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1752 Flamingo DrATE: i�,_•v�n 3795EAGAN Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION WNER: •gu a Manito UMBER C Address: 175j_1752 Tres OF PIPE is . y c_,st iro« DESCRIPTION OF EUIID ING NUMBER Connection Char$e Permit Fee i0.00 .t 12,' Street Repairs ----7.7571-7177771757777--- Tota l Inspected by: Date Remarks: ideration of the issue and delivery to me of the above a Permit, I tagre toee d the proposed work in accordance with EaganTownship, Dakota County, Minnesota the rules and BY ti r k is covered. y for inepectioa and connection and before any portion 41,I) C!ty of Eapll 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 #: /0 /(�/ `1 Permit Fee: Date Received: Staff: 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: /g/2,242-- 2-- Site Address: / %?,2- r / A» h),, .91 1 - Tenant: -Tenant: Suite #: RESIDENT /OWNER: Name: at ti6 Phone&2) 1 y/7 - �`�2 Address //City / Zip: CONTRACTOR.. / Name: /It'll t7�Lurri, ; L License #: Cid /3 a" r'4 Address: ' %Gl 6 i e tai C� d c' v , 4`C So City: pit -pi C G r'!,�' fi`e State: M, i Phone: �G 5 '4 c,),re, Zip: j J iii," -0 , –�'' Tel( ( Email: /2i -fie,/ "1---, ;r9 i -II 'l evr.-1 TYPE OF WORK-. New K'Replacement Repair Rebuild Modify Space Work in R.O.W. — _ i Description sof work 1. '✓ r l;o2d Lrn 7tl'i�u ' et/ .% "C ' i�f ,�»:c. riilt' tirt'I PERMIT TYPE RESIDENTIAL K. Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One CaII 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<J -eifrt ✓ Le,/Applicant's Printed Name ant's Signature FOR OFFICE USE Required Inspections: Under Ground _,_,Rough -In Air Te as Test. A-- 1150 t ti5 r 115k 1 t 1 s10 -hav44'I City o(Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: k 13 Site Address: 17 5U 17 5 a 175 1 1 7 A 5(r �la�. �n c Ur. Unit #: Use BLUE or BLACK Ink L For Office Use n Permit #: , ` � p.. Permit Fee: oda . Date Received: 10 1 Staff: c Name: wnone: Address / City / Zip: Applicant is: Owner Contractor Description of work: Construction Cost: 0 Mufti -Family Building: (Yes i No ) Company: tote ¢ ate t Ne~rw�fe 'e®�,j Contact a'" t,.. sir- t License #: -.SC i t+ ‘') `>* 5 Lead Certificate #: /v AT - c;ocro 7 -1 I f the project is exempt fromlead certification, please explain why: (see Page 3 for additional information) fid►. Le.J COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a sirnilar plan based on a master plan? Yes No If yes, date and address of master plan: icensed Plumb Phone: Mechanical Contractor: Phone: Ser &-Water Cont 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. ,... >` tegnec. ll vrg 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 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 Building Code must be completed within 180 days of permit issuance. xo�r.,iCe.Gf Applicant's Printed Name Applicant's Signature Page City of Eagan PERMIT City of Eaan Permit Type: Building Permit Number: EA128176 Date Issued: 10/28/2014 Permit Category: ePermit Site Address: 1752 Flamingo Dr Lot: 2 Block: 11 Addition: Town View 1st PID: 10-77100-11-020 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Owner: David Stanczyk 5138 Lower 183rd St W Farmington MN 55024 - Applicant - 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