t`�1 l V1L( 11(pLa / SIC (►' ? /2U i't -S Description of work: t�G „ t r^ Construction Cost: 00 O Multi -Family Building: (Yes Y /No ) Company: Mi-- Address: I LI S® COLAY14-1 State: .N\)3 Zip: .15._(,v Phone: (0 (a' ct 0L 1 —1 - 41 0 Contact ) } f I.Qckf`tL�►5 City: K)Or tti bl7J License #: Wag, (#2,55,c23 1 Lead Certificate #: If the project is exempt from lead certifiction, please explain why: (see Page 3 for additional information) 64-(172. /9 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: Phone: Sewer & Water Contractor: NOTE: Plans and supporting documnts'ethat you submit are considered to be public information j 'Portions o'. the information may be classified as non public if you provide specific reasons that would permit the City toy ... conclude;that they areradesecrets; 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 1 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 Buil 'no ade st be completed within 180 days of permit issuance. x l /ma 3. ke cl e Applicant's Pr nted Name x pelican ` . • — tune Page 1 of 3 1-1 LP ftt" DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family XMulti 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 0 CP a Plan Review (25%_ 100%) Census Code # of Units # of Buildings Type of Construction V0 REQUIRED INSPECTIONS Footings (New Building) Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Code Edition 04/V4 2-a )7 Zoning Stories Square Feet Length Width Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: J 7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ as Septic Other: Ci Pool: _Footings Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath - Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control lest Gas Line Air Test Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0_0 of v6cid pociAt, yt(i-yof,h- / Page 2 of 3 City of Eagan PERMIT 41' City of Eaan Permit Type: Mechanical Permit Number: EA145454 Date Issued: 09/11/2017 Permit Category: ePermit Site Address: 4272 Meghan Lane Lot: 104 Block: 03 Addition: Meghans PID: 10-48250-03-104 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary: ME - Permit Fee (Replacements) $59.00 Surcharge -Fixed $1.00 0801.4088 9001.2195 Total: $60.00 Contractor: Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 - Applicant - Owner: Thomas W Weninger 19161 Greenview Ct Prior Lake MN 55372 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