4276 Meghan LaneCity of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2011 RESIDENTIAL BUIL
�./
/ Address: / 06
Date:
Name:
Sewer & Water Contractor:
Address / City / Zip:
Applicant is: Owner Contractor
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Description of work: �G „ t r^ r
Construction Cost: 00 Multi- Family Building: (Yes Y /No )
Company:
Address: 1 LI S® COL✓11- j P-St
State: r W Zip: Phone: (0 ta' c t 0 L 1 - - 4 C
License #: Wag (0 Lead Certificate #:
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
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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:
NOTE: Plans and supporting documen y ou s ubmit are considered to be public information.
the information may be classified as non public if you provide specific reasons that` would p ernii
conclude;tha they are trade secrets;
RECEIVED
JAN 242012
pplican
Phone:
Phone:
Phone:
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
ING PERMIT APPLICATION
i 1 i r1 Unit #:
Phone:
Use BLUE or BLACK Ink
Contact ) } f I.Qckf`tL . i5
City: K tti0bl7J
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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 st be completed within 180
days of permit issuance.
X Ci/1/1,f, 1 0. ke ci e
Applicant's Pr nted Name
Page 1 of 3
SUB TYPES
Foundation
Single Family
X Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Sheathing
Sheetrock
Reviewed By:
1-1
Replace
Retaining Wall
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
(.p ft t" Le" v
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
DESCRIPTION
Valuation 0 CP 0
Plan Review
(25 %_ 100 %)
Census Code
# of Units
# of Buildings
Type of Construction
V 0
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
TOTAL
J L—
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
Siding
Reroof
Windows
Egress Window
*Demolition of entire building - give PCA handout to applicant
Code Edition 04/V4 2-a )7
Zoning
Stories
Square Feet
Length
Width
Building Inspector
Storm Damage
Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC as Septic? Test Gas Line Air Test
Other: C'i- 1 1
Pool: _ Footings Air/Gas Tests _ Final
Siding: _ Stucco Lath _ Stone Lath _ Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Erosion Control
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156984
Date Issued:07/29/2019
Permit Category:ePermit
Site Address: 4276 Meghan Lane
Lot:106 Block: 03 Addition: Meghans
PID:10-48250-03-106
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Carrie L Martinson
4276 Meghan Lane
Eagan MN 55122
(651) 336-4452
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature