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