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4273 Meghan LaneCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 242012 Use BLUE or BLACK Ink For Office Use / Q Permit #: / 6 Z 0 3C - Permit Fee: / ! 1- 3 Date Received: Staff: 2011 RESIDENTIAL BUIL! ING PERMIT APPLICATION (, �11 '�i. io'yi Unit #: Date: /-°(-7.-7. Site Address: Name: Fri G2 0 war, ;0 nib, Y^LC Phone: Address / City / Zip: Applicant is: Owner Contractor Description of work: �„ tS� Q CA 1►ry1(,��(_c,l �1 Y I SI CAI /2(f)/6,1t / p-/Jjr/s Construction Cost: 00 C— Multi -Family Building: (Yes Y / No ) Company: MTP S�1 -�-t S 1� L. Address: l`IS0 (01. -tri -i Q-ct State: .Mr\)1/4-) Zip: .15--(-0 cZr Phone: (& tg-"TC �I'. ( -`� 440 ContactrV Frtv2_c r -i S City: JO0irstti0oac� License #: illdeVP(Q-55)3 Lead Certificate #: If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) U(/ /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 documentsahat you submit are considered to be public information F the information may_ be classified as non public 1f you provide specific reasons that would permit tl conclude` that they are trade -secrets. roes 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.Qooherstateonecall.oro 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 Buil ince ' ode days of permit issuance. Applicant's Printed Name st be completed within 180 garafft. pplican' 1?ture Page 1 of 3 42-&5" R �n� A.DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool WORK TYPES New Interior Improvement Addition Move Building N Alteration . _ Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction V Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required /><. Final / No C.O. Required HVAC _ Gds Seryicg Fest, Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests Final y Siding: _Stucco Lath _Stone Lath Brick Windows Retaining Wall: Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL a Page 2 of 3 City of Eagan PERMIT 41' CityofEaa Permit Type: Plumbing Permit Number: EA106473 Date Issued: 08/23/2012 IIPermit Category: ePermit Site Address: 4273 Meghan Lane Lot: 905 Block: 03 Addition: Meghans PID: 10-48250-03-905 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 - Applicant - Owner: Sheila A Kremer 4273 Meghan Lane Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature y-a(05,4+a07,9rauqoa-ii 49'I3, 4315)K0-11, 42il• City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 532,0 Date Received: )'O/i @/L$ Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10-1(0_(Site Address:�,�c�p� �,yO Unit #: Name: t Pau k.0 J TUD-r-YlVIUNWS Resident/ Owner Address / City / Zip: , (¢ Applicant is: Phone: (o/2 — Co 70 —Ce t Owner Contractor Type of Work Description of work: Q p - Q c 1P /1S rG1-\- or),1+ \r c l urj Construction Cost: -2-)S7/ CJ (?b Multi -Family Building: (Yes x / No Contractor Company: \-1CrikkCx � t t u 'irS _ u C Contact -1— tts- Address:ICI CCS i"�}f-4-1 Zi,( 33 City: jJui. LOC(' State:Q Zip: STS Phone: U- I C / ` 77(/ License #: '` J C. (6. 3 02 3 9 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) - L o7i Li /l3,/(i, S 6/ms) (,---L4 kr 0 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: 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 they are trade secrets. 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 t 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 wit 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 Bui ding days of permit issuance. x rs—fLVA,s Applicant's Printed Name od• must be completed within 180 i4r4ig p. • p• Ica - na ure Page 1 of 3 Date: City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r � For Office Use Permit #: 1, C)61 Permit Fee: _J OUB Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Thal -13 Site Address: `i2C/S-- (IL? ? (lIJ,f/ L<.i1 Cvt._ Unit #: Resident/ Owner Name: 0 0,,Tt aWC7Gti 1 C-1C3A sYl,t (1S Phone:W--(O7D —(, ' i C 3 - y2cr5-_ yzLo-7- yzil —c.,0_7? Address / City / Zip` 12 (#6( - ii ? -1 / - y Z 7 ? _ci z 7 5-_ L Applicant is: Owner X Contractor N WU) 'civ, Type of Work Description of work: ' n _ �c� t-. PA -N, � - k je ,14}4 -1.A. -----S f$ ,, Construction Cosi." 3 5- G( Multi -Family Building: (Yes tr / No ) Contractor Company: v� tO,'" M __ 1 Contact:. AJ'l-e_ct--eCl. %r. -__T V'. -)c0 Address: A 4 So S Ni,,,v-vi,--1 (! 33 City: 0U State:G"I LJ Zip: ':S`> , CC Phone: (-Q 1Z --g)(1 - -7-No License #: (3 ( l 0 S cz.Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ( - a 4.; it cru' tci 4 150 i c4/8,,- ,L,Jq7 y In the last 12 months, Yes No If COMPLETE THIgAREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Cat 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.00pherstateonecall.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 J_,J1 I�I PJP_ (-i . J Applicant's Printed Name x Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173519 Date Issued:11/15/2021 Permit Category:ePermit Site Address: 4273 Meghan Lane Lot:905 Block: 03 Addition: Meghans PID:10-48250-03-905 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Sheila A Kremer 4273 Meghan Ln Eagan MN 55122 (612) 227-4071 Urban Pine Plumbing & Mechanical 13860 Newland Ave Lindstrom MN 55045 (651) 888-2275 Applicant/Permitee: Signature Issued By: Signature